|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
10
|
$238,942.64
|
$191,154.11
20% off
|
$38,044.16
|
$115,986.92
|
$53,763.23
|
2026-02-23
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
10
|
$218,720.37
|
$174,976.29
20% off
|
$33,761.28
|
$107,980.70
|
$50,052.12
|
2026-02-23
|
|
940557_1
|
CDM
|
Shockwave 6x80x150CM Balloon
|
44
|
22
|
$56,212.00
|
$44,969.60
20% off
|
$31,310.08
|
$56,212.00
|
$45,278.76
|
2026-02-23
|
|
940552_1
|
CDM
|
Shockwave 2.5x80x150CM Balloon
|
44
|
22
|
$56,212.00
|
$44,969.60
20% off
|
$31,310.08
|
$56,212.00
|
$45,278.76
|
2026-02-23
|
|
940556_1
|
CDM
|
Shockwave 5x80x150CM Balloon
|
44
|
22
|
$56,212.00
|
$44,969.60
20% off
|
$31,310.08
|
$56,212.00
|
$45,278.76
|
2026-02-23
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
9
|
9
|
$269,426.93
|
$215,541.54
20% off
|
$41,041.54
|
$88,541.59
|
$41,041.54
|
2026-02-23
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
10
|
$158,164.09
|
$126,531.27
20% off
|
$35,806.72
|
$83,693.56
|
$38,794.34
|
2026-02-23
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
10
|
$155,689.57
|
$124,551.65
20% off
|
$34,259.84
|
$82,874.65
|
$38,414.75
|
2026-02-23
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
10
|
$65,480.20
|
$52,384.16
|
$31,580.16
|
$78,733.10
|
$36,495.03
|
2026-02-23
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
88
|
22
|
$45,751.00
|
$36,600.80
|
$23,767.75
|
$48,831.00
|
$36,270.35
|
2026-02-23
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
10
|
$190,791.55
|
$152,633.24
20% off
|
$32,867.20
|
$77,133.87
|
$35,753.74
|
2026-02-23
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
10
|
$152,438.39
|
$121,950.71
20% off
|
$30,765.44
|
$76,331.73
|
$35,381.93
|
2026-02-23
|
|
C1724
|
HCPCS
|
Catheter, Transluminal Atherectomy, Rotational
|
44
|
22
|
$41,235.00
|
$32,988.00
20% off
|
$22,967.90
|
$41,235.00
|
$33,214.79
|
2026-02-23
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
10
|
$256,551.72
|
$205,241.38
|
$19,883.52
|
$70,507.05
|
$32,682.02
|
2026-02-23
|
|
407025_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$39,072.00
|
$31,257.60
20% off
|
$21,763.10
|
$39,072.00
|
$31,472.50
|
2026-02-23
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
10
|
$93,528.51
|
$74,822.80
20% off
|
$25,136.00
|
$64,427.29
|
$29,863.88
|
2026-02-23
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
44
|
22
|
$36,548.00
|
$29,238.40
|
$20,357.24
|
$36,548.00
|
$29,439.42
|
2026-02-23
|
|
C1786
|
HCPCS
|
Pacemaker, Single Chamber, Rate-responsive (implantable)
|
44
|
22
|
$36,462.14
|
$29,169.71
20% off
|
$20,309.41
|
$36,462.14
|
$29,370.25
|
2026-02-23
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
10
|
$75,504.92
|
$60,403.94
|
$21,416.32
|
$62,539.43
|
$28,988.80
|
2026-02-23
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
10
|
10
|
$210,126.45
|
$168,101.16
20% off
|
$20,387.20
|
$61,613.12
|
$28,559.43
|
2026-02-23
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
10
|
$77,095.62
|
$61,676.50
|
$20,480.64
|
$60,609.62
|
$28,094.28
|
2026-02-23
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
9
|
9
|
$335,404.92
|
$268,323.94
|
$28,052.27
|
$60,519.00
|
$28,052.27
|
2026-02-23
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
10
|
10
|
$316,972.00
|
$253,577.60
20% off
|
$26,689.28
|
$59,923.27
|
$27,776.14
|
2026-02-23
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
10
|
10
|
$373,505.85
|
$298,804.68
|
$23,224.96
|
$59,783.99
|
$27,711.58
|
2026-02-23
|
|
407122_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$34,301.00
|
$27,440.80
20% off
|
$19,105.66
|
$34,301.00
|
$27,629.46
|
2026-02-23
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
10
|
$292,384.12
|
$233,907.30
|
$21,937.28
|
$59,179.87
|
$27,431.55
|
2026-02-23
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
10
|
$208,840.61
|
$167,072.48
20% off
|
$26,107.52
|
$58,522.06
|
$27,126.64
|
2026-02-23
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
10
|
10
|
$75,934.34
|
$60,747.47
20% off
|
$17,189.12
|
$58,253.56
|
$27,002.18
|
2026-02-23
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
10
|
$66,700.59
|
$53,360.47
20% off
|
$21,433.60
|
$57,531.98
|
$26,667.71
|
2026-02-23
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
9
|
9
|
$16,221.04
|
$12,976.83
20% off
|
$16,221.04
|
$44,292.30
|
$26,502.03
|
2026-02-23
|
|
940560_1
|
CDM
|
Shockwave S4 4x40x135 Balloon
|
44
|
22
|
$32,890.00
|
$26,312.00
20% off
|
$18,319.73
|
$32,890.00
|
$26,492.90
|
2026-02-23
|
|
407022_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$32,727.00
|
$26,181.60
20% off
|
$18,228.94
|
$32,727.00
|
$26,361.60
|
2026-02-23
|
|
406923_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$32,624.00
|
$26,099.20
20% off
|
$18,171.57
|
$32,624.00
|
$26,278.63
|
2026-02-23
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
10
|
10
|
$182,052.04
|
$145,641.63
20% off
|
$17,277.44
|
$56,058.61
|
$25,984.76
|
2026-02-23
|
|
407121_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$32,189.00
|
$25,751.20
20% off
|
$17,929.27
|
$32,189.00
|
$25,928.24
|
2026-02-23
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
10
|
10
|
$92,743.80
|
$74,195.04
20% off
|
$16,718.08
|
$54,345.27
|
$25,190.58
|
2026-02-23
|
|
420008_1
|
CDM
|
Lithotripsy Unilateral
|
44
|
22
|
$31,106.90
|
$24,885.52
20% off
|
$17,326.54
|
$31,106.90
|
$25,056.61
|
2026-02-23
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
10
|
10
|
$101,755.49
|
$81,404.39
20% off
|
$24,104.96
|
$53,578.38
|
$24,835.10
|
2026-02-23
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
10
|
10
|
$161,132.13
|
$128,905.70
20% off
|
$21,338.88
|
$53,479.37
|
$24,789.21
|
2026-02-23
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
9
|
9
|
$192,361.63
|
$153,889.30
20% off
|
$24,509.96
|
$52,876.93
|
$24,509.96
|
2026-02-23
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
10
|
$35,844.26
|
$28,675.41
|
$19,338.88
|
$52,267.78
|
$24,227.60
|
2026-02-23
|
|
C9765
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
56
|
28
|
$34,646.67
|
$27,717.34
|
$5,354.80
|
$34,646.67
|
$24,131.40
|
2026-02-23
|
|
51597
|
HCPCS
|
Removal Of Bladder And Ureters And/or Removal Of Rectum And Partial Removal Of L…
|
56
|
28
|
$34,485.00
|
$27,588.00
20% off
|
$2,108.47
|
$34,485.00
|
$24,018.81
|
2026-02-23
|
|
C9766
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
56
|
28
|
$34,247.00
|
$27,397.60
20% off
|
$5,354.80
|
$34,247.00
|
$23,853.03
|
2026-02-23
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
10
|
10
|
$76,551.28
|
$61,241.02
20% off
|
$18,846.72
|
$50,507.45
|
$23,411.64
|
2026-02-23
|
|
37267
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Femoral And Popliteal Vas…
|
54
|
27
|
$32,740.00
|
$26,192.00
20% off
|
$12,371.00
|
$32,740.00
|
$23,016.22
|
2026-02-23
|
|
407020_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$28,501.00
|
$22,800.80
20% off
|
$15,875.06
|
$28,501.00
|
$22,957.56
|
2026-02-23
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
10
|
10
|
$99,058.26
|
$79,246.61
|
$19,667.84
|
$48,871.31
|
$22,653.24
|
2026-02-23
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
10
|
10
|
$109,729.13
|
$87,783.30
20% off
|
$17,894.40
|
$48,698.46
|
$22,573.12
|
2026-02-23
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
9
|
9
|
$131,257.64
|
$105,006.11
20% off
|
$22,325.76
|
$48,164.83
|
$22,325.76
|
2026-02-23
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
10
|
10
|
$169,258.97
|
$135,407.18
|
$17,166.08
|
$47,834.24
|
$22,172.53
|
2026-02-23
|
|
51595
|
HCPCS
|
Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation …
|
56
|
28
|
$31,702.00
|
$25,361.60
20% off
|
$1,998.50
|
$31,702.00
|
$22,080.44
|
2026-02-23
|
|
C9604
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
56
|
28
|
$31,244.00
|
$24,995.20
20% off
|
$7,107.54
|
$31,244.00
|
$21,761.44
|
2026-02-23
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
10
|
10
|
$77,410.60
|
$61,928.48
20% off
|
$14,415.36
|
$46,837.45
|
$21,710.49
|
2026-02-23
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
184
|
23
|
$27,228.44
|
$21,782.75
20% off
|
$7,107.54
|
$27,803.00
|
$21,635.53
|
2026-02-23
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
10
|
$63,824.39
|
$51,059.51
20% off
|
$17,538.56
|
$46,266.90
|
$21,446.02
|
2026-02-23
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
10
|
10
|
$115,453.50
|
$92,362.80
20% off
|
$14,668.80
|
$46,125.93
|
$21,380.68
|
2026-02-23
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
10
|
10
|
$144,645.20
|
$115,716.16
20% off
|
$17,742.72
|
$46,114.19
|
$21,375.24
|
2026-02-23
|
|
406920_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$26,283.00
|
$21,026.40
|
$14,639.63
|
$26,283.00
|
$21,170.96
|
2026-02-23
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
9
|
9
|
$146,393.92
|
$117,115.14
|
$21,163.66
|
$45,657.74
|
$21,163.66
|
2026-02-23
|
|
940562_1
|
CDM
|
Viance Std Sf .014x150cm
|
44
|
22
|
$26,252.00
|
$21,001.60
20% off
|
$14,622.36
|
$26,252.00
|
$21,145.99
|
2026-02-23
|
|
51596
|
HCPCS
|
Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation …
|
56
|
28
|
$30,251.00
|
$24,200.80
20% off
|
$2,155.47
|
$30,251.00
|
$21,069.82
|
2026-02-23
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
10
|
10
|
$55,850.31
|
$44,680.25
|
$17,894.40
|
$45,412.74
|
$21,050.10
|
2026-02-23
|
|
407118_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$25,848.00
|
$20,678.40
|
$14,397.34
|
$25,848.00
|
$20,820.57
|
2026-02-23
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
10
|
10
|
$81,026.61
|
$64,821.29
|
$19,764.31
|
$42,638.84
|
$20,784.56
|
2026-02-23
|
|
21160
|
HCPCS
|
Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts And Re…
|
56
|
28
|
$29,591.00
|
$23,672.80
20% off
|
$4,321.77
|
$29,591.00
|
$20,610.13
|
2026-02-23
|
|
C1052
|
HCPCS
|
Hemostatic Agent, Gastrointestinal, Topical
|
44
|
22
|
$25,555.00
|
$20,444.00
20% off
|
$14,234.14
|
$25,555.00
|
$20,584.56
|
2026-02-23
|
|
406820_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$25,198.00
|
$20,158.40
|
$14,035.29
|
$25,198.00
|
$20,296.99
|
2026-02-23
|
|
C9601
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit…
|
138
|
23
|
$25,577.00
|
$20,461.60
20% off
|
$7,107.54
|
$25,577.00
|
$20,231.41
|
2026-02-23
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
10
|
10
|
$127,975.86
|
$102,380.68
20% off
|
$16,065.28
|
$43,556.76
|
$20,189.80
|
2026-02-23
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
10
|
10
|
$50,732.58
|
$40,586.06
20% off
|
$14,582.40
|
$43,281.56
|
$20,062.23
|
2026-02-23
|
|
406919_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$24,590.00
|
$19,672.00
20% off
|
$13,696.63
|
$24,590.00
|
$19,807.24
|
2026-02-23
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
10
|
10
|
$125,104.16
|
$100,083.33
|
$12,759.68
|
$42,558.29
|
$19,726.98
|
2026-02-23
|
|
407018_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$24,271.00
|
$19,416.80
20% off
|
$13,518.95
|
$24,271.00
|
$19,550.29
|
2026-02-23
|
|
51590
|
HCPCS
|
Removal Of Bladder With Transplantation Of Ureters To Small Or Large Bowel With …
|
56
|
28
|
$27,588.00
|
$22,070.40
|
$1,768.05
|
$27,588.00
|
$19,215.04
|
2026-02-23
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
10
|
10
|
$91,601.37
|
$73,281.10
|
$14,109.44
|
$41,267.84
|
$19,128.81
|
2026-02-23
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
10
|
10
|
$86,932.57
|
$69,546.05
20% off
|
$18,274.56
|
$41,256.09
|
$19,123.37
|
2026-02-23
|
|
407117_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$23,730.00
|
$18,984.00
20% off
|
$13,217.61
|
$23,730.00
|
$19,114.51
|
2026-02-23
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
9
|
9
|
$10,768.36
|
$8,614.69
|
$10,768.36
|
$31,839.60
|
$19,051.03
|
2026-02-23
|
|
C9600
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
168
|
28
|
$27,327.50
|
$21,862.00
20% off
|
$7,107.54
|
$27,380.33
|
$19,023.97
|
2026-02-23
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
10
|
10
|
$179,929.21
|
$143,943.37
|
$17,010.56
|
$41,016.12
|
$19,012.14
|
2026-02-23
|
|
22818
|
HCPCS
|
Removal Of 1-2 Spine Bones To Correct Outward Curving Spine Deformity
|
56
|
28
|
$25,554.00
|
$20,443.20
20% off
|
$14,233.58
|
$25,554.00
|
$18,883.55
|
2026-02-23
|
|
21268
|
HCPCS
|
Repositioning Of Eye Bone From Inside And Outside Skull With Bone Graft
|
56
|
28
|
$27,015.00
|
$21,612.00
20% off
|
$4,321.77
|
$27,015.00
|
$18,815.95
|
2026-02-23
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
10
|
10
|
$101,386.42
|
$81,109.14
|
$16,387.84
|
$40,227.41
|
$18,646.55
|
2026-02-23
|
|
406819_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$23,087.00
|
$18,469.60
20% off
|
$12,859.46
|
$23,087.00
|
$18,596.58
|
2026-02-23
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
10
|
10
|
$89,580.15
|
$71,664.12
20% off
|
$15,845.76
|
$40,046.18
|
$18,562.54
|
2026-02-23
|
|
51585
|
HCPCS
|
Complete Removal Of Bladder With Transplantation Of Ureters And Removal Of Lymph…
|
56
|
28
|
$26,621.00
|
$21,296.80
20% off
|
$1,925.89
|
$26,621.00
|
$18,541.53
|
2026-02-23
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
10
|
10
|
$62,859.22
|
$50,287.38
|
$14,305.28
|
$39,244.05
|
$18,190.73
|
2026-02-23
|
|
36906
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
56
|
28
|
$21,366.00
|
$17,092.80
20% off
|
$9,271.13
|
$21,366.00
|
$18,161.10
|
2026-02-23
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
10
|
10
|
$84,810.42
|
$67,848.34
|
$13,710.72
|
$39,024.22
|
$18,088.83
|
2026-02-23
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
10
|
10
|
$110,775.23
|
$88,620.18
20% off
|
$11,109.76
|
$38,983.94
|
$18,070.16
|
2026-02-23
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
10
|
10
|
$110,649.96
|
$88,519.97
|
$16,976.51
|
$36,624.53
|
$18,038.97
|
2026-02-23
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
10
|
10
|
$35,791.57
|
$28,633.26
|
$16,126.08
|
$38,522.46
|
$17,856.26
|
2026-02-23
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
10
|
10
|
$107,725.35
|
$86,180.28
20% off
|
$11,288.32
|
$38,510.72
|
$17,850.81
|
2026-02-23
|
|
407017_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$22,156.00
|
$17,724.80
20% off
|
$12,340.89
|
$22,156.00
|
$17,846.66
|
2026-02-23
|
|
406918_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$22,055.00
|
$17,644.00
20% off
|
$12,284.64
|
$22,055.00
|
$17,765.31
|
2026-02-23
|
|
21159
|
HCPCS
|
Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts
|
56
|
28
|
$25,479.00
|
$20,383.20
20% off
|
$4,321.77
|
$25,479.00
|
$17,746.12
|
2026-02-23
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
10
|
10
|
$62,396.40
|
$49,917.12
20% off
|
$13,092.48
|
$38,188.52
|
$17,701.46
|
2026-02-23
|
|
407116_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$21,683.08
|
$17,346.46
20% off
|
$12,077.48
|
$21,683.08
|
$17,465.72
|
2026-02-23
|
|
C1884
|
HCPCS
|
Embolization Protective System
|
88
|
22
|
$21,438.50
|
$17,150.80
20% off
|
$11,347.20
|
$22,505.00
|
$17,316.20
|
2026-02-23
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
10
|
10
|
$70,837.88
|
$56,670.31
|
$13,472.64
|
$37,133.00
|
$17,212.20
|
2026-02-23
|
|
921314_1
|
CDM
|
11Mm/125 Deg Ti Cann Tfna
|
44
|
22
|
$21,164.00
|
$16,931.20
|
$11,788.35
|
$21,164.00
|
$17,047.60
|
2026-02-23
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
10
|
10
|
$66,536.09
|
$53,228.87
20% off
|
$13,619.20
|
$36,562.44
|
$16,947.73
|
2026-02-23
|
|
406818_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$20,975.00
|
$16,780.00
20% off
|
$11,683.08
|
$20,975.00
|
$16,895.36
|
2026-02-23
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
10
|
10
|
$111,388.99
|
$89,111.19
20% off
|
$16,575.14
|
$35,758.63
|
$16,880.53
|
2026-02-23
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
10
|
10
|
$101,316.18
|
$81,052.94
20% off
|
$13,062.40
|
$35,936.51
|
$16,657.59
|
2026-02-23
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
10
|
10
|
$52,519.31
|
$42,015.45
|
$10,902.40
|
$35,923.09
|
$16,651.37
|
2026-02-23
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
10
|
10
|
$68,718.69
|
$54,974.95
20% off
|
$13,470.72
|
$35,889.52
|
$16,635.81
|
2026-02-23
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
10
|
10
|
$44,483.52
|
$35,586.82
|
$12,460.16
|
$35,587.47
|
$16,495.80
|
2026-02-23
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
10
|
10
|
$202,082.61
|
$161,666.09
|
$16,281.89
|
$35,125.99
|
$16,487.82
|
2026-02-23
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
9
|
9
|
$95,961.10
|
$76,768.88
20% off
|
$16,472.47
|
$35,537.12
|
$16,472.47
|
2026-02-23
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
10
|
10
|
$79,308.11
|
$63,446.49
|
$15,045.76
|
$35,386.09
|
$16,402.46
|
2026-02-23
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
10
|
10
|
$87,133.43
|
$69,706.75
|
$12,636.16
|
$35,147.80
|
$16,292.01
|
2026-02-23
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
10
|
10
|
$119,185.36
|
$95,348.29
|
$12,926.72
|
$35,090.75
|
$16,265.56
|
2026-02-23
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
10
|
10
|
$139,230.35
|
$111,384.28
20% off
|
$12,112.00
|
$34,991.74
|
$16,219.67
|
2026-02-23
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/mcc
|
10
|
10
|
$67,287.53
|
$53,830.02
20% off
|
$12,971.52
|
$34,968.25
|
$16,208.78
|
2026-02-23
|
|
407016_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$20,119.89
|
$16,095.91
20% off
|
$11,206.78
|
$20,119.89
|
$16,206.57
|
2026-02-23
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
10
|
10
|
$95,216.88
|
$76,173.50
20% off
|
$10,176.64
|
$34,894.41
|
$16,174.55
|
2026-02-23
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
10
|
10
|
$127,375.43
|
$101,900.34
20% off
|
$12,896.64
|
$34,681.29
|
$16,075.76
|
2026-02-23
|
|
406917_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$19,940.00
|
$15,952.00
20% off
|
$11,106.58
|
$19,940.00
|
$16,061.67
|
2026-02-23
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc
|
10
|
10
|
$54,962.56
|
$43,970.05
|
$9,646.72
|
$34,385.95
|
$15,938.86
|
2026-02-23
|
|
21263
|
HCPCS
|
Repositioning Of Cheek Bone Prominence With Forehead Advancement
|
56
|
28
|
$22,715.00
|
$18,172.00
20% off
|
$4,321.77
|
$22,715.00
|
$15,821.00
|
2026-02-23
|
|
22804
|
HCPCS
|
Fusion To Repair Spine Deformity Through Back, 13 Or More Bones
|
56
|
28
|
$18,542.00
|
$14,833.60
20% off
|
$10,327.89
|
$18,977.50
|
$15,760.70
|
2026-02-23
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
10
|
10
|
$69,911.39
|
$55,929.11
20% off
|
$15,542.16
|
$33,530.12
|
$15,740.04
|
2026-02-23
|
|
407115_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$19,507.00
|
$15,605.60
20% off
|
$10,865.40
|
$19,507.00
|
$15,712.89
|
2026-02-23
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
10
|
10
|
$63,221.27
|
$50,577.02
|
$11,176.96
|
$33,746.59
|
$15,642.50
|
2026-02-23
|
|
61686
|
HCPCS
|
Complex Repair Of Abnormal Artery-vein Connection In Lower Brain
|
56
|
28
|
$22,422.00
|
$17,937.60
20% off
|
$3,601.45
|
$22,422.00
|
$15,616.92
|
2026-02-23
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
10
|
10
|
$97,467.07
|
$77,973.66
|
$9,588.48
|
$33,671.08
|
$15,607.50
|
2026-02-23
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
10
|
10
|
$38,383.33
|
$30,706.66
20% off
|
$12,478.72
|
$33,481.45
|
$15,519.60
|
2026-02-23
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
10
|
10
|
$80,810.59
|
$64,648.47
20% off
|
$10,840.96
|
$33,239.80
|
$15,407.59
|
2026-02-23
|
|
21267
|
HCPCS
|
Reconstruction Of Eye Bone From Outside Skull With Bone Graft
|
56
|
28
|
$22,102.00
|
$17,681.60
20% off
|
$2,265.98
|
$22,102.00
|
$15,394.04
|
2026-02-23
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
10
|
10
|
$64,016.72
|
$51,213.38
|
$10,922.24
|
$33,028.36
|
$15,309.58
|
2026-02-23
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
10
|
10
|
$42,851.92
|
$34,281.54
|
$12,300.80
|
$32,927.68
|
$15,262.91
|
2026-02-23
|
|
406817_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$18,858.00
|
$15,086.40
20% off
|
$10,503.91
|
$18,858.00
|
$15,190.12
|
2026-02-23
|
|
51575
|
HCPCS
|
Complete Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis
|
56
|
28
|
$21,782.00
|
$17,425.60
20% off
|
$1,659.02
|
$21,782.00
|
$15,171.17
|
2026-02-23
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
10
|
10
|
$65,416.15
|
$52,332.92
20% off
|
$11,878.40
|
$32,597.09
|
$15,109.68
|
2026-02-23
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
10
|
10
|
$68,146.91
|
$54,517.52
20% off
|
$9,718.40
|
$32,501.44
|
$15,065.34
|
2026-02-23
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
10
|
10
|
$46,388.78
|
$37,111.02
20% off
|
$8,998.40
|
$32,476.27
|
$15,053.67
|
2026-02-23
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
10
|
10
|
$96,368.76
|
$77,095.01
|
$13,769.60
|
$33,054.00
|
$15,003.89
|
2026-02-23
|
|
21184
|
HCPCS
|
Reconstruction Of Eye, Forehead, And Nose Bones With Removal Of Growth With Bone…
|
56
|
28
|
$21,429.00
|
$17,143.20
|
$4,321.77
|
$21,429.00
|
$14,925.30
|
2026-02-23
|
|
51580
|
HCPCS
|
Complete Removal Of Bladder With Transplantation Of Ureters
|
56
|
28
|
$21,419.00
|
$17,135.20
|
$1,733.57
|
$21,419.00
|
$14,918.33
|
2026-02-23
|
|
92928
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…
|
168
|
28
|
$25,535.00
|
$20,428.00
20% off
|
$2,968.25
|
$25,535.00
|
$14,765.61
|
2026-02-23
|
|
C9764
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
56
|
28
|
$21,164.00
|
$16,931.20
|
$3,193.26
|
$21,164.00
|
$14,740.73
|
2026-02-23
|
|
22812
|
HCPCS
|
Fusion Of Spine Bones For Correction Of Deformity, Anterior Approach, 8 Or More …
|
56
|
28
|
$17,311.00
|
$13,848.80
20% off
|
$9,642.23
|
$18,977.50
|
$14,714.35
|
2026-02-23
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
10
|
10
|
$41,313.95
|
$33,051.16
|
$11,122.56
|
$31,724.48
|
$14,705.20
|
2026-02-23
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
10
|
10
|
$82,975.08
|
$66,380.06
20% off
|
$11,126.40
|
$31,724.48
|
$14,705.20
|
2026-02-23
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
10
|
10
|
$186,281.63
|
$149,025.30
20% off
|
$10,699.52
|
$31,669.10
|
$14,679.53
|
2026-02-23
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
10
|
$58,054.16
|
$46,443.33
|
$12,831.36
|
$31,385.50
|
$14,548.07
|
2026-02-23
|
|
21155
|
HCPCS
|
Reconstruction Of Midface Bones With Bone Graft With LeFort I (LeFort Iii)
|
56
|
28
|
$20,877.00
|
$16,701.60
20% off
|
$4,321.77
|
$20,877.00
|
$14,540.83
|
2026-02-23
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
10
|
10
|
$45,365.39
|
$36,292.31
20% off
|
$10,325.76
|
$31,367.05
|
$14,539.52
|
2026-02-23
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
10
|
10
|
$35,534.92
|
$28,427.93
20% off
|
$11,940.48
|
$31,294.89
|
$14,506.07
|
2026-02-23
|
|
407015_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$17,980.74
|
$14,384.59
20% off
|
$10,015.27
|
$17,980.74
|
$14,483.49
|
2026-02-23
|
|
406916_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$17,827.00
|
$14,261.60
20% off
|
$9,929.64
|
$17,827.00
|
$14,359.65
|
2026-02-23
|
|
C9772
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie…
|
56
|
28
|
$20,448.00
|
$16,358.40
20% off
|
$5,354.80
|
$20,448.00
|
$14,242.03
|
2026-02-23
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
10
|
10
|
$58,679.72
|
$46,943.78
|
$10,921.60
|
$30,722.65
|
$14,240.82
|
2026-02-23
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
10
|
10
|
$70,076.68
|
$56,061.34
20% off
|
$11,304.96
|
$30,675.67
|
$14,219.04
|
2026-02-23
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
10
|
10
|
$70,618.49
|
$56,494.79
20% off
|
$12,110.72
|
$30,603.51
|
$14,185.60
|
2026-02-23
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
10
|
10
|
$120,494.41
|
$96,395.53
|
$13,898.24
|
$30,331.66
|
$14,059.58
|
2026-02-23
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
10
|
10
|
$121,822.10
|
$97,457.68
20% off
|
$12,514.56
|
$30,313.20
|
$14,051.03
|
2026-02-23
|
|
407114_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$17,406.03
|
$13,924.82
20% off
|
$9,695.16
|
$17,406.03
|
$14,020.56
|
2026-02-23
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
6
|
6
|
$4,796.81
|
$3,837.45
|
$4,796.81
|
$14,018.36
|
$14,018.36
|
2026-02-23
|
|
24363
|
HCPCS
|
Prosthetic Repair Of Elbow Joint
|
56
|
28
|
$16,484.00
|
$13,187.20
|
$8,223.16
|
$18,977.50
|
$14,011.40
|
2026-02-23
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
10
|
10
|
$55,138.02
|
$44,110.42
|
$11,877.12
|
$30,116.86
|
$13,960.02
|
2026-02-23
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
10
|
10
|
$78,937.49
|
$63,149.99
20% off
|
$12,176.64
|
$29,754.39
|
$13,792.01
|
2026-02-23
|
|
21183
|
HCPCS
|
Reconstruction Of Eye, Forehead, And Nose Bones With Removal Of Growth With Bone…
|
56
|
28
|
$19,768.00
|
$15,814.40
20% off
|
$4,321.77
|
$19,768.00
|
$13,768.41
|
2026-02-23
|
|
61702
|
HCPCS
|
Repair Of Simple Aneurysm Of Back Of Brain Artery
|
56
|
28
|
$19,723.00
|
$15,778.40
20% off
|
$3,601.45
|
$19,723.00
|
$13,737.07
|
2026-02-23
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
10
|
10
|
$38,428.75
|
$30,743.00
20% off
|
$11,632.64
|
$29,603.36
|
$13,722.00
|
2026-02-23
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
9
|
9
|
$101,234.05
|
$80,987.24
20% off
|
$13,713.44
|
$29,584.90
|
$13,713.44
|
2026-02-23
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
10
|
$67,361.54
|
$53,889.23
20% off
|
$11,904.00
|
$29,487.57
|
$13,668.33
|
2026-02-23
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
10
|
10
|
$48,180.72
|
$38,544.58
|
$10,125.44
|
$29,470.79
|
$13,660.55
|
2026-02-23
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
10
|
10
|
$96,500.12
|
$77,200.09
20% off
|
$10,103.68
|
$29,334.87
|
$13,597.54
|
2026-02-23
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
10
|
10
|
$57,811.32
|
$46,249.05
20% off
|
$13,144.06
|
$28,356.53
|
$13,592.51
|
2026-02-23
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
10
|
10
|
$69,571.81
|
$55,657.45
|
$9,715.20
|
$29,284.52
|
$13,574.21
|
2026-02-23
|
|
61616
|
HCPCS
|
Removal Of Growth Or Tissue Of Skull Base Within Brain Membrane
|
56
|
28
|
$19,447.00
|
$15,557.60
20% off
|
$3,242.62
|
$19,447.00
|
$13,544.83
|
2026-02-23
|
|
406816_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$16,742.00
|
$13,393.60
20% off
|
$9,325.29
|
$16,742.00
|
$13,485.68
|
2026-02-23
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
10
|
10
|
$58,012.83
|
$46,410.26
20% off
|
$9,829.76
|
$28,997.57
|
$13,441.20
|
2026-02-23
|
|
22802
|
HCPCS
|
Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V…
|
56
|
28
|
$15,447.00
|
$12,357.60
20% off
|
$8,603.98
|
$18,977.50
|
$13,315.32
|
2026-02-23
|
|
22548
|
HCPCS
|
Fusion Of Spine Bones At Base Of Neck, Oral Approach
|
56
|
28
|
$15,296.00
|
$12,236.80
20% off
|
$8,519.87
|
$15,296.00
|
$13,185.15
|
2026-02-23
|
|
61608
|
HCPCS
|
Removal Of Growth Or Tissue Of Middle Skull Base Within Brain Membrane
|
56
|
28
|
$18,892.00
|
$15,113.60
20% off
|
$3,242.62
|
$18,892.00
|
$13,158.28
|
2026-02-23
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
10
|
10
|
$77,492.77
|
$61,994.22
|
$10,544.64
|
$28,386.74
|
$13,158.06
|
2026-02-23
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
10
|
10
|
$116,228.13
|
$92,982.50
20% off
|
$9,569.28
|
$28,351.50
|
$13,141.73
|
2026-02-23
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
10
|
10
|
$92,194.27
|
$73,755.41
20% off
|
$10,468.48
|
$28,240.74
|
$13,090.39
|
2026-02-23
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
10
|
10
|
$78,446.44
|
$62,757.15
20% off
|
$10,480.64
|
$28,232.35
|
$13,086.50
|
2026-02-23
|
|
33780
|
HCPCS
|
Repair Of A Group Of Congenital Heart Defects With Redirection Of Blood Flow And…
|
56
|
28
|
$18,771.00
|
$15,016.80
20% off
|
$2,355.66
|
$18,771.00
|
$13,074.00
|
2026-02-23
|
|
33781
|
HCPCS
|
Repair Of A Group Of Congenital Heart Defects And Obstruction With Redirection O…
|
56
|
28
|
$18,771.00
|
$15,016.80
20% off
|
$2,294.22
|
$18,771.00
|
$13,074.00
|
2026-02-23
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
10
|
10
|
$29,965.81
|
$23,972.65
|
$10,415.36
|
$28,126.63
|
$13,037.49
|
2026-02-23
|
|
61684
|
HCPCS
|
Simple Repair Of Abnormal Artery-vein Connection In Lower Brain
|
56
|
28
|
$18,684.00
|
$14,947.20
|
$2,983.46
|
$18,684.00
|
$13,013.40
|
2026-02-23
|
|
61682
|
HCPCS
|
Complex Repair Of Abnormal Artery-vein Connection In Upper Brain
|
56
|
28
|
$18,684.00
|
$14,947.20
|
$3,601.45
|
$18,684.00
|
$13,013.40
|
2026-02-23
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
10
|
10
|
$98,179.94
|
$78,543.95
20% off
|
$10,235.52
|
$28,039.37
|
$12,997.05
|
2026-02-23
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
10
|
10
|
$55,899.47
|
$44,719.57
20% off
|
$10,614.40
|
$27,937.01
|
$12,949.60
|
2026-02-23
|
|
61613
|
HCPCS
|
Destruction Of Abnormal Blood Vessel At Skull Base
|
56
|
28
|
$18,546.00
|
$14,836.80
20% off
|
$3,459.74
|
$18,546.00
|
$12,917.29
|
2026-02-23
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
10
|
10
|
$105,828.38
|
$84,662.70
20% off
|
$7,772.80
|
$27,779.27
|
$12,876.48
|
2026-02-23
|
|
Q4121
|
HCPCS
|
Theraskin, Per Square Centimeter
|
54
|
27
|
$18,308.00
|
$14,646.40
20% off
|
$116.19
|
$18,308.00
|
$12,870.52
|
2026-02-23
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
10
|
10
|
$32,660.31
|
$26,128.25
|
$10,039.04
|
$27,762.49
|
$12,868.70
|
2026-02-23
|
|
37184
|
HCPCS
|
Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F…
|
56
|
28
|
$15,139.00
|
$12,111.20
|
$5,354.80
|
$19,840.95
|
$12,868.15
|
2026-02-23
|
|
Q4101
|
HCPCS
|
Apligraf, Per Square Centimeter
|
54
|
27
|
$18,298.00
|
$14,638.40
20% off
|
$116.19
|
$18,298.00
|
$12,863.49
|
2026-02-23
|
|
22810
|
HCPCS
|
Fusion Of Spine Bones For Correction Of Deformity, Anterior Approach, 4 To 7 Ver…
|
56
|
28
|
$14,922.00
|
$11,937.60
20% off
|
$8,311.55
|
$18,977.50
|
$12,862.76
|
2026-02-23
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
9
|
9
|
$35,520.67
|
$28,416.53
20% off
|
$12,830.59
|
$21,443.50
|
$12,830.59
|
2026-02-23
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
10
|
10
|
$40,029.20
|
$32,023.36
|
$10,712.32
|
$27,623.20
|
$12,804.14
|
2026-02-23
|
|
21243
|
HCPCS
|
Repair Of Hinged Joint Of Upper And Lower Jaw Bones With Prosthesis
|
56
|
28
|
$15,044.00
|
$12,035.20
|
$8,223.16
|
$29,368.07
|
$12,787.40
|
2026-02-23
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
10
|
10
|
$42,963.04
|
$34,370.43
20% off
|
$11,240.32
|
$27,581.25
|
$12,784.69
|
2026-02-23
|
|
407014_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$15,856.34
|
$12,685.07
20% off
|
$8,831.98
|
$15,856.34
|
$12,772.28
|
2026-02-23
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
10
|
10
|
$91,296.73
|
$73,037.38
20% off
|
$9,127.68
|
$27,413.44
|
$12,706.91
|
2026-02-23
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
10
|
10
|
$31,164.00
|
$24,931.20
20% off
|
$8,743.04
|
$27,398.34
|
$12,699.91
|
2026-02-23
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
10
|
10
|
$53,743.01
|
$42,994.41
|
$10,320.00
|
$27,376.52
|
$12,689.80
|
2026-02-23
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
10
|
10
|
$73,438.43
|
$58,750.74
20% off
|
$10,440.32
|
$27,369.81
|
$12,686.68
|
2026-02-23
|
|
406915_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$15,743.35
|
$12,594.68
20% off
|
$8,769.05
|
$15,743.35
|
$12,681.27
|
2026-02-23
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
10
|
10
|
$63,399.32
|
$50,719.46
|
$11,003.52
|
$27,356.39
|
$12,680.46
|
2026-02-23
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
168
|
28
|
$14,066.00
|
$11,252.80
20% off
|
$1,567.40
|
$21,099.00
|
$12,654.12
|
2026-02-23
|
|
21154
|
HCPCS
|
Reconstruction Of Nose, Cheek, And Mouth Bones With Bone Grafts
|
56
|
28
|
$18,113.00
|
$14,490.40
20% off
|
$4,321.77
|
$18,113.00
|
$12,615.70
|
2026-02-23
|
|
21182
|
HCPCS
|
Reconstruction Of Eye, Forehead, And Nose Bones With Removal Of Growth With Bone…
|
56
|
28
|
$18,049.00
|
$14,439.20
|
$4,321.77
|
$18,049.00
|
$12,571.13
|
2026-02-23
|
|
61700
|
HCPCS
|
Repair Of Simple Aneurysm Of Neck Artery
|
56
|
28
|
$17,995.00
|
$14,396.00
20% off
|
$3,510.41
|
$17,995.00
|
$12,533.52
|
2026-02-23
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
10
|
10
|
$60,198.26
|
$48,158.61
|
$6,410.24
|
$26,998.95
|
$12,514.78
|
2026-02-23
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
10
|
10
|
$46,753.07
|
$37,402.46
|
$8,283.52
|
$26,921.76
|
$12,479.00
|
2026-02-23
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
10
|
10
|
$61,861.78
|
$49,489.42
20% off
|
$11,183.36
|
$26,918.40
|
$12,477.44
|
2026-02-23
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
10
|
10
|
$59,995.78
|
$47,996.62
20% off
|
$12,155.42
|
$26,223.67
|
$12,462.35
|
2026-02-23
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
10
|
10
|
$37,424.52
|
$29,939.62
|
$10,574.08
|
$26,837.85
|
$12,440.11
|
2026-02-23
|
|
21175
|
HCPCS
|
Repair Of Bony Defect Of Lower Forehead And Both Outer Portions Of Eye Bones
|
56
|
28
|
$17,806.00
|
$14,244.80
20% off
|
$4,321.77
|
$17,806.00
|
$12,401.88
|
2026-02-23
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
10
|
10
|
$52,917.20
|
$42,333.76
|
$12,026.88
|
$26,713.67
|
$12,382.55
|
2026-02-23
|
|
36905
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
100
|
28
|
$8,387.00
|
$6,709.60
|
$4,671.56
|
$26,115.00
|
$12,371.00
|
2026-02-23
|
|
92943
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
102
|
28
|
$26,472.00
|
$21,177.60
20% off
|
$614.37
|
$26,472.00
|
$12,371.00
|
2026-02-23
|
|
407113_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$15,306.47
|
$12,245.18
|
$8,525.70
|
$15,306.47
|
$12,329.36
|
2026-02-23
|
|
37228
|
HCPCS
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
46
|
23
|
$15,515.00
|
$12,412.00
20% off
|
$5,354.80
|
$15,515.00
|
$12,272.37
|
2026-02-23
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
10
|
10
|
$32,627.27
|
$26,101.82
|
$8,755.84
|
$26,443.50
|
$12,257.31
|
2026-02-23
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
10
|
10
|
$51,934.35
|
$41,547.48
|
$8,991.36
|
$26,418.33
|
$12,245.65
|
2026-02-23
|
|
61343
|
HCPCS
|
Removal Of Skull Base Bone And Upper Spine Bone To Release Spinal Cord
|
56
|
28
|
$17,578.00
|
$14,062.40
20% off
|
$2,295.57
|
$17,578.00
|
$12,243.08
|
2026-02-23
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
10
|
10
|
$64,267.18
|
$51,413.75
|
$9,038.72
|
$26,319.32
|
$12,199.75
|
2026-02-23
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
10
|
10
|
$32,706.46
|
$26,165.17
|
$8,910.72
|
$26,307.57
|
$12,194.31
|
2026-02-23
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc
|
10
|
10
|
$49,764.93
|
$39,811.94
20% off
|
$9,729.92
|
$26,282.40
|
$12,182.64
|
2026-02-23
|
|
921309_1
|
CDM
|
11 Mm/130 Deg Ti Cann Tfn
|
44
|
22
|
$15,102.00
|
$12,081.60
20% off
|
$8,411.81
|
$15,102.00
|
$12,164.66
|
2026-02-23
|
|
61521
|
HCPCS
|
Removal Of Skull Bone For Removal Of Skull Base Bone Growth
|
56
|
28
|
$17,439.00
|
$13,951.20
|
$3,242.62
|
$17,439.00
|
$12,146.26
|
2026-02-23
|
|
921307_1
|
CDM
|
12Mm/125 Deg Ti Cann Tfna
|
44
|
22
|
$15,068.00
|
$12,054.40
20% off
|
$8,392.88
|
$15,068.00
|
$12,137.28
|
2026-02-23
|
|
921305_1
|
CDM
|
10Mm1125 Deg Ti Cann Tfna
|
44
|
22
|
$15,068.00
|
$12,054.40
20% off
|
$8,392.88
|
$15,068.00
|
$12,137.28
|
2026-02-23
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
10
|
10
|
$28,789.94
|
$23,031.95
20% off
|
$10,060.80
|
$26,153.19
|
$12,122.75
|
2026-02-23
|
|
61606
|
HCPCS
|
Removal Of Growth Or Tissue Of Lower Skull Base Within Brain Membrane
|
56
|
28
|
$17,369.00
|
$13,895.20
|
$2,915.44
|
$17,369.00
|
$12,097.51
|
2026-02-23
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
10
|
10
|
$56,905.12
|
$45,524.10
|
$8,115.84
|
$26,044.11
|
$12,072.19
|
2026-02-23
|
|
61545
|
HCPCS
|
Removal Of Skull Bone With Bone Flap For Removal Of Growth Of Pituitary Gland
|
56
|
28
|
$17,303.00
|
$13,842.40
20% off
|
$3,242.62
|
$17,303.00
|
$12,051.54
|
2026-02-23
|
|
61543
|
HCPCS
|
Removal Of Skull Bone For Partial Removal Of Brain
|
56
|
28
|
$17,303.00
|
$13,842.40
20% off
|
$2,294.94
|
$17,303.00
|
$12,051.54
|
2026-02-23
|
|
61541
|
HCPCS
|
Removal Of Skull Bone For Incision Of Brain Tissue
|
56
|
28
|
$17,303.00
|
$13,842.40
20% off
|
$2,271.12
|
$17,303.00
|
$12,051.54
|
2026-02-23
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
10
|
10
|
$52,165.41
|
$41,732.33
|
$10,441.60
|
$25,946.78
|
$12,027.07
|
2026-02-23
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
10
|
10
|
$20,781.49
|
$16,625.19
20% off
|
$9,485.44
|
$25,903.15
|
$12,006.85
|
2026-02-23
|
|
21261
|
HCPCS
|
Repositioning Of Eye Socket Bone From Inside And Outside Skull With Bone Graft
|
56
|
28
|
$17,191.00
|
$13,752.80
20% off
|
$4,321.77
|
$17,191.00
|
$11,973.53
|
2026-02-23
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
10
|
10
|
$74,799.94
|
$59,839.95
20% off
|
$8,889.60
|
$25,718.56
|
$11,921.28
|
2026-02-23
|
|
31298
|
HCPCS
|
Dilation Of Sphenoid And Frontal Nasal Sinus Using An Endoscope
|
112
|
28
|
$16,806.50
|
$13,445.20
|
$523.27
|
$20,168.00
|
$11,920.83
|
2026-02-23
|
|
92921
|
HCPCS
|
Balloon Dilation Of Coronary Artery Or Branch, Each Additional Artery Or Branch
|
46
|
23
|
$15,054.00
|
$12,043.20
|
$7,107.54
|
$15,054.00
|
$11,907.71
|
2026-02-23
|
|
26551
|
HCPCS
|
Transfer Of Great Toe To Hand
|
56
|
28
|
$17,095.00
|
$13,676.00
20% off
|
$4,723.05
|
$17,095.00
|
$11,906.67
|
2026-02-23
|
|
22556
|
HCPCS
|
Fusion Of Middle Spine Bone Through Side Of Chest With Partial Removal Of Disc
|
56
|
28
|
$13,805.00
|
$11,044.00
20% off
|
$7,689.39
|
$18,977.50
|
$11,899.91
|
2026-02-23
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
10
|
10
|
$25,629.95
|
$20,503.96
20% off
|
$10,460.16
|
$25,596.06
|
$11,864.50
|
2026-02-23
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
10
|
10
|
$49,492.02
|
$39,593.62
|
$8,791.04
|
$25,582.63
|
$11,858.28
|
2026-02-23
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
10
|
10
|
$142,504.97
|
$114,003.98
|
$11,130.24
|
$25,567.53
|
$11,851.28
|
2026-02-23
|
|
69970
|
HCPCS
|
Removal Of Growth From Skull Bone Surrounding Ear
|
56
|
28
|
$17,005.00
|
$13,604.00
20% off
|
$4,321.77
|
$17,005.00
|
$11,843.99
|
2026-02-23
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
10
|
10
|
$26,113.57
|
$20,890.86
|
$10,023.68
|
$25,510.48
|
$11,824.83
|
2026-02-23
|
|
406815_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$14,667.38
|
$11,733.90
20% off
|
$8,169.73
|
$14,667.38
|
$11,814.58
|
2026-02-23
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
9
|
9
|
$94,873.72
|
$75,898.97
20% off
|
$11,773.49
|
$25,399.72
|
$11,773.49
|
2026-02-23
|
|
921308_1
|
CDM
|
10Mm/130 Deg Ti Cann Tfna
|
44
|
22
|
$14,591.00
|
$11,672.80
20% off
|
$8,127.19
|
$14,591.00
|
$11,753.05
|
2026-02-23
|
|
921306_1
|
CDM
|
11Mm/125 Deg Ti Cann Tfna
|
44
|
22
|
$14,591.00
|
$11,672.80
20% off
|
$8,127.19
|
$14,591.00
|
$11,753.05
|
2026-02-23
|
|
21151
|
HCPCS
|
Reconstruction Of Midface Bones With Bone Graft (LeFort Ii)
|
56
|
28
|
$16,821.00
|
$13,456.80
20% off
|
$4,321.77
|
$16,821.00
|
$11,715.83
|
2026-02-23
|
|
33619
|
HCPCS
|
Repair To Improve Congenital Blood Flow Defect From Lower Heart Chamber
|
56
|
28
|
$16,637.00
|
$13,309.60
20% off
|
$2,751.06
|
$16,637.00
|
$11,587.67
|
2026-02-23
|
|
61619
|
HCPCS
|
Repair Of Brain Covering By Vascular Or Combined Vascular Muscle Graft
|
56
|
28
|
$16,608.00
|
$13,286.40
20% off
|
$1,689.71
|
$16,608.00
|
$11,567.47
|
2026-02-23
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
10
|
10
|
$40,209.27
|
$32,167.42
|
$9,447.68
|
$24,951.67
|
$11,565.81
|
2026-02-23
|
|
21180
|
HCPCS
|
Reconstruction Of Forehead And/or Upper Eye Bones With Bone Graft
|
56
|
28
|
$16,576.00
|
$13,260.80
20% off
|
$4,321.77
|
$16,576.00
|
$11,545.19
|
2026-02-23
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
10
|
10
|
$70,247.97
|
$56,198.38
|
$9,863.68
|
$24,852.66
|
$11,519.91
|
2026-02-23
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
10
|
10
|
$35,000.27
|
$28,000.21
20% off
|
$10,330.88
|
$24,782.18
|
$11,487.24
|
2026-02-23
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
7
|
7
|
$6,390.52
|
$5,112.42
|
$2,856.00
|
$11,480.24
|
$11,480.24
|
2026-02-23
|
|
C1753
|
HCPCS
|
Catheter, Intravascular Ultrasound
|
44
|
22
|
$14,214.50
|
$11,371.60
20% off
|
$7,917.48
|
$14,214.50
|
$11,449.78
|
2026-02-23
|
|
61564
|
HCPCS
|
Removal Of Growth Of Skull Bone With Release Of Optic Nerve
|
56
|
28
|
$16,402.00
|
$13,121.60
20% off
|
$2,538.96
|
$16,402.00
|
$11,423.99
|
2026-02-23
|
|
33413
|
HCPCS
|
Repair And Enlargement Of Blood Outflow Tract To Great Vessels From Left Or Righ…
|
56
|
28
|
$16,297.00
|
$13,037.60
20% off
|
$3,226.35
|
$16,297.00
|
$11,350.86
|
2026-02-23
|
|
61607
|
HCPCS
|
Removal Of Growth Or Tissue Of Middle Skull Base Outside Brain Membrane
|
56
|
28
|
$16,263.00
|
$13,010.40
20% off
|
$2,636.58
|
$16,263.00
|
$11,327.18
|
2026-02-23
|
|
61692
|
HCPCS
|
Complex Repair Of Abnormal Artery-vein Connection In Membrane Covering Brain
|
56
|
28
|
$16,196.00
|
$12,956.80
20% off
|
$3,601.45
|
$16,196.00
|
$11,280.51
|
2026-02-23
|
|
33779
|
HCPCS
|
Repair Of Group Of Congenital Heart Defects With Redirection Of Blood Flow And B…
|
56
|
28
|
$16,166.00
|
$12,932.80
20% off
|
$2,310.04
|
$16,166.00
|
$11,259.62
|
2026-02-23
|
|
61520
|
HCPCS
|
Removal Of Skull Bone For Removal Of Eighth Cranial Nerve Brain Growth
|
56
|
28
|
$16,125.00
|
$12,900.00
20% off
|
$3,242.62
|
$16,125.00
|
$11,231.06
|
2026-02-23
|
|
61519
|
HCPCS
|
Removal Of Skull Bone For Removal Of Growth Of Lower Brain Membrane
|
56
|
28
|
$16,125.00
|
$12,900.00
20% off
|
$3,084.79
|
$16,125.00
|
$11,231.06
|
2026-02-23
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
10
|
10
|
$74,047.11
|
$59,237.69
|
$6,777.60
|
$24,216.66
|
$11,225.11
|
2026-02-23
|
|
37280
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial And Peroneal Vascu…
|
98
|
27
|
$2,824.00
|
$2,259.20
20% off
|
$1,572.97
|
$17,800.00
|
$11,214.00
|
2026-02-23
|
|
33207
|
HCPCS
|
Insertion Of Pacemaker And Lower Heart Chamber Electrode
|
100
|
28
|
$3,648.00
|
$2,918.40
20% off
|
$2,031.94
|
$25,029.57
|
$11,200.60
|
2026-02-23
|
|
33228
|
HCPCS
|
Removal And Replacement Of Dual Lead Permanent Pacemaker
|
100
|
28
|
$4,683.00
|
$3,746.40
20% off
|
$2,608.43
|
$20,583.00
|
$11,200.60
|
2026-02-23
|
|
33208
|
HCPCS
|
Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode
|
100
|
28
|
$3,955.00
|
$3,164.00
20% off
|
$2,202.94
|
$23,248.00
|
$11,200.60
|
2026-02-23
|
|
61597
|
HCPCS
|
Removal Of Base Skull Bone To Approach Growth Of Brain
|
56
|
28
|
$16,054.00
|
$12,843.20
|
$3,188.26
|
$16,054.00
|
$11,181.61
|
2026-02-23
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
10
|
10
|
$43,826.17
|
$35,060.94
|
$8,896.64
|
$24,109.26
|
$11,175.33
|
2026-02-23
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
10
|
10
|
$50,555.78
|
$40,444.63
|
$10,280.80
|
$22,179.45
|
$11,159.92
|
2026-02-23
|
|
22800
|
HCPCS
|
Fusion To Repair Spine Deformity Through Back, Up To 6 Bones
|
56
|
28
|
$12,871.00
|
$10,296.80
20% off
|
$7,169.15
|
$18,977.50
|
$11,094.80
|
2026-02-23
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
10
|
10
|
$89,377.38
|
$71,501.90
20% off
|
$8,648.32
|
$23,909.57
|
$11,082.76
|
2026-02-23
|
|
407013_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$13,736.92
|
$10,989.54
|
$7,651.46
|
$13,736.92
|
$11,065.08
|
2026-02-23
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
10
|
10
|
$55,287.86
|
$44,230.29
|
$9,345.28
|
$23,850.84
|
$11,055.54
|
2026-02-23
|
|
21194
|
HCPCS
|
Reconstruction Of Lower Jaw Bone With Bone Graft
|
56
|
28
|
$15,826.00
|
$12,660.80
20% off
|
$4,321.77
|
$15,826.00
|
$11,022.81
|
2026-02-23
|
|
36903
|
HCPCS
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
56
|
28
|
$12,957.00
|
$10,365.60
20% off
|
$7,217.05
|
$12,957.00
|
$11,013.45
|
2026-02-23
|
|
406914_1
|
CDM
|
Operating Room Services - General Classification
|
44
|
22
|
$13,625.73
|
$10,900.58
20% off
|
$7,589.53
|
$13,625.73
|
$10,975.53
|
2026-02-23
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
10
|
10
|
$56,579.44
|
$45,263.55
20% off
|
$7,989.12
|
$23,565.56
|
$10,923.31
|
2026-02-23
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
10
|
$52,519.23
|
$42,015.38
20% off
|
$9,413.12
|
$23,557.17
|
$10,919.42
|
2026-02-23
|
|
33778
|
HCPCS
|
Repair Of Group Of Congenital Heart Defects With Redirection Of Blood Flow
|
56
|
28
|
$15,645.00
|
$12,516.00
20% off
|
$2,349.68
|
$15,645.00
|
$10,896.74
|
2026-02-23
|
|
33777
|
HCPCS
|
Repair Of Group Of Congenital Heart Defects And Obstruction With Reversal Of Blo…
|
56
|
28
|
$15,645.00
|
$12,516.00
20% off
|
$1,892.77
|
$15,645.00
|
$10,896.74
|
2026-02-23
|
|
33776
|
HCPCS
|
Repair Of Group Of Congenital Heart Defects With Reversal Of Blood Flow And Clos…
|
56
|
28
|
$15,645.00
|
$12,516.00
20% off
|
$1,972.89
|
$15,645.00
|
$10,896.74
|
2026-02-23
|
|
0737T
|
OTHER
|
Implantation Of Nonhuman Tissue Graft Into Surface Of Joint
|
56
|
28
|
$12,809.00
|
$10,247.20
|
$1,853.94
|
$13,895.78
|
$10,887.65
|
2026-02-23
|
|
885
|
MS_DRG
|
Psychoses
|
10
|
10
|
$12,630.62
|
$10,104.50
|
$6,428.80
|
$23,439.70
|
$10,864.97
|
2026-02-23
|
|
61705
|
HCPCS
|
Repair Of Abnormal Blood Vessel In Brain By Clamping Neck Artery
|
56
|
28
|
$15,572.00
|
$12,457.60
20% off
|
$2,731.93
|
$15,572.00
|
$10,845.90
|
2026-02-23
|
|
61680
|
HCPCS
|
Simple Repair Of Abnormal Artery-vein Connection In Upper Brain
|
56
|
28
|
$15,572.00
|
$12,457.60
20% off
|
$2,399.00
|
$15,572.00
|
$10,845.90
|
2026-02-23
|
|
61512
|
HCPCS
|
Removal Of Skull Bone For Removal Of Growth Of Upper Brain Membrane
|
56
|
28
|
$15,572.00
|
$12,457.60
20% off
|
$2,684.75
|
$15,572.00
|
$10,845.90
|
2026-02-23
|
|
61518
|
HCPCS
|
Removal Of Skull Bone For Removal Of Growth Of Lower Brain
|
56
|
28
|
$15,572.00
|
$12,457.60
20% off
|
$2,920.12
|
$15,572.00
|
$10,845.90
|
2026-02-23
|
|
61510
|
HCPCS
|
Removal Of Skull Bone For Removal Of Growth Of Upper Brain
|
56
|
28
|
$15,572.00
|
$12,457.60
20% off
|
$2,335.11
|
$15,572.00
|
$10,845.90
|
2026-02-23
|
|
920599_1
|
CDM
|
Va-lcp Curv Plate 4.5Mm 195Mm
|
44
|
22
|
$13,453.00
|
$10,762.40
20% off
|
$7,493.32
|
$13,453.00
|
$10,836.39
|
2026-02-23
|