|
J9345
|
HCPCS
|
Retifanlimab-dlwr 500 Mg/20ml IV Soln
|
48
|
41
|
$1,260,875.10
|
$201,740.02
84% off
|
$30.56
|
$1,127,222.34
|
$307,275.27
|
2026-04-01
|
|
5834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$205,224.55
|
$205,224.55
|
$205,224.55
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
45
|
40
|
$456,969.72
|
$73,115.16
84% off
|
$151,034.91
|
$287,049.60
|
$191,090.48
|
2026-04-01
|
|
5884
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$168,339.79
|
$168,339.79
|
$168,339.79
|
2026-04-01
|
|
5833
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$162,541.76
|
$162,541.76
|
$162,541.76
|
2026-04-01
|
|
1614
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$160,952.83
|
$160,952.83
|
$160,952.83
|
2026-04-01
|
|
0024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$155,324.29
|
$155,324.29
|
$155,324.29
|
2026-04-01
|
|
J7330
|
HCPCS
|
Maci One Membrane Autologous Cultured Chondrocytes
|
31
|
26
|
$318,455.00
|
$50,952.80
84% off
|
$42,354.52
|
$284,698.77
|
$147,763.12
|
2026-04-01
|
|
SUP-060204
|
CDM
|
(sa) Impella 5.5 X 21fr
|
31
|
26
|
$313,605.00
|
$50,176.80
84% off
|
$41,709.47
|
$280,362.87
|
$145,512.72
|
2026-04-01
|
|
1613
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$123,306.41
|
$123,306.41
|
$123,306.41
|
2026-04-01
|
|
6304
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$122,187.26
|
$122,187.26
|
$122,187.26
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
46
|
41
|
$674,205.08
|
$107,872.81
84% off
|
$98,564.21
|
$278,593.21
|
$120,327.11
|
2026-04-01
|
|
5832
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$119,858.96
|
$119,858.96
|
$119,858.96
|
2026-04-01
|
|
8414
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$113,504.51
|
$113,504.51
|
$113,504.51
|
2026-04-01
|
|
SUP-S3URCM23A
|
CDM
|
Heart Valve 23mm Sapien 3 Ultra Resilia Transcatheter (thv) With Commander System …
|
31
|
26
|
$236,946.00
|
$37,911.36
84% off
|
$31,513.82
|
$211,829.72
|
$109,942.94
|
2026-04-01
|
|
SUP-S3URCM26A
|
CDM
|
Heart Valve 26mm Sapien 3 Ultra Resilia Transcatheter (thv) With Commander System …
|
31
|
26
|
$236,946.00
|
$37,911.36
84% off
|
$31,513.82
|
$211,829.72
|
$109,942.94
|
2026-04-01
|
|
SUP-S3URCM29A
|
CDM
|
Heart Valve 29mm Sapien 3 Ultra Resilia Transcatheter (thv) With Commander System …
|
31
|
26
|
$236,946.00
|
$37,911.36
84% off
|
$31,513.82
|
$211,829.72
|
$109,942.94
|
2026-04-01
|
|
SUP-S3URCM20A
|
CDM
|
Heart Valve 20mm Sapien 3 Ultra Resilia Transcatheter (thv) With Commander System …
|
31
|
26
|
$236,946.00
|
$37,911.36
84% off
|
$31,513.82
|
$211,829.72
|
$109,942.94
|
2026-04-01
|
|
5934
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$109,789.58
|
$109,789.58
|
$109,789.58
|
2026-04-01
|
|
5883
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$108,450.89
|
$108,450.89
|
$108,450.89
|
2026-04-01
|
|
5882
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$106,194.51
|
$106,194.51
|
$106,194.51
|
2026-04-01
|
|
5914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$106,019.98
|
$106,019.98
|
$106,019.98
|
2026-04-01
|
|
0114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$105,883.71
|
$105,883.71
|
$105,883.71
|
2026-04-01
|
|
6094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$105,343.69
|
$105,343.69
|
$105,343.69
|
2026-04-01
|
|
SUP-S3UCM220A
|
CDM
|
Valve Aortic 20 Mm Sapien 3 Ultra Transcatheter With Commander System
|
31
|
26
|
$226,493.00
|
$36,238.88
84% off
|
$30,123.57
|
$202,484.74
|
$105,092.75
|
2026-04-01
|
|
SUP-060091
|
CDM
|
(sa) Kit Valve Aortic Ultra Od 26mm
|
31
|
26
|
$226,493.00
|
$36,238.88
84% off
|
$30,123.57
|
$202,484.74
|
$105,092.75
|
2026-04-01
|
|
SUP-S3UCM223A
|
CDM
|
Valve Aortic 23 Mm Sapien 3 Ultra Transcatheter With Commander System
|
31
|
26
|
$226,493.00
|
$36,238.88
84% off
|
$30,123.57
|
$202,484.74
|
$105,092.75
|
2026-04-01
|
|
SUP-060092
|
CDM
|
(sa) Kit Valve Aortic Ultra Od 29mm
|
31
|
26
|
$226,493.00
|
$36,238.88
84% off
|
$30,123.57
|
$202,484.74
|
$105,092.75
|
2026-04-01
|
|
5831
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$103,579.81
|
$103,579.81
|
$103,579.81
|
2026-04-01
|
|
0074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$101,828.12
|
$101,828.12
|
$101,828.12
|
2026-04-01
|
|
SUP-PAS2MA
|
CDM
|
Transcatheter Valve Repair System Pascal With Ace Implant (fda)
|
32
|
26
|
$213,251.00
|
$34,120.16
84% off
|
$28,362.38
|
$190,646.39
|
$101,187.60
|
2026-04-01
|
|
6314
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$101,134.59
|
$101,134.59
|
$101,134.59
|
2026-04-01
|
|
0044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$100,861.22
|
$100,861.22
|
$100,861.22
|
2026-04-01
|
|
0014
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,292.90
|
$99,292.90
|
$99,292.90
|
2026-04-01
|
|
1612
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$99,004.38
|
$99,004.38
|
$99,004.38
|
2026-04-01
|
|
0094
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$98,745.73
|
$98,745.73
|
$98,745.73
|
2026-04-01
|
|
0023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$96,050.27
|
$96,050.27
|
$96,050.27
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
46
|
41
|
$590,731.75
|
$94,517.08
84% off
|
$78,424.99
|
$457,008.62
|
$95,741.17
|
2026-04-01
|
|
SUP-PSMT3040
|
CDM
|
Mesh 30 X 40cm Thick Matrix Gentrix
|
31
|
26
|
$205,725.00
|
$32,916.00
84% off
|
$27,361.43
|
$183,918.15
|
$95,456.40
|
2026-04-01
|
|
1611
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$94,053.80
|
$94,053.80
|
$94,053.80
|
2026-04-01
|
|
6034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$88,252.41
|
$88,252.41
|
$88,252.41
|
2026-04-01
|
|
0064
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$87,687.16
|
$87,687.16
|
$87,687.16
|
2026-04-01
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 300 Mg/15ml IV Soln
|
46
|
41
|
$359,275.03
|
$57,484.00
84% off
|
$140.90
|
$321,191.88
|
$87,555.32
|
2026-04-01
|
|
PX-HBSS040202
|
CDM
|
Hb-set Blood Pump Impella Cp
|
31
|
26
|
$188,163.00
|
$30,106.08
84% off
|
$25,025.68
|
$168,217.72
|
$87,307.63
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
46
|
41
|
$508,258.07
|
$81,321.29
84% off
|
$70,852.32
|
$200,265.14
|
$86,496.46
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
41
|
$554,514.19
|
$88,722.27
84% off
|
$69,612.74
|
$196,761.46
|
$84,983.18
|
2026-04-01
|
|
SUP-DCELL217M
|
CDM
|
Dermacell 16 X 20cm 0.6-1.05mm Microperf
|
31
|
26
|
$171,291.00
|
$27,406.56
84% off
|
$22,781.70
|
$153,134.15
|
$79,479.02
|
2026-04-01
|
|
6024
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$78,697.39
|
$78,697.39
|
$78,697.39
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
46
|
41
|
$520,630.60
|
$83,300.90
84% off
|
$64,110.78
|
$181,210.08
|
$78,266.39
|
2026-04-01
|
|
SUP-2540002
|
CDM
|
Strattice Reconstructive Tissue Matrix 25 X 40 Firm
|
31
|
26
|
$168,030.00
|
$26,884.80
84% off
|
$22,347.99
|
$150,218.82
|
$77,965.92
|
2026-04-01
|
|
SUP-MOPS25
|
CDM
|
Distal Femur Right Mops
|
31
|
26
|
$161,507.00
|
$25,841.12
84% off
|
$21,480.43
|
$144,387.26
|
$74,939.25
|
2026-04-01
|
|
SUP-MOPS24
|
CDM
|
Mops Distal Femur Left
|
31
|
26
|
$161,507.00
|
$25,841.12
84% off
|
$21,480.43
|
$144,387.26
|
$74,939.25
|
2026-04-01
|
|
C2624
|
HCPCS
|
Hb-cardiomems Del Sys Cm2000 1000
|
62
|
26
|
$162,436.00
|
$25,989.76
84% off
|
$20,082.34
|
$155,446.04
|
$74,818.02
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
46
|
41
|
$669,795.26
|
$107,167.24
84% off
|
$59,985.74
|
$169,550.58
|
$73,230.54
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
41
|
$371,119.79
|
$59,379.17
84% off
|
$59,797.17
|
$169,017.58
|
$73,000.33
|
2026-04-01
|
|
SUP-PSMT3030
|
CDM
|
Mesh 30 X 30cm Thick Matrix Gentrix
|
31
|
26
|
$154,294.00
|
$24,687.04
84% off
|
$20,521.10
|
$137,938.84
|
$71,592.42
|
2026-04-01
|
|
0022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$71,279.72
|
$71,279.72
|
$71,279.72
|
2026-04-01
|
|
5933
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$70,601.76
|
$70,601.76
|
$70,601.76
|
2026-04-01
|
|
5881
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$69,901.08
|
$69,901.08
|
$69,901.08
|
2026-04-01
|
|
SUP-33547002
|
CDM
|
Whole Femoral Condyle Left
|
31
|
26
|
$148,788.00
|
$23,806.08
84% off
|
$19,788.80
|
$133,016.47
|
$69,037.63
|
2026-04-01
|
|
0043
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$69,022.08
|
$69,022.08
|
$69,022.08
|
2026-04-01
|
|
1604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$68,106.07
|
$68,106.07
|
$68,106.07
|
2026-04-01
|
|
C1767
|
CPT
|
(sa) Generator Aspiresr 106
|
434
|
26
|
$146,697.50
|
$23,471.60
84% off
|
$9,871.26
|
$249,754.99
|
$67,621.71
|
2026-04-01
|
|
SUP-MOPS55
|
CDM
|
Mops Tibial Plateau W Meniscus Right Oc
|
31
|
26
|
$144,948.00
|
$23,191.68
84% off
|
$19,278.08
|
$129,583.51
|
$67,255.87
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
41
|
$547,861.56
|
$87,657.85
84% off
|
$54,637.48
|
$154,433.65
|
$66,701.39
|
2026-04-01
|
|
0054
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$66,469.62
|
$66,469.62
|
$66,469.62
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
46
|
41
|
$597,028.97
|
$95,524.64
84% off
|
$54,401.94
|
$153,767.91
|
$66,413.86
|
2026-04-01
|
|
SUP-SGPV10 <24MM
|
CDM
|
Cryo Valve Sg Pulmonary Heart Valve Without Conduit <24mm
|
31
|
26
|
$139,032.00
|
$22,245.12
84% off
|
$18,491.26
|
$124,294.61
|
$64,510.85
|
2026-04-01
|
|
SUP-SGPV00 9-23MM
|
CDM
|
Cryo Valve Sg Pulmonary Heart Valve W/conduit 9-23mm
|
31
|
26
|
$139,032.00
|
$22,245.12
84% off
|
$18,491.26
|
$124,294.61
|
$64,510.85
|
2026-04-01
|
|
1624
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$64,188.85
|
$64,188.85
|
$64,188.85
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
46
|
41
|
$543,921.85
|
$87,027.50
84% off
|
$51,366.33
|
$328,350.27
|
$62,707.98
|
2026-04-01
|
|
SUP-SGPV10 >24MM
|
CDM
|
Cryo Valve Sg Pulmonary Heart Valve Without Conduit >24mm
|
31
|
26
|
$134,397.00
|
$21,503.52
84% off
|
$17,874.80
|
$120,150.92
|
$62,360.21
|
2026-04-01
|
|
SUP-SGPV00 >24MM
|
CDM
|
Cryo Valve Sg Pulmonary Heart Valve W/conduit >24mm
|
31
|
26
|
$134,397.00
|
$21,503.52
84% off
|
$17,874.80
|
$120,150.92
|
$62,360.21
|
2026-04-01
|
|
5913
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,111.63
|
$62,111.63
|
$62,111.63
|
2026-04-01
|
|
6023
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$62,054.85
|
$62,054.85
|
$62,054.85
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
46
|
41
|
$437,982.13
|
$70,077.14
84% off
|
$50,738.71
|
$143,413.74
|
$61,941.79
|
2026-04-01
|
|
0063
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,656.99
|
$61,656.99
|
$61,656.99
|
2026-04-01
|
|
3034
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,366.37
|
$61,366.37
|
$61,366.37
|
2026-04-01
|
|
0021
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$61,105.62
|
$61,105.62
|
$61,105.62
|
2026-04-01
|
|
6074
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,446.58
|
$60,446.58
|
$60,446.58
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
46
|
41
|
$435,625.17
|
$69,700.03
84% off
|
$49,183.19
|
$141,377.79
|
$60,042.81
|
2026-04-01
|
|
0073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$60,010.02
|
$60,010.02
|
$60,010.02
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
46
|
41
|
$360,480.03
|
$57,676.80
84% off
|
$48,941.97
|
$138,335.20
|
$59,748.32
|
2026-04-01
|
|
6303
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$59,038.08
|
$59,038.08
|
$59,038.08
|
2026-04-01
|
|
SUP-SC-1432
|
CDM
|
(sa) Wavewriter Alpha Kit Sc-1432
|
31
|
26
|
$126,836.00
|
$20,293.76
84% off
|
$16,869.19
|
$113,391.38
|
$58,851.90
|
2026-04-01
|
|
SUP-SC-1232
|
CDM
|
(sa) Kit Wavewriter Alpha16 Sc1232
|
31
|
26
|
$126,836.00
|
$20,293.76
84% off
|
$16,869.19
|
$113,391.38
|
$58,851.90
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
46
|
41
|
$739,741.56
|
$118,358.65
84% off
|
$47,897.36
|
$135,382.61
|
$58,473.07
|
2026-04-01
|
|
4404
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$58,339.50
|
$58,339.50
|
$58,339.50
|
2026-04-01
|
|
C1820
|
CPT
|
(sa) Generator Pulse Spectra Sc1160
|
31
|
26
|
$125,442.00
|
$20,070.72
84% off
|
$16,683.79
|
$112,145.15
|
$58,205.09
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
46
|
41
|
$438,138.37
|
$70,102.14
84% off
|
$47,580.00
|
$134,485.57
|
$58,085.62
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
46
|
41
|
$422,880.48
|
$67,660.88
84% off
|
$47,545.13
|
$134,387.02
|
$58,043.06
|
2026-04-01
|
|
0013
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$57,404.15
|
$57,404.15
|
$57,404.15
|
2026-04-01
|
|
8424
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$57,362.09
|
$57,362.09
|
$57,362.09
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
41
|
$429,530.13
|
$68,724.82
84% off
|
$46,788.72
|
$132,249.01
|
$57,119.63
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
46
|
41
|
$218,282.29
|
$34,925.17
84% off
|
$46,618.65
|
$131,768.31
|
$56,912.01
|
2026-04-01
|
|
120
|
EAPG
|
Car T-cell Immunotherapy
|
7
|
7
|
—
|
—
|
$56,281.85
|
$56,281.85
|
$56,281.85
|
2026-04-01
|
|
5932
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$55,958.63
|
$55,958.63
|
$55,958.63
|
2026-04-01
|
|
C1767
|
HCPCS
|
(sa) Generator Pulse Kit Sc-1216
|
31
|
26
|
$120,564.00
|
$19,290.24
84% off
|
$16,035.01
|
$107,784.22
|
$55,941.70
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
46
|
41
|
$379,323.80
|
$60,691.81
84% off
|
$45,788.23
|
$129,421.12
|
$55,898.24
|
2026-04-01
|
|
1634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$54,620.79
|
$54,620.79
|
$54,620.79
|
2026-04-01
|
|
1784
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$54,256.15
|
$54,256.15
|
$54,256.15
|
2026-04-01
|
|
0062
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$53,524.35
|
$53,524.35
|
$53,524.35
|
2026-04-01
|
|
SUP-PSMT1640
|
CDM
|
Mesh 16 X 40cm Thick Matrix Gentrix
|
31
|
26
|
$115,206.00
|
$18,432.96
84% off
|
$15,322.40
|
$102,994.16
|
$53,455.58
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
46
|
41
|
$380,459.91
|
$60,873.59
84% off
|
$43,608.65
|
$123,260.51
|
$53,237.41
|
2026-04-01
|
|
6093
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$52,482.59
|
$52,482.59
|
$52,482.59
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
46
|
41
|
$459,348.43
|
$73,495.75
84% off
|
$42,754.04
|
$120,844.94
|
$52,194.10
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
46
|
41
|
$370,727.74
|
$59,316.44
84% off
|
$42,741.94
|
$120,810.75
|
$52,179.33
|
2026-04-01
|
|
0113
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$52,118.79
|
$52,118.79
|
$52,118.79
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
41
|
$489,309.89
|
$78,289.58
84% off
|
$42,432.41
|
$119,935.83
|
$51,801.45
|
2026-04-01
|
|
0084
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$51,510.64
|
$51,510.64
|
$51,510.64
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
46
|
41
|
$389,453.82
|
$62,312.61
84% off
|
$41,759.96
|
$118,035.15
|
$50,980.53
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
46
|
41
|
$426,724.57
|
$68,275.93
84% off
|
$41,732.92
|
$117,958.72
|
$50,947.51
|
2026-04-01
|
|
SUP-2030002
|
CDM
|
Strattice Reconstructive Tissue Matrix 20 X 30 Firm
|
31
|
26
|
$109,741.00
|
$17,558.56
84% off
|
$14,595.55
|
$98,108.45
|
$50,919.82
|
2026-04-01
|
|
SUP-PV10
|
CDM
|
Pulmonary Valve Without Conduit
|
31
|
26
|
$109,135.00
|
$17,461.60
84% off
|
$14,514.96
|
$97,566.69
|
$50,638.64
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
46
|
41
|
$378,873.21
|
$60,619.71
84% off
|
$41,037.70
|
$115,993.68
|
$50,098.79
|
2026-04-01
|
|
1654
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$49,949.47
|
$49,949.47
|
$49,949.47
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
46
|
41
|
$148,183.89
|
$23,709.42
84% off
|
$40,775.84
|
$115,253.52
|
$49,779.11
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
46
|
41
|
$337,385.61
|
$53,981.70
84% off
|
$40,609.33
|
$114,782.88
|
$49,575.84
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
46
|
41
|
$228,082.92
|
$36,493.27
84% off
|
$40,556.67
|
$114,634.04
|
$49,511.56
|
2026-04-01
|
|
1674
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$49,131.88
|
$49,131.88
|
$49,131.88
|
2026-04-01
|
|
0053
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$48,947.24
|
$48,947.24
|
$48,947.24
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
46
|
41
|
$506,751.23
|
$81,080.20
84% off
|
$40,005.20
|
$113,075.29
|
$48,838.32
|
2026-04-01
|
|
SUP-A020
|
CDM
|
Aorta Descending Thoracic
|
31
|
26
|
$104,960.00
|
$16,793.60
84% off
|
$13,959.68
|
$93,834.24
|
$48,701.44
|
2026-04-01
|
|
SUP-060023
|
CDM
|
(sa) Tibia Lt Distal (fresh) 002670
|
31
|
26
|
$104,498.00
|
$16,719.68
84% off
|
$13,898.23
|
$93,421.21
|
$48,487.07
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
46
|
41
|
$306,318.24
|
$49,010.92
84% off
|
$39,608.13
|
$111,952.98
|
$48,353.58
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
46
|
41
|
$167,343.82
|
$26,775.01
84% off
|
$10,832.00
|
$303,063.20
|
$48,196.24
|
2026-04-01
|
|
SUP-A030
|
CDM
|
Pulmonary Artery
|
31
|
26
|
$103,766.00
|
$16,602.56
84% off
|
$13,800.88
|
$92,766.80
|
$48,147.42
|
2026-04-01
|
|
0012
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$48,111.56
|
$48,111.56
|
$48,111.56
|
2026-04-01
|
|
SUP-BMW8101
|
CDM
|
Wound Dressing 8 X 10 Bilayer Matrix
|
31
|
26
|
$103,264.00
|
$16,522.24
84% off
|
$13,734.11
|
$92,318.02
|
$47,914.50
|
2026-04-01
|
|
SUP-V010-DP 60-69CM
|
CDM
|
Saphenous Vein Dbl Graft Pack 60-69cm
|
31
|
26
|
$103,139.00
|
$16,502.24
84% off
|
$13,717.49
|
$92,206.27
|
$47,856.50
|
2026-04-01
|
|
SUP-PSMT2020
|
CDM
|
Mesh 20 X 20cm Thick Matrix Gentrix
|
31
|
26
|
$102,877.00
|
$16,460.32
84% off
|
$13,682.64
|
$91,972.04
|
$47,734.93
|
2026-04-01
|
|
SUP-PSMT2030
|
CDM
|
Mesh 20 X 30cm Thick Matrix Gentrix
|
31
|
26
|
$102,862.00
|
$16,457.92
84% off
|
$13,680.65
|
$91,958.63
|
$47,727.97
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
46
|
41
|
$90,766.29
|
$14,522.61
84% off
|
$39,065.20
|
$85,291.09
|
$47,690.76
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
46
|
41
|
$440,594.40
|
$70,495.10
84% off
|
$38,871.64
|
$109,871.29
|
$47,454.48
|
2026-04-01
|
|
0042
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$47,452.94
|
$47,452.94
|
$47,452.94
|
2026-04-01
|
|
SUP-450060
|
CDM
|
Graft Tibia Proximal Left W/btb
|
31
|
26
|
$102,062.00
|
$16,329.92
84% off
|
$13,574.25
|
$91,243.43
|
$47,356.77
|
2026-04-01
|
|
6022
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$47,349.90
|
$47,349.90
|
$47,349.90
|
2026-04-01
|
|
SUP-ETUF2814C102E
|
CDM
|
Stent Graft 28mm X 14mm X 102mm Endurant Ii Aui
|
31
|
26
|
$101,518.00
|
$16,242.88
84% off
|
$13,501.89
|
$90,757.09
|
$47,104.35
|
2026-04-01
|
|
3044
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$47,101.76
|
$47,101.76
|
$47,101.76
|
2026-04-01
|
|
6073
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$47,023.96
|
$47,023.96
|
$47,023.96
|
2026-04-01
|
|
0072
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$46,940.26
|
$46,940.26
|
$46,940.26
|
2026-04-01
|
|
3033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$46,464.59
|
$46,464.59
|
$46,464.59
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
41
|
$358,758.42
|
$57,401.35
84% off
|
$37,947.30
|
$107,258.61
|
$46,326.04
|
2026-04-01
|
|
1834
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$46,299.31
|
$46,299.31
|
$46,299.31
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
46
|
41
|
$402,371.86
|
$64,379.50
84% off
|
$37,924.53
|
$107,194.24
|
$46,298.24
|
2026-04-01
|
|
6114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,934.67
|
$45,934.67
|
$45,934.67
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
46
|
41
|
$278,960.95
|
$44,633.75
84% off
|
$37,545.25
|
$106,122.22
|
$45,835.22
|
2026-04-01
|
|
J9281
|
HCPCS
|
Mitomycin 80 (2 X 40) Mg Ul Solr
|
46
|
41
|
$189,272.94
|
$30,283.67
84% off
|
$318.53
|
$169,210.01
|
$45,747.27
|
2026-04-01
|
|
SUP-800137
|
CDM
|
Femur Whole Right Fzn
|
31
|
26
|
$98,497.00
|
$15,759.52
84% off
|
$13,100.10
|
$88,056.32
|
$45,702.61
|
2026-04-01
|
|
SUP-800136
|
CDM
|
Femur Whole Left Fzn
|
31
|
26
|
$98,497.00
|
$15,759.52
84% off
|
$13,100.10
|
$88,056.32
|
$45,702.61
|
2026-04-01
|
|
0093
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,511.15
|
$45,511.15
|
$45,511.15
|
2026-04-01
|
|
J9274
|
HCPCS
|
Tebentafusp-tebn 100 Mcg/0.5ml IV Soln
|
46
|
41
|
$185,855.12
|
$29,736.82
84% off
|
$217.09
|
$166,154.48
|
$45,292.89
|
2026-04-01
|
|
SUP-11060A25
|
CDM
|
Aortic Valved Conduit 25mm Konect Resilia
|
31
|
26
|
$97,566.00
|
$15,610.56
84% off
|
$12,976.28
|
$87,224.00
|
$45,270.62
|
2026-04-01
|
|
SUP-11060A23
|
CDM
|
Aortic Valved Conduit 23mm Konect Resilia
|
31
|
26
|
$97,566.00
|
$15,610.56
84% off
|
$12,976.28
|
$87,224.00
|
$45,270.62
|
2026-04-01
|
|
SUP-11060A27
|
CDM
|
Aortic Valved Conduit 27mm Konect Resilia
|
31
|
26
|
$97,566.00
|
$15,610.56
84% off
|
$12,976.28
|
$87,224.00
|
$45,270.62
|
2026-04-01
|
|
SUP-11060A21
|
CDM
|
Aortic Valved Conduit 21mm Konect Resilia
|
31
|
26
|
$97,566.00
|
$15,610.56
84% off
|
$12,976.28
|
$87,224.00
|
$45,270.62
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
46
|
41
|
$376,515.76
|
$60,242.52
84% off
|
$37,040.74
|
$104,696.21
|
$45,219.31
|
2026-04-01
|
|
246
|
EAPG
|
Class IV Therapeutic Radiopharmaceuticals
|
7
|
7
|
—
|
—
|
$45,156.22
|
$45,156.22
|
$45,156.22
|
2026-04-01
|
|
8634
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,032.54
|
$45,032.54
|
$45,032.54
|
2026-04-01
|
|
1664
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$45,024.97
|
$45,024.97
|
$45,024.97
|
2026-04-01
|
|
SUP-450331
|
CDM
|
Whole Humerus Left With Cuff
|
31
|
26
|
$96,353.00
|
$15,416.48
84% off
|
$12,814.95
|
$86,139.58
|
$44,707.79
|
2026-04-01
|
|
SUP-APS-5915
|
CDM
|
Amniofix 9cm X 15cm
|
31
|
26
|
$96,343.00
|
$15,414.88
84% off
|
$12,813.62
|
$86,130.64
|
$44,703.15
|
2026-04-01
|
|
SUP-RO20
|
CDM
|
Femoral-popliteal Artery
|
31
|
26
|
$96,134.00
|
$15,381.44
84% off
|
$12,785.82
|
$85,943.80
|
$44,606.18
|
2026-04-01
|
|
SUP-GS-5770
|
CDM
|
Epifix 7cm X 7cm
|
31
|
26
|
$96,134.00
|
$15,381.44
84% off
|
$12,785.82
|
$85,943.80
|
$44,606.18
|
2026-04-01
|
|
SUP-SGPG00
|
CDM
|
Sg Hemi-artery
|
31
|
26
|
$96,134.00
|
$15,381.44
84% off
|
$12,785.82
|
$85,943.80
|
$44,606.18
|
2026-04-01
|
|
SUP-BMW4101
|
CDM
|
Wound Dressing 4 X 10 Bilayer Matrix
|
31
|
26
|
$96,017.00
|
$15,362.72
84% off
|
$12,770.26
|
$85,839.20
|
$44,551.89
|
2026-04-01
|
|
9104
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,479.91
|
$44,479.91
|
$44,479.91
|
2026-04-01
|
|
SUP-MOPS15
|
CDM
|
Graft Human Tissue Left Patella Oc
|
31
|
26
|
$95,506.00
|
$15,280.96
84% off
|
$12,702.30
|
$85,382.36
|
$44,314.78
|
2026-04-01
|
|
SUP-MOPS16
|
CDM
|
Graft Human Tissue Right Patella Oc
|
31
|
26
|
$95,506.00
|
$15,280.96
84% off
|
$12,702.30
|
$85,382.36
|
$44,314.78
|
2026-04-01
|
|
1794
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,204.01
|
$44,204.01
|
$44,204.01
|
2026-04-01
|
|
C1882
|
HCPCS
|
Hb-aicd Unify Assura Cd335740c40q
|
189
|
26
|
$101,051.00
|
$16,168.16
84% off
|
$9,732.28
|
$111,522.03
|
$44,138.93
|
2026-04-01
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml IV Soln
|
46
|
41
|
$180,834.28
|
$28,933.48
84% off
|
$3,660.83
|
$161,665.85
|
$44,069.32
|
2026-04-01
|
|
6804
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$44,020.64
|
$44,020.64
|
$44,020.64
|
2026-04-01
|
|
1623
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$43,963.86
|
$43,963.86
|
$43,963.86
|
2026-04-01
|
|
SUP-MOPS99
|
CDM
|
Graft Human Tissue Right Femoral Lateral Condyle
|
31
|
26
|
$94,730.00
|
$15,156.80
84% off
|
$12,599.09
|
$84,688.62
|
$43,954.72
|
2026-04-01
|
|
SUP-MOPS97
|
CDM
|
Graft Human Tissue Left Lateral Condyle
|
31
|
26
|
$94,730.00
|
$15,156.80
84% off
|
$12,599.09
|
$84,688.62
|
$43,954.72
|
2026-04-01
|
|
SUP-MOPS98
|
CDM
|
Graft Human Tissue Right Medial Condyle
|
31
|
26
|
$94,730.00
|
$15,156.80
84% off
|
$12,599.09
|
$84,688.62
|
$43,954.72
|
2026-04-01
|
|
SUP-MOPS96
|
CDM
|
Graft Human Tissue Left Femoral Medial Condyle
|
31
|
26
|
$94,730.00
|
$15,156.80
84% off
|
$12,599.09
|
$84,688.62
|
$43,954.72
|
2026-04-01
|
|
6124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$43,925.17
|
$43,925.17
|
$43,925.17
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
41
|
$327,657.53
|
$52,425.20
84% off
|
$35,865.21
|
$101,373.54
|
$43,784.21
|
2026-04-01
|
|
SUP-055004
|
CDM
|
(sa) Superion Procedure 103-1000
|
31
|
26
|
$94,095.00
|
$15,055.20
84% off
|
$12,514.64
|
$84,120.93
|
$43,660.08
|
2026-04-01
|
|
SUP-052469
|
CDM
|
(sa) Valve Aortic Perceval 25mm L
|
31
|
26
|
$94,043.00
|
$15,046.88
84% off
|
$12,507.72
|
$84,074.44
|
$43,635.95
|
2026-04-01
|
|
SUP-052470
|
CDM
|
(sa) Valve Aortic Perceval 27mm Xl
|
31
|
26
|
$94,043.00
|
$15,046.88
84% off
|
$12,507.72
|
$84,074.44
|
$43,635.95
|
2026-04-01
|
|
SUP-052467
|
CDM
|
(sa) Valve Aortic Perceval 21 Mm S
|
31
|
26
|
$94,043.00
|
$15,046.88
84% off
|
$12,507.72
|
$84,074.44
|
$43,635.95
|
2026-04-01
|
|
SUP-052468
|
CDM
|
(sa) Valve Aortic Perceval 23mm M
|
31
|
26
|
$94,043.00
|
$15,046.88
84% off
|
$12,507.72
|
$84,074.44
|
$43,635.95
|
2026-04-01
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10ml IV Soln
|
46
|
41
|
$177,841.83
|
$28,454.69
84% off
|
$59.41
|
$158,990.60
|
$43,340.06
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
46
|
41
|
$237,836.11
|
$38,053.78
84% off
|
$35,489.49
|
$100,311.58
|
$43,325.54
|
2026-04-01
|
|
SUP-AV10 <18MM
|
CDM
|
Aortic Valve Without Conduit <18mm
|
31
|
26
|
$93,280.00
|
$14,924.80
84% off
|
$12,406.24
|
$83,392.32
|
$43,281.92
|
2026-04-01
|
|
SUP-AV10 >18MM
|
CDM
|
Aortic Valve Without Conduit >18mm
|
31
|
26
|
$93,280.00
|
$14,924.80
84% off
|
$12,406.24
|
$83,392.32
|
$43,281.92
|
2026-04-01
|
|
6134
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$43,095.80
|
$43,095.80
|
$43,095.80
|
2026-04-01
|
|
SUP-P020
|
CDM
|
Pulmonary Branch Patch
|
31
|
26
|
$92,736.00
|
$14,837.76
84% off
|
$12,333.89
|
$82,905.98
|
$43,029.50
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
46
|
41
|
$210,475.06
|
$33,676.01
84% off
|
$35,204.86
|
$99,507.06
|
$42,978.07
|
2026-04-01
|
|
6033
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,946.49
|
$42,946.49
|
$42,946.49
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
46
|
41
|
$228,318.65
|
$36,530.98
84% off
|
$35,142.24
|
$575,795.96
|
$42,901.62
|
2026-04-01
|
|
C1786
|
HCPCS
|
Hb-micra Av Leadless Pacemaker
|
31
|
26
|
$92,339.00
|
$14,774.24
84% off
|
$12,281.09
|
$82,551.07
|
$42,845.30
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
46
|
41
|
$309,151.39
|
$49,464.22
84% off
|
$35,021.98
|
$98,990.15
|
$42,754.81
|
2026-04-01
|
|
0011
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,716.86
|
$42,716.86
|
$42,716.86
|
2026-04-01
|
|
SUP-046370
|
CDM
|
(sa) Tissue Strattice 20x25 Perfor
|
31
|
26
|
$92,018.70
|
$14,722.99
84% off
|
$12,238.49
|
$82,264.72
|
$42,696.68
|
2026-04-01
|
|
SUP-SGPH00
|
CDM
|
Synergraft Pulmonary Hemi-artery Patch
|
31
|
26
|
$91,920.00
|
$14,707.20
84% off
|
$12,225.36
|
$82,176.48
|
$42,650.88
|
2026-04-01
|
|
SUP-SGP010
|
CDM
|
Synergraft Pulmonary Trunk Patch
|
31
|
26
|
$91,795.00
|
$14,687.20
84% off
|
$12,208.74
|
$82,064.73
|
$42,592.88
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
46
|
41
|
$198,735.31
|
$31,797.65
84% off
|
$34,876.11
|
$98,577.84
|
$42,576.72
|
2026-04-01
|
|
C1813
|
HCPCS
|
(sa) Cylinder Set Pump 18cm Es8918
|
33
|
26
|
$86,151.00
|
$13,784.16
84% off
|
$11,458.08
|
$77,018.99
|
$42,558.59
|
2026-04-01
|
|
1694
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,141.94
|
$42,141.94
|
$42,141.94
|
2026-04-01
|
|
C1722
|
HCPCS
|
Hb-cobalt Xt Vr Icd
|
125
|
26
|
$104,550.00
|
$16,728.00
84% off
|
$10,427.33
|
$118,375.43
|
$42,106.70
|
2026-04-01
|
|
0061
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,072.54
|
$42,072.54
|
$42,072.54
|
2026-04-01
|
|
9114
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$42,022.07
|
$42,022.07
|
$42,022.07
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
46
|
41
|
$493,997.65
|
$79,039.62
84% off
|
$34,360.21
|
$113,258.85
|
$41,946.92
|
2026-04-01
|
|
3124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$41,838.70
|
$41,838.70
|
$41,838.70
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
46
|
41
|
$28,285.30
|
$4,525.65
84% off
|
$27,501.97
|
$60,045.09
|
$41,833.68
|
2026-04-01
|
|
0071
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$41,796.64
|
$41,796.64
|
$41,796.64
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
46
|
41
|
$181,211.14
|
$28,993.78
84% off
|
$34,186.58
|
$96,628.89
|
$41,734.96
|
2026-04-01
|
|
8413
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$41,654.91
|
$41,654.91
|
$41,654.91
|
2026-04-01
|
|
0914
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$41,619.58
|
$41,619.58
|
$41,619.58
|
2026-04-01
|
|
SUP-SGP020
|
CDM
|
Synergraft Pulmonary Branch Patch
|
31
|
26
|
$89,390.00
|
$14,302.40
84% off
|
$11,888.87
|
$79,914.66
|
$41,476.96
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
46
|
41
|
$372,093.89
|
$59,535.02
84% off
|
$33,877.04
|
$95,753.97
|
$41,357.07
|
2026-04-01
|
|
SUP-DCELL207
|
CDM
|
Dermacell16 X 20cm 0.75-1.5mm Soft Tissue
|
31
|
26
|
$88,658.00
|
$14,185.28
84% off
|
$11,791.51
|
$79,260.25
|
$41,137.31
|
2026-04-01
|
|
9124
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$40,828.06
|
$40,828.06
|
$40,828.06
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
46
|
41
|
$222,835.11
|
$35,653.62
84% off
|
$33,386.05
|
$94,366.17
|
$40,757.67
|
2026-04-01
|
|
SUP-32447002
|
CDM
|
Whole Tibial Platea With Meniscus Left
|
31
|
26
|
$87,809.00
|
$14,049.44
84% off
|
$11,678.60
|
$78,501.25
|
$40,743.38
|
2026-04-01
|
|
SUP-034228
|
CDM
|
(sa) Stabilization Implants Tri2905
|
31
|
26
|
$86,933.35
|
$13,909.34
84% off
|
$11,562.14
|
$77,718.41
|
$40,337.07
|
2026-04-01
|
|
PX-HBSS054482
|
CDM
|
Hb-excluder Cxt261412
|
31
|
26
|
$86,527.00
|
$13,844.32
84% off
|
$11,508.09
|
$77,355.14
|
$40,148.53
|
2026-04-01
|
|
1783
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$40,138.74
|
$40,138.74
|
$40,138.74
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
46
|
41
|
$366,403.74
|
$58,624.60
84% off
|
$32,864.46
|
$92,891.89
|
$40,120.91
|
2026-04-01
|
|
SUP-PSMT1630
|
CDM
|
Mesh 16 X 30cm Thick Matrix Gentrix
|
31
|
26
|
$86,404.00
|
$13,824.64
84% off
|
$11,491.73
|
$77,245.18
|
$40,091.46
|
2026-04-01
|
|
8504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,975.56
|
$39,975.56
|
$39,975.56
|
2026-04-01
|
|
SUP-MDRT4101
|
CDM
|
Meshed Dermal Regeneration Template 10cmx25cm
|
31
|
26
|
$86,083.00
|
$13,773.28
84% off
|
$11,449.04
|
$76,958.20
|
$39,942.51
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
46
|
41
|
$307,992.82
|
$49,278.85
84% off
|
$32,707.91
|
$92,449.40
|
$39,929.79
|
2026-04-01
|
|
0234
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,872.94
|
$39,872.94
|
$39,872.94
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
46
|
41
|
$380,750.97
|
$60,920.16
84% off
|
$32,624.66
|
$92,214.08
|
$39,828.15
|
2026-04-01
|
|
SUP-PSMT2025
|
CDM
|
Mesh 20 X 25cm Thick Matrix Gentrix
|
31
|
26
|
$85,719.00
|
$13,715.04
84% off
|
$11,400.63
|
$76,632.79
|
$39,773.62
|
2026-04-01
|
|
SUP-32247001
|
CDM
|
Graft Hemi Medial Fem Condyle
|
31
|
26
|
$85,719.00
|
$13,715.04
84% off
|
$11,400.63
|
$76,632.79
|
$39,773.62
|
2026-04-01
|
|
SUP-APS-5920
|
CDM
|
Amniofix 9cm X 20cm
|
31
|
26
|
$85,459.00
|
$13,673.44
84% off
|
$11,366.05
|
$76,400.35
|
$39,652.98
|
2026-04-01
|
|
SUP-V010 40-49CM
|
CDM
|
Saphenous Vein 40-49cm
|
31
|
26
|
$85,376.00
|
$13,660.16
84% off
|
$11,355.01
|
$76,326.14
|
$39,614.46
|
2026-04-01
|
|
SUP-33647001
|
CDM
|
Patella Bone Right
|
31
|
26
|
$85,370.00
|
$13,659.20
84% off
|
$11,354.21
|
$76,320.78
|
$39,611.68
|
2026-04-01
|
|
SUP-33647002
|
CDM
|
Patella Bone Left
|
31
|
26
|
$85,370.00
|
$13,659.20
84% off
|
$11,354.21
|
$76,320.78
|
$39,611.68
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
46
|
41
|
$165,465.19
|
$26,474.43
84% off
|
$32,367.78
|
$91,488.00
|
$39,514.56
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
46
|
41
|
$208,734.90
|
$33,397.58
84% off
|
$32,353.54
|
$91,447.78
|
$39,497.18
|
2026-04-01
|
|
SUP-P010
|
CDM
|
Pulmonary Trunk Patch
|
31
|
26
|
$85,104.00
|
$13,616.64
84% off
|
$11,318.83
|
$76,082.98
|
$39,488.26
|
2026-04-01
|
|
SUP-PH00
|
CDM
|
Pulmonary Hemi-artery
|
31
|
26
|
$85,104.00
|
$13,616.64
84% off
|
$11,318.83
|
$76,082.98
|
$39,488.26
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
46
|
41
|
$244,928.69
|
$39,188.59
84% off
|
$32,226.88
|
$91,089.77
|
$39,342.56
|
2026-04-01
|
|
0214
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,326.61
|
$39,326.61
|
$39,326.61
|
2026-04-01
|
|
4414
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$39,319.46
|
$39,319.46
|
$39,319.46
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
46
|
41
|
$257,573.84
|
$41,211.81
84% off
|
$31,891.73
|
$90,142.44
|
$38,933.40
|
2026-04-01
|
|
c1757
|
HCPCS
|
Hb-catheter Indigo 7
|
31
|
26
|
$83,849.00
|
$13,415.84
84% off
|
$11,151.92
|
$74,961.01
|
$38,905.94
|
2026-04-01
|
|
6313
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,838.33
|
$38,838.33
|
$38,838.33
|
2026-04-01
|
|
2604
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,826.55
|
$38,826.55
|
$38,826.55
|
2026-04-01
|
|
SUP-ONXAAP-19
|
CDM
|
Valve 19mm Aortic Valsalva On-x Ascending
|
31
|
26
|
$83,640.00
|
$13,382.40
84% off
|
$11,124.12
|
$74,774.16
|
$38,808.96
|
2026-04-01
|
|
SUP-ONXAAP-23
|
CDM
|
Valve 23mm Aortic Valsalva On-x Ascending
|
31
|
26
|
$83,640.00
|
$13,382.40
84% off
|
$11,124.12
|
$74,774.16
|
$38,808.96
|
2026-04-01
|
|
SUP-ONXAAP-25
|
CDM
|
Valve 25mm Aortic Valsalva On-x Ascending
|
31
|
26
|
$83,640.00
|
$13,382.40
84% off
|
$11,124.12
|
$74,774.16
|
$38,808.96
|
2026-04-01
|
|
SUP-ONXAAP-27/29
|
CDM
|
Valve 27/29mm Aortic Valsalva On-x Ascending
|
31
|
26
|
$83,640.00
|
$13,382.40
84% off
|
$11,124.12
|
$74,774.16
|
$38,808.96
|
2026-04-01
|
|
SUP-ONXAAP-21
|
CDM
|
Valve 21mm Aortic Valsalva On-x Ascending
|
31
|
26
|
$83,640.00
|
$13,382.40
84% off
|
$11,124.12
|
$74,774.16
|
$38,808.96
|
2026-04-01
|
|
SUP-32147002
|
CDM
|
Femoral Condyle Lateral Left
|
31
|
26
|
$83,628.00
|
$13,380.48
84% off
|
$11,122.52
|
$74,763.43
|
$38,803.39
|
2026-04-01
|
|
SUP-32147001
|
CDM
|
Femoral Condyle Lateral Right
|
31
|
26
|
$83,628.00
|
$13,380.48
84% off
|
$11,122.52
|
$74,763.43
|
$38,803.39
|
2026-04-01
|
|
SUP-V010 80CM+
|
CDM
|
Saphenous Vein 80cm
|
31
|
26
|
$82,959.00
|
$13,273.44
84% off
|
$11,033.55
|
$74,165.35
|
$38,492.98
|
2026-04-01
|
|
SUP-V010-DP >80CM
|
CDM
|
Saphenous Vein Dbl Graft Pack >80cm
|
31
|
26
|
$82,931.00
|
$13,268.96
84% off
|
$11,029.82
|
$74,140.31
|
$38,479.98
|
2026-04-01
|
|
4403
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,454.76
|
$38,454.76
|
$38,454.76
|
2026-04-01
|
|
7404
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,329.01
|
$38,329.01
|
$38,329.01
|
2026-04-01
|
|
6084
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$38,272.23
|
$38,272.23
|
$38,272.23
|
2026-04-01
|
|
SUP-PSMT1620
|
CDM
|
Mesh 16 X 20cm Thick Matrix Gentrix
|
31
|
26
|
$82,302.00
|
$13,168.32
84% off
|
$10,946.17
|
$73,577.99
|
$38,188.13
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
46
|
41
|
$265,364.43
|
$42,458.31
84% off
|
$31,258.42
|
$88,352.39
|
$38,160.25
|
2026-04-01
|
|
SUP-AH-5920
|
CDM
|
Amniofix Fenestrated 9cm X 20cm
|
31
|
26
|
$82,199.00
|
$13,151.84
84% off
|
$10,932.47
|
$73,485.91
|
$38,140.34
|
2026-04-01
|
|
C2622
|
HCPCS
|
(sa) Prosthesis Penile 11 919511sc
|
63
|
26
|
$74,959.00
|
$11,993.44
84% off
|
$9,969.55
|
$92,084.68
|
$37,929.25
|
2026-04-01
|
|
SUP-060906
|
CDM
|
(sa) Valve Mitral 25mm Tissue
|
31
|
26
|
$81,026.50
|
$12,964.24
84% off
|
$10,776.52
|
$72,437.69
|
$37,596.30
|
2026-04-01
|
|
SUP-060907
|
CDM
|
(sa) Valve Mitris 27mm Tissue
|
31
|
26
|
$81,026.50
|
$12,964.24
84% off
|
$10,776.52
|
$72,437.69
|
$37,596.30
|
2026-04-01
|
|
SUP-060909
|
CDM
|
(sa) Valve Mitris 33mm Tissue
|
31
|
26
|
$81,026.25
|
$12,964.20
84% off
|
$10,776.49
|
$72,437.47
|
$37,596.18
|
2026-04-01
|
|
SUP-060908
|
CDM
|
(sa) Valve Mitral 29mm Tissue
|
31
|
26
|
$81,026.25
|
$12,964.20
84% off
|
$10,776.49
|
$72,437.47
|
$37,596.18
|
2026-04-01
|
|
SUP-11500A19
|
CDM
|
Aortic Valve 19mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11500A21
|
CDM
|
Aortic Valve 21mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11500A27
|
CDM
|
Aortic Valve 27mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11500A29
|
CDM
|
Aortic Valve 29mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
PX-HBSS049692
|
CDM
|
Hb-valve Aortic Inspiris 11500a21
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11500A25
|
CDM
|
Aortic Valve 25mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
PX-HBSS049693
|
CDM
|
Hb-valve Aortic Inspiris 11500a25
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11500A23
|
CDM
|
Aortic Valve 23mm Inspiris Resilia
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
SUP-11400M31
|
CDM
|
(sa) Valve Mitral 31mm Res 11400m31
|
31
|
26
|
$81,026.00
|
$12,964.16
84% off
|
$10,776.46
|
$72,437.24
|
$37,596.06
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
46
|
41
|
$291,399.85
|
$46,623.98
84% off
|
$30,793.04
|
$87,037.00
|
$37,592.12
|
2026-04-01
|
|
C1721
|
HCPCS
|
Hb-cobalt Xt Dr
|
155
|
26
|
$85,022.00
|
$13,603.52
84% off
|
$9,500.46
|
$93,467.70
|
$37,538.78
|
2026-04-01
|
|
6814
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,537.07
|
$37,537.07
|
$37,537.07
|
2026-04-01
|
|
6302
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,457.58
|
$37,457.58
|
$37,457.58
|
2026-04-01
|
|
SUP-1620002
|
CDM
|
Strattice Reconstructive Tissue Matrix 16 X 20 Firm
|
31
|
26
|
$80,671.00
|
$12,907.36
84% off
|
$10,729.24
|
$72,119.87
|
$37,431.34
|
2026-04-01
|
|
1782
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,396.60
|
$37,396.60
|
$37,396.60
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
46
|
41
|
$207,709.68
|
$33,233.55
84% off
|
$30,547.55
|
$86,343.10
|
$37,292.43
|
2026-04-01
|
|
2204
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$37,249.82
|
$37,249.82
|
$37,249.82
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
46
|
41
|
$277,839.34
|
$44,454.29
84% off
|
$30,351.15
|
$85,787.98
|
$37,052.67
|
2026-04-01
|
|
3060
|
EAPG
|
Ventricular Assist Device Procedures
|
7
|
7
|
—
|
—
|
$37,031.81
|
$37,031.81
|
$37,031.81
|
2026-04-01
|
|
0894
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,998.32
|
$36,998.32
|
$36,998.32
|
2026-04-01
|
|
1653
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,891.07
|
$36,891.07
|
$36,891.07
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
46
|
41
|
$525,915.58
|
$84,146.49
84% off
|
$30,176.81
|
$85,295.21
|
$36,839.83
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
46
|
41
|
$345,693.05
|
$55,310.89
84% off
|
$30,051.57
|
$84,941.22
|
$36,686.94
|
2026-04-01
|
|
9504
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,633.68
|
$36,633.68
|
$36,633.68
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
46
|
41
|
$183,786.76
|
$29,405.88
84% off
|
$29,985.40
|
$84,754.17
|
$36,606.15
|
2026-04-01
|
|
SUP-450349
|
CDM
|
Graft Human Tissue Left Humeral Whole Structural Without Rotator Cuff Frozen Allogra…
|
31
|
26
|
$78,810.00
|
$12,609.60
84% off
|
$10,481.73
|
$70,456.14
|
$36,567.84
|
2026-04-01
|
|
1603
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,559.66
|
$36,559.66
|
$36,559.66
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
46
|
41
|
$160,267.49
|
$25,642.80
84% off
|
$29,897.87
|
$84,506.78
|
$36,499.29
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
46
|
41
|
$143,792.45
|
$23,006.79
84% off
|
$29,862.29
|
$84,406.22
|
$36,455.86
|
2026-04-01
|
|
6083
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,449.47
|
$36,449.47
|
$36,449.47
|
2026-04-01
|
|
6072
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,412.04
|
$36,412.04
|
$36,412.04
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
46
|
41
|
$340,753.36
|
$54,520.54
84% off
|
$29,806.79
|
$84,249.33
|
$36,388.10
|
2026-04-01
|
|
1633
|
APR_DRG
|
—
|
7
|
7
|
—
|
—
|
$36,362.41
|
$36,362.41
|
$36,362.41
|
2026-04-01
|
|
SUP-800134
|
CDM
|
Tibia Whole Right Fzn
|
31
|
26
|
$78,287.00
|
$12,525.92
84% off
|
$10,412.17
|
$69,988.58
|
$36,325.17
|
2026-04-01
|