|
A9616
|
HCPCS
|
Gallium-68 Gozetotide (gozellix) 25 Mcg Intravenous Solution
|
63
|
40
|
$1,629,875.00
|
$977,925.00
40% off
|
$1,171.30
|
$1,417,991.25
|
$1,064,308.38
|
2025-12-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
73
|
47
|
$624,105.52
|
$374,463.31
40% off
|
$149,411.30
|
$624,105.52
|
$343,258.04
|
2025-12-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
73
|
47
|
$466,485.85
|
$279,891.51
40% off
|
$97,504.64
|
$466,485.85
|
$279,891.51
|
2025-12-15
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
72
|
46
|
$387,890.75
|
$232,734.45
40% off
|
$5,009.56
|
$337,464.95
|
$241,461.99
|
2025-12-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
73
|
47
|
$250,099.47
|
$150,059.68
40% off
|
$43,336.73
|
$250,099.47
|
$162,564.66
|
2025-12-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
73
|
47
|
$277,048.88
|
$166,229.33
40% off
|
$34,505.06
|
$277,048.88
|
$137,628.24
|
2025-12-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
73
|
47
|
$273,965.60
|
$164,379.36
40% off
|
$35,578.20
|
$273,965.60
|
$136,294.74
|
2025-12-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
73
|
47
|
$260,408.83
|
$156,245.30
40% off
|
$29,270.00
|
$260,408.83
|
$124,940.71
|
2025-12-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
73
|
47
|
$182,213.52
|
$109,328.11
40% off
|
$50,193.28
|
$182,213.52
|
$115,647.96
|
2025-12-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
68
|
44
|
$209,414.20
|
$125,648.52
40% off
|
$45,296.00
|
$209,414.20
|
$114,444.46
|
2025-12-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
73
|
47
|
$255,146.32
|
$153,087.79
40% off
|
$9,458.00
|
$255,146.32
|
$111,581.43
|
2025-12-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
73
|
47
|
$245,388.90
|
$147,233.34
40% off
|
$27,737.34
|
$245,388.90
|
$110,634.25
|
2025-12-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
73
|
47
|
$140,089.00
|
$84,053.40
40% off
|
$42,282.47
|
$140,089.00
|
$103,368.00
|
2025-12-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
73
|
47
|
$213,022.59
|
$127,813.55
40% off
|
$26,873.54
|
$213,022.59
|
$99,613.24
|
2025-12-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
73
|
47
|
$117,963.07
|
$70,777.84
40% off
|
$13,090.00
|
$163,118.73
|
$95,575.00
|
2025-12-15
|
|
J2351
|
HCPCS
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln
|
72
|
46
|
$150,860.10
|
$90,516.06
40% off
|
$47.05
|
$131,248.29
|
$92,778.96
|
2025-12-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
73
|
47
|
$179,928.33
|
$107,957.00
40% off
|
$22,770.46
|
$179,928.33
|
$90,823.15
|
2025-12-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
73
|
47
|
$243,519.66
|
$146,111.80
40% off
|
$22,631.46
|
$243,519.66
|
$90,268.72
|
2025-12-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
67
|
43
|
$140,408.35
|
$84,245.01
40% off
|
$39,182.35
|
$140,408.35
|
$89,694.92
|
2025-12-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
73
|
47
|
$186,644.17
|
$111,986.50
40% off
|
$21,305.96
|
$186,644.17
|
$84,981.80
|
2025-12-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
73
|
47
|
$142,321.51
|
$85,392.91
40% off
|
$37,141.65
|
$142,321.51
|
$84,601.36
|
2025-12-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
73
|
47
|
$102,775.24
|
$61,665.14
40% off
|
$34,826.41
|
$102,775.24
|
$81,269.00
|
2025-12-15
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
73
|
47
|
$291,015.55
|
$174,609.33
40% off
|
$25,424.68
|
$291,015.55
|
$78,350.03
|
2025-12-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
73
|
47
|
$91,984.49
|
$55,190.69
40% off
|
$32,511.16
|
$103,368.00
|
$78,020.07
|
2025-12-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
73
|
47
|
$104,804.05
|
$62,882.43
40% off
|
$25,710.00
|
$104,804.05
|
$77,266.70
|
2025-12-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
67
|
43
|
$136,366.30
|
$81,819.78
40% off
|
$7,191.00
|
$136,366.30
|
$75,001.47
|
2025-12-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
73
|
47
|
$114,257.72
|
$68,554.63
40% off
|
$22,994.00
|
$114,257.72
|
$73,750.88
|
2025-12-15
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
72
|
46
|
$117,715.90
|
$70,629.54
40% off
|
$3,768.81
|
$102,412.83
|
$72,395.28
|
2025-12-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
67
|
43
|
$111,758.78
|
$67,055.27
40% off
|
$30,462.01
|
$111,758.78
|
$71,742.06
|
2025-12-15
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
73
|
47
|
$130,393.01
|
$78,235.81
40% off
|
$25,033.98
|
$130,393.01
|
$67,540.00
|
2025-12-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
72
|
46
|
$131,646.50
|
$78,987.90
40% off
|
$16,893.44
|
$131,646.50
|
$67,381.83
|
2025-12-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
67
|
43
|
$131,716.23
|
$79,029.74
40% off
|
$9,375.00
|
$131,716.23
|
$67,357.32
|
2025-12-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
73
|
47
|
$103,048.47
|
$61,829.08
40% off
|
$20,766.50
|
$103,048.47
|
$66,981.51
|
2025-12-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
72
|
46
|
$91,510.72
|
$54,906.43
40% off
|
$8,613.00
|
$92,177.53
|
$66,661.71
|
2025-12-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
72
|
46
|
$138,658.48
|
$83,195.09
40% off
|
$16,184.77
|
$138,658.48
|
$64,555.21
|
2025-12-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
73
|
47
|
$104,104.56
|
$62,462.74
40% off
|
$20,716.44
|
$104,104.56
|
$64,302.00
|
2025-12-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
67
|
43
|
$98,890.39
|
$59,334.23
40% off
|
$7,977.00
|
$98,890.39
|
$64,278.75
|
2025-12-15
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
73
|
47
|
$102,556.88
|
$61,534.13
40% off
|
$22,170.39
|
$102,556.88
|
$64,187.10
|
2025-12-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
72
|
46
|
$90,345.93
|
$54,207.56
40% off
|
$9,059.00
|
$90,345.93
|
$62,315.28
|
2025-12-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
67
|
43
|
$89,855.27
|
$53,913.16
40% off
|
$32,019.82
|
$89,855.27
|
$62,033.61
|
2025-12-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
73
|
47
|
$82,461.20
|
$49,476.72
40% off
|
$24,090.16
|
$97,448.62
|
$61,845.90
|
2025-12-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
73
|
47
|
$132,952.66
|
$79,771.60
40% off
|
$14,839.01
|
$132,952.66
|
$61,510.78
|
2025-12-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
46
|
$110,231.27
|
$66,138.76
40% off
|
$8,721.00
|
$110,231.27
|
$61,364.63
|
2025-12-15
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
72
|
46
|
$95,459.31
|
$57,275.59
40% off
|
$12,766.78
|
$95,459.31
|
$61,196.00
|
2025-12-15
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
73
|
47
|
$106,313.85
|
$63,788.31
40% off
|
$22,475.19
|
$106,313.85
|
$60,812.07
|
2025-12-15
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
73
|
47
|
$93,335.43
|
$56,001.26
40% off
|
$27,537.18
|
$95,575.00
|
$60,668.03
|
2025-12-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
67
|
43
|
$85,617.00
|
$51,370.20
40% off
|
$6,428.00
|
$85,617.00
|
$60,051.30
|
2025-12-15
|
|
37184
|
CPT
|
Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st
|
100
|
46
|
$96,492.18
|
$57,895.31
40% off
|
$3,756.00
|
$96,492.18
|
$59,342.69
|
2025-12-15
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
68
|
44
|
$196,267.50
|
$117,760.50
40% off
|
$25,386.66
|
$196,267.50
|
$58,939.66
|
2025-12-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
67
|
43
|
$62,649.40
|
$37,589.64
40% off
|
$25,136.77
|
$92,731.06
|
$58,763.98
|
2025-12-15
|
|
C9767
|
CPT
|
Revasc Lithotrip-stent-ather|left Side
|
83
|
46
|
$128,618.74
|
$77,171.24
40% off
|
$3,756.00
|
$81,801.52
|
$58,635.96
|
2025-12-15
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
69
|
44
|
$121,361.24
|
$72,816.74
40% off
|
$16,995.06
|
$121,361.24
|
$58,070.39
|
2025-12-15
|
|
C9775
|
CPT
|
Revasc Lith-sten-ath Tib/per
|
72
|
46
|
$99,854.29
|
$59,912.57
40% off
|
$3,756.00
|
$84,876.15
|
$57,915.49
|
2025-12-15
|
|
C9773
|
CPT
|
Revasc Lithotr-stent tib/per|LEFT Side
|
72
|
46
|
$79,014.28
|
$47,408.57
40% off
|
$3,756.00
|
$77,832.97
|
$57,760.92
|
2025-12-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
67
|
43
|
$64,506.27
|
$38,703.76
40% off
|
$10,344.00
|
$70,283.66
|
$57,105.47
|
2025-12-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
72
|
46
|
$99,555.88
|
$59,733.53
40% off
|
$8,698.00
|
$99,555.88
|
$57,057.19
|
2025-12-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
73
|
47
|
$111,644.62
|
$66,986.77
40% off
|
$19,425.00
|
$111,644.62
|
$57,030.72
|
2025-12-15
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
73
|
47
|
$118,169.81
|
$70,901.89
40% off
|
$20,586.00
|
$118,169.81
|
$56,925.77
|
2025-12-15
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
73
|
47
|
$115,406.50
|
$69,243.90
40% off
|
$22,897.55
|
$115,406.50
|
$56,472.23
|
2025-12-15
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
67
|
43
|
$126,122.77
|
$75,673.66
40% off
|
$22,180.94
|
$126,122.77
|
$56,008.58
|
2025-12-15
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
72
|
46
|
$89,816.10
|
$53,889.66
40% off
|
$224.80
|
$78,140.01
|
$55,910.53
|
2025-12-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
72
|
46
|
$62,961.48
|
$37,776.89
40% off
|
$35,107.98
|
$98,643.95
|
$55,083.41
|
2025-12-15
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
73
|
47
|
$210,113.42
|
$126,068.05
40% off
|
$6,754.00
|
$210,113.42
|
$55,018.06
|
2025-12-15
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
73
|
47
|
$131,055.16
|
$78,633.10
40% off
|
$25,469.71
|
$131,055.16
|
$54,904.77
|
2025-12-15
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
73
|
47
|
$84,116.74
|
$50,470.04
40% off
|
$16,187.00
|
$84,116.74
|
$54,675.88
|
2025-12-15
|
|
C9766
|
CPT
|
Revasc Intra Lithotrip-ather
|
72
|
46
|
$99,173.89
|
$59,504.33
40% off
|
$4,587.00
|
$69,262.14
|
$54,329.60
|
2025-12-15
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
73
|
47
|
$96,753.52
|
$58,052.11
40% off
|
$19,152.62
|
$96,753.52
|
$54,236.96
|
2025-12-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
67
|
43
|
$36,316.42
|
$21,789.85
40% off
|
$21,063.52
|
$83,530.90
|
$54,138.87
|
2025-12-15
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
67
|
43
|
$78,565.60
|
$47,139.36
40% off
|
$19,408.15
|
$78,565.60
|
$54,085.20
|
2025-12-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
73
|
47
|
$97,742.23
|
$58,645.34
40% off
|
$13,638.86
|
$97,742.23
|
$53,758.23
|
2025-12-15
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
67
|
43
|
$74,457.58
|
$44,674.55
40% off
|
$23,253.04
|
$74,457.58
|
$53,576.22
|
2025-12-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
73
|
47
|
$92,803.71
|
$55,682.23
40% off
|
$14,569.00
|
$92,803.71
|
$53,332.32
|
2025-12-15
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
73
|
47
|
$83,098.47
|
$49,859.08
40% off
|
$18,451.00
|
$83,098.47
|
$53,229.69
|
2025-12-15
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
69
|
44
|
$70,572.21
|
$42,343.33
40% off
|
$24,205.45
|
$70,572.21
|
$52,929.16
|
2025-12-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
67
|
43
|
$67,213.15
|
$40,327.89
40% off
|
$8,087.00
|
$77,862.32
|
$52,796.33
|
2025-12-15
|
|
27279
|
CPT
|
Arthrodesis Si Joint Percutaneous/Min Invasive|LEFT Side
|
73
|
46
|
$73,490.81
|
$44,094.49
40% off
|
$3,756.00
|
$73,490.81
|
$52,768.93
|
2025-12-15
|
|
999
|
MS_DRG
|
Ungroupable
|
72
|
46
|
$110,316.12
|
$66,189.67
40% off
|
$8,613.00
|
$110,316.12
|
$52,739.66
|
2025-12-15
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
72
|
46
|
$72,567.17
|
$43,540.30
40% off
|
$17,301.57
|
$72,567.17
|
$52,616.35
|
2025-12-15
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
67
|
43
|
$75,678.27
|
$45,406.96
40% off
|
$23,983.72
|
$75,678.27
|
$52,022.66
|
2025-12-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
73
|
47
|
$89,320.91
|
$53,592.55
40% off
|
$9,023.00
|
$89,320.91
|
$51,806.13
|
2025-12-15
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
67
|
43
|
$93,692.05
|
$56,215.23
40% off
|
$6,515.00
|
$93,692.05
|
$51,704.57
|
2025-12-15
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
73
|
47
|
$109,575.53
|
$65,745.32
40% off
|
$18,223.00
|
$109,575.53
|
$51,684.38
|
2025-12-15
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
67
|
43
|
$115,788.85
|
$69,473.31
40% off
|
$22,244.30
|
$115,788.85
|
$51,252.04
|
2025-12-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
67
|
43
|
$77,974.76
|
$46,784.86
40% off
|
$7,283.00
|
$77,974.76
|
$50,683.59
|
2025-12-15
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
73
|
47
|
$120,998.40
|
$72,599.04
40% off
|
$12,633.16
|
$120,998.40
|
$50,674.57
|
2025-12-15
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
67
|
43
|
$72,134.50
|
$43,280.70
40% off
|
$7,003.00
|
$72,134.50
|
$50,275.92
|
2025-12-15
|
|
37185
|
CPT
|
Prim Prq Trluml Mchnl Thrmbc N-cor N-icra Sbsq
|
94
|
46
|
$76,686.12
|
$46,011.67
40% off
|
$1,250.10
|
$76,686.12
|
$49,845.98
|
2025-12-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
67
|
43
|
$67,009.45
|
$40,205.67
40% off
|
$25,054.41
|
$67,074.47
|
$49,788.02
|
2025-12-15
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
73
|
47
|
$111,940.10
|
$67,164.06
40% off
|
$9,243.00
|
$111,940.10
|
$49,585.79
|
2025-12-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
67
|
43
|
$65,818.48
|
$39,491.09
40% off
|
$27,026.12
|
$73,258.85
|
$49,363.86
|
2025-12-15
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
67
|
43
|
$116,543.10
|
$69,925.86
40% off
|
$14,233.60
|
$116,543.10
|
$48,929.48
|
2025-12-15
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
67
|
43
|
$85,467.00
|
$51,280.20
40% off
|
$18,155.85
|
$85,467.00
|
$48,513.96
|
2025-12-15
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
67
|
43
|
$52,222.33
|
$31,333.40
40% off
|
$21,550.93
|
$58,892.03
|
$47,849.78
|
2025-12-15
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml Intravenous Solution
|
72
|
46
|
$80,817.90
|
$48,490.74
40% off
|
$59.32
|
$70,311.57
|
$47,007.99
|
2025-12-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
73
|
47
|
$71,965.01
|
$43,179.01
40% off
|
$7,759.00
|
$71,965.01
|
$46,777.26
|
2025-12-15
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
73
|
47
|
$75,462.40
|
$45,277.44
40% off
|
$14,908.00
|
$75,462.40
|
$46,601.90
|
2025-12-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
67
|
43
|
$61,499.41
|
$36,899.65
40% off
|
$24,133.65
|
$61,499.41
|
$46,361.80
|
2025-12-15
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
73
|
47
|
$67,458.75
|
$40,475.25
40% off
|
$7,743.00
|
$67,458.75
|
$46,153.93
|
2025-12-15
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
73
|
47
|
$99,998.00
|
$59,998.80
40% off
|
$10,503.84
|
$99,998.00
|
$46,142.00
|
2025-12-15
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
73
|
47
|
$122,522.99
|
$73,513.79
40% off
|
$14,569.00
|
$122,522.99
|
$45,747.15
|
2025-12-15
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
73
|
47
|
$82,147.19
|
$49,288.31
40% off
|
$15,363.35
|
$83,133.78
|
$45,652.48
|
2025-12-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
67
|
43
|
$60,149.92
|
$36,089.95
40% off
|
$1,727.00
|
$78,036.76
|
$45,112.44
|
2025-12-15
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
73
|
47
|
$52,748.28
|
$31,648.97
40% off
|
$15,438.42
|
$59,567.14
|
$44,252.00
|
2025-12-15
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
67
|
43
|
$55,533.40
|
$33,320.04
40% off
|
$6,333.00
|
$64,349.70
|
$44,141.13
|
2025-12-15
|
|
L8670
|
HCPCS
|
Cook Medical Zenith Taa - 1 Piece Case Cap
|
240
|
35
|
$66,500.00
|
$39,900.00
40% off
|
$15,960.00
|
$87,500.00
|
$43,750.00
|
2025-12-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
67
|
43
|
$57,838.44
|
$34,703.06
40% off
|
$27,247.16
|
$73,813.65
|
$43,378.83
|
2025-12-15
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
67
|
43
|
$60,986.85
|
$36,592.11
40% off
|
$20,703.39
|
$60,986.85
|
$43,027.16
|
2025-12-15
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
68
|
44
|
$249,264.28
|
$149,558.57
40% off
|
$18,659.17
|
$249,264.28
|
$42,991.70
|
2025-12-15
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
73
|
47
|
$83,464.16
|
$50,078.50
40% off
|
$10,520.29
|
$83,464.16
|
$42,892.28
|
2025-12-15
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
73
|
47
|
$42,304.54
|
$25,382.72
40% off
|
$12,278.00
|
$68,046.17
|
$42,702.68
|
2025-12-15
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
73
|
47
|
$86,583.98
|
$51,950.39
40% off
|
$14,569.00
|
$86,583.98
|
$42,655.65
|
2025-12-15
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
73
|
47
|
$73,162.69
|
$43,897.61
40% off
|
$12,343.00
|
$73,162.69
|
$42,434.36
|
2025-12-15
|
|
C9764
|
CPT
|
Revasc Intravasc lithotripsy|LEFT Side
|
78
|
46
|
$92,582.43
|
$55,549.46
40% off
|
$6,690.00
|
$58,074.66
|
$42,091.58
|
2025-12-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
67
|
43
|
$70,766.40
|
$42,459.84
40% off
|
$24,436.34
|
$70,766.40
|
$41,948.60
|
2025-12-15
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
73
|
47
|
$71,652.74
|
$42,991.64
40% off
|
$12,410.35
|
$71,652.74
|
$41,558.59
|
2025-12-15
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
67
|
43
|
$94,931.30
|
$56,958.78
40% off
|
$19,349.01
|
$94,931.30
|
$41,476.80
|
2025-12-15
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
72
|
46
|
$62,974.75
|
$37,784.85
40% off
|
$7,716.00
|
$62,974.75
|
$41,224.86
|
2025-12-15
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
68
|
44
|
$60,421.85
|
$36,253.11
40% off
|
$7,230.00
|
$60,421.85
|
$41,106.71
|
2025-12-15
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
73
|
47
|
$60,800.66
|
$36,480.40
40% off
|
$9,794.00
|
$62,653.69
|
$40,790.11
|
2025-12-15
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
67
|
43
|
$68,988.35
|
$41,393.01
40% off
|
$12,369.51
|
$68,988.35
|
$40,717.49
|
2025-12-15
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
73
|
47
|
$75,190.50
|
$45,114.30
40% off
|
$13,142.82
|
$75,190.50
|
$40,477.63
|
2025-12-15
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
67
|
43
|
$62,200.57
|
$37,320.34
40% off
|
$16,159.51
|
$62,200.57
|
$40,430.37
|
2025-12-15
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
72
|
46
|
$67,027.14
|
$40,216.28
40% off
|
$17,306.22
|
$67,027.14
|
$40,010.81
|
2025-12-15
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
72
|
46
|
$67,660.26
|
$40,596.16
40% off
|
$10,813.07
|
$67,660.26
|
$39,672.64
|
2025-12-15
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
72
|
46
|
$64,508.08
|
$38,704.85
40% off
|
$15,477.38
|
$64,508.08
|
$39,348.00
|
2025-12-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
57
|
39
|
$27,932.60
|
$16,759.56
40% off
|
$16,200.91
|
$89,040.69
|
$39,253.61
|
2025-12-15
|
|
C9774
|
CPT
|
Revasc Lithotr-ather tib/per|LEFT Side
|
72
|
46
|
$60,195.28
|
$36,117.17
40% off
|
$3,756.00
|
$54,068.02
|
$39,199.31
|
2025-12-15
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
73
|
47
|
$55,933.78
|
$33,560.27
40% off
|
$16,874.69
|
$55,933.78
|
$39,168.54
|
2025-12-15
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
73
|
47
|
$66,737.86
|
$40,042.72
40% off
|
$15,576.65
|
$66,737.86
|
$38,341.68
|
2025-12-15
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
73
|
47
|
$64,787.11
|
$38,872.27
40% off
|
$7,900.00
|
$64,787.11
|
$38,224.63
|
2025-12-15
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
73
|
47
|
$72,653.21
|
$43,591.93
40% off
|
$14,540.00
|
$72,653.21
|
$37,929.07
|
2025-12-15
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
73
|
47
|
$113,667.03
|
$68,200.22
40% off
|
$16,462.18
|
$113,667.03
|
$37,814.22
|
2025-12-15
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
67
|
43
|
$89,234.01
|
$53,540.41
40% off
|
$15,401.37
|
$89,234.01
|
$37,783.91
|
2025-12-15
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
67
|
43
|
$50,046.50
|
$30,027.90
40% off
|
$17,541.33
|
$50,046.50
|
$37,598.86
|
2025-12-15
|
|
37226
|
CPT
|
Revsc Opn/Prq Fem/Pop W/Stnt/Angiop Sm Vsl
|
78
|
46
|
$52,969.29
|
$31,781.57
40% off
|
$3,162.58
|
$52,965.49
|
$37,396.32
|
2025-12-15
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
73
|
47
|
$64,459.40
|
$38,675.64
40% off
|
$8,587.00
|
$64,459.40
|
$37,306.52
|
2025-12-15
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
67
|
43
|
$94,236.35
|
$56,541.81
40% off
|
$8,010.00
|
$94,236.35
|
$37,259.09
|
2025-12-15
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
67
|
43
|
$53,542.15
|
$32,125.29
40% off
|
$14,843.85
|
$57,731.97
|
$36,724.96
|
2025-12-15
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
67
|
43
|
$84,221.30
|
$50,532.78
40% off
|
$14,800.21
|
$84,221.30
|
$36,621.01
|
2025-12-15
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
72
|
46
|
$43,848.40
|
$26,309.04
40% off
|
$17,205.54
|
$45,195.31
|
$36,611.00
|
2025-12-15
|
|
C1735
|
HCPCS
|
Medtronic Inc Catheter Angiographic 117Cm 6Fr Symplicity Spyral Renal Strl Rdn01…
|
68
|
44
|
$56,000.00
|
$33,600.00
40% off
|
$21,560.00
|
$56,000.00
|
$36,400.00
|
2025-12-15
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
73
|
47
|
$124,351.75
|
$74,611.05
40% off
|
$11,538.00
|
$124,351.75
|
$36,198.23
|
2025-12-15
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
73
|
47
|
$48,759.43
|
$29,255.66
40% off
|
$13,307.87
|
$49,806.12
|
$36,051.06
|
2025-12-15
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
67
|
43
|
$76,244.89
|
$45,746.93
40% off
|
$10,449.00
|
$76,244.89
|
$36,049.75
|
2025-12-15
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
67
|
43
|
$57,841.33
|
$34,704.80
40% off
|
$5,989.00
|
$57,841.33
|
$36,025.54
|
2025-12-15
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
67
|
43
|
$47,584.24
|
$28,550.54
40% off
|
$18,987.91
|
$47,584.24
|
$35,926.10
|
2025-12-15
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
73
|
47
|
$40,596.30
|
$24,357.78
40% off
|
$12,723.60
|
$55,931.00
|
$35,868.05
|
2025-12-15
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
67
|
43
|
$38,717.36
|
$23,230.42
40% off
|
$16,269.31
|
$40,079.62
|
$35,861.80
|
2025-12-15
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
73
|
47
|
$64,931.44
|
$38,958.86
40% off
|
$16,092.00
|
$64,931.44
|
$35,837.76
|
2025-12-15
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
67
|
43
|
$56,778.95
|
$34,067.37
40% off
|
$16,369.98
|
$56,778.95
|
$35,831.38
|
2025-12-15
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
67
|
43
|
$54,595.93
|
$32,757.56
40% off
|
$11,841.04
|
$54,595.93
|
$35,814.53
|
2025-12-15
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
67
|
43
|
$62,840.73
|
$37,704.44
40% off
|
$16,450.23
|
$62,840.73
|
$35,152.41
|
2025-12-15
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
67
|
43
|
$53,187.00
|
$31,912.20
40% off
|
$16,089.09
|
$53,187.00
|
$34,571.55
|
2025-12-15
|
|
C9602
|
CPT
|
Perc D-e Cor Stent Ather S|ramus Intermedius Cor Artery
|
87
|
46
|
$55,329.95
|
$33,197.97
40% off
|
$6,690.00
|
$59,742.12
|
$34,420.03
|
2025-12-15
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
67
|
43
|
$49,186.27
|
$29,511.76
40% off
|
$16,827.53
|
$49,186.27
|
$34,232.02
|
2025-12-15
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
72
|
46
|
$47,043.95
|
$28,226.37
40% off
|
$14,065.29
|
$61,415.00
|
$34,014.62
|
2025-12-15
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/mcc
|
73
|
47
|
$41,724.50
|
$25,034.70
40% off
|
$14,899.47
|
$56,823.00
|
$33,735.15
|
2025-12-15
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
67
|
43
|
$45,066.32
|
$27,039.79
40% off
|
$6,432.00
|
$45,066.32
|
$33,642.77
|
2025-12-15
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
67
|
43
|
$60,845.20
|
$36,507.12
40% off
|
$9,881.82
|
$60,845.20
|
$33,577.28
|
2025-12-15
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
67
|
43
|
$47,987.70
|
$28,792.62
40% off
|
$7,046.00
|
$47,987.70
|
$33,455.21
|
2025-12-15
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
73
|
47
|
$53,366.20
|
$32,019.72
40% off
|
$7,413.00
|
$53,366.20
|
$33,399.00
|
2025-12-15
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
73
|
47
|
$79,887.76
|
$47,932.66
40% off
|
$8,108.52
|
$79,887.76
|
$32,990.45
|
2025-12-15
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/mcc
|
73
|
47
|
$59,948.36
|
$35,969.02
40% off
|
$5,867.51
|
$59,948.36
|
$32,932.00
|
2025-12-15
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
67
|
43
|
$55,170.15
|
$33,102.09
40% off
|
$14,044.88
|
$55,170.15
|
$32,863.81
|
2025-12-15
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
73
|
47
|
$55,441.67
|
$33,265.00
40% off
|
$10,468.75
|
$55,441.67
|
$32,825.41
|
2025-12-15
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
72
|
46
|
$45,900.00
|
$27,540.00
40% off
|
$323.91
|
$39,933.00
|
$32,681.20
|
2025-12-15
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
67
|
43
|
$61,829.87
|
$37,097.92
40% off
|
$6,605.29
|
$61,829.87
|
$32,678.04
|
2025-12-15
|
|
J1628
|
HCPCS
|
Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution
|
72
|
46
|
$52,862.55
|
$31,717.53
40% off
|
$72.94
|
$45,990.42
|
$32,510.47
|
2025-12-15
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
73
|
47
|
$58,727.24
|
$35,236.34
40% off
|
$10,201.02
|
$58,727.24
|
$32,428.81
|
2025-12-15
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
67
|
43
|
$49,871.85
|
$29,923.11
40% off
|
$13,165.67
|
$49,871.85
|
$32,416.70
|
2025-12-15
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
73
|
47
|
$38,304.09
|
$22,982.45
40% off
|
$19,831.15
|
$90,663.44
|
$32,356.30
|
2025-12-15
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
46
|
$35,051.15
|
$21,030.69
40% off
|
$16,394.23
|
$51,287.24
|
$32,343.48
|
2025-12-15
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
67
|
43
|
$34,324.45
|
$20,594.67
40% off
|
$12,099.42
|
$39,715.69
|
$32,269.00
|
2025-12-15
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
72
|
46
|
$44,587.25
|
$26,752.35
40% off
|
$7,702.68
|
$56,999.00
|
$32,226.38
|
2025-12-15
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
73
|
47
|
$24,825.21
|
$14,895.13
40% off
|
$10,854.00
|
$57,081.68
|
$32,063.95
|
2025-12-15
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
73
|
47
|
$48,849.42
|
$29,309.65
40% off
|
$8,533.00
|
$48,849.42
|
$32,011.63
|
2025-12-15
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
67
|
43
|
$52,778.95
|
$31,667.37
40% off
|
$14,734.72
|
$52,778.95
|
$31,978.72
|
2025-12-15
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
73
|
47
|
$57,914.51
|
$34,748.71
40% off
|
$11,842.98
|
$57,914.51
|
$31,879.08
|
2025-12-15
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
73
|
47
|
$46,008.80
|
$27,605.28
40% off
|
$9,636.00
|
$46,008.80
|
$31,819.91
|
2025-12-15
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
73
|
47
|
$54,607.48
|
$32,764.49
40% off
|
$11,846.49
|
$54,607.48
|
$31,672.34
|
2025-12-15
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
73
|
47
|
$54,379.48
|
$32,627.69
40% off
|
$11,473.41
|
$54,379.48
|
$31,636.19
|
2025-12-15
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/mcc
|
67
|
43
|
$50,180.98
|
$30,108.59
40% off
|
$13,676.02
|
$50,180.98
|
$31,510.27
|
2025-12-15
|
|
33249
|
CPT
|
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
|
101
|
46
|
$86,698.31
|
$52,018.99
40% off
|
$3,756.00
|
$55,699.88
|
$31,439.54
|
2025-12-15
|
|
33225
|
CPT
|
Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen
|
101
|
46
|
$87,147.44
|
$52,288.46
40% off
|
$3,756.00
|
$84,563.74
|
$31,439.54
|
2025-12-15
|
|
803
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
67
|
43
|
$56,861.80
|
$34,117.08
40% off
|
$13,085.42
|
$56,861.80
|
$31,273.99
|
2025-12-15
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
67
|
43
|
$51,187.50
|
$30,712.50
40% off
|
$6,564.00
|
$51,187.50
|
$31,221.25
|
2025-12-15
|
|
92929
|
CPT
|
Prq Trluml Coronary Stent W/Angio Addl Art/Brnch
|
72
|
46
|
$60,194.35
|
$36,116.61
40% off
|
$6,690.00
|
$48,155.48
|
$31,216.00
|
2025-12-15
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
67
|
43
|
$47,205.22
|
$28,323.13
40% off
|
$14,042.06
|
$47,205.22
|
$31,027.84
|
2025-12-15
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
73
|
47
|
$38,268.55
|
$22,961.13
40% off
|
$16,187.00
|
$45,173.32
|
$30,945.61
|
2025-12-15
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
67
|
43
|
$41,309.90
|
$24,785.94
40% off
|
$20,315.51
|
$46,808.03
|
$30,916.35
|
2025-12-15
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
67
|
43
|
$41,085.45
|
$24,651.27
40% off
|
$10,994.73
|
$57,530.48
|
$30,814.09
|
2025-12-15
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
72
|
46
|
$46,438.15
|
$27,862.89
40% off
|
$6,615.00
|
$46,438.15
|
$30,765.31
|
2025-12-15
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
67
|
43
|
$39,961.25
|
$23,976.75
40% off
|
$18,155.85
|
$54,301.32
|
$30,681.60
|
2025-12-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
67
|
43
|
$68,598.25
|
$41,158.95
40% off
|
$5,931.00
|
$68,598.25
|
$30,646.67
|
2025-12-15
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
67
|
43
|
$57,232.34
|
$34,339.40
40% off
|
$9,778.48
|
$57,232.34
|
$30,471.54
|
2025-12-15
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
67
|
43
|
$58,819.90
|
$35,291.94
40% off
|
$13,812.59
|
$58,819.90
|
$30,374.20
|
2025-12-15
|
|
C1882
|
HCPCS
|
Biotronik Inc Defibrillator Cardiac Rivacor Promri Implantable Df4 Is4 Sterile L…
|
240
|
35
|
$50,137.07
|
$30,082.24
40% off
|
$14,000.00
|
$57,477.00
|
$30,345.00
|
2025-12-15
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
67
|
43
|
$47,365.80
|
$28,419.48
40% off
|
$8,603.00
|
$47,365.80
|
$30,326.35
|
2025-12-15
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
67
|
43
|
$71,420.95
|
$42,852.57
40% off
|
$14,970.56
|
$71,420.95
|
$30,320.17
|
2025-12-15
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
68
|
44
|
$58,699.51
|
$35,219.71
40% off
|
$11,291.79
|
$58,699.51
|
$30,307.95
|
2025-12-15
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
67
|
43
|
$63,622.38
|
$38,173.43
40% off
|
$13,307.87
|
$63,622.38
|
$30,236.52
|
2025-12-15
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
72
|
46
|
$47,333.55
|
$28,400.13
40% off
|
$7,088.00
|
$47,333.55
|
$30,179.67
|
2025-12-15
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
67
|
43
|
$35,524.35
|
$21,314.61
40% off
|
$7,318.00
|
$40,119.69
|
$30,176.13
|
2025-12-15
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
67
|
43
|
$47,166.10
|
$28,299.66
40% off
|
$13,854.82
|
$47,166.10
|
$30,120.57
|
2025-12-15
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
67
|
43
|
$47,274.60
|
$28,364.76
40% off
|
$12,627.88
|
$47,274.60
|
$30,063.14
|
2025-12-15
|
|
67
|
MS_DRG
|
Precerebral Occlusion Without Infarction With Mcc
|
67
|
43
|
$41,214.55
|
$24,728.73
40% off
|
$10,338.67
|
$41,214.55
|
$30,032.66
|
2025-12-15
|
|
92921
|
CPT
|
Prq Trluml Coronary Angioplasty Addl Branch|LEFT Anterior Descending Coronary Ar…
|
72
|
46
|
$53,114.62
|
$31,868.77
40% off
|
$7,462.00
|
$42,497.41
|
$30,011.72
|
2025-12-15
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
67
|
43
|
$44,796.95
|
$26,878.17
40% off
|
$13,673.90
|
$44,796.95
|
$30,007.62
|
2025-12-15
|
|
33262
|
CPT
|
Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead
|
72
|
46
|
$51,152.65
|
$30,691.59
40% off
|
$5,451.00
|
$53,200.08
|
$29,996.00
|
2025-12-15
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
67
|
43
|
$53,374.55
|
$32,024.73
40% off
|
$6,000.00
|
$53,374.55
|
$29,826.34
|
2025-12-15
|
|
33234
|
CPT
|
Rmvl Transvns Pm Eltrd 1 Lead Sys Atr/Ventr
|
72
|
46
|
$51,728.46
|
$31,037.08
40% off
|
$9,078.00
|
$41,382.77
|
$29,780.75
|
2025-12-15
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
73
|
47
|
$45,564.05
|
$27,338.43
40% off
|
$6,328.00
|
$45,564.05
|
$29,404.01
|
2025-12-15
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
72
|
46
|
$58,980.85
|
$35,388.51
40% off
|
$5,730.00
|
$58,980.85
|
$28,997.86
|
2025-12-15
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
68
|
44
|
$217,313.89
|
$130,388.33
40% off
|
$13,827.36
|
$217,313.89
|
$28,911.31
|
2025-12-15
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
67
|
43
|
$49,623.61
|
$29,774.17
40% off
|
$12,867.91
|
$49,623.61
|
$28,869.63
|
2025-12-15
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
73
|
47
|
$62,956.42
|
$37,773.85
40% off
|
$9,467.91
|
$62,956.42
|
$28,722.73
|
2025-12-15
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
72
|
46
|
$41,340.76
|
$24,804.46
40% off
|
$11,279.13
|
$41,340.76
|
$28,416.89
|
2025-12-15
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
72
|
46
|
$44,644.92
|
$26,786.95
40% off
|
$12,065.42
|
$44,644.92
|
$28,409.28
|
2025-12-15
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
67
|
43
|
$43,371.85
|
$26,023.11
40% off
|
$11,837.34
|
$43,371.85
|
$28,191.70
|
2025-12-15
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
72
|
46
|
$46,585.88
|
$27,951.53
40% off
|
$10,159.15
|
$46,585.88
|
$28,161.04
|
2025-12-15
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
67
|
43
|
$37,125.54
|
$22,275.32
40% off
|
$10,884.13
|
$38,959.89
|
$28,029.78
|
2025-12-15
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
67
|
43
|
$37,350.10
|
$22,410.06
40% off
|
$6,474.00
|
$37,350.10
|
$28,012.58
|
2025-12-15
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
67
|
43
|
$37,842.50
|
$22,705.50
40% off
|
$12,284.35
|
$37,842.50
|
$28,005.33
|
2025-12-15
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
67
|
43
|
$45,749.10
|
$27,449.46
40% off
|
$12,929.15
|
$45,749.10
|
$27,887.29
|
2025-12-15
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
67
|
43
|
$41,005.95
|
$24,603.57
40% off
|
$12,431.46
|
$41,005.95
|
$27,887.12
|
2025-12-15
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
67
|
43
|
$54,277.64
|
$32,566.58
40% off
|
$9,115.92
|
$54,277.64
|
$27,873.16
|
2025-12-15
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
67
|
43
|
$55,924.09
|
$33,554.45
40% off
|
$10,805.38
|
$55,924.09
|
$27,747.21
|
2025-12-15
|
|
413
|
MS_DRG
|
Cholecystectomy With C.d.e. Without Cc/mcc
|
67
|
43
|
$54,557.67
|
$32,734.60
40% off
|
$11,688.81
|
$54,557.67
|
$27,742.87
|
2025-12-15
|
|
828
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
67
|
43
|
$54,303.66
|
$32,582.20
40% off
|
$11,993.61
|
$54,303.66
|
$27,742.12
|
2025-12-15
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
67
|
43
|
$81,236.15
|
$48,741.69
40% off
|
$6,836.00
|
$81,236.15
|
$27,709.21
|
2025-12-15
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
67
|
43
|
$46,367.45
|
$27,820.47
40% off
|
$12,964.35
|
$46,367.45
|
$27,707.03
|
2025-12-15
|
|
507
|
MS_DRG
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
67
|
43
|
$36,940.50
|
$22,164.30
40% off
|
$11,353.50
|
$36,940.50
|
$27,705.38
|
2025-12-15
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
67
|
43
|
$36,915.95
|
$22,149.57
40% off
|
$13,284.63
|
$36,915.95
|
$27,686.96
|
2025-12-15
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
67
|
43
|
$36,875.65
|
$22,125.39
40% off
|
$11,952.10
|
$40,531.06
|
$27,538.24
|
2025-12-15
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
73
|
47
|
$49,665.40
|
$29,799.24
40% off
|
$5,760.00
|
$49,665.40
|
$27,387.89
|
2025-12-15
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
72
|
46
|
$36,826.00
|
$22,095.60
40% off
|
$15,542.15
|
$36,826.00
|
$27,361.72
|
2025-12-15
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
67
|
43
|
$36,015.65
|
$21,609.39
40% off
|
$11,307.98
|
$40,575.09
|
$27,317.80
|
2025-12-15
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
67
|
43
|
$35,035.16
|
$21,021.10
40% off
|
$18,074.19
|
$43,496.79
|
$27,184.44
|
2025-12-15
|
|
142
|
MS_DRG
|
Major Head And Neck Procedures Without Cc/mcc
|
67
|
43
|
$134,966.77
|
$80,980.06
40% off
|
$11,237.61
|
$134,966.77
|
$27,145.52
|
2025-12-15
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Mcc
|
73
|
47
|
$41,539.25
|
$24,923.55
40% off
|
$12,141.00
|
$41,539.25
|
$27,083.31
|
2025-12-15
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
73
|
47
|
$50,931.46
|
$30,558.88
40% off
|
$11,907.73
|
$50,931.46
|
$27,071.29
|
2025-12-15
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
67
|
43
|
$44,829.85
|
$26,897.91
40% off
|
$11,569.85
|
$44,829.85
|
$27,060.97
|
2025-12-15
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
67
|
43
|
$45,691.53
|
$27,414.92
40% off
|
$11,205.90
|
$45,691.53
|
$27,038.80
|
2025-12-15
|
|
33270
|
CPT
|
Hc Ins Subq Cd System
|
29
|
20
|
$46,465.00
|
$27,879.00
40% off
|
$3,756.00
|
$40,424.55
|
$26,949.70
|
2025-12-15
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
67
|
43
|
$26,330.07
|
$15,798.04
40% off
|
$15,948.33
|
$37,896.60
|
$26,891.74
|
2025-12-15
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
67
|
43
|
$31,608.45
|
$18,965.07
40% off
|
$13,592.25
|
$32,870.22
|
$26,880.42
|
2025-12-15
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
67
|
43
|
$37,346.70
|
$22,408.02
40% off
|
$12,887.61
|
$37,346.70
|
$26,872.83
|
2025-12-15
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
67
|
43
|
$34,759.99
|
$20,855.99
40% off
|
$11,735.28
|
$34,759.99
|
$26,863.17
|
2025-12-15
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
73
|
47
|
$42,407.01
|
$25,444.21
40% off
|
$8,563.74
|
$42,407.01
|
$26,848.93
|
2025-12-15
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
67
|
43
|
$22,039.50
|
$13,223.70
40% off
|
$5,324.00
|
$40,340.00
|
$26,813.69
|
2025-12-15
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
67
|
43
|
$29,677.01
|
$17,806.21
40% off
|
$11,762.04
|
$32,952.21
|
$26,555.29
|
2025-12-15
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
72
|
46
|
$47,818.29
|
$28,690.97
40% off
|
$10,539.30
|
$61,415.00
|
$26,300.06
|
2025-12-15
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
67
|
43
|
$28,751.10
|
$17,250.66
40% off
|
$11,892.97
|
$35,041.10
|
$26,298.47
|
2025-12-15
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
67
|
43
|
$45,539.30
|
$27,323.58
40% off
|
$5,449.00
|
$45,539.30
|
$26,220.30
|
2025-12-15
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
67
|
43
|
$53,257.15
|
$31,954.29
40% off
|
$7,996.31
|
$53,257.15
|
$26,126.07
|
2025-12-15
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc/mcc
|
73
|
47
|
$45,016.88
|
$27,010.13
40% off
|
$10,923.64
|
$45,016.88
|
$25,948.00
|
2025-12-15
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
72
|
46
|
$34,737.71
|
$20,842.63
40% off
|
$6,307.00
|
$34,737.71
|
$25,885.22
|
2025-12-15
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
73
|
47
|
$46,997.22
|
$28,198.33
40% off
|
$7,532.80
|
$46,997.22
|
$25,848.47
|
2025-12-15
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
67
|
43
|
$71,417.65
|
$42,850.59
40% off
|
$6,749.00
|
$71,417.65
|
$25,706.70
|
2025-12-15
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
67
|
43
|
$45,451.08
|
$27,270.65
40% off
|
$10,701.20
|
$45,451.08
|
$25,636.79
|
2025-12-15
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
73
|
47
|
$34,165.20
|
$20,499.12
40% off
|
$11,645.88
|
$34,165.20
|
$25,563.08
|
2025-12-15
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
67
|
43
|
$33,795.45
|
$20,277.27
40% off
|
$6,610.00
|
$47,377.73
|
$25,346.59
|
2025-12-15
|
|
47382
|
CPT
|
Abltj 1/> Lvr Tum Prq Rf
|
72
|
46
|
$141,894.68
|
$85,136.81
40% off
|
$3,756.00
|
$31,540.28
|
$25,332.00
|
2025-12-15
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
67
|
43
|
$32,068.75
|
$19,241.25
40% off
|
$5,530.00
|
$32,068.75
|
$25,293.20
|
2025-12-15
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
67
|
43
|
$59,875.90
|
$35,925.54
40% off
|
$12,314.62
|
$59,875.90
|
$25,232.90
|
2025-12-15
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc
|
67
|
43
|
$31,784.60
|
$19,070.76
40% off
|
$9,035.86
|
$31,784.60
|
$25,144.90
|
2025-12-15
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
72
|
46
|
$23,131.35
|
$13,878.81
40% off
|
$6,615.00
|
$46,202.00
|
$25,123.17
|
2025-12-15
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
73
|
47
|
$36,433.72
|
$21,860.23
40% off
|
$10,925.05
|
$36,433.72
|
$25,111.64
|
2025-12-15
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
73
|
47
|
$40,488.99
|
$24,293.39
40% off
|
$10,592.09
|
$40,488.99
|
$24,749.53
|
2025-12-15
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
67
|
43
|
$44,341.89
|
$26,605.13
40% off
|
$10,970.81
|
$44,341.89
|
$24,744.03
|
2025-12-15
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
67
|
43
|
$33,307.70
|
$19,984.62
40% off
|
$10,737.09
|
$33,307.70
|
$24,738.84
|
2025-12-15
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
67
|
43
|
$47,100.00
|
$28,260.00
40% off
|
$5,131.00
|
$47,100.00
|
$24,584.29
|
2025-12-15
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
67
|
43
|
$73,552.00
|
$44,131.20
40% off
|
$10,651.92
|
$73,552.00
|
$24,542.59
|
2025-12-15
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
67
|
43
|
$35,700.85
|
$21,420.51
40% off
|
$11,493.12
|
$35,700.85
|
$24,534.18
|
2025-12-15
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
68
|
44
|
$154,449.07
|
$92,669.44
40% off
|
$5,913.00
|
$154,449.07
|
$24,488.14
|
2025-12-15
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
73
|
47
|
$30,385.85
|
$18,231.51
40% off
|
$9,877.00
|
$31,294.60
|
$24,419.88
|
2025-12-15
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
67
|
43
|
$45,648.78
|
$27,389.27
40% off
|
$10,582.93
|
$45,648.78
|
$24,383.64
|
2025-12-15
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
67
|
43
|
$38,133.90
|
$22,880.34
40% off
|
$10,731.48
|
$38,133.90
|
$24,271.21
|
2025-12-15
|
|
506
|
MS_DRG
|
Major Thumb Or Joint Procedures
|
67
|
43
|
$58,050.35
|
$34,830.21
40% off
|
$8,173.15
|
$58,050.35
|
$24,204.86
|
2025-12-15
|
|
913
|
MS_DRG
|
Traumatic Injury With Mcc
|
67
|
43
|
$37,422.85
|
$22,453.71
40% off
|
$11,506.50
|
$37,422.85
|
$24,152.92
|
2025-12-15
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
73
|
47
|
$38,470.59
|
$23,082.35
40% off
|
$10,654.74
|
$38,470.59
|
$24,140.16
|
2025-12-15
|
|
27599
|
CPT
|
Unlisted Procedure Femur/Knee|LEFT Side
|
76
|
46
|
$33,391.53
|
$20,034.92
40% off
|
$247.07
|
$33,600.83
|
$24,127.25
|
2025-12-15
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
67
|
43
|
$31,009.88
|
$18,605.93
40% off
|
$15,749.10
|
$36,286.77
|
$24,031.47
|
2025-12-15
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
73
|
47
|
$50,286.35
|
$30,171.81
40% off
|
$9,614.33
|
$50,286.35
|
$23,987.00
|
2025-12-15
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
67
|
43
|
$17,943.95
|
$10,766.37
40% off
|
$10,769.47
|
$26,965.56
|
$23,963.09
|
2025-12-15
|
|
137
|
MS_DRG
|
Mouth Procedures With Cc/mcc
|
67
|
43
|
$42,810.54
|
$25,686.32
40% off
|
$10,511.13
|
$42,810.54
|
$23,921.62
|
2025-12-15
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
67
|
43
|
$35,422.35
|
$21,253.41
40% off
|
$8,735.11
|
$35,422.35
|
$23,882.89
|
2025-12-15
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
67
|
43
|
$41,862.45
|
$25,117.47
40% off
|
$10,362.60
|
$41,862.45
|
$23,875.99
|
2025-12-15
|
|
J2327
|
HCPCS
|
Risankizumab-rzaa 60 Mg/ml Intravenous Solution
|
75
|
46
|
$39,436.50
|
$23,661.90
40% off
|
$14.93
|
$34,309.76
|
$23,729.74
|
2025-12-15
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
67
|
43
|
$38,162.40
|
$22,897.44
40% off
|
$6,875.00
|
$38,162.40
|
$23,695.58
|
2025-12-15
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
67
|
43
|
$35,443.95
|
$21,266.37
40% off
|
$10,547.02
|
$35,443.95
|
$23,686.18
|
2025-12-15
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
73
|
47
|
$42,155.25
|
$25,293.15
40% off
|
$10,425.25
|
$42,155.25
|
$23,636.91
|
2025-12-15
|
|
37230
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Sm Vsl|LEFT Side
|
86
|
46
|
$115,167.29
|
$69,100.37
40% off
|
$3,162.58
|
$65,353.21
|
$23,604.00
|
2025-12-15
|
|
37231
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl|LEFT Side
|
73
|
46
|
$79,580.84
|
$47,748.50
40% off
|
$3,162.58
|
$76,979.91
|
$23,604.00
|
2025-12-15
|
|
37232
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Angioplasty Uni Ea Vsl|RIGHT Side
|
72
|
46
|
$73,425.75
|
$44,055.45
40% off
|
$3,162.58
|
$58,568.10
|
$23,604.00
|
2025-12-15
|
|
37235
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Ea Vsl|RIGHT Side
|
72
|
46
|
$96,224.89
|
$57,734.93
40% off
|
$3,162.58
|
$76,979.91
|
$23,604.00
|
2025-12-15
|
|
37233
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Uni Ea Vsl|LEFT Side
|
72
|
46
|
$74,987.41
|
$44,992.45
40% off
|
$3,162.58
|
$59,989.93
|
$23,604.00
|
2025-12-15
|
|
37234
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Uni Ea Vsl
|
72
|
46
|
$92,582.43
|
$55,549.46
40% off
|
$6,690.00
|
$78,695.07
|
$23,604.00
|
2025-12-15
|
|
37229
|
CPT
|
Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Sm Vsl|RIGHT Side
|
72
|
46
|
$77,494.30
|
$46,496.58
40% off
|
$3,162.58
|
$61,995.44
|
$23,604.00
|
2025-12-15
|
|
37227
|
CPT
|
Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl|RIGHT Side
|
73
|
46
|
$96,224.89
|
$57,734.93
40% off
|
$3,162.58
|
$74,259.66
|
$23,604.00
|
2025-12-15
|