|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
16
|
16
|
$112,362.19
|
$89,889.75
20% off
|
$59.60
|
$108,991.33
|
$34,084.92
|
2026-05-05
|
|
63685
|
HCPCS
|
Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver
|
23
|
17
|
$91,059.00
|
$72,847.20
20% off
|
$292.25
|
$91,059.00
|
$43,972.39
|
2026-05-05
|
|
J9321
|
HCPCS
|
Injection, Epcoritamab-bysp, 0.16 Mg
|
12
|
12
|
$88,226.28
|
$70,581.02
20% off
|
$56.92
|
$85,579.49
|
$61,317.26
|
2026-05-05
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
16
|
16
|
$80,192.00
|
$64,153.60
20% off
|
$137.23
|
$77,786.24
|
$24,408.74
|
2026-05-05
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
17
|
17
|
$77,181.48
|
$61,745.18
20% off
|
$10,831.18
|
$74,866.04
|
$22,127.93
|
2026-05-05
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
17
|
17
|
$70,577.00
|
$56,461.60
20% off
|
$6,454.85
|
$68,459.69
|
$13,324.77
|
2026-05-05
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
16
|
16
|
$69,556.67
|
$55,645.33
20% off
|
$266.19
|
$67,469.97
|
$21,284.43
|
2026-05-05
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc
|
17
|
17
|
$69,376.86
|
$55,501.49
|
$5,826.55
|
$67,295.55
|
$12,027.76
|
2026-05-05
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
24
|
16
|
$69,158.51
|
$55,326.81
|
$42.75
|
$67,083.76
|
$16,761.57
|
2026-05-05
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
28
|
14
|
$47,766.50
|
$38,213.20
20% off
|
$14,124.07
|
$63,034.00
|
$29,994.73
|
2026-05-05
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
16
|
16
|
$64,185.26
|
$51,348.21
|
$94.00
|
$62,259.70
|
$19,523.24
|
2026-05-05
|
|
J9380
|
HCPCS
|
Injection, Teclistamab-cqyv, 0.5 Mg
|
12
|
12
|
$59,601.02
|
$47,680.82
|
$34.50
|
$57,812.99
|
$41,422.71
|
2026-05-05
|
|
J0870
|
HCPCS
|
Injection, Imetelstat, 1 Mg
|
20
|
12
|
$58,271.56
|
$46,617.25
|
$58.14
|
$56,523.41
|
$12,325.73
|
2026-05-05
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
16
|
16
|
$57,700.63
|
$46,160.50
20% off
|
$55.03
|
$55,969.61
|
$17,520.48
|
2026-05-05
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
16
|
16
|
$53,401.48
|
$42,721.18
20% off
|
$20.98
|
$51,799.44
|
$16,192.28
|
2026-05-05
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
16
|
16
|
$49,549.35
|
$39,639.48
|
$81.81
|
$48,062.87
|
$15,074.46
|
2026-05-05
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
16
|
16
|
$47,706.60
|
$38,165.28
20% off
|
$187.17
|
$46,275.40
|
$14,628.12
|
2026-05-05
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
17
|
17
|
$46,666.10
|
$37,332.88
20% off
|
$13,379.17
|
$45,266.12
|
$26,501.20
|
2026-05-05
|
|
50762232_1
|
CDM
|
37227 Ather+stent+pta Fem/pop 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762234_1
|
CDM
|
37229 Pta Tib/peroneal Ea Addl Vessel
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762234_4
|
CDM
|
37229 Pta Tib/peroneal Ea Addl Vessel
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762232_4
|
CDM
|
37227 Ather+stent+pta Fem/pop 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762236_4
|
CDM
|
37231 Ather+stent+pta Tib/per 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762236_1
|
CDM
|
37231 Ather+stent+pta Tib/per 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762235_1
|
CDM
|
37230 Stent+pta Tib/per 1st Vsl 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
50762235_4
|
CDM
|
37230 Stent+pta Tib/per 1st Vsl 1st Ext
|
14
|
14
|
$46,491.00
|
$37,192.80
|
$16,271.85
|
$45,096.27
|
$30,114.54
|
2026-05-05
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
32
|
16
|
$20,423.73
|
$16,338.99
|
$33.62
|
$43,575.61
|
$15,523.49
|
2026-05-05
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
17
|
17
|
$32,186.26
|
$25,749.01
|
$9,227.80
|
$42,977.22
|
$28,155.26
|
2026-05-05
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
16
|
16
|
$17,536.63
|
$14,029.30
20% off
|
$5,027.75
|
$41,978.10
|
$16,860.00
|
2026-05-05
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
17
|
17
|
$20,408.50
|
$16,326.80
20% off
|
$5,851.12
|
$41,933.34
|
$18,448.00
|
2026-05-05
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
17
|
17
|
$21,096.50
|
$16,877.20
|
$6,048.37
|
$41,250.37
|
$19,947.50
|
2026-05-05
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
16
|
16
|
$42,336.02
|
$33,868.82
|
$174.24
|
$41,065.94
|
$12,972.20
|
2026-05-05
|
|
22869
|
HCPCS
|
Placement Of Stabilizing Device To Lower Spine Level
|
25
|
17
|
$40,732.00
|
$32,585.60
20% off
|
$373.27
|
$40,732.00
|
$22,547.37
|
2026-05-05
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
16
|
16
|
$41,112.89
|
$32,890.31
20% off
|
$212.10
|
$39,879.50
|
$12,654.49
|
2026-05-05
|
|
51755117_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$40,950.00
|
$32,760.00
20% off
|
$14,332.50
|
$39,721.50
|
$26,525.36
|
2026-05-05
|
|
51755117_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$40,950.00
|
$32,760.00
20% off
|
$14,332.50
|
$39,721.50
|
$26,525.36
|
2026-05-05
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
24
|
16
|
$7,928.81
|
$6,343.05
|
$75.47
|
$38,381.89
|
$5,994.18
|
2026-05-05
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
17
|
17
|
$39,165.28
|
$31,332.22
20% off
|
$10,277.53
|
$37,990.32
|
$20,036.97
|
2026-05-05
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
17
|
17
|
$37,370.87
|
$29,896.70
|
$10,714.23
|
$36,545.87
|
$29,149.28
|
2026-05-05
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
17
|
$12,360.18
|
$9,888.14
20% off
|
$3,543.66
|
$35,572.99
|
$10,610.18
|
2026-05-05
|
|
J9332
|
HCPCS
|
Injection, Efgartigimod Alfa-fcab, 2mg
|
12
|
12
|
$35,678.15
|
$28,542.52
20% off
|
$32.61
|
$34,607.81
|
$24,796.32
|
2026-05-05
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
24
|
16
|
$35,274.05
|
$28,219.24
20% off
|
$188.35
|
$34,215.83
|
$17,813.72
|
2026-05-05
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
17
|
17
|
$34,291.75
|
$27,433.40
|
$9,831.45
|
$33,997.75
|
$26,747.57
|
2026-05-05
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
17
|
17
|
$21,326.14
|
$17,060.91
20% off
|
$6,114.20
|
$32,780.55
|
$20,848.80
|
2026-05-05
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
17
|
17
|
$33,667.30
|
$26,933.84
20% off
|
$9,652.42
|
$32,657.28
|
$23,230.44
|
2026-05-05
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
16
|
16
|
$33,350.57
|
$26,680.46
|
$61.25
|
$32,350.05
|
$10,158.64
|
2026-05-05
|
|
93457
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…
|
17
|
17
|
$30,933.00
|
$24,746.40
|
$3,430.00
|
$30,933.00
|
$18,729.93
|
2026-05-05
|
|
37221
|
HCPCS
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$12,632.52
|
$29,067.00
|
$20,201.57
|
2026-05-05
|
|
93456
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…
|
17
|
17
|
$28,704.00
|
$22,963.20
20% off
|
$3,430.00
|
$28,704.00
|
$17,380.27
|
2026-05-05
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
14
|
14
|
$28,690.00
|
$22,952.00
20% off
|
$12,468.67
|
$28,690.00
|
$19,939.55
|
2026-05-05
|
|
Q5136
|
HCPCS
|
Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg
|
21
|
12
|
$28,231.02
|
$22,584.82
|
$27.91
|
$28,231.02
|
$8,917.75
|
2026-05-05
|
|
50762231_1
|
CDM
|
37226 Stent+pta Fem/pop 1st Extremity
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
50762231_4
|
CDM
|
37226 Stent+pta Fem/pop 1st Extremity
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
50762233_1
|
CDM
|
37228 Pta Tib/peroneal 1st Vsl 1st Ext
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
50762230_4
|
CDM
|
37225 Ather+pta Fem/pop 1st Extremity
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
50762233_4
|
CDM
|
37228 Pta Tib/peroneal 1st Vsl 1st Ext
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
50762230_1
|
CDM
|
37225 Ather+pta Fem/pop 1st Extremity
|
14
|
14
|
$29,067.00
|
$23,253.60
20% off
|
$10,173.45
|
$28,194.99
|
$18,828.15
|
2026-05-05
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
17
|
17
|
$19,140.27
|
$15,312.22
|
$5,487.52
|
$28,078.53
|
$19,117.27
|
2026-05-05
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
17
|
17
|
$11,697.11
|
$9,357.69
|
$3,353.56
|
$27,915.21
|
$11,411.11
|
2026-05-05
|
|
51755118_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$27,300.00
|
$21,840.00
20% off
|
$9,555.00
|
$26,481.00
|
$17,683.58
|
2026-05-05
|
|
51755118_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$27,300.00
|
$21,840.00
20% off
|
$9,555.00
|
$26,481.00
|
$17,683.58
|
2026-05-05
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
17
|
17
|
$26,561.65
|
$21,249.32
20% off
|
$7,615.22
|
$26,264.03
|
$20,718.08
|
2026-05-05
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
17
|
17
|
$26,150.69
|
$20,920.55
20% off
|
$7,497.40
|
$25,366.17
|
$18,305.48
|
2026-05-05
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
17
|
17
|
$11,088.27
|
$8,870.62
|
$3,179.01
|
$24,884.07
|
$11,088.27
|
2026-05-05
|
|
28760
|
HCPCS
|
Fusion Of Big Toe Between Toe Joints With Tendon Transfer
|
23
|
17
|
$24,586.00
|
$19,668.80
20% off
|
$503.83
|
$24,586.00
|
$11,872.58
|
2026-05-05
|
|
28202
|
HCPCS
|
Secondary Repair Of Tendon On Sole Of Foot With Graft
|
23
|
17
|
$24,586.00
|
$19,668.80
20% off
|
$382.88
|
$24,586.00
|
$11,872.58
|
2026-05-05
|
|
28238
|
HCPCS
|
Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone
|
25
|
17
|
$24,586.00
|
$19,668.80
20% off
|
$430.66
|
$24,586.00
|
$11,525.92
|
2026-05-05
|
|
28485
|
HCPCS
|
Treatment Of Broken Midportion Of Foot
|
27
|
17
|
$24,586.00
|
$19,668.80
20% off
|
$505.18
|
$24,586.00
|
$10,685.08
|
2026-05-05
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
17
|
17
|
$11,631.16
|
$9,304.93
|
$3,334.65
|
$23,921.28
|
$11,356.49
|
2026-05-05
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
17
|
17
|
$16,422.56
|
$13,138.05
|
$4,708.35
|
$23,882.45
|
$16,260.37
|
2026-05-05
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
16
|
16
|
$24,313.03
|
$19,450.42
20% off
|
$86.15
|
$23,583.64
|
$7,449.45
|
2026-05-05
|
|
93459
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft …
|
17
|
17
|
$23,510.00
|
$18,808.00
20% off
|
$3,430.00
|
$23,510.00
|
$14,235.31
|
2026-05-05
|
|
93461
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …
|
17
|
17
|
$23,510.00
|
$18,808.00
20% off
|
$3,430.00
|
$23,510.00
|
$14,235.31
|
2026-05-05
|
|
93458
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis …
|
17
|
17
|
$23,510.00
|
$18,808.00
20% off
|
$3,430.00
|
$23,510.00
|
$14,235.31
|
2026-05-05
|
|
93460
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…
|
17
|
17
|
$23,510.00
|
$18,808.00
20% off
|
$3,430.00
|
$23,510.00
|
$14,235.31
|
2026-05-05
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
17
|
17
|
$15,500.02
|
$12,400.02
|
$4,443.86
|
$23,158.36
|
$15,206.02
|
2026-05-05
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
17
|
17
|
$8,596.12
|
$6,876.89
20% off
|
$2,464.51
|
$22,820.30
|
$8,596.12
|
2026-05-05
|
|
48607059_4
|
CDM
|
Ccl Cath Plcmt Stent Add Vsl
|
14
|
14
|
$23,510.00
|
$18,808.00
20% off
|
$8,228.50
|
$22,804.70
|
$15,228.60
|
2026-05-05
|
|
48607059_1
|
CDM
|
Ccl Cath Plcmt Stent Add Vsl
|
14
|
14
|
$23,510.00
|
$18,808.00
20% off
|
$8,228.50
|
$22,804.70
|
$15,228.60
|
2026-05-05
|
|
92928
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…
|
17
|
17
|
$23,510.00
|
$18,808.00
20% off
|
$5,514.02
|
$22,804.70
|
$14,235.31
|
2026-05-05
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
17
|
17
|
$22,810.25
|
$18,248.20
|
$6,539.70
|
$22,125.94
|
$15,967.17
|
2026-05-05
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
17
|
17
|
$22,100.95
|
$17,680.76
20% off
|
$6,336.34
|
$22,100.95
|
$17,238.74
|
2026-05-05
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
17
|
17
|
$18,582.20
|
$14,865.76
20% off
|
$5,327.52
|
$22,029.97
|
$14,999.11
|
2026-05-05
|
|
49959080_1
|
CDM
|
Allogen 2ml Allograft Alb-0200s
|
14
|
14
|
$22,687.00
|
$18,149.60
20% off
|
$7,940.45
|
$22,006.39
|
$14,695.51
|
2026-05-05
|
|
49959080_4
|
CDM
|
Allogen 2ml Allograft Alb-0200s
|
14
|
14
|
$22,687.00
|
$18,149.60
20% off
|
$7,940.45
|
$22,006.39
|
$14,695.51
|
2026-05-05
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
17
|
17
|
$8,811.26
|
$7,049.01
|
$2,526.19
|
$21,360.70
|
$8,235.76
|
2026-05-05
|
|
33285
|
HCPCS
|
Insertion Of Heart Rhythm Monitor Under Skin
|
17
|
17
|
$21,263.00
|
$17,010.40
|
$8,755.45
|
$21,263.00
|
$14,533.28
|
2026-05-05
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
17
|
17
|
$21,646.55
|
$17,317.24
|
$6,206.07
|
$20,997.15
|
$15,152.59
|
2026-05-05
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
17
|
17
|
$8,963.74
|
$7,170.99
20% off
|
$2,569.90
|
$20,497.27
|
$8,081.74
|
2026-05-05
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
17
|
17
|
$16,702.35
|
$13,361.88
20% off
|
$4,788.56
|
$20,488.13
|
$13,949.35
|
2026-05-05
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
28
|
14
|
$16,362.00
|
$13,089.60
20% off
|
$5,372.09
|
$20,363.00
|
$10,007.40
|
2026-05-05
|
|
51755119_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$20,909.00
|
$16,727.20
|
$7,318.15
|
$20,281.73
|
$13,543.81
|
2026-05-05
|
|
51755119_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$20,909.00
|
$16,727.20
|
$7,318.15
|
$20,281.73
|
$13,543.81
|
2026-05-05
|
|
92997
|
HCPCS
|
Balloon Dilation Of Pulmonary Artery, Single Vessel
|
17
|
17
|
$18,108.00
|
$14,486.40
20% off
|
$7,869.74
|
$20,273.97
|
$12,494.52
|
2026-05-05
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
17
|
17
|
$8,304.07
|
$6,643.25
20% off
|
$2,380.78
|
$20,147.79
|
$8,077.57
|
2026-05-05
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
17
|
17
|
$20,630.18
|
$16,504.14
20% off
|
$5,914.67
|
$20,011.27
|
$14,441.12
|
2026-05-05
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
17
|
17
|
$18,378.47
|
$14,702.78
|
$5,269.11
|
$19,575.59
|
$14,518.99
|
2026-05-05
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
17
|
17
|
$6,878.39
|
$5,502.71
20% off
|
$1,972.03
|
$19,319.76
|
$6,878.39
|
2026-05-05
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
17
|
17
|
$14,850.56
|
$11,880.45
|
$4,257.66
|
$19,295.78
|
$13,137.54
|
2026-05-05
|
|
93455
|
HCPCS
|
Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist
|
17
|
17
|
$19,276.00
|
$15,420.80
20% off
|
$3,430.00
|
$19,276.00
|
$11,671.62
|
2026-05-05
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
17
|
17
|
$6,979.47
|
$5,583.58
|
$2,001.01
|
$19,220.40
|
$6,979.47
|
2026-05-05
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
17
|
17
|
$8,211.14
|
$6,568.91
20% off
|
$2,354.13
|
$19,013.68
|
$7,674.39
|
2026-05-05
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
17
|
17
|
$18,627.02
|
$14,901.62
|
$5,340.37
|
$18,771.56
|
$14,529.08
|
2026-05-05
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
16
|
16
|
$8,225.84
|
$6,580.67
20% off
|
$2,358.35
|
$18,688.95
|
$5,839.84
|
2026-05-05
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
15
|
15
|
$6,576.88
|
$5,261.51
|
$1,885.59
|
$18,640.60
|
$6,379.57
|
2026-05-05
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
17
|
17
|
$9,040.81
|
$7,232.65
|
$2,592.00
|
$18,375.25
|
$9,040.81
|
2026-05-05
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
17
|
17
|
$14,954.40
|
$11,963.52
|
$4,287.43
|
$18,265.61
|
$12,436.14
|
2026-05-05
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
16
|
16
|
$18,593.80
|
$14,875.04
|
$12.90
|
$18,035.98
|
$5,650.61
|
2026-05-05
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
12
|
12
|
$18,539.00
|
$14,831.20
|
$127.38
|
$17,982.83
|
$12,884.60
|
2026-05-05
|
|
487
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc
|
17
|
17
|
$6,430.37
|
$5,144.29
20% off
|
$1,843.59
|
$17,887.57
|
$5,063.37
|
2026-05-05
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
17
|
17
|
$8,329.52
|
$6,663.62
|
$2,388.07
|
$17,847.60
|
$7,769.90
|
2026-05-05
|
|
63650
|
HCPCS
|
Insertion Of Spinal Neurostimulator Electrode Array Through Skin
|
36
|
17
|
$15,875.00
|
$12,700.00
20% off
|
$353.38
|
$17,828.00
|
$10,699.47
|
2026-05-05
|
|
92920
|
HCPCS
|
Balloon Dilation Of Single Coronary Artery Or Branch
|
17
|
17
|
$18,108.00
|
$14,486.40
20% off
|
$3,395.01
|
$17,564.76
|
$10,770.64
|
2026-05-05
|
|
J1437
|
HCPCS
|
Injection, Ferric Derisomaltose, 10 Mg
|
16
|
16
|
$17,953.64
|
$14,362.91
20% off
|
$21.93
|
$17,415.03
|
$5,463.32
|
2026-05-05
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
16
|
16
|
$17,915.00
|
$14,332.00
20% off
|
$31.82
|
$17,377.55
|
$5,456.83
|
2026-05-05
|
|
28200
|
HCPCS
|
Repair Of Tendon On Sole Of Foot
|
23
|
17
|
$17,364.00
|
$13,891.20
|
$293.14
|
$17,364.00
|
$8,140.24
|
2026-05-05
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
17
|
17
|
$17,467.70
|
$13,974.16
20% off
|
$5,007.99
|
$17,135.70
|
$13,624.81
|
2026-05-05
|
|
93454
|
HCPCS
|
Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist
|
17
|
17
|
$17,050.00
|
$13,640.00
20% off
|
$3,430.00
|
$17,050.00
|
$10,323.78
|
2026-05-05
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
17
|
17
|
$6,736.81
|
$5,389.45
|
$1,931.44
|
$16,914.50
|
$6,320.69
|
2026-05-05
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
36
|
16
|
$10,749.36
|
$8,599.49
|
$26.52
|
$16,585.99
|
$6,051.89
|
2026-05-05
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
16
|
16
|
$17,055.04
|
$13,644.03
20% off
|
$31.26
|
$16,543.39
|
$5,191.73
|
2026-05-05
|
|
19081
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, First…
|
41
|
17
|
$9,340.00
|
$7,472.00
20% off
|
$702.08
|
$16,471.57
|
$6,622.98
|
2026-05-05
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
17
|
17
|
$7,531.27
|
$6,025.01
20% off
|
$2,159.21
|
$16,408.55
|
$6,337.27
|
2026-05-05
|
|
93453
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By …
|
17
|
17
|
$16,172.00
|
$12,937.60
20% off
|
$3,430.00
|
$16,172.00
|
$9,792.15
|
2026-05-05
|
|
93452
|
HCPCS
|
Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…
|
17
|
17
|
$16,172.00
|
$12,937.60
20% off
|
$3,430.00
|
$16,172.00
|
$9,792.15
|
2026-05-05
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
17
|
17
|
$5,283.42
|
$4,226.74
|
$1,514.76
|
$15,687.89
|
$5,283.42
|
2026-05-05
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
17
|
17
|
$7,334.12
|
$5,867.30
|
$2,102.69
|
$15,598.80
|
$7,002.12
|
2026-05-05
|
|
48714303_1
|
CDM
|
Laparscopic Roux En Y Kit
|
14
|
14
|
$16,049.00
|
$12,839.20
|
$5,617.15
|
$15,567.53
|
$10,395.74
|
2026-05-05
|
|
48714303_4
|
CDM
|
Laparscopic Roux En Y Kit
|
14
|
14
|
$16,049.00
|
$12,839.20
|
$5,617.15
|
$15,567.53
|
$10,395.74
|
2026-05-05
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
17
|
17
|
$7,408.47
|
$5,926.78
|
$2,124.01
|
$15,253.89
|
$7,334.47
|
2026-05-05
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
16
|
16
|
$6,013.18
|
$4,810.54
20% off
|
$1,723.98
|
$14,936.20
|
$4,179.16
|
2026-05-05
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
16
|
16
|
$6,435.94
|
$5,148.75
20% off
|
$1,845.18
|
$14,833.35
|
$6,339.40
|
2026-05-05
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
17
|
17
|
$8,882.11
|
$7,105.69
|
$2,546.50
|
$14,797.05
|
$8,716.11
|
2026-05-05
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
16
|
16
|
$15,162.30
|
$12,129.84
|
$5.53
|
$14,707.43
|
$4,597.08
|
2026-05-05
|
|
49324
|
HCPCS
|
Insertion Of Abdominal Cavity Tube Using An Endoscope
|
17
|
17
|
$14,645.00
|
$11,716.00
20% off
|
$6,364.72
|
$14,645.00
|
$10,105.05
|
2026-05-05
|
|
49325
|
HCPCS
|
Revision Of Abdominal Cavity Tube Using An Endoscope
|
17
|
17
|
$14,645.00
|
$11,716.00
20% off
|
$6,364.72
|
$14,645.00
|
$10,105.05
|
2026-05-05
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
17
|
17
|
$9,242.90
|
$7,394.32
20% off
|
$2,649.94
|
$14,497.82
|
$8,948.90
|
2026-05-05
|
|
37220
|
HCPCS
|
Balloon Dilation Of Groin Artery, Initial Vessel
|
14
|
14
|
$14,348.00
|
$11,478.40
20% off
|
$6,235.64
|
$14,348.00
|
$9,971.86
|
2026-05-05
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc
|
17
|
17
|
$14,691.10
|
$11,752.88
20% off
|
$4,211.94
|
$14,250.37
|
$11,459.06
|
2026-05-05
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
16
|
16
|
$5,002.28
|
$4,001.82
20% off
|
$1,434.15
|
$14,020.75
|
$4,927.24
|
2026-05-05
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
15
|
15
|
$4,707.29
|
$3,765.83
20% off
|
$1,349.58
|
$14,013.89
|
$4,566.07
|
2026-05-05
|
|
J1568
|
HCPCS
|
Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui…
|
40
|
16
|
$9,929.80
|
$7,943.84
|
$47.04
|
$13,946.21
|
$4,191.67
|
2026-05-05
|
|
50762229_4
|
CDM
|
37224 Pta Fem/pop 1st Extremity
|
14
|
14
|
$14,348.00
|
$11,478.40
20% off
|
$5,021.80
|
$13,917.56
|
$9,293.92
|
2026-05-05
|
|
50762229_1
|
CDM
|
37224 Pta Fem/pop 1st Extremity
|
14
|
14
|
$14,348.00
|
$11,478.40
20% off
|
$5,021.80
|
$13,917.56
|
$9,293.92
|
2026-05-05
|
|
J9317
|
HCPCS
|
Injection, Sacituzumab Govitecan-hziy, 2.5 Mg
|
16
|
16
|
$14,322.42
|
$11,457.94
|
$36.80
|
$13,892.75
|
$4,372.06
|
2026-05-05
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
16
|
16
|
$5,202.13
|
$4,161.70
20% off
|
$1,491.45
|
$13,877.95
|
$5,124.10
|
2026-05-05
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
17
|
17
|
$9,541.23
|
$7,632.98
20% off
|
$2,735.47
|
$13,814.84
|
$9,405.84
|
2026-05-05
|
|
36819
|
HCPCS
|
Relocation Of Upper Arm Surface Vein With Connection To Arm Artery For Hemodialy…
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
36830
|
HCPCS
|
Creation Of Artery-vein Connection Using Tube Graft For Hemodialysis
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
36833
|
HCPCS
|
Revision Of Hemodialysis Graft With Removal Of Blood Clot
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
36818
|
HCPCS
|
Relocation Of Major Upper Arm Vein With Connection To Arm Artery For Hemodialysi…
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
36832
|
HCPCS
|
Revision Of Hemodialysis Graft
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
36831
|
HCPCS
|
Removal Of Blood Clot From Hemodialysis Graft
|
17
|
17
|
$13,806.00
|
$11,044.80
20% off
|
$5,887.28
|
$13,806.00
|
$9,526.14
|
2026-05-05
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
17
|
17
|
$4,744.36
|
$3,795.49
|
$1,360.21
|
$13,750.88
|
$4,742.80
|
2026-05-05
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
17
|
17
|
$6,613.08
|
$5,290.47
|
$1,895.97
|
$13,590.99
|
$6,613.08
|
2026-05-05
|
|
51661331_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$13,939.00
|
$11,151.20
|
$4,878.65
|
$13,520.83
|
$9,028.99
|
2026-05-05
|
|
51661331_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$13,939.00
|
$11,151.20
|
$4,878.65
|
$13,520.83
|
$9,028.99
|
2026-05-05
|
|
37191
|
HCPCS
|
Insertion Of Vena Cava Filter With Review By Radiologist
|
29
|
17
|
$13,613.00
|
$10,890.40
20% off
|
$3,325.83
|
$13,391.82
|
$9,392.97
|
2026-05-05
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
16
|
16
|
$5,645.14
|
$4,516.11
20% off
|
$1,618.46
|
$13,331.40
|
$5,560.47
|
2026-05-05
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
17
|
17
|
$5,124.77
|
$4,099.82
|
$1,469.27
|
$13,172.98
|
$4,853.77
|
2026-05-05
|
|
51755120_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$13,467.00
|
$10,773.60
20% off
|
$4,713.45
|
$13,062.99
|
$8,723.25
|
2026-05-05
|
|
51755120_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$13,467.00
|
$10,773.60
20% off
|
$4,713.45
|
$13,062.99
|
$8,723.25
|
2026-05-05
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
16
|
16
|
$5,485.64
|
$4,388.51
20% off
|
$1,572.73
|
$12,735.55
|
$5,403.35
|
2026-05-05
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
17
|
17
|
$4,832.84
|
$3,866.27
20% off
|
$1,385.57
|
$12,651.04
|
$4,695.11
|
2026-05-05
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
17
|
17
|
$9,833.50
|
$7,866.80
20% off
|
$2,819.26
|
$12,555.11
|
$8,548.15
|
2026-05-05
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
16
|
16
|
$4,442.82
|
$3,554.26
|
$1,273.76
|
$12,552.80
|
$4,376.18
|
2026-05-05
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
17
|
17
|
$12,915.00
|
$10,332.00
20% off
|
$777.75
|
$12,527.55
|
$7,681.84
|
2026-05-05
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
17
|
17
|
$6,926.46
|
$5,541.17
|
$1,985.82
|
$12,499.14
|
$6,926.46
|
2026-05-05
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
17
|
17
|
$5,461.75
|
$4,369.40
20% off
|
$1,565.88
|
$12,238.74
|
$5,444.08
|
2026-05-05
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
17
|
17
|
$12,514.94
|
$10,011.95
20% off
|
$3,588.03
|
$12,139.49
|
$9,761.65
|
2026-05-05
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
17
|
17
|
$4,340.89
|
$3,472.71
20% off
|
$1,244.53
|
$12,107.40
|
$4,340.89
|
2026-05-05
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
17
|
17
|
$6,340.66
|
$5,072.52
20% off
|
$1,817.87
|
$12,062.86
|
$5,980.32
|
2026-05-05
|
|
49985559_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-802
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49985560_1
|
CDM
|
Triathlon Cr Rem Component - Cemented 5510-f-101
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976295_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-502
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976292_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-202
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976295_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-502
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976291_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-102
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976293_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-302
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49985561_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-201
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976296_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-602
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976292_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-202
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49985561_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-201
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976296_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-602
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976293_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-302
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49985559_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-802
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49985560_4
|
CDM
|
Triathlon Cr Rem Component - Cemented 5510-f-101
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
49976291_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-102
|
14
|
14
|
$12,421.00
|
$9,936.80
20% off
|
$4,347.35
|
$12,048.37
|
$8,045.70
|
2026-05-05
|
|
36475
|
HCPCS
|
Destruction Of First Incompetent Vein Of Arm Or Leg Using Radiofrequency And Ima…
|
23
|
17
|
$11,870.00
|
$9,496.00
20% off
|
$224.17
|
$11,870.00
|
$5,564.66
|
2026-05-05
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
17
|
17
|
$4,550.59
|
$3,640.47
20% off
|
$1,304.65
|
$11,687.11
|
$4,292.74
|
2026-05-05
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
17
|
17
|
$9,406.70
|
$7,525.36
20% off
|
$2,696.90
|
$11,683.68
|
$7,954.84
|
2026-05-05
|
|
93451
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers For Measurement
|
17
|
17
|
$11,663.00
|
$9,330.40
20% off
|
$3,430.00
|
$11,663.00
|
$7,061.95
|
2026-05-05
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
17
|
17
|
$5,864.62
|
$4,691.70
|
$1,681.39
|
$11,660.84
|
$5,357.45
|
2026-05-05
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
14
|
14
|
$11,996.08
|
$9,596.86
20% off
|
$838.95
|
$11,636.20
|
$7,770.47
|
2026-05-05
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
17
|
17
|
$6,604.28
|
$5,283.42
20% off
|
$1,893.45
|
$11,592.32
|
$6,604.28
|
2026-05-05
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
17
|
17
|
$5,203.08
|
$4,162.46
20% off
|
$1,491.72
|
$11,580.89
|
$4,541.58
|
2026-05-05
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
17
|
17
|
$5,473.41
|
$4,378.73
|
$1,569.23
|
$11,538.64
|
$5,345.19
|
2026-05-05
|
|
999
|
MS_DRG
|
Ungroupable
|
9
|
9
|
$11,857.44
|
$9,485.95
20% off
|
$3,399.53
|
$11,501.71
|
$8,300.21
|
2026-05-05
|
|
37766
|
HCPCS
|
Removal Of Varicose Veins Of Arm Or Leg, More Than 20 Incisions
|
38
|
17
|
$9,384.00
|
$7,507.20
20% off
|
$273.68
|
$11,480.00
|
$5,631.81
|
2026-05-05
|
|
37765
|
HCPCS
|
Removal Of Varicose Veins Of Arm Or Leg, 10-20 Incisions
|
23
|
17
|
$11,480.00
|
$9,184.00
20% off
|
$222.93
|
$11,480.00
|
$5,543.69
|
2026-05-05
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
17
|
17
|
$7,197.73
|
$5,758.18
20% off
|
$2,063.59
|
$11,423.28
|
$7,144.73
|
2026-05-05
|
|
78609
|
HCPCS
|
Nuclear Medicine Study Of Brain With Blood Flow Evaluation
|
14
|
14
|
$11,742.00
|
$9,393.60
|
$777.75
|
$11,389.74
|
$7,605.88
|
2026-05-05
|
|
78814
|
HCPCS
|
Nuclear Medicine Study Limited Area With CT Scan
|
17
|
17
|
$11,742.00
|
$9,393.60
|
$777.75
|
$11,389.74
|
$6,984.14
|
2026-05-05
|
|
78813
|
HCPCS
|
Nuclear Medicine Study Whole Body
|
17
|
17
|
$11,742.00
|
$9,393.60
|
$777.75
|
$11,389.74
|
$6,984.14
|
2026-05-05
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
17
|
17
|
$8,329.39
|
$6,663.51
20% off
|
$2,388.04
|
$11,200.57
|
$7,625.91
|
2026-05-05
|
|
C1787
|
HCPCS
|
Patient Programmer, Neurostimulator
|
14
|
14
|
$11,200.00
|
$8,960.00
20% off
|
$4,867.52
|
$11,200.00
|
$7,784.00
|
2026-05-05
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
17
|
17
|
$7,338.41
|
$5,870.73
|
$2,103.92
|
$11,146.90
|
$7,338.41
|
2026-05-05
|
|
28820
|
HCPCS
|
Amputation Of Toe At Joint Between Forefoot And Toes
|
23
|
17
|
$11,065.00
|
$8,852.00
20% off
|
$152.01
|
$11,065.00
|
$5,343.29
|
2026-05-05
|
|
28003
|
HCPCS
|
Drainage Of Fluid Filled Sacs Beneath Connective Tissue In Multiple Foot Joints
|
25
|
17
|
$11,065.00
|
$8,852.00
20% off
|
$218.55
|
$11,065.00
|
$5,187.27
|
2026-05-05
|
|
28208
|
HCPCS
|
Repair Of Tendon Of Top Side Of Foot
|
23
|
17
|
$11,064.00
|
$8,851.20
|
$289.50
|
$11,064.00
|
$5,342.81
|
2026-05-05
|
|
27635
|
HCPCS
|
Removal Of Cyst Or Growth Of Lower Leg Bone
|
23
|
17
|
$11,064.00
|
$8,851.20
|
$504.55
|
$11,064.00
|
$5,342.81
|
2026-05-05
|
|
28295
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle
|
23
|
17
|
$11,064.00
|
$8,851.20
|
$524.13
|
$11,064.00
|
$5,342.81
|
2026-05-05
|
|
28289
|
HCPCS
|
Correction Of Rigid Deformity Of First Joint Of Big Toe
|
23
|
17
|
$11,064.00
|
$8,851.20
|
$410.89
|
$11,064.00
|
$5,342.81
|
2026-05-05
|
|
28285
|
HCPCS
|
Correction Of Toe Joint Deformity
|
25
|
17
|
$11,064.00
|
$8,851.20
|
$347.91
|
$11,064.00
|
$5,186.80
|
2026-05-05
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
17
|
17
|
$4,420.64
|
$3,536.51
20% off
|
$1,267.40
|
$11,024.69
|
$4,375.64
|
2026-05-05
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
17
|
17
|
$7,857.55
|
$6,286.04
20% off
|
$2,252.76
|
$11,001.85
|
$7,380.55
|
2026-05-05
|
|
48712858_1
|
CDM
|
Lag Screw Step Drill 357.403
|
14
|
14
|
$11,314.00
|
$9,051.20
|
$3,959.90
|
$10,974.58
|
$7,328.65
|
2026-05-05
|
|
48712858_4
|
CDM
|
Lag Screw Step Drill 357.403
|
14
|
14
|
$11,314.00
|
$9,051.20
|
$3,959.90
|
$10,974.58
|
$7,328.65
|
2026-05-05
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
17
|
17
|
$5,389.66
|
$4,311.73
|
$1,545.22
|
$10,950.45
|
$5,157.15
|
2026-05-05
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
4
|
4
|
—
|
—
|
$7,316.43
|
$10,746.02
|
$7,657.04
|
2026-05-05
|
|
48607054_1
|
CDM
|
Ccl Cardiac Procedure
|
14
|
14
|
$11,057.00
|
$8,845.60
|
$3,869.95
|
$10,725.29
|
$7,162.17
|
2026-05-05
|
|
48607054_4
|
CDM
|
Ccl Cardiac Procedure
|
14
|
14
|
$11,057.00
|
$8,845.60
|
$3,869.95
|
$10,725.29
|
$7,162.17
|
2026-05-05
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
17
|
17
|
$10,978.00
|
$8,782.40
20% off
|
$777.75
|
$10,648.66
|
$6,529.71
|
2026-05-05
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
16
|
16
|
$4,470.18
|
$3,576.14
20% off
|
$1,281.60
|
$10,500.90
|
$4,224.82
|
2026-05-05
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
17
|
17
|
$4,871.60
|
$3,897.28
20% off
|
$1,396.69
|
$10,486.76
|
$4,755.55
|
2026-05-05
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
17
|
17
|
$9,726.12
|
$7,780.90
|
$2,788.48
|
$10,461.64
|
$7,683.63
|
2026-05-05
|
|
21461
|
HCPCS
|
Treatment Of Broken Lower Jaw Bone
|
17
|
17
|
$5,408.00
|
$4,326.40
20% off
|
$2,350.32
|
$10,396.45
|
$4,218.24
|
2026-05-05
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
17
|
17
|
$4,409.65
|
$3,527.72
20% off
|
$1,264.25
|
$10,235.50
|
$4,168.65
|
2026-05-05
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
17
|
17
|
$4,587.62
|
$3,670.09
20% off
|
$1,315.27
|
$10,227.51
|
$4,308.87
|
2026-05-05
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
17
|
17
|
$4,641.57
|
$3,713.25
20% off
|
$1,330.74
|
$10,002.51
|
$4,602.85
|
2026-05-05
|
|
49976294_4
|
CDM
|
Triathlon Cr Fem Component - Cemented 5510-f-402
|
14
|
14
|
$10,217.50
|
$8,174.00
20% off
|
$3,576.13
|
$9,910.98
|
$6,618.39
|
2026-05-05
|
|
52318
|
HCPCS
|
Crushing, Fragmenting, And Removal Of Bladder Stones, More Than 2.5 Cm
|
23
|
17
|
$9,892.00
|
$7,913.60
|
$388.67
|
$9,892.00
|
$4,776.85
|
2026-05-05
|
|
52317
|
HCPCS
|
Crushing, Fragmenting, And Removal Of Bladder Stones, Less Than 2.5 Cm
|
23
|
17
|
$9,892.00
|
$7,913.60
|
$285.50
|
$9,892.00
|
$4,776.85
|
2026-05-05
|
|
38222
|
HCPCS
|
Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis
|
17
|
17
|
$9,860.00
|
$7,888.00
20% off
|
$3,073.22
|
$9,860.00
|
$5,970.23
|
2026-05-05
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
17
|
17
|
$10,116.58
|
$8,093.26
20% off
|
$2,900.42
|
$9,813.08
|
$7,081.61
|
2026-05-05
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
17
|
17
|
$4,707.87
|
$3,766.30
|
$1,349.75
|
$9,696.43
|
$4,672.87
|
2026-05-05
|
|
J9999
|
HCPCS
|
Not Otherwise Classified, Antineoplastic Drugs
|
20
|
10
|
$7,266.20
|
$5,812.96
20% off
|
$2,430.40
|
$9,671.60
|
$4,848.30
|
2026-05-05
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
25
|
17
|
$9,603.00
|
$7,682.40
20% off
|
$227.26
|
$9,603.00
|
$4,501.89
|
2026-05-05
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
17
|
17
|
$9,828.34
|
$7,862.67
20% off
|
$2,817.78
|
$9,533.48
|
$5,280.20
|
2026-05-05
|
|
49996190_4
|
CDM
|
Latera 24mm Kit Latsys01
|
14
|
14
|
$9,733.00
|
$7,786.40
20% off
|
$3,406.55
|
$9,441.01
|
$6,304.55
|
2026-05-05
|
|
49996190_1
|
CDM
|
Latera 24mm Kit Latsys01
|
14
|
14
|
$9,733.00
|
$7,786.40
20% off
|
$3,406.55
|
$9,441.01
|
$6,304.55
|
2026-05-05
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
23
|
17
|
$9,424.00
|
$7,539.20
20% off
|
$277.83
|
$9,424.00
|
$4,550.85
|
2026-05-05
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
17
|
17
|
$4,967.67
|
$3,974.14
|
$1,424.23
|
$9,245.30
|
$4,897.88
|
2026-05-05
|
|
49421
|
HCPCS
|
Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis
|
17
|
17
|
$9,213.00
|
$7,370.40
20% off
|
$3,788.10
|
$9,213.00
|
$6,287.93
|
2026-05-05
|
|
75724
|
HCPCS
|
Irpv Angiography Renal Bilat
|
14
|
14
|
$9,195.00
|
$7,356.00
20% off
|
$3,996.15
|
$9,195.00
|
$6,390.52
|
2026-05-05
|
|
75722
|
HCPCS
|
Irpv Angiography Renal Unil Lt
|
14
|
14
|
$9,195.00
|
$7,356.00
20% off
|
$3,996.15
|
$9,195.00
|
$6,390.52
|
2026-05-05
|
|
51653072_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
51661333_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
51653072_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
51661332_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
51661332_4
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
51661333_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$9,450.00
|
$7,560.00
20% off
|
$3,307.50
|
$9,166.50
|
$6,121.24
|
2026-05-05
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
17
|
17
|
$4,663.29
|
$3,730.63
20% off
|
$1,336.97
|
$9,094.54
|
$4,454.62
|
2026-05-05
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
40
|
16
|
$9,136.67
|
$7,309.33
20% off
|
$6.02
|
$9,078.01
|
$6,365.56
|
2026-05-05
|
|
75710
|
HCPCS
|
Review By Radiologist Of Arm Or Leg Artery Image
|
17
|
17
|
$9,195.00
|
$7,356.00
20% off
|
$83.89
|
$8,919.15
|
$5,545.19
|
2026-05-05
|
|
75625
|
HCPCS
|
Review By Radiologist Of Abdominal Aorta Image
|
17
|
17
|
$9,195.00
|
$7,356.00
20% off
|
$66.55
|
$8,919.15
|
$5,545.19
|
2026-05-05
|
|
75630
|
HCPCS
|
Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image
|
17
|
17
|
$9,195.00
|
$7,356.00
20% off
|
$66.06
|
$8,919.15
|
$5,545.19
|
2026-05-05
|
|
75716
|
HCPCS
|
Review By Radiologist Of Both Arms Or Legs Arteries Image
|
17
|
17
|
$9,195.00
|
$7,356.00
20% off
|
$101.07
|
$8,919.15
|
$5,545.19
|
2026-05-05
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
17
|
17
|
$4,965.45
|
$3,972.36
|
$1,423.60
|
$8,903.81
|
$4,889.93
|
2026-05-05
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
17
|
17
|
$5,130.50
|
$4,104.40
20% off
|
$1,470.92
|
$8,624.00
|
$4,572.50
|
2026-05-05
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
17
|
17
|
$4,756.50
|
$3,805.20
20% off
|
$1,363.69
|
$8,611.43
|
$4,756.50
|
2026-05-05
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
17
|
17
|
$8,565.51
|
$6,852.40
20% off
|
$2,455.73
|
$8,549.26
|
$6,681.09
|
2026-05-05
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
17
|
17
|
$5,514.47
|
$4,411.58
|
$1,581.00
|
$8,402.43
|
$4,990.55
|
2026-05-05
|
|
37722
|
HCPCS
|
Tying, Incision, And Stripping Of Long Leg Vein
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
49422
|
HCPCS
|
Removal Of Abdominal Cavity Tube
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
37607
|
HCPCS
|
Tying Or Banding Of Surgically Created Artery-vein Connection
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
37700
|
HCPCS
|
Tying And Division Of Long Leg Vein
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
37718
|
HCPCS
|
Tying, Incision, And Stripping Of Short Leg Vein
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
36821
|
HCPCS
|
Relocation Of Arm Vein With Connection To Arm Artery For Hemodialysis
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
36581
|
HCPCS
|
Replacement Of Tunneled Central Venous Tube
|
17
|
17
|
$8,286.00
|
$6,628.80
20% off
|
$3,340.65
|
$8,286.00
|
$5,545.19
|
2026-05-05
|
|
36558
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
30
|
17
|
$7,743.00
|
$6,194.40
20% off
|
$3,340.65
|
$8,286.00
|
$5,482.65
|
2026-05-05
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
17
|
17
|
$6,848.09
|
$5,478.47
20% off
|
$1,963.35
|
$8,258.53
|
$5,622.82
|
2026-05-05
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
13
|
13
|
$8,487.76
|
$6,790.21
|
$2,433.44
|
$8,233.13
|
$7,638.98
|
2026-05-05
|
|
313
|
MS_DRG
|
Chest Pain
|
17
|
17
|
$5,993.87
|
$4,795.10
|
$1,718.44
|
$8,223.12
|
$5,598.71
|
2026-05-05
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
17
|
17
|
$6,854.03
|
$5,483.22
20% off
|
$1,965.05
|
$8,219.69
|
$5,596.38
|
2026-05-05
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
24
|
16
|
$8,096.87
|
$6,477.49
20% off
|
$41.82
|
$8,103.00
|
$5,715.90
|
2026-05-05
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
17
|
17
|
$6,403.70
|
$5,122.96
20% off
|
$1,835.94
|
$7,816.53
|
$5,321.89
|
2026-05-05
|
|
J9349
|
HCPCS
|
Injection, Tafasitamab-cxix, 2 Mg
|
24
|
16
|
$7,966.44
|
$6,373.15
20% off
|
$14.17
|
$7,727.45
|
$4,769.43
|
2026-05-05
|
|
49400111_1
|
CDM
|
Myosure Xl 50-503xl
|
14
|
14
|
$7,911.00
|
$6,328.80
20% off
|
$2,768.85
|
$7,673.67
|
$5,124.35
|
2026-05-05
|
|
49400111_4
|
CDM
|
Myosure Xl 50-503xl
|
14
|
14
|
$7,911.00
|
$6,328.80
20% off
|
$2,768.85
|
$7,673.67
|
$5,124.35
|
2026-05-05
|
|
49192861_1
|
CDM
|
Axis Graft 8x12
|
14
|
14
|
$7,683.00
|
$6,146.40
20% off
|
$2,689.05
|
$7,452.51
|
$4,976.67
|
2026-05-05
|
|
49192861_4
|
CDM
|
Axis Graft 8x12
|
14
|
14
|
$7,683.00
|
$6,146.40
20% off
|
$2,689.05
|
$7,452.51
|
$4,976.67
|
2026-05-05
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
17
|
17
|
$6,439.42
|
$5,151.54
|
$1,846.18
|
$7,412.23
|
$4,507.59
|
2026-05-05
|
|
A9570
|
HCPCS
|
Indium In-111 Labeled Autologous White Blood Cells, Diagnostic, Per Study Dose
|
16
|
16
|
$7,376.00
|
$5,900.80
20% off
|
$1,103.19
|
$7,376.00
|
$4,777.81
|
2026-05-05
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
17
|
17
|
$5,282.25
|
$4,225.80
|
$1,514.42
|
$7,332.28
|
$4,992.19
|
2026-05-05
|
|
J7401
|
HCPCS
|
Mometasone Furoate Sinus Implant, 10 Micrograms
|
14
|
14
|
$7,289.00
|
$5,831.20
20% off
|
$3,167.80
|
$7,289.00
|
$5,065.85
|
2026-05-05
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
13
|
13
|
$7,345.87
|
$5,876.69
20% off
|
$2,106.06
|
$7,125.49
|
$6,611.28
|
2026-05-05
|
|
48713055_4
|
CDM
|
Sinuplasty Frontal Balloon Sys
|
14
|
14
|
$7,276.00
|
$5,820.80
20% off
|
$2,546.60
|
$7,057.72
|
$4,713.03
|
2026-05-05
|
|
48713055_1
|
CDM
|
Sinuplasty Frontal Balloon Sys
|
14
|
14
|
$7,276.00
|
$5,820.80
20% off
|
$2,546.60
|
$7,057.72
|
$4,713.03
|
2026-05-05
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
13
|
13
|
$7,113.79
|
$5,691.03
20% off
|
$2,039.52
|
$6,900.38
|
$4,307.40
|
2026-05-05
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
13
|
13
|
$7,098.79
|
$5,679.03
20% off
|
$2,035.22
|
$6,885.83
|
$5,373.79
|
2026-05-05
|
|
52873913_1
|
CDM
|
US Venaseal System Vpk1-11 ( (kit Includes Item Vs-404, Cfp, Mis-7f11)
|
14
|
14
|
$7,026.00
|
$5,620.80
20% off
|
$2,459.10
|
$6,815.22
|
$4,551.09
|
2026-05-05
|
|
52873913_4
|
CDM
|
US Venaseal System Vpk1-11 ( (kit Includes Item Vs-404, Cfp, Mis-7f11)
|
14
|
14
|
$7,026.00
|
$5,620.80
20% off
|
$2,459.10
|
$6,815.22
|
$4,551.09
|
2026-05-05
|
|
49192801_1
|
CDM
|
Xpress Ultra Sinus Balloon Ulf-106
|
14
|
14
|
$6,744.00
|
$5,395.20
20% off
|
$2,360.40
|
$6,541.68
|
$4,368.42
|
2026-05-05
|
|
49192801_4
|
CDM
|
Xpress Ultra Sinus Balloon Ulf-106
|
14
|
14
|
$6,744.00
|
$5,395.20
20% off
|
$2,360.40
|
$6,541.68
|
$4,368.42
|
2026-05-05
|
|
48713486_4
|
CDM
|
Essure Permanent Birth Control
|
14
|
14
|
$6,442.00
|
$5,153.60
|
$2,254.70
|
$6,248.74
|
$4,172.81
|
2026-05-05
|
|
48713486_1
|
CDM
|
Essure Permanent Birth Control
|
14
|
14
|
$6,442.00
|
$5,153.60
|
$2,254.70
|
$6,248.74
|
$4,172.81
|
2026-05-05
|
|
C1880
|
HCPCS
|
Vena Cava Filter
|
14
|
14
|
$6,245.00
|
$4,996.00
20% off
|
$2,714.08
|
$6,245.00
|
$4,340.27
|
2026-05-05
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
16
|
16
|
$6,003.51
|
$4,802.81
|
$1,841.02
|
$6,032.19
|
$4,712.76
|
2026-05-05
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
13
|
13
|
$4,989.69
|
$3,991.75
20% off
|
$1,430.54
|
$4,966.35
|
$4,490.72
|
2026-05-05
|