|
702162109
|
CDM
|
000000000001030806-generator
|
245
|
112
|
$124,816.00
|
$74,889.60
40% off
|
$362.89
|
$174,742.40
|
$97,356.48
|
2026-01-01
|
|
702162494
|
CDM
|
000000000000440163-generator
|
245
|
112
|
$98,446.00
|
$59,067.60
40% off
|
$362.89
|
$137,824.40
|
$76,787.88
|
2026-01-01
|
|
709038898
|
CDM
|
Thromb Avf W/wo Pta W/stnt+im
|
208
|
94
|
$94,562.00
|
$56,737.20
40% off
|
$23,640.50
|
$132,386.80
|
$75,649.60
|
2026-01-01
|
|
709030445
|
CDM
|
Stnt/athr/ptca Des Grft Int Ld
|
235
|
105
|
$95,678.00
|
$57,406.80
40% off
|
$23,919.50
|
$133,949.20
|
$74,628.84
|
2026-01-01
|
|
702154161
|
CDM
|
000000000001030807-generator
|
245
|
112
|
$90,148.00
|
$54,088.80
40% off
|
$362.89
|
$126,207.20
|
$70,315.44
|
2026-01-01
|
|
709030454
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Rc
|
235
|
105
|
$85,454.00
|
$51,272.40
40% off
|
$21,363.50
|
$119,635.60
|
$66,654.12
|
2026-01-01
|
|
702174999
|
CDM
|
000000000000498839-component
|
245
|
112
|
$76,215.00
|
$45,729.00
40% off
|
$362.89
|
$106,701.00
|
$59,447.70
|
2026-01-01
|
|
709028184
|
CDM
|
Stnt+ather+sl Cth+s&i Fem
|
208
|
94
|
$70,699.00
|
$42,419.40
40% off
|
$17,674.75
|
$98,978.60
|
$56,559.20
|
2026-01-01
|
|
702149346
|
CDM
|
000000000000013645-generator
|
245
|
112
|
$72,358.00
|
$43,414.80
40% off
|
$362.89
|
$101,301.20
|
$56,439.24
|
2026-01-01
|
|
717038996
|
CDM
|
Ustekinumab 90mg/ml Syr
|
218
|
102
|
$70,327.90
|
$42,196.74
40% off
|
$17,581.97
|
$98,459.06
|
$56,262.32
|
2026-01-01
|
|
717037801
|
CDM
|
Pegloticase 8mg Inj
|
217
|
102
|
$69,901.40
|
$41,940.84
40% off
|
$17,475.35
|
$97,861.96
|
$55,921.12
|
2026-01-01
|
|
709038895
|
CDM
|
Fistulagram W/wo Pta Stent+im
|
208
|
94
|
$68,457.00
|
$41,074.20
40% off
|
$17,114.25
|
$95,839.80
|
$54,765.60
|
2026-01-01
|
|
717013828
|
CDM
|
Pegaspargase 3750 Units Inj
|
223
|
104
|
$66,300.45
|
$39,780.27
40% off
|
$16,575.11
|
$92,820.63
|
$53,040.36
|
2026-01-01
|
|
709038897
|
CDM
|
Thrmbectomy/lysis Avf W/pta+im
|
209
|
94
|
$65,707.00
|
$39,424.20
40% off
|
$16,426.75
|
$91,989.80
|
$52,565.60
|
2026-01-01
|
|
709038888
|
CDM
|
Pta Artery Initial +im
|
208
|
94
|
$56,797.00
|
$34,078.20
40% off
|
$14,199.25
|
$79,515.80
|
$45,437.60
|
2026-01-01
|
|
709032230
|
CDM
|
Stent(s) Artery W/wo Pta Init
|
208
|
94
|
$54,694.00
|
$32,816.40
40% off
|
$13,673.50
|
$76,571.60
|
$43,755.20
|
2026-01-01
|
|
702151661
|
CDM
|
000000000000563161-stimulator
|
245
|
112
|
$55,137.00
|
$33,082.20
40% off
|
$362.89
|
$77,191.80
|
$43,006.86
|
2026-01-01
|
|
933451661
|
CDM
|
000000000000563161-stimulator
|
245
|
112
|
$55,137.00
|
$33,082.20
40% off
|
$362.89
|
$77,191.80
|
$43,006.86
|
2026-01-01
|
|
709038889
|
CDM
|
Pta Artery Ea Additional +im
|
209
|
94
|
$53,070.00
|
$31,842.00
40% off
|
$13,267.50
|
$74,298.00
|
$42,456.00
|
2026-01-01
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
22
|
21
|
—
|
—
|
$207.78
|
$41,701.32
|
$41,701.32
|
2026-01-01
|
|
709038900
|
CDM
|
Stnt Cnt Dial Seg Via Avf+im+s&i Ad
|
209
|
94
|
$51,800.00
|
$31,080.00
40% off
|
$12,950.00
|
$72,520.00
|
$41,440.00
|
2026-01-01
|
|
709032232
|
CDM
|
Stent(s) Vein W/wo Pta Initial
|
209
|
94
|
$51,793.00
|
$31,075.80
40% off
|
$12,948.25
|
$72,510.20
|
$41,434.40
|
2026-01-01
|
|
717038956
|
CDM
|
Ocrelizumab 300mg/10ml Vial
|
217
|
102
|
$51,034.78
|
$30,620.87
40% off
|
$12,758.69
|
$71,448.69
|
$40,827.82
|
2026-01-01
|
|
709028183
|
CDM
|
Stnt+sl Cth+s&i Fem
|
209
|
94
|
$49,941.00
|
$29,964.60
40% off
|
$12,485.25
|
$69,917.40
|
$39,952.80
|
2026-01-01
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
32
|
30
|
—
|
—
|
$508.10
|
$39,721.84
|
$39,721.84
|
2026-01-01
|
|
709028180
|
CDM
|
Stnt+sl Cth+s&i; Ili Ad
|
208
|
94
|
$49,013.00
|
$29,407.80
40% off
|
$12,253.25
|
$68,618.20
|
$39,210.40
|
2026-01-01
|
|
709028178
|
CDM
|
Stnt+sl Cth+s&i Ili 1st
|
208
|
94
|
$49,013.00
|
$29,407.80
40% off
|
$12,253.25
|
$68,618.20
|
$39,210.40
|
2026-01-01
|
|
702118334
|
CDM
|
000000000000593425-generator
|
245
|
112
|
$49,609.00
|
$29,765.40
40% off
|
$362.89
|
$69,452.60
|
$38,695.02
|
2026-01-01
|
|
715234076
|
CDM
|
Robotic Linear Srs Frc Sng Sns
|
218
|
101
|
$46,476.00
|
$27,885.60
40% off
|
$11,619.00
|
$65,066.40
|
$37,180.80
|
2026-01-01
|
|
709038894
|
CDM
|
Pta Ctr Dlys Sg+fstgm+im Init
|
208
|
94
|
$44,086.00
|
$26,451.60
40% off
|
$11,021.50
|
$61,720.40
|
$35,268.80
|
2026-01-01
|
|
709029954
|
CDM
|
Cc Intracran Sel Wo/w Arch Bi
|
235
|
105
|
$44,440.00
|
$26,664.00
40% off
|
$11,110.00
|
$62,216.00
|
$34,663.20
|
2026-01-01
|
|
709038896
|
CDM
|
Thrombectomy/lysis Avf +im
|
209
|
94
|
$42,768.00
|
$25,660.80
40% off
|
$10,692.00
|
$59,875.20
|
$34,214.40
|
2026-01-01
|
|
717037880
|
CDM
|
Sipuleucel T Dose
|
222
|
103
|
$42,150.99
|
$25,290.59
40% off
|
$10,537.75
|
$59,011.39
|
$33,720.79
|
2026-01-01
|
|
702152991
|
CDM
|
000000000000561828-generator
|
245
|
112
|
$43,076.00
|
$25,845.60
40% off
|
$362.89
|
$60,306.40
|
$33,599.28
|
2026-01-01
|
|
709028182
|
CDM
|
Ather+sl Cth+s&i Fem
|
209
|
94
|
$41,644.00
|
$24,986.40
40% off
|
$10,411.00
|
$58,301.60
|
$33,315.20
|
2026-01-01
|
|
709028186
|
CDM
|
Ather+sl Cth+s&i Tib/per
|
209
|
94
|
$41,644.00
|
$24,986.40
40% off
|
$10,411.00
|
$58,301.60
|
$33,315.20
|
2026-01-01
|
|
709032233
|
CDM
|
Stent(s) Vein W/wo Pta Ea Add
|
208
|
94
|
$40,413.00
|
$24,247.80
40% off
|
$10,103.25
|
$56,578.20
|
$32,330.40
|
2026-01-01
|
|
709032231
|
CDM
|
Stent(s) Artery W/wo Pta Ea Ad
|
208
|
94
|
$40,413.00
|
$24,247.80
40% off
|
$10,103.25
|
$56,578.20
|
$32,330.40
|
2026-01-01
|
|
709034209
|
CDM
|
Kyphoplasty Lumbar Body +im
|
208
|
94
|
$39,738.00
|
$23,842.80
40% off
|
$9,934.50
|
$55,633.20
|
$31,790.40
|
2026-01-01
|
|
709034210
|
CDM
|
Kyphoplasty Ea Add Thor/lum+im
|
209
|
94
|
$39,738.00
|
$23,842.80
40% off
|
$9,934.50
|
$55,633.20
|
$31,790.40
|
2026-01-01
|
|
933491144
|
CDM
|
000000000001084876-graft
|
245
|
112
|
$40,656.00
|
$24,393.60
40% off
|
$362.89
|
$56,918.40
|
$31,711.68
|
2026-01-01
|
|
J9266
|
HCPCS
|
Pegaspargase 3750 Units Inj
|
41
|
37
|
$66,300.45
|
$39,780.27
40% off
|
$13,716.31
|
$60,908.69
|
$31,585.89
|
2026-01-01
|
|
709028190
|
CDM
|
Atr+slcth+s&i Tib/pr Ad
|
209
|
94
|
$38,828.00
|
$23,296.80
40% off
|
$9,707.00
|
$54,359.20
|
$31,062.40
|
2026-01-01
|
|
709028179
|
CDM
|
Pta+sl Cth+s&i: Ili Add
|
209
|
94
|
$38,772.00
|
$23,263.20
40% off
|
$9,693.00
|
$54,280.80
|
$31,017.60
|
2026-01-01
|
|
709034208
|
CDM
|
Kyphoplasty Thoracic Body +im
|
208
|
94
|
$38,740.00
|
$23,244.00
40% off
|
$9,685.00
|
$54,236.00
|
$30,992.00
|
2026-01-01
|
|
709029952
|
CDM
|
Cc Cervical Sel Wo/w Arch Bilat
|
235
|
105
|
$38,962.00
|
$23,377.20
40% off
|
$9,740.50
|
$54,546.80
|
$30,390.36
|
2026-01-01
|
|
702166257
|
CDM
|
000000000001007573-pacemaker
|
245
|
112
|
$37,823.00
|
$22,693.80
40% off
|
$362.89
|
$52,952.20
|
$29,501.94
|
2026-01-01
|
|
717086320
|
CDM
|
Tarlatatamab-dlle 10mg/250ml Ns
|
235
|
105
|
$37,568.79
|
$22,541.27
40% off
|
$9,392.20
|
$52,596.31
|
$29,303.66
|
2026-01-01
|
|
702154408
|
CDM
|
000000000000135016-generator
|
245
|
112
|
$37,528.00
|
$22,516.80
40% off
|
$362.89
|
$52,539.20
|
$29,271.84
|
2026-01-01
|
|
717086306
|
CDM
|
Tarlatamab-dlle 10mg Inj
|
235
|
105
|
$37,500.00
|
$22,500.00
40% off
|
$9,375.00
|
$52,500.00
|
$29,250.00
|
2026-01-01
|
|
702182805
|
CDM
|
000000000001916956-generator
|
245
|
112
|
$36,907.00
|
$22,144.20
40% off
|
$362.89
|
$51,669.80
|
$28,787.46
|
2026-01-01
|
|
933494271
|
CDM
|
000000000000536511-allograft
|
232
|
110
|
$35,506.00
|
$21,303.60
40% off
|
$362.89
|
$49,708.40
|
$27,872.21
|
2026-01-01
|
|
709030433
|
CDM
|
Stent Des Cor Vessel Int Ri
|
235
|
105
|
$35,729.00
|
$21,437.40
40% off
|
$8,932.25
|
$50,020.60
|
$27,868.62
|
2026-01-01
|
|
709030431
|
CDM
|
Stent Des Cor Vessel Int Rc
|
235
|
105
|
$35,729.00
|
$21,437.40
40% off
|
$8,932.25
|
$50,020.60
|
$27,868.62
|
2026-01-01
|
|
709030429
|
CDM
|
Stent Des Cor Vessel Int Ld
|
235
|
105
|
$35,729.00
|
$21,437.40
40% off
|
$8,932.25
|
$50,020.60
|
$27,868.62
|
2026-01-01
|
|
709030432
|
CDM
|
Stent Des Cor Vessel Int Lm
|
235
|
105
|
$35,729.00
|
$21,437.40
40% off
|
$8,932.25
|
$50,020.60
|
$27,868.62
|
2026-01-01
|
|
709030430
|
CDM
|
Stent Des Cor Vessel Int Lc
|
235
|
105
|
$35,729.00
|
$21,437.40
40% off
|
$8,932.25
|
$50,020.60
|
$27,868.62
|
2026-01-01
|
|
702130820
|
CDM
|
000000000000013781-generator
|
245
|
112
|
$35,701.00
|
$21,420.60
40% off
|
$362.89
|
$49,981.40
|
$27,846.78
|
2026-01-01
|
|
933430820
|
CDM
|
000000000000013781-generator
|
245
|
112
|
$35,701.00
|
$21,420.60
40% off
|
$362.89
|
$49,981.40
|
$27,846.78
|
2026-01-01
|
|
702166522
|
CDM
|
000000000001064155-implant
|
245
|
112
|
$34,818.00
|
$20,890.80
40% off
|
$362.89
|
$48,745.20
|
$27,158.04
|
2026-01-01
|
|
702148262
|
CDM
|
000000000000555967-icd
|
245
|
112
|
$34,805.00
|
$20,883.00
40% off
|
$362.89
|
$48,727.00
|
$27,147.90
|
2026-01-01
|
|
709028185
|
CDM
|
Pta+sel Cath+s&i Tib/per
|
209
|
94
|
$33,888.00
|
$20,332.80
40% off
|
$8,472.00
|
$47,443.20
|
$27,110.40
|
2026-01-01
|
|
702175123
|
CDM
|
000000000001111739-implant
|
245
|
112
|
$34,679.00
|
$20,807.40
40% off
|
$362.89
|
$48,550.60
|
$27,049.62
|
2026-01-01
|
|
709020825
|
CDM
|
Renal Bilat Artgm Selective
|
209
|
94
|
$32,861.00
|
$19,716.60
40% off
|
$8,215.25
|
$46,005.40
|
$26,288.80
|
2026-01-01
|
|
709028181
|
CDM
|
Pta+sl Cth+s&i Fem
|
208
|
94
|
$32,848.00
|
$19,708.80
40% off
|
$8,212.00
|
$45,987.20
|
$26,278.40
|
2026-01-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
35
|
32
|
—
|
—
|
$661.61
|
$26,229.13
|
$26,229.13
|
2026-01-01
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
22
|
21
|
—
|
—
|
$422.06
|
$25,736.11
|
$25,736.11
|
2026-01-01
|
|
709028260
|
CDM
|
R&lhc/lv/cor/cabj/ima/imag
|
229
|
109
|
$32,878.00
|
$19,726.80
40% off
|
$534.00
|
$46,029.20
|
$25,644.84
|
2026-01-01
|
|
709028177
|
CDM
|
Pta+sel Cath+s&i: Iliac 1st
|
209
|
94
|
$31,918.00
|
$19,150.80
40% off
|
$7,979.50
|
$44,685.20
|
$25,534.40
|
2026-01-01
|
|
709038899
|
CDM
|
Pta Ctr Dlys Sg+fstgm+im Add
|
208
|
94
|
$31,742.00
|
$19,045.20
40% off
|
$7,935.50
|
$44,438.80
|
$25,393.60
|
2026-01-01
|
|
702160516
|
CDM
|
000000000000431846-component
|
245
|
112
|
$32,548.00
|
$19,528.80
40% off
|
$362.89
|
$45,567.20
|
$25,387.44
|
2026-01-01
|
|
709030359
|
CDM
|
Stent Bm Cor Vessel Int Lc
|
235
|
105
|
$32,516.00
|
$19,509.60
40% off
|
$8,129.00
|
$45,522.40
|
$25,362.48
|
2026-01-01
|
|
709030358
|
CDM
|
Stent Bm Cor Vessel Int Ld
|
235
|
105
|
$32,516.00
|
$19,509.60
40% off
|
$8,129.00
|
$45,522.40
|
$25,362.48
|
2026-01-01
|
|
709030360
|
CDM
|
Stent Bm Cor Vessel Int Rc
|
235
|
105
|
$32,516.00
|
$19,509.60
40% off
|
$8,129.00
|
$45,522.40
|
$25,362.48
|
2026-01-01
|
|
709030362
|
CDM
|
Stent Bm Cor Vessel Int Ri
|
235
|
105
|
$32,516.00
|
$19,509.60
40% off
|
$8,129.00
|
$45,522.40
|
$25,362.48
|
2026-01-01
|
|
709032229
|
CDM
|
Renal Denervation Percutan Bil
|
219
|
102
|
$31,430.00
|
$18,858.00
40% off
|
$7,857.50
|
$44,002.00
|
$25,144.00
|
2026-01-01
|
|
702124408
|
CDM
|
000000000000146482-femur
|
245
|
112
|
$32,219.00
|
$19,331.40
40% off
|
$362.89
|
$45,106.60
|
$25,130.82
|
2026-01-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
1
|
1
|
—
|
—
|
$24,946.53
|
$24,946.53
|
$24,946.53
|
2026-01-01
|
|
709028255
|
CDM
|
Rhc W/cor / Imaging
|
229
|
109
|
$31,431.00
|
$18,858.60
40% off
|
$534.00
|
$44,003.40
|
$24,830.49
|
2026-01-01
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
32
|
30
|
—
|
—
|
$887.65
|
$24,328.66
|
$24,328.66
|
2026-01-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
32
|
30
|
—
|
—
|
$1,125.78
|
$24,104.09
|
$24,104.09
|
2026-01-01
|
|
709028189
|
CDM
|
Pta+sl Cth+s&i Tib/per Ad
|
208
|
94
|
$29,876.00
|
$17,925.60
40% off
|
$7,469.00
|
$41,826.40
|
$23,900.80
|
2026-01-01
|
|
715234078
|
CDM
|
Robotic Linear Srs Frc 2-5 Sns
|
218
|
101
|
$29,601.00
|
$17,760.60
40% off
|
$7,400.25
|
$41,441.40
|
$23,680.80
|
2026-01-01
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
33
|
31
|
—
|
—
|
$340.94
|
$25,090.42
|
$23,656.54
|
2026-01-01
|
|
933494768
|
CDM
|
000000000002210998-nail
|
245
|
112
|
$29,914.00
|
$17,948.40
40% off
|
$362.89
|
$41,879.60
|
$23,332.92
|
2026-01-01
|
|
709028258
|
CDM
|
Lhc/angio Cor/im/grft/imag
|
230
|
109
|
$29,511.00
|
$17,706.60
40% off
|
$534.00
|
$41,315.40
|
$23,313.69
|
2026-01-01
|
|
709029958
|
CDM
|
Sub/innmnt Sel Wo/w Aa Bilat
|
235
|
105
|
$29,884.00
|
$17,930.40
40% off
|
$7,471.00
|
$41,837.60
|
$23,309.52
|
2026-01-01
|
|
702152733
|
CDM
|
000000000000575877-stem
|
245
|
112
|
$29,532.00
|
$17,719.20
40% off
|
$362.89
|
$41,344.80
|
$23,034.96
|
2026-01-01
|
|
702136144
|
CDM
|
000000000000067645-component
|
245
|
112
|
$29,355.00
|
$17,613.00
40% off
|
$362.89
|
$41,097.00
|
$22,896.90
|
2026-01-01
|
|
709028259
|
CDM
|
R&lhc/cors/lv Inj/imaging
|
229
|
109
|
$29,228.00
|
$17,536.80
40% off
|
$534.00
|
$40,919.20
|
$22,797.84
|
2026-01-01
|
|
0505T
|
OTHER
|
Ev Fempop Artl Revsc
|
16
|
13
|
—
|
—
|
$17,466.40
|
$22,765.08
|
$22,765.08
|
2026-01-01
|
|
717086125
|
CDM
|
Dostarlimab-gxly 500mg Inj
|
235
|
105
|
$28,907.80
|
$17,344.68
40% off
|
$7,226.95
|
$40,470.92
|
$22,548.08
|
2026-01-01
|
|
709032236
|
CDM
|
Embo Tumor/ischemia/infarct+im
|
209
|
94
|
$28,100.00
|
$16,860.00
40% off
|
$7,025.00
|
$39,340.00
|
$22,480.00
|
2026-01-01
|
|
702144690
|
CDM
|
000000000000409938-lead
|
245
|
112
|
$28,280.00
|
$16,968.00
40% off
|
$362.89
|
$39,592.00
|
$22,058.40
|
2026-01-01
|
|
717038370
|
CDM
|
Atezolizumab 1200mg/20ml Inj
|
235
|
105
|
$27,820.10
|
$16,692.06
40% off
|
$6,955.02
|
$38,948.14
|
$21,699.68
|
2026-01-01
|
|
709030335
|
CDM
|
Ptca Cor Vessel Int Ld
|
235
|
105
|
$27,647.00
|
$16,588.20
40% off
|
$6,911.75
|
$38,705.80
|
$21,564.66
|
2026-01-01
|
|
709030339
|
CDM
|
Ptca Cor Vessel Int Ri
|
235
|
105
|
$27,647.00
|
$16,588.20
40% off
|
$6,911.75
|
$38,705.80
|
$21,564.66
|
2026-01-01
|
|
709030336
|
CDM
|
Ptca Cor Vessel Int Lc
|
235
|
105
|
$27,647.00
|
$16,588.20
40% off
|
$6,911.75
|
$38,705.80
|
$21,564.66
|
2026-01-01
|
|
709030337
|
CDM
|
Ptca Cor Vessel Int Rc
|
235
|
105
|
$27,647.00
|
$16,588.20
40% off
|
$6,911.75
|
$38,705.80
|
$21,564.66
|
2026-01-01
|
|
702152351
|
CDM
|
000000000000472457-femoral
|
245
|
112
|
$27,425.00
|
$16,455.00
40% off
|
$362.89
|
$38,395.00
|
$21,391.50
|
2026-01-01
|
|
933492479
|
CDM
|
Matrix-hpm0038
|
245
|
112
|
$27,424.00
|
$16,454.40
40% off
|
$362.89
|
$38,393.60
|
$21,390.72
|
2026-01-01
|
|
702124718
|
CDM
|
000000000000481599-component
|
245
|
112
|
$27,365.00
|
$16,419.00
40% off
|
$362.89
|
$38,311.00
|
$21,344.70
|
2026-01-01
|
|
717038817
|
CDM
|
Atezolizumab/hyaluronidase-tqjs Inj
|
235
|
105
|
$27,310.23
|
$16,386.14
40% off
|
$6,827.56
|
$38,234.32
|
$21,301.98
|
2026-01-01
|
|
702111161
|
CDM
|
Surgery Level 10 1st Min
|
235
|
105
|
$27,152.00
|
$16,291.20
40% off
|
$6,788.00
|
$38,012.80
|
$21,178.56
|
2026-01-01
|
|
933411161
|
CDM
|
Surgery Level 10 1st Min
|
235
|
105
|
$27,152.00
|
$16,291.20
40% off
|
$6,788.00
|
$38,012.80
|
$21,178.56
|
2026-01-01
|
|
709030438
|
CDM
|
Stnt Des Cor Brnch Addl Rc
|
235
|
105
|
$26,800.00
|
$16,080.00
40% off
|
$6,700.00
|
$37,520.00
|
$20,904.00
|
2026-01-01
|
|
709030434
|
CDM
|
Stnt Des Cor Brnch Addl Ld
|
235
|
105
|
$26,800.00
|
$16,080.00
40% off
|
$6,700.00
|
$37,520.00
|
$20,904.00
|
2026-01-01
|
|
709030436
|
CDM
|
Stnt Des Cor Brnch Addl Lc
|
235
|
105
|
$26,800.00
|
$16,080.00
40% off
|
$6,700.00
|
$37,520.00
|
$20,904.00
|
2026-01-01
|
|
C9604
|
HCPCS
|
Stnt/athr/ptca Des Grft Int Ld
|
10
|
7
|
$95,678.00
|
$57,406.80
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9601
|
HCPCS
|
Stnt Des Cor Brnch Addl Ld
|
10
|
7
|
$26,800.00
|
$16,080.00
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9606
|
HCPCS
|
Stnt/athr/ptca Des Ami Emrg Rc
|
10
|
7
|
$85,454.00
|
$51,272.40
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
35
|
32
|
—
|
—
|
$534.00
|
$20,791.50
|
$20,791.50
|
2026-01-01
|
|
717016489
|
CDM
|
Daratumumab Hyaluronidase-fihj Inj
|
235
|
105
|
$26,138.95
|
$15,683.37
40% off
|
$6,534.74
|
$36,594.53
|
$20,388.38
|
2026-01-01
|
|
709028257
|
CDM
|
Lhc/lv/cor/imaging
|
230
|
109
|
$25,861.00
|
$15,516.60
40% off
|
$534.00
|
$36,205.40
|
$20,300.89
|
2026-01-01
|
|
702152214
|
CDM
|
000000000000435297-component
|
245
|
112
|
$25,952.00
|
$15,571.20
40% off
|
$84.23
|
$36,332.80
|
$20,242.56
|
2026-01-01
|
|
709038230
|
CDM
|
Perc Neph Tube Change + IM Bi
|
235
|
105
|
$25,518.00
|
$15,310.80
40% off
|
$6,379.50
|
$35,725.20
|
$19,904.04
|
2026-01-01
|
|
702157021
|
CDM
|
000000000000497308-component
|
245
|
112
|
$24,653.00
|
$14,791.80
40% off
|
$362.89
|
$34,514.20
|
$19,229.34
|
2026-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
8
|
—
|
—
|
$17,561.53
|
$19,901.00
|
$19,089.59
|
2026-01-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
1
|
1
|
—
|
—
|
$18,680.26
|
$18,680.26
|
$18,680.26
|
2026-01-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
1
|
1
|
—
|
—
|
$18,680.26
|
$18,680.26
|
$18,680.26
|
2026-01-01
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
34
|
31
|
—
|
—
|
$468.23
|
$18,739.11
|
$18,653.18
|
2026-01-01
|
|
717038312
|
CDM
|
Lanreotide Acetate 120mg Inj
|
235
|
105
|
$23,905.00
|
$14,343.00
40% off
|
$5,976.25
|
$33,467.00
|
$18,645.90
|
2026-01-01
|
|
709029959
|
CDM
|
Vert Sel Wo/w Arch Uni
|
208
|
94
|
$23,121.00
|
$13,872.60
40% off
|
$5,780.25
|
$32,369.40
|
$18,496.80
|
2026-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
14
|
12
|
—
|
—
|
$15,311.00
|
$19,901.00
|
$18,360.00
|
2026-01-01
|
|
709038890
|
CDM
|
Pta Vein Initial +im
|
209
|
94
|
$22,939.00
|
$13,763.40
40% off
|
$5,734.75
|
$32,114.60
|
$18,351.20
|
2026-01-01
|
|
709038891
|
CDM
|
Pta Vein Ea Additional +im
|
209
|
94
|
$22,939.00
|
$13,763.40
40% off
|
$5,734.75
|
$32,114.60
|
$18,351.20
|
2026-01-01
|
|
709029955
|
CDM
|
Carotid Intr Sel Wo/w Arch Uni
|
208
|
94
|
$22,649.00
|
$13,589.40
40% off
|
$5,662.25
|
$31,708.60
|
$18,119.20
|
2026-01-01
|
|
709030365
|
CDM
|
Stent Bm Cor Brnch Addl Lc
|
235
|
105
|
$23,222.00
|
$13,933.20
40% off
|
$5,805.50
|
$32,510.80
|
$18,113.16
|
2026-01-01
|
|
702158883
|
CDM
|
000000000000105070-baseplate
|
245
|
112
|
$23,015.00
|
$13,809.00
40% off
|
$362.89
|
$32,221.00
|
$17,951.70
|
2026-01-01
|
|
709028251
|
CDM
|
Lhc/lv/imaging
|
219
|
101
|
$22,389.00
|
$13,433.40
40% off
|
$534.00
|
$31,344.60
|
$17,911.20
|
2026-01-01
|
|
702190020
|
CDM
|
000000000000583338-implant
|
245
|
112
|
$22,828.00
|
$13,696.80
40% off
|
$362.89
|
$31,959.20
|
$17,805.84
|
2026-01-01
|
|
709029953
|
CDM
|
Cc Intracran Sel Wo/w Arch Uni
|
208
|
94
|
$22,220.00
|
$13,332.00
40% off
|
$5,555.00
|
$31,108.00
|
$17,776.00
|
2026-01-01
|
|
933460247
|
CDM
|
000000000000170475-implant
|
245
|
112
|
$22,744.00
|
$13,646.40
40% off
|
$362.89
|
$31,841.60
|
$17,740.32
|
2026-01-01
|
|
702154183
|
CDM
|
000000000000564793-knee
|
245
|
112
|
$22,090.00
|
$13,254.00
40% off
|
$362.89
|
$30,926.00
|
$17,230.20
|
2026-01-01
|
|
702152736
|
CDM
|
000000000000575880-component
|
245
|
112
|
$22,090.00
|
$13,254.00
40% off
|
$362.89
|
$30,926.00
|
$17,230.20
|
2026-01-01
|
|
875539652
|
CDM
|
Implant Sub Q Event Monitor
|
209
|
94
|
$21,420.00
|
$12,852.00
40% off
|
$5,355.00
|
$29,988.00
|
$17,136.00
|
2026-01-01
|
|
709039652
|
CDM
|
Implant Sub Q Event Monitor
|
208
|
94
|
$21,420.00
|
$12,852.00
40% off
|
$5,355.00
|
$29,988.00
|
$17,136.00
|
2026-01-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
20
|
15
|
—
|
—
|
$13,965.00
|
$19,901.00
|
$17,048.26
|
2026-01-01
|
|
709038892
|
CDM
|
Fistulagram With Access +im
|
208
|
94
|
$21,156.00
|
$12,693.60
40% off
|
$5,289.00
|
$29,618.40
|
$16,924.80
|
2026-01-01
|
|
702160966
|
CDM
|
000000000000530183-component
|
245
|
112
|
$21,698.00
|
$13,018.80
40% off
|
$362.89
|
$30,377.20
|
$16,924.44
|
2026-01-01
|
|
702160527
|
CDM
|
000000000000453122-component
|
245
|
112
|
$21,606.00
|
$12,963.60
40% off
|
$362.89
|
$30,248.40
|
$16,852.68
|
2026-01-01
|
|
702151996
|
CDM
|
000000000000404155-spacer
|
232
|
110
|
$21,289.00
|
$12,773.40
40% off
|
$362.89
|
$29,804.60
|
$16,711.86
|
2026-01-01
|
|
717019153
|
CDM
|
Interfer B-1a 30mcg/0.5ml Psyr
|
217
|
102
|
$20,838.70
|
$12,503.22
40% off
|
$5,209.68
|
$29,174.18
|
$16,670.96
|
2026-01-01
|
|
709033525
|
CDM
|
Atherect + S&i Brachioceph
|
219
|
102
|
$20,761.00
|
$12,456.60
40% off
|
$5,190.25
|
$29,065.40
|
$16,608.80
|
2026-01-01
|
|
709028280
|
CDM
|
Atherectomy + S&i Iliac
|
219
|
102
|
$20,761.00
|
$12,456.60
40% off
|
$5,190.25
|
$29,065.40
|
$16,608.80
|
2026-01-01
|
|
702152000
|
CDM
|
000000000000404294-spacer
|
232
|
110
|
$21,289.00
|
$12,773.40
40% off
|
$362.89
|
$29,804.60
|
$16,605.42
|
2026-01-01
|
|
702146660
|
CDM
|
000000000000148254-femoral
|
245
|
112
|
$21,133.00
|
$12,679.80
40% off
|
$362.89
|
$29,586.20
|
$16,483.74
|
2026-01-01
|
|
702121024
|
CDM
|
000000000000072436-kit
|
245
|
112
|
$21,111.00
|
$12,666.60
40% off
|
$362.89
|
$29,555.40
|
$16,466.58
|
2026-01-01
|
|
702146657
|
CDM
|
000000000000202290-femoral
|
245
|
112
|
$20,994.00
|
$12,596.40
40% off
|
$362.89
|
$29,391.60
|
$16,375.32
|
2026-01-01
|
|
702160589
|
CDM
|
000000000000547734-component
|
245
|
112
|
$20,927.00
|
$12,556.20
40% off
|
$362.89
|
$29,297.80
|
$16,323.06
|
2026-01-01
|
|
709028171
|
CDM
|
Place Endovasc Vc Filter+im
|
209
|
94
|
$20,388.00
|
$12,232.80
40% off
|
$5,097.00
|
$28,543.20
|
$16,310.40
|
2026-01-01
|
|
54405
|
CPT
|
Insert Multi-comp Penis Pros
|
36
|
32
|
—
|
—
|
$267.98
|
$16,248.64
|
$16,248.64
|
2026-01-01
|
|
709028254
|
CDM
|
Angio Cor/grf/im/imag
|
230
|
109
|
$20,682.00
|
$12,409.20
40% off
|
$534.00
|
$28,954.80
|
$16,235.37
|
2026-01-01
|
|
717086187
|
CDM
|
Lanreotide Cipla 120mg/0.5ml Inj
|
221
|
103
|
$20,266.75
|
$12,160.05
40% off
|
$5,066.69
|
$28,373.45
|
$16,213.40
|
2026-01-01
|
|
709038238
|
CDM
|
Transhep Bili Drain Int/ext+im
|
208
|
94
|
$20,218.00
|
$12,130.80
40% off
|
$5,054.50
|
$28,305.20
|
$16,174.40
|
2026-01-01
|
|
709030341
|
CDM
|
Ptca Cor Branch Addl Ld
|
235
|
105
|
$20,733.00
|
$12,439.80
40% off
|
$5,183.25
|
$29,026.20
|
$16,171.74
|
2026-01-01
|
|
933493542
|
CDM
|
000000000001095334-matrix
|
222
|
103
|
$20,144.00
|
$12,086.40
40% off
|
$5,036.00
|
$28,201.60
|
$16,115.20
|
2026-01-01
|
|
702127121
|
CDM
|
000000000000492673-implant
|
245
|
112
|
$20,565.00
|
$12,339.00
40% off
|
$362.89
|
$28,791.00
|
$16,040.70
|
2026-01-01
|
|
702160549
|
CDM
|
000000000000490281-stem
|
245
|
112
|
$20,565.00
|
$12,339.00
40% off
|
$362.89
|
$28,791.00
|
$16,040.70
|
2026-01-01
|
|
717038350
|
CDM
|
Lanreotide Acetate 90mg Inj
|
235
|
105
|
$20,270.00
|
$12,162.00
40% off
|
$5,067.50
|
$28,378.00
|
$15,810.60
|
2026-01-01
|
|
717038995
|
CDM
|
Ustekinumab 45mg/0.5ml Syr
|
217
|
102
|
$19,709.61
|
$11,825.77
40% off
|
$4,927.40
|
$27,593.45
|
$15,767.69
|
2026-01-01
|
|
702131295
|
CDM
|
000000000000193285-component
|
245
|
112
|
$19,993.00
|
$11,995.80
40% off
|
$362.89
|
$27,990.20
|
$15,594.54
|
2026-01-01
|
|
709029951
|
CDM
|
Cc Cervical Sel Wo/w Arch Uni
|
208
|
94
|
$19,481.00
|
$11,688.60
40% off
|
$4,870.25
|
$27,273.40
|
$15,584.80
|
2026-01-01
|
|
702166429
|
CDM
|
000000000000598270-implant
|
232
|
110
|
$19,713.00
|
$11,827.80
40% off
|
$362.89
|
$27,598.20
|
$15,474.70
|
2026-01-01
|
|
702166430
|
CDM
|
000000000000598273-implant
|
232
|
110
|
$19,713.00
|
$11,827.80
40% off
|
$362.89
|
$27,598.20
|
$15,474.70
|
2026-01-01
|
|
702126158
|
CDM
|
000000000000412217-implant
|
245
|
112
|
$19,754.00
|
$11,852.40
40% off
|
$362.89
|
$27,655.60
|
$15,408.12
|
2026-01-01
|
|
702136506
|
CDM
|
000000000000125476-component
|
245
|
112
|
$19,754.00
|
$11,852.40
40% off
|
$362.89
|
$27,655.60
|
$15,408.12
|
2026-01-01
|
|
702166431
|
CDM
|
000000000000598274-implant
|
232
|
110
|
$19,713.00
|
$11,827.80
40% off
|
$362.89
|
$27,598.20
|
$15,376.14
|
2026-01-01
|
|
702156283
|
CDM
|
000000000000598272-implant
|
245
|
112
|
$19,713.00
|
$11,827.80
40% off
|
$362.89
|
$27,598.20
|
$15,376.14
|
2026-01-01
|
|
702154709
|
CDM
|
000000000000598271-implant
|
232
|
110
|
$19,713.00
|
$11,827.80
40% off
|
$362.89
|
$27,598.20
|
$15,376.14
|
2026-01-01
|
|
709038901
|
CDM
|
Embolization Dialysis Circuit
|
209
|
94
|
$19,178.00
|
$11,506.80
40% off
|
$4,794.50
|
$26,849.20
|
$15,342.40
|
2026-01-01
|
|
709032238
|
CDM
|
Embo Art/ven W/hemorrhage+im
|
209
|
94
|
$19,178.00
|
$11,506.80
40% off
|
$4,794.50
|
$26,849.20
|
$15,342.40
|
2026-01-01
|
|
709032234
|
CDM
|
Embo Venous Wo Hemorrhage+im
|
209
|
94
|
$19,178.00
|
$11,506.80
40% off
|
$4,794.50
|
$26,849.20
|
$15,342.40
|
2026-01-01
|
|
709032235
|
CDM
|
Embo Arterial Wo Hemorrhage+im
|
209
|
94
|
$19,178.00
|
$11,506.80
40% off
|
$4,794.50
|
$26,849.20
|
$15,342.40
|
2026-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
19
|
—
|
—
|
$13,400.00
|
$19,901.00
|
$15,311.00
|
2026-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
19
|
—
|
—
|
$13,400.00
|
$19,901.00
|
$15,311.00
|
2026-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
27
|
19
|
—
|
—
|
$13,400.00
|
$19,901.00
|
$15,311.00
|
2026-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
19
|
—
|
—
|
$13,400.00
|
$19,901.00
|
$15,311.00
|
2026-01-01
|
|
717039856
|
CDM
|
Atezolizumab 840mg/14ml Inj
|
235
|
105
|
$19,474.08
|
$11,684.45
40% off
|
$4,868.52
|
$27,263.71
|
$15,189.78
|
2026-01-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
28
|
20
|
—
|
—
|
$12,200.00
|
$19,901.00
|
$15,155.50
|
2026-01-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
20
|
—
|
—
|
$12,200.00
|
$19,901.00
|
$15,155.50
|
2026-01-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
20
|
—
|
—
|
$12,200.00
|
$19,901.00
|
$15,155.50
|
2026-01-01
|
|
709028253
|
CDM
|
Angio Cor Inj/imaging
|
229
|
109
|
$19,176.00
|
$11,505.60
40% off
|
$534.00
|
$26,846.40
|
$15,149.04
|
2026-01-01
|
|
709028173
|
CDM
|
Vc Filter Remov+fluoro/uls
|
209
|
94
|
$18,885.00
|
$11,331.00
40% off
|
$4,721.25
|
$26,439.00
|
$15,108.00
|
2026-01-01
|
|
933485070
|
CDM
|
000000000001028182-tray
|
245
|
112
|
$19,369.00
|
$11,621.40
40% off
|
$362.89
|
$27,116.60
|
$15,107.82
|
2026-01-01
|
|
717039176
|
CDM
|
Rituximab-hyaluronidase 13.4ml
|
217
|
102
|
$18,790.23
|
$11,274.14
40% off
|
$4,697.56
|
$26,306.32
|
$15,032.18
|
2026-01-01
|
|
933492478
|
CDM
|
000000000002038721-allograft
|
245
|
112
|
$19,239.00
|
$11,543.40
40% off
|
$362.89
|
$26,934.60
|
$15,006.42
|
2026-01-01
|
|
709029946
|
CDM
|
Perc Transcath Retrvl Of Fb+im
|
209
|
94
|
$18,689.00
|
$11,213.40
40% off
|
$4,672.25
|
$26,164.60
|
$14,951.20
|
2026-01-01
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
35
|
32
|
—
|
—
|
$551.74
|
$14,910.63
|
$14,910.63
|
2026-01-01
|
|
709020826
|
CDM
|
Renal Unilat Artgm Superselect
|
209
|
94
|
$18,558.00
|
$11,134.80
40% off
|
$4,639.50
|
$25,981.20
|
$14,846.40
|
2026-01-01
|
|
742065791
|
CDM
|
000000000000595643-xenograft
|
220
|
102
|
$18,486.00
|
$11,091.60
40% off
|
$4,621.50
|
$25,880.40
|
$14,788.80
|
2026-01-01
|
|
702121630
|
CDM
|
000000000000032065-graft
|
245
|
112
|
$18,947.00
|
$11,368.20
40% off
|
$362.89
|
$26,525.80
|
$14,778.66
|
2026-01-01
|
|
0617T
|
OTHER
|
Insj Iris Prosth W/rmvl&insj
|
20
|
20
|
—
|
—
|
$754.97
|
$14,751.66
|
$14,751.66
|
2026-01-01
|
|
933494705
|
CDM
|
000000000002326335-matrix
|
245
|
112
|
$18,853.00
|
$11,311.80
40% off
|
$362.89
|
$26,394.20
|
$14,705.34
|
2026-01-01
|
|
933495933
|
CDM
|
000000000002035466-nail
|
245
|
112
|
$18,667.00
|
$11,200.20
40% off
|
$362.89
|
$26,133.80
|
$14,560.26
|
2026-01-01
|
|
933484276
|
CDM
|
000000000002035559-nail
|
245
|
112
|
$18,667.00
|
$11,200.20
40% off
|
$362.89
|
$26,133.80
|
$14,560.26
|
2026-01-01
|
|
875551653
|
CDM
|
000000000000575110-recorder
|
245
|
112
|
$18,367.00
|
$11,020.20
40% off
|
$362.89
|
$25,713.80
|
$14,326.26
|
2026-01-01
|
|
709051653
|
CDM
|
000000000000575110-recorder
|
245
|
112
|
$18,367.00
|
$11,020.20
40% off
|
$362.89
|
$25,713.80
|
$14,326.26
|
2026-01-01
|
|
702151653
|
CDM
|
000000000000575110-recorder
|
245
|
112
|
$18,367.00
|
$11,020.20
40% off
|
$362.89
|
$25,713.80
|
$14,326.26
|
2026-01-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
23
|
—
|
—
|
$11,231.00
|
$19,901.00
|
$14,290.00
|
2026-01-01
|
|
709020824
|
CDM
|
Renal Unilat Artgm Selective
|
208
|
94
|
$17,829.00
|
$10,697.40
40% off
|
$4,457.25
|
$24,960.60
|
$14,263.20
|
2026-01-01
|
|
933411164
|
CDM
|
Surgery Level 9 1st Min
|
235
|
105
|
$18,223.00
|
$10,933.80
40% off
|
$4,555.75
|
$25,512.20
|
$14,213.94
|
2026-01-01
|
|
702111164
|
CDM
|
Surgery Level 9 1st Min
|
235
|
105
|
$18,223.00
|
$10,933.80
40% off
|
$4,555.75
|
$25,512.20
|
$14,213.94
|
2026-01-01
|
|
702160436
|
CDM
|
000000000000177706-head
|
245
|
112
|
$18,214.00
|
$10,928.40
40% off
|
$362.89
|
$25,499.60
|
$14,206.92
|
2026-01-01
|
|
702151906
|
CDM
|
000000000000211488-head
|
245
|
112
|
$18,214.00
|
$10,928.40
40% off
|
$84.23
|
$25,499.60
|
$14,206.92
|
2026-01-01
|
|
702146658
|
CDM
|
000000000000415081-femoral
|
245
|
112
|
$18,117.00
|
$10,870.20
40% off
|
$362.89
|
$25,363.80
|
$14,131.26
|
2026-01-01
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
40
|
26
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$14,127.50
|
2026-01-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
40
|
26
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$14,127.50
|
2026-01-01
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
40
|
26
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$14,127.50
|
2026-01-01
|
|
933492476
|
CDM
|
000000000002204674-anchor
|
245
|
112
|
$18,042.00
|
$10,825.20
40% off
|
$362.89
|
$25,258.80
|
$14,072.76
|
2026-01-01
|
|
0616T
|
OTHER
|
Insertion Of Iris Prosthesis
|
20
|
20
|
—
|
—
|
$1,035.90
|
$14,000.95
|
$14,000.95
|
2026-01-01
|
|
709032228
|
CDM
|
Renal Denervation Percutan Uni
|
219
|
102
|
$17,477.00
|
$10,486.20
40% off
|
$4,369.25
|
$24,467.80
|
$13,981.60
|
2026-01-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
370
|
MS_DRG
|
Major Esophageal Disorders Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
182
|
MS_DRG
|
Respiratory Neoplasms Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
38
|
MS_DRG
|
Extracranial Procedures With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
123
|
MS_DRG
|
Neurological Eye Disorders
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
102
|
MS_DRG
|
Headaches With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
142
|
MS_DRG
|
Major Head And Neck Procedures Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
39
|
MS_DRG
|
Extracranial Procedures Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
413
|
MS_DRG
|
Cholecystectomy With C.d.e. Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
121
|
MS_DRG
|
Acute Major Eye Infections With Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
156
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
136
|
MS_DRG
|
Sinus And Mastoid Procedures Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
262
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
284
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
376
|
MS_DRG
|
Digestive Malignancy Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
139
|
MS_DRG
|
Salivary Gland Procedures
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
241
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
39
|
25
|
—
|
—
|
$7,939.93
|
$19,901.00
|
$13,965.00
|
2026-01-01
|