|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
2
|
2
|
$143,321.42
|
$107,491.07
25% off
|
$143,321.42
|
$145,439.70
|
$144,380.56
|
2026-03-18
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
2
|
2
|
$129,706.83
|
$97,280.12
25% off
|
$67,564.35
|
$83,651.10
|
$75,607.73
|
2026-03-18
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
4
|
4
|
$51,731.70
|
$38,798.78
25% off
|
$13,611.15
|
$139,385.40
|
$61,361.33
|
2026-03-18
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
2
|
2
|
$75,004.15
|
$56,253.11
25% off
|
$51,855.30
|
$64,201.80
|
$58,028.55
|
2026-03-18
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
2
|
$125,116.64
|
$93,837.48
25% off
|
$48,263.25
|
$59,754.50
|
$54,008.88
|
2026-03-18
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
2
|
2
|
$72,858.91
|
$54,644.18
25% off
|
$47,761.35
|
$59,133.10
|
$53,447.22
|
2026-03-18
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
2
|
2
|
$108,591.55
|
$81,443.66
25% off
|
$30,579.15
|
$37,859.90
|
$34,219.53
|
2026-03-18
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
2
|
2
|
$65,534.21
|
$49,150.65
25% off
|
$30,137.10
|
$37,312.60
|
$33,724.85
|
2026-03-18
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
2
|
2
|
$19,693.71
|
$14,770.28
25% off
|
$19,693.71
|
$46,124.40
|
$32,909.06
|
2026-03-18
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
2
|
2
|
$68,743.82
|
$51,557.87
25% off
|
$28,861.35
|
$35,733.10
|
$32,297.22
|
2026-03-18
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
2
|
2
|
$70,623.81
|
$52,967.86
25% off
|
$27,930.00
|
$34,580.00
|
$31,255.00
|
2026-03-18
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
2
|
$28,137.83
|
$21,103.37
25% off
|
$28,137.83
|
$32,704.35
|
$30,421.09
|
2026-03-18
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
4
|
4
|
$19,044.05
|
$14,283.04
25% off
|
$18,440.10
|
$55,136.75
|
$30,190.32
|
2026-03-18
|
|
J9999
|
HCPCS
|
Not Otherwise Classified, Antineoplastic Drugs
|
22
|
22
|
$42,142.00
|
$31,606.50
25% off
|
$12,221.18
|
$42,142.00
|
$29,796.50
|
2026-03-18
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
2
|
2
|
$29,888.22
|
$22,416.17
25% off
|
$27,893.25
|
$29,888.22
|
$28,890.74
|
2026-03-18
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
2
|
2
|
$62,102.22
|
$46,576.66
25% off
|
$25,814.25
|
$31,960.50
|
$28,887.38
|
2026-03-18
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
2
|
$14,446.00
|
$10,834.50
25% off
|
$14,446.00
|
$37,923.90
|
$26,184.95
|
2026-03-18
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
3
|
3
|
$70,023.70
|
$52,517.78
25% off
|
$20,666.10
|
$157,677.40
|
$25,586.60
|
2026-03-18
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
2
|
2
|
$50,908.54
|
$38,181.41
25% off
|
$22,485.75
|
$27,839.50
|
$25,162.62
|
2026-03-18
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
2
|
2
|
$47,869.59
|
$35,902.20
25% off
|
$22,235.85
|
$27,530.10
|
$24,882.97
|
2026-03-18
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
2
|
2
|
$15,472.85
|
$11,604.64
25% off
|
$15,472.85
|
$33,966.45
|
$24,719.65
|
2026-03-18
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
2
|
2
|
$53,549.68
|
$40,162.26
25% off
|
$21,992.25
|
$27,228.50
|
$24,610.38
|
2026-03-18
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
2
|
2
|
$39,102.19
|
$29,326.64
25% off
|
$21,700.35
|
$26,867.10
|
$24,283.72
|
2026-03-18
|
|
J9334
|
HCPCS
|
Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc
|
21
|
21
|
$41,062.00
|
$30,796.50
25% off
|
$35.14
|
$39,830.14
|
$24,045.91
|
2026-03-18
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
$24,888.14
|
$18,666.11
25% off
|
$23,182.95
|
$24,888.14
|
$24,035.54
|
2026-03-18
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
2
|
2
|
$40,494.50
|
$30,370.88
25% off
|
$21,115.50
|
$26,143.00
|
$23,629.25
|
2026-03-18
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
2
|
2
|
$51,664.51
|
$38,748.38
25% off
|
$20,980.05
|
$25,975.30
|
$23,477.67
|
2026-03-18
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
2
|
2
|
$29,202.00
|
$21,901.50
25% off
|
$20,945.40
|
$25,932.40
|
$23,438.90
|
2026-03-18
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
3
|
3
|
$23,287.87
|
$17,465.90
25% off
|
$19,285.35
|
$49,068.37
|
$23,287.87
|
2026-03-18
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
2
|
2
|
$25,788.95
|
$19,341.71
25% off
|
$20,681.85
|
$25,606.10
|
$23,143.97
|
2026-03-18
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
2
|
2
|
$53,129.87
|
$39,847.40
25% off
|
$20,603.10
|
$25,508.60
|
$23,055.85
|
2026-03-18
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
2
|
2
|
$32,173.88
|
$24,130.41
25% off
|
$20,396.25
|
$25,252.50
|
$22,824.38
|
2026-03-18
|
|
J3357
|
HCPCS
|
Ustekinumab, For Subcutaneous Injection, 1 Mg
|
22
|
22
|
$70,629.00
|
$52,971.75
25% off
|
$85.03
|
$68,510.13
|
$22,760.19
|
2026-03-18
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
2
|
2
|
$83,725.28
|
$62,793.96
25% off
|
$20,253.45
|
$25,075.70
|
$22,664.58
|
2026-03-18
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
3
|
3
|
$15,342.09
|
$11,506.57
25% off
|
$15,342.09
|
$30,810.39
|
$22,456.35
|
2026-03-18
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
4
|
4
|
$15,567.07
|
$11,675.30
25% off
|
$10,741.50
|
$41,347.57
|
$22,394.66
|
2026-03-18
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
2
|
2
|
$105,240.40
|
$78,930.30
25% off
|
$19,815.60
|
$24,533.60
|
$22,174.60
|
2026-03-18
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
2
|
2
|
$48,811.97
|
$36,608.97
25% off
|
$19,265.40
|
$23,852.40
|
$21,558.90
|
2026-03-18
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
2
|
2
|
$72,724.35
|
$54,543.26
25% off
|
$19,194.00
|
$23,764.00
|
$21,479.00
|
2026-03-18
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
37
|
21
|
$74,000.00
|
$55,500.00
25% off
|
$18.61
|
$71,780.00
|
$21,460.00
|
2026-03-18
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
2
|
2
|
$18,503.28
|
$13,877.46
25% off
|
$18,503.28
|
$24,392.55
|
$21,447.92
|
2026-03-18
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
39
|
22
|
$88,668.00
|
$66,501.00
25% off
|
$190.15
|
$86,007.96
|
$21,381.63
|
2026-03-18
|
|
J9359
|
HCPCS
|
Injection, Loncastuximab Tesirine-lpyl, 0.075 Mg
|
21
|
21
|
$69,566.00
|
$52,174.50
25% off
|
$223.03
|
$67,479.02
|
$21,182.85
|
2026-03-18
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
$49,886.97
|
$37,415.22
25% off
|
$18,835.95
|
$23,320.70
|
$21,078.33
|
2026-03-18
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
2
|
2
|
$21,404.55
|
$16,053.41
25% off
|
$20,274.45
|
$21,404.55
|
$20,839.50
|
2026-03-18
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
2
|
2
|
$23,217.13
|
$17,412.84
25% off
|
$18,617.55
|
$23,050.30
|
$20,833.92
|
2026-03-18
|
|
144
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
2
|
2
|
$24,031.90
|
$18,023.93
25% off
|
$18,195.45
|
$22,527.70
|
$20,361.58
|
2026-03-18
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
2
|
2
|
$32,232.49
|
$24,174.36
25% off
|
$18,144.00
|
$22,464.00
|
$20,304.00
|
2026-03-18
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
2
|
2
|
$34,931.43
|
$26,198.57
25% off
|
$17,997.00
|
$22,282.00
|
$20,139.50
|
2026-03-18
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
2
|
2
|
$32,579.20
|
$24,434.40
25% off
|
$17,827.95
|
$22,072.70
|
$19,950.33
|
2026-03-18
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
2
|
2
|
$24,800.46
|
$18,600.35
25% off
|
$17,724.00
|
$21,944.00
|
$19,834.00
|
2026-03-18
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
2
|
2
|
$21,196.80
|
$15,897.60
25% off
|
$18,368.70
|
$21,196.80
|
$19,782.75
|
2026-03-18
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
2
|
2
|
$44,152.03
|
$33,114.02
25% off
|
$17,670.45
|
$21,877.70
|
$19,774.08
|
2026-03-18
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
2
|
2
|
$63,644.28
|
$47,733.21
25% off
|
$17,665.20
|
$21,871.20
|
$19,768.20
|
2026-03-18
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
2
|
2
|
$32,516.33
|
$24,387.24
25% off
|
$17,480.40
|
$21,642.40
|
$19,561.40
|
2026-03-18
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
2
|
2
|
$19,765.45
|
$14,824.09
25% off
|
$19,148.85
|
$19,765.45
|
$19,457.15
|
2026-03-18
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
2
|
2
|
$21,891.79
|
$16,418.84
25% off
|
$17,371.20
|
$21,507.20
|
$19,439.20
|
2026-03-18
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
2
|
2
|
$42,028.67
|
$31,521.50
25% off
|
$17,125.50
|
$21,203.00
|
$19,164.25
|
2026-03-18
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
$29,293.40
|
$21,970.05
25% off
|
$17,117.10
|
$21,192.60
|
$19,154.85
|
2026-03-18
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
2
|
2
|
$28,140.20
|
$21,105.15
25% off
|
$16,893.45
|
$20,915.70
|
$18,904.58
|
2026-03-18
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
2
|
2
|
$23,010.02
|
$17,257.52
25% off
|
$16,792.65
|
$20,790.90
|
$18,791.78
|
2026-03-18
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
2
|
2
|
$19,868.05
|
$14,901.04
25% off
|
$17,599.05
|
$19,868.05
|
$18,733.55
|
2026-03-18
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
2
|
2
|
$19,714.13
|
$14,785.59
25% off
|
$17,544.45
|
$19,714.13
|
$18,629.29
|
2026-03-18
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
2
|
2
|
$19,881.05
|
$14,910.79
25% off
|
$17,284.05
|
$19,881.05
|
$18,582.55
|
2026-03-18
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc/mcc
|
2
|
2
|
$18,795.68
|
$14,096.76
25% off
|
$18,106.20
|
$18,795.68
|
$18,450.94
|
2026-03-18
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
2
|
2
|
$24,301.03
|
$18,225.77
25% off
|
$16,468.20
|
$20,389.20
|
$18,428.70
|
2026-03-18
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
2
|
2
|
$31,826.37
|
$23,869.78
25% off
|
$16,408.35
|
$20,315.10
|
$18,361.72
|
2026-03-18
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
2
|
2
|
$22,998.40
|
$17,248.80
25% off
|
$16,364.25
|
$20,260.50
|
$18,312.38
|
2026-03-18
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
3
|
3
|
$8,748.13
|
$6,561.09
25% off
|
$8,748.13
|
$24,216.43
|
$18,302.08
|
2026-03-18
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
2
|
2
|
$23,234.81
|
$17,426.11
25% off
|
$16,207.80
|
$20,066.80
|
$18,137.30
|
2026-03-18
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
2
|
2
|
$43,484.01
|
$32,613.01
25% off
|
$16,117.50
|
$19,955.00
|
$18,036.25
|
2026-03-18
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
2
|
2
|
$42,398.14
|
$31,798.60
25% off
|
$15,892.80
|
$19,676.80
|
$17,784.80
|
2026-03-18
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
2
|
2
|
$19,439.25
|
$14,579.44
25% off
|
$16,092.30
|
$19,439.25
|
$17,765.78
|
2026-03-18
|
|
137
|
MS_DRG
|
Mouth Procedures With Cc/mcc
|
2
|
2
|
$22,669.55
|
$17,002.16
25% off
|
$15,678.60
|
$19,411.60
|
$17,545.10
|
2026-03-18
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
2
|
2
|
$26,172.18
|
$19,629.14
25% off
|
$15,612.45
|
$19,329.70
|
$17,471.08
|
2026-03-18
|
|
Q4116
|
HCPCS
|
Alloderm, Per Square Centimeter
|
22
|
22
|
$28,707.00
|
$21,530.25
25% off
|
$50.55
|
$27,845.79
|
$17,440.94
|
2026-03-18
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
2
|
2
|
$26,550.36
|
$19,912.77
25% off
|
$15,550.50
|
$19,253.00
|
$17,401.75
|
2026-03-18
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
2
|
2
|
$20,179.05
|
$15,134.29
25% off
|
$15,506.40
|
$19,198.40
|
$17,352.40
|
2026-03-18
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
3
|
3
|
$30,782.30
|
$23,086.73
25% off
|
$4,280.00
|
$21,443.50
|
$17,319.75
|
2026-03-18
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
22
|
22
|
$24,459.00
|
$18,344.25
25% off
|
$7,093.11
|
$24,459.00
|
$17,293.74
|
2026-03-18
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
3
|
3
|
$12,230.00
|
$9,172.50
25% off
|
$12,230.00
|
$31,337.90
|
$17,143.35
|
2026-03-18
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
2
|
2
|
$15,401.30
|
$11,550.98
25% off
|
$15,401.30
|
$18,844.35
|
$17,122.82
|
2026-03-18
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
2
|
2
|
$34,376.96
|
$25,782.72
25% off
|
$14,923.65
|
$18,476.90
|
$16,700.28
|
2026-03-18
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
22
|
22
|
$51,665.00
|
$38,748.75
25% off
|
$72.24
|
$50,115.05
|
$16,649.04
|
2026-03-18
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
2
|
2
|
$30,463.81
|
$22,847.85
25% off
|
$14,745.15
|
$18,255.90
|
$16,500.53
|
2026-03-18
|
|
J9289
|
HCPCS
|
Injection, Nivolumab, 2 Mg And Hyaluronidase-nvhy
|
21
|
21
|
$28,000.00
|
$21,000.00
25% off
|
$27.80
|
$27,160.00
|
$16,396.80
|
2026-03-18
|
|
383
|
MS_DRG
|
Uncomplicated Peptic Ulcer With Mcc
|
2
|
2
|
$45,377.70
|
$34,033.28
25% off
|
$14,497.35
|
$17,949.10
|
$16,223.22
|
2026-03-18
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
2
|
2
|
$58,843.11
|
$44,132.33
25% off
|
$14,422.80
|
$17,856.80
|
$16,139.80
|
2026-03-18
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
2
|
2
|
$35,766.44
|
$26,824.83
25% off
|
$14,340.90
|
$17,755.40
|
$16,048.15
|
2026-03-18
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
2
|
2
|
$16,030.60
|
$12,022.95
25% off
|
$16,015.65
|
$16,030.60
|
$16,023.12
|
2026-03-18
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc
|
2
|
2
|
$38,574.06
|
$28,930.54
25% off
|
$14,314.65
|
$17,722.90
|
$16,018.78
|
2026-03-18
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
2
|
2
|
$16,425.22
|
$12,318.92
25% off
|
$15,085.35
|
$16,425.22
|
$15,755.28
|
2026-03-18
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
2
|
2
|
$20,465.48
|
$15,349.11
25% off
|
$14,023.80
|
$17,362.80
|
$15,693.30
|
2026-03-18
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
2
|
2
|
$32,938.24
|
$24,703.68
25% off
|
$13,877.85
|
$17,182.10
|
$15,529.97
|
2026-03-18
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
3
|
3
|
$6,377.75
|
$4,783.31
25% off
|
$6,377.75
|
$15,931.70
|
$15,496.95
|
2026-03-18
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
3
|
3
|
$71,015.09
|
$53,261.32
25% off
|
$12,491.85
|
$143,200.49
|
$15,466.10
|
2026-03-18
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
2
|
2
|
$23,952.90
|
$17,964.67
25% off
|
$13,801.20
|
$17,087.20
|
$15,444.20
|
2026-03-18
|
|
1270005868
|
CDM
|
Pm0003935 Mangina Triflng Sz23
|
20
|
20
|
$23,875.00
|
$17,906.25
25% off
|
$6,923.75
|
$23,158.75
|
$15,322.97
|
2026-03-18
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
2
|
2
|
$21,824.19
|
$16,368.15
25% off
|
$13,479.90
|
$16,689.40
|
$15,084.65
|
2026-03-18
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
3
|
3
|
$24,367.02
|
$18,275.26
25% off
|
$12,183.15
|
$50,147.52
|
$15,083.90
|
2026-03-18
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
3
|
3
|
$14,996.65
|
$11,247.49
25% off
|
$13,328.70
|
$34,104.55
|
$14,996.65
|
2026-03-18
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
2
|
2
|
$18,976.01
|
$14,232.00
25% off
|
$13,317.15
|
$16,487.90
|
$14,902.53
|
2026-03-18
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
2
|
2
|
$42,360.75
|
$31,770.56
25% off
|
$13,027.35
|
$16,129.10
|
$14,578.23
|
2026-03-18
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
2
|
2
|
$33,693.05
|
$25,269.79
25% off
|
$12,971.70
|
$16,060.20
|
$14,515.95
|
2026-03-18
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
2
|
2
|
$17,308.50
|
$12,981.38
25% off
|
$12,700.80
|
$15,724.80
|
$14,212.80
|
2026-03-18
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
2
|
2
|
$32,228.99
|
$24,171.74
25% off
|
$12,642.00
|
$15,652.00
|
$14,147.00
|
2026-03-18
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
2
|
2
|
$19,851.75
|
$14,888.81
25% off
|
$12,456.15
|
$15,421.90
|
$13,939.02
|
2026-03-18
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
2
|
2
|
$10,779.00
|
$8,084.25
25% off
|
$10,779.00
|
$16,545.90
|
$13,662.45
|
2026-03-18
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
2
|
2
|
$28,242.91
|
$21,182.18
25% off
|
$12,019.35
|
$14,881.10
|
$13,450.23
|
2026-03-18
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
3
|
3
|
$25,310.80
|
$18,983.10
25% off
|
$10,744.65
|
$51,091.30
|
$13,302.90
|
2026-03-18
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
2
|
2
|
$39,549.65
|
$29,662.24
25% off
|
$11,876.55
|
$14,704.30
|
$13,290.42
|
2026-03-18
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
2
|
2
|
$8,499.14
|
$6,374.36
25% off
|
$8,499.14
|
$17,656.80
|
$13,077.97
|
2026-03-18
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
3
|
3
|
$12,348.82
|
$9,261.62
25% off
|
$12,348.82
|
$32,973.22
|
$13,029.45
|
2026-03-18
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
2
|
2
|
$27,438.98
|
$20,579.23
25% off
|
$11,630.85
|
$14,400.10
|
$13,015.48
|
2026-03-18
|
|
667
|
MS_DRG
|
Prostatectomy Without Cc/mcc
|
2
|
2
|
$15,639.44
|
$11,729.58
25% off
|
$11,615.10
|
$14,380.60
|
$12,997.85
|
2026-03-18
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
2
|
2
|
$19,170.48
|
$14,377.86
25% off
|
$11,491.20
|
$14,227.20
|
$12,859.20
|
2026-03-18
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
2
|
2
|
$38,575.57
|
$28,931.68
25% off
|
$11,376.75
|
$14,085.50
|
$12,731.12
|
2026-03-18
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
3
|
3
|
$19,690.10
|
$14,767.58
25% off
|
$10,248.00
|
$40,314.50
|
$12,688.00
|
2026-03-18
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
3
|
3
|
$19,031.88
|
$14,273.91
25% off
|
$10,093.65
|
$55,124.58
|
$12,496.90
|
2026-03-18
|
|
836
|
MS_DRG
|
Acute Leukemia Without Cc/mcc
|
2
|
2
|
$12,046.45
|
$9,034.84
25% off
|
$12,046.45
|
$12,804.75
|
$12,425.60
|
2026-03-18
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
2
|
2
|
$18,594.44
|
$13,945.83
25% off
|
$11,090.10
|
$13,730.60
|
$12,410.35
|
2026-03-18
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
2
|
2
|
$7,464.62
|
$5,598.46
25% off
|
$7,464.62
|
$17,018.57
|
$12,241.60
|
2026-03-18
|
|
J9316
|
HCPCS
|
Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg
|
39
|
22
|
$23,918.00
|
$17,938.50
25% off
|
$81.18
|
$34,719.21
|
$12,169.62
|
2026-03-18
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
2
|
2
|
$26,257.81
|
$19,693.36
25% off
|
$10,823.40
|
$13,400.40
|
$12,111.90
|
2026-03-18
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
2
|
2
|
$13,544.32
|
$10,158.24
25% off
|
$10,773.00
|
$13,338.00
|
$12,055.50
|
2026-03-18
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
2
|
2
|
$22,022.75
|
$16,517.06
25% off
|
$10,762.50
|
$13,325.00
|
$12,043.75
|
2026-03-18
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
2
|
2
|
$21,004.60
|
$15,753.45
25% off
|
$10,720.50
|
$13,273.00
|
$11,996.75
|
2026-03-18
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
2
|
2
|
$15,294.36
|
$11,470.77
25% off
|
$10,705.80
|
$13,254.80
|
$11,980.30
|
2026-03-18
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
2
|
2
|
$16,816.40
|
$12,612.30
25% off
|
$10,657.50
|
$13,195.00
|
$11,926.25
|
2026-03-18
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
3
|
3
|
$12,972.95
|
$9,729.71
25% off
|
$9,623.25
|
$33,597.35
|
$11,914.50
|
2026-03-18
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
2
|
2
|
$27,957.76
|
$20,968.32
25% off
|
$10,608.15
|
$13,133.90
|
$11,871.02
|
2026-03-18
|
|
102
|
MS_DRG
|
Headaches With Mcc
|
2
|
2
|
$11,895.80
|
$8,921.85
25% off
|
$11,769.45
|
$11,895.80
|
$11,832.62
|
2026-03-18
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
3
|
3
|
$15,717.28
|
$11,787.96
25% off
|
$9,517.20
|
$36,341.68
|
$11,783.20
|
2026-03-18
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
3
|
3
|
$34,180.99
|
$25,635.74
25% off
|
$4,280.00
|
$14,518.40
|
$11,726.40
|
2026-03-18
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
2
|
2
|
$6,282.75
|
$4,712.06
25% off
|
$6,282.75
|
$16,824.15
|
$11,553.45
|
2026-03-18
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
2
|
2
|
$22,196.60
|
$16,647.45
25% off
|
$10,297.35
|
$12,749.10
|
$11,523.23
|
2026-03-18
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
2
|
2
|
$22,368.43
|
$16,776.32
25% off
|
$10,231.20
|
$12,667.20
|
$11,449.20
|
2026-03-18
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
2
|
2
|
$20,314.62
|
$15,235.96
25% off
|
$10,197.60
|
$12,625.60
|
$11,411.60
|
2026-03-18
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
2
|
2
|
$24,121.93
|
$18,091.45
25% off
|
$10,135.65
|
$12,548.90
|
$11,342.27
|
2026-03-18
|
|
141500238
|
CDM
|
RAMUCIRUMA(CYRAM)500MG/50mlVL
|
20
|
20
|
$17,656.00
|
$13,242.00
25% off
|
$5,120.24
|
$17,126.32
|
$11,331.62
|
2026-03-18
|
|
756
|
MS_DRG
|
Malignancy, Female Reproductive System Without Cc/mcc
|
2
|
2
|
$14,942.23
|
$11,206.67
25% off
|
$10,085.25
|
$12,486.50
|
$11,285.88
|
2026-03-18
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
3
|
3
|
$40,167.59
|
$30,125.69
25% off
|
$4,280.00
|
$13,781.30
|
$11,131.05
|
2026-03-18
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
2
|
2
|
$18,350.10
|
$13,762.58
25% off
|
$9,881.55
|
$12,234.30
|
$11,057.92
|
2026-03-18
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
2
|
2
|
$19,235.87
|
$14,426.90
25% off
|
$9,824.85
|
$12,164.10
|
$10,994.48
|
2026-03-18
|
|
J1628
|
HCPCS
|
Injection, Guselkumab, 1 Mg
|
22
|
22
|
$34,100.75
|
$25,575.56
25% off
|
$76.47
|
$33,077.73
|
$10,988.97
|
2026-03-18
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
3
|
3
|
$30,125.59
|
$22,594.20
25% off
|
$8,832.60
|
$61,062.19
|
$10,935.60
|
2026-03-18
|
|
547
|
MS_DRG
|
Connective Tissue Disorders Without Cc/mcc
|
3
|
3
|
$17,330.04
|
$12,997.53
25% off
|
$8,780.10
|
$37,954.44
|
$10,870.60
|
2026-03-18
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
2
|
2
|
$19,193.91
|
$14,395.43
25% off
|
$9,641.10
|
$11,936.60
|
$10,788.85
|
2026-03-18
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
2
|
2
|
$25,623.60
|
$19,217.70
25% off
|
$9,618.00
|
$11,908.00
|
$10,763.00
|
2026-03-18
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
3
|
3
|
$15,208.00
|
$11,406.00
25% off
|
$8,517.60
|
$30,676.30
|
$10,545.60
|
2026-03-18
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
2
|
2
|
$17,901.38
|
$13,426.04
25% off
|
$9,410.10
|
$11,650.60
|
$10,530.35
|
2026-03-18
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
2
|
2
|
$10,803.58
|
$8,102.68
25% off
|
$10,251.15
|
$10,803.58
|
$10,527.36
|
2026-03-18
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
3
|
3
|
$17,602.27
|
$13,201.70
25% off
|
$8,499.75
|
$38,226.67
|
$10,523.50
|
2026-03-18
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
$61,534.55
|
$46,150.91
25% off
|
$9,402.75
|
$11,641.50
|
$10,522.12
|
2026-03-18
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
2
|
2
|
$22,057.00
|
$16,542.75
25% off
|
$9,378.60
|
$11,611.60
|
$10,495.10
|
2026-03-18
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
2
|
2
|
$5,703.47
|
$4,277.61
25% off
|
$5,703.47
|
$15,257.42
|
$10,480.44
|
2026-03-18
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
2
|
2
|
$31,535.65
|
$23,651.74
25% off
|
$9,320.85
|
$11,540.10
|
$10,430.48
|
2026-03-18
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
3
|
3
|
$14,685.31
|
$11,013.98
25% off
|
$8,405.25
|
$36,977.86
|
$10,406.50
|
2026-03-18
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
2
|
2
|
$13,062.23
|
$9,796.67
25% off
|
$9,269.40
|
$11,476.40
|
$10,372.90
|
2026-03-18
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
2
|
2
|
$18,322.31
|
$13,741.73
25% off
|
$9,195.90
|
$11,385.40
|
$10,290.65
|
2026-03-18
|
|
550
|
MS_DRG
|
Septic Arthritis Without Cc/mcc
|
2
|
2
|
$33,786.85
|
$25,340.14
25% off
|
$9,178.05
|
$11,363.30
|
$10,270.67
|
2026-03-18
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
3
|
3
|
$18,533.31
|
$13,899.98
25% off
|
$8,292.90
|
$39,157.71
|
$10,267.40
|
2026-03-18
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
2
|
2
|
$19,855.00
|
$14,891.25
25% off
|
$9,151.80
|
$11,330.80
|
$10,241.30
|
2026-03-18
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
2
|
2
|
$29,608.30
|
$22,206.22
25% off
|
$9,144.45
|
$11,321.70
|
$10,233.08
|
2026-03-18
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
3
|
3
|
$34,672.71
|
$26,004.53
25% off
|
$4,280.00
|
$12,464.40
|
$10,067.40
|
2026-03-18
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
3
|
3
|
$31,660.20
|
$23,745.15
25% off
|
$4,280.00
|
$12,451.40
|
$10,056.90
|
2026-03-18
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
2
|
2
|
$7,377.87
|
$5,533.40
25% off
|
$7,377.87
|
$12,626.25
|
$10,002.06
|
2026-03-18
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
2
|
2
|
$16,371.32
|
$12,278.49
25% off
|
$8,914.50
|
$11,037.00
|
$9,975.75
|
2026-03-18
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
2
|
2
|
$26,775.72
|
$20,081.79
25% off
|
$8,851.50
|
$10,959.00
|
$9,905.25
|
2026-03-18
|
|
747
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures Without Cc/mcc
|
2
|
2
|
$10,859.20
|
$8,144.40
25% off
|
$8,814.75
|
$10,859.20
|
$9,836.98
|
2026-03-18
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
2
|
2
|
$20,994.70
|
$15,746.03
25% off
|
$8,721.30
|
$10,797.80
|
$9,759.55
|
2026-03-18
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
2
|
2
|
$20,483.13
|
$15,362.35
25% off
|
$8,686.65
|
$10,754.90
|
$9,720.77
|
2026-03-18
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
2
|
2
|
$7,685.50
|
$5,764.13
25% off
|
$7,685.50
|
$11,542.65
|
$9,614.08
|
2026-03-18
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
2
|
2
|
$14,982.87
|
$11,237.15
25% off
|
$8,479.80
|
$10,498.80
|
$9,489.30
|
2026-03-18
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
2
|
2
|
$21,793.17
|
$16,344.87
25% off
|
$8,477.70
|
$10,496.20
|
$9,486.95
|
2026-03-18
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
2
|
2
|
$22,526.02
|
$16,894.51
25% off
|
$8,461.95
|
$10,476.70
|
$9,469.33
|
2026-03-18
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
2
|
2
|
$17,133.92
|
$12,850.44
25% off
|
$8,452.50
|
$10,465.00
|
$9,458.75
|
2026-03-18
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
2
|
2
|
$17,933.63
|
$13,450.22
25% off
|
$8,387.40
|
$10,384.40
|
$9,385.90
|
2026-03-18
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
2
|
2
|
$11,949.05
|
$8,961.79
25% off
|
$8,361.15
|
$10,351.90
|
$9,356.52
|
2026-03-18
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
22
|
22
|
$28,982.00
|
$21,736.50
25% off
|
$101.41
|
$28,112.54
|
$9,339.45
|
2026-03-18
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
22
|
22
|
$28,977.00
|
$21,732.75
25% off
|
$34.00
|
$28,107.69
|
$9,337.84
|
2026-03-18
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
2
|
2
|
$19,223.67
|
$14,417.75
25% off
|
$8,185.80
|
$10,134.80
|
$9,160.30
|
2026-03-18
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
2
|
2
|
$16,893.50
|
$12,670.13
25% off
|
$8,171.10
|
$10,116.60
|
$9,143.85
|
2026-03-18
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
4
|
4
|
$5,863.87
|
$4,397.90
25% off
|
$5,490.45
|
$16,176.07
|
$9,048.52
|
2026-03-18
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
39
|
22
|
$10,407.00
|
$7,805.25
25% off
|
$43.19
|
$29,989.49
|
$8,965.93
|
2026-03-18
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
39
|
22
|
$9,604.00
|
$7,203.00
25% off
|
$139.59
|
$42,646.05
|
$8,931.72
|
2026-03-18
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
3
|
3
|
$14,205.07
|
$10,653.80
25% off
|
$7,186.20
|
$34,829.47
|
$8,897.20
|
2026-03-18
|
|
127004074
|
CDM
|
Stimulator Bone
|
20
|
20
|
$13,855.00
|
$10,391.25
25% off
|
$4,017.95
|
$13,439.35
|
$8,892.14
|
2026-03-18
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
2
|
2
|
$9,486.75
|
$7,115.06
25% off
|
$8,258.25
|
$9,486.75
|
$8,872.50
|
2026-03-18
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
2
|
2
|
$16,896.88
|
$12,672.66
25% off
|
$7,928.55
|
$9,816.30
|
$8,872.42
|
2026-03-18
|
|
76
|
MS_DRG
|
Viral Meningitis Without Cc/mcc
|
2
|
2
|
$12,160.82
|
$9,120.62
25% off
|
$7,862.40
|
$9,734.40
|
$8,798.40
|
2026-03-18
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
3
|
3
|
$8,783.30
|
$6,587.48
25% off
|
$7,927.50
|
$19,095.50
|
$8,783.30
|
2026-03-18
|
|
66174
|
HCPCS
|
Dilation Of Fluid Outflow Drainage Within Eye
|
22
|
22
|
$12,311.00
|
$9,233.25
25% off
|
$3,570.19
|
$12,311.00
|
$8,704.50
|
2026-03-18
|
|
66180
|
HCPCS
|
Creation Of Shunt To Improve Eye Fluid Flow Using Tissue Graft
|
22
|
22
|
$12,311.00
|
$9,233.25
25% off
|
$3,570.19
|
$12,311.00
|
$8,704.50
|
2026-03-18
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
2
|
2
|
$19,078.63
|
$14,308.97
25% off
|
$7,751.10
|
$9,596.60
|
$8,673.85
|
2026-03-18
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
2
|
2
|
$19,474.55
|
$14,605.92
25% off
|
$7,724.85
|
$9,564.10
|
$8,644.48
|
2026-03-18
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
2
|
2
|
$19,291.80
|
$14,468.85
25% off
|
$7,592.55
|
$9,400.30
|
$8,496.42
|
2026-03-18
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
22
|
22
|
$10,272.00
|
$7,704.00
25% off
|
$2,978.88
|
$10,272.00
|
$8,474.40
|
2026-03-18
|
|
198
|
MS_DRG
|
Interstitial Lung Disease Without Cc/mcc
|
2
|
2
|
$35,626.95
|
$26,720.21
25% off
|
$7,520.10
|
$9,310.60
|
$8,415.35
|
2026-03-18
|
|
127005736
|
CDM
|
Graft Vivigen F Bone Matrix
|
20
|
20
|
$13,100.00
|
$9,825.00
25% off
|
$3,799.00
|
$12,707.00
|
$8,407.58
|
2026-03-18
|
|
J2329
|
HCPCS
|
Injection, Ublituximab-xiiy, 1mg
|
21
|
21
|
$27,582.80
|
$20,687.10
25% off
|
$77.77
|
$26,755.32
|
$8,398.96
|
2026-03-18
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
2
|
2
|
$7,996.00
|
$5,997.00
25% off
|
$7,996.00
|
$8,440.95
|
$8,218.48
|
2026-03-18
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
2
|
2
|
$11,297.53
|
$8,473.14
25% off
|
$7,153.65
|
$8,856.90
|
$8,005.27
|
2026-03-18
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
2
|
2
|
$7,344.47
|
$5,508.35
25% off
|
$7,344.47
|
$8,464.05
|
$7,904.26
|
2026-03-18
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
3
|
3
|
$20,040.64
|
$15,030.48
25% off
|
$2,098.00
|
$11,331.60
|
$7,850.00
|
2026-03-18
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
3
|
3
|
$15,742.78
|
$11,807.09
25% off
|
$2,098.00
|
$7,917.00
|
$7,850.00
|
2026-03-18
|
|
798
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
3
|
3
|
$24,593.50
|
$18,445.13
25% off
|
$2,098.00
|
$10,049.55
|
$7,850.00
|
2026-03-18
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
3
|
3
|
$14,063.72
|
$10,547.79
25% off
|
$2,098.00
|
$11,251.80
|
$7,850.00
|
2026-03-18
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
2
|
2
|
$5,559.30
|
$4,169.48
25% off
|
$5,559.30
|
$10,114.65
|
$7,836.98
|
2026-03-18
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
2
|
2
|
$34,414.58
|
$25,810.93
25% off
|
$6,814.50
|
$8,437.00
|
$7,625.75
|
2026-03-18
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
22
|
22
|
$23,579.00
|
$17,684.25
25% off
|
$61.67
|
$22,871.63
|
$7,598.34
|
2026-03-18
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
3
|
3
|
$7,565.17
|
$5,673.88
25% off
|
$7,228.20
|
$17,877.37
|
$7,565.17
|
2026-03-18
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
2
|
2
|
$23,205.75
|
$17,404.31
25% off
|
$6,741.00
|
$8,346.00
|
$7,543.50
|
2026-03-18
|
|
779
|
MS_DRG
|
Abortion Without D&c
|
3
|
3
|
$4,706.20
|
$3,529.65
25% off
|
$4,706.20
|
$9,862.30
|
$7,487.55
|
2026-03-18
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
2
|
2
|
$11,445.26
|
$8,583.95
25% off
|
$6,619.20
|
$8,195.20
|
$7,407.20
|
2026-03-18
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
2
|
2
|
$16,327.09
|
$12,245.32
25% off
|
$6,599.25
|
$8,170.50
|
$7,384.88
|
2026-03-18
|
|
950
|
MS_DRG
|
Aftercare Without Cc/mcc
|
2
|
2
|
$8,828.25
|
$6,621.19
25% off
|
$6,590.85
|
$8,160.10
|
$7,375.48
|
2026-03-18
|
|
297
|
MS_DRG
|
Cardiac Arrest, Unexplained With Cc
|
2
|
2
|
$24,035.25
|
$18,026.44
25% off
|
$6,546.75
|
$8,105.50
|
$7,326.12
|
2026-03-18
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
2
|
2
|
$16,234.40
|
$12,175.80
25% off
|
$6,524.70
|
$8,078.20
|
$7,301.45
|
2026-03-18
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
2
|
2
|
$10,227.44
|
$7,670.58
25% off
|
$6,522.60
|
$8,075.60
|
$7,299.10
|
2026-03-18
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
2
|
2
|
$6,244.15
|
$4,683.11
25% off
|
$6,244.15
|
$8,067.15
|
$7,155.65
|
2026-03-18
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
3
|
3
|
$15,887.07
|
$11,915.31
25% off
|
$2,098.00
|
$7,850.00
|
$7,079.10
|
2026-03-18
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
22
|
22
|
$21,501.00
|
$16,125.75
25% off
|
$31.08
|
$20,855.97
|
$6,928.69
|
2026-03-18
|
|
Q4176
|
HCPCS
|
Neopatch Or Therion, Per Square Centimeter
|
22
|
22
|
$11,336.00
|
$8,502.00
25% off
|
$50.55
|
$10,995.92
|
$6,887.18
|
2026-03-18
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
3
|
3
|
$4,550.69
|
$3,413.02
25% off
|
$4,550.69
|
$10,919.99
|
$6,874.35
|
2026-03-18
|
|
J9311
|
HCPCS
|
Injection, Rituximab 10 Mg And Hyaluronidase
|
22
|
22
|
$20,838.00
|
$15,628.50
25% off
|
$49.32
|
$20,212.86
|
$6,715.05
|
2026-03-18
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
22
|
22
|
$20,769.00
|
$15,576.75
25% off
|
$216.56
|
$20,145.93
|
$6,692.81
|
2026-03-18
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
2
|
2
|
$13,399.88
|
$10,049.91
25% off
|
$5,944.05
|
$7,359.30
|
$6,651.68
|
2026-03-18
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
2
|
2
|
$18,332.98
|
$13,749.74
25% off
|
$5,943.00
|
$7,358.00
|
$6,650.50
|
2026-03-18
|
|
66991
|
HCPCS
|
Extracapsular Removal Of Cataract With Insertion Of Artificial Lens And Insertio…
|
21
|
21
|
$10,136.00
|
$7,602.00
25% off
|
$2,939.44
|
$10,136.00
|
$6,629.96
|
2026-03-18
|
|
J1438
|
HCPCS
|
Injection, Etanercept, 25 Mg (code May Be Used For Medicare When Drug Administer…
|
22
|
22
|
$20,034.15
|
$15,025.61
25% off
|
$1,070.69
|
$19,433.13
|
$6,456.00
|
2026-03-18
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
2
|
2
|
$16,376.19
|
$12,282.15
25% off
|
$5,712.00
|
$7,072.00
|
$6,392.00
|
2026-03-18
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
56
|
22
|
$12,870.00
|
$9,652.50
25% off
|
$209.04
|
$17,560.88
|
$6,291.17
|
2026-03-18
|
|
C1747
|
HCPCS
|
Endoscope, Single-use (i.e. Disposable), Urinary Tract, Imaging/illumination Dev…
|
21
|
21
|
$9,500.00
|
$7,125.00
25% off
|
$2,755.00
|
$9,500.00
|
$6,213.95
|
2026-03-18
|
|
127004535
|
CDM
|
Prosthesis Rosenfeld
|
20
|
20
|
$9,648.00
|
$7,236.00
25% off
|
$2,797.92
|
$9,358.56
|
$6,192.09
|
2026-03-18
|
|
127005412
|
CDM
|
Osteochondral Allograft Zimmer
|
20
|
20
|
$9,637.00
|
$7,227.75
25% off
|
$2,794.73
|
$9,347.89
|
$6,185.02
|
2026-03-18
|
|
977
|
MS_DRG
|
HIV With Or Without Other Related Condition
|
2
|
2
|
$3,594.86
|
$2,696.15
25% off
|
$3,594.86
|
$8,750.96
|
$6,172.91
|
2026-03-18
|
|
J0870
|
HCPCS
|
Injection, Imetelstat, 1 Mg
|
59
|
21
|
$10,500.00
|
$7,875.00
25% off
|
$58.14
|
$35,890.00
|
$6,148.80
|
2026-03-18
|
|
65820
|
HCPCS
|
Incision To Improve Eye Fluid Flow
|
22
|
22
|
$9,540.00
|
$7,155.00
25% off
|
$2,766.60
|
$9,540.00
|
$6,122.77
|
2026-03-18
|
|
81455
|
HCPCS
|
Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen…
|
20
|
20
|
$9,475.00
|
$7,106.25
25% off
|
$2,747.75
|
$9,475.00
|
$6,081.06
|
2026-03-18
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
22
|
22
|
$18,347.00
|
$13,760.25
25% off
|
$94.50
|
$17,796.59
|
$5,912.32
|
2026-03-18
|
|
52648
|
HCPCS
|
Complete Laser Vaporization Of Prostate Including Control Of Bleeding Using An E…
|
39
|
22
|
$20,172.00
|
$15,129.00
25% off
|
$30.00
|
$20,172.00
|
$5,849.88
|
2026-03-18
|
|
127005718
|
CDM
|
Trabecular Knee Arthro Wedge
|
20
|
20
|
$9,040.00
|
$6,780.00
25% off
|
$2,621.60
|
$8,768.80
|
$5,801.87
|
2026-03-18
|
|
J0139
|
HCPCS
|
Injection, Adalimumab, 1 Mg
|
40
|
21
|
$8,586.95
|
$6,440.21
25% off
|
$90.86
|
$11,640.00
|
$5,766.36
|
2026-03-18
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
22
|
22
|
$9,134.00
|
$6,850.50
25% off
|
$2,648.86
|
$9,134.00
|
$5,732.91
|
2026-03-18
|
|
33210
|
HCPCS
|
Insertion Of Temporary Pacemaker Lead In Single Heart Chamber
|
21
|
21
|
$8,524.00
|
$6,393.00
25% off
|
$2,471.96
|
$8,524.00
|
$5,575.55
|
2026-03-18
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
22
|
22
|
$16,695.00
|
$12,521.25
25% off
|
$32.76
|
$16,194.15
|
$5,379.97
|
2026-03-18
|
|
J9356
|
HCPCS
|
Injection, Trastuzumab, 10 Mg And Hyaluronidase-oysk
|
22
|
22
|
$16,500.00
|
$12,375.00
25% off
|
$81.82
|
$16,005.00
|
$5,317.12
|
2026-03-18
|
|
127005675
|
CDM
|
Aequalis Prx Body 9d
|
20
|
20
|
$8,179.00
|
$6,134.25
25% off
|
$2,371.91
|
$7,933.63
|
$5,249.28
|
2026-03-18
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
22
|
22
|
$7,430.00
|
$5,572.50
25% off
|
$2,154.70
|
$7,430.00
|
$5,239.98
|
2026-03-18
|
|
A9586
|
HCPCS
|
Florbetapir F18, Diagnostic, Per Study Dose, Up To 10 Millicuries
|
22
|
22
|
$6,848.00
|
$5,136.00
25% off
|
$1,680.00
|
$6,642.56
|
$5,238.72
|
2026-03-18
|
|
1270005852
|
CDM
|
Operating Room Services - General Classification
|
19
|
19
|
$8,062.00
|
$6,046.50
25% off
|
$2,337.98
|
$7,820.14
|
$5,075.03
|
2026-03-18
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
22
|
22
|
$15,330.00
|
$11,497.50
25% off
|
$174.24
|
$14,870.10
|
$4,940.09
|
2026-03-18
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
22
|
22
|
$15,195.00
|
$11,396.25
25% off
|
$63.16
|
$14,739.15
|
$4,896.59
|
2026-03-18
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
37
|
21
|
$14,068.00
|
$10,551.00
25% off
|
$188.56
|
$13,968.97
|
$4,896.34
|
2026-03-18
|
|
50590
|
HCPCS
|
Shock Wave Crushing Of Kidney Stones
|
38
|
22
|
$16,873.00
|
$12,654.75
25% off
|
$30.00
|
$16,873.00
|
$4,893.17
|
2026-03-18
|
|
127005213
|
CDM
|
Liner 28mm I.d.
|
20
|
20
|
$7,543.00
|
$5,657.25
25% off
|
$2,187.47
|
$7,316.71
|
$4,841.10
|
2026-03-18
|
|
127005367
|
CDM
|
Cruciate Ste R Sze 10
|
20
|
20
|
$7,502.00
|
$5,626.50
25% off
|
$2,175.58
|
$7,276.94
|
$4,814.78
|
2026-03-18
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
1
|
1
|
$4,727.87
|
$3,545.90
25% off
|
$4,727.87
|
$4,727.87
|
$4,727.87
|
2026-03-18
|
|
127005676
|
CDM
|
Distal Stem Dia9x90
|
20
|
20
|
$7,363.00
|
$5,522.25
25% off
|
$2,135.27
|
$7,142.11
|
$4,725.58
|
2026-03-18
|
|
127005487
|
CDM
|
Scp Cmpl F&a Kit 5cc
|
20
|
20
|
$7,361.00
|
$5,520.75
25% off
|
$2,134.69
|
$7,140.17
|
$4,724.29
|
2026-03-18
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
22
|
22
|
$14,645.00
|
$10,983.75
25% off
|
$190.22
|
$14,205.65
|
$4,719.35
|
2026-03-18
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
22
|
22
|
$14,570.00
|
$10,927.50
25% off
|
$17.05
|
$14,132.90
|
$4,695.18
|
2026-03-18
|
|
127005717
|
CDM
|
Ar-8959tds Plate Implant Sys
|
20
|
20
|
$7,314.00
|
$5,485.50
25% off
|
$2,121.06
|
$7,094.58
|
$4,694.12
|
2026-03-18
|
|
66825
|
HCPCS
|
Repositioning Of Lens Prosthesis
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
65930
|
HCPCS
|
Removal Of Blood Clot Of Eye
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
65815
|
HCPCS
|
Removal Of Blood From Eye
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
66850
|
HCPCS
|
Aspiration Of Lens Material By Fragmenting And Aspiration
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
66985
|
HCPCS
|
Insertion Of Prosthetic Lens
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
66840
|
HCPCS
|
Aspiration Of Lens Material By Aspiration
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
66986
|
HCPCS
|
Exchange Of Prosthetic Lens
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,609.97
|
2026-03-18
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
22
|
22
|
$14,192.00
|
$10,644.00
25% off
|
$25.97
|
$13,766.24
|
$4,573.37
|
2026-03-18
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
22
|
22
|
$14,188.00
|
$10,641.00
25% off
|
$11.15
|
$13,762.36
|
$4,572.09
|
2026-03-18
|
|
J9295
|
HCPCS
|
Injection, Necitumumab, 1 Mg
|
22
|
22
|
$14,163.00
|
$10,622.25
25% off
|
$5.68
|
$13,738.11
|
$4,564.02
|
2026-03-18
|
|
Q5136
|
HCPCS
|
Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg
|
42
|
21
|
$8,050.00
|
$6,037.50
25% off
|
$1,566.00
|
$10,700.00
|
$4,455.00
|
2026-03-18
|
|
127005636
|
CDM
|
Relja Mis Bunion Sys
|
20
|
20
|
$6,908.00
|
$5,181.00
25% off
|
$2,003.32
|
$6,700.76
|
$4,433.56
|
2026-03-18
|
|
323570487
|
CDM
|
Colectomy,prtl;w Clprctsc-md
|
6
|
6
|
$5,857.00
|
$4,392.75
25% off
|
$2,342.80
|
$5,271.30
|
$4,392.75
|
2026-03-18
|
|
84394
|
HCPCS
|
Test For Total Tau Protein
|
22
|
22
|
$6,200.00
|
$4,650.00
25% off
|
$1,798.00
|
$7,993.04
|
$4,383.71
|
2026-03-18
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
56
|
22
|
$8,744.00
|
$6,558.00
25% off
|
$37.83
|
$8,536.00
|
$4,324.59
|
2026-03-18
|
|
C9363
|
HCPCS
|
Skin Substitute, Integra Meshed Bilayer Wound Matrix, Per Square Centimeter
|
22
|
22
|
$6,089.00
|
$4,566.75
25% off
|
$1,765.81
|
$6,089.00
|
$4,305.23
|
2026-03-18
|
|
323570486
|
CDM
|
Colectomy,partial-md
|
6
|
6
|
$5,696.00
|
$4,272.00
25% off
|
$2,278.40
|
$5,126.40
|
$4,272.00
|
2026-03-18
|
|
Q4150
|
HCPCS
|
Allowrap Ds Or Dry, Per Square Centimeter
|
22
|
22
|
$6,989.00
|
$5,241.75
25% off
|
$50.55
|
$6,779.33
|
$4,246.17
|
2026-03-18
|
|
C9364
|
HCPCS
|
Porcine Implant, Permacol, Per Square Centimeter
|
22
|
22
|
$5,991.00
|
$4,493.25
25% off
|
$1,737.39
|
$5,991.00
|
$4,235.93
|
2026-03-18
|
|
127005780V
|
CDM
|
Plate Tt Fusion Petite T Std
|
39
|
20
|
$14,500.00
|
$10,875.00
25% off
|
$210.54
|
$14,065.00
|
$4,205.00
|
2026-03-18
|
|
66500
|
HCPCS
|
Incision Of Iris To Improve Eye Fluid Flow
|
22
|
22
|
$6,520.00
|
$4,890.00
25% off
|
$1,890.80
|
$6,520.00
|
$4,184.53
|
2026-03-18
|
|
232945335
|
CDM
|
Wo Exc/dest Tmr,open;5.1-10cm
|
6
|
6
|
$5,517.00
|
$4,137.75
25% off
|
$2,206.80
|
$4,965.30
|
$4,137.75
|
2026-03-18
|
|
Q4148
|
HCPCS
|
Neox Cord 1k, Neox Cord Rt, Or Clarix Cord 1k, Per Square Centimeter
|
22
|
22
|
$6,750.00
|
$5,062.50
25% off
|
$50.55
|
$6,547.50
|
$4,100.97
|
2026-03-18
|
|
4803165
|
CDM
|
Drainage Peritoneal Abscess
|
6
|
6
|
$5,466.00
|
$4,099.50
25% off
|
$2,186.40
|
$4,919.40
|
$4,099.50
|
2026-03-18
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
44
|
22
|
$12,704.00
|
$9,528.00
25% off
|
$266.19
|
$12,322.88
|
$4,093.86
|
2026-03-18
|
|
127005735
|
CDM
|
Himax C Impl 18mmx18mmx14mm
|
20
|
20
|
$6,180.00
|
$4,635.00
25% off
|
$1,792.20
|
$5,994.60
|
$3,966.32
|
2026-03-18
|
|
200096158
|
CDM
|
Total OB Cre-md
|
6
|
6
|
$5,252.00
|
$3,939.00
25% off
|
$2,100.80
|
$4,726.80
|
$3,939.00
|
2026-03-18
|
|
200096159
|
CDM
|
Total OB Cre-md
|
6
|
6
|
$5,252.00
|
$3,939.00
25% off
|
$2,100.80
|
$4,726.80
|
$3,939.00
|
2026-03-18
|
|
200096127
|
CDM
|
Total OB Cre-md
|
6
|
6
|
$5,252.00
|
$3,939.00
25% off
|
$2,100.80
|
$4,726.80
|
$3,939.00
|
2026-03-18
|
|
200096156
|
CDM
|
Total OB Cre-md
|
6
|
6
|
$5,252.00
|
$3,939.00
25% off
|
$2,100.80
|
$4,726.80
|
$3,939.00
|
2026-03-18
|
|
Q4211
|
HCPCS
|
Amnion Bio Or Axobiomembrane, Per Square Centimeter
|
22
|
22
|
$6,481.00
|
$4,860.75
25% off
|
$50.55
|
$6,286.57
|
$3,937.53
|
2026-03-18
|
|
J9207
|
HCPCS
|
Injection, Ixabepilone, 1 Mg
|
39
|
22
|
$4,647.00
|
$3,485.25
25% off
|
$141.02
|
$13,126.04
|
$3,924.28
|
2026-03-18
|
|
200096164
|
CDM
|
Total OB Cre-md
|
6
|
6
|
$5,151.00
|
$3,863.25
25% off
|
$2,100.80
|
$4,545.00
|
$3,868.30
|
2026-03-18
|
|
J3240
|
HCPCS
|
Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial
|
61
|
22
|
$4,953.00
|
$3,714.75
25% off
|
$1,436.37
|
$4,986.77
|
$3,813.81
|
2026-03-18
|
|
323572192
|
CDM
|
Repair Bowel Opening
|
6
|
6
|
$5,043.00
|
$3,782.25
25% off
|
$2,017.20
|
$4,538.70
|
$3,782.25
|
2026-03-18
|