|
SURLVL7-4_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,505.00
|
$3,402.00
60% off
|
$3,231.90
|
$7,356.83
|
$3,316.95
|
2026-03-02
|
|
SURLVL7-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$24,753.00
|
$9,901.20
60% off
|
$9,406.14
|
$21,411.35
|
$9,653.67
|
2026-03-02
|
|
SURLVL7-2_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,670.00
|
$2,268.00
60% off
|
$2,154.60
|
$4,904.55
|
$2,211.30
|
2026-03-02
|
|
SURLVL7-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$16,502.00
|
$6,600.80
60% off
|
$6,270.76
|
$14,274.23
|
$6,435.78
|
2026-03-02
|
|
SURLVL6-4_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,690.00
|
$3,076.00
60% off
|
$2,922.20
|
$6,651.85
|
$2,999.10
|
2026-03-02
|
|
SURLVL6-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$23,318.00
|
$9,327.20
60% off
|
$8,860.84
|
$20,170.07
|
$9,094.02
|
2026-03-02
|
|
SURLVL6-2_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,127.00
|
$2,050.80
60% off
|
$1,948.26
|
$4,434.86
|
$1,999.53
|
2026-03-02
|
|
SURLVL6-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$15,545.00
|
$6,218.00
60% off
|
$5,907.10
|
$13,446.43
|
$6,062.55
|
2026-03-02
|
|
SURLVL5-4_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,071.00
|
$2,828.40
60% off
|
$2,686.98
|
$6,116.42
|
$2,757.69
|
2026-03-02
|
|
SURLVL5-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$22,205.00
|
$8,882.00
60% off
|
$8,437.90
|
$19,207.33
|
$8,659.95
|
2026-03-02
|
|
SURLVL5-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,803.00
|
$5,921.20
60% off
|
$5,625.14
|
$12,804.60
|
$5,773.17
|
2026-03-02
|
|
SURLVL4-4_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,732.00
|
$2,692.80
60% off
|
$2,558.16
|
$5,823.18
|
$2,625.48
|
2026-03-02
|
|
SURLVL4-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$21,026.00
|
$8,410.40
60% off
|
$7,989.88
|
$18,187.49
|
$8,200.14
|
2026-03-02
|
|
SURLVL4-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,017.00
|
$5,606.80
60% off
|
$5,326.46
|
$12,124.71
|
$5,466.63
|
2026-03-02
|
|
SURLVL3-4_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,142.00
|
$2,056.80
60% off
|
$1,953.96
|
$4,447.83
|
$2,005.38
|
2026-03-02
|
|
SURLVL3-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$15,243.00
|
$6,097.20
60% off
|
$5,792.34
|
$13,185.20
|
$5,944.77
|
2026-03-02
|
|
SURLVL3-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$10,162.00
|
$4,064.80
60% off
|
$3,861.56
|
$8,790.13
|
$3,963.18
|
2026-03-02
|
|
SURLVL2-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,358.00
|
$5,743.20
60% off
|
$5,456.04
|
$12,419.67
|
$5,599.62
|
2026-03-02
|
|
SURLVL2-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,572.00
|
$3,828.80
60% off
|
$3,637.36
|
$8,279.78
|
$3,733.08
|
2026-03-02
|
|
SURLVL1-3_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$11,646.00
|
$4,658.40
60% off
|
$4,425.48
|
$10,073.79
|
$4,541.94
|
2026-03-02
|
|
SURLVL1-1_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,764.00
|
$3,105.60
60% off
|
$2,950.32
|
$6,715.86
|
$3,027.96
|
2026-03-02
|
|
SUR58770_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,068.00
|
$2,827.20
60% off
|
$2,685.84
|
$6,113.82
|
$2,756.52
|
2026-03-02
|
|
SUR495900_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,103.00
|
$3,641.20
60% off
|
$3,459.14
|
$7,874.10
|
$3,550.17
|
2026-03-02
|
|
SUR446200_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,072.40
|
$2,028.96
60% off
|
$1,927.51
|
$4,387.63
|
$1,978.24
|
2026-03-02
|
|
SUR442270_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$33,061.00
|
$13,224.40
60% off
|
$12,563.18
|
$28,597.77
|
$12,893.79
|
2026-03-02
|
|
SUR365600_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,682.00
|
$3,872.80
60% off
|
$3,679.16
|
$8,374.93
|
$3,775.98
|
2026-03-02
|
|
SUR298280_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,185.40
|
$2,074.16
60% off
|
$1,970.45
|
$4,485.37
|
$2,022.31
|
2026-03-02
|
|
SUR286460_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,228.00
|
$2,091.20
60% off
|
$1,986.64
|
$4,522.22
|
$2,038.92
|
2026-03-02
|
|
SUR286440_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,905.30
|
$3,562.12
60% off
|
$3,384.01
|
$7,703.08
|
$3,473.07
|
2026-03-02
|
|
SUR286430_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$10,237.50
|
$4,095.00
60% off
|
$3,890.25
|
$8,855.44
|
$3,992.63
|
2026-03-02
|
|
SUR282410_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,155.80
|
$2,862.32
60% off
|
$2,719.20
|
$6,189.77
|
$2,790.76
|
2026-03-02
|
|
SUR282400_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,885.40
|
$2,754.16
60% off
|
$2,616.45
|
$5,955.87
|
$2,685.31
|
2026-03-02
|
|
SUR278700_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$32,620.00
|
$13,048.00
60% off
|
$12,395.60
|
$28,216.30
|
$12,721.80
|
2026-03-02
|
|
SUR273450_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,349.00
|
$3,339.60
60% off
|
$3,172.62
|
$7,221.89
|
$3,256.11
|
2026-03-02
|
|
SUR272350_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,995.00
|
$3,198.00
60% off
|
$3,038.10
|
$6,915.68
|
$3,118.05
|
2026-03-02
|
|
SUR269510_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,280.00
|
$2,112.00
60% off
|
$2,006.40
|
$4,567.20
|
$2,059.20
|
2026-03-02
|
|
SUR269100_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,190.00
|
$2,876.00
60% off
|
$2,732.20
|
$6,219.35
|
$2,804.10
|
2026-03-02
|
|
SUR244188_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,733.00
|
$2,293.20
60% off
|
$2,178.54
|
$4,959.05
|
$2,235.87
|
2026-03-02
|
|
SUR244140_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,043.40
|
$3,217.36
60% off
|
$3,056.49
|
$6,957.54
|
$3,136.93
|
2026-03-02
|
|
SUR243430_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$16,613.00
|
$6,645.20
60% off
|
$6,312.94
|
$14,370.25
|
$6,479.07
|
2026-03-02
|
|
SUR235150_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$13,261.00
|
$5,304.40
60% off
|
$5,039.18
|
$11,470.77
|
$5,171.79
|
2026-03-02
|
|
SUR215734_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,014.00
|
$3,605.60
60% off
|
$3,425.32
|
$7,797.11
|
$3,515.46
|
2026-03-02
|
|
SUR201330_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,598.10
|
$2,639.24
60% off
|
$2,507.28
|
$5,707.36
|
$2,573.26
|
2026-03-02
|
|
SUR201260_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,763.30
|
$3,905.32
60% off
|
$3,710.05
|
$8,445.25
|
$3,807.69
|
2026-03-02
|
|
SUR201230_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,154.40
|
$2,861.76
60% off
|
$2,718.67
|
$6,188.56
|
$2,790.22
|
2026-03-02
|
|
SUR201010_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,997.00
|
$3,598.80
60% off
|
$3,418.86
|
$7,782.41
|
$3,508.83
|
2026-03-02
|
|
SUR200900_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,074.70
|
$2,029.88
60% off
|
$1,928.39
|
$4,389.62
|
$1,979.13
|
2026-03-02
|
|
SUR200890_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$10,359.20
|
$4,143.68
60% off
|
$3,936.50
|
$8,960.71
|
$4,040.09
|
2026-03-02
|
|
SUR200710_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,950.10
|
$2,780.04
60% off
|
$2,641.04
|
$6,011.84
|
$2,710.54
|
2026-03-02
|
|
SUR200700_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,241.80
|
$2,496.72
60% off
|
$2,371.88
|
$5,399.16
|
$2,434.30
|
2026-03-02
|
|
SUR200690_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,013.70
|
$2,805.48
60% off
|
$2,665.21
|
$6,066.85
|
$2,735.34
|
2026-03-02
|
|
SUR200680_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,617.50
|
$2,647.00
60% off
|
$2,514.65
|
$5,724.14
|
$2,580.83
|
2026-03-02
|
|
SUR200670_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,798.10
|
$2,719.24
60% off
|
$2,583.28
|
$5,880.36
|
$2,651.26
|
2026-03-02
|
|
SUR200600_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,093.40
|
$3,637.36
60% off
|
$3,455.49
|
$7,865.79
|
$3,546.43
|
2026-03-02
|
|
SUR200590_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,593.00
|
$3,837.20
60% off
|
$3,645.34
|
$8,297.95
|
$3,741.27
|
2026-03-02
|
|
SUR200580_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,885.50
|
$3,154.20
60% off
|
$2,996.49
|
$6,820.96
|
$3,075.35
|
2026-03-02
|
|
SUR200560_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,444.90
|
$2,577.96
60% off
|
$2,449.06
|
$5,574.84
|
$2,513.51
|
2026-03-02
|
|
SUR200550_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,527.70
|
$2,211.08
60% off
|
$2,100.53
|
$4,781.46
|
$2,155.80
|
2026-03-02
|
|
SUR200540_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,674.50
|
$3,469.80
60% off
|
$3,296.31
|
$7,503.44
|
$3,383.06
|
2026-03-02
|
|
SUR200510_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,840.00
|
$2,736.00
60% off
|
$2,599.20
|
$5,916.60
|
$2,667.60
|
2026-03-02
|
|
SUR200490_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,667.20
|
$2,266.88
60% off
|
$2,153.54
|
$4,902.13
|
$2,210.21
|
2026-03-02
|
|
SUR200470_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$12,363.00
|
$4,945.20
60% off
|
$4,697.94
|
$10,694.00
|
$4,821.57
|
2026-03-02
|
|
SUR200460_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$11,324.20
|
$4,529.68
60% off
|
$4,303.20
|
$9,795.43
|
$4,416.44
|
2026-03-02
|
|
SUR200450_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$11,918.00
|
$4,767.20
60% off
|
$4,528.84
|
$10,309.07
|
$4,648.02
|
2026-03-02
|
|
SUR200440_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$8,440.70
|
$3,376.28
60% off
|
$3,207.47
|
$7,301.21
|
$3,291.87
|
2026-03-02
|
|
SUR200410_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,917.10
|
$2,766.84
60% off
|
$2,628.50
|
$5,983.29
|
$2,697.67
|
2026-03-02
|
|
SUR200400_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,103.00
|
$2,041.20
60% off
|
$1,939.14
|
$4,414.10
|
$1,990.17
|
2026-03-02
|
|
SUR200390_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,392.50
|
$2,157.00
60% off
|
$2,049.15
|
$4,664.51
|
$2,103.08
|
2026-03-02
|
|
SUR200380_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,108.70
|
$2,043.48
60% off
|
$1,941.31
|
$4,419.03
|
$1,992.39
|
2026-03-02
|
|
SUR200340_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$11,881.60
|
$4,752.64
60% off
|
$4,515.01
|
$10,277.58
|
$4,633.82
|
2026-03-02
|
|
SUR200300_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$12,725.10
|
$5,090.04
60% off
|
$4,835.54
|
$11,007.21
|
$4,962.79
|
2026-03-02
|
|
SUR200290_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$34,181.20
|
$13,672.48
60% off
|
$12,988.86
|
$29,566.74
|
$13,330.67
|
2026-03-02
|
|
SUR200280_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,560.80
|
$2,624.32
60% off
|
$2,493.10
|
$5,675.09
|
$2,558.71
|
2026-03-02
|
|
SUR200260_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$6,113.50
|
$2,445.40
60% off
|
$2,323.13
|
$5,288.18
|
$2,384.27
|
2026-03-02
|
|
SUR200250_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,389.40
|
$5,755.76
60% off
|
$5,467.97
|
$12,446.83
|
$5,611.87
|
2026-03-02
|
|
SUR200240_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,869.50
|
$5,947.80
60% off
|
$5,650.41
|
$12,862.12
|
$5,799.11
|
2026-03-02
|
|
SUR200230_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,737.10
|
$3,894.84
60% off
|
$3,700.10
|
$8,422.59
|
$3,797.47
|
2026-03-02
|
|
SUR200200_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$9,002.60
|
$3,601.04
60% off
|
$3,420.99
|
$7,787.25
|
$3,511.01
|
2026-03-02
|
|
SUR200180_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$17,965.30
|
$7,186.12
60% off
|
$6,826.81
|
$15,539.98
|
$7,006.47
|
2026-03-02
|
|
SUR200170_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,289.20
|
$2,115.68
60% off
|
$2,009.90
|
$4,575.16
|
$2,062.79
|
2026-03-02
|
|
SUR200160_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,832.00
|
$2,332.80
60% off
|
$2,216.16
|
$5,044.68
|
$2,274.48
|
2026-03-02
|
|
SUR200140_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$10,815.60
|
$4,326.24
60% off
|
$4,109.93
|
$9,355.49
|
$4,218.08
|
2026-03-02
|
|
SUR200130_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,756.10
|
$3,102.44
60% off
|
$2,947.32
|
$6,709.03
|
$3,024.88
|
2026-03-02
|
|
SUR200110_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$23,252.20
|
$9,300.88
60% off
|
$8,835.84
|
$20,113.15
|
$9,068.36
|
2026-03-02
|
|
SUR200090_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,591.20
|
$2,236.48
60% off
|
$2,124.66
|
$4,836.39
|
$2,180.57
|
2026-03-02
|
|
SUR200080_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$14,449.50
|
$5,779.80
60% off
|
$5,490.81
|
$12,498.82
|
$5,635.31
|
2026-03-02
|
|
SUR200070_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$15,901.50
|
$6,360.60
60% off
|
$6,042.57
|
$13,754.80
|
$6,201.59
|
2026-03-02
|
|
SUR200060_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$5,570.80
|
$2,228.32
60% off
|
$2,116.90
|
$4,818.74
|
$2,172.61
|
2026-03-02
|
|
SUR200040_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$11,081.20
|
$4,432.48
60% off
|
$4,210.86
|
$9,585.24
|
$4,321.67
|
2026-03-02
|
|
SUR200030_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,605.10
|
$3,042.04
60% off
|
$2,889.94
|
$6,578.41
|
$2,965.99
|
2026-03-02
|
|
SUR200020_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$13,685.40
|
$5,474.16
60% off
|
$5,200.45
|
$11,837.87
|
$5,337.31
|
2026-03-02
|
|
SUR200010_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$7,430.30
|
$2,972.12
60% off
|
$2,823.51
|
$6,427.21
|
$2,897.82
|
2026-03-02
|
|
SUR193070_1
|
CDM
|
Operating Room Services - General Classification
|
5
|
5
|
$12,485.00
|
$4,994.00
60% off
|
$4,744.30
|
$10,799.53
|
$4,869.15
|
2026-03-02
|
|
SUR181727_1
|
CDM
|
Fibulock Nail
|
5
|
5
|
$8,176.40
|
$3,270.56
60% off
|
$3,107.03
|
$7,072.59
|
$3,188.80
|
2026-03-02
|
|
SUR124560_1
|
CDM
|
Gracillis Patella Gr
|
5
|
5
|
$5,449.40
|
$2,179.76
60% off
|
$2,070.77
|
$4,713.73
|
$2,125.27
|
2026-03-02
|
|
SUR116740_1
|
CDM
|
Endo Stem
|
5
|
5
|
$16,277.50
|
$6,511.00
60% off
|
$6,185.45
|
$14,080.04
|
$6,348.23
|
2026-03-02
|
|
SUR039600_1
|
CDM
|
Istent Injection Sys
|
5
|
5
|
$13,285.80
|
$5,314.32
60% off
|
$5,048.60
|
$11,492.22
|
$5,181.46
|
2026-03-02
|
|
SUR039590_1
|
CDM
|
Veanseal System
|
5
|
5
|
$4,914.00
|
$1,965.60
60% off
|
$1,867.32
|
$4,250.61
|
$1,916.46
|
2026-03-02
|
|
SUR039070_1
|
CDM
|
Contour Curved Cutte
|
5
|
5
|
$6,353.93
|
$2,541.57
60% off
|
$2,414.49
|
$5,496.15
|
$2,478.03
|
2026-03-02
|
|
SUR000019_2
|
CDM
|
Ortho Supplies
|
5
|
5
|
$5,880.00
|
$2,352.00
60% off
|
$2,234.40
|
$5,086.20
|
$2,293.20
|
2026-03-02
|
|
SUR000019_1
|
CDM
|
Ortho Supplies
|
5
|
5
|
$5,292.00
|
$2,116.80
60% off
|
$2,010.96
|
$4,577.58
|
$2,063.88
|
2026-03-02
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
7
|
7
|
$8,064.00
|
$3,225.60
60% off
|
$3,064.32
|
$6,975.36
|
$3,176.41
|
2026-03-02
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
7
|
7
|
$11,414.93
|
$4,565.97
60% off
|
$4,337.67
|
$9,873.91
|
$4,496.34
|
2026-03-02
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
7
|
7
|
$7,313.00
|
$2,925.20
60% off
|
$2,778.94
|
$6,325.75
|
$2,880.59
|
2026-03-02
|
|
OBS000974_1
|
CDM
|
Jada System Vacuum Induced Hem
|
5
|
5
|
$8,751.91
|
$3,500.76
60% off
|
$3,325.73
|
$7,570.40
|
$3,413.24
|
2026-03-02
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
7
|
7
|
$20,614.09
|
$8,245.64
60% off
|
$7,833.35
|
$17,831.19
|
$8,119.89
|
2026-03-02
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
14
|
7
|
$4,481.70
|
$1,792.68
60% off
|
$1,135.36
|
$5,168.89
|
$2,270.73
|
2026-03-02
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
7
|
7
|
$14,321.50
|
$5,728.60
60% off
|
$5,442.17
|
$12,388.10
|
$5,641.24
|
2026-03-02
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
12
|
7
|
$19,819.16
|
$7,927.66
60% off
|
$158.05
|
$17,143.57
|
$7,531.28
|
2026-03-02
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
7
|
7
|
$11,238.00
|
$4,495.20
60% off
|
$4,270.44
|
$9,720.87
|
$4,426.65
|
2026-03-02
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
14
|
7
|
$10,094.25
|
$4,037.70
60% off
|
$3,072.30
|
$10,469.53
|
$4,599.33
|
2026-03-02
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
7
|
7
|
$6,179.30
|
$2,471.72
60% off
|
$2,348.13
|
$5,345.09
|
$2,434.03
|
2026-03-02
|
|
J1932
|
HCPCS
|
Injection, Lanreotide, (cipla), 1 Mg
|
7
|
7
|
$15,569.00
|
$6,227.60
60% off
|
$5,916.22
|
$13,467.19
|
$6,132.63
|
2026-03-02
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
7
|
7
|
$16,740.00
|
$6,696.00
60% off
|
$6,361.20
|
$14,480.10
|
$6,593.89
|
2026-03-02
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
21
|
7
|
$6,588.35
|
$2,635.34
60% off
|
$319.05
|
$11,183.46
|
$2,595.15
|
2026-03-02
|
|
J0741
|
HCPCS
|
Injection, Cabotegravir And Rilpivirine, 2mg/3mg
|
7
|
7
|
$13,916.50
|
$5,566.60
60% off
|
$5,288.27
|
$12,037.77
|
$5,481.71
|
2026-03-02
|
|
EDM200150_1
|
CDM
|
Orif Foot
|
5
|
5
|
$5,832.00
|
$2,332.80
60% off
|
$2,216.16
|
$5,044.68
|
$2,274.48
|
2026-03-02
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
55
|
5
|
$9,156.00
|
$3,662.40
60% off
|
$252.78
|
$19,581.61
|
$3,893.06
|
2026-03-02
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
5
|
5
|
$24,322.30
|
$9,728.92
60% off
|
$11,917.93
|
$21,038.79
|
$14,323.50
|
2026-03-02
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
5
|
5
|
$13,235.02
|
$5,294.01
60% off
|
$6,013.79
|
$11,448.29
|
$6,485.16
|
2026-03-02
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
5
|
5
|
$11,649.40
|
$4,659.76
60% off
|
$5,708.21
|
$14,564.00
|
$10,076.73
|
2026-03-02
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
5
|
5
|
$21,250.86
|
$8,500.34
60% off
|
$8,785.45
|
$18,381.99
|
$10,412.92
|
2026-03-02
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
5
|
5
|
$33,982.53
|
$13,593.01
60% off
|
$11,746.35
|
$29,394.89
|
$16,651.44
|
2026-03-02
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
5
|
5
|
$11,292.61
|
$4,517.04
60% off
|
$5,533.38
|
$9,768.11
|
$5,925.74
|
2026-03-02
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
5
|
5
|
$19,206.16
|
$7,682.46
60% off
|
$9,411.02
|
$16,613.32
|
$11,181.24
|
2026-03-02
|
|
88380
|
HCPCS
|
Preparation Of Specimen Using Laser
|
7
|
7
|
$5,747.50
|
$2,299.00
60% off
|
$258.46
|
$5,747.50
|
$2,241.53
|
2026-03-02
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
5
|
5
|
$26,610.21
|
$10,644.08
60% off
|
$11,306.09
|
$23,017.83
|
$13,039.00
|
2026-03-02
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
5
|
5
|
$27,852.66
|
$11,141.06
60% off
|
$13,647.80
|
$24,092.55
|
$20,335.98
|
2026-03-02
|
|
87
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour Without Cc/mcc
|
5
|
5
|
$23,904.48
|
$9,561.79
60% off
|
$6,011.16
|
$20,677.38
|
$11,713.20
|
2026-03-02
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
5
|
5
|
$46,459.77
|
$18,583.91
60% off
|
$22,765.29
|
$41,003.13
|
$40,187.70
|
2026-03-02
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
5
|
5
|
$34,062.88
|
$13,625.15
60% off
|
$16,690.81
|
$29,464.39
|
$18,791.79
|
2026-03-02
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
5
|
5
|
$22,488.23
|
$8,995.29
60% off
|
$11,019.23
|
$19,452.31
|
$15,754.67
|
2026-03-02
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
5
|
5
|
$44,901.97
|
$17,960.79
60% off
|
$22,001.97
|
$38,840.20
|
$26,019.91
|
2026-03-02
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
5
|
5
|
$19,045.30
|
$7,618.12
60% off
|
$9,332.20
|
$16,474.18
|
$13,885.87
|
2026-03-02
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
5
|
5
|
$17,557.59
|
$7,023.04
60% off
|
$8,603.22
|
$15,187.32
|
$9,853.89
|
2026-03-02
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
6
|
6
|
$5,250.00
|
$2,100.00
60% off
|
$784.35
|
$4,541.25
|
$2,021.25
|
2026-03-02
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
5
|
5
|
$12,725.69
|
$5,090.28
60% off
|
$6,235.59
|
$17,785.11
|
$11,007.72
|
2026-03-02
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
5
|
5
|
$10,814.26
|
$4,325.71
60% off
|
$5,298.99
|
$9,354.34
|
$6,827.28
|
2026-03-02
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
5
|
5
|
$9,982.43
|
$3,992.97
60% off
|
$4,891.39
|
$8,634.80
|
$7,718.31
|
2026-03-02
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
5
|
5
|
$20,586.69
|
$8,234.68
60% off
|
$8,547.58
|
$17,807.49
|
$10,087.48
|
2026-03-02
|
|
795
|
MS_DRG
|
Normal Newborn
|
5
|
5
|
$4,186.43
|
$1,674.57
60% off
|
$2,051.35
|
$3,621.26
|
$3,218.48
|
2026-03-02
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
5
|
5
|
$4,816.36
|
$1,926.55
60% off
|
$2,360.02
|
$4,322.41
|
$4,166.15
|
2026-03-02
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
5
|
5
|
$5,879.64
|
$2,351.86
60% off
|
$2,881.02
|
$7,919.39
|
$5,085.89
|
2026-03-02
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
3
|
3
|
$4,575.33
|
$1,830.13
60% off
|
$2,241.91
|
$3,957.66
|
$2,241.91
|
2026-03-02
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
3
|
3
|
$6,037.30
|
$2,414.92
60% off
|
$2,958.28
|
$5,222.26
|
$2,958.28
|
2026-03-02
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
5
|
5
|
$4,417.89
|
$1,767.16
60% off
|
$2,164.77
|
$3,821.48
|
$2,571.90
|
2026-03-02
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
5
|
5
|
$51,372.25
|
$20,548.90
60% off
|
$10,848.75
|
$44,437.00
|
$25,172.40
|
2026-03-02
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
5
|
5
|
$58,024.86
|
$23,209.94
60% off
|
$12,678.12
|
$50,191.50
|
$28,432.18
|
2026-03-02
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
5
|
5
|
$64,159.47
|
$25,663.79
60% off
|
$14,214.42
|
$55,497.94
|
$31,438.14
|
2026-03-02
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
5
|
5
|
$47,245.37
|
$18,898.15
60% off
|
$10,541.22
|
$40,867.25
|
$23,150.23
|
2026-03-02
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
5
|
5
|
$2,958.00
|
$1,183.20
60% off
|
$1,449.42
|
$5,122.76
|
$2,558.67
|
2026-03-02
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
5
|
5
|
$16,880.20
|
$6,752.08
60% off
|
$8,271.30
|
$14,601.37
|
$8,606.72
|
2026-03-02
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
7
|
7
|
$6,356.50
|
$2,542.60
60% off
|
$1,067.46
|
$5,498.37
|
$2,415.47
|
2026-03-02
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
7
|
7
|
$5,567.50
|
$2,227.00
60% off
|
$876.98
|
$4,815.89
|
$2,115.65
|
2026-03-02
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
7
|
7
|
$5,061.30
|
$2,024.52
60% off
|
$876.98
|
$4,378.02
|
$1,923.29
|
2026-03-02
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
5
|
5
|
$25,715.21
|
$10,286.08
60% off
|
$12,600.45
|
$22,243.66
|
$13,594.12
|
2026-03-02
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
7
|
7
|
$6,333.90
|
$2,533.56
60% off
|
$1,067.46
|
$5,478.82
|
$2,406.88
|
2026-03-02
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
7
|
7
|
$5,356.00
|
$2,142.40
60% off
|
$1,067.46
|
$4,632.94
|
$2,035.28
|
2026-03-02
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
7
|
7
|
$6,336.50
|
$2,534.60
60% off
|
$1,067.46
|
$5,481.07
|
$2,407.87
|
2026-03-02
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
7
|
7
|
$5,279.00
|
$2,111.60
60% off
|
$1,067.46
|
$4,566.34
|
$2,006.02
|
2026-03-02
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
7
|
7
|
$6,336.50
|
$2,534.60
60% off
|
$1,067.46
|
$5,481.07
|
$2,407.87
|
2026-03-02
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
7
|
7
|
$6,356.50
|
$2,542.60
60% off
|
$1,067.46
|
$5,498.37
|
$2,415.47
|
2026-03-02
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
7
|
7
|
$6,644.40
|
$2,657.76
60% off
|
$1,067.46
|
$5,747.41
|
$2,524.87
|
2026-03-02
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
7
|
7
|
$6,450.90
|
$2,580.36
60% off
|
$1,067.46
|
$5,580.03
|
$2,451.34
|
2026-03-02
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
7
|
7
|
$6,450.90
|
$2,580.36
60% off
|
$1,067.46
|
$5,580.03
|
$2,451.34
|
2026-03-02
|
|
72
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/mcc
|
5
|
5
|
$23,239.74
|
$9,295.90
60% off
|
$8,849.84
|
$20,102.38
|
$11,387.47
|
2026-03-02
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
7
|
7
|
$6,450.90
|
$2,580.36
60% off
|
$1,067.46
|
$5,580.03
|
$2,451.34
|
2026-03-02
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
7
|
7
|
$6,644.40
|
$2,657.76
60% off
|
$1,067.46
|
$5,747.41
|
$2,524.87
|
2026-03-02
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
7
|
7
|
$5,664.80
|
$2,265.92
60% off
|
$687.99
|
$4,900.05
|
$2,152.62
|
2026-03-02
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
7
|
7
|
$5,835.10
|
$2,334.04
60% off
|
$687.99
|
$5,047.36
|
$2,217.34
|
2026-03-02
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
7
|
7
|
$6,526.60
|
$2,610.64
60% off
|
$1,067.46
|
$5,645.51
|
$2,480.11
|
2026-03-02
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
5
|
5
|
$18,420.49
|
$7,368.20
60% off
|
$7,367.42
|
$15,933.72
|
$9,026.04
|
2026-03-02
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
5
|
5
|
$22,875.66
|
$9,150.26
60% off
|
$9,932.75
|
$19,787.44
|
$11,209.07
|
2026-03-02
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
5
|
5
|
$38,472.26
|
$15,388.90
60% off
|
$13,849.07
|
$33,278.50
|
$18,851.41
|
2026-03-02
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
5
|
5
|
$21,836.42
|
$8,734.57
60% off
|
$9,793.44
|
$18,888.50
|
$10,699.84
|
2026-03-02
|
|
66174
|
HCPCS
|
Dilation Of Fluid Outflow Drainage Within Eye
|
7
|
7
|
$9,989.00
|
$3,995.60
60% off
|
$3,795.82
|
$11,112.24
|
$3,934.67
|
2026-03-02
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
5
|
5
|
$22,164.21
|
$8,865.68
60% off
|
$8,732.88
|
$19,172.04
|
$10,860.46
|
2026-03-02
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
5
|
5
|
$32,430.71
|
$12,972.28
60% off
|
$13,117.06
|
$28,052.56
|
$15,891.05
|
2026-03-02
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
5
|
5
|
$22,126.22
|
$8,850.49
60% off
|
$10,097.02
|
$19,139.18
|
$10,841.85
|
2026-03-02
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
5
|
5
|
$16,752.56
|
$6,701.02
60% off
|
$8,102.06
|
$14,490.96
|
$8,208.75
|
2026-03-02
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
5
|
5
|
$23,308.54
|
$9,323.42
60% off
|
$11,421.18
|
$20,161.89
|
$15,625.87
|
2026-03-02
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
5
|
5
|
$16,938.42
|
$6,775.37
60% off
|
$8,299.83
|
$23,158.89
|
$14,651.73
|
2026-03-02
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
5
|
5
|
$25,879.76
|
$10,351.90
60% off
|
$9,732.99
|
$22,385.99
|
$12,681.08
|
2026-03-02
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
5
|
5
|
$38,655.96
|
$15,462.38
60% off
|
$18,941.42
|
$33,437.41
|
$19,832.64
|
2026-03-02
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
5
|
5
|
$31,381.50
|
$12,552.60
60% off
|
$9,834.18
|
$27,145.00
|
$15,376.94
|
2026-03-02
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
5
|
5
|
$21,423.20
|
$8,569.28
60% off
|
$10,497.37
|
$18,531.07
|
$10,663.44
|
2026-03-02
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
5
|
5
|
$27,867.36
|
$11,146.94
60% off
|
$13,655.00
|
$24,105.26
|
$16,685.12
|
2026-03-02
|
|
601
|
MS_DRG
|
Non-malignant Breast Disorders Without Cc/mcc
|
5
|
5
|
$28,345.01
|
$11,338.00
60% off
|
$5,410.57
|
$24,518.43
|
$13,889.05
|
2026-03-02
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
11
|
7
|
$5,963.60
|
$2,385.44
60% off
|
$2,111.46
|
$6,925.96
|
$3,074.00
|
2026-03-02
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
5
|
5
|
$12,831.62
|
$5,132.65
60% off
|
$6,287.49
|
$11,099.35
|
$8,568.60
|
2026-03-02
|
|
58700
|
HCPCS
|
Removal Of Uterine Tubes
|
7
|
7
|
$13,744.00
|
$5,497.60
60% off
|
$5,222.72
|
$11,888.56
|
$5,413.76
|
2026-03-02
|
|
58661
|
HCPCS
|
Removal Of Ovaries And/or Tubes Using An Endoscope
|
14
|
7
|
$7,274.50
|
$2,909.80
60% off
|
$530.94
|
$11,270.95
|
$3,235.20
|
2026-03-02
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
5
|
5
|
$25,719.59
|
$10,287.84
60% off
|
$12,602.60
|
$22,247.45
|
$17,545.92
|
2026-03-02
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
5
|
5
|
$45,283.70
|
$18,113.48
60% off
|
$19,932.52
|
$39,170.40
|
$22,189.01
|
2026-03-02
|
|
56515
|
HCPCS
|
Extensive Destruction Of Growth Of External Female Genitals
|
4
|
4
|
$650.00
|
$260.00
60% off
|
$253.50
|
$4,457.21
|
$2,155.75
|
2026-03-02
|
|
56501
|
HCPCS
|
Simple Destruction Of Growth Of External Female Genitals
|
4
|
4
|
$452.00
|
$180.80
60% off
|
$176.28
|
$4,457.21
|
$2,116.75
|
2026-03-02
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
5
|
5
|
$18,411.22
|
$7,364.49
60% off
|
$9,021.50
|
$15,925.71
|
$10,269.18
|
2026-03-02
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
5
|
5
|
$20,267.14
|
$8,106.86
60% off
|
$9,930.90
|
$17,903.39
|
$17,531.08
|
2026-03-02
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
5
|
5
|
$17,670.89
|
$7,068.36
60% off
|
$8,658.74
|
$20,213.76
|
$15,285.32
|
2026-03-02
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
5
|
5
|
$21,620.84
|
$8,648.34
60% off
|
$10,594.21
|
$20,213.76
|
$18,702.03
|
2026-03-02
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
5
|
5
|
$38,419.98
|
$15,367.99
60% off
|
$8,360.96
|
$33,233.28
|
$18,825.79
|
2026-03-02
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
5
|
5
|
$61,250.65
|
$24,500.26
60% off
|
$11,921.14
|
$52,981.81
|
$30,012.82
|
2026-03-02
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
5
|
5
|
$28,408.19
|
$11,363.28
60% off
|
$11,202.27
|
$24,573.09
|
$13,920.01
|
2026-03-02
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
5
|
5
|
$22,851.57
|
$9,140.63
60% off
|
$11,197.27
|
$19,766.61
|
$15,834.83
|
2026-03-02
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
5
|
5
|
$14,404.82
|
$5,761.93
60% off
|
$7,058.36
|
$14,105.34
|
$12,460.17
|
2026-03-02
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
5
|
5
|
$24,975.38
|
$9,990.15
60% off
|
$11,420.42
|
$21,603.70
|
$12,237.94
|
2026-03-02
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
5
|
5
|
$19,059.45
|
$7,623.78
60% off
|
$9,339.13
|
$16,486.42
|
$10,185.07
|
2026-03-02
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
5
|
5
|
$9,200.19
|
$3,680.08
60% off
|
$4,508.09
|
$7,958.16
|
$7,331.94
|
2026-03-02
|
|
52281
|
HCPCS
|
Dilation Of Urethra Using An Endoscope
|
12
|
7
|
$970.35
|
$388.14
60% off
|
$368.73
|
$4,429.67
|
$1,945.98
|
2026-03-02
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
3
|
3
|
$3,975.60
|
$1,590.24
60% off
|
$1,948.04
|
$3,438.89
|
$1,948.04
|
2026-03-02
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
5
|
5
|
$27,751.97
|
$11,100.79
60% off
|
$13,598.47
|
$33,183.63
|
$24,005.45
|
2026-03-02
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
5
|
5
|
$37,299.35
|
$14,919.74
60% off
|
$16,122.64
|
$32,263.94
|
$18,276.68
|
2026-03-02
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
5
|
5
|
$74,869.06
|
$29,947.62
60% off
|
$29,302.78
|
$64,761.74
|
$36,685.84
|
2026-03-02
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
5
|
5
|
$51,230.47
|
$20,492.19
60% off
|
$25,102.93
|
$44,314.36
|
$27,075.21
|
2026-03-02
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
5
|
5
|
$38,485.18
|
$15,394.07
60% off
|
$18,857.74
|
$33,289.68
|
$30,146.50
|
2026-03-02
|
|
44602
|
HCPCS
|
Suture Of Tear Of Hole In Small Bowel
|
7
|
7
|
$3,185.53
|
$1,274.21
60% off
|
$1,145.21
|
$3,185.53
|
$2,611.00
|
2026-03-02
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
5
|
5
|
$26,212.68
|
$10,485.07
60% off
|
$11,691.15
|
$22,673.97
|
$12,844.21
|
2026-03-02
|
|
44346
|
HCPCS
|
Revision Of Opening From Large Bowel To Skin With Repair Of Hernia
|
7
|
7
|
$2,697.25
|
$1,078.90
60% off
|
$988.03
|
$2,697.25
|
$2,191.00
|
2026-03-02
|
|
44005
|
HCPCS
|
Release Of Intestinal Scar Tissue
|
14
|
7
|
$3,801.77
|
$1,520.70
60% off
|
$768.06
|
$9,369.25
|
$1,973.89
|
2026-03-02
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
5
|
5
|
$27,785.13
|
$11,114.05
60% off
|
$11,036.68
|
$24,034.14
|
$13,614.71
|
2026-03-02
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
5
|
5
|
$20,946.31
|
$8,378.52
60% off
|
$10,263.69
|
$18,118.56
|
$17,974.35
|
2026-03-02
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
5
|
5
|
$5,619.25
|
$2,247.70
60% off
|
$2,753.43
|
$11,620.18
|
$4,860.65
|
2026-03-02
|
|
43281
|
HCPCS
|
Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope
|
7
|
7
|
$22,718.00
|
$9,087.20
60% off
|
$8,632.84
|
$19,651.07
|
$8,948.62
|
2026-03-02
|
|
43280
|
HCPCS
|
Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…
|
14
|
7
|
$12,579.50
|
$5,031.80
60% off
|
$896.55
|
$19,651.07
|
$5,536.92
|
2026-03-02
|
|
42415
|
HCPCS
|
Removal Of Growth Of Saliva Gland With Release Of Facial Nerve
|
7
|
7
|
$2,345.00
|
$938.00
60% off
|
$846.05
|
$2,345.00
|
$1,976.00
|
2026-03-02
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
5
|
5
|
$41,510.06
|
$16,604.02
60% off
|
$14,692.79
|
$35,906.20
|
$20,339.93
|
2026-03-02
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
5
|
5
|
$56,889.10
|
$22,755.64
60% off
|
$19,176.85
|
$49,209.07
|
$27,875.66
|
2026-03-02
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
5
|
5
|
$41,375.88
|
$16,550.35
60% off
|
$20,274.18
|
$35,790.14
|
$34,395.32
|
2026-03-02
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
5
|
5
|
$65,267.71
|
$26,107.08
60% off
|
$14,335.33
|
$56,456.57
|
$31,981.18
|
2026-03-02
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
5
|
5
|
$70,051.37
|
$28,020.55
60% off
|
$19,205.76
|
$60,594.44
|
$34,325.17
|
2026-03-02
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
5
|
5
|
$40,157.04
|
$16,062.82
60% off
|
$8,215.08
|
$34,735.84
|
$19,676.95
|
2026-03-02
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
5
|
5
|
$36,363.97
|
$14,545.59
60% off
|
$11,044.56
|
$31,454.83
|
$17,818.35
|
2026-03-02
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
5
|
5
|
$24,134.52
|
$9,653.81
60% off
|
$8,601.46
|
$20,876.36
|
$11,825.92
|
2026-03-02
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
5
|
5
|
$22,232.88
|
$8,893.15
60% off
|
$6,655.12
|
$19,231.44
|
$10,894.11
|
2026-03-02
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
5
|
5
|
$24,480.84
|
$9,792.33
60% off
|
$10,518.88
|
$21,175.92
|
$11,995.61
|
2026-03-02
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
5
|
5
|
$24,185.69
|
$9,674.28
60% off
|
$11,850.99
|
$20,920.62
|
$13,153.86
|
2026-03-02
|
|
383
|
MS_DRG
|
Uncomplicated Peptic Ulcer With Mcc
|
5
|
5
|
$32,847.39
|
$13,138.96
60% off
|
$12,599.26
|
$28,412.99
|
$16,095.22
|
2026-03-02
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
5
|
5
|
$5,048.73
|
$2,019.49
60% off
|
$2,473.88
|
$5,962.54
|
$4,367.15
|
2026-03-02
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
5
|
5
|
$36,293.22
|
$14,517.29
60% off
|
$13,416.70
|
$31,393.63
|
$17,783.68
|
2026-03-02
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
5
|
5
|
$21,298.25
|
$8,519.30
60% off
|
$9,588.43
|
$18,422.99
|
$10,436.14
|
2026-03-02
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
5
|
5
|
$34,097.63
|
$13,639.05
60% off
|
$12,530.93
|
$29,494.45
|
$16,707.84
|
2026-03-02
|
|
36262
|
HCPCS
|
Removal Of Implanted Arterial Infusion Pump
|
7
|
7
|
$9,364.00
|
$3,745.60
60% off
|
$2,080.40
|
$8,099.86
|
$3,558.32
|
2026-03-02
|
|
349
|
MS_DRG
|
Anal And Stomal Procedures Without Cc/mcc
|
5
|
5
|
$57,133.70
|
$22,853.48
60% off
|
$10,708.13
|
$49,420.65
|
$27,995.51
|
2026-03-02
|
|
340
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis Without Cc/mcc
|
5
|
5
|
$20,191.62
|
$8,076.65
60% off
|
$9,893.89
|
$17,465.75
|
$12,853.99
|
2026-03-02
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
5
|
5
|
$43,930.28
|
$17,572.11
60% off
|
$16,374.97
|
$37,999.69
|
$21,525.84
|
2026-03-02
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
5
|
5
|
$67,325.57
|
$26,930.23
60% off
|
$22,441.33
|
$58,236.61
|
$32,989.53
|
2026-03-02
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
5
|
5
|
$67,636.65
|
$27,054.66
60% off
|
$18,546.03
|
$58,505.70
|
$33,141.96
|
2026-03-02
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
5
|
5
|
$91,690.90
|
$36,676.36
60% off
|
$25,768.89
|
$79,312.62
|
$44,928.54
|
2026-03-02
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
5
|
5
|
$25,148.38
|
$10,059.35
60% off
|
$9,365.01
|
$21,753.35
|
$12,322.71
|
2026-03-02
|
|
311
|
MS_DRG
|
Angina Pectoris
|
5
|
5
|
$10,238.19
|
$4,095.28
60% off
|
$5,016.71
|
$8,856.03
|
$6,362.06
|
2026-03-02
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
5
|
5
|
$17,107.28
|
$6,842.91
60% off
|
$6,304.23
|
$14,797.80
|
$8,382.57
|
2026-03-02
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
5
|
5
|
$7,977.44
|
$3,190.98
60% off
|
$3,908.95
|
$8,634.31
|
$6,900.49
|
2026-03-02
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
5
|
5
|
$22,437.83
|
$8,975.13
60% off
|
$10,994.53
|
$19,408.72
|
$14,244.65
|
2026-03-02
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
5
|
5
|
$22,332.48
|
$8,932.99
60% off
|
$7,331.94
|
$19,317.60
|
$10,942.92
|
2026-03-02
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
5
|
5
|
$10,136.69
|
$4,054.68
60% off
|
$4,966.98
|
$8,768.24
|
$6,555.24
|
2026-03-02
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
5
|
5
|
$32,800.29
|
$13,120.12
60% off
|
$13,519.21
|
$28,372.25
|
$16,072.14
|
2026-03-02
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
5
|
5
|
$31,012.30
|
$12,404.92
60% off
|
$15,196.03
|
$26,825.64
|
$16,624.67
|
2026-03-02
|
|
29848
|
HCPCS
|
Release Of Wrist Ligament Using An Endoscope
|
7
|
7
|
$6,220.00
|
$2,488.00
60% off
|
$2,363.60
|
$5,623.03
|
$2,450.06
|
2026-03-02
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
5
|
5
|
$24,016.86
|
$9,606.74
60% off
|
$3,988.61
|
$20,774.58
|
$11,768.26
|
2026-03-02
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
5
|
5
|
$19,687.12
|
$7,874.85
60% off
|
$9,646.69
|
$17,029.36
|
$9,930.12
|
2026-03-02
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
5
|
5
|
$21,628.57
|
$8,651.43
60% off
|
$10,598.00
|
$18,708.71
|
$15,087.05
|
2026-03-02
|
|
284
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Cc
|
5
|
5
|
$18,651.30
|
$7,460.52
60% off
|
$9,139.14
|
$16,133.37
|
$9,738.24
|
2026-03-02
|
|
28289
|
HCPCS
|
Correction Of Rigid Deformity Of First Joint Of Big Toe
|
7
|
7
|
$7,710.00
|
$3,084.00
60% off
|
$2,929.80
|
$14,020.22
|
$3,036.97
|
2026-03-02
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
5
|
5
|
$10,880.05
|
$4,352.02
60% off
|
$5,331.22
|
$9,411.24
|
$8,165.14
|
2026-03-02
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
5
|
5
|
$20,957.89
|
$8,383.16
60% off
|
$10,269.37
|
$18,128.57
|
$10,910.51
|
2026-03-02
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
5
|
5
|
$18,358.31
|
$7,343.32
60% off
|
$8,995.57
|
$18,133.37
|
$15,879.93
|
2026-03-02
|
|
27447
|
HCPCS
|
Replacement Of Knee Joint, Both Sides Of Knee
|
7
|
7
|
$2,950.00
|
$1,180.00
60% off
|
$1,045.50
|
$2,950.00
|
$2,287.00
|
2026-03-02
|
|
27236
|
HCPCS
|
Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…
|
7
|
7
|
$2,748.00
|
$1,099.20
60% off
|
$983.52
|
$2,748.00
|
$2,208.00
|
2026-03-02
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
7
|
7
|
$2,953.00
|
$1,181.20
60% off
|
$1,047.43
|
$2,953.00
|
$2,377.00
|
2026-03-02
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
5
|
5
|
$9,265.56
|
$3,706.22
60% off
|
$4,540.12
|
$8,014.71
|
$6,563.13
|
2026-03-02
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
5
|
5
|
$20,535.79
|
$8,214.32
60% off
|
$9,338.73
|
$17,763.46
|
$10,062.54
|
2026-03-02
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
5
|
5
|
$17,933.18
|
$7,173.27
60% off
|
$7,881.28
|
$15,512.20
|
$8,787.26
|
2026-03-02
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
5
|
5
|
$26,112.80
|
$10,445.12
60% off
|
$12,795.27
|
$22,587.57
|
$15,016.08
|
2026-03-02
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
5
|
5
|
$17,987.17
|
$7,194.87
60% off
|
$8,813.71
|
$15,558.90
|
$9,301.93
|
2026-03-02
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
5
|
5
|
$20,867.93
|
$8,347.17
60% off
|
$6,944.25
|
$18,050.76
|
$10,225.29
|
2026-03-02
|
|
19499
|
HCPCS
|
Other Procedure On Breast
|
7
|
7
|
$9,573.00
|
$3,829.20
60% off
|
$2,866.99
|
$8,280.65
|
$3,637.74
|
2026-03-02
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
5
|
5
|
$30,464.69
|
$12,185.88
60% off
|
$10,409.80
|
$26,351.96
|
$14,927.70
|
2026-03-02
|
|
19307
|
HCPCS
|
Removal Of Breast And Underarm Lymph Nodes
|
7
|
7
|
$2,686.40
|
$1,074.56
60% off
|
$1,002.27
|
$2,686.40
|
$2,207.00
|
2026-03-02
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
5
|
5
|
$22,853.09
|
$9,141.23
60% off
|
$11,198.01
|
$19,767.92
|
$14,403.66
|
2026-03-02
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
5
|
5
|
$16,750.80
|
$6,700.32
60% off
|
$8,207.89
|
$14,489.44
|
$9,299.30
|
2026-03-02
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
5
|
5
|
$25,594.51
|
$10,237.81
60% off
|
$10,467.63
|
$22,139.25
|
$12,541.31
|
2026-03-02
|
|
19082
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, Each …
|
7
|
7
|
$7,580.30
|
$3,032.12
60% off
|
$2,866.99
|
$6,556.96
|
$2,956.32
|
2026-03-02
|
|
19081
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using X-ray With Needle, First…
|
7
|
7
|
$7,580.30
|
$3,032.12
60% off
|
$2,866.99
|
$6,556.96
|
$2,956.32
|
2026-03-02
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
5
|
5
|
$19,878.62
|
$7,951.45
60% off
|
$9,740.52
|
$17,195.00
|
$13,097.35
|
2026-03-02
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
5
|
5
|
$17,566.62
|
$7,026.65
60% off
|
$8,607.64
|
$15,195.13
|
$11,779.20
|
2026-03-02
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
5
|
5
|
$23,329.05
|
$9,331.62
60% off
|
$10,535.97
|
$20,179.63
|
$11,431.23
|
2026-03-02
|
|
182
|
MS_DRG
|
Respiratory Neoplasms Without Cc/mcc
|
5
|
5
|
$23,578.10
|
$9,431.24
60% off
|
$11,006.45
|
$20,395.06
|
$11,553.27
|
2026-03-02
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
5
|
5
|
$24,993.81
|
$9,997.52
60% off
|
$7,852.36
|
$21,619.65
|
$12,246.97
|
2026-03-02
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
5
|
5
|
$27,850.90
|
$11,140.36
60% off
|
$11,064.28
|
$24,091.03
|
$13,646.94
|
2026-03-02
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
5
|
5
|
$16,161.51
|
$6,464.60
60% off
|
$7,919.14
|
$18,924.52
|
$13,979.70
|
2026-03-02
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
5
|
5
|
$17,504.28
|
$7,001.71
60% off
|
$8,577.09
|
$15,141.20
|
$8,790.70
|
2026-03-02
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
5
|
5
|
$15,189.42
|
$6,075.77
60% off
|
$7,442.81
|
$15,815.12
|
$13,138.84
|
2026-03-02
|
|
15734
|
HCPCS
|
Creation Of Muscle Graft To Trunk
|
7
|
7
|
$3,434.90
|
$1,373.96
60% off
|
$1,246.45
|
$3,434.90
|
$2,780.00
|
2026-03-02
|
|
156
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc
|
5
|
5
|
$13,608.79
|
$5,443.52
60% off
|
$5,304.12
|
$11,771.60
|
$6,668.31
|
2026-03-02
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
5
|
5
|
$17,603.81
|
$7,041.52
60% off
|
$8,625.87
|
$15,227.30
|
$8,890.58
|
2026-03-02
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
5
|
5
|
$22,002.09
|
$8,800.84
60% off
|
$10,781.02
|
$19,031.81
|
$13,808.33
|
2026-03-02
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
5
|
5
|
$17,276.61
|
$6,910.64
60% off
|
$5,456.57
|
$14,944.27
|
$8,465.54
|
2026-03-02
|
|
149
|
MS_DRG
|
Dysequilibrium
|
5
|
5
|
$18,014.44
|
$7,205.78
60% off
|
$8,827.08
|
$15,582.49
|
$11,007.76
|
2026-03-02
|
|
11012
|
HCPCS
|
Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Broken A…
|
7
|
7
|
$6,458.00
|
$2,583.20
60% off
|
$2,454.04
|
$5,586.17
|
$2,543.81
|
2026-03-02
|
|
01967
|
HCPCS
|
Anesthesia For Labor During Planned Vaginal Delivery
|
3
|
3
|
$8,137.50
|
$3,255.00
60% off
|
$49.00
|
$8,137.50
|
$8,137.50
|
2026-03-02
|