|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,297,650.32
|
$3,297,650.32
|
$3,297,650.32
|
2026-07-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
5
|
—
|
—
|
$2,967,637.05
|
$2,967,637.05
|
$2,967,637.05
|
2026-07-15
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
5
|
5
|
—
|
—
|
$2,906,774.19
|
$2,906,774.19
|
$2,906,774.19
|
2026-07-15
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
5
|
5
|
—
|
—
|
$2,635,907.07
|
$2,635,907.07
|
$2,635,907.07
|
2026-07-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
5
|
5
|
—
|
—
|
$2,196,882.07
|
$2,196,882.07
|
$2,196,882.07
|
2026-07-15
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$2,086,720.24
|
$2,086,720.24
|
$2,086,720.24
|
2026-07-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
5
|
—
|
—
|
$529,488.44
|
$529,488.44
|
$529,488.44
|
2026-07-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
5
|
—
|
—
|
$506,350.85
|
$506,350.85
|
$506,350.85
|
2026-07-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
5
|
5
|
—
|
—
|
$503,370.42
|
$503,370.42
|
$503,370.42
|
2026-07-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
5
|
—
|
—
|
$498,699.23
|
$498,699.23
|
$498,699.23
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
5
|
5
|
—
|
—
|
$477,145.02
|
$477,145.02
|
$477,145.02
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
5
|
—
|
—
|
$437,839.55
|
$437,839.55
|
$437,839.55
|
2026-07-15
|
|
SUP46243
|
LOCAL
|
Detour System Cap Case Price-detour
|
10
|
10
|
$151,149.00
|
$98,246.85
35% off
|
$28,718.31
|
$125,453.67
|
$73,307.26
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
13
|
13
|
—
|
—
|
$44,608.81
|
$102,935.42
|
$59,136.90
|
2026-07-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
5
|
5
|
—
|
—
|
$56,679.94
|
$56,679.94
|
$56,679.94
|
2026-07-15
|
|
SUP36543
|
LOCAL
|
Mitraclip System G4 Mcg40100
|
10
|
10
|
$112,500.00
|
$73,125.00
35% off
|
$21,375.00
|
$93,375.00
|
$54,562.50
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
13
|
13
|
—
|
—
|
$40,019.01
|
$92,344.38
|
$53,052.30
|
2026-07-15
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
5
|
5
|
—
|
—
|
$52,921.74
|
$52,921.74
|
$52,921.74
|
2026-07-15
|
|
SUP14428
|
LOCAL
|
Impella Pump Set 5.0 005062
|
10
|
10
|
$105,000.00
|
$68,250.00
35% off
|
$19,950.00
|
$87,150.00
|
$50,925.00
|
2026-07-15
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
5
|
5
|
—
|
—
|
$50,847.74
|
$50,847.74
|
$50,847.74
|
2026-07-15
|
|
562
|
OTHER
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
6
|
6
|
$102,786.00
|
$51,393.00
50% off
|
$16,431.63
|
$90,451.68
|
$50,106.60
|
2026-07-31
|
|
SUP47125
|
LOCAL
|
System Transcath Heart Valve 20mm S3urcm20a
|
10
|
10
|
$102,000.00
|
$66,300.00
35% off
|
$19,380.00
|
$84,660.00
|
$49,470.00
|
2026-07-15
|
|
SUP41045
|
LOCAL
|
System Transcatheter Heart Valve Tavrtmvi S3urcm26a
|
10
|
10
|
$102,000.00
|
$66,300.00
35% off
|
$19,380.00
|
$84,660.00
|
$49,470.00
|
2026-07-15
|
|
SUP47128
|
LOCAL
|
System Transcath Heart Valve 23mm S3urcm23a
|
10
|
10
|
$102,000.00
|
$66,300.00
35% off
|
$19,380.00
|
$84,660.00
|
$49,470.00
|
2026-07-15
|
|
SUP41904
|
LOCAL
|
System Transcath Heart Valve 29mm Tavrtmvi S3urcm29a
|
10
|
10
|
$102,000.00
|
$66,300.00
35% off
|
$19,380.00
|
$84,660.00
|
$49,470.00
|
2026-07-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
5
|
5
|
—
|
—
|
$49,458.78
|
$49,458.78
|
$49,458.78
|
2026-07-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
13
|
13
|
—
|
—
|
$36,964.11
|
$85,295.17
|
$49,002.49
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$36,474.66
|
$84,165.74
|
$48,353.63
|
2026-07-15
|
|
SUP37744
|
LOCAL
|
Valve Kit Ultra Tavr 20mm Tavrtmvi S3ucm220a
|
10
|
10
|
$97,500.00
|
$63,375.00
35% off
|
$18,525.00
|
$80,925.00
|
$47,287.50
|
2026-07-15
|
|
SUP35824
|
LOCAL
|
Valve Kit Ultra Tavr 23mm
|
10
|
10
|
$97,500.00
|
$63,375.00
35% off
|
$18,525.00
|
$80,925.00
|
$47,287.50
|
2026-07-15
|
|
SUP44575
|
LOCAL
|
Valve Aortic Ultra Ta Kit 26mm Tavrtmvi S3usta126a
|
10
|
10
|
$97,500.00
|
$63,375.00
35% off
|
$18,525.00
|
$80,925.00
|
$47,287.50
|
2026-07-15
|
|
SUP36171
|
LOCAL
|
Valve Tavr Kit Sapien3 29mm
|
10
|
10
|
$97,500.00
|
$63,375.00
35% off
|
$18,525.00
|
$80,925.00
|
$47,287.50
|
2026-07-15
|
|
SUP35862
|
LOCAL
|
Valve Kit Ultra Tavr 26mm Tavrtmvi
|
10
|
10
|
$97,500.00
|
$63,375.00
35% off
|
$18,525.00
|
$80,925.00
|
$47,287.50
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
13
|
13
|
—
|
—
|
$35,446.62
|
$81,793.52
|
$46,990.78
|
2026-07-15
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
6
|
6
|
$132,849.64
|
$66,424.82
50% off
|
$31,398.33
|
$116,907.68
|
$46,568.50
|
2026-07-31
|
|
SUP22002
|
LOCAL
|
Vagal Nerve Generator Sentiva 1000
|
10
|
10
|
$91,945.14
|
$59,764.34
35% off
|
$17,469.58
|
$76,314.47
|
$44,593.40
|
2026-07-15
|
|
SUP18474
|
LOCAL
|
Vagal Nerve Stimulator Gen 106
|
10
|
10
|
$91,914.00
|
$59,744.10
35% off
|
$17,463.66
|
$76,288.62
|
$44,578.29
|
2026-07-15
|
|
SUP53046
|
LOCAL
|
Valve Aortic Evolut Fx+ 26mm Evfxplus-26
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP40986
|
LOCAL
|
Valve Aortic Evolut Fx 34mm Tavrtmvi Evolutfx-34
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP37151
|
LOCAL
|
Valve Aortic Evolut Pro+ 29mm Tavrtmvi
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP43160
|
LOCAL
|
Valve Aortic Evolut Fx 26mm Tavrtmvi Evolutfx-26
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP37041
|
LOCAL
|
Valve Aortic Evolut Pro+ 34mm Tavrtmvi Evproplus-34us
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP37924
|
LOCAL
|
Valve Aortic Evolut R 34mm
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP39346
|
LOCAL
|
Valve Aortic Evolut Fx 29mm Tavrtmvi Evolutfx-29
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
SUP36159
|
LOCAL
|
Valve Aortic Evolut Pro+ 26mm Tavrtmvi
|
10
|
10
|
$90,000.00
|
$58,500.00
35% off
|
$17,100.00
|
$74,700.00
|
$43,650.00
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
13
|
13
|
—
|
—
|
$32,373.68
|
$74,702.70
|
$42,917.07
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
13
|
13
|
—
|
—
|
$32,317.71
|
$74,573.54
|
$42,842.86
|
2026-07-15
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
6
|
6
|
$92,139.67
|
$46,069.83
50% off
|
$27,837.00
|
$81,082.91
|
$41,523.74
|
2026-07-31
|
|
NDC06909787067
|
LOCAL
|
Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe (cilpa)
|
10
|
10
|
$85,369.52
|
$55,490.19
35% off
|
$16,220.21
|
$70,856.70
|
$41,404.21
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
13
|
13
|
—
|
—
|
$31,017.89
|
$71,574.18
|
$41,119.72
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$30,714.39
|
$70,873.85
|
$40,717.37
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
13
|
13
|
—
|
—
|
$30,609.28
|
$70,631.32
|
$40,578.04
|
2026-07-15
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
6
|
6
|
$59,249.00
|
$29,624.50
50% off
|
$25,053.30
|
$52,139.12
|
$40,430.07
|
2026-07-31
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
5
|
5
|
—
|
—
|
$40,285.38
|
$40,285.38
|
$40,285.38
|
2026-07-15
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
5
|
5
|
—
|
—
|
$40,267.35
|
$40,267.35
|
$40,267.35
|
2026-07-15
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
5
|
5
|
—
|
—
|
$40,267.35
|
$40,267.35
|
$40,267.35
|
2026-07-15
|
|
SUP45466
|
LOCAL
|
Generator Implantable Pulse Remede El 1100
|
10
|
10
|
$82,500.00
|
$53,625.00
35% off
|
$15,675.00
|
$68,475.00
|
$40,012.50
|
2026-07-15
|
|
SUP45469
|
LOCAL
|
Generator Implantable Pulse Remede El-x 1600
|
10
|
10
|
$82,500.00
|
$53,625.00
35% off
|
$15,675.00
|
$68,475.00
|
$40,012.50
|
2026-07-15
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
6
|
6
|
$75,556.00
|
$37,778.00
50% off
|
$31,151.36
|
$66,489.28
|
$38,971.80
|
2026-07-31
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
13
|
13
|
—
|
—
|
$29,179.48
|
$67,332.02
|
$38,682.58
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
13
|
13
|
—
|
—
|
$29,092.41
|
$67,131.11
|
$38,567.15
|
2026-07-15
|
|
SUP20132
|
LOCAL
|
Icd Amplia MRI Quad Dtmb1qq
|
10
|
10
|
$79,200.00
|
$51,480.00
35% off
|
$15,048.00
|
$65,736.00
|
$38,412.00
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
13
|
13
|
—
|
—
|
$28,586.78
|
$65,964.37
|
$37,896.86
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$28,289.50
|
$65,278.39
|
$37,502.76
|
2026-07-15
|
|
SUP51187
|
LOCAL
|
Pacer Bundle Aveir 201a+202v Dr Bundle Aveir
|
10
|
10
|
$77,250.00
|
$50,212.50
35% off
|
$14,677.50
|
$64,117.50
|
$37,466.25
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
13
|
13
|
—
|
—
|
$28,166.36
|
$64,994.24
|
$37,339.51
|
2026-07-15
|
|
SUP45468
|
LOCAL
|
Generator Implantable Pulse Remede 1001
|
10
|
10
|
$76,500.00
|
$49,725.00
35% off
|
$14,535.00
|
$63,495.00
|
$37,102.50
|
2026-07-15
|
|
SUP50057
|
LOCAL
|
Cath Impella Rp Flex 1000323
|
10
|
10
|
$75,000.00
|
$48,750.00
35% off
|
$14,250.00
|
$62,250.00
|
$36,375.00
|
2026-07-15
|
|
SUP18611
|
LOCAL
|
Cath Impella Cp 0048-0003
|
10
|
10
|
$75,000.00
|
$48,750.00
35% off
|
$14,250.00
|
$62,250.00
|
$36,375.00
|
2026-07-15
|
|
SUP39983
|
LOCAL
|
Cath Impella Rp W Smartassist
|
10
|
10
|
$75,000.00
|
$48,750.00
35% off
|
$14,250.00
|
$62,250.00
|
$36,375.00
|
2026-07-15
|
|
SUP44515
|
LOCAL
|
Cath Impella Cp Wsheath 4000021
|
10
|
10
|
$75,000.00
|
$48,750.00
35% off
|
$14,250.00
|
$62,250.00
|
$36,375.00
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$27,319.92
|
$63,041.07
|
$36,217.41
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
13
|
13
|
—
|
—
|
$26,698.62
|
$61,607.41
|
$35,393.76
|
2026-07-15
|
|
SUP3264
|
LOCAL
|
Icd Unify Quadra
|
10
|
10
|
$72,150.00
|
$46,897.50
35% off
|
$13,708.50
|
$59,884.50
|
$34,992.75
|
2026-07-15
|
|
SUP4541
|
LOCAL
|
Icd Quadra Assura Crt
|
10
|
10
|
$72,150.00
|
$46,897.50
35% off
|
$13,708.50
|
$59,884.50
|
$34,992.75
|
2026-07-15
|
|
SUP6445
|
LOCAL
|
Icd Protecta Xt Crt-d D314trg
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP23741
|
LOCAL
|
Icd Viva S Is1 Crt-d Dtbb1d1
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP16099
|
LOCAL
|
Icd Viva Xt Crtd Dtba1d1
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP16614
|
LOCAL
|
Icd Viva Quad Xt Crt-d Dtba1qq
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP2945
|
LOCAL
|
Icd Concerto Ii D274drk
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP6418
|
LOCAL
|
Icd Protecta Xt Cr-d D314trm
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP16613
|
LOCAL
|
Icd Viva Quad Xt Crt-d Dtba1q1
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP16100
|
LOCAL
|
Icd Viva Xt Crtd Dtba1d4
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP3591
|
LOCAL
|
Icd Consulta Crt-d
|
10
|
10
|
$72,000.00
|
$46,800.00
35% off
|
$13,680.00
|
$59,760.00
|
$34,920.00
|
2026-07-15
|
|
SUP15433
|
LOCAL
|
Vagal Nerve Stimulator Gen 105
|
10
|
10
|
$71,541.00
|
$46,501.65
35% off
|
$13,592.79
|
$59,379.03
|
$34,697.38
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
13
|
13
|
—
|
—
|
$26,130.80
|
$60,297.16
|
$34,641.02
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
13
|
13
|
—
|
—
|
$25,931.78
|
$59,837.93
|
$34,377.18
|
2026-07-15
|
|
SUP15350
|
LOCAL
|
Icd Quadra Assura Cd3365-40q
|
10
|
10
|
$70,500.00
|
$45,825.00
35% off
|
$13,395.00
|
$58,515.00
|
$34,192.50
|
2026-07-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
13
|
13
|
—
|
—
|
$25,243.94
|
$58,250.71
|
$33,465.32
|
2026-07-15
|
|
SUP14541
|
LOCAL
|
Icd Quadra Assura Cd3365-40c
|
10
|
10
|
$69,000.00
|
$44,850.00
35% off
|
$13,110.00
|
$57,270.00
|
$33,465.00
|
2026-07-15
|
|
SUP2972
|
LOCAL
|
Icd Fortify Dr Cd2231-40q
|
10
|
10
|
$69,000.00
|
$44,850.00
35% off
|
$13,110.00
|
$57,270.00
|
$33,465.00
|
2026-07-15
|
|
SUP36505
|
LOCAL
|
Therasphere Y-90
|
10
|
10
|
$68,793.75
|
$44,715.94
35% off
|
$13,070.81
|
$57,098.81
|
$33,364.97
|
2026-07-15
|
|
3601540
|
OTHER
|
Insertion Of Spinal Neurostimulator Generator Or Receiver
|
8
|
6
|
$41,932.00
|
$20,966.00
50% off
|
$30,593.59
|
$36,900.16
|
$33,140.96
|
2026-07-31
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
6
|
6
|
$55,360.50
|
$27,680.25
50% off
|
$13,918.50
|
$57,949.42
|
$32,616.01
|
2026-07-31
|
|
SUP57388
|
LOCAL
|
Stent Graft Tag Thoracic 37x37x15 Tgmr373715
|
10
|
10
|
$66,897.00
|
$43,483.05
35% off
|
$12,710.43
|
$55,524.51
|
$32,445.04
|
2026-07-15
|
|
SUP51574
|
LOCAL
|
Stent Graft Tag Thoracic 26x21x10 Tgm262110
|
10
|
10
|
$66,897.00
|
$43,483.05
35% off
|
$12,710.43
|
$55,524.51
|
$32,445.04
|
2026-07-15
|
|
SUP17581
|
LOCAL
|
Icd Inogen X4 Crt-d G148
|
10
|
10
|
$66,675.00
|
$43,338.75
35% off
|
$12,668.25
|
$55,340.25
|
$32,337.38
|
2026-07-15
|
|
SUP19407
|
LOCAL
|
Icd Inogen X4 Crt-d G146
|
10
|
10
|
$66,675.00
|
$43,338.75
35% off
|
$12,668.25
|
$55,340.25
|
$32,337.38
|
2026-07-15
|
|
SUP44540
|
LOCAL
|
Cath Ablation Venclose Rf 6fr X 60cm Vc10a256f60
|
10
|
10
|
$66,300.00
|
$43,095.00
35% off
|
$12,597.00
|
$55,029.00
|
$32,155.50
|
2026-07-15
|
|
SUP2946
|
LOCAL
|
Icd Unify Crt-d Cd3231-40q
|
10
|
10
|
$66,150.00
|
$42,997.50
35% off
|
$12,568.50
|
$54,904.50
|
$32,082.75
|
2026-07-15
|
|
SUP2950
|
LOCAL
|
Icd Unify Crt-d Cd3231-40
|
10
|
10
|
$66,150.00
|
$42,997.50
35% off
|
$12,568.50
|
$54,904.50
|
$32,082.75
|
2026-07-15
|
|
SUP51551
|
LOCAL
|
Neurostimulator Inceptiv 977119
|
10
|
10
|
$66,000.00
|
$42,900.00
35% off
|
$12,540.00
|
$54,780.00
|
$32,010.00
|
2026-07-15
|
|
149
|
OTHER
|
Dysequilibrium
|
6
|
6
|
$37,937.00
|
$18,968.50
50% off
|
$8,480.92
|
$33,404.40
|
$31,912.54
|
2026-07-31
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
8
|
8
|
—
|
—
|
$31,865.02
|
$55,465.18
|
$31,865.02
|
2026-07-15
|
|
SUP11269
|
LOCAL
|
Vagal Nerve Gen Model 103
|
10
|
10
|
$65,316.00
|
$42,455.40
35% off
|
$12,410.04
|
$54,212.28
|
$31,678.26
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
13
|
13
|
—
|
—
|
$23,877.57
|
$55,097.79
|
$31,653.95
|
2026-07-15
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
5
|
5
|
—
|
—
|
$31,319.15
|
$31,319.15
|
$31,319.15
|
2026-07-15
|
|
SUP15195
|
LOCAL
|
Icd Energen Crt-d N140
|
10
|
10
|
$64,500.00
|
$41,925.00
35% off
|
$12,255.00
|
$53,535.00
|
$31,282.50
|
2026-07-15
|
|
SUP18163
|
LOCAL
|
Icd Inogen Crt-d G141
|
10
|
10
|
$64,500.00
|
$41,925.00
35% off
|
$12,255.00
|
$53,535.00
|
$31,282.50
|
2026-07-15
|
|
SUP3670
|
LOCAL
|
Icd Energen Crt-d N141
|
10
|
10
|
$64,500.00
|
$41,925.00
35% off
|
$12,255.00
|
$53,535.00
|
$31,282.50
|
2026-07-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
13
|
13
|
—
|
—
|
$23,403.04
|
$54,002.81
|
$31,024.88
|
2026-07-15
|
|
SUP39043
|
LOCAL
|
Ipg Kit Nervo Nipg2500
|
10
|
10
|
$63,900.00
|
$41,535.00
35% off
|
$12,141.00
|
$53,037.00
|
$30,991.50
|
2026-07-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$23,245.69
|
$53,639.73
|
$30,816.29
|
2026-07-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
13
|
13
|
—
|
—
|
$23,243.20
|
$53,633.99
|
$30,812.99
|
2026-07-15
|
|
SUP40512
|
LOCAL
|
Stent Graft Tag Thoracic 26x26x10 Tgm262610
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
SUP40939
|
LOCAL
|
Stent Graft Tag Thoracic 40x40x10 Tgmr404010
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
SUP40446
|
LOCAL
|
Stent Graft Tag Thoracic 40x40x15 Tgmr404015
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
SUP41989
|
LOCAL
|
Stent Graft Tag Thoracic 28x28x10 Tgm282810
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
SUP40452
|
LOCAL
|
Stent Graft Tag Thoracic 34x34x15 Tgm343415
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
SUP40996
|
LOCAL
|
Stent Graft Tag Thoracic 34x34x20 Tgm343420
|
10
|
10
|
$63,492.00
|
$41,269.80
35% off
|
$12,063.48
|
$52,698.36
|
$30,793.62
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$23,177.90
|
$53,483.31
|
$30,726.42
|
2026-07-15
|
|
SUP2971
|
LOCAL
|
Icd Cognis He Bos Sci N119
|
10
|
10
|
$63,000.00
|
$40,950.00
35% off
|
$11,970.00
|
$52,290.00
|
$30,555.00
|
2026-07-15
|
|
SUP2990
|
LOCAL
|
Icd Cognis He Guidant N118
|
10
|
10
|
$63,000.00
|
$40,950.00
35% off
|
$11,970.00
|
$52,290.00
|
$30,555.00
|
2026-07-15
|
|
SUP4892
|
LOCAL
|
Icd Unify Assura Cd3257-40
|
10
|
10
|
$63,000.00
|
$40,950.00
35% off
|
$11,970.00
|
$52,290.00
|
$30,555.00
|
2026-07-15
|
|
SUP6624
|
LOCAL
|
Neurostim Restore Sensor Medt
|
10
|
10
|
$62,850.00
|
$40,852.50
35% off
|
$11,941.50
|
$52,165.50
|
$30,482.25
|
2026-07-15
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
13
|
13
|
—
|
—
|
$22,843.93
|
$52,712.66
|
$30,283.68
|
2026-07-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
13
|
13
|
—
|
—
|
$22,834.60
|
$52,691.13
|
$30,271.31
|
2026-07-15
|
|
563
|
OTHER
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
6
|
6
|
$33,734.00
|
$16,867.00
50% off
|
$9,673.86
|
$33,404.40
|
$30,063.22
|
2026-07-31
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
13
|
13
|
—
|
—
|
$22,566.55
|
$52,072.60
|
$29,915.97
|
2026-07-15
|
|
SUP38243
|
LOCAL
|
Stent Graft Tag Thoracic
|
10
|
10
|
$61,644.00
|
$40,068.60
35% off
|
$11,712.36
|
$51,164.52
|
$29,897.34
|
2026-07-15
|
|
SUP39305
|
LOCAL
|
Stent Graft Tag Thoracic 31x31x10 Tgmr313110
|
10
|
10
|
$61,644.00
|
$40,068.60
35% off
|
$11,712.36
|
$51,164.52
|
$29,897.34
|
2026-07-15
|
|
SUP19234
|
LOCAL
|
Icd Emblem S-icd A209
|
10
|
10
|
$61,500.00
|
$39,975.00
35% off
|
$11,685.00
|
$51,045.00
|
$29,827.50
|
2026-07-15
|
|
SUP20645
|
LOCAL
|
Icd Emblem MRI S-icd A219
|
10
|
10
|
$61,500.00
|
$39,975.00
35% off
|
$11,685.00
|
$51,045.00
|
$29,827.50
|
2026-07-15
|
|
SUP20233
|
LOCAL
|
Icd Dynagen X4 Crt-d
|
10
|
10
|
$61,341.00
|
$39,871.65
35% off
|
$11,654.79
|
$50,913.03
|
$29,750.38
|
2026-07-15
|
|
SUP6077
|
LOCAL
|
Vagal Nerve Gen Model 104
|
10
|
10
|
$61,155.00
|
$39,750.75
35% off
|
$11,619.45
|
$50,758.65
|
$29,660.17
|
2026-07-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
13
|
13
|
—
|
—
|
$22,208.32
|
$51,245.99
|
$29,441.07
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
13
|
13
|
—
|
—
|
$22,135.55
|
$51,078.08
|
$29,344.61
|
2026-07-15
|
|
SUP11123
|
LOCAL
|
Cath Impella 2.5 005042
|
10
|
10
|
$60,000.00
|
$39,000.00
35% off
|
$11,400.00
|
$49,800.00
|
$29,100.00
|
2026-07-15
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
13
|
13
|
—
|
—
|
$21,932.81
|
$50,610.24
|
$29,075.83
|
2026-07-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
13
|
13
|
—
|
—
|
$21,888.03
|
$50,506.91
|
$29,016.47
|
2026-07-15
|
|
SUP2942
|
LOCAL
|
Icd Lumax 540 Hf-t 360347
|
10
|
10
|
$59,445.00
|
$38,639.25
35% off
|
$11,294.55
|
$49,339.35
|
$28,830.82
|
2026-07-15
|
|
SUP17838
|
LOCAL
|
Icd Itrevia Hf-t Df-4
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
SUP18586
|
LOCAL
|
Icd Itrevia Hf-t Qp-7
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
SUP14558
|
LOCAL
|
Icd Ilesto 7 Hf-t 383547
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
SUP4610
|
LOCAL
|
Icd Lumax 740 Hf-t Biotronik
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
SUP17839
|
LOCAL
|
Icd Itrevia Hf-t Df-1
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
SUP16193
|
LOCAL
|
Icd Ilesto 7 Hf-t 383549
|
10
|
10
|
$59,430.00
|
$38,629.50
35% off
|
$11,291.70
|
$49,326.90
|
$28,823.55
|
2026-07-15
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
6
|
6
|
$46,469.00
|
$23,234.50
50% off
|
$15,220.26
|
$43,557.25
|
$28,797.46
|
2026-07-31
|
|
SUP19967
|
LOCAL
|
Icd Inogen Crt-d G140
|
10
|
10
|
$59,340.00
|
$38,571.00
35% off
|
$11,274.60
|
$49,252.20
|
$28,779.90
|
2026-07-15
|
|
SUP21959
|
LOCAL
|
Icd Dynagen Crt-d Is-1 G151
|
10
|
10
|
$59,340.00
|
$38,571.00
35% off
|
$11,274.60
|
$49,252.20
|
$28,779.90
|
2026-07-15
|
|
SUP21489
|
LOCAL
|
Icd Dynagen Crt-d G154
|
10
|
10
|
$59,340.00
|
$38,571.00
35% off
|
$11,274.60
|
$49,252.20
|
$28,779.90
|
2026-07-15
|
|
SUP22007
|
LOCAL
|
Icd Dynagen Crt-d Is-1 G150
|
10
|
10
|
$59,340.00
|
$38,571.00
35% off
|
$11,274.60
|
$49,252.20
|
$28,779.90
|
2026-07-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
13
|
13
|
—
|
—
|
$21,689.01
|
$50,047.68
|
$28,752.64
|
2026-07-15
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
5
|
5
|
—
|
—
|
$28,689.34
|
$28,689.34
|
$28,689.34
|
2026-07-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
13
|
13
|
—
|
—
|
$21,589.50
|
$49,818.06
|
$28,620.72
|
2026-07-15
|
|
SUP42844
|
LOCAL
|
Icd Cobalt Hf MRI Is1 Df4 Dtpb2d4
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP51933
|
LOCAL
|
Icd Cobalt Xt Hf Quad Is4 Df1 Dtpa2q1
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP37612
|
LOCAL
|
Icd Claria MRI US Df1 Dtma1d1
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP57219
|
LOCAL
|
Icd Cobalt Xt Hf MRI Df4 Dtpa2d4
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP32034
|
LOCAL
|
Icd Cobalt Hf Quad MRI Is4 Df1
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP52449
|
LOCAL
|
Icd Cobalt Xt Hf MRI Is1 Dtpa2d1
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP35607
|
LOCAL
|
Icd Cobalt Hf Quad MRI Is4 Df4
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP35173
|
LOCAL
|
Icd Cobalt Hf MRI Is1 Df1
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
SUP41657
|
LOCAL
|
Icd Cobalt Xt Hf Quad MRI Dtpa2qq
|
10
|
10
|
$58,995.00
|
$38,346.75
35% off
|
$11,209.05
|
$48,965.85
|
$28,612.57
|
2026-07-15
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
13
|
13
|
—
|
—
|
$21,485.02
|
$49,576.96
|
$28,482.21
|
2026-07-15
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
5
|
5
|
—
|
—
|
$28,462.27
|
$28,462.27
|
$28,462.27
|
2026-07-15
|
|
SUP20853
|
LOCAL
|
Stent Graft Valiant Thoracic
|
10
|
10
|
$58,485.00
|
$38,015.25
35% off
|
$11,112.15
|
$48,542.55
|
$28,365.22
|
2026-07-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
13
|
13
|
—
|
—
|
$21,322.08
|
$49,200.97
|
$28,266.20
|
2026-07-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
13
|
13
|
—
|
—
|
$21,217.59
|
$48,959.87
|
$28,127.69
|
2026-07-15
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
13
|
13
|
—
|
—
|
$21,189.61
|
$48,895.29
|
$28,090.59
|
2026-07-15
|
|
SUP21450
|
LOCAL
|
Icd Amplia MRI US Df1 Dtmb1d1
|
10
|
10
|
$57,600.00
|
$37,440.00
35% off
|
$10,944.00
|
$47,808.00
|
$27,936.00
|
2026-07-15
|
|
SUP21049
|
LOCAL
|
Icd Amplia MRI US Df4 Dtmb1d4
|
10
|
10
|
$57,600.00
|
$37,440.00
35% off
|
$10,944.00
|
$47,808.00
|
$27,936.00
|
2026-07-15
|
|
SUP30779
|
LOCAL
|
Icd Momentum X4 Crt-d G138
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP26253
|
LOCAL
|
Icd Momentum Crt-d G125
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP21379
|
LOCAL
|
Icd Ilivia 7 Hf-t Qp 404621
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP23219
|
LOCAL
|
Icd Vigilant X4 Crt-d G247
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP22385
|
LOCAL
|
Pulse Gen Precision Montagemri
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP20306
|
LOCAL
|
Icd Iperia 7 Hf-t Df4 Promri
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
SUP24647
|
LOCAL
|
Icd Momentum Crt-d G124
|
10
|
10
|
$57,000.00
|
$37,050.00
35% off
|
$10,830.00
|
$47,310.00
|
$27,645.00
|
2026-07-15
|
|
330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
6
|
6
|
$66,707.09
|
$33,353.55
50% off
|
$25,053.30
|
$58,702.24
|
$27,600.47
|
2026-07-31
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
13
|
13
|
—
|
—
|
$20,776.03
|
$47,940.95
|
$27,542.31
|
2026-07-15
|
|
SUP51185
|
LOCAL
|
Pacer Bundle Aveir Ap Lsp201a Ar Bundle Aveir
|
10
|
10
|
$56,250.00
|
$36,562.50
35% off
|
$10,687.50
|
$46,687.50
|
$27,281.25
|
2026-07-15
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
63685
|
HCPCS
|
Ins/rplc Spi Npg/rcvr Pocket
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
5
|
5
|
—
|
—
|
$27,268.38
|
$27,268.38
|
$27,268.38
|
2026-07-15
|
|
SUP52485
|
LOCAL
|
Icd Gallant Bipolar Df4 Hf Cdhfa500d
|
10
|
10
|
$55,500.00
|
$36,075.00
35% off
|
$10,545.00
|
$46,065.00
|
$26,917.50
|
2026-07-15
|
|
SUP30694
|
LOCAL
|
Icd Gallant Hf Crt-d Cdhfa500q
|
10
|
10
|
$55,500.00
|
$36,075.00
35% off
|
$10,545.00
|
$46,065.00
|
$26,917.50
|
2026-07-15
|
|
SUP21132
|
LOCAL
|
Icd Inventra 7 Hf-t 393012
|
10
|
10
|
$55,500.00
|
$36,075.00
35% off
|
$10,545.00
|
$46,065.00
|
$26,917.50
|
2026-07-15
|
|
SUP54320
|
LOCAL
|
Eterna Spinal Cord Stimulation System 32400
|
10
|
10
|
$55,500.00
|
$36,075.00
35% off
|
$10,545.00
|
$46,065.00
|
$26,917.50
|
2026-07-15
|
|
SUP52486
|
LOCAL
|
Icd Gallant Bipolar Df1 Hf Cdhfa500b
|
10
|
10
|
$55,500.00
|
$36,075.00
35% off
|
$10,545.00
|
$46,065.00
|
$26,917.50
|
2026-07-15
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
13
|
13
|
—
|
—
|
$20,141.04
|
$46,475.71
|
$26,700.53
|
2026-07-15
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
13
|
13
|
—
|
—
|
$20,118.65
|
$46,424.05
|
$26,670.84
|
2026-07-15
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
6
|
6
|
$53,995.11
|
$26,997.56
50% off
|
$22,269.60
|
$47,515.70
|
$26,665.92
|
2026-07-31
|
|
SUP18857
|
LOCAL
|
Icd Inogen El Icd Df4-dr D142
|
10
|
10
|
$54,750.00
|
$35,587.50
35% off
|
$10,402.50
|
$45,442.50
|
$26,553.75
|
2026-07-15
|
|
SUP28747
|
LOCAL
|
Icd Amplia MRI Quaddf1 Dtmb1q1
|
10
|
10
|
$54,660.00
|
$35,529.00
35% off
|
$10,385.40
|
$45,367.80
|
$26,510.10
|
2026-07-15
|
|
SUP21706
|
LOCAL
|
Icd Evera MRI S Df4 Ddmc3d4
|
10
|
10
|
$54,300.00
|
$35,295.00
35% off
|
$10,317.00
|
$45,069.00
|
$26,335.50
|
2026-07-15
|
|
SUP18803
|
LOCAL
|
Icd Evera MRI Xt Is-1 Ddmb1d4
|
10
|
10
|
$54,300.00
|
$35,295.00
35% off
|
$10,317.00
|
$45,069.00
|
$26,335.50
|
2026-07-15
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
13
|
13
|
—
|
—
|
$19,820.13
|
$45,735.20
|
$26,275.10
|
2026-07-15
|
|
SUP6871
|
LOCAL
|
Ins Restoresensor MRI Safe
|
10
|
10
|
$54,000.00
|
$35,100.00
35% off
|
$10,260.00
|
$44,820.00
|
$26,190.00
|
2026-07-15
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
13
|
13
|
—
|
—
|
$19,682.68
|
$45,418.04
|
$26,092.89
|
2026-07-15
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
13
|
13
|
—
|
—
|
$19,371.10
|
$44,699.06
|
$25,679.83
|
2026-07-15
|
|
SUP30691
|
LOCAL
|
Icd Entrant Hf Crt-d Cdhfa300q
|
10
|
10
|
$52,836.00
|
$34,343.40
35% off
|
$10,038.84
|
$43,853.88
|
$25,625.46
|
2026-07-15
|
|
SUP14667
|
LOCAL
|
Generator Precision Pulse
|
10
|
10
|
$52,731.00
|
$34,275.15
35% off
|
$10,018.89
|
$43,766.73
|
$25,574.53
|
2026-07-15
|
|
SUP50185
|
LOCAL
|
Coagulation Device Epi-sense St Epist-30
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP3145
|
LOCAL
|
Icd Energen Dr He E143
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP41097
|
LOCAL
|
Mesh Ovitex 2s Perm 25x40 F10248-2540p
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP37152
|
LOCAL
|
Mesh Ovitex 2s Perm 25x40
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP3144
|
LOCAL
|
Icd Energen Dr He Df4 E142
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP39656
|
LOCAL
|
Pacemaker Percepta Quad Crt-p W4tr01
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP16116
|
LOCAL
|
Icd Inogen Mini Dr Df4 D012
|
10
|
10
|
$52,500.00
|
$34,125.00
35% off
|
$9,975.00
|
$43,575.00
|
$25,462.50
|
2026-07-15
|
|
SUP44355
|
LOCAL
|
Cage Footankle Restor3d 9000-0042-b
|
10
|
10
|
$52,481.25
|
$34,112.81
35% off
|
$9,971.44
|
$43,559.44
|
$25,453.41
|
2026-07-15
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
5
|
5
|
—
|
—
|
$25,438.24
|
$25,438.24
|
$25,438.24
|
2026-07-15
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
5
|
5
|
—
|
—
|
$25,434.42
|
$25,434.42
|
$25,434.42
|
2026-07-15
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
6
|
6
|
$35,450.00
|
$17,725.00
50% off
|
$17,756.97
|
$44,511.45
|
$25,340.95
|
2026-07-31
|
|
SUP4308
|
LOCAL
|
Icd Fortify Assura Dr
|
10
|
10
|
$51,900.00
|
$33,735.00
35% off
|
$9,861.00
|
$43,077.00
|
$25,171.50
|
2026-07-15
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
6
|
6
|
$53,286.00
|
$26,643.00
50% off
|
$15,220.26
|
$46,891.68
|
$25,009.64
|
2026-07-31
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
13
|
13
|
—
|
—
|
$18,864.23
|
$43,529.45
|
$25,007.88
|
2026-07-15
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
13
|
13
|
—
|
—
|
$18,785.24
|
$43,347.20
|
$24,903.18
|
2026-07-15
|
|
SUP29377
|
LOCAL
|
Inspire Pulse Generator N 3028
|
10
|
10
|
$51,300.00
|
$33,345.00
35% off
|
$9,747.00
|
$42,579.00
|
$24,880.50
|
2026-07-15
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
13
|
13
|
—
|
—
|
$18,762.23
|
$43,294.10
|
$24,872.67
|
2026-07-15
|
|
SUP44270
|
LOCAL
|
Closure Device Watchman Flx Pro 35mm M635wu60350
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP6441
|
LOCAL
|
Icd Protecta Xt Dr D314drg
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP35752
|
LOCAL
|
Closure Device Watchman Flx 31
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP4190
|
LOCAL
|
Icd Secura Dr US Bcp D224drg
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP44262
|
LOCAL
|
Closure Device Watchman Flx Pro 27mm M635wu60270
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP35751
|
LOCAL
|
Closure Device Watchman Flx 27
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP44260
|
LOCAL
|
Closure Device Watchman Flx Pro 20mm M635wu60200
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP6442
|
LOCAL
|
Icd Protecta Xt Dr D314drm
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP44261
|
LOCAL
|
Closure Device Watchman Flx Pro 24mm M635wu60240
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP2969
|
LOCAL
|
Icd Teligen Dr He Guidant E110
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP35753
|
LOCAL
|
Closure Device Watchman Flx 35
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP44271
|
LOCAL
|
Closure Device Watchman Flx Pro 40mm M635wu60400
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP35749
|
LOCAL
|
Closure Device Watchman Flx 20
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP2965
|
LOCAL
|
Icd Virtuoso Medtronic D274drg
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP35750
|
LOCAL
|
Closure Device Watchman Flx 24
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP17558
|
LOCAL
|
Icd Evera S Ddbc3d1
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP44269
|
LOCAL
|
Closure Device Watchman Flx Pro 31mm M635wu60310
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP16096
|
LOCAL
|
Icd Evera Xt Dr Ddbb1d4
|
10
|
10
|
$51,000.00
|
$33,150.00
35% off
|
$9,690.00
|
$42,330.00
|
$24,735.00
|
2026-07-15
|
|
SUP19314
|
LOCAL
|
Icd Iperia 7 Vr-t Dx 393032
|
10
|
10
|
$50,820.00
|
$33,033.00
35% off
|
$9,655.80
|
$42,180.60
|
$24,647.70
|
2026-07-15
|
|
SUP19126
|
LOCAL
|
Icd Iperia 7 Dr-t 392423
|
10
|
10
|
$50,820.00
|
$33,033.00
35% off
|
$9,655.80
|
$42,180.60
|
$24,647.70
|
2026-07-15
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
5
|
5
|
—
|
—
|
$24,608.00
|
$24,608.00
|
$24,608.00
|
2026-07-15
|
|
SUP19937
|
LOCAL
|
Icd Inogen El Icd Df1-dr D143
|
10
|
10
|
$50,370.00
|
$32,740.50
35% off
|
$9,570.30
|
$41,807.10
|
$24,429.45
|
2026-07-15
|
|
SUP21439
|
LOCAL
|
Icd Intica 7 Hf-t Qp 404629
|
10
|
10
|
$50,160.00
|
$32,604.00
35% off
|
$9,530.40
|
$41,632.80
|
$24,327.60
|
2026-07-15
|
|
SUP21028
|
LOCAL
|
Icd Iperia 7 Hf-t Df1 Promri
|
10
|
10
|
$50,160.00
|
$32,604.00
35% off
|
$9,530.40
|
$41,632.80
|
$24,327.60
|
2026-07-15
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
13
|
13
|
—
|
—
|
$18,291.44
|
$42,207.73
|
$24,248.55
|
2026-07-15
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
13
|
13
|
—
|
—
|
$18,112.32
|
$41,794.42
|
$24,011.10
|
2026-07-15
|
|
SUP35831
|
LOCAL
|
Cardiohelp Hls Set Adv 7 Ecmo M 701069078
|
10
|
10
|
$49,500.00
|
$32,175.00
35% off
|
$9,405.00
|
$41,085.00
|
$24,007.50
|
2026-07-15
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
13
|
13
|
—
|
—
|
$18,048.26
|
$41,646.60
|
$23,926.18
|
2026-07-15
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
13
|
13
|
—
|
—
|
$18,037.07
|
$41,620.77
|
$23,911.34
|
2026-07-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
13
|
13
|
—
|
—
|
$17,850.49
|
$41,190.24
|
$23,664.00
|
2026-07-15
|
|
SUP36439
|
LOCAL
|
Cannula Angiovac Dilator Gen3
|
10
|
10
|
$48,750.00
|
$31,687.50
35% off
|
$9,262.50
|
$40,462.50
|
$23,643.75
|
2026-07-15
|
|
SUP2940
|
LOCAL
|
Icd Lumax 540 Dr-t 360346
|
10
|
10
|
$48,750.00
|
$31,687.50
35% off
|
$9,262.50
|
$40,462.50
|
$23,643.75
|
2026-07-15
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
13
|
13
|
—
|
—
|
$17,727.97
|
$40,907.53
|
$23,501.57
|
2026-07-15
|
|
SUP19212
|
LOCAL
|
Icd Evera MRI Xt Df4 Dvmb1d4
|
10
|
10
|
$48,300.00
|
$31,395.00
35% off
|
$9,177.00
|
$40,089.00
|
$23,425.50
|
2026-07-15
|
|
SUP2995
|
LOCAL
|
Icd Virtuoso Medtronic D274vrc
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP2997
|
LOCAL
|
Icd Maximo Ii Dr Medtronic D28
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP4972
|
LOCAL
|
Icd Secura Vr D224vrc
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP16097
|
LOCAL
|
Icd Evera Xt Vr Dvbb1d1
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP6443
|
LOCAL
|
Icd Protecta Xt Vr D314vrg
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP16098
|
LOCAL
|
Icd Evera Xt Vr Dvbb1d4
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
SUP6444
|
LOCAL
|
Icd Protecta Xt Vr D314vrm
|
10
|
10
|
$48,000.00
|
$31,200.00
35% off
|
$9,120.00
|
$39,840.00
|
$23,280.00
|
2026-07-15
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
6
|
6
|
$36,132.89
|
$18,066.44
50% off
|
$13,918.50
|
$42,815.89
|
$23,198.06
|
2026-07-31
|
|
SUP39797
|
LOCAL
|
Excluder Conform Aaa 12cm 23mm X 14.5mm Cxt231412
|
10
|
10
|
$47,484.00
|
$30,864.60
35% off
|
$9,021.96
|
$39,411.72
|
$23,029.74
|
2026-07-15
|
|
SUP20003
|
LOCAL
|
Icd Quadra Assura Cd3369-40c
|
10
|
10
|
$47,175.00
|
$30,663.75
35% off
|
$8,963.25
|
$39,155.25
|
$22,879.88
|
2026-07-15
|
|
SUP19629
|
LOCAL
|
Icd Quadra Assura Cd3369-40q
|
10
|
10
|
$47,175.00
|
$30,663.75
35% off
|
$8,963.25
|
$39,155.25
|
$22,879.88
|
2026-07-15
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
13
|
13
|
—
|
—
|
$17,239.14
|
$39,779.54
|
$22,853.54
|
2026-07-15
|
|
486
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
6
|
6
|
$38,500.63
|
$19,250.32
50% off
|
$20,293.68
|
$33,880.55
|
$22,850.82
|
2026-07-31
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
6
|
6
|
$35,926.00
|
$17,963.00
50% off
|
$12,683.55
|
$54,982.78
|
$22,766.69
|
2026-07-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
13
|
13
|
—
|
—
|
$17,094.85
|
$39,446.59
|
$22,662.26
|
2026-07-15
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
13
|
13
|
—
|
—
|
$17,090.50
|
$39,436.55
|
$22,656.49
|
2026-07-15
|
|
SUP21438
|
LOCAL
|
Icd Ilivia 7 Dr-t Df4 404623
|
10
|
10
|
$46,500.00
|
$30,225.00
35% off
|
$8,835.00
|
$38,595.00
|
$22,552.50
|
2026-07-15
|
|
SUP24080
|
LOCAL
|
Pacemaker Solara Crt-p
|
10
|
10
|
$46,500.00
|
$30,225.00
35% off
|
$8,835.00
|
$38,595.00
|
$22,552.50
|
2026-07-15
|
|
SUP21084
|
LOCAL
|
Mesh Phasix St 25x30
|
10
|
10
|
$46,500.00
|
$30,225.00
35% off
|
$8,835.00
|
$38,595.00
|
$22,552.50
|
2026-07-15
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
13
|
13
|
—
|
—
|
$17,002.19
|
$39,232.76
|
$22,539.42
|
2026-07-15
|
|
SUP6090
|
LOCAL
|
Icd Lumax 740 Vr-t Dx 372419
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP16237
|
LOCAL
|
Icd Ilesto 7 Dr-t 383564
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP17833
|
LOCAL
|
Icd Itrevia Dr-t Df-4
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP14553
|
LOCAL
|
Icd Ilesto 7 Dr-t 383562
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP14559
|
LOCAL
|
Icd Ilesto 7 Vr-t 383594
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP14540
|
LOCAL
|
Icd Lumax Dx 383594
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP17837
|
LOCAL
|
Icd Itrevia Dx
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP4959
|
LOCAL
|
Icd Lumax 740 Dr-t
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
SUP17834
|
LOCAL
|
Icd Itrevia Dr-t Df-1
|
10
|
10
|
$46,320.00
|
$30,108.00
35% off
|
$8,800.80
|
$38,445.60
|
$22,465.20
|
2026-07-15
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
13
|
13
|
—
|
—
|
$16,830.53
|
$38,836.68
|
$22,311.86
|
2026-07-15
|
|
643
|
OTHER
|
Endocrine Disorders With Mcc
|
6
|
6
|
$39,106.00
|
$19,553.00
50% off
|
$18,463.68
|
$34,413.28
|
$22,269.60
|
2026-07-31
|
|
896
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
6
|
6
|
$35,484.00
|
$17,742.00
50% off
|
$19,720.65
|
$31,225.92
|
$22,269.60
|
2026-07-31
|
|
383
|
OTHER
|
Uncomplicated Peptic Ulcer With Mcc
|
6
|
6
|
$57,308.00
|
$28,654.00
50% off
|
$15,276.88
|
$50,431.04
|
$22,269.60
|
2026-07-31
|
|
SUP2994
|
LOCAL
|
Icd Fortify Vr Cd1231-40q
|
10
|
10
|
$45,900.00
|
$29,835.00
35% off
|
$8,721.00
|
$38,097.00
|
$22,261.50
|
2026-07-15
|
|
SUP39360
|
LOCAL
|
Neurostimulator Vanta Pc 977006
|
10
|
10
|
$45,900.00
|
$29,835.00
35% off
|
$8,721.00
|
$38,097.00
|
$22,261.50
|
2026-07-15
|
|
394
|
OTHER
|
Other Digestive System Diagnoses With Cc
|
6
|
6
|
$42,856.00
|
$21,428.00
50% off
|
$10,592.72
|
$37,713.28
|
$22,239.45
|
2026-07-31
|