|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
27
|
27
|
$22,814.16
|
$17,110.62
25% off
|
$5,619.13
|
$25,586.25
|
$22,814.16
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
27
|
27
|
$37,333.84
|
$28,000.38
25% off
|
$9,195.32
|
$37,333.84
|
$22,412.58
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
27
|
27
|
$43,754.50
|
$32,815.88
25% off
|
$10,776.73
|
$43,754.50
|
$27,556.35
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
27
|
27
|
$44,035.47
|
$33,026.60
25% off
|
$10,845.94
|
$44,035.47
|
$26,333.65
|
2026-04-01
|
|
C1734
|
HCPCS
|
Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (…
|
20
|
20
|
$45,061.63
|
$33,796.22
25% off
|
$3,604.93
|
$45,061.63
|
$22,228.90
|
2026-04-01
|
|
L8690
|
HCPCS
|
Auditory Osseointegrated Device, Includes All Internal And External Components
|
67
|
27
|
$45,573.31
|
$34,179.98
25% off
|
$3,640.70
|
$55,647.28
|
$22,449.50
|
2026-04-01
|
|
SUP_170968
|
CDM
|
Kt Proc Cerv Safeop-so3 EMG-ssep-mep Electrd W-ndl
|
20
|
20
|
$45,737.49
|
$34,303.12
25% off
|
$3,659.00
|
$45,737.49
|
$22,562.30
|
2026-04-01
|
|
SUP_145569
|
CDM
|
Kt Proc Safeop EMG-ssep Electrd W-ndl
|
20
|
20
|
$45,737.49
|
$34,303.12
25% off
|
$3,659.00
|
$45,737.49
|
$22,562.30
|
2026-04-01
|
|
SUP_167056
|
CDM
|
Kt Proc Prone-transpoas-lat Safeop-3 EMG-ssep Electrd W-ndl
|
20
|
20
|
$45,737.49
|
$34,303.12
25% off
|
$3,659.00
|
$45,737.49
|
$22,562.30
|
2026-04-01
|
|
SUP_167057
|
CDM
|
Kt Proc Thor-lum Safeop-3 EMG-ssep Electrd W-ndl
|
20
|
20
|
$45,737.49
|
$34,303.12
25% off
|
$3,659.00
|
$45,737.49
|
$22,562.30
|
2026-04-01
|
|
SUP_104597
|
CDM
|
Handpc Crani Myriad 13g 13cm
|
20
|
20
|
$45,882.14
|
$34,411.61
25% off
|
$3,670.57
|
$45,882.14
|
$22,633.66
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
27
|
27
|
$46,060.27
|
$34,545.20
25% off
|
$11,344.64
|
$46,060.27
|
$41,229.56
|
2026-04-01
|
|
SUP_159435
|
CDM
|
Templt Unid Pt-spec
|
20
|
20
|
$46,910.25
|
$35,182.69
25% off
|
$3,752.82
|
$46,910.25
|
$23,140.83
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
27
|
27
|
$47,450.19
|
$35,587.64
25% off
|
$11,686.98
|
$47,450.19
|
$37,926.94
|
2026-04-01
|
|
HB_36104130000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$47,533.31
|
$35,649.98
25% off
|
$3,802.66
|
$47,533.31
|
$23,010.88
|
2026-04-01
|
|
HB_36000000773
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$47,918.30
|
$35,938.73
25% off
|
$3,833.46
|
$47,918.30
|
$23,022.35
|
2026-04-01
|
|
SUP_165237
|
CDM
|
Sys Remov Thromb Pvasc Dropzone 4.0x30mm 180cm
|
20
|
20
|
$48,024.37
|
$36,018.28
25% off
|
$3,841.95
|
$48,024.37
|
$23,690.42
|
2026-04-01
|
|
HB_36000001021
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$48,507.56
|
$36,380.67
25% off
|
$3,880.60
|
$48,507.56
|
$23,305.46
|
2026-04-01
|
|
HB_36000000646
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$48,855.16
|
$36,641.37
25% off
|
$3,908.41
|
$48,855.16
|
$23,472.47
|
2026-04-01
|
|
HB_36120983000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$48,881.29
|
$36,660.97
25% off
|
$3,910.50
|
$48,881.29
|
$23,663.43
|
2026-04-01
|
|
HB_36120982000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$48,881.29
|
$36,660.97
25% off
|
$3,910.50
|
$48,881.29
|
$23,663.43
|
2026-04-01
|
|
HB_48136224000
|
CDM
|
Hc S/p Cath Int Carotid Unil + Ext Arch
|
20
|
20
|
$49,070.26
|
$36,802.70
25% off
|
$3,925.62
|
$49,070.26
|
$22,545.33
|
2026-04-01
|
|
HB_36122515000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$49,159.62
|
$36,869.72
25% off
|
$3,932.77
|
$49,159.62
|
$23,798.17
|
2026-04-01
|
|
SUP_11896
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 7mmx2
|
20
|
20
|
$49,798.98
|
$37,349.24
25% off
|
$3,983.92
|
$49,798.98
|
$24,565.84
|
2026-04-01
|
|
HB_36000001064
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$50,363.64
|
$37,772.73
25% off
|
$4,029.09
|
$50,363.64
|
$24,197.21
|
2026-04-01
|
|
HB_36009766000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$50,667.02
|
$38,000.27
25% off
|
$4,053.36
|
$50,667.02
|
$24,342.97
|
2026-04-01
|
|
HB_36009765000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$50,667.02
|
$38,000.27
25% off
|
$4,053.36
|
$50,667.02
|
$24,342.97
|
2026-04-01
|
|
HB_48093620000
|
CDM
|
Hc Eval Ep W Or Attemt Induction
|
20
|
20
|
$51,508.39
|
$38,631.29
25% off
|
$4,120.67
|
$51,508.39
|
$24,935.21
|
2026-04-01
|
|
SUP_11897
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 10mmx2
|
20
|
20
|
$51,601.27
|
$38,700.95
25% off
|
$4,128.10
|
$51,601.27
|
$25,454.91
|
2026-04-01
|
|
SUP_41885
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 15mmx2
|
20
|
20
|
$51,601.27
|
$38,700.95
25% off
|
$4,128.10
|
$51,601.27
|
$25,454.91
|
2026-04-01
|
|
SUP_11898
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 20mmx2
|
20
|
20
|
$51,601.27
|
$38,700.95
25% off
|
$4,128.10
|
$51,601.27
|
$25,454.91
|
2026-04-01
|
|
HB_36161650000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$52,122.83
|
$39,092.12
25% off
|
$4,169.83
|
$52,122.83
|
$25,232.66
|
2026-04-01
|
|
HB_48192929000
|
CDM
|
Hc Ptca/stent Addl Art/brnch
|
20
|
20
|
$52,838.33
|
$39,628.75
25% off
|
$4,227.07
|
$52,838.33
|
$24,276.57
|
2026-04-01
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
140
|
20
|
$53,360.41
|
$40,020.31
25% off
|
$2,852.14
|
$59,224.19
|
$25,454.91
|
2026-04-01
|
|
HB_31002110000
|
CDM
|
Hc Mi Cancer Seek
|
20
|
20
|
$53,669.47
|
$40,252.10
25% off
|
$4,293.56
|
$53,669.47
|
$26,475.15
|
2026-04-01
|
|
HB_30002110000
|
CDM
|
Hc Mi Cancer Seek Z016q
|
20
|
20
|
$53,669.47
|
$40,252.10
25% off
|
$4,293.56
|
$53,669.47
|
$26,475.15
|
2026-04-01
|
|
HB_36133271000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$54,129.16
|
$40,596.87
25% off
|
$4,330.33
|
$54,129.16
|
$26,203.92
|
2026-04-01
|
|
HB_36137799004
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$54,142.33
|
$40,606.75
25% off
|
$4,331.39
|
$54,142.33
|
$26,210.30
|
2026-04-01
|
|
C1818
|
HCPCS
|
Integrated Keratoprosthesis
|
60
|
20
|
$54,357.25
|
$40,767.94
25% off
|
$3,940.46
|
$55,119.54
|
$25,995.26
|
2026-04-01
|
|
HB_36105250000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$54,595.68
|
$40,946.76
25% off
|
$4,367.65
|
$54,595.68
|
$26,429.77
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
27
|
27
|
$54,666.66
|
$41,000.00
25% off
|
$13,464.40
|
$54,666.66
|
$27,973.03
|
2026-04-01
|
|
HB_36000000065
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$54,791.76
|
$41,093.82
25% off
|
$4,383.34
|
$54,791.76
|
$26,324.71
|
2026-04-01
|
|
HB_36000000069
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$54,791.76
|
$41,093.82
25% off
|
$4,383.34
|
$54,791.76
|
$26,324.71
|
2026-04-01
|
|
HB_48192986000
|
CDM
|
Hc Perc Valvuloplasty Aortic Valve
|
20
|
20
|
$54,983.96
|
$41,237.97
25% off
|
$4,398.72
|
$54,983.96
|
$25,262.38
|
2026-04-01
|
|
HB_48192987000
|
CDM
|
Hc Perc Valvuloplasty Mitral Valve
|
20
|
20
|
$54,983.96
|
$41,237.97
25% off
|
$4,398.72
|
$54,983.96
|
$25,262.38
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
25
|
25
|
$55,055.07
|
$41,291.30
25% off
|
$13,560.06
|
$55,055.07
|
$29,362.36
|
2026-04-01
|
|
C1761
|
HCPCS
|
Catheter, Transluminal Intravascular Lithotripsy, Coronary
|
61
|
20
|
$55,119.54
|
$41,339.66
25% off
|
$4,311.57
|
$60,803.51
|
$27,190.47
|
2026-04-01
|
|
HB_48133285000
|
CDM
|
Hc Insertion Subc Cardiac Rhythm Moni W Prog
|
20
|
20
|
$56,173.63
|
$42,130.22
25% off
|
$4,493.89
|
$56,173.63
|
$25,808.97
|
2026-04-01
|
|
SUP_168043
|
CDM
|
Guide Mark Ips W-plan Trnsfrm Cust 1p-u
|
20
|
20
|
$56,843.49
|
$42,632.62
25% off
|
$4,547.48
|
$56,843.49
|
$28,040.89
|
2026-04-01
|
|
HB_36037248000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$56,867.52
|
$42,650.64
25% off
|
$4,549.40
|
$56,867.52
|
$27,322.00
|
2026-04-01
|
|
HB_36036907000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$56,867.52
|
$42,650.64
25% off
|
$4,549.40
|
$56,867.52
|
$27,322.00
|
2026-04-01
|
|
HB_36037249000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$56,867.52
|
$42,650.64
25% off
|
$4,549.40
|
$56,867.52
|
$27,322.00
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
27
|
27
|
$56,900.51
|
$42,675.38
25% off
|
$14,014.60
|
$56,900.51
|
$25,493.38
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
15
|
15
|
$57,169.58
|
$42,877.19
25% off
|
$14,080.87
|
$57,169.58
|
$33,736.71
|
2026-04-01
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…
|
27
|
27
|
$57,376.83
|
$43,032.62
25% off
|
$4,590.15
|
$102,284.10
|
$48,770.31
|
2026-04-01
|
|
C2621
|
HCPCS
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
120
|
20
|
$57,758.24
|
$43,318.68
25% off
|
$3,659.00
|
$73,883.64
|
$27,479.73
|
2026-04-01
|
|
SUP_159981
|
CDM
|
Knif Iq Apex 106mm-len 12.4mm-cut-len 0.73mm-cut-wd 11cm
|
20
|
20
|
$57,796.71
|
$43,347.53
25% off
|
$4,623.74
|
$57,796.71
|
$28,511.12
|
2026-04-01
|
|
HB_36000001059
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$58,205.28
|
$43,653.96
25% off
|
$4,656.42
|
$58,205.28
|
$27,964.73
|
2026-04-01
|
|
HB_36037218000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$58,615.83
|
$43,961.87
25% off
|
$4,689.27
|
$58,615.83
|
$28,161.97
|
2026-04-01
|
|
SUP_106501
|
CDM
|
Dev Ds Gi Fastnr Esophyxz Pls W-serosafuse Imp
|
20
|
20
|
$58,646.19
|
$43,984.64
25% off
|
$4,691.70
|
$58,646.19
|
$28,930.17
|
2026-04-01
|
|
HB_48192925000
|
CDM
|
Hc Ptca/atherect Addl Art/brnch
|
20
|
20
|
$58,781.58
|
$44,086.19
25% off
|
$4,702.53
|
$58,781.58
|
$27,007.19
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
27
|
27
|
$59,019.64
|
$44,264.73
25% off
|
$14,536.54
|
$59,019.64
|
$24,435.09
|
2026-04-01
|
|
SUP_102012
|
CDM
|
Ds Anch-endovasc Helifx-86cm W-10-endoanchor-0.5x3x4.5mm
|
20
|
20
|
$59,048.27
|
$44,286.20
25% off
|
$4,723.86
|
$59,048.27
|
$29,128.51
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
27
|
27
|
$60,226.21
|
$45,169.66
25% off
|
$14,833.72
|
$60,226.21
|
$31,896.82
|
2026-04-01
|
|
HB_36000000066
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$60,233.68
|
$45,175.26
25% off
|
$4,818.69
|
$60,233.68
|
$28,939.27
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
27
|
27
|
$60,309.21
|
$45,231.91
25% off
|
$14,854.16
|
$60,309.21
|
$30,449.37
|
2026-04-01
|
|
HB_36137233000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$60,457.94
|
$45,343.46
25% off
|
$4,836.64
|
$60,457.94
|
$29,267.69
|
2026-04-01
|
|
HB_36000000770
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$60,457.94
|
$45,343.46
25% off
|
$4,836.64
|
$60,457.94
|
$29,047.02
|
2026-04-01
|
|
HB_36161645000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$61,116.89
|
$45,837.67
25% off
|
$4,889.35
|
$61,116.89
|
$29,586.68
|
2026-04-01
|
|
HB_48133235000
|
CDM
|
Hc Remove Pm Leads Dual
|
20
|
20
|
$61,209.38
|
$45,907.04
25% off
|
$4,896.75
|
$61,209.38
|
$28,122.65
|
2026-04-01
|
|
HB_48133244000
|
CDM
|
Hc Removal Aicd Lead(s) Transvenous
|
20
|
20
|
$61,209.38
|
$45,907.04
25% off
|
$4,896.75
|
$61,209.38
|
$28,122.65
|
2026-04-01
|
|
HB_36000001006
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$61,444.61
|
$46,083.46
25% off
|
$4,915.57
|
$61,444.61
|
$29,521.07
|
2026-04-01
|
|
HB_36147383000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$62,280.26
|
$46,710.20
25% off
|
$4,982.42
|
$62,280.26
|
$30,149.88
|
2026-04-01
|
|
HB_36161626000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$62,493.35
|
$46,870.01
25% off
|
$4,999.47
|
$62,493.35
|
$30,253.03
|
2026-04-01
|
|
HB_36000000756
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$62,511.33
|
$46,883.50
25% off
|
$5,000.91
|
$62,511.33
|
$30,033.57
|
2026-04-01
|
|
HB_48133212000
|
CDM
|
Hc Ppm Generator Single
|
20
|
20
|
$63,019.07
|
$47,264.30
25% off
|
$5,041.53
|
$63,019.07
|
$28,954.11
|
2026-04-01
|
|
SUP_147794
|
CDM
|
Clmp Ablat Isolatorsynergy Trnspolar
|
20
|
20
|
$63,328.83
|
$47,496.62
25% off
|
$5,066.31
|
$63,328.83
|
$31,240.11
|
2026-04-01
|
|
HB_36000000068
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$63,559.36
|
$47,669.52
25% off
|
$5,084.75
|
$63,559.36
|
$30,537.10
|
2026-04-01
|
|
HB_48109130000
|
CDM
|
Hc Pta Drug Eluting Balln Sgl Cor Artery
|
20
|
20
|
$63,559.36
|
$47,669.52
25% off
|
$5,084.75
|
$63,559.36
|
$29,202.35
|
2026-04-01
|
|
HB_36036902000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$63,613.57
|
$47,710.18
25% off
|
$5,089.09
|
$63,613.57
|
$30,563.14
|
2026-04-01
|
|
HB_36106000000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$65,487.70
|
$49,115.78
25% off
|
$5,239.02
|
$65,487.70
|
$31,702.60
|
2026-04-01
|
|
HB_36036227000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$65,578.99
|
$49,184.24
25% off
|
$5,246.32
|
$65,578.99
|
$31,507.42
|
2026-04-01
|
|
HB_36036909000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$66,160.80
|
$49,620.60
25% off
|
$5,292.86
|
$66,160.80
|
$31,786.96
|
2026-04-01
|
|
C9610
|
HCPCS
|
Catheter, Transluminal Drug Delivery With Or Without Angioplasty, Coronary, Non-…
|
20
|
20
|
$66,260.73
|
$49,695.55
25% off
|
$5,300.86
|
$66,260.73
|
$32,686.42
|
2026-04-01
|
|
NDC24338005008
|
CDM
|
Gliadel Wafer
|
20
|
20
|
$67,041.32
|
$50,280.99
25% off
|
$5,363.31
|
$67,041.32
|
$33,071.48
|
2026-04-01
|
|
HB_36036905000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$67,549.70
|
$50,662.28
25% off
|
$5,403.98
|
$67,549.70
|
$32,454.25
|
2026-04-01
|
|
HB_48193655000
|
CDM
|
Hc Cath Ablation Arrhythmia Add On
|
20
|
20
|
$68,340.67
|
$51,255.50
25% off
|
$5,467.25
|
$68,340.67
|
$31,399.12
|
2026-04-01
|
|
HB_36000000032
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$68,440.06
|
$51,330.05
25% off
|
$5,475.20
|
$68,440.06
|
$32,882.03
|
2026-04-01
|
|
HB_36000000033
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$68,440.06
|
$51,330.05
25% off
|
$5,475.20
|
$68,440.06
|
$32,882.03
|
2026-04-01
|
|
HB_36036482001
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$68,653.47
|
$51,490.10
25% off
|
$5,492.28
|
$68,653.47
|
$32,984.56
|
2026-04-01
|
|
HB_48133228000
|
CDM
|
Hc Remove/replace Ppm Dual System
|
20
|
20
|
$69,660.25
|
$52,245.19
25% off
|
$5,572.82
|
$69,660.25
|
$32,005.40
|
2026-04-01
|
|
HB_48133221000
|
CDM
|
Hc Pacemaker Perm Generator Mult
|
20
|
20
|
$69,660.25
|
$52,245.19
25% off
|
$5,572.82
|
$69,660.25
|
$32,005.40
|
2026-04-01
|
|
HB_36000000070
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$69,871.33
|
$52,403.50
25% off
|
$5,589.71
|
$69,871.33
|
$33,569.68
|
2026-04-01
|
|
HB_36009772000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$69,988.41
|
$52,491.31
25% off
|
$5,599.07
|
$69,988.41
|
$33,625.93
|
2026-04-01
|
|
HB_48133229000
|
CDM
|
Hc Remove/replace Ppm Mult System
|
20
|
20
|
$70,072.33
|
$52,554.25
25% off
|
$5,605.79
|
$70,072.33
|
$32,194.73
|
2026-04-01
|
|
HB_36137230000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$70,344.43
|
$52,758.32
25% off
|
$5,627.55
|
$70,344.43
|
$34,053.74
|
2026-04-01
|
|
HB_36000000776
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$70,344.43
|
$52,758.32
25% off
|
$5,627.55
|
$70,344.43
|
$33,796.98
|
2026-04-01
|
|
HB_36000000898
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$70,344.43
|
$52,758.32
25% off
|
$5,627.55
|
$70,344.43
|
$33,796.98
|
2026-04-01
|
|
HB_36122510000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$70,410.60
|
$52,807.95
25% off
|
$5,632.85
|
$70,410.60
|
$34,085.77
|
2026-04-01
|
|
HB_36122514000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$70,410.60
|
$52,807.95
25% off
|
$5,632.85
|
$70,410.60
|
$34,085.77
|
2026-04-01
|
|
HB_36122511000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$70,410.60
|
$52,807.95
25% off
|
$5,632.85
|
$70,410.60
|
$34,085.77
|
2026-04-01
|
|
HB_36122513000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$70,410.60
|
$52,807.95
25% off
|
$5,632.85
|
$70,410.60
|
$34,085.77
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
27
|
27
|
$70,926.83
|
$53,195.12
25% off
|
$13,465.96
|
$70,926.83
|
$22,937.96
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
25
|
25
|
$71,358.57
|
$53,518.93
25% off
|
$17,575.62
|
$71,358.57
|
$30,313.24
|
2026-04-01
|
|
SUP_172623
|
CDM
|
Mdl Suppl Maxilla-craniips Classc Patnt-spec
|
20
|
20
|
$72,863.34
|
$54,647.51
25% off
|
$5,829.07
|
$72,863.34
|
$35,943.49
|
2026-04-01
|
|
HB_36105690000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$73,212.94
|
$54,909.71
25% off
|
$5,857.04
|
$73,212.94
|
$35,442.39
|
2026-04-01
|
|
HB_36133419000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$73,212.94
|
$54,909.71
25% off
|
$5,857.04
|
$73,212.94
|
$35,442.39
|
2026-04-01
|
|
HB_36105700000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$73,212.94
|
$54,909.71
25% off
|
$5,857.04
|
$73,212.94
|
$35,442.39
|
2026-04-01
|
|
HB_36133418001
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$73,212.94
|
$54,909.71
25% off
|
$5,857.04
|
$73,212.94
|
$35,442.39
|
2026-04-01
|
|
HB_36033361000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$73,212.94
|
$54,909.71
25% off
|
$5,857.04
|
$73,212.94
|
$35,175.16
|
2026-04-01
|
|
HB_48133213000
|
CDM
|
Hc Ppm Generator Dual
|
20
|
20
|
$73,535.77
|
$55,151.83
25% off
|
$5,882.86
|
$73,535.77
|
$33,786.01
|
2026-04-01
|
|
HB_36032994001
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$73,822.44
|
$55,366.83
25% off
|
$5,905.80
|
$73,822.44
|
$35,467.99
|
2026-04-01
|
|
HB_48193657000
|
CDM
|
Hc Ablate Atrial Fib W/pulm Vein
|
20
|
20
|
$75,707.42
|
$56,780.57
25% off
|
$6,056.59
|
$75,707.42
|
$34,783.77
|
2026-04-01
|
|
HB_36000000759
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$75,849.31
|
$56,886.98
25% off
|
$6,067.94
|
$75,849.31
|
$36,441.80
|
2026-04-01
|
|
HB_36137239000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$76,321.66
|
$57,241.25
25% off
|
$6,105.73
|
$76,321.66
|
$36,947.32
|
2026-04-01
|
|
HB_36000000950
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,321.66
|
$57,241.25
25% off
|
$6,105.73
|
$76,321.66
|
$36,668.75
|
2026-04-01
|
|
HB_36000000952
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36000001011
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36000001009
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36000001012
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36037244000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36000001010
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$76,746.38
|
$57,559.79
25% off
|
$6,139.71
|
$76,746.38
|
$36,872.80
|
2026-04-01
|
|
HB_36133207000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$77,795.60
|
$58,346.70
25% off
|
$6,223.65
|
$77,795.60
|
$37,660.85
|
2026-04-01
|
|
HB_36133206000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$77,795.60
|
$58,346.70
25% off
|
$6,223.65
|
$77,795.60
|
$37,660.85
|
2026-04-01
|
|
HB_48133227000
|
CDM
|
Hc Remove/replace Pacemaker Sl System
|
20
|
20
|
$78,135.23
|
$58,601.42
25% off
|
$6,250.82
|
$78,135.23
|
$35,899.23
|
2026-04-01
|
|
HB_48133225000
|
CDM
|
Hc Lead Placement Coronary Sinus
|
20
|
20
|
$78,471.16
|
$58,853.37
25% off
|
$6,277.69
|
$78,471.16
|
$36,053.57
|
2026-04-01
|
|
HB_36037228000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$78,613.48
|
$58,960.11
25% off
|
$6,289.08
|
$78,613.48
|
$37,769.85
|
2026-04-01
|
|
HB_48192928000
|
CDM
|
Hc Ptca /stent Initial Art/brnch
|
20
|
20
|
$78,703.22
|
$59,027.42
25% off
|
$6,296.26
|
$78,703.22
|
$36,160.20
|
2026-04-01
|
|
HB_48193799016
|
CDM
|
Hc Stent Pseudoaneurysm Coronary Artery
|
20
|
20
|
$78,703.22
|
$59,027.42
25% off
|
$6,296.26
|
$78,703.22
|
$36,160.20
|
2026-04-01
|
|
HB_33377373003
|
CDM
|
Hc Sterotactic Radiosurg, Each Fraction
|
20
|
20
|
$79,734.42
|
$59,800.82
25% off
|
$6,378.75
|
$79,734.42
|
$39,332.99
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
27
|
27
|
$81,272.28
|
$60,954.21
25% off
|
$20,017.36
|
$81,272.28
|
$32,965.79
|
2026-04-01
|
|
HB_36102350000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$81,505.26
|
$61,128.95
25% off
|
$6,520.42
|
$81,505.26
|
$39,456.69
|
2026-04-01
|
|
HB_36009767000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,513.13
|
$61,134.85
25% off
|
$6,521.05
|
$81,513.13
|
$39,162.99
|
2026-04-01
|
|
HB_36137229000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,502.53
|
2026-04-01
|
|
HB_36000000897
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,204.69
|
2026-04-01
|
|
HB_36000000774
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,204.69
|
2026-04-01
|
|
HB_36000000771
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,204.69
|
2026-04-01
|
|
HB_36000000769
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,204.69
|
2026-04-01
|
|
HB_36000000772
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$81,599.94
|
$61,199.96
25% off
|
$6,528.00
|
$81,599.94
|
$39,204.69
|
2026-04-01
|
|
C1815
|
HCPCS
|
Prosthesis, Urinary Sphincter (implantable)
|
80
|
20
|
$81,852.52
|
$61,389.39
25% off
|
$3,056.67
|
$87,077.15
|
$35,980.49
|
2026-04-01
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
27
|
27
|
$83,397.20
|
$62,547.90
25% off
|
$11,224.42
|
$83,397.20
|
$24,546.95
|
2026-04-01
|
|
HB_36034707000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$83,464.47
|
$62,598.35
25% off
|
$6,677.16
|
$83,464.47
|
$40,100.51
|
2026-04-01
|
|
HB_36034718000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$83,537.25
|
$62,652.94
25% off
|
$6,682.98
|
$83,537.25
|
$40,135.47
|
2026-04-01
|
|
HB_36034717000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$83,537.25
|
$62,652.94
25% off
|
$6,682.98
|
$83,537.25
|
$40,135.47
|
2026-04-01
|
|
SUP_121894
|
CDM
|
Retrv Trevo-nxt Provue 3x32mm
|
20
|
20
|
$83,860.04
|
$62,895.03
25% off
|
$6,708.80
|
$83,860.04
|
$41,368.16
|
2026-04-01
|
|
SUP_121896
|
CDM
|
Retrv Trevo-nxt Provue 6x37mm
|
20
|
20
|
$83,860.04
|
$62,895.03
25% off
|
$6,708.80
|
$83,860.04
|
$41,368.16
|
2026-04-01
|
|
SUP_121897
|
CDM
|
Retrv Trevo-nxt Provue Lng 4x41mm
|
20
|
20
|
$83,860.04
|
$62,895.03
25% off
|
$6,708.80
|
$83,860.04
|
$41,368.16
|
2026-04-01
|
|
SUP_121895
|
CDM
|
Retrv Trevo-nxt Provue 4x28mm
|
20
|
20
|
$83,860.04
|
$62,895.03
25% off
|
$6,708.80
|
$83,860.04
|
$41,368.16
|
2026-04-01
|
|
HB_48133224000
|
CDM
|
Hc Insert Lv Lead & Connect
|
20
|
20
|
$84,206.77
|
$63,155.08
25% off
|
$6,736.54
|
$84,206.77
|
$38,688.81
|
2026-04-01
|
|
HB_36109150000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$84,509.16
|
$63,381.87
25% off
|
$6,760.73
|
$84,509.16
|
$40,910.89
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
27
|
27
|
$86,180.69
|
$64,635.51
25% off
|
$16,752.60
|
$86,180.69
|
$25,672.86
|
2026-04-01
|
|
HB_36033288000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$86,662.15
|
$64,996.61
25% off
|
$6,932.97
|
$86,662.15
|
$41,636.83
|
2026-04-01
|
|
HB_36109330000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$86,731.67
|
$65,048.75
25% off
|
$6,938.53
|
$86,731.67
|
$41,986.80
|
2026-04-01
|
|
HB_48133289000
|
CDM
|
Hc Implant Pulm Artery Sensor For Hd Monitoring
|
20
|
20
|
$86,731.67
|
$65,048.75
25% off
|
$6,938.53
|
$86,731.67
|
$39,848.87
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
27
|
27
|
$87,107.20
|
$65,330.40
25% off
|
$19,760.98
|
$87,107.20
|
$43,594.03
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
27
|
27
|
$87,378.57
|
$65,533.93
25% off
|
$19,106.55
|
$87,378.57
|
$27,244.95
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
27
|
27
|
$87,841.09
|
$65,880.82
25% off
|
$21,635.26
|
$87,841.09
|
$40,560.84
|
2026-04-01
|
|
HB_36000000948
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$88,296.91
|
$66,222.68
25% off
|
$7,063.75
|
$88,296.91
|
$42,422.25
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
27
|
27
|
$88,365.73
|
$66,274.30
25% off
|
$15,199.43
|
$88,365.73
|
$23,622.42
|
2026-04-01
|
|
HB_48192924000
|
CDM
|
Hc Ptca /atherect Initial Art/brnch
|
20
|
20
|
$88,470.27
|
$66,352.70
25% off
|
$7,068.00
|
$88,470.27
|
$40,647.67
|
2026-04-01
|
|
HB_36133999010
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$92,218.12
|
$69,163.59
25% off
|
$7,377.45
|
$92,218.12
|
$44,642.79
|
2026-04-01
|
|
HB_36104080000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$92,218.12
|
$69,163.59
25% off
|
$7,377.45
|
$92,218.12
|
$44,642.79
|
2026-04-01
|
|
HB_48192944000
|
CDM
|
Hc Ptca/stent/atherec Cto Addl Ves
|
20
|
20
|
$92,326.73
|
$69,245.05
25% off
|
$7,068.00
|
$92,326.73
|
$42,419.51
|
2026-04-01
|
|
HB_48192934000
|
CDM
|
Hc Ptca/stent/atherect Addl Branch
|
20
|
20
|
$92,415.11
|
$69,311.33
25% off
|
$7,068.00
|
$92,415.11
|
$42,460.12
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
27
|
27
|
$93,656.94
|
$70,242.70
25% off
|
$23,067.70
|
$93,656.94
|
$45,199.07
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
27
|
$93,809.70
|
$70,357.28
25% off
|
$19,493.87
|
$93,809.70
|
$30,028.61
|
2026-04-01
|
|
HB_48193590000
|
CDM
|
Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val
|
20
|
20
|
$94,074.06
|
$70,555.55
25% off
|
$7,068.00
|
$94,074.06
|
$43,222.32
|
2026-04-01
|
|
HB_48193591000
|
CDM
|
Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val
|
20
|
20
|
$94,074.06
|
$70,555.55
25% off
|
$7,068.00
|
$94,074.06
|
$43,222.32
|
2026-04-01
|
|
HB_36037223000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$95,480.13
|
$71,610.10
25% off
|
$7,638.41
|
$95,480.13
|
$45,873.43
|
2026-04-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
27
|
27
|
$95,747.12
|
$71,810.34
25% off
|
$10,492.63
|
$95,747.12
|
$24,685.97
|
2026-04-01
|
|
HB_36133208000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$96,271.86
|
$72,203.90
25% off
|
$7,701.75
|
$96,271.86
|
$46,605.21
|
2026-04-01
|
|
HB_36133999004
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$96,453.19
|
$72,339.89
25% off
|
$7,716.26
|
$96,453.19
|
$46,692.99
|
2026-04-01
|
|
HB_36036903000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$96,616.82
|
$72,462.62
25% off
|
$7,729.35
|
$96,616.82
|
$46,419.55
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
27
|
27
|
$96,756.84
|
$72,567.63
25% off
|
$19,448.79
|
$96,756.84
|
$29,415.16
|
2026-04-01
|
|
HB_36000000041
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$97,015.11
|
$72,761.33
25% off
|
$7,761.21
|
$97,015.11
|
$46,610.91
|
2026-04-01
|
|
HB_36137238000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$97,062.88
|
$72,797.16
25% off
|
$7,765.03
|
$97,062.88
|
$46,988.14
|
2026-04-01
|
|
HB_36000000949
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$97,062.88
|
$72,797.16
25% off
|
$7,765.03
|
$97,062.88
|
$46,633.86
|
2026-04-01
|
|
HB_36000000947
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$97,062.88
|
$72,797.16
25% off
|
$7,765.03
|
$97,062.88
|
$46,633.86
|
2026-04-01
|
|
HB_36036908000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$97,062.88
|
$72,797.16
25% off
|
$7,765.03
|
$97,062.88
|
$46,633.86
|
2026-04-01
|
|
HB_48133214000
|
CDM
|
Hc Ppm Upgrade
|
20
|
20
|
$97,073.37
|
$72,805.03
25% off
|
$7,068.00
|
$97,073.37
|
$44,600.36
|
2026-04-01
|
|
HB_48193581000
|
CDM
|
Hc Repair Perc Vent Sept Def W Imp
|
20
|
20
|
$97,315.78
|
$72,986.84
25% off
|
$7,068.00
|
$97,315.78
|
$44,711.74
|
2026-04-01
|
|
HB_48193799011
|
CDM
|
Hc Repair Perc Post Mi Vsd W Occluder
|
20
|
20
|
$97,315.78
|
$72,986.84
25% off
|
$7,068.00
|
$97,315.78
|
$44,711.74
|
2026-04-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
27
|
27
|
$99,256.21
|
$74,442.16
25% off
|
$11,731.94
|
$99,256.21
|
$25,760.46
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
27
|
27
|
$99,713.17
|
$74,784.88
25% off
|
$20,166.67
|
$99,713.17
|
$31,672.15
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
27
|
27
|
$99,750.94
|
$74,813.21
25% off
|
$17,207.81
|
$99,750.94
|
$28,895.69
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
25
|
25
|
$99,899.32
|
$74,924.49
25% off
|
$24,605.20
|
$99,899.32
|
$43,209.60
|
2026-04-01
|
|
C1722
|
HCPCS
|
Cardioverter-defibrillator, Single Chamber (implantable)
|
200
|
20
|
$104,037.21
|
$78,027.91
25% off
|
$6,473.61
|
$222,823.68
|
$49,154.52
|
2026-04-01
|
|
HB_48193582000
|
CDM
|
Hc Perc Closure Patent Ductus Arteriosus
|
20
|
20
|
$104,090.08
|
$78,067.56
25% off
|
$7,068.00
|
$104,090.08
|
$47,824.19
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
27
|
27
|
$105,282.08
|
$78,961.56
25% off
|
$25,930.98
|
$105,282.08
|
$45,359.38
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
27
|
27
|
$107,041.08
|
$80,280.81
25% off
|
$26,039.31
|
$107,041.08
|
$40,020.72
|
2026-04-01
|
|
HB_48192938000
|
CDM
|
Hc Ptca/stent/atherec Byp Grft Addl Ves
|
20
|
20
|
$107,098.36
|
$80,323.77
25% off
|
$7,068.00
|
$107,098.36
|
$49,206.34
|
2026-04-01
|
|
HB_48192933000
|
CDM
|
Hc Ptca/stent/atherect Initl Art/brnch
|
20
|
20
|
$107,202.26
|
$80,401.70
25% off
|
$7,068.00
|
$107,202.26
|
$49,254.07
|
2026-04-01
|
|
HB_48136226000
|
CDM
|
Hc S/p Cath Vert W/vert Circ Incl Arch
|
20
|
20
|
$107,463.87
|
$80,597.90
25% off
|
$7,068.00
|
$107,463.87
|
$49,374.27
|
2026-04-01
|
|
HB_36036906000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$107,746.81
|
$80,810.11
25% off
|
$8,619.74
|
$107,746.81
|
$51,766.96
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
27
|
27
|
$108,075.86
|
$81,056.90
25% off
|
$24,955.27
|
$108,075.86
|
$37,527.53
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
27
|
27
|
$108,937.55
|
$81,703.16
25% off
|
$21,960.79
|
$108,937.55
|
$33,069.86
|
2026-04-01
|
|
HB_36009797000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$109,535.99
|
$82,151.99
25% off
|
$8,762.88
|
$109,535.99
|
$52,626.57
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
27
|
27
|
$109,793.01
|
$82,344.76
25% off
|
$13,512.15
|
$109,793.01
|
$27,042.02
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
27
|
27
|
$110,169.76
|
$82,627.32
25% off
|
$13,625.67
|
$110,169.76
|
$24,823.47
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
27
|
27
|
$111,372.51
|
$83,529.38
25% off
|
$14,936.77
|
$111,372.51
|
$27,431.05
|
2026-04-01
|
|
HB_48193580000
|
CDM
|
Hc Repair Perc Atr Sept Def W Imp
|
20
|
20
|
$112,885.69
|
$84,664.27
25% off
|
$7,068.00
|
$112,885.69
|
$51,865.33
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
27
|
27
|
$113,915.09
|
$85,436.31
25% off
|
$16,219.48
|
$113,915.09
|
$35,312.07
|
2026-04-01
|
|
C2616
|
HCPCS
|
Brachytherapy Source, Non-stranded, Yttrium-90, Per Source
|
27
|
27
|
$116,619.14
|
$87,464.36
25% off
|
$9,329.53
|
$116,619.14
|
$31,987.80
|
2026-04-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
27
|
27
|
$116,776.71
|
$87,582.53
25% off
|
$11,546.63
|
$116,776.71
|
$27,272.48
|
2026-04-01
|
|
HB_36009773000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$116,856.59
|
$87,642.44
25% off
|
$9,348.53
|
$116,856.59
|
$56,143.75
|
2026-04-01
|
|
C2622
|
HCPCS
|
Prosthesis, Penile, Non-inflatable
|
40
|
20
|
$116,936.11
|
$87,702.08
25% off
|
$8,358.47
|
$129,391.37
|
$55,080.18
|
2026-04-01
|
|
HB_48133262000
|
CDM
|
Hc Remove/replace Aicd Gen Singl Sys
|
20
|
20
|
$117,495.19
|
$88,121.39
25% off
|
$7,068.00
|
$117,495.19
|
$53,983.17
|
2026-04-01
|
|
HB_48133240000
|
CDM
|
Hc Insert Aicd Generator Single
|
20
|
20
|
$117,495.19
|
$88,121.39
25% off
|
$7,068.00
|
$117,495.19
|
$53,983.17
|
2026-04-01
|
|
HB_33377372000
|
CDM
|
Hc Stereotac Radios Cranial Cmplt Sessn
|
20
|
20
|
$117,746.65
|
$88,309.99
25% off
|
$9,419.73
|
$117,746.65
|
$58,084.42
|
2026-04-01
|
|
HB_48133230000
|
CDM
|
Hc Insert Aicd Generator Dual
|
20
|
20
|
$118,241.59
|
$88,681.19
25% off
|
$7,068.00
|
$118,241.59
|
$54,326.10
|
2026-04-01
|
|
HB_48133263000
|
CDM
|
Hc Remove/replace Aicd Gen Dual Sys
|
20
|
20
|
$118,241.59
|
$88,681.19
25% off
|
$7,068.00
|
$118,241.59
|
$54,326.10
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
27
|
27
|
$118,693.25
|
$89,019.94
25% off
|
$22,167.81
|
$118,693.25
|
$35,291.69
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
27
|
27
|
$118,848.85
|
$89,136.64
25% off
|
$13,923.40
|
$118,848.85
|
$26,000.00
|
2026-04-01
|
|
HB_36133274000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36100414000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36133999009
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36133270000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36102680000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36137231000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,609.18
|
2026-04-01
|
|
HB_36037221000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,174.82
|
2026-04-01
|
|
HB_36000000779
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,174.82
|
2026-04-01
|
|
HB_36000000777
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$119,002.66
|
$89,252.00
25% off
|
$9,419.00
|
$119,002.66
|
$57,174.82
|
2026-04-01
|
|
HB_48033249001
|
CDM
|
Hc Insert Aicd Gen Dual W Leads
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$57,766.98
|
2026-04-01
|
|
HB_48033249000
|
CDM
|
Hc Insert Aicd Gen Sngl W Leads
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$57,766.98
|
2026-04-01
|
|
HB_48133264000
|
CDM
|
Hc Remove/replace Aicd Gen Multi Sys
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48192937000
|
CDM
|
Hc Ptca/stent/atherec Byp Grft Init Ves
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48193583000
|
CDM
|
Hc Alcohol Septal Ablation
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48192943000
|
CDM
|
Hc Ptca/stent/atherec Cto Initial Ves
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48133249000
|
CDM
|
Hc Insert Aicd Gen Sngl W Leads
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48133249001
|
CDM
|
Hc Insert Aicd Gen Dual W Leads
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48192941000
|
CDM
|
Hc Ptca/stent/atherec Ami Init Ves
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
HB_48133231000
|
CDM
|
Hc Insert Aicd Generator Multi
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$54,825.53
|
2026-04-01
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
20
|
20
|
$119,328.60
|
$89,496.45
25% off
|
$7,068.00
|
$119,328.60
|
$24,374.00
|
2026-04-01
|
|
HB_36033276000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$120,434.63
|
$90,325.97
25% off
|
$9,419.00
|
$120,434.63
|
$57,862.82
|
2026-04-01
|
|
HB_36033277000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$120,434.63
|
$90,325.97
25% off
|
$9,419.00
|
$120,434.63
|
$57,862.82
|
2026-04-01
|
|
HB_36036837000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$121,647.71
|
$91,235.78
25% off
|
$9,419.00
|
$121,647.71
|
$58,445.65
|
2026-04-01
|
|
HB_36036836000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$121,647.71
|
$91,235.78
25% off
|
$9,419.00
|
$121,647.71
|
$58,445.65
|
2026-04-01
|
|
HB_36009774000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$121,647.71
|
$91,235.78
25% off
|
$9,419.00
|
$121,647.71
|
$58,445.65
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
27
|
27
|
$122,773.60
|
$92,080.20
25% off
|
$21,270.19
|
$122,773.60
|
$46,296.19
|
2026-04-01
|
|
C1721
|
HCPCS
|
Cardioverter-defibrillator, Dual Chamber (implantable)
|
140
|
20
|
$123,139.40
|
$92,354.55
25% off
|
$7,411.82
|
$172,395.16
|
$60,744.67
|
2026-04-01
|
|
HB_36108230000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$123,963.26
|
$92,972.45
25% off
|
$9,419.00
|
$123,963.26
|
$60,010.62
|
2026-04-01
|
|
HB_36107950000
|
CDM
|
Operating Room Services - Minor Surgery
|
20
|
20
|
$124,092.26
|
$93,069.20
25% off
|
$9,419.00
|
$124,092.26
|
$60,073.06
|
2026-04-01
|
|
HB_36037224001
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$125,022.67
|
$93,767.00
25% off
|
$9,419.00
|
$125,022.67
|
$60,067.14
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
25
|
25
|
$126,892.73
|
$95,169.55
25% off
|
$13,339.08
|
$126,892.73
|
$22,513.84
|
2026-04-01
|
|
SUP_166068
|
CDM
|
Guide Face-feminization Vsp
|
20
|
20
|
$128,534.43
|
$96,400.82
25% off
|
$10,282.75
|
$128,534.43
|
$63,406.03
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
27
|
27
|
$134,766.67
|
$101,075.00
25% off
|
$16,366.39
|
$134,766.67
|
$35,830.03
|
2026-04-01
|
|
SUP_41503
|
CDM
|
Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl
|
20
|
20
|
$134,866.96
|
$101,150.22
25% off
|
$10,789.36
|
$134,866.96
|
$66,529.87
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
27
|
27
|
$134,955.40
|
$101,216.55
25% off
|
$16,320.76
|
$134,955.40
|
$33,239.51
|
2026-04-01
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
27
|
27
|
$135,724.87
|
$101,793.65
25% off
|
$11,210.51
|
$135,724.87
|
$23,755.86
|
2026-04-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
27
|
27
|
$136,064.94
|
$102,048.71
25% off
|
$10,492.63
|
$136,064.94
|
$33,169.00
|
2026-04-01
|
|
HB_48193654000
|
CDM
|
Hc Ep Eval W/ablat V Tach Imag/rec
|
20
|
20
|
$136,917.70
|
$102,688.28
25% off
|
$7,068.00
|
$136,917.70
|
$62,906.84
|
2026-04-01
|
|
C1772
|
HCPCS
|
Infusion Pump, Programmable (implantable)
|
20
|
20
|
$140,144.37
|
$105,108.28
25% off
|
$11,211.55
|
$140,144.37
|
$69,133.22
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
27
|
27
|
$142,290.99
|
$106,718.24
25% off
|
$14,559.47
|
$142,290.99
|
$27,235.65
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
27
|
27
|
$143,497.32
|
$107,622.99
25% off
|
$23,316.96
|
$143,497.32
|
$39,114.43
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
27
|
27
|
$144,103.77
|
$108,077.83
25% off
|
$27,832.88
|
$144,103.77
|
$45,936.80
|
2026-04-01
|
|
SUP_137662
|
CDM
|
St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u
|
20
|
20
|
$145,304.49
|
$108,978.37
25% off
|
$11,624.36
|
$145,304.49
|
$71,678.70
|
2026-04-01
|
|
SUP_16402
|
CDM
|
Kt Cann W-20d Dil Circt Pump Hd Bubl Trap
|
20
|
20
|
$152,458.31
|
$114,343.73
25% off
|
$12,196.66
|
$152,458.31
|
$75,207.68
|
2026-04-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
27
|
27
|
$154,883.55
|
$116,162.66
25% off
|
$12,869.96
|
$154,883.55
|
$26,046.72
|
2026-04-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
27
|
27
|
$168,628.37
|
$126,471.28
25% off
|
$9,230.77
|
$168,628.37
|
$23,077.70
|
2026-04-01
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
27
|
27
|
$171,699.95
|
$128,774.96
25% off
|
$10,067.47
|
$171,699.95
|
$22,857.19
|
2026-04-01
|
|
HB_48193656000
|
CDM
|
Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec
|
20
|
20
|
$172,192.07
|
$129,144.05
25% off
|
$7,068.00
|
$172,192.07
|
$79,113.64
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
27
|
$172,409.83
|
$129,307.37
25% off
|
$26,457.24
|
$172,409.83
|
$47,704.43
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
27
|
27
|
$174,357.20
|
$130,767.90
25% off
|
$25,552.38
|
$174,357.20
|
$42,944.18
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
27
|
$175,449.45
|
$131,587.09
25% off
|
$28,027.65
|
$175,449.45
|
$43,213.20
|
2026-04-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
27
|
27
|
$180,124.56
|
$135,093.42
25% off
|
$10,042.99
|
$180,124.56
|
$23,535.46
|
2026-04-01
|
|
C1882
|
HCPCS
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
260
|
20
|
$180,604.45
|
$135,453.34
25% off
|
$10,320.25
|
$233,378.48
|
$87,488.79
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
27
|
27
|
$182,755.73
|
$137,066.80
25% off
|
$18,876.16
|
$182,755.73
|
$41,573.45
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
27
|
27
|
$183,273.80
|
$137,455.35
25% off
|
$21,507.81
|
$183,273.80
|
$35,212.28
|
2026-04-01
|
|
HB_48193653000
|
CDM
|
Hc Ep Eval W/ablat Svt Arrhythm/imag/rec
|
20
|
20
|
$183,462.99
|
$137,597.24
25% off
|
$7,068.00
|
$183,462.99
|
$84,292.07
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
27
|
27
|
$183,692.18
|
$137,769.14
25% off
|
$26,458.35
|
$183,692.18
|
$45,243.38
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
27
|
27
|
$186,495.72
|
$139,871.79
25% off
|
$25,648.10
|
$186,495.72
|
$55,139.59
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
27
|
27
|
$199,714.35
|
$149,785.76
25% off
|
$14,179.94
|
$199,714.35
|
$36,092.91
|
2026-04-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
27
|
27
|
$200,793.89
|
$150,595.41
25% off
|
$12,536.07
|
$200,793.89
|
$27,746.45
|
2026-04-01
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
220
|
20
|
$202,886.82
|
$152,165.12
25% off
|
$85.35
|
$335,027.13
|
$86,697.18
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
27
|
27
|
$203,908.87
|
$152,931.65
25% off
|
$17,939.03
|
$203,908.87
|
$32,584.03
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
27
|
27
|
$207,475.46
|
$155,606.59
25% off
|
$15,841.62
|
$207,475.46
|
$33,474.00
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
27
|
27
|
$210,424.79
|
$157,818.59
25% off
|
$14,380.83
|
$210,424.79
|
$31,260.69
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
25
|
25
|
$211,017.07
|
$158,262.80
25% off
|
$13,339.08
|
$211,017.07
|
$22,513.84
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
27
|
27
|
$213,916.04
|
$160,437.03
25% off
|
$12,568.90
|
$213,916.04
|
$27,050.61
|
2026-04-01
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
240
|
20
|
$223,937.80
|
$167,953.35
25% off
|
$9,833.33
|
$459,075.41
|
$98,687.17
|
2026-04-01
|
|
C2624
|
HCPCS
|
Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In…
|
20
|
20
|
$228,687.46
|
$171,515.60
25% off
|
$18,295.00
|
$228,687.46
|
$112,811.52
|
2026-04-01
|
|
HB_36033287000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$229,804.67
|
$172,353.50
25% off
|
$9,419.00
|
$229,804.67
|
$110,409.65
|
2026-04-01
|
|
HB_36033278000
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$229,804.67
|
$172,353.50
25% off
|
$9,419.00
|
$229,804.67
|
$110,409.65
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
27
|
27
|
$236,792.02
|
$177,594.02
25% off
|
$15,392.45
|
$236,792.02
|
$58,321.87
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
27
|
27
|
$245,045.78
|
$183,784.34
25% off
|
$30,756.68
|
$245,045.78
|
$60,164.43
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
27
|
27
|
$246,068.71
|
$184,551.53
25% off
|
$19,167.77
|
$246,068.71
|
$42,280.62
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
27
|
27
|
$250,311.96
|
$187,733.97
25% off
|
$35,992.15
|
$250,311.96
|
$61,651.83
|
2026-04-01
|
|
C1822
|
HCPCS
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
20
|
20
|
$253,315.34
|
$189,986.51
25% off
|
$20,265.23
|
$253,315.34
|
$124,960.46
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
27
|
$256,212.08
|
$192,159.06
25% off
|
$28,563.55
|
$256,212.08
|
$59,969.46
|
2026-04-01
|
|
C1826
|
HCPCS
|
Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An…
|
40
|
20
|
$256,540.42
|
$192,405.32
25% off
|
$16,653.14
|
$304,916.61
|
$113,189.30
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
27
|
27
|
$272,808.87
|
$204,606.65
25% off
|
$17,779.88
|
$272,808.87
|
$31,815.65
|
2026-04-01
|
|
J9600
|
HCPCS
|
Injection, Porfimer Sodium, 75 Mg
|
20
|
20
|
$282,709.27
|
$212,031.95
25% off
|
$3,543.33
|
$282,709.27
|
$46,124.01
|
2026-04-01
|
|
C1604
|
HCPCS
|
Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S…
|
20
|
20
|
$293,189.05
|
$219,891.79
25% off
|
$23,455.12
|
$293,189.05
|
$144,630.16
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
27
|
27
|
$304,563.29
|
$228,422.47
25% off
|
$75,013.94
|
$304,563.29
|
$122,431.84
|
2026-04-01
|
|
C1824
|
HCPCS
|
Generator, Cardiac Contractility Modulation (implantable)
|
20
|
20
|
$304,916.61
|
$228,687.46
25% off
|
$24,393.33
|
$304,916.61
|
$150,415.36
|
2026-04-01
|
|
NDC00074106501
|
CDM
|
Skyrizi 180 Mg-1.2ml Sc Soct
|
20
|
20
|
$309,787.09
|
$232,340.32
25% off
|
$24,782.97
|
$309,787.09
|
$152,817.97
|
2026-04-01
|
|
SUP_126495
|
CDM
|
Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701
|
20
|
20
|
$351,826.86
|
$263,870.15
25% off
|
$28,146.15
|
$351,826.86
|
$173,556.19
|
2026-04-01
|
|
SUP_164145
|
CDM
|
Cap Sys Imp Pascal-precision
|
20
|
20
|
$358,863.40
|
$269,147.55
25% off
|
$28,709.07
|
$358,863.40
|
$177,027.32
|
2026-04-01
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
27
|
27
|
$376,632.40
|
$282,474.30
25% off
|
$9,734.69
|
$376,632.40
|
$23,199.52
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
27
|
27
|
$648,978.72
|
$486,734.04
25% off
|
$119,257.07
|
$648,978.72
|
$192,195.52
|
2026-04-01
|