|
9391830203
|
CDM
|
Inlexzo 225 Mg
|
16
|
16
|
$280,830.00
|
$140,415.00
50% off
|
$60,378.45
|
$233,088.90
|
$198,251.94
|
2026-08-31
|
|
J9183
|
HCPCS
|
Gemcitabine Intravesical System, 225 Mg
|
26
|
26
|
$280,830.00
|
$140,415.00
50% off
|
$56,166.00
|
$294,871.50
|
$189,040.71
|
2026-08-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
16
|
16
|
$298,742.80
|
$149,371.40
50% off
|
$98,186.08
|
$246,646.59
|
$146,813.43
|
2026-08-31
|
|
J9347
|
HCPCS
|
Injection, Tremelimumab-actl, 1 Mg
|
26
|
26
|
$158,730.00
|
$79,365.00
50% off
|
$146.89
|
$166,666.50
|
$106,849.10
|
2026-08-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
16
|
16
|
$247,964.50
|
$123,982.25
50% off
|
$64,075.47
|
$160,959.64
|
$95,809.30
|
2026-08-31
|
|
Q2043
|
HCPCS
|
Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…
|
26
|
26
|
$63,553.60
|
$31,776.80
50% off
|
$12,710.72
|
$93,966.43
|
$54,340.94
|
2026-08-31
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
26
|
26
|
$73,103.10
|
$36,551.55
50% off
|
$124.27
|
$76,758.26
|
$49,209.35
|
2026-08-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
16
|
16
|
$135,506.43
|
$67,753.22
50% off
|
$31,973.43
|
$80,318.30
|
$47,808.51
|
2026-08-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
16
|
16
|
$129,973.13
|
$64,986.57
50% off
|
$29,766.41
|
$74,774.17
|
$44,508.43
|
2026-08-31
|
|
J9334
|
HCPCS
|
Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc
|
26
|
26
|
$65,480.10
|
$32,740.05
50% off
|
$34.26
|
$68,754.11
|
$44,077.93
|
2026-08-31
|
|
J9345
|
HCPCS
|
Injection, Retifanlimab-dlwr, 1 Mg
|
26
|
26
|
$60,004.10
|
$30,002.05
50% off
|
$30.98
|
$63,004.31
|
$40,391.76
|
2026-08-31
|
|
J1628
|
HCPCS
|
Injection, Guselkumab, 1 Mg
|
26
|
26
|
$59,285.50
|
$29,642.75
50% off
|
$66.92
|
$62,249.78
|
$39,908.04
|
2026-08-31
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
26
|
26
|
$57,988.00
|
$28,994.00
50% off
|
$205.51
|
$60,887.40
|
$39,034.62
|
2026-08-31
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
16
|
16
|
$33,185.10
|
$16,592.55
50% off
|
$26,365.43
|
$45,635.90
|
$37,243.28
|
2026-08-31
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
16
|
16
|
$164,431.90
|
$82,215.95
50% off
|
$24,079.76
|
$60,489.14
|
$36,005.44
|
2026-08-31
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
16
|
16
|
$82,131.10
|
$41,065.55
50% off
|
$23,071.31
|
$57,955.88
|
$34,497.55
|
2026-08-31
|
|
J9256
|
HCPCS
|
Injection, Nipocalimab-aahu, 3 Mg
|
26
|
26
|
$50,793.60
|
$25,396.80
50% off
|
$32.57
|
$53,333.28
|
$34,191.71
|
2026-08-31
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
16
|
16
|
$62,788.94
|
$31,394.47
50% off
|
$22,845.57
|
$57,388.80
|
$34,160.00
|
2026-08-31
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
16
|
16
|
$28,668.00
|
$14,334.00
50% off
|
$22,767.39
|
$39,408.05
|
$33,371.01
|
2026-08-31
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
26
|
26
|
$48,383.20
|
$24,191.60
50% off
|
$233.73
|
$50,802.36
|
$32,569.15
|
2026-08-31
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
16
|
$91,887.50
|
$45,943.75
50% off
|
$21,703.89
|
$54,520.87
|
$32,452.90
|
2026-08-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
16
|
16
|
$106,342.97
|
$53,171.49
50% off
|
$21,263.04
|
$53,413.44
|
$31,793.71
|
2026-08-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
16
|
16
|
$57,274.00
|
$28,637.00
50% off
|
$21,041.92
|
$52,857.99
|
$31,463.09
|
2026-08-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
16
|
16
|
$50,283.00
|
$25,141.50
50% off
|
$20,732.45
|
$50,283.00
|
$31,000.34
|
2026-08-31
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
16
|
16
|
$44,993.00
|
$22,496.50
50% off
|
$20,320.74
|
$44,993.00
|
$30,384.73
|
2026-08-31
|
|
J9272
|
HCPCS
|
Injection, Dostarlimab-gxly, 10 Mg
|
26
|
26
|
$44,566.00
|
$22,283.00
50% off
|
$251.30
|
$46,794.30
|
$29,999.61
|
2026-08-31
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
16
|
16
|
$57,691.35
|
$28,845.68
50% off
|
$19,502.88
|
$48,991.86
|
$29,161.82
|
2026-08-31
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
26
|
26
|
$43,169.60
|
$21,584.80
50% off
|
$29.67
|
$45,328.08
|
$29,059.61
|
2026-08-31
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
16
|
16
|
$47,998.50
|
$23,999.25
50% off
|
$19,413.14
|
$47,998.50
|
$29,027.63
|
2026-08-31
|
|
J2329
|
HCPCS
|
Injection, Ublituximab-xiiy, 1mg
|
26
|
26
|
$42,689.20
|
$21,344.60
50% off
|
$72.24
|
$44,823.66
|
$28,736.24
|
2026-08-31
|
|
C1815
|
HCPCS
|
Prosthesis, Urinary Sphincter (implantable)
|
19
|
19
|
$36,807.00
|
$18,403.50
50% off
|
$7,361.40
|
$38,647.35
|
$26,946.40
|
2026-08-31
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
16
|
16
|
$29,535.90
|
$14,767.95
50% off
|
$17,861.60
|
$30,916.63
|
$26,707.69
|
2026-08-31
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
26
|
26
|
$39,479.00
|
$19,739.50
50% off
|
$279.21
|
$41,452.95
|
$26,575.29
|
2026-08-31
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
16
|
16
|
$66,844.10
|
$33,422.05
50% off
|
$17,760.29
|
$44,614.43
|
$26,556.21
|
2026-08-31
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
15
|
15
|
$10,617.00
|
$5,308.50
50% off
|
$10,617.00
|
$28,918.14
|
$26,359.76
|
2026-08-31
|
|
J2267
|
HCPCS
|
Injection, Mirikizumab-mrkz, 1 Mg
|
26
|
26
|
$39,044.50
|
$19,522.25
50% off
|
$32.66
|
$40,996.73
|
$26,282.81
|
2026-08-31
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
16
|
16
|
$45,393.60
|
$22,696.80
50% off
|
$17,290.30
|
$43,433.79
|
$25,853.45
|
2026-08-31
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
16
|
16
|
$38,479.70
|
$19,239.85
50% off
|
$17,239.88
|
$38,479.70
|
$25,778.05
|
2026-08-31
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
15
|
15
|
$16,381.80
|
$8,190.90
50% off
|
$16,381.80
|
$30,946.25
|
$25,511.20
|
2026-08-31
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
16
|
16
|
$82,604.93
|
$41,302.47
50% off
|
$16,984.53
|
$42,665.68
|
$25,396.24
|
2026-08-31
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
16
|
16
|
$54,322.80
|
$27,161.40
50% off
|
$16,749.07
|
$42,074.20
|
$25,044.16
|
2026-08-31
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
26
|
26
|
$37,185.20
|
$18,592.60
50% off
|
$14.53
|
$39,044.46
|
$25,031.22
|
2026-08-31
|
|
J9203
|
HCPCS
|
Injection, Gemtuzumab Ozogamicin, 0.1 Mg
|
26
|
26
|
$37,023.80
|
$18,511.90
50% off
|
$247.37
|
$38,874.99
|
$24,922.58
|
2026-08-31
|
|
J9380
|
HCPCS
|
Injection, Teclistamab-cqyv, 0.5 Mg
|
26
|
26
|
$36,740.00
|
$18,370.00
50% off
|
$35.32
|
$38,577.00
|
$24,731.53
|
2026-08-31
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
16
|
16
|
$57,326.90
|
$28,663.45
50% off
|
$16,518.70
|
$41,495.50
|
$24,699.70
|
2026-08-31
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
16
|
16
|
$39,194.90
|
$19,597.45
50% off
|
$16,494.18
|
$39,194.90
|
$24,663.04
|
2026-08-31
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
16
|
16
|
$138,024.10
|
$69,012.05
50% off
|
$16,480.30
|
$41,399.05
|
$24,642.29
|
2026-08-31
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
16
|
16
|
$105,024.00
|
$52,512.00
50% off
|
$16,464.57
|
$41,359.54
|
$24,618.77
|
2026-08-31
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
16
|
16
|
$87,331.50
|
$43,665.75
50% off
|
$16,313.77
|
$40,980.71
|
$24,393.28
|
2026-08-31
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
16
|
16
|
$142,244.95
|
$71,122.48
50% off
|
$16,132.43
|
$40,525.19
|
$24,122.14
|
2026-08-31
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
16
|
16
|
$55,134.56
|
$27,567.28
50% off
|
$15,980.70
|
$40,144.04
|
$23,895.26
|
2026-08-31
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
16
|
$63,329.70
|
$31,664.85
50% off
|
$15,859.50
|
$39,839.59
|
$23,714.04
|
2026-08-31
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
16
|
16
|
$22,802.10
|
$11,401.05
50% off
|
$16,136.60
|
$27,930.82
|
$23,465.23
|
2026-08-31
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
16
|
16
|
$51,238.93
|
$25,619.47
50% off
|
$15,453.35
|
$38,819.31
|
$23,106.73
|
2026-08-31
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
26
|
26
|
$34,050.40
|
$17,025.20
50% off
|
$57.05
|
$35,752.92
|
$22,921.03
|
2026-08-31
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
16
|
16
|
$87,626.00
|
$43,813.00
50% off
|
$15,047.19
|
$37,799.03
|
$22,499.42
|
2026-08-31
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
19
|
19
|
$30,588.00
|
$15,294.00
50% off
|
$6,117.60
|
$32,117.40
|
$22,393.47
|
2026-08-31
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
16
|
16
|
$35,104.90
|
$17,552.45
50% off
|
$14,964.39
|
$35,104.90
|
$22,375.61
|
2026-08-31
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
16
|
16
|
$27,096.10
|
$13,548.05
50% off
|
$14,928.31
|
$27,096.10
|
$22,321.66
|
2026-08-31
|
|
J1632
|
HCPCS
|
Injection, Brexanolone, 1 Mg
|
19
|
19
|
$30,321.50
|
$15,160.75
50% off
|
$6,064.30
|
$31,837.58
|
$22,198.37
|
2026-08-31
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
16
|
16
|
$34,632.80
|
$17,316.40
50% off
|
$14,769.64
|
$34,632.80
|
$22,084.41
|
2026-08-31
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
16
|
16
|
$56,158.60
|
$28,079.30
50% off
|
$14,742.34
|
$37,033.24
|
$22,043.60
|
2026-08-31
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
16
|
16
|
$51,445.30
|
$25,722.65
50% off
|
$14,408.35
|
$36,194.25
|
$21,544.19
|
2026-08-31
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
26
|
26
|
$31,973.30
|
$15,986.65
50% off
|
$24.41
|
$33,571.97
|
$21,522.83
|
2026-08-31
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
26
|
26
|
$31,732.90
|
$15,866.45
50% off
|
$60.97
|
$33,319.55
|
$21,361.00
|
2026-08-31
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
45
|
26
|
$28,196.80
|
$14,098.40
50% off
|
$217.42
|
$36,522.15
|
$21,240.65
|
2026-08-31
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
45
|
26
|
$40,084.00
|
$20,042.00
50% off
|
$96.55
|
$42,088.20
|
$21,136.69
|
2026-08-31
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
26
|
26
|
$31,392.90
|
$15,696.45
50% off
|
$21.62
|
$32,962.55
|
$21,132.13
|
2026-08-31
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
16
|
16
|
$55,776.20
|
$27,888.10
50% off
|
$14,031.34
|
$35,247.18
|
$20,980.46
|
2026-08-31
|
|
J9273
|
HCPCS
|
Injection, Tisotumab Vedotin-tftv, 1 Mg
|
26
|
26
|
$30,121.30
|
$15,060.65
50% off
|
$196.12
|
$31,627.37
|
$20,276.15
|
2026-08-31
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
16
|
16
|
$47,233.10
|
$23,616.55
50% off
|
$13,507.69
|
$33,931.74
|
$20,197.46
|
2026-08-31
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
16
|
16
|
$58,509.60
|
$29,254.80
50% off
|
$13,472.07
|
$33,842.27
|
$20,144.20
|
2026-08-31
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
16
|
16
|
$51,667.90
|
$25,833.95
50% off
|
$13,424.42
|
$33,722.57
|
$20,072.96
|
2026-08-31
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
26
|
26
|
$29,714.20
|
$14,857.10
50% off
|
$84.46
|
$31,199.91
|
$20,002.11
|
2026-08-31
|
|
J9023
|
HCPCS
|
Injection, Avelumab, 10 Mg
|
26
|
26
|
$29,709.60
|
$14,854.80
50% off
|
$108.64
|
$31,195.08
|
$19,999.01
|
2026-08-31
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
16
|
16
|
$19,594.00
|
$9,797.00
50% off
|
$13,605.29
|
$23,549.39
|
$19,968.71
|
2026-08-31
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
16
|
16
|
$25,430.55
|
$12,715.28
50% off
|
$13,350.41
|
$25,430.55
|
$19,962.29
|
2026-08-31
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
16
|
16
|
$45,325.50
|
$22,662.75
50% off
|
$13,330.98
|
$33,487.84
|
$19,933.24
|
2026-08-31
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
16
|
16
|
$68,298.40
|
$34,149.20
50% off
|
$13,277.32
|
$33,353.04
|
$19,853.00
|
2026-08-31
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
16
|
16
|
$37,267.40
|
$18,633.70
50% off
|
$12,949.34
|
$32,529.15
|
$19,362.59
|
2026-08-31
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
26
|
26
|
$28,632.50
|
$14,316.25
50% off
|
$215.95
|
$30,064.13
|
$19,273.97
|
2026-08-31
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
16
|
16
|
$81,043.75
|
$40,521.88
50% off
|
$12,822.59
|
$32,210.75
|
$19,173.07
|
2026-08-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
16
|
16
|
$60,393.18
|
$30,196.59
50% off
|
$12,715.27
|
$31,941.16
|
$19,012.59
|
2026-08-31
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
16
|
16
|
$66,116.80
|
$33,058.40
50% off
|
$12,712.03
|
$31,933.02
|
$19,007.75
|
2026-08-31
|
|
J9063
|
HCPCS
|
Injection, Mirvetuximab Soravtansine-gynx, 1 Mg
|
26
|
26
|
$27,949.30
|
$13,974.65
50% off
|
$71.99
|
$29,346.77
|
$18,814.07
|
2026-08-31
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
45
|
26
|
$26,120.90
|
$13,060.45
50% off
|
$143.23
|
$27,427.37
|
$18,595.75
|
2026-08-31
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
10
|
10
|
$28,385.10
|
$14,192.55
50% off
|
$12,288.76
|
$28,385.10
|
$18,374.85
|
2026-08-31
|
|
J1299
|
HCPCS
|
Injection, Eculizumab, 2 Mg
|
26
|
26
|
$26,548.70
|
$13,274.35
50% off
|
$44.20
|
$27,876.14
|
$17,871.26
|
2026-08-31
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
16
|
16
|
$43,234.50
|
$21,617.25
50% off
|
$11,947.83
|
$30,013.32
|
$17,865.07
|
2026-08-31
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
16
|
16
|
$25,870.00
|
$12,935.00
50% off
|
$11,931.17
|
$25,870.00
|
$17,840.17
|
2026-08-31
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
16
|
16
|
$48,497.80
|
$24,248.90
50% off
|
$11,877.51
|
$29,836.69
|
$17,759.94
|
2026-08-31
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
26
|
26
|
$26,123.40
|
$13,061.70
50% off
|
$226.92
|
$27,429.57
|
$17,584.97
|
2026-08-31
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
16
|
16
|
$28,848.78
|
$14,424.39
50% off
|
$11,754.00
|
$28,848.78
|
$17,575.25
|
2026-08-31
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
16
|
16
|
$68,804.24
|
$34,402.12
50% off
|
$11,731.80
|
$29,470.65
|
$17,542.05
|
2026-08-31
|
|
J9332
|
HCPCS
|
Injection, Efgartigimod Alfa-fcab, 2mg
|
26
|
26
|
$25,311.18
|
$12,655.59
50% off
|
$32.55
|
$26,576.74
|
$17,038.22
|
2026-08-31
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
16
|
16
|
$73,909.10
|
$36,954.55
50% off
|
$11,376.06
|
$28,577.04
|
$17,010.14
|
2026-08-31
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
16
|
16
|
$57,752.34
|
$28,876.17
50% off
|
$11,372.82
|
$28,568.90
|
$17,005.30
|
2026-08-31
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
16
|
16
|
$45,793.68
|
$22,896.84
50% off
|
$11,306.67
|
$28,402.73
|
$16,906.38
|
2026-08-31
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
16
|
16
|
$54,981.39
|
$27,490.69
50% off
|
$11,089.26
|
$27,856.57
|
$16,581.29
|
2026-08-31
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
16
|
16
|
$46,963.10
|
$23,481.55
50% off
|
$11,078.62
|
$27,829.84
|
$16,565.38
|
2026-08-31
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
16
|
16
|
$43,097.41
|
$21,548.70
50% off
|
$11,039.30
|
$27,731.07
|
$16,506.59
|
2026-08-31
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
16
|
16
|
$7,447.00
|
$3,723.50
50% off
|
$7,447.00
|
$19,610.74
|
$16,423.01
|
2026-08-31
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
16
|
16
|
$47,742.90
|
$23,871.45
50% off
|
$10,810.31
|
$27,155.85
|
$16,164.20
|
2026-08-31
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
26
|
26
|
$23,991.00
|
$11,995.50
50% off
|
$17.20
|
$25,190.55
|
$16,149.54
|
2026-08-31
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
16
|
16
|
$22,649.50
|
$11,324.75
50% off
|
$10,757.58
|
$22,649.50
|
$16,085.34
|
2026-08-31
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
16
|
16
|
$32,908.00
|
$16,454.00
50% off
|
$10,746.47
|
$26,995.49
|
$16,068.74
|
2026-08-31
|
|
A9596
|
HCPCS
|
Gallium Ga-68 Gozetotide, Diagnostic, (illuccix), 1 Millicurie
|
26
|
26
|
$23,487.00
|
$11,743.50
50% off
|
$478.52
|
$24,661.35
|
$15,810.28
|
2026-08-31
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
45
|
26
|
$15,759.10
|
$7,879.55
50% off
|
$143.61
|
$77,219.31
|
$15,759.10
|
2026-08-31
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
16
|
16
|
$49,739.50
|
$24,869.75
50% off
|
$10,480.48
|
$26,327.31
|
$15,671.02
|
2026-08-31
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
16
|
16
|
$13,270.60
|
$6,635.30
50% off
|
$10,573.00
|
$18,300.80
|
$15,436.18
|
2026-08-31
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
16
|
16
|
$26,558.08
|
$13,279.04
50% off
|
$10,236.24
|
$25,713.75
|
$15,305.80
|
2026-08-31
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
16
|
16
|
$44,190.63
|
$22,095.32
50% off
|
$10,213.57
|
$25,656.81
|
$15,271.91
|
2026-08-31
|
|
J9330
|
HCPCS
|
Injection, Temsirolimus, 1 Mg
|
26
|
26
|
$22,583.40
|
$11,291.70
50% off
|
$32.68
|
$23,712.57
|
$15,202.01
|
2026-08-31
|
|
J1744
|
HCPCS
|
Injection, Icatibant, 1 Mg
|
19
|
19
|
$20,690.00
|
$10,345.00
50% off
|
$4,138.00
|
$21,724.50
|
$15,147.15
|
2026-08-31
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
16
|
16
|
$59,666.60
|
$29,833.30
50% off
|
$10,078.95
|
$25,318.66
|
$15,070.63
|
2026-08-31
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
16
|
16
|
$20,762.00
|
$10,381.00
50% off
|
$9,784.75
|
$20,762.00
|
$14,907.15
|
2026-08-31
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
16
|
16
|
$38,683.90
|
$19,341.95
50% off
|
$9,906.41
|
$24,885.22
|
$14,812.63
|
2026-08-31
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
16
|
16
|
$21,610.60
|
$10,805.30
50% off
|
$9,902.71
|
$21,610.60
|
$14,807.09
|
2026-08-31
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
16
|
16
|
$48,015.25
|
$24,007.63
50% off
|
$9,857.37
|
$24,762.04
|
$14,739.31
|
2026-08-31
|
|
A9604
|
HCPCS
|
Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri…
|
26
|
26
|
$21,829.00
|
$10,914.50
50% off
|
$3,159.80
|
$22,920.45
|
$14,694.19
|
2026-08-31
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
26
|
26
|
$21,778.10
|
$10,889.05
50% off
|
$165.56
|
$22,867.01
|
$14,659.93
|
2026-08-31
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
16
|
16
|
$57,161.08
|
$28,580.54
50% off
|
$9,796.31
|
$24,608.65
|
$14,648.00
|
2026-08-31
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
16
|
16
|
$11,953.90
|
$5,976.95
50% off
|
$9,794.92
|
$16,954.02
|
$14,645.93
|
2026-08-31
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
45
|
26
|
$43,936.10
|
$21,968.05
50% off
|
$43.51
|
$46,132.91
|
$14,645.40
|
2026-08-31
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
16
|
16
|
$48,978.30
|
$24,489.15
50% off
|
$9,754.68
|
$24,504.06
|
$14,585.75
|
2026-08-31
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
16
|
16
|
$52,167.95
|
$26,083.97
50% off
|
$9,688.99
|
$24,339.05
|
$14,487.53
|
2026-08-31
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
16
|
16
|
$22,933.90
|
$11,466.95
50% off
|
$2,803.00
|
$22,933.90
|
$14,470.38
|
2026-08-31
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
16
|
16
|
$65,090.80
|
$32,545.40
50% off
|
$9,673.26
|
$24,299.54
|
$14,464.01
|
2026-08-31
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
16
|
16
|
$17,279.50
|
$8,639.75
50% off
|
$9,645.97
|
$17,279.50
|
$14,423.20
|
2026-08-31
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
16
|
16
|
$37,828.00
|
$18,914.00
50% off
|
$9,613.12
|
$24,148.48
|
$14,374.09
|
2026-08-31
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
45
|
26
|
$14,072.00
|
$7,036.00
50% off
|
$190.43
|
$157,878.00
|
$14,353.44
|
2026-08-31
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
26
|
26
|
$21,314.80
|
$10,657.40
50% off
|
$60.65
|
$22,380.54
|
$14,348.06
|
2026-08-31
|
|
J0491
|
HCPCS
|
Injection, Anifrolumab-fnia, 1 Mg
|
26
|
26
|
$21,283.60
|
$10,641.80
50% off
|
$18.51
|
$22,347.78
|
$14,327.06
|
2026-08-31
|
|
J1290
|
HCPCS
|
Injection, Ecallantide, 1 Mg
|
26
|
26
|
$21,254.90
|
$10,627.45
50% off
|
$595.94
|
$22,317.65
|
$14,307.74
|
2026-08-31
|
|
Q4130
|
HCPCS
|
Strattice Tm, Per Square Centimeter
|
159
|
26
|
$23,065.00
|
$11,532.50
50% off
|
$113.13
|
$46,506.60
|
$14,306.00
|
2026-08-31
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
16
|
16
|
$32,233.70
|
$16,116.85
50% off
|
$9,560.39
|
$24,016.00
|
$14,295.24
|
2026-08-31
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
16
|
16
|
$13,926.60
|
$6,963.30
50% off
|
$9,302.73
|
$16,102.08
|
$13,909.97
|
2026-08-31
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
16
|
16
|
$91,433.50
|
$45,716.75
50% off
|
$9,281.91
|
$23,316.45
|
$13,878.84
|
2026-08-31
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/mcc
|
16
|
16
|
$42,146.30
|
$21,073.15
50% off
|
$9,253.23
|
$23,244.41
|
$13,835.96
|
2026-08-31
|
|
0312007007
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$20,551.00
|
$10,275.50
50% off
|
$4,110.20
|
$17,057.33
|
$13,833.90
|
2026-08-31
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
16
|
16
|
$32,783.27
|
$16,391.63
50% off
|
$9,243.05
|
$23,218.84
|
$13,820.74
|
2026-08-31
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
16
|
16
|
$76,790.90
|
$38,395.45
50% off
|
$9,229.64
|
$23,185.14
|
$13,800.68
|
2026-08-31
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
16
|
16
|
$19,274.27
|
$9,637.13
50% off
|
$9,163.02
|
$19,274.27
|
$13,701.07
|
2026-08-31
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
16
|
16
|
$38,141.65
|
$19,070.83
50% off
|
$8,985.85
|
$22,572.74
|
$13,436.16
|
2026-08-31
|
|
J9011
|
HCPCS
|
Injection, Datopotamab Deruxtecan-dlnk, 1 Mg
|
26
|
26
|
$19,907.00
|
$9,953.50
50% off
|
$52.50
|
$20,902.35
|
$13,400.40
|
2026-08-31
|
|
J2406
|
HCPCS
|
Injection, Oritavancin (kimyrsa), 10 Mg
|
26
|
26
|
$19,877.90
|
$9,938.95
50% off
|
$47.41
|
$20,871.80
|
$13,380.81
|
2026-08-31
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
16
|
16
|
$41,124.50
|
$20,562.25
50% off
|
$8,932.19
|
$22,437.95
|
$13,355.92
|
2026-08-31
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
16
|
16
|
$63,481.00
|
$31,740.50
50% off
|
$8,922.94
|
$22,414.71
|
$13,342.09
|
2026-08-31
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/mcc
|
16
|
16
|
$87,480.00
|
$43,740.00
50% off
|
$8,854.94
|
$22,243.88
|
$13,240.41
|
2026-08-31
|
|
0313009445
|
CDM
|
Salvation 180 Frame
|
14
|
14
|
$19,566.00
|
$9,783.00
50% off
|
$3,913.20
|
$16,239.78
|
$13,170.85
|
2026-08-31
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
16
|
16
|
$10,779.90
|
$5,389.95
50% off
|
$9,104.74
|
$15,759.38
|
$13,166.58
|
2026-08-31
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
16
|
16
|
$10,387.00
|
$5,193.50
50% off
|
$8,959.48
|
$15,507.96
|
$13,142.72
|
2026-08-31
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
16
|
16
|
$60,961.00
|
$30,480.50
50% off
|
$8,745.30
|
$21,968.48
|
$13,076.48
|
2026-08-31
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
2
|
2
|
$6,799.33
|
$3,399.66
50% off
|
$6,799.33
|
$19,288.24
|
$13,043.78
|
2026-08-31
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
16
|
16
|
$61,304.60
|
$30,652.30
50% off
|
$8,651.86
|
$21,733.75
|
$12,936.75
|
2026-08-31
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
16
|
16
|
$48,848.80
|
$24,424.40
50% off
|
$8,646.77
|
$21,720.96
|
$12,929.14
|
2026-08-31
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
16
|
16
|
$21,842.40
|
$10,921.20
50% off
|
$8,626.88
|
$21,671.00
|
$12,899.40
|
2026-08-31
|
|
803
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
16
|
16
|
$20,010.10
|
$10,005.05
50% off
|
$8,599.12
|
$20,010.10
|
$12,857.90
|
2026-08-31
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
16
|
16
|
$24,127.10
|
$12,063.55
50% off
|
$7,808.55
|
$19,615.34
|
$12,770.94
|
2026-08-31
|
|
9304300203
|
CDM
|
Trelstar 22.5mg
|
16
|
16
|
$18,005.00
|
$9,002.50
50% off
|
$3,871.08
|
$14,944.15
|
$12,710.63
|
2026-08-31
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
16
|
16
|
$15,309.80
|
$7,654.90
50% off
|
$8,487.64
|
$15,309.80
|
$12,691.20
|
2026-08-31
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
16
|
16
|
$16,894.67
|
$8,447.33
50% off
|
$8,470.06
|
$16,894.67
|
$12,664.92
|
2026-08-31
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
16
|
16
|
$25,190.60
|
$12,595.30
50% off
|
$8,469.13
|
$21,274.74
|
$12,663.53
|
2026-08-31
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
16
|
16
|
$60,157.48
|
$30,078.74
50% off
|
$8,456.18
|
$21,242.20
|
$12,644.17
|
2026-08-31
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
16
|
16
|
$15,315.60
|
$7,657.80
50% off
|
$8,436.29
|
$15,315.60
|
$12,614.42
|
2026-08-31
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
26
|
26
|
$18,618.30
|
$9,309.15
50% off
|
$39.83
|
$19,549.22
|
$12,532.91
|
2026-08-31
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
16
|
16
|
$68,079.20
|
$34,039.60
50% off
|
$8,361.35
|
$21,003.98
|
$12,502.37
|
2026-08-31
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
16
|
16
|
$12,875.00
|
$6,437.50
50% off
|
$8,342.38
|
$14,439.82
|
$12,474.01
|
2026-08-31
|
|
0312006006
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$18,494.00
|
$9,247.00
50% off
|
$3,698.80
|
$15,350.02
|
$12,449.24
|
2026-08-31
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
16
|
16
|
$15,149.60
|
$7,574.80
50% off
|
$8,302.14
|
$15,149.60
|
$12,413.83
|
2026-08-31
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
16
|
16
|
$50,348.72
|
$25,174.36
50% off
|
$8,298.44
|
$20,845.94
|
$12,408.30
|
2026-08-31
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
16
|
16
|
$26,288.00
|
$13,144.00
50% off
|
$8,242.00
|
$20,704.17
|
$12,323.91
|
2026-08-31
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
16
|
16
|
$5,666.40
|
$2,833.20
50% off
|
$5,666.40
|
$14,706.46
|
$12,274.85
|
2026-08-31
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
16
|
16
|
$30,498.37
|
$15,249.18
50% off
|
$8,202.22
|
$20,604.24
|
$12,264.43
|
2026-08-31
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
16
|
16
|
$31,186.55
|
$15,593.28
50% off
|
$8,171.69
|
$20,527.54
|
$12,218.77
|
2026-08-31
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
16
|
16
|
$13,539.15
|
$6,769.58
50% off
|
$8,160.59
|
$14,125.15
|
$12,202.17
|
2026-08-31
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
16
|
16
|
$43,999.20
|
$21,999.60
50% off
|
$8,092.58
|
$20,328.83
|
$12,100.49
|
2026-08-31
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
16
|
16
|
$37,081.50
|
$18,540.75
50% off
|
$8,086.57
|
$20,313.73
|
$12,091.50
|
2026-08-31
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
16
|
16
|
$5,417.49
|
$2,708.75
50% off
|
$5,417.49
|
$14,430.22
|
$12,084.77
|
2026-08-31
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
15
|
15
|
$53,776.18
|
$26,888.09
50% off
|
$8,072.69
|
$20,278.86
|
$12,070.75
|
2026-08-31
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
16
|
16
|
$46,241.50
|
$23,120.75
50% off
|
$8,035.69
|
$20,185.90
|
$12,015.42
|
2026-08-31
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
16
|
16
|
$48,242.65
|
$24,121.33
50% off
|
$7,993.59
|
$20,080.15
|
$11,952.47
|
2026-08-31
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
16
|
16
|
$19,063.00
|
$9,531.50
50% off
|
$7,941.78
|
$19,063.00
|
$11,875.00
|
2026-08-31
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
19
|
19
|
$16,209.00
|
$8,104.50
50% off
|
$3,241.80
|
$17,019.45
|
$11,866.61
|
2026-08-31
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
16
|
16
|
$91,419.50
|
$45,709.75
50% off
|
$7,928.83
|
$19,917.47
|
$11,855.64
|
2026-08-31
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
16
|
16
|
$9,174.10
|
$4,587.05
50% off
|
$8,169.37
|
$14,140.36
|
$11,781.03
|
2026-08-31
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
16
|
16
|
$20,147.00
|
$10,073.50
50% off
|
$7,854.35
|
$19,730.38
|
$11,744.27
|
2026-08-31
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
16
|
16
|
$49,553.40
|
$24,776.70
50% off
|
$7,825.21
|
$19,657.17
|
$11,700.70
|
2026-08-31
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
16
|
16
|
$20,215.90
|
$10,107.95
50% off
|
$7,815.49
|
$19,632.77
|
$11,686.17
|
2026-08-31
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
16
|
16
|
$44,115.16
|
$22,057.58
50% off
|
$7,784.96
|
$19,556.07
|
$11,640.52
|
2026-08-31
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
16
|
16
|
$38,583.35
|
$19,291.68
50% off
|
$7,782.65
|
$19,550.26
|
$11,637.06
|
2026-08-31
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
16
|
16
|
$33,644.30
|
$16,822.15
50% off
|
$7,778.95
|
$19,540.97
|
$11,631.53
|
2026-08-31
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
16
|
16
|
$20,803.60
|
$10,401.80
50% off
|
$7,753.50
|
$19,477.05
|
$11,593.48
|
2026-08-31
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
16
|
16
|
$36,630.55
|
$18,315.28
50% off
|
$7,729.45
|
$19,416.63
|
$11,557.52
|
2026-08-31
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
16
|
16
|
$47,898.40
|
$23,949.20
50% off
|
$7,711.87
|
$19,372.47
|
$11,531.23
|
2026-08-31
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
16
|
16
|
$39,967.00
|
$19,983.50
50% off
|
$7,701.23
|
$19,345.74
|
$11,515.32
|
2026-08-31
|
|
413
|
MS_DRG
|
Cholecystectomy With C.d.e. Without Cc/mcc
|
16
|
16
|
$22,224.90
|
$11,112.45
50% off
|
$7,681.34
|
$19,295.77
|
$11,485.58
|
2026-08-31
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
16
|
16
|
$23,842.00
|
$11,921.00
50% off
|
$7,657.75
|
$19,236.51
|
$11,450.30
|
2026-08-31
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
16
|
16
|
$29,441.12
|
$14,720.56
50% off
|
$7,653.12
|
$19,224.89
|
$11,443.39
|
2026-08-31
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
26
|
26
|
$16,992.30
|
$8,496.15
50% off
|
$149.13
|
$17,841.92
|
$11,438.36
|
2026-08-31
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
15
|
15
|
$25,290.70
|
$12,645.35
50% off
|
$7,630.46
|
$19,167.95
|
$11,409.49
|
2026-08-31
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
16
|
16
|
$32,613.40
|
$16,306.70
50% off
|
$7,614.73
|
$19,128.44
|
$11,385.97
|
2026-08-31
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
16
|
16
|
$40,744.90
|
$20,372.45
50% off
|
$7,603.16
|
$19,099.39
|
$11,368.68
|
2026-08-31
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
26
|
26
|
$16,821.40
|
$8,410.70
50% off
|
$3,364.28
|
$17,662.47
|
$11,323.33
|
2026-08-31
|
|
J0739
|
HCPCS
|
Injection, Cabotegravir, 1mg, Fda Approved Prescription, Only For Use As HIV Pre…
|
26
|
26
|
$16,792.30
|
$8,396.15
50% off
|
$7.29
|
$17,631.92
|
$11,303.74
|
2026-08-31
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
16
|
16
|
$127,847.50
|
$63,923.75
50% off
|
$7,552.74
|
$18,972.73
|
$11,293.29
|
2026-08-31
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
16
|
16
|
$47,449.97
|
$23,724.98
50% off
|
$7,544.88
|
$18,952.97
|
$11,281.53
|
2026-08-31
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
16
|
16
|
$19,185.53
|
$9,592.76
50% off
|
$7,541.17
|
$18,943.67
|
$11,276.00
|
2026-08-31
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
15
|
15
|
$19,150.30
|
$9,575.15
50% off
|
$7,442.64
|
$18,696.16
|
$11,128.66
|
2026-08-31
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
16
|
16
|
$26,399.60
|
$13,199.80
50% off
|
$7,431.08
|
$18,667.11
|
$11,111.37
|
2026-08-31
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
45
|
26
|
$13,416.60
|
$6,708.30
50% off
|
$43.63
|
$23,554.13
|
$11,104.09
|
2026-08-31
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
16
|
16
|
$24,826.80
|
$12,413.40
50% off
|
$7,421.36
|
$18,642.70
|
$11,096.85
|
2026-08-31
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
16
|
16
|
$40,555.41
|
$20,277.70
50% off
|
$7,420.44
|
$18,640.38
|
$11,095.46
|
2026-08-31
|
|
43282
|
HCPCS
|
Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us…
|
26
|
26
|
$26,603.00
|
$13,301.50
50% off
|
$1,293.66
|
$27,401.09
|
$11,072.36
|
2026-08-31
|
|
0312005000
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$16,438.00
|
$8,219.00
50% off
|
$3,287.60
|
$13,643.54
|
$11,065.24
|
2026-08-31
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
16
|
16
|
$23,893.80
|
$11,946.90
50% off
|
$7,398.23
|
$18,584.60
|
$11,062.26
|
2026-08-31
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
16
|
16
|
$25,051.30
|
$12,525.65
50% off
|
$7,364.00
|
$18,498.61
|
$11,011.08
|
2026-08-31
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
16
|
16
|
$22,873.00
|
$11,436.50
50% off
|
$7,289.52
|
$18,311.52
|
$10,899.71
|
2026-08-31
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
16
|
16
|
$23,019.90
|
$11,509.95
50% off
|
$7,282.59
|
$18,294.09
|
$10,889.34
|
2026-08-31
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
16
|
16
|
$25,338.08
|
$12,669.04
50% off
|
$7,255.29
|
$18,225.53
|
$10,848.53
|
2026-08-31
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
16
|
16
|
$41,079.10
|
$20,539.55
50% off
|
$7,252.05
|
$18,217.40
|
$10,843.69
|
2026-08-31
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
16
|
16
|
$44,149.35
|
$22,074.68
50% off
|
$7,232.63
|
$18,168.59
|
$10,814.64
|
2026-08-31
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
16
|
16
|
$30,665.21
|
$15,332.60
50% off
|
$7,228.93
|
$18,159.29
|
$10,809.10
|
2026-08-31
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With Mcc
|
16
|
16
|
$11,751.00
|
$5,875.50
50% off
|
$7,225.22
|
$12,506.13
|
$10,803.57
|
2026-08-31
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
16
|
16
|
$22,816.20
|
$11,408.10
50% off
|
$7,209.50
|
$18,110.49
|
$10,780.05
|
2026-08-31
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
26
|
26
|
$15,977.00
|
$7,988.50
50% off
|
$132.10
|
$16,775.85
|
$10,754.92
|
2026-08-31
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
16
|
16
|
$27,734.20
|
$13,867.10
50% off
|
$7,179.43
|
$18,034.95
|
$10,735.09
|
2026-08-31
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
16
|
16
|
$25,222.00
|
$12,611.00
50% off
|
$7,108.65
|
$17,857.16
|
$10,629.26
|
2026-08-31
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
16
|
16
|
$32,773.25
|
$16,386.63
50% off
|
$7,100.79
|
$17,837.41
|
$10,617.50
|
2026-08-31
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
16
|
16
|
$21,539.20
|
$10,769.60
50% off
|
$7,089.69
|
$17,809.52
|
$10,600.90
|
2026-08-31
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
16
|
16
|
$38,533.70
|
$19,266.85
50% off
|
$7,077.20
|
$17,778.14
|
$10,582.23
|
2026-08-31
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
16
|
16
|
$18,067.08
|
$9,033.54
50% off
|
$7,055.92
|
$17,724.69
|
$10,550.41
|
2026-08-31
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
16
|
16
|
$20,952.40
|
$10,476.20
50% off
|
$7,052.22
|
$17,715.39
|
$10,544.88
|
2026-08-31
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
26
|
26
|
$15,658.80
|
$7,829.40
50% off
|
$17.92
|
$16,441.74
|
$10,540.72
|
2026-08-31
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
16
|
16
|
$40,172.80
|
$20,086.40
50% off
|
$7,001.79
|
$17,588.73
|
$10,469.48
|
2026-08-31
|
|
J2278
|
HCPCS
|
Injection, Ziconotide, 1 Microgram
|
26
|
26
|
$15,539.30
|
$7,769.65
50% off
|
$10.79
|
$16,316.27
|
$10,460.28
|
2026-08-31
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
16
|
16
|
$30,477.30
|
$15,238.65
50% off
|
$6,931.02
|
$17,410.94
|
$10,363.65
|
2026-08-31
|
|
855
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
16
|
16
|
$15,413.70
|
$7,706.85
50% off
|
$6,925.93
|
$15,413.70
|
$10,356.04
|
2026-08-31
|
|
137
|
MS_DRG
|
Mouth Procedures With Cc/mcc
|
16
|
16
|
$61,618.00
|
$30,809.00
50% off
|
$6,907.42
|
$17,351.67
|
$10,328.37
|
2026-08-31
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
16
|
16
|
$26,905.09
|
$13,452.54
50% off
|
$6,878.28
|
$17,278.46
|
$10,284.80
|
2026-08-31
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
16
|
16
|
$43,177.20
|
$21,588.60
50% off
|
$6,859.78
|
$17,231.98
|
$10,257.13
|
2026-08-31
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
16
|
16
|
$24,255.83
|
$12,127.92
50% off
|
$6,850.99
|
$17,209.90
|
$10,243.99
|
2026-08-31
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
16
|
16
|
$26,910.03
|
$13,455.02
50% off
|
$6,831.56
|
$17,161.10
|
$10,214.94
|
2026-08-31
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
102
|
26
|
$15,232.50
|
$7,616.25
50% off
|
$466.90
|
$23,769.90
|
$10,196.44
|
2026-08-31
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
16
|
16
|
$50,040.10
|
$25,020.05
50% off
|
$6,809.82
|
$17,106.48
|
$10,182.43
|
2026-08-31
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
16
|
16
|
$8,998.20
|
$4,499.10
50% off
|
$7,063.32
|
$12,225.89
|
$10,147.11
|
2026-08-31
|
|
0313009453
|
CDM
|
Salvation 160mm Frame
|
14
|
14
|
$14,884.00
|
$7,442.00
50% off
|
$2,976.80
|
$12,353.72
|
$10,019.17
|
2026-08-31
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
16
|
16
|
$21,630.05
|
$10,815.03
50% off
|
$6,675.67
|
$16,769.49
|
$9,981.84
|
2026-08-31
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
16
|
16
|
$29,513.06
|
$14,756.53
50% off
|
$6,646.06
|
$16,695.11
|
$9,937.57
|
2026-08-31
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
16
|
16
|
$6,120.15
|
$3,060.08
50% off
|
$6,120.15
|
$11,817.53
|
$9,896.39
|
2026-08-31
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
16
|
16
|
$33,552.00
|
$16,776.00
50% off
|
$6,591.01
|
$16,556.83
|
$9,855.26
|
2026-08-31
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
16
|
16
|
$37,411.05
|
$18,705.53
50% off
|
$6,574.82
|
$16,516.16
|
$9,831.05
|
2026-08-31
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
16
|
16
|
$22,466.76
|
$11,233.38
50% off
|
$6,496.18
|
$16,318.61
|
$9,713.46
|
2026-08-31
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
19
|
19
|
$13,201.80
|
$6,600.90
50% off
|
$2,640.36
|
$13,861.89
|
$9,665.04
|
2026-08-31
|
|
0313009525
|
CDM
|
External Fixator
|
14
|
14
|
$14,248.00
|
$7,124.00
50% off
|
$2,849.60
|
$11,825.84
|
$9,591.04
|
2026-08-31
|
|
241
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
16
|
16
|
$71,195.20
|
$35,597.60
50% off
|
$6,404.12
|
$16,087.36
|
$9,575.81
|
2026-08-31
|
|
33285
|
HCPCS
|
Insertion Of Heart Rhythm Monitor Under Skin
|
26
|
26
|
$24,867.00
|
$12,433.50
50% off
|
$72.42
|
$25,613.01
|
$9,555.08
|
2026-08-31
|
|
J0139
|
HCPCS
|
Injection, Adalimumab, 1 Mg
|
19
|
19
|
$13,044.10
|
$6,522.05
50% off
|
$2,608.82
|
$13,696.31
|
$9,549.59
|
2026-08-31
|
|
J9061
|
HCPCS
|
Injection, Amivantamab-vmjw, 2 Mg
|
26
|
26
|
$14,174.50
|
$7,087.25
50% off
|
$23.22
|
$14,883.23
|
$9,541.56
|
2026-08-31
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
16
|
16
|
$27,089.73
|
$13,544.87
50% off
|
$6,354.16
|
$15,961.86
|
$9,501.11
|
2026-08-31
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
16
|
16
|
$27,326.40
|
$13,663.20
50% off
|
$6,318.08
|
$15,871.22
|
$9,447.16
|
2026-08-31
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc/mcc
|
16
|
16
|
$33,575.10
|
$16,787.55
50% off
|
$6,226.03
|
$15,639.98
|
$9,309.51
|
2026-08-31
|
|
693
|
MS_DRG
|
Urinary Stones With Mcc
|
16
|
16
|
$23,061.20
|
$11,530.60
50% off
|
$6,219.55
|
$15,623.71
|
$9,299.83
|
2026-08-31
|
|
718
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/mcc
|
16
|
16
|
$22,959.60
|
$11,479.80
50% off
|
$6,213.07
|
$15,607.44
|
$9,290.14
|
2026-08-31
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
16
|
16
|
$34,947.40
|
$17,473.70
50% off
|
$6,178.38
|
$15,520.29
|
$9,238.27
|
2026-08-31
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
16
|
16
|
$25,391.93
|
$12,695.97
50% off
|
$6,114.08
|
$15,358.76
|
$9,142.12
|
2026-08-31
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
16
|
16
|
$28,061.55
|
$14,030.78
50% off
|
$6,080.31
|
$15,273.93
|
$9,091.63
|
2026-08-31
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
16
|
16
|
$50,573.40
|
$25,286.70
50% off
|
$6,072.45
|
$15,254.18
|
$9,079.87
|
2026-08-31
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
16
|
16
|
$19,468.70
|
$9,734.35
50% off
|
$5,993.34
|
$15,055.47
|
$8,961.59
|
2026-08-31
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
16
|
16
|
$14,087.30
|
$7,043.65
50% off
|
$5,990.57
|
$14,087.30
|
$8,957.44
|
2026-08-31
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
26
|
26
|
$13,227.50
|
$6,613.75
50% off
|
$12.91
|
$13,888.88
|
$8,904.10
|
2026-08-31
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
16
|
16
|
$23,808.23
|
$11,904.12
50% off
|
$5,938.76
|
$14,918.35
|
$8,879.97
|
2026-08-31
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
16
|
16
|
$44,389.50
|
$22,194.75
50% off
|
$5,930.43
|
$14,897.43
|
$8,867.52
|
2026-08-31
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
26
|
26
|
$13,083.00
|
$6,541.50
50% off
|
$32.28
|
$13,737.15
|
$8,806.82
|
2026-08-31
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
16
|
16
|
$15,058.10
|
$7,529.05
50% off
|
$5,872.14
|
$14,751.01
|
$8,780.36
|
2026-08-31
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
16
|
16
|
$24,553.60
|
$12,276.80
50% off
|
$5,867.05
|
$14,738.23
|
$8,772.76
|
2026-08-31
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
26
|
26
|
$13,015.90
|
$6,507.95
50% off
|
$1,906.91
|
$13,666.70
|
$8,761.65
|
2026-08-31
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
16
|
16
|
$20,636.85
|
$10,318.43
50% off
|
$5,855.95
|
$14,710.34
|
$8,756.15
|
2026-08-31
|
|
J9319
|
HCPCS
|
Injection, Romidepsin, Lyophilized, 0.1 Mg
|
26
|
26
|
$12,896.50
|
$6,448.25
50% off
|
$30.71
|
$13,541.33
|
$8,681.28
|
2026-08-31
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
83
|
26
|
$11,887.50
|
$5,943.75
50% off
|
$34.22
|
$29,550.99
|
$8,643.19
|
2026-08-31
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
8
|
8
|
$3,286.20
|
$1,643.10
50% off
|
$3,286.20
|
$9,021.18
|
$8,591.60
|
2026-08-31
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
16
|
16
|
$29,715.63
|
$14,857.81
50% off
|
$5,714.86
|
$14,355.92
|
$8,545.19
|
2026-08-31
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
16
|
16
|
$40,758.80
|
$20,379.40
50% off
|
$5,595.51
|
$14,056.11
|
$8,366.73
|
2026-08-31
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
16
|
16
|
$41,584.60
|
$20,792.30
50% off
|
$5,584.41
|
$14,028.22
|
$8,350.13
|
2026-08-31
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
16
|
16
|
$27,458.21
|
$13,729.10
50% off
|
$5,569.61
|
$13,991.03
|
$8,328.00
|
2026-08-31
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Mcc
|
16
|
16
|
$11,436.20
|
$5,718.10
50% off
|
$5,562.67
|
$11,436.20
|
$8,317.62
|
2026-08-31
|
|
340
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis Without Cc/mcc
|
10
|
10
|
$23,075.50
|
$11,537.75
50% off
|
$5,550.64
|
$13,943.39
|
$8,299.64
|
2026-08-31
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
16
|
16
|
$39,206.40
|
$19,603.20
50% off
|
$5,547.40
|
$13,935.26
|
$8,294.79
|
2026-08-31
|
|
302
|
MS_DRG
|
Atherosclerosis With Mcc
|
16
|
16
|
$19,147.90
|
$9,573.95
50% off
|
$5,535.38
|
$13,905.04
|
$8,276.81
|
2026-08-31
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
16
|
16
|
$24,715.80
|
$12,357.90
50% off
|
$5,504.84
|
$13,828.35
|
$8,231.16
|
2026-08-31
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
16
|
16
|
$15,593.55
|
$7,796.78
50% off
|
$5,503.46
|
$13,824.86
|
$8,229.08
|
2026-08-31
|
|
346
|
MS_DRG
|
Minor Small And Large Bowel Procedures Without Cc/mcc
|
16
|
16
|
$29,329.10
|
$14,664.55
50% off
|
$5,487.27
|
$13,784.19
|
$8,204.87
|
2026-08-31
|
|
J0597
|
HCPCS
|
Injection, C-1 Esterase Inhibitor (human), Berinert, 10 Units
|
26
|
26
|
$12,026.90
|
$6,013.45
50% off
|
$79.26
|
$12,628.25
|
$8,095.91
|
2026-08-31
|
|
903
|
MS_DRG
|
Wound Debridements For Injuries Without Cc/mcc
|
16
|
16
|
$40,157.00
|
$20,078.50
50% off
|
$5,410.48
|
$13,591.29
|
$8,090.05
|
2026-08-31
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/mcc
|
16
|
16
|
$33,589.25
|
$16,794.63
50% off
|
$5,402.15
|
$13,570.37
|
$8,077.60
|
2026-08-31
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
16
|
16
|
$5,753.10
|
$2,876.55
50% off
|
$5,487.73
|
$9,498.70
|
$8,071.59
|
2026-08-31
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
16
|
16
|
$24,612.70
|
$12,306.35
50% off
|
$5,367.46
|
$13,483.22
|
$8,025.73
|
2026-08-31
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/mcc
|
16
|
16
|
$17,722.50
|
$8,861.25
50% off
|
$5,302.69
|
$13,320.53
|
$7,928.89
|
2026-08-31
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
16
|
16
|
$38,282.88
|
$19,141.44
50% off
|
$5,295.29
|
$13,301.94
|
$7,917.82
|
2026-08-31
|
|
723
|
MS_DRG
|
Malignancy, Male Reproductive System With Cc
|
16
|
16
|
$9,224.10
|
$4,612.05
50% off
|
$5,286.04
|
$9,224.10
|
$7,903.99
|
2026-08-31
|