|
100
|
MS_DRG
|
Seizures With Mcc
|
14
|
14
|
$30,978.20
|
$18,586.92
40% off
|
$11,469.97
|
$27,880.38
|
$16,088.95
|
2026-02-24
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
14
|
14
|
$47,242.23
|
$28,345.34
40% off
|
$5,324.76
|
$42,518.01
|
$7,568.30
|
2026-02-24
|
|
1061266
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,373.57
|
$2,624.14
40% off
|
$1,190.49
|
$3,936.21
|
$2,777.22
|
2026-02-24
|
|
1061268
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,928.84
|
$3,557.30
40% off
|
$1,613.83
|
$5,335.96
|
$3,764.81
|
2026-02-24
|
|
1110801
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,198.30
|
$1,918.98
40% off
|
$870.58
|
$2,878.47
|
$2,030.92
|
2026-02-24
|
|
1110802
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,805.98
|
$2,883.59
40% off
|
$1,308.19
|
$4,325.38
|
$3,051.80
|
2026-02-24
|
|
1110803
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,397.27
|
$3,838.36
40% off
|
$1,741.34
|
$5,757.54
|
$4,062.27
|
2026-02-24
|
|
1110804
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,995.75
|
$4,797.45
40% off
|
$2,176.44
|
$7,196.18
|
$5,077.30
|
2026-02-24
|
|
1110805
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,597.53
|
$5,758.52
40% off
|
$2,612.45
|
$8,637.78
|
$6,094.44
|
2026-02-24
|
|
1110806
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$12,802.37
|
$7,681.42
40% off
|
$3,484.81
|
$11,522.13
|
$8,129.51
|
2026-02-24
|
|
1110821
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,198.30
|
$1,918.98
40% off
|
$870.58
|
$2,878.47
|
$2,030.92
|
2026-02-24
|
|
1110822
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,805.98
|
$2,883.59
40% off
|
$1,308.19
|
$4,325.38
|
$3,051.80
|
2026-02-24
|
|
1110823
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,397.27
|
$3,838.36
40% off
|
$1,741.34
|
$5,757.54
|
$4,062.27
|
2026-02-24
|
|
1110824
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,995.75
|
$4,797.45
40% off
|
$2,176.44
|
$7,196.18
|
$5,077.30
|
2026-02-24
|
|
1110825
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,597.53
|
$5,758.52
40% off
|
$2,612.45
|
$8,637.78
|
$6,094.44
|
2026-02-24
|
|
1110826
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$12,802.37
|
$7,681.42
40% off
|
$3,484.81
|
$11,522.13
|
$8,129.51
|
2026-02-24
|
|
1110841
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,851.62
|
$4,710.97
40% off
|
$2,137.21
|
$7,066.46
|
$4,985.78
|
2026-02-24
|
|
1120002
|
CDM
|
Recovery Room - General Classification
|
8
|
8
|
$2,845.68
|
$1,707.41
40% off
|
$774.59
|
$2,561.11
|
$1,807.01
|
2026-02-24
|
|
1120003
|
CDM
|
Recovery Room - General Classification
|
8
|
8
|
$3,555.78
|
$2,133.47
40% off
|
$967.88
|
$3,200.20
|
$2,257.92
|
2026-02-24
|
|
1120004
|
CDM
|
Recovery Room - General Classification
|
8
|
8
|
$4,272.90
|
$2,563.74
40% off
|
$1,163.08
|
$3,845.61
|
$2,713.29
|
2026-02-24
|
|
1131114
|
CDM
|
Anes Lv 4 Ini 15 Min
|
8
|
8
|
$3,287.89
|
$1,972.73
40% off
|
$894.96
|
$2,959.10
|
$2,087.81
|
2026-02-24
|
|
1160111
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$7,790.08
|
$4,674.05
40% off
|
$2,120.46
|
$7,011.07
|
$4,946.70
|
2026-02-24
|
|
1160112
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$11,688.64
|
$7,013.18
40% off
|
$3,181.65
|
$10,519.78
|
$7,422.28
|
2026-02-24
|
|
1160113
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$15,586.62
|
$9,351.97
40% off
|
$4,242.68
|
$14,027.96
|
$9,897.51
|
2026-02-24
|
|
1160114
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$19,478.15
|
$11,686.89
40% off
|
$5,301.95
|
$17,530.34
|
$12,368.62
|
2026-02-24
|
|
1160131
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$7,790.08
|
$4,674.05
40% off
|
$2,120.46
|
$7,011.07
|
$4,946.70
|
2026-02-24
|
|
1160132
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$11,688.64
|
$7,013.18
40% off
|
$3,181.65
|
$10,519.78
|
$7,422.28
|
2026-02-24
|
|
1160133
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$15,586.62
|
$9,351.97
40% off
|
$4,242.68
|
$14,027.96
|
$9,897.51
|
2026-02-24
|
|
1160134
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
8
|
8
|
$19,478.15
|
$11,686.89
40% off
|
$5,301.95
|
$17,530.34
|
$12,368.62
|
2026-02-24
|
|
121
|
MS_DRG
|
Acute Major Eye Infections With Cc/mcc
|
14
|
14
|
$7,809.66
|
$4,685.80
40% off
|
$4,349.98
|
$10,545.31
|
$7,051.23
|
2026-02-24
|
|
1210498
|
CDM
|
Recothrom 5,000 Unit Vial
|
8
|
8
|
$4,064.09
|
$2,438.45
40% off
|
$1,106.25
|
$3,657.68
|
$2,580.69
|
2026-02-24
|
|
1290503
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,374.80
|
$2,024.88
40% off
|
$918.62
|
$3,037.32
|
$2,143.00
|
2026-02-24
|
|
1290504
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,150.00
|
$4,290.00
40% off
|
$1,946.23
|
$6,435.00
|
$4,540.25
|
2026-02-24
|
|
1290894
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,844.40
|
$1,706.64
40% off
|
$774.25
|
$2,559.96
|
$1,806.20
|
2026-02-24
|
|
1410012
|
CDM
|
Oth Ster Supp Lvl 12
|
8
|
8
|
$2,972.61
|
$1,783.57
40% off
|
$809.14
|
$2,675.35
|
$1,887.61
|
2026-02-24
|
|
1410013
|
CDM
|
Oth Ster Supp Lvl 13
|
8
|
8
|
$5,982.07
|
$3,589.24
40% off
|
$1,628.32
|
$5,383.86
|
$3,798.61
|
2026-02-24
|
|
1414507
|
CDM
|
Drill Bit/blade Lvl8
|
8
|
8
|
$3,015.89
|
$1,809.53
40% off
|
$820.93
|
$2,714.30
|
$1,915.09
|
2026-02-24
|
|
1414508
|
CDM
|
Drill Bit/blade Lvl9
|
8
|
8
|
$11,249.95
|
$6,749.97
40% off
|
$3,062.24
|
$10,124.96
|
$7,143.72
|
2026-02-24
|
|
1417090
|
CDM
|
Stapler/reload 6
|
8
|
8
|
$4,372.93
|
$2,623.76
40% off
|
$1,190.31
|
$3,935.64
|
$2,776.81
|
2026-02-24
|
|
1417135
|
CDM
|
Needles 5
|
8
|
8
|
$6,948.38
|
$4,169.03
40% off
|
$1,891.35
|
$6,253.54
|
$4,412.22
|
2026-02-24
|
|
1522020
|
CDM
|
Operating Room Services - Minor Surgery
|
8
|
8
|
$3,046.96
|
$1,828.18
40% off
|
$829.38
|
$2,742.26
|
$1,934.82
|
2026-02-24
|
|
1522024
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,046.96
|
$1,828.18
40% off
|
$829.38
|
$2,742.26
|
$1,934.82
|
2026-02-24
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
14
|
14
|
$41,079.71
|
$24,647.82
40% off
|
$4,112.02
|
$36,971.73
|
$6,189.81
|
2026-02-24
|
|
1550042
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550043
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550044
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550045
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550046
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550047
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550048
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550049
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550050
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
1550051
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,278.97
|
$3,167.38
40% off
|
$1,436.94
|
$4,751.07
|
$3,352.14
|
2026-02-24
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
14
|
14
|
$24,478.96
|
$14,687.37
40% off
|
$8,141.41
|
$22,031.06
|
$11,517.64
|
2026-02-24
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
14
|
14
|
$37,819.16
|
$22,691.50
40% off
|
$9,339.71
|
$34,037.24
|
$13,103.24
|
2026-02-24
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
14
|
14
|
$45,676.23
|
$27,405.74
40% off
|
$5,732.09
|
$41,108.60
|
$8,183.76
|
2026-02-24
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
14
|
14
|
$62,158.76
|
$37,295.26
40% off
|
$9,128.83
|
$55,942.88
|
$13,068.02
|
2026-02-24
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
14
|
14
|
$61,071.66
|
$36,643.00
40% off
|
$7,149.95
|
$54,964.49
|
$10,358.83
|
2026-02-24
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
14
|
14
|
$41,411.70
|
$24,847.02
40% off
|
$6,490.13
|
$37,270.53
|
$9,288.06
|
2026-02-24
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
14
|
14
|
$31,514.20
|
$18,908.52
40% off
|
$4,963.66
|
$28,362.78
|
$7,068.56
|
2026-02-24
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
14
|
14
|
$103,714.03
|
$62,228.42
40% off
|
$3,739.35
|
$93,342.63
|
$5,383.17
|
2026-02-24
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
14
|
14
|
$47,905.20
|
$28,743.12
40% off
|
$7,613.90
|
$43,114.68
|
$11,021.25
|
2026-02-24
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
14
|
14
|
$31,737.14
|
$19,042.28
40% off
|
$4,737.75
|
$28,563.43
|
$6,757.47
|
2026-02-24
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
14
|
14
|
$33,486.82
|
$20,092.09
40% off
|
$3,598.38
|
$30,138.13
|
$5,269.97
|
2026-02-24
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
14
|
14
|
$50,701.46
|
$30,420.88
40% off
|
$10,198.86
|
$45,631.31
|
$14,791.98
|
2026-02-24
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
14
|
14
|
$21,366.64
|
$12,819.98
40% off
|
$5,585.34
|
$19,229.98
|
$8,143.52
|
2026-02-24
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
14
|
14
|
$74,646.79
|
$44,788.07
40% off
|
$4,023.04
|
$67,182.11
|
$5,617.95
|
2026-02-24
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
14
|
14
|
$34,482.84
|
$20,689.70
40% off
|
$10,906.64
|
$31,034.56
|
$15,352.94
|
2026-02-24
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
14
|
14
|
$41,129.03
|
$24,677.42
40% off
|
$22,908.87
|
$58,330.56
|
$38,352.07
|
2026-02-24
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
14
|
14
|
$95,862.61
|
$57,517.57
40% off
|
$15,508.03
|
$86,276.35
|
$23,047.85
|
2026-02-24
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
14
|
14
|
$97,582.80
|
$58,549.68
40% off
|
$20,192.62
|
$87,824.52
|
$28,010.93
|
2026-02-24
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
14
|
14
|
$56,743.45
|
$34,046.07
40% off
|
$9,484.16
|
$51,069.10
|
$13,450.38
|
2026-02-24
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
14
|
14
|
$37,339.31
|
$22,403.59
40% off
|
$5,325.92
|
$33,605.38
|
$7,706.65
|
2026-02-24
|
|
2811156
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$16,964.36
|
$10,178.62
40% off
|
$4,617.70
|
$15,267.92
|
$10,772.37
|
2026-02-24
|
|
2811353
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,313.68
|
$3,188.21
40% off
|
$1,446.38
|
$4,782.31
|
$3,374.19
|
2026-02-24
|
|
2811406
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,313.68
|
$3,188.21
40% off
|
$1,446.38
|
$4,782.31
|
$3,374.19
|
2026-02-24
|
|
2811471
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,526.61
|
$3,315.97
40% off
|
$1,504.34
|
$4,973.95
|
$3,509.40
|
2026-02-24
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
14
|
14
|
$39,911.99
|
$23,947.19
40% off
|
$4,189.44
|
$35,920.79
|
$6,063.19
|
2026-02-24
|
|
282811
|
CDM
|
Labor Room/delivery - Delivery Room
|
8
|
8
|
$3,169.14
|
$1,901.48
40% off
|
$862.64
|
$2,852.23
|
$2,012.40
|
2026-02-24
|
|
282812
|
CDM
|
Labor Room/delivery - Delivery Room
|
8
|
8
|
$3,425.94
|
$2,055.56
40% off
|
$932.54
|
$3,083.35
|
$2,175.47
|
2026-02-24
|
|
282813
|
CDM
|
Labor Room/delivery - Delivery Room
|
8
|
8
|
$5,282.49
|
$3,169.49
40% off
|
$1,437.89
|
$4,754.24
|
$3,354.38
|
2026-02-24
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
14
|
14
|
$53,991.78
|
$32,395.07
40% off
|
$7,539.37
|
$48,592.60
|
$10,764.67
|
2026-02-24
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
14
|
14
|
$43,674.73
|
$26,204.84
40% off
|
$4,976.37
|
$39,307.26
|
$7,118.87
|
2026-02-24
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
14
|
14
|
$32,602.25
|
$19,561.35
40% off
|
$9,346.65
|
$29,342.02
|
$13,690.19
|
2026-02-24
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
14
|
14
|
$27,608.80
|
$16,565.28
40% off
|
$6,185.07
|
$24,847.92
|
$8,950.99
|
2026-02-24
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
14
|
14
|
$80,091.01
|
$48,054.61
40% off
|
$4,337.35
|
$72,081.91
|
$6,331.51
|
2026-02-24
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
14
|
14
|
$54,225.71
|
$32,535.43
40% off
|
$6,967.95
|
$48,803.14
|
$10,095.54
|
2026-02-24
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
14
|
14
|
$34,240.03
|
$20,544.02
40% off
|
$4,271.48
|
$30,816.03
|
$6,168.84
|
2026-02-24
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
14
|
14
|
$31,920.11
|
$19,152.07
40% off
|
$3,232.64
|
$28,728.10
|
$4,746.75
|
2026-02-24
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
14
|
14
|
$40,397.14
|
$24,238.28
40% off
|
$5,034.14
|
$36,357.42
|
$7,308.36
|
2026-02-24
|
|
313
|
MS_DRG
|
Chest Pain
|
14
|
14
|
$24,886.32
|
$14,931.79
40% off
|
$4,121.26
|
$22,397.68
|
$6,037.20
|
2026-02-24
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
14
|
14
|
$44,501.24
|
$26,700.74
40% off
|
$12,441.78
|
$40,051.11
|
$17,484.40
|
2026-02-24
|
|
315200
|
CDM
|
Intensive Care Unit - General Classification
|
13
|
13
|
$6,507.92
|
$3,904.75
40% off
|
$976.84
|
$5,857.13
|
$2,147.61
|
2026-02-24
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
14
|
14
|
$132,103.60
|
$79,262.16
40% off
|
$29,343.40
|
$118,893.24
|
$41,819.35
|
2026-02-24
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
14
|
14
|
$217,196.93
|
$130,318.16
40% off
|
$14,028.93
|
$195,477.24
|
$20,494.61
|
2026-02-24
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
14
|
14
|
$117,615.41
|
$70,569.24
40% off
|
$9,539.05
|
$105,853.86
|
$14,111.11
|
2026-02-24
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
14
|
14
|
$148,599.98
|
$89,159.99
40% off
|
$20,937.95
|
$133,739.98
|
$29,941.99
|
2026-02-24
|
|
335200
|
CDM
|
Intensive Care Unit - General Classification
|
13
|
13
|
$6,507.92
|
$3,904.75
40% off
|
$976.84
|
$5,857.13
|
$2,147.61
|
2026-02-24
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
14
|
14
|
$227,664.17
|
$136,598.50
40% off
|
$8,868.83
|
$204,897.75
|
$12,870.98
|
2026-02-24
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
14
|
14
|
$87,989.42
|
$52,793.65
40% off
|
$8,693.76
|
$79,190.48
|
$12,782.93
|
2026-02-24
|
|
352
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/mcc
|
14
|
14
|
$99,241.70
|
$59,545.02
40% off
|
$6,369.96
|
$89,317.53
|
$9,792.01
|
2026-02-24
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
14
|
14
|
$121,655.01
|
$72,993.01
40% off
|
$9,828.51
|
$109,489.51
|
$14,106.92
|
2026-02-24
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
14
|
14
|
$127,301.16
|
$76,380.70
40% off
|
$7,702.30
|
$114,571.04
|
$11,277.83
|
2026-02-24
|
|
36555
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (younger Than 5 Years…
|
14
|
14
|
$5,461.75
|
$3,277.05
40% off
|
$97.68
|
$4,915.58
|
$2,395.52
|
2026-02-24
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
14
|
14
|
$5,461.75
|
$3,277.05
40% off
|
$93.79
|
$4,915.58
|
$2,395.52
|
2026-02-24
|
|
36557
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years)
|
14
|
14
|
$5,461.75
|
$3,277.05
40% off
|
$216.39
|
$5,591.81
|
$2,395.52
|
2026-02-24
|
|
36558
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
14
|
14
|
$5,461.75
|
$3,277.05
40% off
|
$212.57
|
$4,915.58
|
$2,395.52
|
2026-02-24
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
14
|
14
|
$56,758.98
|
$34,055.39
40% off
|
$9,648.25
|
$51,083.08
|
$13,348.08
|
2026-02-24
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
14
|
14
|
$146,492.24
|
$87,895.34
40% off
|
$10,101.22
|
$131,843.02
|
$14,867.44
|
2026-02-24
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
14
|
14
|
$53,013.20
|
$31,807.92
40% off
|
$5,947.03
|
$47,711.88
|
$8,561.09
|
2026-02-24
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
14
|
14
|
$67,733.31
|
$40,639.99
40% off
|
$4,190.59
|
$60,959.98
|
$6,099.25
|
2026-02-24
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
14
|
14
|
$35,835.73
|
$21,501.44
40% off
|
$12,199.69
|
$32,252.16
|
$17,933.00
|
2026-02-24
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
14
|
14
|
$53,833.34
|
$32,300.00
40% off
|
$7,099.11
|
$48,450.01
|
$10,142.49
|
2026-02-24
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
14
|
14
|
$76,954.49
|
$46,172.69
40% off
|
$10,504.51
|
$69,259.04
|
$15,327.78
|
2026-02-24
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
14
|
14
|
$72,122.31
|
$43,273.39
40% off
|
$5,696.27
|
$64,910.08
|
$8,223.17
|
2026-02-24
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
14
|
14
|
$42,550.55
|
$25,530.33
40% off
|
$3,678.11
|
$38,295.50
|
$5,285.90
|
2026-02-24
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
14
|
14
|
$61,495.18
|
$36,897.11
40% off
|
$9,387.09
|
$55,345.66
|
$13,267.58
|
2026-02-24
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
14
|
14
|
$41,472.72
|
$24,883.63
40% off
|
$5,733.83
|
$37,325.45
|
$8,186.27
|
2026-02-24
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
14
|
14
|
$23,841.56
|
$14,304.94
40% off
|
$3,872.82
|
$21,457.41
|
$5,712.70
|
2026-02-24
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
14
|
14
|
$61,432.87
|
$36,859.72
40% off
|
$8,493.28
|
$55,289.59
|
$12,382.97
|
2026-02-24
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
14
|
14
|
$32,316.02
|
$19,389.61
40% off
|
$4,632.01
|
$29,084.42
|
$6,622.48
|
2026-02-24
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
14
|
14
|
$20,376.55
|
$12,225.93
40% off
|
$3,161.00
|
$18,338.90
|
$4,561.44
|
2026-02-24
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
14
|
14
|
$61,988.29
|
$37,192.98
40% off
|
$7,423.82
|
$55,789.46
|
$10,634.69
|
2026-02-24
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
14
|
14
|
$38,613.32
|
$23,167.99
40% off
|
$4,508.37
|
$34,751.98
|
$6,536.94
|
2026-02-24
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
14
|
14
|
$92,549.03
|
$55,529.42
40% off
|
$9,567.36
|
$83,294.13
|
$13,410.13
|
2026-02-24
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
14
|
14
|
$17,019.66
|
$10,211.80
40% off
|
$5,438.59
|
$15,317.69
|
$7,845.85
|
2026-02-24
|
|
395001
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,313.68
|
$3,188.21
40% off
|
$1,446.38
|
$4,782.31
|
$3,374.19
|
2026-02-24
|
|
395002
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,313.68
|
$3,188.21
40% off
|
$1,446.38
|
$4,782.31
|
$3,374.19
|
2026-02-24
|
|
395003
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,526.61
|
$3,315.97
40% off
|
$1,504.34
|
$4,973.95
|
$3,509.40
|
2026-02-24
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
14
|
14
|
$114,281.99
|
$68,569.19
40% off
|
$6,494.76
|
$102,853.79
|
$9,598.31
|
2026-02-24
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
14
|
14
|
$129,126.46
|
$77,475.87
40% off
|
$13,730.80
|
$116,213.81
|
$20,009.97
|
2026-02-24
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
14
|
14
|
$110,881.80
|
$66,529.08
40% off
|
$9,582.38
|
$99,793.62
|
$14,184.07
|
2026-02-24
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
14
|
14
|
$87,322.45
|
$52,393.47
40% off
|
$7,612.75
|
$78,590.20
|
$11,452.24
|
2026-02-24
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
14
|
14
|
$67,241.80
|
$40,345.08
40% off
|
$11,319.17
|
$60,517.62
|
$16,503.35
|
2026-02-24
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
14
|
14
|
$43,608.83
|
$26,165.30
40% off
|
$6,180.45
|
$39,247.94
|
$8,856.24
|
2026-02-24
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
14
|
14
|
$58,863.94
|
$35,318.36
40% off
|
$9,613.00
|
$52,977.55
|
$13,669.23
|
2026-02-24
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
14
|
14
|
$36,450.29
|
$21,870.17
40% off
|
$4,970.01
|
$32,805.26
|
$7,053.47
|
2026-02-24
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
14
|
14
|
$25,950.74
|
$15,570.44
40% off
|
$3,553.89
|
$23,355.67
|
$5,210.44
|
2026-02-24
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
14
|
14
|
$52,640.77
|
$31,584.46
40% off
|
$10,921.66
|
$47,376.69
|
$15,048.56
|
2026-02-24
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
14
|
14
|
$24,073.84
|
$14,444.30
40% off
|
$5,582.45
|
$21,666.45
|
$8,094.04
|
2026-02-24
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
14
|
14
|
$27,250.71
|
$16,350.42
40% off
|
$4,059.44
|
$24,525.63
|
$5,866.98
|
2026-02-24
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
14
|
14
|
$13,950.83
|
$8,370.50
40% off
|
$7,770.61
|
$15,146.71
|
$10,500.96
|
2026-02-24
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
14
|
14
|
$91,875.43
|
$55,125.26
40% off
|
$6,265.38
|
$82,687.89
|
$9,176.55
|
2026-02-24
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
14
|
14
|
$62,774.69
|
$37,664.81
40% off
|
$4,606.01
|
$56,497.22
|
$6,936.91
|
2026-02-24
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
14
|
14
|
$197,738.51
|
$118,643.10
40% off
|
$11,988.23
|
$177,964.66
|
$17,562.38
|
2026-02-24
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
14
|
14
|
$59,966.32
|
$35,979.79
40% off
|
$9,165.80
|
$53,969.68
|
$13,675.94
|
2026-02-24
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
14
|
14
|
$154,345.77
|
$92,607.46
40% off
|
$13,872.35
|
$138,911.19
|
$21,265.20
|
2026-02-24
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
14
|
14
|
$90,789.32
|
$54,473.59
40% off
|
$10,143.40
|
$81,710.39
|
$15,673.24
|
2026-02-24
|
|
50590
|
HCPCS
|
Shock Wave Crushing Of Kidney Stones
|
22
|
14
|
$42,820.33
|
$25,692.20
40% off
|
$548.17
|
$40,137.62
|
$24,345.82
|
2026-02-24
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
14
|
14
|
$242,783.03
|
$145,669.82
40% off
|
$16,839.80
|
$218,504.73
|
$24,066.62
|
2026-02-24
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
14
|
14
|
$255,419.76
|
$153,251.85
40% off
|
$12,180.63
|
$229,877.78
|
$17,756.92
|
2026-02-24
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
14
|
14
|
$76,552.05
|
$45,931.23
40% off
|
$7,478.70
|
$68,896.85
|
$10,869.47
|
2026-02-24
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
14
|
14
|
$59,526.39
|
$35,715.83
40% off
|
$11,639.25
|
$53,573.75
|
$16,190.60
|
2026-02-24
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
14
|
14
|
$16,491.45
|
$9,894.87
40% off
|
$5,568.58
|
$14,842.31
|
$8,060.50
|
2026-02-24
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
14
|
14
|
$53,449.38
|
$32,069.63
40% off
|
$8,953.76
|
$48,104.44
|
$12,467.65
|
2026-02-24
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
14
|
14
|
$20,304.90
|
$12,182.94
40% off
|
$4,990.81
|
$18,274.41
|
$7,489.48
|
2026-02-24
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
14
|
14
|
$173,887.44
|
$104,332.46
40% off
|
$10,724.06
|
$156,498.70
|
$15,637.18
|
2026-02-24
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
14
|
14
|
$54,556.88
|
$32,734.13
40% off
|
$6,579.69
|
$49,101.19
|
$9,442.35
|
2026-02-24
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
14
|
14
|
$27,055.66
|
$16,233.40
40% off
|
$5,163.56
|
$24,350.09
|
$7,508.77
|
2026-02-24
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
14
|
14
|
$78,472.80
|
$47,083.68
40% off
|
$9,066.43
|
$70,625.52
|
$12,943.08
|
2026-02-24
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
14
|
14
|
$51,642.04
|
$30,985.22
40% off
|
$5,890.98
|
$46,477.84
|
$8,170.35
|
2026-02-24
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
14
|
14
|
$27,768.06
|
$16,660.84
40% off
|
$7,711.55
|
$24,991.25
|
$10,863.60
|
2026-02-24
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
14
|
14
|
$129,294.52
|
$77,576.71
40% off
|
$17,393.30
|
$116,365.07
|
$24,661.12
|
2026-02-24
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
14
|
14
|
$81,705.39
|
$49,023.24
40% off
|
$9,676.56
|
$73,534.85
|
$14,166.46
|
2026-02-24
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
14
|
14
|
$57,746.28
|
$34,647.77
40% off
|
$10,243.35
|
$51,971.65
|
$14,489.28
|
2026-02-24
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
14
|
14
|
$40,400.57
|
$24,240.34
40% off
|
$7,063.86
|
$36,360.51
|
$9,947.12
|
2026-02-24
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
14
|
14
|
$32,682.47
|
$19,609.48
40% off
|
$10,148.60
|
$29,414.22
|
$13,978.64
|
2026-02-24
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
14
|
14
|
$115,487.33
|
$69,292.40
40% off
|
$8,489.81
|
$103,938.59
|
$11,917.60
|
2026-02-24
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
14
|
14
|
$44,748.57
|
$26,849.14
40% off
|
$5,089.61
|
$40,273.71
|
$7,302.49
|
2026-02-24
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
14
|
14
|
$147,627.63
|
$88,576.58
40% off
|
$22,330.38
|
$132,864.87
|
$29,241.85
|
2026-02-24
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
14
|
14
|
$95,486.34
|
$57,291.80
40% off
|
$11,163.75
|
$85,937.70
|
$15,682.47
|
2026-02-24
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
14
|
14
|
$100,763.25
|
$60,457.95
40% off
|
$21,631.85
|
$90,686.93
|
$29,843.90
|
2026-02-24
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
14
|
14
|
$61,395.34
|
$36,837.20
40% off
|
$11,058.59
|
$55,255.80
|
$15,041.85
|
2026-02-24
|
|
62305
|
HCPCS
|
X-ray Of Multiple Regions Of Spinal Canal With Review By Radiologist
|
13
|
13
|
$8,139.29
|
$4,883.57
40% off
|
$99.30
|
$7,325.36
|
$2,606.20
|
2026-02-24
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
14
|
14
|
$86,966.84
|
$52,180.10
40% off
|
$13,000.49
|
$78,270.15
|
$18,269.24
|
2026-02-24
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
14
|
14
|
$44,042.11
|
$26,425.26
40% off
|
$8,414.12
|
$39,637.89
|
$12,046.73
|
2026-02-24
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
14
|
14
|
$25,636.14
|
$15,381.68
40% off
|
$5,299.34
|
$23,072.53
|
$7,514.64
|
2026-02-24
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
14
|
14
|
$23,973.69
|
$14,384.21
40% off
|
$3,620.33
|
$21,576.32
|
$5,208.77
|
2026-02-24
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
14
|
14
|
$68,267.57
|
$40,960.54
40% off
|
$7,673.41
|
$61,440.82
|
$11,199.00
|
2026-02-24
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
14
|
14
|
$24,385.45
|
$14,631.27
40% off
|
$4,515.30
|
$21,946.90
|
$6,525.20
|
2026-02-24
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
14
|
14
|
$16,064.30
|
$9,638.58
40% off
|
$7,170.75
|
$14,457.87
|
$9,791.45
|
2026-02-24
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
14
|
14
|
$33,169.79
|
$19,901.87
40% off
|
$5,971.29
|
$29,852.81
|
$8,594.63
|
2026-02-24
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
14
|
14
|
$43,859.39
|
$26,315.64
40% off
|
$5,875.96
|
$39,473.45
|
$8,471.36
|
2026-02-24
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
14
|
14
|
$215,531.92
|
$129,319.15
40% off
|
$14,930.83
|
$193,978.73
|
$21,305.44
|
2026-02-24
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
14
|
14
|
$85,996.25
|
$51,597.75
40% off
|
$7,741.59
|
$77,396.62
|
$11,082.45
|
2026-02-24
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc
|
14
|
14
|
$64,843.59
|
$38,906.15
40% off
|
$5,931.43
|
$58,359.23
|
$8,681.83
|
2026-02-24
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
14
|
14
|
$69,271.63
|
$41,562.98
40% off
|
$8,941.05
|
$62,344.46
|
$13,013.52
|
2026-02-24
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
14
|
14
|
$53,731.23
|
$32,238.74
40% off
|
$8,678.16
|
$48,358.11
|
$12,418.19
|
2026-02-24
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
14
|
14
|
$26,782.56
|
$16,069.54
40% off
|
$5,135.83
|
$24,104.30
|
$7,343.59
|
2026-02-24
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
14
|
14
|
$38,616.15
|
$23,169.69
40% off
|
$6,762.27
|
$34,754.54
|
$9,729.12
|
2026-02-24
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
14
|
14
|
$54,931.03
|
$32,958.62
40% off
|
$4,623.35
|
$49,437.93
|
$6,697.93
|
2026-02-24
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
15
|
14
|
$29,492.29
|
$17,695.37
40% off
|
$4,637.21
|
$26,543.06
|
$7,338.12
|
2026-02-24
|
|
694
|
MS_DRG
|
Urinary Stones Without Mcc
|
14
|
14
|
$23,718.41
|
$14,231.05
40% off
|
$4,514.72
|
$21,346.57
|
$6,554.56
|
2026-02-24
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
14
|
14
|
$26,062.63
|
$15,637.58
40% off
|
$3,996.46
|
$23,456.37
|
$5,777.27
|
2026-02-24
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
14
|
14
|
$53,027.13
|
$31,816.28
40% off
|
$9,711.80
|
$47,724.41
|
$13,872.15
|
2026-02-24
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
14
|
14
|
$40,612.62
|
$24,367.57
40% off
|
$5,892.14
|
$36,551.36
|
$8,510.78
|
2026-02-24
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
14
|
14
|
$45,432.79
|
$27,259.67
40% off
|
$4,010.33
|
$40,889.51
|
$5,784.81
|
2026-02-24
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
13
|
13
|
$8,540.23
|
$5,124.14
40% off
|
$176.26
|
$7,686.21
|
$2,734.58
|
2026-02-24
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
13
|
13
|
$8,540.23
|
$5,124.14
40% off
|
$176.26
|
$7,686.21
|
$2,734.58
|
2026-02-24
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
14
|
14
|
$74,776.20
|
$44,865.72
40% off
|
$12,982.58
|
$67,298.58
|
$19,512.74
|
2026-02-24
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
14
|
14
|
$10,010.09
|
$6,006.05
40% off
|
$5,575.62
|
$9,300.69
|
$6,718.12
|
2026-02-24
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
13
|
13
|
$6,222.82
|
$3,733.69
40% off
|
$176.26
|
$5,600.54
|
$1,992.55
|
2026-02-24
|
|
72
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/mcc
|
14
|
14
|
$41,203.38
|
$24,722.03
40% off
|
$4,333.88
|
$37,083.04
|
$6,340.74
|
2026-02-24
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
13
|
13
|
$8,540.23
|
$5,124.14
40% off
|
$176.26
|
$7,686.21
|
$2,734.58
|
2026-02-24
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
14
|
14
|
$56,334.44
|
$33,800.66
40% off
|
$8,929.49
|
$50,700.99
|
$13,452.06
|
2026-02-24
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
26
|
13
|
$7,459.34
|
$4,475.60
40% off
|
$176.26
|
$7,502.74
|
$2,388.48
|
2026-02-24
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
26
|
13
|
$7,459.34
|
$4,475.60
40% off
|
$176.26
|
$7,502.74
|
$2,388.48
|
2026-02-24
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
14
|
14
|
$33,427.23
|
$20,056.34
40% off
|
$6,022.71
|
$30,084.51
|
$8,643.26
|
2026-02-24
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
13
|
13
|
$9,033.44
|
$5,420.06
40% off
|
$350.59
|
$8,130.10
|
$2,892.51
|
2026-02-24
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
13
|
13
|
$8,540.23
|
$5,124.14
40% off
|
$176.26
|
$7,686.21
|
$2,734.58
|
2026-02-24
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
13
|
13
|
$8,336.38
|
$5,001.83
40% off
|
$176.26
|
$7,502.74
|
$2,669.31
|
2026-02-24
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
14
|
14
|
$17,476.59
|
$10,485.95
40% off
|
$5,889.25
|
$15,728.93
|
$8,208.92
|
2026-02-24
|
|
78201
|
HCPCS
|
Nuclear Medicine Study Of Liver
|
13
|
13
|
$6,347.07
|
$3,808.24
40% off
|
$78.59
|
$5,712.36
|
$2,032.33
|
2026-02-24
|
|
78202
|
HCPCS
|
Nuclear Medicine Study Of Liver And Blood Flow
|
13
|
13
|
$7,254.29
|
$4,352.57
40% off
|
$95.00
|
$6,528.86
|
$2,322.82
|
2026-02-24
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
14
|
14
|
$6,999.26
|
$4,199.56
40% off
|
$259.82
|
$6,299.33
|
$2,667.50
|
2026-02-24
|
|
78454
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress With Single 2d …
|
13
|
13
|
$6,730.79
|
$4,038.47
40% off
|
$129.09
|
$6,057.71
|
$2,155.20
|
2026-02-24
|
|
78472
|
HCPCS
|
Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…
|
13
|
13
|
$8,220.00
|
$4,932.00
40% off
|
$181.77
|
$7,398.00
|
$2,632.04
|
2026-02-24
|
|
78708
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…
|
13
|
13
|
$5,715.93
|
$3,429.56
40% off
|
$155.57
|
$5,144.34
|
$1,830.24
|
2026-02-24
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
14
|
14
|
$49,348.85
|
$29,609.31
40% off
|
$8,128.12
|
$44,413.97
|
$11,775.06
|
2026-02-24
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
13
|
13
|
$7,062.43
|
$4,237.46
40% off
|
$1,103.72
|
$7,415.55
|
$6,003.07
|
2026-02-24
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
14
|
14
|
$42,631.09
|
$25,578.65
40% off
|
$5,332.27
|
$38,367.98
|
$7,699.10
|
2026-02-24
|
|
81220
|
HCPCS
|
Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Common Variant…
|
13
|
13
|
$2,549.12
|
$1,529.47
40% off
|
$332.71
|
$2,676.58
|
$2,166.75
|
2026-02-24
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
14
|
14
|
$55,771.98
|
$33,463.19
40% off
|
$8,943.36
|
$50,194.78
|
$12,789.64
|
2026-02-24
|
|
81401
|
HCPCS
|
Molecular Pathology Procedure Level 2
|
13
|
13
|
$2,263.68
|
$1,358.21
40% off
|
$32.16
|
$2,376.86
|
$1,924.13
|
2026-02-24
|
|
81420
|
HCPCS
|
Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…
|
13
|
13
|
$4,474.12
|
$2,684.47
40% off
|
$759.05
|
$4,697.83
|
$3,803.00
|
2026-02-24
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
14
|
14
|
$68,607.66
|
$41,164.60
40% off
|
$8,032.79
|
$61,746.89
|
$11,703.78
|
2026-02-24
|
|
84445
|
HCPCS
|
Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level
|
13
|
13
|
$2,246.13
|
$1,347.68
40% off
|
$43.21
|
$2,358.44
|
$1,909.21
|
2026-02-24
|
|
84600
|
HCPCS
|
Volatile Chemical Measurement
|
13
|
13
|
$4,784.72
|
$2,870.83
40% off
|
$9.97
|
$5,023.96
|
$4,067.01
|
2026-02-24
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
14
|
14
|
$150,513.12
|
$90,307.87
40% off
|
$28,897.36
|
$135,461.81
|
$41,410.16
|
2026-02-24
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
14
|
14
|
$130,803.37
|
$78,482.02
40% off
|
$11,545.08
|
$117,723.03
|
$16,754.07
|
2026-02-24
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
14
|
14
|
$62,465.18
|
$37,479.11
40% off
|
$26,065.11
|
$56,218.66
|
$34,920.42
|
2026-02-24
|
|
86353
|
HCPCS
|
White Blood Cell Function Measurement, Mitogen Or Antigen Induced Blastogenesis
|
13
|
13
|
$2,085.27
|
$1,251.16
40% off
|
$41.66
|
$2,189.53
|
$1,772.48
|
2026-02-24
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
14
|
14
|
$264,448.49
|
$158,669.09
40% off
|
$40,192.84
|
$238,003.64
|
$57,955.44
|
2026-02-24
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
14
|
14
|
$62,489.36
|
$37,493.62
40% off
|
$11,337.66
|
$56,240.42
|
$16,287.86
|
2026-02-24
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
14
|
14
|
$39,939.46
|
$23,963.67
40% off
|
$5,956.85
|
$35,945.51
|
$8,580.37
|
2026-02-24
|
|
87799
|
HCPCS
|
Detection Test By Nucleic Acid For Organism, Quantification
|
13
|
13
|
$2,461.97
|
$1,477.18
40% off
|
$36.40
|
$2,585.07
|
$2,092.67
|
2026-02-24
|
|
87901
|
HCPCS
|
Analysis Test By Nucleic Acid For HIV-1 Virus
|
13
|
13
|
$3,834.79
|
$2,300.87
40% off
|
$218.78
|
$4,026.53
|
$3,259.57
|
2026-02-24
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
12
|
12
|
$15,888.61
|
$9,533.16
40% off
|
$5,538.54
|
$14,299.74
|
$7,782.17
|
2026-02-24
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
12
|
12
|
$20,648.23
|
$12,388.94
40% off
|
$5,281.43
|
$18,583.41
|
$9,040.24
|
2026-02-24
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
12
|
12
|
$48,347.52
|
$29,008.51
40% off
|
$10,725.79
|
$43,512.77
|
$20,339.66
|
2026-02-24
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
12
|
12
|
$22,926.04
|
$13,755.62
40% off
|
$9,649.40
|
$20,633.44
|
$12,010.18
|
2026-02-24
|
|
885
|
MS_DRG
|
Psychoses
|
12
|
12
|
$29,400.03
|
$17,640.02
40% off
|
$8,143.72
|
$26,460.03
|
$13,071.61
|
2026-02-24
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
12
|
12
|
$15,662.64
|
$9,397.58
40% off
|
$3,605.89
|
$14,096.37
|
$6,518.94
|
2026-02-24
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
12
|
12
|
$105,624.67
|
$63,374.80
40% off
|
$10,289.00
|
$95,062.20
|
$35,517.95
|
2026-02-24
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
12
|
12
|
$18,267.26
|
$10,960.36
40% off
|
$5,097.12
|
$16,440.53
|
$8,174.01
|
2026-02-24
|
|
90870
|
HCPCS
|
Therapy Using Electrical Currents
|
13
|
13
|
$6,376.90
|
$3,826.14
40% off
|
$68.27
|
$5,739.21
|
$2,041.88
|
2026-02-24
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
14
|
14
|
$55,671.94
|
$33,403.17
40% off
|
$9,473.18
|
$50,104.75
|
$13,151.03
|
2026-02-24
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
14
|
14
|
$22,665.12
|
$13,599.07
40% off
|
$5,109.83
|
$20,398.61
|
$7,186.78
|
2026-02-24
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
14
|
14
|
$114,329.44
|
$68,597.66
40% off
|
$5,869.03
|
$102,896.50
|
$8,404.28
|
2026-02-24
|
|
93503
|
HCPCS
|
Insertion Of Tube In Pulmonary Artery For Monitoring
|
21
|
14
|
$4,746.70
|
$2,848.02
40% off
|
$136.44
|
$8,787.27
|
$3,126.31
|
2026-02-24
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
14
|
14
|
$44,225.15
|
$26,535.09
40% off
|
$7,430.75
|
$39,802.63
|
$10,643.92
|
2026-02-24
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
14
|
14
|
$30,367.87
|
$18,220.72
40% off
|
$4,590.41
|
$27,331.08
|
$6,712.19
|
2026-02-24
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
14
|
14
|
$170,935.59
|
$102,561.35
40% off
|
$22,083.67
|
$153,842.03
|
$31,552.76
|
2026-02-24
|
|
965
|
MS_DRG
|
Other Multiple Significant Trauma Without Cc/mcc
|
14
|
14
|
$26,172.86
|
$15,703.72
40% off
|
$5,272.19
|
$23,555.57
|
$7,886.09
|
2026-02-24
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
14
|
14
|
$114,057.01
|
$68,434.21
40% off
|
$27,469.10
|
$102,651.31
|
$39,340.74
|
2026-02-24
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
14
|
14
|
$40,672.65
|
$24,403.59
40% off
|
$9,637.85
|
$36,605.39
|
$14,371.89
|
2026-02-24
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
14
|
14
|
$81,844.38
|
$49,106.63
40% off
|
$9,914.60
|
$73,659.94
|
$13,781.58
|
2026-02-24
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
13
|
13
|
$6,921.47
|
$4,152.88
40% off
|
$149.80
|
$6,229.32
|
$2,216.25
|
2026-02-24
|
|
A4264
|
HCPCS
|
Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery …
|
12
|
12
|
$13,296.03
|
$7,977.62
40% off
|
$1,330.00
|
$11,966.43
|
$5,831.64
|
2026-02-24
|
|
A9504
|
HCPCS
|
Technetium Tc-99m Apcitide, Diagnostic, Per Study Dose, Up To 20 Millicuries
|
12
|
12
|
$2,692.42
|
$1,615.45
40% off
|
$862.11
|
$2,827.04
|
$2,355.87
|
2026-02-24
|
|
A9521
|
HCPCS
|
Technetium Tc-99m Exametazime, Diagnostic, Per Study Dose, Up To 25 Millicuries
|
13
|
13
|
$6,999.26
|
$4,199.56
40% off
|
$927.71
|
$7,349.22
|
$5,949.37
|
2026-02-24
|
|
C1713
|
HCPCS
|
Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)
|
204
|
12
|
$2,077.09
|
$1,246.25
40% off
|
$22.48
|
$22,128.13
|
$1,765.53
|
2026-02-24
|
|
C1750
|
HCPCS
|
Catheter, Hemodialysis/peritoneal, Long-term
|
12
|
12
|
$2,188.22
|
$1,312.93
40% off
|
$700.67
|
$2,297.63
|
$1,914.70
|
2026-02-24
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
48
|
12
|
$9,300.08
|
$5,580.05
40% off
|
$220.26
|
$16,402.17
|
$7,572.14
|
2026-02-24
|
|
C1763
|
HCPCS
|
Connective Tissue, Non-human (includes Synthetic)
|
12
|
12
|
$23,403.03
|
$14,041.82
40% off
|
$7,493.65
|
$24,573.18
|
$20,477.65
|
2026-02-24
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
12
|
12
|
$54,372.09
|
$32,623.25
40% off
|
$17,409.94
|
$57,090.69
|
$47,575.58
|
2026-02-24
|
|
C1768
|
HCPCS
|
Graft, Vascular
|
72
|
12
|
$10,666.48
|
$6,399.89
40% off
|
$582.30
|
$26,713.58
|
$8,239.42
|
2026-02-24
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
24
|
12
|
$8,101.56
|
$4,860.93
40% off
|
$1,621.97
|
$11,694.51
|
$5,192.12
|
2026-02-24
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
60
|
12
|
$11,053.41
|
$6,632.05
40% off
|
$243.11
|
$63,549.38
|
$9,111.88
|
2026-02-24
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
12
|
12
|
$18,526.47
|
$11,115.88
40% off
|
$5,932.18
|
$19,452.79
|
$16,210.66
|
2026-02-24
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
120
|
12
|
$4,517.12
|
$2,710.27
40% off
|
$182.42
|
$101,530.93
|
$3,638.26
|
2026-02-24
|
|
C1787
|
HCPCS
|
Patient Programmer, Neurostimulator
|
12
|
12
|
$5,763.89
|
$3,458.33
40% off
|
$1,845.60
|
$6,052.08
|
$5,043.41
|
2026-02-24
|
|
C1788
|
HCPCS
|
Port, Indwelling (implantable)
|
12
|
12
|
$3,731.84
|
$2,239.10
40% off
|
$1,194.94
|
$3,918.43
|
$3,265.36
|
2026-02-24
|
|
C1813
|
HCPCS
|
Prosthesis, Penile, Inflatable
|
36
|
12
|
$8,018.21
|
$4,810.93
40% off
|
$697.86
|
$19,377.86
|
$6,815.48
|
2026-02-24
|
|
C1874
|
HCPCS
|
Stent, Coated/covered, With Delivery System
|
36
|
12
|
$13,101.24
|
$7,860.74
40% off
|
$3,768.92
|
$15,292.37
|
$11,476.26
|
2026-02-24
|
|
C1880
|
HCPCS
|
Vena Cava Filter
|
12
|
12
|
$10,907.18
|
$6,544.31
40% off
|
$3,492.48
|
$11,452.54
|
$9,543.78
|
2026-02-24
|
|
C1889
|
HCPCS
|
Implantable/insertable Device, Not Otherwise Classified
|
108
|
12
|
$3,565.73
|
$2,139.44
40% off
|
$18.54
|
$34,066.48
|
$3,030.87
|
2026-02-24
|
|
C1897
|
HCPCS
|
Lead, Neurostimulator Test Kit (implantable)
|
12
|
12
|
$19,305.00
|
$11,583.00
40% off
|
$6,181.46
|
$20,270.25
|
$16,891.88
|
2026-02-24
|
|
C1899
|
HCPCS
|
Lead, Pacemaker/cardioverter-defibrillator Combination (implantable)
|
36
|
12
|
$16,087.30
|
$9,652.38
40% off
|
$540.90
|
$37,102.36
|
$13,674.21
|
2026-02-24
|
|
C2622
|
HCPCS
|
Prosthesis, Penile, Non-inflatable
|
12
|
12
|
$7,023.84
|
$4,214.30
40% off
|
$2,249.03
|
$7,375.03
|
$6,145.86
|
2026-02-24
|
|
C2625
|
HCPCS
|
Stent, Non-coronary, Temporary, With Delivery System
|
24
|
12
|
$5,859.23
|
$3,515.54
40% off
|
$1,425.50
|
$7,629.90
|
$4,451.90
|
2026-02-24
|
|
C2629
|
HCPCS
|
Introducer/sheath, Other Than Guiding, Other Than Intracardiac Electrophysiologi…
|
24
|
12
|
$2,081.18
|
$1,248.70
40% off
|
$590.73
|
$2,433.36
|
$1,798.75
|
2026-02-24
|
|
C2631
|
HCPCS
|
Repair Device, Urinary, Incontinence, Without Sling Graft
|
12
|
12
|
$2,158.97
|
$1,295.38
40% off
|
$691.30
|
$2,266.92
|
$1,889.09
|
2026-02-24
|
|
C8902
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$350.59
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8909
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium)
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$350.59
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8912
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Lower Extremity
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$350.59
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8918
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Pelvis
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$350.59
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8919
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast, Pelvis
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$239.77
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8920
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi…
|
13
|
13
|
$7,065.94
|
$4,239.56
40% off
|
$350.59
|
$7,419.24
|
$6,006.05
|
2026-02-24
|
|
C8934
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Upper Extremity
|
13
|
13
|
$7,348.46
|
$4,409.08
40% off
|
$350.59
|
$7,715.88
|
$6,246.19
|
2026-02-24
|
|
C8935
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast, Upper Extremity
|
13
|
13
|
$6,152.29
|
$3,691.37
40% off
|
$239.77
|
$6,459.90
|
$5,229.45
|
2026-02-24
|
|
C8936
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Upper…
|
13
|
13
|
$8,272.65
|
$4,963.59
40% off
|
$350.59
|
$8,686.28
|
$7,031.75
|
2026-02-24
|
|
G0257
|
HCPCS
|
Unscheduled Or Emergency Dialysis Treatment For An Esrd Patient In A Hospital Ou…
|
13
|
13
|
$3,576.26
|
$2,145.76
40% off
|
$689.69
|
$3,755.07
|
$3,039.82
|
2026-02-24
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
13
|
13
|
$14,353.00
|
$8,611.80
40% off
|
$1,828.71
|
$15,070.65
|
$12,200.05
|
2026-02-24
|
|
J0841
|
HCPCS
|
Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg
|
13
|
13
|
$6,850.69
|
$4,110.41
40% off
|
$1,045.15
|
$7,193.22
|
$5,823.09
|
2026-02-24
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
13
|
13
|
$6,643.04
|
$3,985.82
40% off
|
$3,700.17
|
$6,975.19
|
$5,646.58
|
2026-02-24
|
|
J2730
|
HCPCS
|
Injection, Pralidoxime Chloride, Up To 1 Gm
|
12
|
12
|
$2,418.10
|
$1,450.86
40% off
|
$97.41
|
$2,539.01
|
$2,115.84
|
2026-02-24
|
|
J2993
|
HCPCS
|
Injection, Reteplase, 18.1 Mg
|
13
|
13
|
$14,795.11
|
$8,877.07
40% off
|
$2,440.02
|
$15,534.87
|
$12,575.84
|
2026-02-24
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
12
|
12
|
$18,000.00
|
$10,800.00
40% off
|
$5,763.60
|
$18,900.00
|
$15,750.00
|
2026-02-24
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
13
|
13
|
$3,149.27
|
$1,889.56
40% off
|
$547.91
|
$3,306.73
|
$2,676.88
|
2026-02-24
|