|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
28
|
28
|
$19,826.59
|
$14,869.94
25% off
|
$4,883.29
|
$22,189.83
|
$19,703.46
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
28
|
28
|
$23,815.13
|
$17,861.35
25% off
|
$5,865.67
|
$29,440.70
|
$23,815.13
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
28
|
28
|
$23,838.11
|
$17,878.58
25% off
|
$5,871.33
|
$23,838.11
|
$19,694.85
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
27
|
27
|
$25,987.10
|
$19,490.33
25% off
|
$6,400.62
|
$28,188.84
|
$25,422.41
|
2026-04-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
27
|
27
|
$27,053.65
|
$20,290.23
25% off
|
$6,663.31
|
$27,053.65
|
$17,716.48
|
2026-04-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
27
|
27
|
$29,069.42
|
$21,802.07
25% off
|
$7,159.80
|
$29,069.42
|
$18,243.96
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
28
|
28
|
$31,578.36
|
$23,683.77
25% off
|
$6,558.82
|
$31,578.36
|
$20,053.96
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
28
|
$33,346.68
|
$25,010.01
25% off
|
$8,213.29
|
$33,346.68
|
$25,464.75
|
2026-04-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
27
|
27
|
$39,436.99
|
$29,577.74
25% off
|
$9,713.33
|
$39,436.99
|
$19,470.04
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
27
|
27
|
$40,906.43
|
$30,679.82
25% off
|
$10,075.25
|
$40,906.43
|
$32,725.14
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
27
|
27
|
$43,237.87
|
$32,428.40
25% off
|
$10,649.49
|
$43,237.87
|
$33,540.70
|
2026-04-01
|
|
HB_48193799014
|
CDM
|
Hc Balloon Tamponade Perforated Vessel
|
25
|
25
|
$43,383.14
|
$32,537.36
25% off
|
$3,904.48
|
$43,383.14
|
$17,687.31
|
2026-04-01
|
|
HB_48192920000
|
CDM
|
Hc Ptca Initial Art/branch
|
25
|
25
|
$43,383.14
|
$32,537.36
25% off
|
$3,904.48
|
$43,383.14
|
$17,687.31
|
2026-04-01
|
|
C1737
|
HCPCS
|
Joint Fusion And Fixation Device(s), Sacroiliac And Pelvis, Including All System…
|
24
|
24
|
$43,391.98
|
$32,543.99
25% off
|
$3,905.28
|
$43,391.98
|
$17,690.91
|
2026-04-01
|
|
HB_36037246000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$44,501.15
|
$33,375.86
25% off
|
$4,005.10
|
$44,501.15
|
$18,143.12
|
2026-04-01
|
|
HB_36037247000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$44,501.15
|
$33,375.86
25% off
|
$4,005.10
|
$44,501.15
|
$18,143.12
|
2026-04-01
|
|
HB_36062365000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$44,502.10
|
$33,376.58
25% off
|
$4,005.19
|
$44,502.10
|
$18,143.51
|
2026-04-01
|
|
HB_48192972000
|
CDM
|
Hc Percutaneous Transluminal Coronary Lithotripsy
|
25
|
25
|
$44,623.04
|
$33,467.28
25% off
|
$4,016.07
|
$44,623.04
|
$18,192.81
|
2026-04-01
|
|
SUP_171499
|
CDM
|
Duodenoscope Exalt Mdl-d Strl 1p-u
|
25
|
25
|
$44,857.92
|
$33,643.44
25% off
|
$4,037.21
|
$44,857.92
|
$18,288.57
|
2026-04-01
|
|
C1734
|
HCPCS
|
Orthopedic/device/drug Matrix For Opposing Bone-to-bone Or Soft Tissue-to Bone (…
|
24
|
24
|
$45,061.63
|
$33,796.22
25% off
|
$4,055.55
|
$45,061.63
|
$18,371.63
|
2026-04-01
|
|
HB_48108970000
|
CDM
|
Hc Vmap Computational ECG Arrhythmia Analysis
|
25
|
25
|
$45,069.60
|
$33,802.20
25% off
|
$4,056.26
|
$45,069.60
|
$18,374.88
|
2026-04-01
|
|
HB_48093613000
|
CDM
|
Hc Mapping 3d Tachycardia Sites
|
25
|
25
|
$45,241.30
|
$33,930.98
25% off
|
$4,071.72
|
$45,241.30
|
$18,444.88
|
2026-04-01
|
|
HB_48093609000
|
CDM
|
Hc Mapping Of Tachycardia Site(s)
|
25
|
25
|
$45,241.30
|
$33,930.98
25% off
|
$4,071.72
|
$45,241.30
|
$18,444.88
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
28
|
28
|
$45,265.43
|
$33,949.07
25% off
|
$11,148.88
|
$45,265.43
|
$25,806.94
|
2026-04-01
|
|
L8690
|
HCPCS
|
Auditory Osseointegrated Device, Includes All Internal And External Components
|
72
|
24
|
$45,573.31
|
$34,179.98
25% off
|
$4,095.79
|
$55,647.28
|
$18,567.09
|
2026-04-01
|
|
SUP_170968
|
CDM
|
Kt Proc Cerv Safeop-so3 EMG-ssep-mep Electrd W-ndl
|
25
|
25
|
$45,737.49
|
$34,303.12
25% off
|
$4,116.37
|
$45,737.49
|
$18,647.17
|
2026-04-01
|
|
SUP_145569
|
CDM
|
Kt Proc Safeop EMG-ssep Electrd W-ndl
|
25
|
25
|
$45,737.49
|
$34,303.12
25% off
|
$4,116.37
|
$45,737.49
|
$18,647.17
|
2026-04-01
|
|
SUP_167057
|
CDM
|
Kt Proc Thor-lum Safeop-3 EMG-ssep Electrd W-ndl
|
25
|
25
|
$45,737.49
|
$34,303.12
25% off
|
$4,116.37
|
$45,737.49
|
$18,647.17
|
2026-04-01
|
|
SUP_167056
|
CDM
|
Kt Proc Prone-transpoas-lat Safeop-3 EMG-ssep Electrd W-ndl
|
25
|
25
|
$45,737.49
|
$34,303.12
25% off
|
$4,116.37
|
$45,737.49
|
$18,647.17
|
2026-04-01
|
|
SUP_104597
|
CDM
|
Handpc Crani Myriad 13g 13cm
|
25
|
25
|
$45,882.14
|
$34,411.61
25% off
|
$4,129.39
|
$45,882.14
|
$18,706.15
|
2026-04-01
|
|
HB_36020982000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$46,045.10
|
$34,533.83
25% off
|
$4,144.06
|
$46,045.10
|
$18,772.59
|
2026-04-01
|
|
SUP_159435
|
CDM
|
Templt Unid Pt-spec
|
25
|
25
|
$46,910.25
|
$35,182.69
25% off
|
$4,221.92
|
$46,910.25
|
$19,125.31
|
2026-04-01
|
|
HB_48192999000
|
CDM
|
Hc Perc Valvuloplasty Pulmonary Valve
|
25
|
25
|
$47,398.92
|
$35,549.19
25% off
|
$4,265.90
|
$47,398.92
|
$19,324.54
|
2026-04-01
|
|
HB_36104130000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$47,533.31
|
$35,649.98
25% off
|
$4,278.00
|
$47,533.31
|
$19,379.33
|
2026-04-01
|
|
HB_36000000773
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$47,918.30
|
$35,938.73
25% off
|
$4,312.65
|
$47,918.30
|
$19,536.29
|
2026-04-01
|
|
SUP_165237
|
CDM
|
Sys Remov Thromb Pvasc Dropzone 4.0x30mm 180cm
|
25
|
25
|
$48,024.37
|
$36,018.28
25% off
|
$4,322.19
|
$48,024.37
|
$19,579.54
|
2026-04-01
|
|
HB_48133234000
|
CDM
|
Hc Remove 1-pacer Lead Only Atrial/ventr
|
25
|
25
|
$48,084.73
|
$36,063.55
25% off
|
$4,327.63
|
$48,084.73
|
$19,604.14
|
2026-04-01
|
|
HB_36000001021
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$48,507.56
|
$36,380.67
25% off
|
$4,365.68
|
$48,507.56
|
$19,776.53
|
2026-04-01
|
|
HB_36000000646
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$48,855.16
|
$36,641.37
25% off
|
$4,396.96
|
$48,855.16
|
$19,918.25
|
2026-04-01
|
|
HB_36120982000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$48,881.29
|
$36,660.97
25% off
|
$4,399.32
|
$48,881.29
|
$19,928.90
|
2026-04-01
|
|
HB_36120983000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$48,881.29
|
$36,660.97
25% off
|
$4,399.32
|
$48,881.29
|
$19,928.90
|
2026-04-01
|
|
HB_48136224000
|
CDM
|
Hc S/p Cath Int Carotid Unil + Ext Arch
|
25
|
25
|
$49,070.26
|
$36,802.70
25% off
|
$4,416.32
|
$49,070.26
|
$20,005.95
|
2026-04-01
|
|
HB_36122515000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$49,159.62
|
$36,869.72
25% off
|
$4,424.37
|
$49,159.62
|
$20,042.38
|
2026-04-01
|
|
SUP_11896
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 7mmx2
|
25
|
25
|
$49,798.98
|
$37,349.24
25% off
|
$4,481.91
|
$49,798.98
|
$20,303.04
|
2026-04-01
|
|
HB_36000001064
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$50,363.64
|
$37,772.73
25% off
|
$4,532.73
|
$50,363.64
|
$20,533.26
|
2026-04-01
|
|
HB_36009765000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$50,667.02
|
$38,000.27
25% off
|
$4,560.03
|
$50,667.02
|
$20,656.94
|
2026-04-01
|
|
HB_36009766000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$50,667.02
|
$38,000.27
25% off
|
$4,560.03
|
$50,667.02
|
$20,656.94
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
28
|
28
|
$50,700.07
|
$38,025.05
25% off
|
$12,487.43
|
$50,700.07
|
$24,158.32
|
2026-04-01
|
|
HB_48093620000
|
CDM
|
Hc Eval Ep W Or Attemt Induction
|
25
|
25
|
$51,508.39
|
$38,631.29
25% off
|
$4,635.76
|
$51,508.39
|
$20,999.97
|
2026-04-01
|
|
SUP_41885
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 15mmx2
|
25
|
25
|
$51,601.27
|
$38,700.95
25% off
|
$4,644.11
|
$51,601.27
|
$21,037.84
|
2026-04-01
|
|
SUP_11897
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 10mmx2
|
25
|
25
|
$51,601.27
|
$38,700.95
25% off
|
$4,644.11
|
$51,601.27
|
$21,037.84
|
2026-04-01
|
|
SUP_11898
|
CDM
|
Prob 2 Abl Osteocool Rf 17g 20mmx2
|
25
|
25
|
$51,601.27
|
$38,700.95
25% off
|
$4,644.11
|
$51,601.27
|
$21,037.84
|
2026-04-01
|
|
HB_36161650000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$52,122.83
|
$39,092.12
25% off
|
$4,691.05
|
$52,122.83
|
$21,250.48
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
28
|
28
|
$52,233.89
|
$39,175.42
25% off
|
$12,865.21
|
$52,233.89
|
$29,064.55
|
2026-04-01
|
|
HB_48192929000
|
CDM
|
Hc Ptca/stent Addl Art/brnch
|
25
|
25
|
$52,838.33
|
$39,628.75
25% off
|
$4,755.45
|
$52,838.33
|
$21,542.19
|
2026-04-01
|
|
C1831
|
HCPCS
|
Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable)
|
48
|
24
|
$53,033.51
|
$39,775.13
25% off
|
$3,424.24
|
$68,019.86
|
$18,319.70
|
2026-04-01
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
168
|
24
|
$53,360.41
|
$40,020.31
25% off
|
$3,208.66
|
$59,224.19
|
$20,960.99
|
2026-04-01
|
|
HB_31002110000
|
CDM
|
Hc Mi Cancer Seek
|
25
|
25
|
$53,669.47
|
$40,252.10
25% off
|
$4,830.25
|
$53,669.47
|
$21,881.04
|
2026-04-01
|
|
HB_30002110000
|
CDM
|
Hc Mi Cancer Seek Z016q
|
25
|
25
|
$53,669.47
|
$40,252.10
25% off
|
$4,830.25
|
$53,669.47
|
$21,881.04
|
2026-04-01
|
|
HB_36133271000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$54,129.16
|
$40,596.87
25% off
|
$4,871.62
|
$54,129.16
|
$22,068.46
|
2026-04-01
|
|
HB_36137799004
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$54,142.33
|
$40,606.75
25% off
|
$4,872.81
|
$54,142.33
|
$22,073.83
|
2026-04-01
|
|
C1818
|
HCPCS
|
Integrated Keratoprosthesis
|
72
|
24
|
$54,357.25
|
$40,767.94
25% off
|
$4,433.02
|
$55,119.54
|
$21,280.84
|
2026-04-01
|
|
HB_36105250000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$54,595.68
|
$40,946.76
25% off
|
$4,913.61
|
$54,595.68
|
$22,258.66
|
2026-04-01
|
|
HB_36000000065
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$54,791.76
|
$41,093.82
25% off
|
$4,931.26
|
$54,791.76
|
$22,338.60
|
2026-04-01
|
|
HB_36000000069
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$54,791.76
|
$41,093.82
25% off
|
$4,931.26
|
$54,791.76
|
$22,338.60
|
2026-04-01
|
|
HB_48192986000
|
CDM
|
Hc Perc Valvuloplasty Aortic Valve
|
25
|
25
|
$54,983.96
|
$41,237.97
25% off
|
$4,948.56
|
$54,983.96
|
$22,416.96
|
2026-04-01
|
|
HB_48192987000
|
CDM
|
Hc Perc Valvuloplasty Mitral Valve
|
25
|
25
|
$54,983.96
|
$41,237.97
25% off
|
$4,948.56
|
$54,983.96
|
$22,416.96
|
2026-04-01
|
|
C1761
|
HCPCS
|
Catheter, Transluminal Intravascular Lithotripsy, Coronary
|
72
|
24
|
$55,119.54
|
$41,339.66
25% off
|
$4,850.52
|
$60,803.51
|
$22,222.54
|
2026-04-01
|
|
HB_48133285000
|
CDM
|
Hc Insertion Subc Cardiac Rhythm Moni W Prog
|
25
|
25
|
$56,173.63
|
$42,130.22
25% off
|
$5,055.63
|
$56,173.63
|
$22,901.99
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
28
|
$56,548.47
|
$42,411.35
25% off
|
$13,927.89
|
$56,548.47
|
$41,392.87
|
2026-04-01
|
|
SUP_168043
|
CDM
|
Guide Mark Ips W-plan Trnsfrm Cust 1p-u
|
25
|
25
|
$56,843.49
|
$42,632.62
25% off
|
$5,115.91
|
$56,843.49
|
$23,175.09
|
2026-04-01
|
|
HB_36036907000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$56,867.52
|
$42,650.64
25% off
|
$5,118.08
|
$56,867.52
|
$23,184.89
|
2026-04-01
|
|
HB_36037249000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$56,867.52
|
$42,650.64
25% off
|
$5,118.08
|
$56,867.52
|
$23,184.89
|
2026-04-01
|
|
HB_36037248000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$56,867.52
|
$42,650.64
25% off
|
$5,118.08
|
$56,867.52
|
$23,184.89
|
2026-04-01
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…
|
24
|
24
|
$57,376.83
|
$43,032.62
25% off
|
$5,163.91
|
$182,577.30
|
$28,496.21
|
2026-04-01
|
|
A9604
|
HCPCS
|
Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri…
|
24
|
24
|
$57,376.83
|
$43,032.62
25% off
|
$5,163.91
|
$57,376.83
|
$19,201.51
|
2026-04-01
|
|
C2621
|
HCPCS
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
144
|
24
|
$57,758.24
|
$43,318.68
25% off
|
$4,116.37
|
$73,883.64
|
$22,711.30
|
2026-04-01
|
|
SUP_159981
|
CDM
|
Knif Iq Apex 106mm-len 12.4mm-cut-len 0.73mm-cut-wd 11cm
|
25
|
25
|
$57,796.71
|
$43,347.53
25% off
|
$5,201.70
|
$57,796.71
|
$23,563.72
|
2026-04-01
|
|
HB_36000001059
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$58,205.28
|
$43,653.96
25% off
|
$5,238.48
|
$58,205.28
|
$23,730.29
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
27
|
27
|
$58,339.80
|
$43,754.85
25% off
|
$14,369.09
|
$58,339.80
|
$19,612.58
|
2026-04-01
|
|
HB_36037218000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$58,615.83
|
$43,961.87
25% off
|
$5,275.42
|
$58,615.83
|
$23,897.67
|
2026-04-01
|
|
SUP_106501
|
CDM
|
Dev Ds Gi Fastnr Esophyxz Pls W-serosafuse Imp
|
25
|
25
|
$58,646.19
|
$43,984.64
25% off
|
$5,278.16
|
$58,646.19
|
$23,910.05
|
2026-04-01
|
|
HB_48192925000
|
CDM
|
Hc Ptca/atherect Addl Art/brnch
|
25
|
25
|
$58,781.58
|
$44,086.19
25% off
|
$5,290.34
|
$58,781.58
|
$23,965.25
|
2026-04-01
|
|
SUP_102012
|
CDM
|
Ds Anch-endovasc Helifx-86cm W-10-endoanchor-0.5x3x4.5mm
|
25
|
25
|
$59,048.27
|
$44,286.20
25% off
|
$5,314.34
|
$59,048.27
|
$24,073.98
|
2026-04-01
|
|
HB_36000000066
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$60,233.68
|
$45,175.26
25% off
|
$5,421.03
|
$60,233.68
|
$24,557.27
|
2026-04-01
|
|
HB_36000000770
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$60,457.94
|
$45,343.46
25% off
|
$5,441.21
|
$60,457.94
|
$24,648.70
|
2026-04-01
|
|
HB_36137233000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$60,457.94
|
$45,343.46
25% off
|
$5,441.21
|
$60,457.94
|
$24,648.70
|
2026-04-01
|
|
HB_36161645000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$61,116.89
|
$45,837.67
25% off
|
$5,500.52
|
$61,116.89
|
$24,917.36
|
2026-04-01
|
|
HB_48133235000
|
CDM
|
Hc Remove Pm Leads Dual
|
25
|
25
|
$61,209.38
|
$45,907.04
25% off
|
$5,508.84
|
$61,209.38
|
$24,955.06
|
2026-04-01
|
|
HB_48133244000
|
CDM
|
Hc Removal Aicd Lead(s) Transvenous
|
25
|
25
|
$61,209.38
|
$45,907.04
25% off
|
$5,508.84
|
$61,209.38
|
$24,955.06
|
2026-04-01
|
|
HB_36000001006
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$61,444.61
|
$46,083.46
25% off
|
$5,530.01
|
$61,444.61
|
$25,050.97
|
2026-04-01
|
|
HB_36147383000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$62,280.26
|
$46,710.20
25% off
|
$5,605.22
|
$62,280.26
|
$25,391.66
|
2026-04-01
|
|
HB_36161626000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$62,493.35
|
$46,870.01
25% off
|
$5,624.40
|
$62,493.35
|
$25,478.54
|
2026-04-01
|
|
HB_36000000756
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$62,511.33
|
$46,883.50
25% off
|
$5,626.02
|
$62,511.33
|
$25,485.87
|
2026-04-01
|
|
HB_48133212000
|
CDM
|
Hc Ppm Generator Single
|
25
|
25
|
$63,019.07
|
$47,264.30
25% off
|
$5,671.72
|
$63,019.07
|
$25,692.87
|
2026-04-01
|
|
SUP_147794
|
CDM
|
Clmp Ablat Isolatorsynergy Trnspolar
|
25
|
25
|
$63,328.83
|
$47,496.62
25% off
|
$5,699.59
|
$63,328.83
|
$25,819.16
|
2026-04-01
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
43
|
24
|
$63,449.53
|
$47,587.15
25% off
|
$5,710.46
|
$63,586.14
|
$19,330.19
|
2026-04-01
|
|
HB_36000000068
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$63,559.36
|
$47,669.52
25% off
|
$5,720.34
|
$63,559.36
|
$25,913.15
|
2026-04-01
|
|
HB_48109130000
|
CDM
|
Hc Pta Drug Eluting Balln Sgl Cor Artery
|
25
|
25
|
$63,559.36
|
$47,669.52
25% off
|
$5,720.34
|
$63,559.36
|
$25,913.15
|
2026-04-01
|
|
HB_36036902000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$63,613.57
|
$47,710.18
25% off
|
$5,725.22
|
$63,613.57
|
$25,935.25
|
2026-04-01
|
|
C9608
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…
|
24
|
24
|
$64,028.70
|
$48,021.53
25% off
|
$5,762.58
|
$64,028.70
|
$26,104.50
|
2026-04-01
|
|
C9605
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
24
|
24
|
$64,028.70
|
$48,021.53
25% off
|
$5,762.58
|
$64,028.70
|
$26,104.50
|
2026-04-01
|
|
C9603
|
HCPCS
|
Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary …
|
24
|
24
|
$64,028.70
|
$48,021.53
25% off
|
$5,762.58
|
$64,028.70
|
$26,104.50
|
2026-04-01
|
|
C9601
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit…
|
24
|
24
|
$64,028.70
|
$48,021.53
25% off
|
$5,762.58
|
$64,028.70
|
$26,104.50
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
27
|
27
|
$64,053.44
|
$48,040.08
25% off
|
$15,404.39
|
$64,053.44
|
$20,388.51
|
2026-04-01
|
|
HB_36106000000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$65,487.70
|
$49,115.78
25% off
|
$5,893.89
|
$65,487.70
|
$26,699.34
|
2026-04-01
|
|
HB_36036227000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$65,578.99
|
$49,184.24
25% off
|
$5,902.11
|
$65,578.99
|
$26,736.55
|
2026-04-01
|
|
HB_36036909000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$66,160.80
|
$49,620.60
25% off
|
$5,954.47
|
$66,160.80
|
$26,973.76
|
2026-04-01
|
|
C9610
|
HCPCS
|
Catheter, Transluminal Drug Delivery With Or Without Angioplasty, Coronary, Non-…
|
24
|
24
|
$66,260.73
|
$49,695.55
25% off
|
$5,963.47
|
$66,260.73
|
$27,014.50
|
2026-04-01
|
|
NDC24338005008
|
CDM
|
Gliadel Wafer
|
25
|
25
|
$67,041.32
|
$50,280.99
25% off
|
$6,033.72
|
$67,041.32
|
$27,332.75
|
2026-04-01
|
|
HB_36036905000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$67,549.70
|
$50,662.28
25% off
|
$6,079.47
|
$67,549.70
|
$27,540.01
|
2026-04-01
|
|
HB_48193655000
|
CDM
|
Hc Cath Ablation Arrhythmia Add On
|
25
|
25
|
$68,340.67
|
$51,255.50
25% off
|
$6,150.66
|
$68,340.67
|
$27,862.49
|
2026-04-01
|
|
HB_36000000033
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$68,440.06
|
$51,330.05
25% off
|
$6,159.61
|
$68,440.06
|
$27,903.01
|
2026-04-01
|
|
HB_36000000032
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$68,440.06
|
$51,330.05
25% off
|
$6,159.61
|
$68,440.06
|
$27,903.01
|
2026-04-01
|
|
HB_36036482001
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$68,653.47
|
$51,490.10
25% off
|
$6,178.81
|
$68,653.47
|
$27,990.02
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
27
|
27
|
$69,367.37
|
$52,025.52
25% off
|
$14,166.30
|
$69,367.37
|
$19,148.78
|
2026-04-01
|
|
HB_48133228000
|
CDM
|
Hc Remove/replace Ppm Dual System
|
25
|
25
|
$69,660.25
|
$52,245.19
25% off
|
$6,269.42
|
$69,660.25
|
$28,400.48
|
2026-04-01
|
|
HB_48133221000
|
CDM
|
Hc Pacemaker Perm Generator Mult
|
25
|
25
|
$69,660.25
|
$52,245.19
25% off
|
$6,269.42
|
$69,660.25
|
$28,400.48
|
2026-04-01
|
|
HB_36000000070
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$69,871.33
|
$52,403.50
25% off
|
$6,288.42
|
$69,871.33
|
$28,486.54
|
2026-04-01
|
|
HB_36009772000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$69,988.41
|
$52,491.31
25% off
|
$6,298.96
|
$69,988.41
|
$28,534.27
|
2026-04-01
|
|
HB_48133229000
|
CDM
|
Hc Remove/replace Ppm Mult System
|
25
|
25
|
$70,072.33
|
$52,554.25
25% off
|
$6,306.51
|
$70,072.33
|
$28,568.49
|
2026-04-01
|
|
HB_36137230000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$70,344.43
|
$52,758.32
25% off
|
$6,331.00
|
$70,344.43
|
$28,679.42
|
2026-04-01
|
|
HB_36000000898
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$70,344.43
|
$52,758.32
25% off
|
$6,331.00
|
$70,344.43
|
$28,679.42
|
2026-04-01
|
|
HB_36000000776
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$70,344.43
|
$52,758.32
25% off
|
$6,331.00
|
$70,344.43
|
$28,679.42
|
2026-04-01
|
|
HB_36122511000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$70,410.60
|
$52,807.95
25% off
|
$6,336.95
|
$70,410.60
|
$28,706.40
|
2026-04-01
|
|
HB_36122513000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$70,410.60
|
$52,807.95
25% off
|
$6,336.95
|
$70,410.60
|
$28,706.40
|
2026-04-01
|
|
HB_36122514000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$70,410.60
|
$52,807.95
25% off
|
$6,336.95
|
$70,410.60
|
$28,706.40
|
2026-04-01
|
|
HB_36122510000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$70,410.60
|
$52,807.95
25% off
|
$6,336.95
|
$70,410.60
|
$28,706.40
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
28
|
28
|
$72,078.32
|
$54,058.74
25% off
|
$17,752.89
|
$72,078.32
|
$30,599.71
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
27
|
27
|
$72,712.31
|
$54,534.23
25% off
|
$17,382.85
|
$72,712.31
|
$23,430.46
|
2026-04-01
|
|
SUP_172623
|
CDM
|
Mdl Suppl Maxilla-craniips Classc Patnt-spec
|
25
|
25
|
$72,863.34
|
$54,647.51
25% off
|
$6,557.70
|
$72,863.34
|
$29,706.38
|
2026-04-01
|
|
HB_36105690000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$73,212.94
|
$54,909.71
25% off
|
$6,589.16
|
$73,212.94
|
$29,848.92
|
2026-04-01
|
|
HB_36105700000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$73,212.94
|
$54,909.71
25% off
|
$6,589.16
|
$73,212.94
|
$29,848.92
|
2026-04-01
|
|
HB_36133418001
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$73,212.94
|
$54,909.71
25% off
|
$6,589.16
|
$73,212.94
|
$29,848.92
|
2026-04-01
|
|
HB_36033361000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$73,212.94
|
$54,909.71
25% off
|
$6,589.16
|
$73,212.94
|
$29,848.92
|
2026-04-01
|
|
HB_36133419000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$73,212.94
|
$54,909.71
25% off
|
$6,589.16
|
$73,212.94
|
$29,848.92
|
2026-04-01
|
|
HB_48133213000
|
CDM
|
Hc Ppm Generator Dual
|
25
|
25
|
$73,535.77
|
$55,151.83
25% off
|
$6,618.22
|
$73,535.77
|
$29,980.53
|
2026-04-01
|
|
HB_36032994001
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$73,822.44
|
$55,366.83
25% off
|
$6,644.02
|
$73,822.44
|
$30,097.41
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
27
|
27
|
$73,850.94
|
$55,388.21
25% off
|
$18,189.49
|
$73,850.94
|
$30,282.09
|
2026-04-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
27
|
27
|
$75,603.11
|
$56,702.33
25% off
|
$12,586.63
|
$75,603.11
|
$18,487.33
|
2026-04-01
|
|
HB_48193657000
|
CDM
|
Hc Ablate Atrial Fib W/pulm Vein
|
25
|
25
|
$75,707.42
|
$56,780.57
25% off
|
$6,813.67
|
$75,707.42
|
$30,865.92
|
2026-04-01
|
|
HB_36000000759
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$75,849.31
|
$56,886.98
25% off
|
$6,826.44
|
$75,849.31
|
$30,923.76
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
27
|
27
|
$76,120.59
|
$57,090.44
25% off
|
$18,748.50
|
$76,120.59
|
$31,031.47
|
2026-04-01
|
|
HB_36000000950
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,321.66
|
$57,241.25
25% off
|
$6,868.95
|
$76,321.66
|
$31,116.34
|
2026-04-01
|
|
HB_36137239000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$76,321.66
|
$57,241.25
25% off
|
$6,868.95
|
$76,321.66
|
$31,116.34
|
2026-04-01
|
|
HB_36000001009
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36000001012
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36000000952
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36037244000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36000001011
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36000001010
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$76,746.38
|
$57,559.79
25% off
|
$6,907.17
|
$76,746.38
|
$31,289.50
|
2026-04-01
|
|
HB_36133206000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$77,795.60
|
$58,346.70
25% off
|
$7,001.60
|
$77,795.60
|
$31,717.27
|
2026-04-01
|
|
HB_36133207000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$77,795.60
|
$58,346.70
25% off
|
$7,001.60
|
$77,795.60
|
$31,717.27
|
2026-04-01
|
|
HB_48133227000
|
CDM
|
Hc Remove/replace Pacemaker Sl System
|
25
|
25
|
$78,135.23
|
$58,601.42
25% off
|
$7,032.17
|
$78,135.23
|
$31,855.73
|
2026-04-01
|
|
HB_48133225000
|
CDM
|
Hc Lead Placement Coronary Sinus
|
25
|
25
|
$78,471.16
|
$58,853.37
25% off
|
$7,062.40
|
$78,471.16
|
$31,992.69
|
2026-04-01
|
|
HB_36037228000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$78,613.48
|
$58,960.11
25% off
|
$7,075.21
|
$78,613.48
|
$32,050.72
|
2026-04-01
|
|
C9600
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
24
|
24
|
$78,703.22
|
$59,027.42
25% off
|
$7,083.29
|
$78,703.22
|
$32,087.30
|
2026-04-01
|
|
C9607
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…
|
24
|
24
|
$78,703.22
|
$59,027.42
25% off
|
$7,083.29
|
$78,703.22
|
$32,087.30
|
2026-04-01
|
|
C9602
|
HCPCS
|
Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary …
|
24
|
24
|
$78,703.22
|
$59,027.42
25% off
|
$7,083.29
|
$78,703.22
|
$32,087.30
|
2026-04-01
|
|
HB_48192928000
|
CDM
|
Hc Ptca /stent Initial Art/brnch
|
25
|
25
|
$78,703.22
|
$59,027.42
25% off
|
$7,083.29
|
$78,703.22
|
$32,087.30
|
2026-04-01
|
|
HB_48193799016
|
CDM
|
Hc Stent Pseudoaneurysm Coronary Artery
|
25
|
25
|
$78,703.22
|
$59,027.42
25% off
|
$7,083.29
|
$78,703.22
|
$32,087.30
|
2026-04-01
|
|
HB_33377373003
|
CDM
|
Hc Sterotactic Radiosurg, Each Fraction
|
25
|
25
|
$79,734.42
|
$59,800.82
25% off
|
$7,176.10
|
$79,734.42
|
$32,507.72
|
2026-04-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
27
|
27
|
$81,201.27
|
$60,900.95
25% off
|
$12,592.00
|
$81,201.27
|
$18,228.00
|
2026-04-01
|
|
HB_36102350000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$81,505.26
|
$61,128.95
25% off
|
$7,335.47
|
$81,505.26
|
$33,229.69
|
2026-04-01
|
|
HB_36009767000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,513.13
|
$61,134.85
25% off
|
$7,336.18
|
$81,513.13
|
$33,232.90
|
2026-04-01
|
|
HB_36000000774
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
HB_36137229000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
HB_36000000769
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
HB_36000000771
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
HB_36000000897
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
HB_36000000772
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$81,599.94
|
$61,199.96
25% off
|
$7,343.99
|
$81,599.94
|
$33,268.30
|
2026-04-01
|
|
C1815
|
HCPCS
|
Prosthesis, Urinary Sphincter (implantable)
|
96
|
24
|
$81,852.52
|
$61,389.39
25% off
|
$3,438.76
|
$87,077.15
|
$30,745.36
|
2026-04-01
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
27
|
27
|
$82,047.46
|
$61,535.59
25% off
|
$11,691.89
|
$82,047.46
|
$17,974.73
|
2026-04-01
|
|
HB_36034707000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$83,464.47
|
$62,598.35
25% off
|
$7,511.80
|
$83,464.47
|
$34,028.46
|
2026-04-01
|
|
HB_36034717000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$83,537.25
|
$62,652.94
25% off
|
$7,518.35
|
$83,537.25
|
$34,058.14
|
2026-04-01
|
|
HB_36034718000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$83,537.25
|
$62,652.94
25% off
|
$7,518.35
|
$83,537.25
|
$34,058.14
|
2026-04-01
|
|
SUP_121894
|
CDM
|
Retrv Trevo-nxt Provue 3x32mm
|
25
|
25
|
$83,860.04
|
$62,895.03
25% off
|
$7,547.40
|
$83,860.04
|
$34,189.74
|
2026-04-01
|
|
SUP_121897
|
CDM
|
Retrv Trevo-nxt Provue Lng 4x41mm
|
25
|
25
|
$83,860.04
|
$62,895.03
25% off
|
$7,547.40
|
$83,860.04
|
$34,189.74
|
2026-04-01
|
|
SUP_121895
|
CDM
|
Retrv Trevo-nxt Provue 4x28mm
|
25
|
25
|
$83,860.04
|
$62,895.03
25% off
|
$7,547.40
|
$83,860.04
|
$34,189.74
|
2026-04-01
|
|
SUP_121896
|
CDM
|
Retrv Trevo-nxt Provue 6x37mm
|
25
|
25
|
$83,860.04
|
$62,895.03
25% off
|
$7,547.40
|
$83,860.04
|
$34,189.74
|
2026-04-01
|
|
HB_48133224000
|
CDM
|
Hc Insert Lv Lead & Connect
|
25
|
25
|
$84,206.77
|
$63,155.08
25% off
|
$7,578.61
|
$84,206.77
|
$34,331.10
|
2026-04-01
|
|
HB_36109150000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$84,509.16
|
$63,381.87
25% off
|
$7,605.82
|
$84,509.16
|
$34,454.38
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
21
|
21
|
$85,584.79
|
$64,188.59
25% off
|
$21,079.53
|
$85,584.79
|
$34,892.92
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
27
|
27
|
$86,548.35
|
$64,911.26
25% off
|
$14,312.34
|
$86,548.35
|
$21,316.86
|
2026-04-01
|
|
HB_36033288000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$86,662.15
|
$64,996.61
25% off
|
$7,799.59
|
$86,662.15
|
$35,332.16
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
27
|
27
|
$86,682.86
|
$65,012.15
25% off
|
$21,349.99
|
$86,682.86
|
$36,882.91
|
2026-04-01
|
|
HB_36109330000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$86,731.67
|
$65,048.75
25% off
|
$7,805.85
|
$86,731.67
|
$35,360.50
|
2026-04-01
|
|
HB_48133289000
|
CDM
|
Hc Implant Pulm Artery Sensor For Hd Monitoring
|
25
|
25
|
$86,731.67
|
$65,048.75
25% off
|
$7,805.85
|
$86,731.67
|
$35,360.50
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
27
|
27
|
$87,518.35
|
$65,638.76
25% off
|
$14,768.95
|
$87,518.35
|
$20,701.97
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
27
|
27
|
$87,668.69
|
$65,751.52
25% off
|
$15,999.90
|
$87,668.69
|
$22,055.93
|
2026-04-01
|
|
HB_36000000948
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$88,296.91
|
$66,222.68
25% off
|
$7,946.72
|
$88,296.91
|
$35,998.65
|
2026-04-01
|
|
HB_48192924000
|
CDM
|
Hc Ptca /atherect Initial Art/brnch
|
25
|
25
|
$88,470.27
|
$66,352.70
25% off
|
$7,962.32
|
$88,470.27
|
$36,069.33
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
27
|
27
|
$90,311.62
|
$67,733.72
25% off
|
$13,412.83
|
$90,311.62
|
$18,833.96
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
27
|
27
|
$90,829.01
|
$68,121.76
25% off
|
$18,887.40
|
$90,829.01
|
$25,394.77
|
2026-04-01
|
|
HB_36133999010
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$92,218.12
|
$69,163.59
25% off
|
$8,299.63
|
$92,218.12
|
$37,597.33
|
2026-04-01
|
|
HB_36104080000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$92,218.12
|
$69,163.59
25% off
|
$8,299.63
|
$92,218.12
|
$37,597.33
|
2026-04-01
|
|
HB_48192944000
|
CDM
|
Hc Ptca/stent/atherec Cto Addl Ves
|
25
|
25
|
$92,326.73
|
$69,245.05
25% off
|
$8,309.41
|
$92,326.73
|
$37,641.61
|
2026-04-01
|
|
HB_48192934000
|
CDM
|
Hc Ptca/stent/atherect Addl Branch
|
25
|
25
|
$92,415.11
|
$69,311.33
25% off
|
$8,317.36
|
$92,415.11
|
$37,677.64
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
27
|
27
|
$93,130.67
|
$69,848.01
25% off
|
$17,531.28
|
$93,130.67
|
$23,368.67
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
27
|
27
|
$93,431.52
|
$70,073.64
25% off
|
$17,576.58
|
$93,431.52
|
$24,992.76
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
27
|
27
|
$93,633.36
|
$70,225.02
25% off
|
$14,089.99
|
$93,633.36
|
$20,721.85
|
2026-04-01
|
|
HB_48193590000
|
CDM
|
Hc Perq Transcath Cls Paravalvr Leak 1 Mitral Val
|
25
|
25
|
$94,074.06
|
$70,555.55
25% off
|
$8,466.67
|
$94,074.06
|
$38,353.99
|
2026-04-01
|
|
HB_48193591000
|
CDM
|
Hc Perq Transcath Cls Paravalvr Leak 1 Aort Val
|
25
|
25
|
$94,074.06
|
$70,555.55
25% off
|
$8,466.67
|
$94,074.06
|
$38,353.99
|
2026-04-01
|
|
HB_36037223000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$95,480.13
|
$71,610.10
25% off
|
$8,593.21
|
$95,480.13
|
$38,927.25
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
27
|
27
|
$96,208.70
|
$72,156.53
25% off
|
$20,833.07
|
$96,208.70
|
$27,481.92
|
2026-04-01
|
|
HB_36133208000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$96,271.86
|
$72,203.90
25% off
|
$8,664.47
|
$96,271.86
|
$39,250.04
|
2026-04-01
|
|
HB_36133999004
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$96,453.19
|
$72,339.89
25% off
|
$8,680.79
|
$96,453.19
|
$39,323.97
|
2026-04-01
|
|
HB_36036903000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$96,616.82
|
$72,462.62
25% off
|
$8,695.51
|
$96,616.82
|
$39,390.68
|
2026-04-01
|
|
HB_36000000041
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$97,015.11
|
$72,761.33
25% off
|
$8,731.36
|
$97,015.11
|
$39,553.06
|
2026-04-01
|
|
HB_36137238000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$97,062.88
|
$72,797.16
25% off
|
$8,735.66
|
$97,062.88
|
$39,572.54
|
2026-04-01
|
|
HB_36036908000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$97,062.88
|
$72,797.16
25% off
|
$8,735.66
|
$97,062.88
|
$39,572.54
|
2026-04-01
|
|
HB_36000000949
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$97,062.88
|
$72,797.16
25% off
|
$8,735.66
|
$97,062.88
|
$39,572.54
|
2026-04-01
|
|
HB_36000000947
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$97,062.88
|
$72,797.16
25% off
|
$8,735.66
|
$97,062.88
|
$39,572.54
|
2026-04-01
|
|
HB_48133214000
|
CDM
|
Hc Ppm Upgrade
|
25
|
25
|
$97,073.37
|
$72,805.03
25% off
|
$8,736.60
|
$97,073.37
|
$39,576.81
|
2026-04-01
|
|
HB_48193581000
|
CDM
|
Hc Repair Perc Vent Sept Def W Imp
|
25
|
25
|
$97,315.78
|
$72,986.84
25% off
|
$8,758.42
|
$97,315.78
|
$39,675.64
|
2026-04-01
|
|
HB_48193799011
|
CDM
|
Hc Repair Perc Post Mi Vsd W Occluder
|
25
|
25
|
$97,315.78
|
$72,986.84
25% off
|
$8,758.42
|
$97,315.78
|
$39,675.64
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
27
|
27
|
$100,628.45
|
$75,471.33
25% off
|
$21,602.04
|
$100,628.45
|
$28,653.37
|
2026-04-01
|
|
C1722
|
HCPCS
|
Cardioverter-defibrillator, Single Chamber (implantable)
|
240
|
24
|
$104,037.21
|
$78,027.91
25% off
|
$7,282.82
|
$222,823.68
|
$40,324.04
|
2026-04-01
|
|
HB_48193582000
|
CDM
|
Hc Perc Closure Patent Ductus Arteriosus
|
25
|
25
|
$104,090.08
|
$78,067.56
25% off
|
$9,368.11
|
$104,090.08
|
$42,437.53
|
2026-04-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
27
|
27
|
$104,733.58
|
$78,550.19
25% off
|
$12,566.96
|
$104,733.58
|
$18,305.80
|
2026-04-01
|
|
HB_48192938000
|
CDM
|
Hc Ptca/stent/atherec Byp Grft Addl Ves
|
25
|
25
|
$107,098.36
|
$80,323.77
25% off
|
$9,638.85
|
$107,098.36
|
$43,664.00
|
2026-04-01
|
|
HB_48192933000
|
CDM
|
Hc Ptca/stent/atherect Initl Art/brnch
|
25
|
25
|
$107,202.26
|
$80,401.70
25% off
|
$9,648.20
|
$107,202.26
|
$43,706.36
|
2026-04-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
27
|
27
|
$107,310.84
|
$80,483.13
25% off
|
$12,368.46
|
$107,310.84
|
$18,105.26
|
2026-04-01
|
|
HB_48136226000
|
CDM
|
Hc S/p Cath Vert W/vert Circ Incl Arch
|
25
|
25
|
$107,463.87
|
$80,597.90
25% off
|
$9,671.75
|
$107,463.87
|
$43,813.02
|
2026-04-01
|
|
HB_36036906000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$107,746.81
|
$80,810.11
25% off
|
$9,697.21
|
$107,746.81
|
$43,928.37
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
28
|
28
|
$108,096.76
|
$81,072.57
25% off
|
$26,624.23
|
$108,096.76
|
$52,500.12
|
2026-04-01
|
|
HB_36009797000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$109,535.99
|
$82,151.99
25% off
|
$9,858.24
|
$109,535.99
|
$44,657.82
|
2026-04-01
|
|
HB_48193580000
|
CDM
|
Hc Repair Perc Atr Sept Def W Imp
|
25
|
25
|
$112,885.69
|
$84,664.27
25% off
|
$10,159.71
|
$112,885.69
|
$46,023.50
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
27
|
27
|
$113,504.24
|
$85,128.18
25% off
|
$17,373.91
|
$113,504.24
|
$24,810.55
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
28
|
28
|
$113,903.43
|
$85,427.57
25% off
|
$26,408.38
|
$113,903.43
|
$35,556.40
|
2026-04-01
|
|
C2616
|
HCPCS
|
Brachytherapy Source, Non-stranded, Yttrium-90, Per Source
|
24
|
24
|
$116,619.14
|
$87,464.36
25% off
|
$10,495.72
|
$116,619.14
|
$47,545.62
|
2026-04-01
|
|
HB_36009773000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$116,856.59
|
$87,642.44
25% off
|
$10,517.09
|
$116,856.59
|
$47,642.43
|
2026-04-01
|
|
C2622
|
HCPCS
|
Prosthesis, Penile, Non-inflatable
|
48
|
24
|
$116,936.11
|
$87,702.08
25% off
|
$9,403.28
|
$129,391.37
|
$42,596.84
|
2026-04-01
|
|
HB_48133240000
|
CDM
|
Hc Insert Aicd Generator Single
|
25
|
25
|
$117,495.19
|
$88,121.39
25% off
|
$10,574.57
|
$117,495.19
|
$47,902.79
|
2026-04-01
|
|
HB_48133262000
|
CDM
|
Hc Remove/replace Aicd Gen Singl Sys
|
25
|
25
|
$117,495.19
|
$88,121.39
25% off
|
$10,574.57
|
$117,495.19
|
$47,902.79
|
2026-04-01
|
|
HB_33377372000
|
CDM
|
Hc Stereotac Radios Cranial Cmplt Sessn
|
25
|
25
|
$117,746.65
|
$88,309.99
25% off
|
$10,597.20
|
$117,746.65
|
$48,005.31
|
2026-04-01
|
|
HB_48133230000
|
CDM
|
Hc Insert Aicd Generator Dual
|
25
|
25
|
$118,241.59
|
$88,681.19
25% off
|
$10,641.74
|
$118,241.59
|
$48,207.10
|
2026-04-01
|
|
HB_48133263000
|
CDM
|
Hc Remove/replace Aicd Gen Dual Sys
|
25
|
25
|
$118,241.59
|
$88,681.19
25% off
|
$10,641.74
|
$118,241.59
|
$48,207.10
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
27
|
27
|
$118,283.15
|
$88,712.36
25% off
|
$29,133.14
|
$118,283.15
|
$40,019.55
|
2026-04-01
|
|
HB_36000000777
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36133270000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36133274000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36037221000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36133999009
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36000000779
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36102680000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36137231000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_36100414000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$119,002.66
|
$89,252.00
25% off
|
$10,710.24
|
$119,002.66
|
$48,517.38
|
2026-04-01
|
|
HB_48192937000
|
CDM
|
Hc Ptca/stent/atherec Byp Grft Init Ves
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48133264000
|
CDM
|
Hc Remove/replace Aicd Gen Multi Sys
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
C9604
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
24
|
24
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
24
|
24
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48033249000
|
CDM
|
Hc Insert Aicd Gen Sngl W Leads
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48192941000
|
CDM
|
Hc Ptca/stent/atherec Ami Init Ves
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48133249000
|
CDM
|
Hc Insert Aicd Gen Sngl W Leads
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48193583000
|
CDM
|
Hc Alcohol Septal Ablation
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48133249001
|
CDM
|
Hc Insert Aicd Gen Dual W Leads
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48133231000
|
CDM
|
Hc Insert Aicd Generator Multi
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48033249001
|
CDM
|
Hc Insert Aicd Gen Dual W Leads
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_48192943000
|
CDM
|
Hc Ptca/stent/atherec Cto Initial Ves
|
25
|
25
|
$119,328.60
|
$89,496.45
25% off
|
$10,739.57
|
$119,328.60
|
$48,650.27
|
2026-04-01
|
|
HB_36033277000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$120,434.63
|
$90,325.97
25% off
|
$10,839.12
|
$120,434.63
|
$49,101.20
|
2026-04-01
|
|
HB_36033276000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$120,434.63
|
$90,325.97
25% off
|
$10,839.12
|
$120,434.63
|
$49,101.20
|
2026-04-01
|
|
HB_36009774000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$121,647.71
|
$91,235.78
25% off
|
$10,948.29
|
$121,647.71
|
$49,595.77
|
2026-04-01
|
|
HB_36036836000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$121,647.71
|
$91,235.78
25% off
|
$10,948.29
|
$121,647.71
|
$49,595.77
|
2026-04-01
|
|
HB_36036837000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$121,647.71
|
$91,235.78
25% off
|
$10,948.29
|
$121,647.71
|
$49,595.77
|
2026-04-01
|
|
C1721
|
HCPCS
|
Cardioverter-defibrillator, Dual Chamber (implantable)
|
168
|
24
|
$123,139.40
|
$92,354.55
25% off
|
$8,338.30
|
$172,395.16
|
$49,654.08
|
2026-04-01
|
|
HB_36108230000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$123,963.26
|
$92,972.45
25% off
|
$11,156.69
|
$123,963.26
|
$50,539.82
|
2026-04-01
|
|
HB_36107950000
|
CDM
|
Operating Room Services - Minor Surgery
|
25
|
25
|
$124,092.26
|
$93,069.20
25% off
|
$11,168.30
|
$124,092.26
|
$50,592.41
|
2026-04-01
|
|
HB_36037224001
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$125,022.67
|
$93,767.00
25% off
|
$11,252.04
|
$125,022.67
|
$50,971.74
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
27
|
27
|
$125,355.97
|
$94,016.98
25% off
|
$12,641.47
|
$125,355.97
|
$18,075.87
|
2026-04-01
|
|
SUP_166068
|
CDM
|
Guide Face-feminization Vsp
|
25
|
25
|
$128,534.43
|
$96,400.82
25% off
|
$11,568.10
|
$128,534.43
|
$52,403.49
|
2026-04-01
|
|
SUP_41503
|
CDM
|
Dev Coag Episense Guided 6130 W-visitrax 3cm Sgl
|
25
|
25
|
$134,866.96
|
$101,150.22
25% off
|
$12,138.03
|
$134,866.96
|
$54,985.26
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
27
|
27
|
$136,644.47
|
$102,483.35
25% off
|
$15,429.43
|
$136,644.47
|
$22,194.82
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
27
|
27
|
$136,753.61
|
$102,565.21
25% off
|
$29,813.90
|
$136,753.61
|
$39,627.97
|
2026-04-01
|
|
HB_48193654000
|
CDM
|
Hc Ep Eval W/ablat V Tach Imag/rec
|
25
|
25
|
$136,917.70
|
$102,688.28
25% off
|
$12,322.59
|
$136,917.70
|
$55,821.35
|
2026-04-01
|
|
C1772
|
HCPCS
|
Infusion Pump, Programmable (implantable)
|
24
|
24
|
$140,144.37
|
$105,108.28
25% off
|
$12,612.99
|
$140,144.37
|
$57,136.86
|
2026-04-01
|
|
SUP_137662
|
CDM
|
St Sup Heart-lung Beqhls-7050 Adv 7.0l 1p-u
|
25
|
25
|
$145,304.49
|
$108,978.37
25% off
|
$13,077.40
|
$145,304.49
|
$59,240.64
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
27
|
27
|
$148,366.27
|
$111,274.70
25% off
|
$15,189.20
|
$148,366.27
|
$23,960.83
|
2026-04-01
|
|
SUP_16402
|
CDM
|
Kt Cann W-20d Dil Circt Pump Hd Bubl Trap
|
25
|
25
|
$152,458.31
|
$114,343.73
25% off
|
$13,721.25
|
$152,458.31
|
$62,157.25
|
2026-04-01
|
|
HB_48193656000
|
CDM
|
Hc Ep Evl Trnsptl Pulm Vein Ablat Imag/rec
|
25
|
25
|
$172,192.07
|
$129,144.05
25% off
|
$15,497.29
|
$172,192.07
|
$70,202.71
|
2026-04-01
|
|
C1882
|
HCPCS
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
312
|
24
|
$180,604.45
|
$135,453.34
25% off
|
$11,610.29
|
$233,378.48
|
$69,526.85
|
2026-04-01
|
|
HB_48193653000
|
CDM
|
Hc Ep Eval W/ablat Svt Arrhythm/imag/rec
|
25
|
25
|
$183,462.99
|
$137,597.24
25% off
|
$16,511.67
|
$183,462.99
|
$74,797.86
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
27
|
27
|
$191,587.12
|
$143,690.34
25% off
|
$47,187.91
|
$191,587.12
|
$97,495.99
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
27
|
27
|
$201,023.15
|
$150,767.36
25% off
|
$25,746.90
|
$201,023.15
|
$44,426.12
|
2026-04-01
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
264
|
24
|
$202,886.82
|
$152,165.12
25% off
|
$96.02
|
$335,027.13
|
$77,208.40
|
2026-04-01
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
288
|
24
|
$223,937.80
|
$167,953.35
25% off
|
$11,062.49
|
$459,075.41
|
$79,942.40
|
2026-04-01
|
|
C2624
|
HCPCS
|
Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In…
|
24
|
24
|
$228,687.46
|
$171,515.60
25% off
|
$20,581.87
|
$228,687.46
|
$93,235.88
|
2026-04-01
|
|
HB_36033278000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$229,804.67
|
$172,353.50
25% off
|
$20,682.42
|
$229,804.67
|
$93,691.36
|
2026-04-01
|
|
HB_36033287000
|
CDM
|
Operating Room Services - General Classification
|
25
|
25
|
$229,804.67
|
$172,353.50
25% off
|
$20,682.42
|
$229,804.67
|
$93,691.36
|
2026-04-01
|
|
C1822
|
HCPCS
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
24
|
24
|
$253,315.34
|
$189,986.51
25% off
|
$22,798.38
|
$253,315.34
|
$103,276.66
|
2026-04-01
|
|
C1826
|
HCPCS
|
Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An…
|
48
|
24
|
$256,540.42
|
$192,405.32
25% off
|
$18,734.78
|
$304,916.61
|
$94,219.24
|
2026-04-01
|
|
J9600
|
HCPCS
|
Injection, Porfimer Sodium, 75 Mg
|
24
|
24
|
$282,709.27
|
$212,031.95
25% off
|
$3,543.33
|
$282,709.27
|
$73,738.60
|
2026-04-01
|
|
C1604
|
HCPCS
|
Graft, Transmural Transvenous Arterial Bypass (implantable), With All Delivery S…
|
24
|
24
|
$293,189.05
|
$219,891.79
25% off
|
$26,387.01
|
$293,189.05
|
$119,533.18
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
27
|
27
|
$293,729.60
|
$220,297.20
25% off
|
$20,415.80
|
$293,729.60
|
$30,484.60
|
2026-04-01
|
|
C1824
|
HCPCS
|
Generator, Cardiac Contractility Modulation (implantable)
|
24
|
24
|
$304,916.61
|
$228,687.46
25% off
|
$27,442.49
|
$304,916.61
|
$124,314.50
|
2026-04-01
|
|
NDC00074106501
|
CDM
|
Skyrizi 180 Mg-1.2ml Sc Soct
|
25
|
25
|
$309,787.09
|
$232,340.32
25% off
|
$27,880.84
|
$309,787.09
|
$126,300.20
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
27
|
27
|
$328,094.39
|
$246,070.80
25% off
|
$15,636.87
|
$328,094.39
|
$23,754.23
|
2026-04-01
|
|
SUP_126495
|
CDM
|
Bundle Repr Mitraclip-g4 Nt-ntw-xt-xtw 3clip W-cath-sgc0701
|
25
|
25
|
$351,826.86
|
$263,870.15
25% off
|
$31,664.42
|
$351,826.86
|
$143,439.81
|
2026-04-01
|
|
SUP_164145
|
CDM
|
Cap Sys Imp Pascal-precision
|
25
|
25
|
$358,863.40
|
$269,147.55
25% off
|
$32,297.71
|
$358,863.40
|
$146,308.61
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
27
|
$534,729.89
|
$401,047.42
25% off
|
$28,340.34
|
$534,729.89
|
$40,556.81
|
2026-04-01
|