|
J1628
|
HCPCS
|
Injection, Guselkumab, 1 Mg
|
44
|
44
|
$142,531.90
|
$71,265.95
50% off
|
$63.65
|
$370,582.94
|
$99,059.67
|
2026-10-06
|
|
J9282
|
HCPCS
|
Mitomycin, Intravesical Instillation, 1 Mg
|
39
|
39
|
$96,975.00
|
$48,487.50
50% off
|
$259.27
|
$252,135.00
|
$82,428.75
|
2026-10-06
|
|
1839177_SUP
|
CDM
|
Hc Medical Supplies
|
60
|
30
|
$112,500.00
|
$56,250.00
50% off
|
$15,000.00
|
$105,750.00
|
$56,250.00
|
2026-10-06
|
|
2182609_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$112,500.00
|
$56,250.00
50% off
|
$15,000.00
|
$105,750.00
|
$56,250.00
|
2026-10-06
|
|
2582575_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$107,500.00
|
$53,750.00
50% off
|
$35,582.50
|
$101,050.00
|
$53,750.00
|
2026-10-06
|
|
2582570_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$107,500.00
|
$53,750.00
50% off
|
$35,582.50
|
$101,050.00
|
$53,750.00
|
2026-10-06
|
|
2582576_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$107,500.00
|
$53,750.00
50% off
|
$35,582.50
|
$101,050.00
|
$53,750.00
|
2026-10-06
|
|
1759813_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$99,071.43
|
$49,535.72
50% off
|
$32,792.64
|
$93,127.14
|
$49,535.72
|
2026-10-06
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
23
|
23
|
$81,059.07
|
$40,529.54
50% off
|
$43,058.37
|
$109,559.70
|
$47,842.65
|
2026-10-06
|
|
2322931_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$90,000.00
|
$45,000.00
50% off
|
$15,000.00
|
$84,600.00
|
$45,000.00
|
2026-10-06
|
|
2313084_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$88,075.00
|
$44,037.50
50% off
|
$29,152.83
|
$82,790.50
|
$44,037.50
|
2026-10-06
|
|
1038088_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,927.50
|
$42,963.75
50% off
|
$20,880.38
|
$80,771.85
|
$42,963.75
|
2026-03-18
|
|
1248339_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,927.50
|
$42,963.75
50% off
|
$28,442.00
|
$80,771.85
|
$42,963.75
|
2026-10-06
|
|
2249165_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$28,135.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
2249163_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$28,135.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
2255101_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$28,135.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
2249164_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$28,135.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
2249162_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$28,135.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
2176931_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$85,000.00
|
$42,500.00
50% off
|
$20,655.00
|
$79,900.00
|
$42,500.00
|
2026-10-06
|
|
1321533_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$84,862.50
|
$42,431.25
50% off
|
$20,621.59
|
$79,770.75
|
$42,431.25
|
2026-03-18
|
|
2576147_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$82,500.00
|
$41,250.00
50% off
|
$15,000.00
|
$77,550.00
|
$41,250.00
|
2026-10-06
|
|
1753426_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1148071_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1759352_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1148073_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
535882_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1753425_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1025850_SUP
|
CDM
|
Hc Sterile Supply
|
60
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1146529_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
922980_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1759355_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
332176_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
332174_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1420416_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1025851_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
332179_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
922976_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$26,893.75
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
577952_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$81,250.00
|
$40,625.00
50% off
|
$15,000.00
|
$76,375.00
|
$40,625.00
|
2026-10-06
|
|
1732517_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$80,060.00
|
$40,030.00
50% off
|
$19,454.58
|
$75,256.40
|
$40,030.00
|
2026-03-18
|
|
2186329_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$76,500.00
|
$38,250.00
50% off
|
$15,000.00
|
$71,910.00
|
$38,250.00
|
2026-10-06
|
|
911822_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
1295366_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
2466604_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
1025783_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$18,225.00
|
$70,500.00
|
$37,500.00
|
2026-03-18
|
|
2423884_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
2423885_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
2423883_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$75,000.00
|
$37,500.00
50% off
|
$24,825.00
|
$70,500.00
|
$37,500.00
|
2026-10-06
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
23
|
23
|
$78,452.08
|
$39,226.04
50% off
|
$30,765.95
|
$78,282.29
|
$34,184.40
|
2026-10-06
|
|
1732516_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$67,237.50
|
$33,618.75
50% off
|
$16,338.71
|
$63,203.25
|
$33,618.75
|
2026-03-18
|
|
1682940_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$65,072.50
|
$32,536.25
50% off
|
$15,812.62
|
$61,168.15
|
$32,536.25
|
2026-03-18
|
|
2311992_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$65,000.00
|
$32,500.00
50% off
|
$15,000.00
|
$61,100.00
|
$32,500.00
|
2026-10-06
|
|
422842_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$65,000.00
|
$32,500.00
50% off
|
$21,515.00
|
$61,100.00
|
$32,500.00
|
2026-10-06
|
|
2322934_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$65,000.00
|
$32,500.00
50% off
|
$15,000.00
|
$61,100.00
|
$32,500.00
|
2026-10-06
|
|
1038175_SUP
|
CDM
|
Hc Gen, Neuro, Hf Rechg Bat
|
60
|
30
|
$65,000.00
|
$32,500.00
50% off
|
$15,795.00
|
$61,100.00
|
$32,500.00
|
2026-10-06
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
23
|
23
|
$95,993.01
|
$47,996.50
50% off
|
$28,634.77
|
$72,859.63
|
$31,816.42
|
2026-10-06
|
|
2450298_SUP
|
CDM
|
Hc Pacemaker Dual Chamber Leadless
|
30
|
30
|
$63,032.50
|
$31,516.25
50% off
|
$15,000.00
|
$75,639.00
|
$31,516.25
|
2026-10-06
|
|
2557083_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$62,475.00
|
$31,237.50
50% off
|
$20,679.23
|
$58,726.50
|
$31,237.50
|
2026-10-06
|
|
1732519_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$58,662.50
|
$29,331.25
50% off
|
$14,254.99
|
$55,142.75
|
$29,331.25
|
2026-03-18
|
|
2490656_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$57,910.00
|
$28,955.00
50% off
|
$19,168.21
|
$54,435.40
|
$28,955.00
|
2026-10-06
|
|
2176677_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$57,910.00
|
$28,955.00
50% off
|
$14,072.13
|
$54,435.40
|
$28,955.00
|
2026-03-18
|
|
2465441_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$57,500.00
|
$28,750.00
50% off
|
$19,032.50
|
$54,050.00
|
$28,750.00
|
2026-10-06
|
|
601410_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$56,508.50
|
$28,254.25
50% off
|
$18,704.31
|
$53,117.99
|
$28,254.25
|
2026-10-06
|
|
1155646_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$55,059.30
|
$27,529.65
50% off
|
$13,379.41
|
$51,755.74
|
$27,529.65
|
2026-03-18
|
|
1682444_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$54,785.00
|
$27,392.50
50% off
|
$13,312.76
|
$51,497.90
|
$27,392.50
|
2026-03-18
|
|
2602933_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$53,125.00
|
$26,562.50
50% off
|
$15,000.00
|
$49,937.50
|
$26,562.50
|
2026-10-06
|
|
670267_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$51,750.00
|
$25,875.00
50% off
|
$12,575.25
|
$48,645.00
|
$25,875.00
|
2026-03-18
|
|
332103_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$51,250.00
|
$25,625.00
50% off
|
$16,963.75
|
$48,175.00
|
$25,625.00
|
2026-10-06
|
|
1226135_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$50,367.50
|
$25,183.75
50% off
|
$12,239.30
|
$47,345.45
|
$25,183.75
|
2026-03-18
|
|
607086_SUP
|
CDM
|
Hc Porcine Implant, Permacol, Per Sq Cm
|
30
|
30
|
$50,000.00
|
$25,000.00
50% off
|
$12,150.00
|
$47,000.00
|
$25,000.00
|
2026-03-18
|
|
331766_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331761_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331757_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331758_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331764_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331759_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
1079473_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331753_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331765_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
331755_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,562.50
|
$24,281.25
50% off
|
$16,074.19
|
$45,648.75
|
$24,281.25
|
2026-10-06
|
|
1761918_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
1761912_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
1761917_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
1761915_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
1761916_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
1869018_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$48,500.00
|
$24,250.00
50% off
|
$16,053.50
|
$45,590.00
|
$24,250.00
|
2026-10-06
|
|
607090_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$47,924.28
|
$23,962.14
50% off
|
$11,645.60
|
$45,048.82
|
$23,962.14
|
2026-03-18
|
|
1305041_SUP
|
CDM
|
Hc Medical Supplies
|
30
|
30
|
$47,900.00
|
$23,950.00
50% off
|
$11,639.70
|
$45,026.00
|
$23,950.00
|
2026-03-18
|
|
331901_SUP
|
CDM
|
Hc Stent Coated W/Deliv System
|
30
|
30
|
$47,635.00
|
$23,817.50
50% off
|
$15,767.19
|
$44,776.90
|
$23,817.50
|
2026-10-06
|
|
1682951_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$47,605.00
|
$23,802.50
50% off
|
$15,757.26
|
$44,748.70
|
$23,802.50
|
2026-10-06
|
|
1682950_SUP
|
CDM
|
Hc Sub
|
60
|
30
|
$47,605.00
|
$23,802.50
50% off
|
$11,568.02
|
$44,748.70
|
$23,802.50
|
2026-10-06
|
|
2176663_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$47,487.50
|
$23,743.75
50% off
|
$11,539.46
|
$44,638.25
|
$23,743.75
|
2026-03-18
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
23
|
23
|
$106,918.99
|
$53,459.50
50% off
|
$21,357.87
|
$54,343.95
|
$23,730.97
|
2026-10-06
|
|
331981_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$47,270.00
|
$23,635.00
50% off
|
$11,486.61
|
$44,433.80
|
$23,635.00
|
2026-03-18
|
|
331985_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$47,270.00
|
$23,635.00
50% off
|
$15,646.37
|
$44,433.80
|
$23,635.00
|
2026-10-06
|
|
1050449_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$47,094.95
|
$23,547.48
50% off
|
$15,588.43
|
$44,269.25
|
$23,547.48
|
2026-10-06
|
|
1539558_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$45,900.00
|
$22,950.00
50% off
|
$15,192.90
|
$43,146.00
|
$22,950.00
|
2026-10-06
|
|
1690525_SUP
|
CDM
|
Hc Sterile Supply
|
60
|
30
|
$45,425.00
|
$22,712.50
50% off
|
$10,931.96
|
$43,110.75
|
$22,931.25
|
2026-10-06
|
|
1301562_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$45,650.00
|
$22,825.00
50% off
|
$11,092.95
|
$42,911.00
|
$22,825.00
|
2026-03-18
|
|
687763_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$45,562.50
|
$22,781.25
50% off
|
$11,071.69
|
$42,828.75
|
$22,781.25
|
2026-03-18
|
|
721825_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$44,845.00
|
$22,422.50
50% off
|
$14,843.70
|
$42,154.30
|
$22,422.50
|
2026-10-06
|
|
1223542_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$44,845.00
|
$22,422.50
50% off
|
$14,843.70
|
$42,154.30
|
$22,422.50
|
2026-10-06
|
|
331943_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$44,845.00
|
$22,422.50
50% off
|
$14,843.70
|
$42,154.30
|
$22,422.50
|
2026-10-06
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
23
|
23
|
$18,726.58
|
$9,363.29
50% off
|
$18,726.58
|
$50,165.59
|
$21,906.37
|
2026-10-06
|
|
706585_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$43,750.00
|
$21,875.00
50% off
|
$14,481.25
|
$41,125.00
|
$21,875.00
|
2026-10-06
|
|
845294_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$43,750.00
|
$21,875.00
50% off
|
$14,481.25
|
$41,125.00
|
$21,875.00
|
2026-10-06
|
|
685659_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$43,250.00
|
$21,625.00
50% off
|
$10,509.75
|
$40,655.00
|
$21,625.00
|
2026-03-18
|
|
1324750_SUP
|
CDM
|
Strattice Tm Per Sq Cm
|
30
|
30
|
$43,055.00
|
$21,527.50
50% off
|
$10,462.37
|
$40,471.70
|
$21,527.50
|
2026-03-18
|
|
2415301_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$42,500.00
|
$21,250.00
50% off
|
$14,067.50
|
$39,950.00
|
$21,250.00
|
2026-10-06
|
|
1221387_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$42,500.00
|
$21,250.00
50% off
|
$10,327.50
|
$39,950.00
|
$21,250.00
|
2026-03-18
|
|
1477415_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$42,500.00
|
$21,250.00
50% off
|
$10,327.50
|
$39,950.00
|
$21,250.00
|
2026-03-18
|
|
1221388_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$42,500.00
|
$21,250.00
50% off
|
$14,067.50
|
$39,950.00
|
$21,250.00
|
2026-10-06
|
|
721970_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$41,266.98
|
$20,633.49
50% off
|
$13,659.37
|
$38,790.96
|
$20,633.49
|
2026-10-06
|
|
331800_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$41,210.00
|
$20,605.00
50% off
|
$13,640.51
|
$38,737.40
|
$20,605.00
|
2026-10-06
|
|
331804_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$41,210.00
|
$20,605.00
50% off
|
$13,640.51
|
$38,737.40
|
$20,605.00
|
2026-10-06
|
|
1674396_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$40,875.00
|
$20,437.50
50% off
|
$9,932.63
|
$38,422.50
|
$20,437.50
|
2026-03-18
|
|
171482_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$40,569.08
|
$20,284.54
50% off
|
$13,428.37
|
$38,134.94
|
$20,284.54
|
2026-10-06
|
|
1293979_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$40,420.95
|
$20,210.48
50% off
|
$13,379.33
|
$37,995.69
|
$20,210.48
|
2026-10-06
|
|
1864607_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$40,000.00
|
$20,000.00
50% off
|
$13,240.00
|
$37,600.00
|
$20,000.00
|
2026-10-06
|
|
1300937_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$40,000.00
|
$20,000.00
50% off
|
$9,720.00
|
$37,600.00
|
$20,000.00
|
2026-10-06
|
|
1786388_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$40,000.00
|
$20,000.00
50% off
|
$13,240.00
|
$37,600.00
|
$20,000.00
|
2026-10-06
|
|
1786389_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$40,000.00
|
$20,000.00
50% off
|
$13,240.00
|
$37,600.00
|
$20,000.00
|
2026-10-06
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
23
|
23
|
$40,640.22
|
$20,320.11
50% off
|
$17,978.89
|
$45,746.30
|
$19,976.55
|
2026-10-06
|
|
331958_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$39,832.50
|
$19,916.25
50% off
|
$9,679.30
|
$37,442.55
|
$19,916.25
|
2026-03-18
|
|
1894805_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
60
|
30
|
$39,797.03
|
$19,898.52
50% off
|
$9,670.68
|
$37,409.21
|
$19,898.52
|
2026-10-06
|
|
1292640_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$39,747.50
|
$19,873.75
50% off
|
$13,156.42
|
$37,362.65
|
$19,873.75
|
2026-10-06
|
|
1163381_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$39,593.53
|
$19,796.77
50% off
|
$9,621.23
|
$37,217.92
|
$19,796.77
|
2026-03-18
|
|
683758_SUP
|
CDM
|
Hc Gen Neurostim Recharge Bat
|
30
|
30
|
$39,500.00
|
$19,750.00
50% off
|
$9,598.50
|
$37,130.00
|
$19,750.00
|
2026-03-18
|
|
1991063_SUP
|
CDM
|
Hc Sub
|
60
|
30
|
$39,407.50
|
$19,703.75
50% off
|
$9,576.02
|
$37,043.05
|
$19,703.75
|
2026-10-06
|
|
2327674_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$39,407.50
|
$19,703.75
50% off
|
$13,043.88
|
$37,043.05
|
$19,703.75
|
2026-10-06
|
|
2228074_SUP
|
CDM
|
Hc Implt Dual Chamb Rr Pacemaker
|
30
|
30
|
$39,375.00
|
$19,687.50
50% off
|
$9,568.13
|
$47,250.00
|
$19,687.50
|
2026-03-18
|
|
331210_SUP
|
CDM
|
Hc Integra Bmwd Per Sq Cm
|
30
|
30
|
$38,379.52
|
$19,189.76
50% off
|
$9,326.22
|
$36,076.75
|
$19,189.76
|
2026-03-18
|
|
2175943_SUP
|
CDM
|
Hc Cochlear Device
|
30
|
30
|
$38,340.00
|
$19,170.00
50% off
|
$9,316.62
|
$36,039.60
|
$19,170.00
|
2026-03-18
|
|
331694_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$38,202.50
|
$19,101.25
50% off
|
$9,283.21
|
$35,910.35
|
$19,101.25
|
2026-03-18
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
23
|
23
|
$66,154.58
|
$33,077.29
50% off
|
$17,123.55
|
$43,569.95
|
$19,026.17
|
2026-10-06
|
|
331799_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$37,920.10
|
$18,960.05
50% off
|
$12,551.55
|
$35,644.89
|
$18,960.05
|
2026-10-06
|
|
2237732_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$37,667.10
|
$18,833.55
50% off
|
$12,467.81
|
$35,407.07
|
$18,833.55
|
2026-10-06
|
|
607081_SUP
|
CDM
|
Hc Xcm Biologic Tiss Matrix 1cm
|
30
|
30
|
$36,805.50
|
$18,402.75
50% off
|
$8,943.74
|
$34,597.17
|
$18,402.75
|
2026-03-18
|
|
1820380_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$36,250.00
|
$18,125.00
50% off
|
$8,808.75
|
$34,075.00
|
$18,125.00
|
2026-03-18
|
|
1301587_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$36,250.00
|
$18,125.00
50% off
|
$8,808.75
|
$34,075.00
|
$18,125.00
|
2026-03-18
|
|
1690444_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$36,247.50
|
$18,123.75
50% off
|
$11,997.92
|
$34,072.65
|
$18,123.75
|
2026-10-06
|
|
682217_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$36,246.65
|
$18,123.33
50% off
|
$11,997.64
|
$34,071.85
|
$18,123.33
|
2026-10-06
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
156
|
44
|
$27,884.91
|
$13,942.45
50% off
|
$100.89
|
$80,990.57
|
$18,077.08
|
2026-10-06
|
|
1333156_SUP
|
CDM
|
Hc Aidc Other Than Sing/Dual
|
30
|
30
|
$35,803.13
|
$17,901.57
50% off
|
$8,700.16
|
$33,654.94
|
$17,901.57
|
2026-03-18
|
|
2602825_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$35,800.00
|
$17,900.00
50% off
|
$11,849.80
|
$33,652.00
|
$17,900.00
|
2026-10-06
|
|
1077263_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$34,798.50
|
$17,399.25
50% off
|
$11,518.30
|
$32,710.59
|
$17,399.25
|
2026-10-06
|
|
331752_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$34,775.00
|
$17,387.50
50% off
|
$11,510.53
|
$32,688.50
|
$17,387.50
|
2026-10-06
|
|
2189265_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$34,413.75
|
$17,206.88
50% off
|
$8,362.54
|
$32,348.93
|
$17,206.88
|
2026-03-18
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
23
|
23
|
$20,778.21
|
$10,389.11
50% off
|
$15,315.69
|
$38,969.95
|
$17,017.44
|
2026-10-06
|
|
589439_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$33,958.93
|
$16,979.47
50% off
|
$8,252.02
|
$31,921.39
|
$16,979.47
|
2026-03-18
|
|
1284298_SUP
|
CDM
|
Hc Aidc Other Than Sing/Dual
|
30
|
30
|
$33,750.00
|
$16,875.00
50% off
|
$8,201.25
|
$31,725.00
|
$16,875.00
|
2026-03-18
|
|
1373988_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$33,745.00
|
$16,872.50
50% off
|
$11,169.60
|
$31,720.30
|
$16,872.50
|
2026-10-06
|
|
1286385_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$33,745.00
|
$16,872.50
50% off
|
$11,169.60
|
$31,720.30
|
$16,872.50
|
2026-10-06
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
44
|
44
|
$24,111.08
|
$12,055.54
50% off
|
$156.83
|
$62,688.81
|
$16,757.21
|
2026-10-06
|
|
780644_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$33,088.75
|
$16,544.38
50% off
|
$10,952.38
|
$31,103.43
|
$16,544.38
|
2026-10-06
|
|
1168777_SUP
|
CDM
|
Hc Aidc Other Than Sing/Dual
|
30
|
30
|
$32,656.25
|
$16,328.13
50% off
|
$7,935.47
|
$30,696.88
|
$16,328.13
|
2026-03-18
|
|
1704073_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$32,500.00
|
$16,250.00
50% off
|
$7,897.50
|
$30,550.00
|
$16,250.00
|
2026-03-18
|
|
1759787_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$32,500.00
|
$16,250.00
50% off
|
$10,757.50
|
$30,550.00
|
$16,250.00
|
2026-10-06
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
23
|
23
|
$15,502.79
|
$7,751.40
50% off
|
$14,568.75
|
$37,069.41
|
$16,187.51
|
2026-10-06
|
|
601329_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$32,225.25
|
$16,112.63
50% off
|
$10,666.56
|
$30,291.74
|
$16,112.63
|
2026-10-06
|
|
1294285_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1680628_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1680631_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1680627_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1680633_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1680634_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
1294286_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$32,217.50
|
$16,108.75
50% off
|
$10,663.99
|
$30,284.45
|
$16,108.75
|
2026-10-06
|
|
668901_SUP
|
CDM
|
Hc Aidc Other Than Sing/Dual
|
30
|
30
|
$31,468.75
|
$15,734.38
50% off
|
$7,646.91
|
$29,580.63
|
$15,734.38
|
2026-03-18
|
|
1293837_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$30,940.00
|
$15,470.00
50% off
|
$10,241.14
|
$29,083.60
|
$15,470.00
|
2026-10-06
|
|
1293836_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$30,940.00
|
$15,470.00
50% off
|
$7,518.42
|
$29,083.60
|
$15,470.00
|
2026-10-06
|
|
331658_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$30,937.50
|
$15,468.75
50% off
|
$7,517.81
|
$29,081.25
|
$15,468.75
|
2026-10-06
|
|
2177463_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
60
|
30
|
$30,867.48
|
$15,433.74
50% off
|
$7,500.80
|
$29,015.43
|
$15,433.74
|
2026-10-06
|
|
2349906_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$30,756.25
|
$15,378.13
50% off
|
$10,180.32
|
$28,910.88
|
$15,378.13
|
2026-10-06
|
|
331613_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$30,729.50
|
$15,364.75
50% off
|
$10,171.46
|
$28,885.73
|
$15,364.75
|
2026-10-06
|
|
1271727_SUP
|
CDM
|
Hc Pacemaker Single Chamber Rr
|
30
|
30
|
$30,625.00
|
$15,312.50
50% off
|
$7,441.88
|
$36,750.00
|
$15,312.50
|
2026-03-18
|
|
1292610_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$30,475.00
|
$15,237.50
50% off
|
$10,087.23
|
$28,646.50
|
$15,237.50
|
2026-10-06
|
|
1152082_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$30,375.00
|
$15,187.50
50% off
|
$10,054.13
|
$28,552.50
|
$15,187.50
|
2026-10-06
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
23
|
23
|
$22,996.92
|
$11,498.46
50% off
|
$13,573.25
|
$34,536.40
|
$15,081.39
|
2026-10-06
|
|
2218630_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
60
|
30
|
$30,074.80
|
$15,037.40
50% off
|
$7,308.18
|
$28,270.31
|
$15,037.40
|
2026-10-06
|
|
2445322_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$29,920.00
|
$14,960.00
50% off
|
$9,903.52
|
$28,124.80
|
$14,960.00
|
2026-10-06
|
|
2445321_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$29,920.00
|
$14,960.00
50% off
|
$9,903.52
|
$28,124.80
|
$14,960.00
|
2026-10-06
|
|
331481_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$28,502.50
|
$14,251.25
50% off
|
$7,196.45
|
$27,838.10
|
$14,807.50
|
2026-10-06
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
23
|
23
|
$62,866.27
|
$31,433.13
50% off
|
$13,274.85
|
$33,777.13
|
$14,749.83
|
2026-10-06
|
|
601315_SUP
|
CDM
|
Hc Aidc Other Than Sing/Dual
|
30
|
30
|
$29,200.00
|
$14,600.00
50% off
|
$7,095.60
|
$27,448.00
|
$14,600.00
|
2026-03-18
|
|
1165170_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$29,107.90
|
$14,553.95
50% off
|
$7,073.22
|
$27,361.43
|
$14,553.95
|
2026-03-18
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
23
|
23
|
$31,044.94
|
$15,522.47
50% off
|
$12,990.15
|
$33,052.73
|
$14,433.50
|
2026-10-06
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
23
|
23
|
$30,493.16
|
$15,246.58
50% off
|
$12,954.02
|
$32,960.80
|
$14,393.36
|
2026-10-06
|
|
1049633_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$28,750.00
|
$14,375.00
50% off
|
$9,516.25
|
$27,025.00
|
$14,375.00
|
2026-10-06
|
|
1049600_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$28,750.00
|
$14,375.00
50% off
|
$9,516.25
|
$27,025.00
|
$14,375.00
|
2026-10-06
|
|
601303_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$28,646.00
|
$14,323.00
50% off
|
$9,481.83
|
$26,927.24
|
$14,323.00
|
2026-10-06
|
|
900780_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$28,625.38
|
$14,312.69
50% off
|
$9,475.00
|
$26,907.86
|
$14,312.69
|
2026-10-06
|
|
331556_SUP
|
CDM
|
Hc Supply Implant
|
60
|
30
|
$27,821.25
|
$13,910.62
50% off
|
$6,599.88
|
$26,773.55
|
$14,241.25
|
2026-10-06
|
|
2369131_SUP
|
CDM
|
Hc Infusion Pump Programable
|
30
|
30
|
$28,000.00
|
$14,000.00
50% off
|
$9,268.00
|
$26,320.00
|
$14,000.00
|
2026-10-06
|
|
558697_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$27,704.38
|
$13,852.19
50% off
|
$9,170.15
|
$26,042.12
|
$13,852.19
|
2026-10-06
|
|
331270_SUP
|
CDM
|
Strattice Tm Per Sq Cm
|
30
|
30
|
$27,555.00
|
$13,777.50
50% off
|
$9,120.71
|
$25,901.70
|
$13,777.50
|
2026-10-06
|
|
2399931_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$27,552.50
|
$13,776.25
50% off
|
$9,119.88
|
$25,899.35
|
$13,776.25
|
2026-10-06
|
|
2463147_SUP
|
CDM
|
Hc Ep Cath Other Than Cool Tip
|
30
|
30
|
$27,500.00
|
$13,750.00
50% off
|
$9,102.50
|
$25,850.00
|
$13,750.00
|
2026-10-06
|
|
331513_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$27,390.00
|
$13,695.00
50% off
|
$9,066.09
|
$25,746.60
|
$13,695.00
|
2026-10-06
|
|
C9399
|
HCPCS
|
Unclassified Drugs Or Biologicals
|
64
|
39
|
$20,836.06
|
$10,418.03
50% off
|
$7,709.39
|
$54,173.76
|
$13,645.34
|
2026-10-06
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
23
|
23
|
$25,852.70
|
$12,926.35
50% off
|
$12,261.28
|
$31,198.15
|
$13,623.64
|
2026-10-06
|
|
562270_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$27,125.00
|
$13,562.50
50% off
|
$8,978.38
|
$25,497.50
|
$13,562.50
|
2026-10-06
|
|
1568396_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$27,125.00
|
$13,562.50
50% off
|
$8,978.38
|
$25,497.50
|
$13,562.50
|
2026-10-06
|
|
1501759_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$27,100.00
|
$13,550.00
50% off
|
$8,970.10
|
$25,474.00
|
$13,550.00
|
2026-10-06
|
|
666165_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$27,025.00
|
$13,512.50
50% off
|
$6,567.08
|
$25,403.50
|
$13,512.50
|
2026-03-18
|
|
331505_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$26,905.00
|
$13,452.50
50% off
|
$8,905.56
|
$25,290.70
|
$13,452.50
|
2026-10-06
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
23
|
23
|
$34,287.49
|
$17,143.75
50% off
|
$12,101.17
|
$30,790.78
|
$13,445.75
|
2026-10-06
|
|
331047_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$26,830.00
|
$13,415.00
50% off
|
$8,880.73
|
$25,220.20
|
$13,415.00
|
2026-10-06
|
|
1075228_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$26,823.80
|
$13,411.90
50% off
|
$6,518.18
|
$25,214.37
|
$13,411.90
|
2026-03-18
|
|
802871_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$26,818.13
|
$13,409.07
50% off
|
$8,876.80
|
$25,209.04
|
$13,409.07
|
2026-10-06
|
|
804089_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$26,818.13
|
$13,409.07
50% off
|
$8,876.80
|
$25,209.04
|
$13,409.07
|
2026-10-06
|
|
422388_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$26,500.00
|
$13,250.00
50% off
|
$8,771.50
|
$24,910.00
|
$13,250.00
|
2026-10-06
|
|
1292625_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$26,487.50
|
$13,243.75
50% off
|
$8,767.36
|
$24,898.25
|
$13,243.75
|
2026-10-06
|
|
1292609_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$26,487.50
|
$13,243.75
50% off
|
$8,767.36
|
$24,898.25
|
$13,243.75
|
2026-10-06
|
|
331587_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$26,437.50
|
$13,218.75
50% off
|
$6,424.31
|
$24,851.25
|
$13,218.75
|
2026-03-18
|
|
2088266_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$26,250.00
|
$13,125.00
50% off
|
$8,688.75
|
$24,675.00
|
$13,125.00
|
2026-10-06
|
|
1241787_SUP
|
CDM
|
Hc Sterile Supply
|
60
|
30
|
$25,948.88
|
$12,974.44
50% off
|
$6,320.77
|
$24,450.70
|
$13,005.69
|
2026-10-06
|
|
1333155_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$26,006.25
|
$13,003.13
50% off
|
$6,319.52
|
$24,445.88
|
$13,003.13
|
2026-03-18
|
|
601292_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$25,987.50
|
$12,993.75
50% off
|
$6,314.96
|
$24,428.25
|
$12,993.75
|
2026-03-18
|
|
639387_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$25,923.13
|
$12,961.57
50% off
|
$8,580.56
|
$24,367.74
|
$12,961.57
|
2026-10-06
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
23
|
23
|
$36,371.14
|
$18,185.57
50% off
|
$11,651.39
|
$29,646.33
|
$12,945.99
|
2026-10-06
|
|
1732063_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$25,875.00
|
$12,937.50
50% off
|
$6,287.63
|
$24,322.50
|
$12,937.50
|
2026-03-18
|
|
1497755_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$25,811.50
|
$12,905.75
50% off
|
$8,543.61
|
$24,262.81
|
$12,905.75
|
2026-10-06
|
|
331555_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$25,811.50
|
$12,905.75
50% off
|
$8,543.61
|
$24,262.81
|
$12,905.75
|
2026-10-06
|
|
1894846_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$25,612.10
|
$12,806.05
50% off
|
$8,477.61
|
$24,075.37
|
$12,806.05
|
2026-10-06
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
23
|
23
|
$15,312.06
|
$7,656.03
50% off
|
$11,406.56
|
$29,023.38
|
$12,673.96
|
2026-10-06
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
23
|
23
|
$27,408.53
|
$13,704.26
50% off
|
$11,387.87
|
$28,975.83
|
$12,653.20
|
2026-10-06
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
78
|
39
|
$25,155.31
|
$12,577.66
50% off
|
$80.41
|
$65,403.81
|
$12,577.66
|
2026-10-06
|
|
2423380_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$25,087.50
|
$12,543.75
50% off
|
$8,303.96
|
$23,582.25
|
$12,543.75
|
2026-10-06
|
|
1680684_SUP
|
CDM
|
Hc Generator Neuro Nonrecharge
|
30
|
30
|
$25,000.00
|
$12,500.00
50% off
|
$6,075.00
|
$23,500.00
|
$12,500.00
|
2026-03-18
|
|
1341428_SUP
|
CDM
|
Hc Infusion Pump Programable
|
30
|
30
|
$25,000.00
|
$12,500.00
50% off
|
$6,075.00
|
$23,500.00
|
$12,500.00
|
2026-03-18
|
|
2466620_SUP
|
CDM
|
Hc Intro Sheath Nonlaser
|
30
|
30
|
$24,997.50
|
$12,498.75
50% off
|
$8,274.17
|
$23,497.65
|
$12,498.75
|
2026-10-06
|
|
2466619_SUP
|
CDM
|
Hc Intro Sheath Nonlaser
|
30
|
30
|
$24,997.50
|
$12,498.75
50% off
|
$8,274.17
|
$23,497.65
|
$12,498.75
|
2026-10-06
|
|
2466611_SUP
|
CDM
|
Hc Intro Sheath Nonlaser
|
30
|
30
|
$24,997.50
|
$12,498.75
50% off
|
$8,274.17
|
$23,497.65
|
$12,498.75
|
2026-10-06
|
|
2466608_SUP
|
CDM
|
Hc Intro Sheath Nonlaser
|
30
|
30
|
$24,997.50
|
$12,498.75
50% off
|
$8,274.17
|
$23,497.65
|
$12,498.75
|
2026-10-06
|
|
1685598_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,987.50
|
$12,493.75
50% off
|
$8,270.86
|
$23,488.25
|
$12,493.75
|
2026-10-06
|
|
1686812_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,987.50
|
$12,493.75
50% off
|
$8,270.86
|
$23,488.25
|
$12,493.75
|
2026-10-06
|
|
1685597_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,987.50
|
$12,493.75
50% off
|
$8,270.86
|
$23,488.25
|
$12,493.75
|
2026-10-06
|
|
1688280_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,987.50
|
$12,493.75
50% off
|
$8,270.86
|
$23,488.25
|
$12,493.75
|
2026-10-06
|
|
1075273_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,922.38
|
$12,461.19
50% off
|
$8,249.31
|
$23,427.04
|
$12,461.19
|
2026-10-06
|
|
2218626_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
60
|
30
|
$24,863.00
|
$12,431.50
50% off
|
$6,041.71
|
$23,371.22
|
$12,431.50
|
2026-10-06
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
23
|
23
|
$40,748.76
|
$20,374.38
50% off
|
$11,175.44
|
$28,435.31
|
$12,417.16
|
2026-10-06
|
|
562277_SUP
|
CDM
|
Hc Graft Vascular
|
60
|
30
|
$24,700.00
|
$12,350.00
50% off
|
$6,002.10
|
$23,218.00
|
$12,350.00
|
2026-10-06
|
|
2249159_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,578.38
|
$12,289.19
50% off
|
$8,135.44
|
$23,103.68
|
$12,289.19
|
2026-10-06
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
23
|
23
|
$44,656.84
|
$22,328.42
50% off
|
$11,045.86
|
$28,105.60
|
$12,273.19
|
2026-10-06
|
|
1704384_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,500.00
|
$12,250.00
50% off
|
$8,109.50
|
$23,030.00
|
$12,250.00
|
2026-10-06
|
|
1704377_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,500.00
|
$12,250.00
50% off
|
$8,109.50
|
$23,030.00
|
$12,250.00
|
2026-10-06
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
23
|
23
|
$30,465.70
|
$15,232.85
50% off
|
$11,001.63
|
$27,993.06
|
$12,224.04
|
2026-10-06
|
|
2406548_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,425.00
|
$12,212.50
50% off
|
$8,084.68
|
$22,959.50
|
$12,212.50
|
2026-10-06
|
|
424403_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$24,371.44
|
$12,185.72
50% off
|
$8,066.95
|
$22,909.15
|
$12,185.72
|
2026-10-06
|
|
1950573_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,325.00
|
$12,162.50
50% off
|
$8,051.58
|
$22,865.50
|
$12,162.50
|
2026-10-06
|
|
1951412_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,325.00
|
$12,162.50
50% off
|
$5,910.98
|
$22,865.50
|
$12,162.50
|
2026-03-18
|
|
823299_SUP
|
CDM
|
Hc Integra Bmwd Per Sq Cm
|
30
|
30
|
$24,237.89
|
$12,118.95
50% off
|
$5,889.81
|
$22,783.62
|
$12,118.95
|
2026-03-18
|
|
2419053_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,200.00
|
$12,100.00
50% off
|
$8,010.20
|
$22,748.00
|
$12,100.00
|
2026-10-06
|
|
2419047_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,200.00
|
$12,100.00
50% off
|
$8,010.20
|
$22,748.00
|
$12,100.00
|
2026-10-06
|
|
534687_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,200.00
|
$12,100.00
50% off
|
$8,010.20
|
$22,748.00
|
$12,100.00
|
2026-10-06
|
|
2419049_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,200.00
|
$12,100.00
50% off
|
$8,010.20
|
$22,748.00
|
$12,100.00
|
2026-10-06
|
|
331336_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331335_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331349_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331337_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331333_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331334_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
331367_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$24,187.50
|
$12,093.75
50% off
|
$8,006.06
|
$22,736.25
|
$12,093.75
|
2026-10-06
|
|
1251989_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$5,862.38
|
$22,677.50
|
$12,062.50
|
2026-03-18
|
|
2378831_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
2378832_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
1278090_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
1951414_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
1278746_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
2378833_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,125.00
|
$12,062.50
50% off
|
$7,985.38
|
$22,677.50
|
$12,062.50
|
2026-10-06
|
|
937593_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$24,080.06
|
$12,040.03
50% off
|
$7,970.50
|
$22,635.26
|
$12,040.03
|
2026-10-06
|
|
424395_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$24,080.06
|
$12,040.03
50% off
|
$7,970.50
|
$22,635.26
|
$12,040.03
|
2026-10-06
|
|
839636_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$24,045.05
|
$12,022.53
50% off
|
$7,958.91
|
$22,602.35
|
$12,022.53
|
2026-10-06
|
|
2421130_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,000.00
|
$12,000.00
50% off
|
$7,944.00
|
$22,560.00
|
$12,000.00
|
2026-10-06
|
|
2421127_SUP
|
CDM
|
Hc Thrombect/Embolect Cath
|
30
|
30
|
$24,000.00
|
$12,000.00
50% off
|
$7,944.00
|
$22,560.00
|
$12,000.00
|
2026-10-06
|
|
1169086_SUP
|
CDM
|
Hc Septal Defect Impl System
|
30
|
30
|
$23,740.00
|
$11,870.00
50% off
|
$5,768.82
|
$22,315.60
|
$11,870.00
|
2026-03-18
|
|
1333162_SUP
|
CDM
|
Hc Sub
|
60
|
30
|
$23,631.25
|
$11,815.63
50% off
|
$5,742.39
|
$22,213.38
|
$11,815.63
|
2026-10-06
|
|
646032_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$23,512.50
|
$11,756.25
50% off
|
$7,782.64
|
$22,101.75
|
$11,756.25
|
2026-10-06
|
|
1076933_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$23,512.50
|
$11,756.25
50% off
|
$5,713.54
|
$22,101.75
|
$11,756.25
|
2026-03-18
|
|
752318_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$23,424.47
|
$11,712.24
50% off
|
$7,753.50
|
$22,019.00
|
$11,712.24
|
2026-10-06
|
|
424407_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$23,424.47
|
$11,712.24
50% off
|
$7,753.50
|
$22,019.00
|
$11,712.24
|
2026-10-06
|
|
752477_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$23,424.47
|
$11,712.24
50% off
|
$7,753.50
|
$22,019.00
|
$11,712.24
|
2026-10-06
|
|
424389_SUP
|
CDM
|
Hc Penile Prosthesis
|
30
|
30
|
$23,424.47
|
$11,712.24
50% off
|
$7,753.50
|
$22,019.00
|
$11,712.24
|
2026-10-06
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
23
|
23
|
$28,582.95
|
$14,291.48
50% off
|
$10,306.40
|
$26,224.08
|
$11,451.56
|
2026-10-06
|
|
886646_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$22,882.50
|
$11,441.25
50% off
|
$7,574.11
|
$21,509.55
|
$11,441.25
|
2026-10-06
|
|
1849537_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$22,730.00
|
$11,365.00
50% off
|
$7,523.63
|
$21,366.20
|
$11,365.00
|
2026-10-06
|
|
639520_SUP
|
CDM
|
Hc Joint Device
|
30
|
30
|
$22,562.50
|
$11,281.25
50% off
|
$7,468.19
|
$21,208.75
|
$11,281.25
|
2026-10-06
|
|
1157244_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$22,545.45
|
$11,272.73
50% off
|
$5,478.54
|
$21,192.72
|
$11,272.73
|
2026-03-18
|
|
1157214_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$22,545.00
|
$11,272.50
50% off
|
$5,478.44
|
$21,192.30
|
$11,272.50
|
2026-03-18
|
|
1775960_SUP
|
CDM
|
Hc Sterile Supply
|
30
|
30
|
$22,500.00
|
$11,250.00
50% off
|
$7,447.50
|
$21,150.00
|
$11,250.00
|
2026-10-06
|
|
1856076_SUP
|
CDM
|
Hc Mesh Implantable
|
30
|
30
|
$22,265.00
|
$11,132.50
50% off
|
$7,369.72
|
$20,929.10
|
$11,132.50
|
2026-10-06
|
|
2218627_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$22,257.10
|
$11,128.55
50% off
|
$7,367.10
|
$20,921.67
|
$11,128.55
|
2026-10-06
|
|
331343_SUP
|
CDM
|
Hc Supply Implant
|
30
|
30
|
$22,256.73
|
$11,128.37
50% off
|
$7,366.98
|
$20,921.33
|
$11,128.37
|
2026-10-06
|
|
1270592_SUP
|
CDM
|
Hc Sub
|
60
|
30
|
$22,250.00
|
$11,125.00
50% off
|
$5,406.75
|
$20,915.00
|
$11,125.00
|
2026-10-06
|
|
1230119_SUP
|
CDM
|
Hc Acid Dual Chamber
|
30
|
30
|
$22,250.00
|
$11,125.00
50% off
|
$5,406.75
|
$20,915.00
|
$11,125.00
|
2026-03-18
|
|
923028_SUP
|
CDM
|
Hc Sub
|
30
|
30
|
$22,250.00
|
$11,125.00
50% off
|
$7,364.75
|
$20,915.00
|
$11,125.00
|
2026-10-06
|
|
1894830_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$22,233.08
|
$11,116.54
50% off
|
$5,402.64
|
$20,899.10
|
$11,116.54
|
2026-03-18
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
23
|
23
|
$39,663.42
|
$19,831.71
50% off
|
$9,993.05
|
$25,426.77
|
$11,103.39
|
2026-10-06
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
23
|
23
|
$30,076.73
|
$15,038.37
50% off
|
$9,969.37
|
$25,366.53
|
$11,077.08
|
2026-10-06
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
23
|
23
|
$15,345.83
|
$7,672.92
50% off
|
$9,963.14
|
$25,350.68
|
$11,070.16
|
2026-10-06
|
|
689632_SUP
|
CDM
|
Hc Anchor/Screw Bn/Bn Tis/Bn
|
30
|
30
|
$22,050.00
|
$11,025.00
50% off
|
$7,298.55
|
$20,727.00
|
$11,025.00
|
2026-10-06
|