|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
43
|
17
|
—
|
—
|
$278,602.29
|
$502,092.32
|
$292,532.40
|
2026-05-23
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
43
|
17
|
—
|
—
|
$181,288.90
|
$369,299.72
|
$190,353.34
|
2026-05-23
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
43
|
17
|
—
|
—
|
$138,448.63
|
$359,216.36
|
$145,371.06
|
2026-05-23
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
15
|
—
|
—
|
$137,644.27
|
$213,348.62
|
$143,150.04
|
2026-05-23
|
|
004
|
OTHER
|
Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.
|
37
|
15
|
—
|
—
|
$90,307.76
|
$143,325.00
|
$93,920.07
|
2026-05-23
|
|
007
|
OTHER
|
Lung Transplant
|
43
|
17
|
—
|
—
|
$84,522.44
|
$167,166.50
|
$88,748.56
|
2026-05-23
|
|
A9543
|
OTHER
|
Y90 Ibritumomab, Rx
|
92
|
34
|
$118,960.00
|
$35,688.00
70% off
|
$56,824.55
|
$118,960.00
|
$87,892.27
|
2026-05-23
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
43
|
17
|
—
|
—
|
$78,537.50
|
$156,189.15
|
$82,464.38
|
2026-05-23
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
43
|
17
|
—
|
—
|
$74,133.05
|
$166,862.59
|
$77,839.70
|
2026-05-23
|
|
209
|
OTHER
|
Complex Aortic Arch Procedures
|
33
|
13
|
—
|
—
|
$74,049.60
|
$114,776.88
|
$76,271.09
|
2026-05-23
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
43
|
17
|
—
|
—
|
$71,194.82
|
$146,783.10
|
$74,754.56
|
2026-05-23
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
13
|
—
|
—
|
$72,139.12
|
$111,815.64
|
$74,303.29
|
2026-05-23
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
43
|
17
|
—
|
—
|
$67,576.75
|
$141,049.80
|
$70,955.59
|
2026-05-23
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
43
|
17
|
—
|
—
|
$65,307.43
|
$139,207.29
|
$68,572.80
|
2026-05-23
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
43
|
17
|
—
|
—
|
$64,189.14
|
$132,263.83
|
$67,398.60
|
2026-05-23
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
33
|
13
|
—
|
—
|
$59,225.55
|
$91,799.60
|
$61,002.32
|
2026-05-23
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
33
|
13
|
—
|
—
|
$56,978.07
|
$88,316.01
|
$58,687.41
|
2026-05-23
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Comorbity
|
43
|
17
|
—
|
—
|
$55,504.14
|
$110,593.95
|
$58,279.35
|
2026-05-23
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
43
|
17
|
—
|
—
|
$55,334.02
|
$114,875.86
|
$58,100.72
|
2026-05-23
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
43
|
17
|
—
|
—
|
$51,902.13
|
$115,189.31
|
$54,497.24
|
2026-05-23
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
43
|
17
|
—
|
—
|
$50,679.20
|
$105,088.23
|
$53,213.16
|
2026-05-23
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
43
|
17
|
—
|
—
|
$50,466.72
|
$106,292.95
|
$52,990.06
|
2026-05-23
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
43
|
17
|
—
|
—
|
$50,304.30
|
$98,564.51
|
$52,819.52
|
2026-05-23
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
43
|
17
|
—
|
—
|
$47,433.47
|
$94,301.67
|
$49,805.14
|
2026-05-23
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
43
|
17
|
—
|
—
|
$47,188.89
|
$108,935.42
|
$49,548.33
|
2026-05-23
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
43
|
17
|
—
|
—
|
$47,161.92
|
$95,883.88
|
$49,520.02
|
2026-05-23
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
13
|
—
|
—
|
$47,728.14
|
$73,978.62
|
$49,159.98
|
2026-05-23
|
|
010
|
OTHER
|
Pancreas Transplant
|
43
|
17
|
—
|
—
|
$43,322.40
|
$73,551.75
|
$48,876.32
|
2026-05-23
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
43
|
17
|
—
|
—
|
$45,540.99
|
$93,415.85
|
$47,818.04
|
2026-05-23
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
38
|
16
|
—
|
—
|
$3,150.00
|
$70,925.85
|
$47,360.16
|
2026-05-23
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
43
|
17
|
—
|
—
|
$44,598.59
|
$82,997.25
|
$46,828.52
|
2026-05-23
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
43
|
17
|
—
|
—
|
$43,598.43
|
$77,634.63
|
$45,778.35
|
2026-05-23
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
43
|
17
|
—
|
—
|
$43,598.43
|
$86,746.31
|
$45,778.35
|
2026-05-23
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
33
|
13
|
—
|
—
|
$44,312.28
|
$68,684.03
|
$45,641.65
|
2026-05-23
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
43
|
17
|
—
|
—
|
$43,445.01
|
$84,740.27
|
$45,617.26
|
2026-05-23
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
33
|
13
|
—
|
—
|
$44,280.83
|
$68,635.29
|
$45,609.25
|
2026-05-23
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
15
|
—
|
—
|
$42,695.84
|
$67,353.00
|
$44,403.67
|
2026-05-23
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
43
|
17
|
—
|
—
|
$40,729.52
|
$85,121.85
|
$42,766.00
|
2026-05-23
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
43
|
17
|
—
|
—
|
$40,683.96
|
$93,659.79
|
$42,718.16
|
2026-05-23
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
43
|
17
|
—
|
—
|
$40,307.11
|
$81,067.52
|
$42,322.47
|
2026-05-23
|
|
028
|
OTHER
|
Spinal Procedures With Mcc
|
43
|
17
|
—
|
—
|
$39,958.55
|
$82,123.69
|
$41,956.48
|
2026-05-23
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
43
|
17
|
—
|
—
|
$39,947.63
|
$84,632.61
|
$41,945.01
|
2026-05-23
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
43
|
17
|
—
|
—
|
$39,668.38
|
$82,794.19
|
$41,651.80
|
2026-05-23
|
|
016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
43
|
17
|
—
|
—
|
$39,453.97
|
$84,180.16
|
$41,426.67
|
2026-05-23
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome; Neonate
|
37
|
15
|
—
|
—
|
$39,542.56
|
$61,290.97
|
$41,124.26
|
2026-05-23
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Cath With Comorbity
|
43
|
17
|
—
|
—
|
$39,061.72
|
$80,140.82
|
$41,014.81
|
2026-05-23
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
43
|
17
|
—
|
—
|
$39,037.34
|
$82,404.43
|
$40,989.21
|
2026-05-23
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
43
|
17
|
—
|
—
|
$38,173.91
|
$77,254.41
|
$40,082.61
|
2026-05-23
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
43
|
17
|
—
|
—
|
$37,976.18
|
$77,184.90
|
$39,874.99
|
2026-05-23
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
33
|
13
|
—
|
—
|
$38,410.14
|
$59,535.72
|
$39,562.44
|
2026-05-23
|
|
008
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
43
|
17
|
—
|
—
|
$37,366.96
|
$71,706.45
|
$39,235.31
|
2026-05-23
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
33
|
13
|
—
|
—
|
$38,023.69
|
$58,936.72
|
$39,164.40
|
2026-05-23
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
43
|
17
|
—
|
—
|
$36,843.12
|
$92,922.52
|
$38,685.28
|
2026-05-23
|
|
428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
13
|
—
|
—
|
$37,478.67
|
$58,091.94
|
$38,603.03
|
2026-05-23
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
43
|
17
|
—
|
—
|
$36,630.65
|
$76,303.17
|
$38,462.18
|
2026-05-23
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
43
|
17
|
—
|
—
|
$36,506.10
|
$75,024.87
|
$38,331.40
|
2026-05-23
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
60
|
30
|
—
|
—
|
$30,209.51
|
$60,786.33
|
$38,234.06
|
2026-05-23
|
|
011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
43
|
17
|
—
|
—
|
$36,400.83
|
$70,270.06
|
$38,220.87
|
2026-05-23
|
|
017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
43
|
17
|
—
|
—
|
$36,260.88
|
$84,180.16
|
$38,073.92
|
2026-05-23
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
43
|
17
|
—
|
—
|
$35,622.13
|
$71,473.41
|
$37,403.24
|
2026-05-23
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
43
|
17
|
—
|
—
|
$35,371.78
|
$83,695.00
|
$37,140.37
|
2026-05-23
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Comorbity
|
43
|
17
|
—
|
—
|
$35,259.43
|
$68,915.43
|
$37,022.40
|
2026-05-23
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
43
|
17
|
—
|
—
|
$34,804.27
|
$70,682.98
|
$36,544.48
|
2026-05-23
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
43
|
17
|
—
|
—
|
$34,746.50
|
$73,776.54
|
$36,483.82
|
2026-05-23
|
|
450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
61
|
23
|
—
|
—
|
$29,032.40
|
$55,182.46
|
$35,601.59
|
2026-05-23
|
|
326
|
OTHER
|
Stomach; Esophageal & Duodenal Proc With Comorbity
|
43
|
17
|
—
|
—
|
$33,404.83
|
$69,216.61
|
$35,075.07
|
2026-05-23
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
43
|
17
|
—
|
—
|
$33,148.05
|
$68,667.40
|
$34,805.45
|
2026-05-23
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
60
|
30
|
—
|
—
|
$28,465.80
|
$63,351.12
|
$34,756.08
|
2026-05-23
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases With O.r. Procedure With Comorbity
|
43
|
17
|
—
|
—
|
$33,091.55
|
$68,130.46
|
$34,746.13
|
2026-05-23
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
43
|
17
|
—
|
—
|
$32,851.44
|
$77,449.29
|
$34,494.01
|
2026-05-23
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
60
|
30
|
—
|
—
|
$29,385.49
|
$65,507.07
|
$33,972.55
|
2026-05-23
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
60
|
30
|
—
|
—
|
$30,037.77
|
$67,036.13
|
$33,357.62
|
2026-05-23
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
60
|
30
|
—
|
—
|
$29,093.66
|
$64,822.94
|
$33,196.28
|
2026-05-23
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
60
|
30
|
—
|
—
|
$29,812.21
|
$66,507.37
|
$32,908.65
|
2026-05-23
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
60
|
30
|
—
|
—
|
$27,587.38
|
$61,291.93
|
$32,515.88
|
2026-05-23
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity
|
60
|
30
|
—
|
—
|
$28,999.48
|
$64,602.17
|
$32,452.42
|
2026-05-23
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
60
|
30
|
—
|
—
|
$26,955.46
|
$59,810.57
|
$32,359.85
|
2026-05-23
|
|
006
|
OTHER
|
Liver Transplant Without Mcc
|
60
|
30
|
—
|
—
|
$29,560.49
|
$65,917.27
|
$32,090.06
|
2026-05-23
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
60
|
30
|
—
|
—
|
$29,243.65
|
$65,174.55
|
$31,967.75
|
2026-05-23
|
|
329
|
OTHER
|
Major Small & Large Bowel Procedures With Comorbity
|
60
|
30
|
—
|
—
|
$27,699.58
|
$61,554.95
|
$31,822.28
|
2026-05-23
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
60
|
30
|
—
|
—
|
$27,612.96
|
$61,351.89
|
$31,744.92
|
2026-05-23
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
60
|
30
|
—
|
—
|
$27,784.46
|
$61,753.92
|
$31,596.81
|
2026-05-23
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
60
|
30
|
—
|
—
|
$27,185.67
|
$60,350.24
|
$31,506.22
|
2026-05-23
|
|
025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
60
|
30
|
—
|
—
|
$27,113.58
|
$60,181.25
|
$31,492.99
|
2026-05-23
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
60
|
30
|
—
|
—
|
$30,244.73
|
$67,521.29
|
$31,375.29
|
2026-05-23
|
|
163
|
OTHER
|
Major Chest Procedures With Comorbity
|
60
|
30
|
—
|
—
|
$28,843.68
|
$64,236.94
|
$31,063.86
|
2026-05-23
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
60
|
30
|
—
|
—
|
$26,799.07
|
$59,443.97
|
$30,938.89
|
2026-05-23
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
60
|
30
|
—
|
—
|
$26,315.38
|
$58,310.12
|
$30,475.38
|
2026-05-23
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
60
|
30
|
—
|
—
|
$26,455.49
|
$58,638.56
|
$29,814.82
|
2026-05-23
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
94
|
34
|
—
|
—
|
$29,791.17
|
$56,700.00
|
$29,791.17
|
2026-05-23
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity
|
94
|
34
|
—
|
—
|
$25,617.19
|
$56,673.40
|
$29,777.87
|
2026-05-23
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
94
|
34
|
—
|
—
|
$25,509.06
|
$56,419.92
|
$29,651.12
|
2026-05-23
|
|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
94
|
34
|
—
|
—
|
$25,373.02
|
$56,101.02
|
$29,491.67
|
2026-05-23
|
|
33270
|
OTHER
|
Ins/rep Subq Defibrillator
|
55
|
20
|
$52,996.00
|
$15,898.80
70% off
|
$1,147.00
|
$53,192.48
|
$29,395.84
|
2026-05-23
|
|
33231
|
OTHER
|
Insrt Pulse Gen W/mult Leads
|
57
|
20
|
$76,907.00
|
$23,072.10
70% off
|
$1,770.00
|
$53,192.48
|
$29,395.84
|
2026-05-23
|
|
33249
|
OTHER
|
Insertion Of Implantable Defibrillator System
|
57
|
20
|
$97,029.00
|
$29,108.70
70% off
|
$1,770.00
|
$53,192.48
|
$29,395.84
|
2026-05-23
|
|
33264
|
OTHER
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
57
|
20
|
$106,751.00
|
$32,025.30
70% off
|
$1,770.00
|
$53,192.48
|
$29,395.84
|
2026-05-23
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
37
|
15
|
—
|
—
|
$28,154.91
|
$43,640.11
|
$29,281.11
|
2026-05-23
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
60
|
30
|
—
|
—
|
$26,600.83
|
$58,979.26
|
$29,178.10
|
2026-05-23
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures With Comorbity
|
94
|
34
|
—
|
—
|
$25,031.19
|
$55,299.70
|
$29,091.01
|
2026-05-23
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
60
|
30
|
—
|
—
|
$27,782.13
|
$61,748.47
|
$29,019.40
|
2026-05-23
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
94
|
34
|
—
|
—
|
$24,955.61
|
$55,122.53
|
$29,002.43
|
2026-05-23
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
94
|
34
|
—
|
—
|
$24,779.46
|
$54,709.61
|
$28,795.97
|
2026-05-23
|
|
012
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
94
|
34
|
—
|
—
|
$24,723.65
|
$54,578.78
|
$28,730.56
|
2026-05-23
|
|
63685
|
OTHER
|
Ins/rplc Spi Npg/rcvr Pocket
|
57
|
20
|
$23,339.00
|
$7,001.70
70% off
|
$1,805.00
|
$52,292.35
|
$28,623.18
|
2026-05-23
|
|
64582
|
OTHER
|
Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…
|
38
|
16
|
$27,481.00
|
$8,244.30
70% off
|
$1,770.00
|
$52,292.35
|
$28,623.18
|
2026-05-23
|
|
448
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
61
|
23
|
—
|
—
|
$23,615.45
|
$44,348.57
|
$28,611.98
|
2026-05-23
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
37
|
15
|
—
|
—
|
$27,444.91
|
$42,539.61
|
$28,542.71
|
2026-05-23
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
94
|
34
|
—
|
—
|
$23,775.50
|
$53,935.54
|
$28,408.94
|
2026-05-23
|
|
61885
|
OTHER
|
Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr…
|
61
|
20
|
$10,853.00
|
$3,255.90
70% off
|
$1,805.00
|
$52,292.35
|
$28,347.96
|
2026-05-23
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
94
|
34
|
—
|
—
|
$24,177.18
|
$53,297.75
|
$28,090.04
|
2026-05-23
|
|
034
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
94
|
34
|
—
|
—
|
$24,121.96
|
$53,168.28
|
$28,025.31
|
2026-05-23
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
94
|
34
|
—
|
—
|
$24,096.38
|
$53,108.32
|
$27,995.33
|
2026-05-23
|
|
736
|
OTHER
|
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity
|
94
|
34
|
—
|
—
|
$24,039.40
|
$52,974.76
|
$27,928.54
|
2026-05-23
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
94
|
34
|
—
|
—
|
$23,987.08
|
$52,852.11
|
$27,867.22
|
2026-05-23
|
|
040
|
OTHER
|
Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity
|
94
|
34
|
—
|
—
|
$23,826.04
|
$52,474.61
|
$27,678.47
|
2026-05-23
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity
|
94
|
34
|
—
|
—
|
$23,681.29
|
$52,135.28
|
$27,508.81
|
2026-05-23
|
|
024
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
94
|
34
|
—
|
—
|
$23,467.35
|
$51,633.77
|
$27,258.05
|
2026-05-23
|
|
402
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
61
|
23
|
—
|
—
|
$22,519.42
|
$42,156.51
|
$27,197.75
|
2026-05-23
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
94
|
34
|
—
|
—
|
$23,737.33
|
$51,487.95
|
$27,185.14
|
2026-05-23
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
94
|
34
|
—
|
—
|
$23,134.24
|
$50,852.88
|
$26,867.60
|
2026-05-23
|
|
33289
|
OTHER
|
Tcat Impl Wrls P-art Prs Snr
|
57
|
20
|
$85,064.00
|
$25,519.20
70% off
|
$1,831.00
|
$48,607.64
|
$26,862.12
|
2026-05-23
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
94
|
34
|
—
|
—
|
$23,080.17
|
$50,726.14
|
$26,804.24
|
2026-05-23
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
94
|
34
|
—
|
—
|
$23,064.48
|
$50,689.35
|
$26,785.84
|
2026-05-23
|
|
673
|
OTHER
|
Other Kidney & Urinary Tract Procedures With Comorbity
|
94
|
34
|
—
|
—
|
$23,420.43
|
$50,396.34
|
$26,639.33
|
2026-05-23
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
94
|
34
|
—
|
—
|
$22,670.90
|
$49,766.73
|
$26,324.53
|
2026-05-23
|
|
097
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
94
|
34
|
—
|
—
|
$22,584.28
|
$49,563.67
|
$26,223.00
|
2026-05-23
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
94
|
34
|
—
|
—
|
$22,530.22
|
$49,436.93
|
$26,159.63
|
2026-05-23
|
|
094
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
94
|
34
|
—
|
—
|
$22,501.73
|
$49,370.16
|
$26,126.24
|
2026-05-23
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
94
|
34
|
—
|
—
|
$26,116.17
|
$49,350.00
|
$26,116.17
|
2026-05-23
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
94
|
34
|
—
|
—
|
$22,464.53
|
$49,282.94
|
$26,082.63
|
2026-05-23
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
94
|
34
|
—
|
—
|
$22,260.47
|
$48,804.59
|
$25,843.46
|
2026-05-23
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Comorbity
|
94
|
34
|
—
|
—
|
$22,224.42
|
$48,720.10
|
$25,801.22
|
2026-05-23
|
|
C2616
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
82
|
30
|
$39,421.00
|
$11,826.30
70% off
|
$17,683.93
|
$33,599.47
|
$25,641.70
|
2026-05-23
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
94
|
34
|
—
|
—
|
$21,986.65
|
$48,162.71
|
$25,522.52
|
2026-05-23
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
94
|
34
|
—
|
—
|
$21,934.92
|
$48,041.43
|
$25,461.88
|
2026-05-23
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
94
|
34
|
—
|
—
|
$21,708.77
|
$47,511.30
|
$25,196.81
|
2026-05-23
|
|
022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
94
|
34
|
—
|
—
|
$21,652.96
|
$47,380.47
|
$25,131.40
|
2026-05-23
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
94
|
34
|
—
|
—
|
$21,568.08
|
$47,181.50
|
$25,031.92
|
2026-05-23
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
94
|
34
|
—
|
—
|
$21,546.58
|
$47,131.08
|
$25,006.71
|
2026-05-23
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Complication
|
94
|
34
|
—
|
—
|
$21,533.78
|
$47,101.09
|
$24,991.71
|
2026-05-23
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
94
|
34
|
—
|
—
|
$21,527.39
|
$47,086.10
|
$24,984.22
|
2026-05-23
|
|
029
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
94
|
34
|
—
|
—
|
$21,371.01
|
$46,719.51
|
$24,800.92
|
2026-05-23
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
94
|
34
|
—
|
—
|
$21,240.78
|
$46,414.24
|
$24,648.28
|
2026-05-23
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
94
|
34
|
—
|
—
|
$22,338.32
|
$46,203.01
|
$24,542.67
|
2026-05-23
|
|
93654
|
OTHER
|
Compre Ep Eval Tx Vt
|
57
|
20
|
$31,731.00
|
$9,519.30
70% off
|
$1,831.00
|
$44,293.98
|
$24,478.25
|
2026-05-23
|
|
93656
|
OTHER
|
Compre Ep Eval Abltj Atr Fib
|
57
|
20
|
$31,731.00
|
$9,519.30
70% off
|
$1,831.00
|
$44,293.98
|
$24,478.25
|
2026-05-23
|
|
93653
|
OTHER
|
Compre Ep Eval Tx Svt
|
57
|
20
|
$31,731.00
|
$9,519.30
70% off
|
$1,831.00
|
$44,293.98
|
$24,478.25
|
2026-05-23
|
|
987
|
OTHER
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity
|
94
|
34
|
—
|
—
|
$21,071.61
|
$46,017.67
|
$24,450.00
|
2026-05-23
|
|
037
|
OTHER
|
Extracranial Procedures With Comorbity
|
94
|
34
|
—
|
—
|
$21,065.22
|
$46,002.68
|
$24,442.51
|
2026-05-23
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
94
|
34
|
—
|
—
|
$21,026.85
|
$45,912.73
|
$24,397.53
|
2026-05-23
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
94
|
34
|
—
|
—
|
$20,938.48
|
$45,705.59
|
$24,293.96
|
2026-05-23
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
94
|
34
|
—
|
—
|
$20,871.04
|
$45,547.50
|
$24,214.92
|
2026-05-23
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
94
|
34
|
—
|
—
|
$20,798.96
|
$45,378.51
|
$24,130.42
|
2026-05-23
|
|
143
|
OTHER
|
Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc
|
94
|
34
|
—
|
—
|
$21,156.72
|
$45,321.28
|
$24,101.81
|
2026-05-23
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
94
|
34
|
—
|
—
|
$20,714.08
|
$45,179.55
|
$24,030.94
|
2026-05-23
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
94
|
34
|
—
|
—
|
$20,590.83
|
$44,890.63
|
$23,886.48
|
2026-05-23
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
94
|
34
|
—
|
—
|
$20,428.06
|
$44,509.05
|
$23,695.69
|
2026-05-23
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
94
|
34
|
—
|
—
|
$20,791.06
|
$44,375.49
|
$23,628.91
|
2026-05-23
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
94
|
34
|
—
|
—
|
$20,293.19
|
$44,192.88
|
$23,537.60
|
2026-05-23
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
94
|
34
|
—
|
—
|
$20,281.56
|
$44,165.62
|
$23,523.97
|
2026-05-23
|
|
359
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
60
|
22
|
—
|
—
|
$19,624.38
|
$36,366.44
|
$23,462.22
|
2026-05-23
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
94
|
34
|
—
|
—
|
$20,134.47
|
$43,820.83
|
$23,351.58
|
2026-05-23
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
94
|
34
|
—
|
—
|
$20,569.17
|
$43,818.11
|
$23,350.22
|
2026-05-23
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Comorbity
|
94
|
34
|
—
|
—
|
$3,756.08
|
$43,620.50
|
$23,251.42
|
2026-05-23
|
|
279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
94
|
34
|
—
|
—
|
$20,459.21
|
$43,617.78
|
$23,250.06
|
2026-05-23
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
94
|
34
|
—
|
—
|
$19,925.77
|
$43,331.59
|
$23,106.96
|
2026-05-23
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
94
|
34
|
—
|
—
|
$19,820.54
|
$43,084.92
|
$22,983.62
|
2026-05-23
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
94
|
34
|
—
|
—
|
$19,775.78
|
$42,979.99
|
$22,931.16
|
2026-05-23
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
94
|
34
|
—
|
—
|
$19,681.60
|
$42,759.21
|
$22,820.77
|
2026-05-23
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
94
|
34
|
—
|
—
|
$19,609.51
|
$42,590.23
|
$22,736.28
|
2026-05-23
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
94
|
34
|
—
|
—
|
$19,399.65
|
$42,098.25
|
$22,490.29
|
2026-05-23
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
94
|
34
|
—
|
—
|
$19,317.67
|
$41,906.10
|
$22,394.22
|
2026-05-23
|
|
451
|
OTHER
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
61
|
23
|
—
|
—
|
$18,588.54
|
$34,294.76
|
$22,125.65
|
2026-05-23
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
94
|
34
|
—
|
—
|
$21,891.06
|
$41,320.10
|
$22,101.22
|
2026-05-23
|
|
652
|
OTHER
|
Kidney Transplant
|
94
|
34
|
—
|
—
|
$18,907.24
|
$40,943.96
|
$21,913.15
|
2026-05-23
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
94
|
34
|
—
|
—
|
$18,889.81
|
$40,903.08
|
$21,892.71
|
2026-05-23
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
94
|
34
|
—
|
—
|
$18,862.48
|
$40,839.03
|
$21,860.68
|
2026-05-23
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
94
|
34
|
—
|
—
|
$18,847.94
|
$40,804.96
|
$21,843.65
|
2026-05-23
|
|
324
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
94
|
34
|
—
|
—
|
$18,699.12
|
$40,456.08
|
$21,669.21
|
2026-05-23
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
94
|
34
|
—
|
—
|
$18,622.38
|
$40,276.19
|
$21,579.26
|
2026-05-23
|
|
026
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
94
|
34
|
—
|
—
|
$18,609.01
|
$40,244.85
|
$21,563.59
|
2026-05-23
|
|
480
|
OTHER
|
Hip & Femur Procedures Except Major Joint With Comorbity
|
94
|
34
|
—
|
—
|
$18,584.60
|
$40,187.61
|
$21,534.97
|
2026-05-23
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
94
|
34
|
—
|
—
|
$18,441.58
|
$39,852.36
|
$21,367.35
|
2026-05-23
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
94
|
34
|
—
|
—
|
$18,429.38
|
$39,823.74
|
$21,353.03
|
2026-05-23
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
94
|
34
|
—
|
—
|
$18,423.56
|
$39,810.11
|
$21,346.22
|
2026-05-23
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
94
|
34
|
—
|
—
|
$18,396.24
|
$39,746.06
|
$21,314.19
|
2026-05-23
|
|
406
|
OTHER
|
Pancreas; Liver & Shunt Procedures With Complication
|
94
|
34
|
—
|
—
|
$18,227.06
|
$39,349.49
|
$21,115.91
|
2026-05-23
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
94
|
34
|
—
|
—
|
$18,951.24
|
$39,255.45
|
$21,068.89
|
2026-05-23
|
|
321
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
94
|
34
|
—
|
—
|
$18,153.24
|
$39,176.41
|
$21,029.37
|
2026-05-23
|
|
462
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
94
|
34
|
—
|
—
|
$17,988.13
|
$38,789.38
|
$20,835.85
|
2026-05-23
|
|
33263
|
OTHER
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
57
|
20
|
$91,503.00
|
$27,450.90
70% off
|
$1,770.00
|
$37,694.61
|
$20,831.23
|
2026-05-23
|
|
33262
|
OTHER
|
Rmvl& Replc Pulse Gen 1 Lead
|
57
|
20
|
$76,250.00
|
$22,875.00
70% off
|
$1,770.00
|
$37,694.61
|
$20,831.23
|
2026-05-23
|
|
33230
|
OTHER
|
Insrt Pulse Gen W/dual Leads
|
57
|
20
|
$93,234.00
|
$27,970.20
70% off
|
$1,770.00
|
$37,694.61
|
$20,831.23
|
2026-05-23
|
|
33240
|
OTHER
|
Insrt Pulse Gen W/singl Lead
|
57
|
20
|
$94,333.00
|
$28,299.90
70% off
|
$1,770.00
|
$37,694.61
|
$20,831.23
|
2026-05-23
|
|
263
|
OTHER
|
Vein Ligation & Stripping
|
94
|
34
|
—
|
—
|
$17,865.47
|
$38,501.83
|
$20,692.08
|
2026-05-23
|
|
668
|
OTHER
|
Transurethral Procedures With Mcc
|
94
|
34
|
—
|
—
|
$17,823.61
|
$38,403.70
|
$20,643.01
|
2026-05-23
|
|
800
|
OTHER
|
Splenic Procedures With Cc
|
94
|
34
|
—
|
—
|
$17,821.87
|
$38,399.62
|
$20,640.97
|
2026-05-23
|
|
240
|
OTHER
|
Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication
|
94
|
34
|
—
|
—
|
$17,772.45
|
$38,283.78
|
$20,583.06
|
2026-05-23
|
|
061
|
OTHER
|
Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
94
|
34
|
—
|
—
|
$17,735.24
|
$38,196.56
|
$20,539.44
|
2026-05-23
|
|
255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
94
|
34
|
—
|
—
|
$17,413.17
|
$37,441.57
|
$20,161.95
|
2026-05-23
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
94
|
34
|
—
|
—
|
$17,372.48
|
$37,346.17
|
$20,114.25
|
2026-05-23
|
|
654
|
OTHER
|
Major Bladder Procedures With Cc
|
94
|
34
|
—
|
—
|
$17,355.62
|
$37,306.65
|
$20,094.49
|
2026-05-23
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
94
|
34
|
—
|
—
|
$17,337.02
|
$37,263.04
|
$20,072.69
|
2026-05-23
|
|
510
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
94
|
34
|
—
|
—
|
$17,544.27
|
$37,076.34
|
$19,979.33
|
2026-05-23
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
94
|
34
|
—
|
—
|
$18,149.24
|
$36,912.80
|
$19,897.56
|
2026-05-23
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
94
|
34
|
—
|
—
|
$17,159.71
|
$36,847.39
|
$19,864.86
|
2026-05-23
|
|
849
|
OTHER
|
Radiotherapy
|
94
|
34
|
—
|
—
|
$17,087.62
|
$36,678.40
|
$19,780.37
|
2026-05-23
|
|
013
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
94
|
34
|
—
|
—
|
$17,054.48
|
$36,600.72
|
$19,741.53
|
2026-05-23
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
94
|
34
|
—
|
—
|
$17,032.39
|
$36,548.93
|
$19,715.63
|
2026-05-23
|
|
468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Complication/comorbity
|
94
|
34
|
—
|
—
|
$16,960.88
|
$36,381.31
|
$19,631.82
|
2026-05-23
|
|
135
|
OTHER
|
Sinus And Mastoid Procedures With Cc/mcc
|
94
|
34
|
—
|
—
|
$15,318.37
|
$36,142.82
|
$19,512.58
|
2026-05-23
|
|
577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
94
|
34
|
—
|
—
|
$16,841.71
|
$36,101.93
|
$19,492.13
|
2026-05-23
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
94
|
34
|
—
|
—
|
$18,489.05
|
$36,036.52
|
$19,459.42
|
2026-05-23
|
|
498
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
94
|
34
|
—
|
—
|
$17,525.85
|
$35,582.71
|
$19,232.52
|
2026-05-23
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
94
|
34
|
—
|
—
|
$16,515.57
|
$35,337.40
|
$19,109.87
|
2026-05-23
|
|
659
|
OTHER
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
94
|
34
|
—
|
—
|
$16,491.74
|
$35,281.53
|
$19,081.93
|
2026-05-23
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
94
|
34
|
—
|
—
|
$16,882.07
|
$35,276.08
|
$19,079.21
|
2026-05-23
|
|
253
|
OTHER
|
Other Vascular Procedures With Complication
|
94
|
34
|
—
|
—
|
$16,271.99
|
$34,766.39
|
$18,824.36
|
2026-05-23
|
|
164
|
OTHER
|
Major Chest Procedures With Cc
|
94
|
34
|
—
|
—
|
$16,267.92
|
$34,756.85
|
$18,819.59
|
2026-05-23
|
|
347
|
OTHER
|
Anal & Stomal Procedures With Comorbity
|
94
|
34
|
—
|
—
|
$16,124.66
|
$34,739.13
|
$18,810.73
|
2026-05-23
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
94
|
34
|
—
|
—
|
$17,164.18
|
$34,511.55
|
$18,696.94
|
2026-05-23
|
|
749
|
OTHER
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
94
|
34
|
—
|
—
|
$16,074.91
|
$34,304.40
|
$18,593.37
|
2026-05-23
|
|
113
|
OTHER
|
Orbital Procedures With Complication/comorbity
|
94
|
34
|
—
|
—
|
$16,017.35
|
$34,169.48
|
$18,525.90
|
2026-05-23
|
|
327
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
94
|
34
|
—
|
—
|
$15,959.80
|
$34,034.57
|
$18,458.45
|
2026-05-23
|
|
545
|
OTHER
|
Connective Tissue Disorders With Comorbity
|
94
|
34
|
—
|
—
|
$15,935.39
|
$33,977.33
|
$18,429.83
|
2026-05-23
|
|
982
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
94
|
34
|
—
|
—
|
$15,893.52
|
$33,879.21
|
$18,380.77
|
2026-05-23
|
|
483
|
OTHER
|
Major Joint/limb Reattachment Procedure Of Upper Extremities
|
94
|
34
|
—
|
—
|
$16,307.44
|
$33,854.68
|
$18,368.51
|
2026-05-23
|
|
846
|
OTHER
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
94
|
34
|
—
|
—
|
$15,649.36
|
$33,306.83
|
$18,094.58
|
2026-05-23
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
94
|
34
|
—
|
—
|
$15,623.20
|
$33,245.51
|
$18,063.92
|
2026-05-23
|
|
027
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
94
|
34
|
—
|
—
|
$15,584.83
|
$33,155.56
|
$18,018.94
|
2026-05-23
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
94
|
34
|
—
|
—
|
$15,696.34
|
$32,767.16
|
$17,824.74
|
2026-05-23
|
|
493
|
OTHER
|
Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication
|
94
|
34
|
—
|
—
|
$15,403.45
|
$32,730.37
|
$17,806.35
|
2026-05-23
|
|
792
|
OTHER
|
Prematurity Without Major Problems
|
37
|
15
|
—
|
—
|
$17,110.71
|
$26,521.60
|
$17,795.14
|
2026-05-23
|
|
350
|
OTHER
|
Inguinal And Femoral Hernia Procedures With Mcc
|
94
|
34
|
—
|
—
|
$15,393.57
|
$32,707.20
|
$17,794.76
|
2026-05-23
|
|
056
|
OTHER
|
Degenerative Nervous System Disorders With Comorbity
|
94
|
34
|
—
|
—
|
$15,358.68
|
$32,625.43
|
$17,753.88
|
2026-05-23
|
|
095
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
94
|
34
|
—
|
—
|
$15,348.74
|
$32,491.88
|
$17,687.10
|
2026-05-23
|
|
478
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
94
|
34
|
—
|
—
|
$15,298.81
|
$32,485.06
|
$17,683.69
|
2026-05-23
|
|
674
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Cc
|
94
|
34
|
—
|
—
|
$15,290.08
|
$32,464.62
|
$17,673.47
|
2026-05-23
|
|
330
|
OTHER
|
Major Small & Large Bowel Procedures With Complication
|
94
|
34
|
—
|
—
|
$15,231.37
|
$32,326.98
|
$17,604.65
|
2026-05-23
|
|
33274
|
OTHER
|
Tcat Insj/rpl Perm Ldls Pm
|
88
|
30
|
$47,132.00
|
$14,139.60
70% off
|
$1,770.00
|
$32,641.41
|
$17,523.28
|
2026-05-23
|
|
33229
|
OTHER
|
Removal And Replacement Of Multiple Lead Permanent Pacemaker
|
88
|
30
|
$31,798.00
|
$9,539.40
70% off
|
$1,770.00
|
$32,641.41
|
$17,523.28
|
2026-05-23
|
|
33221
|
OTHER
|
Insert Pulse Gen Mult Leads
|
88
|
30
|
$48,899.00
|
$14,669.70
70% off
|
$1,831.00
|
$32,641.41
|
$17,523.28
|
2026-05-23
|
|
64590
|
OTHER
|
Ins/rpl Prph Sac/gstr Npg/r
|
90
|
30
|
$34,777.00
|
$10,433.10
70% off
|
$1,805.00
|
$32,876.00
|
$17,501.36
|
2026-05-23
|
|
250
|
OTHER
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
94
|
34
|
—
|
—
|
$15,107.54
|
$32,036.70
|
$17,459.51
|
2026-05-23
|
|
030
|
OTHER
|
Spinal Procedures Without Cc/mcc
|
94
|
34
|
—
|
—
|
$14,922.67
|
$31,603.33
|
$17,242.83
|
2026-05-23
|
|
417
|
OTHER
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
94
|
34
|
—
|
—
|
$14,915.69
|
$31,586.98
|
$17,234.65
|
2026-05-23
|
|
827
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
94
|
34
|
—
|
—
|
$14,912.20
|
$31,578.80
|
$17,230.56
|
2026-05-23
|
|
035
|
OTHER
|
Carotid Artery Stent Procedures With Cc
|
94
|
34
|
—
|
—
|
$14,809.31
|
$31,337.59
|
$17,109.96
|
2026-05-23
|
|
082
|
OTHER
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
94
|
34
|
—
|
—
|
$14,686.06
|
$31,048.67
|
$16,965.50
|
2026-05-23
|
|
243
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Cc
|
94
|
34
|
—
|
—
|
$14,682.00
|
$31,039.13
|
$16,960.73
|
2026-05-23
|
|
318
|
OTHER
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
60
|
22
|
—
|
—
|
$14,567.64
|
$26,252.94
|
$16,937.38
|
2026-05-23
|
|
085
|
OTHER
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
94
|
34
|
—
|
—
|
$14,654.09
|
$30,973.72
|
$16,928.03
|
2026-05-23
|
|
360
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
60
|
22
|
—
|
—
|
$14,528.33
|
$26,174.32
|
$16,886.66
|
2026-05-23
|
|
629
|
OTHER
|
Other Endocrine; Nutrit & Metab O.r. Proc With Complication
|
94
|
34
|
—
|
—
|
$14,595.95
|
$30,837.44
|
$16,859.88
|
2026-05-23
|
|
37184
|
OTHER
|
Prim Art M-thrmbc 1st Vsl
|
66
|
28
|
$11,993.00
|
$3,597.90
70% off
|
$1,024.00
|
$31,065.32
|
$16,840.68
|
2026-05-23
|
|
817
|
OTHER
|
Other Antepartum Diagnoses With O.r. Procedure With Comorbity
|
94
|
34
|
—
|
—
|
$15,887.12
|
$30,731.14
|
$16,806.74
|
2026-05-23
|
|
614
|
OTHER
|
Adrenal And Pituitary Procedures With Cc/mcc
|
94
|
34
|
—
|
—
|
$14,535.49
|
$30,695.71
|
$16,789.02
|
2026-05-23
|
|
397
|
OTHER
|
Appendix Procedures With Mcc
|
94
|
34
|
—
|
—
|
$14,501.77
|
$30,616.66
|
$16,749.49
|
2026-05-23
|
|
C9767
|
OTHER
|
Revasc Lithotrip-stent-ather
|
88
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9773
|
OTHER
|
Revasc Lithotr-stent Tib/per
|
88
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
37242
|
OTHER
|
Vasc Embolize/occlude Artery
|
88
|
30
|
$16,975.00
|
$5,092.50
70% off
|
$1,770.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
93580
|
OTHER
|
Transcath Closure Of Asd
|
88
|
30
|
$47,132.00
|
$14,139.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9774
|
OTHER
|
Revasc Lithotr-ather Tib/per
|
88
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
36906
|
OTHER
|
Thrmbc/nfs Dialysis Circuit
|
88
|
30
|
$46,965.00
|
$14,089.50
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
92933
|
OTHER
|
Prq Trlml C Athrc St Angiop1
|
88
|
30
|
$20,874.00
|
$6,262.20
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9607
|
OTHER
|
Perc D-e Cor Revasc Chro Sin
|
88
|
30
|
$25,397.00
|
$7,619.10
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
93581
|
OTHER
|
Transcath Closure Of Vsd
|
88
|
30
|
$47,132.00
|
$14,139.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9775
|
OTHER
|
Revasc Lith-sten-ath Tib/per
|
88
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9765
|
OTHER
|
Revasc Intra Lithotrip-stent
|
88
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
C9602
|
OTHER
|
Perc D-e Cor Stent Ather S
|
88
|
30
|
$25,397.00
|
$7,619.10
70% off
|
$1,831.00
|
$31,065.32
|
$16,677.17
|
2026-05-23
|
|
835
|
OTHER
|
Acute Leukemia With Cc
|
94
|
34
|
—
|
—
|
$14,437.25
|
$30,465.39
|
$16,673.86
|
2026-05-23
|
|
824
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
94
|
34
|
—
|
—
|
$14,422.13
|
$30,429.96
|
$16,656.15
|
2026-05-23
|
|
821
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
94
|
34
|
—
|
—
|
$14,417.48
|
$30,419.06
|
$16,650.69
|
2026-05-23
|
|
041
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
94
|
34
|
—
|
—
|
$14,409.34
|
$30,399.98
|
$16,641.15
|
2026-05-23
|
|
320
|
OTHER
|
Other Endovascular Cardiac Valve Procedures Without Comorbity
|
94
|
34
|
—
|
—
|
$14,483.56
|
$30,335.93
|
$16,609.13
|
2026-05-23
|
|
61624
|
OTHER
|
Tcat Perm Occls/embolj Cns
|
86
|
30
|
$7,145.00
|
$2,143.50
70% off
|
$1,770.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37294
|
OTHER
|
Rvsc Evsc Tpvt St Athr Cpx 1
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37284
|
OTHER
|
Revsc Evasc Tpvt St Sf 1st
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37286
|
OTHER
|
Revsc Evasc Tpvt St Cplx 1st
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37277
|
OTHER
|
Rvsc Evsc Fpvt St Athr Cpx 1
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37290
|
OTHER
|
Revsc Evsc Tpvt Athrc Cplx 1
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37288
|
OTHER
|
Revsc Evsc Tpvt Athrc Sf 1st
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37271
|
OTHER
|
Revsc Evsc Fpvt Athrc Sf 1st
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37273
|
OTHER
|
Revsc Evsc Fpvt Athrc Cplx 1
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37292
|
OTHER
|
Rvsc Evsc Tpvt St Athrc Sf 1
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
37182
|
OTHER
|
Insert Hepatic Shunt (tips)
|
86
|
30
|
$14,496.00
|
$4,348.80
70% off
|
$1,770.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
92930
|
OTHER
|
Prq Tcat Plmt Ntrac St 2+les
|
86
|
30
|
$49,292.00
|
$14,787.60
70% off
|
$1,831.00
|
$31,065.32
|
$16,562.67
|
2026-05-23
|
|
080
|
OTHER
|
Nontraumatic Stupor And Coma With Mcc
|
94
|
34
|
—
|
—
|
$13,007.32
|
$30,100.16
|
$16,491.24
|
2026-05-23
|
|
715
|
OTHER
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
94
|
34
|
—
|
—
|
$14,274.47
|
$30,083.81
|
$16,483.07
|
2026-05-23
|
|
C9766
|
OTHER
|
Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery (i…
|
204
|
30
|
$47,853.00
|
$14,355.90
70% off
|
$1,831.00
|
$31,065.32
|
$16,448.16
|
2026-05-23
|
|
0238T
|
OTHER
|
Trluml Perip Athrc Iliac Art
|
88
|
30
|
$9,761.00
|
$2,928.30
70% off
|
$1,770.00
|
$31,065.32
|
$16,448.16
|
2026-05-23
|
|
357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
94
|
34
|
—
|
—
|
$14,212.26
|
$29,937.99
|
$16,410.16
|
2026-05-23
|
|
808
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
94
|
34
|
—
|
—
|
$14,173.31
|
$29,846.68
|
$16,364.50
|
2026-05-23
|
|
096
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
94
|
34
|
—
|
—
|
$15,348.74
|
$29,704.95
|
$16,293.64
|
2026-05-23
|
|
595
|
OTHER
|
Major Skin Disorders With Mcc
|
94
|
34
|
—
|
—
|
$14,085.52
|
$29,640.90
|
$16,261.61
|
2026-05-23
|
|
734
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
94
|
34
|
—
|
—
|
$14,077.39
|
$29,621.82
|
$16,252.08
|
2026-05-23
|
|
940
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
94
|
34
|
—
|
—
|
$14,143.25
|
$29,526.42
|
$16,204.38
|
2026-05-23
|
|
286
|
OTHER
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
94
|
34
|
—
|
—
|
$13,972.75
|
$29,376.52
|
$16,129.42
|
2026-05-23
|
|
098
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
94
|
34
|
—
|
—
|
$13,966.35
|
$29,361.53
|
$16,121.93
|
2026-05-23
|