|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
2
|
2
|
$76,194.48
|
$38,097.24
50% off
|
$7,311.90
|
$51,812.25
|
$29,562.07
|
2026-10-19
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
2
|
2
|
$74,603.02
|
$37,301.51
50% off
|
$6,921.01
|
$50,730.05
|
$28,825.53
|
2026-10-19
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
2
|
2
|
$71,314.72
|
$35,657.36
50% off
|
$7,399.78
|
$48,494.01
|
$27,946.90
|
2026-10-19
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
2
|
2
|
$73,130.60
|
$36,565.30
50% off
|
$4,640.23
|
$49,728.81
|
$27,184.52
|
2026-10-19
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
2
|
2
|
$62,822.53
|
$31,411.27
50% off
|
$11,461.68
|
$42,719.32
|
$27,090.50
|
2026-10-19
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
2
|
2
|
$66,746.98
|
$33,373.49
50% off
|
$8,123.78
|
$45,387.95
|
$26,755.86
|
2026-10-19
|
|
32100000079
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$42,000.00
|
$21,000.00
50% off
|
$22,260.00
|
$33,600.00
|
$24,891.30
|
2026-10-19
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
2
|
2
|
$62,147.57
|
$31,073.78
50% off
|
$5,104.87
|
$42,260.35
|
$23,682.61
|
2026-10-19
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
2
|
2
|
$62,116.16
|
$31,058.08
50% off
|
$4,940.77
|
$42,238.99
|
$23,589.88
|
2026-10-19
|
|
32100000064
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$37,380.00
|
$18,690.00
50% off
|
$19,811.40
|
$29,904.00
|
$22,153.25
|
2026-10-19
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
2
|
2
|
$43,282.43
|
$21,641.22
50% off
|
$11,938.61
|
$29,432.05
|
$20,685.33
|
2026-10-19
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
2
|
2
|
$45,484.02
|
$22,742.01
50% off
|
$6,289.20
|
$30,929.14
|
$18,609.17
|
2026-10-19
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
2
|
2
|
$21,875.40
|
$10,937.70
50% off
|
$14,875.27
|
$21,875.40
|
$18,375.33
|
2026-10-19
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
2
|
2
|
$45,406.00
|
$22,703.00
50% off
|
$5,489.61
|
$30,876.08
|
$18,182.85
|
2026-10-19
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
2
|
2
|
$27,594.40
|
$13,797.20
50% off
|
$17,519.17
|
$18,764.19
|
$18,141.68
|
2026-10-19
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
2
|
2
|
$40,453.66
|
$20,226.83
50% off
|
$5,998.50
|
$27,508.49
|
$16,753.50
|
2026-10-19
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
2
|
2
|
$23,901.60
|
$11,950.80
50% off
|
$14,733.19
|
$16,253.09
|
$15,493.14
|
2026-10-19
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
2
|
2
|
$31,267.84
|
$15,633.92
50% off
|
$9,604.35
|
$21,262.13
|
$15,433.24
|
2026-10-19
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
2
|
2
|
$18,540.02
|
$9,270.01
50% off
|
$12,607.21
|
$16,893.51
|
$14,750.36
|
2026-10-19
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
2
|
$17,297.60
|
$8,648.80
50% off
|
$11,762.37
|
$17,297.60
|
$14,529.99
|
2026-10-19
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
2
|
2
|
$29,412.20
|
$14,706.10
50% off
|
$8,078.30
|
$20,000.30
|
$14,039.30
|
2026-10-19
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
2
|
2
|
$25,507.60
|
$12,753.80
50% off
|
$10,343.10
|
$17,345.17
|
$13,844.13
|
2026-10-19
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
2
|
2
|
$17,277.20
|
$8,638.60
50% off
|
$11,748.50
|
$15,851.76
|
$13,800.13
|
2026-10-19
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
2
|
2
|
$21,589.10
|
$10,794.55
50% off
|
$10,856.91
|
$14,680.59
|
$12,768.75
|
2026-10-19
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
2
|
2
|
$22,138.24
|
$11,069.12
50% off
|
$10,246.00
|
$15,054.00
|
$12,650.00
|
2026-10-19
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
2
|
2
|
$17,633.43
|
$8,816.72
50% off
|
$11,990.73
|
$13,144.45
|
$12,567.59
|
2026-10-19
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
2
|
2
|
$27,308.60
|
$13,654.30
50% off
|
$6,266.46
|
$18,569.85
|
$12,418.15
|
2026-10-19
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
2
|
2
|
$17,332.60
|
$8,666.30
50% off
|
$11,786.17
|
$12,754.79
|
$12,270.48
|
2026-10-19
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
2
|
2
|
$22,664.20
|
$11,332.10
50% off
|
$8,442.15
|
$15,411.66
|
$11,926.90
|
2026-10-19
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
2
|
2
|
$27,404.60
|
$13,702.30
50% off
|
$4,975.19
|
$18,635.13
|
$11,805.16
|
2026-10-19
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
3
|
3
|
$17,279.80
|
$8,639.90
50% off
|
$4,521.61
|
$37,241.44
|
$11,750.26
|
2026-10-19
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
2
|
2
|
$20,541.45
|
$10,270.73
50% off
|
$9,102.23
|
$13,968.19
|
$11,535.21
|
2026-10-19
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
2
|
2
|
$24,985.99
|
$12,493.00
50% off
|
$5,352.55
|
$16,990.47
|
$11,171.51
|
2026-10-19
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
2
|
2
|
$19,216.14
|
$9,608.07
50% off
|
$9,208.55
|
$13,066.98
|
$11,137.76
|
2026-10-19
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
2
|
2
|
$15,829.80
|
$7,914.90
50% off
|
$10,383.67
|
$10,764.26
|
$10,573.97
|
2026-10-19
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
3
|
3
|
$15,541.88
|
$7,770.94
50% off
|
$7,890.23
|
$37,475.88
|
$10,568.48
|
2026-10-19
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
2
|
2
|
$19,253.74
|
$9,626.87
50% off
|
$7,592.77
|
$13,092.54
|
$10,342.66
|
2026-10-19
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
2
|
2
|
$16,762.25
|
$8,381.13
50% off
|
$8,735.31
|
$11,398.33
|
$10,066.82
|
2026-10-19
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
2
|
2
|
$22,023.07
|
$11,011.53
50% off
|
$4,953.06
|
$14,975.68
|
$9,964.37
|
2026-10-19
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
2
|
2
|
$23,433.20
|
$11,716.60
50% off
|
$3,819.12
|
$15,934.58
|
$9,876.85
|
2026-10-19
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
2
|
2
|
$19,010.80
|
$9,505.40
50% off
|
$6,299.65
|
$12,927.34
|
$9,613.49
|
2026-10-19
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
3
|
3
|
$14,118.62
|
$7,059.31
50% off
|
$5,508.05
|
$34,058.62
|
$9,600.66
|
2026-10-19
|
|
32100000060
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$16,065.00
|
$8,032.50
50% off
|
$8,514.45
|
$12,852.00
|
$9,520.92
|
2026-10-19
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
2
|
2
|
$21,486.79
|
$10,743.40
50% off
|
$4,117.82
|
$14,611.02
|
$9,364.42
|
2026-10-19
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
2
|
2
|
$18,731.88
|
$9,365.94
50% off
|
$5,920.44
|
$12,737.68
|
$9,329.06
|
2026-10-19
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
2
|
$19,489.99
|
$9,745.00
50% off
|
$4,919.87
|
$13,253.19
|
$9,086.53
|
2026-10-19
|
|
885
|
MS_DRG
|
Psychoses
|
3
|
3
|
$9,367.20
|
$4,683.60
50% off
|
$6,369.69
|
$27,313.20
|
$8,584.73
|
2026-10-19
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
2
|
2
|
$17,806.82
|
$8,903.41
50% off
|
$4,894.06
|
$12,108.64
|
$8,501.35
|
2026-10-19
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
2
|
2
|
$12,838.89
|
$6,419.45
50% off
|
$7,967.06
|
$8,730.45
|
$8,348.76
|
2026-10-19
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
2
|
2
|
$11,436.79
|
$5,718.40
50% off
|
$7,777.02
|
$8,829.96
|
$8,303.49
|
2026-10-19
|
|
32100000067
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$13,729.00
|
$6,864.50
50% off
|
$7,276.37
|
$10,983.20
|
$8,136.49
|
2026-10-19
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
2
|
2
|
$11,783.40
|
$5,891.70
50% off
|
$8,012.71
|
$8,208.60
|
$8,110.66
|
2026-10-19
|
|
32100000077
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$13,650.00
|
$6,825.00
50% off
|
$7,234.50
|
$10,920.00
|
$8,089.68
|
2026-10-19
|
|
31255
|
HCPCS
|
Removal Of Nasal Sinus Using An Endoscope
|
9
|
9
|
$14,910.00
|
$7,455.00
50% off
|
$4,551.06
|
$14,910.00
|
$7,981.32
|
2026-10-19
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
2
|
2
|
$15,534.00
|
$7,767.00
50% off
|
$5,170.02
|
$10,563.12
|
$7,866.57
|
2026-10-19
|
|
32100000049
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$13,230.00
|
$6,615.00
50% off
|
$7,011.90
|
$10,584.00
|
$7,840.76
|
2026-10-19
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
2
|
2
|
$17,218.35
|
$8,609.18
50% off
|
$3,862.76
|
$11,708.48
|
$7,785.62
|
2026-10-19
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
2
|
2
|
$12,610.90
|
$6,305.45
50% off
|
$6,275.07
|
$8,575.41
|
$7,425.24
|
2026-10-19
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
2
|
2
|
$11,810.62
|
$5,905.31
50% off
|
$6,599.57
|
$8,031.22
|
$7,315.40
|
2026-10-19
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
2
|
2
|
$13,200.05
|
$6,600.03
50% off
|
$5,643.26
|
$8,976.03
|
$7,309.65
|
2026-10-19
|
|
27447
|
HCPCS
|
Replacement Of Knee Joint, Both Sides Of Knee
|
17
|
9
|
$13,773.00
|
$6,886.50
50% off
|
$694.84
|
$13,773.00
|
$7,299.69
|
2026-10-19
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
2
|
2
|
$8,621.75
|
$4,310.88
50% off
|
$5,862.79
|
$8,621.75
|
$7,242.27
|
2026-10-19
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
2
|
2
|
$15,345.80
|
$7,672.90
50% off
|
$3,945.73
|
$10,435.14
|
$7,190.43
|
2026-10-19
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
2
|
2
|
$8,544.81
|
$4,272.40
50% off
|
$5,810.47
|
$8,544.81
|
$7,177.64
|
2026-10-19
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
2
|
2
|
$11,776.36
|
$5,888.18
50% off
|
$6,209.30
|
$8,007.92
|
$7,108.61
|
2026-10-19
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
2
|
2
|
$13,701.04
|
$6,850.52
50% off
|
$4,782.82
|
$9,316.71
|
$7,049.76
|
2026-10-19
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
2
|
2
|
$11,590.41
|
$5,795.21
50% off
|
$5,969.00
|
$7,881.48
|
$6,925.24
|
2026-10-19
|
|
32100000046
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$11,655.00
|
$5,827.50
50% off
|
$6,177.15
|
$9,324.00
|
$6,907.34
|
2026-10-19
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
2
|
2
|
$8,442.24
|
$4,221.12
50% off
|
$5,740.72
|
$7,962.76
|
$6,851.74
|
2026-10-19
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
2
|
2
|
$11,397.78
|
$5,698.89
50% off
|
$5,932.73
|
$7,750.49
|
$6,841.61
|
2026-10-19
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$8,029.00
|
$6,744.36
|
2026-10-19
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$8,029.00
|
$6,744.36
|
2026-10-19
|
|
32100000010
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$11,130.00
|
$5,565.00
50% off
|
$5,898.90
|
$8,904.00
|
$6,596.19
|
2026-10-19
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$7,626.57
|
$6,543.15
|
2026-10-19
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
2
|
2
|
$11,058.02
|
$5,529.01
50% off
|
$5,547.38
|
$7,519.45
|
$6,533.41
|
2026-10-19
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
3
|
3
|
$9,607.00
|
$4,803.50
50% off
|
$5,356.85
|
$19,587.82
|
$6,532.76
|
2026-10-19
|
|
32100000136
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,920.00
|
$5,460.00
50% off
|
$5,787.60
|
$8,736.00
|
$6,471.74
|
2026-10-19
|
|
32100000044
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,815.00
|
$5,407.50
50% off
|
$5,731.95
|
$8,652.00
|
$6,409.51
|
2026-10-19
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$7,313.74
|
$6,386.73
|
2026-10-19
|
|
32100000037
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,553.00
|
$5,276.50
50% off
|
$5,593.09
|
$8,442.40
|
$6,254.24
|
2026-10-19
|
|
32100000011
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,500.00
|
$5,250.00
50% off
|
$5,565.00
|
$8,400.00
|
$6,222.82
|
2026-10-19
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
2
|
2
|
$13,083.84
|
$6,541.92
50% off
|
$3,343.42
|
$8,897.01
|
$6,120.22
|
2026-10-19
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
2
|
2
|
$7,411.00
|
$3,705.50
50% off
|
$5,039.48
|
$7,131.20
|
$6,085.34
|
2026-10-19
|
|
32100000052
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,238.00
|
$5,119.00
50% off
|
$5,426.14
|
$8,190.40
|
$6,067.55
|
2026-10-19
|
|
32100000088
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,185.00
|
$5,092.50
50% off
|
$5,398.05
|
$8,148.00
|
$6,036.14
|
2026-10-19
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
2
|
2
|
$8,830.80
|
$4,415.40
50% off
|
$6,004.94
|
$6,027.38
|
$6,016.16
|
2026-10-19
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
2
|
2
|
$7,159.31
|
$3,579.65
50% off
|
$4,868.33
|
$7,159.31
|
$6,013.82
|
2026-10-19
|
|
32100000056
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$10,080.00
|
$5,040.00
50% off
|
$5,342.40
|
$8,064.00
|
$5,973.91
|
2026-10-19
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$6,335.30
|
$5,897.51
|
2026-10-19
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
3
|
3
|
$6,513.34
|
$3,256.67
50% off
|
$4,429.07
|
$14,489.34
|
$5,782.77
|
2026-10-19
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
2
|
2
|
$9,778.80
|
$4,889.40
50% off
|
$4,909.42
|
$6,649.58
|
$5,779.50
|
2026-10-19
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
3
|
3
|
$8,438.40
|
$4,219.20
50% off
|
$5,425.69
|
$20,402.40
|
$5,738.11
|
2026-10-19
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
2
|
2
|
$6,975.00
|
$3,487.50
50% off
|
$4,743.00
|
$6,659.19
|
$5,701.09
|
2026-10-19
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
2
|
2
|
$9,603.00
|
$4,801.50
50% off
|
$4,854.11
|
$6,530.04
|
$5,692.07
|
2026-10-19
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
2
|
2
|
$9,675.70
|
$4,837.85
50% off
|
$4,791.42
|
$6,579.48
|
$5,685.45
|
2026-10-19
|
|
32100000131
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,555.00
|
$4,777.50
50% off
|
$5,064.15
|
$7,644.00
|
$5,662.77
|
2026-10-19
|
|
32100000054
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,450.00
|
$4,725.00
50% off
|
$5,008.50
|
$7,560.00
|
$5,600.55
|
2026-10-19
|
|
32100000089
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,450.00
|
$4,725.00
50% off
|
$5,008.50
|
$7,560.00
|
$5,600.55
|
2026-10-19
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,459.72
|
$5,648.79
|
$5,554.26
|
2026-10-19
|
|
32100000118
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,240.00
|
$4,620.00
50% off
|
$4,897.20
|
$7,392.00
|
$5,476.09
|
2026-10-19
|
|
32100000125
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$9,135.00
|
$4,567.50
50% off
|
$4,841.55
|
$7,308.00
|
$5,413.86
|
2026-10-19
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
2
|
2
|
$7,242.37
|
$3,621.18
50% off
|
$4,924.81
|
$5,901.39
|
$5,413.10
|
2026-10-19
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
2
|
2
|
$10,705.33
|
$5,352.67
50% off
|
$3,478.64
|
$7,279.63
|
$5,379.14
|
2026-10-19
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
2
|
2
|
$7,899.50
|
$3,949.75
50% off
|
$5,217.95
|
$5,371.66
|
$5,294.81
|
2026-10-19
|
|
32100000013
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$8,925.00
|
$4,462.50
50% off
|
$4,730.25
|
$7,140.00
|
$5,289.40
|
2026-10-19
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
2
|
2
|
$10,127.70
|
$5,063.85
50% off
|
$3,689.44
|
$6,886.84
|
$5,288.14
|
2026-10-19
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$5,101.79
|
$5,459.72
|
$5,280.76
|
2026-10-19
|
|
32100000028
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$8,820.00
|
$4,410.00
50% off
|
$4,674.60
|
$7,056.00
|
$5,227.18
|
2026-10-19
|
|
32100000141
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$8,610.00
|
$4,305.00
50% off
|
$4,563.30
|
$6,888.00
|
$5,102.72
|
2026-10-19
|
|
32100000075
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$8,400.00
|
$4,200.00
50% off
|
$4,452.00
|
$6,720.00
|
$4,978.26
|
2026-10-19
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
2
|
2
|
$7,770.00
|
$3,885.00
50% off
|
$4,640.84
|
$5,283.60
|
$4,962.22
|
2026-10-19
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
2
|
2
|
$8,046.80
|
$4,023.40
50% off
|
$4,444.17
|
$5,471.82
|
$4,957.99
|
2026-10-19
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
2
|
2
|
$7,278.20
|
$3,639.10
50% off
|
$4,947.53
|
$4,949.18
|
$4,948.35
|
2026-10-19
|
|
32100000116
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$8,106.00
|
$4,053.00
50% off
|
$4,296.18
|
$6,484.80
|
$4,804.02
|
2026-10-19
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$4,137.49
|
$5,459.72
|
$4,798.60
|
2026-10-19
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
2
|
2
|
$5,638.63
|
$2,819.31
50% off
|
$3,834.27
|
$5,638.63
|
$4,736.45
|
2026-10-19
|
|
32100000063
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,980.00
|
$3,990.00
50% off
|
$4,229.40
|
$6,384.00
|
$4,729.34
|
2026-10-19
|
|
32100000005
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,875.00
|
$3,937.50
50% off
|
$4,173.75
|
$6,300.00
|
$4,667.12
|
2026-10-19
|
|
32100000134
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,875.00
|
$3,937.50
50% off
|
$4,173.75
|
$6,300.00
|
$4,667.12
|
2026-10-19
|
|
32100000042
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,875.00
|
$3,937.50
50% off
|
$4,173.75
|
$6,300.00
|
$4,667.12
|
2026-10-19
|
|
32100000085
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,875.00
|
$3,937.50
50% off
|
$4,173.75
|
$6,300.00
|
$4,667.12
|
2026-10-19
|
|
724
|
MS_DRG
|
Malignancy, Male Reproductive System Without Cc/mcc
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$3,759.51
|
$5,459.72
|
$4,609.61
|
2026-10-19
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
2
|
2
|
$5,457.01
|
$2,728.50
50% off
|
$3,710.76
|
$5,382.67
|
$4,546.72
|
2026-10-19
|
|
32100000081
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,665.00
|
$3,832.50
50% off
|
$4,062.45
|
$6,132.00
|
$4,542.66
|
2026-10-19
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
2
|
2
|
$5,568.50
|
$2,784.25
50% off
|
$3,786.58
|
$5,181.08
|
$4,483.83
|
2026-10-19
|
|
32100000014
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,560.00
|
$3,780.00
50% off
|
$4,006.80
|
$6,048.00
|
$4,480.43
|
2026-10-19
|
|
32100000008
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,560.00
|
$3,780.00
50% off
|
$4,006.80
|
$6,048.00
|
$4,480.43
|
2026-10-19
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
$5,315.00
|
$2,657.50
50% off
|
$3,614.20
|
$5,315.00
|
$4,464.60
|
2026-10-19
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
14
|
8
|
$8,400.00
|
$4,200.00
50% off
|
$1,168.26
|
$8,400.00
|
$4,452.00
|
2026-10-19
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
2
|
2
|
$8,029.00
|
$4,014.50
50% off
|
$3,417.18
|
$5,459.72
|
$4,438.45
|
2026-10-19
|
|
32100000083
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,455.00
|
$3,727.50
50% off
|
$3,951.15
|
$5,964.00
|
$4,418.20
|
2026-10-19
|
|
32100000138
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,350.00
|
$3,675.00
50% off
|
$3,895.50
|
$5,880.00
|
$4,355.98
|
2026-10-19
|
|
32100000092
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,350.00
|
$3,675.00
50% off
|
$3,895.50
|
$5,880.00
|
$4,355.98
|
2026-10-19
|
|
32100000055
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,350.00
|
$3,675.00
50% off
|
$3,895.50
|
$5,880.00
|
$4,355.98
|
2026-10-19
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
2
|
2
|
$5,718.60
|
$2,859.30
50% off
|
$3,888.65
|
$4,721.97
|
$4,305.31
|
2026-10-19
|
|
32100000026
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,140.00
|
$3,570.00
50% off
|
$3,784.20
|
$5,712.00
|
$4,231.52
|
2026-10-19
|
|
32100000030
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$7,088.00
|
$3,544.00
50% off
|
$3,756.64
|
$5,670.40
|
$4,200.70
|
2026-10-19
|
|
32100000124
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,594.00
|
$3,297.00
50% off
|
$3,494.82
|
$5,275.20
|
$3,907.94
|
2026-10-19
|
|
32100000097
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,510.00
|
$3,255.00
50% off
|
$3,450.30
|
$5,208.00
|
$3,858.15
|
2026-10-19
|
|
32100000087
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,405.00
|
$3,202.50
50% off
|
$3,394.65
|
$5,124.00
|
$3,795.93
|
2026-10-19
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
2
|
2
|
$4,489.33
|
$2,244.67
50% off
|
$3,052.75
|
$4,489.33
|
$3,771.04
|
2026-10-19
|
|
32100000130
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,311.00
|
$3,155.50
50% off
|
$3,344.83
|
$5,048.80
|
$3,740.22
|
2026-10-19
|
|
32100000074
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
32100000003
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
32100000038
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
32100000033
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
32100000070
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
32100000047
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,300.00
|
$3,150.00
50% off
|
$3,339.00
|
$5,040.00
|
$3,733.69
|
2026-10-19
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
2
|
2
|
$4,685.44
|
$2,342.72
50% off
|
$3,186.10
|
$4,206.32
|
$3,696.21
|
2026-10-19
|
|
32100000117
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,195.00
|
$3,097.50
50% off
|
$3,283.35
|
$4,956.00
|
$3,671.47
|
2026-10-19
|
|
32100000129
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$6,195.00
|
$3,097.50
50% off
|
$3,283.35
|
$4,956.00
|
$3,671.47
|
2026-10-19
|
|
44205
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
14
|
8
|
$8,400.00
|
$4,200.00
50% off
|
$955.00
|
$8,400.00
|
$3,622.72
|
2026-10-19
|
|
32100000022
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,775.00
|
$2,887.50
50% off
|
$3,060.75
|
$4,620.00
|
$3,422.56
|
2026-10-19
|
|
21030
|
HCPCS
|
Removal Of Growth Or Cyst Of Jaw Or Upper Cheek
|
9
|
9
|
$6,350.00
|
$3,175.00
50% off
|
$3,183.00
|
$6,350.00
|
$3,399.16
|
2026-10-19
|
|
41823
|
HCPCS
|
Removal Of Dental Bone
|
9
|
9
|
$6,350.00
|
$3,175.00
50% off
|
$426.00
|
$6,350.00
|
$3,399.16
|
2026-10-19
|
|
31030
|
HCPCS
|
Creation Of Window Into Nasal Sinus
|
16
|
9
|
$6,350.00
|
$3,175.00
50% off
|
$436.71
|
$6,350.00
|
$3,365.50
|
2026-10-19
|
|
32100000122
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,565.00
|
$2,782.50
50% off
|
$2,949.45
|
$4,452.00
|
$3,298.10
|
2026-10-19
|
|
32100000123
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,460.00
|
$2,730.00
50% off
|
$2,893.80
|
$4,368.00
|
$3,235.87
|
2026-10-19
|
|
27880
|
HCPCS
|
Amputation Of Both Lower Leg Bones
|
15
|
8
|
$9,450.00
|
$4,725.00
50% off
|
$674.89
|
$9,450.00
|
$3,183.00
|
2026-10-19
|
|
32100000069
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,250.00
|
$2,625.00
50% off
|
$2,782.50
|
$4,200.00
|
$3,111.41
|
2026-10-19
|
|
32100000094
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,250.00
|
$2,625.00
50% off
|
$2,782.50
|
$4,200.00
|
$3,111.41
|
2026-10-19
|
|
32100000009
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,250.00
|
$2,625.00
50% off
|
$2,782.50
|
$4,200.00
|
$3,111.41
|
2026-10-19
|
|
32100000120
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,145.00
|
$2,572.50
50% off
|
$2,726.85
|
$4,116.00
|
$3,049.18
|
2026-10-19
|
|
D7350
|
HCPCS
|
Vestibuloplasty Exten Graft
|
12
|
9
|
$5,649.00
|
$2,824.50
50% off
|
$190.70
|
$5,649.00
|
$3,008.94
|
2026-10-19
|
|
32100000071
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,040.00
|
$2,520.00
50% off
|
$2,671.20
|
$4,032.00
|
$2,986.95
|
2026-10-19
|
|
32100000084
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,040.00
|
$2,520.00
50% off
|
$2,671.20
|
$4,032.00
|
$2,986.95
|
2026-10-19
|
|
32100000048
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,040.00
|
$2,520.00
50% off
|
$2,671.20
|
$4,032.00
|
$2,986.95
|
2026-10-19
|
|
32100000057
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$5,040.00
|
$2,520.00
50% off
|
$2,671.20
|
$4,032.00
|
$2,986.95
|
2026-10-19
|
|
47531
|
HCPCS
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
16
|
9
|
$6,367.00
|
$3,183.50
50% off
|
$59.12
|
$6,367.00
|
$2,931.33
|
2026-10-19
|
|
32100000035
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,935.00
|
$2,467.50
50% off
|
$2,615.55
|
$3,948.00
|
$2,924.73
|
2026-10-19
|
|
49187
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, 5.1 To 10.0 Cm
|
15
|
9
|
$5,460.00
|
$2,730.00
50% off
|
$955.00
|
$5,460.00
|
$2,893.80
|
2026-10-19
|
|
32100000024
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,830.00
|
$2,415.00
50% off
|
$2,559.90
|
$3,864.00
|
$2,862.50
|
2026-10-19
|
|
D7730
|
HCPCS
|
Open Reduct Compd Mandble Fx
|
19
|
9
|
$4,519.00
|
$2,259.50
50% off
|
$481.12
|
$5,340.00
|
$2,858.50
|
2026-10-19
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
14
|
8
|
$5,460.00
|
$2,730.00
50% off
|
$955.00
|
$5,460.00
|
$2,843.62
|
2026-10-19
|
|
42140
|
HCPCS
|
Removal Of Soft Tissue Of Roof Of Mouth
|
16
|
9
|
$6,665.00
|
$3,332.50
50% off
|
$139.00
|
$6,665.00
|
$2,835.61
|
2026-10-19
|
|
32100000068
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,725.00
|
$2,362.50
50% off
|
$2,504.25
|
$3,780.00
|
$2,800.27
|
2026-10-19
|
|
D7630
|
HCPCS
|
Open Red Simpl Mandible Fx
|
19
|
9
|
$4,081.00
|
$2,040.50
50% off
|
$640.04
|
$5,649.00
|
$2,775.08
|
2026-10-19
|
|
32100000126
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,662.00
|
$2,331.00
50% off
|
$2,470.86
|
$3,729.60
|
$2,762.94
|
2026-10-19
|
|
46200
|
HCPCS
|
Removal Of Chronic Tear Of Anus
|
9
|
9
|
$5,040.00
|
$2,520.00
50% off
|
$1,909.75
|
$5,040.00
|
$2,697.91
|
2026-10-19
|
|
30580
|
HCPCS
|
Repair Of Abnormal Drainage Tract Between Nasal Sinuses
|
17
|
9
|
$6,350.00
|
$3,175.00
50% off
|
$393.03
|
$6,350.00
|
$2,672.00
|
2026-10-19
|
|
27590
|
HCPCS
|
Amputation Of Thigh Through Thigh Bone
|
15
|
8
|
$5,513.00
|
$2,756.50
50% off
|
$675.21
|
$5,513.00
|
$2,672.00
|
2026-10-19
|
|
45999
|
HCPCS
|
Other Procedure On Rectum
|
9
|
9
|
$5,040.00
|
$2,520.00
50% off
|
$620.32
|
$5,040.00
|
$2,671.20
|
2026-10-19
|
|
32100000065
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,410.00
|
$2,205.00
50% off
|
$2,337.30
|
$3,528.00
|
$2,613.59
|
2026-10-19
|
|
32100000099
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,410.00
|
$2,205.00
50% off
|
$2,337.30
|
$3,528.00
|
$2,613.59
|
2026-10-19
|
|
32100000061
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,410.00
|
$2,205.00
50% off
|
$2,337.30
|
$3,528.00
|
$2,613.59
|
2026-10-19
|
|
32100000029
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,305.00
|
$2,152.50
50% off
|
$2,281.65
|
$3,444.00
|
$2,551.36
|
2026-10-19
|
|
32100000137
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,305.00
|
$2,152.50
50% off
|
$2,281.65
|
$3,444.00
|
$2,551.36
|
2026-10-19
|
|
32100000053
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,200.00
|
$2,100.00
50% off
|
$2,226.00
|
$3,360.00
|
$2,489.13
|
2026-10-19
|
|
32100000036
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,200.00
|
$2,100.00
50% off
|
$2,226.00
|
$3,360.00
|
$2,489.13
|
2026-10-19
|
|
32100000140
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,200.00
|
$2,100.00
50% off
|
$2,226.00
|
$3,360.00
|
$2,489.13
|
2026-10-19
|
|
32100000090
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$4,200.00
|
$2,100.00
50% off
|
$2,226.00
|
$3,360.00
|
$2,489.13
|
2026-10-19
|
|
30700000004
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
2
|
2
|
$3,286.00
|
$1,643.00
50% off
|
$2,234.48
|
$2,532.85
|
$2,383.66
|
2026-10-19
|
|
32600000247
|
CDM
|
Mesh, Ventralight St 6x8
|
8
|
8
|
$3,903.00
|
$1,951.50
50% off
|
$2,068.59
|
$3,122.40
|
$2,313.11
|
2026-10-19
|
|
32500000083
|
CDM
|
Ligasure Impact Instrument
|
8
|
8
|
$3,890.00
|
$1,945.00
50% off
|
$2,061.70
|
$3,112.00
|
$2,305.41
|
2026-10-19
|
|
32100000080
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,885.00
|
$1,942.50
50% off
|
$2,059.05
|
$3,108.00
|
$2,302.44
|
2026-10-19
|
|
32100000082
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,885.00
|
$1,942.50
50% off
|
$2,059.05
|
$3,108.00
|
$2,302.44
|
2026-10-19
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
17
|
9
|
$8,820.00
|
$4,410.00
50% off
|
$586.44
|
$8,820.00
|
$2,288.26
|
2026-10-19
|
|
32100000133
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,859.00
|
$1,929.50
50% off
|
$2,045.27
|
$3,087.20
|
$2,287.03
|
2026-10-19
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
9
|
9
|
$4,211.00
|
$2,105.50
50% off
|
$1,642.39
|
$4,211.00
|
$2,254.15
|
2026-10-19
|
|
32100000034
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,780.00
|
$1,890.00
50% off
|
$2,003.40
|
$3,024.00
|
$2,240.22
|
2026-10-19
|
|
32100000043
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,780.00
|
$1,890.00
50% off
|
$2,003.40
|
$3,024.00
|
$2,240.22
|
2026-10-19
|
|
32100000139
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,780.00
|
$1,890.00
50% off
|
$2,003.40
|
$3,024.00
|
$2,240.22
|
2026-10-19
|
|
30700000006
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
2
|
2
|
$3,081.00
|
$1,540.50
50% off
|
$2,095.08
|
$2,374.83
|
$2,234.95
|
2026-10-19
|
|
32600000246
|
CDM
|
Mesh, 15x20cm Oval
|
8
|
8
|
$3,707.00
|
$1,853.50
50% off
|
$1,964.71
|
$2,965.60
|
$2,196.95
|
2026-10-19
|
|
35251
|
HCPCS
|
Repair Of Blood Vessel Of Abdomen With Vein Graft
|
15
|
8
|
$5,250.00
|
$2,625.00
50% off
|
$955.00
|
$5,250.00
|
$2,182.00
|
2026-10-19
|
|
32100000059
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,675.00
|
$1,837.50
50% off
|
$1,947.75
|
$2,940.00
|
$2,177.99
|
2026-10-19
|
|
32100000004
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,675.00
|
$1,837.50
50% off
|
$1,947.75
|
$2,940.00
|
$2,177.99
|
2026-10-19
|
|
32100000072
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,675.00
|
$1,837.50
50% off
|
$1,947.75
|
$2,940.00
|
$2,177.99
|
2026-10-19
|
|
24105
|
HCPCS
|
Removal Of Fluid-filled Sac Of Elbow
|
17
|
9
|
$4,103.00
|
$2,051.50
50% off
|
$325.58
|
$4,103.00
|
$2,174.59
|
2026-10-19
|
|
32600000162
|
CDM
|
Direct Drive Grasper
|
8
|
8
|
$3,656.00
|
$1,828.00
50% off
|
$1,937.68
|
$2,924.80
|
$2,166.73
|
2026-10-19
|
|
19303
|
HCPCS
|
Simple Complete Removal Of Breast
|
17
|
9
|
$7,245.00
|
$3,622.50
50% off
|
$426.00
|
$7,245.00
|
$2,145.92
|
2026-10-19
|
|
41872
|
HCPCS
|
Reshaping Of Gum
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
21032
|
HCPCS
|
Removal Of Bony Growth Of Upper Jaw Bone Inside Mouth
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
21031
|
HCPCS
|
Removal Of Bony Growth Of Jaw Bone Inside Mouth
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
41825
|
HCPCS
|
Removal Of Dental Bone Growth
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
41820
|
HCPCS
|
Removal Of Overgrown Gum Tissue
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
41116
|
HCPCS
|
Removal Of Growth Of Floor Of Mouth
|
9
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$1,885.21
|
$3,557.00
|
$2,138.76
|
2026-10-19
|
|
32100000132
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,596.00
|
$1,798.00
50% off
|
$1,905.88
|
$2,876.80
|
$2,131.17
|
2026-10-19
|
|
31256
|
HCPCS
|
Incision Of Nasal Sinus Using An Endoscope
|
16
|
9
|
$4,000.00
|
$2,000.00
50% off
|
$145.18
|
$4,000.00
|
$2,120.00
|
2026-10-19
|
|
32100000121
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,465.00
|
$1,732.50
50% off
|
$1,836.45
|
$2,772.00
|
$2,053.53
|
2026-10-19
|
|
55040
|
HCPCS
|
Removal Of Fluid Collection In Testicle And Sperm Reservoir
|
17
|
9
|
$3,841.00
|
$1,920.50
50% off
|
$295.88
|
$3,841.00
|
$2,035.73
|
2026-10-19
|
|
44145
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum
|
16
|
9
|
$4,047.50
|
$2,023.75
50% off
|
$955.00
|
$5,250.00
|
$2,033.30
|
2026-10-19
|
|
32600000226
|
CDM
|
Ligasure Curved Small Jaw
|
8
|
8
|
$3,421.00
|
$1,710.50
50% off
|
$1,813.13
|
$2,736.80
|
$2,027.45
|
2026-10-19
|
|
32100000058
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,360.00
|
$1,680.00
50% off
|
$1,780.80
|
$2,688.00
|
$1,991.30
|
2026-10-19
|
|
32100000119
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,360.00
|
$1,680.00
50% off
|
$1,780.80
|
$2,688.00
|
$1,991.30
|
2026-10-19
|
|
32100000128
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,334.00
|
$1,667.00
50% off
|
$1,767.02
|
$2,667.20
|
$1,975.89
|
2026-10-19
|
|
32100000127
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,334.00
|
$1,667.00
50% off
|
$1,767.02
|
$2,667.20
|
$1,975.89
|
2026-10-19
|
|
21930
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm
|
9
|
9
|
$3,675.00
|
$1,837.50
50% off
|
$1,099.71
|
$3,675.00
|
$1,967.23
|
2026-10-19
|
|
C1788
|
HCPCS
|
Port, Indwelling (implantable)
|
8
|
8
|
$3,286.00
|
$1,643.00
50% off
|
$1,741.58
|
$3,286.00
|
$1,947.45
|
2026-10-19
|
|
32600000282
|
CDM
|
Port, Implantable M.r.i.
|
8
|
8
|
$3,265.00
|
$1,632.50
50% off
|
$1,730.45
|
$2,612.00
|
$1,935.00
|
2026-10-19
|
|
27540
|
HCPCS
|
Treatment Of Broken Shin Bone At Knee
|
15
|
8
|
$7,784.00
|
$3,892.00
50% off
|
$656.15
|
$7,784.00
|
$1,920.32
|
2026-10-19
|
|
D7740
|
HCPCS
|
Clsd Reduct Compd Mandble Fx
|
19
|
9
|
$2,876.00
|
$1,438.00
50% off
|
$454.15
|
$3,595.00
|
$1,905.35
|
2026-10-19
|
|
21320
|
HCPCS
|
Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device
|
17
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$77.49
|
$3,557.00
|
$1,885.21
|
2026-10-19
|
|
41874
|
HCPCS
|
Reshaping Of Tooth Socket
|
16
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$208.96
|
$3,557.00
|
$1,885.21
|
2026-10-19
|
|
41830
|
HCPCS
|
Removal Of Tissue Overgrowth At Teeth Or Tooth Socket
|
16
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$269.68
|
$3,557.00
|
$1,885.21
|
2026-10-19
|
|
41112
|
HCPCS
|
Removal Of Growth Of Front 2/3 Of Tongue With Switches
|
17
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$207.73
|
$3,557.00
|
$1,885.21
|
2026-10-19
|
|
41826
|
HCPCS
|
Removal Of Dental Bone Growth With Simple Repair
|
16
|
9
|
$3,557.00
|
$1,778.50
50% off
|
$283.02
|
$3,557.00
|
$1,885.21
|
2026-10-19
|
|
32100000114
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,150.00
|
$1,575.00
50% off
|
$1,669.50
|
$2,520.00
|
$1,866.85
|
2026-10-19
|
|
32100000023
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,150.00
|
$1,575.00
50% off
|
$1,669.50
|
$2,520.00
|
$1,866.85
|
2026-10-19
|
|
32100000018
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,150.00
|
$1,575.00
50% off
|
$1,669.50
|
$2,520.00
|
$1,866.85
|
2026-10-19
|
|
32600000300
|
CDM
|
Stapler Ils Curved 29mm
|
8
|
8
|
$3,148.00
|
$1,574.00
50% off
|
$1,668.44
|
$2,518.40
|
$1,865.66
|
2026-10-19
|
|
21554
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More
|
17
|
9
|
$4,360.00
|
$2,180.00
50% off
|
$633.00
|
$4,360.00
|
$1,852.39
|
2026-10-19
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
17
|
9
|
$3,473.00
|
$1,736.50
50% off
|
$35.21
|
$3,473.00
|
$1,840.69
|
2026-10-19
|
|
57010
|
HCPCS
|
Incision And Drainage Of Abscess Of Pelvis
|
17
|
9
|
$3,473.00
|
$1,736.50
50% off
|
$184.44
|
$3,473.00
|
$1,840.69
|
2026-10-19
|
|
44602
|
HCPCS
|
Suture Of Tear Of Hole In Small Bowel
|
15
|
8
|
$4,136.00
|
$2,068.00
50% off
|
$551.70
|
$4,136.00
|
$1,822.00
|
2026-10-19
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
25
|
9
|
$3,387.00
|
$1,693.50
50% off
|
$74.46
|
$6,465.00
|
$1,813.06
|
2026-10-19
|
|
32100000073
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,045.00
|
$1,522.50
50% off
|
$1,613.85
|
$2,436.00
|
$1,804.62
|
2026-10-19
|
|
32100000016
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$3,045.00
|
$1,522.50
50% off
|
$1,613.85
|
$2,436.00
|
$1,804.62
|
2026-10-19
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
7
|
7
|
$3,595.00
|
$1,797.50
50% off
|
$1,127.22
|
$2,444.60
|
$1,796.56
|
2026-10-19
|
|
D7671
|
HCPCS
|
Alveolus Open Reduction
|
12
|
9
|
$3,389.00
|
$1,694.50
50% off
|
$327.00
|
$3,389.00
|
$1,796.17
|
2026-10-19
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
15
|
8
|
$5,460.00
|
$2,730.00
50% off
|
$940.63
|
$5,460.00
|
$1,750.00
|
2026-10-19
|
|
36584
|
HCPCS
|
Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R…
|
17
|
9
|
$3,255.00
|
$1,627.50
50% off
|
$49.10
|
$3,255.00
|
$1,725.15
|
2026-10-19
|
|
32100000101
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,835.00
|
$1,417.50
50% off
|
$1,502.55
|
$2,268.00
|
$1,680.16
|
2026-10-19
|
|
21556
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, Less Than 5.0 Cm
|
17
|
9
|
$3,116.00
|
$1,558.00
50% off
|
$456.20
|
$3,116.00
|
$1,651.48
|
2026-10-19
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
17
|
9
|
$3,116.00
|
$1,558.00
50% off
|
$446.81
|
$3,116.00
|
$1,651.48
|
2026-10-19
|
|
27603
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle
|
17
|
9
|
$3,116.00
|
$1,558.00
50% off
|
$343.12
|
$3,116.00
|
$1,651.48
|
2026-10-19
|
|
20200
|
HCPCS
|
Biopsy Of Muscle
|
17
|
9
|
$3,081.00
|
$1,540.50
50% off
|
$83.56
|
$3,081.00
|
$1,632.93
|
2026-10-19
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
7
|
7
|
$3,595.00
|
$1,797.50
50% off
|
$187.76
|
$2,444.60
|
$1,629.45
|
2026-10-19
|
|
32100000045
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,730.00
|
$1,365.00
50% off
|
$1,446.90
|
$2,184.00
|
$1,617.93
|
2026-10-19
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
15
|
8
|
$2,890.00
|
$1,445.00
50% off
|
$955.00
|
$3,759.67
|
$1,582.46
|
2026-10-19
|
|
32600000224
|
CDM
|
Ligasure 5mm Lap Instrmt
|
8
|
8
|
$2,654.00
|
$1,327.00
50% off
|
$1,406.62
|
$2,123.20
|
$1,572.89
|
2026-10-19
|
|
58958
|
HCPCS
|
Removal Of Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes For Reduction Of Gr…
|
6
|
6
|
$3,595.00
|
$1,797.50
50% off
|
$1,376.84
|
$2,444.60
|
$1,567.69
|
2026-10-19
|
|
44626
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…
|
7
|
7
|
$3,081.00
|
$1,540.50
50% off
|
$452.95
|
$2,095.08
|
$1,558.01
|
2026-10-19
|
|
32100000078
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,625.00
|
$1,312.50
50% off
|
$1,391.25
|
$2,100.00
|
$1,555.70
|
2026-10-19
|
|
32100000041
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,625.00
|
$1,312.50
50% off
|
$1,391.25
|
$2,100.00
|
$1,555.70
|
2026-10-19
|
|
20225
|
HCPCS
|
Deep Biopsy Of Bone Using Needle Or Trocar
|
17
|
9
|
$3,697.00
|
$1,848.50
50% off
|
$108.61
|
$3,697.00
|
$1,466.76
|
2026-10-19
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
26
|
9
|
$2,700.00
|
$1,350.00
50% off
|
$76.28
|
$2,773.00
|
$1,457.50
|
2026-10-19
|
|
36481
|
HCPCS
|
Insertion Of Tube Into Portal Vein Of Liver
|
15
|
8
|
$2,670.00
|
$1,335.00
50% off
|
$27.52
|
$2,670.00
|
$1,415.10
|
2026-10-19
|
|
27372
|
HCPCS
|
Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee
|
18
|
9
|
$2,619.00
|
$1,309.50
50% off
|
$255.00
|
$3,903.00
|
$1,380.10
|
2026-10-19
|
|
21337
|
HCPCS
|
Closed Treatment Of Broken Bone Separating Nose Airways
|
18
|
9
|
$2,112.50
|
$1,056.25
50% off
|
$156.40
|
$3,557.00
|
$1,378.87
|
2026-10-19
|
|
64736
|
HCPCS
|
Incision Or Removal Of Chin, Lower Lip, And Jaw Nerve
|
17
|
9
|
$2,835.00
|
$1,417.50
50% off
|
$172.61
|
$2,835.00
|
$1,371.22
|
2026-10-19
|
|
32100000027
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,310.00
|
$1,155.00
50% off
|
$1,224.30
|
$1,848.00
|
$1,369.02
|
2026-10-19
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
17
|
9
|
$5,959.00
|
$2,979.50
50% off
|
$469.74
|
$5,959.00
|
$1,354.00
|
2026-10-19
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
17
|
9
|
$6,720.00
|
$3,360.00
50% off
|
$189.07
|
$6,720.00
|
$1,348.14
|
2026-10-19
|
|
49600000014
|
CDM
|
Rev - Freestand Clinic
|
8
|
8
|
$2,259.00
|
$1,129.50
50% off
|
$1,197.27
|
$1,807.20
|
$1,338.80
|
2026-10-19
|
|
43820
|
HCPCS
|
Partial Removal Of Stomach With Attachment Of Stomach To Small Bowel
|
7
|
7
|
$2,300.00
|
$1,150.00
50% off
|
$1,172.92
|
$2,418.97
|
$1,335.51
|
2026-10-19
|
|
32600000293
|
CDM
|
Secure Strap
|
8
|
8
|
$2,244.00
|
$1,122.00
50% off
|
$1,189.32
|
$1,795.20
|
$1,329.90
|
2026-10-19
|
|
44130
|
HCPCS
|
Creation Of Connection Between 2 Segments Of Small Bowel
|
7
|
7
|
$1,941.00
|
$970.50
50% off
|
$950.50
|
$1,699.00
|
$1,308.79
|
2026-10-19
|
|
32100000066
|
CDM
|
Operating Room Services - General Classification
|
8
|
8
|
$2,205.00
|
$1,102.50
50% off
|
$1,168.65
|
$1,764.00
|
$1,306.80
|
2026-10-19
|
|
44605
|
HCPCS
|
Suture Of Tear Or Hole In Large Bowel And Creation Of Opening From Large Bowel T…
|
15
|
8
|
$2,465.00
|
$1,232.50
50% off
|
$1,136.30
|
$2,465.00
|
$1,306.45
|
2026-10-19
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
16
|
9
|
$3,783.50
|
$1,891.75
50% off
|
$126.52
|
$5,513.00
|
$1,303.86
|
2026-10-19
|
|
49186
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, 5.0 Cm Or Less
|
7
|
7
|
$2,259.00
|
$1,129.50
50% off
|
$1,142.87
|
$2,259.00
|
$1,301.28
|
2026-10-19
|
|
40966461249
|
CDM
|
Rev - Pro Fee/other
|
2
|
2
|
$2,259.00
|
$1,129.50
50% off
|
$1,061.73
|
$1,536.12
|
$1,298.92
|
2026-10-19
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
18
|
9
|
$2,618.00
|
$1,309.00
50% off
|
$185.27
|
$3,387.00
|
$1,264.13
|
2026-10-19
|
|
26990
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Pelvis Or Hip Near Joint
|
17
|
9
|
$3,510.00
|
$1,755.00
50% off
|
$603.95
|
$3,510.00
|
$1,263.33
|
2026-10-19
|
|
19307
|
HCPCS
|
Removal Of Breast And Underarm Lymph Nodes
|
8
|
8
|
$3,081.00
|
$1,540.50
50% off
|
$1,043.32
|
$2,888.81
|
$1,253.97
|
2026-10-19
|
|
47610
|
HCPCS
|
Removal Of Gallbladder With Exploration Of Common Bile Duct
|
7
|
7
|
$2,157.00
|
$1,078.50
50% off
|
$1,094.52
|
$1,994.91
|
$1,246.23
|
2026-10-19
|
|
19306
|
HCPCS
|
Extensive Removal Of Breast, Chest Muscle, Underarm Lymph Nodes, And Breast Lymp…
|
7
|
7
|
$2,259.00
|
$1,129.50
50% off
|
$359.61
|
$1,536.12
|
$1,237.69
|
2026-10-19
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
8
|
8
|
$3,697.00
|
$1,848.50
50% off
|
$1,064.85
|
$9,804.98
|
$1,233.63
|
2026-10-19
|
|
44160
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
7
|
7
|
$3,595.00
|
$1,797.50
50% off
|
$1,081.79
|
$2,444.60
|
$1,231.74
|
2026-10-19
|
|
38510
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Neck
|
17
|
9
|
$5,198.00
|
$2,599.00
50% off
|
$13.07
|
$5,198.00
|
$1,230.44
|
2026-10-19
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
17
|
9
|
$4,613.00
|
$2,306.50
50% off
|
$375.74
|
$4,613.00
|
$1,230.44
|
2026-10-19
|
|
23930
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow
|
18
|
9
|
$1,943.00
|
$971.50
50% off
|
$189.53
|
$3,116.00
|
$1,223.74
|
2026-10-19
|
|
27086
|
HCPCS
|
Removal Of Foreign Body In Tissue Of Pelvis Or Hip, Accessed Beneath The Skin
|
16
|
9
|
$3,116.00
|
$1,558.00
50% off
|
$95.20
|
$3,116.00
|
$1,223.74
|
2026-10-19
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
17
|
9
|
$4,074.00
|
$2,037.00
50% off
|
$275.02
|
$4,074.00
|
$1,219.57
|
2026-10-19
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
17
|
9
|
$4,935.00
|
$2,467.50
50% off
|
$419.07
|
$4,935.00
|
$1,213.53
|
2026-10-19
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
7
|
7
|
$2,259.00
|
$1,129.50
50% off
|
$1,062.34
|
$2,341.74
|
$1,209.59
|
2026-10-19
|
|
21210
|
HCPCS
|
Repair Of Nasal Or Cheek Bone With Bone Graft
|
8
|
8
|
$2,465.00
|
$1,232.50
50% off
|
$650.64
|
$3,184.04
|
$1,208.52
|
2026-10-19
|
|
43999
|
HCPCS
|
Other Procedure On Stomach
|
4
|
4
|
$2,100.00
|
$1,050.00
50% off
|
$714.45
|
$1,684.44
|
$1,207.50
|
2026-10-19
|
|
44320
|
HCPCS
|
Creation Of Opening From Large Bowel To Skin
|
7
|
7
|
$2,054.00
|
$1,027.00
50% off
|
$1,048.15
|
$2,906.40
|
$1,193.44
|
2026-10-19
|