|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
2
|
2
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-03-27
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
4
|
3
|
—
|
—
|
$3,685,266.66
|
$4,790,846.67
|
$3,961,661.66
|
2026-03-27
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
5
|
4
|
—
|
—
|
$3,327,859.72
|
$4,991,789.58
|
$3,827,038.68
|
2026-03-27
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
5
|
4
|
—
|
—
|
$3,252,508.07
|
$4,878,762.11
|
$3,740,384.28
|
2026-03-27
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
5
|
3
|
—
|
—
|
$3,180,000.00
|
$4,960,800.00
|
$3,657,000.00
|
2026-03-27
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
6
|
4
|
—
|
—
|
$2,939,968.88
|
$4,586,351.45
|
$3,605,213.10
|
2026-03-27
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
3
|
2
|
—
|
—
|
$3,335,820.00
|
$3,836,193.00
|
$3,335,820.00
|
2026-03-27
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
7
|
5
|
—
|
—
|
$2,588,981.22
|
$4,789,615.26
|
$3,191,643.79
|
2026-03-27
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
7
|
5
|
—
|
—
|
$2,332,000.00
|
$4,314,200.00
|
$3,031,600.00
|
2026-03-27
|
|
Q205700
|
OTHER
|
Afamitresgene Autoleucel
|
1
|
1
|
—
|
—
|
$2,595,525.22
|
$2,595,525.22
|
$2,595,525.22
|
2026-03-27
|
|
Q204200
|
OTHER
|
Tisagenlecleucel Car-pos T
|
1
|
1
|
—
|
—
|
$1,992,993.02
|
$1,992,993.02
|
$1,992,993.02
|
2026-03-27
|
|
Q205600
|
OTHER
|
Ciltacabtagene Car-pos T
|
1
|
1
|
—
|
—
|
$1,905,903.19
|
$1,905,903.19
|
$1,905,903.19
|
2026-03-27
|
|
Q205400
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
1
|
1
|
—
|
—
|
$1,894,684.86
|
$1,894,684.86
|
$1,894,684.86
|
2026-03-27
|
|
Q205500
|
OTHER
|
Idecabtagene Vicleucel Car
|
1
|
1
|
—
|
—
|
$1,877,102.54
|
$1,877,102.54
|
$1,877,102.54
|
2026-03-27
|
|
Q204100
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
1
|
1
|
—
|
—
|
$1,795,972.55
|
$1,795,972.55
|
$1,795,972.55
|
2026-03-27
|
|
Q205300
|
OTHER
|
Brexucabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$1,648,026.84
|
$1,648,026.84
|
$1,648,026.84
|
2026-03-27
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
11
|
8
|
—
|
—
|
$770,620.00
|
$2,679,522.80
|
$1,155,930.00
|
2026-03-27
|
|
Q205800
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$807,880.50
|
$807,880.50
|
$807,880.50
|
2026-03-27
|
|
J340300
|
OTHER
|
Revakinagene, Per Implant
|
1
|
1
|
—
|
—
|
$769,410.00
|
$769,410.00
|
$769,410.00
|
2026-03-27
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
14
|
8
|
—
|
—
|
$566,531.30
|
$1,331,348.56
|
$710,377.53
|
2026-03-27
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
8
|
—
|
—
|
$587,649.57
|
$1,380,976.49
|
$705,713.32
|
2026-03-27
|
|
J340200
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
1
|
1
|
—
|
—
|
$692,616.08
|
$692,616.08
|
$692,616.08
|
2026-03-27
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
8
|
—
|
—
|
$562,201.24
|
$1,321,172.91
|
$688,915.54
|
2026-03-27
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
14
|
8
|
—
|
—
|
$558,081.72
|
$1,311,492.04
|
$683,153.65
|
2026-03-27
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
14
|
8
|
—
|
—
|
$532,192.24
|
$1,250,651.76
|
$652,610.15
|
2026-03-27
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
8
|
—
|
—
|
$489,450.20
|
$1,150,207.97
|
$599,481.86
|
2026-03-27
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
11
|
7
|
—
|
—
|
$368,047.07
|
$1,083,197.36
|
$552,070.61
|
2026-03-27
|
|
001-ECMO
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
1
|
—
|
—
|
$471,814.97
|
$584,018.08
|
$527,916.52
|
2026-03-27
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
9
|
6
|
—
|
—
|
$278,250.00
|
$834,025.50
|
$417,375.00
|
2026-03-27
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
12
|
9
|
—
|
—
|
$262,500.00
|
$794,310.00
|
$366,125.00
|
2026-03-27
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
8
|
—
|
—
|
$239,214.62
|
$702,951.51
|
$334,900.47
|
2026-03-27
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
11
|
8
|
—
|
—
|
$201,669.02
|
$715,030.84
|
$302,503.53
|
2026-03-27
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$300,626.62
|
$300,626.62
|
$300,626.62
|
2026-03-27
|
|
E0766NU
|
OTHER
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$291,202.59
|
$291,202.59
|
$291,202.59
|
2026-03-27
|
|
E076600
|
OTHER
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$291,202.59
|
$291,202.59
|
$291,202.59
|
2026-03-27
|
|
001-Trach
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
1
|
—
|
—
|
$279,366.08
|
$294,278.97
|
$286,822.53
|
2026-03-27
|
|
Q048000
|
OTHER
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$281,390.05
|
$281,390.05
|
$281,390.05
|
2026-03-27
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
14
|
10
|
—
|
—
|
$20,840.00
|
$702,718.00
|
$281,201.43
|
2026-03-27
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
11
|
7
|
—
|
—
|
$182,498.73
|
$535,555.94
|
$273,748.10
|
2026-03-27
|
|
E0766UE
|
OTHER
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$218,401.94
|
$218,401.94
|
$218,401.94
|
2026-03-27
|
|
J733000
|
OTHER
|
Cultured Chondrocytes Implnt
|
1
|
1
|
—
|
—
|
$214,732.07
|
$214,732.07
|
$214,732.07
|
2026-03-27
|
|
J902900
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
—
|
$213,343.15
|
$213,343.15
|
$213,343.15
|
2026-03-27
|
|
A954300
|
OTHER
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$208,684.63
|
$208,684.63
|
$208,684.63
|
2026-03-27
|
|
L870200
|
OTHER
|
Ewhf S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$193,366.70
|
$193,366.70
|
$193,366.70
|
2026-03-27
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
2
|
—
|
—
|
$87,052.32
|
$290,496.52
|
$188,774.42
|
2026-03-27
|
|
K100700
|
OTHER
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$188,463.67
|
$188,463.67
|
$188,463.67
|
2026-03-27
|
|
Q204300
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$186,162.70
|
$186,162.70
|
$186,162.70
|
2026-03-27
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
11
|
7
|
—
|
—
|
$118,765.39
|
$347,448.52
|
$178,148.09
|
2026-03-27
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
3
|
3
|
—
|
—
|
$73,260.60
|
$221,681.33
|
$177,917.75
|
2026-03-27
|
|
7
|
MS_DRG
|
Lung Transplant
|
11
|
7
|
—
|
—
|
$111,106.27
|
$324,842.82
|
$166,659.41
|
2026-03-27
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
7
|
—
|
—
|
$103,182.84
|
$301,457.00
|
$154,774.26
|
2026-03-27
|
|
J922600
|
OTHER
|
Supprelin La Implant
|
1
|
1
|
—
|
—
|
$151,634.06
|
$151,634.06
|
$151,634.06
|
2026-03-27
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$151,246.07
|
$151,246.07
|
$151,246.07
|
2026-03-27
|
|
9028800
|
OTHER
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$150,498.45
|
$150,498.45
|
$150,498.45
|
2026-03-27
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
8
|
—
|
—
|
$97,351.81
|
$284,246.87
|
$147,588.43
|
2026-03-27
|
|
A969900
|
OTHER
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$146,504.81
|
$146,504.81
|
$146,504.81
|
2026-03-27
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
11
|
7
|
—
|
—
|
$97,241.33
|
$283,920.78
|
$145,862.00
|
2026-03-27
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
7
|
—
|
—
|
$94,712.08
|
$276,455.78
|
$142,068.12
|
2026-03-27
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
11
|
7
|
—
|
—
|
$93,461.91
|
$272,765.92
|
$140,192.87
|
2026-03-27
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
2
|
2
|
—
|
—
|
$121,762.50
|
$155,368.95
|
$138,565.73
|
2026-03-27
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
2
|
—
|
—
|
$76,466.82
|
$194,562.82
|
$135,514.82
|
2026-03-27
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
7
|
—
|
—
|
$88,671.99
|
$258,628.58
|
$133,007.99
|
2026-03-27
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
2
|
2
|
—
|
—
|
$55,332.26
|
$199,624.52
|
$127,478.39
|
2026-03-27
|
|
L718100
|
OTHER
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$121,353.11
|
$121,353.11
|
$121,353.11
|
2026-03-27
|
|
502449
|
CDM
|
Hchg Organ Acq Kidney Dcsd Donor
|
16
|
11
|
$336,349.00
|
$235,444.30
30% off
|
$75.00
|
$336,349.00
|
$121,085.64
|
2026-03-27
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
11
|
7
|
—
|
—
|
$77,615.90
|
$225,996.81
|
$116,423.85
|
2026-03-27
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
11
|
7
|
—
|
—
|
$74,640.47
|
$217,214.90
|
$111,960.71
|
2026-03-27
|
|
L718000
|
OTHER
|
Electronic Elbow Sequential
|
1
|
1
|
—
|
—
|
$111,780.44
|
$111,780.44
|
$111,780.44
|
2026-03-27
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
13
|
9
|
—
|
—
|
$29,135.00
|
$249,761.39
|
$111,367.96
|
2026-03-27
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
9
|
—
|
—
|
$49,287.00
|
$245,391.76
|
$109,443.32
|
2026-03-27
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
7
|
—
|
—
|
$72,463.93
|
$210,790.89
|
$108,695.90
|
2026-03-27
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
11
|
7
|
—
|
—
|
$67,920.47
|
$197,380.98
|
$101,880.71
|
2026-03-27
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
9
|
—
|
—
|
$49,287.00
|
$192,602.48
|
$99,452.18
|
2026-03-27
|
|
502448
|
CDM
|
Hchg Organ Acq Kidney Live Donor
|
16
|
11
|
$275,603.00
|
$192,922.10
30% off
|
$75.00
|
$275,603.00
|
$99,217.08
|
2026-03-27
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
11
|
7
|
—
|
—
|
$65,805.12
|
$191,137.57
|
$98,707.68
|
2026-03-27
|
|
L870100
|
OTHER
|
Ewh S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$98,283.29
|
$98,283.29
|
$98,283.29
|
2026-03-27
|
|
J926600
|
OTHER
|
Pegaspargase Injection
|
1
|
1
|
—
|
—
|
$95,735.06
|
$95,735.06
|
$95,735.06
|
2026-03-27
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
13
|
9
|
—
|
—
|
$49,287.00
|
$211,455.61
|
$94,495.88
|
2026-03-27
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
7
|
—
|
—
|
$62,394.55
|
$181,071.36
|
$93,591.83
|
2026-03-27
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
11
|
7
|
—
|
—
|
$62,029.95
|
$179,995.26
|
$93,044.93
|
2026-03-27
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
11
|
7
|
—
|
—
|
$62,004.45
|
$179,920.01
|
$93,006.68
|
2026-03-27
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
11
|
7
|
—
|
—
|
$61,680.65
|
$178,964.31
|
$92,520.98
|
2026-03-27
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
11
|
7
|
—
|
—
|
$59,787.12
|
$173,375.59
|
$89,680.68
|
2026-03-27
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$172,525.24
|
$89,248.52
|
2026-03-27
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
7
|
—
|
—
|
$58,251.38
|
$168,842.91
|
$87,377.07
|
2026-03-27
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
13
|
9
|
—
|
—
|
$49,287.00
|
$167,724.17
|
$86,808.51
|
2026-03-27
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
11
|
7
|
—
|
—
|
$57,830.69
|
$167,601.25
|
$86,746.04
|
2026-03-27
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
12
|
8
|
—
|
—
|
$29,135.00
|
$178,858.95
|
$86,302.93
|
2026-03-27
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
13
|
9
|
—
|
—
|
$49,287.00
|
$191,772.20
|
$85,826.18
|
2026-03-27
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
11
|
8
|
—
|
—
|
$56,824.54
|
$215,438.18
|
$85,236.81
|
2026-03-27
|
|
E0194
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$85,095.55
|
$85,095.55
|
$85,095.55
|
2026-03-27
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
11
|
7
|
—
|
—
|
$56,724.15
|
$164,335.32
|
$85,086.23
|
2026-03-27
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
7
|
—
|
—
|
$55,732.34
|
$161,408.01
|
$83,598.51
|
2026-03-27
|
|
E0194NU
|
OTHER
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$82,427.97
|
$82,427.97
|
$82,427.97
|
2026-03-27
|
|
E019400
|
OTHER
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$82,427.97
|
$82,427.97
|
$82,427.97
|
2026-03-27
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
2
|
2
|
—
|
—
|
$38,728.00
|
$125,280.39
|
$82,004.20
|
2026-03-27
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$49,287.00
|
$164,934.83
|
$79,698.18
|
2026-03-27
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
13
|
9
|
—
|
—
|
$43,360.00
|
$153,724.79
|
$79,693.74
|
2026-03-27
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$53,068.82
|
$153,546.69
|
$79,603.23
|
2026-03-27
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
11
|
7
|
—
|
—
|
$52,108.45
|
$150,712.20
|
$78,162.68
|
2026-03-27
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
16
|
10
|
—
|
—
|
$64,274.79
|
$220,247.46
|
$78,130.49
|
2026-03-27
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
7
|
—
|
—
|
$51,724.31
|
$149,578.40
|
$77,586.47
|
2026-03-27
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
11
|
7
|
—
|
—
|
$51,440.45
|
$148,740.59
|
$77,160.68
|
2026-03-27
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$50,888.87
|
$147,112.64
|
$76,333.31
|
2026-03-27
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
13
|
9
|
—
|
—
|
$49,287.00
|
$152,074.26
|
$76,166.00
|
2026-03-27
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
2
|
2
|
—
|
—
|
$35,673.02
|
$115,397.93
|
$75,535.48
|
2026-03-27
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
11
|
7
|
—
|
—
|
$50,058.54
|
$144,661.94
|
$75,087.81
|
2026-03-27
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
7
|
—
|
—
|
$49,745.79
|
$143,738.85
|
$74,618.69
|
2026-03-27
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
11
|
7
|
—
|
—
|
$49,546.91
|
$143,151.88
|
$74,320.37
|
2026-03-27
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
7
|
—
|
—
|
$49,484.02
|
$142,966.26
|
$74,226.03
|
2026-03-27
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
13
|
9
|
—
|
—
|
$49,287.00
|
$164,934.83
|
$74,005.45
|
2026-03-27
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
12
|
9
|
—
|
—
|
$212.54
|
$161,575.52
|
$73,912.20
|
2026-03-27
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
7
|
—
|
—
|
$48,825.37
|
$141,022.25
|
$73,238.06
|
2026-03-27
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
11
|
7
|
—
|
—
|
$48,677.49
|
$140,585.79
|
$73,016.24
|
2026-03-27
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
12
|
8
|
—
|
—
|
$29,135.00
|
$150,669.55
|
$72,931.60
|
2026-03-27
|
|
L585600
|
OTHER
|
Elec Knee-shin Swing/stance
|
1
|
1
|
—
|
—
|
$72,705.85
|
$72,705.85
|
$72,705.85
|
2026-03-27
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
7
|
—
|
—
|
$48,351.13
|
$139,622.56
|
$72,526.70
|
2026-03-27
|
|
L688000
|
OTHER
|
Elec Hand Ind Art Digits
|
1
|
1
|
—
|
—
|
$72,362.58
|
$72,362.58
|
$72,362.58
|
2026-03-27
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
7
|
4
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$72,219.05
|
2026-03-27
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
6
|
—
|
—
|
$51,557.73
|
$149,086.75
|
$72,180.83
|
2026-03-27
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
11
|
7
|
—
|
—
|
$47,983.98
|
$138,538.93
|
$71,975.97
|
2026-03-27
|
|
J960000
|
OTHER
|
Porfimer Sodium Injection
|
1
|
1
|
—
|
—
|
$71,779.80
|
$71,779.80
|
$71,779.80
|
2026-03-27
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$47,702.67
|
$137,708.65
|
$71,554.01
|
2026-03-27
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
11
|
7
|
—
|
—
|
$47,537.80
|
$137,222.02
|
$71,306.70
|
2026-03-27
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
11
|
7
|
—
|
—
|
$47,398.42
|
$136,810.64
|
$71,097.63
|
2026-03-27
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
11
|
7
|
—
|
—
|
$47,213.14
|
$136,263.81
|
$70,819.71
|
2026-03-27
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
13
|
9
|
—
|
—
|
$46,367.51
|
$133,767.96
|
$69,551.27
|
2026-03-27
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
11
|
7
|
—
|
—
|
$46,340.32
|
$133,687.69
|
$69,510.48
|
2026-03-27
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
11
|
7
|
—
|
—
|
$46,036.06
|
$132,789.68
|
$69,054.09
|
2026-03-27
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
8
|
5
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$68,436.40
|
2026-03-27
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$132,350.71
|
$68,433.00
|
2026-03-27
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
11
|
7
|
—
|
—
|
$45,284.77
|
$130,572.25
|
$67,927.16
|
2026-03-27
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
11
|
7
|
—
|
—
|
$45,208.28
|
$130,346.50
|
$67,812.42
|
2026-03-27
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
16
|
10
|
—
|
—
|
$54,404.10
|
$192,187.39
|
$67,209.37
|
2026-03-27
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$147,207.96
|
$66,197.52
|
2026-03-27
|
|
K0606
|
HCPCS
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$65,849.16
|
$65,849.16
|
$65,849.16
|
2026-03-27
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
11
|
7
|
—
|
—
|
$43,432.03
|
$125,103.94
|
$65,148.05
|
2026-03-27
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
2
|
2
|
—
|
—
|
$28,123.96
|
$101,463.98
|
$64,793.97
|
2026-03-27
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
13
|
9
|
—
|
—
|
$43,092.08
|
$124,100.58
|
$64,638.12
|
2026-03-27
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$43,017.29
|
$123,879.84
|
$64,525.94
|
2026-03-27
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
11
|
7
|
—
|
—
|
$42,873.66
|
$123,455.92
|
$64,310.49
|
2026-03-27
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
11
|
7
|
—
|
—
|
$42,699.43
|
$122,941.70
|
$64,049.15
|
2026-03-27
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
8
|
5
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$63,793.50
|
2026-03-27
|
|
K060600
|
OTHER
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$63,784.92
|
$63,784.92
|
$63,784.92
|
2026-03-27
|
|
K0606NU
|
OTHER
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$63,784.92
|
$63,784.92
|
$63,784.92
|
2026-03-27
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
11
|
7
|
—
|
—
|
$42,083.27
|
$121,123.11
|
$63,124.91
|
2026-03-27
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
11
|
7
|
—
|
—
|
$41,875.90
|
$120,511.06
|
$62,813.85
|
2026-03-27
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
13
|
9
|
—
|
—
|
$41,506.20
|
$119,419.91
|
$62,259.30
|
2026-03-27
|
|
E0194UE
|
OTHER
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$61,820.98
|
$61,820.98
|
$61,820.98
|
2026-03-27
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
13
|
9
|
—
|
—
|
$47,471.51
|
$137,026.37
|
$61,712.96
|
2026-03-27
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
11
|
7
|
—
|
—
|
$41,001.37
|
$117,929.92
|
$61,502.06
|
2026-03-27
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$43,880.76
|
$126,428.38
|
$61,433.07
|
2026-03-27
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
7
|
—
|
—
|
$40,919.78
|
$117,689.11
|
$61,379.67
|
2026-03-27
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
11
|
7
|
—
|
—
|
$40,800.80
|
$117,337.94
|
$61,201.20
|
2026-03-27
|
|
L861400
|
OTHER
|
Cochlear Device
|
1
|
1
|
—
|
—
|
$60,856.25
|
$60,856.25
|
$60,856.25
|
2026-03-27
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
11
|
7
|
—
|
—
|
$40,454.05
|
$116,314.51
|
$60,681.08
|
2026-03-27
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
11
|
7
|
—
|
—
|
$40,109.85
|
$115,298.61
|
$60,164.78
|
2026-03-27
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
11
|
7
|
—
|
—
|
$40,010.41
|
$115,005.12
|
$60,015.62
|
2026-03-27
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$39,703.60
|
$114,099.59
|
$59,555.40
|
2026-03-27
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
11
|
7
|
—
|
—
|
$39,686.61
|
$114,049.42
|
$59,529.92
|
2026-03-27
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
11
|
7
|
—
|
—
|
$39,535.33
|
$113,602.93
|
$59,303.00
|
2026-03-27
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
11
|
7
|
—
|
—
|
$39,135.03
|
$112,421.47
|
$58,702.55
|
2026-03-27
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
11
|
7
|
—
|
—
|
$39,123.99
|
$112,388.86
|
$58,685.99
|
2026-03-27
|
|
Q048300
|
OTHER
|
Monitor Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$58,579.32
|
$58,579.32
|
$58,579.32
|
2026-03-27
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$38,378.64
|
$110,189.00
|
$57,567.96
|
2026-03-27
|
|
L697500
|
OTHER
|
Interscap-thor Myoelectronic
|
1
|
1
|
—
|
—
|
$57,323.70
|
$57,323.70
|
$57,323.70
|
2026-03-27
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
11
|
7
|
—
|
—
|
$37,822.82
|
$108,548.50
|
$56,734.23
|
2026-03-27
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
12
|
8
|
—
|
—
|
$29,135.00
|
$115,850.45
|
$56,415.55
|
2026-03-27
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
11
|
7
|
—
|
—
|
$37,529.61
|
$107,683.10
|
$56,294.42
|
2026-03-27
|
|
L585800
|
OTHER
|
Stance Phase Only
|
1
|
1
|
—
|
—
|
$56,288.49
|
$56,288.49
|
$56,288.49
|
2026-03-27
|
|
0870T
|
OTHER
|
Imp Subq Prtl Ascts Pmp Sys
|
7
|
4
|
—
|
—
|
$37,447.04
|
$88,000.53
|
$56,170.55
|
2026-03-27
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$111,947.38
|
$55,965.00
|
2026-03-27
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
11
|
7
|
—
|
—
|
$37,295.04
|
$106,990.79
|
$55,942.56
|
2026-03-27
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
12
|
8
|
—
|
—
|
$29,135.00
|
$114,443.24
|
$55,748.06
|
2026-03-27
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
11
|
7
|
—
|
—
|
$37,086.82
|
$106,376.23
|
$55,630.23
|
2026-03-27
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$105,934.75
|
$55,405.86
|
2026-03-27
|
|
12
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Cc
|
11
|
7
|
—
|
—
|
$36,876.05
|
$105,754.14
|
$55,314.08
|
2026-03-27
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
11
|
7
|
—
|
—
|
$36,858.21
|
$105,701.47
|
$55,287.32
|
2026-03-27
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
11
|
7
|
—
|
—
|
$36,753.67
|
$105,392.93
|
$55,130.51
|
2026-03-27
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
11
|
7
|
—
|
—
|
$36,711.18
|
$105,267.51
|
$55,066.77
|
2026-03-27
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
11
|
7
|
—
|
—
|
$36,507.21
|
$104,665.50
|
$54,760.82
|
2026-03-27
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/1.5ml IV Soln
|
31
|
15
|
$165,797.41
|
$116,058.19
30% off
|
$230.79
|
$165,797.41
|
$54,713.15
|
2026-03-27
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$36,340.63
|
$104,173.85
|
$54,510.95
|
2026-03-27
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
13
|
9
|
—
|
—
|
$36,106.91
|
$103,484.04
|
$54,160.37
|
2026-03-27
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
16
|
10
|
—
|
—
|
$43,185.33
|
$156,541.31
|
$54,094.99
|
2026-03-27
|
|
4410702
|
CDM
|
Hchg Ventricular Assist Dvc 5.5
|
16
|
11
|
$148,500.00
|
$103,950.00
30% off
|
$75.00
|
$148,500.00
|
$53,460.00
|
2026-03-27
|
|
L597300
|
OTHER
|
Ank-foot Sys Dors-plant Flex
|
1
|
1
|
—
|
—
|
$53,242.25
|
$53,242.25
|
$53,242.25
|
2026-03-27
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
11
|
7
|
—
|
—
|
$35,214.54
|
$100,850.22
|
$52,821.81
|
2026-03-27
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
11
|
7
|
—
|
—
|
$34,905.18
|
$99,937.16
|
$52,357.77
|
2026-03-27
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$105,071.86
|
$51,507.00
|
2026-03-27
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
7
|
—
|
—
|
$34,291.57
|
$98,126.10
|
$51,437.36
|
2026-03-27
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
11
|
7
|
—
|
—
|
$34,141.14
|
$97,682.11
|
$51,211.71
|
2026-03-27
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
10
|
6
|
—
|
—
|
$36,481.71
|
$104,590.25
|
$51,074.40
|
2026-03-27
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
11
|
7
|
—
|
—
|
$33,941.42
|
$97,092.64
|
$50,912.13
|
2026-03-27
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
11
|
7
|
—
|
—
|
$33,860.68
|
$96,854.34
|
$50,791.02
|
2026-03-27
|
|
Q048900
|
OTHER
|
Pwr Pck Base Combo Vad, Rep
|
1
|
1
|
—
|
—
|
$50,785.08
|
$50,785.08
|
$50,785.08
|
2026-03-27
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
7
|
4
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$50,594.60
|
2026-03-27
|
|
0909T
|
OTHER
|
Rplcmt Int Nstim Sys Vgs Nrv
|
7
|
4
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$50,594.60
|
2026-03-27
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
7
|
4
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$50,594.60
|
2026-03-27
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
11
|
7
|
—
|
—
|
$33,674.56
|
$96,305.00
|
$50,511.84
|
2026-03-27
|
|
A960400
|
OTHER
|
Sm 153 Lexidronam
|
1
|
1
|
—
|
—
|
$50,112.85
|
$50,112.85
|
$50,112.85
|
2026-03-27
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
10
|
6
|
—
|
—
|
$35,541.74
|
$101,815.96
|
$49,758.43
|
2026-03-27
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
11
|
7
|
—
|
—
|
$33,026.10
|
$94,391.09
|
$49,528.61
|
2026-03-27
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$32,886.72
|
$93,979.71
|
$49,312.75
|
2026-03-27
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$32,811.08
|
$93,756.47
|
$49,195.61
|
2026-03-27
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
11
|
7
|
—
|
—
|
$32,807.68
|
$93,746.43
|
$49,190.34
|
2026-03-27
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
2
|
2
|
—
|
—
|
$23,202.97
|
$75,058.79
|
$49,130.88
|
2026-03-27
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$32,718.44
|
$93,483.05
|
$49,052.14
|
2026-03-27
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
2
|
2
|
—
|
—
|
$23,093.41
|
$74,704.41
|
$48,898.91
|
2026-03-27
|
|
C261600
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
1
|
1
|
—
|
—
|
$48,889.70
|
$48,889.70
|
$48,889.70
|
2026-03-27
|
|
C1816
|
HCPCS
|
Receiver/transmitter, Neuro
|
1
|
1
|
—
|
—
|
$48,839.54
|
$48,839.54
|
$48,839.54
|
2026-03-27
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
11
|
7
|
—
|
—
|
$32,539.97
|
$92,956.29
|
$48,775.74
|
2026-03-27
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,764.73
|
2026-03-27
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,764.73
|
2026-03-27
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,764.73
|
2026-03-27
|
|
500863
|
CDM
|
Hchg Transcatheter Heart Valve
|
18
|
12
|
$107,250.00
|
$75,075.00
30% off
|
$75.00
|
$107,250.00
|
$48,691.50
|
2026-03-27
|
|
110371-480
|
CDM
|
Device Ventricular Assist Impella 5.5 S2 (1ea)
|
16
|
11
|
$135,000.00
|
$94,500.00
30% off
|
$75.00
|
$135,000.00
|
$48,600.00
|
2026-03-27
|
|
L697000
|
OTHER
|
Interscapular-thor Switch CT
|
1
|
1
|
—
|
—
|
$48,478.36
|
$48,478.36
|
$48,478.36
|
2026-03-27
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
11
|
7
|
—
|
—
|
$32,262.06
|
$92,136.04
|
$48,345.34
|
2026-03-27
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
11
|
7
|
—
|
—
|
$32,249.31
|
$92,098.41
|
$48,325.60
|
2026-03-27
|
|
K0606UE
|
OTHER
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$47,838.67
|
$47,838.67
|
$47,838.67
|
2026-03-27
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
11
|
7
|
—
|
—
|
$31,883.01
|
$91,017.29
|
$47,758.32
|
2026-03-27
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
11
|
7
|
—
|
—
|
$31,859.21
|
$90,947.06
|
$47,721.46
|
2026-03-27
|
|
L200600
|
OTHER
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
1
|
1
|
—
|
—
|
$47,674.00
|
$47,674.00
|
$47,674.00
|
2026-03-27
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
11
|
7
|
—
|
—
|
$31,816.72
|
$90,821.64
|
$47,655.65
|
2026-03-27
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
11
|
7
|
—
|
—
|
$31,795.47
|
$90,758.93
|
$47,622.75
|
2026-03-27
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
11
|
7
|
—
|
—
|
$31,741.08
|
$90,598.39
|
$47,538.51
|
2026-03-27
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
7
|
—
|
—
|
$31,695.19
|
$90,462.94
|
$47,467.44
|
2026-03-27
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
6
|
—
|
—
|
$33,892.13
|
$63,384.36
|
$47,448.99
|
2026-03-27
|
|
C181600
|
OTHER
|
Receiver/transmitter, Neuro
|
1
|
1
|
—
|
—
|
$47,308.52
|
$47,308.52
|
$47,308.52
|
2026-03-27
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,188.52
|
2026-03-27
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,188.52
|
2026-03-27
|
|
739
|
MS_DRG
|
Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
11
|
7
|
—
|
—
|
$31,494.61
|
$89,870.96
|
$47,156.81
|
2026-03-27
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
11
|
7
|
—
|
—
|
$31,424.07
|
$89,662.76
|
$47,047.57
|
2026-03-27
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
11
|
7
|
—
|
—
|
$31,393.48
|
$89,572.46
|
$47,000.19
|
2026-03-27
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
11
|
7
|
—
|
—
|
$31,348.43
|
$89,439.51
|
$46,930.43
|
2026-03-27
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
11
|
7
|
—
|
—
|
$31,322.94
|
$89,364.26
|
$46,890.94
|
2026-03-27
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
11
|
7
|
—
|
—
|
$31,294.04
|
$89,278.97
|
$46,846.19
|
2026-03-27
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
11
|
7
|
—
|
—
|
$31,016.98
|
$88,461.23
|
$46,417.11
|
2026-03-27
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
11
|
7
|
—
|
—
|
$30,955.79
|
$88,280.63
|
$46,322.34
|
2026-03-27
|
|
110372-691
|
CDM
|
Kit Sapien 3 26mm Ultra Resilia Valve With Edwards Commander Del
|
18
|
12
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,308.00
|
2026-03-27
|
|
110372-689
|
CDM
|
Kit Sapien 3 20mm Ultra Resilia Valve With Edwards Commander Del
|
18
|
12
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,308.00
|
2026-03-27
|
|
110372-690
|
CDM
|
Kit Sapien 3 23mm Ultra Resilia Valve With Edwards Commander Del
|
18
|
12
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,308.00
|
2026-03-27
|
|
110372-688
|
CDM
|
Kit Sapien 3 29mm Ultra Resilia Valve With Edwards Commander Del
|
18
|
12
|
$101,971.61
|
$71,380.13
30% off
|
$75.00
|
$101,971.61
|
$46,295.11
|
2026-03-27
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
11
|
7
|
—
|
—
|
$30,683.83
|
$87,477.94
|
$45,901.16
|
2026-03-27
|
|
L696500
|
OTHER
|
Shldr Disartic Myoelectronic
|
1
|
1
|
—
|
—
|
$45,774.15
|
$45,774.15
|
$45,774.15
|
2026-03-27
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
11
|
7
|
—
|
—
|
$30,547.85
|
$87,076.60
|
$45,690.57
|
2026-03-27
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
11
|
7
|
—
|
—
|
$30,405.07
|
$86,655.19
|
$45,469.45
|
2026-03-27
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
13
|
9
|
—
|
—
|
$29,135.00
|
$89,206.23
|
$45,422.00
|
2026-03-27
|
|
Q048100
|
OTHER
|
Microprcsr Cu Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$45,398.93
|
$45,398.93
|
$45,398.93
|
2026-03-27
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
11
|
7
|
—
|
—
|
$30,269.09
|
$86,253.84
|
$45,258.85
|
2026-03-27
|
|
J1823
|
HCPCS
|
Inebilizumab-cdon 100 Mg/10ml IV Soln
|
31
|
15
|
$137,095.29
|
$95,966.70
30% off
|
$495.54
|
$137,095.29
|
$45,241.45
|
2026-03-27
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
7
|
—
|
—
|
$30,182.40
|
$85,997.99
|
$45,124.60
|
2026-03-27
|
|
501787
|
CDM
|
Hchg Mitraclip Nt System
|
18
|
12
|
$99,000.00
|
$69,300.00
30% off
|
$75.00
|
$99,000.00
|
$44,946.00
|
2026-03-27
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
11
|
7
|
—
|
—
|
$30,039.62
|
$85,576.57
|
$44,903.48
|
2026-03-27
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
11
|
7
|
—
|
—
|
$30,001.37
|
$85,463.70
|
$44,844.25
|
2026-03-27
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
8
|
5
|
—
|
—
|
$30,809.88
|
$79,264.87
|
$44,691.90
|
2026-03-27
|
|
93653
|
HCPCS
|
Hchg Ep & Ablate Supravent Arrhyt
|
22
|
14
|
$158,404.00
|
$110,882.80
30% off
|
$756.08
|
$110,882.80
|
$44,447.87
|
2026-03-27
|
|
93654
|
HCPCS
|
Hchg Ep & Ablate Ventric Tachy
|
22
|
14
|
$158,404.00
|
$110,882.80
30% off
|
$1,006.82
|
$110,882.80
|
$44,447.87
|
2026-03-27
|
|
93656
|
HCPCS
|
Hchg Tx Atrial Fib Pulm Vein Isol
|
22
|
14
|
$158,404.00
|
$110,882.80
30% off
|
$1,008.08
|
$110,882.80
|
$44,447.87
|
2026-03-27
|
|
110372-687
|
CDM
|
Kit Transcatheter Heart Valve Sapien-3 29mm
|
18
|
12
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,265.00
|
2026-03-27
|
|
110372-684
|
CDM
|
Kit 20 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With
|
18
|
12
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,265.00
|
2026-03-27
|
|
110372-686
|
CDM
|
Kit 26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
18
|
12
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,265.00
|
2026-03-27
|
|
110372-685
|
CDM
|
Kit 23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With
|
18
|
12
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,265.00
|
2026-03-27
|
|
0871T
|
OTHER
|
Rplcmt Subq Prtl Ascites Pmp
|
7
|
4
|
—
|
—
|
$29,422.79
|
$69,143.54
|
$44,134.18
|
2026-03-27
|
|
L585900
|
OTHER
|
Knee-shin Pro Flex/ext Cont
|
1
|
1
|
—
|
—
|
$43,943.94
|
$43,943.94
|
$43,943.94
|
2026-03-27
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
15
|
12
|
—
|
—
|
$4,841.00
|
$113,143.18
|
$43,782.44
|
2026-03-27
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
13
|
9
|
—
|
—
|
$29,020.61
|
$82,569.00
|
$43,530.92
|
2026-03-27
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
11
|
7
|
—
|
—
|
$29,119.20
|
$82,859.98
|
$43,478.03
|
2026-03-27
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
11
|
7
|
—
|
—
|
$29,024.01
|
$82,579.04
|
$43,330.62
|
2026-03-27
|
|
K0891
|
HCPCS
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$43,166.00
|
$43,166.00
|
$43,166.00
|
2026-03-27
|
|
8141600
|
OTHER
|
Exome Sequence Analysis
|
1
|
1
|
—
|
—
|
$42,642.00
|
$42,642.00
|
$42,642.00
|
2026-03-27
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
11
|
7
|
—
|
—
|
$28,568.48
|
$81,234.53
|
$42,625.14
|
2026-03-27
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
11
|
7
|
—
|
—
|
$28,537.88
|
$81,144.23
|
$42,577.75
|
2026-03-27
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
11
|
7
|
—
|
—
|
$28,499.64
|
$81,031.35
|
$42,518.52
|
2026-03-27
|
|
652
|
MS_DRG
|
Kidney Transplant
|
11
|
7
|
—
|
—
|
$28,491.99
|
$81,008.78
|
$42,506.68
|
2026-03-27
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
11
|
7
|
—
|
—
|
$28,471.59
|
$80,948.58
|
$42,475.09
|
2026-03-27
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
11
|
7
|
—
|
—
|
$28,418.05
|
$80,790.55
|
$42,392.17
|
2026-03-27
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
11
|
7
|
—
|
—
|
$28,329.66
|
$80,529.67
|
$42,255.28
|
2026-03-27
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
13
|
9
|
—
|
—
|
$28,180.08
|
$80,088.20
|
$42,023.63
|
2026-03-27
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
11
|
7
|
—
|
—
|
$28,129.94
|
$79,940.20
|
$41,945.98
|
2026-03-27
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
11
|
7
|
—
|
—
|
$28,103.59
|
$79,862.44
|
$41,905.18
|
2026-03-27
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
8
|
5
|
—
|
—
|
$29,422.79
|
$69,143.54
|
$41,822.54
|
2026-03-27
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
11
|
7
|
—
|
—
|
$28,049.20
|
$79,701.90
|
$41,820.94
|
2026-03-27
|
|
K0891NU
|
OTHER
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$41,812.83
|
$41,812.83
|
$41,812.83
|
2026-03-27
|
|
K089100
|
OTHER
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$41,812.83
|
$41,812.83
|
$41,812.83
|
2026-03-27
|
|
E0738
|
HCPCS
|
Upper Extremity Rehab
|
1
|
1
|
—
|
—
|
$41,736.78
|
$41,736.78
|
$41,736.78
|
2026-03-27
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
13
|
9
|
—
|
—
|
$27,812.08
|
$79,002.06
|
$41,718.12
|
2026-03-27
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
11
|
7
|
—
|
—
|
$27,942.12
|
$79,385.84
|
$41,655.10
|
2026-03-27
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
11
|
7
|
—
|
—
|
$27,901.32
|
$79,265.44
|
$41,591.92
|
2026-03-27
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
11
|
7
|
—
|
—
|
$27,824.83
|
$79,039.68
|
$41,473.46
|
2026-03-27
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
13
|
9
|
—
|
—
|
$27,749.19
|
$78,816.44
|
$41,296.00
|
2026-03-27
|
|
L8614
|
HCPCS
|
Cochlear Device
|
2
|
2
|
—
|
—
|
$19,421.35
|
$62,825.71
|
$41,123.53
|
2026-03-27
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
12
|
8
|
—
|
—
|
$29,135.00
|
$83,795.61
|
$41,118.02
|
2026-03-27
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
11
|
7
|
—
|
—
|
$27,571.57
|
$78,292.18
|
$41,081.23
|
2026-03-27
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
7
|
—
|
—
|
$27,516.33
|
$78,129.13
|
$40,995.68
|
2026-03-27
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
11
|
7
|
—
|
—
|
$27,469.58
|
$77,991.17
|
$40,923.29
|
2026-03-27
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
2
|
2
|
—
|
—
|
$32,119.35
|
$49,216.85
|
$40,668.10
|
2026-03-27
|
|
K0864
|
HCPCS
|
Pwc Gp3 Xhd Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$40,446.90
|
$40,446.90
|
$40,446.90
|
2026-03-27
|
|
E073800
|
OTHER
|
Upper Extremity Rehab
|
1
|
1
|
—
|
—
|
$40,428.42
|
$40,428.42
|
$40,428.42
|
2026-03-27
|