|
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
|
$4,790,846.66
|
$3,961,661.66
|
2026-03-27
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
6
|
4
|
—
|
—
|
$3,180,000.00
|
$4,960,800.00
|
$3,895,500.00
|
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
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
6
|
4
|
—
|
—
|
$2,939,968.88
|
$4,586,351.45
|
$3,601,461.88
|
2026-03-27
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
4
|
3
|
—
|
—
|
$3,335,820.00
|
$4,336,566.00
|
$3,586,006.50
|
2026-03-27
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
7
|
5
|
—
|
—
|
$2,588,981.22
|
$4,789,615.26
|
$3,365,675.59
|
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
|
HCPCS
|
Afamitresgene Autoleucel
|
1
|
1
|
—
|
—
|
$2,595,525.22
|
$2,595,525.22
|
$2,595,525.22
|
2026-03-27
|
|
Q204200
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
1
|
1
|
—
|
—
|
$1,992,993.02
|
$1,992,993.02
|
$1,992,993.02
|
2026-03-27
|
|
Q205600
|
HCPCS
|
Ciltacabtagene Car-pos T
|
1
|
1
|
—
|
—
|
$1,905,903.19
|
$1,905,903.19
|
$1,905,903.19
|
2026-03-27
|
|
Q205400
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
1
|
1
|
—
|
—
|
$1,894,684.86
|
$1,894,684.86
|
$1,894,684.86
|
2026-03-27
|
|
Q205500
|
HCPCS
|
Idecabtagene Vicleucel Car
|
1
|
1
|
—
|
—
|
$1,877,102.54
|
$1,877,102.54
|
$1,877,102.54
|
2026-03-27
|
|
Q204100
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
1
|
1
|
—
|
—
|
$1,795,972.55
|
$1,795,972.55
|
$1,795,972.55
|
2026-03-27
|
|
Q205300
|
HCPCS
|
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
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$807,880.50
|
$807,880.50
|
$807,880.50
|
2026-03-27
|
|
J340300
|
HCPCS
|
Revakinagene, Per Implant
|
1
|
1
|
—
|
—
|
$769,410.00
|
$769,410.00
|
$769,410.00
|
2026-03-27
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
13
|
8
|
—
|
—
|
$587,649.57
|
$1,380,976.49
|
$763,944.44
|
2026-03-27
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
13
|
8
|
—
|
—
|
$566,531.30
|
$1,331,348.56
|
$736,490.69
|
2026-03-27
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
13
|
8
|
—
|
—
|
$562,201.24
|
$1,321,172.91
|
$730,861.61
|
2026-03-27
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
13
|
8
|
—
|
—
|
$558,081.72
|
$1,311,492.04
|
$725,506.24
|
2026-03-27
|
|
J340200
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
1
|
1
|
—
|
—
|
$692,616.08
|
$692,616.08
|
$692,616.08
|
2026-03-27
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
13
|
8
|
—
|
—
|
$532,192.24
|
$1,250,651.76
|
$691,849.91
|
2026-03-27
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
13
|
8
|
—
|
—
|
$489,450.20
|
$1,150,207.97
|
$636,285.26
|
2026-03-27
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
7
|
—
|
—
|
$340,819.58
|
$1,083,197.36
|
$521,453.96
|
2026-03-27
|
|
001-ECMO
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$471,814.97
|
$471,814.97
|
$471,814.97
|
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
|
$371,000.00
|
2026-03-27
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
8
|
—
|
—
|
$221,378.63
|
$702,951.51
|
$313,173.46
|
2026-03-27
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
11
|
8
|
—
|
—
|
$201,669.02
|
$715,030.84
|
$302,503.53
|
2026-03-27
|
|
E076600
|
HCPCS
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$291,202.59
|
$291,202.59
|
$291,202.59
|
2026-03-27
|
|
E0766NU
|
HCPCS
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$291,202.59
|
$291,202.59
|
$291,202.59
|
2026-03-27
|
|
Q048000
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$281,390.05
|
$281,390.05
|
$281,390.05
|
2026-03-27
|
|
001-Trach
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$279,366.08
|
$279,366.08
|
$279,366.08
|
2026-03-27
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
13
|
10
|
—
|
—
|
$20,840.00
|
$702,718.00
|
$279,366.08
|
2026-03-27
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
7
|
—
|
—
|
$168,797.16
|
$535,555.94
|
$258,259.65
|
2026-03-27
|
|
E0766UE
|
HCPCS
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$218,401.94
|
$218,401.94
|
$218,401.94
|
2026-03-27
|
|
J733000
|
HCPCS
|
Cultured Chondrocytes Implnt
|
1
|
1
|
—
|
—
|
$214,732.07
|
$214,732.07
|
$214,732.07
|
2026-03-27
|
|
J902900
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
—
|
$213,343.15
|
$213,343.15
|
$213,343.15
|
2026-03-27
|
|
A954300
|
HCPCS
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$208,684.63
|
$208,684.63
|
$208,684.63
|
2026-03-27
|
|
L870200
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$193,366.70
|
$193,366.70
|
$193,366.70
|
2026-03-27
|
|
K100700
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$188,463.67
|
$188,463.67
|
$188,463.67
|
2026-03-27
|
|
Q204300
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$186,162.70
|
$186,162.70
|
$186,162.70
|
2026-03-27
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
3
|
3
|
—
|
—
|
$73,260.60
|
$221,681.33
|
$177,917.75
|
2026-03-27
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
10
|
7
|
—
|
—
|
$109,709.79
|
$347,448.52
|
$167,855.98
|
2026-03-27
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
2
|
2
|
—
|
—
|
$16,384.73
|
$300,626.62
|
$158,505.68
|
2026-03-27
|
|
7
|
MS_DRG
|
Lung Transplant
|
10
|
7
|
—
|
—
|
$102,609.00
|
$324,842.82
|
$156,991.77
|
2026-03-27
|
|
J922600
|
HCPCS
|
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
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$150,498.45
|
$150,498.45
|
$150,498.45
|
2026-03-27
|
|
A969900
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$146,504.81
|
$146,504.81
|
$146,504.81
|
2026-03-27
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
7
|
—
|
—
|
$95,263.16
|
$301,457.00
|
$145,752.64
|
2026-03-27
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
8
|
—
|
—
|
$89,857.20
|
$284,246.87
|
$140,177.23
|
2026-03-27
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
2
|
2
|
—
|
—
|
$121,762.50
|
$155,368.95
|
$138,565.73
|
2026-03-27
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
10
|
7
|
—
|
—
|
$89,754.77
|
$283,920.78
|
$137,324.80
|
2026-03-27
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
7
|
—
|
—
|
$87,409.90
|
$276,455.78
|
$133,737.15
|
2026-03-27
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
10
|
7
|
—
|
—
|
$86,250.86
|
$272,765.92
|
$131,963.82
|
2026-03-27
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
7
|
—
|
—
|
$81,810.11
|
$258,628.58
|
$125,169.47
|
2026-03-27
|
|
502449
|
CDM
|
Hchg Organ Acq Kidney Dcsd Donor
|
13
|
10
|
$336,349.00
|
$235,444.30
30% off
|
$75.00
|
$336,349.00
|
$124,449.13
|
2026-03-27
|
|
L718100
|
HCPCS
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$121,353.11
|
$121,353.11
|
$121,353.11
|
2026-03-27
|
|
L718000
|
HCPCS
|
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
|
12
|
9
|
—
|
—
|
$29,135.00
|
$249,761.39
|
$111,547.83
|
2026-03-27
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
9
|
—
|
—
|
$49,287.00
|
$245,391.76
|
$109,603.76
|
2026-03-27
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
10
|
7
|
—
|
—
|
$71,559.98
|
$225,996.81
|
$109,486.77
|
2026-03-27
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
3
|
3
|
—
|
—
|
$87,052.32
|
$290,496.52
|
$108,243.35
|
2026-03-27
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
10
|
7
|
—
|
—
|
$68,801.45
|
$217,214.90
|
$105,266.22
|
2026-03-27
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
7
|
—
|
—
|
$66,783.57
|
$210,790.89
|
$102,178.86
|
2026-03-27
|
|
502448
|
CDM
|
Hchg Organ Acq Kidney Live Donor
|
13
|
10
|
$275,603.00
|
$192,922.10
30% off
|
$75.00
|
$275,603.00
|
$101,973.11
|
2026-03-27
|
|
L870100
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$98,283.29
|
$98,283.29
|
$98,283.29
|
2026-03-27
|
|
J926600
|
HCPCS
|
Pegaspargase Injection
|
1
|
1
|
—
|
—
|
$95,735.06
|
$95,735.06
|
$95,735.06
|
2026-03-27
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
7
|
—
|
—
|
$62,571.31
|
$197,380.98
|
$95,734.11
|
2026-03-27
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
9
|
—
|
—
|
$49,287.00
|
$211,455.61
|
$95,165.78
|
2026-03-27
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
3
|
3
|
—
|
—
|
$76,466.82
|
$194,562.82
|
$95,081.03
|
2026-03-27
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
9
|
—
|
—
|
$49,287.00
|
$192,602.48
|
$93,437.57
|
2026-03-27
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
7
|
—
|
—
|
$60,610.17
|
$191,137.57
|
$92,733.57
|
2026-03-27
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
7
|
—
|
—
|
$57,448.22
|
$181,071.36
|
$87,895.77
|
2026-03-27
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
10
|
7
|
—
|
—
|
$57,110.20
|
$179,995.26
|
$87,378.61
|
2026-03-27
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
7
|
—
|
—
|
$57,086.56
|
$179,920.01
|
$87,342.43
|
2026-03-27
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
7
|
—
|
—
|
$56,786.36
|
$178,964.31
|
$86,883.13
|
2026-03-27
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
12
|
9
|
—
|
—
|
$49,287.00
|
$191,772.20
|
$85,748.26
|
2026-03-27
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
11
|
8
|
—
|
—
|
$56,824.54
|
$215,438.18
|
$85,236.81
|
2026-03-27
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
8
|
—
|
—
|
$29,135.00
|
$178,858.95
|
$85,129.91
|
2026-03-27
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
7
|
—
|
—
|
$55,030.86
|
$173,375.59
|
$84,197.21
|
2026-03-27
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$172,525.24
|
$83,788.54
|
2026-03-27
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
15
|
10
|
—
|
—
|
$64,274.79
|
$220,247.46
|
$83,557.23
|
2026-03-27
|
|
E019400
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$82,427.97
|
$82,427.97
|
$82,427.97
|
2026-03-27
|
|
E0194NU
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$82,427.97
|
$82,427.97
|
$82,427.97
|
2026-03-27
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
7
|
—
|
—
|
$53,607.08
|
$168,842.91
|
$82,018.83
|
2026-03-27
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
12
|
9
|
—
|
—
|
$49,287.00
|
$167,724.17
|
$81,481.16
|
2026-03-27
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
10
|
7
|
—
|
—
|
$53,217.05
|
$167,601.25
|
$81,422.09
|
2026-03-27
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
7
|
—
|
—
|
$52,191.17
|
$164,335.32
|
$79,852.49
|
2026-03-27
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
11
|
8
|
—
|
—
|
$212.54
|
$161,575.52
|
$79,068.87
|
2026-03-27
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
8
|
—
|
—
|
$49,287.00
|
$164,934.83
|
$78,569.24
|
2026-03-27
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
7
|
—
|
—
|
$51,271.66
|
$161,408.01
|
$78,445.64
|
2026-03-27
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
9
|
—
|
—
|
$49,287.00
|
$164,934.83
|
$74,860.12
|
2026-03-27
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
12
|
9
|
—
|
—
|
$43,360.00
|
$153,724.79
|
$74,753.12
|
2026-03-27
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$48,802.30
|
$153,546.69
|
$74,667.52
|
2026-03-27
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
12
|
9
|
—
|
—
|
$48,339.79
|
$152,074.26
|
$73,959.88
|
2026-03-27
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
7
|
—
|
—
|
$47,911.95
|
$150,712.20
|
$73,305.29
|
2026-03-27
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
7
|
—
|
—
|
$47,555.80
|
$149,578.40
|
$72,760.38
|
2026-03-27
|
|
L585600
|
HCPCS
|
Elec Knee-shin Swing/stance
|
1
|
1
|
—
|
—
|
$72,705.85
|
$72,705.85
|
$72,705.85
|
2026-03-27
|
|
L688000
|
HCPCS
|
Elec Hand Ind Art Digits
|
1
|
1
|
—
|
—
|
$72,362.58
|
$72,362.58
|
$72,362.58
|
2026-03-27
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
10
|
7
|
—
|
—
|
$47,292.64
|
$148,740.59
|
$72,357.74
|
2026-03-27
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
11
|
8
|
—
|
—
|
$29,135.00
|
$150,669.55
|
$71,847.83
|
2026-03-27
|
|
J960000
|
HCPCS
|
Porfimer Sodium Injection
|
1
|
1
|
—
|
—
|
$71,779.80
|
$71,779.80
|
$71,779.80
|
2026-03-27
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$46,781.27
|
$147,112.64
|
$71,575.35
|
2026-03-27
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
9
|
6
|
—
|
—
|
$47,401.37
|
$149,086.75
|
$71,102.06
|
2026-03-27
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
15
|
10
|
—
|
—
|
$54,404.10
|
$192,187.39
|
$70,725.33
|
2026-03-27
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
10
|
7
|
—
|
—
|
$46,011.47
|
$144,661.94
|
$70,397.55
|
2026-03-27
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
7
|
—
|
—
|
$45,721.51
|
$143,738.85
|
$69,953.92
|
2026-03-27
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
10
|
7
|
—
|
—
|
$45,537.14
|
$143,151.88
|
$69,671.83
|
2026-03-27
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
7
|
—
|
—
|
$45,478.83
|
$142,966.26
|
$69,582.61
|
2026-03-27
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
3
|
3
|
—
|
—
|
$55,332.26
|
$199,624.52
|
$68,801.71
|
2026-03-27
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
7
|
—
|
—
|
$44,868.19
|
$141,022.25
|
$68,648.33
|
2026-03-27
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
7
|
—
|
—
|
$44,731.09
|
$140,585.79
|
$68,438.57
|
2026-03-27
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
7
|
—
|
—
|
$44,428.52
|
$139,622.56
|
$67,975.64
|
2026-03-27
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
10
|
7
|
—
|
—
|
$44,088.14
|
$138,538.93
|
$67,454.86
|
2026-03-27
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
8
|
5
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$67,404.45
|
2026-03-27
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
8
|
5
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$67,404.45
|
2026-03-27
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
8
|
5
|
—
|
—
|
$48,146.04
|
$113,143.18
|
$67,404.45
|
2026-03-27
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
10
|
7
|
—
|
—
|
$43,827.34
|
$137,708.65
|
$67,055.83
|
2026-03-27
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$147,207.96
|
$66,993.41
|
2026-03-27
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
7
|
—
|
—
|
$43,674.48
|
$137,222.02
|
$66,821.96
|
2026-03-27
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
10
|
7
|
—
|
—
|
$43,545.26
|
$136,810.64
|
$66,624.25
|
2026-03-27
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
7
|
—
|
—
|
$43,373.49
|
$136,263.81
|
$66,361.44
|
2026-03-27
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
9
|
—
|
—
|
$42,589.50
|
$133,767.96
|
$65,161.93
|
2026-03-27
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
10
|
7
|
—
|
—
|
$42,564.29
|
$133,687.69
|
$65,123.36
|
2026-03-27
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
7
|
—
|
—
|
$42,282.21
|
$132,789.68
|
$64,691.79
|
2026-03-27
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$132,350.71
|
$64,480.82
|
2026-03-27
|
|
K060600
|
HCPCS
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$63,784.92
|
$63,784.92
|
$63,784.92
|
2026-03-27
|
|
K0606NU
|
HCPCS
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$63,784.92
|
$63,784.92
|
$63,784.92
|
2026-03-27
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
7
|
—
|
—
|
$41,585.69
|
$130,572.25
|
$63,626.11
|
2026-03-27
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
7
|
—
|
—
|
$41,514.77
|
$130,346.50
|
$63,517.60
|
2026-03-27
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
12
|
9
|
—
|
—
|
$43,613.02
|
$137,026.37
|
$62,537.26
|
2026-03-27
|
|
E0194UE
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$61,820.98
|
$61,820.98
|
$61,820.98
|
2026-03-27
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
7
|
—
|
—
|
$39,868.01
|
$125,103.94
|
$60,998.06
|
2026-03-27
|
|
L861400
|
HCPCS
|
Cochlear Device
|
1
|
1
|
—
|
—
|
$60,856.25
|
$60,856.25
|
$60,856.25
|
2026-03-27
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
12
|
9
|
—
|
—
|
$39,552.84
|
$124,100.58
|
$60,515.85
|
2026-03-27
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
8
|
—
|
—
|
$40,284.03
|
$126,428.38
|
$60,426.05
|
2026-03-27
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$39,483.50
|
$123,879.84
|
$60,409.76
|
2026-03-27
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
7
|
—
|
—
|
$39,350.34
|
$123,455.92
|
$60,206.02
|
2026-03-27
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
7
|
—
|
—
|
$39,188.82
|
$122,941.70
|
$59,958.90
|
2026-03-27
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
10
|
7
|
—
|
—
|
$38,617.57
|
$121,123.11
|
$59,084.89
|
2026-03-27
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
10
|
7
|
—
|
—
|
$16,803.08
|
$113,143.18
|
$58,978.90
|
2026-03-27
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
7
|
—
|
—
|
$38,425.31
|
$120,511.06
|
$58,790.73
|
2026-03-27
|
|
Q048300
|
HCPCS
|
Monitor Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$58,579.32
|
$58,579.32
|
$58,579.32
|
2026-03-27
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
12
|
9
|
—
|
—
|
$38,082.57
|
$119,419.91
|
$58,266.33
|
2026-03-27
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
7
|
—
|
—
|
$37,614.54
|
$117,929.92
|
$57,550.24
|
2026-03-27
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
7
|
—
|
—
|
$37,538.90
|
$117,689.11
|
$57,434.51
|
2026-03-27
|
|
L697500
|
HCPCS
|
Interscap-thor Myoelectronic
|
1
|
1
|
—
|
—
|
$57,323.70
|
$57,323.70
|
$57,323.70
|
2026-03-27
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
7
|
—
|
—
|
$37,428.59
|
$117,337.94
|
$57,265.74
|
2026-03-27
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
10
|
7
|
—
|
—
|
$37,107.11
|
$116,314.51
|
$56,773.88
|
2026-03-27
|
|
L585800
|
HCPCS
|
Stance Phase Only
|
1
|
1
|
—
|
—
|
$56,288.49
|
$56,288.49
|
$56,288.49
|
2026-03-27
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
7
|
—
|
—
|
$36,788.00
|
$115,298.61
|
$56,285.64
|
2026-03-27
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
7
|
—
|
—
|
$36,695.82
|
$115,005.12
|
$56,144.61
|
2026-03-27
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
15
|
10
|
—
|
—
|
$43,185.33
|
$156,541.31
|
$56,140.93
|
2026-03-27
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$36,411.38
|
$114,099.59
|
$55,709.41
|
2026-03-27
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
7
|
—
|
—
|
$36,395.62
|
$114,049.42
|
$55,685.30
|
2026-03-27
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
10
|
7
|
—
|
—
|
$36,255.37
|
$113,602.93
|
$55,470.72
|
2026-03-27
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
11
|
8
|
—
|
—
|
$29,135.00
|
$115,850.45
|
$55,442.03
|
2026-03-27
|
|
4410702
|
CDM
|
Hchg Ventricular Assist Dvc 5.5
|
13
|
10
|
$148,500.00
|
$103,950.00
30% off
|
$75.00
|
$148,500.00
|
$54,945.00
|
2026-03-27
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
10
|
7
|
—
|
—
|
$35,884.25
|
$112,421.47
|
$54,902.90
|
2026-03-27
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
7
|
—
|
—
|
$35,874.01
|
$112,388.86
|
$54,887.24
|
2026-03-27
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
11
|
8
|
—
|
—
|
$29,135.00
|
$114,443.24
|
$54,778.98
|
2026-03-27
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$111,947.38
|
$54,675.06
|
2026-03-27
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$35,183.00
|
$110,189.00
|
$53,829.99
|
2026-03-27
|
|
L597300
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
1
|
1
|
—
|
—
|
$53,242.25
|
$53,242.25
|
$53,242.25
|
2026-03-27
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
10
|
7
|
—
|
—
|
$34,667.69
|
$108,548.50
|
$53,041.57
|
2026-03-27
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
7
|
—
|
—
|
$34,395.86
|
$107,683.10
|
$52,625.67
|
2026-03-27
|
|
0870T
|
HCPCS
|
Imp Subq Prtl Ascts Pmp Sys
|
8
|
5
|
—
|
—
|
$37,447.04
|
$88,000.53
|
$52,425.85
|
2026-03-27
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
10
|
7
|
—
|
—
|
$34,178.39
|
$106,990.79
|
$52,292.94
|
2026-03-27
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
10
|
7
|
—
|
—
|
$33,985.35
|
$106,376.23
|
$51,997.59
|
2026-03-27
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$105,934.75
|
$51,785.42
|
2026-03-27
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
10
|
7
|
—
|
—
|
$33,789.94
|
$105,754.14
|
$51,698.61
|
2026-03-27
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
7
|
—
|
—
|
$33,773.40
|
$105,701.47
|
$51,673.30
|
2026-03-27
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
7
|
—
|
—
|
$33,676.48
|
$105,392.93
|
$51,525.01
|
2026-03-27
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
10
|
7
|
—
|
—
|
$33,637.09
|
$105,267.51
|
$51,464.75
|
2026-03-27
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
7
|
—
|
—
|
$33,447.98
|
$104,665.50
|
$51,175.41
|
2026-03-27
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$33,293.55
|
$104,173.85
|
$50,939.14
|
2026-03-27
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
12
|
9
|
—
|
—
|
$29,135.00
|
$105,071.86
|
$50,935.22
|
2026-03-27
|
|
Q048900
|
HCPCS
|
Pwr Pck Base Combo Vad, Rep
|
1
|
1
|
—
|
—
|
$50,785.08
|
$50,785.08
|
$50,785.08
|
2026-03-27
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
12
|
9
|
—
|
—
|
$33,076.87
|
$103,484.04
|
$50,607.61
|
2026-03-27
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
9
|
6
|
—
|
—
|
$33,424.35
|
$104,590.25
|
$50,136.53
|
2026-03-27
|
|
A960400
|
HCPCS
|
Sm 153 Lexidronam
|
1
|
1
|
—
|
—
|
$50,112.85
|
$50,112.85
|
$50,112.85
|
2026-03-27
|
|
110371-480
|
CDM
|
Device Ventricular Assist Impella 5.5 S2 (1ea)
|
13
|
10
|
$135,000.00
|
$94,500.00
30% off
|
$75.00
|
$135,000.00
|
$49,950.00
|
2026-03-27
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
7
|
—
|
—
|
$32,249.55
|
$100,850.22
|
$49,341.82
|
2026-03-27
|
|
500863
|
CDM
|
Hchg Transcatheter Heart Valve
|
15
|
11
|
$107,250.00
|
$75,075.00
30% off
|
$75.00
|
$107,250.00
|
$49,120.50
|
2026-03-27
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
10
|
7
|
—
|
—
|
$31,962.74
|
$99,937.16
|
$48,902.99
|
2026-03-27
|
|
C261600
|
HCPCS
|
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
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
9
|
6
|
—
|
—
|
$32,552.90
|
$101,815.96
|
$48,829.35
|
2026-03-27
|
|
L697000
|
HCPCS
|
Interscapular-thor Switch CT
|
1
|
1
|
—
|
—
|
$48,478.36
|
$48,478.36
|
$48,478.36
|
2026-03-27
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
3
|
3
|
—
|
—
|
$38,728.00
|
$125,280.39
|
$48,155.50
|
2026-03-27
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/1.5ml IV Soln
|
28
|
14
|
$165,797.41
|
$116,058.19
30% off
|
$230.79
|
$165,797.41
|
$48,081.25
|
2026-03-27
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,034.46
|
2026-03-27
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,034.46
|
2026-03-27
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
8
|
5
|
—
|
—
|
$34,310.33
|
$80,629.29
|
$48,034.46
|
2026-03-27
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
7
|
—
|
—
|
$31,393.86
|
$98,126.10
|
$48,032.60
|
2026-03-27
|
|
K0606UE
|
HCPCS
|
Aed Garment W Elec Analysis
|
1
|
1
|
—
|
—
|
$47,838.67
|
$47,838.67
|
$47,838.67
|
2026-03-27
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
7
|
—
|
—
|
$31,254.40
|
$97,682.11
|
$47,819.23
|
2026-03-27
|
|
L200600
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
1
|
1
|
—
|
—
|
$47,674.00
|
$47,674.00
|
$47,674.00
|
2026-03-27
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
10
|
7
|
—
|
—
|
$31,069.24
|
$97,092.64
|
$47,535.93
|
2026-03-27
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
10
|
7
|
—
|
—
|
$30,994.38
|
$96,854.34
|
$47,421.40
|
2026-03-27
|
|
C181600
|
HCPCS
|
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
|
$47,221.62
|
2026-03-27
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,221.62
|
2026-03-27
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,221.62
|
2026-03-27
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,221.62
|
2026-03-27
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,221.62
|
2026-03-27
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
8
|
5
|
—
|
—
|
$33,729.73
|
$79,264.87
|
$47,221.62
|
2026-03-27
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
7
|
—
|
—
|
$30,821.83
|
$96,305.00
|
$47,157.40
|
2026-03-27
|
|
110372-689
|
CDM
|
Kit Sapien 3 20mm Ultra Resilia Valve With Edwards Commander Del
|
15
|
11
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,716.00
|
2026-03-27
|
|
110372-691
|
CDM
|
Kit Sapien 3 26mm Ultra Resilia Valve With Edwards Commander Del
|
15
|
11
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,716.00
|
2026-03-27
|
|
110372-690
|
CDM
|
Kit Sapien 3 23mm Ultra Resilia Valve With Edwards Commander Del
|
15
|
11
|
$102,000.00
|
$71,400.00
30% off
|
$75.00
|
$102,000.00
|
$46,716.00
|
2026-03-27
|
|
110372-688
|
CDM
|
Kit Sapien 3 29mm Ultra Resilia Valve With Edwards Commander Del
|
15
|
11
|
$101,971.61
|
$71,380.13
30% off
|
$75.00
|
$101,971.61
|
$46,703.00
|
2026-03-27
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
9
|
6
|
—
|
—
|
$31,023.54
|
$63,384.36
|
$46,535.31
|
2026-03-27
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
7
|
—
|
—
|
$30,220.64
|
$94,391.09
|
$46,237.58
|
2026-03-27
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$30,091.42
|
$93,979.71
|
$46,039.88
|
2026-03-27
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$30,021.29
|
$93,756.47
|
$45,932.57
|
2026-03-27
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
10
|
7
|
—
|
—
|
$30,018.14
|
$93,746.43
|
$45,927.76
|
2026-03-27
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$29,935.41
|
$93,483.05
|
$45,801.18
|
2026-03-27
|
|
L696500
|
HCPCS
|
Shldr Disartic Myoelectronic
|
1
|
1
|
—
|
—
|
$45,774.15
|
$45,774.15
|
$45,774.15
|
2026-03-27
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
10
|
7
|
—
|
—
|
$29,769.94
|
$92,956.29
|
$45,548.01
|
2026-03-27
|
|
Q048100
|
HCPCS
|
Microprcsr Cu Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$45,398.93
|
$45,398.93
|
$45,398.93
|
2026-03-27
|
|
501787
|
CDM
|
Hchg Mitraclip Nt System
|
15
|
11
|
$99,000.00
|
$69,300.00
30% off
|
$75.00
|
$99,000.00
|
$45,342.00
|
2026-03-27
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
10
|
7
|
—
|
—
|
$29,512.29
|
$92,136.04
|
$45,153.81
|
2026-03-27
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
10
|
7
|
—
|
—
|
$29,500.47
|
$92,098.41
|
$45,135.72
|
2026-03-27
|
|
E0194
|
HCPCS
|
Air Fluidized Bed
|
2
|
2
|
—
|
—
|
$4,637.87
|
$85,095.55
|
$44,866.71
|
2026-03-27
|
|
110372-684
|
CDM
|
Kit 20 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With
|
15
|
11
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,655.00
|
2026-03-27
|
|
110372-686
|
CDM
|
Kit 26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
15
|
11
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,655.00
|
2026-03-27
|
|
110372-685
|
CDM
|
Kit 23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve With
|
15
|
11
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,655.00
|
2026-03-27
|
|
110372-687
|
CDM
|
Kit Transcatheter Heart Valve Sapien-3 29mm
|
15
|
11
|
$97,500.00
|
$68,250.00
30% off
|
$75.00
|
$97,500.00
|
$44,655.00
|
2026-03-27
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
10
|
7
|
—
|
—
|
$29,160.88
|
$91,017.29
|
$44,616.15
|
2026-03-27
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
10
|
7
|
—
|
—
|
$29,138.82
|
$90,947.06
|
$44,582.40
|
2026-03-27
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
10
|
7
|
—
|
—
|
$29,099.42
|
$90,821.64
|
$44,522.11
|
2026-03-27
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
10
|
7
|
—
|
—
|
$29,079.72
|
$90,758.93
|
$44,491.97
|
2026-03-27
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
7
|
—
|
—
|
$29,029.29
|
$90,598.39
|
$44,414.82
|
2026-03-27
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
3
|
3
|
—
|
—
|
$35,673.02
|
$115,397.93
|
$44,356.85
|
2026-03-27
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
7
|
—
|
—
|
$28,986.75
|
$90,462.94
|
$44,349.73
|
2026-03-27
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
10
|
7
|
—
|
—
|
$28,800.80
|
$89,870.96
|
$44,065.22
|
2026-03-27
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
10
|
7
|
—
|
—
|
$28,735.40
|
$89,662.76
|
$43,965.16
|
2026-03-27
|
|
L585900
|
HCPCS
|
Knee-shin Pro Flex/ext Cont
|
1
|
1
|
—
|
—
|
$43,943.94
|
$43,943.94
|
$43,943.94
|
2026-03-27
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
10
|
7
|
—
|
—
|
$28,707.03
|
$89,572.46
|
$43,921.76
|
2026-03-27
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
7
|
—
|
—
|
$28,665.27
|
$89,439.51
|
$43,857.87
|
2026-03-27
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
10
|
7
|
—
|
—
|
$28,641.63
|
$89,364.26
|
$43,821.69
|
2026-03-27
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
10
|
7
|
—
|
—
|
$28,614.85
|
$89,278.97
|
$43,780.72
|
2026-03-27
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
12
|
9
|
—
|
—
|
$28,592.00
|
$89,206.23
|
$43,745.76
|
2026-03-27
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
7
|
—
|
—
|
$28,357.98
|
$88,461.23
|
$43,387.71
|
2026-03-27
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
10
|
7
|
—
|
—
|
$28,301.25
|
$88,280.63
|
$43,300.91
|
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
|
|
305949
|
CDM
|
Hchg Red Trauma Act Pre-notify No Cc
|
15
|
11
|
$47,348.00
|
$33,143.60
30% off
|
$75.00
|
$47,348.00
|
$42,944.64
|
2026-03-27
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
7
|
—
|
—
|
$28,049.11
|
$87,477.94
|
$42,915.14
|
2026-03-27
|
|
93656
|
HCPCS
|
Hchg Tx Atrial Fib Pulm Vein Isol
|
19
|
13
|
$158,404.00
|
$110,882.80
30% off
|
$1,008.08
|
$110,882.80
|
$42,855.90
|
2026-03-27
|
|
93654
|
HCPCS
|
Hchg Ep & Ablate Ventric Tachy
|
19
|
13
|
$158,404.00
|
$110,882.80
30% off
|
$1,006.82
|
$110,882.80
|
$42,855.90
|
2026-03-27
|
|
93653
|
HCPCS
|
Hchg Ep & Ablate Supravent Arrhyt
|
19
|
13
|
$158,404.00
|
$110,882.80
30% off
|
$756.08
|
$110,882.80
|
$42,855.90
|
2026-03-27
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
10
|
7
|
—
|
—
|
$27,923.05
|
$87,076.60
|
$42,722.27
|
2026-03-27
|
|
8141600
|
HCPCS
|
Exome Sequence Analysis
|
1
|
1
|
—
|
—
|
$42,642.00
|
$42,642.00
|
$42,642.00
|
2026-03-27
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
10
|
7
|
—
|
—
|
$27,790.67
|
$86,655.19
|
$42,519.73
|
2026-03-27
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
12
|
9
|
—
|
—
|
$26,507.14
|
$82,569.00
|
$42,338.25
|
2026-03-27
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
10
|
7
|
—
|
—
|
$27,664.61
|
$86,253.84
|
$42,326.85
|
2026-03-27
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
7
|
—
|
—
|
$27,584.24
|
$85,997.99
|
$42,203.89
|
2026-03-27
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
10
|
7
|
—
|
—
|
$27,451.87
|
$85,576.57
|
$42,001.36
|
2026-03-27
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
10
|
7
|
—
|
—
|
$27,416.41
|
$85,463.70
|
$41,947.11
|
2026-03-27
|
|
K0891NU
|
HCPCS
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$41,812.83
|
$41,812.83
|
$41,812.83
|
2026-03-27
|
|
K089100
|
HCPCS
|
Pwc Gp5 Ped Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$41,812.83
|
$41,812.83
|
$41,812.83
|
2026-03-27
|
|
22633
|
HCPCS
|
Arthrd Cmbn 1ntrspc Lumbar
|
8
|
5
|
—
|
—
|
$29,659.48
|
$69,699.78
|
$41,523.27
|
2026-03-27
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
8
|
5
|
—
|
—
|
$29,659.48
|
$69,699.78
|
$41,523.27
|
2026-03-27
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
8
|
5
|
—
|
—
|
$29,659.48
|
$69,699.78
|
$41,523.27
|
2026-03-27
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
11
|
8
|
—
|
—
|
$1,185.88
|
$84,696.23
|
$41,447.09
|
2026-03-27
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
10
|
7
|
—
|
—
|
$16,803.08
|
$79,264.87
|
$41,318.92
|
2026-03-27
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
10
|
7
|
—
|
—
|
$11,696.02
|
$79,264.87
|
$41,318.92
|
2026-03-27
|
|
0871T
|
HCPCS
|
Rplcmt Subq Prtl Ascites Pmp
|
8
|
5
|
—
|
—
|
$29,422.79
|
$69,143.54
|
$41,191.90
|
2026-03-27
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
8
|
5
|
—
|
—
|
$29,422.79
|
$69,143.54
|
$41,191.90
|
2026-03-27
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
10
|
7
|
—
|
—
|
$26,598.54
|
$82,859.98
|
$40,695.76
|
2026-03-27
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
10
|
7
|
—
|
—
|
$26,510.29
|
$82,579.04
|
$40,560.75
|
2026-03-27
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
12
|
9
|
—
|
—
|
$25,386.71
|
$79,002.06
|
$40,528.49
|
2026-03-27
|
|
E0738NU
|
HCPCS
|
Upper Extremity Rehab
|
1
|
1
|
—
|
—
|
$40,428.42
|
$40,428.42
|
$40,428.42
|
2026-03-27
|
|
E073800
|
HCPCS
|
Upper Extremity Rehab
|
1
|
1
|
—
|
—
|
$40,428.42
|
$40,428.42
|
$40,428.42
|
2026-03-27
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
11
|
8
|
—
|
—
|
$26,892.44
|
$83,795.61
|
$40,338.66
|
2026-03-27
|
|
L670000
|
HCPCS
|
Ue Add Ext Power Myoel
|
1
|
1
|
—
|
—
|
$40,229.42
|
$40,229.42
|
$40,229.42
|
2026-03-27
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
3
|
3
|
—
|
—
|
$32,119.35
|
$49,216.85
|
$39,938.10
|
2026-03-27
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
10
|
7
|
—
|
—
|
$26,087.97
|
$81,234.53
|
$39,914.60
|
2026-03-27
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
10
|
7
|
—
|
—
|
$26,059.60
|
$81,144.23
|
$39,871.19
|
2026-03-27
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
10
|
7
|
—
|
—
|
$26,024.14
|
$81,031.35
|
$39,816.93
|
2026-03-27
|
|
652
|
MS_DRG
|
Kidney Transplant
|
10
|
7
|
—
|
—
|
$26,017.05
|
$81,008.78
|
$39,806.09
|
2026-03-27
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
10
|
7
|
—
|
—
|
$25,998.14
|
$80,948.58
|
$39,777.15
|
2026-03-27
|
|
J1823
|
HCPCS
|
Inebilizumab-cdon 100 Mg/10ml IV Soln
|
28
|
14
|
$137,095.29
|
$95,966.70
30% off
|
$495.54
|
$137,095.29
|
$39,757.63
|
2026-03-27
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
10
|
7
|
—
|
—
|
$25,948.50
|
$80,790.55
|
$39,701.21
|
2026-03-27
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
10
|
7
|
—
|
—
|
$25,866.56
|
$80,529.67
|
$39,575.83
|
2026-03-27
|
|
L696000
|
HCPCS
|
Shldr Disartic Switch Contro
|
1
|
1
|
—
|
—
|
$39,423.89
|
$39,423.89
|
$39,423.89
|
2026-03-27
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
12
|
9
|
—
|
—
|
$25,727.88
|
$80,088.20
|
$39,363.65
|
2026-03-27
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
12
|
9
|
—
|
—
|
$28,056.21
|
$87,500.52
|
$39,357.48
|
2026-03-27
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
10
|
7
|
—
|
—
|
$25,681.40
|
$79,940.20
|
$39,292.54
|
2026-03-27
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
10
|
7
|
—
|
—
|
$25,656.97
|
$79,862.44
|
$39,255.17
|
2026-03-27
|
|
K0864NU
|
HCPCS
|
Pwc Gp3 Xhd Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$39,178.98
|
$39,178.98
|
$39,178.98
|
2026-03-27
|
|
K086400
|
HCPCS
|
Pwc Gp3 Xhd Mult Pow Opt S/b
|
1
|
1
|
—
|
—
|
$39,178.98
|
$39,178.98
|
$39,178.98
|
2026-03-27
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
10
|
7
|
—
|
—
|
$25,606.54
|
$79,701.90
|
$39,178.00
|
2026-03-27
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
10
|
7
|
—
|
—
|
$25,507.26
|
$79,385.84
|
$39,026.11
|
2026-03-27
|