|
8549754-PHARM
|
OTHER
|
Canakinumab 150 mg/mL Inj 1 Ml
|
44
|
12
|
$50,554.03
|
$15,166.21
70% off
|
$4,645.92
|
$50,554.03
|
$38,269.40
|
2026-05-24
|
|
26
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
48
|
16
|
—
|
—
|
$20,239.75
|
$64,421.58
|
$38,438.47
|
2026-05-24
|
|
7951814-CH
|
OTHER
|
Dfbr Crd 13mm 57sq Cm 51x71mm Cblt Surscn Ti Plyur
|
44
|
12
|
$51,017.00
|
$15,305.10
70% off
|
$4,688.46
|
$51,017.00
|
$38,619.87
|
2026-05-24
|
|
7951812-CH
|
OTHER
|
Dfbr Crd 57sq Cm 13mm 51x74mm Cblt Xt Hf Ti Ti Dio
|
44
|
12
|
$51,017.00
|
$15,305.10
70% off
|
$4,688.46
|
$51,017.00
|
$38,619.87
|
2026-05-24
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
48
|
16
|
—
|
—
|
$10,275.75
|
$64,233.95
|
$38,627.88
|
2026-05-24
|
|
8646658-CH
|
OTHER
|
Impl Coclr Coclr Ncl Prfl + Slim Modiolar Eltrd Ci
|
44
|
12
|
$51,129.00
|
$15,338.70
70% off
|
$4,698.76
|
$51,129.00
|
$38,704.65
|
2026-05-24
|
|
8541754-CH
|
OTHER
|
Ir Placement Stent Bilateral - Proc
|
46
|
12
|
$49,786.00
|
$14,935.80
70% off
|
$4,575.33
|
$49,786.00
|
$38,748.44
|
2026-05-24
|
|
7817387-CH
|
OTHER
|
Perq Clsr Tcat I Atr Apndge
|
48
|
12
|
$49,473.00
|
$14,841.90
70% off
|
$4,546.57
|
$49,473.00
|
$38,764.57
|
2026-05-24
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
48
|
16
|
—
|
—
|
$19,991.42
|
$63,016.40
|
$38,814.08
|
2026-05-24
|
|
13
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
48
|
16
|
—
|
—
|
$9,656.63
|
$73,396.56
|
$39,048.82
|
2026-05-24
|
|
7800493-CH
|
OTHER
|
System Protecta Xt Dr Lf Protectaxtdrmmem
|
44
|
12
|
$51,625.00
|
$15,487.50
70% off
|
$4,744.34
|
$51,625.00
|
$39,080.12
|
2026-05-24
|
|
8448470-CH
|
OTHER
|
Kit Nrstm Wavewriter Alpha Thk10.7mm 200mah Pls Gn
|
48
|
12
|
$50,000.00
|
$15,000.00
70% off
|
$4,595.00
|
$50,000.00
|
$39,177.50
|
2026-05-24
|
|
800
|
OTHER
|
Splenectomy With Cc
|
48
|
16
|
—
|
—
|
$13,540.56
|
$76,291.16
|
$39,252.43
|
2026-05-24
|
|
7798070-CH
|
OTHER
|
Dfbr Crd Thk.39in 2.43x3.13in Cognis Vntrc Is-1/df
|
44
|
12
|
$51,875.00
|
$15,562.50
70% off
|
$4,767.31
|
$51,875.00
|
$39,269.38
|
2026-05-24
|
|
7800182-CH
|
OTHER
|
Dfbr Crd Thk.39in 2.43x3.13in Cognis Vntrc Is-1 Df
|
44
|
12
|
$51,875.00
|
$15,562.50
70% off
|
$4,767.31
|
$51,875.00
|
$39,269.38
|
2026-05-24
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
48
|
16
|
—
|
—
|
$12,981.29
|
$73,865.20
|
$39,298.15
|
2026-05-24
|
|
8682256-CH
|
OTHER
|
Graft Stnt 10cm 26mm Gore Tag Thor Act Cntrl Cnfrm
|
44
|
12
|
$51,935.00
|
$15,580.50
70% off
|
$4,772.83
|
$51,935.00
|
$39,314.79
|
2026-05-24
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
48
|
16
|
—
|
—
|
$11,276.03
|
$83,232.70
|
$39,335.00
|
2026-05-24
|
|
8173976-CH
|
OTHER
|
Lt Atrial Appendage Closure Peri Watchman Device L
|
52
|
14
|
$51,963.00
|
$15,588.90
70% off
|
$6,371.13
|
$51,963.00
|
$39,335.99
|
2026-05-24
|
|
7686248-CH
|
OTHER
|
BiV Pacemaker Device
|
44
|
12
|
$52,120.00
|
$15,636.00
70% off
|
$4,789.83
|
$52,120.00
|
$39,454.84
|
2026-05-24
|
|
668
|
OTHER
|
Transurethral Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,291.09
|
$74,369.48
|
$39,566.44
|
2026-05-24
|
|
8541752-CH
|
OTHER
|
Ir Embolization Arterial Multiple Vessels - Proc
|
46
|
12
|
$50,975.00
|
$15,292.50
70% off
|
$4,684.60
|
$50,975.00
|
$39,673.84
|
2026-05-24
|
|
7812626-CH
|
OTHER
|
Generator Crt-d Insync Icd 7272
|
44
|
12
|
$52,500.00
|
$15,750.00
70% off
|
$4,824.75
|
$52,500.00
|
$39,742.50
|
2026-05-24
|
|
7812619-CH
|
OTHER
|
Generator Icd Gem Iii At 7276
|
44
|
12
|
$52,500.00
|
$15,750.00
70% off
|
$4,824.75
|
$52,500.00
|
$39,742.50
|
2026-05-24
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
48
|
16
|
—
|
—
|
$6,141.91
|
$66,204.66
|
$39,812.99
|
2026-05-24
|
|
7831428-CH
|
OTHER
|
Tavr Transaortic Approach
|
48
|
12
|
$50,864.00
|
$15,259.20
70% off
|
$4,674.40
|
$50,864.00
|
$39,854.49
|
2026-05-24
|
|
7800141-CH
|
OTHER
|
Dfbr Crd Cntk Rnwl 3he Atr Vntrc Bilat 2 Wrnch Bip
|
44
|
12
|
$52,750.00
|
$15,825.00
70% off
|
$4,847.72
|
$52,750.00
|
$39,931.74
|
2026-05-24
|
|
7800113-CH
|
OTHER
|
Dfbr Crd 30j Prmte Rf 1 2 Chmbr Impl Crt-d
|
44
|
12
|
$52,750.00
|
$15,825.00
70% off
|
$4,847.72
|
$52,750.00
|
$39,931.74
|
2026-05-24
|
|
7800142-CH
|
OTHER
|
Dfbr Crd Thk11.5mm 63x82.6mm Cntk Rnwl 3he Vntrc I
|
44
|
12
|
$52,750.00
|
$15,825.00
70% off
|
$4,847.72
|
$52,750.00
|
$39,931.74
|
2026-05-24
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$22,313.40
|
$102,907.60
|
$40,217.49
|
2026-05-24
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
48
|
16
|
—
|
—
|
$8,858.49
|
$99,981.58
|
$40,239.08
|
2026-05-24
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$6,319.41
|
$54,815.89
|
$40,454.72
|
2026-05-24
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
48
|
16
|
—
|
—
|
$13,562.98
|
$67,529.36
|
$40,609.61
|
2026-05-24
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
48
|
16
|
—
|
—
|
$23,047.17
|
$112,790.73
|
$40,625.40
|
2026-05-24
|
|
8502293-CH
|
OTHER
|
Dfbr Crd MRI Surscn Vntrc 1 Chmbr Ev4 Lf Strl
|
44
|
12
|
$53,750.00
|
$16,125.00
70% off
|
$4,939.63
|
$53,750.00
|
$40,688.75
|
2026-05-24
|
|
598
|
OTHER
|
Malignant Breast Disorders With Cc
|
48
|
16
|
—
|
—
|
$5,430.58
|
$96,452.26
|
$40,716.87
|
2026-05-24
|
|
8648861-CH
|
OTHER
|
Gntr Nrstm Inspr 1 Trq Hex Wrnch Ld Cnct Port Insp
|
44
|
12
|
$54,000.00
|
$16,200.00
70% off
|
$4,962.60
|
$54,000.00
|
$40,878.00
|
2026-05-24
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
48
|
16
|
—
|
—
|
$7,673.26
|
$64,056.51
|
$40,948.85
|
2026-05-24
|
|
8714449-CH
|
OTHER
|
Revsc Ev Fpvt Athrc Uni Cplx Les 1st Vsl 37273
|
48
|
12
|
$52,316.00
|
$15,694.80
70% off
|
$4,807.84
|
$52,316.00
|
$40,992.20
|
2026-05-24
|
|
327
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
48
|
16
|
—
|
—
|
$13,056.79
|
$114,724.87
|
$41,080.64
|
2026-05-24
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
48
|
16
|
—
|
—
|
$21,237.25
|
$77,252.57
|
$41,100.32
|
2026-05-24
|
|
7661156-PHARM
|
OTHER
|
Porfimer Sodium 75 Mg Inj 2.5 Mg/ml 30 Ml
|
52
|
15
|
$52,600.00
|
$15,780.00
70% off
|
$4,833.94
|
$52,600.00
|
$41,214.73
|
2026-05-24
|
|
7857717-CH
|
OTHER
|
Ir Kyphoplasty 4 Levels - Proc
|
46
|
12
|
$52,989.00
|
$15,896.70
70% off
|
$4,869.69
|
$52,989.00
|
$41,241.34
|
2026-05-24
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
48
|
16
|
—
|
—
|
$24,691.84
|
$124,722.36
|
$41,407.14
|
2026-05-24
|
|
263
|
OTHER
|
Vein Ligation And Stripping
|
48
|
16
|
—
|
—
|
$11,774.06
|
$148,513.58
|
$41,428.23
|
2026-05-24
|
|
7798210-CH
|
OTHER
|
Generator Quadra Assura Icd Df4 Connector Lf Cd32
|
44
|
12
|
$55,000.00
|
$16,500.00
70% off
|
$5,054.50
|
$55,000.00
|
$41,635.00
|
2026-05-24
|
|
7906623-CH
|
OTHER
|
Dfbr Crd Eblm MRI S-icd
|
44
|
12
|
$55,000.00
|
$16,500.00
70% off
|
$5,054.50
|
$55,000.00
|
$41,635.00
|
2026-05-24
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
48
|
16
|
—
|
—
|
$10,568.35
|
$241,190.53
|
$41,730.07
|
2026-05-24
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
26
|
9
|
—
|
—
|
$3,894.34
|
$59,729.43
|
$42,030.17
|
2026-05-24
|
|
745
|
OTHER
|
D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc
|
48
|
16
|
—
|
—
|
$7,964.32
|
$129,546.59
|
$42,164.07
|
2026-05-24
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
48
|
16
|
—
|
—
|
$7,470.94
|
$79,493.84
|
$42,292.73
|
2026-05-24
|
|
8714445-CH
|
OTHER
|
Revsc Ev Fpvt St Plmt Uni Cplx Les 1st Vsl 37269
|
48
|
12
|
$54,216.00
|
$16,264.80
70% off
|
$4,982.45
|
$54,216.00
|
$42,480.94
|
2026-05-24
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
48
|
16
|
—
|
—
|
$19,980.45
|
$249,378.89
|
$42,676.20
|
2026-05-24
|
|
7831429-CH
|
OTHER
|
Tavr Transapical Exposure
|
48
|
12
|
$55,014.00
|
$16,504.20
70% off
|
$5,055.79
|
$55,014.00
|
$43,106.22
|
2026-05-24
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
48
|
16
|
—
|
—
|
$14,141.66
|
$71,699.46
|
$43,127.35
|
2026-05-24
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
48
|
16
|
—
|
—
|
$11,715.94
|
$81,088.20
|
$43,140.97
|
2026-05-24
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
48
|
16
|
—
|
—
|
$9,923.33
|
$207,603.65
|
$43,227.90
|
2026-05-24
|
|
509
|
OTHER
|
Arthroscopy
|
40
|
14
|
—
|
—
|
$7,680.01
|
$72,568.18
|
$43,326.33
|
2026-05-24
|
|
7838500-CH
|
OTHER
|
Nrstm Impl Chrnc Pain Rs2
|
44
|
12
|
$57,375.00
|
$17,212.50
70% off
|
$5,272.76
|
$57,375.00
|
$43,432.88
|
2026-05-24
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
48
|
16
|
—
|
—
|
$24,943.90
|
$66,178.68
|
$43,463.18
|
2026-05-24
|
|
7799644-CH
|
OTHER
|
Dfbr Crd Thk15mm 51x68mm Intrnsic Atr Vntrc Impl 2
|
44
|
12
|
$57,500.00
|
$17,250.00
70% off
|
$5,284.25
|
$57,500.00
|
$43,527.50
|
2026-05-24
|
|
7812571-CH
|
OTHER
|
Dfbr Crd Thk14mm 51x73mm Insc Mrq Impl 2 Chmbr Df-
|
44
|
12
|
$57,500.00
|
$17,250.00
70% off
|
$5,284.25
|
$57,500.00
|
$43,527.50
|
2026-05-24
|
|
7812625-CH
|
OTHER
|
Dfbr Crd Insc Mrq Rsyn Thrp
|
44
|
12
|
$57,500.00
|
$17,250.00
70% off
|
$5,284.25
|
$57,500.00
|
$43,527.50
|
2026-05-24
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
48
|
16
|
—
|
—
|
$10,262.05
|
$76,056.11
|
$43,708.77
|
2026-05-24
|
|
8714451-CH
|
OTHER
|
Revsc Ev Fpvt St Athrc Uni Sf Les 1st Vsl 37275
|
48
|
12
|
$55,982.00
|
$16,794.60
70% off
|
$5,144.75
|
$55,982.00
|
$43,864.69
|
2026-05-24
|
|
7798220-CH
|
OTHER
|
Dfbr Crd Thk14mm 40j 41x76mm Qd Asr Mp Vntrc Df-4
|
44
|
12
|
$58,080.00
|
$17,424.00
70% off
|
$5,337.55
|
$58,080.00
|
$43,966.56
|
2026-05-24
|
|
7798218-CH
|
OTHER
|
Dfbr Crd 40j Qd Asr Mp Parylne Rf Telem Df-1 Is-1
|
44
|
12
|
$58,080.00
|
$17,424.00
70% off
|
$5,337.55
|
$58,080.00
|
$43,966.56
|
2026-05-24
|
|
8448473-CH
|
OTHER
|
Kit Alpha Ipg Charge System Rc
|
48
|
12
|
$56,250.00
|
$16,875.00
70% off
|
$5,169.38
|
$56,250.00
|
$44,074.69
|
2026-05-24
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
48
|
16
|
—
|
—
|
$10,040.73
|
$112,097.28
|
$44,075.93
|
2026-05-24
|
|
7799673-CH
|
OTHER
|
Defibrillator Cardoiverter Implantable Dual Chambe
|
44
|
12
|
$58,250.00
|
$17,475.00
70% off
|
$5,353.18
|
$58,250.00
|
$44,095.24
|
2026-05-24
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
48
|
16
|
—
|
—
|
$7,469.13
|
$72,623.85
|
$44,099.16
|
2026-05-24
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
48
|
16
|
—
|
—
|
$7,437.75
|
$86,286.73
|
$44,706.36
|
2026-05-24
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
48
|
16
|
—
|
—
|
$13,469.12
|
$88,087.07
|
$44,955.33
|
2026-05-24
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,057.44
|
$55,170.98
|
$45,147.89
|
2026-05-24
|
|
8722149-PHARM
|
OTHER
|
Risankizumab Rzaa 360 Mg/2.4 Ml Soln Inj Cartridge
|
48
|
12
|
$57,658.80
|
$17,297.64
70% off
|
$5,298.84
|
$57,658.80
|
$45,178.55
|
2026-05-24
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
48
|
16
|
—
|
—
|
$5,265.38
|
$114,197.40
|
$45,288.95
|
2026-05-24
|
|
7580103-CH
|
OTHER
|
Generator Insync Ii Marquis 7289
|
44
|
12
|
$60,000.00
|
$18,000.00
70% off
|
$5,514.00
|
$60,000.00
|
$45,420.00
|
2026-05-24
|
|
7801501-CH
|
OTHER
|
System Generator For G146 Crt-d Inogen X4 Lf 8fa
|
44
|
12
|
$60,363.00
|
$18,108.90
70% off
|
$5,547.36
|
$60,363.00
|
$45,694.79
|
2026-05-24
|
|
8613818-CH
|
OTHER
|
Dfbr Crd Gallant Hf Crt-d 74g 37cc Rsyn Strl
|
44
|
12
|
$60,580.00
|
$18,174.00
70% off
|
$5,567.30
|
$60,580.00
|
$45,859.06
|
2026-05-24
|
|
8497022-CH
|
OTHER
|
Dfbr Crd Gallant Hf Lf Rsyn Strl
|
44
|
12
|
$60,580.00
|
$18,174.00
70% off
|
$5,567.30
|
$60,580.00
|
$45,859.06
|
2026-05-24
|
|
8613817-CH
|
OTHER
|
Dfbr Crd Gallant Hf Crt-d 73g 34cc Rsyn Strl
|
44
|
12
|
$60,580.00
|
$18,174.00
70% off
|
$5,567.30
|
$60,580.00
|
$45,859.06
|
2026-05-24
|
|
8641717-CH
|
OTHER
|
Dfbr Crd Thk12mm 51x74mm Gallant Hf Df4 Is-4 Is-1
|
44
|
12
|
$60,808.00
|
$18,242.40
70% off
|
$5,588.26
|
$60,808.00
|
$46,031.66
|
2026-05-24
|
|
908
|
OTHER
|
Other O.r. Procedures For Injuries With Cc
|
48
|
16
|
—
|
—
|
$9,863.11
|
$131,643.33
|
$46,062.83
|
2026-05-24
|
|
7802199-CH
|
OTHER
|
Dfbr Crd Claria MRI Qdpl
|
44
|
12
|
$60,931.00
|
$18,279.30
70% off
|
$5,599.56
|
$60,931.00
|
$46,124.77
|
2026-05-24
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,972.21
|
$94,237.97
|
$46,291.94
|
2026-05-24
|
|
7800789-CH
|
OTHER
|
System Generator Crt-d Incepta Rf He Df4 Lf 8c6c
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7800791-CH
|
OTHER
|
System Generator Crt-d Incepta Rf He Lf 8c4c
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7801143-CH
|
OTHER
|
System Generator Viva Quad Xt Crt-d Lf Vivaquadxt
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7801044-CH
|
OTHER
|
System Energen Crt-d He Df4 3ld Lf 8e5c
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7800790-CH
|
OTHER
|
System Generator Crt-d Incepta Rf He Lf 8c5c
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7800792-CH
|
OTHER
|
System Generator Crt-d Incepta Rf He Lf 8e4c
|
44
|
12
|
$61,250.00
|
$18,375.00
70% off
|
$5,628.88
|
$61,250.00
|
$46,366.25
|
2026-05-24
|
|
7798206-CH
|
OTHER
|
Generator Crt-d Biventricular Unify Quadra Lf Cd3
|
44
|
12
|
$61,563.00
|
$18,468.90
70% off
|
$5,657.64
|
$61,563.00
|
$46,603.19
|
2026-05-24
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
48
|
16
|
—
|
—
|
$7,042.62
|
$83,870.07
|
$46,616.93
|
2026-05-24
|
|
213
|
OTHER
|
Splenic Procedures Age 0-17
|
2
|
1
|
—
|
—
|
$46,627.70
|
$46,627.70
|
$46,627.70
|
2026-05-24
|
|
8525881-CH
|
OTHER
|
Ir Ivc Litho W-athrctmy And/or Stent Plc - Proc
|
46
|
12
|
$60,267.00
|
$18,080.10
70% off
|
$5,538.54
|
$60,267.00
|
$46,905.81
|
2026-05-24
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
48
|
16
|
—
|
—
|
$11,473.36
|
$196,904.80
|
$46,942.61
|
2026-05-24
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,844.19
|
$279,504.36
|
$47,266.99
|
2026-05-24
|
|
8481119-CH
|
OTHER
|
Kit Set Vntrc Ast 17.4x13.8in Implla Cp 9.13in 10-
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
8617873-CH
|
OTHER
|
Gntr Nrstm Eterna Nrpls Scs Sys
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
8475951-CH
|
OTHER
|
Set Vntrc Ast Implla Rp Flx Ast
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
8448488-CH
|
OTHER
|
Set Vntrc Ast Rp Smrt Ast Lf
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
7906741-CH
|
OTHER
|
Set Vntrc Ast Implla Rp Rt Hrt Pmp Strl Lf Disp
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
8716128-CH
|
OTHER
|
Impella Rp Kit C1889
|
44
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$47,312.50
|
2026-05-24
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
48
|
16
|
—
|
—
|
$12,771.76
|
$104,966.78
|
$47,337.50
|
2026-05-24
|
|
7919041-CH
|
OTHER
|
Transcatheter Mitral Valve Repair: Initial Prosthe
|
48
|
12
|
$60,449.00
|
$18,134.70
70% off
|
$5,555.26
|
$60,449.00
|
$47,364.82
|
2026-05-24
|
|
7801015-CH
|
OTHER
|
System Generator Viva Xt Crt-d Lf Vivaxtcrtd
|
44
|
12
|
$62,773.00
|
$18,831.90
70% off
|
$5,768.84
|
$62,773.00
|
$47,519.17
|
2026-05-24
|
|
7559259-CH
|
OTHER
|
Set Plate Lcp Cndyl Lck Scrw Nstrl
|
44
|
12
|
$62,962.00
|
$18,888.60
70% off
|
$5,786.21
|
$62,962.00
|
$47,662.23
|
2026-05-24
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
48
|
16
|
—
|
—
|
$8,679.54
|
$67,395.91
|
$47,684.45
|
2026-05-24
|
|
7951809-CH
|
OTHER
|
System Cobalt Xt MRI Crt-d W Peforma Lv Lead
|
44
|
12
|
$63,030.00
|
$18,909.00
70% off
|
$5,792.46
|
$63,030.00
|
$47,713.71
|
2026-05-24
|
|
7801605-CH
|
OTHER
|
Dfbr Crd Amplia MRI
|
44
|
12
|
$63,500.00
|
$19,050.00
70% off
|
$5,835.65
|
$63,500.00
|
$48,069.50
|
2026-05-24
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
48
|
16
|
—
|
—
|
$17,830.48
|
$79,970.97
|
$48,091.53
|
2026-05-24
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
48
|
16
|
—
|
—
|
$4,235.74
|
$128,166.06
|
$48,188.40
|
2026-05-24
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
48
|
16
|
—
|
—
|
$13,540.98
|
$89,147.76
|
$48,276.11
|
2026-05-24
|
|
7951808-CH
|
OTHER
|
System Cobalt Xt MRI Crt-d W Stabitilty Lv Lead
|
44
|
12
|
$63,927.00
|
$19,178.10
70% off
|
$5,874.89
|
$63,927.00
|
$48,392.74
|
2026-05-24
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
48
|
16
|
—
|
—
|
$11,193.06
|
$91,038.94
|
$48,435.01
|
2026-05-24
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
48
|
16
|
—
|
—
|
$14,805.55
|
$91,250.33
|
$48,547.48
|
2026-05-24
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,366.09
|
$108,750.23
|
$48,561.24
|
2026-05-24
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
48
|
16
|
—
|
—
|
$9,555.63
|
$90,491.72
|
$48,630.06
|
2026-05-24
|
|
7566625-CH
|
OTHER
|
Kit Cath 4.7mmx75mm Od 14fr Implla Cp Vntrc Ast IV
|
48
|
12
|
$62,500.00
|
$18,750.00
70% off
|
$5,743.75
|
$62,500.00
|
$48,971.88
|
2026-05-24
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
48
|
16
|
—
|
—
|
$8,589.62
|
$92,342.95
|
$49,128.78
|
2026-05-24
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
48
|
16
|
—
|
—
|
$8,097.92
|
$92,414.27
|
$49,166.72
|
2026-05-24
|
|
7800494-CH
|
OTHER
|
System Protecta Xt Crt-d Lf Protectaxtcrtdmmpm
|
44
|
12
|
$64,998.00
|
$19,499.40
70% off
|
$5,973.32
|
$64,998.00
|
$49,203.49
|
2026-05-24
|
|
7801088-CH
|
OTHER
|
System Generator Quadra Assura Icd Df4 Connector L
|
44
|
12
|
$65,000.00
|
$19,500.00
70% off
|
$5,973.50
|
$65,000.00
|
$49,205.00
|
2026-05-24
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$8,270.59
|
$167,239.04
|
$49,213.53
|
2026-05-24
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,149.19
|
$175,938.84
|
$49,232.67
|
2026-05-24
|
|
8497023-CH
|
OTHER
|
Dfbr Crd Entrant Hf Lf Rsyn Strl
|
44
|
12
|
$65,050.00
|
$19,515.00
70% off
|
$5,978.09
|
$65,050.00
|
$49,242.85
|
2026-05-24
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
48
|
16
|
—
|
—
|
$26,167.08
|
$111,444.13
|
$49,253.11
|
2026-05-24
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
48
|
16
|
—
|
—
|
$13,613.28
|
$86,869.34
|
$49,520.19
|
2026-05-24
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
48
|
16
|
—
|
—
|
$20,323.88
|
$93,550.18
|
$49,771.06
|
2026-05-24
|
|
7951810-CH
|
OTHER
|
System Cobalt Xt MRI Crt-d W Attain Lv Lead
|
44
|
12
|
$65,777.00
|
$19,733.10
70% off
|
$6,044.91
|
$65,777.00
|
$49,793.19
|
2026-05-24
|
|
8617880-CH
|
OTHER
|
Cntrlr Nrstm Proclaim + 5 Pat
|
48
|
12
|
$63,750.00
|
$19,125.00
70% off
|
$5,858.63
|
$63,750.00
|
$49,951.32
|
2026-05-24
|
|
333
|
OTHER
|
Rectal Resection With Cc
|
48
|
16
|
—
|
—
|
$13,094.98
|
$115,380.38
|
$50,438.25
|
2026-05-24
|
|
7798216-CH
|
OTHER
|
Dfbr Crd Thk14mm 40j 41x76mm Qd Asr Crt-d 2 Chmbr
|
44
|
12
|
$66,688.00
|
$20,006.40
70% off
|
$6,128.63
|
$66,688.00
|
$50,482.82
|
2026-05-24
|
|
7801116-CH
|
OTHER
|
Dfbr Crd Thk14mm 40j 41x76mm Qd Asr Crt-d 2 Chmbr
|
44
|
12
|
$66,688.00
|
$20,006.40
70% off
|
$6,128.63
|
$66,688.00
|
$50,482.82
|
2026-05-24
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$26,169.88
|
$271,269.18
|
$50,512.01
|
2026-05-24
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
40
|
14
|
—
|
—
|
$23,604.57
|
$95,368.54
|
$50,724.25
|
2026-05-24
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
48
|
16
|
—
|
—
|
$12,325.77
|
$940,928.77
|
$50,730.29
|
2026-05-24
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,030.59
|
$95,422.16
|
$50,766.99
|
2026-05-24
|
|
7800260-CH
|
OTHER
|
System Insync Maximo Classic Ismaximommam
|
44
|
12
|
$67,315.00
|
$20,194.50
70% off
|
$6,186.25
|
$67,315.00
|
$50,957.46
|
2026-05-24
|
|
7905830-CH
|
OTHER
|
Nrstm Impl 47.2x57.1mm Intellis Adaptivestim Snaps
|
44
|
12
|
$67,500.00
|
$20,250.00
70% off
|
$6,203.25
|
$67,500.00
|
$51,097.50
|
2026-05-24
|
|
7800116-CH
|
OTHER
|
Dfbr Crd Prmte Rf Impl Invisilnk Wrls Telem
|
44
|
12
|
$67,750.00
|
$20,325.00
70% off
|
$6,226.22
|
$67,750.00
|
$51,286.74
|
2026-05-24
|
|
7800117-CH
|
OTHER
|
Icd Bi Vent Promote Rf 36 W Durata 3207-36 Durata
|
44
|
12
|
$67,750.00
|
$20,325.00
70% off
|
$6,226.22
|
$67,750.00
|
$51,286.74
|
2026-05-24
|
|
7800114-CH
|
OTHER
|
Dfbr Crd 30j Prmte Rf 1 2 Chmbr Impl Crt-d (syst)
|
44
|
12
|
$67,750.00
|
$20,325.00
70% off
|
$6,226.22
|
$67,750.00
|
$51,286.74
|
2026-05-24
|
|
432
|
OTHER
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
48
|
16
|
—
|
—
|
$5,884.30
|
$127,685.80
|
$51,299.79
|
2026-05-24
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
48
|
16
|
—
|
—
|
$7,844.27
|
$85,791.09
|
$51,591.53
|
2026-05-24
|
|
8448482-CH
|
OTHER
|
Kit Alpha Ipg Charge System Rc Artisian
|
48
|
12
|
$66,250.00
|
$19,875.00
70% off
|
$6,088.38
|
$66,250.00
|
$51,910.19
|
2026-05-24
|
|
7801615-CH
|
OTHER
|
Sys Crd 41x75mm Qd Asr Mp Thk14mm 40j Pcmkr Ld Df-
|
44
|
12
|
$68,750.00
|
$20,625.00
70% off
|
$6,318.13
|
$68,750.00
|
$52,043.75
|
2026-05-24
|
|
7801614-CH
|
OTHER
|
Sys Crd Qd Asr Mp 40j Parylne Pcmkr Ld Df-1 Is-1 I
|
44
|
12
|
$68,750.00
|
$20,625.00
70% off
|
$6,318.13
|
$68,750.00
|
$52,043.75
|
2026-05-24
|
|
7800115-CH
|
OTHER
|
Icd Bi Vent Promote Rf 30 W Durata 3207-30 Durata
|
44
|
12
|
$69,000.00
|
$20,700.00
70% off
|
$6,341.10
|
$69,000.00
|
$52,233.00
|
2026-05-24
|
|
8714429-CH
|
OTHER
|
Bpg Oth/thn Vein Carotd-contraltrl Crtd 35602
|
48
|
12
|
$66,708.00
|
$20,012.40
70% off
|
$6,130.47
|
$66,708.00
|
$52,269.05
|
2026-05-24
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
48
|
16
|
—
|
—
|
$13,695.98
|
$99,181.38
|
$52,766.99
|
2026-05-24
|
|
8683068-CH
|
OTHER
|
Unlisted -lampoon Procedure-33999
|
52
|
14
|
$69,731.00
|
$20,919.30
70% off
|
$8,521.59
|
$69,731.00
|
$52,786.37
|
2026-05-24
|
|
7834957-CH
|
OTHER
|
Leadless Pacemaker Supply C1786(mc1vr01)
|
44
|
12
|
$69,811.00
|
$20,943.30
70% off
|
$6,415.63
|
$69,811.00
|
$52,846.93
|
2026-05-24
|
|
7811956-CH
|
OTHER
|
Left Atrial Appendage Closure Device
|
44
|
12
|
$69,811.00
|
$20,943.30
70% off
|
$6,415.63
|
$69,811.00
|
$52,846.93
|
2026-05-24
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
48
|
16
|
—
|
—
|
$16,603.55
|
$240,738.10
|
$52,904.82
|
2026-05-24
|
|
896
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
48
|
16
|
—
|
—
|
$5,215.30
|
$93,718.71
|
$52,968.60
|
2026-05-24
|
|
8716130-CH
|
OTHER
|
Impella Rp Flex C1889
|
44
|
12
|
$70,000.00
|
$21,000.00
70% off
|
$6,433.00
|
$70,000.00
|
$52,990.00
|
2026-05-24
|
|
8716127-CH
|
OTHER
|
Impella Cp Kit C1889
|
44
|
12
|
$70,000.00
|
$21,000.00
70% off
|
$6,433.00
|
$70,000.00
|
$52,990.00
|
2026-05-24
|
|
7800261-CH
|
OTHER
|
Dfbr Crd Mxmo Ii Atn Dev Rsyn Thrp
|
44
|
12
|
$70,688.00
|
$21,206.40
70% off
|
$6,496.23
|
$70,688.00
|
$53,510.82
|
2026-05-24
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
48
|
16
|
—
|
—
|
$14,054.36
|
$70,708.36
|
$53,577.25
|
2026-05-24
|
|
8448483-CH
|
OTHER
|
Kit Alpha Ipg Charge System Rc Coveredge
|
48
|
12
|
$68,750.00
|
$20,625.00
70% off
|
$6,318.13
|
$68,750.00
|
$53,869.07
|
2026-05-24
|
|
8448471-CH
|
OTHER
|
Kit Alpha Ipg Charge System Rc Artisan MRI
|
48
|
12
|
$68,750.00
|
$20,625.00
70% off
|
$6,318.13
|
$68,750.00
|
$53,869.07
|
2026-05-24
|
|
8641716-CH
|
OTHER
|
Sys Dfbr Crd Thk12mm 51x74mm Gallant Hf Df4 Is-4 I
|
44
|
12
|
$71,250.00
|
$21,375.00
70% off
|
$6,547.88
|
$71,250.00
|
$53,936.25
|
2026-05-24
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
48
|
16
|
—
|
—
|
$27,541.49
|
$199,673.98
|
$54,504.56
|
2026-05-24
|
|
7894770-CH
|
OTHER
|
Repair Of Cardiac Wound Without Bypass
|
48
|
12
|
$69,731.00
|
$20,919.30
70% off
|
$6,408.28
|
$69,731.00
|
$54,637.72
|
2026-05-24
|
|
318
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$54,820.48
|
$54,820.48
|
$54,820.48
|
2026-05-24
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
16
|
—
|
—
|
$25,008.43
|
$66,078.74
|
$54,902.08
|
2026-05-24
|
|
7800231-CH
|
OTHER
|
System Maximo Ii Crt-d Premium Maxiicrtfmmpm
|
44
|
12
|
$72,550.00
|
$21,765.00
70% off
|
$6,667.34
|
$72,550.00
|
$54,920.35
|
2026-05-24
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,067.95
|
$111,279.18
|
$55,554.41
|
2026-05-24
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
48
|
16
|
—
|
—
|
$13,402.90
|
$171,841.08
|
$55,562.28
|
2026-05-24
|
|
7800029-CH
|
OTHER
|
Dfbr Crd Thk15mm 51x73mm Insc Sn Impl 2 Chmbr Opti
|
44
|
12
|
$73,648.00
|
$22,094.40
70% off
|
$6,768.25
|
$73,648.00
|
$55,751.54
|
2026-05-24
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
48
|
16
|
—
|
—
|
$11,686.40
|
$92,960.47
|
$55,770.76
|
2026-05-24
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
48
|
16
|
—
|
—
|
$8,108.36
|
$220,421.32
|
$55,784.46
|
2026-05-24
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
48
|
16
|
—
|
—
|
$5,371.98
|
$116,717.82
|
$55,797.85
|
2026-05-24
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
48
|
16
|
—
|
—
|
$9,109.72
|
$65,838.55
|
$55,854.42
|
2026-05-24
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
48
|
16
|
—
|
—
|
$17,039.73
|
$150,691.55
|
$55,901.14
|
2026-05-24
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
48
|
16
|
—
|
—
|
$17,352.67
|
$93,269.14
|
$56,088.55
|
2026-05-24
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
48
|
16
|
—
|
—
|
$23,876.85
|
$70,317.29
|
$56,186.55
|
2026-05-24
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$14,150.85
|
$109,180.67
|
$56,273.77
|
2026-05-24
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$8,288.02
|
$156,782.38
|
$56,627.26
|
2026-05-24
|
|
7923551-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 3 Cds0601 Xtr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923552-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 1 Cds0601 Ntr 1
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923609-CH
|
OTHER
|
System Valve Mitral Mitraclip G4 Clip Guide Cathet
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923549-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 1 Cds0601 Xtr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923554-CH
|
OTHER
|
Valve Mitral Mitraclip Bundle 1 Sgc0301 1 Cds0601
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923548-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 3 Cds0601 Ntr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923553-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 2 Cds0601 Ntr 1
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923550-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 2 Cds0601 Xtr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923546-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 1 Cds0601 Ntr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
7923547-CH
|
OTHER
|
Valve Mtrl Mitraclip Bndl Sgc0301 2 Cds0601 Ntr
|
44
|
12
|
$75,000.00
|
$22,500.00
70% off
|
$6,892.50
|
$75,000.00
|
$56,775.00
|
2026-05-24
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,125.83
|
$107,010.55
|
$56,932.31
|
2026-05-24
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
48
|
16
|
—
|
—
|
$9,240.07
|
$107,377.31
|
$57,127.43
|
2026-05-24
|
|
8689377-PHARM
|
OTHER
|
Nadofaragene Firadenovec Vncg Intravesical Suspens
|
44
|
12
|
$76,125.00
|
$22,837.50
70% off
|
$6,995.89
|
$76,125.00
|
$57,626.62
|
2026-05-24
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
48
|
16
|
—
|
—
|
$20,206.26
|
$239,262.55
|
$57,779.55
|
2026-05-24
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
48
|
16
|
—
|
—
|
$4,207.59
|
$108,632.93
|
$57,795.45
|
2026-05-24
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
48
|
16
|
—
|
—
|
$5,188.48
|
$115,092.55
|
$58,165.61
|
2026-05-24
|
|
652
|
OTHER
|
Kidney Transplant
|
46
|
15
|
—
|
—
|
$16,890.84
|
$94,344.24
|
$58,477.96
|
2026-05-24
|
|
8714453-CH
|
OTHER
|
Revsc Ev Fpvt St Athrc Uni Cpx Les 1st Vsl 37277
|
48
|
12
|
$74,643.00
|
$22,392.90
70% off
|
$6,859.69
|
$74,643.00
|
$58,486.53
|
2026-05-24
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
48
|
16
|
—
|
—
|
$7,447.28
|
$122,577.40
|
$59,261.74
|
2026-05-24
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
48
|
16
|
—
|
—
|
$10,010.49
|
$76,934.47
|
$59,501.09
|
2026-05-24
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
48
|
16
|
—
|
—
|
$6,347.50
|
$72,082.33
|
$59,853.28
|
2026-05-24
|
|
7800827-CH
|
OTHER
|
System Generator Crt-d Biventricular Unify Quadra
|
44
|
12
|
$79,350.00
|
$23,805.00
70% off
|
$7,292.26
|
$79,350.00
|
$60,067.94
|
2026-05-24
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,591.25
|
$112,847.54
|
$60,394.87
|
2026-05-24
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
48
|
16
|
—
|
—
|
$10,257.59
|
$113,619.83
|
$60,461.52
|
2026-05-24
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
48
|
16
|
—
|
—
|
$14,765.92
|
$188,682.47
|
$60,526.32
|
2026-05-24
|
|
8712355-CH
|
OTHER
|
Graft Stnt 15mm 34mm 8mm Gore Tag Thor Aor 24fr In
|
44
|
12
|
$80,000.00
|
$24,000.00
70% off
|
$7,352.00
|
$80,000.00
|
$60,560.00
|
2026-05-24
|
|
8631157-CH
|
OTHER
|
Stent Eprsth Thor Aorta 20mm 28mm 22fr 8mm Gore Ta
|
44
|
12
|
$80,000.00
|
$24,000.00
70% off
|
$7,352.00
|
$80,000.00
|
$60,560.00
|
2026-05-24
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
40
|
14
|
—
|
—
|
$20,471.18
|
$94,256.28
|
$61,418.78
|
2026-05-24
|
|
7801969-CH
|
OTHER
|
Kit Aor Vlv 14fr Cmndr Spien 3 Atrion 23mm Trnscat
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7801968-CH
|
OTHER
|
Kit Aor Vlv 14fr Cmndr Spien 3 20mm Trnscathter In
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7923543-CH
|
OTHER
|
Valve Aor 20mm Spien 3 Cmndr Edwrd Trnscathter Ult
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7801970-CH
|
OTHER
|
Kit Aor Vlv 14fr Cmndr Spien 3 Atrion 26mm Trnscat
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7923544-CH
|
OTHER
|
Sys Dlv 23mm Spien 3 Ult Vlv Cmndr Strl Lf Disp
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7923545-CH
|
OTHER
|
Sys Dlv 26mm Spien 3 Ult Vlv Cmndr Strl Lf Disp
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
7801971-CH
|
OTHER
|
Kit Aor Vlv Cmndr Spien 3 Atrion 29mm Trnscathter
|
44
|
12
|
$81,250.00
|
$24,375.00
70% off
|
$7,466.88
|
$81,250.00
|
$61,506.25
|
2026-05-24
|
|
849
|
OTHER
|
Radiotherapy
|
48
|
16
|
—
|
—
|
$6,485.45
|
$141,729.12
|
$61,663.21
|
2026-05-24
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
48
|
16
|
—
|
—
|
$5,909.71
|
$116,770.27
|
$62,124.73
|
2026-05-24
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,653.72
|
$270,564.31
|
$62,283.27
|
2026-05-24
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
48
|
16
|
—
|
—
|
$4,793.06
|
$285,801.75
|
$62,345.11
|
2026-05-24
|
|
8700125-CH
|
OTHER
|
Sys Dlv Mitraclip G5
|
44
|
12
|
$82,500.00
|
$24,750.00
70% off
|
$7,581.75
|
$82,500.00
|
$62,452.50
|
2026-05-24
|
|
8714510-CH
|
OTHER
|
Mitraclip G5 C1889
|
44
|
12
|
$82,500.00
|
$24,750.00
70% off
|
$7,581.75
|
$82,500.00
|
$62,452.50
|
2026-05-24
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
48
|
16
|
—
|
—
|
$8,178.62
|
$116,514.88
|
$62,546.21
|
2026-05-24
|
|
7831456-CH
|
OTHER
|
Subq Icd
|
44
|
12
|
$83,386.00
|
$25,015.80
70% off
|
$7,663.17
|
$83,386.00
|
$63,123.20
|
2026-05-24
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
48
|
16
|
—
|
—
|
$10,969.04
|
$119,138.89
|
$63,384.89
|
2026-05-24
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
48
|
16
|
—
|
—
|
$12,688.56
|
$124,048.93
|
$64,186.46
|
2026-05-24
|
|
8428745-CH
|
OTHER
|
Valve Aor 29mm Spien 3 Ult Resilia
|
44
|
12
|
$85,000.00
|
$25,500.00
70% off
|
$7,811.50
|
$85,000.00
|
$64,345.00
|
2026-05-24
|
|
8428743-CH
|
OTHER
|
Valve Aor 23mm Spien 3 Ult Resilia
|
44
|
12
|
$85,000.00
|
$25,500.00
70% off
|
$7,811.50
|
$85,000.00
|
$64,345.00
|
2026-05-24
|
|
8428742-CH
|
OTHER
|
Valve Aor 20mm Spien 3 Ult Resilia
|
44
|
12
|
$85,000.00
|
$25,500.00
70% off
|
$7,811.50
|
$85,000.00
|
$64,345.00
|
2026-05-24
|
|
8428744-CH
|
OTHER
|
Valve Aor 26mm Spien 3 Ult Resilia
|
44
|
12
|
$85,000.00
|
$25,500.00
70% off
|
$7,811.50
|
$85,000.00
|
$64,345.00
|
2026-05-24
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
48
|
16
|
—
|
—
|
$3,871.14
|
$169,030.85
|
$64,509.56
|
2026-05-24
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
48
|
16
|
—
|
—
|
$3,544.02
|
$126,038.46
|
$65,279.30
|
2026-05-24
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
16
|
—
|
—
|
$19,214.15
|
$208,324.17
|
$65,559.57
|
2026-05-24
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
16
|
—
|
—
|
$25,088.21
|
$118,899.24
|
$65,928.07
|
2026-05-24
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
48
|
16
|
—
|
—
|
$11,959.55
|
$125,350.78
|
$66,689.77
|
2026-05-24
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
48
|
16
|
—
|
—
|
$6,585.42
|
$154,625.02
|
$66,716.19
|
2026-05-24
|
|
347
|
OTHER
|
Anal And Stomal Procedures With Mcc
|
48
|
16
|
—
|
—
|
$7,403.51
|
$157,113.39
|
$67,117.27
|
2026-05-24
|
|
8714513-CH
|
OTHER
|
Triclip G5 C1889
|
44
|
12
|
$90,000.00
|
$27,000.00
70% off
|
$8,271.00
|
$90,000.00
|
$68,130.00
|
2026-05-24
|
|
8700138-CH
|
OTHER
|
Cath Gde 3clp G5 Sys 1 Strbl Gde Cath 3 Clip
|
44
|
12
|
$90,000.00
|
$27,000.00
70% off
|
$8,271.00
|
$90,000.00
|
$68,130.00
|
2026-05-24
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
48
|
16
|
—
|
—
|
$13,129.16
|
$207,360.86
|
$68,813.83
|
2026-05-24
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
48
|
16
|
—
|
—
|
$18,027.73
|
$189,903.87
|
$72,146.51
|
2026-05-24
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
48
|
16
|
—
|
—
|
$17,064.90
|
$225,387.30
|
$73,881.23
|
2026-05-24
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
48
|
16
|
—
|
—
|
$11,578.98
|
$138,910.48
|
$73,903.88
|
2026-05-24
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,542.53
|
$139,328.16
|
$74,126.10
|
2026-05-24
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
48
|
16
|
—
|
—
|
$12,940.17
|
$244,998.31
|
$75,915.59
|
2026-05-24
|
|
7919039-CH
|
OTHER
|
Mitral Clip
|
44
|
12
|
$100,507.00
|
$30,152.10
70% off
|
$9,236.59
|
$100,507.00
|
$76,083.80
|
2026-05-24
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
46
|
15
|
—
|
—
|
$7,817.66
|
$120,774.37
|
$77,674.14
|
2026-05-24
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$8,935.59
|
$146,169.44
|
$78,668.63
|
2026-05-24
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
48
|
16
|
—
|
—
|
$10,567.64
|
$152,810.16
|
$79,362.71
|
2026-05-24
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
48
|
16
|
—
|
—
|
$11,770.35
|
$440,875.91
|
$79,683.36
|
2026-05-24
|
|
895
|
OTHER
|
Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy
|
48
|
16
|
—
|
—
|
$1,693.13
|
$150,526.21
|
$80,218.84
|
2026-05-24
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
48
|
16
|
—
|
—
|
$22,246.88
|
$190,459.71
|
$81,000.68
|
2026-05-24
|
|
7686434-CH
|
OTHER
|
Single Chamber Icd
|
44
|
12
|
$107,084.00
|
$32,125.20
70% off
|
$9,841.02
|
$107,084.00
|
$81,062.59
|
2026-05-24
|
|
8648495-PHARM
|
OTHER
|
Guselkumab 200 Mg/20 Ml Inj Soln
|
44
|
12
|
$108,384.00
|
$32,515.20
70% off
|
$9,960.49
|
$108,384.00
|
$82,046.69
|
2026-05-24
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
48
|
16
|
—
|
—
|
$16,565.54
|
$154,408.36
|
$82,149.14
|
2026-05-24
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
48
|
16
|
—
|
—
|
$47,128.47
|
$171,434.39
|
$84,267.54
|
2026-05-24
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
16
|
—
|
—
|
$15,460.42
|
$324,642.29
|
$84,317.95
|
2026-05-24
|
|
7947723-CH
|
OTHER
|
Dev Vntrc Ast Implla 5.5 Smartassist Cath
|
44
|
12
|
$112,500.00
|
$33,750.00
70% off
|
$10,338.75
|
$112,500.00
|
$85,162.50
|
2026-05-24
|
|
8716129-CH
|
OTHER
|
Impella 5.5 Kit C1889
|
44
|
12
|
$112,500.00
|
$33,750.00
70% off
|
$10,338.75
|
$112,500.00
|
$85,162.50
|
2026-05-24
|
|
8476741-CH
|
OTHER
|
Dev Vntrc Ast Implla 5.5 Smartassist Strl Lf Disp
|
44
|
12
|
$112,500.00
|
$33,750.00
70% off
|
$10,338.75
|
$112,500.00
|
$85,162.50
|
2026-05-24
|
|
7686281-CH
|
OTHER
|
Dual Chamber Icd
|
44
|
12
|
$114,660.00
|
$34,398.00
70% off
|
$10,537.25
|
$114,660.00
|
$86,797.62
|
2026-05-24
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
48
|
16
|
—
|
—
|
$14,199.69
|
$145,766.77
|
$87,658.64
|
2026-05-24
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
48
|
16
|
—
|
—
|
$9,706.34
|
$196,766.30
|
$88,290.51
|
2026-05-24
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
48
|
16
|
—
|
—
|
$17,101.59
|
$199,182.50
|
$89,662.08
|
2026-05-24
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
48
|
16
|
—
|
—
|
$9,366.55
|
$202,964.47
|
$90,243.46
|
2026-05-24
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
48
|
16
|
—
|
—
|
$9,224.78
|
$278,305.94
|
$93,655.93
|
2026-05-24
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
40
|
14
|
—
|
—
|
$29,899.78
|
$145,748.98
|
$94,972.18
|
2026-05-24
|
|
7811954-CH
|
OTHER
|
Valve Implant-tavr
|
44
|
12
|
$126,046.00
|
$37,813.80
70% off
|
$11,583.63
|
$126,046.00
|
$95,416.82
|
2026-05-24
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
48
|
16
|
—
|
—
|
$42,908.61
|
$262,823.04
|
$96,266.70
|
2026-05-24
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
46
|
15
|
—
|
—
|
$6,412.41
|
$151,023.53
|
$96,270.46
|
2026-05-24
|
|
7686374-CH
|
OTHER
|
Lvad System (Equipment)
|
44
|
12
|
$132,587.00
|
$39,776.10
70% off
|
$12,184.75
|
$132,587.00
|
$100,368.36
|
2026-05-24
|
|
7841254-CH
|
OTHER
|
Rvad SYSTEM(Equipment)
|
44
|
12
|
$132,587.00
|
$39,776.10
70% off
|
$12,184.75
|
$132,587.00
|
$100,368.36
|
2026-05-24
|
|
7686247-CH
|
OTHER
|
BiV Icd Device
|
44
|
12
|
$133,441.00
|
$40,032.30
70% off
|
$12,263.23
|
$133,441.00
|
$101,014.83
|
2026-05-24
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
16
|
—
|
—
|
$5,824.00
|
$249,158.13
|
$102,301.38
|
2026-05-24
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
48
|
16
|
—
|
—
|
$8,026.49
|
$230,417.55
|
$102,648.40
|
2026-05-24
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
48
|
16
|
—
|
—
|
$17,149.70
|
$221,066.86
|
$103,593.60
|
2026-05-24
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
16
|
—
|
—
|
$16,869.56
|
$195,558.62
|
$104,042.12
|
2026-05-24
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
48
|
16
|
—
|
—
|
$11,599.38
|
$527,127.11
|
$108,074.32
|
2026-05-24
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
48
|
16
|
—
|
—
|
$5,432.62
|
$249,423.18
|
$111,026.61
|
2026-05-24
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
48
|
16
|
—
|
—
|
$8,013.02
|
$148,868.05
|
$112,502.07
|
2026-05-24
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
48
|
16
|
—
|
—
|
$17,410.62
|
$214,026.20
|
$113,867.33
|
2026-05-24
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
48
|
16
|
—
|
—
|
$16,425.84
|
$214,701.12
|
$114,226.41
|
2026-05-24
|
|
10
|
OTHER
|
Pancreas Transplant
|
46
|
15
|
—
|
—
|
$28,209.75
|
$193,817.59
|
$122,029.49
|
2026-05-24
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
48
|
16
|
—
|
—
|
$3,970.82
|
$299,198.11
|
$130,957.03
|
2026-05-24
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
48
|
16
|
—
|
—
|
$8,473.94
|
$502,548.64
|
$133,127.61
|
2026-05-24
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
48
|
16
|
—
|
—
|
$69,714.93
|
$253,594.84
|
$134,918.84
|
2026-05-24
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
48
|
16
|
—
|
—
|
$6,229.96
|
$288,005.66
|
$134,937.66
|
2026-05-24
|
|
8497024-CH
|
OTHER
|
Dfbr Crd Thk12mm 51x73mm Gallant Impl 2 Chmbr Is-1
|
44
|
12
|
$197,403.00
|
$59,220.90
70% off
|
$18,141.34
|
$197,403.00
|
$149,434.07
|
2026-05-24
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
46
|
15
|
—
|
—
|
$10,203.60
|
$262,598.12
|
$167,394.06
|
2026-05-24
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
46
|
15
|
—
|
—
|
$13,143.20
|
$315,267.46
|
$177,254.32
|
2026-05-24
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
46
|
15
|
—
|
—
|
$13,931.63
|
$326,487.24
|
$179,476.83
|
2026-05-24
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$8,950.36
|
$394,595.69
|
$185,395.27
|
2026-05-24
|
|
7800778-CH
|
OTHER
|
Generator Incepta Vr He Single Chamber Lf E161
|
44
|
12
|
$256,330.00
|
$76,899.00
70% off
|
$23,556.73
|
$256,330.00
|
$194,041.81
|
2026-05-24
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
48
|
16
|
—
|
—
|
$12,573.49
|
$1,561,573.78
|
$221,957.64
|
2026-05-24
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
46
|
15
|
—
|
—
|
$18,870.45
|
$400,987.57
|
$240,164.15
|
2026-05-24
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
48
|
16
|
—
|
—
|
$8,385.14
|
$1,399,040.35
|
$258,408.19
|
2026-05-24
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
48
|
16
|
—
|
—
|
$15,094.05
|
$436,468.27
|
$262,475.57
|
2026-05-24
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
2
|
1
|
—
|
—
|
$286,760.56
|
$286,760.56
|
$286,760.56
|
2026-05-24
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
46
|
15
|
—
|
—
|
$11,153.10
|
$713,740.71
|
$454,976.42
|
2026-05-24
|
|
7
|
OTHER
|
Lung Transplant
|
46
|
15
|
—
|
—
|
$13,844.19
|
$1,151,932.42
|
$621,302.27
|
2026-05-24
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
48
|
16
|
—
|
—
|
$258,198.45
|
$1,523,268.49
|
$828,110.53
|
2026-05-24
|