|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
1
|
1
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-03-18
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
2
|
2
|
—
|
—
|
$3,252,508.07
|
$4,878,762.11
|
$4,065,635.09
|
2026-03-18
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
2
|
2
|
—
|
—
|
$3,180,000.00
|
$4,770,000.00
|
$3,975,000.00
|
2026-03-18
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
3
|
3
|
—
|
—
|
$3,685,266.66
|
$3,685,266.67
|
$3,685,266.67
|
2026-03-18
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
2
|
2
|
—
|
—
|
$2,939,968.88
|
$4,409,953.32
|
$3,674,961.10
|
2026-03-18
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
3
|
3
|
—
|
—
|
$2,332,000.00
|
$4,664,000.00
|
$3,498,000.00
|
2026-03-18
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
1
|
1
|
—
|
—
|
$3,335,820.00
|
$3,335,820.00
|
$3,335,820.00
|
2026-03-18
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
4
|
4
|
—
|
—
|
$3,327,859.72
|
$4,991,789.58
|
$3,327,859.73
|
2026-03-18
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
2
|
—
|
—
|
$2,588,981.22
|
$3,883,471.83
|
$3,236,226.53
|
2026-03-18
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
5
|
—
|
—
|
$770,620.00
|
$1,541,240.00
|
$770,620.00
|
2026-03-18
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
7
|
6
|
—
|
—
|
$310,000.00
|
$1,175,299.14
|
$587,649.57
|
2026-03-18
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
5
|
—
|
—
|
$566,531.30
|
$1,133,062.60
|
$566,531.30
|
2026-03-18
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
7
|
6
|
—
|
—
|
$328,240.00
|
$1,124,402.48
|
$562,201.24
|
2026-03-18
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
7
|
6
|
—
|
—
|
$335,600.00
|
$1,116,163.44
|
$558,081.73
|
2026-03-18
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
17
|
14
|
—
|
—
|
$340,828.45
|
$1,256,511.52
|
$546,797.90
|
2026-03-18
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
7
|
6
|
—
|
—
|
$245,394.70
|
$1,064,384.48
|
$532,192.24
|
2026-03-18
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
7
|
6
|
—
|
—
|
$308,800.00
|
$978,900.40
|
$489,450.20
|
2026-03-18
|
|
5834
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,205.09
|
$434,480.48
|
$434,480.48
|
2026-03-18
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
3
|
3
|
—
|
—
|
$265,000.00
|
$530,000.00
|
$397,500.00
|
2026-03-18
|
|
5833
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,853.55
|
$378,376.57
|
$378,376.57
|
2026-03-18
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
19
|
15
|
—
|
—
|
$7,892.91
|
$973,629.89
|
$377,954.12
|
2026-03-18
|
|
5884
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,895.03
|
$324,066.41
|
$324,066.41
|
2026-03-18
|
|
1614
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$10,378.65
|
$298,905.21
|
$298,905.21
|
2026-03-18
|
|
0024
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,281.21
|
$289,573.96
|
$289,573.96
|
2026-03-18
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
20
|
16
|
—
|
—
|
$7,892.91
|
$2,863,215.80
|
$284,249.07
|
2026-03-18
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
5
|
5
|
—
|
—
|
$278,250.00
|
$556,500.00
|
$278,250.00
|
2026-03-18
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
20
|
16
|
—
|
—
|
$7,892.91
|
$2,893,825.42
|
$245,255.93
|
2026-03-18
|
|
5832
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,244.46
|
$237,440.41
|
$237,440.41
|
2026-03-18
|
|
1613
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$11,325.04
|
$226,500.77
|
$226,500.77
|
2026-03-18
|
|
0114
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$11,715.49
|
$224,937.41
|
$224,937.41
|
2026-03-18
|
|
6304
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,257.59
|
$220,267.44
|
$220,267.44
|
2026-03-18
|
|
8414
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,892.60
|
$214,678.69
|
$214,678.69
|
2026-03-18
|
|
5934
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,208.40
|
$213,037.73
|
$213,037.73
|
2026-03-18
|
|
5914
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,934.93
|
$210,912.37
|
$210,912.37
|
2026-03-18
|
|
5883
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,464.11
|
$207,847.03
|
$207,847.03
|
2026-03-18
|
|
6314
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,389.82
|
$207,199.91
|
$207,199.91
|
2026-03-18
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
21
|
17
|
—
|
—
|
$7,892.91
|
$4,588,107.12
|
$204,871.95
|
2026-03-18
|
|
6094
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,939.04
|
$204,830.47
|
$204,830.47
|
2026-03-18
|
|
5882
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,371.99
|
$202,319.66
|
$202,319.66
|
2026-03-18
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
5
|
5
|
—
|
—
|
$201,669.02
|
$403,338.04
|
$201,669.02
|
2026-03-18
|
|
0094
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$14,186.73
|
$192,939.55
|
$192,939.55
|
2026-03-18
|
|
5831
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,867.23
|
$192,282.44
|
$192,282.44
|
2026-03-18
|
|
0044
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,575.38
|
$189,371.05
|
$189,371.05
|
2026-03-18
|
|
0074
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,715.58
|
$187,471.03
|
$187,471.03
|
2026-03-18
|
|
0023
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$10,909.10
|
$183,272.86
|
$183,272.86
|
2026-03-18
|
|
0014
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,877.49
|
$181,745.83
|
$181,745.83
|
2026-03-18
|
|
1612
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$17,465.45
|
$181,640.66
|
$181,640.66
|
2026-03-18
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
17
|
—
|
—
|
$7,892.91
|
$4,008,113.97
|
$175,437.56
|
2026-03-18
|
|
1611
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$43,191.58
|
$172,766.30
|
$172,766.30
|
2026-03-18
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
17
|
—
|
—
|
$7,892.91
|
$4,398,385.91
|
$162,912.02
|
2026-03-18
|
|
6034
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,736.45
|
$159,808.94
|
$159,808.94
|
2026-03-18
|
|
6024
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,632.27
|
$153,724.57
|
$153,724.57
|
2026-03-18
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$4,556,619.90
|
$153,694.20
|
2026-03-18
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
7
|
5
|
—
|
—
|
$7,916.83
|
$329,348.78
|
$153,519.54
|
2026-03-18
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&gen
|
1
|
1
|
—
|
—
|
$152,500.50
|
$152,500.50
|
$152,500.50
|
2026-03-18
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
15
|
13
|
—
|
—
|
$9,244.85
|
$316,409.12
|
$147,544.95
|
2026-03-18
|
|
0064
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$12,067.41
|
$144,808.88
|
$144,808.88
|
2026-03-18
|
|
5933
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,989.47
|
$143,494.59
|
$143,494.59
|
2026-03-18
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
17
|
—
|
—
|
$7,892.91
|
$3,051,006.97
|
$142,894.08
|
2026-03-18
|
|
5913
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,595.96
|
$138,084.85
|
$138,084.85
|
2026-03-18
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Vial
|
71
|
54
|
$183,704.12
|
—
|
$221.22
|
$174,518.91
|
$137,594.39
|
2026-03-18
|
|
1604
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,112.64
|
$136,292.46
|
$136,292.46
|
2026-03-18
|
|
5881
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,242.75
|
$134,565.14
|
$134,565.14
|
2026-03-18
|
|
0022
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$12,683.33
|
$131,906.60
|
$131,906.60
|
2026-03-18
|
|
0054
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,242.90
|
$130,024.09
|
$130,024.09
|
2026-03-18
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
23
|
19
|
—
|
—
|
$7,892.91
|
$3,681,638.09
|
$125,220.00
|
2026-03-18
|
|
0043
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,258.13
|
$125,162.59
|
$125,162.59
|
2026-03-18
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
19
|
—
|
—
|
$60,602.44
|
$1,727,339.70
|
$124,282.78
|
2026-03-18
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
19
|
—
|
—
|
$7,892.91
|
$2,818,978.58
|
$123,053.00
|
2026-03-18
|
|
0113
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$10,072.13
|
$120,865.55
|
$120,865.55
|
2026-03-18
|
|
6074
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,575.40
|
$119,498.78
|
$119,498.78
|
2026-03-18
|
|
J1930
|
HCPCS
|
Lanreotide Inj 120 Mg
|
199
|
54
|
$183,727.28
|
—
|
$35.39
|
$196,584.56
|
$119,422.73
|
2026-03-18
|
|
6303
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,779.46
|
$119,318.47
|
$119,318.47
|
2026-03-18
|
|
3034
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,865.81
|
$118,389.77
|
$118,389.77
|
2026-03-18
|
|
8424
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,858.96
|
$117,179.36
|
$117,179.36
|
2026-03-18
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$2,443,244.85
|
$116,877.25
|
2026-03-18
|
|
1624
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,094.08
|
$116,554.82
|
$116,554.82
|
2026-03-18
|
|
6023
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,419.33
|
$116,127.97
|
$116,127.97
|
2026-03-18
|
|
0063
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$15,922.71
|
$114,643.50
|
$114,643.50
|
2026-03-18
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
17
|
—
|
—
|
$7,892.91
|
$2,189,723.94
|
$114,350.87
|
2026-03-18
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
22
|
18
|
—
|
—
|
$60,341.19
|
$1,704,274.18
|
$114,159.55
|
2026-03-18
|
|
5932
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,631.38
|
$111,570.63
|
$111,570.63
|
2026-03-18
|
|
4404
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$10,563.90
|
$109,864.59
|
$109,864.59
|
2026-03-18
|
|
J9281
|
HCPCS
|
mitoMYcin Pyelocalyceal Solution 80 Mg Kit
|
71
|
54
|
$145,314.05
|
—
|
$323.91
|
$138,048.35
|
$108,840.22
|
2026-03-18
|
|
0021
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$12,322.75
|
$108,440.21
|
$108,440.21
|
2026-03-18
|
|
0073
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,975.18
|
$107,463.88
|
$107,463.88
|
2026-03-18
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
10
|
—
|
—
|
$63,155.88
|
$320,689.37
|
$104,026.20
|
2026-03-18
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,647,208.87
|
$103,824.48
|
2026-03-18
|
|
0013
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$12,926.53
|
$103,412.22
|
$103,412.22
|
2026-03-18
|
|
8514
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,163.93
|
$103,160.61
|
$103,160.61
|
2026-03-18
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
14
|
12
|
—
|
—
|
$62,466.85
|
$267,127.70
|
$99,903.86
|
2026-03-18
|
|
1634
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,804.87
|
$98,614.57
|
$98,614.57
|
2026-03-18
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
21
|
17
|
—
|
—
|
$7,892.91
|
$818,677.12
|
$97,856.61
|
2026-03-18
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
17
|
14
|
—
|
—
|
$56,311.19
|
$246,800.08
|
$97,304.43
|
2026-03-18
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
15
|
13
|
—
|
—
|
$17,371.51
|
$207,476.81
|
$97,248.00
|
2026-03-18
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,274,993.76
|
$96,838.25
|
2026-03-18
|
|
8634
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,832.96
|
$95,187.44
|
$95,187.44
|
2026-03-18
|
|
1784
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$19,740.24
|
$94,753.13
|
$94,753.13
|
2026-03-18
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
19
|
—
|
—
|
$42,090.14
|
$811,905.41
|
$94,327.31
|
2026-03-18
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,254,280.61
|
$94,311.09
|
2026-03-18
|
|
0062
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$16,816.27
|
$94,171.09
|
$94,171.09
|
2026-03-18
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
23
|
19
|
—
|
—
|
$7,892.91
|
$1,986,259.61
|
$93,930.27
|
2026-03-18
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
21
|
17
|
—
|
—
|
$35,693.12
|
$1,338,576.35
|
$93,855.63
|
2026-03-18
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
19
|
—
|
—
|
$7,027.51
|
$1,254,968.40
|
$93,632.30
|
2026-03-18
|
|
0053
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,003.98
|
$92,073.31
|
$92,073.31
|
2026-03-18
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,174,401.00
|
$91,883.37
|
2026-03-18
|
|
1654
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,611.86
|
$91,342.30
|
$91,342.30
|
2026-03-18
|
|
1674
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,766.67
|
$91,173.35
|
$91,173.35
|
2026-03-18
|
|
0084
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,549.96
|
$90,999.34
|
$90,999.34
|
2026-03-18
|
|
6114
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,540.33
|
$90,632.57
|
$90,632.57
|
2026-03-18
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
22
|
18
|
—
|
—
|
$46,319.04
|
$990,929.01
|
$90,425.50
|
2026-03-18
|
|
6022
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,298.23
|
$90,090.62
|
$90,090.62
|
2026-03-18
|
|
6073
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,391.60
|
$89,924.14
|
$89,924.14
|
2026-03-18
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
22
|
18
|
—
|
—
|
$43,115.40
|
$816,070.40
|
$89,793.01
|
2026-03-18
|
|
6093
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,489.87
|
$89,340.86
|
$89,340.86
|
2026-03-18
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$999,201.25
|
$89,288.10
|
2026-03-18
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
4
|
4
|
—
|
—
|
$59,142.33
|
$141,536.55
|
$88,460.34
|
2026-03-18
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
17
|
—
|
—
|
$7,755.90
|
$1,059,005.55
|
$87,901.20
|
2026-03-18
|
|
0093
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$13,651.87
|
$87,372.00
|
$87,372.00
|
2026-03-18
|
|
6124
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,532.42
|
$87,115.39
|
$87,115.39
|
2026-03-18
|
|
0012
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$15,407.01
|
$86,279.28
|
$86,279.28
|
2026-03-18
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
23
|
19
|
—
|
—
|
$7,892.91
|
$1,019,091.08
|
$86,261.95
|
2026-03-18
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
19
|
16
|
—
|
—
|
$19,771.24
|
$950,434.95
|
$86,202.50
|
2026-03-18
|
|
3044
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,677.80
|
$85,991.40
|
$85,991.40
|
2026-03-18
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
22
|
18
|
—
|
—
|
$7,892.91
|
$1,041,413.00
|
$85,736.18
|
2026-03-18
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
12
|
10
|
—
|
—
|
$30,322.64
|
$262,156.84
|
$85,131.01
|
2026-03-18
|
|
1834
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$11,765.23
|
$84,709.69
|
$84,709.69
|
2026-03-18
|
|
0072
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,600.45
|
$84,648.31
|
$84,648.31
|
2026-03-18
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,252,286.14
|
$83,786.04
|
2026-03-18
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
17
|
—
|
—
|
$5,430.09
|
$1,019,212.79
|
$83,690.64
|
2026-03-18
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$963,796.99
|
$82,172.48
|
2026-03-18
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
15
|
13
|
—
|
—
|
$37,632.70
|
$179,626.00
|
$82,149.65
|
2026-03-18
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
23
|
19
|
—
|
—
|
$7,892.91
|
$892,407.51
|
$81,695.67
|
2026-03-18
|
|
5912
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,188.40
|
$81,623.06
|
$81,623.06
|
2026-03-18
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,114,459.44
|
$81,565.22
|
2026-03-18
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
21
|
17
|
—
|
—
|
$7,892.91
|
$923,592.91
|
$81,525.18
|
2026-03-18
|
|
0042
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,366.24
|
$81,487.85
|
$81,487.85
|
2026-03-18
|
|
1794
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,455.72
|
$81,174.93
|
$81,174.93
|
2026-03-18
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,171,494.78
|
$81,116.48
|
2026-03-18
|
|
9104
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,210.63
|
$81,053.54
|
$81,053.54
|
2026-03-18
|
|
3033
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$12,647.21
|
$80,942.14
|
$80,942.14
|
2026-03-18
|
|
1664
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,731.38
|
$80,406.42
|
$80,406.42
|
2026-03-18
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
17
|
—
|
—
|
$2,640.54
|
$962,032.35
|
$80,244.54
|
2026-03-18
|
|
6804
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,508.93
|
$79,328.69
|
$79,328.69
|
2026-03-18
|
|
1623
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$8,970.81
|
$78,943.16
|
$78,943.16
|
2026-03-18
|
|
0914
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,445.66
|
$78,417.50
|
$78,417.50
|
2026-03-18
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$773,704.39
|
$78,236.20
|
2026-03-18
|
|
0061
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$13,969.38
|
$78,228.51
|
$78,228.51
|
2026-03-18
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
7
|
5
|
—
|
—
|
$25,274.03
|
$166,056.52
|
$78,123.14
|
2026-03-18
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
17
|
—
|
—
|
$7,892.91
|
$854,961.99
|
$78,023.72
|
2026-03-18
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
14
|
12
|
—
|
—
|
$22,359.32
|
$194,421.80
|
$77,250.65
|
2026-03-18
|
|
6033
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,192.24
|
$77,167.06
|
$77,167.06
|
2026-03-18
|
|
5891
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,109.10
|
$77,105.75
|
$77,105.75
|
2026-03-18
|
|
0011
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$16,020.93
|
$76,900.47
|
$76,900.47
|
2026-03-18
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
21
|
17
|
—
|
—
|
$7,892.91
|
$903,172.15
|
$76,748.73
|
2026-03-18
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
14
|
12
|
—
|
—
|
$14,934.81
|
$194,560.43
|
$76,513.19
|
2026-03-18
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec Vncg Inj Susp Vial Kit
|
71
|
54
|
$101,970.00
|
—
|
$13,164.33
|
$96,871.50
|
$76,375.53
|
2026-03-18
|
|
J9026
|
HCPCS
|
Tarlatamab Dlle Inj 10 Mg (vial)
|
71
|
54
|
$101,970.00
|
—
|
$1,566.59
|
$96,871.50
|
$76,375.53
|
2026-03-18
|
|
17012-8245
|
CDM
|
Impella Perc Heart Pump Set 14fr
|
58
|
47
|
$95,000.00
|
—
|
$12,264.50
|
$90,250.00
|
$76,000.00
|
2026-03-18
|
|
8504
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,731.72
|
$75,707.64
|
$75,707.64
|
2026-03-18
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$852,415.84
|
$75,652.43
|
2026-03-18
|
|
A9543
|
HCPCS
|
Zevalin 40u Non Medicare
|
136
|
54
|
$96,779.00
|
—
|
$12,494.17
|
$113,649.08
|
$75,572.25
|
2026-03-18
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
21
|
17
|
—
|
—
|
$5,145.18
|
$920,352.58
|
$75,207.72
|
2026-03-18
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
23
|
19
|
—
|
—
|
$7,892.91
|
$664,718.51
|
$75,056.00
|
2026-03-18
|
|
C1820
|
HCPCS
|
Neurostimulator Eterna Puls 32400
|
127
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,981.25
|
2026-03-18
|
|
38300-7245
|
CDM
|
Stent Graft 45x45x15 Ptm454515
|
64
|
49
|
$99,995.00
|
—
|
$3,000.00
|
$94,995.25
|
$74,946.26
|
2026-03-18
|
|
17344-8245
|
CDM
|
Triclip G4 Cath System
|
64
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,942.51
|
2026-03-18
|
|
C1827
|
HCPCS
|
Generator Vivistim Vns 3300001003
|
64
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,942.51
|
2026-03-18
|
|
38851-7245
|
CDM
|
Pump Impella 5.5 Gen 2 1000100
|
64
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,942.51
|
2026-03-18
|
|
C1825
|
HCPCS
|
Kit Barostim Neo2 Syst 100069202
|
64
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,942.51
|
2026-03-18
|
|
C1822
|
HCPCS
|
Kit Senza Hfx Neurostim Nipg3000
|
64
|
49
|
$99,990.00
|
—
|
$3,000.00
|
$94,990.50
|
$74,942.51
|
2026-03-18
|
|
38189-7245
|
CDM
|
Graft Mops Tib Plateau Mops55
|
64
|
49
|
$99,985.00
|
—
|
$3,000.00
|
$94,985.75
|
$74,938.76
|
2026-03-18
|
|
500-7915
|
CDM
|
Rs-limflow System (kit)
|
64
|
49
|
$99,950.00
|
—
|
$3,000.00
|
$94,952.50
|
$74,912.52
|
2026-03-18
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$693,235.85
|
$74,433.87
|
2026-03-18
|
|
37626-7245
|
CDM
|
Truss Cust Tibiotalocalc12062202
|
64
|
49
|
$99,246.00
|
—
|
$3,000.00
|
$94,283.70
|
$74,384.88
|
2026-03-18
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
3
|
3
|
—
|
—
|
$49,555.45
|
$99,110.90
|
$74,333.18
|
2026-03-18
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
14
|
12
|
—
|
—
|
$42,064.88
|
$155,078.04
|
$73,862.36
|
2026-03-18
|
|
6134
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,884.38
|
$73,840.12
|
$73,840.12
|
2026-03-18
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
22
|
18
|
—
|
—
|
$14,452.02
|
$773,674.79
|
$73,381.80
|
2026-03-18
|
|
1783
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$18,151.18
|
$72,604.73
|
$72,604.73
|
2026-03-18
|
|
A9542
|
HCPCS
|
Zevalin - Medicare
|
70
|
53
|
$96,779.00
|
—
|
$3,570.00
|
$91,940.05
|
$72,584.25
|
2026-03-18
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$1,256,777.45
|
$72,573.11
|
2026-03-18
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
13
|
—
|
—
|
$43,932.29
|
$161,962.50
|
$72,542.05
|
2026-03-18
|
|
9124
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,533.13
|
$72,318.08
|
$72,318.08
|
2026-03-18
|
|
9114
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,028.96
|
$72,231.73
|
$72,231.73
|
2026-03-18
|
|
38227-7245
|
CDM
|
Cust Implfoot/ank Highc90000043c
|
64
|
49
|
$96,269.00
|
—
|
$3,000.00
|
$91,455.55
|
$72,153.61
|
2026-03-18
|
|
38226-7245
|
CDM
|
Cust Implfoot/ank Highb90000043b
|
64
|
49
|
$96,269.00
|
—
|
$3,000.00
|
$91,455.55
|
$72,153.61
|
2026-03-18
|
|
38225-7245
|
CDM
|
Cust Implfoot/ank Higha90000043a
|
64
|
49
|
$96,269.00
|
—
|
$3,000.00
|
$91,455.55
|
$72,153.61
|
2026-03-18
|
|
1694
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,008.93
|
$72,071.47
|
$72,071.47
|
2026-03-18
|
|
17143-8245
|
CDM
|
Laa Occluder-amplatzer Amulet22mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17144-8245
|
CDM
|
Laa Occluder-amplatzer Amulet25mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17147-8245
|
CDM
|
Laa Occluder-amplatzer Amulet34mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17146-8245
|
CDM
|
Laa Occluder-amplatzer Amulet31mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17140-8245
|
CDM
|
Laa Occluder-amplatzer Amulet16mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17142-8245
|
CDM
|
Laa Occluder-amplatzer Amulet20mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17145-8245
|
CDM
|
Laa Occluder-amplatzer Amulet28mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
17141-8245
|
CDM
|
Laa Occluder-amplatzer Amulet18mm
|
58
|
47
|
$89,250.00
|
—
|
$11,522.18
|
$84,787.50
|
$71,400.00
|
2026-03-18
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
21
|
17
|
—
|
—
|
$6,229.99
|
$761,620.66
|
$71,385.45
|
2026-03-18
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$825,522.60
|
$71,264.52
|
2026-03-18
|
|
20368-7245
|
CDM
|
Allograft Bonecondyle Fem33547001
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
32873-7245
|
CDM
|
Graft Mops Femur Lft Mops24
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
34157-7245
|
CDM
|
Graft Mops Femur Rt Mops25
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
39733-7245
|
CDM
|
Valve Aortic Homograft Av00
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
31408-7245
|
CDM
|
Impl Auto Maci Membrane81073
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
28059-7245
|
CDM
|
Carticel Imp Cell Autolog Cs1000
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
29357-7245
|
CDM
|
Impella 5.0 Pump Set 005062
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
31087-7245
|
CDM
|
Prebent Neuromesh190x140cust????
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
35276-7245
|
CDM
|
Set Pump Impella 14fr 00480003
|
64
|
49
|
$95,000.00
|
—
|
$3,000.00
|
$90,250.00
|
$71,202.50
|
2026-03-18
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$71,167.44
|
$71,167.44
|
$71,167.44
|
2026-03-18
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
21
|
17
|
—
|
—
|
$7,892.91
|
$681,771.34
|
$70,854.25
|
2026-03-18
|
|
6214
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,847.27
|
$70,789.75
|
$70,789.75
|
2026-03-18
|
|
8413
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,188.93
|
$70,569.49
|
$70,569.49
|
2026-03-18
|
|
0214
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,783.96
|
$70,553.20
|
$70,553.20
|
2026-03-18
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
20
|
16
|
—
|
—
|
$7,892.91
|
$659,470.25
|
$70,301.58
|
2026-03-18
|
|
0234
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,847.62
|
$70,171.44
|
$70,171.44
|
2026-03-18
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
22
|
18
|
—
|
—
|
$33,060.90
|
$484,271.31
|
$69,298.65
|
2026-03-18
|
|
1204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,178.91
|
$69,203.88
|
$69,203.88
|
2026-03-18
|
|
36221-7245
|
CDM
|
Pump Impella5.5 Set 05500008
|
64
|
49
|
$91,991.00
|
—
|
$3,000.00
|
$87,391.45
|
$68,947.26
|
2026-03-18
|
|
4403
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$14,302.49
|
$68,651.94
|
$68,651.94
|
2026-03-18
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
21
|
17
|
—
|
—
|
$6,927.38
|
$754,253.08
|
$68,456.60
|
2026-03-18
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
12
|
10
|
—
|
—
|
$37,091.48
|
$210,043.21
|
$68,307.94
|
2026-03-18
|
|
C1721
|
HCPCS
|
Icd Dual Chamber
|
127
|
49
|
$89,424.00
|
—
|
$11,544.64
|
$86,526.00
|
$68,218.92
|
2026-03-18
|
|
6814
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,720.81
|
$67,979.78
|
$67,979.78
|
2026-03-18
|
|
2204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,663.21
|
$67,958.50
|
$67,958.50
|
2026-03-18
|
|
6313
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,692.98
|
$67,950.97
|
$67,950.97
|
2026-03-18
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$722,513.33
|
$67,800.96
|
2026-03-18
|
|
6904
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,684.83
|
$67,461.58
|
$67,461.58
|
2026-03-18
|
|
2604
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,485.48
|
$67,449.06
|
$67,449.06
|
2026-03-18
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$681,967.38
|
$67,298.49
|
2026-03-18
|
|
0071
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,563.38
|
$66,760.61
|
$66,760.61
|
2026-03-18
|
|
6334
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,382.59
|
$66,615.47
|
$66,615.47
|
2026-03-18
|
|
C1722
|
HCPCS
|
Icd Single Chamber
|
64
|
49
|
$88,780.00
|
—
|
$11,461.50
|
$84,341.00
|
$66,540.61
|
2026-03-18
|
|
0894
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,940.21
|
$66,530.35
|
$66,530.35
|
2026-03-18
|
|
3124
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,363.49
|
$66,325.07
|
$66,325.07
|
2026-03-18
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$691,997.67
|
$66,324.45
|
2026-03-18
|
|
9504
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,523.44
|
$66,281.27
|
$66,281.27
|
2026-03-18
|
|
0204
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,530.82
|
$66,271.21
|
$66,271.21
|
2026-03-18
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
21
|
17
|
—
|
—
|
$7,159.84
|
$825,859.22
|
$65,996.63
|
2026-03-18
|
|
1653
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,449.75
|
$65,557.79
|
$65,557.79
|
2026-03-18
|
|
3614
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,090.87
|
$65,453.91
|
$65,453.91
|
2026-03-18
|
|
6072
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,210.22
|
$65,422.57
|
$65,422.57
|
2026-03-18
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$775,323.23
|
$65,412.20
|
2026-03-18
|
|
4414
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,438.63
|
$65,263.62
|
$65,263.62
|
2026-03-18
|
|
6084
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$1,274.65
|
$65,262.39
|
$65,262.39
|
2026-03-18
|
|
C1882
|
HCPCS
|
Defibrillator Bi-vent, Multi-lead
|
190
|
49
|
$89,250.00
|
—
|
$10,505.51
|
$85,652.00
|
$65,100.00
|
2026-03-18
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$648,226.12
|
$65,085.92
|
2026-03-18
|
|
1633
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,022.50
|
$64,961.99
|
$64,961.99
|
2026-03-18
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
17
|
14
|
—
|
—
|
$17,100.89
|
$160,641.78
|
$64,614.15
|
2026-03-18
|
|
1304
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,042.69
|
$64,546.43
|
$64,546.43
|
2026-03-18
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$604,567.24
|
$64,485.18
|
2026-03-18
|
|
1782
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$20,137.89
|
$64,441.26
|
$64,441.26
|
2026-03-18
|
|
1603
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$10,058.78
|
$64,376.18
|
$64,376.18
|
2026-03-18
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
21
|
17
|
—
|
—
|
$7,892.91
|
$673,137.34
|
$64,297.10
|
2026-03-18
|
|
6083
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,045.08
|
$63,806.66
|
$63,806.66
|
2026-03-18
|
|
8419-7915
|
CDM
|
St-scaff Neuro Shield Flex 4x14
|
64
|
49
|
$84,914.00
|
—
|
$3,000.00
|
$80,668.30
|
$63,643.04
|
2026-03-18
|
|
8418-7915
|
CDM
|
St-scaffneuro Shield Flex 4.5x14
|
64
|
49
|
$84,914.00
|
—
|
$3,000.00
|
$80,668.30
|
$63,643.04
|
2026-03-18
|
|
8417-7915
|
CDM
|
St-scaffneuro Shield Flex 3.75x14
|
64
|
49
|
$84,914.00
|
—
|
$3,000.00
|
$80,668.30
|
$63,643.04
|
2026-03-18
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
15
|
13
|
—
|
—
|
$34,956.40
|
$134,913.80
|
$63,500.39
|
2026-03-18
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$647,220.25
|
$63,204.81
|
2026-03-18
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
21
|
17
|
—
|
—
|
$1,616.50
|
$556,509.21
|
$63,047.63
|
2026-03-18
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$577,644.10
|
$62,562.62
|
2026-03-18
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
18
|
15
|
—
|
—
|
$14,967.01
|
$525,129.27
|
$62,550.57
|
2026-03-18
|
|
0274
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,014.42
|
$62,549.99
|
$62,549.99
|
2026-03-18
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$573,319.68
|
$62,535.75
|
2026-03-18
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,602.10
|
$642,522.92
|
$62,296.61
|
2026-03-18
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
4
|
4
|
—
|
—
|
$45,000.50
|
$99,110.90
|
$61,944.31
|
2026-03-18
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
4
|
4
|
—
|
—
|
$45,000.50
|
$99,110.90
|
$61,944.31
|
2026-03-18
|
|
6144
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$2,273.49
|
$61,839.03
|
$61,839.03
|
2026-03-18
|
|
1622
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$9,637.32
|
$61,678.84
|
$61,678.84
|
2026-03-18
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,683.18
|
$626,761.53
|
$61,663.82
|
2026-03-18
|
|
2614
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,512.11
|
$61,364.69
|
$61,364.69
|
2026-03-18
|
|
0052
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,771.62
|
$61,076.74
|
$61,076.74
|
2026-03-18
|
|
1814
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,334.65
|
$60,812.68
|
$60,812.68
|
2026-03-18
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$562,400.87
|
$60,759.35
|
2026-03-18
|
|
38709-7245
|
CDM
|
Cannula Protekduo 29fr 51404629
|
58
|
47
|
$75,894.00
|
—
|
$9,797.92
|
$72,099.30
|
$60,715.20
|
2026-03-18
|
|
7404
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$3,034.56
|
$60,691.22
|
$60,691.22
|
2026-03-18
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
19
|
16
|
—
|
—
|
$11,025.88
|
$467,766.28
|
$60,473.70
|
2026-03-18
|
|
4402
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$15,089.89
|
$60,359.56
|
$60,359.56
|
2026-03-18
|
|
27188-7245
|
CDM
|
Graft Xenap 19x28cm 1151935
|
64
|
49
|
$80,325.00
|
—
|
$3,000.00
|
$76,308.75
|
$60,203.59
|
2026-03-18
|
|
1764
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$7,522.41
|
$60,179.32
|
$60,179.32
|
2026-03-18
|
|
36355-7245
|
CDM
|
Angiovac C180 W/obtur H965251940
|
58
|
47
|
$75,075.00
|
—
|
$9,692.18
|
$71,321.25
|
$60,060.00
|
2026-03-18
|
|
17347-8245
|
CDM
|
Angiovac W/obturator 18f
|
58
|
47
|
$75,075.00
|
—
|
$9,692.18
|
$71,321.25
|
$60,060.00
|
2026-03-18
|
|
4014
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,247.81
|
$59,979.03
|
$59,979.03
|
2026-03-18
|
|
35898-7245
|
CDM
|
Valve Aortic Conuit 21mm 11060a21
|
64
|
49
|
$79,800.00
|
—
|
$3,000.00
|
$75,810.00
|
$59,810.10
|
2026-03-18
|
|
35543-7245
|
CDM
|
Valve Conuit 25mm Aortic 11060a25
|
64
|
49
|
$79,800.00
|
—
|
$3,000.00
|
$75,810.00
|
$59,810.10
|
2026-03-18
|
|
35329-7245
|
CDM
|
Valve Aortic Conuit 27mm 11060a27
|
64
|
49
|
$79,800.00
|
—
|
$3,000.00
|
$75,810.00
|
$59,810.10
|
2026-03-18
|
|
35353-7245
|
CDM
|
Valve Aortic 29mm Conuit 11060a29
|
64
|
49
|
$79,800.00
|
—
|
$3,000.00
|
$75,810.00
|
$59,810.10
|
2026-03-18
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
15
|
13
|
—
|
—
|
$11,627.89
|
$125,916.52
|
$59,589.44
|
2026-03-18
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$477,312.01
|
$59,125.92
|
2026-03-18
|
|
5104
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,676.10
|
$59,031.51
|
$59,031.51
|
2026-03-18
|
|
0041
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$6,702.29
|
$58,980.19
|
$58,980.19
|
2026-03-18
|
|
1781
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$36,820.42
|
$58,912.66
|
$58,912.66
|
2026-03-18
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
19
|
16
|
—
|
—
|
$16,027.99
|
$443,304.09
|
$58,871.45
|
2026-03-18
|
|
3032
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$14,684.03
|
$58,736.11
|
$58,736.11
|
2026-03-18
|
|
6302
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$5,597.52
|
$58,214.22
|
$58,214.22
|
2026-03-18
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
21
|
17
|
—
|
—
|
$22,467.80
|
$517,004.48
|
$58,189.50
|
2026-03-18
|
|
12
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Cc
|
21
|
17
|
—
|
—
|
$7,892.91
|
$456,555.49
|
$58,092.77
|
2026-03-18
|
|
6954
|
APR_DRG
|
—
|
5
|
5
|
—
|
—
|
$4,029.53
|
$58,025.22
|
$58,025.22
|
2026-03-18
|
|
21710-8245
|
CDM
|
Module Advn.w/cannulae-ecmo Set
|
58
|
47
|
$72,450.00
|
—
|
$9,353.30
|
$68,827.50
|
$57,960.00
|
2026-03-18
|
|
99989-7245
|
CDM
|
Module Advn.w/cannulae-ecmo Set
|
58
|
47
|
$72,450.00
|
—
|
$9,353.30
|
$68,827.50
|
$57,960.00
|
2026-03-18
|