|
0238T
|
CPT
|
Hc Revasc Atherectomy Iliac Artery Incld S And I Each Vessel
|
37
|
23
|
$21,370.00
|
$12,822.00
40% off
|
$4,299.64
|
$22,655.00
|
$16,882.30
|
2026-07-15
|
|
100
|
MS_DRG
|
Seizures With McC
|
28
|
19
|
$29,138.40
|
$17,483.04
40% off
|
$12,515.40
|
$31,738.99
|
$24,285.02
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC
|
28
|
19
|
$70,845.64
|
$42,507.38
40% off
|
$34,015.94
|
$86,264.25
|
$63,580.12
|
2026-07-15
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
22
|
17
|
$167,692.13
|
$100,615.28
40% off
|
$25,869.87
|
$65,605.85
|
$47,076.61
|
2026-07-15
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
28
|
19
|
$48,391.92
|
$29,035.15
40% off
|
$13,544.22
|
$34,348.07
|
$27,163.32
|
2026-07-15
|
|
144
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
28
|
19
|
$38,185.71
|
$22,911.43
40% off
|
$11,074.30
|
$28,084.36
|
$19,587.58
|
2026-07-15
|
|
150
|
MS_DRG
|
Epistaxis With McC
|
23
|
16
|
$14,098.10
|
$8,458.86
40% off
|
$8,713.44
|
$21,745.95
|
$15,853.83
|
2026-07-15
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With McC
|
28
|
19
|
$40,193.25
|
$24,115.95
40% off
|
$10,252.25
|
$25,999.66
|
$17,402.35
|
2026-07-15
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With McC
|
28
|
19
|
$56,105.55
|
$33,663.33
40% off
|
$10,322.86
|
$26,178.71
|
$16,062.93
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With McC
|
28
|
19
|
$81,577.78
|
$48,946.67
40% off
|
$29,056.56
|
$73,687.28
|
$58,294.40
|
2026-07-15
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
28
|
19
|
$78,913.71
|
$47,348.23
40% off
|
$15,867.26
|
$40,239.28
|
$30,068.13
|
2026-07-15
|
|
165
|
MS_DRG
|
Major Chest Procedures Without Cc/McC
|
28
|
19
|
$54,367.97
|
$32,620.78
40% off
|
$11,750.72
|
$29,799.77
|
$25,820.11
|
2026-07-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With McC
|
28
|
19
|
$83,379.50
|
$50,027.70
40% off
|
$24,272.42
|
$61,554.75
|
$42,495.31
|
2026-07-15
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
28
|
19
|
$39,318.70
|
$23,591.22
40% off
|
$11,518.73
|
$29,211.45
|
$23,701.79
|
2026-07-15
|
|
175
|
MS_DRG
|
Pulmonary Embolism With McC Or Acute Cor Pulmonale
|
24
|
17
|
$29,350.10
|
$17,610.06
40% off
|
$8,883.02
|
$23,403.81
|
$16,162.38
|
2026-07-15
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With McC
|
28
|
19
|
$39,773.60
|
$23,864.16
40% off
|
$10,190.47
|
$25,842.99
|
$21,386.52
|
2026-07-15
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With McC
|
28
|
19
|
$21,635.75
|
$12,981.45
40% off
|
$11,018.19
|
$27,942.08
|
$25,318.63
|
2026-07-15
|
|
183
|
MS_DRG
|
Major Chest Trauma With McC
|
28
|
19
|
$38,227.05
|
$22,936.23
40% off
|
$10,006.39
|
$25,376.17
|
$15,494.84
|
2026-07-15
|
|
186
|
MS_DRG
|
Pleural Effusion With McC
|
24
|
17
|
$24,858.80
|
$14,915.28
40% off
|
$9,960.37
|
$24,290.61
|
$18,122.60
|
2026-07-15
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
28
|
19
|
$26,188.45
|
$15,713.07
40% off
|
$7,800.61
|
$19,782.31
|
$16,195.48
|
2026-07-15
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With McC
|
28
|
19
|
$45,941.70
|
$27,565.02
40% off
|
$8,306.83
|
$21,066.07
|
$16,070.50
|
2026-07-15
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With McC
|
28
|
19
|
$20,994.30
|
$12,596.58
40% off
|
$11,877.43
|
$30,121.11
|
$15,070.67
|
2026-07-15
|
|
199
|
MS_DRG
|
Pneumothorax With McC
|
24
|
17
|
$20,195.32
|
$12,117.19
40% off
|
$11,128.51
|
$25,826.34
|
$20,247.99
|
2026-07-15
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With McC
|
28
|
19
|
$18,909.70
|
$11,345.82
40% off
|
$11,900.76
|
$30,180.26
|
$15,650.12
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
18
|
15
|
$129,695.43
|
$77,817.26
40% off
|
$40,769.45
|
$89,036.95
|
$63,606.56
|
2026-07-15
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
28
|
19
|
$231,789.40
|
$139,073.64
40% off
|
$16,918.77
|
$42,905.91
|
$31,036.40
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
18
|
15
|
$145,038.57
|
$87,023.14
40% off
|
$66,789.99
|
$104,731.37
|
$84,235.48
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC
|
27
|
18
|
$92,137.28
|
$55,282.37
40% off
|
$31,752.79
|
$80,524.92
|
$57,381.68
|
2026-07-15
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
27
|
18
|
$34,642.04
|
$20,785.22
40% off
|
$18,358.61
|
$46,557.34
|
$40,595.38
|
2026-07-15
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With McC
|
28
|
19
|
$53,186.54
|
$31,911.92
40% off
|
$21,383.29
|
$54,227.90
|
$34,593.88
|
2026-07-15
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
27
|
18
|
$89,340.63
|
$53,604.38
40% off
|
$14,201.73
|
$36,015.51
|
$30,462.00
|
2026-07-15
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/McC
|
27
|
18
|
$45,881.46
|
$27,528.88
40% off
|
$11,376.89
|
$28,851.74
|
$23,762.38
|
2026-07-15
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC
|
28
|
19
|
$59,305.99
|
$35,583.59
40% off
|
$14,578.71
|
$36,971.54
|
$21,118.89
|
2026-07-15
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC
|
28
|
19
|
$63,401.35
|
$38,040.81
40% off
|
$9,850.68
|
$24,981.29
|
$20,247.83
|
2026-07-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With McC
|
24
|
18
|
$109,790.69
|
$65,874.41
40% off
|
$21,625.36
|
$54,841.80
|
$51,434.24
|
2026-07-15
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
22
|
17
|
$164,721.95
|
$98,833.17
40% off
|
$16,094.20
|
$40,814.81
|
$34,636.80
|
2026-07-15
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With McC
|
28
|
19
|
$83,231.14
|
$49,938.68
40% off
|
$16,494.51
|
$41,829.99
|
$20,122.85
|
2026-07-15
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With McC
|
28
|
19
|
$75,605.69
|
$45,363.41
40% off
|
$21,472.80
|
$54,454.92
|
$33,241.83
|
2026-07-15
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
28
|
19
|
$49,466.84
|
$29,680.10
40% off
|
$11,962.54
|
$30,336.93
|
$26,378.10
|
2026-07-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
28
|
19
|
$41,356.97
|
$24,814.18
40% off
|
$22,033.23
|
$60,770.07
|
$50,630.01
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With McC
|
18
|
15
|
$154,962.47
|
$92,977.48
40% off
|
$32,358.61
|
$79,529.27
|
$54,785.76
|
2026-07-15
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
27
|
18
|
$91,316.08
|
$54,789.65
40% off
|
$21,713.62
|
$55,065.62
|
$48,114.31
|
2026-07-15
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/McC
|
28
|
19
|
$49,928.35
|
$29,957.01
40% off
|
$15,773.96
|
$40,002.67
|
$36,246.87
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And McC
|
27
|
18
|
$95,712.15
|
$57,427.29
40% off
|
$44,550.61
|
$112,980.13
|
$96,383.89
|
2026-07-15
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With McC
|
28
|
19
|
$37,861.84
|
$22,717.10
40% off
|
$10,347.44
|
$26,241.06
|
$21,809.43
|
2026-07-15
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With McC
|
28
|
19
|
$32,380.20
|
$19,428.12
40% off
|
$12,326.91
|
$31,260.98
|
$17,505.87
|
2026-07-15
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With McC
|
28
|
19
|
$51,620.65
|
$30,972.39
40% off
|
$13,952.72
|
$35,985.36
|
$32,061.87
|
2026-07-15
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC
|
28
|
19
|
$54,465.81
|
$32,679.49
40% off
|
$6,869.51
|
$17,421.03
|
$15,732.72
|
2026-07-15
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With McC
|
28
|
19
|
$48,859.95
|
$29,315.97
40% off
|
$17,219.47
|
$43,668.49
|
$26,371.79
|
2026-07-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
28
|
19
|
$85,076.68
|
$51,046.01
40% off
|
$21,160.75
|
$53,663.56
|
$29,574.53
|
2026-07-15
|
|
291
|
MS_DRG
|
Heart Failure And Shock With McC
|
28
|
19
|
$37,019.50
|
$22,211.70
40% off
|
$8,225.50
|
$20,859.84
|
$18,779.36
|
2026-07-15
|
|
296
|
MS_DRG
|
Cardiac Arrest, Unexplained With McC
|
28
|
19
|
$56,867.45
|
$34,120.47
40% off
|
$10,328.53
|
$26,193.10
|
$23,117.29
|
2026-07-15
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With McC
|
28
|
19
|
$27,515.38
|
$16,509.23
40% off
|
$10,197.41
|
$25,860.57
|
$15,964.46
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
22
|
17
|
$114,418.66
|
$68,651.20
40% off
|
$135,105.55
|
$342,626.99
|
$280,087.56
|
2026-07-15
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
28
|
19
|
$28,591.36
|
$17,154.82
40% off
|
$6,749.10
|
$17,115.68
|
$15,508.72
|
2026-07-15
|
|
304
|
MS_DRG
|
Hypertension With McC
|
28
|
19
|
$28,425.85
|
$17,055.51
40% off
|
$7,405.98
|
$18,781.53
|
$17,018.15
|
2026-07-15
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With McC
|
28
|
19
|
$22,520.95
|
$13,512.57
40% off
|
$9,439.66
|
$23,938.93
|
$15,270.14
|
2026-07-15
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With McC
|
28
|
19
|
$71,062.45
|
$42,637.47
40% off
|
$7,602.04
|
$24,269.80
|
$17,468.67
|
2026-07-15
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With McC
|
28
|
19
|
$76,511.08
|
$45,906.65
40% off
|
$13,575.74
|
$34,738.39
|
$31,195.60
|
2026-07-15
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A…
|
28
|
19
|
$80,365.90
|
$48,219.54
40% off
|
$17,946.33
|
$45,511.79
|
$39,141.08
|
2026-07-15
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC
|
28
|
19
|
$85,293.88
|
$51,176.33
40% off
|
$11,405.26
|
$28,923.68
|
$23,516.21
|
2026-07-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With McC
|
24
|
18
|
$100,134.68
|
$60,080.81
40% off
|
$26,851.41
|
$68,095.03
|
$48,619.27
|
2026-07-15
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without McC
|
28
|
19
|
$81,986.16
|
$49,191.70
40% off
|
$20,142.02
|
$51,080.06
|
$44,393.98
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With McC
|
28
|
19
|
$85,749.95
|
$51,449.97
40% off
|
$32,018.19
|
$81,197.97
|
$58,402.97
|
2026-07-15
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
28
|
19
|
$66,398.07
|
$39,838.84
40% off
|
$15,306.83
|
$38,818.03
|
$27,237.80
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
24
|
18
|
$102,736.04
|
$61,641.62
40% off
|
$28,947.50
|
$73,410.71
|
$67,193.89
|
2026-07-15
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
28
|
19
|
$83,992.93
|
$50,395.76
40% off
|
$14,900.85
|
$37,788.47
|
$29,551.80
|
2026-07-15
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/McC
|
28
|
19
|
$52,548.36
|
$31,529.02
40% off
|
$10,407.96
|
$26,394.54
|
$20,385.43
|
2026-07-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With McC
|
22
|
17
|
$223,772.00
|
$134,263.20
40% off
|
$22,842.04
|
$57,927.30
|
$31,918.83
|
2026-07-15
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
28
|
19
|
$59,728.60
|
$35,837.16
40% off
|
$13,316.01
|
$33,769.34
|
$27,173.42
|
2026-07-15
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/McC
|
28
|
19
|
$58,376.38
|
$35,025.83
40% off
|
$9,677.32
|
$24,541.64
|
$16,427.77
|
2026-07-15
|
|
346
|
MS_DRG
|
Minor Small And Large Bowel Procedures Without Cc/McC
|
28
|
19
|
$32,054.15
|
$19,232.49
40% off
|
$7,850.41
|
$19,908.61
|
$18,039.42
|
2026-07-15
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
22
|
17
|
$113,505.13
|
$68,103.08
40% off
|
$9,484.42
|
$24,052.44
|
$16,956.72
|
2026-07-15
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With McC
|
28
|
19
|
$50,432.84
|
$30,259.70
40% off
|
$18,489.73
|
$46,889.87
|
$26,790.91
|
2026-07-15
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
28
|
19
|
$49,662.65
|
$29,797.59
40% off
|
$10,723.79
|
$27,195.49
|
$16,754.73
|
2026-07-15
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/McC
|
27
|
18
|
$38,302.64
|
$22,981.58
40% off
|
$8,404.54
|
$21,313.87
|
$16,754.73
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With McC
|
28
|
19
|
$53,624.16
|
$32,174.50
40% off
|
$26,891.12
|
$68,195.75
|
$61,792.93
|
2026-07-15
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
28
|
19
|
$47,944.88
|
$28,766.93
40% off
|
$14,196.69
|
$36,002.72
|
$26,134.45
|
2026-07-15
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/McC
|
28
|
19
|
$42,741.37
|
$25,644.82
40% off
|
$8,542.60
|
$21,663.98
|
$14,868.69
|
2026-07-15
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With McC
|
28
|
19
|
$69,950.80
|
$41,970.48
40% off
|
$10,527.74
|
$26,698.29
|
$23,740.92
|
2026-07-15
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With McC
|
28
|
19
|
$46,728.73
|
$28,037.24
40% off
|
$10,689.39
|
$27,945.28
|
$20,058.46
|
2026-07-15
|
|
37225
|
CPT
|
Hc Revasc Pta Fem Pop W Atherectomy Unil
|
37
|
23
|
$21,545.00
|
$12,927.00
40% off
|
$4,334.85
|
$22,655.00
|
$17,020.55
|
2026-07-15
|
|
37227
|
CPT
|
Hc Revasc Pta Fem Pop W Stent And Atherectomy Same Vessel Unil
|
37
|
23
|
$22,622.00
|
$13,573.20
40% off
|
$4,551.55
|
$27,130.00
|
$17,116.35
|
2026-07-15
|
|
37229
|
CPT
|
Hc Revasc Pta Tibal Peroneal W Atherectomy Same Vessel Unil
|
37
|
23
|
$29,555.00
|
$17,733.00
40% off
|
$5,946.47
|
$29,555.00
|
$17,116.35
|
2026-07-15
|
|
37230
|
CPT
|
Hc Revasc Pta Tibal Peroneal W Stent Same Vessel Unil
|
37
|
23
|
$27,486.00
|
$16,491.60
40% off
|
$5,530.18
|
$27,486.00
|
$17,116.35
|
2026-07-15
|
|
37231
|
CPT
|
Hc Revasc Pta Tibal Peroneal W Stent And Atherectomy Same Vessel Unil
|
37
|
23
|
$37,307.00
|
$22,384.20
40% off
|
$7,506.17
|
$37,307.00
|
$17,116.35
|
2026-07-15
|
|
374
|
MS_DRG
|
Digestive Malignancy With McC
|
24
|
17
|
$31,215.75
|
$18,729.45
40% off
|
$13,310.34
|
$31,638.51
|
$24,217.76
|
2026-07-15
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
28
|
19
|
$41,416.86
|
$24,850.12
40% off
|
$7,745.77
|
$19,643.23
|
$15,699.36
|
2026-07-15
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With McC
|
28
|
19
|
$43,909.50
|
$26,345.70
40% off
|
$11,462.00
|
$29,067.56
|
$25,356.81
|
2026-07-15
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With McC
|
28
|
19
|
$22,637.70
|
$13,582.62
40% off
|
$12,130.85
|
$30,763.78
|
$16,454.28
|
2026-07-15
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
28
|
19
|
$25,901.05
|
$15,540.63
40% off
|
$6,865.72
|
$17,411.44
|
$15,605.94
|
2026-07-15
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With McC
|
28
|
19
|
$23,083.45
|
$13,850.07
40% off
|
$10,242.80
|
$25,975.68
|
$19,518.15
|
2026-07-15
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With McC
|
28
|
19
|
$26,039.95
|
$15,623.97
40% off
|
$9,266.30
|
$23,499.29
|
$18,986.68
|
2026-07-15
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC
|
28
|
19
|
$28,296.95
|
$16,978.17
40% off
|
$8,097.53
|
$20,535.30
|
$16,583.04
|
2026-07-15
|
|
397
|
MS_DRG
|
Appendix Procedures With McC
|
28
|
19
|
$49,350.83
|
$29,610.50
40% off
|
$15,620.14
|
$39,612.59
|
$20,794.45
|
2026-07-15
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
28
|
19
|
$51,189.25
|
$30,713.55
40% off
|
$9,539.27
|
$24,191.53
|
$19,509.32
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
22
|
17
|
$271,348.10
|
$162,808.86
40% off
|
$89,076.01
|
$256,955.62
|
$225,896.31
|
2026-07-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
22
|
17
|
$121,825.71
|
$73,095.43
40% off
|
$24,662.64
|
$62,544.34
|
$46,791.30
|
2026-07-15
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
28
|
19
|
$36,948.08
|
$22,168.85
40% off
|
$14,235.77
|
$36,101.84
|
$22,008.89
|
2026-07-15
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
28
|
19
|
$60,404.21
|
$36,242.53
40% off
|
$12,470.01
|
$31,623.88
|
$24,408.74
|
2026-07-15
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With McC
|
28
|
19
|
$73,685.83
|
$44,211.50
40% off
|
$14,981.54
|
$37,993.11
|
$27,015.62
|
2026-07-15
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
28
|
19
|
$56,991.22
|
$34,194.73
40% off
|
$10,454.61
|
$26,512.84
|
$19,427.26
|
2026-07-15
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC
|
28
|
19
|
$46,875.17
|
$28,125.10
40% off
|
$8,306.20
|
$21,064.47
|
$17,161.23
|
2026-07-15
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
28
|
19
|
$85,157.41
|
$51,094.45
40% off
|
$14,394.00
|
$36,503.12
|
$23,306.65
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
17
|
$207,301.89
|
$124,381.13
40% off
|
$44,775.67
|
$113,550.86
|
$78,148.35
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
22
|
17
|
$154,388.37
|
$92,633.02
40% off
|
$34,698.04
|
$87,994.05
|
$61,492.09
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without McC
|
28
|
19
|
$89,533.29
|
$53,719.97
40% off
|
$34,486.22
|
$87,456.88
|
$58,968.53
|
2026-07-15
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With McC
|
28
|
19
|
$38,308.35
|
$22,985.01
40% off
|
$12,350.23
|
$31,320.13
|
$28,379.52
|
2026-07-15
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With McC
|
28
|
19
|
$42,495.20
|
$25,497.12
40% off
|
$11,502.34
|
$29,169.88
|
$24,279.97
|
2026-07-15
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With McC
|
28
|
19
|
$50,126.85
|
$30,076.11
40% off
|
$10,488.02
|
$26,597.57
|
$21,809.43
|
2026-07-15
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC
|
24
|
17
|
$33,950.00
|
$20,370.00
40% off
|
$11,917.15
|
$27,839.08
|
$21,682.89
|
2026-07-15
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With McC
|
28
|
19
|
$40,413.64
|
$24,248.18
40% off
|
$10,618.52
|
$26,928.50
|
$22,223.50
|
2026-07-15
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
28
|
19
|
$40,254.36
|
$24,152.62
40% off
|
$6,836.73
|
$17,337.90
|
$15,231.00
|
2026-07-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without McC
|
18
|
15
|
$127,968.74
|
$76,781.24
40% off
|
$25,742.53
|
$56,537.65
|
$40,316.74
|
2026-07-15
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without McC
|
24
|
18
|
$100,591.95
|
$60,355.17
40% off
|
$19,454.25
|
$49,335.88
|
$45,500.76
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
22
|
17
|
$196,769.40
|
$118,061.64
40% off
|
$53,390.13
|
$135,397.10
|
$96,205.89
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC
|
28
|
19
|
$46,547.74
|
$27,928.64
40% off
|
$38,685.97
|
$98,107.42
|
$88,896.24
|
2026-07-15
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC
|
28
|
19
|
$81,554.46
|
$48,932.68
40% off
|
$18,053.49
|
$45,783.57
|
$41,485.01
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
17
|
$125,998.03
|
$75,598.82
40% off
|
$34,048.09
|
$86,345.79
|
$64,198.70
|
2026-07-15
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
19
|
$58,820.03
|
$35,292.02
40% off
|
$18,588.08
|
$47,139.27
|
$35,653.04
|
2026-07-15
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
19
|
$30,650.39
|
$18,390.23
40% off
|
$10,944.43
|
$27,755.03
|
$22,867.33
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With McC
|
22
|
17
|
$146,007.89
|
$87,604.73
40% off
|
$32,116.53
|
$81,447.37
|
$49,182.31
|
2026-07-15
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
22
|
17
|
$114,457.84
|
$68,674.70
40% off
|
$21,592.58
|
$54,758.67
|
$43,823.37
|
2026-07-15
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/McC
|
22
|
17
|
$119,814.02
|
$71,888.41
40% off
|
$16,537.37
|
$42,124.00
|
$40,897.10
|
2026-07-15
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…
|
27
|
18
|
$88,448.27
|
$53,068.96
40% off
|
$20,606.00
|
$52,256.71
|
$43,420.66
|
2026-07-15
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
28
|
19
|
$46,157.70
|
$27,694.62
40% off
|
$11,886.26
|
$30,143.49
|
$27,313.35
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With McC
|
27
|
18
|
$101,388.63
|
$60,833.18
40% off
|
$30,620.59
|
$77,653.66
|
$45,772.53
|
2026-07-15
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
27
|
18
|
$98,884.67
|
$59,330.80
40% off
|
$18,264.05
|
$46,317.54
|
$37,237.37
|
2026-07-15
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/McC
|
28
|
19
|
$72,930.18
|
$43,758.11
40% off
|
$14,924.17
|
$37,847.62
|
$30,338.29
|
2026-07-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With McC
|
28
|
19
|
$45,041.13
|
$27,024.68
40% off
|
$28,271.70
|
$71,696.90
|
$30,883.65
|
2026-07-15
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
28
|
19
|
$45,716.52
|
$27,429.91
40% off
|
$13,599.69
|
$34,488.76
|
$26,445.01
|
2026-07-15
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
27
|
18
|
$87,678.37
|
$52,607.02
40% off
|
$14,742.62
|
$37,387.20
|
$21,483.73
|
2026-07-15
|
|
479
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC
|
28
|
19
|
$39,714.00
|
$23,828.40
40% off
|
$11,194.70
|
$28,389.71
|
$16,199.27
|
2026-07-15
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With McC
|
24
|
17
|
$69,842.90
|
$41,905.74
40% off
|
$18,540.17
|
$43,026.83
|
$33,733.27
|
2026-07-15
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
28
|
19
|
$62,495.94
|
$37,497.56
40% off
|
$13,080.24
|
$33,171.43
|
$26,155.91
|
2026-07-15
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/McC
|
28
|
19
|
$49,915.83
|
$29,949.50
40% off
|
$10,000.72
|
$25,361.78
|
$18,777.12
|
2026-07-15
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
28
|
19
|
$72,061.70
|
$43,237.02
40% off
|
$16,063.94
|
$40,738.07
|
$33,173.66
|
2026-07-15
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
28
|
19
|
$76,845.96
|
$46,107.58
40% off
|
$13,370.23
|
$33,906.83
|
$30,723.36
|
2026-07-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC
|
22
|
17
|
$117,696.57
|
$70,617.94
40% off
|
$22,386.89
|
$56,773.03
|
$35,779.28
|
2026-07-15
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
27
|
18
|
$97,578.63
|
$58,547.18
40% off
|
$15,135.99
|
$38,384.79
|
$28,064.68
|
2026-07-15
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC
|
28
|
19
|
$99,485.30
|
$59,691.18
40% off
|
$11,885.63
|
$30,141.89
|
$18,594.07
|
2026-07-15
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
19
|
$78,287.96
|
$46,972.78
40% off
|
$22,193.98
|
$56,283.83
|
$34,889.28
|
2026-07-15
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
19
|
$40,983.65
|
$24,590.19
40% off
|
$12,437.86
|
$31,542.35
|
$20,870.20
|
2026-07-15
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
28
|
19
|
$77,691.63
|
$46,614.98
40% off
|
$15,917.06
|
$40,365.58
|
$21,505.19
|
2026-07-15
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
28
|
19
|
$34,823.20
|
$20,893.92
40% off
|
$11,250.81
|
$28,532.00
|
$21,284.27
|
2026-07-15
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
28
|
19
|
$33,750.65
|
$20,250.39
40% off
|
$11,063.58
|
$28,057.19
|
$23,777.53
|
2026-07-15
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/McC
|
28
|
19
|
$62,359.93
|
$37,415.96
40% off
|
$11,063.58
|
$28,057.19
|
$18,427.43
|
2026-07-15
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC
|
28
|
19
|
$84,987.23
|
$50,992.34
40% off
|
$18,017.56
|
$45,692.44
|
$34,784.50
|
2026-07-15
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
28
|
19
|
$83,221.99
|
$49,933.19
40% off
|
$12,363.47
|
$31,353.70
|
$24,880.88
|
2026-07-15
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
28
|
19
|
$65,588.19
|
$39,352.91
40% off
|
$10,135.63
|
$25,703.90
|
$15,133.80
|
2026-07-15
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC
|
28
|
19
|
$31,961.59
|
$19,176.95
40% off
|
$9,491.35
|
$24,070.03
|
$21,443.33
|
2026-07-15
|
|
514
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC
|
28
|
19
|
$28,219.61
|
$16,931.77
40% off
|
$6,427.59
|
$22,086.62
|
$14,769.92
|
2026-07-15
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
28
|
19
|
$72,092.38
|
$43,255.43
40% off
|
$12,681.83
|
$32,161.05
|
$29,141.49
|
2026-07-15
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc…
|
28
|
19
|
$53,107.45
|
$31,864.47
40% off
|
$9,410.03
|
$23,863.79
|
$21,623.25
|
2026-07-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost…
|
28
|
19
|
$80,911.99
|
$48,547.19
40% off
|
$22,593.66
|
$57,297.41
|
$40,605.48
|
2026-07-15
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
28
|
19
|
$52,620.21
|
$31,572.13
40% off
|
$12,430.93
|
$31,524.77
|
$27,518.06
|
2026-07-15
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/McC
|
28
|
19
|
$83,235.71
|
$49,941.43
40% off
|
$9,034.94
|
$22,912.57
|
$18,326.44
|
2026-07-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With McC
|
28
|
19
|
$78,641.13
|
$47,184.68
40% off
|
$18,374.37
|
$46,597.31
|
$32,033.70
|
2026-07-15
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC
|
28
|
19
|
$65,182.69
|
$39,109.61
40% off
|
$13,289.54
|
$33,702.19
|
$30,537.93
|
2026-07-15
|
|
539
|
MS_DRG
|
Osteomyelitis With McC
|
28
|
19
|
$35,912.00
|
$21,547.20
40% off
|
$12,749.28
|
$32,332.11
|
$21,327.19
|
2026-07-15
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With McC
|
28
|
19
|
$30,067.15
|
$18,040.29
40% off
|
$9,450.38
|
$23,966.11
|
$18,881.90
|
2026-07-15
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
9
|
7
|
$93,883.15
|
$56,329.89
40% off
|
$19,863.32
|
$39,171.74
|
$36,183.29
|
2026-07-15
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
28
|
19
|
$19,158.50
|
$11,495.10
40% off
|
$6,687.95
|
$16,960.61
|
$15,264.24
|
2026-07-15
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With McC
|
9
|
7
|
$52,914.15
|
$31,748.49
40% off
|
$26,911.49
|
$36,968.55
|
$29,408.21
|
2026-07-15
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
27
|
18
|
$13,769.95
|
$8,261.97
40% off
|
$7,298.18
|
$19,151.88
|
$16,603.73
|
2026-07-15
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without McC
|
9
|
7
|
$36,599.55
|
$21,959.73
40% off
|
$11,619.15
|
$32,052.93
|
$29,607.58
|
2026-07-15
|
|
551
|
MS_DRG
|
Medical Back Problems With McC
|
28
|
19
|
$67,214.30
|
$40,328.58
40% off
|
$10,757.20
|
$27,280.22
|
$16,218.21
|
2026-07-15
|
|
552
|
MS_DRG
|
Medical Back Problems Without McC
|
9
|
7
|
$43,352.75
|
$26,011.65
40% off
|
$10,264.47
|
$18,698.76
|
$17,272.21
|
2026-07-15
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With McC
|
9
|
7
|
$46,737.85
|
$28,042.71
40% off
|
$19,769.60
|
$28,336.22
|
$26,174.43
|
2026-07-15
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With McC
|
12
|
10
|
$42,989.20
|
$25,793.52
40% off
|
$15,785.93
|
$36,634.98
|
$15,785.93
|
2026-07-15
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
9
|
7
|
$41,680.90
|
$25,008.54
40% off
|
$12,127.16
|
$22,998.94
|
$21,244.33
|
2026-07-15
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With McC
|
28
|
19
|
$32,622.15
|
$19,573.29
40% off
|
$9,892.29
|
$25,086.80
|
$15,502.42
|
2026-07-15
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
28
|
19
|
$46,618.40
|
$27,971.04
40% off
|
$6,428.22
|
$16,301.94
|
$14,771.38
|
2026-07-15
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without McC
|
9
|
7
|
$39,230.00
|
$23,538.00
40% off
|
$14,211.36
|
$22,119.15
|
$20,431.66
|
2026-07-15
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
28
|
19
|
$59,227.20
|
$35,536.32
40% off
|
$10,554.85
|
$26,767.03
|
$24,253.91
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With McC
|
22
|
17
|
$153,315.20
|
$91,989.12
40% off
|
$38,821.51
|
$98,451.14
|
$42,119.11
|
2026-07-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
24
|
17
|
$39,269.45
|
$23,561.67
40% off
|
$21,842.85
|
$50,691.49
|
$30,734.68
|
2026-07-15
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC
|
28
|
19
|
$58,535.86
|
$35,121.52
40% off
|
$12,587.27
|
$31,921.24
|
$28,924.19
|
2026-07-15
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With McC
|
28
|
19
|
$60,957.70
|
$36,574.62
40% off
|
$20,547.37
|
$52,108.03
|
$29,463.43
|
2026-07-15
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
28
|
19
|
$56,894.11
|
$34,136.47
40% off
|
$11,177.05
|
$28,344.95
|
$23,427.84
|
2026-07-15
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/McC
|
28
|
19
|
$38,547.57
|
$23,128.54
40% off
|
$11,039.63
|
$32,748.95
|
$25,367.89
|
2026-07-15
|
|
592
|
MS_DRG
|
Skin Ulcers With McC
|
24
|
17
|
$27,660.40
|
$16,596.24
40% off
|
$12,962.99
|
$30,083.67
|
$17,734.36
|
2026-07-15
|
|
602
|
MS_DRG
|
Cellulitis With McC
|
28
|
19
|
$37,286.60
|
$22,371.96
40% off
|
$9,261.89
|
$23,488.10
|
$17,070.34
|
2026-07-15
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
28
|
19
|
$60,843.75
|
$36,506.25
40% off
|
$17,042.33
|
$43,219.26
|
$29,719.70
|
2026-07-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
23
|
16
|
$87,939.87
|
$52,763.92
40% off
|
$24,365.09
|
$56,544.95
|
$32,704.05
|
2026-07-15
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
28
|
19
|
$53,701.99
|
$32,221.19
40% off
|
$12,176.87
|
$30,880.49
|
$26,885.59
|
2026-07-15
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
28
|
19
|
$84,086.50
|
$50,451.90
40% off
|
$11,226.86
|
$28,471.25
|
$23,151.37
|
2026-07-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
24
|
17
|
$33,159.10
|
$19,895.46
40% off
|
$23,589.70
|
$54,745.46
|
$29,318.26
|
2026-07-15
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
28
|
19
|
$55,719.55
|
$33,431.73
40% off
|
$12,058.36
|
$30,579.93
|
$27,642.99
|
2026-07-15
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With McC
|
28
|
19
|
$80,942.93
|
$48,565.76
40% off
|
$18,074.30
|
$45,836.33
|
$26,784.60
|
2026-07-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC
|
28
|
19
|
$80,743.51
|
$48,446.11
40% off
|
$24,873.83
|
$63,079.91
|
$35,998.94
|
2026-07-15
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
28
|
19
|
$44,413.04
|
$26,647.82
40% off
|
$14,178.40
|
$35,956.36
|
$27,417.06
|
2026-07-15
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
28
|
19
|
$47,801.25
|
$28,680.75
40% off
|
$8,855.91
|
$23,636.56
|
$20,349.93
|
2026-07-15
|
|
630
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/McC
|
28
|
19
|
$31,186.08
|
$18,711.65
40% off
|
$8,833.84
|
$22,402.58
|
$20,299.23
|
2026-07-15
|
|
637
|
MS_DRG
|
Diabetes With McC
|
28
|
19
|
$46,933.65
|
$28,160.19
40% off
|
$9,180.57
|
$23,281.87
|
$19,400.75
|
2026-07-15
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With McC
|
28
|
19
|
$75,305.10
|
$45,183.06
40% off
|
$12,539.99
|
$46,793.32
|
$28,815.56
|
2026-07-15
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
28
|
19
|
$26,341.75
|
$15,805.05
40% off
|
$8,371.76
|
$21,230.74
|
$19,237.41
|
2026-07-15
|
|
643
|
MS_DRG
|
Endocrine Disorders With McC
|
28
|
19
|
$45,627.20
|
$27,376.32
40% off
|
$10,447.68
|
$26,495.26
|
$23,013.77
|
2026-07-15
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
28
|
19
|
$74,154.35
|
$44,492.61
40% off
|
$17,790.62
|
$45,116.91
|
$26,351.59
|
2026-07-15
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With McC
|
27
|
18
|
$98,498.18
|
$59,098.91
40% off
|
$20,538.54
|
$52,085.65
|
$34,755.46
|
2026-07-15
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
28
|
19
|
$37,185.08
|
$22,311.05
40% off
|
$11,524.41
|
$29,225.83
|
$24,764.74
|
2026-07-15
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc/McC
|
28
|
19
|
$76,684.59
|
$46,010.75
40% off
|
$9,481.27
|
$24,044.45
|
$18,886.95
|
2026-07-15
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With McC
|
28
|
19
|
$80,347.32
|
$48,208.39
40% off
|
$16,291.52
|
$41,315.20
|
$24,089.35
|
2026-07-15
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
28
|
19
|
$52,544.95
|
$31,526.97
40% off
|
$8,447.41
|
$21,422.58
|
$15,703.14
|
2026-07-15
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With McC
|
28
|
19
|
$34,402.85
|
$20,641.71
40% off
|
$19,666.07
|
$49,873.05
|
$24,528.67
|
2026-07-15
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
28
|
19
|
$40,498.78
|
$24,299.27
40% off
|
$9,628.78
|
$24,418.54
|
$15,616.04
|
2026-07-15
|
|
665
|
MS_DRG
|
Prostatectomy With McC
|
28
|
19
|
$46,902.22
|
$28,141.33
40% off
|
$21,645.53
|
$54,892.96
|
$49,739.13
|
2026-07-15
|
|
668
|
MS_DRG
|
Transurethral Procedures With McC
|
28
|
19
|
$21,220.10
|
$12,732.06
40% off
|
$18,384.46
|
$46,622.89
|
$25,653.47
|
2026-07-15
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
28
|
19
|
$30,689.28
|
$18,413.57
40% off
|
$9,755.49
|
$24,739.88
|
$17,240.76
|
2026-07-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With McC
|
28
|
19
|
$84,597.74
|
$50,758.64
40% off
|
$26,411.38
|
$66,979.14
|
$57,398.09
|
2026-07-15
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
28
|
19
|
$54,694.73
|
$32,816.84
40% off
|
$14,552.23
|
$36,904.39
|
$30,621.07
|
2026-07-15
|
|
682
|
MS_DRG
|
Renal Failure With McC
|
28
|
19
|
$31,686.85
|
$19,012.11
40% off
|
$9,468.03
|
$26,831.36
|
$21,756.53
|
2026-07-15
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/McC
|
9
|
7
|
$19,967.80
|
$11,980.68
40% off
|
$6,468.81
|
$27,593.61
|
$25,488.47
|
2026-07-15
|
|
686
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With McC
|
28
|
19
|
$46,887.20
|
$28,132.32
40% off
|
$11,887.52
|
$30,146.69
|
$15,964.46
|
2026-07-15
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With McC
|
28
|
19
|
$28,796.60
|
$17,277.96
40% off
|
$7,377.61
|
$18,709.59
|
$15,560.49
|
2026-07-15
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With McC
|
28
|
19
|
$36,521.40
|
$21,912.84
40% off
|
$10,596.45
|
$26,872.55
|
$24,349.52
|
2026-07-15
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
28
|
19
|
$24,404.15
|
$14,642.49
40% off
|
$6,429.48
|
$16,305.14
|
$14,774.27
|
2026-07-15
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With McC
|
28
|
19
|
$34,584.85
|
$20,750.91
40% off
|
$10,961.46
|
$30,227.70
|
$25,188.25
|
2026-07-15
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/McC
|
28
|
19
|
$45,016.07
|
$27,009.64
40% off
|
$12,233.61
|
$31,024.37
|
$20,470.01
|
2026-07-15
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
28
|
19
|
$29,640.80
|
$17,784.48
40% off
|
$6,643.82
|
$16,877.69
|
$15,266.80
|
2026-07-15
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/McC
|
28
|
19
|
$39,114.31
|
$23,468.59
40% off
|
$9,464.88
|
$24,002.88
|
$21,749.28
|
2026-07-15
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/McC
|
28
|
19
|
$37,330.41
|
$22,398.25
40% off
|
$12,044.49
|
$30,544.76
|
$20,852.52
|
2026-07-15
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/McC
|
28
|
19
|
$71,390.91
|
$42,834.55
40% off
|
$14,236.40
|
$36,103.44
|
$17,782.34
|
2026-07-15
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/McC
|
28
|
19
|
$33,124.70
|
$19,874.82
40% off
|
$11,697.14
|
$29,663.88
|
$15,773.84
|
2026-07-15
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/McC
|
28
|
19
|
$50,694.73
|
$30,416.84
40% off
|
$11,515.58
|
$29,203.45
|
$20,244.04
|
2026-07-15
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC
|
28
|
19
|
$54,629.08
|
$32,777.45
40% off
|
$12,318.08
|
$31,238.60
|
$16,283.85
|
2026-07-15
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With McC
|
28
|
19
|
$34,486.00
|
$20,691.60
40% off
|
$11,405.89
|
$28,925.28
|
$15,826.86
|
2026-07-15
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
27
|
18
|
$13,717.10
|
$8,230.26
40% off
|
$8,759.46
|
$22,213.94
|
$15,078.25
|
2026-07-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
13
|
9
|
$33,112.70
|
$19,867.62
40% off
|
$2,406.00
|
$63,312.12
|
$37,476.23
|
2026-07-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
22
|
16
|
$19,966.50
|
$11,979.90
40% off
|
$2,406.00
|
$43,237.94
|
$25,593.75
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
20
|
14
|
$12,301.35
|
$7,380.81
40% off
|
$2,406.00
|
$26,290.98
|
$15,505.89
|
2026-07-15
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With McC
|
28
|
19
|
$50,818.85
|
$30,491.31
40% off
|
$12,531.16
|
$31,778.96
|
$15,977.09
|
2026-07-15
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
28
|
19
|
$48,548.85
|
$29,129.31
40% off
|
$14,438.13
|
$36,615.03
|
$24,747.06
|
2026-07-15
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With McC
|
28
|
19
|
$37,233.00
|
$22,339.80
40% off
|
$8,869.15
|
$22,492.11
|
$20,192.60
|
2026-07-15
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
28
|
19
|
$20,595.25
|
$12,357.15
40% off
|
$9,758.65
|
$25,232.01
|
$22,424.33
|
2026-07-15
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With McC
|
28
|
19
|
$57,808.95
|
$34,685.37
40% off
|
$13,178.58
|
$33,420.82
|
$20,722.49
|
2026-07-15
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With McC
|
28
|
19
|
$46,140.24
|
$27,684.14
40% off
|
$15,981.36
|
$40,528.64
|
$16,581.78
|
2026-07-15
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
27
|
18
|
$86,824.31
|
$52,094.59
40% off
|
$19,440.38
|
$49,300.71
|
$34,380.53
|
2026-07-15
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
24
|
17
|
$37,189.15
|
$22,313.49
40% off
|
$13,464.79
|
$41,579.18
|
$24,498.77
|
2026-07-15
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With McC
|
28
|
19
|
$40,894.43
|
$24,536.66
40% off
|
$20,103.57
|
$50,982.54
|
$32,072.84
|
2026-07-15
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
27
|
18
|
$25,115.35
|
$15,069.21
40% off
|
$9,884.73
|
$25,067.62
|
$21,453.43
|
2026-07-15
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
28
|
19
|
$58,788.65
|
$35,273.19
40% off
|
$11,935.43
|
$30,268.19
|
$18,767.02
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
27
|
18
|
$112,354.03
|
$67,412.42
40% off
|
$31,528.37
|
$80,380.96
|
$73,169.02
|
2026-07-15
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
28
|
19
|
$47,437.36
|
$28,462.42
40% off
|
$12,596.09
|
$31,943.62
|
$27,396.87
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With McC
|
28
|
19
|
$79,990.00
|
$47,994.00
40% off
|
$28,441.28
|
$72,126.95
|
$54,213.02
|
2026-07-15
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
22
|
17
|
$115,302.26
|
$69,181.36
40% off
|
$13,735.86
|
$34,834.07
|
$24,160.04
|
2026-07-15
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With McC
|
24
|
17
|
$29,344.66
|
$17,606.80
40% off
|
$11,591.23
|
$26,900.18
|
$17,805.06
|
2026-07-15
|
|
865
|
MS_DRG
|
Viral Illness With McC
|
28
|
19
|
$31,524.90
|
$18,914.94
40% off
|
$9,304.12
|
$23,595.21
|
$14,814.40
|
2026-07-15
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With McC
|
28
|
19
|
$48,539.35
|
$29,123.61
40% off
|
$13,517.74
|
$34,280.92
|
$21,839.73
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
22
|
17
|
$153,730.75
|
$92,238.45
40% off
|
$43,854.02
|
$111,213.57
|
$92,960.23
|
2026-07-15
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With McC
|
28
|
19
|
$48,222.55
|
$28,933.53
40% off
|
$12,369.15
|
$31,368.09
|
$26,725.26
|
2026-07-15
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
28
|
19
|
$75,108.71
|
$45,065.23
40% off
|
$11,962.54
|
$30,336.93
|
$19,085.14
|
2026-07-15
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
27
|
18
|
$27,760.77
|
$16,656.46
40% off
|
$13,758.56
|
$34,891.63
|
$15,771.31
|
2026-07-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With McC
|
22
|
17
|
$139,793.24
|
$83,875.94
40% off
|
$25,113.38
|
$63,687.41
|
$52,665.30
|
2026-07-15
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
28
|
19
|
$58,055.87
|
$34,833.52
40% off
|
$12,715.87
|
$32,247.38
|
$24,253.46
|
2026-07-15
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/McC
|
28
|
19
|
$33,676.70
|
$20,206.02
40% off
|
$7,995.41
|
$20,276.31
|
$15,191.87
|
2026-07-15
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With McC
|
28
|
19
|
$41,485.98
|
$24,891.59
40% off
|
$11,491.62
|
$31,288.73
|
$26,406.53
|
2026-07-15
|
|
915
|
MS_DRG
|
Allergic Reactions With McC
|
28
|
19
|
$32,291.55
|
$19,374.93
40% off
|
$10,955.78
|
$27,783.81
|
$16,175.28
|
2026-07-15
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With McC
|
28
|
19
|
$30,656.00
|
$18,393.60
40% off
|
$10,336.73
|
$26,213.88
|
$21,128.99
|
2026-07-15
|
|
919
|
MS_DRG
|
Complications Of Treatment With McC
|
28
|
19
|
$139,979.80
|
$83,987.88
40% off
|
$11,496.04
|
$29,153.89
|
$18,770.80
|
2026-07-15
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
28
|
19
|
$36,803.65
|
$22,082.19
40% off
|
$6,674.08
|
$19,523.76
|
$15,336.33
|
2026-07-15
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With McC
|
28
|
19
|
$50,924.75
|
$30,554.85
40% off
|
$10,650.04
|
$27,008.44
|
$18,533.47
|
2026-07-15
|
|
92943
|
CPT
|
Hc Cto Any Intervention Lm
|
35
|
22
|
$26,281.00
|
$15,768.60
40% off
|
$5,287.74
|
$26,281.00
|
$17,116.35
|
2026-07-15
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
20
|
14
|
$9,501.90
|
$5,701.14
40% off
|
$13,846.18
|
$25,192.71
|
$15,349.67
|
2026-07-15
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
27
|
18
|
$87,037.77
|
$52,222.66
40% off
|
$12,319.97
|
$31,243.39
|
$19,571.17
|
2026-07-15
|
|
948
|
MS_DRG
|
Signs And Symptoms Without McC
|
9
|
7
|
$37,262.45
|
$22,357.47
40% off
|
$8,461.43
|
$18,283.56
|
$16,888.69
|
2026-07-15
|
|
949
|
MS_DRG
|
Aftercare With Cc/McC
|
9
|
7
|
$42,671.90
|
$25,603.14
40% off
|
$11,491.35
|
$25,385.90
|
$23,449.19
|
2026-07-15
|
|
950
|
MS_DRG
|
Aftercare Without Cc/McC
|
9
|
7
|
$30,590.70
|
$18,354.42
40% off
|
$6,241.97
|
$16,408.74
|
$15,156.91
|
2026-07-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
28
|
19
|
$63,370.83
|
$38,022.50
40% off
|
$24,096.54
|
$67,251.99
|
$55,371.29
|
2026-07-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
28
|
19
|
$46,002.32
|
$27,601.39
40% off
|
$25,908.32
|
$65,703.37
|
$46,158.83
|
2026-07-15
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC
|
22
|
17
|
$168,314.25
|
$100,988.55
40% off
|
$15,112.03
|
$38,324.04
|
$30,208.26
|
2026-07-15
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
28
|
19
|
$21,120.95
|
$12,672.57
40% off
|
$9,456.68
|
$23,982.10
|
$17,735.63
|
2026-07-15
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With McC
|
27
|
18
|
$96,085.25
|
$57,651.15
40% off
|
$18,825.11
|
$53,435.17
|
$43,688.11
|
2026-07-15
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
28
|
19
|
$54,320.10
|
$32,592.06
40% off
|
$8,960.55
|
$22,723.92
|
$16,670.15
|
2026-07-15
|
|
977
|
MS_DRG
|
HIV With Or Without Other Related Condition
|
13
|
11
|
$252,957.92
|
$151,774.75
40% off
|
$20,385.43
|
$23,051.66
|
$20,589.28
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
24
|
18
|
$102,369.72
|
$61,421.83
40% off
|
$29,968.75
|
$83,562.75
|
$72,775.08
|
2026-07-15
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
28
|
19
|
$63,615.19
|
$38,169.11
40% off
|
$15,434.17
|
$39,140.97
|
$24,851.84
|
2026-07-15
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/McC
|
28
|
19
|
$35,782.24
|
$21,469.34
40% off
|
$10,516.39
|
$26,669.51
|
$17,315.24
|
2026-07-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC
|
24
|
17
|
$43,416.60
|
$26,049.96
40% off
|
$22,081.14
|
$58,082.39
|
$40,175.97
|
2026-07-15
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
28
|
19
|
$61,040.49
|
$36,624.29
40% off
|
$10,817.72
|
$27,433.69
|
$24,300.17
|
2026-07-15
|
|
C1825
|
HCPCS
|
Generator Model 2104 Barostem Neo2
|
37
|
23
|
$47,565.00
|
$28,539.00
40% off
|
$9,570.08
|
$47,565.00
|
$22,165.29
|
2026-07-15
|
|
C9766
|
HCPCS
|
Hc Intravascular Lithotripsy And Atherectomy Le Artery Other Than Tibial Peronea…
|
35
|
22
|
$21,005.00
|
$12,603.00
40% off
|
$4,226.21
|
$22,655.00
|
$17,116.35
|
2026-07-15
|
|
C9767
|
HCPCS
|
Hc Intravascular Lithotripsy Stent Atherectomy Le Artery Other Than Tibial Peron…
|
35
|
22
|
$33,969.00
|
$20,381.40
40% off
|
$6,834.56
|
$33,969.00
|
$17,116.35
|
2026-07-15
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
37
|
23
|
$491,742.65
|
$295,045.59
40% off
|
$98,938.62
|
$491,742.65
|
$185,861.63
|
2026-07-15
|
|
J1290
|
HCPCS
|
Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution
|
37
|
23
|
$70,549.80
|
$42,329.88
40% off
|
$14,194.62
|
$70,549.80
|
$30,900.81
|
2026-07-15
|
|
J1628
|
HCPCS
|
Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution
|
37
|
23
|
$55,563.05
|
$33,337.83
40% off
|
$11,179.29
|
$55,563.05
|
$14,972.60
|
2026-07-15
|
|
J1951
|
HCPCS
|
Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe
|
37
|
23
|
$99,352.75
|
$59,611.65
40% off
|
$19,989.77
|
$99,352.75
|
$25,276.68
|
2026-07-15
|
|
J2351
|
HCPCS
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln
|
37
|
23
|
$170,098.05
|
$102,058.83
40% off
|
$34,223.73
|
$170,098.05
|
$43,462.64
|
2026-07-15
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
37
|
23
|
$117,195.70
|
$70,317.42
40% off
|
$23,579.77
|
$117,195.70
|
$29,110.90
|
2026-07-15
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg Intravenous Solution
|
37
|
23
|
$68,717.10
|
$41,230.26
40% off
|
$13,825.88
|
$68,717.10
|
$17,954.45
|
2026-07-15
|
|
J7330
|
HCPCS
|
Membrane Autologous Cultured Chondrocytes
|
66
|
22
|
$91,604.15
|
$54,962.49
40% off
|
$17,313.18
|
$151,000.00
|
$91,604.15
|
2026-07-15
|
|
J9119
|
HCPCS
|
Cemiplimab-rwlc 50 Mg/ml Intravenous Solution
|
37
|
23
|
$39,722.40
|
$23,833.44
40% off
|
$7,992.15
|
$39,722.40
|
$16,484.80
|
2026-07-15
|
|
J9144
|
HCPCS
|
Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln
|
37
|
23
|
$38,447.70
|
$23,068.62
40% off
|
$7,735.68
|
$38,447.70
|
$15,611.40
|
2026-07-15
|
|
J9266
|
HCPCS
|
Pegaspargase (oncaspar) Syringe
|
37
|
23
|
$97,085.95
|
$58,251.57
40% off
|
$19,533.69
|
$97,085.95
|
$28,424.06
|
2026-07-15
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
37
|
23
|
$90,334.70
|
$54,200.82
40% off
|
$18,175.34
|
$90,334.70
|
$25,393.68
|
2026-07-15
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
37
|
23
|
$55,956.60
|
$33,573.96
40% off
|
$11,258.47
|
$55,956.60
|
$15,811.84
|
2026-07-15
|
|
J9307
|
HCPCS
|
Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution
|
74
|
23
|
$41,811.62
|
$25,086.97
40% off
|
$5,627.33
|
$55,654.40
|
$14,950.80
|
2026-07-15
|
|
J9334
|
HCPCS
|
Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln
|
37
|
23
|
$61,361.95
|
$36,817.17
40% off
|
$12,346.02
|
$61,361.95
|
$17,002.94
|
2026-07-15
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
37
|
23
|
$102,524.70
|
$61,514.82
40% off
|
$20,627.97
|
$102,524.70
|
$28,407.33
|
2026-07-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t (provenge) Ivpb
|
37
|
23
|
$226,278.30
|
$135,766.98
40% off
|
$45,527.19
|
$226,278.30
|
$55,945.97
|
2026-07-15
|