|
J3391
|
OTHER
|
Inj Atidarsagene Autotemcel
|
4
|
3
|
—
|
—
|
$4,505,000.00
|
$4,730,250.00
|
$4,547,500.00
|
2026-05-06
|
|
J1414
|
OTHER
|
Inj Beqvez Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,780,000.00
|
$3,780,000.00
|
$3,780,000.00
|
2026-05-06
|
|
J1411
|
OTHER
|
Inj Hemgenix Per Tx Dose
|
6
|
6
|
—
|
—
|
$3,685,266.67
|
$4,422,320.00
|
$4,145,925.00
|
2026-05-06
|
|
J1413
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
7
|
6
|
—
|
—
|
$3,316,462.59
|
$3,979,755.11
|
$3,482,285.72
|
2026-05-06
|
|
J3394
|
OTHER
|
Inj Lovotibeglogene Autotem
|
7
|
6
|
—
|
—
|
$3,248,445.72
|
$3,898,134.86
|
$3,410,868.01
|
2026-05-06
|
|
J3393
|
OTHER
|
Inj Betibeglogene Autotemce
|
7
|
6
|
—
|
—
|
$2,945,740.00
|
$3,534,888.00
|
$3,093,027.00
|
2026-05-06
|
|
J3399
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
7
|
6
|
—
|
—
|
$2,455,110.61
|
$2,946,132.73
|
$2,583,042.15
|
2026-05-06
|
|
J3392
|
OTHER
|
Inj Exagamglogene Autotem
|
6
|
6
|
—
|
—
|
$2,332,000.00
|
$2,798,400.00
|
$2,623,500.00
|
2026-05-06
|
|
Q2057
|
OTHER
|
Afamitresgene Autoleucel
|
7
|
6
|
—
|
—
|
$770,620.00
|
$924,744.00
|
$809,151.00
|
2026-05-06
|
|
Q2042
|
OTHER
|
Tisagenlecleucel Car-pos T
|
10
|
6
|
—
|
—
|
$577,861.93
|
$710,071.44
|
$636,571.06
|
2026-05-06
|
|
Q2056
|
OTHER
|
Ciltacabtagene Car-pos T
|
10
|
6
|
—
|
—
|
$565,868.95
|
$693,426.50
|
$634,041.64
|
2026-05-06
|
|
Q2054
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
10
|
6
|
—
|
—
|
$562,538.19
|
$675,045.83
|
$607,354.24
|
2026-05-06
|
|
Q2055
|
OTHER
|
Idecabtagene Vicleucel Car
|
10
|
6
|
—
|
—
|
$557,317.93
|
$668,781.52
|
$603,412.02
|
2026-05-06
|
|
Q2041
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
10
|
6
|
—
|
—
|
$533,230.17
|
$639,876.20
|
$575,312.54
|
2026-05-06
|
|
Q2053
|
OTHER
|
Brexucabtagene Car Pos T
|
10
|
6
|
—
|
—
|
$489,304.61
|
$587,165.53
|
$544,046.28
|
2026-05-06
|
|
Q2058
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
7
|
6
|
—
|
—
|
$278,250.00
|
$567,000.00
|
$333,900.00
|
2026-05-06
|
|
J3403
|
OTHER
|
Revakinagene Per Implant
|
9
|
6
|
—
|
—
|
$257,500.00
|
$312,700.00
|
$294,150.00
|
2026-05-06
|
|
MS-018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
14
|
12
|
—
|
—
|
$212,338.38
|
$680,129.10
|
$325,280.10
|
2026-05-06
|
|
J3402
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
9
|
6
|
—
|
—
|
$205,640.00
|
$246,768.00
|
$223,852.61
|
2026-05-06
|
|
MS-001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
14
|
12
|
—
|
—
|
$187,638.84
|
$441,376.43
|
$253,124.90
|
2026-05-06
|
|
MS-927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
14
|
12
|
—
|
—
|
$142,955.94
|
$336,270.38
|
$192,847.65
|
2026-05-06
|
|
MS-003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
14
|
12
|
—
|
—
|
$142,116.98
|
$334,296.90
|
$191,715.88
|
2026-05-06
|
|
Q0480
|
OTHER
|
Driver Pneumatic Vad Rep
|
6
|
6
|
—
|
—
|
$109,316.28
|
$131,179.54
|
$122,980.82
|
2026-05-06
|
|
MS-004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
14
|
12
|
—
|
—
|
$92,744.43
|
$307,593.05
|
$125,112.29
|
2026-05-06
|
|
MS-007
|
OTHER
|
Lung Transplant
|
14
|
12
|
—
|
—
|
$86,710.29
|
$360,053.26
|
$116,972.23
|
2026-05-06
|
|
MS-014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
14
|
12
|
—
|
—
|
$80,467.92
|
$360,448.78
|
$108,551.26
|
2026-05-06
|
|
MS-002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
14
|
12
|
—
|
—
|
$75,874.02
|
$379,645.48
|
$102,354.08
|
2026-05-06
|
|
MS-209
|
OTHER
|
Complex Aortic Arch Procedures
|
14
|
12
|
—
|
—
|
$75,786.97
|
$178,271.10
|
$100,454.07
|
2026-05-06
|
|
MS-426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
14
|
12
|
—
|
—
|
$73,794.34
|
$173,583.90
|
$99,548.60
|
2026-05-06
|
|
MS-212
|
OTHER
|
Concomitant Aortic And Mitral Valve?procedures
|
14
|
12
|
—
|
—
|
$72,809.41
|
$216,620.94
|
$98,219.93
|
2026-05-06
|
|
MS-005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
14
|
12
|
—
|
—
|
$69,035.73
|
$298,293.19
|
$93,129.23
|
2026-05-06
|
|
L8702
|
OTHER
|
Ewhf S/d Uprt Micro Sensor
|
6
|
6
|
—
|
—
|
$67,452.66
|
$80,943.19
|
$75,884.24
|
2026-05-06
|
|
J9029
|
OTHER
|
Instill Adstiladrin Tx Dose
|
10
|
6
|
—
|
—
|
$63,342.28
|
$76,010.74
|
$70,869.68
|
2026-05-06
|
|
MS-429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
14
|
12
|
—
|
—
|
$60,325.33
|
$151,070.12
|
$81,378.90
|
2026-05-06
|
|
MS-850
|
OTHER
|
Acute Leukemia With Other Procedures
|
14
|
12
|
—
|
—
|
$57,981.17
|
$136,387.13
|
$78,216.63
|
2026-05-06
|
|
A9543
|
OTHER
|
Y90 Ibritumomab Rx
|
8
|
7
|
—
|
—
|
$56,824.55
|
$84,349.90
|
$68,189.46
|
2026-05-06
|
|
Q2043
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
13
|
8
|
—
|
—
|
$55,272.32
|
$105,601.24
|
$66,326.78
|
2026-05-06
|
|
MS-957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
14
|
12
|
—
|
—
|
$51,020.35
|
$120,013.43
|
$68,826.48
|
2026-05-06
|
|
MS-215
|
OTHER
|
Other Heart Assist System Implant
|
16
|
12
|
—
|
—
|
$49,193.00
|
$156,822.75
|
$82,109.44
|
2026-05-06
|
|
MS-216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
12
|
—
|
—
|
$49,193.00
|
$184,794.33
|
$80,672.91
|
2026-05-06
|
|
MS-231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
16
|
12
|
—
|
—
|
$49,193.00
|
$134,585.76
|
$69,516.35
|
2026-05-06
|
|
MS-219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
12
|
—
|
—
|
$49,193.00
|
$123,589.76
|
$63,318.35
|
2026-05-06
|
|
MS-233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
16
|
12
|
—
|
—
|
$49,193.00
|
$120,411.90
|
$63,045.40
|
2026-05-06
|
|
L7181
|
OTHER
|
Electronic Elbo Simultaneous
|
6
|
6
|
—
|
—
|
$48,632.79
|
$58,359.35
|
$54,711.89
|
2026-05-06
|
|
MS-427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
14
|
12
|
—
|
—
|
$48,333.38
|
$113,692.95
|
$65,201.75
|
2026-05-06
|
|
MS-010
|
OTHER
|
Pancreas Transplant
|
14
|
12
|
—
|
—
|
$48,046.13
|
$186,260.85
|
$64,814.26
|
2026-05-06
|
|
MS-928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
14
|
12
|
—
|
—
|
$48,026.05
|
$112,970.03
|
$62,522.15
|
2026-05-06
|
|
MS-019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
14
|
12
|
—
|
—
|
$47,770.94
|
$188,386.58
|
$64,443.03
|
2026-05-06
|
|
MS-275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
14
|
12
|
—
|
—
|
$47,742.82
|
$112,303.80
|
$64,405.08
|
2026-05-06
|
|
MS-870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
14
|
12
|
—
|
—
|
$46,279.15
|
$109,677.01
|
$62,430.59
|
2026-05-06
|
|
MS-317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
14
|
12
|
—
|
—
|
$44,770.61
|
$105,312.38
|
$60,395.58
|
2026-05-06
|
|
MS-447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
14
|
12
|
—
|
—
|
$44,737.80
|
$105,235.20
|
$60,351.32
|
2026-05-06
|
|
MS-217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
12
|
—
|
—
|
$44,026.05
|
$129,793.62
|
$54,862.94
|
2026-05-06
|
|
MS-218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
12
|
—
|
—
|
$44,026.05
|
$126,472.45
|
$54,862.94
|
2026-05-06
|
|
MS-573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
14
|
12
|
—
|
—
|
$43,866.03
|
$170,056.47
|
$59,175.29
|
2026-05-06
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
6
|
6
|
—
|
—
|
$43,501.98
|
$52,202.38
|
$48,939.73
|
2026-05-06
|
|
33276
|
OTHER
|
Insj Phrnc Nrv Stim Sys
|
8
|
6
|
—
|
—
|
$43,501.98
|
$52,202.38
|
$47,852.18
|
2026-05-06
|
|
MS-207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
14
|
12
|
—
|
—
|
$43,084.64
|
$101,346.53
|
$58,121.20
|
2026-05-06
|
|
J9226
|
OTHER
|
Supprelin La Implant
|
13
|
7
|
—
|
—
|
$43,042.05
|
$63,722.67
|
$48,197.74
|
2026-05-06
|
|
J7330
|
OTHER
|
Cultured Chondrocytes Implnt
|
3
|
2
|
—
|
—
|
$43,019.86
|
$53,538.48
|
$46,773.52
|
2026-05-06
|
|
MS-266
|
OTHER
|
Endovascular Cardiac Valve Replacement W Mcc
|
14
|
12
|
—
|
—
|
$41,033.76
|
$113,316.66
|
$55,354.56
|
2026-05-06
|
|
MS-969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$40,986.22
|
$107,512.77
|
$55,290.43
|
2026-05-06
|
|
MS-232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
16
|
12
|
—
|
—
|
$40,593.18
|
$110,946.52
|
$52,694.74
|
2026-05-06
|
|
MS-276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
14
|
12
|
—
|
—
|
$40,218.22
|
$94,603.95
|
$54,254.40
|
2026-05-06
|
|
MS-016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
14
|
12
|
—
|
—
|
$39,703.33
|
$93,392.78
|
$53,559.81
|
2026-05-06
|
|
MS-235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
16
|
12
|
—
|
—
|
$39,294.22
|
$92,430.45
|
$51,874.31
|
2026-05-06
|
|
MS-820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$39,268.78
|
$127,176.09
|
$52,973.60
|
2026-05-06
|
|
L7180
|
OTHER
|
Electronic Elbow Sequential
|
6
|
6
|
—
|
—
|
$39,208.42
|
$47,050.10
|
$44,109.47
|
2026-05-06
|
|
MS-430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
14
|
12
|
—
|
—
|
$38,614.61
|
$90,831.83
|
$52,091.13
|
2026-05-06
|
|
L2006
|
OTHER
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
6
|
6
|
—
|
—
|
$38,606.32
|
$46,327.58
|
$43,432.11
|
2026-05-06
|
|
MS-213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
14
|
12
|
—
|
—
|
$38,211.53
|
$111,460.54
|
$51,547.38
|
2026-05-06
|
|
MS-463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
14
|
12
|
—
|
—
|
$38,161.98
|
$89,767.13
|
$51,480.54
|
2026-05-06
|
|
MS-428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
14
|
12
|
—
|
—
|
$37,643.07
|
$92,985.26
|
$50,780.52
|
2026-05-06
|
|
MS-008
|
OTHER
|
Simultaneous Pancreas/kidney Transplant
|
14
|
12
|
—
|
—
|
$37,526.56
|
$145,481.02
|
$50,623.35
|
2026-05-06
|
|
MS-278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
14
|
12
|
—
|
—
|
$37,269.45
|
$87,667.65
|
$50,276.50
|
2026-05-06
|
|
MS-834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$36,758.57
|
$160,153.70
|
$49,587.33
|
2026-05-06
|
|
MS-405
|
OTHER
|
Pancreas- Liver And Shunt Procedures With Mcc
|
14
|
12
|
—
|
—
|
$36,628.67
|
$86,160.38
|
$49,412.10
|
2026-05-06
|
|
MS-234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
16
|
12
|
—
|
—
|
$36,576.45
|
$86,037.53
|
$50,836.39
|
2026-05-06
|
|
MS-011
|
OTHER
|
Tracheostomy For Facemouth & Neck Diagnoses W Mcc
|
14
|
12
|
—
|
—
|
$36,518.86
|
$85,902.08
|
$49,263.97
|
2026-05-06
|
|
MS-017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
14
|
12
|
—
|
—
|
$36,372.90
|
$701,650.50
|
$49,067.06
|
2026-05-06
|
|
MS-220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
12
|
—
|
—
|
$35,706.68
|
$83,991.60
|
$50,212.42
|
2026-05-06
|
|
MS-450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
14
|
12
|
—
|
—
|
$35,685.25
|
$84,963.79
|
$48,139.43
|
2026-05-06
|
|
MS-653
|
OTHER
|
Major Bladder Procedures With Mcc
|
14
|
12
|
—
|
—
|
$34,793.39
|
$85,214.14
|
$46,936.30
|
2026-05-06
|
|
L8701
|
OTHER
|
Ewh S/d Uprt Micro Sensor
|
6
|
6
|
—
|
—
|
$34,284.44
|
$41,141.33
|
$38,570.00
|
2026-05-06
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
6
|
6
|
—
|
—
|
$33,834.98
|
$40,601.98
|
$38,064.36
|
2026-05-06
|
|
MS-221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
12
|
—
|
—
|
$33,747.53
|
$79,383.15
|
$48,806.93
|
2026-05-06
|
|
MS-326
|
OTHER
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
14
|
12
|
—
|
—
|
$33,393.99
|
$78,551.55
|
$45,048.51
|
2026-05-06
|
|
MS-228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
16
|
12
|
—
|
—
|
$33,126.17
|
$128,903.33
|
$48,361.17
|
2026-05-06
|
|
MS-853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$33,067.25
|
$86,905.83
|
$44,607.73
|
2026-05-06
|
|
MS-576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
14
|
12
|
—
|
—
|
$32,816.83
|
$127,222.01
|
$44,269.92
|
2026-05-06
|
|
MS-837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
14
|
12
|
—
|
—
|
$32,168.02
|
$75,667.73
|
$43,394.67
|
2026-05-06
|
|
MS-267
|
OTHER
|
Endovascular Cardiac Valve Replacement Without Mcc
|
14
|
12
|
—
|
—
|
$31,876.76
|
$74,982.60
|
$43,001.76
|
2026-05-06
|
|
MS-650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
14
|
12
|
—
|
—
|
$31,479.03
|
$196,653.94
|
$42,465.23
|
2026-05-06
|
|
MS-981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
14
|
12
|
—
|
—
|
$31,414.75
|
$81,161.19
|
$42,378.51
|
2026-05-06
|
|
MS-826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
14
|
12
|
—
|
—
|
$31,321.01
|
$83,960.93
|
$42,252.07
|
2026-05-06
|
|
MS-006
|
OTHER
|
Liver Transplant Without Mcc
|
14
|
12
|
—
|
—
|
$31,047.83
|
$211,732.51
|
$41,883.54
|
2026-05-06
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
6
|
6
|
—
|
—
|
$30,993.93
|
$37,192.71
|
$34,868.17
|
2026-05-06
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
6
|
6
|
—
|
—
|
$30,993.93
|
$37,192.71
|
$34,868.17
|
2026-05-06
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
7
|
6
|
—
|
—
|
$30,993.93
|
$37,192.71
|
$34,093.32
|
2026-05-06
|
|
MS-277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
14
|
12
|
—
|
—
|
$30,923.96
|
$72,741.38
|
$41,716.44
|
2026-05-06
|
|
MS-329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
14
|
12
|
—
|
—
|
$30,776.66
|
$72,394.88
|
$41,517.72
|
2026-05-06
|
|
MS-823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
14
|
12
|
—
|
—
|
$30,698.32
|
$81,005.65
|
$41,412.04
|
2026-05-06
|
|
MS-856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$30,456.60
|
$71,642.03
|
$41,085.97
|
2026-05-06
|
|
MS-799
|
OTHER
|
Splenic Procedures With Mcc
|
14
|
12
|
—
|
—
|
$30,324.03
|
$71,330.18
|
$40,907.14
|
2026-05-06
|
|
MS-163
|
OTHER
|
Major Chest Procedures With Mcc
|
14
|
12
|
—
|
—
|
$30,008.66
|
$72,396.10
|
$40,481.70
|
2026-05-06
|
|
MS-319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
14
|
12
|
—
|
—
|
$29,882.11
|
$74,692.18
|
$40,310.99
|
2026-05-06
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
6
|
6
|
—
|
—
|
$29,458.82
|
$35,350.58
|
$33,141.17
|
2026-05-06
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
6
|
6
|
—
|
—
|
$29,458.82
|
$35,350.58
|
$33,141.17
|
2026-05-06
|
|
33287
|
OTHER
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
8
|
6
|
—
|
—
|
$29,458.82
|
$35,350.58
|
$32,404.70
|
2026-05-06
|
|
MS-356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$29,412.75
|
$69,186.60
|
$39,677.81
|
2026-05-06
|
|
L5856
|
OTHER
|
Elec Knee-shin Swing/stance
|
6
|
6
|
—
|
—
|
$29,137.22
|
$34,964.66
|
$32,779.37
|
2026-05-06
|
|
L6880
|
OTHER
|
Elec Hand Ind Art Digits
|
6
|
6
|
—
|
—
|
$28,999.68
|
$34,799.62
|
$32,624.64
|
2026-05-06
|
|
MS-323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
14
|
12
|
—
|
—
|
$28,974.85
|
$76,220.92
|
$39,087.09
|
2026-05-06
|
|
L6700
|
OTHER
|
Ue Add Ext Power Myoel
|
6
|
6
|
—
|
—
|
$28,931.56
|
$34,717.87
|
$32,548.01
|
2026-05-06
|
|
MS-474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
14
|
12
|
—
|
—
|
$28,743.85
|
$67,613.18
|
$38,775.47
|
2026-05-06
|
|
MS-140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
14
|
12
|
—
|
—
|
$28,559.05
|
$74,662.55
|
$38,526.18
|
2026-05-06
|
|
MS-448
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
14
|
12
|
—
|
—
|
$28,395.01
|
$66,792.60
|
$38,304.88
|
2026-05-06
|
|
MS-012
|
OTHER
|
Tracheostomy For Facemouth & Neck Diagnoses W Cc
|
14
|
12
|
—
|
—
|
$28,228.95
|
$66,402.00
|
$38,080.88
|
2026-05-06
|
|
MS-958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
14
|
12
|
—
|
—
|
$28,214.89
|
$66,368.93
|
$38,061.90
|
2026-05-06
|
|
MS-673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
14
|
12
|
—
|
—
|
$28,132.54
|
$72,262.78
|
$37,950.81
|
2026-05-06
|
|
MS-901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
14
|
12
|
—
|
—
|
$28,099.06
|
$79,450.24
|
$37,905.64
|
2026-05-06
|
|
MS-236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
16
|
12
|
—
|
—
|
$28,046.83
|
$65,973.60
|
$44,717.26
|
2026-05-06
|
|
MS-423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$27,807.13
|
$65,409.75
|
$37,511.82
|
2026-05-06
|
|
MS-273
|
OTHER
|
Percutaneous Intracardiac Procedures W Mcc
|
14
|
12
|
—
|
—
|
$27,622.99
|
$71,920.59
|
$37,263.43
|
2026-05-06
|
|
MS-402
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
14
|
12
|
—
|
—
|
$26,919.95
|
$63,322.88
|
$36,315.03
|
2026-05-06
|
|
MS-802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
14
|
12
|
—
|
—
|
$26,676.23
|
$62,749.58
|
$35,986.24
|
2026-05-06
|
|
C9760
|
OTHER
|
Non-blind Interatrial Shunt
|
7
|
6
|
—
|
—
|
$26,584.74
|
$31,901.69
|
$29,243.22
|
2026-05-06
|
|
MS-933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
14
|
12
|
—
|
—
|
$26,074.29
|
$101,082.27
|
$35,174.22
|
2026-05-06
|
|
MS-034
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
16
|
12
|
—
|
—
|
$25,916.94
|
$60,963.53
|
$31,100.32
|
2026-05-06
|
|
MS-876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
8
|
—
|
—
|
$25,878.10
|
$60,872.18
|
$31,053.72
|
2026-05-06
|
|
MS-907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
14
|
12
|
—
|
—
|
$25,706.69
|
$72,212.41
|
$34,678.35
|
2026-05-06
|
|
MS-956
|
OTHER
|
Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma
|
14
|
12
|
—
|
—
|
$25,195.81
|
$89,138.21
|
$33,989.17
|
2026-05-06
|
|
MS-143
|
OTHER
|
Other Ear- Nose- Mouth And Throat O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$25,086.00
|
$59,008.95
|
$33,841.03
|
2026-05-06
|
|
MS-166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$25,026.41
|
$81,325.62
|
$33,760.65
|
2026-05-06
|
|
MS-518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
14
|
12
|
—
|
—
|
$25,023.73
|
$58,862.48
|
$33,757.03
|
2026-05-06
|
|
MS-628
|
OTHER
|
Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$24,953.43
|
$58,697.10
|
$33,662.19
|
2026-05-06
|
|
MS-651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
14
|
12
|
—
|
—
|
$24,812.82
|
$131,854.16
|
$33,472.51
|
2026-05-06
|
|
MS-904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
14
|
12
|
—
|
—
|
$24,593.87
|
$73,384.15
|
$33,177.15
|
2026-05-06
|
|
MS-492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc
|
14
|
12
|
—
|
—
|
$24,583.83
|
$57,827.70
|
$33,163.60
|
2026-05-06
|
|
MS-939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
14
|
12
|
—
|
—
|
$24,295.25
|
$80,263.50
|
$32,774.30
|
2026-05-06
|
|
MS-495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
14
|
12
|
—
|
—
|
$24,276.50
|
$61,702.30
|
$32,749.01
|
2026-05-06
|
|
MS-332
|
OTHER
|
Rectal Resection With Mcc
|
14
|
12
|
—
|
—
|
$24,243.02
|
$93,983.68
|
$32,703.85
|
2026-05-06
|
|
MS-265
|
OTHER
|
Aicd Lead Procedures
|
14
|
12
|
—
|
—
|
$24,226.28
|
$56,986.65
|
$32,681.26
|
2026-05-06
|
|
MS-097
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
14
|
12
|
—
|
—
|
$24,183.43
|
$80,205.73
|
$32,623.45
|
2026-05-06
|
|
MS-279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
14
|
12
|
—
|
—
|
$24,147.27
|
$63,973.19
|
$32,574.68
|
2026-05-06
|
|
MS-739
|
OTHER
|
Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
14
|
12
|
—
|
—
|
$23,989.25
|
$57,144.21
|
$32,361.51
|
2026-05-06
|
|
MS-736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
14
|
12
|
—
|
—
|
$23,933.68
|
$57,292.34
|
$32,286.54
|
2026-05-06
|
|
MS-335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
14
|
12
|
—
|
—
|
$23,909.58
|
$60,207.62
|
$32,254.03
|
2026-05-06
|
|
MS-408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
14
|
12
|
—
|
—
|
$23,874.09
|
$64,202.80
|
$32,206.15
|
2026-05-06
|
|
MS-414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
14
|
12
|
—
|
—
|
$23,854.00
|
$59,121.80
|
$32,179.06
|
2026-05-06
|
|
MS-622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…
|
14
|
12
|
—
|
—
|
$23,831.24
|
$56,057.40
|
$32,148.35
|
2026-05-06
|
|
MS-094
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
14
|
12
|
—
|
—
|
$23,564.75
|
$67,039.57
|
$31,788.86
|
2026-05-06
|
|
MS-252
|
OTHER
|
Other Vascular Procedures With Mcc
|
14
|
12
|
—
|
—
|
$23,356.51
|
$57,794.52
|
$31,507.94
|
2026-05-06
|
|
MS-616
|
OTHER
|
Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With…
|
14
|
12
|
—
|
—
|
$23,350.49
|
$59,900.99
|
$31,499.82
|
2026-05-06
|
|
MS-574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
14
|
12
|
—
|
—
|
$23,243.36
|
$54,674.55
|
$31,355.30
|
2026-05-06
|
|
MS-477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
14
|
12
|
—
|
—
|
$23,130.87
|
$59,474.36
|
$31,203.56
|
2026-05-06
|
|
MS-359
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
14
|
12
|
—
|
—
|
$23,023.74
|
$55,455.48
|
$31,059.03
|
2026-05-06
|
|
MS-987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
14
|
12
|
—
|
—
|
$22,955.44
|
$71,483.59
|
$30,966.90
|
2026-05-06
|
|
J7310
|
OTHER
|
Ganciclovir Long Act Implant
|
2
|
1
|
—
|
—
|
$22,868.03
|
$24,863.36
|
$23,865.69
|
2026-05-06
|
|
MS-268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
16
|
12
|
—
|
—
|
$22,864.00
|
$126,918.33
|
$56,717.93
|
2026-05-06
|
|
MS-270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
16
|
12
|
—
|
—
|
$22,864.00
|
$87,994.62
|
$43,510.50
|
2026-05-06
|
|
MS-239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
16
|
12
|
—
|
—
|
$22,864.00
|
$77,516.78
|
$40,586.32
|
2026-05-06
|
|
MS-245
|
OTHER
|
Aicd Generator Procedures
|
16
|
12
|
—
|
—
|
$22,864.00
|
$74,930.67
|
$37,623.39
|
2026-05-06
|
|
MS-269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
16
|
12
|
—
|
—
|
$22,864.00
|
$66,515.40
|
$34,826.21
|
2026-05-06
|
|
MS-271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
16
|
12
|
—
|
—
|
$22,864.00
|
$61,847.47
|
$29,326.68
|
2026-05-06
|
|
MS-420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
14
|
12
|
—
|
—
|
$22,812.82
|
$66,372.96
|
$30,774.51
|
2026-05-06
|
|
Q0483
|
OTHER
|
Monitor Elec Vad Rep
|
6
|
6
|
—
|
—
|
$22,757.25
|
$27,308.70
|
$25,601.90
|
2026-05-06
|
|
L5858
|
OTHER
|
Stance Phase Only
|
6
|
6
|
—
|
—
|
$22,557.89
|
$27,069.47
|
$25,377.62
|
2026-05-06
|
|
MS-264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
14
|
12
|
—
|
—
|
$22,367.56
|
$52,916.46
|
$30,173.85
|
2026-05-06
|
|
MS-411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
14
|
12
|
—
|
—
|
$22,117.81
|
$52,026.98
|
$29,836.94
|
2026-05-06
|
|
MS-274
|
OTHER
|
Percutaneous Intracardiac Procedures Without Mcc
|
14
|
12
|
—
|
—
|
$22,040.14
|
$51,844.28
|
$29,732.17
|
2026-05-06
|
|
MS-260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
14
|
12
|
—
|
—
|
$21,779.68
|
$64,014.67
|
$29,380.80
|
2026-05-06
|
|
0956T
|
OTHER
|
Prt Crn Ch Cr&tun Elt S-sclp
|
6
|
6
|
—
|
—
|
$21,751.24
|
$26,101.48
|
$24,470.14
|
2026-05-06
|
|
0960T
|
OTHER
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
6
|
6
|
—
|
—
|
$21,751.24
|
$26,101.48
|
$24,470.14
|
2026-05-06
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
6
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$24,411.07
|
2026-05-06
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
6
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$24,411.07
|
2026-05-06
|
|
0515T
|
OTHER
|
Insj Wcs Lv Compl Sys
|
6
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$24,411.07
|
2026-05-06
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
6
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$24,411.07
|
2026-05-06
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
7
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
7
|
6
|
—
|
—
|
$21,698.73
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
MS-579
|
OTHER
|
Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc
|
14
|
12
|
—
|
—
|
$21,683.93
|
$59,269.93
|
$29,251.64
|
2026-05-06
|
|
MS-840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
14
|
12
|
—
|
—
|
$21,659.83
|
$54,559.27
|
$29,219.12
|
2026-05-06
|
|
MS-451
|
OTHER
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
14
|
12
|
—
|
—
|
$21,629.70
|
$50,878.80
|
$29,178.47
|
2026-05-06
|
|
MS-652
|
OTHER
|
Kidney Transplant
|
14
|
12
|
—
|
—
|
$21,623.67
|
$184,729.15
|
$29,170.35
|
2026-05-06
|
|
MS-929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
14
|
12
|
—
|
—
|
$21,565.42
|
$50,727.60
|
$27,654.25
|
2026-05-06
|
|
MS-325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
14
|
12
|
—
|
—
|
$21,495.79
|
$60,032.83
|
$28,997.83
|
2026-05-06
|
|
MS-242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
16
|
12
|
—
|
—
|
$21,377.94
|
$57,284.94
|
$27,215.35
|
2026-05-06
|
|
MS-515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
14
|
12
|
—
|
—
|
$21,338.44
|
$56,649.44
|
$28,785.57
|
2026-05-06
|
|
MS-656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
14
|
12
|
—
|
—
|
$21,317.68
|
$50,144.85
|
$28,757.56
|
2026-05-06
|
|
MS-500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
14
|
12
|
—
|
—
|
$21,190.46
|
$54,175.60
|
$28,585.94
|
2026-05-06
|
|
MS-829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
14
|
12
|
—
|
—
|
$21,158.32
|
$51,150.70
|
$28,542.59
|
2026-05-06
|
|
MS-324
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
14
|
12
|
—
|
—
|
$21,098.06
|
$54,808.14
|
$28,461.30
|
2026-05-06
|
|
MS-229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
16
|
12
|
—
|
—
|
$21,088.02
|
$54,153.38
|
$38,899.36
|
2026-05-06
|
|
MS-258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
14
|
12
|
—
|
—
|
$21,038.47
|
$56,784.24
|
$28,380.90
|
2026-05-06
|
|
MS-456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$132,353.55
|
$67,519.69
|
2026-05-06
|
|
MS-020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$123,933.60
|
$63,224.28
|
2026-05-06
|
|
MS-955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
17
|
13
|
—
|
—
|
$20,950.00
|
$130,026.19
|
$54,083.09
|
2026-05-06
|
|
MS-457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$93,918.83
|
$47,912.35
|
2026-05-06
|
|
MS-023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$90,252.23
|
$46,041.85
|
2026-05-06
|
|
MS-028
|
OTHER
|
Spinal Procedures With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$94,630.73
|
$45,403.10
|
2026-05-06
|
|
MS-461
|
OTHER
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$143,361.22
|
$44,376.24
|
2026-05-06
|
|
MS-021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$83,377.35
|
$42,534.66
|
2026-05-06
|
|
MS-466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$83,916.49
|
$41,824.38
|
2026-05-06
|
|
MS-471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$76,052.03
|
$38,797.67
|
2026-05-06
|
|
MS-025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$71,610.53
|
$36,531.85
|
2026-05-06
|
|
MS-458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$66,630.72
|
$33,526.03
|
2026-05-06
|
|
MS-024
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$73,233.06
|
$31,431.36
|
2026-05-06
|
|
MS-040
|
OTHER
|
Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$60,813.90
|
$31,023.99
|
2026-05-06
|
|
MS-031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$70,567.88
|
$29,999.96
|
2026-05-06
|
|
MS-467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$55,543.95
|
$28,335.55
|
2026-05-06
|
|
MS-037
|
OTHER
|
Extracranial Procedures With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$51,850.58
|
$26,451.39
|
2026-05-06
|
|
MS-022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
17
|
13
|
—
|
—
|
$20,950.00
|
$115,252.77
|
$26,022.00
|
2026-05-06
|
|
MS-485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
17
|
13
|
—
|
—
|
$20,950.00
|
$61,100.87
|
$26,022.00
|
2026-05-06
|
|
MS-029
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
17
|
13
|
—
|
—
|
$20,950.00
|
$53,732.70
|
$25,277.60
|
2026-05-06
|
|
MS-665
|
OTHER
|
Prostatectomy With Mcc
|
14
|
12
|
—
|
—
|
$20,898.53
|
$49,158.90
|
$28,192.13
|
2026-05-06
|
|
L5973
|
OTHER
|
Ank-foot Sys Dors-plant Flex
|
6
|
6
|
—
|
—
|
$20,882.29
|
$25,058.75
|
$23,492.58
|
2026-05-06
|
|
MS-464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
14
|
12
|
—
|
—
|
$20,855.01
|
$49,056.53
|
$28,133.42
|
2026-05-06
|
|
MS-026
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
17
|
13
|
—
|
—
|
$20,818.18
|
$48,969.90
|
$26,022.00
|
2026-05-06
|
|
J9266
|
OTHER
|
Pegaspargase Injection
|
14
|
8
|
—
|
—
|
$20,555.92
|
$49,805.28
|
$34,108.87
|
2026-05-06
|
|
MS-662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
14
|
12
|
—
|
—
|
$20,498.80
|
$48,218.63
|
$27,652.89
|
2026-05-06
|
|
MS-263
|
OTHER
|
Vein Ligation And Stripping
|
14
|
12
|
—
|
—
|
$20,471.35
|
$79,362.84
|
$27,615.86
|
2026-05-06
|
|
MS-469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
17
|
13
|
—
|
—
|
$20,309.31
|
$55,754.71
|
$25,654.81
|
2026-05-06
|
|
MS-510
|
OTHER
|
Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc
|
17
|
13
|
—
|
—
|
$20,224.28
|
$47,572.88
|
$25,547.39
|
2026-05-06
|
|
MS-625
|
OTHER
|
Thyroid- Parathyroid And Thyroglossal Procedures With Mcc
|
14
|
12
|
—
|
—
|
$20,221.60
|
$53,409.75
|
$27,278.95
|
2026-05-06
|
|
MS-498
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
14
|
12
|
—
|
—
|
$20,199.50
|
$47,514.60
|
$27,249.14
|
2026-05-06
|
|
MS-173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
14
|
12
|
—
|
—
|
$19,929.00
|
$56,296.88
|
$26,884.23
|
2026-05-06
|
|
MS-472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
17
|
13
|
—
|
—
|
$19,726.12
|
$46,401.08
|
$24,918.11
|
2026-05-06
|
|
MS-959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
14
|
12
|
—
|
—
|
$19,712.73
|
$46,369.58
|
$26,592.48
|
2026-05-06
|
|
MS-570
|
OTHER
|
Skin Debridement With Mcc
|
14
|
12
|
—
|
—
|
$19,692.64
|
$46,322.33
|
$26,565.38
|
2026-05-06
|
|
MS-668
|
OTHER
|
Transurethral Procedures With Mcc
|
14
|
12
|
—
|
—
|
$19,551.36
|
$45,990.00
|
$26,374.80
|
2026-05-06
|
|
MS-480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
17
|
13
|
—
|
—
|
$19,499.81
|
$56,627.22
|
$24,632.23
|
2026-05-06
|
|
MS-353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
14
|
12
|
—
|
—
|
$19,430.84
|
$49,251.63
|
$26,212.22
|
2026-05-06
|
|
MS-406
|
OTHER
|
Pancreas- Liver And Shunt Procedures With Cc
|
14
|
12
|
—
|
—
|
$19,418.79
|
$45,678.15
|
$26,195.96
|
2026-05-06
|
|
MS-619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
14
|
12
|
—
|
—
|
$19,333.08
|
$45,476.55
|
$26,080.34
|
2026-05-06
|
|
MS-974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
14
|
12
|
—
|
—
|
$19,323.71
|
$57,079.03
|
$26,067.69
|
2026-05-06
|
|
MS-013
|
OTHER
|
Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc
|
14
|
12
|
—
|
—
|
$19,295.59
|
$54,888.13
|
$26,029.75
|
2026-05-06
|
|
MS-521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
16
|
12
|
—
|
—
|
$19,217.92
|
$50,953.69
|
$25,149.08
|
2026-05-06
|
|
MS-240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
16
|
12
|
—
|
—
|
$19,086.01
|
$44,957.22
|
$25,747.04
|
2026-05-06
|
|
MS-800
|
OTHER
|
Splenic Procedures With Cc
|
14
|
12
|
—
|
—
|
$18,810.82
|
$44,248.05
|
$25,375.81
|
2026-05-06
|
|
MS-654
|
OTHER
|
Major Bladder Procedures With Cc
|
14
|
12
|
—
|
—
|
$18,743.19
|
$60,659.43
|
$25,284.58
|
2026-05-06
|
|
MS-503
|
OTHER
|
Foot Procedures With Mcc
|
17
|
13
|
—
|
—
|
$18,688.29
|
$43,959.83
|
$23,655.00
|
2026-05-06
|
|
MS-483
|
OTHER
|
Major Joint/limb Reattachment Procedure Of Upper Extremities
|
17
|
13
|
—
|
—
|
$18,559.73
|
$43,657.43
|
$23,655.00
|
2026-05-06
|
|
MS-061
|
OTHER
|
Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
14
|
12
|
—
|
—
|
$18,460.64
|
$51,392.16
|
$24,903.41
|
2026-05-06
|
|
MS-208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
14
|
12
|
—
|
—
|
$18,404.39
|
$43,292.03
|
$24,827.53
|
2026-05-06
|
|
MS-468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
17
|
13
|
—
|
—
|
$18,399.71
|
$45,643.08
|
$23,655.00
|
2026-05-06
|
|
MS-963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
14
|
12
|
—
|
—
|
$18,304.63
|
$43,057.35
|
$24,692.96
|
2026-05-06
|
|
MS-321
|
OTHER
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
14
|
12
|
—
|
—
|
$18,217.58
|
$42,852.60
|
$24,575.53
|
2026-05-06
|
|
MS-849
|
OTHER
|
Radiotherapy
|
14
|
12
|
—
|
—
|
$18,141.92
|
$42,674.63
|
$24,473.47
|
2026-05-06
|
|
MS-288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
14
|
12
|
—
|
—
|
$18,119.83
|
$61,084.58
|
$24,443.65
|
2026-05-06
|
|
MS-255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
16
|
12
|
—
|
—
|
$18,060.91
|
$47,934.71
|
$24,388.86
|
2026-05-06
|
|
MS-462
|
OTHER
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc
|
17
|
13
|
—
|
—
|
$17,810.49
|
$64,416.11
|
$23,655.00
|
2026-05-06
|
|
MS-577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
14
|
12
|
—
|
—
|
$17,748.22
|
$56,910.16
|
$23,942.35
|
2026-05-06
|
|
MS-970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
14
|
12
|
—
|
—
|
$17,659.17
|
$41,539.05
|
$23,822.22
|
2026-05-06
|
|
MS-272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
16
|
12
|
—
|
—
|
$17,094.05
|
$40,209.75
|
$23,695.25
|
2026-05-06
|
|
MS-027
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
17
|
13
|
—
|
—
|
$16,892.51
|
$108,432.68
|
$23,655.00
|
2026-05-06
|
|
MS-509
|
OTHER
|
Arthroscopy
|
3
|
2
|
—
|
—
|
$14,858.17
|
$27,668.03
|
$26,517.39
|
2026-05-06
|
|
MS-036
|
OTHER
|
Carotid Artery Stent Procedures Without Cc/mcc
|
16
|
12
|
—
|
—
|
$13,008.35
|
$65,605.63
|
$23,995.46
|
2026-05-06
|
|
48000203
|
OTHER
|
Hc Transcatheter Mitral Valve Implantation/Replacement: Percutaneous
|
19
|
12
|
$82,685.00
|
$31,420.30
62% off
|
$12,278.72
|
$74,416.50
|
$41,185.40
|
2026-05-06
|
|
48000204
|
OTHER
|
Hc Transcatheter Mitral Valve Implantation/Replacement: Transthoracic
|
19
|
12
|
$82,685.00
|
$31,420.30
62% off
|
$12,278.72
|
$74,416.50
|
$41,185.40
|
2026-05-06
|
|
27800126
|
OTHER
|
Nrstm Impl Axonics Mr Conditional Strl Lf
|
19
|
12
|
$82,474.00
|
$31,340.12
62% off
|
$12,247.39
|
$74,226.60
|
$41,080.30
|
2026-05-06
|
|
32000251
|
OTHER
|
Hc Neuro Embolization Surgical
|
19
|
12
|
$79,672.00
|
$30,275.36
62% off
|
$11,831.29
|
$71,704.80
|
$39,684.62
|
2026-05-06
|
|
27500003
|
OTHER
|
Dfbr Crd .99cm 5.23x7.14cm Perciva Heartlogic Imageready Rv
|
285
|
12
|
$87,290.00
|
$33,170.20
62% off
|
$11,308.72
|
$116,487.00
|
$42,711.90
|
2026-05-06
|
|
27800033
|
OTHER
|
Gntr Nrstm 1.95inx2.19in Proclaim Elt Thk1.34cm 25.5-ma
|
38
|
12
|
$85,568.28
|
$32,515.94
62% off
|
$10,441.57
|
$90,740.66
|
$40,566.73
|
2026-05-06
|
|
48100118
|
OTHER
|
Hc Ep & Ablate Ventric Tachy
|
19
|
12
|
$69,324.00
|
$26,343.12
62% off
|
$10,294.61
|
$62,391.60
|
$34,530.28
|
2026-05-06
|
|
48000239
|
OTHER
|
Hc Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
|
19
|
12
|
$68,262.00
|
$25,939.56
62% off
|
$10,136.91
|
$61,435.80
|
$34,001.30
|
2026-05-06
|
|
27500002
|
OTHER
|
Dfbr Crd .99cm 5.37x7.79cm Dynagen Enduralife Easyview Hf
|
304
|
12
|
$88,779.95
|
$33,736.38
62% off
|
$9,804.17
|
$110,527.20
|
$43,163.40
|
2026-05-06
|
|
48100052
|
OTHER
|
Hc Fem/Popl Revasc Stnt & Ather
|
19
|
12
|
$57,674.00
|
$21,916.12
62% off
|
$8,564.59
|
$51,906.60
|
$28,727.42
|
2026-05-06
|
|
32000148
|
OTHER
|
Hc Tibial-peroneal Atherectomy, Stent And Pta
|
19
|
12
|
$57,674.00
|
$21,916.12
62% off
|
$8,564.59
|
$51,906.60
|
$28,727.42
|
2026-05-06
|
|
48100045
|
OTHER
|
Hc Transcath Stent Cca W/Eps
|
19
|
12
|
$57,129.00
|
$21,709.02
62% off
|
$8,483.66
|
$51,416.10
|
$28,455.95
|
2026-05-06
|
|
MS-790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
14
|
12
|
—
|
—
|
$8,211.00
|
$126,856.12
|
$49,012.50
|
2026-05-06
|
|
MS-791
|
OTHER
|
Prematurity With Major Problems
|
14
|
12
|
—
|
—
|
$8,211.00
|
$63,929.25
|
$33,472.15
|
2026-05-06
|
|
MS-793
|
OTHER
|
Full Term Neonate With Major Problems
|
14
|
12
|
—
|
—
|
$8,211.00
|
$65,671.20
|
$28,616.23
|
2026-05-06
|
|
48100063
|
OTHER
|
Hc Intracranial Stent Inclusive
|
19
|
12
|
$53,053.00
|
$20,160.14
62% off
|
$7,878.37
|
$47,747.70
|
$26,425.70
|
2026-05-06
|
|
48100120
|
OTHER
|
Hc Ep Tx Atrial Fib Pulm Vein Isol
|
19
|
12
|
$51,014.00
|
$19,385.32
62% off
|
$7,575.58
|
$45,912.60
|
$25,410.07
|
2026-05-06
|
|
48100046
|
OTHER
|
Hc Ep Ins/Rep Subq Defibrillator
|
19
|
12
|
$48,846.00
|
$18,561.48
62% off
|
$7,253.63
|
$43,961.40
|
$24,330.19
|
2026-05-06
|
|
48000014
|
OTHER
|
Hc Ep Insrt Pulse Gen W/Mult Leads
|
19
|
12
|
$48,846.00
|
$18,561.48
62% off
|
$7,253.63
|
$43,961.40
|
$24,330.19
|
2026-05-06
|
|
32000144
|
OTHER
|
Hc Fem/Popl Revasc Stnt & Ather
|
19
|
12
|
$48,846.00
|
$18,561.48
62% off
|
$7,253.63
|
$43,961.40
|
$24,330.19
|
2026-05-06
|
|
48100152
|
OTHER
|
Hc Ep Remv & Replc Cvd Gen Mult Lead
|
19
|
12
|
$48,343.00
|
$18,370.34
62% off
|
$7,178.94
|
$43,508.70
|
$24,079.65
|
2026-05-06
|
|
48100151
|
OTHER
|
Hc Ep Remv & Replc Cvd Gen Dual Lead
|
19
|
12
|
$48,343.00
|
$18,370.34
62% off
|
$7,178.94
|
$43,508.70
|
$24,079.65
|
2026-05-06
|
|
48100021
|
OTHER
|
Hc Ins Repl Icd And Lead(S) Sc/Dc
|
19
|
12
|
$48,200.00
|
$18,316.00
62% off
|
$7,157.70
|
$43,380.00
|
$24,008.42
|
2026-05-06
|
|
27500007
|
OTHER
|
Defib, Gallant Hf Crt-d Aicd, Abbott
|
437
|
12
|
$116,186.00
|
$44,150.68
62% off
|
$6,079.00
|
$127,593.90
|
$55,473.40
|
2026-05-06
|
|
27800031
|
OTHER
|
Pros Penl Spctr 12cm 9.5mm Concealable Mlbl Cyl
|
57
|
12
|
$52,048.92
|
$19,778.59
62% off
|
$5,161.02
|
$51,086.32
|
$23,632.96
|
2026-05-06
|
|
J9600
|
OTHER
|
Porfimer Sodium Injection
|
9
|
7
|
—
|
—
|
$3,174.82
|
$29,074.10
|
$24,228.42
|
2026-05-06
|
|
93654
|
OTHER
|
Compre Ep Eval Tx Vt
|
8
|
7
|
—
|
—
|
$1,396.80
|
$28,458.45
|
$24,308.25
|
2026-05-06
|
|
93656
|
OTHER
|
Compre Ep Eval Abltj Atr Fib
|
8
|
7
|
—
|
—
|
$1,314.14
|
$28,458.45
|
$24,308.25
|
2026-05-06
|
|
33249
|
OTHER
|
Insj/rplcmt Defib W/lead(s)
|
12
|
8
|
—
|
—
|
$1,264.50
|
$37,192.71
|
$34,093.32
|
2026-05-06
|
|
64582
|
OTHER
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
11
|
8
|
—
|
—
|
$1,209.40
|
$35,350.58
|
$32,404.70
|
2026-05-06
|
|
93653
|
OTHER
|
Compre Ep Eval Tx Svt
|
8
|
7
|
—
|
—
|
$1,158.91
|
$28,458.45
|
$24,308.25
|
2026-05-06
|
|
33270
|
OTHER
|
Ins/rep Subq Defibrillator
|
12
|
8
|
—
|
—
|
$778.32
|
$37,192.71
|
$34,093.32
|
2026-05-06
|
|
64568
|
OTHER
|
Opn Impltj Crnl Nrv Nea&pg
|
12
|
8
|
—
|
—
|
$777.03
|
$35,350.58
|
$32,404.70
|
2026-05-06
|
|
33264
|
OTHER
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
12
|
8
|
—
|
—
|
$559.42
|
$37,192.71
|
$34,093.32
|
2026-05-06
|
|
33231
|
OTHER
|
Insrt Pulse Gen W/mult Leads
|
12
|
8
|
—
|
—
|
$553.60
|
$37,192.71
|
$34,093.32
|
2026-05-06
|
|
33263
|
OTHER
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
12
|
8
|
—
|
—
|
$536.40
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
33230
|
OTHER
|
Insrt Pulse Gen W/dual Leads
|
12
|
8
|
—
|
—
|
$531.03
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
33262
|
OTHER
|
Rmvl& Replc Pulse Gen 1 Lead
|
12
|
8
|
—
|
—
|
$516.57
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
33240
|
OTHER
|
Insrt Pulse Gen W/singl Lead
|
12
|
8
|
—
|
—
|
$506.79
|
$26,038.48
|
$23,868.60
|
2026-05-06
|
|
33289
|
OTHER
|
Tcat Impl Wrls P-art Prs Snr
|
12
|
8
|
—
|
—
|
$458.15
|
$32,977.99
|
$30,229.83
|
2026-05-06
|
|
38240
|
OTHER
|
Transplt Allo Hct/donor
|
12
|
8
|
—
|
—
|
$337.01
|
$68,607.47
|
$62,890.18
|
2026-05-06
|
|
C1827
|
OTHER
|
Gen Neuro Imp Led Ex Cntr
|
6
|
6
|
—
|
—
|
$17.16
|
$199,806.99
|
$65,073.50
|
2026-05-06
|
|
C1605
|
OTHER
|
Pmkr Dual Leadless
|
6
|
6
|
—
|
—
|
$17.16
|
$136,777.29
|
$53,717.22
|
2026-05-06
|