|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
1
|
1
|
—
|
—
|
$4,526,200.00
|
$4,526,200.00
|
$4,526,200.00
|
2026-03-30
|
|
J3391
|
HCPCS
|
Injection, Atidarsagene Autotemcel, Per Treatment
|
7
|
7
|
—
|
—
|
$4,284,975.80
|
$4,499,224.59
|
$4,284,975.80
|
2026-03-30
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
8
|
7
|
—
|
—
|
$3,505,278.25
|
$4,496,025.34
|
$3,549,094.23
|
2026-03-30
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
15
|
7
|
$527,344.13
|
$263,672.06
50% off
|
$57,171.99
|
$3,683,586.51
|
$3,508,177.63
|
2026-05-06
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
53
|
22
|
—
|
—
|
$2,335,203.01
|
$4,670,406.02
|
$3,502,804.52
|
2026-03-30
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
54
|
22
|
—
|
—
|
$2,218,105.12
|
$4,436,210.24
|
$3,327,157.68
|
2026-03-30
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
7
|
—
|
—
|
$3,154,486.56
|
$4,055,977.72
|
$3,193,917.64
|
2026-03-30
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
8
|
7
|
—
|
—
|
$3,089,791.63
|
$3,978,853.10
|
$3,128,414.02
|
2026-03-30
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
8
|
7
|
—
|
—
|
$2,801,870.06
|
$3,599,837.74
|
$2,836,893.44
|
2026-03-30
|
|
802
|
OTHER
|
Anesth Fat Layer Removal
|
17
|
9
|
$1,409,054.41
|
$704,527.20
50% off
|
$34,513.85
|
$4,934,519.64
|
$2,117,832.84
|
2026-05-06
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
15
|
7
|
$216,911.11
|
$108,455.56
50% off
|
$32,345.92
|
$2,084,044.93
|
$1,984,804.69
|
2026-05-06
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
15
|
7
|
$319,134.33
|
$159,567.17
50% off
|
$30,586.42
|
$1,970,680.87
|
$1,876,838.92
|
2026-05-06
|
|
027
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
15
|
7
|
$163,310.50
|
$81,655.25
50% off
|
$24,474.97
|
$1,576,920.63
|
$1,501,829.17
|
2026-05-06
|
|
835
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Cc
|
15
|
7
|
$148,521.39
|
$74,260.69
50% off
|
$22,489.13
|
$1,448,972.86
|
$1,379,974.15
|
2026-05-06
|
|
407
|
OTHER
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
15
|
7
|
$141,522.02
|
$70,761.01
50% off
|
$21,639.06
|
$1,394,202.92
|
$1,327,812.30
|
2026-05-06
|
|
507
|
OTHER
|
Major Shoulder Or Elbow Joint Procedures With Cc/mcc
|
15
|
7
|
$150,733.49
|
$75,366.75
50% off
|
$21,444.90
|
$1,381,693.33
|
$1,315,898.41
|
2026-05-06
|
|
814
|
OTHER
|
Reticuloendothelial And Immunity Disorders With Mcc
|
15
|
7
|
$149,272.68
|
$74,636.34
50% off
|
$21,408.69
|
$1,379,359.94
|
$1,313,676.13
|
2026-05-06
|
|
412
|
OTHER
|
Cholecystectomy With C.d.e. With Cc
|
15
|
7
|
$252,781.38
|
$126,390.69
50% off
|
$20,784.97
|
$1,339,173.71
|
$1,275,403.53
|
2026-05-06
|
|
165
|
OTHER
|
Major Chest Procedures Without Cc/mcc
|
15
|
7
|
$141,497.74
|
$70,748.87
50% off
|
$18,876.58
|
$1,216,216.81
|
$1,158,301.72
|
2026-05-06
|
|
801
|
OTHER
|
Splenic Procedures Without Cc/mcc
|
15
|
7
|
$156,811.62
|
$78,405.81
50% off
|
$18,004.38
|
$1,160,020.90
|
$1,104,781.81
|
2026-05-06
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…
|
54
|
22
|
—
|
—
|
$732,982.92
|
$1,465,965.84
|
$1,099,474.38
|
2026-03-30
|
|
582
|
OTHER
|
Mastectomy For Malignancy With Cc/mcc
|
15
|
7
|
$146,230.22
|
$73,115.11
50% off
|
$17,517.48
|
$1,128,649.72
|
$1,074,904.49
|
2026-05-06
|
|
504
|
OTHER
|
Foot Procedures With Cc
|
15
|
7
|
$113,181.02
|
$56,590.51
50% off
|
$17,374.63
|
$1,119,445.77
|
$1,066,138.83
|
2026-05-06
|
|
421
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Cc
|
15
|
7
|
$131,646.64
|
$65,823.32
50% off
|
$17,198.58
|
$1,108,102.88
|
$1,055,336.08
|
2026-05-06
|
|
585
|
OTHER
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
15
|
7
|
$153,790.95
|
$76,895.48
50% off
|
$16,941.04
|
$1,091,509.86
|
$1,039,533.20
|
2026-05-06
|
|
830
|
OTHER
|
Anesth Repair Of Hernia
|
15
|
7
|
$153,523.79
|
$76,761.89
50% off
|
$15,906.87
|
$1,024,878.50
|
$976,074.76
|
2026-05-06
|
|
410
|
OTHER
|
Anesth Correct Heart Rhythm
|
15
|
7
|
$111,595.76
|
$55,797.88
50% off
|
$15,745.91
|
$1,014,507.86
|
$966,197.96
|
2026-05-06
|
|
142
|
OTHER
|
Anesth Lens Surgery
|
15
|
7
|
$115,764.52
|
$57,882.26
50% off
|
$15,542.70
|
$1,001,414.93
|
$953,728.50
|
2026-05-06
|
|
154
|
OTHER
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
15
|
7
|
$145,945.99
|
$72,973.00
50% off
|
$15,474.29
|
$997,007.40
|
$949,530.86
|
2026-05-06
|
|
583
|
OTHER
|
Mastectomy For Malignancy Without Cc/mcc
|
15
|
7
|
$136,160.00
|
$68,080.00
50% off
|
$15,310.31
|
$986,442.31
|
$939,468.87
|
2026-05-06
|
|
615
|
OTHER
|
Adrenal And Pituitary Procedures Without Cc/mcc
|
15
|
7
|
$111,311.35
|
$55,655.67
50% off
|
$14,799.27
|
$953,515.53
|
$908,110.03
|
2026-05-06
|
|
708
|
OTHER
|
Major Male Pelvic Procedures Without Cc/mcc
|
15
|
7
|
$110,909.91
|
$55,454.96
50% off
|
$14,672.51
|
$945,348.65
|
$900,332.05
|
2026-05-06
|
|
422
|
OTHER
|
Hepatobiliary Diagnostic Procedures Without Cc/mcc
|
15
|
7
|
$93,201.25
|
$46,600.62
50% off
|
$14,194.66
|
$914,560.81
|
$871,010.30
|
2026-05-06
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
54
|
22
|
—
|
—
|
$562,826.29
|
$1,127,511.66
|
$845,168.97
|
2026-03-30
|
|
581
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
15
|
7
|
$90,657.12
|
$45,328.56
50% off
|
$13,547.80
|
$872,883.81
|
$831,317.91
|
2026-05-06
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
54
|
22
|
—
|
—
|
$538,231.91
|
$1,077,636.42
|
$807,934.17
|
2026-03-30
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
54
|
22
|
—
|
—
|
$535,063.82
|
$1,070,127.64
|
$802,595.73
|
2026-03-30
|
|
825
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures Without Cc/mcc
|
15
|
7
|
$113,645.11
|
$56,822.55
50% off
|
$12,991.48
|
$837,040.28
|
$797,181.22
|
2026-05-06
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
54
|
22
|
—
|
—
|
$530,098.52
|
$1,060,197.04
|
$795,147.78
|
2026-03-30
|
|
545
|
OTHER
|
Connective Tissue Disorders With Mcc
|
14
|
6
|
$160,858.38
|
$80,429.19
50% off
|
$25,081.59
|
$1,585,223.93
|
$793,968.27
|
2026-05-06
|
|
858
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
15
|
7
|
$95,549.53
|
$47,774.76
50% off
|
$12,911.00
|
$831,854.96
|
$792,242.82
|
2026-05-06
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
54
|
22
|
—
|
—
|
$507,187.21
|
$1,014,374.42
|
$760,780.81
|
2026-03-30
|
|
618
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
15
|
7
|
$82,591.97
|
$41,295.98
50% off
|
$11,684.69
|
$752,843.65
|
$716,993.95
|
2026-05-06
|
|
821
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
14
|
6
|
$142,918.25
|
$71,459.12
50% off
|
$22,454.93
|
$1,419,211.59
|
$711,970.70
|
2026-05-06
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
54
|
22
|
—
|
—
|
$465,406.97
|
$953,404.97
|
$709,405.97
|
2026-03-30
|
|
294
|
OTHER
|
Deep Vein Thrombophlebitis With Cc/mcc
|
15
|
7
|
$84,495.83
|
$42,247.92
50% off
|
$11,002.62
|
$708,898.06
|
$675,141.01
|
2026-05-06
|
|
842
|
OTHER
|
Anesth Amniocentesis
|
15
|
7
|
$74,171.48
|
$37,085.74
50% off
|
$10,727.98
|
$691,203.16
|
$658,288.72
|
2026-05-06
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
3
|
$1,422,622.38
|
$711,311.19
50% off
|
$370,637.56
|
$722,374.82
|
$654,584.25
|
2026-05-06
|
|
136
|
OTHER
|
Sinus And Mastoid Procedures Without Cc/mcc
|
15
|
7
|
$79,612.20
|
$39,806.10
50% off
|
$10,505.66
|
$676,878.71
|
$644,646.39
|
2026-05-06
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …
|
54
|
22
|
—
|
—
|
$264,660.27
|
$992,250.00
|
$628,455.14
|
2026-03-30
|
|
197
|
OTHER
|
Interstitial Lung Disease With Cc
|
15
|
7
|
$88,808.82
|
$44,404.41
50% off
|
$10,034.85
|
$646,544.59
|
$615,756.75
|
2026-05-06
|
|
864
|
OTHER
|
Anesth Removal Of Bladder
|
15
|
7
|
$74,206.37
|
$37,103.19
50% off
|
$8,880.97
|
$572,200.06
|
$544,952.44
|
2026-05-06
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
21
|
12
|
—
|
—
|
$38,705.37
|
$871,040.26
|
$534,253.72
|
2026-03-30
|
|
845
|
OTHER
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
15
|
7
|
$57,958.34
|
$28,979.17
50% off
|
$8,700.89
|
$560,597.91
|
$533,902.77
|
2026-05-06
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
7
|
3
|
$379,557.58
|
$189,778.79
50% off
|
$272,611.92
|
$559,260.91
|
$481,460.83
|
2026-05-06
|
|
489
|
OTHER
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
14
|
6
|
$78,696.39
|
$39,348.19
50% off
|
$12,451.26
|
$786,953.18
|
$394,787.93
|
2026-05-06
|
|
730
|
OTHER
|
Anesth Abdominal Wall Surg
|
15
|
7
|
$47,337.42
|
$23,668.71
50% off
|
$6,253.30
|
$402,899.36
|
$383,713.68
|
2026-05-06
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
7
|
3
|
$729,991.50
|
$364,995.75
50% off
|
$214,482.22
|
$440,008.35
|
$378,797.77
|
2026-05-06
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
21
|
12
|
—
|
—
|
$8,952.25
|
$595,003.44
|
$328,623.24
|
2026-03-30
|
|
798
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
16
|
8
|
$59,825.26
|
$29,912.63
50% off
|
$4,932.00
|
$541,282.59
|
$262,585.61
|
2026-05-06
|
|
004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
7
|
3
|
$501,781.42
|
$250,890.71
50% off
|
$147,882.00
|
$303,378.60
|
$261,174.90
|
2026-05-06
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
21
|
12
|
—
|
—
|
$7,099.37
|
$450,653.45
|
$253,699.43
|
2026-03-30
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
12
|
—
|
—
|
$4,601.47
|
$453,313.82
|
$228,417.89
|
2026-03-30
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
21
|
12
|
—
|
—
|
$17,138.62
|
$294,092.92
|
$220,458.88
|
2026-03-30
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
7
|
3
|
$560,181.56
|
$280,090.78
50% off
|
$123,175.65
|
$252,693.74
|
$217,540.92
|
2026-05-06
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
12
|
—
|
—
|
$13,334.80
|
$279,636.46
|
$206,115.38
|
2026-03-30
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
7
|
3
|
$585,410.02
|
$292,705.01
50% off
|
$115,296.65
|
$224,713.87
|
$203,625.81
|
2026-05-06
|
|
212
|
OTHER
|
Anesth Skull Drainage
|
7
|
3
|
$522,444.23
|
$261,222.11
50% off
|
$108,353.24
|
$222,285.71
|
$191,363.03
|
2026-05-06
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
21
|
12
|
—
|
—
|
$71,204.31
|
$279,943.64
|
$191,276.90
|
2026-03-30
|
|
215
|
OTHER
|
Anesth Skull Repair/fract
|
7
|
3
|
$335,449.71
|
$167,724.86
50% off
|
$102,760.89
|
$210,813.04
|
$181,486.35
|
2026-05-06
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
12
|
—
|
—
|
$12,199.45
|
$294,852.82
|
$180,356.93
|
2026-03-30
|
|
216
|
OTHER
|
Anesth Head Vessel Surgery
|
7
|
3
|
$520,884.01
|
$260,442.01
50% off
|
$97,635.32
|
$200,297.98
|
$172,434.07
|
2026-05-06
|
|
Q0480
|
HCPCS
|
Dme Pos
|
54
|
22
|
—
|
—
|
$111,502.61
|
$223,005.22
|
$167,253.92
|
2026-03-30
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
21
|
12
|
—
|
—
|
$6,707.11
|
$230,878.89
|
$164,940.44
|
2026-03-30
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
12
|
—
|
—
|
$7,965.38
|
$231,670.32
|
$164,101.92
|
2026-03-30
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
7
|
3
|
$538,380.91
|
$269,190.46
50% off
|
$89,145.68
|
$225,159.00
|
$157,440.49
|
2026-05-06
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
7
|
3
|
$389,533.13
|
$194,766.57
50% off
|
$85,031.14
|
$174,440.63
|
$150,173.79
|
2026-05-06
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
3
|
$319,594.81
|
$159,797.40
50% off
|
$84,799.76
|
$212,092.00
|
$149,765.15
|
2026-05-06
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
7
|
3
|
$385,618.76
|
$192,809.38
50% off
|
$81,638.91
|
$167,481.50
|
$144,182.76
|
2026-05-06
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
54
|
22
|
—
|
—
|
$95,081.03
|
$190,162.06
|
$142,621.55
|
2026-03-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
12
|
—
|
—
|
$62,460.05
|
$207,708.41
|
$140,706.89
|
2026-03-30
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
21
|
12
|
—
|
—
|
$45,814.55
|
$193,533.05
|
$140,277.76
|
2026-03-30
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
7
|
3
|
$373,441.38
|
$186,720.69
50% off
|
$78,463.98
|
$160,968.14
|
$138,575.49
|
2026-05-06
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
7
|
3
|
$436,167.98
|
$218,083.99
50% off
|
$77,574.67
|
$159,143.75
|
$137,004.89
|
2026-05-06
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
7
|
3
|
$296,928.86
|
$148,464.43
50% off
|
$72,758.95
|
$149,264.33
|
$128,499.83
|
2026-05-06
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
21
|
12
|
—
|
—
|
$37,666.01
|
$167,070.36
|
$125,239.82
|
2026-03-30
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
7
|
3
|
$265,903.43
|
$132,951.71
50% off
|
$70,780.15
|
$145,204.84
|
$125,005.06
|
2026-05-06
|
|
870
|
OTHER
|
Anesth Bladder Stone Surg
|
7
|
3
|
$221,558.95
|
$110,779.48
50% off
|
$70,066.89
|
$136,560.79
|
$123,745.38
|
2026-05-06
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
7
|
3
|
$197,454.51
|
$98,727.25
50% off
|
$69,494.48
|
$135,445.16
|
$122,734.44
|
2026-05-06
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
7
|
3
|
$354,870.87
|
$177,435.43
50% off
|
$69,138.36
|
$141,836.72
|
$122,105.48
|
2026-05-06
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
7
|
3
|
$278,254.70
|
$139,127.35
50% off
|
$68,958.28
|
$141,467.30
|
$121,787.45
|
2026-05-06
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
7
|
3
|
$395,304.14
|
$197,652.07
50% off
|
$66,720.94
|
$152,805.00
|
$117,836.07
|
2026-05-06
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$11,682.19
|
$234,002.12
|
$116,631.87
|
2026-03-30
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
20
|
12
|
—
|
—
|
$41,828.59
|
$139,099.32
|
$116,172.70
|
2026-03-30
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
21
|
12
|
—
|
—
|
$11,999.18
|
$191,291.83
|
$115,028.46
|
2026-03-30
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
21
|
12
|
—
|
—
|
$45,552.14
|
$164,913.25
|
$113,554.29
|
2026-03-30
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
3
|
$323,839.21
|
$161,919.60
50% off
|
$64,034.92
|
$131,367.06
|
$113,092.29
|
2026-05-06
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
5
|
$286,272.38
|
$143,136.19
50% off
|
$45,581.86
|
$2,796,986.30
|
$111,626.57
|
2026-05-06
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
47
|
20
|
—
|
—
|
$96,363.41
|
$125,750.30
|
$111,056.85
|
2026-03-30
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
7
|
3
|
$227,120.90
|
$113,560.45
50% off
|
$62,835.77
|
$128,907.01
|
$110,974.46
|
2026-05-06
|
|
790
|
OTHER
|
Anes Iper Upr Abd Nos
|
4
|
2
|
$233,017.32
|
$116,508.66
50% off
|
$66,001.10
|
$117,643.96
|
$110,800.85
|
2026-05-06
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
7
|
3
|
$195,995.12
|
$97,997.56
50% off
|
$62,554.09
|
$128,329.15
|
$110,476.98
|
2026-05-06
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc
|
7
|
3
|
$167,195.54
|
$83,597.77
50% off
|
$62,474.61
|
$128,166.11
|
$110,336.62
|
2026-05-06
|
|
016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
7
|
3
|
$182,058.90
|
$91,029.45
50% off
|
$62,140.62
|
$121,112.44
|
$109,746.76
|
2026-05-06
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
7
|
3
|
$216,642.08
|
$108,321.04
50% off
|
$61,782.48
|
$126,746.21
|
$109,114.25
|
2026-05-06
|
|
454
|
OTHER
|
Anesth Collar Bone Biopsy
|
7
|
3
|
$315,644.46
|
$157,822.23
50% off
|
$61,529.98
|
$200,445.00
|
$108,668.30
|
2026-05-06
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
7
|
3
|
$196,896.67
|
$98,448.33
50% off
|
$61,267.41
|
$125,689.55
|
$108,204.58
|
2026-05-06
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
3
|
$260,847.58
|
$130,423.79
50% off
|
$61,117.52
|
$171,344.00
|
$107,939.86
|
2026-05-06
|
|
820
|
OTHER
|
Anesth Abdominal Wall Surg
|
7
|
3
|
$199,473.04
|
$99,736.52
50% off
|
$60,829.80
|
$124,791.79
|
$107,431.72
|
2026-05-06
|
|
028
|
OTHER
|
Spinal Procedures With Mcc
|
7
|
3
|
$299,577.27
|
$149,788.63
50% off
|
$60,622.57
|
$124,366.65
|
$107,065.72
|
2026-05-06
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
7
|
3
|
$293,683.61
|
$146,841.80
50% off
|
$59,842.92
|
$122,767.21
|
$105,688.78
|
2026-05-06
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
7
|
3
|
$281,802.42
|
$140,901.21
50% off
|
$59,158.84
|
$121,363.82
|
$104,480.62
|
2026-05-06
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
54
|
22
|
—
|
—
|
$68,801.71
|
$137,603.42
|
$103,202.57
|
2026-03-30
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
21
|
12
|
—
|
—
|
$53,822.21
|
$178,983.64
|
$102,476.86
|
2026-03-30
|
|
218
|
OTHER
|
Anesth Special Head Surgery
|
7
|
3
|
$155,536.49
|
$77,768.25
50% off
|
$57,308.80
|
$117,568.49
|
$101,213.27
|
2026-05-06
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
7
|
3
|
$232,808.57
|
$116,404.28
50% off
|
$57,028.13
|
$116,992.69
|
$100,717.57
|
2026-05-06
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
3
|
$211,405.80
|
$105,702.90
50% off
|
$56,976.82
|
$116,887.44
|
$100,626.96
|
2026-05-06
|
|
834
|
OTHER
|
Anesth Hernia Repair < 1 Yr
|
7
|
3
|
$258,028.09
|
$129,014.05
50% off
|
$56,325.94
|
$109,779.59
|
$99,477.43
|
2026-05-06
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
21
|
12
|
—
|
—
|
$14,003.30
|
$142,914.72
|
$99,005.10
|
2026-03-30
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
12
|
—
|
—
|
$41,981.19
|
$139,606.77
|
$98,828.01
|
2026-03-30
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
7
|
3
|
$312,571.16
|
$156,285.58
50% off
|
$55,382.31
|
$113,616.32
|
$97,810.89
|
2026-05-06
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
21
|
12
|
—
|
—
|
$22,463.84
|
$146,031.57
|
$96,638.70
|
2026-03-30
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
12
|
—
|
—
|
$41,981.19
|
$139,606.77
|
$96,299.19
|
2026-03-30
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
7
|
3
|
$163,840.24
|
$81,920.12
50% off
|
$54,460.82
|
$111,725.88
|
$96,183.43
|
2026-05-06
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
21
|
12
|
—
|
—
|
$5,575.90
|
$211,407.02
|
$94,175.50
|
2026-03-30
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
12
|
—
|
—
|
$18,982.52
|
$163,025.67
|
$94,104.24
|
2026-03-30
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$6,341.09
|
$124,521.43
|
$93,344.16
|
2026-03-30
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
12
|
—
|
—
|
$53,653.02
|
$218,198.00
|
$93,329.46
|
2026-03-30
|
|
220
|
OTHER
|
Anesth Intrcrn Nerve
|
7
|
3
|
$285,589.84
|
$142,794.92
50% off
|
$52,760.68
|
$108,238.05
|
$93,180.81
|
2026-05-06
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
7
|
3
|
$269,939.03
|
$134,969.51
50% off
|
$52,290.87
|
$107,274.26
|
$92,351.09
|
2026-05-06
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
7
|
3
|
$220,981.42
|
$110,490.71
50% off
|
$52,177.20
|
$117,566.00
|
$92,150.32
|
2026-05-06
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
54
|
22
|
—
|
—
|
$60,248.64
|
$123,190.11
|
$91,719.38
|
2026-03-30
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
53
|
22
|
—
|
—
|
$61,124.89
|
$122,249.78
|
$91,687.34
|
2026-03-30
|
|
011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
7
|
3
|
$263,938.22
|
$131,969.11
50% off
|
$51,872.38
|
$106,415.72
|
$91,611.98
|
2026-05-06
|
|
90288
|
CPT
|
Botulism Ig IV
|
46
|
20
|
—
|
—
|
$91,224.47
|
$91,224.47
|
$91,224.47
|
2026-03-30
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
54
|
22
|
—
|
—
|
$54,049.24
|
$127,627.61
|
$90,838.43
|
2026-03-30
|
|
326
|
OTHER
|
Anesth Larynx/trach < 1 Yr
|
7
|
3
|
$50,582.14
|
$25,291.07
50% off
|
$51,094.74
|
$104,820.40
|
$90,238.59
|
2026-05-06
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
7
|
3
|
$213,090.49
|
$106,545.24
50% off
|
$50,872.41
|
$104,364.30
|
$89,845.94
|
2026-05-06
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
7
|
3
|
$175,082.18
|
$87,541.09
50% off
|
$50,689.32
|
$103,988.69
|
$89,522.58
|
2026-05-06
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
21
|
12
|
—
|
—
|
$8,336.92
|
$118,996.87
|
$89,202.81
|
2026-03-30
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
7
|
3
|
$93,171.95
|
$46,585.97
50% off
|
$50,292.96
|
$103,175.55
|
$88,822.56
|
2026-05-06
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
5
|
$279,292.60
|
$139,646.30
50% off
|
$44,871.62
|
$2,753,404.92
|
$88,770.89
|
2026-05-06
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
7
|
3
|
$143,626.50
|
$71,813.25
50% off
|
$49,843.28
|
$102,253.03
|
$88,028.38
|
2026-05-06
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
21
|
12
|
—
|
—
|
$5,713.33
|
$121,545.00
|
$87,904.07
|
2026-03-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
21
|
12
|
—
|
—
|
$36,586.13
|
$121,665.73
|
$87,756.26
|
2026-03-30
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
7
|
3
|
$228,865.12
|
$114,432.56
50% off
|
$49,485.14
|
$114,563.00
|
$87,395.87
|
2026-05-06
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
21
|
12
|
—
|
—
|
$32,304.89
|
$124,383.86
|
$87,377.25
|
2026-03-30
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
7
|
3
|
$188,781.06
|
$94,390.53
50% off
|
$49,094.81
|
$100,717.57
|
$86,706.51
|
2026-05-06
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
21
|
12
|
—
|
—
|
$21,699.34
|
$130,118.19
|
$86,282.06
|
2026-03-30
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
7
|
3
|
$191,830.67
|
$95,915.33
50% off
|
$48,730.64
|
$94,976.31
|
$86,063.35
|
2026-05-06
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
7
|
3
|
$161,771.45
|
$80,885.73
50% off
|
$48,356.41
|
$99,202.74
|
$85,402.42
|
2026-05-06
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
7
|
3
|
$145,452.89
|
$72,726.44
50% off
|
$48,110.94
|
$98,699.17
|
$84,968.90
|
2026-05-06
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
21
|
12
|
—
|
—
|
$38,707.76
|
$128,721.12
|
$84,477.37
|
2026-03-30
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
7
|
3
|
$63,988.46
|
$31,994.23
50% off
|
$47,688.42
|
$97,832.38
|
$84,222.69
|
2026-05-06
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
7
|
3
|
$177,522.30
|
$88,761.15
50% off
|
$47,418.82
|
$97,279.28
|
$83,746.53
|
2026-05-06
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
21
|
12
|
—
|
—
|
$12,594.47
|
$139,417.92
|
$83,510.74
|
2026-03-30
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
21
|
12
|
—
|
—
|
$29,115.70
|
$112,397.96
|
$82,733.59
|
2026-03-30
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
7
|
3
|
$270,892.14
|
$135,446.07
50% off
|
$46,764.92
|
$95,937.81
|
$82,591.68
|
2026-05-06
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
21
|
12
|
—
|
—
|
$38,361.07
|
$127,568.23
|
$82,563.27
|
2026-03-30
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
7
|
3
|
$225,839.95
|
$112,919.97
50% off
|
$46,554.66
|
$95,506.47
|
$82,220.35
|
2026-05-06
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$39,082.54
|
$129,967.44
|
$81,862.83
|
2026-03-30
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
7
|
3
|
$228,645.41
|
$114,322.70
50% off
|
$46,332.34
|
$127,539.00
|
$81,827.70
|
2026-05-06
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
54
|
22
|
—
|
—
|
$52,572.82
|
$111,075.77
|
$81,824.29
|
2026-03-30
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
7
|
3
|
$104,346.33
|
$52,173.17
50% off
|
$45,585.88
|
$93,519.03
|
$80,509.38
|
2026-05-06
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
7
|
3
|
$160,593.73
|
$80,296.87
50% off
|
$45,439.01
|
$93,217.72
|
$80,249.99
|
2026-05-06
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
7
|
3
|
$180,542.55
|
$90,271.27
50% off
|
$45,289.11
|
$92,910.21
|
$79,985.26
|
2026-05-06
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
21
|
12
|
—
|
—
|
$45,409.02
|
$162,322.89
|
$79,130.56
|
2026-03-30
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
21
|
12
|
—
|
—
|
$31,587.57
|
$105,043.20
|
$78,742.82
|
2026-03-30
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
7
|
3
|
$136,741.65
|
$68,370.82
50% off
|
$44,549.70
|
$91,393.32
|
$78,679.38
|
2026-05-06
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
21
|
12
|
—
|
—
|
$32,878.08
|
$151,392.65
|
$78,643.72
|
2026-03-30
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
21
|
12
|
—
|
—
|
$5,080.74
|
$141,967.77
|
$78,627.93
|
2026-03-30
|
|
025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
7
|
3
|
$203,579.82
|
$101,789.91
50% off
|
$44,424.96
|
$91,137.41
|
$78,459.07
|
2026-05-06
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
21
|
12
|
—
|
—
|
$6,729.21
|
$104,062.28
|
$78,007.50
|
2026-03-30
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
21
|
12
|
—
|
—
|
$7,919.80
|
$161,785.72
|
$77,799.45
|
2026-03-30
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
7
|
3
|
$132,314.12
|
$66,157.06
50% off
|
$43,880.71
|
$90,020.89
|
$77,497.88
|
2026-05-06
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
21
|
12
|
—
|
—
|
$6,977.82
|
$183,858.50
|
$77,242.61
|
2026-03-30
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
7
|
3
|
$152,629.93
|
$76,314.97
50% off
|
$43,537.67
|
$89,317.14
|
$76,892.02
|
2026-05-06
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$9,432.21
|
$153,265.32
|
$76,865.25
|
2026-03-30
|
|
474
|
OTHER
|
Anesth Surgery Of Rib
|
7
|
3
|
$126,942.53
|
$63,471.27
50% off
|
$43,286.17
|
$88,801.19
|
$76,447.85
|
2026-05-06
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
12
|
—
|
—
|
$12,182.87
|
$129,794.33
|
$76,194.99
|
2026-03-30
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
12
|
5
|
$241,396.90
|
$120,698.45
50% off
|
$38,485.54
|
$2,361,542.88
|
$76,137.09
|
2026-05-06
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
7
|
3
|
$174,648.66
|
$87,324.33
50% off
|
$43,043.72
|
$88,303.81
|
$76,019.66
|
2026-05-06
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
20
|
12
|
—
|
—
|
$42,659.88
|
$141,863.73
|
$75,592.18
|
2026-03-30
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
21
|
12
|
—
|
—
|
$6,189.16
|
$152,731.88
|
$74,827.48
|
2026-03-30
|
|
L7181
|
HCPCS
|
Dme Pos
|
54
|
22
|
—
|
—
|
$49,605.45
|
$99,210.90
|
$74,408.18
|
2026-03-30
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
7
|
3
|
$226,780.71
|
$113,390.36
50% off
|
$41,835.52
|
$85,825.19
|
$73,885.85
|
2026-05-06
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
21
|
12
|
—
|
—
|
$5,774.80
|
$164,442.70
|
$73,802.49
|
2026-03-30
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
7
|
3
|
$180,074.42
|
$90,037.21
50% off
|
$41,648.40
|
$85,441.32
|
$73,555.38
|
2026-05-06
|
|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
7
|
3
|
$120,534.35
|
$60,267.17
50% off
|
$41,413.00
|
$84,958.39
|
$73,139.63
|
2026-05-06
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
7
|
3
|
$134,919.64
|
$67,459.82
50% off
|
$40,821.47
|
$83,744.88
|
$72,094.93
|
2026-05-06
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
7
|
3
|
$199,811.86
|
$99,905.93
50% off
|
$40,690.69
|
$83,476.58
|
$71,863.96
|
2026-05-06
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
7
|
3
|
$209,043.18
|
$104,521.59
50% off
|
$40,654.47
|
$83,402.29
|
$71,800.00
|
2026-05-06
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
7
|
3
|
$139,508.24
|
$69,754.12
50% off
|
$40,385.87
|
$82,851.25
|
$71,325.62
|
2026-05-06
|
|
012
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
7
|
3
|
$179,450.40
|
$89,725.20
50% off
|
$40,289.29
|
$82,653.13
|
$71,155.06
|
2026-05-06
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
21
|
12
|
—
|
—
|
$23,529.43
|
$119,366.30
|
$70,801.23
|
2026-03-30
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
7
|
3
|
$171,633.01
|
$85,816.50
50% off
|
$39,814.46
|
$81,679.01
|
$70,316.46
|
2026-05-06
|
|
022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
7
|
3
|
$121,286.37
|
$60,643.18
50% off
|
$39,462.36
|
$80,956.68
|
$69,694.61
|
2026-05-06
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
7
|
3
|
$135,702.52
|
$67,851.26
50% off
|
$39,343.65
|
$80,713.15
|
$69,484.96
|
2026-05-06
|
|
034
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
7
|
3
|
$146,243.62
|
$73,121.81
50% off
|
$39,248.08
|
$80,517.09
|
$69,316.17
|
2026-05-06
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
7
|
3
|
$131,674.86
|
$65,837.43
50% off
|
$39,203.82
|
$80,426.29
|
$69,238.00
|
2026-05-06
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
7
|
3
|
$125,577.40
|
$62,788.70
50% off
|
$39,105.23
|
$80,224.03
|
$69,063.88
|
2026-05-06
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
7
|
3
|
$125,538.44
|
$62,769.22
50% off
|
$39,014.69
|
$80,038.29
|
$68,903.98
|
2026-05-06
|
|
040
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
7
|
3
|
$141,436.16
|
$70,718.08
50% off
|
$38,736.03
|
$79,466.62
|
$68,411.83
|
2026-05-06
|
|
024
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
7
|
3
|
$162,255.73
|
$81,127.86
50% off
|
$38,115.33
|
$78,193.25
|
$67,315.61
|
2026-05-06
|
|
037
|
OTHER
|
Extracranial Procedures With Mcc
|
12
|
5
|
$212,361.45
|
$106,180.72
50% off
|
$33,958.54
|
$2,083,757.88
|
$67,181.19
|
2026-05-06
|
|
140
|
OTHER
|
Anesth Procedures On Eye
|
7
|
3
|
$215,724.74
|
$107,862.37
50% off
|
$38,007.69
|
$77,972.43
|
$67,125.50
|
2026-05-06
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
21
|
12
|
—
|
—
|
$11,256.09
|
$112,026.40
|
$67,001.24
|
2026-03-30
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
7
|
3
|
$85,835.62
|
$42,917.81
50% off
|
$37,538.89
|
$77,010.70
|
$66,297.56
|
2026-05-06
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
21
|
12
|
—
|
—
|
$13,776.09
|
$104,856.36
|
$66,172.21
|
2026-03-30
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
7
|
3
|
$125,799.83
|
$62,899.92
50% off
|
$37,445.33
|
$76,818.76
|
$66,132.33
|
2026-05-06
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
7
|
3
|
$144,159.82
|
$72,079.91
50% off
|
$37,418.17
|
$76,763.04
|
$66,084.36
|
2026-05-06
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
7
|
3
|
$148,394.68
|
$74,197.34
50% off
|
$37,201.88
|
$76,319.32
|
$65,702.37
|
2026-05-06
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
20
|
12
|
—
|
—
|
$33,177.35
|
$110,329.96
|
$65,532.97
|
2026-03-30
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
15
|
12
|
—
|
—
|
$5,810.02
|
$98,523.19
|
$65,378.50
|
2026-03-30
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
21
|
12
|
—
|
—
|
$34,683.50
|
$109,574.92
|
$64,980.71
|
2026-03-30
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
21
|
12
|
—
|
—
|
$32,023.12
|
$119,607.98
|
$64,980.71
|
2026-03-30
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
7
|
3
|
$100,019.93
|
$50,009.96
50% off
|
$36,762.26
|
$75,417.44
|
$64,925.95
|
2026-05-06
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
21
|
12
|
—
|
—
|
$12,394.20
|
$113,158.07
|
$64,693.50
|
2026-03-30
|
|
097
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
7
|
3
|
$151,222.26
|
$75,611.13
50% off
|
$36,587.21
|
$71,308.70
|
$64,616.80
|
2026-05-06
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
21
|
12
|
—
|
—
|
$36,828.32
|
$124,602.12
|
$64,554.60
|
2026-03-30
|
|
094
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
7
|
3
|
$111,333.87
|
$55,666.94
50% off
|
$36,444.36
|
$71,030.28
|
$64,364.51
|
2026-05-06
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
7
|
3
|
$87,231.88
|
$43,615.94
50% off
|
$36,379.98
|
$74,633.20
|
$64,250.80
|
2026-05-06
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
53
|
22
|
—
|
—
|
$42,802.68
|
$85,605.36
|
$64,204.02
|
2026-03-30
|
|
620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
54
|
22
|
—
|
—
|
$42,802.68
|
$85,605.36
|
$64,204.02
|
2026-03-30
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
53
|
22
|
—
|
—
|
$42,802.68
|
$85,605.36
|
$64,204.02
|
2026-03-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
21
|
12
|
—
|
—
|
$8,005.44
|
$99,319.05
|
$63,929.89
|
2026-03-30
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
21
|
12
|
—
|
—
|
$33,234.81
|
$120,951.00
|
$63,896.05
|
2026-03-30
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
7
|
3
|
$187,520.08
|
$93,760.04
50% off
|
$36,026.87
|
$73,908.81
|
$63,627.18
|
2026-05-06
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
7
|
3
|
$130,752.65
|
$65,376.32
50% off
|
$35,964.50
|
$73,780.85
|
$63,517.03
|
2026-05-06
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
7
|
3
|
$92,742.32
|
$46,371.16
50% off
|
$35,553.05
|
$72,936.76
|
$62,790.35
|
2026-05-06
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
7
|
3
|
$156,463.73
|
$78,231.87
50% off
|
$35,463.51
|
$72,753.08
|
$62,632.23
|
2026-05-06
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
21
|
12
|
—
|
—
|
$12,643.50
|
$78,549.91
|
$61,980.09
|
2026-03-30
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
7
|
3
|
$136,402.32
|
$68,201.16
50% off
|
$35,072.18
|
$86,726.00
|
$61,941.09
|
2026-05-06
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
12
|
—
|
—
|
$10,584.14
|
$99,616.30
|
$61,798.10
|
2026-03-30
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
21
|
12
|
—
|
—
|
$7,002.68
|
$97,344.47
|
$61,679.67
|
2026-03-30
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
7
|
3
|
$128,197.04
|
$64,098.52
50% off
|
$34,828.73
|
$73,369.00
|
$61,511.13
|
2026-05-06
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
7
|
3
|
$169,012.11
|
$84,506.05
50% off
|
$34,769.37
|
$71,329.06
|
$61,406.31
|
2026-05-06
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
7
|
3
|
$117,353.43
|
$58,676.71
50% off
|
$34,758.31
|
$71,306.35
|
$61,386.76
|
2026-05-06
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
21
|
12
|
—
|
—
|
$34,877.59
|
$115,984.05
|
$61,361.59
|
2026-03-30
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
21
|
12
|
—
|
—
|
$35,538.41
|
$118,181.56
|
$61,228.20
|
2026-03-30
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
21
|
12
|
—
|
—
|
$9,664.95
|
$122,447.07
|
$61,185.25
|
2026-03-30
|
|
029
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
7
|
3
|
$191,697.62
|
$95,848.81
50% off
|
$34,487.69
|
$70,751.19
|
$60,908.83
|
2026-05-06
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$23,864.02
|
$79,358.85
|
$60,706.26
|
2026-03-30
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
54
|
22
|
—
|
—
|
$35,473.35
|
$85,643.68
|
$60,558.51
|
2026-03-30
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
7
|
3
|
$115,441.15
|
$57,720.57
50% off
|
$34,262.35
|
$70,288.90
|
$60,510.85
|
2026-05-06
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
21
|
12
|
—
|
—
|
$11,111.06
|
$89,102.21
|
$60,495.34
|
2026-03-30
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
21
|
12
|
—
|
—
|
$38,350.22
|
$127,532.13
|
$60,240.70
|
2026-03-30
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
7
|
3
|
$54,065.07
|
$27,032.53
50% off
|
$33,969.60
|
$69,688.33
|
$59,993.83
|
2026-05-06
|
|
L7180
|
HCPCS
|
Dme Pos
|
54
|
22
|
—
|
—
|
$39,992.59
|
$79,985.18
|
$59,988.89
|
2026-03-30
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
21
|
12
|
—
|
—
|
$10,694.63
|
$79,896.02
|
$59,891.91
|
2026-03-30
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
20
|
12
|
—
|
—
|
$34,927.39
|
$116,149.66
|
$59,880.60
|
2026-03-30
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
7
|
3
|
$115,081.33
|
$57,540.66
50% off
|
$33,892.14
|
$69,529.42
|
$59,857.02
|
2026-05-06
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
7
|
3
|
$140,632.83
|
$70,316.41
50% off
|
$33,739.23
|
$69,215.72
|
$59,586.96
|
2026-05-06
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
7
|
3
|
$30,424.89
|
$15,212.44
50% off
|
$33,622.53
|
$68,976.32
|
$59,380.87
|
2026-05-06
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
7
|
3
|
$149,532.80
|
$74,766.40
50% off
|
$33,497.79
|
$79,266.00
|
$59,160.56
|
2026-05-06
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
7
|
3
|
$128,774.21
|
$64,387.10
50% off
|
$33,455.54
|
$68,633.73
|
$59,085.94
|
2026-05-06
|
|
L2006
|
HCPCS
|
Dme Pos
|
54
|
22
|
—
|
—
|
$39,378.44
|
$78,756.88
|
$59,067.66
|
2026-03-30
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
21
|
12
|
—
|
—
|
$4,290.01
|
$102,404.94
|
$58,981.51
|
2026-03-30
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
7
|
3
|
$201,500.35
|
$100,750.18
50% off
|
$33,350.91
|
$68,419.10
|
$58,901.16
|
2026-05-06
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
7
|
3
|
$137,383.51
|
$68,691.76
50% off
|
$33,137.64
|
$67,981.57
|
$58,524.50
|
2026-05-06
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
21
|
12
|
—
|
—
|
$11,539.24
|
$176,277.00
|
$58,124.95
|
2026-03-30
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
21
|
12
|
—
|
—
|
$6,652.55
|
$91,879.36
|
$58,036.46
|
2026-03-30
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
7
|
3
|
$198,231.85
|
$99,115.92
50% off
|
$32,855.96
|
$67,403.71
|
$58,027.02
|
2026-05-06
|
|
904
|
OTHER
|
Anesth Perineal Surgery
|
7
|
3
|
$59,882.71
|
$29,941.36
50% off
|
$32,757.37
|
$67,201.46
|
$57,852.91
|
2026-05-06
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
21
|
12
|
—
|
—
|
$12,081.36
|
$77,040.31
|
$57,751.21
|
2026-03-30
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
21
|
12
|
—
|
—
|
$34,822.68
|
$115,801.45
|
$57,733.79
|
2026-03-30
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
21
|
12
|
—
|
—
|
$21,760.81
|
$76,874.70
|
$57,627.06
|
2026-03-30
|
|
500
|
OTHER
|
Anesth Esophageal Surgery
|
7
|
3
|
$157,258.93
|
$78,629.47
50% off
|
$32,622.57
|
$66,924.91
|
$57,614.83
|
2026-05-06
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
7
|
3
|
$117,171.38
|
$58,585.69
50% off
|
$32,602.45
|
$66,883.63
|
$57,579.29
|
2026-05-06
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
21
|
12
|
—
|
—
|
$7,586.93
|
$72,853.62
|
$57,485.41
|
2026-03-30
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
21
|
12
|
—
|
—
|
$34,048.22
|
$113,226.01
|
$57,470.33
|
2026-03-30
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
21
|
12
|
—
|
—
|
$29,286.96
|
$121,011.78
|
$57,433.51
|
2026-03-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
21
|
12
|
—
|
—
|
$29,129.46
|
$96,868.88
|
$57,054.03
|
2026-03-30
|
|
468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
12
|
5
|
$167,189.67
|
$83,594.83
50% off
|
$26,856.18
|
$1,647,944.08
|
$56,951.78
|
2026-05-06
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
21
|
12
|
—
|
—
|
$4,847.32
|
$94,756.29
|
$56,872.44
|
2026-03-30
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
7
|
3
|
$139,752.20
|
$69,876.10
50% off
|
$32,200.05
|
$66,058.11
|
$56,868.61
|
2026-05-06
|
|
279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
7
|
3
|
$183,738.63
|
$91,869.31
50% off
|
$32,198.04
|
$66,053.98
|
$56,865.06
|
2026-05-06
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
21
|
12
|
—
|
—
|
$5,515.13
|
$90,560.85
|
$56,849.88
|
2026-03-30
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
7
|
3
|
$94,833.35
|
$47,416.68
50% off
|
$31,986.78
|
$65,620.58
|
$56,491.95
|
2026-05-06
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
7
|
3
|
$128,588.93
|
$64,294.46
50% off
|
$31,804.69
|
$65,247.04
|
$56,170.37
|
2026-05-06
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
7
|
3
|
$109,633.79
|
$54,816.90
50% off
|
$31,727.23
|
$65,088.12
|
$56,033.56
|
2026-05-06
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
21
|
12
|
—
|
—
|
$7,395.64
|
$77,987.26
|
$55,876.47
|
2026-03-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
21
|
12
|
—
|
—
|
$29,029.22
|
$96,535.53
|
$55,761.43
|
2026-03-30
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
7
|
3
|
$161,668.61
|
$80,834.31
50% off
|
$31,564.26
|
$64,753.79
|
$55,745.74
|
2026-05-06
|
|
840
|
OTHER
|
Anesth Surg Lower Abdomen
|
7
|
3
|
$139,468.83
|
$69,734.42
50% off
|
$31,439.51
|
$61,275.80
|
$55,525.43
|
2026-05-06
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
47
|
20
|
—
|
—
|
$55,169.68
|
$55,169.68
|
$55,169.68
|
2026-03-30
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
21
|
12
|
—
|
—
|
$8,164.27
|
$95,157.58
|
$55,124.15
|
2026-03-30
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
21
|
12
|
—
|
—
|
$21,555.01
|
$89,208.37
|
$55,022.63
|
2026-03-30
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
21
|
12
|
—
|
—
|
$12,051.66
|
$81,516.02
|
$54,984.28
|
2026-03-30
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
7
|
3
|
$112,547.09
|
$56,273.55
50% off
|
$31,076.35
|
$63,752.85
|
$54,884.04
|
2026-05-06
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
21
|
12
|
—
|
—
|
$24,987.29
|
$87,592.62
|
$54,762.08
|
2026-03-30
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
7
|
3
|
$152,540.84
|
$76,270.42
50% off
|
$30,934.50
|
$63,461.85
|
$54,633.53
|
2026-05-06
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
21
|
12
|
—
|
—
|
$18,213.88
|
$72,791.79
|
$54,429.34
|
2026-03-30
|
|
460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
5
|
3
|
$208,243.12
|
$104,121.56
50% off
|
$36,798.47
|
$105,101.00
|
$54,400.29
|
2026-05-06
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
21
|
12
|
—
|
—
|
$31,423.48
|
$104,497.53
|
$54,342.49
|
2026-03-30
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
7
|
3
|
$134,517.09
|
$67,258.55
50% off
|
$36,737.11
|
$69,990.40
|
$54,309.57
|
2026-05-06
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
3
|
$150,461.17
|
$75,230.59
50% off
|
$30,194.08
|
$61,942.89
|
$53,325.87
|
2026-05-06
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
7
|
3
|
$105,865.20
|
$52,932.60
50% off
|
$30,146.80
|
$61,845.89
|
$53,242.37
|
2026-05-06
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
7
|
3
|
$112,951.62
|
$56,475.81
50% off
|
$30,121.65
|
$61,794.30
|
$53,197.95
|
2026-05-06
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
21
|
12
|
—
|
—
|
$30,829.70
|
$117,862.00
|
$53,115.70
|
2026-03-30
|