|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
1
|
1
|
—
|
—
|
$4,573,564.34
|
$4,573,564.34
|
$4,573,564.34
|
2026-01-25
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
1
|
1
|
—
|
—
|
$3,800,779.18
|
$3,800,779.18
|
$3,800,779.18
|
2026-01-25
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
1
|
1
|
—
|
—
|
$3,614,600.00
|
$3,614,600.00
|
$3,614,600.00
|
2026-01-25
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
1
|
1
|
—
|
—
|
$1,194,461.00
|
$1,194,461.00
|
$1,194,461.00
|
2026-01-25
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
1
|
1
|
—
|
—
|
$896,403.10
|
$896,403.10
|
$896,403.10
|
2026-01-25
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
1
|
1
|
—
|
—
|
$857,737.19
|
$857,737.19
|
$857,737.19
|
2026-01-25
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
1
|
1
|
—
|
—
|
$839,535.27
|
$839,535.27
|
$839,535.27
|
2026-01-25
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
1
|
1
|
—
|
—
|
$838,953.70
|
$838,953.70
|
$838,953.70
|
2026-01-25
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
1
|
1
|
—
|
—
|
$826,268.54
|
$826,268.54
|
$826,268.54
|
2026-01-25
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$759,066.00
|
$759,066.00
|
$759,066.00
|
2026-01-25
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$419,081.25
|
$419,081.25
|
$419,081.25
|
2026-01-25
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
2
|
2
|
—
|
—
|
$226,133.87
|
$328,101.36
|
$277,117.61
|
2026-01-25
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
2
|
—
|
—
|
$168,903.04
|
$267,598.85
|
$218,250.95
|
2026-01-25
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
2
|
2
|
—
|
—
|
$142,246.89
|
$206,388.36
|
$174,317.62
|
2026-01-25
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
2
|
2
|
—
|
—
|
$128,508.37
|
$203,600.20
|
$166,054.29
|
2026-01-25
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$136,490.52
|
$136,490.52
|
$136,490.52
|
2026-01-25
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
2
|
2
|
—
|
—
|
$84,726.45
|
$134,235.00
|
$109,480.73
|
2026-01-25
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
2
|
2
|
—
|
—
|
$78,561.14
|
$124,467.10
|
$101,514.12
|
2026-01-25
|
|
7
|
MS_DRG
|
Lung Transplant
|
2
|
2
|
—
|
—
|
$78,363.27
|
$124,153.60
|
$101,258.43
|
2026-01-25
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
—
|
$98,318.13
|
$98,318.13
|
$98,318.13
|
2026-01-25
|
|
81200000
|
CDM
|
Hc Kidney Acq Cadaveric
|
11
|
7
|
$133,965.00
|
$93,775.50
30% off
|
$27,087.72
|
$125,927.10
|
$95,208.93
|
2026-01-25
|
|
81100000
|
CDM
|
Hc Kidney Acq Live Donor
|
11
|
7
|
$133,965.00
|
$93,775.50
30% off
|
$27,087.72
|
$125,927.10
|
$95,208.93
|
2026-01-25
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
1
|
1
|
—
|
—
|
$91,670.61
|
$91,670.61
|
$91,670.61
|
2026-01-25
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$88,078.05
|
$88,078.05
|
$88,078.05
|
2026-01-25
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$86,716.25
|
$86,716.25
|
$86,716.25
|
2026-01-25
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
2
|
2
|
—
|
—
|
$66,076.44
|
$104,687.15
|
$85,381.79
|
2026-01-25
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
2
|
2
|
—
|
—
|
$63,856.04
|
$101,169.30
|
$82,512.67
|
2026-01-25
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
2
|
2
|
—
|
—
|
$65,322.11
|
$94,776.93
|
$80,049.52
|
2026-01-25
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
2
|
2
|
—
|
—
|
$63,528.65
|
$92,174.76
|
$77,851.71
|
2026-01-25
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$57,870.02
|
$83,964.57
|
$70,917.29
|
2026-01-25
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
1
|
1
|
—
|
—
|
$70,618.60
|
$70,618.60
|
$70,618.60
|
2026-01-25
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
1
|
1
|
—
|
—
|
$69,750.78
|
$69,750.78
|
$69,750.78
|
2026-01-25
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
1
|
1
|
—
|
—
|
$69,750.78
|
$69,750.78
|
$69,750.78
|
2026-01-25
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
2
|
2
|
—
|
—
|
$48,336.05
|
$76,580.45
|
$62,458.25
|
2026-01-25
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
2
|
2
|
—
|
—
|
$50,811.28
|
$73,722.93
|
$62,267.10
|
2026-01-25
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
2
|
2
|
—
|
—
|
$47,807.78
|
$75,743.50
|
$61,775.64
|
2026-01-25
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$60,722.09
|
$60,722.09
|
$60,722.09
|
2026-01-25
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
2
|
2
|
—
|
—
|
$47,533.76
|
$68,967.51
|
$58,250.63
|
2026-01-25
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
2
|
2
|
—
|
—
|
$46,868.78
|
$68,002.68
|
$57,435.73
|
2026-01-25
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$46,395.67
|
$67,316.25
|
$56,855.96
|
2026-01-25
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
2
|
2
|
—
|
—
|
$44,756.91
|
$64,938.54
|
$54,847.73
|
2026-01-25
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
1
|
1
|
—
|
—
|
$54,250.78
|
$54,250.78
|
$54,250.78
|
2026-01-25
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$50,783.10
|
$56,661.83
|
$53,722.46
|
2026-01-25
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
2
|
—
|
—
|
$42,375.22
|
$61,482.90
|
$51,929.06
|
2026-01-25
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
1
|
1
|
—
|
—
|
$51,780.28
|
$51,780.28
|
$51,780.28
|
2026-01-25
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$40,943.92
|
$59,406.21
|
$50,175.07
|
2026-01-25
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
1
|
1
|
—
|
—
|
$49,695.45
|
$49,695.45
|
$49,695.45
|
2026-01-25
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
1
|
1
|
—
|
—
|
$49,302.12
|
$49,302.12
|
$49,302.12
|
2026-01-25
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
2
|
2
|
—
|
—
|
$40,048.09
|
$58,106.43
|
$49,077.26
|
2026-01-25
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
2
|
2
|
—
|
—
|
$39,980.33
|
$58,008.12
|
$48,994.23
|
2026-01-25
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
1
|
1
|
—
|
—
|
$48,955.00
|
$48,955.00
|
$48,955.00
|
2026-01-25
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
2
|
2
|
—
|
—
|
$38,778.69
|
$56,264.64
|
$47,521.67
|
2026-01-25
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$38,722.92
|
$56,183.73
|
$47,453.32
|
2026-01-25
|
|
63685
|
HCPCS
|
Ins/rplc Spi Npg/rcvr Pocket
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
1
|
1
|
—
|
—
|
$47,234.06
|
$47,234.06
|
$47,234.06
|
2026-01-25
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$36,453.96
|
$57,755.25
|
$47,104.60
|
2026-01-25
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
2
|
2
|
—
|
—
|
$36,192.52
|
$57,341.05
|
$46,766.79
|
2026-01-25
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
2
|
2
|
—
|
—
|
$36,192.52
|
$57,341.05
|
$46,766.79
|
2026-01-25
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$37,921.83
|
$55,021.41
|
$46,471.62
|
2026-01-25
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
2
|
2
|
—
|
—
|
$37,142.92
|
$53,891.28
|
$45,517.10
|
2026-01-25
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
—
|
—
|
$36,925.86
|
$53,576.34
|
$45,251.10
|
2026-01-25
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
2
|
2
|
—
|
—
|
$36,629.05
|
$53,145.69
|
$44,887.37
|
2026-01-25
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
2
|
2
|
—
|
—
|
$34,208.98
|
$54,198.45
|
$44,203.71
|
2026-01-25
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
2
|
—
|
—
|
$41,712.63
|
$46,541.35
|
$44,126.99
|
2026-01-25
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
1
|
1
|
—
|
—
|
$44,057.29
|
$44,057.29
|
$44,057.29
|
2026-01-25
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
2
|
2
|
—
|
—
|
$35,922.09
|
$52,119.96
|
$44,021.02
|
2026-01-25
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
2
|
—
|
—
|
$35,673.25
|
$51,758.91
|
$43,716.08
|
2026-01-25
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
2
|
2
|
—
|
—
|
$35,646.27
|
$51,719.76
|
$43,683.01
|
2026-01-25
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
2
|
2
|
—
|
—
|
$35,282.90
|
$51,192.54
|
$43,237.72
|
2026-01-25
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
2
|
2
|
—
|
—
|
$33,142.85
|
$52,509.35
|
$42,826.10
|
2026-01-25
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$34,911.73
|
$50,654.01
|
$42,782.87
|
2026-01-25
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
1
|
1
|
—
|
—
|
$42,625.78
|
$42,625.78
|
$42,625.78
|
2026-01-25
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
2
|
2
|
—
|
—
|
$32,625.98
|
$51,690.45
|
$42,158.21
|
2026-01-25
|
|
11
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Mcc
|
2
|
2
|
—
|
—
|
$32,354.95
|
$51,261.05
|
$41,808.00
|
2026-01-25
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
2
|
2
|
—
|
—
|
$33,426.47
|
$48,499.02
|
$40,962.74
|
2026-01-25
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$33,142.85
|
$48,087.51
|
$40,615.18
|
2026-01-25
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
—
|
—
|
$32,351.35
|
$46,939.11
|
$39,645.23
|
2026-01-25
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
2
|
2
|
—
|
—
|
$31,901.04
|
$46,285.74
|
$39,093.39
|
2026-01-25
|
|
48100064
|
CDM
|
Hc Ins/Rep Ccm Gen/Transvenous Elect
|
11
|
7
|
$54,900.00
|
$38,430.00
30% off
|
$11,100.78
|
$51,606.00
|
$39,017.43
|
2026-01-25
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
2
|
2
|
—
|
—
|
$36,796.94
|
$41,056.61
|
$38,926.78
|
2026-01-25
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$31,760.13
|
$46,081.29
|
$38,920.71
|
2026-01-25
|
|
36000358
|
CDM
|
Hc Insert Sicd Gen/Electrode
|
11
|
7
|
$54,471.00
|
$38,129.70
30% off
|
$11,014.04
|
$51,202.74
|
$38,712.54
|
2026-01-25
|
|
36000655
|
CDM
|
Hc Implant Or Replace Carotid Sinus Baroflx Dev: Total( Inc Gen,
|
11
|
7
|
$54,392.00
|
$38,074.40
30% off
|
$10,998.06
|
$51,128.48
|
$38,656.39
|
2026-01-25
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
2
|
—
|
—
|
$30,778.55
|
$44,657.10
|
$37,717.82
|
2026-01-25
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
2
|
2
|
—
|
—
|
$29,076.82
|
$46,067.40
|
$37,572.11
|
2026-01-25
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
1
|
1
|
—
|
—
|
$37,554.05
|
$37,554.05
|
$37,554.05
|
2026-01-25
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
2
|
—
|
—
|
$30,454.75
|
$44,187.30
|
$37,321.03
|
2026-01-25
|
|
57894006103
|
NDC
|
*stelara 90mg/1ml Pfs*
|
11
|
7
|
$62,149.00
|
$43,504.30
30% off
|
$12,566.53
|
$58,420.06
|
$37,289.40
|
2026-01-25
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
2
|
—
|
—
|
$30,202.31
|
$43,821.03
|
$37,011.67
|
2026-01-25
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
2
|
2
|
—
|
—
|
$30,024.22
|
$43,562.64
|
$36,793.43
|
2026-01-25
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
2
|
2
|
—
|
—
|
$30,000.84
|
$43,528.71
|
$36,764.78
|
2026-01-25
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$29,988.85
|
$43,511.31
|
$36,750.08
|
2026-01-25
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
2
|
2
|
—
|
—
|
$29,880.91
|
$43,354.71
|
$36,617.81
|
2026-01-25
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$34,414.65
|
$38,398.54
|
$36,406.60
|
2026-01-25
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
1
|
1
|
—
|
—
|
$36,380.27
|
$36,380.27
|
$36,380.27
|
2026-01-25
|
|
37183
|
HCPCS
|
Hc Tips Revision
|
11
|
7
|
$50,822.00
|
$35,575.40
30% off
|
$10,276.21
|
$47,772.68
|
$36,119.20
|
2026-01-25
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
2
|
2
|
—
|
—
|
$29,302.28
|
$42,515.16
|
$35,908.72
|
2026-01-25
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
2
|
—
|
—
|
$28,634.90
|
$41,546.85
|
$35,090.88
|
2026-01-25
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
2
|
2
|
—
|
—
|
$28,510.78
|
$41,366.76
|
$34,938.77
|
2026-01-25
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
2
|
—
|
—
|
$28,505.38
|
$41,358.93
|
$34,932.15
|
2026-01-25
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
1
|
1
|
—
|
—
|
$34,875.78
|
$34,875.78
|
$34,875.78
|
2026-01-25
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
1
|
1
|
—
|
—
|
$34,875.78
|
$34,875.78
|
$34,875.78
|
2026-01-25
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
0414T
|
HCPCS
|
Rmvl & Rpl Car Modulj Pls Gn
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
0614T
|
HCPCS
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
0409T
|
HCPCS
|
Insj/rplc Car Modulj Pls Gn
|
1
|
1
|
—
|
—
|
$34,791.59
|
$34,791.59
|
$34,791.59
|
2026-01-25
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
2
|
2
|
—
|
—
|
$26,816.85
|
$42,486.85
|
$34,651.85
|
2026-01-25
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
2
|
2
|
—
|
—
|
$28,210.37
|
$40,930.89
|
$34,570.63
|
2026-01-25
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
2
|
2
|
—
|
—
|
$32,551.63
|
$36,319.85
|
$34,435.74
|
2026-01-25
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
2
|
2
|
—
|
—
|
$28,059.26
|
$40,711.65
|
$34,385.46
|
2026-01-25
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
2
|
—
|
—
|
$32,385.53
|
$36,134.53
|
$34,260.03
|
2026-01-25
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
2
|
2
|
—
|
—
|
$27,893.77
|
$40,471.53
|
$34,182.65
|
2026-01-25
|
|
48100076
|
CDM
|
Hc Insert/ Replace Cardio Def Syst W/Substern Electrode Inc Img
|
11
|
7
|
$48,000.00
|
$33,600.00
30% off
|
$9,705.60
|
$45,120.00
|
$34,113.60
|
2026-01-25
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
2
|
2
|
—
|
—
|
$27,637.73
|
$40,100.04
|
$33,868.89
|
2026-01-25
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
2
|
2
|
—
|
—
|
$27,626.34
|
$40,083.51
|
$33,854.93
|
2026-01-25
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
2
|
—
|
—
|
$27,538.19
|
$39,955.62
|
$33,746.90
|
2026-01-25
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
2
|
—
|
—
|
$27,534.00
|
$39,949.53
|
$33,741.76
|
2026-01-25
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
0817T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subf
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
64590
|
HCPCS
|
Ins/rpl Prph Sac/gstr Npg/r
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
64580
|
HCPCS
|
Opn Impltj Nea Neuromuscular
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
0816T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subq
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
0680T
|
HCPCS
|
Insj/rplcmt Pg Only Isdss
|
1
|
1
|
—
|
—
|
$33,238.80
|
$33,238.80
|
$33,238.80
|
2026-01-25
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$27,052.50
|
$39,250.92
|
$33,151.71
|
2026-01-25
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
2
|
2
|
—
|
—
|
$25,127.72
|
$39,810.70
|
$32,469.21
|
2026-01-25
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
2
|
2
|
—
|
—
|
$30,548.29
|
$34,084.61
|
$32,316.45
|
2026-01-25
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
2
|
2
|
—
|
—
|
$26,340.15
|
$38,217.36
|
$32,278.76
|
2026-01-25
|
|
12
|
MS_DRG
|
Tracheostomy For Face,mouth & Neck Diagnoses W Cc
|
2
|
2
|
—
|
—
|
$24,606.65
|
$38,985.15
|
$31,795.90
|
2026-01-25
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
2
|
2
|
—
|
—
|
$25,945.00
|
$37,644.03
|
$31,794.51
|
2026-01-25
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$25,578.03
|
$37,111.59
|
$31,344.81
|
2026-01-25
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
2
|
2
|
—
|
—
|
$25,540.26
|
$37,056.78
|
$31,298.52
|
2026-01-25
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
53444
|
HCPCS
|
Insert Tandem Cuff
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
1
|
1
|
—
|
—
|
$31,199.27
|
$31,199.27
|
$31,199.27
|
2026-01-25
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
2
|
2
|
—
|
—
|
$25,359.17
|
$36,794.04
|
$31,076.60
|
2026-01-25
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
2
|
2
|
—
|
—
|
$29,125.39
|
$32,496.99
|
$30,811.19
|
2026-01-25
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
2
|
2
|
—
|
—
|
$25,121.72
|
$36,449.52
|
$30,785.62
|
2026-01-25
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
2
|
2
|
—
|
—
|
$25,007.19
|
$36,283.35
|
$30,645.27
|
2026-01-25
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
2
|
2
|
—
|
—
|
$24,948.43
|
$36,198.09
|
$30,573.26
|
2026-01-25
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
2
|
2
|
—
|
—
|
$24,657.02
|
$35,775.27
|
$30,216.14
|
2026-01-25
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
2
|
2
|
—
|
—
|
$24,643.22
|
$35,755.26
|
$30,199.24
|
2026-01-25
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
2
|
2
|
—
|
—
|
$23,317.46
|
$36,942.65
|
$30,130.06
|
2026-01-25
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
2
|
2
|
—
|
—
|
$24,344.01
|
$35,321.13
|
$29,832.57
|
2026-01-25
|
|
0802T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0823T
|
HCPCS
|
Tcat Ins 1chmbr Ldls Pm Ra
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0803T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0801T
|
HCPCS
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0796T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Ra
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0795T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0797T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Rv
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0825T
|
HCPCS
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
0525T
|
HCPCS
|
Insj/rplcmt Compl Iims
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
1
|
1
|
—
|
—
|
$29,560.30
|
$29,560.30
|
$29,560.30
|
2026-01-25
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
2
|
2
|
—
|
—
|
$22,795.79
|
$36,116.15
|
$29,455.97
|
2026-01-25
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
2
|
2
|
—
|
—
|
$22,618.30
|
$35,834.95
|
$29,226.62
|
2026-01-25
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$23,659.25
|
$34,327.59
|
$28,993.42
|
2026-01-25
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
2
|
2
|
—
|
—
|
$23,446.98
|
$34,019.61
|
$28,733.29
|
2026-01-25
|
|
L8614
|
HCPCS
|
Cochlear Device
|
1
|
1
|
—
|
—
|
$28,690.33
|
$28,690.33
|
$28,690.33
|
2026-01-25
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
24363
|
HCPCS
|
Replace Elbow Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
C8003
|
HCPCS
|
Imp Extar Knee Shck Absrb
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
25446
|
HCPCS
|
Arthrp W/prostc Dst Rds&crps
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
24371
|
HCPCS
|
Revise Reconst Elbow Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
25442
|
HCPCS
|
Arthrp W/prostc Dstl Ulna
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
27278
|
HCPCS
|
Arthrd Si Jt Plmt Iartic Dev
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
27279
|
HCPCS
|
Arthrd Si Jt Plmt Tartclr Dv
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
22867
|
HCPCS
|
Insj Stablj Dev W/dcmprn
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
20696
|
HCPCS
|
App Mltpln Uni Xtrnl Fix 1st
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
28705
|
HCPCS
|
Arthrodesis Pantalar
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
24361
|
HCPCS
|
Reconstruct Elbow Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
22612
|
HCPCS
|
Arthrd Pst Tq 1ntrspc Lumbar
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
22856
|
HCPCS
|
Tot Disc Arthrp 1ntrspc Crv
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
22633
|
HCPCS
|
Arthrd Cmbn 1ntrspc Lumbar
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
22630
|
HCPCS
|
Arthrd Pst Tq 1ntrspc Lum
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
23472
|
HCPCS
|
Reconstruct Shoulder Joint
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
23616
|
HCPCS
|
Optx Prx Hmrl Fx Fix Rpr Rpl
|
1
|
1
|
—
|
—
|
$28,504.58
|
$28,504.58
|
$28,504.58
|
2026-01-25
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
2
|
—
|
—
|
$26,891.20
|
$30,004.17
|
$28,447.68
|
2026-01-25
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$28,414.35
|
$28,414.35
|
$28,414.35
|
2026-01-25
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
2
|
—
|
—
|
$23,175.35
|
$33,625.50
|
$28,400.42
|
2026-01-25
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$23,087.21
|
$33,497.61
|
$28,292.41
|
2026-01-25
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
1
|
1
|
—
|
—
|
$28,165.42
|
$28,165.42
|
$28,165.42
|
2026-01-25
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$26,566.21
|
$29,641.55
|
$28,103.88
|
2026-01-25
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
2
|
2
|
—
|
—
|
$22,919.91
|
$33,254.88
|
$28,087.39
|
2026-01-25
|
|
37227
|
HCPCS
|
Hc Fem/Popl Revasc Stnt/Ather
|
11
|
7
|
$39,461.00
|
$27,622.70
30% off
|
$7,979.01
|
$37,093.34
|
$28,044.93
|
2026-01-25
|
|
37231
|
HCPCS
|
Hc Tib/per Revsc Stnt Ather Init
|
11
|
7
|
$39,461.00
|
$27,622.70
30% off
|
$7,979.01
|
$37,093.34
|
$28,044.93
|
2026-01-25
|
|
C9602
|
HCPCS
|
Perc D-e Cor Stent Ather S
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
0793T
|
HCPCS
|
Prq Tcat Thrm Ablt Nrv P-art
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9607
|
HCPCS
|
Perc D-e Cor Revasc Chro Sin
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
36906
|
HCPCS
|
Thrmbc/nfs Dialysis Circuit
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
36837
|
HCPCS
|
Prq Av Fstl Crt Uxtr Sep Acs
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
36836
|
HCPCS
|
Prq Av Fstl Crtj Uxtr 1 Acs
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9797
|
HCPCS
|
Vasc Emb/occ W/prs Cath
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
0632T
|
HCPCS
|
Perq Tcat US Abltj Nrv P-art
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9765
|
HCPCS
|
Revasc Intra Lithotrip-stent
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
0981T
|
HCPCS
|
Tcat Impl Wrls Ivc Snr
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9775
|
HCPCS
|
Revasc Lith-sten-ath Tib/per
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9773
|
HCPCS
|
Revasc Lithotr-stent Tib/per
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9774
|
HCPCS
|
Revasc Lithotr-ather Tib/per
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9766
|
HCPCS
|
Revasc Intra Lithotrip-ather
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
0238T
|
HCPCS
|
Trluml Perip Athrc Iliac Art
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
C9767
|
HCPCS
|
Revasc Lithotrip-stent-ather
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
0645T
|
HCPCS
|
Tcat Impltj C Sins Rdctj Dev
|
1
|
1
|
—
|
—
|
$27,832.92
|
$27,832.92
|
$27,832.92
|
2026-01-25
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
2
|
—
|
—
|
$22,437.82
|
$32,555.40
|
$27,496.61
|
2026-01-25
|
|
62361
|
HCPCS
|
Implant Spine Infusion Pump
|
1
|
1
|
—
|
—
|
$27,394.89
|
$27,394.89
|
$27,394.89
|
2026-01-25
|
|
62360
|
HCPCS
|
Insert Spine Infusion Device
|
1
|
1
|
—
|
—
|
$27,394.89
|
$27,394.89
|
$27,394.89
|
2026-01-25
|
|
62362
|
HCPCS
|
Implant Spine Infusion Pump
|
1
|
1
|
—
|
—
|
$27,394.89
|
$27,394.89
|
$27,394.89
|
2026-01-25
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
2
|
—
|
—
|
$25,891.63
|
$28,888.89
|
$27,390.26
|
2026-01-25
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
2
|
2
|
—
|
—
|
$21,169.02
|
$33,538.80
|
$27,353.91
|
2026-01-25
|
|
C8005
|
HCPCS
|
Pef Bronch Ablt 3d Nav Ebus
|
1
|
1
|
—
|
—
|
$27,125.78
|
$27,125.78
|
$27,125.78
|
2026-01-25
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
1
|
1
|
—
|
—
|
$27,125.78
|
$27,125.78
|
$27,125.78
|
2026-01-25
|
|
C9782
|
HCPCS
|
Blind Myocar Trpl Bon Marrow
|
1
|
1
|
—
|
—
|
$27,125.78
|
$27,125.78
|
$27,125.78
|
2026-01-25
|
|
C9758
|
HCPCS
|
Blind Interatrial Shunt Ide
|
1
|
1
|
—
|
—
|
$27,125.78
|
$27,125.78
|
$27,125.78
|
2026-01-25
|
|
0888T
|
HCPCS
|
Histotripsy Mal Renal Tissue
|
1
|
1
|
—
|
—
|
$27,125.78
|
$27,125.78
|
$27,125.78
|
2026-01-25
|
|
C2616
|
HCPCS
|
Brachytx, Non-str,yttrium-90
|
1
|
1
|
—
|
—
|
$27,101.91
|
$27,101.91
|
$27,101.91
|
2026-01-25
|
|
19357
|
HCPCS
|
Tiss Xpndr Plmt Brst Rcnstj
|
1
|
1
|
—
|
—
|
$26,967.44
|
$26,967.44
|
$26,967.44
|
2026-01-25
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
2
|
2
|
—
|
—
|
$21,878.37
|
$31,743.69
|
$26,811.03
|
2026-01-25
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
2
|
2
|
—
|
—
|
$21,726.67
|
$31,523.58
|
$26,625.12
|
2026-01-25
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
2
|
2
|
—
|
—
|
$21,495.21
|
$31,187.76
|
$26,341.49
|
2026-01-25
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
2
|
—
|
—
|
$21,494.01
|
$31,186.02
|
$26,340.01
|
2026-01-25
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
2
|
2
|
—
|
—
|
$21,490.42
|
$31,180.80
|
$26,335.61
|
2026-01-25
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
1
|
1
|
—
|
—
|
$26,288.00
|
$26,288.00
|
$26,288.00
|
2026-01-25
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
2
|
2
|
—
|
—
|
$21,389.68
|
$31,034.64
|
$26,212.16
|
2026-01-25
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
1
|
1
|
—
|
—
|
$26,073.26
|
$26,073.26
|
$26,073.26
|
2026-01-25
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
2
|
2
|
—
|
—
|
$20,127.48
|
$31,888.65
|
$26,008.07
|
2026-01-25
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$24,388.98
|
$27,212.29
|
$25,800.64
|
2026-01-25
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
2
|
—
|
—
|
$21,002.92
|
$30,473.49
|
$25,738.21
|
2026-01-25
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
2
|
2
|
—
|
—
|
$19,912.81
|
$31,548.55
|
$25,730.68
|
2026-01-25
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
2
|
2
|
—
|
—
|
$20,957.35
|
$30,407.37
|
$25,682.36
|
2026-01-25
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
2
|
2
|
—
|
—
|
$20,821.84
|
$30,210.75
|
$25,516.29
|
2026-01-25
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
2
|
2
|
—
|
—
|
$20,799.05
|
$30,177.69
|
$25,488.37
|
2026-01-25
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
2
|
2
|
—
|
—
|
$20,776.27
|
$30,144.63
|
$25,460.45
|
2026-01-25
|
|
0308T
|
HCPCS
|
Insj Ocular Telescope Prosth
|
1
|
1
|
—
|
—
|
$25,445.48
|
$25,445.48
|
$25,445.48
|
2026-01-25
|
|
66683
|
HCPCS
|
Implantation Iris Prosthesis
|
1
|
1
|
—
|
—
|
$25,445.48
|
$25,445.48
|
$25,445.48
|
2026-01-25
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
2
|
2
|
—
|
—
|
$20,653.35
|
$29,966.28
|
$25,309.81
|
2026-01-25
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
2
|
2
|
—
|
—
|
$23,887.10
|
$26,652.31
|
$25,269.71
|
2026-01-25
|
|
739
|
MS_DRG
|
Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
2
|
2
|
—
|
—
|
$23,870.31
|
$26,633.57
|
$25,251.94
|
2026-01-25
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
2
|
2
|
—
|
—
|
$20,588.59
|
$29,872.32
|
$25,230.46
|
2026-01-25
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
2
|
2
|
—
|
—
|
$20,569.40
|
$29,844.48
|
$25,206.94
|
2026-01-25
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
2
|
2
|
—
|
—
|
$20,424.29
|
$29,633.94
|
$25,029.11
|
2026-01-25
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$23,610.68
|
$26,343.88
|
$24,977.28
|
2026-01-25
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
2
|
2
|
—
|
—
|
$23,562.71
|
$26,290.36
|
$24,926.53
|
2026-01-25
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
2
|
2
|
—
|
—
|
$20,339.14
|
$29,510.40
|
$24,924.77
|
2026-01-25
|
|
L6975
|
HCPCS
|
Interscap-thor Myoelectronic
|
1
|
1
|
—
|
—
|
$24,642.94
|
$24,642.94
|
$24,642.94
|
2026-01-25
|
|
Q0489
|
HCPCS
|
Pwr Pck Base Combo Vad, Rep
|
1
|
1
|
—
|
—
|
$24,633.69
|
$24,633.69
|
$24,633.69
|
2026-01-25
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
2
|
2
|
—
|
—
|
$23,151.97
|
$25,832.07
|
$24,492.02
|
2026-01-25
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$19,798.89
|
$28,726.53
|
$24,262.71
|
2026-01-25
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
2
|
2
|
—
|
—
|
$19,544.05
|
$28,356.78
|
$23,950.42
|
2026-01-25
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
2
|
2
|
—
|
—
|
$19,535.65
|
$28,344.60
|
$23,940.12
|
2026-01-25
|
|
48100079
|
CDM
|
Hc Removal/ Replac Substen Implant Defib Pulse Generator
|
11
|
7
|
$33,670.00
|
$23,569.00
30% off
|
$6,808.07
|
$31,649.80
|
$23,929.27
|
2026-01-25
|
|
67027
|
HCPCS
|
Implant Eye Drug System
|
1
|
1
|
—
|
—
|
$23,815.49
|
$23,815.49
|
$23,815.49
|
2026-01-25
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
2
|
2
|
—
|
—
|
$18,340.01
|
$29,056.70
|
$23,698.35
|
2026-01-25
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
2
|
2
|
—
|
—
|
$19,214.26
|
$27,878.28
|
$23,546.27
|
2026-01-25
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
2
|
2
|
—
|
—
|
$19,158.49
|
$27,797.37
|
$23,477.93
|
2026-01-25
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
2
|
2
|
—
|
—
|
$19,121.91
|
$27,744.30
|
$23,433.10
|
2026-01-25
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
2
|
2
|
—
|
—
|
$19,070.35
|
$27,669.48
|
$23,369.92
|
2026-01-25
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
2
|
2
|
—
|
—
|
$19,031.97
|
$27,613.80
|
$23,322.89
|
2026-01-25
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$18,714.17
|
$27,152.70
|
$22,933.43
|
2026-01-25
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
2
|
2
|
—
|
—
|
$18,705.78
|
$27,140.52
|
$22,923.15
|
2026-01-25
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
2
|
2
|
—
|
—
|
$18,626.03
|
$27,024.81
|
$22,825.42
|
2026-01-25
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
2
|
2
|
—
|
—
|
$18,542.68
|
$26,903.88
|
$22,723.28
|
2026-01-25
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
2
|
2
|
—
|
—
|
$18,491.11
|
$26,829.06
|
$22,660.08
|
2026-01-25
|
|
652
|
MS_DRG
|
Kidney Transplant
|
2
|
2
|
—
|
—
|
$18,416.76
|
$26,721.18
|
$22,568.97
|
2026-01-25
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
2
|
2
|
—
|
—
|
$18,399.97
|
$26,696.82
|
$22,548.40
|
2026-01-25
|
|
L6970
|
HCPCS
|
Interscapular-thor Switch CT
|
1
|
1
|
—
|
—
|
$22,532.20
|
$22,532.20
|
$22,532.20
|
2026-01-25
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
2
|
2
|
—
|
—
|
$21,293.74
|
$23,758.74
|
$22,526.24
|
2026-01-25
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
2
|
2
|
—
|
—
|
$21,163.62
|
$23,613.56
|
$22,388.59
|
2026-01-25
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
2
|
2
|
—
|
—
|
$21,110.26
|
$23,554.01
|
$22,332.13
|
2026-01-25
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
2
|
2
|
—
|
—
|
$21,009.52
|
$23,441.61
|
$22,225.57
|
2026-01-25
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
2
|
2
|
—
|
—
|
$20,994.53
|
$23,424.89
|
$22,209.71
|
2026-01-25
|
|
65770
|
HCPCS
|
Keratoprosthesis
|
1
|
1
|
—
|
—
|
$22,148.43
|
$22,148.43
|
$22,148.43
|
2026-01-25
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
2
|
2
|
—
|
—
|
$18,049.79
|
$26,188.74
|
$22,119.26
|
2026-01-25
|
|
Q0481
|
HCPCS
|
Microprcsr Cu Elec Vad, Rep
|
1
|
1
|
—
|
—
|
$22,021.18
|
$22,021.18
|
$22,021.18
|
2026-01-25
|
|
L5859
|
HCPCS
|
Knee-shin Pro Flex/ext Cont
|
1
|
1
|
—
|
—
|
$21,988.52
|
$21,988.52
|
$21,988.52
|
2026-01-25
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
2
|
2
|
—
|
—
|
$17,905.88
|
$25,979.94
|
$21,942.91
|
2026-01-25
|