|
J1413
|
HCPCS
|
Delandistrogene Moxeparvovec-rokl 61 X 10 Ml Kit 1 Each Box
|
39
|
27
|
$3,200,000.00
|
$1,984,000.00
38% off
|
$792,960.00
|
$3,322,473.29
|
$3,322,473.29
|
2025-07-01
|
|
J3399
|
HCPCS
|
Onasemnogene Abeparvovec-xioi 2x5.5ML & 1x8.3ML Kit 1 Each Box
|
52
|
26
|
—
|
—
|
$1.91
|
$3,754,170.00
|
$1,771,625.00
|
2025-07-01
|
|
71336-1003-01
|
NDC
|
Vutrisiran 25 Mg/0.5ml Sosy 0.5 Ml Syringe
|
17
|
12
|
$1,283,023.25
|
$795,474.42
38% off
|
$317,933.16
|
$1,090,569.76
|
$641,511.63
|
2025-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …
|
28
|
18
|
$1,283,855.13
|
$795,990.18
38% off
|
$6,040.53
|
$1,091,276.86
|
$362,444.46
|
2025-07-01
|
|
118058
|
LOCAL
|
Kit Implant Heartmate Iii
|
19
|
14
|
$624,000.00
|
$386,880.00
38% off
|
$104,894.40
|
$530,400.00
|
$312,000.00
|
2025-07-01
|
|
2780000603
|
CDM
|
Hc 6139219 Lvad Heartmate 3 Implant Kit
|
19
|
14
|
$624,000.00
|
$386,880.00
38% off
|
$104,894.40
|
$530,400.00
|
$312,000.00
|
2025-07-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
27
|
18
|
$1,224,847.00
|
$759,405.14
38% off
|
$6,040.53
|
$1,041,119.95
|
$310,956.66
|
2025-07-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
27
|
18
|
$640,760.44
|
$397,271.47
38% off
|
$6,040.53
|
$544,646.37
|
$281,979.01
|
2025-07-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
26
|
17
|
$1,694,305.25
|
$1,050,469.25
38% off
|
$6,040.53
|
$1,440,159.46
|
$260,426.93
|
2025-07-01
|
|
2780000604
|
CDM
|
Hc 6135022 Lvad Heartmate 2 Implant Kit
|
19
|
14
|
$520,000.00
|
$322,400.00
38% off
|
$87,412.00
|
$442,000.00
|
$260,000.00
|
2025-07-01
|
|
102772
|
LOCAL
|
Kit Implant Heartmate Ii
|
19
|
14
|
$520,000.00
|
$322,400.00
38% off
|
$87,412.00
|
$442,000.00
|
$260,000.00
|
2025-07-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…
|
28
|
18
|
$726,916.13
|
$450,688.00
38% off
|
$6,040.53
|
$617,878.71
|
$231,729.12
|
2025-07-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
18
|
$499,382.34
|
$309,617.05
38% off
|
$6,040.53
|
$424,474.99
|
$205,710.98
|
2025-07-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
18
|
$696,869.50
|
$432,059.09
38% off
|
$6,040.53
|
$592,339.07
|
$202,602.96
|
2025-07-01
|
|
13811-0705-50
|
NDC
|
Sod Benzoate/ Sod Phenylacetate (ammonul) 10-10 % Soln 50 Ml Vial
|
17
|
12
|
$392,375.00
|
$243,272.50
38% off
|
$97,230.52
|
$333,518.75
|
$196,187.50
|
2025-07-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
18
|
$648,023.50
|
$401,774.57
38% off
|
$6,040.53
|
$550,819.97
|
$188,884.14
|
2025-07-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
18
|
$580,759.69
|
$360,071.01
38% off
|
$6,040.53
|
$493,645.73
|
$179,620.45
|
2025-07-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
18
|
$658,677.13
|
$408,379.82
38% off
|
$6,040.53
|
$559,875.56
|
$178,048.84
|
2025-07-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
28
|
18
|
$564,697.25
|
$350,112.29
38% off
|
$6,040.53
|
$479,992.66
|
$177,950.28
|
2025-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
18
|
$434,381.09
|
$269,316.28
38% off
|
$6,040.53
|
$396,592.80
|
$163,983.36
|
2025-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
18
|
$583,195.44
|
$361,581.17
38% off
|
$6,040.53
|
$495,716.12
|
$160,031.20
|
2025-07-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
18
|
$570,918.13
|
$353,969.24
38% off
|
$6,040.53
|
$485,280.41
|
$147,367.71
|
2025-07-01
|
|
286971
|
LOCAL
|
Kit Pump Impella 5.5 Temporary
|
19
|
14
|
$292,500.00
|
$181,350.00
38% off
|
$49,169.25
|
$248,625.00
|
$146,250.00
|
2025-07-01
|
|
191978
|
LOCAL
|
Cath Bypass Impella 5.5
|
19
|
14
|
$292,500.00
|
$181,350.00
38% off
|
$49,169.25
|
$248,625.00
|
$146,250.00
|
2025-07-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
18
|
$559,378.44
|
$346,814.63
38% off
|
$6,040.53
|
$475,471.67
|
$138,121.99
|
2025-07-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
18
|
$386,311.50
|
$239,513.13
38% off
|
$6,040.53
|
$328,364.77
|
$138,048.99
|
2025-07-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
28
|
18
|
$610,341.69
|
$378,411.85
38% off
|
$6,040.53
|
$518,790.43
|
$136,905.45
|
2025-07-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
18
|
$435,281.44
|
$269,874.49
38% off
|
$6,040.53
|
$369,989.22
|
$136,365.46
|
2025-07-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
26
|
17
|
$533,230.00
|
$330,602.60
38% off
|
$6,040.53
|
$453,245.50
|
$135,470.15
|
2025-07-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
28
|
18
|
$779,032.25
|
$482,999.99
38% off
|
$6,040.53
|
$662,177.41
|
$134,474.46
|
2025-07-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
18
|
$501,234.13
|
$310,765.16
38% off
|
$6,040.53
|
$426,049.01
|
$133,449.69
|
2025-07-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
28
|
18
|
$467,653.41
|
$289,945.11
38% off
|
$6,040.53
|
$397,505.40
|
$129,989.10
|
2025-07-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
26
|
18
|
$577,517.00
|
$358,060.54
38% off
|
$6,040.53
|
$490,889.45
|
$129,588.11
|
2025-07-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
28
|
18
|
$387,339.25
|
$240,150.33
38% off
|
$6,040.53
|
$329,238.36
|
$128,906.40
|
2025-07-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
28
|
18
|
$719,965.69
|
$446,378.73
38% off
|
$6,040.53
|
$611,970.83
|
$127,089.78
|
2025-07-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
28
|
18
|
$859,020.25
|
$532,592.56
38% off
|
$6,040.53
|
$730,167.21
|
$127,089.78
|
2025-07-01
|
|
299674
|
LOCAL
|
System Transcath Triclip G4
|
19
|
14
|
$253,500.00
|
$157,170.00
38% off
|
$42,613.35
|
$215,475.00
|
$126,750.00
|
2025-07-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
18
|
$370,677.19
|
$229,819.86
38% off
|
$6,040.53
|
$315,075.61
|
$123,861.48
|
2025-07-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
18
|
$633,039.69
|
$392,484.61
38% off
|
$6,040.53
|
$538,083.73
|
$123,045.80
|
2025-07-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
28
|
18
|
$451,964.97
|
$280,218.28
38% off
|
$6,040.53
|
$384,170.22
|
$122,847.31
|
2025-07-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
28
|
18
|
$353,085.56
|
$218,913.05
38% off
|
$6,040.53
|
$300,122.73
|
$122,117.05
|
2025-07-01
|
|
8150000019
|
CDM
|
Hc Nmdp Prim Pbsc Collect (us)
|
17
|
12
|
$243,007.00
|
$150,664.34
38% off
|
$60,217.13
|
$206,555.95
|
$121,503.50
|
2025-07-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
28
|
18
|
$497,080.50
|
$308,189.91
38% off
|
$6,040.53
|
$422,518.42
|
$121,017.68
|
2025-07-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
28
|
18
|
$323,712.88
|
$200,701.98
38% off
|
$6,040.53
|
$275,155.94
|
$119,948.38
|
2025-07-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
18
|
$463,047.09
|
$287,089.20
38% off
|
$6,040.53
|
$393,590.03
|
$117,878.80
|
2025-07-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
27
|
18
|
$846,334.75
|
$524,727.55
38% off
|
$6,040.53
|
$719,384.54
|
$116,051.00
|
2025-07-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
28
|
18
|
$359,713.25
|
$223,022.21
38% off
|
$6,040.53
|
$305,756.26
|
$113,599.94
|
2025-07-01
|
|
271996
|
LOCAL
|
Valve Transcath Resilia 20mm
|
19
|
14
|
$221,000.00
|
$137,020.00
38% off
|
$37,150.10
|
$187,850.00
|
$110,500.00
|
2025-07-01
|
|
271997
|
LOCAL
|
Valve Transcath Resilia 23mm
|
19
|
14
|
$221,000.00
|
$137,020.00
38% off
|
$37,150.10
|
$187,850.00
|
$110,500.00
|
2025-07-01
|
|
271999
|
LOCAL
|
Valve Transcath Resilia 29mm
|
19
|
14
|
$221,000.00
|
$137,020.00
38% off
|
$37,150.10
|
$187,850.00
|
$110,500.00
|
2025-07-01
|
|
271998
|
LOCAL
|
Valve Transcath Resilia 26mm
|
19
|
14
|
$221,000.00
|
$137,020.00
38% off
|
$37,150.10
|
$187,850.00
|
$110,500.00
|
2025-07-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
28
|
18
|
$307,114.13
|
$190,410.76
38% off
|
$6,040.53
|
$261,047.01
|
$109,018.07
|
2025-07-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
18
|
$286,246.00
|
$177,472.52
38% off
|
$6,040.53
|
$243,309.10
|
$108,023.99
|
2025-07-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
28
|
18
|
$665,838.00
|
$412,819.56
38% off
|
$6,040.53
|
$565,962.30
|
$107,940.26
|
2025-07-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
18
|
$280,613.75
|
$173,980.52
38% off
|
$6,040.53
|
$238,521.69
|
$106,817.52
|
2025-07-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
18
|
$316,257.31
|
$196,079.53
38% off
|
$6,040.53
|
$268,818.72
|
$106,648.88
|
2025-07-01
|
|
138512
|
LOCAL
|
Valve Sapien 3 Ultra 20mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
6112124
|
LOCAL
|
Valve Tavr Sapien 29mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138513
|
LOCAL
|
Valve Sapien 3 Ultra 23mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138518
|
LOCAL
|
Valve Sapien 3 Ultra 26mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138515
|
LOCAL
|
Valve Sapien 3 Ultra 29mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138514
|
LOCAL
|
Valve Sapien 3 Ultra 26mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
260920
|
LOCAL
|
Valve Pericardial 26mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138517
|
LOCAL
|
Valve Sapien 3 Ultra 23mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
138516
|
LOCAL
|
Valve Sapien 3 Ultra 20mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
6112123
|
LOCAL
|
Valve Tavr Sapien 26mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
260919
|
LOCAL
|
Valve Pericardial 23mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
264628
|
LOCAL
|
Valve Sapien 3 29mm
|
19
|
14
|
$211,250.00
|
$130,975.00
38% off
|
$35,511.13
|
$179,562.50
|
$105,625.00
|
2025-07-01
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
28
|
18
|
$328,773.38
|
$203,839.49
38% off
|
$6,040.53
|
$279,457.37
|
$105,611.30
|
2025-07-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
18
|
$342,329.84
|
$212,244.50
38% off
|
$6,040.53
|
$290,980.37
|
$105,436.15
|
2025-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
28
|
18
|
$271,328.31
|
$168,223.55
38% off
|
$6,040.53
|
$230,629.07
|
$104,979.10
|
2025-07-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
18
|
$334,502.88
|
$207,391.78
38% off
|
$6,040.53
|
$284,327.44
|
$104,872.25
|
2025-07-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
28
|
18
|
$449,820.97
|
$278,889.00
38% off
|
$6,040.53
|
$382,347.82
|
$104,787.74
|
2025-07-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
28
|
18
|
$460,046.09
|
$285,228.58
38% off
|
$6,040.53
|
$391,039.18
|
$104,785.15
|
2025-07-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
18
|
$383,366.34
|
$237,687.13
38% off
|
$6,040.53
|
$325,861.39
|
$103,780.75
|
2025-07-01
|
|
66302-0014-01
|
NDC
|
Dinutuximab 17.5 Mg/5ml Soln 5 Ml Vial
|
17
|
12
|
$204,758.16
|
$126,950.06
38% off
|
$50,739.07
|
$174,044.43
|
$102,379.08
|
2025-07-01
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
28
|
18
|
$366,672.59
|
$227,337.01
38% off
|
$6,040.53
|
$311,671.70
|
$101,342.62
|
2025-07-01
|
|
50242-0142-01
|
NDC
|
Mosunetuzumab-axgb 30 Mg/30ml Soln 30 Ml Vial
|
17
|
12
|
$201,322.23
|
$124,819.79
38% off
|
$49,887.65
|
$171,123.90
|
$100,661.12
|
2025-07-01
|
|
280889
|
LOCAL
|
Valve Heart Precision Mitral Pascal System
|
19
|
14
|
$198,900.00
|
$123,318.00
38% off
|
$33,435.09
|
$169,065.00
|
$99,450.00
|
2025-07-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
18
|
$354,241.09
|
$219,629.48
38% off
|
$6,040.53
|
$301,104.93
|
$99,032.11
|
2025-07-01
|
|
50474-0983-86
|
NDC
|
Rozanolixizumab-noli 840 Mg/6ml Soln 6 Ml Vial
|
17
|
12
|
$197,551.44
|
$122,481.89
38% off
|
$48,953.25
|
$167,918.72
|
$98,775.72
|
2025-07-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
18
|
$425,076.13
|
$263,547.20
38% off
|
$6,040.53
|
$361,314.71
|
$98,675.17
|
2025-07-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
18
|
$358,204.00
|
$222,086.48
38% off
|
$6,040.53
|
$304,473.40
|
$98,508.40
|
2025-07-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
28
|
18
|
$437,820.59
|
$271,448.77
38% off
|
$6,040.53
|
$372,147.50
|
$98,076.17
|
2025-07-01
|
|
180550
|
LOCAL
|
Mitraclip Bundle
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
140516
|
LOCAL
|
Valve Aort Evolut Proplus 26mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
86992
|
LOCAL
|
Valve Aortic Transcath 26 Pro
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
249435
|
LOCAL
|
Valve Aortic Transcath Fx 34mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
180548
|
LOCAL
|
Mitraclip Bundle
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
180549
|
LOCAL
|
Mitraclip Bundle
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
6122521
|
LOCAL
|
Valve Aortic Transcath 29 Fr
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
185199
|
LOCAL
|
Mirtaclip G4
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
180551
|
LOCAL
|
Mitraclip Bundle
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
6122520
|
LOCAL
|
Valve Aortic Transcath 26 Fr
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
140518
|
LOCAL
|
Valve Aort Evolut Proplus 34mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
140517
|
LOCAL
|
Valve Aort Evolut Proplus 29mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
249433
|
LOCAL
|
Valve Aortic Transcath Fx 26mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
249434
|
LOCAL
|
Valve Aortic Transcath Fx 29mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
86993
|
LOCAL
|
Valve Aortic Transcath 29 Pro
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
140515
|
LOCAL
|
Valve Aort Evolut Proplus 23mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
249432
|
LOCAL
|
Valve Aortic Transcath Fx 23mm
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
86991
|
LOCAL
|
Valve Aortic Transcath 23 Pro
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
6122519
|
LOCAL
|
Valve Aortic Transcath 23 Fr
|
19
|
14
|
$195,000.00
|
$120,900.00
38% off
|
$32,779.50
|
$165,750.00
|
$97,500.00
|
2025-07-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
28
|
18
|
$242,139.23
|
$150,126.33
38% off
|
$6,040.53
|
$205,818.35
|
$95,727.08
|
2025-07-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
18
|
$495,678.34
|
$307,320.57
38% off
|
$6,040.53
|
$421,326.59
|
$95,661.02
|
2025-07-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
18
|
$388,526.28
|
$240,886.29
38% off
|
$6,040.53
|
$330,247.34
|
$95,616.67
|
2025-07-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
18
|
$327,292.13
|
$202,921.12
38% off
|
$6,040.53
|
$278,198.31
|
$95,454.52
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
28
|
18
|
$371,649.94
|
$230,422.96
38% off
|
$6,040.53
|
$315,902.45
|
$95,203.05
|
2025-07-01
|
|
956
|
MS_DRG
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
28
|
18
|
$412,555.03
|
$255,784.12
38% off
|
$6,040.53
|
$350,671.78
|
$94,530.76
|
2025-07-01
|
|
266451
|
LOCAL
|
Valve Navitor 23mm
|
19
|
14
|
$185,250.00
|
$114,855.00
38% off
|
$31,140.53
|
$157,462.50
|
$92,625.00
|
2025-07-01
|
|
266455
|
LOCAL
|
Valve Navitor 27mm
|
19
|
14
|
$185,250.00
|
$114,855.00
38% off
|
$31,140.53
|
$157,462.50
|
$92,625.00
|
2025-07-01
|
|
266456
|
LOCAL
|
Valve Navitor 29mm
|
19
|
14
|
$185,250.00
|
$114,855.00
38% off
|
$31,140.53
|
$157,462.50
|
$92,625.00
|
2025-07-01
|
|
266452
|
LOCAL
|
Valve Navitor 25mm
|
19
|
14
|
$185,250.00
|
$114,855.00
38% off
|
$31,140.53
|
$157,462.50
|
$92,625.00
|
2025-07-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
28
|
18
|
$298,416.97
|
$185,018.52
38% off
|
$6,040.53
|
$253,654.42
|
$91,673.86
|
2025-07-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
28
|
18
|
$250,945.20
|
$155,586.03
38% off
|
$6,040.53
|
$213,303.42
|
$91,666.75
|
2025-07-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
28
|
18
|
$388,832.78
|
$241,076.32
38% off
|
$6,040.53
|
$330,507.86
|
$91,657.18
|
2025-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
28
|
18
|
$261,136.88
|
$161,904.86
38% off
|
$6,040.53
|
$221,966.34
|
$91,318.36
|
2025-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
28
|
18
|
$281,878.53
|
$174,764.69
38% off
|
$6,040.53
|
$239,596.75
|
$91,200.58
|
2025-07-01
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Soln 5 Ml Vial
|
36
|
24
|
$288,262.88
|
$178,722.98
38% off
|
$38.59
|
$245,023.44
|
$89,836.27
|
2025-07-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
28
|
18
|
$243,579.27
|
$151,019.14
38% off
|
$6,040.53
|
$207,042.38
|
$88,362.30
|
2025-07-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
28
|
18
|
$469,816.34
|
$291,286.13
38% off
|
$6,040.53
|
$399,343.89
|
$88,082.99
|
2025-07-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
28
|
18
|
$341,108.84
|
$211,487.48
38% off
|
$6,040.53
|
$289,942.52
|
$87,867.70
|
2025-07-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
28
|
18
|
$383,394.38
|
$237,704.51
38% off
|
$6,040.53
|
$325,885.22
|
$87,445.55
|
2025-07-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
28
|
18
|
$404,896.44
|
$251,035.79
38% off
|
$6,040.53
|
$344,161.97
|
$86,502.02
|
2025-07-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
18
|
$191,765.97
|
$118,894.90
38% off
|
$6,040.53
|
$163,001.07
|
$86,114.29
|
2025-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
28
|
18
|
$496,334.81
|
$307,727.58
38% off
|
$6,040.53
|
$421,884.59
|
$85,714.45
|
2025-07-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
28
|
18
|
$313,452.88
|
$194,340.78
38% off
|
$6,040.53
|
$266,434.94
|
$85,402.79
|
2025-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
28
|
18
|
$256,671.84
|
$159,136.54
38% off
|
$6,040.53
|
$218,171.07
|
$84,883.01
|
2025-07-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
27
|
18
|
$403,543.88
|
$250,197.20
38% off
|
$6,040.53
|
$343,012.29
|
$83,200.00
|
2025-07-01
|
|
116457
|
LOCAL
|
Melody Valve Hde
|
19
|
14
|
$165,750.00
|
$102,765.00
38% off
|
$27,862.58
|
$140,887.50
|
$82,875.00
|
2025-07-01
|
|
180553
|
LOCAL
|
Valve Melody Pul 16mm
|
19
|
14
|
$165,750.00
|
$102,765.00
38% off
|
$27,862.58
|
$140,887.50
|
$82,875.00
|
2025-07-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
18
|
$320,744.59
|
$198,861.65
38% off
|
$6,040.53
|
$272,632.90
|
$82,650.25
|
2025-07-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
28
|
18
|
$441,263.91
|
$273,583.62
38% off
|
$6,040.53
|
$375,074.32
|
$81,626.40
|
2025-07-01
|
|
6122559
|
LOCAL
|
Pump Impella Cp
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
303524
|
LOCAL
|
Valve Aortic Navitor With Radiopaque Marker 25mm
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
303525
|
LOCAL
|
Valve Aortic Navitor With Radiopaque Marker 29mm
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
303527
|
LOCAL
|
Valve Aortic Navitor With Radiopaque Marker 27mm
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
303526
|
LOCAL
|
Valve Aortic Navitor With Radiopaque Marker 35mm
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
303528
|
LOCAL
|
Valve Aortic Navitor With Radiopaque Marker 23mm
|
19
|
14
|
$162,500.00
|
$100,750.00
38% off
|
$27,316.25
|
$138,125.00
|
$81,250.00
|
2025-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
28
|
18
|
$292,699.34
|
$181,473.59
38% off
|
$6,040.53
|
$248,794.44
|
$80,808.80
|
2025-07-01
|
|
55513-0077-01
|
NDC
|
Tarlatamab-dlle 10 Mg Solr 1 Each Vial
|
17
|
12
|
$161,250.00
|
$99,975.00
38% off
|
$39,957.75
|
$137,062.50
|
$80,625.00
|
2025-07-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
18
|
$223,094.02
|
$138,318.29
38% off
|
$6,040.53
|
$189,629.91
|
$80,461.06
|
2025-07-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
28
|
18
|
$226,746.39
|
$140,582.76
38% off
|
$6,040.53
|
$192,734.43
|
$79,637.74
|
2025-07-01
|
|
J3357
|
HCPCS
|
Ustekinumab 45 Mg/0.5ml Sosy 0.5 Ml Syringe
|
52
|
24
|
$156,689.20
|
$97,147.31
38% off
|
$0.59
|
$266,371.46
|
$75,242.12
|
2025-07-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
25
|
18
|
$3,940,757.25
|
$2,443,269.50
38% off
|
$6,040.53
|
$3,349,643.66
|
$75,207.52
|
2025-07-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
28
|
18
|
$444,129.16
|
$275,360.08
38% off
|
$6,040.53
|
$377,509.78
|
$74,312.43
|
2025-07-01
|
|
C2624
|
HCPCS
|
Cardiomems Pa System
|
19
|
14
|
$133,250.00
|
$82,615.00
38% off
|
$22,399.33
|
$113,262.50
|
$66,625.00
|
2025-07-01
|
|
50474-0982-84
|
NDC
|
Rozanolixizumab-noli 560 Mg/4ml Soln 4 Ml Vial
|
17
|
12
|
$131,700.95
|
$81,654.59
38% off
|
$32,635.50
|
$111,945.81
|
$65,850.48
|
2025-07-01
|
|
213791
|
LOCAL
|
Graft Tag 26mmx26x10 20fr
|
19
|
14
|
$131,072.50
|
$81,264.95
38% off
|
$22,033.29
|
$111,411.63
|
$65,536.25
|
2025-07-01
|
|
213790
|
LOCAL
|
Graft Tag 21mmx21x10 18fr
|
19
|
14
|
$131,072.50
|
$81,264.95
38% off
|
$22,033.29
|
$111,411.63
|
$65,536.25
|
2025-07-01
|
|
120690
|
LOCAL
|
Stent Graft Distal 37x37x182mm
|
19
|
14
|
$129,967.50
|
$80,579.85
38% off
|
$21,847.54
|
$110,472.38
|
$64,983.75
|
2025-07-01
|
|
120683
|
LOCAL
|
Stent Graft Taper 40x34x185mm
|
19
|
14
|
$129,967.50
|
$80,579.85
38% off
|
$21,847.54
|
$110,472.38
|
$64,983.75
|
2025-07-01
|
|
120670
|
LOCAL
|
Stent Graft Str 37x37x174mm
|
19
|
14
|
$129,967.50
|
$80,579.85
38% off
|
$21,847.54
|
$110,472.38
|
$64,983.75
|
2025-07-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
48
|
34
|
$368,383.97
|
$228,398.06
38% off
|
$6,040.53
|
$313,126.37
|
$62,788.43
|
2025-07-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
48
|
34
|
$348,459.19
|
$216,044.70
38% off
|
$6,040.53
|
$296,190.31
|
$62,623.24
|
2025-07-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
48
|
34
|
$219,197.38
|
$135,902.37
38% off
|
$6,040.53
|
$186,317.77
|
$62,611.15
|
2025-07-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
48
|
34
|
$362,863.03
|
$224,975.08
38% off
|
$6,040.53
|
$308,433.58
|
$62,593.63
|
2025-07-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
48
|
34
|
$250,398.55
|
$155,247.10
38% off
|
$6,040.53
|
$212,838.76
|
$62,505.08
|
2025-07-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
48
|
34
|
$121,676.78
|
$75,439.60
38% off
|
$6,040.53
|
$118,544.62
|
$62,292.57
|
2025-07-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
48
|
34
|
$227,454.17
|
$141,021.59
38% off
|
$6,040.53
|
$193,336.05
|
$61,637.35
|
2025-07-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
18
|
$157,245.56
|
$97,492.25
38% off
|
$6,040.53
|
$133,658.73
|
$61,402.73
|
2025-07-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
48
|
34
|
$422,330.53
|
$261,844.93
38% off
|
$6,040.53
|
$358,980.95
|
$60,982.11
|
2025-07-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
48
|
34
|
$199,611.95
|
$123,759.41
38% off
|
$6,040.53
|
$169,670.16
|
$60,610.21
|
2025-07-01
|
|
120664
|
LOCAL
|
Stent Graft Str 25x25x96mm
|
19
|
14
|
$120,217.50
|
$74,534.85
38% off
|
$20,208.56
|
$102,184.88
|
$60,108.75
|
2025-07-01
|
|
J3316
|
HCPCS
|
Triptorelin Pamoate ER (cpp) 22.5 Mg Srer 1 Each Vial
|
31
|
19
|
$239,699.95
|
$148,613.97
38% off
|
$1.16
|
$203,744.96
|
$59,397.65
|
2025-07-01
|
|
120689
|
LOCAL
|
Stent Graft Distal 34x34x182mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120673
|
LOCAL
|
Stent Graft Str 40x40x183mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120691
|
LOCAL
|
Stent Graft Distal 40x40x175mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120682
|
LOCAL
|
Stent Graft Taper 37x31x176mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120687
|
LOCAL
|
Stent Graft Distal 28x28x180mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120692
|
LOCAL
|
Stent Graft Dist 43x43x175mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120674
|
LOCAL
|
Stent Graft Str 43x43x183mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120680
|
LOCAL
|
Stent Graft Taper 31x25x173mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120685
|
LOCAL
|
Stent Graft Taper 46x40x185mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120686
|
LOCAL
|
Stent Graft Distal 22x22x180mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120684
|
LOCAL
|
Stent Graft Taper 43x37x185mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120688
|
LOCAL
|
Stent Graft Distal 31x31x182mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120668
|
LOCAL
|
Stent Graft Str 34x34x174mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120679
|
LOCAL
|
Stent Graft Taper 28x22x173mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120681
|
LOCAL
|
Stent Graft Taper 34x28x173mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120693
|
LOCAL
|
Stent Graft Dist 46x46x175mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
120678
|
LOCAL
|
Stent Graft Str 46x46x183mm
|
19
|
14
|
$118,270.75
|
$73,327.87
38% off
|
$19,881.31
|
$100,530.14
|
$59,135.38
|
2025-07-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
48
|
34
|
$327,267.84
|
$202,906.06
38% off
|
$6,040.53
|
$278,177.67
|
$58,980.97
|
2025-07-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
48
|
34
|
$276,950.28
|
$171,709.17
38% off
|
$6,040.53
|
$235,407.74
|
$58,856.95
|
2025-07-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
48
|
34
|
$349,167.94
|
$216,484.12
38% off
|
$6,040.53
|
$296,792.75
|
$58,803.89
|
2025-07-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
48
|
34
|
$267,095.81
|
$165,599.40
38% off
|
$6,040.53
|
$227,031.44
|
$58,555.96
|
2025-07-01
|
|
6060731
|
LOCAL
|
Graft Talent Captiv 44x200x215
|
19
|
14
|
$116,837.50
|
$72,439.25
38% off
|
$19,640.38
|
$99,311.88
|
$58,418.75
|
2025-07-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
48
|
34
|
$246,541.16
|
$152,855.52
38% off
|
$6,040.53
|
$209,559.98
|
$58,343.45
|
2025-07-01
|
|
C1767
|
HCPCS
|
Generator 102r
|
472
|
14
|
$120,185.00
|
$74,514.70
38% off
|
$201.34
|
$194,648.51
|
$58,197.35
|
2025-07-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
48
|
34
|
$243,724.63
|
$151,109.27
38% off
|
$6,040.53
|
$207,165.93
|
$57,918.43
|
2025-07-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
48
|
34
|
$304,338.44
|
$188,689.83
38% off
|
$6,040.53
|
$258,687.67
|
$57,806.74
|
2025-07-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
48
|
34
|
$294,213.72
|
$182,412.51
38% off
|
$6,040.53
|
$250,081.66
|
$57,727.21
|
2025-07-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
48
|
34
|
$234,133.45
|
$145,162.74
38% off
|
$6,040.53
|
$199,013.44
|
$57,422.57
|
2025-07-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
48
|
34
|
$323,866.84
|
$200,797.44
38% off
|
$6,040.53
|
$275,286.82
|
$56,891.31
|
2025-07-01
|
|
C1820
|
HCPCS
|
Battery Advance Prime 37702
|
228
|
14
|
$117,000.00
|
$72,540.00
38% off
|
$11,146.12
|
$156,053.63
|
$56,685.72
|
2025-07-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
48
|
34
|
$163,998.36
|
$101,678.98
38% off
|
$6,040.53
|
$139,398.61
|
$56,306.90
|
2025-07-01
|
|
6060728
|
LOCAL
|
Graft Talent Captiv 38x200x215
|
19
|
14
|
$112,287.50
|
$69,618.25
38% off
|
$18,875.53
|
$95,444.38
|
$56,143.75
|
2025-07-01
|
|
6060726
|
LOCAL
|
Graft Talent Captiv 34x200x215
|
19
|
14
|
$112,287.50
|
$69,618.25
38% off
|
$18,875.53
|
$95,444.38
|
$56,143.75
|
2025-07-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
48
|
34
|
$245,525.56
|
$152,225.85
38% off
|
$6,040.53
|
$208,696.73
|
$55,965.50
|
2025-07-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
48
|
34
|
$329,270.88
|
$204,147.94
38% off
|
$6,040.53
|
$279,880.24
|
$55,740.43
|
2025-07-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
48
|
34
|
$300,394.25
|
$186,244.43
38% off
|
$6,040.53
|
$255,335.11
|
$55,663.61
|
2025-07-01
|
|
290352
|
LOCAL
|
Coil .027x5.0x40mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290347
|
LOCAL
|
Coil .027x4.5x25mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290348
|
LOCAL
|
Coil .027x4.5x30mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290346
|
LOCAL
|
Coil .027x4.0x30mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290349
|
LOCAL
|
Coil .027x4.5x40mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290350
|
LOCAL
|
Coil .027x5.0x25mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290354
|
LOCAL
|
Coil .027x5.5x40mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290345
|
LOCAL
|
Coil .027x4.0x25mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290351
|
LOCAL
|
Coil .027x5.0x30mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290353
|
LOCAL
|
Coil .027x5.5x30mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290358
|
LOCAL
|
Coil .027x6.0x50mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290356
|
LOCAL
|
Coil .027x6.0x30mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290357
|
LOCAL
|
Coil .027x6.0x40mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290344
|
LOCAL
|
Coil .021x3.5x25mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
290355
|
LOCAL
|
Coil .027x5.5x50mm Embolization Pipeline Vantage Large
|
19
|
14
|
$110,974.50
|
$68,804.19
38% off
|
$18,654.81
|
$94,328.32
|
$55,487.25
|
2025-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
48
|
34
|
$280,873.72
|
$174,141.71
38% off
|
$6,040.53
|
$238,742.66
|
$55,405.07
|
2025-07-01
|
|
143995
|
LOCAL
|
Device Watchman Flx 24mm
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180442
|
LOCAL
|
Device Closure 24mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180443
|
LOCAL
|
Device Closure 27mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180445
|
LOCAL
|
Device Closure 33mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180627
|
LOCAL
|
Device Watchman Flx 35mm
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
285223
|
LOCAL
|
Device Closure 40mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
143997
|
LOCAL
|
Device Watchman Flx 31mm - Supply
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180625
|
LOCAL
|
Device Watchman Flx 27mm
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180626
|
LOCAL
|
Device Watchman Flx 31mm
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180441
|
LOCAL
|
Device Closure 21mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
180444
|
LOCAL
|
Device Closure 30mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
297001
|
LOCAL
|
Device Closure 35mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
297000
|
LOCAL
|
Device Closure 31mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
296999
|
LOCAL
|
Device Closure 27mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
143994
|
LOCAL
|
Device Watchman Flx 20mm
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
296990
|
LOCAL
|
Device Closure 20mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
296998
|
LOCAL
|
Device Closure 24mm Watchman
|
19
|
14
|
$110,500.00
|
$68,510.00
38% off
|
$18,575.05
|
$93,925.00
|
$55,250.00
|
2025-07-01
|
|
120663
|
LOCAL
|
Stent Graft Str 20x22x96mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120665
|
LOCAL
|
Stent Graft Str 28x28x97mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120671
|
LOCAL
|
Stent Graft Str 40x40x62mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120666
|
LOCAL
|
Stent Graft Str 31x31x97mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120662
|
LOCAL
|
Stent Graft Str 20x20x96mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120676
|
LOCAL
|
Stent Graft Str 46x46x62mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120669
|
LOCAL
|
Stent Graft Str 37x37x97mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120667
|
LOCAL
|
Stent Graft Str 34x34x97mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120675
|
LOCAL
|
Stent Graft Str 43x43x62mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120672
|
LOCAL
|
Stent Graft Str 40x40x103mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
120677
|
LOCAL
|
Stent Graft Str 46x46x103mm
|
19
|
14
|
$109,398.25
|
$67,826.91
38% off
|
$18,389.85
|
$92,988.51
|
$54,699.13
|
2025-07-01
|
|
6060721
|
LOCAL
|
Graft Talent Captiv 42x160x175
|
19
|
14
|
$109,362.50
|
$67,804.75
38% off
|
$18,383.84
|
$92,958.13
|
$54,681.25
|
2025-07-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
48
|
34
|
$325,508.41
|
$201,815.21
38% off
|
$6,040.53
|
$276,682.15
|
$54,527.14
|
2025-07-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
48
|
34
|
$294,978.44
|
$182,886.63
38% off
|
$6,040.53
|
$250,731.67
|
$54,358.90
|
2025-07-01
|
|
40
|
MS_DRG
|
Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc
|
48
|
34
|
$286,316.63
|
$177,516.31
38% off
|
$6,040.53
|
$243,369.13
|
$53,806.64
|
2025-07-01
|
|
625
|
MS_DRG
|
Thyroid Parathyroid And Thyroglossal Procedures With Mcc
|
48
|
34
|
$220,832.34
|
$136,916.05
38% off
|
$6,040.53
|
$187,707.49
|
$53,632.83
|
2025-07-01
|
|
179117
|
LOCAL
|
Dev Web 17 Single Layer 5x3
|
19
|
14
|
$107,217.50
|
$66,474.85
38% off
|
$18,023.26
|
$91,134.88
|
$53,608.75
|
2025-07-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
48
|
34
|
$159,108.56
|
$98,647.31
38% off
|
$6,040.53
|
$135,242.28
|
$53,323.61
|
2025-07-01
|
|
8120000001
|
CDM
|
Hc Acq Chg Kidney Cad Donor
|
17
|
12
|
$106,014.00
|
$65,728.68
38% off
|
$26,270.27
|
$90,111.90
|
$53,007.00
|
2025-07-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
48
|
34
|
$280,984.84
|
$174,210.60
38% off
|
$6,040.53
|
$238,837.12
|
$52,984.15
|
2025-07-01
|
|
186755
|
LOCAL
|
Device Emb Pipeln Flx 4x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186748
|
LOCAL
|
Device Emb Pipeln Flx 3.25x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186746
|
LOCAL
|
Device Emb Pipeln Flx 3.25x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186763
|
LOCAL
|
Device Emb Pipeln Flx 4.5x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186767
|
LOCAL
|
Device Emb Pipeln Flx 5x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186745
|
LOCAL
|
Device Emb Pipeln Flx 3x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186753
|
LOCAL
|
Device Emb Pipeln Flx 3.75x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186751
|
LOCAL
|
Device Emb Pipeln Flx 3.50x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186752
|
LOCAL
|
Device Emb Pipeln Flx 3.75x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186743
|
LOCAL
|
Device Emb Pipeln Flx 3x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186762
|
LOCAL
|
Device Emb Pipeln Flx 4.5x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186750
|
LOCAL
|
Device Emb Pipeln Flx 3.50x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186769
|
LOCAL
|
Device Emb Pipeln Flx 5x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186758
|
LOCAL
|
Device Emb Pipeln Flx 4.25x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186749
|
LOCAL
|
Device Emb Pipeln Flx 3.50x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186765
|
LOCAL
|
Device Emb Pipeln Flx 4.75x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186757
|
LOCAL
|
Device Emb Pipeln Flx 4x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186768
|
LOCAL
|
Device Emb Pipeln Flx 5x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186754
|
LOCAL
|
Device Emb Pipeln Flx 3.75x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186759
|
LOCAL
|
Device Emb Pipeln Flx 4.25x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186760
|
LOCAL
|
Device Emb Pipeln Flx 4.25x35
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186764
|
LOCAL
|
Device Emb Pipeln Flx 4.75x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186756
|
LOCAL
|
Device Emb Pipeln Flx 4x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186761
|
LOCAL
|
Device Emb Pipeln Flx 4.5x25
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186747
|
LOCAL
|
Device Emb Pipeln Flx 3.25x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
186744
|
LOCAL
|
Device Emb Pipeln Flx 3x30
|
19
|
14
|
$105,690.00
|
$65,527.80
38% off
|
$17,766.49
|
$89,836.50
|
$52,845.00
|
2025-07-01
|
|
510
|
MS_DRG
|
Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc
|
48
|
34
|
$249,572.84
|
$154,735.16
38% off
|
$6,040.53
|
$212,136.92
|
$52,747.38
|
2025-07-01
|
|
6060720
|
LOCAL
|
Graft Talent Captiv 40x160x175
|
19
|
14
|
$104,812.50
|
$64,983.75
38% off
|
$17,618.98
|
$89,090.63
|
$52,406.25
|
2025-07-01
|
|
6060713
|
LOCAL
|
Graft Talent Captiv 26x160x175
|
19
|
14
|
$104,812.50
|
$64,983.75
38% off
|
$17,618.98
|
$89,090.63
|
$52,406.25
|
2025-07-01
|
|
6060717
|
LOCAL
|
Graft Talent Captiv 34x160x175
|
19
|
14
|
$104,812.50
|
$64,983.75
38% off
|
$17,618.98
|
$89,090.63
|
$52,406.25
|
2025-07-01
|
|
6060711
|
LOCAL
|
Graft Talent Captiv 22x160x175
|
19
|
14
|
$104,812.50
|
$64,983.75
38% off
|
$17,618.98
|
$89,090.63
|
$52,406.25
|
2025-07-01
|
|
6060712
|
LOCAL
|
Graft Talent Captiv 24x160x175
|
19
|
14
|
$104,812.50
|
$64,983.75
38% off
|
$17,618.98
|
$89,090.63
|
$52,406.25
|
2025-07-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
48
|
34
|
$237,979.73
|
$147,547.44
38% off
|
$6,040.53
|
$202,282.77
|
$52,357.78
|
2025-07-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
48
|
34
|
$234,417.84
|
$145,339.06
38% off
|
$6,040.53
|
$199,255.17
|
$52,317.32
|
2025-07-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
48
|
34
|
$309,331.34
|
$191,785.43
38% off
|
$6,040.53
|
$262,931.64
|
$52,192.88
|
2025-07-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
48
|
34
|
$308,218.34
|
$191,095.37
38% off
|
$6,040.53
|
$261,985.59
|
$52,127.56
|
2025-07-01
|
|
C2616
|
HCPCS
|
Brachytherapy Yttrium 90 1 Each Kit 1 Each
|
60
|
28
|
$125,965.00
|
$78,098.30
38% off
|
$17,485.10
|
$149,889.81
|
$51,740.12
|
2025-07-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
48
|
34
|
$144,593.70
|
$89,648.10
38% off
|
$6,040.53
|
$122,904.65
|
$51,591.42
|
2025-07-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
48
|
34
|
$126,002.80
|
$78,121.73
38% off
|
$6,040.53
|
$107,102.38
|
$51,366.07
|
2025-07-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
48
|
34
|
$221,406.09
|
$137,271.78
38% off
|
$6,040.53
|
$188,195.18
|
$51,330.65
|
2025-07-01
|
|
290551
|
LOCAL
|
Coil .021x3.25x14mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|
|
290552
|
LOCAL
|
Coil .021x3.25x16mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|
|
290548
|
LOCAL
|
Coil .021x3.0x16mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|
|
290549
|
LOCAL
|
Coil .021x3.0x20mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|
|
290550
|
LOCAL
|
Coil .021x3.25x12mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|
|
290554
|
LOCAL
|
Coil .021x3.5x12mm Embolozation Pipeline Vantage
|
19
|
14
|
$102,375.00
|
$63,472.50
38% off
|
$17,209.24
|
$87,018.75
|
$51,187.50
|
2025-07-01
|