|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
3
|
3
|
$2,588,272.66
|
$1,682,377.23
35% off
|
$541,483.58
|
$2,588,272.66
|
$2,200,031.76
|
2026-07-05
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
$1,675,014.64
|
$1,088,759.52
35% off
|
$331,854.34
|
$1,675,014.64
|
$1,423,762.44
|
2026-07-05
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
$1,500,105.00
|
$975,068.25
35% off
|
$291,705.58
|
$1,500,105.00
|
$1,275,089.25
|
2026-07-05
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
3
|
$1,467,012.67
|
$953,558.24
35% off
|
$284,109.56
|
$1,467,012.67
|
$1,246,960.77
|
2026-07-05
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
19
|
$2,162,847.20
|
$1,405,850.68
35% off
|
$3,541.00
|
$2,162,847.20
|
$1,103,052.07
|
2026-07-05
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
$1,232,236.05
|
$800,953.43
35% off
|
$985,788.84
|
$1,232,236.05
|
$1,047,400.64
|
2026-07-05
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
$1,203,010.60
|
$781,956.89
35% off
|
$223,510.53
|
$1,203,010.60
|
$1,022,559.01
|
2026-07-05
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
$1,165,605.86
|
$757,643.81
35% off
|
$214,924.64
|
$1,165,605.86
|
$990,764.98
|
2026-07-05
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
$926,362.89
|
$602,135.88
35% off
|
$160,008.81
|
$926,362.89
|
$787,408.46
|
2026-07-05
|
|
Q2053
|
HCPCS
|
Hc Brexucabtagene Car Pos T (Tecartus) Mcl
|
146
|
96
|
$2,448,600.00
|
$1,591,590.00
35% off
|
$377,084.40
|
$2,482,145.82
|
$738,992.49
|
2026-03-01
|
|
6123
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
$757,447.00
|
$492,340.55
35% off
|
$121,235.86
|
$757,447.00
|
$643,829.95
|
2026-07-05
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
$754,926.86
|
$490,702.46
35% off
|
$120,657.39
|
$754,926.86
|
$641,687.83
|
2026-07-05
|
|
Q2056
|
HCPCS
|
Hc Ciltacabtagene Car-pos T (Carvykti) 30 Ml
|
112
|
95
|
$2,776,552.00
|
$1,804,758.80
35% off
|
$7,961.87
|
$2,582,193.36
|
$611,155.56
|
2026-03-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Up To 600 Million Car Pos
|
113
|
96
|
$2,591,313.00
|
$1,684,353.45
35% off
|
$399,062.20
|
$2,409,921.09
|
$600,523.18
|
2026-03-01
|
|
Q2054
|
HCPCS
|
Hc Lisocabtagene Mara Car Pos T (Breyanzi)
|
113
|
96
|
$2,956,964.98
|
$1,922,027.24
35% off
|
$455,372.61
|
$2,749,977.43
|
$595,933.32
|
2026-03-01
|
|
Q2055
|
HCPCS
|
Hc Idecabtagene Vicleucel Car 50ml (Abecma)
|
113
|
96
|
$2,884,057.54
|
$1,874,637.40
35% off
|
$444,144.86
|
$2,682,173.51
|
$591,566.63
|
2026-03-01
|
|
Q2041
|
HCPCS
|
Hc Axicabtagene Ciloleucel Car+ (Yescarta)
|
113
|
96
|
$2,909,170.00
|
$1,890,960.50
35% off
|
$448,012.18
|
$2,705,528.10
|
$564,123.78
|
2026-03-01
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
$625,748.92
|
$406,736.80
35% off
|
$91,005.88
|
$625,748.92
|
$531,886.58
|
2026-07-05
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
$588,987.01
|
$382,841.56
35% off
|
$82,567.55
|
$588,987.01
|
$500,638.96
|
2026-07-05
|
|
6081
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
$495,276.00
|
$321,929.40
35% off
|
$61,057.13
|
$495,276.00
|
$420,984.60
|
2026-07-05
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$1,365,907.92
|
$887,840.15
35% off
|
$260,901.98
|
$1,365,907.92
|
$410,833.30
|
2026-07-05
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
7
|
7
|
$1,331,706.75
|
$865,609.39
35% off
|
$253,051.44
|
$1,331,706.75
|
$400,932.17
|
2026-07-05
|
|
104
|
MS_DRG
|
Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath
|
12
|
12
|
$599,559.59
|
$389,713.73
35% off
|
$3,541.00
|
$599,559.59
|
$389,713.73
|
2026-07-05
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
19
|
19
|
$752,886.92
|
$489,376.50
35% off
|
$3,541.00
|
$752,886.92
|
$383,972.33
|
2026-07-05
|
|
588
|
MS_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure,extreme
|
12
|
12
|
—
|
—
|
$338,802.41
|
$429,822.69
|
$348,966.48
|
2026-03-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
$404,587.75
|
$262,982.04
35% off
|
$40,240.55
|
$404,587.75
|
$343,899.59
|
2026-07-05
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
96
|
84
|
$2,860,061.00
|
$1,989,762.33
30% off
|
$3,541.00
|
$2,431,051.85
|
$325,867.09
|
2026-07-05
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
$356,791.00
|
$231,914.15
35% off
|
$29,269.28
|
$356,791.00
|
$303,272.35
|
2026-07-05
|
|
6122
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
$351,791.00
|
$228,664.15
35% off
|
$28,121.58
|
$351,791.00
|
$299,022.35
|
2026-07-05
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
$990,884.00
|
$644,074.60
35% off
|
$174,818.99
|
$990,884.00
|
$292,210.64
|
2026-07-05
|
|
612
|
OTHER
|
Neonate, Birth Weight <750 Grams, Discharged Alive
|
1
|
1
|
—
|
—
|
$285,105.09
|
$285,105.09
|
$285,105.09
|
2026-03-01
|
|
6121
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
$335,158.00
|
$217,852.70
35% off
|
$24,303.64
|
$335,158.00
|
$284,884.30
|
2026-07-05
|
|
6111
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
3
|
$307,680.00
|
$199,992.00
35% off
|
$17,996.34
|
$307,680.00
|
$261,528.00
|
2026-07-05
|
|
6082
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
$303,433.00
|
$197,231.45
35% off
|
$17,021.49
|
$303,433.00
|
$257,918.05
|
2026-07-05
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$861,472.00
|
$559,956.80
35% off
|
$145,113.76
|
$861,472.00
|
$251,526.40
|
2026-07-05
|
|
237
|
MS_DRG
|
Major Cardiovasc Procedures W Mcc
|
21
|
21
|
$715,523.45
|
$465,090.24
35% off
|
$3,541.00
|
$715,523.45
|
$250,433.21
|
2026-07-05
|
|
105
|
MS_DRG
|
Cardiac Valve & Oth Major Cardiothoracic Proc Without Card Cath
|
12
|
12
|
$372,415.27
|
$242,069.93
35% off
|
$3,541.00
|
$372,415.27
|
$242,069.92
|
2026-07-05
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$236,380.57
|
$236,380.57
|
$236,380.57
|
2026-03-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
$269,569.61
|
$175,220.25
35% off
|
$9,248.48
|
$269,569.61
|
$229,134.17
|
2026-07-05
|
|
591
|
MS_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme
|
24
|
12
|
—
|
—
|
$177,125.94
|
$295,744.05
|
$228,913.97
|
2026-03-01
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$769,040.26
|
$499,876.17
35% off
|
$123,896.98
|
$769,040.26
|
$224,875.34
|
2026-07-05
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
7
|
7
|
$753,940.60
|
$490,061.39
35% off
|
$8,329.05
|
$753,940.60
|
$217,515.84
|
2026-07-05
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
$752,808.00
|
$489,325.20
35% off
|
$120,171.02
|
$752,808.00
|
$216,659.93
|
2026-07-05
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
84
|
72
|
$846,592.03
|
$585,309.24
31% off
|
$3,541.00
|
$846,592.03
|
$209,526.59
|
2026-07-05
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$713,583.00
|
$463,828.95
35% off
|
$111,167.32
|
$713,583.00
|
$204,595.51
|
2026-07-05
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$715,283.00
|
$464,933.95
35% off
|
$111,557.53
|
$715,283.00
|
$204,364.92
|
2026-07-05
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
22
|
22
|
$465,667.50
|
$302,683.88
35% off
|
$3,541.00
|
$395,817.38
|
$200,237.03
|
2026-07-05
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
$693,353.30
|
$450,679.65
35% off
|
$106,523.79
|
$693,353.30
|
$197,437.23
|
2026-07-05
|
|
6312
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
$226,378.40
|
$147,145.96
35% off
|
$3,861.58
|
$226,378.40
|
$192,421.64
|
2026-07-05
|
|
PX-8120000001
|
CDM
|
Hc Cadaver Donor Sac- Liver
|
37
|
31
|
$269,900.00
|
$175,435.00
35% off
|
$41,564.60
|
$251,007.00
|
$187,310.60
|
2026-03-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
19
|
19
|
$363,908.35
|
$236,540.43
35% off
|
$3,541.00
|
$363,908.35
|
$185,593.26
|
2026-07-05
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
3
|
3
|
$207,541.00
|
$134,901.65
35% off
|
$3,861.58
|
$207,541.00
|
$176,409.85
|
2026-07-05
|
|
6301
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
$619,098.30
|
$402,413.90
35% off
|
$89,479.30
|
$619,098.30
|
$174,561.48
|
2026-07-05
|
|
6032
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
$591,272.21
|
$384,326.94
35% off
|
$83,092.10
|
$591,272.21
|
$165,042.96
|
2026-07-05
|
|
6364
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
3
|
3
|
$193,245.48
|
$125,609.56
35% off
|
$3,861.58
|
$193,245.48
|
$164,258.66
|
2026-07-05
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
84
|
72
|
$645,099.41
|
$395,642.87
39% off
|
$3,541.00
|
$548,334.50
|
$160,591.57
|
2026-07-05
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
3
|
3
|
$179,679.00
|
$116,791.35
35% off
|
$3,861.58
|
$179,679.00
|
$152,727.15
|
2026-07-05
|
|
6143
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
7
|
7
|
$521,161.00
|
$338,754.65
35% off
|
$66,998.77
|
$521,161.00
|
$144,696.36
|
2026-07-05
|
|
PX-8120000000
|
CDM
|
Hc Cadaver Donor Sac- Kidney
|
37
|
31
|
$194,370.00
|
$126,340.50
35% off
|
$29,932.98
|
$180,764.10
|
$134,892.78
|
2026-03-01
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$480,104.00
|
$312,067.60
35% off
|
$57,574.55
|
$480,104.00
|
$129,733.56
|
2026-07-05
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
7
|
7
|
$463,918.66
|
$301,547.13
35% off
|
$53,859.36
|
$463,918.66
|
$124,628.78
|
2026-07-05
|
|
631
|
MS_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme
|
24
|
12
|
—
|
—
|
$29,799.07
|
$257,971.71
|
$120,573.84
|
2026-03-01
|
|
PX-8110000000
|
CDM
|
Hc Living Donor Sac- Kidney
|
37
|
31
|
$165,000.00
|
$107,250.00
35% off
|
$25,410.00
|
$153,450.00
|
$114,510.00
|
2026-03-01
|
|
129
|
MS_DRG
|
Major Head & Neck Procedures W Cc/mcc Or Major Device
|
21
|
21
|
$309,506.05
|
$201,178.93
35% off
|
$3,541.00
|
$309,506.05
|
$108,327.12
|
2026-07-05
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
108
|
96
|
$949,211.27
|
$247,560.01
74% off
|
$3,541.00
|
$806,829.58
|
$106,632.07
|
2026-07-05
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
7
|
7
|
$403,301.00
|
$262,145.65
35% off
|
$39,945.19
|
$403,301.00
|
$105,747.89
|
2026-07-05
|
|
238
|
MS_DRG
|
Major Cardiovasc Procedures Without Mcc
|
21
|
21
|
$300,874.70
|
$195,568.55
35% off
|
$3,541.00
|
$300,874.70
|
$105,306.14
|
2026-07-05
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
22
|
22
|
$273,655.62
|
$177,876.15
35% off
|
$3,541.00
|
$232,607.28
|
$104,120.29
|
2026-07-05
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
$120,175.80
|
$78,114.27
35% off
|
$3,861.58
|
$120,175.80
|
$102,149.43
|
2026-07-05
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
22
|
22
|
$373,981.41
|
$243,087.92
35% off
|
$3,541.00
|
$317,884.20
|
$100,627.79
|
2026-07-05
|
|
6021
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$385,006.00
|
$250,253.90
35% off
|
$35,745.75
|
$385,006.00
|
$100,325.35
|
2026-07-05
|
|
C1823
|
HCPCS
|
Hc Remede System 1001
|
76
|
30
|
$151,250.00
|
$98,312.50
35% off
|
$22,233.75
|
$147,056.25
|
$100,196.25
|
2026-03-01
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
118
|
98
|
$610,505.60
|
$396,828.64
35% off
|
$1,246.99
|
$567,770.21
|
$94,017.86
|
2026-03-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
$356,448.67
|
$231,691.64
35% off
|
$29,190.70
|
$356,448.67
|
$91,212.61
|
2026-07-05
|
|
589
|
MS_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
24
|
12
|
—
|
—
|
$650.92
|
$228,284.38
|
$90,384.06
|
2026-03-01
|
|
112
|
MS_DRG
|
No Longer Valid
|
12
|
12
|
$137,461.40
|
$89,349.91
35% off
|
$3,541.00
|
$137,461.40
|
$89,349.91
|
2026-07-05
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
91
|
79
|
$38,882.04
|
$362,537.56
|
$3,541.00
|
$305,975.73
|
$88,502.62
|
2026-07-05
|
|
107
|
MS_DRG
|
No Longer Valid
|
12
|
12
|
$131,788.55
|
$85,662.56
35% off
|
$3,541.00
|
$131,788.55
|
$85,662.55
|
2026-07-05
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
7
|
7
|
$336,744.30
|
$218,883.80
35% off
|
$24,667.76
|
$336,744.30
|
$84,959.66
|
2026-07-05
|
|
PX-8130000000
|
CDM
|
Hc Cadaver Donor Sac-pancreas
|
37
|
31
|
$121,000.00
|
$78,650.00
35% off
|
$18,634.00
|
$112,530.00
|
$83,974.00
|
2026-03-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
88
|
76
|
$148,868.05
|
$413,132.14
|
$3,541.00
|
$276,854.59
|
$83,173.10
|
2026-07-05
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
$97,811.25
|
$63,577.31
35% off
|
$3,861.58
|
$97,811.25
|
$83,139.56
|
2026-07-05
|
|
6233
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
7
|
7
|
$326,803.00
|
$212,421.95
35% off
|
$22,385.84
|
$326,803.00
|
$82,377.30
|
2026-07-05
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
20
|
20
|
$194,247.61
|
$126,260.95
35% off
|
$42,025.55
|
$165,110.47
|
$82,375.52
|
2026-07-05
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
106
|
82
|
$31,834.62
|
$328,897.63
|
$1,103.00
|
$280,599.75
|
$81,407.61
|
2026-07-05
|
|
120
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
12
|
12
|
$122,985.83
|
$79,940.79
35% off
|
$3,541.00
|
$122,985.83
|
$79,940.79
|
2026-07-05
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
83
|
71
|
$473,562.45
|
$523,744.44
|
$3,541.00
|
$473,562.45
|
$79,020.71
|
2026-07-05
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
101
|
88
|
$335,128.60
|
$167,050.11
50% off
|
$3,541.00
|
$317,013.75
|
$77,523.72
|
2026-07-05
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
84
|
72
|
$303,808.65
|
$293,981.17
|
$26,869.21
|
$258,237.35
|
$76,221.68
|
2026-07-05
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
22
|
22
|
$197,034.50
|
$128,072.43
35% off
|
$3,541.00
|
$167,479.33
|
$74,658.84
|
2026-07-05
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
22
|
22
|
$176,973.88
|
$115,033.02
35% off
|
$3,541.00
|
$150,427.80
|
$72,179.45
|
2026-07-05
|
|
C1605
|
HCPCS
|
Hc Aveir Ntap C1605
|
48
|
40
|
$118,705.00
|
$77,158.25
35% off
|
$18,280.57
|
$110,395.65
|
$70,985.59
|
2026-03-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
22
|
22
|
$290,321.10
|
$188,708.71
35% off
|
$3,541.00
|
$246,772.94
|
$70,821.83
|
2026-07-05
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
82
|
70
|
$40,999.38
|
$258,405.15
|
$1,103.00
|
$229,384.42
|
$67,088.06
|
2026-07-05
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
94
|
82
|
$325,502.69
|
$228,931.97
30% off
|
$16,815.50
|
$276,677.29
|
$65,911.47
|
2026-07-05
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
109
|
72
|
—
|
$185,770.56
|
$9,802.97
|
$220,470.87
|
$64,595.86
|
2026-03-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
22
|
22
|
$165,498.01
|
$107,573.71
35% off
|
$3,541.00
|
$140,673.31
|
$63,343.08
|
2026-07-05
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
124
|
84
|
$312,560.30
|
$280,369.08
|
$17,200.82
|
$265,676.26
|
$62,961.47
|
2026-07-05
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$62,197.28
|
$62,197.28
|
$62,197.28
|
2026-03-01
|
|
SUP-9600CT26A
|
CDM
|
Valve Certitude 26mm (9600ct26a 153922)
|
30
|
26
|
$89,375.00
|
$58,093.75
35% off
|
$13,763.75
|
$83,118.75
|
$62,026.25
|
2026-03-01
|
|
SUP-9600CT23A
|
CDM
|
Valve Certitude 23mm (9600ct23a 153921)
|
30
|
26
|
$89,375.00
|
$58,093.75
35% off
|
$13,763.75
|
$83,118.75
|
$62,026.25
|
2026-03-01
|
|
SUP-9600CT29A
|
CDM
|
Valve Certitude 29mm (9600ct29a 153923)
|
30
|
26
|
$89,375.00
|
$58,093.75
35% off
|
$13,763.75
|
$83,118.75
|
$62,026.25
|
2026-03-01
|
|
38240
|
CPT
|
Hc Hpc Allogeneic
|
101
|
81
|
$147,856.00
|
$96,106.40
35% off
|
$4,977.46
|
$159,747.27
|
$61,985.92
|
2026-03-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
101
|
88
|
$387,183.73
|
$207,705.03
46% off
|
$3,541.00
|
$329,106.17
|
$61,915.67
|
2026-07-05
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
97
|
84
|
$302,432.06
|
$230,550.71
24% off
|
$19,646.03
|
$257,067.25
|
$60,491.76
|
2026-07-05
|
|
567
|
MS_DRG
|
Stomach, Esophageal & Duodenal Proc Age > 17 W Cc W Major Gi Dx
|
12
|
12
|
$92,298.76
|
$59,994.19
35% off
|
$3,541.00
|
$92,298.76
|
$59,994.19
|
2026-07-05
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
89
|
76
|
$179,465.74
|
$156,581.96
|
$3,541.00
|
$162,132.56
|
$58,339.39
|
2026-07-05
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$58,051.04
|
$58,051.04
|
$58,051.04
|
2026-03-01
|
|
0483T
|
CPT
|
Hc Tmvi Percutaneous Approach
|
39
|
33
|
$83,602.00
|
$54,341.30
35% off
|
$12,874.71
|
$77,749.86
|
$58,019.79
|
2026-03-01
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$57,869.10
|
$57,869.10
|
$57,869.10
|
2026-03-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
91
|
78
|
$215,419.13
|
$224,087.74
|
$15,112.17
|
$183,106.26
|
$57,375.59
|
2026-07-05
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Evolutpro 29mm (evolutpro-29-US 146167)
|
30
|
26
|
$82,500.00
|
$53,625.00
35% off
|
$12,705.00
|
$76,725.00
|
$57,255.00
|
2026-03-01
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Evolutpro 26mm (evolutpro-26-US 146166)
|
30
|
26
|
$82,500.00
|
$53,625.00
35% off
|
$12,705.00
|
$76,725.00
|
$57,255.00
|
2026-03-01
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Evolutpro 23mm (evolutpro-23-US 146165)
|
30
|
26
|
$82,500.00
|
$53,625.00
35% off
|
$12,705.00
|
$76,725.00
|
$57,255.00
|
2026-03-01
|
|
6394
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition
|
7
|
7
|
$249,939.36
|
$162,460.58
35% off
|
$4,742.56
|
$249,939.36
|
$56,422.71
|
2026-07-05
|
|
110
|
MS_DRG
|
Major Cardiovascular Procedures W Cc
|
12
|
12
|
$85,727.51
|
$55,722.88
35% off
|
$3,541.00
|
$85,727.51
|
$55,722.89
|
2026-07-05
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
77
|
64
|
—
|
$203,541.94
|
$21,886.98
|
$181,539.98
|
$55,590.89
|
2026-03-01
|
|
490
|
MS_DRG
|
Back & Neck Proc Exc Spinal Fusion W Cc/mcc Or Disc Device/neurostim
|
21
|
21
|
$158,640.20
|
$103,116.13
35% off
|
$3,541.00
|
$158,640.20
|
$55,524.07
|
2026-07-05
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
85
|
72
|
$38,989.51
|
$177,256.81
|
$1,103.00
|
$183,785.56
|
$55,425.61
|
2026-07-05
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
22
|
22
|
$146,158.35
|
$95,002.93
35% off
|
$3,541.00
|
$124,234.60
|
$54,839.26
|
2026-07-05
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
94
|
82
|
$540,754.16
|
$178,588.96
67% off
|
$24,532.25
|
$459,641.04
|
$54,509.25
|
2026-07-05
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
22
|
22
|
$125,713.88
|
$81,714.02
35% off
|
$3,541.00
|
$107,954.20
|
$53,897.99
|
2026-07-05
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
98
|
86
|
$205,349.01
|
$141,502.05
31% off
|
$3,541.00
|
$175,974.43
|
$53,589.14
|
2026-07-05
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
71
|
58
|
—
|
$165,280.20
|
$43,991.18
|
$170,113.54
|
$53,042.02
|
2026-03-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
97
|
84
|
$162,028.05
|
$198,660.70
|
$23,434.49
|
$167,407.14
|
$52,247.50
|
2026-07-05
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
89
|
77
|
$203,377.17
|
$131,003.19
36% off
|
$3,541.00
|
$172,870.59
|
$51,885.95
|
2026-07-05
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs Dilution 100 Mcg/ml IV Soln
|
148
|
98
|
$1,238,386.90
|
$804,951.48
35% off
|
$338.89
|
$1,151,699.82
|
$51,599.72
|
2026-03-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
85
|
72
|
—
|
$151,017.72
|
$9,802.97
|
$170,238.29
|
$51,562.11
|
2026-03-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
34
|
34
|
$159,375.10
|
$103,593.82
35% off
|
$3,541.00
|
$153,115.51
|
$50,782.23
|
2026-07-05
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
20
|
20
|
$127,136.41
|
$82,638.67
35% off
|
$22,547.30
|
$108,065.95
|
$50,388.57
|
2026-07-05
|
|
6221
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
7
|
7
|
$218,983.00
|
$142,338.95
35% off
|
$3,861.58
|
$218,983.00
|
$50,320.96
|
2026-07-05
|
|
SUP-AI
|
CDM
|
Artery Aortoiliac Cryopreserve (ai 153145)
|
30
|
26
|
$72,061.40
|
$46,839.91
35% off
|
$11,097.46
|
$67,017.10
|
$50,010.61
|
2026-03-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
93
|
79
|
$59,670.53
|
$38,573.54
35% off
|
$20,884.69
|
$140,486.74
|
$49,589.39
|
2026-07-05
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
97
|
85
|
$187,383.61
|
$115,227.39
39% off
|
$20,973.67
|
$159,276.07
|
$48,907.17
|
2026-07-05
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
101
|
89
|
$740,885.64
|
$122,798.69
83% off
|
$3,541.00
|
$629,752.79
|
$48,854.11
|
2026-07-05
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
140
|
103
|
$557,980.25
|
$118,168.29
79% off
|
$3,541.00
|
$474,283.21
|
$48,758.66
|
2026-07-05
|
|
130
|
MS_DRG
|
Major Head & Neck Procedures Without Cc/mcc
|
45
|
33
|
$87,855.05
|
$57,105.78
35% off
|
$3,541.00
|
$87,855.05
|
$48,180.66
|
2026-07-05
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
22
|
22
|
$124,093.30
|
$80,660.65
35% off
|
$3,541.00
|
$105,479.31
|
$48,141.88
|
2026-07-05
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$48,018.69
|
$48,018.69
|
$48,018.69
|
2026-03-01
|
|
0268T
|
CPT
|
Hc Implt/Rpl Crtd Sns Dev Gen
|
44
|
37
|
$68,600.00
|
$44,590.00
35% off
|
$10,564.40
|
$68,600.00
|
$47,608.40
|
2026-03-01
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
1
|
1
|
—
|
—
|
$47,269.90
|
$47,269.90
|
$47,269.90
|
2026-03-01
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
$55,130.20
|
$35,834.63
35% off
|
$3,861.58
|
$55,130.20
|
$46,860.67
|
2026-07-05
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
97
|
85
|
$176,947.00
|
$125,715.70
29% off
|
$3,541.00
|
$176,947.00
|
$46,744.56
|
2026-07-05
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
77
|
64
|
$70,317.29
|
$148,678.43
|
$20,254.54
|
$137,434.93
|
$46,625.45
|
2026-07-05
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
97
|
84
|
$120,412.94
|
$195,426.39
|
$15,897.86
|
$149,414.56
|
$46,294.39
|
2026-07-05
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
97
|
81
|
$76,934.47
|
$93,527.95
|
$3,541.00
|
$129,484.53
|
$46,160.68
|
2026-07-05
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
96
|
84
|
$73,807.86
|
$184,916.77
|
$9,802.97
|
$151,820.53
|
$45,855.60
|
2026-07-05
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
86
|
72
|
$382,425.60
|
$100,030.44
74% off
|
$29,466.46
|
$382,425.60
|
$45,756.73
|
2026-07-05
|
|
6132
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
3
|
$53,762.96
|
$34,945.92
35% off
|
$3,861.58
|
$53,762.96
|
$45,698.52
|
2026-07-05
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
76
|
64
|
$5,125.05
|
$120,483.65
|
$1,793.77
|
$128,171.79
|
$45,262.06
|
2026-07-05
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
93
|
81
|
$591,940.40
|
$419,367.86
29% off
|
$3,541.00
|
$591,940.40
|
$44,992.09
|
2026-07-05
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
88
|
75
|
$6,239.65
|
$130,539.87
|
$1,103.00
|
$146,830.37
|
$44,886.50
|
2026-07-05
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
88
|
76
|
$159,643.33
|
$166,133.92
|
$3,541.00
|
$135,696.83
|
$44,766.99
|
2026-07-05
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$44,686.15
|
$44,686.15
|
$44,686.15
|
2026-03-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
12
|
12
|
$68,145.15
|
$44,294.35
35% off
|
$3,541.00
|
$68,145.15
|
$44,294.35
|
2026-07-05
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc
|
1
|
1
|
—
|
—
|
$44,177.82
|
$44,177.82
|
$44,177.82
|
2026-03-01
|
|
612
|
MS_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
48
|
12
|
—
|
—
|
$21,157.75
|
$87,649.20
|
$43,865.89
|
2026-03-01
|
|
170
|
MS_DRG
|
Other Digestive System O.r. Procedures W Cc
|
12
|
12
|
$67,376.10
|
$43,794.46
35% off
|
$3,541.00
|
$67,376.10
|
$43,794.46
|
2026-07-05
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
117
|
92
|
$286,913.55
|
$113,783.95
60% off
|
$3,541.00
|
$243,876.52
|
$43,744.40
|
2026-07-05
|
|
6311
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
$51,416.76
|
$33,420.89
35% off
|
$851.26
|
$51,416.76
|
$43,704.25
|
2026-07-05
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
88
|
76
|
$225,144.85
|
$149,915.03
33% off
|
$3,541.00
|
$191,373.12
|
$43,553.85
|
2026-07-05
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
135
|
95
|
$126,655.08
|
$94,203.75
26% off
|
$1,672.82
|
$123,228.73
|
$43,525.13
|
2026-07-05
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$43,354.97
|
$43,354.97
|
$43,354.97
|
2026-03-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
22
|
22
|
$89,596.60
|
$58,237.79
35% off
|
$3,541.00
|
$120,414.48
|
$43,348.77
|
2026-07-05
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
99
|
86
|
$151,346.44
|
$187,374.73
|
$9,802.97
|
$139,080.34
|
$43,303.86
|
2026-07-05
|
|
33276
|
CPT
|
Hc Insertion Phrenic Nerve Stimulator System
|
79
|
63
|
$112,501.00
|
$73,125.65
35% off
|
$17,325.15
|
$104,625.93
|
$43,222.08
|
2026-03-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
97
|
84
|
$8,290.87
|
$147,406.67
|
$1,103.00
|
$143,136.12
|
$42,973.46
|
2026-07-05
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
76
|
63
|
—
|
$130,349.39
|
$9,802.97
|
$135,691.62
|
$42,936.62
|
2026-03-01
|
|
172
|
MS_DRG
|
Digestive Malignancy W Cc
|
12
|
12
|
$65,890.94
|
$42,829.11
35% off
|
$3,541.00
|
$65,890.94
|
$42,829.11
|
2026-07-05
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
116
|
103
|
$369,444.80
|
$127,008.49
66% off
|
$3,541.00
|
$314,028.08
|
$42,669.05
|
2026-07-05
|
|
0620T
|
OTHER
|
Hc Evasc Ven Artlz Tibl/Prnl Vn
|
82
|
66
|
$63,764.00
|
$41,446.60
35% off
|
$9,819.66
|
$63,764.00
|
$42,595.67
|
2026-03-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
89
|
73
|
$14,430.94
|
$90,654.19
|
$3,541.00
|
$120,528.38
|
$42,576.26
|
2026-07-05
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
102
|
89
|
$97,783.91
|
$129,778.28
|
$9,802.97
|
$134,334.60
|
$42,234.40
|
2026-07-05
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
101
|
88
|
$39,815.60
|
$181,563.96
|
$3,541.00
|
$139,772.85
|
$42,033.11
|
2026-07-05
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
93
|
79
|
$432,627.77
|
$109,190.37
75% off
|
$9,802.97
|
$367,733.60
|
$41,941.03
|
2026-07-05
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
111
|
99
|
$157,405.59
|
$126,117.31
|
$9,802.97
|
$139,278.93
|
$41,895.02
|
2026-07-05
|
|
209
|
MS_DRG
|
No Longer Valid
|
12
|
12
|
$64,271.35
|
$41,776.38
35% off
|
$3,541.00
|
$64,271.35
|
$41,776.38
|
2026-07-05
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
22
|
22
|
$58,306.05
|
$37,898.93
35% off
|
$3,541.00
|
$114,420.57
|
$41,759.95
|
2026-07-05
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
22
|
22
|
$162,010.38
|
$105,306.75
35% off
|
$3,541.00
|
$137,708.82
|
$41,699.68
|
2026-07-05
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
97
|
84
|
$18,898.13
|
$81,500.00
|
$3,541.00
|
$138,306.36
|
$41,623.09
|
2026-07-05
|
|
677
|
OTHER
|
Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With…
|
1
|
1
|
—
|
—
|
$41,069.28
|
$41,069.28
|
$41,069.28
|
2026-03-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
101
|
88
|
$111,085.61
|
$205,732.80
|
$9,802.97
|
$121,124.01
|
$40,914.80
|
2026-07-05
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
107
|
91
|
$129,859.38
|
$147,137.14
|
$9,802.97
|
$128,323.49
|
$40,773.54
|
2026-07-05
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
92
|
79
|
$381,082.36
|
$118,291.94
69% off
|
$9,802.97
|
$323,920.01
|
$40,378.87
|
2026-07-05
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
135
|
98
|
$70,708.36
|
$193,214.71
|
$3,541.00
|
$132,529.48
|
$40,007.90
|
2026-07-05
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
97
|
83
|
$195,923.00
|
$75,083.86
62% off
|
$3,541.00
|
$166,534.55
|
$39,887.80
|
2026-07-05
|
|
6253
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
7
|
7
|
$188,983.00
|
$122,838.95
35% off
|
$3,861.58
|
$188,983.00
|
$39,841.38
|
2026-07-05
|
|
569
|
MS_DRG
|
Major Small & Large Bowel Procedures W Cc W Major Gi Dx
|
12
|
12
|
$61,152.62
|
$39,749.20
35% off
|
$3,541.00
|
$61,152.62
|
$39,749.20
|
2026-07-05
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
20
|
20
|
$71,316.29
|
$46,355.59
35% off
|
$23,237.73
|
$65,753.81
|
$39,580.54
|
2026-07-05
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
20
|
$52,475.89
|
$34,109.33
35% off
|
$18,366.56
|
$112,847.71
|
$39,546.35
|
2026-07-05
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
99
|
83
|
$84,615.14
|
$104,442.29
|
$3,541.00
|
$107,814.33
|
$39,442.49
|
2026-07-05
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
92
|
79
|
$389,336.94
|
$116,200.90
70% off
|
$9,802.97
|
$330,936.40
|
$39,192.69
|
2026-07-05
|
|
025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc
|
1
|
1
|
—
|
—
|
$39,061.53
|
$39,061.53
|
$39,061.53
|
2026-03-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
110
|
94
|
$468,312.38
|
$69,690.54
85% off
|
$3,541.00
|
$398,065.52
|
$39,010.31
|
2026-07-05
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint Age >17 With Mcc
|
1
|
1
|
—
|
—
|
$38,700.39
|
$38,700.39
|
$38,700.39
|
2026-03-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
104
|
90
|
$166,713.80
|
$102,221.25
39% off
|
$9,802.97
|
$141,706.73
|
$38,685.19
|
2026-07-05
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
94
|
81
|
$99,958.54
|
$117,918.68
|
$3,541.00
|
$176,605.60
|
$38,553.04
|
2026-07-05
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
109
|
93
|
$88,334.89
|
$103,703.49
|
$3,541.00
|
$119,453.23
|
$38,169.44
|
2026-07-05
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
92
|
78
|
$12,730.44
|
$84,337.59
|
$3,541.00
|
$107,056.67
|
$37,842.46
|
2026-07-05
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
93
|
81
|
$613,006.45
|
$306,691.37
50% off
|
$3,541.00
|
$613,006.45
|
$37,759.84
|
2026-07-05
|
|
986
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc
|
21
|
21
|
$120,116.60
|
$78,075.79
35% off
|
$3,541.00
|
$120,116.60
|
$37,715.94
|
2026-07-05
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
86
|
74
|
$236,647.50
|
$343,240.08
|
$3,541.00
|
$236,647.50
|
$37,694.88
|
2026-07-05
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
22
|
22
|
$97,365.40
|
$63,287.51
35% off
|
$3,541.00
|
$82,760.59
|
$37,635.81
|
2026-07-05
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
107
|
91
|
$162,067.99
|
$87,513.77
46% off
|
$9,802.97
|
$137,757.79
|
$37,457.13
|
2026-07-05
|
|
C2624
|
HCPCS
|
Sensor Cardiomem Heart Failure (cm Patient System 146159)
|
38
|
30
|
$55,962.50
|
$36,375.62
35% off
|
$8,618.23
|
$52,045.13
|
$37,326.99
|
2026-03-01
|
|
69715
|
CPT
|
Temple Bne Implnt W/stimulat
|
25
|
25
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$37,100.00
|
2026-07-05
|
|
69718
|
CPT
|
Revise Temple Bone Implant
|
25
|
25
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$37,100.00
|
2026-07-05
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
109
|
93
|
$91,615.14
|
$105,999.73
|
$3,541.00
|
$115,758.98
|
$37,084.90
|
2026-07-05
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
79
|
66
|
$232,912.00
|
$165,757.47
29% off
|
$9,802.97
|
$232,912.00
|
$37,084.10
|
2026-07-05
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
104
|
90
|
$101,529.57
|
$103,341.63
|
$9,802.97
|
$115,305.79
|
$36,951.86
|
2026-07-05
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
101
|
89
|
$170,430.30
|
$114,587.35
33% off
|
$3,541.00
|
$144,865.75
|
$36,835.83
|
2026-07-05
|
|
15
|
MS_DRG
|
Autologous Bone Marrow Transplant
|
21
|
21
|
$42,014.91
|
$27,309.69
35% off
|
$3,541.00
|
$95,422.70
|
$36,829.13
|
2026-07-05
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
109
|
93
|
$460,004.33
|
$88,795.87
81% off
|
$3,541.00
|
$391,003.68
|
$36,599.81
|
2026-07-05
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
107
|
93
|
$66,578.88
|
$70,548.96
|
$3,541.00
|
$115,809.90
|
$36,569.86
|
2026-07-05
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
1
|
1
|
—
|
—
|
$36,493.33
|
$36,493.33
|
$36,493.33
|
2026-03-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
88
|
76
|
$149,954.58
|
$146,010.09
|
$3,541.00
|
$127,461.39
|
$36,252.19
|
2026-07-05
|
|
912
|
MS_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma,major
|
12
|
12
|
—
|
—
|
$35,155.41
|
$44,600.02
|
$36,210.07
|
2026-03-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
100
|
84
|
$123,249.83
|
$53,158.11
57% off
|
$3,541.00
|
$104,762.36
|
$36,067.39
|
2026-07-05
|
|
37231
|
CPT
|
Hc Revsc Tibl Prnl W/Stent & Arth
|
40
|
34
|
$51,721.00
|
$33,618.65
35% off
|
$7,965.03
|
$51,721.00
|
$36,049.54
|
2026-03-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
96
|
82
|
$330,339.55
|
$88,937.59
73% off
|
$3,541.00
|
$280,788.62
|
$35,934.60
|
2026-07-05
|
|
404
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$35,761.91
|
$35,761.91
|
$35,761.91
|
2026-03-01
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
1
|
1
|
—
|
—
|
$35,686.02
|
$35,686.02
|
$35,686.02
|
2026-03-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
112
|
88
|
$97,360.51
|
$150,701.61
|
$3,541.00
|
$100,193.22
|
$35,430.72
|
2026-07-05
|
|
403
|
MS_DRG
|
Lymphoma & Non-acute Leukemia W Cc
|
12
|
12
|
$54,238.00
|
$35,254.70
35% off
|
$3,541.00
|
$54,238.00
|
$35,254.70
|
2026-07-05
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
1
|
1
|
—
|
—
|
$35,202.37
|
$35,202.37
|
$35,202.37
|
2026-03-01
|
|
64913
|
CPT
|
Nrv Rpr W/nrv Algrft Ea Addl
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
65757
|
CPT
|
Prep Corneal Endo Allograft
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
66990
|
CPT
|
Ophthalmic Endoscope Add-on
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
36100
|
CPT
|
Establish Access To Artery
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
35572
|
CPT
|
Harvest Femoropopliteal Vein
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
20985
|
CPT
|
Cptr-asst Dir Ms Px
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
61782
|
CPT
|
Scan Proc Cranial Extra
|
45
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
61783
|
CPT
|
Scan Proc Spinal
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
69990
|
CPT
|
Microsurgery Add-on
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
20701
|
CPT
|
Rmvl Deep Rx Delivery Device
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
20703
|
CPT
|
Rmvl Imed Rx Delivery Device
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
20702
|
CPT
|
Mnl Prep&insj Imed Rx Dev
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
47001
|
CPT
|
Ndl Biopsy Lvr Tm Oth Maj Px
|
15
|
15
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$35,000.00
|
2026-07-05
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
58
|
34
|
$290,106.23
|
$188,569.05
35% off
|
$3,541.00
|
$246,590.30
|
$34,935.82
|
2026-07-05
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
76
|
63
|
—
|
$129,660.93
|
$9,802.97
|
$107,970.77
|
$34,798.48
|
2026-03-01
|
|
69930
|
CPT
|
Implant Cochlear Device
|
72
|
36
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$108,880.52
|
$34,748.00
|
2026-07-05
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
104
|
90
|
$209,018.27
|
$106,327.29
49% off
|
$7,489.30
|
$177,665.53
|
$34,666.92
|
2026-07-05
|
|
PX-2720001417
|
CDM
|
Hc Oxygenator Centrimag Precon Pack For Cpb Perfusion
|
30
|
26
|
$49,913.00
|
$32,443.45
35% off
|
$7,686.60
|
$46,419.09
|
$34,639.62
|
2026-03-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
109
|
93
|
$73,140.24
|
$101,289.94
|
$3,541.00
|
$107,285.89
|
$34,597.40
|
2026-07-05
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
98
|
82
|
$174,696.12
|
$58,978.79
66% off
|
$3,541.00
|
$148,491.70
|
$34,505.47
|
2026-07-05
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
22
|
22
|
$79,728.89
|
$51,823.78
35% off
|
$3,541.00
|
$72,601.28
|
$34,283.42
|
2026-07-05
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
97
|
83
|
$67,395.91
|
$72,334.29
|
$3,541.00
|
$94,733.57
|
$34,182.52
|
2026-07-05
|
|
911
|
MS_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,major
|
12
|
12
|
—
|
—
|
$33,145.80
|
$42,050.52
|
$34,140.17
|
2026-03-01
|
|
608
|
MS_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,moder…
|
12
|
12
|
—
|
—
|
$33,046.79
|
$41,924.91
|
$34,038.19
|
2026-03-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
99
|
86
|
$107,178.61
|
$187,562.24
|
$9,802.97
|
$135,608.56
|
$33,961.30
|
2026-07-05
|
|
SUP-VAMF2626C100TU
|
CDM
|
Endo Valiant Pm 26x26x100 (vamf2626c100tu C28242)
|
30
|
26
|
$48,839.38
|
$31,745.60
35% off
|
$7,521.26
|
$45,420.62
|
$33,894.53
|
2026-03-01
|
|
SUP-VAMF2828C100TU
|
CDM
|
Endo Valiant Pm 28x28x100 (vamf2828c100tu C28243)
|
30
|
26
|
$48,839.38
|
$31,745.60
35% off
|
$7,521.26
|
$45,420.62
|
$33,894.53
|
2026-03-01
|
|
33225
|
CPT
|
Hc Ins Electrode Defibrillator/ Pacemaker
|
50
|
43
|
$78,541.00
|
$51,051.65
35% off
|
$1,241.57
|
$80,617.33
|
$33,892.26
|
2026-03-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
107
|
94
|
$53,161.41
|
$112,813.49
|
$3,541.00
|
$110,175.60
|
$33,757.87
|
2026-07-05
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
106
|
90
|
$117,267.40
|
$110,081.71
|
$9,802.97
|
$105,035.23
|
$33,694.26
|
2026-07-05
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
88
|
76
|
$170,114.57
|
$175,655.37
|
$3,541.00
|
$144,597.38
|
$33,687.04
|
2026-07-05
|
|
A0604
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0701
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0702
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0603
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1904
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1805
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1806
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0703
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0602
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0203
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1902
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D2001
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0201
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0505
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1802
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0601
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0506
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0110
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1803
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0204
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0704
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1704
|
HCPCS
|
Moderna Vacc Admin 2nd Dose
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0804
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0202
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1705
|
HCPCS
|
Astrazeneca Vacc Adm 1st Dos
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1804
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D2002
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0502
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0503
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0501
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1701
|
HCPCS
|
Pfizer Vacc Admin 1st Dose
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1404
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1403
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1502
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
13235
|
CPT
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
B0107
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1503
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1702
|
HCPCS
|
Pfizer Vacc Admin 2nd Dose
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1004
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0406
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
D1102
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0405
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0404
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|
|
A0504
|
HCPCS
|
—
|
14
|
14
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$50,000.00
|
$33,675.00
|
2026-07-05
|