|
J1414
|
OTHER
|
Inj- Beqvez- Per Tx Dose
|
13
|
13
|
—
|
—
|
$3,710,000.00
|
$3,895,500.00
|
$3,710,000.00
|
2026-05-06
|
|
J1411
|
OTHER
|
Inj- Hemgenix- Per Tx Dose
|
15
|
14
|
—
|
—
|
$3,672,900.00
|
$3,895,500.00
|
$3,710,000.00
|
2026-05-06
|
|
C9172
|
OTHER
|
Inj- Beqvez- Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,605,000.00
|
$3,605,000.00
|
$3,605,000.00
|
2026-05-06
|
|
J1413
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
15
|
14
|
—
|
—
|
$3,296,000.00
|
$3,487,870.59
|
$3,321,781.51
|
2026-05-06
|
|
J3394
|
OTHER
|
Inj- Lovotibeglogene Autotem
|
14
|
13
|
—
|
—
|
$3,193,000.00
|
$3,352,650.00
|
$3,193,000.00
|
2026-05-06
|
|
J3393
|
OTHER
|
Inj- Betibeglogene Autotemce
|
14
|
13
|
—
|
—
|
$2,968,000.00
|
$3,116,400.00
|
$2,968,000.00
|
2026-05-06
|
|
J3399
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
21
|
18
|
—
|
—
|
$25,490.25
|
$2,523,631.69
|
$2,403,458.75
|
2026-05-06
|
|
J3392
|
OTHER
|
Inj- Exagamglogene Autotem
|
13
|
13
|
—
|
—
|
$2,332,000.00
|
$2,448,600.00
|
$2,332,000.00
|
2026-05-06
|
|
Q2042
|
OTHER
|
Tisagenlecleucel Car-pos T
|
21
|
18
|
—
|
—
|
$508,250.00
|
$593,905.03
|
$565,623.84
|
2026-05-06
|
|
Q2056
|
OTHER
|
Ciltacabtagene Car-pos T
|
15
|
14
|
—
|
—
|
$507,195.92
|
$578,884.26
|
$551,318.34
|
2026-05-06
|
|
Q2055
|
OTHER
|
Idecabtagene Vicleucel Car
|
15
|
14
|
—
|
—
|
$484,690.30
|
$554,728.05
|
$528,312.43
|
2026-05-06
|
|
Q2054
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
15
|
14
|
—
|
—
|
$473,853.52
|
$542,310.27
|
$516,485.97
|
2026-05-06
|
|
Q2041
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
15
|
14
|
—
|
—
|
$449,440.00
|
$513,993.01
|
$489,517.15
|
2026-05-06
|
|
Q2053
|
OTHER
|
Brexucabtagene Car Pos T
|
15
|
14
|
—
|
—
|
$449,440.00
|
$512,454.09
|
$488,051.51
|
2026-05-06
|
|
5834
|
OTHER
|
Neonate W Ecmo
|
6
|
6
|
—
|
—
|
$248,285.52
|
$260,699.70
|
$253,251.29
|
2026-05-06
|
|
5884
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
6
|
6
|
—
|
—
|
$223,307.83
|
$234,473.14
|
$227,774.04
|
2026-05-06
|
|
MS-018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
16
|
14
|
—
|
—
|
$223,880.05
|
$1,127,612.72
|
$223,880.05
|
2026-05-06
|
|
MS-612
|
OTHER
|
Neonate- Birth Weight <750 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$215,963.27
|
$215,963.27
|
$215,963.27
|
2026-05-06
|
|
1614
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
6
|
6
|
—
|
—
|
$205,974.75
|
$216,273.41
|
$210,094.29
|
2026-05-06
|
|
MS-636
|
OTHER
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…
|
1
|
1
|
—
|
—
|
$198,174.40
|
$198,174.40
|
$198,174.40
|
2026-05-06
|
|
0034
|
OTHER
|
Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$187,752.19
|
$197,139.72
|
$191,507.27
|
2026-05-06
|
|
0024
|
OTHER
|
Heart /or Lung Transplant
|
6
|
6
|
—
|
—
|
$186,349.42
|
$195,666.82
|
$190,076.45
|
2026-05-06
|
|
5833
|
OTHER
|
Neonate W Ecmo
|
6
|
6
|
—
|
—
|
$178,561.54
|
$187,489.55
|
$182,132.82
|
2026-05-06
|
|
MS-633
|
OTHER
|
Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…
|
1
|
1
|
—
|
—
|
$178,047.54
|
$178,047.54
|
$178,047.54
|
2026-05-06
|
|
MS-631
|
OTHER
|
Neonate- Birth Weight 750-999 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$173,448.65
|
$173,448.65
|
$173,448.65
|
2026-05-06
|
|
8414
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
6
|
6
|
—
|
—
|
$164,037.09
|
$172,238.88
|
$167,317.87
|
2026-05-06
|
|
MS-001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
17
|
14
|
—
|
—
|
$167,219.63
|
$280,853.96
|
$167,219.63
|
2026-05-06
|
|
5832
|
OTHER
|
Neonate W Ecmo
|
6
|
6
|
—
|
—
|
$162,328.21
|
$170,444.55
|
$165,574.81
|
2026-05-06
|
|
0014
|
OTHER
|
Liver Transplant /or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$158,445.60
|
$166,367.82
|
$161,614.55
|
2026-05-06
|
|
5883
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
6
|
6
|
—
|
—
|
$147,288.41
|
$154,652.77
|
$150,234.21
|
2026-05-06
|
|
0044
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
6
|
6
|
—
|
—
|
$145,945.42
|
$153,242.64
|
$148,864.36
|
2026-05-06
|
|
0064
|
OTHER
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$144,030.40
|
$151,231.87
|
$146,911.04
|
2026-05-06
|
|
MS-927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
18
|
14
|
—
|
—
|
$140,829.15
|
$709,311.72
|
$140,829.15
|
2026-05-06
|
|
5914
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
6
|
6
|
—
|
—
|
$136,345.59
|
$143,162.82
|
$139,072.54
|
2026-05-06
|
|
4820089111
|
OTHER
|
Tremelimumab-actl 300 Mg Vial
|
12
|
11
|
$136,500.00
|
$81,900.00
40% off
|
$48,512.10
|
$136,500.00
|
$136,500.00
|
2026-05-06
|
|
5934
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
6
|
6
|
—
|
—
|
$126,211.87
|
$132,522.41
|
$128,736.14
|
2026-05-06
|
|
MS-453
|
OTHER
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
4
|
3
|
—
|
—
|
$86,808.83
|
$264,955.86
|
$128,227.00
|
2026-05-06
|
|
MS-003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
16
|
14
|
—
|
—
|
$127,227.57
|
$640,804.84
|
$127,227.57
|
2026-05-06
|
|
0023
|
OTHER
|
Heart /or Lung Transplant
|
6
|
6
|
—
|
—
|
$124,249.44
|
$130,461.86
|
$126,734.46
|
2026-05-06
|
|
6094
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
6
|
6
|
—
|
—
|
$122,789.98
|
$128,929.44
|
$125,245.81
|
2026-05-06
|
|
MS-222
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
3
|
2
|
—
|
—
|
$122,022.12
|
$249,503.54
|
$122,022.12
|
2026-05-06
|
|
5891
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
6
|
6
|
—
|
—
|
$119,010.45
|
$124,960.93
|
$121,390.69
|
2026-05-06
|
|
6304
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
6
|
6
|
—
|
—
|
$115,510.23
|
$121,285.70
|
$117,820.47
|
2026-05-06
|
|
4820088109
|
OTHER
|
Ipilimumab 200mg Inj
|
12
|
11
|
$117,112.31
|
$70,267.39
40% off
|
$41,621.71
|
$117,112.31
|
$117,112.31
|
2026-05-06
|
|
MS-359
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$111,669.31
|
$111,669.31
|
$111,669.31
|
2026-05-06
|
|
MS-224
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
3
|
2
|
—
|
—
|
$111,292.18
|
$221,146.38
|
$111,292.18
|
2026-05-06
|
|
3034
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
6
|
6
|
—
|
—
|
$108,988.04
|
$114,437.40
|
$111,167.83
|
2026-05-06
|
|
5892
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
6
|
6
|
—
|
—
|
$108,192.35
|
$113,601.93
|
$110,356.22
|
2026-05-06
|
|
6024
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$107,946.02
|
$113,343.27
|
$110,104.96
|
2026-05-06
|
|
0033
|
OTHER
|
Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$104,473.63
|
$109,697.27
|
$106,563.12
|
2026-05-06
|
|
5831
|
OTHER
|
Neonate W Ecmo
|
6
|
6
|
—
|
—
|
$102,800.82
|
$107,940.82
|
$104,856.86
|
2026-05-06
|
|
MS-223
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
3
|
2
|
—
|
—
|
$104,647.75
|
$179,486.71
|
$104,647.75
|
2026-05-06
|
|
4404
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$102,214.36
|
$107,325.04
|
$104,258.67
|
2026-05-06
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
6
|
—
|
—
|
$100,314.80
|
$105,330.50
|
$102,321.12
|
2026-05-06
|
|
MS-681
|
OTHER
|
Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip…
|
1
|
1
|
—
|
—
|
$102,193.50
|
$102,193.50
|
$102,193.50
|
2026-05-06
|
|
1624
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$99,961.28
|
$104,959.30
|
$101,960.52
|
2026-05-06
|
|
0022
|
OTHER
|
Heart /or Lung Transplant
|
6
|
6
|
—
|
—
|
$99,637.64
|
$104,619.48
|
$101,630.42
|
2026-05-06
|
|
6314
|
OTHER
|
Neonate Birthwt >2499g W Other Major Procedure
|
6
|
6
|
—
|
—
|
$99,279.99
|
$104,243.95
|
$101,265.61
|
2026-05-06
|
|
0054
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
6
|
6
|
—
|
—
|
$98,860.50
|
$103,803.49
|
$100,837.73
|
2026-05-06
|
|
5893
|
OTHER
|
Neonate Bwt <500g Or Ga <24 Weeks
|
6
|
6
|
—
|
—
|
$98,357.53
|
$103,275.36
|
$100,324.70
|
2026-05-06
|
|
MS-454
|
OTHER
|
Combined Anterior/posterior Spinal Fusion W Cc
|
4
|
3
|
—
|
—
|
$47,520.05
|
$182,877.37
|
$100,087.05
|
2026-05-06
|
|
Q0480
|
OTHER
|
Driver Pneumatic Vad- Rep
|
18
|
14
|
—
|
—
|
$55,266.96
|
$104,999.92
|
$99,999.92
|
2026-05-06
|
|
8424
|
OTHER
|
Full Thickness Burns W Skin Graft
|
6
|
6
|
—
|
—
|
$97,969.99
|
$102,868.45
|
$99,929.41
|
2026-05-06
|
|
0043
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
6
|
6
|
—
|
—
|
$95,317.00
|
$100,082.81
|
$97,223.36
|
2026-05-06
|
|
MS-225
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
3
|
2
|
—
|
—
|
$95,746.13
|
$168,899.12
|
$95,746.13
|
2026-05-06
|
|
0063
|
OTHER
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$93,775.09
|
$98,463.80
|
$95,650.61
|
2026-05-06
|
|
0013
|
OTHER
|
Liver Transplant /or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$91,108.70
|
$95,664.10
|
$92,930.89
|
2026-05-06
|
|
5913
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
6
|
6
|
—
|
—
|
$90,991.20
|
$95,540.72
|
$92,811.04
|
2026-05-06
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$90,935.54
|
$95,482.28
|
$92,754.27
|
2026-05-06
|
|
4820089054
|
OTHER
|
Ustekinumab Inj 90 Mg
|
12
|
11
|
$90,365.35
|
$54,219.21
40% off
|
$32,115.85
|
$90,365.35
|
$90,365.35
|
2026-05-06
|
|
MS-226
|
OTHER
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
2
|
—
|
—
|
$89,916.66
|
$199,962.23
|
$89,916.66
|
2026-05-06
|
|
0062
|
OTHER
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$87,438.42
|
$91,810.30
|
$89,187.21
|
2026-05-06
|
|
1613
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
6
|
6
|
—
|
—
|
$86,649.94
|
$90,982.40
|
$88,382.96
|
2026-05-06
|
|
5933
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
6
|
6
|
—
|
—
|
$85,340.97
|
$89,607.98
|
$87,047.81
|
2026-05-06
|
|
MS-455
|
OTHER
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
4
|
3
|
—
|
—
|
$34,589.42
|
$137,707.44
|
$86,723.34
|
2026-05-06
|
|
3044
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
6
|
6
|
—
|
—
|
$84,168.04
|
$88,376.41
|
$85,851.42
|
2026-05-06
|
|
0021
|
OTHER
|
Heart /or Lung Transplant
|
6
|
6
|
—
|
—
|
$84,106.20
|
$88,311.48
|
$85,788.35
|
2026-05-06
|
|
1654
|
OTHER
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
6
|
6
|
—
|
—
|
$82,812.69
|
$86,953.29
|
$84,468.96
|
2026-05-06
|
|
MS-635
|
OTHER
|
Neonate- Birth Weight 1000-1499 Grams- Died
|
1
|
1
|
—
|
—
|
$84,456.81
|
$84,456.81
|
$84,456.81
|
2026-05-06
|
|
MS-004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
16
|
14
|
—
|
—
|
$83,882.00
|
$422,487.00
|
$83,882.00
|
2026-05-06
|
|
6074
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$81,947.94
|
$86,045.31
|
$83,586.92
|
2026-05-06
|
|
6023
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$79,973.14
|
$83,971.77
|
$81,572.62
|
2026-05-06
|
|
3033
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
6
|
6
|
—
|
—
|
$79,928.82
|
$83,925.23
|
$81,527.42
|
2026-05-06
|
|
MS-131
|
OTHER
|
Cranial/facial Procedures W Cc/mcc
|
1
|
1
|
—
|
—
|
$80,410.07
|
$80,410.07
|
$80,410.07
|
2026-05-06
|
|
MS-634
|
OTHER
|
Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc…
|
1
|
1
|
—
|
—
|
$80,163.99
|
$80,163.99
|
$80,163.99
|
2026-05-06
|
|
0061
|
OTHER
|
Pancreas Transplant
|
6
|
6
|
—
|
—
|
$77,652.03
|
$81,534.61
|
$79,205.09
|
2026-05-06
|
|
0012
|
OTHER
|
Liver Transplant /or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$77,566.49
|
$81,444.78
|
$79,117.83
|
2026-05-06
|
|
0011
|
OTHER
|
Liver Transplant /or Intestinal Transplant
|
6
|
6
|
—
|
—
|
$77,135.66
|
$80,992.41
|
$78,678.39
|
2026-05-06
|
|
MS-014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
17
|
14
|
—
|
—
|
$77,778.15
|
$122,900.58
|
$77,778.15
|
2026-05-06
|
|
MS-007
|
OTHER
|
Lung Transplant
|
17
|
14
|
—
|
—
|
$77,582.24
|
$106,040.83
|
$77,582.24
|
2026-05-06
|
|
MS-227
|
OTHER
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
2
|
—
|
—
|
$76,668.19
|
$156,353.08
|
$76,668.19
|
2026-05-06
|
|
MS-613
|
OTHER
|
Neonate- Birth Weight <750 Grams- Died
|
1
|
1
|
—
|
—
|
$76,597.81
|
$76,597.81
|
$76,597.81
|
2026-05-06
|
|
1674
|
OTHER
|
Other Cardiothoracic Procedures
|
6
|
6
|
—
|
—
|
$74,831.04
|
$78,572.56
|
$76,327.68
|
2026-05-06
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
6
|
6
|
—
|
—
|
$74,327.03
|
$78,043.36
|
$75,813.59
|
2026-05-06
|
|
4014
|
OTHER
|
Pituitary Adrenal Procedures
|
6
|
6
|
—
|
—
|
$74,119.87
|
$77,825.83
|
$75,602.28
|
2026-05-06
|
|
0904
|
OTHER
|
Major Larynx Trachea Procedures
|
6
|
6
|
—
|
—
|
$73,635.44
|
$77,317.19
|
$75,108.17
|
2026-05-06
|
|
1664
|
OTHER
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
6
|
6
|
—
|
—
|
$73,463.32
|
$77,136.46
|
$74,932.60
|
2026-05-06
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses
|
6
|
6
|
—
|
—
|
$73,330.36
|
$76,996.85
|
$74,796.98
|
2026-05-06
|
|
6034
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$72,920.15
|
$76,566.12
|
$74,378.57
|
2026-05-06
|
|
MS-459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
4
|
3
|
—
|
—
|
$39,723.35
|
$198,305.77
|
$74,030.85
|
2026-05-06
|
|
5882
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
6
|
6
|
—
|
—
|
$72,183.20
|
$75,792.34
|
$73,626.88
|
2026-05-06
|
|
9124
|
OTHER
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
6
|
6
|
—
|
—
|
$70,997.91
|
$74,547.78
|
$72,417.89
|
2026-05-06
|
|
0042
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
6
|
6
|
—
|
—
|
$69,573.50
|
$73,052.15
|
$70,964.99
|
2026-05-06
|
|
0053
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
6
|
6
|
—
|
—
|
$69,195.24
|
$72,654.97
|
$70,579.16
|
2026-05-06
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
6
|
6
|
—
|
—
|
$68,322.25
|
$71,738.33
|
$69,688.71
|
2026-05-06
|
|
6093
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
6
|
6
|
—
|
—
|
$67,649.21
|
$71,031.64
|
$69,002.21
|
2026-05-06
|
|
6033
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$67,599.73
|
$70,979.69
|
$68,951.74
|
2026-05-06
|
|
3214
|
OTHER
|
Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp
|
6
|
6
|
—
|
—
|
$67,438.95
|
$70,810.87
|
$68,787.74
|
2026-05-06
|
|
MS-129
|
OTHER
|
Major Head & Neck Procedures W Cc/mcc Or Major Device
|
1
|
1
|
—
|
—
|
$68,450.07
|
$68,450.07
|
$68,450.07
|
2026-05-06
|
|
0041
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
6
|
6
|
—
|
—
|
$66,908.14
|
$70,253.52
|
$68,246.32
|
2026-05-06
|
|
0234
|
OTHER
|
Spinal Procedures
|
7
|
7
|
—
|
—
|
$80.00
|
$69,540.34
|
$67,553.51
|
2026-05-06
|
|
L8702
|
OTHER
|
Ewhf S/d Uprt Micro Sensor
|
14
|
13
|
—
|
—
|
$65,871.74
|
$70,825.29
|
$67,452.66
|
2026-05-06
|
|
8413
|
OTHER
|
Extensive 3rd Degree Burns W Skin Graft
|
6
|
6
|
—
|
—
|
$66,033.09
|
$69,334.72
|
$67,353.77
|
2026-05-06
|
|
2604
|
OTHER
|
Major Pancreas, Liver & Shunt Procedures
|
6
|
6
|
—
|
—
|
$65,781.60
|
$69,070.65
|
$67,097.25
|
2026-05-06
|
|
1694
|
OTHER
|
Major Thoracic Abdominal Vascular Procedures
|
6
|
6
|
—
|
—
|
$65,544.54
|
$68,821.74
|
$66,855.45
|
2026-05-06
|
|
1623
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$65,281.72
|
$68,545.78
|
$66,587.37
|
2026-05-06
|
|
0214
|
OTHER
|
Craniotomy Except For Trauma
|
6
|
6
|
—
|
—
|
$64,912.73
|
$68,158.34
|
$66,211.00
|
2026-05-06
|
|
0032
|
OTHER
|
Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$64,587.03
|
$67,816.36
|
$65,878.79
|
2026-05-06
|
|
4820902068
|
OTHER
|
Ocrelizumab 300 Mg Inj
|
12
|
11
|
$65,714.60
|
$39,428.76
40% off
|
$23,354.97
|
$65,714.60
|
$65,714.60
|
2026-05-06
|
|
6124
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
6
|
6
|
—
|
—
|
$64,207.74
|
$67,418.10
|
$65,491.91
|
2026-05-06
|
|
MS-002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
17
|
14
|
—
|
—
|
$65,417.87
|
$105,848.47
|
$65,417.87
|
2026-05-06
|
|
6073
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$63,782.07
|
$66,971.14
|
$65,057.72
|
2026-05-06
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
6
|
6
|
—
|
—
|
$63,738.78
|
$66,925.69
|
$65,013.57
|
2026-05-06
|
|
3300060048
|
OTHER
|
Or Time (706 To 720 Minutes)
|
12
|
11
|
$64,900.00
|
$38,940.00
40% off
|
$23,065.46
|
$64,900.00
|
$64,900.00
|
2026-05-06
|
|
MS-212
|
OTHER
|
Testes Procedures Age 0-17
|
19
|
14
|
—
|
—
|
$7,147.17
|
$325,727.61
|
$64,671.06
|
2026-05-06
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
6
|
6
|
—
|
—
|
$63,330.62
|
$66,497.13
|
$64,597.25
|
2026-05-06
|
|
MS-632
|
OTHER
|
Neonate- Birth Weight 750-999 Grams- Died
|
1
|
1
|
—
|
—
|
$64,378.23
|
$64,378.23
|
$64,378.23
|
2026-05-06
|
|
4034
|
OTHER
|
Procedures For Obesity
|
6
|
6
|
—
|
—
|
$63,027.60
|
$66,178.96
|
$64,288.17
|
2026-05-06
|
|
MS-133
|
OTHER
|
Other Ear- Nose- Mouth & Throat O.r. Procedures W Cc/mcc
|
1
|
1
|
—
|
—
|
$64,192.31
|
$64,192.31
|
$64,192.31
|
2026-05-06
|
|
4403
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$62,419.50
|
$65,540.45
|
$63,667.90
|
2026-05-06
|
|
6084
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$62,278.29
|
$65,392.18
|
$63,523.87
|
2026-05-06
|
|
J9029
|
OTHER
|
Instill Adstiladrin- Tx Dose
|
24
|
18
|
—
|
—
|
$61,800.00
|
$66,572.14
|
$63,499.33
|
2026-05-06
|
|
MS-005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
17
|
14
|
—
|
—
|
$63,219.60
|
$87,007.42
|
$63,219.60
|
2026-05-06
|
|
9504
|
OTHER
|
Extensive Procedure Unrelated To Principal Diagnosis
|
6
|
6
|
—
|
—
|
$61,936.10
|
$65,032.88
|
$63,174.84
|
2026-05-06
|
|
MS-215
|
OTHER
|
Other Heart Assist System Implant
|
19
|
14
|
—
|
—
|
$62,895.47
|
$316,784.52
|
$62,895.47
|
2026-05-06
|
|
2204
|
OTHER
|
Major Stomach, Esophageal & Duodenal Procedures
|
6
|
6
|
—
|
—
|
$61,436.22
|
$64,508.01
|
$62,664.96
|
2026-05-06
|
|
6514
|
OTHER
|
Other Procedures Of Blood & Blood-forming Organs
|
6
|
6
|
—
|
—
|
$61,367.16
|
$64,435.50
|
$62,594.52
|
2026-05-06
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms
|
6
|
6
|
—
|
—
|
$60,984.78
|
$64,033.99
|
$62,204.49
|
2026-05-06
|
|
MS-426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
14
|
—
|
—
|
$11,834.06
|
$313,214.46
|
$62,186.66
|
2026-05-06
|
|
6022
|
OTHER
|
Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$60,507.57
|
$63,532.92
|
$61,717.74
|
2026-05-06
|
|
9114
|
OTHER
|
Extensive Abdominal/thoracic Procedures For Mult Significant Trauma
|
6
|
6
|
—
|
—
|
$59,819.07
|
$62,810.00
|
$61,015.47
|
2026-05-06
|
|
0204
|
OTHER
|
Craniotomy For Trauma
|
6
|
6
|
—
|
—
|
$59,686.11
|
$62,670.39
|
$60,879.85
|
2026-05-06
|
|
3300060047
|
OTHER
|
Or Time (691 To 705 Minutes)
|
12
|
11
|
$60,574.00
|
$36,344.40
40% off
|
$21,528.00
|
$60,574.00
|
$60,574.00
|
2026-05-06
|
|
0894
|
OTHER
|
Major Cranial/facial Bone Procedures
|
6
|
6
|
—
|
—
|
$59,384.12
|
$62,353.30
|
$60,571.82
|
2026-05-06
|
|
1204
|
OTHER
|
Major Respiratory & Chest Procedures
|
6
|
6
|
—
|
—
|
$59,165.61
|
$62,123.87
|
$60,348.94
|
2026-05-06
|
|
3300060046
|
OTHER
|
Or Time (676 To 690 Minutes)
|
12
|
11
|
$59,340.00
|
$35,604.00
40% off
|
$21,089.44
|
$59,340.00
|
$59,340.00
|
2026-05-06
|
|
5912
|
OTHER
|
Neonate Birthwt 500-749g Without Major Procedure
|
6
|
6
|
—
|
—
|
$57,380.46
|
$60,249.46
|
$58,528.08
|
2026-05-06
|
|
3032
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
6
|
6
|
—
|
—
|
$57,122.79
|
$59,978.91
|
$58,265.26
|
2026-05-06
|
|
2214
|
OTHER
|
Major Small Large Bowel Procedures
|
6
|
6
|
—
|
—
|
$57,048.58
|
$59,900.99
|
$58,189.57
|
2026-05-06
|
|
3300060045
|
OTHER
|
Or Time (661 To 675 Minutes)
|
12
|
11
|
$58,105.00
|
$34,863.00
40% off
|
$20,650.52
|
$58,105.00
|
$58,105.00
|
2026-05-06
|
|
38240
|
OTHER
|
Transplt Allo Hct/donor
|
25
|
18
|
—
|
—
|
$5,915.59
|
$93,968.98
|
$57,864.93
|
2026-05-06
|
|
MS-216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
14
|
—
|
—
|
$57,293.25
|
$288,567.89
|
$57,293.25
|
2026-05-06
|
|
4290100007
|
OTHER
|
Icd Dual Chamber
|
12
|
11
|
$57,000.00
|
$34,200.00
40% off
|
$20,257.80
|
$57,000.00
|
$57,000.00
|
2026-05-06
|
|
3300060044
|
OTHER
|
Or Time (646 To 660 Minutes)
|
12
|
11
|
$56,871.00
|
$34,122.60
40% off
|
$20,211.95
|
$56,871.00
|
$56,871.00
|
2026-05-06
|
|
A9543
|
OTHER
|
Y90 Ibritumomab- Rx
|
18
|
14
|
—
|
—
|
$40,876.50
|
$76,219.01
|
$56,824.55
|
2026-05-06
|
|
1653
|
OTHER
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
6
|
6
|
—
|
—
|
$54,887.23
|
$57,631.57
|
$55,984.99
|
2026-05-06
|
|
1612
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
6
|
6
|
—
|
—
|
$54,639.86
|
$57,371.83
|
$55,732.67
|
2026-05-06
|
|
3300060043
|
OTHER
|
Or Time (631 To 645 Minutes)
|
12
|
11
|
$55,636.00
|
$33,381.60
40% off
|
$19,773.03
|
$55,636.00
|
$55,636.00
|
2026-05-06
|
|
Q2043
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
24
|
18
|
—
|
—
|
$52,361.56
|
$58,993.58
|
$55,536.50
|
2026-05-06
|
|
0244
|
OTHER
|
Extracranial Vascular Procedures
|
6
|
6
|
—
|
—
|
$54,385.28
|
$57,104.53
|
$55,473.00
|
2026-05-06
|
|
6083
|
OTHER
|
Neonate Bwt 1250-1499g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$54,300.77
|
$57,015.78
|
$55,386.79
|
2026-05-06
|
|
1734
|
OTHER
|
Other Vascular Procedures
|
6
|
6
|
—
|
—
|
$54,154.41
|
$56,862.11
|
$55,237.51
|
2026-05-06
|
|
6904
|
OTHER
|
Acute Leukemia
|
6
|
6
|
—
|
—
|
$54,114.21
|
$56,819.90
|
$55,196.51
|
2026-05-06
|
|
4290063958
|
OTHER
|
Perc Des Sgl Art Rc
|
12
|
11
|
$55,174.00
|
$33,104.40
40% off
|
$19,608.84
|
$55,174.00
|
$55,174.00
|
2026-05-06
|
|
4290063957
|
OTHER
|
Per Des Sgl Art Ld
|
12
|
11
|
$55,174.00
|
$33,104.40
40% off
|
$19,608.84
|
$55,174.00
|
$55,174.00
|
2026-05-06
|
|
4290063956
|
OTHER
|
Perc Des Sgl Art Lc
|
12
|
11
|
$55,174.00
|
$33,104.40
40% off
|
$19,608.84
|
$55,174.00
|
$55,174.00
|
2026-05-06
|
|
4290063955
|
OTHER
|
Perc Drug El Stent Sing Art Lc
|
12
|
11
|
$55,174.00
|
$33,104.40
40% off
|
$19,608.84
|
$55,174.00
|
$55,174.00
|
2026-05-06
|
|
6114
|
OTHER
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
6
|
6
|
—
|
—
|
$54,050.31
|
$56,752.80
|
$55,131.33
|
2026-05-06
|
|
0052
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
6
|
6
|
—
|
—
|
$53,931.78
|
$56,628.35
|
$55,010.43
|
2026-05-06
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs
|
6
|
6
|
—
|
—
|
$53,922.50
|
$56,618.61
|
$55,000.97
|
2026-05-06
|
|
6303
|
OTHER
|
Neonate Birthwt >2499g W Major Cardiovascular Procedure
|
6
|
6
|
—
|
—
|
$53,852.42
|
$56,545.02
|
$54,929.48
|
2026-05-06
|
|
MS-850
|
OTHER
|
Acute Leukemia With Other Procedures
|
18
|
13
|
—
|
—
|
$46,234.00
|
$275,435.81
|
$54,685.96
|
2026-05-06
|
|
5932
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
6
|
6
|
—
|
—
|
$53,506.11
|
$56,181.39
|
$54,576.24
|
2026-05-06
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas & Abdominal Procedures
|
6
|
6
|
—
|
—
|
$53,492.71
|
$56,167.32
|
$54,562.57
|
2026-05-06
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$53,383.45
|
$56,052.61
|
$54,451.14
|
2026-05-06
|
|
3300060042
|
OTHER
|
Or Time (616 To 630 Minutes)
|
12
|
11
|
$54,400.00
|
$32,640.00
40% off
|
$19,333.76
|
$54,400.00
|
$54,400.00
|
2026-05-06
|
|
0224
|
OTHER
|
Ventricular Shunt Procedures
|
6
|
6
|
—
|
—
|
$53,193.81
|
$55,853.48
|
$54,257.70
|
2026-05-06
|
|
6504
|
OTHER
|
Splenectomy
|
6
|
6
|
—
|
—
|
$52,384.72
|
$55,003.93
|
$53,432.42
|
2026-05-06
|
|
6144
|
OTHER
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$52,361.01
|
$54,979.04
|
$53,408.24
|
2026-05-06
|
|
7114
|
OTHER
|
Post-op, Post-trauma, Other Device Infections W O.r. Procedure
|
6
|
6
|
—
|
—
|
$52,126.01
|
$54,732.30
|
$53,168.55
|
2026-05-06
|
|
3300060041
|
OTHER
|
Or Time (601 To 615 Minutes)
|
12
|
11
|
$53,166.00
|
$31,899.60
40% off
|
$18,895.20
|
$53,166.00
|
$53,166.00
|
2026-05-06
|
|
MS-460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
4
|
3
|
—
|
—
|
$28,090.22
|
$109,371.21
|
$53,029.54
|
2026-05-06
|
|
1214
|
OTHER
|
Other Respiratory & Chest Procedures
|
6
|
6
|
—
|
—
|
$51,886.90
|
$54,481.22
|
$52,924.65
|
2026-05-06
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
6
|
6
|
—
|
—
|
$51,782.80
|
$54,371.92
|
$52,818.46
|
2026-05-06
|
|
4402
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$51,613.76
|
$54,194.43
|
$52,646.05
|
2026-05-06
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
6
|
6
|
—
|
—
|
$51,548.83
|
$54,126.25
|
$52,579.82
|
2026-05-06
|
|
5114
|
OTHER
|
Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy
|
6
|
6
|
—
|
—
|
$51,417.93
|
$53,988.81
|
$52,446.30
|
2026-05-06
|
|
3043
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
6
|
6
|
—
|
—
|
$51,167.48
|
$53,725.83
|
$52,190.84
|
2026-05-06
|
|
MS-361
|
OTHER
|
Cardiac Defibrillator Implant With Mcc
|
1
|
1
|
—
|
—
|
$52,153.99
|
$52,153.99
|
$52,153.99
|
2026-05-06
|
|
1622
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$51,020.09
|
$53,571.07
|
$52,040.50
|
2026-05-06
|
|
3300060040
|
OTHER
|
Or Time (586 To 600 Minutes)
|
12
|
11
|
$51,931.00
|
$31,158.60
40% off
|
$18,456.28
|
$51,931.00
|
$51,931.00
|
2026-05-06
|
|
7104
|
OTHER
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
6
|
6
|
—
|
—
|
$50,896.40
|
$53,441.20
|
$51,914.34
|
2026-05-06
|
|
7914
|
OTHER
|
O.r. Procedure For Other Complications Of Treatment
|
6
|
6
|
—
|
—
|
$50,824.26
|
$53,365.45
|
$51,840.75
|
2026-05-06
|
|
4290063931
|
OTHER
|
Pm Remv Replc Gen Dual Ex Lead
|
12
|
11
|
$51,797.00
|
$31,078.20
40% off
|
$18,408.65
|
$51,797.00
|
$51,797.00
|
2026-05-06
|
|
MS-647
|
OTHER
|
Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…
|
1
|
1
|
—
|
—
|
$51,778.60
|
$51,778.60
|
$51,778.60
|
2026-05-06
|
|
4424
|
OTHER
|
Kidney & Urinary Tract Procedures For Malignancy
|
6
|
6
|
—
|
—
|
$50,735.62
|
$53,272.38
|
$51,750.34
|
2026-05-06
|
|
2234
|
OTHER
|
Other Small & Large Bowel Procedures
|
6
|
6
|
—
|
—
|
$50,610.90
|
$53,141.43
|
$51,623.13
|
2026-05-06
|
|
6934
|
OTHER
|
Chemotherapy
|
6
|
6
|
—
|
—
|
$50,589.26
|
$53,118.70
|
$51,601.06
|
2026-05-06
|
|
0051
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
6
|
6
|
—
|
—
|
$50,506.80
|
$53,032.12
|
$51,516.95
|
2026-05-06
|
|
1704
|
OTHER
|
Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock
|
6
|
6
|
—
|
—
|
$50,350.14
|
$52,867.63
|
$51,357.15
|
2026-05-06
|
|
6134
|
OTHER
|
Neonate Birthwt 1500-1999g W Congenital/perinatal Infection
|
6
|
6
|
—
|
—
|
$50,325.40
|
$52,841.65
|
$51,331.92
|
2026-05-06
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional & Metabolic Disorders
|
6
|
6
|
—
|
—
|
$50,293.45
|
$52,808.10
|
$51,299.33
|
2026-05-06
|
|
0264
|
OTHER
|
Other Nervous System & Related Procedures
|
7
|
7
|
—
|
—
|
$80.00
|
$52,725.86
|
$51,219.43
|
2026-05-06
|
|
5881
|
OTHER
|
Neonate Bwt <1500g W Major Procedure
|
6
|
6
|
—
|
—
|
$49,894.58
|
$52,389.28
|
$50,892.48
|
2026-05-06
|
|
3300060039
|
OTHER
|
Or Time (571 To 585 Minutes)
|
12
|
11
|
$50,696.00
|
$30,417.60
40% off
|
$18,017.36
|
$50,696.00
|
$50,696.00
|
2026-05-06
|
|
1304
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
6
|
6
|
—
|
—
|
$49,621.44
|
$52,102.50
|
$50,613.88
|
2026-05-06
|
|
8444
|
OTHER
|
Partial Thickness Burns Without Skin Graft
|
6
|
6
|
—
|
—
|
$49,493.64
|
$51,968.30
|
$50,483.52
|
2026-05-06
|
|
MS-360
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$50,439.04
|
$50,439.04
|
$50,439.04
|
2026-05-06
|
|
MS-231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
19
|
14
|
—
|
—
|
$50,304.86
|
$253,369.61
|
$50,304.86
|
2026-05-06
|
|
MS-456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
19
|
14
|
—
|
—
|
$47,667.25
|
$253,229.08
|
$50,276.96
|
2026-05-06
|
|
4290100008
|
OTHER
|
Icd Triple Chamber
|
12
|
11
|
$50,000.00
|
$30,000.00
40% off
|
$17,770.00
|
$50,000.00
|
$50,000.00
|
2026-05-06
|
|
6072
|
OTHER
|
Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom
|
6
|
6
|
—
|
—
|
$48,942.22
|
$51,389.31
|
$49,921.08
|
2026-05-06
|
|
6224
|
OTHER
|
Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond
|
6
|
6
|
—
|
—
|
$48,650.54
|
$51,083.04
|
$49,623.56
|
2026-05-06
|
|
MS-429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
13
|
—
|
—
|
$49,513.53
|
$249,383.94
|
$49,513.53
|
2026-05-06
|
|
3300060038
|
OTHER
|
Or Time (556 To 570 Minutes)
|
12
|
11
|
$49,462.00
|
$29,677.20
40% off
|
$17,578.79
|
$49,462.00
|
$49,462.00
|
2026-05-06
|
|
3031
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
6
|
6
|
—
|
—
|
$48,482.53
|
$50,906.64
|
$49,452.19
|
2026-05-06
|
|
6344
|
OTHER
|
Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond
|
6
|
6
|
—
|
—
|
$48,373.28
|
$50,791.93
|
$49,340.76
|
2026-05-06
|
|
9514
|
OTHER
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
6
|
6
|
—
|
—
|
$48,313.50
|
$50,729.16
|
$49,279.78
|
2026-05-06
|
|
6123
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond
|
6
|
6
|
—
|
—
|
$48,239.29
|
$50,651.24
|
$49,204.09
|
2026-05-06
|
|
8504
|
OTHER
|
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service
|
6
|
6
|
—
|
—
|
$47,947.61
|
$50,344.97
|
$48,906.57
|
2026-05-06
|
|
4280040396
|
OTHER
|
Indigo Cath Lightning 100cm
|
12
|
11
|
$48,850.00
|
$29,310.00
40% off
|
$17,361.29
|
$48,850.00
|
$48,850.00
|
2026-05-06
|
|
2624
|
OTHER
|
Cholecystectomy Except Laparoscopic
|
6
|
6
|
—
|
—
|
$47,784.76
|
$50,173.98
|
$48,740.46
|
2026-05-06
|
|
L7181
|
OTHER
|
Electronic Elbo Simultaneous
|
18
|
14
|
—
|
—
|
$28,299.22
|
$51,064.43
|
$48,632.79
|
2026-05-06
|
|
4820082796
|
OTHER
|
Cabazitaxel 60 Mg Inj
|
12
|
11
|
$48,542.03
|
$29,125.22
40% off
|
$17,251.84
|
$48,542.03
|
$48,542.03
|
2026-05-06
|
|
3300060037
|
OTHER
|
Or Time (541 To 555 Minutes)
|
12
|
11
|
$48,227.00
|
$28,936.20
40% off
|
$17,139.88
|
$48,227.00
|
$48,227.00
|
2026-05-06
|
|
5124
|
OTHER
|
Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig
|
6
|
6
|
—
|
—
|
$47,104.50
|
$49,459.71
|
$48,046.60
|
2026-05-06
|
|
3300038656
|
OTHER
|
Mako Press-fit Tka Makopresfit
|
12
|
11
|
$48,000.00
|
$28,800.00
40% off
|
$17,059.20
|
$48,000.00
|
$48,000.00
|
2026-05-06
|
|
4820089089
|
OTHER
|
Nivolumab/rel 240/80mg Vl
|
12
|
11
|
$47,929.94
|
$28,757.97
40% off
|
$17,034.30
|
$47,929.94
|
$47,929.94
|
2026-05-06
|
|
MS-020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
19
|
14
|
—
|
—
|
$47,854.30
|
$241,026.89
|
$47,854.30
|
2026-05-06
|
|
3614
|
OTHER
|
Skin Graft For Skin & Subcutaneous Tissue Diagnoses
|
6
|
6
|
—
|
—
|
$46,804.57
|
$49,144.78
|
$47,740.68
|
2026-05-06
|
|
4804
|
OTHER
|
Major Male Pelvic Procedures
|
6
|
6
|
—
|
—
|
$46,646.88
|
$48,979.20
|
$47,579.83
|
2026-05-06
|
|
MS-132
|
OTHER
|
Cranial/facial Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$47,526.05
|
$47,526.05
|
$47,526.05
|
2026-05-06
|
|
1764
|
OTHER
|
Cardiac Pacemaker & Defibrillator Device Replacement
|
6
|
6
|
—
|
—
|
$46,453.11
|
$48,775.75
|
$47,382.18
|
2026-05-06
|
|
MS-010
|
OTHER
|
Pancreas Transplant
|
17
|
14
|
—
|
—
|
$41,612.75
|
$49,697.86
|
$47,331.30
|
2026-05-06
|
|
MS-019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
18
|
14
|
—
|
—
|
$47,060.00
|
$237,026.27
|
$47,060.00
|
2026-05-06
|
|
3300060036
|
OTHER
|
Or Time (526 To 540 Minutes)
|
12
|
11
|
$46,992.00
|
$28,195.20
40% off
|
$16,700.96
|
$46,992.00
|
$46,992.00
|
2026-05-06
|
|
4401
|
OTHER
|
Kidney Transplant
|
6
|
6
|
—
|
—
|
$46,037.74
|
$48,339.61
|
$46,958.51
|
2026-05-06
|
|
5184
|
OTHER
|
Other Female Reproductive System & Related Procedures
|
6
|
6
|
—
|
—
|
$45,922.30
|
$48,218.40
|
$46,840.76
|
2026-05-06
|
|
3154
|
OTHER
|
Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement
|
6
|
6
|
—
|
—
|
$45,908.90
|
$48,204.33
|
$46,827.09
|
2026-05-06
|
|
2224
|
OTHER
|
Other Stomach, Esophageal & Duodenal Procedures
|
6
|
6
|
—
|
—
|
$45,605.88
|
$47,886.16
|
$46,518.01
|
2026-05-06
|
|
4834
|
OTHER
|
Testes Scrotal Procedures
|
6
|
6
|
—
|
—
|
$45,600.73
|
$47,880.75
|
$46,512.75
|
2026-05-06
|
|
1621
|
OTHER
|
Cardiac Valve Procedures W Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$45,574.96
|
$47,853.69
|
$46,486.47
|
2026-05-06
|
|
MS-646
|
OTHER
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without…
|
1
|
1
|
—
|
—
|
$46,435.16
|
$46,435.16
|
$46,435.16
|
2026-05-06
|
|
MS-233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
19
|
14
|
—
|
—
|
$46,401.65
|
$233,710.36
|
$46,401.65
|
2026-05-06
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
6
|
6
|
—
|
—
|
$45,469.83
|
$47,743.31
|
$46,379.24
|
2026-05-06
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract & Related Procedures
|
6
|
6
|
—
|
—
|
$45,280.19
|
$47,544.18
|
$46,185.80
|
2026-05-06
|
|
3310024546
|
OTHER
|
Treat Humerus Fx With Extn
|
8
|
8
|
$46,135.00
|
$27,681.00
40% off
|
$36,908.00
|
$46,135.00
|
$46,135.00
|
2026-05-06
|
|
1652
|
OTHER
|
Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure
|
6
|
6
|
—
|
—
|
$45,205.98
|
$47,466.26
|
$46,110.11
|
2026-05-06
|
|
MS-219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
14
|
—
|
—
|
$45,933.26
|
$231,351.25
|
$45,933.26
|
2026-05-06
|
|
4290063938
|
OTHER
|
Pacer Remove Sgl Gen W Replace
|
12
|
11
|
$45,766.00
|
$27,459.60
40% off
|
$16,265.24
|
$45,766.00
|
$45,766.00
|
2026-05-06
|
|
3300060035
|
OTHER
|
Or Time (511 To 525 Minutes)
|
12
|
11
|
$45,756.00
|
$27,453.60
40% off
|
$16,261.68
|
$45,756.00
|
$45,756.00
|
2026-05-06
|
|
3024
|
OTHER
|
Knee Joint Replacement
|
6
|
6
|
—
|
—
|
$44,801.95
|
$47,042.03
|
$45,698.00
|
2026-05-06
|
|
5464
|
OTHER
|
Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
|
6
|
6
|
—
|
—
|
$44,708.15
|
$46,943.54
|
$45,602.33
|
2026-05-06
|
|
3174
|
OTHER
|
Tendon, Muscle & Other Soft Tissue Procedures
|
6
|
6
|
—
|
—
|
$44,708.15
|
$46,943.54
|
$45,602.33
|
2026-05-06
|
|
3134
|
OTHER
|
Knee & Lower Leg Procedures Except Foot
|
6
|
6
|
—
|
—
|
$44,679.29
|
$46,913.24
|
$45,572.89
|
2026-05-06
|
|
2274
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral & Umbilical
|
6
|
6
|
—
|
—
|
$44,407.19
|
$46,627.53
|
$45,295.35
|
2026-05-06
|
|
J9226
|
OTHER
|
Supprelin La Implant
|
24
|
18
|
—
|
—
|
$26,366.35
|
$47,524.89
|
$45,261.80
|
2026-05-06
|
|
4820082870
|
OTHER
|
Ustekinumab Inj 45 Mg
|
12
|
11
|
$45,182.69
|
$27,109.61
40% off
|
$16,057.93
|
$45,182.69
|
$45,182.69
|
2026-05-06
|
|
3300038743
|
OTHER
|
System Transcarotid Sr-200-nps
|
12
|
11
|
$45,000.00
|
$27,000.00
40% off
|
$15,993.00
|
$45,000.00
|
$45,000.00
|
2026-05-06
|
|
2294
|
OTHER
|
Other Digestive System & Abdominal Procedures
|
6
|
6
|
—
|
—
|
$43,877.42
|
$46,071.27
|
$44,754.98
|
2026-05-06
|
|
1663
|
OTHER
|
Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure
|
6
|
6
|
—
|
—
|
$43,872.27
|
$46,065.86
|
$44,749.72
|
2026-05-06
|
|
6032
|
OTHER
|
Neonate Birthwt 1000-1249g W Or Without Other Significant Condition
|
6
|
6
|
—
|
—
|
$43,830.01
|
$46,021.49
|
$44,706.62
|
2026-05-06
|
|
4044
|
OTHER
|
Thyroid, Parathyroid & Thyroglossal Procedures
|
6
|
6
|
—
|
—
|
$43,823.82
|
$46,015.00
|
$44,700.31
|
2026-05-06
|
|
3094
|
OTHER
|
Other Significant Hip & Femur Surgery
|
6
|
6
|
—
|
—
|
$43,709.42
|
$45,894.87
|
$44,583.62
|
2026-05-06
|
|
0031
|
OTHER
|
Bone Marrow Transplant
|
6
|
6
|
—
|
—
|
$43,703.23
|
$45,888.38
|
$44,577.31
|
2026-05-06
|
|
3300060034
|
OTHER
|
Or Time (496 To 510 Minutes)
|
12
|
11
|
$44,522.00
|
$26,713.20
40% off
|
$15,823.12
|
$44,522.00
|
$44,522.00
|
2026-05-06
|
|
3054
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
6
|
6
|
—
|
—
|
$43,448.65
|
$45,621.07
|
$44,317.64
|
2026-05-06
|
|
MS-957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
19
|
14
|
—
|
—
|
$44,310.83
|
$223,179.58
|
$44,310.83
|
2026-05-06
|
|
1754
|
OTHER
|
Percutaneous Coronary Intervention Without Ami
|
6
|
6
|
—
|
—
|
$43,413.61
|
$45,584.27
|
$44,281.89
|
2026-05-06
|
|
1714
|
OTHER
|
Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
6
|
6
|
—
|
—
|
$43,403.30
|
$45,573.45
|
$44,271.38
|
2026-05-06
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Cardiac Catheterization
|
6
|
6
|
—
|
—
|
$43,381.66
|
$45,550.72
|
$44,249.30
|
2026-05-06
|
|
MS-246
|
OTHER
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
3
|
2
|
—
|
—
|
$44,173.07
|
$94,866.72
|
$44,173.07
|
2026-05-06
|
|
33276
|
OTHER
|
Insj Phrnc Nrv Stim Sys
|
14
|
13
|
—
|
—
|
$44,028.55
|
$46,229.98
|
$44,028.55
|
2026-05-06
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
17
|
13
|
—
|
—
|
$40,264.19
|
$90,641.69
|
$44,028.55
|
2026-05-06
|
|
3310064590
|
OTHER
|
Replace Pain Control Device
|
8
|
8
|
$43,810.23
|
$26,286.14
40% off
|
$35,048.18
|
$43,810.23
|
$43,810.23
|
2026-05-06
|
|
3104
|
OTHER
|
Intervertebral Disc Excision & Decompression
|
6
|
6
|
—
|
—
|
$42,939.49
|
$45,086.45
|
$43,798.29
|
2026-05-06
|
|
9103
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
6
|
6
|
—
|
—
|
$42,904.45
|
$45,049.66
|
$43,762.55
|
2026-05-06
|
|
1673
|
OTHER
|
Other Cardiothoracic Procedures
|
6
|
6
|
—
|
—
|
$42,858.07
|
$45,000.96
|
$43,715.24
|
2026-05-06
|
|
3300060033
|
OTHER
|
Or Time (481 To 495 Minutes)
|
12
|
11
|
$43,288.00
|
$25,972.80
40% off
|
$15,384.56
|
$43,288.00
|
$43,288.00
|
2026-05-06
|
|
0704
|
OTHER
|
Orbital Procedures
|
6
|
6
|
—
|
—
|
$42,411.78
|
$44,532.35
|
$43,260.03
|
2026-05-06
|
|
4814
|
OTHER
|
Penis Procedures
|
6
|
6
|
—
|
—
|
$42,405.60
|
$44,525.86
|
$43,253.72
|
2026-05-06
|
|
MS-130
|
OTHER
|
Major Head & Neck Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$43,223.44
|
$43,223.44
|
$43,223.44
|
2026-05-06
|
|
3204
|
OTHER
|
Other Musculoskeletal System & Connective Tissue Procedures
|
6
|
6
|
—
|
—
|
$42,198.43
|
$44,308.33
|
$43,042.41
|
2026-05-06
|
|
4280093449
|
OTHER
|
Transcath Embolize Venous
|
12
|
11
|
$42,895.00
|
$25,737.00
40% off
|
$15,244.88
|
$42,895.00
|
$42,895.00
|
2026-05-06
|
|
4280017338
|
OTHER
|
Ir Dialysis Circuit Embolj
|
12
|
11
|
$42,895.00
|
$25,737.00
40% off
|
$15,244.88
|
$42,895.00
|
$42,895.00
|
2026-05-06
|
|
4434
|
OTHER
|
Kidney & Urinary Tract Procedures For Nonmalignancy
|
6
|
6
|
—
|
—
|
$41,992.29
|
$44,091.89
|
$42,832.15
|
2026-05-06
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
6
|
6
|
—
|
—
|
$41,938.69
|
$44,035.61
|
$42,777.48
|
2026-05-06
|
|
1744
|
OTHER
|
Percutaneous Coronary Intervention W Ami
|
6
|
6
|
—
|
—
|
$41,917.05
|
$44,012.89
|
$42,755.40
|
2026-05-06
|
|
3300040490
|
OTHER
|
Stem Humeral
|
12
|
11
|
$42,750.00
|
$25,650.00
40% off
|
$15,193.35
|
$42,750.00
|
$42,750.00
|
2026-05-06
|
|
6113
|
OTHER
|
Neonate Birthwt 1500-1999g W Major Anomaly
|
6
|
6
|
—
|
—
|
$41,800.58
|
$43,890.60
|
$42,636.60
|
2026-05-06
|
|
3300039300
|
OTHER
|
Femur Knee Rev 42-5046-062-01
|
12
|
11
|
$42,506.00
|
$25,503.60
40% off
|
$15,106.63
|
$42,506.00
|
$42,506.00
|
2026-05-06
|
|
4290100006
|
OTHER
|
Icd Single Chamber
|
12
|
11
|
$42,500.00
|
$25,500.00
40% off
|
$15,104.50
|
$42,500.00
|
$42,500.00
|
2026-05-06
|
|
5134
|
OTHER
|
Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma
|
6
|
6
|
—
|
—
|
$41,626.40
|
$43,707.70
|
$42,458.93
|
2026-05-06
|
|
1774
|
OTHER
|
Cardiac Pacemaker & Defibrillator Revision Except Device Replacement
|
6
|
6
|
—
|
—
|
$41,459.42
|
$43,532.38
|
$42,288.62
|
2026-05-06
|
|
MS-427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
14
|
—
|
—
|
$11,390.92
|
$212,370.73
|
$42,164.80
|
2026-05-06
|
|
1611
|
OTHER
|
Cardiac Defibrillator & Heart Assist Implant
|
6
|
6
|
—
|
—
|
$41,328.53
|
$43,394.94
|
$42,155.11
|
2026-05-06
|
|
3300060032
|
OTHER
|
Or Time (466 To 480 Minutes)
|
12
|
11
|
$42,053.00
|
$25,231.80
40% off
|
$14,945.64
|
$42,053.00
|
$42,053.00
|
2026-05-06
|
|
4290029300
|
OTHER
|
Pacemaker,insync System 8042
|
12
|
11
|
$42,045.00
|
$25,227.00
40% off
|
$14,942.79
|
$42,045.00
|
$42,045.00
|
2026-05-06
|
|
3014
|
OTHER
|
Hip Joint Replacement
|
6
|
6
|
—
|
—
|
$41,217.21
|
$43,278.06
|
$42,041.57
|
2026-05-06
|
|
MS-275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
19
|
14
|
—
|
—
|
$40,599.52
|
$211,303.30
|
$41,952.87
|
2026-05-06
|