|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
37
|
12
|
—
|
—
|
$112,999.74
|
$3,932,600.00
|
$3,809,610.15
|
2025-12-23
|
|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
49
|
24
|
—
|
—
|
$3,423,455.81
|
$3,932,600.00
|
$3,678,027.90
|
2025-12-23
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
37
|
12
|
—
|
—
|
$112,999.74
|
$3,521,088.40
|
$3,410,968.34
|
2025-12-23
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
35
|
11
|
—
|
—
|
$112,999.74
|
$3,384,580.00
|
$3,278,729.16
|
2025-12-23
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
35
|
11
|
—
|
—
|
$112,999.74
|
$3,146,080.00
|
$3,047,688.12
|
2025-12-23
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
38
|
12
|
—
|
—
|
$112,999.74
|
$2,547,666.28
|
$2,467,989.45
|
2025-12-23
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
49
|
24
|
—
|
—
|
$2,214,562.81
|
$2,471,920.00
|
$2,343,241.40
|
2025-12-23
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
50
|
25
|
—
|
—
|
$112,999.74
|
$599,561.27
|
$553,152.69
|
2025-12-23
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
52
|
25
|
—
|
—
|
$140,999.68
|
$629,250.00
|
$524,413.90
|
2025-12-23
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
52
|
25
|
—
|
—
|
$140,999.68
|
$584,397.44
|
$518,051.07
|
2025-12-23
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
52
|
25
|
—
|
—
|
$140,999.68
|
$615,450.00
|
$512,674.71
|
2025-12-23
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
52
|
25
|
—
|
—
|
$140,999.68
|
$598,500.00
|
$485,904.90
|
2025-12-23
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
52
|
25
|
—
|
—
|
$140,999.68
|
$598,500.00
|
$484,450.08
|
2025-12-23
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$410,325.63
|
$410,325.63
|
$410,325.63
|
2025-12-23
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
33
|
12
|
—
|
—
|
$132,673.63
|
$579,344.03
|
$309,049.21
|
2025-12-23
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
32
|
12
|
—
|
—
|
$119,153.46
|
$432,721.42
|
$230,833.85
|
2025-12-23
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
33
|
12
|
—
|
—
|
$40,958.62
|
$364,429.65
|
$194,403.83
|
2025-12-23
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
33
|
12
|
—
|
—
|
$75,396.37
|
$329,232.24
|
$175,627.88
|
2025-12-23
|
|
J9999
|
HCPCS
|
Chemotherapy Drug
|
22
|
16
|
—
|
—
|
$140,999.68
|
$140,999.68
|
$140,999.68
|
2025-12-23
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
33
|
12
|
—
|
—
|
$49,709.34
|
$217,065.06
|
$115,792.66
|
2025-12-23
|
|
J7330
|
HCPCS
|
Implant Maci Graft Vericel
|
30
|
17
|
$228,480.00
|
$70,828.80
69% off
|
$47,980.80
|
$205,632.00
|
$114,240.00
|
2025-12-23
|
|
J8499
|
HCPCS
|
Oral Prescrip Drug Non Chemo
|
22
|
16
|
—
|
—
|
$112,999.86
|
$112,999.86
|
$112,999.86
|
2025-12-23
|
|
J8498
|
HCPCS
|
Antiemetic Rectal/supp Nos
|
22
|
16
|
—
|
—
|
$112,999.86
|
$112,999.86
|
$112,999.86
|
2025-12-23
|
|
Q0181
|
HCPCS
|
Unspecified Oral Anti-emetic
|
22
|
16
|
—
|
—
|
$112,999.86
|
$112,999.86
|
$112,999.86
|
2025-12-23
|
|
J8999
|
HCPCS
|
Oral Prescription Drug Chemo
|
22
|
16
|
—
|
—
|
$112,999.86
|
$112,999.86
|
$112,999.86
|
2025-12-23
|
|
J8597
|
HCPCS
|
Antiemetic Drug Oral Nos
|
22
|
16
|
—
|
—
|
$112,999.86
|
$112,999.86
|
$112,999.86
|
2025-12-23
|
|
J0572
|
HCPCS
|
Bupren/nal Up To 3mg Bupreno
|
9
|
2
|
—
|
—
|
$4.55
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J0575
|
HCPCS
|
Bupren/nal Over 10mg Bupreno
|
9
|
2
|
—
|
—
|
$9.31
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
S5001
|
HCPCS
|
Prescription Drug,brand Name
|
25
|
17
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J7199
|
HCPCS
|
Hemophilia Clot Factor Noc
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
90399
|
CPT
|
Unlisted Immune Globulin
|
9
|
2
|
—
|
—
|
$11.00
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J0574
|
HCPCS
|
Bupren/nal 6.1 To 10mg Bupre
|
9
|
2
|
—
|
—
|
$7.03
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J3490
|
HCPCS
|
Drugs Unclassified Injection
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J7304
|
HCPCS
|
Contraceptive Hormone Patch
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
S5000
|
HCPCS
|
Prescription Drug, Generic
|
25
|
17
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
C9399
|
HCPCS
|
Unclassified Drugs Or Biolog
|
25
|
17
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J7999
|
HCPCS
|
Compounded Drug, Noc
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J0573
|
HCPCS
|
Bupren/nal 3.1 To 6mg Bupren
|
9
|
2
|
—
|
—
|
$6.37
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
J7599
|
HCPCS
|
Immunosuppressive Drug Noc
|
22
|
16
|
—
|
—
|
$112,999.74
|
$112,999.74
|
$112,999.74
|
2025-12-23
|
|
790151090
|
CDM
|
Sys Tricuspid Evoque Valve Sz44
|
7
|
3
|
$215,000.00
|
$66,650.00
69% off
|
$47,300.00
|
$107,500.00
|
$107,500.00
|
2025-12-23
|
|
790151092
|
CDM
|
Sys Tricuspid Evoque Valve Sz52
|
7
|
3
|
$215,000.00
|
$66,650.00
69% off
|
$47,300.00
|
$107,500.00
|
$107,500.00
|
2025-12-23
|
|
790151091
|
CDM
|
Sys Tricuspid Evoque Valve Sz48
|
7
|
3
|
$215,000.00
|
$66,650.00
69% off
|
$47,300.00
|
$107,500.00
|
$107,500.00
|
2025-12-23
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
30
|
12
|
—
|
—
|
$49,893.79
|
$201,269.85
|
$107,366.75
|
2025-12-23
|
|
7
|
MS_DRG
|
Lung Transplant
|
30
|
12
|
—
|
—
|
$43,206.63
|
$200,762.91
|
$107,096.33
|
2025-12-23
|
|
J3570
|
HCPCS
|
Laetrile Amygdalin Vit B17
|
22
|
16
|
—
|
—
|
$100,444.43
|
$100,444.43
|
$100,444.43
|
2025-12-23
|
|
790151782
|
CDM
|
Sys Triclip G4 Steer Cath Guide
|
7
|
3
|
$195,000.00
|
$60,450.00
69% off
|
$42,900.00
|
$97,500.00
|
$97,500.00
|
2025-12-23
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
32
|
12
|
—
|
—
|
$71,786.86
|
$299,738.00
|
$90,304.35
|
2025-12-23
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
12
|
—
|
—
|
$38,324.74
|
$167,352.09
|
$89,273.44
|
2025-12-23
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
30
|
12
|
—
|
—
|
$48,980.58
|
$163,596.08
|
$87,269.81
|
2025-12-23
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
33
|
12
|
—
|
—
|
$37,272.51
|
$162,757.32
|
$86,822.37
|
2025-12-23
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
11
|
—
|
—
|
$36,852.46
|
$160,923.09
|
$85,843.91
|
2025-12-23
|
|
790146436
|
CDM
|
Kit Valve Sapien 3 Ultra Thv Sz29
|
7
|
3
|
$170,000.00
|
$52,700.00
69% off
|
$37,400.00
|
$85,000.00
|
$85,000.00
|
2025-12-23
|
|
790146437
|
CDM
|
Kit Valve Sapien 3 Ultra Thv Sz26
|
7
|
3
|
$170,000.00
|
$52,700.00
69% off
|
$37,400.00
|
$85,000.00
|
$85,000.00
|
2025-12-23
|
|
790146438
|
CDM
|
Kit Valve Sapien 3 Ultra Thv Sz23
|
7
|
3
|
$170,000.00
|
$52,700.00
69% off
|
$37,400.00
|
$85,000.00
|
$85,000.00
|
2025-12-23
|
|
790146439
|
CDM
|
Kit Valve Sapien 3 Ultra Thv Sz20
|
7
|
3
|
$170,000.00
|
$52,700.00
69% off
|
$37,400.00
|
$85,000.00
|
$85,000.00
|
2025-12-23
|
|
790133755
|
CDM
|
Valve Aortic Trnscath 23 Sapien
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
790128801
|
CDM
|
Valve Thv Sz3-29 Sapien Commander
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
790140304
|
CDM
|
Kit Valve Commander+s3 Ultra Sz26
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
790140302
|
CDM
|
Kit Valve Commander+s3 Ultra Sz20
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
790140303
|
CDM
|
Kit Valve Commander+s3 Ultra Sz23
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
790133756
|
CDM
|
Valve Aortic Trnscath 26 Sapien
|
7
|
3
|
$162,500.00
|
$50,375.00
69% off
|
$35,750.00
|
$81,250.00
|
$81,250.00
|
2025-12-23
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
12
|
—
|
—
|
$33,952.57
|
$148,260.20
|
$79,088.93
|
2025-12-23
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
30
|
11
|
—
|
—
|
$32,407.46
|
$141,513.21
|
$75,489.77
|
2025-12-23
|
|
790142866
|
CDM
|
Sys Mitraclip G4 Steer Cath Guide
|
7
|
3
|
$150,000.00
|
$46,500.00
69% off
|
$33,000.00
|
$75,000.00
|
$75,000.00
|
2025-12-23
|
|
790152258
|
CDM
|
Valve Aortic Transcath Fx+ Sz34
|
7
|
3
|
$150,000.00
|
$46,500.00
69% off
|
$33,000.00
|
$75,000.00
|
$75,000.00
|
2025-12-23
|
|
790152256
|
CDM
|
Valve Aortic Transcath Fx+ Sz26
|
7
|
3
|
$150,000.00
|
$46,500.00
69% off
|
$33,000.00
|
$75,000.00
|
$75,000.00
|
2025-12-23
|
|
790152255
|
CDM
|
Valve Aortic Transcath Fx+ Sz23
|
7
|
3
|
$150,000.00
|
$46,500.00
69% off
|
$33,000.00
|
$75,000.00
|
$75,000.00
|
2025-12-23
|
|
790152257
|
CDM
|
Valve Aortic Transcath Fx+ Sz29
|
7
|
3
|
$150,000.00
|
$46,500.00
69% off
|
$33,000.00
|
$75,000.00
|
$75,000.00
|
2025-12-23
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
33
|
12
|
—
|
—
|
$28,545.92
|
$130,176.05
|
$69,441.99
|
2025-12-23
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
33
|
12
|
—
|
—
|
$29,794.65
|
$130,103.85
|
$69,403.48
|
2025-12-23
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
3
|
2
|
—
|
—
|
$62,227.31
|
$68,923.58
|
$68,923.58
|
2025-12-23
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
30
|
11
|
—
|
—
|
$29,342.23
|
$128,128.30
|
$68,349.62
|
2025-12-23
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
33
|
12
|
—
|
—
|
$28,358.95
|
$123,834.62
|
$66,059.18
|
2025-12-23
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
30
|
12
|
—
|
—
|
$19,530.38
|
$122,481.23
|
$65,337.22
|
2025-12-23
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
50
|
25
|
—
|
—
|
$60,550.30
|
$69,214.27
|
$65,104.33
|
2025-12-23
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
31
|
12
|
—
|
—
|
$27,888.24
|
$121,779.18
|
$64,962.71
|
2025-12-23
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
33
|
12
|
—
|
—
|
$24,517.55
|
$120,075.54
|
$64,053.91
|
2025-12-23
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
12
|
—
|
—
|
$27,220.53
|
$118,863.48
|
$63,407.34
|
2025-12-23
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
12
|
—
|
—
|
$26,259.06
|
$114,665.04
|
$61,167.70
|
2025-12-23
|
|
C2624
|
HCPCS
|
Sensor Pulmonary Art W Del Sys
|
25
|
17
|
$100,250.00
|
$31,077.50
69% off
|
$21,052.50
|
$90,225.00
|
$60,150.00
|
2025-12-23
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
40
|
13
|
—
|
—
|
$1,941.00
|
$60,730.25
|
$59,573.48
|
2025-12-23
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
51
|
25
|
—
|
—
|
$26,217.88
|
$88,838.14
|
$58,350.24
|
2025-12-23
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
11
|
—
|
—
|
$24,987.30
|
$109,111.68
|
$58,205.27
|
2025-12-23
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
12
|
—
|
—
|
$24,861.71
|
$108,563.25
|
$57,912.72
|
2025-12-23
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
52
|
25
|
—
|
—
|
$22,765.15
|
$77,571.47
|
$57,027.60
|
2025-12-23
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
33
|
12
|
—
|
—
|
$24,472.97
|
$106,865.75
|
$57,007.19
|
2025-12-23
|
|
C1822
|
HCPCS
|
Kit Ipg Senza Omnia
|
50
|
17
|
$97,500.00
|
$30,225.00
69% off
|
$19,425.00
|
$92,250.00
|
$56,425.00
|
2025-12-23
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
33
|
12
|
—
|
—
|
$24,021.96
|
$104,896.34
|
$55,956.62
|
2025-12-23
|
|
90288
|
CPT
|
Botulism Ig IV
|
22
|
16
|
—
|
—
|
$55,036.65
|
$55,036.65
|
$55,036.65
|
2025-12-23
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
30
|
11
|
—
|
—
|
$23,587.13
|
$102,997.60
|
$54,943.74
|
2025-12-23
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
33
|
12
|
—
|
—
|
$18,835.72
|
$102,601.26
|
$54,732.31
|
2025-12-23
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
33
|
12
|
—
|
—
|
$23,456.62
|
$102,427.67
|
$54,639.71
|
2025-12-23
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
33
|
12
|
—
|
—
|
$22,751.61
|
$99,349.13
|
$52,997.47
|
2025-12-23
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
12
|
—
|
—
|
$22,718.89
|
$99,206.26
|
$52,921.26
|
2025-12-23
|
|
790147117
|
CDM
|
Kit MRI Perc Intellis
|
7
|
3
|
$104,980.30
|
$32,543.89
69% off
|
$23,095.66
|
$52,490.15
|
$52,490.15
|
2025-12-23
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$22,248.89
|
$97,153.90
|
$51,826.44
|
2025-12-23
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
3
|
2
|
—
|
—
|
$45,325.98
|
$51,585.74
|
$51,585.74
|
2025-12-23
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
32
|
12
|
—
|
—
|
$21,791.90
|
$95,158.37
|
$50,761.92
|
2025-12-23
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
30
|
11
|
—
|
—
|
$21,763.76
|
$95,035.48
|
$50,696.37
|
2025-12-23
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
12
|
—
|
—
|
$21,418.84
|
$94,602.27
|
$50,465.28
|
2025-12-23
|
|
C1820
|
HCPCS
|
Device Stimulation Ipg Eterna
|
150
|
17
|
$91,875.00
|
$28,481.25
69% off
|
$10,626.00
|
$114,671.70
|
$50,331.60
|
2025-12-23
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
33
|
12
|
—
|
—
|
$18,022.15
|
$94,271.99
|
$50,289.09
|
2025-12-23
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
33
|
12
|
—
|
—
|
$21,467.25
|
$93,841.85
|
$50,059.63
|
2025-12-23
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,558.72
|
$93,393.28
|
$49,820.35
|
2025-12-23
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
30
|
12
|
—
|
—
|
$20,165.82
|
$92,723.50
|
$49,463.05
|
2025-12-23
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
30
|
12
|
—
|
—
|
$28,342.88
|
$92,723.50
|
$49,463.05
|
2025-12-23
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
33
|
12
|
—
|
—
|
$21,075.63
|
$92,030.67
|
$49,093.46
|
2025-12-23
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
12
|
—
|
—
|
$20,929.64
|
$91,393.15
|
$48,753.38
|
2025-12-23
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
29
|
12
|
—
|
—
|
$14,982.19
|
$48,716.50
|
$48,716.50
|
2025-12-23
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
33
|
12
|
—
|
—
|
$20,700.62
|
$90,393.08
|
$48,219.90
|
2025-12-23
|
|
790113529
|
CDM
|
Valve Pulmonary W Conduit Sz29
|
7
|
3
|
$96,425.00
|
$29,891.75
69% off
|
$21,213.50
|
$48,212.50
|
$48,212.50
|
2025-12-23
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$20,482.85
|
$89,442.17
|
$47,712.64
|
2025-12-23
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
3
|
2
|
—
|
—
|
$40,516.88
|
$47,572.31
|
$47,572.31
|
2025-12-23
|
|
C1882
|
HCPCS
|
Defib Quad Polar Hf-t Rivacor
|
325
|
17
|
$84,500.00
|
$26,195.00
69% off
|
$12,705.00
|
$88,006.50
|
$47,567.50
|
2025-12-23
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
33
|
12
|
—
|
—
|
$20,191.21
|
$88,168.66
|
$47,033.29
|
2025-12-23
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
33
|
12
|
—
|
—
|
$20,070.54
|
$87,641.75
|
$46,752.21
|
2025-12-23
|
|
L8614
|
HCPCS
|
Implant Cochlear Model Ci612
|
104
|
17
|
$85,812.50
|
$26,601.88
69% off
|
$16,593.15
|
$81,900.00
|
$46,454.50
|
2025-12-23
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
52
|
25
|
—
|
—
|
$16,657.46
|
$65,163.50
|
$46,034.40
|
2025-12-23
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
33
|
12
|
—
|
—
|
$19,611.44
|
$85,637.01
|
$45,682.78
|
2025-12-23
|
|
C1767
|
HCPCS
|
Device Pulse Generator Proclaim
|
375
|
17
|
$82,500.00
|
$25,575.00
69% off
|
$8,627.85
|
$105,919.11
|
$45,562.50
|
2025-12-23
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
39
|
13
|
—
|
—
|
$1,587.60
|
$46,208.73
|
$45,328.56
|
2025-12-23
|
|
266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
40
|
13
|
—
|
—
|
$2,281.00
|
$46,208.73
|
$45,328.56
|
2025-12-23
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
33
|
12
|
—
|
—
|
$19,445.04
|
$84,910.38
|
$45,295.17
|
2025-12-23
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
33
|
12
|
—
|
—
|
$19,445.04
|
$84,910.38
|
$45,295.17
|
2025-12-23
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
30
|
11
|
—
|
—
|
$19,363.42
|
$84,553.98
|
$45,105.05
|
2025-12-23
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
30
|
11
|
—
|
—
|
$19,245.22
|
$84,037.82
|
$44,829.71
|
2025-12-23
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
30
|
12
|
—
|
—
|
$24,217.69
|
$83,586.18
|
$44,588.78
|
2025-12-23
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,194.47
|
$83,395.69
|
$44,487.17
|
2025-12-23
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
33
|
12
|
—
|
—
|
$19,000.72
|
$82,970.16
|
$44,260.17
|
2025-12-23
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
33
|
12
|
—
|
—
|
$18,982.78
|
$82,891.82
|
$44,218.38
|
2025-12-23
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
33
|
12
|
—
|
—
|
$11,640.02
|
$82,882.60
|
$44,213.45
|
2025-12-23
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$43,633.91
|
$43,633.91
|
$43,633.91
|
2025-12-23
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
33
|
12
|
—
|
—
|
$16,620.61
|
$81,728.91
|
$43,598.03
|
2025-12-23
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
12
|
—
|
—
|
$18,633.79
|
$81,367.91
|
$43,405.45
|
2025-12-23
|
|
790148600
|
CDM
|
Stent Flow Divert 4.5x20 Fredx 27
|
7
|
3
|
$86,750.00
|
$26,892.50
69% off
|
$19,085.00
|
$43,375.00
|
$43,375.00
|
2025-12-23
|
|
790143872
|
CDM
|
Stent Flow Divert 4.5x20 Fred 27
|
7
|
3
|
$86,600.00
|
$26,846.00
69% off
|
$19,052.00
|
$43,300.00
|
$43,300.00
|
2025-12-23
|
|
790151926
|
CDM
|
Device Watchman Flx Pro
|
7
|
3
|
$85,000.00
|
$26,350.00
69% off
|
$18,700.00
|
$42,500.00
|
$42,500.00
|
2025-12-23
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
30
|
11
|
—
|
—
|
$18,118.05
|
$79,115.84
|
$42,204.09
|
2025-12-23
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
33
|
12
|
—
|
—
|
$18,057.89
|
$78,853.15
|
$42,063.96
|
2025-12-23
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
33
|
12
|
—
|
—
|
$16,641.76
|
$78,263.25
|
$41,749.28
|
2025-12-23
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
33
|
12
|
—
|
—
|
$17,867.92
|
$78,023.60
|
$41,621.43
|
2025-12-23
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
33
|
12
|
—
|
—
|
$17,719.81
|
$77,376.86
|
$41,276.43
|
2025-12-23
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
33
|
12
|
—
|
—
|
$17,615.33
|
$76,920.61
|
$41,033.06
|
2025-12-23
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
32
|
12
|
—
|
—
|
$17,601.61
|
$76,860.69
|
$41,001.09
|
2025-12-23
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$17,594.57
|
$76,829.97
|
$40,984.70
|
2025-12-23
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
33
|
12
|
—
|
—
|
$17,531.25
|
$76,553.45
|
$40,837.20
|
2025-12-23
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
33
|
12
|
—
|
—
|
$17,191.76
|
$75,071.02
|
$40,046.39
|
2025-12-23
|
|
790071089
|
CDM
|
Valve Aortic W Conduit Sz23-30
|
7
|
3
|
$79,650.00
|
$24,691.50
69% off
|
$17,523.00
|
$39,825.00
|
$39,825.00
|
2025-12-23
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
33
|
12
|
—
|
—
|
$17,087.98
|
$74,617.84
|
$39,804.65
|
2025-12-23
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
30
|
12
|
—
|
—
|
$22,390.33
|
$74,493.41
|
$39,738.27
|
2025-12-23
|
|
790148800
|
CDM
|
Stent Flow Divert 5x36 Fredx 27
|
7
|
3
|
$78,500.00
|
$24,335.00
69% off
|
$17,270.00
|
$39,250.00
|
$39,250.00
|
2025-12-23
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
33
|
12
|
—
|
—
|
$16,800.21
|
$73,361.23
|
$39,134.31
|
2025-12-23
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
33
|
12
|
—
|
—
|
$16,724.22
|
$73,029.41
|
$38,957.31
|
2025-12-23
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
32
|
12
|
—
|
—
|
$10,897.00
|
$38,964.68
|
$38,750.67
|
2025-12-23
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$38,674.73
|
$38,674.73
|
$38,674.73
|
2025-12-23
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
33
|
12
|
—
|
—
|
$16,551.13
|
$72,273.60
|
$38,554.12
|
2025-12-23
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
33
|
12
|
—
|
—
|
$16,462.48
|
$71,886.48
|
$38,347.61
|
2025-12-23
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
32
|
12
|
—
|
—
|
$16,365.38
|
$71,462.49
|
$38,121.44
|
2025-12-23
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
33
|
12
|
—
|
—
|
$16,215.17
|
$70,806.53
|
$37,771.51
|
2025-12-23
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
32
|
12
|
—
|
—
|
$21,211.57
|
$70,777.34
|
$37,755.94
|
2025-12-23
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
12
|
—
|
—
|
$16,156.77
|
$70,551.52
|
$37,635.49
|
2025-12-23
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
33
|
12
|
—
|
—
|
$16,154.30
|
$70,540.77
|
$37,629.74
|
2025-12-23
|
|
790147902
|
CDM
|
Conduit Aortic Valve Sz27 Konect
|
7
|
3
|
$75,000.00
|
$23,250.00
69% off
|
$16,500.00
|
$37,500.00
|
$37,500.00
|
2025-12-23
|
|
790145652
|
CDM
|
Conduit Aortic Valve Sz21 Konect
|
7
|
3
|
$75,000.00
|
$23,250.00
69% off
|
$16,500.00
|
$37,500.00
|
$37,500.00
|
2025-12-23
|
|
790148093
|
CDM
|
Conduit Aortic Valve Sz23 Konect
|
7
|
3
|
$75,000.00
|
$23,250.00
69% off
|
$16,500.00
|
$37,500.00
|
$37,500.00
|
2025-12-23
|
|
790148094
|
CDM
|
Conduit Aortic Valve Sz29 Konect
|
7
|
3
|
$75,000.00
|
$23,250.00
69% off
|
$16,500.00
|
$37,500.00
|
$37,500.00
|
2025-12-23
|
|
790142924
|
CDM
|
Conduit Aortic Valve Sz25 Konect
|
7
|
3
|
$75,000.00
|
$23,250.00
69% off
|
$16,500.00
|
$37,500.00
|
$37,500.00
|
2025-12-23
|
|
790130142
|
CDM
|
Stent 5x40 Surpass Evolve
|
7
|
3
|
$74,609.10
|
$23,128.82
69% off
|
$16,414.00
|
$37,304.55
|
$37,304.55
|
2025-12-23
|
|
790151014
|
CDM
|
Stent Vantage W Shield 6x50 Pipel
|
7
|
3
|
$74,420.00
|
$23,070.20
69% off
|
$16,372.40
|
$37,210.00
|
$37,210.00
|
2025-12-23
|
|
790151013
|
CDM
|
Stent Vantage W Shield 6x40 Pipel
|
7
|
3
|
$74,420.00
|
$23,070.20
69% off
|
$16,372.40
|
$37,210.00
|
$37,210.00
|
2025-12-23
|
|
790150770
|
CDM
|
Stent Vantage W Shield 5x25 Pipel
|
7
|
3
|
$74,420.00
|
$23,070.20
69% off
|
$16,372.40
|
$37,210.00
|
$37,210.00
|
2025-12-23
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$15,871.81
|
$69,307.20
|
$36,971.71
|
2025-12-23
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
33
|
12
|
—
|
—
|
$15,777.17
|
$68,893.96
|
$36,751.26
|
2025-12-23
|
|
790142146
|
CDM
|
Stent Flex W Shield 4x25 Pipeli
|
7
|
3
|
$73,500.00
|
$22,785.00
69% off
|
$16,170.00
|
$36,750.00
|
$36,750.00
|
2025-12-23
|
|
790144027
|
CDM
|
Stent Flex W Shield 5x35 Pipeli
|
7
|
3
|
$73,500.00
|
$22,785.00
69% off
|
$16,170.00
|
$36,750.00
|
$36,750.00
|
2025-12-23
|
|
790148274
|
CDM
|
Stent Flex W Shield 4.25x25pipeli
|
7
|
3
|
$73,500.00
|
$22,785.00
69% off
|
$16,170.00
|
$36,750.00
|
$36,750.00
|
2025-12-23
|
|
790144208
|
CDM
|
Stent Flex W Shield 5x25 Pipeli
|
7
|
3
|
$73,500.00
|
$22,785.00
69% off
|
$16,170.00
|
$36,750.00
|
$36,750.00
|
2025-12-23
|
|
C1813
|
HCPCS
|
Pros Penile Ms Pump Ip Iz 15
|
75
|
17
|
$61,168.35
|
$18,962.19
69% off
|
$12,492.75
|
$55,723.14
|
$36,701.01
|
2025-12-23
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
33
|
12
|
—
|
—
|
$15,733.55
|
$68,703.47
|
$36,649.65
|
2025-12-23
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
33
|
12
|
—
|
—
|
$13,410.98
|
$68,061.34
|
$36,307.10
|
2025-12-23
|
|
790148939
|
CDM
|
Stent Vista Silk 2.25x15
|
7
|
3
|
$72,500.00
|
$22,475.00
69% off
|
$15,950.00
|
$36,250.00
|
$36,250.00
|
2025-12-23
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
33
|
12
|
—
|
—
|
$15,453.87
|
$67,482.19
|
$35,998.16
|
2025-12-23
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
3
|
2
|
—
|
—
|
$29,313.00
|
$35,822.16
|
$35,822.16
|
2025-12-23
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
33
|
12
|
—
|
—
|
$15,190.72
|
$66,333.12
|
$35,385.19
|
2025-12-23
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$34,969.98
|
$34,969.98
|
$34,969.98
|
2025-12-23
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$15,006.73
|
$65,529.68
|
$34,956.60
|
2025-12-23
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
32
|
12
|
—
|
—
|
$14,984.57
|
$65,432.90
|
$34,904.97
|
2025-12-23
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
33
|
12
|
—
|
—
|
$3,518.00
|
$35,458.12
|
$34,782.73
|
2025-12-23
|
|
C1721
|
HCPCS
|
Icd Cobalt Dr MRI Df1
|
325
|
17
|
$62,820.00
|
$19,474.20
69% off
|
$8,925.00
|
$69,403.50
|
$34,701.75
|
2025-12-23
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,878.33
|
$64,968.97
|
$34,657.49
|
2025-12-23
|
|
790151353
|
CDM
|
Stent Vantage Wshield 3.5x14pipel
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790151875
|
CDM
|
Stent Vantage W Shield 5.5x20
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790151585
|
CDM
|
Stent Vantage W Shield 4x16 Pipel
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790151026
|
CDM
|
Stent Vantage W Shield 4x20 Pipel
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790151874
|
CDM
|
Stent Vantage W Shield 4.5x16
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790150942
|
CDM
|
Stent Vantage W Shield 3x12 Pipel
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
790151646
|
CDM
|
Stent Vantage W Shield 4.5x14
|
7
|
3
|
$68,905.00
|
$21,360.55
69% off
|
$15,159.10
|
$34,452.50
|
$34,452.50
|
2025-12-23
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,742.53
|
$67,630.52
|
$34,341.17
|
2025-12-23
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,739.01
|
$64,360.64
|
$34,332.97
|
2025-12-23
|
|
790143617
|
CDM
|
Stent 4x15 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790141865
|
CDM
|
Stent 5x20 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143607
|
CDM
|
Stent 5x30 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790141862
|
CDM
|
Stent 4.5x25 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143499
|
CDM
|
Stent 4x12 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790141863
|
CDM
|
Stent 4.5x30 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143953
|
CDM
|
Stent 3.25x20 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143958
|
CDM
|
Stent 4.5x20 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790141864
|
CDM
|
Stent 5x15 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143957
|
CDM
|
Stent 4.5x15 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143952
|
CDM
|
Stent 3.25x15 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143955
|
CDM
|
Stent 4x25 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143951
|
CDM
|
Stent 3.25x12 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790144043
|
CDM
|
Stent 4.5x17 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143956
|
CDM
|
Stent 4.5x12 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143606
|
CDM
|
Stent 5x25 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790143954
|
CDM
|
Stent 4x20 Surpass Evolve
|
7
|
3
|
$68,602.95
|
$21,266.91
69% off
|
$15,092.64
|
$34,301.47
|
$34,301.47
|
2025-12-23
|
|
790150267
|
CDM
|
Stent Flex W Shield 4.25x10pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145036
|
CDM
|
Stent Flex W Shield 2.5x16 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790147331
|
CDM
|
Stent Flex W Shield 2.75x14pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790144025
|
CDM
|
Stent Flex W Shield 5x18 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145024
|
CDM
|
Stent Flex W Shield 4.75x14pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148158
|
CDM
|
Stent Flex W Shield 4.75x20pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145041
|
CDM
|
Stent Flex W Shield 4x16 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145042
|
CDM
|
Stent Flex W Shield 4x18 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790143853
|
CDM
|
Stent Flex W Shield 2.5x12 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148686
|
CDM
|
Stent Flex W Shield 2.75x12pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145022
|
CDM
|
Stent Flex W Shield 5x14 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145025
|
CDM
|
Stent Flex W Shield 4.75x16pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145043
|
CDM
|
Stent Flex W Shield 4x20 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145278
|
CDM
|
Stent Flex W Shield 5x12 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145037
|
CDM
|
Stent Flex W Shield 3.5x14 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145044
|
CDM
|
Stent Flex W Shield 4.25x14pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145040
|
CDM
|
Stent Flex W Shield 3.75x18pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145234
|
CDM
|
Stent Flex W Shield 3x14 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145046
|
CDM
|
Stent Flex W Shield 4.50x14pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145113
|
CDM
|
Stent Flex W Shield 3.50x12pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148273
|
CDM
|
Stent Flex W Shield 5x20 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145033
|
CDM
|
Stent Flex W Shield 4x14 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145045
|
CDM
|
Stent Flex W Shield 4.25x16pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148809
|
CDM
|
Stent Flex W Shield 3.25x12pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145023
|
CDM
|
Stent Flex W Shield 4.50x16pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790144011
|
CDM
|
Stent Flex W Shield 4.5x12 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145120
|
CDM
|
Stent Flex W Shield 4.25x12pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145034
|
CDM
|
Stent Flex W Shield 2.5x10 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148684
|
CDM
|
Stent Flex W Shield 3x16 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145038
|
CDM
|
Stent Flex W Shield 3.75x12pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145039
|
CDM
|
Stent Flex W Shield 3.75x14pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790144827
|
CDM
|
Stent Flex W Shield 4x12 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790145035
|
CDM
|
Stent Flex W Shield 2.5x14 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
790148687
|
CDM
|
Stent Flex W Shield 4.5x20 Pipeli
|
7
|
3
|
$68,525.00
|
$21,242.75
69% off
|
$15,075.50
|
$34,262.50
|
$34,262.50
|
2025-12-23
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
29
|
12
|
—
|
—
|
$2,927.16
|
$34,176.45
|
$34,176.45
|
2025-12-23
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
33
|
12
|
—
|
—
|
$14,637.34
|
$63,916.67
|
$34,096.15
|
2025-12-23
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
33
|
12
|
—
|
—
|
$14,466.37
|
$63,170.08
|
$33,697.88
|
2025-12-23
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
33
|
12
|
—
|
—
|
$14,458.28
|
$63,134.75
|
$33,679.02
|
2025-12-23
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
33
|
12
|
—
|
—
|
$14,436.82
|
$63,041.04
|
$33,629.04
|
2025-12-23
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
30
|
11
|
—
|
—
|
$14,365.75
|
$62,730.73
|
$33,463.50
|
2025-12-23
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$14,270.14
|
$62,483.40
|
$33,331.57
|
2025-12-23
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
29
|
12
|
—
|
—
|
$10,573.12
|
$33,270.11
|
$33,270.11
|
2025-12-23
|
|
C1722
|
HCPCS
|
Icd Cobalt Vr MRI Df1
|
300
|
17
|
$58,530.00
|
$18,144.30
69% off
|
$8,127.00
|
$93,375.00
|
$33,150.00
|
2025-12-23
|
|
C1772
|
HCPCS
|
Pump Implant Sz20 Synchromed Ii
|
50
|
17
|
$57,640.00
|
$17,868.40
69% off
|
$10,290.00
|
$59,652.00
|
$33,140.00
|
2025-12-23
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
33
|
12
|
—
|
—
|
$12,740.76
|
$61,197.60
|
$32,645.67
|
2025-12-23
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
33
|
12
|
—
|
—
|
$7,010.99
|
$61,154.59
|
$32,622.71
|
2025-12-23
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$13,880.97
|
$60,613.84
|
$32,334.26
|
2025-12-23
|
|
571T
|
OTHER
|
Icd Ins/rep W Substernal Electro
|
55
|
25
|
$44,296.00
|
$13,731.76
69% off
|
$473.00
|
$40,734.00
|
$32,295.31
|
2025-12-23
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
33
|
12
|
—
|
—
|
$11,092.94
|
$60,489.41
|
$32,267.89
|
2025-12-23
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
33
|
12
|
—
|
—
|
$11,577.04
|
$60,366.52
|
$32,202.32
|
2025-12-23
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
30
|
11
|
—
|
—
|
$13,763.12
|
$60,099.22
|
$32,059.73
|
2025-12-23
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
33
|
12
|
—
|
—
|
$13,756.44
|
$60,070.03
|
$32,044.16
|
2025-12-23
|
|
69930
|
CPT
|
Implant Cochlear Device
|
40
|
13
|
—
|
—
|
$1,941.00
|
$40,734.00
|
$32,039.71
|
2025-12-23
|
|
790129519
|
CDM
|
Stent Embolic Flex 4.75x25 Pipeli
|
7
|
3
|
$63,750.00
|
$19,762.50
69% off
|
$14,025.00
|
$31,875.00
|
$31,875.00
|
2025-12-23
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
33
|
12
|
—
|
—
|
$11,955.86
|
$59,738.21
|
$31,867.15
|
2025-12-23
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
33
|
12
|
—
|
—
|
$13,597.07
|
$59,374.13
|
$31,672.94
|
2025-12-23
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
33
|
12
|
—
|
—
|
$10,067.40
|
$59,314.22
|
$31,640.98
|
2025-12-23
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
33
|
12
|
—
|
—
|
$13,545.36
|
$59,148.31
|
$31,552.48
|
2025-12-23
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$31,389.16
|
$31,389.16
|
$31,389.16
|
2025-12-23
|
|
33231
|
CPT
|
Insrt Pulse Gen Only W Ex Mlt Lds
|
55
|
25
|
$38,339.00
|
$11,885.09
69% off
|
$473.00
|
$40,734.00
|
$31,354.67
|
2025-12-23
|
|
915T
|
OTHER
|
Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…
|
49
|
24
|
—
|
—
|
$2,396.00
|
$40,734.00
|
$31,354.67
|
2025-12-23
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
33
|
12
|
—
|
—
|
$13,447.20
|
$78,988.68
|
$31,323.84
|
2025-12-23
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
33
|
12
|
—
|
—
|
$13,374.38
|
$58,401.72
|
$31,154.20
|
2025-12-23
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
33
|
12
|
—
|
—
|
$13,270.25
|
$57,947.00
|
$30,911.64
|
2025-12-23
|
|
408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
52
|
25
|
—
|
—
|
$2,281.00
|
$40,734.00
|
$30,712.10
|
2025-12-23
|
|
33270
|
CPT
|
Icd Ins/rep Perm Subq Sys
|
55
|
25
|
$28,813.00
|
$8,932.03
69% off
|
$473.00
|
$40,734.00
|
$30,712.10
|
2025-12-23
|
|
33264
|
CPT
|
Icd Rem+rpl W Mult Lead Device
|
55
|
25
|
$28,813.00
|
$8,932.03
69% off
|
$473.00
|
$40,734.00
|
$30,712.10
|
2025-12-23
|
|
33249
|
CPT
|
Icd Syst Ins/repl W Ld(s)
|
55
|
25
|
$28,813.00
|
$8,932.03
69% off
|
$473.00
|
$40,734.00
|
$30,712.10
|
2025-12-23
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
40
|
13
|
—
|
—
|
$1,692.00
|
$40,734.00
|
$30,695.74
|
2025-12-23
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
40
|
13
|
—
|
—
|
$1,722.16
|
$35,329.00
|
$30,695.74
|
2025-12-23
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
40
|
13
|
—
|
—
|
$1,722.16
|
$40,734.00
|
$30,695.74
|
2025-12-23
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
33
|
12
|
—
|
—
|
$13,164.36
|
$57,484.60
|
$30,664.98
|
2025-12-23
|
|
790127116
|
CDM
|
Stent Embolic Flex 5x20 Pipeline
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790138326
|
CDM
|
Stent Embolic Flex 2.5x12 Pipeln
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129521
|
CDM
|
Stent Embolic Flex 5x14 Pipeline
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129514
|
CDM
|
Stent Embolic Flex 4.5x16 Pipeli
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129499
|
CDM
|
Stent Embolic Flex 3x14 Pipeline
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790138329
|
CDM
|
Stent Embolic Flex 4.25x14 Pipeli
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790126886
|
CDM
|
Stent Embolic Flex 4x16 Pipeline
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129508
|
CDM
|
Stent Embolic Flex 4x20 Pipeline
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129504
|
CDM
|
Stent Embolic Flex 3.75x14 Pipeli
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
790129513
|
CDM
|
Stent Embolic Flex 4.5x14 Pipeli
|
7
|
3
|
$61,250.00
|
$18,987.50
69% off
|
$13,475.00
|
$30,625.00
|
$30,625.00
|
2025-12-23
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
33
|
12
|
—
|
—
|
$12,836.13
|
$56,051.33
|
$29,900.40
|
2025-12-23
|