Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Wayne Medical Center

Waynesboro, TN · CCN 440010 · Rates published

32,242 distinct procedures filed
22 distinct payers
764,204 rate rows
2026-05-23 last MRF observed
Data quality

758,568 of 764,204 rate rows are consumer-grade (99.3%)

5,636 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,612
per-diem day rate — not a per-procedure price 1,708
placeholder amount (≤ $0.02) — excluded from medians 206
percent-of-charges filed in the dollar field — excluded from medians 110
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/maury-site-494/media/r/33f69402b83e44cbbffa9244fa2a22fa/621605071_wayne-medical-center_standardcharges.csv
Found on page https://www.mauryregional.com/billing-and-insurance/understanding-charges/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint d4b79875b0d7c2c5… · 34,337,236 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
OTHER 		Inj- Hemgenix- Per Tx Dose 12 $3,672,900.00 $4,633,790.00 $3,710,000.00 nat. median
$3,685,267
1.0× median
C9172
OTHER 		Inj- Beqvez- Per Tx Dose 11 $3,605,000.00 $3,731,175.00 $3,605,000.00 nat. median
$3,675,000
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 12 $3,296,000.00 $4,116,704.00 $3,325,454.76 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj- Lovotibeglogene Autotem 11 $3,286,000.00 $3,401,010.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
OTHER 		Inj- Betibeglogene Autotemce 11 $2,968,000.00 $3,071,880.00 $2,968,000.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 13 $889,156.24 $4,683,348.52 $2,388,614.23 nat. median
$2,472,216
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 14 $507,195.92 $1,344,164.75 $542,937.13 nat. median
$583,076
0.9× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 14 $484,690.30 $1,342,798.35 $542,385.22 nat. median
$558,082
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 14 $175,755.32 $1,349,441.79 $537,130.76 nat. median
$591,726
0.9× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 14 $473,853.52 $1,317,651.50 $532,227.86 nat. median
$562,538
0.9× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 14 $158,152.00 $1,248,112.70 $504,139.64 nat. median
$533,230
0.9× median
Q2053
OTHER 		Brexucabtagene Car Pos T 14 $449,440.00 $1,174,352.52 $474,346.31 nat. median
$489,720
1.0× median
C9741
OTHER 		Impl Pressure Sensor W/angio??????? ? 1 $394,000.00 $394,000.00 $394,000.00 nat. median
$4,606
outlier · 85.5×
C9073
OTHER 		Brexucabtagene Autoleucel Ca 2 $153,676.00 $371,504.49 $371,504.49 nat. median
$384,190
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 14 $156,483.17 $597,711.95 $233,397.95 nat. median
$309,559
0.8× median
MS-612
OTHER 		Neonate- Birthwt <750g-- Discharged Alive 1 $215,963.27 $215,963.27 $215,963.27 nat. median
$272,926
0.8× median
MS-636
OTHER 		Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 1 $198,174.40 $198,174.40 $198,174.40 nat. median
$183,596
1.1× median
MS-633
OTHER 		Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 1 $178,047.54 $178,047.54 $178,047.54 nat. median
$297,836
0.6× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $106,274.75 $388,412.69 $174,328.70 nat. median
$224,278
0.8× median
MS-631
OTHER 		Neonate- Birthwt 750-999g- Discharged Alive 1 $173,448.65 $173,448.65 $173,448.65 nat. median
$197,901
0.9× median
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $36,531.60 $327,113.69 $146,816.28 nat. median
$175,322
0.8× median
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 16 $69,910.40 $295,520.33 $133,962.80 nat. median
$169,886
0.8× median
MS-359
OTHER 		Concomitant Aortic And Mitral Valve Procedures 1 $111,669.31 $111,669.31 $111,669.31 nat. median
$25,994
outlier · 4.3×
MS-681
OTHER 		Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 1 $102,193.50 $102,193.50 $102,193.50 nat. median
$119,200
0.9× median
Q0480
OTHER 		Driver Pneumatic Vad- Rep 14 $99,999.92 $254,999.80 $99,999.92 nat. median
$109,316
0.9× median
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 16 $45,070.29 $194,838.57 $88,322.59 nat. median
$107,587
0.8× median
MS-635
OTHER 		Neonate- Birthwt 1000-1499g- Died 1 $84,456.81 $84,456.81 $84,456.81 nat. median
$62,333
1.4× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 16 $44,501.01 $180,660.72 $81,084.76 nat. median
$91,600
0.9× median
MS-007
OTHER 		Lung Transplant 16 $38,536.64 $180,205.68 $80,880.53 nat. median
$95,292
0.8× median
MS-634
OTHER 		Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 1 $80,163.99 $80,163.99 $80,163.99 nat. median
$106,754
0.8× median
MS-613
OTHER 		Neonate- Birthwt <750g- Died 1 $76,597.81 $76,597.81 $76,597.81 nat. median
$40,143
1.9× median
405810920
OTHER 		Pegloticase 8 mg/mL Inj 5 $43,998.00 $84,476.16 $70,396.80 nat. median
$70,397
1.0× median
MS-002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $60,718.55 $151,950.64 $69,562.98 nat. median
$91,287
0.8× median
MS-212
OTHER 		Testes Procedures Age 0-17 14 $7,147.17 $150,215.99 $68,094.65 nat. median
$87,208
0.8× median
A9543
OTHER 		Y90 Ibritumomab- Rx 14 $16,842.94 $166,965.28 $67,440.88 nat. median
$66,156
1.0× median
MS-215
OTHER 		Other Heart Assist System Implant 16 $50,310.71 $192,169.62 $67,208.60 nat. median
$80,736
0.8× median
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $11,834.06 $144,445.29 $66,127.03 nat. median
$84,247
0.8× median
MS-005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 16 $43,686.51 $146,844.58 $65,907.28 nat. median
$85,046
0.8× median
L8702
OTHER 		Ewhf S/d Uprt Micro Sensor 13 $65,871.74 $167,972.94 $65,871.74 nat. median
$68,802
1.0× median
J7330
OTHER 		Cultured Chondrocytes Implnt 2 $64,742.69 $64,742.69 $64,742.69 nat. median
$65,518
1.0× median
MS-632
OTHER 		Neonate- Birthwt 750-999g- Died 1 $64,378.23 $64,378.23 $64,378.23 nat. median
$97,126
0.7× median
J9029
OTHER 		Instill Adstiladrin- Tx Dose 14 $61,200.00 $161,554.66 $63,354.77 nat. median
$66,509
1.0× median
MS-216
OTHER 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $41,221.19 $157,450.80 $60,923.56 nat. median
$76,284
0.8× median
MS-850
OTHER 		Acute Leukemia With Other Procedures 13 $50,757.57 $127,022.89 $58,436.11 nat. median
$70,217
0.8× median
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 14 $13,392.37 $140,288.84 $56,665.69 nat. median
$55,946
1.0× median
MS-231
OTHER 		Coronary Bypass With Ptca With Mcc 16 $25,460.53 $116,846.61 $53,492.36 nat. median
$64,520
0.8× median
C9150
OTHER 		Xe129 Xenon- Diagnostic 1 $53,040.00 $53,040.00 $53,040.00 nat. median
$53,040
1.0× median
MS-429
OTHER 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $45,956.71 $115,008.53 $52,908.99 nat. median
$69,654
0.8× median
MS-456
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 16 $42,261.22 $197,972.37 $52,414.40 nat. median
$65,528
0.8× median
MS-361
OTHER 		Cardiac Defibrillator Implant With Mcc 1 $52,153.99 $52,153.99 $52,153.99 nat. median
$44,593
1.2× median

Other procedures at this hospital

Browse this hospital's 32,242 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 OTHER Inj- Hemgenix- Per Tx Dose 34 12 — — $3,672,900.00 $4,633,790.00 $3,710,000.00 2026-05-23
C9172 OTHER Inj- Beqvez- Per Tx Dose 26 11 — — $3,605,000.00 $3,731,175.00 $3,605,000.00 2026-05-23
J1413 OTHER Inj Delandistrogene Mox Rokl 32 12 — — $3,296,000.00 $4,116,704.00 $3,325,454.76 2026-05-23
J3394 OTHER Inj- Lovotibeglogene Autotem 26 11 — — $3,286,000.00 $3,401,010.00 $3,286,000.00 2026-05-23
J3393 OTHER Inj- Betibeglogene Autotemce 26 11 — — $2,968,000.00 $3,071,880.00 $2,968,000.00 2026-05-23
J3399 OTHER Inj Onase Abepar-xioi Treat 42 13 — — $889,156.24 $4,683,348.52 $2,388,614.23 2026-05-23
Q2056 OTHER Ciltacabtagene Car-pos T 42 14 — — $507,195.92 $1,344,164.75 $542,937.13 2026-05-23
Q2055 OTHER Idecabtagene Vicleucel Car 42 14 — — $484,690.30 $1,342,798.35 $542,385.22 2026-05-23
Q2042 OTHER Tisagenlecleucel Car-pos T 44 14 — — $175,755.32 $1,349,441.79 $537,130.76 2026-05-23
Q2054 OTHER Lisocabtagene Mara Car Pos T 42 14 — — $473,853.52 $1,317,651.50 $532,227.86 2026-05-23
Q2041 OTHER Axicabtagene Ciloleucel Car+ 48 14 — — $158,152.00 $1,248,112.70 $504,139.64 2026-05-23
Q2053 OTHER Brexucabtagene Car Pos T 42 14 — — $449,440.00 $1,174,352.52 $474,346.31 2026-05-23
C9741 OTHER Impl Pressure Sensor W/angio??????? ? 2 1 — — $394,000.00 $394,000.00 $394,000.00 2026-05-23
C9073 OTHER Brexucabtagene Autoleucel Ca 6 2 — — $153,676.00 $371,504.49 $371,504.49 2026-05-23
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 50 14 — — $156,483.17 $597,711.95 $233,397.95 2026-05-23
MS-612 OTHER Neonate- Birthwt <750g-- Discharged Alive 2 1 — — $215,963.27 $215,963.27 $215,963.27 2026-05-23
MS-636 OTHER Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob 2 1 — — $198,174.40 $198,174.40 $198,174.40 2026-05-23
MS-633 OTHER Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive 2 1 — — $178,047.54 $178,047.54 $178,047.54 2026-05-23
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 50 16 — — $106,274.75 $388,412.69 $174,328.70 2026-05-23
MS-631 OTHER Neonate- Birthwt 750-999g- Discharged Alive 2 1 — — $173,448.65 $173,448.65 $173,448.65 2026-05-23
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 16 — — $36,531.60 $327,113.69 $146,816.28 2026-05-23
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 56 16 — — $69,910.40 $295,520.33 $133,962.80 2026-05-23
MS-359 OTHER Concomitant Aortic And Mitral Valve Procedures 2 1 — — $111,669.31 $111,669.31 $111,669.31 2026-05-23
MS-681 OTHER Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob 2 1 — — $102,193.50 $102,193.50 $102,193.50 2026-05-23
Q0480 OTHER Driver Pneumatic Vad- Rep 38 14 — — $99,999.92 $254,999.80 $99,999.92 2026-05-23
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 56 16 — — $45,070.29 $194,838.57 $88,322.59 2026-05-23
MS-635 OTHER Neonate- Birthwt 1000-1499g- Died 2 1 — — $84,456.81 $84,456.81 $84,456.81 2026-05-23
MS-014 OTHER Allogeneic Bone Marrow Transplant 48 16 — — $44,501.01 $180,660.72 $81,084.76 2026-05-23
MS-007 OTHER Lung Transplant 48 16 — — $38,536.64 $180,205.68 $80,880.53 2026-05-23
MS-634 OTHER Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive 2 1 — — $80,163.99 $80,163.99 $80,163.99 2026-05-23
MS-613 OTHER Neonate- Birthwt <750g- Died 2 1 — — $76,597.81 $76,597.81 $76,597.81 2026-05-23
405810920 OTHER Pegloticase 8 mg/mL Inj 10 5 $87,996.00 $41,358.12 53% off $43,998.00 $84,476.16 $70,396.80 2026-05-23
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 16 — — $60,718.55 $151,950.64 $69,562.98 2026-05-23
MS-212 OTHER Testes Procedures Age 0-17 44 14 — — $7,147.17 $150,215.99 $68,094.65 2026-05-23
A9543 OTHER Y90 Ibritumomab- Rx 50 14 — — $16,842.94 $166,965.28 $67,440.88 2026-05-23
MS-215 OTHER Other Heart Assist System Implant 56 16 — — $50,310.71 $192,169.62 $67,208.60 2026-05-23
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $11,834.06 $144,445.29 $66,127.03 2026-05-23
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 48 16 — — $43,686.51 $146,844.58 $65,907.28 2026-05-23
L8702 OTHER Ewhf S/d Uprt Micro Sensor 30 13 — — $65,871.74 $167,972.94 $65,871.74 2026-05-23
J7330 OTHER Cultured Chondrocytes Implnt 4 2 — — $64,742.69 $64,742.69 $64,742.69 2026-05-23
MS-632 OTHER Neonate- Birthwt 750-999g- Died 2 1 — — $64,378.23 $64,378.23 $64,378.23 2026-05-23
J9029 OTHER Instill Adstiladrin- Tx Dose 38 14 — — $61,200.00 $161,554.66 $63,354.77 2026-05-23
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $41,221.19 $157,450.80 $60,923.56 2026-05-23
MS-850 OTHER Acute Leukemia With Other Procedures 40 13 — — $50,757.57 $127,022.89 $58,436.11 2026-05-23
Q2043 OTHER Sipuleucel-t Auto Cd54+ 48 14 — — $13,392.37 $140,288.84 $56,665.69 2026-05-23
MS-231 OTHER Coronary Bypass With Ptca With Mcc 58 16 — — $25,460.53 $116,846.61 $53,492.36 2026-05-23
C9150 OTHER Xe129 Xenon- Diagnostic 2 1 — — $53,040.00 $53,040.00 $53,040.00 2026-05-23
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — — $45,956.71 $115,008.53 $52,908.99 2026-05-23
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $42,261.22 $197,972.37 $52,414.40 2026-05-23
MS-361 OTHER Cardiac Defibrillator Implant With Mcc 2 1 — — $52,153.99 $52,153.99 $52,153.99 2026-05-23
MS-453 OTHER Combined Anterior/posterior Spinal Fusion W Mcc 18 6 — — $35,344.01 $135,001.98 $52,015.46 2026-05-23
MS-647 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob 2 1 — — $51,778.60 $51,778.60 $51,778.60 2026-05-23
38240 OTHER Transplt Allo Hct/donor 52 14 — — $685.00 $129,901.11 $50,941.61 2026-05-23
MS-360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $50,439.04 $50,439.04 $50,439.04 2026-05-23
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 56 16 — — $32,309.00 $123,409.29 $50,387.63 2026-05-23
MS-010 OTHER Pancreas Transplant 48 16 — — $17,419.44 $109,939.70 $49,343.51 2026-05-23
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 14 — — $27,926.68 $109,309.54 $49,060.68 2026-05-23
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 56 16 — — $21,867.57 $107,780.34 $48,858.08 2026-05-23
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $35,246.73 $174,202.55 $48,843.76 2026-05-23
90288 OTHER Botulism Ig IV 4 2 — — $48,705.00 $48,705.00 $48,705.00 2026-05-23
L7181 OTHER Electronic Elbo Simultaneous 38 14 — — $47,492.96 $121,107.05 $47,492.96 2026-05-23
405810763 OTHER Ocrelizumab 300 Mg/10 Ml Inj Soln 10 5 $58,730.00 $27,603.10 53% off $29,365.00 $56,380.80 $46,984.00 2026-05-23
J9226 OTHER Supprelin La Implant 46 14 — — $6,652.81 $115,643.06 $46,710.73 2026-05-23
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 16 — — $26,724.42 $102,923.85 $46,656.58 2026-05-23
MS-646 OTHER Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob 2 1 — — $46,435.16 $46,435.16 $46,435.16 2026-05-23
MS-222 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 18 6 — — $33,634.09 $128,470.68 $45,978.75 2026-05-23
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $11,390.92 $97,939.13 $44,836.52 2026-05-23
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 14 — — $38,939.17 $97,446.86 $44,173.79 2026-05-23
0266T OTHER Implt/rpl Crtd Sns Dev Total 44 13 — — $13,559.00 $112,272.80 $44,028.55 2026-05-23
33276 OTHER Insj Phrnc Nrv Stim Sys 38 13 — — $13,790.00 $112,272.80 $44,028.55 2026-05-23
MS-459 OTHER Spinal Fusion Except Cervical With Mcc 26 8 — — $29,569.70 $166,395.10 $43,562.84 2026-05-23
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 56 16 — — $26,949.73 $120,088.40 $43,483.10 2026-05-23
MS-955 OTHER Craniotomy For Multiple Significant Trauma 56 16 — — $25,066.54 $100,380.83 $42,681.75 2026-05-23
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 13 — — $36,942.90 $92,451.11 $42,531.57 2026-05-23
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 16 — — $16,799.86 $92,095.35 $41,334.55 2026-05-23
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 56 16 — — $12,968.01 $100,566.57 $41,264.61 2026-05-23
405811243 OTHER Polatuzumab Vedotin 140 Mg Inj 10 5 $51,480.00 $24,195.60 53% off $25,740.00 $49,420.80 $41,184.00 2026-05-23
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $26,428.04 $100,946.05 $40,766.15 2026-05-23
MS-224 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 18 6 — — $30,676.22 $117,172.61 $40,753.06 2026-05-23
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 56 16 — — $24,391.88 $95,887.86 $40,687.04 2026-05-23
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 56 16 — — $21,544.78 $87,205.77 $40,118.49 2026-05-23
MS-317 OTHER Endovascular Cardiac Valve Replacement With Mcc 42 14 — — $34,087.06 $85,304.27 $39,435.15 2026-05-23
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 56 16 — — $16,074.22 $84,618.96 $38,928.44 2026-05-23
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 14 — — $31,191.46 $85,414.58 $38,719.42 2026-05-23
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 58 16 — — $19,146.96 $84,232.86 $38,561.79 2026-05-23
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 16 — — $16,853.64 $84,915.42 $38,493.15 2026-05-23
L7180 OTHER Electronic Elbow Sequential 38 14 — — $38,289.48 $97,638.17 $38,289.48 2026-05-23
MS-266 OTHER Endovascular Cardiac Valve Replacement W Mcc 56 16 — — $33,009.31 $143,979.90 $38,002.92 2026-05-23
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 36 14 — — $37,701.48 $96,138.77 $37,701.48 2026-05-23
MS-028 OTHER Spinal Procedures With Mcc 56 16 — — $12,985.14 $83,830.23 $37,624.97 2026-05-23
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 16 — — $24,025.61 $91,769.58 $37,555.56 2026-05-23
MS-017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 48 16 — — $17,986.20 $83,229.03 $37,355.13 2026-05-23
MS-016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 48 16 — — $25,279.44 $83,229.03 $37,355.13 2026-05-23
MS-608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 2 1 — — $36,850.31 $36,850.31 $36,850.31 2026-05-23
MS-226 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 18 6 — — $24,784.36 $94,667.75 $36,849.23 2026-05-23
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 52 16 — — $5,429.88 $81,972.85 $36,791.33 2026-05-23
MS-454 OTHER Combined Anterior/posterior Spinal Fusion W Cc 18 6 — — $27,587.55 $105,374.97 $36,783.18 2026-05-23
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 56 16 — — $20,076.75 $81,137.23 $36,780.45 2026-05-23
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 16 — — $18,851.42 $80,283.69 $36,393.53 2026-05-23
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $30,309.78 $124,091.40 $35,945.95 2026-05-23
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 16 — — $24,573.80 $115,462.53 $35,660.95 2026-05-23
MS-648 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob 2 1 — — $35,599.54 $35,599.54 $35,599.54 2026-05-23
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 56 16 — — $28,095.20 $107,314.03 $35,233.72 2026-05-23
MS-653 OTHER Major Bladder Procedures With Mcc 56 16 — — $19,161.63 $76,868.16 $34,845.23 2026-05-23
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $9,011.64 $75,896.03 $34,745.19 2026-05-23
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 13 — — $30,142.46 $75,432.72 $34,702.37 2026-05-23
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 56 16 — — $23,765.71 $90,776.83 $34,549.57 2026-05-23
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 56 16 — — $12,660.26 $74,856.34 $33,933.25 2026-05-23
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 56 16 — — $17,745.99 $74,474.39 $33,760.11 2026-05-23
MS-011 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Mcc 56 16 — — $17,389.25 $74,404.07 $33,728.23 2026-05-23
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 56 16 — — $10,381.91 $74,395.79 $33,724.47 2026-05-23
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 48 16 — — $21,600.12 $75,027.33 $33,674.02 2026-05-23
L8701 OTHER Ewh S/d Uprt Micro Sensor 30 13 — — $33,480.90 $85,376.30 $33,480.90 2026-05-23
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $23,564.56 $90,823.27 $33,435.96 2026-05-23
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 56 16 — — $14,824.17 $73,360.24 $33,255.05 2026-05-23
MS-223 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 18 6 — — $28,844.73 $110,176.97 $33,075.98 2026-05-23
MS-318 OTHER Endovascular Cardiac Valve Replacement Without Mcc 2 1 — — $32,883.04 $32,883.04 $32,883.04 2026-05-23
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 13 — — $28,377.05 $71,014.73 $32,669.90 2026-05-23
MS-677 OTHER Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob 2 1 — — $32,418.87 $32,418.87 $32,418.87 2026-05-23
MS-362 OTHER Cardiac Defibrillator Implant Without Mcc 2 1 — — $32,200.80 $32,200.80 $32,200.80 2026-05-23
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 56 16 — — $14,843.03 $70,249.44 $31,844.89 2026-05-23
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 56 16 — — $3,522.57 $75,815.22 $31,767.24 2026-05-23
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 58 16 — — $27,457.98 $117,252.67 $31,766.00 2026-05-23
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 56 16 — — $20,399.53 $77,919.20 $31,747.38 2026-05-23
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 56 16 — — $21,810.02 $111,981.52 $31,484.22 2026-05-23
MS-396 OTHER Major Head And Neck Procedures With Mcc 2 1 — — $31,358.90 $31,358.90 $31,358.90 2026-05-23
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 56 16 — — $24,888.88 $107,570.22 $31,298.57 2026-05-23
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 14 — — $26,182.06 $68,990.50 $31,274.19 2026-05-23
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 16 — — $21,962.73 $83,890.07 $31,261.69 2026-05-23
69930 OTHER Implant Cochlear Device 52 14 — — $1,295.00 $79,716.30 $31,261.30 2026-05-23
29084 OTHER Tissue Matrix Strattice Reconstructive Extra Thick 15x35 Rectangle 10 5 $38,908.00 $18,286.76 53% off $19,454.00 $37,351.68 $31,126.40 2026-05-23
MS-225 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 18 6 — — $26,149.37 $100,805.15 $31,124.89 2026-05-23
0408T OTHER Insj/rplc Cardiac Modulj Sys 44 13 — — $9,552.00 $78,205.81 $30,668.95 2026-05-23
0571T OTHER Insj/rplcmt Icds Ss Eltrd 44 13 — — $648.00 $78,205.81 $30,668.95 2026-05-23
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
33270 OTHER Ins/rep Subq Defibrillator 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
33231 OTHER Insrt Pulse Gen W/mult Leads 50 14 — — $1,054.00 $78,205.81 $30,668.95 2026-05-23
33249 OTHER Insj/rplcmt Defib W/lead(s) 50 14 — — $685.00 $78,205.81 $30,668.95 2026-05-23
MS-245 OTHER Aicd Generator Procedures 56 16 — — $19,033.78 $72,702.49 $30,545.99 2026-05-23
27207 OTHER Wound Matrix Mesh Bilayer 8x10 [mwm8101] 10 5 $38,100.00 $17,907.00 53% off $19,050.00 $36,576.00 $30,480.00 2026-05-23
MS-471 OTHER Cervical Spinal Fusion With Mcc 56 16 — — $22,011.38 $97,308.13 $30,361.59 2026-05-23
MS-006 OTHER Liver Transplant Without Mcc 48 16 — — $19,970.27 $66,865.62 $30,010.85 2026-05-23
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 56 16 — — $22,253.64 $112,039.17 $29,850.29 2026-05-23
MS-799 OTHER Splenic Procedures With Mcc 56 16 — — $16,563.85 $65,563.94 $29,720.90 2026-05-23
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $16,694.22 $65,551.53 $29,715.27 2026-05-23
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 44 14 — — $25,631.97 $64,145.05 $29,509.54 2026-05-23
405810353 OTHER Leuprolide 45 Mg/6 Months Inj 10 5 $36,711.00 $17,254.17 53% off $18,355.50 $35,242.56 $29,368.80 2026-05-23
MS-267 OTHER Endovascular Cardiac Valve Replacement Without Mcc 56 16 — — $3,337.21 $108,108.22 $29,349.56 2026-05-23
MS-363 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $29,260.78 $29,260.78 $29,260.78 2026-05-23
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 56 16 — — $20,250.69 $89,316.54 $29,250.22 2026-05-23
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 58 16 — — $18,064.59 $72,000.00 $28,991.26 2026-05-23
0268T OTHER Implt/rpl Crtd Sns Dev Gen 46 14 — — $13,559.00 $73,815.52 $28,947.26 2026-05-23
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 40 14 — — $13,790.00 $73,815.52 $28,947.26 2026-05-23
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 52 14 — — $917.00 $73,815.52 $28,947.26 2026-05-23
61886 OTHER Implant Neurostim Arrays 52 14 — — $1,478.00 $73,815.52 $28,947.26 2026-05-23
64582 OTHER Opn Mpltj Hpglsl Nstm Ary Pg 48 14 — — $917.00 $73,815.52 $28,947.26 2026-05-23
64568 OTHER Opn Impltj Crnl Nrv Nea&pg 50 14 — — $685.00 $73,815.52 $28,947.26 2026-05-23
MS-227 OTHER Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 18 6 — — $21,132.29 $80,718.09 $28,812.89 2026-05-23
MS-163 OTHER Major Chest Procedures With Mcc 56 16 — — $17,015.33 $64,992.71 $28,810.79 2026-05-23
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 56 16 — — $15,237.50 $63,317.71 $28,702.65 2026-05-23
MS-650 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob 50 14 — — $16,644.01 $72,263.76 $28,513.78 2026-05-23
L5856 OTHER Elec Knee-shin Swing/stance 38 14 — — $28,454.32 $72,558.52 $28,454.32 2026-05-23
L6880 OTHER Elec Hand Ind Art Digits 38 14 — — $28,320.00 $72,216.00 $28,320.00 2026-05-23
MS-474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 56 16 — — $17,139.77 $84,788.34 $28,032.58 2026-05-23
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 56 16 — — $19,386.34 $76,218.72 $27,955.07 2026-05-23
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 56 16 — — $16,576.84 $63,317.85 $27,921.51 2026-05-23
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 52 14 — — $17,190.13 $65,660.41 $27,865.93 2026-05-23
MS-455 OTHER Combined Anterior/posterior Spinal Fusion Without Cc/mcc 18 6 — — $23,156.32 $91,305.23 $27,697.89 2026-05-23
MS-901 OTHER Wound Debridements For Injuries With Mcc 56 16 — — $11,961.45 $61,092.16 $27,693.78 2026-05-23
MS-458 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 56 16 — — $23,717.63 $104,045.98 $27,268.21 2026-05-23
33289 OTHER Tcat Impl Wrls P-art Prs Snr 50 14 — — $1,054.00 $69,090.58 $27,094.35 2026-05-23
J9266 OTHER Pegaspargase Injection 46 14 — — $2,319.48 $69,029.85 $27,070.53 2026-05-23
MS-323 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 44 14 — — $23,469.29 $58,732.87 $27,019.71 2026-05-23
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 42 13 — — $4,878.00 $68,611.63 $26,906.52 2026-05-23
C9760 OTHER Non-blind Interatrial Shunt 40 13 — — $13,790.00 $68,611.63 $26,906.52 2026-05-23
MS-933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 56 16 — — $11,161.62 $59,663.62 $26,778.43 2026-05-23
MS-356 OTHER Other Digestive System O.r. Procedures With Mcc 56 16 — — $13,859.59 $58,819.74 $26,663.67 2026-05-23
MS-031 OTHER Ventricular Shunt Procedures With Mcc 56 16 — — $18,606.10 $116,754.70 $26,583.26 2026-05-23
MS-140 OTHER Simple Pneumonia And Pleurisy Age 0-17 52 14 — — $3,993.75 $63,737.37 $26,435.52 2026-05-23
22444 OTHER Tissue Allodrem 10x20cm1.2-2.8 (15201020) 10 5 $32,996.00 $15,508.12 53% off $16,498.00 $31,676.16 $26,396.80 2026-05-23
MS-673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 56 16 — — $14,629.24 $57,770.39 $26,187.99 2026-05-23
MS-649 OTHER Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Minor Prob 2 1 — — $26,156.43 $26,156.43 $26,156.43 2026-05-23
405811298 OTHER Ublituximab-xiiy 150 Mg/6 Ml Inj 10 5 $32,450.00 $15,251.50 53% off $16,225.00 $31,152.00 $25,960.00 2026-05-23
MS-448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $22,500.09 $56,307.38 $25,903.87 2026-05-23
MS-793 OTHER Full Term Neonate With Major Problems 52 16 — — $2,610.78 $57,507.02 $25,810.50 2026-05-23
28713 OTHER Wound Graft Surgiclose 300cm [50205n23d0d] 10 5 $32,262.00 $15,163.14 53% off $16,131.00 $30,971.52 $25,809.60 2026-05-23
MS-269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 16 — — $3,527.24 $62,512.45 $25,749.85 2026-05-23
MS-236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 56 16 — — $13,422.36 $56,701.75 $25,703.56 2026-05-23
MS-958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Cc 56 16 — — $17,639.36 $68,840.39 $25,689.18 2026-05-23
MS-012 OTHER Tracheostomy For Facemouth & Neck Diagnoses W Cc 56 16 — — $13,612.26 $56,585.92 $25,651.06 2026-05-23
MS-423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 56 16 — — $12,727.75 $64,477.14 $25,424.15 2026-05-23
MS-791 OTHER Prematurity With Major Problems 52 16 — — $2,355.13 $55,981.96 $25,126.01 2026-05-23
405811316 OTHER Risankizumab-rzaa 600 Mg/10 Ml IV Soln 10 5 $31,357.00 $14,737.79 53% off $15,678.50 $30,102.72 $25,085.60 2026-05-23
MS-364 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $24,914.23 $24,914.23 $24,914.23 2026-05-23
MS-907 OTHER Other O.r. Procedures For Injuries With Mcc 56 16 — — $11,363.67 $54,931.24 $24,900.97 2026-05-23
MS-676 OTHER Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- Without Mult Major Prob 2 1 — — $24,794.29 $24,794.29 $24,794.29 2026-05-23
MS-402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 14 — — $10,197.00 $53,945.33 $24,696.16 2026-05-23
MS-628 OTHER Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 56 16 — — $15,311.43 $92,530.15 $24,663.44 2026-05-23
MS-739 OTHER Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 56 16 — — $6,253.21 $54,892.63 $24,637.10 2026-05-23
MS-736 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 56 16 — — $9,893.96 $54,295.57 $24,612.81 2026-05-23
MS-876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 48 16 — — $15,289.66 $54,185.25 $24,562.81 2026-05-23
MS-273 OTHER Percutaneous Intracardiac Procedures W Mcc 56 16 — — $14,881.18 $56,841.00 $24,442.17 2026-05-23
MS-956 OTHER Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 56 16 — — $17,454.70 $136,363.00 $24,365.85 2026-05-23
MS-034 OTHER Carotid Artery Stent Procedures With Mcc 56 16 — — $10,663.61 $53,621.28 $24,307.15 2026-05-23
MS-616 OTHER Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 56 16 — — $13,183.42 $53,294.49 $24,159.01 2026-05-23
MS-904 OTHER Skin Grafts For Injuries With Cc/mcc 56 16 — — $8,979.26 $53,240.71 $24,134.64 2026-05-23
MS-166 OTHER Other Respiratory System O.r. Procedures With Mcc 56 16 — — $14,618.76 $55,838.65 $24,067.12 2026-05-23
J9600 OTHER Porfimer Sodium Injection 50 14 — — $4,462.18 $60,868.86 $23,870.14 2026-05-23
405810690 OTHER Lanreotide 120 Mg/0.5 Ml Subcut Soln Syringe 40 5 $29,770.50 $13,992.14 53% off $5,044.50 $30,292.80 $23,816.40 2026-05-23
MS-024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 56 16 — — $18,151.78 $71,575.24 $23,763.34 2026-05-23
MS-040 OTHER Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 56 16 — — $16,965.62 $74,324.50 $23,578.32 2026-05-23
MS-622 OTHER Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 56 16 — — $16,826.21 $86,913.14 $23,390.17 2026-05-23
405810960 OTHER Alteplase 100 Mg/100 Ml (continuous For Mi) IV Inj 10 5 $29,042.00 $13,649.74 53% off $14,521.00 $27,880.32 $23,233.60 2026-05-23
405803773 OTHER Alteplase 100 Mg/100 Ml (emergent Override Pe And Mi Only) IV Inj 10 5 $29,042.00 $13,649.74 53% off $14,521.00 $27,880.32 $23,233.60 2026-05-23
MS-094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 56 16 — — $15,915.70 $65,285.73 $22,806.98 2026-05-23
MS-022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 56 16 — — $19,452.50 $89,803.30 $22,559.12 2026-05-23
MS-335 OTHER Peritoneal Adhesiolysis With Mcc 56 16 — — $16,669.91 $63,673.32 $22,424.59 2026-05-23
MS-802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 56 16 — — $11,712.45 $49,430.81 $22,407.56 2026-05-23
MS-097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 56 16 — — $9,318.40 $49,428.05 $22,406.31 2026-05-23
MS-518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 16 — — $12,839.26 $49,419.78 $22,402.56 2026-05-23
22693 OTHER Graft Alloderm 16x20cm Thk [1519320] 10 5 $28,002.00 $13,160.94 53% off $14,001.00 $26,881.92 $22,401.60 2026-05-23
MS-414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 56 16 — — $16,041.40 $87,853.04 $22,334.94 2026-05-23
MS-408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 56 16 — — $17,794.77 $130,432.15 $22,319.00 2026-05-23
MS-265 OTHER Aicd Lead Procedures 56 16 — — $9,261.80 $49,188.12 $22,297.54 2026-05-23
Q0483 OTHER Monitor Elec Vad- Rep 38 14 — — $22,223.88 $56,670.89 $22,223.88 2026-05-23
MS-492 OTHER Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 56 16 — — $13,157.85 $50,258.47 $22,197.53 2026-05-23
93654 OTHER Compre Ep Eval Tx Vt 50 14 — — $1,249.13 $56,458.11 $22,140.43 2026-05-23
93653 OTHER Compre Ep Eval Tx Svt 50 14 — — $932.82 $56,458.11 $22,140.43 2026-05-23
93656 OTHER Compre Ep Eval Abltj Atr Fib 50 14 — — $1,253.40 $56,458.11 $22,140.43 2026-05-23
MS-104 OTHER Craniotomy- Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 2 1 — — $22,105.83 $22,105.83 $22,105.83 2026-05-23
L5858 OTHER Stance Phase Only 38 14 — — $22,029.19 $56,174.43 $22,029.19 2026-05-23
MS-495 OTHER Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 56 16 — — $14,083.70 $66,361.73 $22,006.26 2026-05-23
MS-460 OTHER Spinal Fusion Except Cervical Without Mcc 26 8 — — $15,866.30 $60,603.82 $21,998.46 2026-05-23
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 44 13 — — $9,552.00 $56,032.61 $21,973.57 2026-05-23
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 42 13 — — $7,403.00 $56,032.61 $21,973.57 2026-05-23
0515T OTHER Insj Wcs Lv Compl Sys 46 14 — — $4,878.00 $56,032.61 $21,973.57 2026-05-23
0409T OTHER Insj/rplc Car Modulj Pls Gn 44 13 — — $9,552.00 $56,032.61 $21,973.57 2026-05-23
33263 OTHER Rmvl & Rplcmt Dfb Gen 2 Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
33262 OTHER Rmvl& Replc Pulse Gen 1 Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
33240 OTHER Insrt Pulse Gen W/singl Lead 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
33230 OTHER Insrt Pulse Gen W/dual Leads 50 14 — — $1,054.00 $56,032.61 $21,973.57 2026-05-23
MS-651 OTHER Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob 50 14 — — $15,483.57 $119,687.19 $21,920.51 2026-05-23
MS-987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 16 — — $10,331.60 $48,298.73 $21,894.38 2026-05-23
MS-332 OTHER Rectal Resection With Mcc 56 16 — — $12,481.26 $47,829.90 $21,865.05 2026-05-23
MS-264 OTHER Other Circulatory System O.r. Procedures 56 16 — — $13,103.77 $50,051.91 $21,846.88 2026-05-23
MS-420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 56 16 — — $6,027.26 $48,668.28 $21,843.46 2026-05-23
MS-260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 56 16 — — $16,762.86 $89,487.87 $21,712.79 2026-05-23
MS-477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 56 16 — — $13,888.07 $68,033.39 $21,496.21 2026-05-23
MS-665 OTHER Prostatectomy With Mcc 56 16 — — $8,967.95 $47,345.91 $21,462.45 2026-05-23
MS-574 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Cc 56 16 — — $6,489.64 $47,777.51 $21,443.66 2026-05-23
MS-252 OTHER Other Vascular Procedures With Mcc 56 16 — — $15,097.00 $70,745.82 $21,442.45 2026-05-23
MS-467 OTHER Revision Of Hip Or Knee Replacement With Cc 56 16 — — $12,824.17 $48,983.91 $21,409.95 2026-05-23
22781 OTHER Graft Alloderm 16cmx20cm Med [1518320] 10 5 $26,739.00 $12,567.33 53% off $13,369.50 $25,669.44 $21,391.20 2026-05-23
MS-271 OTHER Other Major Cardiovascular Procedures With Cc 56 16 — — $4,046.71 $50,319.31 $21,316.79 2026-05-23
MS-242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 56 16 — — $16,914.43 $80,367.43 $21,241.47 2026-05-23
MS-029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 56 16 — — $12,774.70 $48,794.97 $20,840.24 2026-05-23
MS-037 OTHER Extracranial Procedures With Mcc 56 16 — — $9,469.31 $45,791.89 $20,758.00 2026-05-23
405809439 OTHER Natalizumab 300 Mg/15 Ml IV Inj 10 5 $25,925.00 $12,184.75 53% off $12,962.50 $24,888.00 $20,740.00 2026-05-23
MS-143 OTHER Stomach-- Esophageal & Duodenal Proc Age 0-17 52 14 — — $10,689.99 $47,456.37 $20,639.23 2026-05-23
MS-469 OTHER Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 56 16 — — $13,320.92 $50,881.33 $20,431.71 2026-05-23
L5973 OTHER Ank-foot Sys Dors-plant Flex 38 14 — — $20,392.86 $52,001.79 $20,392.86 2026-05-23
64590 OTHER Ins/rpl Prph Sac/gstr Npg/r 52 14 — — $917.00 $52,001.28 $20,392.66 2026-05-23
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 38 13 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
64580 OTHER Opn Impltj Nea Neuromuscular 48 14 — — $719.00 $52,001.28 $20,392.66 2026-05-23
63655 OTHER Implant Neuroelectrodes 52 14 — — $1,054.00 $52,001.28 $20,392.66 2026-05-23
61885 OTHER Insrt/redo Neurostim 1 Array 52 14 — — $917.00 $52,001.28 $20,392.66 2026-05-23
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 40 14 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 38 13 — — $12,536.00 $52,001.28 $20,392.66 2026-05-23
MS-579 OTHER Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc 56 16 — — $10,907.16 $44,943.87 $20,373.58 2026-05-23
405810415 OTHER Vedolizumab 300 Mg IV Inj 10 5 $25,454.00 $11,963.38 53% off $12,727.00 $24,435.84 $20,363.20 2026-05-23
MS-279 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 14 — — $17,656.24 $44,185.47 $20,327.26 2026-05-23
MS-324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 14 — — $17,425.36 $44,057.23 $20,268.26 2026-05-23
405507175 OTHER Ir Tib/per Stent Pta + Ather Pta 10 5 $25,321.00 $11,900.87 53% off $12,660.50 $24,308.16 $20,256.80 2026-05-23
405507171 OTHER Ir Fem/pop Stent + Ather Pta 10 5 $25,321.00 $11,900.87 53% off $12,660.50 $24,308.16 $20,256.80 2026-05-23
29527 OTHER Dressing Cytal Wnd Matrix 5x5[wsr0505] 10 5 $25,224.00 $11,855.28 53% off $12,612.00 $24,215.04 $20,179.20 2026-05-23
MS-656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 56 16 — — $15,411.00 $68,486.53 $20,163.19 2026-05-23
MS-485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 56 16 — — $10,588.15 $44,390.93 $20,122.92 2026-05-23
MS-840 OTHER Lymphoma And Non-acute Leukemia With Mcc 56 16 — — $9,276.48 $43,973.12 $19,933.53 2026-05-23
MS-229 OTHER Other Cardiothoracic Procedures Without Mcc 58 16 — — $17,115.71 $77,177.84 $19,897.20 2026-05-23
MS-939 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 56 16 — — $9,084.90 $43,766.29 $19,839.76 2026-05-23
MS-500 OTHER Soft Tissue Procedures With Mcc 56 16 — — $12,720.20 $48,586.81 $19,806.64 2026-05-23
C2616 OTHER Brachytx- Non-str-yttrium-90 40 14 — — $6,731.65 $50,241.97 $19,702.73 2026-05-23
MS-515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 56 16 — — $14,273.56 $75,187.55 $19,698.42 2026-05-23
MS-929 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 56 16 — — $5,077.77 $43,854.54 $19,682.94 2026-05-23
405807552 OTHER Leuprolide 30 Mg/4 Months Inj 10 5 $24,474.00 $11,502.78 53% off $12,237.00 $23,495.04 $19,579.20 2026-05-23
MS-451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $17,003.86 $42,552.85 $19,576.18 2026-05-23
MS-274 OTHER Percutaneous Intracardiac Procedures Without Mcc 56 16 — — $10,143.38 $43,035.47 $19,508.48 2026-05-23
MS-662 OTHER Minor Bladder Procedures With Mcc 56 16 — — $8,541.20 $43,016.16 $19,499.72 2026-05-23
405811275 OTHER Tenecteplase 50 Mg/10 Ml Inj 10 5 $24,349.00 $11,444.03 53% off $12,174.50 $23,375.04 $19,479.20 2026-05-23
MS-173 OTHER Urethral Procedures Age 0-17 44 14 — — $16,907.99 $42,312.93 $19,465.81 2026-05-23
MS-829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 56 16 — — $9,368.70 $42,522.52 $19,275.95 2026-05-23
L6975 OTHER Interscap-thor Myoelectronic 38 14 — — $19,274.14 $49,149.06 $19,274.14 2026-05-23
Q0489 OTHER Pwr Pck Base Combo Vad- Rep 38 14 — — $19,266.89 $49,130.57 $19,266.89 2026-05-23
MS-609 OTHER Other Respiratory Problems After Birth 2 1 — — $19,234.34 $19,234.34 $19,234.34 2026-05-23
MS-652 OTHER Kidney Transplant 52 16 — — $12,850.16 $49,083.18 $19,198.44 2026-05-23
MS-026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 56 16 — — $13,403.92 $51,198.37 $19,118.43 2026-05-23
MS-570 OTHER Skin Debridement With Mcc 56 16 — — $10,546.23 $41,507.65 $18,815.90 2026-05-23
54401 OTHER Insert Self-contd Prosthesis 52 14 — — $917.00 $47,951.19 $18,804.39 2026-05-23
54410 OTHER Remove/replace Penis Prosth 52 14 — — $917.00 $47,951.19 $18,804.39 2026-05-23
54405 OTHER Insert Multi-comp Penis Pros 52 14 — — $917.00 $47,951.19 $18,804.39 2026-05-23
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