|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
5
|
2
|
—
|
—
|
$1,111,445.30
|
$4,683,348.52
|
$3,740,678.20
|
2026-05-08
|
|
J1411
|
HCPCS
|
Inj- Hemgenix- Per Tx Dose
|
3
|
2
|
—
|
—
|
$2,100,000.00
|
$4,375,000.00
|
$3,672,900.00
|
2026-05-08
|
|
C9172
|
HCPCS
|
Inj- Beqvez- Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,605,000.00
|
$3,605,000.00
|
$3,605,000.00
|
2026-05-08
|
|
J3394
|
HCPCS
|
Inj- Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,286,000.00
|
$3,286,000.00
|
$3,286,000.00
|
2026-05-08
|
|
J3393
|
HCPCS
|
Inj- Betibeglogene Autotemce
|
1
|
1
|
—
|
—
|
$2,968,000.00
|
$2,968,000.00
|
$2,968,000.00
|
2026-05-08
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
2
|
1
|
—
|
—
|
$1,648,000.00
|
$3,325,454.76
|
$2,486,727.38
|
2026-05-08
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
2
|
—
|
—
|
$246,450.00
|
$994,977.75
|
$794,707.37
|
2026-05-08
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
2
|
—
|
—
|
$222,335.00
|
$949,908.24
|
$733,705.50
|
2026-05-08
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
5
|
2
|
—
|
—
|
$217,459.00
|
$929,075.92
|
$717,614.70
|
2026-05-08
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
2
|
—
|
—
|
$197,690.00
|
$880,823.81
|
$703,530.48
|
2026-05-08
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
7
|
4
|
—
|
—
|
$197,690.00
|
$880,823.81
|
$539,256.91
|
2026-05-08
|
|
C9741
|
HCPCS
|
Impl Pressure Sensor W/angio??????? ?
|
1
|
1
|
—
|
—
|
$394,000.00
|
$394,000.00
|
$394,000.00
|
2026-05-08
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
3
|
—
|
—
|
$219,694.16
|
$785,687.64
|
$374,443.51
|
2026-05-08
|
|
C9073
|
HCPCS
|
Brexucabtagene Autoleucel Ca
|
2
|
1
|
—
|
—
|
$371,504.49
|
$371,504.49
|
$371,504.49
|
2026-05-08
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
8
|
5
|
—
|
—
|
$156,483.17
|
$586,065.30
|
$274,281.91
|
2026-05-08
|
|
612
|
MS_DRG
|
Neonate- Birthwt <750g-- Discharged Alive
|
1
|
1
|
—
|
—
|
$197,745.82
|
$197,745.82
|
$197,745.82
|
2026-05-08
|
|
636
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- W Signif O.r. Proc W Mult Major Prob
|
1
|
1
|
—
|
—
|
$181,457.52
|
$181,457.52
|
$181,457.52
|
2026-05-08
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
7
|
5
|
—
|
—
|
$106,274.75
|
$380,835.42
|
$176,896.92
|
2026-05-08
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
10
|
5
|
—
|
—
|
$69,910.40
|
$289,755.23
|
$175,675.75
|
2026-05-08
|
|
633
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- W Signif O.r. Pro- Discharged Alive
|
1
|
1
|
—
|
—
|
$163,028.45
|
$163,028.45
|
$163,028.45
|
2026-05-08
|
|
631
|
MS_DRG
|
Neonate- Birthwt 750-999g- Discharged Alive
|
1
|
1
|
—
|
—
|
$158,817.49
|
$158,817.49
|
$158,817.49
|
2026-05-08
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
5
|
—
|
—
|
$36,531.60
|
$320,732.26
|
$147,897.73
|
2026-05-08
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
10
|
5
|
—
|
—
|
$45,070.29
|
$191,037.60
|
$119,597.93
|
2026-05-08
|
|
359
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$102,249.52
|
$102,249.52
|
$102,249.52
|
2026-05-08
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad- Rep
|
2
|
2
|
—
|
—
|
$99,999.92
|
$99,999.92
|
$99,999.92
|
2026-05-08
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
6
|
5
|
—
|
—
|
$44,501.01
|
$177,136.34
|
$95,288.25
|
2026-05-08
|
|
681
|
MS_DRG
|
Neonate- Birthwt >2499g- W Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$93,573.03
|
$93,573.03
|
$93,573.03
|
2026-05-08
|
|
212
|
MS_DRG
|
Testes Procedures Age 0-17
|
5
|
4
|
—
|
—
|
$6,544.27
|
$147,285.53
|
$91,040.32
|
2026-05-08
|
|
7
|
MS_DRG
|
Lung Transplant
|
6
|
5
|
—
|
—
|
$38,536.64
|
$176,690.18
|
$88,988.18
|
2026-05-08
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab- Rx
|
9
|
4
|
—
|
—
|
$21,053.68
|
$128,322.65
|
$88,838.14
|
2026-05-08
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
10
|
5
|
—
|
—
|
$50,310.71
|
$188,425.12
|
$81,232.99
|
2026-05-08
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
5
|
2
|
—
|
—
|
$35,344.01
|
$132,371.41
|
$79,486.12
|
2026-05-08
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
6
|
3
|
—
|
—
|
$33,634.09
|
$125,967.38
|
$78,402.14
|
2026-05-08
|
|
635
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- Died
|
1
|
1
|
—
|
—
|
$77,332.51
|
$77,332.51
|
$77,332.51
|
2026-05-08
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
5
|
3
|
—
|
—
|
$57,010.84
|
$124,544.89
|
$76,983.85
|
2026-05-08
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
4
|
—
|
—
|
$10,835.81
|
$141,627.41
|
$76,664.21
|
2026-05-08
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
7
|
4
|
—
|
—
|
$16,740.47
|
$134,720.34
|
$75,730.40
|
2026-05-08
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
5
|
—
|
—
|
$32,309.00
|
$121,004.61
|
$75,017.68
|
2026-05-08
|
|
634
|
MS_DRG
|
Neonate- Birthwt 1000-1499g- Without Signif O.r. Proc- Discharged Alive
|
1
|
1
|
—
|
—
|
$73,401.81
|
$73,401.81
|
$73,401.81
|
2026-05-08
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$26,280.07
|
$98,424.87
|
$73,381.02
|
2026-05-08
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
6
|
5
|
—
|
—
|
$43,686.51
|
$143,979.89
|
$72,787.62
|
2026-05-08
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$41,221.19
|
$154,382.81
|
$72,000.00
|
2026-05-08
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$26,428.04
|
$98,979.08
|
$71,161.20
|
2026-05-08
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
6
|
3
|
—
|
—
|
$30,676.22
|
$114,889.46
|
$70,974.04
|
2026-05-08
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
11
|
6
|
—
|
—
|
$25,460.53
|
$114,567.13
|
$70,816.38
|
2026-05-08
|
|
405810920
|
OTHER
|
Pegloticase 8 mg/mL Inj
|
7
|
7
|
$87,996.00
|
$41,358.12
53% off
|
$23,072.55
|
$79,196.40
|
$70,396.80
|
2026-05-08
|
|
613
|
MS_DRG
|
Neonate- Birthwt <750g- Died
|
1
|
1
|
—
|
—
|
$70,136.45
|
$70,136.45
|
$70,136.45
|
2026-05-08
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
5
|
3
|
—
|
—
|
$51,618.52
|
$112,764.91
|
$69,702.39
|
2026-05-08
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
7
|
5
|
—
|
—
|
$64,027.77
|
$148,986.34
|
$69,203.72
|
2026-05-08
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$65,871.74
|
$65,871.74
|
$65,871.74
|
2026-05-08
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
2
|
—
|
—
|
$64,742.69
|
$64,742.69
|
$64,742.69
|
2026-05-08
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$45,606.86
|
$170,808.15
|
$64,662.29
|
2026-05-08
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
6
|
3
|
—
|
—
|
$24,784.36
|
$92,823.11
|
$64,042.15
|
2026-05-08
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
10
|
5
|
—
|
—
|
$43,646.30
|
$194,114.80
|
$61,981.84
|
2026-05-08
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
5
|
—
|
—
|
$26,724.42
|
$100,915.98
|
$61,955.15
|
2026-05-08
|
|
J9029
|
HCPCS
|
Instill Adstiladrin- Tx Dose
|
3
|
2
|
—
|
—
|
$30,900.00
|
$63,354.77
|
$61,200.00
|
2026-05-08
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
10
|
5
|
—
|
—
|
$21,867.57
|
$105,677.73
|
$59,512.88
|
2026-05-08
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
5
|
4
|
—
|
—
|
$37,174.77
|
$95,545.84
|
$59,058.92
|
2026-05-08
|
|
632
|
MS_DRG
|
Neonate- Birthwt 750-999g- Died
|
1
|
1
|
—
|
—
|
$58,947.65
|
$58,947.65
|
$58,947.65
|
2026-05-08
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
6
|
5
|
—
|
—
|
$27,926.68
|
$107,177.10
|
$56,167.04
|
2026-05-08
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
5
|
3
|
—
|
—
|
$41,494.22
|
$90,647.54
|
$56,031.18
|
2026-05-08
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
5
|
—
|
—
|
$31,439.58
|
$117,748.43
|
$55,825.65
|
2026-05-08
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
5
|
—
|
—
|
$28,095.20
|
$105,222.97
|
$55,529.44
|
2026-05-08
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock…
|
6
|
3
|
—
|
—
|
$28,844.73
|
$108,030.13
|
$55,506.29
|
2026-05-08
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
9
|
5
|
—
|
—
|
$36,372.51
|
$163,152.83
|
$55,426.13
|
2026-05-08
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
11
|
6
|
—
|
—
|
$19,146.96
|
$82,589.62
|
$54,528.46
|
2026-05-08
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$21,544.78
|
$85,504.54
|
$53,626.50
|
2026-05-08
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$23,765.71
|
$89,008.01
|
$53,304.87
|
2026-05-08
|
|
C9150
|
HCPCS
|
Xe129 Xenon- Diagnostic
|
1
|
1
|
—
|
—
|
$53,040.00
|
$53,040.00
|
$53,040.00
|
2026-05-08
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
10
|
5
|
—
|
—
|
$16,074.22
|
$82,968.18
|
$52,628.32
|
2026-05-08
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
4
|
—
|
—
|
$10,430.04
|
$96,028.50
|
$51,981.11
|
2026-05-08
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh…
|
6
|
3
|
—
|
—
|
$26,391.16
|
$98,840.92
|
$51,966.22
|
2026-05-08
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
6
|
4
|
—
|
—
|
$8,316.02
|
$98,454.84
|
$51,945.44
|
2026-05-08
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
5
|
4
|
—
|
—
|
$28,560.32
|
$83,748.29
|
$51,766.60
|
2026-05-08
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
6
|
3
|
—
|
—
|
$21,132.29
|
$79,145.27
|
$50,911.32
|
2026-05-08
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
5
|
—
|
—
|
$25,103.79
|
$94,019.45
|
$50,589.92
|
2026-05-08
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
5
|
—
|
—
|
$19,103.78
|
$83,258.86
|
$50,342.05
|
2026-05-08
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
6
|
—
|
—
|
$24,025.61
|
$89,981.41
|
$49,718.30
|
2026-05-08
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
5
|
—
|
—
|
$16,799.86
|
$90,298.73
|
$48,879.53
|
2026-05-08
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
5
|
—
|
—
|
$11,874.11
|
$98,606.99
|
$48,796.83
|
2026-05-08
|
|
90288
|
OTHER
|
Botulism Ig IV
|
2
|
2
|
—
|
—
|
$48,705.00
|
$48,705.00
|
$48,705.00
|
2026-05-08
|
|
361
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
1
|
1
|
—
|
—
|
$47,754.57
|
$47,754.57
|
$47,754.57
|
2026-05-08
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
2
|
2
|
—
|
—
|
$47,492.96
|
$47,492.96
|
$47,492.96
|
2026-05-08
|
|
647
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$47,410.85
|
$47,410.85
|
$47,410.85
|
2026-05-08
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
10
|
5
|
—
|
—
|
$32,487.58
|
$121,673.43
|
$47,047.13
|
2026-05-08
|
|
405810763
|
OTHER
|
Ocrelizumab 300 Mg/10 Ml Inj Soln
|
7
|
7
|
$58,730.00
|
$27,603.10
53% off
|
$15,399.01
|
$52,857.00
|
$46,984.00
|
2026-05-08
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
5
|
—
|
—
|
$14,843.03
|
$68,878.99
|
$46,859.44
|
2026-05-08
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,851.42
|
$78,717.50
|
$46,686.82
|
2026-05-08
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
5
|
—
|
—
|
$20,076.75
|
$79,554.38
|
$46,623.86
|
2026-05-08
|
|
360
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$46,184.29
|
$46,184.29
|
$46,184.29
|
2026-05-08
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
5
|
—
|
—
|
$30,228.51
|
$113,212.70
|
$45,996.72
|
2026-05-08
|
|
317
|
MS_DRG
|
Endovascular Cardiac Valve Replacement With Mcc
|
6
|
4
|
—
|
—
|
$38,286.55
|
$83,640.13
|
$45,795.03
|
2026-05-08
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
11
|
6
|
—
|
—
|
$30,697.18
|
$114,967.96
|
$45,792.79
|
2026-05-08
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
5
|
4
|
—
|
—
|
$26,360.68
|
$57,587.09
|
$45,757.84
|
2026-05-08
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
5
|
3
|
—
|
—
|
$33,855.97
|
$73,961.16
|
$45,716.97
|
2026-05-08
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,161.63
|
$75,368.59
|
$44,719.41
|
2026-05-08
|
|
405
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,660.26
|
$73,396.02
|
$44,494.99
|
2026-05-08
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$23,777.86
|
$89,053.54
|
$44,264.52
|
2026-05-08
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
10
|
5
|
—
|
—
|
$14,824.17
|
$71,929.10
|
$43,981.94
|
2026-05-08
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement W Mcc
|
10
|
5
|
—
|
—
|
$36,910.20
|
$141,174.40
|
$43,906.77
|
2026-05-08
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
6
|
5
|
—
|
—
|
$17,419.44
|
$107,794.96
|
$43,723.03
|
2026-05-08
|
|
956
|
MS_DRG
|
Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
5
|
—
|
—
|
$23,656.17
|
$133,705.91
|
$43,514.46
|
2026-05-08
|
|
454
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Cc
|
5
|
2
|
—
|
—
|
$27,587.55
|
$103,321.70
|
$43,511.53
|
2026-05-08
|
|
11
|
MS_DRG
|
Tracheostomy For Facemouth & Neck Diagnoses W Mcc
|
10
|
5
|
—
|
—
|
$17,389.25
|
$72,952.57
|
$43,364.07
|
2026-05-08
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
6
|
5
|
—
|
—
|
$17,986.20
|
$81,605.37
|
$43,124.99
|
2026-05-08
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
5
|
3
|
—
|
—
|
$31,873.07
|
$69,629.35
|
$43,039.39
|
2026-05-08
|
|
646
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- W Signif O.r. Proc- Without Mult Major Prob
|
1
|
1
|
—
|
—
|
$42,518.15
|
$42,518.15
|
$42,518.15
|
2026-05-08
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
5
|
—
|
—
|
$17,745.99
|
$73,021.52
|
$42,158.11
|
2026-05-08
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
5
|
4
|
—
|
—
|
$26,707.64
|
$67,644.62
|
$41,812.58
|
2026-05-08
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,985.14
|
$82,194.84
|
$41,460.50
|
2026-05-08
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
8
|
4
|
—
|
—
|
$4,971.85
|
$80,373.70
|
$41,417.24
|
2026-05-08
|
|
405811243
|
OTHER
|
Polatuzumab Vedotin 140 Mg Inj
|
7
|
7
|
$51,480.00
|
$24,195.60
53% off
|
$13,498.06
|
$46,332.00
|
$41,184.00
|
2026-05-08
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
6
|
4
|
—
|
—
|
$8,251.47
|
$74,415.43
|
$40,281.76
|
2026-05-08
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
5
|
—
|
—
|
$29,332.26
|
$109,856.04
|
$39,190.04
|
2026-05-08
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,727.75
|
$59,038.21
|
$38,923.07
|
2026-05-08
|
|
277
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
5
|
4
|
—
|
—
|
$28,789.80
|
$62,893.69
|
$38,875.93
|
2026-05-08
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$21,962.73
|
$82,255.44
|
$38,806.79
|
2026-05-08
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
5
|
—
|
—
|
$16,694.22
|
$64,272.73
|
$38,438.00
|
2026-05-08
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
6
|
—
|
—
|
$18,064.59
|
$72,000.00
|
$38,380.36
|
2026-05-08
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
10
|
5
|
—
|
—
|
$19,033.78
|
$71,285.85
|
$38,354.02
|
2026-05-08
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
2
|
2
|
—
|
—
|
$38,289.48
|
$38,289.48
|
$38,289.48
|
2026-05-08
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
5
|
—
|
—
|
$21,668.94
|
$127,890.63
|
$38,135.54
|
2026-05-08
|
|
651
|
MS_DRG
|
Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- W Mult Major Prob
|
8
|
5
|
—
|
—
|
$15,483.57
|
$109,591.05
|
$37,983.94
|
2026-05-08
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
6
|
5
|
—
|
—
|
$25,279.44
|
$81,605.37
|
$37,858.26
|
2026-05-08
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
10
|
5
|
—
|
—
|
$16,563.85
|
$64,284.90
|
$37,768.94
|
2026-05-08
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
1
|
1
|
—
|
—
|
$37,701.48
|
$37,701.48
|
$37,701.48
|
2026-05-08
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
6
|
5
|
—
|
—
|
$21,600.12
|
$73,563.67
|
$37,661.80
|
2026-05-08
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
10
|
5
|
—
|
—
|
$3,225.43
|
$74,337.93
|
$37,565.86
|
2026-05-08
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
5
|
—
|
—
|
$28,162.28
|
$105,474.17
|
$37,414.47
|
2026-05-08
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
5
|
—
|
—
|
$10,381.91
|
$72,944.46
|
$37,327.32
|
2026-05-08
|
|
326
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$20,399.53
|
$76,400.91
|
$37,170.66
|
2026-05-08
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
5
|
—
|
—
|
$29,317.17
|
$109,799.52
|
$36,862.55
|
2026-05-08
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
9
|
5
|
—
|
—
|
$17,190.13
|
$64,380.99
|
$36,710.63
|
2026-05-08
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
5
|
—
|
—
|
$23,383.40
|
$87,576.17
|
$36,350.04
|
2026-05-08
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
5
|
—
|
—
|
$22,197.90
|
$83,136.21
|
$35,768.90
|
2026-05-08
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
10
|
5
|
—
|
—
|
$11,961.45
|
$59,900.36
|
$35,641.55
|
2026-05-08
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
10
|
5
|
—
|
—
|
$25,475.62
|
$95,412.04
|
$35,548.15
|
2026-05-08
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
10
|
5
|
—
|
—
|
$26,723.35
|
$102,018.60
|
$35,493.08
|
2026-05-08
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
5
|
—
|
—
|
$15,237.50
|
$62,082.49
|
$35,403.89
|
2026-05-08
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$14,618.76
|
$54,750.61
|
$35,348.33
|
2026-05-08
|
|
140
|
MS_DRG
|
Simple Pneumonia And Pleurisy Age 0-17
|
9
|
5
|
—
|
—
|
$3,656.86
|
$62,495.42
|
$35,343.42
|
2026-05-08
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
6
|
5
|
—
|
—
|
$19,970.27
|
$65,561.18
|
$35,267.81
|
2026-05-08
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,954.34
|
$74,733.57
|
$35,037.49
|
2026-05-08
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With…
|
10
|
5
|
—
|
—
|
$13,183.42
|
$52,254.80
|
$34,930.90
|
2026-05-08
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
10
|
5
|
—
|
—
|
$11,712.45
|
$48,466.50
|
$34,820.85
|
2026-05-08
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
10
|
5
|
—
|
—
|
$3,055.70
|
$106,001.69
|
$34,431.35
|
2026-05-08
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
5
|
3
|
—
|
—
|
$25,272.07
|
$55,208.92
|
$34,125.81
|
2026-05-08
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
10
|
5
|
—
|
—
|
$13,422.36
|
$55,595.59
|
$34,085.77
|
2026-05-08
|
|
608
|
MS_DRG
|
Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period
|
1
|
1
|
—
|
—
|
$33,741.83
|
$33,741.83
|
$33,741.83
|
2026-05-08
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
10
|
5
|
—
|
—
|
$17,015.33
|
$63,726.30
|
$33,732.43
|
2026-05-08
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
5
|
—
|
—
|
$18,022.67
|
$67,499.01
|
$33,596.59
|
2026-05-08
|
|
650
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Other Prob
|
8
|
5
|
—
|
—
|
$15,240.02
|
$70,855.67
|
$33,508.49
|
2026-05-08
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$33,480.90
|
$33,480.90
|
$33,480.90
|
2026-05-08
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$16,576.84
|
$62,084.08
|
$33,018.15
|
2026-05-08
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
10
|
5
|
—
|
—
|
$14,881.18
|
$55,733.43
|
$32,931.99
|
2026-05-08
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
5
|
—
|
—
|
$17,259.56
|
$114,479.69
|
$32,815.70
|
2026-05-08
|
|
648
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Major Prob
|
1
|
1
|
—
|
—
|
$32,596.56
|
$32,596.56
|
$32,596.56
|
2026-05-08
|
|
628
|
MS_DRG
|
Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$24,224.73
|
$90,727.16
|
$32,375.70
|
2026-05-08
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
5
|
—
|
—
|
$18,738.66
|
$70,180.57
|
$32,143.40
|
2026-05-08
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
10
|
5
|
—
|
—
|
$9,893.96
|
$53,236.35
|
$31,838.04
|
2026-05-08
|
|
455
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
5
|
2
|
—
|
—
|
$23,904.04
|
$89,526.11
|
$31,671.65
|
2026-05-08
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
5
|
—
|
—
|
$11,161.62
|
$58,499.69
|
$31,666.42
|
2026-05-08
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$13,859.59
|
$57,672.26
|
$31,377.00
|
2026-05-08
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
10
|
5
|
—
|
—
|
$18,521.51
|
$69,367.31
|
$31,320.72
|
2026-05-08
|
|
29084
|
OTHER
|
Tissue Matrix Strattice Reconstructive Extra Thick 15x35 Rectangle
|
7
|
7
|
$38,908.00
|
$18,286.76
53% off
|
$10,201.68
|
$35,017.20
|
$31,126.40
|
2026-05-08
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
5
|
—
|
—
|
$14,629.24
|
$56,643.39
|
$30,806.94
|
2026-05-08
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…
|
10
|
5
|
—
|
—
|
$22,754.18
|
$85,219.60
|
$30,776.84
|
2026-05-08
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
9
|
5
|
—
|
—
|
$15,866.30
|
$59,422.93
|
$30,569.07
|
2026-05-08
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
10
|
5
|
—
|
—
|
$21,849.03
|
$88,053.45
|
$30,482.77
|
2026-05-08
|
|
27207
|
OTHER
|
Wound Matrix Mesh Bilayer 8x10 [mwm8101]
|
7
|
7
|
$38,100.00
|
$17,907.00
53% off
|
$9,989.82
|
$34,290.00
|
$30,480.00
|
2026-05-08
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
5
|
—
|
—
|
$3,229.71
|
$61,294.37
|
$30,450.08
|
2026-05-08
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
11
|
6
|
—
|
—
|
$19,224.35
|
$75,674.00
|
$30,430.83
|
2026-05-08
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
6
|
3
|
—
|
—
|
$17,712.04
|
$66,335.64
|
$30,329.24
|
2026-05-08
|
|
318
|
MS_DRG
|
Endovascular Cardiac Valve Replacement Without Mcc
|
1
|
1
|
—
|
—
|
$30,109.21
|
$30,109.21
|
$30,109.21
|
2026-05-08
|
|
12
|
MS_DRG
|
Tracheostomy For Facemouth & Neck Diagnoses W Cc
|
10
|
5
|
—
|
—
|
$13,612.26
|
$55,482.02
|
$30,032.93
|
2026-05-08
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
5
|
—
|
—
|
$11,363.67
|
$53,859.62
|
$30,025.03
|
2026-05-08
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
6
|
3
|
—
|
—
|
$14,265.80
|
$53,428.67
|
$29,915.72
|
2026-05-08
|
|
677
|
MS_DRG
|
Neonate- Birthwt 2000-2499g- Without Signif O.r. Proc- W Mult Major Prob
|
1
|
1
|
—
|
—
|
$29,684.19
|
$29,684.19
|
$29,684.19
|
2026-05-08
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
6
|
4
|
—
|
—
|
$24,319.61
|
$53,128.19
|
$29,573.27
|
2026-05-08
|
|
362
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$29,484.52
|
$29,484.52
|
$29,484.52
|
2026-05-08
|
|
405810353
|
OTHER
|
Leuprolide 45 Mg/6 Months Inj
|
7
|
7
|
$36,711.00
|
$17,254.17
53% off
|
$9,625.62
|
$33,039.90
|
$29,368.80
|
2026-05-08
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
10
|
5
|
—
|
—
|
$12,481.26
|
$46,896.82
|
$28,957.04
|
2026-05-08
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
10
|
5
|
—
|
—
|
$13,103.77
|
$49,076.63
|
$28,917.24
|
2026-05-08
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
10
|
5
|
—
|
—
|
$9,261.80
|
$48,228.54
|
$28,892.97
|
2026-05-08
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
10
|
5
|
—
|
—
|
$17,373.74
|
$65,068.65
|
$28,884.38
|
2026-05-08
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
5
|
—
|
—
|
$10,331.60
|
$47,356.50
|
$28,811.36
|
2026-05-08
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
8
|
4
|
—
|
—
|
$2,156.46
|
$54,889.85
|
$28,809.61
|
2026-05-08
|
|
396
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
1
|
1
|
—
|
—
|
$28,713.64
|
$28,713.64
|
$28,713.64
|
2026-05-08
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
6
|
4
|
—
|
—
|
$9,336.84
|
$52,892.94
|
$28,631.44
|
2026-05-08
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
10
|
5
|
—
|
—
|
$21,684.41
|
$86,141.19
|
$28,592.75
|
2026-05-08
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
5
|
—
|
—
|
$9,318.40
|
$48,463.79
|
$28,476.83
|
2026-05-08
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
10
|
5
|
—
|
—
|
$10,663.61
|
$52,575.22
|
$28,459.46
|
2026-05-08
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
2
|
2
|
—
|
—
|
$28,454.32
|
$28,454.32
|
$28,454.32
|
2026-05-08
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
2
|
2
|
—
|
—
|
$28,320.00
|
$28,320.00
|
$28,320.00
|
2026-05-08
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
10
|
5
|
—
|
—
|
$9,276.48
|
$43,115.28
|
$28,216.53
|
2026-05-08
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc
|
10
|
5
|
—
|
—
|
$13,157.85
|
$49,279.16
|
$28,076.99
|
2026-05-08
|
|
40
|
MS_DRG
|
Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,458.43
|
$72,876.26
|
$28,074.39
|
2026-05-08
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
10
|
5
|
—
|
—
|
$8,979.26
|
$52,202.07
|
$27,961.54
|
2026-05-08
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
10
|
5
|
—
|
—
|
$12,839.26
|
$48,455.68
|
$27,785.11
|
2026-05-08
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
5
|
—
|
—
|
$12,824.17
|
$48,029.44
|
$27,684.57
|
2026-05-08
|
|
143
|
MS_DRG
|
Stomach-- Esophageal & Duodenal Proc Age 0-17
|
9
|
5
|
—
|
—
|
$9,788.24
|
$46,531.66
|
$27,593.98
|
2026-05-08
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
10
|
5
|
—
|
—
|
$9,469.31
|
$44,898.57
|
$27,236.26
|
2026-05-08
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
10
|
5
|
—
|
—
|
$20,992.50
|
$78,801.44
|
$27,102.63
|
2026-05-08
|
|
230
|
MS_DRG
|
Other Cardiothoracic Procedures Without Cc/mcc
|
1
|
1
|
—
|
—
|
$27,015.30
|
$27,015.30
|
$27,015.30
|
2026-05-08
|
|
652
|
MS_DRG
|
Kidney Transplant
|
8
|
5
|
—
|
—
|
$12,850.16
|
$48,126.78
|
$26,812.00
|
2026-05-08
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
10
|
5
|
—
|
—
|
$11,534.71
|
$43,200.12
|
$26,809.81
|
2026-05-08
|
|
363
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$26,792.51
|
$26,792.51
|
$26,792.51
|
2026-05-08
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
5
|
4
|
—
|
—
|
$18,739.28
|
$43,323.49
|
$26,779.17
|
2026-05-08
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
10
|
5
|
—
|
—
|
$17,092.04
|
$64,013.61
|
$26,714.43
|
2026-05-08
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
5
|
4
|
—
|
—
|
$19,773.92
|
$43,197.75
|
$26,701.45
|
2026-05-08
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
6
|
3
|
—
|
—
|
$12,579.35
|
$47,112.56
|
$26,636.58
|
2026-05-08
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
10
|
5
|
—
|
—
|
$8,967.95
|
$46,422.27
|
$26,573.33
|
2026-05-08
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
10
|
5
|
—
|
—
|
$16,669.91
|
$62,432.62
|
$26,517.85
|
2026-05-08
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
10
|
5
|
—
|
—
|
$10,588.15
|
$43,524.94
|
$26,488.68
|
2026-05-08
|
|
22444
|
OTHER
|
Tissue Allodrem 10x20cm1.2-2.8 (15201020)
|
7
|
7
|
$32,996.00
|
$15,508.12
53% off
|
$8,651.55
|
$29,696.40
|
$26,396.80
|
2026-05-08
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
10
|
5
|
—
|
—
|
$9,084.90
|
$42,912.48
|
$25,988.12
|
2026-05-08
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
10
|
5
|
—
|
—
|
$21,080.38
|
$87,744.16
|
$25,963.69
|
2026-05-08
|
|
405811298
|
OTHER
|
Ublituximab-xiiy 150 Mg/6 Ml Inj
|
7
|
7
|
$32,450.00
|
$15,251.50
53% off
|
$8,508.39
|
$29,205.00
|
$25,960.00
|
2026-05-08
|
|
28713
|
OTHER
|
Wound Graft Surgiclose 300cm [50205n23d0d]
|
7
|
7
|
$32,262.00
|
$15,163.14
53% off
|
$8,459.10
|
$29,035.80
|
$25,809.60
|
2026-05-08
|
|
274
|
MS_DRG
|
Percutaneous Intracardiac Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$10,143.38
|
$42,195.92
|
$25,804.46
|
2026-05-08
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
5
|
3
|
—
|
—
|
$19,098.72
|
$41,722.72
|
$25,789.70
|
2026-05-08
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
10
|
5
|
—
|
—
|
$17,811.39
|
$66,707.73
|
$25,781.51
|
2026-05-08
|
|
173
|
MS_DRG
|
Urethral Procedures Age 0-17
|
5
|
4
|
—
|
—
|
$18,991.03
|
$41,487.47
|
$25,644.29
|
2026-05-08
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
5
|
—
|
—
|
$11,778.68
|
$44,113.86
|
$25,537.27
|
2026-05-08
|
|
469
|
MS_DRG
|
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc
|
10
|
5
|
—
|
—
|
$13,320.92
|
$49,889.89
|
$25,435.03
|
2026-05-08
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
10
|
5
|
—
|
—
|
$3,705.35
|
$49,338.82
|
$25,207.84
|
2026-05-08
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
10
|
5
|
—
|
—
|
$12,568.87
|
$47,073.31
|
$25,166.25
|
2026-05-08
|
|
405811316
|
OTHER
|
Risankizumab-rzaa 600 Mg/10 Ml IV Soln
|
7
|
7
|
$31,357.00
|
$14,737.79
53% off
|
$8,221.81
|
$28,221.30
|
$25,085.60
|
2026-05-08
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
10
|
5
|
—
|
—
|
$8,541.20
|
$42,176.99
|
$24,895.45
|
2026-05-08
|
|
739
|
MS_DRG
|
Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
10
|
5
|
—
|
—
|
$6,253.21
|
$53,821.77
|
$24,818.57
|
2026-05-08
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
10
|
5
|
—
|
—
|
$19,138.32
|
$73,722.49
|
$24,776.44
|
2026-05-08
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
10
|
5
|
—
|
—
|
$12,774.70
|
$47,844.18
|
$24,566.01
|
2026-05-08
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
5
|
4
|
—
|
—
|
$17,618.35
|
$38,488.74
|
$24,400.00
|
2026-05-08
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
9
|
5
|
—
|
—
|
$12,841.77
|
$48,095.38
|
$24,358.15
|
2026-05-08
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
10
|
5
|
—
|
—
|
$10,546.23
|
$40,697.90
|
$24,143.44
|
2026-05-08
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
10
|
5
|
—
|
—
|
$11,580.40
|
$43,371.25
|
$24,106.12
|
2026-05-08
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
10
|
5
|
—
|
—
|
$9,770.71
|
$39,654.16
|
$23,984.89
|
2026-05-08
|
|
649
|
MS_DRG
|
Neonate- Birthwt 1500-1999g- Without Signif O.r. Proc- W Minor Prob
|
1
|
1
|
—
|
—
|
$23,950.02
|
$23,950.02
|
$23,950.02
|
2026-05-08
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
5
|
4
|
—
|
—
|
$17,713.04
|
$38,695.59
|
$23,918.57
|
2026-05-08
|
|
579
|
MS_DRG
|
Other Skin- Subcutaneous Tissue And Breast Procedures With Mcc
|
10
|
5
|
—
|
—
|
$10,907.16
|
$44,067.09
|
$23,853.92
|
2026-05-08
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
10
|
5
|
—
|
—
|
$15,312.75
|
$67,152.04
|
$23,843.68
|
2026-05-08
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
10
|
5
|
—
|
—
|
$12,052.42
|
$45,139.07
|
$23,706.07
|
2026-05-08
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
10
|
5
|
—
|
—
|
$14,306.46
|
$53,580.96
|
$23,467.17
|
2026-05-08
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
10
|
5
|
—
|
—
|
$9,992.05
|
$39,428.38
|
$23,338.90
|
2026-05-08
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
10
|
5
|
—
|
—
|
$9,022.02
|
$40,373.42
|
$23,262.65
|
2026-05-08
|
|
405810960
|
OTHER
|
Alteplase 100 Mg/100 Ml (continuous For Mi) IV Inj
|
7
|
7
|
$29,042.00
|
$13,649.74
53% off
|
$7,614.81
|
$26,137.80
|
$23,233.60
|
2026-05-08
|
|
405803773
|
OTHER
|
Alteplase 100 Mg/100 Ml (emergent Override Pe And Mi Only) IV Inj
|
7
|
7
|
$29,042.00
|
$13,649.74
53% off
|
$7,614.81
|
$26,137.80
|
$23,233.60
|
2026-05-08
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
10
|
5
|
—
|
—
|
$12,720.20
|
$47,640.08
|
$23,190.14
|
2026-05-08
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
10
|
5
|
—
|
—
|
$13,403.92
|
$50,200.75
|
$23,156.57
|
2026-05-08
|
|
364
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$22,812.60
|
$22,812.60
|
$22,812.60
|
2026-05-08
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
10
|
5
|
—
|
—
|
$7,878.86
|
$36,001.06
|
$22,733.19
|
2026-05-08
|
|
676
|
MS_DRG
|
Neonate- Birthwt 2000-2499g- W Signif O.r. Proc- Without Mult Major Prob
|
1
|
1
|
—
|
—
|
$22,702.78
|
$22,702.78
|
$22,702.78
|
2026-05-08
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
10
|
5
|
—
|
—
|
$9,368.70
|
$41,692.98
|
$22,568.79
|
2026-05-08
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
10
|
5
|
—
|
—
|
$15,437.04
|
$57,815.25
|
$22,529.94
|
2026-05-08
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc
|
10
|
5
|
—
|
—
|
$12,992.27
|
$48,659.01
|
$22,468.10
|
2026-05-08
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
10
|
5
|
—
|
—
|
$9,610.58
|
$37,930.36
|
$22,442.71
|
2026-05-08
|
|
22693
|
OTHER
|
Graft Alloderm 16x20cm Thk [1519320]
|
7
|
7
|
$28,002.00
|
$13,160.94
53% off
|
$7,342.12
|
$25,201.80
|
$22,401.60
|
2026-05-08
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
10
|
5
|
—
|
—
|
$9,273.96
|
$36,261.99
|
$22,388.83
|
2026-05-08
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
10
|
5
|
—
|
—
|
$6,027.26
|
$47,718.84
|
$22,369.36
|
2026-05-08
|
|
405810690
|
OTHER
|
Lanreotide 120 Mg/0.5 Ml Subcut Soln Syringe
|
28
|
7
|
$29,770.50
|
$13,992.14
53% off
|
$2,645.34
|
$28,399.50
|
$22,327.88
|
2026-05-08
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad- Rep
|
2
|
2
|
—
|
—
|
$22,223.88
|
$22,223.88
|
$22,223.88
|
2026-05-08
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
10
|
5
|
—
|
—
|
$15,447.10
|
$57,852.93
|
$22,088.07
|
2026-05-08
|
|
406
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Cc
|
10
|
5
|
—
|
—
|
$9,067.72
|
$37,969.57
|
$22,072.60
|
2026-05-08
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
10
|
5
|
—
|
—
|
$6,489.64
|
$46,845.45
|
$22,060.17
|
2026-05-08
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
2
|
2
|
—
|
—
|
$22,029.19
|
$22,029.19
|
$22,029.19
|
2026-05-08
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
10
|
5
|
—
|
—
|
$8,397.41
|
$31,450.24
|
$21,908.07
|
2026-05-08
|
|
510
|
MS_DRG
|
Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc
|
10
|
5
|
—
|
—
|
$6,435.56
|
$38,641.51
|
$21,854.92
|
2026-05-08
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
10
|
5
|
—
|
—
|
$16,193.06
|
$72,323.62
|
$21,806.65
|
2026-05-08
|
|
13
|
MS_DRG
|
Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc
|
10
|
5
|
—
|
—
|
$11,217.79
|
$42,013.20
|
$21,702.39
|
2026-05-08
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
10
|
5
|
—
|
—
|
$9,170.42
|
$36,929.88
|
$21,676.03
|
2026-05-08
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
10
|
5
|
—
|
—
|
$7,779.93
|
$35,782.03
|
$21,673.21
|
2026-05-08
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
10
|
5
|
—
|
—
|
$11,577.05
|
$43,358.69
|
$21,667.61
|
2026-05-08
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
1
|
1
|
—
|
—
|
$21,420.45
|
$21,420.45
|
$21,420.45
|
2026-05-08
|
|
22781
|
OTHER
|
Graft Alloderm 16cmx20cm Med [1518320]
|
7
|
7
|
$26,739.00
|
$12,567.33
53% off
|
$7,010.97
|
$24,065.10
|
$21,391.20
|
2026-05-08
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
10
|
5
|
—
|
—
|
$8,319.44
|
$31,158.22
|
$21,295.93
|
2026-05-08
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
9
|
5
|
—
|
—
|
$8,717.85
|
$39,747.69
|
$21,185.83
|
2026-05-08
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
10
|
5
|
—
|
—
|
$10,616.66
|
$39,761.82
|
$21,123.07
|
2026-05-08
|
|
61
|
MS_DRG
|
Ischemic Stroke- Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
5
|
—
|
—
|
$10,706.79
|
$40,099.37
|
$21,026.63
|
2026-05-08
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
10
|
5
|
—
|
—
|
$11,553.57
|
$43,270.77
|
$21,022.82
|
2026-05-08
|
|
625
|
MS_DRG
|
Thyroid- Parathyroid And Thyroglossal Procedures With Mcc
|
10
|
5
|
—
|
—
|
$13,686.46
|
$51,258.93
|
$20,982.87
|
2026-05-08
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
10
|
5
|
—
|
—
|
$7,304.56
|
$28,990.94
|
$20,928.19
|
2026-05-08
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
10
|
5
|
—
|
—
|
$9,796.70
|
$36,690.90
|
$20,884.07
|
2026-05-08
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
10
|
5
|
—
|
—
|
$7,236.23
|
$34,163.69
|
$20,821.82
|
2026-05-08
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Cc
|
10
|
5
|
—
|
—
|
$8,721.46
|
$32,663.85
|
$20,750.01
|
2026-05-08
|
|
405809439
|
OTHER
|
Natalizumab 300 Mg/15 Ml IV Inj
|
7
|
7
|
$25,925.00
|
$12,184.75
53% off
|
$6,797.54
|
$23,332.50
|
$20,740.00
|
2026-05-08
|
|
397
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
5
|
4
|
—
|
—
|
$15,334.67
|
$33,499.86
|
$20,706.97
|
2026-05-08
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
10
|
5
|
—
|
—
|
$10,334.96
|
$38,706.78
|
$20,653.54
|
2026-05-08
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
10
|
5
|
—
|
—
|
$15,299.54
|
$57,300.29
|
$20,427.21
|
2026-05-08
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
2
|
2
|
—
|
—
|
$20,392.86
|
$20,392.86
|
$20,392.86
|
2026-05-08
|
|
405810415
|
OTHER
|
Vedolizumab 300 Mg IV Inj
|
7
|
7
|
$25,454.00
|
$11,963.38
53% off
|
$6,674.04
|
$22,908.60
|
$20,363.20
|
2026-05-08
|
|
A9604
|
HCPCS
|
Sm 153 Lexidronam
|
9
|
4
|
—
|
—
|
$3,959.63
|
$33,826.31
|
$20,353.60
|
2026-05-08
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
6
|
3
|
—
|
—
|
$7,253.00
|
$30,541.68
|
$20,307.82
|
2026-05-08
|
|
405507171
|
OTHER
|
Ir Fem/pop Stent + Ather Pta
|
7
|
7
|
$25,321.00
|
$11,900.87
53% off
|
$6,639.17
|
$22,788.90
|
$20,256.80
|
2026-05-08
|
|
405507175
|
OTHER
|
Ir Tib/per Stent Pta + Ather Pta
|
7
|
7
|
$25,321.00
|
$11,900.87
53% off
|
$6,639.17
|
$22,788.90
|
$20,256.80
|
2026-05-08
|
|
104
|
MS_DRG
|
Craniotomy- Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17
|
1
|
1
|
—
|
—
|
$20,241.10
|
$20,241.10
|
$20,241.10
|
2026-05-08
|
|
29527
|
OTHER
|
Dressing Cytal Wnd Matrix 5x5[wsr0505]
|
7
|
7
|
$25,224.00
|
$11,855.28
53% off
|
$6,613.73
|
$22,701.60
|
$20,179.20
|
2026-05-08
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
11
|
6
|
—
|
—
|
$14,312.28
|
$75,217.13
|
$20,083.45
|
2026-05-08
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
10
|
5
|
—
|
—
|
$10,201.65
|
$38,207.52
|
$19,976.22
|
2026-05-08
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
10
|
5
|
—
|
—
|
$9,492.78
|
$35,552.65
|
$19,912.47
|
2026-05-08
|
|
327
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Cc
|
10
|
5
|
—
|
—
|
$9,154.07
|
$34,284.09
|
$19,861.32
|
2026-05-08
|