|
Q2041
|
HCPCS
|
Hc Yescarta (including Apheresis)
|
41
|
27
|
$2,914,876.00
|
$1,748,925.60
40% off
|
$359,987.19
|
$2,623,388.40
|
$1,340,842.96
|
2026-02-21
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
4
|
—
|
—
|
$324,518.64
|
$520,436.64
|
$415,586.85
|
2026-02-21
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
14
|
7
|
—
|
—
|
$388,722.54
|
$388,722.54
|
$388,722.54
|
2026-02-21
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
9
|
6
|
—
|
—
|
$6,368.00
|
$365,042.00
|
$260,832.19
|
2026-02-21
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
15
|
7
|
—
|
—
|
$6,368.00
|
$295,756.08
|
$236,506.09
|
2026-02-21
|
|
27801347-807157
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$306,762.00
|
$184,057.20
40% off
|
$37,885.11
|
$276,085.80
|
$181,603.10
|
2026-02-21
|
|
27500234
|
CDM
|
Hc Heartmate 3 Lvad Implant
|
45
|
26
|
$294,778.75
|
$176,867.25
40% off
|
$36,405.18
|
$265,300.88
|
$174,509.02
|
2026-02-21
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$203,580.00
|
$162,552.92
|
2026-02-21
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
14
|
7
|
—
|
—
|
$152,071.86
|
$152,071.86
|
$152,071.86
|
2026-02-21
|
|
81200003
|
CDM
|
Hc Std Acq Chg Cadaver Kidney/pancreas
|
39
|
25
|
$316,385.45
|
$189,831.27
40% off
|
$39,073.60
|
$284,746.91
|
$145,537.31
|
2026-02-21
|
|
27802052-445170
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
45
|
26
|
$233,525.34
|
$140,115.20
40% off
|
$28,840.38
|
$210,172.81
|
$138,247.00
|
2026-02-21
|
|
27800187
|
CDM
|
Hc Kit, Heartmate Ii Vad Implant
|
45
|
26
|
$215,250.00
|
$129,150.00
40% off
|
$26,583.38
|
$193,725.00
|
$127,428.00
|
2026-02-21
|
|
27802052-778176
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
45
|
26
|
$215,250.00
|
$129,150.00
40% off
|
$26,583.38
|
$193,725.00
|
$127,428.00
|
2026-02-21
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
15
|
7
|
—
|
—
|
$6,368.00
|
$198,978.00
|
$124,928.09
|
2026-02-21
|
|
27801850
|
CDM
|
Hc Heartware Hvad Pump
|
45
|
26
|
$207,132.00
|
$124,279.20
40% off
|
$25,580.80
|
$186,418.80
|
$122,622.14
|
2026-02-21
|
|
27801347-1196342
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$207,132.00
|
$124,279.20
40% off
|
$25,580.80
|
$186,418.80
|
$122,622.14
|
2026-02-21
|
|
27801347-98612
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$199,260.00
|
$119,556.00
40% off
|
$24,608.61
|
$179,334.00
|
$117,961.92
|
2026-02-21
|
|
27500176-389049
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$198,613.80
|
$119,168.28
40% off
|
$24,528.80
|
$178,752.42
|
$117,579.37
|
2026-02-21
|
|
81200017
|
CDM
|
Hc Std Acq Chg Cadaver Liver/kidney
|
39
|
25
|
$249,395.20
|
$149,637.12
40% off
|
$30,800.31
|
$224,455.68
|
$114,721.79
|
2026-02-21
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
8
|
—
|
—
|
$6,182.00
|
$146,208.24
|
$113,312.78
|
2026-02-21
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
6
|
—
|
—
|
$109,396.74
|
$109,396.74
|
$109,396.74
|
2026-02-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$179,296.00
|
$107,660.89
|
2026-02-21
|
|
27802052-389434
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
45
|
26
|
$179,580.00
|
$107,748.00
40% off
|
$22,178.13
|
$161,622.00
|
$106,311.36
|
2026-02-21
|
|
81200004
|
CDM
|
Hc Std Acq Chg Cadaver Heart
|
39
|
25
|
$220,688.76
|
$132,413.26
40% off
|
$27,255.06
|
$198,619.88
|
$101,516.83
|
2026-02-21
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$122,722.00
|
$98,299.51
|
2026-02-21
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
9
|
—
|
—
|
$35,308.00
|
$116,874.96
|
$93,507.33
|
2026-02-21
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$117,057.00
|
$93,102.42
|
2026-02-21
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
43
|
27
|
$187,807.50
|
$112,684.50
40% off
|
$23,194.23
|
$169,026.75
|
$92,589.10
|
2026-02-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$154,106.35
|
$90,021.91
|
2026-02-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$144,090.00
|
$86,520.96
|
2026-02-21
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$142,457.00
|
$85,540.34
|
2026-02-21
|
|
81200001
|
CDM
|
Hc Std Acq Chg Cadaver Kidney
|
39
|
25
|
$185,810.00
|
$111,486.00
40% off
|
$22,947.53
|
$167,229.00
|
$85,472.60
|
2026-02-21
|
|
27201912-261835
|
CDM
|
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
|
40
|
26
|
$183,639.00
|
$110,183.40
40% off
|
$22,679.42
|
$165,275.10
|
$84,473.94
|
2026-02-21
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
16
|
8
|
—
|
—
|
$6,368.00
|
$129,979.00
|
$81,874.65
|
2026-02-21
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$103,005.96
|
$80,230.12
|
2026-02-21
|
|
J9043
|
HCPCS
|
cabazitaxeL 10 mg/mL (first Dilution) Intravenous Solution
|
43
|
27
|
$161,632.27
|
$96,979.36
40% off
|
$19,961.59
|
$145,469.04
|
$79,684.71
|
2026-02-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
14
|
7
|
—
|
—
|
$59,860.68
|
$96,457.00
|
$77,261.64
|
2026-02-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
14
|
7
|
—
|
—
|
$55,650.26
|
$95,669.00
|
$76,630.44
|
2026-02-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$126,634.00
|
$76,250.65
|
2026-02-21
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$95,179.00
|
$74,381.49
|
2026-02-21
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$117,593.00
|
$73,962.16
|
2026-02-21
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
16
|
8
|
—
|
—
|
$6,368.00
|
$114,727.00
|
$73,910.68
|
2026-02-21
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
17
|
9
|
—
|
—
|
$6,182.00
|
$115,390.00
|
$73,867.00
|
2026-02-21
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$91,851.00
|
$73,572.10
|
2026-02-21
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$111,092.82
|
$73,550.50
|
2026-02-21
|
|
227
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
230
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
225
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
237
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
238
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
223
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
222
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
226
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
224
|
MS_DRG
|
Cardiac DRGs
|
1
|
1
|
—
|
—
|
$73,234.00
|
$73,234.00
|
$73,234.00
|
2026-02-21
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$108,193.97
|
$73,223.99
|
2026-02-21
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$108,638.00
|
$73,087.27
|
2026-02-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$94,429.00
|
$70,796.49
|
2026-02-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$86,114.00
|
$68,977.38
|
2026-02-21
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
5
|
4
|
—
|
—
|
$51,155.00
|
$83,095.00
|
$68,173.24
|
2026-02-21
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$84,705.00
|
$67,848.12
|
2026-02-21
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
17
|
9
|
—
|
—
|
$9,144.00
|
$94,230.54
|
$67,558.59
|
2026-02-21
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$83,741.00
|
$66,922.24
|
2026-02-21
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
17
|
9
|
—
|
—
|
$25,893.00
|
$83,897.10
|
$66,847.53
|
2026-02-21
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$96,889.00
|
$66,530.74
|
2026-02-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$96,753.16
|
$66,376.30
|
2026-02-21
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$85,052.00
|
$65,946.36
|
2026-02-21
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
9
|
—
|
—
|
$35,308.00
|
$84,137.00
|
$65,817.77
|
2026-02-21
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
12
|
6
|
—
|
—
|
$63,580.74
|
$63,580.74
|
$63,580.74
|
2026-02-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$93,085.00
|
$63,265.18
|
2026-02-21
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
9
|
—
|
—
|
$35,154.00
|
$78,730.38
|
$62,884.00
|
2026-02-21
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$78,705.00
|
$62,457.18
|
2026-02-21
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
14
|
7
|
—
|
—
|
$47,562.42
|
$77,541.00
|
$62,109.71
|
2026-02-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
9
|
—
|
—
|
$9,144.00
|
$78,437.00
|
$61,937.10
|
2026-02-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$76,242.00
|
$61,069.18
|
2026-02-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$76,929.48
|
$60,053.06
|
2026-02-21
|
|
27802052-1242630
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
45
|
26
|
$100,860.00
|
$60,516.00
40% off
|
$12,456.21
|
$90,774.00
|
$59,709.12
|
2026-02-21
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
9
|
—
|
—
|
$6,182.00
|
$85,878.00
|
$58,336.84
|
2026-02-21
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
17
|
9
|
—
|
—
|
$6,182.00
|
$90,157.00
|
$58,319.46
|
2026-02-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
17
|
9
|
—
|
—
|
$34,953.00
|
$95,817.00
|
$57,534.95
|
2026-02-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$93,421.00
|
$57,479.98
|
2026-02-21
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
15
|
7
|
—
|
—
|
$6,368.00
|
$95,831.00
|
$57,471.93
|
2026-02-21
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
7
|
—
|
—
|
$6,368.00
|
$90,990.01
|
$57,325.06
|
2026-02-21
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
17
|
9
|
—
|
—
|
$6,182.00
|
$74,463.42
|
$57,198.84
|
2026-02-21
|
|
81100001
|
CDM
|
Hc Std Acq Chg Live Donor Kidney
|
39
|
25
|
$123,509.00
|
$74,105.40
40% off
|
$15,253.36
|
$111,158.10
|
$56,814.14
|
2026-02-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$70,339.00
|
$56,341.35
|
2026-02-21
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
16
|
8
|
—
|
—
|
$6,368.00
|
$88,350.00
|
$55,505.79
|
2026-02-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$69,235.00
|
$55,457.23
|
2026-02-21
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
42
|
26
|
$115,440.00
|
$69,264.00
40% off
|
$14,256.84
|
$103,896.00
|
$55,007.16
|
2026-02-21
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$68,616.00
|
$54,744.02
|
2026-02-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
17
|
9
|
—
|
—
|
$35,308.00
|
$68,123.00
|
$54,566.47
|
2026-02-21
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
14
|
7
|
—
|
—
|
$43,086.96
|
$69,099.36
|
$53,909.56
|
2026-02-21
|
|
27801347-1218340
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$91,020.00
|
$54,612.00
40% off
|
$11,240.97
|
$81,918.00
|
$53,883.84
|
2026-02-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$69,509.22
|
$53,321.83
|
2026-02-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$65,650.00
|
$52,585.26
|
2026-02-21
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$87,079.00
|
$52,572.46
|
2026-02-21
|
|
27801347-1926393
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$88,560.00
|
$53,136.00
40% off
|
$10,937.16
|
$79,704.00
|
$52,427.52
|
2026-02-21
|
|
27800973
|
CDM
|
Hc Corevalue Aortic
|
45
|
26
|
$88,500.00
|
$53,100.00
40% off
|
$10,929.75
|
$79,650.00
|
$52,392.00
|
2026-02-21
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$51,455.54
|
2026-02-21
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$63,783.00
|
$51,089.92
|
2026-02-21
|
|
27801848
|
CDM
|
Hc Impella 5.5
|
45
|
26
|
$86,100.00
|
$51,660.00
40% off
|
$10,633.35
|
$77,490.00
|
$50,971.20
|
2026-02-21
|
|
27801347-1355910
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$86,100.00
|
$51,660.00
40% off
|
$10,633.35
|
$77,490.00
|
$50,971.20
|
2026-02-21
|
|
C1823
|
HCPCS
|
Hc Shell C1823, Gnrtr Neurostm, N-rchrgbl, W/Trnsvns Snsing & Stmltn Leads
|
44
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,645.10
|
2026-02-21
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
17
|
9
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$50,375.36
|
2026-02-21
|
|
27801917-1534761
|
CDM
|
Shell Generator, Cardiac Contractility Modulation
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27800957
|
CDM
|
Hc Catheter Set Pump Ventricular Assist Impella
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
C1604
|
HCPCS
|
Shell C1604, Pass-through Device, Graft, Transmural Transvenous Arterial Bypass …
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27801855-1778845
|
CDM
|
Hc Shell Generator, Neurostimulator, Non-recharge With Carotid
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27500176-143739
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27801815
|
CDM
|
Hc Mitraclip Delivery System Kit (w/guiding Cath)
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27800190
|
CDM
|
Hc Impella 5.0
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27801347-104268
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27203217
|
CDM
|
Hc Heart Valve Sapien Edwards
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
27802052-101684
|
CDM
|
Shell, No Hcpcs, For Lvad Implants Only
|
45
|
26
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$50,305.20
|
2026-02-21
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
17
|
9
|
—
|
—
|
$29,293.00
|
$67,437.84
|
$50,266.82
|
2026-02-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$63,368.22
|
$50,104.86
|
2026-02-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$64,577.10
|
$49,939.58
|
2026-02-21
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
17
|
9
|
—
|
—
|
$35,308.00
|
$62,750.00
|
$49,517.57
|
2026-02-21
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$62,260.08
|
$49,124.24
|
2026-02-21
|
|
27800246
|
CDM
|
Hc Kit, Catheter Impella Pump
|
45
|
26
|
$82,850.63
|
$49,710.38
40% off
|
$10,232.05
|
$74,565.57
|
$49,047.57
|
2026-02-21
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
17
|
9
|
—
|
—
|
$35,154.00
|
$61,717.74
|
$48,986.69
|
2026-02-21
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
15
|
7
|
—
|
—
|
$6,368.00
|
$77,461.45
|
$48,845.56
|
2026-02-21
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
16
|
8
|
—
|
—
|
$6,182.00
|
$65,901.90
|
$48,684.96
|
2026-02-21
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$61,140.90
|
$48,008.29
|
2026-02-21
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
12
|
6
|
—
|
—
|
$47,920.50
|
$47,920.50
|
$47,920.50
|
2026-02-21
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
5
|
4
|
—
|
—
|
$35,887.15
|
$58,295.00
|
$47,826.08
|
2026-02-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$61,888.86
|
$47,730.96
|
2026-02-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$59,256.00
|
$47,463.62
|
2026-02-21
|
|
81200002
|
CDM
|
Hc Std Acq Chg Cadaver Pancreas
|
39
|
25
|
$102,432.00
|
$61,459.20
40% off
|
$12,650.35
|
$92,188.80
|
$47,118.72
|
2026-02-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$76,826.00
|
$46,922.52
|
2026-02-21
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
5
|
4
|
—
|
—
|
$34,935.44
|
$56,749.00
|
$46,557.76
|
2026-02-21
|
|
33270
|
HCPCS
|
Hc Ins/rep Subq Defibrilllator
|
41
|
27
|
$99,435.35
|
$59,661.21
40% off
|
$8,360.00
|
$89,491.82
|
$45,740.26
|
2026-02-21
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
17
|
9
|
—
|
—
|
$35,154.00
|
$57,830.28
|
$45,665.44
|
2026-02-21
|
|
93653
|
HCPCS
|
Hc Compreh Electroph Eval Source Of Atrial R
|
41
|
27
|
$82,301.19
|
$49,380.71
40% off
|
$10,164.20
|
$74,071.07
|
$45,265.65
|
2026-02-21
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
8
|
6
|
—
|
—
|
$37,232.97
|
$59,711.22
|
$44,875.47
|
2026-02-21
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$56,715.24
|
$44,868.97
|
2026-02-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$56,196.00
|
$44,583.65
|
2026-02-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$55,597.00
|
$44,532.85
|
2026-02-21
|
|
27801347-303311
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$75,075.00
|
$45,045.00
40% off
|
$9,271.76
|
$67,567.50
|
$44,444.40
|
2026-02-21
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
17
|
9
|
—
|
—
|
$6,182.00
|
$56,631.06
|
$44,426.36
|
2026-02-21
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$71,993.00
|
$44,035.81
|
2026-02-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,810.00
|
$43,902.77
|
2026-02-21
|
|
27801347-181497
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$73,800.00
|
$44,280.00
40% off
|
$9,114.30
|
$66,420.00
|
$43,689.60
|
2026-02-21
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$56,130.12
|
$43,383.61
|
2026-02-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
17
|
9
|
—
|
—
|
$25,893.00
|
$54,030.00
|
$43,278.23
|
2026-02-21
|
|
27801347-876560
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$73,078.50
|
$43,847.10
40% off
|
$9,025.19
|
$65,770.65
|
$43,262.47
|
2026-02-21
|
|
33276
|
HCPCS
|
Hc Insertion Phrenic Nerve Stimulator System
|
41
|
27
|
$86,663.76
|
$51,998.26
40% off
|
$8,360.00
|
$77,997.38
|
$43,178.69
|
2026-02-21
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,338.88
|
$43,120.71
|
2026-02-21
|
|
63685
|
CPT
|
Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, …
|
11
|
5
|
—
|
—
|
$2,200.00
|
$52,413.73
|
$43,095.74
|
2026-02-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
17
|
9
|
—
|
—
|
$9,144.00
|
$53,709.00
|
$43,020.87
|
2026-02-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
17
|
9
|
—
|
—
|
$32,458.92
|
$53,326.00
|
$42,713.60
|
2026-02-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$52,981.00
|
$42,437.38
|
2026-02-21
|
|
27801347-1322565
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$71,209.05
|
$42,725.43
40% off
|
$8,794.32
|
$64,088.14
|
$42,155.76
|
2026-02-21
|
|
93654
|
HCPCS
|
Hc Compreh Electroph Eval With Treatment
|
41
|
27
|
$76,458.55
|
$45,875.13
40% off
|
$9,442.63
|
$70,706.03
|
$42,052.20
|
2026-02-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
17
|
9
|
—
|
—
|
$32,713.63
|
$52,471.00
|
$42,029.16
|
2026-02-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$58,362.96
|
$41,910.46
|
2026-02-21
|
|
0424T
|
HCPCS
|
Hc Insj/rplc Nstim System Sleep Apnea Complete
|
40
|
26
|
$86,663.76
|
$51,998.26
40% off
|
$5,388.00
|
$77,997.38
|
$41,692.69
|
2026-02-21
|
|
27801494
|
CDM
|
Hc Watchman Laa Closure Device
|
45
|
26
|
$70,040.00
|
$42,024.00
40% off
|
$8,649.94
|
$63,036.00
|
$41,463.68
|
2026-02-21
|
|
27801347-1033551
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$69,893.46
|
$41,936.08
40% off
|
$8,631.84
|
$62,904.11
|
$41,376.93
|
2026-02-21
|
|
C1822
|
HCPCS
|
Hc Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys
|
125
|
26
|
$69,860.00
|
$41,916.00
40% off
|
$7,331.82
|
$76,477.50
|
$41,357.12
|
2026-02-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,975.06
|
$41,260.41
|
2026-02-21
|
|
27801347-820405
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$69,408.43
|
$41,645.06
40% off
|
$8,571.94
|
$62,467.59
|
$41,089.79
|
2026-02-21
|
|
33263
|
HCPCS
|
Hc Remove&replace Cvd Gen D (ep Lab)
|
43
|
27
|
$89,186.55
|
$53,511.93
40% off
|
$8,360.00
|
$80,267.90
|
$41,025.81
|
2026-02-21
|
|
27801347-777976
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$69,300.00
|
$41,580.00
40% off
|
$8,558.55
|
$62,370.00
|
$41,025.60
|
2026-02-21
|
|
27801661
|
CDM
|
Hc Aortic Valve Evolut Medtronic
|
45
|
26
|
$69,300.00
|
$41,580.00
40% off
|
$8,558.55
|
$62,370.00
|
$41,025.60
|
2026-02-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$57,816.48
|
$41,021.91
|
2026-02-21
|
|
27801347-331887
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$69,105.07
|
$41,463.04
40% off
|
$8,534.48
|
$62,194.56
|
$40,910.20
|
2026-02-21
|
|
27801347-1340795
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$68,999.70
|
$41,399.82
40% off
|
$8,521.46
|
$62,099.73
|
$40,847.82
|
2026-02-21
|
|
C2624
|
HCPCS
|
Hc Cardiomems Monitoring Device (implant)
|
84
|
26
|
$76,477.50
|
$45,886.50
40% off
|
$8,627.71
|
$68,829.75
|
$40,762.51
|
2026-02-21
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$51,549.00
|
$40,721.12
|
2026-02-21
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
10
|
5
|
—
|
—
|
$35,308.00
|
$50,658.00
|
$40,577.08
|
2026-02-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
17
|
9
|
—
|
—
|
$30,840.32
|
$50,574.00
|
$40,509.42
|
2026-02-21
|
|
27400120
|
CDM
|
Hc Power Base Unit-vad
|
45
|
26
|
$68,250.00
|
$40,950.00
40% off
|
$8,428.88
|
$61,425.00
|
$40,404.00
|
2026-02-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
14
|
7
|
—
|
—
|
$30,845.48
|
$50,367.00
|
$40,344.13
|
2026-02-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
14
|
7
|
—
|
—
|
$31,397.06
|
$50,352.06
|
$40,186.61
|
2026-02-21
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,936.42
|
$40,115.62
|
2026-02-21
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$50,608.00
|
$40,009.51
|
2026-02-21
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
17
|
9
|
—
|
—
|
$9,144.00
|
$49,596.00
|
$39,726.25
|
2026-02-21
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
18
|
9
|
—
|
—
|
$6,182.00
|
$82,707.00
|
$39,684.96
|
2026-02-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$50,002.92
|
$39,657.47
|
2026-02-21
|
|
27801347-264193
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801928
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801927
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801929
|
CDM
|
Hc Lifesparc Blood Pump Kit With 72 Cm Transseptal Cannula With 17 Fr Arterial Cannu…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801926
|
CDM
|
Hc Lifesparc Blood Pump Kit With 62 Cm Transseptal Cannula With 15 Fr Arterial Cannu…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801923
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 29 Fr Protekduo Veno-venous Cannula (law5267…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27801924
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Cannula (law5267…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
27802083
|
CDM
|
Hc Ecmo Lifesparc Blood Pump 29fr Protekduo Veno-venous Cannula & Accessories (l…
|
45
|
26
|
$66,280.50
|
$39,768.30
40% off
|
$8,185.64
|
$59,652.45
|
$39,238.06
|
2026-02-21
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
17
|
9
|
—
|
—
|
$29,293.00
|
$49,227.36
|
$39,203.77
|
2026-02-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$48,820.00
|
$39,105.04
|
2026-02-21
|
|
62400012-1362918
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
39
|
25
|
$84,975.00
|
$50,985.00
40% off
|
$10,494.41
|
$76,477.50
|
$39,088.50
|
2026-02-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$63,850.00
|
$38,919.50
|
2026-02-21
|
|
27800296
|
CDM
|
Hc Kit, Tandem Heart Procedure
|
45
|
26
|
$65,667.00
|
$39,400.20
40% off
|
$8,109.87
|
$59,100.30
|
$38,874.86
|
2026-02-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
17
|
9
|
—
|
—
|
$29,473.85
|
$64,406.00
|
$38,673.53
|
2026-02-21
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,325.00
|
$38,567.03
|
2026-02-21
|
|
27801347-1855907
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$64,920.90
|
$38,952.54
40% off
|
$8,017.73
|
$58,428.81
|
$38,433.17
|
2026-02-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$49,006.56
|
$38,405.08
|
2026-02-21
|
|
27801347-459333
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$64,820.00
|
$38,892.00
40% off
|
$8,005.27
|
$58,338.00
|
$38,373.44
|
2026-02-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
17
|
9
|
—
|
—
|
$29,188.16
|
$47,850.00
|
$38,327.42
|
2026-02-21
|
|
27801347-820401
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$64,564.85
|
$38,738.91
40% off
|
$7,973.76
|
$58,108.36
|
$38,222.39
|
2026-02-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
17
|
9
|
—
|
—
|
$25,893.00
|
$47,477.00
|
$38,029.02
|
2026-02-21
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$47,815.62
|
$37,780.54
|
2026-02-21
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$49,470.24
|
$37,608.60
|
2026-02-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$48,337.26
|
$37,457.73
|
2026-02-21
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
17
|
9
|
—
|
—
|
$25,893.00
|
$46,749.00
|
$37,445.53
|
2026-02-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$47,458.20
|
$37,372.32
|
2026-02-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
17
|
9
|
—
|
—
|
$25,893.00
|
$47,339.52
|
$37,203.70
|
2026-02-21
|
|
33231
|
HCPCS
|
Hc Insrt Pulse Gen W/mu
|
41
|
27
|
$80,755.43
|
$48,453.26
40% off
|
$8,360.00
|
$72,679.89
|
$37,147.50
|
2026-02-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$46,286.00
|
$37,075.02
|
2026-02-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
17
|
9
|
—
|
—
|
$28,127.16
|
$61,515.00
|
$36,937.47
|
2026-02-21
|
|
27801347-1203071
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$62,351.26
|
$37,410.76
40% off
|
$7,700.38
|
$56,116.13
|
$36,911.95
|
2026-02-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$46,056.00
|
$36,890.88
|
2026-02-21
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$53,283.18
|
$36,878.65
|
2026-02-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
17
|
9
|
—
|
—
|
$29,293.00
|
$47,005.56
|
$36,775.51
|
2026-02-21
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
15
|
7
|
—
|
—
|
$6,368.00
|
$59,128.00
|
$36,747.13
|
2026-02-21
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
15
|
7
|
—
|
—
|
$6,368.00
|
$58,106.09
|
$36,640.48
|
2026-02-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$45,619.00
|
$36,540.34
|
2026-02-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
16
|
8
|
—
|
—
|
$6,182.00
|
$48,232.38
|
$36,229.74
|
2026-02-21
|
|
27801347-1186553
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$61,182.00
|
$36,709.20
40% off
|
$7,555.98
|
$55,063.80
|
$36,219.74
|
2026-02-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$44,910.00
|
$35,972.38
|
2026-02-21
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$59,871.00
|
$35,950.19
|
2026-02-21
|
|
33262
|
HCPCS
|
Hc Remove&replace Cvd Gen S (ep Lab)
|
43
|
27
|
$78,120.38
|
$46,872.23
40% off
|
$8,360.00
|
$70,308.34
|
$35,935.37
|
2026-02-21
|
|
27801347-1245429
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$60,315.26
|
$36,189.16
40% off
|
$7,448.93
|
$54,283.73
|
$35,706.63
|
2026-02-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$44,529.00
|
$35,667.32
|
2026-02-21
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$48,707.10
|
$35,506.47
|
2026-02-21
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
16
|
8
|
—
|
—
|
$25,080.99
|
$55,315.00
|
$35,490.50
|
2026-02-21
|
|
27801347-1004156
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$59,846.19
|
$35,907.71
40% off
|
$7,391.00
|
$53,861.57
|
$35,428.94
|
2026-02-21
|
|
27801347-212472
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$59,762.58
|
$35,857.55
40% off
|
$7,380.68
|
$53,786.32
|
$35,379.45
|
2026-02-21
|
|
27801347-820416
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$59,721.28
|
$35,832.77
40% off
|
$7,375.58
|
$53,749.15
|
$35,355.00
|
2026-02-21
|
|
27801347-1295866
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$59,482.50
|
$35,689.50
40% off
|
$7,346.09
|
$53,534.25
|
$35,213.64
|
2026-02-21
|
|
27801925
|
CDM
|
Hc Ecmo Lifesparc Blood Pump Kit With 31 Fr Protekduo Veno-venous Rapid Deployment…
|
45
|
26
|
$59,482.50
|
$35,689.50
40% off
|
$7,346.09
|
$53,534.25
|
$35,213.64
|
2026-02-21
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
15
|
7
|
—
|
—
|
$6,368.00
|
$56,808.00
|
$35,189.81
|
2026-02-21
|
|
27500176-1256480
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$59,370.33
|
$35,622.20
40% off
|
$7,332.24
|
$53,433.30
|
$35,147.24
|
2026-02-21
|
|
27801347-859557
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$59,322.75
|
$35,593.65
40% off
|
$7,326.36
|
$53,390.47
|
$35,119.07
|
2026-02-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
17
|
9
|
—
|
—
|
$26,319.25
|
$42,208.68
|
$35,075.14
|
2026-02-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$43,784.00
|
$35,070.52
|
2026-02-21
|
|
62400012-847925
|
CDM
|
Shell, 624 Rev Code, Fda Investigational Devices
|
39
|
25
|
$76,137.60
|
$45,682.56
40% off
|
$9,402.99
|
$68,523.84
|
$35,023.30
|
2026-02-21
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
16
|
8
|
—
|
—
|
$6,182.00
|
$43,677.00
|
$34,985.10
|
2026-02-21
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
14
|
7
|
—
|
—
|
$27,441.35
|
$44,008.20
|
$34,865.45
|
2026-02-21
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$44,960.40
|
$34,805.40
|
2026-02-21
|
|
27801347-339706
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$58,780.61
|
$35,268.37
40% off
|
$7,259.41
|
$52,902.55
|
$34,798.12
|
2026-02-21
|
|
27801347-1189077
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$58,690.80
|
$35,214.48
40% off
|
$7,248.31
|
$52,821.72
|
$34,744.95
|
2026-02-21
|
|
27801347-1190176
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$58,673.54
|
$35,204.12
40% off
|
$7,246.18
|
$52,806.19
|
$34,734.74
|
2026-02-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
17
|
9
|
—
|
—
|
$22,573.50
|
$49,318.00
|
$34,309.70
|
2026-02-21
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$47,383.68
|
$34,267.39
|
2026-02-21
|
|
27801347-1194171
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$57,783.00
|
$34,669.80
40% off
|
$7,136.20
|
$52,004.70
|
$34,207.54
|
2026-02-21
|
|
27801347-1296846
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$57,766.01
|
$34,659.61
40% off
|
$7,134.10
|
$51,989.41
|
$34,197.48
|
2026-02-21
|
|
27801347-1365777
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$57,613.05
|
$34,567.83
40% off
|
$7,115.21
|
$51,851.75
|
$34,106.93
|
2026-02-21
|
|
27801347-341815
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$57,500.00
|
$34,500.00
40% off
|
$7,101.25
|
$51,750.00
|
$34,040.00
|
2026-02-21
|
|
93656
|
HCPCS
|
Hc Compreh Electroph Eval With Trt Atrial Fib
|
41
|
27
|
$60,798.32
|
$36,478.99
40% off
|
$7,508.59
|
$70,706.03
|
$33,439.08
|
2026-02-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
9
|
—
|
—
|
$9,144.00
|
$41,566.00
|
$33,294.53
|
2026-02-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$43,050.48
|
$33,242.39
|
2026-02-21
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
17
|
9
|
—
|
—
|
$24,930.41
|
$40,929.00
|
$33,224.25
|
2026-02-21
|
|
33264
|
HCPCS
|
Hc Remove&replace Cvd Gen M (ep Lab)
|
43
|
27
|
$72,025.63
|
$43,215.38
40% off
|
$8,360.00
|
$64,823.07
|
$33,131.79
|
2026-02-21
|
|
27500176-476411
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$55,965.00
|
$33,579.00
40% off
|
$6,911.68
|
$50,368.50
|
$33,131.28
|
2026-02-21
|
|
27801347-1165378
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$55,770.79
|
$33,462.47
40% off
|
$6,887.69
|
$50,193.71
|
$33,016.31
|
2026-02-21
|
|
27801347-820452
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$55,747.28
|
$33,448.37
40% off
|
$6,884.79
|
$50,172.55
|
$33,002.39
|
2026-02-21
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
15
|
7
|
—
|
—
|
$6,368.00
|
$52,050.15
|
$32,821.73
|
2026-02-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$40,839.00
|
$32,712.15
|
2026-02-21
|
|
27801347-1045828
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$55,229.43
|
$33,137.66
40% off
|
$6,820.83
|
$49,706.49
|
$32,695.82
|
2026-02-21
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
15
|
7
|
—
|
—
|
$24,262.00
|
$53,107.00
|
$32,646.28
|
2026-02-21
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
14
|
7
|
—
|
—
|
$25,696.25
|
$41,209.56
|
$32,593.00
|
2026-02-21
|
|
33249
|
HCPCS
|
Hc Inser/repos Single (ep Lab)
|
41
|
27
|
$70,850.87
|
$42,510.52
40% off
|
$8,750.08
|
$63,765.78
|
$32,591.40
|
2026-02-21
|
|
27801347-1190001
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$54,982.22
|
$32,989.33
40% off
|
$6,790.30
|
$49,484.00
|
$32,549.47
|
2026-02-21
|
|
27801347-1366499
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$54,877.70
|
$32,926.62
40% off
|
$6,777.40
|
$49,389.93
|
$32,487.60
|
2026-02-21
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$40,499.00
|
$32,439.26
|
2026-02-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$41,540.76
|
$32,415.96
|
2026-02-21
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$40,456.00
|
$32,404.87
|
2026-02-21
|
|
27801347-1393648
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$54,384.00
|
$32,630.40
40% off
|
$6,716.42
|
$48,945.60
|
$32,195.33
|
2026-02-21
|
|
27500176-1174548
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$54,384.00
|
$32,630.40
40% off
|
$6,716.42
|
$48,945.60
|
$32,195.33
|
2026-02-21
|
|
27801347-1182741
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$54,265.04
|
$32,559.02
40% off
|
$6,701.73
|
$48,838.54
|
$32,124.90
|
2026-02-21
|
|
27800112-1191389
|
CDM
|
Hc Shell Implant Graft
|
45
|
26
|
$54,265.04
|
$32,559.02
40% off
|
$6,701.73
|
$48,838.54
|
$32,124.90
|
2026-02-21
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$39,988.00
|
$32,029.93
|
2026-02-21
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
16
|
8
|
—
|
—
|
$6,182.00
|
$54,228.48
|
$32,009.72
|
2026-02-21
|
|
27500176-303201
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$53,925.14
|
$32,355.08
40% off
|
$6,659.75
|
$48,532.63
|
$31,923.68
|
2026-02-21
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$42,106.00
|
$31,666.82
|
2026-02-21
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
17
|
9
|
—
|
—
|
$9,144.00
|
$39,520.44
|
$31,574.01
|
2026-02-21
|
|
27801347-1267956
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$53,263.18
|
$31,957.91
40% off
|
$6,578.00
|
$47,936.86
|
$31,531.80
|
2026-02-21
|
|
27801347-1297434
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$53,262.33
|
$31,957.40
40% off
|
$6,577.90
|
$47,936.10
|
$31,531.30
|
2026-02-21
|
|
27801347-293092
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$53,221.35
|
$31,932.81
40% off
|
$6,572.84
|
$47,899.21
|
$31,507.04
|
2026-02-21
|
|
27500176-1075659386
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$53,099.18
|
$31,859.51
40% off
|
$6,557.75
|
$47,789.26
|
$31,434.71
|
2026-02-21
|
|
27801347-1831952
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$53,027.80
|
$31,816.68
40% off
|
$6,548.93
|
$47,725.02
|
$31,392.46
|
2026-02-21
|
|
33289
|
HCPCS
|
Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr
|
41
|
27
|
$68,052.60
|
$40,831.56
40% off
|
$8,404.50
|
$61,247.34
|
$31,304.20
|
2026-02-21
|
|
C1736
|
HCPCS
|
Shell C1736, Pass-through Device, Cath Renal Denerv Ultrasnd
|
40
|
26
|
$67,980.00
|
$40,788.00
40% off
|
$8,395.53
|
$61,182.00
|
$31,270.80
|
2026-02-21
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$40,244.94
|
$31,260.07
|
2026-02-21
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$40,210.44
|
$31,256.75
|
2026-02-21
|
|
27801347-1213276
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$52,684.50
|
$31,610.70
40% off
|
$6,506.54
|
$47,416.05
|
$31,189.22
|
2026-02-21
|
|
27801347-1311841
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$52,643.71
|
$31,586.23
40% off
|
$6,501.50
|
$47,379.34
|
$31,165.08
|
2026-02-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$40,188.36
|
$31,162.46
|
2026-02-21
|
|
27801347-1034343
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$52,528.01
|
$31,516.81
40% off
|
$6,487.21
|
$47,275.21
|
$31,096.58
|
2026-02-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
14
|
7
|
—
|
—
|
$23,262.76
|
$38,816.00
|
$31,091.46
|
2026-02-21
|
|
27801347-293125
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$52,455.92
|
$31,473.55
40% off
|
$6,478.31
|
$47,210.33
|
$31,053.90
|
2026-02-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
16
|
8
|
—
|
—
|
$6,182.00
|
$39,126.00
|
$31,048.74
|
2026-02-21
|
|
27500176-343417
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$52,292.29
|
$31,375.37
40% off
|
$6,458.10
|
$47,063.06
|
$30,957.04
|
2026-02-21
|
|
27500176-1178773
|
CDM
|
Hc Shell Cardio-defib Other Than Single Or Dual Chamber
|
45
|
26
|
$52,174.65
|
$31,304.79
40% off
|
$6,443.57
|
$46,957.18
|
$30,887.39
|
2026-02-21
|
|
27801347-925869
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$52,114.83
|
$31,268.90
40% off
|
$6,436.18
|
$46,903.35
|
$30,851.98
|
2026-02-21
|
|
27801347-820413
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$51,857.03
|
$31,114.22
40% off
|
$6,404.34
|
$46,671.33
|
$30,699.36
|
2026-02-21
|
|
27801347-978270
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$51,575.14
|
$30,945.08
40% off
|
$6,369.53
|
$46,417.63
|
$30,532.48
|
2026-02-21
|
|
27801347-1191048
|
CDM
|
Hc Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated Without Hcpcs)
|
45
|
26
|
$51,464.26
|
$30,878.56
40% off
|
$6,355.84
|
$46,317.83
|
$30,466.84
|
2026-02-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$37,952.00
|
$30,399.26
|
2026-02-21
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
16
|
8
|
—
|
—
|
$6,182.00
|
$38,944.98
|
$30,367.09
|
2026-02-21
|