|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
40
|
38
|
$182,932.88
|
$182,932.88
|
$164,639.60
|
$182,932.88
|
$182,932.88
|
2026-05-17
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
40
|
38
|
$135,466.25
|
$135,466.25
|
$121,919.63
|
$135,466.25
|
$135,466.25
|
2026-05-17
|
|
165
|
OTHER
|
Major Chest Procedures Without Cc/mcc
|
40
|
38
|
$124,172.71
|
$124,172.71
|
$111,755.44
|
$124,172.71
|
$124,172.71
|
2026-05-17
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
40
|
38
|
$124,172.71
|
$124,172.71
|
$111,755.44
|
$124,172.71
|
$124,172.71
|
2026-05-17
|
|
164
|
OTHER
|
Major Chest Procedures With Cc
|
40
|
38
|
$124,172.71
|
$124,172.71
|
$111,755.44
|
$124,172.71
|
$124,172.71
|
2026-05-17
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
38
|
$116,193.63
|
$116,193.63
|
$104,574.26
|
$116,193.63
|
$116,193.63
|
2026-05-17
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
38
|
$111,711.84
|
$111,711.84
|
$100,540.66
|
$111,711.84
|
$111,711.84
|
2026-05-17
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
40
|
38
|
$108,758.36
|
$108,758.36
|
$97,882.52
|
$108,758.36
|
$108,758.36
|
2026-05-17
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
40
|
38
|
$108,758.36
|
$108,758.36
|
$97,882.52
|
$108,758.36
|
$108,758.36
|
2026-05-17
|
|
68875010201
|
OTHER
|
Gattex
|
35
|
34
|
$99,999.99
|
$99,999.99
|
$90.00
|
$99,999.99
|
$99,999.99
|
2026-05-17
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
40
|
38
|
$95,683.35
|
$95,683.35
|
$86,115.02
|
$95,683.35
|
$95,683.35
|
2026-05-17
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
40
|
38
|
$90,507.73
|
$90,507.73
|
$81,456.96
|
$90,507.73
|
$90,507.73
|
2026-05-17
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
38
|
$79,411.09
|
$79,411.09
|
$71,469.98
|
$79,411.09
|
$79,411.09
|
2026-05-17
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
40
|
38
|
$72,824.36
|
$72,824.36
|
$65,541.93
|
$72,824.36
|
$72,824.36
|
2026-05-17
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
40
|
38
|
$72,824.36
|
$72,824.36
|
$65,541.93
|
$72,824.36
|
$72,824.36
|
2026-05-17
|
|
259
|
OTHER
|
Cardiac Pacemaker Device Replacement Without Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
504
|
OTHER
|
Foot Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
749
|
OTHER
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
287
|
OTHER
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
306
|
OTHER
|
Cardiac Congenital And Valvular Disorders With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
493
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
742
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
13
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
254
|
OTHER
|
Other Vascular Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
27
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
470
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
505
|
OTHER
|
Foot Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
483
|
OTHER
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
26
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
81
|
OTHER
|
Nontraumatic Stupor And Coma Without Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
488
|
OTHER
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
843
|
OTHER
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
475
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
578
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
734
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
743
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
746
|
OTHER
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
553
|
OTHER
|
Bone Diseases And Arthropathies With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
243
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
307
|
OTHER
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
481
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
482
|
OTHER
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
253
|
OTHER
|
Other Vascular Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
618
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
659
|
OTHER
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
489
|
OTHER
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
738
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
737
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
435
|
OTHER
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
748
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
241
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
854
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
750
|
OTHER
|
Other Female Reproductive System O.r. Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
617
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
286
|
OTHER
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
497
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
496
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
855
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
244
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
735
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
555
|
OTHER
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
30
|
OTHER
|
Spinal Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
747
|
OTHER
|
Vagina, Cervix And Vulva Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
711
|
OTHER
|
Testes Procedures With Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
33
|
OTHER
|
Ventricular Shunt Procedures Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
494
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
32
|
OTHER
|
Ventricular Shunt Procedures With Cc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
80
|
OTHER
|
Nontraumatic Stupor And Coma With Mcc
|
40
|
38
|
$72,805.61
|
$72,805.61
|
$65,525.05
|
$72,805.61
|
$72,805.61
|
2026-05-17
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
40
|
38
|
$71,042.90
|
$71,042.90
|
$63,938.61
|
$71,042.90
|
$71,042.90
|
2026-05-17
|
|
116
|
OTHER
|
Intraocular Procedures With Cc/mcc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
167
|
OTHER
|
Other Respiratory System O.r. Procedures With Cc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
135
|
OTHER
|
Sinus And Mastoid Procedures With Cc/mcc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
113
|
OTHER
|
Orbital Procedures With Cc/mcc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
141
|
OTHER
|
Major Head And Neck Procedures With Cc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
137
|
OTHER
|
Mouth Procedures With Cc/mcc
|
40
|
38
|
$70,930.38
|
$70,930.38
|
$63,837.35
|
$70,930.38
|
$70,930.38
|
2026-05-17
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
620
|
OTHER
|
O.r. Procedures For Obesity With Cc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
621
|
OTHER
|
O.r. Procedures For Obesity Without Cc/mcc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
358
|
OTHER
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
800
|
OTHER
|
Splenectomy With Cc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
801
|
OTHER
|
Splenectomy Without Cc/mcc
|
40
|
38
|
$69,838.07
|
$69,838.07
|
$62,854.26
|
$69,838.07
|
$69,838.07
|
2026-05-17
|
|
205
|
OTHER
|
Other Respiratory System Diagnoses With Mcc
|
40
|
38
|
$68,684.80
|
$68,684.80
|
$61,816.32
|
$68,684.80
|
$68,684.80
|
2026-05-17
|
|
61
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
40
|
38
|
$68,126.92
|
$68,126.92
|
$61,314.23
|
$68,126.92
|
$68,126.92
|
2026-05-17
|
|
64
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
40
|
38
|
$68,126.92
|
$68,126.92
|
$61,314.23
|
$68,126.92
|
$68,126.92
|
2026-05-17
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
38
|
$66,420.47
|
$66,420.47
|
$59,778.42
|
$66,420.47
|
$66,420.47
|
2026-05-17
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
40
|
38
|
$64,507.74
|
$64,507.74
|
$58,056.97
|
$64,507.74
|
$64,507.74
|
2026-05-17
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
38
|
$64,437.42
|
$64,437.42
|
$57,993.68
|
$64,437.42
|
$64,437.42
|
2026-05-17
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
40
|
38
|
$63,532.62
|
$63,532.62
|
$57,179.36
|
$63,532.62
|
$63,532.62
|
2026-05-17
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
40
|
38
|
$63,532.62
|
$63,532.62
|
$57,179.36
|
$63,532.62
|
$63,532.62
|
2026-05-17
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
40
|
38
|
$63,532.62
|
$63,532.62
|
$57,179.36
|
$63,532.62
|
$63,532.62
|
2026-05-17
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
40
|
38
|
$62,463.74
|
$62,463.74
|
$56,217.37
|
$62,463.74
|
$62,463.74
|
2026-05-17
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
40
|
38
|
$62,084.01
|
$62,084.01
|
$55,875.61
|
$62,084.01
|
$62,084.01
|
2026-05-17
|
|
940
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
40
|
38
|
$62,084.01
|
$62,084.01
|
$55,875.61
|
$62,084.01
|
$62,084.01
|
2026-05-17
|
|
941
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
40
|
38
|
$62,084.01
|
$62,084.01
|
$55,875.61
|
$62,084.01
|
$62,084.01
|
2026-05-17
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
40
|
38
|
$61,662.09
|
$61,662.09
|
$55,495.88
|
$61,662.09
|
$61,662.09
|
2026-05-17
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
40
|
38
|
$61,432.37
|
$61,432.37
|
$55,289.13
|
$61,432.37
|
$61,432.37
|
2026-05-17
|
|
902
|
OTHER
|
Wound Debridements For Injuries With Cc
|
40
|
38
|
$60,607.27
|
$60,607.27
|
$54,546.54
|
$60,607.27
|
$60,607.27
|
2026-05-17
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
40
|
38
|
$60,607.27
|
$60,607.27
|
$54,546.54
|
$60,607.27
|
$60,607.27
|
2026-05-17
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
40
|
38
|
$59,683.72
|
$59,683.72
|
$53,715.35
|
$59,683.72
|
$59,683.72
|
2026-05-17
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
40
|
38
|
$58,680.48
|
$58,680.48
|
$52,812.43
|
$58,680.48
|
$58,680.48
|
2026-05-17
|
|
857
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
40
|
38
|
$58,521.08
|
$58,521.08
|
$52,668.98
|
$58,521.08
|
$58,521.08
|
2026-05-17
|
|
982
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
38
|
$58,005.40
|
$58,005.40
|
$52,204.86
|
$58,005.40
|
$58,005.40
|
2026-05-17
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
261
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
263
|
OTHER
|
Vein Ligation And Stripping
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
262
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
40
|
38
|
$56,889.64
|
$56,889.64
|
$51,200.67
|
$56,889.64
|
$56,889.64
|
2026-05-17
|
|
580
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
40
|
38
|
$56,781.81
|
$56,781.81
|
$51,103.63
|
$56,781.81
|
$56,781.81
|
2026-05-17
|
|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
40
|
38
|
$56,102.04
|
$56,102.04
|
$50,491.84
|
$56,102.04
|
$56,102.04
|
2026-05-17
|
|
516
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
40
|
38
|
$54,897.21
|
$54,897.21
|
$49,407.49
|
$54,897.21
|
$54,897.21
|
2026-05-17
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
40
|
38
|
$54,897.21
|
$54,897.21
|
$49,407.49
|
$54,897.21
|
$54,897.21
|
2026-05-17
|
|
606
|
OTHER
|
Minor Skin Disorders With Mcc
|
40
|
38
|
$53,486.10
|
$53,486.10
|
$48,137.49
|
$53,486.10
|
$53,486.10
|
2026-05-17
|
|
393
|
OTHER
|
Other Digestive System Diagnoses With Mcc
|
40
|
38
|
$52,886.03
|
$52,886.03
|
$47,597.43
|
$52,886.03
|
$52,886.03
|
2026-05-17
|
|
919
|
OTHER
|
Complications Of Treatment With Mcc
|
40
|
38
|
$51,095.19
|
$51,095.19
|
$45,985.67
|
$51,095.19
|
$51,095.19
|
2026-05-17
|
|
52
|
OTHER
|
Spinal Disorders And Injuries With Cc/mcc
|
40
|
38
|
$50,818.60
|
$50,818.60
|
$45,736.74
|
$50,818.60
|
$50,818.60
|
2026-05-17
|
|
55292070255
|
OTHER
|
Hemin For Injection
|
35
|
34
|
$49,984.13
|
$49,984.13
|
$90.00
|
$49,984.13
|
$49,984.13
|
2026-05-17
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
38
|
$49,946.62
|
$49,946.62
|
$44,951.96
|
$49,946.62
|
$49,946.62
|
2026-05-17
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
40
|
38
|
$49,923.18
|
$49,923.18
|
$44,930.86
|
$49,923.18
|
$49,923.18
|
2026-05-17
|
|
53
|
OTHER
|
Spinal Disorders And Injuries Without Cc/mcc
|
40
|
38
|
$49,768.47
|
$49,768.47
|
$44,791.62
|
$49,768.47
|
$49,768.47
|
2026-05-17
|
|
626
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
821
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
822
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
199
|
OTHER
|
Pneumothorax With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
827
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
36
|
OTHER
|
Carotid Artery Stent Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
811
|
OTHER
|
Red Blood Cell Disorders With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
510
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
935
|
OTHER
|
Non-extensive Burns
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
808
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
828
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
506
|
OTHER
|
Major Thumb Or Joint Procedures
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
629
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
58
|
OTHER
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
686
|
OTHER
|
Kidney And Urinary Tract Neoplasms With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
717
|
OTHER
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
903
|
OTHER
|
Wound Debridements For Injuries Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
499
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
501
|
OTHER
|
Soft Tissue Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
498
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
797
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
117
|
OTHER
|
Intraocular Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
513
|
OTHER
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
798
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
787
|
OTHER
|
Cesarean Section Without Sterilization With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
788
|
OTHER
|
Cesarean Section Without Sterilization Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
687
|
OTHER
|
Kidney And Urinary Tract Neoplasms With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
786
|
OTHER
|
Cesarean Section Without Sterilization With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
796
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
989
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
757
|
OTHER
|
Infections, Female Reproductive System With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
768
|
OTHER
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
514
|
OTHER
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
769
|
OTHER
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
554
|
OTHER
|
Bone Diseases And Arthropathies Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
784
|
OTHER
|
Cesarean Section With Sterilization With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
783
|
OTHER
|
Cesarean Section With Sterilization With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
204
|
OTHER
|
Respiratory Signs And Symptoms
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
909
|
OTHER
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
251
|
OTHER
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
908
|
OTHER
|
Other O.r. Procedures For Injuries With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
320
|
OTHER
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
417
|
OTHER
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
39
|
OTHER
|
Extracranial Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
785
|
OTHER
|
Cesarean Section With Sterilization Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
740
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
597
|
OTHER
|
Malignant Breast Disorders With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
157
|
OTHER
|
Dental And Oral Diseases With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
168
|
OTHER
|
Other Respiratory System O.r. Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
115
|
OTHER
|
Extraocular Procedures Except Orbit
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
545
|
OTHER
|
Connective Tissue Disorders With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
114
|
OTHER
|
Orbital Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
250
|
OTHER
|
Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
154
|
OTHER
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
37
|
OTHER
|
Extracranial Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
35
|
OTHER
|
Carotid Artery Stent Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
196
|
OTHER
|
Interstitial Lung Disease With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
102
|
OTHER
|
Headaches With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
136
|
OTHER
|
Sinus And Mastoid Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
865
|
OTHER
|
Viral Illness With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
964
|
OTHER
|
Other Multiple Significant Trauma With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
965
|
OTHER
|
Other Multiple Significant Trauma Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
145
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
905
|
OTHER
|
Skin Grafts For Injuries Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
988
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
144
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
142
|
OTHER
|
Major Head And Neck Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
38
|
OTHER
|
Extracranial Procedures With Cc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
368
|
OTHER
|
Major Esophageal Disorders With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
139
|
OTHER
|
Salivary Gland Procedures
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
138
|
OTHER
|
Mouth Procedures Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
465
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
100
|
OTHER
|
Seizures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
983
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
40
|
38
|
$48,723.03
|
$48,723.03
|
$43,850.73
|
$48,723.03
|
$48,723.03
|
2026-05-17
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
40
|
38
|
$48,694.90
|
$48,694.90
|
$43,825.41
|
$48,694.90
|
$48,694.90
|
2026-05-17
|
|
82
|
OTHER
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
40
|
38
|
$48,657.40
|
$48,657.40
|
$43,791.66
|
$48,657.40
|
$48,657.40
|
2026-05-17
|
|
867
|
OTHER
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
40
|
38
|
$47,996.38
|
$47,996.38
|
$43,196.74
|
$47,996.38
|
$47,996.38
|
2026-05-17
|
|
388
|
OTHER
|
Gastrointestinal Obstruction With Mcc
|
40
|
38
|
$47,672.91
|
$47,672.91
|
$42,905.62
|
$47,672.91
|
$47,672.91
|
2026-05-17
|
|
623
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
38
|
$47,579.15
|
$47,579.15
|
$42,821.23
|
$47,579.15
|
$47,579.15
|
2026-05-17
|
|
438
|
OTHER
|
Disorders Of Pancreas Except Malignancy With Mcc
|
40
|
38
|
$47,532.27
|
$47,532.27
|
$42,779.04
|
$47,532.27
|
$47,532.27
|
2026-05-17
|
|
575
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
40
|
38
|
$47,424.44
|
$47,424.44
|
$42,682.00
|
$47,424.44
|
$47,424.44
|
2026-05-17
|
|
557
|
OTHER
|
Tendonitis, Myositis And Bursitis With Mcc
|
40
|
38
|
$47,424.44
|
$47,424.44
|
$42,682.00
|
$47,424.44
|
$47,424.44
|
2026-05-17
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
40
|
38
|
$45,985.20
|
$45,985.20
|
$41,386.68
|
$45,985.20
|
$45,985.20
|
2026-05-17
|
|
539
|
OTHER
|
Osteomyelitis With Mcc
|
40
|
38
|
$45,328.88
|
$45,328.88
|
$40,795.99
|
$45,328.88
|
$45,328.88
|
2026-05-17
|
|
371
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
40
|
38
|
$45,272.62
|
$45,272.62
|
$40,745.36
|
$45,272.62
|
$45,272.62
|
2026-05-17
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
40
|
38
|
$45,272.62
|
$45,272.62
|
$40,745.36
|
$45,272.62
|
$45,272.62
|
2026-05-17
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
40
|
38
|
$45,272.62
|
$45,272.62
|
$40,745.36
|
$45,272.62
|
$45,272.62
|
2026-05-17
|
|
350
|
OTHER
|
Inguinal And Femoral Hernia Procedures With Mcc
|
40
|
38
|
$45,272.62
|
$45,272.62
|
$40,745.36
|
$45,272.62
|
$45,272.62
|
2026-05-17
|
|
347
|
OTHER
|
Anal And Stomal Procedures With Mcc
|
40
|
38
|
$45,272.62
|
$45,272.62
|
$40,745.36
|
$45,272.62
|
$45,272.62
|
2026-05-17
|
|
571
|
OTHER
|
Skin Debridement With Cc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
581
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
585
|
OTHER
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
584
|
OTHER
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
582
|
OTHER
|
Mastectomy For Malignancy With Cc/mcc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
583
|
OTHER
|
Mastectomy For Malignancy Without Cc/mcc
|
40
|
38
|
$44,372.51
|
$44,372.51
|
$39,935.26
|
$44,372.51
|
$44,372.51
|
2026-05-17
|
|
189
|
OTHER
|
Pulmonary Edema And Respiratory Failure
|
40
|
38
|
$44,142.80
|
$44,142.80
|
$39,728.52
|
$44,142.80
|
$44,142.80
|
2026-05-17
|