|
5834
|
OTHER
|
Screw Extern Fixat 6mm Lg 190mm Schanz 50mm Thread Self-tap Blunt Trocar Spade P…
|
13
|
8
|
$267.58
|
$267.58
|
$524,062.59
|
$1,039,922.46
|
$919,355.41
|
2026-05-24
|
|
0074
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$509,808.57
|
$1,011,637.53
|
$894,349.79
|
2026-05-24
|
|
5833
|
OTHER
|
Plate Bone Dcp 10x73mm 6-hole 3.3mm Sm Dynamic Compress Lck Cortic Ss Pelvic F/3…
|
13
|
8
|
$1,001.00
|
$1,001.00
|
$443,756.94
|
$880,568.12
|
$778,476.37
|
2026-05-24
|
|
0024
|
OTHER
|
Heart And/or Lung Transplant
|
13
|
8
|
—
|
—
|
$426,881.61
|
$847,081.59
|
$748,872.22
|
2026-05-24
|
|
5884
|
OTHER
|
Screw Bone Lcp Tomofix 5x46mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…
|
13
|
8
|
$589.88
|
$589.88
|
$331,723.02
|
$658,253.85
|
$581,936.89
|
2026-05-24
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
8
|
—
|
—
|
$322,125.81
|
$639,209.65
|
$565,100.64
|
2026-05-24
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
8
|
—
|
—
|
$301,781.16
|
$598,838.79
|
$529,410.32
|
2026-05-24
|
|
6304
|
OTHER
|
Screw Bone Lcp 4/5x24mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…
|
13
|
8
|
$597.50
|
$597.50
|
$246,824.04
|
$489,784.75
|
$432,999.84
|
2026-05-24
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
8
|
—
|
—
|
$244,636.74
|
$485,444.38
|
$429,162.69
|
2026-05-24
|
|
5832
|
OTHER
|
Plate Bone Lc-dcp 16x103mm 6-hole 4.8mm Broad Dynamic Compress Lck Ss Limit-cont…
|
13
|
8
|
$690.00
|
$690.00
|
$221,113.95
|
$438,766.99
|
$387,897.00
|
2026-05-24
|
|
0114
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
13
|
8
|
—
|
—
|
$209,962.17
|
$416,637.98
|
$368,333.59
|
2026-05-24
|
|
2004
|
OTHER
|
Cardiac Structural And Valvular Disorders
|
13
|
8
|
—
|
—
|
$195,112.68
|
$387,171.42
|
$342,283.35
|
2026-05-24
|
|
5831
|
OTHER
|
Washer Ortho 13mm Round Thread Spike Ss F/6.5/7/7.3mm Lg Cannul Screw Ns
|
13
|
8
|
$85.70
|
$85.70
|
$194,695.23
|
$386,343.06
|
$341,551.02
|
2026-05-24
|
|
0073
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$179,891.97
|
$356,968.24
|
$315,581.88
|
2026-05-24
|
|
5883
|
OTHER
|
Screw Bone Lcp Tomofix 5x38mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…
|
13
|
8
|
$737.50
|
$737.50
|
$177,991.71
|
$353,197.46
|
$312,248.28
|
2026-05-24
|
|
5882
|
OTHER
|
Screw Bone Lcp Tomofix 5x34mm Compress Lck Headed Full Thread Self-tap Ti-6al-7n…
|
13
|
8
|
$589.88
|
$589.88
|
$177,178.20
|
$351,583.18
|
$310,821.15
|
2026-05-24
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
8
|
—
|
—
|
$176,720.04
|
$350,674.03
|
$310,017.41
|
2026-05-24
|
|
8414
|
OTHER
|
Screw Spinal Expedium 7x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$2,000.00
|
$2,000.00
|
$175,960.35
|
$349,166.54
|
$308,684.69
|
2026-05-24
|
|
6314
|
OTHER
|
Screw Bone Lcp 7.3/8.2x90mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…
|
13
|
8
|
$800.75
|
$800.75
|
$174,202.92
|
$345,679.19
|
$305,601.66
|
2026-05-24
|
|
8504
|
OTHER
|
Screw Spinal Expedium 6x80mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$169,613.73
|
$336,572.64
|
$297,550.91
|
2026-05-24
|
|
5914
|
OTHER
|
Plate Bone Lcp 73mm 3-hole 110deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…
|
13
|
8
|
$1,704.73
|
$1,704.73
|
$168,094.35
|
$333,557.66
|
$294,885.48
|
2026-05-24
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
8
|
—
|
—
|
$167,896.32
|
$333,164.70
|
$294,538.08
|
2026-05-24
|
|
5881
|
OTHER
|
Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ti 2.5…
|
13
|
8
|
$71.25
|
$71.25
|
$167,008.98
|
$331,403.91
|
$292,981.43
|
2026-05-24
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
13
|
8
|
—
|
—
|
$152,916.42
|
$303,439.37
|
$268,259.06
|
2026-05-24
|
|
0084
|
OTHER
|
Autologous Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$152,303.70
|
$302,223.52
|
$267,184.17
|
2026-05-24
|
|
6814
|
OTHER
|
Screw Bone Lcp 3.5/6x50mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$149,597.52
|
$296,853.51
|
$262,436.76
|
2026-05-24
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
13
|
8
|
—
|
—
|
$149,514.03
|
$296,687.84
|
$262,290.30
|
2026-05-24
|
|
0093
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
8
|
—
|
—
|
$148,264.44
|
$294,208.22
|
$260,098.16
|
2026-05-24
|
|
2464
|
OTHER
|
Gastrointestinal Vascular Insufficiency
|
13
|
8
|
—
|
—
|
$144,986.94
|
$287,704.52
|
$254,348.49
|
2026-05-24
|
|
6034
|
OTHER
|
Nail IM Fassier-duval 4.8mm Std 404mm Short Thread Tibial Humeral Ss F/osteogene…
|
13
|
8
|
$6,500.00
|
$6,500.00
|
$144,238.98
|
$286,220.31
|
$253,036.35
|
2026-05-24
|
|
0064
|
OTHER
|
Pancreas Transplant
|
13
|
8
|
—
|
—
|
$139,979.61
|
$277,768.23
|
$245,564.20
|
2026-05-24
|
|
5891
|
OTHER
|
Screw Bone Lcp 4.5/8x40mm Compress Lck Full Thread Self-drilling/tapping Cortic …
|
13
|
8
|
$73.88
|
$73.88
|
$139,968.57
|
$277,746.33
|
$245,544.83
|
2026-05-24
|
|
5934
|
OTHER
|
Screw Interference Cannul 8x20mm Ti Round Head Without Sheath F/graft Fixat Strl Acl…
|
13
|
8
|
$237.50
|
$237.50
|
$139,549.74
|
$276,915.22
|
$244,810.09
|
2026-05-24
|
|
5892
|
OTHER
|
Screw Bone Lcp 4.5/8x44mm Compress Lck Full Thread Self-drilling/tapping Cortic …
|
13
|
8
|
$69.88
|
$69.88
|
$135,658.14
|
$269,192.94
|
$237,983.11
|
2026-05-24
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$130,425.87
|
$258,810.29
|
$228,804.21
|
2026-05-24
|
|
6024
|
OTHER
|
Screw Bone Lcp 5/4.4x55mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec…
|
13
|
8
|
$393.68
|
$393.68
|
$128,285.49
|
$254,563.03
|
$225,049.38
|
2026-05-24
|
|
5893
|
OTHER
|
Screw Bone Lcp 4.5/8x48mm Compress Lck Full Thread Self-drilling/tapping Cortic …
|
13
|
8
|
$73.88
|
$73.88
|
$127,244.28
|
$252,496.91
|
$223,222.80
|
2026-05-24
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
13
|
8
|
—
|
—
|
$121,821.57
|
$241,736.37
|
$213,709.81
|
2026-05-24
|
|
0072
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$120,867.30
|
$239,842.76
|
$212,035.75
|
2026-05-24
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
8
|
—
|
—
|
$120,691.35
|
$239,493.62
|
$211,727.09
|
2026-05-24
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hrs With Skin Graft
|
5
|
5
|
—
|
—
|
$62,352.81
|
$263,493.00
|
$209,314.44
|
2026-05-24
|
|
0113
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
13
|
8
|
—
|
—
|
$119,311.35
|
$236,755.22
|
$209,306.17
|
2026-05-24
|
|
8634
|
OTHER
|
Wedge Bone Graft 22x22x6mm Allograft Evans Frz-dry Cort/canc Pre-shaped F/osteot…
|
13
|
8
|
$2,697.90
|
$2,697.90
|
$117,460.77
|
$233,083.02
|
$206,059.73
|
2026-05-24
|
|
6303
|
OTHER
|
Screw Bone Lcp 4/5x20mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…
|
13
|
8
|
$597.50
|
$597.50
|
$116,332.62
|
$230,844.38
|
$204,080.63
|
2026-05-24
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
13
|
8
|
—
|
—
|
$114,464.79
|
$227,137.96
|
$200,803.92
|
2026-05-24
|
|
4404
|
OTHER
|
Screw Bone Lcp 3.5/6x20mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$114,181.89
|
$226,576.59
|
$200,307.63
|
2026-05-24
|
|
0054
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
8
|
—
|
—
|
$113,660.25
|
$225,541.47
|
$199,392.53
|
2026-05-24
|
|
0043
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
8
|
—
|
—
|
$113,621.61
|
$225,464.79
|
$199,324.74
|
2026-05-24
|
|
6804
|
OTHER
|
Screw Bone Lcp 2.7/5x24mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H…
|
13
|
8
|
$133.00
|
$133.00
|
$110,689.80
|
$219,647.06
|
$194,181.51
|
2026-05-24
|
|
5913
|
OTHER
|
Plate Bone Lcp 73mm 3-hole 100deg Pre-contoured Compress Lck Ss Hip F/3.5mm Scre…
|
13
|
8
|
$1,704.73
|
$1,704.73
|
$110,689.80
|
$219,647.06
|
$194,181.51
|
2026-05-24
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
13
|
8
|
—
|
—
|
$110,375.85
|
$219,024.08
|
$193,630.75
|
2026-05-24
|
|
4414
|
OTHER
|
Screw Spinal Expedium 6x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$1,976.25
|
$1,976.25
|
$108,057.45
|
$214,423.57
|
$189,563.62
|
2026-05-24
|
|
0023
|
OTHER
|
Heart And/or Lung Transplant
|
13
|
8
|
—
|
—
|
$105,140.82
|
$208,635.96
|
$184,447.02
|
2026-05-24
|
|
0083
|
OTHER
|
Autologous Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$102,945.93
|
$204,280.53
|
$180,596.55
|
2026-05-24
|
|
1784
|
OTHER
|
External Heart Assist Devices
|
13
|
8
|
—
|
—
|
$101,207.82
|
$200,831.52
|
$177,547.41
|
2026-05-24
|
|
5933
|
OTHER
|
Screw Interference Cannul 7x25mm Ti Alloy Round Head W/2mm Nitinol Gw Disp Sheat…
|
13
|
8
|
$287.50
|
$287.50
|
$99,669.12
|
$197,778.20
|
$174,848.09
|
2026-05-24
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
13
|
8
|
—
|
—
|
$99,554.58
|
$197,550.91
|
$174,647.16
|
2026-05-24
|
|
1674
|
OTHER
|
Expander Tissue Softspan 13.7x10.5cm 4-7cm Lo-pro 200-400ml Silicone Smooth Remo…
|
13
|
8
|
$1,625.00
|
$1,625.00
|
$99,114.36
|
$196,677.36
|
$173,874.89
|
2026-05-24
|
|
6904
|
OTHER
|
Acute Leukemia
|
13
|
8
|
—
|
—
|
$98,224.26
|
$194,911.10
|
$172,313.40
|
2026-05-24
|
|
0434
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
13
|
8
|
—
|
—
|
$97,622.58
|
$193,717.15
|
$171,257.88
|
2026-05-24
|
|
0092
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
8
|
—
|
—
|
$97,512.87
|
$193,499.45
|
$171,065.41
|
2026-05-24
|
|
0091
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
13
|
8
|
—
|
—
|
$94,567.95
|
$187,655.71
|
$165,899.18
|
2026-05-24
|
|
6334
|
OTHER
|
Screw Bone Lcp 3.5/6x20mm Compress Lck Self-tap Var Ang Lo-pro Cortic Ss T15 Sta…
|
13
|
8
|
$93.73
|
$93.73
|
$92,580.06
|
$183,711.04
|
$162,411.86
|
2026-05-24
|
|
3034
|
OTHER
|
Suture Chromic Gut 3-0 27in 1/2 Circ CT-2 Taper Point Natural Brown Undyed 1 Str…
|
13
|
8
|
$7.60
|
$7.60
|
$92,015.64
|
$182,591.04
|
$161,421.70
|
2026-05-24
|
|
5912
|
OTHER
|
Screw Bone 4x46mm Cannul 15mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P…
|
13
|
8
|
$465.30
|
$465.30
|
$91,391.88
|
$181,353.28
|
$160,327.45
|
2026-05-24
|
|
6074
|
OTHER
|
Screw Bone Expert 4/3.3x36mm Cannul Compress Lck Fully/dual Lead Thread Self-tap…
|
13
|
8
|
$490.28
|
$490.28
|
$90,497.64
|
$179,578.80
|
$158,758.70
|
2026-05-24
|
|
0063
|
OTHER
|
Pancreas Transplant
|
13
|
8
|
—
|
—
|
$90,460.38
|
$179,504.86
|
$158,693.33
|
2026-05-24
|
|
2204
|
OTHER
|
Guidewire Ortho 1.25mm 150mm Non-threaded Cobalt Ss Ns
|
13
|
8
|
$76.43
|
$76.43
|
$86,236.20
|
$171,122.62
|
$151,282.92
|
2026-05-24
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
13
|
8
|
—
|
—
|
$85,766.31
|
$170,190.19
|
$150,458.59
|
2026-05-24
|
|
4474
|
OTHER
|
Screw Bone Eight-plate 4.5x32mm Cannul Solid Cortic Ti Blue F/guided Growth Syst…
|
13
|
8
|
$329.00
|
$329.00
|
$85,565.52
|
$169,791.75
|
$150,106.35
|
2026-05-24
|
|
0022
|
OTHER
|
Heart And/or Lung Transplant
|
13
|
8
|
—
|
—
|
$84,462.90
|
$167,603.77
|
$148,172.04
|
2026-05-24
|
|
0234
|
OTHER
|
Spinal Procedures
|
13
|
8
|
—
|
—
|
$84,297.99
|
$167,276.53
|
$147,882.74
|
2026-05-24
|
|
9104
|
OTHER
|
Plate Bone Lorenz Long 2/2-hole 1mm L-shaped Ti Silver F/2mm Screw Lt Cmf
|
13
|
8
|
$547.50
|
$547.50
|
$83,993.01
|
$166,671.35
|
$147,347.72
|
2026-05-24
|
|
0112
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
13
|
8
|
—
|
—
|
$82,913.85
|
$164,529.92
|
$145,454.57
|
2026-05-24
|
|
6023
|
OTHER
|
Screw Bone Lcp 7.3/8.2x85mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…
|
13
|
8
|
$800.75
|
$800.75
|
$82,910.40
|
$164,523.07
|
$145,448.51
|
2026-05-24
|
|
0053
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
8
|
—
|
—
|
$81,876.78
|
$162,472.01
|
$143,635.25
|
2026-05-24
|
|
0062
|
OTHER
|
Pancreas Transplant
|
13
|
8
|
—
|
—
|
$81,820.20
|
$162,359.74
|
$143,535.99
|
2026-05-24
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
13
|
8
|
—
|
—
|
$81,499.35
|
$161,723.06
|
$142,973.13
|
2026-05-24
|
|
0061
|
OTHER
|
Pancreas Transplant
|
13
|
8
|
—
|
—
|
$80,763.81
|
$160,263.49
|
$141,682.78
|
2026-05-24
|
|
0071
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$79,365.87
|
$157,489.49
|
$139,230.40
|
2026-05-24
|
|
0013
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
13
|
8
|
—
|
—
|
$78,786.27
|
$156,339.36
|
$138,213.61
|
2026-05-24
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
13
|
8
|
—
|
—
|
$78,693.12
|
$156,154.52
|
$138,050.20
|
2026-05-24
|
|
0264
|
OTHER
|
Other Nervous System And Related Procedures
|
13
|
8
|
—
|
—
|
$78,645.51
|
$156,060.05
|
$137,966.68
|
2026-05-24
|
|
5932
|
OTHER
|
Guidepin Ortho 2.4mm Breakaway Femur Tibial F/osteotomy Disp
|
13
|
8
|
$92.50
|
$92.50
|
$78,306.03
|
$155,386.40
|
$137,371.13
|
2026-05-24
|
|
3033
|
OTHER
|
Suture Ethibond Excel 4-0 Sh Taper Point Braided Green 26in
|
13
|
8
|
$30.73
|
$30.73
|
$77,841.66
|
$154,464.93
|
$136,556.50
|
2026-05-24
|
|
1824
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
13
|
8
|
—
|
—
|
$77,778.87
|
$154,340.33
|
$136,446.34
|
2026-05-24
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$77,732.64
|
$154,248.60
|
$136,365.24
|
2026-05-24
|
|
7924
|
OTHER
|
Kit Catheter Intrathecal Ascenda Indura 4-layer Sutureless Pump Conn 2-attached …
|
13
|
8
|
$500.00
|
$500.00
|
$76,460.28
|
$151,723.79
|
$134,133.16
|
2026-05-24
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
13
|
8
|
—
|
—
|
$76,441.65
|
$151,686.82
|
$134,100.48
|
2026-05-24
|
|
2054
|
OTHER
|
Cardiomyopathy
|
13
|
8
|
—
|
—
|
$76,225.68
|
$151,258.26
|
$133,721.61
|
2026-05-24
|
|
6954
|
OTHER
|
Screw Bone Pro-pak 4.5x36mm Cannul Compress Headless 14mm Long/dual Lead Thread
|
13
|
8
|
$962.15
|
$962.15
|
$76,127.70
|
$151,063.84
|
$133,549.72
|
2026-05-24
|
|
8413
|
OTHER
|
Screw Spinal Expedium 7x35mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$2,000.00
|
$2,000.00
|
$76,049.73
|
$150,909.12
|
$133,412.94
|
2026-05-24
|
|
0052
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
8
|
—
|
—
|
$74,771.85
|
$148,373.36
|
$131,171.17
|
2026-05-24
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
13
|
8
|
—
|
—
|
$74,521.38
|
$147,876.34
|
$130,731.78
|
2026-05-24
|
|
0042
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
8
|
—
|
—
|
$74,288.85
|
$147,414.92
|
$130,323.85
|
2026-05-24
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
13
|
8
|
—
|
—
|
$73,508.46
|
$145,866.35
|
$128,954.83
|
2026-05-24
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$73,383.57
|
$145,618.53
|
$128,735.73
|
2026-05-24
|
|
0214
|
OTHER
|
Open Craniotomy Except Trauma
|
13
|
8
|
—
|
—
|
$73,209.69
|
$145,273.49
|
$128,430.70
|
2026-05-24
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
13
|
8
|
—
|
—
|
$72,945.42
|
$144,749.09
|
$127,967.09
|
2026-05-24
|
|
0224
|
OTHER
|
Ventricular Shunt Procedures
|
13
|
8
|
—
|
—
|
$72,657.69
|
$144,178.13
|
$127,462.33
|
2026-05-24
|
|
4424
|
OTHER
|
Screw Spinal Expedium 6x45mm Lck Fully/dual Lead Thread Self-tap Uniplanar Pedic…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$72,259.56
|
$143,388.10
|
$126,763.90
|
2026-05-24
|
|
9524
|
OTHER
|
Hook Spinal Expedium Isola 8mm Open Wide Blade Ti Pedicle F/5.5mm Rod Ns
|
13
|
8
|
$1,450.00
|
$1,450.00
|
$71,815.89
|
$142,507.71
|
$125,985.58
|
2026-05-24
|
|
9114
|
OTHER
|
Plate Bone Lorenz 8-hole 0.6mm Curve Ti Silver F/1.5mm Screw Orbital Ns
|
13
|
8
|
$745.00
|
$745.00
|
$71,159.70
|
$141,205.60
|
$124,834.43
|
2026-05-24
|
|
4403
|
OTHER
|
Screw Bone Lcp 3.5/6x18mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$69,884.58
|
$138,675.31
|
$122,597.51
|
2026-05-24
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
13
|
8
|
—
|
—
|
$69,879.75
|
$138,665.73
|
$122,589.03
|
2026-05-24
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
13
|
8
|
—
|
—
|
$69,642.39
|
$138,194.73
|
$122,172.64
|
2026-05-24
|
|
1204
|
OTHER
|
Suture Nylon Ethilon 4-0 18in 3/8 Circ Fs-2 Revers Cut Pliabilized Black 1 Stran…
|
13
|
8
|
$4.78
|
$4.78
|
$69,359.49
|
$137,633.35
|
$121,676.35
|
2026-05-24
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
13
|
8
|
—
|
—
|
$69,095.91
|
$137,110.32
|
$121,213.95
|
2026-05-24
|
|
0894
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
13
|
8
|
—
|
—
|
$68,354.85
|
$135,639.80
|
$119,913.92
|
2026-05-24
|
|
9124
|
OTHER
|
Plate Bone Lorenz Reg 49mm 8-hole Ti Silver F/2mm Screw Cranfac
|
13
|
8
|
$1,207.50
|
$1,207.50
|
$68,264.46
|
$135,460.43
|
$119,755.35
|
2026-05-24
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
13
|
8
|
—
|
—
|
$68,247.21
|
$135,426.20
|
$119,725.09
|
2026-05-24
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$67,230.84
|
$133,409.37
|
$117,942.09
|
2026-05-24
|
|
5911
|
OTHER
|
Screw Bone 4x38mm Cannul 14mm Short Thread Ss Prox Humeral Revers Cut Flute Ns P…
|
13
|
8
|
$465.30
|
$465.30
|
$65,894.31
|
$130,757.23
|
$115,597.43
|
2026-05-24
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
13
|
8
|
—
|
—
|
$65,534.82
|
$130,043.88
|
$114,966.78
|
2026-05-24
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
13
|
8
|
—
|
—
|
$65,422.35
|
$129,820.70
|
$114,769.48
|
2026-05-24
|
|
1783
|
OTHER
|
External Heart Assist Devices
|
13
|
8
|
—
|
—
|
$64,767.54
|
$128,521.33
|
$113,620.76
|
2026-05-24
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
13
|
8
|
—
|
—
|
$64,730.28
|
$128,447.39
|
$113,555.39
|
2026-05-24
|
|
6313
|
OTHER
|
Screw Bone Lcp 7.3/8.2x55mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…
|
13
|
8
|
$687.83
|
$687.83
|
$64,493.61
|
$127,977.75
|
$113,140.21
|
2026-05-24
|
|
6254
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
13
|
8
|
—
|
—
|
$63,972.66
|
$126,944.01
|
$112,226.31
|
2026-05-24
|
|
6124
|
OTHER
|
Wire Bone Fixat 1.4mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns
|
13
|
8
|
$7.38
|
$7.38
|
$63,788.43
|
$126,578.43
|
$111,903.12
|
2026-05-24
|
|
1603
|
OTHER
|
Guidewire Ortho 1.25mm 150mm Thread Single-end Trocar Point Cobalt Ss F/3.5/4mm …
|
13
|
8
|
$81.88
|
$81.88
|
$63,183.30
|
$125,377.64
|
$110,841.55
|
2026-05-24
|
|
2244
|
OTHER
|
Suture Silk Sofsilk 2-0 18in 3/8 Circ C-15 Revers Cut Black Ss-685g Wax Coat Bra…
|
13
|
8
|
$30.15
|
$30.15
|
$63,082.56
|
$125,177.74
|
$110,664.82
|
2026-05-24
|
|
6022
|
OTHER
|
Screw Bone Lcp 7.3/8.2x80mm Cannul Compress Lck 32mm Thread Self-drilling/tappin…
|
13
|
8
|
$619.93
|
$619.93
|
$62,643.03
|
$124,305.56
|
$109,893.76
|
2026-05-24
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
13
|
8
|
—
|
—
|
$62,467.77
|
$123,957.78
|
$109,586.30
|
2026-05-24
|
|
0914
|
OTHER
|
Other Major Head And Neck Procedures
|
13
|
8
|
—
|
—
|
$62,131.74
|
$123,290.98
|
$108,996.81
|
2026-05-24
|
|
0204
|
OTHER
|
Open Craniotomy For Trauma
|
13
|
8
|
—
|
—
|
$61,497.63
|
$122,032.69
|
$107,884.40
|
2026-05-24
|
|
0051
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
13
|
8
|
—
|
—
|
$61,079.49
|
$121,202.95
|
$107,150.86
|
2026-05-24
|
|
0041
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
13
|
8
|
—
|
—
|
$60,962.19
|
$120,970.19
|
$106,945.09
|
2026-05-24
|
|
0012
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
13
|
8
|
—
|
—
|
$60,515.07
|
$120,082.95
|
$106,160.71
|
2026-05-24
|
|
1814
|
OTHER
|
Lower Extremity Vascular Procedures
|
13
|
8
|
—
|
—
|
$60,490.23
|
$120,033.66
|
$106,117.13
|
2026-05-24
|
|
2274
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
13
|
8
|
—
|
—
|
$60,305.31
|
$119,666.71
|
$105,792.73
|
2026-05-24
|
|
6604
|
OTHER
|
Rod Extern Fixat Ilizarov 40mm Thread Slot Ss Sm Bone Ns
|
13
|
8
|
$629.20
|
$629.20
|
$60,107.28
|
$119,273.75
|
$105,445.33
|
2026-05-24
|
|
6234
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
13
|
8
|
—
|
—
|
$60,094.86
|
$119,249.10
|
$105,423.54
|
2026-05-24
|
|
8424
|
OTHER
|
Connector Spinal Expedium Open Dual Side/side Ss F/5.5mm Rod Ns
|
13
|
8
|
$1,725.00
|
$1,725.00
|
$60,027.24
|
$119,114.92
|
$105,304.92
|
2026-05-24
|
|
1834
|
OTHER
|
Drain Wound Blake Jackson-pratt 19fr 10mmx20cm Round 4-channel Flute Hubless W/1…
|
13
|
8
|
$260.53
|
$260.53
|
$58,496.82
|
$116,078.04
|
$102,620.12
|
2026-05-24
|
|
0011
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
13
|
8
|
—
|
—
|
$58,242.90
|
$115,574.17
|
$102,174.68
|
2026-05-24
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
13
|
8
|
—
|
—
|
$57,568.77
|
$114,236.46
|
$100,992.06
|
2026-05-24
|
|
6073
|
OTHER
|
Hook Spinal Veptr Ii Std Extend Vert Expand Ti Prox Thoracolum Rib Ns
|
13
|
8
|
$3,747.48
|
$3,747.48
|
$57,363.15
|
$113,828.44
|
$100,631.34
|
2026-05-24
|
|
1833
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
13
|
8
|
—
|
—
|
$57,060.24
|
$113,227.36
|
$100,099.95
|
2026-05-24
|
|
9514
|
OTHER
|
Hook Spinal Expedium Isola 8mm Close Wide Blade Ti Pedicle F/5.5mm Rod Ns
|
13
|
8
|
$1,450.00
|
$1,450.00
|
$56,836.68
|
$112,783.74
|
$99,707.76
|
2026-05-24
|
|
3032
|
OTHER
|
Suture Ethibond Excel 3-0 18in 1/2 Circ Sh Ctrl Release Taper Point Green 8 Stra…
|
13
|
8
|
$28.28
|
$28.28
|
$56,477.88
|
$112,071.76
|
$99,078.33
|
2026-05-24
|
|
0504
|
OTHER
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
13
|
8
|
—
|
—
|
$55,907.25
|
$110,939.43
|
$98,077.28
|
2026-05-24
|
|
1782
|
OTHER
|
External Heart Assist Devices
|
13
|
8
|
—
|
—
|
$55,587.78
|
$110,305.49
|
$97,516.84
|
2026-05-24
|
|
7104
|
OTHER
|
Screw Spinal Expedium 4.35x25mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle S…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$55,493.25
|
$110,117.91
|
$97,351.00
|
2026-05-24
|
|
6033
|
OTHER
|
Nail IM Fassier-duval 4.8mm Std 409mm Long Thread Femur Ss F/osteogenesis Imperf…
|
13
|
8
|
$6,875.00
|
$6,875.00
|
$55,006.11
|
$109,151.25
|
$96,496.42
|
2026-05-24
|
|
1622
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$54,796.35
|
$108,735.02
|
$96,128.44
|
2026-05-24
|
|
2234
|
OTHER
|
Other Small And Large Bowel Procedures
|
13
|
8
|
—
|
—
|
$54,164.31
|
$107,480.83
|
$95,019.66
|
2026-05-24
|
|
6914
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
13
|
8
|
—
|
—
|
$53,831.04
|
$106,819.51
|
$94,435.01
|
2026-05-24
|
|
0082
|
OTHER
|
Autologous Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$53,588.85
|
$106,338.92
|
$94,010.14
|
2026-05-24
|
|
6944
|
OTHER
|
Plate Bone Dhs 78mm 4-hole 25mm 19x5.8mm 135deg Dynamic Compress Lo-pro Ss Short…
|
13
|
8
|
$1,682.83
|
$1,682.83
|
$53,285.94
|
$105,737.84
|
$93,478.75
|
2026-05-24
|
|
7234
|
OTHER
|
Screw Bone Lcp 5/4.4x48mm Compress Lck Full Thread Self-tap Ss T25 Stardrive Rec…
|
13
|
8
|
$382.20
|
$382.20
|
$53,213.49
|
$105,594.07
|
$93,351.65
|
2026-05-24
|
|
0924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
13
|
8
|
—
|
—
|
$52,641.48
|
$104,459.01
|
$92,348.19
|
2026-05-24
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$52,059.81
|
$103,304.77
|
$91,327.77
|
2026-05-24
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$51,957.00
|
$103,100.76
|
$91,147.41
|
2026-05-24
|
|
6614
|
OTHER
|
Nut Extern Fixat Ilizarov 6x10mm 5mm 4-hole Hex Head Ss Ankle Foot Sm Bone Ns Re…
|
13
|
8
|
$24.90
|
$24.90
|
$51,485.04
|
$102,164.23
|
$90,319.46
|
2026-05-24
|
|
1781
|
OTHER
|
External Heart Assist Devices
|
13
|
8
|
—
|
—
|
$50,956.50
|
$101,115.42
|
$89,392.25
|
2026-05-24
|
|
0923
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
13
|
8
|
—
|
—
|
$50,774.34
|
$100,753.95
|
$89,072.69
|
2026-05-24
|
|
1764
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
13
|
8
|
—
|
—
|
$50,474.88
|
$100,159.72
|
$88,547.35
|
2026-05-24
|
|
5134
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
13
|
8
|
—
|
—
|
$49,759.35
|
$98,739.86
|
$87,292.11
|
2026-05-24
|
|
1794
|
OTHER
|
Defibrillator Implants
|
13
|
8
|
—
|
—
|
$49,728.99
|
$98,679.61
|
$87,238.85
|
2026-05-24
|
|
3124
|
OTHER
|
Dressing Biological E-z Derm Adherent 3x4in Patch Porcine Xenograft Strl 10/ca
|
13
|
8
|
$653.60
|
$653.60
|
$49,661.37
|
$98,545.43
|
$87,120.22
|
2026-05-24
|
|
8412
|
OTHER
|
Screw Spinal Expedium 6x55mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$2,000.00
|
$2,000.00
|
$49,419.87
|
$98,066.21
|
$86,696.56
|
2026-05-24
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
13
|
8
|
—
|
—
|
$49,158.36
|
$97,547.28
|
$86,237.80
|
2026-05-24
|
|
8411
|
OTHER
|
Screw Spinal Expedium 5x50mm Polyaxial 1-innie Pedicle Ss Thoracolum Extend Tab …
|
13
|
8
|
$2,000.00
|
$2,000.00
|
$49,035.54
|
$97,303.57
|
$86,022.34
|
2026-05-24
|
|
2644
|
OTHER
|
Kit Instrument Maxillofacial Splint Planning Pt Specific Proplan Trumatch F/orth…
|
13
|
8
|
$12,140.00
|
$12,140.00
|
$48,777.48
|
$96,791.49
|
$85,569.63
|
2026-05-24
|
|
1621
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$48,620.16
|
$96,479.31
|
$85,293.64
|
2026-05-24
|
|
7404
|
OTHER
|
Hook Spinal Cd Horizon Solera Lg Narrow Blade Ti Medial F/5.5mm Rod Ns
|
13
|
8
|
$1,450.00
|
$1,450.00
|
$48,049.53
|
$95,346.98
|
$84,292.59
|
2026-05-24
|
|
4013
|
OTHER
|
Adrenal Procedures
|
13
|
8
|
—
|
—
|
$47,869.44
|
$94,989.62
|
$83,976.66
|
2026-05-24
|
|
3043
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
13
|
8
|
—
|
—
|
$47,864.61
|
$94,980.03
|
$83,968.19
|
2026-05-24
|
|
3104
|
OTHER
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
13
|
8
|
—
|
—
|
$47,357.46
|
$93,973.67
|
$83,078.51
|
2026-05-24
|
|
2334
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$47,325.03
|
$93,909.32
|
$83,021.61
|
2026-05-24
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
13
|
8
|
—
|
—
|
$47,256.72
|
$93,773.77
|
$82,901.78
|
2026-05-24
|
|
0111
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
13
|
8
|
—
|
—
|
$47,152.53
|
$93,567.02
|
$82,719.00
|
2026-05-24
|
|
6344
|
OTHER
|
Endcap Spinal Veptr Ii Sm Hook Extend Ti Thoracolum Rib Ns
|
13
|
8
|
$3,507.75
|
$3,507.75
|
$47,082.84
|
$93,428.73
|
$82,596.74
|
2026-05-24
|
|
7114
|
OTHER
|
Screw Spinal Expedium 4.35x35mm Lck Polyaxial Thread Dual Lead Pedicle Ti Taper …
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$46,603.29
|
$92,477.14
|
$81,755.48
|
2026-05-24
|
|
0304
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
13
|
8
|
—
|
—
|
$46,481.85
|
$92,236.16
|
$81,542.44
|
2026-05-24
|
|
1303
|
OTHER
|
Wire Bone Fixat 1.6x150mm Kirschner Temp Trocar Point Ss Ns F/hand Surg
|
13
|
8
|
$22.98
|
$22.98
|
$46,340.40
|
$91,955.47
|
$81,294.29
|
2026-05-24
|
|
3464
|
OTHER
|
Connective Tissue Disorders
|
13
|
8
|
—
|
—
|
$46,328.67
|
$91,932.20
|
$81,273.71
|
2026-05-24
|
|
4044
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
13
|
8
|
—
|
—
|
$46,183.77
|
$91,644.66
|
$81,019.52
|
2026-05-24
|
|
4434
|
OTHER
|
Screw Spinal Expedium 5x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$45,834.63
|
$90,951.85
|
$80,407.03
|
2026-05-24
|
|
1804
|
OTHER
|
Other Circulatory System Procedures
|
13
|
8
|
—
|
—
|
$45,811.86
|
$90,906.66
|
$80,367.08
|
2026-05-24
|
|
0294
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
13
|
8
|
—
|
—
|
$45,777.36
|
$90,838.20
|
$80,306.56
|
2026-05-24
|
|
0734
|
OTHER
|
Orbit And Eye Procedures
|
13
|
8
|
—
|
—
|
$45,685.59
|
$90,656.10
|
$80,145.57
|
2026-05-24
|
|
4684
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
13
|
8
|
—
|
—
|
$45,455.13
|
$90,198.79
|
$79,741.28
|
2026-05-24
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
13
|
8
|
—
|
—
|
$45,327.48
|
$89,945.49
|
$79,517.34
|
2026-05-24
|
|
4402
|
OTHER
|
Screw Bone Lcp 3.5/6x16mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$44,948.67
|
$89,193.80
|
$78,852.80
|
2026-05-24
|
|
8154
|
OTHER
|
Screw Spinal Click X 7x60mm Monoaxial Pedicle Ti Post Ns
|
13
|
8
|
$1,500.00
|
$1,500.00
|
$44,923.83
|
$89,144.50
|
$78,809.22
|
2026-05-24
|
|
0081
|
OTHER
|
Autologous Bone Marrow Transplant
|
13
|
8
|
—
|
—
|
$44,883.81
|
$89,065.09
|
$78,739.02
|
2026-05-24
|
|
0913
|
OTHER
|
Other Major Head And Neck Procedures
|
13
|
8
|
—
|
—
|
$44,578.83
|
$88,459.90
|
$78,204.00
|
2026-05-24
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
13
|
8
|
—
|
—
|
$44,507.76
|
$88,318.88
|
$78,079.32
|
2026-05-24
|
|
6924
|
OTHER
|
Nail IM Fassier-duval 4mm Std 333mm Short Thread Femur Ss F/osteogenesis Imperfe…
|
13
|
8
|
$6,187.50
|
$6,187.50
|
$44,476.71
|
$88,257.26
|
$78,024.85
|
2026-05-24
|
|
0984
|
OTHER
|
Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures
|
13
|
8
|
—
|
—
|
$44,418.75
|
$88,142.25
|
$77,923.17
|
2026-05-24
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
13
|
8
|
—
|
—
|
$44,249.70
|
$87,806.80
|
$77,626.61
|
2026-05-24
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$44,202.78
|
$87,713.69
|
$77,544.30
|
2026-05-24
|
|
8104
|
OTHER
|
Plate Bone Lcp 10x94mm 8-hole 3.6mm Curve Dynamic Compress Lck Cortic Ss Reconst…
|
13
|
8
|
$1,552.50
|
$1,552.50
|
$44,185.53
|
$87,679.46
|
$77,514.03
|
2026-05-24
|
|
6032
|
OTHER
|
Nail IM Fassier-duval 4mm Std 333mm Short Thread Tibial Humeral Ss F/osteogenesi…
|
13
|
8
|
$6,500.00
|
$6,500.00
|
$44,060.64
|
$87,431.64
|
$77,294.94
|
2026-05-24
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
5
|
—
|
—
|
$42,695.55
|
$126,440.00
|
$77,069.79
|
2026-05-24
|
|
1602
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
13
|
8
|
—
|
—
|
$43,901.25
|
$87,115.35
|
$77,015.33
|
2026-05-24
|
|
4844
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
13
|
8
|
—
|
—
|
$43,779.81
|
$86,874.37
|
$76,802.29
|
2026-05-24
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
13
|
8
|
—
|
—
|
$43,744.62
|
$86,804.54
|
$76,740.55
|
2026-05-24
|
|
0494
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System
|
13
|
8
|
—
|
—
|
$43,661.82
|
$86,640.24
|
$76,595.30
|
2026-05-24
|
|
1704
|
OTHER
|
Guidewire Ortho 2.8mm 450mm Thread Trocar Tip Cobalt Ss F/6.5/7.3mm Cannul Screw…
|
13
|
8
|
$215.63
|
$215.63
|
$43,402.38
|
$86,125.42
|
$76,140.17
|
2026-05-24
|
|
6903
|
OTHER
|
Acute Leukemia
|
13
|
8
|
—
|
—
|
$43,232.64
|
$85,788.60
|
$75,842.39
|
2026-05-24
|
|
1673
|
OTHER
|
Expander Tissue Softspan 3.6x4.1cm 3.6-4cm Lo-pro 30-60ml Silicone Smooth Lg Rem…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$43,053.24
|
$85,432.60
|
$75,527.67
|
2026-05-24
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
13
|
8
|
—
|
—
|
$42,961.47
|
$85,250.50
|
$75,366.68
|
2026-05-24
|
|
4014
|
OTHER
|
Adrenal Procedures
|
13
|
8
|
—
|
—
|
$42,806.91
|
$84,943.80
|
$75,095.54
|
2026-05-24
|
|
3254
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
13
|
8
|
—
|
—
|
$42,717.21
|
$84,765.80
|
$74,938.18
|
2026-05-24
|
|
6613
|
OTHER
|
Bolt Extern Fixat Ilizarov 16mm Ss Sm Bone F/fragment Ns Reus
|
13
|
8
|
$26.88
|
$26.88
|
$42,212.13
|
$83,763.55
|
$74,052.13
|
2026-05-24
|
|
0274
|
OTHER
|
Other Open Craniotomy
|
13
|
8
|
—
|
—
|
$42,161.76
|
$83,663.60
|
$73,963.76
|
2026-05-24
|
|
4401
|
OTHER
|
Screw Bone Lcp 3.5/6x14mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$42,134.16
|
$83,608.83
|
$73,915.35
|
2026-05-24
|
|
6302
|
OTHER
|
Screw Bone Lcp 4/5x18mm Cannul Compress Lck 1/2 Long Thread Self-drilling/tappin…
|
13
|
8
|
$597.50
|
$597.50
|
$41,992.02
|
$83,326.77
|
$73,665.99
|
2026-05-24
|
|
0213
|
OTHER
|
Open Craniotomy Except Trauma
|
13
|
8
|
—
|
—
|
$41,899.56
|
$83,143.30
|
$73,503.79
|
2026-05-24
|
|
7934
|
OTHER
|
Screw Bone Lcp 2.7/5x28mm Compress Lck Full Thread Self-tap Cortic Ss T8 Stardri…
|
13
|
8
|
$105.63
|
$105.63
|
$41,633.22
|
$82,614.79
|
$73,036.55
|
2026-05-24
|
|
3214
|
OTHER
|
Drain Wound Hemovac 15frx3/16in Round 4-channel Full Flute F/closed Suction W/tr…
|
13
|
8
|
$32.70
|
$32.70
|
$41,619.42
|
$82,587.41
|
$73,012.35
|
2026-05-24
|
|
3031
|
OTHER
|
Suture Deknatel Tevdek 4-0 30in 1/2 Circ T-3 Dbl-arm Taper Needle Point Green 7-…
|
13
|
8
|
$8.73
|
$8.73
|
$41,605.62
|
$82,560.02
|
$72,988.14
|
2026-05-24
|
|
0244
|
OTHER
|
Open Extracranial Vascular Procedures
|
13
|
8
|
—
|
—
|
$41,534.55
|
$82,418.99
|
$72,863.46
|
2026-05-24
|
|
1801
|
OTHER
|
Other Circulatory System Procedures
|
13
|
8
|
—
|
—
|
$41,504.19
|
$82,358.75
|
$72,810.20
|
2026-05-24
|
|
3084
|
OTHER
|
Rod Extern Fixat 4x140mm Connecting Carbon Fiber Dist Radial F/small Fixator Sys…
|
13
|
8
|
$158.40
|
$158.40
|
$41,364.81
|
$82,082.17
|
$72,565.69
|
2026-05-24
|
|
6072
|
OTHER
|
Nail IM Expert 9x360mm 120deg Helical Flute Cannul Lck Antegrad Reconstruct Rt L…
|
13
|
8
|
$4,359.18
|
$4,359.18
|
$41,270.28
|
$81,894.59
|
$72,399.85
|
2026-05-24
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
13
|
8
|
—
|
—
|
$41,048.79
|
$81,455.08
|
$72,011.30
|
2026-05-24
|
|
0233
|
OTHER
|
Spinal Procedures
|
13
|
8
|
—
|
—
|
$41,039.13
|
$81,435.91
|
$71,994.35
|
2026-05-24
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
13
|
8
|
—
|
—
|
$41,012.91
|
$81,383.88
|
$71,948.35
|
2026-05-24
|
|
5124
|
OTHER
|
Tray Needle Epidural Tuohy Contin Anesth Perifix 18ga 2in Ped Wing W/25ga Ndl 20…
|
13
|
8
|
$71.80
|
$71.80
|
$40,964.61
|
$81,288.03
|
$71,863.62
|
2026-05-24
|
|
4012
|
OTHER
|
Adrenal Procedures
|
13
|
8
|
—
|
—
|
$40,792.11
|
$80,945.73
|
$71,561.01
|
2026-05-24
|
|
0433
|
OTHER
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
13
|
8
|
—
|
—
|
$40,627.89
|
$80,619.87
|
$71,272.92
|
2026-05-24
|
|
1302
|
OTHER
|
Guidewire Ortho 3.2mm 400mm Thread Ti F/femoral Tibial Nail Ns
|
13
|
8
|
$248.98
|
$248.98
|
$40,513.35
|
$80,392.58
|
$71,071.98
|
2026-05-24
|
|
6803
|
OTHER
|
Screw Bone Lcp 2.7/5x22mm Compress Lck Full Thread Self-tap Cortic Ss 2.5mm Sm H…
|
13
|
8
|
$137.00
|
$137.00
|
$40,491.96
|
$80,350.13
|
$71,034.46
|
2026-05-24
|
|
0404
|
OTHER
|
Spinal Disorders And Injuries
|
13
|
8
|
—
|
—
|
$40,491.27
|
$80,348.76
|
$71,033.25
|
2026-05-24
|
|
0293
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
13
|
8
|
—
|
—
|
$40,342.23
|
$80,053.02
|
$70,771.79
|
2026-05-24
|
|
7923
|
OTHER
|
Screw Bone Pro-pak 3/2x34mm Cannul Compress Headless 14mm Long Thread Self-drill…
|
13
|
8
|
$889.83
|
$889.83
|
$39,868.89
|
$79,113.75
|
$69,941.42
|
2026-05-24
|
|
6813
|
OTHER
|
Screw Bone Lcp 3.5/6x44mm Compress Lck Full Thread Self-tap Lo-pro Cortic Ss 2.5…
|
13
|
8
|
$82.55
|
$82.55
|
$39,716.40
|
$78,811.15
|
$69,673.90
|
2026-05-24
|
|
4444
|
OTHER
|
Screw Spinal Expedium 6x30mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$39,441.78
|
$78,266.21
|
$69,192.14
|
2026-05-24
|
|
2454
|
OTHER
|
Inflammatory Bowel Disease
|
13
|
8
|
—
|
—
|
$39,385.20
|
$78,153.94
|
$69,092.89
|
2026-05-24
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
13
|
8
|
—
|
—
|
$38,991.21
|
$77,372.12
|
$68,401.71
|
2026-05-24
|
|
0203
|
OTHER
|
Open Craniotomy For Trauma
|
13
|
8
|
—
|
—
|
$38,663.46
|
$76,721.75
|
$67,826.75
|
2026-05-24
|
|
3224
|
OTHER
|
Allograft Human Tissue Frz-dry Rt Patellar Ligament
|
13
|
8
|
$1,312.50
|
$1,312.50
|
$38,567.55
|
$76,531.43
|
$67,658.49
|
2026-05-24
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$38,540.64
|
$76,478.04
|
$67,611.29
|
2026-05-24
|
|
2824
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
13
|
8
|
—
|
—
|
$38,341.92
|
$76,083.71
|
$67,262.67
|
2026-05-24
|
|
4624
|
OTHER
|
Nephritis And Nephrosis
|
13
|
8
|
—
|
—
|
$38,254.98
|
$75,911.19
|
$67,110.16
|
2026-05-24
|
|
0273
|
OTHER
|
Other Open Craniotomy
|
13
|
8
|
—
|
—
|
$38,233.59
|
$75,868.74
|
$67,072.63
|
2026-05-24
|
|
7594
|
OTHER
|
Plate Bone Lcp 79mm 3-hole 130deg Pre-contoured Compress Lck Ss Hip F/5mm Screw …
|
13
|
8
|
$2,493.40
|
$2,493.40
|
$38,221.86
|
$75,845.46
|
$67,052.06
|
2026-05-24
|
|
0594
|
OTHER
|
Anoxic And Other Severe Brain Damage
|
13
|
8
|
—
|
—
|
$38,193.57
|
$75,789.33
|
$67,002.43
|
2026-05-24
|
|
6504
|
OTHER
|
Rod Extern Fixat Ilizarov 80mm Thread Slot Ss Foot Ankle F/small Bone System Ns
|
13
|
8
|
$719.00
|
$719.00
|
$38,132.85
|
$75,668.84
|
$66,895.91
|
2026-05-24
|
|
1793
|
OTHER
|
Defibrillator Implants
|
13
|
8
|
—
|
—
|
$38,131.47
|
$75,666.10
|
$66,893.49
|
2026-05-24
|
|
2634
|
OTHER
|
Cholecystectomy
|
13
|
8
|
—
|
—
|
$38,112.15
|
$75,627.76
|
$66,859.59
|
2026-05-24
|
|
2613
|
OTHER
|
Major Biliary Tract Procedures
|
13
|
8
|
—
|
—
|
$38,052.81
|
$75,510.01
|
$66,755.49
|
2026-05-24
|
|
2264
|
OTHER
|
Anal And Perineal Procedures
|
13
|
8
|
—
|
—
|
$38,001.06
|
$75,407.32
|
$66,664.71
|
2026-05-24
|
|
2074
|
OTHER
|
Screw Bone Lcp 1/1.6x11mm Compress Lck Full Thread Self-tap Var Ang Lo-pro Corti…
|
13
|
8
|
$230.73
|
$230.73
|
$37,671.93
|
$74,754.21
|
$66,087.32
|
2026-05-24
|
|
3054
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
13
|
8
|
—
|
—
|
$37,646.40
|
$74,703.55
|
$66,042.53
|
2026-05-24
|
|
1934
|
OTHER
|
Acute And Subacute Endocarditis
|
13
|
8
|
—
|
—
|
$37,346.94
|
$74,109.32
|
$65,517.20
|
2026-05-24
|
|
6123
|
OTHER
|
Wire Bone Fixat 0.9mmx4in Kirschner Temp Dbl-end Diamond Point Ss Ns
|
13
|
8
|
$7.38
|
$7.38
|
$37,281.39
|
$73,979.25
|
$65,402.20
|
2026-05-24
|
|
4454
|
OTHER
|
Other Bladder Procedures
|
13
|
8
|
—
|
—
|
$37,254.48
|
$73,925.85
|
$65,354.99
|
2026-05-24
|
|
1832
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
13
|
8
|
—
|
—
|
$37,044.03
|
$73,508.24
|
$64,985.80
|
2026-05-24
|
|
1663
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$36,944.67
|
$73,311.08
|
$64,811.50
|
2026-05-24
|
|
6902
|
OTHER
|
Acute Leukemia
|
13
|
8
|
—
|
—
|
$36,941.22
|
$73,304.23
|
$64,805.45
|
2026-05-24
|
|
3814
|
OTHER
|
Prosthesis Testicular Torosa Med 2.7x4cm 16ml Saline-filled Slf-seal Inject Port…
|
13
|
8
|
$6,365.00
|
$6,365.00
|
$36,841.17
|
$73,105.70
|
$64,629.93
|
2026-05-24
|
|
3164
|
OTHER
|
Guide Spring Wire Component Straight Soft Tip On One End J Tip On Other Marked A…
|
13
|
8
|
$30.00
|
$30.00
|
$36,786.66
|
$72,997.53
|
$64,534.30
|
2026-05-24
|
|
1652
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
13
|
8
|
—
|
—
|
$36,456.15
|
$72,341.68
|
$63,954.50
|
2026-05-24
|
|
6213
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
13
|
8
|
—
|
—
|
$36,423.03
|
$72,275.96
|
$63,896.39
|
2026-05-24
|
|
0893
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
13
|
8
|
—
|
—
|
$36,377.49
|
$72,185.59
|
$63,816.50
|
2026-05-24
|
|
5184
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
13
|
8
|
—
|
—
|
$36,316.08
|
$72,063.73
|
$63,708.77
|
2026-05-24
|
|
2294
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
13
|
8
|
—
|
—
|
$36,289.86
|
$72,011.70
|
$63,662.78
|
2026-05-24
|
|
1314
|
OTHER
|
Clip Inter Ligaclip Endo Nonabsorbable Open Sgl Med 3.2mm Extra Ligat Silver Ti …
|
13
|
8
|
$1.25
|
$1.25
|
$36,091.83
|
$71,618.74
|
$63,315.37
|
2026-05-24
|
|
6133
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
13
|
8
|
—
|
—
|
$36,004.89
|
$71,446.23
|
$63,162.86
|
2026-05-24
|
|
1693
|
OTHER
|
Suture Polysorb 4-0 30in 1/2 Circ Cv-22 Taper Point Undyed Gl-884 Coat Braid Lac…
|
13
|
8
|
$31.85
|
$31.85
|
$35,876.55
|
$71,191.55
|
$62,937.71
|
2026-05-24
|
|
4614
|
OTHER
|
Kidney And Urinary Tract Malignancy
|
13
|
8
|
—
|
—
|
$35,822.73
|
$71,084.76
|
$62,843.30
|
2026-05-24
|
|
8503
|
OTHER
|
Screw Spinal Expedium 6x75mm Lck Dual Lead Polyaxial Thread 1-innie Pedicle Ss T…
|
13
|
8
|
$1,750.00
|
$1,750.00
|
$35,762.70
|
$70,965.64
|
$62,737.99
|
2026-05-24
|
|
3434
|
OTHER
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
13
|
8
|
—
|
—
|
$35,753.73
|
$70,947.84
|
$62,722.25
|
2026-05-24
|
|
3204
|
OTHER
|
Allograft Human Tissue 1:1 Meshed 103sqcm Cryopreserv Skin
|
13
|
8
|
$437.50
|
$437.50
|
$35,726.13
|
$70,893.07
|
$62,673.83
|
2026-05-24
|
|
1802
|
OTHER
|
Other Circulatory System Procedures
|
13
|
8
|
—
|
—
|
$35,577.09
|
$70,597.32
|
$62,412.37
|
2026-05-24
|
|
1831
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
13
|
8
|
—
|
—
|
$35,238.99
|
$69,926.41
|
$61,819.25
|
2026-05-24
|
|
4043
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
13
|
8
|
—
|
—
|
$35,105.82
|
$69,662.16
|
$61,585.63
|
2026-05-24
|
|
5174
|
OTHER
|
Dilation And Curettage For Non-obstetric Diagnoses
|
13
|
8
|
—
|
—
|
$35,053.38
|
$69,558.10
|
$61,493.64
|
2026-05-24
|
|
1213
|
OTHER
|
Other Respiratory And Chest Procedures
|
13
|
8
|
—
|
—
|
$35,007.84
|
$69,467.73
|
$61,413.75
|
2026-05-24
|
|
3094
|
OTHER
|
Other Significant Hip And Femur Surgery
|
13
|
8
|
—
|
—
|
$34,917.45
|
$69,288.37
|
$61,255.18
|
2026-05-24
|
|
4214
|
OTHER
|
Malnutrition, Failure To Thrive And Other Nutritional Disorders
|
13
|
8
|
—
|
—
|
$34,896.06
|
$69,245.92
|
$61,217.65
|
2026-05-24
|
|
9304
|
OTHER
|
Screw Spinal Expedium 5x40mm Lck Fully/dual Lead Thread Polyaxial Self-tap 1-inn…
|
13
|
8
|
$2,000.00
|
$2,000.00
|
$34,855.35
|
$69,165.14
|
$61,146.24
|
2026-05-24
|
|
0424
|
OTHER
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
13
|
8
|
—
|
—
|
$34,806.36
|
$69,067.92
|
$61,060.29
|
2026-05-24
|
|
6312
|
OTHER
|
Screw Bone Lcp 7.3/8.2x100mm Cannul Compress Lck 16mm Thread Self-drilling/tappi…
|
13
|
8
|
$797.50
|
$797.50
|
$34,758.06
|
$68,972.08
|
$60,975.56
|
2026-05-24
|
|
3244
|
OTHER
|
Elective Hip Joint Replacement
|
13
|
8
|
—
|
—
|
$34,727.70
|
$68,911.84
|
$60,922.30
|
2026-05-24
|
|
1301
|
OTHER
|
Guidewire Ortho 1.1mm 150mm Non-threaded Single-end Spade Point Ss F/3mm Cannul …
|
13
|
8
|
$76.43
|
$76.43
|
$34,685.61
|
$68,828.31
|
$60,848.46
|
2026-05-24
|
|
9523
|
OTHER
|
Hook Spinal Expedium Isola 6.5mm Open Wide Blade Ti Pedicle F/5.5mm Rod Ns
|
13
|
8
|
$1,450.00
|
$1,450.00
|
$34,626.27
|
$68,710.56
|
$60,744.36
|
2026-05-24
|
|
1774
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
13
|
8
|
—
|
—
|
$34,551.75
|
$68,562.69
|
$60,613.63
|
2026-05-24
|
|
5194
|
OTHER
|
Uterine And Adnexa Procedures For Leiomyoma
|
13
|
8
|
—
|
—
|
$34,452.39
|
$68,365.53
|
$60,439.33
|
2026-05-24
|
|
1601
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
13
|
8
|
—
|
—
|
$34,451.70
|
$68,364.16
|
$60,438.12
|
2026-05-24
|
|
3644
|
OTHER
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
13
|
8
|
—
|
—
|
$34,035.63
|
$67,538.53
|
$59,708.21
|
2026-05-24
|
|
0484
|
OTHER
|
Peripheral, Cranial And Autonomic Nerve Disorders
|
13
|
8
|
—
|
—
|
$33,874.17
|
$67,218.14
|
$59,424.97
|
2026-05-24
|
|
6071
|
OTHER
|
Screw Bone Expert 4/3.3x58mm Cannul Compress Lck Fully/dual Lead Thread Self-tap…
|
13
|
8
|
$490.28
|
$490.28
|
$33,827.25
|
$67,125.03
|
$59,342.65
|
2026-05-24
|
|
3234
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
13
|
8
|
—
|
—
|
$33,819.66
|
$67,109.97
|
$59,329.34
|
2026-05-24
|
|
1744
|
OTHER
|
Rod Extern Fixat 4x100mm Connecting Carbon Fiber Dist Radial F/small Fixator Sys…
|
13
|
8
|
$115.50
|
$115.50
|
$33,769.29
|
$67,010.02
|
$59,240.98
|
2026-05-24
|
|
2834
|
OTHER
|
Other Disorders Of The Liver
|
13
|
8
|
—
|
—
|
$33,727.89
|
$66,927.87
|
$59,168.35
|
2026-05-24
|
|
1672
|
OTHER
|
Suture Pds Plus 6-0 Tf Taper Point Monofilament Violet 27in
|
13
|
8
|
$8.35
|
$8.35
|
$33,689.94
|
$66,852.56
|
$59,101.77
|
2026-05-24
|
|
0574
|
OTHER
|
Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Co…
|
13
|
8
|
—
|
—
|
$33,662.34
|
$66,797.79
|
$59,053.36
|
2026-05-24
|
|
5484
|
OTHER
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
13
|
8
|
—
|
—
|
$33,633.36
|
$66,740.28
|
$59,002.52
|
2026-05-24
|
|
3844
|
OTHER
|
Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue
|
13
|
8
|
—
|
—
|
$33,538.14
|
$66,551.34
|
$58,835.47
|
2026-05-24
|
|
6082
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
13
|
8
|
—
|
—
|
$33,399.45
|
$66,276.13
|
$58,592.17
|
2026-05-24
|
|
0584
|
OTHER
|
Other Disorders Of Nervous System
|
13
|
8
|
—
|
—
|
$33,391.17
|
$66,259.70
|
$58,577.65
|
2026-05-24
|
|
6404
|
OTHER
|
Kit Central Venous Catheter Dual Lumen With Blue Flextip Arrowg+ard 7frx16cm Ak-…
|
13
|
8
|
$21.35
|
$21.35
|
$33,388.41
|
$66,254.22
|
$58,572.80
|
2026-05-24
|
|
3514
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
13
|
8
|
—
|
—
|
$33,252.48
|
$65,984.49
|
$58,334.34
|
2026-05-24
|
|
0303
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
13
|
8
|
—
|
—
|
$33,183.48
|
$65,847.57
|
$58,213.30
|
2026-05-24
|