|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
7
|
2
|
$4,682,847.54
|
—
|
$198,599.28
|
$198,599.28
|
$198,599.28
|
2026-03-31
|
|
681
|
OTHER
|
Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip…
|
7
|
2
|
$917,774.92
|
—
|
$91,728.34
|
$91,728.34
|
$91,728.34
|
2026-03-31
|
|
647
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
7
|
2
|
$1,994,627.20
|
—
|
$49,642.05
|
$49,642.05
|
$49,642.05
|
2026-03-31
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
7
|
2
|
$494,090.22
|
—
|
$47,336.08
|
$47,336.08
|
$47,336.08
|
2026-03-31
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
2
|
$404,099.18
|
—
|
$44,606.64
|
$44,606.64
|
$44,606.64
|
2026-03-31
|
|
277
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
7
|
2
|
$264,906.40
|
—
|
$43,621.83
|
$43,621.83
|
$43,621.83
|
2026-03-31
|
|
276
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
7
|
2
|
$243,097.87
|
—
|
$29,682.96
|
$29,682.96
|
$29,682.96
|
2026-03-31
|
|
278
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
7
|
2
|
$575,787.45
|
—
|
$26,624.75
|
$26,624.75
|
$26,624.75
|
2026-03-31
|
|
279
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
7
|
2
|
$567,141.00
|
—
|
$23,013.52
|
$23,013.52
|
$23,013.52
|
2026-03-31
|
|
244
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
7
|
2
|
$205,906.31
|
—
|
$19,023.52
|
$19,023.52
|
$19,023.52
|
2026-03-31
|
|
650
|
OTHER
|
Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With…
|
7
|
2
|
$394,292.49
|
—
|
$18,322.79
|
$18,322.79
|
$18,322.79
|
2026-03-31
|
|
789
|
OTHER
|
Neonate, Birth Weight >2499 Grams, Without Significant O.r. Procedures, With Mul…
|
7
|
2
|
$340,395.91
|
—
|
$16,800.88
|
$16,800.88
|
$16,800.88
|
2026-03-31
|
|
519
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
7
|
2
|
$193,276.49
|
—
|
$16,312.26
|
$16,312.26
|
$16,312.26
|
2026-03-31
|
|
581
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc
|
7
|
2
|
$79,414.78
|
—
|
$15,036.55
|
$15,036.55
|
$15,036.55
|
2026-03-31
|
|
143
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures Age 0-17
|
7
|
2
|
$126,801.75
|
—
|
$12,251.81
|
$12,251.81
|
$12,251.81
|
2026-03-31
|
|
337
|
OTHER
|
Peritoneal Adhesiolysis Without Cc/mcc
|
7
|
2
|
$132,362.35
|
—
|
$11,422.29
|
$11,422.29
|
$11,422.29
|
2026-03-31
|
|
205
|
OTHER
|
Other Respiratory System Diagnoses With Mcc
|
7
|
2
|
$204,762.02
|
—
|
$11,359.42
|
$11,359.42
|
$11,359.42
|
2026-03-31
|
|
583
|
APR_DRG
|
Neonate With Ecmo,extreme
|
116
|
33
|
$4,445,536.89
|
$889,107.38
80% off
|
$165.82
|
$859,360.11
|
$856,496.76
|
2026-03-31
|
|
9
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo),extreme
|
116
|
33
|
$3,206,891.03
|
$641,378.21
80% off
|
$165.82
|
$494,862.06
|
$493,213.20
|
2026-03-31
|
|
588
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure,major
|
230
|
33
|
$2,782,185.63
|
$556,437.13
80% off
|
$165.82
|
$543,960.85
|
$291,871.58
|
2026-03-31
|
|
591
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme
|
116
|
33
|
$2,683,796.63
|
$536,759.33
80% off
|
$165.82
|
$275,641.85
|
$274,723.42
|
2026-03-31
|
|
589
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
344
|
33
|
$2,700,888.34
|
$540,177.67
80% off
|
$165.82
|
$222,452.81
|
$207,960.49
|
2026-03-31
|
|
630
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,moderate
|
344
|
33
|
$715,196.88
|
$143,039.38
80% off
|
$165.82
|
$404,743.13
|
$190,127.12
|
2026-03-31
|
|
5
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme
|
116
|
33
|
$1,299,281.99
|
$259,856.40
80% off
|
$165.82
|
$186,380.57
|
$185,759.56
|
2026-03-31
|
|
4
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure,major
|
116
|
33
|
$475,354.46
|
$95,070.89
80% off
|
$165.82
|
$186,317.21
|
$185,696.41
|
2026-03-31
|
|
680
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,extreme
|
116
|
33
|
$981,204.09
|
$196,240.82
80% off
|
$165.82
|
$181,509.62
|
$180,904.83
|
2026-03-31
|
|
593
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure,moderate
|
344
|
33
|
$1,675,069.56
|
$335,013.91
80% off
|
$165.82
|
$228,834.27
|
$162,893.29
|
2026-03-31
|
|
602
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
230
|
33
|
$1,743,998.78
|
$348,799.76
80% off
|
$165.82
|
$210,363.10
|
$135,956.83
|
2026-03-31
|
|
609
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure,major
|
230
|
33
|
$346,297.62
|
$69,259.52
80% off
|
$165.82
|
$401,156.39
|
$129,041.32
|
2026-03-31
|
|
631
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure,moderate
|
344
|
33
|
$543,099.23
|
$108,619.85
80% off
|
$165.82
|
$285,658.71
|
$105,404.52
|
2026-03-31
|
|
607
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
344
|
33
|
$779,710.17
|
$155,942.03
80% off
|
$165.82
|
$148,398.42
|
$93,750.92
|
2026-03-31
|
|
303
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back,moderate
|
230
|
33
|
$447,106.36
|
$89,421.27
80% off
|
$165.82
|
$127,645.09
|
$92,612.67
|
2026-03-31
|
|
603
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition,major
|
230
|
33
|
$1,120,487.43
|
$224,097.49
80% off
|
$165.82
|
$236,523.71
|
$90,199.26
|
2026-03-31
|
|
162
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,moderate
|
230
|
33
|
$897,845.40
|
$179,569.08
80% off
|
$165.82
|
$213,872.91
|
$89,855.29
|
2026-03-31
|
|
130
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours,moderate
|
344
|
33
|
$240,688.96
|
$48,137.79
80% off
|
$165.82
|
$111,912.07
|
$75,736.00
|
2026-03-31
|
|
160
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly,minor
|
458
|
33
|
$424,644.18
|
$84,928.84
80% off
|
$165.82
|
$245,173.76
|
$71,989.46
|
2026-03-31
|
|
690
|
APR_DRG
|
Acute Leukemia,minor
|
345
|
33
|
$448,492.87
|
$89,698.57
80% off
|
$165.82
|
$161,068.57
|
$70,656.86
|
2026-03-31
|
|
29
|
APR_DRG
|
Other Percutaneous Intracranial Procedures,major
|
116
|
33
|
$275,237.00
|
$55,047.40
80% off
|
$165.82
|
$66,153.36
|
$65,932.94
|
2026-03-31
|
|
611
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major
|
230
|
33
|
$528,793.80
|
$105,758.76
80% off
|
$165.82
|
$163,250.03
|
$63,937.96
|
2026-03-31
|
|
163
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,minor
|
458
|
33
|
$434,341.45
|
$86,868.29
80% off
|
$165.82
|
$127,466.32
|
$63,199.11
|
2026-03-31
|
|
612
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
344
|
33
|
$788,538.15
|
$157,707.63
80% off
|
$165.82
|
$104,600.54
|
$60,930.49
|
2026-03-31
|
|
180
|
APR_DRG
|
Other Circulatory System Procedures,moderate
|
116
|
33
|
$405,933.11
|
$81,186.62
80% off
|
$165.82
|
$58,339.47
|
$58,145.08
|
2026-03-31
|
|
952
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis,minor
|
344
|
33
|
$389,079.62
|
$77,815.92
80% off
|
$165.82
|
$117,764.01
|
$56,591.12
|
2026-03-31
|
|
167
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures,minor
|
344
|
33
|
$309,230.07
|
$61,846.01
80% off
|
$165.82
|
$70,598.89
|
$55,060.84
|
2026-03-31
|
|
608
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,minor
|
344
|
33
|
$393,497.97
|
$78,699.59
80% off
|
$165.82
|
$71,732.62
|
$54,586.08
|
2026-03-31
|
|
793
|
APR_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment,extrem…
|
344
|
33
|
$159,476.56
|
$31,895.31
80% off
|
$165.82
|
$68,270.34
|
$52,028.46
|
2026-03-31
|
|
220
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures,moderate
|
344
|
33
|
$375,828.06
|
$75,165.61
80% off
|
$165.82
|
$141,410.50
|
$51,871.71
|
2026-03-31
|
|
912
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma,major
|
230
|
33
|
$220,841.36
|
$44,168.27
80% off
|
$165.82
|
$111,940.36
|
$50,509.73
|
2026-03-31
|
|
304
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate
|
230
|
33
|
$304,506.83
|
$60,901.37
80% off
|
$165.82
|
$78,488.60
|
$48,228.70
|
2026-03-31
|
|
50
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis,moderate
|
344
|
33
|
$160,590.71
|
$32,118.14
80% off
|
$165.82
|
$91,676.95
|
$46,486.97
|
2026-03-31
|
|
27
|
APR_DRG
|
Other Open Craniotomy,minor
|
344
|
33
|
$91,570.01
|
$18,314.00
80% off
|
$165.82
|
$62,695.61
|
$44,670.25
|
2026-03-31
|
|
380
|
APR_DRG
|
Skin Ulcers,extreme
|
116
|
33
|
$298,658.06
|
$59,731.61
80% off
|
$165.82
|
$43,813.72
|
$43,667.73
|
2026-03-31
|
|
21
|
APR_DRG
|
Open Craniotomy Except Trauma,minor
|
458
|
33
|
$287,082.72
|
$57,416.54
80% off
|
$165.82
|
$120,049.57
|
$43,666.63
|
2026-03-31
|
|
695
|
APR_DRG
|
Chemotherapy For Acute Leukemia,moderate
|
344
|
33
|
$131,407.15
|
$26,281.43
80% off
|
$165.82
|
$124,834.53
|
$42,506.21
|
2026-03-31
|
|
711
|
APR_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,moderat…
|
344
|
33
|
$231,987.95
|
$46,397.59
80% off
|
$165.82
|
$76,420.28
|
$42,250.22
|
2026-03-31
|
|
650
|
APR_DRG
|
Splenectomy,major
|
116
|
33
|
$243,152.19
|
$48,630.44
80% off
|
$165.82
|
$40,775.74
|
$40,639.87
|
2026-03-31
|
|
710
|
APR_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure,moderate
|
344
|
33
|
$227,398.11
|
$45,479.62
80% off
|
$165.82
|
$90,998.07
|
$37,430.45
|
2026-03-31
|
|
49
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System,moderate
|
344
|
33
|
$189,232.02
|
$37,846.40
80% off
|
$165.82
|
$71,596.84
|
$34,956.29
|
2026-03-31
|
|
321
|
APR_DRG
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
117
|
33
|
$160,011.47
|
$32,002.29
80% off
|
$165.82
|
$44,700.30
|
$34,292.08
|
2026-03-31
|
|
441
|
APR_DRG
|
Major Bladder Procedures,moderate
|
116
|
33
|
$166,943.58
|
$33,388.72
80% off
|
$165.82
|
$33,878.33
|
$33,765.44
|
2026-03-31
|
|
171
|
APR_DRG
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,major
|
116
|
33
|
$195,374.28
|
$39,074.86
80% off
|
$165.82
|
$33,472.13
|
$33,360.60
|
2026-03-31
|
|
405
|
APR_DRG
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders,moderate
|
116
|
33
|
$252,321.22
|
$50,464.24
80% off
|
$165.82
|
$33,460.81
|
$33,349.32
|
2026-03-31
|
|
862
|
APR_DRG
|
Other Aftercare And Convalescence,moderate
|
344
|
33
|
$89,071.55
|
$17,814.31
80% off
|
$165.82
|
$49,258.33
|
$32,995.23
|
2026-03-31
|
|
23
|
APR_DRG
|
Spinal Procedures,minor
|
344
|
33
|
$155,203.06
|
$31,040.61
80% off
|
$165.82
|
$67,296.14
|
$32,925.31
|
2026-03-31
|
|
175
|
APR_DRG
|
Percutaneous Cardiac Intervention Without Ami,minor
|
458
|
33
|
$295,102.73
|
$59,020.55
80% off
|
$165.82
|
$72,984.02
|
$32,807.96
|
2026-03-31
|
|
22
|
APR_DRG
|
Ventricular Shunt Procedures,minor
|
345
|
33
|
$189,561.86
|
$37,912.37
80% off
|
$165.82
|
$119,144.40
|
$32,799.01
|
2026-03-31
|
|
182
|
APR_DRG
|
Other Peripheral Vascular Procedures,moderate
|
230
|
33
|
$166,754.70
|
$33,350.94
80% off
|
$165.82
|
$127,542.13
|
$32,660.87
|
2026-03-31
|
|
131
|
APR_DRG
|
Cystic Fibrosis - Pulmonary Disease,moderate
|
230
|
33
|
$73,511.60
|
$14,702.32
80% off
|
$165.82
|
$44,027.57
|
$32,572.61
|
2026-03-31
|
|
89
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures,minor
|
344
|
33
|
$179,389.67
|
$35,877.93
80% off
|
$165.82
|
$59,651.97
|
$32,549.79
|
2026-03-31
|
|
792
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment,minor
|
344
|
33
|
$391,398.52
|
$78,279.70
80% off
|
$165.82
|
$125,379.90
|
$31,614.93
|
2026-03-31
|
|
227
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical,extreme
|
230
|
33
|
$186,096.20
|
$37,219.24
80% off
|
$165.82
|
$98,888.91
|
$31,361.95
|
2026-03-31
|
|
423
|
APR_DRG
|
Inborn Errors Of Metabolism,moderate
|
230
|
33
|
$103,548.11
|
$20,709.62
80% off
|
$165.82
|
$38,670.08
|
$30,807.53
|
2026-03-31
|
|
309
|
APR_DRG
|
Other Significant Hip And Femur Surgery,minor
|
344
|
33
|
$117,081.91
|
$23,416.38
80% off
|
$165.82
|
$43,367.92
|
$30,677.81
|
2026-03-31
|
|
681
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,moderate
|
230
|
33
|
$166,985.28
|
$33,397.06
80% off
|
$165.82
|
$245,310.66
|
$30,376.44
|
2026-03-31
|
|
260
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures,minor
|
230
|
33
|
$109,588.22
|
$21,917.64
80% off
|
$165.82
|
$32,898.48
|
$30,190.88
|
2026-03-31
|
|
20
|
APR_DRG
|
Open Craniotomy For Trauma,minor
|
230
|
33
|
$135,504.29
|
$27,100.86
80% off
|
$165.82
|
$35,569.87
|
$29,773.37
|
2026-03-31
|
|
230
|
APR_DRG
|
Major Small Bowel Procedures,minor
|
458
|
33
|
$172,607.42
|
$34,521.48
80% off
|
$165.82
|
$119,616.22
|
$29,536.89
|
2026-03-31
|
|
950
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis,minor
|
458
|
33
|
$152,235.12
|
$30,447.02
80% off
|
$165.82
|
$133,642.99
|
$29,300.42
|
2026-03-31
|
|
863
|
APR_DRG
|
Neonatal Aftercare,moderate
|
230
|
33
|
$260,593.02
|
$52,118.60
80% off
|
$165.82
|
$44,683.82
|
$29,286.84
|
2026-03-31
|
|
200
|
APR_DRG
|
Cardiac Structural And Valvular Disorders,minor
|
458
|
33
|
$87,735.20
|
$17,547.04
80% off
|
$165.82
|
$319,946.62
|
$28,645.30
|
2026-03-31
|
|
614
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…
|
344
|
33
|
$380,643.91
|
$76,128.78
80% off
|
$165.82
|
$53,315.76
|
$28,040.14
|
2026-03-31
|
|
121
|
APR_DRG
|
Other Respiratory And Chest Procedures,minor
|
458
|
33
|
$179,488.77
|
$35,897.75
80% off
|
$165.82
|
$106,144.99
|
$27,983.39
|
2026-03-31
|
|
622
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
458
|
33
|
$248,629.68
|
$49,725.94
80% off
|
$165.82
|
$51,208.97
|
$27,677.90
|
2026-03-31
|
|
461
|
APR_DRG
|
Kidney And Urinary Tract Malignancy,major
|
230
|
33
|
$249,003.30
|
$49,800.66
80% off
|
$165.82
|
$58,742.27
|
$27,284.15
|
2026-03-31
|
|
120
|
APR_DRG
|
Major Respiratory And Chest Procedures,minor
|
344
|
33
|
$110,988.69
|
$22,197.74
80% off
|
$165.82
|
$38,564.85
|
$27,258.64
|
2026-03-31
|
|
264
|
APR_DRG
|
Other Hepatobiliary, Pancreas And Abdominal Procedures,minor
|
116
|
33
|
$81,130.63
|
$16,226.13
80% off
|
$165.82
|
$26,993.36
|
$26,903.42
|
2026-03-31
|
|
621
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly,minor
|
458
|
33
|
$150,720.52
|
$30,144.10
80% off
|
$165.82
|
$199,763.54
|
$26,127.79
|
2026-03-31
|
|
281
|
APR_DRG
|
Malignancy Of Hepatobiliary System And Pancreas,extreme
|
116
|
33
|
$439,719.95
|
$87,943.99
80% off
|
$165.82
|
$25,999.93
|
$25,913.30
|
2026-03-31
|
|
313
|
APR_DRG
|
Knee And Lower Leg Procedures Except Foot,minor
|
344
|
33
|
$81,236.53
|
$16,247.31
80% off
|
$165.82
|
$43,022.83
|
$25,723.85
|
2026-03-31
|
|
442
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy,moderate
|
230
|
33
|
$157,648.42
|
$31,529.68
80% off
|
$165.82
|
$39,844.54
|
$24,910.33
|
2026-03-31
|
|
231
|
APR_DRG
|
Major Large Bowel Procedures,minor
|
344
|
33
|
$122,156.86
|
$24,431.37
80% off
|
$165.82
|
$34,867.23
|
$24,765.31
|
2026-03-31
|
|
224
|
APR_DRG
|
Peritoneal Adhesiolysis,minor
|
344
|
33
|
$159,912.21
|
$31,982.44
80% off
|
$165.82
|
$37,687.97
|
$24,692.01
|
2026-03-31
|
|
206
|
APR_DRG
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,m…
|
344
|
33
|
$69,611.82
|
$13,922.36
80% off
|
$165.82
|
$54,282.03
|
$24,472.11
|
2026-03-31
|
|
930
|
APR_DRG
|
Multiple Significant Trauma Without O.r. Procedure,major
|
230
|
33
|
$82,703.56
|
$16,540.71
80% off
|
$165.82
|
$57,155.95
|
$23,830.92
|
2026-03-31
|
|
613
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection,mino…
|
230
|
33
|
$244,809.92
|
$48,961.98
80% off
|
$165.82
|
$140,639.97
|
$23,618.20
|
2026-03-31
|
|
625
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,minor
|
344
|
33
|
$190,809.58
|
$38,161.92
80% off
|
$165.82
|
$38,881.66
|
$23,444.78
|
2026-03-31
|
|
92
|
APR_DRG
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,minor
|
230
|
33
|
$58,045.42
|
$11,609.08
80% off
|
$165.82
|
$27,012.60
|
$23,009.47
|
2026-03-31
|
|
308
|
APR_DRG
|
Hip And Femur Fracture Repair,minor
|
344
|
33
|
$122,613.42
|
$24,522.68
80% off
|
$165.82
|
$32,447.02
|
$22,876.42
|
2026-03-31
|
|
98
|
APR_DRG
|
Other Ear, Nose, Mouth And Throat Procedures,minor
|
344
|
33
|
$91,379.14
|
$18,275.83
80% off
|
$165.82
|
$39,178.11
|
$22,587.73
|
2026-03-31
|
|
401
|
APR_DRG
|
Adrenal Procedures,minor
|
116
|
33
|
$144,736.94
|
$28,947.39
80% off
|
$165.82
|
$22,401.88
|
$22,327.23
|
2026-03-31
|
|
133
|
APR_DRG
|
Respiratory Failure,moderate
|
344
|
33
|
$83,633.20
|
$16,726.64
80% off
|
$165.82
|
$31,907.31
|
$21,898.71
|
2026-03-31
|
|
691
|
APR_DRG
|
Lymphoma, Myeloma And Non-acute Leukemia,minor
|
344
|
33
|
$233,674.99
|
$46,735.00
80% off
|
$165.82
|
$88,272.37
|
$21,772.41
|
2026-03-31
|
|
315
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,minor
|
344
|
33
|
$76,762.96
|
$15,352.59
80% off
|
$165.82
|
$34,157.80
|
$21,700.23
|
2026-03-31
|
|
759
|
APR_DRG
|
Eating Disorders,moderate
|
230
|
33
|
$69,828.05
|
$13,965.61
80% off
|
$165.82
|
$42,922.12
|
$21,696.97
|
2026-03-31
|
|
850
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
117
|
33
|
$132,665.84
|
$26,533.17
80% off
|
$165.82
|
$277,498.14
|
$21,483.72
|
2026-03-31
|
|
229
|
APR_DRG
|
Other Digestive System And Abdominal Procedures,moderate
|
230
|
33
|
$309,778.29
|
$61,955.66
80% off
|
$165.82
|
$43,418.84
|
$21,336.04
|
2026-03-31
|
|
261
|
APR_DRG
|
Major Biliary Tract Procedures,minor
|
230
|
33
|
$166,801.53
|
$33,360.31
80% off
|
$165.82
|
$30,942.17
|
$21,191.21
|
2026-03-31
|
|
443
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Non-malignancy,minor
|
344
|
33
|
$123,024.61
|
$24,604.92
80% off
|
$165.82
|
$32,721.97
|
$20,754.10
|
2026-03-31
|
|
73
|
APR_DRG
|
Orbit And Eye Procedures,moderate
|
116
|
33
|
$73,176.79
|
$14,635.36
80% off
|
$165.82
|
$20,412.76
|
$20,344.75
|
2026-03-31
|
|
26
|
APR_DRG
|
Other Nervous System And Related Procedures,minor
|
230
|
33
|
$348,396.28
|
$69,679.26
80% off
|
$165.82
|
$31,997.83
|
$19,778.01
|
2026-03-31
|
|
246
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency,moderate
|
116
|
33
|
$82,580.35
|
$16,516.07
80% off
|
$165.82
|
$19,782.53
|
$19,716.62
|
2026-03-31
|
|
951
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis,minor
|
458
|
33
|
$239,583.64
|
$47,916.73
80% off
|
$165.82
|
$93,201.03
|
$19,539.27
|
2026-03-31
|
|
445
|
APR_DRG
|
Other Bladder Procedures,moderate
|
116
|
33
|
$69,349.99
|
$13,870.00
80% off
|
$165.82
|
$19,498.54
|
$19,433.57
|
2026-03-31
|
|
223
|
APR_DRG
|
Other Small And Large Bowel Procedures,minor
|
344
|
33
|
$135,023.59
|
$27,004.72
80% off
|
$165.82
|
$26,794.22
|
$19,414.40
|
2026-03-31
|
|
480
|
APR_DRG
|
Major Male Pelvic Procedures,minor
|
116
|
33
|
$112,026.58
|
$22,405.32
80% off
|
$165.82
|
$19,326.55
|
$19,262.16
|
2026-03-31
|
|
95
|
APR_DRG
|
Cleft Lip And Palate Repair,minor
|
458
|
33
|
$101,193.07
|
$20,238.61
80% off
|
$165.82
|
$53,493.40
|
$19,102.52
|
2026-03-31
|
|
137
|
APR_DRG
|
Major Respiratory Infections And Inflammations,moderate
|
344
|
33
|
$73,339.58
|
$14,667.92
80% off
|
$165.82
|
$35,205.53
|
$18,993.77
|
2026-03-31
|
|
192
|
APR_DRG
|
Cardiac Catheterization For Other Non-coronary Conditions,minor
|
458
|
33
|
$140,595.67
|
$28,119.13
80% off
|
$165.82
|
$51,956.87
|
$18,801.55
|
2026-03-31
|
|
634
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
344
|
33
|
$97,642.01
|
$19,528.40
80% off
|
$165.82
|
$26,145.89
|
$18,721.99
|
2026-03-31
|
|
314
|
APR_DRG
|
Foot And Toe Procedures,minor
|
344
|
33
|
$95,164.63
|
$19,032.93
80% off
|
$165.82
|
$24,045.89
|
$18,403.98
|
2026-03-31
|
|
226
|
APR_DRG
|
Anal Procedures,moderate
|
116
|
33
|
$42,499.09
|
$8,499.82
80% off
|
$165.82
|
$18,413.46
|
$18,352.11
|
2026-03-31
|
|
404
|
APR_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures,minor
|
230
|
33
|
$87,687.38
|
$17,537.48
80% off
|
$165.82
|
$24,715.72
|
$18,066.10
|
2026-03-31
|
|
816
|
APR_DRG
|
Toxic Effects Of Non-medicinal Substances,minor
|
344
|
33
|
$54,036.98
|
$10,807.40
80% off
|
$165.82
|
$20,058.61
|
$17,832.24
|
2026-03-31
|
|
263
|
APR_DRG
|
Cholecystectomy,minor
|
458
|
33
|
$90,245.02
|
$18,049.00
80% off
|
$165.82
|
$62,496.47
|
$17,737.98
|
2026-03-31
|
|
320
|
APR_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures,minor
|
230
|
33
|
$65,760.52
|
$13,152.10
80% off
|
$165.82
|
$21,265.88
|
$17,596.54
|
2026-03-31
|
|
317
|
APR_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures,minor
|
230
|
33
|
$112,116.93
|
$22,423.39
80% off
|
$165.82
|
$30,128.65
|
$17,529.79
|
2026-03-31
|
|
720
|
APR_DRG
|
Septicemia And Disseminated Infections,moderate
|
344
|
33
|
$99,355.81
|
$19,871.16
80% off
|
$165.82
|
$42,402.78
|
$17,343.95
|
2026-03-31
|
|
310
|
APR_DRG
|
Intervertebral Disc Excision And Decompression,minor
|
230
|
33
|
$114,502.64
|
$22,900.53
80% off
|
$165.82
|
$41,039.37
|
$17,040.99
|
2026-03-31
|
|
136
|
APR_DRG
|
Respiratory Malignancy,moderate
|
116
|
33
|
$269,885.44
|
$53,977.09
80% off
|
$165.82
|
$17,005.92
|
$16,949.26
|
2026-03-31
|
|
41
|
APR_DRG
|
Nervous System Malignancy,major
|
116
|
33
|
$204,817.48
|
$40,963.50
80% off
|
$165.82
|
$16,996.87
|
$16,940.23
|
2026-03-31
|
|
58
|
APR_DRG
|
Other Disorders Of Nervous System,minor
|
458
|
33
|
$65,364.65
|
$13,072.93
80% off
|
$165.82
|
$54,754.99
|
$16,909.74
|
2026-03-31
|
|
639
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Significant Condition,minor
|
458
|
33
|
$167,445.92
|
$33,489.18
80% off
|
$165.82
|
$53,190.17
|
$16,778.49
|
2026-03-31
|
|
110
|
APR_DRG
|
Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,major
|
116
|
33
|
$254,091.13
|
$50,818.23
80% off
|
$165.82
|
$16,711.74
|
$16,656.06
|
2026-03-31
|
|
176
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,mino…
|
116
|
33
|
$143,046.86
|
$28,609.37
80% off
|
$165.82
|
$16,693.63
|
$16,638.01
|
2026-03-31
|
|
511
|
APR_DRG
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy,minor
|
116
|
33
|
$110,251.80
|
$22,050.36
80% off
|
$165.82
|
$16,433.40
|
$16,378.64
|
2026-03-31
|
|
343
|
APR_DRG
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
231
|
33
|
$124,333.75
|
$24,866.75
80% off
|
$165.82
|
$23,716.66
|
$16,373.43
|
2026-03-31
|
|
696
|
APR_DRG
|
Other Chemotherapy,minor
|
458
|
33
|
$79,962.15
|
$15,992.43
80% off
|
$165.82
|
$48,053.32
|
$15,920.84
|
2026-03-31
|
|
651
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs,minor
|
116
|
33
|
$81,757.97
|
$16,351.59
80% off
|
$165.82
|
$15,946.87
|
$15,893.73
|
2026-03-31
|
|
232
|
APR_DRG
|
Gastric Fundoplication,moderate
|
230
|
33
|
$92,524.30
|
$18,504.86
80% off
|
$165.82
|
$46,816.63
|
$15,892.56
|
2026-03-31
|
|
623
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,mino…
|
116
|
33
|
$105,378.14
|
$21,075.63
80% off
|
$165.82
|
$15,791.86
|
$15,739.24
|
2026-03-31
|
|
403
|
APR_DRG
|
Procedures For Obesity,minor
|
116
|
33
|
$119,290.50
|
$23,858.10
80% off
|
$165.82
|
$15,749.99
|
$15,697.51
|
2026-03-31
|
|
421
|
APR_DRG
|
Malnutrition, Failure To Thrive And Other Nutritional Disorders,minor
|
458
|
33
|
$41,876.05
|
$8,375.21
80% off
|
$165.82
|
$57,222.71
|
$15,694.55
|
2026-03-31
|
|
228
|
APR_DRG
|
Inguinal, Femoral And Umbilical Hernia Procedures,minor
|
458
|
33
|
$89,345.20
|
$17,869.04
80% off
|
$165.82
|
$49,829.72
|
$15,632.32
|
2026-03-31
|
|
794
|
APR_DRG
|
Non-extensive O.r. Procedures For Other Complications Of Treatment,moderate
|
116
|
33
|
$47,443.25
|
$9,488.65
80% off
|
$165.82
|
$15,542.93
|
$15,491.15
|
2026-03-31
|
|
233
|
APR_DRG
|
Appendectomy With Complex Principal Diagnosis,minor
|
230
|
33
|
$99,213.76
|
$19,842.75
80% off
|
$165.82
|
$21,397.13
|
$15,469.39
|
2026-03-31
|
|
633
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly,minor
|
458
|
33
|
$110,546.93
|
$22,109.39
80% off
|
$165.82
|
$151,813.18
|
$15,462.60
|
2026-03-31
|
|
45
|
APR_DRG
|
Cva And Precerebral Occlusion With Infarction,moderate
|
230
|
33
|
$55,055.71
|
$11,011.14
80% off
|
$165.82
|
$22,868.04
|
$15,383.40
|
2026-03-31
|
|
661
|
APR_DRG
|
Coagulation And Platelet Disorders,minor
|
458
|
33
|
$174,682.60
|
$34,936.52
80% off
|
$165.82
|
$84,425.39
|
$14,925.15
|
2026-03-31
|
|
194
|
APR_DRG
|
Heart Failure,moderate
|
344
|
33
|
$140,417.02
|
$28,083.40
80% off
|
$165.82
|
$36,979.67
|
$14,885.57
|
2026-03-31
|
|
660
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
458
|
33
|
$65,773.50
|
$13,154.70
80% off
|
$165.82
|
$98,564.18
|
$14,789.38
|
2026-03-31
|
|
55
|
APR_DRG
|
Head Trauma With Coma > 1 Hour Or Hemorrhage,minor
|
458
|
33
|
$98,697.25
|
$19,739.45
80% off
|
$165.82
|
$40,220.19
|
$14,757.70
|
2026-03-31
|
|
42
|
APR_DRG
|
Degenerative Nervous System Disorders Except Multiple Sclerosis,minor
|
458
|
33
|
$117,733.02
|
$23,546.60
80% off
|
$165.82
|
$57,075.62
|
$14,659.26
|
2026-03-31
|
|
196
|
APR_DRG
|
Cardiac Arrest And Shock,major
|
116
|
33
|
$15,417.70
|
$3,083.54
80% off
|
$165.82
|
$14,212.33
|
$14,164.98
|
2026-03-31
|
|
513
|
APR_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma,minor
|
344
|
33
|
$137,691.40
|
$27,538.28
80% off
|
$165.82
|
$81,595.60
|
$14,133.40
|
2026-03-31
|
|
43
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,mi…
|
230
|
33
|
$139,676.33
|
$27,935.27
80% off
|
$165.82
|
$20,887.98
|
$14,043.74
|
2026-03-31
|
|
636
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,minor
|
344
|
33
|
$144,648.47
|
$28,929.69
80% off
|
$165.82
|
$26,535.12
|
$14,002.59
|
2026-03-31
|
|
52
|
APR_DRG
|
Alteration In Consciousness,moderate
|
344
|
33
|
$104,098.28
|
$20,819.66
80% off
|
$165.82
|
$37,656.29
|
$13,867.27
|
2026-03-31
|
|
53
|
APR_DRG
|
Seizure,moderate
|
344
|
33
|
$75,207.22
|
$15,041.44
80% off
|
$165.82
|
$32,242.23
|
$13,798.48
|
2026-03-31
|
|
279
|
APR_DRG
|
Hepatic Coma And Other Major Acute Liver Disorders,moderate
|
117
|
33
|
$111,665.28
|
$22,333.06
80% off
|
$165.82
|
$13,790.30
|
$13,744.35
|
2026-03-31
|
|
426
|
APR_DRG
|
Non-hypovolemic Sodium Disorders,moderate
|
344
|
33
|
$146,317.78
|
$29,263.56
80% off
|
$165.82
|
$33,250.36
|
$13,726.30
|
2026-03-31
|
|
470
|
APR_DRG
|
Chronic Kidney Disease,moderate
|
230
|
33
|
$27,383.40
|
$5,476.68
80% off
|
$165.82
|
$16,379.09
|
$13,450.86
|
2026-03-31
|
|
283
|
APR_DRG
|
Other Disorders Of The Liver,moderate
|
344
|
33
|
$65,519.83
|
$13,103.97
80% off
|
$165.82
|
$55,307.14
|
$13,448.89
|
2026-03-31
|
|
760
|
APR_DRG
|
Other Mental Health Disorders,moderate
|
116
|
33
|
$75,232.65
|
$15,046.53
80% off
|
$165.82
|
$13,280.00
|
$13,235.76
|
2026-03-31
|
|
446
|
APR_DRG
|
Urethral And Transurethral Procedures,minor
|
116
|
33
|
$89,412.23
|
$17,882.45
80% off
|
$165.82
|
$12,932.64
|
$12,889.55
|
2026-03-31
|
|
483
|
APR_DRG
|
Penis, Testes And Scrotal Procedures,minor
|
230
|
33
|
$61,569.17
|
$12,313.83
80% off
|
$165.82
|
$18,346.70
|
$12,885.12
|
2026-03-31
|
|
694
|
APR_DRG
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,moderate
|
116
|
33
|
$90,237.00
|
$18,047.40
80% off
|
$165.82
|
$12,878.33
|
$12,835.42
|
2026-03-31
|
|
82
|
APR_DRG
|
Eye Infections And Other Eye Disorders,minor
|
231
|
33
|
$77,038.13
|
$15,407.63
80% off
|
$165.82
|
$22,849.94
|
$12,786.69
|
2026-03-31
|
|
132
|
APR_DRG
|
Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,minor
|
458
|
33
|
$39,206.74
|
$7,841.35
80% off
|
$165.82
|
$36,034.90
|
$12,707.48
|
2026-03-31
|
|
346
|
APR_DRG
|
Connective Tissue Disorders,minor
|
231
|
33
|
$101,882.72
|
$20,376.54
80% off
|
$165.82
|
$32,444.76
|
$12,557.00
|
2026-03-31
|
|
721
|
APR_DRG
|
Post-operative, Post-traumatic, Other Device Infections,minor
|
458
|
33
|
$70,637.52
|
$14,127.50
80% off
|
$165.82
|
$43,889.53
|
$12,446.12
|
2026-03-31
|
|
44
|
APR_DRG
|
Intracranial Hemorrhage,minor
|
230
|
33
|
$15,944.75
|
$3,188.95
80% off
|
$165.82
|
$38,484.52
|
$12,373.70
|
2026-03-31
|
|
349
|
APR_DRG
|
Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure,moderate
|
116
|
33
|
$144,865.43
|
$28,973.09
80% off
|
$165.82
|
$12,380.49
|
$12,339.24
|
2026-03-31
|
|
424
|
APR_DRG
|
Other Endocrine Disorders,minor
|
344
|
33
|
$55,439.99
|
$11,088.00
80% off
|
$165.82
|
$19,736.14
|
$12,278.34
|
2026-03-31
|
|
254
|
APR_DRG
|
Other Digestive System Diagnoses,minor
|
458
|
33
|
$68,489.63
|
$13,697.93
80% off
|
$165.82
|
$43,547.82
|
$12,103.28
|
2026-03-31
|
|
197
|
APR_DRG
|
Peripheral And Other Vascular Disorders,minor
|
458
|
33
|
$83,299.53
|
$16,659.91
80% off
|
$165.82
|
$34,419.17
|
$11,936.96
|
2026-03-31
|
|
115
|
APR_DRG
|
Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,minor
|
344
|
33
|
$94,623.55
|
$18,924.71
80% off
|
$165.82
|
$23,217.66
|
$11,868.99
|
2026-03-31
|
|
240
|
APR_DRG
|
Digestive Malignancy,minor
|
230
|
33
|
$95,132.49
|
$19,026.50
80% off
|
$165.82
|
$19,027.85
|
$11,838.52
|
2026-03-31
|
|
207
|
APR_DRG
|
Other Circulatory System Diagnoses,minor
|
458
|
33
|
$120,100.69
|
$24,020.14
80% off
|
$165.82
|
$61,774.59
|
$11,757.05
|
2026-03-31
|
|
47
|
APR_DRG
|
Transient Ischemia,moderate
|
116
|
33
|
$81,946.14
|
$16,389.23
80% off
|
$165.82
|
$11,623.54
|
$11,584.81
|
2026-03-31
|
|
241
|
APR_DRG
|
Peptic Ulcer And Gastritis,minor
|
230
|
33
|
$41,248.24
|
$8,249.65
80% off
|
$165.82
|
$18,369.33
|
$11,508.36
|
2026-03-31
|
|
518
|
APR_DRG
|
Other Female Reproductive System And Related Procedures,minor
|
116
|
33
|
$45,004.54
|
$9,000.91
80% off
|
$165.82
|
$11,223.00
|
$11,185.61
|
2026-03-31
|
|
138
|
APR_DRG
|
Bronchiolitis And Rsv Pneumonia,minor
|
344
|
33
|
$38,470.00
|
$7,694.00
80% off
|
$165.82
|
$24,874.13
|
$11,090.88
|
2026-03-31
|
|
234
|
APR_DRG
|
Appendectomy Without Complex Principal Diagnosis,minor
|
230
|
33
|
$79,208.44
|
$15,841.69
80% off
|
$165.82
|
$14,561.95
|
$11,080.44
|
2026-03-31
|
|
425
|
APR_DRG
|
Other Non-hypovolemic Electrolyte Disorders,moderate
|
344
|
33
|
$126,335.94
|
$25,267.19
80% off
|
$165.82
|
$25,201.12
|
$10,967.96
|
2026-03-31
|
|
248
|
APR_DRG
|
Major Gastrointestinal And Peritoneal Infections,minor
|
458
|
33
|
$65,181.60
|
$13,036.32
80% off
|
$165.82
|
$51,829.02
|
$10,965.03
|
2026-03-31
|
|
222
|
APR_DRG
|
Other Stomach, Esophageal And Duodenal Procedures,minor
|
230
|
33
|
$65,898.44
|
$13,179.69
80% off
|
$165.82
|
$21,614.38
|
$10,905.06
|
2026-03-31
|
|
440
|
APR_DRG
|
Kidney Transplant,major
|
127
|
34
|
$535,340.37
|
$107,068.07
80% off
|
$165.82
|
$114,597.04
|
$114,215.20
|
2026-03-31
|
|
G0390
|
HCPCS
|
Hchg Full Trauma Team Activation
|
886
|
205
|
$15,781.00
|
$3,156.20
80% off
|
$165.82
|
$14,463.90
|
$10,888.89
|
2026-03-31
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Intravenous Solution
|
329
|
206
|
$31,515.50
|
$6,303.10
80% off
|
$165.82
|
$28,363.95
|
$21,745.70
|
2026-03-31
|
|
J0840
|
HCPCS
|
Crotalidae Polyval Immune Fab 1 Gram Solution For Injection
|
337
|
209
|
$22,315.75
|
$4,463.15
80% off
|
$165.82
|
$20,084.18
|
$15,397.87
|
2026-03-31
|
|
L8692
|
HCPCS
|
Hchg Osseointegrated Dev W Hdband
|
383
|
229
|
$16,588.00
|
$3,317.60
80% off
|
$165.82
|
$14,929.20
|
$11,445.72
|
2026-03-31
|
|
J0206
|
HCPCS
|
Allopurinol 500 Mg Intravenous Solution
|
417
|
232
|
$126,310.25
|
$25,262.05
80% off
|
$165.82
|
$113,679.23
|
$87,154.07
|
2026-03-31
|
|
81425
|
CPT
|
Genome Sequence Analysis
|
391
|
232
|
$21,859.20
|
$4,371.84
80% off
|
$165.82
|
$19,673.28
|
$15,082.85
|
2026-03-31
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
418
|
233
|
$273,924.50
|
$54,784.90
80% off
|
$165.82
|
$246,532.05
|
$189,007.91
|
2026-03-31
|
|
PX-3100812
|
CDM
|
Organ Cadaver Donor
|
418
|
233
|
$208,195.90
|
$41,639.18
80% off
|
$165.82
|
$187,376.31
|
$143,655.17
|
2026-03-31
|
|
PX-3100811
|
CDM
|
Organ Living Donor
|
418
|
233
|
$184,107.41
|
$36,821.48
80% off
|
$165.82
|
$165,696.67
|
$127,034.11
|
2026-03-31
|
|
C1772
|
HCPCS
|
Pump Synchrmd Ii Baclofen 20cc 9700213
|
418
|
233
|
$36,321.00
|
$7,264.20
80% off
|
$165.82
|
$32,688.90
|
$25,061.49
|
2026-03-31
|
|
J7504
|
HCPCS
|
Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution
|
418
|
233
|
$33,672.00
|
$6,734.40
80% off
|
$165.82
|
$30,304.80
|
$23,233.68
|
2026-03-31
|
|
J1744
|
HCPCS
|
Icatibant 30 Mg/3 Ml Subcutaneous Syringe
|
418
|
233
|
$32,207.75
|
$6,441.55
80% off
|
$165.82
|
$28,986.98
|
$22,223.35
|
2026-03-31
|
|
A9582
|
HCPCS
|
Hchg Iodine 1-123 Iobenguane
|
418
|
233
|
$25,858.56
|
$5,171.71
80% off
|
$165.82
|
$23,272.70
|
$17,842.41
|
2026-03-31
|
|
C9364
|
HCPCS
|
Valve Epic Mitral 33mm 1031064
|
1,250
|
233
|
$22,539.00
|
$4,507.80
80% off
|
$165.82
|
$29,250.00
|
$15,551.91
|
2026-03-31
|
|
SUP-5000527
|
CDM
|
Graft Extearna (microtia) Costal Cartilage, Left
|
418
|
233
|
$22,500.00
|
$4,500.00
80% off
|
$165.82
|
$20,250.00
|
$15,525.00
|
2026-03-31
|
|
PX-3106008
|
CDM
|
Level 5 <= 1 Hr
|
418
|
233
|
$21,665.70
|
$4,333.14
80% off
|
$165.82
|
$19,499.13
|
$14,949.33
|
2026-03-31
|
|
PX-2783236
|
CDM
|
Cormatrix Tyke 4x7 1029729
|
418
|
233
|
$20,998.00
|
$4,199.60
80% off
|
$165.82
|
$18,898.20
|
$14,488.62
|
2026-03-31
|
|
L8670
|
HCPCS
|
Conduit Non Valve Pulm Cryprsv 9700084
|
834
|
233
|
$20,369.00
|
$4,073.80
80% off
|
$165.82
|
$28,264.50
|
$14,054.61
|
2026-03-31
|
|
PX-3106006
|
CDM
|
Level 4 <= 1 Hr
|
418
|
233
|
$19,401.90
|
$3,880.38
80% off
|
$165.82
|
$17,461.71
|
$13,387.31
|
2026-03-31
|
|
PX-3106004
|
CDM
|
Level 3 <= 1 Hr
|
418
|
233
|
$18,357.15
|
$3,671.43
80% off
|
$165.82
|
$16,521.44
|
$12,666.43
|
2026-03-31
|
|
33946
|
CPT
|
Ecmo Initiation, Venous
|
418
|
233
|
$18,116.70
|
$3,623.34
80% off
|
$165.82
|
$16,305.03
|
$12,500.52
|
2026-03-31
|
|
33947
|
CPT
|
Ecmo Initiation, Arterial
|
418
|
233
|
$18,116.70
|
$3,623.34
80% off
|
$165.82
|
$16,305.03
|
$12,500.52
|
2026-03-31
|
|
81457
|
CPT
|
So Neo Gsap DNA Mcrstl Ins
|
418
|
233
|
$17,741.05
|
$3,548.21
80% off
|
$165.82
|
$15,966.95
|
$12,241.32
|
2026-03-31
|
|
PX-3106002
|
CDM
|
Level 2 <= 1hr
|
418
|
233
|
$17,644.20
|
$3,528.84
80% off
|
$165.82
|
$15,879.78
|
$12,174.50
|
2026-03-31
|
|
C1786
|
HCPCS
|
Pacemaker Thilos 1024897
|
834
|
233
|
$16,198.00
|
$3,239.60
80% off
|
$165.82
|
$22,477.50
|
$11,176.62
|
2026-03-31
|
|
33240
|
CPT
|
Hchg Insrtn Aicd Only W Ex Sng Lead
|
410
|
235
|
$52,085.00
|
$10,417.00
80% off
|
$165.82
|
$46,876.50
|
$35,938.65
|
2026-03-31
|
|
93461
|
CPT
|
Hchg Rt&Lt Hrt Cor/Lv/Grft
|
410
|
235
|
$25,005.20
|
$5,001.04
80% off
|
$165.82
|
$22,504.68
|
$17,253.59
|
2026-03-31
|
|
33206
|
CPT
|
Hchg Insrt/Rpl Pm Atrial
|
410
|
235
|
$23,427.80
|
$4,685.56
80% off
|
$165.82
|
$21,085.02
|
$16,165.18
|
2026-03-31
|
|
33207
|
CPT
|
Hchg Insrt/Rpl Pm Vntrclr
|
410
|
235
|
$21,665.60
|
$4,333.12
80% off
|
$165.82
|
$19,499.04
|
$14,949.26
|
2026-03-31
|
|
33212
|
CPT
|
Insrt/Rplc Pm Only-single
|
410
|
235
|
$21,665.60
|
$4,333.12
80% off
|
$165.82
|
$19,499.04
|
$14,949.26
|
2026-03-31
|
|
93460
|
CPT
|
Hchg Rt&Lt Hrt Cor/Lv
|
410
|
235
|
$20,764.70
|
$4,152.94
80% off
|
$165.82
|
$18,688.23
|
$14,327.64
|
2026-03-31
|
|
93453
|
CPT
|
Hchg Rt&Lt Hrt Cath W/Ventric
|
410
|
235
|
$20,392.90
|
$4,078.58
80% off
|
$165.82
|
$18,353.61
|
$14,071.10
|
2026-03-31
|
|
93656
|
CPT
|
Hchg Ep W Afib Abl Vt P.v.i.
|
410
|
235
|
$20,336.80
|
$4,067.36
80% off
|
$165.82
|
$22,640.19
|
$14,032.39
|
2026-03-31
|
|
93457
|
CPT
|
Hchg Rt Hrt Cor/Grft Angio
|
410
|
235
|
$17,760.60
|
$3,552.12
80% off
|
$165.82
|
$15,984.54
|
$12,254.81
|
2026-03-31
|
|
93459
|
CPT
|
Hchg Lt Hrt Cor/Lv/Grft Angio
|
410
|
235
|
$17,037.90
|
$3,407.58
80% off
|
$165.82
|
$15,334.11
|
$11,756.15
|
2026-03-31
|
|
93799
|
CPT
|
Hchg Stenting A Fontan Fenestration
|
410
|
235
|
$16,487.90
|
$3,297.58
80% off
|
$140.22
|
$14,839.11
|
$11,376.65
|
2026-03-31
|
|
36254
|
CPT
|
Hchg Scp Rnl Art 2nd Ordr Bil
|
410
|
235
|
$16,060.00
|
$3,212.00
80% off
|
$165.82
|
$14,454.00
|
$11,081.40
|
2026-03-31
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
425
|
236
|
$772,458.75
|
$154,491.75
80% off
|
$165.82
|
$695,212.88
|
$532,996.54
|
2026-03-31
|
|
J1747
|
HCPCS
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
425
|
236
|
$358,305.00
|
$71,661.00
80% off
|
$165.82
|
$322,474.50
|
$247,230.45
|
2026-03-31
|
|
J9226
|
HCPCS
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
425
|
236
|
$317,950.75
|
$63,590.15
80% off
|
$165.82
|
$286,155.68
|
$219,386.02
|
2026-03-31
|
|
L8686
|
HCPCS
|
Vns Demipulse Generator
|
425
|
236
|
$206,635.00
|
$41,327.00
80% off
|
$165.82
|
$185,971.50
|
$142,578.15
|
2026-03-31
|
|
J3357
|
HCPCS
|
Ustekinumab 90 Mg/ml Subcutaneous Syringe
|
426
|
236
|
$193,939.00
|
$38,787.80
80% off
|
$165.82
|
$174,545.10
|
$133,817.91
|
2026-03-31
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
426
|
236
|
$154,562.25
|
$30,912.45
80% off
|
$165.82
|
$139,106.03
|
$106,647.95
|
2026-03-31
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg Intravenous Solution
|
426
|
236
|
$83,446.25
|
$16,689.25
80% off
|
$165.82
|
$75,101.63
|
$57,577.91
|
2026-03-31
|
|
33249
|
CPT
|
Insrt/Remv Acid
|
426
|
236
|
$73,987.10
|
$14,797.42
80% off
|
$165.82
|
$66,588.39
|
$51,051.10
|
2026-03-31
|
|
J9203
|
HCPCS
|
Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln
|
426
|
236
|
$66,538.00
|
$13,307.60
80% off
|
$165.82
|
$59,884.20
|
$45,911.22
|
2026-03-31
|
|
J1299
|
HCPCS
|
Eculizumab 300 Mg/30 Ml Intravenous Solution
|
425
|
236
|
$66,456.50
|
$13,291.30
80% off
|
$165.82
|
$59,810.85
|
$45,854.99
|
2026-03-31
|
|
21196
|
CPT
|
Hchg Reconstruction Of Mandibular Rami And/or Body, Sagittal Split; With Interna…
|
426
|
236
|
$42,065.10
|
$8,413.02
80% off
|
$165.82
|
$37,858.59
|
$29,024.92
|
2026-03-31
|
|
J2506
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe
|
426
|
236
|
$40,664.50
|
$8,132.90
80% off
|
$165.82
|
$36,598.05
|
$28,058.51
|
2026-03-31
|
|
J9271
|
HCPCS
|
Pembrolizumab 25 Mg/ml Intravenous Solution
|
426
|
236
|
$38,115.50
|
$7,623.10
80% off
|
$165.82
|
$34,303.95
|
$26,299.70
|
2026-03-31
|
|
J1290
|
HCPCS
|
Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution
|
426
|
236
|
$37,061.00
|
$7,412.20
80% off
|
$165.82
|
$33,354.90
|
$25,572.09
|
2026-03-31
|
|
21470
|
CPT
|
Hchg Open Treatment Of Complicated Mandibular Fracture By Multiple Surgical Appr…
|
426
|
236
|
$32,168.40
|
$6,433.68
80% off
|
$165.82
|
$28,951.56
|
$22,196.20
|
2026-03-31
|
|
J0597
|
HCPCS
|
C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit
|
426
|
236
|
$28,147.50
|
$5,629.50
80% off
|
$165.82
|
$25,332.75
|
$19,421.78
|
2026-03-31
|
|
21462
|
CPT
|
Hchg Open Treatment Of Mandibular Fracture; With Interdental Fixation
|
426
|
236
|
$25,950.10
|
$5,190.02
80% off
|
$165.82
|
$23,355.09
|
$17,905.57
|
2026-03-31
|
|
C1778
|
HCPCS
|
Vagal Nerve Leads 304
|
813
|
236
|
$47,475.00
|
$9,495.00
80% off
|
$165.82
|
$42,727.50
|
$17,527.38
|
2026-03-31
|
|
J9352
|
HCPCS
|
Trabectedin 1 Mg Intravenous Solution
|
426
|
236
|
$25,012.00
|
$5,002.40
80% off
|
$165.82
|
$22,510.80
|
$17,258.28
|
2026-03-31
|
|
21198
|
CPT
|
Hchg Osteotomy, Mandible, Segmental
|
426
|
236
|
$24,152.70
|
$4,830.54
80% off
|
$165.82
|
$21,737.43
|
$16,665.36
|
2026-03-31
|
|
L8699
|
HCPCS
|
Artery Pulmonary Hemi
|
18,267
|
236
|
$29,910.00
|
$5,982.00
80% off
|
$100.80
|
$112,500.00
|
$15,338.96
|
2026-03-31
|
|
33213
|
CPT
|
Hchg Insrt Rep Pul Gen Dual
|
426
|
236
|
$21,312.50
|
$4,262.50
80% off
|
$165.82
|
$19,181.25
|
$14,705.63
|
2026-03-31
|
|
L8604
|
HCPCS
|
Dextranomer 50mg-hyaluronate 15mg/ml(1)-0.9%sodchl Gel Implant Syringe
|
425
|
236
|
$20,940.50
|
$4,188.10
80% off
|
$165.82
|
$18,846.45
|
$14,448.95
|
2026-03-31
|
|
J1568
|
HCPCS
|
Immune Glob,gamm(igg)10 %-malt-iga Over 50 Mcg/ml Intravenous Solution
|
850
|
236
|
$19,790.25
|
$3,958.05
80% off
|
$165.82
|
$35,622.45
|
$13,655.27
|
2026-03-31
|
|
93621
|
CPT
|
La Pacing From Cs Or La
|
425
|
236
|
$18,727.50
|
$3,745.50
80% off
|
$165.82
|
$16,854.75
|
$12,921.98
|
2026-03-31
|
|
J9027
|
HCPCS
|
Clofarabine 1 Mg/ml Intravenous Solution
|
426
|
236
|
$18,594.75
|
$3,718.95
80% off
|
$165.82
|
$16,735.28
|
$12,830.38
|
2026-03-31
|
|
21230
|
CPT
|
Hchg Graft; Rib Cartilage, Autogenous, To Face, Chin, Nose Or Ear (Includes Obta…
|
426
|
236
|
$18,474.50
|
$3,694.90
80% off
|
$165.82
|
$16,627.05
|
$12,747.41
|
2026-03-31
|
|
30420
|
CPT
|
Hchg Rhinoplasty, Primary; Including Major Septal Repair
|
426
|
236
|
$18,157.70
|
$3,631.54
80% off
|
$165.82
|
$16,341.93
|
$12,528.81
|
2026-03-31
|
|
36597
|
CPT
|
Hchg Picc, Rpstnng W Fluoro
|
426
|
236
|
$18,069.70
|
$3,613.94
80% off
|
$165.82
|
$16,262.73
|
$12,468.09
|
2026-03-31
|
|
21215
|
CPT
|
Hchg Graft, Bone; Mandible (Includes Obtaining Graft)
|
426
|
236
|
$17,117.10
|
$3,423.42
80% off
|
$165.82
|
$15,405.39
|
$11,810.80
|
2026-03-31
|
|
30600
|
CPT
|
Hchg Repair Fistula; Oronasal
|
426
|
236
|
$16,933.40
|
$3,386.68
80% off
|
$165.82
|
$15,240.06
|
$11,684.05
|
2026-03-31
|
|
33746
|
CPT
|
Stent Intra-cardiac, Each Additional
|
426
|
236
|
$16,564.90
|
$3,312.98
80% off
|
$165.82
|
$14,908.41
|
$11,429.78
|
2026-03-31
|
|
33741
|
CPT
|
Transcatheter Atrial Septostomy Balloon
|
842
|
236
|
$20,736.10
|
$4,147.22
80% off
|
$165.82
|
$18,662.49
|
$11,355.40
|
2026-03-31
|
|
37243
|
CPT
|
Hchg Embolization Tumor
|
426
|
236
|
$15,829.00
|
$3,165.80
80% off
|
$165.82
|
$14,246.10
|
$10,922.01
|
2026-03-31
|
|
93653
|
CPT
|
Hchg Ep Eval W Ablation Svt
|
417
|
238
|
$47,844.50
|
$9,568.90
80% off
|
$165.82
|
$43,060.05
|
$33,012.71
|
2026-03-31
|
|
A0431
|
CPT
|
Amb Rotary Wing Base Rate
|
432
|
238
|
$31,900.00
|
$6,380.00
80% off
|
$165.82
|
$28,710.00
|
$22,011.00
|
2026-03-31
|
|
33208
|
CPT
|
Hchg Insrt/Rpl Pm Atrial&Vent
|
417
|
238
|
$29,086.20
|
$5,817.24
80% off
|
$165.82
|
$26,177.58
|
$20,069.48
|
2026-03-31
|
|
A0430
|
HCPCS
|
Amb Fixed Wing Base Rate
|
432
|
238
|
$27,356.00
|
$5,471.20
80% off
|
$165.82
|
$24,620.40
|
$18,875.64
|
2026-03-31
|
|
A0434
|
HCPCS
|
Amb Sct Emergency Base Rate
|
432
|
238
|
$27,145.00
|
$5,429.00
80% off
|
$165.82
|
$24,430.50
|
$18,730.05
|
2026-03-31
|
|
93597
|
CPT
|
Rt & Lt Ht Cong Abl Nc
|
417
|
238
|
$22,055.00
|
$4,411.00
80% off
|
$165.82
|
$19,849.50
|
$15,217.95
|
2026-03-31
|
|
93654
|
CPT
|
Hchg Ep Eval W Ablation Vt
|
417
|
238
|
$20,332.40
|
$4,066.48
80% off
|
$165.82
|
$22,640.19
|
$14,029.36
|
2026-03-31
|
|
92937
|
CPT
|
Prq Trluml Coronary Byp Grft Revasc One Vessel
|
417
|
238
|
$19,264.30
|
$3,852.86
80% off
|
$165.82
|
$17,337.87
|
$13,292.37
|
2026-03-31
|
|
93580
|
CPT
|
Asd Occl Proc W Device
|
417
|
238
|
$18,934.30
|
$3,786.86
80% off
|
$165.82
|
$17,040.87
|
$13,064.67
|
2026-03-31
|
|
93581
|
CPT
|
Vsd Closure W/Implant
|
417
|
238
|
$18,383.20
|
$3,676.64
80% off
|
$165.82
|
$16,562.30
|
$12,684.41
|
2026-03-31
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
433
|
239
|
$201,410.50
|
$40,282.10
80% off
|
$165.82
|
$181,269.45
|
$138,973.25
|
2026-03-31
|
|
J1951
|
HCPCS
|
Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe
|
433
|
239
|
$182,573.25
|
$36,514.65
80% off
|
$165.82
|
$164,315.93
|
$125,975.54
|
2026-03-31
|
|
J9118
|
HCPCS
|
Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution
|
433
|
239
|
$168,845.25
|
$33,769.05
80% off
|
$165.82
|
$151,960.73
|
$116,503.22
|
2026-03-31
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
433
|
239
|
$155,930.25
|
$31,186.05
80% off
|
$165.82
|
$140,337.23
|
$107,591.87
|
2026-03-31
|
|
65205
|
CPT
|
Removal Of Foreign Body, External Eye; Conjunctival Superficial
|
433
|
239
|
$71,725.50
|
$14,345.10
80% off
|
$111.95
|
$64,552.95
|
$49,490.60
|
2026-03-31
|
|
J9210
|
HCPCS
|
Emapalumab-lzsg 5 Mg/ml Intravenous Solution
|
1,295
|
239
|
$95,874.25
|
$19,174.85
80% off
|
$165.82
|
$172,573.65
|
$46,652.41
|
2026-03-31
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg Intravenous Solution
|
433
|
239
|
$64,048.75
|
$12,809.75
80% off
|
$165.82
|
$57,643.88
|
$44,193.64
|
2026-03-31
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
864
|
239
|
$171,308.25
|
$34,261.65
80% off
|
$165.82
|
$154,177.43
|
$40,179.63
|
2026-03-31
|
|
33902
|
CPT
|
Hchg Pulmonary Stent, Initial, Abl Native Connections, Unilateral
|
433
|
239
|
$57,288.00
|
$11,457.60
80% off
|
$165.82
|
$51,559.20
|
$39,528.72
|
2026-03-31
|
|
J9301
|
HCPCS
|
Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution
|
433
|
239
|
$57,026.00
|
$11,405.20
80% off
|
$165.82
|
$51,323.40
|
$39,347.94
|
2026-03-31
|
|
78075
|
CPT
|
Hchg Adrenal Imag Mul Day W/Isotope
|
433
|
239
|
$51,170.56
|
$10,234.11
80% off
|
$165.82
|
$46,053.50
|
$35,307.69
|
2026-03-31
|
|
J9039
|
HCPCS
|
Blinatumomab 35 Mcg Intravenous Kit
|
856
|
239
|
$60,009.25
|
$12,001.85
80% off
|
$165.82
|
$54,008.33
|
$25,750.97
|
2026-03-31
|
|
Q5119
|
HCPCS
|
Rituximab-pvvr 10 Mg/ml Intravenous Solution
|
433
|
239
|
$36,514.00
|
$7,302.80
80% off
|
$165.82
|
$32,862.60
|
$25,194.66
|
2026-03-31
|
|
33901
|
CPT
|
Hchg Pulmonary Stent, Initial, Nl Native Connections, Bilatera
|
433
|
239
|
$35,403.50
|
$7,080.70
80% off
|
$165.82
|
$31,863.15
|
$24,428.42
|
2026-03-31
|
|
33903
|
CPT
|
Hchg Pulmonary Stent, Initial, Abl Native Connections, Bilateral
|
433
|
239
|
$35,403.50
|
$7,080.70
80% off
|
$165.82
|
$31,863.15
|
$24,428.42
|
2026-03-31
|
|
J9021
|
HCPCS
|
Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution
|
433
|
239
|
$35,291.75
|
$7,058.35
80% off
|
$165.82
|
$31,762.58
|
$24,351.31
|
2026-03-31
|
|
33900
|
CPT
|
Hchg Pulmonary Stent, Initial, Nl Native Connections, Unilateral
|
433
|
239
|
$33,717.20
|
$6,743.44
80% off
|
$165.82
|
$30,345.48
|
$23,264.87
|
2026-03-31
|
|
J1950
|
HCPCS
|
Leuprolide 30 Mg (pediatric 3 Month) Intramuscular Syringe Kit
|
3,003
|
239
|
$35,947.75
|
$7,189.55
80% off
|
$165.82
|
$155,648.03
|
$22,244.50
|
2026-03-31
|
|
74178
|
CPT
|
Hchg CT Pelvis & Abd W/wo Cont
|
433
|
239
|
$26,324.48
|
$5,264.90
80% off
|
$165.82
|
$23,692.03
|
$18,163.89
|
2026-03-31
|
|
81455
|
CPT
|
Targeted Genomic Seq Analysis 51+
|
433
|
239
|
$23,064.40
|
$4,612.88
80% off
|
$165.82
|
$20,757.96
|
$15,914.44
|
2026-03-31
|
|
J3358
|
HCPCS
|
Ustekinumab 130 Mg/26 Ml Intravenous Solution
|
433
|
239
|
$22,675.00
|
$4,535.00
80% off
|
$165.82
|
$20,407.50
|
$15,645.75
|
2026-03-31
|
|
74174
|
CPT
|
CTA Abd Pelvis W Wo Contrast
|
433
|
239
|
$22,413.44
|
$4,482.69
80% off
|
$165.82
|
$20,172.10
|
$15,465.27
|
2026-03-31
|
|
J1743
|
HCPCS
|
Idursulfase 6 Mg/3 Ml Intravenous Solution
|
433
|
239
|
$20,976.50
|
$4,195.30
80% off
|
$165.82
|
$18,878.85
|
$14,473.79
|
2026-03-31
|
|
93582
|
CPT
|
Hchg Pda Device Embolization Transcatheter
|
433
|
239
|
$19,901.20
|
$3,980.24
80% off
|
$165.82
|
$17,911.08
|
$13,731.83
|
2026-03-31
|
|
78452
|
CPT
|
Myocard Spct Mult St Res
|
433
|
239
|
$18,357.92
|
$3,671.58
80% off
|
$165.82
|
$16,522.13
|
$12,666.96
|
2026-03-31
|
|
92986
|
CPT
|
Aortic Valvuloplasty
|
433
|
239
|
$18,225.90
|
$3,645.18
80% off
|
$165.82
|
$16,403.31
|
$12,575.87
|
2026-03-31
|
|
33477
|
CPT
|
Hchg Prosth Pul Valve Endovas
|
433
|
239
|
$17,904.70
|
$3,580.94
80% off
|
$165.82
|
$16,114.23
|
$12,354.24
|
2026-03-31
|
|
74176
|
CPT
|
Hchg CT Pelvis & Abd Wo Cont
|
433
|
239
|
$17,857.28
|
$3,571.46
80% off
|
$165.82
|
$16,071.55
|
$12,321.52
|
2026-03-31
|
|
74177
|
CPT
|
Hchg CT Pelvis & Abd W Cont
|
433
|
239
|
$17,140.48
|
$3,428.10
80% off
|
$165.82
|
$15,426.43
|
$11,826.93
|
2026-03-31
|
|
J1602
|
HCPCS
|
Golimumab 12.5 Mg/ml Intravenous Solution
|
433
|
239
|
$16,517.50
|
$3,303.50
80% off
|
$165.82
|
$14,865.75
|
$11,397.08
|
2026-03-31
|
|
37244
|
CPT
|
Hchg Embol Art / Vein Hmmrrhg
|
433
|
239
|
$16,486.80
|
$3,297.36
80% off
|
$165.82
|
$14,838.12
|
$11,375.89
|
2026-03-31
|
|
93650
|
CPT
|
Abl Av Node/Av Func-chb
|
433
|
239
|
$15,821.30
|
$3,164.26
80% off
|
$165.82
|
$14,239.17
|
$10,916.70
|
2026-03-31
|