|
J3391
|
HCPCS
|
Inj Atidarsagene Autotemcel
|
17
|
10
|
—
|
—
|
$4,505,000.00
|
$4,955,500.00
|
$4,685,200.00
|
2026-07-31
|
|
J1411
|
HCPCS
|
Inj Hemgenix Per Tx Dose
|
29
|
15
|
—
|
—
|
$3,153,129.00
|
$4,212,259.80
|
$3,780,000.00
|
2026-07-31
|
|
C9172
|
HCPCS
|
Inj- Beqvez- Per Tx Dose
|
7
|
2
|
—
|
—
|
$3,780,000.00
|
$3,780,000.00
|
$3,780,000.00
|
2026-07-31
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
18
|
10
|
—
|
—
|
$3,335,820.00
|
$3,812,842.26
|
$3,469,252.80
|
2026-07-31
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
29
|
15
|
—
|
—
|
$2,823,182.11
|
$3,803,743.67
|
$3,456,000.00
|
2026-07-31
|
|
J1414
|
HCPCS
|
Inj Beqvez Per Tx Dose
|
2
|
2
|
—
|
—
|
$3,153,129.00
|
$3,710,000.00
|
$3,431,564.50
|
2026-07-31
|
|
J3394
|
HCPCS
|
Inj Lovotibeglogene Autotem
|
28
|
14
|
—
|
—
|
$2,713,730.70
|
$3,717,616.74
|
$3,348,000.00
|
2026-07-31
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
18
|
10
|
—
|
—
|
$3,180,000.00
|
$3,634,740.00
|
$3,307,200.00
|
2026-07-31
|
|
J3393
|
HCPCS
|
Inj Betibeglogene Autotemce
|
28
|
14
|
—
|
—
|
$2,522,503.20
|
$3,360,384.44
|
$3,024,000.00
|
2026-07-31
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
29
|
15
|
—
|
—
|
$2,008,028.23
|
$2,959,205.55
|
$2,588,981.23
|
2026-07-31
|
|
J3392
|
HCPCS
|
Inj Exagamglogene Autotem
|
20
|
12
|
—
|
—
|
$1,981,966.80
|
$2,665,476.00
|
$2,378,640.00
|
2026-07-31
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
18
|
10
|
—
|
—
|
$770,620.00
|
$880,818.66
|
$801,444.80
|
2026-07-31
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
29
|
15
|
—
|
—
|
$442,274.84
|
$671,683.46
|
$612,918.50
|
2026-07-31
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
29
|
15
|
—
|
—
|
$445,655.22
|
$647,545.28
|
$590,892.15
|
2026-07-31
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
29
|
15
|
—
|
—
|
$413,200.27
|
$642,596.02
|
$586,375.89
|
2026-07-31
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
29
|
15
|
—
|
—
|
$422,649.94
|
$637,887.42
|
$582,079.24
|
2026-07-31
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
29
|
15
|
—
|
—
|
$391,911.68
|
$608,295.73
|
$555,076.51
|
2026-07-31
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
29
|
15
|
—
|
—
|
$391,911.68
|
$559,441.58
|
$510,496.56
|
2026-07-31
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
19
|
11
|
—
|
—
|
$288,902.84
|
$424,867.81
|
$309,126.04
|
2026-07-31
|
|
633
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar…
|
1
|
1
|
—
|
—
|
$297,836.48
|
$297,836.48
|
$297,836.48
|
2026-07-31
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
18
|
10
|
—
|
—
|
$278,250.00
|
$318,039.75
|
$289,380.00
|
2026-07-31
|
|
J3403
|
HCPCS
|
Revakinagene Per Implant
|
18
|
10
|
—
|
—
|
$265,000.00
|
$302,895.00
|
$275,600.00
|
2026-07-31
|
|
612
|
MS_DRG
|
Neonate- Birth Weight <750 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$272,925.97
|
$272,925.97
|
$272,925.97
|
2026-07-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
29
|
15
|
—
|
—
|
$142,839.74
|
$588,325.44
|
$223,125.35
|
2026-07-31
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
18
|
10
|
—
|
—
|
$201,669.02
|
$230,507.69
|
$209,735.78
|
2026-07-31
|
|
631
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$197,901.24
|
$197,901.24
|
$197,901.24
|
2026-07-31
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
21
|
11
|
—
|
—
|
$187,486.32
|
$495,000.00
|
$195,548.23
|
2026-07-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
36
|
16
|
—
|
—
|
$142,001.46
|
$384,397.52
|
$194,159.50
|
2026-07-31
|
|
32069252
|
OTHER
|
Kit Implantable Pulse Generator Wavewriter Alpha Prime 32
|
28
|
28
|
$228,355.51
|
$171,266.63
25% off
|
$159,848.86
|
$203,236.40
|
$194,102.18
|
2026-07-30
|
|
636
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu…
|
1
|
1
|
—
|
—
|
$175,003.73
|
$175,003.73
|
$175,003.73
|
2026-07-31
|
|
32029878
|
OTHER
|
Kit Lvad Heartmate 3 106524us
|
28
|
28
|
$169,089.76
|
$126,817.32
25% off
|
$118,362.83
|
$150,489.89
|
$143,726.30
|
2026-07-30
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
14
|
—
|
—
|
$17,773.09
|
$265,503.84
|
$125,790.46
|
2026-07-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
36
|
16
|
—
|
—
|
$66,614.61
|
$351,532.56
|
$121,108.61
|
2026-07-31
|
|
681
|
MS_DRG
|
Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip…
|
1
|
1
|
—
|
—
|
$119,199.71
|
$119,199.71
|
$119,199.71
|
2026-07-31
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad Rep
|
29
|
15
|
—
|
—
|
$84,989.94
|
$303,449.79
|
$117,172.67
|
2026-07-31
|
|
1001005215
|
OTHER
|
Lutetium Lu-177 Dotatate Tx 1mCi
|
28
|
28
|
$134,735.80
|
$101,051.85
25% off
|
$94,315.06
|
$119,914.86
|
$114,525.43
|
2026-07-30
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
16
|
—
|
—
|
$65,449.18
|
$259,385.68
|
$114,510.60
|
2026-07-31
|
|
212
|
MS_DRG
|
Testes Procedures Age 0-17
|
38
|
16
|
—
|
—
|
$72,750.22
|
$273,380.32
|
$113,267.93
|
2026-07-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
36
|
16
|
—
|
—
|
$92,669.04
|
$220,982.88
|
$112,331.69
|
2026-07-31
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
36
|
16
|
—
|
—
|
$52,644.08
|
$295,196.88
|
$111,670.18
|
2026-07-31
|
|
634
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc…
|
1
|
1
|
—
|
—
|
$106,754.08
|
$106,754.08
|
$106,754.08
|
2026-07-31
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
34
|
14
|
—
|
—
|
$60,276.29
|
$213,887.90
|
$102,831.07
|
2026-07-31
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
36
|
16
|
—
|
—
|
$50,978.88
|
$242,806.88
|
$99,520.29
|
2026-07-31
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
36
|
16
|
—
|
—
|
$56,220.67
|
$266,880.24
|
$99,316.02
|
2026-07-31
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
34
|
14
|
—
|
—
|
$57,934.04
|
$228,643.60
|
$98,835.21
|
2026-07-31
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
16
|
—
|
—
|
$51,850.66
|
$235,577.68
|
$98,657.96
|
2026-07-31
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
16
|
—
|
—
|
$51,369.59
|
$252,764.08
|
$97,528.70
|
2026-07-31
|
|
632
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Died
|
1
|
1
|
—
|
—
|
$97,125.78
|
$97,125.78
|
$97,125.78
|
2026-07-31
|
|
A9513
|
HCPCS
|
Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
|
150
|
75
|
$191,164.32
|
$143,373.24
25% off
|
$251.78
|
$191,164.32
|
$95,662.42
|
2026-07-31
|
|
8801
|
APR_DRG
|
945/946 - Rehab - Spinal/quad
|
4
|
4
|
—
|
—
|
$94,424.09
|
$94,424.09
|
$94,424.09
|
2026-07-31
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
11
|
—
|
—
|
$86,639.81
|
$143,490.78
|
$92,704.59
|
2026-07-31
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
36
|
16
|
—
|
—
|
$51,148.14
|
$232,842.24
|
$88,055.88
|
2026-07-31
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
11
|
—
|
—
|
$80,402.51
|
$131,567.94
|
$86,030.68
|
2026-07-31
|
|
365
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$84,612.76
|
$84,612.76
|
$84,612.76
|
2026-07-31
|
|
209
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Age 0-17
|
28
|
14
|
—
|
—
|
$4,656.17
|
$268,708.31
|
$84,168.75
|
2026-07-31
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
38
|
16
|
—
|
—
|
$47,704.01
|
$177,161.28
|
$84,142.57
|
2026-07-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
36
|
16
|
—
|
—
|
$46,241.53
|
$193,452.40
|
$83,080.39
|
2026-07-31
|
|
32067294
|
OTHER
|
Device Cardiac Ventricular Assis
|
28
|
28
|
$97,511.95
|
$73,133.96
25% off
|
$68,258.36
|
$86,785.64
|
$82,885.16
|
2026-07-30
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
14
|
—
|
—
|
$13,323.47
|
$179,502.40
|
$82,389.49
|
2026-07-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
21
|
11
|
—
|
—
|
$75,812.34
|
$495,000.00
|
$81,877.33
|
2026-07-31
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
36
|
16
|
—
|
—
|
$13,206.19
|
$185,030.32
|
$81,349.94
|
2026-07-31
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
36
|
16
|
—
|
—
|
$35,416.74
|
$225,707.28
|
$79,804.02
|
2026-07-31
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
16
|
—
|
—
|
$45,032.60
|
$165,877.28
|
$78,807.83
|
2026-07-31
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
34
|
14
|
—
|
—
|
$44,701.44
|
$167,040.40
|
$78,355.12
|
2026-07-31
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
36
|
16
|
—
|
—
|
$36,763.61
|
$200,996.56
|
$77,587.27
|
2026-07-31
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
38
|
16
|
—
|
—
|
$40,952.90
|
$153,395.44
|
$76,678.46
|
2026-07-31
|
|
317
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
34
|
14
|
—
|
—
|
$44,734.22
|
$158,737.51
|
$76,316.37
|
2026-07-31
|
|
1111000826
|
OTHER
|
Y90 Ibritumomab Rx
|
28
|
28
|
$89,442.55
|
$67,081.91
25% off
|
$62,609.78
|
$79,603.87
|
$76,026.17
|
2026-07-30
|
|
A9543
|
HCPCS
|
Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous
|
252
|
75
|
$190,068.69
|
$142,551.52
25% off
|
$836.40
|
$231,898.95
|
$76,026.17
|
2026-07-31
|
|
32070120
|
OTHER
|
Device Spinal Mid C 105mm W/40mm
|
28
|
28
|
$88,869.74
|
$66,652.30
25% off
|
$62,208.82
|
$79,094.07
|
$75,539.28
|
2026-07-30
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
16
|
—
|
—
|
$43,990.27
|
$200,210.40
|
$74,626.58
|
2026-07-31
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
21
|
11
|
—
|
—
|
$68,979.61
|
$403,000.00
|
$74,497.98
|
2026-07-31
|
|
1111001379
|
OTHER
|
Brachytx Non-stryttrium-90
|
28
|
28
|
$87,380.95
|
$65,535.71
25% off
|
$61,166.66
|
$77,769.05
|
$74,273.81
|
2026-07-30
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
36
|
16
|
—
|
—
|
$43,049.62
|
$156,468.16
|
$73,987.99
|
2026-07-31
|
|
73006137
|
OTHER
|
Pump Blood Vad 10ml With Pu Valves
|
28
|
28
|
$87,037.92
|
$65,278.44
25% off
|
$60,926.54
|
$77,463.75
|
$73,982.23
|
2026-07-30
|
|
32006323
|
OTHER
|
Pump Blood Vad 15ml With Pu Valves
|
28
|
28
|
$87,037.92
|
$65,278.44
25% off
|
$60,926.54
|
$77,463.75
|
$73,982.23
|
2026-07-30
|
|
Q9982
|
HCPCS
|
Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution
|
156
|
44
|
$180,576.00
|
$135,432.00
25% off
|
$743.15
|
$270,864.00
|
$73,584.72
|
2026-07-31
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
38
|
16
|
—
|
—
|
$36,728.69
|
$136,662.88
|
$73,158.41
|
2026-07-31
|
|
2300000252
|
OTHER
|
Removal W Replacment Icd Multi Lead System
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
2300000231
|
OTHER
|
Insert Icd With Lead(s) Single Or Dual Chamber
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
2300001008
|
OTHER
|
Insert/replace Subq Defibrillator W/electrode
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
33270
|
OTHER
|
Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys…
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
33264
|
OTHER
|
Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant…
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
33249
|
OTHER
|
Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra…
|
28
|
28
|
$84,636.44
|
$63,477.33
25% off
|
$59,245.51
|
$75,326.43
|
$71,940.97
|
2026-07-30
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
16
|
—
|
—
|
$43,830.37
|
$155,530.24
|
$70,862.58
|
2026-07-31
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
16
|
—
|
—
|
$39,262.28
|
$189,720.00
|
$70,408.96
|
2026-07-31
|
|
32034342
|
OTHER
|
Generator Sentiva 1000
|
28
|
28
|
$82,731.75
|
$62,048.81
25% off
|
$57,912.22
|
$73,631.26
|
$70,321.99
|
2026-07-30
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
94
|
47
|
$111,522.04
|
$83,641.53
25% off
|
$117.65
|
$111,522.04
|
$70,258.89
|
2026-07-31
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
16
|
—
|
—
|
$43,990.27
|
$174,140.64
|
$69,806.61
|
2026-07-31
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
16
|
—
|
—
|
$40,560.18
|
$193,006.00
|
$68,854.92
|
2026-07-31
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
21
|
13
|
—
|
—
|
$57,328.02
|
$78,640.35
|
$68,801.71
|
2026-07-31
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
38
|
16
|
—
|
—
|
$32,973.91
|
$155,099.20
|
$67,365.87
|
2026-07-31
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
36
|
16
|
—
|
—
|
$36,546.72
|
$158,933.28
|
$67,340.33
|
2026-07-31
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
29
|
15
|
—
|
—
|
$53,885.39
|
$74,113.13
|
$67,038.61
|
2026-07-31
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
36
|
16
|
—
|
—
|
$6,428.49
|
$139,874.48
|
$66,141.45
|
2026-07-31
|
|
32037145
|
OTHER
|
Kit Rns Neurostimulator
|
28
|
28
|
$77,441.78
|
$58,081.33
25% off
|
$54,209.25
|
$68,923.18
|
$65,825.51
|
2026-07-30
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
34
|
14
|
—
|
—
|
$38,583.22
|
$137,540.80
|
$65,822.79
|
2026-07-31
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
7
|
2
|
—
|
—
|
$65,518.20
|
$65,518.20
|
$65,518.20
|
2026-07-31
|
|
405
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Mcc
|
36
|
16
|
—
|
—
|
$36,598.90
|
$174,973.92
|
$65,142.16
|
2026-07-31
|
|
32069011
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 40mmx
|
28
|
28
|
$75,834.44
|
$56,875.83
25% off
|
$53,084.11
|
$67,492.65
|
$64,459.27
|
2026-07-30
|
|
32070419
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 34mmx12mm
|
28
|
28
|
$75,834.44
|
$56,875.83
25% off
|
$53,084.11
|
$67,492.65
|
$64,459.27
|
2026-07-30
|
|
32068640
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm
|
28
|
28
|
$75,834.44
|
$56,875.83
25% off
|
$53,084.11
|
$67,492.65
|
$64,459.27
|
2026-07-30
|
|
32010894
|
OTHER
|
Generator Aspire Sr 106
|
28
|
28
|
$75,776.43
|
$56,832.32
25% off
|
$53,043.50
|
$67,441.02
|
$64,409.97
|
2026-07-30
|
|
366
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$64,396.93
|
$64,396.93
|
$64,396.93
|
2026-07-31
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
14
|
—
|
—
|
$10,123.67
|
$138,446.00
|
$64,166.69
|
2026-07-31
|
|
L8614
|
HCPCS
|
Cochlear Device
|
7
|
2
|
—
|
—
|
$56,406.93
|
$67,303.72
|
$64,098.78
|
2026-07-31
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
38
|
16
|
—
|
—
|
$39,236.86
|
$143,827.60
|
$63,802.27
|
2026-07-31
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
38
|
16
|
—
|
—
|
$31,973.54
|
$138,044.24
|
$63,127.21
|
2026-07-31
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
16
|
—
|
—
|
$35,677.66
|
$171,062.96
|
$62,719.98
|
2026-07-31
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
36
|
16
|
—
|
—
|
$38,130.96
|
$135,395.60
|
$61,612.77
|
2026-07-31
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
38
|
16
|
—
|
—
|
$32,790.15
|
$133,629.84
|
$61,394.88
|
2026-07-31
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
38
|
16
|
—
|
—
|
$34,825.32
|
$127,238.88
|
$61,348.56
|
2026-07-31
|
|
32054973
|
OTHER
|
Mesh Phasix 19.5x19.5in Square 1195050
|
28
|
28
|
$71,702.25
|
$53,776.69
25% off
|
$50,191.57
|
$63,815.00
|
$60,946.91
|
2026-07-30
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
34
|
14
|
—
|
—
|
$35,656.25
|
$127,712.56
|
$60,829.39
|
2026-07-31
|
|
11
|
MS_DRG
|
Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
36
|
16
|
—
|
—
|
$36,489.18
|
$134,867.36
|
$60,714.47
|
2026-07-31
|
|
1176569110
|
OTHER
|
Ocrelizumab 30 mg/mL 10 Ml Vial
|
28
|
28
|
$71,204.02
|
$53,403.01
25% off
|
$49,842.81
|
$63,371.58
|
$60,523.42
|
2026-07-30
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
36
|
16
|
—
|
—
|
$31,295.55
|
$136,809.20
|
$60,440.57
|
2026-07-31
|
|
326
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
36
|
16
|
—
|
—
|
$33,366.85
|
$144,827.04
|
$60,168.99
|
2026-07-31
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
35
|
15
|
—
|
—
|
$35,299.66
|
$139,405.76
|
$60,095.87
|
2026-07-31
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
38
|
16
|
—
|
—
|
$32,141.87
|
$123,370.08
|
$59,802.75
|
2026-07-31
|
|
93653
|
OTHER
|
Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin…
|
28
|
28
|
$70,134.10
|
$52,600.57
25% off
|
$49,093.87
|
$62,419.35
|
$59,613.99
|
2026-07-30
|
|
2900000693
|
OTHER
|
Ep & Ablate Suprvnt Arhyt
|
28
|
28
|
$70,134.10
|
$52,600.57
25% off
|
$49,093.87
|
$62,419.35
|
$59,613.99
|
2026-07-30
|
|
647
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…
|
1
|
1
|
—
|
—
|
$59,540.34
|
$59,540.34
|
$59,540.34
|
2026-07-31
|
|
635
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- Died
|
1
|
1
|
—
|
—
|
$59,416.06
|
$59,416.06
|
$59,416.06
|
2026-07-31
|
|
70396940
|
OTHER
|
Generator Demipulse Vns Implantable 104
|
28
|
28
|
$69,716.55
|
$52,287.41
25% off
|
$48,801.58
|
$62,047.73
|
$59,259.07
|
2026-07-30
|
|
93656
|
OTHER
|
Comprehensive Electrophysiologic Evaluation Including Transs / Comprehensive Ele…
|
28
|
28
|
$69,612.42
|
$52,209.32
25% off
|
$48,728.69
|
$61,955.05
|
$59,170.56
|
2026-07-30
|
|
2900000714
|
OTHER
|
Tx Atrl Fib Pulm Vein Iso
|
28
|
28
|
$69,612.42
|
$52,209.32
25% off
|
$48,728.69
|
$61,955.05
|
$59,170.56
|
2026-07-30
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
16
|
—
|
—
|
$33,099.24
|
$171,489.52
|
$57,929.03
|
2026-07-31
|
|
32011486
|
OTHER
|
Graft Matristem Thick 30x40cm Plastics
|
28
|
28
|
$67,844.32
|
$50,883.24
25% off
|
$47,491.02
|
$60,381.44
|
$57,667.67
|
2026-07-30
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
36
|
16
|
—
|
—
|
$30,523.50
|
$142,069.28
|
$57,315.07
|
2026-07-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
36
|
16
|
—
|
—
|
$29,984.27
|
$151,468.48
|
$56,935.55
|
2026-07-31
|
|
32045394
|
OTHER
|
Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy
|
28
|
28
|
$66,676.67
|
$50,007.50
25% off
|
$46,673.67
|
$59,342.24
|
$56,675.17
|
2026-07-30
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
36
|
16
|
—
|
—
|
$30,418.47
|
$137,937.60
|
$56,532.83
|
2026-07-31
|
|
2111007253
|
OTHER
|
Phrenic Nerve Stimulator System - 1 Device & 2 Leads
|
28
|
28
|
$66,500.00
|
$49,875.00
25% off
|
$46,550.00
|
$59,185.00
|
$56,525.00
|
2026-07-30
|
|
C1823
|
HCPCS
|
Hc Neurostim Generator/lead Lvl 46
|
316
|
67
|
$86,710.75
|
$65,033.06
25% off
|
$330.99
|
$122,011.00
|
$56,525.00
|
2026-07-31
|
|
32071196
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch
|
28
|
28
|
$65,942.99
|
$49,457.24
25% off
|
$46,160.09
|
$58,689.26
|
$56,051.54
|
2026-07-30
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
36
|
16
|
—
|
—
|
$36,950.14
|
$110,863.44
|
$55,997.21
|
2026-07-31
|
|
70404854
|
OTHER
|
Neurostimulator Dbs Activa Rc 37612
|
28
|
28
|
$65,585.82
|
$49,189.36
25% off
|
$45,910.07
|
$58,371.38
|
$55,747.95
|
2026-07-30
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
16
|
—
|
—
|
$33,720.09
|
$148,182.48
|
$55,617.11
|
2026-07-31
|
|
70390588
|
OTHER
|
Generator Demipulse Vns Implantable 103
|
28
|
28
|
$65,398.68
|
$49,049.01
25% off
|
$45,779.08
|
$58,204.83
|
$55,588.88
|
2026-07-30
|
|
646
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without…
|
1
|
1
|
—
|
—
|
$55,440.81
|
$55,440.81
|
$55,440.81
|
2026-07-31
|
|
2001005642
|
OTHER
|
Prosthetic Valve Level IV
|
28
|
28
|
$64,926.75
|
$48,695.06
25% off
|
$45,448.72
|
$57,784.81
|
$55,187.74
|
2026-07-30
|
|
2001005502
|
OTHER
|
Wireless Pulmonary Artery Pressure Sensor
|
28
|
28
|
$64,554.40
|
$48,415.80
25% off
|
$45,188.08
|
$57,453.42
|
$54,871.24
|
2026-07-30
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
29
|
15
|
—
|
—
|
$30,111.07
|
$170,279.90
|
$54,849.15
|
2026-07-31
|
|
2300001799
|
OTHER
|
Evar Aorta With Iliacs Endograft Aorto-bilat-iliac - Rupture
|
28
|
28
|
$64,406.46
|
$48,304.85
25% off
|
$45,084.52
|
$57,321.75
|
$54,745.49
|
2026-07-30
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
16
|
—
|
—
|
$32,927.30
|
$127,390.16
|
$54,659.62
|
2026-07-31
|
|
32066139
|
OTHER
|
Kit Osteotomy My3d Femoral
|
28
|
28
|
$64,200.65
|
$48,150.49
25% off
|
$44,940.46
|
$57,138.58
|
$54,570.55
|
2026-07-30
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
16
|
—
|
—
|
$33,040.37
|
$150,647.60
|
$54,475.08
|
2026-07-31
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
50
|
15
|
—
|
—
|
$46,588.05
|
$64,357.43
|
$54,404.11
|
2026-07-31
|
|
32006643
|
OTHER
|
Valve Transcatheter Melody 20mm Tpv 20
|
28
|
28
|
$63,876.32
|
$47,907.24
25% off
|
$44,713.42
|
$56,849.92
|
$54,294.87
|
2026-07-30
|
|
93654
|
OTHER
|
Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin…
|
28
|
28
|
$63,839.81
|
$47,879.86
25% off
|
$44,687.87
|
$56,817.43
|
$54,263.84
|
2026-07-30
|
|
2900000700
|
OTHER
|
Ep & Ablate Ventric Tachy
|
28
|
28
|
$63,839.81
|
$47,879.86
25% off
|
$44,687.87
|
$56,817.43
|
$54,263.84
|
2026-07-30
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
36
|
16
|
—
|
—
|
$38,337.02
|
$173,957.12
|
$54,228.10
|
2026-07-31
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
38
|
16
|
—
|
—
|
$28,561.05
|
$132,141.59
|
$53,909.43
|
2026-07-31
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
16
|
—
|
—
|
$30,299.38
|
$113,782.40
|
$53,803.48
|
2026-07-31
|
|
C1826
|
HCPCS
|
Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56
|
68
|
42
|
$74,903.90
|
$56,177.92
25% off
|
$23.25
|
$74,903.90
|
$53,556.29
|
2026-07-31
|
|
32070533
|
OTHER
|
Implant Biological Tissue Xenmat
|
28
|
28
|
$62,745.43
|
$47,059.07
25% off
|
$43,921.80
|
$55,843.43
|
$53,333.62
|
2026-07-30
|
|
77371
|
CPT
|
Hc Srs Rad Tx Multisource
|
87
|
47
|
$75,516.27
|
$56,637.20
25% off
|
$755.16
|
$75,516.27
|
$52,408.29
|
2026-07-31
|
|
8800
|
APR_DRG
|
945/946 - Rehab - Spinal/para
|
4
|
4
|
—
|
—
|
$52,167.81
|
$52,167.81
|
$52,167.81
|
2026-07-31
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
29
|
15
|
—
|
—
|
$41,561.06
|
$141,240.29
|
$52,023.94
|
2026-07-31
|
|
90288
|
CPT
|
Botulism Ig IV
|
7
|
2
|
—
|
—
|
$51,570.00
|
$51,570.00
|
$51,570.00
|
2026-07-31
|
|
2300000238
|
OTHER
|
Removal W Replacment Icd Single Lead System
|
28
|
28
|
$60,440.16
|
$45,330.12
25% off
|
$42,308.11
|
$53,791.74
|
$51,374.14
|
2026-07-30
|
|
2300000245
|
OTHER
|
Removal W Replacment Icd Dual Lead System
|
28
|
28
|
$60,440.16
|
$45,330.12
25% off
|
$42,308.11
|
$53,791.74
|
$51,374.14
|
2026-07-30
|
|
33263
|
OTHER
|
Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant…
|
28
|
28
|
$60,440.16
|
$45,330.12
25% off
|
$42,308.11
|
$53,791.74
|
$51,374.14
|
2026-07-30
|
|
33262
|
OTHER
|
Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant…
|
28
|
28
|
$60,440.16
|
$45,330.12
25% off
|
$42,308.11
|
$53,791.74
|
$51,374.14
|
2026-07-30
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
19
|
11
|
—
|
—
|
$47,732.11
|
$83,863.80
|
$51,073.36
|
2026-07-31
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
36
|
16
|
—
|
—
|
$30,673.36
|
$115,399.36
|
$50,854.01
|
2026-07-31
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
38
|
16
|
—
|
—
|
$29,857.82
|
$108,837.28
|
$50,621.89
|
2026-07-31
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
36
|
16
|
—
|
—
|
$39,894.51
|
$198,005.68
|
$50,585.32
|
2026-07-31
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
38
|
16
|
—
|
—
|
$28,076.22
|
$108,462.80
|
$50,458.55
|
2026-07-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
36
|
16
|
—
|
—
|
$30,431.85
|
$106,411.84
|
$50,318.21
|
2026-07-31
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
35
|
15
|
—
|
—
|
$28,254.18
|
$116,386.40
|
$50,265.59
|
2026-07-31
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
36
|
16
|
—
|
—
|
$23,914.22
|
$139,306.56
|
$50,135.60
|
2026-07-31
|
|
277
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
38
|
16
|
—
|
—
|
$30,898.82
|
$117,254.40
|
$50,028.49
|
2026-07-31
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
36
|
16
|
—
|
—
|
$28,024.03
|
$129,426.24
|
$49,929.01
|
2026-07-31
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
36
|
16
|
—
|
—
|
$27,784.52
|
$136,640.56
|
$49,847.55
|
2026-07-31
|
|
2300001785
|
OTHER
|
Evar Aorta With Iliacs Endograft Aorto-uni-iliac - Rupture
|
28
|
28
|
$58,551.33
|
$43,913.50
25% off
|
$40,985.93
|
$52,110.68
|
$49,768.63
|
2026-07-30
|
|
2300001792
|
OTHER
|
Evar Aorta With Iliacs Endograft Aorto-bilat-iliac - Non Ruptu
|
28
|
28
|
$58,551.33
|
$43,913.50
25% off
|
$40,985.93
|
$52,110.68
|
$49,768.63
|
2026-07-30
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
20
|
11
|
—
|
—
|
$48,007.08
|
$148,117.00
|
$49,759.33
|
2026-07-31
|
|
32008742
|
OTHER
|
Implant Cochlear Synchrony Flex28
|
28
|
28
|
$58,235.73
|
$43,676.80
25% off
|
$40,765.01
|
$51,829.80
|
$49,500.37
|
2026-07-30
|
|
32027068
|
OTHER
|
Device Dynagen Df4 Crtd Is1/df4/is1
|
28
|
28
|
$58,193.85
|
$43,645.39
25% off
|
$40,735.69
|
$51,792.53
|
$49,464.77
|
2026-07-30
|
|
367
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$49,345.78
|
$49,345.78
|
$49,345.78
|
2026-07-31
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
36
|
16
|
—
|
—
|
$28,720.49
|
$124,927.52
|
$49,321.49
|
2026-07-31
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
38
|
16
|
—
|
—
|
$4,562.52
|
$105,335.52
|
$48,855.46
|
2026-07-31
|
|
32008741
|
OTHER
|
Implant Cochlear Synchrony Flex24
|
28
|
28
|
$57,326.79
|
$42,995.09
25% off
|
$40,128.75
|
$51,020.84
|
$48,727.77
|
2026-07-30
|
|
2300000175
|
OTHER
|
Insert Icd Generator Only Exist Dual Leads
|
28
|
28
|
$57,019.02
|
$42,764.26
25% off
|
$39,913.31
|
$50,746.93
|
$48,466.17
|
2026-07-30
|
|
33230
|
OTHER
|
Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual …
|
28
|
28
|
$57,019.02
|
$42,764.26
25% off
|
$39,913.31
|
$50,746.93
|
$48,466.17
|
2026-07-30
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
36
|
16
|
—
|
—
|
$21,645.94
|
$119,337.60
|
$48,439.96
|
2026-07-31
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
34
|
14
|
—
|
—
|
$28,371.92
|
$102,850.56
|
$48,402.37
|
2026-07-31
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
38
|
16
|
—
|
—
|
$28,951.30
|
$106,367.20
|
$48,048.84
|
2026-07-31
|
|
273
|
MS_DRG
|
Percutaneous Intracardiac Procedures W Mcc
|
36
|
16
|
—
|
—
|
$27,600.54
|
$101,216.24
|
$47,849.22
|
2026-07-31
|
|
32047137
|
OTHER
|
Kit Ipg 1060 A
|
28
|
28
|
$56,039.69
|
$42,029.77
25% off
|
$39,227.78
|
$49,875.32
|
$47,633.74
|
2026-07-30
|
|
32064705
|
OTHER
|
System Spinal Cord Stim Ipg Patient
|
28
|
28
|
$56,039.69
|
$42,029.77
25% off
|
$39,227.78
|
$49,875.32
|
$47,633.74
|
2026-07-30
|
|
32010559
|
OTHER
|
Defibrillator Inogen Crt D Is 1 72.8g G141
|
28
|
28
|
$55,664.02
|
$41,748.01
25% off
|
$38,964.81
|
$49,540.98
|
$47,314.42
|
2026-07-30
|
|
70402800
|
OTHER
|
Mesh Surgimend 3.0 Hernia Repair 25x40cm
|
28
|
28
|
$55,557.04
|
$41,667.78
25% off
|
$38,889.93
|
$49,445.77
|
$47,223.48
|
2026-07-30
|
|
403
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$47,202.36
|
$47,202.36
|
$47,202.36
|
2026-07-31
|
|
32042003
|
OTHER
|
Kit Generator Vercise Gevia Ipg
|
28
|
28
|
$55,030.52
|
$41,272.89
25% off
|
$38,521.36
|
$48,977.16
|
$46,775.94
|
2026-07-30
|
|
32059296
|
OTHER
|
Kit Ipg Vercise Genus R16
|
28
|
28
|
$55,030.52
|
$41,272.89
25% off
|
$38,521.36
|
$48,977.16
|
$46,775.94
|
2026-07-30
|
|
73005479
|
OTHER
|
Graft Iliac Aorta R010
|
28
|
28
|
$55,020.39
|
$41,265.29
25% off
|
$38,514.27
|
$48,968.15
|
$46,767.33
|
2026-07-30
|
|
1176997450
|
OTHER
|
Nivolumab-relatlimab 240 Mg/80 Mg 20 Ml Vial
|
28
|
28
|
$54,793.98
|
$41,095.49
25% off
|
$38,355.79
|
$48,766.64
|
$46,574.88
|
2026-07-30
|
|
C2616
|
HCPCS
|
Hc Brachytx Non-str Yttrium-90
|
115
|
75
|
$64,501.40
|
$48,376.05
25% off
|
$645.01
|
$77,769.05
|
$46,441.01
|
2026-07-31
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
36
|
16
|
—
|
—
|
$26,171.51
|
$122,358.24
|
$46,415.88
|
2026-07-31
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
38
|
16
|
—
|
—
|
$25,895.87
|
$96,794.40
|
$46,201.48
|
2026-07-31
|
|
691
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$45,991.06
|
$45,991.06
|
$45,991.06
|
2026-07-31
|
|
12
|
MS_DRG
|
Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
36
|
16
|
—
|
—
|
$28,206.01
|
$119,955.12
|
$45,953.96
|
2026-07-31
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
34
|
14
|
—
|
—
|
$10,795.84
|
$98,887.52
|
$45,887.98
|
2026-07-31
|
|
70403671
|
OTHER
|
Generator Aspire Hc Vns Implantable 105
|
28
|
28
|
$53,948.77
|
$40,461.58
25% off
|
$37,764.14
|
$48,014.41
|
$45,856.45
|
2026-07-30
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
29
|
15
|
—
|
—
|
$36,421.54
|
$123,774.25
|
$45,590.56
|
2026-07-31
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
36
|
16
|
—
|
—
|
$25,685.80
|
$128,615.28
|
$45,439.81
|
2026-07-31
|
|
2001003077
|
OTHER
|
Prosthetic Valve Level Ii
|
28
|
28
|
$53,281.39
|
$39,961.04
25% off
|
$37,296.97
|
$47,420.44
|
$45,289.18
|
2026-07-30
|
|
2300000308
|
OTHER
|
Replace Aortic Valve Transapical Apprch
|
28
|
28
|
$53,067.24
|
$39,800.43
25% off
|
$37,147.07
|
$47,229.84
|
$45,107.15
|
2026-07-30
|
|
33366
|
OTHER
|
Transcatheter Aortic Valve Replacement (tavr/tavi) With Prosthetic Valve; Transa…
|
28
|
28
|
$53,067.24
|
$39,800.43
25% off
|
$37,147.07
|
$47,229.84
|
$45,107.15
|
2026-07-30
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
36
|
16
|
—
|
—
|
$24,223.31
|
$95,259.28
|
$45,044.58
|
2026-07-31
|
|
70403618
|
OTHER
|
Graft Strattice 25x40cm Firm 2540002
|
28
|
28
|
$52,884.96
|
$39,663.72
25% off
|
$37,019.47
|
$47,067.61
|
$44,952.22
|
2026-07-30
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
38
|
16
|
—
|
—
|
$26,654.54
|
$94,582.53
|
$44,808.44
|
2026-07-31
|
|
32047564
|
OTHER
|
Implant Cochlear Synchrony Pin Flex28
|
28
|
28
|
$52,578.23
|
$39,433.67
25% off
|
$36,804.76
|
$46,794.62
|
$44,691.50
|
2026-07-30
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
36
|
16
|
—
|
—
|
$38,907.03
|
$90,453.04
|
$44,678.86
|
2026-07-31
|
|
2111007246
|
OTHER
|
Phrenic Nerve Stimulator System - 1 Device & 1 Lead
|
28
|
28
|
$52,500.00
|
$39,375.00
25% off
|
$36,750.00
|
$46,725.00
|
$44,625.00
|
2026-07-30
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
21
|
13
|
—
|
—
|
$22,912.82
|
$50,975.11
|
$44,597.65
|
2026-07-31
|
|
64654
|
CPT
|
1st Opn Implt Bat Modulj Sys
|
25
|
11
|
—
|
—
|
$46.50
|
$50,975.11
|
$44,597.65
|
2026-07-31
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
35
|
14
|
—
|
—
|
$1,368.90
|
$50,975.11
|
$44,597.65
|
2026-07-31
|
|
C2624
|
HCPCS
|
Hc Wireless Pressure Sensor Implant Lvl 37
|
158
|
67
|
$64,554.40
|
$48,415.80
25% off
|
$145.91
|
$86,710.75
|
$44,531.86
|
2026-07-31
|
|
40
|
MS_DRG
|
Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc
|
36
|
16
|
—
|
—
|
$25,832.31
|
$127,038.00
|
$44,531.06
|
2026-07-31
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With…
|
36
|
16
|
—
|
—
|
$21,489.28
|
$109,142.32
|
$44,250.20
|
2026-07-31
|
|
739
|
MS_DRG
|
Uterine- Adnexa Proc For Non-ovarian/adnexal Malig W Mcc
|
36
|
16
|
—
|
—
|
$23,969.75
|
$93,560.48
|
$44,241.28
|
2026-07-31
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
7
|
2
|
—
|
—
|
$38,884.10
|
$46,395.80
|
$44,186.48
|
2026-07-31
|
|
32057265
|
OTHER
|
Neurostimulator Deep Brain Percept Pc B35200
|
28
|
28
|
$51,783.77
|
$38,837.83
25% off
|
$36,248.64
|
$46,087.56
|
$44,016.20
|
2026-07-30
|
|
628
|
MS_DRG
|
Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc
|
36
|
16
|
—
|
—
|
$24,933.15
|
$100,643.36
|
$43,944.21
|
2026-07-31
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
36
|
16
|
—
|
—
|
$25,003.39
|
$92,987.60
|
$43,817.29
|
2026-07-31
|
|
A9607
|
HCPCS
|
Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
|
122
|
75
|
$155,669.85
|
$116,752.39
25% off
|
$200.35
|
$155,669.85
|
$43,743.23
|
2026-07-31
|
|
32034173
|
OTHER
|
Graft Alloderm Select Perforated 16x20cm Thick
|
28
|
28
|
$51,295.98
|
$38,471.99
25% off
|
$35,907.19
|
$45,653.42
|
$43,601.58
|
2026-07-30
|
|
32047898
|
OTHER
|
Stent Graft Relay Thoracic Single Straight 38mmx250mm
|
28
|
28
|
$51,179.61
|
$38,384.71
25% off
|
$35,825.73
|
$45,549.85
|
$43,502.67
|
2026-07-30
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
16
|
—
|
—
|
$31,389.22
|
$145,144.48
|
$43,492.07
|
2026-07-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
36
|
16
|
—
|
—
|
$30,751.64
|
$108,599.20
|
$43,361.18
|
2026-07-31
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
50
|
15
|
—
|
—
|
$38,468.00
|
$53,051.20
|
$43,324.60
|
2026-07-31
|
|
2001000007
|
OTHER
|
Valve Clip
|
28
|
28
|
$50,967.91
|
$38,225.93
25% off
|
$35,677.54
|
$45,361.44
|
$43,322.72
|
2026-07-30
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
36
|
16
|
—
|
—
|
$23,854.68
|
$97,216.00
|
$43,322.27
|
2026-07-31
|
|
32070691
|
OTHER
|
Implant Cochlear Synchrony 2 Custom Device
|
28
|
28
|
$50,921.20
|
$38,190.90
25% off
|
$35,644.84
|
$45,319.87
|
$43,283.02
|
2026-07-30
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
36
|
16
|
—
|
—
|
$21,761.98
|
$100,926.08
|
$43,148.63
|
2026-07-31
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
36
|
16
|
—
|
—
|
$25,006.07
|
$112,190.24
|
$43,089.60
|
2026-07-31
|
|
32027312
|
OTHER
|
Kit Ipg Nipg1500
|
28
|
28
|
$50,683.31
|
$38,012.48
25% off
|
$35,478.32
|
$45,108.15
|
$43,080.81
|
2026-07-30
|
|
34706
|
OTHER
|
Endovascular Repair Of Infrarenal Aorta And/or Iliac Artery(
|
56
|
28
|
$55,058.02
|
$41,293.52
25% off
|
$31,996.71
|
$57,321.75
|
$42,883.03
|
2026-07-30
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
35
|
15
|
—
|
—
|
$31,850.84
|
$154,831.36
|
$42,669.46
|
2026-07-31
|
|
33999
|
OTHER
|
Unlisted Cardiac Surgery
|
28
|
28
|
$50,167.50
|
$37,625.63
25% off
|
$35,117.25
|
$44,649.07
|
$42,642.38
|
2026-07-30
|
|
2300002338
|
OTHER
|
Tavr Open Carotid Approach
|
28
|
28
|
$50,167.50
|
$37,625.63
25% off
|
$35,117.25
|
$44,649.07
|
$42,642.38
|
2026-07-30
|
|
33363
|
OTHER
|
Transcatheter Aortic Valve Replacement (tavr/tavi) With Prosthetic Valve; Open A…
|
28
|
28
|
$50,167.50
|
$37,625.63
25% off
|
$35,117.25
|
$44,649.07
|
$42,642.38
|
2026-07-30
|
|
2300000287
|
OTHER
|
Replace Aortc Valve Open Axillary Apprch
|
28
|
28
|
$50,167.50
|
$37,625.63
25% off
|
$35,117.25
|
$44,649.07
|
$42,642.38
|
2026-07-30
|
|
32067523
|
OTHER
|
Nail Tibial Antegrade Precice 8.
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32065936
|
OTHER
|
Nail Intramed Retrograde Fem Str
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32063515
|
OTHER
|
Nail Intramed Retrograde Fem Strght 12.5
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32064302
|
OTHER
|
Femure Antegrade Piriformis 8.5x50mm
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32065033
|
OTHER
|
Nail Tibial Antegrade 8.5x50x215mm 10deg P8.5 50c215
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32066239
|
OTHER
|
Femure Retrograde Straight 10.7x21
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32036618
|
OTHER
|
Femur Antegrade Trochanter 10.7mm X 215mm
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32066640
|
OTHER
|
Femur Antegrade Nail Pirifor
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32070635
|
OTHER
|
Nail Antegrade Femur Piriformis St
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32070930
|
OTHER
|
Nail Intramed Antegrade Fem Troch Dst 12.5x
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32029565
|
OTHER
|
Femur Antegrade Trochanter 10.7mm X245mm
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32067254
|
OTHER
|
Nail Tibial Precise 10.7x245mm
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32068799
|
OTHER
|
Femur Nail Antegrade Trochanter Precice 8.5x165mm 10deg
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32067270
|
OTHER
|
Nail Tibial Precise Tibia 10.7x305mm
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32064674
|
OTHER
|
Nail Intramed Retro
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
32060219
|
OTHER
|
Femur Antegrade Nail Piriformis 12.5x335 P12.5 80b335
|
28
|
28
|
$50,046.93
|
$37,535.20
25% off
|
$35,032.85
|
$44,541.77
|
$42,539.89
|
2026-07-30
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
19
|
11
|
—
|
—
|
$39,671.05
|
$71,518.49
|
$42,448.03
|
2026-07-31
|
|
213
|
MS_DRG
|
Splenic Procedures Age 0-17
|
28
|
14
|
—
|
—
|
$16,143.43
|
$135,481.81
|
$42,437.60
|
2026-07-31
|
|
32060835
|
OTHER
|
Implant Tmj Mandibular Oversized Comp Chg024
|
28
|
28
|
$49,874.78
|
$37,406.08
25% off
|
$34,912.35
|
$44,388.55
|
$42,393.56
|
2026-07-30
|
|
32042071
|
OTHER
|
Rod Magec 2 4.5x90mm Std
|
28
|
28
|
$49,611.92
|
$37,208.94
25% off
|
$34,728.34
|
$44,154.61
|
$42,170.13
|
2026-07-30
|
|
32042336
|
OTHER
|
Rod Magec 2 4.5x70mm Std
|
28
|
28
|
$49,611.92
|
$37,208.94
25% off
|
$34,728.34
|
$44,154.61
|
$42,170.13
|
2026-07-30
|
|
32035646
|
OTHER
|
Rod Magec 4.5mm 70mm Offset
|
28
|
28
|
$49,611.92
|
$37,208.94
25% off
|
$34,728.34
|
$44,154.61
|
$42,170.13
|
2026-07-30
|
|
32040062
|
OTHER
|
Actuator Magec 2 Rod 6.0x70mm Std
|
28
|
28
|
$49,611.92
|
$37,208.94
25% off
|
$34,728.34
|
$44,154.61
|
$42,170.13
|
2026-07-30
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor…
|
38
|
16
|
—
|
—
|
$23,811.86
|
$92,196.48
|
$42,151.29
|
2026-07-31
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
36
|
16
|
—
|
—
|
$23,545.59
|
$97,793.84
|
$42,004.44
|
2026-07-31
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
29
|
15
|
—
|
—
|
$33,556.09
|
$114,036.33
|
$42,003.75
|
2026-07-31
|
|
32012992
|
OTHER
|
Implant Cochlear Synchrony Compressed
|
28
|
28
|
$49,401.25
|
$37,050.94
25% off
|
$34,580.88
|
$43,967.11
|
$41,991.06
|
2026-07-30
|
|
956
|
MS_DRG
|
Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma
|
36
|
16
|
—
|
—
|
$25,175.33
|
$110,099.60
|
$41,893.86
|
2026-07-31
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
36
|
16
|
—
|
—
|
$27,915.65
|
$146,191.04
|
$41,891.21
|
2026-07-31
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
38
|
16
|
—
|
—
|
$24,573.88
|
$95,232.00
|
$41,750.26
|
2026-07-31
|
|
2300000273
|
OTHER
|
Replace Aortic Valve Perq Femoral Approach
|
28
|
28
|
$49,077.73
|
$36,808.30
25% off
|
$34,354.41
|
$43,679.18
|
$41,716.07
|
2026-07-30
|
|
2300002352
|
OTHER
|
Bioprosthetic Valve Insert Via Femoral Vein Open
|
28
|
28
|
$49,077.73
|
$36,808.30
25% off
|
$34,354.41
|
$43,679.18
|
$41,716.07
|
2026-07-30
|
|
0744T
|
CPT
|
Hc Bioprosthetic Valve Insert Via Femoral Vein Open
|
114
|
74
|
$65,066.79
|
$48,800.09
25% off
|
$650.67
|
$65,066.79
|
$41,716.07
|
2026-07-31
|
|
33361
|
OTHER
|
Transcatheter Aortic Valve Replacement (tavr/tavi) With Prosthetic Valve; Percut…
|
28
|
28
|
$49,077.73
|
$36,808.30
25% off
|
$34,354.41
|
$43,679.18
|
$41,716.07
|
2026-07-30
|
|
32035611
|
OTHER
|
Bone Distal Femur Rt Mops25
|
28
|
28
|
$49,048.09
|
$36,786.07
25% off
|
$34,333.66
|
$43,652.80
|
$41,690.88
|
2026-07-30
|
|
32035140
|
OTHER
|
Bone Distal Femur Lt Mops24
|
28
|
28
|
$49,048.09
|
$36,786.07
25% off
|
$34,333.66
|
$43,652.80
|
$41,690.88
|
2026-07-30
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
38
|
16
|
—
|
—
|
$23,834.61
|
$86,951.28
|
$41,548.32
|
2026-07-31
|
|
648
|
MS_DRG
|
Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With…
|
1
|
1
|
—
|
—
|
$41,504.68
|
$41,504.68
|
$41,504.68
|
2026-07-31
|
|
32046737
|
OTHER
|
Graft Strattice 30x30cm Firm 3030002
|
28
|
28
|
$48,772.08
|
$36,579.06
25% off
|
$34,140.46
|
$43,407.15
|
$41,456.27
|
2026-07-30
|
|
32068524
|
OTHER
|
Graft Zenith Tx2 Dissection Endovascula
|
28
|
28
|
$48,319.75
|
$36,239.81
25% off
|
$33,823.82
|
$43,004.58
|
$41,071.79
|
2026-07-30
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc
|
36
|
16
|
—
|
—
|
$24,563.85
|
$105,109.84
|
$40,974.98
|
2026-07-31
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
37
|
15
|
—
|
—
|
$23,792.46
|
$85,716.24
|
$40,950.61
|
2026-07-31
|
|
70401435
|
OTHER
|
Stimulator Neuro Activa Pc Implantable
|
28
|
28
|
$48,077.29
|
$36,057.97
25% off
|
$33,654.10
|
$42,788.79
|
$40,865.70
|
2026-07-30
|
|
2300000168
|
OTHER
|
Removal W Replacment Pm Multi Lead System
|
28
|
28
|
$48,070.89
|
$36,053.17
25% off
|
$33,649.62
|
$42,783.09
|
$40,860.26
|
2026-07-30
|
|
33229
|
OTHER
|
Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul…
|
28
|
28
|
$48,070.89
|
$36,053.17
25% off
|
$33,649.62
|
$42,783.09
|
$40,860.26
|
2026-07-30
|
|
2001005495
|
OTHER
|
Left Atrial Appendage Closure Device
|
28
|
28
|
$48,052.09
|
$36,039.07
25% off
|
$33,636.46
|
$42,766.36
|
$40,844.28
|
2026-07-30
|
|
34705
|
OTHER
|
Endovascular Repair Of Infrarenal Aorta And/or Iliac Artery(
|
56
|
28
|
$52,130.46
|
$39,097.85
25% off
|
$31,996.71
|
$52,110.68
|
$40,833.74
|
2026-07-30
|
|
361
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$40,740.61
|
$40,740.61
|
$40,740.61
|
2026-07-31
|
|
1176263100
|
OTHER
|
Cabazitaxel 10 mg/mL 6 Ml Sdv Kit
|
28
|
28
|
$47,873.67
|
$35,905.25
25% off
|
$33,511.57
|
$42,607.57
|
$40,692.62
|
2026-07-30
|
|
32039025
|
OTHER
|
Kit Generator Vercise Ipg
|
28
|
28
|
$47,826.86
|
$35,870.14
25% off
|
$33,478.80
|
$42,565.91
|
$40,652.83
|
2026-07-30
|
|
33999
|
CPT
|
Hc Carotid Approach Tavr
|
159
|
47
|
$58,681.63
|
$44,011.22
25% off
|
$46.50
|
$60,151.34
|
$40,620.47
|
2026-07-31
|
|
32068244
|
OTHER
|
Kit Implantable Pulse Generator Vercise Genus P16
|
28
|
28
|
$47,757.59
|
$35,818.19
25% off
|
$33,430.31
|
$42,504.26
|
$40,593.95
|
2026-07-30
|
|
32037738
|
OTHER
|
Generator Pulse Infinity 7 Ipg
|
28
|
28
|
$47,757.58
|
$35,818.18
25% off
|
$33,430.31
|
$42,504.25
|
$40,593.94
|
2026-07-30
|