|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx / Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatme…
|
45
|
41
|
$80,498.30
|
$60,373.72
25% off
|
$47,022.32
|
$76,473.38
|
$76,473.38
|
2026-08-01
|
|
C2616
|
HCPCS
|
Brachytherapy Source, Non-stranded, Yttrium-90, Per Source
|
45
|
41
|
$78,642.86
|
$58,982.14
25% off
|
$14,705.51
|
$74,710.72
|
$74,710.72
|
2026-08-01
|
|
32069252
|
OTHER
|
Kit Implantable Pulse Generator Wavewriter Alpha Prime 32
|
30
|
30
|
$163,172.74
|
$122,379.55
25% off
|
$145,223.74
|
$155,014.10
|
$155,014.10
|
2026-08-01
|
|
32029878
|
OTHER
|
Kit Lvad Heartmate 3 106524us
|
30
|
30
|
$120,824.06
|
$90,618.04
25% off
|
$107,533.41
|
$114,782.86
|
$114,782.86
|
2026-08-01
|
|
1111000826
|
OTHER
|
Y90 Ibritumomab Rx
|
30
|
30
|
$80,498.30
|
$60,373.72
25% off
|
$71,643.49
|
$76,473.38
|
$76,473.38
|
2026-08-01
|
|
1111001379
|
OTHER
|
Brachytx Non-stryttrium-90
|
30
|
30
|
$78,642.86
|
$58,982.14
25% off
|
$69,992.15
|
$74,710.72
|
$74,710.72
|
2026-08-01
|
|
32067294
|
OTHER
|
Device Cardiac Ventricular Assis
|
30
|
30
|
$69,677.72
|
$52,258.29
25% off
|
$62,013.17
|
$66,193.83
|
$66,193.83
|
2026-08-01
|
|
32070120
|
OTHER
|
Device Spinal Mid C 105mm W/40mm
|
30
|
30
|
$63,502.38
|
$47,626.79
25% off
|
$56,517.12
|
$60,327.26
|
$60,327.26
|
2026-08-01
|
|
32006323
|
OTHER
|
Pump Blood Vad 15ml With Pu Valves
|
30
|
30
|
$62,193.45
|
$46,645.09
25% off
|
$55,352.17
|
$59,083.78
|
$59,083.78
|
2026-08-01
|
|
73006137
|
OTHER
|
Pump Blood Vad 10ml With Pu Valves
|
30
|
30
|
$62,193.45
|
$46,645.09
25% off
|
$55,352.17
|
$59,083.78
|
$59,083.78
|
2026-08-01
|
|
32034342
|
OTHER
|
Generator Sentiva 1000
|
30
|
30
|
$59,116.45
|
$44,337.34
25% off
|
$52,613.64
|
$56,160.63
|
$56,160.63
|
2026-08-01
|
|
32054973
|
OTHER
|
Mesh Phasix 19.5x19.5in Square 1195050
|
30
|
30
|
$56,114.80
|
$42,086.10
25% off
|
$49,942.17
|
$53,309.06
|
$53,309.06
|
2026-08-01
|
|
32037145
|
OTHER
|
Kit Rns Neurostimulator
|
30
|
30
|
$55,336.47
|
$41,502.35
25% off
|
$49,249.46
|
$52,569.65
|
$52,569.65
|
2026-08-01
|
|
32070419
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 34mmx12mm
|
30
|
30
|
$54,187.93
|
$40,640.95
25% off
|
$48,227.26
|
$51,478.53
|
$51,478.53
|
2026-08-01
|
|
32068640
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 40mmx15cm 12mm
|
30
|
30
|
$54,187.93
|
$40,640.95
25% off
|
$48,227.26
|
$51,478.53
|
$51,478.53
|
2026-08-01
|
|
32069011
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch 40mmx
|
30
|
30
|
$54,187.93
|
$40,640.95
25% off
|
$48,227.26
|
$51,478.53
|
$51,478.53
|
2026-08-01
|
|
32010894
|
OTHER
|
Generator Aspire Sr 106
|
30
|
30
|
$54,146.48
|
$40,609.86
25% off
|
$48,190.37
|
$51,439.16
|
$51,439.16
|
2026-08-01
|
|
32011486
|
OTHER
|
Graft Matristem Thick 30x40cm Plastics
|
30
|
30
|
$51,745.69
|
$38,809.27
25% off
|
$46,053.66
|
$49,158.41
|
$49,158.41
|
2026-08-01
|
|
32071196
|
OTHER
|
Endoprosthesis Thoracic Aortic Branch
|
30
|
30
|
$51,607.56
|
$38,705.67
25% off
|
$45,930.73
|
$49,027.18
|
$49,027.18
|
2026-08-01
|
|
32045394
|
OTHER
|
Valve Heart Sapien 3 23mm Ultra Transcatheter W/commander Sy
|
30
|
30
|
$50,855.11
|
$38,141.33
25% off
|
$45,261.05
|
$48,312.35
|
$48,312.35
|
2026-08-01
|
|
70396940
|
OTHER
|
Generator Demipulse Vns Implantable 104
|
30
|
30
|
$49,816.37
|
$37,362.28
25% off
|
$44,336.57
|
$47,325.55
|
$47,325.55
|
2026-08-01
|
|
70404854
|
OTHER
|
Neurostimulator Dbs Activa Rc 37612
|
30
|
30
|
$46,864.73
|
$35,148.55
25% off
|
$41,709.61
|
$44,521.49
|
$44,521.49
|
2026-08-01
|
|
70390588
|
OTHER
|
Generator Demipulse Vns Implantable 103
|
30
|
30
|
$46,731.00
|
$35,048.25
25% off
|
$41,590.59
|
$44,394.45
|
$44,394.45
|
2026-08-01
|
|
32066139
|
OTHER
|
Kit Osteotomy My3d Femoral
|
30
|
30
|
$45,874.95
|
$34,406.21
25% off
|
$40,828.71
|
$43,581.20
|
$43,581.20
|
2026-08-01
|
|
32006643
|
OTHER
|
Valve Transcatheter Melody 20mm Tpv 20
|
30
|
30
|
$45,643.19
|
$34,232.39
25% off
|
$40,622.44
|
$43,361.03
|
$43,361.03
|
2026-08-01
|
|
32070533
|
OTHER
|
Implant Biological Tissue Xenmat
|
30
|
30
|
$44,835.11
|
$33,626.33
25% off
|
$39,903.25
|
$42,593.35
|
$42,593.35
|
2026-08-01
|
|
32027068
|
OTHER
|
Device Dynagen Df4 Crtd Is1/df4/is1
|
30
|
30
|
$44,385.16
|
$33,288.87
25% off
|
$39,502.79
|
$42,165.90
|
$42,165.90
|
2026-08-01
|
|
32008741
|
OTHER
|
Implant Cochlear Synchrony Flex24
|
30
|
30
|
$43,723.85
|
$32,792.89
25% off
|
$38,914.23
|
$41,537.66
|
$41,537.66
|
2026-08-01
|
|
32010559
|
OTHER
|
Defibrillator Inogen Crt D Is 1 72.8g G141
|
30
|
30
|
$42,455.63
|
$31,841.72
25% off
|
$37,785.51
|
$40,332.85
|
$40,332.85
|
2026-08-01
|
|
70402800
|
OTHER
|
Mesh Surgimend 3.0 Hernia Repair 25x40cm
|
30
|
30
|
$42,374.04
|
$31,780.53
25% off
|
$37,712.90
|
$40,255.34
|
$40,255.34
|
2026-08-01
|
|
32008742
|
OTHER
|
Implant Cochlear Synchrony Flex28
|
30
|
30
|
$41,612.68
|
$31,209.51
25% off
|
$37,035.29
|
$39,532.05
|
$39,532.05
|
2026-08-01
|
|
70403671
|
OTHER
|
Generator Aspire Hc Vns Implantable 105
|
30
|
30
|
$41,147.39
|
$30,860.54
25% off
|
$36,621.18
|
$39,090.02
|
$39,090.02
|
2026-08-01
|
|
70403618
|
OTHER
|
Graft Strattice 25x40cm Firm 2540002
|
30
|
30
|
$40,336.01
|
$30,252.01
25% off
|
$35,899.05
|
$38,319.21
|
$38,319.21
|
2026-08-01
|
|
32047564
|
OTHER
|
Implant Cochlear Synchrony Pin Flex28
|
30
|
30
|
$40,102.06
|
$30,076.54
25% off
|
$35,690.83
|
$38,096.96
|
$38,096.96
|
2026-08-01
|
|
32064705
|
OTHER
|
System Spinal Cord Stim Ipg Patient
|
30
|
30
|
$40,043.48
|
$30,032.61
25% off
|
$35,638.70
|
$38,041.31
|
$38,041.31
|
2026-08-01
|
|
32047137
|
OTHER
|
Kit Ipg 1060 A
|
30
|
30
|
$40,043.48
|
$30,032.61
25% off
|
$35,638.70
|
$38,041.31
|
$38,041.31
|
2026-08-01
|
|
32059296
|
OTHER
|
Kit Ipg Vercise Genus R16
|
30
|
30
|
$39,322.37
|
$29,491.78
25% off
|
$34,996.91
|
$37,356.25
|
$37,356.25
|
2026-08-01
|
|
32042003
|
OTHER
|
Kit Generator Vercise Gevia Ipg
|
30
|
30
|
$39,322.37
|
$29,491.78
25% off
|
$34,996.91
|
$37,356.25
|
$37,356.25
|
2026-08-01
|
|
73005479
|
OTHER
|
Graft Iliac Aorta R010
|
30
|
30
|
$39,315.14
|
$29,486.35
25% off
|
$34,990.47
|
$37,349.38
|
$37,349.38
|
2026-08-01
|
|
32047898
|
OTHER
|
Stent Graft Relay Thoracic Single Straight 38mmx250mm
|
30
|
30
|
$39,035.32
|
$29,276.49
25% off
|
$34,741.43
|
$37,083.55
|
$37,083.55
|
2026-08-01
|
|
32035611
|
OTHER
|
Bone Distal Femur Rt Mops25
|
30
|
30
|
$38,385.46
|
$28,789.10
25% off
|
$34,163.06
|
$36,466.19
|
$36,466.19
|
2026-08-01
|
|
32035140
|
OTHER
|
Bone Distal Femur Lt Mops24
|
30
|
30
|
$38,385.46
|
$28,789.10
25% off
|
$34,163.06
|
$36,466.19
|
$36,466.19
|
2026-08-01
|
|
32012992
|
OTHER
|
Implant Cochlear Synchrony Compressed
|
30
|
30
|
$37,678.94
|
$28,259.21
25% off
|
$33,534.26
|
$35,794.99
|
$35,794.99
|
2026-08-01
|
|
32046737
|
OTHER
|
Graft Strattice 30x30cm Firm 3030002
|
30
|
30
|
$37,199.07
|
$27,899.30
25% off
|
$33,107.17
|
$35,339.12
|
$35,339.12
|
2026-08-01
|
|
1300001974
|
OTHER
|
Endovas Aaa Repair Two Docking Limbs / Phy-phy-endovas Aaa Repair Two Docking Li…
|
30
|
30
|
$37,134.89
|
$27,851.17
25% off
|
$33,050.05
|
$35,278.15
|
$35,278.15
|
2026-08-01
|
|
34803
|
OTHER
|
Evasc Rpr Aaa W/mdlr Bfrc Prosth 2 Limbs / Endovascular Repair Of Infrarenal Abd…
|
30
|
30
|
$37,134.89
|
$27,851.17
25% off
|
$33,050.05
|
$35,278.15
|
$35,278.15
|
2026-08-01
|
|
32057265
|
OTHER
|
Neurostimulator Deep Brain Percept Pc B35200
|
30
|
30
|
$37,002.39
|
$27,751.79
25% off
|
$32,932.13
|
$35,152.27
|
$35,152.27
|
2026-08-01
|
|
32034173
|
OTHER
|
Graft Alloderm Select Perforated 16x20cm Thick
|
30
|
30
|
$36,653.84
|
$27,490.38
25% off
|
$32,621.92
|
$34,821.15
|
$34,821.15
|
2026-08-01
|
|
32039025
|
OTHER
|
Kit Generator Vercise Ipg
|
30
|
30
|
$36,478.13
|
$27,358.60
25% off
|
$32,465.54
|
$34,654.22
|
$34,654.22
|
2026-08-01
|
|
32009208
|
OTHER
|
Mesh Xenmatrix Surgical Graft 19x35cm
|
30
|
30
|
$36,424.57
|
$27,318.43
25% off
|
$32,417.87
|
$34,603.34
|
$34,603.34
|
2026-08-01
|
|
32070691
|
OTHER
|
Implant Cochlear Synchrony 2 Custom Device
|
30
|
30
|
$36,386.03
|
$27,289.52
25% off
|
$32,383.57
|
$34,566.73
|
$34,566.73
|
2026-08-01
|
|
37227
|
OTHER
|
Revasc Fem/pop Art Stnt/athrcmy W/pta / Revsc Opn/prq Fem/pop W/stnt/athrc/angio…
|
30
|
30
|
$36,383.97
|
$27,287.98
25% off
|
$32,381.73
|
$34,564.77
|
$34,564.77
|
2026-08-01
|
|
1300001589
|
OTHER
|
Phy-revasc Fem/pop Artery Stnt/athrcmy W/pta / Revasc Fem/pop Artery Stnt/athrcm…
|
30
|
30
|
$36,383.97
|
$27,287.98
25% off
|
$32,381.73
|
$34,564.77
|
$34,564.77
|
2026-08-01
|
|
32027312
|
OTHER
|
Kit Ipg Nipg1500
|
30
|
30
|
$36,216.05
|
$27,162.04
25% off
|
$32,232.28
|
$34,405.25
|
$34,405.25
|
2026-08-01
|
|
32042632
|
OTHER
|
Femur Antegrade Nail Trochanter 10.0x250mm
|
30
|
30
|
$35,857.20
|
$26,892.90
25% off
|
$31,912.91
|
$34,064.34
|
$34,064.34
|
2026-08-01
|
|
32054339
|
OTHER
|
Femur Antegrade 10deg Bend Trochanter 10x280mm
|
30
|
30
|
$35,857.20
|
$26,892.90
25% off
|
$31,912.91
|
$34,064.34
|
$34,064.34
|
2026-08-01
|
|
32043307
|
OTHER
|
Tibia Antegrade 10deg Bend 3hl 10.0x280mm
|
30
|
30
|
$35,857.20
|
$26,892.90
25% off
|
$31,912.91
|
$34,064.34
|
$34,064.34
|
2026-08-01
|
|
32047899
|
OTHER
|
Stent Graft Relay Single 200mm Straight 38x190mm
|
30
|
30
|
$35,818.00
|
$26,863.50
25% off
|
$31,878.02
|
$34,027.10
|
$34,027.10
|
2026-08-01
|
|
32066239
|
OTHER
|
Femure Retrograde Straight 10.7x21
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32065936
|
OTHER
|
Nail Intramed Retrograde Fem Str
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32064302
|
OTHER
|
Femure Antegrade Piriformis 8.5x50mm
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32066640
|
OTHER
|
Femur Antegrade Nail Pirifor
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32060219
|
OTHER
|
Femur Antegrade Nail Piriformis 12.5x335 P12.5 80b335
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32036618
|
OTHER
|
Femur Antegrade Trochanter 10.7mm X 215mm
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32065033
|
OTHER
|
Nail Tibial Antegrade 8.5x50x215mm 10deg P8.5 50c215
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32063515
|
OTHER
|
Nail Intramed Retrograde Fem Strght 12.5
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32064674
|
OTHER
|
Nail Intramed Retro
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32029565
|
OTHER
|
Femur Antegrade Trochanter 10.7mm X245mm
|
30
|
30
|
$35,761.33
|
$26,821.00
25% off
|
$31,827.58
|
$33,973.26
|
$33,973.26
|
2026-08-01
|
|
32067523
|
OTHER
|
Nail Tibial Antegrade Precice 8.
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32070635
|
OTHER
|
Nail Antegrade Femur Piriformis St
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32070930
|
OTHER
|
Nail Intramed Antegrade Fem Troch Dst 12.5x
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32067270
|
OTHER
|
Nail Tibial Precise Tibia 10.7x305mm
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32067254
|
OTHER
|
Nail Tibial Precise 10.7x245mm
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32068799
|
OTHER
|
Femur Nail Antegrade Trochanter Precice 8.5x165mm 10deg
|
30
|
30
|
$35,761.32
|
$26,820.99
25% off
|
$31,827.57
|
$33,973.25
|
$33,973.25
|
2026-08-01
|
|
32060835
|
OTHER
|
Implant Tmj Mandibular Oversized Comp Chg024
|
30
|
30
|
$35,638.31
|
$26,728.73
25% off
|
$31,718.10
|
$33,856.39
|
$33,856.39
|
2026-08-01
|
|
32018135
|
OTHER
|
Graft Whole Femoral Condyle Lt
|
30
|
30
|
$35,533.68
|
$26,650.26
25% off
|
$31,624.98
|
$33,757.00
|
$33,757.00
|
2026-08-01
|
|
32011007
|
OTHER
|
Graft Fem Condyle Whole Fresh Rt
|
30
|
30
|
$35,533.68
|
$26,650.26
25% off
|
$31,624.98
|
$33,757.00
|
$33,757.00
|
2026-08-01
|
|
32040062
|
OTHER
|
Actuator Magec 2 Rod 6.0x70mm Std
|
30
|
30
|
$35,450.49
|
$26,587.87
25% off
|
$31,550.94
|
$33,677.97
|
$33,677.97
|
2026-08-01
|
|
32042336
|
OTHER
|
Rod Magec 2 4.5x70mm Std
|
30
|
30
|
$35,450.49
|
$26,587.87
25% off
|
$31,550.94
|
$33,677.97
|
$33,677.97
|
2026-08-01
|
|
32042071
|
OTHER
|
Rod Magec 2 4.5x90mm Std
|
30
|
30
|
$35,450.49
|
$26,587.87
25% off
|
$31,550.94
|
$33,677.97
|
$33,677.97
|
2026-08-01
|
|
32035646
|
OTHER
|
Rod Magec 4.5mm 70mm Offset
|
30
|
30
|
$35,450.49
|
$26,587.87
25% off
|
$31,550.94
|
$33,677.97
|
$33,677.97
|
2026-08-01
|
|
1300001967
|
OTHER
|
Endovas Aaa Repair One Docking Limb / Phy-phy-endovas Aaa Repair One Docking Lim…
|
30
|
30
|
$35,396.73
|
$26,547.55
25% off
|
$31,503.09
|
$33,626.89
|
$33,626.89
|
2026-08-01
|
|
34802
|
OTHER
|
Evasc Rpr Aaa W/mdlr Bfrc Prosth 1 Limb
|
30
|
30
|
$35,396.73
|
$26,547.55
25% off
|
$31,503.09
|
$33,626.89
|
$33,626.89
|
2026-08-01
|
|
70397229
|
OTHER
|
Mesh Permacol 20cmx30cm 1.5mm Thick
|
30
|
30
|
$35,309.16
|
$26,481.87
25% off
|
$31,425.15
|
$33,543.70
|
$33,543.70
|
2026-08-01
|
|
70403009
|
OTHER
|
Femur Distal Fresh Rt Oc 460525
|
30
|
30
|
$35,122.62
|
$26,341.97
25% off
|
$31,259.13
|
$33,366.49
|
$33,366.49
|
2026-08-01
|
|
70404119
|
OTHER
|
Implant Cochlear Flex 24 Internal Device
|
30
|
30
|
$34,989.75
|
$26,242.31
25% off
|
$31,140.88
|
$33,240.26
|
$33,240.26
|
2026-08-01
|
|
32004589
|
OTHER
|
Implant Cochlear Concert Pin Flex 24
|
30
|
30
|
$34,579.71
|
$25,934.78
25% off
|
$30,775.94
|
$32,850.72
|
$32,850.72
|
2026-08-01
|
|
32004588
|
OTHER
|
Implant Cochlear Concert Pin Flex 28
|
30
|
30
|
$34,579.71
|
$25,934.78
25% off
|
$30,775.94
|
$32,850.72
|
$32,850.72
|
2026-08-01
|
|
32068524
|
OTHER
|
Graft Zenith Tx2 Dissection Endovascula
|
30
|
30
|
$34,527.15
|
$25,895.36
25% off
|
$30,729.16
|
$32,800.79
|
$32,800.79
|
2026-08-01
|
|
32019725
|
OTHER
|
Graft Distal Condyle Whole Rt Refrigerated
|
30
|
30
|
$34,442.63
|
$25,831.97
25% off
|
$30,653.94
|
$32,720.50
|
$32,720.50
|
2026-08-01
|
|
70401435
|
OTHER
|
Stimulator Neuro Activa Pc Implantable
|
30
|
30
|
$34,353.90
|
$25,765.42
25% off
|
$30,574.97
|
$32,636.20
|
$32,636.20
|
2026-08-01
|
|
32068244
|
OTHER
|
Kit Implantable Pulse Generator Vercise Genus P16
|
30
|
30
|
$34,125.46
|
$25,594.10
25% off
|
$30,371.66
|
$32,419.19
|
$32,419.19
|
2026-08-01
|
|
32037738
|
OTHER
|
Generator Pulse Infinity 7 Ipg
|
30
|
30
|
$34,125.46
|
$25,594.10
25% off
|
$30,371.66
|
$32,419.19
|
$32,419.19
|
2026-08-01
|
|
32053689
|
OTHER
|
Graft Thoracic Stent Sg Ac 34mmx34mmx10cm 22 Fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32044279
|
OTHER
|
Graft Thoracic Stent 31x31mmx20cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32044116
|
OTHER
|
Graft Thoracic Stent 37mmx37mmx20cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32044115
|
OTHER
|
Graft Thoracic Stent 34mmx34mmx15cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32054424
|
OTHER
|
Graft Thoracic Stent 40x40mmx15cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32044695
|
OTHER
|
Graft Thoracic Stent 37x37mmx15cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32043410
|
OTHER
|
Graft Thoracic Stent 28x28mmx15cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32057495
|
OTHER
|
Graft Thoracic Stent Sg Ac 28mmx28mmx10cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32045255
|
OTHER
|
Graft Thoracic Stent 21x21mmx10cm 18fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32046652
|
OTHER
|
Graft Thoracic Stent 31x26mmx10cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32045608
|
OTHER
|
Graft Thoracic Stent 40x40mmx20cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32056393
|
OTHER
|
Graft Thoracic Stent 31x31mmx15cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32053612
|
OTHER
|
Graft Thoracic Stent 40x40mmx10cm 22fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32061868
|
OTHER
|
Graft Thoracic Stent Conformable
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32044486
|
OTHER
|
Graft Thoracic Stent 31x31mmx10cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32045556
|
OTHER
|
Graft Thoracic Stent 26x26mmx10cm 20fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32057494
|
OTHER
|
Graft Thoracic Stent 37x37mmx10cm 22fr Sg Ac
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32045733
|
OTHER
|
Graft Thoracic Stent 34x34mmx20cm 22 Fr
|
30
|
30
|
$34,123.93
|
$25,592.95
25% off
|
$30,370.30
|
$32,417.73
|
$32,417.73
|
2026-08-01
|
|
32034944
|
OTHER
|
Graft Alloderm Select Duo Perf 16x20cm Med
|
30
|
30
|
$34,002.62
|
$25,501.97
25% off
|
$30,262.33
|
$32,302.49
|
$32,302.49
|
2026-08-01
|
|
70403619
|
OTHER
|
Graft Strattice 20x40cm Firm 2040002
|
30
|
30
|
$33,954.36
|
$25,465.77
25% off
|
$30,219.38
|
$32,256.64
|
$32,256.64
|
2026-08-01
|
|
32063618
|
OTHER
|
Mesh Hernia Phasix St 30x35cm Rectangle
|
30
|
30
|
$33,773.11
|
$25,329.83
25% off
|
$30,058.07
|
$32,084.45
|
$32,084.45
|
2026-08-01
|
|
32061412
|
OTHER
|
Device Implantable Pluse Generator 3028 900 007 010
|
30
|
30
|
$33,547.26
|
$25,160.44
25% off
|
$29,857.06
|
$31,869.90
|
$31,869.90
|
2026-08-01
|
|
32028905
|
OTHER
|
Device Implantable Pulse Generator 3028
|
30
|
30
|
$33,547.26
|
$25,160.44
25% off
|
$29,857.06
|
$31,869.90
|
$31,869.90
|
2026-08-01
|
|
32036146
|
OTHER
|
Tibia Antegrade Rod 10deg Bend 8.5x245mm
|
30
|
30
|
$33,174.66
|
$24,880.99
25% off
|
$29,525.45
|
$31,515.93
|
$31,515.93
|
2026-08-01
|
|
32054100
|
OTHER
|
Femur Retrograde Straight 10.7x80mm
|
30
|
30
|
$33,174.66
|
$24,880.99
25% off
|
$29,525.45
|
$31,515.93
|
$31,515.93
|
2026-08-01
|
|
32036163
|
OTHER
|
Femur Antegrade Trochanter 8.5x275mm
|
30
|
30
|
$33,174.66
|
$24,880.99
25% off
|
$29,525.45
|
$31,515.93
|
$31,515.93
|
2026-08-01
|
|
32055971
|
OTHER
|
Femur Antegrade Trochanter 8.5x50mm
|
30
|
30
|
$33,174.66
|
$24,880.99
25% off
|
$29,525.45
|
$31,515.93
|
$31,515.93
|
2026-08-01
|
|
32067740
|
OTHER
|
Generator Wavewriter Alpha 32 Ipg
|
30
|
30
|
$33,052.08
|
$24,789.06
25% off
|
$29,416.35
|
$31,399.48
|
$31,399.48
|
2026-08-01
|
|
2300001939
|
OTHER
|
Leadless Pm Insert/replace Rt Vent
|
30
|
30
|
$33,050.95
|
$24,788.21
25% off
|
$29,415.35
|
$31,398.40
|
$31,398.40
|
2026-08-01
|
|
33274
|
OTHER
|
Transcatheter Insertion Or Replacement Of Permanent Leadless
|
30
|
30
|
$33,050.95
|
$24,788.21
25% off
|
$29,415.35
|
$31,398.40
|
$31,398.40
|
2026-08-01
|
|
32019591
|
OTHER
|
Graft Bicompartment Rt Medial Trochlea
|
30
|
30
|
$32,943.49
|
$24,707.62
25% off
|
$29,319.71
|
$31,296.32
|
$31,296.32
|
2026-08-01
|
|
32019365
|
OTHER
|
Graft Bicompartment Lt Medial Trochlea
|
30
|
30
|
$32,943.49
|
$24,707.62
25% off
|
$29,319.71
|
$31,296.32
|
$31,296.32
|
2026-08-01
|
|
32039778
|
OTHER
|
Actuator Magec 2 4.5x70mm Offset
|
30
|
30
|
$32,886.31
|
$24,664.73
25% off
|
$29,268.82
|
$31,241.99
|
$31,241.99
|
2026-08-01
|
|
32037712
|
OTHER
|
Actuator Magec 6.0x90mm Offset
|
30
|
30
|
$32,886.31
|
$24,664.73
25% off
|
$29,268.82
|
$31,241.99
|
$31,241.99
|
2026-08-01
|
|
32044720
|
OTHER
|
Rod Magec 2 4.5mm 90mm Offset
|
30
|
30
|
$32,886.31
|
$24,664.73
25% off
|
$29,268.82
|
$31,241.99
|
$31,241.99
|
2026-08-01
|
|
32042085
|
OTHER
|
Rod Magec 2 5.5x70mm Std
|
30
|
30
|
$32,886.31
|
$24,664.73
25% off
|
$29,268.82
|
$31,241.99
|
$31,241.99
|
2026-08-01
|
|
32045603
|
OTHER
|
Actuator Magec 2 Rod 6.0x90mm Std
|
30
|
30
|
$32,886.31
|
$24,664.73
25% off
|
$29,268.82
|
$31,241.99
|
$31,241.99
|
2026-08-01
|
|
32057681
|
OTHER
|
Graft Matristem Thick 20x30cm Plastics
|
30
|
30
|
$32,792.64
|
$24,594.48
25% off
|
$29,185.45
|
$31,153.01
|
$31,153.01
|
2026-08-01
|
|
32033730
|
OTHER
|
Graft Dermal Alloderm 16x20cm Bilateral Pair Med
|
30
|
30
|
$32,704.74
|
$24,528.56
25% off
|
$29,107.22
|
$31,069.50
|
$31,069.50
|
2026-08-01
|
|
32063219
|
OTHER
|
Graft Relay Thoriacic Stent 34x3
|
30
|
30
|
$32,588.29
|
$24,441.22
25% off
|
$29,003.58
|
$30,958.88
|
$30,958.88
|
2026-08-01
|
|
74128107
|
OTHER
|
Implant Tmj Bilateral Bundled Charge
|
30
|
30
|
$32,588.29
|
$24,441.22
25% off
|
$29,003.58
|
$30,958.88
|
$30,958.88
|
2026-08-01
|
|
32070679
|
OTHER
|
Graft Thoracic Stent 45x45mmx20cm 24fr
|
30
|
30
|
$32,498.98
|
$24,374.24
25% off
|
$28,924.09
|
$30,874.03
|
$30,874.03
|
2026-08-01
|
|
32069100
|
OTHER
|
Generator Wavewriter Kit Alpha
|
30
|
30
|
$32,277.82
|
$24,208.37
25% off
|
$28,727.26
|
$30,663.93
|
$30,663.93
|
2026-08-01
|
|
70404658
|
OTHER
|
Kit Generator Precision Spectra Sc-1132
|
30
|
30
|
$32,277.82
|
$24,208.37
25% off
|
$28,727.26
|
$30,663.93
|
$30,663.93
|
2026-08-01
|
|
32034390
|
OTHER
|
Generator Spectra Wavewriter Implantable Pulse Sc 1160
|
30
|
30
|
$32,277.82
|
$24,208.37
25% off
|
$28,727.26
|
$30,663.93
|
$30,663.93
|
2026-08-01
|
|
32019608
|
OTHER
|
Generator Montage MRI Safe Implantable Pulse Sc 1200
|
30
|
30
|
$32,277.82
|
$24,208.37
25% off
|
$28,727.26
|
$30,663.93
|
$30,663.93
|
2026-08-01
|
|
32018434
|
OTHER
|
Graft Tibial Plateau W/menisci Rt Refrig
|
30
|
30
|
$32,231.66
|
$24,173.74
25% off
|
$28,686.18
|
$30,620.08
|
$30,620.08
|
2026-08-01
|
|
32032394
|
OTHER
|
Implant Medpor Customized Xl
|
30
|
30
|
$32,221.24
|
$24,165.93
25% off
|
$28,676.90
|
$30,610.18
|
$30,610.18
|
2026-08-01
|
|
32044288
|
OTHER
|
Stent Graft Valiant Navion 34x34x229
|
30
|
30
|
$32,137.95
|
$24,103.46
25% off
|
$28,602.78
|
$30,531.05
|
$30,531.05
|
2026-08-01
|
|
32039995
|
OTHER
|
Stent Graft Valiant Navion 40x34x200mm
|
30
|
30
|
$32,137.95
|
$24,103.46
25% off
|
$28,602.78
|
$30,531.05
|
$30,531.05
|
2026-08-01
|
|
32039163
|
OTHER
|
Stent Graft Valiant Navion 31x31x223mm
|
30
|
30
|
$32,137.95
|
$24,103.46
25% off
|
$28,602.78
|
$30,531.05
|
$30,531.05
|
2026-08-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
29
|
11
|
—
|
—
|
$45,019.40
|
$59,844.52
|
$53,981.46
|
2026-07-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
29
|
11
|
—
|
—
|
$231.35
|
$70,057.90
|
$52,702.65
|
2026-07-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
29
|
11
|
—
|
—
|
$35,735.87
|
$47,503.87
|
$43,324.60
|
2026-07-15
|
|
J1411
|
HCPCS
|
Inj Hemgenix Per Tx Dose
|
15
|
11
|
—
|
—
|
$3,049,558.17
|
$4,053,793.34
|
$3,685,266.67
|
2026-07-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
15
|
11
|
—
|
—
|
$2,753,803.93
|
$3,660,645.70
|
$3,327,859.73
|
2026-07-15
|
|
J3394
|
HCPCS
|
Inj Lovotibeglogene Autotem
|
15
|
11
|
—
|
—
|
$2,691,450.44
|
$3,577,758.89
|
$3,252,508.08
|
2026-07-15
|
|
J3393
|
HCPCS
|
Inj Betibeglogene Autotemce
|
15
|
11
|
—
|
—
|
$2,432,824.26
|
$3,233,965.78
|
$2,939,968.89
|
2026-07-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
15
|
11
|
—
|
—
|
$2,142,381.97
|
$2,847,879.35
|
$2,588,981.23
|
2026-07-15
|
|
J3392
|
HCPCS
|
Inj Exagamglogene Autotem
|
15
|
11
|
—
|
—
|
$1,929,730.00
|
$2,565,200.00
|
$2,332,000.00
|
2026-07-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
15
|
11
|
—
|
—
|
$486,280.02
|
$646,414.53
|
$587,649.57
|
2026-07-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
11
|
—
|
—
|
$468,804.65
|
$623,184.43
|
$566,531.30
|
2026-07-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
11
|
—
|
—
|
$465,221.53
|
$618,421.36
|
$562,201.24
|
2026-07-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
11
|
—
|
—
|
$461,812.63
|
$613,889.90
|
$558,081.73
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
11
|
—
|
—
|
$440,389.08
|
$585,411.46
|
$532,192.24
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
11
|
—
|
—
|
$405,020.04
|
$538,395.22
|
$489,450.20
|
2026-07-15
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad Rep
|
15
|
11
|
—
|
—
|
$92,962.98
|
$123,576.17
|
$112,341.97
|
2026-07-15
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
15
|
11
|
—
|
—
|
$56,933.42
|
$75,681.88
|
$68,801.71
|
2026-07-15
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
15
|
11
|
—
|
—
|
$53,187.39
|
$70,702.27
|
$64,274.79
|
2026-07-15
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
15
|
11
|
—
|
—
|
$41,274.99
|
$54,867.05
|
$49,879.14
|
2026-07-15
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
15
|
11
|
—
|
—
|
$36,170.84
|
$48,082.09
|
$43,710.99
|
2026-07-15
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
15
|
11
|
—
|
—
|
$33,325.12
|
$44,299.26
|
$40,272.05
|
2026-07-15
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
15
|
11
|
—
|
—
|
$28,937.78
|
$38,467.14
|
$34,970.13
|
2026-07-15
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
15
|
11
|
—
|
—
|
$26,299.63
|
$34,960.24
|
$31,782.03
|
2026-07-15
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
15
|
11
|
—
|
—
|
$25,854.59
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
15
|
11
|
—
|
—
|
$25,854.59
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
61891
|
CPT
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
15
|
11
|
—
|
—
|
$20,557.88
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
J3391
|
HCPCS
|
Inj Atidarsagene Autotemcel
|
14
|
10
|
—
|
—
|
$3,727,887.50
|
$4,955,500.00
|
$4,505,000.00
|
2026-07-15
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
14
|
10
|
—
|
—
|
$2,760,391.05
|
$3,669,402.00
|
$3,335,820.00
|
2026-07-15
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
14
|
10
|
—
|
—
|
$2,631,450.00
|
$3,498,000.00
|
$3,180,000.00
|
2026-07-15
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
14
|
10
|
—
|
—
|
$637,688.05
|
$847,682.00
|
$770,620.00
|
2026-07-15
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
14
|
10
|
—
|
—
|
$230,251.88
|
$306,075.00
|
$278,250.00
|
2026-07-15
|
|
J3403
|
HCPCS
|
Revakinagene Per Implant
|
14
|
10
|
—
|
—
|
$219,287.50
|
$291,500.00
|
$265,000.00
|
2026-07-15
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
14
|
10
|
—
|
—
|
$166,881.11
|
$221,835.92
|
$201,669.02
|
2026-07-15
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
14
|
10
|
—
|
—
|
$36,905.00
|
$49,058.01
|
$44,598.19
|
2026-07-15
|
|
64654
|
CPT
|
1st Opn Implt Bat Modulj Sys
|
14
|
10
|
—
|
—
|
$36,905.00
|
$49,058.01
|
$44,598.19
|
2026-07-15
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
14
|
10
|
—
|
—
|
$36,905.00
|
$49,058.01
|
$44,598.19
|
2026-07-15
|
|
0870T
|
CPT
|
Imp Subq Prtl Ascts Pmp Sys
|
14
|
10
|
—
|
—
|
$28,703.99
|
$38,156.35
|
$34,687.60
|
2026-07-15
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
14
|
10
|
—
|
—
|
$26,299.63
|
$34,960.24
|
$31,782.03
|
2026-07-15
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
14
|
10
|
—
|
—
|
$26,299.63
|
$34,960.24
|
$31,782.03
|
2026-07-15
|
|
0908T
|
CPT
|
Opn Imp Int Nstm Sys Vgs Nrv
|
14
|
10
|
—
|
—
|
$25,854.59
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
0909T
|
CPT
|
Rplcmt Int Nstim Sys Vgs Nrv
|
14
|
10
|
—
|
—
|
$25,854.59
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
64656
|
CPT
|
Revj/rplcmt Bat Mod Sys Pg
|
14
|
10
|
—
|
—
|
$25,854.59
|
$34,368.64
|
$31,244.22
|
2026-07-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
11
|
9
|
—
|
—
|
$288,898.58
|
$317,900.89
|
$303,343.51
|
2026-07-15
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
11
|
9
|
—
|
—
|
$142,837.64
|
$230,465.55
|
$149,979.52
|
2026-07-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
11
|
9
|
—
|
—
|
$141,999.37
|
$226,282.87
|
$149,099.33
|
2026-07-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
11
|
9
|
—
|
—
|
$92,667.68
|
$145,191.99
|
$97,301.06
|
2026-07-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
11
|
9
|
—
|
—
|
$86,638.53
|
$103,943.75
|
$90,970.46
|
2026-07-15
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
11
|
9
|
—
|
—
|
$80,401.32
|
$102,797.21
|
$84,421.39
|
2026-07-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
11
|
9
|
—
|
—
|
$75,811.22
|
$107,056.03
|
$79,601.79
|
2026-07-15
|
|
209
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Age 0-17
|
11
|
9
|
—
|
—
|
$4,656.17
|
$81,782.19
|
$78,753.22
|
2026-07-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
9
|
—
|
—
|
$17,773.09
|
$79,631.93
|
$76,682.60
|
2026-07-15
|
|
212
|
MS_DRG
|
Testes Procedures Age 0-17
|
11
|
9
|
—
|
—
|
$72,749.15
|
$105,833.35
|
$76,386.61
|
2026-07-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
11
|
9
|
—
|
—
|
$68,978.59
|
$119,288.98
|
$72,427.52
|
2026-07-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
11
|
9
|
—
|
—
|
$66,613.63
|
$92,831.08
|
$69,944.31
|
2026-07-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
9
|
—
|
—
|
$65,448.21
|
$100,452.50
|
$68,720.62
|
2026-07-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
11
|
9
|
—
|
—
|
$60,275.40
|
$81,028.74
|
$63,289.17
|
2026-07-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
11
|
9
|
—
|
—
|
$57,933.19
|
$83,950.22
|
$60,829.85
|
2026-07-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
11
|
9
|
—
|
—
|
$56,219.85
|
$62,079.35
|
$59,030.84
|
2026-07-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
11
|
9
|
—
|
—
|
$51,850.66
|
$60,908.90
|
$58,653.02
|
2026-07-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
11
|
9
|
—
|
—
|
$52,643.30
|
$113,985.15
|
$55,275.47
|
2026-07-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
9
|
—
|
—
|
$51,368.83
|
$66,577.11
|
$53,937.27
|
2026-07-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
11
|
9
|
—
|
—
|
$51,147.39
|
$68,682.89
|
$53,704.76
|
2026-07-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
11
|
9
|
—
|
—
|
$50,978.13
|
$58,372.80
|
$53,527.03
|
2026-07-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
11
|
9
|
—
|
—
|
$48,006.37
|
$77,456.97
|
$50,406.69
|
2026-07-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
9
|
—
|
—
|
$13,323.47
|
$52,156.85
|
$50,225.11
|
2026-07-15
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
11
|
9
|
—
|
—
|
$47,731.41
|
$77,013.23
|
$50,117.98
|
2026-07-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
11
|
9
|
—
|
—
|
$47,703.31
|
$56,994.32
|
$50,088.47
|
2026-07-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
11
|
9
|
—
|
—
|
$30,111.07
|
$51,825.21
|
$49,905.75
|
2026-07-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
11
|
9
|
—
|
—
|
$46,240.85
|
$66,662.00
|
$48,552.89
|
2026-07-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
11
|
9
|
—
|
—
|
$13,206.19
|
$49,695.18
|
$47,854.61
|
2026-07-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
11
|
9
|
—
|
—
|
$45,031.94
|
$87,608.64
|
$47,283.54
|
2026-07-15
|
|
317
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
9
|
—
|
—
|
$44,733.56
|
$62,636.87
|
$46,970.24
|
2026-07-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
11
|
9
|
—
|
—
|
$44,700.78
|
$93,782.44
|
$46,935.82
|
2026-07-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
9
|
—
|
—
|
$43,989.62
|
$57,796.90
|
$46,189.10
|
2026-07-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
11
|
9
|
—
|
—
|
$43,829.72
|
$59,826.54
|
$46,021.21
|
2026-07-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
9
|
—
|
—
|
$43,989.62
|
$47,508.79
|
$45,967.43
|
2026-07-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
11
|
9
|
—
|
—
|
$43,048.98
|
$58,858.54
|
$45,201.43
|
2026-07-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$40,952.30
|
$61,440.44
|
$42,999.91
|
2026-07-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
9
|
—
|
—
|
$36,763.61
|
$44,279.78
|
$42,639.79
|
2026-07-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
11
|
9
|
—
|
—
|
$40,559.59
|
$59,346.04
|
$42,587.57
|
2026-07-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
11
|
9
|
—
|
—
|
$39,893.92
|
$55,571.22
|
$41,888.62
|
2026-07-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
11
|
9
|
—
|
—
|
$38,907.03
|
$43,412.02
|
$41,804.17
|
2026-07-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
11
|
9
|
—
|
—
|
$32,973.91
|
$43,399.74
|
$41,792.34
|
2026-07-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
11
|
9
|
—
|
—
|
$39,670.47
|
$43,961.42
|
$41,653.99
|
2026-07-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
11
|
9
|
—
|
—
|
$6,428.49
|
$42,943.82
|
$41,353.30
|
2026-07-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
11
|
9
|
—
|
—
|
$39,261.70
|
$52,928.05
|
$41,224.79
|
2026-07-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$39,236.28
|
$43,187.73
|
$41,198.09
|
2026-07-15
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
11
|
9
|
—
|
—
|
$38,582.65
|
$49,512.07
|
$40,511.79
|
2026-07-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
11
|
9
|
—
|
—
|
$38,336.46
|
$55,397.05
|
$40,253.28
|
2026-07-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
11
|
9
|
—
|
—
|
$38,130.40
|
$51,115.47
|
$40,036.92
|
2026-07-15
|
|
213
|
MS_DRG
|
Splenic Procedures Age 0-17
|
11
|
9
|
—
|
—
|
$16,143.43
|
$41,234.30
|
$39,707.10
|
2026-07-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas/kidney Transplant
|
11
|
9
|
—
|
—
|
$37,495.51
|
$52,859.78
|
$39,370.28
|
2026-07-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
11
|
9
|
—
|
—
|
$10,123.67
|
$40,620.87
|
$39,116.39
|
2026-07-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
11
|
9
|
—
|
—
|
$36,949.59
|
$59,617.36
|
$38,797.07
|
2026-07-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
11
|
9
|
—
|
—
|
$28,561.05
|
$40,217.69
|
$38,728.15
|
2026-07-15
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$36,728.15
|
$79,702.78
|
$38,564.56
|
2026-07-15
|
|
405
|
MS_DRG
|
Pancreas- Liver And Shunt Procedures With Mcc
|
11
|
9
|
—
|
—
|
$36,598.36
|
$42,015.81
|
$38,428.28
|
2026-07-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
11
|
9
|
—
|
—
|
$36,546.18
|
$56,333.53
|
$38,373.49
|
2026-07-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
11
|
9
|
—
|
—
|
$36,488.64
|
$57,675.24
|
$38,313.07
|
2026-07-15
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
11
|
9
|
—
|
—
|
$36,342.80
|
$58,637.99
|
$38,159.94
|
2026-07-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
9
|
—
|
—
|
$35,677.13
|
$45,874.65
|
$37,460.99
|
2026-07-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
11
|
9
|
—
|
—
|
$35,655.72
|
$53,349.91
|
$37,438.51
|
2026-07-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
11
|
9
|
—
|
—
|
$35,416.21
|
$47,651.35
|
$37,187.03
|
2026-07-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
11
|
9
|
—
|
—
|
$3,196.30
|
$38,123.07
|
$36,711.10
|
2026-07-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
11
|
9
|
—
|
—
|
$34,824.81
|
$41,272.75
|
$36,566.05
|
2026-07-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
11
|
9
|
—
|
—
|
$31,973.54
|
$37,545.76
|
$36,155.18
|
2026-07-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
11
|
9
|
—
|
—
|
$33,719.60
|
$38,189.35
|
$35,405.58
|
2026-07-15
|
|
326
|
MS_DRG
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
11
|
9
|
—
|
—
|
$33,366.36
|
$42,290.63
|
$35,034.68
|
2026-07-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
11
|
9
|
—
|
—
|
$33,098.75
|
$56,553.21
|
$34,753.69
|
2026-07-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$33,039.88
|
$41,502.93
|
$34,691.87
|
2026-07-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
11
|
9
|
—
|
—
|
$32,926.82
|
$35,560.96
|
$34,573.16
|
2026-07-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
11
|
9
|
—
|
—
|
$32,789.67
|
$52,415.17
|
$34,429.15
|
2026-07-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
11
|
9
|
—
|
—
|
$32,304.63
|
$38,555.19
|
$33,919.87
|
2026-07-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
11
|
9
|
—
|
—
|
$32,141.40
|
$44,530.32
|
$33,748.47
|
2026-07-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
11
|
9
|
—
|
—
|
$3,542.02
|
$34,398.40
|
$33,124.39
|
2026-07-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
11
|
9
|
—
|
—
|
$31,388.76
|
$48,993.06
|
$32,958.19
|
2026-07-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
11
|
9
|
—
|
—
|
$31,295.09
|
$45,774.88
|
$32,859.85
|
2026-07-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
11
|
9
|
—
|
—
|
$23,159.20
|
$33,969.22
|
$32,711.10
|
2026-07-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
11
|
9
|
—
|
—
|
$31,022.14
|
$58,033.21
|
$32,573.24
|
2026-07-15
|
|
277
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,898.37
|
$46,890.78
|
$32,443.29
|
2026-07-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,751.19
|
$34,161.59
|
$32,288.75
|
2026-07-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,672.91
|
$46,537.20
|
$32,206.56
|
2026-07-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
11
|
9
|
—
|
—
|
$30,523.05
|
$47,474.56
|
$32,049.21
|
2026-07-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,431.40
|
$32,865.91
|
$31,952.97
|
2026-07-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,418.02
|
$37,392.90
|
$31,938.92
|
2026-07-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
11
|
9
|
—
|
—
|
$30,298.93
|
$46,192.36
|
$31,813.88
|
2026-07-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
11
|
9
|
—
|
—
|
$29,983.83
|
$34,934.40
|
$31,483.02
|
2026-07-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
11
|
9
|
—
|
—
|
$29,857.38
|
$42,675.73
|
$31,350.25
|
2026-07-15
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
11
|
9
|
—
|
—
|
$21,645.94
|
$32,373.14
|
$31,174.14
|
2026-07-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
11
|
9
|
—
|
—
|
$28,473.53
|
$31,739.48
|
$30,563.94
|
2026-07-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
9
|
8
|
—
|
—
|
$187,483.56
|
$336,391.67
|
$194,982.90
|
2026-07-15
|
|
J1414
|
HCPCS
|
Inj Beqvez Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-07-15
|
|
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
|
2026-07-15
|
|
612
|
MS_DRG
|
Neonate- Birth Weight <750 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$272,925.97
|
$272,925.97
|
$272,925.97
|
2026-07-15
|
|
631
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Discharged Alive
|
1
|
1
|
—
|
—
|
$197,901.24
|
$197,901.24
|
$197,901.24
|
2026-07-15
|
|
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
|
2026-07-15
|
|
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
|
2026-07-15
|
|
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
|
2026-07-15
|
|
632
|
MS_DRG
|
Neonate- Birth Weight 750-999 Grams- Died
|
1
|
1
|
—
|
—
|
$97,125.78
|
$97,125.78
|
$97,125.78
|
2026-07-15
|
|
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
|
2026-07-15
|
|
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
|
2026-07-15
|
|
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
|
2026-07-15
|
|
635
|
MS_DRG
|
Neonate- Birth Weight 1000-1499 Grams- Died
|
1
|
1
|
—
|
—
|
$59,416.06
|
$59,416.06
|
$59,416.06
|
2026-07-15
|
|
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
|
2026-07-15
|
|
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
|
2026-07-15
|
|
403
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$47,202.36
|
$47,202.36
|
$47,202.36
|
2026-07-15
|
|
691
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$45,991.06
|
$45,991.06
|
$45,991.06
|
2026-07-15
|
|
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
|
2026-07-15
|
|
361
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$40,740.61
|
$40,740.61
|
$40,740.61
|
2026-07-15
|
|
677
|
MS_DRG
|
Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With…
|
1
|
1
|
—
|
—
|
$39,314.88
|
$39,314.88
|
$39,314.88
|
2026-07-15
|
|
613
|
MS_DRG
|
Neonate- Birth Weight <750 Grams- Died
|
1
|
1
|
—
|
—
|
$38,264.62
|
$38,264.62
|
$38,264.62
|
2026-07-15
|
|
362
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$37,998.55
|
$37,998.55
|
$37,998.55
|
2026-07-15
|
|
396
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
1
|
1
|
—
|
—
|
$37,775.37
|
$37,775.37
|
$37,775.37
|
2026-07-15
|
|
404
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$34,234.23
|
$34,234.23
|
$34,234.23
|
2026-07-15
|
|
608
|
MS_DRG
|
Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period
|
1
|
1
|
—
|
—
|
$32,378.76
|
$32,378.76
|
$32,378.76
|
2026-07-15
|
|
364
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$30,894.39
|
$30,894.39
|
$30,894.39
|
2026-07-15
|