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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Dignity Health East Valley Rehabilitation Hospital

Chandler, AZ · CCN 033040 · Rates published

5,733 distinct procedures filed
20 distinct payers
150,180 rate rows
2026-03-31 last MRF observed
Data quality

52,535 of 150,180 rate rows are consumer-grade (35.0%)

97,645 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 97,565
placeholder amount (≤ $0.02) — excluded from medians 80
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealthevrehabchandler.com/docs/zirfdignityhealtheastvalleyrehabilitationhospitallibraries/mar2026/473724879_dignity-health-east-valley-rehabilitation-hospital_standardcharges.csv.zip
Found on page https://www.dignityhealthevrehabchandler.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 67ad5edd8f23f750… · 1,172,413 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
B0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 $85,391.15 $89,885.42 $89,885.42 nat. median
$86,320
1.0× median
B1904
OTHER 		Guillain-barré M <38.50 7 $79,943.06 $84,150.59 $84,150.59 nat. median
$80,609
1.0× median
C0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 $69,796.64 $73,470.15 $73,470.15 nat. median
$71,021
1.0× median
D0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 $67,959.89 $71,536.73 $71,536.73 nat. median
$68,708
1.0× median
B1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 $67,666.01 $71,227.38 $71,227.38 nat. median
$68,402
1.0× median
B0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 $62,355.43 $65,637.30 $65,637.30 nat. median
$62,870
1.0× median
A0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 $61,496.40 $64,733.05 $64,733.05 nat. median
$62,810
1.0× median
B0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 $59,840.50 $62,990.00 $62,990.00 nat. median
$60,491
1.0× median
B0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 7 $58,855.24 $61,952.89 $61,952.89 nat. median
$59,495
1.0× median
C1904
OTHER 		Guillain-barré M <38.50 7 $56,498.55 $59,472.15 $59,472.15 nat. median
$57,113
1.0× median
C1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 $55,356.93 $58,270.46 $58,270.46 nat. median
$55,837
1.0× median
B0106
OTHER 		Stroke M <41.50 And A <84.50 7 $53,360.05 $56,168.47 $56,168.47 nat. median
$54,065
1.0× median
B1903
OTHER 		Guillain-barré M >=38.50 And M <51.50 7 $51,988.61 $54,724.85 $54,724.85 nat. median
$52,554
1.0× median
B0205
OTHER 		Traumatic Brain Injury M <35.50 7 $51,331.14 $54,032.78 $54,032.78 nat. median
$51,964
1.0× median
C0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 $50,967.56 $53,650.07 $53,650.07 nat. median
$51,880
1.0× median
D1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 $50,924.23 $53,604.46 $53,604.46 nat. median
$51,478
1.0× median
37243
CPT 		Occ/emb Tumor/organ Infar 7 $52,661.00 $52,661.00 $52,661.00 nat. median
$12,308
outlier · 4.3×
37244
CPT 		Occ/emb Hemorrhag/lymph 7 $52,661.00 $52,661.00 $52,661.00 nat. median
$12,234
outlier · 4.3×
37241
CPT 		Occ/emb Non Hemorr Venous 7 $52,661.00 $52,661.00 $52,661.00 nat. median
$12,087
outlier · 4.4×
37242
CPT 		Occ/emb Non Hemorr Art 7 $52,661.00 $52,661.00 $52,661.00 nat. median
$16,728
outlier · 3.1×
D0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 $49,626.26 $52,238.17 $52,238.17 nat. median
$50,515
1.0× median
A1904
OTHER 		Guillain-barré M <38.50 7 $49,130.81 $51,716.64 $51,716.64 nat. median
$50,010
1.0× median
D1904
OTHER 		Guillain-barré M <38.50 7 $49,115.74 $51,700.78 $51,700.78 nat. median
$49,901
1.0× median
C0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 $48,912.28 $51,486.61 $51,486.61 nat. median
$49,743
1.0× median
J3357
HCPCS 		Ustekinumab 45mg Syg 7 $50,981.46 $50,981.46 $50,981.46 nat. median
$14,292
outlier · 3.6×
B1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 $48,145.55 $50,679.53 $50,679.53 nat. median
$48,669
1.0× median
B2102
OTHER 		Burns M <52.50 7 $47,945.87 $50,469.33 $50,469.33 nat. median
$48,467
1.0× median
A1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 $47,797.04 $50,312.68 $50,312.68 nat. median
$48,628
1.0× median
D0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 $47,625.61 $50,132.22 $50,132.22 nat. median
$48,434
1.0× median
B0405
OTHER 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 $47,399.55 $49,894.26 $49,894.26 nat. median
$47,915
1.0× median
C0106
OTHER 		Stroke M <41.50 And A <84.50 7 $47,384.48 $49,878.40 $49,878.40 nat. median
$47,971
1.0× median
B0105
OTHER 		Stroke M <41.50 And A >=84.50 7 $47,371.29 $49,864.52 $49,864.52 nat. median
$47,979
1.0× median
B1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 $46,704.41 $49,162.54 $49,162.54 nat. median
$47,212
1.0× median
B0604
OTHER 		Neurological M <43.50 7 $46,150.56 $48,579.53 $48,579.53 nat. median
$46,755
1.0× median
C0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 7 $45,229.35 $47,609.85 $47,609.85 nat. median
$45,787
1.0× median
A0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 $44,907.22 $47,270.75 $47,270.75 nat. median
$45,990
1.0× median
B0305
OTHER 		Non-traumatic Brain Injury M <42.50 And A <78.50 7 $44,645.36 $46,995.12 $46,995.12 nat. median
$45,142
1.0× median
B1004
OTHER 		Amputation Lower Extremity M <47.50 7 $44,522.91 $46,866.22 $46,866.22 nat. median
$45,008
1.0× median
B1504
OTHER 		Pulmonary M <45.50 7 $44,129.19 $46,451.78 $46,451.78 nat. median
$44,609
1.0× median
42644
CPT 		S/o Bcr-abl T9 7 $46,054.00 $46,054.00 $46,054.00 nat. median
$35
outlier · 1320.0×
B0704
OTHER 		Fracture Of Lower Extremity M <41.50 7 $43,215.52 $45,490.02 $45,490.02 nat. median
$43,748
1.0× median
B1304
OTHER 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 7 $43,162.77 $45,434.50 $45,434.50 nat. median
$43,632
1.0× median
A0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 $43,096.84 $45,365.09 $45,365.09 nat. median
$43,915
1.0× median
B1305
OTHER 		Rheumatoid Other Arthritis M <51.50 And A <64.50 7 $43,078.00 $45,345.26 $45,345.26 nat. median
$43,434
1.0× median
D0106
OTHER 		Stroke M <41.50 And A <84.50 7 $42,931.06 $45,190.59 $45,190.59 nat. median
$43,510
1.0× median
37182
CPT 		Insert Tips 7 $45,087.00 $45,087.00 $45,087.00 nat. median
$7,502
outlier · 6.0×
B0904
OTHER 		Other Orthopedic M <44.5 7 $42,352.72 $44,581.81 $44,581.81 nat. median
$42,813
1.0× median
D0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 7 $42,077.67 $44,292.29 $44,292.29 nat. median
$42,599
1.0× median
C0105
OTHER 		Stroke M <41.50 And A >=84.50 7 $42,066.37 $44,280.39 $44,280.39 nat. median
$42,585
1.0× median
37183
CPT 		Revise Tips 7 $43,916.00 $43,916.00 $43,916.00 nat. median
$7,030
outlier · 6.2×

Other procedures at this hospital

Browse this hospital's 5,733 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 $89,885.42 $89,885.42 $85,391.15 $89,885.42 $89,885.42 2026-03-31
B1904 OTHER Guillain-barré M <38.50 7 7 $84,150.59 $84,150.59 $79,943.06 $84,150.59 $84,150.59 2026-03-31
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 $73,470.15 $73,470.15 $69,796.64 $73,470.15 $73,470.15 2026-03-31
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 $71,536.73 $71,536.73 $67,959.89 $71,536.73 $71,536.73 2026-03-31
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 $71,227.38 $71,227.38 $67,666.01 $71,227.38 $71,227.38 2026-03-31
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 $65,637.30 $65,637.30 $62,355.43 $65,637.30 $65,637.30 2026-03-31
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 $64,733.05 $64,733.05 $61,496.40 $64,733.05 $64,733.05 2026-03-31
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 $62,990.00 $62,990.00 $59,840.50 $62,990.00 $62,990.00 2026-03-31
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 7 7 $61,952.89 $61,952.89 $58,855.24 $61,952.89 $61,952.89 2026-03-31
C1904 OTHER Guillain-barré M <38.50 7 7 $59,472.15 $59,472.15 $56,498.55 $59,472.15 $59,472.15 2026-03-31
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 $58,270.46 $58,270.46 $55,356.93 $58,270.46 $58,270.46 2026-03-31
B0106 OTHER Stroke M <41.50 And A <84.50 7 7 $56,168.47 $56,168.47 $53,360.05 $56,168.47 $56,168.47 2026-03-31
B1903 OTHER Guillain-barré M >=38.50 And M <51.50 7 7 $54,724.85 $54,724.85 $51,988.61 $54,724.85 $54,724.85 2026-03-31
B0205 OTHER Traumatic Brain Injury M <35.50 7 7 $54,032.78 $54,032.78 $51,331.14 $54,032.78 $54,032.78 2026-03-31
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 $53,650.07 $53,650.07 $50,967.56 $53,650.07 $53,650.07 2026-03-31
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 $53,604.46 $53,604.46 $50,924.23 $53,604.46 $53,604.46 2026-03-31
37241 CPT Occ/emb Non Hemorr Venous 7 7 $52,661.00 $52,661.00 $52,661.00 $52,661.00 $52,661.00 2026-03-31
37243 CPT Occ/emb Tumor/organ Infar 7 7 $52,661.00 $52,661.00 $52,661.00 $52,661.00 $52,661.00 2026-03-31
37242 CPT Occ/emb Non Hemorr Art 7 7 $52,661.00 $52,661.00 $52,661.00 $52,661.00 $52,661.00 2026-03-31
37244 CPT Occ/emb Hemorrhag/lymph 7 7 $52,661.00 $52,661.00 $52,661.00 $52,661.00 $52,661.00 2026-03-31
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 $52,238.17 $52,238.17 $49,626.26 $52,238.17 $52,238.17 2026-03-31
A1904 OTHER Guillain-barré M <38.50 7 7 $51,716.64 $51,716.64 $49,130.81 $51,716.64 $51,716.64 2026-03-31
D1904 OTHER Guillain-barré M <38.50 7 7 $51,700.78 $51,700.78 $49,115.74 $51,700.78 $51,700.78 2026-03-31
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 $51,486.61 $51,486.61 $48,912.28 $51,486.61 $51,486.61 2026-03-31
J3357 HCPCS Ustekinumab 45mg Syg 7 7 $50,981.46 $50,981.46 $50,981.46 $50,981.46 $50,981.46 2026-03-31
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 7 $50,679.53 $50,679.53 $48,145.55 $50,679.53 $50,679.53 2026-03-31
B2102 OTHER Burns M <52.50 7 7 $50,469.33 $50,469.33 $47,945.87 $50,469.33 $50,469.33 2026-03-31
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 $50,312.68 $50,312.68 $47,797.04 $50,312.68 $50,312.68 2026-03-31
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 $50,132.22 $50,132.22 $47,625.61 $50,132.22 $50,132.22 2026-03-31
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 7 $49,894.26 $49,894.26 $47,399.55 $49,894.26 $49,894.26 2026-03-31
C0106 OTHER Stroke M <41.50 And A <84.50 7 7 $49,878.40 $49,878.40 $47,384.48 $49,878.40 $49,878.40 2026-03-31
B0105 OTHER Stroke M <41.50 And A >=84.50 7 7 $49,864.52 $49,864.52 $47,371.29 $49,864.52 $49,864.52 2026-03-31
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 7 $49,162.54 $49,162.54 $46,704.41 $49,162.54 $49,162.54 2026-03-31
B0604 OTHER Neurological M <43.50 7 7 $48,579.53 $48,579.53 $46,150.56 $48,579.53 $48,579.53 2026-03-31
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 7 7 $47,609.85 $47,609.85 $45,229.35 $47,609.85 $47,609.85 2026-03-31
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 $47,270.75 $47,270.75 $44,907.22 $47,270.75 $47,270.75 2026-03-31
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 7 7 $46,995.12 $46,995.12 $44,645.36 $46,995.12 $46,995.12 2026-03-31
B1004 OTHER Amputation Lower Extremity M <47.50 7 7 $46,866.22 $46,866.22 $44,522.91 $46,866.22 $46,866.22 2026-03-31
B1504 OTHER Pulmonary M <45.50 7 7 $46,451.78 $46,451.78 $44,129.19 $46,451.78 $46,451.78 2026-03-31
42644 CPT S/o Bcr-abl T9 7 7 $46,054.00 $46,054.00 $46,054.00 $46,054.00 $46,054.00 2026-03-31
B0704 OTHER Fracture Of Lower Extremity M <41.50 7 7 $45,490.02 $45,490.02 $43,215.52 $45,490.02 $45,490.02 2026-03-31
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 7 7 $45,434.50 $45,434.50 $43,162.77 $45,434.50 $45,434.50 2026-03-31
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 $45,365.09 $45,365.09 $43,096.84 $45,365.09 $45,365.09 2026-03-31
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 7 7 $45,345.26 $45,345.26 $43,078.00 $45,345.26 $45,345.26 2026-03-31
D0106 OTHER Stroke M <41.50 And A <84.50 7 7 $45,190.59 $45,190.59 $42,931.06 $45,190.59 $45,190.59 2026-03-31
37182 CPT Insert Tips 7 7 $45,087.00 $45,087.00 $45,087.00 $45,087.00 $45,087.00 2026-03-31
B0904 OTHER Other Orthopedic M <44.5 7 7 $44,581.81 $44,581.81 $42,352.72 $44,581.81 $44,581.81 2026-03-31
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 7 7 $44,292.29 $44,292.29 $42,077.67 $44,292.29 $44,292.29 2026-03-31
C0105 OTHER Stroke M <41.50 And A >=84.50 7 7 $44,280.39 $44,280.39 $42,066.37 $44,280.39 $44,280.39 2026-03-31
37183 CPT Revise Tips 7 7 $43,916.00 $43,916.00 $43,916.00 $43,916.00 $43,916.00 2026-03-31
B2005 OTHER Miscellaneous M <46.50 And A <77.50 7 7 $43,859.99 $43,859.99 $41,666.99 $43,859.99 $43,859.99 2026-03-31
B0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 7 7 $43,604.19 $43,604.19 $41,423.98 $43,604.19 $43,604.19 2026-03-31
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 7 7 $43,532.80 $43,532.80 $41,356.16 $43,532.80 $43,532.80 2026-03-31
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 7 7 $43,390.02 $43,390.02 $41,220.52 $43,390.02 $43,390.02 2026-03-31
C0205 OTHER Traumatic Brain Injury M <35.50 7 7 $42,961.69 $42,961.69 $40,813.61 $42,961.69 $42,961.69 2026-03-31
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 7 7 $42,902.21 $42,902.21 $40,757.09 $42,902.21 $42,902.21 2026-03-31
A0106 OTHER Stroke M <41.50 And A <84.50 7 7 $42,864.53 $42,864.53 $40,721.30 $42,864.53 $42,864.53 2026-03-31
B1404 OTHER Cardiac M <45.50 7 7 $42,571.04 $42,571.04 $40,442.49 $42,571.04 $42,571.04 2026-03-31
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 7 7 $42,565.10 $42,565.10 $40,436.84 $42,565.10 $42,565.10 2026-03-31
C2102 OTHER Burns M <52.50 7 7 $42,430.25 $42,430.25 $40,308.74 $42,430.25 $42,430.25 2026-03-31
B0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 7 7 $42,116.94 $42,116.94 $40,011.09 $42,116.94 $42,116.94 2026-03-31
B2004 OTHER Miscellaneous M <46.50 And A >=77.50 7 7 $41,902.77 $41,902.77 $39,807.63 $41,902.77 $41,902.77 2026-03-31
B0805 OTHER Replacement Of Lower-extremity Joint M <42.50 7 7 $41,464.53 $41,464.53 $39,391.30 $41,464.53 $41,464.53 2026-03-31
B1203 OTHER Osteoarthritis M <49.50 And A >=74.50 7 7 $41,345.55 $41,345.55 $39,278.27 $41,345.55 $41,345.55 2026-03-31
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 7 7 $40,978.69 $40,978.69 $38,929.76 $40,978.69 $40,978.69 2026-03-31
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 7 7 $40,818.07 $40,818.07 $38,777.17 $40,818.07 $40,818.07 2026-03-31
C0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 7 $40,782.38 $40,782.38 $38,743.26 $40,782.38 $40,782.38 2026-03-31
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 7 7 $40,621.75 $40,621.75 $38,590.67 $40,621.75 $40,621.75 2026-03-31
C1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 7 $40,219.21 $40,219.21 $38,208.25 $40,219.21 $40,219.21 2026-03-31
C1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 7 $40,149.80 $40,149.80 $38,142.31 $40,149.80 $40,149.80 2026-03-31
D0105 OTHER Stroke M <41.50 And A >=84.50 7 7 $40,118.07 $40,118.07 $38,112.17 $40,118.07 $40,118.07 2026-03-31
B0104 OTHER Stroke M >=41.50 And M <50.50 7 7 $40,010.99 $40,010.99 $38,010.44 $40,010.99 $40,010.99 2026-03-31
B1604 OTHER Pain Syndrome M <43.50 7 7 $39,757.17 $39,757.17 $37,769.31 $39,757.17 $39,757.17 2026-03-31
D0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 7 $39,709.57 $39,709.57 $37,724.10 $39,709.57 $39,709.57 2026-03-31
D0205 OTHER Traumatic Brain Injury M <35.50 7 7 $39,249.52 $39,249.52 $37,287.04 $39,249.52 $39,249.52 2026-03-31
A9604 CPT Sm153 Lexidron To 150mci 7 7 $39,053.00 $39,053.00 $39,053.00 $39,053.00 $39,053.00 2026-03-31
C1004 OTHER Amputation Lower Extremity M <47.50 7 7 $38,942.15 $38,942.15 $36,995.05 $38,942.15 $38,942.15 2026-03-31
B0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 7 7 $38,874.73 $38,874.73 $36,931.00 $38,874.73 $38,874.73 2026-03-31
B1902 OTHER Guillain-barré M >=51.50 And M <66.50 7 7 $38,678.42 $38,678.42 $36,744.49 $38,678.42 $38,678.42 2026-03-31
C1903 OTHER Guillain-barré M >=38.50 And M <51.50 7 7 $38,676.43 $38,676.43 $36,742.61 $38,676.43 $38,676.43 2026-03-31
B0603 OTHER Neurological M >=43.50 And M <52.50 7 7 $38,410.71 $38,410.71 $36,490.17 $38,410.71 $38,410.71 2026-03-31
B1103 OTHER Amputation Non-lower Extremity M <52.50 7 7 $38,359.15 $38,359.15 $36,441.19 $38,359.15 $38,359.15 2026-03-31
A0105 OTHER Stroke M <41.50 And A >=84.50 7 7 $38,053.77 $38,053.77 $36,151.08 $38,053.77 $38,053.77 2026-03-31
B1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 7 7 $37,831.67 $37,831.67 $35,940.09 $37,831.67 $37,831.67 2026-03-31
C1504 OTHER Pulmonary M <45.50 7 7 $37,349.81 $37,349.81 $35,482.31 $37,349.81 $37,349.81 2026-03-31
D1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 7 $37,278.42 $37,278.42 $35,414.50 $37,278.42 $37,278.42 2026-03-31
C0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 7 7 $37,246.69 $37,246.69 $35,384.35 $37,246.69 $37,246.69 2026-03-31
B1503 OTHER Pulmonary M >=45.50 And M <56.50 7 7 $37,042.44 $37,042.44 $35,190.32 $37,042.44 $37,042.44 2026-03-31
B0903 OTHER Other Orthopedic M >=44.50 And M <51.50 7 7 $37,022.61 $37,022.61 $35,171.48 $37,022.61 $37,022.61 2026-03-31
D1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 7 $36,998.81 $36,998.81 $35,148.87 $36,998.81 $36,998.81 2026-03-31
A0205 OTHER Traumatic Brain Injury M <35.50 7 7 $36,875.87 $36,875.87 $35,032.07 $36,875.87 $36,875.87 2026-03-31
B0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 7 7 $36,840.17 $36,840.17 $34,998.17 $36,840.17 $36,840.17 2026-03-31
C0604 OTHER Neurological M <43.50 7 7 $36,790.60 $36,790.60 $34,951.07 $36,790.60 $36,790.60 2026-03-31
B0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 7 7 $36,491.17 $36,491.17 $34,666.61 $36,491.17 $36,491.17 2026-03-31
37238 CPT Stnt Plc Transc Vein Ini 7 7 $36,445.00 $36,445.00 $36,445.00 $36,445.00 $36,445.00 2026-03-31
C0704 OTHER Fracture Of Lower Extremity M <41.50 7 7 $36,372.19 $36,372.19 $34,553.58 $36,372.19 $36,372.19 2026-03-31
C1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 7 7 $36,324.59 $36,324.59 $34,508.36 $36,324.59 $36,324.59 2026-03-31
C1103 OTHER Amputation Non-lower Extremity M <52.50 7 7 $36,314.68 $36,314.68 $34,498.95 $36,314.68 $36,314.68 2026-03-31
37236 CPT Stnt Plc Transcth Art Ini 7 7 $36,293.00 $36,293.00 $36,293.00 $36,293.00 $36,293.00 2026-03-31
A9600 CPT Strontium Sr-89 Thera/mci 7 7 $36,289.00 $36,289.00 $36,289.00 $36,289.00 $36,289.00 2026-03-31
C1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 7 7 $36,251.22 $36,251.22 $34,438.66 $36,251.22 $36,251.22 2026-03-31
B0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 7 7 $36,213.55 $36,213.55 $34,402.87 $36,213.55 $36,213.55 2026-03-31
22513 CPT Verteb Augm Thorac W Imag 7 7 $36,199.00 $36,199.00 $36,199.00 $36,199.00 $36,199.00 2026-03-31
22514 CPT Verteb Augm Lumbar W Imag 7 7 $36,199.00 $36,199.00 $36,199.00 $36,199.00 $36,199.00 2026-03-31
22515 CPT Verteb Augm Ea Add W Imag 7 7 $36,199.00 $36,199.00 $36,199.00 $36,199.00 $36,199.00 2026-03-31
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 7 $35,933.94 $35,933.94 $34,137.25 $35,933.94 $35,933.94 2026-03-31
C1604 OTHER Pain Syndrome M <43.50 7 7 $35,630.54 $35,630.54 $33,849.02 $35,630.54 $35,630.54 2026-03-31
C0104 OTHER Stroke M >=41.50 And M <50.50 7 7 $35,531.39 $35,531.39 $33,754.82 $35,531.39 $35,531.39 2026-03-31
D1004 OTHER Amputation Lower Extremity M <47.50 7 7 $35,344.99 $35,344.99 $33,577.74 $35,344.99 $35,344.99 2026-03-31
B1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 7 7 $35,233.94 $35,233.94 $33,472.25 $35,233.94 $35,233.94 2026-03-31
B1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 7 7 $35,202.22 $35,202.22 $33,442.11 $35,202.22 $35,202.22 2026-03-31
C2005 OTHER Miscellaneous M <46.50 And A <77.50 7 7 $35,174.45 $35,174.45 $33,415.73 $35,174.45 $35,174.45 2026-03-31
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 7 7 $35,087.20 $35,087.20 $33,332.84 $35,087.20 $35,087.20 2026-03-31
D1504 OTHER Pulmonary M <45.50 7 7 $34,978.14 $34,978.14 $33,229.23 $34,978.14 $34,978.14 2026-03-31
C0805 OTHER Replacement Of Lower-extremity Joint M <42.50 7 7 $34,922.61 $34,922.61 $33,176.48 $34,922.61 $34,922.61 2026-03-31
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 7 $34,726.30 $34,726.30 $32,989.98 $34,726.30 $34,726.30 2026-03-31
D0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 7 7 $34,724.31 $34,724.31 $32,988.10 $34,724.31 $34,724.31 2026-03-31
D0604 OTHER Neurological M <43.50 7 7 $34,652.93 $34,652.93 $32,920.28 $34,652.93 $34,652.93 2026-03-31
D0704 OTHER Fracture Of Lower Extremity M <41.50 7 7 $34,543.86 $34,543.86 $32,816.67 $34,543.86 $34,543.86 2026-03-31
C1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 7 7 $34,488.34 $34,488.34 $32,763.92 $34,488.34 $34,488.34 2026-03-31
B2003 OTHER Miscellaneous M >=46.50 And M <55.50 7 7 $34,357.46 $34,357.46 $32,639.59 $34,357.46 $34,357.46 2026-03-31
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 7 $34,317.80 $34,317.80 $32,601.91 $34,317.80 $34,317.80 2026-03-31
C1404 OTHER Cardiac M <45.50 7 7 $34,294.00 $34,294.00 $32,579.30 $34,294.00 $34,294.00 2026-03-31
B0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 7 7 $34,173.04 $34,173.04 $32,464.39 $34,173.04 $34,173.04 2026-03-31
B1403 OTHER Cardiac M >=45.50 And M <55.50 7 7 $34,121.48 $34,121.48 $32,415.41 $34,121.48 $34,121.48 2026-03-31
C0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 7 7 $34,002.50 $34,002.50 $32,302.38 $34,002.50 $34,002.50 2026-03-31
C1204 OTHER Osteoarthritis M <49.50 And A <74.50 7 7 $33,784.37 $33,784.37 $32,095.15 $33,784.37 $33,784.37 2026-03-31
C0904 OTHER Other Orthopedic M <44.5 7 7 $33,768.51 $33,768.51 $32,080.08 $33,768.51 $33,768.51 2026-03-31
B0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 7 7 $33,681.25 $33,681.25 $31,997.19 $33,681.25 $33,681.25 2026-03-31
A1903 OTHER Guillain-barré M >=38.50 And M <51.50 7 7 $33,631.68 $33,631.68 $31,950.10 $33,631.68 $33,631.68 2026-03-31
D1903 OTHER Guillain-barré M >=38.50 And M <51.50 7 7 $33,623.75 $33,623.75 $31,942.56 $33,623.75 $33,623.75 2026-03-31
C2004 OTHER Miscellaneous M <46.50 And A >=77.50 7 7 $33,603.92 $33,603.92 $31,923.72 $33,603.92 $33,603.92 2026-03-31
C1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 7 7 $33,524.60 $33,524.60 $31,848.37 $33,524.60 $33,524.60 2026-03-31
C0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 7 7 $33,508.73 $33,508.73 $31,833.30 $33,508.73 $33,508.73 2026-03-31
C0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 7 7 $33,486.92 $33,486.92 $31,812.57 $33,486.92 $33,486.92 2026-03-31
A1504 OTHER Pulmonary M <45.50 7 7 $33,437.35 $33,437.35 $31,765.48 $33,437.35 $33,437.35 2026-03-31
B0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 7 7 $33,290.60 $33,290.60 $31,626.07 $33,290.60 $33,290.60 2026-03-31
D1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 7 7 $33,282.67 $33,282.67 $31,618.54 $33,282.67 $33,282.67 2026-03-31
D1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 7 7 $33,215.25 $33,215.25 $31,554.49 $33,215.25 $33,215.25 2026-03-31
A1004 OTHER Amputation Lower Extremity M <47.50 7 7 $32,818.65 $32,818.65 $31,177.72 $32,818.65 $32,818.65 2026-03-31
C1203 OTHER Osteoarthritis M <49.50 And A >=74.50 7 7 $32,814.68 $32,814.68 $31,173.95 $32,814.68 $32,814.68 2026-03-31
D2005 OTHER Miscellaneous M <46.50 And A <77.50 7 7 $32,711.57 $32,711.57 $31,075.99 $32,711.57 $32,711.57 2026-03-31
D1604 OTHER Pain Syndrome M <43.50 7 7 $32,592.59 $32,592.59 $30,962.96 $32,592.59 $32,592.59 2026-03-31
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 7 7 $32,507.32 $32,507.32 $30,881.95 $32,507.32 $32,507.32 2026-03-31
B0602 OTHER Neurological M >=52.50 And M <64.50 7 7 $32,301.09 $32,301.09 $30,686.03 $32,301.09 $32,301.09 2026-03-31
B1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 7 7 $32,243.58 $32,243.58 $30,631.40 $32,243.58 $32,243.58 2026-03-31
B0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 7 7 $32,225.73 $32,225.73 $30,614.45 $32,225.73 $32,225.73 2026-03-31
D0104 OTHER Stroke M >=41.50 And M <50.50 7 7 $32,192.02 $32,192.02 $30,582.42 $32,192.02 $32,192.02 2026-03-31
D1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 7 7 $32,021.48 $32,021.48 $30,420.41 $32,021.48 $32,021.48 2026-03-31
D2102 OTHER Burns M <52.50 7 7 $31,997.69 $31,997.69 $30,397.80 $31,997.69 $31,997.69 2026-03-31
D0904 OTHER Other Orthopedic M <44.5 7 7 $31,898.54 $31,898.54 $30,303.61 $31,898.54 $31,898.54 2026-03-31
B2101 OTHER Burns M >=52.50 7 7 $31,848.96 $31,848.96 $30,256.51 $31,848.96 $31,848.96 2026-03-31
C0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 7 7 $31,775.59 $31,775.59 $30,186.81 $31,775.59 $31,775.59 2026-03-31
B1502 OTHER Pulmonary M >=56.50 And M <68.50 7 7 $31,771.63 $31,771.63 $30,183.04 $31,771.63 $31,771.63 2026-03-31
D1404 OTHER Cardiac M <45.50 7 7 $31,710.15 $31,710.15 $30,124.65 $31,710.15 $31,710.15 2026-03-31
D0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 7 7 $31,698.26 $31,698.26 $30,113.34 $31,698.26 $31,698.26 2026-03-31
A0704 OTHER Fracture Of Lower Extremity M <41.50 7 7 $31,565.39 $31,565.39 $29,987.12 $31,565.39 $31,565.39 2026-03-31
B0103 OTHER Stroke M >=50.50 And M <63.50 7 7 $31,327.43 $31,327.43 $29,761.06 $31,327.43 $31,327.43 2026-03-31
D1103 OTHER Amputation Non-lower Extremity M <52.50 7 7 $31,252.08 $31,252.08 $29,689.48 $31,252.08 $31,252.08 2026-03-31
D2004 OTHER Miscellaneous M <46.50 And A >=77.50 7 7 $31,252.08 $31,252.08 $29,689.48 $31,252.08 $31,252.08 2026-03-31
D0805 OTHER Replacement Of Lower-extremity Joint M <42.50 7 7 $31,216.39 $31,216.39 $29,655.57 $31,216.39 $31,216.39 2026-03-31
B0902 OTHER Other Orthopedic M >=51.50 And M <63.50 7 7 $31,198.54 $31,198.54 $29,638.61 $31,198.54 $31,198.54 2026-03-31
D0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 7 7 $31,172.76 $31,172.76 $29,614.12 $31,172.76 $31,172.76 2026-03-31
A0604 OTHER Neurological M <43.50 7 7 $31,125.17 $31,125.17 $29,568.91 $31,125.17 $31,125.17 2026-03-31
D0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 7 7 $30,938.77 $30,938.77 $29,391.83 $30,938.77 $30,938.77 2026-03-31
J2505 HCPCS Pegfilgrastim 6mg Inj 7 7 $30,933.90 $30,933.90 $30,933.90 $30,933.90 $30,933.90 2026-03-31
B1202 OTHER Osteoarthritis M >=49.50 And M <61.50 7 7 $30,887.21 $30,887.21 $29,342.85 $30,887.21 $30,887.21 2026-03-31
D1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 7 7 $30,839.62 $30,839.62 $29,297.64 $30,839.62 $30,839.62 2026-03-31
A2102 OTHER Burns M <52.50 7 7 $30,684.94 $30,684.94 $29,150.69 $30,684.94 $30,684.94 2026-03-31
B0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 7 7 $30,627.44 $30,627.44 $29,096.06 $30,627.44 $30,627.44 2026-03-31
B1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 7 7 $30,625.45 $30,625.45 $29,094.18 $30,625.45 $30,625.45 2026-03-31
D0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 7 7 $30,593.72 $30,593.72 $29,064.04 $30,593.72 $30,593.72 2026-03-31
A0104 OTHER Stroke M >=41.50 And M <50.50 7 7 $30,534.23 $30,534.23 $29,007.52 $30,534.23 $30,534.23 2026-03-31
B1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 7 7 $30,458.88 $30,458.88 $28,935.94 $30,458.88 $30,458.88 2026-03-31
B1603 OTHER Pain Syndrome M >=43.50 And M <58.50 7 7 $30,373.61 $30,373.61 $28,854.93 $30,373.61 $30,373.61 2026-03-31
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 7 7 $30,232.82 $30,232.82 $28,721.18 $30,232.82 $30,232.82 2026-03-31
D1204 OTHER Osteoarthritis M <49.50 And A <74.50 7 7 $30,191.17 $30,191.17 $28,681.62 $30,191.17 $30,191.17 2026-03-31
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 7 7 $30,173.33 $30,173.33 $28,664.66 $30,173.33 $30,173.33 2026-03-31
B0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 7 7 $30,072.19 $30,072.19 $28,568.59 $30,072.19 $30,072.19 2026-03-31
C1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 7 7 $29,971.06 $29,971.06 $28,472.51 $29,971.06 $29,971.06 2026-03-31
A2005 OTHER Miscellaneous M <46.50 And A <77.50 7 7 $29,945.28 $29,945.28 $28,448.02 $29,945.28 $29,945.28 2026-03-31
C1503 OTHER Pulmonary M >=45.50 And M <56.50 7 7 $29,784.66 $29,784.66 $28,295.43 $29,784.66 $29,784.66 2026-03-31
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 7 7 $29,675.60 $29,675.60 $28,191.82 $29,675.60 $29,675.60 2026-03-31
B1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 7 7 $29,604.21 $29,604.21 $28,124.00 $29,604.21 $29,604.21 2026-03-31
A1604 OTHER Pain Syndrome M <43.50 7 7 $29,542.73 $29,542.73 $28,065.60 $29,542.73 $29,542.73 2026-03-31
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 7 7 $29,479.28 $29,479.28 $28,005.31 $29,479.28 $29,479.28 2026-03-31
C0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 7 7 $29,455.48 $29,455.48 $27,982.71 $29,455.48 $29,455.48 2026-03-31
D1203 OTHER Osteoarthritis M <49.50 And A >=74.50 7 7 $29,324.60 $29,324.60 $27,858.37 $29,324.60 $29,324.60 2026-03-31
B0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 7 7 $29,304.77 $29,304.77 $27,839.54 $29,304.77 $29,304.77 2026-03-31
C1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 7 7 $29,277.01 $29,277.01 $27,813.16 $29,277.01 $29,277.01 2026-03-31
B2002 OTHER Miscellaneous M >=55.50 And M <66.50 7 7 $29,259.17 $29,259.17 $27,796.21 $29,259.17 $29,259.17 2026-03-31
A0805 OTHER Replacement Of Lower-extremity Joint M <42.50 7 7 $29,247.27 $29,247.27 $27,784.90 $29,247.27 $29,247.27 2026-03-31
A1404 OTHER Cardiac M <45.50 7 7 $29,160.01 $29,160.01 $27,702.01 $29,160.01 $29,160.01 2026-03-31
A0904 OTHER Other Orthopedic M <44.5 7 7 $29,100.53 $29,100.53 $27,645.50 $29,100.53 $29,100.53 2026-03-31
C0603 OTHER Neurological M >=43.50 And M <52.50 7 7 $29,090.61 $29,090.61 $27,636.08 $29,090.61 $29,090.61 2026-03-31
C1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 7 7 $28,993.44 $28,993.44 $27,543.77 $28,993.44 $28,993.44 2026-03-31
A1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 7 7 $28,945.85 $28,945.85 $27,498.56 $28,945.85 $28,945.85 2026-03-31
A0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 7 7 $28,743.58 $28,743.58 $27,306.41 $28,743.58 $28,743.58 2026-03-31
A0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 7 7 $28,727.72 $28,727.72 $27,291.33 $28,727.72 $28,727.72 2026-03-31
C1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 7 7 $28,703.92 $28,703.92 $27,268.73 $28,703.92 $28,703.92 2026-03-31
C0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 7 7 $28,701.94 $28,701.94 $27,266.84 $28,701.94 $28,701.94 2026-03-31
A2004 OTHER Miscellaneous M <46.50 And A >=77.50 7 7 $28,608.74 $28,608.74 $27,178.30 $28,608.74 $28,608.74 2026-03-31
B1402 OTHER Cardiac M >=55.50 And M <68.50 7 7 $28,229.99 $28,229.99 $26,818.49 $28,229.99 $28,229.99 2026-03-31
B1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 7 7 $28,204.21 $28,204.21 $26,794.00 $28,204.21 $28,204.21 2026-03-31
C1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 7 7 $28,142.74 $28,142.74 $26,735.60 $28,142.74 $28,142.74 2026-03-31
C0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 7 7 $28,043.59 $28,043.59 $26,641.41 $28,043.59 $28,043.59 2026-03-31
C0903 OTHER Other Orthopedic M >=44.50 And M <51.50 7 7 $28,041.60 $28,041.60 $26,639.52 $28,041.60 $28,041.60 2026-03-31
C0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 7 7 $28,039.62 $28,039.62 $26,637.64 $28,039.62 $28,039.62 2026-03-31
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 7 7 $27,995.99 $27,995.99 $26,596.19 $27,995.99 $27,995.99 2026-03-31
D0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 7 7 $27,976.16 $27,976.16 $26,577.36 $27,976.16 $27,976.16 2026-03-31
A1204 OTHER Osteoarthritis M <49.50 And A <74.50 7 7 $27,960.30 $27,960.30 $26,562.28 $27,960.30 $27,960.30 2026-03-31
D1503 OTHER Pulmonary M >=45.50 And M <56.50 7 7 $27,892.88 $27,892.88 $26,498.23 $27,892.88 $27,892.88 2026-03-31
D1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 7 7 $27,827.44 $27,827.44 $26,436.07 $27,827.44 $27,827.44 2026-03-31
C0103 OTHER Stroke M >=50.50 And M <63.50 7 7 $27,819.51 $27,819.51 $26,428.53 $27,819.51 $27,819.51 2026-03-31
C2003 OTHER Miscellaneous M >=46.50 And M <55.50 7 7 $27,553.78 $27,553.78 $26,176.10 $27,553.78 $27,553.78 2026-03-31
C0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 7 7 $27,529.99 $27,529.99 $26,153.49 $27,529.99 $27,529.99 2026-03-31
B0202 OTHER Traumatic Brain Injury M >=61.50 And M <73.50 7 7 $27,486.36 $27,486.36 $26,112.04 $27,486.36 $27,486.36 2026-03-31
C1403 OTHER Cardiac M >=45.50 And M <55.50 7 7 $27,486.36 $27,486.36 $26,112.04 $27,486.36 $27,486.36 2026-03-31
D0603 OTHER Neurological M >=43.50 And M <52.50 7 7 $27,399.11 $27,399.11 $26,029.16 $27,399.11 $27,399.11 2026-03-31
A1103 OTHER Amputation Non-lower Extremity M <52.50 7 7 $27,343.59 $27,343.59 $25,976.41 $27,343.59 $27,343.59 2026-03-31
C1902 OTHER Guillain-barré M >=51.50 And M <66.50 7 7 $27,335.65 $27,335.65 $25,968.87 $27,335.65 $27,335.65 2026-03-31
C1603 OTHER Pain Syndrome M >=43.50 And M <58.50 7 7 $27,220.64 $27,220.64 $25,859.61 $27,220.64 $27,220.64 2026-03-31
C0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 7 7 $27,171.07 $27,171.07 $25,812.51 $27,171.07 $27,171.07 2026-03-31
A1203 OTHER Osteoarthritis M <49.50 And A >=74.50 7 7 $27,159.17 $27,159.17 $25,801.21 $27,159.17 $27,159.17 2026-03-31
36901 CPT Intro Dial Graft 7 7 $26,970.62 $26,970.62 $26,970.62 $26,970.62 $26,970.62 2026-03-31
B0401 OTHER Traumatic Spinal Cord Injury M >=56.50 7 7 $26,865.68 $26,865.68 $25,522.40 $26,865.68 $26,865.68 2026-03-31
B1101 OTHER Amputation Non-lower Extremity M >=58.50 7 7 $26,818.09 $26,818.09 $25,477.19 $26,818.09 $26,818.09 2026-03-31
D0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 7 7 $26,806.19 $26,806.19 $25,465.88 $26,806.19 $26,806.19 2026-03-31
C2101 OTHER Burns M >=52.50 7 7 $26,776.45 $26,776.45 $25,437.63 $26,776.45 $26,776.45 2026-03-31
D0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 7 7 $26,758.60 $26,758.60 $25,420.67 $26,758.60 $26,758.60 2026-03-31
A1503 OTHER Pulmonary M >=45.50 And M <56.50 7 7 $26,663.42 $26,663.42 $25,330.25 $26,663.42 $26,663.42 2026-03-31
B0802 OTHER Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 7 7 $26,627.72 $26,627.72 $25,296.34 $26,627.72 $26,627.72 2026-03-31
B1901 OTHER Guillain-barré M >=66.50 7 7 $26,586.08 $26,586.08 $25,256.78 $26,586.08 $26,586.08 2026-03-31
D1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 7 7 $26,572.20 $26,572.20 $25,243.59 $26,572.20 $26,572.20 2026-03-31
D0903 OTHER Other Orthopedic M >=44.50 And M <51.50 7 7 $26,488.91 $26,488.91 $25,164.47 $26,488.91 $26,488.91 2026-03-31
D1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 7 7 $26,405.63 $26,405.63 $25,085.35 $26,405.63 $26,405.63 2026-03-31
B1201 OTHER Osteoarthritis M >=61.50 7 7 $26,268.80 $26,268.80 $24,955.36 $26,268.80 $26,268.80 2026-03-31
B1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 7 7 $26,157.75 $26,157.75 $24,849.87 $26,157.75 $26,157.75 2026-03-31
D0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 7 7 $26,088.35 $26,088.35 $24,783.93 $26,088.35 $26,088.35 2026-03-31
B1501 OTHER Pulmonary M >=68.50 7 7 $25,983.25 $25,983.25 $24,684.09 $25,983.25 $25,983.25 2026-03-31
B0601 OTHER Neurological M >=64.50 7 7 $25,967.38 $25,967.38 $24,669.02 $25,967.38 $25,967.38 2026-03-31
B0501 OTHER Non-traumatic Spinal Cord Injury M >=60.50 7 7 $25,957.47 $25,957.47 $24,659.60 $25,957.47 $25,957.47 2026-03-31
D1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 7 7 $25,786.93 $25,786.93 $24,497.59 $25,786.93 $25,786.93 2026-03-31
D2003 OTHER Miscellaneous M >=46.50 And M <55.50 7 7 $25,624.33 $25,624.33 $24,343.11 $25,624.33 $25,624.33 2026-03-31
A1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 7 7 $25,618.38 $25,618.38 $24,337.46 $25,618.38 $25,618.38 2026-03-31
A0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 7 7 $25,564.84 $25,564.84 $24,286.59 $25,564.84 $25,564.84 2026-03-31
C1502 OTHER Pulmonary M >=56.50 And M <68.50 7 7 $25,546.99 $25,546.99 $24,269.64 $25,546.99 $25,546.99 2026-03-31
C1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 7 7 $25,543.02 $25,543.02 $24,265.87 $25,543.02 $25,543.02 2026-03-31
D1403 OTHER Cardiac M >=45.50 And M <55.50 7 7 $25,414.13 $25,414.13 $24,143.42 $25,414.13 $25,414.13 2026-03-31
C1101 OTHER Amputation Non-lower Extremity M >=58.50 7 7 $25,390.33 $25,390.33 $24,120.82 $25,390.33 $25,390.33 2026-03-31
D0103 OTHER Stroke M >=50.50 And M <63.50 7 7 $25,203.93 $25,203.93 $23,943.73 $25,203.93 $25,203.93 2026-03-31
B1602 OTHER Pain Syndrome M >=58.50 And M <65.50 7 7 $25,080.98 $25,080.98 $23,826.93 $25,080.98 $25,080.98 2026-03-31
D0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 7 7 $25,063.14 $25,063.14 $23,809.98 $25,063.14 $25,063.14 2026-03-31
A0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 7 7 $25,051.24 $25,051.24 $23,798.68 $25,051.24 $25,051.24 2026-03-31
D1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 7 7 $24,950.11 $24,950.11 $23,702.60 $24,950.11 $24,950.11 2026-03-31
D1603 OTHER Pain Syndrome M >=43.50 And M <58.50 7 7 $24,900.53 $24,900.53 $23,655.50 $24,900.53 $24,900.53 2026-03-31
B1301 OTHER Rheumatoid Other Arthritis M >=62.50 7 7 $24,841.04 $24,841.04 $23,598.99 $24,841.04 $24,841.04 2026-03-31
D0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 7 7 $24,823.19 $24,823.19 $23,582.03 $24,823.19 $24,823.19 2026-03-31
A1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 7 7 $24,783.53 $24,783.53 $23,544.36 $24,783.53 $24,783.53 2026-03-31
C0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 7 7 $24,765.69 $24,765.69 $23,527.40 $24,765.69 $24,765.69 2026-03-31
C0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 7 7 $24,682.40 $24,682.40 $23,448.28 $24,682.40 $24,682.40 2026-03-31
A1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 7 7 $24,672.49 $24,672.49 $23,438.86 $24,672.49 $24,672.49 2026-03-31
A0603 OTHER Neurological M >=43.50 And M <52.50 7 7 $24,611.01 $24,611.01 $23,380.46 $24,611.01 $24,611.01 2026-03-31
C1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 7 7 $24,599.12 $24,599.12 $23,369.16 $24,599.12 $24,599.12 2026-03-31
B0901 OTHER Other Orthopedic M >=63.50 7 7 $24,559.46 $24,559.46 $23,331.48 $24,559.46 $24,559.46 2026-03-31
C1202 OTHER Osteoarthritis M >=49.50 And M <61.50 7 7 $24,513.85 $24,513.85 $23,288.15 $24,513.85 $24,513.85 2026-03-31
C0602 OTHER Neurological M >=52.50 And M <64.50 7 7 $24,464.27 $24,464.27 $23,241.06 $24,464.27 $24,464.27 2026-03-31
B0102 OTHER Stroke M >=63.50 And M <72.50 7 7 $24,402.80 $24,402.80 $23,182.66 $24,402.80 $24,402.80 2026-03-31
B1001 OTHER Amputation Lower Extremity M >=64.50 7 7 $24,369.09 $24,369.09 $23,150.63 $24,369.09 $24,369.09 2026-03-31
C1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 7 7 $24,351.24 $24,351.24 $23,133.68 $24,351.24 $24,351.24 2026-03-31
B0701 OTHER Fracture Of Lower Extremity M >=61.50 7 7 $24,329.43 $24,329.43 $23,112.96 $24,329.43 $24,329.43 2026-03-31
37233 CPT Revas Tib Peron Ather Add 7 7 $24,279.00 $24,279.00 $24,279.00 $24,279.00 $24,279.00 2026-03-31
37231 CPT Revas Tib Pr Stnt Ath Ini 7 7 $24,279.00 $24,279.00 $24,279.00 $24,279.00 $24,279.00 2026-03-31
37230 CPT Revas Tib Peron Stent Ini 7 7 $24,279.00 $24,279.00 $24,279.00 $24,279.00 $24,279.00 2026-03-31
37229 CPT Revas Tib Peron Ather Ini 7 7 $24,279.00 $24,279.00 $24,279.00 $24,279.00 $24,279.00 2026-03-31
C0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 7 7 $24,273.90 $24,273.90 $23,060.21 $24,273.90 $24,273.90 2026-03-31
A0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 7 7 $24,256.06 $24,256.06 $23,043.25 $24,256.06 $24,256.06 2026-03-31
37227 CPT Revas Fem Pop Stent Ather 7 7 $24,188.00 $24,188.00 $24,188.00 $24,188.00 $24,188.00 2026-03-31
37226 CPT Revas Femoral Poplt Stent 7 7 $24,188.00 $24,188.00 $24,188.00 $24,188.00 $24,188.00 2026-03-31
37225 CPT Revas Fem Pop Atherectomy 7 7 $24,188.00 $24,188.00 $24,188.00 $24,188.00 $24,188.00 2026-03-31
A0903 OTHER Other Orthopedic M >=44.50 And M <51.50 7 7 $24,166.82 $24,166.82 $22,958.48 $24,166.82 $24,166.82 2026-03-31
C0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 7 7 $24,043.88 $24,043.88 $22,841.68 $24,043.88 $24,043.88 2026-03-31
A0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 7 7 $24,041.89 $24,041.89 $22,839.80 $24,041.89 $24,041.89 2026-03-31
D1502 OTHER Pulmonary M >=56.50 And M <68.50 7 7 $23,924.90 $23,924.90 $22,728.65 $23,924.90 $23,924.90 2026-03-31
A0103 OTHER Stroke M >=50.50 And M <63.50 7 7 $23,907.05 $23,907.05 $22,711.70 $23,907.05 $23,907.05 2026-03-31
A1902 OTHER Guillain-barré M >=51.50 And M <66.50 7 7 $23,770.22 $23,770.22 $22,581.71 $23,770.22 $23,770.22 2026-03-31
D1902 OTHER Guillain-barré M >=51.50 And M <66.50 7 7 $23,764.27 $23,764.27 $22,576.06 $23,764.27 $23,764.27 2026-03-31
D1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 7 7 $23,716.68 $23,716.68 $22,530.85 $23,716.68 $23,716.68 2026-03-31
B0301 OTHER Non-traumatic Brain Injury M >=65.50 7 7 $23,675.04 $23,675.04 $22,491.29 $23,675.04 $23,675.04 2026-03-31
C0902 OTHER Other Orthopedic M >=51.50 And M <63.50 7 7 $23,631.41 $23,631.41 $22,449.84 $23,631.41 $23,631.41 2026-03-31
47382 CPT Liver Tumor Ablat Rf Perc 7 7 $23,620.00 $23,620.00 $23,620.00 $23,620.00 $23,620.00 2026-03-31
B2001 OTHER Miscellaneous M >=66.50 7 7 $23,565.97 $23,565.97 $22,387.67 $23,565.97 $23,565.97 2026-03-31
A0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 7 7 $23,482.69 $23,482.69 $22,308.55 $23,482.69 $23,482.69 2026-03-31
C2002 OTHER Miscellaneous M >=55.50 And M <66.50 7 7 $23,464.84 $23,464.84 $22,291.60 $23,464.84 $23,464.84 2026-03-31
A2003 OTHER Miscellaneous M >=46.50 And M <55.50 7 7 $23,458.89 $23,458.89 $22,285.95 $23,458.89 $23,458.89 2026-03-31
A1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 7 7 $23,423.20 $23,423.20 $22,252.04 $23,423.20 $23,423.20 2026-03-31
A1403 OTHER Cardiac M >=45.50 And M <55.50 7 7 $23,371.64 $23,371.64 $22,203.06 $23,371.64 $23,371.64 2026-03-31
B0801 OTHER Replacement Of Lower-extremity Joint M >=63.50 7 7 $23,361.72 $23,361.72 $22,193.64 $23,361.72 $23,361.72 2026-03-31
A0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 7 7 $23,322.06 $23,322.06 $22,155.96 $23,322.06 $23,322.06 2026-03-31
C1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 7 7 $23,074.19 $23,074.19 $21,920.48 $23,074.19 $23,074.19 2026-03-31
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