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Hospital

Mercy Rehabilitation Hospital

Fort Smith, AR · CCN 043037 · Rates published

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ECHO 2-D&M-MODE W/DOPPLER

This facility filed a payer-negotiated range for this code ($2,094 to $2,094), not a single rate. The comparison board shows the midpoint estimate.

2,837 distinct procedures filed
23 distinct payers
71,967 rate rows
2025-08-10 last MRF observed · ⚠ 14 mo old
Data quality

34,419 of 71,967 rate rows are consumer-grade (47.8%)

37,548 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 37,548

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/301200418_MercyRehabilitationHospitalFortSmith_standardcharges.csv
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint acce38517aca4240… · 27,712,262 bytes · first seen 2026-05-05

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
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $73,830.86 $77,522.40 $73,830.86 nat. median
$83,710
0.9× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $66,438.89 $69,760.83 $66,438.89 nat. median
$70,140
0.9× median
B1904
HCPCS 		Guillain-barr� M <38.50 11 $64,962.98 $68,211.13 $64,962.98 nat. median
$73,807
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $64,275.65 $67,489.43 $64,275.65 nat. median
$67,955
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $60,592.10 $63,621.70 $60,592.10 nat. median
$66,421
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $58,396.89 $61,316.73 $58,396.89 nat. median
$62,254
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $54,393.64 $57,113.33 $54,393.64 nat. median
$60,970
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $53,734.73 $56,421.46 $53,734.73 nat. median
$58,851
0.9× median
37242
CPT 		Occ/emb Non Hemorr Art 11 $53,714.22 $53,714.22 $53,714.22 nat. median
$16,878
outlier · 3.2×
37244
CPT 		Occ/emb Hemorrhag/lymph 11 $53,714.22 $53,714.22 $53,714.22 nat. median
$12,394
outlier · 4.3×
37241
CPT 		Occ/emb Non Hemorr Venous 11 $53,714.22 $53,714.22 $53,714.22 nat. median
$12,180
outlier · 4.4×
37243
CPT 		Occ/emb Tumor/organ Infar 11 $53,714.22 $53,714.22 $53,714.22 nat. median
$12,456
outlier · 4.3×
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $52,553.64 $55,181.33 $52,553.64 nat. median
$59,982
0.9× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $51,440.05 $54,012.06 $51,440.05 nat. median
$53,961
1.0× median
C1904
HCPCS 		Guillain-barr� M <38.50 11 $50,063.61 $52,566.79 $50,063.61 nat. median
$54,675
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $48,946.47 $51,393.79 $48,946.47 nat. median
$51,378
1.0× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $48,880.75 $51,324.79 $48,880.75 nat. median
$53,054
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $47,355.11 $49,722.87 $47,355.11 nat. median
$50,036
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $47,291.18 $49,655.74 $47,291.18 nat. median
$49,892
0.9× median
D1904
HCPCS 		Guillain-barr� M <38.50 11 $46,681.99 $49,016.09 $46,681.99 nat. median
$49,620
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 11 $46,571.87 $48,900.47 $46,571.87 nat. median
$51,427
0.9× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 $46,351.64 $48,669.22 $46,351.64 nat. median
$48,739
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $46,078.13 $48,382.03 $46,078.13 nat. median
$49,816
0.9× median
37182
CPT 		Insert Tips 11 $45,988.74 $45,988.74 $45,988.74 nat. median
$8,293
outlier · 5.5×
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $45,751.33 $48,038.90 $45,751.33 nat. median
$48,664
0.9× median
A1904
HCPCS 		Guillain-barr� M <38.50 11 $45,692.72 $47,977.36 $45,692.72 nat. median
$49,305
0.9× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 11 $45,239.83 $47,501.82 $45,239.83 nat. median
$47,997
0.9× median
37183
CPT 		Revise Tips 11 $44,794.32 $44,794.32 $44,794.32 nat. median
$7,185
outlier · 6.2×
C0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $44,630.64 $46,862.17 $44,630.64 nat. median
$47,900
0.9× median
B1903
HCPCS 		Guillain-barr� M >=38.50 And M <51.50 11 $44,433.49 $46,655.17 $44,433.49 nat. median
$52,085
0.9× median
B0604
HCPCS 		Neurological M <43.50 11 $44,138.67 $46,345.60 $44,138.67 nat. median
$46,491
0.9× median
42644
CPT 		S/o Bcr-abl T9 11 $43,983.00 $43,983.00 $43,983.00 nat. median
$645
outlier · 68.2×
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 $43,023.30 $45,174.47 $43,023.30 nat. median
$45,460
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 $42,854.58 $44,997.30 $42,854.58 nat. median
$46,202
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 $42,705.39 $44,840.66 $42,705.39 nat. median
$47,794
0.9× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 $42,582.84 $44,711.98 $42,582.84 nat. median
$47,500
0.9× median
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 11 $42,259.60 $44,372.58 $42,259.60 nat. median
$42,640
1.0× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 11 $42,229.40 $44,340.87 $42,229.40 nat. median
$44,642
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $41,678.82 $43,762.76 $41,678.82 nat. median
$45,226
0.9× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 $41,566.93 $43,645.28 $41,566.93 nat. median
$44,036
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 11 $41,385.77 $43,455.06 $41,385.77 nat. median
$43,685
0.9× median
B1604
HCPCS 		Pain Syndrome M <43.50 11 $41,103.38 $43,158.55 $41,103.38 nat. median
$41,686
1.0× median
B2102
HCPCS 		Burns M <52.50 11 $41,007.47 $43,057.85 $41,007.47 nat. median
$48,035
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 11 $40,874.27 $42,917.98 $40,874.27 nat. median
$43,154
0.9× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 11 $40,808.55 $42,848.98 $40,808.55 nat. median
$44,520
0.9× median
B1504
HCPCS 		Pulmonary M <45.50 11 $39,936.51 $41,933.33 $39,936.51 nat. median
$44,462
0.9× median
A9604
HCPCS 		Sm153 Lexidron To 150mci 11 $39,834.06 $39,834.06 $39,834.06 nat. median
$12,627
outlier · 3.2×
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 $39,522.69 $41,498.82 $39,522.69 nat. median
$41,866
0.9× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 11 $39,382.38 $41,351.50 $39,382.38 nat. median
$42,098
0.9× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 11 $39,357.51 $41,325.39 $39,357.51 nat. median
$41,981
0.9× median

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $73,830.86 $73,830.86 $73,830.86 $77,522.40 $73,830.86 2025-08-10
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $66,438.89 $66,438.89 $66,438.89 $69,760.83 $66,438.89 2025-08-10
B1904 HCPCS Guillain-barr� M <38.50 11 11 $64,962.98 $64,962.98 $64,962.98 $68,211.13 $64,962.98 2025-08-10
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $64,275.65 $64,275.65 $64,275.65 $67,489.43 $64,275.65 2025-08-10
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $60,592.10 $60,592.10 $60,592.10 $63,621.70 $60,592.10 2025-08-10
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 11 $58,396.89 $58,396.89 $58,396.89 $61,316.73 $58,396.89 2025-08-10
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $54,393.64 $54,393.64 $54,393.64 $57,113.33 $54,393.64 2025-08-10
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $53,734.73 $53,734.73 $53,734.73 $56,421.46 $53,734.73 2025-08-10
37242 CPT Occ/emb Non Hemorr Art 11 11 $53,714.22 $53,714.22 $53,714.22 $53,714.22 $53,714.22 2025-08-10
37243 CPT Occ/emb Tumor/organ Infar 11 11 $53,714.22 $53,714.22 $53,714.22 $53,714.22 $53,714.22 2025-08-10
37241 CPT Occ/emb Non Hemorr Venous 11 11 $53,714.22 $53,714.22 $53,714.22 $53,714.22 $53,714.22 2025-08-10
37244 CPT Occ/emb Hemorrhag/lymph 11 11 $53,714.22 $53,714.22 $53,714.22 $53,714.22 $53,714.22 2025-08-10
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $52,553.64 $52,553.64 $52,553.64 $55,181.33 $52,553.64 2025-08-10
B0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $51,440.05 $51,440.05 $51,440.05 $54,012.06 $51,440.05 2025-08-10
C1904 HCPCS Guillain-barr� M <38.50 11 11 $50,063.61 $50,063.61 $50,063.61 $52,566.79 $50,063.61 2025-08-10
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $48,946.47 $48,946.47 $48,946.47 $51,393.79 $48,946.47 2025-08-10
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $48,880.75 $48,880.75 $48,880.75 $51,324.79 $48,880.75 2025-08-10
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $47,355.11 $47,355.11 $47,355.11 $49,722.87 $47,355.11 2025-08-10
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $47,291.18 $47,291.18 $47,291.18 $49,655.74 $47,291.18 2025-08-10
D1904 HCPCS Guillain-barr� M <38.50 11 11 $46,681.99 $46,681.99 $46,681.99 $49,016.09 $46,681.99 2025-08-10
B0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $46,571.87 $46,571.87 $46,571.87 $48,900.47 $46,571.87 2025-08-10
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $46,351.64 $46,351.64 $46,351.64 $48,669.22 $46,351.64 2025-08-10
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $46,078.13 $46,078.13 $46,078.13 $48,382.03 $46,078.13 2025-08-10
37182 CPT Insert Tips 11 11 $45,988.74 $45,988.74 $45,988.74 $45,988.74 $45,988.74 2025-08-10
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $45,751.33 $45,751.33 $45,751.33 $48,038.90 $45,751.33 2025-08-10
A1904 HCPCS Guillain-barr� M <38.50 11 11 $45,692.72 $45,692.72 $45,692.72 $47,977.36 $45,692.72 2025-08-10
B0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $45,239.83 $45,239.83 $45,239.83 $47,501.82 $45,239.83 2025-08-10
37183 CPT Revise Tips 11 11 $44,794.32 $44,794.32 $44,794.32 $44,794.32 $44,794.32 2025-08-10
C0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $44,630.64 $44,630.64 $44,630.64 $46,862.17 $44,630.64 2025-08-10
B1903 HCPCS Guillain-barr� M >=38.50 And M <51.50 11 11 $44,433.49 $44,433.49 $44,433.49 $46,655.17 $44,433.49 2025-08-10
B0604 HCPCS Neurological M <43.50 11 11 $44,138.67 $44,138.67 $44,138.67 $46,345.60 $44,138.67 2025-08-10
42644 CPT S/o Bcr-abl T9 11 11 $43,983.00 $43,983.00 $43,983.00 $43,983.00 $43,983.00 2025-08-10
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 11 11 $43,023.30 $43,023.30 $43,023.30 $45,174.47 $43,023.30 2025-08-10
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $42,854.58 $42,854.58 $42,854.58 $44,997.30 $42,854.58 2025-08-10
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 11 11 $42,705.39 $42,705.39 $42,705.39 $44,840.66 $42,705.39 2025-08-10
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $42,582.84 $42,582.84 $42,582.84 $44,711.98 $42,582.84 2025-08-10
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 11 11 $42,259.60 $42,259.60 $42,259.60 $44,372.58 $42,259.60 2025-08-10
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $42,229.40 $42,229.40 $42,229.40 $44,340.87 $42,229.40 2025-08-10
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $41,678.82 $41,678.82 $41,678.82 $43,762.76 $41,678.82 2025-08-10
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 11 11 $41,566.93 $41,566.93 $41,566.93 $43,645.28 $41,566.93 2025-08-10
B0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $41,385.77 $41,385.77 $41,385.77 $43,455.06 $41,385.77 2025-08-10
B1604 HCPCS Pain Syndrome M <43.50 11 11 $41,103.38 $41,103.38 $41,103.38 $43,158.55 $41,103.38 2025-08-10
B2102 HCPCS Burns M <52.50 11 11 $41,007.47 $41,007.47 $41,007.47 $43,057.85 $41,007.47 2025-08-10
D0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $40,874.27 $40,874.27 $40,874.27 $42,917.98 $40,874.27 2025-08-10
B1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $40,808.55 $40,808.55 $40,808.55 $42,848.98 $40,808.55 2025-08-10
B1504 HCPCS Pulmonary M <45.50 11 11 $39,936.51 $39,936.51 $39,936.51 $41,933.33 $39,936.51 2025-08-10
A9604 HCPCS Sm153 Lexidron To 150mci 11 11 $39,834.06 $39,834.06 $39,834.06 $39,834.06 $39,834.06 2025-08-10
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $39,522.69 $39,522.69 $39,522.69 $41,498.82 $39,522.69 2025-08-10
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $39,382.38 $39,382.38 $39,382.38 $41,351.50 $39,382.38 2025-08-10
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $39,357.51 $39,357.51 $39,357.51 $41,325.39 $39,357.51 2025-08-10
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $39,314.89 $39,314.89 $39,314.89 $41,280.63 $39,314.89 2025-08-10
C0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $39,250.95 $39,250.95 $39,250.95 $41,213.50 $39,250.95 2025-08-10
A0106 HCPCS Stroke M <41.50 And A <84.50 11 11 $38,984.54 $38,984.54 $38,984.54 $40,933.77 $38,984.54 2025-08-10
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $38,663.07 $38,663.07 $38,663.07 $40,596.23 $38,663.07 2025-08-10
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $38,620.45 $38,620.45 $38,620.45 $40,551.47 $38,620.45 2025-08-10
C0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $38,597.36 $38,597.36 $38,597.36 $40,527.23 $38,597.36 2025-08-10
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $38,377.13 $38,377.13 $38,377.13 $40,295.98 $38,377.13 2025-08-10
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $38,318.52 $38,318.52 $38,318.52 $40,234.44 $38,318.52 2025-08-10
B1404 HCPCS Cardiac M <45.50 11 11 $37,989.94 $37,989.94 $37,989.94 $39,889.44 $37,989.94 2025-08-10
B0904 HCPCS Other Orthopedic M <44.5 11 11 $37,879.83 $37,879.83 $37,879.83 $39,773.82 $37,879.83 2025-08-10
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $37,341.68 $37,341.68 $37,341.68 $39,208.77 $37,341.68 2025-08-10
37238 CPT Stnt Plc Transc Vein Ini 11 11 $37,173.90 $37,173.90 $37,173.90 $37,173.90 $37,173.90 2025-08-10
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $37,156.97 $37,156.97 $37,156.97 $39,014.82 $37,156.97 2025-08-10
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $37,071.72 $37,071.72 $37,071.72 $38,925.31 $37,071.72 2025-08-10
37236 CPT Stnt Plc Transcth Art Ini 11 11 $37,018.86 $37,018.86 $37,018.86 $37,018.86 $37,018.86 2025-08-10
A9600 HCPCS Strontium Sr-89 Thera/mci 11 11 $37,014.78 $37,014.78 $37,014.78 $37,014.78 $37,014.78 2025-08-10
22514 CPT Verteb Augm Lumbar W Imag 11 11 $36,922.98 $36,922.98 $36,922.98 $36,922.98 $36,922.98 2025-08-10
22513 CPT Verteb Augm Thorac W Imag 11 11 $36,922.98 $36,922.98 $36,922.98 $36,922.98 $36,922.98 2025-08-10
22515 CPT Verteb Augm Ea Add W Imag 11 11 $36,922.98 $36,922.98 $36,922.98 $36,922.98 $36,922.98 2025-08-10
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $36,808.86 $36,808.86 $36,808.86 $38,649.31 $36,808.86 2025-08-10
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $36,478.52 $36,478.52 $36,478.52 $38,302.44 $36,478.52 2025-08-10
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $36,379.06 $36,379.06 $36,379.06 $38,198.01 $36,379.06 2025-08-10
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 11 11 $36,295.58 $36,295.58 $36,295.58 $38,110.36 $36,295.58 2025-08-10
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $36,245.85 $36,245.85 $36,245.85 $38,058.15 $36,245.85 2025-08-10
B0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $36,210.33 $36,210.33 $36,210.33 $38,020.85 $36,210.33 2025-08-10
D0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $35,947.47 $35,947.47 $35,947.47 $37,744.85 $35,947.47 2025-08-10
B1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $35,590.49 $35,590.49 $35,590.49 $37,370.01 $35,590.49 2025-08-10
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $35,375.58 $35,375.58 $35,375.58 $37,144.36 $35,375.58 2025-08-10
B0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $35,189.10 $35,189.10 $35,189.10 $36,948.55 $35,189.10 2025-08-10
D0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $35,071.88 $35,071.88 $35,071.88 $36,825.47 $35,071.88 2025-08-10
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $34,926.24 $34,926.24 $34,926.24 $36,672.55 $34,926.24 2025-08-10
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $34,572.80 $34,572.80 $34,572.80 $36,301.44 $34,572.80 2025-08-10
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $34,505.31 $34,505.31 $34,505.31 $36,230.58 $34,505.31 2025-08-10
A0105 HCPCS Stroke M <41.50 And A >=84.50 11 11 $34,286.86 $34,286.86 $34,286.86 $36,001.20 $34,286.86 2025-08-10
C1903 HCPCS Guillain-barr� M >=38.50 And M <51.50 11 11 $34,242.46 $34,242.46 $34,242.46 $35,954.58 $34,242.46 2025-08-10
36224 CPT Place Cath Int Carotid Art Bi 11 11 $34,146.37 $34,146.37 $34,146.37 $34,146.37 $34,146.37 2025-08-10
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $33,874.81 $33,874.81 $33,874.81 $35,568.55 $33,874.81 2025-08-10
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $33,842.84 $33,842.84 $33,842.84 $35,534.98 $33,842.84 2025-08-10
C1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $33,832.19 $33,832.19 $33,832.19 $35,523.80 $33,832.19 2025-08-10
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 11 11 $33,681.22 $33,681.22 $33,681.22 $35,365.28 $33,681.22 2025-08-10
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $33,521.38 $33,521.38 $33,521.38 $35,197.44 $33,521.38 2025-08-10
C0604 HCPCS Neurological M <43.50 11 11 $33,135.97 $33,135.97 $33,135.97 $34,792.77 $33,135.97 2025-08-10
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $33,116.43 $33,116.43 $33,116.43 $34,772.26 $33,116.43 2025-08-10
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $33,102.22 $33,102.22 $33,102.22 $34,757.34 $33,102.22 2025-08-10
A0205 HCPCS Traumatic Brain Injury M <35.50 11 11 $33,036.51 $33,036.51 $33,036.51 $34,688.34 $33,036.51 2025-08-10
C1504 HCPCS Pulmonary M <45.50 11 11 $32,629.79 $32,629.79 $32,629.79 $34,261.28 $32,629.79 2025-08-10
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $32,588.94 $32,588.94 $32,588.94 $34,218.39 $32,588.94 2025-08-10
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $32,514.35 $32,514.35 $32,514.35 $34,140.07 $32,514.35 2025-08-10
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 11 11 $32,365.16 $32,365.16 $32,365.16 $33,983.42 $32,365.16 2025-08-10
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $32,352.73 $32,352.73 $32,352.73 $33,970.36 $32,352.73 2025-08-10
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $32,287.01 $32,287.01 $32,287.01 $33,901.36 $32,287.01 2025-08-10
C0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $31,979.75 $31,979.75 $31,979.75 $33,578.74 $31,979.75 2025-08-10
D1903 HCPCS Guillain-barr� M >=38.50 And M <51.50 11 11 $31,928.25 $31,928.25 $31,928.25 $33,524.66 $31,928.25 2025-08-10
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $31,894.50 $31,894.50 $31,894.50 $33,489.23 $31,894.50 2025-08-10
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $31,613.89 $31,613.89 $31,613.89 $33,194.58 $31,613.89 2025-08-10
D2102 HCPCS Burns M <52.50 11 11 $31,505.55 $31,505.55 $31,505.55 $33,080.82 $31,505.55 2025-08-10
C2102 HCPCS Burns M <52.50 11 11 $31,505.55 $31,505.55 $31,505.55 $33,080.82 $31,505.55 2025-08-10
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $31,491.34 $31,491.34 $31,491.34 $33,065.90 $31,491.34 2025-08-10
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $31,478.91 $31,478.91 $31,478.91 $33,052.85 $31,478.91 2025-08-10
C0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $31,418.52 $31,418.52 $31,418.52 $32,989.45 $31,418.52 2025-08-10
A1903 HCPCS Guillain-barr� M >=38.50 And M <51.50 11 11 $31,251.57 $31,251.57 $31,251.57 $32,814.15 $31,251.57 2025-08-10
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $31,237.36 $31,237.36 $31,237.36 $32,799.23 $31,237.36 2025-08-10
C1604 HCPCS Pain Syndrome M <43.50 11 11 $31,116.59 $31,116.59 $31,116.59 $32,672.42 $31,116.59 2025-08-10
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $31,095.28 $31,095.28 $31,095.28 $32,650.04 $31,095.28 2025-08-10
B1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $31,077.52 $31,077.52 $31,077.52 $32,631.39 $31,077.52 2025-08-10
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $31,049.10 $31,049.10 $31,049.10 $32,601.55 $31,049.10 2025-08-10
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $31,002.92 $31,002.92 $31,002.92 $32,553.07 $31,002.92 2025-08-10
D0604 HCPCS Neurological M <43.50 11 11 $30,917.67 $30,917.67 $30,917.67 $32,463.55 $30,917.67 2025-08-10
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $30,905.24 $30,905.24 $30,905.24 $32,450.50 $30,905.24 2025-08-10
D1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $30,876.82 $30,876.82 $30,876.82 $32,420.66 $30,876.82 2025-08-10
D1504 HCPCS Pulmonary M <45.50 11 11 $30,816.43 $30,816.43 $30,816.43 $32,357.26 $30,816.43 2025-08-10
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $30,754.27 $30,754.27 $30,754.27 $32,291.99 $30,754.27 2025-08-10
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 11 11 $30,445.24 $30,445.24 $30,445.24 $31,967.50 $30,445.24 2025-08-10
C0904 HCPCS Other Orthopedic M <44.5 11 11 $30,441.69 $30,441.69 $30,441.69 $31,963.77 $30,441.69 2025-08-10
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $30,432.81 $30,432.81 $30,432.81 $31,954.45 $30,432.81 2025-08-10
D0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $30,304.93 $30,304.93 $30,304.93 $31,820.18 $30,304.93 2025-08-10
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 11 11 $30,203.69 $30,203.69 $30,203.69 $31,713.88 $30,203.69 2025-08-10
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $30,150.41 $30,150.41 $30,150.41 $31,657.93 $30,150.41 2025-08-10
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $30,090.03 $30,090.03 $30,090.03 $31,594.53 $30,090.03 2025-08-10
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $30,038.52 $30,038.52 $30,038.52 $31,540.45 $30,038.52 2025-08-10
C1404 HCPCS Cardiac M <45.50 11 11 $30,010.10 $30,010.10 $30,010.10 $31,510.61 $30,010.10 2025-08-10
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $29,988.79 $29,988.79 $29,988.79 $31,488.23 $29,988.79 2025-08-10
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $29,878.67 $29,878.67 $29,878.67 $31,372.61 $29,878.67 2025-08-10
B0602 HCPCS Neurological M >=52.50 And M <64.50 11 11 $29,878.67 $29,878.67 $29,878.67 $31,372.61 $29,878.67 2025-08-10
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $29,752.57 $29,752.57 $29,752.57 $31,240.20 $29,752.57 2025-08-10
B1902 HCPCS Guillain-barr� M >=51.50 And M <66.50 11 11 $29,574.97 $29,574.97 $29,574.97 $31,053.72 $29,574.97 2025-08-10
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $29,551.88 $29,551.88 $29,551.88 $31,029.47 $29,551.88 2025-08-10
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $29,521.69 $29,521.69 $29,521.69 $30,997.77 $29,521.69 2025-08-10
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $29,439.99 $29,439.99 $29,439.99 $30,911.99 $29,439.99 2025-08-10
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 11 11 $29,386.71 $29,386.71 $29,386.71 $30,856.04 $29,386.71 2025-08-10
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $29,342.30 $29,342.30 $29,342.30 $30,809.42 $29,342.30 2025-08-10
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 11 11 $29,326.32 $29,326.32 $29,326.32 $30,792.64 $29,326.32 2025-08-10
C1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $28,825.47 $28,825.47 $28,825.47 $30,266.74 $28,825.47 2025-08-10
D1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $28,825.47 $28,825.47 $28,825.47 $30,266.74 $28,825.47 2025-08-10
A1504 HCPCS Pulmonary M <45.50 11 11 $28,775.74 $28,775.74 $28,775.74 $30,214.53 $28,775.74 2025-08-10
D0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $28,773.96 $28,773.96 $28,773.96 $30,212.66 $28,773.96 2025-08-10
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $28,582.15 $28,582.15 $28,582.15 $30,011.26 $28,582.15 2025-08-10
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $28,544.85 $28,544.85 $28,544.85 $29,972.10 $28,544.85 2025-08-10
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $28,539.52 $28,539.52 $28,539.52 $29,966.50 $28,539.52 2025-08-10
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 11 11 $28,461.38 $28,461.38 $28,461.38 $29,884.45 $28,461.38 2025-08-10
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $28,438.29 $28,438.29 $28,438.29 $29,860.20 $28,438.29 2025-08-10
D0904 HCPCS Other Orthopedic M <44.5 11 11 $28,392.11 $28,392.11 $28,392.11 $29,811.72 $28,392.11 2025-08-10
B0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $28,372.57 $28,372.57 $28,372.57 $29,791.20 $28,372.57 2025-08-10
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 11 11 $28,369.02 $28,369.02 $28,369.02 $29,787.47 $28,369.02 2025-08-10
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $28,361.92 $28,361.92 $28,361.92 $29,780.01 $28,361.92 2025-08-10
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $28,335.28 $28,335.28 $28,335.28 $29,752.04 $28,335.28 2025-08-10
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $28,258.91 $28,258.91 $28,258.91 $29,671.85 $28,258.91 2025-08-10
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $28,166.55 $28,166.55 $28,166.55 $29,574.88 $28,166.55 2025-08-10
A1103 HCPCS Amputation Non-lower Extremity M <52.50 11 11 $28,099.06 $28,099.06 $28,099.06 $29,504.01 $28,099.06 2025-08-10
A0704 HCPCS Fracture Of Lower Extremity M <41.50 11 11 $27,988.95 $27,988.95 $27,988.95 $29,388.39 $27,988.95 2025-08-10
D1604 HCPCS Pain Syndrome M <43.50 11 11 $27,940.99 $27,940.99 $27,940.99 $29,338.04 $27,940.99 2025-08-10
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $27,932.11 $27,932.11 $27,932.11 $29,328.72 $27,932.11 2025-08-10
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 11 11 $27,909.02 $27,909.02 $27,909.02 $29,304.47 $27,909.02 2025-08-10
A0604 HCPCS Neurological M <43.50 11 11 $27,894.81 $27,894.81 $27,894.81 $29,289.55 $27,894.81 2025-08-10
D1404 HCPCS Cardiac M <45.50 11 11 $27,878.83 $27,878.83 $27,878.83 $29,272.77 $27,878.83 2025-08-10
36226 CPT Place Cath Vertebral Art Bi 11 11 $27,654.17 $27,654.17 $27,654.17 $27,654.17 $27,654.17 2025-08-10
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $27,608.87 $27,608.87 $27,608.87 $28,989.31 $27,608.87 2025-08-10
A1004 HCPCS Amputation Lower Extremity M <47.50 11 11 $27,592.88 $27,592.88 $27,592.88 $28,972.53 $27,592.88 2025-08-10
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 11 11 $27,530.72 $27,530.72 $27,530.72 $28,907.26 $27,530.72 2025-08-10
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 11 11 $27,452.57 $27,452.57 $27,452.57 $28,825.20 $27,452.57 2025-08-10
A0104 HCPCS Stroke M >=41.50 And M <50.50 11 11 $27,443.69 $27,443.69 $27,443.69 $28,815.88 $27,443.69 2025-08-10
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $27,436.59 $27,436.59 $27,436.59 $28,808.42 $27,436.59 2025-08-10
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $27,395.74 $27,395.74 $27,395.74 $28,765.53 $27,395.74 2025-08-10
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 11 11 $27,377.98 $27,377.98 $27,377.98 $28,746.88 $27,377.98 2025-08-10
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $27,310.49 $27,310.49 $27,310.49 $28,676.01 $27,310.49 2025-08-10
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 11 11 $27,292.73 $27,292.73 $27,292.73 $28,657.37 $27,292.73 2025-08-10
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 11 11 $27,179.06 $27,179.06 $27,179.06 $28,538.01 $27,179.06 2025-08-10
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 11 11 $27,138.21 $27,138.21 $27,138.21 $28,495.12 $27,138.21 2025-08-10
36901 CPT Intro Dial Graft 11 11 $26,970.62 $26,970.62 $26,970.62 $26,970.62 $26,970.62 2025-08-10
B2101 HCPCS Burns M >=52.50 11 11 $26,941.07 $26,941.07 $26,941.07 $28,288.12 $26,941.07 2025-08-10
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $26,902.00 $26,902.00 $26,902.00 $28,247.10 $26,902.00 2025-08-10
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 11 11 $26,806.09 $26,806.09 $26,806.09 $28,146.39 $26,806.09 2025-08-10
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $26,770.57 $26,770.57 $26,770.57 $28,109.10 $26,770.57 2025-08-10
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 11 11 $26,649.80 $26,649.80 $26,649.80 $27,982.29 $26,649.80 2025-08-10
A2102 HCPCS Burns M <52.50 11 11 $26,575.20 $26,575.20 $26,575.20 $27,903.96 $26,575.20 2025-08-10
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $26,527.25 $26,527.25 $26,527.25 $27,853.61 $26,527.25 2025-08-10
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 11 11 $26,488.17 $26,488.17 $26,488.17 $27,812.58 $26,488.17 2025-08-10
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $26,443.77 $26,443.77 $26,443.77 $27,765.96 $26,443.77 2025-08-10
C0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $26,417.13 $26,417.13 $26,417.13 $27,737.99 $26,417.13 2025-08-10
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 11 11 $26,402.92 $26,402.92 $26,402.92 $27,723.07 $26,402.92 2025-08-10
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $26,379.83 $26,379.83 $26,379.83 $27,698.83 $26,379.83 2025-08-10
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 11 11 $26,376.28 $26,376.28 $26,376.28 $27,695.10 $26,376.28 2025-08-10
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $26,314.12 $26,314.12 $26,314.12 $27,629.83 $26,314.12 2025-08-10
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $26,175.59 $26,175.59 $26,175.59 $27,484.37 $26,175.59 2025-08-10
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 11 11 $26,115.20 $26,115.20 $26,115.20 $27,420.96 $26,115.20 2025-08-10
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $26,099.22 $26,099.22 $26,099.22 $27,404.18 $26,099.22 2025-08-10
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 11 11 $26,092.11 $26,092.11 $26,092.11 $27,396.72 $26,092.11 2025-08-10
A1604 HCPCS Pain Syndrome M <43.50 11 11 $26,003.31 $26,003.31 $26,003.31 $27,303.47 $26,003.31 2025-08-10
A0904 HCPCS Other Orthopedic M <44.5 11 11 $25,985.55 $25,985.55 $25,985.55 $27,284.83 $25,985.55 2025-08-10
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 11 11 $25,958.91 $25,958.91 $25,958.91 $27,256.85 $25,958.91 2025-08-10
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 11 11 $25,806.17 $25,806.17 $25,806.17 $27,096.47 $25,806.17 2025-08-10
A1404 HCPCS Cardiac M <45.50 11 11 $25,662.31 $25,662.31 $25,662.31 $26,945.42 $25,662.31 2025-08-10
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 11 11 $25,433.19 $25,433.19 $25,433.19 $26,704.85 $25,433.19 2025-08-10
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $25,404.78 $25,404.78 $25,404.78 $26,675.02 $25,404.78 2025-08-10
B1402 HCPCS Cardiac M >=55.50 And M <68.50 11 11 $25,371.03 $25,371.03 $25,371.03 $26,639.58 $25,371.03 2025-08-10
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 11 11 $25,307.09 $25,307.09 $25,307.09 $26,572.45 $25,307.09 2025-08-10
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $25,257.36 $25,257.36 $25,257.36 $26,520.23 $25,257.36 2025-08-10
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $25,220.07 $25,220.07 $25,220.07 $26,481.07 $25,220.07 2025-08-10
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 11 11 $25,102.85 $25,102.85 $25,102.85 $26,357.99 $25,102.85 2025-08-10
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $25,070.88 $25,070.88 $25,070.88 $26,324.42 $25,070.88 2025-08-10
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $24,994.51 $24,994.51 $24,994.51 $26,244.23 $24,994.51 2025-08-10
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 11 11 $24,943.00 $24,943.00 $24,943.00 $26,190.15 $24,943.00 2025-08-10
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 11 11 $24,934.12 $24,934.12 $24,934.12 $26,180.83 $24,934.12 2025-08-10
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $24,914.58 $24,914.58 $24,914.58 $26,160.31 $24,914.58 2025-08-10
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $24,824.00 $24,824.00 $24,824.00 $26,065.20 $24,824.00 2025-08-10
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $24,804.47 $24,804.47 $24,804.47 $26,044.69 $24,804.47 2025-08-10
37233 CPT Revas Tib Peron Ather Add 11 11 $24,764.58 $24,764.58 $24,764.58 $24,764.58 $24,764.58 2025-08-10
37231 CPT Revas Tib Pr Stnt Ath Ini 11 11 $24,764.58 $24,764.58 $24,764.58 $24,764.58 $24,764.58 2025-08-10
37230 CPT Revas Tib Peron Stent Ini 11 11 $24,764.58 $24,764.58 $24,764.58 $24,764.58 $24,764.58 2025-08-10
37229 CPT Revas Tib Peron Ather Ini 11 11 $24,764.58 $24,764.58 $24,764.58 $24,764.58 $24,764.58 2025-08-10
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $24,689.02 $24,689.02 $24,689.02 $25,923.48 $24,689.02 2025-08-10
37227 CPT Revas Fem Pop Stent Ather 11 11 $24,671.76 $24,671.76 $24,671.76 $24,671.76 $24,671.76 2025-08-10
37226 CPT Revas Femoral Poplt Stent 11 11 $24,671.76 $24,671.76 $24,671.76 $24,671.76 $24,671.76 2025-08-10
37225 CPT Revas Fem Pop Atherectomy 11 11 $24,671.76 $24,671.76 $24,671.76 $24,671.76 $24,671.76 2025-08-10
D0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $24,648.17 $24,648.17 $24,648.17 $25,880.58 $24,648.17 2025-08-10
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $24,628.64 $24,628.64 $24,628.64 $25,860.07 $24,628.64 2025-08-10
C0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $24,617.98 $24,617.98 $24,617.98 $25,848.88 $24,617.98 2025-08-10
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $24,602.00 $24,602.00 $24,602.00 $25,832.10 $24,602.00 2025-08-10
C1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $24,548.72 $24,548.72 $24,548.72 $25,776.15 $24,548.72 2025-08-10
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 11 11 $24,461.69 $24,461.69 $24,461.69 $25,684.77 $24,461.69 2025-08-10
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $24,374.66 $24,374.66 $24,374.66 $25,593.39 $24,374.66 2025-08-10
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $24,319.60 $24,319.60 $24,319.60 $25,535.58 $24,319.60 2025-08-10
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $24,133.12 $24,133.12 $24,133.12 $25,339.77 $24,133.12 2025-08-10
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 11 11 $24,118.91 $24,118.91 $24,118.91 $25,324.85 $24,118.91 2025-08-10
47382 CPT Liver Tumor Ablat Rf Perc 11 11 $24,092.40 $24,092.40 $24,092.40 $24,092.40 $24,092.40 2025-08-10
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $23,884.47 $23,884.47 $23,884.47 $25,078.69 $23,884.47 2025-08-10
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $23,829.41 $23,829.41 $23,829.41 $25,020.88 $23,829.41 2025-08-10
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $23,728.17 $23,728.17 $23,728.17 $24,914.58 $23,728.17 2025-08-10
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $23,694.43 $23,694.43 $23,694.43 $24,879.15 $23,694.43 2025-08-10
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 11 11 $23,642.92 $23,642.92 $23,642.92 $24,825.07 $23,642.92 2025-08-10
B0601 HCPCS Neurological M >=64.50 11 11 $23,550.57 $23,550.57 $23,550.57 $24,728.10 $23,550.57 2025-08-10
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 11 11 $23,488.41 $23,488.41 $23,488.41 $24,662.83 $23,488.41 2025-08-10
B1201 HCPCS Osteoarthritis M >=61.50 11 11 $23,442.23 $23,442.23 $23,442.23 $24,614.34 $23,442.23 2025-08-10
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $23,365.86 $23,365.86 $23,365.86 $24,534.15 $23,365.86 2025-08-10
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 11 11 $23,264.62 $23,264.62 $23,264.62 $24,427.85 $23,264.62 2025-08-10
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $23,174.04 $23,174.04 $23,174.04 $24,332.75 $23,174.04 2025-08-10
A4642 HCPCS In111 Satumomab Dx To 6mc 11 11 $23,119.32 $23,119.32 $23,119.32 $23,119.32 $23,119.32 2025-08-10
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $23,118.99 $23,118.99 $23,118.99 $24,274.94 $23,118.99 2025-08-10
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $23,118.99 $23,118.99 $23,118.99 $24,274.94 $23,118.99 2025-08-10
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 11 11 $22,985.78 $22,985.78 $22,985.78 $24,135.07 $22,985.78 2025-08-10
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 11 11 $22,978.68 $22,978.68 $22,978.68 $24,127.61 $22,978.68 2025-08-10
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 11 11 $22,939.60 $22,939.60 $22,939.60 $24,086.58 $22,939.60 2025-08-10
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 11 11 $22,909.41 $22,909.41 $22,909.41 $24,054.88 $22,909.41 2025-08-10
47539 CPT Plc Stnt Bile Duct New Ea 11 11 $22,908.18 $22,908.18 $22,908.18 $22,908.18 $22,908.18 2025-08-10
47540 CPT Pl St Bile Duct Cth Nw Ea 11 11 $22,908.18 $22,908.18 $22,908.18 $22,908.18 $22,908.18 2025-08-10
47538 CPT Plc Stent Bile Duct Ex Ea 11 11 $22,908.18 $22,908.18 $22,908.18 $22,908.18 $22,908.18 2025-08-10
D1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $22,804.62 $22,804.62 $22,804.62 $23,944.85 $22,804.62 2025-08-10
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 11 11 $22,802.85 $22,802.85 $22,802.85 $23,942.99 $22,802.85 2025-08-10
C1902 HCPCS Guillain-barr� M >=51.50 And M <66.50 11 11 $22,792.19 $22,792.19 $22,792.19 $23,931.80 $22,792.19 2025-08-10
B1601 HCPCS Pain Syndrome M >=65.50 11 11 $22,767.33 $22,767.33 $22,767.33 $23,905.69 $22,767.33 2025-08-10
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 11 11 $22,660.76 $22,660.76 $22,660.76 $23,793.80 $22,660.76 2025-08-10
D0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $22,545.32 $22,545.32 $22,545.32 $23,672.58 $22,545.32 2025-08-10
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 11 11 $22,536.44 $22,536.44 $22,536.44 $23,663.26 $22,536.44 2025-08-10
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 11 11 $22,532.89 $22,532.89 $22,532.89 $23,659.53 $22,532.89 2025-08-10
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 11 11 $22,511.57 $22,511.57 $22,511.57 $23,637.15 $22,511.57 2025-08-10
C0602 HCPCS Neurological M >=52.50 And M <64.50 11 11 $22,431.65 $22,431.65 $22,431.65 $23,553.23 $22,431.65 2025-08-10
B1501 HCPCS Pulmonary M >=68.50 11 11 $22,422.77 $22,422.77 $22,422.77 $23,543.91 $22,422.77 2025-08-10
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 11 11 $22,346.40 $22,346.40 $22,346.40 $23,463.72 $22,346.40 2025-08-10
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 11 11 $22,333.97 $22,333.97 $22,333.97 $23,450.67 $22,333.97 2025-08-10
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 11 11 $22,316.21 $22,316.21 $22,316.21 $23,432.02 $22,316.21 2025-08-10
A0603 HCPCS Neurological M >=43.50 And M <52.50 11 11 $22,239.84 $22,239.84 $22,239.84 $23,351.83 $22,239.84 2025-08-10
50080 CPT Nephrostolithotm/pyel<2cm 11 11 $22,175.82 $22,175.82 $22,175.82 $22,175.82 $22,175.82 2025-08-10
A9572 HCPCS In-111 Pentetr Dx To 6mci 11 11 $22,114.62 $22,114.62 $22,114.62 $22,114.62 $22,114.62 2025-08-10
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 11 11 $22,095.97 $22,095.97 $22,095.97 $23,200.77 $22,095.97 2025-08-10
B0102 HCPCS Stroke M >=63.50 And M <72.50 11 11 $22,008.95 $22,008.95 $22,008.95 $23,109.40 $22,008.95 2025-08-10
A1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 11 11 $22,008.95 $22,008.95 $22,008.95 $23,109.40 $22,008.95 2025-08-10
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 11 11 $22,005.40 $22,005.40 $22,005.40 $23,105.67 $22,005.40 2025-08-10
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 11 11 $22,000.07 $22,000.07 $22,000.07 $23,100.07 $22,000.07 2025-08-10
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 11 11 $21,962.77 $21,962.77 $21,962.77 $23,060.91 $21,962.77 2025-08-10
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 11 11 $21,960.99 $21,960.99 $21,960.99 $23,059.04 $21,960.99 2025-08-10
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 11 11 $21,921.92 $21,921.92 $21,921.92 $23,018.02 $21,921.92 2025-08-10
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 11 11 $21,886.40 $21,886.40 $21,886.40 $22,980.72 $21,886.40 2025-08-10
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 11 11 $21,778.06 $21,778.06 $21,778.06 $22,866.96 $21,778.06 2025-08-10
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 11 11 $21,699.91 $21,699.91 $21,699.91 $22,784.91 $21,699.91 2025-08-10
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 11 11 $21,685.70 $21,685.70 $21,685.70 $22,769.99 $21,685.70 2025-08-10
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 11 11 $21,566.71 $21,566.71 $21,566.71 $22,645.04 $21,566.71 2025-08-10
B0801 HCPCS Replacement Of Lower-extremity Joint M >=63.50 11 11 $21,554.28 $21,554.28 $21,554.28 $22,631.99 $21,554.28 2025-08-10
36907 CPT Pta Central Dial Seg Add On 11 11 $21,506.36 $21,506.36 $21,506.36 $21,506.36 $21,506.36 2025-08-10
A0103 HCPCS Stroke M >=50.50 And M <63.50 11 11 $21,502.77 $21,502.77 $21,502.77 $22,577.91 $21,502.77 2025-08-10
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 11 11 $21,461.92 $21,461.92 $21,461.92 $22,535.02 $21,461.92 2025-08-10
B1001 HCPCS Amputation Lower Extremity M >=64.50 11 11 $21,419.30 $21,419.30 $21,419.30 $22,490.26 $21,419.30 2025-08-10
A9507 HCPCS In-111 Capromab To 10mci 11 11 $21,318.00 $21,318.00 $21,318.00 $21,318.00 $21,318.00 2025-08-10
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 11 11 $21,286.09 $21,286.09 $21,286.09 $22,350.40 $21,286.09 2025-08-10
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 11 11 $21,275.43 $21,275.43 $21,275.43 $22,339.21 $21,275.43 2025-08-10
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 11 11 $21,273.66 $21,273.66 $21,273.66 $22,337.34 $21,273.66 2025-08-10
B0901 HCPCS Other Orthopedic M >=63.50 11 11 $21,259.45 $21,259.45 $21,259.45 $22,322.42 $21,259.45 2025-08-10
D1902 HCPCS Guillain-barr� M >=51.50 And M <66.50 11 11 $21,252.35 $21,252.35 $21,252.35 $22,314.96 $21,252.35 2025-08-10
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 11 11 $21,250.57 $21,250.57 $21,250.57 $22,313.10 $21,250.57 2025-08-10
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 11 11 $21,250.57 $21,250.57 $21,250.57 $22,313.10 $21,250.57 2025-08-10
A1403 HCPCS Cardiac M >=45.50 And M <55.50 11 11 $20,993.04 $20,993.04 $20,993.04 $22,042.69 $20,993.04 2025-08-10
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