|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
4
|
3
|
—
|
—
|
$3,137,732.50
|
$4,355,852.51
|
$3,779,451.13
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
4
|
3
|
—
|
—
|
$2,823,169.92
|
$3,919,171.50
|
$3,400,555.26
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
4
|
3
|
—
|
—
|
$2,758,574.18
|
$3,829,498.62
|
$3,322,748.62
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
4
|
3
|
—
|
—
|
$2,497,572.00
|
$3,467,171.05
|
$3,008,367.13
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
5
|
4
|
—
|
—
|
$2,199,024.17
|
$4,786,111.43
|
$2,710,435.32
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
4
|
—
|
—
|
$1,982,200.00
|
$4,314,200.00
|
$2,443,185.93
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
4
|
—
|
—
|
$655,027.00
|
$1,656,833.00
|
$1,425,647.00
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
4
|
—
|
—
|
$500,220.59
|
$1,189,314.00
|
$1,088,715.39
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
6
|
4
|
—
|
—
|
$477,921.71
|
$1,110,350.92
|
$1,061,726.93
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
4
|
—
|
—
|
$475,813.92
|
$1,134,388.29
|
$1,035,595.00
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
5
|
4
|
—
|
—
|
$452,071.75
|
$1,081,107.57
|
$983,920.87
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
4
|
—
|
—
|
$415,897.01
|
$1,052,208.19
|
$905,187.61
|
2026-04-01
|
|
C9301
|
HCPCS
|
Obecabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$598,237.50
|
$598,237.50
|
$598,237.50
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
8
|
5
|
—
|
—
|
$1,535.00
|
$1,244,357.91
|
$568,117.25
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
33
|
22
|
—
|
—
|
$431,661.95
|
$1,002,299.41
|
$431,661.95
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
37
|
22
|
—
|
—
|
$137,020.58
|
$748,634.75
|
$280,356.20
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
33
|
22
|
—
|
—
|
$213,746.90
|
$630,528.30
|
$213,746.90
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
22
|
—
|
—
|
$26,624.66
|
$569,593.29
|
$212,496.24
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
23
|
—
|
—
|
$109,393.89
|
$375,537.35
|
$138,896.02
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
6
|
—
|
—
|
$12,263.00
|
$235,527.15
|
$135,573.82
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
4
|
2
|
—
|
—
|
$90,900.96
|
$169,820.76
|
$130,360.86
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
33
|
22
|
—
|
—
|
$129,900.86
|
$347,331.71
|
$129,900.86
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
33
|
22
|
—
|
—
|
$120,595.28
|
$348,208.82
|
$120,595.28
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$203,504.77
|
$120,546.43
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
33
|
22
|
—
|
—
|
$113,747.10
|
$350,513.86
|
$113,747.10
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
23
|
21
|
—
|
—
|
$113,617.34
|
$210,192.08
|
$113,617.34
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
24
|
—
|
—
|
$7,973.17
|
$295,343.76
|
$110,646.90
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
34
|
22
|
—
|
—
|
$67,278.00
|
$327,106.94
|
$109,178.65
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$188,423.85
|
$108,511.89
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
3
|
3
|
—
|
—
|
$92,006.85
|
$200,250.20
|
$108,243.35
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
10
|
5
|
—
|
—
|
$54,639.95
|
$135,956.56
|
$104,379.81
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
36
|
24
|
—
|
—
|
$92,671.33
|
$283,029.14
|
$103,553.18
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
12
|
6
|
—
|
—
|
$12,263.00
|
$176,279.90
|
$100,406.37
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
43
|
22
|
—
|
—
|
$15,592.00
|
$281,583.24
|
$100,024.79
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
43
|
22
|
—
|
—
|
$15,592.00
|
$256,497.98
|
$98,286.04
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
12
|
6
|
—
|
—
|
$15,592.00
|
$170,129.52
|
$97,722.47
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
2
|
1
|
—
|
—
|
$97,225.26
|
$97,225.26
|
$97,225.26
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
6
|
—
|
—
|
$12,263.00
|
$162,565.14
|
$91,810.42
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
11
|
5
|
—
|
—
|
$48,300.87
|
$122,172.78
|
$90,765.85
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
33
|
22
|
—
|
—
|
$33,638.00
|
$221,668.86
|
$90,568.49
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
2
|
1
|
—
|
—
|
$90,462.53
|
$90,462.53
|
$90,462.53
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
11
|
6
|
—
|
—
|
$47,828.81
|
$122,586.77
|
$88,708.45
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
30
|
22
|
—
|
—
|
$87,074.03
|
$244,827.14
|
$87,074.03
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$138,707.83
|
$85,532.43
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
41
|
24
|
—
|
—
|
$15,592.00
|
$225,214.50
|
$84,782.32
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
40
|
22
|
—
|
—
|
$12,263.00
|
$290,839.71
|
$84,517.82
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$134,428.61
|
$80,086.17
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
39
|
23
|
—
|
—
|
$13,672.97
|
$521,708.14
|
$79,181.81
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
22
|
—
|
—
|
$15,592.00
|
$244,149.50
|
$77,280.37
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
12
|
6
|
—
|
—
|
$15,592.00
|
$133,445.19
|
$77,120.08
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
49
|
24
|
—
|
—
|
$9,861.73
|
$207,736.15
|
$76,949.99
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
22
|
—
|
—
|
$76,697.46
|
$198,377.68
|
$76,697.46
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
44
|
24
|
—
|
—
|
$5,397.85
|
$188,676.35
|
$72,691.96
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
33
|
22
|
—
|
—
|
$51,602.87
|
$211,903.74
|
$72,263.76
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
33
|
22
|
—
|
—
|
$72,233.82
|
$177,507.85
|
$72,233.82
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
33
|
22
|
—
|
—
|
$71,853.53
|
$210,683.76
|
$71,853.53
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
35
|
22
|
—
|
—
|
$67,278.00
|
$187,820.50
|
$71,811.61
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
12
|
6
|
—
|
—
|
$12,263.00
|
$122,412.24
|
$70,553.65
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
47
|
24
|
—
|
—
|
$34.58
|
$184,896.81
|
$69,629.69
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
22
|
—
|
—
|
$15,592.00
|
$177,207.51
|
$69,291.32
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
3
|
3
|
—
|
—
|
$58,481.45
|
$127,283.16
|
$68,801.71
|
2026-04-01
|
|
2050
|
OTHER
|
Cath Coronary Drug-delivery
|
1
|
1
|
—
|
—
|
$67,960.90
|
$67,960.90
|
$67,960.90
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
34
|
23
|
—
|
—
|
$1,583.17
|
$181,478.75
|
$67,826.07
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
40
|
24
|
—
|
—
|
$8,395.55
|
$164,417.69
|
$67,380.90
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
34
|
23
|
—
|
—
|
$22,524.19
|
$178,190.93
|
$67,331.99
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
22
|
—
|
—
|
$15,592.00
|
$158,121.13
|
$66,270.98
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
39
|
22
|
—
|
—
|
$15,592.00
|
$171,631.23
|
$66,270.98
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
22
|
—
|
—
|
$66,032.42
|
$163,668.17
|
$66,032.42
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
43
|
24
|
—
|
—
|
$19,903.04
|
$171,905.00
|
$64,867.61
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
12
|
6
|
—
|
—
|
$25,370.10
|
$97,205.89
|
$64,619.10
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
45
|
22
|
—
|
—
|
$15,592.00
|
$159,218.84
|
$61,810.33
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
36
|
23
|
—
|
—
|
$17,181.43
|
$168,082.94
|
$61,739.46
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
38
|
22
|
—
|
—
|
$15,592.00
|
$175,556.30
|
$61,153.56
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
33
|
22
|
—
|
—
|
$60,611.57
|
$161,576.40
|
$60,611.57
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
34
|
22
|
—
|
—
|
$60,562.05
|
$164,630.33
|
$60,594.60
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
43
|
22
|
—
|
—
|
$12,263.00
|
$165,642.70
|
$60,160.42
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
36
|
23
|
—
|
—
|
$1,479.03
|
$158,012.16
|
$59,964.78
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
33
|
22
|
—
|
—
|
$59,827.04
|
$160,417.55
|
$59,827.04
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
39
|
22
|
—
|
—
|
$15,592.00
|
$156,385.52
|
$59,217.18
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
35
|
23
|
—
|
—
|
$35,164.84
|
$154,740.28
|
$59,179.25
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
37
|
22
|
—
|
—
|
$53,999.81
|
$160,005.55
|
$58,204.08
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
44
|
24
|
—
|
—
|
$18,812.92
|
$151,625.22
|
$57,836.77
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
24
|
21
|
—
|
—
|
$57,603.20
|
$106,565.92
|
$57,603.20
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
37
|
24
|
—
|
—
|
$5,268.69
|
$143,545.21
|
$57,529.34
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
12
|
6
|
—
|
—
|
$12,263.00
|
$97,223.32
|
$56,945.43
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
22
|
—
|
—
|
$54,166.66
|
$188,386.48
|
$56,755.79
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
33
|
22
|
—
|
—
|
$56,582.12
|
$144,611.02
|
$56,582.12
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
30
|
22
|
—
|
—
|
$56,198.83
|
$132,972.08
|
$56,198.83
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
38
|
23
|
—
|
—
|
$9,383.80
|
$163,107.35
|
$55,767.64
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
33
|
22
|
—
|
—
|
$55,437.26
|
$146,899.48
|
$55,437.26
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
37
|
23
|
—
|
—
|
$19,118.19
|
$144,281.44
|
$55,243.62
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
47
|
24
|
—
|
—
|
$7,065.57
|
$141,397.62
|
$55,165.77
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
33
|
22
|
—
|
—
|
$55,079.93
|
$143,409.65
|
$55,079.93
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
33
|
22
|
—
|
—
|
$54,862.34
|
$160,417.55
|
$54,862.34
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
49
|
24
|
—
|
—
|
$4,823.97
|
$143,322.57
|
$53,869.19
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
33
|
22
|
—
|
—
|
$53,837.25
|
$136,873.88
|
$53,837.25
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
36
|
24
|
—
|
—
|
$30,426.20
|
$165,710.26
|
$53,479.92
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
47
|
23
|
—
|
—
|
$15,592.00
|
$212,139.71
|
$53,305.25
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
44
|
24
|
—
|
—
|
$34.58
|
$135,401.40
|
$52,597.58
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
34
|
22
|
—
|
—
|
$52,507.74
|
$148,156.66
|
$52,507.74
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
22
|
—
|
—
|
$15,592.00
|
$122,058.74
|
$50,948.66
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
41
|
25
|
—
|
—
|
$11,357.91
|
$342,576.61
|
$50,421.65
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
45
|
23
|
—
|
—
|
$9,885.43
|
$140,303.88
|
$50,022.40
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
48
|
23
|
—
|
—
|
$110.00
|
$134,060.18
|
$49,934.56
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
33
|
22
|
—
|
—
|
$49,765.88
|
$133,865.13
|
$49,765.88
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
33
|
22
|
—
|
—
|
$49,561.26
|
$143,391.05
|
$49,561.26
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
39
|
22
|
—
|
—
|
$12,263.00
|
$233,311.51
|
$48,837.61
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
10
|
6
|
—
|
—
|
$32,188.81
|
$70,607.11
|
$48,697.27
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
33
|
22
|
—
|
—
|
$48,594.07
|
$133,075.74
|
$48,594.07
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
42
|
22
|
—
|
—
|
$15,592.00
|
$125,038.25
|
$48,159.88
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
3
|
3
|
—
|
—
|
$40,932.17
|
$89,087.68
|
$48,155.50
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
37
|
22
|
—
|
—
|
$45,182.96
|
$122,449.45
|
$47,566.99
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
38
|
22
|
—
|
—
|
$43,112.46
|
$136,144.00
|
$47,471.17
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
35
|
23
|
—
|
—
|
$28,131.87
|
$126,920.04
|
$47,331.43
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
33
|
22
|
—
|
—
|
$46,924.20
|
$128,878.91
|
$46,924.20
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
35
|
22
|
—
|
—
|
$45,615.03
|
$123,650.82
|
$46,739.54
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
44
|
24
|
—
|
—
|
$22,853.55
|
$122,042.79
|
$46,519.95
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$79,997.47
|
$46,413.68
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
36
|
22
|
—
|
—
|
$46,328.12
|
$366,665.91
|
$46,403.17
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
40
|
24
|
—
|
—
|
$6,196.30
|
$129,878.28
|
$46,179.59
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
36
|
22
|
—
|
—
|
$44,256.02
|
$119,905.84
|
$46,042.85
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
45
|
22
|
—
|
—
|
$43,974.73
|
$657,860.31
|
$46,022.88
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
12
|
6
|
—
|
—
|
$15,592.00
|
$79,614.74
|
$45,956.15
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
34
|
22
|
—
|
—
|
$45,845.22
|
$144,050.03
|
$45,845.22
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
42
|
23
|
—
|
—
|
$50.00
|
$122,499.95
|
$45,375.10
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
34
|
22
|
—
|
—
|
$45,362.12
|
$111,373.98
|
$45,362.12
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
37
|
22
|
—
|
—
|
$15,592.00
|
$116,748.26
|
$45,186.45
|
2026-04-01
|
|
5094
|
OTHER
|
Level 4 Breast/Lymphatic Surgery And Related Procedures
|
2
|
2
|
—
|
—
|
$8,411.03
|
$80,885.77
|
$44,648.40
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
37
|
23
|
—
|
—
|
$41,744.60
|
$120,786.10
|
$44,486.76
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
3
|
3
|
—
|
—
|
$37,703.32
|
$82,060.17
|
$44,356.85
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
36
|
23
|
—
|
—
|
$34.58
|
$113,205.28
|
$43,833.98
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
12
|
6
|
—
|
—
|
$2,178.22
|
$58,201.64
|
$43,710.46
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
35
|
22
|
—
|
—
|
$32,536.59
|
$119,190.87
|
$43,489.63
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
6
|
4
|
—
|
—
|
$268.66
|
$64,059.28
|
$43,395.04
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
36
|
24
|
—
|
—
|
$749.02
|
$112,402.59
|
$43,214.14
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
37
|
22
|
—
|
—
|
$38,973.56
|
$108,527.37
|
$42,969.60
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
40
|
22
|
—
|
—
|
$15,592.00
|
$126,623.34
|
$42,793.93
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
33
|
22
|
—
|
—
|
$42,722.06
|
$109,064.27
|
$42,722.06
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
33
|
22
|
—
|
—
|
$42,701.10
|
$109,226.40
|
$42,701.10
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
41
|
22
|
—
|
—
|
$15,101.42
|
$111,366.01
|
$42,578.33
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
33
|
22
|
—
|
—
|
$42,528.43
|
$117,750.29
|
$42,528.43
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
45
|
23
|
—
|
—
|
$15,592.00
|
$229,845.28
|
$42,450.57
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
39
|
22
|
—
|
—
|
$12,263.00
|
$119,148.61
|
$42,288.87
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
41
|
25
|
—
|
—
|
$2,648.00
|
$110,850.38
|
$42,258.93
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
36
|
24
|
—
|
—
|
$6,356.36
|
$108,099.45
|
$42,093.24
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
42
|
22
|
—
|
—
|
$38,518.19
|
$112,111.92
|
$41,818.75
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
5
|
4
|
—
|
—
|
$33,734.93
|
$73,423.09
|
$41,580.42
|
2026-04-01
|
|
C8007
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Ps Gn
|
5
|
4
|
—
|
—
|
$33,734.93
|
$73,423.09
|
$41,580.42
|
2026-04-01
|
|
C8011
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Rec
|
5
|
4
|
—
|
—
|
$33,734.93
|
$73,423.09
|
$41,580.42
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
38
|
23
|
—
|
—
|
$2,576.00
|
$107,913.40
|
$41,155.00
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
10
|
6
|
—
|
—
|
$27,372.30
|
$60,041.96
|
$40,778.79
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
43
|
22
|
—
|
—
|
$500.00
|
$135,720.62
|
$40,770.72
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
33
|
22
|
—
|
—
|
$40,407.40
|
$95,275.08
|
$40,407.40
|
2026-04-01
|
|
5061
|
OTHER
|
Hyperbaric Oxygen
|
5
|
4
|
—
|
—
|
$158.48
|
$43,076.74
|
$40,143.54
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
38
|
23
|
—
|
—
|
$14,197.76
|
$101,037.41
|
$39,686.74
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
33
|
22
|
—
|
—
|
$32,202.41
|
$114,999.36
|
$39,510.08
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
34
|
22
|
—
|
—
|
$29,924.07
|
$103,352.44
|
$39,275.51
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
33
|
22
|
—
|
—
|
$39,217.62
|
$104,439.52
|
$39,217.62
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
36
|
23
|
—
|
—
|
$13,420.81
|
$106,542.50
|
$39,180.69
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
37
|
22
|
—
|
—
|
$38,962.10
|
$105,877.45
|
$38,962.10
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
34
|
23
|
—
|
—
|
$38,200.53
|
$101,590.25
|
$38,200.53
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
34
|
23
|
—
|
—
|
$7,747.39
|
$87,755.88
|
$38,036.83
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
39
|
23
|
—
|
—
|
$34,287.68
|
$121,528.92
|
$37,948.00
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
40
|
23
|
—
|
—
|
$9,998.00
|
$95,253.82
|
$37,944.01
|
2026-04-01
|
|
81280
|
HCPCS
|
Long Qt Synd Gene Full Seq
|
2
|
1
|
—
|
—
|
$34,466.89
|
$41,360.09
|
$37,913.49
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
34
|
22
|
—
|
—
|
$37,839.20
|
$104,888.71
|
$37,839.20
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
36
|
23
|
—
|
—
|
$11,863.85
|
$92,287.60
|
$37,629.60
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
33
|
22
|
—
|
—
|
$37,303.21
|
$102,618.86
|
$37,303.21
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
39
|
22
|
—
|
—
|
$9,998.00
|
$94,382.03
|
$37,288.23
|
2026-04-01
|
|
A9545
|
HCPCS
|
I-131 Tositumomab, Rx, Per Dose
|
2
|
1
|
—
|
—
|
$36,882.33
|
$36,882.33
|
$36,882.33
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
33
|
22
|
—
|
—
|
$36,858.04
|
$84,356.43
|
$36,858.04
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
38
|
22
|
—
|
—
|
$9,998.00
|
$93,566.05
|
$36,830.09
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
33
|
22
|
—
|
—
|
$36,780.19
|
$92,189.26
|
$36,780.19
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
37
|
22
|
—
|
—
|
$15,592.00
|
$94,804.64
|
$36,755.23
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
35
|
23
|
—
|
—
|
$35,996.22
|
$158,502.28
|
$36,691.35
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
35
|
24
|
—
|
—
|
$17,269.52
|
$85,164.43
|
$36,637.45
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
6
|
2
|
—
|
—
|
$4,562.78
|
$52,091.10
|
$36,532.82
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
37
|
22
|
—
|
—
|
$10,375.00
|
$105,803.03
|
$36,401.89
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
38
|
22
|
—
|
—
|
$10,375.00
|
$132,684.02
|
$36,319.05
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
36
|
23
|
—
|
—
|
$25,366.86
|
$96,319.64
|
$36,283.12
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
33
|
22
|
—
|
—
|
$36,230.22
|
$93,055.74
|
$36,230.22
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
35
|
22
|
—
|
—
|
$26,912.00
|
$93,122.18
|
$36,200.27
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
34
|
23
|
—
|
—
|
$33,366.27
|
$99,511.78
|
$36,166.34
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
46
|
24
|
—
|
—
|
$15,592.00
|
$91,548.71
|
$36,137.39
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
38
|
22
|
—
|
—
|
$22,728.08
|
$105,772.00
|
$35,840.94
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
34
|
23
|
—
|
—
|
$19,523.06
|
$96,970.82
|
$35,769.08
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
44
|
24
|
—
|
—
|
$21.45
|
$91,171.29
|
$35,458.66
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
35
|
22
|
—
|
—
|
$19,263.93
|
$102,725.18
|
$35,449.68
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
33
|
22
|
—
|
—
|
$35,289.98
|
$92,088.26
|
$35,289.98
|
2026-04-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
4
|
4
|
—
|
—
|
$430.70
|
$79,589.54
|
$35,147.87
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
35
|
22
|
—
|
—
|
$25,143.89
|
$91,399.87
|
$35,122.29
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
3
|
3
|
—
|
—
|
$29,724.61
|
$64,694.74
|
$34,970.13
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
26
|
22
|
—
|
—
|
$16,034.01
|
$98,799.63
|
$34,962.59
|
2026-04-01
|
|
5242
|
OTHER
|
Level 2 Blood Product Exchange And Related Services
|
3
|
3
|
—
|
—
|
$2,072.61
|
$37,243.84
|
$34,959.56
|
2026-04-01
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
7
|
5
|
—
|
—
|
$16,608.00
|
$64,562.94
|
$34,898.89
|
2026-04-01
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
7
|
5
|
—
|
—
|
$16,608.00
|
$64,562.94
|
$34,898.89
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
23
|
—
|
—
|
$31,999.26
|
$93,106.24
|
$34,860.78
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
34
|
22
|
—
|
—
|
$26,241.00
|
$89,212.41
|
$34,693.09
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
39
|
24
|
—
|
—
|
$5,392.72
|
$93,802.61
|
$34,648.18
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
42
|
23
|
—
|
—
|
$15,592.00
|
$92,890.95
|
$33,984.42
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
35
|
22
|
—
|
—
|
$26,912.00
|
$82,560.30
|
$33,612.12
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
35
|
22
|
—
|
—
|
$33,500.33
|
$88,260.89
|
$33,500.33
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
47
|
23
|
—
|
—
|
$25,532.51
|
$83,832.91
|
$33,496.33
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
38
|
23
|
—
|
—
|
$15,592.00
|
$90,549.34
|
$33,108.06
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
34
|
22
|
—
|
—
|
$32,126.13
|
$86,623.62
|
$32,965.33
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
36
|
23
|
—
|
—
|
$18,100.03
|
$84,771.06
|
$32,929.39
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
38
|
22
|
—
|
—
|
$31,067.77
|
$89,876.64
|
$32,884.48
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
39
|
22
|
—
|
—
|
$30,383.61
|
$81,629.42
|
$32,875.50
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
38
|
23
|
—
|
—
|
$9,998.00
|
$85,680.06
|
$32,851.54
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
33
|
22
|
—
|
—
|
$32,788.66
|
$84,526.54
|
$32,788.66
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
30
|
22
|
—
|
—
|
$32,684.85
|
$76,069.10
|
$32,684.85
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
43
|
23
|
—
|
—
|
$34.58
|
$90,155.97
|
$32,509.18
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
39
|
22
|
—
|
—
|
$9,998.00
|
$82,187.58
|
$32,450.29
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
35
|
22
|
—
|
—
|
$32,262.20
|
$86,586.41
|
$32,419.35
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
33
|
22
|
—
|
—
|
$32,355.47
|
$106,920.92
|
$32,355.47
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
33
|
22
|
—
|
—
|
$32,229.70
|
$84,215.56
|
$32,229.70
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
33
|
22
|
—
|
—
|
$32,181.79
|
$81,959.00
|
$32,181.79
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
37
|
24
|
—
|
—
|
$17,430.68
|
$91,112.80
|
$32,091.96
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
44
|
23
|
—
|
—
|
$13,142.08
|
$132,442.02
|
$32,076.99
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
37
|
22
|
—
|
—
|
$15,592.00
|
$80,730.00
|
$32,003.13
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
35
|
22
|
—
|
—
|
$31,794.52
|
$91,256.34
|
$31,794.52
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
36
|
22
|
—
|
—
|
$30,571.22
|
$78,370.84
|
$31,729.64
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
36
|
23
|
—
|
—
|
$24,149.40
|
$92,483.58
|
$31,674.74
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
35
|
23
|
—
|
—
|
$7,567.79
|
$82,910.53
|
$31,198.63
|
2026-04-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
9
|
7
|
—
|
—
|
$423.91
|
$54,998.80
|
$31,162.73
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
42
|
24
|
—
|
—
|
$49.10
|
$71,282.22
|
$31,157.71
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
43
|
24
|
—
|
—
|
$7,590.44
|
$86,873.46
|
$30,916.16
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
39
|
23
|
—
|
—
|
$9,998.00
|
$75,962.78
|
$30,789.40
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
34
|
23
|
—
|
—
|
$30,785.41
|
$76,199.34
|
$30,785.41
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
37
|
22
|
—
|
—
|
$9,998.00
|
$67,104.00
|
$30,752.47
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
15
|
7
|
—
|
—
|
$1,342.75
|
$83,769.84
|
$30,547.83
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
14
|
7
|
—
|
—
|
$9,998.00
|
$46,686.01
|
$30,448.64
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
30
|
22
|
—
|
—
|
$30,349.22
|
$81,555.00
|
$30,349.22
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
48
|
22
|
—
|
—
|
$2,140.78
|
$90,685.63
|
$30,046.79
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
33
|
22
|
—
|
—
|
$30,026.83
|
$70,266.90
|
$30,026.83
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
34
|
22
|
—
|
—
|
$20.00
|
$80,013.42
|
$29,996.88
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
33
|
22
|
—
|
—
|
$29,786.28
|
$77,507.02
|
$29,786.28
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
43
|
22
|
—
|
—
|
$9,998.00
|
$78,168.84
|
$29,709.42
|
2026-04-01
|
|
81211
|
HCPCS
|
Brca1&2 Seq & Com Dup/del
|
2
|
1
|
—
|
—
|
$27,003.38
|
$32,403.92
|
$29,703.65
|
2026-04-01
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
10
|
6
|
—
|
—
|
$19,731.32
|
$43,281.24
|
$29,646.56
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
35
|
22
|
—
|
—
|
$13,472.31
|
$77,950.89
|
$29,606.62
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
34
|
22
|
—
|
—
|
$27,757.31
|
$74,639.15
|
$29,588.65
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
3
|
3
|
—
|
—
|
$25,083.66
|
$54,593.85
|
$29,510.19
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
33
|
22
|
—
|
—
|
$29,460.89
|
$72,464.99
|
$29,460.89
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
37
|
24
|
—
|
—
|
$9,506.00
|
$79,364.89
|
$29,446.91
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
9
|
5
|
—
|
—
|
$16,608.00
|
$64,047.70
|
$29,427.32
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
33
|
22
|
—
|
—
|
$29,404.99
|
$70,429.03
|
$29,404.99
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
39
|
22
|
—
|
—
|
$26,078.00
|
$77,467.15
|
$29,289.21
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
12
|
6
|
—
|
—
|
$15,592.00
|
$50,752.60
|
$29,264.89
|
2026-04-01
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
2
|
2
|
—
|
—
|
$22,960.87
|
$35,407.12
|
$29,184.00
|
2026-04-01
|
|
S3865
|
HCPCS
|
Comp Genet Test Hyp Cardiomy
|
1
|
1
|
—
|
—
|
$29,130.86
|
$29,130.86
|
$29,130.86
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
37
|
24
|
—
|
—
|
$7,349.62
|
$77,398.05
|
$29,092.58
|
2026-04-01
|
|
5378
|
OTHER
|
Level 8 Urology And Related Services
|
4
|
3
|
—
|
—
|
$112.84
|
$52,090.84
|
$29,045.74
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
3
|
3
|
—
|
—
|
$24,523.55
|
$53,374.78
|
$28,851.23
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
3
|
3
|
—
|
—
|
$24,407.75
|
$53,122.75
|
$28,715.00
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
33
|
22
|
—
|
—
|
$28,682.35
|
$77,440.57
|
$28,682.35
|
2026-04-01
|
|
81436
|
HCPCS
|
Hereditary Colon Ca Dsordrs
|
2
|
1
|
—
|
—
|
$26,060.71
|
$31,272.73
|
$28,666.72
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
35
|
22
|
—
|
—
|
$28,581.53
|
$100,542.00
|
$28,581.53
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
38
|
22
|
—
|
—
|
$9,998.00
|
$70,341.32
|
$28,499.69
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
38
|
23
|
—
|
—
|
$9,843.85
|
$67,725.95
|
$28,308.05
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
41
|
23
|
—
|
—
|
$21,174.18
|
$150,604.06
|
$28,160.32
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
44
|
24
|
—
|
—
|
$9,335.39
|
$71,340.69
|
$28,076.48
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
40
|
24
|
—
|
—
|
$5,725.41
|
$90,142.36
|
$28,069.49
|
2026-04-01
|
|
G0419
|
HCPCS
|
Sat Biopsy Prostate: >60
|
2
|
1
|
—
|
—
|
$25,403.97
|
$30,484.64
|
$27,944.31
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
35
|
22
|
—
|
—
|
$26,875.08
|
$72,204.51
|
$27,927.76
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
45
|
24
|
—
|
—
|
$4,800.44
|
$79,466.09
|
$27,798.00
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
12
|
6
|
—
|
—
|
$15,592.00
|
$48,286.07
|
$27,755.10
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
33
|
22
|
—
|
—
|
$27,685.21
|
$70,989.85
|
$27,685.21
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
34
|
22
|
—
|
—
|
$27,652.27
|
$72,595.22
|
$27,652.27
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
34
|
22
|
—
|
—
|
$9,516.00
|
$69,538.64
|
$27,564.44
|
2026-04-01
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With Mcc
|
10
|
6
|
—
|
—
|
$18,735.31
|
$41,096.45
|
$27,382.32
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
39
|
23
|
—
|
—
|
$9,998.00
|
$76,111.62
|
$27,191.14
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
33
|
22
|
—
|
—
|
$27,098.31
|
$70,769.25
|
$27,098.31
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
33
|
22
|
—
|
—
|
$26,965.56
|
$70,519.40
|
$26,965.56
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
45
|
24
|
—
|
—
|
$109.64
|
$67,853.53
|
$26,548.34
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
34
|
22
|
—
|
—
|
$25,865.15
|
$67,872.13
|
$26,517.40
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
37
|
24
|
—
|
—
|
$7,294.56
|
$71,614.46
|
$26,420.58
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
35
|
23
|
—
|
—
|
$20,962.15
|
$63,709.86
|
$26,384.65
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
37
|
24
|
—
|
—
|
$7,610.47
|
$68,157.97
|
$26,384.65
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
33
|
22
|
—
|
—
|
$26,268.86
|
$68,797.08
|
$26,268.86
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
14
|
6
|
—
|
—
|
$11,564.00
|
$106,565.00
|
$26,129.00
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
41
|
22
|
—
|
—
|
$15,592.00
|
$80,730.00
|
$26,123.14
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
34
|
22
|
—
|
—
|
$26,002.36
|
$68,685.45
|
$26,002.36
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
43
|
22
|
—
|
—
|
$3,159.73
|
$63,816.18
|
$25,954.45
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
40
|
23
|
—
|
—
|
$11,813.49
|
$70,353.50
|
$25,833.68
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
33
|
22
|
—
|
—
|
$25,822.70
|
$65,586.34
|
$25,822.70
|
2026-04-01
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
10
|
6
|
—
|
—
|
$17,608.42
|
$38,624.60
|
$25,669.40
|
2026-04-01
|
|
5471
|
OTHER
|
Implantation Of Drug Infusion Device
|
6
|
5
|
—
|
—
|
$405.20
|
$38,528.96
|
$25,570.64
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
33
|
22
|
—
|
—
|
$25,513.28
|
$64,315.86
|
$25,513.28
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
35
|
22
|
—
|
—
|
$12,315.17
|
$158,352.00
|
$25,411.47
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
36
|
22
|
—
|
—
|
$23,206.49
|
$62,152.33
|
$25,186.89
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
39
|
23
|
—
|
—
|
$14,489.52
|
$234,441.54
|
$25,179.90
|
2026-04-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
35
|
23
|
—
|
—
|
$8,474.18
|
$48,958.52
|
$25,145.97
|
2026-04-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
40
|
23
|
—
|
—
|
$2,251.00
|
$65,113.23
|
$25,087.08
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
36
|
23
|
—
|
—
|
$14,197.39
|
$80,993.35
|
$25,037.17
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
41
|
22
|
—
|
—
|
$12,263.00
|
$70,639.00
|
$25,008.22
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
23
|
21
|
—
|
—
|
$24,817.58
|
$45,912.52
|
$24,817.58
|
2026-04-01
|
|
0394T
|
HCPCS
|
Hdr Elctrnc Skn Surf Brchytx
|
3
|
1
|
—
|
—
|
$19,970.00
|
$27,507.00
|
$24,751.00
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
25
|
21
|
—
|
—
|
$24,738.73
|
$45,766.65
|
$24,738.73
|
2026-04-01
|
|
0981T
|
HCPCS
|
Tcat Impl Wrls Ivc Snr
|
5
|
4
|
—
|
—
|
$20,040.92
|
$43,618.46
|
$24,701.69
|
2026-04-01
|