|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
2
|
2
|
—
|
—
|
$4,505,000.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,685,266.67
|
$4,422,320.00
|
$4,016,940.67
|
2026-04-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
5
|
5
|
—
|
—
|
$3,090,000.00
|
$4,758,600.00
|
$3,646,200.00
|
2026-04-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
4
|
4
|
—
|
—
|
$3,335,820.00
|
$4,002,984.00
|
$3,636,043.80
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
4
|
4
|
—
|
—
|
$3,316,462.59
|
$3,979,755.11
|
$3,620,642.79
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
4
|
4
|
—
|
—
|
$3,248,445.72
|
$3,898,134.86
|
$3,542,837.01
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
5
|
5
|
—
|
—
|
$2,939,968.89
|
$4,536,439.60
|
$3,475,973.20
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
5
|
5
|
—
|
—
|
$2,332,000.00
|
$3,591,280.00
|
$2,751,760.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
7
|
6
|
—
|
—
|
$2,426,431.60
|
$3,780,870.33
|
$2,588,981.23
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
6
|
5
|
—
|
—
|
$770,620.00
|
$1,811,111.12
|
$917,037.80
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
6
|
5
|
—
|
—
|
$565,868.94
|
$1,381,094.03
|
$673,384.04
|
2026-04-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$618,968.00
|
$618,968.00
|
$618,968.00
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
8
|
6
|
—
|
—
|
$468,501.12
|
$1,321,285.36
|
$613,166.62
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
6
|
—
|
—
|
$479,006.14
|
$1,311,603.67
|
$607,858.45
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
6
|
—
|
—
|
$484,144.47
|
$1,250,758.21
|
$581,220.89
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
6
|
—
|
—
|
$964.00
|
$1,331,461.87
|
$579,128.75
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
8
|
6
|
—
|
—
|
$484,144.47
|
$1,150,305.87
|
$533,414.82
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
26
|
15
|
—
|
—
|
$418,841.92
|
$1,562,742.35
|
$463,791.39
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
5
|
5
|
—
|
—
|
$278,250.00
|
$428,505.00
|
$328,335.00
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
26
|
15
|
—
|
—
|
$272,322.97
|
$1,014,156.92
|
$320,991.55
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
5
|
4
|
—
|
—
|
$257,500.00
|
$622,803.00
|
$309,000.00
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
6
|
5
|
—
|
—
|
$201,669.02
|
$473,962.53
|
$244,711.60
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
26
|
15
|
—
|
—
|
$207,556.05
|
$772,653.24
|
$239,362.84
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
26
|
15
|
—
|
—
|
$206,339.98
|
$768,118.76
|
$232,367.94
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
1
|
1
|
—
|
—
|
$197,048.59
|
$197,048.59
|
$197,048.59
|
2026-04-01
|
|
L8614
|
HCPCS
|
Cochlear Device
|
1
|
1
|
—
|
—
|
$157,207.97
|
$157,207.97
|
$157,207.97
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
29
|
15
|
—
|
—
|
$80,810.47
|
$501,268.31
|
$150,485.80
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
26
|
15
|
—
|
—
|
$126,018.40
|
$468,654.79
|
$141,290.09
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
26
|
15
|
—
|
—
|
$110,269.75
|
$410,086.51
|
$130,731.81
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
26
|
15
|
—
|
—
|
$116,946.18
|
$434,915.78
|
$130,680.82
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
5
|
4
|
—
|
—
|
$108,243.35
|
$704,653.38
|
$129,892.02
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
15
|
—
|
—
|
$107,247.30
|
$398,846.21
|
$120,823.70
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
23
|
14
|
—
|
—
|
$110,143.24
|
$409,616.05
|
$119,232.24
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
24
|
15
|
—
|
—
|
$105,815.87
|
$393,522.80
|
$119,213.75
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
15
|
—
|
—
|
$100,331.48
|
$373,126.68
|
$115,974.11
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
26
|
15
|
—
|
—
|
$96,891.57
|
$360,333.87
|
$114,920.64
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
15
|
—
|
—
|
$95,196.43
|
$354,029.75
|
$111,883.71
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
1
|
—
|
—
|
$102,758.59
|
$115,970.94
|
$109,364.76
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
24
|
15
|
—
|
—
|
$87,672.42
|
$326,048.41
|
$98,807.62
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
26
|
15
|
—
|
—
|
$82,031.36
|
$305,069.65
|
$96,802.08
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
15
|
—
|
—
|
$81,773.49
|
$304,110.64
|
$96,003.51
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
24
|
15
|
—
|
—
|
$84,265.59
|
$313,378.65
|
$94,975.92
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
1
|
—
|
—
|
$88,923.98
|
$100,357.52
|
$94,640.75
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
26
|
15
|
—
|
—
|
$76,571.29
|
$284,764.00
|
$90,904.86
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
2
|
1
|
—
|
—
|
$84,093.61
|
$94,906.08
|
$89,499.85
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
15
|
—
|
—
|
$74,717.54
|
$277,870.00
|
$88,713.98
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
26
|
15
|
—
|
—
|
$74,395.44
|
$276,672.14
|
$87,909.08
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
26
|
15
|
—
|
—
|
$74,149.25
|
$275,756.56
|
$84,961.62
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
5
|
4
|
—
|
—
|
$68,801.71
|
$447,892.25
|
$82,562.05
|
2026-04-01
|
|
A9545
|
HCPCS
|
I-131 Tositumomab, Rx, Per Dose
|
1
|
1
|
—
|
—
|
$80,338.35
|
$80,338.35
|
$80,338.35
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
2
|
1
|
—
|
—
|
$75,307.46
|
$84,990.24
|
$80,148.85
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
15
|
—
|
—
|
$70,244.20
|
$261,233.92
|
$79,205.90
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
26
|
15
|
—
|
—
|
$69,797.54
|
$259,572.84
|
$78,703.54
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
26
|
15
|
—
|
—
|
$69,426.79
|
$258,194.04
|
$78,286.55
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
24
|
15
|
—
|
—
|
$69,385.92
|
$258,042.05
|
$78,240.59
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
26
|
15
|
—
|
—
|
$66,928.84
|
$248,904.32
|
$78,189.96
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
2
|
1
|
—
|
—
|
$73,422.96
|
$82,863.43
|
$78,143.20
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
7
|
6
|
—
|
—
|
$63,342.28
|
$227,363.69
|
$76,010.74
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
26
|
15
|
—
|
—
|
$40,486.08
|
$259,681.41
|
$74,821.02
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
9
|
7
|
—
|
—
|
$54,404.11
|
$127,860.53
|
$74,048.98
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
26
|
15
|
—
|
—
|
$65,500.33
|
$243,591.78
|
$73,870.43
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
15
|
—
|
—
|
$63,984.24
|
$237,953.53
|
$73,788.89
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
24
|
15
|
—
|
—
|
$65,066.33
|
$241,977.75
|
$73,382.29
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
24
|
15
|
—
|
—
|
$65,018.65
|
$241,800.42
|
$73,328.67
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
2
|
1
|
—
|
—
|
$68,145.23
|
$76,907.11
|
$72,526.17
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
32
|
17
|
—
|
—
|
$49,216.59
|
$250,131.13
|
$72,411.34
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
15
|
—
|
—
|
$63,984.24
|
$237,953.53
|
$72,165.26
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
26
|
15
|
—
|
—
|
$59,635.46
|
$221,780.67
|
$70,889.03
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
26
|
15
|
—
|
—
|
$62,616.07
|
$232,865.36
|
$70,092.09
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
4
|
3
|
—
|
—
|
$55,500.77
|
$198,003.59
|
$69,613.51
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
26
|
15
|
—
|
—
|
$61,949.29
|
$237,088.61
|
$69,463.49
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
1
|
—
|
—
|
$64,851.54
|
$73,189.93
|
$69,020.74
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
15
|
—
|
—
|
$58,026.93
|
$215,798.63
|
$68,987.98
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
25
|
15
|
—
|
—
|
$58,450.22
|
$217,372.85
|
$68,608.65
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
26
|
15
|
—
|
—
|
$57,701.91
|
$214,589.91
|
$68,603.85
|
2026-04-01
|
|
L8679
|
HCPCS
|
Imp Neurosti Pls Gn Any Type
|
1
|
1
|
—
|
—
|
$68,548.86
|
$68,548.86
|
$68,548.86
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
26
|
15
|
—
|
—
|
$58,995.16
|
$219,399.43
|
$67,915.92
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$59,566.37
|
$221,523.73
|
$67,679.37
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
26
|
15
|
—
|
—
|
$57,107.35
|
$212,378.77
|
$67,654.95
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
6
|
6
|
—
|
—
|
$56,824.55
|
$210,598.10
|
$67,621.21
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
26
|
15
|
—
|
—
|
$58,466.77
|
$217,434.37
|
$66,876.75
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
2
|
1
|
—
|
—
|
$62,829.48
|
$70,907.87
|
$66,868.68
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
26
|
15
|
—
|
—
|
$57,836.20
|
$215,089.32
|
$65,664.46
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$57,070.37
|
$212,241.25
|
$65,327.23
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
15
|
—
|
—
|
$55,761.55
|
$207,373.83
|
$64,452.88
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
27
|
16
|
—
|
—
|
$53,422.22
|
$198,673.99
|
$64,350.22
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
26
|
15
|
—
|
—
|
$53,744.31
|
$199,871.85
|
$63,926.50
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
26
|
15
|
—
|
—
|
$53,233.44
|
$197,971.92
|
$63,322.72
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
24
|
15
|
—
|
—
|
$56,119.65
|
$208,705.58
|
$63,319.87
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
26
|
15
|
—
|
—
|
$54,538.36
|
$202,824.87
|
$62,404.96
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
2
|
1
|
—
|
—
|
$58,292.13
|
$65,787.13
|
$62,039.63
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
6
|
4
|
—
|
—
|
$3,654.07
|
$87,242.74
|
$61,749.73
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
15
|
—
|
—
|
$54,707.68
|
$203,454.56
|
$61,731.81
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
26
|
15
|
—
|
—
|
$51,513.97
|
$191,577.33
|
$61,290.55
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
24
|
15
|
—
|
—
|
$54,164.69
|
$201,435.21
|
$61,121.10
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
26
|
15
|
—
|
—
|
$53,157.53
|
$197,689.65
|
$61,055.21
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
27
|
16
|
—
|
—
|
$50,566.17
|
$188,052.52
|
$60,932.03
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
15
|
—
|
—
|
$51,893.48
|
$192,988.70
|
$60,705.22
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
23
|
14
|
—
|
—
|
$55,533.84
|
$206,527.00
|
$60,116.48
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
29
|
16
|
—
|
—
|
$1,556.20
|
$206,259.21
|
$60,038.53
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
26
|
15
|
—
|
—
|
$53,073.85
|
$197,378.42
|
$59,894.21
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$52,861.71
|
$196,589.50
|
$59,256.25
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
26
|
15
|
—
|
—
|
$51,343.68
|
$190,944.02
|
$59,163.71
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
24
|
15
|
—
|
—
|
$51,862.34
|
$192,872.89
|
$58,531.62
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
5
|
4
|
—
|
—
|
$48,155.50
|
$313,487.49
|
$57,786.60
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
28
|
16
|
—
|
—
|
$7,682.66
|
$188,378.22
|
$57,172.31
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$53,474.06
|
$60,349.57
|
$56,911.82
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
26
|
15
|
—
|
—
|
$47,693.58
|
$177,369.53
|
$56,344.56
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
15
|
—
|
—
|
$47,893.06
|
$178,111.40
|
$56,289.47
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
26
|
15
|
—
|
—
|
$46,988.08
|
$174,745.82
|
$55,686.88
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
26
|
15
|
—
|
—
|
$46,750.64
|
$173,862.81
|
$55,660.96
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
15
|
—
|
—
|
$49,046.19
|
$182,399.80
|
$55,364.26
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
26
|
15
|
—
|
—
|
$46,327.34
|
$172,288.59
|
$55,160.68
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$25,746.00
|
$180,489.02
|
$54,786.39
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$2,143.55
|
$179,041.46
|
$54,348.61
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
26
|
15
|
—
|
—
|
$45,519.67
|
$169,284.90
|
$54,206.10
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
5
|
4
|
—
|
—
|
$44,356.85
|
$288,758.66
|
$53,228.22
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
9
|
7
|
—
|
—
|
$43,185.34
|
$101,494.18
|
$53,124.37
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
26
|
15
|
—
|
—
|
$44,396.71
|
$165,108.69
|
$52,878.93
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
26
|
15
|
—
|
—
|
$45,122.65
|
$167,808.39
|
$52,790.60
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
26
|
15
|
—
|
—
|
$44,070.73
|
$163,896.36
|
$52,493.67
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
26
|
15
|
—
|
—
|
$45,749.32
|
$170,138.96
|
$52,173.73
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$9,128.00
|
$164,612.90
|
$52,107.54
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
15
|
—
|
—
|
$45,655.91
|
$169,791.55
|
$51,608.57
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
16
|
—
|
—
|
$344.79
|
$178,723.00
|
$51,494.78
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
26
|
15
|
—
|
—
|
$44,614.69
|
$165,919.33
|
$51,406.03
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
28
|
15
|
—
|
—
|
$42,838.83
|
$166,342.74
|
$51,197.81
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
26
|
15
|
—
|
—
|
$44,243.94
|
$164,540.53
|
$51,165.11
|
2026-04-01
|
|
L8609
|
HCPCS
|
Artificial Cornea
|
1
|
1
|
—
|
—
|
$50,976.03
|
$50,976.03
|
$50,976.03
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
24
|
15
|
—
|
—
|
$44,942.62
|
$167,138.90
|
$50,748.94
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
26
|
15
|
—
|
—
|
$43,599.75
|
$162,144.81
|
$50,086.34
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
26
|
15
|
—
|
—
|
$43,428.48
|
$161,507.89
|
$49,685.57
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
28
|
15
|
—
|
—
|
$13,228.77
|
$162,191.86
|
$49,252.82
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$42,746.34
|
$158,971.04
|
$49,231.10
|
2026-04-01
|
|
L8682
|
HCPCS
|
Implt Neurostim Radiofq Rec
|
1
|
1
|
—
|
—
|
$48,976.58
|
$48,976.58
|
$48,976.58
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
15
|
—
|
—
|
$40,603.57
|
$151,002.22
|
$48,395.96
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
26
|
15
|
—
|
—
|
$41,095.96
|
$152,833.38
|
$48,309.00
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
5
|
4
|
—
|
—
|
$39,938.10
|
$259,993.04
|
$47,925.72
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
26
|
15
|
—
|
—
|
$40,837.11
|
$151,870.76
|
$47,898.51
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
15
|
—
|
—
|
$41,005.46
|
$152,496.83
|
$47,644.43
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
24
|
15
|
—
|
—
|
$42,109.93
|
$156,604.28
|
$47,562.98
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
26
|
15
|
—
|
—
|
$41,774.21
|
$155,355.76
|
$47,368.24
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$40,412.84
|
$150,292.92
|
$47,187.95
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
26
|
15
|
—
|
—
|
$40,761.21
|
$151,588.48
|
$46,894.07
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
26
|
15
|
—
|
—
|
$41,505.63
|
$154,356.94
|
$46,883.32
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
2
|
1
|
—
|
—
|
$43,960.95
|
$49,613.30
|
$46,787.12
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$46,695.13
|
$46,695.13
|
$46,695.13
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
26
|
15
|
—
|
—
|
$41,025.90
|
$152,572.82
|
$46,343.75
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
26
|
15
|
—
|
—
|
$40,574.38
|
$150,893.65
|
$46,126.32
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
26
|
15
|
—
|
—
|
$39,498.13
|
$146,891.15
|
$44,908.99
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
25
|
16
|
—
|
—
|
$35,969.03
|
$153,470.31
|
$44,672.59
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
15
|
—
|
—
|
$38,066.70
|
$141,567.75
|
$44,438.42
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
26
|
15
|
—
|
—
|
$37,665.78
|
$140,076.76
|
$44,423.15
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
24
|
15
|
—
|
—
|
$39,123.49
|
$145,497.87
|
$44,204.09
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
28
|
15
|
—
|
—
|
$30,642.02
|
$138,940.43
|
$44,077.68
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
16
|
—
|
—
|
$8,136.00
|
$149,297.72
|
$44,072.59
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
28
|
15
|
—
|
—
|
$21,738.30
|
$152,051.70
|
$44,018.26
|
2026-04-01
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
8
|
6
|
—
|
—
|
$964.00
|
$62,171.84
|
$44,004.74
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
2
|
2
|
—
|
—
|
$42,516.75
|
$45,389.70
|
$43,953.22
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
26
|
15
|
—
|
—
|
$38,769.28
|
$144,180.59
|
$43,805.71
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
26
|
15
|
—
|
—
|
$37,573.34
|
$139,732.97
|
$43,735.64
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
6
|
4
|
—
|
—
|
$2,819.18
|
$61,119.76
|
$43,260.10
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
27
|
15
|
—
|
—
|
$36,617.75
|
$136,179.21
|
$43,132.28
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$36,371.56
|
$135,263.63
|
$42,244.31
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
26
|
15
|
—
|
—
|
$35,233.03
|
$131,029.51
|
$42,048.72
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
5
|
4
|
—
|
—
|
$34,970.13
|
$227,652.05
|
$41,964.16
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$36,265.49
|
$134,869.17
|
$41,935.82
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
26
|
15
|
—
|
—
|
$36,061.14
|
$134,109.20
|
$41,922.85
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
26
|
15
|
—
|
—
|
$35,742.94
|
$132,925.82
|
$41,897.11
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
26
|
15
|
—
|
—
|
$35,146.43
|
$130,707.43
|
$41,735.85
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
27
|
16
|
—
|
—
|
$35,728.34
|
$132,871.53
|
$41,587.77
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
26
|
15
|
—
|
—
|
$34,783.46
|
$129,357.58
|
$41,517.38
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
26
|
15
|
—
|
—
|
$36,367.67
|
$135,249.15
|
$41,478.18
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
26
|
15
|
—
|
—
|
$35,281.69
|
$131,210.46
|
$41,152.12
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
27
|
15
|
—
|
—
|
$34,864.23
|
$129,657.95
|
$41,086.09
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
26
|
15
|
—
|
—
|
$36,549.31
|
$139,866.87
|
$40,980.78
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
27
|
15
|
—
|
—
|
$34,748.43
|
$129,227.30
|
$40,950.97
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
27
|
15
|
—
|
—
|
$18,240.94
|
$129,035.50
|
$40,890.79
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
7
|
6
|
—
|
—
|
$4,013.00
|
$53,315.38
|
$40,852.05
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
26
|
15
|
—
|
—
|
$34,634.58
|
$128,803.89
|
$40,623.58
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
26
|
15
|
—
|
—
|
$25,308.27
|
$140,927.20
|
$40,604.82
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
27
|
15
|
—
|
—
|
$34,224.87
|
$128,926.93
|
$40,578.91
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
26
|
15
|
—
|
—
|
$34,247.28
|
$127,363.57
|
$40,526.22
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
26
|
15
|
—
|
—
|
$33,935.89
|
$126,205.52
|
$40,514.29
|
2026-04-01
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
9
|
7
|
—
|
—
|
$3,123.00
|
$62,171.84
|
$40,371.32
|
2026-04-01
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
9
|
7
|
—
|
—
|
$964.00
|
$62,171.84
|
$40,371.32
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
27
|
15
|
—
|
—
|
$34,317.34
|
$127,624.13
|
$40,010.76
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
26
|
15
|
—
|
—
|
$35,308.93
|
$131,311.79
|
$39,913.82
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
26
|
15
|
—
|
—
|
$35,208.70
|
$130,939.04
|
$39,801.10
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
24
|
15
|
—
|
—
|
$35,093.88
|
$130,512.01
|
$39,671.94
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$28,208.65
|
$135,585.71
|
$38,664.91
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
26
|
15
|
—
|
—
|
$33,616.71
|
$125,018.52
|
$38,598.15
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
26
|
15
|
—
|
—
|
$32,144.41
|
$119,543.12
|
$38,386.18
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
28
|
16
|
—
|
—
|
$33,361.76
|
$124,070.37
|
$38,301.85
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
26
|
15
|
—
|
—
|
$33,780.19
|
$125,626.49
|
$38,194.43
|
2026-04-01
|
|
0960T
|
CPT
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
6
|
5
|
—
|
—
|
$4,578.00
|
$53,744.28
|
$38,039.79
|
2026-04-01
|
|
0956T
|
CPT
|
Prt Crn Ch Cr&tun Elt S-sclp
|
6
|
5
|
—
|
—
|
$6,626.00
|
$53,744.28
|
$38,039.79
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
26
|
15
|
—
|
—
|
$33,198.28
|
$123,462.39
|
$38,006.75
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
27
|
15
|
—
|
—
|
$33,944.65
|
$126,238.09
|
$38,003.39
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
26
|
15
|
—
|
—
|
$31,653.00
|
$117,715.58
|
$37,802.42
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
2
|
1
|
—
|
—
|
$35,366.04
|
$39,913.29
|
$37,639.67
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
26
|
15
|
—
|
—
|
$31,402.91
|
$116,785.52
|
$37,505.34
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
32
|
16
|
—
|
—
|
$11,551.36
|
$128,698.94
|
$37,416.81
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
28
|
16
|
—
|
—
|
$17,151.00
|
$120,892.97
|
$37,362.07
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
28
|
15
|
—
|
—
|
$29,227.76
|
$119,123.33
|
$37,268.98
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
26
|
15
|
—
|
—
|
$32,035.43
|
$119,137.81
|
$37,220.92
|
2026-04-01
|
|
L8690
|
HCPCS
|
Aud Osseo Dev, Int/ext Comp
|
1
|
1
|
—
|
—
|
$37,219.57
|
$37,219.57
|
$37,219.57
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
2
|
1
|
—
|
—
|
$34,942.17
|
$39,434.91
|
$37,188.54
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
26
|
15
|
—
|
—
|
$30,919.28
|
$114,986.93
|
$36,930.83
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
28
|
15
|
—
|
—
|
$28,618.50
|
$117,067.80
|
$36,576.86
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
29
|
15
|
—
|
—
|
$16,306.60
|
$115,218.54
|
$36,555.40
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
26
|
15
|
—
|
—
|
$31,426.26
|
$116,872.38
|
$36,348.25
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
23
|
14
|
—
|
—
|
$33,461.02
|
$124,439.50
|
$36,222.21
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
25
|
15
|
—
|
—
|
$30,662.38
|
$114,031.54
|
$36,182.95
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
26
|
15
|
—
|
—
|
$31,513.84
|
$117,198.08
|
$36,174.54
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
27
|
16
|
—
|
—
|
$30,647.78
|
$113,977.26
|
$36,165.92
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
26
|
15
|
—
|
—
|
$30,749.96
|
$114,357.24
|
$36,083.95
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
26
|
15
|
—
|
—
|
$30,796.67
|
$114,530.95
|
$36,005.51
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
29
|
18
|
—
|
—
|
$17,723.79
|
$123,299.54
|
$35,890.39
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
26
|
15
|
—
|
—
|
$31,011.72
|
$115,330.72
|
$35,857.54
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
26
|
15
|
—
|
—
|
$30,575.78
|
$113,709.46
|
$35,756.96
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
24
|
15
|
—
|
—
|
$31,435.02
|
$116,904.95
|
$35,556.79
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$31,341.60
|
$116,557.53
|
$35,451.73
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
5
|
4
|
—
|
—
|
$29,510.19
|
$192,108.39
|
$35,412.23
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
24
|
15
|
—
|
—
|
$31,240.40
|
$116,181.17
|
$35,337.90
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
28
|
15
|
—
|
—
|
$31,069.14
|
$115,544.24
|
$35,145.28
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
26
|
15
|
—
|
—
|
$30,255.63
|
$112,518.84
|
$34,976.86
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
26
|
15
|
—
|
—
|
$30,372.40
|
$112,953.11
|
$34,931.46
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
5
|
4
|
—
|
—
|
$28,851.23
|
$187,818.62
|
$34,621.48
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
26
|
15
|
—
|
—
|
$30,309.15
|
$112,717.88
|
$34,526.62
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
27
|
15
|
—
|
—
|
$29,240.79
|
$109,768.47
|
$34,512.71
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
5
|
4
|
—
|
—
|
$28,715.00
|
$186,931.78
|
$34,458.00
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
26
|
15
|
—
|
—
|
$28,668.50
|
$106,616.41
|
$34,004.43
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
28
|
17
|
—
|
—
|
$20,082.06
|
$105,393.22
|
$33,656.51
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
26
|
15
|
—
|
—
|
$28,097.29
|
$104,492.12
|
$33,578.56
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
2
|
2
|
—
|
—
|
$33,415.31
|
$33,567.63
|
$33,491.47
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
26
|
15
|
—
|
—
|
$27,929.92
|
$103,869.67
|
$33,379.73
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
27
|
15
|
—
|
—
|
$28,239.36
|
$105,020.48
|
$33,355.53
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
2
|
1
|
—
|
—
|
$31,285.00
|
$35,307.52
|
$33,296.26
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
26
|
15
|
—
|
—
|
$29,388.59
|
$109,294.40
|
$33,255.14
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
26
|
15
|
—
|
—
|
$29,392.49
|
$109,308.87
|
$33,224.47
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
27
|
15
|
—
|
—
|
$28,083.67
|
$104,441.45
|
$33,173.84
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
27
|
15
|
—
|
—
|
$29,551.69
|
$110,792.62
|
$32,850.76
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
26
|
15
|
—
|
—
|
$28,619.84
|
$106,435.47
|
$32,790.54
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
26
|
15
|
—
|
—
|
$28,221.85
|
$104,955.34
|
$32,777.54
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
24
|
15
|
—
|
—
|
$28,963.35
|
$107,712.94
|
$32,776.88
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
26
|
15
|
—
|
—
|
$27,338.27
|
$101,669.38
|
$32,670.23
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$28,649.04
|
$106,544.03
|
$32,423.37
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
27
|
15
|
—
|
—
|
$26,829.34
|
$99,776.69
|
$32,335.18
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
30
|
16
|
—
|
—
|
$27,239.99
|
$101,303.87
|
$32,327.14
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
27
|
15
|
—
|
—
|
$25,870.83
|
$110,644.25
|
$32,206.65
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
26
|
15
|
—
|
—
|
$28,896.10
|
$109,174.98
|
$32,195.22
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$28,042.80
|
$104,289.46
|
$31,794.57
|
2026-04-01
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
9
|
7
|
—
|
—
|
$964.00
|
$61,119.76
|
$31,441.00
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
27
|
15
|
—
|
—
|
$28,414.52
|
$105,671.88
|
$31,385.66
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
27
|
15
|
—
|
—
|
$25,884.46
|
$96,262.74
|
$31,292.24
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
27
|
16
|
—
|
—
|
$16,647.40
|
$103,156.74
|
$31,189.94
|
2026-04-01
|
|
0923T
|
CPT
|
Rmvl&rplcmt Perm Ccm-d Pg
|
8
|
6
|
—
|
—
|
$964.00
|
$53,113.00
|
$31,183.76
|
2026-04-01
|
|
0916T
|
CPT
|
Insj Perm Ccm-d Sys Pg Only
|
8
|
6
|
—
|
—
|
$964.00
|
$53,113.00
|
$31,183.76
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
26
|
15
|
—
|
—
|
$26,602.61
|
$98,933.49
|
$30,988.40
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
26
|
15
|
—
|
—
|
$25,664.54
|
$95,444.87
|
$30,688.67
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
26
|
15
|
—
|
—
|
$26,334.03
|
$97,934.67
|
$30,582.85
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
27
|
15
|
—
|
—
|
$25,133.23
|
$93,468.95
|
$30,384.06
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
28
|
15
|
—
|
—
|
$1,556.20
|
$99,447.37
|
$30,144.74
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
26
|
15
|
—
|
—
|
$24,985.32
|
$92,918.88
|
$29,881.81
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
10
|
7
|
—
|
—
|
$964.00
|
$87,242.74
|
$29,869.50
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
26
|
15
|
—
|
—
|
$25,227.62
|
$93,819.98
|
$29,867.42
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
26
|
15
|
—
|
—
|
$26,366.14
|
$98,054.10
|
$29,855.77
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
26
|
15
|
—
|
—
|
$26,248.40
|
$97,616.21
|
$29,723.33
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$24,843.24
|
$92,390.52
|
$29,713.04
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
29
|
16
|
—
|
—
|
$19,059.18
|
$93,932.17
|
$29,677.86
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
30
|
15
|
—
|
—
|
$14,075.18
|
$91,952.63
|
$29,622.93
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
27
|
15
|
—
|
—
|
$24,916.22
|
$101,007.12
|
$29,532.47
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
28
|
15
|
—
|
—
|
$25,793.96
|
$95,926.18
|
$29,508.35
|
2026-04-01
|
|
1013T
|
CPT
|
Lap Srg Imp/rpl Eso Nea&pg/r
|
5
|
4
|
—
|
—
|
$9,276.00
|
$38,425.75
|
$29,443.11
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
26
|
15
|
—
|
—
|
$24,561.04
|
$91,341.04
|
$29,377.82
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
30
|
16
|
—
|
—
|
$3,736.00
|
$98,463.03
|
$29,291.10
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
30
|
16
|
—
|
—
|
$18,384.00
|
$99,472.70
|
$29,268.08
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
27
|
16
|
—
|
—
|
$4,265.00
|
$100,312.29
|
$29,199.19
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
10
|
7
|
—
|
—
|
$4,179.00
|
$87,242.74
|
$29,129.50
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
26
|
15
|
—
|
—
|
$25,098.20
|
$93,338.67
|
$28,865.87
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
27
|
15
|
—
|
—
|
$23,784.51
|
$88,453.15
|
$28,683.60
|
2026-04-01
|
|
0614T
|
CPT
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
9
|
7
|
—
|
—
|
$964.00
|
$53,113.00
|
$28,608.96
|
2026-04-01
|
|
0414T
|
CPT
|
Rmvl & Rpl Car Modulj Pls Gn
|
9
|
7
|
—
|
—
|
$4,253.00
|
$53,113.00
|
$28,608.96
|
2026-04-01
|
|
0409T
|
CPT
|
Insj/rplc Car Modulj Pls Gn
|
9
|
7
|
—
|
—
|
$3,123.00
|
$53,113.00
|
$28,608.96
|
2026-04-01
|
|
0515T
|
CPT
|
Insj Wcs Lv Compl Sys
|
9
|
7
|
—
|
—
|
$3,123.00
|
$53,113.00
|
$28,608.96
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$24,550.34
|
$91,301.23
|
$28,585.36
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
9
|
7
|
—
|
—
|
$4,744.67
|
$66,802.22
|
$28,424.06
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
27
|
16
|
—
|
—
|
$8,582.00
|
$88,970.66
|
$28,319.52
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$25,098.20
|
$93,338.67
|
$28,306.32
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
26
|
15
|
—
|
—
|
$24,149.42
|
$89,810.24
|
$28,288.82
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
32
|
16
|
—
|
—
|
$20,006.35
|
$86,752.27
|
$28,266.21
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
26
|
15
|
—
|
—
|
$23,756.29
|
$88,348.21
|
$28,260.19
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
26
|
15
|
—
|
—
|
$24,248.68
|
$90,179.37
|
$28,076.64
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
10
|
7
|
—
|
—
|
$4,253.00
|
$62,171.84
|
$27,910.66
|
2026-04-01
|
|
0981T
|
CPT
|
Tcat Impl Wrls Ivc Snr
|
5
|
4
|
—
|
—
|
$9,555.00
|
$36,309.42
|
$27,821.51
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
2
|
1
|
—
|
—
|
$25,973.72
|
$29,313.33
|
$27,643.53
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
26
|
15
|
—
|
—
|
$23,930.48
|
$88,995.99
|
$27,351.92
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
26
|
15
|
—
|
—
|
$23,405.97
|
$87,045.40
|
$27,309.83
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
30
|
15
|
—
|
—
|
$2,105.00
|
$86,361.43
|
$27,307.10
|
2026-04-01
|