|
0234T
|
CPT
|
Hc Spnl Pnctr Lmbr Dx W/Fluor/CT
|
17
|
11
|
$37,178.25
|
$37,178.25
|
$14,409.33
|
$37,178.25
|
$37,178.25
|
2026-01-01
|
|
0235T
|
CPT
|
Hc Rdlgc Xm Upr Gi Trc Sngl Cntst
|
14
|
11
|
$30,747.70
|
$30,747.70
|
$6,297.13
|
$30,747.70
|
$30,747.70
|
2026-01-01
|
|
0236T
|
CPT
|
Hc Inj Aa And Or Strd Supcplr Nrv
|
17
|
11
|
$37,178.25
|
$37,178.25
|
$14,409.33
|
$37,178.25
|
$37,178.25
|
2026-01-01
|
|
0237T
|
CPT
|
Hc Rdlgc Sm Int Flw Thrgh Stdy
|
17
|
11
|
$37,178.25
|
$37,178.25
|
$14,409.33
|
$37,178.25
|
$37,178.25
|
2026-01-01
|
|
0238T
|
CPT
|
Hc Inj Aa And Or Stroid Pundl Nrv
|
17
|
11
|
$58,868.50
|
$58,868.50
|
$22,815.81
|
$58,868.50
|
$58,868.50
|
2026-01-01
|
|
0793T
|
CPT
|
Hc Descending Thoracic Aortogram
|
16
|
11
|
$30,275.79
|
$30,275.79
|
$22,706.84
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
0795T
|
CPT
|
Hc Pci Coro Bypass Chronic Add
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0796T
|
CPT
|
Hc Vasc Embol Occ Venous
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0797T
|
CPT
|
Hc Vasc Embol Occ Arterial
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0801T
|
CPT
|
Hc Induced Abortn By D&c
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0802T
|
CPT
|
Hc Implant Spacer For Subacromial
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0803T
|
CPT
|
Hc Destruction Of Lesion, Conjunctiva
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0823T
|
CPT
|
Hc Pci Percutaneous Coronary Intervention Bypass Graft
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0825T
|
CPT
|
Hc Pci Coro Bypass W Mi 1 Vessel
|
28
|
11
|
$33,642.79
|
$33,642.79
|
$24,231.82
|
$47,717.18
|
$39,982.50
|
2026-01-01
|
|
0915T
|
CPT
|
Hc Aortogram/Supravalvular
|
15
|
10
|
$0.01
|
—
|
$40,737.44
|
$67,216.78
|
$67,216.78
|
2026-01-01
|
|
11
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
5
|
5
|
$381,692.45
|
$381,692.45
|
$65,354.48
|
$84,960.82
|
$71,391.68
|
2026-01-01
|
|
113
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
5
|
5
|
$158,227.89
|
$158,227.89
|
$29,875.81
|
$38,838.55
|
$31,741.73
|
2026-01-01
|
|
12
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
5
|
5
|
$307,902.07
|
$307,902.07
|
$51,138.57
|
$66,557.99
|
$51,198.45
|
2026-01-01
|
|
13
|
MS_DRG
|
Liver Transplant Without Mcc
|
5
|
5
|
$246,235.10
|
$246,235.10
|
$34,959.30
|
$46,726.77
|
$35,943.67
|
2026-01-01
|
|
130
|
APR_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
2
|
1
|
$456,699.59
|
—
|
$25,738.12
|
$34,417.70
|
$30,077.91
|
2026-01-01
|
|
135
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
5
|
5
|
$186,295.40
|
$186,295.40
|
$27,805.16
|
$36,146.71
|
$30,585.68
|
2026-01-01
|
|
140
|
MS_DRG
|
Headaches With Mcc
|
5
|
5
|
$244,680.74
|
$244,680.74
|
$51,762.15
|
$244,680.74
|
$56,938.37
|
2026-01-01
|
|
141
|
MS_DRG
|
Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,extreme
|
5
|
5
|
$267,753.00
|
$267,753.00
|
$27,932.08
|
$267,753.00
|
$30,725.29
|
2026-01-01
|
|
143
|
MS_DRG
|
Dental Diseases And Disorders,extreme
|
5
|
5
|
$219,616.82
|
$219,616.82
|
$45,831.49
|
$219,616.82
|
$50,414.64
|
2026-01-01
|
|
163
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
5
|
5
|
$131,451.93
|
$131,451.93
|
$54,237.52
|
$71,726.93
|
$59,661.27
|
2026-01-01
|
|
164
|
MS_DRG
|
Respiratory Malignancy,extreme
|
5
|
5
|
$256,300.03
|
$256,300.03
|
$31,852.69
|
$41,408.50
|
$35,037.96
|
2026-01-01
|
|
166
|
MS_DRG
|
Mouth Procedures With Cc/mcc
|
5
|
5
|
$327,572.04
|
$327,572.04
|
$45,729.73
|
$59,448.65
|
$50,302.70
|
2026-01-01
|
|
167
|
APR_DRG
|
Mouth Procedures With Cc/mcc
|
2
|
1
|
$441,816.28
|
—
|
$24,075.88
|
$38,790.22
|
$31,433.05
|
2026-01-01
|
|
169
|
APR_DRG
|
Other Pneumonia,minor
|
2
|
1
|
$326,091.09
|
—
|
$24,252.45
|
$35,683.41
|
$29,967.93
|
2026-01-01
|
|
20
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
$599,781.42
|
$599,781.42
|
$92,963.37
|
$145,118.53
|
$102,259.71
|
2026-01-01
|
|
207
|
MS_DRG
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,extreme
|
5
|
5
|
$665,639.97
|
$665,639.97
|
$76,566.33
|
$99,536.23
|
$79,597.42
|
2026-01-01
|
|
208
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
5
|
5
|
$274,210.16
|
$274,210.16
|
$34,364.26
|
$44,748.35
|
$34,421.81
|
2026-01-01
|
|
21
|
MS_DRG
|
Autologous Bone Marrow Transplant
|
5
|
5
|
$245,365.63
|
$245,365.63
|
$63,521.67
|
$109,375.52
|
$69,873.84
|
2026-01-01
|
|
219
|
MS_DRG
|
External Heart Assist Devices,extreme
|
5
|
5
|
$598,821.79
|
$598,821.79
|
$90,785.25
|
$118,020.83
|
$99,863.78
|
2026-01-01
|
|
22
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
5
|
5
|
$475,189.83
|
$475,189.83
|
$39,323.45
|
$82,973.18
|
$43,255.80
|
2026-01-01
|
|
220
|
MS_DRG
|
Defibrillator Implants,extreme
|
5
|
5
|
$525,604.09
|
$525,604.09
|
$63,967.56
|
$83,157.83
|
$70,364.32
|
2026-01-01
|
|
221
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
5
|
5
|
$429,741.85
|
$429,741.85
|
$60,622.08
|
$78,808.70
|
$66,525.42
|
2026-01-01
|
|
228
|
MS_DRG
|
Other Peripheral Vascular And Related Procedures,extreme
|
5
|
5
|
$288,372.35
|
$288,372.35
|
$59,561.03
|
$95,734.60
|
$65,517.13
|
2026-01-01
|
|
229
|
MS_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
$211,343.60
|
$211,343.60
|
$39,004.45
|
$66,531.22
|
$42,904.90
|
2026-01-01
|
|
23
|
MS_DRG
|
Pancreas Transplant
|
5
|
5
|
$427,378.42
|
$427,378.42
|
$68,512.46
|
$89,066.20
|
$75,363.71
|
2026-01-01
|
|
239
|
MS_DRG
|
Pleural Effusion With Mcc
|
5
|
5
|
$352,163.37
|
$352,163.37
|
$59,267.20
|
$77,047.36
|
$65,193.92
|
2026-01-01
|
|
24
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies,extreme
|
5
|
5
|
$262,959.66
|
$262,959.66
|
$47,721.49
|
$62,037.94
|
$52,493.64
|
2026-01-01
|
|
240
|
MS_DRG
|
Pleural Effusion Without Cc/mcc
|
5
|
5
|
$183,474.16
|
$183,474.16
|
$35,585.78
|
$46,261.51
|
$38,705.14
|
2026-01-01
|
|
242
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
5
|
5
|
$168,948.86
|
$168,948.86
|
$39,499.53
|
$53,778.51
|
$43,449.48
|
2026-01-01
|
|
243
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
5
|
5
|
$148,330.10
|
$148,330.10
|
$27,358.12
|
$37,861.93
|
$30,093.93
|
2026-01-01
|
|
245
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
5
|
5
|
$109,434.91
|
$109,434.91
|
$55,159.07
|
$79,131.55
|
$60,674.98
|
2026-01-01
|
|
25
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
5
|
5
|
$431,221.17
|
$431,221.17
|
$54,979.57
|
$71,473.44
|
$60,477.53
|
2026-01-01
|
|
250
|
MS_DRG
|
Cardiac Arrest And Shock,extreme
|
5
|
5
|
$124,921.94
|
$124,921.94
|
$27,948.08
|
$36,368.53
|
$30,742.89
|
2026-01-01
|
|
252
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
5
|
5
|
$172,641.95
|
$172,641.95
|
$42,878.19
|
$55,741.65
|
$46,926.85
|
2026-01-01
|
|
253
|
MS_DRG
|
Interstitial Lung Disease Without Cc/mcc
|
5
|
5
|
$171,280.56
|
$171,280.56
|
$32,671.33
|
$42,472.73
|
$35,938.46
|
2026-01-01
|
|
255
|
MS_DRG
|
Pneumothorax With Cc
|
5
|
5
|
$147,376.37
|
$147,376.37
|
$33,835.28
|
$43,985.86
|
$36,504.95
|
2026-01-01
|
|
258
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
5
|
5
|
$128,351.27
|
$128,351.27
|
$38,919.82
|
$50,595.77
|
$42,811.80
|
2026-01-01
|
|
26
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
5
|
5
|
$352,606.02
|
$352,606.02
|
$38,543.66
|
$50,106.76
|
$42,398.03
|
2026-01-01
|
|
260
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
5
|
5
|
$79,879.76
|
$79,879.76
|
$40,185.55
|
$52,241.22
|
$44,204.11
|
2026-01-01
|
|
263
|
MS_DRG
|
Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,e…
|
5
|
5
|
$313,575.23
|
$313,575.23
|
$33,915.80
|
$49,336.82
|
$37,951.40
|
2026-01-01
|
|
264
|
MS_DRG
|
Other Circulatory System Diagnoses,extreme
|
5
|
5
|
$202,002.52
|
$202,002.52
|
$41,189.42
|
$53,546.25
|
$45,308.36
|
2026-01-01
|
|
268
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
5
|
5
|
$591,349.83
|
$591,349.83
|
$81,633.75
|
$106,123.88
|
$89,797.13
|
2026-01-01
|
|
269
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
5
|
5
|
$428,637.87
|
$428,637.87
|
$51,280.78
|
$66,665.01
|
$56,408.86
|
2026-01-01
|
|
27
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
5
|
5
|
$163,932.97
|
$163,932.97
|
$31,840.09
|
$41,392.12
|
$34,345.39
|
2026-01-01
|
|
270
|
MS_DRG
|
Complex Aortic Arch Procedures
|
5
|
5
|
$277,797.61
|
$277,797.61
|
$63,321.58
|
$82,318.05
|
$69,653.74
|
2026-01-01
|
|
271
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
5
|
5
|
$243,714.01
|
$243,714.01
|
$43,655.67
|
$56,752.37
|
$48,021.24
|
2026-01-01
|
|
272
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
5
|
5
|
$99,087.59
|
$99,087.59
|
$32,184.26
|
$41,839.54
|
$35,402.69
|
2026-01-01
|
|
275
|
MS_DRG
|
Other Heart Assist System Implant
|
5
|
5
|
$277,754.56
|
$277,754.56
|
$84,520.73
|
$277,754.56
|
$92,972.80
|
2026-01-01
|
|
276
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
5
|
$284,122.08
|
$284,122.08
|
$71,671.58
|
$284,122.08
|
$78,838.74
|
2026-01-01
|
|
277
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
5
|
5
|
$153,542.53
|
$153,542.53
|
$55,800.51
|
$153,542.53
|
$61,380.56
|
2026-01-01
|
|
27827
|
CPT
|
Hc Osteotomy, Maxilla, Segmental
|
20
|
11
|
$36,559.00
|
$36,559.00
|
$903.94
|
$36,559.00
|
$31,989.12
|
2026-01-01
|
|
28
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
5
|
5
|
$552,240.75
|
$552,240.75
|
$71,691.03
|
$93,198.34
|
$78,860.13
|
2026-01-01
|
|
286
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
5
|
5
|
$199,360.26
|
$199,360.26
|
$28,294.53
|
$36,782.89
|
$31,123.98
|
2026-01-01
|
|
288
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
5
|
5
|
$226,408.45
|
$226,408.45
|
$33,935.90
|
$44,116.67
|
$37,329.49
|
2026-01-01
|
|
29
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
5
|
5
|
$317,212.79
|
$317,212.79
|
$42,001.21
|
$54,601.57
|
$46,201.33
|
2026-01-01
|
|
299
|
APR_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
$368,040.77
|
—
|
$37,707.94
|
$37,707.94
|
$37,707.94
|
2026-01-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
5
|
5
|
$1,893,444.04
|
$1,893,444.04
|
$245,676.03
|
$319,378.84
|
$255,787.17
|
2026-01-01
|
|
30
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
5
|
5
|
$181,862.80
|
$181,862.80
|
$28,093.30
|
$36,521.29
|
$30,902.63
|
2026-01-01
|
|
31
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
5
|
5
|
$513,801.40
|
$513,801.40
|
$54,222.67
|
$70,489.47
|
$59,129.51
|
2026-01-01
|
|
32
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
5
|
5
|
$318,237.71
|
$318,237.71
|
$27,359.25
|
$35,567.03
|
$30,095.18
|
2026-01-01
|
|
321
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
5
|
5
|
$112,440.91
|
$112,440.91
|
$34,102.83
|
$112,440.91
|
$37,513.11
|
2026-01-01
|
|
326
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
5
|
5
|
$265,842.24
|
$265,842.24
|
$60,018.39
|
$78,023.91
|
$66,002.94
|
2026-01-01
|
|
327
|
MS_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
$269,325.36
|
$269,325.36
|
$30,712.75
|
$40,222.35
|
$30,940.27
|
2026-01-01
|
|
329
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc
|
5
|
5
|
$454,661.52
|
$454,661.52
|
$55,548.97
|
$72,213.66
|
$61,103.87
|
2026-01-01
|
|
330
|
MS_DRG
|
Cholecystectomy,extreme
|
5
|
5
|
$359,046.40
|
$359,046.40
|
$30,402.91
|
$39,523.78
|
$33,443.20
|
2026-01-01
|
|
332
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
5
|
5
|
$444,455.71
|
$444,455.71
|
$44,391.98
|
$57,709.57
|
$48,831.18
|
2026-01-01
|
|
33208
|
CPT
|
Hc Colonoscopy W Endos US Exam
|
20
|
11
|
$35,935.16
|
$35,935.16
|
$744.60
|
$35,935.16
|
$31,443.26
|
2026-01-01
|
|
33221
|
CPT
|
Hc Pacer Pocket Revision/Relocate
|
20
|
11
|
$45,225.90
|
$45,225.90
|
$291.14
|
$45,225.90
|
$42,604.20
|
2026-01-01
|
|
33229
|
CPT
|
Hc Lead Repair Single A Or V
|
20
|
11
|
$45,225.90
|
$45,225.90
|
$301.56
|
$45,225.90
|
$42,604.20
|
2026-01-01
|
|
33230
|
CPT
|
Hc Lead Insert Dual A & V
|
20
|
11
|
$78,072.76
|
$78,072.76
|
$312.73
|
$78,072.76
|
$68,313.66
|
2026-01-01
|
|
33231
|
CPT
|
Hc Lead Repair Dual A & V
|
20
|
11
|
$82,193.26
|
$82,193.26
|
$324.65
|
$82,193.26
|
$74,705.02
|
2026-01-01
|
|
33240
|
CPT
|
Hc Indic Dil Std/Art &Ven Cath Sbsqu Meas
|
20
|
11
|
$70,418.18
|
$70,418.18
|
$383.84
|
$70,418.18
|
$61,615.91
|
2026-01-01
|
|
33249
|
CPT
|
Hc Botox Injection
|
20
|
11
|
$108,258.93
|
$108,258.93
|
$895.01
|
$108,258.93
|
$94,726.57
|
2026-01-01
|
|
33262
|
CPT
|
Hc Hx Open Treatment Of Radial Fracture, Includes Internal Fixation
|
20
|
11
|
$65,032.42
|
$65,032.42
|
$301.56
|
$65,032.42
|
$56,903.37
|
2026-01-01
|
|
33263
|
CPT
|
Hc Dril Hemodialysis Access
|
20
|
11
|
$66,610.37
|
$66,610.37
|
$313.48
|
$66,610.37
|
$58,284.07
|
2026-01-01
|
|
33264
|
CPT
|
Hc Pacer Generator Removal
|
20
|
11
|
$86,794.00
|
$86,794.00
|
$325.02
|
$86,794.00
|
$77,005.39
|
2026-01-01
|
|
33270
|
CPT
|
Hc Insert Swan Type Catheter
|
20
|
11
|
$92,168.16
|
$92,168.16
|
$508.93
|
$92,168.16
|
$80,647.14
|
2026-01-01
|
|
33274
|
CPT
|
Hc Open Treatment Of Medial Malleolus Fracture, Includes Internal Fixation
|
20
|
11
|
$52,488.90
|
$52,488.90
|
$417.72
|
$52,488.90
|
$46,235.70
|
2026-01-01
|
|
333
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
5
|
5
|
$263,925.75
|
$263,925.75
|
$28,917.18
|
$38,706.25
|
$29,774.04
|
2026-01-01
|
|
335
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
5
|
5
|
$254,453.43
|
$254,453.43
|
$43,822.58
|
$59,413.97
|
$48,204.84
|
2026-01-01
|
|
336
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
5
|
5
|
$262,190.09
|
$262,190.09
|
$27,104.28
|
$35,235.56
|
$29,814.71
|
2026-01-01
|
|
34
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
5
|
5
|
$605,353.50
|
$605,353.50
|
$55,460.77
|
$72,099.00
|
$57,933.63
|
2026-01-01
|
|
344
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
5
|
5
|
$287,484.19
|
$287,484.19
|
$32,524.99
|
$42,282.49
|
$35,777.49
|
2026-01-01
|
|
347
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
5
|
5
|
$70,263.29
|
$70,263.29
|
$29,241.24
|
$38,163.80
|
$32,165.36
|
2026-01-01
|
|
350
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
5
|
5
|
$196,350.23
|
$196,350.23
|
$31,485.67
|
$40,931.37
|
$34,634.24
|
2026-01-01
|
|
353
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
5
|
5
|
$251,398.51
|
$251,398.51
|
$36,174.62
|
$47,027.01
|
$39,792.08
|
2026-01-01
|
|
356
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
5
|
5
|
$310,382.67
|
$310,382.67
|
$53,219.93
|
$69,185.91
|
$55,238.53
|
2026-01-01
|
|
357
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Cc
|
5
|
5
|
$184,848.82
|
$184,848.82
|
$29,583.09
|
$38,458.02
|
$30,477.63
|
2026-01-01
|
|
36903
|
CPT
|
Hc Athrectomy Iliac
|
20
|
11
|
$37,106.23
|
$37,106.23
|
$5,174.97
|
$37,106.23
|
$32,467.95
|
2026-01-01
|
|
36905
|
CPT
|
Hc Botox Inject Salivary Gland
|
20
|
11
|
$45,263.42
|
$45,263.42
|
$2,072.22
|
$45,263.42
|
$39,605.49
|
2026-01-01
|
|
36906
|
CPT
|
Hc Coil Penumbra
|
20
|
11
|
$67,422.65
|
$67,422.65
|
$6,259.85
|
$67,422.65
|
$58,994.82
|
2026-01-01
|
|
37
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
5
|
5
|
$331,234.50
|
$331,234.50
|
$40,634.88
|
$52,825.34
|
$44,698.37
|
2026-01-01
|
|
37184
|
CPT
|
Hc Pnctr Asp Of Hydrcle, Tv, W Wo Inj Of Med
|
19
|
11
|
$11,923.38
|
$11,923.38
|
$2,026.80
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
37221
|
CPT
|
Hc Cystograph Min 3 Views
|
17
|
11
|
$37,154.17
|
$37,154.17
|
$14,409.33
|
$37,154.17
|
$37,154.17
|
2026-01-01
|
|
37224
|
CPT
|
Hc Retrograd Urethrogram
|
17
|
11
|
$69,924.38
|
$69,924.38
|
$7,244.35
|
$69,924.38
|
$69,924.38
|
2026-01-01
|
|
37225
|
CPT
|
Hc Ivu Excretory
|
16
|
11
|
$37,154.17
|
$37,154.17
|
$22,815.81
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
37226
|
CPT
|
Hc Retro Pyelogram
|
17
|
11
|
$34,688.08
|
$34,688.08
|
$14,409.33
|
$34,688.08
|
$34,688.08
|
2026-01-01
|
|
37227
|
CPT
|
Hc Hysterosalpingogram Exam
|
17
|
11
|
$63,187.49
|
$63,187.49
|
$22,815.81
|
$63,187.49
|
$63,187.49
|
2026-01-01
|
|
37229
|
CPT
|
Hc Nephrostomy Tract Dilitatn
|
17
|
11
|
$69,250.37
|
$69,250.37
|
$22,815.81
|
$69,250.37
|
$69,250.37
|
2026-01-01
|
|
37230
|
CPT
|
Hc Nephrostomy Tract Dilitatn
|
16
|
11
|
$27,826.02
|
$27,826.02
|
$20,869.52
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
37231
|
CPT
|
Hc Renal Cyst Puncture
|
17
|
11
|
$40,090.16
|
$40,090.16
|
$22,815.81
|
$40,090.16
|
$40,090.16
|
2026-01-01
|
|
37242
|
CPT
|
Hc Lhc, Coronary Angio, W/wo Lv
|
19
|
11
|
$35,516.25
|
$35,516.25
|
$428.15
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
37244
|
CPT
|
Hc Lhc,Coro Angio,W/WO Lv,Grft,Im
|
20
|
11
|
$37,440.70
|
$37,440.70
|
$595.31
|
$37,440.70
|
$32,760.61
|
2026-01-01
|
|
37267
|
CPT
|
Hc Icd Remv Repl Ex Mult Leads
|
14
|
11
|
$38,665.50
|
$38,665.50
|
$7,918.69
|
$38,665.50
|
$38,665.50
|
2026-01-01
|
|
37280
|
CPT
|
Hc Icd Insert Exist Dual Leads
|
14
|
11
|
$38,665.50
|
$38,665.50
|
$7,918.69
|
$38,665.50
|
$38,665.50
|
2026-01-01
|
|
37282
|
CPT
|
Hc Icd Insert Exist Dual Leads
|
14
|
11
|
$38,665.50
|
$38,665.50
|
$7,918.69
|
$38,665.50
|
$38,665.50
|
2026-01-01
|
|
397
|
MS_DRG
|
Chest Pain
|
5
|
5
|
$205,338.72
|
$205,338.72
|
$30,376.59
|
$205,338.72
|
$33,414.25
|
2026-01-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
5
|
5
|
$1,342,212.66
|
$1,342,212.66
|
$160,606.97
|
$209,776.37
|
$161,366.44
|
2026-01-01
|
|
4
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure,extreme
|
2
|
1
|
$1,602,724.35
|
—
|
$70,765.56
|
$106,754.93
|
$88,760.24
|
2026-01-01
|
|
40
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
5
|
5
|
$288,090.89
|
$288,090.89
|
$47,141.78
|
$61,284.31
|
$51,855.96
|
2026-01-01
|
|
405
|
MS_DRG
|
Hand And Wrist Procedures,extreme
|
5
|
5
|
$283,743.31
|
$283,743.31
|
$65,541.98
|
$85,204.57
|
$72,096.18
|
2026-01-01
|
|
406
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
5
|
5
|
$243,219.60
|
$243,219.60
|
$36,154.03
|
$47,000.24
|
$39,769.43
|
2026-01-01
|
|
408
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
5
|
5
|
$336,652.10
|
$336,652.10
|
$43,762.00
|
$57,281.99
|
$48,138.20
|
2026-01-01
|
|
409
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
5
|
5
|
$100,149.57
|
$100,149.57
|
$27,888.63
|
$36,255.22
|
$30,677.49
|
2026-01-01
|
|
41
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
5
|
5
|
$221,608.88
|
$221,608.88
|
$28,133.32
|
$36,573.32
|
$30,946.65
|
2026-01-01
|
|
414
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
5
|
5
|
$259,519.83
|
$259,519.83
|
$43,727.69
|
$56,846.00
|
$48,100.46
|
2026-01-01
|
|
417
|
MS_DRG
|
Non-elective Or Complex Hip Joint Replacement,extreme
|
5
|
5
|
$243,935.87
|
$243,935.87
|
$30,279.40
|
$39,363.22
|
$33,307.34
|
2026-01-01
|
|
420
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
5
|
5
|
$161,274.37
|
$161,274.37
|
$41,949.77
|
$58,898.75
|
$46,144.75
|
2026-01-01
|
|
423
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc
|
5
|
5
|
$284,346.67
|
$284,346.67
|
$50,478.14
|
$65,621.58
|
$54,961.33
|
2026-01-01
|
|
424
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
5
|
5
|
$237,504.85
|
$237,504.85
|
$28,009.83
|
$36,412.78
|
$30,810.81
|
2026-01-01
|
|
428
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
5
|
5
|
$282,830.19
|
$282,830.19
|
$67,274.19
|
$282,830.19
|
$74,001.61
|
2026-01-01
|
|
430
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
5
|
5
|
$432,947.92
|
$432,947.92
|
$68,933.22
|
$432,947.92
|
$75,826.54
|
2026-01-01
|
|
447
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures Without Cc/mcc
|
5
|
5
|
$721,718.71
|
$721,718.71
|
$79,389.31
|
$721,718.71
|
$87,328.24
|
2026-01-01
|
|
448
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
5
|
5
|
$488,738.60
|
$488,738.60
|
$51,482.01
|
$488,738.60
|
$56,630.21
|
2026-01-01
|
|
450
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
5
|
5
|
$263,624.35
|
$263,624.35
|
$63,930.98
|
$263,624.35
|
$70,324.08
|
2026-01-01
|
|
451
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
5
|
5
|
$175,441.18
|
$175,441.18
|
$39,929.42
|
$175,441.18
|
$43,922.36
|
2026-01-01
|
|
456
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
5
|
5
|
$576,523.43
|
$576,523.43
|
$99,075.80
|
$133,584.92
|
$108,983.38
|
2026-01-01
|
|
457
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
5
|
5
|
$351,881.03
|
$351,881.03
|
$71,174.23
|
$98,779.46
|
$78,291.65
|
2026-01-01
|
|
458
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
5
|
5
|
$303,958.28
|
$303,958.28
|
$50,702.23
|
$77,873.26
|
$55,772.45
|
2026-01-01
|
|
463
|
MS_DRG
|
Mastectomy Procedures,minor
|
5
|
5
|
$353,273.95
|
$353,273.95
|
$68,160.30
|
$88,608.39
|
$72,813.97
|
2026-01-01
|
|
464
|
MS_DRG
|
Breast Procedures Except Mastectomy,minor
|
5
|
5
|
$196,217.92
|
$196,217.92
|
$38,606.55
|
$50,188.52
|
$41,272.52
|
2026-01-01
|
|
466
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
5
|
5
|
$429,335.05
|
$429,335.05
|
$62,510.93
|
$81,264.21
|
$68,762.02
|
2026-01-01
|
|
467
|
MS_DRG
|
Major Esophageal Disorders Without Cc/mcc
|
5
|
5
|
$281,096.85
|
$281,096.85
|
$43,316.09
|
$56,310.92
|
$47,647.70
|
2026-01-01
|
|
468
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
5
|
5
|
$265,416.37
|
$265,416.37
|
$34,413.83
|
$44,737.98
|
$37,855.21
|
2026-01-01
|
|
469
|
MS_DRG
|
Digestive Malignancy With Mcc
|
5
|
5
|
$246,475.34
|
$246,475.34
|
$37,674.73
|
$48,977.15
|
$41,442.20
|
2026-01-01
|
|
471
|
MS_DRG
|
Digestive Malignancy Without Cc/mcc
|
5
|
5
|
$233,734.34
|
$233,734.34
|
$58,203.87
|
$75,665.03
|
$64,024.26
|
2026-01-01
|
|
472
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
5
|
5
|
$249,656.43
|
$249,656.43
|
$36,678.85
|
$47,682.51
|
$40,346.74
|
2026-01-01
|
|
473
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
5
|
5
|
$187,962.18
|
$187,962.18
|
$30,907.11
|
$40,179.24
|
$33,258.36
|
2026-01-01
|
|
474
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
5
|
5
|
$234,570.00
|
$234,570.00
|
$52,077.70
|
$67,701.01
|
$56,064.33
|
2026-01-01
|
|
475
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
5
|
5
|
$137,261.74
|
$137,261.74
|
$29,013.71
|
$37,717.82
|
$31,241.03
|
2026-01-01
|
|
477
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
5
|
5
|
$186,006.61
|
$186,006.61
|
$42,492.86
|
$55,240.72
|
$46,742.15
|
2026-01-01
|
|
478
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
5
|
5
|
$114,163.00
|
$114,163.00
|
$31,111.77
|
$40,445.30
|
$32,489.16
|
2026-01-01
|
|
480
|
MS_DRG
|
Complicated Peptic Ulcer Without Cc/mcc
|
5
|
5
|
$304,074.96
|
$304,074.96
|
$36,292.38
|
$47,180.09
|
$39,921.62
|
2026-01-01
|
|
483
|
MS_DRG
|
Uncomplicated Peptic Ulcer Without Mcc
|
5
|
5
|
$162,276.64
|
$162,276.64
|
$34,687.09
|
$45,093.22
|
$35,219.08
|
2026-01-01
|
|
485
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
5
|
5
|
$252,701.62
|
$252,701.62
|
$39,891.70
|
$51,859.21
|
$43,880.87
|
2026-01-01
|
|
492
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
5
|
5
|
$309,250.43
|
$309,250.43
|
$44,973.96
|
$58,466.15
|
$47,905.04
|
2026-01-01
|
|
493
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
5
|
5
|
$196,251.33
|
$196,251.33
|
$31,981.20
|
$41,588.34
|
$31,991.03
|
2026-01-01
|
|
495
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
5
|
5
|
$151,214.29
|
$151,214.29
|
$43,715.09
|
$57,783.91
|
$44,449.16
|
2026-01-01
|
|
498
|
MS_DRG
|
Appendix Procedures With Cc
|
5
|
5
|
$123,085.22
|
$123,085.22
|
$35,252.46
|
$48,733.37
|
$37,487.21
|
2026-01-01
|
|
5
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
2
|
1
|
$1,258,653.58
|
—
|
$53,576.11
|
$75,939.51
|
$64,757.81
|
2026-01-01
|
|
500
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
5
|
5
|
$253,908.37
|
$253,908.37
|
$39,179.37
|
$50,933.18
|
$42,947.34
|
2026-01-01
|
|
503
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
5
|
5
|
$277,320.59
|
$277,320.59
|
$36,101.48
|
$53,075.06
|
$40,826.97
|
2026-01-01
|
|
510
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
5
|
5
|
$145,729.84
|
$145,729.84
|
$36,107.29
|
$48,788.35
|
$37,529.50
|
2026-01-01
|
|
515
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
5
|
5
|
$311,108.89
|
$311,108.89
|
$39,432.06
|
$51,261.68
|
$42,371.17
|
2026-01-01
|
|
518
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
5
|
5
|
$409,741.69
|
$409,741.69
|
$41,986.57
|
$59,442.70
|
$45,725.15
|
2026-01-01
|
|
521
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures Without Cc/mcc
|
5
|
5
|
$296,966.49
|
$296,966.49
|
$35,811.03
|
$296,966.49
|
$39,392.13
|
2026-01-01
|
|
522
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
5
|
5
|
$238,631.38
|
$238,631.38
|
$27,207.19
|
$238,631.38
|
$29,927.91
|
2026-01-01
|
|
545
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
5
|
5
|
$86,500.07
|
$86,500.07
|
$31,369.05
|
$40,779.77
|
$34,300.40
|
2026-01-01
|
|
570
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
5
|
5
|
$140,246.03
|
$140,246.03
|
$36,621.68
|
$47,608.18
|
$37,658.74
|
2026-01-01
|
|
573
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
5
|
5
|
$216,968.50
|
$216,968.50
|
$58,974.22
|
$101,270.85
|
$77,900.65
|
2026-01-01
|
|
574
|
MS_DRG
|
Urinary Stones And Acquired Upper Urinary Tract Obstruction,extreme
|
5
|
5
|
$175,433.70
|
$175,433.70
|
$42,684.93
|
$55,490.41
|
$42,950.24
|
2026-01-01
|
|
576
|
MS_DRG
|
Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,extreme
|
5
|
5
|
$788,716.48
|
$788,716.48
|
$59,032.81
|
$76,742.65
|
$64,936.09
|
2026-01-01
|
|
577
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
5
|
5
|
$508,630.01
|
$508,630.01
|
$33,301.32
|
$43,291.72
|
$35,448.39
|
2026-01-01
|
|
579
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
5
|
5
|
$322,973.44
|
$322,973.44
|
$38,613.71
|
$52,028.65
|
$40,022.04
|
2026-01-01
|
|
589
|
APR_DRG
|
Cervical Spinal Fusion With Cc
|
1
|
1
|
$685,029.61
|
—
|
$113,972.44
|
$113,972.44
|
$113,972.44
|
2026-01-01
|
|
593
|
APR_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
1
|
$2,367,136.55
|
—
|
$93,108.41
|
$130,334.57
|
$111,721.49
|
2026-01-01
|
|
595
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…
|
5
|
5
|
$47,050.14
|
$47,050.14
|
$27,241.48
|
$35,413.92
|
$29,965.63
|
2026-01-01
|
|
602
|
APR_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
1
|
1
|
$2,174,825.64
|
—
|
$95,194.58
|
$95,194.58
|
$95,194.58
|
2026-01-01
|
|
607
|
APR_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
3
|
1
|
$1,350,281.04
|
—
|
$33,894.83
|
$70,859.17
|
$49,762.24
|
2026-01-01
|
|
608
|
APR_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
1
|
1
|
$671,743.94
|
—
|
$34,699.31
|
$34,699.31
|
$34,699.31
|
2026-01-01
|
|
61
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
|
5
|
5
|
$204,153.08
|
$204,153.08
|
$34,517.87
|
$44,873.23
|
$37,969.66
|
2026-01-01
|
|
612
|
APR_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc
|
3
|
1
|
$603,810.47
|
—
|
$19,933.97
|
$43,759.44
|
$30,278.08
|
2026-01-01
|
|
614
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
5
|
5
|
$274,817.57
|
$274,817.57
|
$28,054.42
|
$36,470.75
|
$30,859.86
|
2026-01-01
|
|
616
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
5
|
5
|
$537,590.15
|
$537,590.15
|
$42,867.88
|
$58,676.70
|
$47,154.67
|
2026-01-01
|
|
61626
|
CPT
|
Hc Xray Hip W/Pelvis Uni 1 View
|
20
|
11
|
$34,848.00
|
$34,848.00
|
$678.33
|
$34,848.00
|
$30,492.00
|
2026-01-01
|
|
622
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
5
|
5
|
$216,188.49
|
$216,188.49
|
$43,688.83
|
$56,795.48
|
$48,057.71
|
2026-01-01
|
|
625
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
5
|
5
|
$612,409.85
|
$612,409.85
|
$37,524.93
|
$48,782.41
|
$39,015.73
|
2026-01-01
|
|
628
|
MS_DRG
|
Foot Procedures With Mcc
|
5
|
5
|
$226,844.65
|
$226,844.65
|
$45,605.09
|
$59,286.62
|
$50,165.60
|
2026-01-01
|
|
629
|
MS_DRG
|
Foot Procedures With Cc
|
5
|
5
|
$151,069.48
|
$151,069.48
|
$27,905.77
|
$36,277.50
|
$30,696.35
|
2026-01-01
|
|
653
|
MS_DRG
|
Dilation And Curettage For Non-obstetric Diagnoses,extreme
|
5
|
5
|
$415,795.52
|
$415,795.52
|
$62,408.03
|
$81,130.44
|
$68,648.83
|
2026-01-01
|
|
654
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
5
|
5
|
$347,036.47
|
$347,036.47
|
$35,000.37
|
$45,500.48
|
$38,500.41
|
2026-01-01
|
|
655
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
5
|
5
|
$117,447.60
|
$117,447.60
|
$27,194.60
|
$35,352.98
|
$29,746.17
|
2026-01-01
|
|
659
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
5
|
5
|
$423,357.17
|
$423,357.17
|
$32,045.92
|
$49,531.96
|
$35,250.51
|
2026-01-01
|
|
665
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
5
|
5
|
$203,185.77
|
$203,185.77
|
$38,680.88
|
$50,285.14
|
$42,548.97
|
2026-01-01
|
|
668
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc
|
5
|
5
|
$388,426.28
|
$388,426.28
|
$36,380.42
|
$47,294.55
|
$38,242.17
|
2026-01-01
|
|
673
|
MS_DRG
|
Osteomyelitis With Cc
|
5
|
5
|
$295,901.57
|
$295,901.57
|
$51,033.81
|
$66,343.95
|
$51,147.27
|
2026-01-01
|
|
674
|
MS_DRG
|
Osteomyelitis Without Cc/mcc
|
5
|
5
|
$119,256.11
|
$119,256.11
|
$29,732.89
|
$38,652.76
|
$32,706.18
|
2026-01-01
|
|
709
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
5
|
5
|
$427,314.86
|
$427,314.86
|
$29,601.39
|
$38,481.81
|
$32,561.53
|
2026-01-01
|
|
715
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
5
|
5
|
$424,620.86
|
$424,620.86
|
$28,574.64
|
$37,147.03
|
$31,432.10
|
2026-01-01
|
|
734
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
5
|
5
|
$276,610.18
|
$276,610.18
|
$27,347.81
|
$35,552.15
|
$30,082.59
|
2026-01-01
|
|
736
|
MS_DRG
|
Mastectomy For Malignancy With Cc/mcc
|
5
|
5
|
$279,948.49
|
$279,948.49
|
$43,863.75
|
$57,022.88
|
$48,250.13
|
2026-01-01
|
|
739
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
5
|
5
|
$360,811.61
|
$360,811.61
|
$43,958.65
|
$57,146.25
|
$48,354.52
|
2026-01-01
|
|
749
|
MS_DRG
|
Major Skin Disorders Without Mcc
|
5
|
5
|
$83,645.95
|
$83,645.95
|
$32,351.19
|
$42,056.55
|
$35,586.31
|
2026-01-01
|
|
783
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
5
|
5
|
$140,940.64
|
$140,940.64
|
$31,064.91
|
$140,940.64
|
$34,171.40
|
2026-01-01
|
|
790
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
5
|
5
|
$4,049,115.53
|
$4,049,115.53
|
$70,950.12
|
$92,235.16
|
$78,045.13
|
2026-01-01
|
|
791
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
5
|
5
|
$74,495.18
|
$74,495.18
|
$49,403.37
|
$64,224.38
|
$53,644.99
|
2026-01-01
|
|
792
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
4
|
4
|
$12,572.43
|
$12,572.43
|
$30,997.45
|
$34,097.20
|
$31,682.35
|
2026-01-01
|
|
793
|
MS_DRG
|
Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl…
|
5
|
5
|
$28,659.38
|
$28,659.38
|
$50,667.93
|
$65,868.31
|
$55,105.01
|
2026-01-01
|
|
799
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc
|
5
|
5
|
$541,744.48
|
$541,744.48
|
$54,776.05
|
$71,208.87
|
$60,253.66
|
2026-01-01
|
|
800
|
MS_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly,major
|
5
|
5
|
$288,375.97
|
$288,375.97
|
$35,115.86
|
$45,650.62
|
$38,627.45
|
2026-01-01
|
|
802
|
MS_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly,extreme
|
5
|
5
|
$149,336.56
|
$149,336.56
|
$47,224.37
|
$63,111.07
|
$48,546.98
|
2026-01-01
|
|
808
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
5
|
5
|
$83,598.97
|
$83,598.97
|
$28,238.50
|
$36,710.05
|
$30,892.71
|
2026-01-01
|
|
817
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
5
|
5
|
$154,015.50
|
$154,015.50
|
$29,081.16
|
$154,015.50
|
$31,989.28
|
2026-01-01
|
|
82
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
5
|
5
|
$232,837.11
|
$232,837.11
|
$29,126.89
|
$37,864.96
|
$31,255.54
|
2026-01-01
|
|
820
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
5
|
5
|
$477,802.07
|
$477,802.07
|
$70,050.29
|
$91,065.38
|
$77,055.32
|
2026-01-01
|
|
821
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
5
|
5
|
$322,841.02
|
$322,841.02
|
$28,589.53
|
$37,166.39
|
$31,448.48
|
2026-01-01
|
|
823
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
5
|
5
|
$351,679.81
|
$351,679.81
|
$55,415.19
|
$72,039.75
|
$60,956.71
|
2026-01-01
|
|
824
|
MS_DRG
|
Coagulation And Platelet Disorders,extreme
|
5
|
5
|
$101,695.38
|
$101,695.38
|
$28,898.22
|
$37,567.69
|
$31,712.70
|
2026-01-01
|
|
826
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
5
|
5
|
$154,496.09
|
$154,496.09
|
$56,478.53
|
$75,684.67
|
$62,126.38
|
2026-01-01
|
|
827
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
5
|
5
|
$134,111.52
|
$134,111.52
|
$29,419.60
|
$38,245.48
|
$32,361.56
|
2026-01-01
|
|
829
|
MS_DRG
|
Minor Bladder Procedures Without Cc/mcc
|
5
|
5
|
$519,837.72
|
$519,837.72
|
$39,124.50
|
$50,861.85
|
$43,036.95
|
2026-01-01
|
|
834
|
MS_DRG
|
Transurethral Procedures With Cc
|
5
|
5
|
$187,795.97
|
$187,795.97
|
$65,763.79
|
$85,492.93
|
$72,340.17
|
2026-01-01
|
|
840
|
MS_DRG
|
Urethral Procedures Without Cc/mcc
|
5
|
5
|
$55,843.30
|
$55,843.30
|
$39,980.88
|
$51,975.14
|
$43,978.97
|
2026-01-01
|
|
846
|
MS_DRG
|
Renal Failure With Mcc
|
5
|
5
|
$100,313.81
|
$100,313.81
|
$32,635.90
|
$42,426.67
|
$34,547.12
|
2026-01-01
|
|
853
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
5
|
5
|
$445,497.18
|
$445,497.18
|
$59,460.41
|
$77,298.53
|
$65,406.45
|
2026-01-01
|
|
856
|
MS_DRG
|
Acute Leukemia,extreme
|
5
|
5
|
$291,668.16
|
$291,668.16
|
$55,002.44
|
$71,503.17
|
$60,502.68
|
2026-01-01
|
|
863
|
APR_DRG
|
Urinary Stones Without Mcc
|
1
|
1
|
$3,218,262.25
|
—
|
$56,971.38
|
$56,971.38
|
$56,971.38
|
2026-01-01
|
|
870
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
5
|
5
|
$631,349.32
|
$631,349.32
|
$82,021.34
|
$106,627.74
|
$88,379.33
|
2026-01-01
|
|
876
|
MS_DRG
|
Major Male Pelvic Procedures Without Cc/mcc
|
5
|
5
|
$128,616.55
|
$128,616.55
|
$47,184.09
|
$61,339.32
|
$50,932.48
|
2026-01-01
|
|
901
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
5
|
5
|
$173,717.96
|
$173,717.96
|
$50,976.64
|
$66,269.63
|
$56,074.30
|
2026-01-01
|
|
904
|
MS_DRG
|
Malignancy, Male Reproductive System Without Cc/mcc
|
5
|
5
|
$174,223.86
|
$174,223.86
|
$44,991.13
|
$58,488.47
|
$47,180.83
|
2026-01-01
|
|
907
|
MS_DRG
|
Benign Prostatic Hypertrophy Without Mcc
|
5
|
5
|
$227,527.88
|
$227,527.88
|
$46,891.39
|
$60,958.81
|
$51,580.53
|
2026-01-01
|
|
910
|
APR_DRG
|
Other Male Reproductive System Diagnoses With Cc/mcc
|
2
|
1
|
$717,052.35
|
—
|
$24,228.86
|
$40,915.21
|
$32,572.03
|
2026-01-01
|
|
92933
|
CPT
|
Hc Icd Insert/Repos Single/Dbl +Lead
|
19
|
11
|
$22,248.27
|
$22,248.27
|
$540.15
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
939
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures Without Cc/mcc
|
5
|
5
|
$327,490.75
|
$327,490.75
|
$44,481.17
|
$57,825.52
|
$48,929.29
|
2026-01-01
|
|
94
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
5
|
5
|
$105,364.03
|
$105,364.03
|
$43,233.75
|
$56,203.88
|
$47,557.13
|
2026-01-01
|
|
940
|
MS_DRG
|
Female Reproductive System Reconstructive Procedures
|
5
|
5
|
$242,537.42
|
$242,537.42
|
$29,713.45
|
$38,627.49
|
$32,684.80
|
2026-01-01
|
|
95
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
5
|
5
|
$150,968.66
|
$150,968.66
|
$32,483.84
|
$42,228.99
|
$34,126.24
|
2026-01-01
|
|
955
|
MS_DRG
|
Malignancy, Female Reproductive System Without Cc/mcc
|
5
|
5
|
$682,869.19
|
$682,869.19
|
$79,955.28
|
$103,941.86
|
$87,517.25
|
2026-01-01
|
|
955
|
APR_DRG
|
Acute Anxiety And Stress Syndromes,moderate
|
1
|
1
|
$43,380.52
|
—
|
$43,380.52
|
$43,380.52
|
$43,380.52
|
2026-01-01
|
|
956
|
APR_DRG
|
Malignancy, Female Reproductive System Without Cc/mcc
|
1
|
1
|
$1,777,793.96
|
—
|
$1,777,793.96
|
$1,777,793.96
|
$1,777,793.96
|
2026-01-01
|
|
956
|
MS_DRG
|
Malignancy, Female Reproductive System Without Cc/mcc
|
5
|
5
|
$544,980.74
|
$544,980.74
|
$46,019.00
|
$59,824.70
|
$50,620.90
|
2026-01-01
|
|
957
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
5
|
5
|
$717,253.23
|
$717,253.23
|
$90,117.51
|
$117,152.76
|
$99,129.26
|
2026-01-01
|
|
958
|
MS_DRG
|
Disorders Of Impulse Control & Development,extreme
|
5
|
5
|
$412,573.68
|
$412,573.68
|
$51,174.44
|
$66,526.77
|
$56,291.88
|
2026-01-01
|
|
959
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
5
|
5
|
$316,260.79
|
$316,260.79
|
$36,655.97
|
$47,652.76
|
$39,107.16
|
2026-01-01
|
|
96
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/mcc
|
5
|
5
|
$85,472.43
|
$85,472.43
|
$32,193.09
|
$42,228.99
|
$32,483.84
|
2026-01-01
|
|
963
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/mcc
|
5
|
5
|
$374,976.02
|
$374,976.02
|
$34,251.46
|
$44,526.90
|
$37,676.61
|
2026-01-01
|
|
969
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders With Cc/mcc
|
5
|
5
|
$1,278,429.18
|
$1,278,429.18
|
$72,983.03
|
$94,877.94
|
$79,009.64
|
2026-01-01
|
|
97
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
5
|
5
|
$127,555.79
|
$127,555.79
|
$44,290.23
|
$57,577.30
|
$48,719.25
|
2026-01-01
|
|
970
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders Without Cc/mcc
|
5
|
5
|
$156,067.34
|
$156,067.34
|
$33,149.26
|
$43,094.04
|
$36,464.19
|
2026-01-01
|
|
974
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders Without Cc/mcc
|
5
|
5
|
$188,074.15
|
$188,074.15
|
$40,249.34
|
$54,747.30
|
$42,113.31
|
2026-01-01
|
|
981
|
MS_DRG
|
Abortion With D&c, Aspiration Curettage Or Hysterotomy
|
5
|
5
|
$274,397.03
|
$274,397.03
|
$56,638.60
|
$73,630.18
|
$62,302.46
|
2026-01-01
|
|
982
|
MS_DRG
|
Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy
|
5
|
5
|
$221,654.40
|
$221,654.40
|
$31,103.77
|
$40,434.90
|
$34,214.15
|
2026-01-01
|
|
987
|
MS_DRG
|
Alcohol Abuse And Dependence,minor
|
5
|
5
|
$108,032.05
|
$108,032.05
|
$42,193.30
|
$54,851.29
|
$46,412.63
|
2026-01-01
|
|
C1722
|
HCPCS
|
Hc Cl Tr Shldr Dislocation W/Manip & Anesthesia
|
96
|
11
|
$41,551.25
|
$41,551.25
|
$24,083.91
|
$72,047.26
|
$39,499.46
|
2026-01-01
|
|
C9047
|
HCPCS
|
Spironolactone 25 Mg/5 Ml Oral Suspension
|
19
|
11
|
$52,508.50
|
$52,508.50
|
$8,620.70
|
$52,508.50
|
$52,508.50
|
2026-01-01
|
|
C9602
|
HCPCS
|
Hc Right Heart Cath
|
16
|
11
|
$28,242.50
|
$28,242.50
|
$21,181.88
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
C9603
|
HCPCS
|
Hc Left Heart Cath W/wo Lv
|
19
|
11
|
$30,118.40
|
$30,118.40
|
$540.15
|
$30,118.40
|
$30,118.40
|
2026-01-01
|
|
C9607
|
HCPCS
|
Hc Coro Cath, Coro Angio,Graft,Im
|
19
|
11
|
$27,156.26
|
$27,156.26
|
$541.18
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
C9608
|
HCPCS
|
Hc Rhc, Coro Cath, Coro Angio
|
16
|
11
|
$30,583.30
|
$30,583.30
|
$22,937.48
|
$30,583.30
|
$30,583.30
|
2026-01-01
|
|
C9797
|
CPT
|
Hc Pace Ins Ex Mult Leads
|
16
|
11
|
$37,178.25
|
$37,178.25
|
$22,815.81
|
$37,646.08
|
$37,646.08
|
2026-01-01
|
|
J0638
|
HCPCS
|
Sacubitril 24 Mg-valsartan 26 Mg Tablet
|
20
|
11
|
$125,930.68
|
$125,930.68
|
$141.60
|
$125,930.68
|
$110,189.35
|
2026-01-01
|
|
J0775
|
HCPCS
|
Hc Ophthalmic Endoscope Use
|
20
|
11
|
$48,335.45
|
$48,335.45
|
$75.91
|
$48,335.45
|
$42,293.52
|
2026-01-01
|
|
J1640
|
HCPCS
|
Sulfur Hexafluoride Microspheres 25 Mg Intravenous Suspension
|
20
|
11
|
$65,918.89
|
$65,918.89
|
$34.18
|
$65,918.89
|
$57,679.03
|
2026-01-01
|
|
J1744
|
HCPCS
|
Calcium 500 Mg (as Calcium Carbonate 1,250 Mg) Chewable Tablet
|
17
|
11
|
$65,656.09
|
$65,656.09
|
$130.39
|
$65,656.09
|
$65,656.09
|
2026-01-01
|
|
J1930
|
HCPCS
|
Fluticasone Propionate 230 Mcg-salmeterol 21 Mcg/actuation Hfa Inhaler
|
20
|
11
|
$49,667.25
|
$49,667.25
|
$34.05
|
$49,667.25
|
$43,458.85
|
2026-01-01
|
|
J2182
|
HCPCS
|
Bortezomib 3.5 Mg Intravenous Powder For Solution
|
20
|
11
|
$70,516.30
|
$70,516.30
|
$31.27
|
$70,516.30
|
$61,701.76
|
2026-01-01
|
|
J2323
|
HCPCS
|
Hydrocortisone Acetate 25 Mg Rectal Suppository
|
20
|
11
|
$52,300.48
|
$52,300.48
|
$24.00
|
$52,300.48
|
$45,762.92
|
2026-01-01
|
|
J2327
|
HCPCS
|
Diazepam 15 Mg/2 Spray (7.5 Mg/0.1 Ml X 2) Nasal Spray
|
20
|
11
|
$58,946.32
|
$58,946.32
|
$14.94
|
$58,946.32
|
$51,578.03
|
2026-01-01
|
|
J2350
|
HCPCS
|
Leuprolide Acetate 11.25 Mg (3 Month) Intramuscular Syringe Kit
|
20
|
11
|
$121,553.60
|
$121,553.60
|
$59.41
|
$121,553.60
|
$106,359.40
|
2026-01-01
|
|
J2507
|
HCPCS
|
Melphalan 2 Mg Tablet
|
20
|
11
|
$181,034.36
|
$181,034.36
|
$3,660.83
|
$181,034.36
|
$158,405.07
|
2026-01-01
|
|
J3101
|
HCPCS
|
Elotuzumab 400 Mg Intravenous Solution
|
17
|
11
|
$47,385.77
|
$47,385.77
|
$172.22
|
$47,385.77
|
$47,385.77
|
2026-01-01
|
|
J3380
|
HCPCS
|
Carbachol 0.01 % Intraocular Solution
|
20
|
11
|
$55,130.78
|
$55,130.78
|
$21.31
|
$55,130.78
|
$48,239.43
|
2026-01-01
|
|
J9022
|
HCPCS
|
Pembrolizumab 25 Mg/ml Intravenous Solution
|
20
|
11
|
$70,304.92
|
$70,304.92
|
$91.34
|
$70,304.92
|
$61,516.81
|
2026-01-01
|
|
J9042
|
HCPCS
|
Ipratropium Bromide 0.02 % Solution For Inhalation
|
20
|
11
|
$77,565.53
|
$77,565.53
|
$258.64
|
$77,565.53
|
$67,869.84
|
2026-01-01
|
|
J9043
|
HCPCS
|
Hydroxychloroquine 200 Mg Tablet
|
20
|
11
|
$85,831.99
|
$85,831.99
|
$227.28
|
$85,831.99
|
$75,102.99
|
2026-01-01
|
|
J9063
|
HCPCS
|
Trastuzumab-pkrb 150 Mg Intravenous Solution
|
20
|
11
|
$39,954.17
|
$39,954.17
|
$69.49
|
$39,954.17
|
$34,959.90
|
2026-01-01
|
|
J9144
|
HCPCS
|
Cannabidiol 100 Mg/ml Oral Solution
|
20
|
11
|
$61,955.53
|
$61,955.53
|
$55.57
|
$61,955.53
|
$54,211.09
|
2026-01-01
|
|
J9228
|
HCPCS
|
Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution
|
35
|
11
|
$53,333.94
|
$53,333.94
|
$183.48
|
$217,541.66
|
$53,333.94
|
2026-01-01
|
|
J9271
|
HCPCS
|
Sodium Glycerophosphate 1 Mmol/ml Intravenous Solution
|
20
|
11
|
$35,439.96
|
$35,439.96
|
$60.29
|
$35,439.96
|
$31,009.97
|
2026-01-01
|
|
J9272
|
HCPCS
|
Mepolizumab 100 Mg/ml Subcutaneous Syringe
|
20
|
11
|
$72,270.57
|
$72,270.57
|
$243.71
|
$72,270.57
|
$63,236.75
|
2026-01-01
|
|
J9273
|
HCPCS
|
Insulin Regular 100 Unit/100 Ml (1 Unit/ml) In 0.9 % Nacl IV Solution
|
20
|
11
|
$43,595.54
|
$43,595.54
|
$188.76
|
$43,595.54
|
$38,146.10
|
2026-01-01
|
|
J9298
|
HCPCS
|
Bevacizumab-bvzr 25 Mg/ml Intravenous Solution
|
20
|
11
|
$185,261.06
|
$185,261.06
|
$197.83
|
$185,261.06
|
$162,103.43
|
2026-01-01
|
|
J9301
|
HCPCS
|
Topiramate 25 Mg Tablet
|
20
|
11
|
$55,663.12
|
$55,663.12
|
$79.00
|
$55,663.12
|
$48,705.23
|
2026-01-01
|
|
J9306
|
HCPCS
|
Bleomycin 30 Unit Solution For Injection
|
20
|
11
|
$37,876.20
|
$37,876.20
|
$17.02
|
$37,876.20
|
$33,141.68
|
2026-01-01
|
|
J9330
|
HCPCS
|
Sodium Thiosulfate 12.5 Gram/50 Ml (250 Mg/ml) Intravenous Solution
|
20
|
11
|
$37,120.04
|
$37,120.04
|
$26.71
|
$37,120.04
|
$32,480.03
|
2026-01-01
|
|
J9332
|
HCPCS
|
Aflibercept 2 Mg/0.05 Ml Intravitreal Syringe
|
20
|
11
|
$37,197.64
|
$37,197.64
|
$32.15
|
$37,197.64
|
$32,547.93
|
2026-01-01
|
|
J9347
|
HCPCS
|
Trastuzumab-pkrb 420 Mg Intravenous Solution
|
20
|
11
|
$249,799.10
|
$249,799.10
|
$140.90
|
$249,799.10
|
$218,574.21
|
2026-01-01
|
|
PX-900700040
|
CDM
|
Hc Sep, Upper Limbs
|
17
|
11
|
$33,216.70
|
$33,216.70
|
$101.90
|
$33,216.70
|
$33,216.70
|
2026-01-01
|
|
PX-900700050
|
CDM
|
Hc Eeg,Awake/Drowsy
|
17
|
11
|
$49,450.50
|
$49,450.50
|
$101.90
|
$49,450.50
|
$49,450.50
|
2026-01-01
|
|
PX-900700060
|
CDM
|
Hc Guide Nerv Destr Needle EMG
|
17
|
11
|
$82,122.00
|
$82,122.00
|
$101.90
|
$82,122.00
|
$82,122.00
|
2026-01-01
|
|
PX-902341223
|
CDM
|
Hc App On Body Injector
|
18
|
11
|
$32,049.60
|
$32,049.60
|
$24,037.20
|
$32,049.60
|
$32,049.60
|
2026-01-01
|
|
PX-902341726
|
CDM
|
Hc Nutr Ther-re Eval 15 Min
|
18
|
11
|
$30,241.20
|
$30,241.20
|
$22,680.90
|
$30,241.20
|
$30,241.20
|
2026-01-01
|
|
PX-904300100
|
CDM
|
Hc Trim Skin Lesion, Single
|
15
|
11
|
$65,249.00
|
$65,249.00
|
$48,936.75
|
$65,249.00
|
$65,249.00
|
2026-01-01
|
|
PX-904300101
|
CDM
|
Hc Deb Infctd Skin Lt 10% Bdy Surf
|
15
|
11
|
$38,814.00
|
$38,814.00
|
$29,110.50
|
$38,814.00
|
$38,814.00
|
2026-01-01
|