|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
36
|
12
|
—
|
—
|
$0.03
|
$4,606,583.33
|
$3,627,633.33
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
26
|
11
|
—
|
—
|
$0.03
|
$4,060,557.14
|
$3,403,326.27
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
36
|
12
|
—
|
—
|
$0.03
|
$4,145,578.24
|
$3,290,231.29
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
28
|
11
|
—
|
—
|
$0.03
|
$4,772,098.80
|
$3,089,607.52
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
42
|
12
|
—
|
—
|
$0.03
|
$4,419,199.09
|
$2,528,763.92
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
34
|
11
|
—
|
—
|
$0.03
|
$4,780,600.00
|
$2,518,560.00
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
64
|
14
|
—
|
—
|
$0.03
|
$1,819,201.27
|
$673,379.56
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
64
|
14
|
—
|
—
|
$0.03
|
$1,808,493.27
|
$669,415.98
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
64
|
14
|
—
|
—
|
$0.03
|
$1,791,710.79
|
$663,203.93
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
74
|
14
|
—
|
—
|
$0.03
|
$1,902,329.27
|
$639,064.30
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
64
|
14
|
—
|
—
|
$0.03
|
$1,714,271.50
|
$634,539.68
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
64
|
14
|
—
|
—
|
$0.03
|
$1,573,056.04
|
$582,268.60
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
118
|
29
|
—
|
—
|
$443,652.97
|
$1,422,560.73
|
$514,668.81
|
2026-04-01
|
|
5834
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$457,942.90
|
$457,942.90
|
$457,942.90
|
2026-04-01
|
|
5884
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$375,637.05
|
$375,637.05
|
$375,637.05
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
120
|
29
|
—
|
—
|
$102,678.36
|
$1,062,535.19
|
$352,647.18
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
118
|
29
|
—
|
—
|
$219,719.35
|
$894,907.05
|
$277,540.24
|
2026-04-01
|
|
6304
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$272,651.93
|
$272,651.93
|
$272,651.93
|
2026-04-01
|
|
5833
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$251,874.54
|
$251,874.54
|
$251,874.54
|
2026-04-01
|
|
5934
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$244,987.26
|
$244,987.26
|
$244,987.26
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
148
|
30
|
—
|
—
|
$176,704.78
|
$1,245,843.91
|
$244,876.17
|
2026-04-01
|
|
5914
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$236,576.22
|
$236,576.22
|
$236,576.22
|
2026-04-01
|
|
6094
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$235,067.33
|
$235,067.33
|
$235,067.33
|
2026-04-01
|
|
6314
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$225,672.45
|
$225,672.45
|
$225,672.45
|
2026-04-01
|
|
1614
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$199,529.50
|
$199,529.50
|
$199,529.50
|
2026-04-01
|
|
6034
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$196,928.78
|
$196,928.78
|
$196,928.78
|
2026-04-01
|
|
5832
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$185,733.18
|
$185,733.18
|
$185,733.18
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
134
|
29
|
—
|
—
|
$127,710.03
|
$532,999.10
|
$176,968.22
|
2026-04-01
|
|
6024
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$175,607.22
|
$175,607.22
|
$175,607.22
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
118
|
29
|
—
|
—
|
$133,557.58
|
$492,966.93
|
$168,704.32
|
2026-04-01
|
|
5883
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$168,055.60
|
$168,055.60
|
$168,055.60
|
2026-04-01
|
|
5882
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$164,558.08
|
$164,558.08
|
$164,558.08
|
2026-04-01
|
|
5831
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$160,507.14
|
$160,507.14
|
$160,507.14
|
2026-04-01
|
|
1613
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$152,860.98
|
$152,860.98
|
$152,860.98
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
118
|
29
|
—
|
—
|
$116,957.67
|
$415,701.65
|
$147,736.01
|
2026-04-01
|
|
8414
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$140,708.86
|
$140,708.86
|
$140,708.86
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
144
|
32
|
—
|
—
|
$123,090.99
|
$494,211.80
|
$137,047.10
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
46
|
12
|
—
|
—
|
$70,358.18
|
$347,989.48
|
$135,304.19
|
2026-04-01
|
|
6074
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$134,880.80
|
$134,880.80
|
$134,880.80
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
124
|
30
|
—
|
—
|
$65,623.01
|
$401,702.46
|
$130,993.79
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
122
|
29
|
—
|
—
|
$102,288.62
|
$399,650.30
|
$128,369.92
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
10
|
1
|
—
|
—
|
$116,158.10
|
$152,343.93
|
$126,444.80
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
128
|
29
|
—
|
—
|
$5,413.03
|
$395,402.64
|
$125,747.84
|
2026-04-01
|
|
44
|
MS_DRG
|
Acute Major Eye Infections
|
26
|
12
|
—
|
—
|
$125,035.63
|
$125,035.63
|
$125,035.63
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
156
|
32
|
—
|
—
|
$20,886.00
|
$410,925.86
|
$124,080.21
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
74
|
28
|
—
|
—
|
$116,824.33
|
$303,743.26
|
$122,972.98
|
2026-04-01
|
|
1612
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$122,733.22
|
$122,733.22
|
$122,733.22
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
132
|
29
|
—
|
—
|
$62,767.03
|
$364,046.86
|
$122,347.41
|
2026-04-01
|
|
1611
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$116,597.22
|
$116,597.22
|
$116,597.22
|
2026-04-01
|
|
5933
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$109,404.88
|
$109,404.88
|
$109,404.88
|
2026-04-01
|
|
5881
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$108,319.28
|
$108,319.28
|
$108,319.28
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
58
|
12
|
—
|
—
|
$44,721.11
|
$221,189.30
|
$106,534.73
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
124
|
29
|
—
|
—
|
$55,835.21
|
$319,465.23
|
$103,345.55
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
114
|
29
|
—
|
—
|
$76,592.65
|
$314,613.99
|
$102,943.00
|
2026-04-01
|
|
6114
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$102,499.14
|
$102,499.14
|
$102,499.14
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
110
|
29
|
—
|
—
|
$25,864.80
|
$347,482.48
|
$101,801.86
|
2026-04-01
|
|
8634
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$100,487.29
|
$100,487.29
|
$100,487.29
|
2026-04-01
|
|
2046
|
OTHER
|
Pmkr, Dual, Leadless
|
2
|
1
|
—
|
—
|
$100,171.37
|
$100,171.37
|
$100,171.37
|
2026-04-01
|
|
6124
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$98,014.95
|
$98,014.95
|
$98,014.95
|
2026-04-01
|
|
5913
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$96,247.88
|
$96,247.88
|
$96,247.88
|
2026-04-01
|
|
6134
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$96,164.52
|
$96,164.52
|
$96,164.52
|
2026-04-01
|
|
6023
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$96,160.56
|
$96,160.56
|
$96,160.56
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
132
|
29
|
—
|
—
|
$28,808.95
|
$304,070.27
|
$95,982.70
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
166
|
33
|
—
|
—
|
$13,855.46
|
$215,201.25
|
$93,952.36
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
118
|
29
|
—
|
—
|
$73,907.05
|
$299,022.87
|
$93,356.27
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
122
|
29
|
—
|
—
|
$73,863.97
|
$266,573.11
|
$93,301.86
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
154
|
29
|
—
|
—
|
$48,609.08
|
$291,866.72
|
$91,853.92
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
162
|
34
|
—
|
—
|
$4,110.00
|
$319,646.30
|
$91,782.02
|
2026-04-01
|
|
6303
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$91,485.40
|
$91,485.40
|
$91,485.40
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
80
|
14
|
—
|
—
|
$41,172.48
|
$203,637.89
|
$90,223.53
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
144
|
30
|
—
|
—
|
$17,178.65
|
$281,556.89
|
$88,433.97
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
10
|
1
|
—
|
—
|
$80,662.48
|
$105,790.63
|
$87,805.76
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
118
|
29
|
—
|
—
|
$74,328.61
|
$300,754.38
|
$87,347.59
|
2026-04-01
|
|
5932
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$86,713.48
|
$86,713.48
|
$86,713.48
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
118
|
29
|
—
|
—
|
$68,170.32
|
$243,595.73
|
$86,109.88
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
122
|
29
|
—
|
—
|
$64,899.17
|
$251,936.39
|
$86,029.08
|
2026-04-01
|
|
43
|
MS_DRG
|
Hyphema
|
26
|
12
|
—
|
—
|
$85,565.10
|
$85,565.10
|
$85,565.10
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
120
|
29
|
—
|
—
|
$62,537.62
|
$257,572.29
|
$85,431.05
|
2026-04-01
|
|
6084
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$85,401.79
|
$85,401.79
|
$85,401.79
|
2026-04-01
|
|
1604
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$84,429.47
|
$84,429.47
|
$84,429.47
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
58
|
12
|
—
|
—
|
$36,935.96
|
$182,684.16
|
$84,390.14
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
78
|
16
|
—
|
—
|
$2,761.00
|
$260,088.19
|
$83,328.39
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
172
|
32
|
—
|
—
|
$222.29
|
$294,839.33
|
$83,309.75
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
140
|
31
|
—
|
—
|
$4,110.00
|
$267,787.81
|
$82,639.02
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
126
|
29
|
—
|
—
|
$38,574.24
|
$251,510.12
|
$82,527.89
|
2026-04-01
|
|
6093
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$81,326.78
|
$81,326.78
|
$81,326.78
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
118
|
29
|
—
|
—
|
$68,170.32
|
$224,420.87
|
$81,193.32
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
74
|
14
|
—
|
—
|
$35,927.01
|
$177,693.94
|
$81,083.29
|
2026-04-01
|
|
6214
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$80,412.94
|
$80,412.94
|
$80,412.94
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
118
|
29
|
—
|
—
|
$63,513.65
|
$238,559.64
|
$80,227.76
|
2026-04-01
|
|
1624
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$79,573.54
|
$79,573.54
|
$79,573.54
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
158
|
30
|
—
|
—
|
$13,365.62
|
$262,423.53
|
$79,160.93
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
118
|
29
|
—
|
—
|
$61,890.99
|
$216,495.17
|
$78,178.09
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
118
|
29
|
—
|
—
|
$61,689.95
|
$224,266.21
|
$77,924.15
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
118
|
29
|
—
|
—
|
$61,548.40
|
$227,680.18
|
$77,745.35
|
2026-04-01
|
|
6144
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$77,279.62
|
$77,279.62
|
$77,279.62
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
114
|
29
|
—
|
—
|
$15,229.24
|
$233,357.57
|
$76,606.77
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
122
|
29
|
—
|
—
|
$48,669.20
|
$252,905.89
|
$76,551.23
|
2026-04-01
|
|
3034
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$76,075.07
|
$76,075.07
|
$76,075.07
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
158
|
33
|
—
|
—
|
$28,829.69
|
$208,509.10
|
$75,751.28
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
148
|
32
|
—
|
—
|
$9,796.83
|
$232,293.77
|
$74,844.62
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
58
|
12
|
—
|
—
|
$31,301.08
|
$154,814.20
|
$74,565.48
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
134
|
29
|
—
|
—
|
$7,290.30
|
$243,984.28
|
$73,752.20
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
128
|
29
|
—
|
—
|
$45,715.76
|
$233,659.36
|
$73,616.29
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
118
|
29
|
—
|
—
|
$58,213.86
|
$205,246.02
|
$73,533.30
|
2026-04-01
|
|
6022
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$73,372.40
|
$73,372.40
|
$73,372.40
|
2026-04-01
|
|
6334
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$73,087.69
|
$73,087.69
|
$73,087.69
|
2026-04-01
|
|
6073
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$72,868.54
|
$72,868.54
|
$72,868.54
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
142
|
29
|
—
|
—
|
$44,590.42
|
$225,978.85
|
$72,585.68
|
2026-04-01
|
|
4404
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$72,321.73
|
$72,321.73
|
$72,321.73
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
118
|
29
|
—
|
—
|
$56,446.58
|
$227,680.18
|
$71,300.94
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
146
|
29
|
—
|
—
|
$20,981.94
|
$221,957.53
|
$71,294.00
|
2026-04-01
|
|
8424
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$71,110.58
|
$71,110.58
|
$71,110.58
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
134
|
29
|
—
|
—
|
$21,793.09
|
$229,324.93
|
$70,887.33
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
10
|
1
|
—
|
—
|
$64,064.46
|
$84,021.96
|
$69,737.86
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
144
|
32
|
—
|
—
|
$18,030.40
|
$230,426.46
|
$69,533.82
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
130
|
29
|
—
|
—
|
$18,248.43
|
$219,622.44
|
$69,214.05
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
124
|
29
|
—
|
—
|
$25,113.14
|
$208,494.01
|
$68,984.66
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
58
|
12
|
—
|
—
|
$28,831.95
|
$142,601.99
|
$68,683.54
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
118
|
29
|
—
|
—
|
$57,819.99
|
$188,726.90
|
$68,279.58
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
120
|
29
|
—
|
—
|
$54,026.96
|
$210,278.33
|
$67,893.58
|
2026-04-01
|
|
1634
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$67,712.18
|
$67,712.18
|
$67,712.18
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
142
|
29
|
—
|
—
|
$47,285.32
|
$219,876.92
|
$67,612.17
|
2026-04-01
|
|
1784
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$67,260.94
|
$67,260.94
|
$67,260.94
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
124
|
29
|
—
|
—
|
$15,607.32
|
$199,794.97
|
$67,094.65
|
2026-04-01
|
|
6033
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$66,549.64
|
$66,549.64
|
$66,549.64
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
112
|
29
|
—
|
—
|
$54,871.72
|
$206,351.32
|
$66,232.52
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
144
|
32
|
—
|
—
|
$40,851.85
|
$192,552.40
|
$64,901.68
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
80
|
14
|
—
|
—
|
$29,263.42
|
$144,736.03
|
$64,583.25
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
120
|
29
|
—
|
—
|
$50,999.10
|
$203,514.51
|
$64,419.91
|
2026-04-01
|
|
6224
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$63,470.22
|
$63,470.22
|
$63,470.22
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
148
|
32
|
—
|
—
|
$5,358.14
|
$231,497.80
|
$63,416.56
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
118
|
29
|
—
|
—
|
$50,005.19
|
$188,874.02
|
$63,164.45
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
110
|
29
|
—
|
—
|
$55,393.19
|
$194,264.71
|
$62,973.31
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
134
|
29
|
—
|
—
|
$25,580.36
|
$204,778.25
|
$62,821.38
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
146
|
32
|
—
|
—
|
$52,954.62
|
$203,540.92
|
$62,635.46
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
118
|
29
|
—
|
—
|
$49,559.01
|
$177,466.43
|
$62,600.86
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
100
|
31
|
—
|
—
|
$31,247.34
|
$154,084.18
|
$62,382.26
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
186
|
34
|
—
|
—
|
$5,169.65
|
$203,733.31
|
$62,302.36
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
156
|
30
|
—
|
—
|
$786.48
|
$193,627.18
|
$62,272.97
|
2026-04-01
|
|
1654
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$61,921.68
|
$61,921.68
|
$61,921.68
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
58
|
12
|
—
|
—
|
$25,959.76
|
$128,396.24
|
$61,841.42
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
68
|
14
|
—
|
—
|
$1,303.66
|
$182,126.63
|
$61,749.73
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
52
|
13
|
—
|
—
|
$26,241.36
|
$129,789.00
|
$61,201.78
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
78
|
16
|
—
|
—
|
$1,714.00
|
$182,126.63
|
$61,183.22
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
134
|
29
|
—
|
—
|
$28,452.27
|
$189,994.41
|
$61,027.27
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
118
|
29
|
—
|
—
|
$48,289.19
|
$182,917.48
|
$60,996.88
|
2026-04-01
|
|
1674
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$60,907.82
|
$60,907.82
|
$60,907.82
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
118
|
29
|
—
|
—
|
$48,099.44
|
$175,497.27
|
$60,757.19
|
2026-04-01
|
|
6313
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$60,183.54
|
$60,183.54
|
$60,183.54
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
154
|
33
|
—
|
—
|
$23,590.88
|
$137,630.42
|
$60,149.19
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
154
|
29
|
—
|
—
|
$7,202.23
|
$192,174.83
|
$59,816.03
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
158
|
33
|
—
|
—
|
$2,055.00
|
$200,685.25
|
$59,745.68
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
144
|
32
|
—
|
—
|
$43,971.01
|
$154,794.61
|
$59,642.86
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
120
|
29
|
—
|
—
|
$16,495.31
|
$173,792.16
|
$59,254.96
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
136
|
29
|
—
|
—
|
$12,810.02
|
$187,972.43
|
$59,058.46
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
120
|
29
|
—
|
—
|
$44,745.28
|
$179,356.38
|
$58,603.30
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
162
|
30
|
—
|
—
|
$15,086.66
|
$192,851.50
|
$58,414.02
|
2026-04-01
|
|
3044
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$58,391.12
|
$58,391.12
|
$58,391.12
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
74
|
15
|
—
|
—
|
$1,303.66
|
$182,126.63
|
$58,350.66
|
2026-04-01
|
|
6234
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$58,250.28
|
$58,250.28
|
$58,250.28
|
2026-04-01
|
|
6302
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$58,044.20
|
$58,044.20
|
$58,044.20
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
144
|
32
|
—
|
—
|
$11,186.40
|
$173,237.63
|
$57,943.22
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
120
|
29
|
—
|
—
|
$46,503.46
|
$165,700.47
|
$57,748.07
|
2026-04-01
|
|
3033
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$57,600.99
|
$57,600.99
|
$57,600.99
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
156
|
31
|
—
|
—
|
$9,450.79
|
$173,863.84
|
$57,416.06
|
2026-04-01
|
|
1834
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$57,396.14
|
$57,396.14
|
$57,396.14
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
140
|
30
|
—
|
—
|
$12,960.78
|
$191,586.34
|
$57,344.64
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
16
|
2
|
—
|
—
|
$51,660.83
|
$85,195.50
|
$57,294.42
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
132
|
29
|
—
|
—
|
$15,131.38
|
$180,137.26
|
$57,206.51
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
124
|
29
|
—
|
—
|
$8,300.87
|
$184,335.88
|
$57,118.77
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
146
|
32
|
—
|
—
|
$18,447.31
|
$133,179.04
|
$56,816.12
|
2026-04-01
|
|
6083
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$56,483.06
|
$56,483.06
|
$56,483.06
|
2026-04-01
|
|
6072
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$56,424.06
|
$56,424.06
|
$56,424.06
|
2026-04-01
|
|
6344
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$56,015.83
|
$56,015.83
|
$56,015.83
|
2026-04-01
|
|
1664
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$55,816.83
|
$55,816.83
|
$55,816.83
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
118
|
29
|
—
|
—
|
$43,692.02
|
$155,111.49
|
$55,189.92
|
2026-04-01
|
|
9104
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$55,140.93
|
$55,140.93
|
$55,140.93
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
180
|
32
|
—
|
—
|
$5,461.98
|
$183,223.04
|
$55,016.51
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
118
|
29
|
—
|
—
|
$43,525.86
|
$162,878.76
|
$54,980.03
|
2026-04-01
|
|
1794
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$54,798.26
|
$54,798.26
|
$54,798.26
|
2026-04-01
|
|
6804
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$54,571.70
|
$54,571.70
|
$54,571.70
|
2026-04-01
|
|
1623
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$54,501.84
|
$54,501.84
|
$54,501.84
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
120
|
29
|
—
|
—
|
$43,207.41
|
$167,122.65
|
$54,485.85
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
150
|
29
|
—
|
—
|
$28,473.23
|
$168,699.49
|
$54,187.22
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
58
|
12
|
—
|
—
|
$22,730.58
|
$112,424.80
|
$54,148.84
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
138
|
29
|
—
|
—
|
$20,410.54
|
$170,182.03
|
$53,867.56
|
2026-04-01
|
|
6254
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$53,662.44
|
$53,662.44
|
$53,662.44
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
118
|
29
|
—
|
—
|
$42,360.66
|
$153,161.18
|
$53,508.20
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
120
|
29
|
—
|
—
|
$32,080.07
|
$156,944.85
|
$53,317.46
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
120
|
29
|
—
|
—
|
$43,451.01
|
$155,024.72
|
$53,201.99
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
126
|
29
|
—
|
—
|
$16,935.54
|
$158,072.78
|
$53,072.31
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
172
|
30
|
—
|
—
|
$16,058.60
|
$173,214.99
|
$52,913.13
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
164
|
33
|
—
|
—
|
$8,088.19
|
$176,515.80
|
$52,277.82
|
2026-04-01
|
|
1694
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$52,241.90
|
$52,241.90
|
$52,241.90
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
176
|
32
|
—
|
—
|
$6,974.27
|
$179,348.84
|
$52,193.74
|
2026-04-01
|
|
9114
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$52,093.70
|
$52,093.70
|
$52,093.70
|
2026-04-01
|
|
3124
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$51,867.14
|
$51,867.14
|
$51,867.14
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
144
|
29
|
—
|
—
|
$0.26
|
$160,905.82
|
$51,866.76
|
2026-04-01
|
|
8413
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$51,638.69
|
$51,638.69
|
$51,638.69
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
138
|
31
|
—
|
—
|
$4,110.00
|
$160,671.93
|
$51,608.73
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
118
|
29
|
—
|
—
|
$40,670.31
|
$163,218.27
|
$51,373.02
|
2026-04-01
|
|
5912
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$51,215.54
|
$51,215.54
|
$51,215.54
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
118
|
29
|
—
|
—
|
$40,369.78
|
$148,230.72
|
$50,993.40
|
2026-04-01
|
|
5891
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$50,965.38
|
$50,965.38
|
$50,965.38
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
136
|
29
|
—
|
—
|
$37,576.16
|
$271,919.38
|
$50,742.80
|
2026-04-01
|
|
9124
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$50,613.50
|
$50,613.50
|
$50,613.50
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
124
|
29
|
—
|
—
|
$15,639.95
|
$157,329.63
|
$50,448.95
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
150
|
30
|
—
|
—
|
$20,553.76
|
$166,056.71
|
$49,820.17
|
2026-04-01
|
|
1783
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$49,759.18
|
$49,759.18
|
$49,759.18
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
46
|
12
|
—
|
—
|
$25,797.30
|
$127,592.70
|
$49,610.20
|
2026-04-01
|
|
8504
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$49,556.22
|
$49,556.22
|
$49,556.22
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
138
|
31
|
—
|
—
|
$4,110.00
|
$159,532.68
|
$49,158.43
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
152
|
32
|
—
|
—
|
$12,737.39
|
$169,167.26
|
$49,000.18
|
2026-04-01
|
|
214
|
MS_DRG
|
No Longer Valid
|
26
|
12
|
—
|
—
|
$48,751.94
|
$48,751.94
|
$48,751.94
|
2026-04-01
|
|
4414
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$48,743.44
|
$48,743.44
|
$48,743.44
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
118
|
29
|
—
|
—
|
$38,402.49
|
$145,646.66
|
$48,508.40
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
122
|
29
|
—
|
—
|
$24,381.96
|
$135,223.66
|
$48,159.63
|
2026-04-01
|
|
2604
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$48,131.73
|
$48,131.73
|
$48,131.73
|
2026-04-01
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
52
|
13
|
—
|
—
|
$18,595.82
|
$91,974.39
|
$48,082.15
|
2026-04-01
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
52
|
13
|
—
|
—
|
$18,595.82
|
$91,974.39
|
$48,082.15
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
136
|
29
|
—
|
—
|
$17,050.46
|
$145,273.20
|
$48,003.97
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
122
|
29
|
—
|
—
|
$15,929.32
|
$132,798.04
|
$47,894.28
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
156
|
32
|
—
|
—
|
$9,414.51
|
$153,425.25
|
$47,885.32
|
2026-04-01
|
|
6123
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$47,869.06
|
$47,869.06
|
$47,869.06
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
118
|
29
|
—
|
—
|
$37,839.37
|
$134,555.95
|
$47,797.10
|
2026-04-01
|
|
4403
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$47,672.00
|
$47,672.00
|
$47,672.00
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
166
|
32
|
—
|
—
|
$26,062.90
|
$147,498.89
|
$47,573.57
|
2026-04-01
|
|
7404
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$47,516.24
|
$47,516.24
|
$47,516.24
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
140
|
29
|
—
|
—
|
$19,772.72
|
$150,271.56
|
$47,353.99
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
118
|
29
|
—
|
—
|
$37,865.02
|
$130,843.96
|
$47,338.09
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
132
|
29
|
—
|
—
|
$13,990.30
|
$148,528.74
|
$47,230.92
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
52
|
13
|
—
|
—
|
$2,379.00
|
$127,592.70
|
$47,228.60
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
52
|
13
|
—
|
—
|
$2,379.00
|
$127,592.70
|
$47,228.60
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
136
|
29
|
—
|
—
|
$17,658.62
|
$146,687.83
|
$46,964.89
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
134
|
31
|
—
|
—
|
$22,249.84
|
$142,285.50
|
$46,700.00
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
118
|
29
|
—
|
—
|
$36,899.84
|
$129,199.22
|
$46,610.33
|
2026-04-01
|
|
6814
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$46,533.54
|
$46,533.54
|
$46,533.54
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
128
|
29
|
—
|
—
|
$14,354.73
|
$148,868.25
|
$46,460.57
|
2026-04-01
|
|
6364
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$46,372.87
|
$46,372.87
|
$46,372.87
|
2026-04-01
|
|
6113
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$46,362.20
|
$46,362.20
|
$46,362.20
|
2026-04-01
|
|
1782
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$46,359.84
|
$46,359.84
|
$46,359.84
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
144
|
32
|
—
|
—
|
$30,286.13
|
$99,959.73
|
$46,277.81
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
80
|
17
|
—
|
—
|
$3,329.00
|
$136,335.57
|
$46,224.35
|
2026-04-01
|
|
2204
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$46,178.59
|
$46,178.59
|
$46,178.59
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
120
|
29
|
—
|
—
|
$25,332.09
|
$130,983.54
|
$46,121.49
|
2026-04-01
|
|
1653
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$45,733.02
|
$45,733.02
|
$45,733.02
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
166
|
32
|
—
|
—
|
$10,337.74
|
$148,223.18
|
$45,499.72
|
2026-04-01
|
|
9504
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$45,413.95
|
$45,413.95
|
$45,413.95
|
2026-04-01
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
74
|
15
|
—
|
—
|
$1,303.66
|
$141,654.50
|
$45,383.99
|
2026-04-01
|
|
1603
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$45,322.38
|
$45,322.38
|
$45,322.38
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
120
|
29
|
—
|
—
|
$35,720.29
|
$126,618.93
|
$45,120.36
|
2026-04-01
|
|
1633
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$45,077.89
|
$45,077.89
|
$45,077.89
|
2026-04-01
|
|
8633
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$44,775.10
|
$44,775.10
|
$44,775.10
|
2026-04-01
|
|
1204
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$44,770.14
|
$44,770.14
|
$44,770.14
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
58
|
12
|
—
|
—
|
$18,753.30
|
$92,753.27
|
$44,674.15
|
2026-04-01
|
|
6904
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$44,542.64
|
$44,542.64
|
$44,542.64
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
58
|
12
|
—
|
—
|
$18,664.75
|
$92,315.31
|
$44,463.21
|
2026-04-01
|
|
7594
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$44,462.40
|
$44,462.40
|
$44,462.40
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
78
|
16
|
—
|
—
|
$1,963.00
|
$129,789.00
|
$44,408.46
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
78
|
16
|
—
|
—
|
$3,266.00
|
$129,789.00
|
$44,408.46
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
78
|
16
|
—
|
—
|
$1,963.00
|
$129,789.00
|
$44,408.46
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
78
|
16
|
—
|
—
|
$1,963.00
|
$129,789.00
|
$44,408.46
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
136
|
30
|
—
|
—
|
$17,261.34
|
$144,186.76
|
$44,084.94
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
122
|
29
|
—
|
—
|
$30,421.36
|
$119,726.84
|
$43,936.34
|
2026-04-01
|
|
3614
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$43,924.32
|
$43,924.32
|
$43,924.32
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
124
|
29
|
—
|
—
|
$33,384.20
|
$129,723.57
|
$43,774.24
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
118
|
29
|
—
|
—
|
$37,718.34
|
$120,873.64
|
$43,730.92
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
74
|
15
|
—
|
—
|
$1,303.66
|
$129,789.00
|
$43,601.03
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
74
|
15
|
—
|
—
|
$3,266.00
|
$129,789.00
|
$43,601.03
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
128
|
29
|
—
|
—
|
$20,684.05
|
$136,706.19
|
$43,581.53
|
2026-04-01
|
|
6133
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$43,546.72
|
$43,546.72
|
$43,546.72
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
126
|
29
|
—
|
—
|
$13,175.60
|
$135,231.20
|
$43,437.02
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
138
|
29
|
—
|
—
|
$15,385.01
|
$141,236.78
|
$43,284.75
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
144
|
31
|
—
|
—
|
$9,126.21
|
$124,551.68
|
$43,278.10
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
58
|
14
|
—
|
—
|
$3,266.00
|
$111,300.40
|
$43,275.47
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
68
|
14
|
—
|
—
|
$1,303.66
|
$127,592.70
|
$43,260.09
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
80
|
17
|
—
|
—
|
$1,669.00
|
$127,592.70
|
$43,260.09
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
68
|
14
|
—
|
—
|
$1,303.66
|
$127,592.70
|
$43,260.09
|
2026-04-01
|
|
1814
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$43,194.61
|
$43,194.61
|
$43,194.61
|
2026-04-01
|
|
1622
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$43,194.61
|
$43,194.61
|
$43,194.61
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
152
|
29
|
—
|
—
|
$736.05
|
$732,594.57
|
$43,172.67
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
132
|
29
|
—
|
—
|
$17,696.40
|
$150,165.94
|
$43,035.43
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
168
|
33
|
—
|
—
|
$14,759.65
|
$101,974.17
|
$42,984.93
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
144
|
32
|
—
|
—
|
$34,490.47
|
$117,727.50
|
$42,971.82
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
124
|
29
|
—
|
—
|
$15,427.99
|
$132,073.75
|
$42,806.07
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
122
|
29
|
—
|
—
|
$25,502.38
|
$121,605.47
|
$42,729.95
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
118
|
29
|
—
|
—
|
$33,763.26
|
$119,968.27
|
$42,648.32
|
2026-04-01
|
|
1304
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$42,486.61
|
$42,486.61
|
$42,486.61
|
2026-04-01
|
|
1764
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$42,434.69
|
$42,434.69
|
$42,434.69
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
174
|
32
|
—
|
—
|
$281.09
|
$133,956.15
|
$42,427.85
|
2026-04-01
|
|
5892
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$42,310.08
|
$42,310.08
|
$42,310.08
|
2026-04-01
|
|
2614
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$42,307.25
|
$42,307.25
|
$42,307.25
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
80
|
17
|
—
|
—
|
$1,459.00
|
$127,592.70
|
$42,267.88
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
118
|
29
|
—
|
—
|
$33,383.74
|
$122,891.85
|
$42,168.94
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
128
|
29
|
—
|
—
|
$20,802.29
|
$132,145.42
|
$42,002.85
|
2026-04-01
|
|
6954
|
MS_DRG
|
Description Not Available
|
26
|
12
|
—
|
—
|
$41,921.15
|
$41,921.15
|
$41,921.15
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
118
|
29
|
—
|
—
|
$33,852.49
|
$115,856.41
|
$41,915.74
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
140
|
29
|
—
|
—
|
$10,195.19
|
$145,797.56
|
$41,876.38
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
124
|
29
|
—
|
—
|
$29,983.95
|
$116,324.18
|
$41,860.58
|
2026-04-01
|