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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Bakersfield Rehabilitation Hospital

Bakersfield, CA · CCN 053044 · Rates published

2,199 distinct procedures filed
15 distinct payers
24,355 rate rows
2026-03-17 last MRF observed
Data quality

3,466 of 24,355 rate rows are consumer-grade (14.2%)

20,889 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,699
per-diem day rate — not a per-procedure price 190
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ernesthealth.com/pricing/2026/833913340_central-california-rehabilitation-hospital_standard-charges.json
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 5e66a0962d1d342c… · 9,348,002 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
B0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 10 $68,803.67 $68,803.67 $68,803.67 nat. median
$56,226
1.2× median
D1904
LOCAL 		Guillain-barré M <38.50- Tier Tier 3 10 $67,940.99 $67,940.99 $67,940.99 nat. median
$49,620
1.4× median
C0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 2 10 $61,383.30 $61,383.30 $61,383.30 nat. median
$46,986
1.3× median
B0604
LOCAL 		Neurological M <43.50- Tier Tier 1 10 $60,652.68 $60,652.68 $60,652.68 nat. median
$46,423
1.3× median
D0604
LOCAL 		Neurological M <43.50- Tier Tier 3 10 $32,578.30 $85,133.29 $58,855.79 nat. median
$32,269
1.8× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 1 10 $58,308.71 $58,308.71 $58,308.71 nat. median
$43,383
1.3× median
B0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 1 10 $58,237.06 $58,237.06 $58,237.06 nat. median
$49,196
1.2× median
A1904
LOCAL 		Guillain-barré M <38.50- Tier None 10 $57,435.49 $57,435.49 $57,435.49 nat. median
$48,824
1.2× median
B1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 1 10 $57,428.20 $57,428.20 $57,428.20 nat. median
$42,470
1.4× median
D0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier Tier 3 10 $51,960.95 $61,595.17 $56,778.06 nat. median
$42,703
1.3× median
B0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 1 10 $55,316.07 $55,316.07 $55,316.07 nat. median
$41,166
1.3× median
B0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 10 $54,431.20 $55,994.47 $55,212.83 nat. median
$44,232
1.2× median
A1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 10 $53,334.86 $53,334.86 $53,334.86 nat. median
$45,144
1.2× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 10 $50,893.07 $50,893.07 $50,893.07 nat. median
$41,099
1.2× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 1 10 $49,026.40 $49,026.40 $49,026.40 nat. median
$40,995
1.2× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 2 10 $47,712.42 $47,712.42 $47,712.42 nat. median
$40,508
1.2× median
B2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 10 $46,512.39 $46,512.39 $46,512.39 nat. median
$39,191
1.2× median
A0604
LOCAL 		Neurological M <43.50- Tier None 10 $34,648.68 $57,938.91 $46,293.79 nat. median
$28,952
1.6× median
A2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier None 10 $31,589.49 $59,457.63 $45,523.56 nat. median
$26,395
1.7× median
A0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier None 10 $45,422.80 $45,422.80 $45,422.80 nat. median
$35,375
1.3× median
A0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50- Tier None 10 $45,090.95 $45,090.95 $45,090.95 nat. median
$37,907
1.2× median
C1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 10 $44,985.01 $44,985.01 $44,985.01 nat. median
$37,992
1.2× median
B0303
LOCAL 		Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 10 $44,394.58 $44,394.58 $44,394.58 nat. median
$34,839
1.3× median
B0603
LOCAL 		Neurological M >=43.50 And M <52.50- Tier Tier 1 10 $44,342.87 $44,342.87 $44,342.87 nat. median
$36,931
1.2× median
D0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier Tier 3 10 $43,565.78 $43,565.78 $43,565.78 nat. median
$36,592
1.2× median
D0105
LOCAL 		Stroke M <41.50 And A >=84.50- Tier Tier 3 10 $41,947.68 $41,947.68 $41,947.68 nat. median
$37,662
1.1× median
A0106
LOCAL 		Stroke M <41.50 And A <84.50- Tier None 10 $33,024.43 $50,197.19 $41,610.81 nat. median
$39,573
1.1× median
C1504
LOCAL 		Pulmonary M <45.50- Tier Tier 2 10 $41,479.97 $41,479.97 $41,479.97 nat. median
$34,243
1.2× median
C0604
LOCAL 		Neurological M <43.50- Tier Tier 2 10 $41,153.30 $41,153.30 $41,153.30 nat. median
$34,756
1.2× median
C0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 10 $40,038.76 $42,106.82 $41,072.79 nat. median
$35,561
1.2× median
D1004
LOCAL 		Amputation Lower Extremity M <47.50- Tier Tier 3 10 $40,960.59 $40,960.59 $40,960.59 nat. median
$32,228
1.3× median
A0205
LOCAL 		Traumatic Brain Injury M <35.50- Tier None 10 $40,953.62 $40,953.62 $40,953.62 nat. median
$33,234
1.2× median
C0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 2 10 $40,394.24 $40,394.24 $40,394.24 nat. median
$33,146
1.2× median
A1903
LOCAL 		Guillain-barré M >=38.50 And M <51.50- Tier None 10 $39,940.56 $39,940.56 $39,940.56 nat. median
$33,075
1.2× median
B1003
LOCAL 		Amputation Lower Extremity M >=47.50 And M <55.50- Tier Tier 1 10 $39,672.27 $39,672.27 $39,672.27 nat. median
$34,027
1.2× median
C2005
LOCAL 		Miscellaneous M <46.50 And A <77.50- Tier Tier 2 10 $39,160.20 $39,160.20 $39,160.20 nat. median
$32,921
1.2× median
A1504
LOCAL 		Pulmonary M <45.50- Tier None 10 $38,711.10 $38,711.10 $38,711.10 nat. median
$30,273
1.3× median
D0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 10 $38,679.03 $38,679.03 $38,679.03 nat. median
$32,319
1.2× median
D1504
LOCAL 		Pulmonary M <45.50- Tier Tier 3 10 $38,319.25 $38,319.25 $38,319.25 nat. median
$32,186
1.2× median
D1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 10 $34,819.43 $41,660.96 $38,240.19 nat. median
$34,992
1.1× median
C0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 10 $38,180.20 $38,180.20 $38,180.20 nat. median
$32,043
1.2× median
B2003
LOCAL 		Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 10 $38,156.72 $38,156.72 $38,156.72 nat. median
$32,854
1.2× median
A1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 10 $38,112.68 $38,112.68 $38,112.68 nat. median
$31,920
1.2× median
A0103
LOCAL 		Stroke M >=50.50 And M <63.50- Tier None 10 $37,850.98 $37,850.98 $37,850.98 nat. median
$22,432
1.7× median
A1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 10 $37,555.56 $37,555.56 $37,555.56 nat. median
$31,725
1.2× median
C0904
LOCAL 		Other Orthopedic M <44.5- Tier Tier 2 10 $37,502.65 $37,502.65 $37,502.65 nat. median
$31,818
1.2× median
D1304
LOCAL 		Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 10 $37,306.15 $37,306.15 $37,306.15 nat. median
$31,538
1.2× median
B0602
LOCAL 		Neurological M >=52.50 And M <64.50- Tier Tier 1 10 $37,198.00 $37,198.00 $37,198.00 nat. median
$31,650
1.2× median
D0704
LOCAL 		Fracture Of Lower Extremity M <41.50- Tier Tier 3 10 $19,694.93 $54,633.65 $37,164.29 nat. median
$31,616
1.2× median
C2004
LOCAL 		Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 10 $37,151.64 $37,151.64 $37,151.64 nat. median
$31,232
1.2× median

Other procedures at this hospital

Browse this hospital's 2,199 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
36589 HCPCS Removal Tunneled Cv Cath 0 0 — — — — — 2026-03-17
36573 HCPCS Insj Picc Rs&i 5 Yr+ 0 0 — — — — — 2026-03-17
24615 HCPCS Treat Elbow Dislocation 0 0 — — — — — 2026-03-17
36569 HCPCS Insj Picc 5 Yr+ Without Imaging 0 0 — — — — — 2026-03-17
36561 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
24516 HCPCS Treat Humerus Fracture 0 0 — — — — — 2026-03-17
15853 HCPCS Removal Sutr/stapl Xreq Anes 0 0 — — — — — 2026-03-17
64718 HCPCS Revise Ulnar Nerve At Elbow 0 0 — — — — — 2026-03-17
64450 HCPCS Njx Aa&/strd Other Pn/branch 0 0 — — — — — 2026-03-17
36558 HCPCS Insert Tunneled Cv Cath 0 0 — — — — — 2026-03-17
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 0 0 — — — — — 2026-03-17
64721 HCPCS Carpal Tunnel Surgery 0 0 — — — — — 2026-03-17
65426 HCPCS Removal Of Eye Lesion 0 0 — — — — — 2026-03-17
65730 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65755 HCPCS Corneal Transplant 0 0 — — — — — 2026-03-17
65756 HCPCS Corneal Trnspl Endothelial 0 0 — — — — — 2026-03-17
65820 HCPCS Relieve Inner Eye Pressure 0 0 — — — — — 2026-03-17
66170 HCPCS Glaucoma Surgery 0 0 — — — — — 2026-03-17
66180 HCPCS Aqueous Shunt Eye W/graft 0 0 — — — — — 2026-03-17
62270 HCPCS Dx Lmbr Spi Pnxr 0 0 — — — — — 2026-03-17
36556 HCPCS Insert Non-tunnel Cv Cath 0 0 — — — — — 2026-03-17
24430 HCPCS Repair Of Humerus 0 0 — — — — — 2026-03-17
61782 HCPCS Scan Proc Cranial Extra 0 0 — — — — — 2026-03-17
60220 HCPCS Partial Removal Of Thyroid 0 0 — — — — — 2026-03-17
36514 HCPCS Apheresis Plasma 0 0 — — — — — 2026-03-17
59897 HCPCS Unlisted Fetal Invas Px W/us 0 0 — — — — — 2026-03-17
59820 HCPCS Care Of Miscarriage 0 0 — — — — — 2026-03-17
36460 HCPCS Intrauterine Transfusion Ftl 0 0 — — — — — 2026-03-17
24344 HCPCS Reconstruct Elbow Lat Ligmnt 0 0 — — — — — 2026-03-17
15772 HCPCS Grfg Autol Fat Lipo Ea Addl 0 0 — — — — — 2026-03-17
10060 HCPCS I&d Abscess Simple/single 0 0 — — — — — 2026-03-17
59025 HCPCS Fetal Non-stress Test 0 0 — — — — — 2026-03-17
59012 HCPCS Fetal Cord Puncture Prenatal 0 0 — — — — — 2026-03-17
36430 HCPCS Transfusion Bld/bld Compnt 0 0 — — — — — 2026-03-17
58662 HCPCS Laparoscopy Excise Lesions 0 0 — — — — — 2026-03-17
58661 HCPCS Laparoscopy Remove Adnexa 0 0 — — — — — 2026-03-17
36415 HCPCS Routine Venipuncture 0 0 — — — — — 2026-03-17
23650 HCPCS Cltx Sho Dslc W/mnpj Wo Anes 0 0 — — — — — 2026-03-17
58571 HCPCS Tlh W/t/o 250 G Or Less 0 0 — — — — — 2026-03-17
58570 HCPCS Tlh Uterus 250 G Or Less 0 0 — — — — — 2026-03-17
36248 HCPCS Ins Cath Abd/l-ext Art Addl 0 0 — — — — — 2026-03-17
58563 HCPCS Hysteroscopy Ablation 0 0 — — — — — 2026-03-17
58561 HCPCS Hysteroscopy Remove Myoma 0 0 — — — — — 2026-03-17
36247 HCPCS Ins Cath Abd/l-ext Art 3rd 0 0 — — — — — 2026-03-17
23515 HCPCS Optx Clavicular Fx W/int Fix 0 0 — — — — — 2026-03-17
15771 HCPCS Grfg Autol Fat Lipo 50 Cc/< 0 0 — — — — — 2026-03-17
58558 HCPCS Hysteroscopy Biopsy 0 0 — — — — — 2026-03-17
58554 HCPCS Laparo-vag Hyst W/t/o Compl 0 0 — — — — — 2026-03-17
36225 HCPCS Place Cath Subclavian Art 0 0 — — — — — 2026-03-17
58552 HCPCS Laparo-vag Hyst Incl T/o 0 0 — — — — — 2026-03-17
58550 HCPCS Laparo-asst Vag Hysterectomy 0 0 — — — — — 2026-03-17
36200 HCPCS Place Catheter In Aorta 0 0 — — — — — 2026-03-17
23412 HCPCS Repair Rotator Cuff Chronic 0 0 — — — — — 2026-03-17
58301 HCPCS Remove Intrauterine Device 0 0 — — — — — 2026-03-17
58120 HCPCS Dilation And Curettage 0 0 — — — — — 2026-03-17
36012 HCPCS Place Catheter In Vein 0 0 — — — — — 2026-03-17
57522 HCPCS Conization Of Cervix 0 0 — — — — — 2026-03-17
57461 HCPCS Conz Of Cervix W/scope Leep 0 0 — — — — — 2026-03-17
33228 HCPCS Remv&replc Pm Gen Dual Lead 0 0 — — — — — 2026-03-17
22552 HCPCS Arthrd Ant Ntrbd Cervical Ea 0 0 — — — — — 2026-03-17
14020 HCPCS Tis Trnfr S/a/l 10 Sq Cm/< 0 0 — — — — — 2026-03-17
10005 HCPCS Fna Bx W/us Gdn 1st Les 0 0 — — — — — 2026-03-17
00410 HCPCS Anesth Correct Heart Rhythm 0 0 — — — — — 2026-03-17
57288 HCPCS Repair Bladder Defect 0 0 — — — — — 2026-03-17
57260 HCPCS Cmbn Ant Pst Colprhy 0 0 — — — — — 2026-03-17
97039 HCPCS Unlisted Modality 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97026 HCPCS Infrared Therapy 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97016 HCPCS Vasopneumatic Device Therapy 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97010 HCPCS Hot Or Cold Packs Therapy 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97024 HCPCS Diathermy Eg Microwave 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97037 HCPCS Appl Modality 1+lllt Po Pain 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97158 HCPCS Grp Adapt Bhv Tx By Phy/qhp 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97156 HCPCS Fam Adapt Bhv Tx Gdn Phy/qhp 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97155 HCPCS Adapt Behavior Tx Phys/qhp 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97172 HCPCS Athletic Trn Re-eval Plan Cr 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97150 HCPCS Group Therapeutic Procedures 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9124 HCPCS Nursing Care, In The Home; B 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9125 HCPCS Respite Care, In The Home, P 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9152 HCPCS Speech Therapy, Re-eval 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9129 HCPCS Occupational Therapy, In The 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9122 HCPCS Home Health Aide Or Certifie 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97546 HCPCS Work Hardening Add-on 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9150 HCPCS Evaluation By Ocularist 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9128 HCPCS Speech Therapy, In The Home, 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9131 HCPCS Pt In The Home Per Diem 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9126 HCPCS Hospice Care, In The Home, P 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S8990 HCPCS Pt Or Manip For Maint 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9123 HCPCS Nursing Care In Home Rn 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S9127 HCPCS Social Work Visit, In The Ho 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97755 HCPCS Assistive Technology Assess 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97799 HCPCS Unlisted Physcl Med/rehab Px 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97545 HCPCS Work Hardening 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S8940 HCPCS Hippotherapy Per Session 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97169 HCPCS Athletic Trn Eval Low Cmplx 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97170 HCPCS Athletic Trn Eval Mod Cmplx 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97157 HCPCS Mult Fam Adapt Bhv Tx Gdn 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97171 HCPCS Athletic Trn Eval High Cmplx 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S8948 HCPCS Low-level Laser Trmt 15 Min 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97151 HCPCS Bhv Id Assmt By Phys/qhp 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97139 HCPCS Unlisted Therapeutic Px 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97152 HCPCS Bhv Id Suprt Assmt By 1 Tech 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97153 HCPCS Adaptive Behavior Tx By Tech 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97034 HCPCS App Mdlty 1+cntrst Bth Ea 15 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97028 HCPCS Ultraviolet Therapy 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97022 HCPCS Whirlpool Therapy 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97036 HCPCS App Mdlty 1+hubbrd Tnk Ea 15 1 1 — — $180.00 $180.00 $180.00 2026-03-17
97154 HCPCS Grp Adapt Bhv Tx By Tech 1 1 — — $180.00 $180.00 $180.00 2026-03-17
S8950 HCPCS Complex Lymphedema Therapy, 1 1 — — $180.00 $180.00 $180.00 2026-03-17
0118 RC Room & Board - Private (One Bed) - Rehabilitation 2 2 — — $1.00 $1.00 $1.00 2026-03-17
0825 RC Hemodialysis - Outpatient Or Home - Support Services 3 1 — — $475.00 $475.00 $475.00 2026-03-17
0824 RC Hemodialysis - Outpatient Or Home - Maintenance 100% 3 1 — — $475.00 $475.00 $475.00 2026-03-17
0822 RC Hemodialysis - Outpatient Or Home - Home Supplies 3 1 — — $475.00 $475.00 $475.00 2026-03-17
0823 RC Hemodialysis - Outpatient Or Home - Home Equipment 3 1 — — $475.00 $475.00 $475.00 2026-03-17
0800 RC Inpatient Renal Dialysis - General Classification 4 2 — — $605.00 $670.00 $670.00 2026-03-17
0802 RC Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd) 4 2 — — $605.00 $670.00 $670.00 2026-03-17
0803 RC Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd) 4 2 — — $605.00 $670.00 $670.00 2026-03-17
0809 RC Inpatient Renal Dialysis - Other 4 2 — — $605.00 $670.00 $670.00 2026-03-17
0804 RC Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd) 4 2 — — $605.00 $670.00 $670.00 2026-03-17
0829 RC Hemodialysis - Outpatient Or Home - Other Op Hemodialysis 4 2 — — $475.00 $475.00 $475.00 2026-03-17
0821 RC Hemodialysis - Outpatient Or Home - Hemodialysis Composite Or Other Rate 4 2 — — $475.00 $475.00 $475.00 2026-03-17
0820 RC Hemodialysis - Outpatient Or Home - General Classification 4 2 — — $475.00 $475.00 $475.00 2026-03-17
0801 RC Inpatient Renal Dialysis - Hemodialysis 5 3 — — $495.00 $670.00 $670.00 2026-03-17
0138 RC Room & Board - Three And Four Beds - Rehabilitation 6 5 — — $1,586.50 $1,586.50 $1,586.50 2026-03-17
0158 RC Room & Board - Ward - Rehabilitation 6 5 — — $1,586.50 $1,586.50 $1,586.50 2026-03-17
0148 RC Room & Board - Deluxe Private - Rehabilitation 6 5 — — $1,586.50 $1,586.50 $1,586.50 2026-03-17
0128 RC Room & Board - Semi-private (Two Beds) - Rehabilitation 8 7 — — $1,586.50 $1,586.50 $1,586.50 2026-03-17
0419 RC Respiratory Services - Other 14 4 — — $110.00 $180.00 $145.00 2026-03-17
0412 RC Respiratory Services - Inhalation Services 14 4 — — $110.00 $180.00 $145.00 2026-03-17
0449 RC Speech Therapy - Language Pathology - Other 16 5 — — $106.10 $180.00 $143.05 2026-03-17
0439 RC Occupational Therapy - Other 16 5 — — $106.10 $180.00 $143.05 2026-03-17
0429 RC Physical Therapy - Other 16 5 — — $106.10 $180.00 $143.05 2026-03-17
0422 RC Physical Therapy - Hourly Charge 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0443 RC Speech Therapy - Language Pathology - Group Rate 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0441 RC Speech Therapy - Language Pathology - Visit Charge 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0433 RC Occupational Therapy - Group Rate 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0432 RC Occupational Therapy - Hourly Charge 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0442 RC Speech Therapy - Language Pathology - Hourly Charge 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0423 RC Physical Therapy - Group Rate 17 5 — — $106.10 $180.00 $143.05 2026-03-17
0431 RC Occupational Therapy - Visit Charge 17 5 — — $106.10 $180.00 $143.05 2026-03-17
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 1 18 10 — — $68,803.67 $68,803.67 $68,803.67 2026-03-17
D1904 LOCAL Guillain-barré M <38.50- Tier Tier 3 18 10 — — $67,940.99 $67,940.99 $67,940.99 2026-03-17
C0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 2 18 10 — — $61,383.30 $61,383.30 $61,383.30 2026-03-17
B0604 LOCAL Neurological M <43.50- Tier Tier 1 18 10 — — $60,652.68 $60,652.68 $60,652.68 2026-03-17
D0604 LOCAL Neurological M <43.50- Tier Tier 3 18 10 — — $32,578.30 $85,133.29 $58,855.79 2026-03-17
B0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 1 18 10 — — $58,308.71 $58,308.71 $58,308.71 2026-03-17
B0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 1 18 10 — — $58,237.06 $58,237.06 $58,237.06 2026-03-17
A1904 LOCAL Guillain-barré M <38.50- Tier None 18 10 — — $57,435.49 $57,435.49 $57,435.49 2026-03-17
B1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 1 18 10 — — $57,428.20 $57,428.20 $57,428.20 2026-03-17
D0106 LOCAL Stroke M <41.50 And A <84.50- Tier Tier 3 18 10 — — $51,960.95 $61,595.17 $56,778.06 2026-03-17
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 1 18 10 — — $55,316.07 $55,316.07 $55,316.07 2026-03-17
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 1 18 10 — — $54,431.20 $55,994.47 $55,212.83 2026-03-17
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None 18 10 — — $53,334.86 $53,334.86 $53,334.86 2026-03-17
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3 18 10 — — $50,893.07 $50,893.07 $50,893.07 2026-03-17
B2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 1 18 10 — — $49,026.40 $49,026.40 $49,026.40 2026-03-17
C0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 2 18 10 — — $47,712.42 $47,712.42 $47,712.42 2026-03-17
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 1 18 10 — — $46,512.39 $46,512.39 $46,512.39 2026-03-17
A0604 LOCAL Neurological M <43.50- Tier None 18 10 — — $34,648.68 $57,938.91 $46,293.79 2026-03-17
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier None 18 10 — — $31,589.49 $59,457.63 $45,523.56 2026-03-17
A0105 LOCAL Stroke M <41.50 And A >=84.50- Tier None 18 10 — — $45,422.80 $45,422.80 $45,422.80 2026-03-17
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50- Tier None 18 10 — — $45,090.95 $45,090.95 $45,090.95 2026-03-17
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 2 18 10 — — $44,985.01 $44,985.01 $44,985.01 2026-03-17
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 1 18 10 — — $44,394.58 $44,394.58 $44,394.58 2026-03-17
B0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 1 18 10 — — $44,342.87 $44,342.87 $44,342.87 2026-03-17
D0205 LOCAL Traumatic Brain Injury M <35.50- Tier Tier 3 18 10 — — $43,565.78 $43,565.78 $43,565.78 2026-03-17
D0105 LOCAL Stroke M <41.50 And A >=84.50- Tier Tier 3 18 10 — — $41,947.68 $41,947.68 $41,947.68 2026-03-17
A0106 LOCAL Stroke M <41.50 And A <84.50- Tier None 18 10 — — $33,024.43 $50,197.19 $41,610.81 2026-03-17
C1504 LOCAL Pulmonary M <45.50- Tier Tier 2 18 10 — — $41,479.97 $41,479.97 $41,479.97 2026-03-17
C0604 LOCAL Neurological M <43.50- Tier Tier 2 18 10 — — $41,153.30 $41,153.30 $41,153.30 2026-03-17
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 2 18 10 — — $40,038.76 $42,106.82 $41,072.79 2026-03-17
D1004 LOCAL Amputation Lower Extremity M <47.50- Tier Tier 3 18 10 — — $40,960.59 $40,960.59 $40,960.59 2026-03-17
A0205 LOCAL Traumatic Brain Injury M <35.50- Tier None 18 10 — — $40,953.62 $40,953.62 $40,953.62 2026-03-17
C0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 2 18 10 — — $40,394.24 $40,394.24 $40,394.24 2026-03-17
A1903 LOCAL Guillain-barré M >=38.50 And M <51.50- Tier None 18 10 — — $39,940.56 $39,940.56 $39,940.56 2026-03-17
B1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50- Tier Tier 1 18 10 — — $39,672.27 $39,672.27 $39,672.27 2026-03-17
C2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 2 18 10 — — $39,160.20 $39,160.20 $39,160.20 2026-03-17
A1504 LOCAL Pulmonary M <45.50- Tier None 18 10 — — $38,711.10 $38,711.10 $38,711.10 2026-03-17
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier Tier 3 18 10 — — $38,679.03 $38,679.03 $38,679.03 2026-03-17
D1504 LOCAL Pulmonary M <45.50- Tier Tier 3 18 10 — — $38,319.25 $38,319.25 $38,319.25 2026-03-17
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3 18 10 — — $34,819.43 $41,660.96 $38,240.19 2026-03-17
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 2 18 10 — — $38,180.20 $38,180.20 $38,180.20 2026-03-17
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 1 18 10 — — $38,156.72 $38,156.72 $38,156.72 2026-03-17
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier None 18 10 — — $38,112.68 $38,112.68 $38,112.68 2026-03-17
A0103 LOCAL Stroke M >=50.50 And M <63.50- Tier None 18 10 — — $37,850.98 $37,850.98 $37,850.98 2026-03-17
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 18 10 — — $37,555.56 $37,555.56 $37,555.56 2026-03-17
C0904 LOCAL Other Orthopedic M <44.5- Tier Tier 2 18 10 — — $37,502.65 $37,502.65 $37,502.65 2026-03-17
D1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50- Tier Tier 3 18 10 — — $37,306.15 $37,306.15 $37,306.15 2026-03-17
B0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 1 18 10 — — $37,198.00 $37,198.00 $37,198.00 2026-03-17
D0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier Tier 3 18 10 — — $19,694.93 $54,633.65 $37,164.29 2026-03-17
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 2 18 10 — — $37,151.64 $37,151.64 $37,151.64 2026-03-17
D2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier Tier 3 18 10 — — $36,582.19 $36,582.19 $36,582.19 2026-03-17
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50- Tier None 18 10 — — $36,456.37 $36,456.37 $36,456.37 2026-03-17
D1503 LOCAL Pulmonary M >=45.50 And M <56.50- Tier Tier 3 18 10 — — $36,033.72 $36,033.72 $36,033.72 2026-03-17
D0104 LOCAL Stroke M >=41.50 And M <50.50- Tier Tier 3 18 10 — — $35,745.66 $35,745.66 $35,745.66 2026-03-17
D1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50- Tier Tier 3 18 10 — — $35,725.79 $35,725.79 $35,725.79 2026-03-17
B0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 1 18 10 — — $35,341.74 $35,341.74 $35,341.74 2026-03-17
D1404 LOCAL Cardiac M <45.50- Tier Tier 3 18 10 — — $35,216.68 $35,216.68 $35,216.68 2026-03-17
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier Tier 3 18 10 — — $35,203.47 $35,203.47 $35,203.47 2026-03-17
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50- Tier Tier 3 18 10 — — $34,707.95 $34,707.95 $34,707.95 2026-03-17
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50- Tier Tier 3 18 10 — — $34,619.86 $34,619.86 $34,619.86 2026-03-17
A0104 LOCAL Stroke M >=41.50 And M <50.50- Tier None 18 10 — — $34,065.97 $34,065.97 $34,065.97 2026-03-17
C0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 2 18 10 — — $34,023.01 $34,023.01 $34,023.01 2026-03-17
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50- Tier Tier 3 18 10 — — $34,010.79 $34,010.79 $34,010.79 2026-03-17
C1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50- T… 18 10 — — $33,530.26 $33,530.26 $33,530.26 2026-03-17
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier Tier 3 18 10 — — $33,284.62 $33,284.62 $33,284.62 2026-03-17
A2005 LOCAL Miscellaneous M <46.50 And A <77.50- Tier None 18 10 — — $33,256.65 $33,256.65 $33,256.65 2026-03-17
D0904 LOCAL Other Orthopedic M <44.5- Tier Tier 3 18 10 — — $30,771.21 $35,425.90 $33,098.56 2026-03-17
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50- Tier None 18 10 — — $33,057.28 $33,057.28 $33,057.28 2026-03-17
A1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50… 18 10 — — $32,739.11 $32,739.11 $32,739.11 2026-03-17
C0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2 18 10 — — $32,712.69 $32,712.69 $32,712.69 2026-03-17
A1404 LOCAL Cardiac M <45.50- Tier None 18 10 — — $32,384.55 $32,384.55 $32,384.55 2026-03-17
A0904 LOCAL Other Orthopedic M <44.5- Tier None 18 10 — — $32,318.48 $32,318.48 $32,318.48 2026-03-17
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3 18 10 — — $30,812.56 $33,395.85 $32,104.21 2026-03-17
A0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier None 18 10 — — $31,489.13 $31,489.13 $31,489.13 2026-03-17
A0704 LOCAL Fracture Of Lower Extremity M <41.50- Tier None 18 10 — — $27,787.56 $34,776.69 $31,282.12 2026-03-17
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50- Tier None 18 10 — — $31,044.31 $31,044.31 $31,044.31 2026-03-17
D0603 LOCAL Neurological M >=43.50 And M <52.50- Tier Tier 3 18 10 — — $30,633.77 $30,633.77 $30,633.77 2026-03-17
A1503 LOCAL Pulmonary M >=45.50 And M <56.50- Tier None 18 10 — — $30,532.90 $30,532.90 $30,532.90 2026-03-17
C0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50- Tier Tier 2 18 10 — — $30,530.03 $30,530.03 $30,530.03 2026-03-17
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3 18 10 — — $30,249.72 $30,249.72 $30,249.72 2026-03-17
A1203 LOCAL Osteoarthritis M <49.50 And A >=74.50- Tier None 18 10 — — $29,951.75 $29,951.75 $29,951.75 2026-03-17
C0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2 18 10 — — $27,578.22 $31,875.82 $29,727.02 2026-03-17
D1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50- Tier Tier 3 18 10 — — $29,541.21 $29,541.21 $29,541.21 2026-03-17
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3 18 10 — — $29,450.71 $29,450.71 $29,450.71 2026-03-17
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier Tier 3 18 10 — — $29,026.93 $29,026.93 $29,026.93 2026-03-17
A1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50… 18 10 — — $28,457.47 $28,457.47 $28,457.47 2026-03-17
A1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50- T… 18 10 — — $28,327.25 $28,327.25 $28,327.25 2026-03-17
D1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier Tier 3 18 10 — — $28,311.80 $28,311.80 $28,311.80 2026-03-17
D0103 LOCAL Stroke M >=50.50 And M <63.50- Tier Tier 3 18 10 — — $28,009.41 $28,009.41 $28,009.41 2026-03-17
A0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier None 18 10 — — $27,123.94 $28,468.51 $27,796.22 2026-03-17
D0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3 18 10 — — $27,753.37 $27,753.37 $27,753.37 2026-03-17
A0603 LOCAL Neurological M >=43.50 And M <52.50- Tier None 18 10 — — $27,627.56 $27,627.56 $27,627.56 2026-03-17
A1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50- Tier None 18 10 — — $27,481.89 $27,481.89 $27,481.89 2026-03-17
D0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 3 18 10 — — $27,422.29 $27,422.29 $27,422.29 2026-03-17
A1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50- Tier None 18 10 — — $27,400.78 $27,400.78 $27,400.78 2026-03-17
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50- Tier None 18 10 — — $26,839.20 $26,839.20 $26,839.20 2026-03-17
A2003 LOCAL Miscellaneous M >=46.50 And M <55.50- Tier None 18 10 — — $26,420.22 $26,420.22 $26,420.22 2026-03-17
D0602 LOCAL Neurological M >=52.50 And M <64.50- Tier Tier 3 18 10 — — $25,998.65 $25,998.65 $25,998.65 2026-03-17
C2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 2 18 10 — — $25,947.88 $25,947.88 $25,947.88 2026-03-17
A0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier None 18 10 — — $25,883.87 $25,883.87 $25,883.87 2026-03-17
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50- Tier None 18 10 — — $25,817.66 $25,817.66 $25,817.66 2026-03-17
A1502 LOCAL Pulmonary M >=56.50 And M <68.50- Tier None 18 10 — — $25,468.92 $25,468.92 $25,468.92 2026-03-17
D0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3 18 10 — — $25,140.04 $25,140.04 $25,140.04 2026-03-17
D0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3 18 10 — — $24,791.08 $24,791.08 $24,791.08 2026-03-17
D0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier Tier 3 18 10 — — $24,771.44 $24,771.44 $24,771.44 2026-03-17
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier Tier 3 18 10 — — $24,239.51 $24,239.51 $24,239.51 2026-03-17
A1302 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50- Tier None 18 10 — — $24,155.63 $24,155.63 $24,155.63 2026-03-17
D0501 LOCAL Non-traumatic Spinal Cord Injury M >=60.50- Tier Tier 3 18 10 — — $23,878.02 $23,878.02 $23,878.02 2026-03-17
A0602 LOCAL Neurological M >=52.50 And M <64.50- Tier None 18 10 — — $23,447.12 $23,447.12 $23,447.12 2026-03-17
A0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50- Tier None 18 10 — — $23,149.15 $23,149.15 $23,149.15 2026-03-17
A0902 LOCAL Other Orthopedic M >=51.50 And M <63.50- Tier None 18 10 — — $22,617.43 $22,617.43 $22,617.43 2026-03-17
D0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier Tier 3 18 10 — — $22,255.23 $22,255.23 $22,255.23 2026-03-17
A2002 LOCAL Miscellaneous M >=55.50 And M <66.50- Tier None 18 10 — — $22,063.20 $22,063.20 $22,063.20 2026-03-17
D0102 LOCAL Stroke M >=63.50 And M <72.50- Tier Tier 3 18 10 — — $21,729.92 $22,035.80 $21,882.86 2026-03-17
A0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier None 18 10 — — $14,638.75 $27,821.42 $21,230.08 2026-03-17
D0901 LOCAL Other Orthopedic M >=63.50- Tier Tier 3 18 10 — — $19,800.82 $19,800.82 $19,800.82 2026-03-17
A0301 LOCAL Non-traumatic Brain Injury M >=65.50- Tier None 18 10 — — $18,326.41 $18,326.41 $18,326.41 2026-03-17
D1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50- T… 18 10 — — $15,807.15 $15,807.15 $15,807.15 2026-03-17
A1403 LOCAL Cardiac M >=45.50 And M <55.50- Tier None 18 10 — — $15,549.82 $15,549.82 $15,549.82 2026-03-17
C1404 LOCAL Cardiac M <45.50- Tier Tier 2 18 10 — — $7,841.29 $7,841.29 $7,841.29 2026-03-17
A0102 LOCAL Stroke M >=63.50 And M <72.50- Tier None 18 10 — — $7,248.57 $7,248.57 $7,248.57 2026-03-17
97129 HCPCS Ther Ivntj 1st 15 Min 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97032 HCPCS Appl Modality 1+estim Ea 15 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97130 HCPCS Ther Ivntj Ea Addl 15 Min 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97113 HCPCS Aquatic Therapy/exercises 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97033 HCPCS App Mdlty 1+iontphrsis Ea 15 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97014 HCPCS Electric Stimulation Therapy 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97537 HCPCS Community/work Reintegration 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97168 HCPCS Ot Re-eval Est Plan Care 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97761 HCPCS Prosthetic Traing 1st Enc 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97760 HCPCS Orthotic Mgmt&traing 1st Enc 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97140 HCPCS Manual Therapy 1/> Regions 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97167 HCPCS Ot Eval High Complex 60 Min 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97750 HCPCS Physical Performance Test 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97763 HCPCS Orthc/prostc Mgmt Sbsq Enc 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97542 HCPCS Wheelchair Mngment Training 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97533 HCPCS Sensory Integration 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97124 HCPCS Massage Therapy 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97035 HCPCS App Mdlty 1+ultrasound Ea 15 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97018 HCPCS Paraffin Bath Therapy 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97012 HCPCS Mechanical Traction Therapy 19 9 — — $180.00 $180.00 $180.00 2026-03-17
97112 HCPCS Neuromuscular Reeducation 25 11 — — $180.00 $180.00 $180.00 2026-03-17
92526 HCPCS Oral Function Therapy 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97164 HCPCS Pt Re-eval Est Plan Care 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97161 HCPCS Pt Eval Low Complex 20 Min 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97165 HCPCS Ot Eval Low Complex 30 Min 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97530 HCPCS Therapeutic Activities 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97535 HCPCS Self Care Mngment Training 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97166 HCPCS Ot Eval Mod Complex 45 Min 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97162 HCPCS Pt Eval Mod Complex 30 Min 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97163 HCPCS Pt Eval High Complex 45 Min 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97116 HCPCS Gait Training Therapy 25 11 — — $180.00 $180.00 $180.00 2026-03-17
97110 HCPCS Therapeutic Exercises 25 11 — — $180.00 $180.00 $180.00 2026-03-17
0410 RC Respiratory Services - General Classification 32 11 — — $110.00 $180.00 $145.00 2026-03-17
0444 RC Speech Therapy - Language Pathology - Evaluation Or Reevaluation 34 12 — — $106.10 $180.00 $143.05 2026-03-17
0440 RC Speech Therapy - Language Pathology - General Classification 35 12 — — $106.10 $180.00 $143.05 2026-03-17
0434 RC Occupational Therapy - Evaluation Or Reevaluation 35 12 — — $106.10 $180.00 $143.05 2026-03-17
0424 RC Physical Therapy - Evaluation Or Re-evaluation 35 12 — — $106.10 $180.00 $143.05 2026-03-17
0420 RC Physical Therapy - General Classification 35 12 — — $106.10 $180.00 $143.05 2026-03-17
0421 RC Physical Therapy - Visit Charge 35 12 — — $106.10 $180.00 $143.05 2026-03-17
0430 RC Occupational Therapy - General Classification 35 12 — — $106.10 $180.00 $143.05 2026-03-17
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