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Hospital

PAM Health Rehabilitation Hospital of Greeley

Greeley, CO · CCN 063039 · Rates published

1,954 distinct procedures filed
17 distinct payers
52,325 rate rows
2025-09-11 last MRF observed
Data quality

52,275 of 52,325 rate rows are consumer-grade (99.9%)

50 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
per-diem day rate — not a per-procedure price 32
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
percent-of-charges filed in the dollar field — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10811/880572519_pam-rehabilitation-hospital-of-greeley-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/PAMHealthRehabilitationHospitalofGreeley/10811
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 543e4e0e2fc97b82… · 16,867,614 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
B0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $73,964.74 $123,274.56 $82,183.04 nat. median
$79,920
1.0× median
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $65,775.40 $109,625.67 $73,083.78 nat. median
$70,083
1.0× median
B1904
LOCAL 		Guillain-barré M <38.50 12 $64,001.42 $106,669.04 $71,112.69 nat. median
$68,345
1.0× median
D0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $63,850.97 $106,418.28 $70,945.52 nat. median
$67,662
1.0× median
B1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $60,203.29 $100,338.81 $66,892.54 nat. median
$64,290
1.0× median
A0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $58,018.18 $96,696.96 $64,464.64 nat. median
$61,956
1.0× median
B0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $54,102.83 $90,171.39 $60,114.26 nat. median
$59,111
1.0× median
B0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $53,317.31 $88,862.19 $59,241.46 nat. median
$57,695
1.0× median
B0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 12 $52,769.73 $87,949.55 $58,633.03 nat. median
$56,226
1.0× median
B0106
LOCAL 		Stroke M <41.50 And A <84.50 12 $50,847.04 $84,745.07 $56,496.71 nat. median
$53,762
1.1× median
C1904
LOCAL 		Guillain-barré M <38.50 12 $49,204.28 $82,007.13 $54,671.42 nat. median
$52,544
1.0× median
C0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $48,112.60 $80,187.66 $53,458.44 nat. median
$52,063
1.0× median
C1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $48,026.87 $80,044.79 $53,363.19 nat. median
$51,172
1.0× median
C0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $47,414.55 $79,024.25 $52,682.83 nat. median
$50,633
1.0× median
D0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $46,704.26 $77,840.43 $51,893.62 nat. median
$49,763
1.0× median
B0205
LOCAL 		Traumatic Brain Injury M <35.50 12 $46,160.17 $76,933.62 $51,289.08 nat. median
$49,196
1.0× median
D0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $46,027.21 $76,712.01 $51,141.34 nat. median
$49,042
1.0× median
D1904
LOCAL 		Guillain-barré M <38.50 12 $45,913.49 $76,522.49 $51,014.99 nat. median
$49,620
1.0× median
B1705
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 12 $45,871.51 $76,452.51 $50,968.34 nat. median
$48,876
1.0× median
D1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $45,595.09 $75,991.82 $50,661.21 nat. median
$48,581
1.0× median
A1904
LOCAL 		Guillain-barré M <38.50 12 $45,119.22 $75,198.71 $50,132.47 nat. median
$48,824
1.0× median
B0105
LOCAL 		Stroke M <41.50 And A >=84.50 12 $44,704.59 $74,507.66 $49,671.77 nat. median
$48,375
1.0× median
C0106
LOCAL 		Stroke M <41.50 And A <84.50 12 $44,097.53 $73,495.88 $48,997.25 nat. median
$46,986
1.0× median
B1903
LOCAL 		Guillain-barré M >=38.50 And M <51.50 12 $43,936.57 $73,227.62 $48,818.41 nat. median
$46,919
1.0× median
B0604
LOCAL 		Neurological M <43.50 12 $43,569.18 $72,615.30 $48,410.20 nat. median
$46,423
1.0× median
A0406
LOCAL 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $42,439.01 $70,731.69 $47,154.46 nat. median
$45,230
1.0× median
B0405
LOCAL 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 12 $42,400.52 $70,667.54 $47,111.69 nat. median
$46,326
1.0× median
B1805
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 12 $42,391.78 $70,652.97 $47,101.98 nat. median
$45,253
1.0× median
A1806
LOCAL 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $42,274.57 $70,457.61 $46,971.74 nat. median
$45,144
1.0× median
A0404
LOCAL 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $41,823.20 $69,705.33 $46,470.22 nat. median
$44,562
1.0× median
B0305
LOCAL 		Non-traumatic Brain Injury M <42.50 And A <78.50 12 $41,716.48 $69,527.46 $46,351.64 nat. median
$44,232
1.0× median
A5104
LOCAL 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 12 $41,697.23 $69,495.39 $46,330.26 nat. median
$44,527
1.0× median
B1604
LOCAL 		Pain Syndrome M <43.50 12 $41,069.17 $68,448.62 $45,632.41 nat. median
$43,857
1.0× median
C0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 12 $41,053.42 $68,422.37 $45,614.91 nat. median
$43,704
1.0× median
B0704
LOCAL 		Fracture Of Lower Extremity M <41.50 12 $40,715.78 $67,859.63 $45,239.75 nat. median
$43,383
1.0× median
B2102
LOCAL 		Burns M <52.50 12 $40,546.07 $67,576.79 $45,051.19 nat. median
$43,298
1.0× median
28730
CPT 		Fusion Of Foot Bones 17 $40,550.39 $49,239.76 $44,895.07 nat. median
$10,278
outlier · 4.4×
D0106
LOCAL 		Stroke M <41.50 And A <84.50 12 $40,297.64 $67,162.74 $44,775.16 nat. median
$42,703
1.0× median
B1004
LOCAL 		Amputation Lower Extremity M <47.50 12 $40,257.41 $67,095.68 $44,730.45 nat. median
$42,470
1.1× median
B1504
LOCAL 		Pulmonary M <45.50 12 $39,790.30 $66,317.16 $44,211.44 nat. median
$43,057
1.0× median
B1704
LOCAL 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 12 $39,088.75 $65,147.91 $43,431.94 nat. median
$41,742
1.0× median
B2005
LOCAL 		Miscellaneous M <46.50 And A <77.50 12 $38,859.57 $64,765.95 $43,177.30 nat. median
$40,995
1.1× median
D0505
LOCAL 		Non-traumatic Spinal Cord Injury M <39.50 12 $38,784.34 $64,640.57 $43,093.71 nat. median
$41,099
1.0× median
C0105
LOCAL 		Stroke M <41.50 And A >=84.50 12 $38,770.34 $64,617.24 $43,078.16 nat. median
$41,402
1.0× median
A0106
LOCAL 		Stroke M <41.50 And A <84.50 12 $38,402.96 $64,004.93 $42,669.95 nat. median
$39,573
1.1× median
B1204
LOCAL 		Osteoarthritis M <49.50 And A <74.50 12 $38,203.51 $63,672.51 $42,448.34 nat. median
$40,797
1.0× median
C0205
LOCAL 		Traumatic Brain Injury M <35.50 12 $38,018.06 $63,363.44 $42,242.29 nat. median
$40,508
1.0× median
B0504
LOCAL 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 12 $37,976.08 $63,293.46 $42,195.64 nat. median
$41,330
1.0× median
B0304
LOCAL 		Non-traumatic Brain Injury M <42.50 And A >=78.50 12 $37,825.62 $63,042.71 $42,028.47 nat. median
$41,166
1.0× median
C0405
LOCAL 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 12 $37,706.65 $62,844.42 $41,896.28 nat. median
$40,176
1.0× median

Other procedures at this hospital

Browse this hospital's 1,954 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 12 — — $73,964.74 $123,274.56 $82,183.04 2025-09-11
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 12 — — $65,775.40 $109,625.67 $73,083.78 2025-09-11
B1904 LOCAL Guillain-barré M <38.50 15 12 — — $64,001.42 $106,669.04 $71,112.69 2025-09-11
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 12 — — $63,850.97 $106,418.28 $70,945.52 2025-09-11
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 12 — — $60,203.29 $100,338.81 $66,892.54 2025-09-11
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 12 — — $58,018.18 $96,696.96 $64,464.64 2025-09-11
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 12 — — $54,102.83 $90,171.39 $60,114.26 2025-09-11
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 12 — — $53,317.31 $88,862.19 $59,241.46 2025-09-11
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 15 12 — — $52,769.73 $87,949.55 $58,633.03 2025-09-11
B0106 LOCAL Stroke M <41.50 And A <84.50 15 12 — — $50,847.04 $84,745.07 $56,496.71 2025-09-11
C1904 LOCAL Guillain-barré M <38.50 15 12 — — $49,204.28 $82,007.13 $54,671.42 2025-09-11
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 12 — — $48,112.60 $80,187.66 $53,458.44 2025-09-11
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 12 — — $48,026.87 $80,044.79 $53,363.19 2025-09-11
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 12 — — $47,414.55 $79,024.25 $52,682.83 2025-09-11
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 12 — — $46,704.26 $77,840.43 $51,893.62 2025-09-11
B0205 LOCAL Traumatic Brain Injury M <35.50 15 12 — — $46,160.17 $76,933.62 $51,289.08 2025-09-11
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 12 — — $46,027.21 $76,712.01 $51,141.34 2025-09-11
D1904 LOCAL Guillain-barré M <38.50 15 12 — — $45,913.49 $76,522.49 $51,014.99 2025-09-11
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 12 — — $45,871.51 $76,452.51 $50,968.34 2025-09-11
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 12 — — $45,595.09 $75,991.82 $50,661.21 2025-09-11
A1904 LOCAL Guillain-barré M <38.50 15 12 — — $45,119.22 $75,198.71 $50,132.47 2025-09-11
B0105 LOCAL Stroke M <41.50 And A >=84.50 15 12 — — $44,704.59 $74,507.66 $49,671.77 2025-09-11
C0106 LOCAL Stroke M <41.50 And A <84.50 15 12 — — $44,097.53 $73,495.88 $48,997.25 2025-09-11
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 15 12 — — $43,936.57 $73,227.62 $48,818.41 2025-09-11
B0604 LOCAL Neurological M <43.50 15 12 — — $43,569.18 $72,615.30 $48,410.20 2025-09-11
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 12 — — $42,439.01 $70,731.69 $47,154.46 2025-09-11
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 12 — — $42,400.52 $70,667.54 $47,111.69 2025-09-11
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 12 — — $42,391.78 $70,652.97 $47,101.98 2025-09-11
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 12 — — $42,274.57 $70,457.61 $46,971.74 2025-09-11
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 12 — — $41,823.20 $69,705.33 $46,470.22 2025-09-11
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 15 12 — — $41,716.48 $69,527.46 $46,351.64 2025-09-11
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 15 12 — — $41,697.23 $69,495.39 $46,330.26 2025-09-11
B1604 LOCAL Pain Syndrome M <43.50 15 12 — — $41,069.17 $68,448.62 $45,632.41 2025-09-11
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 15 12 — — $41,053.42 $68,422.37 $45,614.91 2025-09-11
B0704 LOCAL Fracture Of Lower Extremity M <41.50 15 12 — — $40,715.78 $67,859.63 $45,239.75 2025-09-11
B2102 LOCAL Burns M <52.50 15 12 — — $40,546.07 $67,576.79 $45,051.19 2025-09-11
28730 CPT Fusion Of Foot Bones 28 17 $57,929.13 $57,929.13 $40,550.39 $49,239.76 $44,895.07 2025-09-11
D0106 LOCAL Stroke M <41.50 And A <84.50 15 12 — — $40,297.64 $67,162.74 $44,775.16 2025-09-11
B1004 LOCAL Amputation Lower Extremity M <47.50 15 12 — — $40,257.41 $67,095.68 $44,730.45 2025-09-11
B1504 LOCAL Pulmonary M <45.50 15 12 — — $39,790.30 $66,317.16 $44,211.44 2025-09-11
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 12 — — $39,088.75 $65,147.91 $43,431.94 2025-09-11
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 15 12 — — $38,859.57 $64,765.95 $43,177.30 2025-09-11
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 15 12 — — $38,784.34 $64,640.57 $43,093.71 2025-09-11
C0105 LOCAL Stroke M <41.50 And A >=84.50 15 12 — — $38,770.34 $64,617.24 $43,078.16 2025-09-11
A0106 LOCAL Stroke M <41.50 And A <84.50 15 12 — — $38,402.96 $64,004.93 $42,669.95 2025-09-11
B1204 LOCAL Osteoarthritis M <49.50 And A <74.50 15 12 — — $38,203.51 $63,672.51 $42,448.34 2025-09-11
C0205 LOCAL Traumatic Brain Injury M <35.50 15 12 — — $38,018.06 $63,363.44 $42,242.29 2025-09-11
B0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 12 — — $37,976.08 $63,293.46 $42,195.64 2025-09-11
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 15 12 — — $37,825.62 $63,042.71 $42,028.47 2025-09-11
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 12 — — $37,706.65 $62,844.42 $41,896.28 2025-09-11
B1404 LOCAL Cardiac M <45.50 15 12 — — $37,540.46 $62,567.43 $41,711.62 2025-09-11
B1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 12 — — $37,466.97 $62,444.96 $41,629.97 2025-09-11
B0904 LOCAL Other Orthopedic M <44.5 15 12 — — $37,466.97 $62,444.96 $41,629.97 2025-09-11
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50 15 12 — — $36,866.91 $61,444.85 $40,963.23 2025-09-11
D0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 12 — — $36,602.73 $61,004.55 $40,669.70 2025-09-11
B1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 15 12 — — $36,431.28 $60,718.80 $40,479.20 2025-09-11
B0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 15 12 — — $36,062.14 $60,103.56 $40,069.04 2025-09-11
B0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 15 12 — — $36,035.90 $60,059.84 $40,039.89 2025-09-11
B1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 15 12 — — $35,880.19 $59,800.32 $39,866.88 2025-09-11
B0104 LOCAL Stroke M >=41.50 And M <50.50 15 12 — — $35,750.74 $59,584.56 $39,723.04 2025-09-11
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 15 12 — — $35,740.23 $59,567.06 $39,711.37 2025-09-11
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 12 — — $35,656.26 $59,427.11 $39,618.07 2025-09-11
D0105 LOCAL Stroke M <41.50 And A >=84.50 15 12 — — $35,428.82 $59,048.04 $39,365.36 2025-09-11
B1103 LOCAL Amputation Non-lower Extremity M <52.50 15 12 — — $35,087.68 $58,479.47 $38,986.31 2025-09-11
B1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 12 — — $34,965.22 $58,275.36 $38,850.24 2025-09-11
B0603 LOCAL Neurological M >=43.50 And M <52.50 15 12 — — $34,741.28 $57,902.13 $38,601.42 2025-09-11
B1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 12 — — $34,534.84 $57,558.06 $38,372.04 2025-09-11
D0205 LOCAL Traumatic Brain Injury M <35.50 15 12 — — $34,531.34 $57,552.24 $38,368.16 2025-09-11
B0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 12 — — $34,148.21 $56,913.68 $37,942.45 2025-09-11
33207 CPT Insrt Heart Pm Venticular 28 17 $48,848.87 $48,848.87 $34,194.21 $41,521.54 $37,857.88 2025-09-11
33208 CPT Ins/Rplc Pacemkr; Atr+vnt 28 17 $48,848.87 $48,848.87 $34,194.21 $41,521.54 $37,857.88 2025-09-11
C1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 12 — — $33,817.55 $56,362.59 $37,575.06 2025-09-11
C1903 LOCAL Guillain-barré M >=38.50 And M <51.50 15 12 — — $33,777.32 $56,295.53 $37,530.35 2025-09-11
A0105 LOCAL Stroke M <41.50 And A >=84.50 15 12 — — $33,765.07 $56,275.11 $37,516.74 2025-09-11
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 15 12 — — $33,374.93 $55,624.89 $37,083.26 2025-09-11
B0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 15 12 — — $33,329.45 $55,549.08 $37,032.72 2025-09-11
C1004 LOCAL Amputation Lower Extremity M <47.50 15 12 — — $33,294.46 $55,490.76 $36,993.84 2025-09-11
A0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 12 — — $33,259.46 $55,432.44 $36,954.96 2025-09-11
B1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 15 12 — — $33,147.50 $55,245.83 $36,830.55 2025-09-11
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 12 — — $33,021.53 $55,035.89 $36,690.59 2025-09-11
37236 CPT Open/Perq Place Stent 1st 28 17 $47,189.05 $47,189.05 $33,032.34 $40,110.69 $36,571.51 2025-09-11
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 15 12 — — $32,624.41 $54,374.01 $36,249.34 2025-09-11
C0604 LOCAL Neurological M <43.50 15 12 — — $32,619.15 $54,365.25 $36,243.50 2025-09-11
A0205 LOCAL Traumatic Brain Injury M <35.50 15 12 — — $32,510.68 $54,184.47 $36,122.98 2025-09-11
C1504 LOCAL Pulmonary M <45.50 15 12 — — $32,295.50 $53,825.84 $35,883.89 2025-09-11
B1503 LOCAL Pulmonary M >=45.50 And M <56.50 15 12 — — $32,131.04 $53,551.74 $35,701.16 2025-09-11
D1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 12 — — $32,104.80 $53,508.00 $35,672.00 2025-09-11
B1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 12 — — $31,973.59 $53,289.32 $35,526.21 2025-09-11
B0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 12 — — $31,947.35 $53,245.59 $35,497.06 2025-09-11
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50 15 12 — — $31,518.73 $52,531.22 $35,020.81 2025-09-11
C0704 LOCAL Fracture Of Lower Extremity M <41.50 15 12 — — $31,495.99 $52,493.31 $34,995.54 2025-09-11
B1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 15 12 — — $31,445.24 $52,408.74 $34,939.16 2025-09-11
A5102 LOCAL Expired, Orthopedic, Length Of Stay Is 14 Days Or More 15 12 — — $31,361.27 $52,268.79 $34,845.86 2025-09-11
B0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 15 12 — — $31,268.55 $52,114.25 $34,742.83 2025-09-11
C2005 LOCAL Miscellaneous M <46.50 And A <77.50 15 12 — — $31,039.37 $51,732.29 $34,488.19 2025-09-11
C0104 LOCAL Stroke M >=41.50 And M <50.50 15 12 — — $31,004.38 $51,673.97 $34,449.31 2025-09-11
C1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 12 — — $30,978.14 $51,630.23 $34,420.15 2025-09-11
A1903 LOCAL Guillain-barré M >=38.50 And M <51.50 15 12 — — $30,972.89 $51,621.48 $34,414.32 2025-09-11
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50 15 12 — — $30,834.68 $51,391.13 $34,260.75 2025-09-11
C2102 LOCAL Burns M <52.50 15 12 — — $30,810.19 $51,350.31 $34,233.54 2025-09-11
D2102 LOCAL Burns M <52.50 15 12 — — $30,810.19 $51,350.31 $34,233.54 2025-09-11
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 15 12 — — $30,657.98 $51,096.63 $34,064.42 2025-09-11
B1403 LOCAL Cardiac M >=45.50 And M <55.50 15 12 — — $30,636.99 $51,061.65 $34,041.10 2025-09-11
C1604 LOCAL Pain Syndrome M <43.50 15 12 — — $30,504.02 $50,840.04 $33,893.36 2025-09-11
D0604 LOCAL Neurological M <43.50 15 12 — — $30,451.55 $50,752.58 $33,835.05 2025-09-11
D1004 LOCAL Amputation Lower Extremity M <47.50 15 12 — — $30,413.05 $50,688.42 $33,792.28 2025-09-11
C1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 12 — — $30,383.31 $50,638.85 $33,759.23 2025-09-11
D1504 LOCAL Pulmonary M <45.50 15 12 — — $30,372.81 $50,621.36 $33,747.57 2025-09-11
C0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 12 — — $30,367.57 $50,612.61 $33,741.74 2025-09-11
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 15 12 — — $30,262.60 $50,437.67 $33,625.11 2025-09-11
B0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 12 — — $30,068.41 $50,114.01 $33,409.34 2025-09-11
C0904 LOCAL Other Orthopedic M <44.5 15 12 — — $30,008.93 $50,014.88 $33,343.25 2025-09-11
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 12 — — $29,958.18 $49,930.31 $33,286.87 2025-09-11
D0704 LOCAL Fracture Of Lower Extremity M <41.50 15 12 — — $29,835.72 $49,726.20 $33,150.80 2025-09-11
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 12 — — $29,767.49 $49,612.49 $33,074.99 2025-09-11
C0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 15 12 — — $29,681.77 $49,469.61 $32,979.74 2025-09-11
B1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 12 — — $29,667.77 $49,446.29 $32,964.19 2025-09-11
C1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 15 12 — — $29,666.03 $49,443.38 $32,962.25 2025-09-11
C1404 LOCAL Cardiac M <45.50 15 12 — — $29,573.30 $49,288.83 $32,859.22 2025-09-11
D1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 12 — — $29,569.80 $49,283.00 $32,855.33 2025-09-11
C0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 12 — — $29,543.56 $49,239.27 $32,826.18 2025-09-11
B0602 LOCAL Neurological M >=52.50 And M <64.50 15 12 — — $29,484.07 $49,140.12 $32,760.08 2025-09-11
D0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 12 — — $29,478.83 $49,131.38 $32,754.25 2025-09-11
C2004 LOCAL Miscellaneous M <46.50 And A >=77.50 15 12 — — $29,447.33 $49,078.89 $32,719.26 2025-09-11
B1902 LOCAL Guillain-barré M >=51.50 And M <66.50 15 12 — — $29,120.18 $48,533.64 $32,355.76 2025-09-11
B1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 12 — — $29,062.45 $48,437.42 $32,291.61 2025-09-11
B0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 15 12 — — $29,055.46 $48,425.76 $32,283.84 2025-09-11
C1204 LOCAL Osteoarthritis M <49.50 And A <74.50 15 12 — — $29,044.95 $48,408.26 $32,272.17 2025-09-11
D2005 LOCAL Miscellaneous M <46.50 And A <77.50 15 12 — — $28,995.97 $48,326.61 $32,217.74 2025-09-11
C0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 15 12 — — $28,936.49 $48,227.48 $32,151.65 2025-09-11
A0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 15 12 — — $28,896.25 $48,160.41 $32,106.94 2025-09-11
A1504 LOCAL Pulmonary M <45.50 15 12 — — $28,411.64 $47,352.74 $31,568.49 2025-09-11
D0104 LOCAL Stroke M >=41.50 And M <50.50 15 12 — — $28,332.92 $47,221.53 $31,481.02 2025-09-11
D1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 15 12 — — $28,317.17 $47,195.28 $31,463.52 2025-09-11
B1502 LOCAL Pulmonary M >=56.50 And M <68.50 15 12 — — $28,271.68 $47,119.47 $31,412.98 2025-09-11
D1103 LOCAL Amputation Non-lower Extremity M <52.50 15 12 — — $28,205.20 $47,008.67 $31,339.11 2025-09-11
C1103 LOCAL Amputation Non-lower Extremity M <52.50 15 12 — — $28,205.20 $47,008.67 $31,339.11 2025-09-11
D1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 12 — — $28,138.73 $46,897.88 $31,265.25 2025-09-11
B1102 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 15 12 — — $28,136.97 $46,894.95 $31,263.30 2025-09-11
B1202 LOCAL Osteoarthritis M >=49.50 And M <61.50 15 12 — — $28,121.23 $46,868.72 $31,245.81 2025-09-11
B0103 LOCAL Stroke M >=50.50 And M <63.50 15 12 — — $28,012.76 $46,687.94 $31,125.29 2025-09-11
D0904 LOCAL Other Orthopedic M <44.5 15 12 — — $27,970.77 $46,617.95 $31,078.63 2025-09-11
D0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 12 — — $27,911.29 $46,518.81 $31,012.54 2025-09-11
C1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 12 — — $27,893.79 $46,489.65 $30,993.10 2025-09-11
B0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 12 — — $27,871.05 $46,451.75 $30,967.83 2025-09-11
D0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 15 12 — — $27,799.32 $46,332.20 $30,888.13 2025-09-11
C1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 15 12 — — $27,696.11 $46,160.18 $30,773.45 2025-09-11
A1103 LOCAL Amputation Non-lower Extremity M <52.50 15 12 — — $27,634.87 $46,058.12 $30,705.41 2025-09-11
D1604 LOCAL Pain Syndrome M <43.50 15 12 — — $27,571.89 $45,953.15 $30,635.43 2025-09-11
A0704 LOCAL Fracture Of Lower Extremity M <41.50 15 12 — — $27,564.89 $45,941.49 $30,627.66 2025-09-11
D2004 LOCAL Miscellaneous M <46.50 And A >=77.50 15 12 — — $27,508.91 $45,848.18 $30,565.45 2025-09-11
A1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 12 — — $27,508.91 $45,848.18 $30,565.45 2025-09-11
D1404 LOCAL Cardiac M <45.50 15 12 — — $27,496.66 $45,827.76 $30,551.84 2025-09-11
A0604 LOCAL Neurological M <43.50 15 12 — — $27,463.42 $45,772.37 $30,514.91 2025-09-11
A1004 LOCAL Amputation Lower Extremity M <47.50 15 12 — — $27,248.23 $45,413.72 $30,275.81 2025-09-11
D1204 LOCAL Osteoarthritis M <49.50 And A <74.50 15 12 — — $27,232.49 $45,387.48 $30,258.32 2025-09-11
B0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 12 — — $27,211.49 $45,352.49 $30,234.99 2025-09-11
B0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 15 12 — — $27,113.53 $45,189.21 $30,126.14 2025-09-11
B0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 15 12 — — $27,103.02 $45,171.71 $30,114.47 2025-09-11
A0104 LOCAL Stroke M >=41.50 And M <50.50 15 12 — — $27,001.56 $45,002.60 $30,001.73 2025-09-11
D0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 15 12 — — $26,957.82 $44,929.70 $29,953.13 2025-09-11
C1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 12 — — $26,844.10 $44,740.17 $29,826.78 2025-09-11
B0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 12 — — $26,838.86 $44,731.43 $29,820.95 2025-09-11
B1002 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 15 12 — — $26,838.86 $44,731.43 $29,820.95 2025-09-11
A0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 12 — — $26,786.37 $44,643.95 $29,762.63 2025-09-11
33217 CPT Insert 2 Electrode Pm-defib 28 17 $38,328.90 $38,328.90 $26,830.23 $32,579.57 $29,704.90 2025-09-11
33216 CPT Insert 1 Electrode Pm-defib 28 17 $38,328.90 $38,328.90 $26,830.23 $32,579.57 $29,704.90 2025-09-11
D1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 12 — — $26,480.21 $44,133.68 $29,422.45 2025-09-11
A2005 LOCAL Miscellaneous M <46.50 And A <77.50 15 12 — — $26,392.73 $43,987.89 $29,325.26 2025-09-11
D0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 15 12 — — $26,382.24 $43,970.40 $29,313.60 2025-09-11
A1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 15 12 — — $26,343.75 $43,906.25 $29,270.83 2025-09-11
B2101 LOCAL Burns M >=52.50 15 12 — — $26,328.01 $43,880.01 $29,253.34 2025-09-11
A2102 LOCAL Burns M <52.50 15 12 — — $26,312.26 $43,853.76 $29,235.84 2025-09-11
B1602 LOCAL Pain Syndrome M >=58.50 And M <65.50 15 12 — — $26,247.53 $43,745.88 $29,163.92 2025-09-11
A0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 15 12 — — $26,202.04 $43,670.07 $29,113.38 2025-09-11
B0902 LOCAL Other Orthopedic M >=51.50 And M <63.50 15 12 — — $26,184.55 $43,640.91 $29,093.94 2025-09-11
C0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 15 12 — — $26,100.57 $43,500.95 $29,000.63 2025-09-11
C1503 LOCAL Pulmonary M >=45.50 And M <56.50 15 12 — — $26,077.82 $43,463.04 $28,975.36 2025-09-11
B1302 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 12 — — $26,077.82 $43,463.04 $28,975.36 2025-09-11
C0603 LOCAL Neurological M >=43.50 And M <52.50 15 12 — — $26,009.60 $43,349.33 $28,899.55 2025-09-11
C1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 15 12 — — $26,006.10 $43,343.51 $28,895.67 2025-09-11
D1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 15 12 — — $25,969.36 $43,282.26 $28,854.84 2025-09-11
C0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 15 12 — — $25,782.17 $42,970.28 $28,646.85 2025-09-11
B2002 LOCAL Miscellaneous M >=55.50 And M <66.50 15 12 — — $25,748.93 $42,914.88 $28,609.92 2025-09-11
A0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 12 — — $25,720.93 $42,868.22 $28,578.81 2025-09-11
A0904 LOCAL Other Orthopedic M <44.5 15 12 — — $25,591.47 $42,652.46 $28,434.97 2025-09-11
A1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 12 — — $25,528.49 $42,547.49 $28,364.99 2025-09-11
A1604 LOCAL Pain Syndrome M <43.50 15 12 — — $25,523.24 $42,538.74 $28,359.16 2025-09-11
C1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 12 — — $25,507.49 $42,512.49 $28,341.66 2025-09-11
A0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 15 12 — — $25,381.53 $42,302.55 $28,201.70 2025-09-11
A1404 LOCAL Cardiac M <45.50 15 12 — — $25,301.05 $42,168.42 $28,112.28 2025-09-11
C0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 15 12 — — $25,043.89 $41,739.81 $27,826.54 2025-09-11
A2004 LOCAL Miscellaneous M <46.50 And A >=77.50 15 12 — — $25,038.63 $41,731.05 $27,820.70 2025-09-11
B1402 LOCAL Cardiac M >=55.50 And M <68.50 15 12 — — $25,038.63 $41,731.05 $27,820.70 2025-09-11
A1204 LOCAL Osteoarthritis M <49.50 And A <74.50 15 12 — — $24,896.93 $41,494.88 $27,663.25 2025-09-11
B1802 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 15 12 — — $24,886.43 $41,477.39 $27,651.59 2025-09-11
D1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 12 — — $24,861.93 $41,436.56 $27,624.37 2025-09-11
C0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 12 — — $24,853.19 $41,421.98 $27,614.65 2025-09-11
C2003 LOCAL Miscellaneous M >=46.50 And M <55.50 15 12 — — $24,629.26 $41,048.76 $27,365.84 2025-09-11
C1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 15 12 — — $24,620.51 $41,034.18 $27,356.12 2025-09-11
A0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 15 12 — — $24,606.51 $41,010.86 $27,340.57 2025-09-11
A1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 12 — — $24,552.28 $40,920.47 $27,280.31 2025-09-11
C1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 12 — — $24,531.28 $40,885.47 $27,256.98 2025-09-11
D1503 LOCAL Pulmonary M >=45.50 And M <56.50 15 12 — — $24,526.04 $40,876.73 $27,251.15 2025-09-11
D0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 15 12 — — $24,422.81 $40,704.69 $27,136.46 2025-09-11
C0103 LOCAL Stroke M >=50.50 And M <63.50 15 12 — — $24,295.10 $40,491.84 $26,994.56 2025-09-11
D0603 LOCAL Neurological M >=43.50 And M <52.50 15 12 — — $24,281.11 $40,468.52 $26,979.01 2025-09-11
D1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 12 — — $24,216.37 $40,360.62 $26,907.08 2025-09-11
C0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 12 — — $24,198.88 $40,331.46 $26,887.64 2025-09-11
C1403 LOCAL Cardiac M >=45.50 And M <55.50 15 12 — — $24,135.90 $40,226.51 $26,817.67 2025-09-11
C0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 12 — — $24,127.16 $40,211.93 $26,807.95 2025-09-11
B0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 15 12 — — $24,113.16 $40,188.60 $26,792.40 2025-09-11
D0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 15 12 — — $23,976.69 $39,961.16 $26,640.77 2025-09-11
C0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 15 12 — — $23,931.21 $39,885.35 $26,590.23 2025-09-11
D1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 15 12 — — $23,756.27 $39,593.78 $26,395.85 2025-09-11
A1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 15 12 — — $23,740.52 $39,567.53 $26,378.35 2025-09-11
D0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 12 — — $23,490.34 $39,150.57 $26,100.38 2025-09-11
D0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 12 — — $23,479.84 $39,133.07 $26,088.71 2025-09-11
D1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 12 — — $23,415.11 $39,025.19 $26,016.79 2025-09-11
B1701 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 15 12 — — $23,392.37 $38,987.28 $25,991.52 2025-09-11
D0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 15 12 — — $23,343.38 $38,905.64 $25,937.09 2025-09-11
B0202 LOCAL Traumatic Brain Injury M >=61.50 And M <73.50 15 12 — — $23,331.13 $38,885.22 $25,923.48 2025-09-11
B0601 LOCAL Neurological M >=64.50 15 12 — — $23,245.41 $38,742.35 $25,828.23 2025-09-11
B1201 LOCAL Osteoarthritis M >=61.50 15 12 — — $23,227.92 $38,713.20 $25,808.80 2025-09-11
D2003 LOCAL Miscellaneous M >=46.50 And M <55.50 15 12 — — $23,007.48 $38,345.81 $25,563.87 2025-09-11
C1502 LOCAL Pulmonary M >=56.50 And M <68.50 15 12 — — $22,946.25 $38,243.75 $25,495.83 2025-09-11
A1503 LOCAL Pulmonary M >=45.50 And M <56.50 15 12 — — $22,942.75 $38,237.91 $25,491.94 2025-09-11
B1601 LOCAL Pain Syndrome M >=65.50 15 12 — — $22,904.26 $38,173.77 $25,449.18 2025-09-11
D1102 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 15 12 — — $22,617.34 $37,695.57 $25,130.38 2025-09-11
C1102 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 15 12 — — $22,617.34 $37,695.57 $25,130.38 2025-09-11
A0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 15 12 — — $22,598.10 $37,663.50 $25,109.00 2025-09-11
C1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 12 — — $22,591.11 $37,651.85 $25,101.23 2025-09-11
A0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 15 12 — — $22,564.86 $37,608.11 $25,072.07 2025-09-11
A1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 12 — — $22,556.12 $37,593.53 $25,062.35 2025-09-11
A1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 12 — — $22,452.89 $37,421.49 $24,947.66 2025-09-11
D1403 LOCAL Cardiac M >=45.50 And M <55.50 15 12 — — $22,440.65 $37,401.08 $24,934.05 2025-09-11
C1902 LOCAL Guillain-barré M >=51.50 And M <66.50 15 12 — — $22,388.17 $37,313.61 $24,875.74 2025-09-11
B1501 LOCAL Pulmonary M >=68.50 15 12 — — $22,286.69 $37,144.49 $24,762.99 2025-09-11
D1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 15 12 — — $22,253.45 $37,089.09 $24,726.06 2025-09-11
B0501 LOCAL Non-traumatic Spinal Cord Injury M >=60.50 15 12 — — $22,216.72 $37,027.86 $24,685.24 2025-09-11
D0103 LOCAL Stroke M >=50.50 And M <63.50 15 12 — — $22,200.97 $37,001.61 $24,667.74 2025-09-11
C1002 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 15 12 — — $22,195.72 $36,992.87 $24,661.91 2025-09-11
A1102 LOCAL Amputation Non-lower Extremity M >=52.50 And M <58.50 15 12 — — $22,160.73 $36,934.55 $24,623.03 2025-09-11
B1101 LOCAL Amputation Non-lower Extremity M >=58.50 15 12 — — $22,130.99 $36,884.99 $24,589.99 2025-09-11
C0602 LOCAL Neurological M >=52.50 And M <64.50 15 12 — — $22,075.00 $36,791.67 $24,527.78 2025-09-11
D0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 12 — — $21,998.03 $36,663.38 $24,442.25 2025-09-11
B0701 LOCAL Fracture Of Lower Extremity M >=61.50 15 12 — — $21,942.05 $36,570.08 $24,380.05 2025-09-11
A0603 LOCAL Neurological M >=43.50 And M <52.50 15 12 — — $21,898.31 $36,497.18 $24,331.45 2025-09-11
A1303 LOCAL Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 12 — — $21,782.84 $36,304.74 $24,203.16 2025-09-11
D0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 15 12 — — $21,735.60 $36,226.01 $24,150.67 2025-09-11
B0102 LOCAL Stroke M >=63.50 And M <72.50 15 12 — — $21,733.86 $36,223.10 $24,148.73 2025-09-11
C0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 15 12 — — $21,693.62 $36,156.03 $24,104.02 2025-09-11
C0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 12 — — $21,681.37 $36,135.62 $24,090.41 2025-09-11
A0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 12 — — $21,637.64 $36,062.73 $24,041.82 2025-09-11
D1502 LOCAL Pulmonary M >=56.50 And M <68.50 15 12 — — $21,579.90 $35,966.51 $23,977.67 2025-09-11
C1302 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 12 — — $21,562.41 $35,937.35 $23,958.23 2025-09-11
C0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 12 — — $21,536.16 $35,893.61 $23,929.07 2025-09-11
C1202 LOCAL Osteoarthritis M >=49.50 And M <61.50 15 12 — — $21,378.71 $35,631.18 $23,754.12 2025-09-11
A0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 15 12 — — $21,357.72 $35,596.20 $23,730.80 2025-09-11
A0402 LOCAL Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 12 — — $21,345.47 $35,575.79 $23,717.19 2025-09-11
A1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 15 12 — — $21,284.24 $35,473.73 $23,649.15 2025-09-11
B0801 LOCAL Replacement Of Lower-extremity Joint M >=63.50 15 12 — — $21,268.49 $35,447.49 $23,631.66 2025-09-11
B1001 LOCAL Amputation Lower Extremity M >=64.50 15 12 — — $21,186.27 $35,310.45 $23,540.30 2025-09-11
A0103 LOCAL Stroke M >=50.50 And M <63.50 15 12 — — $21,156.53 $35,260.88 $23,507.25 2025-09-11
B0401 LOCAL Traumatic Spinal Cord Injury M >=56.50 15 12 — — $21,098.79 $35,164.65 $23,443.10 2025-09-11
B0901 LOCAL Other Orthopedic M >=63.50 15 12 — — $21,023.57 $35,039.28 $23,359.52 2025-09-11
C0902 LOCAL Other Orthopedic M >=51.50 And M <63.50 15 12 — — $20,972.83 $34,954.71 $23,303.14 2025-09-11
B0301 LOCAL Non-traumatic Brain Injury M >=65.50 15 12 — — $20,971.08 $34,951.80 $23,301.20 2025-09-11
C0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 15 12 — — $20,965.83 $34,943.06 $23,295.37 2025-09-11
A2003 LOCAL Miscellaneous M >=46.50 And M <55.50 15 12 — — $20,941.34 $34,902.23 $23,268.15 2025-09-11
D1702 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 12 — — $20,922.09 $34,870.16 $23,246.77 2025-09-11
D1902 LOCAL Guillain-barré M >=51.50 And M <66.50 15 12 — — $20,890.60 $34,817.67 $23,211.78 2025-09-11
B2001 LOCAL Miscellaneous M >=66.50 15 12 — — $20,650.92 $34,418.21 $22,945.47 2025-09-11
A1403 LOCAL Cardiac M >=45.50 And M <55.50 15 12 — — $20,649.18 $34,415.30 $22,943.53 2025-09-11
D0602 LOCAL Neurological M >=52.50 And M <64.50 15 12 — — $20,607.18 $34,345.31 $22,896.87 2025-09-11
A1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 15 12 — — $20,600.19 $34,333.65 $22,889.10 2025-09-11
D1302 LOCAL Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 12 — — $20,582.69 $34,304.49 $22,869.66 2025-09-11
C2002 LOCAL Miscellaneous M >=55.50 And M <66.50 15 12 — — $20,566.95 $34,278.26 $22,852.17 2025-09-11
A1902 LOCAL Guillain-barré M >=51.50 And M <66.50 15 12 — — $20,528.46 $34,214.10 $22,809.40 2025-09-11
27893 CPT Decompression Of Leg 28 17 $29,426.43 $29,426.43 $20,598.50 $25,012.47 $22,805.49 2025-09-11
24685 CPT Treat Ulnar Fracture 28 17 $29,426.43 $29,426.43 $20,598.50 $25,012.47 $22,805.49 2025-09-11
A0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 12 — — $20,516.21 $34,193.69 $22,795.79 2025-09-11
D0502 LOCAL Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 12 — — $20,484.72 $34,141.20 $22,760.80 2025-09-11
A0203 LOCAL Traumatic Brain Injury M >=49.50 And M <61.50 15 12 — — $20,463.73 $34,106.22 $22,737.48 2025-09-11
D1002 LOCAL Amputation Lower Extremity M >=55.50 And M <64.50 15 12 — — $20,276.53 $33,794.22 $22,529.48 2025-09-11
A1502 LOCAL Pulmonary M >=56.50 And M <68.50 15 12 — — $20,187.32 $33,645.53 $22,430.35 2025-09-11
D1202 LOCAL Osteoarthritis M >=49.50 And M <61.50 15 12 — — $20,045.60 $33,409.34 $22,272.89 2025-09-11
C2101 LOCAL Burns M >=52.50 15 12 — — $20,005.36 $33,342.27 $22,228.18 2025-09-11
D2101 LOCAL Burns M >=52.50 15 12 — — $20,005.36 $33,342.27 $22,228.18 2025-09-11
D0302 LOCAL Non-traumatic Brain Injury M >=52.50 And M <65.50 15 12 — — $19,926.64 $33,211.07 $22,140.71 2025-09-11
D0702 LOCAL Fracture Of Lower Extremity M >=52.50 And M <61.50 15 12 — — $19,860.16 $33,100.26 $22,066.84 2025-09-11
C1802 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 15 12 — — $19,853.16 $33,088.61 $22,059.07 2025-09-11
B1401 LOCAL Cardiac M >=68.50 15 12 — — $19,742.94 $32,904.90 $21,936.60 2025-09-11
C1402 LOCAL Cardiac M >=55.50 And M <68.50 15 12 — — $19,725.44 $32,875.74 $21,917.16 2025-09-11
D0803 LOCAL Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 12 — — $19,634.47 $32,724.12 $21,816.08 2025-09-11
D0902 LOCAL Other Orthopedic M >=51.50 And M <63.50 15 12 — — $19,547.00 $32,578.34 $21,718.89 2025-09-11
C1602 LOCAL Pain Syndrome M >=58.50 And M <65.50 15 12 — — $19,496.27 $32,493.78 $21,662.52 2025-09-11
C0802 LOCAL Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 15 12 — — $19,349.31 $32,248.85 $21,499.23 2025-09-11
C0202 LOCAL Traumatic Brain Injury M >=61.50 And M <73.50 15 12 — — $19,216.35 $32,027.25 $21,351.50 2025-09-11
D2002 LOCAL Miscellaneous M >=55.50 And M <66.50 15 12 — — $19,212.85 $32,021.42 $21,347.61 2025-09-11
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