|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,685,266.67
|
$3,685,266.67
|
$3,685,266.67
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
1
|
1
|
—
|
—
|
$3,316,462.59
|
$3,316,462.59
|
$3,316,462.59
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
1
|
1
|
—
|
—
|
$2,455,110.60
|
$2,455,110.60
|
$2,455,110.60
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
2
|
2
|
—
|
—
|
$770,620.00
|
$2,282,576.44
|
$1,526,598.22
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
2
|
—
|
—
|
$591,726.20
|
$1,712,997.40
|
$1,152,361.80
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
2
|
—
|
—
|
$565,868.94
|
$1,639,108.09
|
$1,102,488.52
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
2
|
—
|
—
|
$562,538.19
|
$1,604,324.82
|
$1,083,431.50
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
2
|
2
|
—
|
—
|
$557,317.93
|
$1,603,213.44
|
$1,080,265.69
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
2
|
—
|
—
|
$533,230.17
|
$1,578,972.52
|
$1,056,101.34
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
2
|
—
|
—
|
$489,304.61
|
$1,450,550.64
|
$969,927.62
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
2
|
2
|
—
|
—
|
$108,243.35
|
$671,287.78
|
$389,765.57
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
12
|
8
|
—
|
—
|
$378,295.48
|
$856,530.84
|
$378,295.48
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
12
|
8
|
—
|
—
|
$245,498.55
|
$555,854.06
|
$245,498.55
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
8
|
—
|
—
|
$187,037.38
|
$423,487.17
|
$187,037.38
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
12
|
8
|
—
|
—
|
$185,939.71
|
$421,001.84
|
$185,939.71
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
2
|
2
|
—
|
—
|
$48,155.50
|
$298,569.25
|
$173,362.38
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
2
|
2
|
—
|
—
|
$46,081.51
|
$270,913.86
|
$158,497.68
|
2026-04-01
|
|
L8614
|
HCPCS
|
Cochlear Device
|
1
|
1
|
—
|
—
|
$144,130.34
|
$144,130.34
|
$144,130.34
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
12
|
8
|
—
|
—
|
$121,342.80
|
$274,742.52
|
$121,342.80
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
12
|
8
|
—
|
—
|
$113,448.00
|
$256,867.22
|
$113,448.00
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
12
|
8
|
—
|
—
|
$105,280.74
|
$238,375.05
|
$105,280.74
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
2
|
2
|
—
|
—
|
$29,180.00
|
$179,139.66
|
$104,159.83
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
2
|
2
|
—
|
—
|
$28,715.00
|
$178,080.53
|
$103,397.76
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
8
|
—
|
—
|
$99,270.28
|
$224,766.25
|
$99,270.28
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
12
|
8
|
—
|
—
|
$99,156.40
|
$224,508.40
|
$99,156.40
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
8
|
—
|
—
|
$96,549.32
|
$218,605.50
|
$96,549.32
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
12
|
8
|
—
|
—
|
$95,260.68
|
$215,687.77
|
$95,260.68
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
8
|
—
|
—
|
$90,323.36
|
$204,508.77
|
$90,323.36
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
12
|
8
|
—
|
—
|
$87,226.58
|
$197,497.10
|
$87,226.58
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$85,700.53
|
$194,041.84
|
$85,700.53
|
2026-04-01
|
|
E0766
|
HCPCS
|
Elec Stim Cancer Treatment
|
1
|
1
|
—
|
—
|
$83,243.83
|
$83,243.83
|
$83,243.83
|
2026-04-01
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
2
|
2
|
—
|
—
|
$22,533.92
|
$139,747.55
|
$81,140.73
|
2026-04-01
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
2
|
2
|
—
|
—
|
$22,336.47
|
$138,488.56
|
$80,412.51
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
13
|
8
|
—
|
—
|
$78,927.05
|
$178,705.42
|
$78,927.05
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
3
|
3
|
—
|
—
|
$56,824.55
|
$88,838.14
|
$77,985.08
|
2026-04-01
|
|
L6975
|
HCPCS
|
Interscap-thor Myoelectronic
|
2
|
2
|
—
|
—
|
$23,078.64
|
$132,528.65
|
$77,803.64
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
12
|
8
|
—
|
—
|
$75,860.06
|
$171,761.18
|
$75,860.06
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
3
|
3
|
—
|
—
|
$63,342.28
|
$187,882.78
|
$75,750.00
|
2026-04-01
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
2
|
2
|
—
|
—
|
$21,085.93
|
$130,035.92
|
$75,560.92
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
8
|
—
|
—
|
$73,848.69
|
$167,207.07
|
$73,848.69
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
8
|
—
|
—
|
$73,616.54
|
$166,681.44
|
$73,616.54
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
4
|
4
|
—
|
—
|
$55,272.32
|
$165,711.97
|
$72,820.35
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$72,554.45
|
$72,554.45
|
$72,554.45
|
2026-04-01
|
|
L6970
|
HCPCS
|
Interscapular-thor Switch CT
|
2
|
2
|
—
|
—
|
$20,475.81
|
$120,955.32
|
$70,715.57
|
2026-04-01
|
|
Q0489
|
HCPCS
|
Pwr Pck Base Combo Vad, Rep
|
2
|
2
|
—
|
—
|
$19,535.67
|
$121,153.55
|
$70,344.61
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
12
|
8
|
—
|
—
|
$68,933.27
|
$156,077.65
|
$68,933.27
|
2026-04-01
|
|
L6965
|
HCPCS
|
Shldr Disartic Myoelectronic
|
2
|
2
|
—
|
—
|
$19,129.05
|
$117,535.99
|
$68,332.52
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
2
|
—
|
—
|
$64,742.69
|
$70,915.89
|
$67,829.29
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$67,264.43
|
$152,299.08
|
$67,264.43
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
12
|
8
|
—
|
—
|
$66,974.46
|
$151,642.54
|
$66,974.46
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
12
|
8
|
—
|
—
|
$66,752.82
|
$151,140.72
|
$66,752.82
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
8
|
—
|
—
|
$63,237.30
|
$143,180.93
|
$63,237.30
|
2026-04-01
|
|
L5859
|
HCPCS
|
Knee-shin Pro Flex/ext Cont
|
2
|
2
|
—
|
—
|
$17,437.90
|
$108,505.47
|
$62,971.69
|
2026-04-01
|
|
L8679
|
HCPCS
|
Imp Neurosti Pls Gn Any Type
|
1
|
1
|
—
|
—
|
$62,895.71
|
$62,895.71
|
$62,895.71
|
2026-04-01
|
|
Q0481
|
HCPCS
|
Microprcsr Cu Elec Vad, Rep
|
2
|
2
|
—
|
—
|
$17,463.78
|
$108,304.51
|
$62,884.14
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
12
|
8
|
—
|
—
|
$62,861.48
|
$142,330.01
|
$62,861.48
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
12
|
8
|
—
|
—
|
$62,835.20
|
$142,270.50
|
$62,835.20
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
2
|
2
|
—
|
—
|
$59,935.20
|
$65,650.00
|
$62,792.60
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
8
|
—
|
—
|
$62,501.43
|
$141,514.79
|
$62,501.43
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
12
|
8
|
—
|
—
|
$62,464.64
|
$141,431.48
|
$62,464.64
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
8
|
—
|
—
|
$60,549.63
|
$137,095.55
|
$60,549.63
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
8
|
—
|
—
|
$60,252.66
|
$136,423.15
|
$60,252.66
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
8
|
—
|
—
|
$58,966.64
|
$133,511.37
|
$58,966.64
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
12
|
8
|
—
|
—
|
$58,575.93
|
$132,626.73
|
$58,575.93
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
13
|
8
|
—
|
—
|
$58,533.01
|
$132,529.54
|
$58,533.01
|
2026-04-01
|
|
L6960
|
HCPCS
|
Shldr Disartic Switch Contro
|
2
|
2
|
—
|
—
|
$16,303.56
|
$99,899.08
|
$58,101.32
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$57,601.78
|
$130,421.08
|
$57,601.78
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
8
|
—
|
—
|
$57,601.78
|
$130,421.08
|
$57,601.78
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
8
|
—
|
—
|
$57,392.41
|
$129,947.02
|
$57,392.41
|
2026-04-01
|
|
L6955
|
HCPCS
|
Above Elbow Myoelectronic CT
|
2
|
2
|
—
|
—
|
$14,790.91
|
$99,049.68
|
$56,920.29
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
8
|
—
|
—
|
$56,370.08
|
$127,632.27
|
$56,370.08
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$55,036.65
|
$55,036.65
|
$55,036.65
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
12
|
8
|
—
|
—
|
$53,686.79
|
$121,556.81
|
$53,686.79
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$53,624.59
|
$121,415.99
|
$53,624.59
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
4
|
4
|
—
|
—
|
$45,020.65
|
$134,949.88
|
$53,325.56
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
12
|
8
|
—
|
—
|
$53,110.36
|
$120,251.67
|
$53,110.36
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
13
|
8
|
—
|
—
|
$52,634.68
|
$119,174.63
|
$52,634.68
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
12
|
8
|
—
|
—
|
$52,619.79
|
$119,140.91
|
$52,619.79
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
8
|
—
|
—
|
$52,238.71
|
$118,278.09
|
$52,238.71
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
13
|
8
|
—
|
—
|
$1,147.00
|
$111,303.92
|
$52,067.01
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
12
|
8
|
—
|
—
|
$51,946.12
|
$117,615.60
|
$51,946.12
|
2026-04-01
|
|
Q0479
|
HCPCS
|
Power Module Combo Vad, Rep
|
2
|
2
|
—
|
—
|
$14,368.26
|
$89,322.05
|
$51,845.16
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
8
|
—
|
—
|
$51,410.86
|
$116,403.68
|
$51,410.86
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$51,377.57
|
$116,328.31
|
$51,377.57
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
13
|
8
|
—
|
—
|
$50,521.69
|
$114,390.43
|
$50,521.69
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
8
|
—
|
—
|
$50,199.31
|
$113,660.50
|
$50,199.31
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
12
|
8
|
—
|
—
|
$49,994.31
|
$113,196.36
|
$49,994.31
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
8
|
—
|
—
|
$49,929.49
|
$113,049.58
|
$49,929.49
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
13
|
8
|
—
|
—
|
$49,250.56
|
$111,512.37
|
$49,250.56
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
12
|
8
|
—
|
—
|
$49,098.13
|
$111,167.24
|
$49,098.13
|
2026-04-01
|
|
L6945
|
HCPCS
|
Elbow Disart Myoelectronic C
|
2
|
2
|
—
|
—
|
$13,225.96
|
$84,650.20
|
$48,938.08
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
8
|
—
|
—
|
$48,761.74
|
$110,405.58
|
$48,761.74
|
2026-04-01
|
|
L8609
|
HCPCS
|
Artificial Cornea
|
1
|
1
|
—
|
—
|
$48,562.27
|
$48,562.27
|
$48,562.27
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
12
|
8
|
—
|
—
|
$48,383.29
|
$109,548.71
|
$48,383.29
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
12
|
8
|
—
|
—
|
$48,093.32
|
$108,892.17
|
$48,093.32
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
12
|
8
|
—
|
—
|
$47,923.37
|
$108,507.37
|
$47,923.37
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
12
|
8
|
—
|
—
|
$47,855.04
|
$108,352.65
|
$47,855.04
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
12
|
8
|
—
|
—
|
$47,779.70
|
$108,182.07
|
$47,779.70
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$47,588.73
|
$107,749.67
|
$47,588.73
|
2026-04-01
|
|
L6950
|
HCPCS
|
Above Elbow Switch Control
|
2
|
2
|
—
|
—
|
$12,217.02
|
$82,704.33
|
$47,460.68
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$46,717.08
|
$105,776.09
|
$46,717.08
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
13
|
8
|
—
|
—
|
$46,689.04
|
$105,712.62
|
$46,689.04
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
12
|
8
|
—
|
—
|
$46,375.42
|
$105,002.52
|
$46,375.42
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
8
|
—
|
—
|
$46,222.12
|
$104,655.41
|
$46,222.12
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
12
|
8
|
—
|
—
|
$45,601.01
|
$103,249.11
|
$45,601.01
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
12
|
8
|
—
|
—
|
$45,522.17
|
$103,070.59
|
$45,522.17
|
2026-04-01
|
|
L8682
|
HCPCS
|
Implt Neurostim Radiofq Rec
|
1
|
1
|
—
|
—
|
$44,937.85
|
$44,937.85
|
$44,937.85
|
2026-04-01
|
|
L7191
|
HCPCS
|
Elbow Child Myoelectronic CT
|
2
|
2
|
—
|
—
|
$12,542.82
|
$76,654.47
|
$44,598.65
|
2026-04-01
|
|
E0783
|
HCPCS
|
Programmable Infusion Pump
|
3
|
1
|
—
|
—
|
$5,927.84
|
$59,277.38
|
$44,458.24
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
8
|
—
|
—
|
$44,153.80
|
$99,972.37
|
$44,153.80
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
12
|
8
|
—
|
—
|
$43,691.26
|
$98,925.08
|
$43,691.26
|
2026-04-01
|
|
E0786
|
HCPCS
|
Implantable Pump Replacement
|
3
|
1
|
—
|
—
|
$5,782.09
|
$57,821.46
|
$43,366.12
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
12
|
8
|
—
|
—
|
$43,340.85
|
$98,131.68
|
$43,340.85
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
13
|
8
|
—
|
—
|
$12,002.00
|
$97,957.13
|
$43,263.75
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
8
|
—
|
—
|
$43,115.71
|
$97,621.92
|
$43,115.71
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
12
|
8
|
—
|
—
|
$42,936.12
|
$97,215.30
|
$42,936.12
|
2026-04-01
|
|
L7186
|
HCPCS
|
Electron Elbow Child Switch
|
2
|
2
|
—
|
—
|
$11,914.40
|
$73,357.70
|
$42,636.05
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
13
|
8
|
—
|
—
|
$42,300.99
|
$95,777.26
|
$42,300.99
|
2026-04-01
|
|
L6940
|
HCPCS
|
Elbow Disarticulation Switch
|
2
|
2
|
—
|
—
|
$11,619.74
|
$72,762.07
|
$42,190.91
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
8
|
—
|
—
|
$42,087.24
|
$95,293.29
|
$42,087.24
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
12
|
8
|
—
|
—
|
$41,706.17
|
$94,430.47
|
$41,706.17
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
12
|
8
|
—
|
—
|
$41,185.81
|
$93,252.27
|
$41,185.81
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
8
|
—
|
—
|
$41,101.71
|
$93,061.85
|
$41,101.71
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
12
|
8
|
—
|
—
|
$40,979.06
|
$92,784.16
|
$40,979.06
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
12
|
8
|
—
|
—
|
$40,621.64
|
$91,974.90
|
$40,621.64
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
12
|
8
|
—
|
—
|
$40,459.57
|
$91,607.95
|
$40,459.57
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
8
|
—
|
—
|
$40,266.85
|
$91,171.58
|
$40,266.85
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
12
|
8
|
—
|
—
|
$40,164.35
|
$90,939.51
|
$40,164.35
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
12
|
8
|
—
|
—
|
$39,968.12
|
$90,495.20
|
$39,968.12
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
13
|
8
|
—
|
—
|
$39,848.10
|
$90,223.46
|
$39,848.10
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,830.58
|
$90,183.79
|
$39,830.58
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,674.65
|
$89,830.73
|
$39,674.65
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,262.04
|
$88,896.50
|
$39,262.04
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,250.65
|
$88,870.72
|
$39,250.65
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
12
|
8
|
—
|
—
|
$39,096.47
|
$88,521.62
|
$39,096.47
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$38,482.37
|
$87,131.19
|
$38,482.37
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
12
|
8
|
—
|
—
|
$37,909.44
|
$85,833.98
|
$37,909.44
|
2026-04-01
|
|
L6935
|
HCPCS
|
Below Elbow Myoelectronic CT
|
2
|
2
|
—
|
—
|
$10,598.81
|
$65,092.80
|
$37,845.81
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
12
|
8
|
—
|
—
|
$37,607.21
|
$85,149.67
|
$37,607.21
|
2026-04-01
|
|
L6925
|
HCPCS
|
Wrist Disart Myoelectronic C
|
2
|
2
|
—
|
—
|
$10,855.70
|
$63,896.63
|
$37,376.16
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
12
|
8
|
—
|
—
|
$37,365.43
|
$84,602.23
|
$37,365.43
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
13
|
8
|
—
|
—
|
$37,150.80
|
$84,116.27
|
$37,150.80
|
2026-04-01
|
|
L5857
|
HCPCS
|
Elec Knee-shin Swing Only
|
2
|
2
|
—
|
—
|
$10,566.30
|
$63,732.59
|
$37,149.44
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
12
|
8
|
—
|
—
|
$36,996.62
|
$83,767.17
|
$36,996.62
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
12
|
8
|
—
|
—
|
$36,933.54
|
$83,624.36
|
$36,933.54
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
12
|
8
|
—
|
—
|
$36,915.15
|
$83,582.71
|
$36,915.15
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
12
|
8
|
—
|
—
|
$36,807.39
|
$83,338.74
|
$36,807.39
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
12
|
8
|
—
|
—
|
$36,763.59
|
$83,239.56
|
$36,763.59
|
2026-04-01
|
|
E2510
|
HCPCS
|
Sgd W Multi Methods Msg/accs
|
3
|
1
|
—
|
—
|
$4,900.57
|
$49,005.68
|
$36,754.12
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
12
|
8
|
—
|
—
|
$36,695.26
|
$83,084.85
|
$36,695.26
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
13
|
8
|
—
|
—
|
$36,553.34
|
$82,763.52
|
$36,553.34
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
14
|
8
|
—
|
—
|
$1,086.34
|
$78,084.10
|
$36,527.06
|
2026-04-01
|
|
L7190
|
HCPCS
|
Elbow Adolescent Myoelectron
|
2
|
2
|
—
|
—
|
$10,117.89
|
$62,650.43
|
$36,384.16
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$36,381.64
|
$82,374.76
|
$36,381.64
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
12
|
8
|
—
|
—
|
$36,140.73
|
$81,829.29
|
$36,140.73
|
2026-04-01
|
|
L8619
|
HCPCS
|
Coch Imp Ext Proc/contr Rplc
|
2
|
2
|
—
|
—
|
$10,062.46
|
$61,866.37
|
$35,964.42
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
12
|
8
|
—
|
—
|
$13,824.95
|
$76,012.89
|
$35,558.17
|
2026-04-01
|
|
L8690
|
HCPCS
|
Aud Osseo Dev, Int/ext Comp
|
1
|
1
|
—
|
—
|
$35,457.13
|
$35,457.13
|
$35,457.13
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
13
|
8
|
—
|
—
|
$35,220.90
|
$79,746.62
|
$35,220.90
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
12
|
8
|
—
|
—
|
$34,902.02
|
$79,024.62
|
$34,902.02
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
4
|
4
|
—
|
—
|
$28,424.06
|
$84,192.06
|
$34,450.47
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
8
|
—
|
—
|
$34,269.53
|
$77,592.54
|
$34,269.53
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
12
|
8
|
—
|
—
|
$34,114.47
|
$77,241.46
|
$34,114.47
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
12
|
8
|
—
|
—
|
$33,908.60
|
$76,775.33
|
$33,908.60
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
12
|
8
|
—
|
—
|
$33,857.79
|
$76,660.29
|
$33,857.79
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
12
|
8
|
—
|
—
|
$33,825.38
|
$76,586.90
|
$33,825.38
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
12
|
8
|
—
|
—
|
$33,633.53
|
$76,152.52
|
$33,633.53
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
13
|
8
|
—
|
—
|
$32,965.11
|
$74,639.11
|
$32,965.11
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$32,821.44
|
$74,313.81
|
$32,821.44
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$32,743.48
|
$74,137.28
|
$32,743.48
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
13
|
8
|
—
|
—
|
$32,739.97
|
$74,129.35
|
$32,739.97
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$32,647.99
|
$73,921.08
|
$32,647.99
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
12
|
8
|
—
|
—
|
$32,464.02
|
$73,504.54
|
$32,464.02
|
2026-04-01
|
|
L6930
|
HCPCS
|
Below Elbow Switch Control
|
2
|
2
|
—
|
—
|
$9,103.80
|
$55,689.55
|
$32,396.67
|
2026-04-01
|
|
L6920
|
HCPCS
|
Wrist Disarticul Switch Ctrl
|
2
|
2
|
—
|
—
|
$9,337.30
|
$55,346.38
|
$32,341.84
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
12
|
8
|
—
|
—
|
$32,177.56
|
$72,855.94
|
$32,177.56
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
12
|
8
|
—
|
—
|
$32,164.42
|
$72,826.19
|
$32,164.42
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
12
|
8
|
—
|
—
|
$31,786.85
|
$71,971.30
|
$31,786.85
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
12
|
8
|
—
|
—
|
$31,762.32
|
$71,915.76
|
$31,762.32
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
12
|
8
|
—
|
—
|
$31,718.52
|
$71,816.58
|
$31,718.52
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
12
|
8
|
—
|
—
|
$31,696.62
|
$71,767.00
|
$31,696.62
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
12
|
8
|
—
|
—
|
$31,640.55
|
$71,640.05
|
$31,640.55
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
8
|
—
|
—
|
$31,593.25
|
$71,532.94
|
$31,593.25
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
12
|
8
|
—
|
—
|
$31,386.50
|
$71,064.84
|
$31,386.50
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
12
|
8
|
—
|
—
|
$31,313.79
|
$70,900.21
|
$31,313.79
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
12
|
8
|
—
|
—
|
$31,282.25
|
$70,828.80
|
$31,282.25
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
12
|
8
|
—
|
—
|
$31,235.82
|
$70,723.68
|
$31,235.82
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
12
|
8
|
—
|
—
|
$31,209.54
|
$70,664.17
|
$31,209.54
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
12
|
8
|
—
|
—
|
$31,179.76
|
$70,596.73
|
$31,179.76
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
12
|
8
|
—
|
—
|
$31,154.35
|
$70,539.21
|
$31,154.35
|
2026-04-01
|
|
L5987
|
HCPCS
|
Shank Ft W Vert Load Pylon
|
2
|
2
|
—
|
—
|
$8,645.70
|
$53,604.51
|
$31,125.10
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
12
|
8
|
—
|
—
|
$30,894.17
|
$69,950.11
|
$30,894.17
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
12
|
8
|
—
|
—
|
$30,831.10
|
$69,807.30
|
$30,831.10
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
12
|
8
|
—
|
—
|
$30,558.65
|
$69,190.43
|
$30,558.65
|
2026-04-01
|
|
L8627
|
HCPCS
|
Cid Ext Speech Process Repl
|
2
|
2
|
—
|
—
|
$8,575.67
|
$52,540.81
|
$30,558.24
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
12
|
8
|
—
|
—
|
$30,550.77
|
$69,172.58
|
$30,550.77
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
12
|
8
|
—
|
—
|
$30,410.60
|
$68,855.22
|
$30,410.60
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
12
|
8
|
—
|
—
|
$30,263.43
|
$68,521.99
|
$30,263.43
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
12
|
8
|
—
|
—
|
$30,123.26
|
$68,204.63
|
$30,123.26
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
8
|
—
|
—
|
$30,033.91
|
$68,002.31
|
$30,033.91
|
2026-04-01
|
|
C9790
|
HCPCS
|
Kidney Histotripsy W/image
|
2
|
2
|
—
|
—
|
$5,193.00
|
$54,713.76
|
$29,953.38
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
13
|
8
|
—
|
—
|
$29,886.73
|
$67,669.09
|
$29,886.73
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
12
|
8
|
—
|
—
|
$29,847.31
|
$67,579.83
|
$29,847.31
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
12
|
8
|
—
|
—
|
$29,264.75
|
$66,260.80
|
$29,264.75
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
12
|
8
|
—
|
—
|
$28,937.99
|
$65,520.96
|
$28,937.99
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
12
|
8
|
—
|
—
|
$28,839.88
|
$65,298.80
|
$28,839.88
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
12
|
8
|
—
|
—
|
$28,836.37
|
$65,290.87
|
$28,836.37
|
2026-04-01
|
|
E0652
|
HCPCS
|
Pneum Compres W/cal Pressure
|
3
|
1
|
—
|
—
|
$3,793.59
|
$38,385.30
|
$28,763.24
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
12
|
8
|
—
|
—
|
$28,495.59
|
$64,519.29
|
$28,495.59
|
2026-04-01
|
|
L7185
|
HCPCS
|
Electron Elbow Adolescent Sw
|
2
|
2
|
—
|
—
|
$7,549.79
|
$49,241.48
|
$28,395.64
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
12
|
8
|
—
|
—
|
$28,370.32
|
$64,235.65
|
$28,370.32
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
12
|
8
|
—
|
—
|
$28,338.78
|
$64,164.24
|
$28,338.78
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
13
|
8
|
—
|
—
|
$28,299.36
|
$64,074.98
|
$28,299.36
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
12
|
8
|
—
|
—
|
$28,291.48
|
$64,057.13
|
$28,291.48
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
12
|
8
|
—
|
—
|
$28,270.45
|
$64,009.53
|
$28,270.45
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$28,215.26
|
$63,884.57
|
$28,215.26
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
3
|
3
|
—
|
—
|
$24,228.42
|
$32,559.41
|
$28,160.06
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
12
|
8
|
—
|
—
|
$28,124.16
|
$63,678.28
|
$28,124.16
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
12
|
8
|
—
|
—
|
$27,969.97
|
$63,329.19
|
$27,969.97
|
2026-04-01
|
|
L7170
|
HCPCS
|
Electronic Elbow Hosmer Swit
|
2
|
2
|
—
|
—
|
$7,248.15
|
$48,627.12
|
$27,937.64
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
12
|
8
|
—
|
—
|
$27,918.29
|
$63,212.16
|
$27,918.29
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
12
|
8
|
—
|
—
|
$27,891.13
|
$63,150.67
|
$27,891.13
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
12
|
8
|
—
|
—
|
$27,835.07
|
$63,023.73
|
$27,835.07
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
12
|
8
|
—
|
—
|
$27,724.69
|
$62,773.81
|
$27,724.69
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
12
|
8
|
—
|
—
|
$27,682.64
|
$62,678.60
|
$27,682.64
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
12
|
8
|
—
|
—
|
$27,603.79
|
$62,500.09
|
$27,603.79
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
12
|
8
|
—
|
—
|
$27,590.65
|
$62,470.33
|
$27,590.65
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
2
|
2
|
—
|
—
|
$17,454.00
|
$37,629.45
|
$27,541.72
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
12
|
8
|
—
|
—
|
$27,525.83
|
$62,323.55
|
$27,525.83
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
12
|
8
|
—
|
—
|
$27,342.74
|
$61,909.00
|
$27,342.74
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
8
|
—
|
—
|
$27,285.79
|
$61,780.07
|
$27,285.79
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
12
|
8
|
—
|
—
|
$27,237.61
|
$61,670.98
|
$27,237.61
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
12
|
8
|
—
|
—
|
$26,819.74
|
$60,724.85
|
$26,819.74
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
12
|
8
|
—
|
—
|
$26,783.83
|
$60,643.53
|
$26,783.83
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
13
|
8
|
—
|
—
|
$26,571.83
|
$60,163.52
|
$26,571.83
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
12
|
8
|
—
|
—
|
$26,460.57
|
$59,911.62
|
$26,460.57
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
12
|
8
|
—
|
—
|
$26,457.07
|
$59,903.68
|
$26,457.07
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
12
|
8
|
—
|
—
|
$26,428.16
|
$59,838.23
|
$26,428.16
|
2026-04-01
|
|
L7008
|
HCPCS
|
Pediatric Electric Hand
|
2
|
2
|
—
|
—
|
$7,499.40
|
$44,914.77
|
$26,207.08
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
12
|
8
|
—
|
—
|
$26,074.24
|
$59,036.89
|
$26,074.24
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
13
|
8
|
—
|
—
|
$25,808.80
|
$58,435.89
|
$25,808.80
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$25,791.28
|
$58,396.22
|
$25,791.28
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
12
|
8
|
—
|
—
|
$25,765.00
|
$58,336.72
|
$25,765.00
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
12
|
8
|
—
|
—
|
$25,580.16
|
$57,918.20
|
$25,580.16
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
12
|
8
|
—
|
—
|
$25,512.70
|
$57,765.47
|
$25,512.70
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
12
|
8
|
—
|
—
|
$25,422.47
|
$57,561.17
|
$25,422.47
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
12
|
8
|
—
|
—
|
$25,406.70
|
$57,525.47
|
$25,406.70
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
12
|
8
|
—
|
—
|
$25,294.57
|
$57,271.58
|
$25,294.57
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
12
|
8
|
—
|
—
|
$25,282.31
|
$57,243.81
|
$25,282.31
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$25,245.51
|
$57,160.50
|
$25,245.51
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
14
|
8
|
—
|
—
|
$25,143.89
|
$56,930.42
|
$25,143.89
|
2026-04-01
|
|
L5270
|
HCPCS
|
Tilt Table Locking Hip Sing
|
2
|
2
|
—
|
—
|
$7,323.23
|
$42,652.62
|
$24,987.92
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
12
|
8
|
—
|
—
|
$24,971.31
|
$56,539.67
|
$24,971.31
|
2026-04-01
|
|
L5250
|
HCPCS
|
Hip Canad Sing Axi Cons Fric
|
2
|
2
|
—
|
—
|
$6,821.01
|
$43,029.54
|
$24,925.28
|
2026-04-01
|
|
L5280
|
HCPCS
|
Hemipelvect Canad Sing Axis
|
2
|
2
|
—
|
—
|
$7,335.68
|
$42,226.09
|
$24,780.88
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
12
|
8
|
—
|
—
|
$24,611.26
|
$55,724.45
|
$24,611.26
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
12
|
8
|
—
|
—
|
$24,522.79
|
$55,524.12
|
$24,522.79
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
12
|
8
|
—
|
—
|
$24,450.95
|
$55,361.47
|
$24,450.95
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
12
|
8
|
—
|
—
|
$24,282.75
|
$54,980.64
|
$24,282.75
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
12
|
8
|
—
|
—
|
$24,153.10
|
$54,687.08
|
$24,153.10
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
13
|
8
|
—
|
—
|
$24,079.51
|
$54,520.46
|
$24,079.51
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$24,073.38
|
$54,506.58
|
$24,073.38
|
2026-04-01
|
|
L5341
|
HCPCS
|
Hemipelvectomy Canadian Sach
|
2
|
2
|
—
|
—
|
$6,187.30
|
$41,913.36
|
$24,050.33
|
2026-04-01
|
|
E0694
|
HCPCS
|
Uvl Md Cabinet Sys 6 Ft
|
3
|
1
|
—
|
—
|
$3,205.58
|
$32,056.31
|
$24,042.39
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
12
|
8
|
—
|
—
|
$23,948.98
|
$54,224.92
|
$23,948.98
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
12
|
8
|
—
|
—
|
$23,835.10
|
$53,967.07
|
$23,835.10
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
12
|
8
|
—
|
—
|
$23,736.11
|
$53,742.93
|
$23,736.11
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
12
|
8
|
—
|
—
|
$23,707.20
|
$53,677.48
|
$23,707.20
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
12
|
8
|
—
|
—
|
$23,630.11
|
$53,502.93
|
$23,630.11
|
2026-04-01
|
|
E0194
|
HCPCS
|
Air Fluidized Bed
|
1
|
1
|
—
|
—
|
$23,563.06
|
$23,563.06
|
$23,563.06
|
2026-04-01
|
|
E0782
|
HCPCS
|
Non-programble Infusion Pump
|
3
|
1
|
—
|
—
|
$3,108.77
|
$31,086.64
|
$23,314.95
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
12
|
8
|
—
|
—
|
$23,302.47
|
$52,761.10
|
$23,302.47
|
2026-04-01
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
2
|
2
|
—
|
—
|
$14,045.00
|
$32,528.68
|
$23,286.84
|
2026-04-01
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
2
|
2
|
—
|
—
|
$14,045.00
|
$32,528.68
|
$23,286.84
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
12
|
8
|
—
|
—
|
$23,221.00
|
$52,576.63
|
$23,221.00
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
12
|
8
|
—
|
—
|
$23,104.49
|
$52,312.83
|
$23,104.49
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
2
|
2
|
—
|
—
|
$9,029.00
|
$36,992.68
|
$23,010.84
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
2
|
2
|
—
|
—
|
$9,029.00
|
$36,992.68
|
$23,010.84
|
2026-04-01
|
|
L8683
|
HCPCS
|
Radiofq Trsmtr For Implt Neu
|
2
|
2
|
—
|
—
|
$6,306.81
|
$39,555.55
|
$22,931.18
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
12
|
8
|
—
|
—
|
$22,738.31
|
$51,483.73
|
$22,738.31
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
12
|
8
|
—
|
—
|
$22,711.15
|
$51,422.24
|
$22,711.15
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
12
|
8
|
—
|
—
|
$22,626.17
|
$51,229.84
|
$22,626.17
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$22,594.64
|
$51,158.43
|
$22,594.64
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
12
|
8
|
—
|
—
|
$22,594.64
|
$51,158.43
|
$22,594.64
|
2026-04-01
|
|
81416
|
HCPCS
|
Exome Sequence Analysis
|
8
|
6
|
—
|
—
|
$12,000.00
|
$52,479.22
|
$22,513.14
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
12
|
8
|
—
|
—
|
$22,493.02
|
$50,928.35
|
$22,493.02
|
2026-04-01
|
|
L5331
|
HCPCS
|
Hip Disart Canadian Sach Ft
|
2
|
2
|
—
|
—
|
$6,313.06
|
$38,569.93
|
$22,441.49
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$22,365.12
|
$50,638.76
|
$22,365.12
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
12
|
8
|
—
|
—
|
$22,259.12
|
$50,398.75
|
$22,259.12
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
13
|
8
|
—
|
—
|
$21,901.03
|
$50,303.54
|
$22,217.07
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
12
|
8
|
—
|
—
|
$22,111.07
|
$50,063.54
|
$22,111.07
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
12
|
8
|
—
|
—
|
$22,101.43
|
$50,041.72
|
$22,101.43
|
2026-04-01
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
2
|
2
|
—
|
—
|
$17,454.00
|
$26,665.94
|
$22,059.97
|
2026-04-01
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
2
|
2
|
—
|
—
|
$17,454.00
|
$26,665.94
|
$22,059.97
|
2026-04-01
|
|
L5600
|
HCPCS
|
Hip Disart Sach Laminat Mold
|
2
|
2
|
—
|
—
|
$7,159.07
|
$36,875.32
|
$22,017.19
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
12
|
8
|
—
|
—
|
$21,829.86
|
$49,426.84
|
$21,829.86
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
12
|
8
|
—
|
—
|
$21,740.51
|
$49,224.52
|
$21,740.51
|
2026-04-01
|
|
L6570
|
HCPCS
|
Scap Thorac Prosth Tiss Shap
|
2
|
2
|
—
|
—
|
$6,805.53
|
$36,298.20
|
$21,551.86
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
12
|
8
|
—
|
—
|
$21,543.40
|
$48,778.23
|
$21,543.40
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
12
|
8
|
—
|
—
|
$21,537.27
|
$48,764.35
|
$21,537.27
|
2026-04-01
|