|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
2
|
1
|
—
|
—
|
$4,850,948.67
|
$4,897,200.00
|
$4,874,074.33
|
2026-03-01
|
|
845
|
OTHER
|
Inj, Atidarsagene Autotem
|
23
|
19
|
—
|
—
|
$7,238.96
|
$4,955,500.00
|
$4,595,100.00
|
2026-03-01
|
|
00845
|
OTHER
|
Inj, Atidarsagene Autotem
|
1
|
1
|
—
|
—
|
$4,369,850.00
|
$4,369,850.00
|
$4,369,850.00
|
2026-03-01
|
|
J3399
|
HCPCS
|
Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge…
|
2
|
1
|
—
|
—
|
$3,884,946.48
|
$4,271,819.03
|
$4,078,382.75
|
2026-03-01
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dos
|
25
|
22
|
—
|
—
|
$3,685,267.00
|
$4,422,320.40
|
$3,869,530.35
|
2026-03-01
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
1
|
1
|
—
|
—
|
$3,847,800.00
|
$3,847,800.00
|
$3,847,800.00
|
2026-03-01
|
|
09138
|
OTHER
|
Inj, Hemgenix, Per Tx Dos
|
1
|
1
|
—
|
—
|
$3,574,708.99
|
$3,574,708.99
|
$3,574,708.99
|
2026-03-01
|
|
908
|
OTHER
|
Topi Adm Prad Zami Per Tr
|
27
|
23
|
—
|
—
|
$13,107.16
|
$4,836,939.00
|
$3,502,611.00
|
2026-03-01
|
|
714
|
OTHER
|
Inj Delandistrogene Mox R
|
27
|
23
|
—
|
—
|
$8,513.99
|
$4,825,397.00
|
$3,494,253.00
|
2026-03-01
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Auto
|
27
|
23
|
—
|
—
|
$16,206.28
|
$4,716,136.60
|
$3,415,133.40
|
2026-03-01
|
|
906
|
OTHER
|
Inj Elivaldogene Autoteme
|
27
|
23
|
—
|
—
|
$11,581.72
|
$4,611,000.00
|
$3,339,000.00
|
2026-03-01
|
|
00908
|
OTHER
|
Topi Adm Prad Zami Per Tr
|
1
|
1
|
—
|
—
|
$3,235,745.40
|
$3,235,745.40
|
$3,235,745.40
|
2026-03-01
|
|
00714
|
OTHER
|
Inj Delandistrogene Mox R
|
2
|
1
|
—
|
—
|
$3,225,691.35
|
$3,228,024.20
|
$3,226,857.78
|
2026-03-01
|
|
00748
|
OTHER
|
Inj, Lovotibeglogene Auto
|
1
|
1
|
—
|
—
|
$3,154,932.76
|
$3,154,932.76
|
$3,154,932.76
|
2026-03-01
|
|
746
|
OTHER
|
Inj, Betibeglogene Autote
|
27
|
23
|
—
|
—
|
$14,990.99
|
$4,262,955.05
|
$3,086,967.45
|
2026-03-01
|
|
00906
|
OTHER
|
Inj Elivaldogene Autoteme
|
1
|
1
|
—
|
—
|
$3,084,600.00
|
$3,084,600.00
|
$3,084,600.00
|
2026-03-01
|
|
00746
|
OTHER
|
Inj, Betibeglogene Autote
|
1
|
1
|
—
|
—
|
$2,851,769.93
|
$2,851,769.93
|
$2,851,769.93
|
2026-03-01
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Tre
|
26
|
23
|
—
|
—
|
$2,588,981.00
|
$3,754,022.45
|
$2,718,430.05
|
2026-03-01
|
|
09141
|
OTHER
|
Inj Onase Abepar-xioi Tre
|
1
|
1
|
—
|
—
|
$2,511,311.57
|
$2,511,311.57
|
$2,511,311.57
|
2026-03-01
|
|
824
|
OTHER
|
Inj, Exagamglogene Autote
|
27
|
23
|
—
|
—
|
$17,554.07
|
$3,381,400.00
|
$2,448,600.00
|
2026-03-01
|
|
00824
|
OTHER
|
Inj, Exagamglogene Autote
|
1
|
1
|
—
|
—
|
$2,262,040.00
|
$2,262,040.00
|
$2,262,040.00
|
2026-03-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…
|
1
|
1
|
—
|
—
|
$1,271,523.00
|
$1,271,523.00
|
$1,271,523.00
|
2026-03-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…
|
3
|
2
|
—
|
—
|
$511,793.34
|
$920,834.85
|
$830,699.97
|
2026-03-01
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
26
|
23
|
—
|
—
|
$770,620.00
|
$1,117,399.00
|
$809,151.00
|
2026-03-01
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
26
|
23
|
—
|
—
|
$587,649.60
|
$852,091.92
|
$617,032.08
|
2026-03-01
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos
|
26
|
23
|
—
|
—
|
$566,531.30
|
$821,470.39
|
$594,857.87
|
2026-03-01
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
26
|
23
|
—
|
—
|
$562,201.20
|
$815,191.74
|
$590,311.26
|
2026-03-01
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Ca
|
26
|
23
|
—
|
—
|
$558,081.80
|
$809,218.61
|
$585,985.89
|
2026-03-01
|
|
09498
|
OTHER
|
Ciltacabtagene Car-pos T
|
1
|
1
|
—
|
—
|
$570,020.11
|
$570,020.11
|
$570,020.11
|
2026-03-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…
|
6
|
3
|
—
|
—
|
$561,407.87
|
$934,776.65
|
$561,407.87
|
2026-03-01
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel C
|
26
|
23
|
—
|
—
|
$532,192.20
|
$771,678.69
|
$558,801.81
|
2026-03-01
|
|
09194
|
OTHER
|
Tisagenlecleucel Car-pos
|
1
|
1
|
—
|
—
|
$549,535.36
|
$549,535.36
|
$549,535.36
|
2026-03-01
|
|
09422
|
OTHER
|
Idecabtagene Vicleucel Ca
|
1
|
1
|
—
|
—
|
$541,339.35
|
$541,339.35
|
$541,339.35
|
2026-03-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…
|
6
|
3
|
—
|
—
|
$536,573.93
|
$969,621.79
|
$536,573.93
|
2026-03-01
|
|
09413
|
OTHER
|
Lisocabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$501,224.32
|
$545,335.16
|
$523,279.74
|
2026-03-01
|
|
09035
|
OTHER
|
Axicabtagene Ciloleucel C
|
1
|
1
|
—
|
—
|
$516,226.43
|
$516,226.43
|
$516,226.43
|
2026-03-01
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
26
|
23
|
—
|
—
|
$489,450.20
|
$709,702.79
|
$513,922.71
|
2026-03-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…
|
6
|
3
|
—
|
—
|
$500,948.74
|
$927,632.05
|
$500,948.74
|
2026-03-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…
|
6
|
3
|
—
|
—
|
$487,755.77
|
$878,117.20
|
$487,755.77
|
2026-03-01
|
|
09391
|
OTHER
|
Brexucabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$474,766.69
|
$474,766.69
|
$474,766.69
|
2026-03-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…
|
6
|
3
|
—
|
—
|
$474,717.03
|
$807,592.83
|
$474,717.03
|
2026-03-01
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …
|
1
|
1
|
—
|
—
|
$459,112.50
|
$459,112.50
|
$459,112.50
|
2026-03-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
69
|
31
|
—
|
—
|
$1,477.00
|
$790,072.51
|
$392,699.75
|
2026-03-01
|
|
J3402
|
HCPCS
|
Injection, Remestemcel-l-rknd, Per Therapeutic Dose
|
1
|
1
|
—
|
—
|
$332,753.88
|
$332,753.88
|
$332,753.88
|
2026-03-01
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$292,270.70
|
$292,270.70
|
$292,270.70
|
2026-03-01
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400
|
27
|
23
|
—
|
—
|
$4,956.92
|
$403,462.50
|
$292,162.50
|
2026-03-01
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
26
|
23
|
—
|
—
|
$265,000.00
|
$384,250.00
|
$278,250.00
|
2026-03-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
63
|
31
|
—
|
—
|
$1,551.00
|
$512,725.27
|
$274,404.10
|
2026-03-01
|
|
00831
|
OTHER
|
Obecbtge Autol Up To 400
|
1
|
1
|
—
|
—
|
$269,902.50
|
$269,902.50
|
$269,902.50
|
2026-03-01
|
|
00897
|
OTHER
|
Revakinagene, Per Implant
|
1
|
1
|
—
|
—
|
$257,050.00
|
$257,050.00
|
$257,050.00
|
2026-03-01
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$256,910.61
|
$256,910.61
|
$256,910.61
|
2026-03-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
17
|
14
|
—
|
—
|
$208,261.10
|
$312,391.65
|
$241,582.88
|
2026-03-01
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/
|
27
|
23
|
—
|
—
|
$10,846.57
|
$292,420.05
|
$211,752.45
|
2026-03-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
64
|
31
|
—
|
—
|
$1,551.00
|
$658,861.03
|
$210,645.12
|
2026-03-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
63
|
31
|
—
|
—
|
$1,551.00
|
$464,040.49
|
$209,850.99
|
2026-03-01
|
|
00886
|
OTHER
|
Inj. Remestemcel-l-rknd/
|
1
|
1
|
—
|
—
|
$195,618.93
|
$195,618.93
|
$195,618.93
|
2026-03-01
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
1
|
1
|
—
|
—
|
$181,075.72
|
$181,075.72
|
$181,075.72
|
2026-03-01
|
|
1908
|
OTHER
|
New Technology - Level 52
|
26
|
23
|
—
|
—
|
$155,876.90
|
$226,021.50
|
$163,670.74
|
2026-03-01
|
|
1907
|
OTHER
|
New Technology - Level 52
|
26
|
23
|
—
|
—
|
$155,876.90
|
$226,021.50
|
$163,670.74
|
2026-03-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
17
|
14
|
—
|
—
|
$127,555.94
|
$191,333.91
|
$150,471.60
|
2026-03-01
|
|
01908
|
OTHER
|
New Technology - Level 52
|
1
|
1
|
—
|
—
|
$148,484.69
|
$148,484.69
|
$148,484.69
|
2026-03-01
|
|
1905
|
OTHER
|
New Technology - Level 51
|
26
|
23
|
—
|
—
|
$140,544.80
|
$203,789.96
|
$147,572.04
|
2026-03-01
|
|
1906
|
OTHER
|
New Technology - Level 51
|
26
|
23
|
—
|
—
|
$140,544.80
|
$203,789.96
|
$147,572.04
|
2026-03-01
|
|
01907
|
OTHER
|
New Technology - Level 52
|
2
|
1
|
—
|
—
|
$142,919.70
|
$148,484.69
|
$145,702.20
|
2026-03-01
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
15
|
13
|
—
|
—
|
$119,164.66
|
$178,746.99
|
$142,997.59
|
2026-03-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
15
|
13
|
—
|
—
|
$118,611.62
|
$177,917.43
|
$142,333.94
|
2026-03-01
|
|
004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
1
|
1
|
—
|
—
|
$141,405.82
|
$141,405.82
|
$141,405.82
|
2026-03-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
63
|
31
|
—
|
—
|
$1,551.00
|
$395,440.23
|
$138,631.19
|
2026-03-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
14
|
—
|
—
|
$117,172.80
|
$178,865.04
|
$138,322.30
|
2026-03-01
|
|
01905
|
OTHER
|
New Technology - Level 51
|
1
|
1
|
—
|
—
|
$133,879.59
|
$133,879.59
|
$133,879.59
|
2026-03-01
|
|
01906
|
OTHER
|
New Technology - Level 51
|
1
|
1
|
—
|
—
|
$133,879.59
|
$133,879.59
|
$133,879.59
|
2026-03-01
|
|
1903
|
OTHER
|
New Technology - Level 50
|
26
|
23
|
—
|
—
|
$125,212.70
|
$181,558.41
|
$131,473.33
|
2026-03-01
|
|
1904
|
OTHER
|
New Technology - Level 50
|
26
|
23
|
—
|
—
|
$125,212.70
|
$181,558.41
|
$131,473.33
|
2026-03-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
64
|
32
|
—
|
—
|
$1,551.00
|
$312,874.66
|
$129,211.64
|
2026-03-01
|
|
J7330
|
HCPCS
|
Autologous Cultured Chondrocytes, Implant
|
2
|
1
|
—
|
—
|
$120,116.70
|
$138,148.31
|
$129,132.51
|
2026-03-01
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
1
|
1
|
—
|
—
|
$126,728.85
|
$126,728.85
|
$126,728.85
|
2026-03-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
70
|
32
|
—
|
—
|
$1,477.00
|
$370,899.04
|
$122,449.44
|
2026-03-01
|
|
01903
|
OTHER
|
New Technology - Level 50
|
1
|
1
|
—
|
—
|
$119,274.69
|
$119,274.69
|
$119,274.69
|
2026-03-01
|
|
01904
|
OTHER
|
New Technology - Level 50
|
1
|
1
|
—
|
—
|
$119,274.69
|
$119,274.69
|
$119,274.69
|
2026-03-01
|
|
Q0480
|
HCPCS
|
Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only
|
27
|
23
|
—
|
—
|
$108,157.91
|
$161,679.35
|
$117,078.15
|
2026-03-01
|
|
1902
|
OTHER
|
New Technology - Level 49
|
26
|
23
|
—
|
—
|
$109,880.60
|
$159,326.87
|
$115,374.63
|
2026-03-01
|
|
1901
|
OTHER
|
New Technology - Level 49
|
26
|
23
|
—
|
—
|
$109,880.60
|
$159,326.87
|
$115,374.63
|
2026-03-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
63
|
31
|
—
|
—
|
$1,551.00
|
$478,185.00
|
$114,024.23
|
2026-03-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
59
|
33
|
—
|
—
|
$1,551.00
|
$372,105.55
|
$112,812.54
|
2026-03-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
59
|
33
|
—
|
—
|
$10,587.00
|
$344,378.78
|
$112,047.94
|
2026-03-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
67
|
33
|
—
|
—
|
$1,551.00
|
$354,086.76
|
$110,597.64
|
2026-03-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
17
|
14
|
—
|
—
|
$91,071.80
|
$136,607.70
|
$109,286.16
|
2026-03-01
|
|
007
|
OTHER
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$108,680.06
|
$108,680.06
|
$108,680.06
|
2026-03-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$88,926.10
|
$133,389.15
|
$106,711.32
|
2026-03-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
15
|
13
|
—
|
—
|
$88,871.48
|
$133,307.22
|
$106,645.78
|
2026-03-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
13
|
—
|
—
|
$88,742.47
|
$133,113.71
|
$106,490.96
|
2026-03-01
|
|
01901
|
OTHER
|
New Technology - Level 49
|
1
|
1
|
—
|
—
|
$104,669.69
|
$104,669.69
|
$104,669.69
|
2026-03-01
|
|
01902
|
OTHER
|
New Technology - Level 49
|
1
|
1
|
—
|
—
|
$104,669.69
|
$104,669.69
|
$104,669.69
|
2026-03-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
15
|
13
|
—
|
—
|
$87,176.41
|
$130,764.62
|
$104,611.69
|
2026-03-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
64
|
32
|
—
|
—
|
$1,551.00
|
$376,984.20
|
$103,554.55
|
2026-03-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
61
|
33
|
—
|
—
|
$11,098.00
|
$434,350.00
|
$103,471.88
|
2026-03-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
15
|
13
|
—
|
—
|
$85,478.46
|
$128,217.69
|
$102,574.15
|
2026-03-01
|
|
1585
|
OTHER
|
New Technology - Level 48
|
26
|
23
|
—
|
—
|
$97,103.81
|
$140,800.52
|
$101,959.00
|
2026-03-01
|
|
1599
|
OTHER
|
New Technology - Level 48
|
26
|
23
|
—
|
—
|
$97,103.81
|
$140,800.52
|
$101,959.00
|
2026-03-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
59
|
32
|
—
|
—
|
$63,606.00
|
$240,483.91
|
$101,251.08
|
2026-03-01
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…
|
2
|
1
|
—
|
—
|
$93,760.51
|
$108,036.36
|
$100,898.43
|
2026-03-01
|
|
K1007
|
HCPCS
|
Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…
|
27
|
23
|
—
|
—
|
$92,228.57
|
$137,867.45
|
$99,835.05
|
2026-03-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
17
|
14
|
—
|
—
|
$84,952.00
|
$127,428.00
|
$98,544.32
|
2026-03-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
14
|
—
|
—
|
$83,645.03
|
$125,467.54
|
$97,028.23
|
2026-03-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
1
|
—
|
—
|
$78,794.00
|
$96,685.00
|
$96,685.00
|
2024-10-01
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$96,322.61
|
$96,322.61
|
$96,322.61
|
2026-03-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
3
|
2
|
—
|
—
|
$79,747.00
|
$138,351.00
|
$95,081.00
|
2024-10-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
1
|
—
|
—
|
$77,361.00
|
$94,927.00
|
$94,927.00
|
2024-10-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
15
|
13
|
—
|
—
|
$79,102.08
|
$118,653.12
|
$94,922.50
|
2026-03-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
18
|
14
|
—
|
—
|
$81,748.00
|
$122,622.00
|
$94,827.68
|
2026-03-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
3
|
2
|
—
|
—
|
$79,747.00
|
$138,351.00
|
$94,719.00
|
2024-10-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
14
|
—
|
—
|
$77,520.20
|
$116,280.30
|
$93,024.24
|
2026-03-01
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$92,768.61
|
$92,768.61
|
$92,768.61
|
2026-03-01
|
|
01585
|
OTHER
|
New Technology - Level 48
|
1
|
1
|
—
|
—
|
$92,498.81
|
$92,498.81
|
$92,498.81
|
2026-03-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
59
|
33
|
—
|
—
|
$10,587.00
|
$274,197.23
|
$92,215.13
|
2026-03-01
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$91,791.47
|
$91,791.47
|
$91,791.47
|
2026-03-01
|
|
1584
|
OTHER
|
New Technology - Level 47
|
26
|
23
|
—
|
—
|
$86,882.41
|
$125,979.49
|
$91,226.53
|
2026-03-01
|
|
1598
|
OTHER
|
New Technology - Level 47
|
26
|
23
|
—
|
—
|
$86,882.41
|
$125,979.49
|
$91,226.53
|
2026-03-01
|
|
01599
|
OTHER
|
New Technology - Level 48
|
2
|
1
|
—
|
—
|
$89,032.11
|
$92,498.81
|
$90,765.46
|
2026-03-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…
|
3
|
2
|
—
|
—
|
$55,306.59
|
$91,596.09
|
$89,766.78
|
2026-03-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
59
|
32
|
—
|
—
|
$62,610.00
|
$242,255.88
|
$88,947.86
|
2026-03-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
17
|
14
|
—
|
—
|
$73,540.00
|
$110,310.00
|
$88,248.00
|
2026-03-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
65
|
33
|
—
|
—
|
$1,551.00
|
$302,841.21
|
$87,088.64
|
2026-03-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
58
|
32
|
—
|
—
|
$19,291.00
|
$166,804.46
|
$86,645.26
|
2026-03-01
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$86,024.35
|
$86,024.35
|
$86,024.35
|
2026-03-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
17
|
14
|
—
|
—
|
$72,794.70
|
$109,192.05
|
$85,872.00
|
2026-03-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
13
|
—
|
—
|
$70,549.10
|
$105,823.65
|
$84,658.92
|
2026-03-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
15
|
13
|
—
|
—
|
$70,159.56
|
$105,239.34
|
$84,191.47
|
2026-03-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
15
|
13
|
—
|
—
|
$69,631.31
|
$104,446.96
|
$83,557.57
|
2026-03-01
|
|
01584
|
OTHER
|
New Technology - Level 47
|
1
|
1
|
—
|
—
|
$82,762.15
|
$82,762.15
|
$82,762.15
|
2026-03-01
|
|
01598
|
OTHER
|
New Technology - Level 47
|
1
|
1
|
—
|
—
|
$82,762.15
|
$82,762.15
|
$82,762.15
|
2026-03-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
59
|
32
|
—
|
—
|
$57,821.00
|
$203,654.05
|
$81,609.49
|
2026-03-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$237,373.94
|
$80,967.75
|
2026-03-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
55
|
32
|
—
|
—
|
$63,909.00
|
$208,388.05
|
$80,581.82
|
2026-03-01
|
|
1597
|
OTHER
|
New Technology - Level 46
|
26
|
23
|
—
|
—
|
$76,661.01
|
$111,158.46
|
$80,494.06
|
2026-03-01
|
|
1583
|
OTHER
|
New Technology - Level 46
|
26
|
23
|
—
|
—
|
$76,661.01
|
$111,158.46
|
$80,494.06
|
2026-03-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
14
|
—
|
—
|
$66,996.16
|
$100,494.24
|
$80,138.40
|
2026-03-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
4
|
2
|
—
|
—
|
$71,631.00
|
$87,894.00
|
$79,988.00
|
2024-10-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
4
|
2
|
—
|
—
|
$71,631.00
|
$87,894.00
|
$79,988.00
|
2024-10-01
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$79,836.04
|
$79,836.04
|
$79,836.04
|
2026-03-01
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
18
|
14
|
—
|
—
|
$66,329.56
|
$99,494.34
|
$79,595.47
|
2026-03-01
|
|
715861
|
CDM
|
Trnscath Mtl Val Rep Ini
|
31
|
18
|
$260,338.20
|
$260,338.20
|
$14,839.28
|
$260,338.20
|
$78,101.46
|
2026-03-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$163,069.86
|
$77,773.10
|
2026-03-01
|
|
A9699
|
HCPCS
|
Radiopharmaceutical, Therapeutic, Not Otherwise Classified
|
2
|
1
|
—
|
—
|
$76,785.37
|
$77,046.96
|
$76,916.17
|
2026-03-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
7
|
3
|
—
|
—
|
$48,042.00
|
$83,345.00
|
$76,850.00
|
2026-03-01
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$76,583.77
|
$76,583.77
|
$76,583.77
|
2026-03-01
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
1
|
1
|
—
|
—
|
$75,701.58
|
$75,701.58
|
$75,701.58
|
2026-03-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
15
|
13
|
—
|
—
|
$63,082.80
|
$94,624.20
|
$75,699.36
|
2026-03-01
|
|
712696
|
CDM
|
Tavr Cardio Bypass Supp
|
31
|
18
|
$251,944.05
|
$251,944.05
|
$14,360.81
|
$251,944.05
|
$75,583.21
|
2026-03-01
|
|
712698
|
CDM
|
Tavr Bypass Supp Central
|
31
|
18
|
$251,944.05
|
$251,944.05
|
$14,360.81
|
$251,944.05
|
$75,583.21
|
2026-03-01
|
|
712697
|
CDM
|
Tavr Bypass Supp Open
|
31
|
18
|
$251,944.05
|
$251,944.05
|
$14,360.81
|
$251,944.05
|
$75,583.21
|
2026-03-01
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$64,911.19
|
$97,366.79
|
$75,296.98
|
2026-03-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
59
|
32
|
—
|
—
|
$62,997.31
|
$231,301.92
|
$75,078.05
|
2026-03-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
15
|
13
|
—
|
—
|
$62,395.71
|
$93,593.57
|
$74,874.85
|
2026-03-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
58
|
33
|
—
|
—
|
$10,587.00
|
$176,479.00
|
$74,557.29
|
2026-03-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
70
|
32
|
—
|
—
|
$1,551.00
|
$191,990.00
|
$74,076.89
|
2026-03-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
64
|
32
|
—
|
—
|
$1,551.00
|
$190,060.24
|
$73,085.26
|
2026-03-01
|
|
01597
|
OTHER
|
New Technology - Level 46
|
1
|
1
|
—
|
—
|
$73,025.48
|
$73,025.48
|
$73,025.48
|
2026-03-01
|
|
L8702
|
HCPCS
|
Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…
|
27
|
23
|
—
|
—
|
$66,737.65
|
$99,762.46
|
$72,241.79
|
2026-03-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
59
|
32
|
—
|
—
|
$49,556.00
|
$111,470.13
|
$71,869.94
|
2026-03-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
63
|
31
|
—
|
—
|
$1,551.00
|
$139,646.42
|
$71,657.90
|
2026-03-01
|
|
01583
|
OTHER
|
New Technology - Level 46
|
2
|
1
|
—
|
—
|
$70,288.61
|
$73,025.48
|
$71,657.04
|
2026-03-01
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$71,655.95
|
$71,655.95
|
$71,655.95
|
2026-03-01
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$71,424.68
|
$71,424.68
|
$71,424.68
|
2026-03-01
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
15
|
13
|
—
|
—
|
$59,458.71
|
$89,188.07
|
$71,350.45
|
2026-03-01
|
|
1596
|
OTHER
|
New Technology - Level 45
|
26
|
23
|
—
|
—
|
$66,439.61
|
$96,337.43
|
$69,761.59
|
2026-03-01
|
|
1582
|
OTHER
|
New Technology - Level 45
|
26
|
23
|
—
|
—
|
$66,439.61
|
$96,337.43
|
$69,761.59
|
2026-03-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
59
|
32
|
—
|
—
|
$53,390.11
|
$240,483.91
|
$69,501.94
|
2026-03-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
59
|
32
|
—
|
—
|
$57,760.38
|
$240,483.91
|
$69,501.94
|
2026-03-01
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
17
|
14
|
—
|
—
|
$58,779.60
|
$89,188.07
|
$68,972.10
|
2026-03-01
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
18
|
14
|
—
|
—
|
$55,830.00
|
$89,188.07
|
$68,972.10
|
2026-03-01
|
|
5244
|
OTHER
|
Level 4 Blood Product Exc
|
26
|
23
|
—
|
—
|
$65,686.31
|
$95,245.15
|
$68,970.63
|
2026-03-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
67
|
33
|
—
|
—
|
$1,551.00
|
$230,032.95
|
$68,434.88
|
2026-03-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
62
|
33
|
—
|
—
|
$1,551.00
|
$203,377.90
|
$68,330.39
|
2026-03-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
60
|
33
|
—
|
—
|
$10,555.00
|
$112,019.54
|
$68,158.31
|
2026-03-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
14
|
—
|
—
|
$38,906.40
|
$87,882.00
|
$67,962.08
|
2026-03-01
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx D
|
27
|
23
|
—
|
—
|
$16,069.98
|
$93,198.45
|
$67,488.53
|
2026-03-01
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$67,301.62
|
$67,301.62
|
$67,301.62
|
2024-10-01
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$67,133.22
|
$67,133.22
|
$67,133.22
|
2026-03-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
104
|
32
|
—
|
—
|
$13,408.00
|
$207,293.86
|
$66,649.21
|
2026-03-01
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
17
|
14
|
—
|
—
|
$55,400.17
|
$83,100.26
|
$65,818.80
|
2026-03-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
59
|
33
|
—
|
—
|
$11,098.00
|
$119,864.41
|
$65,413.98
|
2026-03-01
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$64,906.32
|
$64,906.32
|
$64,906.32
|
2026-03-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$295,612.00
|
$64,711.74
|
2026-03-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$242,255.88
|
$64,355.79
|
2026-03-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
65
|
33
|
—
|
—
|
$1,477.00
|
$117,729.27
|
$64,306.83
|
2026-03-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
3
|
—
|
—
|
$42,276.00
|
$73,342.00
|
$63,887.00
|
2026-03-01
|
|
984936
|
CDM
|
Pump Heart 21fr 85mm
|
47
|
23
|
$281,752.00
|
$281,752.00
|
$15,000.00
|
$281,752.00
|
$63,675.95
|
2026-03-01
|
|
992126
|
CDM
|
Kit Cath Rt Heart
|
47
|
23
|
$281,752.00
|
$281,752.00
|
$15,000.00
|
$281,752.00
|
$63,675.95
|
2026-03-01
|
|
712695
|
CDM
|
Tavr/tavi/trans Exposure
|
31
|
18
|
$211,325.75
|
$211,325.75
|
$12,045.57
|
$211,325.75
|
$63,397.72
|
2026-03-01
|
|
718457
|
CDM
|
Tmvi Perc Aprch
|
31
|
18
|
$211,325.75
|
$211,325.75
|
$12,045.57
|
$211,325.75
|
$63,397.72
|
2026-03-01
|
|
712693
|
CDM
|
Tavr/tavi Perc Fem Aprch
|
31
|
18
|
$211,325.75
|
$211,325.75
|
$12,045.57
|
$211,325.75
|
$63,397.72
|
2026-03-01
|
|
712694
|
CDM
|
Tavr/tavi Transaortic
|
31
|
18
|
$211,325.75
|
$211,325.75
|
$12,045.57
|
$211,325.75
|
$63,397.72
|
2026-03-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
60
|
33
|
—
|
—
|
$11,098.00
|
$142,271.00
|
$63,346.24
|
2026-03-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
61
|
33
|
—
|
—
|
$10,085.00
|
$166,804.46
|
$62,765.65
|
2026-03-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
17
|
14
|
—
|
—
|
$53,802.00
|
$81,160.27
|
$62,763.95
|
2026-03-01
|
|
05244
|
OTHER
|
Level 4 Blood Product Exc
|
1
|
1
|
—
|
—
|
$62,571.25
|
$62,571.25
|
$62,571.25
|
2026-03-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
17
|
14
|
—
|
—
|
$53,796.73
|
$80,695.10
|
$62,404.21
|
2026-03-01
|
|
00717
|
OTHER
|
Instill Adstiladrin, Tx D
|
1
|
1
|
—
|
—
|
$62,346.55
|
$62,346.55
|
$62,346.55
|
2026-03-01
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$62,290.40
|
$62,290.40
|
$62,290.40
|
2026-03-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$167,596.75
|
$62,114.07
|
2026-03-01
|
|
01596
|
OTHER
|
New Technology - Level 45
|
2
|
1
|
—
|
—
|
$60,916.85
|
$63,288.81
|
$62,102.83
|
2026-03-01
|
|
01582
|
OTHER
|
New Technology - Level 45
|
2
|
1
|
—
|
—
|
$60,916.85
|
$63,288.81
|
$62,102.83
|
2026-03-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
113
|
33
|
—
|
—
|
$1,551.00
|
$148,193.92
|
$61,865.28
|
2026-03-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
73
|
32
|
—
|
—
|
$1,426.00
|
$370,899.04
|
$61,849.76
|
2026-03-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$51,234.90
|
$76,852.35
|
$61,481.88
|
2026-03-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$109,927.86
|
$61,443.10
|
2026-03-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
43
|
28
|
—
|
—
|
$34,241.00
|
$75,436.00
|
$61,401.05
|
2026-03-01
|
|
J9029
|
HCPCS
|
Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose
|
6
|
3
|
—
|
—
|
$61,338.53
|
$106,053.40
|
$61,338.53
|
2026-03-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
17
|
14
|
—
|
—
|
$51,048.39
|
$76,572.58
|
$61,258.07
|
2026-03-01
|
|
010
|
OTHER
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$60,994.70
|
$60,994.70
|
$60,994.70
|
2026-03-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
61
|
33
|
—
|
—
|
$11,098.00
|
$146,553.46
|
$60,731.24
|
2026-03-01
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$60,593.43
|
$60,593.43
|
$60,593.43
|
2026-03-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
58
|
33
|
—
|
—
|
$10,587.00
|
$157,434.00
|
$60,246.66
|
2026-03-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$111,268.72
|
$60,055.00
|
2026-03-01
|
|
C2616
|
HCPCS
|
Brachytherapy Source, Non-stranded, Yttrium-90, Per Source
|
2
|
1
|
—
|
—
|
$58,219.00
|
$61,450.00
|
$59,834.50
|
2026-03-01
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
26
|
23
|
—
|
—
|
$56,824.55
|
$82,395.60
|
$59,665.78
|
2026-03-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
55
|
33
|
—
|
—
|
$10,587.00
|
$187,614.34
|
$59,653.13
|
2026-03-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
18
|
14
|
—
|
—
|
$51,234.90
|
$76,852.35
|
$59,432.48
|
2026-03-01
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$59,251.00
|
$59,251.00
|
$59,251.00
|
2026-03-01
|
|
1595
|
OTHER
|
New Technology - Level 44
|
26
|
23
|
—
|
—
|
$56,218.21
|
$81,516.40
|
$59,029.12
|
2026-03-01
|
|
1581
|
OTHER
|
New Technology - Level 44
|
26
|
23
|
—
|
—
|
$56,218.21
|
$81,516.40
|
$59,029.12
|
2026-03-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$121,607.91
|
$58,931.34
|
2026-03-01
|
|
360
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
1
|
1
|
—
|
—
|
$58,898.75
|
$58,898.75
|
$58,898.75
|
2026-03-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
58
|
33
|
—
|
—
|
$10,587.00
|
$157,434.00
|
$58,816.08
|
2026-03-01
|
|
011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
—
|
—
|
$58,242.48
|
$58,242.48
|
$58,242.48
|
2026-03-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$155,163.43
|
$58,055.59
|
2026-03-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures
|
64
|
33
|
—
|
—
|
$9,599.00
|
$146,635.65
|
$57,991.10
|
2026-03-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
62
|
32
|
—
|
—
|
$1,551.00
|
$191,990.00
|
$57,851.11
|
2026-03-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective
|
65
|
33
|
—
|
—
|
$1,551.00
|
$104,278.05
|
$57,331.86
|
2026-03-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
70
|
32
|
—
|
—
|
$1,477.00
|
$370,899.04
|
$57,214.41
|
2026-03-01
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
26
|
23
|
—
|
—
|
$54,404.11
|
$78,885.96
|
$57,124.32
|
2026-03-01
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
2
|
1
|
—
|
—
|
$53,574.18
|
$60,645.50
|
$57,109.84
|
2026-03-01
|
|
2051
|
OTHER
|
Cath Renal Denerv Radiofr
|
1
|
1
|
—
|
—
|
$57,036.92
|
$57,036.92
|
$57,036.92
|
2026-03-01
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
17
|
14
|
—
|
—
|
$49,153.16
|
$73,729.74
|
$57,017.67
|
2026-03-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
62
|
33
|
—
|
—
|
$9,599.00
|
$146,632.36
|
$56,781.64
|
2026-03-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
57
|
33
|
—
|
—
|
$11,098.00
|
$208,388.05
|
$56,756.75
|
2026-03-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$237,373.94
|
$56,628.98
|
2026-03-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$108,875.42
|
$56,191.83
|
2026-03-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$107,369.75
|
$56,082.22
|
2026-03-01
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
1
|
—
|
—
|
$28,838.21
|
$83,086.80
|
$55,962.51
|
2026-03-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically
|
58
|
33
|
—
|
—
|
$11,098.00
|
$162,943.00
|
$55,933.25
|
2026-03-01
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$55,891.52
|
$55,891.52
|
$55,891.52
|
2026-03-01
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$55,688.58
|
$55,688.58
|
$55,688.58
|
2026-03-01
|
|
B0404
|
HCPCS
|
Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5
|
4
|
3
|
—
|
—
|
$49,429.37
|
$63,331.38
|
$55,608.04
|
2026-03-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
15
|
13
|
—
|
—
|
$46,198.91
|
$69,298.37
|
$55,438.69
|
2026-03-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
65
|
33
|
—
|
—
|
$1,477.00
|
$100,443.21
|
$55,343.35
|
2026-03-01
|
|
01643
|
OTHER
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$55,119.81
|
$55,119.81
|
$55,119.81
|
2026-03-01
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
1
|
—
|
—
|
$45,471.75
|
$64,055.53
|
$54,763.64
|
2026-03-01
|
|
B0505
|
HCPCS
|
Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2
|
4
|
3
|
—
|
—
|
$48,615.53
|
$62,288.65
|
$54,692.47
|
2026-03-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
14
|
—
|
—
|
$46,671.82
|
$70,007.73
|
$54,139.31
|
2026-03-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
62
|
33
|
—
|
—
|
$9,599.00
|
$109,989.89
|
$54,104.73
|
2026-03-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
57
|
33
|
—
|
—
|
$11,098.00
|
$208,388.05
|
$53,831.13
|
2026-03-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$84,363.92
|
$53,704.00
|
2026-03-01
|
|
01595
|
OTHER
|
New Technology - Level 44
|
1
|
1
|
—
|
—
|
$53,552.15
|
$53,552.15
|
$53,552.15
|
2026-03-01
|
|
01581
|
OTHER
|
New Technology - Level 44
|
1
|
1
|
—
|
—
|
$53,552.15
|
$53,552.15
|
$53,552.15
|
2026-03-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
14
|
—
|
—
|
$44,285.71
|
$66,428.57
|
$53,142.85
|
2026-03-01
|
|
09273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
2
|
1
|
—
|
—
|
$52,771.99
|
$53,364.77
|
$53,068.38
|
2026-03-01
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
1
|
1
|
—
|
—
|
$52,990.72
|
$52,990.72
|
$52,990.72
|
2026-03-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
57
|
33
|
—
|
—
|
$11,098.00
|
$157,152.36
|
$52,984.02
|
2026-03-01
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$52,479.18
|
$52,479.18
|
$52,479.18
|
2026-03-01
|
|
L7181
|
HCPCS
|
Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…
|
27
|
23
|
—
|
—
|
$48,117.24
|
$71,927.83
|
$52,085.67
|
2026-03-01
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$52,031.96
|
$52,031.96
|
$52,031.96
|
2026-03-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
18
|
14
|
—
|
—
|
$43,326.23
|
$64,989.35
|
$51,991.48
|
2026-03-01
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
1
|
1
|
—
|
—
|
$51,939.30
|
$51,939.30
|
$51,939.30
|
2026-03-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
18
|
14
|
—
|
—
|
$44,343.60
|
$66,933.09
|
$51,761.59
|
2026-03-01
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$51,614.61
|
$51,614.61
|
$51,614.61
|
2026-03-01
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$51,613.08
|
$51,613.08
|
$51,613.08
|
2026-03-01
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$51,533.43
|
$51,533.43
|
$51,533.43
|
2026-03-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
14
|
—
|
—
|
$42,730.78
|
$64,096.17
|
$51,276.94
|
2026-03-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$221,962.14
|
$51,274.87
|
2026-03-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$109,431.01
|
$51,095.69
|
2026-03-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
60
|
33
|
—
|
—
|
$11,098.00
|
$79,119.00
|
$50,994.78
|
2026-03-01
|
|
C1825
|
HCPCS
|
System Nrstm Gen Ipg
|
21
|
13
|
$101,710.00
|
$101,710.00
|
$5,797.47
|
$101,710.00
|
$50,855.00
|
2026-03-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
62
|
33
|
—
|
—
|
$9,599.00
|
$91,249.47
|
$50,700.02
|
2026-03-01
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
14
|
—
|
—
|
$42,824.58
|
$64,236.87
|
$50,442.00
|
2026-03-01
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
18
|
14
|
—
|
—
|
$43,443.38
|
$65,165.07
|
$50,394.32
|
2026-03-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
17
|
14
|
—
|
—
|
$43,270.17
|
$64,905.25
|
$50,348.40
|
2026-03-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$90,047.42
|
$49,952.76
|
2026-03-01
|
|
B0106
|
HCPCS
|
Stroke; M > 30.05 & M < 34.25
|
4
|
3
|
—
|
—
|
$44,076.40
|
$56,472.89
|
$49,585.95
|
2026-03-01
|
|
996013
|
CDM
|
Valve Tavr 29mm
|
21
|
13
|
$98,804.00
|
$98,804.00
|
$5,631.83
|
$98,804.00
|
$49,402.00
|
2026-03-01
|
|
994394
|
CDM
|
Valve Tavr 26mm
|
21
|
13
|
$98,804.00
|
$98,804.00
|
$5,631.83
|
$98,804.00
|
$49,402.00
|
2026-03-01
|
|
996276
|
CDM
|
Valve Tavr 23mm
|
21
|
13
|
$98,804.00
|
$98,804.00
|
$5,631.83
|
$98,804.00
|
$49,402.00
|
2026-03-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
61
|
33
|
—
|
—
|
$9,599.00
|
$142,271.00
|
$49,383.90
|
2026-03-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$89,672.36
|
$49,270.44
|
2026-03-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
62
|
32
|
—
|
—
|
$1,551.00
|
$152,102.76
|
$49,228.07
|
2026-03-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
15
|
13
|
—
|
—
|
$40,865.02
|
$61,297.53
|
$49,038.02
|
2026-03-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
65
|
33
|
—
|
—
|
$1,477.00
|
$87,899.47
|
$48,838.96
|
2026-03-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
64
|
33
|
—
|
—
|
$9,599.00
|
$101,935.51
|
$48,825.59
|
2026-03-01
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
—
|
—
|
$48,716.12
|
$48,716.12
|
$48,716.12
|
2026-03-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
65
|
33
|
—
|
—
|
$1,551.00
|
$119,014.07
|
$48,708.35
|
2026-03-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
59
|
33
|
—
|
—
|
$10,085.00
|
$96,655.79
|
$48,705.46
|
2026-03-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
61
|
33
|
—
|
—
|
$11,098.00
|
$125,289.91
|
$48,669.34
|
2026-03-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
62
|
32
|
—
|
—
|
$1,551.00
|
$376,984.20
|
$48,641.51
|
2026-03-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
17
|
14
|
—
|
—
|
$40,520.04
|
$81,985.20
|
$48,624.05
|
2026-03-01
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
1
|
1
|
—
|
—
|
$48,510.12
|
$48,510.12
|
$48,510.12
|
2026-03-01
|
|
B1903
|
HCPCS
|
Guillian Barre; M < 18.05
|
4
|
3
|
—
|
—
|
$42,943.56
|
$55,021.44
|
$48,311.50
|
2026-03-01
|
|
1594
|
OTHER
|
New Technology - Level 43
|
26
|
23
|
—
|
—
|
$45,996.81
|
$66,695.37
|
$48,296.65
|
2026-03-01
|
|
1580
|
OTHER
|
New Technology - Level 43
|
26
|
23
|
—
|
—
|
$45,996.81
|
$66,695.37
|
$48,296.65
|
2026-03-01
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$48,172.41
|
$48,172.41
|
$48,172.41
|
2026-03-01
|