|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
3
|
1
|
—
|
—
|
$4,850,948.67
|
$4,897,200.00
|
$4,897,200.00
|
2026-03-01
|
|
845
|
OTHER
|
Inj, Atidarsagene Autotem
|
27
|
22
|
—
|
—
|
$5,640.69
|
$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…
|
3
|
1
|
—
|
—
|
$3,884,946.48
|
$4,271,819.03
|
$3,884,946.48
|
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
|
|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dos
|
55
|
24
|
—
|
—
|
$3,636,171.00
|
$4,422,320.40
|
$3,758,972.34
|
2026-03-01
|
|
773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
27
|
23
|
—
|
—
|
$3,568,950.00
|
$4,326,000.00
|
$3,677,100.00
|
2024-10-01
|
|
09138
|
OTHER
|
Inj, Hemgenix, Per Tx Dos
|
2
|
1
|
—
|
—
|
$3,562,713.00
|
$3,574,708.99
|
$3,568,711.00
|
2026-03-01
|
|
00773
|
OTHER
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,496,850.00
|
$3,496,850.00
|
$3,496,850.00
|
2024-10-01
|
|
908
|
OTHER
|
Topi Adm Prad Zami Per Tr
|
31
|
26
|
—
|
—
|
$11,479.98
|
$4,836,939.00
|
$3,402,536.40
|
2026-03-01
|
|
714
|
OTHER
|
Inj Delandistrogene Mox R
|
58
|
26
|
—
|
—
|
$6,251.18
|
$4,825,397.00
|
$3,394,417.20
|
2026-03-01
|
|
748
|
OTHER
|
Inj, Lovotibeglogene Auto
|
58
|
26
|
—
|
—
|
$10,311.30
|
$4,716,136.60
|
$3,350,901.62
|
2026-03-01
|
|
906
|
OTHER
|
Inj Elivaldogene Autoteme
|
31
|
26
|
—
|
—
|
$7,522.68
|
$4,611,000.00
|
$3,243,600.00
|
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
|
2
|
1
|
—
|
—
|
$3,154,932.76
|
$3,187,420.00
|
$3,171,176.38
|
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
|
|
746
|
OTHER
|
Inj, Betibeglogene Autote
|
59
|
27
|
—
|
—
|
$9,158.48
|
$4,997,947.30
|
$3,027,360.00
|
2026-03-01
|
|
00746
|
OTHER
|
Inj, Betibeglogene Autote
|
2
|
1
|
—
|
—
|
$2,851,769.93
|
$2,878,960.00
|
$2,865,364.96
|
2026-03-01
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Tre
|
58
|
26
|
—
|
—
|
$2,364,727.86
|
$4,401,267.70
|
$2,588,981.00
|
2026-03-01
|
|
824
|
OTHER
|
Inj, Exagamglogene Autote
|
34
|
29
|
—
|
—
|
$16,216.98
|
$4,897,200.00
|
$2,425,280.00
|
2026-03-01
|
|
09141
|
OTHER
|
Inj Onase Abepar-xioi Tre
|
2
|
1
|
—
|
—
|
$2,316,955.58
|
$2,511,311.57
|
$2,414,133.58
|
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
|
|
2067
|
OTHER
|
Afamitresgene Autoleucel
|
34
|
28
|
—
|
—
|
$762,913.80
|
$1,849,488.00
|
$809,151.00
|
2026-03-01
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
62
|
28
|
—
|
—
|
$521,852.17
|
$1,234,064.16
|
$587,649.60
|
2026-03-01
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos
|
62
|
28
|
—
|
—
|
$523,900.97
|
$1,189,715.73
|
$566,531.30
|
2026-03-01
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Ca
|
62
|
28
|
—
|
—
|
$521,321.72
|
$1,171,971.78
|
$563,448.73
|
2026-03-01
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
62
|
28
|
—
|
—
|
$511,558.84
|
$1,180,622.52
|
$562,201.20
|
2026-03-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…
|
11
|
3
|
—
|
—
|
$502,693.77
|
$934,776.65
|
$561,407.87
|
2026-03-01
|
|
09498
|
OTHER
|
Ciltacabtagene Car-pos T
|
2
|
1
|
—
|
—
|
$511,309.70
|
$570,020.11
|
$540,664.91
|
2026-03-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…
|
11
|
3
|
—
|
—
|
$492,271.12
|
$969,621.79
|
$536,573.93
|
2026-03-01
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel C
|
62
|
28
|
—
|
—
|
$484,561.44
|
$1,117,603.62
|
$532,192.20
|
2026-03-01
|
|
09194
|
OTHER
|
Tisagenlecleucel Car-pos
|
2
|
1
|
—
|
—
|
$513,317.11
|
$549,535.36
|
$531,426.23
|
2026-03-01
|
|
09422
|
OTHER
|
Idecabtagene Vicleucel Ca
|
2
|
1
|
—
|
—
|
$510,789.97
|
$541,339.35
|
$526,064.66
|
2026-03-01
|
|
09413
|
OTHER
|
Lisocabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$501,224.32
|
$545,335.16
|
$523,279.74
|
2026-03-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…
|
7
|
3
|
—
|
—
|
$470,149.30
|
$920,834.85
|
$511,793.34
|
2026-03-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…
|
11
|
3
|
—
|
—
|
$459,839.17
|
$927,632.05
|
$500,948.74
|
2026-03-01
|
|
09035
|
OTHER
|
Axicabtagene Ciloleucel C
|
2
|
1
|
—
|
—
|
$474,772.32
|
$516,226.43
|
$495,499.38
|
2026-03-01
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
62
|
28
|
—
|
—
|
$455,925.10
|
$1,027,845.42
|
$492,767.53
|
2026-03-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…
|
11
|
3
|
—
|
—
|
$445,599.57
|
$878,117.20
|
$487,755.77
|
2026-03-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…
|
11
|
3
|
—
|
—
|
$435,956.80
|
$807,592.83
|
$474,717.03
|
2026-03-01
|
|
09391
|
OTHER
|
Brexucabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$446,714.49
|
$474,766.69
|
$460,740.59
|
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
|
123
|
38
|
—
|
—
|
$1,870.00
|
$979,841.28
|
$368,748.77
|
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
|
|
831
|
OTHER
|
Obecbtge Autol Up To 400
|
34
|
29
|
—
|
—
|
$3,469.61
|
$584,325.00
|
$289,380.00
|
2026-03-01
|
|
897
|
OTHER
|
Revakinagene, Per Implant
|
32
|
28
|
—
|
—
|
$262,350.00
|
$556,500.00
|
$278,250.00
|
2026-03-01
|
|
00831
|
OTHER
|
Obecbtge Autol Up To 400
|
1
|
1
|
—
|
—
|
$269,902.50
|
$269,902.50
|
$269,902.50
|
2026-03-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
133
|
40
|
—
|
—
|
$1,870.00
|
$638,843.28
|
$266,184.70
|
2026-03-01
|
|
00897
|
OTHER
|
Revakinagene, Per Implant
|
1
|
1
|
—
|
—
|
$257,050.00
|
$257,050.00
|
$257,050.00
|
2026-03-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
31
|
14
|
—
|
—
|
$192,207.00
|
$312,391.65
|
$230,648.40
|
2026-03-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
128
|
39
|
—
|
—
|
$1,870.00
|
$1,064,355.42
|
$219,856.90
|
2026-03-01
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
3
|
2
|
—
|
—
|
$211,889.03
|
$247,595.31
|
$218,442.30
|
2026-03-01
|
|
886
|
OTHER
|
Inj. Remestemcel-l-rknd/
|
34
|
29
|
—
|
—
|
$6,542.61
|
$423,504.90
|
$209,735.76
|
2026-03-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
132
|
40
|
—
|
—
|
$1,870.00
|
$616,633.80
|
$203,348.57
|
2026-03-01
|
|
00886
|
OTHER
|
Inj. Remestemcel-l-rknd/
|
1
|
1
|
—
|
—
|
$195,618.93
|
$195,618.93
|
$195,618.93
|
2026-03-01
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
2
|
—
|
—
|
$174,839.69
|
$281,673.26
|
$180,247.10
|
2026-03-01
|
|
594476
|
CDM
|
Sc Pta Intcran Spasm Ini
|
70
|
25
|
$687,940.00
|
$687,940.00
|
$26,235.00
|
$1,277,276.00
|
$162,962.80
|
2026-03-01
|
|
1908
|
OTHER
|
New Technology - Level 52
|
67
|
28
|
—
|
—
|
$145,866.50
|
$374,104.56
|
$158,994.44
|
2026-03-01
|
|
1907
|
OTHER
|
New Technology - Level 52
|
67
|
28
|
—
|
—
|
$145,866.50
|
$374,104.56
|
$158,994.44
|
2026-03-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
31
|
14
|
—
|
—
|
$125,393.00
|
$191,333.91
|
$150,471.60
|
2026-03-01
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
3
|
2
|
—
|
—
|
$141,923.32
|
$174,510.18
|
$146,312.70
|
2026-03-01
|
|
01907
|
OTHER
|
New Technology - Level 52
|
2
|
1
|
—
|
—
|
$142,919.70
|
$148,484.69
|
$145,702.20
|
2026-03-01
|
|
01908
|
OTHER
|
New Technology - Level 52
|
2
|
1
|
—
|
—
|
$142,919.70
|
$148,484.69
|
$145,702.20
|
2026-03-01
|
|
1906
|
OTHER
|
New Technology - Level 51
|
67
|
28
|
—
|
—
|
$131,519.02
|
$337,307.52
|
$143,355.70
|
2026-03-01
|
|
1905
|
OTHER
|
New Technology - Level 51
|
67
|
28
|
—
|
—
|
$131,519.02
|
$337,307.52
|
$143,355.70
|
2026-03-01
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
31
|
14
|
—
|
—
|
$118,611.62
|
$186,775.50
|
$142,333.94
|
2026-03-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
133
|
40
|
—
|
—
|
$1,870.00
|
$370,095.96
|
$134,691.82
|
2026-03-01
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
31
|
14
|
—
|
—
|
$111,047.00
|
$178,746.99
|
$133,256.40
|
2026-03-01
|
|
01906
|
OTHER
|
New Technology - Level 51
|
2
|
1
|
—
|
—
|
$128,862.07
|
$133,879.59
|
$131,370.83
|
2026-03-01
|
|
01905
|
OTHER
|
New Technology - Level 51
|
2
|
1
|
—
|
—
|
$128,862.07
|
$133,879.59
|
$131,370.83
|
2026-03-01
|
|
1903
|
OTHER
|
New Technology - Level 50
|
67
|
28
|
—
|
—
|
$117,171.55
|
$300,510.48
|
$127,716.95
|
2026-03-01
|
|
1904
|
OTHER
|
New Technology - Level 50
|
67
|
28
|
—
|
—
|
$117,171.55
|
$300,510.48
|
$127,716.95
|
2026-03-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
133
|
41
|
—
|
—
|
$1,870.00
|
$299,761.68
|
$125,961.49
|
2026-03-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
125
|
39
|
—
|
—
|
$1,870.00
|
$347,127.65
|
$123,132.04
|
2026-03-01
|
|
J7330
|
HCPCS
|
Autologous Cultured Chondrocytes, Implant
|
3
|
1
|
—
|
—
|
$120,116.70
|
$138,148.31
|
$120,116.70
|
2026-03-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
31
|
14
|
—
|
—
|
$97,644.00
|
$178,865.04
|
$119,243.36
|
2026-03-01
|
|
01903
|
OTHER
|
New Technology - Level 50
|
2
|
1
|
—
|
—
|
$114,804.45
|
$119,274.69
|
$117,039.57
|
2026-03-01
|
|
01904
|
OTHER
|
New Technology - Level 50
|
2
|
1
|
—
|
—
|
$114,804.45
|
$119,274.69
|
$117,039.57
|
2026-03-01
|
|
1902
|
OTHER
|
New Technology - Level 49
|
67
|
28
|
—
|
—
|
$102,824.07
|
$263,713.44
|
$112,078.21
|
2026-03-01
|
|
1901
|
OTHER
|
New Technology - Level 49
|
67
|
28
|
—
|
—
|
$102,824.07
|
$263,713.44
|
$112,078.21
|
2026-03-01
|
|
Q0480
|
HCPCS
|
Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only
|
69
|
29
|
—
|
—
|
$96,999.90
|
$267,607.20
|
$111,503.00
|
2026-03-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
72
|
41
|
—
|
—
|
$1,984.00
|
$348,256.84
|
$110,705.90
|
2026-03-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
133
|
40
|
—
|
—
|
$1,870.00
|
$397,171.80
|
$109,731.60
|
2026-03-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
31
|
14
|
—
|
—
|
$91,071.80
|
$143,410.50
|
$109,286.16
|
2026-03-01
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…
|
3
|
1
|
—
|
—
|
$93,760.51
|
$108,036.36
|
$108,036.36
|
2026-03-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
136
|
41
|
—
|
—
|
$1,870.00
|
$322,307.11
|
$106,820.40
|
2026-03-01
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
31
|
14
|
—
|
—
|
$88,926.10
|
$142,750.50
|
$106,711.32
|
2026-03-01
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
2
|
1
|
—
|
—
|
$90,297.46
|
$122,133.77
|
$106,215.62
|
2026-03-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
142
|
42
|
—
|
—
|
$1,870.00
|
$331,392.90
|
$105,441.60
|
2026-03-01
|
|
004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
3
|
2
|
—
|
—
|
$99,789.72
|
$136,278.60
|
$102,876.00
|
2026-03-01
|
|
01901
|
OTHER
|
New Technology - Level 49
|
2
|
1
|
—
|
—
|
$100,746.82
|
$104,669.69
|
$102,708.26
|
2026-03-01
|
|
01902
|
OTHER
|
New Technology - Level 49
|
2
|
1
|
—
|
—
|
$100,746.82
|
$104,669.69
|
$102,708.26
|
2026-03-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
133
|
41
|
—
|
—
|
$1,870.00
|
$352,822.81
|
$102,162.28
|
2026-03-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
145
|
42
|
—
|
—
|
$1,455.00
|
$358,382.59
|
$101,688.06
|
2026-03-01
|
|
1585
|
OTHER
|
New Technology - Level 48
|
67
|
28
|
—
|
—
|
$90,867.82
|
$233,049.14
|
$99,045.89
|
2026-03-01
|
|
1599
|
OTHER
|
New Technology - Level 48
|
67
|
28
|
—
|
—
|
$90,867.82
|
$233,049.14
|
$99,045.89
|
2026-03-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
31
|
14
|
—
|
—
|
$82,446.00
|
$133,307.22
|
$98,935.20
|
2026-03-01
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
31
|
14
|
—
|
—
|
$81,552.00
|
$127,428.00
|
$97,862.40
|
2026-03-01
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
31
|
14
|
—
|
—
|
$80,942.00
|
$128,217.69
|
$97,130.40
|
2026-03-01
|
|
K1007
|
HCPCS
|
Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…
|
69
|
29
|
—
|
—
|
$88,300.94
|
$228,194.40
|
$96,982.62
|
2026-03-01
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$79,657.00
|
$125,467.54
|
$95,588.40
|
2026-03-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
145
|
42
|
—
|
—
|
$1,455.00
|
$228,511.25
|
$95,213.02
|
2026-03-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
31
|
14
|
—
|
—
|
$79,102.08
|
$135,325.50
|
$94,922.50
|
2026-03-01
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
31
|
14
|
—
|
—
|
$77,520.20
|
$137,205.00
|
$93,024.24
|
2026-03-01
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
3
|
2
|
—
|
—
|
$89,404.92
|
$95,589.46
|
$92,721.78
|
2026-03-01
|
|
01599
|
OTHER
|
New Technology - Level 48
|
2
|
1
|
—
|
—
|
$89,032.11
|
$92,498.81
|
$90,765.46
|
2026-03-01
|
|
01585
|
OTHER
|
New Technology - Level 48
|
2
|
1
|
—
|
—
|
$89,032.11
|
$92,498.81
|
$90,765.46
|
2026-03-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
31
|
14
|
—
|
—
|
$75,232.00
|
$130,764.62
|
$90,278.40
|
2026-03-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…
|
5
|
2
|
—
|
—
|
$53,789.99
|
$91,596.09
|
$89,766.78
|
2026-03-01
|
|
1598
|
OTHER
|
New Technology - Level 47
|
67
|
28
|
—
|
—
|
$81,302.85
|
$208,517.78
|
$88,620.06
|
2026-03-01
|
|
1584
|
OTHER
|
New Technology - Level 47
|
67
|
28
|
—
|
—
|
$81,302.85
|
$208,517.78
|
$88,620.06
|
2026-03-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$256,623.58
|
$87,965.91
|
2026-03-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$73,540.00
|
$110,794.50
|
$87,896.97
|
2026-03-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
136
|
41
|
—
|
—
|
$1,870.00
|
$283,431.74
|
$87,040.75
|
2026-03-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
31
|
14
|
—
|
—
|
$71,560.00
|
$109,192.05
|
$85,872.00
|
2026-03-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
31
|
14
|
—
|
—
|
$70,159.56
|
$113,416.50
|
$84,191.47
|
2026-03-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
145
|
42
|
—
|
—
|
$1,455.00
|
$226,729.39
|
$83,498.62
|
2026-03-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
31
|
14
|
—
|
—
|
$69,493.00
|
$122,622.00
|
$83,391.60
|
2026-03-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
132
|
40
|
—
|
—
|
$1,870.00
|
$197,481.74
|
$83,106.90
|
2026-03-01
|
|
007
|
OTHER
|
Lung Transplant
|
3
|
2
|
—
|
—
|
$80,002.02
|
$104,739.44
|
$82,476.31
|
2026-03-01
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
3
|
2
|
—
|
—
|
$79,856.90
|
$92,830.06
|
$82,326.70
|
2026-03-01
|
|
01584
|
OTHER
|
New Technology - Level 47
|
2
|
1
|
—
|
—
|
$79,660.37
|
$82,762.15
|
$81,211.26
|
2026-03-01
|
|
01598
|
OTHER
|
New Technology - Level 47
|
2
|
1
|
—
|
—
|
$79,660.37
|
$82,762.15
|
$81,211.26
|
2026-03-01
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
31
|
14
|
—
|
—
|
$66,782.00
|
$100,494.24
|
$79,725.43
|
2026-03-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
31
|
14
|
—
|
—
|
$56,946.00
|
$133,113.71
|
$79,724.40
|
2026-03-01
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
31
|
14
|
—
|
—
|
$66,329.56
|
$100,863.00
|
$79,595.47
|
2026-03-01
|
|
0916T
|
CPT
|
Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…
|
1
|
1
|
—
|
—
|
$78,780.00
|
$78,780.00
|
$78,780.00
|
2026-03-01
|
|
0915T
|
CPT
|
Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…
|
1
|
1
|
—
|
—
|
$78,780.00
|
$78,780.00
|
$78,780.00
|
2026-03-01
|
|
0923T
|
CPT
|
Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla…
|
1
|
1
|
—
|
—
|
$78,780.00
|
$78,780.00
|
$78,780.00
|
2026-03-01
|
|
0614T
|
CPT
|
Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator
|
3
|
1
|
—
|
—
|
$78,726.00
|
$78,780.00
|
$78,726.00
|
2026-03-01
|
|
0515T
|
CPT
|
Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including …
|
3
|
1
|
—
|
—
|
$78,726.00
|
$78,780.00
|
$78,726.00
|
2026-03-01
|
|
0571T
|
CPT
|
Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S…
|
3
|
1
|
—
|
—
|
$78,726.00
|
$78,780.00
|
$78,726.00
|
2026-03-01
|
|
0520T
|
CPT
|
Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L…
|
3
|
1
|
—
|
—
|
$78,726.00
|
$78,780.00
|
$78,726.00
|
2026-03-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
132
|
40
|
—
|
—
|
$1,870.00
|
$222,160.34
|
$78,612.05
|
2026-03-01
|
|
1597
|
OTHER
|
New Technology - Level 46
|
67
|
28
|
—
|
—
|
$71,737.86
|
$183,986.42
|
$78,194.23
|
2026-03-01
|
|
1583
|
OTHER
|
New Technology - Level 46
|
67
|
28
|
—
|
—
|
$71,737.86
|
$183,986.42
|
$78,194.23
|
2026-03-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
31
|
14
|
—
|
—
|
$64,392.00
|
$104,446.96
|
$77,270.40
|
2026-03-01
|
|
A9699
|
HCPCS
|
Radiopharmaceutical, Therapeutic, Not Otherwise Classified
|
3
|
1
|
—
|
—
|
$76,785.37
|
$77,046.96
|
$76,785.37
|
2026-03-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
145
|
42
|
—
|
—
|
$1,455.00
|
$190,601.61
|
$76,681.10
|
2026-03-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
141
|
41
|
—
|
—
|
$1,455.00
|
$195,032.20
|
$76,242.67
|
2026-03-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
127
|
40
|
—
|
—
|
$1,870.00
|
$181,688.59
|
$75,703.58
|
2026-03-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
127
|
40
|
—
|
—
|
$1,870.00
|
$180,680.35
|
$75,283.48
|
2026-03-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$179,856.98
|
$74,940.41
|
2026-03-01
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
31
|
14
|
—
|
—
|
$62,352.00
|
$97,366.79
|
$74,822.40
|
2026-03-01
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$73,806.92
|
$73,806.92
|
$73,806.92
|
2026-03-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
31
|
14
|
—
|
—
|
$61,338.00
|
$93,593.57
|
$73,605.60
|
2026-03-01
|
|
935054
|
CDM
|
Kit Cath Rt Heart
|
103
|
29
|
$303,482.00
|
$303,482.00
|
$14,870.62
|
$440,048.90
|
$73,289.96
|
2026-03-01
|
|
925872
|
CDM
|
Pump Heart 85mm X 21fr
|
103
|
29
|
$303,482.00
|
$303,482.00
|
$14,870.62
|
$440,048.90
|
$73,289.96
|
2026-03-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$216,477.49
|
$71,759.44
|
2026-03-01
|
|
01597
|
OTHER
|
New Technology - Level 46
|
2
|
1
|
—
|
—
|
$70,288.61
|
$73,025.48
|
$71,657.04
|
2026-03-01
|
|
01583
|
OTHER
|
New Technology - Level 46
|
2
|
1
|
—
|
—
|
$70,288.61
|
$73,025.48
|
$71,657.04
|
2026-03-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
134
|
41
|
—
|
—
|
$1,870.00
|
$200,119.45
|
$71,179.08
|
2026-03-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$59,125.00
|
$94,624.20
|
$70,950.00
|
2026-03-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
128
|
39
|
—
|
—
|
$1,870.00
|
$273,906.41
|
$70,748.86
|
2026-03-01
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
3
|
2
|
—
|
—
|
$68,114.85
|
$72,956.73
|
$70,221.50
|
2026-03-01
|
|
L8702
|
HCPCS
|
Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…
|
69
|
29
|
—
|
—
|
$63,895.55
|
$165,124.08
|
$70,177.73
|
2026-03-01
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
31
|
14
|
—
|
—
|
$48,895.00
|
$105,823.65
|
$68,453.00
|
2026-03-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
31
|
14
|
—
|
—
|
$40,520.04
|
$102,481.50
|
$68,321.00
|
2026-03-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
138
|
41
|
—
|
—
|
$1,870.00
|
$163,165.75
|
$67,985.73
|
2026-03-01
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$58,961.07
|
$76,941.28
|
$67,951.18
|
2026-03-01
|
|
1582
|
OTHER
|
New Technology - Level 45
|
67
|
28
|
—
|
—
|
$62,172.87
|
$159,455.06
|
$67,768.40
|
2026-03-01
|
|
1596
|
OTHER
|
New Technology - Level 45
|
67
|
28
|
—
|
—
|
$62,172.87
|
$159,455.06
|
$67,768.40
|
2026-03-01
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
3
|
2
|
—
|
—
|
$65,642.35
|
$88,463.21
|
$67,672.53
|
2026-03-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
136
|
41
|
—
|
—
|
$1,870.00
|
$215,289.85
|
$67,229.71
|
2026-03-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
132
|
40
|
—
|
—
|
$1,870.00
|
$163,928.35
|
$67,060.74
|
2026-03-01
|
|
595883
|
CDM
|
Rem/replace Icd Multi Ld
|
70
|
25
|
$260,476.50
|
$260,476.50
|
$12,155.58
|
$359,705.85
|
$66,979.71
|
2026-03-01
|
|
595881
|
CDM
|
Rem/replace Icd Sgl Ld
|
70
|
25
|
$260,476.50
|
$260,476.50
|
$12,155.58
|
$359,705.85
|
$66,979.71
|
2026-03-01
|
|
595882
|
CDM
|
Rem/replace Icd Dual Ld
|
70
|
25
|
$260,476.50
|
$260,476.50
|
$12,155.58
|
$359,705.85
|
$66,979.71
|
2026-03-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
145
|
42
|
—
|
—
|
$1,455.00
|
$225,071.00
|
$66,452.49
|
2026-03-01
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx D
|
64
|
29
|
—
|
—
|
$14,980.73
|
$134,977.06
|
$66,362.77
|
2026-03-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
136
|
41
|
—
|
—
|
$1,870.00
|
$190,343.16
|
$66,191.77
|
2026-03-01
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
31
|
14
|
—
|
—
|
$54,849.00
|
$83,100.26
|
$65,818.80
|
2026-03-01
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$48,644.49
|
$82,905.19
|
$65,774.84
|
2026-03-01
|
|
5244
|
OTHER
|
Level 4 Blood Product Exc
|
67
|
28
|
—
|
—
|
$49,801.21
|
$157,647.14
|
$65,686.31
|
2026-03-01
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$65,492.52
|
$65,492.52
|
$65,492.52
|
2024-10-01
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
67
|
28
|
—
|
—
|
$56,256.30
|
$157,143.79
|
$65,476.58
|
2026-03-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
134
|
41
|
—
|
—
|
$1,870.00
|
$188,998.10
|
$65,376.46
|
2026-03-01
|
|
938404
|
CDM
|
Kit Dphrm Pcng System
|
103
|
29
|
$270,173.00
|
$270,173.00
|
$13,238.48
|
$391,750.85
|
$65,245.94
|
2026-03-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
145
|
42
|
—
|
—
|
$1,455.00
|
$225,071.00
|
$65,189.24
|
2026-03-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
134
|
40
|
—
|
—
|
$1,870.00
|
$153,196.03
|
$63,831.68
|
2026-03-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
142
|
42
|
—
|
—
|
$1,870.00
|
$276,665.86
|
$62,179.99
|
2026-03-01
|
|
01582
|
OTHER
|
New Technology - Level 45
|
2
|
1
|
—
|
—
|
$60,916.85
|
$63,288.81
|
$62,102.83
|
2026-03-01
|
|
01596
|
OTHER
|
New Technology - Level 45
|
2
|
1
|
—
|
—
|
$60,916.85
|
$63,288.81
|
$62,102.83
|
2026-03-01
|
|
00717
|
OTHER
|
Instill Adstiladrin, Tx D
|
2
|
1
|
—
|
—
|
$61,454.13
|
$62,346.55
|
$61,900.34
|
2026-03-01
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$49,743.12
|
$73,906.55
|
$61,824.84
|
2026-03-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$146,146.10
|
$61,664.66
|
2026-03-01
|
|
J9029
|
HCPCS
|
Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose
|
11
|
3
|
—
|
—
|
$61,338.53
|
$106,053.40
|
$61,600.24
|
2026-03-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
145
|
42
|
—
|
—
|
$1,455.00
|
$226,729.39
|
$61,550.91
|
2026-03-01
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
31
|
14
|
—
|
—
|
$51,234.90
|
$77,532.00
|
$61,481.88
|
2026-03-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$51,226.00
|
$80,695.10
|
$61,471.20
|
2026-03-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
31
|
14
|
—
|
—
|
$51,048.39
|
$83,284.50
|
$61,258.07
|
2026-03-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
142
|
42
|
—
|
—
|
$1,870.00
|
$155,821.18
|
$61,161.94
|
2026-03-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
134
|
41
|
—
|
—
|
$1,870.00
|
$143,565.96
|
$61,015.53
|
2026-03-01
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
2
|
1
|
—
|
—
|
$52,927.89
|
$69,057.78
|
$60,992.83
|
2026-03-01
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$60,031.83
|
$60,031.83
|
$60,031.83
|
2026-03-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
132
|
40
|
—
|
—
|
$1,870.00
|
$156,113.76
|
$60,005.54
|
2026-03-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
139
|
41
|
—
|
—
|
$1,455.00
|
$156,855.26
|
$59,981.03
|
2026-03-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
134
|
40
|
—
|
—
|
$1,870.00
|
$143,604.19
|
$59,835.08
|
2026-03-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
125
|
39
|
—
|
—
|
$1,870.00
|
$347,127.65
|
$59,713.54
|
2026-03-01
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
31
|
14
|
—
|
—
|
$47,538.00
|
$89,188.07
|
$59,458.71
|
2026-03-01
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
31
|
14
|
—
|
—
|
$48,983.00
|
$89,188.07
|
$59,458.71
|
2026-03-01
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational
|
31
|
14
|
—
|
—
|
$46,525.00
|
$89,188.07
|
$59,458.71
|
2026-03-01
|
|
01643
|
OTHER
|
Y90 Ibritumomab, Rx
|
2
|
1
|
—
|
—
|
$55,119.81
|
$63,512.28
|
$59,316.04
|
2026-03-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
101
|
35
|
—
|
—
|
$4,345.00
|
$142,146.53
|
$59,227.72
|
2026-03-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
31
|
14
|
—
|
—
|
$49,247.00
|
$76,852.35
|
$59,096.40
|
2026-03-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
138
|
41
|
—
|
—
|
$1,870.00
|
$141,361.30
|
$58,900.54
|
2026-03-01
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$58,396.38
|
$58,633.21
|
$58,514.79
|
2026-03-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$140,376.17
|
$58,490.07
|
2026-03-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
132
|
40
|
—
|
—
|
$1,870.00
|
$137,350.61
|
$58,243.47
|
2026-03-01
|
|
864573
|
CDM
|
Kit Device Guided 3cm
|
103
|
29
|
$240,935.00
|
$240,935.00
|
$11,805.82
|
$349,355.75
|
$58,185.17
|
2026-03-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
72
|
41
|
—
|
—
|
$1,984.00
|
$175,589.90
|
$58,150.29
|
2026-03-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
134
|
41
|
—
|
—
|
$1,870.00
|
$154,207.59
|
$58,079.45
|
2026-03-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
125
|
39
|
—
|
—
|
$1,870.00
|
$347,127.65
|
$57,974.31
|
2026-03-01
|
|
1595
|
OTHER
|
New Technology - Level 44
|
67
|
28
|
—
|
—
|
$52,607.89
|
$134,923.70
|
$57,342.57
|
2026-03-01
|
|
1581
|
OTHER
|
New Technology - Level 44
|
67
|
28
|
—
|
—
|
$52,607.89
|
$134,923.70
|
$57,342.57
|
2026-03-01
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
62
|
28
|
—
|
—
|
$53,860.07
|
$115,531.98
|
$57,124.32
|
2026-03-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
134
|
41
|
—
|
—
|
$1,870.00
|
$155,197.09
|
$56,776.48
|
2026-03-01
|
|
360
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
1
|
1
|
—
|
—
|
$56,763.14
|
$56,763.14
|
$56,763.14
|
2026-03-01
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
2
|
1
|
—
|
—
|
$50,699.22
|
$62,552.89
|
$56,626.06
|
2026-03-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
133
|
41
|
—
|
—
|
$1,870.00
|
$179,685.12
|
$56,051.25
|
2026-03-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
145
|
42
|
—
|
—
|
$1,455.00
|
$145,218.81
|
$55,815.66
|
2026-03-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures
|
132
|
40
|
—
|
—
|
$1,870.00
|
$137,237.59
|
$55,691.33
|
2026-03-01
|
|
05244
|
OTHER
|
Level 4 Blood Product Exc
|
2
|
1
|
—
|
—
|
$48,795.12
|
$62,571.25
|
$55,683.18
|
2026-03-01
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
2
|
1
|
—
|
—
|
$50,056.04
|
$60,910.64
|
$55,483.34
|
2026-03-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective
|
136
|
41
|
—
|
—
|
$1,870.00
|
$136,657.75
|
$55,147.10
|
2026-03-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$137,234.51
|
$54,794.35
|
2026-03-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
132
|
40
|
—
|
—
|
$1,870.00
|
$222,160.34
|
$54,694.20
|
2026-03-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$131,137.51
|
$54,640.63
|
2026-03-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
134
|
40
|
—
|
—
|
$1,870.00
|
$131,942.83
|
$54,519.04
|
2026-03-01
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
31
|
14
|
—
|
—
|
$45,376.00
|
$73,729.74
|
$54,451.20
|
2026-03-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
141
|
41
|
—
|
—
|
$1,455.00
|
$195,032.20
|
$54,281.33
|
2026-03-01
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$51,305.60
|
$57,102.63
|
$54,204.11
|
2026-03-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$44,835.00
|
$81,160.27
|
$54,106.85
|
2026-03-01
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
1
|
—
|
—
|
$28,063.02
|
$80,074.17
|
$54,068.60
|
2026-03-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
138
|
41
|
—
|
—
|
$1,870.00
|
$127,137.91
|
$53,984.79
|
2026-03-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$129,005.45
|
$53,752.27
|
2026-03-01
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
3
|
2
|
—
|
—
|
$52,134.08
|
$58,446.55
|
$53,746.47
|
2026-03-01
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
3
|
2
|
—
|
—
|
$43,926.06
|
$55,100.31
|
$53,447.30
|
2026-03-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
31
|
14
|
—
|
—
|
$44,285.71
|
$69,304.50
|
$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
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
1
|
—
|
—
|
$44,249.45
|
$61,732.95
|
$52,991.20
|
2026-03-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically
|
134
|
41
|
—
|
—
|
$1,870.00
|
$145,175.19
|
$52,859.07
|
2026-03-01
|
|
01581
|
OTHER
|
New Technology - Level 44
|
2
|
1
|
—
|
—
|
$51,545.10
|
$53,552.15
|
$52,548.62
|
2026-03-01
|
|
01595
|
OTHER
|
New Technology - Level 44
|
2
|
1
|
—
|
—
|
$51,545.10
|
$53,552.15
|
$52,548.62
|
2026-03-01
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
31
|
14
|
—
|
—
|
$43,560.00
|
$70,007.73
|
$52,272.00
|
2026-03-01
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
31
|
14
|
—
|
—
|
$43,326.23
|
$72,558.00
|
$51,991.48
|
2026-03-01
|
|
897425
|
CDM
|
Kit Hrt Implant Lvas
|
45
|
15
|
$191,850.00
|
$191,850.00
|
$9,400.65
|
$230,220.00
|
$51,799.50
|
2026-03-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
31
|
14
|
—
|
—
|
$42,730.78
|
$65,515.50
|
$51,276.94
|
2026-03-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$125,543.04
|
$51,174.96
|
2026-03-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
141
|
41
|
—
|
—
|
$1,455.00
|
$195,032.20
|
$50,912.00
|
2026-03-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
141
|
41
|
—
|
—
|
$1,455.00
|
$147,080.27
|
$50,889.22
|
2026-03-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$125,066.95
|
$50,621.36
|
2026-03-01
|
|
L7181
|
HCPCS
|
Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…
|
69
|
29
|
—
|
—
|
$46,068.21
|
$119,052.96
|
$50,597.51
|
2026-03-01
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
31
|
14
|
—
|
—
|
$42,035.00
|
$64,236.87
|
$50,442.00
|
2026-03-01
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
2
|
1
|
—
|
—
|
$49,781.44
|
$51,069.34
|
$50,425.39
|
2026-03-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
31
|
14
|
—
|
—
|
$41,957.00
|
$64,905.25
|
$50,348.40
|
2026-03-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$120,639.14
|
$50,266.31
|
2026-03-01
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
31
|
14
|
—
|
—
|
$41,876.00
|
$69,298.37
|
$50,251.20
|
2026-03-01
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
31
|
14
|
—
|
—
|
$41,730.00
|
$65,165.07
|
$50,076.00
|
2026-03-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$119,541.38
|
$49,808.91
|
2026-03-01
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
1
|
—
|
—
|
$30,630.13
|
$68,834.90
|
$49,732.51
|
2026-03-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$119,161.22
|
$49,650.51
|
2026-03-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
142
|
42
|
—
|
—
|
$1,870.00
|
$207,736.31
|
$49,124.13
|
2026-03-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
134
|
40
|
—
|
—
|
$1,870.00
|
$116,541.98
|
$49,044.75
|
2026-03-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
31
|
14
|
—
|
—
|
$40,865.02
|
$70,353.00
|
$49,038.02
|
2026-03-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$117,069.19
|
$48,778.83
|
2026-03-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
133
|
41
|
—
|
—
|
$1,870.00
|
$352,822.81
|
$47,921.69
|
2026-03-01
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$44,924.57
|
$50,576.34
|
$47,750.46
|
2026-03-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
134
|
41
|
—
|
—
|
$1,870.00
|
$140,687.19
|
$47,744.82
|
2026-03-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
135
|
40
|
—
|
—
|
$1,455.00
|
$113,899.49
|
$47,671.33
|
2026-03-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
127
|
40
|
—
|
—
|
$1,870.00
|
$142,354.31
|
$47,585.66
|
2026-03-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$113,989.66
|
$47,495.69
|
2026-03-01
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$44,823.51
|
$50,145.34
|
$47,484.43
|
2026-03-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.
|
136
|
41
|
—
|
—
|
$1,870.00
|
$113,674.70
|
$47,366.35
|
2026-03-01
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
2
|
1
|
—
|
—
|
$44,928.68
|
$49,664.89
|
$47,296.79
|
2026-03-01
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
1
|
—
|
—
|
$40,554.80
|
$53,669.37
|
$47,112.09
|
2026-03-01
|
|
1580
|
OTHER
|
New Technology - Level 43
|
67
|
28
|
—
|
—
|
$43,042.90
|
$110,392.34
|
$46,916.75
|
2026-03-01
|
|
1594
|
OTHER
|
New Technology - Level 43
|
67
|
28
|
—
|
—
|
$43,042.90
|
$110,392.34
|
$46,916.75
|
2026-03-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
132
|
40
|
—
|
—
|
$1,870.00
|
$117,259.92
|
$46,827.71
|
2026-03-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$110,999.98
|
$46,800.35
|
2026-03-01
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
1
|
1
|
—
|
—
|
$46,751.20
|
$46,751.20
|
$46,751.20
|
2026-03-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$111,845.88
|
$46,602.45
|
2026-03-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$111,582.70
|
$46,472.03
|
2026-03-01
|
|
1142
|
OTHER
|
Supprelin La Implant
|
67
|
28
|
—
|
—
|
$42,753.49
|
$108,840.50
|
$46,257.21
|
2026-03-01
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
31
|
14
|
—
|
—
|
$38,465.25
|
$58,359.00
|
$46,158.30
|
2026-03-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$110,770.63
|
$46,154.43
|
2026-03-01
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$45,652.28
|
$45,652.28
|
$45,652.28
|
2026-03-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
142
|
42
|
—
|
—
|
$1,870.00
|
$109,265.71
|
$45,527.38
|
2026-03-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
132
|
40
|
—
|
—
|
$1,870.00
|
$109,236.48
|
$45,515.20
|
2026-03-01
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$37,153.93
|
$53,864.95
|
$45,509.44
|
2026-03-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
31
|
14
|
—
|
—
|
$32,422.00
|
$87,882.00
|
$45,390.80
|
2026-03-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$108,840.55
|
$45,350.23
|
2026-03-01
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
2
|
1
|
—
|
—
|
$44,470.38
|
$45,244.17
|
$44,857.27
|
2026-03-01
|
|
849068
|
CDM
|
Set Pump Asst 2.5in
|
103
|
29
|
$185,050.00
|
$185,050.00
|
$9,067.45
|
$268,322.50
|
$44,689.00
|
2026-03-01
|
|
870454
|
CDM
|
Set Vntrc 17.4x13.8in
|
103
|
29
|
$185,050.00
|
$185,050.00
|
$9,067.45
|
$268,322.50
|
$44,689.00
|
2026-03-01
|
|
885460
|
CDM
|
Kit Pmp Rt Hrt 22f 170cm
|
103
|
29
|
$185,050.00
|
$185,050.00
|
$9,067.45
|
$268,322.50
|
$44,689.00
|
2026-03-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
31
|
14
|
—
|
—
|
$36,953.00
|
$66,933.09
|
$44,622.06
|
2026-03-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
136
|
41
|
—
|
—
|
$1,870.00
|
$127,379.52
|
$44,219.78
|
2026-03-01
|