|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$4,526,200.00
|
$4,526,200.00
|
$4,526,200.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
14
|
13
|
—
|
—
|
$3,685,266.67
|
$4,526,200.00
|
$3,887,956.33
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
15
|
14
|
—
|
—
|
$3,316,462.59
|
$4,974,693.88
|
$3,515,450.34
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
16
|
15
|
—
|
—
|
$3,248,445.72
|
$4,918,796.50
|
$3,459,594.69
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
15
|
—
|
—
|
$2,945,740.00
|
$4,948,843.20
|
$3,181,399.20
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
21
|
18
|
—
|
—
|
$2,455,110.60
|
$4,910,221.21
|
$2,700,621.67
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
21
|
18
|
—
|
—
|
$2,332,000.00
|
$4,664,000.00
|
$2,565,200.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
22
|
18
|
—
|
—
|
$578,771.12
|
$1,183,452.40
|
$647,940.19
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
22
|
18
|
—
|
—
|
$553,169.30
|
$1,131,737.89
|
$619,626.49
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
22
|
18
|
—
|
—
|
$516,442.29
|
$1,125,076.37
|
$615,979.31
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
22
|
18
|
—
|
—
|
$527,622.46
|
$1,114,635.87
|
$610,263.14
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
22
|
18
|
—
|
—
|
$502,840.73
|
$1,066,460.34
|
$583,887.04
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
22
|
18
|
—
|
—
|
$489,304.61
|
$978,609.22
|
$535,788.54
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
51
|
26
|
—
|
—
|
$45,127.07
|
$1,228,649.82
|
$422,282.06
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
67
|
27
|
—
|
—
|
$100.00
|
$1,500,048.06
|
$280,013.94
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
70
|
27
|
—
|
—
|
$92,837.03
|
$1,321,298.40
|
$239,249.98
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
48
|
26
|
—
|
—
|
$174,213.29
|
$750,559.97
|
$238,842.92
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
46
|
26
|
—
|
—
|
$88,433.09
|
$563,659.48
|
$153,886.82
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
64
|
27
|
—
|
—
|
$84,183.48
|
$828,167.37
|
$148,834.06
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
49
|
26
|
—
|
—
|
$87,417.13
|
$797,893.79
|
$147,823.35
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
61
|
28
|
—
|
—
|
$6,990.36
|
$763,422.44
|
$140,356.95
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
52
|
26
|
—
|
—
|
$12,660.69
|
$559,053.00
|
$139,509.38
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
53
|
26
|
—
|
—
|
$7,733.23
|
$507,315.54
|
$129,267.28
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
44
|
26
|
—
|
—
|
$98,874.39
|
$327,404.59
|
$128,471.00
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
19
|
17
|
—
|
—
|
$111,502.61
|
$223,005.22
|
$121,537.84
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
55
|
27
|
—
|
—
|
$55,085.31
|
$702,905.01
|
$115,583.99
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
50
|
26
|
—
|
—
|
$66,928.50
|
$267,003.12
|
$114,748.21
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
61
|
28
|
—
|
—
|
$2,395.49
|
$552,306.97
|
$109,832.86
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
29
|
23
|
—
|
—
|
$102,476.40
|
$772,337.77
|
$109,649.75
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
56
|
28
|
—
|
—
|
$35,592.09
|
$344,918.72
|
$107,956.15
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
63
|
29
|
—
|
—
|
$4,698.04
|
$377,877.35
|
$97,468.98
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
60
|
27
|
—
|
—
|
$59,896.19
|
$615,523.78
|
$95,635.82
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
61
|
26
|
—
|
—
|
$25,131.83
|
$341,161.12
|
$93,608.71
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
65
|
26
|
—
|
—
|
$1,237.80
|
$388,349.26
|
$91,421.51
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
54
|
26
|
—
|
—
|
$62,368.38
|
$350,785.62
|
$89,004.68
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
2
|
1
|
—
|
—
|
$88,813.56
|
$88,813.56
|
$88,813.56
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
62
|
27
|
—
|
—
|
$3,263.49
|
$347,658.49
|
$86,700.38
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
55
|
27
|
—
|
—
|
$275.00
|
$211,758.74
|
$86,197.69
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
58
|
27
|
—
|
—
|
$10,000.00
|
$225,697.95
|
$85,807.47
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
45
|
26
|
—
|
—
|
$63,611.77
|
$198,096.16
|
$85,179.11
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
48
|
26
|
—
|
—
|
$49,019.11
|
$307,881.29
|
$84,082.05
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
51
|
27
|
—
|
—
|
$51,280.05
|
$375,846.88
|
$83,331.98
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
44
|
26
|
—
|
—
|
$63,980.12
|
$199,243.25
|
$82,356.73
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
51
|
26
|
—
|
—
|
$6,190.50
|
$223,995.70
|
$82,321.44
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
53
|
26
|
—
|
—
|
$43,897.55
|
$278,649.42
|
$80,167.37
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
60
|
27
|
—
|
—
|
$49,797.06
|
$266,540.57
|
$78,246.93
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
64
|
26
|
—
|
—
|
$39,337.84
|
$247,749.34
|
$77,561.04
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
60
|
28
|
—
|
—
|
$98.82
|
$295,046.87
|
$77,003.98
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
56
|
27
|
—
|
—
|
$10,327.34
|
$186,691.86
|
$76,901.99
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
26
|
—
|
—
|
$6,864.50
|
$218,351.11
|
$75,728.46
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
48
|
26
|
—
|
—
|
$51,820.64
|
$218,351.11
|
$75,728.46
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
19
|
17
|
—
|
—
|
$68,801.71
|
$137,603.42
|
$74,993.86
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
61
|
27
|
—
|
—
|
$5,450.78
|
$177,517.59
|
$72,689.51
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
48
|
27
|
—
|
—
|
$6,390.53
|
$158,040.58
|
$70,716.42
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
44
|
26
|
—
|
—
|
$48,434.89
|
$223,995.70
|
$70,683.23
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
64
|
27
|
—
|
—
|
$7,210.07
|
$278,558.91
|
$70,414.62
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
23
|
18
|
—
|
—
|
$3,885.00
|
$131,372.63
|
$69,627.49
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
65
|
27
|
—
|
—
|
$7,180.40
|
$637,720.52
|
$69,580.80
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
22
|
18
|
—
|
—
|
$63,235.61
|
$126,684.56
|
$69,359.80
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
57
|
28
|
—
|
—
|
$4,940.32
|
$231,400.29
|
$68,952.64
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
57
|
26
|
—
|
—
|
$41,603.50
|
$404,743.43
|
$68,415.28
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
61
|
27
|
—
|
—
|
$18,034.25
|
$361,793.52
|
$67,963.01
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
54
|
26
|
—
|
—
|
$38,912.42
|
$430,196.20
|
$67,677.93
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
47
|
27
|
—
|
—
|
$23,043.30
|
$162,626.48
|
$67,612.66
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
69
|
27
|
—
|
—
|
$10,482.58
|
$302,448.39
|
$67,367.95
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
26
|
—
|
—
|
$46,055.48
|
$172,985.19
|
$66,211.13
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
50
|
26
|
—
|
—
|
$44,179.23
|
$158,997.25
|
$65,133.00
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
48
|
26
|
—
|
—
|
$17,161.39
|
$153,889.58
|
$64,597.71
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
26
|
—
|
—
|
$36,853.21
|
$158,159.82
|
$63,414.06
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
47
|
26
|
—
|
—
|
$41,326.34
|
$143,403.70
|
$63,300.11
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
60
|
27
|
—
|
—
|
$1,712.91
|
$178,922.52
|
$63,198.18
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
21
|
18
|
—
|
—
|
$56,824.55
|
$113,649.10
|
$62,507.00
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
53
|
26
|
—
|
—
|
$49,706.85
|
$154,794.25
|
$62,227.33
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
24
|
18
|
—
|
—
|
$55,272.32
|
$110,544.65
|
$61,352.28
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
63
|
26
|
—
|
—
|
$18,680.81
|
$198,947.69
|
$61,196.08
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
60
|
27
|
—
|
—
|
$11,549.78
|
$572,253.13
|
$60,761.58
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
51
|
26
|
—
|
—
|
$37,554.52
|
$151,922.79
|
$60,576.90
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
58
|
26
|
—
|
—
|
$28,428.00
|
$340,840.32
|
$59,257.40
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
45
|
26
|
—
|
—
|
$34,649.54
|
$141,292.89
|
$59,043.92
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
56
|
27
|
—
|
—
|
$4,390.69
|
$216,413.19
|
$58,306.04
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
64
|
29
|
—
|
—
|
$8,173.06
|
$271,528.98
|
$58,166.29
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
55
|
27
|
—
|
—
|
$4,319.38
|
$250,142.34
|
$58,015.78
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
49
|
26
|
—
|
—
|
$30,305.96
|
$125,027.47
|
$57,871.07
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
58
|
28
|
—
|
—
|
$14,514.00
|
$186,030.61
|
$57,404.96
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
58
|
27
|
—
|
—
|
$6,538.00
|
$530,618.86
|
$57,147.19
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
46
|
28
|
—
|
—
|
$4,765.68
|
$153,362.27
|
$56,930.87
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
57
|
26
|
—
|
—
|
$30,377.98
|
$172,551.35
|
$56,879.98
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
63
|
28
|
—
|
—
|
$1,951.29
|
$426,017.14
|
$56,547.23
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
28
|
23
|
—
|
—
|
$52,913.23
|
$95,243.81
|
$56,352.59
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
2
|
1
|
—
|
—
|
$55,169.68
|
$55,169.68
|
$55,169.68
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
67
|
27
|
—
|
—
|
$21,436.18
|
$227,964.93
|
$55,003.49
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
64
|
27
|
—
|
—
|
$6,188.36
|
$252,974.72
|
$54,682.03
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
54
|
26
|
—
|
—
|
$27,496.59
|
$160,487.16
|
$54,611.57
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
19
|
17
|
—
|
—
|
$49,605.45
|
$99,210.90
|
$54,069.94
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
50
|
26
|
—
|
—
|
$34,220.23
|
$118,819.71
|
$52,316.07
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
55
|
27
|
—
|
—
|
$2,858.93
|
$138,970.45
|
$51,960.85
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
72
|
26
|
—
|
—
|
$33,567.46
|
$290,764.27
|
$51,236.38
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
65
|
27
|
—
|
—
|
$900.00
|
$250,229.49
|
$51,221.10
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
59
|
26
|
—
|
—
|
$4,659.16
|
$143,070.01
|
$50,576.01
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
58
|
26
|
—
|
—
|
$17,857.75
|
$228,178.18
|
$50,346.47
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
45
|
26
|
—
|
—
|
$33,157.67
|
$109,772.97
|
$50,311.78
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
77
|
29
|
—
|
—
|
$100.00
|
$419,824.43
|
$50,279.26
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
59
|
27
|
—
|
—
|
$16,933.00
|
$149,398.24
|
$50,190.69
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$50,136.52
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$50,136.52
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
24
|
18
|
—
|
—
|
$45,020.65
|
$90,041.30
|
$49,972.93
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
59
|
27
|
—
|
—
|
$4,324.79
|
$127,311.65
|
$49,938.61
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
63
|
26
|
—
|
—
|
$36,666.37
|
$188,014.59
|
$49,904.37
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
56
|
27
|
—
|
—
|
$9,666.01
|
$436,280.61
|
$49,883.56
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
48
|
26
|
—
|
—
|
$20,644.41
|
$134,823.95
|
$49,461.24
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
21
|
18
|
—
|
—
|
$10,842.00
|
$91,993.62
|
$49,216.59
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
59
|
28
|
—
|
—
|
$5,740.69
|
$148,460.62
|
$48,875.72
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
60
|
26
|
—
|
—
|
$4,475.16
|
$166,007.75
|
$48,861.40
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
52
|
26
|
—
|
—
|
$27,187.77
|
$157,761.99
|
$48,815.03
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
64
|
27
|
—
|
—
|
$9,955.13
|
$229,902.64
|
$48,782.37
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
54
|
26
|
—
|
—
|
$16,185.34
|
$123,809.87
|
$48,645.12
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
58
|
26
|
—
|
—
|
$4,419.36
|
$211,790.00
|
$48,215.99
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
59
|
28
|
—
|
—
|
$20,707.37
|
$281,551.21
|
$48,070.52
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
60
|
26
|
—
|
—
|
$29,679.99
|
$106,596.61
|
$48,051.64
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
57
|
26
|
—
|
—
|
$3,022.78
|
$299,343.30
|
$47,695.09
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
57
|
26
|
—
|
—
|
$3,769.31
|
$175,522.67
|
$47,638.58
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
72
|
28
|
—
|
—
|
$5,761.52
|
$149,136.58
|
$47,358.64
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
52
|
27
|
—
|
—
|
$3,671.03
|
$122,118.52
|
$46,871.74
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
62
|
28
|
—
|
—
|
$3,603.50
|
$610,409.57
|
$46,859.90
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
69
|
28
|
—
|
—
|
$19,848.60
|
$155,529.03
|
$45,039.94
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
70
|
27
|
—
|
—
|
$1,563.15
|
$185,813.83
|
$44,956.30
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
50
|
26
|
—
|
—
|
$20,295.76
|
$418,862.78
|
$44,871.83
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
47
|
26
|
—
|
—
|
$28,624.37
|
$89,140.40
|
$44,806.14
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
54
|
27
|
—
|
—
|
$3,895.66
|
$243,084.66
|
$44,208.27
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
67
|
27
|
—
|
—
|
$3,837.71
|
$123,920.41
|
$44,095.44
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
48
|
26
|
—
|
—
|
$28,096.33
|
$97,701.20
|
$43,664.35
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
19
|
17
|
—
|
—
|
$39,992.59
|
$79,985.18
|
$43,591.92
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
51
|
26
|
—
|
—
|
$25,574.74
|
$171,683.99
|
$43,532.03
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
61
|
26
|
—
|
—
|
$26,489.26
|
$259,917.99
|
$43,184.42
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
62
|
27
|
—
|
—
|
$12,758.42
|
$134,579.77
|
$42,994.26
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
57
|
27
|
—
|
—
|
$2,999.36
|
$301,475.90
|
$42,994.00
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
58
|
27
|
—
|
—
|
$5,906.40
|
$128,642.70
|
$42,989.79
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
59
|
27
|
—
|
—
|
$10,309.38
|
$243,425.65
|
$42,894.12
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
60
|
27
|
—
|
—
|
$1,152.20
|
$227,109.14
|
$42,578.83
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
44
|
26
|
—
|
—
|
$27,834.71
|
$86,681.28
|
$42,534.94
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
46
|
26
|
—
|
—
|
$28,116.39
|
$129,237.31
|
$42,469.01
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
57
|
26
|
—
|
—
|
$31,377.75
|
$100,644.40
|
$42,451.83
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
62
|
26
|
—
|
—
|
$19,541.23
|
$199,302.25
|
$42,387.23
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
49
|
26
|
—
|
—
|
$31,669.06
|
$224,481.23
|
$42,311.87
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
48
|
26
|
—
|
—
|
$22,409.55
|
$89,582.74
|
$41,568.18
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
52
|
26
|
—
|
—
|
$21,264.65
|
$182,486.18
|
$41,290.42
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
56
|
27
|
—
|
—
|
$160.00
|
$183,409.54
|
$41,181.35
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
53
|
27
|
—
|
—
|
$5,156.69
|
$195,806.00
|
$40,905.32
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
59
|
27
|
—
|
—
|
$24,646.38
|
$278,219.51
|
$40,343.34
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
47
|
26
|
—
|
—
|
$18,430.62
|
$560,251.81
|
$40,225.17
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
66
|
28
|
—
|
—
|
$1,272.90
|
$104,227.46
|
$40,122.83
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
65
|
27
|
—
|
—
|
$5,465.93
|
$327,678.12
|
$40,060.87
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
51
|
26
|
—
|
—
|
$16,581.15
|
$97,177.50
|
$39,998.96
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
56
|
27
|
—
|
—
|
$10,394.48
|
$90,564.88
|
$39,496.27
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
44
|
26
|
—
|
—
|
$21,959.61
|
$85,944.20
|
$39,155.09
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
49
|
26
|
—
|
—
|
$23,762.89
|
$200,814.11
|
$39,145.25
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
57
|
28
|
—
|
—
|
$1,848.74
|
$88,584.09
|
$39,102.08
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
65
|
28
|
—
|
—
|
$12,095.00
|
$99,528.87
|
$39,073.83
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
57
|
28
|
—
|
—
|
$6,968.33
|
$89,562.75
|
$39,069.94
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
61
|
26
|
—
|
—
|
$660.65
|
$85,591.68
|
$39,062.80
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
63
|
26
|
—
|
—
|
$16,690.95
|
$200,420.12
|
$39,025.29
|
2026-04-01
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&Gen
|
4
|
2
|
—
|
—
|
$5,282.00
|
$99,846.00
|
$38,775.50
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
47
|
26
|
—
|
—
|
$22,353.00
|
$87,975.82
|
$38,676.40
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
61
|
26
|
—
|
—
|
$4,901.66
|
$262,858.34
|
$38,431.67
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
51
|
26
|
—
|
—
|
$29,967.90
|
$144,576.30
|
$38,359.49
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
46
|
26
|
—
|
—
|
$23,381.64
|
$94,379.05
|
$38,252.34
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
19
|
17
|
—
|
—
|
$34,970.13
|
$69,940.26
|
$38,117.44
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
51
|
26
|
—
|
—
|
$65.00
|
$158,344.60
|
$38,102.57
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
58
|
27
|
—
|
—
|
$3,516.95
|
$139,512.10
|
$38,036.38
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
44
|
26
|
—
|
—
|
$21,215.69
|
$147,277.21
|
$37,994.88
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
58
|
28
|
—
|
—
|
$3,488.26
|
$98,006.48
|
$37,914.28
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
45
|
26
|
—
|
—
|
$24,623.91
|
$85,629.53
|
$37,797.90
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
52
|
27
|
—
|
—
|
$4,766.39
|
$89,127.11
|
$37,626.43
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
52
|
26
|
—
|
—
|
$13,129.08
|
$91,177.16
|
$37,288.99
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
65
|
27
|
—
|
—
|
$16,082.32
|
$328,324.75
|
$37,189.18
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
49
|
26
|
—
|
—
|
$7,679.86
|
$86,586.32
|
$37,150.12
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
49
|
27
|
—
|
—
|
$44.58
|
$93,566.30
|
$37,000.25
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
59
|
26
|
—
|
—
|
$500.00
|
$224,227.29
|
$36,983.95
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
48
|
26
|
—
|
—
|
$14,704.92
|
$79,316.44
|
$36,976.24
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
25
|
19
|
—
|
—
|
$2,960.10
|
$99,846.00
|
$36,842.34
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
55
|
26
|
—
|
—
|
$300.00
|
$238,450.00
|
$36,755.68
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
49
|
27
|
—
|
—
|
$7,987.23
|
$201,069.26
|
$36,687.84
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
50
|
26
|
—
|
—
|
$40.00
|
$96,587.72
|
$36,475.61
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
58
|
26
|
—
|
—
|
$24,082.27
|
$406,448.47
|
$36,456.51
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
44
|
26
|
—
|
—
|
$21,291.93
|
$144,706.94
|
$36,125.64
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
54
|
26
|
—
|
—
|
$12,125.14
|
$260,204.02
|
$36,090.89
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
21
|
18
|
—
|
—
|
$32,778.73
|
$99,846.00
|
$36,056.60
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
21
|
18
|
—
|
—
|
$32,778.73
|
$99,846.00
|
$36,056.60
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
21
|
18
|
—
|
—
|
$32,778.73
|
$99,846.00
|
$36,056.60
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
58
|
26
|
—
|
—
|
$22,347.00
|
$127,398.24
|
$36,007.90
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
66
|
27
|
—
|
—
|
$3,462.18
|
$86,205.96
|
$35,996.09
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
54
|
26
|
—
|
—
|
$1,265.00
|
$79,476.38
|
$35,909.54
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$35,728.82
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$35,728.82
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$35,728.82
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$35,728.82
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
59
|
26
|
—
|
—
|
$22,645.75
|
$196,455.61
|
$35,404.07
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
49
|
26
|
—
|
—
|
$19,235.93
|
$77,314.41
|
$35,291.03
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
29
|
23
|
—
|
—
|
$32,880.07
|
$82,130.96
|
$35,181.67
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
19
|
17
|
—
|
—
|
$32,224.05
|
$64,448.09
|
$35,124.21
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
50
|
26
|
—
|
—
|
$20,500.60
|
$137,534.13
|
$35,060.69
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
47
|
26
|
—
|
—
|
$23,768.33
|
$80,560.99
|
$34,733.60
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
62
|
26
|
—
|
—
|
$20,728.00
|
$77,991.91
|
$34,583.04
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
62
|
27
|
—
|
—
|
$9,955.99
|
$572,486.20
|
$34,499.94
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
23
|
18
|
—
|
—
|
$3,885.00
|
$64,448.09
|
$34,479.73
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
21
|
18
|
—
|
—
|
$3,613.00
|
$64,448.09
|
$34,479.73
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
23
|
18
|
—
|
—
|
$3,885.00
|
$64,448.09
|
$34,479.73
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
21
|
18
|
—
|
—
|
$3,613.00
|
$64,448.09
|
$34,479.73
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
21
|
18
|
—
|
—
|
$3,613.00
|
$64,448.09
|
$34,479.73
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
56
|
27
|
—
|
—
|
$5,806.53
|
$82,666.60
|
$34,381.93
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
51
|
26
|
—
|
—
|
$15,477.51
|
$74,730.21
|
$34,335.16
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
23
|
18
|
—
|
—
|
$3,885.00
|
$64,448.09
|
$34,157.49
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
27
|
20
|
—
|
—
|
$1,517.25
|
$99,846.00
|
$34,157.49
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
56
|
26
|
—
|
—
|
$23,741.13
|
$77,277.17
|
$34,029.38
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
61
|
27
|
—
|
—
|
$6,686.09
|
$220,197.64
|
$33,966.02
|
2026-04-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
61
|
27
|
—
|
—
|
$10,606.52
|
$151,209.08
|
$33,892.45
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
27
|
20
|
—
|
—
|
$1,326.84
|
$64,448.09
|
$33,835.25
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
27
|
20
|
—
|
—
|
$1,326.84
|
$64,448.09
|
$33,835.25
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
48
|
26
|
—
|
—
|
$19,546.74
|
$79,183.98
|
$33,812.73
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
50
|
27
|
—
|
—
|
$8,787.17
|
$73,635.82
|
$33,796.79
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
48
|
26
|
—
|
—
|
$21,879.36
|
$68,135.46
|
$33,792.04
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
59
|
28
|
—
|
—
|
$3,012.93
|
$168,237.39
|
$33,599.54
|
2026-04-01
|
|
1519
|
OTHER
|
New Technology - Level 19 ($1701-$1800)
|
2
|
2
|
—
|
—
|
$25,498.58
|
$41,481.80
|
$33,490.19
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
62
|
27
|
—
|
—
|
$3,084.48
|
$88,797.28
|
$33,429.56
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
45
|
26
|
—
|
—
|
$17,625.50
|
$70,109.75
|
$33,287.58
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
63
|
27
|
—
|
—
|
$3,454.37
|
$152,607.99
|
$33,157.29
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
59
|
27
|
—
|
—
|
$9,449.40
|
$135,085.18
|
$33,154.72
|
2026-04-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
51
|
26
|
—
|
—
|
$2,357.05
|
$94,250.96
|
$32,864.68
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
47
|
26
|
—
|
—
|
$15,964.85
|
$85,804.10
|
$32,783.78
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
23
|
18
|
—
|
—
|
$3,885.00
|
$99,846.00
|
$32,649.23
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
60
|
27
|
—
|
—
|
$3,395.87
|
$85,139.34
|
$32,488.69
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
19
|
17
|
—
|
—
|
$29,719.96
|
$59,439.92
|
$32,394.76
|
2026-04-01
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
2
|
1
|
—
|
—
|
$27,101.00
|
$37,440.00
|
$32,270.50
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
2
|
1
|
—
|
—
|
$27,101.00
|
$37,440.00
|
$32,270.50
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
19
|
17
|
—
|
—
|
$29,579.67
|
$59,159.34
|
$32,241.84
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
53
|
26
|
—
|
—
|
$10,390.86
|
$67,555.67
|
$32,233.44
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
51
|
27
|
—
|
—
|
$2,695.47
|
$132,679.54
|
$32,209.06
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
29
|
17
|
—
|
—
|
$50.00
|
$95,542.28
|
$32,175.95
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
19
|
17
|
—
|
—
|
$29,510.19
|
$59,020.38
|
$32,166.11
|
2026-04-01
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
65
|
27
|
—
|
—
|
$3,098.61
|
$108,789.87
|
$32,079.94
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
63
|
26
|
—
|
—
|
$21,236.83
|
$80,401.06
|
$31,954.06
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
50
|
26
|
—
|
—
|
$7,569.68
|
$68,230.97
|
$31,924.53
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
20
|
12
|
—
|
—
|
$16,090.71
|
$103,110.06
|
$31,919.03
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
50
|
26
|
—
|
—
|
$15,366.10
|
$77,314.41
|
$31,910.51
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
54
|
28
|
—
|
—
|
$4,543.31
|
$151,222.40
|
$31,579.33
|
2026-04-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
46
|
26
|
—
|
—
|
$16,822.81
|
$97,701.20
|
$31,577.54
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
24
|
18
|
—
|
—
|
$27,070.53
|
$56,848.12
|
$31,550.71
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
48
|
26
|
—
|
—
|
$9,461.15
|
$71,424.28
|
$31,522.49
|
2026-04-01
|
|
5801
|
OTHER
|
Ventilation Initiation And Management
|
8
|
6
|
—
|
—
|
$3,179.62
|
$217,480.20
|
$31,516.29
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
61
|
27
|
—
|
—
|
$7,257.00
|
$107,923.83
|
$31,491.23
|
2026-04-01
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
55
|
26
|
—
|
—
|
$15,373.50
|
$109,505.54
|
$31,398.62
|
2026-04-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
45
|
26
|
—
|
—
|
$17,105.29
|
$85,944.20
|
$31,382.07
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
61
|
27
|
—
|
—
|
$3,101.20
|
$191,651.96
|
$31,350.64
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
49
|
26
|
—
|
—
|
$5,689.75
|
$75,232.91
|
$31,334.88
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
49
|
27
|
—
|
—
|
$3,304.89
|
$83,727.57
|
$31,204.36
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
22
|
14
|
—
|
—
|
$12,897.10
|
$100,264.90
|
$31,183.80
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
53
|
26
|
—
|
—
|
$6,960.56
|
$73,293.60
|
$30,955.02
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
21
|
18
|
—
|
—
|
$28,109.36
|
$99,846.00
|
$30,920.30
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
60
|
28
|
—
|
—
|
$3,853.47
|
$152,612.55
|
$30,731.56
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
51
|
26
|
—
|
—
|
$19,507.30
|
$73,029.16
|
$30,646.08
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
62
|
26
|
—
|
—
|
$20,337.03
|
$107,492.12
|
$30,490.44
|
2026-04-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
62
|
27
|
—
|
—
|
$2,295.40
|
$73,195.84
|
$30,408.95
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
50
|
26
|
—
|
—
|
$13,971.09
|
$72,876.26
|
$30,280.89
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
61
|
26
|
—
|
—
|
$2,852.65
|
$121,077.79
|
$30,260.45
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
51
|
26
|
—
|
—
|
$17,053.93
|
$77,314.41
|
$30,155.96
|
2026-04-01
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
52
|
26
|
—
|
—
|
$23.92
|
$171,574.99
|
$30,153.06
|
2026-04-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
50
|
26
|
—
|
—
|
$14,287.76
|
$76,537.48
|
$30,059.81
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
59
|
28
|
—
|
—
|
$54.90
|
$71,646.70
|
$30,059.48
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
23
|
18
|
—
|
—
|
$3,885.00
|
$56,670.98
|
$30,035.62
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
23
|
18
|
—
|
—
|
$3,885.00
|
$56,670.98
|
$30,035.62
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
23
|
18
|
—
|
—
|
$3,885.00
|
$56,670.98
|
$30,035.62
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
23
|
18
|
—
|
—
|
$3,885.00
|
$56,670.98
|
$30,035.62
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
23
|
18
|
—
|
—
|
$4,698.00
|
$56,670.98
|
$30,035.62
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
59
|
27
|
—
|
—
|
$4,838.00
|
$166,272.98
|
$29,854.07
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
25
|
19
|
—
|
—
|
$2,133.06
|
$56,670.98
|
$29,752.26
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
66
|
28
|
—
|
—
|
$2,419.00
|
$141,571.82
|
$29,733.58
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
62
|
27
|
—
|
—
|
$2,360.70
|
$69,135.75
|
$29,726.72
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
62
|
27
|
—
|
—
|
$10,974.11
|
$110,645.16
|
$29,420.34
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
64
|
27
|
—
|
—
|
$4,968.73
|
$63,679.57
|
$29,296.15
|
2026-04-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
64
|
27
|
—
|
—
|
$7,439.75
|
$82,101.31
|
$29,287.97
|
2026-04-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
59
|
28
|
—
|
—
|
$150.00
|
$130,716.44
|
$29,276.48
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
54
|
27
|
—
|
—
|
$16,194.95
|
$710,020.36
|
$29,217.58
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
21
|
18
|
—
|
—
|
$18,066.00
|
$54,590.43
|
$29,205.88
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
21
|
18
|
—
|
—
|
$18,066.00
|
$54,590.43
|
$29,205.88
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
21
|
18
|
—
|
—
|
$18,066.00
|
$54,590.43
|
$29,205.88
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
71
|
27
|
—
|
—
|
$10,150.78
|
$80,051.77
|
$29,194.66
|
2026-04-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
47
|
26
|
—
|
—
|
$15,873.45
|
$102,076.94
|
$29,122.09
|
2026-04-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
48
|
26
|
—
|
—
|
$16,669.53
|
$93,167.71
|
$29,074.19
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
47
|
26
|
—
|
—
|
$13,722.79
|
$66,138.68
|
$29,062.78
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
53
|
26
|
—
|
—
|
$2,972.28
|
$66,541.04
|
$29,032.07
|
2026-04-01
|
|
2616
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
6
|
4
|
—
|
—
|
$14,699.03
|
$34,622.88
|
$28,991.29
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
48
|
26
|
—
|
—
|
$11,320.04
|
$65,383.95
|
$28,835.66
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
47
|
27
|
—
|
—
|
$14,227.99
|
$66,748.46
|
$28,793.97
|
2026-04-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
51
|
26
|
—
|
—
|
$17,138.19
|
$109,114.80
|
$28,722.42
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
66
|
27
|
—
|
—
|
$3,577.42
|
$121,187.36
|
$28,511.55
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
73
|
28
|
—
|
—
|
$5,839.70
|
$98,389.02
|
$28,419.16
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
51
|
26
|
—
|
—
|
$19,882.74
|
$62,561.07
|
$28,394.78
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
58
|
26
|
—
|
—
|
$13,414.80
|
$213,217.99
|
$28,337.54
|
2026-04-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
59
|
27
|
—
|
—
|
$4,187.91
|
$74,886.15
|
$28,279.90
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
50
|
27
|
—
|
—
|
$3,462.75
|
$67,335.75
|
$28,107.22
|
2026-04-01
|