|
10005
|
CPT
|
Sample Of Fluid And Tissue Removal With Fine Needle From Cyst Or Solid Mass, Usi…
|
5
|
4
|
$1,113.03
|
$1,113.03
|
$114.53
|
$444.43
|
$339.81
|
2026-01-01
|
|
101
|
MS_DRG
|
Seizures Without Major Complications
|
1
|
1
|
$17,346.17
|
$17,346.17
|
$7,316.61
|
$7,316.61
|
$7,316.61
|
2026-01-01
|
|
10140
|
CPT
|
Blood Or Fluid Collection Incision And Drainage [hcpcs 10140]
|
1
|
1
|
$2,095.00
|
$2,095.00
|
$390.30
|
$390.30
|
$390.30
|
2026-01-01
|
|
11043
|
CPT
|
Skin And Muscle Removal (first 20 Sq Cm Or Less) [hcpcs 11043]
|
1
|
1
|
$2,500.00
|
$2,500.00
|
$939.25
|
$939.25
|
$939.25
|
2026-01-01
|
|
11044
|
CPT
|
Skin And Bone Removal (first Sq Cm Or Less) [hcpcs 11044]
|
1
|
1
|
$4,498.65
|
$4,498.65
|
$838.10
|
$838.10
|
$838.10
|
2026-01-01
|
|
11104
|
CPT
|
Skin Lesion Biopsy With Punch Tool To Remove Sample Including All Layers Of Skin…
|
2
|
2
|
$23,186.35
|
$23,186.35
|
$4,319.62
|
$9,258.31
|
$6,788.97
|
2026-01-01
|
|
11401
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Trunk, Arms, Or Legs (0.6 To 1.0 Cm) [hc…
|
2
|
2
|
$9,250.32
|
$9,250.32
|
$1,723.33
|
$3,693.65
|
$2,708.49
|
2026-01-01
|
|
11402
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Trunk, Arms, Or Legs (1.1 To 2.0 Cm) [hc…
|
2
|
2
|
$9,250.32
|
$9,250.32
|
$1,723.33
|
$3,639.08
|
$2,681.20
|
2026-01-01
|
|
11404
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Trunk, Arms, Or Legs (3.1 To 4.0 Cm) [hc…
|
1
|
1
|
$2,095.50
|
$2,095.50
|
$390.39
|
$390.39
|
$390.39
|
2026-01-01
|
|
11422
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Scalp, Neck, Hands, Feet, Or Genitalia (…
|
3
|
1
|
$15,419.06
|
$15,419.06
|
$1,586.62
|
$5,792.94
|
$2,872.57
|
2026-01-01
|
|
11440
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Face, Ears, Eyelids, Nose, Lips, Or Mout…
|
2
|
1
|
$2,500.00
|
$2,500.00
|
$257.25
|
$465.75
|
$361.50
|
2026-01-01
|
|
11441
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Face, Ears, Eyelids, Nose, Lips, Or Mout…
|
1
|
1
|
$16,868.00
|
$16,868.00
|
$1,735.72
|
$1,735.72
|
$1,735.72
|
2026-01-01
|
|
11442
|
CPT
|
Removal Of Non-cancerous Skin Lesion Of Face, Ears, Eyelids, Nose, Lips, Or Mout…
|
1
|
1
|
$27,687.96
|
$27,687.96
|
$5,158.27
|
$5,158.27
|
$5,158.27
|
2026-01-01
|
|
11603
|
CPT
|
Removal Of Cancerous Skin Lesion Of Trunk, Arms, Or Legs (2.1 To 3.0 Cm) [hcpcs …
|
1
|
1
|
$7,294.07
|
$7,294.07
|
$1,358.89
|
$1,358.89
|
$1,358.89
|
2026-01-01
|
|
11606
|
CPT
|
Removal Of Cancerous Skin Lesion Of Trunk, Arms, Or Legs (over 4.0 Cm) [hcpcs 11…
|
2
|
2
|
$8,743.00
|
$8,743.00
|
$899.65
|
$2,669.24
|
$1,784.44
|
2026-01-01
|
|
11641
|
CPT
|
Removal Of Cancerous Skin Lesion Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (0…
|
2
|
2
|
$2,750.00
|
$2,750.00
|
$512.33
|
$1,098.08
|
$805.20
|
2026-01-01
|
|
11730
|
CPT
|
Nail Plate Removal (single Nail Plate) [hcpcs 11730]
|
1
|
1
|
$13,447.99
|
$13,447.99
|
$2,505.36
|
$2,505.36
|
$2,505.36
|
2026-01-01
|
|
11772
|
CPT
|
Tailbone Cyst Removal (complicated Procedure) [hcpcs 11772]
|
1
|
1
|
$9,803.13
|
$9,803.13
|
$3,683.04
|
$3,683.04
|
$3,683.04
|
2026-01-01
|
|
12001
|
CPT
|
Simple Repair Of Wound Of Scalp, Neck, Underarms, Genitalia, Trunk, Arms, And/or…
|
13
|
11
|
$1,353.75
|
$1,353.75
|
$139.30
|
$540.55
|
$252.20
|
2026-01-01
|
|
12002
|
CPT
|
Simple Repair Of Wound Of Scalp, Neck, Underarms, Genitalia, Trunk, Arms, And/or…
|
8
|
7
|
$1,381.07
|
$1,381.07
|
$142.11
|
$518.87
|
$257.29
|
2026-01-01
|
|
12005
|
CPT
|
Simple Repair Of Wound Of Scalp, Neck, Underarms, Genitalia, Trunk, Arms, And/or…
|
1
|
1
|
$1,915.98
|
$1,915.98
|
$719.83
|
$719.83
|
$719.83
|
2026-01-01
|
|
12011
|
CPT
|
Simple Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips And/or Mouth (2.5 Cm O…
|
8
|
7
|
$2,506.64
|
$2,506.64
|
$257.93
|
$1,000.90
|
$568.63
|
2026-01-01
|
|
12013
|
CPT
|
Simple Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips And/or Mouth (2.6 To 5…
|
2
|
2
|
$2,519.06
|
$2,519.06
|
$469.30
|
$946.41
|
$707.86
|
2026-01-01
|
|
12014
|
CPT
|
Simple Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips And/or Mouth (5.1 To 7…
|
1
|
1
|
$5,768.44
|
$5,768.44
|
$2,167.20
|
$2,167.20
|
$2,167.20
|
2026-01-01
|
|
12031
|
CPT
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, And/or Legs (2.5 …
|
2
|
2
|
$9,768.88
|
$9,768.88
|
$1,819.94
|
$3,843.08
|
$2,831.51
|
2026-01-01
|
|
12032
|
CPT
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, And/or Legs (2.6 …
|
3
|
2
|
$7,294.07
|
$7,294.07
|
$1,358.89
|
$2,226.88
|
$1,358.89
|
2026-01-01
|
|
12034
|
CPT
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, And/or Legs (7.6 …
|
1
|
1
|
$19,857.78
|
$19,857.78
|
$2,043.37
|
$2,043.37
|
$2,043.37
|
2026-01-01
|
|
12041
|
CPT
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, And/or Genitalia (2.5 Cm Or L…
|
2
|
1
|
$1,500.00
|
$1,500.00
|
$154.35
|
$279.45
|
$216.90
|
2026-01-01
|
|
12051
|
CPT
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, And/or Mouth (2…
|
2
|
2
|
$8,021.03
|
$8,021.03
|
$1,494.32
|
$3,202.80
|
$2,348.56
|
2026-01-01
|
|
14020
|
CPT
|
Healthy Skin And Tissue Transfer To Repair Adjacent Wound Of Scalp, Arms, And/or…
|
2
|
2
|
$12,516.30
|
$12,516.30
|
$2,331.79
|
$4,702.37
|
$3,517.08
|
2026-01-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Major Complications
|
1
|
1
|
$13,780.40
|
$13,780.40
|
$11,743.66
|
$11,743.66
|
$11,743.66
|
2026-01-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Major Complications
|
2
|
2
|
$14,075.56
|
$14,075.56
|
$5,937.07
|
$5,937.07
|
$5,937.07
|
2026-01-01
|
|
178
|
MS_DRG
|
Respiratory Infections & Inflammations With Complications
|
1
|
1
|
$9,449.53
|
$9,449.53
|
$3,985.81
|
$3,985.81
|
$3,985.81
|
2026-01-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
1
|
1
|
$7,287.99
|
$7,287.99
|
$3,074.07
|
$3,074.07
|
$3,074.07
|
2026-01-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Major Complications
|
1
|
1
|
$25,438.51
|
$25,438.51
|
$10,729.96
|
$10,729.96
|
$10,729.96
|
2026-01-01
|
|
189
|
MS_DRG
|
Respiratory Failure
|
1
|
1
|
$36,723.18
|
$36,723.18
|
$15,489.84
|
$15,489.84
|
$15,489.84
|
2026-01-01
|
|
190
|
MS_DRG
|
Chronic Lung Disease With Major Complications
|
2
|
2
|
$22,760.13
|
$22,760.13
|
$9,600.22
|
$9,600.22
|
$9,600.22
|
2026-01-01
|
|
19083
|
CPT
|
Breast Biopsy With Ultrasound Guidance (first Lesion) [hcpcs 19083]
|
3
|
3
|
$2,095.00
|
$2,095.00
|
$390.30
|
$787.09
|
$390.30
|
2026-01-01
|
|
191
|
MS_DRG
|
Chronic Lung Disease With Complications
|
1
|
1
|
$27,780.99
|
$27,780.99
|
$11,718.02
|
$11,718.02
|
$11,718.02
|
2026-01-01
|
|
19101
|
CPT
|
Breast Biopsy (open Procedure) [hcpcs 19101]
|
3
|
2
|
$18,100.87
|
$18,100.87
|
$3,372.19
|
$6,800.50
|
$6,800.50
|
2026-01-01
|
|
19120
|
CPT
|
Breast Cyst Removal, Male Or Female (1 Or More Cysts) [hcpcs 19120]
|
5
|
4
|
$18,304.26
|
$18,304.26
|
$1,883.51
|
$6,876.91
|
$3,410.08
|
2026-01-01
|
|
19125
|
CPT
|
Breast Lesion Removal (single Lesion) [hcpcs 19125]
|
3
|
2
|
$10,814.63
|
$10,814.63
|
$2,014.77
|
$3,301.71
|
$2,014.77
|
2026-01-01
|
|
192
|
MS_DRG
|
Chronic Lung Disease Without Complications
|
2
|
2
|
$21,328.96
|
$21,328.96
|
$8,996.56
|
$9,318.62
|
$9,157.59
|
2026-01-01
|
|
19285
|
CPT
|
Breast Localization Device (clip, Metallic Pellet, Wire/needle) With Ultrasound …
|
3
|
2
|
$2,413.32
|
$2,413.32
|
$449.60
|
$906.68
|
$736.79
|
2026-01-01
|
|
193
|
MS_DRG
|
Pneumonia With Major Complications
|
1
|
1
|
$18,331.69
|
$18,331.69
|
$7,732.31
|
$7,732.31
|
$7,732.31
|
2026-01-01
|
|
19301
|
CPT
|
Partial Breast Removal [hcpcs 19301]
|
2
|
2
|
$13,750.00
|
$13,750.00
|
$1,414.88
|
$2,561.63
|
$1,988.26
|
2026-01-01
|
|
19302
|
CPT
|
Partial Breast And Underarm Lymph Nodes Removal [hcpcs 19302]
|
1
|
1
|
$21,818.67
|
$21,818.67
|
$4,064.82
|
$4,064.82
|
$4,064.82
|
2026-01-01
|
|
19303
|
CPT
|
Breast Removal [hcpcs 19303]
|
2
|
2
|
$19,119.63
|
$19,119.63
|
$1,967.41
|
$3,561.99
|
$2,764.70
|
2026-01-01
|
|
19307
|
CPT
|
Breast And Underarm Lymph Nodes Removal With Or Without Minor Chest Muscle Remov…
|
2
|
2
|
$30,749.64
|
$30,749.64
|
$5,728.66
|
$5,728.66
|
$5,728.66
|
2026-01-01
|
|
194
|
MS_DRG
|
Pneumonia With Complications
|
1
|
1
|
$20,513.39
|
$20,513.39
|
$8,652.55
|
$8,652.55
|
$8,652.55
|
2026-01-01
|
|
195
|
MS_DRG
|
Pneumonia Without Complications
|
1
|
1
|
$6,943.16
|
$6,943.16
|
$2,928.62
|
$2,928.62
|
$2,928.62
|
2026-01-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Pdx Hemorrhage With Major Complications
|
1
|
1
|
$13,541.73
|
$13,541.73
|
$5,711.90
|
$5,711.90
|
$5,711.90
|
2026-01-01
|
|
202
|
MS_DRG
|
Bronchitis & Asthma With Major Complications
|
1
|
1
|
$9,724.08
|
$9,724.08
|
$4,101.62
|
$4,101.62
|
$4,101.62
|
2026-01-01
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Major Complications
|
2
|
2
|
$22,859.46
|
$22,859.46
|
$9,642.12
|
$9,642.12
|
$9,642.12
|
2026-01-01
|
|
20600
|
CPT
|
Small Joint Or Joint Capsule Fluid Removal And/or Injection With Needle [hcpcs 2…
|
2
|
2
|
$11,139.08
|
$11,139.08
|
$2,075.21
|
$4,184.95
|
$3,130.08
|
2026-01-01
|
|
20605
|
CPT
|
Medium Joint Or Joint Capsule Fluid Removal And/or Injection With Needle [hcpcs …
|
2
|
2
|
$18,480.21
|
$18,480.21
|
$3,442.86
|
$3,442.86
|
$3,442.86
|
2026-01-01
|
|
20610
|
CPT
|
Large Joint Or Joint Capsule Fluid Removal And/or Injection With Needle [hcpcs 2…
|
14
|
9
|
$1,177.00
|
$1,177.00
|
$121.11
|
$469.98
|
$289.31
|
2026-01-01
|
|
20680
|
CPT
|
Bone Implant Removal (deep) [hcpcs 20680]
|
3
|
3
|
$28,456.76
|
$28,456.76
|
$2,928.20
|
$10,691.20
|
$5,301.49
|
2026-01-01
|
|
208
|
MS_DRG
|
Ventilator Support For 4 Days Or Less
|
1
|
1
|
$30,800.95
|
$30,800.95
|
$12,991.84
|
$12,991.84
|
$12,991.84
|
2026-01-01
|
|
23075
|
CPT
|
Tumor Removal From Tissue Beneath The Skin Of Shoulder Area (less Than 3 Cm) [hc…
|
1
|
1
|
$24,220.10
|
$24,220.10
|
$4,512.20
|
$4,512.20
|
$4,512.20
|
2026-01-01
|
|
23120
|
CPT
|
Collar Bone Removal (partial) [hcpcs 23120]
|
4
|
3
|
$21,433.44
|
$21,433.44
|
$3,993.05
|
$8,052.54
|
$5,268.34
|
2026-01-01
|
|
23655
|
CPT
|
Dislocated Shoulder Treatment With Manipulation And Anesthesia (closed Treatment…
|
1
|
1
|
$7,172.52
|
$7,172.52
|
$1,336.24
|
$1,336.24
|
$1,336.24
|
2026-01-01
|
|
23931
|
CPT
|
Fluid-filled Sac (bursa) Drainage Of Upper Arm Or Elbow [hcpcs 23931]
|
1
|
1
|
$6,000.00
|
$6,000.00
|
$2,254.20
|
$2,254.20
|
$2,254.20
|
2026-01-01
|
|
24000
|
CPT
|
Elbow Joint Incision With Inspection, Drainage, Or Foreign Body Removal [hcpcs 2…
|
1
|
1
|
$19,595.80
|
$19,595.80
|
$3,650.70
|
$3,650.70
|
$3,650.70
|
2026-01-01
|
|
24071
|
CPT
|
Upper Arm Or Elbow Tissue Tumor Removal From Beneath The Skin (3 Cm Or Greater) …
|
1
|
1
|
$40,886.70
|
$40,886.70
|
$7,617.19
|
$7,617.19
|
$7,617.19
|
2026-01-01
|
|
24342
|
CPT
|
Torn Biceps Or Triceps Tendon Re-insertion At Elbow [hcpcs 24342]
|
2
|
2
|
$14,091.09
|
$14,091.09
|
$5,543.43
|
$5,626.57
|
$5,585.00
|
2026-01-01
|
|
24605
|
CPT
|
Dislocated Elbow Treatment With Anesthesia [hcpcs 24605]
|
2
|
2
|
$4,653.23
|
$4,653.23
|
$866.90
|
$1,748.22
|
$1,307.56
|
2026-01-01
|
|
25000
|
CPT
|
Tendon Incision Into The Tendon Covering On The Top Side Of The Wrist [hcpcs 250…
|
2
|
1
|
$10,261.25
|
$10,261.25
|
$3,855.15
|
$3,855.15
|
$3,855.15
|
2026-01-01
|
|
25605
|
CPT
|
Broken Forearm Bone Treatment At The Wrist Area On The Thumb Side Of The Wrist W…
|
2
|
2
|
$5,089.74
|
$5,089.74
|
$523.73
|
$2,032.33
|
$1,278.03
|
2026-01-01
|
|
25608
|
CPT
|
Broken Lower Forearm Bone Or Growth Plate Separation Treatment With Hardware Ins…
|
1
|
1
|
$26,360.38
|
$26,360.38
|
$4,910.94
|
$4,910.94
|
$4,910.94
|
2026-01-01
|
|
26010
|
CPT
|
Finger Abscess Drainage (simple) [hcpcs 26010]
|
1
|
1
|
$2,779.90
|
$2,779.90
|
$286.05
|
$286.05
|
$286.05
|
2026-01-01
|
|
26011
|
CPT
|
Finger Abscess Drainage (complicated) [hcpcs 26011]
|
1
|
1
|
$11,138.88
|
$11,138.88
|
$2,075.17
|
$2,075.17
|
$2,075.17
|
2026-01-01
|
|
26055
|
CPT
|
Tendon Covering Incision [hcpcs 26055]
|
5
|
4
|
$9,532.31
|
$9,532.31
|
$1,775.87
|
$3,806.25
|
$1,775.87
|
2026-01-01
|
|
26615
|
CPT
|
Broken Hand Bone Treatment In The Midportion Of The Hand Between The Wrist And F…
|
1
|
1
|
$15,670.46
|
$15,670.46
|
$1,612.49
|
$1,612.49
|
$1,612.49
|
2026-01-01
|
|
26775
|
CPT
|
Dislocated Finger Joint Treatment With Manipulation And Anesthesia (closed Treat…
|
1
|
1
|
$7,749.00
|
$7,749.00
|
$1,443.64
|
$1,443.64
|
$1,443.64
|
2026-01-01
|
|
27096
|
CPT
|
Anesthetic Or Steroid Injection Into Hip Joint With Imaging Guidance [hcpcs 2709…
|
1
|
1
|
$5,656.60
|
$5,656.60
|
$2,125.18
|
$2,125.18
|
$2,125.18
|
2026-01-01
|
|
27236
|
CPT
|
Broken Thigh Bone Treatment With Hardware Insertion Or Prosthetic Replacement (o…
|
2
|
2
|
$9,750.00
|
$9,750.00
|
$1,003.28
|
$1,816.43
|
$1,409.86
|
2026-01-01
|
|
27301
|
CPT
|
Abscess Or Blood Collection Drainage At Thigh Or Knee [hcpcs 27301]
|
1
|
1
|
$6,676.44
|
$6,676.44
|
$1,243.82
|
$1,243.82
|
$1,243.82
|
2026-01-01
|
|
27327
|
CPT
|
Tissue Tumor Removal From Beneath The Skin Of Thigh Or Knee (less Than 3 Cm) [hc…
|
1
|
1
|
$18,071.04
|
$18,071.04
|
$6,789.29
|
$6,789.29
|
$6,789.29
|
2026-01-01
|
|
27422
|
CPT
|
Dislocated Knee Cap Repair With Realignment [hcpcs 27422]
|
1
|
1
|
$22,878.63
|
$22,878.63
|
$2,354.21
|
$2,354.21
|
$2,354.21
|
2026-01-01
|
|
27447
|
CPT
|
Knee Joint Repair At Lower Or Upper Part Of Joint (inside And Outside Compartmen…
|
9
|
6
|
$37,393.46
|
$37,393.46
|
$3,847.79
|
$14,048.72
|
$6,966.40
|
2026-01-01
|
|
27650
|
CPT
|
Ruptured Achilles Tendon Repair (primary) [hcpcs 27650]
|
1
|
1
|
$24,792.65
|
$24,792.65
|
$9,314.60
|
$9,314.60
|
$9,314.60
|
2026-01-01
|
|
27792
|
CPT
|
Broken Leg Bone (fibula, Lower End Of Leg Bone) Treatment (open Treatment) [hcpc…
|
1
|
1
|
$42,027.61
|
$42,027.61
|
$15,789.77
|
$15,789.77
|
$15,789.77
|
2026-01-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Major Complications
|
1
|
1
|
$7,819.49
|
$7,819.49
|
$3,298.26
|
$3,298.26
|
$3,298.26
|
2026-01-01
|
|
28002
|
CPT
|
Fluid-filled Sac Drainage Of Foot (deep, Single Fluid-filled Sac) [hcpcs 28002]
|
1
|
1
|
$13,447.99
|
$13,447.99
|
$2,505.36
|
$2,505.36
|
$2,505.36
|
2026-01-01
|
|
28008
|
CPT
|
Tissues Incision Of Muscle Compartment Of Foot And/or Toe [hcpcs 28008]
|
1
|
1
|
$9,786.52
|
$9,786.52
|
$3,850.02
|
$3,850.02
|
$3,850.02
|
2026-01-01
|
|
28039
|
CPT
|
Tissue Tumor Removal Beneath The Skin Of Foot Or Toe (1.5 Cm Or Greater) [hcpcs …
|
1
|
1
|
$7,869.66
|
$7,869.66
|
$2,956.63
|
$2,956.63
|
$2,956.63
|
2026-01-01
|
|
28090
|
CPT
|
Lesion Removal Of Tendon Covering Or Joint Capsule Of Foot [hcpcs 28090]
|
1
|
1
|
$8,914.95
|
$8,914.95
|
$3,507.14
|
$3,507.14
|
$3,507.14
|
2026-01-01
|
|
28110
|
CPT
|
Bunion Removal At Fifth Toe Joint [hcpcs 28110]
|
1
|
1
|
$33,328.77
|
$33,328.77
|
$6,209.15
|
$6,209.15
|
$6,209.15
|
2026-01-01
|
|
28113
|
CPT
|
Complete Bone Removal Of Foot Bone At Fifth Toe Joint [hcpcs 28113]
|
1
|
1
|
$16,970.55
|
$16,970.55
|
$3,161.61
|
$3,161.61
|
$3,161.61
|
2026-01-01
|
|
28119
|
CPT
|
Heel Bone Spur Removal [hcpcs 28119]
|
1
|
1
|
$24,792.65
|
$24,792.65
|
$9,314.60
|
$9,314.60
|
$9,314.60
|
2026-01-01
|
|
28285
|
CPT
|
Toe Joint Defect Correction [hcpcs 28285]
|
1
|
1
|
$12,169.46
|
$12,169.46
|
$2,267.17
|
$2,267.17
|
$2,267.17
|
2026-01-01
|
|
28289
|
CPT
|
Rigid Defect Correction Of First Joint Of Big Toe [hcpcs 28289]
|
1
|
1
|
$10,468.58
|
$10,468.58
|
$1,950.30
|
$1,950.30
|
$1,950.30
|
2026-01-01
|
|
28292
|
CPT
|
Bunion Correction With Removal Of The Base Of The Big Toe [hcpcs 28292]
|
1
|
1
|
$33,328.77
|
$33,328.77
|
$6,209.15
|
$6,209.15
|
$6,209.15
|
2026-01-01
|
|
28298
|
CPT
|
Bunion Correction With Alignment Correction Of The Big Toe [hcpcs 28298]
|
1
|
1
|
$31,449.81
|
$31,449.81
|
$5,859.10
|
$5,859.10
|
$5,859.10
|
2026-01-01
|
|
28485
|
CPT
|
Broken Foot Bone Treatment In The Mid Portion Of The Foot (open Treatment) [hcpc…
|
1
|
1
|
$19,500.00
|
$19,500.00
|
$7,326.15
|
$7,326.15
|
$7,326.15
|
2026-01-01
|
|
28525
|
CPT
|
Broken Toe Treatment (each Toe, Open Treatment) [hcpcs 28525]
|
1
|
1
|
$11,732.22
|
$11,732.22
|
$4,615.46
|
$4,615.46
|
$4,615.46
|
2026-01-01
|
|
28810
|
CPT
|
Toe And Midfoot Bone Amputation [hcpcs 28810]
|
1
|
1
|
$16,970.55
|
$16,970.55
|
$3,161.61
|
$3,161.61
|
$3,161.61
|
2026-01-01
|
|
28825
|
CPT
|
Toe Amputation At Toe Joints [hcpcs 28825]
|
2
|
2
|
$11,925.00
|
$11,925.00
|
$2,221.63
|
$2,221.63
|
$2,221.63
|
2026-01-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Complications Or Spinal Neurostimulators
|
1
|
1
|
$16,746.54
|
$16,746.54
|
$7,063.69
|
$7,063.69
|
$7,063.69
|
2026-01-01
|
|
291
|
MS_DRG
|
Heart Failure With Major Complications
|
2
|
2
|
$8,946.41
|
$8,946.41
|
$3,773.60
|
$3,773.60
|
$3,773.60
|
2026-01-01
|
|
29105
|
CPT
|
Long Arm Splint Application (shoulder To Hand) [hcpcs 29105]
|
1
|
1
|
$1,371.48
|
$1,371.48
|
$255.51
|
$255.51
|
$255.51
|
2026-01-01
|
|
29125
|
CPT
|
Short Arm Splint Application Forearm To Hand (non-moveable) [hcpcs 29125]
|
3
|
3
|
$1,616.82
|
$1,616.82
|
$301.21
|
$645.60
|
$301.21
|
2026-01-01
|
|
29130
|
CPT
|
Finger Splint Application (non-moveable, Hinged) [hcpcs 29130]
|
2
|
1
|
$5,223.69
|
$5,223.69
|
$1,962.54
|
$1,962.54
|
$1,962.54
|
2026-01-01
|
|
292
|
MS_DRG
|
Heart Failure With Complications
|
1
|
1
|
$8,546.52
|
$8,546.52
|
$3,604.92
|
$3,604.92
|
$3,604.92
|
2026-01-01
|
|
29505
|
CPT
|
Long Leg Splint Application (thigh To Ankle Or Toes) [hcpcs 29505]
|
1
|
1
|
$1,432.00
|
$1,432.00
|
$266.78
|
$266.78
|
$266.78
|
2026-01-01
|
|
29515
|
CPT
|
Short Leg Splint Application (calf To Foot) [hcpcs 29515]
|
3
|
2
|
$1,397.77
|
$1,397.77
|
$143.83
|
$525.14
|
$525.14
|
2026-01-01
|
|
29550
|
CPT
|
Strapping Application To Toes [hcpcs 29550]
|
1
|
1
|
$1,188.78
|
$1,188.78
|
$317.88
|
$317.88
|
$317.88
|
2026-01-01
|
|
29806
|
CPT
|
Shoulder Examination And Shoulder Joint Capsule Incision With Endoscope [hcpcs 2…
|
1
|
1
|
$19,500.00
|
$19,500.00
|
$7,326.15
|
$7,326.15
|
$7,326.15
|
2026-01-01
|
|
29822
|
CPT
|
Shoulder Examination And Removal Of Abnormal Shoulder Joint Tissue With Endoscop…
|
4
|
3
|
$19,530.54
|
$19,530.54
|
$3,638.54
|
$7,337.62
|
$4,800.60
|
2026-01-01
|
|
29826
|
CPT
|
Shoulder Examination And Shoulder Bone Shaving With Endoscope [hcpcs 29826]
|
2
|
1
|
$22,371.82
|
$22,371.82
|
$4,167.87
|
$6,830.12
|
$5,498.99
|
2026-01-01
|
|
29827
|
CPT
|
Shoulder Examination And Shoulder Rotator Cuff Repair With Endoscope [hcpcs 2982…
|
6
|
5
|
$32,084.00
|
$32,084.00
|
$5,977.25
|
$12,053.96
|
$7,886.25
|
2026-01-01
|
|
29873
|
CPT
|
Ligaments Release At Outer Aspect Of Knee Joint With Endoscope [hcpcs 29873]
|
1
|
1
|
$29,741.77
|
$29,741.77
|
$3,060.43
|
$3,060.43
|
$3,060.43
|
2026-01-01
|
|
29874
|
CPT
|
Foreign Body Removal From Knee Joint With Endoscope [hcpcs 29874]
|
1
|
1
|
$16,931.88
|
$16,931.88
|
$6,361.31
|
$6,361.31
|
$6,361.31
|
2026-01-01
|
|
29875
|
CPT
|
Partial Knee Joint Lining Removal With Endoscope [hcpcs 29875]
|
1
|
1
|
$11,925.00
|
$11,925.00
|
$1,227.08
|
$1,227.08
|
$1,227.08
|
2026-01-01
|
|
29877
|
CPT
|
Knee Joint Cartilage Removal Or Shaving With Endoscope [hcpcs 29877]
|
1
|
1
|
$17,270.73
|
$17,270.73
|
$6,488.61
|
$6,488.61
|
$6,488.61
|
2026-01-01
|
|
29881
|
CPT
|
Knee Cartilage Removal With Endoscope (one Knee) [hcpcs 29881]
|
2
|
2
|
$16,595.24
|
$16,595.24
|
$3,091.69
|
$6,234.83
|
$4,663.26
|
2026-01-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia & Conduction Disorders With Major Complications
|
1
|
1
|
$14,271.12
|
$14,271.12
|
$6,019.56
|
$6,019.56
|
$6,019.56
|
2026-01-01
|
|
30901
|
CPT
|
Simple Control Of Nose Bleed (limited Cautery And/or Packing) [hcpcs 30901]
|
5
|
5
|
$1,205.64
|
$1,205.64
|
$124.06
|
$322.39
|
$224.61
|
2026-01-01
|
|
310
|
MS_DRG
|
Abnormal Or Irregular Heartbeat Without Complications
|
1
|
1
|
$5,127.20
|
$5,127.20
|
$2,162.65
|
$2,162.65
|
$2,162.65
|
2026-01-01
|
|
312
|
MS_DRG
|
Syncope & Collapse
|
1
|
1
|
$9,768.63
|
$9,768.63
|
$4,120.41
|
$4,120.41
|
$4,120.41
|
2026-01-01
|
|
32551
|
CPT
|
Fluid Removal From Between Lung And Chest Cavity (open Procedure) [hcpcs 32551]
|
1
|
1
|
$7,081.53
|
$7,081.53
|
$1,319.29
|
$1,319.29
|
$1,319.29
|
2026-01-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Complications
|
1
|
1
|
$50,020.73
|
$50,020.73
|
$21,098.74
|
$21,098.74
|
$21,098.74
|
2026-01-01
|
|
36556
|
CPT
|
Non-tunneled Central Venous Catheter Insertion For Infusion (5 Years Of Age Or O…
|
2
|
2
|
$5,518.41
|
$5,518.41
|
$1,028.08
|
$2,073.27
|
$1,550.67
|
2026-01-01
|
|
36561
|
CPT
|
Tunneled Central Venous Catheter Insertion For Infusion With Implanted Port Bene…
|
6
|
6
|
$17,917.96
|
$17,917.96
|
$1,843.76
|
$7,154.64
|
$3,338.12
|
2026-01-01
|
|
36590
|
CPT
|
Tunneled Central Venous Catheter Removal For Infusion With Implanted Port Or Pum…
|
4
|
3
|
$18,598.82
|
$18,598.82
|
$1,913.82
|
$7,426.51
|
$3,464.96
|
2026-01-01
|
|
36680
|
CPT
|
Needle Insertion Into Bone For Infusion [hcpcs 36680]
|
1
|
1
|
$12,295.07
|
$12,295.07
|
$1,265.16
|
$1,265.16
|
$1,265.16
|
2026-01-01
|
|
38222
|
CPT
|
Bone Marrow Removal And Biopsy From Bone With Syringe And Needle For Diagnosis […
|
1
|
1
|
$1,868.25
|
$1,868.25
|
$348.05
|
$348.05
|
$348.05
|
2026-01-01
|
|
38500
|
CPT
|
Lymph Nodes Biopsy Or Removal (open Procedure) [hcpcs 38500]
|
2
|
2
|
$13,750.00
|
$13,750.00
|
$1,414.88
|
$1,414.88
|
$1,414.88
|
2026-01-01
|
|
38525
|
CPT
|
Underarm Lymph Nodes Biopsy Or Removal (open Procedure) [hcpcs 38525]
|
4
|
4
|
$10,895.00
|
$10,895.00
|
$1,121.10
|
$2,029.74
|
$1,575.42
|
2026-01-01
|
|
38792
|
CPT
|
Radioactive Dye Injection For X-ray Identification Of Lymph Node [hcpcs 38792]
|
2
|
2
|
$1,600.00
|
$1,600.00
|
$164.64
|
$298.08
|
$231.36
|
2026-01-01
|
|
391
|
MS_DRG
|
Esophagitis, Gastroent & Misc Digest Disorders With Major Complications
|
1
|
1
|
$12,365.70
|
$12,365.70
|
$5,215.85
|
$5,215.85
|
$5,215.85
|
2026-01-01
|
|
392
|
MS_DRG
|
Stomach Disorder Without Complications
|
2
|
2
|
$12,239.74
|
$12,239.74
|
$5,162.72
|
$5,162.72
|
$5,162.72
|
2026-01-01
|
|
43231
|
CPT
|
Esophagus Examination Through The Mouth And Ultrasound With Flexible Endoscope […
|
1
|
1
|
$14,586.38
|
$14,586.38
|
$2,717.44
|
$2,717.44
|
$2,717.44
|
2026-01-01
|
|
43235
|
CPT
|
Esophagus, Stomach, And/or Upper Small Bowel Examination With Endoscope For Diag…
|
8
|
7
|
$6,839.38
|
$6,839.38
|
$703.77
|
$2,730.96
|
$1,274.18
|
2026-01-01
|
|
43239
|
CPT
|
Esophagus, Stomach, And/or Upper Small Bowel Examination And Biopsy With Endosco…
|
23
|
13
|
$7,259.41
|
$7,259.41
|
$746.99
|
$2,898.68
|
$1,352.43
|
2026-01-01
|
|
43246
|
CPT
|
Esophagus, Stomach, And/or Upper Small Bowel Examination And Stomach Tube Insert…
|
2
|
2
|
$11,432.09
|
$11,432.09
|
$2,129.80
|
$2,129.80
|
$2,129.80
|
2026-01-01
|
|
43249
|
CPT
|
Esophagus, Stomach, And/or Upper Small Bowel Examination And Widening By Balloon…
|
2
|
2
|
$12,514.35
|
$12,514.35
|
$2,331.42
|
$2,331.42
|
$2,331.42
|
2026-01-01
|
|
434
|
MS_DRG
|
Cirrhosis & Alcoholic Hepatitis Without Complications
|
1
|
1
|
$17,407.71
|
$17,407.71
|
$7,342.57
|
$7,342.57
|
$7,342.57
|
2026-01-01
|
|
43762
|
CPT
|
Stomach Stoma Tube Replacement [hcpcs 43762]
|
1
|
1
|
$2,168.25
|
$2,168.25
|
$403.94
|
$403.94
|
$403.94
|
2026-01-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Complications
|
1
|
1
|
$8,594.35
|
$8,594.35
|
$3,625.10
|
$3,625.10
|
$3,625.10
|
2026-01-01
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Complications
|
1
|
1
|
$6,148.65
|
$6,148.65
|
$2,593.50
|
$2,593.50
|
$2,593.50
|
2026-01-01
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy With Complications
|
1
|
1
|
$17,356.35
|
$17,356.35
|
$7,320.91
|
$7,320.91
|
$7,320.91
|
2026-01-01
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malig,cirr,alc Hepa Without Complications
|
1
|
1
|
$13,351.28
|
$13,351.28
|
$5,631.57
|
$5,631.57
|
$5,631.57
|
2026-01-01
|
|
44970
|
CPT
|
Appendix Removal With Endoscope [hcpcs 44970]
|
1
|
1
|
$17,596.57
|
$17,596.57
|
$6,611.03
|
$6,611.03
|
$6,611.03
|
2026-01-01
|
|
45330
|
CPT
|
Colon (lower Large Bowel) Examination With Endoscope For Diagnosis [hcpcs 45330]
|
2
|
2
|
$3,325.00
|
$3,325.00
|
$619.45
|
$1,249.20
|
$934.33
|
2026-01-01
|
|
45331
|
CPT
|
Colon (lower Large Bowel) Examination And Biopsy With Endoscope [hcpcs 45331]
|
1
|
1
|
$7,650.97
|
$7,650.97
|
$1,425.38
|
$1,425.38
|
$1,425.38
|
2026-01-01
|
|
45338
|
CPT
|
Colon (lower Large Bowel) Examination And Biliary Duct Drainage Catheter Placeme…
|
1
|
1
|
$8,505.79
|
$8,505.79
|
$3,396.36
|
$3,396.36
|
$3,396.36
|
2026-01-01
|
|
45378
|
CPT
|
Colon (large Bowel) Examination With Endoscope For Diagnosis (high Risk) [hcpcs …
|
17
|
11
|
$6,596.57
|
$6,596.57
|
$678.79
|
$2,634.01
|
$2,013.93
|
2026-01-01
|
|
45380
|
CPT
|
Colon (large Bowel) Examination And Biopsy With Endoscope [hcpcs 45380]
|
15
|
11
|
$8,093.38
|
$8,093.38
|
$832.81
|
$3,231.69
|
$1,507.80
|
2026-01-01
|
|
45381
|
CPT
|
Colon (large Bowel) Examination And Injections Beneath Lining Of Colon With Flex…
|
5
|
3
|
$5,962.88
|
$5,962.88
|
$613.58
|
$2,240.25
|
$1,110.88
|
2026-01-01
|
|
45384
|
CPT
|
Colon (large Bowel) Examination And Tissue Abnormalities, Tumors, Or Polyps Remo…
|
17
|
12
|
$8,188.55
|
$8,188.55
|
$842.60
|
$3,269.69
|
$1,525.53
|
2026-01-01
|
|
45385
|
CPT
|
Colon (large Bowel) Examination And Polyps Or Tumors Removal By Snare Technique …
|
10
|
7
|
$8,036.91
|
$8,036.91
|
$827.00
|
$3,209.14
|
$1,975.47
|
2026-01-01
|
|
46020
|
CPT
|
Anal Drain (seton) Insertion [hcpcs 46020]
|
1
|
1
|
$10,275.00
|
$10,275.00
|
$3,136.96
|
$3,136.96
|
$3,136.96
|
2026-01-01
|
|
46030
|
CPT
|
Anal Drain (seton) Removal [hcpcs 46030]
|
1
|
1
|
$9,655.71
|
$9,655.71
|
$2,947.89
|
$2,947.89
|
$2,947.89
|
2026-01-01
|
|
46040
|
CPT
|
Rectal Abscess Drainage (deep) [hcpcs 46040]
|
2
|
2
|
$4,777.63
|
$4,777.63
|
$491.62
|
$1,794.96
|
$1,143.29
|
2026-01-01
|
|
46221
|
CPT
|
External Hemorrhoids Removal By Rubber Banding [hcpcs 46221]
|
3
|
3
|
$13,189.63
|
$13,189.63
|
$2,457.23
|
$4,955.34
|
$2,457.23
|
2026-01-01
|
|
46250
|
CPT
|
External Hemorrhoids Removal (multiple) [hcpcs 46250]
|
2
|
2
|
$12,649.98
|
$12,649.98
|
$1,301.68
|
$4,752.60
|
$3,027.14
|
2026-01-01
|
|
46260
|
CPT
|
Multiple Internal And External Hemorrhoid Groups Removal [hcpcs 46260]
|
4
|
3
|
$15,493.94
|
$15,493.94
|
$2,886.52
|
$6,095.32
|
$5,821.07
|
2026-01-01
|
|
46275
|
CPT
|
Anal Muscle And Abnormal Anal Drainage Tract Repair Through The Sphincter [hcpcs…
|
1
|
1
|
$10,275.00
|
$10,275.00
|
$3,136.96
|
$3,136.96
|
$3,136.96
|
2026-01-01
|
|
46280
|
CPT
|
Anal Muscle And Abnormal Anal Drainage Tract Repair Across Tissue Around The Sph…
|
1
|
1
|
$10,280.00
|
$10,280.00
|
$3,862.20
|
$3,862.20
|
$3,862.20
|
2026-01-01
|
|
470
|
MS_DRG
|
Total Knee Or Hip Replacement
|
1
|
1
|
$91,420.48
|
$91,420.48
|
$38,561.16
|
$38,561.16
|
$38,561.16
|
2026-01-01
|
|
47562
|
CPT
|
Gallbladder Removal With An Endoscope [hcpcs 47562]
|
2
|
1
|
$30,032.40
|
$30,032.40
|
$11,283.17
|
$11,283.17
|
$11,283.17
|
2026-01-01
|
|
47563
|
CPT
|
Gallbladder Removal With X-ray Study Of Bile Ducts With Endoscope [hcpcs 47563]
|
9
|
8
|
$17,005.30
|
$17,005.30
|
$1,749.85
|
$6,388.89
|
$3,168.09
|
2026-01-01
|
|
481
|
MS_DRG
|
Hip & Femur Procedures Except Major Joint With Complications
|
1
|
1
|
$36,373.00
|
$36,373.00
|
$15,342.13
|
$15,342.13
|
$15,342.13
|
2026-01-01
|
|
486
|
MS_DRG
|
Knee Procedures W Pdx Of Infection With Complications
|
1
|
1
|
$63,307.94
|
$63,307.94
|
$26,703.29
|
$26,703.29
|
$26,703.29
|
2026-01-01
|
|
49083
|
CPT
|
Abdominal Cavity Fluid Drainage With Imaging Guidance [hcpcs 49083]
|
2
|
2
|
$4,878.81
|
$4,878.81
|
$908.92
|
$1,948.11
|
$1,428.51
|
2026-01-01
|
|
49505
|
CPT
|
Groin Hernia Repair For Patient 5 Years Of Age Or Older (herniated Tissue That I…
|
8
|
5
|
$9,335.18
|
$9,335.18
|
$960.59
|
$3,672.46
|
$1,739.14
|
2026-01-01
|
|
49507
|
CPT
|
Groin Hernia Repair For Patient 5 Years Of Age Or Older (herniated Tissue That I…
|
1
|
1
|
$23,095.80
|
$23,095.80
|
$4,302.75
|
$4,302.75
|
$4,302.75
|
2026-01-01
|
|
49520
|
CPT
|
Groin Hernia Repair (herniated Tissue That Is Not Trapped) [hcpcs 49520]
|
1
|
1
|
$14,175.00
|
$14,175.00
|
$2,640.80
|
$2,640.80
|
$2,640.80
|
2026-01-01
|
|
49521
|
CPT
|
Groin Hernia Repair (herniated Tissue This Trapped) [hcpcs 49521]
|
1
|
1
|
$25,443.26
|
$25,443.26
|
$9,559.03
|
$9,559.03
|
$9,559.03
|
2026-01-01
|
|
5
|
MS_DRG
|
Liver Transplant With Major Complications Or Intestinal Transplant
|
1
|
1
|
$16,725.70
|
$16,725.70
|
$7,054.90
|
$7,054.90
|
$7,054.90
|
2026-01-01
|
|
540
|
MS_DRG
|
Osteomyelitis With Complications
|
1
|
1
|
$15,291.95
|
$15,291.95
|
$6,450.14
|
$6,450.14
|
$6,450.14
|
2026-01-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Major Complications
|
1
|
1
|
$13,786.35
|
$13,786.35
|
$5,815.08
|
$5,815.08
|
$5,815.08
|
2026-01-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Major Complications
|
2
|
2
|
$5,955.42
|
$5,955.42
|
$2,512.00
|
$2,512.00
|
$2,512.00
|
2026-01-01
|
|
564
|
MS_DRG
|
Other Musculoskeletal System & Connective Tissue Diagnoses With Major Complicati…
|
1
|
1
|
$25,004.82
|
$25,004.82
|
$10,547.03
|
$10,547.03
|
$10,547.03
|
2026-01-01
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Complications
|
1
|
1
|
$9,961.45
|
$9,961.45
|
$4,201.74
|
$4,201.74
|
$4,201.74
|
2026-01-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Major Complications
|
1
|
1
|
$9,356.53
|
$9,356.53
|
$3,946.58
|
$3,946.58
|
$3,946.58
|
2026-01-01
|
|
603
|
MS_DRG
|
Infection Of The Skin
|
1
|
1
|
$17,909.35
|
$17,909.35
|
$7,554.16
|
$7,554.16
|
$7,554.16
|
2026-01-01
|
|
62323
|
CPT
|
Spinal Canal Injection Of Substance Into Lower Back Or Sacrum With Imaging Guida…
|
3
|
3
|
$5,722.34
|
$5,722.34
|
$1,066.07
|
$2,149.88
|
$1,066.07
|
2026-01-01
|
|
63685
|
CPT
|
Spinal Neurostimulator Pulse Generator Or Receiver Insertion [hcpcs 63685]
|
2
|
2
|
$117,450.00
|
$117,450.00
|
$21,880.94
|
$21,880.94
|
$21,880.94
|
2026-01-01
|
|
637
|
MS_DRG
|
Diabetes With Major Complications
|
1
|
1
|
$19,189.67
|
$19,189.67
|
$8,383.97
|
$8,383.97
|
$8,383.97
|
2026-01-01
|
|
638
|
MS_DRG
|
Diabetes With Complications
|
2
|
2
|
$28,347.43
|
$28,347.43
|
$11,956.95
|
$11,956.95
|
$11,956.95
|
2026-01-01
|
|
64
|
MS_DRG
|
Stroke With Major Complications
|
2
|
2
|
$15,054.26
|
$15,054.26
|
$6,349.89
|
$6,349.89
|
$6,349.89
|
2026-01-01
|
|
640
|
MS_DRG
|
Nutritional & Misc Metabolic Disorders With Major Complications
|
1
|
1
|
$10,387.02
|
$10,387.02
|
$4,381.25
|
$4,381.25
|
$4,381.25
|
2026-01-01
|
|
641
|
MS_DRG
|
Nutritional Or Metabolic Disorders Without Major Complications
|
2
|
2
|
$3,043.77
|
$3,043.77
|
$1,283.86
|
$1,283.86
|
$1,283.86
|
2026-01-01
|
|
64415
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Brachial Nerve Bundle Of Arm [hcp…
|
6
|
5
|
$5,015.67
|
$5,015.67
|
$934.42
|
$1,884.39
|
$934.42
|
2026-01-01
|
|
64418
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Suprascapular Nerve Of Shoulder […
|
4
|
3
|
$8,743.00
|
$8,743.00
|
$1,628.82
|
$3,439.50
|
$2,149.03
|
2026-01-01
|
|
64425
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Ilioinguinal And Iliohypogastric …
|
5
|
4
|
$9,335.18
|
$9,335.18
|
$1,739.14
|
$3,507.23
|
$1,739.14
|
2026-01-01
|
|
64447
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Femoral Nerve Of Thigh [hcpcs 644…
|
9
|
7
|
$22,878.63
|
$22,878.63
|
$2,354.21
|
$8,595.50
|
$4,262.29
|
2026-01-01
|
|
64450
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Other Peripheral Nerve Or Branch …
|
9
|
7
|
$3,603.80
|
$3,603.80
|
$370.83
|
$1,439.00
|
$671.39
|
2026-01-01
|
|
64483
|
CPT
|
Anesthetic Agent And/or Steroid Injection Into Lower Or Sacral Spine Nerve Root …
|
1
|
1
|
$6,816.99
|
$6,816.99
|
$701.47
|
$701.47
|
$701.47
|
2026-01-01
|
|
64486
|
CPT
|
Local Anesthetic Injection For Pain Control And Abdominal Wall Analgesia On One …
|
1
|
1
|
$30,105.08
|
$30,105.08
|
$5,608.58
|
$5,608.58
|
$5,608.58
|
2026-01-01
|
|
64488
|
CPT
|
Local Anesthetic Injection For Pain Control And Abdominal Wall Analgesia On Both…
|
11
|
9
|
$23,925.00
|
$23,925.00
|
$2,461.88
|
$8,988.62
|
$4,457.23
|
2026-01-01
|
|
64493
|
CPT
|
Lower Or Sacral Spine Facet Joint Injections With Imaging Guidance (first Level)…
|
2
|
1
|
$6,930.96
|
$6,930.96
|
$2,603.96
|
$2,603.96
|
$2,603.96
|
2026-01-01
|
|
64494
|
CPT
|
Lower Or Sacral Spine Facet Joint Injections With Imaging Guidance (second Level…
|
1
|
1
|
$6,930.96
|
$6,930.96
|
$2,603.96
|
$2,603.96
|
$2,603.96
|
2026-01-01
|
|
64721
|
CPT
|
Median Nerve Of Hand Release And/or Relocation (Carpal Tunnel Release) [hcpcs 64…
|
5
|
4
|
$10,937.27
|
$10,937.27
|
$2,037.61
|
$4,367.25
|
$4,109.13
|
2026-01-01
|
|
65
|
MS_DRG
|
Stroke With Complications
|
1
|
1
|
$16,011.45
|
$16,011.45
|
$6,753.63
|
$6,753.63
|
$6,753.63
|
2026-01-01
|
|
68
|
MS_DRG
|
Nonspecific Cva & Precerebral Occlusion Without Infarct Without Major Complicati…
|
1
|
1
|
$10,749.89
|
$10,749.89
|
$4,534.30
|
$4,534.30
|
$4,534.30
|
2026-01-01
|
|
682
|
MS_DRG
|
Kidney Failure With Major Complications
|
1
|
1
|
$9,792.83
|
$9,792.83
|
$4,130.62
|
$4,130.62
|
$4,130.62
|
2026-01-01
|
|
683
|
MS_DRG
|
Kidney Failure With Complications
|
2
|
2
|
$10,824.39
|
$10,824.39
|
$4,565.73
|
$4,565.73
|
$4,565.73
|
2026-01-01
|
|
684
|
MS_DRG
|
Renal Failure Without Complications
|
1
|
1
|
$15,357.60
|
$15,357.60
|
$6,477.84
|
$6,477.84
|
$6,477.84
|
2026-01-01
|
|
689
|
MS_DRG
|
Kidney & Urinary Infection With Major Complications
|
1
|
1
|
$5,301.58
|
$5,301.58
|
$2,316.26
|
$2,316.26
|
$2,316.26
|
2026-01-01
|
|
690
|
MS_DRG
|
Kidney & Urinary Infection Without Complications
|
3
|
3
|
$14,872.13
|
$14,872.13
|
$6,273.06
|
$6,497.63
|
$6,273.06
|
2026-01-01
|
|
69000
|
CPT
|
External Ear Abscess Or Blood Accumulation Incision And Drainage (simple) [hcpcs…
|
1
|
1
|
$2,120.59
|
$2,120.59
|
$218.21
|
$218.21
|
$218.21
|
2026-01-01
|
|
69200
|
CPT
|
Foreign Body Removal From Ear Canal [hcpcs 69200]
|
1
|
1
|
$812.25
|
$812.25
|
$305.16
|
$305.16
|
$305.16
|
2026-01-01
|
|
699
|
MS_DRG
|
Other Kidney & Urinary Tract Diagnoses With Complications
|
1
|
1
|
$10,804.83
|
$10,804.83
|
$4,557.48
|
$4,557.48
|
$4,557.48
|
2026-01-01
|
|
70450
|
CPT
|
Head Or Brain CT Scan Without Contrast To Examine Injury, Foreign Bodies, Or Tum…
|
25
|
16
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
70460
|
CPT
|
Head Or Brain CT Scan With Contrast To Examine Injury, Foreign Bodies, Or Tumors…
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
70470
|
CPT
|
Head Or Brain CT Scan Without Contrast, Followed By Contrast To Examine Injury, …
|
4
|
4
|
$1,382.50
|
$1,382.50
|
$257.56
|
$519.41
|
$257.56
|
2026-01-01
|
|
70480
|
CPT
|
Skull CT Scan To Examine The Bones Of The Eye And Ear Without Contrast To Examin…
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
70486
|
CPT
|
Facial CT Scan Without Contrast To Examine Injury, Foreign Bodies, Or Tumors [hc…
|
13
|
11
|
$1,728.00
|
$1,728.00
|
$177.81
|
$689.99
|
$321.93
|
2026-01-01
|
|
70487
|
CPT
|
Facial CT Scan With Contrast To Examine Injury, Foreign Bodies, Or Tumors [hcpcs…
|
2
|
2
|
$1,152.00
|
$1,152.00
|
$118.54
|
$432.81
|
$275.68
|
2026-01-01
|
|
70490
|
CPT
|
Neck CT Scan Of The Soft Tissue Of The Neck Without Contrast To Examine Injury, …
|
8
|
7
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
70491
|
CPT
|
Neck CT Scan Of The Soft Tissue Of The Neck With Contrast To Examine Injury, For…
|
12
|
8
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
70492
|
CPT
|
Neck CT Scan Of The Soft Tissue Of The Neck Without Contrast, Followed By Contra…
|
1
|
1
|
$1,382.50
|
$1,382.50
|
$519.41
|
$519.41
|
$519.41
|
2026-01-01
|
|
70496
|
CPT
|
CTA Scan Of Head Blood Vessels With Contrast To Examine Blood Clots Or Aneurysms…
|
7
|
6
|
$1,382.50
|
$1,382.50
|
$257.56
|
$552.03
|
$519.41
|
2026-01-01
|
|
70498
|
CPT
|
CTA Scan Of Neck Blood Vessels With Contrast To Examine Blood Clots Or Aneurysms…
|
6
|
5
|
$1,382.50
|
$1,382.50
|
$257.56
|
$552.03
|
$388.49
|
2026-01-01
|
|
70540
|
CPT
|
Imaging Of Eye, Face, And/or Neck By MRI Without Contrast [hcpcs 70540]
|
2
|
2
|
$2,795.00
|
$2,795.00
|
$520.71
|
$1,099.55
|
$810.13
|
2026-01-01
|
|
70543
|
CPT
|
Imaging Of Eye, Face, And/or Neck By MRI Without Contrast, Followed By Contrast …
|
1
|
1
|
$3,842.00
|
$3,842.00
|
$715.76
|
$715.76
|
$715.76
|
2026-01-01
|
|
70544
|
CPT
|
Imaging Of Head Blood Vessels By MRA Without Contrast [hcpcs 70544]
|
3
|
3
|
$2,000.00
|
$2,000.00
|
$205.80
|
$372.60
|
$372.60
|
2026-01-01
|
|
70551
|
CPT
|
Imaging Of Brain By MRI Without Contrast [hcpcs 70551]
|
16
|
12
|
$4,193.00
|
$4,193.00
|
$431.46
|
$1,674.26
|
$781.16
|
2026-01-01
|
|
70552
|
CPT
|
Imaging Of Brain By MRI With Contrast [hcpcs 70552]
|
2
|
2
|
$2,895.00
|
$2,895.00
|
$539.34
|
$1,087.65
|
$813.50
|
2026-01-01
|
|
70553
|
CPT
|
Imaging Of Brain By MRI Without Contrast, Followed By Contrast [hcpcs 70553]
|
14
|
11
|
$5,463.00
|
$5,463.00
|
$562.14
|
$2,181.38
|
$1,017.76
|
2026-01-01
|
|
71250
|
CPT
|
Chest CT Scan Without Contrast To Examine Injury, Foreign Bodies, Or Tumors [hcp…
|
17
|
12
|
$1,186.56
|
$1,186.56
|
$122.10
|
$473.79
|
$221.06
|
2026-01-01
|
|
71260
|
CPT
|
Chest CT Scan With Contrast To Examine Injury, Foreign Bodies, Or Tumors [hcpcs …
|
19
|
12
|
$1,728.00
|
$1,728.00
|
$177.81
|
$689.99
|
$321.93
|
2026-01-01
|
|
71270
|
CPT
|
Chest CT Scan Without Contrast, Followed By Contrast To Examine Injury, Foreign …
|
2
|
2
|
$1,382.50
|
$1,382.50
|
$257.56
|
$257.56
|
$257.56
|
2026-01-01
|
|
71271
|
CPT
|
Chest CT Scan Without Contrast To Screen For Lung Cancer (low Dose) [hcpcs 71271…
|
19
|
11
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$351.10
|
2026-01-01
|
|
71275
|
CPT
|
CTA Scan Of Chest Blood Vessels With Contrast To Examine Injury, Foreign Bodies,…
|
17
|
13
|
$2,074.00
|
$2,074.00
|
$213.41
|
$828.15
|
$386.39
|
2026-01-01
|
|
72125
|
CPT
|
Spinal CT Scan Of Upper Spine Without Contrast To Examine Injury, Foreign Bodies…
|
17
|
13
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
72126
|
CPT
|
Spinal CT Scan Of Upper Spine With Contrast To Examine Injury, Foreign Bodies, O…
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
72128
|
CPT
|
Spinal CT Scan Of Middle Spine Without Contrast To Examine Injury, Foreign Bodie…
|
10
|
8
|
$1,150.00
|
$1,150.00
|
$214.25
|
$459.20
|
$323.15
|
2026-01-01
|
|
72131
|
CPT
|
Spinal CT Scan Of Lower Spine Without Contrast To Examine Injury, Foreign Bodies…
|
18
|
14
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
72132
|
CPT
|
Spinal CT Scan Of Lower Spine With Contrast To Examine Injury, Foreign Bodies, O…
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
72141
|
CPT
|
Imaging Of Upper Spinal Canal By MRI Without Contrast [hcpcs 72141]
|
14
|
10
|
$4,193.00
|
$4,193.00
|
$431.46
|
$1,575.31
|
$781.16
|
2026-01-01
|
|
72142
|
CPT
|
Imaging Of Upper Spinal Canal By MRI With Contrast [hcpcs 72142]
|
2
|
2
|
$2,895.00
|
$2,895.00
|
$297.90
|
$1,087.65
|
$692.78
|
2026-01-01
|
|
72146
|
CPT
|
Imaging Of Middle Spinal Canal By MRI Without Contrast [hcpcs 72146]
|
7
|
6
|
$1,998.00
|
$1,998.00
|
$372.23
|
$797.80
|
$372.23
|
2026-01-01
|
|
72148
|
CPT
|
Imaging Of Lower Spinal Canal By MRI Without Contrast [hcpcs 72148]
|
15
|
11
|
$3,642.00
|
$3,642.00
|
$374.76
|
$1,454.25
|
$678.50
|
2026-01-01
|
|
72156
|
CPT
|
Imaging Of Spinal Canal By MRI Without Contrast, Followed By Contrast [hcpcs 721…
|
5
|
5
|
$3,642.00
|
$3,642.00
|
$374.76
|
$1,432.76
|
$678.50
|
2026-01-01
|
|
72157
|
CPT
|
Imaging Of Middle Spinal Canal By MRI Without Contrast, Followed By Contrast [hc…
|
4
|
3
|
$3,642.00
|
$3,642.00
|
$374.76
|
$1,432.76
|
$678.50
|
2026-01-01
|
|
72158
|
CPT
|
Imaging Of Lower Spinal Canal By MRI Without Contrast, Followed By Contrast [hcp…
|
4
|
4
|
$3,642.00
|
$3,642.00
|
$678.50
|
$1,368.30
|
$678.50
|
2026-01-01
|
|
72192
|
CPT
|
Pelvis CT Scan Without Contrast To Examine Injury, Foreign Bodies, Or Tumors [hc…
|
7
|
7
|
$1,150.00
|
$1,150.00
|
$118.34
|
$432.06
|
$214.25
|
2026-01-01
|
|
72193
|
CPT
|
Pelvis CT Scan With Contrast To Examine Injury, Foreign Bodies, Or Tumors [hcpcs…
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
72194
|
CPT
|
Pelvis CT Scan Without Contrast, Followed By Contrast To Examine Injury, Foreign…
|
1
|
1
|
$1,382.50
|
$1,382.50
|
$257.56
|
$257.56
|
$257.56
|
2026-01-01
|
|
72195
|
CPT
|
Imaging Of Pelvis By MRI Without Contrast [hcpcs 72195]
|
2
|
2
|
$2,795.00
|
$2,795.00
|
$520.71
|
$520.71
|
$520.71
|
2026-01-01
|
|
72197
|
CPT
|
Imaging Of Pelvis By MRI Without Contrast, Followed By Contrast [hcpcs 72197]
|
5
|
5
|
$3,642.00
|
$3,642.00
|
$678.50
|
$973.87
|
$678.50
|
2026-01-01
|
|
73200
|
CPT
|
Arm CT Scan Without Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs 73200]
|
5
|
5
|
$2,304.00
|
$2,304.00
|
$237.08
|
$865.61
|
$429.24
|
2026-01-01
|
|
73201
|
CPT
|
Arm CT Scan With Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs 73201]
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$453.20
|
$453.20
|
$453.20
|
2026-01-01
|
|
73202
|
CPT
|
Arm CT Scan Without Contrast, Followed By Contrast For Injury, Foreign Bodies, O…
|
1
|
1
|
$1,382.50
|
$1,382.50
|
$257.56
|
$257.56
|
$257.56
|
2026-01-01
|
|
73218
|
CPT
|
Imaging Of Arm By MRI Without Contrast [hcpcs 73218]
|
1
|
1
|
$4,114.00
|
$4,114.00
|
$766.44
|
$766.44
|
$766.44
|
2026-01-01
|
|
73221
|
CPT
|
Imaging Of Arm Joint By MRI Without Contrast [hcpcs 73221]
|
11
|
10
|
$4,114.00
|
$4,114.00
|
$423.33
|
$1,642.72
|
$766.44
|
2026-01-01
|
|
73223
|
CPT
|
Imaging Of Arm Joint By MRI Without Contrast, Followed By Contrast [hcpcs 73223]
|
2
|
2
|
$3,642.00
|
$3,642.00
|
$678.50
|
$1,368.30
|
$1,023.40
|
2026-01-01
|
|
73700
|
CPT
|
Leg CT Scan Without Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs 73700]
|
8
|
8
|
$1,150.00
|
$1,150.00
|
$214.25
|
$459.20
|
$214.25
|
2026-01-01
|
|
73701
|
CPT
|
Leg CT Scan With Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs 73701]
|
1
|
1
|
$1,152.00
|
$1,152.00
|
$214.62
|
$214.62
|
$214.62
|
2026-01-01
|
|
73702
|
CPT
|
Leg CT Scan Without Contrast, Followed By Contrast For Injury, Foreign Bodies, O…
|
1
|
1
|
$1,382.50
|
$1,382.50
|
$257.56
|
$257.56
|
$257.56
|
2026-01-01
|
|
73718
|
CPT
|
Imaging Of Leg By MRI Without Contrast [hcpcs 73718]
|
5
|
3
|
$2,795.00
|
$2,795.00
|
$520.71
|
$1,050.08
|
$520.71
|
2026-01-01
|
|
73720
|
CPT
|
Imaging Of Leg By MRI Without Contrast, Followed By Contrast [hcpcs 73720]
|
5
|
5
|
$3,642.00
|
$3,642.00
|
$374.76
|
$1,432.76
|
$678.50
|
2026-01-01
|
|
73721
|
CPT
|
Imaging Of Leg Joint By MRI Without Contrast [hcpcs 73721]
|
13
|
11
|
$4,058.00
|
$4,058.00
|
$417.57
|
$1,620.36
|
$756.01
|
2026-01-01
|
|
73723
|
CPT
|
Imaging Of Leg Joint By MRI Without Contrast, Followed By Contrast [hcpcs 73723]
|
4
|
4
|
$3,642.00
|
$3,642.00
|
$374.76
|
$1,454.25
|
$826.18
|
2026-01-01
|
|
74150
|
CPT
|
Abdominal CT Scan Without Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs …
|
6
|
6
|
$1,150.00
|
$1,150.00
|
$214.25
|
$432.06
|
$214.25
|
2026-01-01
|
|
74160
|
CPT
|
Abdominal CT Scan With Contrast For Injury, Foreign Bodies, Or Tumors [hcpcs 741…
|
9
|
6
|
$1,150.00
|
$1,150.00
|
$118.34
|
$459.20
|
$214.25
|
2026-01-01
|
|
74170
|
CPT
|
Abdominal CT Scan Without Contrast, Followed By Contrast For Injury, Foreign Bod…
|
5
|
4
|
$1,300.00
|
$1,300.00
|
$242.19
|
$519.09
|
$488.41
|
2026-01-01
|
|
74174
|
CPT
|
Abdominal And Pelvic Vessels CTA Scan With Contrast [hcpcs 74174]
|
3
|
3
|
$1,382.50
|
$1,382.50
|
$257.56
|
$519.41
|
$257.56
|
2026-01-01
|
|
74176
|
CPT
|
Abdominal And Pelvic CT Scan Without Contrast For Injury, Foreign Bodies, Or Tum…
|
23
|
16
|
$2,468.00
|
$2,468.00
|
$253.96
|
$985.47
|
$459.79
|
2026-01-01
|
|
74177
|
CPT
|
Abdominal And Pelvic CT Scan With Contrast For Injury, Foreign Bodies, Or Tumors…
|
23
|
16
|
$2,468.00
|
$2,468.00
|
$253.96
|
$985.47
|
$459.79
|
2026-01-01
|
|
74178
|
CPT
|
Abdominal And Pelvic CT Scan Without Contrast, Followed By Contrast For Injury, …
|
8
|
6
|
$1,300.00
|
$1,300.00
|
$133.77
|
$519.09
|
$242.19
|
2026-01-01
|
|
74183
|
CPT
|
Imaging Of Abdomen By MRI Without Contrast, Followed By Contrast [hcpcs 74183]
|
11
|
9
|
$5,463.00
|
$5,463.00
|
$562.14
|
$2,181.38
|
$1,017.76
|
2026-01-01
|
|
75635
|
CPT
|
Abdominal Aorta And Both Leg Arteries CTA Scan With Contrast [hcpcs 75635]
|
4
|
3
|
$1,256.64
|
$1,256.64
|
$234.11
|
$472.12
|
$353.12
|
2026-01-01
|
|
78014
|
CPT
|
Thyroid Imaging With Vascular Flow And Uptake Measurements [hcpcs 78014]
|
1
|
1
|
$1,309.00
|
$1,309.00
|
$399.64
|
$399.64
|
$399.64
|
2026-01-01
|
|
78070
|
CPT
|
Parathyroid Imaging [hcpcs 78070]
|
1
|
1
|
$1,230.00
|
$1,230.00
|
$229.15
|
$229.15
|
$229.15
|
2026-01-01
|
|
78452
|
CPT
|
Imaging Of Heart Vessels With Spect Tomography And Drugs Or Exercise (multiple S…
|
12
|
9
|
$3,135.00
|
$3,135.00
|
$322.59
|
$1,251.81
|
$584.05
|
2026-01-01
|
|
78582
|
CPT
|
Imaging Of Lung Ventilation And Blood Circulation In The Lungs [hcpcs 78582]
|
3
|
3
|
$1,232.00
|
$1,232.00
|
$229.52
|
$229.52
|
$229.52
|
2026-01-01
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Major Complications
|
1
|
1
|
$35,196.48
|
$35,196.48
|
$14,845.88
|
$14,845.88
|
$14,845.88
|
2026-01-01
|
|
812
|
MS_DRG
|
Anemia Or Other Red Blood Cell Disorders Without Complications
|
1
|
1
|
$9,251.81
|
$9,251.81
|
$3,902.41
|
$3,902.41
|
$3,902.41
|
2026-01-01
|
|
86812
|
CPT
|
Lab Analysis To Evaluate Autoimmune Disease, A, B, Or C (single Antigen) [hcpcs …
|
1
|
1
|
$1,294.50
|
$1,294.50
|
$486.34
|
$486.34
|
$486.34
|
2026-01-01
|
|
871
|
MS_DRG
|
Blood Infection With Major Complications
|
2
|
2
|
$14,479.24
|
$14,479.24
|
$6,107.34
|
$6,107.34
|
$6,107.34
|
2026-01-01
|
|
872
|
MS_DRG
|
Blood Infection Without Major Complications
|
1
|
1
|
$23,190.71
|
$23,190.71
|
$9,781.84
|
$9,781.84
|
$9,781.84
|
2026-01-01
|
|
885
|
MS_DRG
|
Mental Illness [msdrg 885]
|
1
|
1
|
$5,473.26
|
$5,473.26
|
$2,308.62
|
$2,308.62
|
$2,308.62
|
2026-01-01
|
|
89
|
MS_DRG
|
Concussion With Complications
|
1
|
1
|
$6,907.35
|
$6,907.35
|
$2,913.52
|
$2,913.52
|
$2,913.52
|
2026-01-01
|
|
90675
|
CPT
|
Rabies Vaccine For Injection Into Muscle [hcpcs 90675]
|
3
|
2
|
$600.00
|
$600.00
|
$183.18
|
$225.42
|
$225.42
|
2026-01-01
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Complications
|
1
|
1
|
$21,228.27
|
$21,228.27
|
$8,954.08
|
$8,954.08
|
$8,954.08
|
2026-01-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Major Complications
|
1
|
1
|
$19,474.31
|
$19,474.31
|
$8,214.26
|
$8,214.26
|
$8,214.26
|
2026-01-01
|
|
918
|
MS_DRG
|
Drug Poisoning Without Complications
|
1
|
1
|
$7,800.12
|
$7,800.12
|
$3,290.09
|
$3,290.09
|
$3,290.09
|
2026-01-01
|
|
920
|
MS_DRG
|
Complications Of Treatment With Complications
|
1
|
1
|
$17,640.38
|
$17,640.38
|
$7,440.71
|
$7,440.71
|
$7,440.71
|
2026-01-01
|
|
94002
|
CPT
|
Hospital Inpatient Or Observation Patient Ventilator Management Care (initial Da…
|
1
|
1
|
$1,700.00
|
$1,700.00
|
$316.71
|
$316.71
|
$316.71
|
2026-01-01
|
|
965
|
MS_DRG
|
Other Multiple Significant Trauma Without Complications
|
1
|
1
|
$8,677.87
|
$8,677.87
|
$3,660.33
|
$3,660.33
|
$3,660.33
|
2026-01-01
|
|
99282
|
CPT
|
Emergency Department Visit For Problem Of Low To Moderate Severity [hcpcs 99282]
|
21
|
16
|
$750.00
|
$750.00
|
$77.18
|
$299.48
|
$200.55
|
2026-01-01
|
|
99285
|
CPT
|
Emergency Department Visit For Problem With Significant Threat To Life [hcpcs 99…
|
30
|
20
|
$1,500.00
|
$1,500.00
|
$154.35
|
$598.95
|
$429.52
|
2026-01-01
|
|
99291
|
CPT
|
Critical Care Delivery To Critically Ill Or Injured Patient (first 30-74 Minutes…
|
5
|
5
|
$3,043.00
|
$3,043.00
|
$313.12
|
$1,215.07
|
$566.91
|
2026-01-01
|
|
C1776
|
HCPCS
|
Joint Device (implantable) [hcpcs C1776]
|
8
|
6
|
$15,380.00
|
$15,380.00
|
$1,582.60
|
$5,778.27
|
$2,865.29
|
2026-01-01
|
|
C1781
|
HCPCS
|
Mesh (implantable) [hcpcs C1781]
|
3
|
1
|
$1,375.00
|
$1,375.00
|
$141.49
|
$516.59
|
$516.59
|
2026-01-01
|
|
C1788
|
HCPCS
|
Port, Indwelling, Imp [hcpcs C1788]
|
5
|
5
|
$5,877.06
|
$5,877.06
|
$604.75
|
$1,094.90
|
$1,094.90
|
2026-01-01
|
|
C1820
|
HCPCS
|
Generator Neuro Rechg Bat Sy [hcpcs C1820]
|
2
|
2
|
$76,000.00
|
$76,000.00
|
$14,158.80
|
$14,158.80
|
$14,158.80
|
2026-01-01
|
|
G0104
|
HCPCS
|
Ca Screen;flexi Sigmoidscope [hcpcs G0104]
|
2
|
2
|
$10,749.38
|
$10,749.38
|
$2,002.61
|
$2,002.61
|
$2,002.61
|
2026-01-01
|
|
G0105
|
HCPCS
|
Colorectal Scrn; Hi Risk Ind [hcpcs G0105]
|
5
|
5
|
$3,325.00
|
$3,325.00
|
$619.45
|
$619.45
|
$619.45
|
2026-01-01
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Invididual Not Meeting High Risk [hc…
|
6
|
5
|
$6,606.43
|
$6,606.43
|
$679.80
|
$1,230.78
|
$1,230.78
|
2026-01-01
|
|
G0260
|
HCPCS
|
Inj For Sacroiliac Jt Anesth [hcpcs G0260]
|
1
|
1
|
$2,600.00
|
$2,600.00
|
$484.38
|
$484.38
|
$484.38
|
2026-01-01
|
|
J0897
|
HCPCS
|
Denosumab Injection [hcpcs J0897]
|
3
|
3
|
$3,775.00
|
$3,775.00
|
$703.28
|
$1,507.36
|
$1,418.27
|
2026-01-01
|
|
J2997
|
HCPCS
|
Alteplase Recombinant [hcpcs J2997]
|
1
|
1
|
$20,021.00
|
$20,021.00
|
$7,521.89
|
$7,521.89
|
$7,521.89
|
2026-01-01
|
|
P9035
|
HCPCS
|
Platelet Pheres Leukoreduced [hcpcs P9035]
|
2
|
2
|
$1,828.00
|
$1,828.00
|
$340.56
|
$340.56
|
$340.56
|
2026-01-01
|