|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
12
|
8
|
—
|
—
|
$579,299.95
|
$1,057,374.17
|
$683,443.76
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
12
|
8
|
—
|
—
|
$553,985.70
|
$1,025,527.74
|
$653,578.63
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
12
|
8
|
—
|
—
|
$550,724.88
|
$1,002,708.21
|
$649,731.60
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
12
|
8
|
—
|
—
|
$545,614.26
|
$1,016,978.14
|
$643,702.22
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
12
|
8
|
—
|
—
|
$522,032.34
|
$988,056.56
|
$615,880.85
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
12
|
8
|
—
|
—
|
$479,029.21
|
$907,868.80
|
$565,146.82
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
28
|
16
|
—
|
—
|
$260,200.38
|
$572,802.32
|
$364,189.13
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
16
|
—
|
—
|
$194,348.16
|
$425,002.81
|
$238,638.69
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
28
|
16
|
—
|
—
|
$163,687.32
|
$357,953.33
|
$181,811.08
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
28
|
16
|
—
|
—
|
$147,868.38
|
$323,360.29
|
$180,744.08
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
16
|
—
|
—
|
$97,490.79
|
$213,193.99
|
$117,952.18
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
28
|
16
|
—
|
—
|
$90,168.51
|
$197,181.54
|
$110,277.98
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
28
|
16
|
—
|
—
|
$90,396.21
|
$197,679.48
|
$102,338.93
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
28
|
16
|
—
|
—
|
$76,035.93
|
$166,276.25
|
$95,568.57
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
18
|
15
|
—
|
—
|
$90,732.32
|
$150,139.28
|
$93,605.36
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$72,323.04
|
$158,156.86
|
$92,949.07
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
28
|
16
|
—
|
—
|
$75,162.39
|
$164,365.99
|
$92,598.85
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
28
|
16
|
—
|
—
|
$73,475.34
|
$160,676.73
|
$87,799.49
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
16
|
—
|
—
|
$73,099.98
|
$159,855.88
|
$84,789.26
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$66,587.76
|
$145,614.89
|
$82,691.23
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
16
|
—
|
—
|
$57,546.00
|
$125,842.26
|
$75,983.91
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
28
|
16
|
—
|
—
|
$63,557.97
|
$138,989.31
|
$73,740.34
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
12
|
8
|
—
|
—
|
$62,012.09
|
$128,268.65
|
$73,160.33
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
16
|
—
|
—
|
$58,466.46
|
$127,855.13
|
$71,785.17
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$58,433.34
|
$127,782.71
|
$71,559.51
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
13
|
8
|
—
|
—
|
$4,750.00
|
$109,197.73
|
$70,776.31
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
28
|
16
|
—
|
—
|
$55,617.45
|
$121,624.88
|
$67,007.10
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
1
|
1
|
—
|
—
|
$65,509.20
|
$65,509.20
|
$65,509.20
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$53,385.30
|
$116,743.59
|
$65,384.88
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
16
|
—
|
—
|
$53,929.02
|
$117,932.61
|
$65,103.02
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
28
|
16
|
—
|
—
|
$51,499.53
|
$112,619.77
|
$64,263.66
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
12
|
8
|
—
|
—
|
$54,111.61
|
$112,135.82
|
$63,839.53
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
28
|
16
|
—
|
—
|
$55,010.94
|
$120,298.56
|
$61,104.97
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$48,981.03
|
$107,112.28
|
$60,921.43
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
28
|
16
|
—
|
—
|
$54,694.23
|
$119,605.98
|
$60,754.99
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
28
|
16
|
—
|
—
|
$46,081.65
|
$100,771.89
|
$60,492.13
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
16
|
—
|
—
|
$48,758.85
|
$106,626.42
|
$60,411.24
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
28
|
16
|
—
|
—
|
$47,999.85
|
$104,966.63
|
$58,857.72
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
28
|
16
|
—
|
—
|
$46,003.68
|
$100,601.38
|
$58,005.88
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
16
|
—
|
—
|
$47,112.51
|
$103,026.18
|
$57,318.96
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
28
|
16
|
—
|
—
|
$46,258.98
|
$101,159.67
|
$56,897.44
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
28
|
16
|
—
|
—
|
$42,683.40
|
$93,340.55
|
$56,391.68
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$44,556.06
|
$97,435.71
|
$55,455.00
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
28
|
16
|
—
|
—
|
$41,048.79
|
$89,765.97
|
$55,453.85
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
28
|
16
|
—
|
—
|
$42,488.82
|
$92,915.04
|
$55,252.29
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
28
|
16
|
—
|
—
|
$44,627.13
|
$97,591.13
|
$54,794.96
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$43,634.91
|
$95,421.33
|
$52,126.18
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
12
|
8
|
—
|
—
|
$44,075.22
|
$89,199.67
|
$51,998.85
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
16
|
—
|
—
|
$41,333.76
|
$90,389.15
|
$51,684.85
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
28
|
16
|
—
|
—
|
$42,147.27
|
$92,168.14
|
$51,626.33
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$41,945.79
|
$91,727.54
|
$51,163.93
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
28
|
16
|
—
|
—
|
$42,738.60
|
$93,461.27
|
$51,149.46
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
28
|
16
|
—
|
—
|
$41,020.50
|
$89,704.11
|
$50,590.56
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
28
|
16
|
—
|
—
|
$41,644.95
|
$91,069.66
|
$50,494.61
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$39,599.10
|
$86,595.77
|
$50,290.77
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
28
|
16
|
—
|
—
|
$40,598.22
|
$88,780.66
|
$49,974.31
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$40,171.11
|
$87,846.65
|
$49,730.11
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
13
|
8
|
—
|
—
|
$5,580.00
|
$76,465.66
|
$49,561.08
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
13
|
8
|
—
|
—
|
$3,217.00
|
$76,465.66
|
$49,561.08
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
13
|
8
|
—
|
—
|
$4,150.00
|
$76,465.66
|
$49,561.08
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
16
|
—
|
—
|
$39,362.43
|
$86,078.22
|
$48,659.68
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
28
|
16
|
—
|
—
|
$37,743.69
|
$82,538.34
|
$48,637.77
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
16
|
—
|
—
|
$37,264.83
|
$81,491.16
|
$48,067.66
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
16
|
—
|
—
|
$37,985.88
|
$83,067.96
|
$47,414.04
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
28
|
16
|
—
|
—
|
$37,541.52
|
$82,096.23
|
$47,267.30
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
18
|
15
|
—
|
—
|
$45,746.93
|
$75,699.72
|
$47,195.50
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
16
|
—
|
—
|
$42,343.23
|
$92,596.67
|
$47,031.33
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
16
|
—
|
—
|
$34,520.01
|
$75,488.76
|
$46,943.44
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
28
|
16
|
—
|
—
|
$38,135.61
|
$83,395.39
|
$46,749.47
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
28
|
16
|
—
|
—
|
$37,455.96
|
$81,909.13
|
$46,377.72
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
28
|
16
|
—
|
—
|
$41,644.95
|
$91,069.66
|
$46,258.98
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
28
|
16
|
—
|
—
|
$37,229.64
|
$81,414.21
|
$46,167.73
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
16
|
—
|
—
|
$36,707.31
|
$80,271.97
|
$46,070.56
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$36,544.47
|
$79,915.87
|
$45,229.82
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
28
|
16
|
—
|
—
|
$38,138.37
|
$83,401.43
|
$45,079.58
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
28
|
16
|
—
|
—
|
$35,532.93
|
$77,703.82
|
$44,948.05
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
29
|
16
|
—
|
—
|
$35,416.32
|
$77,448.82
|
$44,498.53
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
28
|
16
|
—
|
—
|
$38,461.98
|
$84,109.10
|
$44,250.16
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
28
|
16
|
—
|
—
|
$35,150.67
|
$76,867.89
|
$43,900.58
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
16
|
—
|
—
|
$31,686.87
|
$69,293.21
|
$42,507.34
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$35,043.03
|
$76,632.50
|
$42,470.42
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$34,382.01
|
$75,186.98
|
$42,129.79
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
28
|
16
|
—
|
—
|
$34,751.85
|
$75,995.75
|
$41,910.94
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
28
|
16
|
—
|
—
|
$37,224.81
|
$81,403.65
|
$41,736.38
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
30
|
16
|
—
|
—
|
$16,195.83
|
$75,467.63
|
$41,650.48
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
28
|
16
|
—
|
—
|
$33,513.30
|
$73,287.27
|
$41,119.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
16
|
—
|
—
|
$34,546.92
|
$75,547.61
|
$40,911.22
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$32,460.36
|
$70,984.69
|
$40,276.18
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
28
|
16
|
—
|
—
|
$32,948.88
|
$72,052.99
|
$39,834.00
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
28
|
16
|
—
|
—
|
$31,788.30
|
$69,515.02
|
$39,650.01
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
12
|
8
|
—
|
—
|
$5,580.00
|
$59,473.48
|
$39,648.99
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
29
|
16
|
—
|
—
|
$32,804.67
|
$71,737.63
|
$39,569.06
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
28
|
16
|
—
|
—
|
$33,457.41
|
$73,165.05
|
$39,486.57
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
30
|
16
|
—
|
—
|
$31,682.73
|
$81,318.64
|
$39,475.79
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
29
|
16
|
—
|
—
|
$32,286.48
|
$105,876.33
|
$39,417.46
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
28
|
16
|
—
|
—
|
$32,100.18
|
$70,197.05
|
$39,329.04
|
2026-04-01
|
|
5223
|
OTHER
|
Level 3 Pacemaker And Similar Procedures
|
1
|
1
|
—
|
—
|
$39,272.00
|
$39,272.00
|
$39,272.00
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
28
|
16
|
—
|
—
|
$33,716.85
|
$73,732.40
|
$38,851.31
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$32,806.05
|
$71,740.65
|
$38,566.04
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$31,127.97
|
$68,071.01
|
$38,552.62
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
28
|
16
|
—
|
—
|
$30,856.80
|
$67,478.01
|
$38,375.43
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
28
|
16
|
—
|
—
|
$31,801.41
|
$69,543.69
|
$38,164.95
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,913.07
|
$63,227.44
|
$37,787.02
|
2026-04-01
|
|
5376
|
OTHER
|
Level 6 Urology And Related Services
|
1
|
1
|
—
|
—
|
$37,713.38
|
$37,713.38
|
$37,713.38
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
28
|
16
|
—
|
—
|
$30,308.25
|
$66,278.43
|
$37,680.69
|
2026-04-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
11
|
8
|
—
|
—
|
$32,930.52
|
$54,491.76
|
$37,336.95
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$29,431.26
|
$64,360.62
|
$37,047.39
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
28
|
16
|
—
|
—
|
$30,942.36
|
$67,665.11
|
$36,556.38
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
28
|
16
|
—
|
—
|
$29,388.48
|
$64,267.07
|
$36,536.92
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
15
|
8
|
—
|
—
|
$1,284.00
|
$57,240.33
|
$36,393.55
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
28
|
16
|
—
|
—
|
$29,180.10
|
$63,811.38
|
$36,145.38
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
16
|
—
|
—
|
$28,174.08
|
$61,611.40
|
$35,765.47
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,911.00
|
$63,222.91
|
$35,709.29
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
16
|
—
|
—
|
$28,706.76
|
$62,776.28
|
$35,673.28
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
28
|
16
|
—
|
—
|
$28,313.46
|
$61,916.20
|
$35,556.32
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
28
|
16
|
—
|
—
|
$28,355.55
|
$62,008.25
|
$35,538.61
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
16
|
—
|
—
|
$29,792.13
|
$65,149.78
|
$35,531.96
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
28
|
16
|
—
|
—
|
$28,777.14
|
$62,930.18
|
$35,491.05
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
29
|
16
|
—
|
—
|
$30,568.38
|
$66,847.29
|
$35,392.71
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
28
|
16
|
—
|
—
|
$28,371.42
|
$62,042.95
|
$35,326.92
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
13
|
8
|
—
|
—
|
$4,150.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
13
|
8
|
—
|
—
|
$10,750.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
13
|
8
|
—
|
—
|
$4,150.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
13
|
8
|
—
|
—
|
$10,750.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
13
|
8
|
—
|
—
|
$10,750.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
13
|
8
|
—
|
—
|
$4,150.00
|
$54,491.76
|
$35,318.74
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$28,062.99
|
$61,368.47
|
$35,025.00
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,979.00
|
$58,997.99
|
$34,793.07
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
13
|
8
|
—
|
—
|
$4,150.00
|
$53,569.65
|
$34,721.07
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
13
|
8
|
—
|
—
|
$4,150.00
|
$53,569.65
|
$34,721.07
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
13
|
8
|
—
|
—
|
$3,217.00
|
$53,569.65
|
$34,721.07
|
2026-04-01
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
13
|
8
|
—
|
—
|
$2,648.00
|
$53,569.65
|
$34,721.07
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
28
|
16
|
—
|
—
|
$28,014.69
|
$61,262.85
|
$34,550.19
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
15
|
8
|
—
|
—
|
$576.00
|
$53,569.65
|
$34,059.71
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
15
|
8
|
—
|
—
|
$658.00
|
$53,569.65
|
$34,059.71
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
15
|
8
|
—
|
—
|
$576.00
|
$53,569.65
|
$34,059.71
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
28
|
16
|
—
|
—
|
$27,111.48
|
$59,287.70
|
$33,907.54
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
28
|
16
|
—
|
—
|
$24,733.74
|
$54,088.03
|
$33,600.55
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
28
|
16
|
—
|
—
|
$29,854.23
|
$65,285.58
|
$33,161.22
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
16
|
—
|
—
|
$26,229.66
|
$57,359.32
|
$32,991.64
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,830.65
|
$58,673.58
|
$32,961.10
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
28
|
16
|
—
|
—
|
$27,112.86
|
$59,290.72
|
$32,911.71
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
12
|
8
|
—
|
—
|
$27,827.15
|
$54,570.01
|
$32,829.79
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
28
|
16
|
—
|
—
|
$27,486.15
|
$60,107.03
|
$32,693.72
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,025.42
|
$56,912.69
|
$32,564.06
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
13
|
8
|
—
|
—
|
$10,750.00
|
$49,794.94
|
$32,274.50
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
28
|
16
|
—
|
—
|
$26,373.18
|
$57,673.18
|
$32,043.99
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$26,571.90
|
$58,107.74
|
$31,828.54
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$27,229.47
|
$59,545.72
|
$31,735.72
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$22,781.73
|
$49,819.35
|
$31,597.56
|
2026-04-01
|
|
5191
|
OTHER
|
Level 1 Endovascular Procedures
|
1
|
1
|
—
|
—
|
$31,544.17
|
$31,544.17
|
$31,544.17
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
28
|
16
|
—
|
—
|
$24,728.22
|
$54,075.96
|
$31,519.12
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
28
|
16
|
—
|
—
|
$26,640.21
|
$58,257.12
|
$31,278.43
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
28
|
16
|
—
|
—
|
$23,958.18
|
$52,392.03
|
$31,253.47
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
12
|
8
|
—
|
—
|
$16,498.00
|
$46,729.34
|
$31,152.90
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
28
|
16
|
—
|
—
|
$24,501.90
|
$53,581.04
|
$30,965.03
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
28
|
16
|
—
|
—
|
$24,735.12
|
$54,091.05
|
$30,623.47
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
28
|
16
|
—
|
—
|
$21,899.22
|
$48,130.57
|
$30,601.54
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
16
|
—
|
—
|
$24,290.07
|
$53,117.81
|
$30,577.93
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
28
|
16
|
—
|
—
|
$24,611.61
|
$53,820.95
|
$30,573.61
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
28
|
16
|
—
|
—
|
$23,932.65
|
$52,336.20
|
$30,535.76
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
13
|
8
|
—
|
—
|
$5,474.00
|
$47,105.26
|
$30,531.19
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
13
|
8
|
—
|
—
|
$6,594.00
|
$47,105.26
|
$30,531.19
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
13
|
8
|
—
|
—
|
$6,448.00
|
$47,105.26
|
$30,531.19
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
13
|
8
|
—
|
—
|
$6,594.00
|
$47,105.26
|
$30,531.19
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
28
|
16
|
—
|
—
|
$27,466.83
|
$60,064.78
|
$30,509.48
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
28
|
16
|
—
|
—
|
$27,167.37
|
$59,409.92
|
$30,438.80
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
16
|
—
|
—
|
$22,108.98
|
$48,348.17
|
$30,415.16
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
28
|
16
|
—
|
—
|
$25,004.91
|
$54,681.03
|
$30,408.14
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
28
|
16
|
—
|
—
|
$25,833.60
|
$56,493.22
|
$30,308.51
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
28
|
16
|
—
|
—
|
$24,157.59
|
$52,828.10
|
$30,071.07
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
28
|
16
|
—
|
—
|
$24,174.84
|
$52,865.82
|
$30,067.34
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
28
|
16
|
—
|
—
|
$25,173.96
|
$55,050.71
|
$29,969.60
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
15
|
8
|
—
|
—
|
$1,728.00
|
$47,105.26
|
$29,949.64
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
15
|
8
|
—
|
—
|
$926.00
|
$47,105.26
|
$29,949.64
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
29
|
16
|
—
|
—
|
$23,631.81
|
$51,678.32
|
$29,742.16
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
28
|
16
|
—
|
—
|
$26,667.81
|
$58,317.48
|
$29,697.10
|
2026-04-01
|
|
5415
|
OTHER
|
Level 5 Gynecologic Procedures
|
1
|
1
|
—
|
—
|
$29,618.98
|
$29,618.98
|
$29,618.98
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
31
|
16
|
—
|
—
|
$14,890.59
|
$51,972.55
|
$29,580.51
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
28
|
16
|
—
|
—
|
$23,906.43
|
$52,278.86
|
$29,515.73
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
29
|
16
|
—
|
—
|
$24,170.70
|
$103,513.93
|
$29,475.40
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
28
|
16
|
—
|
—
|
$23,668.38
|
$51,758.29
|
$29,438.85
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
13
|
8
|
—
|
—
|
$6,448.00
|
$45,375.90
|
$29,410.31
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
13
|
8
|
—
|
—
|
$6,448.00
|
$45,375.90
|
$29,410.31
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
13
|
8
|
—
|
—
|
$6,448.00
|
$45,375.90
|
$29,410.31
|
2026-04-01
|
|
5691
|
OTHER
|
Level 1 Drug Administration
|
2
|
2
|
—
|
—
|
$5,939.00
|
$52,763.21
|
$29,351.10
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
28
|
16
|
—
|
—
|
$23,727.72
|
$51,888.05
|
$29,333.67
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
28
|
16
|
—
|
—
|
$24,351.48
|
$53,252.10
|
$29,013.31
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
28
|
16
|
—
|
—
|
$23,159.85
|
$50,646.23
|
$28,798.95
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
28
|
16
|
—
|
—
|
$24,114.81
|
$52,734.55
|
$28,447.01
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
18
|
15
|
—
|
—
|
$27,564.07
|
$45,611.63
|
$28,436.88
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
28
|
16
|
—
|
—
|
$22,912.83
|
$50,106.04
|
$28,034.01
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
28
|
16
|
—
|
—
|
$18,881.16
|
$43,816.93
|
$27,858.91
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$21,533.52
|
$47,089.75
|
$27,761.09
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
28
|
16
|
—
|
—
|
$23,506.92
|
$51,405.21
|
$27,699.35
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
28
|
16
|
—
|
—
|
$22,487.79
|
$49,176.56
|
$27,577.59
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
28
|
16
|
—
|
—
|
$22,006.86
|
$48,124.86
|
$27,336.31
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
28
|
16
|
—
|
—
|
$21,292.02
|
$46,561.64
|
$27,244.10
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
28
|
16
|
—
|
—
|
$21,943.38
|
$47,986.04
|
$27,237.35
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
28
|
16
|
—
|
—
|
$21,191.28
|
$46,341.34
|
$27,236.51
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
29
|
16
|
—
|
—
|
$22,242.84
|
$48,640.90
|
$27,216.27
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
28
|
16
|
—
|
—
|
$23,404.80
|
$51,181.89
|
$27,188.42
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
28
|
16
|
—
|
—
|
$22,478.13
|
$49,155.44
|
$27,111.78
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
28
|
16
|
—
|
—
|
$19,747.80
|
$43,184.72
|
$27,075.42
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
28
|
16
|
—
|
—
|
$24,359.76
|
$53,270.21
|
$27,057.28
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
28
|
16
|
—
|
—
|
$21,862.65
|
$47,809.50
|
$26,949.99
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$21,336.18
|
$46,658.21
|
$26,877.23
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
28
|
16
|
—
|
—
|
$22,045.50
|
$48,209.36
|
$26,832.47
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
28
|
16
|
—
|
—
|
$21,276.84
|
$46,528.44
|
$26,650.37
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$21,432.09
|
$46,867.94
|
$26,618.50
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
28
|
16
|
—
|
—
|
$23,690.46
|
$51,806.57
|
$26,578.71
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
28
|
16
|
—
|
—
|
$19,357.26
|
$42,330.68
|
$26,499.41
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
16
|
—
|
—
|
$20,345.34
|
$44,491.43
|
$26,268.33
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
28
|
16
|
—
|
—
|
$21,102.96
|
$46,148.20
|
$26,243.75
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
28
|
16
|
—
|
—
|
$21,523.86
|
$47,068.63
|
$26,070.33
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
28
|
16
|
—
|
—
|
$22,552.65
|
$49,318.40
|
$25,829.35
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
28
|
16
|
—
|
—
|
$18,505.11
|
$40,555.18
|
$25,785.08
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
28
|
16
|
—
|
—
|
$19,720.20
|
$43,124.36
|
$25,473.88
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
28
|
16
|
—
|
—
|
$19,781.61
|
$43,258.65
|
$25,470.50
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
28
|
16
|
—
|
—
|
$17,420.43
|
$40,016.62
|
$25,442.67
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
28
|
16
|
—
|
—
|
$21,171.96
|
$46,299.09
|
$25,345.66
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
4
|
3
|
—
|
—
|
$10,750.00
|
$131,659.78
|
$25,062.00
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
28
|
16
|
—
|
—
|
$20,771.76
|
$45,423.93
|
$25,045.06
|
2026-04-01
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
13
|
8
|
—
|
—
|
$9,500.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
0515T
|
OTHER
|
Insj Wcs Lv Compl Sys
|
13
|
8
|
—
|
—
|
$5,580.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
13
|
8
|
—
|
—
|
$10,750.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
13
|
8
|
—
|
—
|
$10,750.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
13
|
8
|
—
|
—
|
$4,150.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
13
|
8
|
—
|
—
|
$4,150.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
13
|
8
|
—
|
—
|
$10,750.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
13
|
8
|
—
|
—
|
$4,150.00
|
$38,615.34
|
$25,028.46
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
28
|
16
|
—
|
—
|
$19,989.30
|
$43,712.83
|
$24,862.92
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
28
|
16
|
—
|
—
|
$20,121.09
|
$44,001.03
|
$24,834.88
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
28
|
16
|
—
|
—
|
$18,241.53
|
$39,890.79
|
$24,829.54
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
30
|
16
|
—
|
—
|
$20,292.90
|
$44,376.75
|
$24,799.81
|
2026-04-01
|
|
5342
|
OTHER
|
Level 2 Abdominal/Peritoneal/Biliary And Related Procedures
|
3
|
1
|
—
|
—
|
$6,504.44
|
$37,370.60
|
$24,767.47
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
28
|
16
|
—
|
—
|
$20,236.32
|
$44,253.02
|
$24,712.11
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
28
|
16
|
—
|
—
|
$20,603.40
|
$45,055.75
|
$24,575.85
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
28
|
16
|
—
|
—
|
$19,376.58
|
$42,372.93
|
$24,459.31
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
28
|
16
|
—
|
—
|
$18,812.16
|
$41,138.65
|
$24,351.35
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
28
|
16
|
—
|
—
|
$18,283.62
|
$39,982.83
|
$24,304.13
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
28
|
16
|
—
|
—
|
$20,092.80
|
$43,939.17
|
$24,273.55
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
29
|
16
|
—
|
—
|
$20,110.74
|
$43,978.40
|
$24,206.30
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
28
|
16
|
—
|
—
|
$20,103.84
|
$43,963.31
|
$23,923.56
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
28
|
16
|
—
|
—
|
$19,471.11
|
$42,579.65
|
$23,837.56
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
28
|
16
|
—
|
—
|
$18,260.85
|
$39,933.04
|
$23,539.20
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
29
|
16
|
—
|
—
|
$17,581.89
|
$38,448.28
|
$23,377.27
|
2026-04-01
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
13
|
8
|
—
|
—
|
$1,032.00
|
$35,981.01
|
$23,321.02
|
2026-04-01
|
|
54417
|
HCPCS
|
Remv/replc Penis Pros Compl
|
13
|
8
|
—
|
—
|
$2,208.00
|
$35,981.01
|
$23,321.02
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
28
|
16
|
—
|
—
|
$18,652.08
|
$40,788.58
|
$23,252.45
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
28
|
16
|
—
|
—
|
$18,744.54
|
$40,990.78
|
$23,193.05
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
29
|
16
|
—
|
—
|
$18,520.29
|
$46,004.53
|
$23,181.60
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
29
|
16
|
—
|
—
|
$18,100.08
|
$39,581.46
|
$23,175.70
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
28
|
16
|
—
|
—
|
$19,642.23
|
$42,953.86
|
$23,169.09
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
28
|
16
|
—
|
—
|
$18,845.97
|
$41,212.59
|
$23,044.75
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
28
|
16
|
—
|
—
|
$18,429.21
|
$40,301.21
|
$22,894.35
|
2026-04-01
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
15
|
8
|
—
|
—
|
$658.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
15
|
8
|
—
|
—
|
$658.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
15
|
8
|
—
|
—
|
$658.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
15
|
8
|
—
|
—
|
$430.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
53444
|
HCPCS
|
Insert Tandem Cuff
|
15
|
8
|
—
|
—
|
$576.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
15
|
8
|
—
|
—
|
$430.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
15
|
8
|
—
|
—
|
$658.00
|
$35,981.01
|
$22,876.81
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
29
|
16
|
—
|
—
|
$19,758.84
|
$43,208.86
|
$22,869.15
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
28
|
16
|
—
|
—
|
$18,052.47
|
$39,477.35
|
$22,748.96
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
28
|
16
|
—
|
—
|
$18,371.94
|
$40,175.97
|
$22,572.15
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
28
|
16
|
—
|
—
|
$18,307.08
|
$40,034.13
|
$22,458.89
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
28
|
16
|
—
|
—
|
$18,591.36
|
$40,655.80
|
$21,993.94
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
28
|
16
|
—
|
—
|
$17,615.01
|
$38,520.71
|
$21,907.36
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
28
|
16
|
—
|
—
|
$17,619.84
|
$38,531.27
|
$21,897.29
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
28
|
16
|
—
|
—
|
$17,859.96
|
$39,056.37
|
$21,864.51
|
2026-04-01
|
|
0817T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subf
|
13
|
8
|
—
|
—
|
$3,217.00
|
$33,679.03
|
$21,829.00
|
2026-04-01
|
|
0680T
|
OTHER
|
Insj/rplcmt Pg Only Isdss
|
13
|
8
|
—
|
—
|
$2,648.00
|
$33,679.03
|
$21,829.00
|
2026-04-01
|
|
0816T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subq
|
13
|
8
|
—
|
—
|
$3,217.00
|
$33,679.03
|
$21,829.00
|
2026-04-01
|
|
92930
|
HCPCS
|
Prq Tcat Plmt Ntrac St 2+les
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37294
|
HCPCS
|
Rvsc Evsc Tpvt St Athr Cpx 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37290
|
HCPCS
|
Revsc Evsc Tpvt Athrc Cplx 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37292
|
HCPCS
|
Rvsc Evsc Tpvt St Athrc Sf 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37286
|
HCPCS
|
Revsc Evasc Tpvt St Cplx 1st
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37288
|
HCPCS
|
Revsc Evsc Tpvt Athrc Sf 1st
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37275
|
HCPCS
|
Rvsc Evsc Fpvt St Athrc Sf 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37273
|
HCPCS
|
Revsc Evsc Fpvt Athrc Cplx 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37277
|
HCPCS
|
Rvsc Evsc Fpvt St Athr Cpx 1
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37271
|
HCPCS
|
Revsc Evsc Fpvt Athrc Sf 1st
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
0981T
|
OTHER
|
Tcat Impl Wrls Ivc Snr
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
37284
|
HCPCS
|
Revsc Evasc Tpvt St Sf 1st
|
11
|
8
|
—
|
—
|
$19,231.99
|
$31,824.13
|
$21,805.42
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
29
|
16
|
—
|
—
|
$12,698.94
|
$36,168.33
|
$21,752.10
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
28
|
16
|
—
|
—
|
$16,539.30
|
$36,168.33
|
$21,752.10
|
2026-04-01
|
|
0797T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Rv
|
13
|
8
|
—
|
—
|
$5,580.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0825T
|
OTHER
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0823T
|
OTHER
|
Tcat Ins 1chmbr Ldls Pm Ra
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0801T
|
OTHER
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
13
|
8
|
—
|
—
|
$4,150.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0525T
|
OTHER
|
Insj/rplcmt Compl Iims
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0795T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0803T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0802T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
13
|
8
|
—
|
—
|
$6,594.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
33274
|
HCPCS
|
Tcat Insj/rpl Perm Ldls Pm
|
13
|
8
|
—
|
—
|
$5,580.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
13
|
8
|
—
|
—
|
$4,150.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|
|
0796T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Ra
|
13
|
8
|
—
|
—
|
$5,580.00
|
$33,438.72
|
$21,673.25
|
2026-04-01
|