|
0823T
|
HCPCS
|
Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up…
|
41
|
41
|
$44,706.00
|
$44,706.00
|
$17,882.40
|
$41,129.52
|
$35,764.80
|
2026-02-13
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
41
|
41
|
$73,662.62
|
$73,662.62
|
$15,128.33
|
$67,769.61
|
$58,930.10
|
2026-02-13
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
41
|
41
|
$217,786.02
|
$217,786.02
|
$42,601.92
|
$200,363.14
|
$174,228.82
|
2026-02-13
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
41
|
41
|
$39,753.81
|
$39,753.81
|
$15,901.53
|
$36,573.51
|
$31,803.05
|
2026-02-13
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
41
|
41
|
$101,431.44
|
$101,431.44
|
$32,931.13
|
$93,316.92
|
$81,145.15
|
2026-02-13
|
|
121
|
MS_DRG
|
Acute Major Eye Infections With Cc/mcc
|
41
|
41
|
$82,962.95
|
$82,962.95
|
$9,086.52
|
$76,325.91
|
$66,370.36
|
2026-02-13
|
|
123
|
MS_DRG
|
Neurological Eye Disorders
|
41
|
41
|
$39,420.01
|
$39,420.01
|
$6,237.86
|
$36,266.41
|
$31,536.01
|
2026-02-13
|
|
136
|
MS_DRG
|
Sinus And Mastoid Procedures Without Cc/mcc
|
41
|
41
|
$58,491.94
|
$58,491.94
|
$7,930.50
|
$53,812.58
|
$46,793.55
|
2026-02-13
|
|
144
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
41
|
41
|
$70,235.40
|
$70,235.40
|
$13,535.66
|
$64,616.56
|
$56,188.32
|
2026-02-13
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
41
|
41
|
$188,960.84
|
$188,960.84
|
$35,007.30
|
$173,843.97
|
$151,168.67
|
2026-02-13
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
41
|
41
|
$87,378.41
|
$87,378.41
|
$19,714.94
|
$80,388.14
|
$69,902.73
|
2026-02-13
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
41
|
41
|
$99,179.51
|
$99,179.51
|
$29,195.14
|
$91,245.14
|
$79,343.60
|
2026-02-13
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
41
|
41
|
$40,022.89
|
$40,022.89
|
$10,729.18
|
$36,821.06
|
$32,018.31
|
2026-02-13
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
41
|
41
|
$50,842.98
|
$50,842.98
|
$12,206.23
|
$46,775.54
|
$40,674.39
|
2026-02-13
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
41
|
41
|
$38,185.93
|
$38,185.93
|
$7,623.53
|
$35,131.06
|
$30,548.75
|
2026-02-13
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
41
|
41
|
$49,277.07
|
$49,277.07
|
$13,794.21
|
$45,334.90
|
$39,421.65
|
2026-02-13
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
41
|
41
|
$47,897.71
|
$47,897.71
|
$8,365.57
|
$44,065.90
|
$38,318.17
|
2026-02-13
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
41
|
41
|
$43,046.74
|
$43,046.74
|
$11,950.03
|
$39,603.00
|
$34,437.39
|
2026-02-13
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
41
|
41
|
$56,021.93
|
$56,021.93
|
$12,173.43
|
$51,540.18
|
$44,817.55
|
2026-02-13
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
41
|
41
|
$38,679.00
|
$38,679.00
|
$10,266.77
|
$35,584.68
|
$30,943.20
|
2026-02-13
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
41
|
41
|
$56,939.91
|
$56,939.91
|
$14,740.90
|
$52,384.71
|
$45,551.92
|
2026-02-13
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
41
|
41
|
$48,714.02
|
$48,714.02
|
$13,779.37
|
$44,816.90
|
$38,971.21
|
2026-02-13
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
41
|
41
|
$67,318.76
|
$67,318.76
|
$14,301.92
|
$61,933.26
|
$53,855.01
|
2026-02-13
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
41
|
41
|
$74,384.73
|
$74,384.73
|
$29,753.89
|
$68,433.95
|
$59,507.78
|
2026-02-13
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
41
|
41
|
$78,752.52
|
$78,752.52
|
$21,470.07
|
$72,452.31
|
$63,002.01
|
2026-02-13
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
41
|
41
|
$78,066.71
|
$78,066.71
|
$31,226.68
|
$71,821.37
|
$62,453.37
|
2026-02-13
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
41
|
41
|
$75,075.47
|
$75,075.47
|
$30,030.19
|
$69,069.43
|
$60,060.38
|
2026-02-13
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
41
|
41
|
$67,636.24
|
$67,636.24
|
$27,054.50
|
$62,225.34
|
$54,108.99
|
2026-02-13
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
41
|
41
|
$39,884.62
|
$39,884.62
|
$15,953.85
|
$67,821.24
|
$34,300.77
|
2026-02-13
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
41
|
41
|
$40,543.71
|
$40,543.71
|
$16,217.48
|
$43,949.17
|
$34,867.59
|
2026-02-13
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
41
|
41
|
$133,005.23
|
$133,005.23
|
$38,443.35
|
$122,364.81
|
$106,404.18
|
2026-02-13
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
41
|
41
|
$67,178.54
|
$67,178.54
|
$22,265.23
|
$61,804.26
|
$53,742.83
|
2026-02-13
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
41
|
41
|
$84,496.58
|
$84,496.58
|
$24,938.93
|
$77,736.85
|
$67,597.26
|
2026-02-13
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
41
|
41
|
$78,445.66
|
$78,445.66
|
$16,644.44
|
$72,170.01
|
$62,756.53
|
2026-02-13
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
41
|
41
|
$65,480.89
|
$65,480.89
|
$14,118.36
|
$60,242.41
|
$52,384.71
|
2026-02-13
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
41
|
41
|
$50,739.47
|
$50,739.47
|
$20,295.79
|
$46,680.31
|
$40,591.58
|
2026-02-13
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
41
|
41
|
$70,167.74
|
$70,167.74
|
$23,397.04
|
$64,554.32
|
$56,134.19
|
2026-02-13
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
41
|
41
|
$65,719.71
|
$65,719.71
|
$14,915.09
|
$60,462.14
|
$52,575.77
|
2026-02-13
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
41
|
41
|
$68,460.17
|
$68,460.17
|
$17,047.49
|
$62,983.35
|
$54,768.13
|
2026-02-13
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
41
|
41
|
$76,515.91
|
$76,515.91
|
$11,673.52
|
$70,394.63
|
$61,212.72
|
2026-02-13
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
41
|
41
|
$102,661.12
|
$102,661.12
|
$27,247.08
|
$94,448.23
|
$82,128.90
|
2026-02-13
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
41
|
41
|
$71,521.88
|
$71,521.88
|
$20,274.21
|
$65,800.13
|
$57,217.50
|
2026-02-13
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
41
|
41
|
$53,633.55
|
$53,633.55
|
$13,916.84
|
$49,342.87
|
$42,906.84
|
2026-02-13
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
41
|
41
|
$39,043.18
|
$39,043.18
|
$13,262.28
|
$35,919.72
|
$31,234.54
|
2026-02-13
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
41
|
41
|
$75,729.18
|
$75,729.18
|
$23,881.32
|
$69,670.84
|
$60,583.34
|
2026-02-13
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
41
|
41
|
$136,768.71
|
$136,768.71
|
$53,723.21
|
$125,827.21
|
$109,414.97
|
2026-02-13
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
41
|
41
|
$83,640.32
|
$83,640.32
|
$32,987.37
|
$76,949.09
|
$66,912.26
|
2026-02-13
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
41
|
41
|
$44,627.88
|
$44,627.88
|
$17,851.15
|
$41,057.65
|
$35,702.30
|
2026-02-13
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
41
|
41
|
$125,255.16
|
$125,255.16
|
$41,213.13
|
$115,234.75
|
$100,204.13
|
2026-02-13
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
41
|
41
|
$41,431.23
|
$41,431.23
|
$16,572.49
|
$38,116.73
|
$33,144.98
|
2026-02-13
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
41
|
41
|
$81,711.36
|
$81,711.36
|
$19,941.46
|
$75,174.45
|
$65,369.09
|
2026-02-13
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
41
|
41
|
$183,413.46
|
$183,413.46
|
$32,224.24
|
$168,740.38
|
$146,730.77
|
2026-02-13
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
41
|
41
|
$213,385.41
|
$213,385.41
|
$25,711.44
|
$196,314.58
|
$170,708.33
|
2026-02-13
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
41
|
41
|
$55,111.28
|
$55,111.28
|
$22,044.51
|
$50,702.38
|
$44,089.02
|
2026-02-13
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
41
|
41
|
$316,392.41
|
$316,392.41
|
$46,930.77
|
$291,081.01
|
$253,113.92
|
2026-02-13
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
41
|
41
|
$40,778.54
|
$40,778.54
|
$12,529.61
|
$37,516.25
|
$32,622.83
|
2026-02-13
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
41
|
41
|
$39,864.39
|
$39,864.39
|
$7,179.08
|
$36,675.24
|
$31,891.51
|
2026-02-13
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
41
|
41
|
$71,680.55
|
$71,680.55
|
$15,472.01
|
$65,946.10
|
$57,344.44
|
2026-02-13
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
41
|
41
|
$63,320.45
|
$63,320.45
|
$17,284.16
|
$58,254.81
|
$50,656.36
|
2026-02-13
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
41
|
41
|
$51,391.64
|
$51,391.64
|
$8,358.54
|
$47,280.31
|
$41,113.31
|
2026-02-13
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
41
|
41
|
$125,688.87
|
$125,688.87
|
$21,138.10
|
$115,633.76
|
$100,551.10
|
2026-02-13
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
41
|
41
|
$174,461.66
|
$174,461.66
|
$26,647.97
|
$160,504.73
|
$139,569.33
|
2026-02-13
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
41
|
41
|
$38,203.92
|
$38,203.92
|
$6,631.53
|
$35,147.61
|
$30,563.14
|
2026-02-13
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
41
|
41
|
$292,707.26
|
$292,707.26
|
$117,082.90
|
$269,290.68
|
$234,165.81
|
2026-02-13
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
41
|
41
|
$144,067.75
|
$144,067.75
|
$17,146.69
|
$132,542.33
|
$115,254.20
|
2026-02-13
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
41
|
41
|
$146,384.50
|
$146,384.50
|
$9,295.08
|
$134,673.74
|
$117,107.60
|
2026-02-13
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
41
|
41
|
$42,504.09
|
$42,504.09
|
$9,404.43
|
$39,103.76
|
$34,003.27
|
2026-02-13
|
|
313
|
MS_DRG
|
Chest Pain
|
41
|
41
|
$43,031.99
|
$43,031.99
|
$5,623.91
|
$39,589.43
|
$34,425.59
|
2026-02-13
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
41
|
41
|
$46,247.97
|
$46,247.97
|
$16,287.48
|
$42,548.13
|
$36,998.37
|
2026-02-13
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
41
|
41
|
$38,223.13
|
$38,223.13
|
$7,524.33
|
$35,165.28
|
$30,578.51
|
2026-02-13
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
41
|
41
|
$99,185.98
|
$99,185.98
|
$5,327.88
|
$91,251.10
|
$79,348.78
|
2026-02-13
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
41
|
41
|
$75,620.24
|
$75,620.24
|
$18,787.77
|
$69,570.62
|
$60,496.19
|
2026-02-13
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
41
|
41
|
$106,085.68
|
$106,085.68
|
$21,252.14
|
$97,598.83
|
$84,868.54
|
2026-02-13
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
41
|
41
|
$90,538.03
|
$90,538.03
|
$13,770.78
|
$83,294.99
|
$72,430.42
|
2026-02-13
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
41
|
41
|
$134,634.01
|
$134,634.01
|
$33,801.28
|
$123,863.29
|
$107,707.21
|
2026-02-13
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
41
|
41
|
$75,358.92
|
$75,358.92
|
$30,143.57
|
$69,330.21
|
$60,287.14
|
2026-02-13
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
41
|
41
|
$82,354.72
|
$82,354.72
|
$19,091.62
|
$75,766.34
|
$65,883.78
|
2026-02-13
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
41
|
41
|
$108,560.31
|
$108,560.31
|
$35,903.22
|
$99,875.49
|
$86,848.25
|
2026-02-13
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
41
|
41
|
$68,043.22
|
$68,043.22
|
$18,724.51
|
$62,599.76
|
$54,434.57
|
2026-02-13
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
41
|
41
|
$48,408.45
|
$48,408.45
|
$13,145.12
|
$44,535.77
|
$38,726.76
|
2026-02-13
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
41
|
41
|
$96,226.58
|
$96,226.58
|
$28,281.25
|
$88,528.45
|
$76,981.26
|
2026-02-13
|
|
33249
|
HCPCS
|
Insertion Of Implantable Defibrillator System
|
46
|
46
|
$55,108.00
|
$55,108.00
|
$22,043.20
|
$50,699.36
|
$40,779.92
|
2026-02-13
|
|
33263
|
HCPCS
|
Removal And Replacement Of Dual Lead Defibrillator
|
46
|
46
|
$54,130.00
|
$54,130.00
|
$21,652.00
|
$49,799.60
|
$40,056.20
|
2026-02-13
|
|
33264
|
HCPCS
|
Removal And Replacement Of Multiple Lead Defibrillator
|
46
|
46
|
$58,840.00
|
$58,840.00
|
$23,536.00
|
$54,132.80
|
$43,541.60
|
2026-02-13
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
41
|
41
|
$60,197.44
|
$60,197.44
|
$12,793.62
|
$55,381.64
|
$48,157.95
|
2026-02-13
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
41
|
41
|
$83,690.08
|
$83,690.08
|
$27,892.26
|
$76,994.88
|
$66,952.07
|
2026-02-13
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
41
|
41
|
$40,638.57
|
$40,638.57
|
$16,255.43
|
$37,387.48
|
$32,510.85
|
2026-02-13
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
41
|
41
|
$43,377.30
|
$43,377.30
|
$11,989.87
|
$39,907.12
|
$34,701.84
|
2026-02-13
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
41
|
41
|
$63,138.15
|
$63,138.15
|
$11,350.93
|
$58,087.10
|
$50,510.52
|
2026-02-13
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
41
|
41
|
$45,960.12
|
$45,960.12
|
$18,384.05
|
$42,283.31
|
$36,768.09
|
2026-02-13
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
41
|
41
|
$45,711.28
|
$45,711.28
|
$17,930.91
|
$42,054.38
|
$36,569.02
|
2026-02-13
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
41
|
41
|
$38,745.16
|
$38,745.16
|
$15,498.06
|
$35,645.55
|
$30,996.13
|
2026-02-13
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
41
|
41
|
$51,342.52
|
$51,342.52
|
$11,907.85
|
$47,235.12
|
$41,074.02
|
2026-02-13
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
41
|
41
|
$61,913.61
|
$61,913.61
|
$22,667.49
|
$56,960.52
|
$49,530.89
|
2026-02-13
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
41
|
41
|
$53,551.80
|
$53,551.80
|
$13,141.21
|
$49,267.66
|
$42,841.44
|
2026-02-13
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
41
|
41
|
$54,154.35
|
$54,154.35
|
$10,505.78
|
$49,822.00
|
$43,323.48
|
2026-02-13
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
41
|
41
|
$67,458.32
|
$67,458.32
|
$26,983.33
|
$62,061.66
|
$53,966.66
|
2026-02-13
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
41
|
41
|
$43,984.38
|
$43,984.38
|
$17,593.75
|
$40,465.63
|
$35,187.50
|
2026-02-13
|
|
370
|
MS_DRG
|
Major Esophageal Disorders Without Cc/mcc
|
41
|
41
|
$45,313.07
|
$45,313.07
|
$5,473.94
|
$41,688.02
|
$36,250.46
|
2026-02-13
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
41
|
41
|
$47,408.02
|
$47,408.02
|
$13,849.67
|
$43,615.38
|
$37,926.41
|
2026-02-13
|
|
37226
|
HCPCS
|
Insertion Of Stent In Arteries Of Leg
|
33
|
33
|
$37,789.00
|
$37,789.00
|
$13,425.43
|
$34,765.88
|
$31,364.87
|
2026-02-13
|
|
37230
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
33
|
33
|
$36,938.00
|
$36,938.00
|
$13,425.43
|
$33,982.96
|
$30,658.54
|
2026-02-13
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
41
|
41
|
$53,472.65
|
$53,472.65
|
$5,681.71
|
$49,194.84
|
$42,778.12
|
2026-02-13
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
41
|
41
|
$78,041.83
|
$78,041.83
|
$16,705.36
|
$71,798.48
|
$62,433.46
|
2026-02-13
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
41
|
41
|
$46,200.97
|
$46,200.97
|
$9,448.17
|
$42,504.89
|
$36,960.77
|
2026-02-13
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
41
|
41
|
$38,248.00
|
$38,248.00
|
$14,278.49
|
$35,188.16
|
$30,598.40
|
2026-02-13
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
41
|
41
|
$38,580.45
|
$38,580.45
|
$15,326.72
|
$35,494.02
|
$30,864.36
|
2026-02-13
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
41
|
41
|
$42,898.17
|
$42,898.17
|
$12,359.33
|
$39,466.32
|
$34,318.54
|
2026-02-13
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
41
|
41
|
$38,362.82
|
$38,362.82
|
$9,906.68
|
$35,293.79
|
$30,690.25
|
2026-02-13
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
41
|
41
|
$51,736.37
|
$51,736.37
|
$12,492.12
|
$47,597.46
|
$41,389.10
|
2026-02-13
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
41
|
41
|
$237,129.99
|
$237,129.99
|
$94,852.00
|
$218,159.59
|
$189,703.99
|
2026-02-13
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
41
|
41
|
$68,290.98
|
$68,290.98
|
$27,316.39
|
$62,827.70
|
$54,632.78
|
2026-02-13
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
41
|
41
|
$166,946.57
|
$166,946.57
|
$42,730.02
|
$153,590.84
|
$133,557.25
|
2026-02-13
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
41
|
41
|
$74,515.35
|
$74,515.35
|
$17,006.87
|
$68,554.12
|
$59,612.28
|
2026-02-13
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
41
|
41
|
$48,704.58
|
$48,704.58
|
$17,174.02
|
$44,808.21
|
$38,963.66
|
2026-02-13
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
41
|
41
|
$57,796.09
|
$57,796.09
|
$18,640.15
|
$53,172.40
|
$46,236.87
|
2026-02-13
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
41
|
41
|
$49,749.07
|
$49,749.07
|
$13,213.07
|
$45,769.14
|
$39,799.25
|
2026-02-13
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
41
|
41
|
$64,118.14
|
$64,118.14
|
$10,668.25
|
$58,988.69
|
$51,294.51
|
2026-02-13
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
|
41
|
41
|
$47,797.80
|
$47,797.80
|
$13,495.05
|
$43,973.98
|
$38,238.24
|
2026-02-13
|
|
425
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc
|
41
|
41
|
$42,238.61
|
$42,238.61
|
$11,718.83
|
$38,859.52
|
$33,790.88
|
2026-02-13
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
41
|
41
|
$44,432.99
|
$44,432.99
|
$15,373.59
|
$40,878.35
|
$35,546.39
|
2026-02-13
|
|
437
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc
|
41
|
41
|
$43,076.71
|
$43,076.71
|
$6,665.12
|
$39,630.57
|
$34,461.37
|
2026-02-13
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
41
|
41
|
$84,044.58
|
$84,044.58
|
$14,018.38
|
$77,321.02
|
$67,235.67
|
2026-02-13
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
41
|
41
|
$39,588.54
|
$39,588.54
|
$5,465.35
|
$36,421.46
|
$31,670.83
|
2026-02-13
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
41
|
41
|
$196,122.59
|
$196,122.59
|
$47,774.36
|
$180,432.78
|
$156,898.07
|
2026-02-13
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
41
|
41
|
$229,780.02
|
$229,780.02
|
$35,974.30
|
$211,397.62
|
$183,824.02
|
2026-02-13
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
41
|
41
|
$257,964.71
|
$257,964.71
|
$65,638.87
|
$237,327.53
|
$206,371.77
|
2026-02-13
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
41
|
41
|
$313,382.31
|
$313,382.31
|
$46,577.71
|
$288,311.72
|
$250,705.84
|
2026-02-13
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
41
|
41
|
$117,428.77
|
$117,428.77
|
$32,592.14
|
$108,034.47
|
$93,943.02
|
2026-02-13
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
41
|
41
|
$96,773.56
|
$96,773.56
|
$38,709.42
|
$89,031.67
|
$77,418.84
|
2026-02-13
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
41
|
41
|
$119,542.09
|
$119,542.09
|
$28,571.82
|
$109,978.72
|
$95,633.67
|
2026-02-13
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
41
|
41
|
$98,086.55
|
$98,086.55
|
$20,777.23
|
$90,239.63
|
$78,469.24
|
2026-02-13
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
41
|
41
|
$67,779.00
|
$67,779.00
|
$24,328.89
|
$62,356.68
|
$54,223.20
|
2026-02-13
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
41
|
41
|
$78,614.05
|
$78,614.05
|
$31,445.62
|
$72,324.92
|
$62,891.24
|
2026-02-13
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
41
|
41
|
$89,187.62
|
$89,187.62
|
$27,546.24
|
$82,052.61
|
$71,350.10
|
2026-02-13
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
41
|
41
|
$48,348.74
|
$48,348.74
|
$19,339.50
|
$44,480.84
|
$38,679.00
|
2026-02-13
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
41
|
41
|
$60,552.40
|
$60,552.40
|
$23,692.29
|
$55,708.21
|
$48,441.92
|
2026-02-13
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
41
|
41
|
$53,566.16
|
$53,566.16
|
$15,066.62
|
$49,280.86
|
$42,852.92
|
2026-02-13
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
41
|
41
|
$81,935.30
|
$81,935.30
|
$32,774.12
|
$75,380.48
|
$65,548.24
|
2026-02-13
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
41
|
41
|
$116,067.09
|
$116,067.09
|
$23,011.96
|
$106,781.72
|
$92,853.67
|
2026-02-13
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
41
|
41
|
$85,445.99
|
$85,445.99
|
$19,068.97
|
$78,610.31
|
$68,356.79
|
2026-02-13
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
41
|
41
|
$44,718.57
|
$44,718.57
|
$17,887.43
|
$41,141.08
|
$35,774.85
|
2026-02-13
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
41
|
41
|
$45,356.04
|
$45,356.04
|
$17,775.47
|
$41,727.56
|
$36,284.83
|
2026-02-13
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
41
|
41
|
$67,631.22
|
$67,631.22
|
$26,983.85
|
$62,220.72
|
$54,104.98
|
2026-02-13
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
41
|
41
|
$57,786.01
|
$57,786.01
|
$19,208.79
|
$53,163.13
|
$46,228.81
|
2026-02-13
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
41
|
41
|
$100,080.86
|
$100,080.86
|
$22,747.95
|
$92,074.39
|
$80,064.69
|
2026-02-13
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
41
|
41
|
$79,021.28
|
$79,021.28
|
$16,360.12
|
$72,699.57
|
$63,217.02
|
2026-02-13
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
41
|
41
|
$61,098.20
|
$61,098.20
|
$12,739.72
|
$56,210.34
|
$48,878.56
|
2026-02-13
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
41
|
41
|
$67,184.76
|
$67,184.76
|
$21,651.28
|
$61,809.98
|
$53,747.81
|
2026-02-13
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
41
|
41
|
$56,159.23
|
$56,159.23
|
$22,463.69
|
$51,666.49
|
$44,927.38
|
2026-02-13
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
41
|
41
|
$69,308.74
|
$69,308.74
|
$16,333.56
|
$63,764.04
|
$55,446.99
|
2026-02-13
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
41
|
41
|
$45,612.04
|
$45,612.04
|
$11,900.82
|
$41,963.08
|
$36,489.63
|
2026-02-13
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
41
|
41
|
$102,446.83
|
$102,446.83
|
$28,678.83
|
$94,251.09
|
$81,957.47
|
2026-02-13
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
41
|
41
|
$89,443.25
|
$89,443.25
|
$19,809.45
|
$82,287.79
|
$71,554.60
|
2026-02-13
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
41
|
41
|
$58,026.68
|
$58,026.68
|
$15,672.75
|
$53,384.55
|
$46,421.35
|
2026-02-13
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
41
|
41
|
$116,440.76
|
$116,440.76
|
$14,090.24
|
$107,125.50
|
$93,152.61
|
2026-02-13
|
|
497
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
41
|
41
|
$99,789.48
|
$99,789.48
|
$8,995.92
|
$91,806.32
|
$79,831.58
|
2026-02-13
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
41
|
41
|
$90,853.08
|
$90,853.08
|
$23,564.19
|
$83,584.83
|
$72,682.46
|
2026-02-13
|
|
499
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
41
|
41
|
$93,858.24
|
$93,858.24
|
$15,737.58
|
$86,349.58
|
$75,086.59
|
2026-02-13
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
41
|
41
|
$295,829.25
|
$295,829.25
|
$80,535.21
|
$272,162.91
|
$236,663.40
|
2026-02-13
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
41
|
41
|
$46,286.18
|
$46,286.18
|
$18,514.47
|
$42,583.28
|
$37,028.94
|
2026-02-13
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
41
|
41
|
$60,905.16
|
$60,905.16
|
$13,654.39
|
$56,032.75
|
$48,724.13
|
2026-02-13
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
41
|
41
|
$102,602.08
|
$102,602.08
|
$21,801.25
|
$94,393.91
|
$82,081.66
|
2026-02-13
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
41
|
41
|
$60,333.66
|
$60,333.66
|
$14,600.30
|
$55,506.96
|
$48,266.92
|
2026-02-13
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
41
|
41
|
$52,270.81
|
$52,270.81
|
$20,908.32
|
$48,089.15
|
$41,816.65
|
2026-02-13
|
|
511
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
41
|
41
|
$83,647.94
|
$83,647.94
|
$16,242.17
|
$76,956.11
|
$66,918.35
|
2026-02-13
|
|
513
|
MS_DRG
|
Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc
|
41
|
41
|
$45,016.60
|
$45,016.60
|
$12,296.84
|
$41,415.27
|
$36,013.28
|
2026-02-13
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
41
|
41
|
$80,583.17
|
$80,583.17
|
$24,892.84
|
$74,136.52
|
$64,466.54
|
2026-02-13
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
41
|
41
|
$70,198.44
|
$70,198.44
|
$16,232.02
|
$64,582.56
|
$56,158.75
|
2026-02-13
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
41
|
41
|
$60,272.31
|
$60,272.31
|
$12,003.15
|
$55,450.53
|
$48,217.85
|
2026-02-13
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
41
|
41
|
$148,362.54
|
$148,362.54
|
$29,192.01
|
$136,493.54
|
$118,690.03
|
2026-02-13
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
41
|
41
|
$75,637.86
|
$75,637.86
|
$15,623.54
|
$69,586.83
|
$60,510.29
|
2026-02-13
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
41
|
41
|
$68,139.79
|
$68,139.79
|
$13,909.81
|
$62,688.61
|
$54,511.84
|
2026-02-13
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/mcc
|
41
|
41
|
$67,449.13
|
$67,449.13
|
$11,668.84
|
$62,053.20
|
$53,959.30
|
2026-02-13
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
41
|
41
|
$102,082.40
|
$102,082.40
|
$22,419.10
|
$93,915.81
|
$81,665.92
|
2026-02-13
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
41
|
41
|
$76,900.63
|
$76,900.63
|
$16,541.33
|
$70,748.58
|
$61,520.51
|
2026-02-13
|
|
53
|
MS_DRG
|
Spinal Disorders And Injuries Without Cc/mcc
|
41
|
41
|
$45,349.75
|
$45,349.75
|
$7,648.52
|
$41,721.77
|
$36,279.80
|
2026-02-13
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
41
|
41
|
$61,682.73
|
$61,682.73
|
$15,385.31
|
$56,748.11
|
$49,346.18
|
2026-02-13
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
41
|
41
|
$40,207.14
|
$40,207.14
|
$8,029.70
|
$36,990.57
|
$32,165.71
|
2026-02-13
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
41
|
41
|
$41,160.00
|
$41,160.00
|
$16,464.00
|
$37,867.20
|
$32,928.00
|
2026-02-13
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
41
|
41
|
$53,628.15
|
$53,628.15
|
$15,082.24
|
$49,337.90
|
$42,902.52
|
2026-02-13
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
41
|
41
|
$52,191.47
|
$52,191.47
|
$7,964.09
|
$48,016.15
|
$41,753.18
|
2026-02-13
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
41
|
41
|
$49,036.10
|
$49,036.10
|
$13,092.00
|
$45,113.21
|
$39,228.88
|
2026-02-13
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
41
|
41
|
$64,697.98
|
$64,697.98
|
$11,614.16
|
$59,522.14
|
$51,758.39
|
2026-02-13
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
41
|
41
|
$49,293.15
|
$49,293.15
|
$14,566.72
|
$45,349.69
|
$39,434.52
|
2026-02-13
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
41
|
41
|
$74,790.82
|
$74,790.82
|
$18,145.71
|
$68,807.55
|
$59,832.66
|
2026-02-13
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
41
|
41
|
$43,949.40
|
$43,949.40
|
$11,129.10
|
$40,433.45
|
$35,159.52
|
2026-02-13
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
41
|
41
|
$42,083.86
|
$42,083.86
|
$12,057.04
|
$38,717.15
|
$33,667.08
|
2026-02-13
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
41
|
41
|
$80,404.32
|
$80,404.32
|
$22,972.90
|
$73,971.97
|
$64,323.46
|
2026-02-13
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
41
|
41
|
$50,524.49
|
$50,524.49
|
$13,196.67
|
$46,482.53
|
$40,419.59
|
2026-02-13
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
41
|
41
|
$76,785.40
|
$76,785.40
|
$13,352.89
|
$70,642.57
|
$61,428.32
|
2026-02-13
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
41
|
41
|
$66,852.49
|
$66,852.49
|
$13,021.70
|
$61,504.29
|
$53,481.99
|
2026-02-13
|
|
600
|
MS_DRG
|
Non-malignant Breast Disorders With Cc/mcc
|
41
|
41
|
$56,606.83
|
$56,606.83
|
$8,135.93
|
$52,078.28
|
$45,285.46
|
2026-02-13
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
41
|
41
|
$96,160.22
|
$96,160.22
|
$27,240.05
|
$88,467.40
|
$76,928.18
|
2026-02-13
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
41
|
41
|
$50,474.48
|
$50,474.48
|
$14,608.89
|
$46,436.52
|
$40,379.58
|
2026-02-13
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
41
|
41
|
$42,959.59
|
$42,959.59
|
$17,183.84
|
$39,522.82
|
$34,367.67
|
2026-02-13
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
41
|
41
|
$53,981.80
|
$53,981.80
|
$13,725.47
|
$49,663.26
|
$43,185.44
|
2026-02-13
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
41
|
41
|
$52,473.86
|
$52,473.86
|
$12,499.93
|
$48,275.95
|
$41,979.09
|
2026-02-13
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc/mcc
|
41
|
41
|
$55,163.01
|
$55,163.01
|
$11,782.10
|
$50,749.97
|
$44,130.41
|
2026-02-13
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
41
|
41
|
$107,909.49
|
$107,909.49
|
$29,110.00
|
$99,276.73
|
$86,327.59
|
2026-02-13
|
|
63
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
41
|
41
|
$47,968.65
|
$47,968.65
|
$10,965.07
|
$44,131.16
|
$38,374.92
|
2026-02-13
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
41
|
41
|
$45,235.82
|
$45,235.82
|
$11,222.05
|
$41,616.95
|
$36,188.65
|
2026-02-13
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
41
|
41
|
$62,094.66
|
$62,094.66
|
$15,707.90
|
$57,127.09
|
$49,675.73
|
2026-02-13
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
41
|
41
|
$45,438.33
|
$45,438.33
|
$7,891.44
|
$41,803.26
|
$36,350.66
|
2026-02-13
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
41
|
41
|
$86,740.35
|
$86,740.35
|
$21,865.30
|
$79,801.12
|
$69,392.28
|
2026-02-13
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
41
|
41
|
$56,248.67
|
$56,248.67
|
$19,846.94
|
$51,748.77
|
$44,998.93
|
2026-02-13
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
41
|
41
|
$41,169.83
|
$41,169.83
|
$5,345.84
|
$37,876.25
|
$32,935.87
|
2026-02-13
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
41
|
41
|
$57,853.58
|
$57,853.58
|
$10,323.79
|
$53,225.29
|
$46,282.86
|
2026-02-13
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc
|
41
|
41
|
$55,194.82
|
$55,194.82
|
$8,087.50
|
$50,779.24
|
$44,155.86
|
2026-02-13
|
|
67
|
MS_DRG
|
Precerebral Occlusion Without Infarction With Mcc
|
41
|
41
|
$46,084.59
|
$46,084.59
|
$11,472.00
|
$42,397.82
|
$36,867.67
|
2026-02-13
|
|
670
|
MS_DRG
|
Transurethral Procedures Without Cc/mcc
|
41
|
41
|
$46,442.40
|
$46,442.40
|
$7,633.68
|
$42,727.01
|
$37,153.92
|
2026-02-13
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
41
|
41
|
$97,023.30
|
$97,023.30
|
$32,818.66
|
$89,261.43
|
$77,618.64
|
2026-02-13
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
41
|
41
|
$59,519.69
|
$59,519.69
|
$18,266.78
|
$54,758.11
|
$47,615.75
|
2026-02-13
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
41
|
41
|
$43,215.72
|
$43,215.72
|
$11,568.08
|
$39,758.47
|
$34,572.58
|
2026-02-13
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
41
|
41
|
$40,721.11
|
$40,721.11
|
$6,239.42
|
$37,463.42
|
$32,576.89
|
2026-02-13
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
41
|
41
|
$44,638.94
|
$44,638.94
|
$12,922.50
|
$41,067.82
|
$35,711.15
|
2026-02-13
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
41
|
41
|
$50,525.09
|
$50,525.09
|
$13,003.74
|
$46,483.09
|
$40,420.08
|
2026-02-13
|
|
710
|
MS_DRG
|
Penis Procedures Without Cc/mcc
|
41
|
41
|
$74,537.00
|
$74,537.00
|
$10,944.76
|
$68,574.04
|
$59,629.60
|
2026-02-13
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/mcc
|
41
|
41
|
$106,020.47
|
$106,020.47
|
$16,276.54
|
$97,538.83
|
$84,816.38
|
2026-02-13
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
41
|
41
|
$40,169.14
|
$40,169.14
|
$11,743.04
|
$36,955.60
|
$32,135.31
|
2026-02-13
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
41
|
41
|
$43,409.69
|
$43,409.69
|
$6,336.28
|
$39,936.91
|
$34,727.75
|
2026-02-13
|
|
729
|
MS_DRG
|
Other Male Reproductive System Diagnoses With Cc/mcc
|
41
|
41
|
$38,670.02
|
$38,670.02
|
$8,269.50
|
$35,576.41
|
$30,936.01
|
2026-02-13
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
41
|
41
|
$104,192.03
|
$104,192.03
|
$12,531.17
|
$95,856.67
|
$83,353.62
|
2026-02-13
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
41
|
41
|
$94,822.35
|
$94,822.35
|
$14,331.60
|
$87,236.56
|
$75,857.88
|
2026-02-13
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
41
|
41
|
$75,486.28
|
$75,486.28
|
$13,568.47
|
$69,447.38
|
$60,389.02
|
2026-02-13
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
41
|
41
|
$75,137.56
|
$75,137.56
|
$20,055.50
|
$69,126.56
|
$60,110.05
|
2026-02-13
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
41
|
41
|
$132,216.29
|
$132,216.29
|
$12,884.23
|
$121,638.98
|
$105,773.03
|
2026-02-13
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
41
|
41
|
$245,609.13
|
$245,609.13
|
$14,137.89
|
$225,960.40
|
$196,487.30
|
2026-02-13
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
41
|
41
|
$62,848.43
|
$62,848.43
|
$21,944.20
|
$57,820.55
|
$50,278.74
|
2026-02-13
|
|
803
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
41
|
41
|
$74,316.68
|
$74,316.68
|
$14,519.85
|
$68,371.35
|
$59,453.34
|
2026-02-13
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
41
|
41
|
$60,702.00
|
$60,702.00
|
$17,245.88
|
$55,845.84
|
$48,561.60
|
2026-02-13
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
41
|
41
|
$41,192.25
|
$41,192.25
|
$9,887.93
|
$37,896.87
|
$32,953.80
|
2026-02-13
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
41
|
41
|
$40,643.27
|
$40,643.27
|
$10,968.97
|
$37,391.81
|
$32,514.61
|
2026-02-13
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
41
|
41
|
$57,146.53
|
$57,146.53
|
$11,914.10
|
$52,574.81
|
$45,717.23
|
2026-02-13
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
41
|
41
|
$73,865.07
|
$73,865.07
|
$17,852.80
|
$67,955.86
|
$59,092.06
|
2026-02-13
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
41
|
41
|
$122,004.12
|
$122,004.12
|
$45,809.89
|
$112,243.79
|
$97,603.30
|
2026-02-13
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
41
|
41
|
$132,353.39
|
$132,353.39
|
$35,811.83
|
$121,765.12
|
$105,882.71
|
2026-02-13
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
41
|
41
|
$47,073.03
|
$47,073.03
|
$18,052.76
|
$43,307.19
|
$37,658.42
|
2026-02-13
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
41
|
41
|
$56,178.72
|
$56,178.72
|
$16,292.16
|
$51,684.42
|
$44,942.98
|
2026-02-13
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
41
|
41
|
$68,568.03
|
$68,568.03
|
$25,267.77
|
$63,082.59
|
$54,854.42
|
2026-02-13
|
|
842
|
MS_DRG
|
Lymphoma And Non-acute Leukemia Without Cc/mcc
|
41
|
41
|
$43,152.53
|
$43,152.53
|
$7,892.22
|
$39,700.33
|
$34,522.02
|
2026-02-13
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
41
|
41
|
$40,837.99
|
$40,837.99
|
$16,335.20
|
$37,570.95
|
$32,670.39
|
2026-02-13
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
41
|
41
|
$90,539.45
|
$90,539.45
|
$36,215.78
|
$83,296.29
|
$72,431.56
|
2026-02-13
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
41
|
41
|
$57,942.50
|
$57,942.50
|
$15,607.14
|
$53,307.10
|
$46,354.00
|
2026-02-13
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
41
|
41
|
$113,368.21
|
$113,368.21
|
$35,529.85
|
$104,298.76
|
$90,694.57
|
2026-02-13
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
41
|
41
|
$103,132.55
|
$103,132.55
|
$16,727.24
|
$94,881.94
|
$82,506.04
|
2026-02-13
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
41
|
41
|
$37,697.45
|
$37,697.45
|
$10,879.93
|
$34,681.65
|
$30,157.96
|
2026-02-13
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
41
|
41
|
$47,087.19
|
$47,087.19
|
$6,933.82
|
$43,320.21
|
$37,669.75
|
2026-02-13
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
41
|
41
|
$129,084.05
|
$129,084.05
|
$51,633.62
|
$118,757.32
|
$103,267.24
|
2026-02-13
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
41
|
41
|
$49,872.50
|
$49,872.50
|
$15,172.85
|
$45,882.70
|
$39,898.00
|
2026-02-13
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
41
|
41
|
$43,718.19
|
$43,718.19
|
$12,567.10
|
$40,220.73
|
$34,974.55
|
2026-02-13
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
41
|
41
|
$41,974.54
|
$41,974.54
|
$13,630.96
|
$38,616.58
|
$33,579.63
|
2026-02-13
|
|
903
|
MS_DRG
|
Wound Debridements For Injuries Without Cc/mcc
|
41
|
41
|
$46,360.72
|
$46,360.72
|
$9,135.73
|
$42,651.86
|
$37,088.58
|
2026-02-13
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
41
|
41
|
$86,277.49
|
$86,277.49
|
$28,690.55
|
$79,375.29
|
$69,021.99
|
2026-02-13
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
41
|
41
|
$143,285.86
|
$143,285.86
|
$29,988.73
|
$131,822.99
|
$114,628.69
|
2026-02-13
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
41
|
41
|
$46,149.52
|
$46,149.52
|
$10,253.49
|
$42,457.55
|
$36,919.61
|
2026-02-13
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
41
|
41
|
$74,107.70
|
$74,107.70
|
$13,717.66
|
$68,179.08
|
$59,286.16
|
2026-02-13
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
41
|
41
|
$74,276.78
|
$74,276.78
|
$13,134.96
|
$68,334.63
|
$59,421.42
|
2026-02-13
|
|
916
|
MS_DRG
|
Allergic Reactions Without Mcc
|
41
|
41
|
$71,719.73
|
$71,719.73
|
$5,204.46
|
$65,982.15
|
$57,375.78
|
2026-02-13
|
|
93653
|
HCPCS
|
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…
|
46
|
46
|
$38,143.00
|
$38,143.00
|
$15,257.20
|
$35,091.56
|
$30,514.40
|
2026-02-13
|
|
93654
|
HCPCS
|
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…
|
46
|
46
|
$54,707.00
|
$54,707.00
|
$21,882.80
|
$50,330.44
|
$40,483.18
|
2026-02-13
|
|
93656
|
HCPCS
|
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…
|
46
|
46
|
$50,616.00
|
$50,616.00
|
$20,246.40
|
$46,566.72
|
$37,455.84
|
2026-02-13
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
41
|
41
|
$271,522.96
|
$271,522.96
|
$27,490.00
|
$249,801.12
|
$217,218.37
|
2026-02-13
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
41
|
41
|
$69,772.20
|
$69,772.20
|
$18,253.50
|
$64,190.42
|
$55,817.76
|
2026-02-13
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
41
|
41
|
$39,730.33
|
$39,730.33
|
$15,838.34
|
$36,551.90
|
$31,784.26
|
2026-02-13
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
41
|
41
|
$45,864.19
|
$45,864.19
|
$9,915.27
|
$42,195.05
|
$36,691.35
|
2026-02-13
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
41
|
41
|
$165,202.66
|
$165,202.66
|
$20,146.11
|
$151,986.45
|
$132,162.13
|
2026-02-13
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
41
|
41
|
$228,626.19
|
$228,626.19
|
$20,146.11
|
$210,336.09
|
$182,900.95
|
2026-02-13
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
41
|
41
|
$41,263.80
|
$41,263.80
|
$11,971.12
|
$37,962.69
|
$33,011.04
|
2026-02-13
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
41
|
41
|
$105,555.34
|
$105,555.34
|
$28,211.73
|
$97,110.91
|
$84,444.27
|
2026-02-13
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
41
|
41
|
$63,143.84
|
$63,143.84
|
$22,542.52
|
$58,092.33
|
$50,515.07
|
2026-02-13
|
|
9801581_1
|
CDM
|
#9 Ps Bx Ctg Gd Tri Inst
|
28
|
28
|
$43,223.00
|
$43,223.00
|
$17,289.20
|
$39,765.16
|
$36,307.32
|
2026-02-13
|
|
9801793_1
|
CDM
|
#9 4 In 1 Tri Ctg Blck
|
28
|
28
|
$43,223.00
|
$43,223.00
|
$17,289.20
|
$39,765.16
|
$36,307.32
|
2026-02-13
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
41
|
41
|
$81,618.76
|
$81,618.76
|
$32,647.50
|
$75,089.26
|
$65,295.01
|
2026-02-13
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
41
|
41
|
$77,753.45
|
$77,753.45
|
$19,203.32
|
$71,533.17
|
$62,202.76
|
2026-02-13
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
41
|
41
|
$122,512.76
|
$122,512.76
|
$26,779.20
|
$112,711.74
|
$98,010.20
|
2026-02-13
|
|
A9607
|
HCPCS
|
Lutetium Lu 177 Vipivotide Tetraxetan, Therapeutic, 1 Millicurie
|
46
|
46
|
$119,073.80
|
$119,073.80
|
$255.84
|
$109,547.90
|
$88,114.61
|
2026-02-13
|
|
C1822
|
HCPCS
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
84
|
28
|
$49,879.00
|
$49,879.00
|
$18,655.20
|
$46,077.28
|
$40,341.87
|
2026-02-13
|
|
C1826
|
HCPCS
|
Generator, Neurostimulator (implantable), Includes Closed Feedback Loop Leads An…
|
28
|
28
|
$41,068.00
|
$41,068.00
|
$16,427.20
|
$37,782.56
|
$34,497.12
|
2026-02-13
|
|
C2624
|
HCPCS
|
Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In…
|
28
|
28
|
$39,720.00
|
$39,720.00
|
$15,888.00
|
$36,542.40
|
$33,364.80
|
2026-02-13
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
33
|
33
|
$36,246.00
|
$36,246.00
|
$10,292.35
|
$33,346.32
|
$30,084.18
|
2026-02-13
|
|
C9767
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
46
|
46
|
$44,923.00
|
$44,923.00
|
$13,425.43
|
$41,329.16
|
$33,243.02
|
2026-02-13
|
|
J0208
|
HCPCS
|
Injection, Sodium Thiosulfate (pedmark), 100 Mg
|
46
|
46
|
$47,292.04
|
$47,292.04
|
$95.11
|
$43,508.68
|
$34,996.11
|
2026-02-13
|
|
J0225
|
HCPCS
|
Injection, Vutrisiran, 1 Mg
|
46
|
46
|
$630,773.30
|
$630,773.30
|
$5,003.64
|
$580,311.44
|
$466,772.24
|
2026-02-13
|
|
J1628
|
HCPCS
|
Injection, Guselkumab, 1 Mg
|
46
|
46
|
$57,861.95
|
$57,861.95
|
$75.97
|
$53,232.99
|
$42,817.84
|
2026-02-13
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
46
|
46
|
$61,115.96
|
$61,115.96
|
$14.94
|
$56,226.68
|
$45,225.81
|
2026-02-13
|
|
J2329
|
HCPCS
|
Injection, Ublituximab-xiiy, 1mg
|
46
|
46
|
$55,894.80
|
$55,894.80
|
$70.75
|
$51,423.22
|
$41,362.15
|
2026-02-13
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
46
|
46
|
$77,818.86
|
$77,818.86
|
$59.41
|
$71,593.35
|
$57,585.96
|
2026-02-13
|
|
J2427
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr…
|
120
|
46
|
$39,833.00
|
$39,833.00
|
$13.00
|
$54,969.08
|
$34,256.38
|
2026-02-13
|
|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
46
|
46
|
$123,086.62
|
$123,086.62
|
$3,660.83
|
$113,239.69
|
$91,084.10
|
2026-02-13
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
46
|
46
|
$87,279.90
|
$87,279.90
|
$127.45
|
$80,297.51
|
$64,587.13
|
2026-02-13
|
|
J3357
|
HCPCS
|
Ustekinumab, For Subcutaneous Injection, 1 Mg
|
61
|
33
|
$38,130.15
|
$38,130.15
|
$8,869.62
|
$63,819.02
|
$34,317.14
|
2026-02-13
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
46
|
46
|
$66,553.38
|
$66,553.38
|
$91.34
|
$61,229.11
|
$49,249.50
|
2026-02-13
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
46
|
46
|
$63,045.43
|
$63,045.43
|
$29.29
|
$58,001.80
|
$46,653.62
|
2026-02-13
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
46
|
46
|
$58,650.85
|
$58,650.85
|
$55.57
|
$53,958.78
|
$43,401.63
|
2026-02-13
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
46
|
46
|
$47,902.80
|
$47,902.80
|
$207.13
|
$44,070.58
|
$35,448.07
|
2026-02-13
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
46
|
46
|
$53,804.90
|
$53,804.90
|
$183.48
|
$49,500.51
|
$39,815.63
|
2026-02-13
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
46
|
46
|
$40,757.53
|
$40,757.53
|
$17.02
|
$37,496.93
|
$30,160.57
|
2026-02-13
|
|
J9334
|
HCPCS
|
Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc
|
41
|
41
|
$84,890.69
|
$84,890.69
|
$33.89
|
$78,099.43
|
$67,912.55
|
2026-02-13
|
|
L8679
|
HCPCS
|
Implantable Neurostimulator, Pulse Generator, Any Type
|
41
|
41
|
$40,066.00
|
$40,066.00
|
$10,551.04
|
$36,860.72
|
$32,052.80
|
2026-02-13
|