Hospital

Anderson Rehabilitation Institute

Edwardsville, IL · CCN 143029 · Rates published

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You selected 93306 (CPT)

ECHO 2-D&M-MODE W/DOPPLER

This hospital’s price: $1,518 across 11 payers · range $941-$2,094

Source: https://www.andersonrehabinstitute.com/docs/zirfandersonrehabilitationinstitutelibraries/mar2026/832844780_anderson-rehabilitation-institute_standardcharges.csv.zip · observed 2026-03-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,631 distinct procedures filed

18 distinct payers

292,705 rate rows

2026-03-16 last MRF observed

Data quality

178,640 of 292,705 rate rows are consumer-grade (61.0%)

114,065 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	114,065

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.andersonrehabinstitute.com/docs/zirfandersonrehabilitationinstitutelibraries/mar2026/832844780_anderson-rehabilitation-institute_standardcharges.csv.zip
Found on page	https://www.andersonrehabinstitute.com/patients-and-caregivers/financial-assistance
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-12
Content fingerprint	67437c1571833b8b… · 2,118,135 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
B0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$86,096.00	$107,620.00	$86,096.00	nat. median $83,710 1.0× median
B1904 HCPCS	Guillain-barré M <38.50	11	$80,602.94	$100,753.67	$80,602.94	nat. median $73,807 1.1× median
C0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$70,372.77	$87,965.96	$70,372.77	nat. median $70,140 1.0× median
D0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$68,520.85	$85,651.07	$68,520.85	nat. median $67,955 1.0× median
B1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$68,224.55	$85,280.69	$68,224.55	nat. median $66,421 1.0× median
B0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$62,870.14	$78,587.68	$62,870.14	nat. median $60,970 1.0× median
A0407 HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	$62,004.01	$77,505.02	$62,004.01	nat. median $62,254 1.0× median
B0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$60,334.44	$75,418.05	$60,334.44	nat. median $59,982 1.0× median
B0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	$59,341.05	$74,176.32	$59,341.05	nat. median $58,851 1.0× median
C1904 HCPCS	Guillain-barré M <38.50	11	$56,964.91	$71,206.13	$56,964.91	nat. median $54,675 1.0× median
C1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$55,813.87	$69,767.34	$55,813.87	nat. median $53,054 1.1× median
B0106 HCPCS	Stroke M <41.50 And A <84.50	11	$53,800.50	$67,250.63	$53,800.50	nat. median $53,961 1.0× median
37243 CPT	Occ/emb Tumor/organ Infar	11	$53,714.22	$53,714.22	$53,714.22	nat. median $12,456 outlier · 4.3×
37241 CPT	Occ/emb Non Hemorr Venous	11	$53,714.22	$53,714.22	$53,714.22	nat. median $12,180 outlier · 4.4×
37244 CPT	Occ/emb Hemorrhag/lymph	11	$53,714.22	$53,714.22	$53,714.22	nat. median $12,394 outlier · 4.3×
37242 CPT	Occ/emb Non Hemorr Art	11	$53,714.22	$53,714.22	$53,714.22	nat. median $16,878 outlier · 3.2×
B1903 HCPCS	Guillain-barré M >=38.50 And M <51.50	11	$52,417.74	$65,522.18	$52,417.74	nat. median $52,085 1.0× median
B0205 HCPCS	Traumatic Brain Injury M <35.50	11	$51,754.85	$64,693.56	$51,754.85	nat. median $51,427 1.0× median
C0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$51,388.27	$64,235.33	$51,388.27	nat. median $51,378 1.0× median
D1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$51,344.58	$64,180.73	$51,344.58	nat. median $49,816 1.0× median
D0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$50,035.89	$62,544.87	$50,035.89	nat. median $50,036 1.0× median
A1904 HCPCS	Guillain-barré M <38.50	11	$49,536.35	$61,920.44	$49,536.35	nat. median $49,305 1.0× median
D1904 HCPCS	Guillain-barré M <38.50	11	$49,521.16	$61,901.45	$49,521.16	nat. median $49,620 1.0× median
C0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$49,316.02	$61,645.03	$49,316.02	nat. median $49,892 1.0× median
B1705 HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	$48,542.97	$60,678.71	$48,542.97	nat. median $48,739 1.0× median
B2102 HCPCS	Burns M <52.50	11	$48,341.63	$60,427.04	$48,341.63	nat. median $48,035 1.0× median
A1806 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	$48,191.58	$60,239.47	$48,191.58	nat. median $47,794 1.0× median
D0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$48,018.73	$60,023.41	$48,018.73	nat. median $48,664 1.0× median
B0405 HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	$47,790.80	$59,738.50	$47,790.80	nat. median $47,500 1.0× median
C0106 HCPCS	Stroke M <41.50 And A <84.50	11	$47,775.61	$59,719.51	$47,775.61	nat. median $47,900 1.0× median
B0105 HCPCS	Stroke M <41.50 And A >=84.50	11	$47,762.31	$59,702.89	$47,762.31	nat. median $47,997 1.0× median
B1805 HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	$47,089.92	$58,862.41	$47,089.92	nat. median $46,202 1.0× median
B0604 HCPCS	Neurological M <43.50	11	$46,531.50	$58,164.38	$46,531.50	nat. median $46,491 1.0× median
10/1/ OTHER	S/o Bcr-abl T9	11	$46,054.00	$46,054.00	$46,054.00	nat. median $46,054 1.0× median
37182 CPT	Insert Tips	11	$45,988.74	$45,988.74	$45,988.74	nat. median $8,293 outlier · 5.5×
C0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	$45,602.69	$57,003.37	$45,602.69	nat. median $45,226 1.0× median
A0406 HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	$45,277.90	$56,597.37	$45,277.90	nat. median $45,460 1.0× median
B0305 HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	11	$45,013.88	$56,267.35	$45,013.88	nat. median $44,642 1.0× median
B1004 HCPCS	Amputation Lower Extremity M <47.50	11	$44,890.42	$56,113.02	$44,890.42	nat. median $44,520 1.0× median
37183 CPT	Revise Tips	11	$44,794.32	$44,794.32	$44,794.32	nat. median $7,185 outlier · 6.2×
B1504 HCPCS	Pulmonary M <45.50	11	$44,493.44	$55,616.81	$44,493.44	nat. median $44,462 1.0× median
B0704 HCPCS	Fracture Of Lower Extremity M <41.50	11	$43,572.24	$54,465.29	$43,572.24	nat. median $43,685 1.0× median
B1304 HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	$43,519.05	$54,398.82	$43,519.05	nat. median $43,273 1.0× median
A0404 HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	$43,452.57	$54,315.72	$43,452.57	nat. median $44,036 1.0× median
B1305 HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	$43,433.58	$54,291.97	$43,433.58	nat. median $41,688 1.0× median
D0106 HCPCS	Stroke M <41.50 And A <84.50	11	$43,285.43	$54,106.78	$43,285.43	nat. median $43,154 1.0× median
B0904 HCPCS	Other Orthopedic M <44.5	11	$42,702.31	$53,377.89	$42,702.31	nat. median $42,433 1.0× median
D0505 HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	$42,425.00	$53,031.25	$42,425.00	nat. median $42,098 1.0× median
C0105 HCPCS	Stroke M <41.50 And A >=84.50	11	$42,413.60	$53,017.00	$42,413.60	nat. median $42,512 1.0× median
B2005 HCPCS	Miscellaneous M <46.50 And A <77.50	11	$42,010.93	$52,513.66	$42,010.93	nat. median $41,981 1.0× median

Other procedures at this hospital

Browse this hospital's 14,631 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

B0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$86,096.00	$86,096.00	$86,096.00	$107,620.00	$86,096.00	2026-03-16
B1904	HCPCS	Guillain-barré M <38.50	11	11	$80,602.94	$80,602.94	$80,602.94	$100,753.67	$80,602.94	2026-03-16
C0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$70,372.77	$70,372.77	$70,372.77	$87,965.96	$70,372.77	2026-03-16
D0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$68,520.85	$68,520.85	$68,520.85	$85,651.07	$68,520.85	2026-03-16
B1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$68,224.55	$68,224.55	$68,224.55	$85,280.69	$68,224.55	2026-03-16
B0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$62,870.14	$62,870.14	$62,870.14	$78,587.68	$62,870.14	2026-03-16
A0407	HCPCS	Traumatic Spinal Cord Injury M <24.50 And A >=61.50	11	11	$62,004.01	$62,004.01	$62,004.01	$77,505.02	$62,004.01	2026-03-16
B0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$60,334.44	$60,334.44	$60,334.44	$75,418.05	$60,334.44	2026-03-16
B0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	11	$59,341.05	$59,341.05	$59,341.05	$74,176.32	$59,341.05	2026-03-16
C1904	HCPCS	Guillain-barré M <38.50	11	11	$56,964.91	$56,964.91	$56,964.91	$71,206.13	$56,964.91	2026-03-16
C1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$55,813.87	$55,813.87	$55,813.87	$69,767.34	$55,813.87	2026-03-16
B0106	HCPCS	Stroke M <41.50 And A <84.50	11	11	$53,800.50	$53,800.50	$53,800.50	$67,250.63	$53,800.50	2026-03-16
37243	CPT	Occ/emb Tumor/organ Infar	11	11	$53,714.22	$53,714.22	$53,714.22	$53,714.22	$53,714.22	2026-03-16
37244	CPT	Occ/emb Hemorrhag/lymph	11	11	$53,714.22	$53,714.22	$53,714.22	$53,714.22	$53,714.22	2026-03-16
37241	CPT	Occ/emb Non Hemorr Venous	11	11	$53,714.22	$53,714.22	$53,714.22	$53,714.22	$53,714.22	2026-03-16
37242	CPT	Occ/emb Non Hemorr Art	11	11	$53,714.22	$53,714.22	$53,714.22	$53,714.22	$53,714.22	2026-03-16
B1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	11	11	$52,417.74	$52,417.74	$52,417.74	$65,522.18	$52,417.74	2026-03-16
B0205	HCPCS	Traumatic Brain Injury M <35.50	11	11	$51,754.85	$51,754.85	$51,754.85	$64,693.56	$51,754.85	2026-03-16
C0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$51,388.27	$51,388.27	$51,388.27	$64,235.33	$51,388.27	2026-03-16
D1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$51,344.58	$51,344.58	$51,344.58	$64,180.73	$51,344.58	2026-03-16
D0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$50,035.89	$50,035.89	$50,035.89	$62,544.87	$50,035.89	2026-03-16
A1904	HCPCS	Guillain-barré M <38.50	11	11	$49,536.35	$49,536.35	$49,536.35	$61,920.44	$49,536.35	2026-03-16
D1904	HCPCS	Guillain-barré M <38.50	11	11	$49,521.16	$49,521.16	$49,521.16	$61,901.45	$49,521.16	2026-03-16
C0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$49,316.02	$49,316.02	$49,316.02	$61,645.03	$49,316.02	2026-03-16
B1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$48,542.97	$48,542.97	$48,542.97	$60,678.71	$48,542.97	2026-03-16
B2102	HCPCS	Burns M <52.50	11	11	$48,341.63	$48,341.63	$48,341.63	$60,427.04	$48,341.63	2026-03-16
A1806	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50	11	11	$48,191.58	$48,191.58	$48,191.58	$60,239.47	$48,191.58	2026-03-16
D0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$48,018.73	$48,018.73	$48,018.73	$60,023.41	$48,018.73	2026-03-16
B0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$47,790.80	$47,790.80	$47,790.80	$59,738.50	$47,790.80	2026-03-16
C0106	HCPCS	Stroke M <41.50 And A <84.50	11	11	$47,775.61	$47,775.61	$47,775.61	$59,719.51	$47,775.61	2026-03-16
B0105	HCPCS	Stroke M <41.50 And A >=84.50	11	11	$47,762.31	$47,762.31	$47,762.31	$59,702.89	$47,762.31	2026-03-16
B1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$47,089.92	$47,089.92	$47,089.92	$58,862.41	$47,089.92	2026-03-16
B0604	HCPCS	Neurological M <43.50	11	11	$46,531.50	$46,531.50	$46,531.50	$58,164.38	$46,531.50	2026-03-16
10/1/	OTHER	S/o Bcr-abl T9	11	11	$46,054.00	$46,054.00	$46,054.00	$46,054.00	$46,054.00	2026-03-16
37182	CPT	Insert Tips	11	11	$45,988.74	$45,988.74	$45,988.74	$45,988.74	$45,988.74	2026-03-16
C0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	11	$45,602.69	$45,602.69	$45,602.69	$57,003.37	$45,602.69	2026-03-16
A0406	HCPCS	Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50	11	11	$45,277.90	$45,277.90	$45,277.90	$56,597.37	$45,277.90	2026-03-16
B0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$45,013.88	$45,013.88	$45,013.88	$56,267.35	$45,013.88	2026-03-16
B1004	HCPCS	Amputation Lower Extremity M <47.50	11	11	$44,890.42	$44,890.42	$44,890.42	$56,113.02	$44,890.42	2026-03-16
37183	CPT	Revise Tips	11	11	$44,794.32	$44,794.32	$44,794.32	$44,794.32	$44,794.32	2026-03-16
B1504	HCPCS	Pulmonary M <45.50	11	11	$44,493.44	$44,493.44	$44,493.44	$55,616.81	$44,493.44	2026-03-16
B0704	HCPCS	Fracture Of Lower Extremity M <41.50	11	11	$43,572.24	$43,572.24	$43,572.24	$54,465.29	$43,572.24	2026-03-16
B1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$43,519.05	$43,519.05	$43,519.05	$54,398.82	$43,519.05	2026-03-16
A0404	HCPCS	Traumatic Spinal Cord Injury M <31.50 And A <61.50	11	11	$43,452.57	$43,452.57	$43,452.57	$54,315.72	$43,452.57	2026-03-16
B1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$43,433.58	$43,433.58	$43,433.58	$54,291.97	$43,433.58	2026-03-16
D0106	HCPCS	Stroke M <41.50 And A <84.50	11	11	$43,285.43	$43,285.43	$43,285.43	$54,106.78	$43,285.43	2026-03-16
B0904	HCPCS	Other Orthopedic M <44.5	11	11	$42,702.31	$42,702.31	$42,702.31	$53,377.89	$42,702.31	2026-03-16
D0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	11	$42,425.00	$42,425.00	$42,425.00	$53,031.25	$42,425.00	2026-03-16
C0105	HCPCS	Stroke M <41.50 And A >=84.50	11	11	$42,413.60	$42,413.60	$42,413.60	$53,017.00	$42,413.60	2026-03-16
B2005	HCPCS	Miscellaneous M <46.50 And A <77.50	11	11	$42,010.93	$42,010.93	$42,010.93	$52,513.66	$42,010.93	2026-03-16
B0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$41,765.91	$41,765.91	$41,765.91	$52,207.38	$41,765.91	2026-03-16
B1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$41,697.53	$41,697.53	$41,697.53	$52,121.91	$41,697.53	2026-03-16
A5104	HCPCS	Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More	11	11	$41,560.77	$41,560.77	$41,560.77	$51,950.96	$41,560.77	2026-03-16
C0205	HCPCS	Traumatic Brain Injury M <35.50	11	11	$41,150.50	$41,150.50	$41,150.50	$51,438.13	$41,150.50	2026-03-16
B0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$41,093.52	$41,093.52	$41,093.52	$51,366.90	$41,093.52	2026-03-16
A0106	HCPCS	Stroke M <41.50 And A <84.50	11	11	$41,057.43	$41,057.43	$41,057.43	$51,321.79	$41,057.43	2026-03-16
B1404	HCPCS	Cardiac M <45.50	11	11	$40,776.32	$40,776.32	$40,776.32	$50,970.40	$40,776.32	2026-03-16
B1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	11	11	$40,770.62	$40,770.62	$40,770.62	$50,963.28	$40,770.62	2026-03-16
C2102	HCPCS	Burns M <52.50	11	11	$40,641.46	$40,641.46	$40,641.46	$50,801.83	$40,641.46	2026-03-16
B0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$40,341.36	$40,341.36	$40,341.36	$50,426.70	$40,341.36	2026-03-16
B2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	11	11	$40,136.22	$40,136.22	$40,136.22	$50,170.28	$40,136.22	2026-03-16
A9604	HCPCS	Sm153 Lexidron To 150mci	11	11	$39,834.06	$39,834.06	$39,834.06	$39,834.06	$39,834.06	2026-03-16
B0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	11	11	$39,716.45	$39,716.45	$39,716.45	$49,645.57	$39,716.45	2026-03-16
B1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	11	11	$39,602.49	$39,602.49	$39,602.49	$49,503.11	$39,602.49	2026-03-16
B1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$39,251.10	$39,251.10	$39,251.10	$49,063.88	$39,251.10	2026-03-16
A0505	HCPCS	Non-traumatic Spinal Cord Injury M <39.50	11	11	$39,097.25	$39,097.25	$39,097.25	$48,871.56	$39,097.25	2026-03-16
C0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$39,063.06	$39,063.06	$39,063.06	$48,828.83	$39,063.06	2026-03-16
A5102	HCPCS	Expired, Orthopedic, Length Of Stay Is 14 Days Or More	11	11	$38,909.21	$38,909.21	$38,909.21	$48,636.51	$38,909.21	2026-03-16
C1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$38,523.63	$38,523.63	$38,523.63	$48,154.54	$38,523.63	2026-03-16
C1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$38,457.15	$38,457.15	$38,457.15	$48,071.44	$38,457.15	2026-03-16
D0105	HCPCS	Stroke M <41.50 And A >=84.50	11	11	$38,426.76	$38,426.76	$38,426.76	$48,033.45	$38,426.76	2026-03-16
B0104	HCPCS	Stroke M >=41.50 And M <50.50	11	11	$38,324.19	$38,324.19	$38,324.19	$47,905.24	$38,324.19	2026-03-16
B1604	HCPCS	Pain Syndrome M <43.50	11	11	$38,081.07	$38,081.07	$38,081.07	$47,601.34	$38,081.07	2026-03-16
D0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$38,035.49	$38,035.49	$38,035.49	$47,544.36	$38,035.49	2026-03-16
D0205	HCPCS	Traumatic Brain Injury M <35.50	11	11	$37,594.82	$37,594.82	$37,594.82	$46,993.53	$37,594.82	2026-03-16
C1004	HCPCS	Amputation Lower Extremity M <47.50	11	11	$37,300.42	$37,300.42	$37,300.42	$46,625.52	$37,300.42	2026-03-16
B0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$37,235.84	$37,235.84	$37,235.84	$46,544.80	$37,235.84	2026-03-16
37238	CPT	Stnt Plc Transc Vein Ini	11	11	$37,173.90	$37,173.90	$37,173.90	$37,173.90	$37,173.90	2026-03-16
B1902	HCPCS	Guillain-barré M >=51.50 And M <66.50	11	11	$37,047.80	$37,047.80	$37,047.80	$46,309.75	$37,047.80	2026-03-16
C1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	11	11	$37,045.90	$37,045.90	$37,045.90	$46,307.37	$37,045.90	2026-03-16
37236	CPT	Stnt Plc Transcth Art Ini	11	11	$37,018.86	$37,018.86	$37,018.86	$37,018.86	$37,018.86	2026-03-16
A9600	HCPCS	Strontium Sr-89 Thera/mci	11	11	$37,014.78	$37,014.78	$37,014.78	$37,014.78	$37,014.78	2026-03-16
22513	CPT	Verteb Augm Thorac W Imag	11	11	$36,922.98	$36,922.98	$36,922.98	$36,922.98	$36,922.98	2026-03-16
22515	CPT	Verteb Augm Ea Add W Imag	11	11	$36,922.98	$36,922.98	$36,922.98	$36,922.98	$36,922.98	2026-03-16
22514	CPT	Verteb Augm Lumbar W Imag	11	11	$36,922.98	$36,922.98	$36,922.98	$36,922.98	$36,922.98	2026-03-16
B0603	HCPCS	Neurological M >=43.50 And M <52.50	11	11	$36,791.38	$36,791.38	$36,791.38	$45,989.22	$36,791.38	2026-03-16
B1103	HCPCS	Amputation Non-lower Extremity M <52.50	11	11	$36,741.99	$36,741.99	$36,741.99	$45,927.49	$36,741.99	2026-03-16
A0105	HCPCS	Stroke M <41.50 And A >=84.50	11	11	$36,449.49	$36,449.49	$36,449.49	$45,561.86	$36,449.49	2026-03-16
B1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$36,236.75	$36,236.75	$36,236.75	$45,295.94	$36,236.75	2026-03-16
C1504	HCPCS	Pulmonary M <45.50	11	11	$35,775.20	$35,775.20	$35,775.20	$44,719.00	$35,775.20	2026-03-16
D1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$35,706.82	$35,706.82	$35,706.82	$44,633.53	$35,706.82	2026-03-16
C0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$35,676.43	$35,676.43	$35,676.43	$44,595.54	$35,676.43	2026-03-16
B1503	HCPCS	Pulmonary M >=45.50 And M <56.50	11	11	$35,480.79	$35,480.79	$35,480.79	$44,350.99	$35,480.79	2026-03-16
B0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	11	11	$35,461.80	$35,461.80	$35,461.80	$44,327.25	$35,461.80	2026-03-16
D1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$35,439.01	$35,439.01	$35,439.01	$44,298.76	$35,439.01	2026-03-16
A0205	HCPCS	Traumatic Brain Injury M <35.50	11	11	$35,321.24	$35,321.24	$35,321.24	$44,151.55	$35,321.24	2026-03-16
B0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$35,287.05	$35,287.05	$35,287.05	$44,108.82	$35,287.05	2026-03-16
C0604	HCPCS	Neurological M <43.50	11	11	$35,239.57	$35,239.57	$35,239.57	$44,049.46	$35,239.57	2026-03-16
B0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$34,952.76	$34,952.76	$34,952.76	$43,690.95	$34,952.76	2026-03-16
C0704	HCPCS	Fracture Of Lower Extremity M <41.50	11	11	$34,838.79	$34,838.79	$34,838.79	$43,548.49	$34,838.79	2026-03-16
C1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$34,793.21	$34,793.21	$34,793.21	$43,491.51	$34,793.21	2026-03-16
C1103	HCPCS	Amputation Non-lower Extremity M <52.50	11	11	$34,783.71	$34,783.71	$34,783.71	$43,479.64	$34,783.71	2026-03-16
C1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$34,722.93	$34,722.93	$34,722.93	$43,403.66	$34,722.93	2026-03-16
B0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$34,686.84	$34,686.84	$34,686.84	$43,358.55	$34,686.84	2026-03-16
A0405	HCPCS	Traumatic Spinal Cord Injury M >=31.50 And M <41.50	11	11	$34,419.03	$34,419.03	$34,419.03	$43,023.78	$34,419.03	2026-03-16
C1604	HCPCS	Pain Syndrome M <43.50	11	11	$34,128.42	$34,128.42	$34,128.42	$42,660.52	$34,128.42	2026-03-16
C0104	HCPCS	Stroke M >=41.50 And M <50.50	11	11	$34,033.45	$34,033.45	$34,033.45	$42,541.81	$34,033.45	2026-03-16
D1004	HCPCS	Amputation Lower Extremity M <47.50	11	11	$33,854.91	$33,854.91	$33,854.91	$42,318.63	$33,854.91	2026-03-16
B1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$33,748.54	$33,748.54	$33,748.54	$42,185.67	$33,748.54	2026-03-16
B1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$33,718.15	$33,718.15	$33,718.15	$42,147.69	$33,718.15	2026-03-16
C2005	HCPCS	Miscellaneous M <46.50 And A <77.50	11	11	$33,691.56	$33,691.56	$33,691.56	$42,114.45	$33,691.56	2026-03-16
B1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$33,607.98	$33,607.98	$33,607.98	$42,009.98	$33,607.98	2026-03-16
D1504	HCPCS	Pulmonary M <45.50	11	11	$33,503.52	$33,503.52	$33,503.52	$41,879.40	$33,503.52	2026-03-16
C0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	11	11	$33,450.33	$33,450.33	$33,450.33	$41,812.92	$33,450.33	2026-03-16
A1805	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50	11	11	$33,262.29	$33,262.29	$33,262.29	$41,577.87	$33,262.29	2026-03-16
D0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$33,260.39	$33,260.39	$33,260.39	$41,575.49	$33,260.39	2026-03-16
D0604	HCPCS	Neurological M <43.50	11	11	$33,192.01	$33,192.01	$33,192.01	$41,490.02	$33,192.01	2026-03-16
D0704	HCPCS	Fracture Of Lower Extremity M <41.50	11	11	$33,087.55	$33,087.55	$33,087.55	$41,359.43	$33,087.55	2026-03-16
C1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$33,034.36	$33,034.36	$33,034.36	$41,292.96	$33,034.36	2026-03-16
B2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	11	11	$32,909.00	$32,909.00	$32,909.00	$41,136.26	$32,909.00	2026-03-16
A1705	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50	11	11	$32,871.02	$32,871.02	$32,871.02	$41,088.77	$32,871.02	2026-03-16
C1404	HCPCS	Cardiac M <45.50	11	11	$32,848.22	$32,848.22	$32,848.22	$41,060.28	$32,848.22	2026-03-16
B0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$32,732.36	$32,732.36	$32,732.36	$40,915.45	$32,732.36	2026-03-16
B1403	HCPCS	Cardiac M >=45.50 And M <55.50	11	11	$32,682.98	$32,682.98	$32,682.98	$40,853.72	$32,682.98	2026-03-16
C0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$32,569.01	$32,569.01	$32,569.01	$40,711.26	$32,569.01	2026-03-16
C1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	11	11	$32,360.08	$32,360.08	$32,360.08	$40,450.10	$32,360.08	2026-03-16
C0904	HCPCS	Other Orthopedic M <44.5	11	11	$32,344.88	$32,344.88	$32,344.88	$40,431.10	$32,344.88	2026-03-16
B0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$32,261.31	$32,261.31	$32,261.31	$40,326.64	$32,261.31	2026-03-16
A1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	11	11	$32,213.82	$32,213.82	$32,213.82	$40,267.28	$32,213.82	2026-03-16
D1903	HCPCS	Guillain-barré M >=38.50 And M <51.50	11	11	$32,206.23	$32,206.23	$32,206.23	$40,257.78	$32,206.23	2026-03-16
C2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	11	11	$32,187.23	$32,187.23	$32,187.23	$40,234.04	$32,187.23	2026-03-16
C1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$32,111.26	$32,111.26	$32,111.26	$40,139.07	$32,111.26	2026-03-16
C0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$32,096.06	$32,096.06	$32,096.06	$40,120.08	$32,096.06	2026-03-16
C0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$32,075.17	$32,075.17	$32,075.17	$40,093.96	$32,075.17	2026-03-16
A1504	HCPCS	Pulmonary M <45.50	11	11	$32,027.68	$32,027.68	$32,027.68	$40,034.60	$32,027.68	2026-03-16
B0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$31,887.13	$31,887.13	$31,887.13	$39,858.91	$31,887.13	2026-03-16
D1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$31,879.53	$31,879.53	$31,879.53	$39,849.41	$31,879.53	2026-03-16
D1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$31,814.95	$31,814.95	$31,814.95	$39,768.69	$31,814.95	2026-03-16
A1004	HCPCS	Amputation Lower Extremity M <47.50	11	11	$31,435.07	$31,435.07	$31,435.07	$39,293.84	$31,435.07	2026-03-16
C1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	11	11	$31,431.27	$31,431.27	$31,431.27	$39,289.09	$31,431.27	2026-03-16
D2005	HCPCS	Miscellaneous M <46.50 And A <77.50	11	11	$31,332.50	$31,332.50	$31,332.50	$39,165.63	$31,332.50	2026-03-16
D1604	HCPCS	Pain Syndrome M <43.50	11	11	$31,218.54	$31,218.54	$31,218.54	$39,023.17	$31,218.54	2026-03-16
A0305	HCPCS	Non-traumatic Brain Injury M <42.50 And A <78.50	11	11	$31,136.86	$31,136.86	$31,136.86	$38,921.08	$31,136.86	2026-03-16
B0602	HCPCS	Neurological M >=52.50 And M <64.50	11	11	$30,939.33	$30,939.33	$30,939.33	$38,674.16	$30,939.33	2026-03-16
B1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$30,884.24	$30,884.24	$30,884.24	$38,605.31	$30,884.24	2026-03-16
B0502	HCPCS	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	11	11	$30,867.15	$30,867.15	$30,867.15	$38,583.94	$30,867.15	2026-03-16
D0104	HCPCS	Stroke M >=41.50 And M <50.50	11	11	$30,834.86	$30,834.86	$30,834.86	$38,543.57	$30,834.86	2026-03-16
D1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$30,671.51	$30,671.51	$30,671.51	$38,339.39	$30,671.51	2026-03-16
D2102	HCPCS	Burns M <52.50	11	11	$30,648.72	$30,648.72	$30,648.72	$38,310.90	$30,648.72	2026-03-16
D0904	HCPCS	Other Orthopedic M <44.5	11	11	$30,553.75	$30,553.75	$30,553.75	$38,192.19	$30,553.75	2026-03-16
B2101	HCPCS	Burns M >=52.50	11	11	$30,506.26	$30,506.26	$30,506.26	$38,132.83	$30,506.26	2026-03-16
C0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$30,435.99	$30,435.99	$30,435.99	$38,044.98	$30,435.99	2026-03-16
B1502	HCPCS	Pulmonary M >=56.50 And M <68.50	11	11	$30,432.19	$30,432.19	$30,432.19	$38,040.23	$30,432.19	2026-03-16
D1404	HCPCS	Cardiac M <45.50	11	11	$30,373.31	$30,373.31	$30,373.31	$37,966.63	$30,373.31	2026-03-16
D0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$30,361.91	$30,361.91	$30,361.91	$37,952.39	$30,361.91	2026-03-16
A0704	HCPCS	Fracture Of Lower Extremity M <41.50	11	11	$30,234.65	$30,234.65	$30,234.65	$37,793.31	$30,234.65	2026-03-16
B0103	HCPCS	Stroke M >=50.50 And M <63.50	11	11	$30,006.72	$30,006.72	$30,006.72	$37,508.40	$30,006.72	2026-03-16
D1103	HCPCS	Amputation Non-lower Extremity M <52.50	11	11	$29,934.54	$29,934.54	$29,934.54	$37,418.18	$29,934.54	2026-03-16
D2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	11	11	$29,934.54	$29,934.54	$29,934.54	$37,418.18	$29,934.54	2026-03-16
D0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	11	11	$29,900.35	$29,900.35	$29,900.35	$37,375.44	$29,900.35	2026-03-16
B0902	HCPCS	Other Orthopedic M >=51.50 And M <63.50	11	11	$29,883.26	$29,883.26	$29,883.26	$37,354.08	$29,883.26	2026-03-16
D0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$29,858.57	$29,858.57	$29,858.57	$37,323.21	$29,858.57	2026-03-16
A0604	HCPCS	Neurological M <43.50	11	11	$29,812.98	$29,812.98	$29,812.98	$37,266.23	$29,812.98	2026-03-16
D0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$29,634.44	$29,634.44	$29,634.44	$37,043.05	$29,634.44	2026-03-16
B1202	HCPCS	Osteoarthritis M >=49.50 And M <61.50	11	11	$29,585.05	$29,585.05	$29,585.05	$36,981.32	$29,585.05	2026-03-16
D1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$29,539.47	$29,539.47	$29,539.47	$36,924.34	$29,539.47	2026-03-16
A2102	HCPCS	Burns M <52.50	11	11	$29,391.32	$29,391.32	$29,391.32	$36,739.14	$29,391.32	2026-03-16
B0302	HCPCS	Non-traumatic Brain Injury M >=52.50 And M <65.50	11	11	$29,336.23	$29,336.23	$29,336.23	$36,670.29	$29,336.23	2026-03-16
B1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$29,334.33	$29,334.33	$29,334.33	$36,667.92	$29,334.33	2026-03-16
D0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$29,303.94	$29,303.94	$29,303.94	$36,629.93	$29,303.94	2026-03-16
A0104	HCPCS	Stroke M >=41.50 And M <50.50	11	11	$29,246.96	$29,246.96	$29,246.96	$36,558.70	$29,246.96	2026-03-16
B1302	HCPCS	Rheumatoid Other Arthritis M >=51.50 And M <62.50	11	11	$29,174.78	$29,174.78	$29,174.78	$36,468.48	$29,174.78	2026-03-16
B1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	11	11	$29,093.11	$29,093.11	$29,093.11	$36,366.39	$29,093.11	2026-03-16
A1304	HCPCS	Rheumatoid Other Arthritis M <44.50 And A >=64.50	11	11	$28,958.25	$28,958.25	$28,958.25	$36,197.82	$28,958.25	2026-03-16
D1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	11	11	$28,918.37	$28,918.37	$28,918.37	$36,147.96	$28,918.37	2026-03-16
A1305	HCPCS	Rheumatoid Other Arthritis M <51.50 And A <64.50	11	11	$28,901.27	$28,901.27	$28,901.27	$36,126.59	$28,901.27	2026-03-16
B0702	HCPCS	Fracture Of Lower Extremity M >=52.50 And M <61.50	11	11	$28,804.40	$28,804.40	$28,804.40	$36,005.50	$28,804.40	2026-03-16
C1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$28,707.53	$28,707.53	$28,707.53	$35,884.41	$28,707.53	2026-03-16
A2005	HCPCS	Miscellaneous M <46.50 And A <77.50	11	11	$28,682.84	$28,682.84	$28,682.84	$35,853.55	$28,682.84	2026-03-16
C1503	HCPCS	Pulmonary M >=45.50 And M <56.50	11	11	$28,528.99	$28,528.99	$28,528.99	$35,661.24	$28,528.99	2026-03-16
A0304	HCPCS	Non-traumatic Brain Injury M <42.50 And A >=78.50	11	11	$28,424.52	$28,424.52	$28,424.52	$35,530.65	$28,424.52	2026-03-16
B1002	HCPCS	Amputation Lower Extremity M >=55.50 And M <64.50	11	11	$28,356.14	$28,356.14	$28,356.14	$35,445.18	$28,356.14	2026-03-16
A1604	HCPCS	Pain Syndrome M <43.50	11	11	$28,297.26	$28,297.26	$28,297.26	$35,371.58	$28,297.26	2026-03-16
A1704	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50	11	11	$28,236.48	$28,236.48	$28,236.48	$35,295.60	$28,236.48	2026-03-16
C0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$28,213.69	$28,213.69	$28,213.69	$35,267.11	$28,213.69	2026-03-16
D1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	11	11	$28,088.33	$28,088.33	$28,088.33	$35,110.41	$28,088.33	2026-03-16
B0803	HCPCS	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	11	11	$28,069.33	$28,069.33	$28,069.33	$35,086.67	$28,069.33	2026-03-16
C1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$28,042.74	$28,042.74	$28,042.74	$35,053.43	$28,042.74	2026-03-16
B2002	HCPCS	Miscellaneous M >=55.50 And M <66.50	11	11	$28,025.65	$28,025.65	$28,025.65	$35,032.06	$28,025.65	2026-03-16
A0805	HCPCS	Replacement Of Lower-extremity Joint M <42.50	11	11	$28,014.25	$28,014.25	$28,014.25	$35,017.81	$28,014.25	2026-03-16
92218460	CDM	Gamunex-c 1 Gm/10 Ml Sol	11	11	$27,997.20	$27,997.20	$27,997.20	$27,997.20	$27,997.20	2026-03-16
A1404	HCPCS	Cardiac M <45.50	11	11	$27,930.68	$27,930.68	$27,930.68	$34,913.35	$27,930.68	2026-03-16
A0904	HCPCS	Other Orthopedic M <44.5	11	11	$27,873.69	$27,873.69	$27,873.69	$34,842.12	$27,873.69	2026-03-16
C0603	HCPCS	Neurological M >=43.50 And M <52.50	11	11	$27,864.20	$27,864.20	$27,864.20	$34,830.25	$27,864.20	2026-03-16
C1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$27,771.13	$27,771.13	$27,771.13	$34,713.91	$27,771.13	2026-03-16
A1804	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50	11	11	$27,725.54	$27,725.54	$27,725.54	$34,656.93	$27,725.54	2026-03-16
A0204	HCPCS	Traumatic Brain Injury M >=35.50 And M <49.50	11	11	$27,531.80	$27,531.80	$27,531.80	$34,414.75	$27,531.80	2026-03-16
A0504	HCPCS	Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50	11	11	$27,516.61	$27,516.61	$27,516.61	$34,395.76	$27,516.61	2026-03-16
C1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$27,493.81	$27,493.81	$27,493.81	$34,367.27	$27,493.81	2026-03-16
C0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$27,491.92	$27,491.92	$27,491.92	$34,364.89	$27,491.92	2026-03-16
A2004	HCPCS	Miscellaneous M <46.50 And A >=77.50	11	11	$27,402.64	$27,402.64	$27,402.64	$34,253.30	$27,402.64	2026-03-16
B1402	HCPCS	Cardiac M >=55.50 And M <68.50	11	11	$27,039.86	$27,039.86	$27,039.86	$33,799.82	$27,039.86	2026-03-16
B1802	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50	11	11	$27,015.17	$27,015.17	$27,015.17	$33,768.96	$27,015.17	2026-03-16
36901	CPT	Intro Dial Graft	11	11	$26,970.62	$26,970.62	$26,970.62	$26,970.62	$26,970.62	2026-03-16
C1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$26,956.28	$26,956.28	$26,956.28	$33,695.36	$26,956.28	2026-03-16
C0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$26,861.31	$26,861.31	$26,861.31	$33,576.64	$26,861.31	2026-03-16
C0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	11	11	$26,859.42	$26,859.42	$26,859.42	$33,574.27	$26,859.42	2026-03-16
C0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$26,857.52	$26,857.52	$26,857.52	$33,571.89	$26,857.52	2026-03-16
A0403	HCPCS	Traumatic Spinal Cord Injury M >=41.50 And M <47.50	11	11	$26,815.73	$26,815.73	$26,815.73	$33,519.66	$26,815.73	2026-03-16
D0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$26,796.74	$26,796.74	$26,796.74	$33,495.92	$26,796.74	2026-03-16
A1204	HCPCS	Osteoarthritis M <49.50 And A <74.50	11	11	$26,781.54	$26,781.54	$26,781.54	$33,476.93	$26,781.54	2026-03-16
D1503	HCPCS	Pulmonary M >=45.50 And M <56.50	11	11	$26,716.96	$26,716.96	$26,716.96	$33,396.20	$26,716.96	2026-03-16
D1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$26,654.28	$26,654.28	$26,654.28	$33,317.85	$26,654.28	2026-03-16
C0103	HCPCS	Stroke M >=50.50 And M <63.50	11	11	$26,646.68	$26,646.68	$26,646.68	$33,308.35	$26,646.68	2026-03-16
C2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	11	11	$26,392.16	$26,392.16	$26,392.16	$32,990.20	$26,392.16	2026-03-16
C0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$26,369.37	$26,369.37	$26,369.37	$32,961.71	$26,369.37	2026-03-16
C1403	HCPCS	Cardiac M >=45.50 And M <55.50	11	11	$26,327.58	$26,327.58	$26,327.58	$32,909.48	$26,327.58	2026-03-16
B0202	HCPCS	Traumatic Brain Injury M >=61.50 And M <73.50	11	11	$26,327.58	$26,327.58	$26,327.58	$32,909.48	$26,327.58	2026-03-16
D0603	HCPCS	Neurological M >=43.50 And M <52.50	11	11	$26,244.01	$26,244.01	$26,244.01	$32,805.01	$26,244.01	2026-03-16
A1103	HCPCS	Amputation Non-lower Extremity M <52.50	11	11	$26,190.83	$26,190.83	$26,190.83	$32,738.53	$26,190.83	2026-03-16
C1902	HCPCS	Guillain-barré M >=51.50 And M <66.50	11	11	$26,183.23	$26,183.23	$26,183.23	$32,729.04	$26,183.23	2026-03-16
C1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	11	11	$26,073.06	$26,073.06	$26,073.06	$32,591.33	$26,073.06	2026-03-16
C0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$26,025.58	$26,025.58	$26,025.58	$32,531.97	$26,025.58	2026-03-16
A1203	HCPCS	Osteoarthritis M <49.50 And A >=74.50	11	11	$26,014.18	$26,014.18	$26,014.18	$32,517.73	$26,014.18	2026-03-16
B0401	HCPCS	Traumatic Spinal Cord Injury M >=56.50	11	11	$25,733.07	$25,733.07	$25,733.07	$32,166.34	$25,733.07	2026-03-16
B1101	HCPCS	Amputation Non-lower Extremity M >=58.50	11	11	$25,687.49	$25,687.49	$25,687.49	$32,109.36	$25,687.49	2026-03-16
D0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$25,676.09	$25,676.09	$25,676.09	$32,095.11	$25,676.09	2026-03-16
C2101	HCPCS	Burns M >=52.50	11	11	$25,647.60	$25,647.60	$25,647.60	$32,059.50	$25,647.60	2026-03-16
D0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$25,630.50	$25,630.50	$25,630.50	$32,038.13	$25,630.50	2026-03-16
A1503	HCPCS	Pulmonary M >=45.50 And M <56.50	11	11	$25,539.33	$25,539.33	$25,539.33	$31,924.17	$25,539.33	2026-03-16
B0802	HCPCS	Replacement Of Lower-extremity Joint M >=57.50 And M <63.50	11	11	$25,505.14	$25,505.14	$25,505.14	$31,881.43	$25,505.14	2026-03-16
B1901	HCPCS	Guillain-barré M >=66.50	11	11	$25,465.26	$25,465.26	$25,465.26	$31,831.57	$25,465.26	2026-03-16
D1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$25,451.96	$25,451.96	$25,451.96	$31,814.95	$25,451.96	2026-03-16
D0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	11	11	$25,372.19	$25,372.19	$25,372.19	$31,715.23	$25,372.19	2026-03-16
D1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$25,292.41	$25,292.41	$25,292.41	$31,615.51	$25,292.41	2026-03-16
B1201	HCPCS	Osteoarthritis M >=61.50	11	11	$25,161.35	$25,161.35	$25,161.35	$31,451.69	$25,161.35	2026-03-16
B1701	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50	11	11	$25,054.99	$25,054.99	$25,054.99	$31,318.73	$25,054.99	2026-03-16
D0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$24,988.51	$24,988.51	$24,988.51	$31,235.63	$24,988.51	2026-03-16
B1501	HCPCS	Pulmonary M >=68.50	11	11	$24,887.84	$24,887.84	$24,887.84	$31,109.80	$24,887.84	2026-03-16
B0601	HCPCS	Neurological M >=64.50	11	11	$24,872.64	$24,872.64	$24,872.64	$31,090.80	$24,872.64	2026-03-16
B0501	HCPCS	Non-traumatic Spinal Cord Injury M >=60.50	11	11	$24,863.15	$24,863.15	$24,863.15	$31,078.93	$24,863.15	2026-03-16
37233	CPT	Revas Tib Peron Ather Add	11	11	$24,764.58	$24,764.58	$24,764.58	$24,764.58	$24,764.58	2026-03-16
37231	CPT	Revas Tib Pr Stnt Ath Ini	11	11	$24,764.58	$24,764.58	$24,764.58	$24,764.58	$24,764.58	2026-03-16
37230	CPT	Revas Tib Peron Stent Ini	11	11	$24,764.58	$24,764.58	$24,764.58	$24,764.58	$24,764.58	2026-03-16
37229	CPT	Revas Tib Peron Ather Ini	11	11	$24,764.58	$24,764.58	$24,764.58	$24,764.58	$24,764.58	2026-03-16
D1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$24,699.80	$24,699.80	$24,699.80	$30,874.75	$24,699.80	2026-03-16
37227	CPT	Revas Fem Pop Stent Ather	11	11	$24,671.76	$24,671.76	$24,671.76	$24,671.76	$24,671.76	2026-03-16
37226	CPT	Revas Femoral Poplt Stent	11	11	$24,671.76	$24,671.76	$24,671.76	$24,671.76	$24,671.76	2026-03-16
37225	CPT	Revas Fem Pop Atherectomy	11	11	$24,671.76	$24,671.76	$24,671.76	$24,671.76	$24,671.76	2026-03-16
D2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	11	11	$24,544.05	$24,544.05	$24,544.05	$30,680.06	$24,544.05	2026-03-16
A1703	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50	11	11	$24,538.35	$24,538.35	$24,538.35	$30,672.94	$24,538.35	2026-03-16
A0703	HCPCS	Fracture Of Lower Extremity M >=41.50 And M <52.50	11	11	$24,487.06	$24,487.06	$24,487.06	$30,608.83	$24,487.06	2026-03-16
C1502	HCPCS	Pulmonary M >=56.50 And M <68.50	11	11	$24,469.97	$24,469.97	$24,469.97	$30,587.46	$24,469.97	2026-03-16
C1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$24,466.17	$24,466.17	$24,466.17	$30,582.71	$24,466.17	2026-03-16
D1403	HCPCS	Cardiac M >=45.50 And M <55.50	11	11	$24,342.71	$24,342.71	$24,342.71	$30,428.39	$24,342.71	2026-03-16
C1101	HCPCS	Amputation Non-lower Extremity M >=58.50	11	11	$24,319.92	$24,319.92	$24,319.92	$30,399.90	$24,319.92	2026-03-16
D0103	HCPCS	Stroke M >=50.50 And M <63.50	11	11	$24,141.37	$24,141.37	$24,141.37	$30,176.72	$24,141.37	2026-03-16
47382	CPT	Liver Tumor Ablat Rf Perc	11	11	$24,092.40	$24,092.40	$24,092.40	$24,092.40	$24,092.40	2026-03-16
B1602	HCPCS	Pain Syndrome M >=58.50 And M <65.50	11	11	$24,023.61	$24,023.61	$24,023.61	$30,029.51	$24,023.61	2026-03-16
D0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$24,006.52	$24,006.52	$24,006.52	$30,008.15	$24,006.52	2026-03-16
A0303	HCPCS	Non-traumatic Brain Injury M >=42.50 And M <52.50	11	11	$23,995.12	$23,995.12	$23,995.12	$29,993.90	$23,995.12	2026-03-16
D1102	HCPCS	Amputation Non-lower Extremity M >=52.50 And M <58.50	11	11	$23,898.25	$23,898.25	$23,898.25	$29,872.81	$23,898.25	2026-03-16
D1603	HCPCS	Pain Syndrome M >=43.50 And M <58.50	11	11	$23,850.77	$23,850.77	$23,850.77	$29,813.46	$23,850.77	2026-03-16
B1301	HCPCS	Rheumatoid Other Arthritis M >=62.50	11	11	$23,793.78	$23,793.78	$23,793.78	$29,742.23	$23,793.78	2026-03-16
D0203	HCPCS	Traumatic Brain Injury M >=49.50 And M <61.50	11	11	$23,776.69	$23,776.69	$23,776.69	$29,720.86	$23,776.69	2026-03-16
A1803	HCPCS	Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50	11	11	$23,738.70	$23,738.70	$23,738.70	$29,673.38	$23,738.70	2026-03-16
C0502	HCPCS	Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50	11	11	$23,721.61	$23,721.61	$23,721.61	$29,652.01	$23,721.61	2026-03-16
C0803	HCPCS	Replacement Of Lower-extremity Joint M >=51.50 And M <57.50	11	11	$23,641.83	$23,641.83	$23,641.83	$29,552.29	$23,641.83	2026-03-16
A1003	HCPCS	Amputation Lower Extremity M >=47.50 And M <55.50	11	11	$23,632.33	$23,632.33	$23,632.33	$29,540.42	$23,632.33	2026-03-16
A0603	HCPCS	Neurological M >=43.50 And M <52.50	11	11	$23,573.45	$23,573.45	$23,573.45	$29,466.82	$23,573.45	2026-03-16
C1002	HCPCS	Amputation Lower Extremity M >=55.50 And M <64.50	11	11	$23,562.06	$23,562.06	$23,562.06	$29,452.57	$23,562.06	2026-03-16
B0901	HCPCS	Other Orthopedic M >=63.50	11	11	$23,524.07	$23,524.07	$23,524.07	$29,405.09	$23,524.07	2026-03-16
92218223	CDM	Soliris 10mg/ml Inj	11	11	$23,482.80	$23,482.80	$23,482.80	$23,482.80	$23,482.80	2026-03-16
C1202	HCPCS	Osteoarthritis M >=49.50 And M <61.50	11	11	$23,480.38	$23,480.38	$23,480.38	$29,350.48	$23,480.38	2026-03-16
C0602	HCPCS	Neurological M >=52.50 And M <64.50	11	11	$23,432.90	$23,432.90	$23,432.90	$29,291.12	$23,432.90	2026-03-16
B0102	HCPCS	Stroke M >=63.50 And M <72.50	11	11	$23,374.02	$23,374.02	$23,374.02	$29,217.52	$23,374.02	2026-03-16
B1001	HCPCS	Amputation Lower Extremity M >=64.50	11	11	$23,341.73	$23,341.73	$23,341.73	$29,177.16	$23,341.73	2026-03-16
C1302	HCPCS	Rheumatoid Other Arthritis M >=51.50 And M <62.50	11	11	$23,324.63	$23,324.63	$23,324.63	$29,155.79	$23,324.63	2026-03-16
B0701	HCPCS	Fracture Of Lower Extremity M >=61.50	11	11	$23,303.74	$23,303.74	$23,303.74	$29,129.67	$23,303.74	2026-03-16
C0302	HCPCS	Non-traumatic Brain Injury M >=52.50 And M <65.50	11	11	$23,250.56	$23,250.56	$23,250.56	$29,063.19	$23,250.56	2026-03-16
A0402	HCPCS	Traumatic Spinal Cord Injury M >=47.50 And M <56.50	11	11	$23,233.46	$23,233.46	$23,233.46	$29,041.83	$23,233.46	2026-03-16
A0903	HCPCS	Other Orthopedic M >=44.50 And M <51.50	11	11	$23,147.99	$23,147.99	$23,147.99	$28,934.98	$23,147.99	2026-03-16
A4642	HCPCS	In111 Satumomab Dx To 6mc	11	11	$23,119.32	$23,119.32	$23,119.32	$23,119.32	$23,119.32	2026-03-16
C0702	HCPCS	Fracture Of Lower Extremity M >=52.50 And M <61.50	11	11	$23,030.22	$23,030.22	$23,030.22	$28,787.78	$23,030.22	2026-03-16
A0503	HCPCS	Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50	11	11	$23,028.33	$23,028.33	$23,028.33	$28,785.41	$23,028.33	2026-03-16
D1502	HCPCS	Pulmonary M >=56.50 And M <68.50	11	11	$22,916.26	$22,916.26	$22,916.26	$28,645.33	$22,916.26	2026-03-16
47540	CPT	Pl St Bile Duct Cth Nw Ea	11	11	$22,908.18	$22,908.18	$22,908.18	$22,908.18	$22,908.18	2026-03-16
47539	CPT	Plc Stnt Bile Duct New Ea	11	11	$22,908.18	$22,908.18	$22,908.18	$22,908.18	$22,908.18	2026-03-16
47538	CPT	Plc Stent Bile Duct Ex Ea	11	11	$22,908.18	$22,908.18	$22,908.18	$22,908.18	$22,908.18	2026-03-16
A0103	HCPCS	Stroke M >=50.50 And M <63.50	11	11	$22,899.17	$22,899.17	$22,899.17	$28,623.96	$22,899.17	2026-03-16
A1902	HCPCS	Guillain-barré M >=51.50 And M <66.50	11	11	$22,768.11	$22,768.11	$22,768.11	$28,460.13	$22,768.11	2026-03-16
D1902	HCPCS	Guillain-barré M >=51.50 And M <66.50	11	11	$22,762.41	$22,762.41	$22,762.41	$28,453.01	$22,762.41	2026-03-16
D1702	HCPCS	Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50	11	11	$22,716.82	$22,716.82	$22,716.82	$28,396.03	$22,716.82	2026-03-16
B0301	HCPCS	Non-traumatic Brain Injury M >=65.50	11	11	$22,676.94	$22,676.94	$22,676.94	$28,346.17	$22,676.94	2026-03-16
C0902	HCPCS	Other Orthopedic M >=51.50 And M <63.50	11	11	$22,635.15	$22,635.15	$22,635.15	$28,293.94	$22,635.15	2026-03-16
B2001	HCPCS	Miscellaneous M >=66.50	11	11	$22,572.47	$22,572.47	$22,572.47	$28,215.59	$22,572.47	2026-03-16
A0804	HCPCS	Replacement Of Lower-extremity Joint M >=42.50 And M <51.50	11	11	$22,492.69	$22,492.69	$22,492.69	$28,115.87	$22,492.69	2026-03-16
C2002	HCPCS	Miscellaneous M >=55.50 And M <66.50	11	11	$22,475.60	$22,475.60	$22,475.60	$28,094.50	$22,475.60	2026-03-16
A2003	HCPCS	Miscellaneous M >=46.50 And M <55.50	11	11	$22,469.90	$22,469.90	$22,469.90	$28,087.38	$22,469.90	2026-03-16
A1303	HCPCS	Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50	11	11	$22,435.71	$22,435.71	$22,435.71	$28,044.64	$22,435.71	2026-03-16

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