|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
15
|
6
|
—
|
—
|
$3,248,445.72
|
$4,984,800.00
|
$3,573,290.29
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
9
|
5
|
—
|
—
|
$3,685,266.67
|
$4,975,110.00
|
$3,869,530.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
12
|
5
|
—
|
—
|
$3,316,462.59
|
$4,974,693.88
|
$3,482,285.72
|
2026-04-01
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
8
|
4
|
—
|
—
|
$4,505,000.00
|
$4,955,500.00
|
$4,617,625.00
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
19
|
8
|
—
|
—
|
$2,455,110.60
|
$4,910,221.21
|
$3,682,665.91
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
18
|
7
|
—
|
—
|
$2,945,740.00
|
$4,897,200.00
|
$4,197,679.50
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
19
|
8
|
—
|
—
|
$2,332,000.00
|
$4,664,000.00
|
$3,498,000.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
25
|
7
|
—
|
—
|
$770,620.00
|
$1,541,240.00
|
$1,155,930.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
25
|
7
|
—
|
—
|
$591,726.20
|
$1,156,649.16
|
$887,589.30
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
80
|
15
|
—
|
—
|
$335,641.30
|
$1,152,030.74
|
$347,198.75
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
28
|
8
|
—
|
—
|
$565,868.94
|
$1,131,737.89
|
$848,803.42
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
28
|
8
|
—
|
—
|
$562,538.19
|
$1,125,076.37
|
$843,807.28
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
28
|
8
|
—
|
—
|
$557,317.93
|
$1,114,635.87
|
$835,976.90
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
28
|
8
|
—
|
—
|
$533,230.17
|
$1,066,460.34
|
$799,845.26
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
28
|
8
|
—
|
—
|
$489,304.61
|
$979,440.00
|
$734,580.00
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
119
|
19
|
—
|
—
|
$703.24
|
$786,429.87
|
$48,702.67
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
88
|
15
|
—
|
—
|
$202,483.87
|
$747,621.60
|
$225,690.77
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
112
|
17
|
—
|
—
|
$164,067.36
|
$630,209.72
|
$179,754.72
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
80
|
15
|
—
|
—
|
$165,948.24
|
$569,588.64
|
$172,199.33
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
16
|
7
|
—
|
—
|
$278,250.00
|
$556,500.00
|
$340,856.25
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
104
|
17
|
—
|
—
|
$10,891.94
|
$447,219.95
|
$62,608.17
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
98
|
16
|
—
|
—
|
$51,388.11
|
$439,487.05
|
$54,619.00
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
84
|
15
|
—
|
—
|
$83,932.51
|
$438,014.66
|
$88,224.48
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
90
|
15
|
—
|
—
|
$80,615.44
|
$427,339.19
|
$89,403.58
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
88
|
15
|
—
|
—
|
$64,502.12
|
$399,508.09
|
$73,279.36
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
94
|
15
|
—
|
—
|
$54,927.81
|
$385,481.64
|
$59,942.57
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
102
|
16
|
—
|
—
|
$66,047.57
|
$369,527.65
|
$113,406.26
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
98
|
16
|
—
|
—
|
$17,946.47
|
$368,918.62
|
$81,088.96
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
84
|
16
|
—
|
—
|
$42,936.72
|
$366,439.29
|
$48,859.77
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
80
|
15
|
—
|
—
|
$100,656.32
|
$345,485.44
|
$104,865.71
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
90
|
15
|
—
|
—
|
$52,265.56
|
$333,437.34
|
$56,192.46
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
98
|
15
|
—
|
—
|
$61,160.79
|
$330,755.30
|
$66,064.08
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
80
|
15
|
—
|
—
|
$93,409.96
|
$320,613.54
|
$97,392.75
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
90
|
15
|
—
|
—
|
$71,986.29
|
$308,270.95
|
$79,477.04
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
84
|
15
|
—
|
—
|
$65,521.98
|
$307,027.24
|
$68,632.71
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
80
|
15
|
—
|
—
|
$88,077.20
|
$302,309.76
|
$91,893.23
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
80
|
15
|
—
|
—
|
$87,976.16
|
$301,962.95
|
$91,789.03
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
48
|
13
|
—
|
—
|
$4,080.00
|
$281,930.92
|
$48,836.76
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
80
|
15
|
—
|
—
|
$80,139.07
|
$275,063.52
|
$83,706.88
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
112
|
16
|
—
|
—
|
$7,801.90
|
$269,351.14
|
$48,624.37
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
90
|
16
|
—
|
—
|
$50,913.20
|
$260,162.79
|
$56,013.08
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
88
|
15
|
—
|
—
|
$46,533.64
|
$258,256.08
|
$49,208.45
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
86
|
15
|
—
|
—
|
$47,422.68
|
$249,890.43
|
$53,766.94
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
84
|
15
|
—
|
—
|
$13,387.60
|
$231,018.14
|
$70,473.09
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
104
|
17
|
—
|
—
|
$59,422.85
|
$229,139.75
|
$62,342.85
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
88
|
16
|
—
|
—
|
$54,322.40
|
$224,185.91
|
$68,420.29
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
110
|
17
|
—
|
—
|
$43,387.13
|
$222,754.77
|
$49,859.82
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
98
|
16
|
—
|
—
|
$57,701.70
|
$203,283.69
|
$63,177.25
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
108
|
16
|
—
|
—
|
$1,355.14
|
$203,141.92
|
$56,464.19
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
92
|
15
|
—
|
—
|
$52,435.84
|
$192,188.20
|
$58,216.41
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
80
|
15
|
—
|
—
|
$55,773.62
|
$191,433.32
|
$58,579.52
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
80
|
15
|
—
|
—
|
$55,750.31
|
$191,353.29
|
$58,555.47
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
80
|
15
|
—
|
—
|
$55,454.17
|
$190,336.86
|
$58,250.07
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
86
|
15
|
—
|
—
|
$49,740.90
|
$178,382.45
|
$54,658.27
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
80
|
15
|
—
|
—
|
$51,106.97
|
$175,415.85
|
$53,766.94
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
80
|
15
|
—
|
—
|
$50,921.21
|
$174,778.25
|
$53,575.36
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
112
|
16
|
—
|
—
|
$43,473.28
|
$172,531.96
|
$52,639.94
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
13
|
4
|
—
|
—
|
$110,901.76
|
$166,352.64
|
$141,345.39
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
98
|
15
|
—
|
—
|
$37,441.06
|
$164,752.43
|
$50,184.76
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
80
|
15
|
—
|
—
|
$47,578.23
|
$163,304.04
|
$50,127.85
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
90
|
15
|
—
|
—
|
$46,699.93
|
$162,188.90
|
$49,222.08
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
84
|
15
|
—
|
—
|
$47,121.98
|
$161,738.04
|
$49,657.33
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
80
|
15
|
—
|
—
|
$46,089.00
|
$158,192.54
|
$48,592.05
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
90
|
15
|
—
|
—
|
$44,033.43
|
$156,461.13
|
$48,071.84
|
2026-04-01
|
|
5378
|
OTHER
|
Level 8 Urology And Related Services
|
16
|
7
|
—
|
—
|
$18,563.28
|
$154,652.06
|
$56,203.05
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
23
|
8
|
—
|
—
|
$56,824.55
|
$150,310.46
|
$85,236.82
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
10
|
3
|
—
|
—
|
$102,820.55
|
$148,099.50
|
$105,841.78
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
32
|
8
|
—
|
—
|
$63,342.28
|
$142,719.86
|
$99,085.64
|
2026-04-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
3
|
1
|
—
|
—
|
$121,181.71
|
$139,825.05
|
$139,825.05
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
32
|
8
|
—
|
—
|
$55,272.32
|
$125,878.43
|
$87,393.20
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
13
|
4
|
—
|
—
|
$68,801.71
|
$103,202.56
|
$87,688.46
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
32
|
8
|
—
|
—
|
$45,020.65
|
$102,510.88
|
$71,169.89
|
2026-04-01
|
|
33736
|
HCPCS
|
Revision Of Heart Chamber
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
32854
|
HCPCS
|
Lung Transplant With Bypass
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
C7535
|
HCPCS
|
Fem/pop Revasc W/stent & US
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33929
|
HCPCS
|
Rmvl Rplcmt Hrt Sys F/trnspl
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
C9606
|
HCPCS
|
Perc D-e Cor Revasc W Ami S
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0873T
|
HCPCS
|
Revj Subq Prtl Asct Pmp Sys
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33422
|
HCPCS
|
Revision Of Mitral Valve
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0870T
|
HCPCS
|
Imp Subq Prtl Ascts Pmp Sys
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0871T
|
HCPCS
|
Rplcmt Subq Prtl Ascites Pmp
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33928
|
HCPCS
|
Rmvl & Rplcmt Tot Hrt Sys
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
50380
|
HCPCS
|
Reimplantation Of Kidney
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
93583
|
HCPCS
|
Perq Transcath Septal Reduxn
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0872T
|
HCPCS
|
Rplcmt Ndwllg Bldr&prtl Cath
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
48554
|
HCPCS
|
Transpl Allograft Pancreas
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
50360
|
HCPCS
|
Transplantation Of Kidney
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
47135
|
HCPCS
|
Transplantation Of Liver
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33945
|
HCPCS
|
Transplantation Of Heart
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0586T
|
HCPCS
|
Open Islet Cell Transplant
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33927
|
HCPCS
|
Impltj Tot Rplcmt Hrt Sys
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0942T
|
HCPCS
|
Cysto Flx Rmv&rplc Urtl Scaf
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
50365
|
HCPCS
|
Transplantation Of Kidney
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0968T
|
HCPCS
|
Insj/rplcmt Epcrnl Nstim Sys
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33267
|
HCPCS
|
Excl Laa Open Any Method
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33269
|
HCPCS
|
Excl Laa Thrscp Any Method
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33935
|
HCPCS
|
Transplantation Heart/lung
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33268
|
HCPCS
|
Excl Laa Opn Oth Px Any Meth
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
C7534
|
HCPCS
|
Fem/pop Revasc W/arthr & US
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
32853
|
HCPCS
|
Lung Transplant Double
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
32852
|
HCPCS
|
Lung Transplant With Bypass
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
61889
|
HCPCS
|
Ins Sk-mnt Crnl Nstm Pg/rcvr
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0585T
|
HCPCS
|
Laps Islet Cell Transplant
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33391
|
HCPCS
|
Valvuloplasty Aortic Valve
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
54438
|
HCPCS
|
Replantation Of Penis
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
G0342
|
HCPCS
|
Laparoscopy Islet Cell Trans
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
G0343
|
HCPCS
|
Laparotomy Islet Cell Transp
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
33737
|
HCPCS
|
Revision Of Heart Chamber
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0814T
|
HCPCS
|
Prq Njx Biod Osteo Matrl Fem
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
C7539
|
HCPCS
|
Insrt A & V Pm W/l Vent Lead
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0584T
|
HCPCS
|
Perq Islet Cell Transplant
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
32851
|
HCPCS
|
Lung Transplant Single
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&Gen
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
22860
|
HCPCS
|
Tot Disc Arthrp 2ntrspc Lmbr
|
3
|
1
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$100,125.00
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
13
|
4
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$69,877.52
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
13
|
4
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$48,931.70
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
13
|
4
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$48,931.70
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
13
|
4
|
—
|
—
|
$40,050.00
|
$100,125.00
|
$48,931.70
|
2026-04-01
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
4
|
2
|
—
|
—
|
$26,742.65
|
$92,432.69
|
$59,587.67
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
3
|
1
|
—
|
—
|
$76,782.00
|
$76,782.00
|
$76,782.00
|
2026-04-01
|
|
9396
|
OTHER
|
Afamelanotide Implant, 1 Mg
|
2
|
1
|
—
|
—
|
$76,025.38
|
$76,025.38
|
$76,025.38
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
3
|
1
|
—
|
—
|
$74,614.73
|
$74,614.73
|
$74,614.73
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
13
|
4
|
—
|
—
|
$49,338.18
|
$74,007.27
|
$62,881.99
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
13
|
4
|
—
|
—
|
$47,919.99
|
$71,879.98
|
$61,074.49
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
6
|
3
|
—
|
—
|
$46,601.62
|
$69,902.43
|
$48,931.70
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
13
|
4
|
—
|
—
|
$39,537.89
|
$59,306.84
|
$50,391.42
|
2026-04-01
|
|
33692
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33694
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33305
|
HCPCS
|
Repair Of Heart Wound
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33697
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C9784
|
HCPCS
|
Endo Sleeve Gastro W/tube
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C9751
|
HCPCS
|
Microwave Bronch, 3d, Ebus
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33702
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33310
|
HCPCS
|
Exploratory Heart Surgery
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33362
|
HCPCS
|
Replace Aortic Valve Open
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33688
|
HCPCS
|
Repair Heart Septum Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33975
|
HCPCS
|
Implant Ventricular Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33910
|
HCPCS
|
Remove Lung Artery Emboli
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C7537
|
HCPCS
|
Insrt Atril Pm W/l Vent Lead
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33676
|
HCPCS
|
Close Mult Vsd W/resection
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33681
|
HCPCS
|
Repair Heart Septum Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33915
|
HCPCS
|
Remove Lung Artery Emboli
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C7540
|
HCPCS
|
Rmv&rplc Pm Dul W/l Vnt Lead
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33665
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33670
|
HCPCS
|
Repair Of Heart Chambers
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33988
|
HCPCS
|
Insertion Of Left Heart Vent
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33361
|
HCPCS
|
Replace Aortic Valve Perq
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33684
|
HCPCS
|
Repair Heart Septum Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0545T
|
HCPCS
|
Tcat Tv Annulus Rcnstj
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33363
|
HCPCS
|
Replace Aortic Valve Open
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33675
|
HCPCS
|
Close Mult Vsd
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33617
|
HCPCS
|
Repair Single Ventricle
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0952T
|
HCPCS
|
Tot Impl Amei Rev/rplc Mstdc
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
51721
|
HCPCS
|
Ins Trurl Ablt Trnsdc Thr US
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33619
|
HCPCS
|
Repair Single Ventricle
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33895
|
HCPCS
|
Evasc St Rpr Thrc/aa X Crsg
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C7515
|
HCPCS
|
Cath/angio Dial Cir W/embol
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C7530
|
HCPCS
|
Cath/aplasty Dial Cir W/stnt
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33881
|
HCPCS
|
Endovasc Taa Repr Without Subcl
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33883
|
HCPCS
|
Insert Endovasc Prosth Taa
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33884
|
HCPCS
|
Endovasc Prosth Taa Add-on
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33897
|
HCPCS
|
Perq Trluml Angp Nt/recr Coa
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33980
|
HCPCS
|
Remove Intracorporeal Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0951T
|
HCPCS
|
Tot Impl Amei 1st Plmt
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33622
|
HCPCS
|
Redo Compl Cardiac Anomaly
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33871
|
HCPCS
|
Transvrs A-arch Grf Hypthrm
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33600
|
HCPCS
|
Closure Of Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33602
|
HCPCS
|
Closure Of Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33572
|
HCPCS
|
Open Coronary Endarterectomy
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33364
|
HCPCS
|
Replace Aortic Valve Open
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33875
|
HCPCS
|
Thoracic Aortic Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
22632
|
HCPCS
|
Spine Fusion Extra Segment
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33340
|
HCPCS
|
Perq Clsr Tcat L Atr Apndge
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34701
|
HCPCS
|
Evasc Rpr A-ao Ndgft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33976
|
HCPCS
|
Implant Ventricular Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33608
|
HCPCS
|
Repair Anomaly W/conduit
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
43283
|
HCPCS
|
Lap Esoph Lengthening
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33720
|
HCPCS
|
Repair Of Heart Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33989
|
HCPCS
|
Removal Of Left Heart Vent
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
C7531
|
HCPCS
|
Angio Fem/pop With US
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33533
|
HCPCS
|
Cabg Arterial Single
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0483T
|
HCPCS
|
Tmvi Percutaneous Approach
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33534
|
HCPCS
|
Cabg Arterial Two
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33536
|
HCPCS
|
Cabg Arterial Four Or More
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33535
|
HCPCS
|
Cabg Arterial Three
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33853
|
HCPCS
|
Repair Septal Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33523
|
HCPCS
|
Cabg Art-vein Six Or More
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0398T
|
HCPCS
|
Mrgfus Strtctc Les Abltj
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33858
|
HCPCS
|
As-aort Grf F/aortic Dsj
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33641
|
HCPCS
|
Repair Heart Septum Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33859
|
HCPCS
|
As-aort Grf F/ds Oth/thn Dsj
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33530
|
HCPCS
|
Coronary Artery Bypass/reop
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33518
|
HCPCS
|
Cabg Artery-vein Two
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33519
|
HCPCS
|
Cabg Artery-vein Three
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33521
|
HCPCS
|
Cabg Artery-vein Four
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
37226
|
HCPCS
|
Fem/popl Revasc W/stent
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33542
|
HCPCS
|
Removal Of Heart Lesion
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0659T
|
HCPCS
|
Tcat Intra-c Nfs Supersat O2
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33606
|
HCPCS
|
Anastomosis/artery-aorta
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
37228
|
HCPCS
|
Tib/per Revasc W/tla
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33852
|
HCPCS
|
Repair Septal Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33978
|
HCPCS
|
Remove Ventricular Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
37225
|
HCPCS
|
Fem/popl Revas W/ather
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33612
|
HCPCS
|
Repair Double Ventricle
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33877
|
HCPCS
|
Thoracoabdominal Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33611
|
HCPCS
|
Repair Double Ventricle
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33610
|
HCPCS
|
Repair By Enlargement
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33880
|
HCPCS
|
Endovasc Taa Repr Incl Subcl
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33889
|
HCPCS
|
Artery Transpose/endovas Taa
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33894
|
HCPCS
|
Evasc St Rpr Thrc/aa Acrs Br
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33517
|
HCPCS
|
Cabg Artery-vein Single
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33886
|
HCPCS
|
Endovasc Prosth Delayed
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33522
|
HCPCS
|
Cabg Artery-vein Five
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33891
|
HCPCS
|
Car-car Bp Grft/endovas Taa
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0953T
|
HCPCS
|
Tot Impl Amei Rev/rplc Without
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33615
|
HCPCS
|
Repair Modified Fontan
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33545
|
HCPCS
|
Repair Of Heart Damage
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33863
|
HCPCS
|
Ascending Aortic Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33512
|
HCPCS
|
Cabg Vein Three
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33513
|
HCPCS
|
Cabg Vein Four
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33845
|
HCPCS
|
Remove Aorta Constriction
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33710
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33647
|
HCPCS
|
Repair Heart Septum Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33660
|
HCPCS
|
Repair Of Heart Defects
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0553T
|
HCPCS
|
Perq Tcat Iliac Anast Implt
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33315
|
HCPCS
|
Exploratory Heart Surgery
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0570T
|
HCPCS
|
Ttvr Perq Ea Addl Prosth
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33514
|
HCPCS
|
Cabg Vein Five
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33982
|
HCPCS
|
Replace Vad Intra Without Bp
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34502
|
HCPCS
|
Reconstruct Vena Cava
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33677
|
HCPCS
|
Cl Mult Vsd W/rem Pul Band
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0806T
|
HCPCS
|
Tcat S&ivc Prstc Vl Impl Opn
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
37221
|
HCPCS
|
Iliac Revasc W/stent
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
92941
|
HCPCS
|
Prq Card Revasc Mi 1 Vsl
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33507
|
HCPCS
|
Repair Art Intramural
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33506
|
HCPCS
|
Repair Artery Translocation
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33511
|
HCPCS
|
Cabg Vein Two
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33504
|
HCPCS
|
Coronary Artery Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33505
|
HCPCS
|
Repair Artery W/tunnel
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0613T
|
HCPCS
|
Perq Tcat Intratrl Septl Sht
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33510
|
HCPCS
|
Cabg Vein Single
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33516
|
HCPCS
|
Cabg Vein Six Or More
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33995
|
HCPCS
|
Insj Perq Vad R Hrt Venous
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34830
|
HCPCS
|
Open Aortic Tube Prosth Repr
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34832
|
HCPCS
|
Open Aortofemor Prosth Repr
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33864
|
HCPCS
|
Ascending Aortic Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0569T
|
HCPCS
|
Ttvr Perq Appr 1st Prosth
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33300
|
HCPCS
|
Repair Of Heart Wound
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33851
|
HCPCS
|
Remove Aorta Constriction
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34831
|
HCPCS
|
Open Aortoiliac Prosth Repr
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
43279
|
HCPCS
|
Lap Myotomy Heller
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33478
|
HCPCS
|
Revision Of Heart Chamber
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
22226
|
HCPCS
|
Revise Extra Spine Segment
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33501
|
HCPCS
|
Repair Heart Vessel Fistula
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33476
|
HCPCS
|
Revision Of Heart Chamber
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33475
|
HCPCS
|
Replacement Pulmonary Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33500
|
HCPCS
|
Repair Heart Vessel Fistula
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33813
|
HCPCS
|
Repair Septal Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33203
|
HCPCS
|
Insert Epicard Eltrd Endo
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33471
|
HCPCS
|
Valvotomy Pulmonary Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33474
|
HCPCS
|
Revision Of Pulmonary Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33120
|
HCPCS
|
Removal Of Heart Lesion
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33202
|
HCPCS
|
Insert Epicard Eltrd Open
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34706
|
HCPCS
|
Evasc Rpr A-biiliac Rpt
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33463
|
HCPCS
|
Valvuloplasty Tricuspid
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33460
|
HCPCS
|
Revision Of Tricuspid Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33464
|
HCPCS
|
Valvuloplasty Tricuspid
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33465
|
HCPCS
|
Replace Tricuspid Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33440
|
HCPCS
|
Rplcmt A-valve Tlcj Autol Pv
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33503
|
HCPCS
|
Coronary Artery Graft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34717
|
HCPCS
|
Evasc Rpr A-iliac Ndgft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33426
|
HCPCS
|
Repair Of Mitral Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32666
|
HCPCS
|
Thoracoscopy W/wedge Resect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
34705
|
HCPCS
|
Evac Rpr A-biiliac Ndgft
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33814
|
HCPCS
|
Repair Septal Defect
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33977
|
HCPCS
|
Remove Ventricular Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33468
|
HCPCS
|
Revision Of Tricuspid Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33502
|
HCPCS
|
Coronary Artery Correction
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33979
|
HCPCS
|
Insert Intracorporeal Device
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32503
|
HCPCS
|
Resect Apical Lung Tumor
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0805T
|
HCPCS
|
Tcat S&ivc Prstc Vl Impl Prq
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33417
|
HCPCS
|
Repair Of Aortic Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32504
|
HCPCS
|
Resect Apical Lung Tum/chest
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33427
|
HCPCS
|
Repair Of Mitral Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32540
|
HCPCS
|
Removal Of Lung Lesion
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0543T
|
HCPCS
|
Ta Mv Rpr W/artif Chord Tend
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32501
|
HCPCS
|
Repair Bronchus Add-on
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33993
|
HCPCS
|
Reposition Vad Diff Session
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32906
|
HCPCS
|
Revise & Repair Chest Wall
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0235T
|
HCPCS
|
Trluml Perip Athrc Visceral
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32905
|
HCPCS
|
Revise & Repair Chest Wall
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
33430
|
HCPCS
|
Replacement Of Mitral Valve
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
32940
|
HCPCS
|
Revision Of Lung
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|
|
0345T
|
HCPCS
|
Transcath Mtral Vlve Repair
|
3
|
1
|
—
|
—
|
$47,628.00
|
$50,875.00
|
$47,628.00
|
2026-04-01
|