|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
4
|
—
|
—
|
$4,505,000.00
|
$4,730,250.00
|
$4,550,050.00
|
2026-09-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
11
|
8
|
—
|
—
|
$3,235,303.98
|
$4,984,800.00
|
$4,367,660.38
|
2026-09-01
|
|
C9309
|
HCPCS
|
Inj Onase Abepar-brve Treat
|
2
|
2
|
—
|
—
|
$4,159,300.56
|
$4,395,977.17
|
$4,277,638.87
|
2026-09-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
13
|
9
|
—
|
—
|
$2,930,260.34
|
$4,897,200.00
|
$3,976,749.00
|
2026-09-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
7
|
5
|
—
|
—
|
$3,685,266.67
|
$4,983,457.50
|
$3,869,530.00
|
2026-09-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
6
|
6
|
—
|
—
|
$3,180,000.00
|
$4,824,000.00
|
$3,816,000.00
|
2026-09-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
13
|
9
|
—
|
—
|
$2,455,110.60
|
$4,268,693.98
|
$3,618,050.47
|
2026-09-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
9
|
7
|
—
|
—
|
$3,316,462.59
|
$4,975,345.69
|
$3,482,741.98
|
2026-09-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
5
|
5
|
—
|
—
|
$3,285,782.70
|
$4,928,674.05
|
$3,450,071.84
|
2026-09-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
13
|
9
|
—
|
—
|
$2,300,906.67
|
$3,847,800.00
|
$3,148,200.00
|
2026-09-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
19
|
9
|
—
|
—
|
$770,620.00
|
$1,627,934.75
|
$1,155,930.00
|
2026-09-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
20
|
10
|
—
|
—
|
$591,726.20
|
$1,228,361.62
|
$902,564.53
|
2026-09-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
20
|
10
|
—
|
—
|
$565,868.94
|
$1,176,989.62
|
$865,385.03
|
2026-09-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
20
|
10
|
—
|
—
|
$562,538.19
|
$1,159,141.23
|
$848,004.56
|
2026-09-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
20
|
10
|
—
|
—
|
$557,317.93
|
$1,135,955.56
|
$843,971.79
|
2026-09-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
20
|
10
|
—
|
—
|
$533,230.17
|
$1,125,001.78
|
$803,774.28
|
2026-09-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
20
|
10
|
—
|
—
|
$489,304.61
|
$1,020,207.84
|
$749,556.40
|
2026-09-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
12
|
8
|
—
|
—
|
$278,250.00
|
$459,112.50
|
$375,637.50
|
2026-09-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
37
|
16
|
—
|
—
|
$337,714.43
|
$1,152,030.74
|
$354,600.15
|
2026-09-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
7
|
6
|
—
|
—
|
$261,579.65
|
$402,000.00
|
$353,132.53
|
2026-09-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
11
|
7
|
—
|
—
|
$203,659.76
|
$407,319.53
|
$305,489.64
|
2026-09-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
37
|
16
|
—
|
—
|
$219,863.60
|
$747,621.60
|
$230,856.78
|
2026-09-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
37
|
16
|
—
|
—
|
$167,982.15
|
$569,588.64
|
$176,381.26
|
2026-09-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
16
|
—
|
—
|
$167,008.02
|
$566,245.89
|
$175,358.42
|
2026-09-01
|
|
J3404
|
HCPCS
|
Inj Zopapogene Per Ther Dose
|
8
|
6
|
—
|
—
|
$121,900.00
|
$201,135.00
|
$172,103.25
|
2026-09-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
11
|
7
|
—
|
—
|
$110,901.76
|
$166,352.64
|
$141,345.39
|
2026-09-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$121,181.71
|
$123,605.34
|
$122,393.52
|
2026-09-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
37
|
16
|
—
|
—
|
$109,681.40
|
$369,527.65
|
$115,165.47
|
2026-09-01
|
|
J9183
|
HCPCS
|
Gemcitabine Intravesical Sys
|
12
|
7
|
—
|
—
|
$72,984.24
|
$146,176.52
|
$111,823.76
|
2026-09-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
6
|
5
|
—
|
—
|
$102,820.55
|
$138,148.31
|
$110,591.84
|
2026-09-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
37
|
16
|
—
|
—
|
$102,675.14
|
$345,485.44
|
$107,808.90
|
2026-09-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
37
|
16
|
—
|
—
|
$95,427.10
|
$320,613.54
|
$100,198.46
|
2026-09-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
22
|
10
|
—
|
—
|
$63,342.28
|
$128,663.23
|
$97,791.53
|
2026-09-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
37
|
16
|
—
|
—
|
$90,093.11
|
$302,309.76
|
$94,597.77
|
2026-09-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
37
|
16
|
—
|
—
|
$89,992.04
|
$301,962.95
|
$94,491.64
|
2026-09-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$92,862.00
|
$92,862.00
|
$92,862.00
|
2026-09-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
16
|
—
|
—
|
$87,678.39
|
$294,023.57
|
$92,062.31
|
2026-09-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
37
|
16
|
—
|
—
|
$86,534.78
|
$290,099.24
|
$90,861.52
|
2026-09-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
11
|
7
|
—
|
—
|
$68,801.71
|
$103,202.56
|
$87,688.46
|
2026-09-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
37
|
16
|
—
|
—
|
$82,153.15
|
$275,063.52
|
$86,260.81
|
2026-09-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
22
|
10
|
—
|
—
|
$55,272.32
|
$112,538.38
|
$85,645.92
|
2026-09-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
37
|
16
|
—
|
—
|
$79,404.91
|
$265,632.85
|
$83,375.16
|
2026-09-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
16
|
—
|
—
|
$78,050.61
|
$260,985.54
|
$81,953.14
|
2026-09-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
8
|
6
|
—
|
—
|
$56,824.55
|
$109,033.19
|
$80,974.98
|
2026-09-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
1
|
1
|
—
|
—
|
$77,046.96
|
$77,046.96
|
$77,046.96
|
2026-09-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
37
|
16
|
—
|
—
|
$72,039.48
|
$240,358.11
|
$75,641.45
|
2026-09-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
37
|
16
|
—
|
—
|
$69,317.67
|
$231,018.14
|
$72,783.55
|
2026-09-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
37
|
16
|
—
|
—
|
$67,532.68
|
$224,892.87
|
$70,909.31
|
2026-09-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
16
|
—
|
—
|
$67,326.65
|
$224,185.91
|
$70,692.98
|
2026-09-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
6
|
5
|
—
|
—
|
$39,249.00
|
$99,825.02
|
$68,546.52
|
2026-09-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
37
|
16
|
—
|
—
|
$63,170.48
|
$209,923.85
|
$66,329.00
|
2026-09-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
22
|
10
|
—
|
—
|
$37,491.97
|
$91,120.78
|
$65,924.00
|
2026-09-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
16
|
—
|
—
|
$61,689.46
|
$204,841.69
|
$64,773.93
|
2026-09-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
37
|
16
|
—
|
—
|
$61,432.13
|
$203,958.65
|
$64,503.74
|
2026-09-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
37
|
16
|
—
|
—
|
$61,235.44
|
$203,283.69
|
$64,297.21
|
2026-09-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
11
|
7
|
—
|
—
|
$49,338.18
|
$74,007.27
|
$62,881.99
|
2026-09-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
11
|
7
|
—
|
—
|
$47,919.99
|
$71,879.98
|
$61,074.49
|
2026-09-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
16
|
—
|
—
|
$58,115.59
|
$192,577.81
|
$61,021.37
|
2026-09-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
37
|
16
|
—
|
—
|
$57,782.07
|
$191,433.32
|
$60,671.17
|
2026-09-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
37
|
16
|
—
|
—
|
$57,758.74
|
$191,353.29
|
$60,646.68
|
2026-09-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
37
|
16
|
—
|
—
|
$57,462.54
|
$190,336.86
|
$60,335.67
|
2026-09-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
37
|
16
|
—
|
—
|
$57,429.89
|
$190,224.81
|
$60,301.38
|
2026-09-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
37
|
16
|
—
|
—
|
$55,730.41
|
$184,393.00
|
$58,516.93
|
2026-09-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
37
|
16
|
—
|
—
|
$55,466.86
|
$183,488.62
|
$58,240.20
|
2026-09-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
37
|
16
|
—
|
—
|
$54,325.58
|
$179,572.29
|
$57,041.86
|
2026-09-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
37
|
16
|
—
|
—
|
$53,978.85
|
$178,382.45
|
$56,677.79
|
2026-09-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
37
|
16
|
—
|
—
|
$53,940.75
|
$178,251.72
|
$56,637.79
|
2026-09-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
16
|
—
|
—
|
$53,114.34
|
$175,415.85
|
$55,770.06
|
2026-09-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
16
|
—
|
—
|
$53,114.34
|
$175,415.85
|
$55,770.06
|
2026-09-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
37
|
16
|
—
|
—
|
$52,928.53
|
$174,778.25
|
$55,574.96
|
2026-09-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
16
|
—
|
—
|
$52,021.26
|
$171,664.93
|
$54,622.32
|
2026-09-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
37
|
16
|
—
|
—
|
$49,639.97
|
$163,493.46
|
$52,121.97
|
2026-09-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$49,584.77
|
$163,304.04
|
$52,064.01
|
2026-09-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
37
|
16
|
—
|
—
|
$49,128.42
|
$161,738.04
|
$51,584.84
|
2026-09-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
37
|
16
|
—
|
—
|
$48,706.27
|
$160,289.43
|
$51,141.58
|
2026-09-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
37
|
16
|
—
|
—
|
$48,693.06
|
$160,244.07
|
$51,127.71
|
2026-09-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
16
|
—
|
—
|
$48,354.87
|
$159,083.58
|
$50,772.61
|
2026-09-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
38
|
16
|
—
|
—
|
$8,102.33
|
$158,560.69
|
$50,612.61
|
2026-09-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
37
|
16
|
—
|
—
|
$48,095.21
|
$158,192.54
|
$50,499.97
|
2026-09-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
11
|
7
|
—
|
—
|
$39,537.89
|
$59,306.84
|
$50,391.42
|
2026-09-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
37
|
16
|
—
|
—
|
$47,620.19
|
$156,562.51
|
$50,001.20
|
2026-09-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$47,590.65
|
$156,461.13
|
$49,970.18
|
2026-09-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
37
|
16
|
—
|
—
|
$46,831.09
|
$153,854.69
|
$49,172.64
|
2026-09-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
16
|
—
|
—
|
$46,545.00
|
$152,872.94
|
$48,872.25
|
2026-09-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
37
|
16
|
—
|
—
|
$46,363.08
|
$152,248.68
|
$48,681.23
|
2026-09-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
38
|
16
|
—
|
—
|
$21,755.25
|
$152,051.26
|
$48,620.83
|
2026-09-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
6
|
5
|
—
|
—
|
$39,249.00
|
$69,902.43
|
$47,999.66
|
2026-09-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
6
|
5
|
—
|
—
|
$39,249.00
|
$69,902.43
|
$47,999.66
|
2026-09-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
6
|
5
|
—
|
—
|
$39,249.00
|
$69,902.43
|
$47,999.66
|
2026-09-01
|
|
0870T
|
OTHER
|
Imp Subq Prtl Ascts Pmp Sys
|
6
|
5
|
—
|
—
|
$39,249.00
|
$69,902.43
|
$47,999.66
|
2026-09-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
6
|
5
|
—
|
—
|
$39,249.00
|
$69,902.43
|
$47,999.66
|
2026-09-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
16
|
—
|
—
|
$45,703.03
|
$149,983.72
|
$47,988.18
|
2026-09-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
37
|
16
|
—
|
—
|
$45,567.76
|
$149,519.52
|
$47,846.15
|
2026-09-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
37
|
16
|
—
|
—
|
$45,269.22
|
$148,495.08
|
$47,532.68
|
2026-09-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
37
|
16
|
—
|
—
|
$44,933.37
|
$147,342.59
|
$47,180.04
|
2026-09-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
37
|
16
|
—
|
—
|
$44,676.04
|
$146,459.55
|
$46,909.84
|
2026-09-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
37
|
16
|
—
|
—
|
$44,525.22
|
$145,942.00
|
$46,751.48
|
2026-09-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
37
|
16
|
—
|
—
|
$44,464.58
|
$145,733.91
|
$46,687.81
|
2026-09-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
37
|
16
|
—
|
—
|
$44,397.72
|
$145,504.48
|
$46,617.61
|
2026-09-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
37
|
16
|
—
|
—
|
$44,228.24
|
$144,922.90
|
$46,439.65
|
2026-09-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
16
|
—
|
—
|
$43,454.69
|
$142,268.44
|
$45,627.42
|
2026-09-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
37
|
16
|
—
|
—
|
$43,429.81
|
$142,183.07
|
$45,601.30
|
2026-09-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
37
|
16
|
—
|
—
|
$43,151.49
|
$141,228.00
|
$45,309.06
|
2026-09-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
37
|
16
|
—
|
—
|
$43,015.44
|
$140,761.13
|
$45,166.21
|
2026-09-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
37
|
16
|
—
|
—
|
$42,464.23
|
$138,869.66
|
$44,587.44
|
2026-09-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
11
|
7
|
—
|
—
|
$34,970.13
|
$52,455.20
|
$44,569.77
|
2026-09-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
37
|
16
|
—
|
—
|
$42,394.26
|
$138,629.56
|
$44,513.97
|
2026-09-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
22
|
10
|
—
|
—
|
$28,424.06
|
$59,327.93
|
$44,401.22
|
2026-09-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
16
|
—
|
—
|
$41,179.91
|
$134,462.46
|
$43,238.91
|
2026-09-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
37
|
16
|
—
|
—
|
$40,769.42
|
$133,053.86
|
$42,807.89
|
2026-09-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
37
|
16
|
—
|
—
|
$40,458.45
|
$131,986.74
|
$42,481.37
|
2026-09-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$40,390.03
|
$131,751.97
|
$42,409.53
|
2026-09-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
38
|
16
|
—
|
—
|
$32,157.50
|
$131,301.11
|
$42,271.58
|
2026-09-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
37
|
16
|
—
|
—
|
$40,099.27
|
$130,754.21
|
$42,104.23
|
2026-09-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
37
|
16
|
—
|
—
|
$39,535.63
|
$128,820.06
|
$41,512.41
|
2026-09-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
37
|
16
|
—
|
—
|
$39,345.94
|
$128,169.12
|
$41,313.24
|
2026-09-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
37
|
16
|
—
|
—
|
$39,007.75
|
$127,008.62
|
$40,958.14
|
2026-09-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
37
|
16
|
—
|
—
|
$38,545.95
|
$125,423.95
|
$40,473.25
|
2026-09-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
16
|
—
|
—
|
$38,471.32
|
$125,167.84
|
$40,394.89
|
2026-09-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
16
|
—
|
—
|
$38,362.48
|
$124,794.35
|
$40,280.60
|
2026-09-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
37
|
16
|
—
|
—
|
$38,045.28
|
$123,705.89
|
$39,947.54
|
2026-09-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
37
|
16
|
—
|
—
|
$37,901.46
|
$123,212.34
|
$39,796.53
|
2026-09-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
39
|
17
|
—
|
—
|
$22,740.98
|
$122,625.43
|
$39,616.94
|
2026-09-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
37
|
16
|
—
|
—
|
$37,639.46
|
$122,313.29
|
$39,521.43
|
2026-09-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
37
|
16
|
—
|
—
|
$37,465.32
|
$121,715.71
|
$39,338.59
|
2026-09-01
|
|
32853
|
HCPCS
|
Lung Transplant Double
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
32854
|
HCPCS
|
Lung Transplant With Bypass
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33935
|
HCPCS
|
Transplantation Heart/lung
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
32851
|
HCPCS
|
Lung Transplant Single
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33928
|
HCPCS
|
Rmvl & Rplcmt Tot Hrt Sys
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
22860
|
HCPCS
|
Tot Disc Arthrp 2ntrspc Lmbr
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33929
|
HCPCS
|
Rmvl Rplcmt Hrt Sys F/trnspl
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
32852
|
HCPCS
|
Lung Transplant With Bypass
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33269
|
HCPCS
|
Excl Laa Thrscp Any Method
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33945
|
HCPCS
|
Transplantation Of Heart
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
G0342
|
HCPCS
|
Laparoscopy Islet Cell Trans
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33267
|
HCPCS
|
Excl Laa Open Any Method
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
G0343
|
HCPCS
|
Laparotomy Islet Cell Transp
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
C7539
|
HCPCS
|
Insrt A & V Pm W/l Vent Lead
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
C7535
|
HCPCS
|
Fem/pop Revasc W/stent & US
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
93583
|
HCPCS
|
Perq Transcath Septal Reduxn
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
C7534
|
HCPCS
|
Fem/pop Revasc W/arthr & US
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
61889
|
HCPCS
|
Ins Sk-mnt Crnl Nstm Pg/rcvr
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
1013T
|
OTHER
|
Lap Srg Imp/rpl Eso Nea&pg/r
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
C9606
|
HCPCS
|
Perc D-e Cor Revasc W Ami S
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33391
|
HCPCS
|
Valvuloplasty Aortic Valve
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0584T
|
OTHER
|
Perq Islet Cell Transplant
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0100T
|
OTHER
|
Prosth Retina Receive&Gen
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33268
|
HCPCS
|
Excl Laa Opn Oth Px Any Meth
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0586T
|
OTHER
|
Open Islet Cell Transplant
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
50365
|
HCPCS
|
Transplantation Of Kidney
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0585T
|
OTHER
|
Laps Islet Cell Transplant
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
50360
|
HCPCS
|
Transplantation Of Kidney
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33422
|
HCPCS
|
Revision Of Mitral Valve
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0814T
|
OTHER
|
Prq Njx Biod Osteo Matrl Fem
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33736
|
HCPCS
|
Revision Of Heart Chamber
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
50380
|
HCPCS
|
Reimplantation Of Kidney
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
47135
|
HCPCS
|
Transplantation Of Liver
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
33927
|
HCPCS
|
Impltj Tot Rplcmt Hrt Sys
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
0968T
|
OTHER
|
Insj/rplcmt Epcrnl Nstim Sys
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
48554
|
HCPCS
|
Transpl Allograft Pancreas
|
1
|
1
|
—
|
—
|
$39,249.00
|
$39,249.00
|
$39,249.00
|
2026-09-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$37,358.81
|
$121,350.22
|
$39,226.75
|
2026-09-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
37
|
16
|
—
|
—
|
$37,343.26
|
$121,296.86
|
$39,210.42
|
2026-09-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
37
|
16
|
—
|
—
|
$37,204.87
|
$120,821.99
|
$39,065.11
|
2026-09-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
37
|
16
|
—
|
—
|
$36,838.70
|
$119,565.46
|
$38,680.64
|
2026-09-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
37
|
16
|
—
|
—
|
$36,828.60
|
$119,530.78
|
$38,670.03
|
2026-09-01
|
|
0871T
|
OTHER
|
Rplcmt Subq Prtl Ascites Pmp
|
6
|
5
|
—
|
—
|
$36,245.82
|
$54,368.73
|
$38,653.56
|
2026-09-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
37
|
16
|
—
|
—
|
$36,691.77
|
$119,061.25
|
$38,526.36
|
2026-09-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$36,146.78
|
$117,191.12
|
$37,954.12
|
2026-09-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
6
|
5
|
—
|
—
|
$34,884.84
|
$52,327.26
|
$37,939.04
|
2026-09-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
11
|
7
|
—
|
—
|
$29,559.78
|
$44,339.67
|
$37,674.23
|
2026-09-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
11
|
7
|
—
|
—
|
$29,510.19
|
$44,265.28
|
$37,611.03
|
2026-09-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
11
|
7
|
—
|
—
|
$29,420.21
|
$44,130.32
|
$37,496.34
|
2026-09-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
37
|
16
|
—
|
—
|
$35,638.34
|
$115,446.38
|
$37,420.26
|
2026-09-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
37
|
16
|
—
|
—
|
$35,370.12
|
$114,525.99
|
$37,138.63
|
2026-09-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
6
|
5
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$37,059.61
|
2026-09-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
37
|
16
|
—
|
—
|
$35,155.55
|
$113,789.67
|
$36,913.33
|
2026-09-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
6
|
5
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,764.57
|
2026-09-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
37
|
16
|
—
|
—
|
$34,965.08
|
$113,136.06
|
$36,713.33
|
2026-09-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
37
|
16
|
—
|
—
|
$34,828.25
|
$112,666.53
|
$36,569.66
|
2026-09-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
37
|
16
|
—
|
—
|
$34,772.28
|
$112,474.45
|
$36,510.89
|
2026-09-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
37
|
16
|
—
|
—
|
$34,755.95
|
$112,418.42
|
$36,493.75
|
2026-09-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
10
|
8
|
—
|
—
|
$24,228.42
|
$46,179.54
|
$36,432.86
|
2026-09-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
37
|
16
|
—
|
—
|
$34,660.32
|
$112,090.28
|
$36,393.34
|
2026-09-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
37
|
16
|
—
|
—
|
$34,621.45
|
$111,956.89
|
$36,352.52
|
2026-09-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
37
|
16
|
—
|
—
|
$34,560.81
|
$111,748.81
|
$36,288.85
|
2026-09-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
16
|
—
|
—
|
$34,434.87
|
$111,316.62
|
$36,156.61
|
2026-09-01
|
|
33977
|
HCPCS
|
Remove Ventricular Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33203
|
HCPCS
|
Insert Epicard Eltrd Endo
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33978
|
HCPCS
|
Remove Ventricular Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33975
|
HCPCS
|
Implant Ventricular Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33677
|
HCPCS
|
Cl Mult Vsd W/rem Pul Band
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33976
|
HCPCS
|
Implant Ventricular Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33979
|
HCPCS
|
Insert Intracorporeal Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33681
|
HCPCS
|
Repair Heart Septum Defect
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33410
|
HCPCS
|
Replacement Aortic Valve Opn
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33411
|
HCPCS
|
Replacement Of Aortic Valve
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32906
|
HCPCS
|
Revise & Repair Chest Wall
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33676
|
HCPCS
|
Close Mult Vsd W/resection
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32905
|
HCPCS
|
Revise & Repair Chest Wall
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33980
|
HCPCS
|
Remove Intracorporeal Device
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33300
|
HCPCS
|
Repair Of Heart Wound
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33405
|
HCPCS
|
Replacement Aortic Valve Opn
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33305
|
HCPCS
|
Repair Of Heart Wound
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33406
|
HCPCS
|
Replacement Aortic Valve Opn
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
22226
|
HCPCS
|
Revise Extra Spine Segment
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
15778
|
HCPCS
|
Impl Absrb Msh/prsth Dly Cls
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34830
|
HCPCS
|
Open Aortic Tube Prosth Repr
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33660
|
HCPCS
|
Repair Of Heart Defects
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34831
|
HCPCS
|
Open Aortoiliac Prosth Repr
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33665
|
HCPCS
|
Repair Of Heart Defects
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32666
|
HCPCS
|
Thoracoscopy W/wedge Resect
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33675
|
HCPCS
|
Close Mult Vsd
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34832
|
HCPCS
|
Open Aortofemor Prosth Repr
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33670
|
HCPCS
|
Repair Of Heart Chambers
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33647
|
HCPCS
|
Repair Heart Septum Defects
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32540
|
HCPCS
|
Removal Of Lung Lesion
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34717
|
HCPCS
|
Evasc Rpr A-iliac Ndgft
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33981
|
HCPCS
|
Replace Vad Pump Ext
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32506
|
HCPCS
|
Wedge Resect Of Lung Add-on
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32505
|
HCPCS
|
Wedge Resect Of Lung Initial
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32507
|
HCPCS
|
Wedge Resect Of Lung Diag
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32940
|
HCPCS
|
Revision Of Lung
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
43279
|
HCPCS
|
Lap Myotomy Heller
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32501
|
HCPCS
|
Repair Bronchus Add-on
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32503
|
HCPCS
|
Resect Apical Lung Tumor
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32504
|
HCPCS
|
Resect Apical Lung Tum/chest
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32488
|
HCPCS
|
Completion Pneumonectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32486
|
HCPCS
|
Sleeve Lobectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33120
|
HCPCS
|
Removal Of Heart Lesion
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32491
|
HCPCS
|
Lung Volume Reduction
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34718
|
HCPCS
|
Evasc Rpr N/a A-iliac Ndgft
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
G0448
|
HCPCS
|
Place Perm Pacing Cardiovert
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33202
|
HCPCS
|
Insert Epicard Eltrd Open
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32480
|
HCPCS
|
Partial Removal Of Lung
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32484
|
HCPCS
|
Segmentectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33684
|
HCPCS
|
Repair Heart Septum Defect
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32482
|
HCPCS
|
Bilobectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
22632
|
HCPCS
|
Spine Fusion Extra Segment
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32440
|
HCPCS
|
Remove Lung Pneumonectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32442
|
HCPCS
|
Sleeve Pneumonectomy
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
43283
|
HCPCS
|
Lap Esoph Lengthening
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33412
|
HCPCS
|
Replacement Of Aortic Valve
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
32445
|
HCPCS
|
Removal Of Lung Extrapleural
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33982
|
HCPCS
|
Replace Vad Intra Without Bp
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C9784
|
HCPCS
|
Endo Sleeve Gastro W/tube
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33894
|
HCPCS
|
Evasc St Rpr Thrc/aa Acrs Br
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33891
|
HCPCS
|
Car-car Bp Grft/endovas Taa
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33895
|
HCPCS
|
Evasc St Rpr Thrc/aa X Crsg
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33886
|
HCPCS
|
Endovasc Prosth Delayed
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33884
|
HCPCS
|
Endovasc Prosth Taa Add-on
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33889
|
HCPCS
|
Artery Transpose/endovas Taa
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33897
|
HCPCS
|
Perq Trluml Angp Nt/recr Coa
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33882
|
HCPCS
|
Evasc Rpr Ta Dplmt Mltpc Sys
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33369
|
HCPCS
|
Replace Aortic Valve W/byp
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C7537
|
HCPCS
|
Insrt Atril Pm W/l Vent Lead
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34704
|
HCPCS
|
Evasc Rpr A-unilac Ndgft Rpt
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33883
|
HCPCS
|
Insert Endovasc Prosth Taa
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C7540
|
HCPCS
|
Rmv&rplc Pm Dul W/l Vnt Lead
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C7515
|
HCPCS
|
Cath/angio Dial Cir W/embol
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33367
|
HCPCS
|
Replace Aortic Valve W/byp
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C7530
|
HCPCS
|
Cath/aplasty Dial Cir W/stnt
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33390
|
HCPCS
|
Valvuloplasty Aortic Valve
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33622
|
HCPCS
|
Redo Compl Cardiac Anomaly
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
C7531
|
HCPCS
|
Angio Fem/pop With US
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
92941
|
HCPCS
|
Prq Card Revasc Mi 1 Vsl
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33368
|
HCPCS
|
Replace Aortic Valve W/byp
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34705
|
HCPCS
|
Evac Rpr A-biiliac Ndgft
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33910
|
HCPCS
|
Remove Lung Artery Emboli
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34706
|
HCPCS
|
Evasc Rpr A-biiliac Rpt
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33617
|
HCPCS
|
Repair Single Ventricle
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33619
|
HCPCS
|
Repair Single Ventricle
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33880
|
HCPCS
|
Endovasc Taa Repr Incl Subcl
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33615
|
HCPCS
|
Repair Modified Fontan
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34702
|
HCPCS
|
Evasc Rpr A-ao Ndgft Rpt
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33608
|
HCPCS
|
Repair Anomaly W/conduit
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33610
|
HCPCS
|
Repair By Enlargement
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
34703
|
HCPCS
|
Evasc Rpr A-unilac Ndgft
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33606
|
HCPCS
|
Anastomosis/artery-aorta
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33611
|
HCPCS
|
Repair Double Ventricle
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|
|
33612
|
HCPCS
|
Repair Double Ventricle
|
1
|
1
|
—
|
—
|
$36,067.00
|
$36,067.00
|
$36,067.00
|
2026-09-01
|