|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
1
|
—
|
—
|
$121,181.71
|
$121,181.71
|
$121,181.71
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
2
|
1
|
—
|
—
|
$76,782.00
|
$76,782.00
|
$76,782.00
|
2026-04-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
2
|
1
|
—
|
—
|
$74,614.73
|
$74,614.73
|
$74,614.73
|
2026-04-01
|
|
22860
|
HCPCS
|
Tot Disc Arthrp 2ntrspc Lmbr
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
32851
|
HCPCS
|
Lung Transplant Single
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33928
|
HCPCS
|
Rmvl & Rplcmt Tot Hrt Sys
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0968T
|
HCPCS
|
Insj/rplcmt Epcrnl Nstim Sys
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
C9606
|
HCPCS
|
Perc D-e Cor Revasc W Ami S
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0584T
|
HCPCS
|
Perq Islet Cell Transplant
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&Gen
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
C7535
|
HCPCS
|
Fem/pop Revasc W/stent & US
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
C7534
|
HCPCS
|
Fem/pop Revasc W/arthr & US
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
G0343
|
HCPCS
|
Laparotomy Islet Cell Transp
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33927
|
HCPCS
|
Impltj Tot Rplcmt Hrt Sys
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
32852
|
HCPCS
|
Lung Transplant With Bypass
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
32854
|
HCPCS
|
Lung Transplant With Bypass
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
G0342
|
HCPCS
|
Laparoscopy Islet Cell Trans
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33422
|
HCPCS
|
Revision Of Mitral Valve
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
32853
|
HCPCS
|
Lung Transplant Double
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33929
|
HCPCS
|
Rmvl Rplcmt Hrt Sys F/trnspl
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0814T
|
HCPCS
|
Prq Njx Biod Osteo Matrl Fem
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
C7539
|
HCPCS
|
Insrt A & V Pm W/l Vent Lead
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33945
|
HCPCS
|
Transplantation Of Heart
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
50380
|
HCPCS
|
Reimplantation Of Kidney
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33737
|
HCPCS
|
Revision Of Heart Chamber
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0586T
|
HCPCS
|
Open Islet Cell Transplant
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
54438
|
HCPCS
|
Replantation Of Penis
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33269
|
HCPCS
|
Excl Laa Thrscp Any Method
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33935
|
HCPCS
|
Transplantation Heart/lung
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0871T
|
HCPCS
|
Rplcmt Subq Prtl Ascites Pmp
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0872T
|
HCPCS
|
Rplcmt Ndwllg Bldr&prtl Cath
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
47135
|
HCPCS
|
Transplantation Of Liver
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0942T
|
HCPCS
|
Cysto Flx Rmv&rplc Urtl Scaf
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
93583
|
HCPCS
|
Perq Transcath Septal Reduxn
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
48554
|
HCPCS
|
Transpl Allograft Pancreas
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33391
|
HCPCS
|
Valvuloplasty Aortic Valve
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
50360
|
HCPCS
|
Transplantation Of Kidney
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
50365
|
HCPCS
|
Transplantation Of Kidney
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0585T
|
HCPCS
|
Laps Islet Cell Transplant
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33268
|
HCPCS
|
Excl Laa Opn Oth Px Any Meth
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33267
|
HCPCS
|
Excl Laa Open Any Method
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
61889
|
HCPCS
|
Ins Sk-mnt Crnl Nstm Pg/rcvr
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33736
|
HCPCS
|
Revision Of Heart Chamber
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0873T
|
HCPCS
|
Revj Subq Prtl Asct Pmp Sys
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
0870T
|
HCPCS
|
Imp Subq Prtl Ascts Pmp Sys
|
2
|
1
|
—
|
—
|
$40,050.00
|
$40,050.00
|
$40,050.00
|
2026-04-01
|
|
33702
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33475
|
HCPCS
|
Replacement Pulmonary Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33976
|
HCPCS
|
Implant Ventricular Device
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33465
|
HCPCS
|
Replace Tricuspid Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33460
|
HCPCS
|
Revision Of Tricuspid Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33476
|
HCPCS
|
Revision Of Heart Chamber
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C9784
|
HCPCS
|
Endo Sleeve Gastro W/tube
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33710
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33983
|
HCPCS
|
Replace Vad Intra W/bp
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C9751
|
HCPCS
|
Microwave Bronch, 3d, Ebus
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33505
|
HCPCS
|
Repair Artery W/tunnel
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32905
|
HCPCS
|
Revise & Repair Chest Wall
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33504
|
HCPCS
|
Coronary Artery Graft
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33982
|
HCPCS
|
Replace Vad Intra Without Bp
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32505
|
HCPCS
|
Wedge Resect Of Lung Initial
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32506
|
HCPCS
|
Wedge Resect Of Lung Add-on
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33977
|
HCPCS
|
Remove Ventricular Device
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0569T
|
HCPCS
|
Ttvr Perq Appr 1st Prosth
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33425
|
HCPCS
|
Repair Of Mitral Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C7540
|
HCPCS
|
Rmv&rplc Pm Dul W/l Vnt Lead
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33720
|
HCPCS
|
Repair Of Heart Defect
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32540
|
HCPCS
|
Removal Of Lung Lesion
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33975
|
HCPCS
|
Implant Ventricular Device
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32906
|
HCPCS
|
Revise & Repair Chest Wall
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0398T
|
HCPCS
|
Mrgfus Strtctc Les Abltj
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33478
|
HCPCS
|
Revision Of Heart Chamber
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0659T
|
HCPCS
|
Tcat Intra-c Nfs Supersat O2
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32504
|
HCPCS
|
Resect Apical Lung Tum/chest
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32503
|
HCPCS
|
Resect Apical Lung Tumor
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32501
|
HCPCS
|
Repair Bronchus Add-on
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32491
|
HCPCS
|
Lung Volume Reduction
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33506
|
HCPCS
|
Repair Artery Translocation
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
34502
|
HCPCS
|
Reconstruct Vena Cava
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33894
|
HCPCS
|
Evasc St Rpr Thrc/aa Acrs Br
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32507
|
HCPCS
|
Wedge Resect Of Lung Diag
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32482
|
HCPCS
|
Bilobectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33895
|
HCPCS
|
Evasc St Rpr Thrc/aa X Crsg
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33416
|
HCPCS
|
Revise Ventricle Muscle
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0646T
|
HCPCS
|
Ttvi/rplcmt W/prstc Vlv Perq
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33897
|
HCPCS
|
Perq Trluml Angp Nt/recr Coa
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33417
|
HCPCS
|
Repair Of Aortic Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33502
|
HCPCS
|
Coronary Artery Correction
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33430
|
HCPCS
|
Replacement Of Mitral Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32484
|
HCPCS
|
Segmentectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33426
|
HCPCS
|
Repair Of Mitral Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32666
|
HCPCS
|
Thoracoscopy W/wedge Resect
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33427
|
HCPCS
|
Repair Of Mitral Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33415
|
HCPCS
|
Revision Subvalvular Tissue
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33440
|
HCPCS
|
Rplcmt A-valve Tlcj Autol Pv
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33464
|
HCPCS
|
Valvuloplasty Tricuspid
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33463
|
HCPCS
|
Valvuloplasty Tricuspid
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33910
|
HCPCS
|
Remove Lung Artery Emboli
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33468
|
HCPCS
|
Revision Of Tricuspid Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33474
|
HCPCS
|
Revision Of Pulmonary Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33471
|
HCPCS
|
Valvotomy Pulmonary Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C7531
|
HCPCS
|
Angio Fem/pop With US
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C7537
|
HCPCS
|
Insrt Atril Pm W/l Vent Lead
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33886
|
HCPCS
|
Endovasc Prosth Delayed
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
15778
|
HCPCS
|
Impl Absrb Msh/prsth Dly Cls
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32488
|
HCPCS
|
Completion Pneumonectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33694
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33889
|
HCPCS
|
Artery Transpose/endovas Taa
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32480
|
HCPCS
|
Partial Removal Of Lung
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33420
|
HCPCS
|
Revision Of Mitral Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0951T
|
HCPCS
|
Tot Impl Amei 1st Plmt
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32445
|
HCPCS
|
Removal Of Lung Extrapleural
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32486
|
HCPCS
|
Sleeve Lobectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33891
|
HCPCS
|
Car-car Bp Grft/endovas Taa
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33915
|
HCPCS
|
Remove Lung Artery Emboli
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33681
|
HCPCS
|
Repair Heart Septum Defect
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32440
|
HCPCS
|
Remove Lung Pneumonectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33684
|
HCPCS
|
Repair Heart Septum Defect
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
22632
|
HCPCS
|
Spine Fusion Extra Segment
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33688
|
HCPCS
|
Repair Heart Septum Defect
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32442
|
HCPCS
|
Sleeve Pneumonectomy
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33692
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33202
|
HCPCS
|
Insert Epicard Eltrd Open
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33883
|
HCPCS
|
Insert Endovasc Prosth Taa
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33884
|
HCPCS
|
Endovasc Prosth Taa Add-on
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
51721
|
HCPCS
|
Ins Trurl Ablt Trnsdc Thr US
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
32940
|
HCPCS
|
Revision Of Lung
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0570T
|
HCPCS
|
Ttvr Perq Ea Addl Prosth
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33507
|
HCPCS
|
Repair Art Intramural
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0545T
|
HCPCS
|
Tcat Tv Annulus Rcnstj
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
0953T
|
HCPCS
|
Tot Impl Amei Rev/rplc Without
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33978
|
HCPCS
|
Remove Ventricular Device
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33697
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33677
|
HCPCS
|
Cl Mult Vsd W/rem Pul Band
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
34701
|
HCPCS
|
Evasc Rpr A-ao Ndgft
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33503
|
HCPCS
|
Coronary Artery Graft
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33414
|
HCPCS
|
Repair Of Aortic Valve
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33735
|
HCPCS
|
Revision Of Heart Chamber
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C7515
|
HCPCS
|
Cath/angio Dial Cir W/embol
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
C7530
|
HCPCS
|
Cath/aplasty Dial Cir W/stnt
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
G0448
|
HCPCS
|
Place Perm Pacing Cardiovert
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33406
|
HCPCS
|
Replacement Aortic Valve Opn
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33647
|
HCPCS
|
Repair Heart Septum Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
33660
|
HCPCS
|
Repair Of Heart Defects
|
2
|
1
|
—
|
—
|
$36,803.00
|
$36,803.00
|
$36,803.00
|
2026-04-01
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
4
|
2
|
—
|
—
|
$4,505,000.00
|
$4,730,250.00
|
$4,617,625.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
6
|
3
|
—
|
—
|
$3,685,266.67
|
$4,975,110.00
|
$3,869,530.00
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
6
|
3
|
—
|
—
|
$102,820.55
|
$120,116.70
|
$105,841.78
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
4
|
—
|
—
|
$3,316,462.59
|
$4,974,693.88
|
$3,979,755.11
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
8
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$39,177.31
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
5
|
—
|
—
|
$3,248,445.72
|
$4,984,800.00
|
$4,385,401.72
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
10
|
5
|
—
|
—
|
$278,250.00
|
$422,100.00
|
$375,637.50
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
10
|
4
|
—
|
—
|
$110,901.76
|
$166,352.64
|
$141,345.39
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
10
|
4
|
—
|
—
|
$68,801.71
|
$103,202.56
|
$87,688.46
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
10
|
4
|
—
|
—
|
$40,050.00
|
$99,825.02
|
$69,877.52
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
10
|
4
|
—
|
—
|
$49,338.18
|
$74,007.27
|
$62,881.99
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
10
|
4
|
—
|
—
|
$47,919.99
|
$71,879.98
|
$61,074.49
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
10
|
4
|
—
|
—
|
$39,537.89
|
$59,306.84
|
$50,391.42
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
10
|
4
|
—
|
—
|
$40,050.00
|
$69,902.43
|
$48,931.70
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
10
|
4
|
—
|
—
|
$40,050.00
|
$69,902.43
|
$48,931.70
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
10
|
4
|
—
|
—
|
$40,050.00
|
$69,902.43
|
$48,931.70
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
10
|
4
|
—
|
—
|
$34,970.13
|
$52,455.19
|
$44,569.77
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
10
|
4
|
—
|
—
|
$30,347.28
|
$45,520.92
|
$40,050.00
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
10
|
4
|
—
|
—
|
$34,884.84
|
$52,327.26
|
$40,050.00
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
10
|
4
|
—
|
—
|
$33,209.74
|
$49,814.60
|
$40,050.00
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$40,050.00
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
10
|
4
|
—
|
—
|
$28,708.07
|
$43,062.10
|
$38,755.89
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
10
|
4
|
—
|
—
|
$28,708.07
|
$43,062.10
|
$38,755.89
|
2026-04-01
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
10
|
5
|
—
|
—
|
$26,501.06
|
$54,368.73
|
$38,058.11
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
10
|
4
|
—
|
—
|
$29,559.78
|
$44,339.67
|
$37,674.23
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
10
|
4
|
—
|
—
|
$29,510.19
|
$44,265.28
|
$37,611.03
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
10
|
4
|
—
|
—
|
$29,420.21
|
$44,130.32
|
$37,496.34
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
10
|
4
|
—
|
—
|
$27,654.12
|
$41,481.18
|
$37,333.06
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
10
|
4
|
—
|
—
|
$27,654.12
|
$41,481.18
|
$37,333.06
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
10
|
4
|
—
|
—
|
$27,654.12
|
$41,481.18
|
$37,333.06
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
10
|
4
|
—
|
—
|
$28,478.97
|
$42,718.45
|
$36,803.00
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
10
|
4
|
—
|
—
|
$32,647.76
|
$48,971.64
|
$36,803.00
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
10
|
4
|
—
|
—
|
$28,708.07
|
$43,062.10
|
$36,803.00
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
10
|
4
|
—
|
—
|
$28,708.07
|
$43,062.10
|
$36,803.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
12
|
6
|
—
|
—
|
$2,945,740.00
|
$4,897,200.00
|
$4,197,679.50
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
12
|
6
|
—
|
—
|
$2,455,110.60
|
$3,965,706.94
|
$3,498,532.62
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
12
|
6
|
—
|
—
|
$2,332,000.00
|
$3,847,800.00
|
$3,323,100.00
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
12
|
4
|
—
|
—
|
$30,942.05
|
$115,417.05
|
$54,223.46
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
14
|
6
|
—
|
—
|
$56,824.55
|
$107,421.88
|
$85,236.82
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
16
|
6
|
—
|
—
|
$770,620.00
|
$1,541,240.00
|
$1,098,133.50
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
18
|
7
|
—
|
—
|
$591,726.20
|
$1,156,649.16
|
$887,589.30
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
18
|
7
|
—
|
—
|
$565,868.94
|
$1,106,757.66
|
$848,803.42
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
18
|
7
|
—
|
—
|
$562,538.19
|
$1,083,271.32
|
$843,807.28
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
18
|
7
|
—
|
—
|
$557,317.93
|
$1,082,520.90
|
$835,976.90
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
18
|
7
|
—
|
—
|
$533,230.17
|
$1,066,152.96
|
$799,845.26
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
18
|
7
|
—
|
—
|
$489,304.61
|
$979,440.00
|
$733,956.91
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
20
|
7
|
—
|
—
|
$63,342.28
|
$126,862.11
|
$97,049.53
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
20
|
7
|
—
|
—
|
$55,272.32
|
$111,891.94
|
$85,150.85
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
20
|
7
|
—
|
—
|
$45,020.65
|
$91,120.78
|
$69,350.43
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
20
|
7
|
—
|
—
|
$28,424.06
|
$56,848.12
|
$43,518.65
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
36
|
12
|
—
|
—
|
$337,714.43
|
$1,152,030.74
|
$346,157.29
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
36
|
12
|
—
|
—
|
$219,863.60
|
$747,621.60
|
$225,360.19
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
36
|
12
|
—
|
—
|
$167,982.15
|
$569,588.64
|
$172,181.71
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
36
|
12
|
—
|
—
|
$167,008.02
|
$566,245.89
|
$171,183.22
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
12
|
—
|
—
|
$109,681.40
|
$369,527.65
|
$112,423.43
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
36
|
12
|
—
|
—
|
$102,675.14
|
$345,485.44
|
$105,242.02
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
12
|
—
|
—
|
$95,427.10
|
$320,613.54
|
$97,812.78
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
36
|
12
|
—
|
—
|
$90,093.11
|
$302,309.76
|
$92,345.44
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
36
|
12
|
—
|
—
|
$89,992.04
|
$301,962.95
|
$92,241.84
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
12
|
—
|
—
|
$87,678.39
|
$294,023.57
|
$89,870.35
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
36
|
12
|
—
|
—
|
$86,534.78
|
$290,099.24
|
$88,698.15
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
36
|
12
|
—
|
—
|
$82,153.15
|
$275,063.52
|
$84,206.98
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
36
|
12
|
—
|
—
|
$79,404.91
|
$265,632.85
|
$81,390.04
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
12
|
—
|
—
|
$78,050.61
|
$260,985.54
|
$80,001.88
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
36
|
12
|
—
|
—
|
$72,039.48
|
$240,358.11
|
$73,840.46
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
36
|
12
|
—
|
—
|
$69,317.67
|
$231,018.14
|
$71,050.61
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
12
|
—
|
—
|
$67,532.68
|
$224,892.87
|
$69,220.99
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
12
|
—
|
—
|
$67,326.65
|
$224,185.91
|
$69,009.82
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
36
|
12
|
—
|
—
|
$63,170.48
|
$209,923.85
|
$64,749.74
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
12
|
—
|
—
|
$61,689.46
|
$204,841.69
|
$63,231.69
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
12
|
—
|
—
|
$61,432.13
|
$203,958.65
|
$62,967.93
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
36
|
12
|
—
|
—
|
$61,235.44
|
$203,283.69
|
$62,766.32
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
12
|
—
|
—
|
$58,115.59
|
$192,577.81
|
$59,568.48
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
36
|
12
|
—
|
—
|
$57,782.07
|
$191,433.32
|
$59,226.62
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
36
|
12
|
—
|
—
|
$57,758.74
|
$191,353.29
|
$59,202.71
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
36
|
12
|
—
|
—
|
$57,462.54
|
$190,336.86
|
$58,899.10
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
36
|
12
|
—
|
—
|
$57,429.89
|
$190,224.81
|
$58,865.63
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
36
|
12
|
—
|
—
|
$55,730.41
|
$184,393.00
|
$57,123.67
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
36
|
12
|
—
|
—
|
$55,466.86
|
$183,488.62
|
$56,853.53
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
12
|
—
|
—
|
$54,325.58
|
$179,572.29
|
$55,683.72
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
36
|
12
|
—
|
—
|
$53,978.85
|
$178,382.45
|
$55,328.32
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
36
|
12
|
—
|
—
|
$53,940.75
|
$178,251.72
|
$55,289.27
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
12
|
—
|
—
|
$53,114.34
|
$175,415.85
|
$54,442.20
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
12
|
—
|
—
|
$53,114.34
|
$175,415.85
|
$54,442.20
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
36
|
12
|
—
|
—
|
$52,928.53
|
$174,778.25
|
$54,251.74
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
36
|
12
|
—
|
—
|
$52,021.26
|
$171,664.93
|
$53,321.79
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
36
|
12
|
—
|
—
|
$49,639.97
|
$163,493.46
|
$50,880.97
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
36
|
12
|
—
|
—
|
$49,584.77
|
$163,304.04
|
$50,824.39
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
12
|
—
|
—
|
$49,128.42
|
$161,738.04
|
$50,356.63
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
36
|
12
|
—
|
—
|
$48,706.27
|
$160,289.43
|
$49,923.93
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
36
|
12
|
—
|
—
|
$48,693.06
|
$160,244.07
|
$49,910.38
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
12
|
—
|
—
|
$48,354.87
|
$159,083.58
|
$49,563.74
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
36
|
12
|
—
|
—
|
$48,095.21
|
$158,192.54
|
$49,297.59
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
12
|
—
|
—
|
$47,620.19
|
$156,562.51
|
$48,810.69
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
36
|
12
|
—
|
—
|
$47,590.65
|
$156,461.13
|
$48,780.42
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
36
|
12
|
—
|
—
|
$46,831.09
|
$153,854.69
|
$48,001.86
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
36
|
12
|
—
|
—
|
$46,545.00
|
$152,872.94
|
$47,708.62
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
36
|
12
|
—
|
—
|
$46,363.08
|
$152,248.68
|
$47,522.15
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
36
|
12
|
—
|
—
|
$46,305.55
|
$152,051.26
|
$47,463.19
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
12
|
—
|
—
|
$45,703.03
|
$149,983.72
|
$46,845.60
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
36
|
12
|
—
|
—
|
$45,567.76
|
$149,519.52
|
$46,706.96
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
36
|
12
|
—
|
—
|
$45,269.22
|
$148,495.08
|
$46,400.95
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
36
|
12
|
—
|
—
|
$44,933.37
|
$147,342.59
|
$46,056.71
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
36
|
12
|
—
|
—
|
$44,676.04
|
$146,459.55
|
$45,792.94
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
36
|
12
|
—
|
—
|
$44,525.22
|
$145,942.00
|
$45,638.35
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
36
|
12
|
—
|
—
|
$44,464.58
|
$145,733.91
|
$45,576.19
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
36
|
12
|
—
|
—
|
$44,397.72
|
$145,504.48
|
$45,507.67
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
36
|
12
|
—
|
—
|
$44,228.24
|
$144,922.90
|
$45,333.94
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
12
|
—
|
—
|
$43,454.69
|
$142,268.44
|
$44,541.06
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
36
|
12
|
—
|
—
|
$43,429.81
|
$142,183.07
|
$44,515.56
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
36
|
12
|
—
|
—
|
$43,151.49
|
$141,228.00
|
$44,230.27
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
36
|
12
|
—
|
—
|
$43,015.44
|
$140,761.13
|
$44,090.82
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
36
|
12
|
—
|
—
|
$42,464.23
|
$138,869.66
|
$43,525.84
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
36
|
12
|
—
|
—
|
$42,394.26
|
$138,629.56
|
$43,454.12
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
12
|
—
|
—
|
$41,179.91
|
$134,462.46
|
$42,209.41
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
36
|
12
|
—
|
—
|
$40,769.42
|
$133,053.86
|
$41,788.65
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
12
|
—
|
—
|
$40,458.45
|
$131,986.74
|
$41,469.91
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
12
|
—
|
—
|
$40,390.03
|
$131,751.97
|
$41,399.78
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
36
|
12
|
—
|
—
|
$40,099.27
|
$130,754.21
|
$41,101.75
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
36
|
12
|
—
|
—
|
$39,535.63
|
$128,820.06
|
$40,524.02
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
36
|
12
|
—
|
—
|
$39,345.94
|
$128,169.12
|
$40,329.59
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
36
|
12
|
—
|
—
|
$39,007.75
|
$127,008.62
|
$39,982.94
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
36
|
12
|
—
|
—
|
$38,545.95
|
$125,423.95
|
$39,509.60
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
12
|
—
|
—
|
$38,471.32
|
$125,167.84
|
$39,433.10
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
36
|
12
|
—
|
—
|
$38,362.48
|
$124,794.35
|
$39,321.54
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
36
|
12
|
—
|
—
|
$38,045.28
|
$123,705.89
|
$38,996.41
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
36
|
12
|
—
|
—
|
$37,901.46
|
$123,212.34
|
$38,848.99
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
36
|
12
|
—
|
—
|
$37,639.46
|
$122,313.29
|
$38,580.44
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
36
|
12
|
—
|
—
|
$37,465.32
|
$121,715.71
|
$38,401.96
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
36
|
12
|
—
|
—
|
$37,358.81
|
$121,350.22
|
$38,292.78
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
36
|
12
|
—
|
—
|
$37,343.26
|
$121,296.86
|
$38,276.84
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
12
|
—
|
—
|
$37,204.87
|
$120,821.99
|
$38,134.99
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
36
|
12
|
—
|
—
|
$36,838.70
|
$119,565.46
|
$37,759.67
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
36
|
12
|
—
|
—
|
$36,828.60
|
$119,530.78
|
$37,749.32
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
36
|
12
|
—
|
—
|
$36,691.77
|
$119,061.25
|
$37,609.07
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
36
|
12
|
—
|
—
|
$36,146.78
|
$117,191.12
|
$37,050.45
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
38
|
12
|
—
|
—
|
$8,102.33
|
$158,560.69
|
$48,202.49
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
38
|
12
|
—
|
—
|
$32,157.50
|
$131,301.11
|
$40,258.65
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
38
|
12
|
—
|
—
|
$37,730.42
|
$122,625.43
|
$39,616.94
|
2026-04-01
|