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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Community Health Network Rehabilitation Hospital

Indianapolis, IN · CCN 153043 · Rates published

Your selected procedure

You selected 93350 (CPT)

ECHO 2-D&M-MODE W/IMAGE

This hospital’s price: $1,114 across 16 payers · range $713-$1,114

Source: https://www.communityrehabhospitalnorth.com/docs/zirfcommunityrehabilitationhospitalnorthlibraries/aug2025/453414249_community-health-network-rehabilitation-hospital-llc_standardcharges.csv · observed 2026-03-24

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

7,857 distinct procedures filed
29 distinct payers
332,977 rate rows
2026-03-24 last MRF observed
Data quality

213,694 of 332,977 rate rows are consumer-grade (64.2%)

119,283 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 119,184
placeholder amount (≤ $0.02) — excluded from medians 94
percent-of-charges filed in the dollar field — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.communityrehabhospitalnorth.com/docs/zirfcommunityrehabilitationhospitalnorthlibraries/mar2026/453414249_community-health-network-rehabilitation-hospital-llc_standardcharges.csv.zip
Found on page https://www.communityrehabhospitalnorth.com/patients-and-caregivers/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint 15ab683a746ec6ee… · 1,598,358 bytes · first seen 2026-06-16

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 17 $52,174.17 $124,313.17 $81,522.14 nat. median
$83,710
1.0× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 17 $46,950.48 $101,610.55 $73,360.12 nat. median
$70,140
1.0× median
B1904
HCPCS 		Guillain-barré M <38.50 17 $45,907.49 $116,381.79 $71,730.46 nat. median
$73,807
1.0× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 17 $45,421.77 $98,936.59 $70,971.52 nat. median
$67,955
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 17 $42,818.71 $98,508.76 $66,904.24 nat. median
$66,421
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 17 $41,267.42 $89,526.99 $64,480.34 nat. median
$62,254
1.0× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 17 $38,438.44 $90,777.58 $60,060.07 nat. median
$60,970
1.0× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 17 $37,972.80 $85,681.97 $59,332.51 nat. median
$58,851
1.0× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 17 $37,138.17 $87,116.31 $58,028.39 nat. median
$59,982
1.0× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 17 $36,351.22 $77,682.02 $56,798.79 nat. median
$53,961
1.1× median
C1904
HCPCS 		Guillain-barré M <38.50 17 $35,378.53 $82,251.07 $55,278.95 nat. median
$54,675
1.0× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 17 $34,589.08 $74,199.01 $54,045.43 nat. median
$51,378
1.1× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 17 $34,542.64 $80,589.10 $53,972.87 nat. median
$53,054
1.0× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 17 $33,464.51 $72,246.34 $52,288.30 nat. median
$50,036
1.0× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 17 $33,419.33 $71,206.92 $52,217.70 nat. median
$49,892
1.0× median
D1904
HCPCS 		Guillain-barré M <38.50 17 $32,988.83 $71,503.11 $51,545.05 nat. median
$49,620
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 17 $32,911.02 $74,728.32 $51,423.47 nat. median
$51,427
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 17 $32,755.39 $70,090.71 $51,180.29 nat. median
$48,739
1.1× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 17 $32,562.10 $74,135.94 $50,878.29 nat. median
$49,816
1.0× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 17 $32,331.17 $69,333.77 $50,517.45 nat. median
$48,664
1.0× median
A1904
HCPCS 		Guillain-barré M <38.50 17 $32,289.75 $71,525.05 $50,452.73 nat. median
$49,305
1.0× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 17 $31,969.70 $68,963.53 $49,952.66 nat. median
$47,997
1.0× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 17 $31,539.20 $68,982.73 $49,280.00 nat. median
$47,900
1.0× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 17 $31,399.89 $75,685.46 $49,062.32 nat. median
$52,085
0.9× median
B0604
HCPCS 		Neurological M <43.50 17 $31,191.54 $67,186.38 $48,736.79 nat. median
$46,491
1.0× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 17 $30,403.34 $65,376.31 $47,505.23 nat. median
$45,460
1.0× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 17 $30,284.11 $67,992.68 $47,318.92 nat. median
$46,202
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 17 $30,178.68 $69,583.34 $47,154.19 nat. median
$47,794
1.0× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 17 $30,092.08 $69,004.67 $47,018.88 nat. median
$47,500
1.0× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 17 $29,842.32 $64,995.10 $46,628.62 nat. median
$44,642
1.0× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 17 $29,453.24 $65,845.28 $46,020.69 nat. median
$45,226
1.0× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 17 $29,374.17 $62,740.74 $45,897.14 nat. median
$44,036
1.0× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 17 $29,246.15 $62,913.52 $45,697.11 nat. median
$43,685
1.0× median
B2102
HCPCS 		Burns M <52.50 17 $28,978.82 $69,800.00 $45,279.40 nat. median
$48,035
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 17 $28,884.68 $62,499.40 $45,132.32 nat. median
$43,154
1.0× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 17 $28,838.25 $64,816.84 $45,059.76 nat. median
$44,520
1.0× median
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 17 $28,448.80 $62,993.65 $44,451.25 nat. median
$42,640
1.0× median
B1504
HCPCS 		Pulmonary M <45.50 17 $28,222.00 $64,243.65 $44,096.87 nat. median
$44,462
1.0× median
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 17 $27,929.56 $60,206.65 $43,639.94 nat. median
$41,866
1.0× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 17 $27,830.41 $61,257.04 $43,485.01 nat. median
$42,098
1.0× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 17 $27,812.84 $60,659.17 $43,457.55 nat. median
$41,981
1.0× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 17 $27,782.71 $62,836.73 $43,410.49 nat. median
$43,273
1.0× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 17 $27,737.53 $61,240.58 $43,339.89 nat. median
$42,512
1.0× median
A0106
HCPCS 		Stroke M <41.50 And A <84.50 17 $27,549.27 $59,282.42 $43,045.73 nat. median
$41,163
1.0× median
B0504
HCPCS 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 17 $27,322.09 $60,305.38 $42,690.77 nat. median
$41,890
1.0× median
B1204
HCPCS 		Osteoarthritis M <49.50 And A <74.50 17 $27,291.97 $58,868.30 $42,643.71 nat. median
$41,161
1.0× median
C0205
HCPCS 		Traumatic Brain Injury M <35.50 17 $27,275.66 $59,416.80 $42,618.21 nat. median
$41,221
1.0× median
B0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50 17 $27,120.02 $59,334.53 $42,375.04 nat. median
$41,212
1.0× median
B1404
HCPCS 		Cardiac M <45.50 17 $26,846.41 $58,876.53 $41,947.52 nat. median
$40,776
1.0× median
B0904
HCPCS 		Other Orthopedic M <44.5 17 $26,768.60 $61,657.45 $41,825.94 nat. median
$42,433
1.0× median

Other procedures at this hospital

Browse this hospital's 7,857 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 17 $92,083.83 $92,083.83 $52,174.17 $124,313.17 $81,522.14 2026-03-24
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 17 $75,267.07 $75,267.07 $46,950.48 $101,610.55 $73,360.12 2026-03-24
B1904 HCPCS Guillain-barré M <38.50 30 17 $86,208.73 $86,208.73 $45,907.49 $116,381.79 $71,730.46 2026-03-24
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 17 $73,286.36 $73,286.36 $45,421.77 $98,936.59 $70,971.52 2026-03-24
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 17 $72,969.45 $72,969.45 $42,818.71 $98,508.76 $66,904.24 2026-03-24
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 17 $66,316.29 $66,316.29 $41,267.42 $89,526.99 $64,480.34 2026-03-24
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 17 $67,242.65 $67,242.65 $38,438.44 $90,777.58 $60,060.07 2026-03-24
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 17 $63,468.12 $63,468.12 $37,972.80 $85,681.97 $59,332.51 2026-03-24
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 17 $64,530.60 $64,530.60 $37,138.17 $87,116.31 $58,028.39 2026-03-24
B0106 HCPCS Stroke M <41.50 And A <84.50 30 17 $57,542.24 $57,542.24 $36,351.22 $77,682.02 $56,798.79 2026-03-24
C1904 HCPCS Guillain-barré M <38.50 30 17 $60,926.72 $60,926.72 $35,378.53 $82,251.07 $55,278.95 2026-03-24
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 17 $54,962.23 $54,962.23 $34,589.08 $74,199.01 $54,045.43 2026-03-24
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 17 $59,695.63 $59,695.63 $34,542.64 $80,589.10 $53,972.87 2026-03-24
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 17 $53,515.80 $53,515.80 $33,464.51 $72,246.34 $52,288.30 2026-03-24
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 17 $52,745.87 $52,745.87 $33,419.33 $71,206.92 $52,217.70 2026-03-24
D1904 HCPCS Guillain-barré M <38.50 30 17 $52,965.27 $52,965.27 $32,988.83 $71,503.11 $51,545.05 2026-03-24
B0205 HCPCS Traumatic Brain Injury M <35.50 30 17 $55,354.31 $55,354.31 $32,911.02 $74,728.32 $51,423.47 2026-03-24
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 17 $51,919.05 $51,919.05 $32,755.39 $70,090.71 $51,180.29 2026-03-24
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 17 $54,915.51 $54,915.51 $32,562.10 $74,135.94 $50,878.29 2026-03-24
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 17 $51,358.35 $51,358.35 $32,331.17 $69,333.77 $50,517.45 2026-03-24
A1904 HCPCS Guillain-barré M <38.50 30 17 $52,981.52 $52,981.52 $32,289.75 $71,525.05 $50,452.73 2026-03-24
B0105 HCPCS Stroke M <41.50 And A >=84.50 30 17 $51,084.10 $51,084.10 $31,969.70 $68,963.53 $49,952.66 2026-03-24
C0106 HCPCS Stroke M <41.50 And A <84.50 30 17 $51,098.32 $51,098.32 $31,539.20 $68,982.73 $49,280.00 2026-03-24
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 17 $56,063.31 $56,063.31 $31,399.89 $75,685.46 $49,062.32 2026-03-24
B0604 HCPCS Neurological M <43.50 30 17 $49,767.69 $49,767.69 $31,191.54 $67,186.38 $48,736.79 2026-03-24
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 17 $48,426.90 $48,426.90 $30,403.34 $65,376.31 $47,505.23 2026-03-24
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 17 $50,364.95 $50,364.95 $30,284.11 $67,992.68 $47,318.92 2026-03-24
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 17 $51,543.22 $51,543.22 $30,178.68 $69,583.34 $47,154.19 2026-03-24
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 17 $51,114.57 $51,114.57 $30,092.08 $69,004.67 $47,018.88 2026-03-24
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 17 $48,144.52 $48,144.52 $29,842.32 $64,995.10 $46,628.62 2026-03-24
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 17 $48,774.28 $48,774.28 $29,453.24 $65,845.28 $46,020.69 2026-03-24
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 17 $46,474.63 $46,474.63 $29,374.17 $62,740.74 $45,897.14 2026-03-24
B0704 HCPCS Fracture Of Lower Extremity M <41.50 30 17 $46,602.61 $46,602.61 $29,246.15 $62,913.52 $45,697.11 2026-03-24
B2102 HCPCS Burns M <52.50 30 17 $51,703.71 $51,703.71 $28,978.82 $69,800.00 $45,279.40 2026-03-24
D0106 HCPCS Stroke M <41.50 And A <84.50 30 17 $46,295.85 $46,295.85 $28,884.68 $62,499.40 $45,132.32 2026-03-24
B1004 HCPCS Amputation Lower Extremity M <47.50 30 17 $48,012.47 $48,012.47 $28,838.25 $64,816.84 $45,059.76 2026-03-24
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 30 17 $44,451.25 $44,451.25 $28,448.80 $62,993.65 $44,451.25 2026-03-24
B1504 HCPCS Pulmonary M <45.50 30 17 $47,587.89 $47,587.89 $28,222.00 $64,243.65 $44,096.87 2026-03-24
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 17 $44,597.52 $44,597.52 $27,929.56 $60,206.65 $43,639.94 2026-03-24
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 17 $45,375.58 $45,375.58 $27,830.41 $61,257.04 $43,485.01 2026-03-24
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 17 $44,932.72 $44,932.72 $27,812.84 $60,659.17 $43,457.55 2026-03-24
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 17 $46,545.73 $46,545.73 $27,782.71 $62,836.73 $43,410.49 2026-03-24
C0105 HCPCS Stroke M <41.50 And A >=84.50 30 17 $45,363.39 $45,363.39 $27,737.53 $61,240.58 $43,339.89 2026-03-24
A0106 HCPCS Stroke M <41.50 And A <84.50 30 17 $43,912.90 $43,912.90 $27,549.27 $59,282.42 $43,045.73 2026-03-24
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 17 $44,670.65 $44,670.65 $27,322.09 $60,305.38 $42,690.77 2026-03-24
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 17 $43,606.15 $43,606.15 $27,291.97 $58,868.30 $42,643.71 2026-03-24
C0205 HCPCS Traumatic Brain Injury M <35.50 30 17 $44,012.45 $44,012.45 $27,275.66 $59,416.80 $42,618.21 2026-03-24
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 17 $43,951.50 $43,951.50 $27,120.02 $59,334.53 $42,375.04 2026-03-24
B1404 HCPCS Cardiac M <45.50 30 17 $43,612.24 $43,612.24 $26,846.41 $58,876.53 $41,947.52 2026-03-24
B0904 HCPCS Other Orthopedic M <44.5 30 17 $45,672.18 $45,672.18 $26,768.60 $61,657.45 $41,825.94 2026-03-24
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 17 $41,779.83 $41,779.83 $26,739.09 $57,118.94 $41,779.83 2026-03-24
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 17 $42,927.63 $42,927.63 $26,388.31 $57,952.30 $41,231.73 2026-03-24
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 17 $46,454.31 $46,454.31 $26,257.78 $62,713.32 $41,027.78 2026-03-24
B1604 HCPCS Pain Syndrome M <43.50 30 17 $40,729.54 $40,729.54 $26,066.91 $61,270.15 $40,729.54 2026-03-24
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 17 $40,680.79 $40,680.79 $26,035.70 $55,260.42 $40,680.79 2026-03-24
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 17 $42,356.78 $42,356.78 $26,011.78 $57,181.65 $40,643.40 2026-03-24
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 17 $42,478.67 $42,478.67 $25,778.33 $57,346.20 $40,278.64 2026-03-24
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 17 $43,147.03 $43,147.03 $25,708.05 $58,248.49 $40,168.82 2026-03-24
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 17 $41,816.40 $41,816.40 $25,649.06 $56,452.13 $40,076.65 2026-03-24
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 17 $41,131.78 $41,131.78 $25,613.91 $55,527.90 $40,021.74 2026-03-24
B0104 HCPCS Stroke M >=41.50 And M <50.50 30 17 $40,989.58 $40,989.58 $25,588.81 $55,335.93 $39,982.52 2026-03-24
D0105 HCPCS Stroke M <41.50 And A >=84.50 30 17 $41,099.28 $41,099.28 $25,403.06 $55,484.02 $39,692.28 2026-03-24
B1103 HCPCS Amputation Non-lower Extremity M <52.50 30 17 $39,297.34 $39,297.34 $25,150.30 $53,052.44 $39,297.34 2026-03-24
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 17 $41,980.95 $41,980.95 $24,998.92 $56,674.28 $39,060.81 2026-03-24
B0603 HCPCS Neurological M >=43.50 And M <52.50 30 17 $39,350.15 $39,350.15 $24,867.13 $53,122.71 $38,854.90 2026-03-24
D0205 HCPCS Traumatic Brain Injury M <35.50 30 17 $40,209.48 $40,209.48 $24,784.30 $54,282.80 $38,725.47 2026-03-24
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 17 $38,756.96 $38,756.96 $24,681.38 $52,321.89 $38,564.66 2026-03-24
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 17 $41,202.88 $41,202.88 $24,431.62 $55,623.89 $38,174.40 2026-03-24
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 17 $39,825.53 $39,825.53 $24,383.92 $53,764.46 $38,099.88 2026-03-24
A0105 HCPCS Stroke M <41.50 And A >=84.50 30 17 $38,984.49 $38,984.49 $24,229.55 $52,629.05 $37,858.67 2026-03-24
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 17 $39,622.38 $39,622.38 $24,198.17 $53,490.21 $37,809.64 2026-03-24
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 17 $37,741.21 $37,741.21 $23,938.37 $50,950.63 $37,403.70 2026-03-24
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 17 $38,157.66 $38,157.66 $23,915.78 $51,512.85 $37,368.40 2026-03-24
C1004 HCPCS Amputation Lower Extremity M <47.50 30 17 $39,894.60 $39,894.60 $23,908.24 $53,857.71 $37,356.63 2026-03-24
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 17 $38,190.17 $38,190.17 $23,688.60 $51,556.73 $37,013.44 2026-03-24
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 17 $36,812.81 $36,812.81 $23,560.20 $50,206.42 $36,812.81 2026-03-24
C0604 HCPCS Neurological M <43.50 30 17 $37,690.42 $37,690.42 $23,416.25 $50,882.07 $36,587.89 2026-03-24
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 17 $37,099.25 $37,099.25 $23,392.40 $50,083.99 $36,550.63 2026-03-24
74080558 CDM Rem Calculi Bili Duct/gb 30 17 $55,325.65 $55,325.65 $2,984.71 $55,325.65 $36,542.60 2026-03-24
74080560 CDM Endo Intr Prlng Ad Rx Add 30 17 $55,325.65 $55,325.65 $472.68 $55,325.65 $36,542.60 2026-03-24
74080559 CDM Endo Intr Prlng Ad Rx Ini 30 17 $55,325.65 $55,325.65 $472.68 $55,325.65 $36,542.60 2026-03-24
74080557 CDM Carotid Stnt Transc Anteg 30 17 $55,325.65 $55,325.65 $5,016.86 $55,325.65 $36,542.60 2026-03-24
A0205 HCPCS Traumatic Brain Injury M <35.50 30 17 $37,777.77 $37,777.77 $23,345.96 $50,999.99 $36,478.07 2026-03-24
C1504 HCPCS Pulmonary M <45.50 30 17 $38,263.30 $38,263.30 $23,058.55 $51,655.46 $36,028.98 2026-03-24
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 17 $37,903.73 $37,903.73 $23,029.68 $51,170.03 $35,983.88 2026-03-24
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 17 $37,383.66 $37,383.66 $22,976.97 $50,467.95 $35,901.51 2026-03-24
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 30 17 $41,615.28 $41,615.28 $22,871.54 $56,180.62 $35,736.78 2026-03-24
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 17 $35,945.36 $35,945.36 $22,862.75 $48,526.24 $35,723.05 2026-03-24
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 17 $37,948.42 $37,948.42 $22,816.31 $51,230.37 $35,650.49 2026-03-24
C0704 HCPCS Fracture Of Lower Extremity M <41.50 30 17 $37,261.77 $37,261.77 $22,599.18 $50,303.39 $35,311.22 2026-03-24
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 17 $36,095.69 $36,095.69 $22,538.94 $48,729.18 $35,217.09 2026-03-24
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 17 $37,928.11 $37,928.11 $22,340.63 $51,202.94 $34,907.24 2026-03-24
C2102 HCPCS Burns M <52.50 30 17 $43,468.01 $43,468.01 $22,264.07 $58,681.81 $34,787.62 2026-03-24
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 17 $36,034.75 $36,034.75 $22,254.03 $48,646.91 $34,771.93 2026-03-24
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 17 $37,213.02 $37,213.02 $22,245.25 $50,237.57 $34,758.20 2026-03-24
C0104 HCPCS Stroke M >=41.50 And M <50.50 30 17 $36,400.42 $36,400.42 $22,202.57 $49,140.56 $34,691.52 2026-03-24
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 17 $35,197.77 $35,197.77 $22,074.56 $47,516.99 $34,491.49 2026-03-24
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 17 $34,454.24 $34,454.24 $22,050.71 $46,584.69 $34,454.24 2026-03-24
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 17 $34,446.11 $34,446.11 $22,045.51 $47,593.38 $34,446.11 2026-03-24
C1604 HCPCS Pain Syndrome M <43.50 30 17 $36,501.99 $36,501.99 $21,989.21 $49,277.69 $34,358.14 2026-03-24
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 17 $35,573.60 $35,573.60 $21,974.15 $48,024.36 $34,334.61 2026-03-24
B1403 HCPCS Cardiac M >=45.50 And M <55.50 30 17 $34,956.02 $34,956.02 $21,961.60 $47,190.63 $34,315.00 2026-03-24
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 17 $36,063.19 $36,063.19 $21,908.88 $48,685.30 $34,232.63 2026-03-24
D0604 HCPCS Neurological M <43.50 30 17 $35,500.46 $35,500.46 $21,848.64 $47,925.62 $34,138.50 2026-03-24
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 17 $35,331.85 $35,331.85 $21,839.85 $47,697.99 $34,124.77 2026-03-24
D1004 HCPCS Amputation Lower Extremity M <47.50 30 17 $36,209.46 $36,209.46 $21,819.77 $48,882.77 $34,093.39 2026-03-24
D1504 HCPCS Pulmonary M <45.50 30 17 $35,833.63 $35,833.63 $21,777.10 $48,375.40 $34,026.72 2026-03-24
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 17 $34,834.13 $34,834.13 $21,733.17 $47,026.08 $33,958.08 2026-03-24
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 17 $35,157.14 $35,157.14 $21,514.78 $47,462.14 $33,616.85 2026-03-24
C0904 HCPCS Other Orthopedic M <44.5 30 17 $34,594.41 $34,594.41 $21,512.27 $46,702.46 $33,612.93 2026-03-24
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 17 $34,104.82 $34,104.82 $21,506.00 $46,041.51 $33,603.12 2026-03-24
D0704 HCPCS Fracture Of Lower Extremity M <41.50 30 17 $35,388.73 $35,388.73 $21,415.63 $47,774.79 $33,461.93 2026-03-24
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 17 $35,575.63 $35,575.63 $21,344.09 $48,027.10 $33,350.14 2026-03-24
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 17 $34,305.94 $34,305.94 $21,306.44 $46,313.02 $33,291.31 2026-03-24
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 17 $34,096.70 $34,096.70 $21,263.77 $46,030.54 $33,224.63 2026-03-24
C1404 HCPCS Cardiac M <45.50 30 17 $35,132.76 $35,132.76 $21,207.29 $47,429.23 $33,136.39 2026-03-24
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 17 $34,328.29 $34,328.29 $21,192.23 $46,343.19 $33,112.85 2026-03-24
B0602 HCPCS Neurological M >=52.50 And M <64.50 30 17 $33,091.10 $33,091.10 $21,114.41 $44,672.99 $32,991.27 2026-03-24
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 17 $34,425.80 $34,425.80 $21,114.41 $46,474.83 $32,991.27 2026-03-24
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 17 $37,137.85 $37,137.85 $21,025.30 $50,136.10 $32,852.03 2026-03-24
D2102 HCPCS Burns M <52.50 30 17 $32,780.28 $32,780.28 $20,979.38 $46,963.28 $32,780.28 2026-03-24
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 17 $39,624.41 $39,624.41 $20,899.79 $53,492.95 $32,655.92 2026-03-24
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 17 $34,610.67 $34,610.67 $20,883.47 $46,724.40 $32,630.43 2026-03-24
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 17 $35,776.75 $35,776.75 $20,862.14 $48,298.61 $32,597.09 2026-03-24
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 17 $32,552.76 $32,552.76 $20,833.76 $46,282.88 $32,552.76 2026-03-24
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 17 $33,511.62 $33,511.62 $20,804.40 $45,240.69 $32,506.88 2026-03-24
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 17 $33,032.19 $33,032.19 $20,766.75 $44,593.46 $32,448.05 2026-03-24
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 17 $35,008.84 $35,008.84 $20,735.37 $47,261.93 $32,399.02 2026-03-24
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 17 $33,302.38 $33,302.38 $20,724.08 $44,958.21 $32,381.37 2026-03-24
D1103 HCPCS Amputation Non-lower Extremity M <52.50 30 17 $32,016.44 $32,016.44 $20,370.14 $43,222.19 $31,828.34 2026-03-24
C1103 HCPCS Amputation Non-lower Extremity M <52.50 30 17 $37,202.86 $37,202.86 $20,370.14 $50,223.86 $31,828.34 2026-03-24
A1504 HCPCS Pulmonary M <45.50 30 17 $34,255.15 $34,255.15 $20,335.00 $46,244.46 $31,773.43 2026-03-24
D0104 HCPCS Stroke M >=41.50 And M <50.50 30 17 $32,979.37 $32,979.37 $20,333.74 $44,522.15 $31,771.47 2026-03-24
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 17 $31,695.46 $31,695.46 $20,285.10 $44,776.48 $31,695.46 2026-03-24
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 17 $32,804.66 $32,804.66 $20,198.19 $44,286.29 $31,559.68 2026-03-24
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 17 $34,344.54 $34,344.54 $20,168.07 $46,365.13 $31,512.61 2026-03-24
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 17 $31,642.64 $31,642.64 $20,112.85 $42,717.57 $31,426.32 2026-03-24
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 17 $34,027.63 $34,027.63 $20,096.53 $45,937.29 $31,400.83 2026-03-24
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 17 $31,374.49 $31,374.49 $20,079.67 $42,549.97 $31,374.49 2026-03-24
D0904 HCPCS Other Orthopedic M <44.5 30 17 $32,678.71 $32,678.71 $20,063.90 $44,116.26 $31,349.84 2026-03-24
B0103 HCPCS Stroke M >=50.50 And M <63.50 30 17 $32,093.64 $32,093.64 $20,050.09 $43,326.41 $31,328.27 2026-03-24
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 17 $33,013.91 $33,013.91 $20,047.58 $44,568.77 $31,324.35 2026-03-24
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 17 $32,548.69 $32,548.69 $20,042.56 $43,940.74 $31,316.50 2026-03-24
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 17 $31,935.18 $31,935.18 $20,023.74 $43,112.49 $31,287.09 2026-03-24
74080296 CDM Asp Fine Ndl W Imaging 30 17 $47,368.40 $47,368.40 $597.75 $47,368.40 $31,286.83 2026-03-24
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 17 $32,473.53 $32,473.53 $19,969.77 $43,839.26 $31,202.76 2026-03-24
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 17 $31,116.49 $31,116.49 $19,914.55 $49,364.53 $31,116.49 2026-03-24
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 17 $33,617.26 $33,617.26 $19,904.50 $45,383.30 $31,100.78 2026-03-24
A0704 HCPCS Fracture Of Lower Extremity M <41.50 30 17 $32,337.42 $32,337.42 $19,778.99 $43,655.51 $30,904.68 2026-03-24
D1604 HCPCS Pain Syndrome M <43.50 30 17 $33,389.73 $33,389.73 $19,745.10 $45,076.14 $30,851.73 2026-03-24
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 17 $32,016.44 $32,016.44 $19,738.83 $43,222.19 $30,841.92 2026-03-24
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 17 $30,972.25 $30,972.25 $19,722.51 $41,812.54 $30,816.43 2026-03-24
A0604 HCPCS Neurological M <43.50 30 17 $31,886.42 $31,886.42 $19,712.47 $43,046.67 $30,800.74 2026-03-24
D1404 HCPCS Cardiac M <45.50 30 17 $32,485.72 $32,485.72 $19,701.18 $43,855.72 $30,783.09 2026-03-24
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 17 $30,929.59 $30,929.59 $19,510.40 $41,754.94 $30,485.00 2026-03-24
74080511 CDM Translum Athr Visceral Ea 30 17 $46,138.15 $46,138.15 $13,411.37 $46,138.15 $30,474.25 2026-03-24
A1004 HCPCS Amputation Lower Extremity M <47.50 30 17 $33,621.32 $33,621.32 $19,499.11 $45,388.79 $30,467.35 2026-03-24
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 17 $30,807.70 $30,807.70 $19,455.18 $41,590.39 $30,398.72 2026-03-24
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 17 $31,376.52 $31,376.52 $19,399.95 $42,358.30 $30,312.43 2026-03-24
A0104 HCPCS Stroke M >=41.50 And M <50.50 30 17 $31,281.04 $31,281.04 $19,393.68 $42,229.40 $30,302.62 2026-03-24
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 17 $34,505.03 $34,505.03 $19,388.66 $46,581.79 $30,294.78 2026-03-24
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 17 $31,341.98 $31,341.98 $19,359.79 $42,311.68 $30,249.67 2026-03-24
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 17 $31,203.84 $31,203.84 $19,347.24 $42,125.18 $30,230.06 2026-03-24
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 17 $30,704.09 $30,704.09 $19,299.55 $41,450.52 $30,155.54 2026-03-24
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 17 $30,328.26 $30,328.26 $19,206.67 $40,943.16 $30,010.42 2026-03-24
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 17 $30,021.51 $30,021.51 $19,177.80 $40,529.03 $29,965.32 2026-03-24
B2101 HCPCS Burns M >=52.50 30 17 $32,627.92 $32,627.92 $19,038.49 $44,047.69 $29,747.64 2026-03-24
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 17 $31,593.89 $31,593.89 $19,010.88 $42,651.75 $29,704.49 2026-03-24
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 17 $30,677.68 $30,677.68 $18,943.10 $41,414.87 $29,598.60 2026-03-24
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 17 $31,979.87 $31,979.87 $18,918.00 $43,172.83 $29,559.37 2026-03-24
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 17 $30,401.40 $30,401.40 $18,832.65 $41,041.89 $29,426.02 2026-03-24
A2102 HCPCS Burns M <52.50 30 17 $31,435.43 $31,435.43 $18,779.94 $42,437.83 $29,343.65 2026-03-24
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 17 $29,403.93 $29,403.93 $18,746.05 $39,695.31 $29,290.71 2026-03-24
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 17 $31,961.59 $31,961.59 $18,718.44 $43,148.15 $29,247.56 2026-03-24
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 17 $29,993.07 $29,993.07 $18,687.06 $40,490.64 $29,198.54 2026-03-24
C0603 HCPCS Neurological M >=43.50 And M <52.50 30 17 $29,802.10 $29,802.10 $18,668.24 $40,232.84 $29,169.12 2026-03-24
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 17 $30,513.13 $30,513.13 $18,641.88 $41,192.73 $29,127.94 2026-03-24
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 17 $30,911.30 $30,911.30 $18,639.37 $41,730.26 $29,124.01 2026-03-24
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 17 $30,041.82 $30,041.82 $18,595.44 $40,556.46 $29,055.38 2026-03-24
36224 CPT Ir Venogram Extremity Bil 30 17 $35,170.76 $35,170.76 $22,509.29 $35,170.76 $29,054.72 2026-03-24
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 17 $30,175.90 $30,175.90 $18,497.54 $40,737.47 $28,902.41 2026-03-24
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 17 $29,430.34 $29,430.34 $18,454.87 $39,730.96 $28,835.74 2026-03-24
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 17 $29,405.96 $29,405.96 $18,443.57 $39,698.05 $28,818.09 2026-03-24
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 17 $29,974.78 $29,974.78 $18,438.55 $40,465.96 $28,810.24 2026-03-24
A1604 HCPCS Pain Syndrome M <43.50 30 17 $30,265.29 $30,265.29 $18,375.80 $40,858.14 $28,712.19 2026-03-24
A0904 HCPCS Other Orthopedic M <44.5 30 17 $29,812.26 $29,812.26 $18,363.25 $40,246.55 $28,692.58 2026-03-24
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 17 $28,680.72 $28,680.72 $18,355.66 $40,683.51 $28,680.72 2026-03-24
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 17 $30,200.28 $30,200.28 $18,344.42 $40,770.38 $28,663.16 2026-03-24
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 17 $29,446.59 $29,446.59 $18,236.48 $39,752.90 $28,494.51 2026-03-24
A1404 HCPCS Cardiac M <45.50 30 17 $29,873.21 $29,873.21 $18,134.82 $40,328.83 $28,335.66 2026-03-24
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 17 $29,308.45 $29,308.45 $17,972.92 $39,566.41 $28,082.68 2026-03-24
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 17 $28,727.44 $28,727.44 $17,952.83 $38,782.05 $28,051.30 2026-03-24
B1402 HCPCS Cardiac M >=55.50 And M <68.50 30 17 $28,920.43 $28,920.43 $17,928.99 $39,042.59 $28,014.04 2026-03-24
A1103 HCPCS Amputation Non-lower Extremity M <52.50 30 17 $28,012.35 $28,012.35 $17,927.91 $41,885.45 $28,012.35 2026-03-24
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 17 $28,644.15 $28,644.15 $17,883.80 $38,669.60 $27,943.44 2026-03-24
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 17 $28,508.04 $28,508.04 $17,848.66 $38,485.85 $27,888.53 2026-03-24
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 17 $28,729.47 $28,729.47 $17,822.30 $38,784.79 $27,847.35 2026-03-24
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 30 17 $28,894.02 $28,894.02 $17,739.47 $39,006.93 $27,717.92 2026-03-24
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 17 $27,886.40 $27,886.40 $17,716.88 $37,646.64 $27,682.62 2026-03-24
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 17 $28,227.69 $28,227.69 $17,662.91 $38,107.38 $27,598.29 2026-03-24
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 17 $29,962.59 $29,962.59 $17,626.51 $40,449.50 $27,541.42 2026-03-24
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 17 $29,653.81 $29,653.81 $17,620.23 $40,032.64 $27,531.62 2026-03-24
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 17 $28,575.08 $28,575.08 $17,606.43 $38,576.36 $27,510.04 2026-03-24
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 17 $28,831.05 $28,831.05 $17,542.42 $38,921.91 $27,410.03 2026-03-24
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 17 $28,660.40 $28,660.40 $17,528.61 $38,691.54 $27,388.46 2026-03-24
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 17 $28,203.31 $28,203.31 $17,447.03 $38,074.47 $27,260.99 2026-03-24
D0603 HCPCS Neurological M >=43.50 And M <52.50 30 17 $28,069.24 $28,069.24 $17,418.16 $37,893.47 $27,215.88 2026-03-24
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 17 $28,725.41 $28,725.41 $17,404.36 $38,779.30 $27,194.31 2026-03-24
C0103 HCPCS Stroke M >=50.50 And M <63.50 30 17 $28,499.91 $28,499.91 $17,396.83 $38,474.88 $27,182.54 2026-03-24
C1403 HCPCS Cardiac M >=45.50 And M <55.50 30 17 $28,158.62 $28,158.62 $17,347.88 $38,014.14 $27,106.06 2026-03-24
76085060 CDM Medronate Dx Up To 30mci 30 17 $41,029.08 $41,029.08 $170.78 $41,029.08 $27,099.71 2026-03-24
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 17 $27,051.45 $27,051.45 $17,312.93 $36,672.61 $27,051.45 2026-03-24
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 30 17 $27,278.98 $27,278.98 $17,286.38 $36,826.63 $27,009.97 2026-03-24
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 17 $27,413.06 $27,413.06 $17,224.88 $37,007.63 $26,913.88 2026-03-24
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 17 $27,835.61 $27,835.61 $17,185.97 $37,578.08 $26,853.08 2026-03-24
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 17 $27,222.10 $27,222.10 $17,054.19 $36,749.83 $26,647.17 2026-03-24
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 17 $27,823.42 $27,823.42 $17,044.15 $37,561.62 $26,631.48 2026-03-24
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 17 $27,461.82 $27,461.82 $16,878.48 $37,073.45 $26,372.62 2026-03-24
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 17 $26,726.41 $26,726.41 $16,839.57 $36,080.66 $26,311.82 2026-03-24
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 17 $26,417.63 $26,417.63 $16,768.03 $35,663.80 $26,200.04 2026-03-24
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 17 $27,136.78 $27,136.78 $16,744.18 $36,634.65 $26,162.78 2026-03-24
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 30 17 $26,797.52 $26,797.52 $16,707.78 $36,176.65 $26,105.91 2026-03-24
B0601 HCPCS Neurological M >=64.50 30 17 $26,602.49 $26,602.49 $16,642.52 $35,913.36 $26,003.93 2026-03-24
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 30 17 $28,158.62 $28,158.62 $16,598.59 $38,014.14 $25,935.30 2026-03-24
B1201 HCPCS Osteoarthritis M >=61.50 30 17 $26,911.28 $26,911.28 $16,565.96 $36,330.23 $25,884.31 2026-03-24
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 17 $26,251.04 $26,251.04 $16,511.99 $35,438.91 $25,799.98 2026-03-24
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 30 17 $25,694.41 $25,694.41 $16,444.42 $39,357.13 $25,694.41 2026-03-24
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 17 $27,315.55 $27,315.55 $16,440.45 $36,875.99 $25,688.20 2026-03-24
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 17 $26,171.81 $26,171.81 $16,376.44 $35,331.95 $25,588.18 2026-03-24
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 17 $29,702.56 $29,702.56 $16,337.53 $40,098.46 $25,527.39 2026-03-24
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 17 $25,560.33 $25,560.33 $16,337.53 $34,506.45 $25,527.39 2026-03-24
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 17 $25,663.94 $25,663.94 $16,243.40 $34,646.32 $25,380.31 2026-03-24
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 17 $26,167.75 $26,167.75 $16,238.38 $35,326.46 $25,372.47 2026-03-24
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 17 $26,244.95 $26,244.95 $16,210.77 $35,430.68 $25,329.32 2026-03-24
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 17 $26,190.10 $26,190.10 $16,189.43 $35,356.63 $25,295.98 2026-03-24
74080555 CDM US Arthrocen Asp Inter Jt 30 17 $38,289.12 $38,289.12 $911.08 $38,289.12 $25,289.97 2026-03-24
74080553 CDM Myelogr>= 2 Reg W Inj Lum 30 17 $38,129.43 $38,129.43 $1,668.72 $38,129.43 $25,184.49 2026-03-24
76085062 CDM Mod Sed <5y 1st 30 Oth Md 30 17 $38,125.22 $38,125.22 $556.06 $38,125.22 $25,181.71 2026-03-24
D1403 HCPCS Cardiac M >=45.50 And M <55.50 30 17 $26,035.70 $26,035.70 $16,115.38 $35,148.20 $25,180.28 2026-03-24
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 17 $25,389.69 $25,389.69 $16,114.12 $34,276.08 $25,178.32 2026-03-24
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 17 $28,004.23 $28,004.23 $16,106.59 $37,805.71 $25,166.55 2026-03-24
74080577 CDM Conv Bili Drn Cth Int-ext 30 17 $38,030.67 $38,030.67 $7,983.21 $38,030.67 $25,119.26 2026-03-24
74080576 CDM Plc Bili Drn Cth Int-ext 30 17 $38,030.67 $38,030.67 $7,983.21 $38,030.67 $25,119.26 2026-03-24
74080575 CDM Plc Bili Drn Cth Ext Imag 30 17 $38,030.67 $38,030.67 $7,983.21 $38,030.67 $25,119.26 2026-03-24
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 30 17 $26,592.33 $26,592.33 $16,013.72 $35,899.65 $25,021.43 2026-03-24
D0103 HCPCS Stroke M >=50.50 And M <63.50 30 17 $25,820.37 $25,820.37 $15,932.14 $34,857.49 $24,893.96 2026-03-24
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 17 $25,200.76 $25,200.76 $15,923.35 $34,021.02 $24,880.23 2026-03-24
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 17 $25,509.55 $25,509.55 $15,908.29 $34,437.89 $24,856.70 2026-03-24
C0602 HCPCS Neurological M >=52.50 And M <64.50 30 17 $25,062.62 $25,062.62 $15,851.81 $33,834.53 $24,768.45 2026-03-24
B1501 HCPCS Pulmonary M >=68.50 30 17 $26,618.74 $26,618.74 $15,845.53 $35,935.31 $24,758.65 2026-03-24
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 30 17 $27,474.01 $27,474.01 $15,791.57 $37,089.91 $24,674.32 2026-03-24
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 17 $25,676.13 $25,676.13 $15,782.78 $34,662.77 $24,660.59 2026-03-24
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 30 17 $24,924.47 $24,924.47 $15,770.23 $33,648.04 $24,640.98 2026-03-24
A0603 HCPCS Neurological M >=43.50 And M <52.50 30 17 $25,212.95 $25,212.95 $15,716.26 $34,037.48 $24,556.66 2026-03-24
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 17 $25,430.32 $25,430.32 $15,614.60 $34,330.93 $24,397.81 2026-03-24
B0102 HCPCS Stroke M >=63.50 And M <72.50 30 17 $24,999.64 $24,999.64 $15,553.10 $33,749.51 $24,301.72 2026-03-24
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 17 $25,371.40 $25,371.40 $15,550.59 $34,251.39 $24,297.79 2026-03-24
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 17 $24,867.59 $24,867.59 $15,546.82 $33,571.25 $24,291.91 2026-03-24
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 17 $25,286.08 $25,286.08 $15,520.47 $34,136.21 $24,250.73 2026-03-24
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 17 $24,629.91 $24,629.91 $15,519.21 $33,250.37 $24,248.77 2026-03-24
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 17 $24,946.82 $24,946.82 $15,491.60 $33,678.21 $24,205.62 2026-03-24
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 17 $24,510.05 $24,510.05 $15,466.50 $33,088.56 $24,166.40 2026-03-24
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 17 $25,113.40 $25,113.40 $15,389.94 $33,903.09 $24,046.78 2026-03-24
A1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 17 $23,996.08 $23,996.08 $15,357.49 $32,807.32 $23,996.08 2026-03-24
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 17 $24,849.31 $24,849.31 $15,334.71 $33,546.57 $23,960.49 2026-03-24
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 17 $24,757.89 $24,757.89 $15,324.67 $33,423.15 $23,944.80 2026-03-24
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 17 $25,275.92 $25,275.92 $15,240.58 $34,122.50 $23,813.41 2026-03-24
76086001 CDM Primary Tpd Inj IV Push 16 16 $23,812.90 $23,812.90 $15,240.26 $23,812.90 $23,812.90 2026-03-24
B0801 HCPCS Replacement Of Lower-extremity Joint M >=63.50 30 17 $23,933.10 $23,933.10 $15,231.79 $32,309.69 $23,799.68 2026-03-24
A0103 HCPCS Stroke M >=50.50 And M <63.50 30 17 $24,491.76 $24,491.76 $15,195.40 $33,063.88 $23,742.81 2026-03-24
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 30 17 $27,522.76 $27,522.76 $15,166.53 $37,155.73 $23,697.70 2026-03-24
B1001 HCPCS Amputation Lower Extremity M >=64.50 30 17 $24,965.10 $24,965.10 $15,136.41 $33,702.89 $23,650.64 2026-03-24
74200303 CDM MRI Lower Ext Without Contrast Rt 16 16 $23,595.43 $23,595.43 $15,101.08 $23,595.43 $23,595.43 2026-03-24
74200304 CDM MRI Lower Ext Without Contrast Lt 16 16 $23,595.43 $23,595.43 $15,101.08 $23,595.43 $23,595.43 2026-03-24
74200305 CDM MRI Upper Ext Without Contrast Lt 16 16 $23,595.43 $23,595.43 $15,101.08 $23,595.43 $23,595.43 2026-03-24
36226 CPT Ir Arthrogram Elbow Lt 30 17 $28,483.80 $28,483.80 $18,229.63 $28,483.80 $23,530.58 2026-03-24
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 17 $24,209.39 $24,209.39 $15,042.28 $32,682.67 $23,503.56 2026-03-24
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 17 $24,032.65 $24,032.65 $15,034.75 $32,444.07 $23,491.79 2026-03-24
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 17 $24,631.94 $24,631.94 $15,033.49 $33,253.12 $23,489.83 2026-03-24
B0901 HCPCS Other Orthopedic M >=63.50 30 17 $25,160.13 $25,160.13 $15,023.45 $33,966.17 $23,474.14 2026-03-24
D1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 17 $24,345.50 $24,345.50 $15,018.43 $32,866.42 $23,466.30 2026-03-24
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 30 17 $24,254.08 $24,254.08 $15,017.17 $32,743.01 $23,464.33 2026-03-24
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 17 $24,296.74 $24,296.74 $15,017.17 $32,800.60 $23,464.33 2026-03-24
A1403 HCPCS Cardiac M >=45.50 And M <55.50 30 17 $23,943.26 $23,943.26 $14,835.19 $32,323.40 $23,179.98 2026-03-24
A1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 17 $23,122.53 $23,122.53 $14,798.42 $31,229.43 $23,122.53 2026-03-24
D0602 HCPCS Neurological M >=52.50 And M <64.50 30 17 $23,604.00 $23,604.00 $14,790.00 $31,865.40 $23,109.38 2026-03-24
B2001 HCPCS Miscellaneous M >=66.50 30 17 $24,142.35 $24,142.35 $14,781.22 $32,592.17 $23,095.65 2026-03-24
C2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 17 $24,038.74 $24,038.74 $14,753.60 $32,452.30 $23,052.51 2026-03-24
A0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 17 $23,892.47 $23,892.47 $14,709.68 $32,254.84 $22,983.87 2026-03-24
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 17 $24,057.02 $24,057.02 $14,705.91 $32,476.98 $22,977.99 2026-03-24
A1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 17 $24,351.59 $24,351.59 $14,700.89 $32,874.65 $22,970.14 2026-03-24
D0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 17 $23,601.97 $23,601.97 $14,693.36 $31,862.66 $22,958.38 2026-03-24
D1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 17 $22,858.44 $22,858.44 $14,629.40 $31,234.73 $22,858.44 2026-03-24
C2101 HCPCS Burns M >=52.50 30 17 $27,431.34 $27,431.34 $14,626.84 $37,032.32 $22,854.44 2026-03-24
76085096 CDM IV Infustion Tpd Each 16 16 $22,778.06 $22,778.06 $14,577.96 $22,778.06 $22,778.06 2026-03-24
D1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 17 $22,872.66 $22,872.66 $14,532.71 $30,878.09 $22,707.36 2026-03-24
A1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 17 $23,431.32 $23,431.32 $14,442.34 $31,632.28 $22,566.16 2026-03-24
D1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 17 $22,441.98 $22,441.98 $14,362.87 $30,329.29 $22,441.98 2026-03-24
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 17 $22,364.78 $22,364.78 $14,313.46 $33,593.61 $22,364.78 2026-03-24
C1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 30 17 $23,638.53 $23,638.53 $14,310.56 $31,912.02 $22,360.25 2026-03-24
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