|
504
|
MS_DRG
|
Foot Procedures With Cc
|
9
|
9
|
$181,764.58
|
$181,764.58
|
$15,333.10
|
$170,858.70
|
$146,502.25
|
2026-02-09
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
9
|
9
|
$128,362.67
|
$128,362.67
|
$20,336.93
|
$120,660.91
|
$103,460.31
|
2026-02-09
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
9
|
9
|
$122,906.72
|
$122,906.72
|
$32,120.62
|
$115,532.32
|
$99,062.82
|
2026-02-09
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
9
|
9
|
$106,335.93
|
$106,335.93
|
$20,402.57
|
$99,955.77
|
$85,706.76
|
2026-02-09
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
9
|
9
|
$88,046.79
|
$88,046.79
|
$29,268.22
|
$82,763.98
|
$70,965.71
|
2026-02-09
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
9
|
9
|
$84,848.83
|
$84,848.83
|
$19,017.72
|
$79,757.90
|
$68,388.16
|
2026-02-09
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
9
|
9
|
$81,133.18
|
$81,133.18
|
$11,154.93
|
$76,265.19
|
$65,393.34
|
2026-02-09
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
9
|
9
|
$78,184.15
|
$78,184.15
|
$30,110.95
|
$73,493.10
|
$63,016.42
|
2026-02-09
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
9
|
9
|
$77,989.35
|
$77,989.35
|
$49,431.89
|
$73,309.98
|
$62,859.41
|
2026-02-09
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
9
|
9
|
$72,108.79
|
$72,108.79
|
$23,285.15
|
$67,782.26
|
$58,119.68
|
2026-02-09
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
9
|
9
|
$71,990.42
|
$71,990.42
|
$42,712.42
|
$67,670.99
|
$58,024.28
|
2026-02-09
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
9
|
9
|
$71,226.46
|
$71,226.46
|
$10,506.47
|
$66,952.87
|
$57,408.53
|
2026-02-09
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
9
|
9
|
$71,063.30
|
$71,063.30
|
$27,043.28
|
$66,799.50
|
$57,277.02
|
2026-02-09
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
9
|
9
|
$69,251.48
|
$69,251.48
|
$47,858.02
|
$65,096.39
|
$55,816.69
|
2026-02-09
|
|
02109405
|
CDM
|
Operating Room Services - General Classification
|
17
|
17
|
$134,639.21
|
$134,639.21
|
$48,470.12
|
$126,560.86
|
$55,202.08
|
2026-02-09
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
9
|
9
|
$67,816.02
|
$67,816.02
|
$15,736.08
|
$63,747.06
|
$54,659.71
|
2026-02-09
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
9
|
9
|
$66,866.48
|
$66,866.48
|
$11,907.08
|
$62,854.49
|
$53,894.38
|
2026-02-09
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
9
|
9
|
$66,044.68
|
$66,044.68
|
$41,008.59
|
$62,081.99
|
$53,232.01
|
2026-02-09
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
9
|
9
|
$59,700.87
|
$59,700.87
|
$28,506.89
|
$56,118.82
|
$48,118.90
|
2026-02-09
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
9
|
9
|
$59,213.49
|
$59,213.49
|
$31,398.66
|
$55,660.68
|
$47,726.07
|
2026-02-09
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
9
|
9
|
$58,826.20
|
$58,826.20
|
$16,103.63
|
$55,296.63
|
$47,413.92
|
2026-02-09
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
9
|
9
|
$57,779.89
|
$57,779.89
|
$25,738.50
|
$54,313.10
|
$46,570.59
|
2026-02-09
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
9
|
9
|
$57,612.08
|
$57,612.08
|
$13,138.34
|
$54,155.35
|
$46,435.33
|
2026-02-09
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
9
|
9
|
$50,952.70
|
$50,952.70
|
$40,762.16
|
$53,040.76
|
$45,857.43
|
2026-02-09
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
9
|
9
|
$51,909.14
|
$51,909.14
|
$41,527.31
|
$48,794.59
|
$43,026.14
|
2026-02-09
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
9
|
9
|
$53,214.05
|
$53,214.05
|
$20,284.43
|
$50,021.21
|
$42,890.52
|
2026-02-09
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
9
|
9
|
$52,800.14
|
$52,800.14
|
$24,358.90
|
$49,632.13
|
$42,556.91
|
2026-02-09
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
9
|
9
|
$51,442.54
|
$51,442.54
|
$17,525.23
|
$48,355.98
|
$41,462.68
|
2026-02-09
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
9
|
9
|
$51,345.24
|
$51,345.24
|
$24,761.89
|
$48,264.53
|
$41,384.26
|
2026-02-09
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
9
|
9
|
$49,926.04
|
$49,926.04
|
$9,822.58
|
$46,930.48
|
$40,240.39
|
2026-02-09
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
9
|
9
|
$47,646.88
|
$47,646.88
|
$15,816.16
|
$44,788.07
|
$38,403.39
|
2026-02-09
|
|
88
|
MS_DRG
|
Concussion With Mcc
|
9
|
9
|
$46,816.34
|
$46,816.34
|
$18,518.91
|
$44,007.36
|
$37,733.97
|
2026-02-09
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
9
|
9
|
$46,758.78
|
$46,758.78
|
$29,605.58
|
$43,953.25
|
$37,687.58
|
2026-02-09
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
9
|
9
|
$45,493.83
|
$45,493.83
|
$14,675.46
|
$42,764.20
|
$36,668.03
|
2026-02-09
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
9
|
9
|
$45,361.82
|
$45,361.82
|
$22,414.86
|
$42,640.11
|
$36,561.63
|
2026-02-09
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
9
|
9
|
$44,500.17
|
$44,500.17
|
$9,819.96
|
$41,830.16
|
$35,867.13
|
2026-02-09
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
9
|
9
|
$43,505.58
|
$43,505.58
|
$18,524.16
|
$40,895.25
|
$35,065.50
|
2026-02-09
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
9
|
9
|
$43,221.47
|
$43,221.47
|
$7,269.47
|
$40,628.18
|
$34,836.51
|
2026-02-09
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
9
|
9
|
$42,536.19
|
$42,536.19
|
$11,031.54
|
$39,984.02
|
$34,284.17
|
2026-02-09
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
9
|
9
|
$39,532.69
|
$39,532.69
|
$10,897.65
|
$37,160.72
|
$31,863.34
|
2026-02-09
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
9
|
9
|
$38,796.60
|
$38,796.60
|
$13,101.59
|
$36,468.80
|
$31,270.06
|
2026-02-09
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
9
|
9
|
$38,720.73
|
$38,720.73
|
$10,967.22
|
$36,397.49
|
$31,208.91
|
2026-02-09
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
9
|
9
|
$38,718.79
|
$38,718.79
|
$15,442.05
|
$36,395.66
|
$31,207.34
|
2026-02-09
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
9
|
9
|
$38,404.60
|
$38,404.60
|
$18,471.65
|
$36,100.32
|
$30,954.11
|
2026-02-09
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
9
|
9
|
$37,378.20
|
$37,378.20
|
$7,871.98
|
$35,135.51
|
$30,126.83
|
2026-02-09
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
9
|
9
|
$36,288.73
|
$36,288.73
|
$21,142.90
|
$34,111.41
|
$29,248.72
|
2026-02-09
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
11
|
11
|
$36,190.77
|
$36,190.77
|
$17,333.58
|
$72,928.77
|
$29,169.76
|
2026-02-09
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
9
|
9
|
$36,167.59
|
$36,167.59
|
$13,967.94
|
$33,997.53
|
$29,151.08
|
2026-02-09
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
9
|
9
|
$35,610.97
|
$35,610.97
|
$20,440.63
|
$33,474.31
|
$28,702.44
|
2026-02-09
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
9
|
9
|
$35,567.66
|
$35,567.66
|
$17,953.16
|
$33,433.60
|
$28,667.53
|
2026-02-09
|
|
416
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc
|
9
|
9
|
$35,319.95
|
$35,319.95
|
$14,748.97
|
$33,200.75
|
$28,467.88
|
2026-02-09
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
9
|
9
|
$34,826.98
|
$34,826.98
|
$19,154.23
|
$32,737.36
|
$28,070.54
|
2026-02-09
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
9
|
9
|
$34,346.94
|
$34,346.94
|
$6,936.06
|
$32,286.12
|
$27,683.63
|
2026-02-09
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
9
|
9
|
$34,028.46
|
$34,028.46
|
$15,607.44
|
$31,986.75
|
$27,426.94
|
2026-02-09
|
|
601
|
MS_DRG
|
Non-malignant Breast Disorders Without Cc/mcc
|
9
|
9
|
$33,763.53
|
$33,763.53
|
$5,404.19
|
$31,737.72
|
$27,213.41
|
2026-02-09
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
9
|
9
|
$32,934.83
|
$32,934.83
|
$18,902.20
|
$30,958.74
|
$26,545.47
|
2026-02-09
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
9
|
9
|
$32,421.58
|
$32,421.58
|
$10,257.07
|
$30,476.29
|
$26,131.79
|
2026-02-09
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
9
|
9
|
$32,045.17
|
$32,045.17
|
$13,503.26
|
$30,122.46
|
$25,828.41
|
2026-02-09
|
|
476
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc…
|
9
|
9
|
$31,435.12
|
$31,435.12
|
$14,710.90
|
$29,549.01
|
$25,336.71
|
2026-02-09
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
9
|
9
|
$31,221.27
|
$31,221.27
|
$10,173.06
|
$29,347.99
|
$25,164.34
|
2026-02-09
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
9
|
9
|
$30,573.02
|
$30,573.02
|
$20,486.58
|
$28,738.64
|
$24,641.85
|
2026-02-09
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
9
|
9
|
$30,242.31
|
$30,242.31
|
$14,197.65
|
$28,427.77
|
$24,375.30
|
2026-02-09
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
9
|
9
|
$30,131.80
|
$30,131.80
|
$18,899.58
|
$28,323.89
|
$24,286.23
|
2026-02-09
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
9
|
9
|
$29,736.09
|
$29,736.09
|
$14,306.61
|
$27,951.92
|
$23,967.29
|
2026-02-09
|
|
741
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without…
|
9
|
9
|
$29,007.75
|
$29,007.75
|
$16,738.95
|
$27,267.29
|
$23,380.25
|
2026-02-09
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
9
|
9
|
$27,049.00
|
$27,049.00
|
$21,639.20
|
$25,426.06
|
$23,131.57
|
2026-02-09
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
9
|
9
|
$28,637.68
|
$28,637.68
|
$9,489.17
|
$26,919.42
|
$23,081.97
|
2026-02-09
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
9
|
9
|
$27,973.27
|
$27,973.27
|
$8,351.10
|
$26,294.87
|
$22,546.45
|
2026-02-09
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
9
|
9
|
$27,894.19
|
$27,894.19
|
$10,028.67
|
$26,220.54
|
$22,482.72
|
2026-02-09
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
9
|
9
|
$27,889.53
|
$27,889.53
|
$14,914.36
|
$26,216.16
|
$22,478.96
|
2026-02-09
|
|
887
|
MS_DRG
|
Other Mental Disorder Diagnoses
|
10
|
10
|
$36,123.83
|
$36,123.83
|
$4,050.41
|
$86,991.83
|
$22,448.83
|
2026-02-09
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
9
|
9
|
$27,579.88
|
$27,579.88
|
$7,822.10
|
$25,925.09
|
$22,229.38
|
2026-02-09
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
9
|
9
|
$27,575.26
|
$27,575.26
|
$9,073.06
|
$25,920.74
|
$22,225.66
|
2026-02-09
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
9
|
9
|
$25,250.38
|
$25,250.38
|
$20,200.30
|
$23,735.36
|
$22,110.33
|
2026-02-09
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
9
|
9
|
$27,335.81
|
$27,335.81
|
$17,882.27
|
$25,695.66
|
$22,032.66
|
2026-02-09
|
|
512
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/…
|
9
|
9
|
$27,127.83
|
$27,127.83
|
$16,527.61
|
$25,500.16
|
$21,865.03
|
2026-02-09
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
9
|
9
|
$27,121.25
|
$27,121.25
|
$10,994.78
|
$25,493.98
|
$21,859.73
|
2026-02-09
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
9
|
9
|
$27,045.09
|
$27,045.09
|
$11,023.66
|
$25,422.39
|
$21,798.34
|
2026-02-09
|
|
950
|
MS_DRG
|
Aftercare Without Cc/mcc
|
11
|
11
|
$26,785.93
|
$26,785.93
|
$9,059.93
|
$77,653.93
|
$21,589.46
|
2026-02-09
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
9
|
9
|
$26,557.99
|
$26,557.99
|
$11,292.75
|
$24,964.51
|
$21,405.74
|
2026-02-09
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
9
|
9
|
$26,142.03
|
$26,142.03
|
$11,051.23
|
$24,573.51
|
$21,070.48
|
2026-02-09
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
9
|
9
|
$26,111.52
|
$26,111.52
|
$13,832.74
|
$24,544.83
|
$21,045.89
|
2026-02-09
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
9
|
9
|
$25,917.49
|
$25,917.49
|
$11,958.27
|
$24,362.44
|
$20,889.50
|
2026-02-09
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
9
|
9
|
$25,708.96
|
$25,708.96
|
$20,481.32
|
$24,166.42
|
$20,721.42
|
2026-02-09
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
9
|
9
|
$25,636.37
|
$25,636.37
|
$11,425.33
|
$24,098.19
|
$20,662.91
|
2026-02-09
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
9
|
9
|
$25,346.42
|
$25,346.42
|
$12,663.16
|
$23,825.63
|
$20,429.21
|
2026-02-09
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
9
|
9
|
$24,692.20
|
$24,692.20
|
$19,730.78
|
$23,210.67
|
$20,311.99
|
2026-02-09
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/mcc
|
9
|
9
|
$25,054.90
|
$25,054.90
|
$13,264.36
|
$23,551.61
|
$20,194.25
|
2026-02-09
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
9
|
9
|
$25,023.94
|
$25,023.94
|
$11,399.08
|
$23,522.50
|
$20,169.29
|
2026-02-09
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
9
|
9
|
$24,922.51
|
$24,922.51
|
$8,722.58
|
$23,427.16
|
$20,087.54
|
2026-02-09
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
9
|
9
|
$24,887.69
|
$24,887.69
|
$16,549.93
|
$23,394.43
|
$20,059.48
|
2026-02-09
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
9
|
9
|
$24,686.35
|
$24,686.35
|
$16,736.33
|
$23,205.17
|
$19,897.20
|
2026-02-09
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
9
|
9
|
$24,644.89
|
$24,644.89
|
$17,312.58
|
$23,166.20
|
$19,863.78
|
2026-02-09
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
9
|
9
|
$21,821.64
|
$21,821.64
|
$17,457.31
|
$39,132.21
|
$19,639.48
|
2026-02-09
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
9
|
9
|
$23,983.15
|
$23,983.15
|
$10,835.95
|
$22,544.16
|
$19,330.42
|
2026-02-09
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
9
|
9
|
$23,394.49
|
$23,394.49
|
$16,144.32
|
$21,990.82
|
$18,855.96
|
2026-02-09
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
9
|
9
|
$23,246.33
|
$23,246.33
|
$6,748.35
|
$21,851.55
|
$18,736.54
|
2026-02-09
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
9
|
9
|
$23,235.35
|
$23,235.35
|
$16,039.31
|
$21,841.22
|
$18,727.69
|
2026-02-09
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
9
|
9
|
$20,728.10
|
$20,728.10
|
$16,582.48
|
$32,591.65
|
$18,655.29
|
2026-02-09
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
9
|
9
|
$20,691.26
|
$20,691.26
|
$16,553.01
|
$22,208.43
|
$18,622.13
|
2026-02-09
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
9
|
9
|
$22,712.46
|
$22,712.46
|
$13,400.87
|
$21,349.71
|
$18,306.24
|
2026-02-09
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
9
|
9
|
$22,141.55
|
$22,141.55
|
$17,713.24
|
$20,813.06
|
$18,144.80
|
2026-02-09
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc/mcc
|
9
|
9
|
$22,486.62
|
$22,486.62
|
$15,301.60
|
$21,137.42
|
$18,124.22
|
2026-02-09
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
9
|
9
|
$22,470.13
|
$22,470.13
|
$10,173.06
|
$21,121.92
|
$18,110.92
|
2026-02-09
|
|
C1882
|
HCPCS
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
17
|
17
|
$44,090.00
|
$44,090.00
|
$15,872.40
|
$41,444.60
|
$18,076.90
|
2026-02-09
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
9
|
9
|
$22,398.24
|
$22,398.24
|
$17,764.13
|
$21,054.35
|
$18,052.98
|
2026-02-09
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
9
|
9
|
$22,303.61
|
$22,303.61
|
$7,126.39
|
$20,965.39
|
$17,976.71
|
2026-02-09
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
9
|
9
|
$22,290.95
|
$22,290.95
|
$11,189.05
|
$20,953.49
|
$17,966.50
|
2026-02-09
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
9
|
9
|
$22,235.06
|
$22,235.06
|
$11,765.31
|
$20,900.96
|
$17,921.46
|
2026-02-09
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
11
|
11
|
$21,721.14
|
$21,721.14
|
$14,546.82
|
$58,459.14
|
$17,507.24
|
2026-02-09
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
10
|
10
|
$21,623.50
|
$21,623.50
|
$13,717.22
|
$55,535.50
|
$17,428.54
|
2026-02-09
|
|
746
|
MS_DRG
|
Vagina, Cervix And Vulva Procedures With Cc/mcc
|
9
|
9
|
$21,195.61
|
$21,195.61
|
$13,287.99
|
$19,923.87
|
$17,083.66
|
2026-02-09
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
9
|
9
|
$21,177.34
|
$21,177.34
|
$5,450.14
|
$19,906.70
|
$17,068.94
|
2026-02-09
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
9
|
9
|
$21,128.78
|
$21,128.78
|
$9,327.71
|
$19,861.05
|
$17,029.80
|
2026-02-09
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
9
|
9
|
$20,854.58
|
$20,854.58
|
$12,147.29
|
$19,603.30
|
$16,808.79
|
2026-02-09
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
9
|
9
|
$20,839.83
|
$20,839.83
|
$8,591.31
|
$19,589.44
|
$16,796.90
|
2026-02-09
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/mcc
|
9
|
9
|
$20,804.37
|
$20,804.37
|
$16,355.66
|
$19,556.11
|
$16,768.32
|
2026-02-09
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
9
|
9
|
$18,945.67
|
$18,945.67
|
$15,156.54
|
$17,808.93
|
$16,665.44
|
2026-02-09
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
9
|
9
|
$20,540.47
|
$20,540.47
|
$14,386.68
|
$19,308.04
|
$16,555.62
|
2026-02-09
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
9
|
9
|
$20,444.80
|
$20,444.80
|
$10,615.42
|
$19,218.11
|
$16,478.51
|
2026-02-09
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
9
|
9
|
$18,195.21
|
$18,195.21
|
$14,556.17
|
$17,431.22
|
$16,375.69
|
2026-02-09
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
9
|
9
|
$20,045.77
|
$20,045.77
|
$9,353.97
|
$18,843.02
|
$16,156.89
|
2026-02-09
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
9
|
9
|
$19,988.85
|
$19,988.85
|
$7,843.10
|
$18,789.52
|
$16,111.02
|
2026-02-09
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
36
|
19
|
$17,406.28
|
$17,406.28
|
$175.73
|
$56,410.45
|
$16,013.77
|
2026-02-09
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
11
|
11
|
$16,885.16
|
$16,885.16
|
$13,508.13
|
$39,493.16
|
$15,872.05
|
2026-02-09
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
9
|
9
|
$18,440.91
|
$18,440.91
|
$14,752.73
|
$17,334.46
|
$15,623.20
|
2026-02-09
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
11
|
11
|
$19,199.48
|
$19,199.48
|
$8,775.09
|
$41,807.48
|
$15,399.57
|
2026-02-09
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
9
|
9
|
$19,010.94
|
$19,010.94
|
$13,081.90
|
$17,870.28
|
$15,322.82
|
2026-02-09
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
9
|
9
|
$18,985.65
|
$18,985.65
|
$8,263.15
|
$17,846.51
|
$15,302.43
|
2026-02-09
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
9
|
9
|
$18,872.97
|
$18,872.97
|
$9,822.58
|
$17,740.60
|
$15,211.62
|
2026-02-09
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
9
|
9
|
$18,837.93
|
$18,837.93
|
$6,647.27
|
$17,707.65
|
$15,183.37
|
2026-02-09
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
9
|
9
|
$18,387.21
|
$18,387.21
|
$14,709.77
|
$17,283.98
|
$15,069.26
|
2026-02-09
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
9
|
9
|
$18,688.02
|
$18,688.02
|
$10,219.00
|
$17,566.74
|
$15,062.54
|
2026-02-09
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
17
|
17
|
$36,734.00
|
$36,734.00
|
$13,224.24
|
$34,529.96
|
$15,060.94
|
2026-02-09
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
9
|
9
|
$16,709.50
|
$16,709.50
|
$13,367.60
|
$16,112.40
|
$15,038.55
|
2026-02-09
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
9
|
9
|
$18,602.40
|
$18,602.40
|
$11,732.49
|
$17,486.25
|
$14,993.53
|
2026-02-09
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
9
|
9
|
$16,431.68
|
$16,431.68
|
$13,145.35
|
$18,474.23
|
$14,788.51
|
2026-02-09
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
9
|
9
|
$16,355.31
|
$16,355.31
|
$13,084.24
|
$15,373.99
|
$14,719.78
|
2026-02-09
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
10
|
10
|
$15,949.75
|
$15,949.75
|
$12,081.28
|
$32,905.75
|
$14,673.76
|
2026-02-09
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
9
|
9
|
$16,359.52
|
$16,359.52
|
$13,087.62
|
$15,377.95
|
$14,577.01
|
2026-02-09
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
9
|
9
|
$18,078.00
|
$18,078.00
|
$5,447.51
|
$16,993.32
|
$14,570.87
|
2026-02-09
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
9
|
9
|
$17,972.64
|
$17,972.64
|
$10,128.43
|
$16,894.28
|
$14,485.94
|
2026-02-09
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
9
|
9
|
$17,777.42
|
$17,777.42
|
$10,397.52
|
$16,710.77
|
$14,328.60
|
2026-02-09
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
9
|
9
|
$17,674.28
|
$17,674.28
|
$7,323.29
|
$16,613.82
|
$14,245.47
|
2026-02-09
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
9
|
9
|
$17,467.95
|
$17,467.95
|
$7,168.40
|
$16,419.87
|
$14,079.17
|
2026-02-09
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
9
|
9
|
$15,628.78
|
$15,628.78
|
$12,503.02
|
$25,436.54
|
$14,065.90
|
2026-02-09
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
9
|
9
|
$17,408.53
|
$17,408.53
|
$9,921.03
|
$16,364.02
|
$14,031.28
|
2026-02-09
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
9
|
9
|
$17,405.61
|
$17,405.61
|
$9,842.27
|
$16,361.27
|
$14,028.92
|
2026-02-09
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
9
|
9
|
$17,374.72
|
$17,374.72
|
$3,983.90
|
$16,332.24
|
$14,004.02
|
2026-02-09
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
9
|
9
|
$15,546.10
|
$15,546.10
|
$12,436.88
|
$14,654.33
|
$13,991.49
|
2026-02-09
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
9
|
9
|
$17,335.09
|
$17,335.09
|
$9,008.74
|
$16,294.98
|
$13,972.08
|
2026-02-09
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
9
|
9
|
$17,256.55
|
$17,256.55
|
$9,721.51
|
$16,221.15
|
$13,908.78
|
2026-02-09
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
9
|
9
|
$24,877.48
|
$24,877.48
|
$11,406.95
|
$23,384.83
|
$13,857.73
|
2026-02-09
|
|
989
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
9
|
9
|
$16,911.40
|
$16,911.40
|
$13,026.77
|
$15,896.72
|
$13,630.59
|
2026-02-09
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
9
|
9
|
$16,725.74
|
$16,725.74
|
$9,238.45
|
$15,722.20
|
$13,480.95
|
2026-02-09
|
|
J9229
|
HCPCS
|
Injection, Inotuzumab Ozogamicin, 0.1 Mg
|
19
|
19
|
$32,702.51
|
$32,702.51
|
$2,573.85
|
$30,740.36
|
$13,408.03
|
2026-02-09
|
|
53
|
MS_DRG
|
Spinal Disorders And Injuries Without Cc/mcc
|
11
|
11
|
$16,623.82
|
$16,623.82
|
$12,094.78
|
$33,579.82
|
$13,398.79
|
2026-02-09
|
|
770
|
MS_DRG
|
Abortion With D&c, Aspiration Curettage Or Hysterotomy
|
9
|
9
|
$16,425.85
|
$16,425.85
|
$9,859.34
|
$15,440.30
|
$13,239.24
|
2026-02-09
|
|
C1721
|
HCPCS
|
Cardioverter-defibrillator, Dual Chamber (implantable)
|
17
|
17
|
$32,222.22
|
$32,222.22
|
$11,600.00
|
$30,288.89
|
$13,211.11
|
2026-02-09
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
9
|
9
|
$16,374.81
|
$16,374.81
|
$6,555.39
|
$15,392.32
|
$13,198.10
|
2026-02-09
|
|
755
|
MS_DRG
|
Malignancy, Female Reproductive System With Cc
|
9
|
9
|
$18,374.02
|
$18,374.02
|
$10,833.33
|
$17,271.57
|
$13,123.81
|
2026-02-09
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
9
|
9
|
$16,195.07
|
$16,195.07
|
$10,650.87
|
$15,223.37
|
$13,053.23
|
2026-02-09
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
9
|
9
|
$15,107.74
|
$15,107.74
|
$12,086.19
|
$14,201.28
|
$13,033.33
|
2026-02-09
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
11
|
11
|
$15,870.63
|
$15,870.63
|
$8,092.51
|
$32,826.63
|
$12,791.72
|
2026-02-09
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
9
|
9
|
$15,728.14
|
$15,728.14
|
$8,880.10
|
$14,784.45
|
$12,676.88
|
2026-02-09
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
10
|
10
|
$15,416.74
|
$15,416.74
|
$1,595.67
|
$40,850.74
|
$12,508.73
|
2026-02-09
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
9
|
9
|
$14,646.00
|
$14,646.00
|
$11,716.80
|
$13,767.24
|
$12,296.93
|
2026-02-09
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
17
|
17
|
$29,646.24
|
$29,646.24
|
$10,672.65
|
$27,867.47
|
$12,154.96
|
2026-02-09
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
9
|
9
|
$14,951.84
|
$14,951.84
|
$10,523.54
|
$14,054.72
|
$12,051.18
|
2026-02-09
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
9
|
9
|
$14,824.25
|
$14,824.25
|
$8,537.50
|
$13,934.80
|
$11,948.35
|
2026-02-09
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
19
|
19
|
$28,566.14
|
$28,566.14
|
$58.50
|
$26,852.17
|
$11,712.12
|
2026-02-09
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
9
|
9
|
$13,007.88
|
$13,007.88
|
$10,406.30
|
$15,128.30
|
$11,707.09
|
2026-02-09
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
9
|
9
|
$14,389.07
|
$14,389.07
|
$8,780.34
|
$13,525.72
|
$11,597.59
|
2026-02-09
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
9
|
9
|
$14,318.02
|
$14,318.02
|
$11,292.75
|
$13,458.94
|
$11,540.32
|
2026-02-09
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
9
|
9
|
$17,286.87
|
$17,286.87
|
$9,720.58
|
$16,249.66
|
$11,391.41
|
2026-02-09
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
9
|
9
|
$12,652.66
|
$12,652.66
|
$10,122.13
|
$14,512.40
|
$11,387.39
|
2026-02-09
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
19
|
19
|
$27,184.60
|
$27,184.60
|
$137.43
|
$25,553.52
|
$11,145.69
|
2026-02-09
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
9
|
9
|
$12,377.52
|
$12,377.52
|
$9,902.02
|
$23,422.82
|
$11,139.77
|
2026-02-09
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
9
|
9
|
$13,662.28
|
$13,662.28
|
$7,709.21
|
$12,842.54
|
$11,011.79
|
2026-02-09
|
|
J2406
|
HCPCS
|
Injection, Oritavancin (kimyrsa), 10 Mg
|
17
|
17
|
$26,599.81
|
$26,599.81
|
$9,575.93
|
$25,003.82
|
$10,905.92
|
2026-02-09
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
9
|
9
|
$13,518.92
|
$13,518.92
|
$9,781.89
|
$12,707.78
|
$10,896.25
|
2026-02-09
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
9
|
9
|
$13,391.55
|
$13,391.55
|
$9,624.37
|
$12,588.06
|
$10,793.59
|
2026-02-09
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
9
|
9
|
$13,245.68
|
$13,245.68
|
$9,755.64
|
$12,450.94
|
$10,676.02
|
2026-02-09
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
9
|
9
|
$13,238.37
|
$13,238.37
|
$10,455.28
|
$12,444.07
|
$10,670.13
|
2026-02-09
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
9
|
9
|
$13,057.30
|
$13,057.30
|
$7,375.80
|
$12,273.86
|
$10,524.18
|
2026-02-09
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
9
|
9
|
$12,992.94
|
$12,992.94
|
$9,092.75
|
$12,213.36
|
$10,472.31
|
2026-02-09
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
9
|
9
|
$11,250.58
|
$11,250.58
|
$9,000.46
|
$20,593.71
|
$10,125.52
|
2026-02-09
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
9
|
9
|
$11,067.45
|
$11,067.45
|
$8,853.96
|
$12,766.47
|
$9,960.70
|
2026-02-09
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
9
|
9
|
$12,341.45
|
$12,341.45
|
$8,596.56
|
$11,600.96
|
$9,947.21
|
2026-02-09
|
|
885
|
MS_DRG
|
Psychoses
|
10
|
10
|
$13,581.50
|
$13,581.50
|
$2,402.70
|
$30,537.50
|
$9,767.98
|
2026-02-09
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
19
|
19
|
$23,811.97
|
$23,811.97
|
$4,044.48
|
$22,383.25
|
$9,762.91
|
2026-02-09
|
|
C2621
|
HCPCS
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
17
|
17
|
$23,793.00
|
$23,793.00
|
$8,565.48
|
$22,365.42
|
$9,755.13
|
2026-02-09
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
9
|
9
|
$10,834.35
|
$10,834.35
|
$8,667.48
|
$18,284.10
|
$9,750.92
|
2026-02-09
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
17
|
17
|
$23,552.00
|
$23,552.00
|
$8,478.72
|
$22,138.88
|
$9,656.32
|
2026-02-09
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
10
|
10
|
$12,920.25
|
$12,920.25
|
$8,331.36
|
$27,050.25
|
$9,555.03
|
2026-02-09
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
9
|
9
|
$11,748.12
|
$11,748.12
|
$6,296.80
|
$11,043.24
|
$9,468.99
|
2026-02-09
|
|
J9316
|
HCPCS
|
Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg
|
34
|
17
|
$21,584.82
|
$21,584.82
|
$6,392.03
|
$23,889.16
|
$9,286.28
|
2026-02-09
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
9
|
9
|
$11,480.51
|
$11,480.51
|
$6,819.23
|
$10,791.68
|
$9,253.29
|
2026-02-09
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
9
|
9
|
$10,620.98
|
$10,620.98
|
$7,991.43
|
$9,983.72
|
$8,560.51
|
2026-02-09
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
9
|
9
|
$9,428.54
|
$9,428.54
|
$7,542.83
|
$9,768.66
|
$8,485.69
|
2026-02-09
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
9
|
9
|
$9,417.34
|
$9,417.34
|
$7,533.87
|
$8,852.30
|
$8,475.61
|
2026-02-09
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
19
|
19
|
$20,498.32
|
$20,498.32
|
$200.08
|
$19,268.42
|
$8,404.31
|
2026-02-09
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
17
|
17
|
$20,045.26
|
$20,045.26
|
$7,216.29
|
$18,842.54
|
$8,218.56
|
2026-02-09
|
|
313
|
MS_DRG
|
Chest Pain
|
9
|
9
|
$10,056.56
|
$10,056.56
|
$6,905.87
|
$9,453.17
|
$8,105.59
|
2026-02-09
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
9
|
9
|
$11,908.72
|
$11,908.72
|
$5,116.72
|
$11,194.20
|
$7,921.37
|
2026-02-09
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
19
|
19
|
$19,124.00
|
$19,124.00
|
$67.09
|
$17,976.56
|
$7,840.84
|
2026-02-09
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
9
|
9
|
$8,539.06
|
$8,539.06
|
$6,831.25
|
$8,318.62
|
$7,685.15
|
2026-02-09
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
34
|
17
|
$15,199.58
|
$15,199.58
|
$2,735.93
|
$21,431.40
|
$7,675.79
|
2026-02-09
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
10
|
10
|
$8,296.07
|
$8,296.07
|
$5,884.39
|
$16,774.07
|
$7,632.39
|
2026-02-09
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
9
|
9
|
$8,091.84
|
$8,091.84
|
$6,473.47
|
$7,807.16
|
$7,282.65
|
2026-02-09
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
10
|
10
|
$8,508.58
|
$8,508.58
|
$2,043.38
|
$19,812.58
|
$7,049.17
|
2026-02-09
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
10
|
10
|
$9,540.06
|
$9,540.06
|
$1,586.16
|
$20,844.06
|
$6,902.20
|
2026-02-09
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
9
|
9
|
$7,459.25
|
$7,459.25
|
$5,967.40
|
$9,474.10
|
$6,713.33
|
2026-02-09
|
|
596
|
MS_DRG
|
Major Skin Disorders Without Mcc
|
11
|
11
|
$7,099.79
|
$7,099.79
|
$5,679.83
|
$15,577.79
|
$6,673.80
|
2026-02-09
|
|
J9272
|
HCPCS
|
Injection, Dostarlimab-gxly, 10 Mg
|
17
|
17
|
$16,104.35
|
$16,104.35
|
$5,797.57
|
$15,138.09
|
$6,602.78
|
2026-02-09
|
|
L8690
|
HCPCS
|
Auditory Osseointegrated Device, Includes All Internal And External Components
|
17
|
17
|
$16,091.71
|
$16,091.71
|
$5,793.02
|
$15,126.21
|
$6,597.60
|
2026-02-09
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
17
|
17
|
$15,660.00
|
$15,660.00
|
$5,637.60
|
$14,720.40
|
$6,420.60
|
2026-02-09
|
|
A9604
|
HCPCS
|
Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri…
|
17
|
17
|
$15,455.00
|
$15,455.00
|
$5,563.80
|
$14,527.70
|
$6,336.55
|
2026-02-09
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
34
|
17
|
$13,362.06
|
$13,362.06
|
$1,796.08
|
$20,430.90
|
$6,257.19
|
2026-02-09
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
19
|
19
|
$15,132.32
|
$15,132.32
|
$127.92
|
$14,224.38
|
$6,204.25
|
2026-02-09
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
17
|
17
|
$14,921.54
|
$14,921.54
|
$5,371.75
|
$14,026.25
|
$6,117.83
|
2026-02-09
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
10
|
10
|
$7,417.02
|
$7,417.02
|
$4,172.45
|
$15,895.02
|
$6,057.49
|
2026-02-09
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
9
|
9
|
$10,696.54
|
$10,696.54
|
$1,349.94
|
$10,054.75
|
$5,966.17
|
2026-02-09
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
19
|
19
|
$14,057.00
|
$14,057.00
|
$191.20
|
$13,213.58
|
$5,763.37
|
2026-02-09
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
36
|
19
|
$15,829.01
|
$15,829.01
|
$87.63
|
$14,879.27
|
$5,698.44
|
2026-02-09
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
17
|
17
|
$13,778.27
|
$13,778.27
|
$4,960.18
|
$12,951.57
|
$5,649.09
|
2026-02-09
|
|
182
|
MS_DRG
|
Respiratory Neoplasms Without Cc/mcc
|
9
|
9
|
$6,236.35
|
$6,236.35
|
$4,989.08
|
$11,213.34
|
$5,612.72
|
2026-02-09
|
|
02109782
|
CDM
|
Operating Room Services - General Classification
|
17
|
17
|
$13,585.00
|
$13,585.00
|
$4,890.60
|
$12,769.90
|
$5,569.85
|
2026-02-09
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
19
|
19
|
$13,583.00
|
$13,583.00
|
$2,927.02
|
$12,768.02
|
$5,569.03
|
2026-02-09
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
19
|
19
|
$13,583.00
|
$13,583.00
|
$2,927.02
|
$12,768.02
|
$5,569.03
|
2026-02-09
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
19
|
19
|
$13,583.00
|
$13,583.00
|
$2,927.02
|
$12,768.02
|
$5,569.03
|
2026-02-09
|
|
J9311
|
HCPCS
|
Injection, Rituximab 10 Mg And Hyaluronidase
|
19
|
19
|
$13,153.16
|
$13,153.16
|
$43.23
|
$12,363.97
|
$5,392.80
|
2026-02-09
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
9
|
9
|
$5,954.68
|
$5,954.68
|
$4,763.75
|
$8,068.25
|
$5,359.21
|
2026-02-09
|
|
J9063
|
HCPCS
|
Injection, Mirvetuximab Soravtansine-gynx, 1 Mg
|
17
|
17
|
$12,974.30
|
$12,974.30
|
$4,670.75
|
$12,195.84
|
$5,319.46
|
2026-02-09
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
19
|
19
|
$12,557.87
|
$12,557.87
|
$20.55
|
$11,804.40
|
$5,148.73
|
2026-02-09
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
19
|
19
|
$12,371.16
|
$12,371.16
|
$21.28
|
$11,628.89
|
$5,072.18
|
2026-02-09
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
11
|
11
|
$5,394.26
|
$5,394.26
|
$4,315.41
|
$11,046.26
|
$5,070.60
|
2026-02-09
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
53
|
19
|
$8,395.16
|
$8,395.16
|
$209.96
|
$12,435.94
|
$4,762.70
|
2026-02-09
|
|
J9266
|
HCPCS
|
Injection, Pegaspargase, Per Single Dose Vial
|
19
|
19
|
$11,340.00
|
$11,340.00
|
$4,082.40
|
$18,350.46
|
$4,742.39
|
2026-02-09
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
19
|
19
|
$11,564.16
|
$11,564.16
|
$56.63
|
$10,870.31
|
$4,741.31
|
2026-02-09
|
|
17028700
|
CDM
|
Ryanodex 250 Mg Vial
|
17
|
17
|
$11,335.86
|
$11,335.86
|
$4,080.91
|
$10,655.71
|
$4,647.70
|
2026-02-09
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
11
|
11
|
$4,864.82
|
$4,864.82
|
$3,891.86
|
$10,516.82
|
$4,572.93
|
2026-02-09
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
8
|
8
|
$5,215.27
|
$5,215.27
|
$4,172.21
|
$10,867.27
|
$4,563.36
|
2026-02-09
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
19
|
19
|
$10,554.44
|
$10,554.44
|
$67.39
|
$9,921.17
|
$4,327.32
|
2026-02-09
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
9
|
9
|
$4,996.34
|
$4,996.34
|
$3,997.07
|
$4,696.56
|
$4,317.32
|
2026-02-09
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
17
|
17
|
$10,290.00
|
$10,290.00
|
$3,704.40
|
$9,672.60
|
$4,218.90
|
2026-02-09
|
|
302
|
MS_DRG
|
Atherosclerosis With Mcc
|
9
|
9
|
$4,354.00
|
$4,354.00
|
$3,483.20
|
$10,713.93
|
$3,918.60
|
2026-02-09
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
11
|
11
|
$4,152.66
|
$4,152.66
|
$3,169.33
|
$9,804.66
|
$3,903.50
|
2026-02-09
|
|
A9600
|
HCPCS
|
Strontium Sr-89 Chloride, Therapeutic, Per Millicurie
|
17
|
17
|
$9,497.00
|
$9,497.00
|
$3,418.92
|
$8,927.18
|
$3,893.77
|
2026-02-09
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
19
|
19
|
$9,457.30
|
$9,457.30
|
$14.30
|
$8,889.86
|
$3,877.49
|
2026-02-09
|
|
J1300
|
HCPCS
|
Injection, Eculizumab, 10 Mg
|
19
|
19
|
$9,451.83
|
$9,451.83
|
$234.83
|
$8,884.72
|
$3,875.25
|
2026-02-09
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
17
|
17
|
$9,208.00
|
$9,208.00
|
$3,314.88
|
$8,655.52
|
$3,775.28
|
2026-02-09
|
|
Q5122
|
HCPCS
|
Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg
|
17
|
17
|
$9,141.67
|
$9,141.67
|
$3,291.00
|
$8,593.17
|
$3,748.08
|
2026-02-09
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
10
|
10
|
$3,973.83
|
$3,973.83
|
$2,601.22
|
$9,625.83
|
$3,655.92
|
2026-02-09
|
|
795
|
MS_DRG
|
Normal Newborn
|
9
|
9
|
$4,515.22
|
$4,515.22
|
$3,214.69
|
$4,244.31
|
$3,639.27
|
2026-02-09
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
10
|
10
|
$3,880.58
|
$3,880.58
|
$721.03
|
$9,532.58
|
$3,570.14
|
2026-02-09
|
|
124
|
MS_DRG
|
Other Disorders Of The Eye With Mcc Or Thrombolytic Agent
|
7
|
7
|
$4,112.00
|
$4,112.00
|
$3,289.60
|
$4,112.00
|
$3,495.20
|
2026-02-09
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
17
|
17
|
$8,478.56
|
$8,478.56
|
$3,052.28
|
$7,969.85
|
$3,476.21
|
2026-02-09
|
|
C1786
|
HCPCS
|
Pacemaker, Single Chamber, Rate-responsive (implantable)
|
17
|
17
|
$8,400.00
|
$8,400.00
|
$3,024.00
|
$7,896.00
|
$3,444.00
|
2026-02-09
|
|
J9204
|
HCPCS
|
Injection, Mogamulizumab-kpkc, 1 Mg
|
17
|
17
|
$8,329.14
|
$8,329.14
|
$2,998.49
|
$7,829.39
|
$3,414.95
|
2026-02-09
|
|
47531
|
HCPCS
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
17
|
17
|
$8,272.00
|
$8,272.00
|
$2,977.92
|
$7,775.68
|
$3,391.52
|
2026-02-09
|
|
L8693
|
HCPCS
|
Auditory Osseointegrated Device Abutment, Any Length, Replacement Only
|
17
|
17
|
$7,942.00
|
$7,942.00
|
$2,859.12
|
$7,465.48
|
$3,256.22
|
2026-02-09
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
17
|
17
|
$7,694.04
|
$7,694.04
|
$2,769.85
|
$7,232.40
|
$3,154.56
|
2026-02-09
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
53
|
19
|
$7,634.62
|
$7,634.62
|
$31.88
|
$14,353.12
|
$3,130.19
|
2026-02-09
|
|
J9039
|
HCPCS
|
Injection, Blinatumomab, 1 Microgram
|
19
|
19
|
$7,455.34
|
$7,455.34
|
$128.24
|
$7,008.02
|
$3,056.69
|
2026-02-09
|
|
J9225
|
HCPCS
|
Histrelin Implant (vantas), 50 Mg
|
19
|
19
|
$7,089.00
|
$7,089.00
|
$2,552.04
|
$6,663.66
|
$2,964.62
|
2026-02-09
|
|
C1777
|
HCPCS
|
Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable)
|
17
|
17
|
$7,000.00
|
$7,000.00
|
$2,520.00
|
$6,580.00
|
$2,870.00
|
2026-02-09
|
|
02104405
|
CDM
|
Operating Room Services - General Classification
|
17
|
17
|
$6,868.00
|
$6,868.00
|
$2,472.48
|
$6,455.92
|
$2,815.88
|
2026-02-09
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
9
|
9
|
$3,452.50
|
$3,452.50
|
$2,568.86
|
$3,245.35
|
$2,782.72
|
2026-02-09
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
19
|
19
|
$6,592.88
|
$6,592.88
|
$36.29
|
$6,197.31
|
$2,703.08
|
2026-02-09
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
17
|
17
|
$6,512.00
|
$6,512.00
|
$2,344.32
|
$6,121.28
|
$2,669.92
|
2026-02-09
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
36
|
19
|
$2,894.65
|
$2,894.65
|
$40.50
|
$16,325.85
|
$2,663.08
|
2026-02-09
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
19
|
19
|
$6,382.74
|
$6,382.74
|
$327.92
|
$5,999.78
|
$2,616.92
|
2026-02-09
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
53
|
19
|
$6,350.84
|
$6,350.84
|
$10.44
|
$8,909.62
|
$2,603.84
|
2026-02-09
|
|
05555557
|
CDM
|
Specialty Services - Treatment Room
|
17
|
17
|
$6,305.00
|
$6,305.00
|
$2,269.80
|
$5,926.70
|
$2,585.05
|
2026-02-09
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
19
|
19
|
$4,725.00
|
$4,725.00
|
$76.98
|
$4,819.50
|
$2,572.92
|
2026-02-09
|
|
81443
|
HCPCS
|
Genomic Sequence Analysis Panel For Severe Inherited Conditions With Sequencing …
|
15
|
15
|
$6,121.00
|
$6,121.00
|
$2,203.56
|
$5,753.74
|
$2,559.80
|
2026-02-09
|
|
07598005
|
CDM
|
Femoral Stem/bipolar-implants
|
17
|
17
|
$6,181.00
|
$6,181.00
|
$2,225.16
|
$5,810.14
|
$2,534.21
|
2026-02-09
|
|
90371
|
HCPCS
|
Hepatitis B Immune Globulin For Injection Into Muscle
|
19
|
19
|
$6,140.29
|
$6,140.29
|
$120.05
|
$5,771.87
|
$2,517.52
|
2026-02-09
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
19
|
19
|
$5,990.86
|
$5,990.86
|
$29.31
|
$5,631.41
|
$2,456.25
|
2026-02-09
|
|
02108115
|
CDM
|
Stimulan 20cc
|
17
|
17
|
$5,909.00
|
$5,909.00
|
$2,127.24
|
$5,554.46
|
$2,422.69
|
2026-02-09
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
8
|
8
|
$2,729.00
|
$2,729.00
|
$2,183.20
|
$5,555.00
|
$2,387.88
|
2026-02-09
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
36
|
19
|
$12,774.13
|
$12,774.13
|
$5.18
|
$12,007.68
|
$2,350.44
|
2026-02-09
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
19
|
19
|
$4,474.00
|
$4,474.00
|
$76.98
|
$4,563.48
|
$2,331.36
|
2026-02-09
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
19
|
19
|
$5,611.00
|
$5,611.00
|
$1,042.22
|
$5,274.34
|
$2,300.51
|
2026-02-09
|
|
27487
|
HCPCS
|
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis
|
19
|
19
|
$4,978.00
|
$4,978.00
|
$76.98
|
$5,077.56
|
$2,255.94
|
2026-02-09
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
19
|
19
|
$4,278.00
|
$4,278.00
|
$76.98
|
$4,363.56
|
$2,241.28
|
2026-02-09
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
19
|
19
|
$5,462.71
|
$5,462.71
|
$8.14
|
$5,134.95
|
$2,239.71
|
2026-02-09
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
34
|
17
|
$5,087.80
|
$5,087.80
|
$1,465.29
|
$5,739.04
|
$2,230.90
|
2026-02-09
|
|
L8641
|
HCPCS
|
Metatarsal Joint Implant
|
34
|
17
|
$5,357.50
|
$5,357.50
|
$1,794.24
|
$5,387.14
|
$2,228.78
|
2026-02-09
|
|
0152U
|
OTHER
|
Cell-free DNA Sequencing Of Disease-causing Organisms In Plasma Specimen, With R…
|
15
|
15
|
$5,316.00
|
$5,316.00
|
$1,913.76
|
$4,997.04
|
$2,223.15
|
2026-02-09
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
36
|
19
|
$9,616.33
|
$9,616.33
|
$134.24
|
$9,039.35
|
$2,223.03
|
2026-02-09
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
19
|
19
|
$5,281.12
|
$5,281.12
|
$1.12
|
$4,964.25
|
$2,165.26
|
2026-02-09
|
|
27132
|
HCPCS
|
Total Hip Replacement After Previous Hip Surgery
|
19
|
19
|
$4,661.00
|
$4,661.00
|
$76.98
|
$4,754.22
|
$2,155.17
|
2026-02-09
|
|
22630
|
HCPCS
|
Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…
|
19
|
19
|
$4,518.00
|
$4,518.00
|
$76.98
|
$4,608.36
|
$2,078.34
|
2026-02-09
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
36
|
19
|
$8,952.80
|
$8,952.80
|
$41.59
|
$8,415.63
|
$2,059.14
|
2026-02-09
|
|
22612
|
HCPCS
|
Fusion Of Spine In Lower Back
|
19
|
19
|
$4,526.00
|
$4,526.00
|
$76.98
|
$4,616.52
|
$2,056.63
|
2026-02-09
|
|
55815
|
HCPCS
|
Removal Of Prostate Gland Through Incision Between Scrotum And Anus And Removal …
|
19
|
19
|
$5,026.00
|
$5,026.00
|
$76.98
|
$5,126.52
|
$2,054.05
|
2026-02-09
|
|
22633
|
HCPCS
|
Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc
|
19
|
19
|
$5,282.00
|
$5,282.00
|
$76.98
|
$5,387.64
|
$2,043.22
|
2026-02-09
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
19
|
19
|
$4,936.00
|
$4,936.00
|
$1,042.22
|
$4,639.84
|
$2,023.76
|
2026-02-09
|