|
00238
|
EAPG
|
Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures
|
1
|
1
|
—
|
—
|
$4,961,450.80
|
$4,961,450.80
|
$4,961,450.80
|
2026-02-27
|
|
00153
|
EAPG
|
Level Ii Ercp And Related Endoscopic Procedures
|
1
|
1
|
—
|
—
|
$4,830,754.80
|
$4,830,754.80
|
$4,830,754.80
|
2026-02-27
|
|
00263
|
EAPG
|
Thyroid And Parathyroid Procedures
|
1
|
1
|
—
|
—
|
$4,744,649.20
|
$4,744,649.20
|
$4,744,649.20
|
2026-02-27
|
|
00264
|
EAPG
|
Major Craniotomy And Craniectomy Surgical Procedures
|
1
|
1
|
—
|
—
|
$4,736,192.40
|
$4,736,192.40
|
$4,736,192.40
|
2026-02-27
|
|
00184
|
EAPG
|
Level Ii Prostate Procedures
|
1
|
1
|
—
|
—
|
$4,643,936.40
|
$4,643,936.40
|
$4,643,936.40
|
2026-02-27
|
|
00280
|
EAPG
|
Level Iii Vascular Radiological Procedures
|
1
|
1
|
—
|
—
|
$4,583,201.20
|
$4,583,201.20
|
$4,583,201.20
|
2026-02-27
|
|
00021
|
EAPG
|
Level I Mastectomy And Reconstructive Breast Procedures
|
2
|
1
|
—
|
—
|
$4,127,687.20
|
$4,994,501.51
|
$4,561,094.36
|
2026-02-27
|
|
00046
|
EAPG
|
Level I Arthroplasty
|
1
|
1
|
—
|
—
|
$4,557,446.40
|
$4,557,446.40
|
$4,557,446.40
|
2026-02-27
|
|
00174
|
EAPG
|
Level Ii Bladder And Ureteral Procedures
|
2
|
1
|
—
|
—
|
$4,038,506.40
|
$4,886,592.74
|
$4,462,549.57
|
2026-02-27
|
|
03035
|
EAPG
|
Abdominal Hernia Repair
|
1
|
1
|
—
|
—
|
$4,437,129.20
|
$4,437,129.20
|
$4,437,129.20
|
2026-02-27
|
|
00107
|
EAPG
|
Cholecystectomy And Related Biliary Procedures
|
1
|
1
|
—
|
—
|
$4,426,366.00
|
$4,426,366.00
|
$4,426,366.00
|
2026-02-27
|
|
00091
|
EAPG
|
Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction
|
1
|
1
|
—
|
—
|
$4,400,611.20
|
$4,400,611.20
|
$4,400,611.20
|
2026-02-27
|
|
00255
|
EAPG
|
Level IV Ear, Nose, Mouth And Throat Procedures
|
1
|
1
|
—
|
—
|
$4,359,864.80
|
$4,359,864.80
|
$4,359,864.80
|
2026-02-27
|
|
00166
|
EAPG
|
Level I Urethral Procedures
|
2
|
1
|
—
|
—
|
$3,931,643.20
|
$4,757,288.27
|
$4,344,465.73
|
2026-02-27
|
|
00225
|
EAPG
|
Other Intracranial Neurosurgery Procedures
|
1
|
1
|
—
|
—
|
$4,314,121.20
|
$4,314,121.20
|
$4,314,121.20
|
2026-02-27
|
|
00077
|
EAPG
|
Level I Peripheral Endovascular And Transcatheter Procedures
|
2
|
1
|
—
|
—
|
$3,903,582.00
|
$4,723,334.22
|
$4,313,458.11
|
2026-02-27
|
|
00079
|
EAPG
|
Level Ii Peripheral Endovascular And Transcatheter Procedures
|
1
|
1
|
—
|
—
|
$4,293,748.00
|
$4,293,748.00
|
$4,293,748.00
|
2026-02-27
|
|
00128
|
EAPG
|
Level Ii Small And Large Intestine Surgical Procedures
|
1
|
1
|
—
|
—
|
$4,267,993.20
|
$4,267,993.20
|
$4,267,993.20
|
2026-02-27
|
|
00204
|
EAPG
|
Level I Hysterectomy And Myomectomy Procedures
|
2
|
1
|
—
|
—
|
$3,822,089.20
|
$4,624,727.93
|
$4,223,408.56
|
2026-02-27
|
|
00028
|
EAPG
|
Level I Spine Procedures
|
1
|
1
|
—
|
—
|
$4,221,480.80
|
$4,221,480.80
|
$4,221,480.80
|
2026-02-27
|
|
03033
|
EAPG
|
Inguinal, Femoral And Umbilical Hernia Repair
|
1
|
1
|
—
|
—
|
$4,217,636.80
|
$4,217,636.80
|
$4,217,636.80
|
2026-02-27
|
|
00027
|
EAPG
|
Level I Hip And Femur Procedures
|
2
|
1
|
—
|
—
|
$3,728,295.60
|
$4,511,237.68
|
$4,119,766.64
|
2026-02-27
|
|
00208
|
EAPG
|
Level Ii Other Uterine And Adnexa Gynecological Procedures
|
2
|
1
|
—
|
—
|
$3,720,223.20
|
$4,501,470.07
|
$4,110,846.64
|
2026-02-27
|
|
00254
|
EAPG
|
Level Iii Ear, Nose, Mouth And Throat Procedures
|
2
|
1
|
—
|
—
|
$3,661,410.00
|
$4,430,306.10
|
$4,045,858.05
|
2026-02-27
|
|
00026
|
EAPG
|
Level I Knee And Lower Leg Procedures
|
2
|
1
|
—
|
—
|
$3,548,780.80
|
$4,294,024.77
|
$3,921,402.78
|
2026-02-27
|
|
00108
|
EAPG
|
Other Intra-abdominal And Intraperitoneal Surgical Procedures
|
2
|
1
|
—
|
—
|
$3,534,942.40
|
$4,277,280.30
|
$3,906,111.35
|
2026-02-27
|
|
00179
|
EAPG
|
Ectopic Pregnancy Procedures
|
2
|
1
|
—
|
—
|
$3,451,143.20
|
$4,175,883.27
|
$3,813,513.24
|
2026-02-27
|
|
00248
|
EAPG
|
Level Ii Corneal And Other Anterior Surface Eye Procedures
|
2
|
1
|
—
|
—
|
$3,381,182.40
|
$4,091,230.70
|
$3,736,206.55
|
2026-02-27
|
|
00241
|
EAPG
|
Ocular Reconstructive Procedures W Or Without Ocular Device
|
2
|
1
|
—
|
—
|
$3,350,430.40
|
$4,054,020.78
|
$3,702,225.59
|
2026-02-27
|
|
00218
|
EAPG
|
Level Ii Peripheral Nerve Procedures
|
2
|
1
|
—
|
—
|
$3,296,614.40
|
$3,988,903.42
|
$3,642,758.91
|
2026-02-27
|
|
00171
|
EAPG
|
Level Ii Kidney And Ureteral Procedures
|
2
|
1
|
—
|
—
|
$3,177,066.00
|
$3,844,249.86
|
$3,510,657.93
|
2026-02-27
|
|
00336
|
EAPG
|
Class Ii Brachytherapy Sources
|
2
|
1
|
—
|
—
|
$3,163,227.60
|
$3,827,505.40
|
$3,495,366.50
|
2026-02-27
|
|
00202
|
EAPG
|
Cesarean Delivery Procedures
|
2
|
1
|
—
|
—
|
$3,111,718.00
|
$3,765,178.78
|
$3,438,448.39
|
2026-02-27
|
|
00485
|
EAPG
|
Corneal Tissue Processing
|
2
|
1
|
—
|
—
|
$3,109,796.00
|
$3,762,853.16
|
$3,436,324.58
|
2026-02-27
|
|
00127
|
EAPG
|
Level I Small And Large Intestine Surgical Procedures
|
2
|
1
|
—
|
—
|
$3,095,957.60
|
$3,746,108.70
|
$3,421,033.15
|
2026-02-27
|
|
J1413
|
HCPCS
|
Delandistrogene Moxeparvc-rokl 1.33 X 10exp13 Vg/ml IV Susp
|
20
|
11
|
—
|
—
|
$2,000,000.00
|
$4,720,000.00
|
$3,416,560.54
|
2026-02-27
|
|
00034
|
EAPG
|
Level Ii Hand Procedures
|
2
|
1
|
—
|
—
|
$3,063,668.00
|
$3,707,038.28
|
$3,385,353.14
|
2026-02-27
|
|
00187
|
EAPG
|
Level Ii Penile Procedures
|
2
|
1
|
—
|
—
|
$3,011,774.00
|
$3,644,246.54
|
$3,328,010.27
|
2026-02-27
|
|
00369
|
EAPG
|
Level Iii Oral Surgery Procedures
|
2
|
1
|
—
|
—
|
$2,975,640.40
|
$3,600,524.88
|
$3,288,082.64
|
2026-02-27
|
|
00103
|
EAPG
|
Level Ii Varicose Vein And Related Procedures
|
2
|
1
|
—
|
—
|
$2,952,192.00
|
$3,572,152.32
|
$3,262,172.16
|
2026-02-27
|
|
00207
|
EAPG
|
Level I Other Uterine And Adnexa Gynecological Procedures
|
2
|
1
|
—
|
—
|
$2,902,220.00
|
$3,511,686.20
|
$3,206,953.10
|
2026-02-27
|
|
00155
|
EAPG
|
Level Iii Blood Product Exchange Services
|
2
|
1
|
—
|
—
|
$2,900,682.40
|
$3,509,825.70
|
$3,205,254.05
|
2026-02-27
|
|
00227
|
EAPG
|
Level I Craniofacial Bone Procedures
|
2
|
1
|
—
|
—
|
$2,883,000.00
|
$3,488,430.00
|
$3,185,715.00
|
2026-02-27
|
|
00262
|
EAPG
|
Cleft Lip And Palate Repair
|
2
|
1
|
—
|
—
|
$2,877,234.00
|
$3,481,453.14
|
$3,179,343.57
|
2026-02-27
|
|
00059
|
EAPG
|
Arteriovenous Fistula Creation Or Revision For Hemodialysis
|
2
|
1
|
—
|
—
|
$2,844,175.60
|
$3,441,452.48
|
$3,142,814.04
|
2026-02-27
|
|
00195
|
EAPG
|
Vaginal Delivery Procedures
|
2
|
1
|
—
|
—
|
$2,813,423.60
|
$3,404,242.56
|
$3,108,833.08
|
2026-02-27
|
|
00138
|
EAPG
|
Level I Ercp And Related Endoscopic Procedures
|
2
|
1
|
—
|
—
|
$2,715,401.60
|
$3,285,635.94
|
$3,000,518.77
|
2026-02-27
|
|
63630063
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit
|
36
|
15
|
—
|
$4,185,484.96
|
$1,494,816.06
|
$4,902,996.67
|
$2,989,632.12
|
2026-02-27
|
|
00368
|
EAPG
|
Level Ii Oral Surgery Procedures
|
2
|
1
|
—
|
—
|
$2,705,407.20
|
$3,273,542.71
|
$2,989,474.96
|
2026-02-27
|
|
00072
|
EAPG
|
Tracheostomy And Related Tracheal Procedures
|
2
|
1
|
—
|
—
|
$2,648,131.60
|
$3,204,239.24
|
$2,926,185.42
|
2026-02-27
|
|
00035
|
EAPG
|
Level I Foot Procedures
|
2
|
1
|
—
|
—
|
$2,587,780.80
|
$3,131,214.77
|
$2,859,497.79
|
2026-02-27
|
|
00011
|
EAPG
|
Level Iii Skin Excisions, Biopsies, And Repairs
|
2
|
1
|
—
|
—
|
$2,583,552.40
|
$3,126,098.40
|
$2,854,825.40
|
2026-02-27
|
|
00037
|
EAPG
|
Level I Arthroscopy
|
2
|
1
|
—
|
—
|
$2,577,402.00
|
$3,118,656.42
|
$2,848,029.21
|
2026-02-27
|
|
00084
|
EAPG
|
Cardiac Catheterization Procedures
|
2
|
1
|
—
|
—
|
$2,522,048.40
|
$3,051,678.56
|
$2,786,863.48
|
2026-02-27
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel 2.68x10exp9 To 10x10exp9 Cell IV Susp
|
49
|
25
|
—
|
$3,562,300.00
|
$725,122.60
|
$4,681,880.00
|
$2,703,501.30
|
2026-02-27
|
|
00115
|
EAPG
|
Deep Lymph Structure Procedures
|
2
|
1
|
—
|
—
|
$2,442,093.20
|
$2,954,932.77
|
$2,698,512.99
|
2026-02-27
|
|
00071
|
EAPG
|
Level Ii Lower Airway Endoscopy
|
2
|
1
|
—
|
—
|
$2,429,023.60
|
$2,939,118.56
|
$2,684,071.08
|
2026-02-27
|
|
00083
|
EAPG
|
Level Ii Central Venous Access Procedures
|
2
|
1
|
—
|
—
|
$2,412,878.80
|
$2,919,583.35
|
$2,666,231.08
|
2026-02-27
|
|
00142
|
EAPG
|
Level Ii Anal And Rectal Procedures
|
2
|
1
|
—
|
—
|
$2,318,316.40
|
$2,805,162.84
|
$2,561,739.62
|
2026-02-27
|
|
00239
|
EAPG
|
Extraocular Muscle Procedures
|
2
|
1
|
—
|
—
|
$2,256,428.00
|
$2,730,277.88
|
$2,493,352.94
|
2026-02-27
|
|
00233
|
EAPG
|
Cataract And Other Introcular Lens Procedures
|
2
|
1
|
—
|
—
|
$2,241,052.00
|
$2,711,672.92
|
$2,476,362.46
|
2026-02-27
|
|
00135
|
EAPG
|
Level Ii Upper Gi Endoscopy
|
2
|
1
|
—
|
—
|
$2,204,534.00
|
$2,667,486.14
|
$2,436,010.07
|
2026-02-27
|
|
00054
|
EAPG
|
Fixation Device Insertion Or Replacement Procedures
|
2
|
1
|
—
|
—
|
$2,186,851.60
|
$2,646,090.44
|
$2,416,471.02
|
2026-02-27
|
|
00023
|
EAPG
|
Level I Forearm And Wrist Procedures
|
2
|
1
|
—
|
—
|
$2,168,784.80
|
$2,624,229.61
|
$2,396,507.21
|
2026-02-27
|
|
00078
|
EAPG
|
Level I Peripheral Vascular Repair, Ligation Or Reconstruction
|
2
|
1
|
—
|
—
|
$2,149,180.40
|
$2,600,508.28
|
$2,374,844.34
|
2026-02-27
|
|
89130001
|
CDM
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1 X 10exp8 Cell IV Susp
|
41
|
24
|
$3,887,173.08
|
$2,721,021.16
30% off
|
$971,793.27
|
$3,576,199.23
|
$2,293,432.12
|
2026-02-27
|
|
00178
|
EAPG
|
Antepartum Procedures
|
2
|
1
|
—
|
—
|
$2,074,606.80
|
$2,510,274.23
|
$2,292,440.52
|
2026-02-27
|
|
00253
|
EAPG
|
Level Ii Ear, Nose, Mouth And Throat Procedures
|
2
|
1
|
—
|
—
|
$2,061,537.20
|
$2,494,460.01
|
$2,277,998.60
|
2026-02-27
|
|
00069
|
EAPG
|
Level I Thoracic And Chest Procedures
|
2
|
1
|
—
|
—
|
$2,055,386.80
|
$2,487,018.03
|
$2,271,202.42
|
2026-02-27
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.2x10exp6 To 2.5x10exp8 Cell IV Susp
|
81
|
25
|
$4,154,733.38
|
$2,908,313.37
30% off
|
$591,726.20
|
$3,822,354.71
|
$2,224,617.44
|
2026-02-27
|
|
00188
|
EAPG
|
Level I Perineal And Vaginal Gynecological Procedures
|
2
|
1
|
—
|
—
|
$1,948,139.20
|
$2,357,248.43
|
$2,152,693.81
|
2026-02-27
|
|
00063
|
EAPG
|
Level Ii Endoscopy Of The Upper Airway
|
2
|
1
|
—
|
—
|
$1,889,326.00
|
$2,286,084.46
|
$2,087,705.23
|
2026-02-27
|
|
00367
|
EAPG
|
Level I Oral Surgery Procedures
|
2
|
1
|
—
|
—
|
$1,888,941.60
|
$2,285,619.34
|
$2,087,280.47
|
2026-02-27
|
|
00256
|
EAPG
|
Tonsil And Adenoid Procedures
|
2
|
1
|
—
|
—
|
$1,864,724.40
|
$2,256,316.52
|
$2,060,520.46
|
2026-02-27
|
|
00141
|
EAPG
|
Level I Anal And Rectal Procedures
|
2
|
1
|
—
|
—
|
$1,860,111.60
|
$2,250,735.04
|
$2,055,423.32
|
2026-02-27
|
|
00290
|
EAPG
|
PET Scans
|
2
|
1
|
—
|
—
|
$1,844,351.20
|
$2,231,664.95
|
$2,038,008.08
|
2026-02-27
|
|
00051
|
EAPG
|
Musculoskeletal Excisions, Biopsies, And Drainage Procedures
|
2
|
1
|
—
|
—
|
$1,835,125.60
|
$2,220,501.98
|
$2,027,813.79
|
2026-02-27
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 1.5 X To 70 X 10exp6 Cell/ml IV Susp
|
49
|
25
|
$3,719,452.80
|
$2,603,616.96
30% off
|
$562,538.19
|
$3,421,896.58
|
$1,992,217.39
|
2026-02-27
|
|
00137
|
EAPG
|
Level Ii Lower Gi Endoscopy
|
2
|
1
|
—
|
—
|
$1,802,451.60
|
$2,180,966.44
|
$1,991,709.02
|
2026-02-27
|
|
00018
|
EAPG
|
Complex Wound Repair And Treatment
|
2
|
1
|
—
|
—
|
$1,800,145.20
|
$2,178,175.69
|
$1,989,160.44
|
2026-02-27
|
|
00205
|
EAPG
|
Obstetrical Procedures
|
2
|
1
|
—
|
—
|
$1,777,081.20
|
$2,150,268.25
|
$1,963,674.73
|
2026-02-27
|
|
00217
|
EAPG
|
Level I Peripheral Nerve Procedures
|
2
|
1
|
—
|
—
|
$1,754,401.60
|
$2,122,825.94
|
$1,938,613.77
|
2026-02-27
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel IV Susp
|
47
|
25
|
$3,675,000.00
|
$2,572,500.00
30% off
|
$278,250.00
|
$3,381,000.00
|
$1,929,375.00
|
2026-02-27
|
|
00194
|
EAPG
|
Abortion And Miscarriage Treatment And Procedures
|
2
|
1
|
—
|
—
|
$1,737,103.60
|
$2,101,895.36
|
$1,919,499.48
|
2026-02-27
|
|
00382
|
EAPG
|
Level Ii Dental Implants
|
2
|
1
|
—
|
—
|
$1,713,270.80
|
$2,073,057.67
|
$1,893,164.23
|
2026-02-27
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel IV Susp
|
49
|
25
|
$3,525,060.00
|
$2,467,542.00
30% off
|
$533,230.17
|
$3,243,055.20
|
$1,888,142.69
|
2026-02-27
|
|
00183
|
EAPG
|
Level I Penile Procedures
|
2
|
1
|
—
|
—
|
$1,700,585.60
|
$2,057,708.58
|
$1,879,147.09
|
2026-02-27
|
|
00062
|
EAPG
|
Level I Endoscopy Of The Upper Airway
|
2
|
1
|
—
|
—
|
$1,697,510.40
|
$2,053,987.58
|
$1,875,748.99
|
2026-02-27
|
|
00056
|
EAPG
|
Skin And Connective Tissue Grafting And Flap Procedures
|
2
|
1
|
—
|
—
|
$1,690,206.80
|
$2,045,150.23
|
$1,867,678.52
|
2026-02-27
|
|
00067
|
EAPG
|
Ventilation Assistance And Management
|
2
|
1
|
—
|
—
|
$1,669,833.60
|
$2,020,498.66
|
$1,845,166.13
|
2026-02-27
|
|
00151
|
EAPG
|
Level I Hepatobiliary And Pancreas Procedures
|
2
|
1
|
—
|
—
|
$1,652,535.60
|
$1,999,568.08
|
$1,826,051.84
|
2026-02-27
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 2x10exp6 To 2x10exp8 Cell IV Susp
|
49
|
25
|
$3,234,000.00
|
$2,263,800.00
30% off
|
$489,304.61
|
$2,975,280.00
|
$1,732,292.30
|
2026-02-27
|
|
00033
|
EAPG
|
Level I Hand Procedures
|
2
|
1
|
—
|
—
|
$1,563,354.80
|
$1,891,659.31
|
$1,727,507.06
|
2026-02-27
|
|
00381
|
EAPG
|
Level I Dental Implants
|
2
|
1
|
—
|
—
|
$1,557,588.80
|
$1,884,682.45
|
$1,721,135.62
|
2026-02-27
|
|
00114
|
EAPG
|
Level Ii Blood Product Exchange Services
|
2
|
1
|
—
|
—
|
$1,548,747.60
|
$1,873,984.60
|
$1,711,366.10
|
2026-02-27
|
|
00478
|
EAPG
|
Level Iii Radiation Treatment Preparation And Planning
|
2
|
1
|
—
|
—
|
$1,540,290.80
|
$1,863,751.87
|
$1,702,021.33
|
2026-02-27
|
|
00176
|
EAPG
|
Level I Prostate Procedures
|
2
|
1
|
—
|
—
|
$1,503,388.40
|
$1,819,099.96
|
$1,661,244.18
|
2026-02-27
|
|
00259
|
EAPG
|
Level Ii Eyelid, Lacrimal And Conjunctival Procedures
|
2
|
1
|
—
|
—
|
$1,490,703.20
|
$1,803,750.87
|
$1,647,227.04
|
2026-02-27
|
|
00252
|
EAPG
|
Level I Ear, Nose, Mouth And Throat Procedures
|
2
|
1
|
—
|
—
|
$1,466,486.00
|
$1,774,448.06
|
$1,620,467.03
|
2026-02-27
|
|
00020
|
EAPG
|
Breast Biopsies, Excisions, And Other Related Procedures
|
2
|
1
|
—
|
—
|
$1,452,263.20
|
$1,757,238.47
|
$1,604,750.83
|
2026-02-27
|
|
00075
|
EAPG
|
Level I Central Venous Access Procedures
|
2
|
1
|
—
|
—
|
$1,449,188.00
|
$1,753,517.48
|
$1,601,352.74
|
2026-02-27
|
|
00010
|
EAPG
|
Level Ii Skin Excisions, Biopsies, And Repairs
|
2
|
1
|
—
|
—
|
$1,407,288.40
|
$1,702,818.96
|
$1,555,053.68
|
2026-02-27
|
|
00222
|
EAPG
|
Sleep Studies Attended
|
2
|
1
|
—
|
—
|
$1,398,831.60
|
$1,692,586.24
|
$1,545,708.92
|
2026-02-27
|
|
00136
|
EAPG
|
Level I Lower Gi Endoscopy
|
2
|
1
|
—
|
—
|
$1,370,001.60
|
$1,657,701.94
|
$1,513,851.77
|
2026-02-27
|
|
00234
|
EAPG
|
Level I Anterior Chamber Eye Procedures
|
2
|
1
|
—
|
—
|
$1,364,620.00
|
$1,651,190.20
|
$1,507,905.10
|
2026-02-27
|
|
00173
|
EAPG
|
Level I Bladder And Ureteral Procedures
|
2
|
1
|
—
|
—
|
$1,363,082.40
|
$1,649,329.70
|
$1,506,206.05
|
2026-02-27
|
|
00279
|
EAPG
|
Level Ii Vascular Radiological Procedures
|
2
|
1
|
—
|
—
|
$1,331,177.20
|
$1,610,724.41
|
$1,470,950.80
|
2026-02-27
|
|
00180
|
EAPG
|
Testicular And Epididymal Procedures
|
2
|
1
|
—
|
—
|
$1,321,567.20
|
$1,599,096.31
|
$1,460,331.75
|
2026-02-27
|
|
00258
|
EAPG
|
Level I Eyelid, Lacrimal And Conjunctival Procedures
|
2
|
1
|
—
|
—
|
$1,298,118.80
|
$1,570,723.75
|
$1,434,421.27
|
2026-02-27
|
|
02016
|
EAPG
|
Level Ii Allergy Tests
|
2
|
1
|
—
|
—
|
$1,293,890.40
|
$1,565,607.38
|
$1,429,748.89
|
2026-02-27
|
|
00348
|
EAPG
|
Level Iii Radiation Therapy
|
2
|
1
|
—
|
—
|
$1,265,444.80
|
$1,531,188.21
|
$1,398,316.50
|
2026-02-27
|
|
00044
|
EAPG
|
Bone Or Joint Manipulation Under Anesthesia
|
2
|
1
|
—
|
—
|
$1,242,765.20
|
$1,503,745.89
|
$1,373,255.54
|
2026-02-27
|
|
00363
|
EAPG
|
Level Iii Dental Restorations
|
2
|
1
|
—
|
—
|
$1,220,854.40
|
$1,477,233.82
|
$1,349,044.11
|
2026-02-27
|
|
00591
|
EAPG
|
Acute Myocardial Infarction
|
2
|
1
|
—
|
—
|
$1,220,854.40
|
$1,477,233.82
|
$1,349,044.11
|
2026-02-27
|
|
00192
|
EAPG
|
Level Ii Fetal Procedures
|
2
|
1
|
—
|
—
|
$1,199,328.00
|
$1,451,186.88
|
$1,325,257.44
|
2026-02-27
|
|
00134
|
EAPG
|
Level I Upper Gi Endoscopy
|
2
|
1
|
—
|
—
|
$1,188,564.80
|
$1,438,163.41
|
$1,313,364.10
|
2026-02-27
|
|
00041
|
EAPG
|
Closed Treatment Fx And Dislocation
|
2
|
1
|
—
|
—
|
$1,151,278.00
|
$1,393,046.38
|
$1,272,162.19
|
2026-02-27
|
|
00092
|
EAPG
|
Resuscitation
|
2
|
1
|
—
|
—
|
$1,140,514.80
|
$1,380,022.91
|
$1,260,268.85
|
2026-02-27
|
|
00064
|
EAPG
|
Level I Lower Airway Endoscopy
|
2
|
1
|
—
|
—
|
$1,130,904.80
|
$1,368,394.81
|
$1,249,649.81
|
2026-02-27
|
|
00220
|
EAPG
|
Level Ii Nervous System Injections Including Cranial Tap
|
2
|
1
|
—
|
—
|
$1,128,982.80
|
$1,366,069.19
|
$1,247,526.00
|
2026-02-27
|
|
00090
|
EAPG
|
Level I Varicose Vein And Related Procedures
|
2
|
1
|
—
|
—
|
$1,126,292.00
|
$1,362,813.32
|
$1,244,552.66
|
2026-02-27
|
|
00170
|
EAPG
|
Level I Kidney And Ureteral Procedures
|
2
|
1
|
—
|
—
|
$1,068,247.60
|
$1,292,579.60
|
$1,180,413.60
|
2026-02-27
|
|
00332
|
EAPG
|
Level Ii Diagnostic Nuclear Medicine
|
2
|
1
|
—
|
—
|
$1,056,331.20
|
$1,278,160.75
|
$1,167,245.98
|
2026-02-27
|
|
00004
|
EAPG
|
Level Ii Skin Incision And Drainage, Debridement, Destruction, Other Related Px
|
2
|
1
|
—
|
—
|
$959,078.00
|
$1,160,484.38
|
$1,059,781.19
|
2026-02-27
|
|
00124
|
EAPG
|
Bone Marrow Biopsies
|
2
|
1
|
—
|
—
|
$938,320.40
|
$1,135,367.68
|
$1,036,844.04
|
2026-02-27
|
|
00074
|
EAPG
|
Revision, Replacement Or Removal Of Cardiac Device Component
|
2
|
1
|
—
|
—
|
$923,713.20
|
$1,117,692.97
|
$1,020,703.08
|
2026-02-27
|
|
00076
|
EAPG
|
Revision, Repair Or Removal Of Central Venous Access Device
|
2
|
1
|
—
|
—
|
$901,802.40
|
$1,091,180.90
|
$996,491.65
|
2026-02-27
|
|
04001
|
EAPG
|
Emerging Technology Procedures
|
2
|
1
|
—
|
—
|
$873,741.20
|
$1,057,226.85
|
$965,484.03
|
2026-02-27
|
|
00598
|
EAPG
|
Angina Pectoris And Coronary Atherosclerosis
|
2
|
1
|
—
|
—
|
$861,056.00
|
$1,041,877.76
|
$951,466.88
|
2026-02-27
|
|
00168
|
EAPG
|
Dialysis Procedures
|
2
|
1
|
—
|
—
|
$845,295.60
|
$1,022,807.68
|
$934,051.64
|
2026-02-27
|
|
00068
|
EAPG
|
Thoracentesis, Related Biopsy And Pleural Drainage Procedures
|
2
|
1
|
—
|
—
|
$835,301.20
|
$1,010,714.45
|
$923,007.82
|
2026-02-27
|
|
00423
|
EAPG
|
Vascular Access By Needle Or Catheter
|
2
|
1
|
—
|
—
|
$830,688.40
|
$1,005,132.96
|
$917,910.68
|
2026-02-27
|
|
00355
|
EAPG
|
Level Iii Prosthodontics, Fixed
|
2
|
1
|
—
|
—
|
$809,546.40
|
$979,551.14
|
$894,548.77
|
2026-02-27
|
|
00805
|
EAPG
|
Septicemia And Disseminated Infections
|
2
|
1
|
—
|
—
|
$805,702.40
|
$974,899.90
|
$890,301.15
|
2026-02-27
|
|
00450
|
EAPG
|
Observation
|
2
|
1
|
—
|
—
|
$779,563.20
|
$943,271.47
|
$861,417.33
|
2026-02-27
|
|
00366
|
EAPG
|
Level Iii Endodontics
|
2
|
1
|
—
|
—
|
$775,719.20
|
$938,620.23
|
$857,169.71
|
2026-02-27
|
|
00284
|
EAPG
|
Myelography And Discography Imaging Procedures
|
2
|
1
|
—
|
—
|
$761,880.80
|
$921,875.77
|
$841,878.29
|
2026-02-27
|
|
00362
|
EAPG
|
Level Ii Dental Restorations
|
2
|
1
|
—
|
—
|
$760,727.60
|
$920,480.40
|
$840,604.00
|
2026-02-27
|
|
00587
|
EAPG
|
Respiratory Failure
|
2
|
1
|
—
|
—
|
$748,426.80
|
$905,596.43
|
$827,011.61
|
2026-02-27
|
|
00574
|
EAPG
|
Chronic Obstructive Pulmonary Disease
|
2
|
1
|
—
|
—
|
$735,741.60
|
$890,247.34
|
$812,994.47
|
2026-02-27
|
|
00130
|
EAPG
|
Minor Gastrointestinal Procedures Including Tube Insertion Or Placement
|
2
|
1
|
—
|
—
|
$730,744.40
|
$884,200.72
|
$807,472.56
|
2026-02-27
|
|
00594
|
EAPG
|
Heart Failure
|
2
|
1
|
—
|
—
|
$728,438.00
|
$881,409.98
|
$804,923.99
|
2026-02-27
|
|
00053
|
EAPG
|
Spine Injections And Other Related Procedures
|
2
|
1
|
—
|
—
|
$721,518.80
|
$873,037.75
|
$797,278.28
|
2026-02-27
|
|
00150
|
EAPG
|
Abdominal Paracentesis And Related Peritoneal Drainage Procedures
|
2
|
1
|
—
|
—
|
$718,059.20
|
$868,851.63
|
$793,455.42
|
2026-02-27
|
|
00365
|
EAPG
|
Level Ii Endodontics
|
2
|
1
|
—
|
—
|
$705,374.00
|
$853,502.54
|
$779,438.27
|
2026-02-27
|
|
00595
|
EAPG
|
Cardiac Arrest Or Other Causes Of Mortality
|
2
|
1
|
—
|
—
|
$693,457.60
|
$839,083.70
|
$766,270.65
|
2026-02-27
|
|
00093
|
EAPG
|
Cardioversion
|
2
|
1
|
—
|
—
|
$681,925.60
|
$825,129.98
|
$753,527.79
|
2026-02-27
|
|
00357
|
EAPG
|
Level Ii Prosthodontics, Removable
|
2
|
1
|
—
|
—
|
$678,081.60
|
$820,478.74
|
$749,280.17
|
2026-02-27
|
|
00602
|
EAPG
|
Atrial Fibrillation
|
2
|
1
|
—
|
—
|
$673,084.40
|
$814,432.12
|
$743,758.26
|
2026-02-27
|
|
00354
|
EAPG
|
Level Ii Prosthodontics, Fixed
|
2
|
1
|
—
|
—
|
$654,248.80
|
$791,641.05
|
$722,944.93
|
2026-02-27
|
|
00081
|
EAPG
|
Echocardiography
|
2
|
1
|
—
|
—
|
$651,942.40
|
$788,850.30
|
$720,396.35
|
2026-02-27
|
|
00582
|
EAPG
|
Interstitial And Alveolar Lung Diagnoses
|
2
|
1
|
—
|
—
|
$648,482.80
|
$784,664.19
|
$716,573.49
|
2026-02-27
|
|
00604
|
EAPG
|
Chest Pain
|
2
|
1
|
—
|
—
|
$641,563.60
|
$776,291.96
|
$708,927.78
|
2026-02-27
|
|
00364
|
EAPG
|
Level I Endodontics
|
2
|
1
|
—
|
—
|
$641,179.20
|
$775,826.83
|
$708,503.01
|
2026-02-27
|
|
00538
|
EAPG
|
Head Trauma With Loc/coma More Then 1 Hr
|
2
|
1
|
—
|
—
|
$637,719.60
|
$771,640.72
|
$704,680.16
|
2026-02-27
|
|
00116
|
EAPG
|
Level I Allergy Tests
|
2
|
1
|
—
|
—
|
$600,432.80
|
$726,523.69
|
$663,478.24
|
2026-02-27
|
|
00832
|
EAPG
|
Intentional Self-harm And Attempted Suicide
|
2
|
1
|
—
|
—
|
$596,588.80
|
$721,872.45
|
$659,230.62
|
2026-02-27
|
|
00579
|
EAPG
|
Status Asthmaticus
|
2
|
1
|
—
|
—
|
$591,207.20
|
$715,360.71
|
$653,283.95
|
2026-02-27
|
|
00601
|
EAPG
|
Cardiac Arrhythmia And Conduction Diagnoses
|
2
|
1
|
—
|
—
|
$582,750.40
|
$705,127.98
|
$643,939.19
|
2026-02-27
|
|
00237
|
EAPG
|
Level I Intravitreal, Retinal And Other Posterior Chamber Eye Procedures
|
2
|
1
|
—
|
—
|
$579,675.20
|
$701,406.99
|
$640,541.09
|
2026-02-27
|
|
00002
|
EAPG
|
Superficial Needle Biopsy And Aspiration
|
2
|
1
|
—
|
—
|
$578,906.40
|
$700,476.74
|
$639,691.57
|
2026-02-27
|
|
00017
|
EAPG
|
Intermediate Wound Repair And Treatment
|
2
|
1
|
—
|
—
|
$573,909.20
|
$694,430.13
|
$634,169.67
|
2026-02-27
|
|
00277
|
EAPG
|
Level I Vascular Radiological Procedures
|
2
|
1
|
—
|
—
|
$569,296.40
|
$688,848.64
|
$629,072.52
|
2026-02-27
|
|
00361
|
EAPG
|
Level I Dental Restorations
|
2
|
1
|
—
|
—
|
$552,382.80
|
$668,383.19
|
$610,382.99
|
2026-02-27
|
|
00347
|
EAPG
|
Level Ii Radiation Therapy
|
2
|
1
|
—
|
—
|
$548,923.20
|
$664,197.07
|
$606,560.14
|
2026-02-27
|
|
00592
|
EAPG
|
Other Cardiovascular System Diagnoses
|
2
|
1
|
—
|
—
|
$543,541.60
|
$657,685.34
|
$600,613.47
|
2026-02-27
|
|
00247
|
EAPG
|
Level I Corneal And Other Anterior Surface Eye Procedures
|
2
|
1
|
—
|
—
|
$542,004.00
|
$655,824.84
|
$598,914.42
|
2026-02-27
|
|
00050
|
EAPG
|
Level Ii Joint, Tendon, Or Ligament Injection Procedures
|
2
|
1
|
—
|
—
|
$538,160.00
|
$651,173.60
|
$594,666.80
|
2026-02-27
|
|
00340
|
EAPG
|
Therapeutic Nuclear Medicine
|
2
|
1
|
—
|
—
|
$530,472.00
|
$641,871.12
|
$586,171.56
|
2026-02-27
|
|
00581
|
EAPG
|
Pulmonary Infection Diagnoses Including Pneumonia
|
2
|
1
|
—
|
—
|
$523,168.40
|
$633,033.76
|
$578,101.08
|
2026-02-27
|
|
00358
|
EAPG
|
Level Iii Prosthodontics, Removable
|
2
|
1
|
—
|
—
|
$522,015.20
|
$631,638.39
|
$576,826.80
|
2026-02-27
|
|
02030
|
EAPG
|
Minor Musculoskeletal Procedures
|
2
|
1
|
—
|
—
|
$521,630.80
|
$631,173.27
|
$576,402.04
|
2026-02-27
|
|
00575
|
EAPG
|
Asthma
|
2
|
1
|
—
|
—
|
$521,630.80
|
$631,173.27
|
$576,402.04
|
2026-02-27
|
|
00210
|
EAPG
|
Extended EEG Studies
|
2
|
1
|
—
|
—
|
$520,477.60
|
$629,777.90
|
$575,127.75
|
2026-02-27
|
|
J3398
|
HCPCS
|
Voretigene Neparvovec-rzyl 1.5 X 10exp11 Vg/0.3 Ml (fnl) Sret Susp
|
51
|
23
|
$1,142,187.50
|
$799,531.25
30% off
|
$2,869.60
|
$1,050,812.50
|
$571,093.75
|
2026-02-27
|
|
00694
|
EAPG
|
Electrolyte Disorders
|
2
|
1
|
—
|
—
|
$513,942.80
|
$621,870.79
|
$567,906.80
|
2026-02-27
|
|
00295
|
EAPG
|
Magnetic Resonance Imaging With Contrast
|
2
|
1
|
—
|
—
|
$510,483.20
|
$617,684.67
|
$564,083.94
|
2026-02-27
|
|
00633
|
EAPG
|
Alcoholic Liver Disease
|
2
|
1
|
—
|
—
|
$510,483.20
|
$617,684.67
|
$564,083.94
|
2026-02-27
|
|
00760
|
EAPG
|
Labor And Delivery Related Diagnoses
|
2
|
1
|
—
|
—
|
$503,948.40
|
$609,777.56
|
$556,862.98
|
2026-02-27
|
|
5834
|
APR_DRG
|
Apr-DRG 41.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$525,306.63
|
$577,855.00
|
$551,580.81
|
2026-02-27
|
|
00599
|
EAPG
|
Hypertension
|
2
|
1
|
—
|
—
|
$489,725.60
|
$592,567.98
|
$541,146.79
|
2026-02-27
|
|
00623
|
EAPG
|
Esophagitis And Other Esophageal Diagnoses
|
2
|
1
|
—
|
—
|
$488,572.40
|
$591,172.60
|
$539,872.50
|
2026-02-27
|
|
00331
|
EAPG
|
Level I Diagnostic Nuclear Medicine
|
2
|
1
|
—
|
—
|
$482,422.00
|
$583,730.62
|
$533,076.31
|
2026-02-27
|
|
00584
|
EAPG
|
Acute Bronchitis
|
2
|
1
|
—
|
—
|
$480,884.40
|
$581,870.12
|
$531,377.26
|
2026-02-27
|
|
00763
|
EAPG
|
Abortion Related Diagnoses
|
2
|
1
|
—
|
—
|
$472,043.20
|
$571,172.27
|
$521,607.73
|
2026-02-27
|
|
00696
|
EAPG
|
Thyroid And Parathyroid Diagnoses
|
2
|
1
|
—
|
—
|
$472,043.20
|
$571,172.27
|
$521,607.73
|
2026-02-27
|
|
00785
|
EAPG
|
Anemia, Blood And Blood-forming Organ Disorders
|
2
|
1
|
—
|
—
|
$466,661.60
|
$564,660.54
|
$515,661.07
|
2026-02-27
|
|
00605
|
EAPG
|
Syncope And Collapse
|
2
|
1
|
—
|
—
|
$464,355.20
|
$561,869.79
|
$513,112.49
|
2026-02-27
|
|
00379
|
EAPG
|
Level Ii Orthodontics
|
2
|
1
|
—
|
—
|
$462,048.80
|
$559,079.05
|
$510,563.93
|
2026-02-27
|
|
00711
|
EAPG
|
Diabetes With Other Manifestations And Complications
|
2
|
1
|
—
|
—
|
$455,898.40
|
$551,637.06
|
$503,767.73
|
2026-02-27
|
|
00561
|
EAPG
|
Vertigo And Other Labyrinth Disorders
|
2
|
1
|
—
|
—
|
$455,514.00
|
$551,171.94
|
$503,342.97
|
2026-02-27
|
|
00724
|
EAPG
|
Urinary Stones And Acquired Upper Urinary Tract Obstruction
|
2
|
1
|
—
|
—
|
$453,976.40
|
$549,311.44
|
$501,643.92
|
2026-02-27
|
|
00019
|
EAPG
|
Mohs Micrographic Surgery
|
2
|
1
|
—
|
—
|
$453,976.40
|
$549,311.44
|
$501,643.92
|
2026-02-27
|
|
00576
|
EAPG
|
Other Respiratory System Diagnoses
|
2
|
1
|
—
|
—
|
$450,132.40
|
$544,660.20
|
$497,396.30
|
2026-02-27
|
|
00621
|
EAPG
|
Peptic Ulcer And Gastritis
|
2
|
1
|
—
|
—
|
$449,748.00
|
$544,195.08
|
$496,971.54
|
2026-02-27
|
|
04011
|
EAPG
|
Level Ii Opioid Treatment Program Services
|
2
|
1
|
—
|
—
|
$448,979.20
|
$543,264.83
|
$496,122.02
|
2026-02-27
|
|
00632
|
EAPG
|
Irritable Bowel Syndrome
|
2
|
1
|
—
|
—
|
$448,979.20
|
$543,264.83
|
$496,122.02
|
2026-02-27
|
|
00762
|
EAPG
|
Preterm Labor Diagnoses
|
2
|
1
|
—
|
—
|
$442,444.40
|
$535,357.72
|
$488,901.06
|
2026-02-27
|
|
00638
|
EAPG
|
Cholecystitis
|
2
|
1
|
—
|
—
|
$442,060.00
|
$534,892.60
|
$488,476.30
|
2026-02-27
|
|
00729
|
EAPG
|
Acute Kidney Injury
|
2
|
1
|
—
|
—
|
$440,522.40
|
$533,032.10
|
$486,777.25
|
2026-02-27
|
|
5833
|
APR_DRG
|
Apr-DRG 41.00: Neonate With Ecmo
|
2
|
1
|
—
|
—
|
$457,474.64
|
$503,237.53
|
$480,356.09
|
2026-02-27
|
|
00531
|
EAPG
|
Migraine
|
2
|
1
|
—
|
—
|
$431,681.20
|
$522,334.25
|
$477,007.72
|
2026-02-27
|
|
00649
|
EAPG
|
Other Pathological Fractures Without Musculoskeletal Malignancy
|
2
|
1
|
—
|
—
|
$430,528.00
|
$520,938.88
|
$475,733.44
|
2026-02-27
|
|
00300
|
EAPG
|
Level Ii Computed Tomography
|
2
|
1
|
—
|
—
|
$428,990.40
|
$519,078.38
|
$474,034.39
|
2026-02-27
|
|
00230
|
EAPG
|
Minor Ophthalmological Procedures And Diagnostic Services
|
2
|
1
|
—
|
—
|
$427,837.20
|
$517,683.01
|
$472,760.10
|
2026-02-27
|
|
00654
|
EAPG
|
Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections
|
2
|
1
|
—
|
—
|
$423,993.20
|
$513,031.77
|
$468,512.48
|
2026-02-27
|
|
00647
|
EAPG
|
Fractures, Dislocations, Other Injuries - Upper Extremity Including Shoulder
|
2
|
1
|
—
|
—
|
$423,224.40
|
$512,101.52
|
$467,662.96
|
2026-02-27
|
|
00635
|
EAPG
|
Pancreas Diagnoses Except Malignancy
|
2
|
1
|
—
|
—
|
$420,149.20
|
$508,380.53
|
$464,264.86
|
2026-02-27
|
|
00371
|
EAPG
|
Level I Orthodontics
|
2
|
1
|
—
|
—
|
$418,611.60
|
$506,520.04
|
$462,565.82
|
2026-02-27
|
|
00692
|
EAPG
|
Other Endocrine System Diagnoses
|
2
|
1
|
—
|
—
|
$413,230.00
|
$500,008.30
|
$456,619.15
|
2026-02-27
|
|
5894
|
APR_DRG
|
Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$433,234.78
|
$476,572.86
|
$454,903.82
|
2026-02-27
|
|
00580
|
EAPG
|
Major Chest And Respiratory Trauma
|
2
|
1
|
—
|
—
|
$410,154.80
|
$496,287.31
|
$453,221.05
|
2026-02-27
|
|
00743
|
EAPG
|
Prostatitis
|
2
|
1
|
—
|
—
|
$406,695.20
|
$492,101.19
|
$449,398.20
|
2026-02-27
|
|
00720
|
EAPG
|
Chronic Kidney Disease
|
2
|
1
|
—
|
—
|
$405,926.40
|
$491,170.94
|
$448,548.67
|
2026-02-27
|
|
5884
|
APR_DRG
|
Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure
|
2
|
1
|
—
|
—
|
$422,028.53
|
$464,245.61
|
$443,137.07
|
2026-02-27
|
|
00770
|
EAPG
|
Normal Neonate
|
2
|
1
|
—
|
—
|
$400,544.80
|
$484,659.21
|
$442,602.01
|
2026-02-27
|
|
00630
|
EAPG
|
Constipation
|
2
|
1
|
—
|
—
|
$400,544.80
|
$484,659.21
|
$442,602.01
|
2026-02-27
|
|
A9590
|
HCPCS
|
Iobenguane Iodine-131 337.5 Mci/22.5 Ml IV Soln
|
45
|
22
|
$756,921.41
|
$529,844.99
30% off
|
$189,230.35
|
$696,367.70
|
$441,285.18
|
2026-02-27
|
|
1614
|
APR_DRG
|
Apr-DRG 41.00: Implantable Heart Assist Systems
|
2
|
1
|
—
|
—
|
$420,213.03
|
$462,248.50
|
$441,230.77
|
2026-02-27
|
|
00626
|
EAPG
|
Inflammatory Bowel Disease
|
2
|
1
|
—
|
—
|
$398,238.40
|
$481,868.46
|
$440,053.43
|
2026-02-27
|
|
00572
|
EAPG
|
Bronchiolitis And Rsv Pneumonia
|
2
|
1
|
—
|
—
|
$397,469.60
|
$480,938.22
|
$439,203.91
|
2026-02-27
|
|
00628
|
EAPG
|
Abdominal Pain
|
2
|
1
|
—
|
—
|
$395,547.60
|
$478,612.60
|
$437,080.10
|
2026-02-27
|
|
00209
|
EAPG
|
Other Gynecological Procedures
|
2
|
1
|
—
|
—
|
$392,856.80
|
$475,356.73
|
$434,106.77
|
2026-02-27
|
|
00297
|
EAPG
|
Magnetocephalography
|
2
|
1
|
—
|
—
|
$392,472.40
|
$474,891.60
|
$433,682.00
|
2026-02-27
|
|
00826
|
EAPG
|
Acute Anxiety And Delirium States
|
2
|
1
|
—
|
—
|
$391,319.20
|
$473,496.23
|
$432,407.71
|
2026-02-27
|
|
00767
|
EAPG
|
Complications Of Treatment Affecting Pregnancy
|
2
|
1
|
—
|
—
|
$389,781.60
|
$471,635.74
|
$430,708.67
|
2026-02-27
|
|
00618
|
EAPG
|
Intestinal Obstruction Diagnoses
|
2
|
1
|
—
|
—
|
$387,475.20
|
$468,844.99
|
$428,160.09
|
2026-02-27
|
|
00650
|
EAPG
|
Fractures, Dislocations, Other Injuries - Lower Extremity Including Femur
|
2
|
1
|
—
|
—
|
$386,322.00
|
$467,449.62
|
$426,885.81
|
2026-02-27
|
|
00727
|
EAPG
|
Acute Lower Urinary Tract Infections
|
2
|
1
|
—
|
—
|
$385,937.60
|
$466,984.50
|
$426,461.05
|
2026-02-27
|
|
00783
|
EAPG
|
Sickle Cell Anemia Crisis
|
2
|
1
|
—
|
—
|
$384,784.40
|
$465,589.12
|
$425,186.76
|
2026-02-27
|
|
00821
|
EAPG
|
Major Depressive Diagnoses And Other Or Unspecified Psychoses
|
2
|
1
|
—
|
—
|
$382,093.60
|
$462,333.26
|
$422,213.43
|
2026-02-27
|
|
00529
|
EAPG
|
Seizure
|
2
|
1
|
—
|
—
|
$380,171.60
|
$460,007.64
|
$420,089.62
|
2026-02-27
|
|
5893
|
APR_DRG
|
Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$393,849.15
|
$433,247.34
|
$413,548.24
|
2026-02-27
|
|
00808
|
EAPG
|
Viral Illness
|
2
|
1
|
—
|
—
|
$374,021.20
|
$452,565.65
|
$413,293.43
|
2026-02-27
|
|
00009
|
EAPG
|
Level I Skin Excisions, Biopsies, And Repairs
|
2
|
1
|
—
|
—
|
$373,636.80
|
$452,100.53
|
$412,868.67
|
2026-02-27
|
|
00049
|
EAPG
|
Level I Joint, Tendon, Or Ligament Injection Procedures
|
2
|
1
|
—
|
—
|
$372,099.20
|
$450,240.03
|
$411,169.61
|
2026-02-27
|
|
00526
|
EAPG
|
Transient Ischemia
|
2
|
1
|
—
|
—
|
$370,946.00
|
$448,844.66
|
$409,895.33
|
2026-02-27
|
|
00293
|
EAPG
|
Magnetic Resonance Imaging Without Contrast
|
2
|
1
|
—
|
—
|
$370,561.60
|
$448,379.54
|
$409,470.57
|
2026-02-27
|
|
00883
|
EAPG
|
Alteration In Consciousness
|
2
|
1
|
—
|
—
|
$370,177.20
|
$447,914.41
|
$409,045.80
|
2026-02-27
|
|
00764
|
EAPG
|
False Labor
|
2
|
1
|
—
|
—
|
$369,408.40
|
$446,984.16
|
$408,196.28
|
2026-02-27
|
|
00657
|
EAPG
|
Fractures, Dislocations, Sprains And Other Injuries Of The Lower Back
|
2
|
1
|
—
|
—
|
$367,102.00
|
$444,193.42
|
$405,647.71
|
2026-02-27
|
|
18
|
MS_DRG
|
Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
9
|
—
|
—
|
$187,068.00
|
$864,957.40
|
$405,580.59
|
2026-02-27
|
|
00483
|
EAPG
|
Radiation Therapy Management
|
2
|
1
|
—
|
—
|
$365,948.80
|
$442,798.05
|
$404,373.42
|
2026-02-27
|
|
00765
|
EAPG
|
Other Antepartum Complication Diagnoses
|
2
|
1
|
—
|
—
|
$365,180.00
|
$441,867.80
|
$403,523.90
|
2026-02-27
|
|
00768
|
EAPG
|
Antepartum Encounters For Non-routine And Abnormal Findings
|
2
|
1
|
—
|
—
|
$364,795.60
|
$441,402.68
|
$403,099.14
|
2026-02-27
|
|
04010
|
EAPG
|
Level I Opioid Treatment Program Services
|
2
|
1
|
—
|
—
|
$364,411.20
|
$440,937.55
|
$402,674.38
|
2026-02-27
|
|
00203
|
EAPG
|
Global Antepartum And Postpartum Visits
|
2
|
1
|
—
|
—
|
$364,026.80
|
$440,472.43
|
$402,249.61
|
2026-02-27
|
|
00841
|
EAPG
|
Cocaine Abuse And Dependence
|
2
|
1
|
—
|
—
|
$362,104.80
|
$438,146.81
|
$400,125.80
|
2026-02-27
|
|
00641
|
EAPG
|
Hepatic Coma And Major Acute Liver Diagnoses
|
2
|
1
|
—
|
—
|
$362,104.80
|
$438,146.81
|
$400,125.80
|
2026-02-27
|
|
00110
|
EAPG
|
Pharmacotherapy By Extended Infusion
|
2
|
1
|
—
|
—
|
$361,336.00
|
$437,216.56
|
$399,276.28
|
2026-02-27
|
|
02045
|
EAPG
|
Advanced Molecular Pathology And Genetic Tests
|
2
|
1
|
—
|
—
|
$359,798.40
|
$435,356.06
|
$397,577.23
|
2026-02-27
|
|
00656
|
EAPG
|
Fractures, Dislocations, Other Injuries Of The Neck, Upper Back And Chest
|
2
|
1
|
—
|
—
|
$355,954.40
|
$430,704.82
|
$393,329.61
|
2026-02-27
|
|
00356
|
EAPG
|
Level I Prosthodontics, Removable
|
2
|
1
|
—
|
—
|
$354,416.80
|
$428,844.33
|
$391,630.57
|
2026-02-27
|
|
00781
|
EAPG
|
Coagulation And Platelet Disorders And Congenital Factor Deficiencies
|
2
|
1
|
—
|
—
|
$354,416.80
|
$428,844.33
|
$391,630.57
|
2026-02-27
|
|
00853
|
EAPG
|
Other Injury, Poisoning And Toxic Effect Diagnoses
|
2
|
1
|
—
|
—
|
$353,263.60
|
$427,448.96
|
$390,356.28
|
2026-02-27
|
|
00851
|
EAPG
|
Poisoning Or Toxic Effects Of Medicinal Agents
|
2
|
1
|
—
|
—
|
$352,494.80
|
$426,518.71
|
$389,506.76
|
2026-02-27
|
|
00761
|
EAPG
|
Postpartum And Post Abortion Diagnoses
|
2
|
1
|
—
|
—
|
$352,110.40
|
$426,053.58
|
$389,081.99
|
2026-02-27
|
|
00477
|
EAPG
|
Level Ii Radiation Treatment Preparation And Planning
|
2
|
1
|
—
|
—
|
$350,957.20
|
$424,658.21
|
$387,807.71
|
2026-02-27
|
|
00629
|
EAPG
|
Malfunction, Reaction And Complication Of Gi Device Or Procedure
|
2
|
1
|
—
|
—
|
$350,957.20
|
$424,658.21
|
$387,807.71
|
2026-02-27
|
|
00214
|
EAPG
|
Level I Nervous System Injections Including Cranial Tap
|
2
|
1
|
—
|
—
|
$348,266.40
|
$421,402.34
|
$384,834.37
|
2026-02-27
|
|
00860
|
EAPG
|
Extensive 3rd Degree Or Full Thickness Burns
|
2
|
1
|
—
|
—
|
$347,113.20
|
$420,006.97
|
$383,560.08
|
2026-02-27
|
|
00726
|
EAPG
|
Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms
|
2
|
1
|
—
|
—
|
$345,575.60
|
$418,146.48
|
$381,861.04
|
2026-02-27
|
|
00660
|
EAPG
|
Other Musculoskeletal System And Connective Tissue Diagnoses
|
2
|
1
|
—
|
—
|
$343,653.60
|
$415,820.86
|
$379,737.23
|
2026-02-27
|
|
00302
|
EAPG
|
Computed Tomographic Angiography
|
2
|
1
|
—
|
—
|
$342,500.40
|
$414,425.48
|
$378,462.94
|
2026-02-27
|
|
00741
|
EAPG
|
Other Male Reproductive System Diagnoses
|
2
|
1
|
—
|
—
|
$342,116.00
|
$413,960.36
|
$378,038.18
|
2026-02-27
|
|
00610
|
EAPG
|
Contusions To External Organs Other Than Head Trauma
|
2
|
1
|
—
|
—
|
$341,347.20
|
$413,030.11
|
$377,188.66
|
2026-02-27
|
|
00548
|
EAPG
|
Peripheral And Other Vascular Related Injuries
|
2
|
1
|
—
|
—
|
$340,962.80
|
$412,564.99
|
$376,763.90
|
2026-02-27
|
|
00570
|
EAPG
|
Cystic Fibrosis - Pulmonary Disease
|
2
|
1
|
—
|
—
|
$340,578.40
|
$412,099.86
|
$376,339.13
|
2026-02-27
|
|
5892
|
APR_DRG
|
Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A…
|
2
|
1
|
—
|
—
|
$358,044.68
|
$393,861.22
|
$375,952.95
|
2026-02-27
|
|
00651
|
EAPG
|
Fractures, Dislocations, Sprains And Other Injuries Of The Pelvis And Hip
|
2
|
1
|
—
|
—
|
$339,809.60
|
$411,169.62
|
$375,489.61
|
2026-02-27
|
|
00658
|
EAPG
|
Sciatica And Low Back Pain
|
2
|
1
|
—
|
—
|
$338,656.40
|
$409,774.24
|
$374,215.32
|
2026-02-27
|
|
00616
|
EAPG
|
Diverticulitis And Diverticulosis
|
2
|
1
|
—
|
—
|
$338,272.00
|
$409,309.12
|
$373,790.56
|
2026-02-27
|
|
00562
|
EAPG
|
Infections Of Upper Respiratory Tract And Otitis Media
|
2
|
1
|
—
|
—
|
$334,428.00
|
$404,657.88
|
$369,542.94
|
2026-02-27
|
|
00627
|
EAPG
|
Non-bacterial Gastroenteritis, Nausea And Vomiting
|
2
|
1
|
—
|
—
|
$332,506.00
|
$402,332.26
|
$367,419.13
|
2026-02-27
|
|
00583
|
EAPG
|
Malfunction, Reaction, Or Complication Of Pulmonary Device Or Procedure
|
2
|
1
|
—
|
—
|
$331,737.20
|
$401,402.01
|
$366,569.60
|
2026-02-27
|
|
00659
|
EAPG
|
Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure
|
2
|
1
|
—
|
—
|
$330,584.00
|
$400,006.64
|
$365,295.32
|
2026-02-27
|
|
00617
|
EAPG
|
Gastrointestinal Hemorrhage And Related Postprocedural Hemorrhage Diagnoses
|
2
|
1
|
—
|
—
|
$330,199.60
|
$399,541.52
|
$364,870.56
|
2026-02-27
|
|
00495
|
EAPG
|
Minor Chemotherapy Drugs
|
2
|
1
|
—
|
—
|
$329,815.20
|
$399,076.39
|
$364,445.80
|
2026-02-27
|
|
00752
|
EAPG
|
Other Female Reproductive System And Menstrual Diagnoses
|
2
|
1
|
—
|
—
|
$329,046.40
|
$398,146.14
|
$363,596.27
|
2026-02-27
|
|
00869
|
EAPG
|
Aftercare, Musculoskeletal System And Connective Tissue Injuries
|
2
|
1
|
—
|
—
|
$329,046.40
|
$398,146.14
|
$363,596.27
|
2026-02-27
|
|
00800
|
EAPG
|
Acute Leukemia
|
2
|
1
|
—
|
—
|
$328,662.00
|
$397,681.02
|
$363,171.51
|
2026-02-27
|
|
00652
|
EAPG
|
Other Injuries And Disorders Of The Musculoskeletal System And Connective Tissue
|
2
|
1
|
—
|
—
|
$328,662.00
|
$397,681.02
|
$363,171.51
|
2026-02-27
|
|
02044
|
EAPG
|
Level IV Complex Laboratory, Molecular Pathology And Genetic Tests
|
2
|
1
|
—
|
—
|
$327,124.40
|
$395,820.52
|
$361,472.46
|
2026-02-27
|
|
00607
|
EAPG
|
Cardiomyopathy Diagnoses
|
2
|
1
|
—
|
—
|
$327,124.40
|
$395,820.52
|
$361,472.46
|
2026-02-27
|
|
00674
|
EAPG
|
Open Wounds, Punctures And Other Open Traumatic Injuries
|
2
|
1
|
—
|
—
|
$326,740.00
|
$395,355.40
|
$361,047.70
|
2026-02-27
|
|
00530
|
EAPG
|
Headaches Other Than Migraine
|
2
|
1
|
—
|
—
|
$325,586.80
|
$393,960.03
|
$359,773.42
|
2026-02-27
|
|
00350
|
EAPG
|
Adjunctive Dental Services
|
2
|
1
|
—
|
—
|
$325,202.40
|
$393,494.90
|
$359,348.65
|
2026-02-27
|
|
00854
|
EAPG
|
Toxic Effects Of Non-medicinal Substances
|
2
|
1
|
—
|
—
|
$324,818.00
|
$393,029.78
|
$358,923.89
|
2026-02-27
|
|
00780
|
EAPG
|
Other Hematological Diagnoses
|
2
|
1
|
—
|
—
|
$323,664.80
|
$391,634.41
|
$357,649.60
|
2026-02-27
|
|
00715
|
EAPG
|
Diabetes With Vascular Complications Including Foot And Other Skin Ulcers
|
2
|
1
|
—
|
—
|
$322,896.00
|
$390,704.16
|
$356,800.08
|
2026-02-27
|
|
00016
|
EAPG
|
Simple Wound Repair And Treatment
|
2
|
1
|
—
|
—
|
$322,511.60
|
$390,239.04
|
$356,375.32
|
2026-02-27
|
|
00213
|
EAPG
|
Nerve And Muscle Tests
|
2
|
1
|
—
|
—
|
$320,974.00
|
$388,378.54
|
$354,676.27
|
2026-02-27
|
|
00539
|
EAPG
|
Intracranial Hemorrhage
|
2
|
1
|
—
|
—
|
$320,974.00
|
$388,378.54
|
$354,676.27
|
2026-02-27
|
|
00226
|
EAPG
|
Sleep Studies Unattended
|
2
|
1
|
—
|
—
|
$320,205.20
|
$387,448.29
|
$353,826.74
|
2026-02-27
|
|
00161
|
EAPG
|
Urinary Studies And Procedures
|
2
|
1
|
—
|
—
|
$320,205.20
|
$387,448.29
|
$353,826.74
|
2026-02-27
|
|
00321
|
EAPG
|
Crisis Intervention
|
2
|
1
|
—
|
—
|
$319,436.40
|
$386,518.04
|
$352,977.22
|
2026-02-27
|
|
00551
|
EAPG
|
Cataracts
|
2
|
1
|
—
|
—
|
$318,667.60
|
$385,587.80
|
$352,127.70
|
2026-02-27
|
|
00524
|
EAPG
|
Other Central Nervous System Diagnoses
|
2
|
1
|
—
|
—
|
$317,514.40
|
$384,192.42
|
$350,853.41
|
2026-02-27
|
|
00637
|
EAPG
|
Gallbladder And Biliary Tract Diagnoses
|
2
|
1
|
—
|
—
|
$317,514.40
|
$384,192.42
|
$350,853.41
|
2026-02-27
|
|
00589
|
EAPG
|
Malfunction, Reaction, Or Complication Of Cardiovascular Device Or Proc
|
2
|
1
|
—
|
—
|
$316,361.20
|
$382,797.05
|
$349,579.12
|
2026-02-27
|