|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
5
|
5
|
—
|
—
|
$2,403,458.75
|
$4,173,688.03
|
$3,756,319.23
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
4
|
4
|
—
|
—
|
$2,945,740.00
|
$4,713,184.00
|
$3,737,491.10
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
2
|
2
|
—
|
—
|
$3,685,266.67
|
$3,710,000.00
|
$3,697,633.33
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
6
|
5
|
—
|
—
|
$2,332,000.00
|
$4,967,160.00
|
$3,649,580.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
2
|
2
|
—
|
—
|
$3,316,462.59
|
$3,321,781.51
|
$3,319,122.05
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
3
|
3
|
—
|
—
|
$3,193,000.00
|
$4,970,121.94
|
$3,248,445.72
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
6
|
—
|
—
|
$565,623.84
|
$4,295,932.22
|
$1,615,412.53
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
15
|
6
|
—
|
—
|
$551,318.34
|
$4,108,208.54
|
$1,544,822.22
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
6
|
—
|
—
|
$516,485.97
|
$4,084,027.22
|
$1,535,729.25
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
6
|
—
|
—
|
$528,312.43
|
$4,046,128.20
|
$1,521,477.96
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
6
|
—
|
—
|
$489,517.15
|
$3,871,251.04
|
$1,455,718.37
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
6
|
—
|
—
|
$488,051.51
|
$3,552,351.45
|
$1,335,801.58
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
20
|
9
|
—
|
—
|
$237,505.40
|
$1,305,416.04
|
$488,942.24
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
9
|
—
|
—
|
$154,131.45
|
$847,162.50
|
$317,303.84
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
20
|
9
|
—
|
—
|
$117,427.75
|
$645,425.62
|
$241,743.51
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
20
|
9
|
—
|
—
|
$116,738.60
|
$641,637.80
|
$240,324.78
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
15
|
6
|
—
|
—
|
$63,342.28
|
$459,864.97
|
$172,924.43
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
20
|
9
|
—
|
—
|
$76,182.70
|
$418,727.82
|
$156,834.08
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
15
|
6
|
—
|
—
|
$55,272.32
|
$401,277.07
|
$150,893.44
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
20
|
9
|
—
|
—
|
$71,226.10
|
$391,484.55
|
$146,630.14
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
20
|
9
|
—
|
—
|
$66,098.45
|
$363,301.12
|
$136,074.06
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
9
|
—
|
—
|
$62,324.90
|
$342,560.31
|
$128,305.61
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
20
|
9
|
—
|
—
|
$62,253.40
|
$342,167.32
|
$128,158.42
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
9
|
—
|
—
|
$60,616.60
|
$333,170.88
|
$124,788.81
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
20
|
9
|
—
|
—
|
$59,807.55
|
$328,724.04
|
$123,123.25
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
15
|
6
|
—
|
—
|
$45,020.65
|
$326,849.92
|
$122,906.37
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
11
|
6
|
—
|
—
|
$56,824.55
|
$412,546.23
|
$121,036.29
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
20
|
9
|
—
|
—
|
$56,707.75
|
$311,686.42
|
$116,741.83
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
20
|
9
|
—
|
—
|
$54,763.50
|
$301,000.11
|
$112,739.29
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
9
|
—
|
—
|
$53,805.40
|
$295,734.04
|
$110,766.89
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
20
|
9
|
—
|
—
|
$49,552.80
|
$272,360.21
|
$102,012.24
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
14
|
7
|
—
|
—
|
$3,245.00
|
$432,345.48
|
$98,260.33
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
20
|
9
|
—
|
—
|
$47,627.25
|
$261,776.69
|
$98,048.19
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
20
|
9
|
—
|
—
|
$46,364.45
|
$254,835.88
|
$95,448.51
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
9
|
—
|
—
|
$46,218.70
|
$254,034.78
|
$95,148.46
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
20
|
9
|
—
|
—
|
$43,278.40
|
$237,873.82
|
$89,095.40
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
9
|
—
|
—
|
$42,230.65
|
$232,115.01
|
$86,938.43
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
20
|
9
|
—
|
—
|
$42,048.60
|
$231,114.40
|
$86,563.66
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
20
|
9
|
—
|
—
|
$41,909.45
|
$230,349.58
|
$86,277.20
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
9
|
—
|
—
|
$39,702.30
|
$218,218.28
|
$81,733.43
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
20
|
9
|
—
|
—
|
$39,466.35
|
$216,921.41
|
$81,247.69
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
20
|
9
|
—
|
—
|
$39,449.85
|
$216,830.72
|
$81,213.73
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
20
|
9
|
—
|
—
|
$39,240.30
|
$215,678.96
|
$80,782.33
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
20
|
9
|
—
|
—
|
$39,217.20
|
$215,551.99
|
$80,734.78
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
20
|
9
|
—
|
—
|
$38,014.90
|
$208,943.71
|
$78,259.65
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
20
|
9
|
—
|
—
|
$37,828.45
|
$207,918.92
|
$77,875.81
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
15
|
6
|
—
|
—
|
$27,070.53
|
$206,358.67
|
$77,597.68
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
20
|
9
|
—
|
—
|
$37,021.05
|
$203,481.15
|
$76,213.65
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
20
|
9
|
—
|
—
|
$36,775.75
|
$202,132.90
|
$75,708.67
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
20
|
9
|
—
|
—
|
$36,748.80
|
$201,984.77
|
$75,653.18
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
9
|
—
|
—
|
$36,164.15
|
$198,771.32
|
$74,449.59
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
20
|
9
|
—
|
—
|
$36,164.15
|
$198,771.32
|
$74,449.59
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
20
|
9
|
—
|
—
|
$36,032.70
|
$198,048.82
|
$74,178.98
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
20
|
9
|
—
|
—
|
$33,706.20
|
$185,261.53
|
$69,389.52
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$33,667.15
|
$185,046.90
|
$69,309.13
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
14
|
7
|
—
|
—
|
$3,245.00
|
$302,749.72
|
$68,806.76
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
14
|
7
|
—
|
—
|
$3,245.00
|
$302,749.72
|
$68,806.76
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
14
|
7
|
—
|
—
|
$3,245.00
|
$302,749.72
|
$68,806.76
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
20
|
9
|
—
|
—
|
$33,344.30
|
$183,272.40
|
$68,644.49
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
9
|
—
|
—
|
$35,390.85
|
$194,520.98
|
$68,325.12
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
20
|
9
|
—
|
—
|
$33,045.65
|
$181,630.91
|
$68,029.67
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
20
|
9
|
—
|
—
|
$33,036.30
|
$181,579.52
|
$68,010.42
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
9
|
—
|
—
|
$32,797.05
|
$180,264.51
|
$67,517.88
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
20
|
9
|
—
|
—
|
$32,613.35
|
$179,254.83
|
$67,139.71
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
20
|
9
|
—
|
—
|
$32,277.30
|
$177,407.78
|
$66,447.90
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$32,256.40
|
$177,292.90
|
$66,404.88
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
20
|
9
|
—
|
—
|
$31,719.05
|
$174,339.43
|
$65,298.66
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
9
|
—
|
—
|
$31,516.65
|
$173,226.97
|
$64,881.98
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
20
|
9
|
—
|
—
|
$31,387.95
|
$172,519.59
|
$64,617.04
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
9
|
—
|
—
|
$31,347.25
|
$172,295.89
|
$64,533.25
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
20
|
9
|
—
|
—
|
$30,921.00
|
$169,953.06
|
$63,655.74
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
20
|
9
|
—
|
—
|
$30,825.30
|
$169,427.06
|
$63,458.73
|
2026-04-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
11
|
6
|
—
|
—
|
$21,140.00
|
$215,748.69
|
$63,298.17
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
21
|
9
|
—
|
—
|
$32,689.25
|
$179,672.01
|
$63,109.45
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
9
|
—
|
—
|
$30,614.10
|
$168,266.23
|
$63,023.94
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
20
|
9
|
—
|
—
|
$30,376.50
|
$166,960.29
|
$62,534.81
|
2026-04-01
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
11
|
6
|
—
|
—
|
$5,562.00
|
$212,097.77
|
$62,227.03
|
2026-04-01
|
|
0909T
|
OTHER
|
Rplcmt Int Nstim Sys Vgs Nrv
|
11
|
6
|
—
|
—
|
$5,562.00
|
$212,097.77
|
$62,227.03
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
20
|
9
|
—
|
—
|
$30,194.45
|
$165,959.68
|
$62,160.03
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
20
|
9
|
—
|
—
|
$30,087.75
|
$165,373.22
|
$61,940.36
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
20
|
9
|
—
|
—
|
$30,044.85
|
$165,137.42
|
$61,852.06
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
20
|
9
|
—
|
—
|
$29,997.55
|
$164,877.44
|
$61,754.68
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
20
|
9
|
—
|
—
|
$29,877.65
|
$164,218.43
|
$61,507.85
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
9
|
—
|
—
|
$29,330.40
|
$161,210.54
|
$60,381.25
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
20
|
9
|
—
|
—
|
$29,312.80
|
$161,113.81
|
$60,345.01
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
20
|
9
|
—
|
—
|
$29,115.90
|
$160,031.57
|
$59,939.66
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
20
|
9
|
—
|
—
|
$29,019.65
|
$159,502.55
|
$59,741.51
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
9
|
—
|
—
|
$28,629.70
|
$157,359.24
|
$58,938.74
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
20
|
9
|
—
|
—
|
$28,580.20
|
$157,087.17
|
$58,836.83
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
20
|
9
|
—
|
—
|
$27,721.10
|
$152,365.25
|
$57,068.25
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
20
|
9
|
—
|
—
|
$27,430.70
|
$150,769.10
|
$56,470.42
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
20
|
9
|
—
|
—
|
$27,210.70
|
$149,559.90
|
$56,017.50
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$27,162.30
|
$149,293.88
|
$55,917.87
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
20
|
9
|
—
|
—
|
$27,069.35
|
$148,782.99
|
$55,726.52
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
20
|
9
|
—
|
—
|
$26,956.60
|
$148,163.28
|
$55,494.40
|
2026-04-01
|
|
0956T
|
OTHER
|
Prt Crn Ch Cr&tun Elt S-sclp
|
11
|
6
|
—
|
—
|
$21,140.00
|
$186,503.39
|
$54,717.94
|
2026-04-01
|
|
0960T
|
OTHER
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
11
|
6
|
—
|
—
|
$21,140.00
|
$186,503.39
|
$54,717.94
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
20
|
9
|
—
|
—
|
$26,557.85
|
$145,971.60
|
$54,673.51
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
20
|
9
|
—
|
—
|
$26,423.65
|
$145,233.99
|
$54,397.24
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
20
|
9
|
—
|
—
|
$26,184.40
|
$143,918.98
|
$53,904.71
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
14
|
7
|
—
|
—
|
$3,245.00
|
$235,472.75
|
$53,516.54
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
20
|
9
|
—
|
—
|
$25,857.70
|
$142,123.32
|
$53,232.15
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
9
|
—
|
—
|
$25,804.90
|
$141,833.11
|
$53,123.45
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
20
|
9
|
—
|
—
|
$25,727.90
|
$141,409.89
|
$52,964.93
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
21
|
9
|
—
|
—
|
$24,160.40
|
$132,794.34
|
$52,832.21
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
20
|
9
|
—
|
—
|
$25,503.50
|
$140,176.51
|
$52,502.96
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
20
|
9
|
—
|
—
|
$25,401.75
|
$139,617.26
|
$52,293.49
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
20
|
9
|
—
|
—
|
$25,280.75
|
$138,952.20
|
$52,044.41
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
20
|
9
|
—
|
—
|
$25,216.40
|
$138,598.50
|
$51,911.93
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
20
|
9
|
—
|
—
|
$25,093.20
|
$137,921.35
|
$51,658.30
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
11
|
6
|
—
|
—
|
$24,228.42
|
$175,898.33
|
$51,606.53
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
14
|
7
|
—
|
—
|
$6,329.00
|
$226,631.08
|
$51,507.06
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$25,017.85
|
$137,507.20
|
$51,503.18
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
20
|
9
|
—
|
—
|
$25,006.85
|
$137,446.74
|
$51,480.54
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
20
|
9
|
—
|
—
|
$24,908.95
|
$136,908.65
|
$51,279.00
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
20
|
9
|
—
|
—
|
$24,649.90
|
$135,484.81
|
$50,745.70
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
20
|
9
|
—
|
—
|
$24,642.75
|
$135,445.52
|
$50,730.98
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
20
|
9
|
—
|
—
|
$24,545.95
|
$134,913.47
|
$50,531.70
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
14
|
7
|
—
|
—
|
$3,245.00
|
$215,748.69
|
$49,033.79
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
20
|
9
|
—
|
—
|
$23,610.95
|
$129,774.37
|
$48,606.85
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
20
|
9
|
—
|
—
|
$23,459.15
|
$128,940.02
|
$48,294.35
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
14
|
7
|
—
|
—
|
$3,245.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
14
|
7
|
—
|
—
|
$3,245.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
14
|
7
|
—
|
—
|
$2,788.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
14
|
7
|
—
|
—
|
$3,245.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
14
|
7
|
—
|
—
|
$3,245.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
14
|
7
|
—
|
—
|
$2,788.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
14
|
7
|
—
|
—
|
$3,245.00
|
$212,097.77
|
$48,204.04
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
20
|
9
|
—
|
—
|
$23,324.40
|
$128,199.38
|
$48,016.94
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
20
|
9
|
—
|
—
|
$23,227.60
|
$127,667.34
|
$47,817.67
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
20
|
9
|
—
|
—
|
$23,188.00
|
$127,449.68
|
$47,736.15
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
20
|
9
|
—
|
—
|
$23,176.45
|
$127,386.20
|
$47,712.37
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
20
|
9
|
—
|
—
|
$23,108.80
|
$127,014.37
|
$47,573.10
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
20
|
9
|
—
|
—
|
$23,081.30
|
$126,863.22
|
$47,516.49
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
20
|
9
|
—
|
—
|
$23,038.40
|
$126,627.42
|
$47,428.18
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
12
|
6
|
—
|
—
|
$9,839.00
|
$179,656.35
|
$47,388.69
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
12
|
6
|
—
|
—
|
$9,839.00
|
$179,656.35
|
$47,388.69
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
12
|
6
|
—
|
—
|
$9,839.00
|
$179,656.35
|
$47,388.69
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
9
|
—
|
—
|
$22,949.30
|
$126,137.70
|
$47,244.74
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
20
|
9
|
—
|
—
|
$22,932.80
|
$126,047.01
|
$47,210.78
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$22,841.50
|
$125,545.19
|
$47,022.82
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
20
|
9
|
—
|
—
|
$22,690.25
|
$124,713.87
|
$46,711.46
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
20
|
9
|
—
|
—
|
$22,324.50
|
$122,703.57
|
$45,958.49
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
21
|
9
|
—
|
—
|
$23,800.70
|
$130,817.30
|
$45,949.34
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
20
|
9
|
—
|
—
|
$22,112.75
|
$121,539.72
|
$45,522.57
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
20
|
9
|
—
|
—
|
$21,912.55
|
$120,439.34
|
$45,110.43
|
2026-04-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
11
|
6
|
—
|
—
|
$21,059.14
|
$152,889.33
|
$44,855.96
|
2026-04-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
11
|
6
|
—
|
—
|
$21,059.14
|
$152,889.33
|
$44,855.96
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
14
|
7
|
—
|
—
|
$3,245.00
|
$197,152.60
|
$44,807.41
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
20
|
9
|
—
|
—
|
$21,515.45
|
$118,256.74
|
$44,292.94
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
20
|
9
|
—
|
—
|
$21,418.10
|
$117,721.67
|
$44,092.53
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
20
|
9
|
—
|
—
|
$21,288.85
|
$117,011.26
|
$43,826.45
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
20
|
9
|
—
|
—
|
$21,256.95
|
$116,835.93
|
$43,760.78
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
20
|
9
|
—
|
—
|
$21,236.60
|
$116,724.08
|
$43,718.89
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
20
|
9
|
—
|
—
|
$21,116.15
|
$116,062.04
|
$43,470.92
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
20
|
9
|
—
|
—
|
$20,696.50
|
$113,755.49
|
$42,607.00
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$20,606.30
|
$113,259.72
|
$42,421.32
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
14
|
7
|
—
|
—
|
$3,245.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
14
|
7
|
—
|
—
|
$4,376.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
14
|
7
|
—
|
—
|
$3,245.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
14
|
7
|
—
|
—
|
$4,562.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
14
|
7
|
—
|
—
|
$3,245.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
14
|
7
|
—
|
—
|
$3,245.00
|
$186,503.39
|
$42,387.13
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$20,557.35
|
$112,990.67
|
$42,320.54
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
20
|
9
|
—
|
—
|
$20,555.15
|
$112,978.58
|
$42,316.01
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$20,497.40
|
$112,661.16
|
$42,197.12
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
14
|
7
|
—
|
—
|
$3,245.00
|
$185,015.03
|
$42,048.87
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
20
|
9
|
—
|
—
|
$20,381.90
|
$112,026.33
|
$41,959.36
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
20
|
9
|
—
|
—
|
$20,202.05
|
$111,037.81
|
$41,589.10
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
20
|
9
|
—
|
—
|
$20,193.80
|
$110,992.47
|
$41,572.12
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
20
|
9
|
—
|
—
|
$19,956.75
|
$109,689.56
|
$41,084.11
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
20
|
9
|
—
|
—
|
$19,941.35
|
$109,604.91
|
$41,052.40
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
20
|
9
|
—
|
—
|
$19,913.85
|
$109,453.76
|
$40,995.79
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
20
|
9
|
—
|
—
|
$19,900.10
|
$109,378.19
|
$40,967.49
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
20
|
9
|
—
|
—
|
$19,864.90
|
$109,184.71
|
$40,895.03
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
20
|
9
|
—
|
—
|
$19,835.20
|
$109,021.47
|
$40,833.88
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
20
|
9
|
—
|
—
|
$19,705.40
|
$108,308.04
|
$40,566.67
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
20
|
9
|
—
|
—
|
$19,659.75
|
$108,057.14
|
$40,472.69
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
20
|
9
|
—
|
—
|
$19,639.95
|
$107,948.31
|
$40,431.92
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
20
|
9
|
—
|
—
|
$19,610.80
|
$107,788.09
|
$40,371.92
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
20
|
9
|
—
|
—
|
$19,594.30
|
$107,697.40
|
$40,337.94
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
20
|
9
|
—
|
—
|
$19,575.60
|
$107,594.62
|
$40,299.46
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
20
|
9
|
—
|
—
|
$19,559.65
|
$107,506.95
|
$40,266.62
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
20
|
9
|
—
|
—
|
$19,356.70
|
$106,391.46
|
$39,848.81
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
20
|
9
|
—
|
—
|
$19,185.65
|
$105,451.31
|
$39,496.68
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
20
|
9
|
—
|
—
|
$19,180.70
|
$105,424.10
|
$39,486.49
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
20
|
9
|
—
|
—
|
$19,092.70
|
$104,940.42
|
$39,305.32
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
20
|
9
|
—
|
—
|
$19,000.30
|
$104,432.56
|
$39,115.10
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
20
|
9
|
—
|
—
|
$18,912.30
|
$103,948.88
|
$38,933.95
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
9
|
—
|
—
|
$18,856.20
|
$103,640.53
|
$38,818.46
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
20
|
9
|
—
|
—
|
$18,763.80
|
$103,132.67
|
$38,628.23
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
20
|
9
|
—
|
—
|
$18,739.05
|
$102,996.63
|
$38,577.28
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
20
|
9
|
—
|
—
|
$18,373.30
|
$100,986.34
|
$37,824.33
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
21
|
9
|
—
|
—
|
$19,396.30
|
$106,609.12
|
$37,446.25
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
20
|
9
|
—
|
—
|
$18,168.15
|
$99,858.76
|
$37,402.00
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
20
|
9
|
—
|
—
|
$18,106.55
|
$99,520.18
|
$37,275.18
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
20
|
9
|
—
|
—
|
$18,104.35
|
$99,508.09
|
$37,270.65
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
20
|
9
|
—
|
—
|
$17,890.40
|
$98,332.14
|
$36,830.21
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
20
|
9
|
—
|
—
|
$17,811.75
|
$97,899.86
|
$36,668.29
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
20
|
9
|
—
|
—
|
$17,791.95
|
$97,791.03
|
$36,627.53
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
20
|
9
|
—
|
—
|
$17,767.20
|
$97,654.99
|
$36,576.58
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
20
|
9
|
—
|
—
|
$17,762.25
|
$97,627.79
|
$36,566.39
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
20
|
9
|
—
|
—
|
$17,749.05
|
$97,555.23
|
$36,539.21
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
20
|
9
|
—
|
—
|
$17,714.40
|
$97,364.78
|
$36,467.88
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
20
|
9
|
—
|
—
|
$17,657.20
|
$97,050.39
|
$36,350.12
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
20
|
9
|
—
|
—
|
$17,560.40
|
$96,518.34
|
$36,150.85
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
20
|
9
|
—
|
—
|
$17,527.95
|
$96,339.99
|
$36,084.04
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
20
|
9
|
—
|
—
|
$17,510.90
|
$96,246.27
|
$36,048.94
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
20
|
9
|
—
|
—
|
$17,475.70
|
$96,052.80
|
$35,976.48
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
20
|
9
|
—
|
—
|
$17,406.40
|
$95,671.90
|
$35,833.82
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
20
|
9
|
—
|
—
|
$17,380.00
|
$95,526.80
|
$35,779.46
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
20
|
9
|
—
|
—
|
$17,330.50
|
$95,254.73
|
$35,677.57
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
20
|
9
|
—
|
—
|
$17,322.25
|
$95,209.39
|
$35,660.58
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
20
|
9
|
—
|
—
|
$17,281.55
|
$94,985.68
|
$35,576.79
|
2026-04-01
|
|
C8003
|
HCPCS
|
Imp Extar Knee Shck Absrb
|
11
|
6
|
—
|
—
|
$16,600.17
|
$120,517.20
|
$35,358.35
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
20
|
9
|
—
|
—
|
$17,166.60
|
$94,353.88
|
$35,340.15
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
9
|
—
|
—
|
$17,130.85
|
$94,157.38
|
$35,266.56
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
20
|
9
|
—
|
—
|
$17,100.60
|
$93,991.12
|
$35,204.28
|
2026-04-01
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
0515T
|
OTHER
|
Insj Wcs Lv Compl Sys
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
14
|
7
|
—
|
—
|
$3,245.00
|
$152,889.33
|
$34,747.57
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
20
|
9
|
—
|
—
|
$16,838.25
|
$92,549.15
|
$34,664.18
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
20
|
9
|
—
|
—
|
$16,815.70
|
$92,425.20
|
$34,617.76
|
2026-04-01
|
|
0888T
|
OTHER
|
Histotripsy Mal Renal Tissue
|
11
|
6
|
—
|
—
|
$16,217.36
|
$117,738.06
|
$34,542.98
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
20
|
9
|
—
|
—
|
$16,682.60
|
$91,693.64
|
$34,343.76
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
20
|
9
|
—
|
—
|
$16,612.75
|
$91,309.72
|
$34,199.96
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
20
|
9
|
—
|
—
|
$16,610.55
|
$91,297.62
|
$34,195.43
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
20
|
9
|
—
|
—
|
$16,592.40
|
$91,197.86
|
$34,158.07
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
20
|
9
|
—
|
—
|
$16,370.20
|
$89,976.57
|
$33,700.64
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
20
|
9
|
—
|
—
|
$16,203.55
|
$89,060.60
|
$33,357.56
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
20
|
9
|
—
|
—
|
$16,192.55
|
$89,000.14
|
$33,334.92
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
20
|
9
|
—
|
—
|
$16,176.05
|
$88,909.45
|
$33,300.94
|
2026-04-01
|
|
C9607
|
HCPCS
|
Perc D-e Cor Revasc Chro Sin
|
12
|
6
|
—
|
—
|
$7,256.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
C9602
|
HCPCS
|
Perc D-e Cor Stent Ather S
|
12
|
6
|
—
|
—
|
$7,256.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
93591
|
HCPCS
|
Perq Transcath Cls Aortic
|
12
|
6
|
—
|
—
|
$8,747.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
93581
|
HCPCS
|
Transcath Closure Of Vsd
|
12
|
6
|
—
|
—
|
$8,747.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
93582
|
HCPCS
|
Perq Transcath Closure Pda
|
12
|
6
|
—
|
—
|
$8,747.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
93580
|
HCPCS
|
Transcath Closure Of Asd
|
12
|
6
|
—
|
—
|
$8,747.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
93590
|
HCPCS
|
Perq Transcath Cls Mitral
|
12
|
6
|
—
|
—
|
$8,747.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
92933
|
HCPCS
|
Prq Card Stent/ath/angio
|
12
|
6
|
—
|
—
|
$7,256.00
|
$126,000.95
|
$33,235.79
|
2026-04-01
|
|
66683
|
HCPCS
|
Implantation Iris Prosthesis
|
11
|
6
|
—
|
—
|
$12,199.00
|
$113,142.10
|
$33,194.58
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
20
|
9
|
—
|
—
|
$16,060.00
|
$88,271.60
|
$33,062.04
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
20
|
9
|
—
|
—
|
$16,017.65
|
$88,038.83
|
$32,974.86
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
20
|
9
|
—
|
—
|
$15,961.00
|
$87,727.46
|
$32,858.23
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
20
|
9
|
—
|
—
|
$15,951.10
|
$87,673.05
|
$32,837.85
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
20
|
9
|
—
|
—
|
$15,880.70
|
$87,286.10
|
$32,692.92
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
20
|
9
|
—
|
—
|
$15,849.90
|
$87,116.81
|
$32,629.51
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
20
|
9
|
—
|
—
|
$15,786.10
|
$86,766.15
|
$32,498.18
|
2026-04-01
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
14
|
7
|
—
|
—
|
$1,087.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
14
|
7
|
—
|
—
|
$3,245.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
14
|
7
|
—
|
—
|
$3,245.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
14
|
7
|
—
|
—
|
$3,245.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
54417
|
HCPCS
|
Remv/replc Penis Pros Compl
|
14
|
7
|
—
|
—
|
$2,746.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
14
|
7
|
—
|
—
|
$3,245.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
14
|
7
|
—
|
—
|
$2,079.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
14
|
7
|
—
|
—
|
$2,079.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
53444
|
HCPCS
|
Insert Tandem Cuff
|
14
|
7
|
—
|
—
|
$2,788.00
|
$142,459.25
|
$32,377.11
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
20
|
9
|
—
|
—
|
$15,677.75
|
$86,170.62
|
$32,275.11
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
20
|
9
|
—
|
—
|
$15,451.70
|
$84,928.16
|
$31,809.76
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
20
|
9
|
—
|
—
|
$15,396.15
|
$84,622.84
|
$31,695.40
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
20
|
9
|
—
|
—
|
$15,351.05
|
$84,374.95
|
$31,602.56
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
20
|
9
|
—
|
—
|
$15,245.45
|
$83,794.54
|
$31,385.15
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
20
|
9
|
—
|
—
|
$15,164.05
|
$83,347.13
|
$31,217.58
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
20
|
9
|
—
|
—
|
$15,117.85
|
$83,093.20
|
$31,122.47
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
20
|
9
|
—
|
—
|
$15,035.90
|
$82,642.77
|
$30,953.76
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
20
|
9
|
—
|
—
|
$14,964.40
|
$82,249.78
|
$30,806.57
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
20
|
9
|
—
|
—
|
$14,902.25
|
$81,908.19
|
$30,678.62
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
21
|
9
|
—
|
—
|
$15,873.00
|
$87,243.78
|
$30,644.21
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
20
|
9
|
—
|
—
|
$14,884.10
|
$81,808.43
|
$30,641.26
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
20
|
9
|
—
|
—
|
$14,835.70
|
$81,542.40
|
$30,541.62
|
2026-04-01
|
|
0816T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subq
|
14
|
7
|
—
|
—
|
$3,245.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
64590
|
HCPCS
|
Insrt/redo Pn/gastr Stimul
|
14
|
7
|
—
|
—
|
$2,788.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
64580
|
HCPCS
|
Implant Neuroelectrodes
|
14
|
7
|
—
|
—
|
$2,079.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
14
|
7
|
—
|
—
|
$6,560.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
0680T
|
OTHER
|
Insj/rplcmt Pg Only Isdss
|
14
|
7
|
—
|
—
|
$3,245.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
0817T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subf
|
14
|
7
|
—
|
—
|
$3,245.00
|
$133,345.04
|
$30,305.69
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
20
|
9
|
—
|
—
|
$14,630.00
|
$80,411.80
|
$30,118.15
|
2026-04-01
|
|
0795T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0796T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Ra
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0797T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Rv
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0801T
|
OTHER
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0802T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0525T
|
OTHER
|
Insj/rplcmt Compl Iims
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
33274
|
HCPCS
|
Tcat Insj/rpl Perm Ldls Pm
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0803T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0823T
|
OTHER
|
Tcat Ins 1chmbr Ldls Pm Ra
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
0825T
|
OTHER
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
14
|
7
|
—
|
—
|
$3,245.00
|
$132,393.61
|
$30,089.46
|
2026-04-01
|