|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
2
|
2
|
$102,071.40
|
$102,071.40
|
$5,559.75
|
$234,861.80
|
$120,210.77
|
2026-05-11
|
|
999
|
MS_DRG
|
Ungroupable
|
1
|
1
|
$41,859.82
|
$41,859.82
|
$108,255.02
|
$108,255.02
|
$108,255.02
|
2026-05-11
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
3
|
3
|
$29,145.83
|
$29,145.83
|
$4,924.35
|
$78,942.23
|
$58,437.83
|
2026-05-11
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
2
|
2
|
$50,494.40
|
$50,494.40
|
$3,590.01
|
$101,755.40
|
$52,672.71
|
2026-05-11
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
2
|
2
|
$36,957.62
|
$36,957.62
|
$7,529.49
|
$95,053.42
|
$51,291.45
|
2026-05-11
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
2
|
2
|
$36,166.00
|
$36,166.00
|
$7,942.50
|
$81,812.70
|
$44,877.60
|
2026-05-11
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
2
|
2
|
$36,732.60
|
$36,732.60
|
$3,049.92
|
$86,529.00
|
$44,789.46
|
2026-05-11
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
2
|
2
|
$29,779.26
|
$29,779.26
|
$8,609.67
|
$68,799.88
|
$38,704.78
|
2026-05-11
|
|
C1605
|
HCPCS
|
Pacemaker, Leadless, Dual Chamber (right Atrial And Right Ventricular Implantabl…
|
10
|
10
|
$70,524.25
|
$70,524.25
|
$24,627.07
|
$70,524.25
|
$37,377.86
|
2026-05-11
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
2
|
$25,059.01
|
$25,059.01
|
$7,116.48
|
$66,556.01
|
$36,836.24
|
2026-05-11
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
2
|
2
|
$29,279.20
|
$29,279.20
|
$3,971.25
|
$66,626.50
|
$35,298.88
|
2026-05-11
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
2
|
2
|
$24,614.15
|
$24,614.15
|
$3,049.92
|
$66,111.15
|
$34,580.53
|
2026-05-11
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
3
|
3
|
$16,640.70
|
$16,640.70
|
$4,098.33
|
$45,688.60
|
$33,727.70
|
2026-05-11
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
2
|
2
|
$26,444.30
|
$26,444.30
|
$4,543.11
|
$59,641.90
|
$32,092.51
|
2026-05-11
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
$24,192.70
|
$24,192.70
|
$5,496.21
|
$57,390.30
|
$31,443.26
|
2026-05-11
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
2
|
2
|
$20,969.90
|
$20,969.90
|
$9,594.54
|
$50,017.80
|
$29,806.17
|
2026-05-11
|
|
J3357
|
HCPCS
|
Ustekinumab, For Subcutaneous Injection, 1 Mg
|
10
|
10
|
$81,911.00
|
$81,911.00
|
$182.21
|
$81,911.00
|
$29,487.96
|
2026-05-11
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
3
|
3
|
$14,525.40
|
$14,525.40
|
$3,939.48
|
$39,423.60
|
$29,171.40
|
2026-05-11
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
2
|
2
|
$22,454.40
|
$22,454.40
|
$7,243.56
|
$47,352.60
|
$27,298.08
|
2026-05-11
|
|
C1882
|
HCPCS
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
10
|
10
|
$50,536.75
|
$50,536.75
|
$17,647.43
|
$50,536.75
|
$26,784.48
|
2026-05-11
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
2
|
2
|
$21,656.34
|
$21,656.34
|
$5,464.44
|
$46,554.54
|
$26,009.49
|
2026-05-11
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
2
|
2
|
$20,484.35
|
$20,484.35
|
$6,925.86
|
$41,232.85
|
$24,079.35
|
2026-05-11
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
2
|
2
|
$19,595.11
|
$19,595.11
|
$4,701.96
|
$40,343.61
|
$22,522.78
|
2026-05-11
|
|
C1735
|
HCPCS
|
Catheter(s), Intravascular For Renal Denervation, Radiofrequency, Including All …
|
10
|
10
|
$46,302.50
|
$46,302.50
|
$16,168.83
|
$46,302.50
|
$22,503.01
|
2026-05-11
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
2
|
2
|
$16,867.80
|
$16,867.80
|
$4,320.72
|
$37,616.30
|
$20,968.51
|
2026-05-11
|
|
C1721
|
HCPCS
|
Cardioverter-defibrillator, Dual Chamber (implantable)
|
40
|
10
|
$37,365.88
|
$37,365.88
|
$11,675.15
|
$49,147.75
|
$20,548.49
|
2026-05-11
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
2
|
2
|
$15,760.30
|
$15,760.30
|
$7,942.50
|
$32,359.10
|
$20,150.80
|
2026-05-11
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
2
|
2
|
$14,527.40
|
$14,527.40
|
$4,956.12
|
$35,275.90
|
$20,116.01
|
2026-05-11
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
$48,408.85
|
$48,408.85
|
$20,110.41
|
$20,110.41
|
$20,110.41
|
2026-05-11
|
|
33249
|
HCPCS
|
Insertion Of Implantable Defibrillator System
|
15
|
10
|
$54,631.50
|
$54,631.50
|
$686.06
|
$54,631.50
|
$19,667.34
|
2026-05-11
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
2
|
2
|
$14,487.70
|
$14,487.70
|
$8,196.66
|
$31,086.50
|
$19,641.58
|
2026-05-11
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
1
|
1
|
$105,707.04
|
$105,707.04
|
$19,347.93
|
$19,347.93
|
$19,347.93
|
2026-05-11
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
2
|
2
|
$16,035.96
|
$16,035.96
|
$4,352.49
|
$32,634.76
|
$18,493.62
|
2026-05-11
|
|
0238T
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
12
|
10
|
$38,000.00
|
$38,000.00
|
$8,550.00
|
$38,000.00
|
$18,468.00
|
2026-05-11
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
1
|
1
|
$65,426.39
|
$65,426.39
|
$17,727.66
|
$17,727.66
|
$17,727.66
|
2026-05-11
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
2
|
2
|
$13,734.68
|
$13,734.68
|
$5,083.20
|
$30,333.48
|
$17,708.34
|
2026-05-11
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
2
|
2
|
$13,451.74
|
$13,451.74
|
$4,098.33
|
$30,050.54
|
$17,074.43
|
2026-05-11
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
1
|
1
|
$28,728.35
|
$28,728.35
|
$16,329.78
|
$16,329.78
|
$16,329.78
|
2026-05-11
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
2
|
2
|
$11,618.80
|
$11,618.80
|
$3,462.93
|
$28,217.60
|
$15,840.26
|
2026-05-11
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
2
|
2
|
$11,605.50
|
$11,605.50
|
$7,084.71
|
$24,054.60
|
$15,569.65
|
2026-05-11
|
|
33264
|
HCPCS
|
Removal And Replacement Of Multiple Lead Defibrillator
|
15
|
10
|
$43,144.50
|
$43,144.50
|
$230.99
|
$43,144.50
|
$15,532.02
|
2026-05-11
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
1
|
1
|
$74,037.35
|
$74,037.35
|
$14,232.96
|
$14,232.96
|
$14,232.96
|
2026-05-11
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
2
|
2
|
$11,913.77
|
$11,913.77
|
$3,494.70
|
$24,362.87
|
$13,928.78
|
2026-05-11
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
2
|
2
|
$10,432.31
|
$10,432.31
|
$4,670.19
|
$22,881.41
|
$13,775.80
|
2026-05-11
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
2
|
2
|
$10,409.25
|
$10,409.25
|
$4,447.80
|
$22,858.35
|
$13,653.08
|
2026-05-11
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
2
|
2
|
$10,539.37
|
$10,539.37
|
$4,098.33
|
$22,988.47
|
$13,543.40
|
2026-05-11
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
2
|
2
|
$9,069.28
|
$9,069.28
|
$5,305.59
|
$21,518.38
|
$13,411.99
|
2026-05-11
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
$40,445.56
|
$40,445.56
|
$12,708.00
|
$12,708.00
|
$12,708.00
|
2026-05-11
|
|
33228
|
HCPCS
|
Removal And Replacement Of Dual Lead Permanent Pacemaker
|
15
|
10
|
$35,000.00
|
$35,000.00
|
$203.13
|
$35,000.00
|
$12,600.00
|
2026-05-11
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
1
|
1
|
$28,679.75
|
$28,679.75
|
$12,072.60
|
$12,072.60
|
$12,072.60
|
2026-05-11
|
|
C2621
|
HCPCS
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
30
|
10
|
$20,112.25
|
$20,112.25
|
$6,610.09
|
$29,921.50
|
$12,011.11
|
2026-05-11
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
1
|
1
|
$84,035.99
|
$84,035.99
|
$11,278.35
|
$11,278.35
|
$11,278.35
|
2026-05-11
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
1
|
1
|
$44,466.49
|
$44,466.49
|
$11,087.73
|
$11,087.73
|
$11,087.73
|
2026-05-11
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
$22,145.80
|
$22,145.80
|
$10,960.65
|
$10,960.65
|
$10,960.65
|
2026-05-11
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
10
|
10
|
$30,354.10
|
$30,354.10
|
$24.74
|
$30,354.10
|
$10,927.48
|
2026-05-11
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
$12,075.35
|
$12,075.35
|
$10,833.57
|
$10,833.57
|
$10,833.57
|
2026-05-11
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
1
|
1
|
$35,476.20
|
$35,476.20
|
$10,674.72
|
$10,674.72
|
$10,674.72
|
2026-05-11
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
1
|
1
|
$48,170.87
|
$48,170.87
|
$10,484.10
|
$10,484.10
|
$10,484.10
|
2026-05-11
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
1
|
1
|
$36,334.80
|
$36,334.80
|
$10,420.56
|
$10,420.56
|
$10,420.56
|
2026-05-11
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
10
|
10
|
$28,798.00
|
$28,798.00
|
$68.69
|
$28,798.00
|
$10,367.28
|
2026-05-11
|
|
596
|
MS_DRG
|
Major Skin Disorders Without Mcc
|
2
|
2
|
$6,995.00
|
$6,995.00
|
$5,083.20
|
$15,294.40
|
$10,188.80
|
2026-05-11
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
2
|
2
|
$7,619.35
|
$7,619.35
|
$4,225.41
|
$15,918.75
|
$10,072.08
|
2026-05-11
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
$6,069.60
|
$6,069.60
|
$5,623.29
|
$14,369.00
|
$9,996.15
|
2026-05-11
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
1
|
1
|
$19,482.15
|
$19,482.15
|
$9,880.47
|
$9,880.47
|
$9,880.47
|
2026-05-11
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
2
|
2
|
$6,517.70
|
$6,517.70
|
$4,606.65
|
$14,817.10
|
$9,711.88
|
2026-05-11
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
$36,512.95
|
$36,512.95
|
$9,340.38
|
$9,340.38
|
$9,340.38
|
2026-05-11
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
1
|
1
|
$30,564.90
|
$30,564.90
|
$9,308.61
|
$9,308.61
|
$9,308.61
|
2026-05-11
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
2
|
2
|
$5,973.78
|
$5,973.78
|
$4,257.18
|
$14,273.18
|
$9,265.18
|
2026-05-11
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
10
|
10
|
$25,622.30
|
$25,622.30
|
$198.50
|
$25,622.30
|
$9,224.03
|
2026-05-11
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
1
|
1
|
$13,197.54
|
$13,197.54
|
$9,117.99
|
$9,117.99
|
$9,117.99
|
2026-05-11
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
2
|
2
|
$4,105.00
|
$4,105.00
|
$8,840.54
|
$8,987.00
|
$8,913.77
|
2026-05-11
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
1
|
1
|
$27,962.83
|
$27,962.83
|
$8,832.06
|
$8,832.06
|
$8,832.06
|
2026-05-11
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
1
|
1
|
$39,312.20
|
$39,312.20
|
$8,704.98
|
$8,704.98
|
$8,704.98
|
2026-05-11
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
3
|
3
|
$3,969.01
|
$3,969.01
|
$1,239.03
|
$8,851.01
|
$8,704.55
|
2026-05-11
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
1
|
1
|
$35,398.02
|
$35,398.02
|
$8,673.21
|
$8,673.21
|
$8,673.21
|
2026-05-11
|
|
33227
|
HCPCS
|
Removal And Replacement Of Single Lead Permanent Pacemaker
|
15
|
10
|
$24,000.00
|
$24,000.00
|
$194.49
|
$24,000.00
|
$8,640.00
|
2026-05-11
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
1
|
1
|
$17,791.05
|
$17,791.05
|
$8,482.59
|
$8,482.59
|
$8,482.59
|
2026-05-11
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
1
|
1
|
$16,330.36
|
$16,330.36
|
$8,450.82
|
$8,450.82
|
$8,450.82
|
2026-05-11
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
1
|
1
|
$47,287.73
|
$47,287.73
|
$8,387.28
|
$8,387.28
|
$8,387.28
|
2026-05-11
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
2
|
2
|
$4,978.48
|
$4,978.48
|
$3,208.77
|
$13,277.88
|
$8,243.32
|
2026-05-11
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
1
|
1
|
$49,315.23
|
$49,315.23
|
$8,006.04
|
$8,006.04
|
$8,006.04
|
2026-05-11
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
$11,049.90
|
$11,049.90
|
$7,974.27
|
$7,974.27
|
$7,974.27
|
2026-05-11
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
1
|
1
|
$27,310.69
|
$27,310.69
|
$7,974.27
|
$7,974.27
|
$7,974.27
|
2026-05-11
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
1
|
1
|
$33,841.75
|
$33,841.75
|
$7,974.27
|
$7,974.27
|
$7,974.27
|
2026-05-11
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
1
|
1
|
$25,149.21
|
$25,149.21
|
$7,942.50
|
$7,942.50
|
$7,942.50
|
2026-05-11
|
|
149
|
MS_DRG
|
Dysequilibrium
|
2
|
2
|
$5,251.95
|
$5,251.95
|
$2,192.13
|
$13,551.35
|
$7,871.74
|
2026-05-11
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
1
|
1
|
$27,352.75
|
$27,352.75
|
$7,847.19
|
$7,847.19
|
$7,847.19
|
2026-05-11
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
3
|
3
|
$3,083.83
|
$3,083.83
|
$1,906.20
|
$7,965.83
|
$7,819.37
|
2026-05-11
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
1
|
1
|
$26,501.70
|
$26,501.70
|
$7,783.65
|
$7,783.65
|
$7,783.65
|
2026-05-11
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
1
|
1
|
$67,420.29
|
$67,420.29
|
$7,656.57
|
$7,656.57
|
$7,656.57
|
2026-05-11
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
10
|
10
|
$15,584.60
|
$15,584.60
|
$5,442.14
|
$15,584.60
|
$7,574.12
|
2026-05-11
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
1
|
1
|
$20,316.30
|
$20,316.30
|
$7,561.26
|
$7,561.26
|
$7,561.26
|
2026-05-11
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
1
|
1
|
$44,850.69
|
$44,850.69
|
$7,370.64
|
$7,370.64
|
$7,370.64
|
2026-05-11
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
1
|
1
|
$11,423.51
|
$11,423.51
|
$7,370.64
|
$7,370.64
|
$7,370.64
|
2026-05-11
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
1
|
1
|
$50,873.98
|
$50,873.98
|
$7,370.64
|
$7,370.64
|
$7,370.64
|
2026-05-11
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With Mcc
|
1
|
1
|
$62,177.31
|
$62,177.31
|
$7,338.87
|
$7,338.87
|
$7,338.87
|
2026-05-11
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
1
|
1
|
$22,301.86
|
$22,301.86
|
$7,275.33
|
$7,275.33
|
$7,275.33
|
2026-05-11
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
1
|
1
|
$42,028.50
|
$42,028.50
|
$7,275.33
|
$7,275.33
|
$7,275.33
|
2026-05-11
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
1
|
1
|
$18,964.58
|
$18,964.58
|
$7,148.25
|
$7,148.25
|
$7,148.25
|
2026-05-11
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
1
|
1
|
$50,050.16
|
$50,050.16
|
$7,084.71
|
$7,084.71
|
$7,084.71
|
2026-05-11
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
1
|
1
|
$18,389.15
|
$18,389.15
|
$6,989.40
|
$6,989.40
|
$6,989.40
|
2026-05-11
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
1
|
1
|
$7,814.73
|
$7,814.73
|
$6,957.63
|
$6,957.63
|
$6,957.63
|
2026-05-11
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
$49,217.20
|
$49,217.20
|
$6,894.09
|
$6,894.09
|
$6,894.09
|
2026-05-11
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
1
|
1
|
$20,724.20
|
$20,724.20
|
$6,894.09
|
$6,894.09
|
$6,894.09
|
2026-05-11
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
1
|
1
|
$2,663.10
|
$2,663.10
|
$6,812.80
|
$6,812.80
|
$6,812.80
|
2026-05-11
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
1
|
1
|
$49,751.65
|
$49,751.65
|
$6,798.78
|
$6,798.78
|
$6,798.78
|
2026-05-11
|
|
Q4113
|
HCPCS
|
Graftjacket Xpress, Injectable, 1 Cc
|
10
|
10
|
$12,775.75
|
$12,775.75
|
$4,461.29
|
$12,775.75
|
$6,771.15
|
2026-05-11
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
1
|
1
|
$25,798.62
|
$25,798.62
|
$6,767.01
|
$6,767.01
|
$6,767.01
|
2026-05-11
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
1
|
1
|
$18,245.74
|
$18,245.74
|
$6,767.01
|
$6,767.01
|
$6,767.01
|
2026-05-11
|
|
00412538_1
|
CDM
|
Resurface 15mm Artic Component
|
10
|
10
|
$18,647.50
|
$18,647.50
|
$4,661.88
|
$16,782.75
|
$6,713.10
|
2026-05-11
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
1
|
1
|
$47,807.40
|
$47,807.40
|
$6,639.93
|
$6,639.93
|
$6,639.93
|
2026-05-11
|
|
33208
|
HCPCS
|
Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode
|
15
|
10
|
$18,301.50
|
$18,301.50
|
$392.11
|
$18,301.50
|
$6,588.54
|
2026-05-11
|
|
C9767
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
11
|
10
|
$18,287.20
|
$18,287.20
|
$370.11
|
$18,287.20
|
$6,583.39
|
2026-05-11
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
1
|
1
|
$15,294.78
|
$15,294.78
|
$6,576.39
|
$6,576.39
|
$6,576.39
|
2026-05-11
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
10
|
10
|
$17,601.00
|
$17,601.00
|
$190.88
|
$17,601.00
|
$6,336.36
|
2026-05-11
|
|
33207
|
HCPCS
|
Insertion Of Pacemaker And Lower Heart Chamber Electrode
|
15
|
10
|
$17,595.90
|
$17,595.90
|
$363.17
|
$17,595.90
|
$6,334.52
|
2026-05-11
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
1
|
1
|
$21,911.90
|
$21,911.90
|
$6,290.46
|
$6,290.46
|
$6,290.46
|
2026-05-11
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
1
|
1
|
$20,758.29
|
$20,758.29
|
$6,290.46
|
$6,290.46
|
$6,290.46
|
2026-05-11
|
|
0338T
|
OTHER
|
Destruction Of Nerves Of Arteries Of Both Kidneys Accessed Through The Skin With…
|
10
|
10
|
$12,920.00
|
$12,920.00
|
$4,511.66
|
$12,920.00
|
$6,279.12
|
2026-05-11
|
|
37227
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
12
|
10
|
$17,287.20
|
$17,287.20
|
$350.61
|
$17,287.20
|
$6,274.49
|
2026-05-11
|
|
C9765
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
11
|
10
|
$17,195.70
|
$17,195.70
|
$270.87
|
$17,195.70
|
$6,190.45
|
2026-05-11
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
1
|
1
|
$13,883.34
|
$13,883.34
|
$6,163.38
|
$6,163.38
|
$6,163.38
|
2026-05-11
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
1
|
1
|
$35,144.95
|
$35,144.95
|
$6,163.38
|
$6,163.38
|
$6,163.38
|
2026-05-11
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
1
|
1
|
$22,657.91
|
$22,657.91
|
$6,163.38
|
$6,163.38
|
$6,163.38
|
2026-05-11
|
|
C9775
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie…
|
12
|
10
|
$16,920.00
|
$16,920.00
|
$330.00
|
$16,920.00
|
$6,091.20
|
2026-05-11
|
|
C1786
|
HCPCS
|
Pacemaker, Single Chamber, Rate-responsive (implantable)
|
60
|
10
|
$10,186.75
|
$10,186.75
|
$606.30
|
$41,082.00
|
$6,074.74
|
2026-05-11
|
|
C9766
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
11
|
10
|
$16,708.00
|
$16,708.00
|
$293.55
|
$16,708.00
|
$6,014.88
|
2026-05-11
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
1
|
1
|
$33,718.00
|
$33,718.00
|
$6,004.53
|
$6,004.53
|
$6,004.53
|
2026-05-11
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
1
|
1
|
$25,731.05
|
$25,731.05
|
$6,004.53
|
$6,004.53
|
$6,004.53
|
2026-05-11
|
|
04423619_1
|
CDM
|
Ureteral Dil Implant
|
10
|
10
|
$16,624.00
|
$16,624.00
|
$4,156.00
|
$14,961.60
|
$5,984.64
|
2026-05-11
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
1
|
1
|
$15,887.88
|
$15,887.88
|
$5,972.76
|
$5,972.76
|
$5,972.76
|
2026-05-11
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
1
|
1
|
$6,751.37
|
$6,751.37
|
$5,972.76
|
$5,972.76
|
$5,972.76
|
2026-05-11
|
|
865
|
MS_DRG
|
Viral Illness With Mcc
|
1
|
1
|
$17,877.31
|
$17,877.31
|
$5,972.76
|
$5,972.76
|
$5,972.76
|
2026-05-11
|
|
33229
|
HCPCS
|
Removal And Replacement Of Multiple Lead Permanent Pacemaker
|
15
|
10
|
$16,493.00
|
$16,493.00
|
$213.61
|
$21,486.56
|
$5,937.48
|
2026-05-11
|
|
00404938_1
|
CDM
|
Total Knee Depuy Supplies
|
10
|
10
|
$16,484.50
|
$16,484.50
|
$4,121.13
|
$14,836.05
|
$5,934.42
|
2026-05-11
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
10
|
10
|
$15,661.00
|
$15,661.00
|
$5,468.82
|
$15,661.00
|
$5,916.91
|
2026-05-11
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
1
|
1
|
$13,045.08
|
$13,045.08
|
$5,877.45
|
$5,877.45
|
$5,877.45
|
2026-05-11
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
1
|
1
|
$30,032.50
|
$30,032.50
|
$5,877.45
|
$5,877.45
|
$5,877.45
|
2026-05-11
|
|
37236
|
HCPCS
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
15
|
10
|
$16,243.50
|
$16,243.50
|
$336.02
|
$16,243.50
|
$5,847.66
|
2026-05-11
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
1
|
1
|
$15,784.65
|
$15,784.65
|
$5,845.68
|
$5,845.68
|
$5,845.68
|
2026-05-11
|
|
37226
|
HCPCS
|
Insertion Of Stent In Arteries Of Leg
|
12
|
10
|
$16,195.70
|
$16,195.70
|
$251.37
|
$16,195.70
|
$5,830.45
|
2026-05-11
|
|
37221
|
HCPCS
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
12
|
10
|
$16,195.70
|
$16,195.70
|
$251.37
|
$16,195.70
|
$5,830.45
|
2026-05-11
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
1
|
1
|
$24,690.91
|
$24,690.91
|
$5,813.91
|
$5,813.91
|
$5,813.91
|
2026-05-11
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
1
|
1
|
$35,066.48
|
$35,066.48
|
$5,813.91
|
$5,813.91
|
$5,813.91
|
2026-05-11
|
|
00567568_1
|
CDM
|
Suture Roticulator 55-4.8 55-4.8
|
10
|
10
|
$16,088.00
|
$16,088.00
|
$4,022.00
|
$14,479.20
|
$5,791.68
|
2026-05-11
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
1
|
1
|
$25,577.58
|
$25,577.58
|
$5,782.14
|
$5,782.14
|
$5,782.14
|
2026-05-11
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
1
|
1
|
$5,781.90
|
$5,781.90
|
$5,781.90
|
$5,781.90
|
$5,781.90
|
2026-05-11
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
1
|
1
|
$19,216.76
|
$19,216.76
|
$5,750.37
|
$5,750.37
|
$5,750.37
|
2026-05-11
|
|
C9774
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie…
|
12
|
10
|
$15,920.00
|
$15,920.00
|
$310.50
|
$15,920.00
|
$5,731.20
|
2026-05-11
|
|
00404828_1
|
CDM
|
Nail 11mm 130 Deg Ti Cann Troch Left 300
|
10
|
10
|
$15,845.75
|
$15,845.75
|
$3,961.44
|
$14,261.18
|
$5,704.47
|
2026-05-11
|
|
A4264
|
HCPCS
|
Permanent Implantable Contraceptive Intratubal Occlusion Device(s) And Delivery …
|
10
|
10
|
$10,743.25
|
$10,743.25
|
$3,751.54
|
$10,743.25
|
$5,693.93
|
2026-05-11
|
|
858
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc
|
1
|
1
|
$12,966.80
|
$12,966.80
|
$5,686.83
|
$5,686.83
|
$5,686.83
|
2026-05-11
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
1
|
1
|
$23,793.44
|
$23,793.44
|
$5,686.83
|
$5,686.83
|
$5,686.83
|
2026-05-11
|
|
37230
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
12
|
10
|
$15,770.00
|
$15,770.00
|
$307.50
|
$15,770.00
|
$5,677.20
|
2026-05-11
|
|
C9773
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i…
|
12
|
10
|
$15,770.00
|
$15,770.00
|
$307.50
|
$15,770.00
|
$5,677.20
|
2026-05-11
|
|
33213
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Dual Leads
|
15
|
10
|
$15,708.00
|
$15,708.00
|
$260.95
|
$16,966.84
|
$5,654.88
|
2026-05-11
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
1
|
1
|
$34,641.30
|
$34,641.30
|
$5,623.29
|
$5,623.29
|
$5,623.29
|
2026-05-11
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
1
|
1
|
$5,616.00
|
$5,616.00
|
$5,616.00
|
$5,616.00
|
$5,616.00
|
2026-05-11
|
|
77432
|
HCPCS
|
Management Of Complete Single Session Course Of Stereotactic Radiation Treatment…
|
10
|
10
|
$11,537.90
|
$11,537.90
|
$4,029.03
|
$11,537.90
|
$5,607.41
|
2026-05-11
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
1
|
1
|
$16,375.95
|
$16,375.95
|
$5,591.52
|
$5,591.52
|
$5,591.52
|
2026-05-11
|
|
421
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Cc
|
1
|
1
|
$37,740.35
|
$37,740.35
|
$5,591.52
|
$5,591.52
|
$5,591.52
|
2026-05-11
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
30
|
10
|
$10,681.25
|
$10,681.25
|
$3,579.91
|
$10,966.75
|
$5,562.13
|
2026-05-11
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
1
|
1
|
$11,983.03
|
$11,983.03
|
$5,559.75
|
$5,559.75
|
$5,559.75
|
2026-05-11
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
1
|
1
|
$23,373.60
|
$23,373.60
|
$5,527.98
|
$5,527.98
|
$5,527.98
|
2026-05-11
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
1
|
1
|
$48,592.95
|
$48,592.95
|
$5,496.21
|
$5,496.21
|
$5,496.21
|
2026-05-11
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
2
|
2
|
$3,912.05
|
$3,912.05
|
$2,922.84
|
$8,061.75
|
$5,492.30
|
2026-05-11
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
1
|
1
|
$8,990.59
|
$8,990.59
|
$5,432.67
|
$5,432.67
|
$5,432.67
|
2026-05-11
|
|
C9772
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie…
|
12
|
10
|
$15,062.40
|
$15,062.40
|
$292.38
|
$15,062.40
|
$5,422.46
|
2026-05-11
|
|
00415038_1
|
CDM
|
Bone Matrix Cellular V92 2.5cc
|
10
|
10
|
$15,057.00
|
$15,057.00
|
$3,764.25
|
$13,551.30
|
$5,420.52
|
2026-05-11
|
|
251
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc
|
1
|
1
|
$38,878.19
|
$38,878.19
|
$5,369.13
|
$5,369.13
|
$5,369.13
|
2026-05-11
|
|
37225
|
HCPCS
|
Removal Of Plaque In Arteries Of Leg
|
23
|
10
|
$5,958.80
|
$5,958.80
|
$214.20
|
$15,708.00
|
$5,362.92
|
2026-05-11
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
2
|
2
|
$3,378.60
|
$3,378.60
|
$3,145.23
|
$7,528.30
|
$5,336.76
|
2026-05-11
|
|
0795T
|
OTHER
|
Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor…
|
10
|
10
|
$10,946.25
|
$10,946.25
|
$3,822.43
|
$10,946.25
|
$5,319.88
|
2026-05-11
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
1
|
1
|
$30,272.11
|
$30,272.11
|
$5,305.59
|
$5,305.59
|
$5,305.59
|
2026-05-11
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
1
|
1
|
$23,134.38
|
$23,134.38
|
$5,305.59
|
$5,305.59
|
$5,305.59
|
2026-05-11
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
2
|
2
|
$3,954.25
|
$3,954.25
|
$2,350.98
|
$8,092.20
|
$5,221.59
|
2026-05-11
|
|
0823T
|
OTHER
|
Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up…
|
10
|
10
|
$10,672.50
|
$10,672.50
|
$3,726.84
|
$10,672.50
|
$5,186.84
|
2026-05-11
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
1
|
1
|
$9,981.95
|
$9,981.95
|
$5,178.51
|
$5,178.51
|
$5,178.51
|
2026-05-11
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
1
|
1
|
$10,658.10
|
$10,658.10
|
$5,083.20
|
$5,083.20
|
$5,083.20
|
2026-05-11
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
1
|
1
|
$16,745.27
|
$16,745.27
|
$5,083.20
|
$5,083.20
|
$5,083.20
|
2026-05-11
|
|
37228
|
HCPCS
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
12
|
10
|
$14,062.40
|
$14,062.40
|
$272.88
|
$14,062.40
|
$5,062.46
|
2026-05-11
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
28
|
10
|
$13,312.00
|
$13,312.00
|
$4,208.12
|
$14,018.25
|
$5,046.57
|
2026-05-11
|
|
C1714
|
HCPCS
|
Catheter, Transluminal Atherectomy, Directional
|
11
|
10
|
$8,202.75
|
$8,202.75
|
$2,864.40
|
$8,202.75
|
$5,020.08
|
2026-05-11
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
1
|
1
|
$7,381.20
|
$7,381.20
|
$5,019.66
|
$5,019.66
|
$5,019.66
|
2026-05-11
|
|
287
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc
|
1
|
1
|
$20,994.39
|
$20,994.39
|
$5,019.66
|
$5,019.66
|
$5,019.66
|
2026-05-11
|
|
0339T
|
OTHER
|
Destruction Of Nerves Of Arteries Of One Kidney Accessed Through The Skin With F…
|
12
|
10
|
$13,890.00
|
$13,890.00
|
$222.00
|
$13,890.00
|
$5,000.40
|
2026-05-11
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
1
|
1
|
$13,183.88
|
$13,183.88
|
$4,956.12
|
$4,956.12
|
$4,956.12
|
2026-05-11
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
1
|
1
|
$10,358.80
|
$10,358.80
|
$4,860.81
|
$4,860.81
|
$4,860.81
|
2026-05-11
|
|
00417118_1
|
CDM
|
Billing Ob00019655
|
10
|
10
|
$13,361.75
|
$13,361.75
|
$3,340.44
|
$12,025.58
|
$4,810.23
|
2026-05-11
|
|
00424269_1
|
CDM
|
Cerament G 5 Ml
|
10
|
10
|
$13,333.75
|
$13,333.75
|
$3,333.44
|
$12,000.38
|
$4,800.15
|
2026-05-11
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
1
|
1
|
$10,858.90
|
$10,858.90
|
$4,797.27
|
$4,797.27
|
$4,797.27
|
2026-05-11
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
10
|
10
|
$13,308.20
|
$13,308.20
|
$46.76
|
$13,308.20
|
$4,790.95
|
2026-05-11
|
|
00411948_1
|
CDM
|
Norian Drillableinject 5cc Sterile
|
10
|
10
|
$13,281.75
|
$13,281.75
|
$3,320.44
|
$11,953.58
|
$4,781.43
|
2026-05-11
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
1
|
1
|
$14,794.30
|
$14,794.30
|
$4,765.50
|
$4,765.50
|
$4,765.50
|
2026-05-11
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
1
|
1
|
$35,248.93
|
$35,248.93
|
$4,733.73
|
$4,733.73
|
$4,733.73
|
2026-05-11
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
1
|
1
|
$14,964.09
|
$14,964.09
|
$4,701.96
|
$4,701.96
|
$4,701.96
|
2026-05-11
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
1
|
1
|
$13,697.04
|
$13,697.04
|
$4,670.19
|
$4,670.19
|
$4,670.19
|
2026-05-11
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
1
|
1
|
$9,186.50
|
$9,186.50
|
$4,670.19
|
$4,670.19
|
$4,670.19
|
2026-05-11
|
|
37246
|
HCPCS
|
Balloon Dilation Of Artery With Review By Radiologist, Initial Artery
|
15
|
10
|
$12,920.30
|
$12,920.30
|
$268.56
|
$12,920.30
|
$4,651.31
|
2026-05-11
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
1
|
1
|
$19,075.87
|
$19,075.87
|
$4,638.42
|
$4,638.42
|
$4,638.42
|
2026-05-11
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
1
|
1
|
$16,198.68
|
$16,198.68
|
$4,638.42
|
$4,638.42
|
$4,638.42
|
2026-05-11
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
1
|
1
|
$27,859.64
|
$27,859.64
|
$4,606.65
|
$4,606.65
|
$4,606.65
|
2026-05-11
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
1
|
1
|
$25,018.90
|
$25,018.90
|
$4,606.65
|
$4,606.65
|
$4,606.65
|
2026-05-11
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
1
|
1
|
$15,445.30
|
$15,445.30
|
$4,606.65
|
$4,606.65
|
$4,606.65
|
2026-05-11
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc
|
1
|
1
|
$11,517.05
|
$11,517.05
|
$4,606.65
|
$4,606.65
|
$4,606.65
|
2026-05-11
|
|
Q4106
|
HCPCS
|
Dermagraft, Per Square Centimeter
|
30
|
10
|
$9,441.75
|
$9,441.75
|
$65.30
|
$23,924.75
|
$4,588.69
|
2026-05-11
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
1
|
1
|
$18,790.65
|
$18,790.65
|
$4,574.88
|
$4,574.88
|
$4,574.88
|
2026-05-11
|
|
00417108_1
|
CDM
|
Bone Matrix Beast 100 5cc Dbm
|
10
|
10
|
$12,647.75
|
$12,647.75
|
$3,161.94
|
$11,382.98
|
$4,553.19
|
2026-05-11
|
|
C1895
|
HCPCS
|
Lead, Cardioverter-defibrillator, Endocardial Dual Coil (implantable)
|
10
|
10
|
$8,517.75
|
$8,517.75
|
$2,974.40
|
$8,517.75
|
$4,514.41
|
2026-05-11
|
|
00402138_1
|
CDM
|
Total Knee Custom Instrumentation Depuy
|
10
|
10
|
$12,525.00
|
$12,525.00
|
$3,131.25
|
$11,272.50
|
$4,509.00
|
2026-05-11
|
|
C1777
|
HCPCS
|
Lead, Cardioverter-defibrillator, Endocardial Single Coil (implantable)
|
10
|
10
|
$8,470.00
|
$8,470.00
|
$2,957.72
|
$8,470.00
|
$4,489.10
|
2026-05-11
|
|
C9600
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
10
|
10
|
$9,029.50
|
$9,029.50
|
$3,153.10
|
$18,096.04
|
$4,388.34
|
2026-05-11
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
1
|
1
|
$17,261.65
|
$17,261.65
|
$4,384.26
|
$4,384.26
|
$4,384.26
|
2026-05-11
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
1
|
1
|
$15,978.75
|
$15,978.75
|
$4,384.26
|
$4,384.26
|
$4,384.26
|
2026-05-11
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
1
|
1
|
$11,742.42
|
$11,742.42
|
$4,320.72
|
$4,320.72
|
$4,320.72
|
2026-05-11
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
1
|
1
|
$38,419.57
|
$38,419.57
|
$4,320.72
|
$4,320.72
|
$4,320.72
|
2026-05-11
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
1
|
1
|
$8,225.60
|
$8,225.60
|
$4,257.18
|
$4,257.18
|
$4,257.18
|
2026-05-11
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
1
|
1
|
$14,719.65
|
$14,719.65
|
$4,257.18
|
$4,257.18
|
$4,257.18
|
2026-05-11
|
|
33210
|
HCPCS
|
Insertion Of Temporary Pacemaker Lead In Single Heart Chamber
|
15
|
10
|
$11,665.50
|
$11,665.50
|
$121.56
|
$11,665.50
|
$4,199.58
|
2026-05-11
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
1
|
1
|
$9,668.55
|
$9,668.55
|
$4,193.64
|
$4,193.64
|
$4,193.64
|
2026-05-11
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
1
|
1
|
$9,095.96
|
$9,095.96
|
$4,161.87
|
$4,161.87
|
$4,161.87
|
2026-05-11
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
1
|
1
|
$13,637.73
|
$13,637.73
|
$4,161.87
|
$4,161.87
|
$4,161.87
|
2026-05-11
|
|
00500908_1
|
CDM
|
Laser Rental Charge
|
10
|
10
|
$11,487.90
|
$11,487.90
|
$2,871.98
|
$10,339.11
|
$4,135.64
|
2026-05-11
|
|
77301
|
HCPCS
|
High Precision Radiation Therapy Planning
|
10
|
10
|
$8,494.70
|
$8,494.70
|
$2,966.35
|
$8,494.70
|
$4,128.43
|
2026-05-11
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
1
|
1
|
$17,899.95
|
$17,899.95
|
$4,066.56
|
$4,066.56
|
$4,066.56
|
2026-05-11
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
1
|
1
|
$9,793.66
|
$9,793.66
|
$4,034.79
|
$4,034.79
|
$4,034.79
|
2026-05-11
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
1
|
1
|
$15,382.42
|
$15,382.42
|
$4,003.02
|
$4,003.02
|
$4,003.02
|
2026-05-11
|
|
93461
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …
|
15
|
10
|
$11,077.50
|
$11,077.50
|
$349.47
|
$11,077.50
|
$3,987.90
|
2026-05-11
|
|
795
|
MS_DRG
|
Normal Newborn
|
2
|
2
|
$2,984.35
|
$2,984.35
|
$794.25
|
$7,134.05
|
$3,964.15
|
2026-05-11
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
1
|
1
|
$18,906.07
|
$18,906.07
|
$3,939.48
|
$3,939.48
|
$3,939.48
|
2026-05-11
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
10
|
10
|
$10,842.30
|
$10,842.30
|
$2,080.29
|
$10,842.30
|
$3,903.23
|
2026-05-11
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
1
|
1
|
$12,783.43
|
$12,783.43
|
$3,844.17
|
$3,844.17
|
$3,844.17
|
2026-05-11
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
1
|
1
|
$13,020.11
|
$13,020.11
|
$3,812.40
|
$3,812.40
|
$3,812.40
|
2026-05-11
|
|
04423684_1
|
CDM
|
Internal Sphincter A
|
10
|
10
|
$10,566.00
|
$10,566.00
|
$2,641.50
|
$9,509.40
|
$3,803.76
|
2026-05-11
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
1
|
1
|
$15,401.98
|
$15,401.98
|
$3,780.63
|
$3,780.63
|
$3,780.63
|
2026-05-11
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
1
|
1
|
$14,728.34
|
$14,728.34
|
$3,748.86
|
$3,748.86
|
$3,748.86
|
2026-05-11
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
1
|
1
|
$15,649.25
|
$15,649.25
|
$3,717.09
|
$3,717.09
|
$3,717.09
|
2026-05-11
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
1
|
1
|
$5,769.90
|
$5,769.90
|
$3,717.09
|
$3,717.09
|
$3,717.09
|
2026-05-11
|
|
04423692_1
|
CDM
|
Internal Sphincter B
|
10
|
10
|
$10,286.00
|
$10,286.00
|
$2,571.50
|
$9,257.40
|
$3,702.96
|
2026-05-11
|
|
00424402_1
|
CDM
|
Amnion Thin 4 X 8
|
10
|
10
|
$10,202.00
|
$10,202.00
|
$2,550.50
|
$9,181.80
|
$3,672.72
|
2026-05-11
|
|
0201T
|
OTHER
|
Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed …
|
10
|
10
|
$7,541.10
|
$7,541.10
|
$2,633.35
|
$7,541.10
|
$3,664.97
|
2026-05-11
|
|
03805005_1
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,169.60
|
$10,169.60
|
$2,542.40
|
$9,152.64
|
$3,661.06
|
2026-05-11
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
1
|
1
|
$9,136.08
|
$9,136.08
|
$3,653.55
|
$3,653.55
|
$3,653.55
|
2026-05-11
|
|
C9764
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
11
|
10
|
$10,061.50
|
$10,061.50
|
$353.40
|
$13,466.92
|
$3,622.14
|
2026-05-11
|
|
93460
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…
|
15
|
10
|
$9,999.70
|
$9,999.70
|
$316.45
|
$9,999.70
|
$3,599.89
|
2026-05-11
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
1
|
1
|
$16,352.06
|
$16,352.06
|
$3,590.01
|
$3,590.01
|
$3,590.01
|
2026-05-11
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
1
|
1
|
$14,150.75
|
$14,150.75
|
$3,558.24
|
$3,558.24
|
$3,558.24
|
2026-05-11
|
|
93457
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…
|
15
|
10
|
$9,754.50
|
$9,754.50
|
$296.46
|
$9,754.50
|
$3,511.62
|
2026-05-11
|
|
92941
|
HCPCS
|
Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of …
|
15
|
10
|
$9,720.00
|
$9,720.00
|
$453.61
|
$9,720.00
|
$3,499.20
|
2026-05-11
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
10
|
10
|
$9,664.10
|
$9,664.10
|
$37.00
|
$9,664.10
|
$3,479.08
|
2026-05-11
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
1
|
1
|
$15,219.23
|
$15,219.23
|
$3,462.93
|
$3,462.93
|
$3,462.93
|
2026-05-11
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
1
|
1
|
$7,154.03
|
$7,154.03
|
$3,462.93
|
$3,462.93
|
$3,462.93
|
2026-05-11
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
1
|
1
|
$15,507.90
|
$15,507.90
|
$3,431.16
|
$3,431.16
|
$3,431.16
|
2026-05-11
|
|
93459
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft …
|
15
|
10
|
$9,481.50
|
$9,481.50
|
$283.20
|
$9,481.50
|
$3,413.34
|
2026-05-11
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
19
|
10
|
$4,214.10
|
$4,214.10
|
$49.03
|
$9,479.50
|
$3,412.62
|
2026-05-11
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
1
|
1
|
$13,423.05
|
$13,423.05
|
$3,399.39
|
$3,399.39
|
$3,399.39
|
2026-05-11
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
1
|
1
|
$15,952.91
|
$15,952.91
|
$3,367.62
|
$3,367.62
|
$3,367.62
|
2026-05-11
|
|
04404056_1
|
CDM
|
Pacemaker Programabl
|
10
|
10
|
$9,248.00
|
$9,248.00
|
$2,312.00
|
$8,323.20
|
$3,329.28
|
2026-05-11
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
10
|
10
|
$9,216.00
|
$9,216.00
|
$14.04
|
$9,216.00
|
$3,317.76
|
2026-05-11
|
|
37224
|
HCPCS
|
Balloon Dilation Of Artery Of Leg
|
12
|
10
|
$9,061.50
|
$9,061.50
|
$333.90
|
$9,061.50
|
$3,262.14
|
2026-05-11
|
|
37220
|
HCPCS
|
Balloon Dilation Of Groin Artery, Initial Vessel
|
12
|
10
|
$9,061.50
|
$9,061.50
|
$333.90
|
$9,061.50
|
$3,262.14
|
2026-05-11
|
|
92937
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
15
|
10
|
$9,024.80
|
$9,024.80
|
$404.38
|
$9,024.80
|
$3,248.93
|
2026-05-11
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
1
|
1
|
$13,820.15
|
$13,820.15
|
$3,240.54
|
$3,240.54
|
$3,240.54
|
2026-05-11
|
|
93456
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…
|
15
|
10
|
$8,883.00
|
$8,883.00
|
$263.60
|
$8,883.00
|
$3,197.88
|
2026-05-11
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
30
|
10
|
$6,746.50
|
$6,746.50
|
$622.36
|
$11,062.50
|
$3,145.89
|
2026-05-11
|
|
313
|
MS_DRG
|
Chest Pain
|
1
|
1
|
$21,554.10
|
$21,554.10
|
$3,145.23
|
$3,145.23
|
$3,145.23
|
2026-05-11
|
|
93458
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis …
|
15
|
10
|
$8,654.60
|
$8,654.60
|
$249.61
|
$8,654.60
|
$3,115.66
|
2026-05-11
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
1
|
1
|
$10,656.44
|
$10,656.44
|
$3,113.46
|
$3,113.46
|
$3,113.46
|
2026-05-11
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
1
|
1
|
$12,931.44
|
$12,931.44
|
$3,113.46
|
$3,113.46
|
$3,113.46
|
2026-05-11
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
1
|
1
|
$10,418.55
|
$10,418.55
|
$3,081.69
|
$3,081.69
|
$3,081.69
|
2026-05-11
|
|
93455
|
HCPCS
|
Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist
|
15
|
10
|
$8,489.30
|
$8,489.30
|
$236.14
|
$8,489.30
|
$3,056.15
|
2026-05-11
|
|
755
|
MS_DRG
|
Malignancy, Female Reproductive System With Cc
|
1
|
1
|
$6,910.30
|
$6,910.30
|
$3,049.92
|
$3,049.92
|
$3,049.92
|
2026-05-11
|
|
00412788_1
|
CDM
|
Drill Bit 16mm Cannulated Flex
|
10
|
10
|
$8,468.00
|
$8,468.00
|
$2,117.00
|
$7,621.20
|
$3,048.48
|
2026-05-11
|
|
Q4107
|
HCPCS
|
Graftjacket, Per Square Centimeter
|
46
|
10
|
$4,980.00
|
$4,980.00
|
$85.46
|
$9,995.25
|
$3,019.68
|
2026-05-11
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
1
|
1
|
$7,493.90
|
$7,493.90
|
$3,018.15
|
$3,018.15
|
$3,018.15
|
2026-05-11
|
|
03807006_1
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,345.50
|
$8,345.50
|
$2,086.38
|
$7,510.95
|
$3,004.38
|
2026-05-11
|
|
00424375_1
|
CDM
|
Amnion Thin 4 X 6
|
10
|
10
|
$8,285.00
|
$8,285.00
|
$2,071.25
|
$7,456.50
|
$2,982.60
|
2026-05-11
|
|
00422751_1
|
CDM
|
Biosync Antomic Cotton Wedge 20x7.5mm
|
10
|
10
|
$8,258.25
|
$8,258.25
|
$2,064.56
|
$7,432.43
|
$2,972.97
|
2026-05-11
|
|
37213
|
HCPCS
|
Insertion Of Tube Into Artery Or Vein For Drug Infusion For Blood Clot With Revi…
|
15
|
10
|
$8,232.00
|
$8,232.00
|
$150.28
|
$8,232.00
|
$2,963.52
|
2026-05-11
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
1
|
1
|
$9,750.20
|
$9,750.20
|
$2,954.61
|
$2,954.61
|
$2,954.61
|
2026-05-11
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
1
|
1
|
$9,800.19
|
$9,800.19
|
$2,954.61
|
$2,954.61
|
$2,954.61
|
2026-05-11
|
|
37237
|
HCPCS
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
15
|
10
|
$8,120.00
|
$8,120.00
|
$161.13
|
$8,120.00
|
$2,923.20
|
2026-05-11
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
1
|
1
|
$17,330.00
|
$17,330.00
|
$2,922.84
|
$2,922.84
|
$2,922.84
|
2026-05-11
|
|
00569338_1
|
CDM
|
Myosure Xl Tissue Removal Device 038
|
10
|
10
|
$8,064.50
|
$8,064.50
|
$2,016.13
|
$7,258.05
|
$2,903.22
|
2026-05-11
|
|
81229
|
HCPCS
|
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…
|
17
|
9
|
$7,972.50
|
$7,972.50
|
$1,203.87
|
$7,972.50
|
$2,870.10
|
2026-05-11
|
|
CD_1
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
4
|
4
|
$4,575.00
|
$4,575.00
|
$1,143.75
|
$4,117.50
|
$2,859.38
|
2026-05-11
|
|
IC_1
|
CDM
|
Intensive Care Unit - General Classification
|
4
|
4
|
$4,575.00
|
$4,575.00
|
$1,143.75
|
$4,117.50
|
$2,859.38
|
2026-05-11
|
|
CV_1
|
CDM
|
Intensive Care Unit - General Classification
|
4
|
4
|
$4,575.00
|
$4,575.00
|
$1,143.75
|
$4,117.50
|
$2,859.38
|
2026-05-11
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
1
|
1
|
$19,259.86
|
$19,259.86
|
$2,859.30
|
$2,859.30
|
$2,859.30
|
2026-05-11
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
1
|
1
|
$11,333.75
|
$11,333.75
|
$2,859.30
|
$2,859.30
|
$2,859.30
|
2026-05-11
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
1
|
1
|
$9,647.49
|
$9,647.49
|
$2,827.53
|
$2,827.53
|
$2,827.53
|
2026-05-11
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
1
|
1
|
$14,311.06
|
$14,311.06
|
$2,795.76
|
$2,795.76
|
$2,795.76
|
2026-05-11
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
1
|
1
|
$8,550.25
|
$8,550.25
|
$2,763.99
|
$2,763.99
|
$2,763.99
|
2026-05-11
|
|
885
|
MS_DRG
|
Psychoses
|
1
|
1
|
$23,013.70
|
$23,013.70
|
$2,763.99
|
$2,763.99
|
$2,763.99
|
2026-05-11
|
|
198
|
MS_DRG
|
Interstitial Lung Disease Without Cc/mcc
|
1
|
1
|
$24,251.95
|
$24,251.95
|
$2,763.99
|
$2,763.99
|
$2,763.99
|
2026-05-11
|
|
00424318_1
|
CDM
|
Allopure Bicortical 6mm
|
10
|
10
|
$7,670.00
|
$7,670.00
|
$1,917.50
|
$6,903.00
|
$2,761.20
|
2026-05-11
|
|
20931
|
HCPCS
|
Graft Of Donor Bone To Spine
|
10
|
10
|
$5,203.75
|
$5,203.75
|
$1,817.15
|
$5,203.75
|
$2,757.99
|
2026-05-11
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
1
|
1
|
$4,245.35
|
$4,245.35
|
$2,732.22
|
$2,732.22
|
$2,732.22
|
2026-05-11
|
|
22514
|
HCPCS
|
Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device
|
15
|
10
|
$7,541.10
|
$7,541.10
|
$369.75
|
$8,483.18
|
$2,714.80
|
2026-05-11
|
|
22513
|
HCPCS
|
Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…
|
15
|
10
|
$7,541.10
|
$7,541.10
|
$395.30
|
$8,483.18
|
$2,714.80
|
2026-05-11
|