|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
4
|
4
|
—
|
—
|
$42,618.41
|
$105,125.42
|
$63,927.62
|
2025-10-14
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
7
|
6
|
—
|
—
|
$22,549.18
|
$65,172.66
|
$54,091.97
|
2025-10-14
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
6
|
—
|
—
|
$27,437.37
|
$79,448.71
|
$65,940.81
|
2025-10-14
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
6
|
—
|
—
|
$15,085.21
|
$43,373.91
|
$35,999.46
|
2025-10-14
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
7
|
6
|
—
|
—
|
$21,340.87
|
$61,643.73
|
$51,163.04
|
2025-10-14
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
7
|
6
|
—
|
—
|
$13,742.91
|
$39,453.69
|
$32,745.76
|
2025-10-14
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
7
|
6
|
—
|
—
|
$20,066.57
|
$57,922.10
|
$48,074.16
|
2025-10-14
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
7
|
6
|
—
|
—
|
$20,284.65
|
$58,559.04
|
$48,602.81
|
2025-10-14
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
7
|
6
|
—
|
—
|
$13,412.50
|
$38,488.72
|
$31,944.85
|
2025-10-14
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
7
|
6
|
—
|
—
|
$15,689.63
|
$45,139.11
|
$37,464.54
|
2025-10-14
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
7
|
6
|
—
|
—
|
$25,434.24
|
$73,598.54
|
$61,085.29
|
2025-10-14
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
7
|
6
|
—
|
—
|
$16,373.60
|
$47,136.72
|
$39,122.52
|
2025-10-14
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
4
|
4
|
—
|
—
|
$26,038.40
|
$64,228.06
|
$40,793.50
|
2025-10-14
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
7
|
6
|
—
|
—
|
$11,647.10
|
$33,332.86
|
$27,665.59
|
2025-10-14
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
7
|
6
|
—
|
—
|
$11,920.11
|
$34,130.14
|
$28,327.32
|
2025-10-14
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
7
|
6
|
—
|
—
|
$14,922.52
|
$42,898.77
|
$35,605.11
|
2025-10-14
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
4
|
4
|
—
|
—
|
$40,952.81
|
$101,016.93
|
$64,159.40
|
2025-10-14
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
7
|
6
|
—
|
—
|
$71,403.30
|
$196,675.47
|
$134,039.39
|
2025-10-14
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
7
|
6
|
—
|
—
|
$13,581.23
|
$38,981.50
|
$32,353.85
|
2025-10-14
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
7
|
6
|
—
|
—
|
$27,411.69
|
$79,373.69
|
$65,878.54
|
2025-10-14
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
7
|
6
|
—
|
—
|
$20,903.18
|
$60,365.43
|
$50,102.07
|
2025-10-14
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
4
|
4
|
—
|
—
|
$433,743.43
|
$1,069,900.47
|
$679,531.38
|
2025-10-14
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
7
|
6
|
—
|
—
|
$14,674.71
|
$42,175.04
|
$35,004.42
|
2025-10-14
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
6
|
5
|
—
|
—
|
$34,170.29
|
$84,286.72
|
$51,926.01
|
2025-10-14
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
7
|
6
|
—
|
—
|
$25,815.52
|
$74,712.09
|
$62,009.51
|
2025-10-14
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
7
|
6
|
—
|
—
|
$12,463.57
|
$35,717.35
|
$29,644.67
|
2025-10-14
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
4
|
4
|
—
|
—
|
$20,042.97
|
$49,439.33
|
$31,400.65
|
2025-10-14
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
7
|
6
|
—
|
—
|
$24,182.61
|
$69,943.11
|
$58,051.35
|
2025-10-14
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
7
|
6
|
—
|
—
|
$14,909.93
|
$42,862.00
|
$35,574.58
|
2025-10-14
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
7
|
6
|
—
|
—
|
$30,854.81
|
$89,429.45
|
$74,224.62
|
2025-10-14
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
7
|
6
|
—
|
—
|
$17,140.71
|
$49,377.06
|
$40,981.95
|
2025-10-14
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
6
|
—
|
—
|
$42,891.17
|
$124,581.93
|
$103,400.46
|
2025-10-14
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
6
|
—
|
—
|
$29,141.81
|
$84,426.57
|
$70,072.33
|
2025-10-14
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
7
|
6
|
—
|
—
|
$21,982.56
|
$63,517.78
|
$52,718.46
|
2025-10-14
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
7
|
6
|
—
|
—
|
$16,193.80
|
$46,611.58
|
$38,686.66
|
2025-10-14
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
7
|
6
|
—
|
—
|
$19,681.25
|
$56,796.78
|
$47,140.17
|
2025-10-14
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
7
|
6
|
—
|
—
|
$19,081.37
|
$55,044.82
|
$45,686.08
|
2025-10-14
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
7
|
6
|
—
|
—
|
$31,251.20
|
$90,587.12
|
$75,185.46
|
2025-10-14
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
7
|
6
|
—
|
—
|
$17,685.69
|
$50,968.68
|
$42,302.96
|
2025-10-14
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
7
|
6
|
—
|
—
|
$27,408.67
|
$79,364.86
|
$65,871.22
|
2025-10-14
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
7
|
6
|
—
|
—
|
$13,645.69
|
$39,169.79
|
$32,510.13
|
2025-10-14
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
7
|
6
|
—
|
—
|
$15,395.48
|
$44,280.04
|
$36,751.53
|
2025-10-14
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
6
|
5
|
—
|
—
|
$41,959.48
|
$103,500.05
|
$62,992.43
|
2025-10-14
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
7
|
6
|
—
|
—
|
$12,377.95
|
$35,467.28
|
$29,437.12
|
2025-10-14
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
7
|
6
|
—
|
—
|
$15,777.26
|
$45,395.06
|
$37,676.97
|
2025-10-14
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
7
|
6
|
—
|
—
|
$26,173.64
|
$75,757.97
|
$62,877.57
|
2025-10-14
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
7
|
6
|
—
|
—
|
$19,938.63
|
$57,548.46
|
$47,764.05
|
2025-10-14
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
7
|
6
|
—
|
—
|
$40,161.74
|
$116,610.58
|
$96,784.41
|
2025-10-14
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
7
|
6
|
—
|
—
|
$27,639.34
|
$80,038.58
|
$66,430.39
|
2025-10-14
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
7
|
6
|
—
|
—
|
$14,629.38
|
$42,042.65
|
$34,894.54
|
2025-10-14
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
7
|
6
|
—
|
—
|
$35,272.06
|
$102,330.12
|
$84,931.91
|
2025-10-14
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
4
|
4
|
—
|
—
|
$21,101.29
|
$52,049.84
|
$33,058.68
|
2025-10-14
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
7
|
6
|
—
|
—
|
$13,446.75
|
$38,588.74
|
$32,027.87
|
2025-10-14
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
7
|
6
|
—
|
—
|
$25,894.10
|
$74,941.57
|
$62,199.97
|
2025-10-14
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
7
|
6
|
—
|
—
|
$17,485.72
|
$50,384.69
|
$41,818.27
|
2025-10-14
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
7
|
6
|
—
|
—
|
$13,751.48
|
$39,478.70
|
$32,766.51
|
2025-10-14
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
7
|
6
|
—
|
—
|
$32,807.57
|
$95,132.51
|
$78,958.04
|
2025-10-14
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
7
|
6
|
—
|
—
|
$17,704.83
|
$51,024.58
|
$42,349.36
|
2025-10-14
|
|
849
|
MS_DRG
|
Radiotherapy
|
7
|
6
|
—
|
—
|
$13,687.50
|
$39,291.88
|
$32,611.46
|
2025-10-14
|
|
Q0489
|
HCPCS
|
Pwr Pck Base Combo Vad, Rep
|
4
|
4
|
—
|
—
|
$17,534.13
|
$43,250.85
|
$27,470.14
|
2025-10-14
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
7
|
6
|
—
|
—
|
$17,528.03
|
$50,508.26
|
$41,920.82
|
2025-10-14
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
7
|
6
|
—
|
—
|
$12,572.36
|
$36,035.09
|
$29,908.39
|
2025-10-14
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
7
|
6
|
—
|
—
|
$20,682.56
|
$59,721.13
|
$49,567.32
|
2025-10-14
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$22,957.67
|
$66,365.64
|
$55,082.12
|
2025-10-14
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
7
|
6
|
—
|
—
|
$17,318.51
|
$49,896.32
|
$41,412.93
|
2025-10-14
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
7
|
6
|
—
|
—
|
$11,580.62
|
$33,138.69
|
$27,504.44
|
2025-10-14
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
7
|
6
|
—
|
—
|
$18,484.01
|
$53,300.21
|
$44,238.09
|
2025-10-14
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
7
|
6
|
—
|
—
|
$19,232.98
|
$55,487.59
|
$46,053.57
|
2025-10-14
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
7
|
6
|
—
|
—
|
$11,607.80
|
$33,218.12
|
$27,570.36
|
2025-10-14
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
7
|
6
|
—
|
—
|
$11,881.82
|
$34,018.35
|
$28,234.53
|
2025-10-14
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
7
|
6
|
—
|
—
|
$14,572.46
|
$41,876.43
|
$34,756.58
|
2025-10-14
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
7
|
6
|
—
|
—
|
$15,953.54
|
$45,909.91
|
$38,104.29
|
2025-10-14
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
7
|
6
|
—
|
—
|
$19,929.05
|
$57,520.51
|
$47,740.85
|
2025-10-14
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
6
|
5
|
—
|
—
|
$21,318.04
|
$52,584.51
|
$31,131.11
|
2025-10-14
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
7
|
6
|
—
|
—
|
$27,576.89
|
$79,856.18
|
$66,279.00
|
2025-10-14
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
7
|
6
|
—
|
—
|
$14,379.05
|
$41,311.56
|
$34,287.76
|
2025-10-14
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
7
|
6
|
—
|
—
|
$40,391.93
|
$117,282.83
|
$97,342.36
|
2025-10-14
|
|
0266T
|
CPT
|
Outpatient Services
|
4
|
4
|
—
|
—
|
$31,160.37
|
$76,862.25
|
$48,817.91
|
2025-10-14
|
|
0268T
|
CPT
|
Outpatient Services
|
4
|
4
|
—
|
—
|
$21,101.29
|
$52,049.84
|
$33,058.68
|
2025-10-14
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
7
|
6
|
—
|
—
|
$17,511.91
|
$50,461.18
|
$41,881.75
|
2025-10-14
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
7
|
6
|
—
|
—
|
$13,092.67
|
$37,554.63
|
$31,169.58
|
2025-10-14
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
7
|
6
|
—
|
—
|
$16,650.63
|
$47,945.77
|
$39,794.01
|
2025-10-14
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$19,626.86
|
$56,637.91
|
$47,008.31
|
2025-10-14
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
7
|
6
|
—
|
—
|
$18,289.58
|
$52,732.41
|
$43,766.82
|
2025-10-14
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
7
|
6
|
—
|
—
|
$13,550.50
|
$38,891.77
|
$32,279.38
|
2025-10-14
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
7
|
6
|
—
|
—
|
$37,829.23
|
$109,798.38
|
$91,130.42
|
2025-10-14
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
7
|
6
|
—
|
—
|
$20,933.90
|
$60,455.16
|
$50,176.55
|
2025-10-14
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
7
|
6
|
—
|
—
|
$20,298.76
|
$58,600.23
|
$48,636.99
|
2025-10-14
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$15,809.49
|
$45,489.20
|
$37,755.11
|
2025-10-14
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
7
|
6
|
—
|
—
|
$13,917.19
|
$39,962.66
|
$33,168.19
|
2025-10-14
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
7
|
6
|
—
|
—
|
$11,608.33
|
$33,219.59
|
$27,571.58
|
2025-10-14
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
7
|
6
|
—
|
—
|
$12,836.79
|
$36,807.36
|
$30,549.36
|
2025-10-14
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
7
|
6
|
—
|
—
|
$26,087.52
|
$75,506.43
|
$62,668.80
|
2025-10-14
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
7
|
6
|
—
|
—
|
$17,582.43
|
$50,667.12
|
$42,052.68
|
2025-10-14
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
7
|
6
|
—
|
—
|
$21,335.83
|
$61,629.02
|
$51,150.83
|
2025-10-14
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
7
|
6
|
—
|
—
|
$11,860.67
|
$33,956.56
|
$28,183.26
|
2025-10-14
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$20,720.33
|
$59,831.45
|
$49,658.89
|
2025-10-14
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
7
|
6
|
—
|
—
|
$11,734.25
|
$33,587.34
|
$27,876.81
|
2025-10-14
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
7
|
6
|
—
|
—
|
$53,597.33
|
$155,849.51
|
$129,351.91
|
2025-10-14
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
7
|
6
|
—
|
—
|
$13,271.98
|
$38,078.31
|
$31,604.22
|
2025-10-14
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
7
|
6
|
—
|
—
|
$11,892.89
|
$34,050.71
|
$28,261.39
|
2025-10-14
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
7
|
6
|
—
|
—
|
$22,359.31
|
$64,618.09
|
$53,631.70
|
2025-10-14
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$20,107.37
|
$58,041.25
|
$48,173.05
|
2025-10-14
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$16,864.70
|
$48,570.95
|
$40,312.90
|
2025-10-14
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$21,719.12
|
$62,748.45
|
$52,079.93
|
2025-10-14
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
7
|
6
|
—
|
—
|
$11,576.60
|
$33,126.92
|
$27,494.67
|
2025-10-14
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
7
|
6
|
—
|
—
|
$17,837.80
|
$51,412.92
|
$42,671.68
|
2025-10-14
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
7
|
6
|
—
|
—
|
$15,879.50
|
$45,693.67
|
$37,924.82
|
2025-10-14
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
7
|
6
|
—
|
—
|
$25,333.51
|
$73,304.34
|
$60,841.11
|
2025-10-14
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$13,002.52
|
$37,291.32
|
$30,951.04
|
2025-10-14
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
7
|
6
|
—
|
—
|
$11,599.76
|
$33,194.59
|
$27,550.83
|
2025-10-14
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
4
|
4
|
—
|
—
|
$21,101.29
|
$52,049.84
|
$33,058.68
|
2025-10-14
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
4
|
4
|
—
|
—
|
$202,781.25
|
$500,193.75
|
$317,690.62
|
2025-10-14
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
6
|
5
|
—
|
—
|
$20,026.27
|
$57,804.42
|
$40,676.80
|
2025-10-14
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
7
|
6
|
—
|
—
|
$16,220.49
|
$46,689.54
|
$38,751.37
|
2025-10-14
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
7
|
6
|
—
|
—
|
$13,966.54
|
$40,106.82
|
$33,287.84
|
2025-10-14
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
7
|
6
|
—
|
—
|
$17,876.08
|
$51,524.72
|
$42,764.46
|
2025-10-14
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
4
|
4
|
—
|
—
|
$19,042.58
|
$46,971.71
|
$29,833.38
|
2025-10-14
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
7
|
6
|
—
|
—
|
$18,288.59
|
$52,729.47
|
$43,764.38
|
2025-10-14
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
7
|
6
|
—
|
—
|
$15,766.19
|
$45,362.70
|
$37,650.11
|
2025-10-14
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
7
|
6
|
—
|
—
|
$24,286.88
|
$70,247.61
|
$58,304.08
|
2025-10-14
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
7
|
6
|
—
|
—
|
$12,120.06
|
$34,714.13
|
$28,812.02
|
2025-10-14
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
7
|
6
|
—
|
—
|
$20,801.43
|
$60,068.29
|
$49,855.45
|
2025-10-14
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
7
|
6
|
—
|
—
|
$34,003.79
|
$98,626.14
|
$81,857.68
|
2025-10-14
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
6
|
—
|
—
|
$52,995.92
|
$154,093.13
|
$127,894.16
|
2025-10-14
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
6
|
—
|
—
|
$36,008.43
|
$104,480.72
|
$86,716.86
|
2025-10-14
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
7
|
6
|
—
|
—
|
$27,956.65
|
$80,965.31
|
$67,199.56
|
2025-10-14
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
4
|
4
|
—
|
—
|
$20,225.18
|
$49,888.77
|
$31,686.11
|
2025-10-14
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
7
|
6
|
—
|
—
|
$13,805.36
|
$39,636.10
|
$32,897.15
|
2025-10-14
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
7
|
6
|
—
|
—
|
$15,946.49
|
$45,889.32
|
$38,087.20
|
2025-10-14
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
7
|
6
|
—
|
—
|
$23,362.13
|
$67,546.85
|
$56,062.51
|
2025-10-14
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
7
|
6
|
—
|
—
|
$12,139.21
|
$34,770.03
|
$28,858.41
|
2025-10-14
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
7
|
6
|
—
|
—
|
$13,068.48
|
$37,484.02
|
$31,110.97
|
2025-10-14
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
7
|
6
|
—
|
—
|
$16,697.48
|
$48,082.58
|
$39,907.56
|
2025-10-14
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
7
|
6
|
—
|
—
|
$11,769.50
|
$33,690.31
|
$27,962.27
|
2025-10-14
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
7
|
6
|
—
|
—
|
$21,535.28
|
$62,211.53
|
$51,634.30
|
2025-10-14
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
7
|
6
|
—
|
—
|
$23,449.26
|
$67,801.33
|
$56,273.72
|
2025-10-14
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
7
|
6
|
—
|
—
|
$12,911.34
|
$37,025.07
|
$30,730.05
|
2025-10-14
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
7
|
6
|
—
|
—
|
$28,311.76
|
$82,002.37
|
$68,060.29
|
2025-10-14
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
7
|
6
|
—
|
—
|
$14,448.06
|
$41,513.09
|
$34,455.02
|
2025-10-14
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
7
|
6
|
—
|
—
|
$23,803.34
|
$68,835.45
|
$57,132.02
|
2025-10-14
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
7
|
6
|
—
|
—
|
$16,296.05
|
$46,910.19
|
$38,934.50
|
2025-10-14
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$29,559.37
|
$85,646.03
|
$71,084.46
|
2025-10-14
|
|
7
|
MS_DRG
|
Lung Transplant
|
7
|
6
|
—
|
—
|
$66,058.29
|
$192,242.05
|
$159,556.98
|
2025-10-14
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
7
|
6
|
—
|
—
|
$18,120.35
|
$52,238.15
|
$43,356.60
|
2025-10-14
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
7
|
6
|
—
|
—
|
$12,327.07
|
$35,318.71
|
$29,313.81
|
2025-10-14
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
7
|
6
|
—
|
—
|
$12,951.14
|
$37,141.28
|
$30,826.50
|
2025-10-14
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
7
|
6
|
—
|
—
|
$17,966.24
|
$51,788.03
|
$42,983.01
|
2025-10-14
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
7
|
6
|
—
|
—
|
$24,658.07
|
$71,331.73
|
$59,203.88
|
2025-10-14
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
7
|
6
|
—
|
—
|
$53,872.32
|
$156,652.67
|
$130,018.52
|
2025-10-14
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
4
|
4
|
—
|
—
|
$406,226.74
|
$1,002,025.97
|
$636,421.90
|
2025-10-14
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
7
|
6
|
—
|
—
|
$19,486.34
|
$56,227.50
|
$46,667.68
|
2025-10-14
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
4
|
4
|
—
|
—
|
$21,101.29
|
$52,049.84
|
$33,058.68
|
2025-10-14
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
7
|
6
|
—
|
—
|
$12,203.68
|
$34,958.32
|
$29,014.69
|
2025-10-14
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
7
|
6
|
—
|
—
|
$16,448.66
|
$47,355.90
|
$39,304.43
|
2025-10-14
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
7
|
6
|
—
|
—
|
$17,723.98
|
$51,080.48
|
$42,395.75
|
2025-10-14
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
7
|
6
|
—
|
—
|
$23,439.69
|
$67,773.38
|
$56,250.53
|
2025-10-14
|
|
652
|
MS_DRG
|
Kidney Transplant
|
7
|
6
|
—
|
—
|
$15,703.72
|
$45,180.29
|
$37,498.72
|
2025-10-14
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
7
|
6
|
—
|
—
|
$13,250.32
|
$38,015.05
|
$31,551.72
|
2025-10-14
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
7
|
6
|
—
|
—
|
$16,643.58
|
$47,925.18
|
$39,776.92
|
2025-10-14
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
7
|
6
|
—
|
—
|
$13,850.20
|
$39,767.01
|
$33,005.81
|
2025-10-14
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
7
|
6
|
—
|
—
|
$18,015.59
|
$51,932.18
|
$43,102.65
|
2025-10-14
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
7
|
6
|
—
|
—
|
$40,835.66
|
$118,578.78
|
$98,417.97
|
2025-10-14
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
7
|
6
|
—
|
—
|
$28,073.52
|
$81,306.58
|
$67,482.81
|
2025-10-14
|
|
L6975
|
HCPCS
|
Interscap-thor Myoelectronic
|
4
|
4
|
—
|
—
|
$19,180.41
|
$47,311.68
|
$30,049.31
|
2025-10-14
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
6
|
5
|
—
|
—
|
$47,573.29
|
$117,347.45
|
$72,541.21
|
2025-10-14
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
4
|
4
|
—
|
—
|
$22,200.88
|
$54,762.17
|
$34,781.38
|
2025-10-14
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
4
|
4
|
—
|
—
|
$31,160.37
|
$76,862.25
|
$48,817.91
|
2025-10-14
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
4
|
4
|
—
|
—
|
$22,200.88
|
$54,762.17
|
$34,781.38
|
2025-10-14
|
|
248
|
MS_DRG
|
Inpatient Carve Out: 248
|
2
|
1
|
—
|
—
|
$101,696.00
|
$122,525.00
|
$112,110.50
|
2025-10-14
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
3
|
3
|
—
|
—
|
$2,446,016.25
|
$4,076,693.75
|
$3,261,355.00
|
2025-10-14
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
3
|
3
|
—
|
—
|
$2,763,950.00
|
$4,606,583.33
|
$3,685,266.67
|
2025-10-14
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
4
|
4
|
—
|
—
|
$1,749,000.00
|
$4,314,200.00
|
$2,623,500.00
|
2025-10-14
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
3
|
3
|
—
|
—
|
$2,213,015.00
|
$3,688,358.33
|
$2,950,686.67
|
2025-10-14
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
3
|
3
|
—
|
—
|
$2,782,500.00
|
$4,637,500.00
|
$3,710,000.00
|
2025-10-14
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
2
|
2
|
—
|
—
|
$3,283,125.00
|
$4,377,500.00
|
$3,830,312.50
|
2025-10-14
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
4
|
4
|
—
|
—
|
$1,839,086.70
|
$4,536,413.85
|
$2,758,630.05
|
2025-10-14
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
3
|
3
|
—
|
—
|
$2,493,428.93
|
$4,155,714.88
|
$3,324,571.90
|
2025-10-14
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
7
|
6
|
—
|
—
|
$12,416.23
|
$35,579.08
|
$29,529.91
|
2025-10-14
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$25,424.17
|
$73,569.12
|
$61,060.87
|
2025-10-14
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
4
|
4
|
—
|
—
|
$405,945.34
|
$1,001,331.83
|
$635,981.03
|
2025-10-14
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
7
|
6
|
—
|
—
|
$15,274.58
|
$43,927.00
|
$36,458.52
|
2025-10-14
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
7
|
6
|
—
|
—
|
$13,597.85
|
$39,030.04
|
$32,394.14
|
2025-10-14
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
7
|
6
|
—
|
—
|
$32,087.81
|
$93,030.45
|
$77,213.38
|
2025-10-14
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
7
|
6
|
—
|
—
|
$14,914.46
|
$42,875.24
|
$35,585.57
|
2025-10-14
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
7
|
6
|
—
|
—
|
$15,046.92
|
$43,262.11
|
$35,906.67
|
2025-10-14
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
7
|
6
|
—
|
—
|
$15,006.62
|
$43,144.43
|
$35,809.00
|
2025-10-14
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
7
|
6
|
—
|
—
|
$18,011.06
|
$51,918.95
|
$43,091.67
|
2025-10-14
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
7
|
6
|
—
|
—
|
$55,737.44
|
$162,099.79
|
$134,539.52
|
2025-10-14
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
7
|
6
|
—
|
—
|
$142,110.92
|
$414,355.69
|
$343,906.77
|
2025-10-14
|
|
37231
|
CPT
|
Hchg Tibial/peroneal Stent/atherectomy (/w Or Without Angio) Same Vessel
|
17
|
9
|
$46,891.14
|
$18,756.46
60% off
|
$12,434.04
|
$42,202.03
|
$30,670.63
|
2025-10-14
|
|
0414T
|
CPT
|
Hchg Remove/replace Ccm Generator Only
|
17
|
9
|
$50,836.13
|
$20,334.46
60% off
|
$15,542.75
|
$45,752.52
|
$34,746.50
|
2025-10-14
|
|
33274
|
CPT
|
Hchg Leadless Ppm Insertion/replacement, Ventricular
|
17
|
9
|
$41,280.26
|
$16,512.11
60% off
|
$13,205.73
|
$37,152.23
|
$28,215.06
|
2025-10-14
|
|
C9773
|
HCPCS
|
Hchg Ivl/stent Le Tibial/peroneal Artery
|
17
|
9
|
$40,668.38
|
$16,267.36
60% off
|
$12,434.04
|
$36,601.54
|
$27,796.83
|
2025-10-14
|
|
33231
|
CPT
|
Hchg Insertion Icd Generator Only /w Existing Multiple Leads
|
17
|
9
|
$43,402.55
|
$17,361.02
60% off
|
$20,268.99
|
$54,762.17
|
$29,665.65
|
2025-10-14
|
|
33249
|
CPT
|
Hchg Insert/replace Icd System /w Lead (s)
|
17
|
9
|
$55,664.96
|
$22,265.99
60% off
|
$22,200.88
|
$54,762.17
|
$38,047.00
|
2025-10-14
|
|
0409T
|
CPT
|
Hchg Insert New Ccm Generator Only
|
17
|
9
|
$50,836.13
|
$20,334.46
60% off
|
$15,542.75
|
$45,752.52
|
$34,746.50
|
2025-10-14
|
|
0408T
|
CPT
|
Hchg Insert New Ccm Generator & Lead (s)
|
17
|
9
|
$72,613.08
|
$29,045.24
60% off
|
$22,200.88
|
$65,351.77
|
$49,631.04
|
2025-10-14
|
|
33289
|
CPT
|
Hchg Implant Pressure Sensor, Pulmonary Artery
|
17
|
9
|
$75,064.90
|
$30,025.96
60% off
|
$19,685.06
|
$67,558.41
|
$48,556.47
|
2025-10-14
|
|
C1722
|
HCPCS
|
Hchg Icd Single
|
23
|
9
|
$47,199.41
|
$18,879.77
60% off
|
$14,159.82
|
$46,428.80
|
$32,035.87
|
2025-10-14
|
|
37227
|
CPT
|
Hchg Femoral/popliteal Stent /w Atherectomy (/w Or Without Angio)same Vess
|
17
|
9
|
$56,414.83
|
$22,565.94
60% off
|
$12,434.04
|
$50,773.35
|
$35,033.61
|
2025-10-14
|
|
0620T
|
CPT
|
Hchg Endovascular Venous Arterilization Tibial/peroneal Vein /w Stent Graft (tad…
|
17
|
9
|
$62,464.63
|
$24,985.86
60% off
|
$24,235.92
|
$59,781.94
|
$42,694.57
|
2025-10-14
|
|
C1882
|
HCPCS
|
Hchg Bi-v Icd
|
14
|
9
|
$84,171.96
|
$33,668.79
60% off
|
$25,251.59
|
$75,754.76
|
$57,531.54
|
2025-10-14
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
7
|
6
|
—
|
—
|
$16,252.73
|
$46,783.68
|
$38,829.50
|
2025-10-14
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
7
|
6
|
—
|
—
|
$33,873.86
|
$98,246.62
|
$81,542.69
|
2025-10-14
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
7
|
6
|
—
|
—
|
$21,239.63
|
$61,348.06
|
$50,917.63
|
2025-10-14
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
7
|
6
|
—
|
—
|
$13,564.10
|
$38,931.49
|
$32,312.34
|
2025-10-14
|
|
J7311
|
HCPCS
|
Fluocinolone 0.59 Mg Impl 1 Each Packet
|
17
|
9
|
$46,611.25
|
$18,644.50
60% off
|
$254.82
|
$41,950.13
|
$28,945.59
|
2025-10-14
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
7
|
6
|
—
|
—
|
$30,176.37
|
$87,448.01
|
$72,580.06
|
2025-10-14
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
7
|
6
|
—
|
—
|
$16,960.39
|
$48,850.44
|
$40,544.87
|
2025-10-14
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
7
|
6
|
—
|
—
|
$24,178.07
|
$69,929.87
|
$58,040.37
|
2025-10-14
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
7
|
6
|
—
|
—
|
$12,565.31
|
$36,014.49
|
$29,891.29
|
2025-10-14
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
7
|
6
|
—
|
—
|
$22,027.38
|
$63,648.70
|
$52,827.12
|
2025-10-14
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
7
|
6
|
—
|
—
|
$119,719.98
|
$348,962.39
|
$289,631.67
|
2025-10-14
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
4
|
4
|
—
|
—
|
$60,707.39
|
$149,744.90
|
$95,108.25
|
2025-10-14
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
4
|
4
|
—
|
—
|
$30,856.00
|
$76,111.46
|
$48,341.06
|
2025-10-14
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
7
|
6
|
—
|
—
|
$23,930.27
|
$69,206.14
|
$57,439.68
|
2025-10-14
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
7
|
6
|
—
|
—
|
$30,408.05
|
$88,124.67
|
$73,141.68
|
2025-10-14
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
4
|
4
|
—
|
—
|
$39,208.43
|
$96,714.12
|
$61,426.54
|
2025-10-14
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
4
|
4
|
—
|
—
|
$43,210.88
|
$106,586.84
|
$67,697.05
|
2025-10-14
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
4
|
4
|
—
|
—
|
$25,926.26
|
$63,951.45
|
$40,617.82
|
2025-10-14
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
4
|
4
|
—
|
—
|
$25,772.98
|
$63,573.34
|
$40,377.67
|
2025-10-14
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
7
|
6
|
—
|
—
|
$108,179.74
|
$298,306.44
|
$203,243.09
|
2025-10-14
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
7
|
6
|
—
|
—
|
$11,788.64
|
$33,746.21
|
$28,008.67
|
2025-10-14
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
4
|
4
|
—
|
—
|
$97,153.13
|
$239,644.38
|
$152,206.57
|
2025-10-14
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
7
|
6
|
—
|
—
|
$12,846.36
|
$36,835.31
|
$30,572.56
|
2025-10-14
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
7
|
6
|
—
|
—
|
$28,969.04
|
$83,922.02
|
$69,653.57
|
2025-10-14
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
7
|
6
|
—
|
—
|
$19,382.06
|
$55,923.01
|
$46,414.96
|
2025-10-14
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
7
|
6
|
—
|
—
|
$34,626.35
|
$100,444.29
|
$83,366.71
|
2025-10-14
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
7
|
6
|
—
|
—
|
$12,663.54
|
$36,301.34
|
$30,129.37
|
2025-10-14
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
7
|
6
|
—
|
—
|
$22,759.73
|
$65,787.53
|
$54,602.31
|
2025-10-14
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
7
|
6
|
—
|
—
|
$15,639.25
|
$44,992.01
|
$37,342.45
|
2025-10-14
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
7
|
6
|
—
|
—
|
$14,649.52
|
$42,101.49
|
$34,943.38
|
2025-10-14
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
7
|
6
|
—
|
—
|
$16,326.77
|
$46,999.92
|
$39,008.98
|
2025-10-14
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
7
|
6
|
—
|
—
|
$21,687.41
|
$62,655.77
|
$52,003.01
|
2025-10-14
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
7
|
6
|
—
|
—
|
$20,945.48
|
$60,488.99
|
$50,204.63
|
2025-10-14
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
7
|
6
|
—
|
—
|
$29,871.14
|
$86,556.58
|
$71,840.20
|
2025-10-14
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
7
|
6
|
—
|
—
|
$31,001.88
|
$89,858.98
|
$74,581.12
|
2025-10-14
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
7
|
6
|
—
|
—
|
$42,914.85
|
$124,651.07
|
$103,457.85
|
2025-10-14
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
7
|
6
|
—
|
—
|
$27,030.40
|
$104,466.00
|
$66,674.98
|
2025-10-14
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
7
|
6
|
—
|
—
|
$39,603.17
|
$114,979.24
|
$95,430.43
|
2025-10-14
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
7
|
6
|
—
|
—
|
$12,961.21
|
$37,170.70
|
$30,850.92
|
2025-10-14
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
7
|
6
|
—
|
—
|
$31,393.25
|
$91,001.94
|
$75,529.76
|
2025-10-14
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
7
|
6
|
—
|
—
|
$55,103.81
|
$160,249.27
|
$133,003.63
|
2025-10-14
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
7
|
6
|
—
|
—
|
$27,787.43
|
$80,471.06
|
$66,789.33
|
2025-10-14
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
7
|
6
|
—
|
—
|
$42,243.44
|
$122,690.23
|
$101,830.39
|
2025-10-14
|
|
L8614
|
HCPCS
|
Cochlear Device
|
4
|
4
|
—
|
—
|
$20,859.48
|
$51,453.38
|
$32,679.85
|
2025-10-14
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
4
|
4
|
—
|
—
|
$415,034.12
|
$1,023,750.84
|
$650,220.12
|
2025-10-14
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
7
|
6
|
—
|
—
|
$14,016.41
|
$40,252.44
|
$33,408.71
|
2025-10-14
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
7
|
6
|
—
|
—
|
$17,881.62
|
$51,540.90
|
$42,777.89
|
2025-10-14
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
7
|
6
|
—
|
—
|
$190,184.33
|
$554,755.29
|
$460,435.58
|
2025-10-14
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
7
|
6
|
—
|
—
|
$13,096.70
|
$37,566.40
|
$31,179.34
|
2025-10-14
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
7
|
6
|
—
|
—
|
$25,453.90
|
$73,655.91
|
$61,132.90
|
2025-10-14
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
7
|
6
|
—
|
—
|
$12,157.83
|
$34,824.45
|
$28,903.59
|
2025-10-14
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
7
|
6
|
—
|
—
|
$24,698.89
|
$71,450.88
|
$59,302.78
|
2025-10-14
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
7
|
6
|
—
|
—
|
$14,826.32
|
$42,617.81
|
$35,371.91
|
2025-10-14
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
7
|
6
|
—
|
—
|
$19,820.27
|
$57,202.78
|
$47,477.14
|
2025-10-14
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
7
|
6
|
—
|
—
|
$11,691.44
|
$33,462.31
|
$27,773.03
|
2025-10-14
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
7
|
6
|
—
|
—
|
$39,205.78
|
$113,818.63
|
$94,467.14
|
2025-10-14
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
7
|
6
|
—
|
—
|
$26,912.04
|
$77,914.46
|
$64,667.41
|
2025-10-14
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
7
|
6
|
—
|
—
|
$23,365.65
|
$67,557.15
|
$56,071.05
|
2025-10-14
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
6
|
—
|
—
|
$48,844.13
|
$141,967.68
|
$117,830.28
|
2025-10-14
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
6
|
—
|
—
|
$32,760.74
|
$94,995.71
|
$78,844.50
|
2025-10-14
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
7
|
6
|
—
|
—
|
$30,199.04
|
$87,514.20
|
$72,635.00
|
2025-10-14
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
7
|
6
|
—
|
—
|
$17,390.04
|
$50,105.20
|
$41,586.30
|
2025-10-14
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
7
|
6
|
—
|
—
|
$14,364.44
|
$41,268.91
|
$34,252.35
|
2025-10-14
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
7
|
6
|
—
|
—
|
$23,664.32
|
$68,429.45
|
$56,795.05
|
2025-10-14
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
7
|
6
|
—
|
—
|
$31,433.55
|
$91,119.62
|
$75,627.43
|
2025-10-14
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
7
|
6
|
—
|
—
|
$35,828.61
|
$103,955.57
|
$86,281.00
|
2025-10-14
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
4
|
4
|
—
|
—
|
$367,290.00
|
$905,982.00
|
$575,421.00
|
2025-10-14
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
7
|
6
|
—
|
—
|
$17,555.24
|
$50,587.69
|
$41,986.75
|
2025-10-14
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
7
|
6
|
—
|
—
|
$12,012.78
|
$34,400.81
|
$28,551.97
|
2025-10-14
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
7
|
6
|
—
|
—
|
$17,869.01
|
$51,504.12
|
$42,747.37
|
2025-10-14
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
7
|
6
|
—
|
—
|
$14,658.08
|
$42,126.50
|
$34,964.13
|
2025-10-14
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
7
|
6
|
—
|
—
|
$31,142.91
|
$90,270.86
|
$74,922.97
|
2025-10-14
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
4
|
4
|
—
|
—
|
$83,895.00
|
$206,941.00
|
$131,435.50
|
2025-10-14
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
7
|
6
|
—
|
—
|
$12,307.93
|
$35,262.81
|
$29,267.41
|
2025-10-14
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
7
|
6
|
—
|
—
|
$18,611.44
|
$53,672.38
|
$44,546.98
|
2025-10-14
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
7
|
6
|
—
|
—
|
$12,307.93
|
$35,262.81
|
$29,267.41
|
2025-10-14
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
7
|
6
|
—
|
—
|
$18,285.57
|
$52,720.64
|
$43,757.06
|
2025-10-14
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
4
|
4
|
—
|
—
|
$399,807.36
|
$986,191.48
|
$626,364.86
|
2025-10-14
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
7
|
6
|
—
|
—
|
$30,635.21
|
$88,788.09
|
$73,692.30
|
2025-10-14
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
7
|
6
|
—
|
—
|
$30,635.21
|
$88,788.09
|
$73,692.30
|
2025-10-14
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
7
|
6
|
—
|
—
|
$12,713.90
|
$36,448.44
|
$30,251.46
|
2025-10-14
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
7
|
6
|
—
|
—
|
$21,190.26
|
$61,203.90
|
$50,797.99
|
2025-10-14
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
7
|
6
|
—
|
—
|
$33,816.94
|
$98,080.40
|
$81,404.73
|
2025-10-14
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
4
|
4
|
—
|
—
|
$18,819.65
|
$46,421.79
|
$29,484.12
|
2025-10-14
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
7
|
6
|
—
|
—
|
$12,154.81
|
$34,815.63
|
$28,896.26
|
2025-10-14
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
7
|
6
|
—
|
—
|
$19,700.90
|
$56,854.15
|
$47,187.79
|
2025-10-14
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
7
|
6
|
—
|
—
|
$22,822.19
|
$65,969.94
|
$54,753.70
|
2025-10-14
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
7
|
6
|
—
|
—
|
$25,603.49
|
$74,092.80
|
$61,495.51
|
2025-10-14
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
7
|
6
|
—
|
—
|
$14,901.86
|
$42,838.46
|
$35,555.05
|
2025-10-14
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
7
|
6
|
—
|
—
|
$66,224.50
|
$192,727.48
|
$159,959.88
|
2025-10-14
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
7
|
6
|
—
|
—
|
$18,200.96
|
$52,473.51
|
$43,551.94
|
2025-10-14
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
7
|
6
|
—
|
—
|
$24,847.46
|
$71,884.83
|
$59,662.94
|
2025-10-14
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
4
|
4
|
—
|
—
|
$577,965.00
|
$1,425,647.00
|
$905,478.50
|
2025-10-14
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
7
|
6
|
—
|
—
|
$11,712.59
|
$33,524.09
|
$27,824.31
|
2025-10-14
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
7
|
6
|
—
|
—
|
$46,631.98
|
$135,507.05
|
$112,468.09
|
2025-10-14
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
7
|
6
|
—
|
—
|
$28,073.52
|
$81,306.58
|
$67,482.81
|
2025-10-14
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
7
|
6
|
—
|
—
|
$13,991.72
|
$40,180.37
|
$33,348.88
|
2025-10-14
|