|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
2
|
2
|
—
|
—
|
$4,505,000.00
|
$4,595,100.00
|
$4,550,050.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
3
|
2
|
—
|
—
|
$3,691,450.00
|
$4,496,025.34
|
$3,765,279.00
|
2026-04-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
3
|
2
|
—
|
—
|
$3,335,820.00
|
$4,069,700.40
|
$3,402,536.40
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
3
|
2
|
—
|
—
|
$3,321,376.38
|
$4,059,988.87
|
$3,387,803.91
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
3
|
2
|
—
|
—
|
$3,245,381.39
|
$3,968,059.86
|
$3,310,289.02
|
2026-04-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
3
|
2
|
—
|
—
|
$3,180,000.00
|
$3,879,600.00
|
$3,243,600.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
3
|
2
|
—
|
—
|
$2,938,320.00
|
$3,586,762.05
|
$2,997,086.40
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
4
|
3
|
—
|
—
|
$2,587,087.26
|
$4,423,919.21
|
$2,898,693.05
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
4
|
3
|
—
|
—
|
$2,332,000.00
|
$3,987,720.00
|
$2,611,840.00
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
4
|
—
|
—
|
$770,620.00
|
$1,926,550.00
|
$940,156.40
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
5
|
4
|
—
|
—
|
$588,494.81
|
$1,471,237.02
|
$716,932.48
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
5
|
4
|
—
|
—
|
$614,180.81
|
$1,535,452.02
|
$691,168.19
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
5
|
4
|
—
|
—
|
$562,260.84
|
$1,405,652.09
|
$685,885.51
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
5
|
4
|
—
|
—
|
$559,781.08
|
$1,399,452.70
|
$680,859.71
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
5
|
4
|
—
|
—
|
$531,849.12
|
$1,329,622.80
|
$649,274.53
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
5
|
4
|
—
|
—
|
$489,290.60
|
$1,223,226.50
|
$597,129.24
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
23
|
14
|
—
|
—
|
$310,182.05
|
$622,220.97
|
$452,814.84
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
5
|
4
|
—
|
—
|
$278,250.00
|
$695,625.00
|
$339,465.00
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
5
|
4
|
—
|
—
|
$202,713.58
|
$506,783.96
|
$246,036.20
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
29
|
14
|
—
|
—
|
$15,840.81
|
$469,256.65
|
$236,041.83
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
21
|
14
|
—
|
—
|
$153,360.64
|
$307,639.35
|
$183,773.27
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
29
|
14
|
—
|
—
|
$152,460.61
|
$305,833.91
|
$179,120.81
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
4
|
4
|
—
|
—
|
$111,502.61
|
$278,756.53
|
$152,201.06
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
28
|
14
|
—
|
—
|
$69,432.62
|
$199,584.82
|
$117,384.86
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
21
|
14
|
—
|
—
|
$93,021.29
|
$186,599.43
|
$112,036.50
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
22
|
14
|
—
|
—
|
$81,302.94
|
$163,092.59
|
$105,416.29
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
22
|
14
|
—
|
—
|
$86,324.58
|
$173,165.92
|
$103,054.52
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
22
|
14
|
—
|
—
|
$2,030.00
|
$163,279.91
|
$97,252.82
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
4
|
4
|
—
|
—
|
$68,801.71
|
$172,004.28
|
$93,914.33
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
14
|
—
|
—
|
$10,104.30
|
$181,841.94
|
$93,689.47
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
24
|
14
|
—
|
—
|
$78,108.66
|
$281,565.00
|
$93,382.48
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
23
|
14
|
—
|
—
|
$62,201.19
|
$787,403.42
|
$90,803.52
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
23
|
14
|
—
|
—
|
$74,060.32
|
$148,563.99
|
$89,494.04
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
25
|
14
|
—
|
—
|
$70,269.85
|
$376,609.58
|
$84,987.59
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
23
|
14
|
—
|
—
|
$71,521.13
|
$143,470.41
|
$84,779.63
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
4
|
4
|
—
|
—
|
$61,429.50
|
$153,573.75
|
$83,851.26
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
22
|
14
|
—
|
—
|
$60,551.97
|
$121,466.43
|
$80,915.02
|
2026-04-01
|
|
9067
|
OTHER
|
Lutetium Lu 177 Dotatat Ther
|
1
|
1
|
—
|
—
|
$78,404.44
|
$78,404.44
|
$78,404.44
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
30
|
14
|
—
|
—
|
$55,153.23
|
$373,857.46
|
$77,244.98
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
23
|
14
|
—
|
—
|
$63,221.95
|
$129,819.33
|
$76,847.67
|
2026-04-01
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
1
|
1
|
—
|
—
|
$75,602.67
|
$75,602.67
|
$75,602.67
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
14
|
—
|
—
|
$2,625.00
|
$121,084.59
|
$71,772.36
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
4
|
4
|
—
|
—
|
$49,605.45
|
$124,013.62
|
$67,711.44
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
29
|
14
|
—
|
—
|
$1,585.82
|
$386,203.12
|
$67,296.51
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
9
|
5
|
—
|
—
|
$56,824.55
|
$142,061.37
|
$66,804.65
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
4
|
1
|
—
|
—
|
$65,822.00
|
$65,822.00
|
$65,822.00
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
25
|
14
|
—
|
—
|
$54,915.47
|
$184,162.36
|
$65,424.45
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
30
|
14
|
—
|
—
|
$49,406.18
|
$292,614.22
|
$65,212.63
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
9
|
5
|
—
|
—
|
$63,235.61
|
$160,705.75
|
$64,282.30
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
21
|
14
|
—
|
—
|
$51,543.05
|
$103,394.66
|
$62,723.51
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
21
|
14
|
—
|
—
|
$51,247.83
|
$102,802.45
|
$62,372.53
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
14
|
—
|
—
|
$7,561.26
|
$104,012.81
|
$61,852.81
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
26
|
14
|
—
|
—
|
$51,217.66
|
$154,574.82
|
$61,725.51
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
23
|
14
|
—
|
—
|
$38,255.91
|
$103,351.43
|
$61,468.52
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
25
|
14
|
—
|
—
|
$48,349.49
|
$156,000.12
|
$60,536.90
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
30
|
14
|
—
|
—
|
$49,647.46
|
$99,592.13
|
$59,717.46
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
26
|
14
|
—
|
—
|
$49,403.96
|
$99,103.66
|
$59,442.61
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
4
|
4
|
—
|
—
|
$43,015.98
|
$107,539.94
|
$58,716.81
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
4
|
4
|
—
|
—
|
$43,015.98
|
$107,539.94
|
$58,716.81
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
4
|
4
|
—
|
—
|
$43,015.98
|
$107,539.94
|
$58,716.81
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
24
|
14
|
—
|
—
|
$48,029.13
|
$96,345.78
|
$57,971.87
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
14
|
—
|
—
|
$47,230.38
|
$94,743.50
|
$57,596.23
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
21
|
14
|
—
|
—
|
$47,230.38
|
$94,743.50
|
$57,596.23
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
21
|
14
|
—
|
—
|
$47,058.71
|
$94,399.12
|
$57,392.13
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
14
|
—
|
—
|
$29,746.93
|
$157,271.60
|
$57,356.87
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
24
|
14
|
—
|
—
|
$42,593.04
|
$93,571.00
|
$57,130.89
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
9
|
5
|
—
|
—
|
$56,269.19
|
$140,672.98
|
$57,017.10
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
27
|
14
|
—
|
—
|
$27,391.97
|
$193,822.68
|
$55,289.74
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
4
|
4
|
—
|
—
|
$39,992.59
|
$99,981.48
|
$54,589.89
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
21
|
14
|
—
|
—
|
$43,969.30
|
$88,201.81
|
$53,719.17
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
21
|
14
|
—
|
—
|
$43,547.66
|
$87,356.00
|
$53,217.88
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
14
|
—
|
—
|
$44,020.30
|
$141,094.87
|
$52,725.29
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
22
|
14
|
—
|
—
|
$39,238.57
|
$78,712.04
|
$52,688.37
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
26
|
14
|
—
|
—
|
$43,145.41
|
$86,549.10
|
$52,222.60
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
28
|
14
|
—
|
—
|
$2,035.00
|
$85,922.31
|
$51,854.75
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
27
|
14
|
—
|
—
|
$43,157.62
|
$86,573.59
|
$51,719.77
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
14
|
—
|
—
|
$42,692.16
|
$85,639.89
|
$51,689.03
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
26
|
14
|
—
|
—
|
$42,126.86
|
$145,880.33
|
$51,023.52
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
29
|
14
|
—
|
—
|
$31,676.60
|
$84,560.66
|
$50,550.16
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
24
|
14
|
—
|
—
|
$41,425.08
|
$83,098.14
|
$50,197.37
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
21
|
14
|
—
|
—
|
$40,992.66
|
$82,230.72
|
$50,180.28
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
14
|
—
|
—
|
$41,126.21
|
$83,376.82
|
$49,392.26
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
21
|
14
|
—
|
—
|
$40,257.84
|
$80,756.68
|
$49,306.66
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
14
|
—
|
—
|
$40,939.51
|
$82,124.10
|
$49,134.39
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
22
|
14
|
—
|
—
|
$38,425.73
|
$80,203.38
|
$48,498.54
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
25
|
14
|
—
|
—
|
$40,382.83
|
$81,007.40
|
$48,485.54
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
22
|
14
|
—
|
—
|
$39,671.71
|
$79,580.91
|
$48,133.24
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
21
|
14
|
—
|
—
|
$39,020.21
|
$78,274.01
|
$47,835.26
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
4
|
4
|
—
|
—
|
$34,970.13
|
$87,425.32
|
$47,734.22
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
29
|
14
|
—
|
—
|
$39,433.95
|
$192,788.31
|
$47,379.55
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
29
|
14
|
—
|
—
|
$22,160.05
|
$78,824.43
|
$47,217.13
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
29
|
14
|
—
|
—
|
$39,068.68
|
$145,912.50
|
$47,079.82
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
22
|
14
|
—
|
—
|
$38,282.52
|
$76,794.21
|
$46,497.85
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
14
|
—
|
—
|
$9,315.46
|
$76,278.36
|
$46,195.11
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
14
|
—
|
—
|
$3,042.34
|
$188,907.70
|
$46,064.26
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
30
|
14
|
—
|
—
|
$37,315.32
|
$95,708.31
|
$46,047.13
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
9
|
5
|
—
|
—
|
$41,173.43
|
$102,933.57
|
$45,212.04
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
25
|
14
|
—
|
—
|
$37,390.39
|
$75,004.61
|
$44,997.62
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
26
|
14
|
—
|
—
|
$37,325.74
|
$80,324.41
|
$44,922.27
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$34,371.10
|
$72,624.24
|
$44,050.65
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
24
|
14
|
—
|
—
|
$32,183.43
|
$64,559.52
|
$43,344.80
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
30
|
14
|
—
|
—
|
$35,473.96
|
$71,160.29
|
$43,191.52
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
29
|
14
|
—
|
—
|
$2,030.00
|
$71,863.45
|
$43,172.45
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
22
|
14
|
—
|
—
|
$35,205.32
|
$70,621.39
|
$42,875.27
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
28
|
14
|
—
|
—
|
$200.00
|
$250,434.06
|
$42,837.56
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
28
|
14
|
—
|
—
|
$5,744.67
|
$70,916.78
|
$42,622.39
|
2026-04-01
|
|
2039
|
OTHER
|
Gen, Neuro, Imp Led, Ex Cntr
|
3
|
3
|
—
|
—
|
$41,747.68
|
$42,570.80
|
$41,896.87
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
27
|
14
|
—
|
—
|
$22,616.74
|
$69,576.74
|
$41,843.76
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
4
|
4
|
—
|
—
|
$30,654.50
|
$76,636.25
|
$41,843.39
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
28
|
14
|
—
|
—
|
$14,366.86
|
$69,225.16
|
$41,639.48
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
29
|
14
|
—
|
—
|
$33,701.20
|
$80,305.84
|
$41,511.54
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
29
|
14
|
—
|
—
|
$6,708.87
|
$68,598.37
|
$41,275.28
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
C8007
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Ps Gn
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
C8011
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Rec
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
4
|
4
|
—
|
—
|
$30,135.76
|
$75,339.40
|
$41,135.32
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
21
|
14
|
—
|
—
|
$33,307.57
|
$66,814.53
|
$41,043.56
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
8
|
5
|
—
|
—
|
$30,632.53
|
$70,112.81
|
$40,856.23
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
24
|
14
|
—
|
—
|
$22,544.25
|
$67,742.47
|
$40,777.96
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
27
|
14
|
—
|
—
|
$28,695.20
|
$67,402.42
|
$40,580.38
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
4
|
4
|
—
|
—
|
$29,719.96
|
$74,299.90
|
$40,567.74
|
2026-04-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
4
|
4
|
—
|
—
|
$29,579.67
|
$73,949.17
|
$40,376.25
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
4
|
4
|
—
|
—
|
$29,510.19
|
$73,775.47
|
$40,281.40
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
14
|
—
|
—
|
$19,616.54
|
$66,062.38
|
$40,199.77
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
27
|
14
|
—
|
—
|
$33,174.69
|
$142,612.54
|
$40,083.90
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
22
|
14
|
—
|
—
|
$32,771.72
|
$65,739.62
|
$40,010.35
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
32
|
14
|
—
|
—
|
$30,256.37
|
$174,082.47
|
$39,899.70
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
30
|
14
|
—
|
—
|
$32,517.70
|
$65,513.40
|
$39,877.59
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
14
|
—
|
—
|
$22,876.15
|
$67,043.32
|
$39,727.07
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
23
|
14
|
—
|
—
|
$32,057.01
|
$64,305.93
|
$39,556.78
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
31
|
14
|
—
|
—
|
$22,104.56
|
$74,950.98
|
$39,499.51
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
27
|
14
|
—
|
—
|
$32,192.77
|
$111,031.63
|
$38,939.40
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
4
|
4
|
—
|
—
|
$28,012.29
|
$70,030.72
|
$38,236.77
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
28
|
14
|
—
|
—
|
$10,912.21
|
$63,295.86
|
$38,194.26
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
25
|
14
|
—
|
—
|
$17,143.64
|
$87,681.59
|
$38,105.02
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
23
|
14
|
—
|
—
|
$19.55
|
$62,353.51
|
$37,646.71
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
24
|
14
|
—
|
—
|
$30,637.65
|
$61,458.71
|
$37,498.06
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
26
|
14
|
—
|
—
|
$30,283.53
|
$60,748.34
|
$37,081.17
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
14
|
—
|
—
|
$782.48
|
$60,257.69
|
$37,077.68
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
23
|
14
|
—
|
—
|
$29,950.24
|
$139,298.00
|
$37,052.06
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
14
|
—
|
—
|
$29,418.16
|
$61,105.69
|
$36,921.66
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
28
|
14
|
—
|
—
|
$30,191.97
|
$186,622.06
|
$36,774.31
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
14
|
—
|
—
|
$10,005.50
|
$119,620.63
|
$36,696.45
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
27
|
14
|
—
|
—
|
$30,180.09
|
$110,422.75
|
$36,593.47
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
23
|
14
|
—
|
—
|
$30,144.18
|
$60,468.81
|
$36,551.61
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
26
|
14
|
—
|
—
|
$29,831.00
|
$73,793.03
|
$36,548.43
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
28
|
14
|
—
|
—
|
$29,811.90
|
$60,356.42
|
$36,486.30
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
25
|
14
|
—
|
—
|
$2,475.00
|
$217,341.10
|
$35,956.33
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
27
|
14
|
—
|
—
|
$2,625.00
|
$57,931.38
|
$35,778.78
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
22
|
14
|
—
|
—
|
$18,832.00
|
$58,486.13
|
$35,753.57
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
22
|
14
|
—
|
—
|
$9,838.15
|
$57,406.90
|
$35,120.21
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
4
|
4
|
—
|
—
|
$25,526.34
|
$63,815.86
|
$34,843.46
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
4
|
4
|
—
|
—
|
$25,526.34
|
$63,815.86
|
$34,843.46
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
4
|
4
|
—
|
—
|
$25,526.34
|
$63,815.86
|
$34,843.46
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
21
|
14
|
—
|
—
|
$27,972.04
|
$56,111.53
|
$34,700.21
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
23
|
14
|
—
|
—
|
$7,560.12
|
$56,032.28
|
$34,499.52
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
28
|
14
|
—
|
—
|
$27,949.56
|
$56,366.57
|
$34,168.00
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
22
|
14
|
—
|
—
|
$27,761.58
|
$55,689.34
|
$34,112.24
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
28
|
14
|
—
|
—
|
$27,573.91
|
$187,406.59
|
$34,080.96
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
22
|
14
|
—
|
—
|
$24,935.07
|
$50,019.40
|
$33,745.35
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
28
|
14
|
—
|
—
|
$27,577.69
|
$90,432.44
|
$33,560.17
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
28
|
14
|
—
|
—
|
$27,029.63
|
$150,922.13
|
$33,250.57
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
26
|
14
|
—
|
—
|
$7,282.86
|
$108,931.50
|
$33,111.89
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
22
|
14
|
—
|
—
|
$26,618.76
|
$53,396.87
|
$32,766.88
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
29
|
14
|
—
|
—
|
$14,635.53
|
$53,856.52
|
$32,709.54
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
26
|
14
|
—
|
—
|
$1,090.74
|
$145,358.09
|
$32,706.19
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
25
|
14
|
—
|
—
|
$26,769.60
|
$53,699.46
|
$32,618.28
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
24
|
14
|
—
|
—
|
$26,383.88
|
$56,531.81
|
$32,490.38
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
21
|
14
|
—
|
—
|
$26,063.52
|
$52,283.06
|
$32,431.19
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
21
|
14
|
—
|
—
|
$26,043.40
|
$52,242.71
|
$32,407.28
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
21
|
14
|
—
|
—
|
$26,007.49
|
$52,170.67
|
$32,364.58
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
29
|
14
|
—
|
—
|
$26,373.10
|
$62,573.55
|
$32,156.13
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
22
|
14
|
—
|
—
|
$25,989.53
|
$52,134.64
|
$32,026.14
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
26
|
14
|
—
|
—
|
$25,771.99
|
$276,229.23
|
$31,972.01
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
24
|
14
|
—
|
—
|
$1,125.00
|
$51,964.62
|
$31,926.35
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
24
|
14
|
—
|
—
|
$11,152.11
|
$55,553.46
|
$31,726.79
|
2026-04-01
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
4
|
4
|
—
|
—
|
$23,212.40
|
$58,031.00
|
$31,684.92
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
24
|
14
|
—
|
—
|
$25,675.63
|
$152,346.23
|
$31,656.60
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
24
|
14
|
—
|
—
|
$25,611.70
|
$51,376.73
|
$31,581.35
|
2026-04-01
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
4
|
4
|
—
|
—
|
$23,009.05
|
$57,522.62
|
$31,407.36
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
28
|
14
|
—
|
—
|
$25,649.77
|
$51,453.10
|
$31,313.03
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
8
|
5
|
—
|
—
|
$30,869.86
|
$49,510.74
|
$31,252.35
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
24
|
14
|
—
|
—
|
$25,590.16
|
$51,333.50
|
$31,243.54
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
23
|
14
|
—
|
—
|
$13,372.26
|
$51,284.51
|
$31,215.08
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
29
|
14
|
—
|
—
|
$25,462.38
|
$51,242.73
|
$31,190.80
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
24
|
14
|
—
|
—
|
$25,279.85
|
$50,917.61
|
$31,190.68
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
28
|
14
|
—
|
—
|
$20,534.09
|
$50,814.78
|
$30,942.14
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
21
|
14
|
—
|
—
|
$24,699.46
|
$49,546.79
|
$30,809.48
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
24
|
14
|
—
|
—
|
$24,814.39
|
$49,777.33
|
$30,642.72
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
27
|
14
|
—
|
—
|
$25,056.46
|
$50,262.91
|
$30,621.48
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
24
|
14
|
—
|
—
|
$25,049.99
|
$50,249.95
|
$30,613.94
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
23
|
14
|
—
|
—
|
$24,473.20
|
$49,092.90
|
$30,540.48
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
26
|
14
|
—
|
—
|
$24,505.52
|
$57,265.71
|
$30,279.11
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
14
|
—
|
—
|
$24,626.20
|
$57,088.18
|
$30,119.98
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
21
|
14
|
—
|
—
|
$23,727.60
|
$47,597.25
|
$29,654.05
|
2026-04-01
|
|
0614T
|
HCPCS
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0414T
|
HCPCS
|
Rmvl & Rpl Car Modulj Pls Gn
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0409T
|
HCPCS
|
Insj/rplc Car Modulj Pls Gn
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0796T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Ra
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
0823T
|
HCPCS
|
Tcat Ins 1chmbr Ldls Pm Ra
|
4
|
4
|
—
|
—
|
$21,723.17
|
$54,307.93
|
$29,652.13
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
7
|
5
|
—
|
—
|
$26,891.01
|
$50,585.66
|
$29,460.65
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
27
|
14
|
—
|
—
|
$23,995.53
|
$48,134.71
|
$29,384.88
|
2026-04-01
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
4
|
4
|
—
|
—
|
$21,299.94
|
$53,249.85
|
$29,074.42
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
24
|
14
|
—
|
—
|
$1,071.46
|
$47,435.87
|
$28,978.83
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
28
|
14
|
—
|
—
|
$17,200.88
|
$47,430.11
|
$28,975.48
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
21
|
14
|
—
|
—
|
$23,135.01
|
$46,408.51
|
$28,949.52
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
24
|
14
|
—
|
—
|
$2,065.00
|
$73,657.87
|
$28,718.97
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
24
|
14
|
—
|
—
|
$23,364.86
|
$46,869.60
|
$28,649.79
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
23
|
14
|
—
|
—
|
$22,823.26
|
$50,869.53
|
$28,578.89
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
22
|
14
|
—
|
—
|
$22,329.77
|
$46,258.65
|
$28,577.76
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
25
|
14
|
—
|
—
|
$23,246.09
|
$46,663.55
|
$28,530.07
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
22
|
14
|
—
|
—
|
$20,974.36
|
$42,074.28
|
$28,499.93
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
29
|
14
|
—
|
—
|
$9,291.30
|
$130,220.81
|
$28,499.93
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
25
|
14
|
—
|
—
|
$14,333.90
|
$45,601.60
|
$28,471.29
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
30
|
14
|
—
|
—
|
$23,126.02
|
$46,546.83
|
$28,462.25
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
25
|
14
|
—
|
—
|
$22,846.49
|
$246,163.73
|
$28,454.72
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
9
|
5
|
—
|
—
|
$27,070.53
|
$71,060.15
|
$28,424.06
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
22
|
14
|
—
|
—
|
$21,147.47
|
$42,421.54
|
$28,256.96
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
24
|
14
|
—
|
—
|
$11,810.76
|
$71,009.97
|
$28,151.57
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
26
|
14
|
—
|
—
|
$22,933.88
|
$46,955.97
|
$28,147.45
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
21
|
14
|
—
|
—
|
$22,419.58
|
$44,973.37
|
$28,098.95
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
27
|
14
|
—
|
—
|
$22,891.50
|
$45,920.04
|
$28,098.06
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
25
|
14
|
—
|
—
|
$22,404.34
|
$45,875.37
|
$28,072.10
|
2026-04-01
|
|
2616
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
6
|
5
|
—
|
—
|
$26,327.17
|
$32,244.35
|
$28,058.04
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
25
|
14
|
—
|
—
|
$22,633.63
|
$45,402.76
|
$27,797.49
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
27
|
14
|
—
|
—
|
$22,205.17
|
$45,381.15
|
$27,784.93
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
23
|
14
|
—
|
—
|
$21,892.62
|
$45,274.52
|
$27,722.98
|
2026-04-01
|
|
54417
|
HCPCS
|
Remv/replc Penis Pros Compl
|
4
|
4
|
—
|
—
|
$20,241.22
|
$50,603.05
|
$27,629.27
|
2026-04-01
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
4
|
4
|
—
|
—
|
$20,241.22
|
$50,603.05
|
$27,629.27
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
23
|
14
|
—
|
—
|
$21,990.75
|
$44,113.15
|
$27,589.12
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
23
|
14
|
—
|
—
|
$21,090.55
|
$100,095.25
|
$27,554.12
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
28
|
14
|
—
|
—
|
$9,697.29
|
$45,897.97
|
$27,493.57
|
2026-04-01
|
|
L6975
|
HCPCS
|
Interscap-thor Myoelectronic
|
4
|
4
|
—
|
—
|
$20,131.45
|
$50,328.62
|
$27,479.43
|
2026-04-01
|
|
Q0489
|
HCPCS
|
Pwr Pck Base Combo Vad, Rep
|
4
|
4
|
—
|
—
|
$20,123.89
|
$50,309.72
|
$27,469.11
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
29
|
14
|
—
|
—
|
$19,802.99
|
$44,800.46
|
$27,447.53
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
21
|
14
|
—
|
—
|
$21,696.25
|
$43,522.38
|
$27,239.00
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
21
|
14
|
—
|
—
|
$21,693.38
|
$43,516.62
|
$27,235.58
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
21
|
14
|
—
|
—
|
$21,379.48
|
$42,886.95
|
$26,862.39
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
25
|
14
|
—
|
—
|
$21,384.84
|
$43,705.38
|
$26,811.23
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
26
|
14
|
—
|
—
|
$17,738.28
|
$43,469.07
|
$26,673.92
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
23
|
14
|
—
|
—
|
$21,125.92
|
$44,515.31
|
$26,560.94
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
30
|
14
|
—
|
—
|
$21,161.84
|
$158,902.68
|
$26,342.82
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
22
|
14
|
—
|
—
|
$19,106.78
|
$39,964.33
|
$26,026.58
|
2026-04-01
|
|
0817T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subf
|
4
|
4
|
—
|
—
|
$18,946.23
|
$47,365.59
|
$25,861.61
|
2026-04-01
|
|
0680T
|
HCPCS
|
Insj/rplcmt Pg Only Isdss
|
4
|
4
|
—
|
—
|
$18,946.23
|
$47,365.59
|
$25,861.61
|
2026-04-01
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
4
|
4
|
—
|
—
|
$18,946.23
|
$47,365.59
|
$25,861.61
|
2026-04-01
|
|
0816T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subq
|
4
|
4
|
—
|
—
|
$18,946.23
|
$47,365.59
|
$25,861.61
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
22
|
14
|
—
|
—
|
$20,740.19
|
$41,604.55
|
$25,846.44
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
28
|
14
|
—
|
—
|
$17,207.14
|
$127,401.65
|
$25,799.01
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
27
|
14
|
—
|
—
|
$20,845.07
|
$41,814.92
|
$25,712.78
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
29
|
14
|
—
|
—
|
$20,832.14
|
$41,788.98
|
$25,697.71
|
2026-04-01
|
|
0802T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0801T
|
HCPCS
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0803T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
33274
|
HCPCS
|
Tcat Insj/rpl Perm Ldls Pm
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0825T
|
HCPCS
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0795T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0525T
|
HCPCS
|
Insj/rplcmt Compl Iims
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
0797T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Rv
|
4
|
4
|
—
|
—
|
$18,811.05
|
$47,027.63
|
$25,677.08
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
26
|
14
|
—
|
—
|
$11,802.40
|
$41,584.37
|
$25,578.82
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
26
|
14
|
—
|
—
|
$200.00
|
$41,523.86
|
$25,543.66
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
28
|
14
|
—
|
—
|
$20,475.14
|
$42,597.51
|
$25,534.42
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
27
|
14
|
—
|
—
|
$20,616.65
|
$41,356.71
|
$25,446.54
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
22
|
14
|
—
|
—
|
$18,552.25
|
$37,601.75
|
$25,292.19
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
22
|
14
|
—
|
—
|
$20,179.92
|
$40,480.64
|
$25,186.88
|
2026-04-01
|
|
L6970
|
HCPCS
|
Interscapular-thor Switch CT
|
4
|
4
|
—
|
—
|
$18,407.12
|
$46,017.80
|
$25,125.72
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
28
|
14
|
—
|
—
|
$20,107.37
|
$40,335.11
|
$24,852.94
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
23
|
14
|
—
|
—
|
$20,048.47
|
$40,216.96
|
$24,784.28
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
22
|
14
|
—
|
—
|
$19,804.25
|
$39,727.05
|
$24,744.62
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
26
|
14
|
—
|
—
|
$7,520.81
|
$39,940.31
|
$24,623.54
|
2026-04-01
|
|
Q0481
|
HCPCS
|
Microprcsr Cu Elec Vad, Rep
|
4
|
4
|
—
|
—
|
$17,989.68
|
$44,974.20
|
$24,555.91
|
2026-04-01
|
|
L5859
|
HCPCS
|
Knee-shin Pro Flex/ext Cont
|
4
|
4
|
—
|
—
|
$17,962.99
|
$44,907.48
|
$24,519.48
|
2026-04-01
|
|
93581
|
HCPCS
|
Transcath Closure Of Vsd
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
33902
|
HCPCS
|
Perq P-art Revsc 1 Abnor Uni
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
93582
|
HCPCS
|
Perq Transcath Closure Pda
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
C9602
|
HCPCS
|
Perc D-e Cor Stent Ather S
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
37292
|
HCPCS
|
Rvsc Evsc Tpvt St Athrc Sf 1
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
37294
|
HCPCS
|
Rvsc Evsc Tpvt St Athr Cpx 1
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
93590
|
HCPCS
|
Perq Transcath Cls Mitral
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|
|
93591
|
HCPCS
|
Perq Transcath Cls Aortic
|
4
|
4
|
—
|
—
|
$17,902.75
|
$44,756.89
|
$24,437.26
|
2026-04-01
|