|
0308T
|
HCPCS
|
Insj Ocular Telescope Prosth
|
7
|
4
|
—
|
—
|
$16,401.63
|
$64,444.02
|
$43,709.86
|
2026-04-01
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
7
|
4
|
—
|
—
|
$22,163.59
|
$39,894.46
|
$25,314.56
|
2026-04-01
|
|
0520T
|
HCPCS
|
Rmvl&rplcmt Pg Wcs New Eltrd
|
7
|
4
|
—
|
—
|
$10,414.41
|
$33,910.00
|
$22,999.83
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
7
|
4
|
—
|
—
|
$15,424.03
|
$78,998.56
|
$22,740.56
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
19
|
12
|
—
|
—
|
$238,153.35
|
$454,236.09
|
$250,061.02
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
19
|
12
|
—
|
—
|
$57,553.07
|
$116,310.08
|
$61,821.38
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
19
|
12
|
—
|
—
|
$47,260.27
|
$88,404.86
|
$49,623.28
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
19
|
12
|
—
|
—
|
$21,015.41
|
$38,108.70
|
$22,066.18
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
19
|
12
|
—
|
—
|
$36,788.54
|
$68,336.65
|
$38,627.97
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$25,504.01
|
$46,990.21
|
$26,779.21
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
19
|
12
|
—
|
—
|
$102,776.22
|
$226,884.92
|
$107,915.03
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
19
|
12
|
—
|
—
|
$37,205.52
|
$69,135.75
|
$39,065.80
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$32,818.40
|
$60,728.20
|
$34,459.32
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
19
|
12
|
—
|
—
|
$51,282.84
|
$144,353.14
|
$53,846.98
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
19
|
12
|
—
|
—
|
$39,036.65
|
$72,644.97
|
$40,988.48
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
19
|
12
|
—
|
—
|
$22,477.78
|
$40,911.22
|
$23,601.67
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$32,743.13
|
$60,583.94
|
$34,380.29
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$47,075.88
|
$88,051.51
|
$49,429.67
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
19
|
12
|
—
|
—
|
$26,304.13
|
$48,244.12
|
$27,619.34
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
19
|
12
|
—
|
—
|
$109,864.46
|
$699,944.91
|
$366,365.79
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
19
|
12
|
—
|
—
|
$61,473.76
|
$115,643.89
|
$64,547.45
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
19
|
12
|
—
|
—
|
$96,973.26
|
$183,675.80
|
$101,821.92
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
19
|
12
|
—
|
—
|
$67,683.55
|
$127,544.45
|
$71,067.73
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
7
|
4
|
—
|
—
|
$19,553.87
|
$48,665.61
|
$27,036.45
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
21
|
13
|
—
|
—
|
$21,917.49
|
$104,299.30
|
$58,331.78
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
23
|
13
|
—
|
—
|
$11,670.07
|
$44,553.36
|
$24,378.27
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
19
|
12
|
—
|
—
|
$96,863.30
|
$183,465.09
|
$101,706.47
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
19
|
12
|
—
|
—
|
$45,904.46
|
$87,083.98
|
$48,199.68
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
19
|
12
|
—
|
—
|
$93,102.08
|
$176,257.00
|
$97,757.18
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
7
|
4
|
—
|
—
|
$19,553.87
|
$48,665.61
|
$27,036.45
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
19
|
12
|
—
|
—
|
$49,398.42
|
$92,502.47
|
$51,868.34
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
19
|
12
|
—
|
—
|
$85,345.34
|
$161,391.84
|
$89,612.61
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$83,871.97
|
$158,568.26
|
$88,065.57
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$56,743.26
|
$106,578.26
|
$59,580.42
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$56,743.26
|
$106,578.26
|
$59,580.42
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$66,072.32
|
$124,456.66
|
$69,375.94
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
19
|
12
|
—
|
—
|
$28,004.17
|
$56,271.44
|
$29,404.38
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$46,234.32
|
$86,438.73
|
$48,546.04
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$43,759.54
|
$81,696.01
|
$45,947.52
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
19
|
12
|
—
|
—
|
$42,974.65
|
$80,309.21
|
$45,123.38
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$27,768.19
|
$51,049.87
|
$29,156.60
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
12
|
—
|
—
|
$49,596.34
|
$92,881.75
|
$52,076.16
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
19
|
12
|
—
|
—
|
$72,429.28
|
$136,639.25
|
$76,050.74
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
19
|
12
|
—
|
—
|
$52,406.90
|
$98,267.97
|
$55,027.24
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
19
|
12
|
—
|
—
|
$65,792.37
|
$123,920.15
|
$69,081.99
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
19
|
12
|
—
|
—
|
$47,333.00
|
$88,544.26
|
$49,699.65
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
19
|
12
|
—
|
—
|
$50,766.06
|
$95,123.45
|
$53,304.36
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
19
|
12
|
—
|
—
|
$36,558.49
|
$67,895.77
|
$38,386.41
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
19
|
12
|
—
|
—
|
$41,612.25
|
$79,775.26
|
$42,757.28
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
12
|
—
|
—
|
$34,216.49
|
$63,407.53
|
$35,927.31
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
19
|
12
|
—
|
—
|
$25,239.28
|
$46,203.42
|
$26,501.24
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
19
|
12
|
—
|
—
|
$28,134.42
|
$51,751.71
|
$29,541.14
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
19
|
12
|
—
|
—
|
$39,718.36
|
$73,951.41
|
$41,704.28
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
19
|
12
|
—
|
—
|
$39,585.57
|
$73,696.92
|
$41,564.85
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
19
|
12
|
—
|
—
|
$30,633.73
|
$61,182.18
|
$32,165.42
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
19
|
12
|
—
|
—
|
$23,083.36
|
$42,071.77
|
$24,237.53
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
19
|
12
|
—
|
—
|
$23,944.38
|
$43,721.84
|
$25,141.60
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
19
|
12
|
—
|
—
|
$27,705.60
|
$50,929.92
|
$29,090.88
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
19
|
12
|
—
|
—
|
$27,427.34
|
$50,396.66
|
$28,798.71
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
19
|
12
|
—
|
—
|
$28,641.89
|
$54,254.91
|
$30,073.98
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
19
|
12
|
—
|
—
|
$26,989.22
|
$49,557.03
|
$28,338.68
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
19
|
12
|
—
|
—
|
$29,384.50
|
$54,147.39
|
$30,853.72
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
19
|
12
|
—
|
—
|
$31,732.41
|
$58,646.98
|
$33,319.03
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
19
|
12
|
—
|
—
|
$52,963.43
|
$99,334.52
|
$55,611.60
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$41,396.40
|
$77,167.24
|
$43,466.22
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
19
|
12
|
—
|
—
|
$59,302.62
|
$111,483.07
|
$62,267.75
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
19
|
12
|
—
|
—
|
$36,849.44
|
$68,453.35
|
$38,691.91
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$22,468.47
|
$42,270.91
|
$23,591.89
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
12
|
—
|
—
|
$45,756.45
|
$85,522.92
|
$48,044.27
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
19
|
12
|
—
|
—
|
$31,208.87
|
$57,643.65
|
$32,769.31
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$22,723.06
|
$41,381.28
|
$23,859.21
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
19
|
12
|
—
|
—
|
$36,023.10
|
$66,869.74
|
$37,824.25
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$28,970.91
|
$53,354.78
|
$30,419.46
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
19
|
12
|
—
|
—
|
$61,438.24
|
$115,575.82
|
$64,510.15
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
19
|
12
|
—
|
—
|
$51,933.25
|
$97,360.27
|
$54,529.91
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
19
|
12
|
—
|
—
|
$40,192.85
|
$74,860.72
|
$42,202.49
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
12
|
—
|
—
|
$48,208.40
|
$90,221.88
|
$50,618.82
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
12
|
—
|
—
|
$31,632.61
|
$58,455.71
|
$33,214.24
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
19
|
12
|
—
|
—
|
$51,947.63
|
$97,387.83
|
$54,545.01
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
19
|
12
|
—
|
—
|
$24,018.81
|
$43,864.47
|
$25,219.75
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
19
|
12
|
—
|
—
|
$29,985.01
|
$55,298.22
|
$31,484.26
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
19
|
12
|
—
|
—
|
$180,650.63
|
$344,036.76
|
$189,683.16
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
19
|
12
|
—
|
—
|
$39,025.66
|
$72,623.89
|
$40,976.94
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
19
|
12
|
—
|
—
|
$57,683.78
|
$108,380.69
|
$60,567.97
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
19
|
12
|
—
|
—
|
$21,616.76
|
$39,261.15
|
$22,697.60
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
19
|
12
|
—
|
—
|
$38,876.80
|
$72,338.62
|
$40,820.64
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$21,473.82
|
$38,987.22
|
$22,547.51
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
19
|
12
|
—
|
—
|
$24,142.29
|
$44,101.13
|
$25,349.40
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
19
|
12
|
—
|
—
|
$37,730.75
|
$70,142.32
|
$39,617.29
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
19
|
12
|
—
|
—
|
$27,780.88
|
$51,074.19
|
$29,169.92
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
19
|
12
|
—
|
—
|
$26,399.85
|
$52,036.99
|
$28,283.28
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
21
|
13
|
—
|
—
|
$16,182.58
|
$80,840.18
|
$45,478.61
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
20
|
13
|
—
|
—
|
$9,183.16
|
$39,617.75
|
$22,892.98
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
12
|
—
|
—
|
$28,380.75
|
$74,504.13
|
$40,998.08
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
23
|
13
|
—
|
—
|
$21,405.31
|
$38,855.94
|
$22,475.58
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
19
|
12
|
—
|
—
|
$31,753.55
|
$58,687.50
|
$33,341.23
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
7
|
4
|
—
|
—
|
$19,192.43
|
$46,116.17
|
$34,426.73
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
7
|
4
|
—
|
—
|
$19,192.43
|
$46,116.17
|
$34,426.73
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
7
|
4
|
—
|
—
|
$22,163.59
|
$71,579.58
|
$48,549.63
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
7
|
4
|
—
|
—
|
$31,275.99
|
$97,446.68
|
$66,094.27
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
7
|
4
|
—
|
—
|
$22,163.59
|
$71,579.58
|
$48,549.63
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
7
|
4
|
—
|
—
|
$31,275.99
|
$97,446.68
|
$66,094.27
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
7
|
4
|
—
|
—
|
$22,163.59
|
$71,579.58
|
$48,549.63
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
7
|
4
|
—
|
—
|
$22,163.59
|
$71,579.58
|
$48,549.63
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
7
|
4
|
—
|
—
|
$31,275.99
|
$97,446.68
|
$66,094.27
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
7
|
4
|
—
|
—
|
$31,275.99
|
$97,446.68
|
$66,094.27
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
7
|
4
|
—
|
—
|
$40,142.17
|
$78,998.56
|
$46,082.49
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
7
|
4
|
—
|
—
|
$26,419.55
|
$55,344.12
|
$32,284.07
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
7
|
4
|
—
|
—
|
$28,580.21
|
$51,444.38
|
$33,766.69
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
19
|
12
|
—
|
—
|
$20,940.13
|
$37,964.44
|
$21,987.14
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
22
|
13
|
—
|
—
|
$23,707.20
|
$57,880.29
|
$32,115.66
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
19
|
12
|
—
|
—
|
$33,868.03
|
$62,739.72
|
$35,561.43
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
19
|
12
|
—
|
—
|
$22,975.10
|
$41,864.30
|
$24,123.86
|
2026-04-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
19
|
12
|
—
|
—
|
$21,348.65
|
$38,747.33
|
$22,416.08
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
19
|
12
|
—
|
—
|
$22,206.28
|
$40,390.91
|
$22,478.73
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
19
|
12
|
—
|
—
|
$25,674.86
|
$47,038.17
|
$26,958.60
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$24,636.35
|
$71,202.38
|
$40,198.10
|
2026-04-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
19
|
12
|
—
|
—
|
$20,798.88
|
$37,693.76
|
$21,838.82
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
19
|
12
|
—
|
—
|
$30,213.37
|
$55,735.87
|
$31,724.04
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
19
|
12
|
—
|
—
|
$21,549.94
|
$39,133.11
|
$22,627.44
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
19
|
12
|
—
|
—
|
$28,974.29
|
$53,361.27
|
$30,423.00
|
2026-04-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
4
|
1
|
—
|
—
|
$24,345.17
|
$35,893.51
|
$29,003.52
|
2026-04-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
4
|
1
|
—
|
—
|
$24,345.17
|
$35,893.51
|
$29,003.52
|
2026-04-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
4
|
1
|
—
|
—
|
$24,345.17
|
$35,893.51
|
$29,003.52
|
2026-04-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
4
|
1
|
—
|
—
|
$24,345.17
|
$35,893.51
|
$29,003.52
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
19
|
12
|
—
|
—
|
$118,283.78
|
$224,515.71
|
$124,197.97
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
19
|
12
|
—
|
—
|
$33,787.68
|
$62,585.74
|
$35,477.06
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
12
|
—
|
—
|
$35,135.02
|
$65,167.81
|
$36,891.77
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
19
|
12
|
—
|
—
|
$47,398.97
|
$88,670.69
|
$49,768.92
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
19
|
12
|
—
|
—
|
$25,659.64
|
$47,009.00
|
$26,942.62
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
19
|
12
|
—
|
—
|
$31,287.52
|
$62,497.87
|
$32,851.90
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
19
|
12
|
—
|
—
|
$29,069.02
|
$53,542.80
|
$30,522.47
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
19
|
12
|
—
|
—
|
$31,262.15
|
$57,745.77
|
$32,825.26
|
2026-04-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
20
|
12
|
—
|
—
|
$21,313.97
|
$38,680.87
|
$22,379.67
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
19
|
12
|
—
|
—
|
$29,946.95
|
$55,225.28
|
$31,444.30
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$36,255.69
|
$67,315.49
|
$38,068.47
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
12
|
—
|
—
|
$93,886.32
|
$178,641.33
|
$94,346.23
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
12
|
—
|
—
|
$62,184.23
|
$117,005.44
|
$62,767.17
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
19
|
12
|
—
|
—
|
$48,680.35
|
$91,126.33
|
$51,114.37
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
19
|
12
|
—
|
—
|
$77,332.32
|
$146,035.54
|
$81,198.94
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
19
|
12
|
—
|
—
|
$49,907.59
|
$93,478.24
|
$52,402.97
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
19
|
12
|
—
|
—
|
$57,642.34
|
$108,301.26
|
$60,524.46
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
12
|
—
|
—
|
$36,998.30
|
$68,738.63
|
$38,848.22
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
19
|
12
|
—
|
—
|
$46,207.26
|
$86,386.86
|
$48,517.62
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
19
|
12
|
—
|
—
|
$28,452.44
|
$52,361.17
|
$29,875.06
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
6
|
2
|
—
|
—
|
$81,613.00
|
$143,633.39
|
$102,323.18
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
6
|
2
|
—
|
—
|
$55,817.00
|
$99,138.38
|
$70,625.33
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
6
|
2
|
—
|
—
|
$45,924.00
|
$74,651.63
|
$53,181.17
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$72,205.15
|
$136,209.71
|
$75,815.41
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$51,565.34
|
$96,655.19
|
$54,143.61
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$36,421.47
|
$67,633.18
|
$38,242.54
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
6
|
2
|
—
|
—
|
$61,696.00
|
$107,502.17
|
$76,583.62
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
6
|
2
|
—
|
—
|
$39,621.00
|
$59,290.47
|
$42,238.01
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
19
|
12
|
—
|
—
|
$47,843.01
|
$89,521.66
|
$50,235.16
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
19
|
12
|
—
|
—
|
$23,628.05
|
$43,115.63
|
$24,809.45
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
12
|
—
|
—
|
$28,205.24
|
$92,382.52
|
$51,802.62
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
20
|
13
|
—
|
—
|
$9,438.07
|
$50,485.81
|
$28,847.55
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
19
|
12
|
—
|
—
|
$45,156.79
|
$84,373.72
|
$47,414.63
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
19
|
12
|
—
|
—
|
$30,957.67
|
$57,162.25
|
$32,505.55
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$24,372.35
|
$44,542.01
|
$25,590.97
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
19
|
12
|
—
|
—
|
$26,784.54
|
$49,164.78
|
$28,123.77
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
19
|
12
|
—
|
—
|
$41,928.60
|
$78,267.83
|
$41,970.70
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
19
|
12
|
—
|
—
|
$26,047.86
|
$47,752.99
|
$27,350.25
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$21,778.31
|
$39,570.74
|
$22,867.23
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
19
|
12
|
—
|
—
|
$37,438.95
|
$69,583.11
|
$39,310.90
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
19
|
12
|
—
|
—
|
$30,348.70
|
$55,995.20
|
$31,866.14
|
2026-04-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
20
|
12
|
—
|
—
|
$21,182.35
|
$39,860.89
|
$23,026.18
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
19
|
12
|
—
|
—
|
$25,761.98
|
$47,205.13
|
$27,050.08
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
19
|
12
|
—
|
—
|
$24,574.49
|
$44,929.40
|
$25,803.21
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
19
|
12
|
—
|
—
|
$28,424.52
|
$52,307.68
|
$29,845.75
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
19
|
12
|
—
|
—
|
$32,184.06
|
$59,512.53
|
$33,793.26
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
20
|
12
|
—
|
—
|
$22,580.12
|
$41,107.35
|
$23,709.13
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
19
|
12
|
—
|
—
|
$31,795.84
|
$58,768.54
|
$33,385.63
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
19
|
12
|
—
|
—
|
$26,645.83
|
$48,898.95
|
$27,978.12
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
19
|
12
|
—
|
—
|
$88,335.20
|
$167,121.68
|
$92,751.96
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
19
|
12
|
—
|
—
|
$27,897.60
|
$53,779.58
|
$29,292.48
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
19
|
12
|
—
|
—
|
$24,736.88
|
$45,240.61
|
$25,973.72
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
4
|
1
|
—
|
—
|
$19,310.70
|
$28,470.91
|
$23,005.73
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
19
|
12
|
—
|
—
|
$26,677.12
|
$48,958.93
|
$28,010.98
|
2026-04-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
13
|
8
|
—
|
—
|
$9,857.47
|
$45,145.63
|
$24,126.15
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$28,084.52
|
$60,870.69
|
$29,488.75
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
19
|
12
|
—
|
—
|
$32,739.74
|
$60,577.46
|
$34,376.73
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
19
|
12
|
—
|
—
|
$25,405.90
|
$48,925.62
|
$26,676.20
|
2026-04-01
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
53448
|
HCPCS
|
Remov/replc Ur Sphinctr Comp
|
4
|
1
|
—
|
—
|
$18,978.17
|
$27,980.64
|
$22,609.57
|
2026-04-01
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
7
|
4
|
—
|
—
|
$20,651.59
|
$43,268.75
|
$32,301.06
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
19
|
12
|
—
|
—
|
$22,120.01
|
$40,225.59
|
$23,226.01
|
2026-04-01
|
|
55881
|
HCPCS
|
Ablt Trurl Prst8 Tis Thrm US
|
4
|
1
|
—
|
—
|
$19,767.03
|
$29,143.70
|
$23,549.38
|
2026-04-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
20
|
12
|
—
|
—
|
$9,738.99
|
$37,654.85
|
$21,817.51
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
19
|
12
|
—
|
—
|
$25,016.02
|
$47,671.94
|
$26,005.57
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
19
|
12
|
—
|
—
|
$56,541.12
|
$106,190.87
|
$59,368.18
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
19
|
12
|
—
|
—
|
$28,750.58
|
$56,267.51
|
$30,490.79
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
19
|
12
|
—
|
—
|
$42,583.89
|
$79,442.98
|
$44,713.08
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
19
|
12
|
—
|
—
|
$23,549.39
|
$47,400.65
|
$24,726.86
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
21
|
12
|
—
|
—
|
$13,869.53
|
$52,492.46
|
$29,946.99
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
19
|
12
|
—
|
—
|
$40,349.32
|
$75,160.58
|
$42,366.79
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
19
|
12
|
—
|
—
|
$24,449.31
|
$44,689.51
|
$25,671.78
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
19
|
12
|
—
|
—
|
$28,151.95
|
$56,526.86
|
$30,626.12
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
7
|
4
|
—
|
—
|
$30,746.74
|
$55,344.12
|
$40,380.25
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
7
|
4
|
—
|
—
|
$30,746.74
|
$77,710.07
|
$55,344.12
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
7
|
4
|
—
|
—
|
$18,611.95
|
$55,344.12
|
$27,440.69
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
19
|
12
|
—
|
—
|
$25,551.38
|
$46,801.53
|
$26,828.95
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
20
|
12
|
—
|
—
|
$28,085.43
|
$57,690.66
|
$31,233.39
|
2026-04-01
|
|
62360
|
HCPCS
|
Insert Spine Infusion Device
|
7
|
4
|
—
|
—
|
$17,959.04
|
$47,109.85
|
$32,326.27
|
2026-04-01
|
|
62361
|
HCPCS
|
Implant Spine Infusion Pump
|
7
|
4
|
—
|
—
|
$17,959.04
|
$47,109.85
|
$32,326.27
|
2026-04-01
|
|
62362
|
HCPCS
|
Implant Spine Infusion Pump
|
7
|
4
|
—
|
—
|
$17,959.04
|
$47,109.85
|
$32,326.27
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
19
|
12
|
—
|
—
|
$26,673.74
|
$48,952.44
|
$28,007.43
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$32,650.94
|
$60,407.26
|
$33,241.13
|
2026-04-01
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
7
|
4
|
—
|
—
|
$19,330.35
|
$54,091.19
|
$36,687.94
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
7
|
4
|
—
|
—
|
$30,746.74
|
$77,710.07
|
$55,344.12
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
7
|
4
|
—
|
—
|
$43,888.09
|
$78,998.56
|
$58,012.25
|
2026-04-01
|
|
64580
|
HCPCS
|
Implant Neuroelectrodes
|
7
|
4
|
—
|
—
|
$19,330.35
|
$54,091.19
|
$36,687.94
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
7
|
4
|
—
|
—
|
$28,865.77
|
$55,344.12
|
$32,284.07
|
2026-04-01
|
|
64590
|
HCPCS
|
Insrt/redo Pn/gastr Stimul
|
7
|
4
|
—
|
—
|
$19,330.35
|
$54,091.19
|
$36,687.94
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
19
|
12
|
—
|
—
|
$40,894.00
|
$124,577.18
|
$42,938.70
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
19
|
12
|
—
|
—
|
$32,473.32
|
$79,535.37
|
$34,096.99
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
19
|
12
|
—
|
—
|
$28,444.82
|
$99,132.87
|
$29,867.06
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
19
|
12
|
—
|
—
|
$42,914.97
|
$84,227.84
|
$45,080.66
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
19
|
12
|
—
|
—
|
$24,806.24
|
$45,373.53
|
$26,046.55
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
19
|
12
|
—
|
—
|
$28,058.30
|
$51,605.84
|
$29,461.22
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
19
|
12
|
—
|
—
|
$22,620.71
|
$41,185.15
|
$23,751.75
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
19
|
12
|
—
|
—
|
$27,023.90
|
$49,623.49
|
$28,375.10
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
19
|
12
|
—
|
—
|
$27,528.83
|
$50,591.17
|
$28,905.27
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
19
|
12
|
—
|
—
|
$25,827.10
|
$47,329.94
|
$27,118.46
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
19
|
12
|
—
|
—
|
$36,666.75
|
$68,103.24
|
$38,500.09
|
2026-04-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
19
|
12
|
—
|
—
|
$20,909.68
|
$37,906.09
|
$21,955.16
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
7
|
4
|
—
|
—
|
$32,853.56
|
$103,327.76
|
$70,083.18
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
19
|
12
|
—
|
—
|
$110,661.52
|
$209,908.26
|
$116,194.60
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
19
|
12
|
—
|
—
|
$20,812.42
|
$37,719.69
|
$21,853.04
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
19
|
12
|
—
|
—
|
$31,362.80
|
$57,938.64
|
$32,930.94
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
19
|
12
|
—
|
—
|
$31,433.00
|
$58,073.18
|
$33,004.65
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
19
|
12
|
—
|
—
|
$22,846.54
|
$41,617.93
|
$23,988.87
|
2026-04-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
20
|
13
|
—
|
—
|
$3,562.82
|
$39,794.43
|
$21,895.03
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
22
|
12
|
—
|
—
|
$1,300.47
|
$96,337.49
|
$51,399.56
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
25
|
13
|
—
|
—
|
$1,700.00
|
$65,791.86
|
$35,460.65
|
2026-04-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
28
|
15
|
—
|
—
|
$484.52
|
$39,698.79
|
$21,845.13
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
19
|
12
|
—
|
—
|
$39,435.02
|
$73,408.41
|
$41,406.77
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
19
|
12
|
—
|
—
|
$48,533.18
|
$90,844.30
|
$50,959.84
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
19
|
12
|
—
|
—
|
$24,891.66
|
$45,537.23
|
$26,136.24
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
19
|
12
|
—
|
—
|
$34,827.15
|
$64,577.80
|
$36,568.51
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$50,733.92
|
$95,061.85
|
$53,270.62
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
19
|
12
|
—
|
—
|
$39,907.81
|
$74,314.48
|
$41,903.20
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
19
|
12
|
—
|
—
|
$38,758.61
|
$75,821.90
|
$40,694.40
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
19
|
12
|
—
|
—
|
$27,857.00
|
$52,671.54
|
$29,249.85
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
19
|
12
|
—
|
—
|
$47,563.06
|
$119,711.88
|
$49,941.21
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
19
|
12
|
—
|
—
|
$41,764.32
|
$77,872.33
|
$43,852.54
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
20
|
12
|
—
|
—
|
$28,490.50
|
$52,434.11
|
$29,915.02
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
19
|
12
|
—
|
—
|
$23,057.14
|
$42,021.53
|
$24,210.00
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
19
|
12
|
—
|
—
|
$24,046.72
|
$43,917.97
|
$25,249.06
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
19
|
12
|
—
|
—
|
$74,371.21
|
$140,360.81
|
$78,089.77
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
28
|
15
|
—
|
—
|
$7,960.75
|
$80,049.19
|
$42,900.22
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
20
|
12
|
—
|
—
|
$12,120.26
|
$73,729.34
|
$41,582.60
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
22
|
12
|
—
|
—
|
$31,950.66
|
$112,032.55
|
$61,079.07
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
19
|
12
|
—
|
—
|
$32,227.19
|
$62,645.71
|
$33,818.97
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
19
|
12
|
—
|
—
|
$36,624.46
|
$68,022.19
|
$38,455.68
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
4
|
1
|
—
|
—
|
$48,705.00
|
$56,010.75
|
$48,705.00
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
19
|
12
|
—
|
—
|
$32,196.75
|
$59,536.85
|
$33,806.59
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
20
|
13
|
—
|
—
|
$33,602.45
|
$62,230.76
|
$35,282.57
|
2026-04-01
|
|
9204
|
OTHER
|
Inj Tisotu Vedotin-tftv, 1mg
|
1
|
1
|
—
|
—
|
$38,296.27
|
$38,296.27
|
$38,296.27
|
2025-01-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
19
|
12
|
—
|
—
|
$181,710.41
|
$346,067.74
|
$190,795.93
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
19
|
12
|
—
|
—
|
$61,796.01
|
$116,261.45
|
$64,885.81
|
2026-04-01
|
|
9284
|
OTHER
|
Ipilimumab Injection
|
1
|
1
|
—
|
—
|
$22,796.91
|
$22,796.91
|
$22,796.91
|
2025-01-01
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
3
|
3
|
—
|
—
|
$54,631.99
|
$54,631.99
|
$54,631.99
|
2025-01-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$28,371.24
|
$52,205.57
|
$29,789.80
|
2026-04-01
|
|
92933
|
HCPCS
|
Prq Card Stent/ath/angio
|
7
|
4
|
—
|
—
|
$18,265.72
|
$32,878.29
|
$21,851.49
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
19
|
12
|
—
|
—
|
$31,222.98
|
$63,120.63
|
$34,066.79
|
2026-04-01
|
|
93580
|
HCPCS
|
Transcath Closure Of Asd
|
7
|
4
|
—
|
—
|
$18,265.72
|
$32,878.29
|
$21,851.49
|
2026-04-01
|
|
93581
|
HCPCS
|
Transcath Closure Of Vsd
|
7
|
4
|
—
|
—
|
$18,265.72
|
$32,878.29
|
$21,851.49
|
2026-04-01
|
|
93582
|
HCPCS
|
Perq Transcath Closure Pda
|
7
|
4
|
—
|
—
|
$18,265.72
|
$32,878.29
|
$21,851.49
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
7
|
4
|
—
|
—
|
$21,142.75
|
$46,878.96
|
$27,106.09
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
7
|
4
|
—
|
—
|
$21,142.75
|
$46,878.96
|
$27,106.09
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
7
|
4
|
—
|
—
|
$21,142.75
|
$46,878.96
|
$27,106.09
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
19
|
12
|
—
|
—
|
$31,819.53
|
$58,813.93
|
$33,410.51
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
19
|
12
|
—
|
—
|
$30,896.77
|
$57,045.54
|
$32,441.61
|
2026-04-01
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
19
|
12
|
—
|
—
|
$20,895.30
|
$37,878.54
|
$21,940.06
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
19
|
12
|
—
|
—
|
$22,944.65
|
$41,805.95
|
$24,091.88
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
19
|
12
|
—
|
—
|
$58,061.00
|
$122,531.45
|
$60,964.05
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
19
|
12
|
—
|
—
|
$32,957.11
|
$75,638.58
|
$34,604.97
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
19
|
12
|
—
|
—
|
$65,578.38
|
$123,510.06
|
$68,857.30
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
19
|
12
|
—
|
—
|
$36,770.78
|
$68,302.61
|
$38,609.32
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$26,030.94
|
$47,720.57
|
$27,332.49
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
19
|
12
|
—
|
—
|
$22,944.65
|
$41,805.95
|
$24,091.88
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
19
|
12
|
—
|
—
|
$24,252.24
|
$44,311.85
|
$25,464.85
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$52,903.38
|
$99,219.42
|
$55,548.55
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
19
|
12
|
—
|
—
|
$28,293.09
|
$58,543.25
|
$31,678.28
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$23,436.90
|
$42,749.31
|
$24,608.75
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
19
|
12
|
—
|
—
|
$25,539.54
|
$46,778.84
|
$26,816.52
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
19
|
12
|
—
|
—
|
$40,812.81
|
$76,048.83
|
$42,853.45
|
2026-04-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
19
|
12
|
—
|
—
|
$21,923.78
|
$39,849.54
|
$23,019.97
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
20
|
12
|
—
|
—
|
$30,127.10
|
$55,570.53
|
$31,633.46
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
7
|
4
|
—
|
—
|
$56,824.55
|
$102,284.19
|
$68,140.74
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
4
|
1
|
—
|
—
|
$67,138.44
|
$77,209.21
|
$67,138.44
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
7
|
4
|
—
|
—
|
$45,020.65
|
$81,037.17
|
$47,279.65
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
7
|
4
|
—
|
—
|
$28,424.06
|
$51,163.31
|
$29,496.67
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
7
|
4
|
—
|
—
|
$23,789.46
|
$43,611.16
|
$24,228.42
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
7
|
4
|
—
|
—
|
$55,272.32
|
$99,490.18
|
$59,168.69
|
2026-04-01
|