|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
4
|
1
|
—
|
—
|
$4,671,261.00
|
$4,671,261.00
|
$4,671,261.00
|
2026-04-01
|
|
C9172
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
4
|
1
|
—
|
—
|
$4,671,261.00
|
$4,671,261.00
|
$4,671,261.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
10
|
7
|
—
|
—
|
$3,427,298.00
|
$4,975,110.00
|
$4,671,261.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
7
|
—
|
—
|
$3,084,310.21
|
$4,477,224.49
|
$4,270,867.20
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
7
|
—
|
—
|
$3,021,054.51
|
$4,385,401.72
|
$4,137,402.60
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
10
|
7
|
—
|
—
|
$2,739,538.20
|
$3,976,749.00
|
$3,737,008.80
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
10
|
7
|
—
|
—
|
$2,283,252.86
|
$3,314,399.32
|
$3,099,107.21
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
7
|
—
|
—
|
$2,168,760.00
|
$3,148,200.00
|
$2,936,221.20
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
7
|
—
|
—
|
$550,305.37
|
$798,830.37
|
$712,176.98
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
10
|
7
|
—
|
—
|
$526,258.12
|
$763,923.08
|
$694,164.92
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
10
|
7
|
—
|
—
|
$518,305.68
|
$752,379.21
|
$665,198.18
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
10
|
7
|
—
|
—
|
$523,160.51
|
$759,426.55
|
$650,307.48
|
2026-04-01
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
4
|
1
|
—
|
—
|
$633,830.94
|
$633,830.94
|
$633,830.94
|
2026-04-01
|
|
C9098
|
HCPCS
|
Ciltacabtagene Car Pos T
|
4
|
1
|
—
|
—
|
$620,610.39
|
$620,610.39
|
$620,610.39
|
2026-04-01
|
|
C9076
|
HCPCS
|
Lisocabtagene Car Pos T
|
4
|
1
|
—
|
—
|
$619,930.48
|
$619,930.48
|
$619,930.48
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
10
|
7
|
—
|
—
|
$495,904.06
|
$719,860.73
|
$616,351.04
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
10
|
7
|
—
|
—
|
$455,053.29
|
$660,561.22
|
$614,505.66
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
27
|
15
|
—
|
—
|
$163,133.79
|
$604,904.66
|
$419,916.47
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
27
|
15
|
—
|
—
|
$232,372.80
|
$590,351.57
|
$290,515.92
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
27
|
15
|
—
|
—
|
$195,713.10
|
$403,054.00
|
$221,334.66
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
45
|
18
|
—
|
—
|
$70,136.89
|
$864,948.01
|
$202,984.20
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
42
|
19
|
—
|
—
|
$29,703.72
|
$218,594.13
|
$143,593.59
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
27
|
15
|
—
|
—
|
$107,810.18
|
$217,770.28
|
$134,251.10
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
27
|
15
|
—
|
—
|
$108,082.43
|
$336,893.29
|
$124,586.20
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
27
|
15
|
—
|
—
|
$90,912.53
|
$217,372.81
|
$117,473.60
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
26
|
14
|
—
|
—
|
$106,293.49
|
$231,551.66
|
$117,338.83
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
28
|
15
|
—
|
—
|
$60,711.26
|
$154,384.97
|
$113,740.76
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
27
|
15
|
—
|
—
|
$89,868.08
|
$228,858.49
|
$112,728.75
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
10
|
7
|
—
|
—
|
$103,138.64
|
$149,717.38
|
$107,703.51
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
27
|
15
|
—
|
—
|
$87,850.95
|
$223,214.42
|
$106,886.07
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
15
|
—
|
—
|
$79,615.80
|
$197,677.56
|
$101,415.55
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
32
|
16
|
—
|
—
|
$14,266.87
|
$180,762.20
|
$96,328.42
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
2
|
2
|
—
|
—
|
$58,485.90
|
$132,022.35
|
$95,254.12
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
15
|
—
|
—
|
$68,805.00
|
$137,052.53
|
$92,980.70
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
27
|
15
|
—
|
—
|
$75,993.23
|
$156,041.96
|
$89,770.61
|
2026-04-01
|
|
9331
|
OTHER
|
Inj, Polatuzumab Vedotin 1mg
|
1
|
1
|
—
|
—
|
$89,176.77
|
$89,176.77
|
$89,176.77
|
2025-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
27
|
15
|
—
|
—
|
$69,905.55
|
$147,425.29
|
$87,390.41
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
29
|
16
|
—
|
—
|
$58,379.17
|
$128,929.68
|
$86,333.51
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
27
|
15
|
—
|
—
|
$66,499.13
|
$176,907.94
|
$81,573.65
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
10
|
7
|
—
|
—
|
$58,908.32
|
$85,512.08
|
$79,829.51
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
15
|
—
|
—
|
$63,830.25
|
$143,561.40
|
$79,598.79
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
10
|
4
|
—
|
—
|
$17,523.40
|
$94,367.28
|
$79,335.65
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
27
|
15
|
—
|
—
|
$64,480.35
|
$116,822.50
|
$79,255.65
|
2026-04-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
4
|
1
|
—
|
—
|
$74,501.89
|
$74,501.89
|
$74,501.89
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
16
|
—
|
—
|
$39,250.93
|
$187,456.49
|
$74,486.92
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
27
|
15
|
—
|
—
|
$65,773.95
|
$100,517.21
|
$74,388.47
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
28
|
15
|
—
|
—
|
$55,097.63
|
$105,808.96
|
$74,023.55
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
27
|
15
|
—
|
—
|
$65,395.28
|
$141,911.30
|
$73,962.40
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
15
|
—
|
—
|
$58,298.63
|
$145,001.93
|
$73,587.01
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
16
|
—
|
—
|
$30,126.87
|
$101,118.15
|
$72,375.16
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
31
|
16
|
—
|
—
|
$47,549.82
|
$160,866.71
|
$70,661.07
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
10
|
7
|
—
|
—
|
$51,403.26
|
$74,617.64
|
$69,926.01
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
59
|
18
|
—
|
—
|
$12,899.34
|
$233,483.62
|
$69,739.85
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
15
|
9
|
—
|
—
|
$19,796.69
|
$86,563.64
|
$69,632.21
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
28
|
15
|
—
|
—
|
$56,330.18
|
$181,942.56
|
$69,466.16
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
4
|
1
|
—
|
—
|
$69,401.59
|
$69,401.59
|
$69,401.59
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
27
|
15
|
—
|
—
|
$51,034.50
|
$111,525.31
|
$69,317.07
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
15
|
—
|
—
|
$55,309.65
|
$100,027.58
|
$69,266.28
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
10
|
7
|
—
|
—
|
$63,985.59
|
$92,882.31
|
$68,839.45
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
15
|
—
|
—
|
$49,080.08
|
$106,529.23
|
$68,164.29
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
15
|
—
|
—
|
$53,273.55
|
$132,453.92
|
$68,164.29
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
4
|
4
|
—
|
—
|
$54,716.48
|
$63,936.93
|
$63,936.93
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
32
|
15
|
—
|
—
|
$19,184.57
|
$124,571.96
|
$63,541.60
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
27
|
15
|
—
|
—
|
$49,420.80
|
$118,845.98
|
$63,531.41
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
27
|
15
|
—
|
—
|
$52,172.18
|
$135,638.50
|
$63,457.80
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$63,166.95
|
$63,166.95
|
$63,166.95
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
27
|
15
|
—
|
—
|
$50,393.48
|
$132,078.13
|
$62,849.28
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
28
|
15
|
—
|
—
|
$51,100.50
|
$140,273.24
|
$61,989.19
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
54
|
18
|
—
|
—
|
$5,790.70
|
$132,885.11
|
$61,861.33
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
29
|
16
|
—
|
—
|
$41,948.60
|
$93,675.28
|
$61,727.11
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
27
|
15
|
—
|
—
|
$49,792.88
|
$214,344.81
|
$61,471.54
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
27
|
15
|
—
|
—
|
$48,541.35
|
$99,408.49
|
$60,838.13
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
28
|
15
|
—
|
—
|
$47,792.23
|
$108,352.77
|
$60,525.79
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
8
|
6
|
—
|
—
|
$50,459.48
|
$60,171.16
|
$60,171.16
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
35
|
16
|
—
|
—
|
$47,063.78
|
$108,523.80
|
$60,102.96
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
29
|
15
|
—
|
—
|
$12,367.30
|
$96,334.72
|
$59,785.91
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
14
|
—
|
—
|
$53,818.72
|
$93,988.44
|
$59,161.83
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
37
|
16
|
—
|
—
|
$18,089.22
|
$104,744.22
|
$59,085.12
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
31
|
16
|
—
|
—
|
$36,530.39
|
$104,103.45
|
$58,394.09
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
29
|
15
|
—
|
—
|
$45,417.90
|
$78,752.98
|
$58,281.70
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
27
|
15
|
—
|
—
|
$44,886.60
|
$93,412.71
|
$58,101.32
|
2026-04-01
|
|
9343
|
OTHER
|
Inj Givosiran 0.5 Mg
|
1
|
1
|
—
|
—
|
$57,657.64
|
$57,657.64
|
$57,657.64
|
2025-01-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
15
|
—
|
—
|
$41,273.93
|
$106,647.26
|
$57,444.18
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
27
|
15
|
—
|
—
|
$50,627.78
|
$106,827.93
|
$57,255.39
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
30
|
15
|
—
|
—
|
$1,855.21
|
$83,256.55
|
$57,174.57
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
11
|
7
|
—
|
—
|
$41,869.20
|
$80,353.19
|
$56,989.13
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
32
|
16
|
—
|
—
|
$45,596.93
|
$177,755.88
|
$56,912.26
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
27
|
15
|
—
|
—
|
$44,784.30
|
$90,772.55
|
$56,711.14
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
15
|
—
|
—
|
$12,143.32
|
$96,445.53
|
$56,376.04
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
27
|
15
|
—
|
—
|
$49,792.88
|
$109,663.22
|
$56,315.13
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
30
|
16
|
—
|
—
|
$44,513.70
|
$99,673.47
|
$56,287.29
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
15
|
—
|
—
|
$43,694.48
|
$106,661.72
|
$55,283.64
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
27
|
15
|
—
|
—
|
$42,485.03
|
$82,353.41
|
$55,250.47
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
27
|
15
|
—
|
—
|
$45,600.23
|
$129,307.88
|
$54,879.34
|
2026-04-01
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
7
|
4
|
—
|
—
|
$54,085.46
|
$54,085.46
|
$54,085.46
|
2025-01-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
29
|
15
|
—
|
—
|
$20,310.71
|
$72,791.17
|
$53,385.94
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$52,807.43
|
$52,807.43
|
$52,807.43
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
33
|
16
|
—
|
—
|
$26,627.93
|
$75,338.66
|
$52,314.22
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
15
|
—
|
—
|
$37,886.48
|
$91,213.38
|
$52,250.34
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
6
|
5
|
—
|
—
|
$52,125.79
|
$73,106.55
|
$52,125.79
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
55
|
19
|
—
|
—
|
$23,460.69
|
$75,208.76
|
$51,576.67
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
18
|
—
|
—
|
$20,434.42
|
$68,943.17
|
$51,259.78
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
29
|
15
|
—
|
—
|
$44,507.93
|
$109,747.53
|
$50,809.37
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
49
|
17
|
—
|
—
|
$11,312.52
|
$103,713.21
|
$50,808.51
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
40
|
16
|
—
|
—
|
$12,027.41
|
$119,248.27
|
$49,987.50
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
27
|
15
|
—
|
—
|
$41,306.10
|
$97,505.45
|
$49,804.83
|
2026-04-01
|
|
9236
|
OTHER
|
Eculizumab Injection
|
2
|
2
|
—
|
—
|
$49,577.47
|
$49,577.47
|
$49,577.47
|
2025-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
27
|
15
|
—
|
—
|
$38,811.30
|
$99,738.51
|
$49,353.88
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
27
|
15
|
—
|
—
|
$38,007.75
|
$184,980.20
|
$48,738.10
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
29
|
16
|
—
|
—
|
$39,395.40
|
$72,686.39
|
$48,493.44
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
27
|
15
|
—
|
—
|
$40,003.43
|
$85,870.41
|
$48,070.48
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
33
|
16
|
—
|
—
|
$29,802.51
|
$87,192.91
|
$48,051.99
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
10
|
7
|
—
|
—
|
$44,011.76
|
$66,606.54
|
$47,611.35
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
50
|
16
|
—
|
—
|
$150.00
|
$77,504.27
|
$47,586.36
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
43
|
19
|
—
|
—
|
$250.00
|
$93,203.14
|
$47,573.90
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
31
|
16
|
—
|
—
|
$38,603.40
|
$123,350.17
|
$47,102.58
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
28
|
15
|
—
|
—
|
$32,827.48
|
$88,197.42
|
$47,084.79
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
28
|
15
|
—
|
—
|
$39,224.63
|
$63,643.40
|
$46,739.07
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
34
|
17
|
—
|
—
|
$25,502.44
|
$67,640.43
|
$46,537.76
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
30
|
15
|
—
|
—
|
$33,873.11
|
$108,991.13
|
$46,391.26
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
51
|
18
|
—
|
—
|
$7,012.95
|
$106,970.06
|
$46,339.72
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
27
|
15
|
—
|
—
|
$36,238.13
|
$72,544.32
|
$46,265.63
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
10
|
7
|
—
|
—
|
$42,746.72
|
$64,691.99
|
$46,242.79
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
28
|
16
|
—
|
—
|
$9,983.58
|
$95,441.01
|
$46,239.57
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
34
|
16
|
—
|
—
|
$9,754.49
|
$78,308.85
|
$45,693.72
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
6
|
6
|
—
|
—
|
$37,996.20
|
$45,470.07
|
$45,470.07
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
29
|
15
|
—
|
—
|
$29,399.24
|
$100,345.55
|
$44,458.15
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
46
|
18
|
—
|
—
|
$12,460.78
|
$69,015.27
|
$44,322.23
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
28
|
15
|
—
|
—
|
$9,125.14
|
$80,727.39
|
$44,018.67
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
36
|
17
|
—
|
—
|
$34,323.30
|
$74,637.24
|
$43,780.73
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
27
|
15
|
—
|
—
|
$33,853.05
|
$99,577.11
|
$43,706.09
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
31
|
15
|
—
|
—
|
$33,903.38
|
$73,264.59
|
$43,684.32
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
27
|
15
|
—
|
—
|
$33,922.35
|
$79,079.70
|
$43,424.12
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
28
|
15
|
—
|
—
|
$36,549.15
|
$68,022.80
|
$43,309.67
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
27
|
15
|
—
|
—
|
$35,621.03
|
$99,049.56
|
$43,256.18
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$43,054.28
|
$43,054.28
|
$43,054.28
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
28
|
16
|
—
|
—
|
$33,553.58
|
$78,547.33
|
$43,052.99
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
27
|
15
|
—
|
—
|
$32,257.50
|
$70,971.31
|
$42,767.90
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
32
|
15
|
—
|
—
|
$103.98
|
$63,494.05
|
$42,616.75
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
37
|
15
|
—
|
—
|
$10,569.65
|
$68,935.78
|
$42,378.64
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$41,726.03
|
$41,726.03
|
$41,726.03
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
33
|
16
|
—
|
—
|
$33,749.46
|
$77,150.16
|
$41,632.93
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$41,420.78
|
$41,420.78
|
$41,420.78
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
27
|
15
|
—
|
—
|
$29,572.95
|
$58,618.42
|
$41,302.05
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
15
|
9
|
—
|
—
|
$1,696.44
|
$59,248.92
|
$40,815.92
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
5
|
5
|
—
|
—
|
$30,177.68
|
$40,675.76
|
$40,675.76
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
46
|
16
|
—
|
—
|
$5,047.36
|
$66,678.63
|
$40,554.31
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
27
|
15
|
—
|
—
|
$35,695.28
|
$54,549.95
|
$40,370.08
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
16
|
—
|
—
|
$27,072.54
|
$84,299.81
|
$40,189.45
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
27
|
15
|
—
|
—
|
$32,080.13
|
$64,315.49
|
$40,126.46
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
28
|
15
|
—
|
—
|
$7,714.07
|
$54,139.52
|
$39,886.46
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
47
|
18
|
—
|
—
|
$1,823.96
|
$58,407.76
|
$39,444.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
38
|
16
|
—
|
—
|
$21,175.14
|
$59,468.76
|
$39,200.32
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
38
|
19
|
—
|
—
|
$2,561.27
|
$56,858.47
|
$39,193.70
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
41
|
17
|
—
|
—
|
$22,283.21
|
$112,313.02
|
$39,009.97
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
27
|
15
|
—
|
—
|
$29,566.35
|
$57,216.43
|
$38,743.54
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
37
|
17
|
—
|
—
|
$19,401.27
|
$52,205.01
|
$38,634.69
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
29
|
16
|
—
|
—
|
$23,267.99
|
$74,700.30
|
$38,491.22
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
27
|
15
|
—
|
—
|
$28,645.65
|
$118,099.22
|
$38,416.99
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
10
|
7
|
—
|
—
|
$35,471.10
|
$53,376.15
|
$38,154.07
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
5
|
4
|
—
|
—
|
$24,712.05
|
$38,078.15
|
$38,078.15
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
38
|
17
|
—
|
—
|
$25,039.37
|
$75,831.00
|
$37,958.76
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
28
|
16
|
—
|
—
|
$11,339.77
|
$60,827.39
|
$37,907.06
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
34
|
17
|
—
|
—
|
$28,643.72
|
$62,602.75
|
$37,642.16
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
27
|
15
|
—
|
—
|
$26,183.85
|
$58,799.08
|
$37,615.64
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
27
|
15
|
—
|
—
|
$28,615.13
|
$59,280.87
|
$37,534.78
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
27
|
15
|
—
|
—
|
$29,426.93
|
$72,980.34
|
$37,508.87
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
28
|
16
|
—
|
—
|
$29,574.60
|
$104,189.54
|
$37,442.52
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
28
|
16
|
—
|
—
|
$25,033.99
|
$67,307.35
|
$37,417.88
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
27
|
15
|
—
|
—
|
$26,434.65
|
$53,704.24
|
$37,386.54
|
2026-04-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
8
|
7
|
—
|
—
|
$29,086.67
|
$42,222.59
|
$37,355.64
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
27
|
15
|
—
|
—
|
$32,840.78
|
$60,581.68
|
$37,141.88
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
27
|
15
|
—
|
—
|
$32,482.73
|
$72,397.38
|
$37,055.84
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
27
|
15
|
—
|
—
|
$28,884.08
|
$92,800.85
|
$36,963.58
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
27
|
15
|
—
|
—
|
$28,904.70
|
$65,042.98
|
$36,932.48
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
45
|
19
|
—
|
—
|
$8,973.76
|
$65,664.48
|
$36,867.17
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
28
|
15
|
—
|
—
|
$11,292.25
|
$70,431.71
|
$36,320.84
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
45
|
17
|
—
|
—
|
$10,235.29
|
$90,847.22
|
$36,162.23
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
37
|
16
|
—
|
—
|
$4,810.10
|
$79,381.19
|
$36,128.03
|
2026-04-01
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
8
|
7
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$36,061.24
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
32
|
16
|
—
|
—
|
$23,957.94
|
$63,455.51
|
$35,816.82
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
29
|
15
|
—
|
—
|
$11,804.07
|
$69,648.42
|
$35,647.00
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
2
|
2
|
—
|
—
|
$21,916.13
|
$48,456.08
|
$35,186.11
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
33
|
16
|
—
|
—
|
$3,009.12
|
$49,857.27
|
$35,044.53
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
29
|
15
|
—
|
—
|
$25,271.50
|
$80,626.22
|
$35,003.32
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
10
|
7
|
—
|
—
|
$32,522.22
|
$47,209.68
|
$34,989.32
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
11
|
8
|
—
|
—
|
$13,249.85
|
$63,641.24
|
$34,749.72
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
39
|
17
|
—
|
—
|
$14,609.15
|
$50,960.49
|
$34,631.06
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
36
|
16
|
—
|
—
|
$7,657.64
|
$56,604.57
|
$34,536.52
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
30
|
16
|
—
|
—
|
$23,140.84
|
$61,706.64
|
$34,330.21
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
27
|
15
|
—
|
—
|
$22,575.30
|
$48,431.14
|
$34,244.39
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
33
|
17
|
—
|
—
|
$20,891.66
|
$48,627.37
|
$34,191.71
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
27
|
15
|
—
|
—
|
$27,395.78
|
$46,115.74
|
$34,128.28
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
27
|
15
|
—
|
—
|
$25,746.60
|
$59,584.39
|
$34,124.13
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
41
|
17
|
—
|
—
|
$8,868.44
|
$52,432.34
|
$34,113.83
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
18
|
—
|
—
|
$6,671.46
|
$48,851.50
|
$33,852.40
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
29
|
15
|
—
|
—
|
$28,106.10
|
$80,561.18
|
$33,720.87
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
36
|
15
|
—
|
—
|
$15,526.30
|
$103,131.25
|
$33,535.30
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
27
|
15
|
—
|
—
|
$25,337.40
|
$147,198.85
|
$33,479.32
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
30
|
16
|
—
|
—
|
$26,594.70
|
$50,621.39
|
$33,454.44
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
35
|
17
|
—
|
—
|
$23,929.58
|
$60,701.05
|
$33,426.85
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
27
|
15
|
—
|
—
|
$26,236.65
|
$49,168.26
|
$33,389.13
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
30
|
15
|
—
|
—
|
$25,457.85
|
$54,263.11
|
$33,338.31
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
27
|
15
|
—
|
—
|
$23,611.50
|
$44,971.28
|
$33,281.32
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
35
|
16
|
—
|
—
|
$3,108.07
|
$79,819.23
|
$33,176.86
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
31
|
16
|
—
|
—
|
$27,984.00
|
$64,320.31
|
$33,098.86
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
27
|
15
|
—
|
—
|
$29,125.80
|
$83,555.45
|
$32,939.22
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
15
|
9
|
—
|
—
|
$1,592.76
|
$55,194.96
|
$32,853.56
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
29
|
17
|
—
|
—
|
$6,932.92
|
$78,210.08
|
$32,758.84
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
29
|
16
|
—
|
—
|
$23,239.92
|
$69,154.99
|
$32,709.22
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
35
|
16
|
—
|
—
|
$22,245.67
|
$70,513.61
|
$32,649.98
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
14
|
8
|
—
|
—
|
$1,621.25
|
$46,471.08
|
$32,533.36
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
28
|
15
|
—
|
—
|
$20,099.92
|
$49,404.34
|
$32,427.03
|
2026-04-01
|
|
0909T
|
OTHER
|
Rplcmt Int Nstim Sys Vgs Nrv
|
6
|
6
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$32,407.06
|
2026-04-01
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
6
|
6
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$32,407.06
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
6
|
6
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$32,407.06
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
33
|
16
|
—
|
—
|
$12,170.07
|
$66,163.12
|
$32,372.24
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
28
|
15
|
—
|
—
|
$28,325.55
|
$52,608.19
|
$32,211.35
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
30
|
16
|
—
|
—
|
$20,965.19
|
$69,436.83
|
$32,087.50
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
32
|
15
|
—
|
—
|
$22,139.08
|
$90,384.71
|
$32,084.69
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
27
|
15
|
—
|
—
|
$22,125.68
|
$55,151.99
|
$31,695.21
|
2026-04-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
12
|
8
|
—
|
—
|
$453.80
|
$42,222.59
|
$31,557.47
|
2026-04-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
12
|
8
|
—
|
—
|
$801.08
|
$42,222.59
|
$31,557.47
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
29
|
15
|
—
|
—
|
$25,735.05
|
$53,104.42
|
$31,452.75
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
36
|
17
|
—
|
—
|
$7,032.65
|
$45,364.91
|
$31,364.94
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
15
|
9
|
—
|
—
|
$530.81
|
$42,222.59
|
$31,275.99
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
15
|
9
|
—
|
—
|
$531.64
|
$42,222.59
|
$31,275.99
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
28
|
15
|
—
|
—
|
$23,651.93
|
$43,341.11
|
$31,167.97
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
28
|
15
|
—
|
—
|
$19,736.29
|
$53,128.51
|
$31,133.92
|
2026-04-01
|
|
A9555
|
HCPCS
|
Rb82 Rubidium
|
5
|
2
|
—
|
—
|
$612.69
|
$31,099.26
|
$31,099.26
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
29
|
15
|
—
|
—
|
$17,176.68
|
$42,502.81
|
$31,031.53
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
27
|
15
|
—
|
—
|
$25,314.30
|
$51,981.87
|
$30,855.51
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
15
|
9
|
—
|
—
|
$1,142.07
|
$43,791.59
|
$30,746.74
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
15
|
9
|
—
|
—
|
$1,145.98
|
$41,508.09
|
$30,746.74
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
33
|
17
|
—
|
—
|
$22,698.38
|
$79,855.37
|
$30,661.73
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
15
|
9
|
—
|
—
|
$734.32
|
$42,222.59
|
$30,635.31
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
27
|
15
|
—
|
—
|
$21,810.53
|
$43,680.77
|
$30,520.66
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
32
|
15
|
—
|
—
|
$837.77
|
$41,198.93
|
$30,352.68
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
38
|
17
|
—
|
—
|
$11,387.45
|
$61,400.71
|
$30,191.00
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
17
|
—
|
—
|
$13,689.05
|
$57,199.57
|
$30,183.71
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
30
|
15
|
—
|
—
|
$24,057.83
|
$59,549.03
|
$30,134.92
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
28
|
16
|
—
|
—
|
$24,195.60
|
$60,612.99
|
$30,084.22
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
27
|
15
|
—
|
—
|
$23,167.65
|
$65,153.79
|
$30,065.56
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
27
|
15
|
—
|
—
|
$22,492.80
|
$41,943.94
|
$29,932.87
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
27
|
15
|
—
|
—
|
$21,860.85
|
$69,774.08
|
$29,874.81
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
36
|
15
|
—
|
—
|
$198.72
|
$63,837.61
|
$29,784.04
|
2026-04-01
|
|
5464
|
OTHER
|
Level 4 Neurostimulator And Related Procedures
|
20
|
11
|
—
|
—
|
$11,403.18
|
$29,706.83
|
$29,706.83
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
32
|
15
|
—
|
—
|
$6,504.56
|
$67,827.68
|
$29,670.74
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
3
|
2
|
—
|
—
|
$28,966.26
|
$42,359.21
|
$29,271.04
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
27
|
15
|
—
|
—
|
$24,037.20
|
$46,311.29
|
$29,124.26
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
27
|
15
|
—
|
—
|
$21,833.63
|
$47,867.45
|
$28,934.55
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
11
|
9
|
—
|
—
|
$17,187.12
|
$134,633.92
|
$28,887.17
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
14
|
8
|
—
|
—
|
$2,521.01
|
$38,033.52
|
$28,768.47
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
15
|
9
|
—
|
—
|
$451.73
|
$38,583.28
|
$28,580.21
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
42
|
17
|
—
|
—
|
$9,903.84
|
$47,007.47
|
$28,575.02
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
10
|
7
|
—
|
—
|
$26,368.61
|
$39,905.70
|
$28,525.19
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
40
|
16
|
—
|
—
|
$5,892.97
|
$45,964.41
|
$28,487.75
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
30
|
15
|
—
|
—
|
$22,411.95
|
$57,457.32
|
$28,340.54
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
7
|
5
|
—
|
—
|
$17,943.70
|
$28,116.58
|
$28,116.58
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
27
|
15
|
—
|
—
|
$22,034.93
|
$60,890.02
|
$28,088.63
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
44
|
18
|
—
|
—
|
$589.30
|
$58,565.42
|
$28,079.15
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
30
|
15
|
—
|
—
|
$17,578.91
|
$38,828.78
|
$27,937.41
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
34
|
16
|
—
|
—
|
$19,212.66
|
$72,647.91
|
$27,850.82
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
7
|
6
|
—
|
—
|
$15,753.38
|
$27,787.06
|
$27,787.06
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
33
|
15
|
—
|
—
|
$22,481.37
|
$63,665.08
|
$27,721.54
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
39
|
16
|
—
|
—
|
$14,662.47
|
$93,144.96
|
$27,662.85
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
27
|
15
|
—
|
—
|
$23,624.70
|
$57,546.45
|
$27,575.48
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
27
|
15
|
—
|
—
|
$21,888.90
|
$43,916.84
|
$27,341.19
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
15
|
9
|
—
|
—
|
$712.34
|
$41,508.09
|
$27,331.40
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
30
|
15
|
—
|
—
|
$7,171.94
|
$65,132.11
|
$27,280.85
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
31
|
16
|
—
|
—
|
$19,671.43
|
$57,064.67
|
$27,253.57
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
30
|
15
|
—
|
—
|
$9,552.96
|
$41,199.59
|
$27,192.91
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
15
|
9
|
—
|
—
|
$469.48
|
$41,508.09
|
$26,984.62
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
42
|
18
|
—
|
—
|
$15,545.69
|
$49,705.45
|
$26,787.06
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
27
|
15
|
—
|
—
|
$22,228.80
|
$51,796.38
|
$26,775.16
|
2026-04-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
28
|
16
|
—
|
—
|
$21,067.20
|
$42,570.26
|
$26,755.07
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
28
|
15
|
—
|
—
|
$19,775.25
|
$41,910.22
|
$26,737.84
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
28
|
15
|
—
|
—
|
$19,775.25
|
$59,680.75
|
$26,737.84
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
30
|
15
|
—
|
—
|
$6,262.73
|
$70,383.53
|
$26,726.22
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
39
|
16
|
—
|
—
|
$12,122.49
|
$52,133.31
|
$26,691.53
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
38
|
17
|
—
|
—
|
$15,132.70
|
$93,371.37
|
$26,466.24
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
37
|
17
|
—
|
—
|
$21,319.65
|
$35,721.73
|
$26,340.80
|
2026-04-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
8
|
7
|
—
|
—
|
$20,612.14
|
$29,920.85
|
$26,298.26
|
2026-04-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
8
|
7
|
—
|
—
|
$20,612.14
|
$29,920.85
|
$26,298.26
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
43
|
17
|
—
|
—
|
$7,143.87
|
$58,042.78
|
$26,165.60
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
30
|
16
|
—
|
—
|
$17,126.72
|
$62,766.56
|
$26,036.78
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
30
|
17
|
—
|
—
|
$12,451.60
|
$39,853.01
|
$25,895.76
|
2026-04-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
59
|
19
|
—
|
—
|
$15,853.89
|
$74,827.11
|
$25,548.64
|
2026-04-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/Mcc
|
33
|
16
|
—
|
—
|
$14,323.46
|
$38,436.57
|
$25,308.27
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
32
|
17
|
—
|
—
|
$12,704.85
|
$46,520.87
|
$25,224.58
|
2026-04-01
|
|
5378
|
OTHER
|
Level 8 Urology And Related Services
|
14
|
9
|
—
|
—
|
$10,788.91
|
$32,656.38
|
$25,153.42
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
30
|
15
|
—
|
—
|
$11,121.75
|
$34,906.54
|
$25,139.26
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
26
|
14
|
—
|
—
|
$23,104.72
|
$41,194.77
|
$25,110.27
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
34
|
17
|
—
|
—
|
$1,961.19
|
$50,584.70
|
$25,037.33
|
2026-04-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
27
|
14
|
—
|
—
|
$14,869.06
|
$50,907.50
|
$25,028.37
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
54
|
18
|
—
|
—
|
$8,224.78
|
$41,837.95
|
$24,966.97
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
27
|
15
|
—
|
—
|
$19,095.45
|
$57,115.26
|
$24,935.07
|
2026-04-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
32
|
17
|
—
|
—
|
$18,765.45
|
$41,170.68
|
$24,897.18
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
1
|
1
|
—
|
—
|
$24,830.85
|
$24,830.85
|
$24,830.85
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
28
|
16
|
—
|
—
|
$15,845.11
|
$33,547.76
|
$24,715.80
|
2026-04-01
|