|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
8
|
6
|
—
|
—
|
$3,084,310.21
|
$4,772,204.80
|
$4,394,312.93
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
8
|
6
|
—
|
—
|
$3,021,054.51
|
$4,623,073.40
|
$4,304,190.57
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,427,298.00
|
$4,975,110.00
|
$4,016,940.67
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
6
|
—
|
—
|
$2,739,538.20
|
$4,175,679.20
|
$3,903,105.50
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
6
|
—
|
—
|
$2,283,252.86
|
$3,462,897.26
|
$3,253,021.55
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
8
|
6
|
—
|
—
|
$2,168,760.00
|
$3,280,890.80
|
$3,089,900.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
8
|
6
|
—
|
—
|
$550,305.37
|
$798,830.37
|
$782,510.12
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
8
|
6
|
—
|
—
|
$526,258.12
|
$775,649.77
|
$749,776.35
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
8
|
6
|
—
|
—
|
$518,305.68
|
$752,379.21
|
$733,898.04
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
8
|
6
|
—
|
—
|
$523,160.51
|
$759,426.55
|
$726,644.11
|
2026-04-01
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
3
|
1
|
—
|
—
|
$708,233.46
|
$708,233.46
|
$708,233.46
|
2026-04-01
|
|
C9098
|
HCPCS
|
Ciltacabtagene Car Pos T
|
3
|
1
|
—
|
—
|
$693,461.01
|
$693,461.01
|
$693,461.01
|
2026-04-01
|
|
C9076
|
HCPCS
|
Lisocabtagene Car Pos T
|
3
|
1
|
—
|
—
|
$692,701.28
|
$692,701.28
|
$692,701.28
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
8
|
6
|
—
|
—
|
$495,904.06
|
$719,860.73
|
$688,701.68
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
8
|
6
|
—
|
—
|
$455,053.29
|
$686,639.67
|
$648,328.60
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
34
|
15
|
—
|
—
|
$154,480.07
|
$999,941.43
|
$501,668.41
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
45
|
15
|
—
|
—
|
$29,743.57
|
$1,169,963.28
|
$325,708.44
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
27
|
14
|
—
|
—
|
$187,139.00
|
$722,639.82
|
$248,245.61
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
56
|
16
|
—
|
—
|
$32,802.92
|
$551,108.61
|
$193,260.17
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
37
|
15
|
—
|
—
|
$113,632.84
|
$672,150.64
|
$163,207.49
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
30
|
14
|
—
|
—
|
$105,474.82
|
$420,850.49
|
$139,915.58
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
38
|
15
|
—
|
—
|
$90,534.36
|
$528,703.54
|
$129,940.14
|
2026-04-01
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
1
|
1
|
—
|
—
|
$124,912.05
|
$124,912.05
|
$124,912.05
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
47
|
16
|
—
|
—
|
$65,304.21
|
$482,918.84
|
$123,998.70
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
2
|
1
|
—
|
—
|
$118,307.68
|
$118,307.68
|
$118,307.68
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
8
|
6
|
—
|
—
|
$103,138.64
|
$149,717.38
|
$116,772.64
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
27
|
14
|
—
|
—
|
$89,387.90
|
$219,268.58
|
$114,599.78
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
26
|
14
|
—
|
—
|
$94,832.40
|
$205,841.88
|
$113,527.57
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
35
|
14
|
—
|
—
|
$41,354.65
|
$241,654.80
|
$102,126.48
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
35
|
14
|
—
|
—
|
$38,054.68
|
$154,384.97
|
$98,727.84
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
47
|
15
|
—
|
—
|
$39,281.09
|
$211,630.92
|
$95,560.47
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
61
|
18
|
—
|
—
|
$23,401.00
|
$156,876.78
|
$92,587.77
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$91,033.89
|
$91,033.89
|
$91,033.89
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
46
|
16
|
—
|
—
|
$25,710.61
|
$179,792.53
|
$90,967.42
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
9
|
4
|
—
|
—
|
$17,523.40
|
$94,367.28
|
$87,956.67
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
32
|
14
|
—
|
—
|
$39,082.10
|
$147,764.43
|
$84,494.14
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
8
|
6
|
—
|
—
|
$58,908.32
|
$89,200.33
|
$83,928.52
|
2026-04-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
3
|
1
|
—
|
—
|
$83,247.33
|
$83,247.33
|
$83,247.33
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
33
|
14
|
—
|
—
|
$39,111.06
|
$209,306.71
|
$82,393.23
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
30
|
14
|
—
|
—
|
$45,869.56
|
$129,782.33
|
$80,766.26
|
2026-04-01
|
|
C9150
|
HCPCS
|
Xe129 Xenon, Diagnostic
|
3
|
1
|
—
|
—
|
$77,548.33
|
$77,548.33
|
$77,548.33
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
8
|
6
|
—
|
—
|
$63,985.59
|
$92,882.31
|
$76,920.20
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
46
|
16
|
—
|
—
|
$26,746.92
|
$152,475.73
|
$76,313.88
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
13
|
8
|
—
|
—
|
$19,796.69
|
$96,724.95
|
$73,871.91
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
25
|
14
|
—
|
—
|
$63,103.54
|
$100,517.21
|
$73,720.56
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
25
|
14
|
—
|
—
|
$62,743.90
|
$134,383.35
|
$73,298.31
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
8
|
6
|
—
|
—
|
$51,403.26
|
$78,134.30
|
$73,235.83
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
30
|
15
|
—
|
—
|
$51,321.82
|
$100,878.19
|
$72,145.90
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
15
|
—
|
—
|
$26,222.15
|
$182,979.08
|
$71,785.21
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
27
|
14
|
—
|
—
|
$53,877.10
|
$128,443.31
|
$71,469.62
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
29
|
14
|
—
|
—
|
$53,363.45
|
$184,603.76
|
$70,788.25
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
40
|
15
|
—
|
—
|
$35,181.63
|
$271,692.58
|
$70,580.06
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
45
|
15
|
—
|
—
|
$20,402.92
|
$268,597.35
|
$69,745.70
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
16
|
—
|
—
|
$33,296.15
|
$149,917.95
|
$68,879.08
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
42
|
16
|
—
|
—
|
$11,424.60
|
$164,354.35
|
$68,357.63
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
34
|
14
|
—
|
—
|
$42,386.24
|
$150,619.10
|
$67,260.99
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
26
|
14
|
—
|
—
|
$47,107.56
|
$117,963.82
|
$65,708.62
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
10
|
6
|
—
|
—
|
$65,095.81
|
$65,095.81
|
$65,095.81
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
39
|
15
|
—
|
—
|
$22,697.32
|
$181,559.48
|
$64,774.42
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
47
|
17
|
—
|
—
|
$36,993.84
|
$182,593.93
|
$64,140.52
|
2026-04-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
45
|
15
|
—
|
—
|
$13,149.31
|
$105,025.31
|
$63,341.25
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
40
|
16
|
—
|
—
|
$22,906.05
|
$140,815.67
|
$62,308.39
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
62
|
19
|
—
|
—
|
$14,133.37
|
$186,988.72
|
$62,035.00
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
16
|
—
|
—
|
$33,332.71
|
$270,656.63
|
$61,732.31
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
9
|
6
|
—
|
—
|
$41,869.20
|
$80,353.19
|
$60,777.88
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
34
|
16
|
—
|
—
|
$33,293.45
|
$254,298.59
|
$60,421.53
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
37
|
14
|
—
|
—
|
$24,115.32
|
$119,581.84
|
$60,023.30
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
34
|
14
|
—
|
—
|
$47,286.53
|
$112,536.96
|
$59,979.55
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
47
|
17
|
—
|
—
|
$26,124.77
|
$277,699.18
|
$58,853.10
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
58
|
17
|
—
|
—
|
$25,157.60
|
$103,024.28
|
$58,124.19
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
35
|
14
|
—
|
—
|
$26,553.50
|
$202,974.50
|
$58,059.75
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
47
|
17
|
—
|
—
|
$10,093.87
|
$210,314.17
|
$57,774.98
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
25
|
14
|
—
|
—
|
$49,355.76
|
$88,457.47
|
$57,579.64
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
26
|
14
|
—
|
—
|
$50,250.92
|
$89,002.65
|
$57,260.99
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
52
|
18
|
—
|
—
|
$11,511.17
|
$128,753.05
|
$57,248.82
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
25
|
14
|
—
|
—
|
$48,641.72
|
$101,161.05
|
$56,741.31
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
34
|
14
|
—
|
—
|
$30,813.57
|
$132,119.17
|
$56,689.58
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
25
|
14
|
—
|
—
|
$47,848.06
|
$103,845.93
|
$55,809.49
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
54
|
16
|
—
|
—
|
$22,939.80
|
$121,437.51
|
$55,328.79
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
51
|
17
|
—
|
—
|
$30,532.35
|
$110,171.72
|
$55,172.35
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
41
|
15
|
—
|
—
|
$6,077.10
|
$298,638.57
|
$55,040.03
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
29
|
15
|
—
|
—
|
$40,888.84
|
$284,513.46
|
$54,240.30
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
41
|
16
|
—
|
—
|
$20,402.92
|
$122,297.45
|
$54,025.57
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
42
|
16
|
—
|
—
|
$16,504.32
|
$145,174.29
|
$53,952.47
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
54
|
16
|
—
|
—
|
$24,632.64
|
$132,688.77
|
$53,518.82
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
43
|
17
|
—
|
—
|
$7,544.26
|
$235,531.42
|
$53,269.07
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
64
|
17
|
—
|
—
|
$16,788.20
|
$108,314.31
|
$53,192.14
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
39
|
16
|
—
|
—
|
$16,350.01
|
$107,108.81
|
$52,686.34
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
16
|
—
|
—
|
$41,388.15
|
$169,310.46
|
$52,593.15
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
36
|
14
|
—
|
—
|
$17,185.01
|
$113,399.29
|
$52,533.19
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
59
|
17
|
—
|
—
|
$16,036.90
|
$177,741.95
|
$52,438.79
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
31
|
14
|
—
|
—
|
$42,484.54
|
$77,984.82
|
$52,219.22
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
40
|
16
|
—
|
—
|
$36,214.16
|
$87,013.51
|
$52,014.92
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
31
|
14
|
—
|
—
|
$33,181.55
|
$122,448.51
|
$51,870.79
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
39
|
15
|
—
|
—
|
$10,747.70
|
$123,580.03
|
$51,813.98
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
41
|
16
|
—
|
—
|
$7,313.59
|
$108,401.50
|
$51,210.38
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
33
|
14
|
—
|
—
|
$40,856.15
|
$198,166.61
|
$50,922.84
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
50
|
17
|
—
|
—
|
$26,187.89
|
$133,224.87
|
$50,882.40
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
45
|
16
|
—
|
—
|
$12,203.78
|
$94,386.11
|
$50,752.44
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
40
|
14
|
—
|
—
|
$200.46
|
$106,795.10
|
$50,518.38
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
29
|
14
|
—
|
—
|
$42,420.11
|
$100,989.97
|
$50,020.14
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
9
|
6
|
—
|
—
|
$49,652.09
|
$49,652.09
|
$49,652.09
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
8
|
6
|
—
|
—
|
$45,884.51
|
$66,606.54
|
$49,258.15
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
45
|
16
|
—
|
—
|
$22,978.54
|
$181,498.78
|
$49,165.64
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
5
|
4
|
—
|
—
|
$49,098.94
|
$49,098.94
|
$49,098.94
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$48,981.62
|
$48,981.62
|
$48,981.62
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
55
|
17
|
—
|
—
|
$16,355.03
|
$132,550.39
|
$47,979.01
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
8
|
6
|
—
|
—
|
$44,565.59
|
$64,691.99
|
$47,842.27
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
5
|
5
|
—
|
—
|
$40,815.92
|
$59,248.92
|
$47,838.02
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
76
|
19
|
—
|
—
|
$5,186.08
|
$183,003.14
|
$47,816.35
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
36
|
15
|
—
|
—
|
$34,335.87
|
$118,381.79
|
$47,280.39
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
42
|
16
|
—
|
—
|
$32,175.55
|
$72,917.24
|
$46,798.56
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
27
|
14
|
—
|
—
|
$39,751.57
|
$175,167.59
|
$46,105.19
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
30
|
15
|
—
|
—
|
$22,066.71
|
$103,925.77
|
$46,102.96
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
8
|
5
|
—
|
—
|
$45,101.28
|
$45,101.28
|
$45,101.28
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
57
|
19
|
—
|
—
|
$12,716.24
|
$277,043.26
|
$44,852.04
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
30
|
14
|
—
|
—
|
$35,902.24
|
$88,165.16
|
$44,817.10
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
33
|
14
|
—
|
—
|
$29,656.54
|
$93,736.18
|
$44,752.36
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
37
|
14
|
—
|
—
|
$5,251.00
|
$112,922.53
|
$44,494.88
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
33
|
15
|
—
|
—
|
$12,461.15
|
$99,962.00
|
$44,426.32
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
40
|
15
|
—
|
—
|
$20,136.62
|
$101,091.37
|
$44,265.40
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
48
|
16
|
—
|
—
|
$11,001.43
|
$99,715.94
|
$44,115.88
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
47
|
17
|
—
|
—
|
$1,000.00
|
$197,158.47
|
$44,095.18
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
51
|
16
|
—
|
—
|
$22,621.74
|
$109,297.11
|
$43,647.38
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
43
|
16
|
—
|
—
|
$18,650.94
|
$82,071.60
|
$43,435.00
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
43
|
16
|
—
|
—
|
$17,724.62
|
$100,003.66
|
$43,387.64
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
33
|
15
|
—
|
—
|
$4,616.89
|
$113,187.79
|
$43,114.36
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
16
|
—
|
—
|
$4,964.85
|
$65,526.62
|
$42,087.62
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
69
|
18
|
—
|
—
|
$18,574.03
|
$92,163.45
|
$42,019.33
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
38
|
16
|
—
|
—
|
$29,086.59
|
$105,961.83
|
$41,907.12
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
36
|
14
|
—
|
—
|
$13,137.47
|
$122,684.53
|
$41,668.86
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
4
|
4
|
—
|
—
|
$17,048.99
|
$73,161.55
|
$41,435.66
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
56
|
17
|
—
|
—
|
$11,106.64
|
$148,654.69
|
$40,934.88
|
2026-04-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
13
|
8
|
—
|
—
|
$1,895.57
|
$59,248.92
|
$40,815.92
|
2026-04-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
7
|
6
|
—
|
—
|
$29,086.67
|
$45,979.51
|
$40,658.79
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
56
|
17
|
—
|
—
|
$5,342.27
|
$70,274.74
|
$40,465.71
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
38
|
16
|
—
|
—
|
$9,997.06
|
$90,378.17
|
$40,325.93
|
2026-04-01
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
7
|
6
|
—
|
—
|
$28,594.46
|
$43,702.18
|
$39,970.76
|
2026-04-01
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
8
|
6
|
—
|
—
|
$36,770.24
|
$53,376.15
|
$39,634.89
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
15
|
—
|
—
|
$26,746.92
|
$93,795.30
|
$39,267.64
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
48
|
16
|
—
|
—
|
$14,725.46
|
$60,303.09
|
$39,195.07
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
26
|
14
|
—
|
—
|
$34,389.03
|
$54,549.95
|
$39,128.32
|
2026-04-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
8
|
6
|
—
|
—
|
$32,522.22
|
$47,209.68
|
$39,096.56
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
38
|
14
|
—
|
—
|
$6,500.62
|
$95,022.54
|
$38,958.90
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
58
|
17
|
—
|
—
|
$5,242.57
|
$49,650.97
|
$38,685.69
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
37
|
14
|
—
|
—
|
$4,549.31
|
$107,831.71
|
$38,650.85
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
52
|
16
|
—
|
—
|
$13,429.97
|
$96,531.79
|
$38,624.47
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
38
|
16
|
—
|
—
|
$9,023.69
|
$82,484.86
|
$38,624.26
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
44
|
15
|
—
|
—
|
$17,989.49
|
$112,917.48
|
$38,185.64
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
33
|
14
|
—
|
—
|
$9,840.79
|
$81,228.27
|
$38,149.81
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
50
|
16
|
—
|
—
|
$10,330.81
|
$191,576.95
|
$37,965.15
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
49
|
17
|
—
|
—
|
$35.83
|
$111,703.83
|
$37,835.63
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
41
|
16
|
—
|
—
|
$3,461.70
|
$81,553.44
|
$37,650.08
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
42
|
17
|
—
|
—
|
$8,610.34
|
$81,633.81
|
$37,440.58
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
47
|
16
|
—
|
—
|
$20,493.51
|
$85,590.09
|
$37,407.98
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
29
|
14
|
—
|
—
|
$26,001.78
|
$122,474.35
|
$37,249.14
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
42
|
16
|
—
|
—
|
$24,802.95
|
$129,449.09
|
$37,156.13
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
59
|
17
|
—
|
—
|
$13,204.59
|
$347,917.94
|
$36,997.79
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
38
|
14
|
—
|
—
|
$28,066.30
|
$225,094.81
|
$36,835.10
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
30
|
14
|
—
|
—
|
$31,664.15
|
$109,689.62
|
$36,464.17
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
34
|
15
|
—
|
—
|
$15,436.50
|
$50,855.40
|
$36,249.43
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
42
|
15
|
—
|
—
|
$14,681.90
|
$78,865.92
|
$36,218.59
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
49
|
18
|
—
|
—
|
$11,455.62
|
$79,647.11
|
$36,205.37
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
32
|
14
|
—
|
—
|
$10,215.56
|
$55,809.27
|
$36,112.76
|
2026-04-01
|
|
0686T
|
OTHER
|
Histotripsy Mal Hepatcel Tis
|
10
|
7
|
—
|
—
|
$13,249.85
|
$55,611.34
|
$35,671.38
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
29
|
14
|
—
|
—
|
$13,815.48
|
$233,194.24
|
$35,663.91
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
27
|
14
|
—
|
—
|
$24,630.16
|
$56,136.21
|
$35,587.16
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
31
|
14
|
—
|
—
|
$27,260.57
|
$105,566.41
|
$35,562.83
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
49
|
16
|
—
|
—
|
$5,767.40
|
$75,193.13
|
$35,436.44
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
32
|
14
|
—
|
—
|
$8,050.60
|
$70,737.69
|
$35,292.71
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
41
|
16
|
—
|
—
|
$5,364.21
|
$53,601.88
|
$35,102.48
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
34
|
14
|
—
|
—
|
$9,107.48
|
$85,153.03
|
$35,040.61
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
29
|
14
|
—
|
—
|
$25,889.45
|
$60,903.76
|
$34,881.02
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
31
|
14
|
—
|
—
|
$588.69
|
$54,139.52
|
$34,829.23
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
38
|
15
|
—
|
—
|
$22,052.31
|
$77,575.31
|
$34,669.29
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
31
|
14
|
—
|
—
|
$7,563.38
|
$66,695.53
|
$34,601.24
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
48
|
17
|
—
|
—
|
$6,976.03
|
$115,183.90
|
$34,468.86
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
29
|
14
|
—
|
—
|
$28,065.78
|
$111,834.43
|
$34,228.36
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
35
|
16
|
—
|
—
|
$15,876.39
|
$110,071.16
|
$34,198.09
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
35
|
16
|
—
|
—
|
$14,865.47
|
$111,318.86
|
$34,133.61
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
12
|
7
|
—
|
—
|
$1,621.25
|
$46,471.08
|
$33,966.75
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
31
|
15
|
—
|
—
|
$18,756.14
|
$57,297.68
|
$33,962.83
|
2026-04-01
|
|
1579
|
OTHER
|
New Technology - Level 42 ($30,001-$40,000)
|
1
|
1
|
—
|
—
|
$33,811.40
|
$33,811.40
|
$33,811.40
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
37
|
15
|
—
|
—
|
$12,745.99
|
$52,205.01
|
$33,664.19
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
47
|
17
|
—
|
—
|
$11,106.64
|
$58,433.30
|
$33,517.72
|
2026-04-01
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
5
|
5
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$33,513.94
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
5
|
5
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$33,513.94
|
2026-04-01
|
|
0909T
|
OTHER
|
Rplcmt Int Nstim Sys Vgs Nrv
|
5
|
5
|
—
|
—
|
$28,594.46
|
$41,508.09
|
$33,513.94
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
35
|
15
|
—
|
—
|
$4,920.81
|
$82,445.33
|
$33,356.28
|
2026-04-01
|
|
5094
|
OTHER
|
Level 4 Breast/Lymphatic Surgery And Related Procedures
|
30
|
11
|
—
|
—
|
$9,325.52
|
$53,249.84
|
$33,314.42
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
65
|
18
|
—
|
—
|
$11,823.39
|
$74,245.14
|
$33,228.31
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
28
|
14
|
—
|
—
|
$648.58
|
$46,272.63
|
$33,217.47
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
44
|
16
|
—
|
—
|
$12,700.91
|
$82,000.85
|
$33,164.43
|
2026-04-01
|
|
2616
|
OTHER
|
Brachytx, Non-str,yttrium-90
|
21
|
9
|
—
|
—
|
$9,380.44
|
$70,079.59
|
$33,158.14
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
32
|
15
|
—
|
—
|
$4,945.39
|
$63,158.32
|
$33,105.43
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
35
|
15
|
—
|
—
|
$27,540.65
|
$78,853.02
|
$33,013.13
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
34
|
15
|
—
|
—
|
$25,954.93
|
$105,509.84
|
$32,961.30
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
40
|
15
|
—
|
—
|
$22,694.70
|
$60,287.85
|
$32,908.84
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
13
|
8
|
—
|
—
|
$1,779.73
|
$55,194.96
|
$32,853.56
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
28
|
15
|
—
|
—
|
$25,530.11
|
$66,072.79
|
$32,836.64
|
2026-04-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
10
|
7
|
—
|
—
|
$895.11
|
$45,979.51
|
$32,683.41
|
2026-04-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
10
|
7
|
—
|
—
|
$507.07
|
$45,979.51
|
$32,683.41
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
38
|
16
|
—
|
—
|
$8,744.04
|
$52,561.68
|
$32,568.11
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
37
|
14
|
—
|
—
|
$4,701.04
|
$193,937.13
|
$32,564.46
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
26
|
14
|
—
|
—
|
$26,075.26
|
$53,063.69
|
$32,418.12
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
55
|
17
|
—
|
—
|
$8,913.62
|
$43,526.15
|
$32,313.36
|
2026-04-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
5
|
5
|
—
|
—
|
$27,444.48
|
$39,838.76
|
$32,166.11
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
33
|
15
|
—
|
—
|
$9,939.81
|
$270,754.72
|
$32,130.00
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
25
|
14
|
—
|
—
|
$27,624.97
|
$49,817.49
|
$32,066.09
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
31
|
14
|
—
|
—
|
$22,872.53
|
$69,217.67
|
$31,918.99
|
2026-04-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
33
|
13
|
—
|
—
|
$16,334.64
|
$101,279.16
|
$31,871.24
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
29
|
14
|
—
|
—
|
$26,378.76
|
$46,560.04
|
$31,695.09
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
33
|
15
|
—
|
—
|
$22,369.66
|
$59,314.69
|
$31,593.87
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
54
|
17
|
—
|
—
|
$11,410.44
|
$58,143.60
|
$31,567.12
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
46
|
17
|
—
|
—
|
$10,238.71
|
$54,037.57
|
$31,524.88
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
38
|
16
|
—
|
—
|
$12,392.04
|
$68,794.17
|
$31,515.57
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
48
|
17
|
—
|
—
|
$11,839.25
|
$84,102.92
|
$31,431.24
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
28
|
15
|
—
|
—
|
$23,589.27
|
$54,493.80
|
$31,291.88
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
13
|
8
|
—
|
—
|
$593.12
|
$42,222.59
|
$31,275.99
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
13
|
8
|
—
|
—
|
$594.05
|
$42,222.59
|
$31,275.99
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
29
|
15
|
—
|
—
|
$17,986.88
|
$79,123.10
|
$31,184.80
|
2026-04-01
|
|
A9555
|
HCPCS
|
Rb82 Rubidium
|
5
|
2
|
—
|
—
|
$696.15
|
$31,099.26
|
$31,099.26
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
13
|
8
|
—
|
—
|
$1,280.50
|
$41,508.09
|
$30,746.74
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
13
|
8
|
—
|
—
|
$1,276.13
|
$43,791.59
|
$30,746.74
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
35
|
14
|
—
|
—
|
$7,999.16
|
$76,349.25
|
$30,741.54
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
46
|
17
|
—
|
—
|
$17,872.51
|
$66,247.23
|
$30,712.82
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
13
|
8
|
—
|
—
|
$820.52
|
$42,222.59
|
$30,635.31
|
2026-04-01
|
|
5194
|
OTHER
|
Level 4 Endovascular Procedures
|
35
|
15
|
—
|
—
|
$16.79
|
$55,605.49
|
$30,461.90
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
36
|
16
|
—
|
—
|
$13,977.85
|
$56,514.87
|
$30,353.99
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
49
|
18
|
—
|
—
|
$5,280.35
|
$64,297.67
|
$30,147.76
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
34
|
16
|
—
|
—
|
$22,139.93
|
$79,051.45
|
$30,117.31
|
2026-04-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
59
|
17
|
—
|
—
|
$12,721.10
|
$54,540.19
|
$29,853.69
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
58
|
17
|
—
|
—
|
$13,379.21
|
$64,120.55
|
$29,713.24
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
27
|
14
|
—
|
—
|
$23,442.25
|
$40,446.70
|
$29,664.11
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
28
|
14
|
—
|
—
|
$17,985.69
|
$46,783.59
|
$29,652.24
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
22
|
12
|
—
|
—
|
$12,031.16
|
$47,346.98
|
$29,594.99
|
2026-04-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
42
|
15
|
—
|
—
|
$9,861.28
|
$56,809.74
|
$29,581.94
|
2026-04-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
8
|
6
|
—
|
—
|
$27,490.60
|
$39,905.70
|
$29,511.84
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
16
|
8
|
—
|
—
|
$29,483.80
|
$29,483.80
|
$29,483.80
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
41
|
15
|
—
|
—
|
$7,261.27
|
$80,811.19
|
$29,236.11
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
50
|
15
|
—
|
—
|
$14,141.01
|
$51,384.62
|
$29,163.78
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
35
|
15
|
—
|
—
|
$20,184.70
|
$70,627.33
|
$29,134.32
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
35
|
15
|
—
|
—
|
$19,135.54
|
$51,917.60
|
$28,972.88
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
34
|
17
|
—
|
—
|
$13,089.45
|
$76,942.52
|
$28,960.31
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
12
|
7
|
—
|
—
|
$2,521.01
|
$38,033.52
|
$28,952.97
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
30
|
15
|
—
|
—
|
$22,090.53
|
$50,287.40
|
$28,822.71
|
2026-04-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
7
|
6
|
—
|
—
|
$20,612.14
|
$32,190.08
|
$28,812.67
|
2026-04-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
7
|
6
|
—
|
—
|
$20,612.14
|
$32,190.08
|
$28,812.67
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
13
|
8
|
—
|
—
|
$504.75
|
$38,583.28
|
$28,580.21
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
35
|
16
|
—
|
—
|
$18,922.54
|
$75,619.29
|
$28,578.04
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
42
|
17
|
—
|
—
|
$10,869.21
|
$74,061.29
|
$28,535.18
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
55
|
19
|
—
|
—
|
$2,642.02
|
$56,858.47
|
$28,461.62
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
45
|
17
|
—
|
—
|
$13,462.00
|
$122,618.32
|
$28,441.43
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
49
|
15
|
—
|
—
|
$16,788.20
|
$65,753.43
|
$28,372.83
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
51
|
17
|
—
|
—
|
$5,179.46
|
$141,046.88
|
$28,130.70
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
25
|
14
|
—
|
—
|
$24,022.42
|
$57,660.00
|
$27,836.43
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
27
|
15
|
—
|
—
|
$24,881.12
|
$43,854.63
|
$27,691.09
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
34
|
15
|
—
|
—
|
$11,555.49
|
$69,342.05
|
$27,619.07
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
41
|
16
|
—
|
—
|
$10,820.28
|
$64,229.64
|
$27,568.86
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
33
|
14
|
—
|
—
|
$18,502.54
|
$59,494.54
|
$27,512.98
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
13
|
8
|
—
|
—
|
$795.95
|
$41,508.09
|
$27,331.40
|
2026-04-01
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
14
|
9
|
—
|
—
|
$15,239.69
|
$93,070.75
|
$27,296.44
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
31
|
15
|
—
|
—
|
$14,506.13
|
$42,311.16
|
$27,289.59
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
29
|
14
|
—
|
—
|
$11,505.52
|
$42,305.56
|
$27,286.01
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
36
|
15
|
—
|
—
|
$10,820.28
|
$50,310.21
|
$27,256.55
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
42
|
17
|
—
|
—
|
$11,389.06
|
$57,397.67
|
$27,248.90
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
25
|
14
|
—
|
—
|
$23,391.51
|
$41,587.19
|
$27,095.70
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
13
|
8
|
—
|
—
|
$524.59
|
$41,508.09
|
$26,984.62
|
2026-04-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
56
|
19
|
—
|
—
|
$13,204.59
|
$61,684.22
|
$26,654.17
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
59
|
17
|
—
|
—
|
$4,434.41
|
$53,297.76
|
$26,625.27
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
31
|
15
|
—
|
—
|
$18,800.67
|
$42,789.34
|
$26,392.22
|
2026-04-01
|
|
5093
|
OTHER
|
Level 3 Breast/Lymphatic Surgery And Related Procedures
|
40
|
15
|
—
|
—
|
$3,495.50
|
$33,403.01
|
$26,274.73
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
41
|
15
|
—
|
—
|
$12,101.73
|
$73,952.29
|
$26,228.60
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
46
|
16
|
—
|
—
|
$14,003.50
|
$83,526.67
|
$26,215.43
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
36
|
16
|
—
|
—
|
$7,567.88
|
$49,479.88
|
$26,088.63
|
2026-04-01
|
|
2051
|
OTHER
|
Cath Renal Denerv Radiofreq
|
2
|
1
|
—
|
—
|
$22,073.03
|
$29,914.97
|
$25,994.00
|
2026-04-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
51
|
17
|
—
|
—
|
$3,505.50
|
$58,479.62
|
$25,834.37
|
2026-04-01
|
|
5115
|
OTHER
|
Level 5 Musculoskeletal Procedures
|
57
|
17
|
—
|
—
|
$6,948.30
|
$29,153.44
|
$25,775.87
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
41
|
16
|
—
|
—
|
$14,279.54
|
$69,463.87
|
$25,771.66
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
32
|
15
|
—
|
—
|
$8,372.96
|
$44,650.17
|
$25,704.51
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
32
|
15
|
—
|
—
|
$13,339.90
|
$45,721.62
|
$25,502.84
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
29
|
14
|
—
|
—
|
$200.00
|
$40,240.00
|
$25,450.65
|
2026-04-01
|
|
584
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc
|
37
|
15
|
—
|
—
|
$11,872.90
|
$85,878.27
|
$25,264.00
|
2026-04-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
39
|
16
|
—
|
—
|
$3,998.09
|
$38,423.00
|
$25,238.97
|
2026-04-01
|
|
0680T
|
OTHER
|
Insj/rplcmt Pg Only Isdss
|
7
|
6
|
—
|
—
|
$17,977.23
|
$30,753.40
|
$25,129.46
|
2026-04-01
|
|
0817T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subf
|
7
|
6
|
—
|
—
|
$17,977.23
|
$30,753.40
|
$25,129.46
|
2026-04-01
|
|
0816T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subq
|
7
|
6
|
—
|
—
|
$17,977.23
|
$30,753.40
|
$25,129.46
|
2026-04-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
47
|
17
|
—
|
—
|
$7,374.35
|
$103,223.73
|
$25,110.83
|
2026-04-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
68
|
19
|
—
|
—
|
$7,495.00
|
$124,684.77
|
$25,093.24
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
46
|
17
|
—
|
—
|
$12,585.15
|
$38,828.78
|
$25,069.84
|
2026-04-01
|
|
0796T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Ra
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0823T
|
OTHER
|
Tcat Ins 1chmbr Ldls Pm Ra
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0803T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0802T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0797T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Rv
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0801T
|
OTHER
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0795T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
0825T
|
OTHER
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
7
|
6
|
—
|
—
|
$17,848.96
|
$27,349.95
|
$24,950.16
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
63
|
17
|
—
|
—
|
$11,860.52
|
$40,430.66
|
$24,862.68
|
2026-04-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
73
|
18
|
—
|
—
|
$10,092.98
|
$43,486.34
|
$24,695.76
|
2026-04-01
|