|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
9
|
—
|
—
|
$4,150.72
|
$1,140,025.92
|
$821,730.69
|
2026-05-14
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$739,830.96
|
$533,270.16
|
2026-05-14
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$191,941.15
|
$752,140.28
|
$487,506.32
|
2026-05-14
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
8
|
—
|
—
|
$146,610.83
|
$440,701.24
|
$411,870.32
|
2026-05-14
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
9
|
—
|
—
|
$4,150.72
|
$563,653.20
|
$406,281.23
|
2026-05-14
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$560,345.28
|
$403,896.88
|
2026-05-14
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$157,759.74
|
$444,314.32
|
$367,445.49
|
2026-05-14
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$224,978.00
|
$1,171,778.39
|
$328,391.03
|
2026-05-14
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$224,978.00
|
$1,071,246.49
|
$284,751.33
|
2026-05-14
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$224,978.00
|
$996,454.15
|
$283,603.60
|
2026-05-14
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$365,676.96
|
$263,579.96
|
2026-05-14
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$223,960.00
|
$781,307.40
|
$258,525.42
|
2026-05-14
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
—
|
—
|
$111,984.77
|
$385,980.09
|
$257,745.52
|
2026-05-14
|
|
7
|
OTHER
|
Lung Transplant
|
10
|
9
|
—
|
—
|
$4,150.72
|
$341,885.28
|
$246,430.91
|
2026-05-14
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$222,942.00
|
$662,874.01
|
$236,955.11
|
2026-05-14
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
10
|
8
|
—
|
—
|
$182,209.21
|
$542,354.12
|
$231,859.68
|
2026-05-14
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
9
|
—
|
—
|
$4,150.72
|
$317,272.56
|
$228,690.06
|
2026-05-14
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$83,428.05
|
$234,966.65
|
$220,565.95
|
2026-05-14
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$97,421.25
|
$1,054,090.44
|
$219,727.80
|
2026-05-14
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$129,872.59
|
$659,132.20
|
$215,816.00
|
2026-05-14
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$299,159.52
|
$215,634.18
|
2026-05-14
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$152,499.55
|
$597,918.53
|
$213,039.48
|
2026-05-14
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
—
|
—
|
$181,958.06
|
$787,629.01
|
$205,025.20
|
2026-05-14
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$167,970.00
|
$621,129.44
|
$197,949.90
|
2026-05-14
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
9
|
—
|
—
|
$4,150.72
|
$272,197.20
|
$196,199.74
|
2026-05-14
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
—
|
—
|
$58,230.40
|
$359,626.64
|
$189,864.45
|
2026-05-14
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$104,250.77
|
$529,224.90
|
$188,474.21
|
2026-05-14
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$63,682.03
|
$213,571.83
|
$171,160.46
|
2026-05-14
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$122,160.00
|
$966,453.89
|
$169,785.57
|
2026-05-14
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$134,376.00
|
$539,310.24
|
$167,635.82
|
2026-05-14
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$142,520.00
|
$509,595.01
|
$166,717.46
|
2026-05-14
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$65,393.06
|
$235,054.34
|
$166,688.05
|
2026-05-14
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$132,340.00
|
$524,967.86
|
$164,000.33
|
2026-05-14
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$123,178.00
|
$659,523.19
|
$162,733.35
|
2026-05-14
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$222,549.36
|
$160,413.58
|
2026-05-14
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$221,849.76
|
$159,909.31
|
2026-05-14
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$61,027.17
|
$379,753.49
|
$159,644.68
|
2026-05-14
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
10
|
8
|
—
|
—
|
$91,792.56
|
$299,384.97
|
$157,162.42
|
2026-05-14
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$80,714.12
|
$271,186.19
|
$155,587.90
|
2026-05-14
|
|
71501H243
|
OTHER
|
HeartMate 3 Lvad Implant Kit Includes Controller
|
18
|
10
|
$243,246.00
|
$243,246.00
|
$51,714.10
|
$243,246.00
|
$151,420.64
|
2026-05-14
|
|
71501H244
|
OTHER
|
HeartMate 3 Lvad Implant Kit Includes Controller-vad
|
18
|
10
|
$243,246.00
|
$243,246.00
|
$51,714.10
|
$243,246.00
|
$151,420.64
|
2026-05-14
|
|
71517H243
|
OTHER
|
HeartMate 3 Lvad Implant Kit, Includes Controller - Backup
|
18
|
10
|
$243,246.00
|
$243,246.00
|
$51,714.10
|
$243,246.00
|
$151,420.64
|
2026-05-14
|
|
71517H244
|
OTHER
|
HeartMate 3 Lvad Implant Kit, Incl Controller - Backup-vad
|
18
|
10
|
$243,246.00
|
$243,246.00
|
$51,714.10
|
$243,246.00
|
$151,420.64
|
2026-05-14
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
—
|
—
|
$141,502.00
|
$414,102.13
|
$149,992.12
|
2026-05-14
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$207,736.32
|
$149,736.34
|
2026-05-14
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$122,160.00
|
$458,875.95
|
$146,820.62
|
2026-05-14
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$202,707.12
|
$146,111.29
|
2026-05-14
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$130,226.75
|
$366,770.43
|
$146,103.36
|
2026-05-14
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$201,833.28
|
$145,481.43
|
2026-05-14
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$201,165.36
|
$144,999.99
|
2026-05-14
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$74,855.90
|
$324,225.61
|
$143,824.06
|
2026-05-14
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$53,835.67
|
$175,901.60
|
$137,371.98
|
2026-05-14
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$74,532.10
|
$377,520.82
|
$137,092.66
|
2026-05-14
|
|
10
|
OTHER
|
Pancreas Transplant
|
10
|
9
|
—
|
—
|
$4,150.72
|
$189,438.48
|
$136,547.26
|
2026-05-14
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$59,472.83
|
$213,663.18
|
$136,144.08
|
2026-05-14
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$68,133.66
|
$234,531.81
|
$135,990.01
|
2026-05-14
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
9
|
—
|
—
|
$4,150.72
|
$188,353.44
|
$135,765.16
|
2026-05-14
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$188,242.56
|
$135,685.23
|
2026-05-14
|
|
71443H243
|
OTHER
|
Vad Heartware Hvad Sterile Implant Set
|
18
|
10
|
$216,919.00
|
$216,919.00
|
$46,116.98
|
$216,919.00
|
$135,032.08
|
2026-05-14
|
|
71443H244
|
OTHER
|
Vad Heartware Hvad Sterile Implant Set-vad
|
18
|
10
|
$216,919.00
|
$216,919.00
|
$46,116.98
|
$216,919.00
|
$135,032.08
|
2026-05-14
|
|
71809H244
|
OTHER
|
HeartMate 3 Left Ventricular Assist Sys (lvas) Implant Kit
|
18
|
10
|
$216,261.00
|
$216,261.00
|
$45,977.09
|
$216,261.00
|
$134,622.48
|
2026-05-14
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$52,081.04
|
$208,437.80
|
$132,689.80
|
2026-05-14
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
10
|
8
|
—
|
—
|
$49,457.96
|
$193,909.05
|
$132,560.55
|
2026-05-14
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$50,489.01
|
$184,119.69
|
$131,899.68
|
2026-05-14
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$181,576.56
|
$130,880.39
|
2026-05-14
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
8
|
—
|
—
|
$64,115.15
|
$220,207.69
|
$130,238.21
|
2026-05-14
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
10
|
8
|
—
|
—
|
$51,014.51
|
$170,741.99
|
$129,796.25
|
2026-05-14
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$44,952.37
|
$218,614.50
|
$129,456.44
|
2026-05-14
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
9
|
—
|
—
|
$4,150.72
|
$178,884.66
|
$128,940.07
|
2026-05-14
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
9
|
—
|
—
|
$4,150.72
|
$177,701.04
|
$128,086.91
|
2026-05-14
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
8
|
—
|
—
|
$99,326.11
|
$502,765.48
|
$127,318.50
|
2026-05-14
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$111,980.00
|
$516,720.53
|
$127,255.07
|
2026-05-14
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$92,638.00
|
$438,380.04
|
$127,072.98
|
2026-05-14
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
8
|
—
|
—
|
$93,187.11
|
$265,803.69
|
$127,046.40
|
2026-05-14
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$96,516.18
|
$296,896.52
|
$127,046.40
|
2026-05-14
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$81,440.00
|
$467,134.24
|
$126,501.53
|
2026-05-14
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$101,800.00
|
$676,726.74
|
$126,369.13
|
2026-05-14
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$47,215.51
|
$197,691.06
|
$125,920.85
|
2026-05-14
|
|
440-3
|
OTHER
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$64,946.27
|
$234,323.52
|
$125,857.83
|
2026-05-14
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$173,587.92
|
$125,122.17
|
2026-05-14
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$172,956.96
|
$124,667.38
|
2026-05-14
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
—
|
—
|
$59,766.25
|
$297,367.90
|
$123,992.40
|
2026-05-14
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
10
|
8
|
—
|
—
|
$75,585.32
|
$225,805.79
|
$123,992.40
|
2026-05-14
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$100,782.00
|
$509,229.60
|
$121,075.57
|
2026-05-14
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
10
|
8
|
—
|
—
|
$50,181.54
|
$212,873.89
|
$119,660.54
|
2026-05-14
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
8
|
—
|
—
|
$58,631.36
|
$165,129.28
|
$119,589.67
|
2026-05-14
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$86,530.00
|
$455,181.64
|
$119,464.96
|
2026-05-14
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$54,810.55
|
$168,224.31
|
$119,158.15
|
2026-05-14
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$53,183.78
|
$188,760.41
|
$118,826.05
|
2026-05-14
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$40,639.69
|
$125,153.30
|
$116,915.54
|
2026-05-14
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$161,789.76
|
$116,618.06
|
2026-05-14
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$161,602.32
|
$116,482.95
|
2026-05-14
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$76,450.07
|
$263,322.55
|
$116,459.20
|
2026-05-14
|
|
71444H243
|
OTHER
|
Vad Heartware Implant Kit
|
18
|
10
|
$193,672.00
|
$193,672.00
|
$41,174.67
|
$193,672.00
|
$116,106.36
|
2026-05-14
|
|
71444H244
|
OTHER
|
Vad Heartware Implant Kit-vad
|
18
|
10
|
$193,672.00
|
$193,672.00
|
$41,174.67
|
$193,672.00
|
$116,106.36
|
2026-05-14
|
|
023-4
|
OTHER
|
Spinal Procedures
|
10
|
8
|
—
|
—
|
$46,072.11
|
$229,101.80
|
$115,455.76
|
2026-05-14
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$160,052.64
|
$115,365.94
|
2026-05-14
|
|
45100H243
|
OTHER
|
Heart Transplant Organ W SherpaPak
|
18
|
10
|
$184,231.00
|
$184,231.00
|
$39,167.51
|
$184,231.00
|
$114,683.80
|
2026-05-14
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$158,619.12
|
$114,332.66
|
2026-05-14
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
10
|
9
|
—
|
—
|
$4,150.72
|
$158,574.24
|
$114,300.31
|
2026-05-14
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
8
|
—
|
—
|
$60,004.99
|
$207,009.04
|
$113,679.61
|
2026-05-14
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$157,425.84
|
$113,472.54
|
2026-05-14
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
10
|
8
|
—
|
—
|
$47,753.58
|
$192,480.30
|
$113,200.13
|
2026-05-14
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$39,801.55
|
$139,093.74
|
$113,129.24
|
2026-05-14
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$156,544.08
|
$112,836.97
|
2026-05-14
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$154,931.04
|
$111,674.29
|
2026-05-14
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$101,800.00
|
$536,109.24
|
$109,570.34
|
2026-05-14
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
10
|
8
|
—
|
—
|
$36,145.93
|
$173,964.92
|
$109,182.96
|
2026-05-14
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$151,279.92
|
$109,042.57
|
2026-05-14
|
|
690-4
|
OTHER
|
Acute Leukemia
|
10
|
8
|
—
|
—
|
$52,459.46
|
$246,060.53
|
$108,661.77
|
2026-05-14
|
|
440-2
|
OTHER
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$56,766.60
|
$206,018.78
|
$108,634.20
|
2026-05-14
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
9
|
—
|
—
|
$4,150.72
|
$150,466.80
|
$108,456.47
|
2026-05-14
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
10
|
8
|
—
|
—
|
$48,140.13
|
$225,411.15
|
$108,453.31
|
2026-05-14
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
8
|
—
|
—
|
$44,375.13
|
$223,416.00
|
$107,857.08
|
2026-05-14
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$36,327.01
|
$115,754.93
|
$106,727.21
|
2026-05-14
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
9
|
—
|
—
|
$4,150.72
|
$147,961.44
|
$106,650.61
|
2026-05-14
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
10
|
8
|
—
|
—
|
$44,958.29
|
$156,553.08
|
$106,022.58
|
2026-05-14
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$146,947.68
|
$105,919.89
|
2026-05-14
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$145,807.20
|
$105,097.83
|
2026-05-14
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
10
|
8
|
—
|
—
|
$38,565.76
|
$127,740.41
|
$105,000.23
|
2026-05-14
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
—
|
—
|
$50,921.37
|
$437,287.46
|
$104,875.32
|
2026-05-14
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
8
|
—
|
—
|
$52,810.54
|
$180,458.27
|
$104,796.78
|
2026-05-14
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
10
|
8
|
—
|
—
|
$45,897.69
|
$208,079.70
|
$104,351.24
|
2026-05-14
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$144,421.20
|
$104,098.80
|
2026-05-14
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$144,215.28
|
$103,950.38
|
2026-05-14
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$143,988.24
|
$103,786.73
|
2026-05-14
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$143,412.72
|
$103,371.89
|
2026-05-14
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
10
|
8
|
—
|
—
|
$41,783.83
|
$192,038.15
|
$103,327.00
|
2026-05-14
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
—
|
—
|
$39,970.26
|
$112,572.20
|
$103,327.00
|
2026-05-14
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
—
|
—
|
$52,956.88
|
$239,333.31
|
$103,256.21
|
2026-05-14
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
8
|
—
|
—
|
$56,392.24
|
$199,134.43
|
$102,695.84
|
2026-05-14
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$89,675.23
|
$252,561.19
|
$102,512.60
|
2026-05-14
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$43,212.52
|
$195,575.33
|
$101,260.46
|
2026-05-14
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$48,839.32
|
$155,460.50
|
$101,260.46
|
2026-05-14
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$93,656.00
|
$511,221.09
|
$101,111.49
|
2026-05-14
|
|
440-4
|
OTHER
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$91,620.00
|
$293,048.74
|
$101,042.14
|
2026-05-14
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$139,756.32
|
$100,736.35
|
2026-05-14
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
—
|
—
|
$58,118.05
|
$233,589.05
|
$100,444.88
|
2026-05-14
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$139,294.32
|
$100,403.35
|
2026-05-14
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$89,327.06
|
$377,820.46
|
$100,354.44
|
2026-05-14
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
10
|
8
|
—
|
—
|
$41,392.84
|
$150,889.21
|
$100,270.95
|
2026-05-14
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$35,618.21
|
$122,602.73
|
$99,816.49
|
2026-05-14
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
—
|
—
|
$44,531.89
|
$154,086.55
|
$99,628.87
|
2026-05-14
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$93,656.00
|
$369,478.13
|
$99,275.36
|
2026-05-14
|
|
440-1
|
OTHER
|
Kidney Transplant
|
10
|
8
|
—
|
—
|
$52,368.55
|
$184,726.27
|
$99,248.39
|
2026-05-14
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$137,422.56
|
$99,054.18
|
2026-05-14
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$137,184.96
|
$98,882.92
|
2026-05-14
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$86,530.00
|
$359,864.16
|
$98,275.74
|
2026-05-14
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
8
|
—
|
—
|
$40,559.13
|
$184,868.78
|
$98,160.65
|
2026-05-14
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$80,422.00
|
$488,207.50
|
$98,030.79
|
2026-05-14
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
10
|
8
|
—
|
—
|
$35,795.60
|
$143,120.57
|
$97,861.05
|
2026-05-14
|
|
754-4
|
OTHER
|
Depression Except Major Depressive Disorder
|
10
|
8
|
—
|
—
|
$22,092.82
|
$142,336.80
|
$97,623.62
|
2026-05-14
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
10
|
8
|
—
|
—
|
$38,094.95
|
$164,782.14
|
$96,591.50
|
2026-05-14
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$84,460.49
|
$269,275.09
|
$96,439.81
|
2026-05-14
|
|
166-3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$33,456.33
|
$110,507.62
|
$96,326.75
|
2026-05-14
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$133,559.54
|
$96,269.71
|
2026-05-14
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$78,726.15
|
$323,787.12
|
$96,038.12
|
2026-05-14
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$133,061.28
|
$95,910.57
|
2026-05-14
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
10
|
8
|
—
|
—
|
$36,660.35
|
$182,446.11
|
$95,747.21
|
2026-05-14
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
8
|
—
|
—
|
$75,617.84
|
$366,006.72
|
$95,284.80
|
2026-05-14
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
—
|
—
|
$81,440.00
|
$333,181.84
|
$95,134.77
|
2026-05-14
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
10
|
8
|
—
|
—
|
$42,190.34
|
$139,305.67
|
$95,060.84
|
2026-05-14
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
—
|
—
|
$87,855.94
|
$408,222.66
|
$94,959.04
|
2026-05-14
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
10
|
8
|
—
|
—
|
$43,270.91
|
$156,863.68
|
$94,448.45
|
2026-05-14
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$130,698.92
|
$94,207.79
|
2026-05-14
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$130,611.36
|
$94,144.67
|
2026-05-14
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
10
|
8
|
—
|
—
|
$47,038.13
|
$173,632.39
|
$94,002.33
|
2026-05-14
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$130,379.04
|
$93,977.21
|
2026-05-14
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
10
|
8
|
—
|
—
|
$39,954.54
|
$206,391.50
|
$93,921.02
|
2026-05-14
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
—
|
—
|
$59,581.60
|
$644,669.22
|
$93,879.96
|
2026-05-14
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$129,932.88
|
$93,655.62
|
2026-05-14
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
10
|
8
|
—
|
—
|
$40,173.32
|
$148,831.94
|
$93,401.93
|
2026-05-14
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$129,391.68
|
$93,265.52
|
2026-05-14
|
|
165-2
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$31,120.02
|
$112,597.78
|
$92,964.14
|
2026-05-14
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
10
|
8
|
—
|
—
|
$39,758.68
|
$179,698.22
|
$92,862.01
|
2026-05-14
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$76,295.23
|
$400,450.37
|
$92,800.88
|
2026-05-14
|
|
511-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
10
|
8
|
—
|
—
|
$38,205.82
|
$125,248.31
|
$92,409.63
|
2026-05-14
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
—
|
—
|
$76,449.70
|
$252,352.91
|
$92,108.64
|
2026-05-14
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
8
|
—
|
—
|
$51,167.51
|
$164,749.25
|
$91,961.03
|
2026-05-14
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$127,477.68
|
$91,885.91
|
2026-05-14
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
10
|
8
|
—
|
—
|
$83,243.56
|
$295,602.96
|
$91,721.80
|
2026-05-14
|
|
162-1
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$31,247.15
|
$100,517.29
|
$91,702.92
|
2026-05-14
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
10
|
8
|
—
|
—
|
$38,155.56
|
$140,661.35
|
$91,694.56
|
2026-05-14
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$125,685.12
|
$90,593.83
|
2026-05-14
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
10
|
8
|
—
|
—
|
$37,004.78
|
$131,540.69
|
$90,314.52
|
2026-05-14
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$124,068.62
|
$89,428.66
|
2026-05-14
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$123,863.52
|
$89,280.82
|
2026-05-14
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
10
|
8
|
—
|
—
|
$50,900.00
|
$349,161.27
|
$89,218.69
|
2026-05-14
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$38,460.81
|
$123,636.85
|
$89,063.70
|
2026-05-14
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
9
|
—
|
—
|
$4,150.72
|
$123,493.92
|
$89,014.42
|
2026-05-14
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
10
|
8
|
—
|
—
|
$35,800.77
|
$161,522.67
|
$88,951.15
|
2026-05-14
|
|
163-2
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$30,515.43
|
$104,354.10
|
$88,926.13
|
2026-05-14
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
10
|
8
|
—
|
—
|
$36,662.57
|
$156,045.16
|
$88,540.46
|
2026-05-14
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$122,416.80
|
$88,238.03
|
2026-05-14
|
|
44496H290
|
OTHER
|
Heart Transplant Organ - Cvsur
|
18
|
10
|
$141,431.00
|
$141,431.00
|
$30,068.23
|
$141,431.00
|
$88,040.80
|
2026-05-14
|
|
44496H230
|
OTHER
|
Heart Transplant Organ-sur
|
18
|
10
|
$141,431.00
|
$141,431.00
|
$30,068.23
|
$141,431.00
|
$88,040.80
|
2026-05-14
|
|
44496H243
|
OTHER
|
Heart Transplant Organ
|
18
|
10
|
$141,431.00
|
$141,431.00
|
$30,068.23
|
$141,431.00
|
$88,040.80
|
2026-05-14
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$121,928.40
|
$87,885.99
|
2026-05-14
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
10
|
8
|
—
|
—
|
$36,065.37
|
$164,548.27
|
$87,858.77
|
2026-05-14
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
10
|
8
|
—
|
—
|
$46,488.97
|
$180,882.15
|
$87,827.95
|
2026-05-14
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$121,347.60
|
$87,467.35
|
2026-05-14
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$121,038.72
|
$87,244.71
|
2026-05-14
|
|
175-4
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
10
|
8
|
—
|
—
|
$33,181.38
|
$121,071.66
|
$86,916.50
|
2026-05-14
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
10
|
9
|
—
|
—
|
$4,150.72
|
$120,447.36
|
$86,818.46
|
2026-05-14
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
10
|
9
|
—
|
—
|
$4,150.72
|
$120,301.72
|
$86,713.48
|
2026-05-14
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
10
|
8
|
—
|
—
|
$38,421.64
|
$116,175.15
|
$86,616.32
|
2026-05-14
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$120,085.68
|
$86,557.76
|
2026-05-14
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$120,032.88
|
$86,519.70
|
2026-05-14
|
|
130-3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
10
|
8
|
—
|
—
|
$30,941.90
|
$143,105.95
|
$86,416.17
|
2026-05-14
|
|
029-4
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
10
|
8
|
—
|
—
|
$33,012.87
|
$148,959.83
|
$86,349.47
|
2026-05-14
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$81,440.00
|
$362,038.36
|
$86,326.40
|
2026-05-14
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
10
|
8
|
—
|
—
|
$38,886.54
|
$180,370.57
|
$86,284.85
|
2026-05-14
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$119,562.96
|
$86,180.98
|
2026-05-14
|
|
711-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
10
|
8
|
—
|
—
|
$34,414.21
|
$141,399.48
|
$85,995.07
|
2026-05-14
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
10
|
8
|
—
|
—
|
$33,662.54
|
$183,852.94
|
$85,761.41
|
2026-05-14
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$118,319.52
|
$85,284.71
|
2026-05-14
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$118,285.20
|
$85,259.98
|
2026-05-14
|
|
71828H244
|
OTHER
|
Vad Automated Impella Controller
|
18
|
10
|
$136,576.00
|
$136,576.00
|
$29,036.06
|
$136,576.00
|
$85,018.56
|
2026-05-14
|
|
008-2
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
10
|
8
|
—
|
—
|
$32,490.32
|
$91,827.81
|
$84,978.33
|
2026-05-14
|
|
165-1
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$27,732.70
|
$96,969.14
|
$84,871.42
|
2026-05-14
|
|
160-2
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
—
|
—
|
$28,369.07
|
$93,234.93
|
$84,815.33
|
2026-05-14
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
8
|
—
|
—
|
$52,740.32
|
$181,247.56
|
$84,728.14
|
2026-05-14
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$79,125.86
|
$225,564.62
|
$84,697.60
|
2026-05-14
|
|
650-4
|
OTHER
|
Splenectomy
|
10
|
8
|
—
|
—
|
$34,635.20
|
$144,191.22
|
$84,485.76
|
2026-05-14
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
10
|
8
|
—
|
—
|
$33,771.93
|
$141,552.95
|
$83,729.02
|
2026-05-14
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
10
|
8
|
—
|
—
|
$33,795.58
|
$135,845.23
|
$83,694.87
|
2026-05-14
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$115,969.92
|
$83,591.12
|
2026-05-14
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
10
|
9
|
—
|
—
|
$4,150.72
|
$115,914.88
|
$83,551.45
|
2026-05-14
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
—
|
—
|
$60,687.92
|
$332,498.52
|
$83,089.16
|
2026-05-14
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
10
|
8
|
—
|
—
|
$38,125.26
|
$151,514.06
|
$82,661.60
|
2026-05-14
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
8
|
—
|
—
|
$52,979.57
|
$197,040.63
|
$82,480.30
|
2026-05-14
|
|
091-3
|
OTHER
|
Other Major Head And Neck Procedures
|
10
|
8
|
—
|
—
|
$31,906.43
|
$120,782.98
|
$82,442.76
|
2026-05-14
|
|
231-4
|
OTHER
|
Major Large Bowel Procedures
|
10
|
8
|
—
|
—
|
$32,849.53
|
$138,805.06
|
$82,351.03
|
2026-05-14
|
|
951-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
10
|
8
|
—
|
—
|
$33,304.81
|
$144,337.38
|
$81,998.74
|
2026-05-14
|
|
183-2
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$29,324.73
|
$110,047.21
|
$81,644.35
|
2026-05-14
|
|
021-3
|
OTHER
|
Open Craniotomy Except Trauma
|
10
|
8
|
—
|
—
|
$31,009.15
|
$98,796.20
|
$81,531.76
|
2026-05-14
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
10
|
8
|
—
|
—
|
$44,515.56
|
$132,417.67
|
$81,469.24
|
2026-05-14
|
|
169-3
|
OTHER
|
Major Abdominal Vascular Procedures
|
10
|
8
|
—
|
—
|
$28,986.22
|
$111,417.50
|
$81,427.54
|
2026-05-14
|
|
910-3
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
—
|
—
|
$36,101.59
|
$102,918.04
|
$81,348.33
|
2026-05-14
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
10
|
9
|
—
|
—
|
$4,150.72
|
$112,840.20
|
$81,335.21
|
2026-05-14
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$56,349.22
|
$248,676.87
|
$80,931.00
|
2026-05-14
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
8
|
—
|
—
|
$50,900.00
|
$301,522.62
|
$80,761.32
|
2026-05-14
|
|
325-4
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
10
|
8
|
—
|
—
|
$34,462.99
|
$131,175.28
|
$80,645.79
|
2026-05-14
|
|
179-2
|
OTHER
|
Defibrillator Implants
|
10
|
8
|
—
|
—
|
$29,175.43
|
$115,996.10
|
$80,445.65
|
2026-05-14
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$111,492.48
|
$80,363.78
|
2026-05-14
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$111,302.40
|
$80,226.77
|
2026-05-14
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$111,246.96
|
$80,186.81
|
2026-05-14
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$110,922.24
|
$79,952.75
|
2026-05-14
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$110,790.24
|
$79,857.60
|
2026-05-14
|
|
71378H230
|
OTHER
|
Implant 50000-75000
|
18
|
10
|
$132,998.00
|
$132,998.00
|
$28,275.37
|
$132,998.00
|
$79,732.30
|
2026-05-14
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$110,584.32
|
$79,709.18
|
2026-05-14
|
|
166-2
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$26,574.52
|
$88,915.48
|
$79,699.32
|
2026-05-14
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$110,156.64
|
$79,400.90
|
2026-05-14
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$109,639.20
|
$79,027.93
|
2026-05-14
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
—
|
—
|
$55,980.69
|
$157,663.93
|
$78,606.97
|
2026-05-14
|
|
303-1
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
—
|
—
|
$30,620.38
|
$97,287.05
|
$78,581.95
|
2026-05-14
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$108,913.20
|
$78,504.64
|
2026-05-14
|
|
758-4
|
OTHER
|
Behavioral Disorders
|
10
|
8
|
—
|
—
|
$13,782.72
|
$93,676.36
|
$78,490.51
|
2026-05-14
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
10
|
8
|
—
|
—
|
$38,086.82
|
$141,388.52
|
$78,486.73
|
2026-05-14
|
|
174-4
|
OTHER
|
Percutaneous Cardiac Intervention With Ami
|
10
|
8
|
—
|
—
|
$29,470.34
|
$108,505.17
|
$78,431.85
|
2026-05-14
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
8
|
—
|
—
|
$58,506.80
|
$164,778.48
|
$78,348.45
|
2026-05-14
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
9
|
—
|
—
|
$4,150.72
|
$108,258.76
|
$78,032.91
|
2026-05-14
|
|
229-4
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
10
|
8
|
—
|
—
|
$32,203.55
|
$119,664.83
|
$77,994.07
|
2026-05-14
|
|
842-3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
8
|
—
|
—
|
$34,409.04
|
$154,020.78
|
$77,787.68
|
2026-05-14
|
|
224-4
|
OTHER
|
Peritoneal Adhesiolysis
|
10
|
8
|
—
|
—
|
$30,409.74
|
$114,782.93
|
$77,247.75
|
2026-05-14
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
10
|
8
|
—
|
—
|
$41,086.85
|
$176,643.38
|
$77,042.02
|
2026-05-14
|
|
183-1
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
—
|
—
|
$27,964.04
|
$102,362.61
|
$77,041.38
|
2026-05-14
|
|
163-1
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
—
|
—
|
$26,773.34
|
$90,669.46
|
$76,985.09
|
2026-05-14
|
|
222-4
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
10
|
8
|
—
|
—
|
$31,696.52
|
$163,218.18
|
$76,928.79
|
2026-05-14
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
10
|
8
|
—
|
—
|
$30,884.98
|
$127,926.77
|
$76,449.33
|
2026-05-14
|
|
171-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
10
|
8
|
—
|
—
|
$29,025.40
|
$116,975.40
|
$76,409.72
|
2026-05-14
|
|
309-4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
10
|
8
|
—
|
—
|
$31,989.95
|
$129,834.22
|
$76,311.73
|
2026-05-14
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
8
|
—
|
—
|
$36,270.84
|
$127,396.93
|
$76,224.80
|
2026-05-14
|
|
182-4
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
10
|
8
|
—
|
—
|
$36,474.10
|
$210,359.86
|
$75,790.27
|
2026-05-14
|
|
180-4
|
OTHER
|
Other Circulatory System Procedures
|
10
|
8
|
—
|
—
|
$29,615.20
|
$148,466.53
|
$75,667.57
|
2026-05-14
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$55,446.04
|
$219,655.92
|
$75,535.60
|
2026-05-14
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
8
|
—
|
—
|
$69,634.71
|
$224,665.71
|
$75,535.60
|
2026-05-14
|
|
519-4
|
OTHER
|
Uterine And Adnexa Procedures For Leiomyoma
|
10
|
8
|
—
|
—
|
$31,636.65
|
$105,534.38
|
$75,519.54
|
2026-05-14
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$47,040.64
|
$155,986.69
|
$75,428.71
|
2026-05-14
|
|
305-4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
10
|
8
|
—
|
—
|
$30,907.90
|
$141,932.98
|
$75,254.81
|
2026-05-14
|
|
23499H200
|
OTHER
|
Histrelin La Implant 50 Mg Inj
|
27
|
17
|
$151,224.00
|
$151,224.00
|
$10,166.02
|
$151,224.00
|
$75,174.64
|
2026-05-14
|
|
023-3
|
OTHER
|
Spinal Procedures
|
10
|
8
|
—
|
—
|
$29,182.09
|
$99,333.35
|
$75,125.55
|
2026-05-14
|
|
444-4
|
OTHER
|
Renal Dialysis Access Device Procedures
|
10
|
8
|
—
|
—
|
$31,247.15
|
$151,104.80
|
$74,729.45
|
2026-05-14
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
5
|
3
|
—
|
—
|
$40,096.45
|
$162,001.36
|
$74,584.93
|
2026-05-14
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
9
|
—
|
—
|
$4,150.72
|
$103,274.16
|
$74,440.01
|
2026-05-14
|
|
518-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
10
|
8
|
—
|
—
|
$37,353.63
|
$147,180.28
|
$74,366.71
|
2026-05-14
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$103,021.24
|
$74,257.71
|
2026-05-14
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$52,117.99
|
$186,279.27
|
$74,110.40
|
2026-05-14
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
—
|
—
|
$49,045.90
|
$264,597.83
|
$74,110.40
|
2026-05-14
|
|
315-4
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
10
|
8
|
—
|
—
|
$32,773.36
|
$92,302.84
|
$74,074.88
|
2026-05-14
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
—
|
—
|
$44,166.19
|
$124,389.59
|
$73,958.95
|
2026-05-14
|
|
484-4
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
10
|
8
|
—
|
—
|
$30,055.71
|
$133,915.86
|
$73,887.24
|
2026-05-14
|
|
098-4
|
OTHER
|
Other Ear, Nose, Mouth And Throat Procedures
|
10
|
8
|
—
|
—
|
$30,841.38
|
$111,863.30
|
$73,780.92
|
2026-05-14
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$102,186.48
|
$73,656.01
|
2026-05-14
|
|
323-4
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
10
|
8
|
—
|
—
|
$26,544.96
|
$117,128.88
|
$73,595.39
|
2026-05-14
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
9
|
—
|
—
|
$4,150.72
|
$102,033.36
|
$73,545.65
|
2026-05-14
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$101,935.68
|
$73,475.24
|
2026-05-14
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
9
|
—
|
—
|
$4,150.72
|
$101,357.52
|
$73,058.50
|
2026-05-14
|
|
750-4
|
OTHER
|
Schizophrenia
|
10
|
8
|
—
|
—
|
$36,764.26
|
$123,600.30
|
$72,845.96
|
2026-05-14
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
10
|
8
|
—
|
—
|
$46,199.24
|
$238,533.06
|
$72,449.84
|
2026-05-14
|