|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$63,931.79
|
$69,046.33
|
$64,571.11
|
2026-05-08
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$72,006.35
|
$77,766.86
|
$72,726.42
|
2026-05-08
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$85,914.11
|
$92,787.24
|
$86,773.25
|
2026-05-08
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
7
|
7
|
—
|
—
|
$148,606.97
|
$160,495.53
|
$150,093.04
|
2026-05-08
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$91,454.08
|
$98,770.40
|
$92,368.62
|
2026-05-08
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$106,680.83
|
$115,215.30
|
$107,747.64
|
2026-05-08
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$143,753.72
|
$155,254.02
|
$145,191.26
|
2026-05-08
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
7
|
7
|
—
|
—
|
$232,467.30
|
$251,064.68
|
$234,791.97
|
2026-05-08
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$31,617.43
|
$34,146.83
|
$31,933.61
|
2026-05-08
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$47,347.52
|
$51,135.33
|
$47,821.00
|
2026-05-08
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$68,867.98
|
$74,377.42
|
$69,556.66
|
2026-05-08
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
8
|
—
|
—
|
$100,636.02
|
$108,686.90
|
$101,642.38
|
2026-05-08
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$35,748.38
|
$38,608.25
|
$36,105.86
|
2026-05-08
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$48,838.14
|
$52,745.19
|
$49,326.52
|
2026-05-08
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
8
|
—
|
—
|
$66,321.18
|
$71,626.87
|
$66,984.39
|
2026-05-08
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$62,968.21
|
$68,005.67
|
$63,597.89
|
2026-05-08
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$80,107.54
|
$86,516.15
|
$80,908.62
|
2026-05-08
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$92,278.98
|
$99,661.30
|
$93,201.77
|
2026-05-08
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
7
|
7
|
—
|
—
|
$131,237.06
|
$141,736.03
|
$132,549.43
|
2026-05-08
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
9
|
9
|
—
|
—
|
$61,975.63
|
$67,559.23
|
$63,180.39
|
2026-05-08
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$70,253.57
|
$75,873.85
|
$70,956.10
|
2026-05-08
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$89,814.04
|
$96,999.17
|
$90,712.18
|
2026-05-08
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
8
|
8
|
—
|
—
|
$152,401.34
|
$164,593.45
|
$153,925.35
|
2026-05-08
|
|
008-2
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
8
|
—
|
—
|
$40,616.59
|
$43,865.91
|
$41,022.75
|
2026-05-08
|
|
008-3
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
8
|
—
|
—
|
$48,544.38
|
$52,427.93
|
$49,029.82
|
2026-05-08
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
8
|
8
|
—
|
—
|
$77,093.53
|
$83,261.01
|
$77,864.47
|
2026-05-08
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$33,119.98
|
$35,769.58
|
$33,451.18
|
2026-05-08
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$45,409.63
|
$49,042.40
|
$45,863.72
|
2026-05-08
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
8
|
8
|
—
|
—
|
$98,525.65
|
$106,407.70
|
$99,510.90
|
2026-05-08
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$51,520.77
|
$56,162.45
|
$52,522.29
|
2026-05-08
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
9
|
9
|
—
|
—
|
$104,669.22
|
$114,099.23
|
$106,703.91
|
2026-05-08
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
8
|
8
|
—
|
—
|
$36,200.68
|
$39,096.74
|
$36,562.69
|
2026-05-08
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
8
|
8
|
—
|
—
|
$39,238.88
|
$42,377.99
|
$39,631.27
|
2026-05-08
|
|
023-4
|
OTHER
|
Spinal Procedures
|
8
|
8
|
—
|
—
|
$39,784.23
|
$42,966.97
|
$40,182.07
|
2026-05-08
|
|
027-4
|
OTHER
|
Other Open Craniotomy
|
8
|
8
|
—
|
—
|
$34,586.68
|
$37,353.61
|
$34,932.54
|
2026-05-08
|
|
030-4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
8
|
8
|
—
|
—
|
$30,615.25
|
$33,064.47
|
$30,921.40
|
2026-05-08
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
8
|
8
|
—
|
—
|
$36,915.32
|
$39,868.54
|
$37,284.47
|
2026-05-08
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
8
|
8
|
—
|
—
|
$41,527.08
|
$44,849.25
|
$41,942.35
|
2026-05-08
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
8
|
—
|
—
|
$32,851.49
|
$35,479.61
|
$33,180.01
|
2026-05-08
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
33
|
28
|
—
|
—
|
$238,413.68
|
$522,974.26
|
$280,239.00
|
2026-05-08
|
|
10
|
OTHER
|
Pancreas Transplant
|
33
|
28
|
—
|
—
|
$51,388.03
|
$200,149.59
|
$68,512.56
|
2026-05-08
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
34
|
29
|
—
|
—
|
$25,497.92
|
$123,829.67
|
$50,411.73
|
2026-05-08
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
34
|
29
|
—
|
—
|
$19,709.80
|
$93,563.01
|
$38,972.05
|
2026-05-08
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
8
|
8
|
—
|
—
|
$36,033.82
|
$38,916.53
|
$36,394.16
|
2026-05-08
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
8
|
—
|
—
|
$34,195.45
|
$36,931.08
|
$34,537.40
|
2026-05-08
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
28
|
24
|
—
|
—
|
$102,262.26
|
$264,712.77
|
$111,059.42
|
2026-05-08
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
34
|
29
|
—
|
—
|
$19,940.28
|
$101,541.23
|
$39,427.54
|
2026-05-08
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$17,515.35
|
$69,917.99
|
$33,334.10
|
2026-05-08
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
28
|
24
|
—
|
—
|
$50,474.36
|
$110,658.39
|
$54,806.13
|
2026-05-08
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$36,478.35
|
$39,396.62
|
$36,843.13
|
2026-05-08
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
8
|
—
|
—
|
$67,954.36
|
$73,390.70
|
$68,633.90
|
2026-05-08
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$93,844.33
|
$101,351.88
|
$94,782.78
|
2026-05-08
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$98,783.50
|
$106,686.18
|
$99,771.33
|
2026-05-08
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$123,031.66
|
$132,874.19
|
$124,261.97
|
2026-05-08
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
8
|
—
|
—
|
$160,593.79
|
$173,441.29
|
$162,199.72
|
2026-05-08
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$34,765.74
|
$37,547.00
|
$35,113.40
|
2026-05-08
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$43,866.14
|
$47,375.44
|
$44,304.81
|
2026-05-08
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$64,045.67
|
$69,169.33
|
$64,686.13
|
2026-05-08
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
34
|
29
|
—
|
—
|
$20,952.41
|
$253,002.38
|
$41,427.94
|
2026-05-08
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$36,281.36
|
$39,183.87
|
$36,644.17
|
2026-05-08
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$54,499.12
|
$58,859.05
|
$55,044.11
|
2026-05-08
|
|
165-2
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$30,614.38
|
$33,063.53
|
$30,920.53
|
2026-05-08
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$36,808.56
|
$39,753.24
|
$37,176.65
|
2026-05-08
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$49,838.33
|
$53,825.39
|
$50,336.71
|
2026-05-08
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$17,473.75
|
$69,751.93
|
$34,552.68
|
2026-05-08
|
|
166-3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$30,602.72
|
$33,050.94
|
$30,908.75
|
2026-05-08
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
8
|
—
|
—
|
$44,924.65
|
$48,518.62
|
$45,373.90
|
2026-05-08
|
|
167-3
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
8
|
—
|
—
|
$30,533.17
|
$32,975.82
|
$30,838.50
|
2026-05-08
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
8
|
—
|
—
|
$49,022.12
|
$52,943.89
|
$49,512.34
|
2026-05-08
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
8
|
8
|
—
|
—
|
$42,047.59
|
$45,411.39
|
$42,468.06
|
2026-05-08
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
28
|
24
|
—
|
—
|
$46,243.36
|
$101,376.09
|
$50,210.32
|
2026-05-08
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
8
|
—
|
—
|
$34,153.81
|
$36,886.12
|
$34,495.35
|
2026-05-08
|
|
178-1
|
OTHER
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$33,280.15
|
$35,942.56
|
$33,612.95
|
2026-05-08
|
|
178-2
|
OTHER
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$37,313.14
|
$40,298.19
|
$37,686.27
|
2026-05-08
|
|
178-3
|
OTHER
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$40,049.05
|
$43,252.97
|
$40,449.54
|
2026-05-08
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
8
|
8
|
—
|
—
|
$54,135.54
|
$58,466.38
|
$54,676.90
|
2026-05-08
|
|
179-3
|
OTHER
|
Defibrillator Implants
|
8
|
8
|
—
|
—
|
$32,159.38
|
$34,732.13
|
$32,480.97
|
2026-05-08
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
8
|
8
|
—
|
—
|
$44,105.36
|
$47,633.79
|
$44,546.42
|
2026-05-08
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
30
|
26
|
—
|
—
|
$72,059.88
|
$805,865.45
|
$382,317.56
|
2026-05-08
|
|
181-4
|
OTHER
|
Lower Extremity Arterial Procedures
|
8
|
8
|
—
|
—
|
$34,765.74
|
$37,547.00
|
$35,113.40
|
2026-05-08
|
|
183-3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
8
|
—
|
—
|
$32,451.08
|
$35,047.17
|
$32,775.59
|
2026-05-08
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
8
|
—
|
—
|
$46,195.76
|
$49,891.42
|
$46,657.72
|
2026-05-08
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
30
|
25
|
—
|
—
|
$9,002.90
|
$169,870.24
|
$63,462.01
|
2026-05-08
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
33
|
28
|
—
|
—
|
$96,426.11
|
$414,087.80
|
$113,318.00
|
2026-05-08
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
34
|
29
|
—
|
—
|
$36,786.64
|
$212,951.05
|
$72,722.92
|
2026-05-08
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
33
|
29
|
—
|
—
|
$2,730.00
|
$120,082.58
|
$55,864.75
|
2026-05-08
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
34
|
29
|
—
|
—
|
$24,748.51
|
$203,194.64
|
$48,930.60
|
2026-05-08
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
34
|
29
|
—
|
—
|
$50,836.42
|
$202,929.47
|
$96,715.61
|
2026-05-08
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
34
|
29
|
—
|
—
|
$46,548.98
|
$185,814.76
|
$92,017.27
|
2026-05-08
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
29
|
—
|
—
|
$45,734.59
|
$182,563.89
|
$87,410.66
|
2026-05-08
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
29
|
—
|
—
|
$30,739.53
|
$122,706.43
|
$58,762.59
|
2026-05-08
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
29
|
—
|
—
|
$30,739.53
|
$122,706.43
|
$58,762.59
|
2026-05-08
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
29
|
—
|
—
|
$35,896.05
|
$143,290.30
|
$67,979.58
|
2026-05-08
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
29
|
—
|
—
|
$24,930.84
|
$99,519.23
|
$47,213.77
|
2026-05-08
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
8
|
—
|
—
|
$37,167.12
|
$40,140.49
|
$37,538.79
|
2026-05-08
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
29
|
—
|
—
|
$23,562.93
|
$94,058.82
|
$44,623.26
|
2026-05-08
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
33
|
29
|
—
|
—
|
$23,129.10
|
$92,327.02
|
$44,222.87
|
2026-05-08
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
34
|
29
|
—
|
—
|
$26,789.15
|
$157,802.45
|
$52,963.74
|
2026-05-08
|
|
230-4
|
OTHER
|
Major Small Bowel Procedures
|
8
|
8
|
—
|
—
|
$33,312.38
|
$35,977.37
|
$33,645.51
|
2026-05-08
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
33
|
29
|
—
|
—
|
$39,409.78
|
$157,316.47
|
$75,327.12
|
2026-05-08
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
33
|
29
|
—
|
—
|
$28,342.65
|
$113,138.55
|
$54,183.35
|
2026-05-08
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
33
|
29
|
—
|
—
|
$35,741.31
|
$142,672.61
|
$68,318.49
|
2026-05-08
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
33
|
29
|
—
|
—
|
$25,538.12
|
$101,943.38
|
$48,363.84
|
2026-05-08
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
33
|
29
|
—
|
—
|
$27,435.70
|
$109,518.20
|
$52,450.63
|
2026-05-08
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
33
|
29
|
—
|
—
|
$19,582.64
|
$78,170.23
|
$37,085.41
|
2026-05-08
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
33
|
29
|
—
|
—
|
$23,008.95
|
$91,847.40
|
$43,574.11
|
2026-05-08
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
34
|
29
|
—
|
—
|
$18,288.13
|
$73,002.80
|
$36,162.24
|
2026-05-08
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
33
|
29
|
—
|
—
|
$21,329.22
|
$96,678.27
|
$40,784.20
|
2026-05-08
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
34
|
29
|
—
|
—
|
$21,255.82
|
$84,849.25
|
$40,449.02
|
2026-05-08
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
34
|
29
|
—
|
—
|
$16,307.80
|
$67,778.59
|
$32,248.28
|
2026-05-08
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
8
|
—
|
—
|
$38,739.65
|
$41,838.83
|
$39,127.05
|
2026-05-08
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
8
|
8
|
—
|
—
|
$34,051.10
|
$36,775.19
|
$34,391.62
|
2026-05-08
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
34
|
29
|
—
|
—
|
$12,677.91
|
$67,521.83
|
$32,192.29
|
2026-05-08
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
34
|
29
|
—
|
—
|
$28,650.27
|
$114,366.52
|
$55,067.90
|
2026-05-08
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
34
|
29
|
—
|
—
|
$22,256.74
|
$91,692.59
|
$43,127.83
|
2026-05-08
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
34
|
29
|
—
|
—
|
$32,154.18
|
$297,414.79
|
$63,567.26
|
2026-05-08
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
34
|
29
|
—
|
—
|
$19,743.46
|
$114,960.05
|
$37,572.29
|
2026-05-08
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
34
|
29
|
—
|
—
|
$24,666.70
|
$98,464.86
|
$48,768.92
|
2026-05-08
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
34
|
29
|
—
|
—
|
$16,625.70
|
$71,284.76
|
$32,876.60
|
2026-05-08
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
34
|
29
|
—
|
—
|
$19,286.71
|
$76,988.93
|
$36,703.49
|
2026-05-08
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
34
|
29
|
—
|
—
|
$33,334.62
|
$133,065.54
|
$65,900.27
|
2026-05-08
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
34
|
29
|
—
|
—
|
$28,080.85
|
$112,093.52
|
$53,431.22
|
2026-05-08
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
34
|
29
|
—
|
—
|
$21,591.49
|
$128,101.60
|
$42,691.02
|
2026-05-08
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
34
|
29
|
—
|
—
|
$7,937.02
|
$103,874.89
|
$49,280.18
|
2026-05-08
|
|
279
|
OTHER
|
Cellulitis Age 0-17
|
34
|
29
|
—
|
—
|
$11,623.67
|
$67,301.64
|
$32,087.38
|
2026-05-08
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
34
|
29
|
—
|
—
|
$28,088.80
|
$112,125.23
|
$53,446.34
|
2026-05-08
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
34
|
29
|
—
|
—
|
$15,949.23
|
$63,666.35
|
$31,539.62
|
2026-05-08
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
34
|
29
|
—
|
—
|
$6,930.00
|
$396,098.80
|
$187,916.64
|
2026-05-08
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$33,683.31
|
$36,377.97
|
$34,020.14
|
2026-05-08
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
8
|
—
|
—
|
$46,360.73
|
$50,069.59
|
$46,824.34
|
2026-05-08
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
9
|
9
|
—
|
—
|
$60,663.06
|
$66,128.41
|
$61,842.31
|
2026-05-08
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
8
|
—
|
—
|
$31,760.26
|
$34,301.08
|
$32,077.86
|
2026-05-08
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
8
|
—
|
—
|
$46,996.52
|
$50,756.25
|
$47,466.49
|
2026-05-08
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
34
|
29
|
—
|
—
|
$20,946.34
|
$83,613.84
|
$41,415.93
|
2026-05-08
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
8
|
—
|
—
|
$41,745.67
|
$45,085.33
|
$42,163.13
|
2026-05-08
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
34
|
29
|
—
|
—
|
$20,864.06
|
$83,285.41
|
$41,253.32
|
2026-05-08
|
|
321-4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
8
|
8
|
—
|
—
|
$30,840.86
|
$33,308.13
|
$31,149.27
|
2026-05-08
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
34
|
29
|
—
|
—
|
$20,230.60
|
$80,756.73
|
$38,498.88
|
2026-05-08
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
34
|
29
|
—
|
—
|
$23,316.10
|
$209,595.30
|
$46,099.54
|
2026-05-08
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
34
|
29
|
—
|
—
|
$21,488.64
|
$89,137.39
|
$40,891.85
|
2026-05-08
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
34
|
29
|
—
|
—
|
$16,926.77
|
$67,568.48
|
$33,471.61
|
2026-05-08
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
34
|
29
|
—
|
—
|
$16,693.96
|
$66,639.14
|
$32,541.57
|
2026-05-08
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
34
|
29
|
—
|
—
|
$18,095.52
|
$72,233.94
|
$35,781.56
|
2026-05-08
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$20,536.34
|
$181,686.75
|
$39,080.46
|
2026-05-08
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
8
|
—
|
—
|
$35,352.94
|
$38,181.17
|
$35,706.47
|
2026-05-08
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
34
|
29
|
—
|
—
|
$3,570.00
|
$522,066.20
|
$122,632.94
|
2026-05-08
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
34
|
29
|
—
|
—
|
$18,051.11
|
$114,914.66
|
$35,693.78
|
2026-05-08
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
8
|
8
|
—
|
—
|
$32,624.37
|
$35,234.32
|
$32,950.61
|
2026-05-08
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
8
|
—
|
—
|
$32,060.45
|
$34,625.28
|
$32,381.05
|
2026-05-08
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
34
|
29
|
—
|
—
|
$25,574.59
|
$102,088.95
|
$50,563.26
|
2026-05-08
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
34
|
29
|
—
|
—
|
$16,669.18
|
$66,540.25
|
$31,724.57
|
2026-05-08
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
34
|
29
|
—
|
—
|
$16,655.16
|
$66,484.27
|
$32,934.80
|
2026-05-08
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$19,415.27
|
$89,079.02
|
$38,389.93
|
2026-05-08
|
|
440-1
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$44,076.85
|
$47,603.00
|
$44,517.62
|
2026-05-08
|
|
440-2
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$49,361.83
|
$53,310.78
|
$49,855.45
|
2026-05-08
|
|
440-3
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$57,554.17
|
$62,158.51
|
$58,129.71
|
2026-05-08
|
|
440-4
|
OTHER
|
Kidney Transplant
|
7
|
7
|
—
|
—
|
$87,313.90
|
$94,299.01
|
$88,187.03
|
2026-05-08
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
8
|
8
|
—
|
—
|
$39,231.65
|
$42,370.18
|
$39,623.96
|
2026-05-08
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
28
|
26
|
—
|
—
|
$75,412.21
|
$232,607.28
|
$78,454.13
|
2026-05-08
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
28
|
26
|
—
|
—
|
$52,061.65
|
$114,140.71
|
$54,150.47
|
2026-05-08
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
28
|
26
|
—
|
—
|
$39,211.21
|
$124,234.60
|
$40,775.53
|
2026-05-08
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
29
|
—
|
—
|
$39,285.89
|
$179,026.48
|
$74,744.83
|
2026-05-08
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
29
|
—
|
—
|
$27,877.49
|
$111,281.72
|
$53,044.40
|
2026-05-08
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
29
|
—
|
—
|
$19,506.90
|
$77,867.92
|
$38,571.04
|
2026-05-08
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
28
|
26
|
—
|
—
|
$56,450.88
|
$150,427.80
|
$58,718.86
|
2026-05-08
|
|
460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
28
|
26
|
—
|
—
|
$31,149.81
|
$68,262.70
|
$32,385.09
|
2026-05-08
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
34
|
29
|
—
|
—
|
$25,820.02
|
$205,689.78
|
$51,048.36
|
2026-05-08
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
34
|
29
|
—
|
—
|
$26,645.16
|
$106,362.50
|
$52,679.16
|
2026-05-08
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
34
|
29
|
—
|
—
|
$24,335.24
|
$97,141.76
|
$46,306.54
|
2026-05-08
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
34
|
29
|
—
|
—
|
$16,486.85
|
$65,812.43
|
$31,377.75
|
2026-05-08
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
34
|
29
|
—
|
—
|
$22,574.17
|
$214,135.31
|
$42,956.71
|
2026-05-08
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
34
|
29
|
—
|
—
|
$20,069.31
|
$80,112.91
|
$38,192.09
|
2026-05-08
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
34
|
29
|
—
|
—
|
$16,150.26
|
$64,468.78
|
$31,936.90
|
2026-05-08
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
34
|
29
|
—
|
—
|
$17,164.73
|
$68,518.37
|
$33,941.92
|
2026-05-08
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
34
|
29
|
—
|
—
|
$16,950.15
|
$69,925.03
|
$33,517.82
|
2026-05-08
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
33
|
28
|
—
|
—
|
$87,738.65
|
$260,459.35
|
$103,105.00
|
2026-05-08
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
8
|
—
|
—
|
$33,299.86
|
$35,963.84
|
$33,632.85
|
2026-05-08
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
34
|
29
|
—
|
—
|
$17,471.88
|
$69,744.45
|
$34,548.98
|
2026-05-08
|
|
548-4
|
OTHER
|
Postpartum And Post Abortion Diagnosis With O.r. Procedure
|
8
|
8
|
—
|
—
|
$32,863.05
|
$35,492.09
|
$33,191.68
|
2026-05-08
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
34
|
29
|
—
|
—
|
$30,627.80
|
$122,260.40
|
$58,275.87
|
2026-05-08
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
34
|
29
|
—
|
—
|
$16,228.80
|
$64,782.32
|
$32,092.14
|
2026-05-08
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
34
|
29
|
—
|
—
|
$7,001.74
|
$91,464.85
|
$43,392.63
|
2026-05-08
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$163,827.11
|
$178,586.86
|
$167,011.79
|
2026-05-08
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$189,575.16
|
$206,654.65
|
$193,260.36
|
2026-05-08
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$257,084.19
|
$280,245.80
|
$262,081.72
|
2026-05-08
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
9
|
9
|
—
|
—
|
$324,593.27
|
$353,837.00
|
$330,903.12
|
2026-05-08
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
8
|
8
|
—
|
—
|
$69,745.48
|
$75,325.12
|
$70,442.94
|
2026-05-08
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$167,961.91
|
$183,094.18
|
$171,226.97
|
2026-05-08
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$171,531.38
|
$186,985.23
|
$174,865.82
|
2026-05-08
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$266,254.47
|
$290,242.25
|
$271,430.25
|
2026-05-08
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$52,020.08
|
$56,706.75
|
$53,031.31
|
2026-05-08
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$43,184.88
|
$47,075.55
|
$44,024.36
|
2026-05-08
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
9
|
9
|
—
|
—
|
$34,349.67
|
$37,444.36
|
$35,017.41
|
2026-05-08
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$52,274.96
|
$56,984.59
|
$53,291.14
|
2026-05-08
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$98,239.11
|
$107,089.81
|
$100,148.80
|
2026-05-08
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$167,686.49
|
$182,793.95
|
$170,946.19
|
2026-05-08
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$88,506.82
|
$96,480.70
|
$90,227.32
|
2026-05-08
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$111,667.77
|
$121,728.30
|
$113,838.51
|
2026-05-08
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
9
|
9
|
—
|
—
|
$173,648.86
|
$189,293.48
|
$177,024.46
|
2026-05-08
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
33
|
28
|
—
|
—
|
$39,478.32
|
$337,153.55
|
$46,370.00
|
2026-05-08
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$74,890.58
|
$81,637.74
|
$76,346.40
|
2026-05-08
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$98,149.55
|
$106,992.18
|
$100,057.50
|
2026-05-08
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$124,471.44
|
$135,685.50
|
$126,891.07
|
2026-05-08
|
|
603-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$33,513.90
|
$36,533.28
|
$34,165.38
|
2026-05-08
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$67,925.74
|
$74,045.40
|
$69,246.17
|
2026-05-08
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$139,584.07
|
$152,159.68
|
$142,297.48
|
2026-05-08
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$57,591.04
|
$62,779.61
|
$58,710.56
|
2026-05-08
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$74,376.02
|
$81,076.81
|
$75,821.84
|
2026-05-08
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$95,605.09
|
$104,218.48
|
$97,463.58
|
2026-05-08
|
|
608-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$42,558.98
|
$46,393.27
|
$43,386.30
|
2026-05-08
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$57,650.90
|
$62,844.87
|
$58,771.59
|
2026-05-08
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
9
|
9
|
—
|
—
|
$60,533.48
|
$65,987.16
|
$61,710.21
|
2026-05-08
|
|
609-1
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$37,457.22
|
$40,831.87
|
$38,185.36
|
2026-05-08
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$39,428.64
|
$42,980.91
|
$40,195.11
|
2026-05-08
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$83,009.21
|
$90,487.80
|
$84,622.85
|
2026-05-08
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
9
|
9
|
—
|
—
|
$166,617.03
|
$181,628.13
|
$169,855.94
|
2026-05-08
|
|
611-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$47,321.34
|
$51,584.68
|
$48,241.23
|
2026-05-08
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$72,652.36
|
$79,197.86
|
$74,064.67
|
2026-05-08
|
|
612-2
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$37,836.75
|
$41,245.60
|
$38,572.27
|
2026-05-08
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$48,859.09
|
$53,260.97
|
$49,808.87
|
2026-05-08
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$69,474.35
|
$75,733.54
|
$70,824.88
|
2026-05-08
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$44,447.80
|
$48,452.26
|
$45,311.83
|
2026-05-08
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$68,162.05
|
$74,303.00
|
$69,487.07
|
2026-05-08
|
|
614-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
9
|
—
|
—
|
$42,021.57
|
$45,807.44
|
$42,838.44
|
2026-05-08
|
|
614-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
9
|
9
|
—
|
—
|
$54,776.24
|
$59,711.22
|
$55,841.05
|
2026-05-08
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
34
|
29
|
—
|
—
|
$16,303.60
|
$70,806.23
|
$32,239.98
|
2026-05-08
|
|
621-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$33,457.30
|
$36,471.58
|
$34,107.68
|
2026-05-08
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$56,997.13
|
$62,132.20
|
$58,105.12
|
2026-05-08
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
34
|
29
|
—
|
—
|
$16,639.26
|
$66,420.83
|
$31,667.65
|
2026-05-08
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
9
|
9
|
—
|
—
|
$44,988.04
|
$49,041.17
|
$45,862.58
|
2026-05-08
|
|
623-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$34,047.08
|
$37,114.50
|
$34,708.93
|
2026-05-08
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$41,287.82
|
$45,007.59
|
$42,090.43
|
2026-05-08
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
9
|
9
|
—
|
—
|
$38,035.99
|
$41,462.78
|
$38,775.38
|
2026-05-08
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$17,422.79
|
$69,548.50
|
$33,158.03
|
2026-05-08
|
|
630-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$59,244.78
|
$64,582.34
|
$60,396.45
|
2026-05-08
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$93,377.72
|
$101,790.44
|
$95,192.92
|
2026-05-08
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
9
|
9
|
—
|
—
|
$193,257.30
|
$210,668.52
|
$197,014.08
|
2026-05-08
|
|
631-2
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$37,674.17
|
$41,068.36
|
$38,406.52
|
2026-05-08
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$61,428.54
|
$66,962.85
|
$62,622.66
|
2026-05-08
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
9
|
9
|
—
|
—
|
$159,958.95
|
$174,370.21
|
$163,068.44
|
2026-05-08
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
9
|
9
|
—
|
—
|
$51,804.58
|
$56,471.84
|
$52,811.63
|
2026-05-08
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
9
|
9
|
—
|
—
|
$39,704.65
|
$43,281.78
|
$40,476.48
|
2026-05-08
|
|
636-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
9
|
9
|
—
|
—
|
$32,869.81
|
$35,831.17
|
$33,508.78
|
2026-05-08
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
30
|
25
|
—
|
—
|
$40,026.11
|
$175,826.74
|
$43,456.99
|
2026-05-08
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
30
|
25
|
—
|
—
|
$31,557.27
|
$175,826.74
|
$34,257.93
|
2026-05-08
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
8
|
—
|
—
|
$32,418.63
|
$35,012.12
|
$32,742.82
|
2026-05-08
|
|
652
|
OTHER
|
Kidney Transplant
|
33
|
28
|
—
|
—
|
$27,505.73
|
$202,200.80
|
$32,295.00
|
2026-05-08
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
34
|
29
|
—
|
—
|
$24,293.17
|
$237,945.27
|
$48,030.65
|
2026-05-08
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
34
|
29
|
—
|
—
|
$19,642.48
|
$96,082.86
|
$37,380.20
|
2026-05-08
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$43,922.74
|
$47,436.55
|
$44,361.96
|
2026-05-08
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
8
|
—
|
—
|
$37,453.32
|
$40,449.59
|
$37,827.85
|
2026-05-08
|
|
690-4
|
OTHER
|
Acute Leukemia
|
8
|
8
|
—
|
—
|
$35,850.55
|
$38,718.59
|
$36,209.05
|
2026-05-08
|
|
695-4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
8
|
8
|
—
|
—
|
$33,740.77
|
$36,440.03
|
$34,078.17
|
2026-05-08
|
|
7
|
OTHER
|
Lung Transplant
|
33
|
28
|
—
|
—
|
$127,818.47
|
$1,189,565.96
|
$160,989.60
|
2026-05-08
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
34
|
29
|
—
|
—
|
$16,710.79
|
$75,477.07
|
$33,044.75
|
2026-05-08
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
34
|
29
|
—
|
—
|
$16,749.59
|
$66,861.21
|
$31,877.51
|
2026-05-08
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
8
|
—
|
—
|
$57,365.77
|
$61,955.03
|
$57,939.42
|
2026-05-08
|
|
752-4
|
OTHER
|
Disorders Of Personality And Impulse Control
|
8
|
8
|
—
|
—
|
$37,618.18
|
$40,627.64
|
$37,994.36
|
2026-05-08
|
|
759-4
|
OTHER
|
Eating Disorders
|
8
|
8
|
—
|
—
|
$53,679.19
|
$57,973.52
|
$54,215.98
|
2026-05-08
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
34
|
30
|
—
|
—
|
$1,680.00
|
$110,915.94
|
$51,602.89
|
2026-05-08
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
33
|
29
|
—
|
—
|
$1,365.00
|
$75,747.96
|
$35,252.23
|
2026-05-08
|
|
792-4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
8
|
—
|
—
|
$32,692.46
|
$35,307.86
|
$33,019.39
|
2026-05-08
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
33
|
29
|
—
|
—
|
$945.00
|
$77,811.94
|
$36,211.84
|
2026-05-08
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
34
|
29
|
—
|
—
|
$21,172.61
|
$84,517.10
|
$41,863.15
|
2026-05-08
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
33
|
28
|
—
|
—
|
$47,708.99
|
$325,567.22
|
$56,046.00
|
2026-05-08
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
34
|
29
|
—
|
—
|
$18,625.67
|
$126,582.00
|
$36,829.35
|
2026-05-08
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$27,417.94
|
$109,447.26
|
$54,206.48
|
2026-05-08
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
34
|
29
|
—
|
—
|
$21,433.94
|
$93,736.66
|
$42,379.63
|
2026-05-08
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
34
|
29
|
—
|
—
|
$21,868.72
|
$87,295.81
|
$43,238.93
|
2026-05-08
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
33
|
29
|
—
|
—
|
$5,423.00
|
$102,450.98
|
$48,604.65
|
2026-05-08
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
33
|
29
|
—
|
—
|
$5,423.00
|
$89,656.51
|
$42,534.71
|
2026-05-08
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$41,561.96
|
$44,886.92
|
$41,977.58
|
2026-05-08
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
8
|
8
|
—
|
—
|
$113,251.39
|
$122,311.50
|
$114,383.91
|
2026-05-08
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
8
|
—
|
—
|
$57,233.90
|
$61,812.61
|
$57,806.24
|
2026-05-08
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
8
|
—
|
—
|
$39,885.91
|
$43,076.78
|
$40,284.77
|
2026-05-08
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$23,087.96
|
$92,162.80
|
$43,934.01
|
2026-05-08
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$21,265.17
|
$84,886.56
|
$40,466.79
|
2026-05-08
|
|
863-3
|
OTHER
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$45,700.61
|
$49,817.94
|
$46,589.00
|
2026-05-08
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
9
|
9
|
—
|
—
|
$71,226.21
|
$77,643.22
|
$72,610.79
|
2026-05-08
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
33
|
29
|
—
|
—
|
$3,150.00
|
$128,986.12
|
$60,004.27
|
2026-05-08
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
32
|
27
|
—
|
—
|
$1,680.00
|
$72,125.69
|
$33,732.51
|
2026-05-08
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
34
|
29
|
—
|
—
|
$19,619.10
|
$78,315.79
|
$38,792.79
|
2026-05-08
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
34
|
29
|
—
|
—
|
$17,171.74
|
$70,506.26
|
$33,955.79
|
2026-05-08
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
34
|
29
|
—
|
—
|
$17,948.73
|
$71,647.97
|
$35,491.43
|
2026-05-08
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$44,380.87
|
$47,931.34
|
$44,824.68
|
2026-05-08
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$41,928.25
|
$45,282.51
|
$42,347.53
|
2026-05-08
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
8
|
—
|
—
|
$40,736.95
|
$43,995.91
|
$41,144.32
|
2026-05-08
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
34
|
29
|
—
|
—
|
$99,813.59
|
$398,437.10
|
$197,290.06
|
2026-05-08
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
34
|
29
|
—
|
—
|
$32,068.33
|
$133,854.94
|
$63,503.27
|
2026-05-08
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
33
|
29
|
—
|
—
|
$5,423.00
|
$72,672.46
|
$34,153.59
|
2026-05-08
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
34
|
29
|
—
|
—
|
$16,963.24
|
$76,337.73
|
$33,543.70
|
2026-05-08
|
|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
33
|
29
|
—
|
—
|
$5,423.00
|
$65,678.08
|
$31,158.90
|
2026-05-08
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
8
|
—
|
—
|
$36,551.68
|
$39,475.82
|
$36,917.20
|
2026-05-08
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
34
|
29
|
—
|
—
|
$31,467.89
|
$125,613.92
|
$62,210.85
|
2026-05-08
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
34
|
29
|
—
|
—
|
$17,592.02
|
$75,103.63
|
$34,786.45
|
2026-05-08
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
34
|
29
|
—
|
—
|
$35,623.03
|
$142,200.46
|
$70,423.13
|
2026-05-08
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
34
|
29
|
—
|
—
|
$19,699.98
|
$78,638.64
|
$38,949.33
|
2026-05-08
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
34
|
29
|
—
|
—
|
$28,617.08
|
$407,487.10
|
$56,576.49
|
2026-05-08
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
33
|
29
|
—
|
—
|
$5,423.00
|
$67,402.40
|
$31,976.95
|
2026-05-08
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
34
|
29
|
—
|
—
|
$21,934.16
|
$87,557.10
|
$43,368.31
|
2026-05-08
|