|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
12
|
12
|
$104,536.55
|
$94,082.90
|
$21,254.27
|
$101,400.45
|
$97,741.68
|
2026-02-16
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
12
|
12
|
$75,820.99
|
$68,238.89
|
$15,209.30
|
$73,546.36
|
$70,892.62
|
2026-02-16
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
12
|
12
|
$59,700.70
|
$53,730.63
|
$9,502.62
|
$57,909.68
|
$55,820.15
|
2026-02-16
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
12
|
12
|
$54,424.64
|
$48,982.18
|
$22,788.72
|
$52,791.91
|
$50,887.04
|
2026-02-16
|
|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
24
|
24
|
$61,535.74
|
$55,382.17
|
$25,229.65
|
$68,796.96
|
$49,228.59
|
2026-02-16
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
12
|
12
|
$49,320.69
|
$44,388.62
|
$4,504.91
|
$47,841.07
|
$46,114.84
|
2026-02-16
|
|
J1747
|
HCPCS
|
Injection, Spesolimab-sbzo, 1 Mg
|
24
|
24
|
$55,856.32
|
$50,270.69
|
$22,901.09
|
$62,447.37
|
$44,685.06
|
2026-02-16
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
12
|
12
|
$44,918.23
|
$40,426.41
|
$8,557.53
|
$43,570.68
|
$41,998.54
|
2026-02-16
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
12
|
12
|
$43,219.79
|
$38,897.81
|
$6,404.44
|
$41,923.20
|
$40,410.50
|
2026-02-16
|
|
149
|
MS_DRG
|
Dysequilibrium
|
12
|
12
|
$39,876.97
|
$35,889.28
|
$4,682.47
|
$38,680.66
|
$37,284.96
|
2026-02-16
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
12
|
12
|
$38,221.17
|
$34,399.05
|
$7,390.65
|
$37,074.53
|
$35,736.79
|
2026-02-16
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
24
|
24
|
$41,331.68
|
$37,198.51
|
$16,945.99
|
$46,208.82
|
$33,065.34
|
2026-02-16
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
12
|
12
|
$35,022.12
|
$31,519.91
|
$7,986.86
|
$33,971.46
|
$32,745.68
|
2026-02-16
|
|
313
|
MS_DRG
|
Chest Pain
|
12
|
12
|
$33,835.47
|
$30,451.93
|
$4,485.60
|
$32,820.41
|
$31,636.17
|
2026-02-16
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
12
|
12
|
$33,276.53
|
$29,948.88
|
$12,017.05
|
$32,278.23
|
$31,113.56
|
2026-02-16
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
12
|
12
|
$33,165.46
|
$29,848.91
|
$9,200.46
|
$32,170.50
|
$31,009.71
|
2026-02-16
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
12
|
12
|
$32,761.18
|
$29,485.06
|
$12,990.80
|
$31,778.34
|
$30,631.69
|
2026-02-16
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
12
|
12
|
$32,631.00
|
$29,367.90
|
$10,171.72
|
$31,652.07
|
$30,509.99
|
2026-02-16
|
|
999
|
MS_DRG
|
Ungroupable
|
11
|
11
|
$31,764.32
|
$28,587.88
|
$25,411.45
|
$30,811.39
|
$29,858.46
|
2026-02-16
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
12
|
12
|
$30,374.91
|
$27,337.42
|
$9,993.54
|
$29,463.66
|
$28,400.54
|
2026-02-16
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
12
|
12
|
$29,826.19
|
$26,843.57
|
$7,015.60
|
$28,931.40
|
$27,887.49
|
2026-02-16
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
12
|
12
|
$29,663.43
|
$26,697.09
|
$6,391.98
|
$28,773.53
|
$27,735.31
|
2026-02-16
|
|
868
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Cc
|
12
|
12
|
$29,037.45
|
$26,133.70
|
$6,423.75
|
$28,166.32
|
$27,150.01
|
2026-02-16
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
12
|
12
|
$28,198.71
|
$25,378.84
|
$5,564.64
|
$27,352.75
|
$26,365.79
|
2026-02-16
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
12
|
12
|
$27,988.98
|
$25,190.08
|
$5,623.20
|
$27,149.31
|
$26,169.69
|
2026-02-16
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
12
|
12
|
$27,102.03
|
$24,391.83
|
$13,193.27
|
$26,288.97
|
$25,340.40
|
2026-02-16
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
12
|
12
|
$26,900.63
|
$24,210.56
|
$5,008.30
|
$26,093.61
|
$25,152.08
|
2026-02-16
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
48
|
24
|
$45,323.39
|
$40,791.06
|
$7,445.29
|
$81,041.07
|
$25,010.96
|
2026-02-16
|
|
J9307
|
HCPCS
|
Injection, Pralatrexate, 1 Mg
|
24
|
24
|
$31,136.68
|
$28,023.01
|
$12,766.04
|
$34,810.81
|
$24,909.34
|
2026-02-16
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
24
|
24
|
$30,893.70
|
$27,804.33
|
$12,666.42
|
$34,539.16
|
$24,714.96
|
2026-02-16
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
12
|
12
|
$26,344.10
|
$23,709.69
|
$4,960.95
|
$25,553.78
|
$24,631.74
|
2026-02-16
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
12
|
12
|
$26,314.45
|
$23,683.01
|
$10,941.13
|
$25,525.02
|
$24,604.01
|
2026-02-16
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
12
|
12
|
$26,024.89
|
$23,422.40
|
$12,101.78
|
$25,244.15
|
$24,333.28
|
2026-02-16
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
12
|
12
|
$26,000.23
|
$23,400.21
|
$8,748.79
|
$25,220.22
|
$24,310.22
|
2026-02-16
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
12
|
12
|
$24,548.57
|
$22,093.72
|
$4,263.81
|
$23,812.12
|
$22,952.92
|
2026-02-16
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
12
|
12
|
$24,462.21
|
$22,015.99
|
$6,373.29
|
$23,728.34
|
$22,872.17
|
2026-02-16
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
12
|
12
|
$23,934.98
|
$21,541.48
|
$5,251.89
|
$23,216.93
|
$22,379.21
|
2026-02-16
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
12
|
12
|
$23,740.51
|
$21,366.46
|
$12,056.92
|
$23,028.29
|
$22,197.38
|
2026-02-16
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
12
|
12
|
$23,560.89
|
$21,204.80
|
$5,829.41
|
$22,854.06
|
$22,029.44
|
2026-02-16
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
12
|
12
|
$22,684.13
|
$20,415.71
|
$11,407.13
|
$22,003.60
|
$21,209.66
|
2026-02-16
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
24
|
24
|
$26,390.08
|
$23,751.07
|
$10,819.93
|
$29,504.11
|
$21,112.06
|
2026-02-16
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
12
|
12
|
$22,457.48
|
$20,211.73
|
$6,294.17
|
$21,783.75
|
$20,997.74
|
2026-02-16
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
12
|
12
|
$22,386.79
|
$20,148.11
|
$6,162.09
|
$21,715.18
|
$20,931.65
|
2026-02-16
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
12
|
12
|
$22,001.91
|
$19,801.72
|
$4,976.52
|
$21,341.85
|
$20,571.79
|
2026-02-16
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
12
|
12
|
$21,888.21
|
$19,699.39
|
$5,289.27
|
$21,231.56
|
$20,465.48
|
2026-02-16
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
12
|
12
|
$21,602.56
|
$19,442.31
|
$9,226.63
|
$20,954.49
|
$20,198.40
|
2026-02-16
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
12
|
12
|
$21,453.60
|
$19,308.24
|
$9,817.23
|
$20,809.99
|
$20,059.11
|
2026-02-16
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
12
|
12
|
$21,354.67
|
$19,219.21
|
$5,240.68
|
$20,714.03
|
$19,966.62
|
2026-02-16
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
12
|
12
|
$21,198.14
|
$19,078.33
|
$8,320.79
|
$20,562.19
|
$19,820.26
|
2026-02-16
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
12
|
12
|
$21,191.32
|
$19,072.19
|
$6,340.27
|
$20,555.58
|
$19,813.89
|
2026-02-16
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
12
|
12
|
$21,106.97
|
$18,996.27
|
$5,668.05
|
$20,473.76
|
$19,735.01
|
2026-02-16
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
12
|
12
|
$20,679.39
|
$18,611.45
|
$4,703.65
|
$20,059.01
|
$19,335.24
|
2026-02-16
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
12
|
12
|
$20,455.91
|
$18,410.32
|
$6,421.88
|
$19,842.23
|
$19,126.28
|
2026-02-16
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
12
|
12
|
$19,792.94
|
$17,813.65
|
$8,695.83
|
$19,199.15
|
$18,506.40
|
2026-02-16
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
12
|
12
|
$19,767.22
|
$17,790.50
|
$4,856.91
|
$19,174.20
|
$18,482.35
|
2026-02-16
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
12
|
12
|
$19,754.34
|
$17,778.91
|
$5,583.33
|
$19,161.71
|
$18,470.31
|
2026-02-16
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
12
|
12
|
$19,697.90
|
$17,728.11
|
$5,578.97
|
$19,106.97
|
$18,417.54
|
2026-02-16
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
12
|
12
|
$19,057.19
|
$17,151.47
|
$11,002.18
|
$18,485.47
|
$17,818.47
|
2026-02-16
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
12
|
12
|
$18,911.27
|
$17,020.14
|
$3,389.12
|
$18,343.93
|
$17,682.03
|
2026-02-16
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
12
|
12
|
$18,910.16
|
$17,019.14
|
$6,323.45
|
$18,342.86
|
$17,681.00
|
2026-02-16
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
12
|
12
|
$18,330.81
|
$16,497.73
|
$7,696.54
|
$17,780.88
|
$17,139.31
|
2026-02-16
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
24
|
24
|
$21,313.80
|
$19,182.42
|
$8,738.66
|
$23,828.83
|
$17,051.04
|
2026-02-16
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
12
|
12
|
$18,220.34
|
$16,398.31
|
$7,500.92
|
$17,673.73
|
$17,036.02
|
2026-02-16
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
12
|
12
|
$18,206.69
|
$16,386.02
|
$5,015.15
|
$17,660.49
|
$17,023.26
|
2026-02-16
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
12
|
12
|
$18,192.21
|
$16,372.99
|
$6,900.97
|
$17,646.44
|
$17,009.72
|
2026-02-16
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
12
|
12
|
$18,145.02
|
$16,330.52
|
$5,031.35
|
$17,600.67
|
$16,965.60
|
2026-02-16
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
24
|
24
|
$21,143.74
|
$19,029.37
|
$8,668.93
|
$23,638.70
|
$16,914.99
|
2026-02-16
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
12
|
12
|
$18,074.49
|
$16,267.04
|
$8,188.71
|
$17,532.25
|
$16,899.65
|
2026-02-16
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
12
|
12
|
$18,062.07
|
$16,255.86
|
$12,528.53
|
$17,520.21
|
$16,888.04
|
2026-02-16
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
12
|
12
|
$17,665.88
|
$15,899.29
|
$5,863.05
|
$17,135.90
|
$16,517.60
|
2026-02-16
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
12
|
12
|
$17,661.73
|
$15,895.56
|
$6,818.11
|
$17,131.88
|
$16,513.72
|
2026-02-16
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
12
|
12
|
$17,626.88
|
$15,864.19
|
$5,709.80
|
$17,098.07
|
$16,481.14
|
2026-02-16
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
12
|
12
|
$17,560.58
|
$15,804.52
|
$5,020.76
|
$17,033.76
|
$16,419.14
|
2026-02-16
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
12
|
12
|
$17,481.50
|
$15,733.35
|
$3,526.18
|
$16,957.06
|
$16,345.20
|
2026-02-16
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
24
|
24
|
$20,267.16
|
$18,240.44
|
$8,309.54
|
$22,658.68
|
$16,213.73
|
2026-02-16
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
24
|
24
|
$19,888.00
|
$17,899.20
|
$8,154.08
|
$22,234.78
|
$15,910.40
|
2026-02-16
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
12
|
12
|
$16,942.19
|
$15,247.97
|
$7,998.07
|
$16,433.93
|
$15,840.95
|
2026-02-16
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
12
|
12
|
$16,865.96
|
$15,179.36
|
$7,908.36
|
$16,359.98
|
$15,769.67
|
2026-02-16
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
24
|
24
|
$19,641.10
|
$17,676.99
|
$8,052.85
|
$21,958.75
|
$15,712.88
|
2026-02-16
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
12
|
12
|
$16,522.85
|
$14,870.56
|
$5,043.19
|
$16,027.16
|
$15,448.86
|
2026-02-16
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
12
|
12
|
$16,390.50
|
$14,751.45
|
$12,946.56
|
$15,898.79
|
$15,325.12
|
2026-02-16
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
12
|
12
|
$16,383.35
|
$14,745.02
|
$6,317.22
|
$15,891.85
|
$15,318.44
|
2026-02-16
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
12
|
12
|
$16,350.90
|
$14,715.81
|
$11,400.90
|
$15,860.37
|
$15,288.10
|
2026-02-16
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
12
|
12
|
$16,333.06
|
$14,699.75
|
$6,070.51
|
$15,843.07
|
$15,271.42
|
2026-02-16
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
12
|
12
|
$16,252.04
|
$14,626.83
|
$3,999.66
|
$15,764.47
|
$15,195.65
|
2026-02-16
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
12
|
12
|
$15,906.19
|
$14,315.57
|
$6,050.58
|
$15,429.00
|
$14,872.29
|
2026-02-16
|
|
517
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc…
|
12
|
12
|
$15,780.87
|
$14,202.78
|
$9,573.64
|
$15,307.44
|
$14,755.11
|
2026-02-16
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
12
|
12
|
$15,745.00
|
$14,170.50
|
$4,704.27
|
$15,272.65
|
$14,721.58
|
2026-02-16
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
12
|
12
|
$15,691.88
|
$14,122.69
|
$5,720.39
|
$15,221.12
|
$14,671.91
|
2026-02-16
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
12
|
12
|
$15,625.88
|
$14,063.29
|
$3,871.32
|
$15,157.10
|
$14,610.20
|
2026-02-16
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
12
|
12
|
$15,560.80
|
$14,004.72
|
$5,988.90
|
$15,093.97
|
$14,549.35
|
2026-02-16
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
24
|
24
|
$18,050.34
|
$16,245.31
|
$7,400.64
|
$20,180.28
|
$14,440.27
|
2026-02-16
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
12
|
12
|
$15,310.55
|
$13,779.50
|
$4,292.47
|
$14,851.23
|
$14,315.36
|
2026-02-16
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
24
|
24
|
$17,808.20
|
$16,027.38
|
$7,301.36
|
$19,909.57
|
$14,246.56
|
2026-02-16
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
12
|
12
|
$15,195.00
|
$13,675.50
|
$9,548.10
|
$14,739.15
|
$14,207.33
|
2026-02-16
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
12
|
12
|
$15,136.74
|
$13,623.07
|
$4,848.19
|
$14,682.64
|
$14,152.85
|
2026-02-16
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
12
|
12
|
$15,108.44
|
$13,597.60
|
$6,080.48
|
$14,655.19
|
$14,126.39
|
2026-02-16
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
12
|
12
|
$15,078.75
|
$13,570.88
|
$7,730.81
|
$14,626.39
|
$14,098.64
|
2026-02-16
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
12
|
12
|
$15,030.75
|
$13,527.68
|
$6,629.34
|
$14,579.83
|
$14,053.76
|
2026-02-16
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
12
|
12
|
$14,940.88
|
$13,446.79
|
$7,886.56
|
$14,492.65
|
$13,969.73
|
2026-02-16
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
12
|
12
|
$14,910.30
|
$13,419.27
|
$5,706.68
|
$14,462.99
|
$13,941.13
|
2026-02-16
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
12
|
12
|
$14,800.31
|
$13,320.28
|
$11,840.25
|
$14,356.30
|
$13,838.29
|
2026-02-16
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
24
|
24
|
$16,549.76
|
$14,894.78
|
$6,785.40
|
$18,502.63
|
$13,239.81
|
2026-02-16
|
|
505
|
MS_DRG
|
Foot Procedures Without Cc/mcc
|
12
|
12
|
$14,076.78
|
$12,669.10
|
$11,169.14
|
$13,654.48
|
$13,161.79
|
2026-02-16
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
12
|
12
|
$13,987.89
|
$12,589.10
|
$4,987.12
|
$13,568.25
|
$13,078.67
|
2026-02-16
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
24
|
24
|
$16,274.88
|
$14,647.39
|
$6,672.70
|
$18,195.32
|
$13,019.90
|
2026-02-16
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
12
|
12
|
$13,867.85
|
$12,481.07
|
$3,915.56
|
$13,451.82
|
$12,966.44
|
2026-02-16
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
12
|
12
|
$13,687.09
|
$12,318.38
|
$6,375.16
|
$13,276.48
|
$12,797.44
|
2026-02-16
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/mcc
|
12
|
12
|
$13,681.51
|
$12,313.36
|
$4,134.23
|
$13,271.06
|
$12,792.21
|
2026-02-16
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
12
|
12
|
$13,428.65
|
$12,085.79
|
$7,228.67
|
$13,025.79
|
$12,555.79
|
2026-02-16
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
12
|
12
|
$12,760.82
|
$11,484.74
|
$3,870.08
|
$12,378.00
|
$11,931.36
|
2026-02-16
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
12
|
12
|
$12,714.54
|
$11,443.09
|
$5,425.71
|
$12,333.10
|
$11,888.10
|
2026-02-16
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
12
|
12
|
$12,675.09
|
$11,407.58
|
$3,739.87
|
$12,294.84
|
$11,851.20
|
2026-02-16
|
|
72
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/mcc
|
12
|
12
|
$12,613.00
|
$11,351.70
|
$4,711.13
|
$12,234.61
|
$11,793.15
|
2026-02-16
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
12
|
12
|
$12,284.13
|
$11,055.71
|
$9,735.62
|
$11,915.60
|
$11,485.66
|
2026-02-16
|
|
866
|
MS_DRG
|
Viral Illness Without Mcc
|
12
|
12
|
$11,806.44
|
$10,625.80
|
$5,417.61
|
$11,452.25
|
$11,039.02
|
2026-02-16
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
24
|
24
|
$13,690.74
|
$12,321.67
|
$5,613.20
|
$15,306.25
|
$10,952.59
|
2026-02-16
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
12
|
12
|
$11,555.08
|
$10,399.57
|
$9,244.06
|
$11,555.08
|
$10,919.56
|
2026-02-16
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
12
|
12
|
$11,574.49
|
$10,417.04
|
$6,109.76
|
$11,227.25
|
$10,822.15
|
2026-02-16
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
24
|
24
|
$13,440.52
|
$12,096.47
|
$5,510.61
|
$15,026.50
|
$10,752.42
|
2026-02-16
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
12
|
12
|
$11,363.21
|
$10,226.89
|
$6,001.36
|
$11,022.32
|
$10,624.60
|
2026-02-16
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
12
|
12
|
$11,314.07
|
$10,182.67
|
$5,030.10
|
$10,974.65
|
$10,578.66
|
2026-02-16
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
12
|
12
|
$11,106.37
|
$9,995.73
|
$8,885.10
|
$10,773.18
|
$10,462.23
|
2026-02-16
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
24
|
24
|
$12,835.98
|
$11,552.38
|
$5,262.75
|
$14,350.63
|
$10,268.78
|
2026-02-16
|
|
844
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
12
|
12
|
$10,976.72
|
$9,879.05
|
$7,584.40
|
$10,647.42
|
$10,263.24
|
2026-02-16
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
12
|
12
|
$10,465.75
|
$9,419.17
|
$5,456.23
|
$10,151.77
|
$9,785.47
|
2026-02-16
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
24
|
24
|
$12,081.12
|
$10,873.01
|
$4,953.26
|
$13,506.69
|
$9,664.90
|
2026-02-16
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
24
|
24
|
$11,694.10
|
$10,524.69
|
$4,794.58
|
$13,074.00
|
$9,355.28
|
2026-02-16
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
12
|
12
|
$9,986.00
|
$8,987.40
|
$4,194.04
|
$9,686.42
|
$9,336.91
|
2026-02-16
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
12
|
12
|
$9,857.00
|
$8,871.30
|
$5,171.52
|
$9,561.29
|
$9,216.30
|
2026-02-16
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
12
|
12
|
$9,789.78
|
$8,810.80
|
$3,526.80
|
$9,496.09
|
$9,153.44
|
2026-02-16
|
|
J0491
|
HCPCS
|
Injection, Anifrolumab-fnia, 1 Mg
|
24
|
24
|
$10,931.04
|
$9,837.94
|
$4,481.73
|
$12,220.90
|
$8,744.83
|
2026-02-16
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
12
|
12
|
$9,217.05
|
$8,295.35
|
$4,583.41
|
$8,940.54
|
$8,617.94
|
2026-02-16
|
|
89
|
MS_DRG
|
Concussion With Cc
|
12
|
12
|
$8,585.00
|
$7,726.50
|
$6,844.28
|
$8,327.45
|
$8,026.98
|
2026-02-16
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
24
|
24
|
$9,997.76
|
$8,997.98
|
$4,099.08
|
$11,177.50
|
$7,998.21
|
2026-02-16
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
12
|
12
|
$8,235.45
|
$7,411.91
|
$5,499.84
|
$7,988.39
|
$7,700.15
|
2026-02-16
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
24
|
24
|
$9,232.60
|
$8,309.34
|
$3,785.37
|
$10,322.05
|
$7,386.08
|
2026-02-16
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
12
|
12
|
$7,615.00
|
$6,853.50
|
$5,339.73
|
$7,386.55
|
$7,120.02
|
2026-02-16
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
24
|
24
|
$8,737.92
|
$7,864.13
|
$3,582.55
|
$9,768.99
|
$6,990.34
|
2026-02-16
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
48
|
24
|
$10,422.79
|
$9,380.51
|
$3,291.90
|
$14,328.91
|
$6,919.74
|
2026-02-16
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
24
|
24
|
$8,350.00
|
$7,515.00
|
$3,423.50
|
$9,335.30
|
$6,680.00
|
2026-02-16
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
24
|
24
|
$8,297.26
|
$7,467.53
|
$3,401.88
|
$9,276.34
|
$6,637.81
|
2026-02-16
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
12
|
12
|
$7,042.55
|
$6,338.30
|
$5,634.04
|
$6,831.27
|
$6,584.78
|
2026-02-16
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
12
|
12
|
$6,864.35
|
$6,177.92
|
$5,430.07
|
$6,658.42
|
$6,418.17
|
2026-02-16
|
|
7610615
|
CDM
|
Specialty Services - Treatment Room
|
24
|
24
|
$7,923.00
|
$7,130.70
|
$3,248.43
|
$8,857.91
|
$6,338.40
|
2026-02-16
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
12
|
12
|
$6,685.51
|
$6,016.95
|
$5,348.40
|
$6,484.94
|
$6,317.80
|
2026-02-16
|
|
156
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc
|
12
|
12
|
$6,638.50
|
$5,974.65
|
$4,305.55
|
$6,439.35
|
$6,207.00
|
2026-02-16
|
|
J9061
|
HCPCS
|
Injection, Amivantamab-vmjw, 2 Mg
|
24
|
24
|
$7,663.12
|
$6,896.81
|
$3,141.88
|
$8,567.37
|
$6,130.50
|
2026-02-16
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
24
|
24
|
$7,649.76
|
$6,884.78
|
$3,136.40
|
$8,552.43
|
$6,119.81
|
2026-02-16
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
12
|
12
|
$6,449.24
|
$5,804.32
|
$5,159.39
|
$6,449.24
|
$6,094.53
|
2026-02-16
|
|
J9352
|
HCPCS
|
Injection, Trabectedin, 0.1 Mg
|
24
|
24
|
$7,428.44
|
$6,685.60
|
$3,045.66
|
$8,305.00
|
$5,942.75
|
2026-02-16
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
24
|
24
|
$7,399.52
|
$6,659.57
|
$3,033.80
|
$8,272.66
|
$5,919.62
|
2026-02-16
|
|
182
|
MS_DRG
|
Respiratory Neoplasms Without Cc/mcc
|
12
|
12
|
$6,291.91
|
$5,662.72
|
$4,635.12
|
$6,103.15
|
$5,882.94
|
2026-02-16
|
|
J0775
|
HCPCS
|
Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg
|
24
|
24
|
$7,264.00
|
$6,537.60
|
$2,978.24
|
$8,121.15
|
$5,811.20
|
2026-02-16
|
|
Q5123
|
HCPCS
|
Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg
|
24
|
24
|
$7,217.76
|
$6,495.98
|
$2,959.28
|
$8,069.46
|
$5,774.21
|
2026-02-16
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
24
|
24
|
$7,175.46
|
$6,457.91
|
$2,941.94
|
$8,022.16
|
$5,740.37
|
2026-02-16
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
96
|
24
|
$7,330.89
|
$6,597.80
|
$1,105.96
|
$17,532.45
|
$5,668.61
|
2026-02-16
|
|
52204
|
HCPCS
|
Biopsy Of Bladder Using An Endoscope
|
46
|
24
|
$13,439.00
|
$12,095.10
|
$117.47
|
$15,024.80
|
$5,644.38
|
2026-02-16
|
|
0201T
|
OTHER
|
Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed …
|
10
|
10
|
$7,653.00
|
$6,887.70
|
$663.58
|
$7,653.00
|
$5,357.10
|
2026-02-16
|
|
J1743
|
HCPCS
|
Injection, Idursulfase, 1 Mg
|
24
|
24
|
$6,509.56
|
$5,858.60
|
$2,668.92
|
$7,277.69
|
$5,207.65
|
2026-02-16
|
|
J3315
|
HCPCS
|
Injection, Triptorelin Pamoate, 3.75 Mg
|
48
|
24
|
$8,635.00
|
$7,771.50
|
$2,360.23
|
$12,871.91
|
$5,180.99
|
2026-02-16
|
|
J9319
|
HCPCS
|
Injection, Romidepsin, Lyophilized, 0.1 Mg
|
24
|
24
|
$6,387.06
|
$5,748.35
|
$2,618.69
|
$7,140.73
|
$5,109.65
|
2026-02-16
|
|
J1944
|
HCPCS
|
Injection, Aripiprazole Lauroxil, (aristada), 1 Mg
|
24
|
24
|
$6,363.98
|
$5,727.58
|
$2,609.23
|
$7,114.93
|
$5,091.18
|
2026-02-16
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
48
|
24
|
$9,108.01
|
$8,197.20
|
$1,505.95
|
$16,259.03
|
$5,034.55
|
2026-02-16
|
|
J9176
|
HCPCS
|
Injection, Elotuzumab, 1 Mg
|
24
|
24
|
$6,239.48
|
$5,615.53
|
$2,558.19
|
$6,975.74
|
$4,991.58
|
2026-02-16
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
24
|
24
|
$6,222.70
|
$5,600.43
|
$2,551.31
|
$6,956.98
|
$4,978.16
|
2026-02-16
|
|
J9205
|
HCPCS
|
Injection, Irinotecan Liposome, 1 Mg
|
24
|
24
|
$6,155.76
|
$5,540.18
|
$2,523.86
|
$6,882.14
|
$4,924.61
|
2026-02-16
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
48
|
24
|
$7,072.26
|
$6,365.03
|
$2,323.78
|
$9,477.02
|
$4,817.59
|
2026-02-16
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
48
|
24
|
$9,054.48
|
$8,149.04
|
$1,251.05
|
$16,834.42
|
$4,792.51
|
2026-02-16
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
12
|
12
|
$5,098.07
|
$4,588.26
|
$3,463.88
|
$4,945.12
|
$4,766.69
|
2026-02-16
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
24
|
24
|
$5,662.00
|
$5,095.80
|
$2,321.42
|
$6,330.12
|
$4,529.60
|
2026-02-16
|
|
J2802
|
HCPCS
|
Injection, Romiplostim, 1 Microgram
|
24
|
24
|
$5,506.04
|
$4,955.44
|
$2,257.48
|
$6,155.75
|
$4,404.83
|
2026-02-16
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
12
|
12
|
$4,652.38
|
$4,187.14
|
$3,721.90
|
$4,652.38
|
$4,396.49
|
2026-02-16
|
|
69620
|
HCPCS
|
Repair Of Defect Or Tear Of Eardrum
|
24
|
24
|
$5,430.00
|
$4,887.00
|
$2,226.30
|
$6,070.74
|
$4,344.00
|
2026-02-16
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
12
|
12
|
$4,571.50
|
$4,114.35
|
$3,657.20
|
$4,571.50
|
$4,320.07
|
2026-02-16
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
24
|
24
|
$5,316.00
|
$4,784.40
|
$2,179.56
|
$5,943.29
|
$4,252.80
|
2026-02-16
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
12
|
12
|
$4,492.43
|
$4,043.19
|
$3,593.94
|
$4,492.43
|
$4,245.35
|
2026-02-16
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
12
|
12
|
$4,486.16
|
$4,037.54
|
$3,588.92
|
$4,486.16
|
$4,239.42
|
2026-02-16
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
12
|
12
|
$4,477.46
|
$4,029.71
|
$3,581.97
|
$4,477.46
|
$4,231.20
|
2026-02-16
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
24
|
24
|
$5,257.84
|
$4,732.06
|
$2,155.71
|
$5,878.27
|
$4,206.27
|
2026-02-16
|
|
J9317
|
HCPCS
|
Injection, Sacituzumab Govitecan-hziy, 2.5 Mg
|
24
|
24
|
$5,176.76
|
$4,659.08
|
$2,122.47
|
$5,787.62
|
$4,141.41
|
2026-02-16
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
24
|
24
|
$5,164.00
|
$4,647.60
|
$2,117.24
|
$5,773.35
|
$4,131.20
|
2026-02-16
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
24
|
24
|
$5,103.00
|
$4,592.70
|
$2,092.23
|
$5,705.15
|
$4,082.40
|
2026-02-16
|
|
J2426
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg
|
48
|
24
|
$5,948.64
|
$5,353.77
|
$1,951.18
|
$7,980.62
|
$4,045.13
|
2026-02-16
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
24
|
24
|
$5,033.00
|
$4,529.70
|
$2,063.53
|
$5,626.89
|
$4,026.40
|
2026-02-16
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
24
|
24
|
$4,985.00
|
$4,486.50
|
$2,043.85
|
$5,573.23
|
$3,988.00
|
2026-02-16
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
144
|
24
|
$4,856.44
|
$4,370.80
|
$1,111.16
|
$28,795.19
|
$3,863.36
|
2026-02-16
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
24
|
24
|
$4,728.00
|
$4,255.20
|
$1,938.48
|
$5,285.90
|
$3,782.40
|
2026-02-16
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
24
|
24
|
$4,704.00
|
$4,233.60
|
$1,928.64
|
$5,259.07
|
$3,763.20
|
2026-02-16
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
24
|
24
|
$4,675.00
|
$4,207.50
|
$1,916.75
|
$5,226.65
|
$3,740.00
|
2026-02-16
|
|
30117
|
HCPCS
|
Removal Or Destruction Of Growth Of Nose Through Nose
|
24
|
24
|
$4,658.00
|
$4,192.20
|
$1,909.78
|
$5,207.64
|
$3,726.40
|
2026-02-16
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
24
|
24
|
$4,594.00
|
$4,134.60
|
$1,883.54
|
$5,136.09
|
$3,675.20
|
2026-02-16
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
24
|
24
|
$4,570.00
|
$4,113.00
|
$1,873.70
|
$5,109.26
|
$3,656.00
|
2026-02-16
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
24
|
24
|
$4,563.00
|
$4,106.70
|
$1,870.83
|
$5,101.43
|
$3,650.40
|
2026-02-16
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
24
|
24
|
$4,533.00
|
$4,079.70
|
$1,858.53
|
$5,067.89
|
$3,626.40
|
2026-02-16
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
24
|
24
|
$4,533.00
|
$4,079.70
|
$1,858.53
|
$5,067.89
|
$3,626.40
|
2026-02-16
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
24
|
24
|
$4,522.00
|
$4,069.80
|
$1,854.02
|
$5,055.60
|
$3,617.60
|
2026-02-16
|
|
J2783
|
HCPCS
|
Injection, Rasburicase, 0.5 Mg
|
48
|
24
|
$6,758.13
|
$6,082.32
|
$937.21
|
$12,555.56
|
$3,580.03
|
2026-02-16
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
24
|
24
|
$4,475.00
|
$4,027.50
|
$1,834.75
|
$5,003.05
|
$3,580.00
|
2026-02-16
|
|
J0490
|
HCPCS
|
Injection, Belimumab, 10 Mg
|
24
|
24
|
$4,452.10
|
$4,006.89
|
$1,825.36
|
$4,977.45
|
$3,561.68
|
2026-02-16
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
24
|
24
|
$4,427.00
|
$3,984.30
|
$1,815.07
|
$4,949.39
|
$3,541.60
|
2026-02-16
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
24
|
24
|
$4,425.00
|
$3,982.50
|
$1,814.25
|
$4,947.15
|
$3,540.00
|
2026-02-16
|
|
49203
|
HCPCS
|
Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1…
|
10
|
10
|
$5,049.00
|
$4,544.10
|
$1,106.80
|
$5,049.00
|
$3,534.30
|
2026-02-16
|
|
30220
|
HCPCS
|
Insertion Of Implant To Close Nasal Passage
|
24
|
24
|
$4,405.00
|
$3,964.50
|
$1,806.05
|
$4,924.79
|
$3,524.00
|
2026-02-16
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
24
|
24
|
$4,327.00
|
$3,894.30
|
$1,774.07
|
$4,837.59
|
$3,461.60
|
2026-02-16
|
|
J3358
|
HCPCS
|
Ustekinumab, For Intravenous Injection, 1 Mg
|
24
|
24
|
$4,289.08
|
$3,860.17
|
$1,758.52
|
$4,795.19
|
$3,431.26
|
2026-02-16
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
24
|
24
|
$4,175.00
|
$3,757.50
|
$1,711.75
|
$4,667.65
|
$3,340.00
|
2026-02-16
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
24
|
24
|
$4,149.00
|
$3,734.10
|
$1,701.09
|
$4,638.58
|
$3,319.20
|
2026-02-16
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
24
|
24
|
$4,149.00
|
$3,734.10
|
$1,701.09
|
$4,638.58
|
$3,319.20
|
2026-02-16
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
12
|
12
|
$3,499.44
|
$3,149.50
|
$2,799.55
|
$3,499.44
|
$3,306.97
|
2026-02-16
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
24
|
24
|
$4,048.14
|
$3,643.33
|
$1,659.74
|
$4,525.82
|
$3,238.51
|
2026-02-16
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
24
|
24
|
$4,033.00
|
$3,629.70
|
$1,653.53
|
$4,508.89
|
$3,226.40
|
2026-02-16
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
24
|
24
|
$3,998.00
|
$3,598.20
|
$1,639.18
|
$4,469.76
|
$3,198.40
|
2026-02-16
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
24
|
24
|
$3,998.00
|
$3,598.20
|
$1,639.18
|
$4,469.76
|
$3,198.40
|
2026-02-16
|
|
63287
|
HCPCS
|
Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu…
|
22
|
22
|
$10,903.00
|
$9,812.70
|
$2,237.98
|
$10,903.00
|
$3,189.12
|
2026-02-16
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
24
|
24
|
$3,929.90
|
$3,536.91
|
$1,611.26
|
$4,393.63
|
$3,143.92
|
2026-02-16
|
|
47379
|
HCPCS
|
Other Procedure On Liver Using An Endoscope
|
9
|
9
|
$3,900.00
|
$3,510.00
|
$43.50
|
$3,900.00
|
$3,120.00
|
2026-02-16
|
|
Q5117
|
HCPCS
|
Injection, Trastuzumab-anns, Biosimilar, (kanjinti), 10 Mg
|
48
|
24
|
$5,218.01
|
$4,696.21
|
$1,135.66
|
$8,570.72
|
$3,119.93
|
2026-02-16
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
24
|
24
|
$3,870.00
|
$3,483.00
|
$1,586.70
|
$4,326.66
|
$3,096.00
|
2026-02-16
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
24
|
24
|
$3,860.00
|
$3,474.00
|
$1,582.60
|
$4,315.48
|
$3,088.00
|
2026-02-16
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
24
|
24
|
$3,856.00
|
$3,470.40
|
$1,580.96
|
$4,311.01
|
$3,084.80
|
2026-02-16
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
24
|
24
|
$3,848.00
|
$3,463.20
|
$1,577.68
|
$4,302.06
|
$3,078.40
|
2026-02-16
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
24
|
24
|
$3,780.00
|
$3,402.00
|
$1,549.80
|
$4,226.04
|
$3,024.00
|
2026-02-16
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
24
|
24
|
$4,533.00
|
$4,079.70
|
$1,858.53
|
$5,067.89
|
$2,982.72
|
2026-02-16
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
24
|
24
|
$3,716.00
|
$3,344.40
|
$1,523.56
|
$4,154.49
|
$2,972.80
|
2026-02-16
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
24
|
24
|
$3,710.00
|
$3,339.00
|
$1,521.10
|
$4,147.78
|
$2,968.00
|
2026-02-16
|
|
57100
|
HCPCS
|
Simple Biopsy Of Vaginal Mucous Membrane
|
24
|
24
|
$3,708.00
|
$3,337.20
|
$1,520.28
|
$4,145.54
|
$2,966.40
|
2026-02-16
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
48
|
24
|
$5,375.14
|
$4,837.62
|
$865.59
|
$9,658.49
|
$2,951.17
|
2026-02-16
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
24
|
24
|
$3,610.00
|
$3,249.00
|
$1,480.10
|
$4,035.98
|
$2,888.00
|
2026-02-16
|
|
Q5136
|
HCPCS
|
Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg
|
48
|
24
|
$4,812.39
|
$4,331.15
|
$1,315.39
|
$7,173.67
|
$2,887.43
|
2026-02-16
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
24
|
24
|
$3,603.00
|
$3,242.70
|
$1,477.23
|
$4,028.15
|
$2,882.40
|
2026-02-16
|
|
93351
|
HCPCS
|
Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis…
|
24
|
24
|
$3,556.00
|
$3,200.40
|
$1,457.96
|
$3,975.61
|
$2,844.80
|
2026-02-16
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
12
|
12
|
$3,006.85
|
$2,706.17
|
$2,405.48
|
$3,006.85
|
$2,841.48
|
2026-02-16
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
120
|
24
|
$3,537.95
|
$3,184.16
|
$161.94
|
$11,768.46
|
$2,830.36
|
2026-02-16
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
24
|
24
|
$3,517.00
|
$3,165.30
|
$1,441.97
|
$3,932.01
|
$2,813.60
|
2026-02-16
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
48
|
24
|
$3,583.43
|
$3,225.09
|
$1,357.00
|
$4,312.24
|
$2,813.30
|
2026-02-16
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
24
|
24
|
$3,499.00
|
$3,149.10
|
$1,434.59
|
$3,911.88
|
$2,799.20
|
2026-02-16
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
24
|
24
|
$3,458.00
|
$3,112.20
|
$1,417.78
|
$3,866.04
|
$2,766.40
|
2026-02-16
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
48
|
24
|
$5,210.72
|
$4,689.65
|
$725.73
|
$9,672.22
|
$2,763.01
|
2026-02-16
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
48
|
24
|
$5,123.06
|
$4,610.75
|
$713.75
|
$9,508.88
|
$2,716.72
|
2026-02-16
|
|
J9055
|
HCPCS
|
Injection, Cetuximab, 10 Mg
|
24
|
24
|
$3,395.72
|
$3,056.15
|
$1,392.25
|
$3,796.42
|
$2,716.58
|
2026-02-16
|
|
J2315
|
HCPCS
|
Injection, Naltrexone, Depot Form, 1 Mg
|
24
|
24
|
$3,380.68
|
$3,042.61
|
$1,386.08
|
$3,779.60
|
$2,704.54
|
2026-02-16
|
|
27337
|
HCPCS
|
Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm
|
46
|
24
|
$6,260.00
|
$5,634.00
|
$366.24
|
$6,998.68
|
$2,691.80
|
2026-02-16
|
|
11422
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2…
|
46
|
24
|
$6,385.00
|
$5,746.50
|
$115.08
|
$7,138.43
|
$2,681.70
|
2026-02-16
|
|
27599
|
HCPCS
|
Other Procedure On Thigh Or Knee
|
9
|
9
|
$3,351.00
|
$3,015.90
|
$43.50
|
$3,351.00
|
$2,680.80
|
2026-02-16
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
24
|
24
|
$3,327.70
|
$2,994.93
|
$1,364.36
|
$3,720.37
|
$2,662.16
|
2026-02-16
|
|
0200T
|
OTHER
|
Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th…
|
10
|
10
|
$3,134.00
|
$2,820.60
|
$706.00
|
$3,134.00
|
$2,659.27
|
2026-02-16
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
96
|
24
|
$3,870.00
|
$3,483.00
|
$380.81
|
$10,557.05
|
$2,631.60
|
2026-02-16
|
|
J1448
|
HCPCS
|
Injection, Trilaciclib, 1mg
|
24
|
24
|
$3,275.82
|
$2,948.24
|
$1,343.09
|
$3,662.37
|
$2,620.66
|
2026-02-16
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
48
|
24
|
$4,448.50
|
$4,003.65
|
$1,216.06
|
$6,630.86
|
$2,609.64
|
2026-02-16
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
24
|
24
|
$3,203.00
|
$2,882.70
|
$1,313.23
|
$3,580.95
|
$2,562.40
|
2026-02-16
|
|
21930
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm
|
46
|
24
|
$6,088.00
|
$5,479.20
|
$317.24
|
$6,806.38
|
$2,556.96
|
2026-02-16
|
|
J2278
|
HCPCS
|
Injection, Ziconotide, 1 Microgram
|
24
|
24
|
$3,169.50
|
$2,852.55
|
$1,299.50
|
$3,543.50
|
$2,535.60
|
2026-02-16
|
|
J9355
|
HCPCS
|
Injection, Trastuzumab, Excludes Biosimilar, 10 Mg
|
24
|
24
|
$3,166.60
|
$2,849.94
|
$1,298.31
|
$3,540.26
|
$2,533.28
|
2026-02-16
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
24
|
24
|
$3,149.76
|
$2,834.78
|
$1,291.40
|
$3,521.43
|
$2,519.81
|
2026-02-16
|
|
27328
|
HCPCS
|
Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or Less
|
46
|
24
|
$5,986.00
|
$5,387.40
|
$531.27
|
$6,692.35
|
$2,514.12
|
2026-02-16
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
24
|
24
|
$3,142.20
|
$2,827.98
|
$1,288.30
|
$3,512.98
|
$2,513.76
|
2026-02-16
|
|
Q5113
|
HCPCS
|
Injection, Trastuzumab-pkrb, Biosimilar, (herzuma), 10 Mg
|
48
|
24
|
$4,194.61
|
$3,775.14
|
$914.82
|
$6,884.60
|
$2,509.66
|
2026-02-16
|
|
77049
|
HCPCS
|
MRI Scan Of Both Breasts
|
24
|
24
|
$3,137.00
|
$2,823.30
|
$1,286.17
|
$3,507.17
|
$2,509.60
|
2026-02-16
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
24
|
24
|
$3,124.10
|
$2,811.69
|
$1,280.88
|
$3,492.74
|
$2,499.28
|
2026-02-16
|
|
49565
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Reducible
|
10
|
10
|
$3,539.00
|
$3,185.10
|
$705.52
|
$3,539.00
|
$2,477.30
|
2026-02-16
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
46
|
24
|
$5,873.00
|
$5,285.70
|
$157.51
|
$6,566.01
|
$2,466.66
|
2026-02-16
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
72
|
24
|
$4,489.76
|
$4,040.78
|
$1,109.29
|
$5,994.05
|
$2,464.78
|
2026-02-16
|
|
22802
|
HCPCS
|
Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V…
|
22
|
22
|
$8,767.00
|
$7,890.30
|
$1,707.49
|
$8,767.00
|
$2,433.18
|
2026-02-16
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
48
|
24
|
$3,023.00
|
$2,720.70
|
$1,221.39
|
$3,428.91
|
$2,418.40
|
2026-02-16
|
|
J7327
|
HCPCS
|
Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose
|
24
|
24
|
$3,000.00
|
$2,700.00
|
$1,230.00
|
$3,354.00
|
$2,400.00
|
2026-02-16
|
|
49566
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
10
|
10
|
$3,401.00
|
$3,060.90
|
$861.46
|
$3,401.00
|
$2,380.70
|
2026-02-16
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
24
|
24
|
$2,966.00
|
$2,669.40
|
$1,216.06
|
$3,315.99
|
$2,372.80
|
2026-02-16
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
12
|
12
|
$2,493.58
|
$2,244.22
|
$1,994.86
|
$2,493.58
|
$2,356.43
|
2026-02-16
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
46
|
24
|
$5,583.00
|
$5,024.70
|
$208.43
|
$6,241.79
|
$2,344.86
|
2026-02-16
|
|
43248
|
HCPCS
|
Insertion Of Guide Wire With Dilation Of Esophagus Using A Flexible Endoscope
|
46
|
24
|
$5,583.00
|
$5,024.70
|
$137.69
|
$6,241.79
|
$2,344.86
|
2026-02-16
|
|
91035
|
HCPCS
|
Monitoring And Recording Of Esophageal Function Through A Capsule Attached To Th…
|
24
|
24
|
$2,883.00
|
$2,594.70
|
$1,182.03
|
$3,223.19
|
$2,306.40
|
2026-02-16
|
|
J9179
|
HCPCS
|
Injection, Eribulin Mesylate, 0.1 Mg
|
24
|
24
|
$2,820.00
|
$2,538.00
|
$1,156.20
|
$3,152.76
|
$2,256.00
|
2026-02-16
|
|
0707T
|
OTHER
|
Injection Of Bone-substitute Material Into Defect Of Bone Using Imaging Guidance…
|
14
|
7
|
$2,523.50
|
$2,271.15
|
$1,127.00
|
$2,793.00
|
$2,244.20
|
2026-02-16
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
48
|
24
|
$4,034.46
|
$3,631.02
|
$673.89
|
$7,183.46
|
$2,235.97
|
2026-02-16
|
|
63272
|
HCPCS
|
Removal Of Growth Of Lower Spine Bone Within Spine Membrane
|
22
|
22
|
$7,616.00
|
$6,854.40
|
$1,565.59
|
$7,616.00
|
$2,230.97
|
2026-02-16
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
22
|
22
|
$5,950.00
|
$5,355.00
|
$1,362.45
|
$5,950.00
|
$2,213.99
|
2026-02-16
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
46
|
24
|
$5,197.00
|
$4,677.30
|
$115.14
|
$5,810.25
|
$2,182.74
|
2026-02-16
|
|
J9145
|
HCPCS
|
Injection, Daratumumab, 10 Mg
|
48
|
24
|
$3,927.87
|
$3,535.09
|
$656.42
|
$6,992.78
|
$2,177.19
|
2026-02-16
|
|
77047
|
HCPCS
|
MRI Scan Of Both Breasts Without Contrast
|
24
|
24
|
$2,714.00
|
$2,442.60
|
$1,112.74
|
$3,034.25
|
$2,171.20
|
2026-02-16
|
|
Q5114
|
HCPCS
|
Injection, Trastuzumab-dkst, Biosimilar, (ogivri), 10 Mg
|
48
|
24
|
$3,615.32
|
$3,253.78
|
$791.62
|
$5,925.24
|
$2,165.78
|
2026-02-16
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
22
|
22
|
$4,327.00
|
$3,894.30
|
$1,324.89
|
$4,327.00
|
$2,152.95
|
2026-02-16
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
24
|
24
|
$2,689.76
|
$2,420.78
|
$1,102.80
|
$3,007.15
|
$2,151.81
|
2026-02-16
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
24
|
24
|
$2,685.00
|
$2,416.50
|
$1,100.85
|
$3,001.83
|
$2,148.00
|
2026-02-16
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
48
|
24
|
$4,176.48
|
$3,758.83
|
$503.82
|
$7,964.79
|
$2,147.36
|
2026-02-16
|
|
22210
|
HCPCS
|
Incision Or Removal Of Upper Spine Bone Segment
|
22
|
22
|
$7,342.00
|
$6,607.80
|
$1,497.55
|
$7,342.00
|
$2,134.01
|
2026-02-16
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
24
|
24
|
$2,661.36
|
$2,395.22
|
$1,091.16
|
$2,975.40
|
$2,129.09
|
2026-02-16
|
|
42800
|
HCPCS
|
Biopsy Of Back Of Throat
|
24
|
24
|
$2,658.00
|
$2,392.20
|
$1,089.78
|
$2,971.64
|
$2,126.40
|
2026-02-16
|
|
44626
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…
|
22
|
22
|
$7,719.00
|
$6,947.10
|
$1,300.87
|
$7,719.00
|
$2,113.91
|
2026-02-16
|
|
A0434
|
HCPCS
|
Specialty Care Transport (sct)
|
24
|
24
|
$2,599.00
|
$2,339.10
|
$1,065.59
|
$2,905.68
|
$2,079.20
|
2026-02-16
|
|
63064
|
HCPCS
|
Release Of Middle Spinal Cord Or Nerves Through Rib And Spine Joint, Single Segm…
|
22
|
22
|
$6,096.00
|
$5,486.40
|
$1,453.30
|
$6,096.00
|
$2,070.95
|
2026-02-16
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
24
|
24
|
$2,566.00
|
$2,309.40
|
$1,052.06
|
$2,868.79
|
$2,052.80
|
2026-02-16
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
24
|
24
|
$2,550.72
|
$2,295.65
|
$1,045.80
|
$2,851.71
|
$2,040.58
|
2026-02-16
|
|
11404
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
46
|
24
|
$4,824.00
|
$4,341.60
|
$139.02
|
$5,393.23
|
$2,026.08
|
2026-02-16
|
|
7200001
|
CDM
|
Labor Room/delivery - General Classification
|
24
|
24
|
$2,520.00
|
$2,268.00
|
$1,033.20
|
$2,817.36
|
$2,016.00
|
2026-02-16
|
|
49560
|
HCPCS
|
Repair Initial Incisional Or Ventral Hernia; Reducible
|
10
|
10
|
$2,866.00
|
$2,579.40
|
$676.97
|
$2,866.00
|
$2,006.20
|
2026-02-16
|
|
77046
|
HCPCS
|
MRI Scan Of 1 Breast Without Contrast
|
24
|
24
|
$2,490.00
|
$2,241.00
|
$1,020.90
|
$2,783.82
|
$1,992.00
|
2026-02-16
|
|
Q5107
|
HCPCS
|
Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg
|
48
|
24
|
$3,538.38
|
$3,184.55
|
$592.54
|
$6,296.06
|
$1,962.34
|
2026-02-16
|
|
57522
|
HCPCS
|
Removal Or Destruction Of Cervix Using Loop Electrode
|
24
|
24
|
$2,400.00
|
$2,160.00
|
$984.00
|
$2,683.20
|
$1,920.00
|
2026-02-16
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
12
|
12
|
$2,019.00
|
$1,817.10
|
$1,615.20
|
$2,019.00
|
$1,907.95
|
2026-02-16
|