|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
5
|
—
|
—
|
$4,505,000.00
|
$4,955,500.00
|
$4,640,150.00
|
2026-09-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
9
|
7
|
—
|
—
|
$3,691,450.00
|
$4,618,003.95
|
$3,932,600.00
|
2026-09-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
3
|
2
|
—
|
—
|
$3,675,000.00
|
$3,932,600.00
|
$3,932,600.00
|
2026-09-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
10
|
8
|
—
|
—
|
$3,316,897.12
|
$4,809,500.83
|
$3,521,088.40
|
2026-09-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
8
|
8
|
—
|
—
|
$3,285,782.70
|
$4,764,384.92
|
$3,515,787.49
|
2026-09-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
8
|
—
|
—
|
$3,235,303.98
|
$4,691,190.77
|
$3,384,580.00
|
2026-09-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
8
|
8
|
—
|
—
|
$3,180,000.00
|
$4,611,000.00
|
$3,402,600.00
|
2026-09-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
10
|
8
|
—
|
—
|
$2,930,260.34
|
$4,248,877.50
|
$3,146,080.00
|
2026-09-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
8
|
8
|
—
|
—
|
$2,680,037.38
|
$3,886,054.21
|
$2,867,640.00
|
2026-09-01
|
|
J3405
|
HCPCS
|
Inj Onase Abepar-brve Treat
|
8
|
8
|
—
|
—
|
$2,664,228.59
|
$3,863,131.46
|
$2,850,724.59
|
2026-09-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
8
|
—
|
—
|
$2,300,906.67
|
$3,336,314.67
|
$2,471,920.00
|
2026-09-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
8
|
8
|
—
|
—
|
$813,967.38
|
$1,180,252.69
|
$870,945.09
|
2026-09-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
10
|
8
|
—
|
—
|
$599,561.27
|
$886,955.10
|
$633,102.44
|
2026-09-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
10
|
8
|
—
|
—
|
$584,397.44
|
$852,567.74
|
$608,556.98
|
2026-09-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
10
|
8
|
—
|
—
|
$560,011.18
|
$823,567.78
|
$587,857.00
|
2026-09-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
10
|
8
|
—
|
—
|
$547,475.13
|
$840,377.39
|
$599,855.58
|
2026-09-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
11
|
9
|
—
|
—
|
$518,888.18
|
$815,626.29
|
$585,000.93
|
2026-09-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
10
|
8
|
—
|
—
|
$510,103.92
|
$739,650.68
|
$527,957.56
|
2026-09-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
31
|
17
|
—
|
—
|
$294,722.61
|
$828,159.74
|
$331,343.31
|
2026-09-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
8
|
8
|
—
|
—
|
$278,250.00
|
$403,462.50
|
$297,727.50
|
2026-09-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
13
|
9
|
—
|
—
|
$250,000.00
|
$379,290.49
|
$264,195.45
|
2026-09-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
8
|
8
|
—
|
—
|
$203,659.76
|
$295,306.66
|
$217,915.95
|
2026-09-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
31
|
17
|
—
|
—
|
$145,717.16
|
$409,459.89
|
$164,576.73
|
2026-09-01
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$142,621.55
|
$142,621.55
|
$142,621.55
|
2026-09-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
17
|
—
|
—
|
$140,245.58
|
$407,056.89
|
$162,809.63
|
2026-09-01
|
|
J3404
|
HCPCS
|
Inj Zopapogene Per Ther Dose
|
13
|
9
|
—
|
—
|
$115,000.00
|
$176,755.00
|
$123,119.00
|
2026-09-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
8
|
8
|
—
|
—
|
$110,356.90
|
$167,238.26
|
$118,081.88
|
2026-09-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
31
|
17
|
—
|
—
|
$88,385.12
|
$248,358.94
|
$100,410.83
|
2026-09-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
31
|
17
|
—
|
—
|
$82,022.17
|
$230,479.29
|
$93,289.43
|
2026-09-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
31
|
17
|
—
|
—
|
$77,339.54
|
$217,321.26
|
$88,048.64
|
2026-09-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
31
|
17
|
—
|
—
|
$77,250.81
|
$217,071.95
|
$87,949.34
|
2026-09-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
8
|
4
|
—
|
—
|
$76,400.00
|
$80,220.00
|
$76,400.00
|
2026-09-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
31
|
17
|
—
|
—
|
$75,219.69
|
$211,364.57
|
$85,676.11
|
2026-09-01
|
|
J9183
|
HCPCS
|
Gemcitabine Intravesical Sys
|
14
|
10
|
—
|
—
|
$72,984.24
|
$105,827.15
|
$73,349.16
|
2026-09-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
31
|
17
|
—
|
—
|
$70,369.16
|
$197,734.77
|
$80,247.41
|
2026-09-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
8
|
8
|
—
|
—
|
$68,801.71
|
$103,202.57
|
$73,617.83
|
2026-09-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
16
|
10
|
—
|
—
|
$61,813.50
|
$93,280.84
|
$65,618.24
|
2026-09-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
31
|
17
|
—
|
—
|
$59,101.09
|
$166,071.89
|
$67,636.21
|
2026-09-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$58,905.00
|
$58,905.00
|
$58,905.00
|
2026-09-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
22
|
11
|
—
|
—
|
$56,824.55
|
$107,076.64
|
$67,806.71
|
2026-09-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
17
|
11
|
—
|
—
|
$55,932.43
|
$81,102.02
|
$57,610.40
|
2026-09-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
31
|
17
|
—
|
—
|
$53,704.56
|
$150,907.85
|
$61,596.43
|
2026-09-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
17
|
—
|
—
|
$52,005.82
|
$146,134.44
|
$60,877.27
|
2026-09-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
8
|
8
|
—
|
—
|
$49,095.74
|
$74,401.25
|
$52,532.44
|
2026-09-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
31
|
17
|
—
|
—
|
$48,953.68
|
$137,558.04
|
$56,279.25
|
2026-09-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis
|
31
|
17
|
—
|
—
|
$48,693.65
|
$136,827.36
|
$55,988.22
|
2026-09-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
17
|
—
|
—
|
$48,664.98
|
$136,746.81
|
$56,510.16
|
2026-09-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
31
|
17
|
—
|
—
|
$45,939.76
|
$129,089.04
|
$52,906.07
|
2026-09-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
34
|
17
|
—
|
—
|
$45,635.36
|
$128,233.70
|
$52,305.18
|
2026-09-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
34
|
18
|
—
|
—
|
$44,876.42
|
$126,101.10
|
$52,228.03
|
2026-09-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
18
|
—
|
—
|
$44,876.42
|
$126,101.10
|
$51,715.99
|
2026-09-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
31
|
17
|
—
|
—
|
$44,713.31
|
$125,642.75
|
$51,533.43
|
2026-09-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
8
|
8
|
—
|
—
|
$44,240.43
|
$75,010.73
|
$47,337.26
|
2026-09-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
18
|
—
|
—
|
$42,282.00
|
$161,668.62
|
$65,556.25
|
2026-09-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
31
|
17
|
—
|
—
|
$41,777.87
|
$117,394.29
|
$48,248.10
|
2026-09-01
|
|
10
|
MS_DRG
|
Pancreas Or Islet Cell Transplant
|
31
|
17
|
—
|
—
|
$41,548.00
|
$137,615.57
|
$55,744.72
|
2026-09-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
33
|
18
|
—
|
—
|
$41,377.25
|
$116,268.54
|
$47,799.72
|
2026-09-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
31
|
17
|
—
|
—
|
$40,995.05
|
$115,194.57
|
$47,371.96
|
2026-09-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc
|
33
|
17
|
—
|
—
|
$40,608.41
|
$128,139.72
|
$52,007.89
|
2026-09-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
31
|
17
|
—
|
—
|
$40,470.20
|
$113,719.79
|
$46,784.56
|
2026-09-01
|
|
J2789
|
HCPCS
|
Riboflavin Epioxa/hd<=2ml
|
14
|
10
|
—
|
—
|
$40,427.50
|
$80,070.00
|
$54,597.34
|
2026-09-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
32
|
17
|
—
|
—
|
$40,027.26
|
$112,475.13
|
$46,059.67
|
2026-09-01
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
2
|
2
|
—
|
—
|
$39,891.80
|
$66,749.45
|
$53,320.62
|
2026-09-01
|
|
5117
|
OTHER
|
Level 7 Musculoskeletal Procedures
|
1
|
1
|
—
|
—
|
$39,347.42
|
$39,347.42
|
$39,347.42
|
2026-09-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
32
|
17
|
—
|
—
|
$39,266.00
|
$113,984.44
|
$46,657.84
|
2026-09-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
33
|
17
|
—
|
—
|
$39,109.30
|
$114,827.58
|
$46,157.70
|
2026-09-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant
|
31
|
17
|
—
|
—
|
$38,251.40
|
$107,485.02
|
$44,301.28
|
2026-09-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
38
|
17
|
—
|
—
|
$38,068.83
|
$272,139.90
|
$47,824.09
|
2026-09-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
31
|
17
|
—
|
—
|
$37,694.48
|
$105,920.09
|
$43,677.98
|
2026-09-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
17
|
11
|
—
|
—
|
$37,491.97
|
$64,120.41
|
$38,616.73
|
2026-09-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
31
|
17
|
—
|
—
|
$37,468.57
|
$105,285.30
|
$43,425.13
|
2026-09-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
31
|
17
|
—
|
—
|
$37,336.16
|
$104,913.25
|
$43,276.94
|
2026-09-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
31
|
17
|
—
|
—
|
$37,075.45
|
$104,180.65
|
$42,985.16
|
2026-09-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc
|
32
|
17
|
—
|
—
|
$36,374.52
|
$102,211.07
|
$41,991.76
|
2026-09-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
31
|
17
|
—
|
—
|
$36,130.19
|
$101,524.50
|
$41,927.22
|
2026-09-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
31
|
17
|
—
|
—
|
$35,465.43
|
$99,656.56
|
$41,183.22
|
2026-09-01
|
|
L8701
|
HCPCS
|
Pow Ue Rom Dev Ewh Uprt Cust
|
8
|
8
|
—
|
—
|
$34,970.13
|
$52,455.20
|
$37,418.04
|
2026-09-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
18
|
—
|
—
|
$34,546.00
|
$102,272.44
|
$42,225.12
|
2026-09-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
33
|
18
|
—
|
—
|
$34,399.37
|
$96,660.96
|
$39,594.15
|
2026-09-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
31
|
17
|
—
|
—
|
$33,450.69
|
$93,995.21
|
$38,928.34
|
2026-09-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
33
|
17
|
—
|
—
|
$33,146.35
|
$99,829.16
|
$40,843.54
|
2026-09-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
31
|
17
|
—
|
—
|
$32,789.35
|
$92,136.87
|
$38,188.16
|
2026-09-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
31
|
17
|
—
|
—
|
$32,087.06
|
$90,163.45
|
$37,402.16
|
2026-09-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
32
|
17
|
—
|
—
|
$31,925.99
|
$89,710.85
|
$37,037.62
|
2026-09-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
31
|
17
|
—
|
—
|
$31,647.53
|
$88,928.39
|
$36,910.24
|
2026-09-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
31
|
17
|
—
|
—
|
$31,138.38
|
$87,497.71
|
$36,340.41
|
2026-09-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
32
|
17
|
—
|
—
|
$30,909.74
|
$209,664.00
|
$36,441.79
|
2026-09-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
31
|
17
|
—
|
—
|
$30,579.41
|
$85,927.03
|
$35,714.81
|
2026-09-01
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
8
|
8
|
—
|
—
|
$29,510.19
|
$44,265.29
|
$31,575.90
|
2026-09-01
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
8
|
8
|
—
|
—
|
$29,407.82
|
$44,575.80
|
$31,466.36
|
2026-09-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O…
|
31
|
17
|
—
|
—
|
$29,299.04
|
$82,329.24
|
$34,281.82
|
2026-09-01
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
8
|
8
|
—
|
—
|
$29,275.70
|
$44,365.26
|
$31,325.00
|
2026-09-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
32
|
17
|
—
|
—
|
$29,110.67
|
$81,799.92
|
$34,408.33
|
2026-09-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
5
|
3
|
—
|
—
|
$28,781.71
|
$47,448.44
|
$32,372.95
|
2026-09-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
17
|
11
|
—
|
—
|
$28,694.76
|
$43,012.75
|
$29,663.97
|
2026-09-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
32
|
17
|
—
|
—
|
$28,641.80
|
$80,482.39
|
$33,380.16
|
2026-09-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
31
|
17
|
—
|
—
|
$28,478.00
|
$80,022.12
|
$33,362.91
|
2026-09-01
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
1
|
1
|
—
|
—
|
$28,416.00
|
$28,416.00
|
$28,416.00
|
2026-09-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
31
|
17
|
—
|
—
|
$28,344.23
|
$79,646.23
|
$33,213.19
|
2026-09-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
31
|
17
|
—
|
—
|
$27,702.68
|
$77,843.50
|
$32,495.17
|
2026-09-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
31
|
17
|
—
|
—
|
$26,698.72
|
$75,022.42
|
$31,371.54
|
2026-09-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
31
|
17
|
—
|
—
|
$26,577.92
|
$74,682.97
|
$31,236.34
|
2026-09-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
31
|
17
|
—
|
—
|
$26,417.53
|
$74,232.28
|
$31,056.83
|
2026-09-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
32
|
17
|
—
|
—
|
$26,352.69
|
$74,050.09
|
$30,830.89
|
2026-09-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
35
|
17
|
—
|
—
|
$26,203.22
|
$73,630.10
|
$30,511.87
|
2026-09-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
31
|
17
|
—
|
—
|
$25,570.55
|
$71,852.29
|
$30,108.90
|
2026-09-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
33
|
17
|
—
|
—
|
$25,509.80
|
$71,681.61
|
$29,743.48
|
2026-09-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion…
|
32
|
17
|
—
|
—
|
$25,435.41
|
$71,472.57
|
$29,809.35
|
2026-09-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
31
|
17
|
—
|
—
|
$25,292.09
|
$71,069.83
|
$29,797.24
|
2026-09-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
31
|
17
|
—
|
—
|
$25,068.91
|
$70,442.71
|
$29,547.46
|
2026-09-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
31
|
17
|
—
|
—
|
$24,764.51
|
$69,587.37
|
$29,206.79
|
2026-09-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
31
|
17
|
—
|
—
|
$24,745.40
|
$69,533.67
|
$29,185.39
|
2026-09-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
31
|
17
|
—
|
—
|
$24,711.28
|
$69,437.78
|
$29,147.21
|
2026-09-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
34
|
18
|
—
|
—
|
$24,525.00
|
$131,904.37
|
$53,759.94
|
2026-09-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
31
|
17
|
—
|
—
|
$24,452.61
|
$68,710.94
|
$28,857.70
|
2026-09-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
32
|
17
|
—
|
—
|
$24,449.41
|
$115,227.18
|
$47,150.37
|
2026-09-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
31
|
17
|
—
|
—
|
$24,395.96
|
$68,551.76
|
$28,794.30
|
2026-09-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
31
|
17
|
—
|
—
|
$24,335.22
|
$68,381.08
|
$28,726.32
|
2026-09-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
32
|
17
|
—
|
—
|
$24,314.75
|
$68,323.54
|
$28,561.31
|
2026-09-01
|
|
L8687
|
HCPCS
|
Implt Nrostm Pls Gen Dua Rec
|
1
|
1
|
—
|
—
|
$24,007.82
|
$24,007.82
|
$24,007.82
|
2026-09-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
34
|
17
|
—
|
—
|
$23,801.51
|
$66,881.36
|
$27,989.73
|
2026-09-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
31
|
17
|
—
|
—
|
$23,692.31
|
$66,574.51
|
$28,006.77
|
2026-09-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
10
|
5
|
—
|
—
|
$23,323.00
|
$32,042.00
|
$23,556.23
|
2026-09-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
33
|
17
|
—
|
—
|
$23,284.17
|
$65,427.66
|
$27,968.30
|
2026-09-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
31
|
17
|
—
|
—
|
$23,253.46
|
$65,341.36
|
$27,515.61
|
2026-09-01
|
|
Q0483
|
HCPCS
|
Monitor Elec Vad, Rep
|
8
|
8
|
—
|
—
|
$22,973.94
|
$34,815.35
|
$24,582.12
|
2026-09-01
|
|
L5858
|
HCPCS
|
Stance Phase Only
|
8
|
8
|
—
|
—
|
$22,772.63
|
$34,510.37
|
$24,366.72
|
2026-09-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
31
|
17
|
—
|
—
|
$22,545.02
|
$63,350.69
|
$26,722.74
|
2026-09-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
31
|
17
|
—
|
—
|
$22,468.58
|
$63,135.89
|
$26,637.18
|
2026-09-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
33
|
17
|
—
|
—
|
$22,102.76
|
$62,107.95
|
$25,968.08
|
2026-09-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
31
|
17
|
—
|
—
|
$22,078.19
|
$62,038.91
|
$26,200.26
|
2026-09-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
38
|
17
|
—
|
—
|
$22,047.48
|
$61,952.61
|
$26,324.35
|
2026-09-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
31
|
17
|
—
|
—
|
$22,041.34
|
$61,935.35
|
$26,159.01
|
2026-09-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
31
|
17
|
—
|
—
|
$21,981.96
|
$61,768.50
|
$26,092.56
|
2026-09-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
31
|
17
|
—
|
—
|
$21,750.59
|
$61,118.37
|
$25,833.61
|
2026-09-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
31
|
17
|
—
|
—
|
$21,729.44
|
$61,058.92
|
$25,809.93
|
2026-09-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
31
|
17
|
—
|
—
|
$21,685.76
|
$60,936.18
|
$25,761.05
|
2026-09-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
31
|
17
|
—
|
—
|
$21,599.76
|
$60,694.53
|
$25,664.80
|
2026-09-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
31
|
17
|
—
|
—
|
$21,567.00
|
$60,602.48
|
$25,628.13
|
2026-09-01
|
|
L5973
|
HCPCS
|
Ank-foot Sys Dors-plant Flex
|
8
|
8
|
—
|
—
|
$21,540.27
|
$31,946.93
|
$23,048.09
|
2026-09-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
32
|
17
|
—
|
—
|
$21,302.19
|
$59,858.37
|
$25,206.35
|
2026-09-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
9
|
6
|
—
|
—
|
$21,044.97
|
$44,596.30
|
$27,625.04
|
2026-09-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
31
|
17
|
—
|
—
|
$20,894.74
|
$58,713.45
|
$24,875.74
|
2026-09-01
|
|
L6975
|
HCPCS
|
Interscap-thor Myoelectronic
|
8
|
8
|
—
|
—
|
$20,838.07
|
$35,461.10
|
$22,296.74
|
2026-09-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
33
|
17
|
—
|
—
|
$20,701.59
|
$58,170.71
|
$24,415.42
|
2026-09-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
31
|
17
|
—
|
—
|
$20,612.18
|
$57,919.48
|
$24,559.50
|
2026-09-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
31
|
17
|
—
|
—
|
$20,313.93
|
$57,081.40
|
$24,225.70
|
2026-09-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
31
|
17
|
—
|
—
|
$20,093.48
|
$56,461.95
|
$23,978.98
|
2026-09-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
32
|
17
|
—
|
—
|
$19,929.00
|
$55,999.76
|
$23,866.53
|
2026-09-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
32
|
17
|
—
|
—
|
$19,806.15
|
$55,654.56
|
$23,540.28
|
2026-09-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
31
|
17
|
—
|
—
|
$19,793.87
|
$55,620.04
|
$23,643.65
|
2026-09-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
33
|
17
|
—
|
—
|
$19,696.95
|
$55,347.71
|
$23,535.18
|
2026-09-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
31
|
17
|
—
|
—
|
$19,668.29
|
$55,267.16
|
$23,503.09
|
2026-09-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
32
|
17
|
—
|
—
|
$19,174.16
|
$53,878.67
|
$22,990.76
|
2026-09-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
31
|
17
|
—
|
—
|
$19,105.22
|
$53,684.98
|
$22,872.92
|
2026-09-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
31
|
17
|
—
|
—
|
$19,049.26
|
$53,527.72
|
$22,810.28
|
2026-09-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
33
|
18
|
—
|
—
|
$19,000.00
|
$55,374.56
|
$23,312.75
|
2026-09-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
31
|
17
|
—
|
—
|
$18,492.34
|
$51,962.79
|
$22,186.98
|
2026-09-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
31
|
17
|
—
|
—
|
$18,409.76
|
$51,730.74
|
$22,094.56
|
2026-09-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
32
|
17
|
—
|
—
|
$17,113.29
|
$59,628.24
|
$25,115.15
|
2026-09-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
32
|
17
|
—
|
—
|
$15,766.60
|
$92,604.81
|
$38,184.57
|
2026-09-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
18
|
—
|
—
|
$12,823.80
|
$187,614.54
|
$75,461.94
|
2026-09-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
33
|
18
|
—
|
—
|
$10,371.00
|
$60,259.19
|
$25,239.02
|
2026-09-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
10
|
8
|
—
|
—
|
$7,372.00
|
$81,000.90
|
$45,661.71
|
2026-09-01
|
|
0870T
|
OTHER
|
Imp Subq Prtl Ascts Pmp Sys
|
10
|
8
|
—
|
—
|
$7,372.00
|
$81,000.90
|
$45,661.71
|
2026-09-01
|
|
0871T
|
OTHER
|
Rplcmt Subq Prtl Ascites Pmp
|
10
|
8
|
—
|
—
|
$7,372.00
|
$63,000.90
|
$35,514.77
|
2026-09-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
11
|
9
|
—
|
—
|
$7,372.00
|
$57,723.71
|
$32,697.12
|
2026-09-01
|
|
0960T
|
OTHER
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
10
|
8
|
—
|
—
|
$7,372.00
|
$49,899.11
|
$28,129.05
|
2026-09-01
|
|
0956T
|
OTHER
|
Prt Crn Ch Cr&tun Elt S-sclp
|
9
|
7
|
—
|
—
|
$7,372.00
|
$39,407.85
|
$27,993.16
|
2026-09-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
10
|
8
|
—
|
—
|
$7,372.00
|
$39,093.36
|
$27,904.58
|
2026-09-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
11
|
9
|
—
|
—
|
$7,372.00
|
$40,905.65
|
$23,170.67
|
2026-09-01
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
10
|
8
|
—
|
—
|
$7,372.00
|
$33,783.00
|
$23,059.27
|
2026-09-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
10
|
8
|
—
|
—
|
$6,839.00
|
$56,746.91
|
$31,989.28
|
2026-09-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
35
|
17
|
—
|
—
|
$5,158.03
|
$84,245.12
|
$34,697.93
|
2026-09-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
11
|
9
|
—
|
—
|
$5,112.00
|
$49,899.11
|
$27,993.16
|
2026-09-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
11
|
9
|
—
|
—
|
$5,112.00
|
$49,899.11
|
$27,993.16
|
2026-09-01
|
|
5213
|
OTHER
|
Level 3 Electrophysiologic Procedures
|
10
|
8
|
—
|
—
|
$5,100.68
|
$48,067.18
|
$22,248.96
|
2026-09-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
36
|
18
|
—
|
—
|
$4,486.32
|
$61,231.52
|
$25,622.46
|
2026-09-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
11
|
9
|
—
|
—
|
$4,253.00
|
$49,899.11
|
$27,993.16
|
2026-09-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
11
|
9
|
—
|
—
|
$3,716.00
|
$115,674.34
|
$64,892.75
|
2026-09-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
9
|
6
|
—
|
—
|
$3,300.36
|
$42,935.55
|
$29,597.33
|
2026-09-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
32
|
17
|
—
|
—
|
$3,099.38
|
$114,360.33
|
$46,806.82
|
2026-09-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
12
|
9
|
—
|
—
|
$2,581.00
|
$45,587.34
|
$32,068.33
|
2026-09-01
|
|
0909T
|
OTHER
|
Rplcmt Int Nstim Sys Vgs Nrv
|
12
|
9
|
—
|
—
|
$2,581.00
|
$56,746.91
|
$31,525.67
|
2026-09-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
12
|
9
|
—
|
—
|
$2,581.00
|
$56,746.91
|
$31,525.67
|
2026-09-01
|
|
0515T
|
OTHER
|
Insj Wcs Lv Compl Sys
|
12
|
9
|
—
|
—
|
$2,581.00
|
$33,783.00
|
$22,725.07
|
2026-09-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
12
|
9
|
—
|
—
|
$2,477.00
|
$81,000.90
|
$44,999.94
|
2026-09-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
13
|
10
|
—
|
—
|
$2,477.00
|
$81,000.90
|
$44,558.77
|
2026-09-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
14
|
11
|
—
|
—
|
$2,477.00
|
$60,635.30
|
$33,569.31
|
2026-09-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
12
|
9
|
—
|
—
|
$2,477.00
|
$45,587.34
|
$32,068.33
|
2026-09-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
12
|
9
|
—
|
—
|
$2,477.00
|
$57,723.71
|
$32,068.33
|
2026-09-01
|
|
0908T
|
OTHER
|
Opn Imp Int Nstm Sys Vgs Nrv
|
12
|
9
|
—
|
—
|
$2,477.00
|
$56,746.91
|
$31,525.67
|
2026-09-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
12
|
9
|
—
|
—
|
$2,477.00
|
$56,746.91
|
$31,525.67
|
2026-09-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
13
|
10
|
—
|
—
|
$2,477.00
|
$56,746.91
|
$31,216.59
|
2026-09-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
13
|
10
|
—
|
—
|
$2,477.00
|
$52,748.32
|
$29,591.55
|
2026-09-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
12
|
9
|
—
|
—
|
$2,477.00
|
$40,905.65
|
$22,725.07
|
2026-09-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
11
|
8
|
—
|
—
|
$2,477.00
|
$32,305.26
|
$22,502.28
|
2026-09-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
17
|
—
|
—
|
$2,369.50
|
$208,543.49
|
$84,133.90
|
2026-09-01
|
|
C8011
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Rec
|
10
|
8
|
—
|
—
|
$2,358.00
|
$56,746.91
|
$31,989.28
|
2026-09-01
|
|
C8007
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Ps Gn
|
10
|
8
|
—
|
—
|
$2,358.00
|
$56,746.91
|
$31,989.28
|
2026-09-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
35
|
17
|
—
|
—
|
$2,213.04
|
$265,642.15
|
$106,232.34
|
2026-09-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
34
|
17
|
—
|
—
|
$2,169.67
|
$190,955.35
|
$78,314.99
|
2026-09-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
33
|
17
|
—
|
—
|
$1,831.13
|
$161,160.41
|
$65,029.68
|
2026-09-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
39
|
17
|
—
|
—
|
$1,809.47
|
$332,634.90
|
$36,959.24
|
2026-09-01
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
12
|
9
|
—
|
—
|
$1,755.00
|
$33,783.00
|
$22,725.07
|
2026-09-01
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
12
|
9
|
—
|
—
|
$1,755.00
|
$33,783.00
|
$22,725.07
|
2026-09-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
32
|
17
|
—
|
—
|
$1,740.00
|
$537,442.35
|
$214,484.58
|
2026-09-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
33
|
17
|
—
|
—
|
$1,625.00
|
$69,267.10
|
$29,079.22
|
2026-09-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
13
|
10
|
—
|
—
|
$1,549.00
|
$81,000.90
|
$44,558.77
|
2026-09-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
13
|
10
|
—
|
—
|
$1,549.00
|
$57,723.71
|
$32,382.73
|
2026-09-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
13
|
10
|
—
|
—
|
$1,549.00
|
$57,723.71
|
$32,382.73
|
2026-09-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
13
|
10
|
—
|
—
|
$1,549.00
|
$57,723.71
|
$32,382.73
|
2026-09-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
14
|
11
|
—
|
—
|
$1,549.00
|
$56,746.91
|
$31,525.67
|
2026-09-01
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
11
|
8
|
—
|
—
|
$1,549.00
|
$44,815.90
|
$31,216.59
|
2026-09-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
14
|
11
|
—
|
—
|
$1,549.00
|
$56,746.91
|
$31,062.06
|
2026-09-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
14
|
11
|
—
|
—
|
$1,549.00
|
$56,746.91
|
$31,062.06
|
2026-09-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
14
|
11
|
—
|
—
|
$1,549.00
|
$49,899.11
|
$27,313.72
|
2026-09-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
14
|
11
|
—
|
—
|
$1,549.00
|
$49,899.11
|
$27,313.72
|
2026-09-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
13
|
10
|
—
|
—
|
$1,549.00
|
$40,905.65
|
$22,947.87
|
2026-09-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
13
|
10
|
—
|
—
|
$1,549.00
|
$40,905.65
|
$22,947.87
|
2026-09-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
13
|
10
|
—
|
—
|
$1,549.00
|
$40,905.65
|
$22,947.87
|
2026-09-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
33
|
17
|
—
|
—
|
$1,428.10
|
$79,964.59
|
$33,009.89
|
2026-09-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
17
|
—
|
—
|
$1,402.14
|
$123,404.68
|
$50,140.61
|
2026-09-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
42
|
18
|
—
|
—
|
$1,324.86
|
$378,338.92
|
$59,295.50
|
2026-09-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
33
|
17
|
—
|
—
|
$1,256.67
|
$110,601.44
|
$45,091.62
|
2026-09-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
37
|
17
|
—
|
—
|
$1,250.94
|
$138,438.31
|
$56,069.16
|
2026-09-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
33
|
17
|
—
|
—
|
$1,243.55
|
$184,001.89
|
$45,082.69
|
2026-09-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
17
|
—
|
—
|
$1,225.06
|
$124,675.18
|
$44,214.21
|
2026-09-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
32
|
17
|
—
|
—
|
$1,212.90
|
$106,748.58
|
$43,790.09
|
2026-09-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
18
|
—
|
—
|
$1,211.85
|
$147,254.44
|
$59,545.83
|
2026-09-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
40
|
17
|
—
|
—
|
$1,089.52
|
$132,554.50
|
$53,748.87
|
2026-09-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
35
|
17
|
—
|
—
|
$1,086.77
|
$95,648.36
|
$39,194.83
|
2026-09-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
41
|
17
|
—
|
—
|
$1,076.14
|
$135,596.67
|
$38,825.76
|
2026-09-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
36
|
17
|
—
|
—
|
$990.74
|
$87,196.61
|
$36,041.17
|
2026-09-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
32
|
17
|
—
|
—
|
$986.20
|
$172,786.11
|
$69,962.38
|
2026-09-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
13
|
10
|
—
|
—
|
$981.00
|
$49,899.11
|
$27,449.61
|
2026-09-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
11
|
9
|
—
|
—
|
$981.00
|
$48,067.18
|
$26,965.46
|
2026-09-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
11
|
9
|
—
|
—
|
$981.00
|
$48,067.18
|
$26,965.46
|
2026-09-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
11
|
9
|
—
|
—
|
$981.00
|
$48,067.18
|
$26,965.46
|
2026-09-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
36
|
17
|
—
|
—
|
$950.00
|
$69,163.54
|
$28,750.47
|
2026-09-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
37
|
17
|
—
|
—
|
$924.09
|
$81,330.06
|
$33,548.37
|
2026-09-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
41
|
18
|
—
|
—
|
$921.58
|
$143,128.73
|
$45,859.25
|
2026-09-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
41
|
18
|
—
|
—
|
$914.35
|
$206,430.68
|
$41,379.75
|
2026-09-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
39
|
18
|
—
|
—
|
$898.96
|
$91,359.07
|
$32,676.37
|
2026-09-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
43
|
17
|
—
|
—
|
$876.08
|
$133,087.83
|
$32,838.73
|
2026-09-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
32
|
17
|
—
|
—
|
$868.15
|
$76,407.07
|
$31,765.01
|
2026-09-01
|
|
463
|
MS_DRG
|
Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T…
|
33
|
17
|
—
|
—
|
$845.91
|
$109,305.01
|
$44,580.37
|
2026-09-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
17
|
—
|
—
|
$845.10
|
$104,598.73
|
$42,724.43
|
2026-09-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
42
|
18
|
—
|
—
|
$833.24
|
$104,763.66
|
$43,003.42
|
2026-09-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
35
|
17
|
—
|
—
|
$819.98
|
$72,166.81
|
$29,934.82
|
2026-09-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
37
|
17
|
—
|
—
|
$814.37
|
$71,673.94
|
$30,037.85
|
2026-09-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In…
|
35
|
17
|
—
|
—
|
$800.05
|
$70,413.94
|
$29,243.57
|
2026-09-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
38
|
17
|
—
|
—
|
$788.88
|
$94,388.36
|
$38,891.44
|
2026-09-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
32
|
17
|
—
|
—
|
$788.42
|
$69,389.84
|
$28,983.91
|
2026-09-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
40
|
18
|
—
|
—
|
$780.48
|
$94,881.24
|
$38,892.31
|
2026-09-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
40
|
18
|
—
|
—
|
$774.93
|
$68,202.72
|
$28,371.57
|
2026-09-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
37
|
17
|
—
|
—
|
$760.12
|
$66,898.62
|
$27,857.29
|
2026-09-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
34
|
17
|
—
|
—
|
$749.29
|
$65,945.47
|
$27,481.42
|
2026-09-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
33
|
17
|
—
|
—
|
$747.06
|
$65,749.86
|
$27,404.27
|
2026-09-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
36
|
17
|
—
|
—
|
$736.85
|
$91,302.62
|
$37,481.08
|
2026-09-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
34
|
17
|
—
|
—
|
$732.90
|
$87,927.29
|
$36,150.01
|
2026-09-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
32
|
17
|
—
|
—
|
$728.58
|
$88,573.59
|
$36,586.90
|
2026-09-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
41
|
17
|
—
|
—
|
$719.18
|
$88,151.68
|
$36,238.49
|
2026-09-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
33
|
17
|
—
|
—
|
$706.61
|
$87,234.97
|
$35,876.99
|
2026-09-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
33
|
17
|
—
|
—
|
$699.55
|
$61,569.05
|
$25,755.56
|
2026-09-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
33
|
17
|
—
|
—
|
$688.00
|
$85,589.50
|
$35,228.09
|
2026-09-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
39
|
18
|
—
|
—
|
$686.28
|
$77,393.40
|
$25,547.93
|
2026-09-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
36
|
17
|
—
|
—
|
$667.11
|
$82,990.88
|
$34,203.32
|
2026-09-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
33
|
17
|
—
|
—
|
$666.22
|
$58,634.82
|
$24,598.44
|
2026-09-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
34
|
17
|
—
|
—
|
$657.37
|
$57,856.19
|
$24,291.39
|
2026-09-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
38
|
17
|
—
|
—
|
$656.18
|
$80,578.28
|
$33,251.91
|
2026-09-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
39
|
18
|
—
|
—
|
$651.65
|
$80,992.53
|
$33,415.26
|
2026-09-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
36
|
17
|
—
|
—
|
$643.67
|
$80,814.17
|
$33,344.93
|
2026-09-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
34
|
17
|
—
|
—
|
$642.72
|
$80,854.45
|
$33,360.81
|
2026-09-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
32
|
17
|
—
|
—
|
$615.45
|
$74,121.05
|
$30,859.00
|
2026-09-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
35
|
17
|
—
|
—
|
$600.78
|
$52,875.66
|
$22,327.30
|
2026-09-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
35
|
17
|
—
|
—
|
$598.80
|
$52,701.14
|
$22,258.48
|
2026-09-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
35
|
17
|
—
|
—
|
$595.70
|
$52,428.82
|
$22,151.09
|
2026-09-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
41
|
17
|
—
|
—
|
$592.87
|
$52,179.50
|
$22,052.77
|
2026-09-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
32
|
17
|
—
|
—
|
$586.07
|
$68,258.34
|
$28,535.47
|
2026-09-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
33
|
17
|
—
|
—
|
$571.46
|
$67,495.05
|
$28,092.50
|
2026-09-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
34
|
17
|
—
|
—
|
$567.50
|
$68,482.72
|
$28,624.40
|
2026-09-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
34
|
18
|
—
|
—
|
$563.69
|
$62,382.20
|
$26,076.23
|
2026-09-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
38
|
18
|
—
|
—
|
$555.22
|
$80,332.81
|
$33,320.88
|
2026-09-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
35
|
17
|
—
|
—
|
$547.40
|
$64,066.03
|
$26,740.25
|
2026-09-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O…
|
32
|
17
|
—
|
—
|
$538.62
|
$66,252.32
|
$27,740.43
|
2026-09-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
33
|
17
|
—
|
—
|
$504.21
|
$61,889.32
|
$26,140.68
|
2026-09-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
37
|
17
|
—
|
—
|
$500.42
|
$100,246.11
|
$25,306.33
|
2026-09-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
40
|
18
|
—
|
—
|
$488.81
|
$63,128.22
|
$26,370.43
|
2026-09-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
32
|
17
|
—
|
—
|
$471.46
|
$56,404.42
|
$23,837.47
|
2026-09-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-…
|
38
|
17
|
—
|
—
|
$460.62
|
$55,852.09
|
$23,501.06
|
2026-09-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
37
|
17
|
—
|
—
|
$456.11
|
$54,666.89
|
$23,033.68
|
2026-09-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
41
|
17
|
—
|
—
|
$453.76
|
$56,500.31
|
$23,756.69
|
2026-09-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
34
|
17
|
—
|
—
|
$438.86
|
$57,927.15
|
$24,440.97
|
2026-09-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
39
|
17
|
—
|
—
|
$424.61
|
$85,951.96
|
$35,371.03
|
2026-09-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
43
|
17
|
—
|
—
|
$420.33
|
$52,714.57
|
$22,263.77
|
2026-09-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
35
|
17
|
—
|
—
|
$412.32
|
$55,044.70
|
$23,182.67
|
2026-09-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
37
|
17
|
—
|
—
|
$399.10
|
$53,159.50
|
$22,439.23
|
2026-09-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
37
|
17
|
—
|
—
|
$295.00
|
$67,633.13
|
$28,146.95
|
2026-09-01
|
|
464
|
MS_DRG
|
Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T…
|
38
|
17
|
—
|
—
|
$242.31
|
$59,733.72
|
$25,031.79
|
2026-09-01
|