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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Mercy Rehabilitation Hospital Springfield

Springfield, MO · CCN 263032 · Rates published

5,941 distinct procedures filed
59 distinct payers
957,061 rate rows
2025-08-11 last MRF observed · ⚠ 12 mo old
Data quality

186,840 of 957,061 rate rows are consumer-grade (19.5%)

770,221 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 770,171
percent-of-charges filed in the dollar field — excluded from medians 40
placeholder amount (≤ $0.02) — excluded from medians 10

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/461163875_mercy-rehabilitation-hospital-springfield-llc_standardcharges.csv
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 7468c9d26ad14114… · 154,027,211 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 $41,997.31 $73,495.30 $69,995.52 nat. median
$83,710
0.8× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 $37,792.53 $66,136.93 $62,987.55 nat. median
$70,140
0.9× median
B1904
HCPCS 		Guillain-barré M <38.50 13 $36,952.99 $64,667.73 $61,588.32 nat. median
$73,807
0.8× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 $36,562.01 $63,983.52 $60,936.69 nat. median
$68,033
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 $34,466.69 $60,316.71 $57,444.49 nat. median
$66,709
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 $33,217.99 $58,131.48 $55,363.31 nat. median
$62,354
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 $30,940.82 $54,146.43 $51,568.03 nat. median
$60,723
0.8× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 13 $30,566.00 $53,490.51 $50,943.34 nat. median
$58,851
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 $29,894.17 $52,314.79 $49,823.61 nat. median
$59,953
0.8× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 13 $29,260.72 $51,206.26 $48,767.87 nat. median
$54,008
0.9× median
C1904
HCPCS 		Guillain-barré M <38.50 13 $28,477.76 $49,836.07 $47,462.93 nat. median
$54,675
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 $27,842.29 $48,724.01 $46,403.82 nat. median
$51,388
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 $27,804.91 $48,658.59 $46,341.52 nat. median
$53,363
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 $26,937.08 $47,139.89 $44,895.13 nat. median
$50,166
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 $26,900.71 $47,076.24 $44,834.52 nat. median
$49,892
0.9× median
D1904
HCPCS 		Guillain-barré M <38.50 13 $26,554.18 $46,469.82 $44,256.97 nat. median
$49,592
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 13 $26,491.55 $46,360.21 $44,152.58 nat. median
$51,427
0.9× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 13 $26,366.27 $46,140.98 $43,943.79 nat. median
$48,833
0.9× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 $26,210.69 $45,868.71 $43,684.48 nat. median
$49,816
0.9× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 $26,024.80 $45,543.40 $43,374.66 nat. median
$48,684
0.9× median
A1904
HCPCS 		Guillain-barré M <38.50 13 $25,991.46 $45,485.05 $43,319.10 nat. median
$49,305
0.9× median
74080531
CDM 		Occ/emb Tumor/organ Infar 13 $32,228.53 $45,657.09 $42,971.38 nat. median
$55,326
0.8× median
74080530
CDM 		Occ/emb Non Hemorr Art 13 $32,228.53 $45,657.09 $42,971.38 nat. median
$55,326
0.8× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 13 $32,228.53 $45,657.09 $42,971.38 nat. median
$55,326
0.8× median
74080529
CDM 		Occ/emb Non Hemorr Venous 13 $32,228.53 $45,657.09 $42,971.38 nat. median
$55,326
0.8× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 13 $25,733.84 $45,034.21 $42,889.73 nat. median
$47,997
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 13 $25,387.31 $44,427.79 $42,312.19 nat. median
$47,992
0.9× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 13 $25,275.17 $44,231.55 $42,125.28 nat. median
$52,000
0.8× median
B0604
HCPCS 		Neurological M <43.50 13 $25,107.46 $43,938.06 $41,845.77 nat. median
$46,532
0.9× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 $24,473.01 $42,827.76 $40,788.35 nat. median
$45,503
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 13 $24,377.03 $42,659.81 $40,628.39 nat. median
$46,296
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 $24,292.17 $42,511.29 $40,486.95 nat. median
$47,794
0.8× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 13 $24,222.46 $42,389.30 $40,370.76 nat. median
$47,488
0.9× median
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 13 $24,038.59 $42,067.53 $40,064.31 nat. median
$42,669
0.9× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 13 $24,021.41 $42,037.47 $40,035.69 nat. median
$44,642
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 13 $23,708.23 $41,489.40 $39,513.71 nat. median
$45,229
0.9× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 $23,644.58 $41,378.01 $39,407.63 nat. median
$44,108
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 13 $23,541.53 $41,197.68 $39,235.88 nat. median
$43,685
0.9× median
B1604
HCPCS 		Pain Syndrome M <43.50 13 $23,380.90 $40,916.57 $38,968.16 nat. median
$41,984
0.9× median
B2102
HCPCS 		Burns M <52.50 13 $23,326.34 $40,821.10 $38,877.24 nat. median
$47,991
0.8× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 13 $23,250.57 $40,688.50 $38,750.95 nat. median
$43,248
0.9× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 13 $23,213.19 $40,623.08 $38,688.65 nat. median
$44,520
0.9× median
B1504
HCPCS 		Pulmonary M <45.50 13 $22,717.14 $39,755.00 $37,861.90 nat. median
$44,462
0.9× median
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 13 $22,481.75 $39,343.06 $37,469.58 nat. median
$41,903
0.9× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 13 $22,401.94 $39,203.39 $37,336.56 nat. median
$42,129
0.9× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 13 $22,387.79 $39,178.64 $37,312.99 nat. median
$41,996
0.9× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 13 $22,363.54 $39,136.20 $37,272.57 nat. median
$43,244
0.9× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 13 $22,327.17 $39,072.56 $37,211.96 nat. median
$42,480
0.9× median
A0106
HCPCS 		Stroke M <41.50 And A <84.50 13 $22,175.63 $38,807.36 $36,959.39 nat. median
$41,164
0.9× median
74080268
CDM 		Insert Tips 13 $27,593.24 $39,090.43 $36,790.99 nat. median
$47,368
0.8× median

Other procedures at this hospital

Browse this hospital's 5,941 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 13 $69,995.52 $69,995.52 $41,997.31 $73,495.30 $69,995.52 2025-08-11
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 13 $62,987.55 $62,987.55 $37,792.53 $66,136.93 $62,987.55 2025-08-11
B1904 HCPCS Guillain-barré M <38.50 30 13 $61,588.32 $61,588.32 $36,952.99 $64,667.73 $61,588.32 2025-08-11
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 13 $60,936.69 $60,936.69 $36,562.01 $63,983.52 $60,936.69 2025-08-11
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 13 $57,444.49 $57,444.49 $34,466.69 $60,316.71 $57,444.49 2025-08-11
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 30 13 $55,363.31 $55,363.31 $33,217.99 $58,131.48 $55,363.31 2025-08-11
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 13 $51,568.03 $51,568.03 $30,940.82 $54,146.43 $51,568.03 2025-08-11
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 13 $50,943.34 $50,943.34 $30,566.00 $53,490.51 $50,943.34 2025-08-11
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 13 $49,823.61 $49,823.61 $29,894.17 $52,314.79 $49,823.61 2025-08-11
B0106 HCPCS Stroke M <41.50 And A <84.50 30 13 $48,767.87 $48,767.87 $29,260.72 $51,206.26 $48,767.87 2025-08-11
C1904 HCPCS Guillain-barré M <38.50 30 13 $47,462.93 $47,462.93 $28,477.76 $49,836.07 $47,462.93 2025-08-11
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 13 $46,403.82 $46,403.82 $27,842.29 $48,724.01 $46,403.82 2025-08-11
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 13 $46,341.52 $46,341.52 $27,804.91 $48,658.59 $46,341.52 2025-08-11
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 13 $44,895.13 $44,895.13 $26,937.08 $47,139.89 $44,895.13 2025-08-11
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 13 $44,834.52 $44,834.52 $26,900.71 $47,076.24 $44,834.52 2025-08-11
D1904 HCPCS Guillain-barré M <38.50 30 13 $44,256.97 $44,256.97 $26,554.18 $46,469.82 $44,256.97 2025-08-11
B0205 HCPCS Traumatic Brain Injury M <35.50 30 13 $44,152.58 $44,152.58 $26,491.55 $46,360.21 $44,152.58 2025-08-11
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 13 $43,943.79 $43,943.79 $26,366.27 $46,140.98 $43,943.79 2025-08-11
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 13 $43,684.48 $43,684.48 $26,210.69 $45,868.71 $43,684.48 2025-08-11
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 13 $43,374.66 $43,374.66 $26,024.80 $45,543.40 $43,374.66 2025-08-11
A1904 HCPCS Guillain-barré M <38.50 30 13 $43,319.10 $43,319.10 $25,991.46 $45,485.05 $43,319.10 2025-08-11
74080531 CDM Occ/emb Tumor/organ Infar 30 13 $53,714.22 $53,714.22 $32,228.53 $45,657.09 $42,971.38 2025-08-11
74080532 CDM Occ/emb Hemorrhag/lymph 30 13 $53,714.22 $53,714.22 $32,228.53 $45,657.09 $42,971.38 2025-08-11
74080530 CDM Occ/emb Non Hemorr Art 30 13 $53,714.22 $53,714.22 $32,228.53 $45,657.09 $42,971.38 2025-08-11
74080529 CDM Occ/emb Non Hemorr Venous 30 13 $53,714.22 $53,714.22 $32,228.53 $45,657.09 $42,971.38 2025-08-11
B0105 HCPCS Stroke M <41.50 And A >=84.50 30 13 $42,889.73 $42,889.73 $25,733.84 $45,034.21 $42,889.73 2025-08-11
C0106 HCPCS Stroke M <41.50 And A <84.50 30 13 $42,312.19 $42,312.19 $25,387.31 $44,427.79 $42,312.19 2025-08-11
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 13 $42,125.28 $42,125.28 $25,275.17 $44,231.55 $42,125.28 2025-08-11
B0604 HCPCS Neurological M <43.50 30 13 $41,845.77 $41,845.77 $25,107.46 $43,938.06 $41,845.77 2025-08-11
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 30 13 $40,788.35 $40,788.35 $24,473.01 $42,827.76 $40,788.35 2025-08-11
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 13 $40,628.39 $40,628.39 $24,377.03 $42,659.81 $40,628.39 2025-08-11
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 30 13 $40,486.95 $40,486.95 $24,292.17 $42,511.29 $40,486.95 2025-08-11
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 13 $40,370.76 $40,370.76 $24,222.46 $42,389.30 $40,370.76 2025-08-11
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 30 13 $40,064.31 $40,064.31 $24,038.59 $42,067.53 $40,064.31 2025-08-11
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 13 $40,035.69 $40,035.69 $24,021.41 $42,037.47 $40,035.69 2025-08-11
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 13 $39,513.71 $39,513.71 $23,708.23 $41,489.40 $39,513.71 2025-08-11
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 30 13 $39,407.63 $39,407.63 $23,644.58 $41,378.01 $39,407.63 2025-08-11
B0704 HCPCS Fracture Of Lower Extremity M <41.50 30 13 $39,235.88 $39,235.88 $23,541.53 $41,197.68 $39,235.88 2025-08-11
B1604 HCPCS Pain Syndrome M <43.50 30 13 $38,968.16 $38,968.16 $23,380.90 $40,916.57 $38,968.16 2025-08-11
B2102 HCPCS Burns M <52.50 30 13 $38,877.24 $38,877.24 $23,326.34 $40,821.10 $38,877.24 2025-08-11
D0106 HCPCS Stroke M <41.50 And A <84.50 30 13 $38,750.95 $38,750.95 $23,250.57 $40,688.50 $38,750.95 2025-08-11
B1004 HCPCS Amputation Lower Extremity M <47.50 30 13 $38,688.65 $38,688.65 $23,213.19 $40,623.08 $38,688.65 2025-08-11
B1504 HCPCS Pulmonary M <45.50 30 13 $37,861.90 $37,861.90 $22,717.14 $39,755.00 $37,861.90 2025-08-11
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 13 $37,469.58 $37,469.58 $22,481.75 $39,343.06 $37,469.58 2025-08-11
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 13 $37,336.56 $37,336.56 $22,401.94 $39,203.39 $37,336.56 2025-08-11
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 13 $37,312.99 $37,312.99 $22,387.79 $39,178.64 $37,312.99 2025-08-11
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 13 $37,272.57 $37,272.57 $22,363.54 $39,136.20 $37,272.57 2025-08-11
C0105 HCPCS Stroke M <41.50 And A >=84.50 30 13 $37,211.96 $37,211.96 $22,327.17 $39,072.56 $37,211.96 2025-08-11
A0106 HCPCS Stroke M <41.50 And A <84.50 30 13 $36,959.39 $36,959.39 $22,175.63 $38,807.36 $36,959.39 2025-08-11
74080268 CDM Insert Tips 30 13 $45,988.74 $45,988.74 $27,593.24 $39,090.43 $36,790.99 2025-08-11
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 13 $36,654.62 $36,654.62 $21,992.77 $38,487.35 $36,654.62 2025-08-11
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 13 $36,614.21 $36,614.21 $21,968.53 $38,444.92 $36,614.21 2025-08-11
C0205 HCPCS Traumatic Brain Injury M <35.50 30 13 $36,592.32 $36,592.32 $21,955.39 $38,421.94 $36,592.32 2025-08-11
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 13 $36,383.53 $36,383.53 $21,830.12 $38,202.71 $36,383.53 2025-08-11
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 13 $36,327.96 $36,327.96 $21,796.78 $38,144.36 $36,327.96 2025-08-11
B1404 HCPCS Cardiac M <45.50 30 13 $36,016.46 $36,016.46 $21,609.88 $37,817.28 $36,016.46 2025-08-11
B0904 HCPCS Other Orthopedic M <44.5 30 13 $35,912.07 $35,912.07 $21,547.24 $37,707.67 $35,912.07 2025-08-11
74080483 CDM Revise Tips 30 13 $44,794.32 $44,794.32 $26,876.59 $38,075.17 $35,835.46 2025-08-11
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 13 $35,401.87 $35,401.87 $21,241.12 $37,171.97 $35,401.87 2025-08-11
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 13 $35,226.76 $35,226.76 $21,136.06 $36,988.10 $35,226.76 2025-08-11
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 13 $35,145.94 $35,145.94 $21,087.56 $36,903.23 $35,145.94 2025-08-11
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 13 $34,896.73 $34,896.73 $20,938.04 $36,641.57 $34,896.73 2025-08-11
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 13 $34,583.55 $34,583.55 $20,750.13 $36,312.73 $34,583.55 2025-08-11
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 13 $34,489.25 $34,489.25 $20,693.55 $36,213.72 $34,489.25 2025-08-11
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 30 13 $34,410.12 $34,410.12 $20,646.07 $36,130.62 $34,410.12 2025-08-11
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 13 $34,362.97 $34,362.97 $20,617.78 $36,081.12 $34,362.97 2025-08-11
B0104 HCPCS Stroke M >=41.50 And M <50.50 30 13 $34,329.29 $34,329.29 $20,597.58 $36,045.76 $34,329.29 2025-08-11
D0105 HCPCS Stroke M <41.50 And A >=84.50 30 13 $34,080.09 $34,080.09 $20,448.06 $35,784.10 $34,080.09 2025-08-11
B1103 HCPCS Amputation Non-lower Extremity M <52.50 30 13 $33,741.65 $33,741.65 $20,244.99 $35,428.73 $33,741.65 2025-08-11
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 13 $33,537.91 $33,537.91 $20,122.75 $35,214.80 $33,537.91 2025-08-11
B0603 HCPCS Neurological M >=43.50 And M <52.50 30 13 $33,361.11 $33,361.11 $20,016.67 $35,029.17 $33,361.11 2025-08-11
D0205 HCPCS Traumatic Brain Injury M <35.50 30 13 $33,249.98 $33,249.98 $19,949.99 $34,912.48 $33,249.98 2025-08-11
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 13 $33,111.91 $33,111.91 $19,867.14 $34,767.50 $33,111.91 2025-08-11
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 13 $32,776.83 $32,776.83 $19,666.10 $34,415.67 $32,776.83 2025-08-11
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 13 $32,712.85 $32,712.85 $19,627.71 $34,348.49 $32,712.85 2025-08-11
A0105 HCPCS Stroke M <41.50 And A >=84.50 30 13 $32,505.74 $32,505.74 $19,503.44 $34,131.03 $32,505.74 2025-08-11
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 13 $32,463.64 $32,463.64 $19,478.19 $34,086.83 $32,463.64 2025-08-11
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 13 $32,115.10 $32,115.10 $19,269.06 $33,720.85 $32,115.10 2025-08-11
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 13 $32,084.79 $32,084.79 $19,250.87 $33,689.03 $32,084.79 2025-08-11
C1004 HCPCS Amputation Lower Extremity M <47.50 30 13 $32,074.69 $32,074.69 $19,244.81 $33,678.42 $32,074.69 2025-08-11
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 30 13 $31,931.56 $31,931.56 $19,158.94 $33,528.14 $31,931.56 2025-08-11
76085035 CDM Sm153 Lexidron To 150mci 30 13 $39,834.06 $39,834.06 $23,900.44 $33,858.95 $31,867.25 2025-08-11
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 13 $31,780.02 $31,780.02 $19,068.01 $33,369.02 $31,780.02 2025-08-11
C0604 HCPCS Neurological M <43.50 30 13 $31,414.64 $31,414.64 $18,848.78 $32,985.37 $31,414.64 2025-08-11
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 13 $31,396.12 $31,396.12 $18,837.67 $32,965.92 $31,396.12 2025-08-11
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 13 $31,382.65 $31,382.65 $18,829.59 $32,951.78 $31,382.65 2025-08-11
A0205 HCPCS Traumatic Brain Injury M <35.50 30 13 $31,320.35 $31,320.35 $18,792.21 $32,886.36 $31,320.35 2025-08-11
C1504 HCPCS Pulmonary M <45.50 30 13 $30,934.76 $30,934.76 $18,560.85 $32,481.49 $30,934.76 2025-08-11
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 13 $30,896.03 $30,896.03 $18,537.62 $32,440.83 $30,896.03 2025-08-11
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 13 $30,825.31 $30,825.31 $18,495.18 $32,366.57 $30,825.31 2025-08-11
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 30 13 $30,683.87 $30,683.87 $18,410.32 $32,218.06 $30,683.87 2025-08-11
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 13 $30,672.08 $30,672.08 $18,403.25 $32,205.69 $30,672.08 2025-08-11
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 13 $30,609.78 $30,609.78 $18,365.87 $32,140.27 $30,609.78 2025-08-11
C0704 HCPCS Fracture Of Lower Extremity M <41.50 30 13 $30,318.48 $30,318.48 $18,191.09 $31,834.41 $30,318.48 2025-08-11
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 13 $30,269.65 $30,269.65 $18,161.79 $31,783.14 $30,269.65 2025-08-11
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 13 $30,237.66 $30,237.66 $18,142.60 $31,749.55 $30,237.66 2025-08-11
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 13 $29,971.62 $29,971.62 $17,982.97 $31,470.20 $29,971.62 2025-08-11
D2102 HCPCS Burns M <52.50 30 13 $29,868.91 $29,868.91 $17,921.35 $31,362.36 $29,868.91 2025-08-11
C2102 HCPCS Burns M <52.50 30 13 $29,868.91 $29,868.91 $17,921.35 $31,362.36 $29,868.91 2025-08-11
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 13 $29,855.44 $29,855.44 $17,913.26 $31,348.21 $29,855.44 2025-08-11
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 13 $29,843.65 $29,843.65 $17,906.19 $31,335.84 $29,843.65 2025-08-11
C0104 HCPCS Stroke M >=41.50 And M <50.50 30 13 $29,786.40 $29,786.40 $17,871.84 $31,275.72 $29,786.40 2025-08-11
74080527 CDM Stnt Plc Transc Vein Ini 30 13 $37,173.90 $37,173.90 $22,304.34 $31,597.81 $29,739.12 2025-08-11
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 30 13 $29,628.13 $29,628.13 $17,776.88 $31,109.53 $29,628.13 2025-08-11
74080525 CDM Stnt Plc Transcth Art Ini 30 13 $37,018.86 $37,018.86 $22,211.32 $31,466.03 $29,615.09 2025-08-11
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 13 $29,614.66 $29,614.66 $17,768.79 $31,095.39 $29,614.66 2025-08-11
76085037 CDM Strontium Sr-89 Thera/mci 30 13 $37,014.78 $37,014.78 $22,208.87 $31,462.56 $29,611.83 2025-08-11
74080547 CDM Verteb Augm Thorac W Imag 30 13 $36,922.98 $36,922.98 $22,153.79 $31,384.53 $29,538.38 2025-08-11
74080549 CDM Verteb Augm Ea Add W Imag 30 13 $36,922.98 $36,922.98 $22,153.79 $31,384.53 $29,538.38 2025-08-11
74080548 CDM Verteb Augm Lumbar W Imag 30 13 $36,922.98 $36,922.98 $22,153.79 $31,384.53 $29,538.38 2025-08-11
C1604 HCPCS Pain Syndrome M <43.50 30 13 $29,500.16 $29,500.16 $17,700.10 $30,975.17 $29,500.16 2025-08-11
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 13 $29,479.95 $29,479.95 $17,687.97 $30,953.95 $29,479.95 2025-08-11
B1403 HCPCS Cardiac M >=45.50 And M <55.50 30 13 $29,463.11 $29,463.11 $17,677.87 $30,936.27 $29,463.11 2025-08-11
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 13 $29,436.17 $29,436.17 $17,661.70 $30,907.98 $29,436.17 2025-08-11
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 13 $29,392.40 $29,392.40 $17,635.44 $30,862.02 $29,392.40 2025-08-11
D0604 HCPCS Neurological M <43.50 30 13 $29,311.57 $29,311.57 $17,586.94 $30,777.15 $29,311.57 2025-08-11
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 13 $29,299.79 $29,299.79 $17,579.87 $30,764.78 $29,299.79 2025-08-11
D1004 HCPCS Amputation Lower Extremity M <47.50 30 13 $29,272.85 $29,272.85 $17,563.71 $30,736.49 $29,272.85 2025-08-11
D1504 HCPCS Pulmonary M <45.50 30 13 $29,215.60 $29,215.60 $17,529.36 $30,676.38 $29,215.60 2025-08-11
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 13 $29,156.66 $29,156.66 $17,494.00 $30,614.50 $29,156.66 2025-08-11
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 30 13 $28,863.68 $28,863.68 $17,318.21 $30,306.87 $28,863.68 2025-08-11
C0904 HCPCS Other Orthopedic M <44.5 30 13 $28,860.31 $28,860.31 $17,316.19 $30,303.33 $28,860.31 2025-08-11
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 13 $28,851.90 $28,851.90 $17,311.14 $30,294.49 $28,851.90 2025-08-11
D0704 HCPCS Fracture Of Lower Extremity M <41.50 30 13 $28,730.66 $28,730.66 $17,238.40 $30,167.20 $28,730.66 2025-08-11
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 30 13 $28,634.69 $28,634.69 $17,180.81 $30,066.42 $28,634.69 2025-08-11
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 13 $28,584.17 $28,584.17 $17,150.50 $30,013.38 $28,584.17 2025-08-11
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 13 $28,526.92 $28,526.92 $17,116.15 $29,953.27 $28,526.92 2025-08-11
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 13 $28,478.09 $28,478.09 $17,086.86 $29,902.00 $28,478.09 2025-08-11
C1404 HCPCS Cardiac M <45.50 30 13 $28,451.15 $28,451.15 $17,070.69 $29,873.71 $28,451.15 2025-08-11
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 13 $28,430.95 $28,430.95 $17,058.57 $29,852.49 $28,430.95 2025-08-11
B0602 HCPCS Neurological M >=52.50 And M <64.50 30 13 $28,326.55 $28,326.55 $16,995.93 $29,742.88 $28,326.55 2025-08-11
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 13 $28,326.55 $28,326.55 $16,995.93 $29,742.88 $28,326.55 2025-08-11
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 13 $28,207.00 $28,207.00 $16,924.20 $29,617.35 $28,207.00 2025-08-11
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 13 $28,038.62 $28,038.62 $16,823.17 $29,440.55 $28,038.62 2025-08-11
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 13 $28,016.73 $28,016.73 $16,810.04 $29,417.57 $28,016.73 2025-08-11
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 13 $27,988.11 $27,988.11 $16,792.86 $29,387.51 $27,988.11 2025-08-11
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 13 $27,910.65 $27,910.65 $16,746.39 $29,306.18 $27,910.65 2025-08-11
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 13 $27,860.14 $27,860.14 $16,716.08 $29,253.15 $27,860.14 2025-08-11
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 13 $27,818.04 $27,818.04 $16,690.83 $29,208.95 $27,818.04 2025-08-11
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 30 13 $27,802.89 $27,802.89 $16,681.73 $29,193.03 $27,802.89 2025-08-11
C1103 HCPCS Amputation Non-lower Extremity M <52.50 30 13 $27,328.06 $27,328.06 $16,396.83 $28,694.46 $27,328.06 2025-08-11
D1103 HCPCS Amputation Non-lower Extremity M <52.50 30 13 $27,328.06 $27,328.06 $16,396.83 $28,694.46 $27,328.06 2025-08-11
36224 CPT Place Cath Int Carotid Art Bi 30 13 $34,146.37 $34,146.37 $20,487.82 $29,024.41 $27,317.10 2025-08-11
A1504 HCPCS Pulmonary M <45.50 30 13 $27,280.91 $27,280.91 $16,368.55 $28,644.96 $27,280.91 2025-08-11
D0104 HCPCS Stroke M >=41.50 And M <50.50 30 13 $27,279.23 $27,279.23 $16,367.54 $28,643.19 $27,279.23 2025-08-11
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 13 $27,097.38 $27,097.38 $16,258.43 $28,452.25 $27,097.38 2025-08-11
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 13 $27,062.02 $27,062.02 $16,237.21 $28,415.12 $27,062.02 2025-08-11
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 13 $27,056.97 $27,056.97 $16,234.18 $28,409.81 $27,056.97 2025-08-11
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 13 $26,982.88 $26,982.88 $16,189.73 $28,332.02 $26,982.88 2025-08-11
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 13 $26,960.99 $26,960.99 $16,176.59 $28,309.04 $26,960.99 2025-08-11
D0904 HCPCS Other Orthopedic M <44.5 30 13 $26,917.21 $26,917.21 $16,150.33 $28,263.07 $26,917.21 2025-08-11
B0103 HCPCS Stroke M >=50.50 And M <63.50 30 13 $26,898.69 $26,898.69 $16,139.21 $28,243.62 $26,898.69 2025-08-11
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 13 $26,895.32 $26,895.32 $16,137.19 $28,240.09 $26,895.32 2025-08-11
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 13 $26,888.59 $26,888.59 $16,133.15 $28,233.02 $26,888.59 2025-08-11
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 13 $26,863.33 $26,863.33 $16,118.00 $28,206.50 $26,863.33 2025-08-11
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 13 $26,790.93 $26,790.93 $16,074.56 $28,130.47 $26,790.93 2025-08-11
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 13 $26,703.37 $26,703.37 $16,022.02 $28,038.54 $26,703.37 2025-08-11
A1103 HCPCS Amputation Non-lower Extremity M <52.50 30 13 $26,639.38 $26,639.38 $15,983.63 $27,971.35 $26,639.38 2025-08-11
A0704 HCPCS Fracture Of Lower Extremity M <41.50 30 13 $26,534.99 $26,534.99 $15,920.99 $27,861.74 $26,534.99 2025-08-11
D1604 HCPCS Pain Syndrome M <43.50 30 13 $26,489.53 $26,489.53 $15,893.72 $27,814.00 $26,489.53 2025-08-11
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 13 $26,481.11 $26,481.11 $15,888.66 $27,805.16 $26,481.11 2025-08-11
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 30 13 $26,459.22 $26,459.22 $15,875.53 $27,782.18 $26,459.22 2025-08-11
A0604 HCPCS Neurological M <43.50 30 13 $26,445.75 $26,445.75 $15,867.45 $27,768.03 $26,445.75 2025-08-11
D1404 HCPCS Cardiac M <45.50 30 13 $26,430.59 $26,430.59 $15,858.36 $27,752.12 $26,430.59 2025-08-11
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 13 $26,174.66 $26,174.66 $15,704.79 $27,483.39 $26,174.66 2025-08-11
A1004 HCPCS Amputation Lower Extremity M <47.50 30 13 $26,159.50 $26,159.50 $15,695.70 $27,467.48 $26,159.50 2025-08-11
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 13 $26,100.57 $26,100.57 $15,660.34 $27,405.60 $26,100.57 2025-08-11
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 13 $26,026.48 $26,026.48 $15,615.89 $27,327.81 $26,026.48 2025-08-11
A0104 HCPCS Stroke M >=41.50 And M <50.50 30 13 $26,018.06 $26,018.06 $15,610.84 $27,318.97 $26,018.06 2025-08-11
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 13 $26,011.33 $26,011.33 $15,606.80 $27,311.89 $26,011.33 2025-08-11
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 13 $25,972.60 $25,972.60 $15,583.56 $27,271.23 $25,972.60 2025-08-11
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 13 $25,955.76 $25,955.76 $15,573.46 $27,253.55 $25,955.76 2025-08-11
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 13 $25,891.78 $25,891.78 $15,535.07 $27,186.37 $25,891.78 2025-08-11
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 30 13 $25,874.94 $25,874.94 $15,524.96 $27,168.69 $25,874.94 2025-08-11
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 13 $25,767.18 $25,767.18 $15,460.31 $27,055.53 $25,767.18 2025-08-11
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 13 $25,728.45 $25,728.45 $15,437.07 $27,014.87 $25,728.45 2025-08-11
B2101 HCPCS Burns M >=52.50 30 13 $25,541.55 $25,541.55 $15,324.93 $26,818.62 $25,541.55 2025-08-11
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 13 $25,504.50 $25,504.50 $15,302.70 $26,779.73 $25,504.50 2025-08-11
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 30 13 $25,413.58 $25,413.58 $15,248.15 $26,684.26 $25,413.58 2025-08-11
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 13 $25,379.90 $25,379.90 $15,227.94 $26,648.90 $25,379.90 2025-08-11
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 30 13 $25,265.40 $25,265.40 $15,159.24 $26,528.67 $25,265.40 2025-08-11
A2102 HCPCS Burns M <52.50 30 13 $25,194.68 $25,194.68 $15,116.81 $26,454.42 $25,194.68 2025-08-11
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 13 $25,149.22 $25,149.22 $15,089.53 $26,406.68 $25,149.22 2025-08-11
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 13 $25,112.18 $25,112.18 $15,067.31 $26,367.79 $25,112.18 2025-08-11
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 13 $25,070.08 $25,070.08 $15,042.05 $26,323.59 $25,070.08 2025-08-11
C0603 HCPCS Neurological M >=43.50 And M <52.50 30 13 $25,044.83 $25,044.83 $15,026.90 $26,297.07 $25,044.83 2025-08-11
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 30 13 $25,031.36 $25,031.36 $15,018.81 $26,282.92 $25,031.36 2025-08-11
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 13 $25,009.47 $25,009.47 $15,005.68 $26,259.94 $25,009.47 2025-08-11
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 30 13 $25,006.10 $25,006.10 $15,003.66 $26,256.40 $25,006.10 2025-08-11
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 13 $24,947.17 $24,947.17 $14,968.30 $26,194.52 $24,947.17 2025-08-11
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 13 $24,815.83 $24,815.83 $14,889.50 $26,056.62 $24,815.83 2025-08-11
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 30 13 $24,758.58 $24,758.58 $14,855.15 $25,996.51 $24,758.58 2025-08-11
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 13 $24,743.43 $24,743.43 $14,846.06 $25,980.60 $24,743.43 2025-08-11
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 13 $24,736.69 $24,736.69 $14,842.01 $25,973.53 $24,736.69 2025-08-11
A1604 HCPCS Pain Syndrome M <43.50 30 13 $24,652.50 $24,652.50 $14,791.50 $25,885.13 $24,652.50 2025-08-11
A0904 HCPCS Other Orthopedic M <44.5 30 13 $24,635.66 $24,635.66 $14,781.40 $25,867.45 $24,635.66 2025-08-11
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 30 13 $24,610.41 $24,610.41 $14,766.24 $25,840.93 $24,610.41 2025-08-11
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 30 13 $24,465.60 $24,465.60 $14,679.36 $25,688.88 $24,465.60 2025-08-11
A1404 HCPCS Cardiac M <45.50 30 13 $24,329.21 $24,329.21 $14,597.53 $25,545.67 $24,329.21 2025-08-11
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 30 13 $24,112.00 $24,112.00 $14,467.20 $25,317.60 $24,112.00 2025-08-11
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 13 $24,085.06 $24,085.06 $14,451.04 $25,289.31 $24,085.06 2025-08-11
B1402 HCPCS Cardiac M >=55.50 And M <68.50 30 13 $24,053.07 $24,053.07 $14,431.84 $25,255.72 $24,053.07 2025-08-11
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 30 13 $23,992.45 $23,992.45 $14,395.47 $25,192.07 $23,992.45 2025-08-11
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 13 $23,945.31 $23,945.31 $14,367.18 $25,142.57 $23,945.31 2025-08-11
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 13 $23,909.95 $23,909.95 $14,345.97 $25,105.44 $23,909.95 2025-08-11
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 30 13 $23,798.82 $23,798.82 $14,279.29 $24,988.76 $23,798.82 2025-08-11
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 13 $23,768.51 $23,768.51 $14,261.10 $24,956.93 $23,768.51 2025-08-11
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 13 $23,696.10 $23,696.10 $14,217.66 $24,880.91 $23,696.10 2025-08-11
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 30 13 $23,647.27 $23,647.27 $14,188.36 $24,829.64 $23,647.27 2025-08-11
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 30 13 $23,638.85 $23,638.85 $14,183.31 $24,820.80 $23,638.85 2025-08-11
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 13 $23,620.33 $23,620.33 $14,172.20 $24,801.35 $23,620.33 2025-08-11
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 13 $23,534.46 $23,534.46 $14,120.68 $24,711.18 $23,534.46 2025-08-11
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 13 $23,515.94 $23,515.94 $14,109.56 $24,691.73 $23,515.94 2025-08-11
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 13 $23,406.49 $23,406.49 $14,043.89 $24,576.81 $23,406.49 2025-08-11
D0603 HCPCS Neurological M >=43.50 And M <52.50 30 13 $23,367.76 $23,367.76 $14,020.66 $24,536.15 $23,367.76 2025-08-11
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 13 $23,349.24 $23,349.24 $14,009.54 $24,516.70 $23,349.24 2025-08-11
C0103 HCPCS Stroke M >=50.50 And M <63.50 30 13 $23,339.14 $23,339.14 $14,003.48 $24,506.09 $23,339.14 2025-08-11
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 13 $23,323.98 $23,323.98 $13,994.39 $24,490.18 $23,323.98 2025-08-11
C1403 HCPCS Cardiac M >=45.50 And M <55.50 30 13 $23,273.47 $23,273.47 $13,964.08 $24,437.14 $23,273.47 2025-08-11
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 30 13 $23,190.96 $23,190.96 $13,914.58 $24,350.51 $23,190.96 2025-08-11
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 13 $23,108.46 $23,108.46 $13,865.07 $24,263.88 $23,108.46 2025-08-11
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 13 $23,056.26 $23,056.26 $13,833.76 $24,209.07 $23,056.26 2025-08-11
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 13 $22,879.46 $22,879.46 $13,727.68 $24,023.43 $22,879.46 2025-08-11
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 30 13 $22,865.99 $22,865.99 $13,719.59 $24,009.29 $22,865.99 2025-08-11
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 13 $22,643.73 $22,643.73 $13,586.24 $23,775.92 $22,643.73 2025-08-11
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 13 $22,591.53 $22,591.53 $13,554.92 $23,721.11 $22,591.53 2025-08-11
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 13 $22,495.55 $22,495.55 $13,497.33 $23,620.33 $22,495.55 2025-08-11
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 13 $22,463.56 $22,463.56 $13,478.14 $23,586.74 $22,463.56 2025-08-11
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 30 13 $22,414.73 $22,414.73 $13,448.84 $23,535.47 $22,414.73 2025-08-11
B0601 HCPCS Neurological M >=64.50 30 13 $22,327.17 $22,327.17 $13,396.30 $23,443.53 $22,327.17 2025-08-11
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 30 13 $22,268.24 $22,268.24 $13,360.95 $23,381.65 $22,268.24 2025-08-11
B1201 HCPCS Osteoarthritis M >=61.50 30 13 $22,224.46 $22,224.46 $13,334.68 $23,335.69 $22,224.46 2025-08-11
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 13 $22,152.06 $22,152.06 $13,291.24 $23,259.66 $22,152.06 2025-08-11
36905 CPT Thrombectomy/infusion Dial 30 13 $27,662.49 $27,662.49 $16,597.49 $23,513.12 $22,129.99 2025-08-11
36226 CPT Place Cath Vertebral Art Bi 30 13 $27,654.17 $27,654.17 $16,592.50 $23,506.04 $22,123.33 2025-08-11
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 30 13 $22,056.08 $22,056.08 $13,233.65 $23,158.89 $22,056.08 2025-08-11
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 13 $21,970.21 $21,970.21 $13,182.13 $23,068.72 $21,970.21 2025-08-11
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 13 $21,918.01 $21,918.01 $13,150.81 $23,013.91 $21,918.01 2025-08-11
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 13 $21,918.01 $21,918.01 $13,150.81 $23,013.91 $21,918.01 2025-08-11
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 30 13 $21,791.73 $21,791.73 $13,075.04 $22,881.31 $21,791.73 2025-08-11
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 13 $21,784.99 $21,784.99 $13,070.99 $22,874.24 $21,784.99 2025-08-11
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 30 13 $21,747.95 $21,747.95 $13,048.77 $22,835.35 $21,747.95 2025-08-11
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 30 13 $21,719.32 $21,719.32 $13,031.59 $22,805.29 $21,719.32 2025-08-11
D1403 HCPCS Cardiac M >=45.50 And M <55.50 30 13 $21,619.98 $21,619.98 $12,971.99 $22,700.98 $21,619.98 2025-08-11
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 30 13 $21,618.30 $21,618.30 $12,970.98 $22,699.21 $21,618.30 2025-08-11
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 13 $21,608.19 $21,608.19 $12,964.92 $22,688.60 $21,608.19 2025-08-11
B1601 HCPCS Pain Syndrome M >=65.50 30 13 $21,584.62 $21,584.62 $12,950.77 $22,663.85 $21,584.62 2025-08-11
36901 CPT Intro Dial Graft 30 13 $26,970.62 $26,970.62 $16,182.37 $22,925.03 $21,576.49 2025-08-11
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 30 13 $21,483.59 $21,483.59 $12,890.15 $22,557.77 $21,483.59 2025-08-11
D0103 HCPCS Stroke M >=50.50 And M <63.50 30 13 $21,374.14 $21,374.14 $12,824.49 $22,442.85 $21,374.14 2025-08-11
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 30 13 $21,365.73 $21,365.73 $12,819.44 $22,434.01 $21,365.73 2025-08-11
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 30 13 $21,362.36 $21,362.36 $12,817.41 $22,430.48 $21,362.36 2025-08-11
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 13 $21,342.15 $21,342.15 $12,805.29 $22,409.26 $21,342.15 2025-08-11
C0602 HCPCS Neurological M >=52.50 And M <64.50 30 13 $21,266.38 $21,266.38 $12,759.83 $22,329.70 $21,266.38 2025-08-11
B1501 HCPCS Pulmonary M >=68.50 30 13 $21,257.96 $21,257.96 $12,754.78 $22,320.86 $21,257.96 2025-08-11
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 30 13 $21,185.56 $21,185.56 $12,711.34 $22,244.84 $21,185.56 2025-08-11
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 13 $21,173.77 $21,173.77 $12,704.26 $22,232.46 $21,173.77 2025-08-11
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 30 13 $21,156.93 $21,156.93 $12,694.16 $22,214.78 $21,156.93 2025-08-11
A0603 HCPCS Neurological M >=43.50 And M <52.50 30 13 $21,084.53 $21,084.53 $12,650.72 $22,138.76 $21,084.53 2025-08-11
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 13 $20,948.14 $20,948.14 $12,568.89 $21,995.55 $20,948.14 2025-08-11
A1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 30 13 $20,865.64 $20,865.64 $12,519.38 $21,908.92 $20,865.64 2025-08-11
B0102 HCPCS Stroke M >=63.50 And M <72.50 30 13 $20,865.64 $20,865.64 $12,519.38 $21,908.92 $20,865.64 2025-08-11
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 13 $20,862.27 $20,862.27 $12,517.36 $21,905.38 $20,862.27 2025-08-11
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 30 13 $20,857.22 $20,857.22 $12,514.33 $21,900.08 $20,857.22 2025-08-11
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 30 13 $20,821.86 $20,821.86 $12,493.12 $21,862.95 $20,821.86 2025-08-11
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 30 13 $20,820.17 $20,820.17 $12,492.10 $21,861.18 $20,820.17 2025-08-11
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 13 $20,783.13 $20,783.13 $12,469.88 $21,822.29 $20,783.13 2025-08-11
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 30 13 $20,749.46 $20,749.46 $12,449.67 $21,786.93 $20,749.46 2025-08-11
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 30 13 $20,646.74 $20,646.74 $12,388.05 $21,679.08 $20,646.74 2025-08-11
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 30 13 $20,572.66 $20,572.66 $12,343.59 $21,601.29 $20,572.66 2025-08-11
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 30 13 $20,559.19 $20,559.19 $12,335.51 $21,587.15 $20,559.19 2025-08-11
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 30 13 $20,446.37 $20,446.37 $12,267.82 $21,468.69 $20,446.37 2025-08-11
B0801 HCPCS Replacement Of Lower-extremity Joint M >=63.50 30 13 $20,434.58 $20,434.58 $12,260.75 $21,456.31 $20,434.58 2025-08-11
A0103 HCPCS Stroke M >=50.50 And M <63.50 30 13 $20,385.75 $20,385.75 $12,231.45 $21,405.04 $20,385.75 2025-08-11
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 30 13 $20,347.03 $20,347.03 $12,208.22 $21,364.38 $20,347.03 2025-08-11
B1001 HCPCS Amputation Lower Extremity M >=64.50 30 13 $20,306.62 $20,306.62 $12,183.97 $21,321.95 $20,306.62 2025-08-11
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 30 13 $20,180.33 $20,180.33 $12,108.20 $21,189.35 $20,180.33 2025-08-11
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 30 13 $20,170.23 $20,170.23 $12,102.14 $21,178.74 $20,170.23 2025-08-11
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 30 13 $20,168.54 $20,168.54 $12,101.13 $21,176.97 $20,168.54 2025-08-11
B0901 HCPCS Other Orthopedic M >=63.50 30 13 $20,155.07 $20,155.07 $12,093.04 $21,162.83 $20,155.07 2025-08-11
D1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 13 $20,148.34 $20,148.34 $12,089.00 $21,155.76 $20,148.34 2025-08-11
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 30 13 $20,146.66 $20,146.66 $12,087.99 $21,153.99 $20,146.66 2025-08-11
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 30 13 $20,146.66 $20,146.66 $12,087.99 $21,153.99 $20,146.66 2025-08-11
A1403 HCPCS Cardiac M >=45.50 And M <55.50 30 13 $19,902.50 $19,902.50 $11,941.50 $20,897.63 $19,902.50 2025-08-11
D1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 30 13 $19,865.46 $19,865.46 $11,919.28 $20,858.73 $19,865.46 2025-08-11
A1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 30 13 $19,862.09 $19,862.09 $11,917.26 $20,855.20 $19,862.09 2025-08-11
D0602 HCPCS Neurological M >=52.50 And M <64.50 30 13 $19,841.89 $19,841.89 $11,905.13 $20,833.98 $19,841.89 2025-08-11
B2001 HCPCS Miscellaneous M >=66.50 30 13 $19,830.10 $19,830.10 $11,898.06 $20,821.61 $19,830.10 2025-08-11
74080481 CDM Revas Tib Pr Stnt Ath Ini 30 13 $24,764.58 $24,764.58 $14,858.75 $21,049.89 $19,811.67 2025-08-11
74080477 CDM Revas Tib Peron Ather Add 30 13 $24,764.58 $24,764.58 $14,858.75 $21,049.89 $19,811.67 2025-08-11
74080479 CDM Revas Tib Peron Stent Ini 30 13 $24,764.58 $24,764.58 $14,858.75 $21,049.89 $19,811.67 2025-08-11
74080478 CDM Revas Tib Peron Ather Ini 30 13 $24,764.58 $24,764.58 $14,858.75 $21,049.89 $19,811.67 2025-08-11
C2002 HCPCS Miscellaneous M >=55.50 And M <66.50 30 13 $19,793.06 $19,793.06 $11,875.83 $20,782.71 $19,793.06 2025-08-11
74080468 CDM Revas Fem Pop Atherectomy 30 13 $24,671.76 $24,671.76 $14,803.06 $20,971.00 $19,737.41 2025-08-11
74080471 CDM Revas Femoral Poplt Stent 30 13 $24,671.76 $24,671.76 $14,803.06 $20,971.00 $19,737.41 2025-08-11
74080469 CDM Revas Fem Pop Stent Ather 30 13 $24,671.76 $24,671.76 $14,803.06 $20,971.00 $19,737.41 2025-08-11
A0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 30 13 $19,734.12 $19,734.12 $11,840.47 $20,720.83 $19,734.12 2025-08-11
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 30 13 $19,729.07 $19,729.07 $11,837.44 $20,715.53 $19,729.07 2025-08-11
A1902 HCPCS Guillain-barré M >=51.50 And M <66.50 30 13 $19,722.34 $19,722.34 $11,833.40 $20,708.45 $19,722.34 2025-08-11
D0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 30 13 $19,712.23 $19,712.23 $11,827.34 $20,697.85 $19,712.23 2025-08-11
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