|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
$102,122.21
|
$102,122.21
|
$270,986.21
|
$270,986.21
|
$270,986.21
|
2026-04-29
|
|
533
|
MS_DRG
|
Fractures Of Femur With Mcc
|
1
|
1
|
$90,247.30
|
$90,247.30
|
$252,075.30
|
$252,075.30
|
$252,075.30
|
2026-04-29
|
|
342
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Cc
|
1
|
1
|
$59,553.83
|
$59,553.83
|
$161,575.83
|
$161,575.83
|
$161,575.83
|
2026-04-29
|
|
68
|
MS_DRG
|
Precerebral Occlusion Without Infarction Without Mcc
|
1
|
1
|
$53,383.41
|
$53,383.41
|
$137,815.41
|
$137,815.41
|
$137,815.41
|
2026-04-29
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
1
|
1
|
$34,880.46
|
$34,880.46
|
$101,722.46
|
$101,722.46
|
$101,722.46
|
2026-04-29
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
1
|
1
|
$36,741.84
|
$36,741.84
|
$100,065.84
|
$100,065.84
|
$100,065.84
|
2026-04-29
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
1
|
1
|
$41,643.93
|
$41,643.93
|
$94,413.93
|
$94,413.93
|
$94,413.93
|
2026-04-29
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
1
|
1
|
$39,595.71
|
$39,595.71
|
$92,365.71
|
$92,365.71
|
$92,365.71
|
2026-04-29
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
1
|
1
|
$26,858.99
|
$26,858.99
|
$76,110.99
|
$76,110.99
|
$76,110.99
|
2026-04-29
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
1
|
1
|
$26,661.53
|
$26,661.53
|
$72,395.53
|
$72,395.53
|
$72,395.53
|
2026-04-29
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
1
|
1
|
$20,312.10
|
$20,312.10
|
$51,974.10
|
$51,974.10
|
$51,974.10
|
2026-04-29
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
1
|
1
|
$17,940.59
|
$17,940.59
|
$49,602.59
|
$49,602.59
|
$49,602.59
|
2026-04-29
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
1
|
1
|
$22,414.83
|
$22,414.83
|
$47,040.83
|
$47,040.83
|
$47,040.83
|
2026-04-29
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc
|
1
|
1
|
$17,070.43
|
$17,070.43
|
$41,696.43
|
$41,696.43
|
$41,696.43
|
2026-04-29
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
1
|
1
|
$17,439.45
|
$17,439.45
|
$38,547.45
|
$38,547.45
|
$38,547.45
|
2026-04-29
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
1
|
1
|
$15,200.81
|
$15,200.81
|
$32,790.81
|
$32,790.81
|
$32,790.81
|
2026-04-29
|
|
726
|
MS_DRG
|
Benign Prostatic Hypertrophy Without Mcc
|
1
|
1
|
$10,815.42
|
$10,815.42
|
$31,923.42
|
$31,923.42
|
$31,923.42
|
2026-04-29
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
1
|
1
|
$9,977.42
|
$9,977.42
|
$24,049.42
|
$24,049.42
|
$24,049.42
|
2026-04-29
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
1
|
1
|
$9,867.41
|
$9,867.41
|
$23,939.41
|
$23,939.41
|
$23,939.41
|
2026-04-29
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
1
|
1
|
$10,506.17
|
$10,506.17
|
$21,060.17
|
$21,060.17
|
$21,060.17
|
2026-04-29
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
1
|
1
|
$8,680.58
|
$8,680.58
|
$19,234.58
|
$19,234.58
|
$19,234.58
|
2026-04-29
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
1
|
1
|
$7,317.60
|
$7,317.60
|
$17,871.60
|
$17,871.60
|
$17,871.60
|
2026-04-29
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
1
|
1
|
$6,873.65
|
$6,873.65
|
$13,909.65
|
$13,909.65
|
$13,909.65
|
2026-04-29
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
1
|
1
|
$6,007.29
|
$6,007.29
|
$13,043.29
|
$13,043.29
|
$13,043.29
|
2026-04-29
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
1
|
1
|
$3,888.78
|
$3,888.78
|
$10,924.78
|
$10,924.78
|
$10,924.78
|
2026-04-29
|
|
355001094_1
|
CDM
|
Interstim X Neurostimulator
|
21
|
21
|
$16,060.00
|
$16,060.00
|
$8,672.40
|
$15,738.80
|
$9,337.28
|
2026-04-29
|
|
355001093_1
|
CDM
|
Interstim Ii Neurostimulator
|
21
|
21
|
$14,965.00
|
$14,965.00
|
$8,081.10
|
$14,665.70
|
$8,700.65
|
2026-04-29
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
21
|
21
|
$12,954.11
|
$12,954.11
|
$6,995.22
|
$12,695.03
|
$7,531.52
|
2026-04-29
|
|
795
|
MS_DRG
|
Normal Newborn
|
1
|
1
|
$2,679.17
|
$2,679.17
|
$6,197.17
|
$6,197.17
|
$6,197.17
|
2026-04-29
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
1
|
1
|
$2,593.10
|
$2,593.10
|
$6,111.10
|
$6,111.10
|
$6,111.10
|
2026-04-29
|
|
355001665_1
|
CDM
|
Interstim MRI Comptbl Lead Kit
|
21
|
21
|
$9,102.00
|
$9,102.00
|
$4,915.08
|
$8,919.96
|
$5,291.90
|
2026-04-29
|
|
328001301_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$8,820.00
|
$8,820.00
|
$4,762.80
|
$8,643.60
|
$5,127.95
|
2026-04-29
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
21
|
21
|
$8,563.71
|
$8,563.71
|
$4,624.40
|
$8,392.44
|
$4,978.94
|
2026-04-29
|
|
371001000_1
|
CDM
|
PET / CT Scan
|
21
|
21
|
$8,095.00
|
$8,095.00
|
$4,371.30
|
$7,933.10
|
$4,706.43
|
2026-04-29
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
21
|
21
|
$8,049.77
|
$8,049.77
|
$4,346.88
|
$7,888.77
|
$4,680.14
|
2026-04-29
|
|
355001096_1
|
CDM
|
Lead Kit Tined
|
21
|
21
|
$6,932.00
|
$6,932.00
|
$3,743.28
|
$6,793.36
|
$4,030.26
|
2026-04-29
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
21
|
21
|
$6,836.31
|
$6,836.31
|
$3,691.61
|
$6,699.58
|
$3,974.63
|
2026-04-29
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
21
|
21
|
$6,663.30
|
$6,663.30
|
$3,598.18
|
$6,530.03
|
$3,874.04
|
2026-04-29
|
|
328001810_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$6,620.00
|
$6,620.00
|
$3,574.80
|
$6,487.60
|
$3,848.87
|
2026-04-29
|
|
328001800_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$6,140.00
|
$6,140.00
|
$3,315.60
|
$6,017.20
|
$3,569.80
|
2026-04-29
|
|
328001201_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$5,800.00
|
$5,800.00
|
$3,132.00
|
$5,684.00
|
$3,372.12
|
2026-04-29
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
21
|
21
|
$5,800.00
|
$5,800.00
|
$3,132.00
|
$5,684.00
|
$3,372.12
|
2026-04-29
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
21
|
21
|
$5,772.00
|
$5,772.00
|
$3,116.88
|
$5,656.56
|
$3,355.84
|
2026-04-29
|
|
355001394_1
|
CDM
|
Ortho Plate Humerus 3.5 3hole
|
21
|
21
|
$5,679.00
|
$5,679.00
|
$3,066.66
|
$5,565.42
|
$3,301.77
|
2026-04-29
|
|
81229
|
HCPCS
|
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…
|
21
|
21
|
$5,472.00
|
$5,472.00
|
$2,954.88
|
$5,362.56
|
$3,181.42
|
2026-04-29
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
21
|
21
|
$5,459.57
|
$5,459.57
|
$2,948.17
|
$5,350.38
|
$3,174.19
|
2026-04-29
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
21
|
21
|
$5,255.00
|
$5,255.00
|
$2,837.70
|
$5,149.90
|
$3,055.26
|
2026-04-29
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
21
|
21
|
$5,227.00
|
$5,227.00
|
$2,822.58
|
$5,122.46
|
$3,038.98
|
2026-04-29
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
21
|
21
|
$5,187.00
|
$5,187.00
|
$2,800.98
|
$5,083.26
|
$3,015.72
|
2026-04-29
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
21
|
21
|
$5,167.00
|
$5,167.00
|
$2,790.18
|
$5,063.66
|
$3,004.09
|
2026-04-29
|
|
78451
|
HCPCS
|
Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect
|
21
|
21
|
$5,116.00
|
$5,116.00
|
$2,762.64
|
$5,013.68
|
$2,974.44
|
2026-04-29
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
21
|
21
|
$5,075.00
|
$5,075.00
|
$2,740.50
|
$4,973.50
|
$2,950.61
|
2026-04-29
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
21
|
21
|
$5,054.00
|
$5,054.00
|
$2,729.16
|
$4,952.92
|
$2,938.40
|
2026-04-29
|
|
330005010_1
|
CDM
|
Recovery Room - General Classification
|
21
|
21
|
$5,040.00
|
$5,040.00
|
$2,721.60
|
$4,939.20
|
$2,930.26
|
2026-04-29
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
21
|
21
|
$5,031.00
|
$5,031.00
|
$2,716.74
|
$4,930.38
|
$2,925.02
|
2026-04-29
|
|
355001790_1
|
CDM
|
Total Knee Implants
|
21
|
21
|
$4,984.03
|
$4,984.03
|
$2,691.38
|
$4,884.35
|
$2,897.72
|
2026-04-29
|
|
J2426
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg
|
21
|
21
|
$4,982.30
|
$4,982.30
|
$2,690.44
|
$4,882.65
|
$2,896.71
|
2026-04-29
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
21
|
21
|
$4,935.00
|
$4,935.00
|
$2,664.90
|
$4,836.30
|
$2,869.21
|
2026-04-29
|
|
C8902
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…
|
21
|
21
|
$4,864.00
|
$4,864.00
|
$2,626.56
|
$4,766.72
|
$2,827.93
|
2026-04-29
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
21
|
21
|
$4,789.00
|
$4,789.00
|
$2,586.06
|
$4,693.22
|
$2,784.32
|
2026-04-29
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
21
|
21
|
$4,764.00
|
$4,764.00
|
$2,572.56
|
$4,668.72
|
$2,769.79
|
2026-04-29
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
21
|
21
|
$4,760.00
|
$4,760.00
|
$2,570.40
|
$4,664.80
|
$2,767.46
|
2026-04-29
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
21
|
21
|
$4,732.00
|
$4,732.00
|
$2,555.28
|
$4,637.36
|
$2,751.18
|
2026-04-29
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
21
|
21
|
$4,672.00
|
$4,672.00
|
$2,522.88
|
$4,578.56
|
$2,716.30
|
2026-04-29
|
|
59618
|
HCPCS
|
Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…
|
19
|
19
|
$5,211.00
|
$5,211.00
|
$2,171.58
|
$5,211.87
|
$2,687.14
|
2026-04-29
|
|
355001267_1
|
CDM
|
Mesh Phasix Rect 3"x4"
|
21
|
21
|
$4,618.00
|
$4,618.00
|
$2,493.72
|
$4,525.64
|
$2,684.91
|
2026-04-29
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
21
|
21
|
$4,580.00
|
$4,580.00
|
$2,473.20
|
$4,488.40
|
$2,662.81
|
2026-04-29
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
21
|
21
|
$4,579.00
|
$4,579.00
|
$2,472.66
|
$4,487.42
|
$2,662.23
|
2026-04-29
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
21
|
21
|
$4,536.00
|
$4,536.00
|
$2,449.44
|
$4,445.28
|
$2,637.23
|
2026-04-29
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
21
|
21
|
$4,466.00
|
$4,466.00
|
$2,411.64
|
$4,376.68
|
$2,596.53
|
2026-04-29
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
21
|
21
|
$4,440.00
|
$4,440.00
|
$2,397.60
|
$4,351.20
|
$2,581.42
|
2026-04-29
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
42
|
21
|
$4,425.00
|
$4,425.00
|
$2,389.50
|
$4,336.50
|
$2,572.70
|
2026-04-29
|
|
C8900
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Abdomen
|
21
|
21
|
$4,369.00
|
$4,369.00
|
$2,359.26
|
$4,281.62
|
$2,540.14
|
2026-04-29
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
21
|
21
|
$4,360.00
|
$4,360.00
|
$2,354.40
|
$4,272.80
|
$2,534.90
|
2026-04-29
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
42
|
21
|
$4,357.00
|
$4,357.00
|
$2,352.78
|
$4,269.86
|
$2,533.16
|
2026-04-29
|
|
355001820_1
|
CDM
|
Total Anterior Hip Implants
|
21
|
21
|
$4,346.50
|
$4,346.50
|
$2,347.11
|
$4,259.57
|
$2,527.06
|
2026-04-29
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
21
|
21
|
$4,337.00
|
$4,337.00
|
$2,341.98
|
$4,250.26
|
$2,521.53
|
2026-04-29
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
21
|
21
|
$4,332.00
|
$4,332.00
|
$2,339.28
|
$4,245.36
|
$2,518.62
|
2026-04-29
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
21
|
21
|
$4,272.00
|
$4,272.00
|
$2,306.88
|
$4,186.56
|
$2,483.74
|
2026-04-29
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
21
|
21
|
$4,269.00
|
$4,269.00
|
$2,305.26
|
$4,183.62
|
$2,482.00
|
2026-04-29
|
|
373092158_1
|
CDM
|
L-spine MRI W/addtl Views^
|
21
|
21
|
$4,230.00
|
$4,230.00
|
$2,284.20
|
$4,145.40
|
$2,459.32
|
2026-04-29
|
|
330005009_1
|
CDM
|
Recovery Room - General Classification
|
21
|
21
|
$4,200.00
|
$4,200.00
|
$2,268.00
|
$4,116.00
|
$2,441.88
|
2026-04-29
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
21
|
21
|
$4,180.00
|
$4,180.00
|
$2,257.20
|
$4,096.40
|
$2,430.25
|
2026-04-29
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
21
|
21
|
$4,136.00
|
$4,136.00
|
$2,233.44
|
$4,053.28
|
$2,404.67
|
2026-04-29
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
42
|
21
|
$4,118.00
|
$4,118.00
|
$2,223.72
|
$4,035.64
|
$2,394.21
|
2026-04-29
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
21
|
21
|
$4,083.00
|
$4,083.00
|
$2,204.82
|
$4,001.34
|
$2,373.86
|
2026-04-29
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
21
|
21
|
$4,065.00
|
$4,065.00
|
$2,195.10
|
$3,983.70
|
$2,363.39
|
2026-04-29
|
|
355001266_1
|
CDM
|
Mesh Phasix St 11cm Round
|
21
|
21
|
$4,058.00
|
$4,058.00
|
$2,191.32
|
$3,976.84
|
$2,359.32
|
2026-04-29
|
|
355001395_1
|
CDM
|
Ortho Plate Humerus 3.5 5hole
|
21
|
21
|
$4,050.00
|
$4,050.00
|
$2,187.00
|
$3,969.00
|
$2,354.67
|
2026-04-29
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
21
|
21
|
$4,040.00
|
$4,040.00
|
$2,181.60
|
$3,959.20
|
$2,348.86
|
2026-04-29
|
|
351003596_1
|
CDM
|
Interstim Smart Programmer
|
21
|
21
|
$4,012.00
|
$4,012.00
|
$2,166.48
|
$3,931.76
|
$2,332.58
|
2026-04-29
|
|
358002020_1
|
CDM
|
Gen Anes Equip 451-480 Min
|
21
|
21
|
$3,997.00
|
$3,997.00
|
$2,158.38
|
$3,917.06
|
$2,323.86
|
2026-04-29
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
19
|
19
|
$5,163.00
|
$5,163.00
|
$2,151.82
|
$5,163.09
|
$2,316.50
|
2026-04-29
|
|
C8901
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast, Abdomen
|
21
|
21
|
$3,969.00
|
$3,969.00
|
$2,143.26
|
$3,889.62
|
$2,307.58
|
2026-04-29
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
21
|
21
|
$3,964.00
|
$3,964.00
|
$2,140.56
|
$3,884.72
|
$2,304.67
|
2026-04-29
|
|
328001101_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$3,950.00
|
$3,950.00
|
$2,133.00
|
$3,871.00
|
$2,296.53
|
2026-04-29
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
21
|
21
|
$3,945.00
|
$3,945.00
|
$2,130.30
|
$3,866.10
|
$2,293.62
|
2026-04-29
|
|
328003201_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
21
|
21
|
$3,930.00
|
$3,930.00
|
$2,122.20
|
$3,851.40
|
$2,284.90
|
2026-04-29
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
21
|
21
|
$3,869.00
|
$3,869.00
|
$2,089.26
|
$3,791.62
|
$2,249.44
|
2026-04-29
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
21
|
21
|
$3,855.00
|
$3,855.00
|
$2,081.70
|
$3,777.90
|
$2,241.30
|
2026-04-29
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
19
|
19
|
$4,862.00
|
$4,862.00
|
$2,024.36
|
$4,862.40
|
$2,223.84
|
2026-04-29
|
|
27132
|
HCPCS
|
Total Hip Replacement After Previous Hip Surgery
|
19
|
19
|
$3,302.00
|
$3,302.00
|
$1,356.00
|
$3,302.51
|
$2,223.00
|
2026-04-29
|
|
355001095_1
|
CDM
|
Interstim Smart Progrmmr Kit,x
|
21
|
21
|
$3,803.00
|
$3,803.00
|
$2,053.62
|
$3,726.94
|
$2,211.06
|
2026-04-29
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
21
|
21
|
$3,786.00
|
$3,786.00
|
$2,044.44
|
$3,710.28
|
$2,201.18
|
2026-04-29
|
|
355001250_1
|
CDM
|
Mesh Parietex 30 X 20
|
21
|
21
|
$3,682.00
|
$3,682.00
|
$1,988.28
|
$3,608.36
|
$2,140.71
|
2026-04-29
|
|
328004000_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$3,673.00
|
$3,673.00
|
$1,983.42
|
$3,599.54
|
$2,135.48
|
2026-04-29
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
21
|
21
|
$3,653.00
|
$3,653.00
|
$1,972.62
|
$3,579.94
|
$2,123.85
|
2026-04-29
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
42
|
21
|
$3,580.00
|
$3,580.00
|
$1,933.20
|
$3,508.40
|
$2,081.41
|
2026-04-29
|
|
C8925
|
HCPCS
|
Transesophageal Echocardiography (tee) With Contrast, Or Without Contrast Follow…
|
21
|
21
|
$3,563.00
|
$3,563.00
|
$1,924.02
|
$3,491.74
|
$2,071.53
|
2026-04-29
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
42
|
21
|
$3,560.00
|
$3,560.00
|
$1,922.40
|
$3,488.80
|
$2,069.78
|
2026-04-29
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
21
|
21
|
$3,537.00
|
$3,537.00
|
$1,909.98
|
$3,466.26
|
$2,056.41
|
2026-04-29
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
42
|
21
|
$3,522.00
|
$3,522.00
|
$1,901.88
|
$3,451.56
|
$2,047.69
|
2026-04-29
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
21
|
21
|
$3,464.00
|
$3,464.00
|
$1,870.56
|
$3,394.72
|
$2,013.97
|
2026-04-29
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
19
|
19
|
$2,543.00
|
$2,543.00
|
$1,047.97
|
$2,543.91
|
$2,006.87
|
2026-04-29
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
21
|
21
|
$3,450.00
|
$3,450.00
|
$1,863.00
|
$3,381.00
|
$2,005.83
|
2026-04-29
|
|
C8929
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
21
|
21
|
$3,439.00
|
$3,439.00
|
$1,857.06
|
$3,370.22
|
$1,999.43
|
2026-04-29
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
21
|
21
|
$3,438.00
|
$3,438.00
|
$1,856.52
|
$3,369.24
|
$1,998.85
|
2026-04-29
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
19
|
19
|
$4,690.00
|
$4,690.00
|
$1,853.20
|
$4,690.48
|
$1,986.21
|
2026-04-29
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
21
|
21
|
$3,405.00
|
$3,405.00
|
$1,838.70
|
$3,336.90
|
$1,979.67
|
2026-04-29
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
21
|
21
|
$3,392.00
|
$3,392.00
|
$1,831.68
|
$3,324.16
|
$1,972.11
|
2026-04-29
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
42
|
21
|
$3,381.00
|
$3,381.00
|
$1,825.74
|
$3,313.38
|
$1,965.71
|
2026-04-29
|
|
355001098_1
|
CDM
|
K-less T-rope W/drv Syn Rep Ss
|
21
|
21
|
$3,367.00
|
$3,367.00
|
$1,818.18
|
$3,299.66
|
$1,957.57
|
2026-04-29
|
|
324000217_1
|
CDM
|
Labor Room/delivery - General Classification
|
21
|
21
|
$3,360.00
|
$3,360.00
|
$1,814.40
|
$3,292.80
|
$1,953.50
|
2026-04-29
|
|
330005008_1
|
CDM
|
Recovery Room - General Classification
|
21
|
21
|
$3,360.00
|
$3,360.00
|
$1,814.40
|
$3,292.80
|
$1,953.50
|
2026-04-29
|
|
328002130_1
|
CDM
|
Operating Room Services - Minor Surgery
|
21
|
21
|
$3,350.00
|
$3,350.00
|
$1,809.00
|
$3,283.00
|
$1,947.69
|
2026-04-29
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
21
|
21
|
$3,322.00
|
$3,322.00
|
$1,793.88
|
$3,255.56
|
$1,931.41
|
2026-04-29
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
42
|
21
|
$3,321.00
|
$3,321.00
|
$1,793.34
|
$3,254.58
|
$1,930.83
|
2026-04-29
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
42
|
21
|
$3,273.00
|
$3,273.00
|
$1,767.42
|
$3,207.54
|
$1,902.92
|
2026-04-29
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
21
|
21
|
$3,249.00
|
$3,249.00
|
$1,754.46
|
$3,184.02
|
$1,888.97
|
2026-04-29
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
21
|
21
|
$3,172.00
|
$3,172.00
|
$1,712.88
|
$3,108.56
|
$1,844.20
|
2026-04-29
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
42
|
21
|
$3,166.00
|
$3,166.00
|
$1,709.64
|
$3,102.68
|
$1,840.71
|
2026-04-29
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
42
|
21
|
$3,106.00
|
$3,106.00
|
$1,677.24
|
$3,043.88
|
$1,805.83
|
2026-04-29
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
21
|
21
|
$3,094.00
|
$3,094.00
|
$1,670.76
|
$3,032.12
|
$1,798.85
|
2026-04-29
|
|
93312
|
HCPCS
|
Ultrasound Of Heart With Probe In Esophagus, With Report
|
21
|
21
|
$3,070.00
|
$3,070.00
|
$1,657.80
|
$3,008.60
|
$1,784.90
|
2026-04-29
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
21
|
21
|
$3,070.00
|
$3,070.00
|
$1,657.80
|
$3,008.60
|
$1,784.90
|
2026-04-29
|
|
324000208_1
|
CDM
|
Labor Room/delivery - General Classification
|
21
|
21
|
$3,055.00
|
$3,055.00
|
$1,649.70
|
$2,993.90
|
$1,776.18
|
2026-04-29
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
19
|
19
|
$4,087.00
|
$4,087.00
|
$1,420.25
|
$4,087.00
|
$1,771.86
|
2026-04-29
|
|
58180
|
HCPCS
|
Removal Of Uterus Through Abdomen
|
19
|
19
|
$1,927.00
|
$1,927.00
|
$786.50
|
$1,927.81
|
$1,767.64
|
2026-04-29
|
|
19083
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth
|
42
|
21
|
$3,009.00
|
$3,009.00
|
$1,624.86
|
$2,948.82
|
$1,749.43
|
2026-04-29
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
21
|
21
|
$3,003.00
|
$3,003.00
|
$1,621.62
|
$2,942.94
|
$1,745.94
|
2026-04-29
|
|
328003101_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
21
|
21
|
$2,990.00
|
$2,990.00
|
$1,614.60
|
$2,930.20
|
$1,738.39
|
2026-04-29
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
21
|
21
|
$2,979.00
|
$2,979.00
|
$1,608.66
|
$2,919.42
|
$1,731.99
|
2026-04-29
|
|
45110
|
HCPCS
|
Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo…
|
19
|
19
|
$3,588.00
|
$3,588.00
|
$1,520.07
|
$3,588.22
|
$1,729.00
|
2026-04-29
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
21
|
21
|
$2,970.00
|
$2,970.00
|
$1,603.80
|
$2,910.60
|
$1,726.76
|
2026-04-29
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
42
|
21
|
$2,955.00
|
$2,955.00
|
$1,595.70
|
$2,895.90
|
$1,718.04
|
2026-04-29
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
21
|
21
|
$2,940.00
|
$2,940.00
|
$1,587.60
|
$2,881.20
|
$1,709.32
|
2026-04-29
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
21
|
21
|
$2,940.00
|
$2,940.00
|
$1,587.60
|
$2,881.20
|
$1,709.32
|
2026-04-29
|
|
324000200_1
|
CDM
|
Labor Room/delivery - General Classification
|
21
|
21
|
$2,940.00
|
$2,940.00
|
$1,587.60
|
$2,881.20
|
$1,709.32
|
2026-04-29
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
21
|
21
|
$2,923.00
|
$2,923.00
|
$1,578.42
|
$2,864.54
|
$1,699.43
|
2026-04-29
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
21
|
21
|
$2,887.00
|
$2,887.00
|
$1,558.98
|
$2,829.26
|
$1,678.50
|
2026-04-29
|
|
27236
|
HCPCS
|
Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…
|
19
|
19
|
$2,373.00
|
$2,373.00
|
$984.40
|
$2,373.05
|
$1,667.25
|
2026-04-29
|
|
27125
|
HCPCS
|
Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis
|
19
|
19
|
$2,250.00
|
$2,250.00
|
$935.29
|
$2,250.22
|
$1,667.25
|
2026-04-29
|
|
78803
|
HCPCS
|
Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …
|
21
|
21
|
$2,865.00
|
$2,865.00
|
$1,547.10
|
$2,807.70
|
$1,665.71
|
2026-04-29
|
|
351003753_1
|
CDM
|
Jada System
|
21
|
21
|
$2,856.00
|
$2,856.00
|
$1,542.24
|
$2,798.88
|
$1,660.48
|
2026-04-29
|
|
78315
|
HCPCS
|
Nuclear Medicine Study Of Bone Taken At Different Times
|
21
|
21
|
$2,833.00
|
$2,833.00
|
$1,529.82
|
$2,776.34
|
$1,647.11
|
2026-04-29
|
|
58152
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina
|
19
|
19
|
$2,478.00
|
$2,478.00
|
$992.99
|
$2,478.80
|
$1,636.37
|
2026-04-29
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
21
|
21
|
$2,814.00
|
$2,814.00
|
$1,519.56
|
$2,757.72
|
$1,636.06
|
2026-04-29
|
|
355001264_1
|
CDM
|
Mesh Phasix St 8cm Round
|
21
|
21
|
$2,798.00
|
$2,798.00
|
$1,510.92
|
$2,742.04
|
$1,626.76
|
2026-04-29
|
|
324000204_1
|
CDM
|
Labor Room/delivery - General Classification
|
21
|
21
|
$2,795.00
|
$2,795.00
|
$1,509.30
|
$2,739.10
|
$1,625.01
|
2026-04-29
|
|
59515
|
HCPCS
|
Cesarean Delivery With Care After Delivery
|
19
|
19
|
$2,551.00
|
$2,551.00
|
$1,056.96
|
$2,551.78
|
$1,621.55
|
2026-04-29
|
|
304000020_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
10
|
10
|
$1,680.00
|
$1,680.00
|
$1,545.60
|
$1,646.40
|
$1,612.80
|
2026-04-29
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
21
|
21
|
$2,764.00
|
$2,764.00
|
$1,492.56
|
$2,708.72
|
$1,606.99
|
2026-04-29
|
|
44147
|
HCPCS
|
Partial Removal Of Large Bowel Through Abdomen And Anus
|
19
|
19
|
$3,743.00
|
$3,743.00
|
$1,543.75
|
$3,743.67
|
$1,605.63
|
2026-04-29
|
|
47425
|
HCPCS
|
Drainage Or Removal Of Bile Duct Stone With Redirection Of Bile Flow And Incisio…
|
19
|
19
|
$2,644.00
|
$2,644.00
|
$1,135.68
|
$2,644.55
|
$1,599.32
|
2026-04-29
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
21
|
21
|
$2,742.00
|
$2,742.00
|
$1,480.68
|
$2,687.16
|
$1,594.20
|
2026-04-29
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
21
|
21
|
$2,742.00
|
$2,742.00
|
$1,480.68
|
$2,687.16
|
$1,594.20
|
2026-04-29
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
42
|
21
|
$2,731.00
|
$2,731.00
|
$1,474.74
|
$2,676.38
|
$1,587.80
|
2026-04-29
|
|
44150
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…
|
19
|
19
|
$3,609.00
|
$3,609.00
|
$1,543.75
|
$3,609.95
|
$1,580.33
|
2026-04-29
|
|
78582
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation
|
21
|
21
|
$2,698.00
|
$2,698.00
|
$1,456.92
|
$2,644.04
|
$1,568.62
|
2026-04-29
|
|
355001710_1
|
CDM
|
Suprapubic Lynx Sling System
|
21
|
21
|
$2,694.00
|
$2,694.00
|
$1,454.76
|
$2,640.12
|
$1,566.29
|
2026-04-29
|
|
60240
|
HCPCS
|
Removal Of Thyroid
|
19
|
19
|
$1,815.00
|
$1,815.00
|
$748.34
|
$1,815.49
|
$1,556.10
|
2026-04-29
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
42
|
21
|
$2,671.00
|
$2,671.00
|
$1,442.34
|
$2,617.58
|
$1,552.92
|
2026-04-29
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
42
|
21
|
$2,550.50
|
$2,550.50
|
$426.60
|
$4,224.78
|
$1,551.07
|
2026-04-29
|
|
358002018_1
|
CDM
|
Gen Anes Equip 271-300 Min
|
21
|
21
|
$2,666.00
|
$2,666.00
|
$1,439.64
|
$2,612.68
|
$1,550.01
|
2026-04-29
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
21
|
21
|
$2,660.00
|
$2,660.00
|
$1,436.40
|
$2,606.80
|
$1,546.52
|
2026-04-29
|
|
78709
|
HCPCS
|
Nuclear Medicine Studies Of Kidney, Blood Flow, And Function
|
21
|
21
|
$2,656.00
|
$2,656.00
|
$1,434.24
|
$2,602.88
|
$1,544.20
|
2026-04-29
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
21
|
21
|
$2,655.00
|
$2,655.00
|
$1,433.70
|
$2,601.90
|
$1,543.62
|
2026-04-29
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
19
|
19
|
$3,517.00
|
$3,517.00
|
$1,235.00
|
$3,517.17
|
$1,535.64
|
2026-04-29
|
|
59614
|
HCPCS
|
Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery
|
19
|
19
|
$2,213.00
|
$2,213.00
|
$917.45
|
$2,213.49
|
$1,528.89
|
2026-04-29
|
|
59620
|
HCPCS
|
Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del…
|
19
|
19
|
$1,772.00
|
$1,772.00
|
$732.58
|
$1,772.97
|
$1,524.28
|
2026-04-29
|
|
328001001_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$2,600.00
|
$2,600.00
|
$1,404.00
|
$2,548.00
|
$1,511.64
|
2026-04-29
|
|
47612
|
HCPCS
|
Removal Of Gallbladder And Creation Of Bile Duct Drainage To Bowel
|
19
|
19
|
$2,460.00
|
$2,460.00
|
$1,052.19
|
$2,460.24
|
$1,494.35
|
2026-04-29
|
|
328003301_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$2,540.00
|
$2,540.00
|
$1,371.60
|
$2,489.20
|
$1,476.76
|
2026-04-29
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
42
|
21
|
$2,438.00
|
$2,438.00
|
$377.14
|
$4,094.05
|
$1,470.16
|
2026-04-29
|
|
330005007_1
|
CDM
|
Recovery Room - General Classification
|
21
|
21
|
$2,520.00
|
$2,520.00
|
$1,360.80
|
$2,469.60
|
$1,465.13
|
2026-04-29
|
|
78598
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun…
|
21
|
21
|
$2,517.00
|
$2,517.00
|
$1,359.18
|
$2,466.66
|
$1,463.38
|
2026-04-29
|
|
78195
|
HCPCS
|
Nuclear Medicine Study Of Lymphatic System
|
21
|
21
|
$2,508.00
|
$2,508.00
|
$1,354.32
|
$2,457.84
|
$1,458.15
|
2026-04-29
|
|
78306
|
HCPCS
|
Nuclear Medicine Study Of Bone And/or Joint Whole Body
|
21
|
21
|
$2,491.00
|
$2,491.00
|
$1,345.14
|
$2,441.18
|
$1,448.27
|
2026-04-29
|
|
351001008_1
|
CDM
|
Ablation Novasure
|
21
|
21
|
$2,470.00
|
$2,470.00
|
$1,333.80
|
$2,420.60
|
$1,436.06
|
2026-04-29
|
|
78708
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…
|
21
|
21
|
$2,452.00
|
$2,452.00
|
$1,324.08
|
$2,402.96
|
$1,425.59
|
2026-04-29
|
|
351003587_1
|
CDM
|
Icon Patient Programmer
|
21
|
21
|
$2,449.00
|
$2,449.00
|
$1,322.46
|
$2,400.02
|
$1,423.85
|
2026-04-29
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
21
|
21
|
$2,449.00
|
$2,449.00
|
$1,322.46
|
$2,400.02
|
$1,423.85
|
2026-04-29
|
|
358002016_1
|
CDM
|
Gen Anes Equip 241-270 Min
|
21
|
21
|
$2,444.00
|
$2,444.00
|
$1,319.76
|
$2,395.12
|
$1,420.94
|
2026-04-29
|
|
58262
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less
|
19
|
19
|
$1,864.00
|
$1,864.00
|
$746.80
|
$1,864.00
|
$1,420.25
|
2026-04-29
|
|
58270
|
HCPCS
|
Removal Of Uterus With Repair Of Herniated Bowel Through Vagina, 250.0 G Or Less
|
19
|
19
|
$1,796.00
|
$1,796.00
|
$722.63
|
$1,796.46
|
$1,420.25
|
2026-04-29
|
|
47610
|
HCPCS
|
Removal Of Gallbladder With Exploration Of Common Bile Duct
|
19
|
19
|
$2,418.00
|
$2,418.00
|
$1,039.32
|
$2,418.25
|
$1,420.25
|
2026-04-29
|
|
44202
|
HCPCS
|
Partial Removal And Reconnection Of Small Bowel Using An Endoscope
|
19
|
19
|
$2,692.00
|
$2,692.00
|
$1,146.60
|
$2,692.55
|
$1,414.07
|
2026-04-29
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
21
|
21
|
$2,430.00
|
$2,430.00
|
$1,312.20
|
$2,381.40
|
$1,403.74
|
2026-04-29
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
42
|
21
|
$2,410.00
|
$2,410.00
|
$1,301.40
|
$2,361.80
|
$1,401.17
|
2026-04-29
|
|
351003957_1
|
CDM
|
Mis Catheter Access Kit
|
21
|
21
|
$2,408.00
|
$2,408.00
|
$1,300.32
|
$2,359.84
|
$1,400.01
|
2026-04-29
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
19
|
19
|
$3,202.00
|
$3,202.00
|
$1,173.25
|
$3,202.75
|
$1,389.70
|
2026-04-29
|
|
351001005_1
|
CDM
|
Ablation Minerva
|
21
|
21
|
$2,386.00
|
$2,386.00
|
$1,288.44
|
$2,338.28
|
$1,387.22
|
2026-04-29
|
|
44145
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum
|
19
|
19
|
$3,218.00
|
$3,218.00
|
$1,315.27
|
$3,218.42
|
$1,385.24
|
2026-04-29
|
|
78264
|
HCPCS
|
Nuclear Medicine Study Of Stomach To Assess Emptying
|
21
|
21
|
$2,360.00
|
$2,360.00
|
$1,274.40
|
$2,312.80
|
$1,372.10
|
2026-04-29
|
|
355001840_1
|
CDM
|
Urolift Handle W/implant
|
21
|
21
|
$2,355.00
|
$2,355.00
|
$1,271.70
|
$2,307.90
|
$1,369.20
|
2026-04-29
|
|
355001841_1
|
CDM
|
Urolift Implant
|
21
|
21
|
$2,355.00
|
$2,355.00
|
$1,271.70
|
$2,307.90
|
$1,369.20
|
2026-04-29
|
|
78227
|
HCPCS
|
Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs
|
21
|
21
|
$2,331.00
|
$2,331.00
|
$1,258.74
|
$2,284.38
|
$1,355.24
|
2026-04-29
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
21
|
21
|
$2,329.00
|
$2,329.00
|
$1,257.66
|
$2,282.42
|
$1,354.08
|
2026-04-29
|
|
58260
|
HCPCS
|
Removal Of Uterus Through Vagina, 250.0 G Or Less
|
19
|
19
|
$1,686.00
|
$1,686.00
|
$676.52
|
$1,686.92
|
$1,352.32
|
2026-04-29
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
19
|
19
|
$3,102.00
|
$3,102.00
|
$741.00
|
$3,102.62
|
$1,351.39
|
2026-04-29
|
|
78472
|
HCPCS
|
Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…
|
21
|
21
|
$2,321.00
|
$2,321.00
|
$1,253.34
|
$2,274.58
|
$1,349.43
|
2026-04-29
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
19
|
19
|
$1,719.00
|
$1,719.00
|
$710.53
|
$1,719.84
|
$1,343.57
|
2026-04-29
|
|
59612
|
HCPCS
|
Vaginal Delivery After Previous Cesarean Delivery
|
19
|
19
|
$1,711.00
|
$1,711.00
|
$707.57
|
$1,711.95
|
$1,343.57
|
2026-04-29
|
|
60225
|
HCPCS
|
Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O…
|
19
|
19
|
$1,868.00
|
$1,868.00
|
$768.28
|
$1,868.64
|
$1,333.80
|
2026-04-29
|
|
94003
|
HCPCS
|
Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
21
|
21
|
$2,257.00
|
$2,257.00
|
$1,218.78
|
$2,211.86
|
$1,312.22
|
2026-04-29
|
|
43825
|
HCPCS
|
Partial Removal Of Stomach With Severing Of Vagus Nerve
|
19
|
19
|
$2,537.00
|
$2,537.00
|
$1,086.92
|
$2,537.10
|
$1,296.75
|
2026-04-29
|
|
44700
|
HCPCS
|
Suspension Of Small Bowel Using Mesh Or Prosthesis Or Self Tissue
|
19
|
19
|
$1,984.00
|
$1,984.00
|
$833.34
|
$1,984.87
|
$1,296.75
|
2026-04-29
|
|
45111
|
HCPCS
|
Partial Removal Of Rectum Through Abdomen
|
19
|
19
|
$2,142.00
|
$2,142.00
|
$911.97
|
$2,142.09
|
$1,296.75
|
2026-04-29
|
|
27235
|
HCPCS
|
Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone
|
19
|
19
|
$1,810.00
|
$1,810.00
|
$756.51
|
$1,810.74
|
$1,296.75
|
2026-04-29
|
|
43611
|
HCPCS
|
Removal Of Malignant Growth Of Stomach
|
19
|
19
|
$2,385.00
|
$2,385.00
|
$1,021.33
|
$2,385.74
|
$1,296.75
|
2026-04-29
|
|
358002014_1
|
CDM
|
Gen Anes Equip 211-240 Min
|
21
|
21
|
$2,230.00
|
$2,230.00
|
$1,204.20
|
$2,185.40
|
$1,296.52
|
2026-04-29
|
|
44160
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
19
|
19
|
$2,416.00
|
$2,416.00
|
$1,031.42
|
$2,416.30
|
$1,290.57
|
2026-04-29
|
|
47721
|
HCPCS
|
Creation Of Drainage Tract From Gallbladder To Small Bowel And From Stomach To S…
|
19
|
19
|
$2,622.00
|
$2,622.00
|
$1,128.50
|
$2,622.83
|
$1,290.57
|
2026-04-29
|
|
58550
|
HCPCS
|
Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less
|
19
|
19
|
$1,772.00
|
$1,772.00
|
$716.19
|
$1,772.09
|
$1,235.00
|
2026-04-29
|
|
93350
|
HCPCS
|
Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report
|
21
|
21
|
$2,108.00
|
$2,108.00
|
$1,138.32
|
$2,065.84
|
$1,225.59
|
2026-04-29
|
|
355001030_1
|
CDM
|
Anchor Precision Twist
|
21
|
21
|
$2,105.00
|
$2,105.00
|
$1,136.70
|
$2,062.90
|
$1,223.85
|
2026-04-29
|
|
27244
|
HCPCS
|
Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant
|
19
|
19
|
$2,439.00
|
$2,439.00
|
$1,012.27
|
$2,439.24
|
$1,216.47
|
2026-04-29
|
|
58760
|
HCPCS
|
Repair Of Blocked Ovarian End Of Uterine Tube
|
19
|
19
|
$1,648.00
|
$1,648.00
|
$660.28
|
$1,648.70
|
$1,210.30
|
2026-04-29
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
19
|
19
|
$2,040.00
|
$2,040.00
|
$842.70
|
$2,040.07
|
$1,210.30
|
2026-04-29
|
|
312000025_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
10
|
10
|
$1,260.00
|
$1,260.00
|
$1,159.20
|
$1,234.80
|
$1,209.60
|
2026-04-29
|
|
358002223_1
|
CDM
|
Other Anes Equip 421-450 Min
|
21
|
21
|
$2,064.00
|
$2,064.00
|
$1,114.56
|
$2,022.72
|
$1,200.01
|
2026-04-29
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
19
|
19
|
$2,367.00
|
$2,367.00
|
$1,008.17
|
$2,367.29
|
$1,197.95
|
2026-04-29
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
21
|
21
|
$2,058.78
|
$2,058.78
|
$1,111.74
|
$2,017.60
|
$1,196.97
|
2026-04-29
|
|
78290
|
HCPCS
|
Nuclear Medicine Study Of Intestine
|
21
|
21
|
$2,043.00
|
$2,043.00
|
$1,103.22
|
$2,002.14
|
$1,187.80
|
2026-04-29
|
|
78597
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Blood Flow To Lung
|
21
|
21
|
$2,025.00
|
$2,025.00
|
$1,093.50
|
$1,984.50
|
$1,177.34
|
2026-04-29
|
|
78278
|
HCPCS
|
Nuclear Medicine Study To Assess Blood Loss
|
21
|
21
|
$2,023.00
|
$2,023.00
|
$1,092.42
|
$1,982.54
|
$1,176.17
|
2026-04-29
|
|
351003415_1
|
CDM
|
Endo Stapler Ceea 28
|
21
|
21
|
$2,019.00
|
$2,019.00
|
$1,090.26
|
$1,978.62
|
$1,173.85
|
2026-04-29
|
|
C8924
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
21
|
21
|
$2,019.00
|
$2,019.00
|
$1,090.26
|
$1,978.62
|
$1,173.85
|
2026-04-29
|
|
58740
|
HCPCS
|
Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes
|
19
|
19
|
$1,801.00
|
$1,801.00
|
$745.69
|
$1,801.86
|
$1,173.25
|
2026-04-29
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
21
|
21
|
$2,014.00
|
$2,014.00
|
$1,087.56
|
$1,973.72
|
$1,170.94
|
2026-04-29
|
|
358002012_1
|
CDM
|
Gen Anes Equip 181-210 Min
|
21
|
21
|
$2,011.00
|
$2,011.00
|
$1,085.94
|
$1,970.78
|
$1,169.20
|
2026-04-29
|
|
92960
|
HCPCS
|
External Shock To Heart To Regulate Heart Beat
|
61
|
21
|
$1,970.00
|
$1,970.00
|
$89.84
|
$2,118.76
|
$1,167.48
|
2026-04-29
|
|
44602
|
HCPCS
|
Suture Of Tear Of Hole In Small Bowel
|
19
|
19
|
$2,716.00
|
$2,716.00
|
$920.07
|
$2,716.13
|
$1,166.56
|
2026-04-29
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
21
|
21
|
$1,998.00
|
$1,998.00
|
$1,078.92
|
$1,958.04
|
$1,161.64
|
2026-04-29
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
40
|
21
|
$2,145.00
|
$2,145.00
|
$186.94
|
$2,102.10
|
$1,158.30
|
2026-04-29
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
19
|
19
|
$2,075.00
|
$2,075.00
|
$852.17
|
$2,075.41
|
$1,158.25
|
2026-04-29
|
|
47740
|
HCPCS
|
Creation Of Drainage Tract From Gallbladder To Small Bowel Using Roux-en-y Conne…
|
19
|
19
|
$2,543.00
|
$2,543.00
|
$1,095.71
|
$2,543.56
|
$1,154.72
|
2026-04-29
|
|
355001176_1
|
CDM
|
Mesh Bard Ventralex Med
|
21
|
21
|
$1,985.00
|
$1,985.00
|
$1,071.90
|
$1,945.30
|
$1,154.08
|
2026-04-29
|
|
78226
|
HCPCS
|
Nuclear Medicine Study Of Liver And Bile Duct System
|
21
|
21
|
$1,980.00
|
$1,980.00
|
$1,069.20
|
$1,940.40
|
$1,151.17
|
2026-04-29
|
|
43840
|
HCPCS
|
Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel
|
19
|
19
|
$2,636.00
|
$2,636.00
|
$994.17
|
$2,636.04
|
$1,150.08
|
2026-04-29
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
19
|
19
|
$1,288.00
|
$1,288.00
|
$560.94
|
$1,288.67
|
$1,142.37
|
2026-04-29
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
19
|
19
|
$2,607.00
|
$2,607.00
|
$1,112.29
|
$2,607.18
|
$1,142.37
|
2026-04-29
|
|
351004648_1
|
CDM
|
Stimulan Rapid Cure
|
21
|
21
|
$1,964.00
|
$1,964.00
|
$1,060.56
|
$1,924.72
|
$1,141.87
|
2026-04-29
|
|
43820
|
HCPCS
|
Partial Removal Of Stomach With Attachment Of Stomach To Small Bowel
|
19
|
19
|
$2,609.00
|
$2,609.00
|
$1,080.62
|
$2,609.50
|
$1,137.75
|
2026-04-29
|
|
60220
|
HCPCS
|
Removal Of Thyroid Lobe On Side Of Neck
|
19
|
19
|
$1,409.00
|
$1,409.00
|
$580.28
|
$1,409.38
|
$1,136.20
|
2026-04-29
|
|
47605
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts
|
19
|
19
|
$2,188.00
|
$2,188.00
|
$941.26
|
$2,188.45
|
$1,136.20
|
2026-04-29
|
|
328002110_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$1,945.00
|
$1,945.00
|
$1,050.30
|
$1,906.10
|
$1,130.82
|
2026-04-29
|
|
358002222_1
|
CDM
|
Other Anes Equip 391-420 Min
|
21
|
21
|
$1,939.00
|
$1,939.00
|
$1,047.06
|
$1,900.22
|
$1,127.33
|
2026-04-29
|
|
42415
|
HCPCS
|
Removal Of Growth Of Saliva Gland With Release Of Facial Nerve
|
19
|
19
|
$2,140.00
|
$2,140.00
|
$846.68
|
$2,140.85
|
$1,123.85
|
2026-04-29
|
|
78707
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood Flow, And Function
|
21
|
21
|
$1,924.00
|
$1,924.00
|
$1,038.96
|
$1,885.52
|
$1,118.61
|
2026-04-29
|
|
78071
|
HCPCS
|
Nuclear Medicine Study Of Parathyroid With Spect
|
21
|
21
|
$1,918.00
|
$1,918.00
|
$1,035.72
|
$1,879.64
|
$1,115.13
|
2026-04-29
|
|
19318
|
HCPCS
|
Breast Reduction
|
19
|
19
|
$2,177.00
|
$2,177.00
|
$891.15
|
$2,177.29
|
$1,111.50
|
2026-04-29
|
|
324000197_1
|
CDM
|
Labor Room/delivery - General Classification
|
21
|
21
|
$1,890.00
|
$1,890.00
|
$1,020.60
|
$1,852.20
|
$1,098.85
|
2026-04-29
|
|
355001178_1
|
CDM
|
Mesh Ventralight W/echo 6"
|
21
|
21
|
$1,880.00
|
$1,880.00
|
$1,015.20
|
$1,842.40
|
$1,093.03
|
2026-04-29
|
|
58950
|
HCPCS
|
Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes
|
19
|
19
|
$2,312.00
|
$2,312.00
|
$961.11
|
$2,312.99
|
$1,086.80
|
2026-04-29
|
|
47010
|
HCPCS
|
Drainage Of Abscess Or Cyst Of Liver
|
19
|
19
|
$2,356.00
|
$2,356.00
|
$1,015.16
|
$2,356.61
|
$1,086.80
|
2026-04-29
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
19
|
19
|
$1,178.00
|
$1,178.00
|
$514.01
|
$1,204.12
|
$1,080.66
|
2026-04-29
|
|
43610
|
HCPCS
|
Removal Of Stomach Ulcer Or Growth
|
19
|
19
|
$1,902.00
|
$1,902.00
|
$815.91
|
$1,899.54
|
$1,068.27
|
2026-04-29
|
|
57555
|
HCPCS
|
Removal Of Remaining Cervix With Repair Of Supporting Vaginal Tissue
|
19
|
19
|
$1,247.00
|
$1,247.00
|
$501.42
|
$1,247.10
|
$1,068.27
|
2026-04-29
|
|
93970
|
HCPCS
|
Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
21
|
21
|
$1,835.00
|
$1,835.00
|
$990.90
|
$1,798.30
|
$1,066.87
|
2026-04-29
|
|
44025
|
HCPCS
|
Biopsy Or Removal Of Foreign Body In Large Bowel
|
19
|
19
|
$1,909.00
|
$1,909.00
|
$818.59
|
$1,909.59
|
$1,062.10
|
2026-04-29
|
|
93880
|
HCPCS
|
Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
21
|
21
|
$1,822.00
|
$1,822.00
|
$983.88
|
$1,785.56
|
$1,059.31
|
2026-04-29
|
|
310000020_1
|
CDM
|
Nursery - General Classification
|
10
|
10
|
$1,100.00
|
$1,100.00
|
$1,012.00
|
$1,078.00
|
$1,056.00
|
2026-04-29
|
|
58720
|
HCPCS
|
Removal Of Uterine Tubes And Ovaries
|
19
|
19
|
$1,526.00
|
$1,526.00
|
$630.90
|
$1,526.16
|
$1,049.75
|
2026-04-29
|
|
328002122_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$1,800.00
|
$1,800.00
|
$972.00
|
$1,764.00
|
$1,046.52
|
2026-04-29
|
|
358002010_1
|
CDM
|
Gen Anes Equip 151-180 Min
|
21
|
21
|
$1,796.00
|
$1,796.00
|
$969.84
|
$1,760.08
|
$1,044.19
|
2026-04-29
|
|
23450
|
HCPCS
|
Reattachment Of Shoulder Joint Capsule Without Bone Transfer
|
19
|
19
|
$1,886.00
|
$1,886.00
|
$787.12
|
$1,886.94
|
$1,037.40
|
2026-04-29
|
|
44110
|
HCPCS
|
Removal Of Growth Of Small Or Large Bowels
|
19
|
19
|
$1,670.00
|
$1,670.00
|
$713.21
|
$1,670.43
|
$1,025.05
|
2026-04-29
|
|
44320
|
HCPCS
|
Creation Of Opening From Large Bowel To Skin
|
19
|
19
|
$2,344.00
|
$2,344.00
|
$784.22
|
$2,344.70
|
$1,023.62
|
2026-04-29
|
|
351003345_1
|
CDM
|
Endo Lig 5mm Seal/divider
|
21
|
21
|
$1,758.00
|
$1,758.00
|
$949.32
|
$1,722.84
|
$1,022.10
|
2026-04-29
|
|
47720
|
HCPCS
|
Creation Of Drainage Tract From Gallbladder To Small Bowel
|
19
|
19
|
$2,242.00
|
$2,242.00
|
$970.78
|
$2,242.91
|
$1,018.87
|
2026-04-29
|
|
355001271_1
|
CDM
|
Mesh Upsylon Trad Y-mesh
|
21
|
21
|
$1,751.00
|
$1,751.00
|
$945.54
|
$1,715.98
|
$1,018.03
|
2026-04-29
|
|
35840
|
HCPCS
|
Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery
|
19
|
19
|
$2,341.00
|
$2,341.00
|
$926.25
|
$2,341.45
|
$1,017.38
|
2026-04-29
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
19
|
19
|
$1,108.00
|
$1,108.00
|
$435.59
|
$1,729.00
|
$1,016.73
|
2026-04-29
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
21
|
21
|
$1,739.84
|
$1,739.84
|
$939.51
|
$1,705.04
|
$1,011.54
|
2026-04-29
|
|
78215
|
HCPCS
|
Nuclear Medicine Study Of Liver And Spleen
|
21
|
21
|
$1,733.00
|
$1,733.00
|
$935.82
|
$1,698.34
|
$1,007.57
|
2026-04-29
|
|
J7318
|
HCPCS
|
Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg
|
21
|
21
|
$1,731.60
|
$1,731.60
|
$935.06
|
$1,696.97
|
$1,006.75
|
2026-04-29
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
19
|
19
|
$2,081.00
|
$2,081.00
|
$897.22
|
$2,081.18
|
$1,006.52
|
2026-04-29
|
|
19084
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio…
|
42
|
21
|
$1,727.00
|
$1,727.00
|
$932.58
|
$1,692.46
|
$1,004.08
|
2026-04-29
|
|
35226
|
HCPCS
|
Repair Of Blood Vessel Of Leg
|
19
|
19
|
$1,568.00
|
$1,568.00
|
$668.39
|
$1,568.30
|
$1,000.35
|
2026-04-29
|
|
358002220_1
|
CDM
|
Other Anes Equip 331-360 Min
|
21
|
21
|
$1,718.00
|
$1,718.00
|
$927.72
|
$1,683.64
|
$998.85
|
2026-04-29
|
|
78580
|
HCPCS
|
Nuclear Medicine Study Of Lung Circulation
|
21
|
21
|
$1,716.00
|
$1,716.00
|
$926.64
|
$1,681.68
|
$997.68
|
2026-04-29
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
21
|
21
|
$1,712.05
|
$1,712.05
|
$924.51
|
$1,677.81
|
$995.39
|
2026-04-29
|
|
59120
|
HCPCS
|
Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovaries
|
19
|
19
|
$1,572.00
|
$1,572.00
|
$638.10
|
$1,572.68
|
$994.17
|
2026-04-29
|
|
44310
|
HCPCS
|
Creation Of Opening From Small Bowel To Skin
|
19
|
19
|
$2,033.00
|
$2,033.00
|
$867.14
|
$2,033.58
|
$988.00
|
2026-04-29
|
|
57265
|
HCPCS
|
Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall
|
19
|
19
|
$1,751.00
|
$1,751.00
|
$701.55
|
$1,751.25
|
$988.00
|
2026-04-29
|
|
44625
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…
|
19
|
19
|
$1,984.00
|
$1,984.00
|
$841.66
|
$1,984.51
|
$988.00
|
2026-04-29
|
|
27332
|
HCPCS
|
Incision Of Knee Joint With Removal Of Cartilage Of Inner Or Outer Side Of Knee
|
19
|
19
|
$1,303.00
|
$1,303.00
|
$556.92
|
$1,303.26
|
$988.00
|
2026-04-29
|
|
49521
|
HCPCS
|
Repair Of Trapped Or Strangulated Groin Hernia
|
19
|
19
|
$1,398.00
|
$1,398.00
|
$607.93
|
$1,398.69
|
$981.82
|
2026-04-29
|
|
330005006_1
|
CDM
|
Recovery Room - General Classification
|
21
|
21
|
$1,680.00
|
$1,680.00
|
$907.20
|
$1,646.40
|
$976.75
|
2026-04-29
|