|
550
|
MS_DRG
|
Septic Arthritis Without Cc/mcc
|
12
|
12
|
$193,849.67
|
$174,464.70
|
$174,464.70
|
$189,972.68
|
$180,280.20
|
2026-02-24
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
12
|
12
|
$143,481.56
|
$129,133.40
|
$129,133.40
|
$140,611.93
|
$133,437.85
|
2026-02-24
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
12
|
12
|
$100,210.03
|
$90,189.03
|
$90,189.03
|
$98,205.83
|
$93,195.33
|
2026-02-24
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
12
|
12
|
$88,110.65
|
$79,299.58
|
$79,299.58
|
$86,348.44
|
$81,942.90
|
2026-02-24
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
12
|
12
|
$85,322.60
|
$76,790.34
|
$76,790.34
|
$83,616.15
|
$79,350.02
|
2026-02-24
|
|
606
|
MS_DRG
|
Minor Skin Disorders With Mcc
|
12
|
12
|
$73,954.22
|
$66,558.80
|
$66,558.80
|
$72,475.14
|
$68,777.42
|
2026-02-24
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
12
|
12
|
$73,196.82
|
$65,877.14
|
$65,877.14
|
$71,732.88
|
$68,073.04
|
2026-02-24
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/mcc
|
12
|
12
|
$72,796.08
|
$65,516.47
|
$65,516.47
|
$71,340.16
|
$67,700.35
|
2026-02-24
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
12
|
12
|
$69,788.65
|
$62,809.79
|
$62,809.79
|
$68,392.88
|
$64,903.44
|
2026-02-24
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
12
|
12
|
$63,996.88
|
$57,597.19
|
$57,597.19
|
$62,716.94
|
$59,517.10
|
2026-02-24
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
12
|
12
|
$58,218.06
|
$52,396.26
|
$52,396.26
|
$57,053.70
|
$54,142.80
|
2026-02-24
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
12
|
12
|
$57,840.27
|
$52,056.24
|
$52,056.24
|
$56,683.46
|
$53,791.44
|
2026-02-24
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
12
|
12
|
$55,291.66
|
$49,762.49
|
$49,762.49
|
$54,185.83
|
$51,421.25
|
2026-02-24
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
12
|
12
|
$55,223.07
|
$49,700.76
|
$49,700.76
|
$54,118.61
|
$51,357.46
|
2026-02-24
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
12
|
12
|
$54,610.75
|
$49,149.68
|
$49,149.68
|
$53,518.54
|
$50,787.99
|
2026-02-24
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
24
|
24
|
$67,113.38
|
$60,402.04
|
$32,214.42
|
$65,771.11
|
$47,465.93
|
2026-02-24
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
12
|
12
|
$49,022.00
|
$44,119.80
|
$44,119.80
|
$48,041.56
|
$45,590.46
|
2026-02-24
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
12
|
12
|
$48,250.34
|
$43,425.30
|
$43,425.30
|
$47,285.33
|
$44,872.81
|
2026-02-24
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
12
|
12
|
$46,412.11
|
$41,770.90
|
$41,770.90
|
$45,483.87
|
$43,163.26
|
2026-02-24
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
12
|
12
|
$46,346.56
|
$41,711.90
|
$41,711.90
|
$45,419.63
|
$43,102.30
|
2026-02-24
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
12
|
12
|
$45,212.12
|
$40,690.90
|
$40,690.90
|
$44,307.87
|
$42,047.26
|
2026-02-24
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
12
|
12
|
$44,933.16
|
$40,439.84
|
$40,439.84
|
$44,034.50
|
$41,787.84
|
2026-02-24
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
12
|
12
|
$44,252.63
|
$39,827.37
|
$39,827.37
|
$43,367.58
|
$41,154.94
|
2026-02-24
|
|
999
|
MS_DRG
|
Ungroupable
|
12
|
12
|
$43,236.89
|
$38,913.20
|
$38,913.20
|
$42,372.15
|
$40,210.31
|
2026-02-24
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
12
|
12
|
$41,193.90
|
$37,074.51
|
$37,074.51
|
$40,370.02
|
$38,310.33
|
2026-02-24
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc
|
12
|
12
|
$41,032.15
|
$36,928.94
|
$36,928.94
|
$40,211.51
|
$38,159.90
|
2026-02-24
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
12
|
12
|
$39,808.70
|
$35,827.83
|
$35,827.83
|
$39,012.53
|
$37,022.10
|
2026-02-24
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
12
|
12
|
$39,749.04
|
$35,774.14
|
$35,774.14
|
$38,954.06
|
$36,966.61
|
2026-02-24
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
12
|
12
|
$39,404.44
|
$35,464.00
|
$35,464.00
|
$38,616.35
|
$36,646.13
|
2026-02-24
|
|
538
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc
|
12
|
12
|
$39,292.71
|
$35,363.44
|
$35,363.44
|
$38,506.86
|
$36,542.22
|
2026-02-24
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
12
|
12
|
$38,326.29
|
$34,493.66
|
$34,493.66
|
$37,559.76
|
$35,643.45
|
2026-02-24
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
12
|
12
|
$38,017.58
|
$34,215.82
|
$34,215.82
|
$37,257.23
|
$35,356.35
|
2026-02-24
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
12
|
12
|
$37,896.08
|
$34,106.47
|
$34,106.47
|
$37,138.16
|
$35,243.35
|
2026-02-24
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
12
|
12
|
$37,858.48
|
$34,072.63
|
$34,072.63
|
$37,101.31
|
$35,208.39
|
2026-02-24
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
12
|
12
|
$37,326.93
|
$33,594.23
|
$33,594.23
|
$36,580.39
|
$34,714.04
|
2026-02-24
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
12
|
12
|
$37,053.92
|
$33,348.53
|
$33,348.53
|
$36,312.84
|
$34,460.15
|
2026-02-24
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
12
|
12
|
$37,007.72
|
$33,306.95
|
$33,306.95
|
$36,267.57
|
$34,417.18
|
2026-02-24
|
|
78
|
MS_DRG
|
Hypertensive Encephalopathy With Cc
|
12
|
12
|
$36,563.45
|
$32,907.11
|
$32,907.11
|
$35,832.18
|
$34,004.01
|
2026-02-24
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
12
|
12
|
$35,521.35
|
$31,969.22
|
$31,969.22
|
$34,810.93
|
$33,034.85
|
2026-02-24
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
12
|
12
|
$35,238.95
|
$31,715.06
|
$31,715.06
|
$34,534.17
|
$32,772.22
|
2026-02-24
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
12
|
12
|
$34,754.98
|
$31,279.48
|
$31,279.48
|
$34,059.88
|
$32,322.13
|
2026-02-24
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
12
|
12
|
$34,732.11
|
$31,258.89
|
$31,258.89
|
$34,037.46
|
$32,300.86
|
2026-02-24
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
12
|
12
|
$34,272.03
|
$30,844.83
|
$30,844.83
|
$33,586.59
|
$31,872.99
|
2026-02-24
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
12
|
12
|
$33,842.46
|
$30,458.21
|
$30,458.21
|
$33,165.61
|
$31,473.49
|
2026-02-24
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
12
|
12
|
$33,045.31
|
$29,740.77
|
$29,740.77
|
$32,384.40
|
$30,732.14
|
2026-02-24
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
12
|
12
|
$32,779.54
|
$29,501.59
|
$29,501.59
|
$32,123.95
|
$30,484.97
|
2026-02-24
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
12
|
12
|
$32,417.57
|
$29,175.81
|
$29,175.81
|
$31,769.22
|
$30,148.34
|
2026-02-24
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
12
|
12
|
$32,250.02
|
$29,025.01
|
$29,025.01
|
$31,605.01
|
$29,992.51
|
2026-02-24
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
12
|
12
|
$31,198.75
|
$28,078.88
|
$28,078.88
|
$30,574.78
|
$29,014.83
|
2026-02-24
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
12
|
12
|
$29,436.17
|
$26,492.55
|
$26,492.55
|
$28,847.45
|
$27,375.64
|
2026-02-24
|
|
695
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms With Mcc
|
12
|
12
|
$29,366.47
|
$26,429.82
|
$26,429.82
|
$28,779.14
|
$27,310.82
|
2026-02-24
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
12
|
12
|
$29,198.37
|
$26,278.53
|
$26,278.53
|
$28,614.40
|
$27,154.49
|
2026-02-24
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
12
|
12
|
$28,909.72
|
$26,018.75
|
$26,018.75
|
$28,331.52
|
$26,886.03
|
2026-02-24
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
12
|
12
|
$28,611.31
|
$25,750.17
|
$25,750.17
|
$28,039.08
|
$26,608.51
|
2026-02-24
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
12
|
12
|
$27,918.61
|
$25,126.75
|
$25,126.75
|
$27,360.24
|
$25,964.31
|
2026-02-24
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
12
|
12
|
$27,013.95
|
$24,312.56
|
$24,312.56
|
$26,473.67
|
$25,122.97
|
2026-02-24
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
12
|
12
|
$26,448.61
|
$23,803.75
|
$23,803.75
|
$25,919.64
|
$24,597.21
|
2026-02-24
|
|
842
|
MS_DRG
|
Lymphoma And Non-acute Leukemia Without Cc/mcc
|
12
|
12
|
$26,445.70
|
$23,801.13
|
$23,801.13
|
$25,916.79
|
$24,594.50
|
2026-02-24
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
12
|
12
|
$26,340.55
|
$23,706.50
|
$23,706.50
|
$25,813.74
|
$24,496.71
|
2026-02-24
|
|
844
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
12
|
12
|
$25,584.26
|
$23,025.83
|
$23,025.83
|
$25,072.57
|
$23,793.36
|
2026-02-24
|
|
J1932
|
HCPCS
|
Injection, Lanreotide, (cipla), 1 Mg
|
48
|
24
|
$34,212.75
|
$30,791.47
|
$14,916.96
|
$36,601.53
|
$23,592.55
|
2026-02-24
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
12
|
12
|
$25,245.19
|
$22,720.67
|
$22,720.67
|
$24,740.29
|
$23,478.03
|
2026-02-24
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
12
|
12
|
$24,941.07
|
$22,446.96
|
$22,446.96
|
$24,442.25
|
$23,195.19
|
2026-02-24
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
12
|
12
|
$24,232.63
|
$21,809.37
|
$21,809.37
|
$23,747.98
|
$22,536.35
|
2026-02-24
|
|
152
|
MS_DRG
|
Otitis Media And Uri With Mcc
|
12
|
12
|
$24,108.36
|
$21,697.52
|
$21,697.52
|
$23,626.19
|
$22,420.78
|
2026-02-24
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
12
|
12
|
$23,927.89
|
$21,535.10
|
$21,535.10
|
$23,449.33
|
$22,252.94
|
2026-02-24
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
24
|
24
|
$31,351.00
|
$28,215.90
|
$15,048.48
|
$30,723.98
|
$22,173.00
|
2026-02-24
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
12
|
12
|
$23,620.63
|
$21,258.57
|
$21,258.57
|
$23,148.22
|
$21,967.18
|
2026-02-24
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
12
|
12
|
$23,577.67
|
$21,219.90
|
$21,219.90
|
$23,106.12
|
$21,927.24
|
2026-02-24
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
12
|
12
|
$23,518.09
|
$21,166.28
|
$21,166.28
|
$23,047.73
|
$21,871.82
|
2026-02-24
|
|
2780230
|
CDM
|
Medtronic Intellis Adaptive
|
24
|
24
|
$30,600.00
|
$27,540.00
|
$14,688.00
|
$29,988.00
|
$21,641.85
|
2026-02-24
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
12
|
12
|
$22,899.96
|
$20,609.96
|
$20,609.96
|
$22,441.96
|
$21,296.96
|
2026-02-24
|
|
726
|
MS_DRG
|
Benign Prostatic Hypertrophy Without Mcc
|
12
|
12
|
$22,530.59
|
$20,277.53
|
$20,277.53
|
$22,079.98
|
$20,953.45
|
2026-02-24
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
12
|
12
|
$22,403.81
|
$20,163.43
|
$20,163.43
|
$21,955.73
|
$20,835.54
|
2026-02-24
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc
|
12
|
12
|
$22,316.65
|
$20,084.99
|
$20,084.99
|
$21,870.32
|
$20,754.49
|
2026-02-24
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
12
|
12
|
$22,270.26
|
$20,043.23
|
$20,043.23
|
$21,824.85
|
$20,711.35
|
2026-02-24
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
12
|
12
|
$22,105.19
|
$19,894.67
|
$19,894.67
|
$21,663.09
|
$20,557.83
|
2026-02-24
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
12
|
12
|
$21,720.04
|
$19,548.04
|
$19,548.04
|
$21,285.64
|
$20,199.64
|
2026-02-24
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
12
|
12
|
$21,680.04
|
$19,512.03
|
$19,512.03
|
$21,246.44
|
$20,162.44
|
2026-02-24
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
12
|
12
|
$21,464.80
|
$19,318.32
|
$19,318.32
|
$21,035.50
|
$19,962.26
|
2026-02-24
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
12
|
12
|
$20,880.55
|
$18,792.50
|
$18,792.50
|
$20,462.94
|
$19,418.91
|
2026-02-24
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
12
|
12
|
$20,857.25
|
$18,771.52
|
$18,771.52
|
$20,440.10
|
$19,397.24
|
2026-02-24
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
12
|
12
|
$20,693.98
|
$18,624.58
|
$18,624.58
|
$20,280.10
|
$19,245.40
|
2026-02-24
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
12
|
12
|
$20,033.13
|
$18,029.82
|
$18,029.82
|
$19,632.47
|
$18,630.81
|
2026-02-24
|
|
544
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
12
|
12
|
$19,852.68
|
$17,867.41
|
$17,867.41
|
$19,455.63
|
$18,462.99
|
2026-02-24
|
|
436
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Cc
|
12
|
12
|
$19,820.31
|
$17,838.28
|
$17,838.28
|
$19,423.90
|
$18,432.89
|
2026-02-24
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
12
|
12
|
$19,637.52
|
$17,673.77
|
$17,673.77
|
$19,244.77
|
$18,262.89
|
2026-02-24
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
24
|
24
|
$25,712.00
|
$23,140.80
|
$12,341.76
|
$25,197.76
|
$18,184.81
|
2026-02-24
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
12
|
12
|
$19,150.40
|
$17,235.36
|
$17,235.36
|
$18,767.39
|
$17,809.87
|
2026-02-24
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
12
|
12
|
$19,062.57
|
$17,156.31
|
$17,156.31
|
$18,681.32
|
$17,728.19
|
2026-02-24
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
12
|
12
|
$19,008.38
|
$17,107.54
|
$17,107.54
|
$18,628.21
|
$17,677.79
|
2026-02-24
|
|
2780507
|
CDM
|
Axonics Neurostimulator
|
24
|
24
|
$24,300.00
|
$21,870.00
|
$11,664.00
|
$23,814.00
|
$17,186.17
|
2026-02-24
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
12
|
12
|
$18,364.83
|
$16,528.35
|
$16,528.35
|
$17,997.53
|
$17,079.29
|
2026-02-24
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
12
|
12
|
$18,331.82
|
$16,498.64
|
$16,498.64
|
$17,965.18
|
$17,048.60
|
2026-02-24
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
24
|
24
|
$23,936.09
|
$21,542.48
|
$11,489.32
|
$23,457.37
|
$16,928.80
|
2026-02-24
|
|
836
|
MS_DRG
|
Acute Leukemia Without Cc/mcc
|
12
|
12
|
$17,912.95
|
$16,121.66
|
$16,121.66
|
$17,554.69
|
$16,659.04
|
2026-02-24
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
24
|
24
|
$23,437.43
|
$21,093.69
|
$11,249.97
|
$22,968.68
|
$16,576.12
|
2026-02-24
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
12
|
12
|
$17,817.48
|
$16,035.73
|
$16,035.73
|
$17,461.13
|
$16,570.26
|
2026-02-24
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
24
|
24
|
$23,429.00
|
$21,086.10
|
$11,245.92
|
$22,960.42
|
$16,570.16
|
2026-02-24
|
|
C1772
|
HCPCS
|
Infusion Pump, Programmable (implantable)
|
24
|
24
|
$23,400.00
|
$21,060.00
|
$11,232.00
|
$22,932.00
|
$16,549.65
|
2026-02-24
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
12
|
12
|
$17,356.50
|
$15,620.85
|
$15,620.85
|
$17,009.37
|
$16,141.55
|
2026-02-24
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With Mcc
|
12
|
12
|
$16,379.04
|
$14,741.14
|
$14,741.14
|
$16,051.46
|
$15,232.51
|
2026-02-24
|
|
998
|
MS_DRG
|
Principal Diagnosis Invalid As Discharge Diagnosis
|
12
|
12
|
$16,260.92
|
$14,634.83
|
$14,634.83
|
$15,935.70
|
$15,122.66
|
2026-02-24
|
|
2780550
|
CDM
|
Aurora Silo Cortical Bone Dowl
|
24
|
24
|
$21,200.00
|
$19,080.00
|
$10,176.00
|
$20,776.00
|
$14,993.70
|
2026-02-24
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
12
|
12
|
$15,999.95
|
$14,399.96
|
$14,399.96
|
$15,679.95
|
$14,879.95
|
2026-02-24
|
|
2780415
|
CDM
|
Posterior Sacroiliac Fusion
|
24
|
24
|
$21,000.00
|
$18,900.00
|
$10,080.00
|
$20,580.00
|
$14,852.25
|
2026-02-24
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
12
|
12
|
$15,966.29
|
$14,369.66
|
$14,369.66
|
$15,646.96
|
$14,848.65
|
2026-02-24
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
12
|
12
|
$15,728.84
|
$14,155.95
|
$14,155.95
|
$15,414.26
|
$14,627.82
|
2026-02-24
|
|
2719220
|
CDM
|
Synchromed Ii Pump
|
24
|
24
|
$20,544.00
|
$18,489.60
|
$9,861.12
|
$20,133.12
|
$14,529.74
|
2026-02-24
|
|
2780295
|
CDM
|
Djo Humeral Stem 53310108
|
24
|
24
|
$19,997.24
|
$17,997.52
|
$9,598.68
|
$19,597.30
|
$14,143.05
|
2026-02-24
|
|
2780685
|
CDM
|
Psn Fem Cr Cmt Tin Std Sz9l
|
24
|
24
|
$19,124.00
|
$17,211.60
|
$9,179.52
|
$18,741.52
|
$13,525.45
|
2026-02-24
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
12
|
12
|
$14,254.00
|
$12,828.60
|
$12,828.60
|
$13,968.92
|
$13,256.22
|
2026-02-24
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
72
|
24
|
$18,541.00
|
$16,686.90
|
$371.15
|
$34,537.16
|
$13,113.12
|
2026-02-24
|
|
2780750
|
CDM
|
Total Hip Implant Kit (rm)
|
24
|
24
|
$17,900.00
|
$16,110.00
|
$8,592.00
|
$17,542.00
|
$12,659.77
|
2026-02-24
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
12
|
12
|
$13,569.00
|
$12,212.10
|
$12,212.10
|
$13,297.62
|
$12,619.17
|
2026-02-24
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
12
|
12
|
$13,541.05
|
$12,186.95
|
$12,186.95
|
$13,270.23
|
$12,593.18
|
2026-02-24
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
12
|
12
|
$13,535.12
|
$12,181.61
|
$12,181.61
|
$13,264.42
|
$12,587.66
|
2026-02-24
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
12
|
12
|
$13,527.85
|
$12,175.07
|
$12,175.07
|
$13,257.29
|
$12,580.90
|
2026-02-24
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
12
|
12
|
$13,180.01
|
$11,862.01
|
$11,862.01
|
$12,916.41
|
$12,257.41
|
2026-02-24
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
12
|
12
|
$13,120.82
|
$11,808.74
|
$11,808.74
|
$12,858.40
|
$12,202.37
|
2026-02-24
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
12
|
12
|
$12,956.36
|
$11,660.72
|
$11,660.72
|
$12,697.23
|
$12,049.42
|
2026-02-24
|
|
2780565
|
CDM
|
Arthrex Cartiform 20mm Disc
|
24
|
24
|
$17,000.00
|
$15,300.00
|
$8,160.00
|
$16,660.00
|
$12,023.25
|
2026-02-24
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
12
|
12
|
$12,692.87
|
$11,423.58
|
$11,423.58
|
$12,439.01
|
$11,804.37
|
2026-02-24
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
12
|
12
|
$12,612.29
|
$11,351.06
|
$11,351.06
|
$12,360.04
|
$11,729.43
|
2026-02-24
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
12
|
12
|
$12,559.40
|
$11,303.46
|
$11,303.46
|
$12,308.21
|
$11,680.24
|
2026-02-24
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
12
|
12
|
$12,464.78
|
$11,218.30
|
$11,218.30
|
$12,215.48
|
$11,592.25
|
2026-02-24
|
|
3600412
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$16,302.00
|
$14,671.80
|
$7,824.96
|
$15,975.96
|
$11,529.59
|
2026-02-24
|
|
3600411
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$15,796.00
|
$14,216.40
|
$7,582.08
|
$15,480.08
|
$11,171.72
|
2026-02-24
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
12
|
12
|
$11,780.50
|
$10,602.45
|
$10,602.45
|
$11,544.89
|
$10,955.87
|
2026-02-24
|
|
3600410
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$15,457.00
|
$13,911.30
|
$7,419.36
|
$15,147.86
|
$10,931.97
|
2026-02-24
|
|
2780185
|
CDM
|
Depuy Global Unite Fx Rsa Sz1
|
24
|
24
|
$15,134.00
|
$13,620.60
|
$7,264.32
|
$14,831.32
|
$10,703.52
|
2026-02-24
|
|
3600409
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$15,121.00
|
$13,608.90
|
$7,258.08
|
$14,818.58
|
$10,694.33
|
2026-02-24
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
12
|
12
|
$11,261.28
|
$10,135.15
|
$10,135.15
|
$11,036.05
|
$10,472.99
|
2026-02-24
|
|
3600408
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$14,783.00
|
$13,304.70
|
$7,095.84
|
$14,487.34
|
$10,455.28
|
2026-02-24
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
12
|
12
|
$11,122.60
|
$10,010.34
|
$10,010.34
|
$10,900.15
|
$10,344.02
|
2026-02-24
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/mcc
|
12
|
12
|
$11,042.34
|
$9,938.11
|
$9,938.11
|
$10,821.49
|
$10,269.38
|
2026-02-24
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
24
|
24
|
$14,246.73
|
$12,822.06
|
$6,838.43
|
$13,961.80
|
$10,076.00
|
2026-02-24
|
|
3600407
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$13,770.00
|
$12,393.00
|
$6,609.60
|
$13,494.60
|
$9,738.83
|
2026-02-24
|
|
2780745
|
CDM
|
Total Knee Implant Kit (rm)
|
24
|
24
|
$13,750.00
|
$12,375.00
|
$6,600.00
|
$13,475.00
|
$9,724.69
|
2026-02-24
|
|
3600326
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$13,685.00
|
$12,316.50
|
$6,568.80
|
$13,411.30
|
$9,678.72
|
2026-02-24
|
|
2501790
|
CDM
|
Ryanodex 250 Mg Vial
|
24
|
24
|
$13,298.00
|
$11,968.20
|
$6,383.04
|
$13,032.04
|
$9,405.01
|
2026-02-24
|
|
2724020
|
CDM
|
Arthrex Amnion Thick
|
24
|
24
|
$13,200.00
|
$11,880.00
|
$6,336.00
|
$12,936.00
|
$9,335.70
|
2026-02-24
|
|
3600406
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$13,093.00
|
$11,783.70
|
$6,284.64
|
$12,831.14
|
$9,260.03
|
2026-02-24
|
|
2780430
|
CDM
|
Osteoxcell 10cc(osxl-010)
|
24
|
24
|
$13,000.00
|
$11,700.00
|
$6,240.00
|
$12,740.00
|
$9,194.25
|
2026-02-24
|
|
2719900
|
CDM
|
Medtronic Wireless Neurostimul
|
24
|
24
|
$12,870.00
|
$11,583.00
|
$6,177.60
|
$12,612.60
|
$9,102.31
|
2026-02-24
|
|
313
|
MS_DRG
|
Chest Pain
|
12
|
12
|
$9,692.85
|
$8,723.57
|
$8,723.57
|
$9,498.99
|
$9,014.35
|
2026-02-24
|
|
3600324
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$12,671.00
|
$11,403.90
|
$6,082.08
|
$12,417.58
|
$8,961.56
|
2026-02-24
|
|
3600405
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$12,418.00
|
$11,176.20
|
$5,960.64
|
$12,169.64
|
$8,782.63
|
2026-02-24
|
|
2719150
|
CDM
|
Itotal Cr-ipoly-implant Kit
|
24
|
24
|
$12,200.00
|
$10,980.00
|
$5,856.00
|
$11,956.00
|
$8,628.45
|
2026-02-24
|
|
3600323
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$12,164.00
|
$10,947.60
|
$5,838.72
|
$11,920.72
|
$8,602.99
|
2026-02-24
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
24
|
24
|
$12,075.00
|
$10,867.50
|
$5,796.00
|
$11,833.50
|
$8,540.05
|
2026-02-24
|
|
3600322
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$11,658.00
|
$10,492.20
|
$5,595.84
|
$11,424.84
|
$8,245.12
|
2026-02-24
|
|
3600404
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$11,573.00
|
$10,415.70
|
$5,555.04
|
$11,341.54
|
$8,185.01
|
2026-02-24
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
12
|
12
|
$8,602.97
|
$7,742.67
|
$7,742.67
|
$8,430.91
|
$8,000.76
|
2026-02-24
|
|
3600321
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$11,152.00
|
$10,036.80
|
$5,352.96
|
$10,928.96
|
$7,887.25
|
2026-02-24
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
12
|
12
|
$8,298.80
|
$7,468.92
|
$7,468.92
|
$8,132.82
|
$7,717.89
|
2026-02-24
|
|
E0616
|
HCPCS
|
Implantable Cardiac Event Recorder With Memory, Activator And Programmer
|
24
|
24
|
$10,800.00
|
$9,720.00
|
$5,184.00
|
$10,584.00
|
$7,638.30
|
2026-02-24
|
|
3600403
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$10,728.00
|
$9,655.20
|
$5,149.44
|
$10,513.44
|
$7,587.38
|
2026-02-24
|
|
3600320
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$10,646.00
|
$9,581.40
|
$5,110.08
|
$10,433.08
|
$7,529.39
|
2026-02-24
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
24
|
24
|
$10,505.90
|
$9,455.31
|
$5,042.83
|
$10,295.78
|
$7,430.30
|
2026-02-24
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
12
|
12
|
$7,981.03
|
$7,182.93
|
$7,182.93
|
$7,821.41
|
$7,422.36
|
2026-02-24
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
96
|
24
|
$11,490.00
|
$10,341.00
|
$1,847.04
|
$19,580.40
|
$7,265.20
|
2026-02-24
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
12
|
12
|
$7,766.78
|
$6,990.10
|
$6,990.10
|
$7,611.44
|
$7,223.10
|
2026-02-24
|
|
3600319
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$10,138.00
|
$9,124.20
|
$4,866.24
|
$9,935.24
|
$7,170.10
|
2026-02-24
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
48
|
24
|
$11,155.50
|
$10,039.95
|
$3,343.68
|
$15,038.10
|
$7,096.14
|
2026-02-24
|
|
2719110
|
CDM
|
Triathlon Cr Fem Component
|
24
|
24
|
$9,923.52
|
$8,931.17
|
$4,763.29
|
$9,725.05
|
$7,018.41
|
2026-02-24
|
|
3600402
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,885.00
|
$8,896.50
|
$4,744.80
|
$9,687.30
|
$6,991.16
|
2026-02-24
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
12
|
12
|
$7,516.28
|
$6,764.65
|
$6,764.65
|
$7,365.95
|
$6,990.14
|
2026-02-24
|
|
2780630
|
CDM
|
Reunion Tsa Press Fit Humeral
|
24
|
24
|
$9,738.90
|
$8,765.01
|
$4,674.67
|
$9,544.12
|
$6,887.84
|
2026-02-24
|
|
3600318
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,631.00
|
$8,667.90
|
$4,622.88
|
$9,438.38
|
$6,811.52
|
2026-02-24
|
|
J7165
|
HCPCS
|
Injection, Prothrombin Complex Concentrate, Human-lans, Per I.u. Of Factor Ix Ac…
|
24
|
24
|
$9,613.33
|
$8,652.00
|
$4,614.40
|
$9,421.06
|
$6,799.03
|
2026-02-24
|
|
2724025
|
CDM
|
Arthrex Speedbridge
|
24
|
24
|
$9,553.50
|
$8,598.15
|
$4,585.68
|
$9,362.43
|
$6,756.72
|
2026-02-24
|
|
3600212
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,483.00
|
$8,534.70
|
$4,551.84
|
$9,293.34
|
$6,706.85
|
2026-02-24
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
12
|
12
|
$7,107.68
|
$6,396.91
|
$6,396.91
|
$6,965.52
|
$6,610.14
|
2026-02-24
|
|
2780780
|
CDM
|
J&j Femoral Stem 12/14 Taper
|
24
|
24
|
$9,200.00
|
$8,280.00
|
$4,416.00
|
$9,016.00
|
$6,506.70
|
2026-02-24
|
|
2780480
|
CDM
|
Depuy Actis Collared Std Sz7
|
24
|
24
|
$9,200.00
|
$8,280.00
|
$4,416.00
|
$9,016.00
|
$6,506.70
|
2026-02-24
|
|
3600211
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,144.00
|
$8,229.60
|
$4,389.12
|
$8,961.12
|
$6,467.10
|
2026-02-24
|
|
3600317
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,124.00
|
$8,211.60
|
$4,379.52
|
$8,941.52
|
$6,452.95
|
2026-02-24
|
|
3600401
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$9,042.00
|
$8,137.80
|
$4,340.16
|
$8,861.16
|
$6,394.95
|
2026-02-24
|
|
2780680
|
CDM
|
Psn Tib Stm 5*sm E L
|
24
|
24
|
$8,924.00
|
$8,031.60
|
$4,283.52
|
$8,745.52
|
$6,311.50
|
2026-02-24
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
24
|
24
|
$8,822.00
|
$7,939.80
|
$4,234.56
|
$8,645.56
|
$6,239.36
|
2026-02-24
|
|
3600210
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$8,807.00
|
$7,926.30
|
$4,227.36
|
$8,630.86
|
$6,228.75
|
2026-02-24
|
|
3600209
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$8,740.00
|
$7,866.00
|
$4,195.20
|
$8,565.20
|
$6,181.36
|
2026-02-24
|
|
3600316
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$8,617.00
|
$7,755.30
|
$4,136.16
|
$8,444.66
|
$6,094.38
|
2026-02-24
|
|
795
|
MS_DRG
|
Normal Newborn
|
12
|
12
|
$6,390.93
|
$5,751.84
|
$5,751.84
|
$6,263.12
|
$5,943.57
|
2026-02-24
|
|
2780275
|
CDM
|
Depuy Attune Crs Fb Tib Base 7
|
24
|
24
|
$8,130.20
|
$7,317.18
|
$3,902.50
|
$7,967.60
|
$5,750.09
|
2026-02-24
|
|
3600208
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$8,129.00
|
$7,316.10
|
$3,901.92
|
$7,966.42
|
$5,749.24
|
2026-02-24
|
|
2780105
|
CDM
|
Depuy Femoral Stem Trilock 6
|
24
|
24
|
$8,000.00
|
$7,200.00
|
$3,840.00
|
$7,840.00
|
$5,658.00
|
2026-02-24
|
|
2780115
|
CDM
|
Depuy Femoral Stem Trilock 8
|
24
|
24
|
$8,000.00
|
$7,200.00
|
$3,840.00
|
$7,840.00
|
$5,658.00
|
2026-02-24
|
|
2780110
|
CDM
|
Depuy Femoral Stem Trilock 7
|
24
|
24
|
$8,000.00
|
$7,200.00
|
$3,840.00
|
$7,840.00
|
$5,658.00
|
2026-02-24
|
|
2780175
|
CDM
|
Arthrex Artroflex Allograft
|
24
|
24
|
$7,894.00
|
$7,104.60
|
$3,789.12
|
$7,736.12
|
$5,583.03
|
2026-02-24
|
|
3600207
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,879.00
|
$7,091.10
|
$3,781.92
|
$7,721.42
|
$5,572.43
|
2026-02-24
|
|
3600315
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,858.00
|
$7,072.20
|
$3,771.84
|
$7,700.84
|
$5,557.57
|
2026-02-24
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
24
|
24
|
$7,651.00
|
$6,885.90
|
$3,672.48
|
$7,497.98
|
$5,411.17
|
2026-02-24
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
24
|
24
|
$7,651.00
|
$6,885.90
|
$3,672.48
|
$7,497.98
|
$5,411.17
|
2026-02-24
|
|
3600113
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,546.00
|
$6,791.40
|
$3,622.08
|
$7,395.08
|
$5,336.91
|
2026-02-24
|
|
3600206
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,541.00
|
$6,786.90
|
$3,619.68
|
$7,390.18
|
$5,333.37
|
2026-02-24
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
24
|
24
|
$7,500.00
|
$6,750.00
|
$3,600.00
|
$7,350.00
|
$5,304.38
|
2026-02-24
|
|
Q4151
|
HCPCS
|
Amnioband Or Guardian, Per Square Centimeter
|
24
|
24
|
$7,450.00
|
$6,705.00
|
$3,576.00
|
$7,301.00
|
$5,269.02
|
2026-02-24
|
|
2719130
|
CDM
|
Triathlon Cr X3 Tibial Insert
|
24
|
24
|
$7,283.12
|
$6,554.81
|
$3,495.90
|
$7,137.46
|
$5,150.99
|
2026-02-24
|
|
3600112
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,207.00
|
$6,486.30
|
$3,459.36
|
$7,062.86
|
$5,097.15
|
2026-02-24
|
|
3600314
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,098.00
|
$6,388.20
|
$3,407.04
|
$6,956.04
|
$5,020.06
|
2026-02-24
|
|
3600205
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$7,014.00
|
$6,312.60
|
$3,366.72
|
$6,873.72
|
$4,960.65
|
2026-02-24
|
|
2780170
|
CDM
|
Depuy Femoral Stabilizer
|
24
|
24
|
$7,000.00
|
$6,300.00
|
$3,360.00
|
$6,860.00
|
$4,950.75
|
2026-02-24
|
|
2780495
|
CDM
|
Axonic Tined Lead Kit 12010
|
24
|
24
|
$7,000.00
|
$6,300.00
|
$3,360.00
|
$6,860.00
|
$4,950.75
|
2026-02-24
|
|
2719400
|
CDM
|
Platelet Derived Growth Factor
|
24
|
24
|
$6,990.00
|
$6,291.00
|
$3,355.20
|
$6,850.20
|
$4,943.68
|
2026-02-24
|
|
2780690
|
CDM
|
Psn Mc Ve Saf L 11mm8-11 Ef
|
24
|
24
|
$6,986.00
|
$6,287.40
|
$3,353.28
|
$6,846.28
|
$4,940.85
|
2026-02-24
|
|
2709979
|
CDM
|
Zimmer Accufill
|
24
|
24
|
$6,912.00
|
$6,220.80
|
$3,317.76
|
$6,773.76
|
$4,888.51
|
2026-02-24
|
|
3600111
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$6,868.00
|
$6,181.20
|
$3,296.64
|
$6,730.64
|
$4,857.40
|
2026-02-24
|
|
3600109
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$6,532.00
|
$5,878.80
|
$3,135.36
|
$6,401.36
|
$4,619.76
|
2026-02-24
|
|
2780980
|
CDM
|
Lapiplasty Speed Flt 28x13x11
|
24
|
24
|
$6,524.00
|
$5,871.60
|
$3,131.52
|
$6,393.52
|
$4,614.10
|
2026-02-24
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
24
|
24
|
$6,516.00
|
$5,864.40
|
$3,127.68
|
$6,385.68
|
$4,608.44
|
2026-02-24
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
24
|
24
|
$6,489.00
|
$5,840.10
|
$3,114.72
|
$6,359.22
|
$4,589.35
|
2026-02-24
|
|
2719085
|
CDM
|
Ventrio Med Oval Patch 11x 14
|
24
|
24
|
$6,432.20
|
$5,788.98
|
$3,087.46
|
$6,303.56
|
$4,549.17
|
2026-02-24
|
|
2780245
|
CDM
|
Depuy Biolox Revision 36+ 1.5
|
24
|
24
|
$6,431.10
|
$5,787.99
|
$3,086.93
|
$6,302.48
|
$4,548.40
|
2026-02-24
|
|
3600313
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$6,338.00
|
$5,704.20
|
$3,042.24
|
$6,211.24
|
$4,482.55
|
2026-02-24
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
24
|
24
|
$6,307.00
|
$5,676.30
|
$3,027.36
|
$6,180.86
|
$4,460.62
|
2026-02-24
|
|
3600204
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$6,254.00
|
$5,628.60
|
$3,001.92
|
$6,128.92
|
$4,423.14
|
2026-02-24
|
|
3600108
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$6,193.00
|
$5,573.70
|
$2,972.64
|
$6,069.14
|
$4,380.00
|
2026-02-24
|
|
2780695
|
CDM
|
All Poly Pat Ve 35mm Dia
|
24
|
24
|
$6,136.00
|
$5,522.40
|
$2,945.28
|
$6,013.28
|
$4,339.68
|
2026-02-24
|
|
2780345
|
CDM
|
Conformis Hip Stem Rt Sz14
|
24
|
24
|
$6,100.00
|
$5,490.00
|
$2,928.00
|
$5,978.00
|
$4,314.23
|
2026-02-24
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
24
|
24
|
$6,164.00
|
$5,547.60
|
$247.51
|
$6,040.72
|
$4,282.74
|
2026-02-24
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
24
|
24
|
$6,038.00
|
$5,434.20
|
$2,898.24
|
$5,917.24
|
$4,270.38
|
2026-02-24
|
|
78451
|
HCPCS
|
Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect
|
24
|
24
|
$6,008.00
|
$5,407.20
|
$2,883.84
|
$5,887.84
|
$4,249.16
|
2026-02-24
|
|
2719120
|
CDM
|
Triathlon Prim Tib Baseplate
|
24
|
24
|
$5,925.06
|
$5,332.55
|
$2,844.03
|
$5,806.56
|
$4,190.49
|
2026-02-24
|
|
2780705
|
CDM
|
Cannula Ti Tfna 11/130 380rt
|
24
|
24
|
$5,878.60
|
$5,290.74
|
$2,821.73
|
$5,761.03
|
$4,157.64
|
2026-02-24
|
|
3600107
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,855.00
|
$5,269.50
|
$2,810.40
|
$5,737.90
|
$4,140.95
|
2026-02-24
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
24
|
24
|
$5,820.00
|
$5,238.00
|
$2,793.60
|
$5,703.60
|
$4,116.19
|
2026-02-24
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
24
|
24
|
$5,805.00
|
$5,224.50
|
$247.51
|
$5,688.90
|
$4,033.32
|
2026-02-24
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
24
|
24
|
$5,696.00
|
$5,126.40
|
$2,734.08
|
$5,582.08
|
$4,028.49
|
2026-02-24
|
|
2780555
|
CDM
|
Toe 1st Mtp Imp W/grommets
|
24
|
24
|
$5,690.50
|
$5,121.45
|
$2,731.44
|
$5,576.69
|
$4,024.61
|
2026-02-24
|
|
2780285
|
CDM
|
Djo Glenoid Baseplate 58032204
|
24
|
24
|
$5,689.48
|
$5,120.53
|
$2,730.95
|
$5,575.69
|
$4,023.88
|
2026-02-24
|
|
3600312
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,578.00
|
$5,020.20
|
$2,677.44
|
$5,466.44
|
$3,945.04
|
2026-02-24
|
|
J7325
|
HCPCS
|
Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…
|
24
|
24
|
$5,519.00
|
$4,967.10
|
$2,649.12
|
$5,408.62
|
$3,903.32
|
2026-02-24
|
|
3600106
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,518.00
|
$4,966.20
|
$2,648.64
|
$5,407.64
|
$3,902.61
|
2026-02-24
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
24
|
24
|
$5,600.00
|
$5,040.00
|
$247.51
|
$5,488.00
|
$3,890.88
|
2026-02-24
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
24
|
24
|
$5,466.00
|
$4,919.40
|
$2,623.68
|
$5,356.68
|
$3,865.83
|
2026-02-24
|
|
3600104
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,324.00
|
$4,791.60
|
$2,555.52
|
$5,217.52
|
$3,765.40
|
2026-02-24
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
24
|
24
|
$5,299.00
|
$4,769.10
|
$2,543.52
|
$5,193.02
|
$3,747.72
|
2026-02-24
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
24
|
24
|
$5,251.00
|
$4,725.90
|
$2,520.48
|
$5,145.98
|
$3,713.77
|
2026-02-24
|
|
3600203
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,240.00
|
$4,716.00
|
$2,515.20
|
$5,135.20
|
$3,705.99
|
2026-02-24
|
|
63650
|
HCPCS
|
Insertion Of Spinal Neurostimulator Electrode Array Through Skin
|
72
|
24
|
$4,106.00
|
$3,695.40
|
$350.06
|
$7,443.10
|
$3,695.40
|
2026-02-24
|
|
2780535
|
CDM
|
Smith Nephew Bioinductive Impl
|
24
|
24
|
$5,199.96
|
$4,679.96
|
$2,495.98
|
$5,095.96
|
$3,677.67
|
2026-02-24
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
24
|
24
|
$5,188.00
|
$4,669.20
|
$2,490.24
|
$5,084.24
|
$3,669.22
|
2026-02-24
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
48
|
24
|
$5,425.50
|
$4,882.95
|
$2,165.76
|
$6,212.22
|
$3,661.11
|
2026-02-24
|
|
3600302
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$5,167.00
|
$4,650.30
|
$2,480.16
|
$5,063.66
|
$3,654.36
|
2026-02-24
|
|
2708795
|
CDM
|
6ft Mtp Crosscheck Plate
|
24
|
24
|
$5,132.00
|
$4,618.80
|
$2,463.36
|
$5,029.36
|
$3,629.61
|
2026-02-24
|
|
2719930
|
CDM
|
Medtronic Recharger
|
24
|
24
|
$5,100.00
|
$4,590.00
|
$2,448.00
|
$4,998.00
|
$3,606.97
|
2026-02-24
|
|
7210148
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$5,084.00
|
$4,575.60
|
$2,440.32
|
$4,982.32
|
$3,595.66
|
2026-02-24
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
24
|
24
|
$5,047.00
|
$4,542.30
|
$2,422.56
|
$4,946.06
|
$3,569.49
|
2026-02-24
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
24
|
24
|
$5,047.00
|
$4,542.30
|
$2,422.56
|
$4,946.06
|
$3,569.49
|
2026-02-24
|
|
2719095
|
CDM
|
Ventrio St 8x10 Xl Oval
|
24
|
24
|
$5,034.20
|
$4,530.78
|
$2,416.42
|
$4,933.52
|
$3,560.44
|
2026-02-24
|
|
2780120
|
CDM
|
Depuy Acetabular Cup - 52mm
|
24
|
24
|
$5,000.00
|
$4,500.00
|
$2,400.00
|
$4,900.00
|
$3,536.25
|
2026-02-24
|
|
2719485
|
CDM
|
Accolade Ii 127 Degree
|
24
|
24
|
$5,000.00
|
$4,500.00
|
$2,400.00
|
$4,900.00
|
$3,536.25
|
2026-02-24
|
|
2780800
|
CDM
|
Pinn Sector W/gription 60mm
|
24
|
24
|
$5,000.00
|
$4,500.00
|
$2,400.00
|
$4,900.00
|
$3,536.25
|
2026-02-24
|
|
2780381
|
CDM
|
Stryker Accolade Ii 6720-0837
|
24
|
24
|
$5,000.00
|
$4,500.00
|
$2,400.00
|
$4,900.00
|
$3,536.25
|
2026-02-24
|
|
3600105
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$4,985.00
|
$4,486.50
|
$2,392.80
|
$4,885.30
|
$3,525.64
|
2026-02-24
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
24
|
24
|
$4,944.00
|
$4,449.60
|
$2,373.12
|
$4,845.12
|
$3,496.65
|
2026-02-24
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
24
|
24
|
$4,883.00
|
$4,394.70
|
$2,343.84
|
$4,785.34
|
$3,453.50
|
2026-02-24
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
24
|
24
|
$4,883.00
|
$4,394.70
|
$2,343.84
|
$4,785.34
|
$3,453.50
|
2026-02-24
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
24
|
24
|
$4,883.00
|
$4,394.70
|
$2,343.84
|
$4,785.34
|
$3,453.50
|
2026-02-24
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
24
|
24
|
$4,883.00
|
$4,394.70
|
$2,343.84
|
$4,785.34
|
$3,453.50
|
2026-02-24
|
|
7210147
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,881.00
|
$4,392.90
|
$2,342.88
|
$4,783.38
|
$3,452.09
|
2026-02-24
|
|
7210146
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,881.00
|
$4,392.90
|
$2,342.88
|
$4,783.38
|
$3,452.09
|
2026-02-24
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
24
|
24
|
$4,841.00
|
$4,356.90
|
$2,323.68
|
$4,744.18
|
$3,423.80
|
2026-02-24
|
|
2780210
|
CDM
|
Arthrex Tight Rope Ar1860cstcp
|
24
|
24
|
$4,820.00
|
$4,338.00
|
$2,313.60
|
$4,723.60
|
$3,408.94
|
2026-02-24
|
|
3600311
|
CDM
|
Operating Room Services - General Classification
|
24
|
24
|
$4,818.00
|
$4,336.20
|
$2,312.64
|
$4,721.64
|
$3,407.53
|
2026-02-24
|
|
2780350
|
CDM
|
Conformis Cordera Acet Cup Rt
|
24
|
24
|
$4,800.00
|
$4,320.00
|
$2,304.00
|
$4,704.00
|
$3,394.80
|
2026-02-24
|
|
7210145
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,775.00
|
$4,297.50
|
$2,292.00
|
$4,679.50
|
$3,377.12
|
2026-02-24
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
24
|
24
|
$4,763.00
|
$4,286.70
|
$2,286.24
|
$4,667.74
|
$3,368.63
|
2026-02-24
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
24
|
24
|
$4,738.00
|
$4,264.20
|
$2,274.24
|
$4,643.24
|
$3,350.95
|
2026-02-24
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
24
|
24
|
$4,714.00
|
$4,242.60
|
$2,262.72
|
$4,619.72
|
$3,333.98
|
2026-02-24
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
24
|
24
|
$4,635.00
|
$4,171.50
|
$2,224.80
|
$4,542.30
|
$3,278.11
|
2026-02-24
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
24
|
24
|
$4,635.00
|
$4,171.50
|
$2,224.80
|
$4,542.30
|
$3,278.11
|
2026-02-24
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
24
|
24
|
$4,619.00
|
$4,157.10
|
$2,217.12
|
$4,526.62
|
$3,266.79
|
2026-02-24
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
24
|
24
|
$4,619.00
|
$4,157.10
|
$2,217.12
|
$4,526.62
|
$3,266.79
|
2026-02-24
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
24
|
24
|
$4,619.00
|
$4,157.10
|
$2,217.12
|
$4,526.62
|
$3,266.79
|
2026-02-24
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
24
|
24
|
$4,619.00
|
$4,157.10
|
$2,217.12
|
$4,526.62
|
$3,266.79
|
2026-02-24
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
24
|
24
|
$4,607.00
|
$4,146.30
|
$2,211.36
|
$4,514.86
|
$3,258.30
|
2026-02-24
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
24
|
24
|
$6,456.00
|
$5,810.40
|
$3,044.64
|
$6,326.88
|
$3,242.53
|
2026-02-24
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
24
|
24
|
$4,577.00
|
$4,119.30
|
$2,196.96
|
$4,485.46
|
$3,237.09
|
2026-02-24
|
|
7210144
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,562.00
|
$4,105.80
|
$2,189.76
|
$4,470.76
|
$3,226.48
|
2026-02-24
|
|
7210143
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,562.00
|
$4,105.80
|
$2,189.76
|
$4,470.76
|
$3,226.48
|
2026-02-24
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
24
|
24
|
$4,532.00
|
$4,078.80
|
$2,175.36
|
$4,441.36
|
$3,205.26
|
2026-02-24
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
24
|
24
|
$4,501.00
|
$4,050.90
|
$2,160.48
|
$4,410.98
|
$3,183.33
|
2026-02-24
|
|
2728579
|
CDM
|
Boston Sci Lithovue Scope
|
24
|
24
|
$4,500.00
|
$4,050.00
|
$2,160.00
|
$4,410.00
|
$3,182.62
|
2026-02-24
|
|
7210048
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,474.00
|
$4,026.60
|
$2,147.52
|
$4,384.52
|
$3,164.23
|
2026-02-24
|
|
7210142
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,456.00
|
$4,010.40
|
$2,138.88
|
$4,366.88
|
$3,151.51
|
2026-02-24
|
|
2780670
|
CDM
|
Graftlink - Zorc 9.0l=70mm
|
24
|
24
|
$4,435.20
|
$3,991.68
|
$2,128.90
|
$4,346.50
|
$3,136.80
|
2026-02-24
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
24
|
24
|
$4,429.00
|
$3,986.10
|
$2,125.92
|
$4,340.42
|
$3,132.41
|
2026-02-24
|
|
2780107
|
CDM
|
Depey Dxtend Ecc Epiphysis 1
|
24
|
24
|
$4,400.00
|
$3,960.00
|
$2,112.00
|
$4,312.00
|
$3,111.90
|
2026-02-24
|
|
Q4186
|
HCPCS
|
Epifix, Per Square Centimeter
|
96
|
24
|
$4,284.00
|
$3,855.60
|
$1,202.40
|
$7,793.94
|
$3,105.30
|
2026-02-24
|
|
2780290
|
CDM
|
Djo Glenoid Head 50832103
|
24
|
24
|
$4,384.54
|
$3,946.09
|
$2,104.58
|
$4,296.85
|
$3,100.97
|
2026-02-24
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
24
|
24
|
$4,378.00
|
$3,940.20
|
$2,101.44
|
$4,290.44
|
$3,096.34
|
2026-02-24
|
|
7210047
|
CDM
|
Labor Room/delivery - Labor
|
24
|
24
|
$4,357.00
|
$3,921.30
|
$2,091.36
|
$4,269.86
|
$3,081.49
|
2026-02-24
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
24
|
24
|
$4,355.00
|
$3,919.50
|
$2,090.40
|
$4,267.90
|
$3,080.07
|
2026-02-24
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
24
|
24
|
$4,355.00
|
$3,919.50
|
$2,090.40
|
$4,267.90
|
$3,080.07
|
2026-02-24
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
24
|
24
|
$4,355.00
|
$3,919.50
|
$2,090.40
|
$4,267.90
|
$3,080.07
|
2026-02-24
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
24
|
24
|
$4,355.00
|
$3,919.50
|
$2,090.40
|
$4,267.90
|
$3,080.07
|
2026-02-24
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
24
|
24
|
$4,355.00
|
$3,919.50
|
$2,090.40
|
$4,267.90
|
$3,080.07
|
2026-02-24
|