|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
20
|
8
|
—
|
—
|
$3,301,900.00
|
$4,135,676.50
|
$3,598,700.00
|
2026-03-04
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
21
|
8
|
—
|
—
|
$3,279,887.34
|
$4,135,676.50
|
$3,587,693.67
|
2026-03-04
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
21
|
8
|
—
|
—
|
$2,957,001.24
|
$3,702,914.75
|
$3,222,435.92
|
2026-03-04
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
20
|
8
|
—
|
—
|
$2,924,540.00
|
$3,559,357.16
|
$3,138,595.00
|
2026-03-04
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
20
|
8
|
—
|
—
|
$2,623,909.86
|
$3,308,541.20
|
$2,870,154.93
|
2026-03-04
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
22
|
9
|
—
|
—
|
$2,156,586.79
|
$4,596,711.00
|
$2,340,109.24
|
2026-03-04
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
21
|
9
|
—
|
—
|
$2,075,480.00
|
$4,460,043.28
|
$2,262,040.00
|
2026-03-04
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
19
|
10
|
—
|
$2,426.00
|
$329,456.00
|
$1,037,476.31
|
$685,958.00
|
2026-03-04
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
35
|
14
|
—
|
—
|
$511,072.50
|
$1,230,136.37
|
$618,158.98
|
2026-03-04
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
35
|
14
|
—
|
—
|
$325,500.00
|
$1,199,024.33
|
$578,884.26
|
2026-03-04
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
35
|
14
|
—
|
—
|
$352,380.00
|
$1,148,990.36
|
$554,728.05
|
2026-03-04
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
35
|
14
|
—
|
—
|
$344,652.00
|
$1,123,269.81
|
$542,310.27
|
2026-03-04
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
35
|
14
|
—
|
—
|
$435,565.25
|
$1,061,429.64
|
$533,381.73
|
2026-03-04
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
35
|
14
|
—
|
—
|
$257,664.44
|
$1,064,617.17
|
$517,437.70
|
2026-03-04
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
25
|
11
|
—
|
$2,426.00
|
$156,441.48
|
$697,187.62
|
$464,835.00
|
2026-03-04
|
|
5834
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$441,630.65
|
$483,690.54
|
$450,042.47
|
2026-03-04
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
26
|
11
|
—
|
$2,426.00
|
$64,859.00
|
$571,987.97
|
$398,995.56
|
2026-03-04
|
|
5833
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$384,603.45
|
$421,232.20
|
$391,929.06
|
2026-03-04
|
|
5884
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$329,399.52
|
$360,770.77
|
$335,673.65
|
2026-03-04
|
|
1614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$303,824.24
|
$332,759.77
|
$309,611.24
|
2026-03-04
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
25
|
11
|
—
|
$2,426.00
|
$90,552.54
|
$388,815.00
|
$263,782.17
|
2026-03-04
|
|
5832
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$241,347.93
|
$264,333.35
|
$245,944.93
|
2026-03-04
|
|
1613
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$230,228.26
|
$252,154.67
|
$234,613.46
|
2026-03-04
|
|
6304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$223,892.34
|
$245,215.33
|
$228,156.86
|
2026-03-04
|
|
8414
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$218,211.62
|
$238,993.60
|
$222,367.94
|
2026-03-04
|
|
5934
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$216,543.66
|
$237,166.78
|
$220,668.20
|
2026-03-04
|
|
5914
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$214,383.32
|
$234,800.70
|
$218,466.72
|
2026-03-04
|
|
5883
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$211,267.53
|
$231,388.16
|
$215,291.58
|
2026-03-04
|
|
6314
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$210,609.76
|
$230,667.75
|
$214,621.28
|
2026-03-04
|
|
6094
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$208,201.33
|
$228,029.94
|
$212,166.98
|
2026-03-04
|
|
5882
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$205,649.20
|
$225,234.76
|
$209,566.24
|
2026-03-04
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
7
|
2
|
—
|
—
|
$73,790.88
|
$255,515.61
|
$204,443.42
|
2026-03-04
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
22
|
10
|
—
|
$2,426.00
|
$95,168.24
|
$290,747.30
|
$202,180.52
|
2026-03-04
|
|
94
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$196,114.72
|
$214,792.24
|
$199,850.15
|
2026-03-04
|
|
5831
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$195,446.80
|
$214,060.70
|
$199,169.51
|
2026-03-04
|
|
44
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$192,487.50
|
$210,819.57
|
$196,153.85
|
2026-03-04
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
26
|
11
|
—
|
$2,426.00
|
$58,702.00
|
$310,108.95
|
$194,157.64
|
2026-03-04
|
|
1612
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$184,629.89
|
$202,213.62
|
$188,146.57
|
2026-03-04
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
2
|
—
|
—
|
$65,457.48
|
$234,045.70
|
$187,264.88
|
2026-03-04
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$2,426.00
|
$91,512.26
|
$279,577.95
|
$186,323.20
|
2026-03-04
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
11
|
—
|
$2,426.00
|
$58,158.00
|
$289,881.37
|
$180,667.19
|
2026-03-04
|
|
1611
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$175,609.49
|
$192,334.13
|
$178,954.35
|
2026-03-04
|
|
6034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$162,438.89
|
$177,909.19
|
$165,532.89
|
2026-03-04
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
18
|
10
|
—
|
$2,426.00
|
$80,474.42
|
$245,856.40
|
$163,849.55
|
2026-03-04
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
2
|
—
|
—
|
$58,017.60
|
$204,615.93
|
$163,717.51
|
2026-03-04
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$70,421.12
|
$286,824.17
|
$160,604.05
|
2026-03-04
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
11
|
—
|
$2,426.00
|
$71,234.76
|
$238,965.02
|
$160,167.03
|
2026-03-04
|
|
6024
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$156,254.39
|
$171,135.70
|
$159,230.59
|
2026-03-04
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$49,843.00
|
$235,966.18
|
$154,770.23
|
2026-03-04
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
7
|
2
|
—
|
—
|
$53,748.90
|
$187,095.37
|
$152,416.89
|
2026-03-04
|
|
Q0480
|
HCPCS
|
Dme Pos
|
34
|
14
|
—
|
—
|
$48,424.51
|
$198,999.82
|
$149,499.86
|
2026-03-04
|
|
5933
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$145,856.06
|
$159,747.05
|
$148,634.20
|
2026-03-04
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
18
|
10
|
—
|
$2,426.00
|
$72,862.81
|
$222,602.27
|
$148,351.99
|
2026-03-04
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
3
|
2
|
—
|
—
|
$52,459.62
|
$183,760.24
|
$147,030.43
|
2026-03-04
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$49,843.00
|
$216,580.72
|
$145,745.22
|
2026-03-04
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
11
|
—
|
$2,426.00
|
$49,843.00
|
$223,873.54
|
$144,182.18
|
2026-03-04
|
|
5913
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$140,357.29
|
$153,724.59
|
$143,030.70
|
2026-03-04
|
|
1604
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$138,535.40
|
$151,729.19
|
$141,174.11
|
2026-03-04
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
7
|
2
|
—
|
—
|
$48,045.06
|
$169,483.09
|
$140,558.69
|
2026-03-04
|
|
5881
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$136,779.66
|
$149,806.24
|
$139,384.93
|
2026-03-04
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
34
|
14
|
—
|
—
|
$93,216.70
|
$185,501.23
|
$139,358.96
|
2026-03-04
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
3
|
2
|
—
|
—
|
$47,088.30
|
$172,651.47
|
$138,142.07
|
2026-03-04
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$59,095.74
|
$206,244.59
|
$137,424.73
|
2026-03-04
|
|
54
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$132,163.87
|
$144,750.86
|
$134,681.22
|
2026-03-04
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
22
|
10
|
—
|
$2,426.00
|
$61,736.75
|
$188,611.16
|
$131,619.74
|
2026-03-04
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
25
|
11
|
—
|
$2,426.00
|
$48,593.82
|
$183,026.07
|
$131,481.22
|
2026-03-04
|
|
43
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$127,222.37
|
$139,338.73
|
$129,645.60
|
2026-03-04
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$42,192.30
|
$180,349.33
|
$129,558.32
|
2026-03-04
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$45,517.50
|
$181,780.27
|
$128,697.77
|
2026-03-04
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
25
|
11
|
—
|
$2,426.00
|
$49,609.74
|
$185,662.03
|
$127,526.56
|
2026-03-04
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$2,426.00
|
$62,048.62
|
$189,563.96
|
$126,333.88
|
2026-03-04
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$31,049.00
|
$193,287.60
|
$126,238.29
|
2026-03-04
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
25
|
11
|
—
|
$2,426.00
|
$47,696.22
|
$182,240.50
|
$125,176.40
|
2026-03-04
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
3
|
2
|
—
|
—
|
$44,310.84
|
$156,384.36
|
$125,126.42
|
2026-03-04
|
|
6074
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$121,465.35
|
$133,033.43
|
$123,778.92
|
2026-03-04
|
|
6303
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$121,282.07
|
$132,832.70
|
$123,592.15
|
2026-03-04
|
|
3034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$120,338.09
|
$131,798.81
|
$122,630.19
|
2026-03-04
|
|
8424
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$119,107.76
|
$130,451.31
|
$121,376.42
|
2026-03-04
|
|
1624
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$118,472.94
|
$129,756.03
|
$120,729.52
|
2026-03-04
|
|
6023
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$118,039.07
|
$129,280.84
|
$120,287.38
|
2026-03-04
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
11
|
—
|
$2,426.00
|
$52,176.06
|
$180,452.90
|
$119,666.65
|
2026-03-04
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
18
|
10
|
—
|
$2,426.00
|
$58,571.72
|
$178,941.74
|
$119,254.86
|
2026-03-04
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$52,335.15
|
$197,250.85
|
$118,682.15
|
2026-03-04
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
25
|
11
|
—
|
$2,426.00
|
$44,991.18
|
$172,603.10
|
$118,556.71
|
2026-03-04
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$41,694.54
|
$164,468.75
|
$118,150.12
|
2026-03-04
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
3
|
2
|
—
|
—
|
$41,019.30
|
$145,964.85
|
$116,789.55
|
2026-03-04
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
25
|
11
|
—
|
$2,426.00
|
$48,286.05
|
$209,324.03
|
$116,692.74
|
2026-03-04
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
22
|
10
|
—
|
$2,426.00
|
$54,113.78
|
$165,322.34
|
$115,777.88
|
2026-03-04
|
|
5932
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$113,406.73
|
$124,207.32
|
$115,566.81
|
2026-03-04
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
11
|
—
|
$2,426.00
|
$50,138.94
|
$180,708.59
|
$115,436.78
|
2026-03-04
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$44,843.28
|
$159,935.22
|
$114,893.35
|
2026-03-04
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$43,851.84
|
$162,255.78
|
$114,501.93
|
2026-03-04
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
26
|
11
|
—
|
$2,426.00
|
$46,959.78
|
$163,930.10
|
$112,507.02
|
2026-03-04
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
18
|
10
|
—
|
$2,426.00
|
$54,043.90
|
$165,108.83
|
$110,035.68
|
2026-03-04
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$46,161.12
|
$167,595.96
|
$109,803.21
|
2026-03-04
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
11
|
—
|
$2,426.00
|
$42,369.78
|
$158,780.87
|
$108,652.79
|
2026-03-04
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$38,037.84
|
$150,318.00
|
$107,984.58
|
2026-03-04
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
11
|
—
|
$2,426.00
|
$44,061.96
|
$157,371.00
|
$107,712.87
|
2026-03-04
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
25
|
11
|
—
|
$2,426.00
|
$41,008.08
|
$149,804.87
|
$107,615.96
|
2026-03-04
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
7
|
2
|
—
|
—
|
$37,756.32
|
$133,155.16
|
$106,540.25
|
2026-03-04
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$42,572.76
|
$159,266.47
|
$104,604.31
|
2026-03-04
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$43,429.56
|
$151,448.36
|
$102,863.81
|
2026-03-04
|
|
1634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$100,237.45
|
$109,783.83
|
$102,146.69
|
2026-03-04
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$45,829.62
|
$168,149.04
|
$101,326.46
|
2026-03-04
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$38,780.40
|
$144,011.18
|
$98,917.64
|
2026-03-04
|
|
8634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$96,753.93
|
$105,968.55
|
$98,596.82
|
2026-03-04
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$39,999.30
|
$148,552.36
|
$98,550.59
|
2026-03-04
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
11
|
—
|
$2,426.00
|
$41,621.10
|
$150,078.18
|
$98,375.87
|
2026-03-04
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
26
|
11
|
—
|
$2,426.00
|
$40,839.78
|
$147,785.28
|
$98,147.61
|
2026-03-04
|
|
1784
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$96,312.47
|
$105,485.05
|
$98,146.95
|
2026-03-04
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
18
|
10
|
—
|
$2,426.00
|
$48,083.38
|
$146,898.92
|
$97,899.96
|
2026-03-04
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
18
|
10
|
—
|
$2,426.00
|
$47,789.85
|
$146,002.17
|
$97,302.40
|
2026-03-04
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$41,343.66
|
$149,461.18
|
$96,506.08
|
2026-03-04
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$43,533.71
|
$172,740.40
|
$95,740.34
|
2026-03-04
|
|
53
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$93,588.54
|
$102,501.70
|
$95,371.14
|
2026-03-04
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$31,049.00
|
$144,011.02
|
$95,092.16
|
2026-03-04
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$39,994.20
|
$137,424.13
|
$94,991.70
|
2026-03-04
|
|
1654
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$92,845.50
|
$101,687.89
|
$94,613.95
|
2026-03-04
|
|
1674
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$92,673.77
|
$101,499.81
|
$94,438.95
|
2026-03-04
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$38,784.48
|
$142,963.23
|
$94,142.35
|
2026-03-04
|
|
6114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$92,124.09
|
$100,897.78
|
$93,878.80
|
2026-03-04
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$39,177.18
|
$139,430.77
|
$93,465.92
|
2026-03-04
|
|
6022
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$91,573.23
|
$100,294.45
|
$93,317.44
|
2026-03-04
|
|
6073
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$91,404.00
|
$100,109.11
|
$93,144.99
|
2026-03-04
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
25
|
11
|
—
|
$2,426.00
|
$41,099.88
|
$155,664.53
|
$92,728.68
|
2026-03-04
|
|
6093
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$90,811.13
|
$99,459.77
|
$92,540.82
|
2026-03-04
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$36,630.24
|
$134,429.82
|
$92,336.45
|
2026-03-04
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
25
|
11
|
—
|
$2,426.00
|
$43,742.50
|
$158,393.78
|
$91,791.99
|
2026-03-04
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
18
|
10
|
—
|
$2,426.00
|
$44,990.86
|
$137,451.02
|
$91,603.40
|
2026-03-04
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
22
|
10
|
—
|
$2,426.00
|
$43,708.43
|
$133,533.07
|
$91,362.75
|
2026-03-04
|
|
93
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,809.86
|
$97,267.91
|
$90,501.44
|
2026-03-04
|
|
6124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,549.04
|
$96,982.24
|
$90,235.65
|
2026-03-04
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$38,229.60
|
$137,882.71
|
$89,563.11
|
2026-03-04
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
26
|
11
|
—
|
$2,426.00
|
$26,530.00
|
$150,470.06
|
$89,235.41
|
2026-03-04
|
|
3044
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$87,406.55
|
$95,730.95
|
$89,071.40
|
2026-03-04
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$35,225.70
|
$128,063.53
|
$88,610.42
|
2026-03-04
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
22
|
10
|
—
|
$2,426.00
|
$40,638.63
|
$126,494.48
|
$88,074.51
|
2026-03-04
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
25
|
11
|
—
|
$2,426.00
|
$39,339.36
|
$139,986.62
|
$87,930.93
|
2026-03-04
|
|
1834
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$86,103.74
|
$94,304.06
|
$87,743.77
|
2026-03-04
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
2
|
—
|
—
|
$31,066.14
|
$109,300.63
|
$87,453.73
|
2026-03-04
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
11
|
—
|
$2,426.00
|
$36,052.92
|
$126,521.03
|
$86,259.79
|
2026-03-04
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
25
|
11
|
—
|
$2,426.00
|
$36,819.96
|
$139,447.44
|
$86,093.53
|
2026-03-04
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$33,182.64
|
$124,986.87
|
$85,662.60
|
2026-03-04
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$10,611.00
|
$134,803.27
|
$85,001.21
|
2026-03-04
|
|
5912
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,966.32
|
$90,867.84
|
$84,546.59
|
2026-03-04
|
|
42
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,828.88
|
$90,717.31
|
$84,406.53
|
2026-03-04
|
|
1794
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,510.81
|
$90,368.95
|
$84,082.41
|
2026-03-04
|
|
9104
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,387.42
|
$90,233.81
|
$83,956.67
|
2026-03-04
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$34,471.92
|
$124,836.79
|
$83,908.42
|
2026-03-04
|
|
3033
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$82,274.19
|
$90,109.79
|
$83,841.28
|
2026-03-04
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$34,716.72
|
$126,337.59
|
$83,425.34
|
2026-03-04
|
|
1664
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$81,729.65
|
$89,513.40
|
$83,286.37
|
2026-03-04
|
|
6804
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$80,634.18
|
$88,313.60
|
$82,170.04
|
2026-03-04
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$30,394.98
|
$119,692.16
|
$81,985.51
|
2026-03-04
|
|
1623
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$80,242.32
|
$87,884.41
|
$81,770.71
|
2026-03-04
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$33,943.56
|
$118,458.34
|
$81,726.23
|
2026-03-04
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$32,166.72
|
$119,948.04
|
$81,704.64
|
2026-03-04
|
|
914
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,708.01
|
$87,299.22
|
$81,226.22
|
2026-03-04
|
|
6033
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,436.99
|
$85,907.14
|
$79,930.99
|
2026-03-04
|
|
5891
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$78,374.67
|
$85,838.89
|
$79,867.48
|
2026-03-04
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$31,982.10
|
$119,269.89
|
$79,749.20
|
2026-03-04
|
|
8504
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$76,953.55
|
$84,282.43
|
$78,419.29
|
2026-03-04
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
22
|
10
|
—
|
$2,426.00
|
$37,209.78
|
$113,679.13
|
$78,373.73
|
2026-03-04
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
26
|
11
|
—
|
$2,426.00
|
$19,976.00
|
$119,914.69
|
$77,645.76
|
2026-03-04
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
25
|
12
|
—
|
$2,426.00
|
$36,945.95
|
$112,873.12
|
$77,529.69
|
2026-03-04
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$34,313.82
|
$121,346.01
|
$77,520.80
|
2026-03-04
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$28,039.80
|
$111,816.23
|
$76,504.38
|
2026-03-04
|
|
6134
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$75,055.29
|
$82,203.38
|
$76,484.88
|
2026-03-04
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
12
|
—
|
$2,426.00
|
$32,874.60
|
$116,879.71
|
$76,098.05
|
2026-03-04
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
26
|
11
|
—
|
$2,426.00
|
$31,605.72
|
$113,416.74
|
$76,084.93
|
2026-03-04
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
26
|
12
|
—
|
$2,426.00
|
$29,603.46
|
$109,523.65
|
$75,663.07
|
2026-03-04
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
22
|
9
|
$129,076.53
|
$26,770.47
79% off
|
$16,315.27
|
$118,092.11
|
$75,345.93
|
2026-03-04
|
|
1783
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,799.57
|
$80,828.07
|
$75,205.24
|
2026-03-04
|
|
9124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,508.21
|
$80,508.96
|
$74,908.33
|
2026-03-04
|
|
9114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,420.43
|
$80,412.83
|
$74,818.88
|
2026-03-04
|
|
1694
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,257.54
|
$80,234.42
|
$74,652.89
|
2026-03-04
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$33,244.86
|
$116,145.99
|
$74,437.29
|
2026-03-04
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$28,939.44
|
$106,183.53
|
$74,306.04
|
2026-03-04
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$29,264.82
|
$107,328.81
|
$73,842.98
|
2026-03-04
|
|
266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
34
|
14
|
—
|
—
|
$8,991.00
|
$97,868.50
|
$73,524.32
|
2026-03-04
|
|
6214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,954.73
|
$78,807.53
|
$73,325.26
|
2026-03-04
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$30,909.06
|
$109,998.23
|
$73,163.35
|
2026-03-04
|
|
8413
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,730.84
|
$78,562.32
|
$73,097.11
|
2026-03-04
|
|
214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,714.28
|
$78,544.19
|
$73,080.24
|
2026-03-04
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
26
|
12
|
—
|
$2,426.00
|
$31,382.34
|
$110,859.80
|
$73,026.72
|
2026-03-04
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$33,893.58
|
$118,347.17
|
$73,022.39
|
2026-03-04
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$31,295.64
|
$109,978.77
|
$72,744.60
|
2026-03-04
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$29,444.34
|
$110,465.14
|
$72,709.07
|
2026-03-04
|
|
234
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$71,326.24
|
$78,119.19
|
$72,684.81
|
2026-03-04
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
27
|
12
|
—
|
$2,426.00
|
$9,453.00
|
$106,246.24
|
$72,409.00
|
2026-03-04
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
11
|
—
|
$2,426.00
|
$31,506.78
|
$109,295.07
|
$71,990.99
|
2026-03-04
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
26
|
12
|
—
|
$2,426.00
|
$30,775.44
|
$106,968.81
|
$71,880.96
|
2026-03-04
|
|
1204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$70,342.76
|
$77,042.04
|
$71,682.59
|
2026-03-04
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
11
|
—
|
$2,426.00
|
$28,552.86
|
$104,877.09
|
$71,475.00
|
2026-03-04
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
29
|
13
|
—
|
$2,426.00
|
$16,823.00
|
$106,646.42
|
$71,124.00
|
2026-03-04
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
19
|
11
|
—
|
$2,426.00
|
$35,673.13
|
$108,984.53
|
$70,989.53
|
2026-03-04
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
26
|
12
|
—
|
$2,426.00
|
$29,615.70
|
$101,187.12
|
$70,644.29
|
2026-03-04
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
26
|
12
|
—
|
$2,426.00
|
$27,748.08
|
$103,428.01
|
$70,505.85
|
2026-03-04
|
|
6814
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,098.51
|
$75,679.29
|
$70,414.64
|
2026-03-04
|
|
2204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,076.88
|
$75,655.60
|
$70,392.60
|
2026-03-04
|
|
6313
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,069.23
|
$75,647.22
|
$70,384.80
|
2026-03-04
|
|
6904
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$68,571.78
|
$75,102.40
|
$69,877.88
|
2026-03-04
|
|
2604
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$68,559.05
|
$75,088.46
|
$69,864.91
|
2026-03-04
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
35
|
14
|
—
|
—
|
$56,279.69
|
$137,888.73
|
$69,290.82
|
2026-03-04
|
|
6334
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,711.75
|
$74,160.46
|
$69,001.47
|
2026-03-04
|
|
894
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,625.23
|
$74,065.70
|
$68,913.30
|
2026-03-04
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
15
|
11
|
—
|
—
|
$55,990.98
|
$134,230.79
|
$68,801.71
|
2026-03-04
|
|
3124
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,416.57
|
$73,837.16
|
$68,700.66
|
2026-03-04
|
|
9504
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,372.05
|
$73,788.41
|
$68,655.30
|
2026-03-04
|
|
204
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$67,361.83
|
$73,777.21
|
$68,644.88
|
2026-03-04
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
19
|
11
|
—
|
$2,426.00
|
$34,176.67
|
$104,412.71
|
$68,011.57
|
2026-03-04
|
|
1653
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,636.66
|
$72,982.98
|
$67,905.90
|
2026-03-04
|
|
3614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,531.08
|
$72,867.35
|
$67,798.31
|
2026-03-04
|
|
6072
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,499.22
|
$72,832.46
|
$67,765.85
|
2026-03-04
|
|
4414
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,337.65
|
$72,655.50
|
$67,601.20
|
2026-03-04
|
|
6084
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,336.40
|
$72,654.12
|
$67,599.92
|
2026-03-04
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
26
|
12
|
—
|
$2,426.00
|
$26,738.28
|
$99,617.63
|
$67,544.87
|
2026-03-04
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
26
|
12
|
—
|
$2,426.00
|
$27,954.12
|
$104,208.99
|
$67,455.68
|
2026-03-04
|
|
1633
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,031.06
|
$72,319.70
|
$67,288.76
|
2026-03-04
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$31,653.73
|
$108,124.99
|
$67,176.38
|
2026-03-04
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$28,120.38
|
$100,973.91
|
$66,887.97
|
2026-03-04
|
|
1304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,608.66
|
$71,857.08
|
$66,858.32
|
2026-03-04
|
|
1782
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,501.76
|
$71,739.99
|
$66,749.38
|
2026-03-04
|
|
1603
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$65,435.61
|
$71,667.55
|
$66,681.97
|
2026-03-04
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$27,391.08
|
$115,609.59
|
$66,511.78
|
2026-03-04
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
26
|
12
|
—
|
$2,426.00
|
$26,925.96
|
$101,004.48
|
$66,293.01
|
2026-03-04
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
26
|
12
|
—
|
$2,426.00
|
$24,484.08
|
$95,205.00
|
$66,272.67
|
2026-03-04
|
|
6083
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,856.71
|
$71,033.52
|
$66,092.05
|
2026-03-04
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$28,050.00
|
$104,295.15
|
$65,712.89
|
2026-03-04
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$26,799.48
|
$100,762.69
|
$65,606.99
|
2026-03-04
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$24,727.86
|
$103,075.05
|
$65,460.28
|
2026-03-04
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$27,025.92
|
$96,390.88
|
$65,441.98
|
2026-03-04
|
|
7404
|
APR_DRG
|
—
|
2
|
2
|
—
|
—
|
$62,865.03
|
$67,565.22
|
$65,215.12
|
2026-03-04
|
|
274
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,579.36
|
$69,634.52
|
$64,790.37
|
2026-03-04
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
25
|
11
|
—
|
$2,426.00
|
$30,841.29
|
$135,061.75
|
$64,719.29
|
2026-03-04
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
26
|
12
|
—
|
$2,426.00
|
$27,549.18
|
$99,392.50
|
$64,516.98
|
2026-03-04
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$26,943.30
|
$97,666.57
|
$64,450.40
|
2026-03-04
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$26,150.76
|
$93,483.56
|
$64,186.09
|
2026-03-04
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
25
|
11
|
—
|
$2,426.00
|
$25,441.86
|
$91,012.98
|
$64,139.78
|
2026-03-04
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
26
|
12
|
—
|
$2,426.00
|
$24,487.14
|
$92,474.72
|
$64,116.08
|
2026-03-04
|
|
6144
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,856.70
|
$68,843.03
|
$64,053.94
|
2026-03-04
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$29,110.80
|
$103,458.59
|
$63,916.25
|
2026-03-04
|
|
1622
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,693.88
|
$68,664.70
|
$63,888.02
|
2026-03-04
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
26
|
12
|
—
|
$2,426.00
|
$25,399.02
|
$93,280.72
|
$63,822.08
|
2026-03-04
|
|
2614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,374.56
|
$68,314.96
|
$63,562.62
|
2026-03-04
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$25,535.70
|
$93,297.55
|
$63,529.06
|
2026-03-04
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
26
|
12
|
—
|
$2,426.00
|
$25,156.26
|
$91,577.18
|
$63,337.12
|
2026-03-04
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$25,732.56
|
$92,291.45
|
$63,305.82
|
2026-03-04
|
|
52
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,081.87
|
$67,994.41
|
$63,264.36
|
2026-03-04
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
25
|
12
|
—
|
$2,426.00
|
$28,845.13
|
$88,124.41
|
$63,189.73
|
2026-03-04
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
27
|
12
|
—
|
$2,426.00
|
$19,976.00
|
$99,070.11
|
$63,142.74
|
2026-03-04
|
|
1814
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$61,813.47
|
$67,700.44
|
$62,990.84
|
2026-03-04
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
25
|
11
|
—
|
$2,426.00
|
$24,633.00
|
$115,480.63
|
$62,744.96
|
2026-03-04
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
26
|
11
|
—
|
$2,426.00
|
$4,463.00
|
$99,614.85
|
$62,717.29
|
2026-03-04
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$23,285.58
|
$91,639.35
|
$62,699.38
|
2026-03-04
|
|
1764
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$61,169.68
|
$66,995.34
|
$62,334.79
|
2026-03-04
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
3
|
2
|
—
|
—
|
$22,827.60
|
$77,786.40
|
$62,238.54
|
2026-03-04
|
|
4014
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$60,966.10
|
$66,772.37
|
$62,127.33
|
2026-03-04
|
|
A9543
|
HCPCS
|
Hc Yttrium Y-90 Ibritumomab Per Dose Up To 40mci
|
34
|
13
|
$63,000.00
|
$13,066.20
79% off
|
$7,963.20
|
$123,583.80
|
$62,102.41
|
2026-03-04
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$23,424.30
|
$88,401.19
|
$61,628.23
|
2026-03-04
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
26
|
12
|
—
|
$2,426.00
|
$24,629.94
|
$88,073.21
|
$61,595.67
|
2026-03-04
|
|
5104
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$60,002.99
|
$65,717.53
|
$61,145.87
|
2026-03-04
|
|
41
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$59,950.82
|
$65,660.40
|
$61,092.72
|
2026-03-04
|
|
1781
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$59,882.17
|
$65,585.21
|
$61,022.76
|
2026-03-04
|
|
3032
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$59,702.72
|
$65,388.67
|
$60,839.89
|
2026-03-04
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$25,721.34
|
$94,706.64
|
$60,802.75
|
2026-03-04
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
35
|
14
|
—
|
—
|
$50,745.22
|
$120,782.51
|
$60,694.73
|
2026-03-04
|
|
6302
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$59,172.24
|
$64,807.67
|
$60,299.30
|
2026-03-04
|
|
6954
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$58,980.13
|
$64,597.26
|
$60,103.54
|
2026-03-04
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$23,651.76
|
$87,655.62
|
$59,852.53
|
2026-03-04
|
|
7924
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$58,681.12
|
$64,269.78
|
$59,798.83
|
2026-03-04
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
26
|
12
|
—
|
$2,426.00
|
$23,074.44
|
$85,049.98
|
$59,700.40
|
2026-03-04
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$27,727.81
|
$94,111.88
|
$59,639.85
|
2026-03-04
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
28
|
12
|
—
|
$2,426.00
|
$17,956.00
|
$91,207.53
|
$59,438.77
|
2026-03-04
|
|
L7181
|
HCPCS
|
Dme Pos
|
14
|
11
|
—
|
—
|
$47,211.27
|
$93,950.43
|
$59,368.18
|
2026-03-04
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
26
|
12
|
—
|
$2,426.00
|
$27,136.39
|
$110,837.57
|
$59,323.18
|
2026-03-04
|
|
2304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$58,122.60
|
$63,658.07
|
$59,229.68
|
2026-03-04
|
|
3214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,752.37
|
$63,252.57
|
$58,852.39
|
2026-03-04
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
23
|
11
|
—
|
$2,426.00
|
$27,993.38
|
$85,522.23
|
$58,743.06
|
2026-03-04
|
|
1793
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,588.22
|
$63,072.79
|
$58,685.12
|
2026-03-04
|
|
5114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,529.73
|
$63,008.73
|
$58,625.51
|
2026-03-04
|
|
1833
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,513.18
|
$62,990.60
|
$58,608.64
|
2026-03-04
|
|
924
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,350.28
|
$62,812.19
|
$58,442.64
|
2026-03-04
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$24,741.12
|
$87,185.92
|
$58,380.77
|
2026-03-04
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$25,063.44
|
$89,373.21
|
$58,232.88
|
2026-03-04
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
26
|
12
|
—
|
$2,426.00
|
$24,629.94
|
$89,095.28
|
$58,228.79
|
2026-03-04
|
|
5892
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,079.30
|
$62,515.40
|
$58,166.50
|
2026-03-04
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
23
|
11
|
—
|
$2,426.00
|
$27,912.14
|
$85,274.02
|
$58,116.00
|
2026-03-04
|
|
3043
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$56,869.39
|
$62,285.50
|
$57,952.59
|
2026-03-04
|
|
1214
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$56,380.84
|
$61,750.43
|
$57,454.74
|
2026-03-04
|
|
2324
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$56,080.58
|
$61,421.57
|
$57,148.76
|
2026-03-04
|
|
1673
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$56,064.03
|
$61,403.44
|
$57,131.89
|
2026-03-04
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$24,823.74
|
$83,259.00
|
$57,064.40
|
2026-03-04
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
25
|
12
|
—
|
$2,426.00
|
$25,462.59
|
$85,140.37
|
$56,892.79
|
2026-03-04
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
29
|
13
|
—
|
$2,426.00
|
$16,823.00
|
$91,310.37
|
$56,768.00
|
2026-03-04
|
|
6123
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,689.97
|
$60,993.75
|
$56,750.70
|
2026-03-04
|
|
1663
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,576.73
|
$60,869.73
|
$56,635.31
|
2026-03-04
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
26
|
12
|
—
|
$2,426.00
|
$23,904.97
|
$104,289.59
|
$56,575.47
|
2026-03-04
|
|
1652
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,427.89
|
$60,706.71
|
$56,483.63
|
2026-03-04
|
|
6113
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,271.39
|
$60,535.31
|
$56,324.16
|
2026-03-04
|