|
A0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,350.48
|
$39,742.60
|
$24,096.30
|
2026-05-23
|
|
A0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; N…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$25,991.76
|
$50,759.50
|
$30,579.75
|
2026-05-23
|
|
A0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$32,392.65
|
$63,259.83
|
$37,804.92
|
2026-05-23
|
|
A0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
34
|
22
|
$49,390.00
|
$26,400.00
47% off
|
$36,487.72
|
$71,257.13
|
$42,778.57
|
2026-05-23
|
|
A0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,852.52
|
$38,770.13
|
$23,285.06
|
2026-05-23
|
|
A0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,467.50
|
$47,782.76
|
$28,766.38
|
2026-05-23
|
|
A0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$31,389.98
|
$61,301.70
|
$36,500.85
|
2026-05-23
|
|
A0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,032.86
|
$35,216.50
|
$21,183.25
|
2026-05-23
|
|
A0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,324.45
|
$41,644.68
|
$25,047.34
|
2026-05-23
|
|
A0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,260.86
|
$49,332.12
|
$29,541.06
|
2026-05-23
|
|
A0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,671.32
|
$54,039.52
|
$32,219.76
|
2026-05-23
|
|
A0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,647.57
|
$40,322.78
|
$24,386.39
|
2026-05-23
|
|
A0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$23,831.13
|
$46,539.98
|
$28,469.99
|
2026-05-23
|
|
A0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
34
|
22
|
$49,390.00
|
$26,400.00
47% off
|
$38,616.29
|
$75,414.02
|
$44,857.01
|
2026-05-23
|
|
A0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$30,588.18
|
$59,735.87
|
$36,042.93
|
2026-05-23
|
|
A0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$53,880.00
|
$28,800.00
47% off
|
$40,238.45
|
$78,581.96
|
$47,090.98
|
2026-05-23
|
|
A0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$74,085.00
|
$39,600.00
47% off
|
$55,102.95
|
$107,610.93
|
$64,530.46
|
2026-05-23
|
|
A0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$18,073.37
|
$35,295.62
|
$21,547.81
|
2026-05-23
|
|
A0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,465.26
|
$39,966.76
|
$24,208.38
|
2026-05-23
|
|
A0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,454.00
|
$47,756.39
|
$28,753.19
|
2026-05-23
|
|
A0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$34,745.71
|
$67,855.15
|
$40,427.57
|
2026-05-23
|
|
A0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,949.72
|
$40,912.86
|
$24,681.43
|
2026-05-23
|
|
A0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$26,494.79
|
$51,741.86
|
$31,070.93
|
2026-05-23
|
|
A0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$21,761.65
|
$42,498.47
|
$25,799.24
|
2026-05-23
|
|
A0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$26,869.52
|
$52,473.68
|
$31,436.84
|
2026-05-23
|
|
A0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,989.25
|
$39,037.15
|
$23,418.58
|
2026-05-23
|
|
A0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$24,896.25
|
$48,620.07
|
$28,860.03
|
2026-05-23
|
|
A0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,571.61
|
$40,174.44
|
$24,312.22
|
2026-05-23
|
|
A0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,771.34
|
$48,376.13
|
$29,063.06
|
2026-05-23
|
|
A1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,002.05
|
$41,015.05
|
$24,732.53
|
2026-05-23
|
|
A1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$27,936.34
|
$54,557.07
|
$32,803.54
|
2026-05-23
|
|
A1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,583.15
|
$36,291.16
|
$21,720.58
|
2026-05-23
|
|
A1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$23,275.78
|
$45,455.43
|
$26,952.72
|
2026-05-23
|
|
A1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,118.79
|
$45,148.86
|
$27,124.43
|
2026-05-23
|
|
A1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$23,800.75
|
$46,480.64
|
$28,115.32
|
2026-05-23
|
|
A1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,938.61
|
$38,938.25
|
$23,369.12
|
2026-05-23
|
|
A1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,735.19
|
$50,258.43
|
$30,004.22
|
2026-05-23
|
|
A1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$25,684.55
|
$50,159.54
|
$29,629.77
|
2026-05-23
|
|
A1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,894.72
|
$38,852.54
|
$23,326.27
|
2026-05-23
|
|
A1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,821.98
|
$48,475.03
|
$29,112.51
|
2026-05-23
|
|
A1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$19,469.35
|
$38,021.83
|
$22,585.92
|
2026-05-23
|
|
A1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$22,696.80
|
$44,324.73
|
$26,387.37
|
2026-05-23
|
|
A1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$28,462.99
|
$55,585.57
|
$32,667.78
|
2026-05-23
|
|
A1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,212.77
|
$37,520.76
|
$22,660.38
|
2026-05-23
|
|
A1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,147.77
|
$49,111.25
|
$29,430.62
|
2026-05-23
|
|
A1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$18,584.84
|
$36,294.46
|
$22,047.23
|
2026-05-23
|
|
A1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,807.22
|
$42,587.48
|
$25,518.74
|
2026-05-23
|
|
A1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,093.75
|
$49,005.76
|
$29,377.88
|
2026-05-23
|
|
A1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,212.46
|
$57,049.22
|
$34,049.61
|
2026-05-23
|
|
A1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,096.58
|
$41,199.65
|
$24,824.83
|
2026-05-23
|
|
A1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$24,639.68
|
$48,119.00
|
$29,259.50
|
2026-05-23
|
|
A1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$29,560.19
|
$57,728.30
|
$34,714.15
|
2026-05-23
|
|
A1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$53,880.00
|
$28,800.00
47% off
|
$42,827.84
|
$83,638.79
|
$49,619.39
|
2026-05-23
|
|
A1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,234.01
|
$39,515.14
|
$23,982.57
|
2026-05-23
|
|
A1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$28,628.41
|
$55,908.63
|
$33,804.32
|
2026-05-23
|
|
A1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$56,125.00
|
$30,000.00
47% off
|
$44,022.94
|
$85,972.71
|
$51,111.36
|
2026-05-23
|
|
A2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,968.99
|
$38,997.59
|
$23,398.79
|
2026-05-23
|
|
A2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,352.72
|
$47,558.60
|
$28,654.30
|
2026-05-23
|
|
A2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,490.43
|
$49,780.44
|
$29,765.22
|
2026-05-23
|
|
A2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$26,120.05
|
$51,010.03
|
$30,705.01
|
2026-05-23
|
|
B0102
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper Or Lower Extrem…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$20,772.48
|
$40,566.72
|
$23,858.36
|
2026-05-23
|
|
B0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$26,666.96
|
$52,078.10
|
$30,589.05
|
2026-05-23
|
|
B0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; S…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$34,058.70
|
$66,513.47
|
$38,456.74
|
2026-05-23
|
|
B0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
34
|
22
|
$51,635.00
|
$27,600.00
47% off
|
$42,446.35
|
$82,893.78
|
$48,921.89
|
2026-05-23
|
|
B0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
34
|
22
|
$53,880.00
|
$28,800.00
47% off
|
$47,812.49
|
$93,373.35
|
$54,486.68
|
2026-05-23
|
|
B0202
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$23,397.31
|
$45,692.78
|
$26,746.39
|
2026-05-23
|
|
B0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$29,089.24
|
$56,808.58
|
$32,954.29
|
2026-05-23
|
|
B0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$35,851.35
|
$70,014.35
|
$40,532.18
|
2026-05-23
|
|
B0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$62,860.00
|
$33,600.00
47% off
|
$45,994.52
|
$89,823.02
|
$54,011.51
|
2026-05-23
|
|
B0301
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Limited A…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$20,152.99
|
$39,356.91
|
$22,928.46
|
2026-05-23
|
|
B0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$26,071.10
|
$50,914.43
|
$29,357.22
|
2026-05-23
|
|
B0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$30,826.19
|
$60,200.67
|
$34,650.33
|
2026-05-23
|
|
B0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$36,519.80
|
$71,319.77
|
$41,509.89
|
2026-05-23
|
|
B0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$40,003.82
|
$78,123.74
|
$45,236.87
|
2026-05-23
|
|
B0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$22,868.97
|
$44,660.98
|
$26,230.49
|
2026-05-23
|
|
B0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$28,670.61
|
$55,991.04
|
$32,870.52
|
2026-05-23
|
|
B0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$33,091.48
|
$64,624.58
|
$37,837.29
|
2026-05-23
|
|
B0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
34
|
22
|
$51,635.00
|
$27,600.00
47% off
|
$53,619.20
|
$104,713.31
|
$59,831.65
|
2026-05-23
|
|
B0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$42,471.67
|
$82,943.22
|
$47,646.61
|
2026-05-23
|
|
B0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$51,635.00
|
$27,600.00
47% off
|
$55,872.67
|
$109,114.13
|
$62,032.07
|
2026-05-23
|
|
B0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$94,290.00
|
$50,400.00
47% off
|
$76,513.49
|
$149,423.73
|
$88,361.87
|
2026-05-23
|
|
B0501
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Lim…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$22,095.87
|
$43,151.18
|
$25,150.59
|
2026-05-23
|
|
B0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$27,431.62
|
$53,571.41
|
$31,335.71
|
2026-05-23
|
|
B0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$31,062.50
|
$60,662.18
|
$35,531.09
|
2026-05-23
|
|
B0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$37,117.35
|
$72,486.73
|
$42,093.36
|
2026-05-23
|
|
B0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$58,370.00
|
$31,200.00
47% off
|
$52,736.37
|
$102,989.24
|
$59,944.62
|
2026-05-23
|
|
B0601
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Limited Assistance…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$22,104.31
|
$43,167.66
|
$25,158.83
|
2026-05-23
|
|
B0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$27,495.77
|
$53,696.68
|
$31,073.34
|
2026-05-23
|
|
B0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$32,696.48
|
$63,853.20
|
$36,801.60
|
2026-05-23
|
|
B0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$41,352.53
|
$80,757.64
|
$46,878.82
|
2026-05-23
|
|
B0701
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Limited A…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$20,710.02
|
$40,444.75
|
$23,797.38
|
2026-05-23
|
|
B0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$25,598.46
|
$49,991.41
|
$29,220.71
|
2026-05-23
|
|
B0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$31,359.59
|
$61,242.37
|
$35,821.18
|
2026-05-23
|
|
B0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$38,722.63
|
$75,621.70
|
$43,660.85
|
2026-05-23
|
|
B0801
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$19,886.28
|
$38,836.06
|
$22,668.03
|
2026-05-23
|
|
B0802
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$22,666.41
|
$44,265.40
|
$25,382.70
|
2026-05-23
|
|
B0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$24,945.21
|
$48,715.67
|
$28,582.83
|
2026-05-23
|
|
B0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$28,338.08
|
$55,341.63
|
$32,220.81
|
2026-05-23
|
|
B0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$35,296.00
|
$68,929.80
|
$39,989.90
|
2026-05-23
|
|
B0901
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Limited Assist…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$20,905.83
|
$40,827.15
|
$23,988.58
|
2026-05-23
|
|
B0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$26,557.24
|
$51,863.83
|
$30,156.92
|
2026-05-23
|
|
B0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$31,514.89
|
$61,545.65
|
$35,647.82
|
2026-05-23
|
|
B0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$37,949.53
|
$74,111.90
|
$42,905.95
|
2026-05-23
|
|
B1001
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Limited A…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$20,743.78
|
$40,510.68
|
$23,830.34
|
2026-05-23
|
|
B1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$25,200.09
|
$49,213.44
|
$28,831.72
|
2026-05-23
|
|
B1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$29,992.31
|
$58,572.20
|
$34,161.10
|
2026-05-23
|
|
B1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$39,894.10
|
$77,909.47
|
$45,129.74
|
2026-05-23
|
|
B1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$22,828.46
|
$44,581.86
|
$26,190.93
|
2026-05-23
|
|
B1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$26,069.41
|
$50,911.14
|
$29,680.57
|
2026-05-23
|
|
B1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$32,652.60
|
$63,767.49
|
$37,083.75
|
2026-05-23
|
|
B1201
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Limited Assistance Required…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$22,360.88
|
$43,668.73
|
$25,409.37
|
2026-05-23
|
|
B1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$26,292.23
|
$51,346.28
|
$29,898.14
|
2026-05-23
|
|
B1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$35,194.72
|
$68,732.01
|
$39,566.00
|
2026-05-23
|
|
B1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$36,232.84
|
$70,759.36
|
$40,904.68
|
2026-05-23
|
|
B1301
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Limited Assis…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$21,145.53
|
$41,295.25
|
$23,897.62
|
2026-05-23
|
|
B1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$25,927.62
|
$50,634.23
|
$29,217.12
|
2026-05-23
|
|
B1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$29,965.31
|
$58,519.46
|
$33,809.73
|
2026-05-23
|
|
B1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$38,675.37
|
$75,529.40
|
$42,964.70
|
2026-05-23
|
|
B1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$38,599.41
|
$75,381.05
|
$43,215.53
|
2026-05-23
|
|
B1401
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Limited Assistance Requ…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$18,863.36
|
$36,838.38
|
$21,669.19
|
2026-05-23
|
|
B1402
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$24,030.31
|
$46,928.97
|
$27,364.49
|
2026-05-23
|
|
B1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$29,045.35
|
$56,722.87
|
$32,911.43
|
2026-05-23
|
|
B1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$36,237.90
|
$70,769.25
|
$41,234.62
|
2026-05-23
|
|
B1501
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Limited Assistance Requ…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$22,117.81
|
$43,194.03
|
$24,847.01
|
2026-05-23
|
|
B1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$27,045.07
|
$52,816.51
|
$30,308.26
|
2026-05-23
|
|
B1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$31,531.77
|
$61,578.61
|
$35,664.31
|
2026-05-23
|
|
B1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$39,541.31
|
$77,220.50
|
$45,110.25
|
2026-05-23
|
|
B1602
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$21,349.77
|
$41,694.13
|
$24,422.06
|
2026-05-23
|
|
B1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$25,855.04
|
$50,492.48
|
$29,471.24
|
2026-05-23
|
|
B1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$33,842.63
|
$66,091.52
|
$37,595.76
|
2026-05-23
|
|
B1701
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$22,266.36
|
$43,484.12
|
$25,642.06
|
2026-05-23
|
|
B1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$27,446.82
|
$53,601.08
|
$31,025.54
|
2026-05-23
|
|
B1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$32,203.59
|
$62,890.62
|
$36,320.31
|
2026-05-23
|
|
B1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$37,056.58
|
$72,368.05
|
$42,034.03
|
2026-05-23
|
|
B1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$43,140.12
|
$84,248.64
|
$48,299.32
|
2026-05-23
|
|
B1801
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$18,886.99
|
$36,884.53
|
$22,342.26
|
2026-05-23
|
|
B1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$24,008.37
|
$46,886.11
|
$27,993.06
|
2026-05-23
|
|
B1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,867.40
|
$58,328.26
|
$34,689.13
|
2026-05-23
|
|
B1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$34,882.44
|
$68,122.16
|
$40,236.08
|
2026-05-23
|
|
B1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$51,635.00
|
$27,600.00
47% off
|
$41,848.80
|
$81,726.82
|
$48,338.41
|
2026-05-23
|
|
B1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$80,820.00
|
$43,200.00
47% off
|
$60,631.13
|
$118,406.97
|
$70,903.49
|
2026-05-23
|
|
B1901
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Limited Assistance Required…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$22,630.96
|
$44,196.17
|
$25,673.08
|
2026-05-23
|
|
B1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$32,924.36
|
$64,298.22
|
$37,024.11
|
2026-05-23
|
|
B1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$46,583.63
|
$90,973.50
|
$51,986.75
|
2026-05-23
|
|
B1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$83,065.00
|
$44,400.00
47% off
|
$71,631.80
|
$139,890.25
|
$81,970.12
|
2026-05-23
|
|
B2001
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$20,060.15
|
$39,175.60
|
$22,837.80
|
2026-05-23
|
|
B2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$24,906.38
|
$48,639.85
|
$28,219.92
|
2026-05-23
|
|
B2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$29,246.22
|
$57,115.15
|
$33,107.57
|
2026-05-23
|
|
B2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$35,669.05
|
$69,658.33
|
$40,354.17
|
2026-05-23
|
|
B2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$37,335.10
|
$72,911.98
|
$42,305.99
|
2026-05-23
|
|
B2101
|
OTHER
|
Burn Rehabilitation ; Motor Function - Limited To Moderate Assistance Required; …
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$27,110.91
|
$52,945.08
|
$31,347.54
|
2026-05-23
|
|
B2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$42,961.19
|
$83,899.21
|
$48,124.61
|
2026-05-23
|
|
C0102
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper Or Lower Extrem…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,446.42
|
$36,024.15
|
$21,587.08
|
2026-05-23
|
|
C0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$23,680.90
|
$46,246.59
|
$27,998.29
|
2026-05-23
|
|
C0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; M…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$30,245.51
|
$59,066.68
|
$35,058.34
|
2026-05-23
|
|
C0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
34
|
22
|
$47,145.00
|
$25,200.00
47% off
|
$37,692.95
|
$73,610.83
|
$43,630.42
|
2026-05-23
|
|
C0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
34
|
22
|
$53,880.00
|
$28,800.00
47% off
|
$42,458.17
|
$82,916.85
|
$49,258.43
|
2026-05-23
|
|
C0202
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury; Motor Function - Moderate Upper…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,603.41
|
$36,330.72
|
$21,740.36
|
2026-05-23
|
|
C0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,128.92
|
$45,168.64
|
$27,134.32
|
2026-05-23
|
|
C0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$28,505.19
|
$55,667.99
|
$33,359.00
|
2026-05-23
|
|
C0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$49,390.00
|
$26,400.00
47% off
|
$36,570.44
|
$71,418.66
|
$42,859.33
|
2026-05-23
|
|
C0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,662.76
|
$40,352.45
|
$24,076.22
|
2026-05-23
|
|
C0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$24,432.06
|
$47,713.53
|
$28,406.76
|
2026-05-23
|
|
C0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$28,944.07
|
$56,525.08
|
$33,787.54
|
2026-05-23
|
|
C0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$31,705.63
|
$61,918.15
|
$37,134.07
|
2026-05-23
|
|
C0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$18,692.87
|
$36,505.44
|
$22,152.72
|
2026-05-23
|
|
C0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,434.45
|
$45,765.30
|
$27,432.65
|
2026-05-23
|
|
C0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$27,048.45
|
$52,823.11
|
$31,286.56
|
2026-05-23
|
|
C0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
34
|
22
|
$74,085.00
|
$39,600.00
47% off
|
$43,827.13
|
$85,590.31
|
$53,520.15
|
2026-05-23
|
|
C0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$34,715.33
|
$67,795.81
|
$40,397.90
|
2026-05-23
|
|
C0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$65,105.00
|
$34,800.00
47% off
|
$45,668.73
|
$89,186.79
|
$54,018.39
|
2026-05-23
|
|
C0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$80,820.00
|
$43,200.00
47% off
|
$62,540.26
|
$122,135.31
|
$72,767.65
|
2026-05-23
|
|
C0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,081.38
|
$41,169.98
|
$24,809.99
|
2026-05-23
|
|
C0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,871.64
|
$46,619.10
|
$27,859.55
|
2026-05-23
|
|
C0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$28,523.76
|
$55,704.25
|
$33,052.12
|
2026-05-23
|
|
C0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$51,635.00
|
$27,600.00
47% off
|
$40,527.10
|
$79,145.66
|
$47,047.83
|
2026-05-23
|
|
C0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,824.81
|
$40,668.91
|
$24,234.46
|
2026-05-23
|
|
C0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$24,762.90
|
$48,359.65
|
$28,729.83
|
2026-05-23
|
|
C0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$31,317.39
|
$61,159.96
|
$36,104.98
|
2026-05-23
|
|
C0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,466.95
|
$39,970.06
|
$24,210.03
|
2026-05-23
|
|
C0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,073.49
|
$48,966.20
|
$29,358.10
|
2026-05-23
|
|
C0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$30,961.22
|
$60,464.39
|
$36,082.19
|
2026-05-23
|
|
C0802
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$22,450.00
|
$12,000.00
47% off
|
$19,091.24
|
$37,283.41
|
$21,891.71
|
2026-05-23
|
|
C0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$21,010.49
|
$41,031.53
|
$24,415.76
|
2026-05-23
|
|
C0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,868.27
|
$46,612.50
|
$27,856.25
|
2026-05-23
|
|
C0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,727.30
|
$58,054.65
|
$34,552.32
|
2026-05-23
|
|
C0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,115.85
|
$39,284.38
|
$23,542.19
|
2026-05-23
|
|
C0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,869.95
|
$46,615.80
|
$27,857.90
|
2026-05-23
|
|
C0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$28,744.89
|
$56,136.09
|
$33,593.04
|
2026-05-23
|
|
C1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,939.59
|
$40,893.08
|
$24,671.54
|
2026-05-23
|
|
C1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$24,921.57
|
$48,669.52
|
$29,534.76
|
2026-05-23
|
|
C1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$33,148.87
|
$64,736.66
|
$38,543.33
|
2026-05-23
|
|
C1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,613.10
|
$42,208.38
|
$25,329.19
|
2026-05-23
|
|
C1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$24,680.19
|
$48,198.12
|
$28,324.06
|
2026-05-23
|
|
C1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$30,912.27
|
$60,368.80
|
$35,709.40
|
2026-05-23
|
|
C1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,867.01
|
$40,751.33
|
$24,275.67
|
2026-05-23
|
|
C1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,932.96
|
$54,550.47
|
$32,475.24
|
2026-05-23
|
|
C1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$28,758.39
|
$56,162.46
|
$33,281.23
|
2026-05-23
|
|
C1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,728.59
|
$40,481.01
|
$24,140.51
|
2026-05-23
|
|
C1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,956.04
|
$46,783.92
|
$27,941.96
|
2026-05-23
|
|
C1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$30,920.71
|
$60,385.28
|
$35,717.64
|
2026-05-23
|
|
C1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$30,858.26
|
$60,263.31
|
$35,981.65
|
2026-05-23
|
|
C1402
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,357.94
|
$37,804.26
|
$22,802.13
|
2026-05-23
|
|
C1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,397.31
|
$45,692.78
|
$27,396.39
|
2026-05-23
|
|
C1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,192.20
|
$57,009.66
|
$34,029.83
|
2026-05-23
|
|
C1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$21,746.45
|
$42,468.80
|
$25,134.40
|
2026-05-23
|
|
C1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$25,353.70
|
$49,513.42
|
$29,306.71
|
2026-05-23
|
|
C1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$31,793.41
|
$62,089.57
|
$36,244.79
|
2026-05-23
|
|
C1602
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,133.44
|
$37,365.82
|
$22,582.91
|
2026-05-23
|
|
C1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,171.12
|
$45,251.05
|
$27,175.53
|
2026-05-23
|
|
C1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$30,329.91
|
$59,231.50
|
$35,790.75
|
2026-05-23
|
|
C1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,743.08
|
$42,462.21
|
$25,456.10
|
2026-05-23
|
|
C1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,512.37
|
$49,823.29
|
$29,786.65
|
2026-05-23
|
|
C1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,357.63
|
$57,332.72
|
$34,191.36
|
2026-05-23
|
|
C1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$34,176.86
|
$66,744.23
|
$39,547.11
|
2026-05-23
|
|
C1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$19,641.52
|
$38,358.07
|
$23,404.03
|
2026-05-23
|
|
C1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,433.74
|
$47,716.83
|
$28,733.42
|
2026-05-23
|
|
C1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$28,537.26
|
$55,730.62
|
$33,390.31
|
2026-05-23
|
|
C1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$34,235.94
|
$66,859.60
|
$39,929.80
|
2026-05-23
|
|
C1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$62,860.00
|
$33,600.00
47% off
|
$49,601.77
|
$96,867.64
|
$57,533.82
|
2026-05-23
|
|
C1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,269.03
|
$45,442.25
|
$27,271.12
|
2026-05-23
|
|
C1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$32,922.68
|
$64,294.93
|
$37,997.46
|
2026-05-23
|
|
C1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$67,350.00
|
$36,000.00
47% off
|
$50,624.69
|
$98,865.32
|
$59,182.66
|
2026-05-23
|
|
C2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,974.06
|
$39,007.48
|
$23,403.74
|
2026-05-23
|
|
C2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$23,454.71
|
$45,804.86
|
$27,127.43
|
2026-05-23
|
|
C2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$28,604.78
|
$55,862.48
|
$33,131.24
|
2026-05-23
|
|
C2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,941.68
|
$58,473.31
|
$34,761.65
|
2026-05-23
|
|
C2101
|
OTHER
|
Burn Rehabilitation ; Motor Function - Limited To Moderate Assistance Required; …
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$22,793.01
|
$44,512.63
|
$27,131.31
|
2026-05-23
|
|
C2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$36,118.05
|
$70,535.20
|
$41,117.60
|
2026-05-23
|
|
D0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,454.43
|
$41,898.51
|
$25,174.26
|
2026-05-23
|
|
D0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; L…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,402.93
|
$53,515.37
|
$31,957.69
|
2026-05-23
|
|
D0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
34
|
22
|
$44,900.00
|
$24,000.00
47% off
|
$34,149.85
|
$66,691.48
|
$39,845.74
|
2026-05-23
|
|
D0106
|
OTHER
|
Rehabilitation Following Stroke Age <84.50; Motor Function - Maximum Assistance …
|
34
|
22
|
$49,390.00
|
$26,400.00
47% off
|
$38,467.74
|
$75,123.93
|
$44,711.96
|
2026-05-23
|
|
D0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,130.34
|
$41,265.58
|
$24,857.79
|
2026-05-23
|
|
D0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,042.40
|
$50,858.39
|
$30,304.19
|
2026-05-23
|
|
D0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
34
|
22
|
$42,655.00
|
$22,800.00
47% off
|
$33,410.51
|
$65,247.61
|
$38,798.81
|
2026-05-23
|
|
D0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$19,263.41
|
$37,619.65
|
$22,384.83
|
2026-05-23
|
|
D0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$22,777.82
|
$44,482.96
|
$26,466.48
|
2026-05-23
|
|
D0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$26,982.62
|
$52,694.54
|
$31,547.27
|
2026-05-23
|
|
D0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,558.50
|
$57,725.00
|
$34,387.50
|
2026-05-23
|
|
D0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,201.66
|
$35,546.15
|
$21,348.08
|
2026-05-23
|
|
D0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$22,818.33
|
$44,562.08
|
$26,831.04
|
2026-05-23
|
|
D0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,336.12
|
$51,431.99
|
$30,590.99
|
2026-05-23
|
|
D0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
34
|
22
|
$56,125.00
|
$30,000.00
47% off
|
$42,674.23
|
$83,338.80
|
$49,794.40
|
2026-05-23
|
|
D0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
34
|
22
|
$47,145.00
|
$25,200.00
47% off
|
$33,802.12
|
$66,012.40
|
$39,831.20
|
2026-05-23
|
|
D0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$58,370.00
|
$31,200.00
47% off
|
$44,466.88
|
$86,839.69
|
$51,869.85
|
2026-05-23
|
|
D0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
34
|
22
|
$74,085.00
|
$39,600.00
47% off
|
$60,894.46
|
$118,921.22
|
$70,185.61
|
2026-05-23
|
|
D0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,611.14
|
$38,298.73
|
$23,049.37
|
2026-05-23
|
|
D0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$22,207.28
|
$43,368.75
|
$26,234.38
|
2026-05-23
|
|
D0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$26,535.30
|
$51,820.97
|
$31,110.49
|
2026-05-23
|
|
D0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
34
|
22
|
$49,390.00
|
$26,400.00
47% off
|
$37,703.08
|
$73,630.61
|
$43,965.31
|
2026-05-23
|
|
D0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$19,612.83
|
$38,302.03
|
$22,726.01
|
2026-05-23
|
|
D0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$23,323.04
|
$45,547.73
|
$26,998.87
|
2026-05-23
|
|
D0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$29,497.73
|
$57,606.33
|
$34,003.17
|
2026-05-23
|
|
D0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,437.28
|
$37,959.19
|
$22,879.60
|
2026-05-23
|
|
D0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,814.25
|
$46,507.01
|
$27,803.51
|
2026-05-23
|
|
D0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$29,404.89
|
$57,425.02
|
$34,237.51
|
2026-05-23
|
|
D0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,780.64
|
$36,676.85
|
$21,913.42
|
2026-05-23
|
|
D0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$21,334.58
|
$41,664.46
|
$24,732.23
|
2026-05-23
|
|
D0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,572.43
|
$51,893.50
|
$30,821.75
|
2026-05-23
|
|
D0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,001.77
|
$37,108.69
|
$22,454.35
|
2026-05-23
|
|
D0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$22,548.25
|
$44,034.64
|
$26,242.32
|
2026-05-23
|
|
D0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,153.11
|
$53,027.49
|
$31,713.74
|
2026-05-23
|
|
D1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$19,005.15
|
$37,115.29
|
$22,457.65
|
2026-05-23
|
|
D1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$22,619.15
|
$44,173.09
|
$26,636.54
|
2026-05-23
|
|
D1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$30,086.84
|
$58,756.81
|
$34,903.40
|
2026-05-23
|
|
D1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,600.03
|
$36,324.13
|
$21,737.06
|
2026-05-23
|
|
D1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,238.37
|
$41,476.56
|
$24,963.28
|
2026-05-23
|
|
D1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,602.82
|
$51,952.83
|
$30,851.42
|
2026-05-23
|
|
D1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$18,647.29
|
$36,416.43
|
$22,108.22
|
2026-05-23
|
|
D1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$24,962.09
|
$48,748.63
|
$29,249.31
|
2026-05-23
|
|
D1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$25,699.74
|
$50,189.20
|
$29,969.60
|
2026-05-23
|
|
D1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,993.33
|
$37,092.21
|
$22,121.10
|
2026-05-23
|
|
D1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,950.70
|
$42,867.68
|
$25,658.84
|
2026-05-23
|
|
D1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$28,331.33
|
$55,328.45
|
$32,864.22
|
2026-05-23
|
|
D1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$28,273.93
|
$55,216.37
|
$32,808.18
|
2026-05-23
|
|
D1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,633.36
|
$42,247.94
|
$25,348.97
|
2026-05-23
|
|
D1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,992.75
|
$52,714.32
|
$31,232.16
|
2026-05-23
|
|
D1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$20,365.67
|
$39,772.27
|
$23,461.13
|
2026-05-23
|
|
D1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$23,743.35
|
$46,368.56
|
$27,409.28
|
2026-05-23
|
|
D1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$29,774.56
|
$58,146.95
|
$34,273.47
|
2026-05-23
|
|
D1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,196.17
|
$41,394.14
|
$24,922.07
|
2026-05-23
|
|
D1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,743.90
|
$54,181.27
|
$32,290.63
|
2026-05-23
|
|
D1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$26,940.00
|
$14,400.00
47% off
|
$20,188.43
|
$39,426.13
|
$23,613.06
|
2026-05-23
|
|
D1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$23,687.65
|
$46,259.78
|
$27,679.89
|
2026-05-23
|
|
D1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,257.76
|
$53,231.87
|
$31,815.94
|
2026-05-23
|
|
D1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$31,732.64
|
$61,970.89
|
$36,835.44
|
2026-05-23
|
|
D1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,068.31
|
$35,285.73
|
$21,217.87
|
2026-05-23
|
|
D1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$31,430.00
|
$16,800.00
47% off
|
$22,477.36
|
$43,896.19
|
$26,498.10
|
2026-05-23
|
|
D1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,251.72
|
$51,267.16
|
$30,508.58
|
2026-05-23
|
|
D1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$40,410.00
|
$21,600.00
47% off
|
$31,494.63
|
$61,506.09
|
$36,603.04
|
2026-05-23
|
|
D1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
34
|
22
|
$60,615.00
|
$32,400.00
47% off
|
$45,629.91
|
$89,110.97
|
$53,330.49
|
2026-05-23
|
|
D1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$20,228.95
|
$39,505.25
|
$23,977.62
|
2026-05-23
|
|
D1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
34
|
22
|
$38,165.00
|
$20,400.00
47% off
|
$28,621.66
|
$55,895.45
|
$33,472.72
|
2026-05-23
|
|
D1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
34
|
22
|
$56,125.00
|
$30,000.00
47% off
|
$44,009.43
|
$85,946.33
|
$51,098.17
|
2026-05-23
|
|
D2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$24,695.00
|
$13,200.00
47% off
|
$18,574.71
|
$36,274.68
|
$21,712.34
|
2026-05-23
|
|
D2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$29,185.00
|
$15,600.00
47% off
|
$21,812.29
|
$42,597.37
|
$25,523.69
|
2026-05-23
|
|
D2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$33,675.00
|
$18,000.00
47% off
|
$26,602.82
|
$51,952.83
|
$30,851.42
|
2026-05-23
|
|
D2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,845.18
|
$54,379.06
|
$32,389.53
|
2026-05-23
|
|
D2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
34
|
22
|
$35,920.00
|
$19,200.00
47% off
|
$27,237.51
|
$53,192.32
|
$31,796.16
|
2026-05-23
|