|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
38
|
28
|
—
|
—
|
$1,912.00
|
$894,095.06
|
$580,451.93
|
2026-05-17
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
5
|
4
|
—
|
—
|
$1,912.00
|
$733,300.10
|
$422,032.43
|
2026-05-17
|
|
0034
|
OTHER
|
Bone Marrow Transplant
|
5
|
4
|
—
|
—
|
$1,912.00
|
$711,997.64
|
$409,772.34
|
2026-05-17
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$667,814.06
|
$384,181.69
|
2026-05-17
|
|
0044
|
OTHER
|
Tracheostomy W Mv 96+ Hours W Extensive Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$574,168.69
|
$330,448.35
|
2026-05-17
|
|
5934
|
OTHER
|
Neonate Birthwt 750-999g Without Major Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$553,955.98
|
$318,815.43
|
2026-05-17
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
38
|
28
|
—
|
—
|
$1,912.00
|
$562,420.14
|
$293,477.86
|
2026-05-17
|
|
003
|
OTHER
|
Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r.
|
35
|
28
|
—
|
—
|
$1,912.00
|
$508,100.37
|
$284,187.29
|
2026-05-17
|
|
0054
|
OTHER
|
Tracheostomy W Mv 96+ Hours Without Extensive Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$438,106.20
|
$252,141.01
|
2026-05-17
|
|
004
|
OTHER
|
Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r.
|
38
|
28
|
—
|
—
|
$1,912.00
|
$334,994.04
|
$191,551.25
|
2026-05-17
|
|
007
|
OTHER
|
Lung Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$309,835.11
|
$179,302.27
|
2026-05-17
|
|
3044
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
4
|
—
|
—
|
$1,912.00
|
$291,727.68
|
$167,896.53
|
2026-05-17
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$310,617.47
|
$166,630.60
|
2026-05-17
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$261,255.05
|
$157,199.71
|
2026-05-17
|
|
6124
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
4
|
—
|
—
|
$1,912.00
|
$269,214.75
|
$154,939.78
|
2026-05-17
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$248,350.78
|
$151,196.61
|
2026-05-17
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
38
|
28
|
—
|
—
|
$1,912.00
|
$258,272.58
|
$151,084.24
|
2026-05-17
|
|
209
|
OTHER
|
Complex Aortic Arch Procedures
|
25
|
21
|
—
|
—
|
$1,912.00
|
$170,872.65
|
$148,584.91
|
2026-05-17
|
|
9504
|
OTHER
|
Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$257,799.43
|
$148,369.98
|
2026-05-17
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$252,475.98
|
$143,423.87
|
2026-05-17
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$251,181.52
|
$138,619.15
|
2026-05-17
|
|
9124
|
OTHER
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$240,716.16
|
$138,538.13
|
2026-05-17
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$228,808.28
|
$136,251.47
|
2026-05-17
|
|
0924
|
OTHER
|
Facial Bone Procedures Except Major Cranial/Facial Bone Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$233,624.87
|
$134,456.92
|
2026-05-17
|
|
0214
|
OTHER
|
Open Craniotomy Except Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$230,066.52
|
$132,409.00
|
2026-05-17
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$228,195.21
|
$131,332.01
|
2026-05-17
|
|
0244
|
OTHER
|
Open Extracranial Vascular Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$215,839.47
|
$124,220.98
|
2026-05-17
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$197,738.94
|
$123,661.41
|
2026-05-17
|
|
0204
|
OTHER
|
Open Craniotomy For Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$212,547.99
|
$122,326.65
|
2026-05-17
|
|
1674
|
OTHER
|
Other Cardiothoracic & Thoracic Vascular Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$210,679.86
|
$121,251.49
|
2026-05-17
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
38
|
28
|
—
|
—
|
$1,912.00
|
$218,395.73
|
$120,983.74
|
2026-05-17
|
|
1814
|
OTHER
|
Lower Extremity Arterial Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$210,212.82
|
$120,982.70
|
2026-05-17
|
|
7914
|
OTHER
|
O.r. Procedure For Other Complications Of Treatment
|
5
|
4
|
—
|
—
|
$1,912.00
|
$210,028.55
|
$120,876.65
|
2026-05-17
|
|
2214
|
OTHER
|
Major Small & Large Bowel Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$209,952.30
|
$120,832.77
|
2026-05-17
|
|
9114
|
OTHER
|
Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$206,203.32
|
$118,675.14
|
2026-05-17
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$200,899.22
|
$117,863.06
|
2026-05-17
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$200,787.79
|
$117,502.86
|
2026-05-17
|
|
6123
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
4
|
—
|
—
|
$1,912.00
|
$201,523.45
|
$115,981.76
|
2026-05-17
|
|
7104
|
OTHER
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$200,805.43
|
$115,568.51
|
2026-05-17
|
|
3054
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
5
|
4
|
—
|
—
|
$1,912.00
|
$200,214.49
|
$115,228.41
|
2026-05-17
|
|
9514
|
OTHER
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$199,366.20
|
$114,740.20
|
2026-05-17
|
|
1204
|
OTHER
|
Major Respiratory & Chest Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$193,510.81
|
$111,370.28
|
2026-05-17
|
|
7114
|
OTHER
|
Post-op; Post-trauma; Other Device Infections W O.r. Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$191,766.58
|
$110,366.43
|
2026-05-17
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity
|
39
|
29
|
—
|
—
|
$1,912.00
|
$191,112.56
|
$109,454.85
|
2026-05-17
|
|
0494
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System
|
5
|
4
|
—
|
—
|
$1,912.00
|
$189,593.44
|
$109,115.74
|
2026-05-17
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$183,440.65
|
$107,647.42
|
2026-05-17
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$185,311.21
|
$107,197.52
|
2026-05-17
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$176,961.25
|
$106,629.67
|
2026-05-17
|
|
2234
|
OTHER
|
Other Small & Large Bowel Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$177,234.52
|
$102,002.87
|
2026-05-17
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$168,390.81
|
$101,326.78
|
2026-05-17
|
|
010
|
OTHER
|
Pancreas Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$189,023.88
|
$100,816.15
|
2026-05-17
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
38
|
28
|
—
|
—
|
$1,912.00
|
$187,940.43
|
$100,257.54
|
2026-05-17
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$167,544.44
|
$100,200.45
|
2026-05-17
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$158,343.36
|
$99,107.71
|
2026-05-17
|
|
0504
|
OTHER
|
Non-bacterial Infections Of Nervous System Exc Viral Meningitis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$169,863.65
|
$97,760.75
|
2026-05-17
|
|
3043
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
4
|
—
|
—
|
$1,912.00
|
$169,263.18
|
$97,415.17
|
2026-05-17
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
38
|
28
|
—
|
—
|
$1,912.00
|
$164,924.70
|
$97,229.27
|
2026-05-17
|
|
3644
|
OTHER
|
Other Skin; Subcutaneous Tissue & Related Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$168,681.77
|
$97,080.55
|
2026-05-17
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$158,075.46
|
$95,904.46
|
2026-05-17
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
39
|
29
|
—
|
—
|
$1,912.00
|
$161,885.34
|
$94,101.08
|
2026-05-17
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$158,955.03
|
$94,100.42
|
2026-05-17
|
|
3154
|
OTHER
|
Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement
|
5
|
4
|
—
|
—
|
$1,912.00
|
$163,093.25
|
$93,864.22
|
2026-05-17
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
38
|
28
|
—
|
—
|
$1,912.00
|
$146,667.17
|
$92,608.70
|
2026-05-17
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$153,103.89
|
$92,357.28
|
2026-05-17
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$141,046.00
|
$91,122.32
|
2026-05-17
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$145,998.61
|
$90,802.85
|
2026-05-17
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
4
|
—
|
—
|
$1,912.00
|
$156,017.85
|
$89,792.15
|
2026-05-17
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
40
|
29
|
—
|
—
|
$1,912.00
|
$153,324.38
|
$89,242.92
|
2026-05-17
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$149,936.50
|
$86,484.90
|
2026-05-17
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$142,029.89
|
$85,988.64
|
2026-05-17
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$144,825.06
|
$85,687.07
|
2026-05-17
|
|
028
|
OTHER
|
Spinal Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$144,132.79
|
$84,949.05
|
2026-05-17
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
38
|
28
|
—
|
—
|
$1,912.00
|
$146,856.84
|
$84,925.94
|
2026-05-17
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome; Neonate
|
38
|
28
|
—
|
—
|
$1,912.00
|
$140,939.32
|
$84,068.28
|
2026-05-17
|
|
016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$143,099.12
|
$83,880.72
|
2026-05-17
|
|
6122
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
4
|
—
|
—
|
$1,912.00
|
$144,561.23
|
$83,198.58
|
2026-05-17
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$136,069.70
|
$83,068.58
|
2026-05-17
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$139,502.61
|
$83,050.26
|
2026-05-17
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$138,035.09
|
$82,998.61
|
2026-05-17
|
|
3123
|
OTHER
|
Skin Graft; Except Hand; For Musculoskeletal & Connective Tissue Diagnoses
|
5
|
4
|
—
|
—
|
$1,912.00
|
$143,849.56
|
$82,788.99
|
2026-05-17
|
|
3031
|
OTHER
|
Dorsal & Lumbar Fusion Proc For Curvature Of Back
|
5
|
4
|
—
|
—
|
$1,912.00
|
$140,421.47
|
$80,816.04
|
2026-05-17
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$129,694.61
|
$80,319.18
|
2026-05-17
|
|
0213
|
OTHER
|
Open Craniotomy Except Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$137,628.79
|
$79,208.79
|
2026-05-17
|
|
428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$130,491.20
|
$79,077.82
|
2026-05-17
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or …
|
35
|
28
|
—
|
—
|
$1,912.00
|
$135,256.51
|
$79,059.70
|
2026-05-17
|
|
0233
|
OTHER
|
Spinal Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$136,500.92
|
$78,559.67
|
2026-05-17
|
|
008
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$128,997.60
|
$78,508.15
|
2026-05-17
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$145,488.88
|
$78,352.92
|
2026-05-17
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity
|
40
|
29
|
—
|
—
|
$1,912.00
|
$128,046.91
|
$78,270.17
|
2026-05-17
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$131,041.23
|
$77,903.01
|
2026-05-17
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
38
|
28
|
—
|
—
|
$1,912.00
|
$118,618.24
|
$77,633.73
|
2026-05-17
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$128,703.62
|
$77,514.29
|
2026-05-17
|
|
011
|
OTHER
|
Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$127,926.00
|
$77,168.16
|
2026-05-17
|
|
017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$143,099.12
|
$77,120.13
|
2026-05-17
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$126,131.30
|
$76,682.79
|
2026-05-17
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
25
|
21
|
—
|
—
|
$1,912.00
|
$87,924.65
|
$76,456.22
|
2026-05-17
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$125,574.16
|
$75,637.55
|
2026-05-17
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Pdx Hemorrhage With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$131,041.23
|
$75,237.66
|
2026-05-17
|
|
1813
|
OTHER
|
Lower Extremity Arterial Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$129,952.92
|
$74,791.14
|
2026-05-17
|
|
450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
38
|
28
|
—
|
—
|
$1,912.00
|
$122,098.57
|
$74,563.60
|
2026-05-17
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$121,693.16
|
$74,081.19
|
2026-05-17
|
|
653
|
OTHER
|
Major Bladder Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$132,162.62
|
$73,913.82
|
2026-05-17
|
|
9503
|
OTHER
|
Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$126,906.08
|
$73,037.60
|
2026-05-17
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Comorbity
|
40
|
29
|
—
|
—
|
$1,912.00
|
$120,782.78
|
$72,627.01
|
2026-05-17
|
|
9123
|
OTHER
|
Musculoskeletal & Other Procedures For Multiple Significant Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$125,034.77
|
$71,960.62
|
2026-05-17
|
|
7754
|
OTHER
|
Alcohol Abuse & Dependence
|
5
|
4
|
—
|
—
|
$1,912.00
|
$124,520.08
|
$71,664.40
|
2026-05-17
|
|
326
|
OTHER
|
Stomach; Esophageal & Duodenal Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$120,412.93
|
$71,073.12
|
2026-05-17
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$108,881.36
|
$70,602.75
|
2026-05-17
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$118,144.08
|
$70,529.46
|
2026-05-17
|
|
3144
|
OTHER
|
Foot & Toe Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$122,159.50
|
$70,305.82
|
2026-05-17
|
|
239
|
OTHER
|
Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$119,414.83
|
$70,180.14
|
2026-05-17
|
|
1744
|
OTHER
|
Percutaneous Cardiac Intervention W Ami
|
5
|
4
|
—
|
—
|
$1,912.00
|
$121,644.80
|
$70,009.61
|
2026-05-17
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$127,911.77
|
$69,901.49
|
2026-05-17
|
|
8904
|
OTHER
|
HIV W Multiple Major HIV Related Conditions
|
5
|
4
|
—
|
—
|
$1,912.00
|
$120,300.89
|
$69,236.15
|
2026-05-17
|
|
6514
|
OTHER
|
Other Procedures Of Blood & Blood-forming Organs
|
5
|
4
|
—
|
—
|
$1,912.00
|
$119,837.03
|
$68,969.19
|
2026-05-17
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$115,156.87
|
$68,916.10
|
2026-05-17
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$118,710.70
|
$68,584.45
|
2026-05-17
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases With O.r. Procedure With Comorbity
|
35
|
28
|
—
|
—
|
$1,912.00
|
$118,570.82
|
$68,578.84
|
2026-05-17
|
|
3042
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
4
|
—
|
—
|
$1,912.00
|
$118,658.33
|
$68,290.82
|
2026-05-17
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$111,539.03
|
$67,528.18
|
2026-05-17
|
|
0243
|
OTHER
|
Open Extracranial Vascular Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$117,244.52
|
$67,477.14
|
2026-05-17
|
|
0913
|
OTHER
|
Other Major Head & Neck Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$117,063.43
|
$67,372.91
|
2026-05-17
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$112,705.46
|
$67,055.38
|
2026-05-17
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
38
|
28
|
—
|
—
|
$1,912.00
|
$113,217.55
|
$66,865.08
|
2026-05-17
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$109,229.87
|
$66,428.18
|
2026-05-17
|
|
1104
|
OTHER
|
Ear; Nose; Mouth; Throat; Cranial/Facial Malignancies
|
5
|
4
|
—
|
—
|
$1,912.00
|
$115,255.66
|
$66,332.49
|
2026-05-17
|
|
006
|
OTHER
|
Liver Transplant Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$114,964.83
|
$66,310.55
|
2026-05-17
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$110,287.25
|
$66,059.10
|
2026-05-17
|
|
6092
|
OTHER
|
Neonate Bwt 1500-2499g W Major Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$114,219.92
|
$65,736.40
|
2026-05-17
|
|
329
|
OTHER
|
Major Small & Large Bowel Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$108,864.77
|
$65,609.79
|
2026-05-17
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$110,941.59
|
$65,601.02
|
2026-05-17
|
|
1764
|
OTHER
|
Insertion; Revision & Replacements Of Pacemaker & Other Cardiac Devices
|
5
|
4
|
—
|
—
|
$1,912.00
|
$112,822.00
|
$64,931.86
|
2026-05-17
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$112,726.80
|
$64,841.24
|
2026-05-17
|
|
0203
|
OTHER
|
Open Craniotomy For Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$112,545.59
|
$64,772.78
|
2026-05-17
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$106,961.01
|
$64,710.82
|
2026-05-17
|
|
025
|
OTHER
|
Craniotomy & Endovascular Intracranial Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$106,029.29
|
$64,415.21
|
2026-05-17
|
|
6121
|
OTHER
|
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
4
|
—
|
—
|
$1,912.00
|
$111,776.73
|
$64,330.29
|
2026-05-17
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
40
|
29
|
—
|
—
|
$1,912.00
|
$115,856.25
|
$64,216.01
|
2026-05-17
|
|
163
|
OTHER
|
Major Chest Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$109,274.91
|
$64,201.09
|
2026-05-17
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$104,144.50
|
$63,279.07
|
2026-05-17
|
|
2824
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
5
|
4
|
—
|
—
|
$1,912.00
|
$109,825.99
|
$63,207.59
|
2026-05-17
|
|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$99,350.74
|
$63,121.26
|
2026-05-17
|
|
0454
|
OTHER
|
Cva & Precerebral Occlusion W Infarct
|
5
|
4
|
—
|
—
|
$1,912.00
|
$108,663.17
|
$62,538.36
|
2026-05-17
|
|
2804
|
OTHER
|
Alcoholic Liver Disease
|
5
|
4
|
—
|
—
|
$1,912.00
|
$108,412.18
|
$62,393.91
|
2026-05-17
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$101,131.22
|
$61,949.00
|
2026-05-17
|
|
0554
|
OTHER
|
Head Trauma W Coma >1 Hr Or Hemorrhage
|
5
|
4
|
—
|
—
|
$1,912.00
|
$107,487.65
|
$61,861.81
|
2026-05-17
|
|
3053
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
5
|
4
|
—
|
—
|
$1,912.00
|
$107,446.34
|
$61,838.04
|
2026-05-17
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$106,323.27
|
$61,633.57
|
2026-05-17
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$100,981.86
|
$61,407.13
|
2026-05-17
|
|
6624
|
OTHER
|
Sickle Cell Anemia Crisis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$105,235.08
|
$60,565.41
|
2026-05-17
|
|
4694
|
OTHER
|
Acute Kidney Injury
|
5
|
4
|
—
|
—
|
$1,912.00
|
$104,885.60
|
$60,364.27
|
2026-05-17
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$105,038.29
|
$60,324.68
|
2026-05-17
|
|
6142
|
OTHER
|
Neonate Bwt 1500-1999g W Or Without Other Significant Condition
|
5
|
4
|
—
|
—
|
$1,912.00
|
$104,790.29
|
$60,309.42
|
2026-05-17
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
40
|
29
|
—
|
—
|
$1,912.00
|
$100,265.87
|
$60,192.03
|
2026-05-17
|
|
673
|
OTHER
|
Other Kidney & Urinary Tract Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$99,327.04
|
$60,057.21
|
2026-05-17
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$102,371.14
|
$59,998.49
|
2026-05-17
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$98,641.88
|
$59,995.50
|
2026-05-17
|
|
448
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$96,811.62
|
$59,917.23
|
2026-05-17
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
38
|
28
|
—
|
—
|
$1,912.00
|
$98,874.21
|
$59,704.18
|
2026-05-17
|
|
012
|
OTHER
|
Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$97,290.52
|
$59,585.71
|
2026-05-17
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$97,435.14
|
$59,567.37
|
2026-05-17
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$97,489.67
|
$59,414.50
|
2026-05-17
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$96,429.92
|
$58,852.05
|
2026-05-17
|
|
0493
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System
|
5
|
4
|
—
|
—
|
$1,912.00
|
$101,683.09
|
$58,521.14
|
2026-05-17
|
|
7204
|
OTHER
|
Septicemia & Disseminated Infections
|
5
|
4
|
—
|
—
|
$1,912.00
|
$101,676.73
|
$58,517.49
|
2026-05-17
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$92,705.39
|
$58,376.02
|
2026-05-17
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
38
|
28
|
—
|
—
|
$1,912.00
|
$96,252.11
|
$58,163.93
|
2026-05-17
|
|
2603
|
OTHER
|
Major Pancreas; Liver & Shunt Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$99,926.15
|
$57,509.98
|
2026-05-17
|
|
402
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
38
|
28
|
—
|
—
|
$1,912.00
|
$92,750.44
|
$56,972.49
|
2026-05-17
|
|
2213
|
OTHER
|
Major Small & Large Bowel Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$98,534.58
|
$56,709.10
|
2026-05-17
|
|
3514
|
OTHER
|
Other Musculoskeletal System & Connective Tissue Diagnoses
|
5
|
4
|
—
|
—
|
$1,912.00
|
$97,870.57
|
$56,326.94
|
2026-05-17
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$84,988.44
|
$56,260.85
|
2026-05-17
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
38
|
28
|
—
|
—
|
$1,912.00
|
$102,582.15
|
$56,214.51
|
2026-05-17
|
|
3041
|
OTHER
|
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back
|
5
|
4
|
—
|
—
|
$1,912.00
|
$97,413.06
|
$56,063.64
|
2026-05-17
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
36
|
26
|
—
|
—
|
$1,912.00
|
$93,162.96
|
$55,816.28
|
2026-05-17
|
|
034
|
OTHER
|
Carotid Artery Stent Procedure With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$92,193.30
|
$55,664.37
|
2026-05-17
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$94,445.56
|
$55,468.34
|
2026-05-17
|
|
3093
|
OTHER
|
Other Significant Hip & Femur Surgery
|
5
|
4
|
—
|
—
|
$1,912.00
|
$96,008.78
|
$55,255.44
|
2026-05-17
|
|
040
|
OTHER
|
Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$89,428.95
|
$54,843.15
|
2026-05-17
|
|
1713
|
OTHER
|
Perm Cardiac Pacemaker Implant Without Ami; Heart Failure Or Shock
|
5
|
4
|
—
|
—
|
$1,912.00
|
$94,928.57
|
$54,633.75
|
2026-05-17
|
|
024
|
OTHER
|
Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity
|
35
|
28
|
—
|
—
|
$1,912.00
|
$90,130.70
|
$54,581.01
|
2026-05-17
|
|
956
|
OTHER
|
Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma
|
38
|
28
|
—
|
—
|
$1,912.00
|
$90,621.46
|
$54,431.26
|
2026-05-17
|
|
7103
|
OTHER
|
Infectious & Parasitic Diseases Including HIV W O.r. Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$94,537.79
|
$54,408.85
|
2026-05-17
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$91,282.91
|
$54,087.39
|
2026-05-17
|
|
628
|
OTHER
|
Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$93,544.66
|
$53,939.24
|
2026-05-17
|
|
4473
|
OTHER
|
Other Kidney; Urinary Tract & Related Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$93,127.16
|
$53,596.99
|
2026-05-17
|
|
3223
|
OTHER
|
Shoulder & Elbow Joint Replacement
|
5
|
4
|
—
|
—
|
$1,912.00
|
$92,885.70
|
$53,458.03
|
2026-05-17
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$91,538.96
|
$53,209.35
|
2026-05-17
|
|
518
|
OTHER
|
Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim
|
38
|
28
|
—
|
—
|
$1,912.00
|
$84,969.47
|
$53,186.97
|
2026-05-17
|
|
1944
|
OTHER
|
Heart Failure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$91,767.36
|
$52,814.39
|
2026-05-17
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$82,326.03
|
$52,765.93
|
2026-05-17
|
|
3133
|
OTHER
|
Knee & Lower Leg Procedures Except Foot
|
5
|
4
|
—
|
—
|
$1,912.00
|
$91,341.62
|
$52,569.38
|
2026-05-17
|
|
7113
|
OTHER
|
Post-op; Post-trauma; Other Device Infections W O.r. Procedure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$91,338.45
|
$52,567.55
|
2026-05-17
|
|
1974
|
OTHER
|
Peripheral & Other Vascular Disorders
|
5
|
4
|
—
|
—
|
$1,912.00
|
$90,988.97
|
$52,366.41
|
2026-05-17
|
|
492
|
OTHER
|
Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$84,191.85
|
$52,308.77
|
2026-05-17
|
|
2643
|
OTHER
|
Other Hepatobiliary; Pancreas & Abdominal Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$90,753.86
|
$52,231.10
|
2026-05-17
|
|
143
|
OTHER
|
Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc
|
40
|
29
|
—
|
—
|
$1,912.00
|
$78,281.45
|
$52,199.98
|
2026-05-17
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$94,379.18
|
$51,982.01
|
2026-05-17
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$93,352.62
|
$51,869.22
|
2026-05-17
|
|
7214
|
OTHER
|
Post-operative; Post-traumatic; Other Device Infections
|
5
|
4
|
—
|
—
|
$1,912.00
|
$89,943.70
|
$51,764.84
|
2026-05-17
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$85,903.57
|
$51,736.96
|
2026-05-17
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$83,466.38
|
$51,695.24
|
2026-05-17
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$88,715.34
|
$51,661.26
|
2026-05-17
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
38
|
28
|
—
|
—
|
$1,912.00
|
$84,571.18
|
$51,652.69
|
2026-05-17
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$82,235.94
|
$51,628.38
|
2026-05-17
|
|
1904
|
OTHER
|
Acute Myocardial Infarction
|
5
|
4
|
—
|
—
|
$1,912.00
|
$89,378.18
|
$51,439.36
|
2026-05-17
|
|
097
|
OTHER
|
Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity
|
40
|
29
|
—
|
—
|
$1,912.00
|
$84,983.70
|
$51,239.13
|
2026-05-17
|
|
094
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$86,503.38
|
$51,120.28
|
2026-05-17
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,249.19
|
$50,986.52
|
2026-05-17
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$83,008.82
|
$50,891.88
|
2026-05-17
|
|
4244
|
OTHER
|
Other Endocrine Disorders
|
5
|
4
|
—
|
—
|
$1,912.00
|
$88,421.87
|
$50,888.98
|
2026-05-17
|
|
1424
|
OTHER
|
Interstitial & Alveolar Lung Diseases
|
5
|
4
|
—
|
—
|
$1,912.00
|
$88,374.21
|
$50,861.56
|
2026-05-17
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$83,068.09
|
$50,851.76
|
2026-05-17
|
|
0444
|
OTHER
|
Intracranial Hemorrhage
|
5
|
4
|
—
|
—
|
$1,912.00
|
$88,282.08
|
$50,808.53
|
2026-05-17
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$81,659.84
|
$50,767.55
|
2026-05-17
|
|
279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,969.92
|
$50,758.86
|
2026-05-17
|
|
616
|
OTHER
|
Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$91,631.42
|
$50,685.34
|
2026-05-17
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$81,204.64
|
$50,370.57
|
2026-05-17
|
|
3083
|
OTHER
|
Hip & Femur Fracture Repair
|
5
|
4
|
—
|
—
|
$1,912.00
|
$87,233.63
|
$50,205.12
|
2026-05-17
|
|
0414
|
OTHER
|
Nervous System Malignancy
|
5
|
4
|
—
|
—
|
$1,912.00
|
$86,776.13
|
$49,941.82
|
2026-05-17
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$82,145.85
|
$49,927.76
|
2026-05-17
|
|
987
|
OTHER
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$83,042.01
|
$49,883.44
|
2026-05-17
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$81,531.81
|
$49,628.48
|
2026-05-17
|
|
9513
|
OTHER
|
Moderately Extensive Procedure Unrelated To Principal Diagnosis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$86,156.60
|
$49,585.26
|
2026-05-17
|
|
5404
|
OTHER
|
Cesarean Section Without Sterilization
|
5
|
4
|
—
|
—
|
$1,912.00
|
$85,959.62
|
$49,471.90
|
2026-05-17
|
|
252
|
OTHER
|
Other Vascular Procedures With Comorbity
|
40
|
29
|
—
|
—
|
$1,912.00
|
$81,327.92
|
$49,314.72
|
2026-05-17
|
|
0212
|
OTHER
|
Open Craniotomy Except Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$85,057.32
|
$48,952.60
|
2026-05-17
|
|
0534
|
OTHER
|
Seizure
|
5
|
4
|
—
|
—
|
$1,912.00
|
$85,047.79
|
$48,947.12
|
2026-05-17
|
|
029
|
OTHER
|
Spinal Procedures With Complication Or Spinal Neurostimulators
|
38
|
28
|
—
|
—
|
$1,912.00
|
$79,580.64
|
$48,833.39
|
2026-05-17
|
|
3153
|
OTHER
|
Shoulder; Upper Arm & Forearm Procedures Except Joint Replacement
|
5
|
4
|
—
|
—
|
$1,912.00
|
$84,771.38
|
$48,788.04
|
2026-05-17
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
38
|
28
|
—
|
—
|
$1,912.00
|
$82,861.83
|
$48,690.05
|
2026-05-17
|
|
2233
|
OTHER
|
Other Small & Large Bowel Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$84,520.39
|
$48,643.59
|
2026-05-17
|
|
4704
|
OTHER
|
Chronic Kidney Disease
|
5
|
4
|
—
|
—
|
$1,912.00
|
$84,390.13
|
$48,568.62
|
2026-05-17
|
|
2243
|
OTHER
|
Peritoneal Adhesiolysis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$84,313.88
|
$48,524.73
|
2026-05-17
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Comorbity
|
41
|
30
|
—
|
—
|
$1,912.00
|
$83,677.39
|
$48,304.24
|
2026-05-17
|
|
6222
|
OTHER
|
Neonate Bwt 2000-2499g W Resp Dist Synd/Oth Maj Resp Cond
|
5
|
4
|
—
|
—
|
$1,912.00
|
$83,570.44
|
$48,096.86
|
2026-05-17
|
|
8134
|
OTHER
|
Other Complications Of Treatment
|
5
|
4
|
—
|
—
|
$1,912.00
|
$83,036.69
|
$47,789.68
|
2026-05-17
|
|
1374
|
OTHER
|
Major Respiratory Infections & Inflammations
|
5
|
4
|
—
|
—
|
$1,912.00
|
$82,989.03
|
$47,762.25
|
2026-05-17
|
|
2544
|
OTHER
|
Other Digestive System Diagnoses
|
5
|
4
|
—
|
—
|
$1,912.00
|
$82,861.95
|
$47,689.11
|
2026-05-17
|
|
037
|
OTHER
|
Extracranial Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$78,731.90
|
$47,684.18
|
2026-05-17
|
|
3173
|
OTHER
|
Tendon; Muscle & Other Soft Tissue Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$82,852.41
|
$47,683.62
|
2026-05-17
|
|
2293
|
OTHER
|
Other Digestive System & Abdominal Procedures
|
5
|
4
|
—
|
—
|
$1,912.00
|
$82,785.69
|
$47,645.22
|
2026-05-17
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$80,754.19
|
$47,496.71
|
2026-05-17
|
|
359
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
25
|
21
|
—
|
—
|
$1,912.00
|
$54,397.52
|
$47,302.19
|
2026-05-17
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$73,992.67
|
$47,230.66
|
2026-05-17
|
|
579
|
OTHER
|
Other Skin; Subcut Tiss & Breast Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$77,273.86
|
$46,881.03
|
2026-05-17
|
|
9113
|
OTHER
|
Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma
|
5
|
4
|
—
|
—
|
$1,912.00
|
$81,432.25
|
$46,866.28
|
2026-05-17
|
|
1344
|
OTHER
|
Pulmonary Embolism
|
5
|
4
|
—
|
—
|
$1,912.00
|
$81,219.38
|
$46,743.77
|
2026-05-17
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$80,417.54
|
$46,681.19
|
2026-05-17
|
|
3103
|
OTHER
|
Intervertebral Disc Excision & Decompression
|
5
|
4
|
—
|
—
|
$1,912.00
|
$80,857.20
|
$46,535.32
|
2026-05-17
|
|
485
|
OTHER
|
Knee Procedures With Pdx Of Infection With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$76,323.16
|
$46,516.26
|
2026-05-17
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$77,240.66
|
$46,501.89
|
2026-05-17
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,604.81
|
$46,471.44
|
2026-05-17
|
|
2014
|
OTHER
|
Cardiac Arrhythmia & Conduction Disorders
|
5
|
4
|
—
|
—
|
$1,912.00
|
$80,698.34
|
$46,443.90
|
2026-05-17
|
|
4204
|
OTHER
|
Diabetes
|
5
|
4
|
—
|
—
|
$1,912.00
|
$80,698.34
|
$46,443.90
|
2026-05-17
|
|
451
|
OTHER
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$73,162.89
|
$46,411.30
|
2026-05-17
|
|
652
|
OTHER
|
Kidney Transplant
|
38
|
28
|
—
|
—
|
$1,912.00
|
$72,816.75
|
$46,399.26
|
2026-05-17
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,400.92
|
$46,282.99
|
2026-05-17
|
|
022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
39
|
29
|
—
|
—
|
$1,912.00
|
$83,698.72
|
$46,142.28
|
2026-05-17
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$64,874.57
|
$46,018.83
|
2026-05-17
|
|
6913
|
OTHER
|
Lymphoma; Myeloma & Non-acute Leukemia
|
5
|
4
|
—
|
—
|
$1,912.00
|
$79,830.99
|
$45,944.72
|
2026-05-17
|
|
515
|
OTHER
|
Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$73,314.62
|
$45,829.82
|
2026-05-17
|
|
1743
|
OTHER
|
Percutaneous Cardiac Intervention W Ami
|
5
|
4
|
—
|
—
|
$1,912.00
|
$79,630.83
|
$45,829.52
|
2026-05-17
|
|
324
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,749.43
|
$45,829.03
|
2026-05-17
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$75,123.54
|
$45,732.65
|
2026-05-17
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$81,403.79
|
$45,708.02
|
2026-05-17
|
|
4254
|
OTHER
|
Other Non-hypovolemic Electrolyte Disorders
|
5
|
4
|
—
|
—
|
$1,912.00
|
$79,141.56
|
$45,547.94
|
2026-05-17
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
38
|
28
|
—
|
—
|
$1,912.00
|
$67,854.67
|
$45,478.40
|
2026-05-17
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$73,110.73
|
$45,470.26
|
2026-05-17
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$73,644.16
|
$45,329.90
|
2026-05-17
|
|
1994
|
OTHER
|
Hypertension
|
5
|
4
|
—
|
—
|
$1,912.00
|
$78,039.11
|
$44,913.45
|
2026-05-17
|
|
464
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,905.41
|
$44,864.71
|
2026-05-17
|
|
026
|
OTHER
|
Craniotomy & Endovascular Intracranial Procedures With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$72,513.29
|
$44,791.21
|
2026-05-17
|
|
9523
|
OTHER
|
Nonextensive Procedure Unrelated To Principal Diagnosis
|
5
|
4
|
—
|
—
|
$1,912.00
|
$77,645.15
|
$44,686.71
|
2026-05-17
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$66,512.79
|
$44,578.63
|
2026-05-17
|
|
1753
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
5
|
4
|
—
|
—
|
$1,912.00
|
$76,834.99
|
$44,220.44
|
2026-05-17
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
40
|
29
|
—
|
—
|
$1,912.00
|
$73,959.48
|
$44,153.60
|
2026-05-17
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com…
|
40
|
29
|
—
|
—
|
$1,912.00
|
$77,494.34
|
$43,775.33
|
2026-05-17
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$72,750.37
|
$43,739.93
|
2026-05-17
|
|
510
|
OTHER
|
Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$67,759.83
|
$43,605.57
|
2026-05-17
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$67,973.21
|
$43,600.22
|
2026-05-17
|
|
8604
|
OTHER
|
Rehabilitation
|
5
|
4
|
—
|
—
|
$1,912.00
|
$75,367.17
|
$43,375.68
|
2026-05-17
|
|
8603
|
OTHER
|
Rehabilitation
|
5
|
4
|
—
|
—
|
$1,912.00
|
$75,367.17
|
$43,375.68
|
2026-05-17
|
|
8114
|
OTHER
|
Allergic Reactions
|
5
|
4
|
—
|
—
|
$1,912.00
|
$75,017.69
|
$43,174.54
|
2026-05-17
|
|
570
|
OTHER
|
Skin Debridement With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$71,365.82
|
$43,085.39
|
2026-05-17
|
|
8924
|
OTHER
|
HIV W Major HIV Related Condition
|
5
|
4
|
—
|
—
|
$1,912.00
|
$74,169.40
|
$42,686.33
|
2026-05-17
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$68,686.82
|
$42,611.07
|
2026-05-17
|
|
974
|
OTHER
|
HIV With Major Related Condition With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$70,796.83
|
$42,511.21
|
2026-05-17
|
|
263
|
OTHER
|
Vein Ligation & Stripping
|
41
|
30
|
—
|
—
|
$1,912.00
|
$63,587.23
|
$42,402.71
|
2026-05-17
|
|
480
|
OTHER
|
Hip & Femur Procedures Except Major Joint With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,725.23
|
$42,394.30
|
2026-05-17
|
|
498
|
OTHER
|
Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb…
|
38
|
28
|
—
|
—
|
$1,912.00
|
$59,860.33
|
$42,299.68
|
2026-05-17
|
|
668
|
OTHER
|
Transurethral Procedures With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,139.64
|
$42,268.94
|
2026-05-17
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal & Femoral With Comorbity
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,535.56
|
$42,267.36
|
2026-05-17
|
|
2434
|
OTHER
|
Other Esophageal Disorders
|
5
|
4
|
—
|
—
|
$1,912.00
|
$73,032.00
|
$42,031.73
|
2026-05-17
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$66,581.55
|
$41,997.53
|
2026-05-17
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$62,681.58
|
$41,970.13
|
2026-05-17
|
|
1364
|
OTHER
|
Respiratory Malignancy
|
5
|
4
|
—
|
—
|
$1,912.00
|
$72,869.97
|
$41,938.48
|
2026-05-17
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,101.71
|
$41,921.42
|
2026-05-17
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
38
|
28
|
—
|
—
|
$1,912.00
|
$64,639.86
|
$41,826.43
|
2026-05-17
|
|
240
|
OTHER
|
Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication
|
38
|
28
|
—
|
—
|
$1,912.00
|
$69,042.44
|
$41,770.54
|
2026-05-17
|