|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
1
|
1
|
—
|
—
|
$4,508,825.00
|
$4,508,825.00
|
$4,508,825.00
|
2025-10-08
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,821,300.00
|
$3,821,300.00
|
$3,821,300.00
|
2025-10-08
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,359,195.65
|
$3,359,195.65
|
$3,359,195.65
|
2025-10-08
|
|
J1411
|
HCPCS
|
Etranacogene Dezaparvovec-drlb 1x10exp13 Gc/ml Intravenous Suspension
|
10
|
10
|
—
|
—
|
$3,274,250.00
|
$3,795,824.67
|
$3,307,500.00
|
2025-10-08
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
1
|
1
|
—
|
—
|
$3,039,207.27
|
$3,039,207.27
|
$3,039,207.27
|
2025-10-08
|
|
J1413
|
HCPCS
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
12
|
12
|
—
|
—
|
$2,993,600.00
|
$4,948,800.00
|
$3,024,000.00
|
2025-10-08
|
|
J3399
|
HCPCS
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
20
|
14
|
—
|
—
|
$2,172,272.50
|
$4,911,123.82
|
$2,934,711.47
|
2025-10-08
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
1
|
1
|
—
|
—
|
$2,401,960.00
|
$2,401,960.00
|
$2,401,960.00
|
2025-10-08
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp
|
65
|
25
|
$3,188,102.40
|
$1,594,051.20
50% off
|
$557,884.73
|
$2,933,054.21
|
$1,745,469.47
|
2025-10-08
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension
|
65
|
25
|
$3,169,280.60
|
$1,584,640.30
50% off
|
$557,498.26
|
$2,915,738.15
|
$1,736,618.21
|
2025-10-08
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
65
|
25
|
$3,132,333.00
|
$1,566,166.50
50% off
|
$569,980.19
|
$2,881,746.36
|
$1,722,783.15
|
2025-10-08
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Intravenous Suspension
|
65
|
25
|
$3,021,480.00
|
$1,510,740.00
50% off
|
$549,068.77
|
$2,779,761.60
|
$1,661,814.00
|
2025-10-08
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension
|
110
|
25
|
$3,561,200.05
|
$1,780,600.03
50% off
|
$548,869.36
|
$3,276,304.05
|
$1,630,473.48
|
2025-10-08
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension
|
65
|
25
|
$2,544,000.00
|
$1,272,000.00
50% off
|
$475,982.40
|
$2,340,480.00
|
$1,399,200.00
|
2025-10-08
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
1
|
1
|
—
|
—
|
$793,738.60
|
$793,738.60
|
$793,738.60
|
2025-10-08
|
|
C9399
|
HCPCS
|
Omidubicel-onlv Intravenous Suspension
|
109
|
25
|
$2,028,000.00
|
$1,014,000.00
50% off
|
$35.96
|
$1,865,760.00
|
$584,064.00
|
2025-10-08
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
10
|
—
|
—
|
$266,074.00
|
$569,865.30
|
$556,033.56
|
2025-10-08
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
10
|
—
|
—
|
$199,094.70
|
$425,641.60
|
$415,310.45
|
2025-10-08
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
10
|
10
|
—
|
—
|
$167,898.06
|
$358,467.17
|
$349,766.47
|
2025-10-08
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
10
|
10
|
—
|
—
|
$151,819.38
|
$323,845.62
|
$315,985.27
|
2025-10-08
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$278,486.25
|
$278,486.25
|
$278,486.25
|
2025-10-08
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
10
|
10
|
—
|
—
|
$100,579.82
|
$213,513.63
|
$208,331.23
|
2025-10-08
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
10
|
—
|
—
|
$93,364.34
|
$197,976.85
|
$193,171.57
|
2025-10-08
|
|
7
|
MS_DRG
|
Lung Transplant
|
10
|
10
|
—
|
—
|
$93,132.76
|
$197,478.19
|
$192,685.02
|
2025-10-08
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
10
|
—
|
—
|
$78,753.04
|
$166,514.94
|
$162,473.30
|
2025-10-08
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
10
|
10
|
—
|
—
|
$77,870.22
|
$164,614.02
|
$160,618.52
|
2025-10-08
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
10
|
10
|
—
|
—
|
$76,154.43
|
$160,919.46
|
$157,013.64
|
2025-10-08
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
10
|
10
|
—
|
—
|
$75,771.27
|
$160,094.42
|
$156,208.62
|
2025-10-08
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$74,933.37
|
$158,290.21
|
$154,448.20
|
2025-10-08
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
10
|
—
|
—
|
$69,148.76
|
$145,834.49
|
$142,294.80
|
2025-10-08
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
10
|
10
|
—
|
—
|
$66,066.66
|
$139,197.89
|
$135,819.29
|
2025-10-08
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$133,423.63
|
$133,423.63
|
$133,423.63
|
2025-10-08
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
10
|
10
|
—
|
—
|
$60,887.69
|
$128,046.22
|
$124,938.29
|
2025-10-08
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$60,854.71
|
$127,975.20
|
$124,868.99
|
2025-10-08
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
10
|
10
|
—
|
—
|
$59,952.24
|
$126,031.97
|
$122,972.93
|
2025-10-08
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
10
|
10
|
—
|
—
|
$57,990.83
|
$121,808.54
|
$118,852.01
|
2025-10-08
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
10
|
10
|
—
|
—
|
$57,372.60
|
$120,477.29
|
$117,553.07
|
2025-10-08
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
10
|
—
|
—
|
$57,051.88
|
$119,786.74
|
$116,879.28
|
2025-10-08
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
10
|
10
|
—
|
—
|
$56,273.63
|
$118,110.96
|
$115,244.18
|
2025-10-08
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$115,215.80
|
$115,215.80
|
$115,215.80
|
2025-10-08
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
10
|
—
|
—
|
$55,719.94
|
$116,918.73
|
$114,080.89
|
2025-10-08
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
10
|
10
|
—
|
—
|
$53,802.03
|
$112,788.99
|
$110,051.38
|
2025-10-08
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$51,265.17
|
$107,326.48
|
$104,721.46
|
2025-10-08
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
10
|
10
|
—
|
—
|
$51,014.64
|
$106,787.03
|
$104,195.11
|
2025-10-08
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
10
|
—
|
—
|
$50,239.21
|
$105,117.31
|
$102,565.90
|
2025-10-08
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$49,339.55
|
$103,180.12
|
$100,675.74
|
2025-10-08
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
10
|
10
|
—
|
—
|
$48,472.18
|
$101,312.44
|
$98,853.40
|
2025-10-08
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
10
|
10
|
—
|
—
|
$48,291.14
|
$100,922.59
|
$98,473.00
|
2025-10-08
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
10
|
—
|
—
|
$48,211.83
|
$100,751.84
|
$98,306.39
|
2025-10-08
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
10
|
—
|
—
|
$46,805.51
|
$97,723.66
|
$95,351.72
|
2025-10-08
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
10
|
—
|
—
|
$46,740.25
|
$97,583.13
|
$95,214.60
|
2025-10-08
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$45,802.69
|
$95,564.35
|
$93,244.82
|
2025-10-08
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
10
|
10
|
—
|
—
|
$44,891.10
|
$93,601.47
|
$91,329.58
|
2025-10-08
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
10
|
10
|
—
|
—
|
$44,834.97
|
$93,480.59
|
$91,211.64
|
2025-10-08
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
10
|
10
|
—
|
—
|
$44,637.07
|
$93,054.47
|
$90,795.85
|
2025-10-08
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
10
|
10
|
—
|
—
|
$44,486.18
|
$92,729.59
|
$90,478.86
|
2025-10-08
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
10
|
10
|
—
|
—
|
$44,289.71
|
$92,306.49
|
$90,066.04
|
2025-10-08
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$44,084.79
|
$91,865.26
|
$89,635.51
|
2025-10-08
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
10
|
10
|
—
|
—
|
$43,778.82
|
$91,206.43
|
$88,992.68
|
2025-10-08
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
10
|
10
|
—
|
—
|
$43,778.82
|
$91,206.43
|
$88,992.68
|
2025-10-08
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
10
|
—
|
—
|
$43,462.33
|
$90,524.94
|
$88,327.73
|
2025-10-08
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
10
|
10
|
—
|
—
|
$43,171.09
|
$89,897.85
|
$87,715.86
|
2025-10-08
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
10
|
—
|
—
|
$43,139.52
|
$89,829.85
|
$87,649.51
|
2025-10-08
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
10
|
10
|
—
|
—
|
$42,714.26
|
$88,914.15
|
$86,756.02
|
2025-10-08
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$42,279.86
|
$87,978.80
|
$85,843.38
|
2025-10-08
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$41,698.12
|
$86,726.12
|
$84,621.11
|
2025-10-08
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
10
|
—
|
—
|
$41,457.42
|
$86,207.83
|
$84,115.39
|
2025-10-08
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$83,371.49
|
$83,371.49
|
$83,371.49
|
2025-10-08
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
10
|
10
|
—
|
—
|
$40,541.61
|
$84,235.89
|
$82,191.32
|
2025-10-08
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
10
|
10
|
—
|
—
|
$40,209.68
|
$83,521.15
|
$81,493.93
|
2025-10-08
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
10
|
10
|
—
|
—
|
$40,209.68
|
$83,521.15
|
$81,493.93
|
2025-10-08
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
10
|
—
|
—
|
$40,046.88
|
$83,170.58
|
$81,151.88
|
2025-10-08
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
10
|
10
|
—
|
—
|
$39,811.08
|
$82,662.87
|
$80,656.48
|
2025-10-08
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
10
|
10
|
—
|
—
|
$39,604.76
|
$82,218.61
|
$80,223.01
|
2025-10-08
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
10
|
10
|
—
|
—
|
$39,517.75
|
$82,031.24
|
$80,040.18
|
2025-10-08
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
10
|
—
|
—
|
$39,323.36
|
$81,612.67
|
$79,631.78
|
2025-10-08
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
10
|
10
|
—
|
—
|
$39,287.57
|
$81,535.61
|
$79,556.58
|
2025-10-08
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
10
|
10
|
—
|
—
|
$39,283.37
|
$81,526.54
|
$79,547.74
|
2025-10-08
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
10
|
10
|
—
|
—
|
$38,756.34
|
$80,391.73
|
$78,440.47
|
2025-10-08
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
10
|
—
|
—
|
$38,591.41
|
$80,036.63
|
$78,093.99
|
2025-10-08
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
10
|
10
|
—
|
—
|
$37,562.66
|
$77,821.41
|
$75,932.54
|
2025-10-08
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
10
|
10
|
—
|
—
|
$37,442.65
|
$77,563.02
|
$75,680.41
|
2025-10-08
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
10
|
10
|
—
|
—
|
$37,173.16
|
$76,982.77
|
$75,114.24
|
2025-10-08
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$37,063.68
|
$76,747.04
|
$74,884.24
|
2025-10-08
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
10
|
10
|
—
|
—
|
$36,768.26
|
$76,110.88
|
$74,263.52
|
2025-10-08
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
10
|
10
|
—
|
—
|
$36,559.84
|
$75,662.10
|
$73,825.63
|
2025-10-08
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
10
|
—
|
—
|
$36,532.46
|
$75,603.17
|
$73,768.13
|
2025-10-08
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$36,518.43
|
$75,572.94
|
$73,738.64
|
2025-10-08
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
10
|
10
|
—
|
—
|
$36,392.11
|
$75,300.95
|
$73,473.25
|
2025-10-08
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
10
|
10
|
—
|
—
|
$35,714.92
|
$73,842.77
|
$72,050.46
|
2025-10-08
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
10
|
10
|
—
|
—
|
$35,507.90
|
$73,397.01
|
$71,615.52
|
2025-10-08
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
10
|
10
|
—
|
—
|
$35,451.06
|
$73,274.61
|
$71,496.10
|
2025-10-08
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
10
|
—
|
—
|
$34,933.85
|
$72,160.96
|
$70,409.47
|
2025-10-08
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
10
|
10
|
—
|
—
|
$34,788.60
|
$71,848.17
|
$70,104.27
|
2025-10-08
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
10
|
—
|
—
|
$34,782.29
|
$71,834.57
|
$70,091.00
|
2025-10-08
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$34,437.01
|
$71,091.12
|
$69,365.61
|
2025-10-08
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
10
|
10
|
—
|
—
|
$34,260.18
|
$70,710.33
|
$68,994.05
|
2025-10-08
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
10
|
10
|
—
|
—
|
$34,066.50
|
$70,293.28
|
$68,587.13
|
2025-10-08
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
10
|
10
|
—
|
—
|
$33,766.84
|
$69,648.05
|
$67,957.56
|
2025-10-08
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
10
|
—
|
—
|
$33,753.51
|
$69,619.34
|
$67,929.55
|
2025-10-08
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
10
|
10
|
—
|
—
|
$33,650.35
|
$69,397.22
|
$67,712.81
|
2025-10-08
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
10
|
10
|
—
|
—
|
$33,645.43
|
$69,386.64
|
$67,702.49
|
2025-10-08
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$33,081.92
|
$68,173.25
|
$66,518.56
|
2025-10-08
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
10
|
10
|
—
|
—
|
$32,893.15
|
$67,766.78
|
$66,121.95
|
2025-10-08
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
10
|
10
|
—
|
—
|
$32,806.14
|
$67,579.40
|
$65,939.12
|
2025-10-08
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
1
|
1
|
—
|
—
|
$65,333.98
|
$65,333.98
|
$65,333.98
|
2025-10-08
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
10
|
10
|
—
|
—
|
$32,512.78
|
$66,947.78
|
$65,322.83
|
2025-10-08
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
10
|
—
|
—
|
$32,248.24
|
$66,378.11
|
$64,766.99
|
2025-10-08
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
10
|
10
|
—
|
—
|
$31,785.77
|
$65,382.31
|
$63,795.36
|
2025-10-08
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
10
|
10
|
—
|
—
|
$31,723.31
|
$65,247.83
|
$63,664.14
|
2025-10-08
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$31,356.30
|
$64,457.54
|
$62,893.03
|
2025-10-08
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
10
|
10
|
—
|
—
|
$31,312.10
|
$64,362.35
|
$62,800.14
|
2025-10-08
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
10
|
10
|
—
|
—
|
$31,100.17
|
$63,906.00
|
$62,354.88
|
2025-10-08
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
10
|
10
|
—
|
—
|
$30,829.28
|
$63,322.73
|
$61,785.76
|
2025-10-08
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
10
|
10
|
—
|
—
|
$30,822.27
|
$63,307.62
|
$61,771.02
|
2025-10-08
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
10
|
10
|
—
|
—
|
$30,688.24
|
$63,019.01
|
$61,489.41
|
2025-10-08
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
10
|
—
|
—
|
$30,619.45
|
$62,870.92
|
$61,344.93
|
2025-10-08
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
10
|
10
|
—
|
—
|
$30,278.43
|
$62,136.54
|
$60,628.37
|
2025-10-08
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
10
|
10
|
—
|
—
|
$30,262.27
|
$62,101.79
|
$60,594.46
|
2025-10-08
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
10
|
10
|
—
|
—
|
$30,219.45
|
$62,009.62
|
$60,504.52
|
2025-10-08
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
10
|
10
|
—
|
—
|
$30,077.70
|
$61,704.38
|
$60,206.69
|
2025-10-08
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$29,964.71
|
$61,461.10
|
$59,969.32
|
2025-10-08
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
10
|
10
|
—
|
—
|
$29,912.10
|
$61,347.77
|
$59,858.74
|
2025-10-08
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$59,342.95
|
$59,342.95
|
$59,342.95
|
2025-10-08
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
10
|
10
|
—
|
—
|
$29,377.34
|
$60,196.34
|
$58,735.26
|
2025-10-08
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
10
|
10
|
—
|
—
|
$29,357.69
|
$60,154.03
|
$58,693.97
|
2025-10-08
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$58,529.29
|
$58,529.29
|
$58,529.29
|
2025-10-08
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
1
|
1
|
—
|
—
|
$58,182.66
|
$58,182.66
|
$58,182.66
|
2025-10-08
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$29,110.68
|
$59,622.13
|
$58,174.99
|
2025-10-08
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
10
|
10
|
—
|
—
|
$29,053.83
|
$59,499.73
|
$58,055.56
|
2025-10-08
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
10
|
10
|
—
|
—
|
$28,997.69
|
$59,378.85
|
$57,937.61
|
2025-10-08
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
10
|
10
|
—
|
—
|
$28,875.58
|
$59,115.92
|
$57,681.07
|
2025-10-08
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
10
|
10
|
—
|
—
|
$28,862.26
|
$59,087.21
|
$57,653.05
|
2025-10-08
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$57,624.35
|
$57,624.35
|
$57,624.35
|
2025-10-08
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
10
|
10
|
—
|
—
|
$28,710.67
|
$58,760.82
|
$57,334.58
|
2025-10-08
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
10
|
10
|
—
|
—
|
$28,544.35
|
$58,402.70
|
$56,985.15
|
2025-10-08
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
10
|
10
|
—
|
—
|
$28,516.99
|
$58,343.77
|
$56,927.65
|
2025-10-08
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$28,441.18
|
$58,180.57
|
$56,768.42
|
2025-10-08
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
10
|
—
|
—
|
$28,245.42
|
$57,758.99
|
$56,357.07
|
2025-10-08
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
10
|
10
|
—
|
—
|
$28,100.14
|
$57,446.20
|
$56,051.86
|
2025-10-08
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
10
|
10
|
—
|
—
|
$27,892.41
|
$56,998.92
|
$55,615.44
|
2025-10-08
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
10
|
10
|
—
|
—
|
$27,681.19
|
$56,544.09
|
$55,171.65
|
2025-10-08
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
1
|
1
|
—
|
—
|
$53,846.24
|
$53,846.24
|
$53,846.24
|
2025-10-08
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
10
|
10
|
—
|
—
|
$27,026.47
|
$55,134.27
|
$53,796.05
|
2025-10-08
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
10
|
10
|
—
|
—
|
$26,848.92
|
$54,751.97
|
$53,423.03
|
2025-10-08
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
10
|
10
|
—
|
—
|
$26,578.03
|
$54,168.69
|
$52,853.91
|
2025-10-08
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
10
|
10
|
—
|
—
|
$26,576.63
|
$54,165.67
|
$52,850.96
|
2025-10-08
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
10
|
10
|
—
|
—
|
$26,572.42
|
$54,156.61
|
$52,842.12
|
2025-10-08
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
10
|
10
|
—
|
—
|
$26,454.53
|
$53,902.75
|
$52,594.42
|
2025-10-08
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
10
|
10
|
—
|
—
|
$26,342.25
|
$53,660.98
|
$52,358.52
|
2025-10-08
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
10
|
10
|
—
|
—
|
$26,196.28
|
$53,346.67
|
$52,051.85
|
2025-10-08
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
10
|
10
|
—
|
—
|
$26,189.96
|
$53,333.07
|
$52,038.57
|
2025-10-08
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
10
|
10
|
—
|
—
|
$26,127.50
|
$53,198.59
|
$51,907.35
|
2025-10-08
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
10
|
10
|
—
|
—
|
$26,009.61
|
$52,944.73
|
$51,659.66
|
2025-10-08
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
10
|
10
|
—
|
—
|
$26,001.90
|
$52,928.11
|
$51,643.44
|
2025-10-08
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
10
|
—
|
—
|
$25,992.06
|
$52,906.95
|
$51,622.80
|
2025-10-08
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
10
|
10
|
—
|
—
|
$25,948.56
|
$52,813.27
|
$51,531.38
|
2025-10-08
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
10
|
10
|
—
|
—
|
$25,789.95
|
$52,471.77
|
$51,198.18
|
2025-10-08
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
10
|
10
|
—
|
—
|
$25,763.30
|
$52,414.35
|
$51,142.15
|
2025-10-08
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
10
|
10
|
—
|
—
|
$25,736.63
|
$52,356.93
|
$51,086.12
|
2025-10-08
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
10
|
10
|
—
|
—
|
$25,592.77
|
$52,047.16
|
$50,783.88
|
2025-10-08
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
10
|
10
|
—
|
—
|
$25,554.86
|
$51,965.56
|
$50,704.25
|
2025-10-08
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
10
|
10
|
—
|
—
|
$25,516.97
|
$51,883.96
|
$50,624.64
|
2025-10-08
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
10
|
10
|
—
|
—
|
$25,494.53
|
$51,835.61
|
$50,577.46
|
2025-10-08
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
10
|
—
|
—
|
$25,458.03
|
$51,757.03
|
$50,500.79
|
2025-10-08
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
10
|
10
|
—
|
—
|
$25,324.68
|
$51,469.93
|
$50,220.65
|
2025-10-08
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
10
|
10
|
—
|
—
|
$25,225.04
|
$51,255.36
|
$50,011.29
|
2025-10-08
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
10
|
10
|
—
|
—
|
$24,977.32
|
$50,721.95
|
$49,490.83
|
2025-10-08
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
10
|
10
|
—
|
—
|
$24,726.09
|
$50,180.99
|
$48,963.01
|
2025-10-08
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$24,592.75
|
$49,893.89
|
$48,682.87
|
2025-10-08
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
10
|
10
|
—
|
—
|
$24,359.77
|
$49,392.21
|
$48,193.37
|
2025-10-08
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
10
|
10
|
—
|
—
|
$24,294.52
|
$49,251.69
|
$48,056.25
|
2025-10-08
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
10
|
10
|
—
|
—
|
$24,284.68
|
$49,230.53
|
$48,035.61
|
2025-10-08
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
10
|
10
|
—
|
—
|
$24,013.10
|
$48,645.75
|
$47,465.02
|
2025-10-08
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
10
|
—
|
—
|
$23,908.54
|
$48,420.60
|
$47,245.34
|
2025-10-08
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
10
|
10
|
—
|
—
|
$23,843.27
|
$48,280.07
|
$47,108.22
|
2025-10-08
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
10
|
10
|
—
|
—
|
$23,800.47
|
$48,187.89
|
$47,018.28
|
2025-10-08
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
1
|
1
|
—
|
—
|
$46,927.20
|
$46,927.20
|
$46,927.20
|
2025-10-08
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
10
|
10
|
—
|
—
|
$23,740.13
|
$48,057.94
|
$46,891.49
|
2025-10-08
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
10
|
10
|
—
|
—
|
$23,695.21
|
$47,961.23
|
$46,797.12
|
2025-10-08
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
10
|
10
|
—
|
—
|
$23,658.02
|
$47,881.15
|
$46,718.98
|
2025-10-08
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$23,323.28
|
$47,160.37
|
$46,015.70
|
2025-10-08
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
10
|
10
|
—
|
—
|
$23,313.46
|
$47,139.21
|
$45,995.06
|
2025-10-08
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$23,220.11
|
$46,938.24
|
$45,798.96
|
2025-10-08
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$23,122.57
|
$46,728.20
|
$45,594.02
|
2025-10-08
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
10
|
10
|
—
|
—
|
$23,077.67
|
$46,631.50
|
$45,499.66
|
2025-10-08
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
10
|
10
|
—
|
—
|
$23,062.22
|
$46,598.25
|
$45,467.23
|
2025-10-08
|
|
652
|
MS_DRG
|
Kidney Transplant
|
10
|
10
|
—
|
—
|
$22,975.20
|
$46,410.88
|
$45,284.40
|
2025-10-08
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
10
|
10
|
—
|
—
|
$22,955.55
|
$46,368.57
|
$45,243.11
|
2025-10-08
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
10
|
10
|
—
|
—
|
$22,885.38
|
$46,217.46
|
$45,095.68
|
2025-10-08
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
10
|
10
|
—
|
—
|
$22,545.73
|
$45,486.11
|
$44,382.07
|
2025-10-08
|
|
0266T
|
CPT
|
Apc
|
1
|
1
|
—
|
—
|
$44,270.30
|
$44,270.30
|
$44,270.30
|
2025-10-08
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
1
|
1
|
—
|
—
|
$44,270.30
|
$44,270.30
|
$44,270.30
|
2025-10-08
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
10
|
10
|
—
|
—
|
$22,377.32
|
$45,123.45
|
$44,028.22
|
2025-10-08
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
10
|
10
|
—
|
—
|
$22,113.45
|
$44,555.29
|
$43,473.85
|
2025-10-08
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
10
|
10
|
—
|
—
|
$22,060.11
|
$44,440.45
|
$43,361.79
|
2025-10-08
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
10
|
10
|
—
|
—
|
$22,003.96
|
$44,319.57
|
$43,243.84
|
2025-10-08
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
10
|
10
|
—
|
—
|
$21,886.76
|
$44,067.22
|
$42,997.62
|
2025-10-08
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
10
|
10
|
—
|
—
|
$21,875.55
|
$44,043.04
|
$42,974.03
|
2025-10-08
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
10
|
10
|
—
|
—
|
$21,869.23
|
$44,029.44
|
$42,960.76
|
2025-10-08
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
10
|
10
|
—
|
—
|
$21,858.00
|
$44,005.26
|
$42,937.18
|
2025-10-08
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
10
|
10
|
—
|
—
|
$21,752.75
|
$43,778.60
|
$42,716.01
|
2025-10-08
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$42,375.57
|
$42,375.57
|
$42,375.57
|
2025-10-08
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$21,541.52
|
$43,323.77
|
$42,272.23
|
2025-10-08
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
10
|
10
|
—
|
—
|
$21,518.36
|
$43,273.91
|
$42,223.57
|
2025-10-08
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
10
|
10
|
—
|
—
|
$21,506.42
|
$43,248.22
|
$42,198.50
|
2025-10-08
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
10
|
10
|
—
|
—
|
$21,478.35
|
$43,187.78
|
$42,139.53
|
2025-10-08
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
10
|
10
|
—
|
—
|
$21,399.05
|
$43,017.03
|
$41,972.92
|
2025-10-08
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
10
|
10
|
—
|
—
|
$21,225.73
|
$42,643.79
|
$41,608.75
|
2025-10-08
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
10
|
10
|
—
|
—
|
$21,129.58
|
$42,436.78
|
$41,406.75
|
2025-10-08
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
10
|
10
|
—
|
—
|
$21,109.23
|
$42,392.96
|
$41,363.99
|
2025-10-08
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
10
|
10
|
—
|
—
|
$20,624.31
|
$41,348.81
|
$40,345.19
|
2025-10-08
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
10
|
10
|
—
|
—
|
$20,589.93
|
$41,274.77
|
$40,272.95
|
2025-10-08
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
10
|
10
|
—
|
—
|
$20,554.83
|
$41,199.21
|
$40,199.23
|
2025-10-08
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
10
|
10
|
—
|
—
|
$20,486.09
|
$41,051.13
|
$40,054.74
|
2025-10-08
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
10
|
10
|
—
|
—
|
$20,392.74
|
$40,850.16
|
$39,858.64
|
2025-10-08
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
10
|
10
|
—
|
—
|
$20,330.27
|
$40,715.67
|
$39,727.43
|
2025-10-08
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
10
|
10
|
—
|
—
|
$20,255.19
|
$40,553.99
|
$39,569.67
|
2025-10-08
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
10
|
10
|
—
|
—
|
$20,243.26
|
$40,528.30
|
$39,544.60
|
2025-10-08
|
|
849
|
MS_DRG
|
Radiotherapy
|
10
|
10
|
—
|
—
|
$20,166.06
|
$40,362.08
|
$39,382.42
|
2025-10-08
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
10
|
10
|
—
|
—
|
$20,107.82
|
$40,236.67
|
$39,260.04
|
2025-10-08
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$20,041.16
|
$40,093.11
|
$39,119.97
|
2025-10-08
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
10
|
10
|
—
|
—
|
$20,018.01
|
$40,043.25
|
$39,071.32
|
2025-10-08
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
10
|
10
|
—
|
—
|
$19,994.13
|
$39,991.87
|
$39,021.19
|
2025-10-08
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
10
|
10
|
—
|
—
|
$19,975.19
|
$39,951.07
|
$38,981.39
|
2025-10-08
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
10
|
10
|
—
|
—
|
$19,830.62
|
$39,639.79
|
$38,677.66
|
2025-10-08
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
10
|
10
|
—
|
—
|
$19,782.90
|
$39,537.04
|
$38,577.40
|
2025-10-08
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
10
|
10
|
—
|
—
|
$19,587.12
|
$39,115.45
|
$38,166.04
|
2025-10-08
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
10
|
10
|
—
|
—
|
$19,556.94
|
$39,050.48
|
$38,102.65
|
2025-10-08
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
10
|
10
|
—
|
—
|
$19,342.91
|
$38,589.60
|
$37,652.96
|
2025-10-08
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
10
|
10
|
—
|
—
|
$19,337.28
|
$38,577.51
|
$37,641.17
|
2025-10-08
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
10
|
10
|
—
|
—
|
$19,303.61
|
$38,504.98
|
$37,570.40
|
2025-10-08
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
10
|
10
|
—
|
—
|
$19,211.67
|
$38,307.03
|
$37,377.25
|
2025-10-08
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
10
|
10
|
—
|
—
|
$19,154.14
|
$38,183.13
|
$37,256.35
|
2025-10-08
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
10
|
10
|
—
|
—
|
$19,140.10
|
$38,152.91
|
$37,226.86
|
2025-10-08
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
10
|
10
|
—
|
—
|
$19,084.66
|
$38,033.53
|
$37,110.38
|
2025-10-08
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
10
|
10
|
—
|
—
|
$18,994.14
|
$37,838.60
|
$36,920.19
|
2025-10-08
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
10
|
10
|
—
|
—
|
$18,980.80
|
$37,809.89
|
$36,892.18
|
2025-10-08
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
10
|
10
|
—
|
—
|
$18,809.56
|
$37,441.19
|
$36,532.42
|
2025-10-08
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
10
|
10
|
—
|
—
|
$18,739.40
|
$37,290.09
|
$36,384.99
|
2025-10-08
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
10
|
10
|
—
|
—
|
$18,612.38
|
$37,016.58
|
$36,118.12
|
2025-10-08
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
10
|
10
|
—
|
—
|
$18,602.56
|
$36,995.43
|
$36,097.47
|
2025-10-08
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
10
|
10
|
—
|
—
|
$18,460.80
|
$36,690.19
|
$35,799.65
|
2025-10-08
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
1
|
1
|
—
|
—
|
$35,759.41
|
$35,759.41
|
$35,759.41
|
2025-10-08
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
10
|
10
|
—
|
—
|
$18,394.83
|
$36,548.15
|
$35,661.06
|
2025-10-08
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
1
|
1
|
—
|
—
|
$35,605.40
|
$35,605.40
|
$35,605.40
|
2025-10-08
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
10
|
10
|
—
|
—
|
$18,341.51
|
$36,433.31
|
$35,549.01
|
2025-10-08
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
10
|
10
|
—
|
—
|
$18,270.60
|
$36,280.69
|
$35,400.10
|
2025-10-08
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
1
|
1
|
—
|
—
|
$35,394.89
|
$35,394.89
|
$35,394.89
|
2025-10-08
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
10
|
10
|
—
|
—
|
$18,243.96
|
$36,223.27
|
$35,344.07
|
2025-10-08
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
10
|
10
|
—
|
—
|
$18,243.96
|
$36,223.27
|
$35,344.07
|
2025-10-08
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
10
|
10
|
—
|
—
|
$18,098.69
|
$35,910.48
|
$35,038.87
|
2025-10-08
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
10
|
10
|
—
|
—
|
$18,034.84
|
$35,772.98
|
$34,904.70
|
2025-10-08
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
10
|
10
|
—
|
—
|
$18,030.62
|
$35,763.91
|
$34,895.85
|
2025-10-08
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
10
|
10
|
—
|
—
|
$18,008.87
|
$35,717.07
|
$34,850.15
|
2025-10-08
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
10
|
10
|
—
|
—
|
$17,982.19
|
$35,659.65
|
$34,794.12
|
2025-10-08
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
10
|
10
|
—
|
—
|
$17,832.73
|
$35,337.79
|
$34,480.07
|
2025-10-08
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
1
|
1
|
—
|
—
|
$34,432.57
|
$34,432.57
|
$34,432.57
|
2025-10-08
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
10
|
10
|
—
|
—
|
$17,703.60
|
$35,059.75
|
$34,208.79
|
2025-10-08
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
10
|
10
|
—
|
—
|
$17,665.69
|
$34,978.16
|
$34,129.17
|
2025-10-08
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
10
|
10
|
—
|
—
|
$17,650.26
|
$34,944.91
|
$34,096.73
|
2025-10-08
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,620.79
|
$34,881.45
|
$34,034.81
|
2025-10-08
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
10
|
10
|
—
|
—
|
$17,520.45
|
$34,665.37
|
$33,823.97
|
2025-10-08
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
10
|
10
|
—
|
—
|
$17,493.77
|
$34,607.94
|
$33,767.94
|
2025-10-08
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,444.65
|
$34,502.17
|
$33,664.74
|
2025-10-08
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
10
|
10
|
—
|
—
|
$17,414.49
|
$34,437.19
|
$33,601.34
|
2025-10-08
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,385.02
|
$34,373.73
|
$33,539.41
|
2025-10-08
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
10
|
10
|
—
|
—
|
$17,323.24
|
$34,240.76
|
$33,409.67
|
2025-10-08
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
10
|
10
|
—
|
—
|
$17,269.21
|
$34,124.40
|
$33,296.14
|
2025-10-08
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
10
|
10
|
—
|
—
|
$17,268.51
|
$34,122.89
|
$33,294.66
|
2025-10-08
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
10
|
10
|
—
|
—
|
$17,257.28
|
$34,098.72
|
$33,271.07
|
2025-10-08
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
10
|
10
|
—
|
—
|
$17,230.61
|
$34,041.29
|
$33,215.04
|
2025-10-08
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,225.00
|
$34,029.21
|
$33,203.25
|
2025-10-08
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,204.65
|
$33,985.39
|
$33,160.50
|
2025-10-08
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
10
|
10
|
—
|
—
|
$17,190.61
|
$33,955.16
|
$33,131.00
|
2025-10-08
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
10
|
10
|
—
|
—
|
$17,087.47
|
$33,733.04
|
$32,914.27
|
2025-10-08
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
10
|
10
|
—
|
—
|
$17,038.34
|
$33,627.26
|
$32,811.07
|
2025-10-08
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
10
|
10
|
—
|
—
|
$16,953.43
|
$33,444.42
|
$32,632.67
|
2025-10-08
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
10
|
10
|
—
|
—
|
$16,855.88
|
$33,234.39
|
$32,427.72
|
2025-10-08
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
10
|
10
|
—
|
—
|
$16,834.81
|
$33,189.05
|
$32,383.49
|
2025-10-08
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
10
|
10
|
—
|
—
|
$16,737.27
|
$32,979.02
|
$32,178.55
|
2025-10-08
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
10
|
10
|
—
|
—
|
$16,712.03
|
$32,924.62
|
$32,125.47
|
2025-10-08
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
10
|
10
|
—
|
—
|
$16,644.65
|
$32,779.55
|
$31,983.93
|
2025-10-08
|
|
475
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
10
|
10
|
—
|
—
|
$16,560.43
|
$32,598.23
|
$31,807.00
|
2025-10-08
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
10
|
10
|
—
|
—
|
$16,533.78
|
$32,540.81
|
$31,750.98
|
2025-10-08
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
10
|
10
|
—
|
—
|
$16,498.68
|
$32,465.25
|
$31,677.26
|
2025-10-08
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
10
|
10
|
—
|
—
|
$16,479.74
|
$32,424.45
|
$31,637.45
|
2025-10-08
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
10
|
10
|
—
|
—
|
$16,469.21
|
$32,401.79
|
$31,615.33
|
2025-10-08
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
33264
|
CPT
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
33249
|
CPT
|
Insj/rplcmt Defib W/lead(s)
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
33231
|
CPT
|
Insrt Pulse Gen W/mult Leads
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
1
|
1
|
—
|
—
|
$31,541.34
|
$31,541.34
|
$31,541.34
|
2025-10-08
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
10
|
10
|
—
|
—
|
$16,410.26
|
$32,274.86
|
$31,491.49
|
2025-10-08
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
10
|
10
|
—
|
—
|
$16,409.57
|
$32,273.35
|
$31,490.01
|
2025-10-08
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
10
|
10
|
—
|
—
|
$16,408.16
|
$32,270.33
|
$31,487.07
|
2025-10-08
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
10
|
10
|
—
|
—
|
$16,380.09
|
$32,209.88
|
$31,428.08
|
2025-10-08
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
10
|
10
|
—
|
—
|
$16,335.88
|
$32,114.69
|
$31,335.20
|
2025-10-08
|