|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
12
|
6
|
—
|
—
|
$4,377,500.00
|
$4,955,500.00
|
$4,572,575.00
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
18
|
8
|
—
|
—
|
$3,685,266.67
|
$4,975,110.00
|
$3,869,530.00
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
2
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
20
|
8
|
—
|
—
|
$3,316,462.59
|
$4,643,047.62
|
$3,565,197.29
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
20
|
8
|
—
|
—
|
$3,248,445.72
|
$4,547,824.00
|
$3,492,079.15
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
20
|
8
|
—
|
—
|
$2,945,740.00
|
$4,124,036.00
|
$3,166,670.50
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
24
|
10
|
—
|
—
|
$2,452,115.60
|
$4,640,159.04
|
$2,934,035.43
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
24
|
10
|
—
|
—
|
$2,332,000.00
|
$4,407,480.00
|
$2,786,909.31
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
28
|
8
|
—
|
—
|
$770,620.00
|
$2,219,385.60
|
$1,021,071.50
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
34
|
9
|
—
|
—
|
$578,324.58
|
$1,704,171.46
|
$828,416.68
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
34
|
9
|
—
|
—
|
$541,635.66
|
$1,620,109.97
|
$787,553.46
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
28
|
8
|
—
|
—
|
$553,378.83
|
$1,629,702.56
|
$749,776.35
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
34
|
9
|
—
|
—
|
$533,076.48
|
$1,535,702.89
|
$746,522.24
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
28
|
8
|
—
|
—
|
$541,260.45
|
$1,605,075.65
|
$738,446.26
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
34
|
9
|
—
|
—
|
$489,304.61
|
$1,409,197.27
|
$685,026.45
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
104
|
27
|
—
|
—
|
$6,159.40
|
$921,318.39
|
$488,315.78
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
102
|
27
|
—
|
—
|
$241,046.04
|
$700,916.39
|
$390,103.53
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
28
|
10
|
—
|
—
|
$270,375.00
|
$813,286.83
|
$360,353.95
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
34
|
9
|
—
|
—
|
$257,500.00
|
$741,600.00
|
$347,625.00
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
32
|
8
|
—
|
—
|
$205,640.00
|
$592,243.20
|
$329,024.00
|
2026-04-01
|
|
9075
|
OTHER
|
Inj, Kovaltry, 1 I.u.
|
2
|
1
|
—
|
—
|
$301,021.04
|
$301,021.04
|
$301,021.04
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
94
|
26
|
—
|
—
|
$212,657.78
|
$494,040.26
|
$276,455.11
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
134
|
30
|
—
|
—
|
$89,337.21
|
$463,168.09
|
$225,226.68
|
2026-04-01
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
6
|
1
|
—
|
—
|
$161,591.18
|
$183,359.94
|
$178,336.38
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
86
|
26
|
—
|
—
|
$129,594.32
|
$244,933.26
|
$168,472.62
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
112
|
28
|
—
|
—
|
$54,911.05
|
$316,210.45
|
$160,457.15
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
4
|
—
|
—
|
$103,678.38
|
$217,316.97
|
$158,308.91
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
88
|
27
|
—
|
—
|
$113,591.33
|
$329,435.62
|
$150,508.52
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
120
|
28
|
—
|
—
|
$64,717.31
|
$619,957.65
|
$148,893.43
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
86
|
26
|
—
|
—
|
$113,462.78
|
$214,444.65
|
$147,501.61
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
94
|
27
|
—
|
—
|
$109,065.52
|
$239,040.11
|
$147,238.45
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
106
|
27
|
—
|
—
|
$53,223.23
|
$270,046.00
|
$140,609.43
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
100
|
26
|
—
|
—
|
$91,474.25
|
$347,908.07
|
$132,496.16
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
104
|
26
|
—
|
—
|
$1,235.92
|
$279,805.65
|
$125,260.06
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
12
|
4
|
—
|
—
|
$79,429.57
|
$140,368.45
|
$124,511.63
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
90
|
26
|
—
|
—
|
$46,704.55
|
$224,467.47
|
$122,349.23
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
12
|
4
|
—
|
—
|
$77,597.91
|
$174,469.28
|
$120,668.07
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
12
|
4
|
—
|
—
|
$73,543.36
|
$129,966.30
|
$115,284.57
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
102
|
26
|
—
|
—
|
$59,710.10
|
$295,113.15
|
$114,458.76
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
92
|
26
|
—
|
—
|
$83,391.90
|
$232,810.07
|
$112,382.29
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
4
|
—
|
—
|
$71,560.71
|
$149,996.14
|
$109,267.70
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
112
|
27
|
—
|
—
|
$64,210.60
|
$254,347.71
|
$109,104.39
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
12
|
4
|
—
|
—
|
$66,402.94
|
$117,347.70
|
$104,091.43
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
118
|
28
|
—
|
—
|
$41,300.33
|
$231,814.56
|
$100,704.45
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
102
|
26
|
—
|
—
|
$48,655.72
|
$252,017.14
|
$97,418.82
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
92
|
26
|
—
|
—
|
$76,561.89
|
$160,455.14
|
$96,008.21
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
88
|
26
|
—
|
—
|
$72,088.77
|
$220,911.26
|
$95,517.62
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
86
|
26
|
—
|
—
|
$72,495.17
|
$137,015.87
|
$94,243.72
|
2026-04-01
|
|
9257
|
OTHER
|
Inj., Emicizumab-kxwh 0.5 Mg
|
6
|
3
|
—
|
—
|
$25,564.77
|
$191,688.00
|
$92,137.82
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
116
|
27
|
—
|
—
|
$42,962.64
|
$220,448.81
|
$91,299.35
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
96
|
26
|
—
|
—
|
$46,101.82
|
$146,093.47
|
$90,807.85
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
86
|
26
|
—
|
—
|
$66,558.33
|
$139,665.95
|
$89,853.75
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
38
|
10
|
—
|
—
|
$63,342.28
|
$182,425.77
|
$85,512.08
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
132
|
29
|
—
|
—
|
$2,084.80
|
$213,037.47
|
$85,119.10
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
12
|
4
|
—
|
—
|
$54,138.79
|
$95,674.43
|
$84,866.50
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
110
|
26
|
—
|
—
|
$15,741.42
|
$244,586.98
|
$83,425.68
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
12
|
4
|
—
|
—
|
$53,885.52
|
$112,947.73
|
$82,279.04
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
12
|
4
|
—
|
—
|
$52,468.58
|
$92,722.81
|
$82,248.32
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
108
|
27
|
—
|
—
|
$28,812.87
|
$338,544.72
|
$81,816.32
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
12
|
4
|
—
|
—
|
$52,084.74
|
$92,044.49
|
$81,646.62
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
88
|
26
|
—
|
—
|
$38,392.82
|
$125,348.58
|
$81,434.99
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
114
|
27
|
—
|
—
|
$45,505.79
|
$287,707.20
|
$81,050.12
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
104
|
26
|
—
|
—
|
$15,590.53
|
$225,132.55
|
$80,761.05
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
100
|
26
|
—
|
—
|
$47,371.73
|
$252,617.19
|
$80,738.79
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
126
|
29
|
—
|
—
|
$15,723.98
|
$214,863.57
|
$80,731.86
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
86
|
26
|
—
|
—
|
$62,069.11
|
$117,310.62
|
$80,689.84
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
96
|
26
|
—
|
—
|
$56,959.90
|
$237,345.84
|
$79,743.86
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
114
|
28
|
—
|
—
|
$33,877.79
|
$159,494.43
|
$78,595.13
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
110
|
28
|
—
|
—
|
$42,103.33
|
$175,766.17
|
$78,174.72
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
94
|
26
|
—
|
—
|
$55,581.81
|
$139,665.95
|
$76,931.01
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
106
|
28
|
—
|
—
|
$32,471.32
|
$193,523.56
|
$76,136.74
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
86
|
26
|
—
|
—
|
$56,153.02
|
$135,446.05
|
$75,806.58
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
96
|
27
|
—
|
—
|
$45,150.65
|
$116,213.59
|
$75,433.85
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
86
|
26
|
—
|
—
|
$57,971.45
|
$109,566.04
|
$75,362.88
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
106
|
26
|
—
|
—
|
$18,211.83
|
$138,821.73
|
$74,423.68
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
32
|
10
|
—
|
—
|
$56,824.55
|
$166,090.41
|
$73,591.92
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
128
|
29
|
—
|
—
|
$22,009.33
|
$313,852.73
|
$73,379.97
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
92
|
26
|
—
|
—
|
$54,056.18
|
$143,990.00
|
$73,005.40
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
108
|
26
|
—
|
—
|
$63,863.06
|
$289,046.40
|
$72,748.05
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
32
|
9
|
—
|
—
|
$55,272.32
|
$159,184.29
|
$71,854.02
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
94
|
27
|
—
|
—
|
$24,518.65
|
$156,723.54
|
$71,833.02
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
102
|
26
|
—
|
—
|
$38,750.17
|
$179,863.57
|
$71,702.28
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
108
|
27
|
—
|
—
|
$12,086.14
|
$243,905.37
|
$71,469.70
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
92
|
26
|
—
|
—
|
$51,938.34
|
$118,419.49
|
$71,399.83
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
90
|
26
|
—
|
—
|
$47,572.41
|
$107,058.89
|
$69,361.68
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
34
|
10
|
—
|
—
|
$4,762.00
|
$182,277.40
|
$68,598.87
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
100
|
26
|
—
|
—
|
$13,090.69
|
$113,729.86
|
$68,389.20
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
104
|
26
|
—
|
—
|
$10,990.92
|
$143,591.80
|
$67,438.81
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
102
|
26
|
—
|
—
|
$46,811.81
|
$163,556.55
|
$67,240.49
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
118
|
28
|
—
|
—
|
$26,271.90
|
$130,791.78
|
$66,825.69
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
12
|
4
|
—
|
—
|
$42,797.43
|
$96,224.72
|
$66,551.83
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
96
|
27
|
—
|
—
|
$46,611.92
|
$232,464.74
|
$66,434.58
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
118
|
27
|
—
|
—
|
$26,885.98
|
$154,171.93
|
$65,527.41
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
90
|
26
|
—
|
—
|
$45,023.38
|
$106,936.56
|
$65,124.54
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
124
|
28
|
—
|
—
|
$28,715.28
|
$156,508.54
|
$64,311.27
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
130
|
30
|
—
|
—
|
$23,175.92
|
$344,044.32
|
$64,023.12
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
94
|
26
|
—
|
—
|
$23,385.37
|
$105,087.72
|
$62,950.55
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
112
|
28
|
—
|
—
|
$13,584.48
|
$168,105.41
|
$62,415.93
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
90
|
26
|
—
|
—
|
$47,795.56
|
$114,158.68
|
$62,134.23
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
88
|
26
|
—
|
—
|
$16,686.25
|
$96,909.94
|
$61,817.16
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
110
|
27
|
—
|
—
|
$41,300.33
|
$142,788.41
|
$61,768.37
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
124
|
29
|
—
|
—
|
$10,460.52
|
$548,897.45
|
$61,704.67
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
110
|
27
|
—
|
—
|
$11,827.51
|
$133,261.02
|
$61,408.29
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
102
|
27
|
—
|
—
|
$31,893.88
|
$158,423.79
|
$61,371.95
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
122
|
29
|
—
|
—
|
$11,436.02
|
$105,148.05
|
$61,197.28
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
92
|
27
|
—
|
—
|
$33,308.20
|
$133,253.68
|
$61,174.99
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
102
|
27
|
—
|
—
|
$30,649.77
|
$148,512.26
|
$61,112.45
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
38
|
10
|
—
|
—
|
$45,020.65
|
$129,659.47
|
$60,777.88
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
114
|
26
|
—
|
—
|
$28,565.91
|
$96,119.60
|
$58,352.58
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
94
|
27
|
—
|
—
|
$29,499.64
|
$100,025.51
|
$58,215.91
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
118
|
29
|
—
|
—
|
$10,813.10
|
$154,064.14
|
$58,133.06
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
94
|
26
|
—
|
—
|
$42,800.06
|
$139,273.77
|
$57,730.07
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
116
|
28
|
—
|
—
|
$37,298.66
|
$121,216.44
|
$57,641.07
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
104
|
27
|
—
|
—
|
$34,259.71
|
$127,657.23
|
$56,988.49
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
92
|
26
|
—
|
—
|
$45,670.59
|
$101,785.99
|
$56,828.81
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
104
|
27
|
—
|
—
|
$19,993.38
|
$127,023.78
|
$56,565.29
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
94
|
26
|
—
|
—
|
$40,070.18
|
$81,340.65
|
$55,948.59
|
2026-04-01
|
|
5661
|
OTHER
|
Therapeutic Nuclear Medicine
|
34
|
9
|
—
|
—
|
$15,839.56
|
$113,046.19
|
$54,071.40
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
104
|
27
|
—
|
—
|
$20,756.18
|
$94,891.76
|
$53,972.82
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
140
|
29
|
—
|
—
|
$9,792.66
|
$157,438.70
|
$52,623.51
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
96
|
26
|
—
|
—
|
$10,121.63
|
$88,595.56
|
$52,602.86
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
140
|
30
|
—
|
—
|
$130.00
|
$229,505.41
|
$52,265.45
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
104
|
26
|
—
|
—
|
$32,721.94
|
$110,865.61
|
$51,989.11
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
106
|
27
|
—
|
—
|
$9,553.38
|
$108,718.25
|
$50,630.58
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
134
|
28
|
—
|
—
|
$12,432.16
|
$689,348.89
|
$50,330.69
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
98
|
27
|
—
|
—
|
$20,086.63
|
$383,601.56
|
$50,226.93
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
88
|
26
|
—
|
—
|
$33,979.18
|
$77,369.30
|
$49,915.48
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
110
|
26
|
—
|
—
|
$21,569.74
|
$175,317.66
|
$49,475.17
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
132
|
30
|
—
|
—
|
$18,653.56
|
$228,845.86
|
$49,341.23
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
100
|
27
|
—
|
—
|
$8,827.86
|
$86,646.33
|
$49,282.96
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
88
|
26
|
—
|
—
|
$36,968.03
|
$69,869.58
|
$48,982.64
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
12
|
4
|
—
|
—
|
$31,223.67
|
$55,178.66
|
$48,945.37
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
92
|
26
|
—
|
—
|
$31,849.41
|
$69,778.21
|
$48,873.90
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
122
|
29
|
—
|
—
|
$6,620.64
|
$107,299.34
|
$48,844.94
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
88
|
26
|
—
|
—
|
$28,337.89
|
$75,689.21
|
$48,811.75
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
12
|
4
|
—
|
—
|
$31,074.28
|
$54,914.67
|
$48,711.19
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
104
|
29
|
—
|
—
|
$18,271.87
|
$87,550.87
|
$48,639.37
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
86
|
26
|
—
|
—
|
$37,342.79
|
$70,577.87
|
$48,545.63
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
92
|
27
|
—
|
—
|
$8,199.56
|
$79,087.45
|
$48,452.03
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
112
|
27
|
—
|
—
|
$30,360.62
|
$81,194.87
|
$48,132.62
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
34
|
10
|
—
|
—
|
$4,188.00
|
$127,639.66
|
$48,036.32
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
34
|
10
|
—
|
—
|
$3,369.00
|
$127,639.66
|
$48,036.32
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
34
|
10
|
—
|
—
|
$2,967.00
|
$127,639.66
|
$48,036.32
|
2026-04-01
|
|
1844
|
OTHER
|
Factor Viii Pegylated Recomb
|
4
|
2
|
—
|
—
|
$14,049.03
|
$81,634.41
|
$47,841.72
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
126
|
29
|
—
|
—
|
$22,297.97
|
$159,144.43
|
$47,821.87
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
110
|
27
|
—
|
—
|
$8,825.75
|
$81,434.09
|
$47,395.50
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
112
|
27
|
—
|
—
|
$12,777.83
|
$158,944.23
|
$47,020.69
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
134
|
30
|
—
|
—
|
$871.76
|
$86,670.64
|
$46,774.63
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
96
|
26
|
—
|
—
|
$35,898.62
|
$81,837.76
|
$46,547.93
|
2026-04-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
86
|
26
|
—
|
—
|
$35,542.16
|
$67,174.68
|
$46,204.81
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
110
|
26
|
—
|
—
|
$16,931.13
|
$82,624.54
|
$45,902.52
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
100
|
26
|
—
|
—
|
$33,644.04
|
$80,011.88
|
$45,509.40
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
90
|
26
|
—
|
—
|
$35,695.71
|
$75,250.03
|
$45,287.19
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
126
|
28
|
—
|
—
|
$16,640.63
|
$98,598.74
|
$45,204.48
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
92
|
26
|
—
|
—
|
$30,946.78
|
$64,436.79
|
$45,173.94
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
96
|
26
|
—
|
—
|
$14,223.12
|
$193,122.73
|
$44,777.43
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
108
|
27
|
—
|
—
|
$10,000.00
|
$106,834.52
|
$44,434.51
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
96
|
26
|
—
|
—
|
$20,985.27
|
$76,532.23
|
$44,210.22
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
134
|
30
|
—
|
—
|
$8,657.65
|
$135,120.09
|
$44,072.61
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
90
|
26
|
—
|
—
|
$26,165.99
|
$63,702.34
|
$43,816.42
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
92
|
27
|
—
|
—
|
$32,959.37
|
$67,491.15
|
$43,671.17
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
124
|
29
|
—
|
—
|
$23,523.81
|
$252,171.28
|
$43,482.09
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
98
|
26
|
—
|
—
|
$31,437.48
|
$118,910.60
|
$43,357.86
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
12
|
4
|
—
|
—
|
$27,558.53
|
$48,701.61
|
$43,200.00
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
102
|
27
|
—
|
—
|
$15,237.21
|
$176,702.03
|
$42,929.45
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
126
|
31
|
—
|
—
|
$1,600.00
|
$91,317.40
|
$42,770.40
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
122
|
30
|
—
|
—
|
$2,435.00
|
$88,540.39
|
$42,510.31
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
98
|
27
|
—
|
—
|
$6,543.69
|
$66,898.53
|
$42,488.54
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
116
|
27
|
—
|
—
|
$23,878.72
|
$74,663.20
|
$42,467.16
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
90
|
26
|
—
|
—
|
$27,081.01
|
$70,723.65
|
$42,453.45
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
86
|
26
|
—
|
—
|
$32,596.15
|
$61,633.50
|
$42,393.42
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
90
|
26
|
—
|
—
|
$13,553.77
|
$70,531.15
|
$42,332.94
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
102
|
27
|
—
|
—
|
$14,562.70
|
$70,411.53
|
$42,258.06
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
118
|
28
|
—
|
—
|
$20,707.40
|
$150,630.11
|
$42,233.33
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
98
|
26
|
—
|
—
|
$14,242.63
|
$88,456.79
|
$42,231.11
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
86
|
26
|
—
|
—
|
$32,379.33
|
$61,242.92
|
$42,124.76
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
102
|
27
|
—
|
—
|
$7,461.25
|
$112,712.46
|
$41,779.53
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
92
|
27
|
—
|
—
|
$14,301.83
|
$70,671.31
|
$41,776.07
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
90
|
26
|
—
|
—
|
$30,437.69
|
$69,492.07
|
$41,682.42
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
106
|
26
|
—
|
—
|
$8,194.17
|
$157,223.31
|
$41,647.02
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
88
|
26
|
—
|
—
|
$31,714.60
|
$64,646.11
|
$41,557.10
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
86
|
26
|
—
|
—
|
$31,760.00
|
$60,127.19
|
$41,357.33
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
96
|
26
|
—
|
—
|
$30,160.92
|
$69,428.53
|
$41,025.39
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
94
|
26
|
—
|
—
|
$26,581.21
|
$74,386.20
|
$40,993.55
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
94
|
26
|
—
|
—
|
$14,983.72
|
$70,310.63
|
$40,921.53
|
2026-04-01
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
6
|
1
|
—
|
—
|
$37,056.00
|
$42,048.00
|
$40,896.00
|
2026-04-01
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
32
|
9
|
—
|
—
|
$4,188.00
|
$99,275.61
|
$40,590.86
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
102
|
26
|
—
|
—
|
$6,617.52
|
$72,930.77
|
$40,517.10
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
118
|
27
|
—
|
—
|
$8,239.01
|
$72,764.43
|
$40,424.68
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
110
|
29
|
—
|
—
|
$10,884.22
|
$93,032.21
|
$40,420.54
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
88
|
26
|
—
|
—
|
$31,392.74
|
$62,909.94
|
$40,416.53
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
110
|
27
|
—
|
—
|
$19,692.54
|
$134,908.88
|
$40,385.59
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
34
|
10
|
—
|
—
|
$6,652.00
|
$90,959.92
|
$40,149.50
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
34
|
10
|
—
|
—
|
$3,369.00
|
$90,959.92
|
$40,149.50
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
34
|
10
|
—
|
—
|
$6,652.00
|
$90,959.92
|
$40,149.50
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
34
|
10
|
—
|
—
|
$6,652.00
|
$90,959.92
|
$40,149.50
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
34
|
10
|
—
|
—
|
$6,652.00
|
$90,959.92
|
$40,149.50
|
2026-04-01
|
|
9396
|
OTHER
|
Afamelanotide Implant, 1 Mg
|
2
|
1
|
—
|
—
|
$40,054.52
|
$40,054.52
|
$40,054.52
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
110
|
26
|
—
|
—
|
$20,327.70
|
$86,486.34
|
$40,053.54
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
110
|
27
|
—
|
—
|
$13,636.12
|
$135,042.11
|
$39,915.72
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
96
|
26
|
—
|
—
|
$28,221.04
|
$104,212.00
|
$39,797.76
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
26
|
9
|
—
|
—
|
$30,593.52
|
$89,420.69
|
$39,771.57
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
96
|
26
|
—
|
—
|
$25,417.20
|
$66,930.39
|
$39,687.26
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
98
|
26
|
—
|
—
|
$14,992.88
|
$67,787.67
|
$39,453.14
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
92
|
26
|
—
|
—
|
$5,037.60
|
$66,585.99
|
$39,308.41
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
106
|
27
|
—
|
—
|
$16,359.98
|
$67,473.70
|
$39,270.41
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
124
|
28
|
—
|
—
|
$6,508.80
|
$127,162.42
|
$39,170.71
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
106
|
26
|
—
|
—
|
$17,747.68
|
$75,345.57
|
$39,085.02
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
116
|
27
|
—
|
—
|
$25,192.53
|
$68,103.50
|
$38,736.12
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
100
|
26
|
—
|
—
|
$14,664.30
|
$68,086.68
|
$38,726.56
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
96
|
27
|
—
|
—
|
$11,464.32
|
$55,227.05
|
$38,717.38
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
116
|
27
|
—
|
—
|
$17,490.23
|
$69,940.38
|
$38,541.29
|
2026-04-01
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
38
|
10
|
—
|
—
|
$28,424.06
|
$81,861.29
|
$38,372.48
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
88
|
26
|
—
|
—
|
$27,843.24
|
$67,207.66
|
$38,284.46
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
36
|
10
|
—
|
—
|
$6,652.00
|
$95,547.95
|
$38,199.41
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
96
|
26
|
—
|
—
|
$20,234.42
|
$108,188.87
|
$38,085.07
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
94
|
27
|
—
|
—
|
$23,935.53
|
$63,222.03
|
$37,757.07
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
94
|
26
|
—
|
—
|
$21,673.83
|
$76,844.37
|
$37,634.64
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
88
|
26
|
—
|
—
|
$24,755.42
|
$58,536.80
|
$37,543.64
|
2026-04-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
88
|
26
|
—
|
—
|
$28,108.35
|
$70,647.92
|
$37,540.83
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
108
|
26
|
—
|
—
|
$5,093.39
|
$106,242.89
|
$37,364.53
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
92
|
26
|
—
|
—
|
$26,552.71
|
$63,104.30
|
$37,205.37
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
36
|
10
|
—
|
—
|
$3,369.00
|
$90,959.92
|
$37,190.82
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
36
|
10
|
—
|
—
|
$3,369.00
|
$90,959.92
|
$37,190.82
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
92
|
26
|
—
|
—
|
$25,174.50
|
$58,550.20
|
$36,851.21
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
12
|
4
|
—
|
—
|
$23,434.87
|
$41,414.25
|
$36,735.86
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
34
|
10
|
—
|
—
|
$6,652.00
|
$83,119.78
|
$36,688.88
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
108
|
28
|
—
|
—
|
$6,986.76
|
$84,558.14
|
$36,573.21
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
36
|
10
|
—
|
—
|
$3,369.00
|
$89,420.69
|
$36,561.48
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
96
|
26
|
—
|
—
|
$15,758.97
|
$56,873.50
|
$36,447.69
|
2026-04-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
98
|
26
|
—
|
—
|
$18,990.52
|
$67,818.26
|
$36,422.82
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
108
|
27
|
—
|
—
|
$11,770.90
|
$112,343.04
|
$36,080.81
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
124
|
27
|
—
|
—
|
$16,719.29
|
$88,964.51
|
$35,994.69
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
112
|
27
|
—
|
—
|
$22,533.40
|
$105,579.61
|
$35,985.13
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
94
|
26
|
—
|
—
|
$28,272.24
|
$60,050.57
|
$35,771.58
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
92
|
26
|
—
|
—
|
$24,919.01
|
$50,896.89
|
$35,681.68
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
100
|
28
|
—
|
—
|
$16,483.48
|
$98,549.80
|
$35,611.68
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
28
|
10
|
—
|
—
|
$26,687.04
|
$78,002.57
|
$35,360.32
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
112
|
26
|
—
|
—
|
$9,609.41
|
$97,760.59
|
$35,331.87
|
2026-04-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
94
|
26
|
—
|
—
|
$21,569.74
|
$51,180.95
|
$35,203.83
|
2026-04-01
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
28
|
10
|
—
|
—
|
$19,588.00
|
$78,630.06
|
$34,839.68
|
2026-04-01
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
28
|
10
|
—
|
—
|
$19,588.00
|
$78,630.06
|
$34,839.68
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
132
|
29
|
—
|
—
|
$15,531.18
|
$105,314.05
|
$34,719.93
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
120
|
27
|
—
|
—
|
$6,678.43
|
$64,429.33
|
$34,600.93
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
94
|
26
|
—
|
—
|
$25,432.11
|
$57,933.15
|
$34,445.97
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
108
|
28
|
—
|
—
|
$11,823.19
|
$62,470.76
|
$34,414.67
|
2026-04-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
88
|
26
|
—
|
—
|
$27,982.83
|
$53,322.68
|
$34,118.28
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
100
|
26
|
—
|
—
|
$14,242.63
|
$57,877.09
|
$34,047.98
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
96
|
26
|
—
|
—
|
$6,135.12
|
$59,353.48
|
$33,759.26
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
122
|
29
|
—
|
—
|
$11,769.50
|
$123,418.06
|
$33,739.46
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
34
|
10
|
—
|
—
|
$3,369.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
34
|
10
|
—
|
—
|
$3,369.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
34
|
10
|
—
|
—
|
$2,967.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
34
|
10
|
—
|
—
|
$2,967.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
34
|
10
|
—
|
—
|
$2,967.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
34
|
10
|
—
|
—
|
$3,369.00
|
$89,420.69
|
$33,652.87
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
96
|
27
|
—
|
—
|
$15,627.03
|
$57,146.36
|
$33,606.60
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
28
|
8
|
—
|
—
|
$20,188.10
|
$88,599.48
|
$33,592.25
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
106
|
26
|
—
|
—
|
$14,769.76
|
$125,133.45
|
$33,495.14
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
88
|
26
|
—
|
—
|
$12,477.10
|
$52,201.37
|
$33,381.64
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
124
|
28
|
—
|
—
|
$14,624.27
|
$90,845.52
|
$33,269.01
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
124
|
28
|
—
|
—
|
$4,321.64
|
$105,746.32
|
$33,220.21
|
2026-04-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
86
|
26
|
—
|
—
|
$25,127.90
|
$48,179.58
|
$33,139.39
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
106
|
27
|
—
|
—
|
$10,765.09
|
$140,278.62
|
$33,040.07
|
2026-04-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
86
|
26
|
—
|
—
|
$24,952.58
|
$47,863.74
|
$32,922.15
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
36
|
10
|
—
|
—
|
$2,967.00
|
$89,420.69
|
$32,888.04
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
36
|
10
|
—
|
—
|
$2,967.00
|
$89,420.69
|
$32,888.04
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
98
|
27
|
—
|
—
|
$15,054.17
|
$55,415.80
|
$32,869.98
|
2026-04-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
90
|
26
|
—
|
—
|
$22,531.13
|
$47,669.37
|
$32,788.46
|
2026-04-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
112
|
27
|
—
|
—
|
$13,795.06
|
$54,002.93
|
$32,511.94
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
112
|
28
|
—
|
—
|
$23,245.86
|
$65,435.98
|
$32,406.15
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
96
|
26
|
—
|
—
|
$14,543.11
|
$101,014.32
|
$32,354.71
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
112
|
26
|
—
|
—
|
$10,745.14
|
$136,660.49
|
$32,333.81
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
100
|
26
|
—
|
—
|
$6,336.40
|
$56,552.07
|
$32,165.86
|
2026-04-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
86
|
26
|
—
|
—
|
$24,297.98
|
$46,684.47
|
$32,111.01
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
102
|
26
|
—
|
—
|
$5,694.95
|
$54,438.39
|
$31,683.72
|
2026-04-01
|
|
5200
|
OTHER
|
Implantation Wireless Pa Pressure Monitor
|
10
|
5
|
—
|
—
|
$21,057.52
|
$37,602.73
|
$31,601.95
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
88
|
26
|
—
|
—
|
$21,759.27
|
$49,482.17
|
$31,595.29
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
38
|
10
|
—
|
—
|
$24,228.42
|
$70,816.37
|
$31,496.95
|
2026-04-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
90
|
26
|
—
|
—
|
$13,983.67
|
$46,402.28
|
$31,496.09
|
2026-04-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
96
|
26
|
—
|
—
|
$21,515.58
|
$44,748.34
|
$31,371.19
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
104
|
26
|
—
|
—
|
$8,537.98
|
$56,183.90
|
$31,213.28
|
2026-04-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
94
|
26
|
—
|
—
|
$22,605.38
|
$45,252.93
|
$31,126.36
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
12
|
4
|
—
|
—
|
$19,809.15
|
$35,006.86
|
$31,052.29
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
36
|
12
|
—
|
—
|
$4,750.00
|
$123,178.79
|
$30,913.30
|
2026-04-01
|
|
715
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc
|
86
|
26
|
—
|
—
|
$23,209.75
|
$44,724.05
|
$30,762.58
|
2026-04-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
100
|
27
|
—
|
—
|
$11,110.77
|
$53,487.13
|
$30,422.58
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
120
|
26
|
—
|
—
|
$14,081.80
|
$63,176.14
|
$30,421.25
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
94
|
27
|
—
|
—
|
$9,106.18
|
$51,113.69
|
$30,176.64
|
2026-04-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
106
|
28
|
—
|
—
|
$20,145.64
|
$67,391.95
|
$30,149.07
|
2026-04-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
92
|
26
|
—
|
—
|
$18,082.97
|
$43,602.73
|
$29,999.90
|
2026-04-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
92
|
27
|
—
|
—
|
$19,459.61
|
$46,850.81
|
$29,866.65
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
34
|
10
|
—
|
—
|
$5,468.00
|
$78,630.06
|
$29,591.89
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
34
|
10
|
—
|
—
|
$5,468.00
|
$78,630.06
|
$29,591.89
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
34
|
10
|
—
|
—
|
$5,468.00
|
$78,630.06
|
$29,591.89
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
34
|
10
|
—
|
—
|
$3,369.00
|
$78,630.06
|
$29,591.89
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
34
|
10
|
—
|
—
|
$5,468.00
|
$78,630.06
|
$29,591.89
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
12
|
4
|
—
|
—
|
$18,846.45
|
$33,305.56
|
$29,543.17
|
2026-04-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
102
|
27
|
—
|
—
|
$21,643.55
|
$66,356.32
|
$29,463.73
|
2026-04-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
126
|
27
|
—
|
—
|
$12,517.56
|
$54,281.40
|
$29,294.73
|
2026-04-01
|