|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
40
|
20
|
$156,804.53
|
$156,804.53
|
$86,255.30
|
$218,491.98
|
$96,916.03
|
2026-01-21
|
|
33249
|
HCPCS
|
Insertion Of Implantable Defibrillator System
|
130
|
64
|
$103,290.40
|
$103,290.40
|
$4,590.00
|
$103,290.40
|
$82,632.32
|
2026-01-21
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
40
|
20
|
$143,782.02
|
$143,782.02
|
$64,205.44
|
$162,637.83
|
$72,140.92
|
2026-01-21
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
40
|
20
|
$81,834.77
|
$81,834.77
|
$60,919.35
|
$154,313.89
|
$68,448.69
|
2026-01-21
|
|
33263
|
HCPCS
|
Removal And Replacement Of Dual Lead Defibrillator
|
128
|
64
|
$83,001.29
|
$83,001.29
|
$19,111.64
|
$83,001.29
|
$66,401.03
|
2026-01-21
|
|
33264
|
HCPCS
|
Removal And Replacement Of Multiple Lead Defibrillator
|
128
|
64
|
$83,001.29
|
$83,001.29
|
$19,111.64
|
$83,001.29
|
$66,401.03
|
2026-01-21
|
|
33262
|
HCPCS
|
Removal And Replacement Of Single Lead Defibrillator
|
128
|
64
|
$83,001.29
|
$83,001.29
|
$4,590.00
|
$83,001.29
|
$64,741.01
|
2026-01-21
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
28
|
14
|
$24,187.46
|
$24,187.46
|
$52,494.59
|
$58,982.66
|
$58,982.66
|
2026-01-21
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
28
|
14
|
$17,991.25
|
$17,991.25
|
$47,608.11
|
$53,492.24
|
$53,492.24
|
2026-01-21
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
30
|
15
|
$21,998.55
|
$21,998.55
|
$44,145.80
|
$64,482.58
|
$49,602.00
|
2026-01-21
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
40
|
20
|
$95,874.00
|
$95,874.00
|
$43,041.09
|
$109,026.73
|
$48,360.76
|
2026-01-21
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
40
|
20
|
$156,581.52
|
$156,581.52
|
$42,829.99
|
$108,491.99
|
$48,123.57
|
2026-01-21
|
|
33289
|
HCPCS
|
Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review …
|
128
|
64
|
$59,579.70
|
$59,579.70
|
$4,590.00
|
$59,579.70
|
$47,663.76
|
2026-01-21
|
|
37227
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
94
|
47
|
$54,666.55
|
$54,666.55
|
$4,590.00
|
$54,666.55
|
$46,466.57
|
2026-01-21
|
|
37231
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
94
|
47
|
$54,666.55
|
$54,666.55
|
$4,590.00
|
$54,666.55
|
$46,466.57
|
2026-01-21
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
40
|
20
|
$82,439.62
|
$82,439.62
|
$41,300.59
|
$104,617.90
|
$46,405.14
|
2026-01-21
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
38
|
19
|
$32,653.87
|
$32,653.87
|
$40,796.81
|
$93,180.56
|
$45,839.10
|
2026-01-21
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
40
|
20
|
$61,168.12
|
$61,168.12
|
$40,070.10
|
$101,500.96
|
$45,022.57
|
2026-01-21
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
40
|
20
|
$104,820.31
|
$104,820.31
|
$38,087.36
|
$96,478.52
|
$42,794.77
|
2026-01-21
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
34
|
17
|
$23,339.07
|
$23,339.07
|
$35,491.87
|
$67,793.44
|
$39,878.49
|
2026-01-21
|
|
93653
|
HCPCS
|
Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…
|
128
|
64
|
$48,371.16
|
$48,371.16
|
$4,590.00
|
$49,260.90
|
$38,696.93
|
2026-01-21
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
38
|
19
|
$28,747.66
|
$28,747.66
|
$34,065.84
|
$77,806.92
|
$38,276.21
|
2026-01-21
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
28
|
14
|
$14,475.74
|
$14,475.74
|
$33,381.47
|
$37,507.26
|
$37,507.26
|
2026-01-21
|
|
33221
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads
|
128
|
64
|
$47,690.13
|
$47,690.13
|
$4,590.00
|
$47,690.13
|
$37,226.85
|
2026-01-21
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
40
|
20
|
$82,019.86
|
$82,019.86
|
$32,856.52
|
$83,228.36
|
$36,917.43
|
2026-01-21
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
28
|
14
|
$15,604.58
|
$15,604.58
|
$32,497.84
|
$36,514.41
|
$36,514.41
|
2026-01-21
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
32
|
16
|
$19,414.96
|
$19,414.96
|
$32,415.01
|
$52,082.53
|
$36,421.35
|
2026-01-21
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
28
|
14
|
$15,492.21
|
$15,492.21
|
$32,358.97
|
$36,358.38
|
$36,358.38
|
2026-01-21
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
28
|
14
|
$12,318.90
|
$12,318.90
|
$31,264.85
|
$35,129.03
|
$35,129.03
|
2026-01-21
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
94
|
47
|
$41,139.38
|
$41,139.38
|
$4,590.00
|
$41,139.38
|
$34,968.47
|
2026-01-21
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
40
|
20
|
$34,150.24
|
$34,150.24
|
$31,057.49
|
$78,671.25
|
$34,896.04
|
2026-01-21
|
|
33240
|
HCPCS
|
Insertion Of Defibrillator With Existing Single Lead
|
128
|
64
|
$43,498.02
|
$43,498.02
|
$4,590.00
|
$43,498.02
|
$34,798.42
|
2026-01-21
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
40
|
20
|
$70,121.28
|
$70,121.28
|
$30,808.40
|
$78,040.29
|
$34,616.17
|
2026-01-21
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
20
|
$44,009.86
|
$44,009.86
|
$30,753.60
|
$77,901.48
|
$34,554.59
|
2026-01-21
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
40
|
20
|
$41,189.62
|
$41,189.62
|
$30,648.36
|
$77,634.90
|
$34,436.35
|
2026-01-21
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
2
|
1
|
$12,672.73
|
$12,672.73
|
$34,017.27
|
$34,017.27
|
$34,017.27
|
2026-01-21
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
40
|
20
|
$56,667.01
|
$56,667.01
|
$30,069.23
|
$76,167.91
|
$33,785.64
|
2026-01-21
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
40
|
20
|
$40,491.34
|
$40,491.34
|
$29,216.73
|
$74,008.45
|
$32,827.77
|
2026-01-21
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
40
|
20
|
$81,658.29
|
$81,658.29
|
$28,679.95
|
$72,648.73
|
$32,224.65
|
2026-01-21
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
40
|
20
|
$45,794.68
|
$45,794.68
|
$28,623.28
|
$72,505.19
|
$32,160.98
|
2026-01-21
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
40
|
20
|
$32,864.51
|
$32,864.51
|
$28,550.42
|
$72,320.64
|
$32,079.11
|
2026-01-21
|
|
36906
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
128
|
64
|
$39,215.93
|
$39,215.93
|
$4,590.00
|
$39,215.93
|
$31,372.74
|
2026-01-21
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
40
|
20
|
$25,016.33
|
$25,016.33
|
$27,354.80
|
$69,292.03
|
$30,735.72
|
2026-01-21
|
|
33274
|
HCPCS
|
Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance
|
128
|
64
|
$37,586.27
|
$37,586.27
|
$4,590.00
|
$37,586.27
|
$30,069.02
|
2026-01-21
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
40
|
20
|
$80,993.22
|
$80,993.22
|
$26,732.70
|
$67,716.20
|
$30,036.73
|
2026-01-21
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
30
|
15
|
$13,074.92
|
$13,074.92
|
$26,560.83
|
$38,796.70
|
$29,843.62
|
2026-01-21
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
40
|
20
|
$83,054.45
|
$83,054.45
|
$26,298.67
|
$66,616.76
|
$29,549.05
|
2026-01-21
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
40
|
20
|
$51,237.25
|
$51,237.25
|
$26,164.16
|
$66,276.04
|
$29,397.92
|
2026-01-21
|
|
33225
|
HCPCS
|
Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator
|
128
|
64
|
$35,471.51
|
$35,471.51
|
$382.00
|
$35,471.51
|
$28,377.21
|
2026-01-21
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
40
|
20
|
$61,972.54
|
$61,972.54
|
$24,360.14
|
$61,706.31
|
$27,370.94
|
2026-01-21
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
40
|
20
|
$141,176.60
|
$141,176.60
|
$24,103.58
|
$61,056.42
|
$27,082.67
|
2026-01-21
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
40
|
20
|
$21,577.84
|
$21,577.84
|
$24,067.47
|
$60,964.93
|
$27,042.09
|
2026-01-21
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
38
|
19
|
$20,250.22
|
$20,250.22
|
$24,044.43
|
$54,917.85
|
$27,016.20
|
2026-01-21
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
40
|
20
|
$65,811.47
|
$65,811.47
|
$23,908.05
|
$60,561.12
|
$26,862.97
|
2026-01-21
|
|
37230
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
94
|
47
|
$31,335.76
|
$31,335.76
|
$4,590.00
|
$31,335.76
|
$26,635.40
|
2026-01-21
|
|
37226
|
HCPCS
|
Insertion Of Stent In Arteries Of Leg
|
94
|
47
|
$31,335.76
|
$31,335.76
|
$4,590.00
|
$31,335.76
|
$26,635.40
|
2026-01-21
|
|
37233
|
HCPCS
|
Removal Of Plaque In Artery Of Leg, Each Additional Vessel
|
94
|
47
|
$31,335.76
|
$31,335.76
|
$4,590.00
|
$31,335.76
|
$26,635.40
|
2026-01-21
|
|
37229
|
HCPCS
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
94
|
47
|
$31,335.76
|
$31,335.76
|
$4,590.00
|
$31,335.76
|
$26,635.40
|
2026-01-21
|
|
37225
|
HCPCS
|
Removal Of Plaque In Arteries Of Leg
|
94
|
47
|
$31,335.76
|
$31,335.76
|
$4,590.00
|
$31,335.76
|
$26,635.40
|
2026-01-21
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
34
|
17
|
$15,257.63
|
$15,257.63
|
$23,432.92
|
$44,759.49
|
$26,329.11
|
2026-01-21
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
32
|
16
|
$12,714.90
|
$12,714.90
|
$23,330.79
|
$37,486.53
|
$26,214.36
|
2026-01-21
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
40
|
20
|
$40,896.93
|
$40,896.93
|
$23,275.37
|
$58,958.48
|
$26,152.09
|
2026-01-21
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
40
|
20
|
$26,021.57
|
$26,021.57
|
$23,272.88
|
$58,952.17
|
$26,149.29
|
2026-01-21
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
40
|
20
|
$39,305.06
|
$39,305.06
|
$23,207.49
|
$58,786.54
|
$26,075.82
|
2026-01-21
|
|
33214
|
HCPCS
|
Insertion Of 2 Chamber Pacemaker System
|
128
|
64
|
$33,200.63
|
$33,200.63
|
$4,590.00
|
$33,200.63
|
$25,896.49
|
2026-01-21
|
|
36837
|
HCPCS
|
Creation Of Opening Between Artery And Vein In Arm With Separate Access To Each …
|
126
|
63
|
$32,232.04
|
$32,232.04
|
$4,590.00
|
$34,548.74
|
$25,785.63
|
2026-01-21
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
40
|
20
|
$55,206.53
|
$55,206.53
|
$22,863.75
|
$57,915.82
|
$25,689.60
|
2026-01-21
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
40
|
20
|
$87,749.63
|
$87,749.63
|
$22,778.44
|
$57,699.71
|
$25,593.74
|
2026-01-21
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
38
|
19
|
$18,522.07
|
$18,522.07
|
$22,595.36
|
$51,608.16
|
$25,388.03
|
2026-01-21
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
40
|
20
|
$32,397.65
|
$32,397.65
|
$22,491.36
|
$56,972.53
|
$25,271.19
|
2026-01-21
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
40
|
20
|
$53,109.01
|
$53,109.01
|
$22,236.67
|
$56,327.38
|
$24,985.02
|
2026-01-21
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
40
|
20
|
$48,419.89
|
$48,419.89
|
$22,184.99
|
$56,196.45
|
$24,926.94
|
2026-01-21
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
20
|
$101,728.09
|
$101,728.09
|
$22,163.81
|
$56,142.82
|
$24,903.15
|
2026-01-21
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
40
|
20
|
$133,390.09
|
$133,390.09
|
$22,145.76
|
$56,097.08
|
$24,882.86
|
2026-01-21
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
40
|
20
|
$71,509.51
|
$71,509.51
|
$21,960.81
|
$55,628.59
|
$24,675.06
|
2026-01-21
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
40
|
20
|
$20,695.40
|
$20,695.40
|
$21,915.97
|
$55,515.02
|
$24,624.68
|
2026-01-21
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
40
|
20
|
$28,921.47
|
$28,921.47
|
$21,722.31
|
$55,024.44
|
$24,407.08
|
2026-01-21
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
20
|
$81,543.96
|
$81,543.96
|
$21,716.70
|
$55,010.25
|
$24,400.78
|
2026-01-21
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
40
|
20
|
$24,623.25
|
$24,623.25
|
$21,512.45
|
$54,492.86
|
$24,171.28
|
2026-01-21
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
38
|
19
|
$16,508.82
|
$16,508.82
|
$21,349.30
|
$48,762.13
|
$23,987.97
|
2026-01-21
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
32
|
16
|
$13,179.14
|
$13,179.14
|
$21,244.68
|
$34,134.70
|
$23,870.42
|
2026-01-21
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
28
|
14
|
$9,715.97
|
$9,715.97
|
$21,216.66
|
$23,838.93
|
$23,838.93
|
2026-01-21
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
40
|
20
|
$32,045.39
|
$32,045.39
|
$20,802.55
|
$52,694.62
|
$23,373.64
|
2026-01-21
|
|
37242
|
HCPCS
|
Occlusion Of Artery With Review By Radiologist
|
128
|
64
|
$27,740.54
|
$27,740.54
|
$7,384.25
|
$34,548.74
|
$23,024.65
|
2026-01-21
|
|
37238
|
HCPCS
|
Insertion Of Stent In Vein With Review By Radiologist, Initial Vein
|
128
|
64
|
$28,614.31
|
$28,614.31
|
$7,384.25
|
$28,614.31
|
$22,891.45
|
2026-01-21
|
|
37236
|
HCPCS
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
128
|
64
|
$28,614.31
|
$28,614.31
|
$7,384.25
|
$28,614.31
|
$22,891.45
|
2026-01-21
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
40
|
20
|
$28,633.03
|
$28,633.03
|
$20,255.80
|
$51,309.67
|
$22,759.32
|
2026-01-21
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
40
|
20
|
$21,587.15
|
$21,587.15
|
$20,166.75
|
$51,084.10
|
$22,659.27
|
2026-01-21
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
40
|
20
|
$21,907.72
|
$21,907.72
|
$20,144.34
|
$51,027.31
|
$22,634.08
|
2026-01-21
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
40
|
20
|
$31,210.54
|
$31,210.54
|
$20,095.76
|
$50,904.28
|
$22,579.50
|
2026-01-21
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
40
|
20
|
$23,535.86
|
$23,535.86
|
$19,882.17
|
$50,363.23
|
$22,339.51
|
2026-01-21
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
40
|
20
|
$32,113.23
|
$32,113.23
|
$19,845.43
|
$50,270.16
|
$22,298.23
|
2026-01-21
|
|
37243
|
HCPCS
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
128
|
64
|
$27,740.54
|
$27,740.54
|
$7,384.25
|
$27,740.54
|
$22,192.43
|
2026-01-21
|
|
37241
|
HCPCS
|
Occlusion Of Vein With Review By Radiologist
|
128
|
64
|
$27,740.54
|
$27,740.54
|
$7,384.25
|
$27,740.54
|
$22,192.43
|
2026-01-21
|
|
37244
|
HCPCS
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
128
|
64
|
$27,740.54
|
$27,740.54
|
$7,384.25
|
$27,740.54
|
$22,192.43
|
2026-01-21
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
40
|
20
|
$45,181.00
|
$45,181.00
|
$19,707.81
|
$49,921.56
|
$22,143.60
|
2026-01-21
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
20
|
$25,485.26
|
$25,485.26
|
$19,395.83
|
$49,131.28
|
$21,793.06
|
2026-01-21
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
40
|
20
|
$26,419.84
|
$26,419.84
|
$19,361.58
|
$49,044.52
|
$21,754.57
|
2026-01-21
|
|
C9604
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
128
|
64
|
$26,878.73
|
$26,878.73
|
$4,590.00
|
$26,878.73
|
$21,502.98
|
2026-01-21
|
|
92928
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…
|
128
|
64
|
$26,878.73
|
$26,878.73
|
$4,590.00
|
$26,878.73
|
$21,502.98
|
2026-01-21
|
|
92937
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
128
|
64
|
$26,878.73
|
$26,878.73
|
$4,590.00
|
$26,878.73
|
$21,502.98
|
2026-01-21
|
|
C9600
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
128
|
64
|
$26,878.73
|
$26,878.73
|
$4,590.00
|
$26,878.73
|
$21,502.98
|
2026-01-21
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
40
|
20
|
$31,714.48
|
$31,714.48
|
$19,064.54
|
$48,292.10
|
$21,420.83
|
2026-01-21
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
40
|
20
|
$25,291.34
|
$25,291.34
|
$19,039.01
|
$48,227.43
|
$21,392.14
|
2026-01-21
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
42
|
21
|
$21,680.08
|
$21,680.08
|
$18,888.31
|
$47,845.70
|
$21,222.82
|
2026-01-21
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
34
|
17
|
$13,699.64
|
$13,699.64
|
$18,786.19
|
$35,883.72
|
$21,108.07
|
2026-01-21
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
32
|
16
|
$10,937.02
|
$10,937.02
|
$18,742.60
|
$30,114.49
|
$21,059.09
|
2026-01-21
|
|
92941
|
HCPCS
|
Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of …
|
128
|
64
|
$26,878.73
|
$26,878.73
|
$571.80
|
$26,878.73
|
$20,965.40
|
2026-01-21
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
40
|
20
|
$77,669.84
|
$77,669.84
|
$18,652.92
|
$47,249.44
|
$20,958.33
|
2026-01-21
|
|
36905
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
128
|
64
|
$25,873.27
|
$25,873.27
|
$4,089.85
|
$25,873.27
|
$20,698.62
|
2026-01-21
|
|
36903
|
HCPCS
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
128
|
64
|
$25,873.27
|
$25,873.27
|
$4,590.00
|
$25,873.27
|
$20,698.62
|
2026-01-21
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
40
|
20
|
$52,973.83
|
$52,973.83
|
$18,345.92
|
$46,471.78
|
$20,613.39
|
2026-01-21
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
40
|
20
|
$18,477.24
|
$18,477.24
|
$18,314.79
|
$46,392.91
|
$20,578.41
|
2026-01-21
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
40
|
20
|
$39,204.78
|
$39,204.78
|
$18,135.45
|
$45,938.62
|
$20,376.90
|
2026-01-21
|
|
4441011
|
CDM
|
Icd Device
|
96
|
48
|
$23,964.64
|
$23,964.64
|
$7,429.04
|
$23,964.64
|
$20,369.94
|
2026-01-21
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
40
|
20
|
$32,967.15
|
$32,967.15
|
$18,071.31
|
$45,776.15
|
$20,304.83
|
2026-01-21
|
|
33229
|
HCPCS
|
Removal And Replacement Of Multiple Lead Permanent Pacemaker
|
128
|
64
|
$24,825.42
|
$24,825.42
|
$4,590.00
|
$36,301.59
|
$20,232.72
|
2026-01-21
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
40
|
20
|
$39,489.43
|
$39,489.43
|
$17,873.28
|
$45,274.53
|
$20,082.33
|
2026-01-21
|
|
77371
|
HCPCS
|
Complete Single Session Course Of Cranial Lesion Surgery Using Radiation
|
128
|
64
|
$24,931.05
|
$24,931.05
|
$3,512.09
|
$24,931.05
|
$19,944.84
|
2026-01-21
|
|
77372
|
HCPCS
|
Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M…
|
128
|
64
|
$24,931.05
|
$24,931.05
|
$3,512.09
|
$24,931.05
|
$19,944.84
|
2026-01-21
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
40
|
20
|
$28,103.82
|
$28,103.82
|
$17,750.61
|
$44,963.79
|
$19,944.49
|
2026-01-21
|
|
3600038
|
CDM
|
Operating Room Services - General Classification
|
96
|
48
|
$23,073.25
|
$23,073.25
|
$7,152.71
|
$23,073.25
|
$19,612.26
|
2026-01-21
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
40
|
20
|
$17,034.33
|
$17,034.33
|
$17,431.77
|
$44,156.16
|
$19,586.25
|
2026-01-21
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
42
|
21
|
$37,773.82
|
$37,773.82
|
$17,261.15
|
$43,723.95
|
$19,394.54
|
2026-01-21
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
40
|
20
|
$27,924.99
|
$27,924.99
|
$17,168.99
|
$43,490.50
|
$19,290.99
|
2026-01-21
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
40
|
20
|
$43,214.07
|
$43,214.07
|
$17,116.68
|
$43,357.99
|
$19,232.21
|
2026-01-21
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
40
|
20
|
$41,829.14
|
$41,829.14
|
$17,112.32
|
$43,346.95
|
$19,227.32
|
2026-01-21
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
32
|
16
|
$47,772.48
|
$47,772.48
|
$16,852.02
|
$32,189.25
|
$18,934.85
|
2026-01-21
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
40
|
20
|
$26,336.76
|
$26,336.76
|
$16,797.22
|
$42,548.79
|
$18,873.28
|
2026-01-21
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
40
|
20
|
$47,423.64
|
$47,423.64
|
$16,542.53
|
$41,903.63
|
$18,587.11
|
2026-01-21
|
|
33213
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Dual Leads
|
204
|
64
|
$20,407.92
|
$20,407.92
|
$4,590.00
|
$25,158.77
|
$18,469.17
|
2026-01-21
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
128
|
64
|
$22,972.86
|
$22,972.86
|
$58.23
|
$22,972.86
|
$18,378.29
|
2026-01-21
|
|
33207
|
HCPCS
|
Insertion Of Pacemaker And Lower Heart Chamber Electrode
|
204
|
64
|
$21,456.11
|
$21,456.11
|
$4,590.00
|
$21,456.11
|
$18,237.65
|
2026-01-21
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
40
|
20
|
$31,939.82
|
$31,939.82
|
$16,163.29
|
$40,942.99
|
$18,161.00
|
2026-01-21
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
32
|
16
|
$51,379.97
|
$51,379.97
|
$16,083.59
|
$30,721.45
|
$18,071.44
|
2026-01-21
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
32
|
16
|
$64,304.99
|
$64,304.99
|
$16,061.17
|
$30,678.63
|
$18,046.25
|
2026-01-21
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
40
|
20
|
$120,510.21
|
$120,510.21
|
$15,898.02
|
$40,271.02
|
$17,862.93
|
2026-01-21
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
38
|
19
|
$13,045.99
|
$13,045.99
|
$15,822.67
|
$36,139.22
|
$17,778.27
|
2026-01-21
|
|
33212
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Single Lead
|
204
|
64
|
$20,407.92
|
$20,407.92
|
$4,590.00
|
$22,952.74
|
$17,765.10
|
2026-01-21
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
40
|
20
|
$35,787.85
|
$35,787.85
|
$15,792.78
|
$40,004.44
|
$17,744.69
|
2026-01-21
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
128
|
64
|
$22,116.43
|
$22,116.43
|
$28.71
|
$22,116.43
|
$17,693.14
|
2026-01-21
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
128
|
64
|
$21,849.72
|
$21,849.72
|
$54.46
|
$21,849.72
|
$17,479.78
|
2026-01-21
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
40
|
20
|
$40,570.17
|
$40,570.17
|
$15,313.91
|
$38,791.42
|
$17,206.63
|
2026-01-21
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
20
|
$39,660.71
|
$39,660.71
|
$15,309.55
|
$38,780.38
|
$17,201.73
|
2026-01-21
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
44
|
22
|
$18,515.90
|
$18,515.90
|
$6,324.00
|
$38,726.75
|
$17,177.94
|
2026-01-21
|
|
33208
|
HCPCS
|
Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode
|
128
|
64
|
$21,456.06
|
$21,456.06
|
$4,590.00
|
$21,456.06
|
$17,164.85
|
2026-01-21
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
40
|
20
|
$38,268.44
|
$38,268.44
|
$15,220.50
|
$38,554.81
|
$17,101.68
|
2026-01-21
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
40
|
20
|
$48,834.83
|
$48,834.83
|
$15,202.44
|
$38,509.07
|
$17,081.39
|
2026-01-21
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
40
|
20
|
$37,020.02
|
$37,020.02
|
$14,978.26
|
$37,941.20
|
$16,829.50
|
2026-01-21
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
40
|
20
|
$29,323.12
|
$29,323.12
|
$14,927.82
|
$37,813.43
|
$16,772.82
|
2026-01-21
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
40
|
20
|
$44,581.38
|
$44,581.38
|
$14,886.10
|
$37,707.75
|
$16,725.95
|
2026-01-21
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
40
|
20
|
$27,349.10
|
$27,349.10
|
$14,860.57
|
$37,643.07
|
$16,697.26
|
2026-01-21
|
|
3749247
|
CDM
|
Axonics,f15 Neuro Stim
|
96
|
48
|
$19,499.98
|
$19,499.98
|
$6,044.99
|
$19,499.98
|
$16,574.98
|
2026-01-21
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/mcc
|
40
|
20
|
$27,749.03
|
$27,749.03
|
$14,640.75
|
$37,086.25
|
$16,450.27
|
2026-01-21
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
40
|
20
|
$53,175.62
|
$53,175.62
|
$14,562.91
|
$36,889.08
|
$16,362.81
|
2026-01-21
|
|
940
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
40
|
20
|
$39,146.11
|
$39,146.11
|
$14,552.32
|
$36,862.26
|
$16,350.92
|
2026-01-21
|
|
33228
|
HCPCS
|
Removal And Replacement Of Dual Lead Permanent Pacemaker
|
128
|
64
|
$20,407.92
|
$20,407.92
|
$4,590.00
|
$20,407.92
|
$16,326.34
|
2026-01-21
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/mcc
|
40
|
20
|
$21,212.06
|
$21,212.06
|
$14,491.29
|
$36,707.68
|
$16,282.35
|
2026-01-21
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
40
|
20
|
$17,560.41
|
$17,560.41
|
$14,481.33
|
$36,682.44
|
$16,271.15
|
2026-01-21
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
32
|
16
|
$64,036.24
|
$64,036.24
|
$14,466.39
|
$27,632.42
|
$16,254.36
|
2026-01-21
|
|
37215
|
HCPCS
|
Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B…
|
128
|
64
|
$20,748.00
|
$20,748.00
|
$859.50
|
$20,748.00
|
$16,183.44
|
2026-01-21
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
40
|
20
|
$26,202.41
|
$26,202.41
|
$14,295.14
|
$36,210.79
|
$16,061.95
|
2026-01-21
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
40
|
20
|
$14,860.22
|
$14,860.22
|
$14,290.78
|
$36,199.75
|
$16,057.05
|
2026-01-21
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
28
|
14
|
$5,498.29
|
$5,498.29
|
$14,232.87
|
$15,991.98
|
$15,991.98
|
2026-01-21
|
|
33227
|
HCPCS
|
Removal And Replacement Of Single Lead Permanent Pacemaker
|
128
|
64
|
$20,407.92
|
$20,407.92
|
$4,590.00
|
$20,407.92
|
$15,961.30
|
2026-01-21
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
38
|
19
|
$11,226.85
|
$11,226.85
|
$14,108.32
|
$32,223.63
|
$15,852.04
|
2026-01-21
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
40
|
20
|
$18,382.68
|
$18,382.68
|
$14,067.22
|
$35,633.47
|
$15,805.86
|
2026-01-21
|
|
3749551
|
CDM
|
Vein, Saph >80cm
|
96
|
48
|
$18,515.25
|
$18,515.25
|
$5,739.73
|
$18,515.25
|
$15,737.96
|
2026-01-21
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
40
|
20
|
$23,699.51
|
$23,699.51
|
$13,779.53
|
$34,904.71
|
$15,482.61
|
2026-01-21
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
34
|
17
|
$10,177.46
|
$10,177.46
|
$13,749.01
|
$26,262.15
|
$15,448.32
|
2026-01-21
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
40
|
20
|
$23,803.96
|
$23,803.96
|
$13,691.72
|
$34,682.29
|
$15,383.95
|
2026-01-21
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/mcc
|
28
|
14
|
$6,182.63
|
$6,182.63
|
$13,648.76
|
$15,335.67
|
$15,335.67
|
2026-01-21
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
40
|
20
|
$38,639.42
|
$38,639.42
|
$13,590.84
|
$34,426.76
|
$15,270.60
|
2026-01-21
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
40
|
20
|
$12,221.62
|
$12,221.62
|
$13,582.12
|
$34,404.67
|
$15,260.81
|
2026-01-21
|
|
37187
|
HCPCS
|
Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init…
|
128
|
64
|
$19,064.38
|
$19,064.38
|
$2,209.03
|
$21,756.74
|
$15,251.50
|
2026-01-21
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
40
|
20
|
$34,193.75
|
$34,193.75
|
$13,567.80
|
$34,368.39
|
$15,244.72
|
2026-01-21
|
|
3742379
|
CDM
|
Kit,femoral Hoffman 3
|
96
|
48
|
$17,850.30
|
$17,850.30
|
$5,533.59
|
$17,850.30
|
$15,172.76
|
2026-01-21
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
40
|
20
|
$12,420.86
|
$12,420.86
|
$13,335.53
|
$33,780.02
|
$14,983.73
|
2026-01-21
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
40
|
20
|
$23,551.17
|
$23,551.17
|
$13,318.09
|
$33,735.85
|
$14,964.14
|
2026-01-21
|
|
3749510
|
CDM
|
Flowtriever Price Per Procedur
|
96
|
48
|
$17,550.00
|
$17,550.00
|
$5,440.50
|
$17,550.00
|
$14,917.50
|
2026-01-21
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
40
|
20
|
$36,677.30
|
$36,677.30
|
$13,269.52
|
$33,612.82
|
$14,909.57
|
2026-01-21
|
|
3749550
|
CDM
|
Vein, Saph 70-79cm
|
96
|
48
|
$17,540.25
|
$17,540.25
|
$5,437.48
|
$17,540.25
|
$14,909.21
|
2026-01-21
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
40
|
20
|
$71,699.09
|
$71,699.09
|
$13,206.00
|
$33,451.92
|
$14,838.20
|
2026-01-21
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
40
|
20
|
$30,832.06
|
$30,832.06
|
$13,187.32
|
$33,404.60
|
$14,817.21
|
2026-01-21
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
40
|
20
|
$35,911.40
|
$35,911.40
|
$13,131.28
|
$33,262.63
|
$14,754.24
|
2026-01-21
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
40
|
20
|
$26,215.56
|
$26,215.56
|
$13,042.85
|
$33,038.64
|
$14,654.88
|
2026-01-21
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
40
|
20
|
$24,966.59
|
$24,966.59
|
$13,034.75
|
$33,018.14
|
$14,645.79
|
2026-01-21
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
40
|
20
|
$38,060.95
|
$38,060.95
|
$13,021.68
|
$32,985.01
|
$14,631.09
|
2026-01-21
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
34
|
17
|
$8,509.65
|
$8,509.65
|
$12,988.67
|
$24,809.82
|
$14,594.01
|
2026-01-21
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
40
|
20
|
$22,915.94
|
$22,915.94
|
$12,984.94
|
$32,891.94
|
$14,589.81
|
2026-01-21
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/mcc
|
40
|
20
|
$26,021.55
|
$26,021.55
|
$12,976.22
|
$32,869.86
|
$14,580.02
|
2026-01-21
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
40
|
20
|
$34,972.01
|
$34,972.01
|
$12,940.72
|
$32,779.95
|
$14,540.13
|
2026-01-21
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
32
|
16
|
$49,219.47
|
$49,219.47
|
$12,923.29
|
$24,684.93
|
$14,520.54
|
2026-01-21
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
40
|
20
|
$27,218.03
|
$27,218.03
|
$12,869.73
|
$32,600.13
|
$14,460.37
|
2026-01-21
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
40
|
20
|
$26,611.77
|
$26,611.77
|
$12,626.87
|
$31,984.94
|
$14,187.49
|
2026-01-21
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
206
|
64
|
$21,745.50
|
$21,745.50
|
$89.51
|
$21,745.50
|
$14,075.83
|
2026-01-21
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
32
|
16
|
$25,867.16
|
$25,867.16
|
$12,522.88
|
$23,920.10
|
$14,070.65
|
2026-01-21
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
40
|
20
|
$33,216.93
|
$33,216.93
|
$12,494.86
|
$31,650.53
|
$14,039.16
|
2026-01-21
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/mcc
|
40
|
20
|
$17,195.58
|
$17,195.58
|
$12,456.25
|
$31,552.73
|
$13,995.78
|
2026-01-21
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
40
|
20
|
$22,462.20
|
$22,462.20
|
$12,455.63
|
$31,551.15
|
$13,995.08
|
2026-01-21
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
40
|
20
|
$18,455.27
|
$18,455.27
|
$12,442.55
|
$31,518.03
|
$13,980.39
|
2026-01-21
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
40
|
20
|
$20,750.41
|
$20,750.41
|
$12,424.49
|
$31,472.28
|
$13,960.10
|
2026-01-21
|
|
3749549
|
CDM
|
Vein, Saph 60-69cm
|
96
|
48
|
$16,370.25
|
$16,370.25
|
$5,074.78
|
$16,370.25
|
$13,914.71
|
2026-01-21
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
94
|
47
|
$16,352.00
|
$16,352.00
|
$175.90
|
$16,352.00
|
$13,899.20
|
2026-01-21
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
40
|
20
|
$27,414.84
|
$27,414.84
|
$12,334.82
|
$31,245.14
|
$13,859.34
|
2026-01-21
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
40
|
20
|
$15,971.81
|
$15,971.81
|
$12,265.70
|
$31,070.05
|
$13,781.68
|
2026-01-21
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
40
|
20
|
$18,100.71
|
$18,100.71
|
$12,256.36
|
$31,046.39
|
$13,771.18
|
2026-01-21
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
40
|
20
|
$14,729.48
|
$14,729.48
|
$12,218.99
|
$30,951.74
|
$13,729.20
|
2026-01-21
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/mcc
|
40
|
20
|
$52,422.64
|
$52,422.64
|
$12,098.18
|
$30,645.73
|
$13,593.46
|
2026-01-21
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
40
|
20
|
$24,876.17
|
$24,876.17
|
$12,096.32
|
$30,641.00
|
$13,591.36
|
2026-01-21
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
40
|
20
|
$19,625.42
|
$19,625.42
|
$12,060.82
|
$30,551.08
|
$13,551.48
|
2026-01-21
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
40
|
20
|
$15,500.56
|
$15,500.56
|
$12,051.48
|
$30,527.42
|
$13,540.98
|
2026-01-21
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
40
|
20
|
$19,233.05
|
$19,233.05
|
$12,024.08
|
$30,458.02
|
$13,510.20
|
2026-01-21
|
|
585
|
MS_DRG
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
40
|
20
|
$25,977.91
|
$25,977.91
|
$12,012.87
|
$30,429.62
|
$13,497.60
|
2026-01-21
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
34
|
17
|
$35,585.85
|
$35,585.85
|
$12,011.63
|
$24,480.00
|
$13,496.20
|
2026-01-21
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc/mcc
|
40
|
20
|
$20,120.63
|
$20,120.63
|
$11,997.30
|
$30,390.19
|
$13,480.11
|
2026-01-21
|
|
902
|
MS_DRG
|
Wound Debridements For Injuries With Cc
|
40
|
20
|
$19,831.22
|
$19,831.22
|
$11,921.96
|
$30,199.32
|
$13,395.45
|
2026-01-21
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
40
|
20
|
$57,729.35
|
$57,729.35
|
$11,890.82
|
$30,120.45
|
$13,360.47
|
2026-01-21
|
|
261
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Cc
|
40
|
20
|
$33,295.57
|
$33,295.57
|
$11,772.50
|
$29,820.75
|
$13,227.53
|
2026-01-21
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc
|
40
|
20
|
$26,039.03
|
$26,039.03
|
$11,772.50
|
$29,820.75
|
$13,227.53
|
2026-01-21
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
128
|
64
|
$16,526.64
|
$16,526.64
|
$202.98
|
$16,526.64
|
$13,221.31
|
2026-01-21
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
40
|
20
|
$18,447.10
|
$18,447.10
|
$11,751.95
|
$29,768.69
|
$13,204.44
|
2026-01-21
|
|
A9604
|
HCPCS
|
Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri…
|
128
|
64
|
$16,435.64
|
$16,435.64
|
$3,096.60
|
$16,435.64
|
$13,148.51
|
2026-01-21
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
40
|
20
|
$26,890.77
|
$26,890.77
|
$11,646.71
|
$29,502.11
|
$13,086.19
|
2026-01-21
|
|
3749547
|
CDM
|
Vein, Saph 50-59cm
|
96
|
48
|
$15,395.25
|
$15,395.25
|
$4,772.53
|
$15,395.25
|
$13,085.96
|
2026-01-21
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
40
|
20
|
$13,688.93
|
$13,688.93
|
$11,639.86
|
$29,484.76
|
$13,078.49
|
2026-01-21
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
32
|
16
|
$36,730.07
|
$36,730.07
|
$11,613.09
|
$22,182.30
|
$13,048.41
|
2026-01-21
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
40
|
20
|
$16,484.95
|
$16,484.95
|
$11,468.62
|
$29,050.98
|
$12,886.08
|
2026-01-21
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
40
|
20
|
$19,361.58
|
$19,361.58
|
$11,437.48
|
$28,972.11
|
$12,851.10
|
2026-01-21
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
40
|
20
|
$19,984.17
|
$19,984.17
|
$11,425.65
|
$28,942.14
|
$12,837.80
|
2026-01-21
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
40
|
20
|
$41,291.59
|
$41,291.59
|
$11,401.98
|
$28,882.19
|
$12,811.21
|
2026-01-21
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
40
|
20
|
$13,626.24
|
$13,626.24
|
$11,400.74
|
$28,879.04
|
$12,809.81
|
2026-01-21
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
40
|
20
|
$28,619.92
|
$28,619.92
|
$11,395.76
|
$28,866.42
|
$12,804.22
|
2026-01-21
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
40
|
20
|
$22,568.95
|
$22,568.95
|
$11,383.30
|
$28,834.87
|
$12,790.22
|
2026-01-21
|
|
465
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
40
|
20
|
$9,732.16
|
$9,732.16
|
$11,356.53
|
$28,767.04
|
$12,760.14
|
2026-01-21
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
32
|
16
|
$19,775.84
|
$19,775.84
|
$11,356.53
|
$21,692.24
|
$12,760.14
|
2026-01-21
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
40
|
20
|
$14,896.60
|
$14,896.60
|
$11,312.94
|
$28,656.63
|
$12,711.16
|
2026-01-21
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
40
|
20
|
$9,878.93
|
$9,878.93
|
$11,271.21
|
$28,550.94
|
$12,664.28
|
2026-01-21
|
|
722
|
MS_DRG
|
Malignancy, Male Reproductive System With Mcc
|
40
|
20
|
$30,994.15
|
$30,994.15
|
$11,269.35
|
$28,546.21
|
$12,662.18
|
2026-01-21
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
40
|
20
|
$38,871.17
|
$38,871.17
|
$11,255.65
|
$28,511.51
|
$12,646.79
|
2026-01-21
|
|
167
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Cc
|
40
|
20
|
$17,900.26
|
$17,900.26
|
$11,230.11
|
$28,446.83
|
$12,618.10
|
2026-01-21
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
40
|
20
|
$23,710.07
|
$23,710.07
|
$11,175.94
|
$28,309.60
|
$12,557.23
|
2026-01-21
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
40
|
20
|
$15,285.35
|
$15,285.35
|
$11,170.96
|
$28,296.98
|
$12,551.63
|
2026-01-21
|
|
37235
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Each Additional Vess…
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,590.00
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37234
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Each Additional Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,590.00
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37232
|
HCPCS
|
Balloon Dilation Of Artery Of Leg, Each Additional Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,590.00
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37228
|
HCPCS
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,089.85
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37224
|
HCPCS
|
Balloon Dilation Of Artery Of Leg
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,089.85
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37223
|
HCPCS
|
Insertion Of Stent In Groin Artery, Additional Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,590.00
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37222
|
HCPCS
|
Balloon Dilation Of Groin Artery, Each Additional Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,590.00
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
37220
|
HCPCS
|
Balloon Dilation Of Groin Artery, Initial Vessel
|
94
|
47
|
$14,760.18
|
$14,760.18
|
$4,089.85
|
$14,760.18
|
$12,546.15
|
2026-01-21
|
|
254
|
MS_DRG
|
Other Vascular Procedures Without Cc/mcc
|
40
|
20
|
$42,656.84
|
$42,656.84
|
$11,094.98
|
$28,104.54
|
$12,466.27
|
2026-01-21
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
40
|
20
|
$14,048.46
|
$14,048.46
|
$11,089.38
|
$28,090.34
|
$12,459.97
|
2026-01-21
|
|
3749533
|
CDM
|
Vein, Saph 40-49cm
|
96
|
48
|
$14,615.25
|
$14,615.25
|
$4,530.73
|
$14,615.25
|
$12,422.96
|
2026-01-21
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
32
|
16
|
$19,976.81
|
$19,976.81
|
$11,041.43
|
$21,090.37
|
$12,406.10
|
2026-01-21
|
|
37221
|
HCPCS
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
94
|
47
|
$14,567.64
|
$14,567.64
|
$4,590.00
|
$14,567.64
|
$12,382.49
|
2026-01-21
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
40
|
20
|
$18,005.57
|
$18,005.57
|
$11,000.33
|
$27,864.77
|
$12,359.92
|
2026-01-21
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
40
|
20
|
$26,282.99
|
$26,282.99
|
$10,997.22
|
$27,856.88
|
$12,356.42
|
2026-01-21
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
40
|
20
|
$26,478.78
|
$26,478.78
|
$10,985.39
|
$27,826.91
|
$12,343.13
|
2026-01-21
|
|
906
|
MS_DRG
|
Hand Procedures For Injuries
|
40
|
20
|
$20,241.13
|
$20,241.13
|
$10,974.80
|
$27,800.10
|
$12,331.23
|
2026-01-21
|
|
62
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
40
|
20
|
$32,170.16
|
$32,170.16
|
$10,942.42
|
$27,718.07
|
$12,294.85
|
2026-01-21
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
40
|
20
|
$16,050.82
|
$16,050.82
|
$10,936.19
|
$27,702.30
|
$12,287.85
|
2026-01-21
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
32
|
16
|
$5,864.88
|
$5,864.88
|
$10,893.85
|
$17,503.59
|
$12,240.27
|
2026-01-21
|
|
666
|
MS_DRG
|
Prostatectomy With Cc
|
40
|
20
|
$15,420.08
|
$15,420.08
|
$10,893.22
|
$27,593.46
|
$12,239.57
|
2026-01-21
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
40
|
20
|
$23,995.51
|
$23,995.51
|
$10,885.75
|
$27,574.53
|
$12,231.18
|
2026-01-21
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
40
|
20
|
$11,475.21
|
$11,475.21
|
$10,867.07
|
$27,527.21
|
$12,210.19
|
2026-01-21
|
|
421
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Cc
|
40
|
20
|
$18,386.35
|
$18,386.35
|
$10,819.74
|
$27,407.33
|
$12,157.01
|
2026-01-21
|
|
144
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc
|
40
|
20
|
$16,051.47
|
$16,051.47
|
$10,791.10
|
$27,334.76
|
$12,124.82
|
2026-01-21
|
|
61626
|
HCPCS
|
Occlusion Of Head Or Neck Artery
|
128
|
64
|
$14,567.64
|
$14,567.64
|
$6,732.80
|
$21,756.74
|
$12,091.14
|
2026-01-21
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
40
|
20
|
$23,355.75
|
$23,355.75
|
$10,760.58
|
$27,257.47
|
$12,090.54
|
2026-01-21
|
|
42
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
|
40
|
20
|
$16,860.36
|
$16,860.36
|
$10,758.72
|
$27,252.74
|
$12,088.44
|
2026-01-21
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
40
|
20
|
$15,814.87
|
$15,814.87
|
$10,690.84
|
$27,080.80
|
$12,012.17
|
2026-01-21
|
|
983
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
40
|
20
|
$19,296.35
|
$19,296.35
|
$10,673.40
|
$27,036.64
|
$11,992.58
|
2026-01-21
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
32
|
16
|
$62,055.56
|
$62,055.56
|
$10,645.38
|
$20,333.87
|
$11,961.10
|
2026-01-21
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
34
|
17
|
$7,289.67
|
$7,289.67
|
$10,629.19
|
$20,302.94
|
$11,942.91
|
2026-01-21
|
|
4440162
|
CDM
|
Aaa Endograft
|
96
|
48
|
$14,010.25
|
$14,010.25
|
$4,343.18
|
$14,010.25
|
$11,908.71
|
2026-01-21
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
40
|
20
|
$9,900.96
|
$9,900.96
|
$10,573.15
|
$26,782.67
|
$11,879.93
|
2026-01-21
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
128
|
64
|
$14,795.35
|
$14,795.35
|
$253.47
|
$14,795.35
|
$11,836.28
|
2026-01-21
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
40
|
20
|
$24,451.85
|
$24,451.85
|
$10,533.91
|
$26,683.30
|
$11,835.85
|
2026-01-21
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
40
|
20
|
$14,632.57
|
$14,632.57
|
$10,522.71
|
$26,654.91
|
$11,823.26
|
2026-01-21
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
40
|
20
|
$11,701.41
|
$11,701.41
|
$10,520.84
|
$26,650.17
|
$11,821.16
|
2026-01-21
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
34
|
17
|
$7,954.98
|
$7,954.98
|
$10,511.50
|
$20,078.14
|
$11,810.67
|
2026-01-21
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
40
|
20
|
$26,872.07
|
$26,872.07
|
$10,479.74
|
$26,546.06
|
$11,774.98
|
2026-01-21
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
40
|
20
|
$32,567.00
|
$32,567.00
|
$10,476.62
|
$26,538.18
|
$11,771.48
|
2026-01-21
|
|
915
|
MS_DRG
|
Allergic Reactions With Mcc
|
40
|
20
|
$34,700.47
|
$34,700.47
|
$10,471.64
|
$26,525.56
|
$11,765.89
|
2026-01-21
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
32
|
16
|
$10,896.44
|
$10,896.44
|
$10,437.39
|
$19,936.59
|
$11,727.40
|
2026-01-21
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
40
|
20
|
$27,408.66
|
$27,408.66
|
$10,405.01
|
$26,356.78
|
$11,691.02
|
2026-01-21
|
|
35371
|
HCPCS
|
Removal Of Blood Clot And Portion Of Upper Thigh Artery
|
128
|
64
|
$14,603.87
|
$14,603.87
|
$716.29
|
$14,603.87
|
$11,683.10
|
2026-01-21
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
40
|
20
|
$35,496.95
|
$35,496.95
|
$10,381.35
|
$26,296.84
|
$11,664.43
|
2026-01-21
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
40
|
20
|
$35,728.93
|
$35,728.93
|
$10,367.03
|
$26,260.56
|
$11,648.34
|
2026-01-21
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
40
|
20
|
$18,676.50
|
$18,676.50
|
$10,302.26
|
$26,096.51
|
$11,575.57
|
2026-01-21
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
44
|
22
|
$17,673.17
|
$17,673.17
|
$6,324.00
|
$26,019.21
|
$11,541.29
|
2026-01-21
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
206
|
64
|
$12,675.90
|
$12,675.90
|
$222.73
|
$21,503.25
|
$11,535.07
|
2026-01-21
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
40
|
20
|
$15,800.91
|
$15,800.91
|
$10,250.58
|
$25,965.58
|
$11,517.50
|
2026-01-21
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
40
|
20
|
$17,247.28
|
$17,247.28
|
$10,235.01
|
$25,926.15
|
$11,500.01
|
2026-01-21
|
|
575
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc
|
40
|
20
|
$25,008.10
|
$25,008.10
|
$10,172.74
|
$25,768.41
|
$11,430.04
|
2026-01-21
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
40
|
20
|
$20,866.93
|
$20,866.93
|
$10,167.13
|
$25,754.21
|
$11,423.74
|
2026-01-21
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
40
|
20
|
$22,532.36
|
$22,532.36
|
$10,159.04
|
$25,733.70
|
$11,414.64
|
2026-01-21
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
40
|
20
|
$21,053.09
|
$21,053.09
|
$10,156.55
|
$25,727.39
|
$11,411.85
|
2026-01-21
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
40
|
20
|
$21,945.21
|
$21,945.21
|
$10,151.57
|
$25,714.77
|
$11,406.25
|
2026-01-21
|