|
J3392
|
HCPCS
|
Exagamglogene Autotemcel Susp
|
46
|
17
|
—
|
—
|
$0.62
|
$4,752,000.00
|
$2,988,216.00
|
2026-07-01
|
|
007 - 4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
32
|
19
|
$2,399,135.00
|
—
|
$809,947.98
|
$2,231,195.55
|
$1,551,400.65
|
2026-07-01
|
|
002 - 4
|
OTHER
|
Heart And/or Lung Transplant
|
32
|
19
|
$1,748,866.00
|
—
|
$590,417.16
|
$1,626,445.38
|
$1,130,904.20
|
2026-07-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells Susp
|
69
|
23
|
$2,113,240.00
|
—
|
$0.62
|
$1,965,313.20
|
$1,005,902.24
|
2026-07-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Autoleucel 100000000 Cells Susp
|
134
|
23
|
$2,057,409.50
|
—
|
$0.62
|
$2,035,015.05
|
$939,786.93
|
2026-07-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel 200000000 Cells Susp
|
69
|
23
|
$1,888,425.00
|
—
|
$0.62
|
$1,839,134.25
|
$898,890.30
|
2026-07-01
|
|
161 - 3
|
OTHER
|
Implantable Heart Assist Systems
|
32
|
19
|
$1,368,522.00
|
—
|
$462,013.03
|
$1,272,725.46
|
$884,954.75
|
2026-07-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Autoleucel 200000000 Cells Susp
|
69
|
23
|
$1,694,000.00
|
—
|
$0.62
|
$1,691,966.90
|
$806,344.00
|
2026-07-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel Cd8 70000000 Cells/ml Susp
|
69
|
23
|
$1,528,793.13
|
—
|
$0.62
|
$1,944,297.97
|
$727,705.53
|
2026-07-01
|
|
161 - 4
|
OTHER
|
Implantable Heart Assist Systems
|
32
|
19
|
$1,002,412.00
|
—
|
$338,414.29
|
$932,243.16
|
$648,209.72
|
2026-07-01
|
|
004 - 4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
32
|
19
|
$871,159.00
|
—
|
$294,103.28
|
$810,177.87
|
$563,334.96
|
2026-07-01
|
|
303 - 3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
32
|
19
|
$853,104.00
|
—
|
$288,007.91
|
$793,386.72
|
$551,659.70
|
2026-07-01
|
|
001 - 4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
32
|
19
|
$785,223.00
|
—
|
$265,091.28
|
$730,257.39
|
$507,764.46
|
2026-07-01
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel 10 Million Cells Susp
|
135
|
23
|
$1,015,000.00
|
—
|
$0.62
|
$952,087.50
|
$483,140.00
|
2026-07-01
|
|
680 - 4
|
OTHER
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
32
|
19
|
$734,257.00
|
—
|
$247,885.16
|
$682,859.01
|
$474,807.29
|
2026-07-01
|
|
002 - 3
|
OTHER
|
Heart And/or Lung Transplant
|
32
|
19
|
$732,777.00
|
—
|
$247,385.52
|
$681,482.61
|
$473,850.24
|
2026-07-01
|
|
176 - 4
|
OTHER
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
32
|
19
|
$723,533.00
|
—
|
$244,264.74
|
$672,885.69
|
$467,872.61
|
2026-07-01
|
|
089 - 4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$717,015.00
|
—
|
$242,064.26
|
$666,823.95
|
$463,657.75
|
2026-07-01
|
|
005 - 4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
32
|
19
|
$716,763.00
|
—
|
$241,979.19
|
$666,589.59
|
$463,494.80
|
2026-07-01
|
|
020 - 4
|
OTHER
|
Open Craniotomy For Trauma
|
32
|
19
|
$687,120.00
|
—
|
$231,971.71
|
$639,021.60
|
$444,326.15
|
2026-07-01
|
|
007 - 3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
32
|
19
|
$668,200.00
|
—
|
$225,584.32
|
$621,426.00
|
$432,091.53
|
2026-07-01
|
|
009 - 4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
32
|
19
|
$641,569.00
|
—
|
$216,593.69
|
$596,659.17
|
$414,870.59
|
2026-07-01
|
|
167 - 4
|
OTHER
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
32
|
19
|
$627,932.00
|
—
|
$211,989.84
|
$583,976.76
|
$406,052.23
|
2026-07-01
|
|
227 - 4
|
OTHER
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
32
|
19
|
$620,469.00
|
—
|
$209,470.33
|
$577,036.17
|
$401,226.28
|
2026-07-01
|
|
178 - 4
|
OTHER
|
External Heart Assist Devices
|
32
|
19
|
$610,638.00
|
—
|
$206,151.39
|
$567,893.34
|
$394,869.07
|
2026-07-01
|
|
842 - 4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
32
|
19
|
$600,159.00
|
—
|
$202,613.68
|
$558,147.87
|
$388,092.82
|
2026-07-01
|
|
447 - 4
|
OTHER
|
Other Kidney Urinary Tract And Related Non-percutaneous Procedures
|
32
|
19
|
$598,032.00
|
—
|
$201,895.60
|
$556,169.76
|
$386,717.40
|
2026-07-01
|
|
180 - 4
|
OTHER
|
Other Peripheral Vascular And Circulatory Procedures
|
32
|
19
|
$586,153.00
|
—
|
$197,885.25
|
$545,122.29
|
$379,035.83
|
2026-07-01
|
|
911 - 4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
32
|
19
|
$583,334.00
|
—
|
$196,933.56
|
$542,500.62
|
$377,212.93
|
2026-07-01
|
|
001 - 3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
32
|
19
|
$565,851.00
|
—
|
$191,031.30
|
$526,241.43
|
$365,907.55
|
2026-07-01
|
|
162 - 4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$560,057.00
|
—
|
$189,075.24
|
$520,853.01
|
$362,160.86
|
2026-07-01
|
|
547 - 4
|
OTHER
|
Antepartum With O.r. Procedure
|
32
|
19
|
$555,280.00
|
—
|
$187,462.53
|
$516,410.40
|
$359,071.81
|
2026-07-01
|
|
007 - 2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
32
|
19
|
$549,300.00
|
—
|
$185,443.68
|
$510,849.00
|
$355,204.84
|
2026-07-01
|
|
841 - 4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
32
|
19
|
$544,123.00
|
—
|
$183,695.92
|
$506,034.39
|
$351,857.14
|
2026-07-01
|
|
004 - 3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
32
|
19
|
$536,128.00
|
—
|
$180,996.81
|
$498,599.04
|
$346,687.17
|
2026-07-01
|
|
165 - 4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$525,957.00
|
—
|
$177,563.08
|
$489,140.01
|
$340,110.09
|
2026-07-01
|
|
027 - 4
|
OTHER
|
Other Open Craniotomy
|
32
|
19
|
$512,604.00
|
—
|
$173,055.11
|
$476,721.72
|
$331,475.38
|
2026-07-01
|
|
163 - 4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$504,252.00
|
—
|
$170,235.48
|
$468,954.36
|
$326,074.55
|
2026-07-01
|
|
021 - 4
|
OTHER
|
Open Craniotomy Except Trauma
|
32
|
19
|
$499,986.00
|
—
|
$168,795.27
|
$464,986.98
|
$323,315.95
|
2026-07-01
|
|
530 - 4
|
OTHER
|
Female Reproductive System Malignancy
|
32
|
19
|
$496,709.00
|
—
|
$167,688.96
|
$461,939.37
|
$321,196.88
|
2026-07-01
|
|
710 - 4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
32
|
19
|
$492,736.00
|
—
|
$166,347.67
|
$458,244.48
|
$318,627.73
|
2026-07-01
|
|
166 - 4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$492,408.00
|
—
|
$166,236.94
|
$457,939.44
|
$318,415.64
|
2026-07-01
|
|
120 - 4
|
OTHER
|
Major Respiratory And Chest Procedures
|
32
|
19
|
$477,780.00
|
—
|
$161,298.53
|
$444,335.40
|
$308,956.43
|
2026-07-01
|
|
312 - 4
|
OTHER
|
Skin Graft For Musculoskeletal And Connective Tissue Diagnoses
|
32
|
19
|
$468,461.00
|
—
|
$158,152.43
|
$435,668.73
|
$302,930.31
|
2026-07-01
|
|
381 - 4
|
OTHER
|
Major Skin Disorders
|
32
|
19
|
$462,542.00
|
—
|
$156,154.18
|
$430,164.06
|
$299,102.79
|
2026-07-01
|
|
300 - 4
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$447,669.00
|
—
|
$151,133.05
|
$416,332.17
|
$289,485.16
|
2026-07-01
|
|
681 - 4
|
OTHER
|
Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
32
|
19
|
$445,067.00
|
—
|
$150,254.62
|
$413,912.31
|
$287,802.57
|
2026-07-01
|
|
912 - 4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
32
|
19
|
$441,926.00
|
—
|
$149,194.22
|
$410,991.18
|
$285,771.45
|
2026-07-01
|
|
304 - 4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
32
|
19
|
$439,138.00
|
—
|
$148,252.99
|
$408,398.34
|
$283,968.59
|
2026-07-01
|
|
404 - 4
|
OTHER
|
Thyroid Parathyroid And Thyroglossal Procedures
|
32
|
19
|
$433,248.00
|
—
|
$146,264.52
|
$402,920.64
|
$280,159.82
|
2026-07-01
|
|
711 - 4
|
OTHER
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
32
|
19
|
$432,649.00
|
—
|
$146,062.30
|
$402,363.57
|
$279,772.47
|
2026-07-01
|
|
048 - 4
|
OTHER
|
Peripheral Cranial And Autonomic Nerve Disorders
|
32
|
19
|
$431,804.00
|
—
|
$145,777.03
|
$401,577.72
|
$279,226.05
|
2026-07-01
|
|
317 - 4
|
OTHER
|
Tendon Muscle And Other Soft Tissue Procedures
|
32
|
19
|
$417,072.00
|
—
|
$140,803.51
|
$387,876.96
|
$269,699.61
|
2026-07-01
|
|
690 - 4
|
OTHER
|
Acute Leukemia
|
32
|
19
|
$411,036.00
|
—
|
$138,765.75
|
$382,263.48
|
$265,796.43
|
2026-07-01
|
|
324 - 4
|
OTHER
|
Elective Hip Joint Replacement
|
32
|
19
|
$410,933.00
|
—
|
$138,730.98
|
$382,167.69
|
$265,729.83
|
2026-07-01
|
|
169 - 3
|
OTHER
|
Major Abdominal Vascular Procedures
|
32
|
19
|
$409,375.00
|
—
|
$138,205.00
|
$380,718.75
|
$264,722.34
|
2026-07-01
|
|
230 - 4
|
OTHER
|
Major Small Bowel Procedures
|
32
|
19
|
$407,339.00
|
—
|
$137,517.65
|
$378,825.27
|
$263,405.77
|
2026-07-01
|
|
162 - 3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$396,409.00
|
—
|
$133,827.68
|
$368,660.37
|
$256,337.88
|
2026-07-01
|
|
023 - 4
|
OTHER
|
Spinal Procedures
|
32
|
19
|
$394,470.00
|
—
|
$133,173.07
|
$366,857.10
|
$255,084.02
|
2026-07-01
|
|
001 - 2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
32
|
19
|
$388,821.00
|
—
|
$131,265.97
|
$361,603.53
|
$251,431.10
|
2026-07-01
|
|
005 - 3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
32
|
19
|
$379,043.00
|
—
|
$127,964.92
|
$352,509.99
|
$245,108.15
|
2026-07-01
|
|
026 - 4
|
OTHER
|
Other Nervous System And Related Procedures
|
32
|
19
|
$378,738.00
|
—
|
$127,861.95
|
$352,226.34
|
$244,910.93
|
2026-07-01
|
|
008 - 3
|
OTHER
|
Autologous Bone Marrow Transplant
|
32
|
19
|
$377,410.00
|
—
|
$127,413.62
|
$350,991.30
|
$244,052.17
|
2026-07-01
|
|
224 - 4
|
OTHER
|
Peritoneal Adhesiolysis
|
32
|
19
|
$376,401.00
|
—
|
$127,072.98
|
$350,052.93
|
$243,399.71
|
2026-07-01
|
|
169 - 4
|
OTHER
|
Major Abdominal Vascular Procedures
|
32
|
19
|
$374,762.00
|
—
|
$126,519.65
|
$348,528.66
|
$242,339.85
|
2026-07-01
|
|
440 - 4
|
OTHER
|
Kidney Transplant
|
32
|
19
|
$364,979.00
|
—
|
$123,216.91
|
$339,430.47
|
$236,013.67
|
2026-07-01
|
|
405 - 4
|
OTHER
|
Other Procedures For Endocrine Nutritional And Metabolic Disorders
|
32
|
19
|
$362,367.00
|
—
|
$122,335.10
|
$337,001.31
|
$234,324.62
|
2026-07-01
|
|
299 - 3
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$361,712.00
|
—
|
$122,113.97
|
$336,392.16
|
$233,901.07
|
2026-07-01
|
|
850 - 4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
32
|
19
|
$358,915.00
|
—
|
$121,169.70
|
$333,790.95
|
$232,092.39
|
2026-07-01
|
|
089 - 3
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$355,720.00
|
—
|
$120,091.07
|
$330,819.60
|
$230,026.34
|
2026-07-01
|
|
179 - 4
|
OTHER
|
Defibrillator Implants
|
32
|
19
|
$355,312.00
|
—
|
$119,953.33
|
$330,440.16
|
$229,762.51
|
2026-07-01
|
|
313 - 4
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
32
|
19
|
$351,086.00
|
—
|
$118,526.63
|
$326,509.98
|
$227,029.76
|
2026-07-01
|
|
950 - 4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
32
|
19
|
$349,024.00
|
—
|
$117,830.50
|
$324,592.32
|
$225,696.37
|
2026-07-01
|
|
260 - 4
|
OTHER
|
Major Pancreas Liver And Shunt Procedures
|
32
|
19
|
$346,916.00
|
—
|
$117,118.84
|
$322,631.88
|
$224,333.23
|
2026-07-01
|
|
163 - 3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$345,200.00
|
—
|
$116,539.52
|
$321,036.00
|
$223,223.58
|
2026-07-01
|
|
309 - 4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
32
|
19
|
$341,721.00
|
—
|
$115,365.01
|
$317,800.53
|
$220,973.89
|
2026-07-01
|
|
363 - 3
|
OTHER
|
Breast Procedures Except Mastectomy
|
32
|
19
|
$338,896.00
|
—
|
$114,411.29
|
$315,173.28
|
$219,147.10
|
2026-07-01
|
|
890 - 4
|
OTHER
|
HIV With Multiple Major HIV Related Conditions
|
32
|
19
|
$334,277.00
|
—
|
$112,851.92
|
$310,877.61
|
$216,160.22
|
2026-07-01
|
|
304 - 3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
32
|
19
|
$334,215.00
|
—
|
$112,830.98
|
$310,819.95
|
$216,120.13
|
2026-07-01
|
|
691 - 4
|
OTHER
|
Lymphoma Myeloma And Non-acute Leukemia
|
32
|
19
|
$333,270.00
|
—
|
$112,511.95
|
$309,941.10
|
$215,509.04
|
2026-07-01
|
|
305 - 4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
32
|
19
|
$331,504.00
|
—
|
$111,915.75
|
$308,298.72
|
$214,367.06
|
2026-07-01
|
|
811 - 4
|
OTHER
|
Allergic Reactions
|
32
|
19
|
$331,214.00
|
—
|
$111,817.85
|
$308,029.02
|
$214,179.54
|
2026-07-01
|
|
231 - 4
|
OTHER
|
Major Large Bowel Procedures
|
32
|
19
|
$328,344.00
|
—
|
$110,848.93
|
$305,359.92
|
$212,323.65
|
2026-07-01
|
|
220 - 4
|
OTHER
|
Major Stomach Esophageal And Duodenal Procedures
|
32
|
19
|
$326,286.00
|
—
|
$110,154.15
|
$303,445.98
|
$210,992.84
|
2026-07-01
|
|
842 - 3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
32
|
19
|
$323,645.00
|
—
|
$109,262.55
|
$300,989.85
|
$209,285.04
|
2026-07-01
|
|
165 - 2
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$320,872.00
|
—
|
$108,326.39
|
$298,410.96
|
$207,491.88
|
2026-07-01
|
|
440 - 3
|
OTHER
|
Kidney Transplant
|
32
|
19
|
$319,436.00
|
—
|
$107,841.59
|
$297,075.48
|
$206,563.29
|
2026-07-01
|
|
483 - 4
|
OTHER
|
Penis Testes And Scrotal Procedures
|
32
|
19
|
$316,859.00
|
—
|
$106,971.60
|
$294,678.87
|
$204,896.87
|
2026-07-01
|
|
023 - 3
|
OTHER
|
Spinal Procedures
|
32
|
19
|
$313,286.00
|
—
|
$105,765.35
|
$291,355.98
|
$202,586.39
|
2026-07-01
|
|
163 - 2
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$313,191.00
|
—
|
$105,733.28
|
$291,267.63
|
$202,524.96
|
2026-07-01
|
|
81200001
|
CDM
|
Hc Heart Procurement
|
69
|
23
|
$414,585.00
|
—
|
$0.62
|
$385,564.05
|
$198,752.05
|
2026-07-01
|
|
091 - 3
|
OTHER
|
Other Major Head And Neck Procedures
|
32
|
19
|
$304,824.00
|
—
|
$102,908.58
|
$283,486.32
|
$197,114.44
|
2026-07-01
|
|
299 - 2
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$300,747.00
|
—
|
$101,532.19
|
$279,694.71
|
$194,478.05
|
2026-07-01
|
|
660 - 4
|
OTHER
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
32
|
19
|
$298,681.00
|
—
|
$100,834.71
|
$277,773.33
|
$193,142.07
|
2026-07-01
|
|
321 - 3
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
32
|
19
|
$297,798.00
|
—
|
$100,536.60
|
$276,952.14
|
$192,571.08
|
2026-07-01
|
|
130 - 4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
32
|
19
|
$297,569.00
|
—
|
$100,459.29
|
$276,739.17
|
$192,422.99
|
2026-07-01
|
|
050 - 4
|
OTHER
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
32
|
19
|
$297,147.00
|
—
|
$100,316.83
|
$276,346.71
|
$192,150.11
|
2026-07-01
|
|
229 - 4
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
32
|
19
|
$296,001.00
|
—
|
$99,929.94
|
$275,280.93
|
$191,409.04
|
2026-07-01
|
|
441 - 4
|
OTHER
|
Major Bladder Procedures
|
32
|
19
|
$292,884.00
|
—
|
$98,877.64
|
$272,382.12
|
$189,393.44
|
2026-07-01
|
|
363 - 2
|
OTHER
|
Breast Procedures Except Mastectomy
|
32
|
19
|
$291,147.00
|
—
|
$98,291.23
|
$270,766.71
|
$188,270.21
|
2026-07-01
|
|
121 - 4
|
OTHER
|
Other Respiratory And Chest Procedures
|
32
|
19
|
$291,119.00
|
—
|
$98,281.77
|
$270,740.67
|
$188,252.10
|
2026-07-01
|
|
500 - 4
|
OTHER
|
Malignancy Male Reproductive System
|
32
|
19
|
$287,456.00
|
—
|
$97,045.15
|
$267,334.08
|
$185,883.42
|
2026-07-01
|
|
165 - 3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$284,672.00
|
—
|
$96,105.27
|
$264,744.96
|
$184,083.15
|
2026-07-01
|
|
753 - 4
|
OTHER
|
Bipolar Disorders
|
32
|
19
|
$282,358.00
|
—
|
$95,324.06
|
$262,592.94
|
$182,586.80
|
2026-07-01
|
|
008 - 2
|
OTHER
|
Autologous Bone Marrow Transplant
|
32
|
19
|
$281,440.00
|
—
|
$95,014.14
|
$261,739.20
|
$181,993.17
|
2026-07-01
|
|
310 - 4
|
OTHER
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
32
|
19
|
$279,723.00
|
—
|
$94,434.48
|
$260,142.39
|
$180,882.88
|
2026-07-01
|
|
440 - 2
|
OTHER
|
Kidney Transplant
|
32
|
19
|
$278,980.00
|
—
|
$94,183.65
|
$259,451.40
|
$180,402.41
|
2026-07-01
|
|
321 - 4
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
32
|
19
|
$276,720.00
|
—
|
$93,420.67
|
$257,349.60
|
$178,940.99
|
2026-07-01
|
|
162 - 2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
32
|
19
|
$275,819.00
|
—
|
$93,116.49
|
$256,511.67
|
$178,358.35
|
2026-07-01
|
|
182 - 4
|
OTHER
|
Other Upper Vascular Procedures
|
32
|
19
|
$275,771.00
|
—
|
$93,100.29
|
$256,467.03
|
$178,327.32
|
2026-07-01
|
|
166 - 3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$273,909.00
|
—
|
$92,471.68
|
$254,735.37
|
$177,123.26
|
2026-07-01
|
|
346 - 4
|
OTHER
|
Connective Tissue Disorders
|
32
|
19
|
$273,409.00
|
—
|
$92,302.88
|
$254,270.37
|
$176,799.93
|
2026-07-01
|
|
303 - 2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
32
|
19
|
$271,435.00
|
—
|
$91,636.46
|
$252,434.55
|
$175,523.45
|
2026-07-01
|
|
361 - 3
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
32
|
19
|
$268,462.00
|
—
|
$90,632.77
|
$249,669.66
|
$173,600.95
|
2026-07-01
|
|
027 - 3
|
OTHER
|
Other Open Craniotomy
|
32
|
19
|
$266,774.00
|
—
|
$90,062.90
|
$248,099.82
|
$172,509.40
|
2026-07-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
1
|
1
|
$344,347.00
|
—
|
$171,526.42
|
$171,526.42
|
$171,526.42
|
2026-07-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$171,526.42
|
$171,526.42
|
$171,526.42
|
2026-07-01
|
|
792 - 4
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
32
|
19
|
$264,331.00
|
—
|
$89,238.15
|
$245,827.83
|
$170,929.64
|
2026-07-01
|
|
110 - 4
|
OTHER
|
Ear Nose Mouth Throat And Cranial Or Facial Malignancies
|
32
|
19
|
$263,859.00
|
—
|
$89,078.80
|
$245,388.87
|
$170,624.42
|
2026-07-01
|
|
166 - 2
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
32
|
19
|
$262,376.00
|
—
|
$88,578.14
|
$244,009.68
|
$169,665.44
|
2026-07-01
|
|
300 - 3
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$262,115.00
|
—
|
$88,490.02
|
$243,766.95
|
$169,496.66
|
2026-07-01
|
|
240 - 4
|
OTHER
|
Digestive Malignancy
|
32
|
19
|
$262,008.00
|
—
|
$88,453.90
|
$243,667.44
|
$169,427.48
|
2026-07-01
|
|
131 - 4
|
OTHER
|
Cystic Fibrosis - Pulmonary Disease
|
32
|
19
|
$259,225.00
|
—
|
$87,514.36
|
$241,079.25
|
$167,627.85
|
2026-07-01
|
|
81200006
|
CDM
|
Hc Lung Procurement Bilateral
|
69
|
23
|
$348,991.00
|
—
|
$0.62
|
$324,561.63
|
$167,306.29
|
2026-07-01
|
|
181 - 3
|
OTHER
|
Lower Vascular Procedures
|
32
|
19
|
$256,971.00
|
—
|
$86,753.41
|
$238,983.03
|
$166,170.29
|
2026-07-01
|
|
952 - 4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
32
|
19
|
$256,518.00
|
—
|
$86,600.48
|
$238,561.74
|
$165,877.36
|
2026-07-01
|
|
167 - 3
|
OTHER
|
Other Cardiothoracic And Thoracic Circulatory Procedures
|
32
|
19
|
$255,943.00
|
—
|
$86,406.36
|
$238,026.99
|
$165,505.54
|
2026-07-01
|
|
441 - 3
|
OTHER
|
Major Bladder Procedures
|
32
|
19
|
$255,712.00
|
—
|
$86,328.37
|
$237,812.16
|
$165,356.16
|
2026-07-01
|
|
024 - 3
|
OTHER
|
Open Extracranial Vascular Procedures
|
32
|
19
|
$252,812.00
|
—
|
$85,349.33
|
$235,115.16
|
$163,480.88
|
2026-07-01
|
|
160 - 3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
32
|
19
|
$250,312.00
|
—
|
$84,505.33
|
$232,790.16
|
$161,864.26
|
2026-07-01
|
|
264 - 4
|
OTHER
|
Other Hepatobiliary Pancreas And Abdominal Procedures
|
32
|
19
|
$249,549.00
|
—
|
$84,247.74
|
$232,080.57
|
$161,370.86
|
2026-07-01
|
|
171 - 4
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
32
|
19
|
$249,478.00
|
—
|
$84,223.77
|
$232,014.54
|
$161,324.95
|
2026-07-01
|
|
794 - 4
|
OTHER
|
Non-extensive O.r. Procedures For Other Complications Of Treatment
|
32
|
19
|
$246,993.00
|
—
|
$83,384.84
|
$229,703.49
|
$159,718.03
|
2026-07-01
|
|
951 - 4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
32
|
19
|
$245,251.00
|
—
|
$82,796.74
|
$228,083.43
|
$158,591.56
|
2026-07-01
|
|
442 - 4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
32
|
19
|
$244,379.00
|
—
|
$82,502.35
|
$227,272.47
|
$158,027.68
|
2026-07-01
|
|
181 - 4
|
OTHER
|
Lower Vascular Procedures
|
32
|
19
|
$242,713.00
|
—
|
$81,939.91
|
$225,723.09
|
$156,950.36
|
2026-07-01
|
|
695 - 3
|
OTHER
|
Chemotherapy For Acute Leukemia
|
32
|
19
|
$240,219.00
|
—
|
$81,097.93
|
$223,403.67
|
$155,337.61
|
2026-07-01
|
|
044 - 4
|
OTHER
|
Intracranial Hemorrhage
|
32
|
19
|
$238,588.00
|
—
|
$80,547.31
|
$221,886.84
|
$154,282.93
|
2026-07-01
|
|
680 - 3
|
OTHER
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
32
|
19
|
$235,702.00
|
—
|
$79,573.00
|
$219,202.86
|
$152,416.70
|
2026-07-01
|
|
81200005
|
CDM
|
Hc Lung Procurement
|
69
|
23
|
$317,265.00
|
—
|
$0.62
|
$295,056.45
|
$152,096.84
|
2026-07-01
|
|
441 - 2
|
OTHER
|
Major Bladder Procedures
|
32
|
19
|
$235,165.00
|
—
|
$79,391.70
|
$218,703.45
|
$152,069.45
|
2026-07-01
|
|
091 - 2
|
OTHER
|
Other Major Head And Neck Procedures
|
32
|
19
|
$234,410.00
|
—
|
$79,136.82
|
$218,001.30
|
$151,581.23
|
2026-07-01
|
|
323 - 4
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
32
|
19
|
$231,275.00
|
—
|
$78,078.44
|
$215,085.75
|
$149,553.98
|
2026-07-01
|
|
912 - 3
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
32
|
19
|
$230,477.00
|
—
|
$77,809.04
|
$214,343.61
|
$149,037.95
|
2026-07-01
|
|
130 - 3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
32
|
19
|
$229,798.00
|
—
|
$77,579.80
|
$213,712.14
|
$148,598.88
|
2026-07-01
|
|
169 - 1
|
OTHER
|
Major Abdominal Vascular Procedures
|
32
|
19
|
$228,448.00
|
—
|
$77,124.04
|
$212,456.64
|
$147,725.90
|
2026-07-01
|
|
040 - 4
|
OTHER
|
Spinal Disorders And Injuries
|
32
|
19
|
$228,246.00
|
—
|
$77,055.85
|
$212,268.78
|
$147,595.27
|
2026-07-01
|
|
189407
|
LOCAL
|
Kit Implant Heartmate 3 - Smlp-055232
|
69
|
22
|
$304,560.00
|
—
|
$0.62
|
$283,240.80
|
$146,006.06
|
2026-07-01
|
|
021 - 3
|
OTHER
|
Open Craniotomy Except Trauma
|
32
|
19
|
$224,468.00
|
—
|
$75,780.40
|
$208,755.24
|
$145,152.23
|
2026-07-01
|
|
304 - 2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
32
|
19
|
$224,057.00
|
—
|
$75,641.64
|
$208,373.01
|
$144,886.46
|
2026-07-01
|
|
309 - 3
|
OTHER
|
Other Significant Hip And Femur Surgery
|
32
|
19
|
$223,934.00
|
—
|
$75,600.12
|
$208,258.62
|
$144,806.92
|
2026-07-01
|
|
131 - 3
|
OTHER
|
Cystic Fibrosis - Pulmonary Disease
|
32
|
19
|
$223,376.00
|
—
|
$75,411.74
|
$207,739.68
|
$144,446.09
|
2026-07-01
|
|
092 - 4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$223,189.00
|
—
|
$75,348.61
|
$207,565.77
|
$144,325.17
|
2026-07-01
|
|
542 - 4
|
OTHER
|
Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c
|
32
|
19
|
$221,230.00
|
—
|
$74,687.25
|
$205,743.90
|
$143,058.38
|
2026-07-01
|
|
178 - 3
|
OTHER
|
External Heart Assist Devices
|
32
|
19
|
$220,508.00
|
—
|
$74,443.50
|
$205,072.44
|
$142,591.50
|
2026-07-01
|
|
308 - 4
|
OTHER
|
Hip And Femur Fracture Repair
|
32
|
19
|
$220,251.00
|
—
|
$74,356.74
|
$204,833.43
|
$142,425.31
|
2026-07-01
|
|
300 - 2
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$217,884.00
|
—
|
$73,557.64
|
$202,632.12
|
$140,894.69
|
2026-07-01
|
|
179 - 3
|
OTHER
|
Defibrillator Implants
|
32
|
19
|
$215,076.00
|
—
|
$72,609.66
|
$200,020.68
|
$139,078.90
|
2026-07-01
|
|
323 - 3
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
32
|
19
|
$213,607.00
|
—
|
$72,113.72
|
$198,654.51
|
$138,128.96
|
2026-07-01
|
|
030 - 4
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
32
|
19
|
$211,561.00
|
—
|
$71,422.99
|
$196,751.73
|
$136,805.92
|
2026-07-01
|
|
447 - 3
|
OTHER
|
Other Kidney Urinary Tract And Related Non-percutaneous Procedures
|
32
|
19
|
$209,171.00
|
—
|
$70,616.13
|
$194,529.03
|
$135,260.42
|
2026-07-01
|
|
442 - 3
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
32
|
19
|
$208,548.00
|
—
|
$70,405.80
|
$193,949.64
|
$134,857.57
|
2026-07-01
|
|
222 - 4
|
OTHER
|
Other Stomach Esophageal And Duodenal Procedures
|
32
|
19
|
$208,172.00
|
—
|
$70,278.87
|
$193,599.96
|
$134,614.42
|
2026-07-01
|
|
313 - 3
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
32
|
19
|
$206,971.00
|
—
|
$69,873.41
|
$192,483.03
|
$133,837.79
|
2026-07-01
|
|
695 - 4
|
OTHER
|
Chemotherapy For Acute Leukemia
|
32
|
19
|
$205,513.00
|
—
|
$69,381.19
|
$191,127.09
|
$132,894.98
|
2026-07-01
|
|
539 - 4
|
OTHER
|
Cesarean Section With Sterilization
|
32
|
19
|
$204,903.00
|
—
|
$69,175.25
|
$190,559.79
|
$132,500.53
|
2026-07-01
|
|
81200004
|
CDM
|
Hc Liver Procurement From Cadaver Donor
|
69
|
23
|
$275,532.00
|
—
|
$0.62
|
$256,244.76
|
$132,090.04
|
2026-07-01
|
|
043 - 3
|
OTHER
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
32
|
19
|
$203,223.00
|
—
|
$68,608.08
|
$188,997.39
|
$131,414.15
|
2026-07-01
|
|
690 - 3
|
OTHER
|
Acute Leukemia
|
32
|
19
|
$202,627.00
|
—
|
$68,406.88
|
$188,443.11
|
$131,028.75
|
2026-07-01
|
|
192 - 4
|
OTHER
|
Cardiac Catheterization For Other Non-coronary Conditions
|
32
|
19
|
$201,585.00
|
—
|
$68,055.10
|
$187,474.05
|
$130,354.94
|
2026-07-01
|
|
082 - 4
|
OTHER
|
Eye Infections And Other Eye Disorders
|
32
|
19
|
$201,442.00
|
—
|
$68,006.82
|
$187,341.06
|
$130,262.47
|
2026-07-01
|
|
183 - 3
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
32
|
19
|
$201,091.00
|
—
|
$67,888.32
|
$187,014.63
|
$130,035.49
|
2026-07-01
|
|
325 - 3
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
32
|
19
|
$200,670.00
|
—
|
$67,746.19
|
$186,623.10
|
$129,763.26
|
2026-07-01
|
|
042 - 4
|
OTHER
|
Degenerative Nervous System Disorders Except Multiple Sclerosis
|
32
|
19
|
$200,620.00
|
—
|
$67,729.31
|
$186,576.60
|
$129,730.93
|
2026-07-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
3
|
$2,079,414.00
|
—
|
$124,000.00
|
$153,000.00
|
$128,763.00
|
2026-07-01
|
|
023 - 2
|
OTHER
|
Spinal Procedures
|
32
|
19
|
$199,116.00
|
—
|
$67,221.56
|
$185,177.88
|
$128,758.36
|
2026-07-01
|
|
029 - 3
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
32
|
19
|
$196,122.00
|
—
|
$66,210.79
|
$182,393.46
|
$126,822.29
|
2026-07-01
|
|
315 - 3
|
OTHER
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
32
|
19
|
$195,433.00
|
—
|
$65,978.18
|
$181,752.69
|
$126,376.75
|
2026-07-01
|
|
299 - 1
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$195,325.00
|
—
|
$65,941.72
|
$181,652.25
|
$126,306.91
|
2026-07-01
|
|
008 - 1
|
OTHER
|
Autologous Bone Marrow Transplant
|
32
|
19
|
$193,068.00
|
—
|
$65,179.76
|
$179,553.24
|
$124,847.42
|
2026-07-01
|
|
364 - 4
|
OTHER
|
Other Skin Subcutaneous Tissue And Related Procedures
|
32
|
19
|
$191,750.00
|
—
|
$64,734.80
|
$178,327.50
|
$123,995.14
|
2026-07-01
|
|
363 - 1
|
OTHER
|
Breast Procedures Except Mastectomy
|
32
|
19
|
$191,400.00
|
—
|
$64,616.64
|
$178,002.00
|
$123,768.81
|
2026-07-01
|
|
661 - 4
|
OTHER
|
Coagulation And Platelet Disorders
|
32
|
19
|
$191,134.00
|
—
|
$64,526.84
|
$177,754.62
|
$123,596.80
|
2026-07-01
|
|
950 - 3
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
32
|
19
|
$189,289.00
|
—
|
$63,903.97
|
$176,038.77
|
$122,403.73
|
2026-07-01
|
|
952 - 3
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
32
|
19
|
$188,923.00
|
—
|
$63,780.40
|
$175,698.39
|
$122,167.06
|
2026-07-01
|
|
220 - 3
|
OTHER
|
Major Stomach Esophageal And Duodenal Procedures
|
32
|
19
|
$188,271.00
|
—
|
$63,560.29
|
$175,092.03
|
$121,745.44
|
2026-07-01
|
|
850 - 3
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
32
|
19
|
$187,562.00
|
—
|
$63,320.93
|
$174,432.66
|
$121,286.96
|
2026-07-01
|
|
261 - 3
|
OTHER
|
Major Biliary Tract Procedures
|
32
|
19
|
$187,006.00
|
—
|
$63,133.23
|
$173,915.58
|
$120,927.43
|
2026-07-01
|
|
171 - 3
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock
|
32
|
19
|
$186,834.00
|
—
|
$63,075.16
|
$173,755.62
|
$120,816.21
|
2026-07-01
|
|
304 - 1
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
32
|
19
|
$185,484.00
|
—
|
$62,619.40
|
$172,500.12
|
$119,943.23
|
2026-07-01
|
|
361 - 2
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
32
|
19
|
$185,334.00
|
—
|
$62,568.76
|
$172,360.62
|
$119,846.23
|
2026-07-01
|
|
021 - 2
|
OTHER
|
Open Craniotomy Except Trauma
|
32
|
19
|
$184,873.00
|
—
|
$62,413.12
|
$171,931.89
|
$119,548.12
|
2026-07-01
|
|
230 - 3
|
OTHER
|
Major Small Bowel Procedures
|
32
|
19
|
$184,493.00
|
—
|
$62,284.84
|
$171,578.49
|
$119,302.40
|
2026-07-01
|
|
175 - 3
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
32
|
19
|
$182,911.00
|
—
|
$61,750.75
|
$170,107.23
|
$118,279.40
|
2026-07-01
|
|
514 - 2
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
32
|
19
|
$182,296.00
|
—
|
$61,543.13
|
$169,535.28
|
$117,881.71
|
2026-07-01
|
|
315 - 4
|
OTHER
|
Shoulder Upper Arm And Forearm Procedures Except Joint Replacement
|
32
|
19
|
$181,188.00
|
—
|
$61,169.07
|
$168,504.84
|
$117,165.22
|
2026-07-01
|
|
484 - 3
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
32
|
19
|
$179,893.00
|
—
|
$60,731.88
|
$167,300.49
|
$116,327.81
|
2026-07-01
|
|
169 - 2
|
OTHER
|
Major Abdominal Vascular Procedures
|
32
|
19
|
$179,065.00
|
—
|
$60,452.34
|
$166,530.45
|
$115,792.38
|
2026-07-01
|
|
179 - 2
|
OTHER
|
Defibrillator Implants
|
32
|
19
|
$178,558.00
|
—
|
$60,281.18
|
$166,058.94
|
$115,464.53
|
2026-07-01
|
|
194 - 4
|
OTHER
|
Heart Failure
|
32
|
19
|
$178,175.00
|
—
|
$60,151.88
|
$165,702.75
|
$115,216.86
|
2026-07-01
|
|
041 - 4
|
OTHER
|
Nervous System Malignancy
|
32
|
19
|
$178,135.00
|
—
|
$60,138.38
|
$165,665.55
|
$115,191.00
|
2026-07-01
|
|
750 - 4
|
OTHER
|
Schizophrenia And Other Severe Psychotic Disorders
|
32
|
19
|
$176,957.00
|
—
|
$59,740.68
|
$164,570.01
|
$114,429.24
|
2026-07-01
|
|
J7330
|
HCPCS
|
Matrix-induced Autologous Chondrocyte Implantation Shee
|
70
|
22
|
$238,208.80
|
—
|
$0.62
|
$221,836.19
|
$114,197.30
|
2026-07-01
|
|
300 - 1
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
32
|
19
|
$176,458.00
|
—
|
$59,572.22
|
$164,105.94
|
$114,106.57
|
2026-07-01
|
|
448 - 2
|
OTHER
|
Other Kidney Urinary Tract And Related Percutaneous Procedures
|
32
|
19
|
$176,049.00
|
—
|
$59,434.14
|
$163,725.57
|
$113,842.09
|
2026-07-01
|
|
282 - 4
|
OTHER
|
Disorders Of Pancreas Except Malignancy
|
32
|
19
|
$175,549.00
|
—
|
$59,265.34
|
$163,260.57
|
$113,518.76
|
2026-07-01
|
|
280 - 4
|
OTHER
|
Alcoholic Liver Disease
|
32
|
19
|
$175,221.00
|
—
|
$59,154.61
|
$162,955.53
|
$113,306.66
|
2026-07-01
|
|
021 - 1
|
OTHER
|
Open Craniotomy Except Trauma
|
32
|
19
|
$174,629.00
|
—
|
$58,954.75
|
$162,404.97
|
$112,923.85
|
2026-07-01
|
|
089 - 2
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$173,347.00
|
—
|
$58,521.95
|
$161,212.71
|
$112,094.84
|
2026-07-01
|
|
721 - 4
|
OTHER
|
Post-operative Post-traumatic Other Device Infections
|
32
|
19
|
$172,951.00
|
—
|
$58,388.26
|
$160,844.43
|
$111,838.76
|
2026-07-01
|
|
177 - 4
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
32
|
19
|
$171,875.00
|
—
|
$58,025.00
|
$159,843.75
|
$111,142.97
|
2026-07-01
|
|
323 - 1
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
32
|
19
|
$169,151.00
|
—
|
$57,105.38
|
$157,310.43
|
$109,381.49
|
2026-07-01
|
|
445 - 3
|
OTHER
|
Other Bladder Procedures
|
32
|
19
|
$169,000.00
|
—
|
$57,054.40
|
$157,170.00
|
$109,283.85
|
2026-07-01
|
|
073 - 3
|
OTHER
|
Orbit And Eye Procedures
|
32
|
19
|
$168,669.00
|
—
|
$56,942.65
|
$156,862.17
|
$109,069.81
|
2026-07-01
|
|
020 - 3
|
OTHER
|
Open Craniotomy For Trauma
|
32
|
19
|
$168,641.00
|
—
|
$56,933.20
|
$156,836.13
|
$109,051.70
|
2026-07-01
|
|
540 - 4
|
OTHER
|
Cesarean Section Without Sterilization
|
32
|
19
|
$168,183.00
|
—
|
$56,778.58
|
$156,410.19
|
$108,755.54
|
2026-07-01
|
|
231 - 3
|
OTHER
|
Major Large Bowel Procedures
|
32
|
19
|
$166,443.00
|
—
|
$56,191.16
|
$154,791.99
|
$107,630.36
|
2026-07-01
|
|
260 - 3
|
OTHER
|
Major Pancreas Liver And Shunt Procedures
|
32
|
19
|
$165,753.00
|
—
|
$55,958.21
|
$154,150.29
|
$107,184.17
|
2026-07-01
|
|
343 - 4
|
OTHER
|
Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…
|
32
|
19
|
$165,149.00
|
—
|
$55,754.30
|
$153,588.57
|
$106,793.60
|
2026-07-01
|
|
890 - 3
|
OTHER
|
HIV With Multiple Major HIV Related Conditions
|
32
|
19
|
$164,208.00
|
—
|
$55,436.62
|
$152,713.44
|
$106,185.10
|
2026-07-01
|
|
309 - 2
|
OTHER
|
Other Significant Hip And Femur Surgery
|
32
|
19
|
$164,169.00
|
—
|
$55,423.45
|
$152,677.17
|
$106,159.89
|
2026-07-01
|
|
447 - 2
|
OTHER
|
Other Kidney Urinary Tract And Related Non-percutaneous Procedures
|
32
|
19
|
$163,852.00
|
—
|
$55,316.44
|
$152,382.36
|
$105,954.90
|
2026-07-01
|
|
022 - 4
|
OTHER
|
Ventricular Shunt Procedures
|
32
|
19
|
$162,618.00
|
—
|
$54,899.84
|
$151,234.74
|
$105,156.93
|
2026-07-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t In Lactated Ringers 50000000 Cells Susp
|
72
|
22
|
$219,108.80
|
—
|
$0.62
|
$203,771.18
|
$105,106.49
|
2026-07-01
|
|
174 - 4
|
OTHER
|
Percutaneous Cardiac Intervention With Ami
|
32
|
19
|
$162,246.00
|
—
|
$54,774.25
|
$150,888.78
|
$104,916.38
|
2026-07-01
|
|
027 - 1
|
OTHER
|
Other Open Craniotomy
|
32
|
19
|
$162,157.00
|
—
|
$54,744.20
|
$150,806.01
|
$104,858.83
|
2026-07-01
|
|
055 - 4
|
OTHER
|
Head Trauma With Coma > 1 Hour Or Hemorrhage
|
32
|
19
|
$161,412.00
|
—
|
$54,492.69
|
$150,113.16
|
$104,377.07
|
2026-07-01
|
|
176 - 3
|
OTHER
|
Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
32
|
19
|
$161,380.00
|
—
|
$54,481.89
|
$150,083.40
|
$104,356.38
|
2026-07-01
|
|
026 - 2
|
OTHER
|
Other Nervous System And Related Procedures
|
32
|
19
|
$160,848.00
|
—
|
$54,302.28
|
$149,588.64
|
$104,012.36
|
2026-07-01
|
|
662 - 4
|
OTHER
|
Sickle Cell Anemia Crisis
|
32
|
19
|
$160,361.00
|
—
|
$54,137.87
|
$149,135.73
|
$103,697.44
|
2026-07-01
|
|
401 - 3
|
OTHER
|
Adrenal Procedures
|
32
|
19
|
$160,206.00
|
—
|
$54,085.55
|
$148,991.58
|
$103,597.21
|
2026-07-01
|
|
121 - 3
|
OTHER
|
Other Respiratory And Chest Procedures
|
32
|
19
|
$159,679.00
|
—
|
$53,907.63
|
$148,501.47
|
$103,256.43
|
2026-07-01
|
|
283 - 4
|
OTHER
|
Other Disorders Of The Liver
|
32
|
19
|
$159,618.00
|
—
|
$53,887.04
|
$148,444.74
|
$103,216.98
|
2026-07-01
|
|
261 - 1
|
OTHER
|
Major Biliary Tract Procedures
|
32
|
19
|
$159,485.00
|
—
|
$53,842.14
|
$148,321.05
|
$103,130.98
|
2026-07-01
|
|
254 - 4
|
OTHER
|
Other Digestive System Diagnoses
|
32
|
19
|
$158,779.00
|
—
|
$53,603.79
|
$147,664.47
|
$102,674.44
|
2026-07-01
|
|
260 - 2
|
OTHER
|
Major Pancreas Liver And Shunt Procedures
|
32
|
19
|
$158,533.00
|
—
|
$53,520.74
|
$147,435.69
|
$102,515.36
|
2026-07-01
|
|
519 - 1
|
OTHER
|
Gynecologic Procedures For Leiomyoma
|
32
|
19
|
$157,499.00
|
—
|
$53,171.66
|
$146,474.07
|
$101,846.73
|
2026-07-01
|
|
321 - 2
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
32
|
19
|
$155,976.00
|
—
|
$52,657.50
|
$145,057.68
|
$100,861.88
|
2026-07-01
|
|
696 - 4
|
OTHER
|
Other Chemotherapy
|
32
|
19
|
$154,829.00
|
—
|
$52,270.27
|
$143,990.97
|
$100,120.18
|
2026-07-01
|
|
720 - 4
|
OTHER
|
Septicemia And Disseminated Infections
|
32
|
19
|
$154,490.00
|
—
|
$52,155.82
|
$143,675.70
|
$99,900.96
|
2026-07-01
|
|
181 - 2
|
OTHER
|
Lower Vascular Procedures
|
32
|
19
|
$153,582.00
|
—
|
$51,849.28
|
$142,831.26
|
$99,313.80
|
2026-07-01
|
|
206 - 4
|
OTHER
|
Malfunction Reaction Complication Of Cardiac Or Vascular Device Or Procedure
|
32
|
19
|
$152,114.00
|
—
|
$51,353.69
|
$141,466.02
|
$98,364.52
|
2026-07-01
|
|
098 - 4
|
OTHER
|
Other Ear Nose Mouth Throat Craniofacial And Neck Procedures
|
32
|
19
|
$151,740.00
|
—
|
$51,227.42
|
$141,118.20
|
$98,122.67
|
2026-07-01
|
|
511 - 3
|
OTHER
|
Gynecologic Procedures For Malignancy
|
32
|
19
|
$151,358.00
|
—
|
$51,098.46
|
$140,762.94
|
$97,875.65
|
2026-07-01
|
|
241 - 4
|
OTHER
|
Peptic Ulcer And Gastritis
|
32
|
19
|
$151,106.00
|
—
|
$51,013.39
|
$140,528.58
|
$97,712.70
|
2026-07-01
|
|
175 - 4
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
32
|
19
|
$151,082.00
|
—
|
$51,005.28
|
$140,506.26
|
$97,697.18
|
2026-07-01
|
|
861 - 4
|
OTHER
|
Signs Symptoms And Other Factors Influencing Health Status
|
32
|
19
|
$150,925.00
|
—
|
$50,952.28
|
$140,360.25
|
$97,595.65
|
2026-07-01
|
|
793 - 4
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
32
|
19
|
$150,278.00
|
—
|
$50,733.85
|
$139,758.54
|
$97,177.27
|
2026-07-01
|
|
281 - 4
|
OTHER
|
Malignancy Of Hepatobiliary System And Pancreas
|
32
|
19
|
$150,119.00
|
—
|
$50,680.17
|
$139,610.67
|
$97,074.45
|
2026-07-01
|
|
404 - 3
|
OTHER
|
Thyroid Parathyroid And Thyroglossal Procedures
|
32
|
19
|
$149,960.00
|
—
|
$50,626.50
|
$139,462.80
|
$96,971.64
|
2026-07-01
|
|
462 - 3
|
OTHER
|
Nephritis And Nephrosis
|
32
|
19
|
$148,930.00
|
—
|
$50,278.77
|
$138,504.90
|
$96,305.58
|
2026-07-01
|
|
443 - 4
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
32
|
19
|
$148,688.00
|
—
|
$50,197.07
|
$138,279.84
|
$96,149.10
|
2026-07-01
|
|
223 - 3
|
OTHER
|
Other Small And Large Bowel Procedures
|
32
|
19
|
$148,638.00
|
—
|
$50,180.19
|
$138,233.34
|
$96,116.76
|
2026-07-01
|
|
J9029
|
HCPCS
|
Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Susp
|
72
|
22
|
$198,961.36
|
—
|
$0.62
|
$222,288.19
|
$95,441.76
|
2026-07-01
|
|
024 - 2
|
OTHER
|
Open Extracranial Vascular Procedures
|
32
|
19
|
$147,391.00
|
—
|
$49,759.20
|
$137,073.63
|
$95,310.39
|
2026-07-01
|
|
81100002
|
CDM
|
Hc Liver Procurement From Living Donor
|
69
|
23
|
$198,223.00
|
—
|
$0.62
|
$184,347.39
|
$95,028.11
|
2026-07-01
|
|
361 - 1
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
32
|
19
|
$146,789.00
|
—
|
$49,555.97
|
$136,513.77
|
$94,921.11
|
2026-07-01
|
|
322 - 3
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
32
|
19
|
$146,552.00
|
—
|
$49,475.96
|
$136,293.36
|
$94,767.85
|
2026-07-01
|
|
850 - 2
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…
|
32
|
19
|
$146,188.00
|
—
|
$49,353.07
|
$135,954.84
|
$94,532.47
|
2026-07-01
|
|
244 - 4
|
OTHER
|
Diverticulitis And Diverticulosis
|
32
|
19
|
$145,821.00
|
—
|
$49,229.17
|
$135,613.53
|
$94,295.15
|
2026-07-01
|
|
842 - 2
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
32
|
19
|
$145,810.00
|
—
|
$49,225.46
|
$135,603.30
|
$94,288.04
|
2026-07-01
|
|
220 - 2
|
OTHER
|
Major Stomach Esophageal And Duodenal Procedures
|
32
|
19
|
$145,013.00
|
—
|
$48,956.39
|
$134,862.09
|
$93,772.65
|
2026-07-01
|
|
053 - 4
|
OTHER
|
Seizure
|
32
|
19
|
$143,347.00
|
—
|
$48,393.95
|
$133,312.71
|
$92,695.34
|
2026-07-01
|
|
317 - 3
|
OTHER
|
Tendon Muscle And Other Soft Tissue Procedures
|
32
|
19
|
$143,088.00
|
—
|
$48,306.51
|
$133,071.84
|
$92,527.85
|
2026-07-01
|
|
227 - 3
|
OTHER
|
Hernia Procedures Except Inguinal Femoral And Umbilical
|
32
|
19
|
$141,813.00
|
—
|
$47,876.07
|
$131,886.09
|
$91,703.38
|
2026-07-01
|
|
030 - 3
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
32
|
19
|
$141,481.00
|
—
|
$47,763.99
|
$131,577.33
|
$91,488.69
|
2026-07-01
|
|
197 - 4
|
OTHER
|
Peripheral And Other Vascular Disorders
|
32
|
19
|
$141,149.00
|
—
|
$47,651.90
|
$131,268.57
|
$91,274.00
|
2026-07-01
|
|
308 - 3
|
OTHER
|
Hip And Femur Fracture Repair
|
32
|
19
|
$141,092.00
|
—
|
$47,632.66
|
$131,215.56
|
$91,237.14
|
2026-07-01
|
|
233 - 3
|
OTHER
|
Appendectomy With Complex Principal Diagnosis
|
32
|
19
|
$140,791.00
|
—
|
$47,531.04
|
$130,935.63
|
$91,042.50
|
2026-07-01
|
|
224 - 2
|
OTHER
|
Peritoneal Adhesiolysis
|
32
|
19
|
$140,759.00
|
—
|
$47,520.24
|
$130,905.87
|
$91,021.80
|
2026-07-01
|
|
710 - 3
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
32
|
19
|
$140,747.00
|
—
|
$47,516.19
|
$130,894.71
|
$91,014.05
|
2026-07-01
|
|
694 - 4
|
OTHER
|
Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior
|
32
|
19
|
$140,065.00
|
—
|
$47,285.94
|
$130,260.45
|
$90,573.03
|
2026-07-01
|
|
248 - 4
|
OTHER
|
Major Gastrointestinal And Peritoneal Infections
|
32
|
19
|
$139,354.00
|
—
|
$47,045.91
|
$129,599.22
|
$90,113.26
|
2026-07-01
|
|
860 - 4
|
OTHER
|
Rehabilitation
|
32
|
19
|
$139,197.00
|
—
|
$46,992.91
|
$129,453.21
|
$90,011.74
|
2026-07-01
|
|
230 - 2
|
OTHER
|
Major Small Bowel Procedures
|
32
|
19
|
$139,191.00
|
—
|
$46,990.88
|
$129,447.63
|
$90,007.86
|
2026-07-01
|
|
651 - 3
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
32
|
19
|
$139,085.00
|
—
|
$46,955.10
|
$129,349.05
|
$89,939.32
|
2026-07-01
|
|
224 - 3
|
OTHER
|
Peritoneal Adhesiolysis
|
32
|
19
|
$138,453.00
|
—
|
$46,741.73
|
$128,761.29
|
$89,530.63
|
2026-07-01
|
|
091 - 1
|
OTHER
|
Other Major Head And Neck Procedures
|
32
|
19
|
$138,407.00
|
—
|
$46,726.20
|
$128,718.51
|
$89,500.89
|
2026-07-01
|
|
325 - 2
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
32
|
19
|
$138,330.00
|
—
|
$46,700.21
|
$128,646.90
|
$89,451.10
|
2026-07-01
|
|
362 - 1
|
OTHER
|
Mastectomy Procedures
|
32
|
19
|
$138,277.00
|
—
|
$46,682.32
|
$128,597.61
|
$89,416.82
|
2026-07-01
|
|
793 - 1
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
32
|
19
|
$137,325.00
|
—
|
$46,360.92
|
$127,712.25
|
$88,801.21
|
2026-07-01
|
|
183 - 2
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
32
|
19
|
$137,291.00
|
—
|
$46,349.44
|
$127,680.63
|
$88,779.23
|
2026-07-01
|
|
428 - 2
|
OTHER
|
Genetic Disorders
|
32
|
19
|
$137,109.00
|
—
|
$46,288.00
|
$127,511.37
|
$88,661.54
|
2026-07-01
|
|
326 - 3
|
OTHER
|
Elective Knee Joint Replacement
|
32
|
19
|
$136,473.00
|
—
|
$46,073.28
|
$126,919.89
|
$88,250.26
|
2026-07-01
|
|
680 - 1
|
OTHER
|
Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms
|
32
|
19
|
$136,385.00
|
—
|
$46,043.58
|
$126,838.05
|
$88,193.36
|
2026-07-01
|
|
263 - 3
|
OTHER
|
Cholecystectomy
|
32
|
19
|
$135,766.00
|
—
|
$45,834.60
|
$126,262.38
|
$87,793.08
|
2026-07-01
|
|
089 - 1
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$135,686.00
|
—
|
$45,807.59
|
$126,187.98
|
$87,741.35
|
2026-07-01
|
|
518 - 3
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
32
|
19
|
$134,814.00
|
—
|
$45,513.21
|
$125,377.02
|
$87,177.48
|
2026-07-01
|
|
120 - 2
|
OTHER
|
Major Respiratory And Chest Procedures
|
32
|
19
|
$134,632.00
|
—
|
$45,451.76
|
$125,207.76
|
$87,059.79
|
2026-07-01
|
|
711 - 3
|
OTHER
|
Post-operative Post-trauma Other Device Infections With O.r. Procedure
|
32
|
19
|
$134,029.00
|
—
|
$45,248.19
|
$124,646.97
|
$86,669.86
|
2026-07-01
|
|
143 - 4
|
OTHER
|
Other Respiratory Diagnoses Except Signs Symptoms And Miscellaneous Diagnoses
|
32
|
19
|
$133,862.00
|
—
|
$45,191.81
|
$124,491.66
|
$86,561.86
|
2026-07-01
|
|
485 - 2
|
OTHER
|
Prostatectomy Procedures
|
32
|
19
|
$133,751.00
|
—
|
$45,154.34
|
$124,388.43
|
$86,490.08
|
2026-07-01
|
|
043 - 4
|
OTHER
|
Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies
|
32
|
19
|
$133,726.00
|
—
|
$45,145.90
|
$124,365.18
|
$86,473.92
|
2026-07-01
|
|
792 - 3
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
32
|
19
|
$133,198.00
|
—
|
$44,967.64
|
$123,874.14
|
$86,132.49
|
2026-07-01
|
|
228 - 4
|
OTHER
|
Inguinal Femoral And Umbilical Hernia Procedures
|
32
|
19
|
$133,151.00
|
—
|
$44,951.78
|
$123,830.43
|
$86,102.10
|
2026-07-01
|
|
284 - 4
|
OTHER
|
Disorders Of Gallbladder And Biliary Tract
|
32
|
19
|
$133,142.00
|
—
|
$44,948.74
|
$123,822.06
|
$86,096.27
|
2026-07-01
|
|
62400315
|
CDM
|
Hc Tambe Ide G150071
|
70
|
23
|
$180,000.00
|
—
|
$0.62
|
$167,400.00
|
$85,986.00
|
2026-07-01
|
|
816 - 4
|
OTHER
|
Toxic Effects Of Non-medicinal Substances
|
32
|
19
|
$132,666.00
|
—
|
$44,788.04
|
$123,379.38
|
$85,788.47
|
2026-07-01
|
|
092 - 3
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
32
|
19
|
$132,557.00
|
—
|
$44,751.24
|
$123,278.01
|
$85,717.99
|
2026-07-01
|
|
253 - 4
|
OTHER
|
Other And Unspecified Gastrointestinal Hemorrhage
|
32
|
19
|
$132,324.00
|
—
|
$44,672.58
|
$123,061.32
|
$85,567.32
|
2026-07-01
|