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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Mercy Rehabilitation Hospital Oklahoma City

Oklahoma City, OK · CCN 373033 · Rates published

7,398 distinct procedures filed
100 distinct payers
1,013,768 rate rows
2026-03-16 last MRF observed
Data quality

105,178 of 1,013,768 rate rows are consumer-grade (10.4%)

908,590 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 750,644
per-diem day rate — not a per-procedure price 156,540
percent-of-charges filed in the dollar field — excluded from medians 730
placeholder amount (≤ $0.02) — excluded from medians 587
exceeds 10× this hospital's gross charge — excluded from medians 89
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/274736089_mercy-rehabilitation-hospital-oklahoma-city-llc_standardcharges.csv
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 6fa973c3d15c46a4… · 36,643,439 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $59,046.80 $78,729.07 $73,290.03 nat. median
$83,710
0.9× median
B1904
HCPCS 		Guillain-barré M <38.50 8 $55,279.52 $73,706.03 $64,487.12 nat. median
$73,807
0.9× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $48,263.41 $65,952.21 $64,351.22 nat. median
$70,140
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $46,993.32 $63,804.82 $62,657.77 nat. median
$68,033
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $46,790.11 $62,386.81 $60,148.25 nat. median
$66,709
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $42,523.91 $57,969.12 $56,698.55 nat. median
$62,354
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $43,117.92 $57,490.56 $53,995.20 nat. median
$60,723
0.9× median
74080529
CDM 		Occ/emb Non Hemorr Venous 8 $42,299.95 $56,399.93 $53,714.22 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 8 $42,299.95 $56,399.93 $53,714.22 nat. median
$55,326
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 8 $42,299.95 $56,399.93 $53,714.22 nat. median
$55,326
1.0× median
74080530
CDM 		Occ/emb Non Hemorr Art 8 $42,299.95 $56,399.93 $53,714.22 nat. median
$55,326
1.0× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $40,697.59 $54,263.45 $53,341.11 nat. median
$58,851
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $41,378.88 $55,171.83 $52,168.68 nat. median
$59,953
0.9× median
C1904
HCPCS 		Guillain-barré M <38.50 8 $39,067.96 $52,090.62 $49,696.88 nat. median
$54,675
0.9× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $36,897.74 $51,063.25 $49,196.98 nat. median
$54,008
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $38,278.55 $51,038.07 $48,522.69 nat. median
$53,363
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $35,243.36 $48,587.92 $46,991.15 nat. median
$51,388
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 8 $35,494.78 $47,326.37 $46,230.72 nat. median
$51,427
0.9× median
74080268
CDM 		Insert Tips 8 $36,216.14 $48,288.18 $45,988.74 nat. median
$47,368
1.0× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $34,315.87 $47,008.23 $45,754.50 nat. median
$50,166
0.9× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $35,213.40 $46,951.21 $45,740.60 nat. median
$49,816
0.9× median
A1904
HCPCS 		Guillain-barré M <38.50 8 $33,973.28 $45,358.01 $45,297.70 nat. median
$49,305
0.9× median
D1904
HCPCS 		Guillain-barré M <38.50 8 $33,962.85 $46,340.03 $45,283.81 nat. median
$49,592
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $33,822.17 $46,944.76 $45,096.22 nat. median
$49,892
0.9× median
74080483
CDM 		Revise Tips 8 $35,275.53 $47,034.04 $44,794.32 nat. median
$46,138
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 $33,291.99 $46,012.11 $44,389.31 nat. median
$48,833
0.9× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 8 $35,949.40 $47,932.54 $44,108.01 nat. median
$52,000
0.8× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $32,932.45 $45,416.19 $43,909.94 nat. median
$48,684
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $32,765.71 $44,303.71 $43,687.62 nat. median
$47,992
0.9× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 8 $32,756.59 $44,908.44 $43,675.46 nat. median
$47,997
0.9× median
B0604
HCPCS 		Neurological M <43.50 8 $31,912.47 $43,815.34 $42,549.96 nat. median
$46,532
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 $32,295.45 $43,060.61 $42,540.66 nat. median
$46,296
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $33,050.99 $44,067.99 $42,392.56 nat. median
$47,794
0.9× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 $32,776.13 $43,701.51 $42,270.91 nat. median
$47,488
0.9× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $31,052.72 $42,708.15 $41,403.63 nat. median
$45,503
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $31,275.47 $41,700.63 $41,373.52 nat. median
$45,229
0.9× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 8 $30,871.65 $41,920.06 $41,162.20 nat. median
$44,642
0.9× median
B2102
HCPCS 		Burns M <52.50 8 $33,153.90 $44,205.21 $40,707.08 nat. median
$47,991
0.8× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 8 $30,786.98 $41,049.30 $40,509.62 nat. median
$44,520
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 8 $29,882.93 $41,082.61 $39,843.91 nat. median
$43,685
0.9× median
76085035
CDM 		Sm153 Lexidron To 150mci 8 $31,369.32 $41,825.76 $39,834.06 nat. median
$41,029
1.0× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $29,800.87 $41,262.45 $39,734.49 nat. median
$44,108
0.9× median
B1504
HCPCS 		Pulmonary M <45.50 8 $30,514.72 $40,686.30 $39,643.96 nat. median
$44,462
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $29,686.23 $40,574.86 $39,581.64 nat. median
$43,248
0.9× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 $29,846.46 $39,795.28 $39,026.90 nat. median
$43,244
0.9× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $29,096.13 $39,093.89 $38,794.84 nat. median
$42,129
0.9× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 8 $29,088.31 $38,963.43 $38,784.42 nat. median
$42,480
0.9× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 8 $28,812.15 $39,069.21 $38,416.20 nat. median
$41,996
0.9× median
B0504
HCPCS 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 8 $28,644.11 $38,379.86 $38,192.14 nat. median
$41,912
0.9× median
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 8 $28,597.21 $39,233.17 $38,129.62 nat. median
$41,903
0.9× median

Other procedures at this hospital

Browse this hospital's 7,398 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 8 $78,729.07 $78,729.07 $59,046.80 $78,729.07 $73,290.03 2026-03-16
B1904 HCPCS Guillain-barré M <38.50 15 8 $73,706.03 $73,706.03 $55,279.52 $73,706.03 $64,487.12 2026-03-16
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 8 $64,351.22 $64,351.22 $48,263.41 $65,952.21 $64,351.22 2026-03-16
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 8 $62,657.77 $62,657.77 $46,993.32 $63,804.82 $62,657.77 2026-03-16
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 8 $62,386.81 $62,386.81 $46,790.11 $62,386.81 $60,148.25 2026-03-16
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 15 8 $56,698.55 $56,698.55 $42,523.91 $57,969.12 $56,698.55 2026-03-16
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 8 $57,490.56 $57,490.56 $43,117.92 $57,490.56 $53,995.20 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 15 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $53,714.22 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 15 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $53,714.22 2026-03-16
74080530 CDM Occ/emb Non Hemorr Art 15 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $53,714.22 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 15 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $53,714.22 2026-03-16
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 8 $54,263.45 $54,263.45 $40,697.59 $54,263.45 $53,341.11 2026-03-16
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 8 $55,171.83 $55,171.83 $41,378.88 $55,171.83 $52,168.68 2026-03-16
C1904 HCPCS Guillain-barré M <38.50 15 8 $52,090.62 $52,090.62 $39,067.96 $52,090.62 $49,696.88 2026-03-16
B0106 HCPCS Stroke M <41.50 And A <84.50 15 8 $49,196.98 $49,196.98 $36,897.74 $51,063.25 $49,196.98 2026-03-16
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 8 $51,038.07 $51,038.07 $38,278.55 $51,038.07 $48,522.69 2026-03-16
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 8 $46,991.15 $46,991.15 $35,243.36 $48,587.92 $46,991.15 2026-03-16
B0205 HCPCS Traumatic Brain Injury M <35.50 15 8 $47,326.37 $47,326.37 $35,494.78 $47,326.37 $46,230.72 2026-03-16
74080268 CDM Insert Tips 15 8 $48,288.18 $48,288.18 $36,216.14 $48,288.18 $45,988.74 2026-03-16
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 8 $45,754.50 $45,754.50 $34,315.87 $47,008.23 $45,754.50 2026-03-16
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 8 $46,951.21 $46,951.21 $35,213.40 $46,951.21 $45,740.60 2026-03-16
A1904 HCPCS Guillain-barré M <38.50 15 8 $45,297.70 $45,297.70 $33,973.28 $45,358.01 $45,297.70 2026-03-16
D1904 HCPCS Guillain-barré M <38.50 15 8 $45,283.81 $45,283.81 $33,962.85 $46,340.03 $45,283.81 2026-03-16
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 8 $45,096.22 $45,096.22 $33,822.17 $46,944.76 $45,096.22 2026-03-16
74080483 CDM Revise Tips 15 8 $47,034.04 $47,034.04 $35,275.53 $47,034.04 $44,794.32 2026-03-16
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 8 $44,389.31 $44,389.31 $33,291.99 $46,012.11 $44,389.31 2026-03-16
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 8 $47,932.54 $47,932.54 $35,949.40 $47,932.54 $44,108.01 2026-03-16
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 8 $43,909.94 $43,909.94 $32,932.45 $45,416.19 $43,909.94 2026-03-16
C0106 HCPCS Stroke M <41.50 And A <84.50 15 8 $43,687.62 $43,687.62 $32,765.71 $44,303.71 $43,687.62 2026-03-16
B0105 HCPCS Stroke M <41.50 And A >=84.50 15 8 $43,675.46 $43,675.46 $32,756.59 $44,908.44 $43,675.46 2026-03-16
B0604 HCPCS Neurological M <43.50 15 8 $42,549.96 $42,549.96 $31,912.47 $43,815.34 $42,549.96 2026-03-16
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 8 $43,060.61 $43,060.61 $32,295.45 $43,060.61 $42,540.66 2026-03-16
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 15 8 $44,067.99 $44,067.99 $33,050.99 $44,067.99 $42,392.56 2026-03-16
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 8 $43,701.51 $43,701.51 $32,776.13 $43,701.51 $42,270.91 2026-03-16
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 15 8 $41,403.63 $41,403.63 $31,052.72 $42,708.15 $41,403.63 2026-03-16
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 8 $41,700.63 $41,700.63 $31,275.47 $41,700.63 $41,373.52 2026-03-16
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 8 $41,162.20 $41,162.20 $30,871.65 $41,920.06 $41,162.20 2026-03-16
B2102 HCPCS Burns M <52.50 15 8 $44,205.21 $44,205.21 $33,153.90 $44,205.21 $40,707.08 2026-03-16
B1004 HCPCS Amputation Lower Extremity M <47.50 15 8 $41,049.30 $41,049.30 $30,786.98 $41,049.30 $40,509.62 2026-03-16
B0704 HCPCS Fracture Of Lower Extremity M <41.50 15 8 $39,843.91 $39,843.91 $29,882.93 $41,082.61 $39,843.91 2026-03-16
76085035 CDM Sm153 Lexidron To 150mci 15 8 $41,825.76 $41,825.76 $31,369.32 $41,825.76 $39,834.06 2026-03-16
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 15 8 $39,734.49 $39,734.49 $29,800.87 $41,262.45 $39,734.49 2026-03-16
B1504 HCPCS Pulmonary M <45.50 15 8 $40,686.30 $40,686.30 $30,514.72 $40,686.30 $39,643.96 2026-03-16
D0106 HCPCS Stroke M <41.50 And A <84.50 15 8 $39,581.64 $39,581.64 $29,686.23 $40,574.86 $39,581.64 2026-03-16
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 8 $39,795.28 $39,795.28 $29,846.46 $39,795.28 $39,026.90 2026-03-16
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 8 $38,794.84 $38,794.84 $29,096.13 $39,093.89 $38,794.84 2026-03-16
C0105 HCPCS Stroke M <41.50 And A >=84.50 15 8 $38,784.42 $38,784.42 $29,088.31 $38,963.43 $38,784.42 2026-03-16
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 8 $38,416.20 $38,416.20 $28,812.15 $39,069.21 $38,416.20 2026-03-16
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 8 $38,192.14 $38,192.14 $28,644.11 $38,379.86 $38,192.14 2026-03-16
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 8 $38,129.62 $38,129.62 $28,597.21 $39,233.17 $38,129.62 2026-03-16
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 15 8 $38,004.56 $38,004.56 $28,503.42 $41,950.04 $38,004.56 2026-03-16
C0205 HCPCS Traumatic Brain Injury M <35.50 15 8 $37,629.40 $37,629.40 $28,222.05 $38,314.62 $37,629.40 2026-03-16
B0904 HCPCS Other Orthopedic M <44.5 15 8 $39,048.42 $39,048.42 $29,286.32 $39,048.42 $37,602.35 2026-03-16
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 8 $37,577.29 $37,577.29 $28,182.97 $38,096.01 $37,577.29 2026-03-16
A0106 HCPCS Stroke M <41.50 And A <84.50 15 8 $37,544.29 $37,544.29 $28,158.22 $38,698.97 $37,544.29 2026-03-16
B1404 HCPCS Cardiac M <45.50 15 8 $37,287.23 $37,287.23 $27,965.42 $37,711.66 $37,287.23 2026-03-16
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 8 $37,282.02 $37,282.02 $27,961.52 $38,337.54 $37,282.02 2026-03-16
74080527 CDM Stnt Plc Transc Vein Ini 15 8 $39,032.60 $39,032.60 $29,274.45 $39,032.60 $37,173.90 2026-03-16
74080525 CDM Stnt Plc Transcth Art Ini 15 8 $38,869.80 $38,869.80 $29,152.35 $38,869.80 $37,018.86 2026-03-16
76085037 CDM Strontium Sr-89 Thera/mci 15 8 $38,865.52 $38,865.52 $29,149.14 $38,865.52 $37,014.78 2026-03-16
74080547 CDM Verteb Augm Thorac W Imag 15 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $36,922.98 2026-03-16
74080549 CDM Verteb Augm Ea Add W Imag 15 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $36,922.98 2026-03-16
74080548 CDM Verteb Augm Lumbar W Imag 15 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $36,922.98 2026-03-16
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 8 $39,717.12 $39,717.12 $29,787.84 $39,717.12 $36,884.79 2026-03-16
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 8 $36,701.91 $36,701.91 $27,526.43 $37,068.15 $36,701.91 2026-03-16
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 8 $36,213.84 $36,213.84 $27,160.38 $36,539.23 $36,213.84 2026-03-16
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 8 $36,318.06 $36,318.06 $27,238.54 $36,318.06 $36,211.30 2026-03-16
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 8 $36,889.49 $36,889.49 $27,667.12 $36,889.49 $36,112.57 2026-03-16
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 15 8 $35,751.83 $35,751.83 $26,813.88 $36,029.71 $35,751.83 2026-03-16
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 8 $35,720.57 $35,720.57 $26,790.43 $38,037.83 $35,720.57 2026-03-16
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 8 $35,166.51 $35,166.51 $26,374.88 $35,980.34 $35,166.51 2026-03-16
D0105 HCPCS Stroke M <41.50 And A >=84.50 15 8 $35,138.72 $35,138.72 $26,354.04 $35,684.15 $35,138.72 2026-03-16
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 8 $35,892.52 $35,892.52 $26,919.39 $35,892.52 $35,116.45 2026-03-16
B0104 HCPCS Stroke M >=41.50 And M <50.50 15 8 $35,044.93 $35,044.93 $26,283.70 $35,945.08 $35,044.93 2026-03-16
B1604 HCPCS Pain Syndrome M <43.50 15 8 $34,822.61 $34,822.61 $26,116.96 $40,802.29 $34,822.61 2026-03-16
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 8 $34,780.92 $34,780.92 $26,085.69 $36,800.16 $34,780.92 2026-03-16
D0205 HCPCS Traumatic Brain Injury M <35.50 15 8 $34,377.97 $34,377.97 $25,783.48 $34,814.97 $34,377.97 2026-03-16
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 8 $35,227.30 $35,227.30 $26,420.47 $35,227.30 $34,319.55 2026-03-16
36224 CPT Place Cath Int Carotid Art Bi 15 8 $35,853.69 $35,853.69 $26,890.27 $35,853.69 $34,146.37 2026-03-16
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 8 $34,049.70 $34,049.70 $25,537.27 $34,252.55 $34,049.70 2026-03-16
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 8 $33,876.01 $33,876.01 $25,407.01 $33,991.62 $33,876.01 2026-03-16
B0603 HCPCS Neurological M >=43.50 And M <52.50 15 8 $33,643.27 $33,643.27 $25,232.45 $34,931.33 $33,643.27 2026-03-16
B1103 HCPCS Amputation Non-lower Extremity M <52.50 15 8 $33,598.11 $33,598.11 $25,198.58 $35,329.78 $33,598.11 2026-03-16
C1004 HCPCS Amputation Lower Extremity M <47.50 15 8 $34,108.75 $34,108.75 $25,581.56 $34,108.75 $33,584.36 2026-03-16
A0105 HCPCS Stroke M <41.50 And A >=84.50 15 8 $33,330.63 $33,330.63 $24,997.97 $34,035.70 $33,330.63 2026-03-16
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 8 $33,136.10 $33,136.10 $24,852.08 $34,670.40 $33,136.10 2026-03-16
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 8 $32,651.51 $32,651.51 $24,488.63 $33,275.82 $32,651.51 2026-03-16
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 8 $32,623.72 $32,623.72 $24,467.79 $33,594.94 $32,623.72 2026-03-16
C1504 HCPCS Pulmonary M <45.50 15 8 $32,714.04 $32,714.04 $24,535.53 $32,714.04 $32,390.77 2026-03-16
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 8 $32,406.61 $32,406.61 $24,304.96 $32,406.61 $32,350.22 2026-03-16
A0205 HCPCS Traumatic Brain Injury M <35.50 15 8 $32,298.93 $32,298.93 $24,224.20 $32,794.51 $32,298.93 2026-03-16
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 8 $32,267.66 $32,267.66 $24,200.75 $33,626.67 $32,267.66 2026-03-16
C0604 HCPCS Neurological M <43.50 15 8 $32,224.24 $32,224.24 $24,168.18 $32,893.24 $32,224.24 2026-03-16
A5102 HCPCS Bedside Drain Btl W/wo Tube 15 8 $35,579.88 $35,579.88 $26,684.91 $35,579.88 $32,128.08 2026-03-16
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 8 $32,444.83 $32,444.83 $24,333.62 $32,444.83 $32,050.50 2026-03-16
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 8 $31,961.97 $31,961.97 $23,971.48 $32,276.17 $31,961.97 2026-03-16
C0704 HCPCS Fracture Of Lower Extremity M <41.50 15 8 $31,857.76 $31,857.76 $23,893.32 $31,857.76 $31,745.50 2026-03-16
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 8 $31,718.81 $31,718.81 $23,789.11 $32,859.74 $31,718.81 2026-03-16
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 15 8 $31,473.91 $31,473.91 $23,605.43 $33,434.50 $31,473.91 2026-03-16
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 8 $32,427.46 $32,427.46 $24,320.59 $32,427.46 $31,382.31 2026-03-16
C2102 HCPCS Burns M <52.50 15 8 $37,163.91 $37,163.91 $27,872.94 $37,163.91 $31,274.76 2026-03-16
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 8 $31,816.08 $31,816.08 $23,862.06 $31,816.08 $31,248.32 2026-03-16
C0104 HCPCS Stroke M >=41.50 And M <50.50 15 8 $31,121.33 $31,121.33 $23,340.99 $31,188.37 $31,121.33 2026-03-16
C1604 HCPCS Pain Syndrome M <43.50 15 8 $31,208.17 $31,208.17 $23,406.13 $31,208.17 $30,888.65 2026-03-16
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 8 $30,860.79 $30,860.79 $23,145.60 $31,660.87 $30,860.79 2026-03-16
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 8 $30,808.69 $30,808.69 $23,106.52 $31,260.66 $30,808.69 2026-03-16
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 8 $30,833.01 $30,833.01 $23,124.75 $30,833.01 $30,775.82 2026-03-16
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 8 $30,732.27 $30,732.27 $23,049.20 $32,115.74 $30,732.27 2026-03-16
D1004 HCPCS Amputation Lower Extremity M <47.50 15 8 $30,958.06 $30,958.06 $23,218.54 $30,958.06 $30,650.64 2026-03-16
D1504 HCPCS Pulmonary M <45.50 15 8 $30,636.74 $30,636.74 $22,977.55 $30,636.74 $30,590.70 2026-03-16
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 8 $30,414.42 $30,414.42 $22,810.81 $30,867.50 $30,414.42 2026-03-16
D0604 HCPCS Neurological M <43.50 15 8 $30,351.89 $30,351.89 $22,763.92 $30,691.19 $30,351.89 2026-03-16
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 8 $30,207.73 $30,207.73 $22,655.80 $30,678.85 $30,207.73 2026-03-16
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 8 $30,093.10 $30,093.10 $22,569.82 $31,008.54 $30,093.10 2026-03-16
D0704 HCPCS Fracture Of Lower Extremity M <41.50 15 8 $30,256.36 $30,256.36 $22,692.27 $30,256.36 $30,082.94 2026-03-16
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 15 8 $30,058.36 $30,058.36 $22,543.77 $30,222.22 $30,058.36 2026-03-16
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 15 8 $30,416.15 $30,416.15 $22,812.12 $30,416.15 $29,982.45 2026-03-16
B1403 HCPCS Cardiac M >=45.50 And M <55.50 15 8 $29,886.41 $29,886.41 $22,414.81 $30,849.87 $29,886.41 2026-03-16
C1404 HCPCS Cardiac M <45.50 15 8 $30,037.52 $30,037.52 $22,528.14 $30,037.52 $29,790.27 2026-03-16
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 8 $29,782.20 $29,782.20 $22,336.65 $30,528.99 $29,782.20 2026-03-16
C0904 HCPCS Other Orthopedic M <44.5 15 8 $29,577.24 $29,577.24 $22,182.93 $30,218.69 $29,577.24 2026-03-16
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 8 $31,751.81 $31,751.81 $23,813.86 $31,751.81 $29,534.63 2026-03-16
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 8 $29,457.40 $29,457.40 $22,093.05 $31,022.65 $29,457.40 2026-03-16
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 15 8 $29,450.45 $29,450.45 $22,087.84 $31,694.37 $29,450.45 2026-03-16
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 8 $29,433.08 $29,433.08 $22,074.81 $29,659.81 $29,433.08 2026-03-16
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 15 8 $33,877.75 $33,877.75 $25,408.31 $33,877.75 $29,358.33 2026-03-16
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 8 $29,349.71 $29,349.71 $22,012.29 $29,769.12 $29,349.71 2026-03-16
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 8 $29,591.14 $29,591.14 $22,193.35 $29,591.14 $29,335.41 2026-03-16
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 8 $29,330.61 $29,330.61 $21,997.96 $29,929.55 $29,330.61 2026-03-16
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 8 $30,588.11 $30,588.11 $22,941.08 $30,588.11 $29,305.43 2026-03-16
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 8 $29,158.66 $29,158.66 $21,868.99 $30,209.88 $29,158.66 2026-03-16
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 8 $29,151.71 $29,151.71 $21,863.78 $29,869.61 $29,151.71 2026-03-16
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 15 8 $29,931.57 $29,931.57 $22,448.68 $29,931.57 $29,127.37 2026-03-16
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 8 $28,651.49 $28,651.49 $21,488.62 $29,224.33 $28,651.49 2026-03-16
C1103 HCPCS Amputation Non-lower Extremity M <52.50 15 8 $31,807.39 $31,807.39 $23,855.54 $31,807.39 $28,614.32 2026-03-16
A1504 HCPCS Pulmonary M <45.50 15 8 $29,287.19 $29,287.19 $21,965.39 $29,287.19 $28,564.95 2026-03-16
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 15 8 $28,472.59 $28,472.59 $21,354.44 $29,111.50 $28,472.59 2026-03-16
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 8 $29,363.61 $29,363.61 $22,022.71 $29,363.61 $28,330.47 2026-03-16
B0602 HCPCS Neurological M >=52.50 And M <64.50 15 8 $28,291.96 $28,291.96 $21,218.97 $29,659.81 $28,291.96 2026-03-16
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 8 $28,241.59 $28,241.59 $21,181.19 $29,171.44 $28,241.59 2026-03-16
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 8 $29,092.66 $29,092.66 $21,819.49 $29,092.66 $28,229.97 2026-03-16
D0104 HCPCS Stroke M >=41.50 And M <50.50 15 8 $28,196.43 $28,196.43 $21,147.32 $28,563.19 $28,196.43 2026-03-16
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 8 $28,225.96 $28,225.96 $21,169.47 $28,225.96 $28,161.21 2026-03-16
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 8 $28,047.06 $28,047.06 $21,035.29 $28,372.78 $28,047.06 2026-03-16
D2102 HCPCS Burns M <52.50 15 8 $28,026.22 $28,026.22 $21,019.66 $31,274.76 $28,026.22 2026-03-16
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 8 $28,741.81 $28,741.81 $21,556.36 $28,741.81 $27,960.23 2026-03-16
D0904 HCPCS Other Orthopedic M <44.5 15 8 $27,939.37 $27,939.37 $20,954.53 $28,184.13 $27,939.37 2026-03-16
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 8 $27,831.69 $27,831.69 $20,873.76 $30,821.66 $27,831.69 2026-03-16
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 15 8 $27,828.21 $27,828.21 $20,871.16 $28,154.16 $27,828.21 2026-03-16
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 8 $27,763.95 $27,763.95 $20,822.96 $28,051.90 $27,763.95 2026-03-16
D1604 HCPCS Pain Syndrome M <43.50 15 8 $28,547.28 $28,547.28 $21,410.46 $28,547.28 $27,736.32 2026-03-16
D1404 HCPCS Cardiac M <45.50 15 8 $27,774.37 $27,774.37 $20,830.78 $27,774.37 $27,674.61 2026-03-16
36226 CPT Slctv Cath Vertebral Art Angio Vertebral Artery 15 8 $29,036.88 $29,036.88 $21,777.66 $29,036.88 $27,654.17 2026-03-16
A0704 HCPCS Fracture Of Lower Extremity M <41.50 15 8 $27,647.58 $27,647.58 $20,735.68 $27,783.92 $27,647.58 2026-03-16
B0103 HCPCS Stroke M >=50.50 And M <63.50 15 8 $27,439.15 $27,439.15 $20,579.36 $28,164.74 $27,439.15 2026-03-16
A1004 HCPCS Amputation Lower Extremity M <47.50 15 8 $28,745.28 $28,745.28 $21,558.96 $28,745.28 $27,390.76 2026-03-16
D1103 HCPCS Amputation Non-lower Extremity M <52.50 15 8 $27,373.15 $27,373.15 $20,529.86 $28,614.32 $27,373.15 2026-03-16
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 8 $27,373.15 $27,373.15 $20,529.86 $27,727.50 $27,373.15 2026-03-16
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 8 $27,303.67 $27,303.67 $20,477.76 $28,127.72 $27,303.67 2026-03-16
A0604 HCPCS Neurological M <43.50 15 8 $27,261.99 $27,261.99 $20,446.49 $27,690.48 $27,261.99 2026-03-16
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 8 $29,500.82 $29,500.82 $22,125.62 $29,500.82 $27,235.61 2026-03-16
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 8 $27,098.72 $27,098.72 $20,324.04 $29,818.48 $27,098.72 2026-03-16
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 15 8 $27,053.56 $27,053.56 $20,290.17 $28,252.89 $27,053.56 2026-03-16
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 15 8 $26,826.03 $26,826.03 $20,119.53 $27,251.48 $26,826.03 2026-03-16
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 15 8 $26,824.30 $26,824.30 $20,118.22 $28,335.76 $26,824.30 2026-03-16
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 8 $26,796.51 $26,796.51 $20,097.38 $27,195.06 $26,796.51 2026-03-16
A0104 HCPCS Stroke M >=41.50 And M <50.50 15 8 $26,744.40 $26,744.40 $20,058.30 $27,242.66 $26,744.40 2026-03-16
B2101 HCPCS Burns M >=52.50 15 8 $27,895.95 $27,895.95 $20,921.96 $27,895.95 $26,743.72 2026-03-16
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 8 $27,011.88 $27,011.88 $20,258.91 $27,011.88 $26,704.93 2026-03-16
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 8 $26,678.40 $26,678.40 $20,008.80 $27,177.43 $26,678.40 2026-03-16
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 15 8 $26,603.71 $26,603.71 $19,952.79 $32,873.85 $26,603.71 2026-03-16
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 8 $27,341.89 $27,341.89 $20,506.41 $27,341.89 $26,574.47 2026-03-16
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 15 8 $26,480.40 $26,480.40 $19,860.30 $27,704.58 $26,480.40 2026-03-16
D1204 HCPCS Topical Fluor Without Prophy Adu 15 8 $26,443.92 $26,443.92 $19,832.94 $27,406.63 $26,443.92 2026-03-16
A2102 HCPCS Burns M <52.50 15 8 $26,876.40 $26,876.40 $20,157.30 $26,876.40 $26,380.53 2026-03-16
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 15 8 $26,339.71 $26,339.71 $19,754.78 $27,329.05 $26,339.71 2026-03-16
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 15 8 $27,326.25 $27,326.25 $20,494.69 $27,326.25 $26,294.14 2026-03-16
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 8 $26,251.13 $26,251.13 $19,688.35 $27,110.44 $26,251.13 2026-03-16
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 15 8 $26,228.55 $26,228.55 $19,671.41 $26,609.73 $26,228.55 2026-03-16
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 15 8 $26,428.29 $26,428.29 $19,821.22 $26,428.29 $26,183.07 2026-03-16
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 8 $26,087.86 $26,087.86 $19,565.90 $26,186.60 $26,087.86 2026-03-16
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 15 8 $25,992.33 $25,992.33 $19,494.25 $26,454.58 $25,992.33 2026-03-16
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 15 8 $25,929.81 $25,929.81 $19,447.36 $26,979.97 $25,929.81 2026-03-16
A1604 HCPCS Pain Syndrome M <43.50 15 8 $25,875.96 $25,875.96 $19,406.97 $25,875.96 $25,812.83 2026-03-16
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 8 $25,799.54 $25,799.54 $19,349.66 $25,983.85 $25,799.54 2026-03-16
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 15 8 $25,820.38 $25,820.38 $19,365.29 $25,820.38 $25,768.75 2026-03-16
D1203 HCPCS Topical Fluor Without Prophy Chi 15 8 $25,684.91 $25,684.91 $19,263.68 $26,121.36 $25,684.91 2026-03-16
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 8 $25,667.54 $25,667.54 $19,250.65 $26,939.42 $25,667.54 2026-03-16
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 8 $25,643.22 $25,643.22 $19,232.42 $26,250.07 $25,643.22 2026-03-16
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 15 8 $25,627.59 $25,627.59 $19,220.69 $25,900.98 $25,627.59 2026-03-16
A0904 HCPCS Other Orthopedic M <44.5 15 8 $25,488.64 $25,488.64 $19,116.48 $25,795.20 $25,488.64 2026-03-16
C0603 HCPCS Neurological M >=43.50 And M <52.50 15 8 $25,479.96 $25,479.96 $19,109.97 $26,223.62 $25,479.96 2026-03-16
A1404 HCPCS Cardiac M <45.50 15 8 $25,540.75 $25,540.75 $19,155.56 $25,540.75 $25,474.32 2026-03-16
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 15 8 $25,176.00 $25,176.00 $18,882.00 $25,617.13 $25,176.00 2026-03-16
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 15 8 $25,162.11 $25,162.11 $18,871.58 $25,923.90 $25,162.11 2026-03-16
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 8 $25,141.27 $25,141.27 $18,855.95 $25,908.03 $25,141.27 2026-03-16
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 8 $25,139.53 $25,139.53 $18,854.65 $26,332.93 $25,139.53 2026-03-16
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 15 8 $25,057.90 $25,057.90 $18,793.42 $25,246.89 $25,057.90 2026-03-16
74080477 CDM Revas Tib Peron Ather Add 15 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $24,764.58 2026-03-16
74080481 CDM Revas Tib Pr Stnt Ath Ini 15 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $24,764.58 2026-03-16
74080478 CDM Revas Tib Peron Ather Ini 15 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $24,764.58 2026-03-16
74080479 CDM Revas Tib Peron Stent Ini 15 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $24,764.58 2026-03-16
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 15 8 $25,617.17 $25,617.17 $19,212.88 $25,617.17 $24,760.29 2026-03-16
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 15 8 $25,353.16 $25,353.16 $19,014.87 $25,353.16 $24,751.47 2026-03-16
B1402 HCPCS Cardiac M >=55.50 And M <68.50 15 8 $24,726.15 $24,726.15 $18,544.61 $25,185.18 $24,726.15 2026-03-16
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 15 8 $24,703.57 $24,703.57 $18,527.68 $24,918.96 $24,703.57 2026-03-16
74080469 CDM Revas Fem Pop Stent Ather 15 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $24,671.76 2026-03-16
74080471 CDM Revas Femoral Poplt Stent 15 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $24,671.76 2026-03-16
74080468 CDM Revas Fem Pop Atherectomy 15 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $24,671.76 2026-03-16
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 8 $24,649.73 $24,649.73 $18,487.30 $24,649.73 $24,642.16 2026-03-16
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 8 $24,562.89 $24,562.89 $18,422.16 $25,035.32 $24,562.89 2026-03-16
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 8 $24,561.15 $24,561.15 $18,420.86 $25,218.68 $24,561.15 2026-03-16
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 15 8 $24,521.20 $24,521.20 $18,390.90 $27,092.80 $24,521.20 2026-03-16
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 8 $24,503.83 $24,503.83 $18,377.87 $24,622.77 $24,503.83 2026-03-16
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 15 8 $24,489.94 $24,489.94 $18,367.45 $25,121.71 $24,489.94 2026-03-16
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 8 $24,559.41 $24,559.41 $18,419.56 $24,559.41 $24,448.23 2026-03-16
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 8 $24,430.88 $24,430.88 $18,323.16 $24,732.08 $24,430.88 2026-03-16
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 8 $24,373.57 $24,373.57 $18,280.18 $25,072.35 $24,373.57 2026-03-16
C0103 HCPCS Stroke M >=50.50 And M <63.50 15 8 $24,366.62 $24,366.62 $18,274.96 $24,437.65 $24,366.62 2026-03-16
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 8 $24,133.88 $24,133.88 $18,100.41 $24,811.42 $24,133.88 2026-03-16
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 8 $24,113.04 $24,113.04 $18,084.78 $24,508.17 $24,113.04 2026-03-16
77020083 CDM Liver Tumor Ablat Rf Perc 15 8 $25,297.02 $25,297.02 $18,972.76 $25,297.02 $24,092.40 2026-03-16
C1403 HCPCS Cardiac M >=45.50 And M <55.50 15 8 $24,074.82 $24,074.82 $18,056.12 $24,368.89 $24,074.82 2026-03-16
D0603 HCPCS Neurological M >=43.50 And M <52.50 15 8 $23,998.40 $23,998.40 $17,998.80 $24,467.62 $23,998.40 2026-03-16
A1103 HCPCS Amputation Non-lower Extremity M <52.50 15 8 $23,949.77 $23,949.77 $17,962.33 $27,893.23 $23,949.77 2026-03-16
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 15 8 $23,842.08 $23,842.08 $17,881.56 $24,887.23 $23,842.08 2026-03-16
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 15 8 $23,798.66 $23,798.66 $17,849.00 $24,141.46 $23,798.66 2026-03-16
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 15 8 $23,788.24 $23,788.24 $17,841.18 $23,942.23 $23,788.24 2026-03-16
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 8 $23,479.08 $23,479.08 $17,609.31 $23,709.51 $23,479.08 2026-03-16
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 8 $23,437.39 $23,437.39 $17,578.04 $24,196.11 $23,437.39 2026-03-16
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 15 8 $23,322.76 $23,322.76 $17,492.07 $24,282.50 $23,322.76 2026-03-16
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 15 8 $24,074.82 $24,074.82 $18,056.12 $24,074.82 $23,316.35 2026-03-16
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 8 $23,274.13 $23,274.13 $17,455.59 $23,956.34 $23,274.13 2026-03-16
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 8 $23,201.18 $23,201.18 $17,400.88 $23,520.86 $23,201.18 2026-03-16
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 8 $23,128.23 $23,128.23 $17,346.17 $24,421.78 $23,128.23 2026-03-16
76085057 CDM In111 Satumomab Dx To 6mc 15 8 $24,275.29 $24,275.29 $18,206.47 $24,275.29 $23,119.32 2026-03-16
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 15 8 $23,354.02 $23,354.02 $17,515.52 $23,354.02 $23,094.21 2026-03-16
B1201 HCPCS Osteoarthritis M >=61.50 15 8 $23,008.38 $23,008.38 $17,256.29 $23,270.51 $23,008.38 2026-03-16
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 15 8 $25,394.85 $25,394.85 $19,046.14 $25,394.85 $22,949.63 2026-03-16
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 15 8 $22,911.12 $22,911.12 $17,183.34 $23,469.73 $22,911.12 2026-03-16
74080660 CDM Plc Stnt Bile Duct New Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
74080659 CDM Plc Stent Bile Duct Ex Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
74080661 CDM Pl St Bile Duct Cth Nw Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
74080581 CDM Plc Stnt Bile Duct New Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
74080580 CDM Plc Stent Bile Duct Ex Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
74080582 CDM Pl St Bile Duct Cth Nw Ea 15 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $22,908.18 2026-03-16
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 8 $22,850.33 $22,850.33 $17,137.75 $23,654.86 $22,850.33 2026-03-16
B0601 HCPCS Neurological M >=64.50 15 8 $22,744.38 $22,744.38 $17,058.28 $23,378.06 $22,744.38 2026-03-16
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 15 8 $23,942.82 $23,942.82 $17,957.12 $23,942.82 $22,625.23 2026-03-16
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 15 8 $22,586.32 $22,586.32 $16,939.74 $23,554.36 $22,586.32 2026-03-16
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 15 8 $22,735.69 $22,735.69 $17,051.77 $22,735.69 $22,494.77 2026-03-16
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 8 $22,443.90 $22,443.90 $16,832.92 $23,194.70 $22,443.90 2026-03-16
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 15 8 $22,438.69 $22,438.69 $16,829.02 $22,771.57 $22,438.69 2026-03-16
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 15 8 $22,391.79 $22,391.79 $16,793.84 $22,741.59 $22,391.79 2026-03-16
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 15 8 $22,376.16 $22,376.16 $16,782.12 $23,004.29 $22,376.16 2026-03-16
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 8 $22,372.69 $22,372.69 $16,779.52 $22,810.35 $22,372.69 2026-03-16
D1403 HCPCS Cardiac M >=45.50 And M <55.50 15 8 $22,259.79 $22,259.79 $16,694.84 $22,637.57 $22,259.79 2026-03-16
B1501 HCPCS Pulmonary M >=68.50 15 8 $22,758.27 $22,758.27 $17,068.70 $22,758.27 $22,258.52 2026-03-16
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 15 8 $23,489.50 $23,489.50 $17,617.12 $23,489.50 $22,182.71 2026-03-16
74080421 CDM Nephrostolithotm/pyel<2cm 15 8 $23,284.61 $23,284.61 $17,463.46 $23,284.61 $22,175.82 2026-03-16
76085056 CDM In-111 Pentetr Dx To 6mci 15 8 $23,220.35 $23,220.35 $17,415.26 $23,220.35 $22,114.62 2026-03-16
D0103 HCPCS Stroke M >=50.50 And M <63.50 15 8 $22,075.68 $22,075.68 $16,556.76 $22,380.17 $22,075.68 2026-03-16
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 15 8 $21,967.99 $21,967.99 $16,476.00 $26,209.52 $21,967.99 2026-03-16
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 8 $21,952.36 $21,952.36 $16,464.27 $22,170.37 $21,952.36 2026-03-16
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 15 8 $21,941.94 $21,941.94 $16,456.46 $22,817.41 $21,941.94 2026-03-16
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 15 8 $21,853.36 $21,853.36 $16,390.02 $22,949.63 $21,853.36 2026-03-16
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 15 8 $21,809.94 $21,809.94 $16,357.45 $22,346.67 $21,809.94 2026-03-16
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 15 8 $21,742.20 $21,742.20 $16,306.65 $21,934.12 $21,742.20 2026-03-16
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 15 8 $21,707.46 $21,707.46 $16,280.60 $22,635.81 $21,707.46 2026-03-16
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 15 8 $21,691.83 $21,691.83 $16,268.87 $21,844.20 $21,691.83 2026-03-16
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 15 8 $21,618.88 $21,618.88 $16,214.16 $21,801.89 $21,618.88 2026-03-16
A0603 HCPCS Neurological M >=43.50 And M <52.50 15 8 $21,556.36 $21,556.36 $16,167.27 $22,076.92 $21,556.36 2026-03-16
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 15 8 $21,545.93 $21,545.93 $16,159.45 $22,367.83 $21,545.93 2026-03-16
36907 CPT Pta Central Dial Seg Add On 15 8 $22,581.68 $22,581.68 $16,936.26 $22,581.68 $21,506.36 2026-03-16
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 15 8 $21,471.25 $21,471.25 $16,103.44 $21,618.53 $21,471.25 2026-03-16
C0602 HCPCS Neurological M >=52.50 And M <64.50 15 8 $21,427.83 $21,427.83 $16,070.87 $22,267.33 $21,427.83 2026-03-16
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 15 8 $21,610.20 $21,610.20 $16,207.65 $21,610.20 $21,408.73 2026-03-16
B0102 HCPCS Stroke M >=63.50 And M <72.50 15 8 $21,373.98 $21,373.98 $16,030.49 $21,847.73 $21,373.98 2026-03-16
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 15 8 $21,328.83 $21,328.83 $15,996.62 $21,761.34 $21,328.83 2026-03-16
76085053 CDM In-111 Capromab To 10mci 15 8 $22,383.90 $22,383.90 $16,787.92 $22,383.90 $21,318.00 2026-03-16
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 15 8 $21,309.72 $21,309.72 $15,982.29 $22,152.74 $21,309.72 2026-03-16
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 15 8 $23,531.18 $23,531.18 $17,648.39 $23,531.18 $21,304.71 2026-03-16
B1001 HCPCS Amputation Lower Extremity M >=64.50 15 8 $21,344.46 $21,344.46 $16,008.34 $21,344.46 $21,262.40 2026-03-16
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 15 8 $21,261.09 $21,261.09 $15,945.82 $21,838.91 $21,261.09 2026-03-16
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 15 8 $21,245.46 $21,245.46 $15,934.09 $21,540.96 $21,245.46 2026-03-16
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 15 8 $21,167.30 $21,167.30 $15,875.47 $21,526.85 $21,167.30 2026-03-16
B0901 HCPCS Other Orthopedic M >=63.50 15 8 $21,511.20 $21,511.20 $16,133.40 $21,511.20 $21,103.72 2026-03-16
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 15 8 $21,059.61 $21,059.61 $15,794.71 $21,117.82 $21,059.61 2026-03-16
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 15 8 $21,057.87 $21,057.87 $15,793.40 $21,800.13 $21,057.87 2026-03-16
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 15 8 $20,955.40 $20,955.40 $15,716.55 $21,726.08 $20,955.40 2026-03-16
A0103 HCPCS Stroke M >=50.50 And M <63.50 15 8 $20,939.76 $20,939.76 $15,704.82 $21,345.26 $20,939.76 2026-03-16
D1902 HCPCS Guillain-barré M >=51.50 And M <66.50 15 8 $20,814.71 $20,814.71 $15,611.03 $21,096.67 $20,814.71 2026-03-16
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 15 8 $20,773.03 $20,773.03 $15,579.77 $21,094.91 $20,773.03 2026-03-16
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 15 8 $20,736.55 $20,736.55 $15,552.41 $21,094.91 $20,736.55 2026-03-16
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 15 8 $20,698.34 $20,698.34 $15,523.75 $21,130.17 $20,698.34 2026-03-16
A1902 HCPCS Guillain-barré M >=51.50 And M <66.50 15 8 $20,819.92 $20,819.92 $15,614.94 $20,819.92 $20,650.62 2026-03-16
B2001 HCPCS Miscellaneous M >=66.50 15 8 $20,641.02 $20,641.02 $15,480.77 $20,763.45 $20,641.02 2026-03-16
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 15 8 $20,568.07 $20,568.07 $15,426.06 $20,657.67 $20,568.07 2026-03-16
C2002 HCPCS Miscellaneous M >=55.50 And M <66.50 15 8 $20,552.44 $20,552.44 $15,414.33 $20,724.66 $20,552.44 2026-03-16
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 15 8 $20,547.23 $20,547.23 $15,410.42 $21,119.59 $20,547.23 2026-03-16
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