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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

Your selected procedure

You selected 93306 (CPT)

ECHO 2-D&M-MODE W/DOPPLER

This hospital’s price: $1,328 across 8 payers · range $996-$1,409

Source: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/274736089_mercy-rehabilitation-hospital-oklahoma-city-llc_standardcharges.csv · observed 2026-03-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

18,302 distinct procedures filed
112 distinct payers
2,175,261 rate rows
2026-03-16 last MRF observed
Data quality

253,623 of 2,175,261 rate rows are consumer-grade (11.7%)

1,921,638 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 1,520,932
per-diem day rate — not a per-procedure price 397,768
percent-of-charges filed in the dollar field — excluded from medians 1,684
placeholder amount (≤ $0.02) — excluded from medians 1,165
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/453808607_mercy-hospital-carthage-pediatrics_RHC_standardcharges.zip
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-02

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 $59,023.45 $78,729.07 $78,697.93 nat. median
$84,297
0.9× median
B1904
HCPCS 		Guillain-barré M <38.50 8 $55,257.66 $73,706.03 $73,676.87 nat. median
$74,212
1.0× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $48,244.32 $65,952.21 $64,351.22 nat. median
$70,101
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $46,974.74 $63,804.82 $62,657.77 nat. median
$67,955
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $46,771.60 $62,386.81 $62,362.14 nat. median
$66,304
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $43,100.87 $57,490.56 $57,467.82 nat. median
$60,723
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 8 $42,507.09 $57,969.12 $56,698.55 nat. median
$62,165
0.9× median
74080529
CDM 		Occ/emb Non Hemorr Venous 8 $42,299.95 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080530
CDM 		Occ/emb Non Hemorr Art 8 $42,299.95 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 8 $42,299.95 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 8 $42,299.95 $56,399.93 $56,399.93 nat. median
$55,326
1.0× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $41,362.51 $55,171.83 $55,150.01 nat. median
$59,953
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $40,681.49 $54,263.45 $54,241.99 nat. median
$58,739
0.9× median
C1904
HCPCS 		Guillain-barré M <38.50 8 $39,052.51 $52,090.62 $52,070.01 nat. median
$54,671
1.0× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $38,263.41 $51,038.07 $51,017.88 nat. median
$52,792
1.0× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $36,883.14 $51,063.25 $49,196.98 nat. median
$53,951
0.9× median
74080268
CDM 		Insert Tips 8 $36,216.14 $48,288.18 $48,288.18 nat. median
$47,368
1.0× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 8 $35,935.19 $47,932.54 $47,913.58 nat. median
$52,085
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 8 $35,480.74 $47,326.37 $47,307.65 nat. median
$51,427
0.9× median
74080483
CDM 		Revise Tips 8 $35,275.53 $47,034.04 $47,034.04 nat. median
$46,138
1.0× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $35,229.42 $48,587.92 $46,991.15 nat. median
$51,352
0.9× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $35,199.48 $46,951.21 $46,932.63 nat. median
$49,816
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $34,302.30 $47,008.23 $45,754.50 nat. median
$50,000
0.9× median
A1904
HCPCS 		Guillain-barré M <38.50 8 $33,959.84 $45,358.01 $45,297.70 nat. median
$49,305
0.9× median
D1904
HCPCS 		Guillain-barré M <38.50 8 $33,949.42 $46,340.03 $45,283.81 nat. median
$49,521
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $33,808.79 $46,944.76 $45,096.22 nat. median
$49,872
0.9× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 8 $33,278.82 $46,012.11 $44,389.31 nat. median
$48,704
0.9× median
B2102
HCPCS 		Burns M <52.50 8 $33,140.79 $44,205.21 $44,187.72 nat. median
$48,036
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 8 $33,037.92 $44,067.99 $44,050.56 nat. median
$47,406
0.9× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $32,919.43 $45,416.19 $43,909.94 nat. median
$48,645
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $32,752.75 $44,303.71 $43,687.62 nat. median
$47,900
0.9× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 8 $32,763.17 $43,701.51 $43,684.23 nat. median
$47,488
0.9× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 8 $32,743.64 $44,908.44 $43,675.46 nat. median
$47,962
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 8 $32,282.68 $43,060.61 $43,043.57 nat. median
$46,197
0.9× median
B0604
HCPCS 		Neurological M <43.50 8 $31,899.85 $43,815.34 $42,549.96 nat. median
$46,491
0.9× median
76085035
CDM 		Sm153 Lexidron To 150mci 8 $31,369.32 $41,825.76 $41,825.76 nat. median
$41,029
1.0× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 8 $31,263.10 $41,700.63 $41,684.14 nat. median
$45,223
0.9× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 8 $31,040.44 $42,708.15 $41,403.63 nat. median
$45,395
0.9× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 8 $30,859.44 $41,920.06 $41,162.20 nat. median
$44,548
0.9× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 8 $30,774.80 $41,049.30 $41,033.07 nat. median
$44,508
0.9× median
B1504
HCPCS 		Pulmonary M <45.50 8 $30,502.65 $40,686.30 $40,670.20 nat. median
$44,462
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 8 $29,871.11 $41,082.61 $39,843.91 nat. median
$43,685
0.9× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 8 $29,834.65 $39,795.28 $39,779.54 nat. median
$43,375
0.9× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 8 $29,789.08 $41,262.45 $39,734.49 nat. median
$44,019
0.9× median
B1305
HCPCS 		Rheumatoid Other Arthritis M <51.50 And A <64.50 8 $29,776.06 $39,717.12 $39,701.41 nat. median
$42,121
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 8 $29,674.49 $40,574.86 $39,581.64 nat. median
$43,148
0.9× median
B0904
HCPCS 		Other Orthopedic M <44.5 8 $29,274.73 $39,048.42 $39,032.98 nat. median
$42,561
0.9× median
74080527
CDM 		Stnt Plc Transc Vein Ini 8 $29,274.45 $39,032.60 $39,032.60 nat. median
$38,289
1.0× median
74080525
CDM 		Stnt Plc Transcth Art Ini 8 $29,152.35 $38,869.80 $38,869.80 nat. median
$38,129
1.0× median
76085037
CDM 		Strontium Sr-89 Thera/mci 8 $29,149.14 $38,865.52 $38,865.52 nat. median
$38,125
1.0× median

Other procedures at this hospital

Browse this hospital's 18,302 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 23 8 $78,697.93 $78,697.93 $59,023.45 $78,729.07 $78,697.93 2026-03-16
B1904 HCPCS Guillain-barré M <38.50 23 8 $73,676.87 $73,676.87 $55,257.66 $73,706.03 $73,676.87 2026-03-16
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 23 8 $64,351.22 $64,351.22 $48,244.32 $65,952.21 $64,351.22 2026-03-16
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 23 8 $62,657.77 $62,657.77 $46,974.74 $63,804.82 $62,657.77 2026-03-16
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 23 8 $62,362.14 $62,362.14 $46,771.60 $62,386.81 $62,362.14 2026-03-16
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 23 8 $57,467.82 $57,467.82 $43,100.87 $57,490.56 $57,467.82 2026-03-16
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 23 8 $56,698.55 $56,698.55 $42,507.09 $57,969.12 $56,698.55 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 23 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $56,399.93 2026-03-16
74080530 CDM Occ/emb Non Hemorr Art 23 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $56,399.93 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 23 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $56,399.93 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 23 8 $56,399.93 $56,399.93 $42,299.95 $56,399.93 $56,399.93 2026-03-16
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 23 8 $55,150.01 $55,150.01 $41,362.51 $55,171.83 $55,150.01 2026-03-16
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 23 8 $54,241.99 $54,241.99 $40,681.49 $54,263.45 $54,241.99 2026-03-16
C1904 HCPCS Guillain-barré M <38.50 23 8 $52,070.01 $52,070.01 $39,052.51 $52,090.62 $52,070.01 2026-03-16
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 23 8 $51,017.88 $51,017.88 $38,263.41 $51,038.07 $51,017.88 2026-03-16
B0106 HCPCS Stroke M <41.50 And A <84.50 23 8 $49,196.98 $49,196.98 $36,883.14 $51,063.25 $49,196.98 2026-03-16
74080268 CDM Insert Tips 23 8 $48,288.18 $48,288.18 $36,216.14 $48,288.18 $48,288.18 2026-03-16
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 23 8 $47,913.58 $47,913.58 $35,935.19 $47,932.54 $47,913.58 2026-03-16
B0205 HCPCS Traumatic Brain Injury M <35.50 23 8 $47,307.65 $47,307.65 $35,480.74 $47,326.37 $47,307.65 2026-03-16
74080483 CDM Revise Tips 23 8 $47,034.04 $47,034.04 $35,275.53 $47,034.04 $47,034.04 2026-03-16
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 23 8 $46,991.15 $46,991.15 $35,229.42 $48,587.92 $46,991.15 2026-03-16
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 23 8 $46,932.63 $46,932.63 $35,199.48 $46,951.21 $46,932.63 2026-03-16
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 23 8 $45,754.50 $45,754.50 $34,302.30 $47,008.23 $45,754.50 2026-03-16
A1904 HCPCS Guillain-barré M <38.50 23 8 $45,297.70 $45,297.70 $33,959.84 $45,358.01 $45,297.70 2026-03-16
D1904 HCPCS Guillain-barré M <38.50 23 8 $45,283.81 $45,283.81 $33,949.42 $46,340.03 $45,283.81 2026-03-16
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 23 8 $45,096.22 $45,096.22 $33,808.79 $46,944.76 $45,096.22 2026-03-16
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 23 8 $44,389.31 $44,389.31 $33,278.82 $46,012.11 $44,389.31 2026-03-16
B2102 HCPCS Burns M <52.50 23 8 $44,187.72 $44,187.72 $33,140.79 $44,205.21 $44,187.72 2026-03-16
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 23 8 $44,050.56 $44,050.56 $33,037.92 $44,067.99 $44,050.56 2026-03-16
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 23 8 $43,909.94 $43,909.94 $32,919.43 $45,416.19 $43,909.94 2026-03-16
C0106 HCPCS Stroke M <41.50 And A <84.50 23 8 $43,687.62 $43,687.62 $32,752.75 $44,303.71 $43,687.62 2026-03-16
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 23 8 $43,684.23 $43,684.23 $32,763.17 $43,701.51 $43,684.23 2026-03-16
B0105 HCPCS Stroke M <41.50 And A >=84.50 23 8 $43,675.46 $43,675.46 $32,743.64 $44,908.44 $43,675.46 2026-03-16
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 23 8 $43,043.57 $43,043.57 $32,282.68 $43,060.61 $43,043.57 2026-03-16
B0604 HCPCS Neurological M <43.50 23 8 $42,549.96 $42,549.96 $31,899.85 $43,815.34 $42,549.96 2026-03-16
76085035 CDM Sm153 Lexidron To 150mci 23 8 $41,825.76 $41,825.76 $31,369.32 $41,825.76 $41,825.76 2026-03-16
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 23 8 $41,684.14 $41,684.14 $31,263.10 $41,700.63 $41,684.14 2026-03-16
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 23 8 $41,403.63 $41,403.63 $31,040.44 $42,708.15 $41,403.63 2026-03-16
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 23 8 $41,162.20 $41,162.20 $30,859.44 $41,920.06 $41,162.20 2026-03-16
B1004 HCPCS Amputation Lower Extremity M <47.50 23 8 $41,033.07 $41,033.07 $30,774.80 $41,049.30 $41,033.07 2026-03-16
B1504 HCPCS Pulmonary M <45.50 23 8 $40,670.20 $40,670.20 $30,502.65 $40,686.30 $40,670.20 2026-03-16
B0704 HCPCS Fracture Of Lower Extremity M <41.50 23 8 $39,843.91 $39,843.91 $29,871.11 $41,082.61 $39,843.91 2026-03-16
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 23 8 $39,779.54 $39,779.54 $29,834.65 $39,795.28 $39,779.54 2026-03-16
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 23 8 $39,734.49 $39,734.49 $29,789.08 $41,262.45 $39,734.49 2026-03-16
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 23 8 $39,701.41 $39,701.41 $29,776.06 $39,717.12 $39,701.41 2026-03-16
D0106 HCPCS Stroke M <41.50 And A <84.50 23 8 $39,581.64 $39,581.64 $29,674.49 $40,574.86 $39,581.64 2026-03-16
B0904 HCPCS Other Orthopedic M <44.5 23 8 $39,032.98 $39,032.98 $29,274.73 $39,048.42 $39,032.98 2026-03-16
74080527 CDM Stnt Plc Transc Vein Ini 23 8 $39,032.60 $39,032.60 $29,274.45 $39,032.60 $39,032.60 2026-03-16
74080525 CDM Stnt Plc Transcth Art Ini 23 8 $38,869.80 $38,869.80 $29,152.35 $38,869.80 $38,869.80 2026-03-16
76085037 CDM Strontium Sr-89 Thera/mci 23 8 $38,865.52 $38,865.52 $29,149.14 $38,865.52 $38,865.52 2026-03-16
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 23 8 $38,794.84 $38,794.84 $29,084.62 $39,093.89 $38,794.84 2026-03-16
C0105 HCPCS Stroke M <41.50 And A >=84.50 23 8 $38,784.42 $38,784.42 $29,076.81 $38,963.43 $38,784.42 2026-03-16
74080547 CDM Verteb Augm Thorac W Imag 23 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $38,769.13 2026-03-16
74080549 CDM Verteb Augm Ea Add W Imag 23 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $38,769.13 2026-03-16
74080548 CDM Verteb Augm Lumbar W Imag 23 8 $38,769.13 $38,769.13 $29,076.85 $38,769.13 $38,769.13 2026-03-16
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 23 8 $38,416.20 $38,416.20 $28,800.75 $39,069.21 $38,416.20 2026-03-16
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 23 8 $38,192.14 $38,192.14 $28,632.78 $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 23 8 $38,129.62 $38,129.62 $28,585.90 $39,233.17 $38,129.62 2026-03-16
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 23 8 $38,004.56 $38,004.56 $28,492.15 $41,950.04 $38,004.56 2026-03-16
C0205 HCPCS Traumatic Brain Injury M <35.50 23 8 $37,629.40 $37,629.40 $28,210.88 $38,314.62 $37,629.40 2026-03-16
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 23 8 $37,577.29 $37,577.29 $28,171.82 $38,096.01 $37,577.29 2026-03-16
A0106 HCPCS Stroke M <41.50 And A <84.50 23 8 $37,544.29 $37,544.29 $28,147.08 $38,698.97 $37,544.29 2026-03-16
B1404 HCPCS Cardiac M <45.50 23 8 $37,287.23 $37,287.23 $27,954.36 $37,711.66 $37,287.23 2026-03-16
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 23 8 $37,282.02 $37,282.02 $27,950.46 $38,337.54 $37,282.02 2026-03-16
C2102 HCPCS Burns M <52.50 23 8 $37,149.21 $37,149.21 $27,861.91 $37,163.91 $37,149.21 2026-03-16
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 23 8 $36,874.90 $36,874.90 $27,656.17 $36,889.49 $36,874.90 2026-03-16
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 23 8 $36,701.91 $36,701.91 $27,515.54 $37,068.15 $36,701.91 2026-03-16
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 23 8 $36,303.69 $36,303.69 $27,227.77 $36,318.06 $36,303.69 2026-03-16
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 23 8 $36,213.84 $36,213.84 $27,149.64 $36,539.23 $36,213.84 2026-03-16
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 23 8 $35,878.33 $35,878.33 $26,908.74 $35,892.52 $35,878.33 2026-03-16
36224 CPT Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art 23 8 $35,853.69 $35,853.69 $26,890.27 $35,853.69 $35,853.69 2026-03-16
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 23 8 $35,751.83 $35,751.83 $26,803.27 $36,029.71 $35,751.83 2026-03-16
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 23 8 $35,720.57 $35,720.57 $26,779.83 $38,037.83 $35,720.57 2026-03-16
A5102 HCPCS Bedside Drain Btl W/wo Tube 23 8 $35,565.81 $35,565.81 $26,674.36 $35,579.88 $35,565.81 2026-03-16
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 23 8 $35,213.37 $35,213.37 $26,410.02 $35,227.30 $35,213.37 2026-03-16
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 23 8 $35,166.51 $35,166.51 $26,364.45 $35,980.34 $35,166.51 2026-03-16
D0105 HCPCS Stroke M <41.50 And A >=84.50 23 8 $35,138.72 $35,138.72 $26,343.61 $35,684.15 $35,138.72 2026-03-16
B0104 HCPCS Stroke M >=41.50 And M <50.50 23 8 $35,044.93 $35,044.93 $26,273.30 $35,945.08 $35,044.93 2026-03-16
B1604 HCPCS Pain Syndrome M <43.50 23 8 $34,822.61 $34,822.61 $26,106.62 $40,802.29 $34,822.61 2026-03-16
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 23 8 $34,780.92 $34,780.92 $26,075.37 $36,800.16 $34,780.92 2026-03-16
D0205 HCPCS Traumatic Brain Injury M <35.50 23 8 $34,377.97 $34,377.97 $25,773.28 $34,814.97 $34,377.97 2026-03-16
C1004 HCPCS Amputation Lower Extremity M <47.50 23 8 $34,095.26 $34,095.26 $25,571.44 $34,108.75 $34,095.26 2026-03-16
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 23 8 $34,049.70 $34,049.70 $25,527.17 $34,252.55 $34,049.70 2026-03-16
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 23 8 $33,876.01 $33,876.01 $25,396.96 $33,991.62 $33,876.01 2026-03-16
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 23 8 $33,864.35 $33,864.35 $25,398.26 $33,877.75 $33,864.35 2026-03-16
B0603 HCPCS Neurological M >=43.50 And M <52.50 23 8 $33,643.27 $33,643.27 $25,222.47 $34,931.33 $33,643.27 2026-03-16
B1103 HCPCS Amputation Non-lower Extremity M <52.50 23 8 $33,598.11 $33,598.11 $25,188.62 $35,329.78 $33,598.11 2026-03-16
A0105 HCPCS Stroke M <41.50 And A >=84.50 23 8 $33,330.63 $33,330.63 $24,988.09 $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 23 8 $33,136.10 $33,136.10 $24,842.25 $34,670.40 $33,136.10 2026-03-16
C1504 HCPCS Pulmonary M <45.50 23 8 $32,701.10 $32,701.10 $24,525.83 $32,714.04 $32,701.10 2026-03-16
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 23 8 $32,651.51 $32,651.51 $24,478.95 $33,275.82 $32,651.51 2026-03-16
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 23 8 $32,623.72 $32,623.72 $24,458.11 $33,594.94 $32,623.72 2026-03-16
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 23 8 $32,431.99 $32,431.99 $24,323.99 $32,444.83 $32,431.99 2026-03-16
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 23 8 $32,414.63 $32,414.63 $24,310.97 $32,427.46 $32,414.63 2026-03-16
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 23 8 $32,393.80 $32,393.80 $24,295.35 $32,406.61 $32,393.80 2026-03-16
A0205 HCPCS Traumatic Brain Injury M <35.50 23 8 $32,298.93 $32,298.93 $24,214.61 $32,794.51 $32,298.93 2026-03-16
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 23 8 $32,267.66 $32,267.66 $24,191.18 $33,626.67 $32,267.66 2026-03-16
C0604 HCPCS Neurological M <43.50 23 8 $32,224.24 $32,224.24 $24,158.62 $32,893.24 $32,224.24 2026-03-16
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 23 8 $31,961.97 $31,961.97 $23,962.00 $32,276.17 $31,961.97 2026-03-16
C0704 HCPCS Fracture Of Lower Extremity M <41.50 23 8 $31,845.16 $31,845.16 $23,883.87 $31,857.76 $31,845.16 2026-03-16
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 23 8 $31,803.49 $31,803.49 $23,852.62 $31,816.08 $31,803.49 2026-03-16
C1103 HCPCS Amputation Non-lower Extremity M <52.50 23 8 $31,794.81 $31,794.81 $23,846.11 $31,807.39 $31,794.81 2026-03-16
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 23 8 $31,739.25 $31,739.25 $23,804.44 $31,751.81 $31,739.25 2026-03-16
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 23 8 $31,718.81 $31,718.81 $23,779.70 $32,859.74 $31,718.81 2026-03-16
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 23 8 $31,473.91 $31,473.91 $23,596.10 $33,434.50 $31,473.91 2026-03-16
C1604 HCPCS Pain Syndrome M <43.50 23 8 $31,195.83 $31,195.83 $23,396.87 $31,208.17 $31,195.83 2026-03-16
C0104 HCPCS Stroke M >=41.50 And M <50.50 23 8 $31,121.33 $31,121.33 $23,331.76 $31,188.37 $31,121.33 2026-03-16
D1004 HCPCS Amputation Lower Extremity M <47.50 23 8 $30,945.81 $30,945.81 $23,209.36 $30,958.06 $30,945.81 2026-03-16
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 23 8 $30,860.79 $30,860.79 $23,136.44 $31,660.87 $30,860.79 2026-03-16
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 23 8 $30,820.81 $30,820.81 $23,115.61 $30,833.01 $30,820.81 2026-03-16
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 23 8 $30,808.69 $30,808.69 $23,097.38 $31,260.66 $30,808.69 2026-03-16
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 23 8 $30,732.27 $30,732.27 $23,040.08 $32,115.74 $30,732.27 2026-03-16
D1504 HCPCS Pulmonary M <45.50 23 8 $30,624.62 $30,624.62 $22,968.47 $30,636.74 $30,624.62 2026-03-16
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 23 8 $30,576.01 $30,576.01 $22,932.01 $30,588.11 $30,576.01 2026-03-16
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 23 8 $30,414.42 $30,414.42 $22,801.79 $30,867.50 $30,414.42 2026-03-16
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 23 8 $30,404.12 $30,404.12 $22,803.09 $30,416.15 $30,404.12 2026-03-16
D0604 HCPCS Neurological M <43.50 23 8 $30,351.89 $30,351.89 $22,754.91 $30,691.19 $30,351.89 2026-03-16
D0704 HCPCS Fracture Of Lower Extremity M <41.50 23 8 $30,244.39 $30,244.39 $22,683.30 $30,256.36 $30,244.39 2026-03-16
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 23 8 $30,207.73 $30,207.73 $22,646.84 $30,678.85 $30,207.73 2026-03-16
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 23 8 $30,093.10 $30,093.10 $22,560.89 $31,008.54 $30,093.10 2026-03-16
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 23 8 $30,058.36 $30,058.36 $22,534.85 $30,222.22 $30,058.36 2026-03-16
C1404 HCPCS Cardiac M <45.50 23 8 $30,025.64 $30,025.64 $22,519.23 $30,037.52 $30,025.64 2026-03-16
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 23 8 $29,919.73 $29,919.73 $22,439.80 $29,931.57 $29,919.73 2026-03-16
B1403 HCPCS Cardiac M >=45.50 And M <55.50 23 8 $29,886.41 $29,886.41 $22,405.94 $30,849.87 $29,886.41 2026-03-16
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 23 8 $29,782.20 $29,782.20 $22,327.81 $30,528.99 $29,782.20 2026-03-16
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 23 8 $29,579.43 $29,579.43 $22,184.58 $29,591.14 $29,579.43 2026-03-16
C0904 HCPCS Other Orthopedic M <44.5 23 8 $29,577.24 $29,577.24 $22,174.16 $30,218.69 $29,577.24 2026-03-16
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 23 8 $29,489.15 $29,489.15 $22,116.86 $29,500.82 $29,489.15 2026-03-16
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 23 8 $29,457.40 $29,457.40 $22,084.31 $31,022.65 $29,457.40 2026-03-16
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 23 8 $29,450.45 $29,450.45 $22,079.10 $31,694.37 $29,450.45 2026-03-16
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 23 8 $29,433.08 $29,433.08 $22,066.08 $29,659.81 $29,433.08 2026-03-16
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 23 8 $29,351.99 $29,351.99 $22,014.00 $29,363.61 $29,351.99 2026-03-16
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 23 8 $29,349.71 $29,349.71 $22,003.58 $29,769.12 $29,349.71 2026-03-16
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 23 8 $29,330.61 $29,330.61 $21,989.26 $29,929.55 $29,330.61 2026-03-16
A1504 HCPCS Pulmonary M <45.50 23 8 $29,275.60 $29,275.60 $21,956.70 $29,287.19 $29,275.60 2026-03-16
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 23 8 $29,158.66 $29,158.66 $21,860.34 $30,209.88 $29,158.66 2026-03-16
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 23 8 $29,151.71 $29,151.71 $21,855.13 $29,869.61 $29,151.71 2026-03-16
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 23 8 $29,081.15 $29,081.15 $21,810.86 $29,092.66 $29,081.15 2026-03-16
36226 CPT Slctv Cath Vertebral Art Angio Vertebral Artery 23 8 $29,036.88 $29,036.88 $21,777.66 $29,036.88 $29,036.88 2026-03-16
A1004 HCPCS Amputation Lower Extremity M <47.50 23 8 $28,733.91 $28,733.91 $21,550.43 $28,745.28 $28,733.91 2026-03-16
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 23 8 $28,730.44 $28,730.44 $21,547.83 $28,741.81 $28,730.44 2026-03-16
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 23 8 $28,651.49 $28,651.49 $21,480.12 $29,224.33 $28,651.49 2026-03-16
D1604 HCPCS Pain Syndrome M <43.50 23 8 $28,535.99 $28,535.99 $21,401.99 $28,547.28 $28,535.99 2026-03-16
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 23 8 $28,472.59 $28,472.59 $21,346.00 $29,111.50 $28,472.59 2026-03-16
B0602 HCPCS Neurological M >=52.50 And M <64.50 23 8 $28,291.96 $28,291.96 $21,210.57 $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 23 8 $28,241.59 $28,241.59 $21,172.81 $29,171.44 $28,241.59 2026-03-16
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 23 8 $28,214.79 $28,214.79 $21,161.09 $28,225.96 $28,214.79 2026-03-16
D0104 HCPCS Stroke M >=41.50 And M <50.50 23 8 $28,196.43 $28,196.43 $21,138.96 $28,563.19 $28,196.43 2026-03-16
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 23 8 $28,047.06 $28,047.06 $21,026.97 $28,372.78 $28,047.06 2026-03-16
D2102 HCPCS Burns M <52.50 23 8 $28,026.22 $28,026.22 $21,011.35 $31,274.76 $28,026.22 2026-03-16
92218460 CDM Gamunex-c 1 Gm/10 Ml Sol 8 8 $27,997.20 $27,997.20 $20,997.90 $27,997.20 $27,997.20 2026-03-16
D0904 HCPCS Other Orthopedic M <44.5 23 8 $27,939.37 $27,939.37 $20,946.24 $28,184.13 $27,939.37 2026-03-16
B2101 HCPCS Burns M >=52.50 23 8 $27,884.92 $27,884.92 $20,913.69 $27,895.95 $27,884.92 2026-03-16
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 23 8 $27,831.69 $27,831.69 $20,865.51 $30,821.66 $27,831.69 2026-03-16
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 23 8 $27,828.21 $27,828.21 $20,862.90 $28,154.16 $27,828.21 2026-03-16
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 23 8 $27,763.95 $27,763.95 $20,814.72 $28,051.90 $27,763.95 2026-03-16
D1404 HCPCS Cardiac M <45.50 23 8 $27,763.38 $27,763.38 $20,822.54 $27,774.37 $27,763.38 2026-03-16
A0704 HCPCS Fracture Of Lower Extremity M <41.50 23 8 $27,647.58 $27,647.58 $20,727.48 $27,783.92 $27,647.58 2026-03-16
B0103 HCPCS Stroke M >=50.50 And M <63.50 23 8 $27,439.15 $27,439.15 $20,571.22 $28,164.74 $27,439.15 2026-03-16
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 23 8 $27,373.15 $27,373.15 $20,521.74 $27,727.50 $27,373.15 2026-03-16
D1103 HCPCS Amputation Non-lower Extremity M <52.50 23 8 $27,373.15 $27,373.15 $20,521.74 $28,614.32 $27,373.15 2026-03-16
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 23 8 $27,331.07 $27,331.07 $20,498.30 $27,341.89 $27,331.07 2026-03-16
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 23 8 $27,315.45 $27,315.45 $20,486.58 $27,326.25 $27,315.45 2026-03-16
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 23 8 $27,303.67 $27,303.67 $20,469.66 $28,127.72 $27,303.67 2026-03-16
A0604 HCPCS Neurological M <43.50 23 8 $27,261.99 $27,261.99 $20,438.41 $27,690.48 $27,261.99 2026-03-16
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 23 8 $27,098.72 $27,098.72 $20,316.00 $29,818.48 $27,098.72 2026-03-16
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 23 8 $27,053.56 $27,053.56 $20,282.15 $28,252.89 $27,053.56 2026-03-16
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 23 8 $27,001.20 $27,001.20 $20,250.90 $27,011.88 $27,001.20 2026-03-16
A2102 HCPCS Burns M <52.50 23 8 $26,865.77 $26,865.77 $20,149.33 $26,876.40 $26,865.77 2026-03-16
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 23 8 $26,826.03 $26,826.03 $20,111.57 $27,251.48 $26,826.03 2026-03-16
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 23 8 $26,824.30 $26,824.30 $20,110.27 $28,335.76 $26,824.30 2026-03-16
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 23 8 $26,796.51 $26,796.51 $20,089.43 $27,195.06 $26,796.51 2026-03-16
A0104 HCPCS Stroke M >=41.50 And M <50.50 23 8 $26,744.40 $26,744.40 $20,050.37 $27,242.66 $26,744.40 2026-03-16
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 23 8 $26,678.40 $26,678.40 $20,000.89 $27,177.43 $26,678.40 2026-03-16
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 23 8 $26,603.71 $26,603.71 $19,944.89 $32,873.85 $26,603.71 2026-03-16
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 23 8 $26,480.40 $26,480.40 $19,852.44 $27,704.58 $26,480.40 2026-03-16
D1204 HCPCS Topical Fluor Without Prophy Adu 23 8 $26,443.92 $26,443.92 $19,825.10 $27,406.63 $26,443.92 2026-03-16
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 23 8 $26,417.84 $26,417.84 $19,813.38 $26,428.29 $26,417.84 2026-03-16
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 23 8 $26,339.71 $26,339.71 $19,746.97 $27,329.05 $26,339.71 2026-03-16
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 23 8 $26,251.13 $26,251.13 $19,680.56 $27,110.44 $26,251.13 2026-03-16
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 23 8 $26,228.55 $26,228.55 $19,663.63 $26,609.73 $26,228.55 2026-03-16
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 23 8 $26,087.86 $26,087.86 $19,558.16 $26,186.60 $26,087.86 2026-03-16
74080481 CDM Revas Tib Pr Stnt Ath Ini 23 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $26,002.81 2026-03-16
74080479 CDM Revas Tib Peron Stent Ini 23 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $26,002.81 2026-03-16
74080478 CDM Revas Tib Peron Ather Ini 23 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $26,002.81 2026-03-16
74080477 CDM Revas Tib Peron Ather Add 23 8 $26,002.81 $26,002.81 $19,502.11 $26,002.81 $26,002.81 2026-03-16
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 23 8 $25,992.33 $25,992.33 $19,486.54 $26,454.58 $25,992.33 2026-03-16
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 23 8 $25,929.81 $25,929.81 $19,439.66 $26,979.97 $25,929.81 2026-03-16
74080468 CDM Revas Fem Pop Atherectomy 23 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $25,905.35 2026-03-16
74080469 CDM Revas Fem Pop Stent Ather 23 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $25,905.35 2026-03-16
74080471 CDM Revas Femoral Poplt Stent 23 8 $25,905.35 $25,905.35 $19,429.01 $25,905.35 $25,905.35 2026-03-16
A1604 HCPCS Pain Syndrome M <43.50 23 8 $25,865.73 $25,865.73 $19,399.30 $25,875.96 $25,865.73 2026-03-16
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 23 8 $25,810.17 $25,810.17 $19,357.63 $25,820.38 $25,810.17 2026-03-16
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 23 8 $25,799.54 $25,799.54 $19,342.00 $25,983.85 $25,799.54 2026-03-16
D1203 HCPCS Topical Fluor Without Prophy Chi 23 8 $25,684.91 $25,684.91 $19,256.06 $26,121.36 $25,684.91 2026-03-16
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 23 8 $25,667.54 $25,667.54 $19,243.04 $26,939.42 $25,667.54 2026-03-16
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 23 8 $25,643.22 $25,643.22 $19,224.81 $26,250.07 $25,643.22 2026-03-16
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 23 8 $25,627.59 $25,627.59 $19,213.09 $25,900.98 $25,627.59 2026-03-16
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 23 8 $25,607.04 $25,607.04 $19,205.28 $25,617.17 $25,607.04 2026-03-16
A1404 HCPCS Cardiac M <45.50 23 8 $25,530.64 $25,530.64 $19,147.98 $25,540.75 $25,530.64 2026-03-16
A0904 HCPCS Other Orthopedic M <44.5 23 8 $25,488.64 $25,488.64 $19,108.92 $25,795.20 $25,488.64 2026-03-16
C0603 HCPCS Neurological M >=43.50 And M <52.50 23 8 $25,479.96 $25,479.96 $19,102.41 $26,223.62 $25,479.96 2026-03-16
92220143 CDM Interferon Beta-1a30mcg/0.5ml 8 8 $25,431.33 $25,431.33 $19,073.50 $25,431.33 $25,431.33 2026-03-16
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 23 8 $25,384.80 $25,384.80 $19,038.60 $25,394.85 $25,384.80 2026-03-16
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 23 8 $25,343.14 $25,343.14 $19,007.35 $25,353.16 $25,343.14 2026-03-16
77020083 CDM Liver Tumor Ablat Rf Perc 23 8 $25,297.02 $25,297.02 $18,972.76 $25,297.02 $25,297.02 2026-03-16
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 23 8 $25,176.00 $25,176.00 $18,874.53 $25,617.13 $25,176.00 2026-03-16
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 23 8 $25,162.11 $25,162.11 $18,864.12 $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 23 8 $25,141.27 $25,141.27 $18,848.49 $25,908.03 $25,141.27 2026-03-16
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 23 8 $25,139.53 $25,139.53 $18,847.19 $26,332.93 $25,139.53 2026-03-16
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 23 8 $25,057.90 $25,057.90 $18,785.99 $25,246.89 $25,057.90 2026-03-16
B1402 HCPCS Cardiac M >=55.50 And M <68.50 23 8 $24,726.15 $24,726.15 $18,537.28 $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 23 8 $24,703.57 $24,703.57 $18,520.35 $24,918.96 $24,703.57 2026-03-16
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 23 8 $24,642.16 $24,642.16 $18,479.99 $24,649.73 $24,642.16 2026-03-16
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 23 8 $24,562.89 $24,562.89 $18,414.88 $25,035.32 $24,562.89 2026-03-16
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 23 8 $24,561.15 $24,561.15 $18,413.58 $25,218.68 $24,561.15 2026-03-16
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 23 8 $24,549.70 $24,549.70 $18,412.27 $24,559.41 $24,549.70 2026-03-16
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 23 8 $24,521.20 $24,521.20 $18,383.63 $27,092.80 $24,521.20 2026-03-16
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 23 8 $24,503.83 $24,503.83 $18,370.61 $24,622.77 $24,503.83 2026-03-16
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 23 8 $24,489.94 $24,489.94 $18,360.19 $25,121.71 $24,489.94 2026-03-16
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 23 8 $24,430.88 $24,430.88 $18,315.92 $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 23 8 $24,373.57 $24,373.57 $18,272.94 $25,072.35 $24,373.57 2026-03-16
C0103 HCPCS Stroke M >=50.50 And M <63.50 23 8 $24,366.62 $24,366.62 $18,267.74 $24,437.65 $24,366.62 2026-03-16
76085057 CDM In111 Satumomab Dx To 6mc 23 8 $24,275.29 $24,275.29 $18,206.47 $24,275.29 $24,275.29 2026-03-16
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 23 8 $24,133.88 $24,133.88 $18,093.25 $24,811.42 $24,133.88 2026-03-16
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 23 8 $24,113.04 $24,113.04 $18,077.62 $24,508.17 $24,113.04 2026-03-16
C1403 HCPCS Cardiac M >=45.50 And M <55.50 23 8 $24,074.82 $24,074.82 $18,048.98 $24,368.89 $24,074.82 2026-03-16
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 23 8 $24,065.30 $24,065.30 $18,048.98 $24,074.82 $24,065.30 2026-03-16
74080659 CDM Plc Stent Bile Duct Ex Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
74080661 CDM Pl St Bile Duct Cth Nw Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
74080582 CDM Pl St Bile Duct Cth Nw Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
74080660 CDM Plc Stnt Bile Duct New Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
74080580 CDM Plc Stent Bile Duct Ex Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
74080581 CDM Plc Stnt Bile Duct New Ea 23 8 $24,053.59 $24,053.59 $18,040.19 $24,053.59 $24,053.59 2026-03-16
D0603 HCPCS Neurological M >=43.50 And M <52.50 23 8 $23,998.40 $23,998.40 $17,991.68 $24,467.62 $23,998.40 2026-03-16
A1103 HCPCS Amputation Non-lower Extremity M <52.50 23 8 $23,949.77 $23,949.77 $17,955.22 $27,893.23 $23,949.77 2026-03-16
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 23 8 $23,933.35 $23,933.35 $17,950.01 $23,942.82 $23,933.35 2026-03-16
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 23 8 $23,842.08 $23,842.08 $17,874.49 $24,887.23 $23,842.08 2026-03-16
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 23 8 $23,798.66 $23,798.66 $17,841.94 $24,141.46 $23,798.66 2026-03-16
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 23 8 $23,788.24 $23,788.24 $17,834.12 $23,942.23 $23,788.24 2026-03-16
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 23 8 $23,521.88 $23,521.88 $17,641.41 $23,531.18 $23,521.88 2026-03-16
92218223 CDM Soliris 10mg/ml Inj 8 8 $23,482.80 $23,482.80 $17,612.10 $23,482.80 $23,482.80 2026-03-16
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 23 8 $23,480.21 $23,480.21 $17,610.15 $23,489.50 $23,480.21 2026-03-16
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 23 8 $23,479.08 $23,479.08 $17,602.34 $23,709.51 $23,479.08 2026-03-16
C2101 HCPCS Burns M >=52.50 23 8 $23,443.75 $23,443.75 $17,582.81 $23,453.02 $23,443.75 2026-03-16
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 23 8 $23,437.39 $23,437.39 $17,571.09 $24,196.11 $23,437.39 2026-03-16
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 23 8 $23,344.78 $23,344.78 $17,508.59 $23,354.02 $23,344.78 2026-03-16
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 23 8 $23,322.76 $23,322.76 $17,485.15 $24,282.50 $23,322.76 2026-03-16
74080421 CDM Nephrostolithotm/pyel<2cm 23 8 $23,284.61 $23,284.61 $17,463.46 $23,284.61 $23,284.61 2026-03-16
B1901 HCPCS Guillain-barré M >=66.50 23 8 $23,277.07 $23,277.07 $17,331.85 $23,286.28 $23,277.07 2026-03-16
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 23 8 $23,274.13 $23,274.13 $17,448.69 $23,956.34 $23,274.13 2026-03-16
76085056 CDM In-111 Pentetr Dx To 6mci 23 8 $23,220.35 $23,220.35 $17,415.26 $23,220.35 $23,220.35 2026-03-16
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 23 8 $23,201.18 $23,201.18 $17,394.00 $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 23 8 $23,128.23 $23,128.23 $17,339.31 $24,421.78 $23,128.23 2026-03-16
B1201 HCPCS Osteoarthritis M >=61.50 23 8 $23,008.38 $23,008.38 $17,249.46 $23,270.51 $23,008.38 2026-03-16
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 23 8 $22,911.12 $22,911.12 $17,176.54 $23,469.73 $22,911.12 2026-03-16
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 23 8 $22,850.33 $22,850.33 $17,130.97 $23,654.86 $22,850.33 2026-03-16
B1501 HCPCS Pulmonary M >=68.50 23 8 $22,749.27 $22,749.27 $17,061.95 $22,758.27 $22,749.27 2026-03-16
B0601 HCPCS Neurological M >=64.50 23 8 $22,744.38 $22,744.38 $17,051.54 $23,378.06 $22,744.38 2026-03-16
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 23 8 $22,726.70 $22,726.70 $17,045.03 $22,735.69 $22,726.70 2026-03-16
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 23 8 $22,586.32 $22,586.32 $16,933.04 $23,554.36 $22,586.32 2026-03-16
36907 CPT Trluml Balo Angiop Ctr Dialysis Seg W/Img S&i 23 8 $22,581.68 $22,581.68 $16,936.26 $22,581.68 $22,581.68 2026-03-16
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 23 8 $22,443.90 $22,443.90 $16,826.27 $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 23 8 $22,438.69 $22,438.69 $16,822.36 $22,771.57 $22,438.69 2026-03-16
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 23 8 $22,391.79 $22,391.79 $16,787.20 $22,741.59 $22,391.79 2026-03-16
76085053 CDM In-111 Capromab To 10mci 23 8 $22,383.90 $22,383.90 $16,787.92 $22,383.90 $22,383.90 2026-03-16
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 23 8 $22,376.16 $22,376.16 $16,775.48 $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 23 8 $22,372.69 $22,372.69 $16,772.88 $22,810.35 $22,372.69 2026-03-16
D1403 HCPCS Cardiac M >=45.50 And M <55.50 23 8 $22,259.79 $22,259.79 $16,688.24 $22,637.57 $22,259.79 2026-03-16
C1101 HCPCS Amputation Non-lower Extremity M >=58.50 23 8 $22,230.15 $22,230.15 $16,672.61 $22,238.95 $22,230.15 2026-03-16
D0103 HCPCS Stroke M >=50.50 And M <63.50 23 8 $22,075.68 $22,075.68 $16,550.21 $22,380.17 $22,075.68 2026-03-16
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 23 8 $21,967.99 $21,967.99 $16,469.48 $26,209.52 $21,967.99 2026-03-16
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 23 8 $21,952.36 $21,952.36 $16,457.76 $22,170.37 $21,952.36 2026-03-16
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 23 8 $21,941.94 $21,941.94 $16,449.95 $22,817.41 $21,941.94 2026-03-16
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 23 8 $21,853.36 $21,853.36 $16,383.54 $22,949.63 $21,853.36 2026-03-16
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 23 8 $21,809.94 $21,809.94 $16,350.98 $22,346.67 $21,809.94 2026-03-16
B1301 HCPCS Rheumatoid Other Arthritis M >=62.50 23 8 $21,749.23 $21,749.23 $16,311.92 $21,757.83 $21,749.23 2026-03-16
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 23 8 $21,742.20 $21,742.20 $16,300.20 $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 23 8 $21,707.46 $21,707.46 $16,274.16 $22,635.81 $21,707.46 2026-03-16
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 23 8 $21,691.83 $21,691.83 $16,262.44 $21,844.20 $21,691.83 2026-03-16
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 23 8 $21,618.88 $21,618.88 $16,207.75 $21,801.89 $21,618.88 2026-03-16
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 23 8 $21,601.65 $21,601.65 $16,201.24 $21,610.20 $21,601.65 2026-03-16
A0603 HCPCS Neurological M >=43.50 And M <52.50 23 8 $21,556.36 $21,556.36 $16,160.87 $22,076.92 $21,556.36 2026-03-16
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 23 8 $21,545.93 $21,545.93 $16,153.06 $22,367.83 $21,545.93 2026-03-16
B0901 HCPCS Other Orthopedic M >=63.50 23 8 $21,502.69 $21,502.69 $16,127.02 $21,511.20 $21,502.69 2026-03-16
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 23 8 $21,471.25 $21,471.25 $16,097.07 $21,618.53 $21,471.25 2026-03-16
74080376 CDM Extrm Vein Ablat Rf 1st 23 8 $21,462.84 $21,462.84 $16,097.13 $21,462.84 $21,462.84 2026-03-16
C0602 HCPCS Neurological M >=52.50 And M <64.50 23 8 $21,427.83 $21,427.83 $16,064.51 $22,267.33 $21,427.83 2026-03-16
92214439 CDM Pegfilgrastim 6mg/0.6ml Sol 8 8 $21,384.00 $21,384.00 $16,038.00 $21,384.00 $21,384.00 2026-03-16
B0102 HCPCS Stroke M >=63.50 And M <72.50 23 8 $21,373.98 $21,373.98 $16,024.15 $21,847.73 $21,373.98 2026-03-16
74080510 CDM Translum Atherec Iliac Ea 23 8 $21,362.17 $21,362.17 $16,021.63 $21,362.17 $21,362.17 2026-03-16
74080511 CDM Translum Athr Visceral Ea 23 8 $21,362.17 $21,362.17 $16,021.63 $21,362.17 $21,362.17 2026-03-16
74080509 CDM Translum Atherec Brach Ea 23 8 $21,362.17 $21,362.17 $16,021.63 $21,362.17 $21,362.17 2026-03-16
74080508 CDM Translum Ather Renal Art 23 8 $21,362.17 $21,362.17 $16,021.63 $21,362.17 $21,362.17 2026-03-16
74080507 CDM Translum Ather Abd Aorta 23 8 $21,362.17 $21,362.17 $16,021.63 $21,362.17 $21,362.17 2026-03-16
B1001 HCPCS Amputation Lower Extremity M >=64.50 23 8 $21,336.01 $21,336.01 $16,002.01 $21,344.46 $21,336.01 2026-03-16
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 23 8 $21,328.83 $21,328.83 $15,990.29 $21,761.34 $21,328.83 2026-03-16
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 23 8 $21,309.72 $21,309.72 $15,975.97 $22,152.74 $21,309.72 2026-03-16
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 23 8 $21,261.09 $21,261.09 $15,939.51 $21,838.91 $21,261.09 2026-03-16
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 23 8 $21,245.46 $21,245.46 $15,927.79 $21,540.96 $21,245.46 2026-03-16
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