|
9138
|
OTHER
|
Inj, Hemgenix, Per Tx Dose
|
4
|
4
|
—
|
—
|
$3,710,000.00
|
$3,821,300.00
|
$3,821,300.00
|
2026-05-06
|
|
9141
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
4
|
4
|
—
|
—
|
$2,403,458.75
|
$2,475,562.51
|
$2,475,562.51
|
2026-05-06
|
|
9194
|
OTHER
|
Tisagenlecleucel Car-pos T
|
4
|
4
|
—
|
—
|
$565,623.84
|
$582,592.56
|
$582,592.56
|
2026-05-06
|
|
9498
|
OTHER
|
Ciltacabtagene Car-pos T
|
4
|
4
|
—
|
—
|
$551,318.34
|
$567,857.89
|
$567,857.89
|
2026-05-06
|
|
9422
|
OTHER
|
Idecabtagene Vicleucel Car
|
4
|
4
|
—
|
—
|
$528,312.43
|
$544,161.80
|
$544,161.80
|
2026-05-06
|
|
9413
|
OTHER
|
Lisocabtagene Car Pos T
|
4
|
4
|
—
|
—
|
$516,485.97
|
$531,980.55
|
$531,980.55
|
2026-05-06
|
|
9035
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
4
|
4
|
—
|
—
|
$489,517.15
|
$504,202.66
|
$504,202.66
|
2026-05-06
|
|
9391
|
OTHER
|
Brexucabtagene Car Pos T
|
4
|
4
|
—
|
—
|
$488,051.51
|
$502,693.06
|
$502,693.06
|
2026-05-06
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
4
|
—
|
—
|
$267,403.73
|
$281,046.78
|
$272,860.95
|
2026-05-06
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
3
|
3
|
—
|
—
|
$263,771.48
|
$268,795.69
|
$263,771.48
|
2026-05-06
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$237,235.89
|
$241,754.66
|
$237,235.89
|
2026-05-06
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$218,821.71
|
$222,989.75
|
$218,821.71
|
2026-05-06
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
4
|
4
|
—
|
—
|
$199,728.17
|
$209,918.38
|
$203,804.25
|
2026-05-06
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
3
|
3
|
—
|
—
|
$197,972.32
|
$201,743.22
|
$197,972.32
|
2026-05-06
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
3
|
3
|
—
|
—
|
$189,698.70
|
$193,312.01
|
$189,698.70
|
2026-05-06
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
3
|
3
|
—
|
—
|
$174,268.33
|
$177,587.73
|
$174,268.33
|
2026-05-06
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
3
|
3
|
—
|
—
|
$172,452.87
|
$175,737.68
|
$172,452.87
|
2026-05-06
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$168,328.10
|
$171,534.35
|
$168,328.10
|
2026-05-06
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$156,475.01
|
$159,455.49
|
$156,475.01
|
2026-05-06
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$155,048.26
|
$158,001.56
|
$155,048.26
|
2026-05-06
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$153,013.80
|
$155,928.35
|
$153,013.80
|
2026-05-06
|
|
1907
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
4
|
4
|
—
|
—
|
$152,500.50
|
$157,075.52
|
$157,075.52
|
2026-05-06
|
|
1908
|
OTHER
|
New Technology - Level 52 ($145,001-$160,000)
|
4
|
4
|
—
|
—
|
$152,500.50
|
$157,075.52
|
$157,075.52
|
2026-05-06
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
4
|
4
|
—
|
—
|
$151,961.40
|
$159,714.53
|
$155,062.65
|
2026-05-06
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$144,849.68
|
$147,608.72
|
$144,849.68
|
2026-05-06
|
|
1906
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
4
|
4
|
—
|
—
|
$137,500.50
|
$141,625.52
|
$141,625.52
|
2026-05-06
|
|
1905
|
OTHER
|
New Technology - Level 51 ($130,001-$145,000)
|
4
|
4
|
—
|
—
|
$137,500.50
|
$141,625.52
|
$141,625.52
|
2026-05-06
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$134,083.90
|
$136,637.88
|
$134,083.90
|
2026-05-06
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
3
|
3
|
—
|
—
|
$131,999.07
|
$134,513.34
|
$131,999.07
|
2026-05-06
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$130,448.58
|
$132,933.32
|
$130,448.58
|
2026-05-06
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
3
|
3
|
—
|
—
|
$126,433.32
|
$128,841.57
|
$126,433.32
|
2026-05-06
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
3
|
—
|
—
|
$122,714.79
|
$125,052.21
|
$122,714.79
|
2026-05-06
|
|
1904
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
4
|
4
|
—
|
—
|
$122,500.50
|
$126,175.51
|
$126,175.51
|
2026-05-06
|
|
1903
|
OTHER
|
New Technology - Level 50 ($115,001-$130,000)
|
4
|
4
|
—
|
—
|
$122,500.50
|
$126,175.51
|
$126,175.51
|
2026-05-06
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$115,785.79
|
$117,991.24
|
$115,785.79
|
2026-05-06
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
3
|
3
|
—
|
—
|
$114,940.47
|
$117,129.82
|
$114,940.47
|
2026-05-06
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$114,678.78
|
$116,863.13
|
$114,678.78
|
2026-05-06
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
3
|
3
|
—
|
—
|
$109,212.67
|
$111,292.91
|
$109,212.67
|
2026-05-06
|
|
440-4
|
OTHER
|
Kidney Transplant
|
3
|
3
|
—
|
—
|
$108,589.63
|
$110,658.00
|
$108,589.63
|
2026-05-06
|
|
1902
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
4
|
4
|
—
|
—
|
$107,500.50
|
$110,725.51
|
$110,725.51
|
2026-05-06
|
|
1901
|
OTHER
|
New Technology - Level 49 ($100,001-$115,000)
|
4
|
4
|
—
|
—
|
$107,500.50
|
$110,725.51
|
$110,725.51
|
2026-05-06
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
3
|
—
|
—
|
$106,571.59
|
$108,601.53
|
$106,571.59
|
2026-05-06
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$106,196.01
|
$108,218.80
|
$106,196.01
|
2026-05-06
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
3
|
3
|
—
|
—
|
$105,852.19
|
$107,868.43
|
$105,852.19
|
2026-05-06
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
—
|
—
|
$105,472.24
|
$107,481.23
|
$105,472.24
|
2026-05-06
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$105,026.58
|
$107,027.09
|
$105,026.58
|
2026-05-06
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
3
|
3
|
—
|
—
|
$104,492.24
|
$106,482.56
|
$104,492.24
|
2026-05-06
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
3
|
—
|
—
|
$104,080.53
|
$106,063.01
|
$104,080.53
|
2026-05-06
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$101,262.06
|
$103,190.86
|
$101,262.06
|
2026-05-06
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
4
|
4
|
—
|
—
|
$100,189.18
|
$105,300.88
|
$102,233.86
|
2026-05-06
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$99,623.98
|
$101,521.58
|
$99,623.98
|
2026-05-06
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$96,791.29
|
$98,634.93
|
$96,791.29
|
2026-05-06
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$96,666.46
|
$98,507.73
|
$96,666.46
|
2026-05-06
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$96,607.33
|
$98,447.47
|
$96,607.33
|
2026-05-06
|
|
1585
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
4
|
4
|
—
|
—
|
$95,000.50
|
$97,850.51
|
$97,850.51
|
2026-05-06
|
|
1599
|
OTHER
|
New Technology - Level 48 ($90,001-$100,000)
|
4
|
4
|
—
|
—
|
$95,000.50
|
$97,850.51
|
$97,850.51
|
2026-05-06
|
|
38243
|
OTHER
|
Transplantation Of Donor Stem Cells
|
3
|
3
|
—
|
—
|
$93,968.98
|
$93,968.98
|
$93,968.98
|
2026-05-06
|
|
38242
|
OTHER
|
Transplantation Of Donor White Blood Cells
|
3
|
3
|
—
|
—
|
$93,968.98
|
$93,968.98
|
$93,968.98
|
2026-05-06
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
4
|
4
|
—
|
—
|
$92,898.70
|
$97,638.43
|
$94,794.59
|
2026-05-06
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$92,892.09
|
$94,661.46
|
$92,892.09
|
2026-05-06
|
|
7
|
OTHER
|
Lung Transplant
|
4
|
4
|
—
|
—
|
$92,664.71
|
$97,392.51
|
$94,555.83
|
2026-05-06
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$92,054.43
|
$93,807.85
|
$92,054.43
|
2026-05-06
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$90,663.81
|
$92,390.74
|
$90,663.81
|
2026-05-06
|
|
304-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
3
|
—
|
—
|
$89,417.73
|
$91,120.93
|
$89,417.73
|
2026-05-06
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
3
|
3
|
—
|
—
|
$89,352.04
|
$91,053.98
|
$89,352.04
|
2026-05-06
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$87,977.84
|
$89,653.61
|
$87,977.84
|
2026-05-06
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$87,059.16
|
$88,717.43
|
$87,059.16
|
2026-05-06
|
|
1598
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
4
|
4
|
—
|
—
|
$85,000.50
|
$87,550.51
|
$87,550.51
|
2026-05-06
|
|
1584
|
OTHER
|
New Technology - Level 47 ($80,001-$90,000)
|
4
|
4
|
—
|
—
|
$85,000.50
|
$87,550.51
|
$87,550.51
|
2026-05-06
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$84,961.19
|
$86,579.50
|
$84,961.19
|
2026-05-06
|
|
303-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$84,914.11
|
$86,531.52
|
$84,914.11
|
2026-05-06
|
|
006-1
|
OTHER
|
Pancreas Transplant
|
3
|
3
|
—
|
—
|
$82,495.31
|
$84,066.65
|
$82,495.31
|
2026-05-06
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$82,404.43
|
$83,974.04
|
$82,404.43
|
2026-05-06
|
|
001-1
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
3
|
3
|
—
|
—
|
$81,946.73
|
$83,507.62
|
$81,946.73
|
2026-05-06
|
|
167-4
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
3
|
—
|
—
|
$79,498.37
|
$81,012.62
|
$79,498.37
|
2026-05-06
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$78,962.93
|
$80,466.98
|
$78,962.93
|
2026-05-06
|
|
401-4
|
OTHER
|
Adrenal Procedures
|
3
|
3
|
—
|
—
|
$78,742.84
|
$80,242.70
|
$78,742.84
|
2026-05-06
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
4
|
4
|
—
|
—
|
$78,135.51
|
$82,122.02
|
$79,730.11
|
2026-05-06
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$78,045.34
|
$79,531.92
|
$78,045.34
|
2026-05-06
|
|
312-4
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
3
|
3
|
—
|
—
|
$77,904.09
|
$79,387.97
|
$77,904.09
|
2026-05-06
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$77,468.29
|
$78,943.87
|
$77,468.29
|
2026-05-06
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve�procedures
|
4
|
4
|
—
|
—
|
$77,243.52
|
$81,184.52
|
$78,819.92
|
2026-05-06
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$76,685.38
|
$78,146.06
|
$76,685.38
|
2026-05-06
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
4
|
4
|
—
|
—
|
$75,509.89
|
$79,362.43
|
$77,050.91
|
2026-05-06
|
|
912-4
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$75,426.16
|
$76,862.85
|
$75,426.16
|
2026-05-06
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
4
|
4
|
—
|
—
|
$75,122.74
|
$78,955.54
|
$76,655.86
|
2026-05-06
|
|
1597
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
4
|
4
|
—
|
—
|
$75,000.50
|
$77,250.51
|
$77,250.51
|
2026-05-06
|
|
1583
|
OTHER
|
New Technology - Level 46 ($70,001-$80,000)
|
4
|
4
|
—
|
—
|
$75,000.50
|
$77,250.51
|
$77,250.51
|
2026-05-06
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$73,912.91
|
$75,320.77
|
$73,912.91
|
2026-05-06
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$73,511.05
|
$74,911.26
|
$73,511.05
|
2026-05-06
|
|
680-4
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
3
|
—
|
—
|
$72,583.61
|
$73,966.15
|
$72,583.61
|
2026-05-06
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$71,868.59
|
$73,237.52
|
$71,868.59
|
2026-05-06
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$71,816.03
|
$73,183.96
|
$71,816.03
|
2026-05-06
|
|
321-4
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
3
|
3
|
—
|
—
|
$71,645.22
|
$73,009.89
|
$71,645.22
|
2026-05-06
|
|
004-1
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$71,081.31
|
$72,435.24
|
$71,081.31
|
2026-05-06
|
|
023-4
|
OTHER
|
Spinal Procedures
|
3
|
3
|
—
|
—
|
$70,359.72
|
$71,699.90
|
$70,359.72
|
2026-05-06
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
3
|
3
|
—
|
—
|
$70,151.67
|
$71,487.90
|
$70,151.67
|
2026-05-06
|
|
260-4
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
3
|
3
|
—
|
—
|
$69,884.50
|
$71,215.63
|
$69,884.50
|
2026-05-06
|
|
169-4
|
OTHER
|
Major Abdominal Vascular Procedures
|
3
|
3
|
—
|
—
|
$69,632.66
|
$70,958.99
|
$69,632.66
|
2026-05-06
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$69,353.44
|
$70,674.46
|
$69,353.44
|
2026-05-06
|
|
091-4
|
OTHER
|
Other Major Head And Neck Procedures
|
3
|
3
|
—
|
—
|
$69,245.04
|
$70,563.99
|
$69,245.04
|
2026-05-06
|
|
021-4
|
OTHER
|
Open Craniotomy Except Trauma
|
3
|
3
|
—
|
—
|
$68,961.44
|
$70,274.99
|
$68,961.44
|
2026-05-06
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
4
|
4
|
—
|
—
|
$68,431.41
|
$71,922.81
|
$69,827.97
|
2026-05-06
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$68,212.48
|
$69,511.76
|
$68,212.48
|
2026-05-06
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$67,760.25
|
$69,050.92
|
$67,760.25
|
2026-05-06
|
|
441-4
|
OTHER
|
Major Bladder Procedures
|
3
|
3
|
—
|
—
|
$67,714.26
|
$69,004.06
|
$67,714.26
|
2026-05-06
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
3
|
3
|
—
|
—
|
$67,280.65
|
$68,562.19
|
$67,280.65
|
2026-05-06
|
|
403-4
|
OTHER
|
Procedures For Obesity
|
3
|
3
|
—
|
—
|
$66,958.73
|
$68,234.14
|
$66,958.73
|
2026-05-06
|
|
440-3
|
OTHER
|
Kidney Transplant
|
3
|
3
|
—
|
—
|
$66,312.70
|
$67,575.80
|
$66,312.70
|
2026-05-06
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$66,162.68
|
$67,422.93
|
$66,162.68
|
2026-05-06
|
|
950-4
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$65,799.15
|
$67,052.47
|
$65,799.15
|
2026-05-06
|
|
220-4
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
3
|
3
|
—
|
—
|
$65,268.09
|
$66,511.29
|
$65,268.09
|
2026-05-06
|
|
651-4
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
3
|
3
|
—
|
—
|
$65,194.73
|
$66,436.53
|
$65,194.73
|
2026-05-06
|
|
1596
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
4
|
4
|
—
|
—
|
$65,000.50
|
$66,950.51
|
$66,950.51
|
2026-05-06
|
|
1582
|
OTHER
|
New Technology - Level 45 ($60,001-$70,000)
|
4
|
4
|
—
|
—
|
$65,000.50
|
$66,950.51
|
$66,950.51
|
2026-05-06
|
|
681-4
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
3
|
—
|
—
|
$64,788.49
|
$66,022.56
|
$64,788.49
|
2026-05-06
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$64,281.52
|
$65,505.93
|
$64,281.52
|
2026-05-06
|
|
911-4
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$63,550.08
|
$64,760.56
|
$63,550.08
|
2026-05-06
|
|
020-4
|
OTHER
|
Open Craniotomy For Trauma
|
3
|
3
|
—
|
—
|
$63,408.83
|
$64,616.61
|
$63,408.83
|
2026-05-06
|
|
089-4
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
3
|
3
|
—
|
—
|
$63,088.00
|
$64,289.68
|
$63,088.00
|
2026-05-06
|
|
120-4
|
OTHER
|
Major Respiratory And Chest Procedures
|
3
|
3
|
—
|
—
|
$62,855.86
|
$64,053.12
|
$62,855.86
|
2026-05-06
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$60,959.37
|
$62,120.50
|
$60,959.37
|
2026-05-06
|
|
303-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$60,685.63
|
$61,841.54
|
$60,685.63
|
2026-05-06
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
4
|
4
|
—
|
—
|
$60,084.44
|
$63,149.97
|
$61,310.65
|
2026-05-06
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
4
|
4
|
—
|
—
|
$60,051.11
|
$63,114.95
|
$61,276.65
|
2026-05-06
|
|
5244
|
OTHER
|
Level 4 Blood Product Exchange And Related Services
|
4
|
4
|
—
|
—
|
$59,142.33
|
$60,916.60
|
$60,916.60
|
2026-05-06
|
|
165-3
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$58,310.63
|
$59,421.31
|
$58,310.63
|
2026-05-06
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$58,047.84
|
$59,153.51
|
$58,047.84
|
2026-05-06
|
|
024-4
|
OTHER
|
Open Extracranial Vascular Procedures
|
3
|
3
|
—
|
—
|
$57,777.38
|
$58,877.90
|
$57,777.38
|
2026-05-06
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$57,687.59
|
$58,786.40
|
$57,687.59
|
2026-05-06
|
|
690-4
|
OTHER
|
Acute Leukemia
|
3
|
3
|
—
|
—
|
$57,489.40
|
$58,584.44
|
$57,489.40
|
2026-05-06
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
3
|
—
|
—
|
$57,421.51
|
$58,515.25
|
$57,421.51
|
2026-05-06
|
|
005-2
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$57,295.59
|
$58,386.93
|
$57,295.59
|
2026-05-06
|
|
510-4
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
3
|
3
|
—
|
—
|
$57,285.73
|
$58,376.89
|
$57,285.73
|
2026-05-06
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
3
|
3
|
—
|
—
|
$57,211.28
|
$58,301.01
|
$57,211.28
|
2026-05-06
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
4
|
4
|
—
|
—
|
$57,157.47
|
$60,073.67
|
$58,323.95
|
2026-05-06
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
3
|
3
|
—
|
—
|
$56,843.36
|
$57,926.10
|
$56,843.36
|
2026-05-06
|
|
264-4
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
3
|
3
|
—
|
—
|
$56,829.13
|
$57,911.59
|
$56,829.13
|
2026-05-06
|
|
1643
|
OTHER
|
Y90 Ibritumomab, Rx
|
4
|
4
|
—
|
—
|
$56,824.55
|
$58,529.29
|
$58,529.29
|
2026-05-06
|
|
163-3
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$56,713.06
|
$57,793.31
|
$56,713.06
|
2026-05-06
|
|
10
|
OTHER
|
Pancreas Transplant
|
4
|
4
|
—
|
—
|
$56,532.79
|
$59,417.12
|
$57,686.52
|
2026-05-06
|
|
022-4
|
OTHER
|
Ventricular Shunt Procedures
|
3
|
3
|
—
|
—
|
$56,511.59
|
$57,588.00
|
$56,511.59
|
2026-05-06
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
4
|
4
|
—
|
—
|
$56,208.76
|
$59,076.55
|
$57,355.87
|
2026-05-06
|
|
650-4
|
OTHER
|
Splenectomy
|
3
|
3
|
—
|
—
|
$55,652.03
|
$56,712.07
|
$55,652.03
|
2026-05-06
|
|
614-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
3
|
—
|
—
|
$55,626.85
|
$56,686.41
|
$55,626.85
|
2026-05-06
|
|
9273
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
4
|
4
|
—
|
—
|
$55,536.50
|
$57,202.60
|
$57,202.60
|
2026-05-06
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
4
|
4
|
—
|
—
|
$55,422.42
|
$58,250.09
|
$56,553.49
|
2026-05-06
|
|
711-4
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
3
|
3
|
—
|
—
|
$55,377.19
|
$56,432.00
|
$55,377.19
|
2026-05-06
|
|
121-4
|
OTHER
|
Other Respiratory And Chest Procedures
|
3
|
3
|
—
|
—
|
$55,123.16
|
$56,173.13
|
$55,123.16
|
2026-05-06
|
|
261-4
|
OTHER
|
Major Biliary Tract Procedures
|
3
|
3
|
—
|
—
|
$55,012.57
|
$56,060.43
|
$55,012.57
|
2026-05-06
|
|
1595
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
4
|
4
|
—
|
—
|
$55,000.50
|
$56,650.51
|
$56,650.51
|
2026-05-06
|
|
1581
|
OTHER
|
New Technology - Level 44 ($50,001-$60,000)
|
4
|
4
|
—
|
—
|
$55,000.50
|
$56,650.51
|
$56,650.51
|
2026-05-06
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
4
|
4
|
—
|
—
|
$54,862.97
|
$57,662.10
|
$55,982.63
|
2026-05-06
|
|
440-2
|
OTHER
|
Kidney Transplant
|
3
|
3
|
—
|
—
|
$54,832.99
|
$55,877.43
|
$54,832.99
|
2026-05-06
|
|
160-3
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
3
|
—
|
—
|
$54,764.01
|
$55,807.13
|
$54,764.01
|
2026-05-06
|
|
511-4
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
3
|
3
|
—
|
—
|
$54,624.95
|
$55,665.42
|
$54,624.95
|
2026-05-06
|
|
304-3
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
3
|
—
|
—
|
$54,358.87
|
$55,394.28
|
$54,358.87
|
2026-05-06
|
|
162-2
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$54,202.29
|
$55,234.71
|
$54,202.29
|
2026-05-06
|
|
710-4
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
3
|
3
|
—
|
—
|
$54,070.89
|
$55,100.81
|
$54,070.89
|
2026-05-06
|
|
092-4
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
3
|
3
|
—
|
—
|
$53,987.67
|
$55,016.01
|
$53,987.67
|
2026-05-06
|
|
442-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
3
|
3
|
—
|
—
|
$53,900.08
|
$54,926.74
|
$53,900.08
|
2026-05-06
|
|
223-4
|
OTHER
|
Other Small And Large Bowel Procedures
|
3
|
3
|
—
|
—
|
$53,767.58
|
$54,791.73
|
$53,767.58
|
2026-05-06
|
|
005-1
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$53,656.99
|
$54,679.03
|
$53,656.99
|
2026-05-06
|
|
170-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
3
|
3
|
—
|
—
|
$53,490.56
|
$54,509.42
|
$53,490.56
|
2026-05-06
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
3
|
—
|
—
|
$53,464.28
|
$54,482.64
|
$53,464.28
|
2026-05-06
|
|
405-4
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
3
|
3
|
—
|
—
|
$53,430.33
|
$54,448.05
|
$53,430.33
|
2026-05-06
|
|
026-4
|
OTHER
|
Other Nervous System And Related Procedures
|
3
|
3
|
—
|
—
|
$53,347.11
|
$54,363.25
|
$53,347.11
|
2026-05-06
|
|
588-1
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$53,006.58
|
$54,016.23
|
$53,006.58
|
2026-05-06
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
4
|
4
|
—
|
—
|
$52,925.13
|
$55,625.39
|
$54,005.24
|
2026-05-06
|
|
130-4
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
3
|
—
|
—
|
$52,716.41
|
$53,720.53
|
$52,716.41
|
2026-05-06
|
|
844-4
|
OTHER
|
Partial Thickness Burns Without Skin Graft
|
3
|
3
|
—
|
—
|
$52,580.63
|
$53,582.17
|
$52,580.63
|
2026-05-06
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$51,994.82
|
$52,985.20
|
$51,994.82
|
2026-05-06
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$51,684.94
|
$52,669.42
|
$51,684.94
|
2026-05-06
|
|
303-1
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$51,506.46
|
$52,487.54
|
$51,506.46
|
2026-05-06
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
3
|
3
|
—
|
—
|
$51,390.40
|
$52,369.26
|
$51,390.40
|
2026-05-06
|
|
951-4
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$51,326.89
|
$52,304.54
|
$51,326.89
|
2026-05-06
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
3
|
3
|
—
|
—
|
$51,248.05
|
$52,224.20
|
$51,248.05
|
2026-05-06
|
|
850-4
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
3
|
3
|
—
|
—
|
$50,938.17
|
$51,908.42
|
$50,938.17
|
2026-05-06
|
|
512-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
3
|
3
|
—
|
—
|
$50,042.48
|
$50,995.67
|
$50,042.48
|
2026-05-06
|
|
361-4
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
3
|
3
|
—
|
—
|
$49,723.85
|
$50,670.97
|
$49,723.85
|
2026-05-06
|
|
480-4
|
OTHER
|
Major Male Pelvic Procedures
|
3
|
3
|
—
|
—
|
$49,556.32
|
$50,500.25
|
$49,556.32
|
2026-05-06
|
|
176-4
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
3
|
3
|
—
|
—
|
$49,350.46
|
$50,290.47
|
$49,350.46
|
2026-05-06
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
4
|
4
|
—
|
—
|
$49,325.27
|
$51,841.87
|
$50,331.91
|
2026-05-06
|
|
440-1
|
OTHER
|
Kidney Transplant
|
3
|
3
|
—
|
—
|
$48,909.19
|
$49,840.79
|
$48,909.19
|
2026-05-06
|
|
518-4
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
3
|
3
|
—
|
—
|
$48,786.55
|
$49,715.82
|
$48,786.55
|
2026-05-06
|
|
315-4
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
3
|
3
|
—
|
—
|
$48,772.31
|
$49,701.31
|
$48,772.31
|
2026-05-06
|
|
222-4
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
3
|
3
|
—
|
—
|
$48,450.39
|
$49,373.26
|
$48,450.39
|
2026-05-06
|
|
483-4
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
3
|
3
|
—
|
—
|
$48,444.92
|
$49,367.68
|
$48,444.92
|
2026-05-06
|
|
162-1
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$48,417.54
|
$49,339.78
|
$48,417.54
|
2026-05-06
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
4
|
4
|
—
|
—
|
$48,416.26
|
$50,886.48
|
$49,404.35
|
2026-05-06
|
|
224-4
|
OTHER
|
Peritoneal Adhesiolysis
|
3
|
3
|
—
|
—
|
$48,305.86
|
$49,225.97
|
$48,305.86
|
2026-05-06
|
|
447-4
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
3
|
3
|
—
|
—
|
$48,104.38
|
$49,020.65
|
$48,104.38
|
2026-05-06
|
|
165-2
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$48,025.54
|
$48,940.31
|
$48,025.54
|
2026-05-06
|
|
317-4
|
OTHER
|
Tendon, Muscle And Other Soft Tissue Procedures
|
3
|
3
|
—
|
—
|
$47,496.67
|
$48,401.37
|
$47,496.67
|
2026-05-06
|
|
313-4
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
3
|
3
|
—
|
—
|
$47,466.01
|
$48,370.13
|
$47,466.01
|
2026-05-06
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
4
|
4
|
—
|
—
|
$47,276.82
|
$49,688.90
|
$48,241.65
|
2026-05-06
|
|
227-4
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
3
|
3
|
—
|
—
|
$47,176.94
|
$48,075.55
|
$47,176.94
|
2026-05-06
|
|
229-4
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
3
|
3
|
—
|
—
|
$46,614.12
|
$47,502.01
|
$46,614.12
|
2026-05-06
|
|
166-3
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$46,608.65
|
$47,496.43
|
$46,608.65
|
2026-05-06
|
|
603-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$46,563.75
|
$47,450.68
|
$46,563.75
|
2026-05-06
|
|
404-4
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
3
|
3
|
—
|
—
|
$46,557.18
|
$47,443.99
|
$46,557.18
|
2026-05-06
|
|
309-4
|
OTHER
|
Other Significant Hip And Femur Surgery
|
3
|
3
|
—
|
—
|
$46,435.64
|
$47,320.13
|
$46,435.64
|
2026-05-06
|
|
305-4
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
3
|
3
|
—
|
—
|
$46,158.61
|
$47,037.82
|
$46,158.61
|
2026-05-06
|
|
175-4
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
3
|
3
|
—
|
—
|
$46,121.38
|
$46,999.89
|
$46,121.38
|
2026-05-06
|
|
171-4
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
3
|
3
|
—
|
—
|
$46,110.43
|
$46,988.73
|
$46,110.43
|
2026-05-06
|
|
163-2
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$46,087.44
|
$46,965.29
|
$46,087.44
|
2026-05-06
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
4
|
4
|
—
|
—
|
$45,855.87
|
$48,195.46
|
$46,791.71
|
2026-05-06
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
4
|
4
|
—
|
—
|
$45,789.93
|
$48,126.15
|
$46,724.42
|
2026-05-06
|
|
310-4
|
OTHER
|
Intervertebral Disc Excision And Decompression
|
3
|
3
|
—
|
—
|
$45,617.70
|
$46,486.60
|
$45,617.70
|
2026-05-06
|
|
910-3
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$45,580.47
|
$46,448.67
|
$45,580.47
|
2026-05-06
|
|
167-3
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
3
|
—
|
—
|
$45,531.19
|
$46,398.45
|
$45,531.19
|
2026-05-06
|
|
1142
|
OTHER
|
Supprelin La Implant
|
4
|
4
|
—
|
—
|
$45,261.80
|
$46,619.65
|
$46,619.65
|
2026-05-06
|
|
1594
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
4
|
4
|
—
|
—
|
$45,000.50
|
$46,350.51
|
$46,350.51
|
2026-05-06
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
4
|
4
|
—
|
—
|
$45,000.50
|
$46,350.51
|
$46,350.51
|
2026-05-06
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
4
|
4
|
—
|
—
|
$44,842.64
|
$47,130.53
|
$45,757.79
|
2026-05-06
|
|
320-4
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Procedures
|
3
|
3
|
—
|
—
|
$44,830.41
|
$45,684.32
|
$44,830.41
|
2026-05-06
|
|
443-4
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
3
|
3
|
—
|
—
|
$44,611.41
|
$45,461.16
|
$44,611.41
|
2026-05-06
|
|
514-4
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
3
|
3
|
—
|
—
|
$44,554.48
|
$45,403.13
|
$44,554.48
|
2026-05-06
|
|
174-4
|
OTHER
|
Percutaneous Cardiac Intervention With Ami
|
3
|
3
|
—
|
—
|
$44,531.48
|
$45,379.70
|
$44,531.48
|
2026-05-06
|
|
611-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
3
|
3
|
—
|
—
|
$44,407.75
|
$45,253.61
|
$44,407.75
|
2026-05-06
|
|
513-4
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma
|
3
|
3
|
—
|
—
|
$44,222.70
|
$45,065.04
|
$44,222.70
|
2026-05-06
|
|
177-4
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
3
|
3
|
—
|
—
|
$44,045.31
|
$44,884.27
|
$44,045.31
|
2026-05-06
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$43,906.25
|
$44,742.56
|
$43,906.25
|
2026-05-06
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
4
|
4
|
—
|
—
|
$43,664.90
|
$45,892.70
|
$44,556.02
|
2026-05-06
|
|
180-4
|
OTHER
|
Other Circulatory System Procedures
|
3
|
3
|
—
|
—
|
$43,540.53
|
$44,369.87
|
$43,540.53
|
2026-05-06
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
4
|
4
|
—
|
—
|
$43,512.45
|
$45,732.48
|
$44,400.46
|
2026-05-06
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
3
|
3
|
—
|
—
|
$43,500.02
|
$44,328.59
|
$43,500.02
|
2026-05-06
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
4
|
4
|
—
|
—
|
$43,313.92
|
$45,523.81
|
$44,197.88
|
2026-05-06
|
|
519-4
|
OTHER
|
Uterine And Adnexa Procedures For Leiomyoma
|
3
|
3
|
—
|
—
|
$43,177.00
|
$43,999.42
|
$43,177.00
|
2026-05-06
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
4
|
4
|
—
|
—
|
$43,106.88
|
$45,306.21
|
$43,986.61
|
2026-05-06
|
|
952-4
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$42,896.69
|
$43,713.77
|
$42,896.69
|
2026-05-06
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
4
|
4
|
—
|
—
|
$42,797.73
|
$44,981.29
|
$43,671.15
|
2026-05-06
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
4
|
4
|
—
|
—
|
$42,797.73
|
$44,981.29
|
$43,671.15
|
2026-05-06
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
3
|
3
|
—
|
—
|
$42,628.42
|
$43,440.39
|
$42,628.42
|
2026-05-06
|
|
444-4
|
OTHER
|
Renal Dialysis Access Device Procedures And Vessel Repair
|
3
|
3
|
—
|
—
|
$42,516.73
|
$43,326.57
|
$42,516.73
|
2026-05-06
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
4
|
4
|
—
|
—
|
$42,477.95
|
$44,645.19
|
$43,344.84
|
2026-05-06
|
|
842-3
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
3
|
—
|
—
|
$42,395.19
|
$43,202.72
|
$42,395.19
|
2026-05-06
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
3
|
3
|
—
|
—
|
$42,296.64
|
$43,102.29
|
$42,296.64
|
2026-05-06
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
4
|
4
|
—
|
—
|
$42,183.69
|
$44,335.92
|
$43,044.58
|
2026-05-06
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
4
|
4
|
—
|
—
|
$42,151.78
|
$44,302.38
|
$43,012.02
|
2026-05-06
|
|
165-1
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$42,095.17
|
$42,896.98
|
$42,095.17
|
2026-05-06
|
|
362-4
|
OTHER
|
Mastectomy Procedures
|
3
|
3
|
—
|
—
|
$41,890.41
|
$42,688.32
|
$41,890.41
|
2026-05-06
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
4
|
4
|
—
|
—
|
$41,722.09
|
$43,850.77
|
$42,573.57
|
2026-05-06
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
3
|
3
|
—
|
—
|
$41,718.49
|
$42,513.13
|
$41,718.49
|
2026-05-06
|
|
163-1
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$41,693.31
|
$42,487.47
|
$41,693.31
|
2026-05-06
|
|
740-4
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
3
|
3
|
—
|
—
|
$41,340.73
|
$42,128.17
|
$41,340.73
|
2026-05-06
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
3
|
3
|
—
|
—
|
$41,172.10
|
$41,956.33
|
$41,172.10
|
2026-05-06
|
|
021-3
|
OTHER
|
Open Craniotomy Except Trauma
|
3
|
3
|
—
|
—
|
$41,059.32
|
$41,841.40
|
$41,059.32
|
2026-05-06
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
3
|
3
|
—
|
—
|
$41,039.61
|
$41,821.32
|
$41,039.61
|
2026-05-06
|
|
050-4
|
OTHER
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
3
|
3
|
—
|
—
|
$40,805.29
|
$41,582.53
|
$40,805.29
|
2026-05-06
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
4
|
4
|
—
|
—
|
$40,695.39
|
$42,771.68
|
$41,525.90
|
2026-05-06
|
|
023-3
|
OTHER
|
Spinal Procedures
|
3
|
3
|
—
|
—
|
$40,657.46
|
$41,431.89
|
$40,657.46
|
2026-05-06
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
4
|
4
|
—
|
—
|
$40,452.18
|
$42,516.07
|
$41,277.74
|
2026-05-06
|
|
263-4
|
OTHER
|
Cholecystectomy
|
3
|
3
|
—
|
—
|
$40,214.00
|
$40,979.98
|
$40,214.00
|
2026-05-06
|
|
484-4
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
3
|
3
|
—
|
—
|
$40,025.66
|
$40,788.06
|
$40,025.66
|
2026-05-06
|
|
308-4
|
OTHER
|
Hip And Femur Fracture Repair
|
3
|
3
|
—
|
—
|
$39,973.11
|
$40,734.50
|
$39,973.11
|
2026-05-06
|
|
130-3
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
3
|
—
|
—
|
$39,894.27
|
$40,654.16
|
$39,894.27
|
2026-05-06
|
|
912-3
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$39,866.89
|
$40,626.26
|
$39,866.89
|
2026-05-06
|
|
614-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
3
|
3
|
—
|
—
|
$39,859.23
|
$40,618.45
|
$39,859.23
|
2026-05-06
|
|
542-4
|
OTHER
|
Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c
|
3
|
3
|
—
|
—
|
$39,631.47
|
$40,386.36
|
$39,631.47
|
2026-05-06
|
|
049-4
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System
|
3
|
3
|
—
|
—
|
$39,604.10
|
$40,358.46
|
$39,604.10
|
2026-05-06
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
4
|
4
|
—
|
—
|
$39,526.87
|
$41,543.54
|
$40,333.54
|
2026-05-06
|
|
33270
|
OTHER
|
Insert/replace Subq Defib Elct - 059
|
3
|
3
|
$120,199.00
|
$48,079.60
60% off
|
$39,509.41
|
$102,169.15
|
$87,384.67
|
2026-05-06
|
|
608-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
3
|
3
|
—
|
—
|
$39,470.51
|
$40,222.33
|
$39,470.51
|
2026-05-06
|
|
091-3
|
OTHER
|
Other Major Head And Neck Procedures
|
3
|
3
|
—
|
—
|
$39,380.73
|
$40,130.83
|
$39,380.73
|
2026-05-06
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
4
|
4
|
—
|
—
|
$39,191.48
|
$41,191.05
|
$39,991.31
|
2026-05-06
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
4
|
4
|
—
|
—
|
$39,191.48
|
$41,191.05
|
$39,991.31
|
2026-05-06
|
|
169-3
|
OTHER
|
Major Abdominal Vascular Procedures
|
3
|
3
|
—
|
—
|
$39,162.83
|
$39,908.78
|
$39,162.83
|
2026-05-06
|
|
321-3
|
OTHER
|
Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…
|
3
|
3
|
—
|
—
|
$39,129.98
|
$39,875.31
|
$39,129.98
|
2026-05-06
|
|
363-4
|
OTHER
|
Breast Procedures Except Mastectomy
|
3
|
3
|
—
|
—
|
$38,783.96
|
$39,522.71
|
$38,783.96
|
2026-05-06
|
|
304-2
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
3
|
—
|
—
|
$38,650.38
|
$39,386.58
|
$38,650.38
|
2026-05-06
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
4
|
4
|
—
|
—
|
$38,580.28
|
$40,548.66
|
$39,367.63
|
2026-05-06
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
4
|
4
|
—
|
—
|
$38,492.36
|
$40,456.25
|
$39,277.92
|
2026-05-06
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
4
|
4
|
—
|
—
|
$38,295.95
|
$40,249.83
|
$39,077.50
|
2026-05-06
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
4
|
4
|
—
|
—
|
$38,259.79
|
$40,211.82
|
$39,040.60
|
2026-05-06
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
4
|
4
|
—
|
—
|
$38,255.53
|
$40,207.35
|
$39,036.26
|
2026-05-06
|
|
160-2
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
3
|
—
|
—
|
$37,888.28
|
$38,609.96
|
$37,888.28
|
2026-05-06
|
|
316-4
|
OTHER
|
Hand And Wrist Procedures
|
3
|
3
|
—
|
—
|
$37,849.95
|
$38,570.90
|
$37,849.95
|
2026-05-06
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
4
|
4
|
—
|
—
|
$37,723.04
|
$39,647.68
|
$38,492.89
|
2026-05-06
|
|
166-2
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$37,633.15
|
$38,349.97
|
$37,633.15
|
2026-05-06
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
4
|
4
|
—
|
—
|
$37,556.41
|
$39,472.55
|
$38,322.87
|
2026-05-06
|
|
841-2
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
3
|
3
|
—
|
—
|
$37,517.08
|
$38,231.69
|
$37,517.08
|
2026-05-06
|
|
930-4
|
OTHER
|
Multiple Significant Trauma Without O.r. Procedure
|
3
|
3
|
—
|
—
|
$37,115.23
|
$37,822.18
|
$37,115.23
|
2026-05-06
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
4
|
4
|
—
|
—
|
$36,123.41
|
$37,966.44
|
$36,860.63
|
2026-05-06
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
4
|
4
|
—
|
—
|
$36,012.80
|
$37,850.19
|
$36,747.76
|
2026-05-06
|
|
33340
|
OTHER
|
Laa Closure W/implant - 059
|
6
|
3
|
$86,169.50
|
$34,467.80
60% off
|
$26,975.09
|
$76,732.05
|
$62,645.23
|
2026-05-06
|
|
C1822
|
OTHER
|
Implant Ipg Kit Nipg1500
|
15
|
3
|
$71,256.00
|
$28,502.40
60% off
|
$20,751.49
|
$68,907.80
|
$51,803.11
|
2026-05-06
|
|
50080
|
OTHER
|
Remove Renal Stone <2cm Lt - 435
|
3
|
3
|
$55,052.00
|
$22,020.80
60% off
|
$18,095.59
|
$46,794.20
|
$40,022.80
|
2026-05-06
|
|
50081
|
OTHER
|
Remove Renal Stone >2cm Lt - 435
|
3
|
3
|
$55,052.00
|
$22,020.80
60% off
|
$18,095.59
|
$46,794.20
|
$40,022.80
|
2026-05-06
|
|
C9765
|
OTHER
|
Revasc Intravsc Litho W/stent - 529
|
3
|
3
|
$54,571.00
|
$21,828.40
60% off
|
$17,937.49
|
$46,385.35
|
$39,673.12
|
2026-05-06
|
|
93580
|
OTHER
|
Close Congen A-sept Defct Impt - 529
|
3
|
3
|
$52,385.00
|
$20,954.00
60% off
|
$17,218.95
|
$44,527.25
|
$38,083.89
|
2026-05-06
|
|
717
|
OTHER
|
Instill Adstiladrin, Tx Dose
|
8
|
4
|
—
|
—
|
$13,156.48
|
$65,304.10
|
$38,614.88
|
2026-05-06
|
|
C1882
|
OTHER
|
Crtd Cobalt Hf MRI Is1 Df1 Dtpb2d1
|
138
|
3
|
$67,394.50
|
$26,957.80
60% off
|
$11,899.93
|
$182,420.20
|
$48,051.26
|
2026-05-06
|
|
714
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
8
|
4
|
—
|
—
|
$6,662.97
|
$3,421,434.96
|
$1,664,392.21
|
2026-05-06
|
|
33264
|
OTHER
|
Remove Replace Icd Multi Lead - 529
|
9
|
6
|
$99,718.00
|
$39,887.20
60% off
|
$2,572.41
|
$102,169.15
|
$39,509.41
|
2026-05-06
|
|
33249
|
OTHER
|
Insert Replce Icd W/leads Dr - 529
|
9
|
6
|
$106,218.00
|
$42,487.20
60% off
|
$1,585.73
|
$102,169.15
|
$39,509.41
|
2026-05-06
|
|
33240
|
OTHER
|
Insert Icd Gen 1lead - 529
|
9
|
6
|
$122,090.00
|
$48,836.00
60% off
|
$1,339.05
|
$103,776.50
|
$40,130.98
|
2026-05-06
|
|
33231
|
OTHER
|
Insert Icd Gen Multi Lead - 529
|
9
|
6
|
$109,690.00
|
$43,876.00
60% off
|
$1,339.05
|
$102,169.15
|
$39,509.41
|
2026-05-06
|
|
C1721
|
OTHER
|
Aicd Ilivia Neo 7 Dr-t Df-1 High Energy W/promri Ti And Cls 429529
|
126
|
3
|
$55,390.00
|
$22,156.00
60% off
|
$1.64
|
$150,832.50
|
$39,240.19
|
2026-05-06
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
8
|
4
|
—
|
—
|
$1.54
|
$176,789.22
|
$84,104.40
|
2026-05-06
|