|
J3391
|
HCPCS
|
Injection, Atidarsagene Autotemcel, Per Treatment
|
14
|
9
|
—
|
—
|
$4,101,171.80
|
$4,306,230.39
|
$4,142,183.52
|
2026-03-10
|
|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
3
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-03-10
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
17
|
9
|
—
|
—
|
$3,354,919.37
|
$3,710,000.00
|
$3,422,017.76
|
2026-03-10
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
19
|
9
|
—
|
—
|
$3,019,174.88
|
$4,981,638.55
|
$3,109,750.13
|
2026-03-10
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
43
|
15
|
—
|
—
|
$2,122,959.52
|
$4,054,852.68
|
$3,088,906.10
|
2026-03-10
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
19
|
9
|
—
|
—
|
$2,957,255.05
|
$4,879,470.83
|
$3,045,972.70
|
2026-03-10
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
19
|
9
|
—
|
—
|
$2,681,683.87
|
$4,424,778.39
|
$2,762,134.39
|
2026-03-10
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
24
|
9
|
—
|
—
|
$23,921.96
|
$4,268,915.88
|
$2,279,735.18
|
2026-03-10
|
|
J1411
|
CPT
|
Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose
|
6
|
2
|
—
|
—
|
$28.70
|
$4,200,000.00
|
$2,100,025.00
|
2024-12-08
|
|
J3399
|
CPT
|
Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge…
|
6
|
2
|
—
|
—
|
$28.70
|
$2,705,294.50
|
$1,352,672.25
|
2024-12-08
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
43
|
15
|
—
|
—
|
$538,683.86
|
$1,028,886.17
|
$783,785.02
|
2026-03-10
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
43
|
15
|
—
|
—
|
$512,112.27
|
$978,134.44
|
$745,123.35
|
2026-03-10
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
43
|
15
|
—
|
—
|
$507,359.95
|
$969,057.50
|
$738,208.72
|
2026-03-10
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
43
|
15
|
—
|
—
|
$485,431.42
|
$927,174.01
|
$706,302.71
|
2026-03-10
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…
|
21
|
9
|
—
|
—
|
$7,342.70
|
$1,339,944.49
|
$701,541.62
|
2026-03-10
|
|
5834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$689,736.12
|
$724,223.09
|
$696,633.46
|
2026-03-10
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
43
|
15
|
—
|
—
|
$445,443.34
|
$850,796.78
|
$648,120.06
|
2026-03-10
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
24
|
9
|
—
|
—
|
$5,272.76
|
$983,925.92
|
$525,447.35
|
2026-03-10
|
|
5884
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$435,939.08
|
$457,736.14
|
$440,298.46
|
2026-03-10
|
|
5833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$416,444.85
|
$437,267.19
|
$420,609.28
|
2026-03-10
|
|
24
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$354,753.29
|
$372,491.04
|
$358,300.81
|
2026-03-10
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
48
|
16
|
—
|
—
|
$30.00
|
$1,440,036.13
|
$353,965.46
|
2026-03-10
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
44
|
15
|
—
|
—
|
$12.90
|
$2,218,991.36
|
$350,074.69
|
2026-03-10
|
|
6094
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$306,554.43
|
$321,882.23
|
$309,619.96
|
2026-03-10
|
|
5914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$299,952.50
|
$314,950.20
|
$302,952.02
|
2026-03-10
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
50
|
17
|
—
|
—
|
$26.00
|
$1,097,116.79
|
$301,661.41
|
2026-03-10
|
|
1614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$294,970.16
|
$309,718.73
|
$297,919.85
|
2026-03-10
|
|
94
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$283,880.33
|
$298,074.42
|
$286,719.12
|
2026-03-10
|
|
5883
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$282,198.95
|
$296,308.96
|
$285,020.93
|
2026-03-10
|
|
5882
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$272,163.61
|
$285,771.86
|
$274,885.24
|
2026-03-10
|
|
5934
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$264,770.82
|
$278,009.42
|
$267,418.52
|
2026-03-10
|
|
6314
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$261,642.66
|
$274,724.86
|
$264,259.08
|
2026-03-10
|
|
5832
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$261,328.58
|
$274,395.07
|
$263,941.86
|
2026-03-10
|
|
8414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$252,346.48
|
$264,963.87
|
$254,869.93
|
2026-03-10
|
|
Q2058
|
HCPCS
|
Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …
|
21
|
9
|
—
|
—
|
$5,254.90
|
$483,817.65
|
$253,307.67
|
2026-03-10
|
|
Q2056
|
CPT
|
Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…
|
6
|
2
|
—
|
—
|
$28.70
|
$492,900.00
|
$246,475.00
|
2024-12-08
|
|
1613
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$237,355.29
|
$249,223.11
|
$239,728.84
|
2026-03-10
|
|
5891
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$231,532.88
|
$243,109.58
|
$233,848.20
|
2026-03-10
|
|
5892
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$231,532.88
|
$243,109.58
|
$233,848.20
|
2026-03-10
|
|
5893
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$231,532.88
|
$243,109.58
|
$233,848.20
|
2026-03-10
|
|
Q2042
|
CPT
|
Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…
|
6
|
2
|
—
|
—
|
$28.70
|
$466,069.91
|
$233,059.95
|
2024-12-08
|
|
5913
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$227,909.01
|
$239,304.51
|
$230,188.09
|
2026-03-10
|
|
Q2055
|
CPT
|
Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (…
|
6
|
2
|
—
|
—
|
$28.70
|
$460,226.56
|
$230,138.28
|
2024-12-08
|
|
Q2054
|
CPT
|
Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…
|
6
|
2
|
—
|
—
|
$28.70
|
$454,489.31
|
$227,269.65
|
2024-12-08
|
|
Q2053
|
CPT
|
Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…
|
6
|
2
|
—
|
—
|
$28.70
|
$449,440.00
|
$224,745.00
|
2024-12-08
|
|
Q2041
|
CPT
|
Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…
|
6
|
2
|
—
|
—
|
$28.70
|
$449,440.00
|
$224,745.00
|
2024-12-08
|
|
6304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$222,326.26
|
$233,442.62
|
$224,549.52
|
2026-03-10
|
|
5831
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$220,496.03
|
$231,520.89
|
$222,700.98
|
2026-03-10
|
|
74
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$218,535.89
|
$229,462.73
|
$220,721.24
|
2026-03-10
|
|
44
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$216,869.64
|
$227,713.17
|
$219,038.33
|
2026-03-10
|
|
14
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$201,127.94
|
$211,184.39
|
$203,139.21
|
2026-03-10
|
|
6024
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$193,385.75
|
$203,055.08
|
$195,319.60
|
2026-03-10
|
|
23
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$191,838.07
|
$201,430.02
|
$193,756.45
|
2026-03-10
|
|
5933
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$189,147.60
|
$198,605.03
|
$191,039.07
|
2026-03-10
|
|
5912
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$185,059.55
|
$194,312.57
|
$186,910.14
|
2026-03-10
|
|
5881
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$181,019.44
|
$190,070.45
|
$182,829.62
|
2026-03-10
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
12
|
—
|
$12,007.70
|
$26.70
|
$1,090,678.13
|
$163,874.89
|
2026-03-10
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
14
|
—
|
$165,190.65
|
$85,092.15
|
$566,335.38
|
$163,858.33
|
2026-03-10
|
|
Q0480
|
HCPCS
|
Dme Pos
|
43
|
15
|
—
|
—
|
$111,502.61
|
$212,969.99
|
$162,236.30
|
2026-03-10
|
|
93
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$160,596.85
|
$168,626.73
|
$162,202.82
|
2026-03-10
|
|
1611
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$160,422.79
|
$168,443.96
|
$162,027.01
|
2026-03-10
|
|
1612
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$160,422.79
|
$168,443.96
|
$162,027.01
|
2026-03-10
|
|
7
|
MS_DRG
|
Lung Transplant
|
48
|
16
|
—
|
—
|
$18.50
|
$665,458.98
|
$161,912.99
|
2026-03-10
|
|
1604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$155,951.29
|
$163,748.89
|
$157,510.79
|
2026-03-10
|
|
54
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$154,269.90
|
$161,983.43
|
$155,812.60
|
2026-03-10
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
38
|
14
|
—
|
$106,088.68
|
$69,561.05
|
$462,967.31
|
$153,643.47
|
2026-03-10
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
48
|
16
|
—
|
—
|
$25.60
|
$617,551.81
|
$150,758.97
|
2026-03-10
|
|
22
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$148,072.87
|
$155,476.55
|
$149,553.60
|
2026-03-10
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
48
|
16
|
—
|
—
|
$9.60
|
$582,295.87
|
$148,733.38
|
2026-03-10
|
|
5932
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$147,065.05
|
$154,418.33
|
$148,535.70
|
2026-03-10
|
|
6074
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$143,948.24
|
$151,145.69
|
$145,387.72
|
2026-03-10
|
|
43
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$143,759.04
|
$150,947.02
|
$145,196.62
|
2026-03-10
|
|
6034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$139,867.76
|
$146,861.18
|
$141,266.43
|
2026-03-10
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
37
|
13
|
—
|
—
|
$95,081.03
|
$181,604.77
|
$138,342.90
|
2026-03-10
|
|
64
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$135,632.13
|
$142,413.77
|
$136,988.45
|
2026-03-10
|
|
8424
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$134,947.22
|
$141,694.61
|
$136,296.68
|
2026-03-10
|
|
6023
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$134,802.16
|
$141,542.30
|
$136,150.18
|
2026-03-10
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
48
|
16
|
—
|
—
|
$14.80
|
$529,815.35
|
$132,690.38
|
2026-03-10
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
48
|
16
|
—
|
$131,076.14
|
$5.00
|
$511,650.40
|
$131,678.90
|
2026-03-10
|
|
73
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$130,204.53
|
$136,714.79
|
$131,506.57
|
2026-03-10
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
52
|
17
|
—
|
$149,522.20
|
$11.00
|
$502,698.96
|
$130,961.11
|
2026-03-10
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve�procedures
|
52
|
17
|
—
|
$179,496.63
|
$12.60
|
$558,776.50
|
$122,987.64
|
2026-03-10
|
|
6114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$121,304.41
|
$127,369.66
|
$122,517.45
|
2026-03-10
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
38
|
14
|
—
|
$107,823.03
|
$66,858.01
|
$444,977.07
|
$122,350.16
|
2026-03-10
|
|
6303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$120,745.63
|
$126,782.94
|
$121,953.08
|
2026-03-10
|
|
1624
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$117,804.16
|
$123,694.39
|
$118,982.20
|
2026-03-10
|
|
8634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$115,735.54
|
$121,522.34
|
$116,892.89
|
2026-03-10
|
|
63
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$115,432.81
|
$121,204.48
|
$116,587.14
|
2026-03-10
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
52
|
17
|
—
|
$125,094.20
|
$10.00
|
$433,178.84
|
$115,666.24
|
2026-03-10
|
|
21
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$113,507.99
|
$119,183.41
|
$114,643.07
|
2026-03-10
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
52
|
17
|
—
|
$115,221.20
|
$10.60
|
$431,817.11
|
$114,381.23
|
2026-03-10
|
|
4404
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$112,153.29
|
$117,760.98
|
$113,274.82
|
2026-03-10
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
52
|
17
|
—
|
$124,671.86
|
$10.00
|
$404,346.16
|
$112,748.60
|
2026-03-10
|
|
13
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$111,072.31
|
$116,625.95
|
$112,183.03
|
2026-03-10
|
|
53
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$108,838.45
|
$114,280.40
|
$109,926.83
|
2026-03-10
|
|
3034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$107,995.87
|
$113,395.69
|
$109,075.82
|
2026-03-10
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
38
|
14
|
—
|
$116,539.80
|
$51,587.10
|
$343,340.70
|
$107,535.58
|
2026-03-10
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
32
|
12
|
—
|
$265,901.68
|
$26.00
|
$711,768.04
|
$106,943.47
|
2026-03-10
|
|
1634
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$103,562.21
|
$108,740.34
|
$104,597.83
|
2026-03-10
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
14
|
—
|
$93,843.96
|
$55,733.15
|
$370,934.98
|
$102,964.93
|
2026-03-10
|
|
6073
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$101,091.22
|
$106,145.80
|
$102,102.12
|
2026-03-10
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
52
|
17
|
—
|
$115,020.45
|
$8.00
|
$366,402.73
|
$100,745.49
|
2026-03-10
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
40
|
15
|
—
|
—
|
$68,801.71
|
$131,411.27
|
$100,106.49
|
2026-03-10
|
|
6022
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$98,547.07
|
$103,474.44
|
$99,532.54
|
2026-03-10
|
|
62
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$97,611.14
|
$102,491.72
|
$98,587.25
|
2026-03-10
|
|
72
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$96,911.09
|
$101,756.67
|
$97,880.20
|
2026-03-10
|
|
1784
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$96,594.49
|
$101,424.24
|
$97,560.43
|
2026-03-10
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
38
|
14
|
—
|
$67,473.18
|
$44,526.45
|
$296,348.20
|
$97,039.23
|
2026-03-10
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
17
|
—
|
$99,915.86
|
$5.20
|
$337,878.37
|
$96,963.79
|
2026-03-10
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
38
|
14
|
—
|
$104,201.84
|
$50,682.60
|
$343,592.49
|
$96,705.63
|
2026-03-10
|
|
84
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$94,959.77
|
$99,707.79
|
$95,909.37
|
2026-03-10
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
52
|
17
|
—
|
$114,627.72
|
$11.00
|
$392,856.25
|
$95,860.81
|
2026-03-10
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
52
|
17
|
—
|
$110,608.32
|
$8.70
|
$394,557.12
|
$95,306.79
|
2026-03-10
|
|
6093
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$94,139.89
|
$98,846.91
|
$95,081.29
|
2026-03-10
|
|
1654
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$92,847.01
|
$97,489.38
|
$93,775.48
|
2026-03-10
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
48
|
16
|
—
|
—
|
$11.60
|
$366,618.56
|
$93,643.84
|
2026-03-10
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
52
|
17
|
—
|
$77,102.65
|
$13.50
|
$355,169.75
|
$91,791.60
|
2026-03-10
|
|
42
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,652.00
|
$94,134.62
|
$90,548.51
|
2026-03-10
|
|
12
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$89,619.20
|
$94,100.18
|
$90,515.39
|
2026-03-10
|
|
6124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$88,896.45
|
$93,341.29
|
$89,785.41
|
2026-03-10
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
52
|
17
|
—
|
$118,036.10
|
$10.00
|
$391,556.18
|
$89,757.52
|
2026-03-10
|
|
92
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$88,128.28
|
$92,534.72
|
$89,009.56
|
2026-03-10
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
17
|
—
|
$120,847.71
|
$2.20
|
$337,878.37
|
$88,489.33
|
2026-03-10
|
|
6334
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$87,022.07
|
$91,373.20
|
$87,892.29
|
2026-03-10
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
52
|
17
|
—
|
$125,613.08
|
$8.00
|
$345,884.30
|
$86,657.38
|
2026-03-10
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
17
|
—
|
$86,587.31
|
$5.30
|
$306,419.86
|
$86,587.31
|
2026-03-10
|
|
1834
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$85,714.05
|
$89,999.77
|
$86,571.19
|
2026-03-10
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
52
|
17
|
—
|
$98,789.24
|
$7.50
|
$311,532.76
|
$85,658.54
|
2026-03-10
|
|
1623
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$84,379.54
|
$88,598.53
|
$85,223.33
|
2026-03-10
|
|
9104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$83,118.18
|
$87,274.11
|
$83,949.36
|
2026-03-10
|
|
6214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$83,052.59
|
$87,205.24
|
$83,883.11
|
2026-03-10
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
52
|
17
|
—
|
$103,623.72
|
$6.00
|
$353,427.77
|
$83,203.68
|
2026-03-10
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
52
|
17
|
—
|
$84,973.62
|
$6.00
|
$308,655.15
|
$83,065.45
|
2026-03-10
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
51
|
17
|
—
|
$67,149.56
|
$2.70
|
$314,913.96
|
$82,802.95
|
2026-03-10
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
38
|
14
|
—
|
$66,359.72
|
$31,041.36
|
$206,597.41
|
$82,712.57
|
2026-03-10
|
|
71
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$80,668.63
|
$84,702.08
|
$81,475.32
|
2026-03-10
|
|
1664
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$80,285.18
|
$84,299.46
|
$81,088.03
|
2026-03-10
|
|
1794
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$80,206.98
|
$84,217.35
|
$81,009.04
|
2026-03-10
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
14
|
—
|
$78,955.48
|
$43,406.17
|
$288,892.09
|
$80,930.63
|
2026-03-10
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
52
|
17
|
—
|
$73,353.10
|
$14.80
|
$330,653.49
|
$80,746.48
|
2026-03-10
|
|
9114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$79,807.13
|
$83,797.50
|
$80,605.20
|
2026-03-10
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
52
|
17
|
—
|
$98,653.21
|
$11.00
|
$292,874.51
|
$80,528.29
|
2026-03-10
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
52
|
17
|
—
|
$134,070.95
|
$13.00
|
$262,119.29
|
$80,343.95
|
2026-03-10
|
|
3044
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$79,380.79
|
$83,349.85
|
$80,174.60
|
2026-03-10
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
38
|
14
|
—
|
$75,318.92
|
$41,148.62
|
$273,866.83
|
$80,028.43
|
2026-03-10
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
52
|
17
|
—
|
$74,073.83
|
$10.00
|
$308,742.50
|
$79,609.11
|
2026-03-10
|
|
1674
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,801.83
|
$82,741.94
|
$79,589.85
|
2026-03-10
|
|
61
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,767.77
|
$82,706.18
|
$79,555.45
|
2026-03-10
|
|
914
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,534.42
|
$82,461.16
|
$79,319.76
|
2026-03-10
|
|
1783
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$78,328.82
|
$82,245.28
|
$79,112.11
|
2026-03-10
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
52
|
17
|
—
|
$101,759.91
|
$8.00
|
$301,563.88
|
$78,546.29
|
2026-03-10
|
|
6134
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$77,423.17
|
$81,294.35
|
$78,197.40
|
2026-03-10
|
|
6804
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$77,289.47
|
$81,153.96
|
$78,062.36
|
2026-03-10
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
48
|
16
|
—
|
—
|
$16.60
|
$304,703.56
|
$77,766.10
|
2026-03-10
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
17
|
—
|
$78,058.13
|
$7.50
|
$294,457.20
|
$77,741.11
|
2026-03-10
|
|
8413
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$76,309.39
|
$80,124.88
|
$77,072.49
|
2026-03-10
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
52
|
17
|
—
|
$97,323.65
|
$11.50
|
$280,264.38
|
$77,061.02
|
2026-03-10
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
52
|
17
|
—
|
$84,961.55
|
$8.00
|
$280,706.30
|
$77,023.15
|
2026-03-10
|
|
9124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$76,189.57
|
$79,999.06
|
$76,951.46
|
2026-03-10
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
48
|
16
|
—
|
—
|
$9.50
|
$368,730.52
|
$76,874.65
|
2026-03-10
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
52
|
17
|
—
|
$77,415.29
|
$9.90
|
$286,232.03
|
$75,795.62
|
2026-03-10
|
|
4403
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$74,658.28
|
$78,391.21
|
$75,404.86
|
2026-03-10
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
42
|
14
|
—
|
$84,429.31
|
$51,730.80
|
$98,805.83
|
$75,268.32
|
2026-03-10
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
42
|
14
|
—
|
$88,088.18
|
$57,664.28
|
$110,138.77
|
$75,205.46
|
2026-03-10
|
|
11
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$73,640.37
|
$77,322.41
|
$74,376.77
|
2026-03-10
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
52
|
17
|
—
|
$84,564.44
|
$5.70
|
$274,031.26
|
$74,354.67
|
2026-03-10
|
|
5931
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,903.74
|
$76,548.94
|
$73,632.77
|
2026-03-10
|
|
52
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,884.82
|
$76,529.08
|
$73,613.67
|
2026-03-10
|
|
1694
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,490.01
|
$76,114.53
|
$73,214.91
|
2026-03-10
|
|
214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,401.72
|
$76,021.82
|
$73,125.74
|
2026-03-10
|
|
6313
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,358.83
|
$75,976.79
|
$73,082.42
|
2026-03-10
|
|
3033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$72,097.73
|
$75,702.64
|
$72,818.70
|
2026-03-10
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
52
|
17
|
—
|
$62,737.43
|
$9.00
|
$281,107.11
|
$72,603.08
|
2026-03-10
|
|
L7181
|
HCPCS
|
Dme Pos
|
40
|
15
|
—
|
—
|
$49,605.45
|
$94,746.41
|
$72,175.93
|
2026-03-10
|
|
91
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$71,303.08
|
$74,868.25
|
$72,016.11
|
2026-03-10
|
|
1633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,792.23
|
$74,331.86
|
$71,500.15
|
2026-03-10
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
48
|
16
|
—
|
—
|
$16.60
|
$279,144.17
|
$71,300.62
|
2026-03-10
|
|
6084
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,490.77
|
$74,015.32
|
$71,195.68
|
2026-03-10
|
|
6083
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$70,490.77
|
$74,015.32
|
$71,195.68
|
2026-03-10
|
|
1304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,918.11
|
$73,414.04
|
$70,617.29
|
2026-03-10
|
|
234
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$69,857.57
|
$73,350.46
|
$70,556.15
|
2026-03-10
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
52
|
17
|
—
|
$87,245.51
|
$6.00
|
$272,027.21
|
$70,005.60
|
2026-03-10
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
48
|
16
|
—
|
—
|
$8.70
|
$287,997.98
|
$69,768.77
|
2026-03-10
|
|
6072
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,856.05
|
$72,298.87
|
$69,544.61
|
2026-03-10
|
|
8504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,782.89
|
$72,222.06
|
$69,470.72
|
2026-03-10
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
52
|
17
|
—
|
$64,511.28
|
$6.50
|
$271,127.95
|
$69,253.07
|
2026-03-10
|
|
1603
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,547.02
|
$71,974.39
|
$69,232.49
|
2026-03-10
|
|
2604
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,492.78
|
$71,917.44
|
$69,177.71
|
2026-03-10
|
|
1653
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$68,449.90
|
$71,872.41
|
$69,134.39
|
2026-03-10
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
52
|
17
|
—
|
$98,522.67
|
$7.00
|
$283,804.88
|
$68,831.34
|
2026-03-10
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
17
|
—
|
$71,990.63
|
$3.30
|
$258,995.72
|
$68,656.18
|
2026-03-10
|
|
894
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,853.02
|
$70,195.69
|
$67,521.55
|
2026-03-10
|
|
2204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,576.79
|
$69,905.64
|
$67,242.55
|
2026-03-10
|
|
7404
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,411.55
|
$69,732.14
|
$67,075.67
|
2026-03-10
|
|
4014
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$66,062.15
|
$69,365.28
|
$66,722.77
|
2026-03-10
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
52
|
17
|
—
|
$191,392.13
|
$9.00
|
$256,282.54
|
$66,579.77
|
2026-03-10
|
|
6904
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,746.82
|
$69,034.17
|
$66,404.29
|
2026-03-10
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
38
|
14
|
—
|
$70,146.57
|
$32,742.24
|
$217,917.75
|
$66,342.12
|
2026-03-10
|
|
1204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,620.68
|
$68,901.73
|
$66,276.88
|
2026-03-10
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
49
|
16
|
—
|
$201,143.63
|
$10.00
|
$267,022.21
|
$66,198.35
|
2026-03-10
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
52
|
17
|
—
|
$63,679.75
|
$6.50
|
$254,227.10
|
$66,048.61
|
2026-03-10
|
|
9504
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$65,259.93
|
$68,522.95
|
$65,912.53
|
2026-03-10
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
52
|
17
|
—
|
$81,510.38
|
$9.90
|
$253,774.90
|
$65,734.03
|
2026-03-10
|
|
A9543
|
CPT
|
Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…
|
7
|
2
|
—
|
—
|
$28.70
|
$73,999.04
|
$65,476.58
|
2024-12-08
|
|
1622
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,576.28
|
$67,805.11
|
$65,222.04
|
2026-03-10
|
|
4402
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,441.31
|
$67,663.40
|
$65,085.72
|
2026-03-10
|
|
204
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$64,149.94
|
$67,357.45
|
$64,791.44
|
2026-03-10
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
52
|
17
|
—
|
$112,423.50
|
$11.00
|
$252,906.48
|
$64,598.82
|
2026-03-10
|
|
41
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,518.00
|
$66,693.92
|
$64,153.18
|
2026-03-10
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
52
|
17
|
—
|
$63,859.66
|
$1.00
|
$244,638.47
|
$64,092.24
|
2026-03-10
|
|
3124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,408.27
|
$66,578.69
|
$64,042.35
|
2026-03-10
|
|
4414
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,377.99
|
$66,546.91
|
$64,011.77
|
2026-03-10
|
|
1782
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$63,143.38
|
$66,300.57
|
$63,774.81
|
2026-03-10
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
52
|
17
|
—
|
$51,814.60
|
$11.90
|
$240,579.96
|
$63,263.93
|
2026-03-10
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
52
|
17
|
—
|
$53,892.32
|
$10.90
|
$246,873.76
|
$63,255.28
|
2026-03-10
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
52
|
17
|
—
|
$63,113.70
|
$8.70
|
$240,373.43
|
$63,158.54
|
2026-03-10
|
|
6814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,476.12
|
$65,599.95
|
$63,100.88
|
2026-03-10
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
52
|
17
|
—
|
$82,023.79
|
$7.80
|
$249,882.15
|
$63,056.35
|
2026-03-10
|
|
83
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$62,285.66
|
$65,399.96
|
$62,908.51
|
2026-03-10
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
52
|
17
|
—
|
$122,586.46
|
$9.00
|
$241,092.83
|
$62,390.36
|
2026-03-10
|
|
6123
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$61,509.93
|
$64,585.44
|
$62,125.03
|
2026-03-10
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
51
|
17
|
—
|
$77,671.99
|
$3.30
|
$237,326.24
|
$61,593.02
|
2026-03-10
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
17
|
—
|
$72,224.29
|
$3.00
|
$214,413.22
|
$61,531.95
|
2026-03-10
|
|
2614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,669.87
|
$63,703.37
|
$61,276.57
|
2026-03-10
|
|
1833
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,394.89
|
$63,414.65
|
$60,998.83
|
2026-03-10
|
|
6092
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$60,281.37
|
$63,295.45
|
$60,884.18
|
2026-03-10
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
48
|
16
|
—
|
—
|
$7.80
|
$238,276.88
|
$60,854.93
|
2026-03-10
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
52
|
17
|
—
|
$56,533.90
|
$7.50
|
$230,301.77
|
$60,798.14
|
2026-03-10
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
52
|
17
|
—
|
$203,645.69
|
$9.80
|
$236,195.75
|
$60,330.49
|
2026-03-10
|
|
3614
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$59,706.19
|
$62,691.52
|
$60,303.25
|
2026-03-10
|
|
1793
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$59,211.74
|
$62,172.34
|
$59,803.85
|
2026-03-10
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
52
|
17
|
—
|
$56,317.79
|
$6.60
|
$233,636.73
|
$59,676.85
|
2026-03-10
|
|
620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
43
|
15
|
—
|
—
|
$9,761.00
|
$78,246.32
|
$59,606.49
|
2026-03-10
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
52
|
17
|
—
|
$64,662.67
|
$6.70
|
$216,535.47
|
$59,538.22
|
2026-03-10
|
|
4401
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,873.70
|
$61,817.40
|
$59,462.43
|
2026-03-10
|
|
799
|
MS_DRG
|
Splenectomy With Mcc
|
52
|
17
|
—
|
$83,235.97
|
$7.70
|
$185,780.01
|
$59,443.22
|
2026-03-10
|
|
6144
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,606.29
|
$61,536.62
|
$59,192.35
|
2026-03-10
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
48
|
16
|
—
|
—
|
$6.00
|
$241,586.14
|
$59,067.52
|
2026-03-10
|
|
3214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,443.58
|
$61,365.77
|
$59,028.01
|
2026-03-10
|
|
1663
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$58,283.38
|
$61,197.57
|
$58,866.21
|
2026-03-10
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
52
|
17
|
—
|
$120,407.82
|
$12.00
|
$336,650.24
|
$58,608.44
|
2026-03-10
|
|
1781
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,932.73
|
$60,829.38
|
$58,512.06
|
2026-03-10
|
|
38240
|
CPT
|
Transplantation Of Donor Stem Cells, Per Donor
|
44
|
14
|
—
|
$6,553.27
|
$28.70
|
$111,740.62
|
$58,502.94
|
2026-03-10
|
|
6021
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,786.41
|
$60,675.75
|
$58,364.28
|
2026-03-10
|
|
L7180
|
HCPCS
|
Dme Pos
|
40
|
15
|
—
|
—
|
$39,992.59
|
$76,385.85
|
$58,189.22
|
2026-03-10
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
51
|
17
|
—
|
$83,852.49
|
$4.10
|
$234,443.49
|
$58,121.65
|
2026-03-10
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
52
|
17
|
—
|
$77,128.97
|
$9.00
|
$215,646.49
|
$57,904.97
|
2026-03-10
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
52
|
17
|
—
|
$78,238.50
|
$7.00
|
$267,484.68
|
$57,855.98
|
2026-03-10
|
|
6033
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,244.03
|
$60,106.24
|
$57,816.47
|
2026-03-10
|
|
924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,146.90
|
$60,004.26
|
$57,718.37
|
2026-03-10
|
|
6133
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$57,092.67
|
$59,947.31
|
$57,663.60
|
2026-03-10
|
|
2304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,941.30
|
$59,788.38
|
$57,510.71
|
2026-03-10
|
|
6954
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,918.60
|
$59,764.54
|
$57,487.79
|
2026-03-10
|
|
274
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,876.97
|
$59,720.84
|
$57,445.74
|
2026-03-10
|
|
1814
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,827.78
|
$59,669.18
|
$57,396.06
|
2026-03-10
|
|
L2006
|
HCPCS
|
Dme Pos
|
40
|
15
|
—
|
—
|
$39,378.44
|
$75,212.82
|
$57,295.63
|
2026-03-10
|
|
3043
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,701.65
|
$59,536.74
|
$57,268.67
|
2026-03-10
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
52
|
17
|
—
|
$59,334.54
|
$10.50
|
$235,594.53
|
$57,222.16
|
2026-03-10
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
52
|
17
|
—
|
$90,079.06
|
$9.00
|
$251,853.06
|
$57,092.86
|
2026-03-10
|
|
7924
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,513.70
|
$59,339.40
|
$57,078.84
|
2026-03-10
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
52
|
17
|
—
|
$115,557.75
|
$9.00
|
$233,739.50
|
$57,002.39
|
2026-03-10
|
|
1652
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,248.82
|
$59,061.27
|
$56,811.31
|
2026-03-10
|
|
6514
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$56,187.01
|
$58,996.38
|
$56,748.88
|
2026-03-10
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
52
|
17
|
—
|
$48,748.49
|
$8.00
|
$225,728.42
|
$56,656.26
|
2026-03-10
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
38
|
14
|
—
|
$53,263.74
|
$24,941.18
|
$165,997.33
|
$56,614.21
|
2026-03-10
|
|
5114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,913.30
|
$58,708.98
|
$56,472.43
|
2026-03-10
|
|
5124
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,639.59
|
$58,421.58
|
$56,195.98
|
2026-03-10
|
|
1621
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,485.70
|
$58,260.00
|
$56,040.56
|
2026-03-10
|
|
1214
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$55,480.66
|
$58,254.70
|
$56,035.46
|
2026-03-10
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
52
|
17
|
—
|
$114,765.95
|
$8.50
|
$216,643.38
|
$55,730.45
|
2026-03-10
|
|
C1822
|
HCPCS
|
Imp Gen Nstm Senza Hf Nipg3000
|
29
|
14
|
$190,476.00
|
—
|
$73.34
|
$171,428.40
|
$55,428.51
|
2026-03-10
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
12
|
—
|
$5,172.36
|
$12.60
|
$368,576.36
|
$55,378.77
|
2026-03-10
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
28
|
14
|
—
|
—
|
$55,272.26
|
$55,272.26
|
$55,272.26
|
2026-03-10
|
|
304
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$54,645.64
|
$57,377.93
|
$55,192.10
|
2026-03-10
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
52
|
17
|
—
|
$71,173.36
|
$5.80
|
$215,245.68
|
$54,909.60
|
2026-03-10
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
52
|
17
|
—
|
$102,300.74
|
$6.00
|
$286,024.75
|
$54,755.09
|
2026-03-10
|
|
3032
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,888.83
|
$56,583.28
|
$54,427.71
|
2026-03-10
|
|
7104
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,820.71
|
$56,511.76
|
$54,358.92
|
2026-03-10
|
|
1632
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,805.58
|
$56,495.87
|
$54,343.64
|
2026-03-10
|
|
8633
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,576.01
|
$56,254.82
|
$54,111.77
|
2026-03-10
|
|
4054
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,572.23
|
$56,250.85
|
$54,107.95
|
2026-03-10
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
42
|
14
|
—
|
$58,002.43
|
$20,081.99
|
$96,106.83
|
$54,066.00
|
2026-03-10
|
|
1602
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,512.94
|
$56,188.60
|
$54,048.07
|
2026-03-10
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
51
|
17
|
—
|
$54,025.06
|
$4.00
|
$201,016.89
|
$54,025.06
|
2026-03-10
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
51
|
17
|
—
|
$70,656.67
|
$1.50
|
$217,013.36
|
$53,800.49
|
2026-03-10
|
|
1704
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,197.60
|
$55,857.50
|
$53,729.57
|
2026-03-10
|
|
4034
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$53,159.76
|
$55,817.77
|
$53,691.36
|
2026-03-10
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
52
|
17
|
—
|
$84,628.88
|
$6.00
|
$193,365.52
|
$53,619.87
|
2026-03-10
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
51
|
17
|
—
|
$76,115.35
|
$4.60
|
$222,367.78
|
$53,613.00
|
2026-03-10
|
|
6113
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,733.43
|
$55,370.11
|
$53,260.76
|
2026-03-10
|
|
1754
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,589.63
|
$55,219.13
|
$53,115.52
|
2026-03-10
|
|
2644
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,408.00
|
$55,028.41
|
$52,932.07
|
2026-03-10
|
|
1303
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,286.91
|
$54,901.27
|
$52,809.78
|
2026-03-10
|
|
294
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,246.54
|
$54,858.88
|
$52,769.01
|
2026-03-10
|
|
224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,207.44
|
$54,817.83
|
$52,729.51
|
2026-03-10
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
52
|
17
|
—
|
$66,545.12
|
$6.70
|
$186,053.29
|
$52,570.63
|
2026-03-10
|
|
7114
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$52,032.11
|
$54,633.73
|
$52,552.43
|
2026-03-10
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
52
|
17
|
—
|
$66,636.17
|
$7.70
|
$186,310.22
|
$52,503.35
|
2026-03-10
|
|
6224
|
APR_DRG
|
—
|
4
|
4
|
—
|
—
|
$51,918.59
|
$54,514.53
|
$52,437.77
|
2026-03-10
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
48
|
16
|
—
|
$70,146.57
|
$2.50
|
$200,107.36
|
$52,181.94
|
2026-03-10
|