|
5834
|
OTHER
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$589,447.74
|
$791,483.78
|
$745,283.77
|
2026-05-22
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$344,587.70
|
$649,046.49
|
$555,871.64
|
2026-05-22
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$381,321.46
|
$598,756.98
|
$555,389.10
|
2026-05-22
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
4
|
2
|
—
|
—
|
$466,719.70
|
$530,068.87
|
$498,394.29
|
2026-05-22
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$283,258.29
|
$596,181.22
|
$488,263.82
|
2026-05-22
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
2
|
—
|
—
|
$313,773.28
|
$507,979.29
|
$464,649.93
|
2026-05-22
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
2
|
—
|
—
|
$266,381.61
|
$558,777.22
|
$458,231.20
|
2026-05-22
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$358,083.21
|
$480,817.95
|
$447,634.23
|
2026-05-22
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$306,306.15
|
$411,294.05
|
$401,550.10
|
2026-05-22
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$352,486.31
|
$473,302.68
|
$376,619.15
|
2026-05-22
|
|
5894
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
2
|
—
|
—
|
$98,946.08
|
$614,655.95
|
$373,758.14
|
2026-05-22
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$221,191.85
|
$438,615.72
|
$367,811.06
|
2026-05-22
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
8
|
2
|
—
|
—
|
$329,784.18
|
$526,649.70
|
$361,000.01
|
2026-05-22
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$222,447.89
|
$407,292.52
|
$352,992.74
|
2026-05-22
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
8
|
2
|
—
|
—
|
$327,822.90
|
$505,437.90
|
$352,120.76
|
2026-05-22
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$263,349.00
|
$353,613.13
|
$338,494.61
|
2026-05-22
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
4
|
2
|
—
|
—
|
$302,882.31
|
$343,993.37
|
$323,437.84
|
2026-05-22
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$267,213.85
|
$358,802.68
|
$308,676.46
|
2026-05-22
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$213,462.14
|
$329,492.94
|
$308,060.12
|
2026-05-22
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$274,034.54
|
$367,961.20
|
$298,294.31
|
2026-05-22
|
|
24
|
OTHER
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$42,279.82
|
$586,763.54
|
$290,814.52
|
2026-05-22
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
8
|
2
|
—
|
—
|
$182,002.82
|
$329,831.32
|
$287,108.23
|
2026-05-22
|
|
44
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$195,053.03
|
$300,917.21
|
$281,412.80
|
2026-05-22
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$232,218.27
|
$311,812.20
|
$280,753.93
|
2026-05-22
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$177,597.47
|
$311,577.13
|
$275,023.49
|
2026-05-22
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$208,609.96
|
$280,112.02
|
$274,127.67
|
2026-05-22
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
8
|
2
|
—
|
—
|
$168,717.67
|
$296,353.24
|
$261,449.85
|
2026-05-22
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$186,570.93
|
$270,947.54
|
$260,733.27
|
2026-05-22
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
4
|
2
|
—
|
—
|
$229,401.96
|
$260,539.33
|
$244,970.64
|
2026-05-22
|
|
74
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$11,140.89
|
$321,577.12
|
$235,036.79
|
2026-05-22
|
|
14
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$129,889.46
|
$311,757.26
|
$226,613.71
|
2026-05-22
|
|
94
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$38,037.68
|
$374,976.06
|
$219,241.05
|
2026-05-22
|
|
54
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$16,502.74
|
$288,322.11
|
$218,229.05
|
2026-05-22
|
|
4404
|
OTHER
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$121,932.52
|
$262,976.17
|
$213,350.83
|
2026-05-22
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
4
|
2
|
—
|
—
|
$199,193.60
|
$226,230.71
|
$212,712.15
|
2026-05-22
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$140,509.00
|
$230,826.37
|
$209,747.75
|
2026-05-22
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$200,575.56
|
$292,243.66
|
$209,110.20
|
2026-05-22
|
|
114
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$14,623.22
|
$243,203.46
|
$203,026.21
|
2026-05-22
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
2
|
—
|
—
|
$129,527.10
|
$229,934.11
|
$201,928.62
|
2026-05-22
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$192,910.58
|
$282,926.38
|
$201,808.25
|
2026-05-22
|
|
43
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
8
|
2
|
—
|
—
|
$150,606.45
|
$202,227.53
|
$201,121.01
|
2026-05-22
|
|
64
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$21,734.89
|
$244,308.87
|
$198,834.85
|
2026-05-22
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
2
|
—
|
—
|
$102,466.99
|
$257,390.32
|
$197,489.18
|
2026-05-22
|
|
5931
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$182,341.57
|
$265,677.36
|
$190,100.74
|
2026-05-22
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$168,269.19
|
$283,744.92
|
$189,792.35
|
2026-05-22
|
|
6124
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$132,561.25
|
$193,041.89
|
$185,519.58
|
2026-05-22
|
|
23
|
OTHER
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$61,933.08
|
$279,899.66
|
$184,058.74
|
2026-05-22
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
2
|
—
|
—
|
$166,220.37
|
$259,706.39
|
$179,816.74
|
2026-05-22
|
|
13
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$31,146.49
|
$216,344.67
|
$179,353.68
|
2026-05-22
|
|
1784
|
OTHER
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$127,437.29
|
$186,092.41
|
$178,604.72
|
2026-05-22
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$109,557.93
|
$202,703.50
|
$174,906.46
|
2026-05-22
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$149,103.19
|
$200,209.03
|
$159,957.75
|
2026-05-22
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
4
|
2
|
—
|
—
|
$149,705.93
|
$170,025.94
|
$159,865.93
|
2026-05-22
|
|
6214
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$110,579.01
|
$274,872.99
|
$157,643.63
|
2026-05-22
|
|
73
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$17,339.27
|
$187,164.02
|
$156,607.26
|
2026-05-22
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$103,376.00
|
$169,280.98
|
$154,044.80
|
2026-05-22
|
|
63
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$15,172.27
|
$172,609.77
|
$149,667.51
|
2026-05-22
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$121,493.37
|
$163,135.80
|
$149,658.10
|
2026-05-22
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$119,094.92
|
$159,915.27
|
$149,629.48
|
2026-05-22
|
|
7
|
OTHER
|
Lung Transplant
|
4
|
2
|
—
|
—
|
$139,965.76
|
$158,963.71
|
$149,464.73
|
2026-05-22
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
8
|
2
|
—
|
—
|
$100,467.77
|
$163,235.53
|
$149,069.55
|
2026-05-22
|
|
4403
|
OTHER
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$98,705.01
|
$164,328.12
|
$148,432.38
|
2026-05-22
|
|
6073
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$132,668.22
|
$218,198.23
|
$147,584.33
|
2026-05-22
|
|
9114
|
OTHER
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$89,212.55
|
$173,727.10
|
$146,758.84
|
2026-05-22
|
|
53
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$10,583.19
|
$178,131.27
|
$144,838.02
|
2026-05-22
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$110,499.19
|
$148,373.31
|
$143,962.82
|
2026-05-22
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$140,011.64
|
$192,609.23
|
$141,727.49
|
2026-05-22
|
|
6904
|
OTHER
|
Acute Leukemia
|
8
|
2
|
—
|
—
|
$90,975.30
|
$155,621.06
|
$138,889.29
|
2026-05-22
|
|
9104
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$91,583.36
|
$154,496.48
|
$138,735.24
|
2026-05-22
|
|
1674
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
2
|
—
|
—
|
$91,911.96
|
$153,488.06
|
$138,451.64
|
2026-05-22
|
|
84
|
OTHER
|
Autologous Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$10,330.29
|
$159,919.39
|
$137,596.89
|
2026-05-22
|
|
2204
|
OTHER
|
Major Stomach, Esophageal And Duodenal Procedures
|
8
|
2
|
—
|
—
|
$99,225.55
|
$139,156.43
|
$136,196.01
|
2026-05-22
|
|
6113
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$113,513.35
|
$209,645.89
|
$134,822.27
|
2026-05-22
|
|
22
|
OTHER
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$33,235.68
|
$207,716.04
|
$132,471.25
|
2026-05-22
|
|
6033
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$101,514.98
|
$136,309.72
|
$132,368.55
|
2026-05-22
|
|
9504
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
2
|
—
|
—
|
$89,062.07
|
$144,238.91
|
$131,913.71
|
2026-05-22
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
4
|
2
|
—
|
—
|
$122,474.09
|
$139,097.85
|
$130,785.97
|
2026-05-22
|
|
209
|
OTHER
|
Complex Aortic Arch Procedures
|
4
|
2
|
—
|
—
|
$122,333.59
|
$138,938.27
|
$130,635.93
|
2026-05-22
|
|
8504
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
2
|
—
|
—
|
$85,435.22
|
$144,454.40
|
$129,586.48
|
2026-05-22
|
|
4402
|
OTHER
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$84,655.19
|
$145,471.24
|
$129,571.20
|
2026-05-22
|
|
5911
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
8
|
2
|
—
|
—
|
$127,282.70
|
$175,100.43
|
$128,843.29
|
2026-05-22
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$89,716.19
|
$136,110.98
|
$128,288.92
|
2026-05-22
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
2
|
—
|
—
|
$119,117.13
|
$135,285.23
|
$127,201.18
|
2026-05-22
|
|
72
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$8,173.01
|
$146,402.23
|
$127,116.57
|
2026-05-22
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$95,669.33
|
$128,460.45
|
$126,661.49
|
2026-05-22
|
|
62
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$18,991.82
|
$149,843.38
|
$125,940.87
|
2026-05-22
|
|
1834
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$68,719.77
|
$157,831.49
|
$125,052.64
|
2026-05-22
|
|
6334
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$108,803.99
|
$146,097.09
|
$124,053.75
|
2026-05-22
|
|
214
|
OTHER
|
Open Craniotomy Except Trauma
|
8
|
2
|
—
|
—
|
$81,535.05
|
$136,237.24
|
$122,859.41
|
2026-05-22
|
|
1694
|
OTHER
|
Major Abdominal Vascular Procedures
|
8
|
2
|
—
|
—
|
$107,727.61
|
$144,651.76
|
$122,425.80
|
2026-05-22
|
|
42
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
12
|
4
|
—
|
—
|
$18,672.98
|
$139,895.19
|
$121,350.96
|
2026-05-22
|
|
8413
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
8
|
2
|
—
|
—
|
$118,680.02
|
$162,049.23
|
$119,682.09
|
2026-05-22
|
|
1783
|
OTHER
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$83,756.92
|
$126,833.21
|
$119,649.11
|
2026-05-22
|
|
1304
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
2
|
—
|
—
|
$99,277.75
|
$133,305.68
|
$119,164.86
|
2026-05-22
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
4
|
2
|
—
|
—
|
$111,435.88
|
$126,561.39
|
$118,998.64
|
2026-05-22
|
|
4414
|
OTHER
|
Major Bladder Procedures
|
8
|
2
|
—
|
—
|
$77,914.34
|
$132,954.41
|
$118,787.14
|
2026-05-22
|
|
12
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$45,566.53
|
$147,998.17
|
$117,622.71
|
2026-05-22
|
|
6224
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$84,572.27
|
$119,850.05
|
$116,704.93
|
2026-05-22
|
|
93
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$8,606.41
|
$149,873.59
|
$115,694.57
|
2026-05-22
|
|
1794
|
OTHER
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$85,568.81
|
$116,313.02
|
$115,605.48
|
2026-05-22
|
|
64654
|
CPT
|
Intl Open Impl Bat Mod System
|
16
|
4
|
$180,002.00
|
$180,002.00
|
$75,240.84
|
$137,161.52
|
$113,581.26
|
2026-05-22
|
|
1824
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
8
|
2
|
—
|
—
|
$73,717.82
|
$127,105.93
|
$113,045.45
|
2026-05-22
|
|
3124
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
2
|
—
|
—
|
$82,797.23
|
$113,770.93
|
$112,473.65
|
2026-05-22
|
|
6084
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$106,820.13
|
$143,433.24
|
$111,947.70
|
2026-05-22
|
|
2604
|
OTHER
|
Major Pancreas, Liver And Shunt Procedures
|
8
|
2
|
—
|
—
|
$73,258.71
|
$125,489.77
|
$111,929.12
|
2026-05-22
|
|
3044
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
2
|
—
|
—
|
$69,029.94
|
$130,302.90
|
$111,496.59
|
2026-05-22
|
|
3033
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$62,978.53
|
$137,558.79
|
$111,061.76
|
2026-05-22
|
|
6814
|
OTHER
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
2
|
—
|
—
|
$81,981.88
|
$111,750.73
|
$110,916.14
|
2026-05-22
|
|
1782
|
OTHER
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$82,293.59
|
$110,538.61
|
$110,519.36
|
2026-05-22
|
|
6804
|
OTHER
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
8
|
2
|
—
|
—
|
$78,387.28
|
$115,291.13
|
$110,273.01
|
2026-05-22
|
|
6083
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$98,367.20
|
$132,083.03
|
$109,451.07
|
2026-05-22
|
|
8604
|
OTHER
|
Rehabilitation
|
8
|
2
|
—
|
—
|
$30,845.12
|
$176,956.05
|
$109,186.74
|
2026-05-22
|
|
21
|
OTHER
|
Heart And/or Lung Transplant
|
12
|
4
|
—
|
—
|
$57,215.39
|
$178,069.42
|
$108,905.62
|
2026-05-22
|
|
9124
|
OTHER
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$78,745.05
|
$110,360.16
|
$108,047.73
|
2026-05-22
|
|
3614
|
OTHER
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
8
|
2
|
—
|
—
|
$76,107.06
|
$112,275.98
|
$107,234.55
|
2026-05-22
|
|
6144
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
2
|
—
|
—
|
$82,453.28
|
$110,714.54
|
$106,075.65
|
2026-05-22
|
|
2614
|
OTHER
|
Major Biliary Tract Procedures
|
8
|
2
|
—
|
—
|
$84,392.62
|
$113,318.59
|
$105,738.95
|
2026-05-22
|
|
71
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$11,089.01
|
$129,643.92
|
$105,533.71
|
2026-05-22
|
|
1814
|
OTHER
|
Lower Extremity Arterial Procedures
|
8
|
2
|
—
|
—
|
$74,534.71
|
$110,102.58
|
$105,092.21
|
2026-05-22
|
|
11
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$58,947.91
|
$131,910.64
|
$104,433.21
|
2026-05-22
|
|
7404
|
OTHER
|
Mental Illness Diagnosis With O.r. Procedure
|
8
|
2
|
—
|
—
|
$82,826.41
|
$111,215.55
|
$104,105.96
|
2026-05-22
|
|
1781
|
OTHER
|
External Heart Assist Systems
|
8
|
2
|
—
|
—
|
$78,995.33
|
$106,071.36
|
$104,016.73
|
2026-05-22
|
|
1654
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$87,462.08
|
$117,440.13
|
$103,996.53
|
2026-05-22
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
4
|
2
|
—
|
—
|
$97,375.76
|
$110,592.84
|
$103,984.30
|
2026-05-22
|
|
C1767
|
HCPCS
|
System Nrstm Baro Neo2 Ipg Mod
|
18
|
5
|
$151,944.00
|
$151,944.00
|
$63,512.59
|
$144,768.00
|
$103,625.81
|
2026-05-22
|
|
1204
|
OTHER
|
Major Respiratory And Chest Procedures
|
8
|
2
|
—
|
—
|
$81,550.41
|
$109,502.20
|
$103,599.22
|
2026-05-22
|
|
1664
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$70,643.75
|
$111,744.00
|
$103,300.61
|
2026-05-22
|
|
2244
|
OTHER
|
Peritoneal Adhesiolysis
|
8
|
2
|
—
|
—
|
$48,638.50
|
$140,930.84
|
$103,120.21
|
2026-05-22
|
|
61
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$29,798.74
|
$117,782.39
|
$102,127.79
|
2026-05-22
|
|
3094
|
OTHER
|
Other Significant Hip And Femur Surgery
|
8
|
2
|
—
|
—
|
$70,315.15
|
$108,580.70
|
$101,498.35
|
2026-05-22
|
|
914
|
OTHER
|
Other Major Head And Neck Procedures
|
12
|
4
|
—
|
—
|
$9,570.48
|
$134,513.33
|
$100,835.92
|
2026-05-22
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
4
|
2
|
—
|
—
|
$93,591.88
|
$106,295.36
|
$99,943.62
|
2026-05-22
|
|
9514
|
OTHER
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
2
|
—
|
—
|
$64,553.96
|
$113,052.08
|
$99,866.11
|
2026-05-22
|
|
52
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
12
|
4
|
—
|
—
|
$19,246.89
|
$125,586.30
|
$99,148.21
|
2026-05-22
|
|
7104
|
OTHER
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure
|
8
|
2
|
—
|
—
|
$73,344.69
|
$99,437.61
|
$98,960.77
|
2026-05-22
|
|
924
|
OTHER
|
Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures
|
8
|
2
|
—
|
—
|
$69,243.37
|
$103,929.19
|
$98,453.03
|
2026-05-22
|
|
1214
|
OTHER
|
Other Respiratory And Chest Procedures
|
8
|
2
|
—
|
—
|
$68,675.24
|
$104,398.89
|
$98,306.45
|
2026-05-22
|
|
5104
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…
|
8
|
2
|
—
|
—
|
$69,373.89
|
$101,259.16
|
$97,205.64
|
2026-05-22
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
4
|
2
|
—
|
—
|
$90,823.95
|
$103,151.74
|
$96,987.85
|
2026-05-22
|
|
6123
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$91,574.15
|
$122,961.63
|
$96,181.72
|
2026-05-22
|
|
1764
|
OTHER
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
8
|
2
|
—
|
—
|
$69,442.99
|
$98,119.43
|
$95,682.17
|
2026-05-22
|
|
1303
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
2
|
—
|
—
|
$69,925.13
|
$97,144.68
|
$95,518.49
|
2026-05-22
|
|
204
|
OTHER
|
Open Craniotomy For Trauma
|
12
|
4
|
—
|
—
|
$8,726.38
|
$154,895.47
|
$95,143.18
|
2026-05-22
|
|
7114
|
OTHER
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure
|
8
|
2
|
—
|
—
|
$60,996.20
|
$107,471.27
|
$94,687.11
|
2026-05-22
|
|
4014
|
OTHER
|
Adrenal Procedures
|
8
|
2
|
—
|
—
|
$64,015.00
|
$102,885.42
|
$94,420.93
|
2026-05-22
|
|
3254
|
OTHER
|
Non-elective Or Complex Knee Joint Replacement
|
8
|
2
|
—
|
—
|
$57,208.12
|
$111,653.09
|
$94,234.79
|
2026-05-22
|
|
1623
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$61,596.58
|
$104,910.67
|
$93,809.89
|
2026-05-22
|
|
6072
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$92,962.87
|
$126,718.23
|
$93,667.35
|
2026-05-22
|
|
4401
|
OTHER
|
Kidney Transplant
|
8
|
2
|
—
|
—
|
$67,833.78
|
$93,565.56
|
$92,324.85
|
2026-05-22
|
|
6082
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$71,876.76
|
$96,512.86
|
$92,132.90
|
2026-05-22
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
4
|
2
|
—
|
—
|
$85,045.99
|
$96,589.52
|
$90,817.76
|
2026-05-22
|
|
894
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
12
|
4
|
—
|
—
|
$6,667.46
|
$114,235.58
|
$90,398.35
|
2026-05-22
|
|
4474
|
OTHER
|
Other Kidney, Urinary Tract And Related Procedures
|
8
|
2
|
—
|
—
|
$83,417.57
|
$112,009.35
|
$90,035.26
|
2026-05-22
|
|
4044
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures
|
8
|
2
|
—
|
—
|
$66,900.20
|
$90,030.21
|
$89,930.39
|
2026-05-22
|
|
6514
|
OTHER
|
Other Procedures Of Blood And Blood-forming Organs
|
8
|
2
|
—
|
—
|
$73,639.51
|
$98,879.80
|
$89,614.39
|
2026-05-22
|
|
294
|
OTHER
|
Other Percutaneous Intracranial Procedures
|
8
|
2
|
—
|
—
|
$54,620.81
|
$105,786.09
|
$89,564.22
|
2026-05-22
|
|
4054
|
OTHER
|
Other Procedures For Endocrine, Nutritional And Metabolic Disorders
|
8
|
2
|
—
|
—
|
$66,273.72
|
$89,988.13
|
$89,488.74
|
2026-05-22
|
|
3214
|
OTHER
|
Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures
|
8
|
2
|
—
|
—
|
$66,628.42
|
$89,465.63
|
$89,363.55
|
2026-05-22
|
|
2644
|
OTHER
|
Other Hepatobiliary, Pancreas And Abdominal Procedures
|
8
|
2
|
—
|
—
|
$62,451.86
|
$93,915.73
|
$88,886.63
|
2026-05-22
|
|
6344
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
8
|
2
|
—
|
—
|
$60,005.80
|
$97,023.47
|
$88,798.27
|
2026-05-22
|
|
51
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
8
|
2
|
—
|
—
|
$77,667.13
|
$104,287.91
|
$88,425.84
|
2026-05-22
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
4
|
2
|
—
|
—
|
$82,355.88
|
$93,534.27
|
$87,945.08
|
2026-05-22
|
|
6302
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
8
|
2
|
—
|
—
|
$62,005.03
|
$92,449.40
|
$87,853.48
|
2026-05-22
|
|
9103
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
8
|
2
|
—
|
—
|
$52,062.66
|
$105,786.09
|
$87,846.74
|
2026-05-22
|
|
1704
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock
|
8
|
2
|
—
|
—
|
$61,697.93
|
$92,513.38
|
$87,679.29
|
2026-05-22
|
|
6133
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$62,385.83
|
$90,877.01
|
$87,322.94
|
2026-05-22
|
|
5114
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy
|
8
|
2
|
—
|
—
|
$57,701.02
|
$97,085.76
|
$87,282.04
|
2026-05-22
|
|
8423
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
8
|
2
|
—
|
—
|
$61,326.33
|
$91,858.49
|
$87,102.36
|
2026-05-22
|
|
4034
|
OTHER
|
Procedures For Obesity
|
8
|
2
|
—
|
—
|
$55,219.65
|
$100,003.27
|
$87,074.86
|
2026-05-22
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
8
|
3
|
—
|
—
|
$68,303.17
|
$120,083.87
|
$87,017.83
|
2026-05-22
|
|
1793
|
OTHER
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$64,381.98
|
$87,073.99
|
$86,761.60
|
2026-05-22
|
|
2224
|
OTHER
|
Other Stomach, Esophageal And Duodenal Procedures
|
8
|
2
|
—
|
—
|
$82,117.76
|
$122,578.13
|
$86,703.15
|
2026-05-22
|
|
2324
|
OTHER
|
Gastric Fundoplication
|
8
|
2
|
—
|
—
|
$58,063.40
|
$94,639.64
|
$86,302.27
|
2026-05-22
|
|
3032
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$48,876.50
|
$106,262.52
|
$85,945.84
|
2026-05-22
|
|
3043
|
OTHER
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
8
|
2
|
—
|
—
|
$53,602.77
|
$99,137.95
|
$85,556.67
|
2026-05-22
|
|
6143
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
2
|
—
|
—
|
$63,253.39
|
$84,933.79
|
$84,777.69
|
2026-05-22
|
|
8633
|
OTHER
|
Neonatal Aftercare
|
8
|
2
|
—
|
—
|
$63,649.55
|
$85,465.73
|
$84,484.76
|
2026-05-22
|
|
5184
|
OTHER
|
Other Female Reproductive System And Related Procedures
|
8
|
2
|
—
|
—
|
$56,486.44
|
$91,866.91
|
$83,857.18
|
2026-05-22
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
2
|
—
|
—
|
$78,018.63
|
$88,608.32
|
$83,313.48
|
2026-05-22
|
|
2304
|
OTHER
|
Major Small Bowel Procedures
|
8
|
2
|
—
|
—
|
$58,365.89
|
$87,777.69
|
$83,074.39
|
2026-05-22
|
|
1653
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$58,746.69
|
$86,917.42
|
$82,899.92
|
2026-05-22
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
4
|
2
|
—
|
—
|
$77,522.54
|
$88,044.89
|
$82,783.71
|
2026-05-22
|
|
6313
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
2
|
—
|
—
|
$55,414.66
|
$90,865.23
|
$82,636.76
|
2026-05-22
|
|
3134
|
OTHER
|
Knee And Lower Leg Procedures Except Foot
|
8
|
2
|
—
|
—
|
$61,633.43
|
$82,758.59
|
$82,350.09
|
2026-05-22
|
|
1714
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock
|
8
|
2
|
—
|
—
|
$46,468.84
|
$102,105.96
|
$82,251.11
|
2026-05-22
|
|
9524
|
OTHER
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
8
|
2
|
—
|
—
|
$62,441.11
|
$83,843.10
|
$81,437.63
|
2026-05-22
|
|
3234
|
OTHER
|
Non-elective Or Complex Hip Joint Replacement
|
8
|
2
|
—
|
—
|
$45,288.04
|
$101,935.93
|
$81,373.33
|
2026-05-22
|
|
3104
|
OTHER
|
Vertebral And Intervertebral Spinal Procedures Including Disc Procedures
|
8
|
2
|
—
|
—
|
$55,139.81
|
$88,373.65
|
$81,206.45
|
2026-05-22
|
|
6504
|
OTHER
|
Splenectomy
|
8
|
2
|
—
|
—
|
$66,961.62
|
$89,913.04
|
$81,153.12
|
2026-05-22
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
5
|
—
|
—
|
$47,144.46
|
$231,278.90
|
$81,119.45
|
2026-05-22
|
|
1833
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$48,340.61
|
$96,848.39
|
$80,878.99
|
2026-05-22
|
|
5124
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy
|
8
|
2
|
—
|
—
|
$53,180.51
|
$88,914.05
|
$80,161.21
|
2026-05-22
|
|
6092
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
8
|
2
|
—
|
—
|
$54,032.71
|
$87,765.91
|
$80,159.29
|
2026-05-22
|
|
6234
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$66,123.24
|
$88,787.29
|
$80,095.88
|
2026-05-22
|
|
6903
|
OTHER
|
Acute Leukemia
|
8
|
2
|
—
|
—
|
$59,525.19
|
$79,927.74
|
$79,772.65
|
2026-05-22
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
4
|
2
|
—
|
—
|
$74,702.73
|
$84,842.35
|
$79,772.54
|
2026-05-22
|
|
92
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$11,056.58
|
$96,729.35
|
$79,770.63
|
2026-05-22
|
|
6112
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$53,146.73
|
$87,614.39
|
$79,488.71
|
2026-05-22
|
|
5144
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
8
|
2
|
—
|
—
|
$54,267.64
|
$86,084.09
|
$79,476.11
|
2026-05-22
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
4
|
2
|
—
|
—
|
$74,336.34
|
$84,426.22
|
$79,381.28
|
2026-05-22
|
|
1633
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$53,332.52
|
$85,478.03
|
$78,545.26
|
2026-05-22
|
|
4444
|
OTHER
|
Renal Dialysis Access Device Procedures
|
8
|
2
|
—
|
—
|
$64,802.71
|
$87,014.15
|
$78,538.64
|
2026-05-22
|
|
224
|
OTHER
|
Ventricular Shunt Procedures
|
8
|
2
|
—
|
—
|
$66,926.30
|
$89,865.61
|
$78,467.94
|
2026-05-22
|
|
4804
|
OTHER
|
Major Male Pelvic Procedures
|
8
|
2
|
—
|
—
|
$56,371.28
|
$81,190.15
|
$78,441.48
|
2026-05-22
|
|
C1889
|
HCPCS
|
Graft Evas Tambe 37x20x160
|
14
|
4
|
$134,560.00
|
$134,560.00
|
$56,246.08
|
$102,534.72
|
$78,044.80
|
2026-05-22
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
4
|
2
|
—
|
—
|
$72,749.73
|
$82,624.25
|
$77,686.99
|
2026-05-22
|
|
4424
|
OTHER
|
Kidney And Urinary Tract Procedures For Malignancy
|
8
|
2
|
—
|
—
|
$55,557.46
|
$80,582.41
|
$77,591.23
|
2026-05-22
|
|
7924
|
OTHER
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
2
|
—
|
—
|
$70,742.02
|
$94,989.19
|
$77,476.35
|
2026-05-22
|
|
6254
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
2
|
—
|
—
|
$55,296.43
|
$80,447.73
|
$77,348.63
|
2026-05-22
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
4
|
2
|
—
|
—
|
$72,267.69
|
$82,076.79
|
$77,172.24
|
2026-05-22
|
|
7934
|
OTHER
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment
|
8
|
2
|
—
|
—
|
$52,219.28
|
$84,191.84
|
$77,154.76
|
2026-05-22
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
4
|
2
|
—
|
—
|
$72,214.73
|
$82,016.64
|
$77,115.68
|
2026-05-22
|
|
4844
|
OTHER
|
Other Male Reproductive System And Related Procedures
|
8
|
2
|
—
|
—
|
$55,870.70
|
$78,833.25
|
$76,926.95
|
2026-05-22
|
|
83
|
OTHER
|
Autologous Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$15,085.81
|
$89,838.81
|
$76,842.85
|
2026-05-22
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
4
|
2
|
—
|
—
|
$71,626.78
|
$81,348.88
|
$76,487.83
|
2026-05-22
|
|
7524
|
OTHER
|
Disorders Of Personality And Impulse Control
|
8
|
2
|
—
|
—
|
$56,867.24
|
$76,358.76
|
$75,961.20
|
2026-05-22
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
4
|
2
|
—
|
—
|
$71,065.84
|
$80,711.81
|
$75,888.82
|
2026-05-22
|
|
7594
|
OTHER
|
Eating Disorders
|
8
|
2
|
—
|
—
|
$56,027.32
|
$75,533.59
|
$75,382.27
|
2026-05-22
|
|
6122
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
8
|
2
|
—
|
—
|
$73,215.71
|
$98,310.75
|
$75,368.61
|
2026-05-22
|
|
3224
|
OTHER
|
Shoulder And Elbow Joint Replacement
|
8
|
2
|
—
|
—
|
$54,746.72
|
$77,143.02
|
$75,327.22
|
2026-05-22
|
|
5194
|
OTHER
|
Uterine And Adnexa Procedures For Leiomyoma
|
8
|
2
|
—
|
—
|
$54,567.06
|
$77,163.22
|
$75,216.71
|
2026-05-22
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
10
|
4
|
—
|
—
|
$74,978.70
|
$122,222.18
|
$74,978.70
|
2026-05-22
|
|
3624
|
OTHER
|
Mastectomy Procedures
|
8
|
2
|
—
|
—
|
$56,572.43
|
$75,962.90
|
$74,585.78
|
2026-05-22
|
|
1754
|
OTHER
|
Percutaneous Cardiac Intervention Without Ami
|
8
|
2
|
—
|
—
|
$50,676.11
|
$80,930.90
|
$74,488.24
|
2026-05-22
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
4
|
2
|
—
|
—
|
$69,546.24
|
$78,985.94
|
$74,266.09
|
2026-05-22
|
|
C1882
|
HCPCS
|
Dfbr Card Momentum Crt-d Is1
|
102
|
5
|
$127,594.00
|
$127,594.00
|
$13,489.28
|
$150,790.72
|
$74,004.52
|
2026-05-22
|
|
1622
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$46,868.07
|
$83,629.55
|
$73,280.93
|
2026-05-22
|
|
1603
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
8
|
2
|
—
|
—
|
$52,417.36
|
$74,646.39
|
$72,515.03
|
2026-05-22
|
|
2314
|
OTHER
|
Major Large Bowel Procedures
|
8
|
2
|
—
|
—
|
$49,965.17
|
$77,228.88
|
$72,159.93
|
2026-05-22
|
|
1792
|
OTHER
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$50,700.67
|
$74,769.29
|
$71,423.93
|
2026-05-22
|
|
3054
|
OTHER
|
Amputation Of Lower Limb Except Toes
|
8
|
2
|
—
|
—
|
$65,264.89
|
$87,634.75
|
$71,363.57
|
2026-05-22
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
4
|
2
|
—
|
—
|
$66,159.01
|
$75,138.96
|
$70,648.99
|
2026-05-22
|
|
3031
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
8
|
2
|
—
|
—
|
$41,420.11
|
$85,264.22
|
$70,440.64
|
2026-05-22
|
|
6213
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
8
|
2
|
—
|
—
|
$58,759.20
|
$109,918.68
|
$70,309.89
|
2026-05-22
|
|
984
|
OTHER
|
Other Ear, Nose, Mouth And Throat Procedures
|
8
|
2
|
—
|
—
|
$44,789.00
|
$79,742.34
|
$69,941.49
|
2026-05-22
|
|
6954
|
OTHER
|
Chemotherapy For Acute Leukemia
|
8
|
2
|
—
|
—
|
$69,329.90
|
$94,360.34
|
$69,801.79
|
2026-05-22
|
|
C2624
|
HCPCS
|
Card Cardiomems Pulm Art Snsr
|
18
|
5
|
$102,270.00
|
$102,270.00
|
$42,748.86
|
$104,400.00
|
$69,748.14
|
2026-05-22
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
4
|
2
|
—
|
—
|
$64,937.71
|
$73,751.88
|
$69,344.79
|
2026-05-22
|
|
1832
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$43,926.05
|
$79,700.26
|
$69,341.08
|
2026-05-22
|
|
91
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
12
|
4
|
—
|
—
|
$18,981.01
|
$83,127.86
|
$69,253.43
|
2026-05-22
|
|
C1824
|
HCPCS
|
Pacemaker Card Optimizer Lt
|
14
|
4
|
$119,315.00
|
$119,315.00
|
$49,873.67
|
$90,918.03
|
$69,202.70
|
2026-05-22
|
|
3634
|
OTHER
|
Breast Procedures Except Mastectomy
|
8
|
2
|
—
|
—
|
$46,931.02
|
$74,681.74
|
$68,849.30
|
2026-05-22
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
4
|
2
|
—
|
—
|
$64,449.18
|
$73,197.05
|
$68,823.12
|
2026-05-22
|
|
264
|
OTHER
|
Other Nervous System And Related Procedures
|
12
|
4
|
—
|
—
|
$36,105.20
|
$87,026.85
|
$68,704.83
|
2026-05-22
|
|
3244
|
OTHER
|
Elective Hip Joint Replacement
|
8
|
2
|
—
|
—
|
$45,065.39
|
$76,834.94
|
$68,673.35
|
2026-05-22
|
|
8503
|
OTHER
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
8
|
2
|
—
|
—
|
$44,546.39
|
$77,506.66
|
$68,660.77
|
2026-05-22
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
4
|
2
|
—
|
—
|
$64,237.35
|
$72,956.46
|
$68,596.90
|
2026-05-22
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
4
|
2
|
—
|
—
|
$64,088.20
|
$72,787.07
|
$68,437.64
|
2026-05-22
|
|
6253
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
8
|
2
|
—
|
—
|
$51,492.99
|
$69,142.46
|
$68,353.47
|
2026-05-22
|
|
3174
|
OTHER
|
Tendon, Muscle And Other Soft Tissue Procedures
|
8
|
2
|
—
|
—
|
$62,235.63
|
$99,980.81
|
$68,347.55
|
2026-05-22
|
|
1831
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
8
|
2
|
—
|
—
|
$43,310.31
|
$78,003.29
|
$68,079.21
|
2026-05-22
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
8
|
3
|
—
|
—
|
$53,157.64
|
$94,251.13
|
$68,072.36
|
2026-05-22
|
|
2294
|
OTHER
|
Other Digestive System And Abdominal Procedures
|
8
|
2
|
—
|
—
|
$49,780.91
|
$69,036.97
|
$67,940.26
|
2026-05-22
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
4
|
2
|
—
|
—
|
$63,386.76
|
$71,990.42
|
$67,688.59
|
2026-05-22
|
|
6233
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$54,527.14
|
$73,216.58
|
$67,683.43
|
2026-05-22
|
|
1774
|
OTHER
|
Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
|
8
|
2
|
—
|
—
|
$53,619.66
|
$71,998.06
|
$67,597.58
|
2026-05-22
|
|
304
|
OTHER
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
12
|
4
|
—
|
—
|
$12,861.52
|
$111,755.78
|
$67,402.61
|
2026-05-22
|
|
6914
|
OTHER
|
Lymphoma, Myeloma And Non-acute Leukemia
|
8
|
2
|
—
|
—
|
$62,365.87
|
$83,742.07
|
$67,365.25
|
2026-05-22
|
|
2274
|
OTHER
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
8
|
2
|
—
|
—
|
$42,929.51
|
$76,976.35
|
$67,310.08
|
2026-05-22
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
4
|
—
|
—
|
$37,667.39
|
$147,429.15
|
$67,054.64
|
2026-05-22
|
|
1791
|
OTHER
|
Defibrillator Implants
|
8
|
2
|
—
|
—
|
$44,738.33
|
$73,319.79
|
$66,696.19
|
2026-05-22
|
|
1663
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$47,061.54
|
$69,988.15
|
$66,590.13
|
2026-05-22
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
4
|
2
|
—
|
—
|
$62,330.82
|
$70,791.15
|
$66,560.99
|
2026-05-22
|
|
1652
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$48,563.26
|
$67,789.49
|
$66,499.02
|
2026-05-22
|
|
113
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
12
|
4
|
—
|
—
|
$25,410.69
|
$144,416.72
|
$66,491.52
|
2026-05-22
|
|
3123
|
OTHER
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
8
|
2
|
—
|
—
|
$47,700.31
|
$68,932.59
|
$66,491.21
|
2026-05-22
|
|
6032
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
8
|
2
|
—
|
—
|
$60,656.86
|
$81,447.29
|
$66,387.14
|
2026-05-22
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
10
|
4
|
—
|
—
|
$42,411.06
|
$212,701.00
|
$66,235.75
|
2026-05-22
|
|
6924
|
OTHER
|
Radiotherapy
|
8
|
2
|
—
|
—
|
$48,974.77
|
$66,026.87
|
$65,893.99
|
2026-05-22
|
|
213
|
OTHER
|
Open Craniotomy Except Trauma
|
12
|
4
|
—
|
—
|
$42,717.61
|
$78,291.17
|
$65,866.19
|
2026-05-22
|
|
893
|
OTHER
|
Major Cranial Or Facial Bone Procedures
|
8
|
2
|
—
|
—
|
$49,655.00
|
$66,674.49
|
$65,809.70
|
2026-05-22
|
|
1302
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
2
|
—
|
—
|
$46,743.69
|
$68,612.73
|
$65,689.02
|
2026-05-22
|
|
6614
|
OTHER
|
Coagulation And Platelet Disorders
|
8
|
2
|
—
|
—
|
$58,991.52
|
$96,380.90
|
$65,385.00
|
2026-05-22
|
|
6142
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
8
|
2
|
—
|
—
|
$47,901.46
|
$66,181.75
|
$65,250.83
|
2026-05-22
|
|
3644
|
OTHER
|
Other Skin, Subcutaneous Tissue And Related Procedures
|
8
|
2
|
—
|
—
|
$61,375.47
|
$82,412.21
|
$65,240.68
|
2026-05-22
|
|
428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
4
|
2
|
—
|
—
|
$60,762.58
|
$69,010.05
|
$64,886.32
|
2026-05-22
|
|
1823
|
OTHER
|
Other Peripheral Vascular And Related Procedures
|
8
|
2
|
—
|
—
|
$42,516.46
|
$72,351.78
|
$64,720.48
|
2026-05-22
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
4
|
2
|
—
|
—
|
$60,574.52
|
$68,796.47
|
$64,685.49
|
2026-05-22
|
|
3204
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Procedures
|
8
|
2
|
—
|
—
|
$40,939.50
|
$74,047.06
|
$64,509.38
|
2026-05-22
|
|
3154
|
OTHER
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
8
|
2
|
—
|
—
|
$35,066.21
|
$81,732.24
|
$64,408.79
|
2026-05-22
|
|
4834
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
8
|
2
|
—
|
—
|
$46,069.61
|
$66,333.27
|
$64,096.73
|
2026-05-22
|
|
3084
|
OTHER
|
Hip And Femur Fracture Repair
|
8
|
2
|
—
|
—
|
$37,390.96
|
$77,878.71
|
$64,042.80
|
2026-05-22
|
|
4454
|
OTHER
|
Other Bladder Procedures
|
8
|
2
|
—
|
—
|
$44,663.09
|
$67,360.20
|
$63,665.89
|
2026-05-22
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
4
|
2
|
—
|
—
|
$59,334.84
|
$67,388.52
|
$63,361.68
|
2026-05-22
|
|
1621
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$39,995.17
|
$72,621.14
|
$63,162.42
|
2026-05-22
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
4
|
2
|
—
|
—
|
$59,125.16
|
$67,150.39
|
$63,137.78
|
2026-05-22
|
|
7504
|
OTHER
|
Schizophrenia
|
8
|
2
|
—
|
—
|
$60,895.56
|
$87,251.25
|
$62,937.43
|
2026-05-22
|
|
1301
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
8
|
2
|
—
|
—
|
$46,732.94
|
$63,087.48
|
$62,919.18
|
2026-05-22
|
|
4434
|
OTHER
|
Kidney And Urinary Tract Procedures For Non-malignancy
|
8
|
2
|
—
|
—
|
$43,173.65
|
$67,557.17
|
$62,764.40
|
2026-05-22
|
|
1632
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
8
|
2
|
—
|
—
|
$42,143.33
|
$67,553.80
|
$62,070.98
|
2026-05-22
|
|
3264
|
OTHER
|
Elective Knee Joint Replacement
|
8
|
2
|
—
|
—
|
$45,238.90
|
$63,223.84
|
$61,984.29
|
2026-05-22
|
|
3164
|
OTHER
|
Hand And Wrist Procedures
|
8
|
2
|
—
|
—
|
$47,238.12
|
$63,429.22
|
$61,749.10
|
2026-05-22
|
|
2234
|
OTHER
|
Other Small And Large Bowel Procedures
|
8
|
2
|
—
|
—
|
$38,312.26
|
$71,890.50
|
$61,667.24
|
2026-05-22
|
|
6364
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection
|
8
|
2
|
—
|
—
|
$52,477.25
|
$70,464.08
|
$61,358.52
|
2026-05-22
|
|
7754
|
OTHER
|
Alcohol Abuse And Dependence
|
8
|
2
|
—
|
—
|
$34,740.69
|
$75,649.76
|
$61,148.99
|
2026-05-22
|
|
1673
|
OTHER
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
8
|
2
|
—
|
—
|
$43,456.19
|
$62,609.37
|
$60,480.18
|
2026-05-22
|
|
734
|
OTHER
|
Orbit And Eye Procedures
|
12
|
4
|
—
|
—
|
$23,021.04
|
$71,000.14
|
$60,459.25
|
2026-05-22
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
6
|
3
|
—
|
—
|
$53,193.73
|
$177,320.20
|
$60,413.87
|
2026-05-22
|
|
6312
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
8
|
2
|
—
|
—
|
$46,126.42
|
$61,936.47
|
$60,341.69
|
2026-05-22
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
4
|
2
|
—
|
—
|
$56,259.96
|
$63,896.29
|
$60,078.12
|
2026-05-22
|