Price Transparencybeta Hospital negotiated rates

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

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Hospital

Siskin Hospital For Physical Rehabilitation

Chattanooga, TN · CCN 443025 · Rates published

4,431 distinct procedures filed
8 distinct payers
50,524 rate rows
2026-04-14 last MRF observed
Data quality

6,508 of 50,524 rate rows are consumer-grade (12.9%)

44,016 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 43,952
percent-of-charges filed in the dollar field — excluded from medians 36
per-diem day rate — not a per-procedure price 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://siskin.pt.panaceainc.com/MRFDownload/siskin/siskin
Found on page https://www.siskinrehab.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-13
Content fingerprint c45b0ea931fbb78c… · 29,313,631 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 $77,299.75 $77,299.75 $77,299.75 nat. median
$90,183
0.9× median
B1904
HCPCS 		Guillain-barr? M <38.50 4 $72,367.90 $72,367.90 $72,367.90 nat. median
$84,429
0.9× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 $63,182.92 $63,182.92 $63,182.92 nat. median
$73,713
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 $61,520.21 $61,520.21 $61,520.21 nat. median
$69,540
0.9× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 $61,254.18 $61,254.18 $61,254.18 nat. median
$71,463
0.9× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 $56,446.82 $56,446.82 $56,446.82 nat. median
$65,854
0.9× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 4 $55,669.19 $55,669.19 $55,669.19 nat. median
$64,947
0.9× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 $54,170.19 $54,170.19 $54,170.19 nat. median
$61,232
0.9× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 4 $53,278.30 $53,278.30 $53,278.30 nat. median
$60,224
0.9× median
C1904
HCPCS 		Guillain-barr? M <38.50 4 $51,144.91 $51,144.91 $51,144.91 nat. median
$59,669
0.9× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 $50,111.48 $50,111.48 $50,111.48 nat. median
$59,476
0.8× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 4 $48,303.81 $48,303.81 $48,303.81 nat. median
$54,601
0.9× median
B1903
HCPCS 		Guillain-barr? M >=38.50 And M <51.50 4 $47,062.32 $47,062.32 $47,062.32 nat. median
$53,197
0.9× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 4 $46,467.16 $46,467.16 $46,467.16 nat. median
$52,525
0.9× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 $46,138.03 $46,138.03 $46,138.03 nat. median
$53,828
0.9× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 $46,098.81 $46,098.81 $46,098.81 nat. median
$53,782
0.9× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 $44,923.82 $44,923.82 $44,923.82 nat. median
$52,411
0.9× median
A1904
HCPCS 		Guillain-barr? M <38.50 4 $44,475.32 $44,475.32 $44,475.32 nat. median
$51,888
0.9× median
D1904
HCPCS 		Guillain-barr? M <38.50 4 $44,461.68 $44,461.68 $44,461.68 nat. median
$51,872
0.9× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 $44,277.50 $44,277.50 $44,277.50 nat. median
$50,092
0.9× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 4 $43,583.43 $43,583.43 $43,583.43 nat. median
$50,847
0.9× median
B2102
HCPCS 		Burns M <52.50 4 $43,402.66 $43,402.66 $43,402.66 nat. median
$49,061
0.9× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 4 $43,267.94 $43,267.94 $43,267.94 nat. median
$50,479
0.9× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 $43,112.75 $43,112.75 $43,112.75 nat. median
$48,733
0.9× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 4 $42,908.11 $42,908.11 $42,908.11 nat. median
$48,502
0.9× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 4 $42,894.47 $42,894.47 $42,894.47 nat. median
$48,486
0.9× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 4 $42,882.53 $42,882.53 $42,882.53 nat. median
$48,473
0.9× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 4 $42,278.84 $42,278.84 $42,278.84 nat. median
$49,325
0.9× median
B0604
HCPCS 		Neurological M <43.50 4 $41,777.47 $41,777.47 $41,777.47 nat. median
$47,224
0.9× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 4 $40,943.56 $40,943.56 $40,943.56 nat. median
$46,281
0.9× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 4 $40,651.94 $40,651.94 $40,651.94 nat. median
$47,427
0.9× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 4 $40,414.90 $40,414.90 $40,414.90 nat. median
$47,151
0.9× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 4 $40,304.05 $40,304.05 $40,304.05 nat. median
$45,558
0.9× median
B1504
HCPCS 		Pulmonary M <45.50 4 $39,947.64 $39,947.64 $39,947.64 nat. median
$45,155
0.9× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 4 $39,120.55 $39,120.55 $39,120.55 nat. median
$44,391
0.9× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 4 $39,072.80 $39,072.80 $39,072.80 nat. median
$44,166
0.9× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 $39,013.11 $39,013.11 $39,013.11 nat. median
$44,160
0.9× median
B1305
HCPCS 		Rheumatoid Other Arthritis M <51.50 And A <64.50 4 $38,996.06 $38,996.06 $38,996.06 nat. median
$45,495
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 4 $38,863.04 $38,863.04 $38,863.04 nat. median
$43,929
0.9× median
B0904
HCPCS 		Other Orthopedic M <44.5 4 $38,339.50 $38,339.50 $38,339.50 nat. median
$43,337
0.9× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 4 $38,090.52 $38,090.52 $38,090.52 nat. median
$43,056
0.9× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 4 $38,080.29 $38,080.29 $38,080.29 nat. median
$43,210
0.9× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 4 $37,718.75 $37,718.75 $37,718.75 nat. median
$42,636
0.9× median
B0504
HCPCS 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 4 $37,498.76 $37,498.76 $37,498.76 nat. median
$42,387
0.9× median
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 4 $37,437.37 $37,437.37 $37,437.37 nat. median
$42,318
0.9× median
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 4 $37,314.59 $37,314.59 $37,314.59 nat. median
$43,534
0.9× median
C0205
HCPCS 		Traumatic Brain Injury M <35.50 4 $36,946.23 $36,946.23 $36,946.23 nat. median
$41,763
0.9× median
B0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50 4 $36,895.07 $36,895.07 $36,895.07 nat. median
$41,705
0.9× median
A0106
HCPCS 		Stroke M <41.50 And A <84.50 4 $36,862.67 $36,862.67 $36,862.67 nat. median
$41,668
0.9× median
B1404
HCPCS 		Cardiac M <45.50 4 $36,610.28 $36,610.28 $36,610.28 nat. median
$41,383
0.9× median

Other procedures at this hospital

Browse this hospital's 4,431 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 4 — — $77,299.75 $77,299.75 $77,299.75 2026-04-14
B1904 HCPCS Guillain-barr? M <38.50 5 4 — — $72,367.90 $72,367.90 $72,367.90 2026-04-14
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 4 — — $63,182.92 $63,182.92 $63,182.92 2026-04-14
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 4 — — $61,520.21 $61,520.21 $61,520.21 2026-04-14
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 4 — — $61,254.18 $61,254.18 $61,254.18 2026-04-14
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 4 — — $56,446.82 $56,446.82 $56,446.82 2026-04-14
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 4 — — $55,669.19 $55,669.19 $55,669.19 2026-04-14
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 4 — — $54,170.19 $54,170.19 $54,170.19 2026-04-14
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 5 4 — — $53,278.30 $53,278.30 $53,278.30 2026-04-14
C1904 HCPCS Guillain-barr? M <38.50 5 4 — — $51,144.91 $51,144.91 $51,144.91 2026-04-14
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 4 — — $50,111.48 $50,111.48 $50,111.48 2026-04-14
B0106 HCPCS Stroke M <41.50 And A <84.50 5 4 — — $48,303.81 $48,303.81 $48,303.81 2026-04-14
B1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 5 4 — — $47,062.32 $47,062.32 $47,062.32 2026-04-14
B0205 HCPCS Traumatic Brain Injury M <35.50 5 4 — — $46,467.16 $46,467.16 $46,467.16 2026-04-14
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 4 — — $46,138.03 $46,138.03 $46,138.03 2026-04-14
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 4 — — $46,098.81 $46,098.81 $46,098.81 2026-04-14
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 4 — — $44,923.82 $44,923.82 $44,923.82 2026-04-14
A1904 HCPCS Guillain-barr? M <38.50 5 4 — — $44,475.32 $44,475.32 $44,475.32 2026-04-14
D1904 HCPCS Guillain-barr? M <38.50 5 4 — — $44,461.68 $44,461.68 $44,461.68 2026-04-14
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 4 — — $44,277.50 $44,277.50 $44,277.50 2026-04-14
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 5 4 — — $43,583.43 $43,583.43 $43,583.43 2026-04-14
B2102 HCPCS Burns M <52.50 5 4 — — $43,402.66 $43,402.66 $43,402.66 2026-04-14
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 4 — — $43,267.94 $43,267.94 $43,267.94 2026-04-14
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 4 — — $43,112.75 $43,112.75 $43,112.75 2026-04-14
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 5 4 — — $42,908.11 $42,908.11 $42,908.11 2026-04-14
C0106 HCPCS Stroke M <41.50 And A <84.50 5 4 — — $42,894.47 $42,894.47 $42,894.47 2026-04-14
B0105 HCPCS Stroke M <41.50 And A >=84.50 5 4 — — $42,882.53 $42,882.53 $42,882.53 2026-04-14
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 5 4 — — $42,278.84 $42,278.84 $42,278.84 2026-04-14
B0604 HCPCS Neurological M <43.50 5 4 — — $41,777.47 $41,777.47 $41,777.47 2026-04-14
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 5 4 — — $40,943.56 $40,943.56 $40,943.56 2026-04-14
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 4 — — $40,651.94 $40,651.94 $40,651.94 2026-04-14
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 5 4 — — $40,414.90 $40,414.90 $40,414.90 2026-04-14
B1004 HCPCS Amputation Lower Extremity M <47.50 5 4 — — $40,304.05 $40,304.05 $40,304.05 2026-04-14
B1504 HCPCS Pulmonary M <45.50 5 4 — — $39,947.64 $39,947.64 $39,947.64 2026-04-14
B0704 HCPCS Fracture Of Lower Extremity M <41.50 5 4 — — $39,120.55 $39,120.55 $39,120.55 2026-04-14
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 5 4 — — $39,072.80 $39,072.80 $39,072.80 2026-04-14
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 4 — — $39,013.11 $39,013.11 $39,013.11 2026-04-14
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 5 4 — — $38,996.06 $38,996.06 $38,996.06 2026-04-14
D0106 HCPCS Stroke M <41.50 And A <84.50 5 4 — — $38,863.04 $38,863.04 $38,863.04 2026-04-14
B0904 HCPCS Other Orthopedic M <44.5 5 4 — — $38,339.50 $38,339.50 $38,339.50 2026-04-14
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 5 4 — — $38,090.52 $38,090.52 $38,090.52 2026-04-14
C0105 HCPCS Stroke M <41.50 And A >=84.50 5 4 — — $38,080.29 $38,080.29 $38,080.29 2026-04-14
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 5 4 — — $37,718.75 $37,718.75 $37,718.75 2026-04-14
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 5 4 — — $37,498.76 $37,498.76 $37,498.76 2026-04-14
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 5 4 — — $37,437.37 $37,437.37 $37,437.37 2026-04-14
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 5 4 — — $37,314.59 $37,314.59 $37,314.59 2026-04-14
C0205 HCPCS Traumatic Brain Injury M <35.50 5 4 — — $36,946.23 $36,946.23 $36,946.23 2026-04-14
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 5 4 — — $36,895.07 $36,895.07 $36,895.07 2026-04-14
A0106 HCPCS Stroke M <41.50 And A <84.50 5 4 — — $36,862.67 $36,862.67 $36,862.67 2026-04-14
B1404 HCPCS Cardiac M <45.50 5 4 — — $36,610.28 $36,610.28 $36,610.28 2026-04-14
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 5 4 — — $36,605.17 $36,605.17 $36,605.17 2026-04-14
C2102 HCPCS Burns M <52.50 5 4 — — $36,489.20 $36,489.20 $36,489.20 2026-04-14
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 5 4 — — $36,219.76 $36,219.76 $36,219.76 2026-04-14
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 5 4 — — $36,035.58 $36,035.58 $36,035.58 2026-04-14
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 5 4 — — $35,658.70 $35,658.70 $35,658.70 2026-04-14
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 5 4 — — $35,556.38 $35,556.38 $35,556.38 2026-04-14
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 5 4 — — $35,240.89 $35,240.89 $35,240.89 2026-04-14
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 5 4 — — $35,102.76 $35,102.76 $35,102.76 2026-04-14
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 5 4 — — $35,072.06 $35,072.06 $35,072.06 2026-04-14
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 5 4 — — $34,933.93 $34,933.93 $34,933.93 2026-04-14
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 5 4 — — $34,587.75 $34,587.75 $34,587.75 2026-04-14
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 5 4 — — $34,528.06 $34,528.06 $34,528.06 2026-04-14
D0105 HCPCS Stroke M <41.50 And A >=84.50 5 4 — — $34,500.77 $34,500.77 $34,500.77 2026-04-14
B0104 HCPCS Stroke M >=41.50 And M <50.50 5 4 — — $34,408.68 $34,408.68 $34,408.68 2026-04-14
B1604 HCPCS Pain Syndrome M <43.50 5 4 — — $34,190.40 $34,190.40 $34,190.40 2026-04-14
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 5 4 — — $34,149.47 $34,149.47 $34,149.47 2026-04-14
D0205 HCPCS Traumatic Brain Injury M <35.50 5 4 — — $33,753.83 $33,753.83 $33,753.83 2026-04-14
C1004 HCPCS Amputation Lower Extremity M <47.50 5 4 — — $33,489.51 $33,489.51 $33,489.51 2026-04-14
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 5 4 — — $33,431.52 $33,431.52 $33,431.52 2026-04-14
B1902 HCPCS Guillain-barr? M >=51.50 And M <66.50 5 4 — — $33,262.69 $33,262.69 $33,262.69 2026-04-14
C1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 5 4 — — $33,260.99 $33,260.99 $33,260.99 2026-04-14
B0603 HCPCS Neurological M >=43.50 And M <52.50 5 4 — — $33,032.47 $33,032.47 $33,032.47 2026-04-14
B1103 HCPCS Amputation Non-lower Extremity M <52.50 5 4 — — $32,988.13 $32,988.13 $32,988.13 2026-04-14
A0105 HCPCS Stroke M <41.50 And A >=84.50 5 4 — — $32,725.51 $32,725.51 $32,725.51 2026-04-14
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 5 4 — — $32,534.51 $32,534.51 $32,534.51 2026-04-14
C1504 HCPCS Pulmonary M <45.50 5 4 — — $32,120.12 $32,120.12 $32,120.12 2026-04-14
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 5 4 — — $32,058.72 $32,058.72 $32,058.72 2026-04-14
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 5 4 — — $32,031.44 $32,031.44 $32,031.44 2026-04-14
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 5 4 — — $31,855.79 $31,855.79 $31,855.79 2026-04-14
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 5 4 — — $31,838.73 $31,838.73 $31,838.73 2026-04-14
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 5 4 — — $31,818.27 $31,818.27 $31,818.27 2026-04-14
A0205 HCPCS Traumatic Brain Injury M <35.50 5 4 — — $31,712.54 $31,712.54 $31,712.54 2026-04-14
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 5 4 — — $31,681.84 $31,681.84 $31,681.84 2026-04-14
C0604 HCPCS Neurological M <43.50 5 4 — — $31,639.21 $31,639.21 $31,639.21 2026-04-14
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 5 4 — — $31,381.70 $31,381.70 $31,381.70 2026-04-14
C0704 HCPCS Fracture Of Lower Extremity M <41.50 5 4 — — $31,279.38 $31,279.38 $31,279.38 2026-04-14
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 5 4 — — $31,238.45 $31,238.45 $31,238.45 2026-04-14
C1103 HCPCS Amputation Non-lower Extremity M <52.50 5 4 — — $31,229.93 $31,229.93 $31,229.93 2026-04-14
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 5 4 — — $31,175.36 $31,175.36 $31,175.36 2026-04-14
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 5 4 — — $31,142.95 $31,142.95 $31,142.95 2026-04-14
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 5 4 — — $30,902.50 $30,902.50 $30,902.50 2026-04-14
C1604 HCPCS Pain Syndrome M <43.50 5 4 — — $30,641.58 $30,641.58 $30,641.58 2026-04-14
C0104 HCPCS Stroke M >=41.50 And M <50.50 5 4 — — $30,556.32 $30,556.32 $30,556.32 2026-04-14
D1004 HCPCS Amputation Lower Extremity M <47.50 5 4 — — $30,396.01 $30,396.01 $30,396.01 2026-04-14
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 5 4 — — $30,300.52 $30,300.52 $30,300.52 2026-04-14
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 5 4 — — $30,273.23 $30,273.23 $30,273.23 2026-04-14
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 5 4 — — $30,249.35 $30,249.35 $30,249.35 2026-04-14
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 5 4 — — $30,174.32 $30,174.32 $30,174.32 2026-04-14
D1504 HCPCS Pulmonary M <45.50 5 4 — — $30,080.53 $30,080.53 $30,080.53 2026-04-14
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 5 4 — — $30,032.78 $30,032.78 $30,032.78 2026-04-14
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 5 4 — — $29,863.95 $29,863.95 $29,863.95 2026-04-14
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 5 4 — — $29,862.24 $29,862.24 $29,862.24 2026-04-14
D0604 HCPCS Neurological M <43.50 5 4 — — $29,800.85 $29,800.85 $29,800.85 2026-04-14
D0704 HCPCS Fracture Of Lower Extremity M <41.50 5 4 — — $29,707.06 $29,707.06 $29,707.06 2026-04-14
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 5 4 — — $29,659.31 $29,659.31 $29,659.31 2026-04-14
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 5 4 — — $29,546.75 $29,546.75 $29,546.75 2026-04-14
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 5 4 — — $29,512.65 $29,512.65 $29,512.65 2026-04-14
C1404 HCPCS Cardiac M <45.50 5 4 — — $29,492.18 $29,492.18 $29,492.18 2026-04-14
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 5 4 — — $29,388.16 $29,388.16 $29,388.16 2026-04-14
B1403 HCPCS Cardiac M >=45.50 And M <55.50 5 4 — — $29,343.82 $29,343.82 $29,343.82 2026-04-14
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 5 4 — — $29,241.50 $29,241.50 $29,241.50 2026-04-14
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 5 4 — — $29,053.91 $29,053.91 $29,053.91 2026-04-14
C0904 HCPCS Other Orthopedic M <44.5 5 4 — — $29,040.27 $29,040.27 $29,040.27 2026-04-14
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 5 4 — — $28,965.23 $28,965.23 $28,965.23 2026-04-14
A1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 5 4 — — $28,922.60 $28,922.60 $28,922.60 2026-04-14
D1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 5 4 — — $28,915.78 $28,915.78 $28,915.78 2026-04-14
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 5 4 — — $28,898.72 $28,898.72 $28,898.72 2026-04-14
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 5 4 — — $28,830.51 $28,830.51 $28,830.51 2026-04-14
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 5 4 — — $28,816.87 $28,816.87 $28,816.87 2026-04-14
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 5 4 — — $28,798.11 $28,798.11 $28,798.11 2026-04-14
A1504 HCPCS Pulmonary M <45.50 5 4 — — $28,755.48 $28,755.48 $28,755.48 2026-04-14
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 5 4 — — $28,629.28 $28,629.28 $28,629.28 2026-04-14
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 5 4 — — $28,622.46 $28,622.46 $28,622.46 2026-04-14
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 5 4 — — $28,564.48 $28,564.48 $28,564.48 2026-04-14
A1004 HCPCS Amputation Lower Extremity M <47.50 5 4 — — $28,223.41 $28,223.41 $28,223.41 2026-04-14
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 5 4 — — $28,220.00 $28,220.00 $28,220.00 2026-04-14
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 5 4 — — $28,131.32 $28,131.32 $28,131.32 2026-04-14
D1604 HCPCS Pain Syndrome M <43.50 5 4 — — $28,029.00 $28,029.00 $28,029.00 2026-04-14
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 5 4 — — $27,955.67 $27,955.67 $27,955.67 2026-04-14
B0602 HCPCS Neurological M >=52.50 And M <64.50 5 4 — — $27,778.31 $27,778.31 $27,778.31 2026-04-14
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 5 4 — — $27,728.86 $27,728.86 $27,728.86 2026-04-14
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 5 4 — — $27,713.51 $27,713.51 $27,713.51 2026-04-14
D0104 HCPCS Stroke M >=41.50 And M <50.50 5 4 — — $27,684.52 $27,684.52 $27,684.52 2026-04-14
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 5 4 — — $27,537.86 $27,537.86 $27,537.86 2026-04-14
D2102 HCPCS Burns M <52.50 5 4 — — $27,517.40 $27,517.40 $27,517.40 2026-04-14
D0904 HCPCS Other Orthopedic M <44.5 5 4 — — $27,432.13 $27,432.13 $27,432.13 2026-04-14
B2101 HCPCS Burns M >=52.50 5 4 — — $27,389.50 $27,389.50 $27,389.50 2026-04-14
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 5 4 — — $27,326.40 $27,326.40 $27,326.40 2026-04-14
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 5 4 — — $27,322.99 $27,322.99 $27,322.99 2026-04-14
D1404 HCPCS Cardiac M <45.50 5 4 — — $27,270.12 $27,270.12 $27,270.12 2026-04-14
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 5 4 — — $27,259.89 $27,259.89 $27,259.89 2026-04-14
A0704 HCPCS Fracture Of Lower Extremity M <41.50 5 4 — — $27,145.63 $27,145.63 $27,145.63 2026-04-14
B0103 HCPCS Stroke M >=50.50 And M <63.50 5 4 — — $26,940.99 $26,940.99 $26,940.99 2026-04-14
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 5 4 — — $26,876.19 $26,876.19 $26,876.19 2026-04-14
D1103 HCPCS Amputation Non-lower Extremity M <52.50 5 4 — — $26,876.19 $26,876.19 $26,876.19 2026-04-14
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 5 4 — — $26,845.49 $26,845.49 $26,845.49 2026-04-14
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 5 4 — — $26,830.14 $26,830.14 $26,830.14 2026-04-14
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 5 4 — — $26,807.97 $26,807.97 $26,807.97 2026-04-14
A0604 HCPCS Neurological M <43.50 5 4 — — $26,767.05 $26,767.05 $26,767.05 2026-04-14
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 5 4 — — $26,606.74 $26,606.74 $26,606.74 2026-04-14
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 5 4 — — $26,562.41 $26,562.41 $26,562.41 2026-04-14
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 5 4 — — $26,521.48 $26,521.48 $26,521.48 2026-04-14
A2102 HCPCS Burns M <52.50 5 4 — — $26,388.46 $26,388.46 $26,388.46 2026-04-14
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 5 4 — — $26,339.01 $26,339.01 $26,339.01 2026-04-14
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 5 4 — — $26,337.30 $26,337.30 $26,337.30 2026-04-14
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 5 4 — — $26,310.01 $26,310.01 $26,310.01 2026-04-14
A0104 HCPCS Stroke M >=41.50 And M <50.50 5 4 — — $26,258.85 $26,258.85 $26,258.85 2026-04-14
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 5 4 — — $26,194.05 $26,194.05 $26,194.05 2026-04-14
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 5 4 — — $26,120.72 $26,120.72 $26,120.72 2026-04-14
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 5 4 — — $25,999.64 $25,999.64 $25,999.64 2026-04-14
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 5 4 — — $25,963.83 $25,963.83 $25,963.83 2026-04-14
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 5 4 — — $25,948.48 $25,948.48 $25,948.48 2026-04-14
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 5 4 — — $25,861.51 $25,861.51 $25,861.51 2026-04-14
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 5 4 — — $25,774.54 $25,774.54 $25,774.54 2026-04-14
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 5 4 — — $25,752.37 $25,752.37 $25,752.37 2026-04-14
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 5 4 — — $25,614.23 $25,614.23 $25,614.23 2026-04-14
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 5 4 — — $25,520.44 $25,520.44 $25,520.44 2026-04-14
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 5 4 — — $25,459.05 $25,459.05 $25,459.05 2026-04-14
A1604 HCPCS Pain Syndrome M <43.50 5 4 — — $25,406.18 $25,406.18 $25,406.18 2026-04-14
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 5 4 — — $25,351.61 $25,351.61 $25,351.61 2026-04-14
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 5 4 — — $25,331.15 $25,331.15 $25,331.15 2026-04-14
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 5 4 — — $25,218.60 $25,218.60 $25,218.60 2026-04-14
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 5 4 — — $25,201.54 $25,201.54 $25,201.54 2026-04-14
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 5 4 — — $25,177.67 $25,177.67 $25,177.67 2026-04-14
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 5 4 — — $25,162.32 $25,162.32 $25,162.32 2026-04-14
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 5 4 — — $25,152.09 $25,152.09 $25,152.09 2026-04-14
A1404 HCPCS Cardiac M <45.50 5 4 — — $25,077.05 $25,077.05 $25,077.05 2026-04-14
A0904 HCPCS Other Orthopedic M <44.5 5 4 — — $25,025.89 $25,025.89 $25,025.89 2026-04-14
C0603 HCPCS Neurological M >=43.50 And M <52.50 5 4 — — $25,017.37 $25,017.37 $25,017.37 2026-04-14
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 5 4 — — $24,933.80 $24,933.80 $24,933.80 2026-04-14
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 5 4 — — $24,892.88 $24,892.88 $24,892.88 2026-04-14
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 5 4 — — $24,718.93 $24,718.93 $24,718.93 2026-04-14
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 5 4 — — $24,705.29 $24,705.29 $24,705.29 2026-04-14
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 5 4 — — $24,684.82 $24,684.82 $24,684.82 2026-04-14
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 5 4 — — $24,683.12 $24,683.12 $24,683.12 2026-04-14
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 5 4 — — $24,602.97 $24,602.97 $24,602.97 2026-04-14
B1402 HCPCS Cardiac M >=55.50 And M <68.50 5 4 — — $24,277.25 $24,277.25 $24,277.25 2026-04-14
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 5 4 — — $24,255.08 $24,255.08 $24,255.08 2026-04-14
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 5 4 — — $24,202.21 $24,202.21 $24,202.21 2026-04-14
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 5 4 — — $24,116.94 $24,116.94 $24,116.94 2026-04-14
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 5 4 — — $24,115.24 $24,115.24 $24,115.24 2026-04-14
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 5 4 — — $24,113.53 $24,113.53 $24,113.53 2026-04-14
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 5 4 — — $24,076.02 $24,076.02 $24,076.02 2026-04-14
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 5 4 — — $24,058.96 $24,058.96 $24,058.96 2026-04-14
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 5 4 — — $24,045.32 $24,045.32 $24,045.32 2026-04-14
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 5 4 — — $23,987.34 $23,987.34 $23,987.34 2026-04-14
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 5 4 — — $23,931.06 $23,931.06 $23,931.06 2026-04-14
C0103 HCPCS Stroke M >=50.50 And M <63.50 5 4 — — $23,924.24 $23,924.24 $23,924.24 2026-04-14
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 5 4 — — $23,695.72 $23,695.72 $23,695.72 2026-04-14
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 5 4 — — $23,675.26 $23,675.26 $23,675.26 2026-04-14
C1403 HCPCS Cardiac M >=45.50 And M <55.50 5 4 — — $23,637.74 $23,637.74 $23,637.74 2026-04-14
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 5 4 — — $23,637.74 $23,637.74 $23,637.74 2026-04-14
D0603 HCPCS Neurological M >=43.50 And M <52.50 5 4 — — $23,562.71 $23,562.71 $23,562.71 2026-04-14
A1103 HCPCS Amputation Non-lower Extremity M <52.50 5 4 — — $23,514.96 $23,514.96 $23,514.96 2026-04-14
C1902 HCPCS Guillain-barr? M >=51.50 And M <66.50 5 4 — — $23,508.14 $23,508.14 $23,508.14 2026-04-14
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 5 4 — — $23,409.23 $23,409.23 $23,409.23 2026-04-14
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 5 4 — — $23,366.59 $23,366.59 $23,366.59 2026-04-14
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 5 4 — — $23,356.36 $23,356.36 $23,356.36 2026-04-14
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 5 4 — — $23,103.97 $23,103.97 $23,103.97 2026-04-14
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 5 4 — — $23,063.04 $23,063.04 $23,063.04 2026-04-14
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 5 4 — — $23,052.81 $23,052.81 $23,052.81 2026-04-14
C2101 HCPCS Burns M >=52.50 5 4 — — $23,027.23 $23,027.23 $23,027.23 2026-04-14
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 5 4 — — $23,011.88 $23,011.88 $23,011.88 2026-04-14
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 5 4 — — $22,930.03 $22,930.03 $22,930.03 2026-04-14
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 5 4 — — $22,899.33 $22,899.33 $22,899.33 2026-04-14
B1901 HCPCS Guillain-barr? M >=66.50 5 4 — — $22,863.52 $22,863.52 $22,863.52 2026-04-14
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 5 4 — — $22,851.58 $22,851.58 $22,851.58 2026-04-14
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 5 4 — — $22,779.96 $22,779.96 $22,779.96 2026-04-14
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 5 4 — — $22,708.33 $22,708.33 $22,708.33 2026-04-14
B1201 HCPCS Osteoarthritis M >=61.50 5 4 — — $22,590.66 $22,590.66 $22,590.66 2026-04-14
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 5 4 — — $22,495.16 $22,495.16 $22,495.16 2026-04-14
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 5 4 — — $22,435.48 $22,435.48 $22,435.48 2026-04-14
B1501 HCPCS Pulmonary M >=68.50 5 4 — — $22,345.09 $22,345.09 $22,345.09 2026-04-14
B0601 HCPCS Neurological M >=64.50 5 4 — — $22,331.45 $22,331.45 $22,331.45 2026-04-14
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 5 4 — — $22,322.92 $22,322.92 $22,322.92 2026-04-14
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 5 4 — — $22,176.26 $22,176.26 $22,176.26 2026-04-14
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 5 4 — — $22,036.43 $22,036.43 $22,036.43 2026-04-14
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 5 4 — — $22,031.31 $22,031.31 $22,031.31 2026-04-14
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 5 4 — — $21,985.27 $21,985.27 $21,985.27 2026-04-14
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 5 4 — — $21,969.92 $21,969.92 $21,969.92 2026-04-14
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 5 4 — — $21,966.51 $21,966.51 $21,966.51 2026-04-14
D1403 HCPCS Cardiac M >=45.50 And M <55.50 5 4 — — $21,855.66 $21,855.66 $21,855.66 2026-04-14
C1101 HCPCS Amputation Non-lower Extremity M >=58.50 5 4 — — $21,835.20 $21,835.20 $21,835.20 2026-04-14
D0103 HCPCS Stroke M >=50.50 And M <63.50 5 4 — — $21,674.89 $21,674.89 $21,674.89 2026-04-14
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 5 4 — — $21,569.16 $21,569.16 $21,569.16 2026-04-14
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 5 4 — — $21,553.82 $21,553.82 $21,553.82 2026-04-14
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 5 4 — — $21,543.58 $21,543.58 $21,543.58 2026-04-14
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 5 4 — — $21,456.61 $21,456.61 $21,456.61 2026-04-14
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 5 4 — — $21,413.98 $21,413.98 $21,413.98 2026-04-14
B1301 HCPCS Rheumatoid Other Arthritis M >=62.50 5 4 — — $21,362.82 $21,362.82 $21,362.82 2026-04-14
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 5 4 — — $21,347.47 $21,347.47 $21,347.47 2026-04-14
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 5 4 — — $21,313.36 $21,313.36 $21,313.36 2026-04-14
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 5 4 — — $21,298.01 $21,298.01 $21,298.01 2026-04-14
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 5 4 — — $21,226.39 $21,226.39 $21,226.39 2026-04-14
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 5 4 — — $21,217.86 $21,217.86 $21,217.86 2026-04-14
A0603 HCPCS Neurological M >=43.50 And M <52.50 5 4 — — $21,165.00 $21,165.00 $21,165.00 2026-04-14
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 5 4 — — $21,154.76 $21,154.76 $21,154.76 2026-04-14
B0901 HCPCS Other Orthopedic M >=63.50 5 4 — — $21,120.66 $21,120.66 $21,120.66 2026-04-14
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 5 4 — — $21,081.44 $21,081.44 $21,081.44 2026-04-14
C0602 HCPCS Neurological M >=52.50 And M <64.50 5 4 — — $21,038.80 $21,038.80 $21,038.80 2026-04-14
B0102 HCPCS Stroke M >=63.50 And M <72.50 5 4 — — $20,985.94 $20,985.94 $20,985.94 2026-04-14
B1001 HCPCS Amputation Lower Extremity M >=64.50 5 4 — — $20,956.95 $20,956.95 $20,956.95 2026-04-14
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 5 4 — — $20,941.60 $20,941.60 $20,941.60 2026-04-14
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 5 4 — — $20,922.84 $20,922.84 $20,922.84 2026-04-14
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 5 4 — — $20,875.09 $20,875.09 $20,875.09 2026-04-14
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 5 4 — — $20,859.74 $20,859.74 $20,859.74 2026-04-14
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 5 4 — — $20,783.00 $20,783.00 $20,783.00 2026-04-14
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 5 4 — — $20,677.27 $20,677.27 $20,677.27 2026-04-14
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 5 4 — — $20,675.56 $20,675.56 $20,675.56 2026-04-14
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 5 4 — — $20,574.95 $20,574.95 $20,574.95 2026-04-14
A0103 HCPCS Stroke M >=50.50 And M <63.50 5 4 — — $20,559.60 $20,559.60 $20,559.60 2026-04-14
A1902 HCPCS Guillain-barr? M >=51.50 And M <66.50 5 4 — — $20,441.93 $20,441.93 $20,441.93 2026-04-14
D1902 HCPCS Guillain-barr? M >=51.50 And M <66.50 5 4 — — $20,436.82 $20,436.82 $20,436.82 2026-04-14
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 5 4 — — $20,395.89 $20,395.89 $20,395.89 2026-04-14
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 5 4 — — $20,360.08 $20,360.08 $20,360.08 2026-04-14
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 5 4 — — $20,322.56 $20,322.56 $20,322.56 2026-04-14
B2001 HCPCS Miscellaneous M >=66.50 5 4 — — $20,266.28 $20,266.28 $20,266.28 2026-04-14
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 5 4 — — $20,194.66 $20,194.66 $20,194.66 2026-04-14
C2002 HCPCS Miscellaneous M >=55.50 And M <66.50 5 4 — — $20,179.31 $20,179.31 $20,179.31 2026-04-14
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 5 4 — — $20,174.19 $20,174.19 $20,174.19 2026-04-14
A1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 5 4 — — $20,143.50 $20,143.50 $20,143.50 2026-04-14
A1403 HCPCS Cardiac M >=45.50 And M <55.50 5 4 — — $20,099.16 $20,099.16 $20,099.16 2026-04-14
B0801 HCPCS Replacement Of Lower-extremity Joint M >=63.50 5 4 — — $20,090.63 $20,090.63 $20,090.63 2026-04-14
A0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 5 4 — — $20,056.52 $20,056.52 $20,056.52 2026-04-14
C1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 5 4 — — $19,843.36 $19,843.36 $19,843.36 2026-04-14
D0602 HCPCS Neurological M >=52.50 And M <64.50 5 4 — — $19,814.37 $19,814.37 $19,814.37 2026-04-14
D0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 5 4 — — $19,812.66 $19,812.66 $19,812.66 2026-04-14
A1502 HCPCS Pulmonary M >=56.50 And M <68.50 5 4 — — $19,669.41 $19,669.41 $19,669.41 2026-04-14
D0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 5 4 — — $19,637.01 $19,637.01 $19,637.01 2026-04-14
C1402 HCPCS Cardiac M >=55.50 And M <68.50 5 4 — — $19,556.86 $19,556.86 $19,556.86 2026-04-14
D0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 5 4 — — $19,461.36 $19,461.36 $19,461.36 2026-04-14
A1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 5 4 — — $19,410.20 $19,410.20 $19,410.20 2026-04-14
C1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 5 4 — — $19,330.05 $19,330.05 $19,330.05 2026-04-14
C0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 5 4 — — $19,287.42 $19,287.42 $19,287.42 2026-04-14
D1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 5 4 — — $19,200.44 $19,200.44 $19,200.44 2026-04-14
D0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 5 4 — — $19,197.03 $19,197.03 $19,197.03 2026-04-14
D1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 5 4 — — $19,188.51 $19,188.51 $19,188.51 2026-04-14
B1801 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=67.50 5 4 — — $19,081.07 $19,081.07 $19,081.07 2026-04-14
B1401 HCPCS Cardiac M >=68.50 5 4 — — $19,057.19 $19,057.19 $19,057.19 2026-04-14
D0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 5 4 — — $18,973.63 $18,973.63 $18,973.63 2026-04-14
C0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 5 4 — — $18,884.95 $18,884.95 $18,884.95 2026-04-14
D1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 5 4 — — $18,838.91 $18,838.91 $18,838.91 2026-04-14
C0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 5 4 — — $18,794.57 $18,794.57 $18,794.57 2026-04-14
D1101 HCPCS Amputation Non-lower Extremity M >=58.50 5 4 — — $18,791.16 $18,791.16 $18,791.16 2026-04-14
A1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 5 4 — — $18,775.81 $18,775.81 $18,775.81 2026-04-14
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 5 4 — — $18,774.11 $18,774.11 $18,774.11 2026-04-14
D2002 HCPCS Miscellaneous M >=55.50 And M <66.50 5 4 — — $18,765.58 $18,765.58 $18,765.58 2026-04-14
C0102 HCPCS Stroke M >=63.50 And M <72.50 5 4 — — $18,635.97 $18,635.97 $18,635.97 2026-04-14
D0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 5 4 — — $18,388.70 $18,388.70 $18,388.70 2026-04-14
A0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 5 4 — — $18,259.09 $18,259.09 $18,259.09 2026-04-14
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