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Hospital

Baptist Memorial Rehabilitation Hospital

Germantown, TN · CCN 443034 · Rates published

18,505 distinct procedures filed
10 distinct payers
250,800 rate rows
2026-03-16 last MRF observed
Data quality

125,385 of 250,800 rate rows are consumer-grade (50.0%)

125,415 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
per-diem day rate — not a per-procedure price 125,385
placeholder amount (≤ $0.02) — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.baptistrehab.com/docs/zirfbaptistmemorialrehabilitationhospitallibraries/mar2026/461613457_baptist-memorial-rehabilitation-hospital_standardcharges.csv.zip
Found on page https://www.baptistrehab.com/patient-experience/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 236aa840609f6eb4… · 1,600,716 bytes · first seen 2026-05-18

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
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 $52,247.88 $83,819.84 $73,147.03 nat. median
$86,320
0.8× median
C0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 $47,016.81 $68,512.29 $65,823.53 nat. median
$71,021
0.9× median
B1904
OTHER 		Guillain-barr� M <38.50 5 $45,972.35 $78,472.00 $64,361.29 nat. median
$80,609
0.8× median
D0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 $45,485.94 $66,709.34 $63,680.32 nat. median
$68,708
0.9× median
B1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 $42,879.21 $66,420.86 $60,030.89 nat. median
$68,402
0.9× median
A0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 5 $41,325.72 $60,364.78 $57,856.01 nat. median
$62,810
0.9× median
74080530
CDM 		Occ/emb Non Hemorr Art 5 $53,714.22 $56,399.93 $55,057.07 nat. median
$55,326
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 5 $53,714.22 $56,399.93 $55,057.07 nat. median
$55,326
1.0× median
74080529
CDM 		Occ/emb Non Hemorr Venous 5 $53,714.22 $56,399.93 $55,057.07 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 5 $53,714.22 $56,399.93 $55,057.07 nat. median
$55,326
1.0× median
B0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 $38,492.75 $61,208.01 $53,889.85 nat. median
$62,870
0.9× median
B0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 5 $38,026.45 $57,772.23 $53,237.03 nat. median
$59,495
0.9× median
B0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 $37,190.64 $58,739.35 $52,066.89 nat. median
$60,491
0.9× median
B0106
OTHER 		Stroke M <41.50 And A <84.50 5 $36,402.58 $52,378.15 $50,963.61 nat. median
$54,065
0.9× median
C1904
OTHER 		Guillain-barr� M <38.50 5 $35,428.51 $55,458.90 $49,599.91 nat. median
$57,113
0.9× median
C0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 $34,637.94 $50,029.69 $48,493.12 nat. median
$51,880
0.9× median
C1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 $34,591.44 $54,338.29 $48,428.01 nat. median
$55,837
0.9× median
74080268
CDM 		Insert Tips 5 $45,988.74 $48,288.18 $47,138.46 nat. median
$47,368
1.0× median
D0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 $33,511.79 $48,713.07 $46,916.51 nat. median
$50,515
0.9× median
C0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 $33,466.54 $48,012.23 $46,853.16 nat. median
$49,743
0.9× median
D1904
OTHER 		Guillain-barr� M <38.50 5 $33,035.44 $48,211.94 $46,249.62 nat. median
$49,901
0.9× median
B0205
OTHER 		Traumatic Brain Injury M <35.50 5 $32,957.51 $50,386.58 $46,140.52 nat. median
$51,964
0.9× median
B1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 5 $32,801.66 $47,259.61 $45,922.33 nat. median
$48,669
0.9× median
74080483
CDM 		Revise Tips 5 $44,794.32 $47,034.04 $45,914.18 nat. median
$46,138
1.0× median
D1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 $32,608.11 $49,987.16 $45,651.35 nat. median
$51,478
0.9× median
D0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 $32,376.84 $46,749.24 $45,327.58 nat. median
$48,434
0.9× median
A1904
OTHER 		Guillain-barr� M <38.50 5 $32,335.37 $48,226.74 $45,269.51 nat. median
$50,010
0.9× median
B0105
OTHER 		Stroke M <41.50 And A >=84.50 5 $32,014.87 $46,499.60 $44,820.81 nat. median
$47,979
0.9× median
C0106
OTHER 		Stroke M <41.50 And A <84.50 5 $31,583.76 $46,512.54 $44,217.26 nat. median
$47,971
0.9× median
B1903
OTHER 		Guillain-barr� M >=38.50 And M <51.50 5 $31,444.25 $51,031.95 $44,021.95 nat. median
$52,554
0.8× median
B0604
OTHER 		Neurological M <43.50 5 $31,235.61 $45,301.33 $43,729.85 nat. median
$46,755
0.9× median
A0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 5 $30,446.30 $44,080.86 $42,624.82 nat. median
$45,990
0.9× median
B1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 5 $30,326.90 $45,844.99 $42,457.65 nat. median
$47,212
0.9× median
A1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 5 $30,221.32 $46,917.51 $42,309.85 nat. median
$48,628
0.9× median
B0405
OTHER 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 5 $30,134.60 $46,527.33 $42,188.43 nat. median
$47,915
0.9× median
B0305
OTHER 		Non-traumatic Brain Injury M <42.50 And A <78.50 5 $29,884.48 $43,823.83 $41,838.27 nat. median
$45,142
0.9× median
C0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 5 $29,494.85 $44,397.07 $41,292.79 nat. median
$45,787
0.9× median
A0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 5 $29,415.67 $42,303.80 $41,181.94 nat. median
$43,915
0.9× median
B0704
OTHER 		Fracture Of Lower Extremity M <41.50 5 $29,287.47 $42,420.30 $41,002.46 nat. median
$43,748
0.9× median
76085035
CDM 		Sm153 Lexidron To 150mci 5 $39,834.06 $41,825.76 $40,829.91 nat. median
$41,029
1.0× median
B2102
OTHER 		Burns M <52.50 5 $29,019.76 $47,063.60 $40,627.66 nat. median
$48,467
0.8× median
D0106
OTHER 		Stroke M <41.50 And A <84.50 5 $28,925.49 $42,141.07 $40,495.69 nat. median
$43,510
0.9× median
A5104
OTHER 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 5 $28,901.43 $41,868.18 $40,462.01 nat. median
$42,119
1.0× median
B1004
OTHER 		Amputation Lower Extremity M <47.50 5 $28,878.99 $43,703.63 $40,430.58 nat. median
$45,008
0.9× median
B1504
OTHER 		Pulmonary M <45.50 5 $28,261.87 $43,317.15 $39,566.61 nat. median
$44,609
0.9× median
B1704
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 5 $27,969.02 $40,595.15 $39,156.62 nat. median
$41,893
0.9× median
D0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 5 $27,869.72 $41,303.39 $39,017.61 nat. median
$42,599
0.9× median
B2005
OTHER 		Miscellaneous M <46.50 And A <77.50 5 $27,852.13 $40,900.27 $38,992.98 nat. median
$42,136
0.9× median
B1304
OTHER 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 5 $27,821.96 $42,368.52 $38,950.75 nat. median
$43,632
0.9× median
C0105
OTHER 		Stroke M <41.50 And A >=84.50 5 $27,776.72 $41,292.29 $38,887.40 nat. median
$42,585
0.9× median

Other procedures at this hospital

Browse this hospital's 18,505 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 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 10 5 $74,746.13 $74,746.13 $52,247.88 $83,819.84 $73,147.03 2026-03-16
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 10 5 $63,969.43 $63,969.43 $47,016.81 $68,512.29 $65,823.53 2026-03-16
B1904 OTHER Guillain-barr� M <38.50 10 5 $68,015.86 $68,015.86 $45,972.35 $78,472.00 $64,361.29 2026-03-16
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 10 5 $62,090.32 $62,090.32 $45,485.94 $66,709.34 $63,680.32 2026-03-16
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 10 5 $60,215.12 $60,215.12 $42,879.21 $66,420.86 $60,030.89 2026-03-16
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 10 5 $56,295.61 $56,295.61 $41,325.72 $60,364.78 $57,856.01 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 10 5 $55,057.07 $55,057.07 $53,714.22 $56,399.93 $55,057.07 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 10 5 $55,057.07 $55,057.07 $53,714.22 $56,399.93 $55,057.07 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 10 5 $55,057.07 $55,057.07 $53,714.22 $56,399.93 $55,057.07 2026-03-16
74080530 CDM Occ/emb Non Hemorr Art 10 5 $55,057.07 $55,057.07 $53,714.22 $56,399.93 $55,057.07 2026-03-16
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 10 5 $54,808.50 $54,808.50 $38,492.75 $61,208.01 $53,889.85 2026-03-16
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 10 5 $52,861.55 $52,861.55 $38,026.45 $57,772.23 $53,237.03 2026-03-16
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 10 5 $52,764.88 $52,764.88 $37,190.64 $58,739.35 $52,066.89 2026-03-16
B0106 OTHER Stroke M <41.50 And A <84.50 10 5 $49,210.36 $49,210.36 $36,402.58 $52,378.15 $50,963.61 2026-03-16
C1904 OTHER Guillain-barr� M <38.50 10 5 $50,028.01 $50,028.01 $35,428.51 $55,458.90 $49,599.91 2026-03-16
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 10 5 $46,915.62 $46,915.62 $34,637.94 $50,029.69 $48,493.12 2026-03-16
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 10 5 $48,936.33 $48,936.33 $34,591.44 $54,338.29 $48,428.01 2026-03-16
74080268 CDM Insert Tips 10 5 $47,138.46 $47,138.46 $45,988.74 $48,288.18 $47,138.46 2026-03-16
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 10 5 $45,537.90 $45,537.90 $33,511.79 $48,713.07 $46,916.51 2026-03-16
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 10 5 $45,173.99 $45,173.99 $33,466.54 $48,012.23 $46,853.16 2026-03-16
D1904 OTHER Guillain-barr� M <38.50 10 5 $44,981.69 $44,981.69 $33,035.44 $48,211.94 $46,249.62 2026-03-16
B0205 OTHER Traumatic Brain Injury M <35.50 10 5 $45,965.29 $45,965.29 $32,957.51 $50,386.58 $46,140.52 2026-03-16
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 10 5 $44,372.35 $44,372.35 $32,801.66 $47,259.61 $45,922.33 2026-03-16
74080483 CDM Revise Tips 10 5 $45,914.18 $45,914.18 $44,794.32 $47,034.04 $45,914.18 2026-03-16
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 10 5 $45,542.15 $45,542.15 $32,608.11 $49,987.16 $45,651.35 2026-03-16
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 10 5 $43,846.10 $43,846.10 $32,376.84 $46,749.24 $45,327.58 2026-03-16
A1904 OTHER Guillain-barr� M <38.50 10 5 $44,522.02 $44,522.02 $32,335.37 $48,226.74 $45,269.51 2026-03-16
B0105 OTHER Stroke M <41.50 And A >=84.50 10 5 $43,485.91 $43,485.91 $32,014.87 $46,499.60 $44,820.81 2026-03-16
C0106 OTHER Stroke M <41.50 And A <84.50 10 5 $43,204.67 $43,204.67 $31,583.76 $46,512.54 $44,217.26 2026-03-16
B1903 OTHER Guillain-barr� M >=38.50 And M <51.50 10 5 $45,263.76 $45,263.76 $31,444.25 $51,031.95 $44,021.95 2026-03-16
B0604 OTHER Neurological M <43.50 10 5 $42,395.80 $42,395.80 $31,235.61 $45,301.33 $43,729.85 2026-03-16
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 10 5 $41,288.41 $41,288.41 $30,446.30 $44,080.86 $42,624.82 2026-03-16
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 10 5 $42,048.88 $42,048.88 $30,326.90 $45,844.99 $42,457.65 2026-03-16
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 10 5 $42,489.22 $42,489.22 $30,221.32 $46,917.51 $42,309.85 2026-03-16
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 10 5 $42,245.60 $42,245.60 $30,134.60 $46,527.33 $42,188.43 2026-03-16
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 10 5 $40,791.48 $40,791.48 $29,884.48 $43,823.83 $41,838.27 2026-03-16
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 10 5 $40,804.70 $40,804.70 $29,494.85 $44,397.07 $41,292.79 2026-03-16
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 10 5 $39,755.11 $39,755.11 $29,415.67 $42,303.80 $41,181.94 2026-03-16
B0704 OTHER Fracture Of Lower Extremity M <41.50 10 5 $39,725.12 $39,725.12 $29,287.47 $42,420.30 $41,002.46 2026-03-16
76085035 CDM Sm153 Lexidron To 150mci 10 5 $40,829.91 $40,829.91 $39,834.06 $41,825.76 $40,829.91 2026-03-16
B2102 OTHER Burns M <52.50 10 5 $41,757.74 $41,757.74 $29,019.76 $47,063.60 $40,627.66 2026-03-16
D0106 OTHER Stroke M <41.50 And A <84.50 10 5 $39,350.83 $39,350.83 $28,925.49 $42,141.07 $40,495.69 2026-03-16
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 10 5 $39,204.85 $39,204.85 $28,901.43 $41,868.18 $40,462.01 2026-03-16
B1004 OTHER Amputation Lower Extremity M <47.50 10 5 $40,063.91 $40,063.91 $28,878.99 $43,703.63 $40,430.58 2026-03-16
B1504 OTHER Pulmonary M <45.50 10 5 $39,468.46 $39,468.46 $28,261.87 $43,317.15 $39,566.61 2026-03-16
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 10 5 $37,977.04 $37,977.04 $27,969.02 $40,595.15 $39,156.62 2026-03-16
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 10 5 $38,248.10 $38,248.10 $27,869.72 $41,303.39 $39,017.61 2026-03-16
B2005 OTHER Miscellaneous M <46.50 And A <77.50 10 5 $38,044.40 $38,044.40 $27,852.13 $40,900.27 $38,992.98 2026-03-16
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 10 5 $38,723.46 $38,723.46 $27,821.96 $42,368.52 $38,950.75 2026-03-16
C0105 OTHER Stroke M <41.50 And A >=84.50 10 5 $38,180.81 $38,180.81 $27,776.72 $41,292.29 $38,887.40 2026-03-16
A0106 OTHER Stroke M <41.50 And A <84.50 10 5 $37,426.40 $37,426.40 $27,588.19 $39,971.97 $38,623.46 2026-03-16
B0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 10 5 $37,603.19 $37,603.19 $27,360.69 $40,661.72 $38,304.97 2026-03-16
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 10 5 $37,121.67 $37,121.67 $27,330.53 $39,692.75 $38,262.74 2026-03-16
C0205 OTHER Traumatic Brain Injury M <35.50 10 5 $37,286.88 $37,286.88 $27,314.19 $40,062.59 $38,239.87 2026-03-16
74080527 CDM Stnt Plc Transc Vein Ini 10 5 $38,103.25 $38,103.25 $37,173.90 $39,032.60 $38,103.25 2026-03-16
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 10 5 $37,156.57 $37,156.57 $27,158.34 $40,007.11 $38,021.67 2026-03-16
C0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 10 5 $36,187.59 $36,187.59 $27,116.86 $38,030.33 $37,963.61 2026-03-16
74080525 CDM Stnt Plc Transcth Art Ini 10 5 $37,944.33 $37,944.33 $37,018.86 $38,869.80 $37,944.33 2026-03-16
76085037 CDM Strontium Sr-89 Thera/mci 10 5 $37,940.15 $37,940.15 $37,014.78 $38,865.52 $37,940.15 2026-03-16
74080549 CDM Verteb Augm Ea Add W Imag 10 5 $37,846.06 $37,846.06 $36,922.98 $38,769.13 $37,846.06 2026-03-16
74080547 CDM Verteb Augm Thorac W Imag 10 5 $37,846.06 $37,846.06 $36,922.98 $38,769.13 $37,846.06 2026-03-16
74080548 CDM Verteb Augm Lumbar W Imag 10 5 $37,846.06 $37,846.06 $36,922.98 $38,769.13 $37,846.06 2026-03-16
B1404 OTHER Cardiac M <45.50 10 5 $36,826.85 $36,826.85 $26,884.34 $39,698.30 $37,638.08 2026-03-16
B0904 OTHER Other Orthopedic M <44.5 10 5 $37,667.79 $37,667.79 $26,806.42 $41,573.37 $37,528.98 2026-03-16
B1604 OTHER Pain Syndrome M <43.50 10 5 $37,046.18 $37,046.18 $26,481.64 $40,722.68 $37,074.30 2026-03-16
B2004 OTHER Miscellaneous M <46.50 And A >=77.50 10 5 $36,224.26 $36,224.26 $26,425.59 $39,075.12 $36,995.82 2026-03-16
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 10 5 $37,665.78 $37,665.78 $26,294.87 $42,285.30 $36,812.82 2026-03-16
D0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 10 5 $35,122.99 $35,122.99 $26,234.54 $37,029.92 $36,728.36 2026-03-16
B1203 OTHER Osteoarthritis M <49.50 And A >=74.50 10 5 $35,725.44 $35,725.44 $26,048.53 $38,555.50 $36,467.94 2026-03-16
B0805 OTHER Replacement Of Lower-extremity Joint M <42.50 10 5 $35,622.43 $35,622.43 $25,814.75 $38,666.45 $36,140.65 2026-03-16
B0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 10 5 $35,865.21 $35,865.21 $25,744.37 $39,274.83 $36,042.11 2026-03-16
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 10 5 $35,249.06 $35,249.06 $25,685.29 $38,063.62 $35,959.41 2026-03-16
C1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 10 5 $34,928.85 $34,928.85 $25,650.10 $37,440.44 $35,910.14 2026-03-16
B0104 OTHER Stroke M >=41.50 And M <50.50 10 5 $34,850.45 $34,850.45 $25,624.96 $37,311.00 $35,874.95 2026-03-16
D0105 OTHER Stroke M <41.50 And A >=84.50 10 5 $34,773.99 $34,773.99 $25,438.95 $37,410.85 $35,614.53 2026-03-16
B1103 OTHER Amputation Non-lower Extremity M <52.50 10 5 $33,824.51 $33,824.51 $25,186.32 $35,770.63 $35,260.84 2026-03-16
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 10 5 $34,886.35 $34,886.35 $25,034.24 $38,213.40 $35,047.93 2026-03-16
36224 CPT Place Cath Int Carotid Art Bi 10 5 $35,000.03 $35,000.03 $34,146.37 $35,853.69 $35,000.03 2026-03-16
B0603 OTHER Neurological M >=43.50 And M <52.50 10 5 $33,658.04 $33,658.04 $24,902.27 $35,818.71 $34,863.17 2026-03-16
D0205 OTHER Traumatic Brain Injury M <35.50 10 5 $33,975.21 $33,975.21 $24,819.31 $36,600.91 $34,747.04 2026-03-16
B1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 10 5 $33,276.90 $33,276.90 $24,716.25 $35,278.74 $34,602.75 2026-03-16
C1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 10 5 $34,170.35 $34,170.35 $24,466.13 $37,505.16 $34,252.59 2026-03-16
B0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 10 5 $33,541.50 $33,541.50 $24,418.37 $36,251.42 $34,185.72 2026-03-16
A0105 OTHER Stroke M <41.50 And A >=84.50 10 5 $33,073.88 $33,073.88 $24,263.78 $35,485.85 $33,969.29 2026-03-16
C1903 OTHER Guillain-barr� M >=38.50 And M <51.50 10 5 $33,329.43 $33,329.43 $24,232.36 $36,066.50 $33,925.30 2026-03-16
B0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 10 5 $32,340.58 $32,340.58 $23,972.19 $34,354.15 $33,561.06 2026-03-16
C0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 10 5 $32,506.01 $32,506.01 $23,949.56 $34,733.23 $33,529.39 2026-03-16
C1004 OTHER Amputation Lower Extremity M <47.50 10 5 $33,253.87 $33,253.87 $23,942.02 $36,314.29 $33,518.83 2026-03-16
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 10 5 $31,846.83 $31,846.83 $23,835.19 $33,509.07 $33,369.26 2026-03-16
D1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 10 5 $32,368.44 $32,368.44 $23,722.07 $34,762.82 $33,210.90 2026-03-16
C0604 OTHER Neurological M <43.50 10 5 $31,969.99 $31,969.99 $23,449.33 $34,307.92 $32,829.06 2026-03-16
B0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 10 5 $31,697.83 $31,697.83 $23,425.45 $33,769.81 $32,795.63 2026-03-16
A0205 OTHER Traumatic Brain Injury M <35.50 10 5 $31,960.93 $31,960.93 $23,378.95 $34,387.44 $32,730.52 2026-03-16
C1504 OTHER Pulmonary M <45.50 10 5 $31,979.51 $31,979.51 $23,091.12 $34,829.39 $32,327.57 2026-03-16
D1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 10 5 $31,804.38 $31,804.38 $23,062.22 $34,502.09 $32,287.10 2026-03-16
B0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 10 5 $31,543.76 $31,543.76 $23,009.43 $34,028.70 $32,213.20 2026-03-16
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 10 5 $33,307.59 $33,307.59 $22,903.85 $37,880.55 $32,065.39 2026-03-16
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 10 5 $30,844.07 $30,844.07 $22,895.05 $32,719.47 $32,053.07 2026-03-16
B1503 OTHER Pulmonary M >=45.50 And M <56.50 10 5 $31,681.31 $31,681.31 $22,848.55 $34,542.77 $31,987.97 2026-03-16
C0704 OTHER Fracture Of Lower Extremity M <41.50 10 5 $31,238.71 $31,238.71 $22,631.11 $33,917.74 $31,683.56 2026-03-16
B1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 10 5 $30,693.06 $30,693.06 $22,570.78 $32,856.31 $31,599.09 2026-03-16
D1903 OTHER Guillain-barr� M >=38.50 And M <51.50 10 5 $29,993.96 $29,993.96 $22,396.27 $31,632.53 $31,354.77 2026-03-16
B0903 OTHER Other Orthopedic M >=44.50 And M <51.50 10 5 $31,354.93 $31,354.93 $22,372.20 $34,524.28 $31,321.08 2026-03-16
C2102 OTHER Burns M <52.50 10 5 $33,705.11 $33,705.11 $22,295.53 $39,567.00 $31,213.74 2026-03-16
C2005 OTHER Miscellaneous M <46.50 And A <77.50 10 5 $30,476.42 $30,476.42 $22,285.47 $32,800.84 $31,199.66 2026-03-16
C1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 10 5 $30,981.29 $30,981.29 $22,276.68 $33,873.36 $31,187.35 2026-03-16
C0104 OTHER Stroke M >=41.50 And M <50.50 10 5 $30,600.58 $30,600.58 $22,233.94 $33,133.69 $31,127.52 2026-03-16
A1903 OTHER Guillain-barr� M >=38.50 And M <51.50 10 5 $29,678.23 $29,678.23 $22,115.80 $31,362.17 $30,962.12 2026-03-16
B2003 OTHER Miscellaneous M >=46.50 And M <55.50 10 5 $29,993.82 $29,993.82 $22,105.74 $32,038.97 $30,948.04 2026-03-16
C1604 OTHER Pain Syndrome M <43.50 10 5 $30,502.16 $30,502.16 $22,020.27 $33,226.15 $30,828.38 2026-03-16
D0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 10 5 $30,089.69 $30,089.69 $22,005.19 $32,381.07 $30,807.27 2026-03-16
B1403 OTHER Cardiac M >=45.50 And M <55.50 10 5 $29,813.61 $29,813.61 $21,992.62 $31,818.92 $30,789.67 2026-03-16
B1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 10 5 $30,258.33 $30,258.33 $21,939.84 $32,826.73 $30,715.77 2026-03-16
D0604 OTHER Neurological M <43.50 10 5 $29,974.19 $29,974.19 $21,879.51 $32,314.50 $30,631.31 2026-03-16
C1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 10 5 $29,895.24 $29,895.24 $21,870.71 $32,161.02 $30,618.99 2026-03-16
D1004 OTHER Amputation Lower Extremity M <47.50 10 5 $30,262.24 $30,262.24 $21,850.60 $32,959.87 $30,590.84 2026-03-16
D1504 OTHER Pulmonary M <45.50 10 5 $30,070.85 $30,070.85 $21,807.86 $32,617.77 $30,531.01 2026-03-16
C0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 10 5 $29,608.28 $29,608.28 $21,763.87 $31,707.97 $30,469.42 2026-03-16
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 10 5 $29,602.50 $29,602.50 $21,545.18 $32,001.99 $30,163.25 2026-03-16
C0904 OTHER Other Orthopedic M <44.5 10 5 $29,356.90 $29,356.90 $21,542.67 $31,489.77 $30,159.73 2026-03-16
B0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 10 5 $29,140.50 $29,140.50 $21,536.38 $31,044.11 $30,150.93 2026-03-16
D0704 OTHER Fracture Of Lower Extremity M <41.50 10 5 $29,636.68 $29,636.68 $21,445.89 $32,212.80 $30,024.24 2026-03-16
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 10 5 $29,669.94 $29,669.94 $21,374.25 $32,382.92 $29,923.94 2026-03-16
C0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 10 5 $29,094.44 $29,094.44 $21,336.54 $31,227.18 $29,871.16 2026-03-16
D2102 OTHER Burns M <52.50 10 5 $29,072.47 $29,072.47 $21,313.17 $31,213.74 $29,838.44 2026-03-16
D1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 10 5 $28,975.26 $28,975.26 $21,293.81 $31,036.71 $29,811.33 2026-03-16
C1404 OTHER Cardiac M <45.50 10 5 $29,386.64 $29,386.64 $21,237.25 $31,979.80 $29,732.15 2026-03-16
C0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 10 5 $29,027.88 $29,027.88 $21,222.17 $31,247.52 $29,711.03 2026-03-16
C0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 10 5 $28,758.50 $28,758.50 $21,165.24 $30,761.52 $29,631.33 2026-03-16
C2004 OTHER Miscellaneous M <46.50 And A >=77.50 10 5 $29,018.20 $29,018.20 $21,144.24 $31,336.28 $29,601.94 2026-03-16
B0602 OTHER Neurological M >=52.50 And M <64.50 10 5 $28,439.67 $28,439.67 $21,144.24 $30,121.37 $29,601.94 2026-03-16
C1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 10 5 $30,134.26 $30,134.26 $21,055.00 $33,804.94 $29,477.00 2026-03-16
B1902 OTHER Guillain-barr� M >=51.50 And M <66.50 10 5 $31,128.28 $31,128.28 $20,929.32 $36,068.35 $29,301.04 2026-03-16
C1204 OTHER Osteoarthritis M <49.50 And A <74.50 10 5 $28,944.15 $28,944.15 $20,912.98 $31,504.56 $29,278.17 2026-03-16
C0805 OTHER Replacement Of Lower-extremity Joint M <42.50 10 5 $29,435.35 $29,435.35 $20,891.61 $32,565.99 $29,248.25 2026-03-16
D2005 OTHER Miscellaneous M <46.50 And A <77.50 10 5 $28,414.98 $28,414.98 $20,833.79 $30,504.15 $29,167.31 2026-03-16
B1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 10 5 $28,182.03 $28,182.03 $20,796.09 $30,067.74 $29,114.52 2026-03-16
B0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 10 5 $29,017.87 $29,017.87 $20,764.67 $31,867.00 $29,070.53 2026-03-16
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 10 5 $28,270.65 $28,270.65 $20,753.35 $30,313.68 $29,054.70 2026-03-16
D0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 10 5 $27,910.13 $27,910.13 $20,607.84 $29,760.30 $28,850.98 2026-03-16
D1103 OTHER Amputation Non-lower Extremity M <52.50 10 5 $27,476.97 $27,476.97 $20,398.92 $29,143.15 $28,558.49 2026-03-16
C1103 OTHER Amputation Non-lower Extremity M <52.50 10 5 $29,725.05 $29,725.05 $20,398.92 $33,864.12 $28,558.49 2026-03-16
A1504 OTHER Pulmonary M <45.50 10 5 $28,423.89 $28,423.89 $20,363.73 $31,180.95 $28,509.22 2026-03-16
D0104 OTHER Stroke M >=41.50 And M <50.50 10 5 $27,870.06 $27,870.06 $20,362.47 $30,019.66 $28,507.46 2026-03-16
36226 CPT Place Cath Vertebral Art Bi 10 5 $28,345.53 $28,345.53 $27,654.17 $29,036.88 $28,345.53 2026-03-16
B1603 OTHER Pain Syndrome M >=43.50 And M <58.50 10 5 $29,111.27 $29,111.27 $20,231.40 $32,809.71 $28,323.96 2026-03-16
D1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 10 5 $27,703.83 $27,703.83 $20,226.73 $29,860.63 $28,317.42 2026-03-16
B1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 10 5 $27,066.32 $27,066.32 $20,200.33 $28,558.81 $28,280.47 2026-03-16
C1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 10 5 $28,351.19 $28,351.19 $20,196.56 $31,262.32 $28,275.19 2026-03-16
B1202 OTHER Osteoarthritis M >=49.50 And M <61.50 10 5 $27,143.18 $27,143.18 $20,141.26 $28,802.90 $28,197.77 2026-03-16
D1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 10 5 $28,166.07 $28,166.07 $20,124.92 $30,973.84 $28,174.89 2026-03-16
D0904 OTHER Other Orthopedic M <44.5 10 5 $27,559.58 $27,559.58 $20,092.24 $29,745.98 $28,129.14 2026-03-16
B0103 OTHER Stroke M >=50.50 And M <63.50 10 5 $27,296.76 $27,296.76 $20,078.42 $29,213.42 $28,109.79 2026-03-16
B0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 10 5 $27,693.98 $27,693.98 $20,075.90 $30,051.10 $28,106.27 2026-03-16
B1502 OTHER Pulmonary M >=56.50 And M <68.50 10 5 $27,488.99 $27,488.99 $20,070.88 $29,627.64 $28,099.23 2026-03-16
D0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 10 5 $27,210.49 $27,210.49 $20,052.02 $29,069.18 $28,072.83 2026-03-16
92218460 CDM Gamunex-c 1 Gm/10 Ml Sol 5 5 $27,997.20 $27,997.20 $27,997.20 $27,997.20 $27,997.20 2026-03-16
D0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 10 5 $27,407.80 $27,407.80 $19,997.98 $29,559.22 $27,997.17 2026-03-16
C1203 OTHER Osteoarthritis M <49.50 And A >=74.50 10 5 $27,859.99 $27,859.99 $19,932.62 $30,600.31 $27,905.67 2026-03-16
A0704 OTHER Fracture Of Lower Extremity M <41.50 10 5 $27,221.44 $27,221.44 $19,806.94 $29,435.32 $27,729.71 2026-03-16
D1604 OTHER Pain Syndrome M <43.50 10 5 $27,654.95 $27,654.95 $19,773.00 $30,393.20 $27,682.20 2026-03-16
D2004 OTHER Miscellaneous M <46.50 And A >=77.50 10 5 $27,055.50 $27,055.50 $19,766.72 $29,143.15 $27,673.40 2026-03-16
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 10 5 $26,592.00 $26,592.00 $19,750.38 $28,192.67 $27,650.53 2026-03-16
36901 CPT Intro Dial Graft 10 5 $27,644.89 $27,644.89 $26,970.62 $28,319.15 $27,644.89 2026-03-16
A0604 OTHER Neurological M <43.50 10 5 $26,981.55 $26,981.55 $19,740.32 $29,024.80 $27,636.45 2026-03-16
D1404 OTHER Cardiac M <45.50 10 5 $27,233.78 $27,233.78 $19,729.01 $29,570.31 $27,620.61 2026-03-16
D1204 OTHER Osteoarthritis M <49.50 And A <74.50 10 5 $26,431.90 $26,431.90 $19,537.97 $28,153.84 $27,353.15 2026-03-16
A1004 OTHER Amputation Lower Extremity M <47.50 10 5 $27,591.10 $27,591.10 $19,526.65 $30,604.01 $27,337.32 2026-03-16
B0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 10 5 $26,342.20 $26,342.20 $19,482.66 $28,042.88 $27,275.73 2026-03-16
B0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 10 5 $26,551.89 $26,551.89 $19,427.36 $28,560.66 $27,198.31 2026-03-16
A0104 OTHER Stroke M >=41.50 And M <50.50 10 5 $26,506.31 $26,506.31 $19,421.08 $28,473.74 $27,189.51 2026-03-16
B0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 10 5 $27,900.42 $27,900.42 $19,416.05 $31,408.40 $27,182.47 2026-03-16
D0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 10 5 $26,510.10 $26,510.10 $19,387.14 $28,529.22 $27,142.00 2026-03-16
B1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 10 5 $26,441.85 $26,441.85 $19,374.57 $28,403.48 $27,124.40 2026-03-16
C1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 10 5 $26,193.39 $26,193.39 $19,326.81 $27,948.58 $27,057.54 2026-03-16
B1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 10 5 $25,968.47 $25,968.47 $19,233.81 $27,606.48 $26,927.33 2026-03-16
B0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 10 5 $25,816.24 $25,816.24 $19,204.90 $27,327.25 $26,886.86 2026-03-16
B2101 OTHER Burns M >=52.50 10 5 $26,852.99 $26,852.99 $19,065.39 $29,699.75 $26,691.54 2026-03-16
D1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 10 5 $26,386.36 $26,386.36 $19,037.73 $28,758.52 $26,652.83 2026-03-16
A2005 OTHER Miscellaneous M <46.50 And A <77.50 10 5 $25,943.97 $25,943.97 $18,969.86 $27,924.54 $26,557.81 2026-03-16
D0805 OTHER Replacement Of Lower-extremity Joint M <42.50 10 5 $26,491.65 $26,491.65 $18,944.73 $29,109.86 $26,522.62 2026-03-16
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 10 5 $25,750.48 $25,750.48 $18,859.26 $27,673.05 $26,402.96 2026-03-16
A2102 OTHER Burns M <52.50 10 5 $26,163.50 $26,163.50 $18,806.47 $28,614.28 $26,329.06 2026-03-16
C0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 10 5 $25,260.31 $25,260.31 $18,772.54 $26,765.10 $26,281.55 2026-03-16
B0902 OTHER Other Orthopedic M >=51.50 And M <63.50 10 5 $26,350.51 $26,350.51 $18,744.88 $29,093.22 $26,242.84 2026-03-16
C1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 10 5 $25,476.29 $25,476.29 $18,713.46 $27,301.36 $26,198.85 2026-03-16
C0603 OTHER Neurological M >=43.50 And M <52.50 10 5 $25,380.95 $25,380.95 $18,694.61 $27,127.54 $26,172.45 2026-03-16
C1503 OTHER Pulmonary M >=45.50 And M <56.50 10 5 $25,671.55 $25,671.55 $18,668.22 $27,774.75 $26,135.50 2026-03-16
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 10 5 $25,842.47 $25,842.47 $18,665.70 $28,137.19 $26,131.98 2026-03-16
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 10 5 $25,307.97 $25,307.97 $18,647.71 $27,039.94 $26,106.79 2026-03-16
D1203 OTHER Osteoarthritis M <49.50 And A >=74.50 10 5 $25,436.26 $25,436.26 $18,621.71 $27,345.74 $26,070.40 2026-03-16
C0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 10 5 $25,429.02 $25,429.02 $18,523.68 $27,467.79 $25,933.15 2026-03-16
A0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 10 5 $25,077.36 $25,077.36 $18,480.94 $26,789.14 $25,873.32 2026-03-16
C1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 10 5 $25,059.25 $25,059.25 $18,469.63 $26,766.95 $25,857.48 2026-03-16
B2002 OTHER Miscellaneous M >=55.50 And M <66.50 10 5 $25,302.46 $25,302.46 $18,464.60 $27,284.72 $25,850.45 2026-03-16
A1604 OTHER Pain Syndrome M <43.50 10 5 $25,386.49 $25,386.49 $18,401.76 $27,549.15 $25,762.46 2026-03-16
A0904 OTHER Other Orthopedic M <44.5 10 5 $25,181.74 $25,181.74 $18,389.19 $27,136.78 $25,744.87 2026-03-16
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 10 5 $25,337.36 $25,337.36 $18,370.34 $27,489.98 $25,718.47 2026-03-16
A0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 10 5 $24,938.60 $24,938.60 $18,262.25 $26,803.93 $25,567.15 2026-03-16
A1103 OTHER Amputation Non-lower Extremity M <52.50 10 5 $25,398.68 $25,398.68 $18,213.15 $27,838.81 $25,498.41 2026-03-16
92220143 CDM Interferon Beta-1a30mcg/0.5ml 5 5 $25,431.33 $25,431.33 $25,431.33 $25,431.33 $25,431.33 2026-03-16
A1404 OTHER Cardiac M <45.50 10 5 $25,055.65 $25,055.65 $18,160.44 $27,192.26 $25,424.62 2026-03-16
74080481 CDM Revas Tib Pr Stnt Ath Ini 10 5 $25,383.69 $25,383.69 $24,764.58 $26,002.81 $25,383.69 2026-03-16
74080479 CDM Revas Tib Peron Stent Ini 10 5 $25,383.69 $25,383.69 $24,764.58 $26,002.81 $25,383.69 2026-03-16
74080478 CDM Revas Tib Peron Ather Ini 10 5 $25,383.69 $25,383.69 $24,764.58 $26,002.81 $25,383.69 2026-03-16
74080477 CDM Revas Tib Peron Ather Add 10 5 $25,383.69 $25,383.69 $24,764.58 $26,002.81 $25,383.69 2026-03-16
74080468 CDM Revas Fem Pop Atherectomy 10 5 $25,288.56 $25,288.56 $24,671.76 $25,905.35 $25,288.56 2026-03-16
74080469 CDM Revas Fem Pop Stent Ather 10 5 $25,288.56 $25,288.56 $24,671.76 $25,905.35 $25,288.56 2026-03-16
74080471 CDM Revas Femoral Poplt Stent 10 5 $25,288.56 $25,288.56 $24,671.76 $25,905.35 $25,288.56 2026-03-16
A2004 OTHER Miscellaneous M <46.50 And A >=77.50 10 5 $24,702.77 $24,702.77 $17,998.31 $26,678.19 $25,197.63 2026-03-16
C0903 OTHER Other Orthopedic M >=44.50 And M <51.50 10 5 $24,437.52 $24,437.52 $17,978.20 $26,149.32 $25,169.48 2026-03-16
B1402 OTHER Cardiac M >=55.50 And M <68.50 10 5 $24,505.25 $24,505.25 $17,954.32 $26,324.99 $25,136.04 2026-03-16
A1204 OTHER Osteoarthritis M <49.50 And A <74.50 10 5 $24,355.33 $24,355.33 $17,909.07 $26,073.50 $25,072.70 2026-03-16
D1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 10 5 $24,272.88 $24,272.88 $17,873.88 $25,949.61 $25,023.43 2026-03-16
C0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 10 5 $24,351.26 $24,351.26 $17,847.48 $26,151.17 $24,986.48 2026-03-16
B1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 10 5 $24,367.28 $24,367.28 $17,764.53 $26,300.95 $24,870.34 2026-03-16
C1603 OTHER Pain Syndrome M >=43.50 And M <58.50 10 5 $23,915.44 $23,915.44 $17,741.91 $25,383.76 $24,838.67 2026-03-16
C2003 OTHER Miscellaneous M >=46.50 And M <55.50 10 5 $24,027.35 $24,027.35 $17,687.86 $25,694.42 $24,763.01 2026-03-16
A0805 OTHER Replacement Of Lower-extremity Joint M <42.50 10 5 $24,755.05 $24,755.05 $17,651.41 $27,273.62 $24,711.98 2026-03-16
A1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 10 5 $24,617.01 $24,617.01 $17,645.13 $26,992.55 $24,703.18 2026-03-16
77020083 CDM Liver Tumor Ablat Rf Perc 10 5 $24,694.71 $24,694.71 $24,092.40 $25,297.02 $24,694.71 2026-03-16
D1503 OTHER Pulmonary M >=45.50 And M <56.50 10 5 $24,140.22 $24,140.22 $17,631.30 $26,010.63 $24,683.82 2026-03-16
C1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 10 5 $24,208.43 $24,208.43 $17,567.20 $26,243.63 $24,594.08 2026-03-16
D0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 10 5 $24,125.25 $24,125.25 $17,553.38 $26,088.30 $24,574.73 2026-03-16
C0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 10 5 $23,872.65 $23,872.65 $17,471.68 $25,672.23 $24,460.35 2026-03-16
D0603 OTHER Neurological M >=43.50 And M <52.50 10 5 $23,795.27 $23,795.27 $17,442.77 $25,550.18 $24,419.88 2026-03-16
C0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 10 5 $24,070.47 $24,070.47 $17,428.95 $26,147.47 $24,400.53 2026-03-16
C0103 OTHER Stroke M >=50.50 And M <63.50 10 5 $23,967.71 $23,967.71 $17,421.41 $25,942.21 $24,389.97 2026-03-16
D1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 10 5 $23,332.32 $23,332.32 $17,410.09 $24,623.74 $24,374.13 2026-03-16
C1403 OTHER Cardiac M >=45.50 And M <55.50 10 5 $23,787.09 $23,787.09 $17,372.39 $25,631.55 $24,321.34 2026-03-16
B0802 OTHER Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 10 5 $23,364.75 $23,364.75 $17,310.80 $24,830.85 $24,235.12 2026-03-16
D0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 10 5 $23,381.81 $23,381.81 $17,249.22 $24,952.90 $24,148.90 2026-03-16
C0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 10 5 $23,538.99 $23,538.99 $17,210.25 $25,337.53 $24,094.35 2026-03-16
D1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 10 5 $23,185.08 $23,185.08 $17,078.28 $24,779.07 $23,909.59 2026-03-16
A1203 OTHER Osteoarthritis M <49.50 And A >=74.50 10 5 $23,439.03 $23,439.03 $17,068.23 $25,326.43 $23,895.52 2026-03-16
76085057 CDM In111 Satumomab Dx To 6mc 10 5 $23,697.31 $23,697.31 $23,119.32 $24,275.29 $23,697.31 2026-03-16
D0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 10 5 $23,171.68 $23,171.68 $16,902.32 $24,997.28 $23,663.25 2026-03-16
D0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 10 5 $22,826.94 $22,826.94 $16,863.36 $24,327.87 $23,608.70 2026-03-16
D1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 10 5 $22,645.33 $22,645.33 $16,791.72 $24,046.80 $23,508.40 2026-03-16
92218223 CDM Soliris 10mg/ml Inj 5 5 $23,482.80 $23,482.80 $23,482.80 $23,482.80 $23,482.80 2026-03-16
74080582 CDM Pl St Bile Duct Cth Nw Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
74080659 CDM Plc Stent Bile Duct Ex Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
74080660 CDM Plc Stnt Bile Duct New Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
74080581 CDM Plc Stnt Bile Duct New Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
74080661 CDM Pl St Bile Duct Cth Nw Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
74080580 CDM Plc Stent Bile Duct Ex Ea 10 5 $23,480.89 $23,480.89 $22,908.18 $24,053.59 $23,480.89 2026-03-16
D0903 OTHER Other Orthopedic M >=44.50 And M <51.50 10 5 $22,941.13 $22,941.13 $16,767.84 $24,701.41 $23,474.97 2026-03-16
B1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 10 5 $22,769.78 $22,769.78 $16,731.39 $24,392.59 $23,423.94 2026-03-16
B1602 OTHER Pain Syndrome M >=58.50 And M <65.50 10 5 $23,593.75 $23,593.75 $16,706.06 $26,158.38 $23,388.49 2026-03-16
B0601 OTHER Neurological M >=64.50 10 5 $22,641.67 $22,641.67 $16,666.03 $24,215.07 $23,332.44 2026-03-16
B0202 OTHER Traumatic Brain Injury M >=61.50 And M <73.50 10 5 $23,286.86 $23,286.86 $16,622.04 $25,631.55 $23,270.86 2026-03-16
B1201 OTHER Osteoarthritis M >=61.50 10 5 $22,724.41 $22,724.41 $16,589.36 $24,496.15 $23,225.11 2026-03-16
D2003 OTHER Miscellaneous M >=46.50 And M <55.50 10 5 $22,402.19 $22,402.19 $16,535.32 $23,895.16 $23,149.44 2026-03-16
A1503 OTHER Pulmonary M >=45.50 And M <56.50 10 5 $22,815.85 $22,815.85 $16,463.67 $24,864.14 $23,049.14 2026-03-16
C1502 OTHER Pulmonary M >=56.50 And M <68.50 10 5 $22,277.35 $22,277.35 $16,399.57 $23,823.05 $22,959.40 2026-03-16
C1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 10 5 $23,781.81 $23,781.81 $16,360.61 $27,036.93 $22,904.86 2026-03-16
D1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 10 5 $21,986.33 $21,986.33 $16,360.61 $23,266.44 $22,904.86 2026-03-16
A0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 10 5 $21,968.40 $21,968.40 $16,266.35 $23,360.75 $22,772.89 2026-03-16
C1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 10 5 $22,183.42 $22,183.42 $16,261.32 $23,819.35 $22,765.85 2026-03-16
74080421 CDM Nephrostolithotm/pyel<2cm 10 5 $22,730.22 $22,730.22 $22,175.82 $23,284.61 $22,730.22 2026-03-16
A1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 10 5 $22,198.46 $22,198.46 $16,233.67 $23,889.62 $22,727.14 2026-03-16
A0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 10 5 $22,160.44 $22,160.44 $16,212.30 $23,839.69 $22,697.22 2026-03-16
76085056 CDM In-111 Pentetr Dx To 6mci 10 5 $22,667.49 $22,667.49 $22,114.62 $23,220.35 $22,667.49 2026-03-16
D1403 OTHER Cardiac M >=45.50 And M <55.50 10 5 $22,044.07 $22,044.07 $16,138.15 $23,699.15 $22,593.41 2026-03-16
A1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 10 5 $21,763.22 $21,763.22 $16,136.89 $23,111.11 $22,591.65 2026-03-16
C1902 OTHER Guillain-barr� M >=51.50 And M <66.50 10 5 $22,891.47 $22,891.47 $16,129.35 $25,491.01 $22,581.09 2026-03-16
B0501 OTHER Non-traumatic Spinal Cord Injury M >=60.50 10 5 $22,217.48 $22,217.48 $16,036.34 $24,205.83 $22,450.88 2026-03-16
D0103 OTHER Stroke M >=50.50 And M <63.50 10 5 $21,828.40 $21,828.40 $15,954.64 $23,503.14 $22,336.50 2026-03-16
C1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 10 5 $21,553.97 $21,553.97 $15,945.85 $22,939.14 $22,324.18 2026-03-16
D1603 OTHER Pain Syndrome M >=43.50 And M <58.50 10 5 $21,677.76 $21,677.76 $15,930.76 $23,220.21 $22,303.07 2026-03-16
C0602 OTHER Neurological M >=52.50 And M <64.50 10 5 $21,446.33 $21,446.33 $15,874.20 $22,813.39 $22,223.89 2026-03-16
B1501 OTHER Pulmonary M >=68.50 10 5 $22,116.65 $22,116.65 $15,867.92 $24,229.87 $22,215.09 2026-03-16
B1101 OTHER Amputation Non-lower Extremity M >=58.50 10 5 $22,451.33 $22,451.33 $15,813.88 $25,008.37 $22,139.43 2026-03-16
D0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 10 5 $21,666.17 $21,666.17 $15,805.08 $23,371.84 $22,127.11 2026-03-16
B0701 OTHER Fracture Of Lower Extremity M >=61.50 10 5 $21,331.98 $21,331.98 $15,792.51 $22,687.65 $22,109.51 2026-03-16
36907 CPT Pta Central Dial Seg Add On 10 5 $22,044.02 $22,044.02 $21,506.36 $22,581.68 $22,044.02 2026-03-16
A0603 OTHER Neurological M >=43.50 And M <52.50 10 5 $21,420.99 $21,420.99 $15,738.46 $22,950.23 $22,033.85 2026-03-16
D0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 10 5 $21,447.34 $21,447.34 $15,636.66 $23,148.09 $21,891.32 2026-03-16
76085053 CDM In-111 Capromab To 10mci 10 5 $21,850.95 $21,850.95 $21,318.00 $22,383.90 $21,850.95 2026-03-16
A1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 10 5 $20,784.60 $20,784.60 $15,575.07 $21,842.57 $21,805.10 2026-03-16
B0102 OTHER Stroke M >=63.50 And M <72.50 10 5 $21,219.60 $21,219.60 $15,575.07 $22,756.07 $21,805.10 2026-03-16
C0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 10 5 $21,379.07 $21,379.07 $15,572.56 $23,094.47 $21,801.58 2026-03-16
C0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 10 5 $21,158.18 $21,158.18 $15,568.79 $22,635.87 $21,796.30 2026-03-16
C0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 10 5 $21,321.97 $21,321.97 $15,542.39 $23,016.80 $21,759.35 2026-03-16
A0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 10 5 $21,036.71 $21,036.71 $15,541.14 $22,419.51 $21,757.59 2026-03-16
C1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 10 5 $21,155.65 $21,155.65 $15,513.48 $22,707.99 $21,718.88 2026-03-16
D1502 OTHER Pulmonary M >=56.50 And M <68.50 10 5 $20,949.57 $20,949.57 $15,488.35 $22,310.41 $21,683.69 2026-03-16
C1202 OTHER Osteoarthritis M >=49.50 And M <61.50 10 5 $21,159.99 $21,159.99 $15,411.68 $22,859.62 $21,576.35 2026-03-16
A0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 10 5 $21,008.64 $21,008.64 $15,356.38 $22,619.23 $21,498.93 2026-03-16
A0903 OTHER Other Orthopedic M >=44.50 And M <51.50 10 5 $20,962.31 $20,962.31 $15,346.32 $22,536.01 $21,484.85 2026-03-16
92214439 CDM Pegfilgrastim 6mg/0.6ml Sol 5 5 $21,384.00 $21,384.00 $21,384.00 $21,384.00 $21,384.00 2026-03-16
A1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 10 5 $21,130.72 $21,130.72 $15,262.11 $23,007.56 $21,366.96 2026-03-16
B0801 OTHER Replacement Of Lower-extremity Joint M >=63.50 10 5 $20,542.80 $20,542.80 $15,253.31 $21,785.24 $21,354.64 2026-03-16
A0103 OTHER Stroke M >=50.50 And M <63.50 10 5 $20,760.65 $20,760.65 $15,216.86 $22,293.77 $21,303.61 2026-03-16
B0401 OTHER Traumatic Spinal Cord Injury M >=56.50 10 5 $22,055.19 $22,055.19 $15,187.96 $25,052.75 $21,263.14 2026-03-16
B1001 OTHER Amputation Lower Extremity M >=64.50 10 5 $20,926.44 $20,926.44 $15,157.79 $22,724.63 $21,220.91 2026-03-16
C0902 OTHER Other Orthopedic M >=51.50 And M <63.50 10 5 $20,536.03 $20,536.03 $15,063.53 $22,036.73 $21,088.94 2026-03-16
A2003 OTHER Miscellaneous M >=46.50 And M <55.50 10 5 $20,454.40 $20,454.40 $15,055.99 $21,875.85 $21,078.38 2026-03-16
C0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 10 5 $20,713.33 $20,713.33 $15,054.73 $22,421.36 $21,076.62 2026-03-16
B0901 OTHER Other Orthopedic M >=63.50 10 5 $20,935.57 $20,935.57 $15,044.67 $22,902.15 $21,062.54 2026-03-16
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