|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
65
|
39
|
—
|
—
|
$2,359,475.45
|
$4,718,950.90
|
$3,539,213.17
|
2026-01-13
|
|
J3392
|
HCPCS
|
Injection, Exagamglogene Autotemcel, Per Treatment
|
65
|
39
|
—
|
—
|
$2,289,324.40
|
$4,578,648.80
|
$3,433,986.60
|
2026-01-13
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
25
|
22
|
—
|
—
|
$3,260,992.91
|
$4,565,390.07
|
$3,358,822.70
|
2026-01-13
|
|
J3394
|
HCPCS
|
Injection, Lovotibeglogene Autotemcel, Per Treatment
|
23
|
20
|
—
|
—
|
$3,134,568.10
|
$4,388,395.34
|
$3,228,605.14
|
2026-01-13
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
22
|
20
|
—
|
—
|
$3,642,107.00
|
$4,187,106.00
|
$3,685,266.67
|
2026-01-13
|
|
J3393
|
HCPCS
|
Injection, Betibeglogene Autotemcel, Per Treatment
|
23
|
20
|
—
|
—
|
$2,913,685.60
|
$4,079,159.84
|
$2,948,213.33
|
2026-01-13
|
|
J1414
|
HCPCS
|
Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
|
21
|
19
|
—
|
—
|
$3,642,107.00
|
$4,006,317.70
|
$3,710,000.00
|
2026-01-13
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
65
|
39
|
—
|
—
|
$448,400.09
|
$1,110,545.84
|
$779,472.96
|
2026-01-13
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
67
|
41
|
—
|
—
|
$530,100.00
|
$1,082,458.42
|
$806,279.21
|
2026-01-13
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
67
|
41
|
—
|
—
|
$478,230.00
|
$1,037,288.62
|
$757,759.31
|
2026-01-13
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
67
|
41
|
—
|
—
|
$467,742.00
|
$1,014,068.56
|
$740,905.28
|
2026-01-13
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
27
|
23
|
—
|
—
|
$1.80
|
$961,117.98
|
$494,975.76
|
2026-01-13
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
67
|
41
|
—
|
—
|
$454,860.00
|
$958,240.34
|
$706,550.17
|
2026-01-13
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
26
|
24
|
—
|
—
|
$232,187.23
|
$679,169.82
|
$256,627.99
|
2026-01-13
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
23
|
22
|
—
|
—
|
$173,424.39
|
$507,282.91
|
$191,679.59
|
2026-01-13
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
26
|
24
|
—
|
—
|
$146,054.68
|
$427,223.91
|
$161,428.86
|
2026-01-13
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
26
|
24
|
—
|
—
|
$131,948.41
|
$385,961.68
|
$145,837.71
|
2026-01-13
|
|
5834
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$269,033.23
|
$282,484.93
|
$269,033.23
|
2026-01-13
|
|
74
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$261,715.77
|
$274,801.60
|
$266,949.81
|
2026-01-13
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
26
|
24
|
—
|
—
|
$86,994.48
|
$254,467.17
|
$96,151.80
|
2026-01-13
|
|
5833
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$227,807.45
|
$239,197.85
|
$227,807.45
|
2026-01-13
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
25
|
23
|
—
|
—
|
$80,664.14
|
$235,950.32
|
$89,155.10
|
2026-01-13
|
|
7
|
MS_DRG
|
Lung Transplant
|
23
|
22
|
—
|
—
|
$80,460.97
|
$235,356.02
|
$88,930.55
|
2026-01-13
|
|
24
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$219,144.31
|
$230,101.56
|
$223,526.97
|
2026-01-13
|
|
Q0480
|
HCPCS
|
Dme Pos
|
65
|
39
|
—
|
—
|
$99,999.96
|
$199,999.92
|
$149,999.94
|
2026-01-13
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
23
|
22
|
—
|
—
|
$67,845.23
|
$198,453.78
|
$74,986.83
|
2026-01-13
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
26
|
24
|
—
|
—
|
$67,070.71
|
$196,188.25
|
$74,130.79
|
2026-01-13
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
23
|
22
|
—
|
—
|
$65,565.40
|
$191,785.04
|
$72,467.02
|
2026-01-13
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
28
|
24
|
—
|
—
|
$36,828.00
|
$190,801.75
|
$71,408.85
|
2026-01-13
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
24
|
—
|
—
|
$64,494.12
|
$188,651.48
|
$71,282.98
|
2026-01-13
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
65
|
39
|
—
|
—
|
$93,216.70
|
$186,433.40
|
$139,825.05
|
2026-01-13
|
|
5884
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$170,293.62
|
$178,808.32
|
$170,293.62
|
2026-01-13
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
27
|
—
|
—
|
$52,139.00
|
$173,806.66
|
$67,237.45
|
2026-01-13
|
|
1614
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$165,366.79
|
$173,635.15
|
$165,366.79
|
2026-01-13
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
26
|
24
|
—
|
—
|
$56,715.10
|
$165,897.11
|
$62,685.12
|
2026-01-13
|
|
94
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$154,922.64
|
$162,668.79
|
$154,922.64
|
2026-01-13
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
28
|
24
|
—
|
—
|
$36,883.69
|
$153,225.00
|
$41,154.44
|
2026-01-13
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
32
|
27
|
—
|
—
|
$52,139.00
|
$152,606.47
|
$59,036.10
|
2026-01-13
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
24
|
—
|
—
|
$52,142.51
|
$152,521.82
|
$57,631.19
|
2026-01-13
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
26
|
24
|
—
|
—
|
$51,350.76
|
$150,205.87
|
$56,756.10
|
2026-01-13
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
26
|
24
|
—
|
—
|
$49,629.95
|
$145,172.35
|
$54,854.15
|
2026-01-13
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
23
|
22
|
—
|
—
|
$49,087.55
|
$143,585.76
|
$54,254.66
|
2026-01-13
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
25
|
23
|
—
|
—
|
$48,806.18
|
$142,762.75
|
$53,943.68
|
2026-01-13
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
30
|
25
|
—
|
—
|
$48,123.40
|
$140,765.55
|
$53,189.02
|
2026-01-13
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
30
|
25
|
—
|
—
|
$47,637.64
|
$139,344.64
|
$53,153.57
|
2026-01-13
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
65
|
39
|
—
|
—
|
$67,452.66
|
$134,905.32
|
$101,178.99
|
2026-01-13
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
26
|
24
|
—
|
—
|
$45,955.01
|
$134,422.78
|
$50,792.37
|
2026-01-13
|
|
6304
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$126,709.80
|
$133,045.31
|
$126,709.80
|
2026-01-13
|
|
6094
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$125,586.93
|
$131,866.29
|
$125,586.93
|
2026-01-13
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
27
|
—
|
—
|
$39,759.50
|
$128,700.00
|
$45,618.79
|
2026-01-13
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
32
|
27
|
—
|
—
|
$37,609.57
|
$128,700.00
|
$43,152.03
|
2026-01-13
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
24
|
—
|
—
|
$43,729.35
|
$127,912.52
|
$48,332.43
|
2026-01-13
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
28
|
24
|
—
|
—
|
$43,509.55
|
$127,269.60
|
$48,547.51
|
2026-01-13
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
26
|
24
|
—
|
—
|
$42,829.24
|
$125,279.61
|
$47,337.58
|
2026-01-13
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$125,017.00
|
$125,017.00
|
$125,017.00
|
2026-01-13
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
67
|
41
|
—
|
—
|
$62,241.78
|
$124,483.56
|
$93,362.67
|
2026-01-13
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
26
|
24
|
—
|
—
|
$42,039.94
|
$122,970.85
|
$46,465.20
|
2026-01-13
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
26
|
24
|
—
|
—
|
$41,278.97
|
$120,744.94
|
$45,624.13
|
2026-01-13
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
26
|
24
|
—
|
—
|
$41,120.13
|
$120,280.31
|
$45,448.57
|
2026-01-13
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
29
|
24
|
—
|
—
|
$41,050.56
|
$120,076.81
|
$46,235.90
|
2026-01-13
|
|
5832
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$113,511.25
|
$119,186.83
|
$113,511.25
|
2026-01-13
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
26
|
24
|
—
|
—
|
$39,816.75
|
$116,467.80
|
$44,007.99
|
2026-01-13
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
30
|
25
|
—
|
—
|
$4,020.00
|
$116,120.06
|
$58,060.03
|
2026-01-13
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
28
|
24
|
—
|
—
|
$28,965.53
|
$115,051.00
|
$32,319.43
|
2026-01-13
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
26
|
24
|
—
|
—
|
$38,936.96
|
$113,894.32
|
$43,035.58
|
2026-01-13
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
65
|
39
|
—
|
—
|
$55,784.66
|
$112,929.99
|
$84,357.32
|
2026-01-13
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
30
|
26
|
—
|
—
|
$38,137.20
|
$111,554.95
|
$43,155.25
|
2026-01-13
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
28
|
24
|
—
|
—
|
$38,087.94
|
$111,410.88
|
$42,498.12
|
2026-01-13
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$111,175.00
|
$111,175.00
|
$111,175.00
|
2026-01-13
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
26
|
24
|
—
|
—
|
$37,914.33
|
$110,903.02
|
$41,905.31
|
2026-01-13
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
26
|
24
|
—
|
—
|
$37,781.96
|
$110,515.83
|
$41,759.00
|
2026-01-13
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
26
|
24
|
—
|
—
|
$37,429.79
|
$109,485.72
|
$41,369.77
|
2026-01-13
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
67
|
41
|
—
|
—
|
$52,916.50
|
$109,040.36
|
$80,978.43
|
2026-01-13
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
25
|
23
|
—
|
—
|
$37,161.36
|
$108,700.52
|
$41,073.08
|
2026-01-13
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
25
|
23
|
—
|
—
|
$37,161.36
|
$108,700.52
|
$41,073.08
|
2026-01-13
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
30
|
27
|
—
|
—
|
$36,628.19
|
$107,140.94
|
$41,447.69
|
2026-01-13
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
30
|
25
|
—
|
—
|
$32,610.31
|
$106,607.00
|
$36,901.13
|
2026-01-13
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
32
|
27
|
—
|
—
|
$30,680.79
|
$106,193.00
|
$35,202.18
|
2026-01-13
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
30
|
25
|
—
|
—
|
$36,227.39
|
$105,968.56
|
$40,422.14
|
2026-01-13
|
|
2004
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$100,163.22
|
$105,171.39
|
$100,163.22
|
2026-01-13
|
|
5831
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$99,948.91
|
$104,946.37
|
$99,948.91
|
2026-01-13
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
26
|
24
|
—
|
—
|
$35,846.28
|
$104,853.80
|
$39,619.58
|
2026-01-13
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
24
|
—
|
—
|
$35,335.89
|
$103,360.85
|
$39,055.45
|
2026-01-13
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
24
|
—
|
—
|
$35,124.71
|
$102,743.15
|
$38,822.05
|
2026-01-13
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
26
|
24
|
—
|
—
|
$34,321.26
|
$100,392.97
|
$37,934.02
|
2026-01-13
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
26
|
24
|
—
|
—
|
$34,030.05
|
$99,541.15
|
$37,612.16
|
2026-01-13
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
26
|
24
|
—
|
—
|
$34,030.05
|
$99,541.15
|
$37,612.16
|
2026-01-13
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
26
|
24
|
—
|
—
|
$33,887.21
|
$99,123.34
|
$37,454.29
|
2026-01-13
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
26
|
24
|
—
|
—
|
$33,680.35
|
$98,518.23
|
$37,225.65
|
2026-01-13
|
|
L7180
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$32,758.24
|
$98,053.24
|
$65,405.74
|
2026-01-13
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
23
|
22
|
—
|
—
|
$33,499.34
|
$97,988.77
|
$37,025.58
|
2026-01-13
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$97,964.00
|
$97,964.00
|
$97,964.00
|
2026-01-13
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
26
|
24
|
—
|
—
|
$33,423.00
|
$97,765.46
|
$36,941.21
|
2026-01-13
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
26
|
24
|
—
|
—
|
$33,252.45
|
$97,266.61
|
$36,752.71
|
2026-01-13
|
|
L7181
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$38,322.56
|
$97,256.52
|
$67,789.54
|
2026-01-13
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
26
|
24
|
—
|
—
|
$33,221.05
|
$97,174.76
|
$36,718.01
|
2026-01-13
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
26
|
24
|
—
|
—
|
$33,217.36
|
$97,163.96
|
$36,713.92
|
2026-01-13
|
|
73
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$92,349.50
|
$96,966.99
|
$94,196.39
|
2026-01-13
|
|
5883
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$91,373.98
|
$95,942.69
|
$91,373.98
|
2026-01-13
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
30
|
25
|
—
|
—
|
$32,754.99
|
$95,811.48
|
$37,064.87
|
2026-01-13
|
|
5882
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$90,956.35
|
$95,504.19
|
$90,956.35
|
2026-01-13
|
|
44
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$90,721.15
|
$95,257.22
|
$90,721.15
|
2026-01-13
|
|
8414
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$90,331.16
|
$94,847.73
|
$90,331.16
|
2026-01-13
|
|
6314
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$89,428.96
|
$93,900.42
|
$89,428.96
|
2026-01-13
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
23
|
22
|
—
|
—
|
$36,600.48
|
$93,803.00
|
$39,682.62
|
2026-01-13
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
27
|
24
|
—
|
—
|
$27,698.00
|
$92,748.15
|
$35,045.39
|
2026-01-13
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
29
|
24
|
—
|
—
|
$31,602.45
|
$92,440.20
|
$35,594.34
|
2026-01-13
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
26
|
24
|
—
|
—
|
$31,366.04
|
$91,748.65
|
$34,667.72
|
2026-01-13
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
26
|
24
|
—
|
—
|
$31,269.99
|
$91,467.71
|
$34,561.57
|
2026-01-13
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
1
|
1
|
—
|
—
|
$91,449.00
|
$91,449.00
|
$91,449.00
|
2026-01-13
|
|
8504
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$87,073.05
|
$91,426.72
|
$87,073.05
|
2026-01-13
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
24
|
—
|
—
|
$31,010.79
|
$90,709.53
|
$34,275.09
|
2026-01-13
|
|
5914
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$86,293.06
|
$90,607.73
|
$86,293.06
|
2026-01-13
|
|
1613
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$86,191.40
|
$90,500.98
|
$86,191.40
|
2026-01-13
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
26
|
24
|
—
|
—
|
$30,827.94
|
$90,174.66
|
$34,072.98
|
2026-01-13
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
24
|
—
|
—
|
$20,312.00
|
$90,104.43
|
$34,046.45
|
2026-01-13
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
26
|
24
|
—
|
—
|
$30,791.62
|
$90,068.41
|
$34,032.84
|
2026-01-13
|
|
5881
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$85,735.88
|
$90,022.68
|
$85,735.88
|
2026-01-13
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
30
|
26
|
—
|
—
|
$28,640.46
|
$89,043.00
|
$32,408.94
|
2026-01-13
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
67
|
41
|
—
|
—
|
$14,834.06
|
$88,867.02
|
$51,850.54
|
2026-01-13
|
|
266T
|
CPT
|
Implt/rpl Crtd Sns Dev Total
|
65
|
39
|
—
|
—
|
$6,159.00
|
$88,353.98
|
$47,256.49
|
2026-01-13
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
44
|
28
|
—
|
—
|
$2,922.00
|
$88,353.98
|
$43,424.99
|
2026-01-13
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
27
|
25
|
—
|
—
|
$30,086.67
|
$88,006.38
|
$33,253.69
|
2026-01-13
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
27
|
24
|
—
|
—
|
$13,850.00
|
$87,475.12
|
$33,052.95
|
2026-01-13
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
23
|
22
|
—
|
—
|
$29,855.18
|
$87,329.24
|
$32,997.83
|
2026-01-13
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
26
|
24
|
—
|
—
|
$29,401.43
|
$86,001.98
|
$32,496.31
|
2026-01-13
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
1
|
1
|
—
|
—
|
$85,916.00
|
$85,916.00
|
$85,916.00
|
2026-01-13
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
26
|
24
|
—
|
—
|
$29,273.98
|
$85,629.19
|
$32,355.46
|
2026-01-13
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
24
|
—
|
—
|
$29,268.45
|
$85,612.99
|
$32,349.33
|
2026-01-13
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
26
|
24
|
—
|
—
|
$28,810.38
|
$84,273.12
|
$31,843.06
|
2026-01-13
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
26
|
24
|
—
|
—
|
$28,377.56
|
$83,007.08
|
$31,364.68
|
2026-01-13
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
25
|
23
|
—
|
—
|
$28,365.87
|
$82,972.87
|
$31,351.75
|
2026-01-13
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
28
|
25
|
—
|
—
|
$28,275.36
|
$82,708.13
|
$31,549.36
|
2026-01-13
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
26
|
24
|
—
|
—
|
$28,271.05
|
$82,695.53
|
$31,246.95
|
2026-01-13
|
|
14
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$78,501.31
|
$82,426.38
|
$80,071.25
|
2026-01-13
|
|
84
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$78,186.76
|
$82,096.11
|
$78,186.76
|
2026-01-13
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
26
|
24
|
—
|
—
|
$27,776.67
|
$81,249.40
|
$30,700.53
|
2026-01-13
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
26
|
24
|
—
|
—
|
$27,611.05
|
$80,764.96
|
$30,517.47
|
2026-01-13
|
|
6814
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$76,797.51
|
$80,637.40
|
$76,797.51
|
2026-01-13
|
|
1604
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$76,754.65
|
$80,592.40
|
$76,754.65
|
2026-01-13
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
26
|
24
|
—
|
—
|
$27,534.71
|
$80,541.65
|
$30,433.10
|
2026-01-13
|
|
93
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$76,113.16
|
$79,918.83
|
$76,113.16
|
2026-01-13
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
26
|
24
|
—
|
—
|
$27,277.36
|
$79,788.87
|
$30,148.66
|
2026-01-13
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
28
|
24
|
—
|
—
|
$27,045.25
|
$79,109.94
|
$30,176.80
|
2026-01-13
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
53
|
32
|
—
|
—
|
$16,585.69
|
$78,986.40
|
$47,786.04
|
2026-01-13
|
|
2464
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$74,430.62
|
$78,152.16
|
$74,430.62
|
2026-01-13
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
26
|
24
|
—
|
—
|
$26,639.52
|
$77,923.14
|
$29,443.68
|
2026-01-13
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
24
|
—
|
—
|
$26,584.72
|
$77,762.86
|
$29,383.12
|
2026-01-13
|
|
6034
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$74,046.65
|
$77,748.99
|
$74,046.65
|
2026-01-13
|
|
L2006
|
HCPCS
|
Dme Pos
|
64
|
38
|
—
|
—
|
$38,750.60
|
$77,501.20
|
$58,125.90
|
2026-01-13
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
26
|
24
|
—
|
—
|
$26,262.73
|
$76,820.99
|
$29,027.23
|
2026-01-13
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
26
|
24
|
—
|
—
|
$26,223.94
|
$76,707.53
|
$28,984.36
|
2026-01-13
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
26
|
24
|
—
|
—
|
$26,038.01
|
$76,163.66
|
$28,778.85
|
2026-01-13
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
26
|
24
|
—
|
—
|
$25,800.36
|
$75,468.52
|
$28,516.18
|
2026-01-13
|
|
64
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$71,860.05
|
$75,453.07
|
$73,297.18
|
2026-01-13
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
26
|
24
|
—
|
—
|
$25,794.20
|
$75,450.51
|
$28,509.38
|
2026-01-13
|
|
5891
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$71,854.39
|
$75,447.12
|
$71,854.39
|
2026-01-13
|
|
5934
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$71,639.38
|
$75,221.35
|
$71,639.38
|
2026-01-13
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
29
|
24
|
—
|
—
|
$25,616.28
|
$74,930.05
|
$28,852.02
|
2026-01-13
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$74,258.00
|
$74,258.00
|
$74,258.00
|
2026-01-13
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
30
|
25
|
—
|
—
|
$25,317.05
|
$74,054.81
|
$28,648.25
|
2026-01-13
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
24
|
—
|
—
|
$25,302.90
|
$74,013.39
|
$27,966.36
|
2026-01-13
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
26
|
24
|
—
|
—
|
$25,265.34
|
$73,903.53
|
$27,924.84
|
2026-01-13
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
26
|
24
|
—
|
—
|
$25,140.97
|
$73,539.75
|
$27,787.39
|
2026-01-13
|
|
5892
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$69,641.58
|
$73,123.67
|
$69,641.58
|
2026-01-13
|
|
1624
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$66,955.54
|
$70,303.32
|
$66,955.54
|
2026-01-13
|
|
6024
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$65,856.75
|
$69,149.60
|
$65,856.75
|
2026-01-13
|
|
620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
65
|
39
|
—
|
—
|
$4,074.00
|
$68,719.98
|
$36,396.99
|
2026-01-13
|
|
5893
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$65,322.23
|
$68,588.36
|
$65,322.23
|
2026-01-13
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
65
|
39
|
—
|
—
|
$34,284.44
|
$68,568.88
|
$51,426.66
|
2026-01-13
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
23
|
22
|
—
|
—
|
$25,676.61
|
$65,806.32
|
$27,838.85
|
2026-01-13
|
|
6214
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$62,538.43
|
$65,665.36
|
$62,538.43
|
2026-01-13
|
|
72
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$62,048.54
|
$65,150.98
|
$63,289.45
|
2026-01-13
|
|
1612
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$61,958.22
|
$65,056.14
|
$61,958.22
|
2026-01-13
|
|
8634
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$60,299.76
|
$63,314.76
|
$60,299.76
|
2026-01-13
|
|
408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
64
|
38
|
—
|
—
|
$6,159.00
|
$62,949.70
|
$34,554.35
|
2026-01-13
|
|
915T
|
CPT
|
Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…
|
65
|
39
|
—
|
—
|
$4,074.00
|
$62,949.70
|
$33,511.85
|
2026-01-13
|
|
571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
27
|
22
|
—
|
—
|
$2,922.00
|
$62,949.70
|
$31,474.85
|
2026-01-13
|
|
6303
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$59,720.61
|
$62,706.65
|
$59,720.61
|
2026-01-13
|
|
1611
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$58,761.74
|
$61,699.84
|
$58,761.74
|
2026-01-13
|
|
4404
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$58,616.51
|
$61,547.35
|
$59,788.78
|
2026-01-13
|
|
54
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$58,348.72
|
$61,266.17
|
$58,348.72
|
2026-01-13
|
|
43
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$58,328.89
|
$61,245.34
|
$58,328.89
|
2026-01-13
|
|
268T
|
CPT
|
Implt/rpl Crtd Sns Dev Gen
|
65
|
39
|
—
|
—
|
$6,159.00
|
$59,831.84
|
$32,995.42
|
2026-01-13
|
|
674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
27
|
22
|
—
|
—
|
$952.00
|
$59,831.84
|
$29,915.92
|
2026-01-13
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
44
|
28
|
—
|
—
|
$2,922.00
|
$59,831.84
|
$29,915.92
|
2026-01-13
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
44
|
28
|
—
|
—
|
$4,020.00
|
$59,831.84
|
$29,915.92
|
2026-01-13
|
|
5913
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$56,823.81
|
$59,665.01
|
$56,823.81
|
2026-01-13
|
|
6804
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$56,823.81
|
$59,665.01
|
$56,823.81
|
2026-01-13
|
|
6084
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$56,662.64
|
$59,495.78
|
$56,662.64
|
2026-01-13
|
|
L5856
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$22,960.08
|
$58,269.02
|
$40,614.55
|
2026-01-13
|
|
4414
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$55,472.47
|
$58,246.10
|
$55,472.47
|
2026-01-13
|
|
L6880
|
HCPCS
|
Dme Pos
|
65
|
39
|
—
|
—
|
$28,996.90
|
$57,993.80
|
$43,495.35
|
2026-01-13
|
|
23
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$53,975.18
|
$56,673.95
|
$55,054.63
|
2026-01-13
|
|
33289
|
CPT
|
Tcat Impl Wrls P-art Prs Snr
|
65
|
39
|
—
|
—
|
$2,922.00
|
$55,816.18
|
$29,369.09
|
2026-01-13
|
|
83
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$52,848.41
|
$55,490.84
|
$52,848.41
|
2026-01-13
|
|
1784
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$51,956.13
|
$54,553.95
|
$51,956.13
|
2026-01-13
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
64
|
38
|
—
|
—
|
$4,074.00
|
$53,994.48
|
$29,034.24
|
2026-01-13
|
|
5933
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$51,166.23
|
$53,724.54
|
$51,166.23
|
2026-01-13
|
|
6114
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$51,107.43
|
$53,662.80
|
$51,107.43
|
2026-01-13
|
|
1674
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$50,881.43
|
$53,425.51
|
$50,881.43
|
2026-01-13
|
|
6904
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$50,424.49
|
$52,945.72
|
$50,424.49
|
2026-01-13
|
|
434
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$50,115.61
|
$52,621.40
|
$50,115.61
|
2026-01-13
|
|
92
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$50,059.29
|
$52,562.26
|
$50,059.29
|
2026-01-13
|
|
91
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$48,547.49
|
$50,974.87
|
$48,547.49
|
2026-01-13
|
|
6334
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$47,526.98
|
$49,903.34
|
$47,526.98
|
2026-01-13
|
|
3034
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$47,237.23
|
$49,599.10
|
$47,237.23
|
2026-01-13
|
|
5912
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$46,917.01
|
$49,262.87
|
$46,917.01
|
2026-01-13
|
|
6074
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$46,457.95
|
$48,780.85
|
$46,457.95
|
2026-01-13
|
|
63
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$46,438.82
|
$48,760.77
|
$47,367.55
|
2026-01-13
|
|
2204
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$44,270.29
|
$46,483.81
|
$44,270.29
|
2026-01-13
|
|
L6975
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$15,486.36
|
$46,354.38
|
$30,920.37
|
2026-01-13
|
|
6134
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$44,029.07
|
$46,230.53
|
$44,029.07
|
2026-01-13
|
|
4474
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$43,925.99
|
$46,122.30
|
$43,925.99
|
2026-01-13
|
|
L6970
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$15,403.68
|
$46,106.92
|
$30,755.30
|
2026-01-13
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
1
|
1
|
—
|
—
|
$45,687.00
|
$45,687.00
|
$45,687.00
|
2026-01-13
|
|
22
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$43,359.95
|
$45,527.95
|
$44,227.10
|
2026-01-13
|
|
Q0483
|
HCPCS
|
Dme Pos
|
65
|
39
|
—
|
—
|
$22,755.13
|
$45,510.26
|
$34,132.69
|
2026-01-13
|
|
234
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$43,275.29
|
$45,439.06
|
$43,275.29
|
2026-01-13
|
|
L6965
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$15,154.66
|
$45,361.54
|
$30,258.10
|
2026-01-13
|
|
9104
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$43,118.72
|
$45,274.67
|
$43,118.72
|
2026-01-13
|
|
A9699
|
HCPCS
|
Radiopharm Rx Agent Noc
|
49
|
28
|
—
|
—
|
$45,221.05
|
$45,221.05
|
$45,221.05
|
2026-01-13
|
|
L5858
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$17,775.58
|
$45,111.58
|
$31,443.58
|
2026-01-13
|
|
6023
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$42,562.96
|
$44,691.11
|
$42,562.96
|
2026-01-13
|
|
53
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$42,032.33
|
$44,133.96
|
$42,032.33
|
2026-01-13
|
|
62
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$42,003.29
|
$44,103.46
|
$42,843.31
|
2026-01-13
|
|
9504
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$41,838.58
|
$43,930.51
|
$41,838.58
|
2026-01-13
|
|
61
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$41,460.98
|
$43,534.03
|
$42,290.15
|
2026-01-13
|
|
71
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$40,743.33
|
$42,780.50
|
$41,558.15
|
2026-01-13
|
|
13
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$40,445.79
|
$42,468.08
|
$41,254.66
|
2026-01-13
|
|
6093
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$40,397.97
|
$42,417.87
|
$40,397.97
|
2026-01-13
|
|
264
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$40,373.53
|
$42,392.21
|
$40,373.53
|
2026-01-13
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
1
|
1
|
—
|
—
|
$42,255.00
|
$42,255.00
|
$42,255.00
|
2026-01-13
|
|
5932
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$40,199.25
|
$42,209.22
|
$40,199.25
|
2026-01-13
|
|
3033
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,960.86
|
$41,958.91
|
$39,960.86
|
2026-01-13
|
|
1824
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,928.63
|
$41,925.07
|
$39,928.63
|
2026-01-13
|
|
1634
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,904.90
|
$41,900.15
|
$39,904.90
|
2026-01-13
|
|
L5973
|
HCPCS
|
Dme Pos
|
67
|
41
|
—
|
—
|
$16,455.20
|
$41,760.68
|
$29,107.94
|
2026-01-13
|
|
7924
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,251.72
|
$41,214.31
|
$39,251.72
|
2026-01-13
|
|
3044
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,242.15
|
$41,204.27
|
$39,242.15
|
2026-01-13
|
|
2054
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,131.28
|
$41,087.85
|
$39,131.28
|
2026-01-13
|
|
6954
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,080.98
|
$41,035.04
|
$39,080.98
|
2026-01-13
|
|
8413
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$39,040.96
|
$40,993.01
|
$39,040.96
|
2026-01-13
|
|
52
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$38,384.94
|
$40,304.19
|
$38,384.94
|
2026-01-13
|
|
6514
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$38,256.36
|
$40,169.18
|
$38,256.36
|
2026-01-13
|
|
42
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$38,136.99
|
$40,043.84
|
$38,136.99
|
2026-01-13
|
|
6144
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,736.37
|
$39,623.19
|
$37,736.37
|
2026-01-13
|
|
1623
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,672.25
|
$39,555.87
|
$37,672.25
|
2026-01-13
|
|
214
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,582.99
|
$39,462.14
|
$37,582.99
|
2026-01-13
|
|
Q0489
|
HCPCS
|
Dme Pos
|
65
|
39
|
—
|
—
|
$19,727.48
|
$39,454.96
|
$29,591.22
|
2026-01-13
|
|
2304
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,447.32
|
$39,319.70
|
$37,447.32
|
2026-01-13
|
|
224
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,299.61
|
$39,164.60
|
$37,299.61
|
2026-01-13
|
|
4424
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$37,095.23
|
$38,950.00
|
$37,095.23
|
2026-01-13
|
|
9524
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$36,867.47
|
$38,710.85
|
$36,867.47
|
2026-01-13
|
|
9114
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$36,530.61
|
$38,357.14
|
$36,530.61
|
2026-01-13
|
|
4403
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$35,876.01
|
$37,669.81
|
$36,593.49
|
2026-01-13
|
|
3154
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,873.53
|
$37,667.21
|
$35,873.53
|
2026-01-13
|
|
1694
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,751.68
|
$37,539.27
|
$35,751.68
|
2026-01-13
|
|
1204
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,606.45
|
$37,386.78
|
$35,606.45
|
2026-01-13
|
|
4834
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,471.14
|
$37,244.70
|
$35,471.14
|
2026-01-13
|
|
894
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,090.71
|
$36,845.25
|
$35,090.71
|
2026-01-13
|
|
9124
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,044.30
|
$36,796.52
|
$35,044.30
|
2026-01-13
|
|
1304
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$35,035.45
|
$36,787.22
|
$35,035.45
|
2026-01-13
|
|
1654
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$34,513.68
|
$36,239.37
|
$34,513.68
|
2026-01-13
|
|
5911
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$33,827.56
|
$35,518.94
|
$33,827.56
|
2026-01-13
|
|
2604
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$33,643.01
|
$35,325.17
|
$33,643.01
|
2026-01-13
|
|
21
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$33,585.27
|
$35,264.54
|
$34,256.94
|
2026-01-13
|
|
1783
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$33,249.12
|
$34,911.58
|
$33,249.12
|
2026-01-13
|
|
1214
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$33,229.99
|
$34,891.50
|
$33,229.99
|
2026-01-13
|
|
6313
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$33,108.50
|
$34,763.93
|
$33,108.50
|
2026-01-13
|
|
6254
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,841.06
|
$34,483.12
|
$32,841.06
|
2026-01-13
|
|
6124
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,746.48
|
$34,383.81
|
$32,746.48
|
2026-01-13
|
|
1603
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,435.83
|
$34,057.63
|
$32,435.83
|
2026-01-13
|
|
2244
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,384.12
|
$34,003.33
|
$32,384.12
|
2026-01-13
|
|
6022
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,158.48
|
$33,766.41
|
$32,158.48
|
2026-01-13
|
|
3614
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$32,068.51
|
$33,671.94
|
$32,068.51
|
2026-01-13
|
|
914
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$31,896.00
|
$33,490.81
|
$31,896.00
|
2026-01-13
|
|
204
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$31,570.48
|
$33,149.01
|
$31,570.48
|
2026-01-13
|
|
51
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$31,355.82
|
$32,923.62
|
$31,355.82
|
2026-01-13
|
|
41
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$31,295.60
|
$32,860.39
|
$31,295.60
|
2026-01-13
|
|
12
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$31,066.07
|
$32,619.38
|
$31,687.36
|
2026-01-13
|
|
1814
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$31,053.32
|
$32,605.99
|
$31,053.32
|
2026-01-13
|
|
2274
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$30,958.39
|
$32,506.31
|
$30,958.39
|
2026-01-13
|
|
6604
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$30,856.73
|
$32,399.57
|
$30,856.73
|
2026-01-13
|
|
6234
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$30,850.35
|
$32,392.87
|
$30,850.35
|
2026-01-13
|
|
8424
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$30,815.64
|
$32,356.42
|
$30,815.64
|
2026-01-13
|
|
1834
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$30,029.98
|
$31,531.48
|
$30,029.98
|
2026-01-13
|
|
11
|
APR_DRG
|
—
|
15
|
6
|
—
|
—
|
$29,899.63
|
$31,394.61
|
$30,497.59
|
2026-01-13
|
|
2614
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$29,553.55
|
$31,031.24
|
$29,553.55
|
2026-01-13
|
|
6073
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$29,448.00
|
$30,920.40
|
$29,448.00
|
2026-01-13
|
|
1833
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$29,292.49
|
$30,757.12
|
$29,292.49
|
2026-01-13
|
|
9514
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$29,177.73
|
$30,636.62
|
$29,177.73
|
2026-01-13
|
|
3032
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,993.53
|
$30,443.21
|
$28,993.53
|
2026-01-13
|
|
504
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,700.59
|
$30,135.63
|
$28,700.59
|
2026-01-13
|
|
1782
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,536.59
|
$29,963.42
|
$28,536.59
|
2026-01-13
|
|
7104
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,488.06
|
$29,912.47
|
$28,488.06
|
2026-01-13
|
|
6033
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,237.98
|
$29,649.89
|
$28,237.98
|
2026-01-13
|
|
1622
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$28,130.30
|
$29,536.82
|
$28,130.30
|
2026-01-13
|
|
2234
|
APR_DRG
|
—
|
19
|
7
|
—
|
—
|
$27,805.84
|
$29,196.13
|
$27,805.84
|
2026-01-13
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
1
|
1
|
—
|
—
|
$28,568.00
|
$28,568.00
|
$28,568.00
|
2026-01-13
|