|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
9
|
8
|
—
|
—
|
$3,691,450.00
|
$4,429,740.00
|
$3,876,022.50
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
9
|
7
|
—
|
—
|
$3,321,376.38
|
$4,982,064.57
|
$3,520,658.96
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
16
|
12
|
—
|
—
|
$2,479,853.20
|
$4,786,111.43
|
$2,975,150.34
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
19
|
12
|
—
|
—
|
$614,180.81
|
$2,193,693.82
|
$932,694.88
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
20
|
12
|
—
|
—
|
$494,384.00
|
$1,899,626.47
|
$824,366.14
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
18
|
11
|
—
|
—
|
$542,190.00
|
$2,101,950.12
|
$794,467.99
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
18
|
11
|
—
|
—
|
$499,938.24
|
$2,008,249.20
|
$759,052.12
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
18
|
11
|
—
|
—
|
$502,980.50
|
$1,999,392.17
|
$755,704.46
|
2026-04-01
|
|
0100T
|
HCPCS
|
Prosth Retina Receive&Gen
|
3
|
2
|
—
|
—
|
$7,277.00
|
$701,502.30
|
$693,877.28
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
33
|
14
|
—
|
—
|
$427,111.02
|
$1,489,353.03
|
$683,377.63
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
18
|
11
|
—
|
—
|
$489,290.60
|
$1,747,618.54
|
$660,542.31
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
42
|
14
|
—
|
—
|
$35,734.40
|
$1,149,849.05
|
$429,996.51
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
33
|
14
|
—
|
—
|
$211,517.37
|
$861,944.22
|
$338,427.79
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
41
|
14
|
—
|
—
|
$38,103.69
|
$853,577.76
|
$336,448.05
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
7
|
—
|
—
|
$192,690.23
|
$365,397.57
|
$244,533.42
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
14
|
—
|
—
|
$137,463.86
|
$562,769.64
|
$233,688.57
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
13
|
7
|
—
|
—
|
$161,156.12
|
$316,203.32
|
$212,195.01
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
33
|
14
|
—
|
—
|
$128,564.52
|
$474,809.08
|
$205,703.23
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
13
|
7
|
—
|
—
|
$149,213.48
|
$299,027.09
|
$199,256.15
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
33
|
14
|
—
|
—
|
$119,358.07
|
$476,008.10
|
$190,972.91
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
35
|
14
|
—
|
—
|
$102,497.52
|
$407,035.72
|
$184,495.54
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
13
|
7
|
—
|
—
|
$139,611.38
|
$267,784.56
|
$183,807.56
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
33
|
14
|
—
|
—
|
$112,582.85
|
$595,345.91
|
$180,132.56
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
13
|
7
|
—
|
—
|
$134,726.14
|
$261,083.49
|
$177,394.54
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
7
|
—
|
—
|
$128,201.26
|
$242,316.49
|
$165,487.15
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
17
|
12
|
—
|
—
|
$108,243.35
|
$386,617.04
|
$162,365.03
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
46
|
14
|
—
|
—
|
$50,858.37
|
$399,252.92
|
$150,794.06
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
39
|
14
|
—
|
—
|
$13,455.99
|
$419,897.01
|
$148,510.06
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
13
|
7
|
—
|
—
|
$109,843.20
|
$230,604.52
|
$148,091.05
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
13
|
—
|
—
|
$108,063.06
|
$739,298.73
|
$145,885.13
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
13
|
7
|
—
|
—
|
$106,454.47
|
$223,414.29
|
$143,522.35
|
2026-04-01
|
|
0312T
|
HCPCS
|
Laps Impltj Nstim Vagus
|
2
|
1
|
—
|
—
|
$136,566.89
|
$142,390.64
|
$139,478.77
|
2026-04-01
|
|
0427T
|
HCPCS
|
Insj/rplc Nstim Apnea Pls Gn
|
2
|
1
|
—
|
—
|
$136,566.89
|
$142,390.64
|
$139,478.77
|
2026-04-01
|
|
0431T
|
HCPCS
|
Rmvl/rplc Nstim Apnea Pls Gn
|
2
|
1
|
—
|
—
|
$136,566.89
|
$142,390.64
|
$139,478.77
|
2026-04-01
|
|
0316T
|
HCPCS
|
Replc Vagus Nerve Pls Gen
|
2
|
1
|
—
|
—
|
$136,566.89
|
$142,390.64
|
$139,478.77
|
2026-04-01
|
|
0424T
|
HCPCS
|
Insj/rplc Nstim Apnea Compl
|
2
|
1
|
—
|
—
|
$136,566.89
|
$142,390.64
|
$139,478.77
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
13
|
7
|
—
|
—
|
$105,675.69
|
$207,280.00
|
$139,143.68
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
7
|
4
|
—
|
—
|
$7,277.00
|
$168,751.88
|
$136,566.89
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
25
|
12
|
—
|
—
|
$7,277.00
|
$308,956.24
|
$134,751.86
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
33
|
14
|
—
|
—
|
$83,926.62
|
$346,622.63
|
$134,282.59
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
38
|
14
|
—
|
—
|
$81,226.52
|
$350,802.73
|
$133,863.90
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
33
|
13
|
—
|
—
|
$102,028.34
|
$402,535.36
|
$131,418.80
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
12
|
7
|
—
|
—
|
$100,777.82
|
$190,147.52
|
$127,172.02
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
46
|
14
|
—
|
—
|
$72,332.24
|
$411,092.15
|
$126,855.94
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
39
|
14
|
—
|
—
|
$75,276.60
|
$330,000.00
|
$121,884.35
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
33
|
14
|
—
|
—
|
$75,927.89
|
$295,121.77
|
$121,484.62
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
20
|
13
|
—
|
—
|
$112,454.47
|
$236,154.39
|
$121,450.83
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
14
|
—
|
—
|
$74,528.64
|
$381,549.30
|
$118,582.10
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
33
|
14
|
—
|
—
|
$71,511.79
|
$259,755.20
|
$114,418.86
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
33
|
14
|
—
|
—
|
$71,135.55
|
$288,008.72
|
$113,816.88
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
39
|
14
|
—
|
—
|
$26,704.26
|
$277,063.48
|
$110,296.66
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
38
|
14
|
—
|
—
|
$63,492.59
|
$276,923.48
|
$109,761.04
|
2026-04-01
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
7
|
4
|
—
|
—
|
$7,277.00
|
$142,390.64
|
$108,882.36
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
33
|
14
|
—
|
—
|
$67,151.00
|
$250,119.17
|
$107,441.60
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
33
|
14
|
—
|
—
|
$71,541.42
|
$289,676.45
|
$105,509.30
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
43
|
14
|
—
|
—
|
$8,885.92
|
$272,355.50
|
$104,979.95
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
33
|
14
|
—
|
—
|
$65,376.46
|
$223,737.51
|
$104,602.34
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
13
|
7
|
—
|
—
|
$79,266.77
|
$156,320.01
|
$103,800.23
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
28
|
13
|
—
|
—
|
$82,602.56
|
$303,025.56
|
$103,098.82
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
34
|
14
|
—
|
—
|
$60,549.57
|
$243,297.30
|
$102,934.27
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
25
|
12
|
—
|
—
|
$56,824.55
|
$241,029.35
|
$102,284.19
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
38
|
14
|
—
|
—
|
$11,893.37
|
$234,997.41
|
$99,547.28
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
14
|
—
|
—
|
$1,167.15
|
$242,960.75
|
$98,418.70
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
33
|
14
|
—
|
—
|
$61,129.23
|
$247,722.97
|
$97,806.77
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
19
|
11
|
—
|
—
|
$63,499.33
|
$229,599.62
|
$96,423.45
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
37
|
14
|
—
|
—
|
$8,119.67
|
$231,578.86
|
$96,021.38
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
39
|
14
|
—
|
—
|
$55,848.85
|
$258,335.45
|
$95,307.22
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
33
|
14
|
—
|
—
|
$59,373.46
|
$332,568.00
|
$94,997.54
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
27
|
13
|
—
|
—
|
$1,508.00
|
$334,683.37
|
$94,813.31
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
33
|
14
|
—
|
—
|
$59,237.18
|
$267,895.91
|
$94,779.49
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
41
|
14
|
—
|
—
|
$57,278.17
|
$300,000.00
|
$93,814.11
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
32
|
13
|
—
|
—
|
$49,923.42
|
$225,052.80
|
$92,994.68
|
2026-04-01
|
|
0426T
|
HCPCS
|
Insj/rplc Nstim Apnea Stm Ld
|
2
|
1
|
—
|
—
|
$90,420.48
|
$94,276.36
|
$92,348.42
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
23
|
11
|
—
|
—
|
$7,277.00
|
$216,346.47
|
$91,809.66
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
49
|
14
|
—
|
—
|
$54,833.93
|
$280,287.94
|
$91,799.01
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
38
|
14
|
—
|
—
|
$10,827.36
|
$226,353.22
|
$90,824.26
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
14
|
—
|
—
|
$46,173.52
|
$182,696.07
|
$90,816.08
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
23
|
12
|
—
|
—
|
$55,512.78
|
$200,978.89
|
$90,030.71
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
33
|
14
|
—
|
—
|
$56,026.83
|
$216,076.91
|
$89,642.93
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
25
|
12
|
—
|
—
|
$7,277.00
|
$216,346.47
|
$89,366.28
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
13
|
—
|
—
|
$68,861.96
|
$283,226.32
|
$88,399.14
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
33
|
14
|
—
|
—
|
$55,221.03
|
$241,863.13
|
$88,353.65
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
36
|
14
|
—
|
—
|
$3,482.82
|
$213,571.46
|
$88,294.14
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
34
|
14
|
—
|
—
|
$49,578.12
|
$240,689.94
|
$87,830.67
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
33
|
14
|
—
|
—
|
$54,702.59
|
$228,178.61
|
$87,524.14
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
33
|
14
|
—
|
—
|
$54,540.64
|
$199,696.06
|
$87,265.02
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
13
|
—
|
—
|
$47,332.46
|
$200,025.94
|
$87,107.91
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
33
|
14
|
—
|
—
|
$54,325.37
|
$219,293.86
|
$86,920.59
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
33
|
13
|
—
|
—
|
$8,634.66
|
$256,754.21
|
$85,312.90
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
13
|
7
|
—
|
—
|
$63,350.27
|
$125,757.53
|
$83,798.30
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
33
|
14
|
—
|
—
|
$52,084.73
|
$212,593.14
|
$83,335.57
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
33
|
14
|
—
|
—
|
$51,995.86
|
$217,106.92
|
$83,193.38
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
11
|
6
|
—
|
—
|
$65,656.17
|
$124,250.29
|
$83,014.52
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
46
|
14
|
—
|
—
|
$44,155.92
|
$270,000.00
|
$82,681.34
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
39
|
14
|
—
|
—
|
$19,094.59
|
$209,284.67
|
$82,079.69
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
46
|
14
|
—
|
—
|
$44,939.19
|
$199,115.43
|
$82,012.24
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
37
|
14
|
—
|
—
|
$49,194.79
|
$236,637.15
|
$81,938.36
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
23
|
11
|
—
|
—
|
$7,277.00
|
$216,346.47
|
$81,608.59
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
33
|
14
|
—
|
—
|
$49,931.98
|
$211,423.93
|
$79,891.17
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
45
|
14
|
—
|
—
|
$42,745.59
|
$229,313.85
|
$79,177.31
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
42
|
14
|
—
|
—
|
$47,337.51
|
$197,564.44
|
$79,120.14
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
18
|
11
|
—
|
—
|
$51,005.37
|
$216,346.47
|
$79,058.32
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
33
|
14
|
—
|
—
|
$49,283.20
|
$191,527.50
|
$78,853.12
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
33
|
14
|
—
|
—
|
$49,080.76
|
$201,378.29
|
$78,529.22
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
4
|
3
|
—
|
—
|
$22,559.94
|
$136,188.36
|
$78,370.01
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
28
|
13
|
—
|
—
|
$57,631.51
|
$217,553.81
|
$77,802.54
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
37
|
14
|
—
|
—
|
$46,622.30
|
$199,628.45
|
$77,383.71
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
48
|
14
|
—
|
—
|
$19,029.59
|
$225,565.79
|
$77,311.95
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
41
|
14
|
—
|
—
|
$31,154.33
|
$211,980.70
|
$77,070.93
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
32
|
14
|
—
|
—
|
$48,123.87
|
$226,655.46
|
$76,998.19
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
42
|
14
|
—
|
—
|
$38,834.50
|
$301,245.24
|
$76,733.62
|
2026-04-01
|
|
69715
|
HCPCS
|
Temple Bne Implnt W/Stimulat
|
2
|
1
|
—
|
—
|
$74,787.12
|
$77,976.33
|
$76,381.73
|
2026-04-01
|
|
G2170
|
HCPCS
|
Avf By Tissue W Thermal E
|
2
|
1
|
—
|
—
|
$74,758.46
|
$77,946.45
|
$76,352.46
|
2026-04-01
|
|
G2171
|
HCPCS
|
Avf Use Magnetic/art/ven
|
2
|
1
|
—
|
—
|
$74,758.46
|
$77,946.45
|
$76,352.46
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
43
|
14
|
—
|
—
|
$45,874.02
|
$222,626.86
|
$76,310.90
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
33
|
14
|
—
|
—
|
$47,107.74
|
$179,783.72
|
$75,372.38
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
14
|
—
|
—
|
$47,012.94
|
$183,514.05
|
$75,220.70
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
13
|
—
|
—
|
$55,647.63
|
$181,775.37
|
$75,124.30
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
33
|
14
|
—
|
—
|
$46,874.69
|
$200,614.72
|
$74,999.50
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
41
|
14
|
—
|
—
|
$33,621.85
|
$148,452.86
|
$74,924.28
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
33
|
14
|
—
|
—
|
$46,471.79
|
$186,771.13
|
$74,354.86
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
13
|
7
|
—
|
—
|
$55,914.01
|
$111,245.82
|
$74,128.45
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
32
|
14
|
—
|
—
|
$46,071.85
|
$194,319.29
|
$73,714.96
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
33
|
14
|
—
|
—
|
$45,956.32
|
$179,032.08
|
$73,530.11
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
31
|
13
|
—
|
—
|
$64,644.08
|
$224,762.12
|
$73,381.63
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
29
|
13
|
—
|
—
|
$45,023.70
|
$266,499.79
|
$73,328.41
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
34
|
14
|
—
|
—
|
$4,355.78
|
$215,460.49
|
$73,176.19
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
48
|
14
|
—
|
—
|
$43,126.58
|
$178,857.10
|
$72,928.13
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
33
|
14
|
—
|
—
|
$45,404.30
|
$204,706.95
|
$72,646.88
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
17
|
12
|
—
|
—
|
$48,155.50
|
$171,998.90
|
$72,233.25
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
38
|
14
|
—
|
—
|
$6,054.99
|
$173,858.14
|
$71,882.16
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
37
|
14
|
—
|
—
|
$42,858.53
|
$171,718.57
|
$71,604.08
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
25
|
12
|
—
|
—
|
$7,277.00
|
$161,951.70
|
$70,635.55
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
34
|
14
|
—
|
—
|
$42,172.22
|
$152,239.46
|
$70,508.63
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
33
|
14
|
—
|
—
|
$44,060.32
|
$171,316.90
|
$70,496.51
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
33
|
14
|
—
|
—
|
$43,073.81
|
$162,936.19
|
$68,918.10
|
2026-04-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
35
|
14
|
—
|
—
|
$9,165.94
|
$158,197.11
|
$68,482.02
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
34
|
14
|
—
|
—
|
$40,387.26
|
$171,607.21
|
$67,816.83
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
33
|
14
|
—
|
—
|
$42,314.42
|
$152,426.62
|
$67,703.07
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
34
|
14
|
—
|
—
|
$40,313.04
|
$167,256.48
|
$67,669.89
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
33
|
14
|
—
|
—
|
$42,122.85
|
$169,761.93
|
$67,396.56
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
17
|
12
|
—
|
—
|
$44,853.57
|
$160,205.27
|
$67,280.36
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
25
|
12
|
—
|
—
|
$7,277.00
|
$157,862.11
|
$67,243.77
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
25
|
12
|
—
|
—
|
$7,277.00
|
$157,862.11
|
$67,243.77
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
25
|
12
|
—
|
—
|
$7,277.00
|
$157,862.11
|
$67,243.77
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
25
|
12
|
—
|
—
|
$7,277.00
|
$154,175.10
|
$67,243.77
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
25
|
12
|
—
|
—
|
$7,277.00
|
$157,862.11
|
$67,243.77
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
25
|
12
|
—
|
—
|
$7,277.00
|
$157,862.11
|
$67,243.77
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
34
|
14
|
—
|
—
|
$36,289.12
|
$199,147.24
|
$67,017.36
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
33
|
14
|
—
|
—
|
$41,692.30
|
$166,469.06
|
$66,707.68
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
25
|
12
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$66,105.86
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
25
|
12
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$66,105.86
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
23
|
12
|
—
|
—
|
$41,173.43
|
$147,060.75
|
$65,877.48
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
31
|
14
|
—
|
—
|
$40,764.05
|
$154,057.15
|
$65,222.48
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
23
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$64,319.22
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
23
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$64,319.22
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
33
|
14
|
—
|
—
|
$40,024.41
|
$147,610.60
|
$64,039.06
|
2026-04-01
|
|
90288
|
HCPCS
|
Botulism Ig IV
|
1
|
1
|
—
|
—
|
$63,030.00
|
$63,030.00
|
$63,030.00
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
25
|
12
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$62,956.42
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
39
|
14
|
—
|
—
|
$35,630.81
|
$156,650.09
|
$62,898.30
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
33
|
14
|
—
|
—
|
$39,136.65
|
$157,206.32
|
$62,618.64
|
2026-04-01
|
|
341
|
MS_DRG
|
Appendectomy Without Complicated Principal Diagnosis With Mcc
|
13
|
7
|
—
|
—
|
$47,547.43
|
$92,359.53
|
$62,605.93
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
36
|
13
|
—
|
—
|
$46,289.10
|
$171,607.53
|
$62,490.28
|
2026-04-01
|
|
5231
|
OTHER
|
Level 1 Icd And Similar Procedures
|
6
|
4
|
—
|
—
|
$25,941.77
|
$67,820.96
|
$62,350.53
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
34
|
14
|
—
|
—
|
$31,309.28
|
$158,205.06
|
$62,247.34
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
33
|
14
|
—
|
—
|
$38,847.31
|
$142,770.82
|
$62,155.70
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
43
|
14
|
—
|
—
|
$30,802.02
|
$155,739.43
|
$62,131.10
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
38
|
14
|
—
|
—
|
$29,007.14
|
$153,699.23
|
$62,097.25
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
42
|
14
|
—
|
—
|
$31,618.72
|
$299,997.45
|
$61,930.67
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
34
|
14
|
—
|
—
|
$38,594.51
|
$157,015.97
|
$61,751.22
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
20
|
13
|
—
|
—
|
$57,037.04
|
$119,777.78
|
$61,600.00
|
2026-04-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
7
|
4
|
—
|
—
|
$7,277.00
|
$77,946.45
|
$61,485.61
|
2026-04-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
7
|
4
|
—
|
—
|
$7,277.00
|
$77,946.45
|
$61,485.61
|
2026-04-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
7
|
4
|
—
|
—
|
$7,277.00
|
$77,946.45
|
$61,485.61
|
2026-04-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
7
|
4
|
—
|
—
|
$7,277.00
|
$77,946.45
|
$61,485.61
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
25
|
12
|
—
|
—
|
$7,277.00
|
$140,886.23
|
$61,447.80
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
33
|
14
|
—
|
—
|
$37,841.05
|
$153,110.65
|
$60,545.68
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
35
|
14
|
—
|
—
|
$18,452.04
|
$119,963.97
|
$60,286.56
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
38
|
14
|
—
|
—
|
$37,591.21
|
$148,079.87
|
$60,145.94
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
33
|
14
|
—
|
—
|
$37,483.58
|
$146,326.06
|
$59,973.73
|
2026-04-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
36
|
14
|
—
|
—
|
$34,743.49
|
$143,183.16
|
$59,718.26
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
33
|
14
|
—
|
—
|
$37,276.20
|
$147,081.67
|
$59,641.92
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
24
|
12
|
—
|
—
|
$30,267.37
|
$128,383.33
|
$59,627.27
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
24
|
12
|
—
|
—
|
$30,267.37
|
$128,383.33
|
$59,627.27
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
24
|
12
|
—
|
—
|
$30,267.37
|
$128,383.33
|
$59,627.27
|
2026-04-01
|
|
0870T
|
HCPCS
|
Imp Subq Prtl Ascts Pmp Sys
|
19
|
11
|
—
|
—
|
$7,277.00
|
$168,270.01
|
$59,506.45
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
33
|
14
|
—
|
—
|
$36,953.29
|
$148,219.06
|
$59,125.26
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
33
|
14
|
—
|
—
|
$36,938.48
|
$137,998.43
|
$59,101.57
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
29
|
13
|
—
|
—
|
$7,202.47
|
$187,109.20
|
$58,642.32
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
33
|
14
|
—
|
—
|
$36,512.87
|
$134,204.47
|
$58,420.59
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
33
|
14
|
—
|
—
|
$36,485.22
|
$144,834.72
|
$58,376.35
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
33
|
14
|
—
|
—
|
$36,435.84
|
$165,498.69
|
$58,297.34
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
23
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$58,266.16
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
33
|
14
|
—
|
—
|
$36,411.15
|
$133,842.57
|
$58,257.84
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
21
|
11
|
—
|
—
|
$7,277.00
|
$154,175.10
|
$58,156.77
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
37
|
14
|
—
|
—
|
$13,799.64
|
$149,547.35
|
$58,156.72
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
33
|
14
|
—
|
—
|
$36,061.58
|
$152,076.66
|
$57,698.53
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
33
|
14
|
—
|
—
|
$35,979.62
|
$169,443.78
|
$57,567.39
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
33
|
14
|
—
|
—
|
$35,944.07
|
$155,635.98
|
$57,510.51
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
33
|
14
|
—
|
—
|
$35,891.73
|
$149,249.08
|
$57,426.77
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
33
|
14
|
—
|
—
|
$35,862.10
|
$144,293.86
|
$57,379.36
|
2026-04-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
33
|
14
|
—
|
—
|
$35,828.53
|
$143,760.96
|
$57,325.65
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
38
|
14
|
—
|
—
|
$28,740.74
|
$141,792.39
|
$57,279.82
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
43
|
14
|
—
|
—
|
$18,054.28
|
$209,964.95
|
$57,208.95
|
2026-04-01
|
|
C9752
|
HCPCS
|
Intraosseous Des Lumb/sacrum
|
2
|
1
|
—
|
—
|
$55,814.33
|
$58,194.47
|
$57,004.40
|
2026-04-01
|
|
69718
|
HCPCS
|
Revise Temple Bone Implant
|
2
|
1
|
—
|
—
|
$55,814.33
|
$58,194.47
|
$57,004.40
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
25
|
12
|
—
|
—
|
$7,277.00
|
$132,212.66
|
$56,877.28
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
33
|
14
|
—
|
—
|
$35,506.61
|
$142,273.60
|
$56,810.58
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
38
|
14
|
—
|
—
|
$20,634.29
|
$144,675.65
|
$56,696.82
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
33
|
14
|
—
|
—
|
$35,119.51
|
$157,731.81
|
$56,191.22
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
33
|
14
|
—
|
—
|
$34,961.51
|
$129,110.06
|
$55,938.42
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
34
|
14
|
—
|
—
|
$18,182.73
|
$133,580.09
|
$55,672.98
|
2026-04-01
|
|
C8007
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Ps Gn
|
18
|
11
|
—
|
—
|
$35,732.90
|
$151,566.13
|
$55,385.99
|
2026-04-01
|
|
C8011
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Rec
|
18
|
11
|
—
|
—
|
$35,732.90
|
$151,566.13
|
$55,385.99
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
18
|
11
|
—
|
—
|
$35,732.90
|
$151,566.13
|
$55,385.99
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
33
|
14
|
—
|
—
|
$34,536.88
|
$130,279.27
|
$55,259.01
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
34
|
14
|
—
|
—
|
$4,384.77
|
$139,847.69
|
$54,922.46
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
25
|
12
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$53,633.40
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
25
|
12
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$53,633.40
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
25
|
12
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$53,633.40
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
19
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$53,599.35
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
19
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$53,599.35
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
19
|
11
|
—
|
—
|
$7,277.00
|
$151,566.13
|
$53,599.35
|
2026-04-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
33
|
14
|
—
|
—
|
$33,301.52
|
$149,272.94
|
$53,282.43
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
34
|
14
|
—
|
—
|
$33,190.92
|
$130,346.87
|
$53,105.47
|
2026-04-01
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
11
|
6
|
—
|
—
|
$41,854.33
|
$78,472.19
|
$52,919.88
|
2026-04-01
|
|
1580
|
OTHER
|
New Technology - Level 43 ($40,001-$50,000)
|
1
|
1
|
—
|
—
|
$52,856.29
|
$52,856.29
|
$52,856.29
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
34
|
14
|
—
|
—
|
$17,437.66
|
$125,069.53
|
$52,258.59
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
35
|
14
|
—
|
—
|
$27,383.34
|
$128,076.06
|
$52,201.71
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
36
|
14
|
—
|
—
|
$33,669.86
|
$129,392.42
|
$52,188.29
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
33
|
14
|
—
|
—
|
$32,572.75
|
$126,668.24
|
$52,116.40
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
33
|
14
|
—
|
—
|
$32,549.05
|
$135,596.38
|
$52,078.48
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
33
|
14
|
—
|
—
|
$32,486.83
|
$119,859.79
|
$51,978.93
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
35
|
14
|
—
|
—
|
$10,496.97
|
$124,898.52
|
$51,443.31
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
46
|
14
|
—
|
—
|
$4,448.44
|
$130,704.80
|
$51,439.81
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
33
|
14
|
—
|
—
|
$32,121.46
|
$130,641.17
|
$51,394.34
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
36
|
14
|
—
|
—
|
$32,058.26
|
$192,593.31
|
$51,293.22
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
33
|
14
|
—
|
—
|
$31,933.84
|
$126,843.23
|
$51,094.14
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
33
|
14
|
—
|
—
|
$31,886.44
|
$127,594.86
|
$51,018.30
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
36
|
14
|
—
|
—
|
$4,395.87
|
$141,867.95
|
$50,844.38
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
34
|
14
|
—
|
—
|
$28,174.49
|
$125,992.17
|
$50,735.47
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
33
|
14
|
—
|
—
|
$31,503.29
|
$124,749.16
|
$50,405.26
|
2026-04-01
|
|
249
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
|
13
|
7
|
—
|
—
|
$38,237.90
|
$74,515.18
|
$50,348.02
|
2026-04-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
33
|
14
|
—
|
—
|
$31,439.10
|
$118,348.57
|
$50,302.56
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
23
|
11
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$50,273.47
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
23
|
11
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$50,273.47
|
2026-04-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
45
|
14
|
—
|
—
|
$4,201.80
|
$121,772.68
|
$50,215.66
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
34
|
13
|
—
|
—
|
$30,687.54
|
$169,643.38
|
$49,926.67
|
2026-04-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
34
|
14
|
—
|
—
|
$3,583.46
|
$116,813.48
|
$49,462.00
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
33
|
14
|
—
|
—
|
$30,873.26
|
$97,444.15
|
$49,397.22
|
2026-04-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
44
|
14
|
—
|
—
|
$4,201.80
|
$131,110.44
|
$49,139.96
|
2026-04-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
28
|
13
|
—
|
—
|
$36,294.63
|
$116,421.40
|
$48,997.75
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
32
|
13
|
—
|
—
|
$39,981.75
|
$162,009.13
|
$48,943.21
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
33
|
14
|
—
|
—
|
$30,508.87
|
$109,114.21
|
$48,814.19
|
2026-04-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
33
|
14
|
—
|
—
|
$30,504.92
|
$112,951.91
|
$48,807.87
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
33
|
14
|
—
|
—
|
$30,472.34
|
$102,751.17
|
$48,755.74
|
2026-04-01
|
|
37225
|
HCPCS
|
Fem/popl Revas W/ather
|
7
|
4
|
—
|
—
|
$7,277.00
|
$62,652.41
|
$48,452.47
|
2026-04-01
|
|
0398T
|
HCPCS
|
Mrgfus Strtctc Les Abltj
|
6
|
3
|
—
|
—
|
$36,282.65
|
$57,502.30
|
$48,217.86
|
2026-04-01
|
|
0617T
|
HCPCS
|
Insj Iris Prosth W/rmvl&insj
|
6
|
3
|
—
|
—
|
$17,907.97
|
$61,988.96
|
$48,070.63
|
2026-04-01
|
|
0618T
|
HCPCS
|
Insj Iris Prosth Sec Io Lens
|
6
|
3
|
—
|
—
|
$17,907.97
|
$61,988.96
|
$48,070.63
|
2026-04-01
|
|
0616T
|
HCPCS
|
Insertion Of Iris Prosthesis
|
6
|
3
|
—
|
—
|
$9,482.52
|
$61,988.96
|
$48,070.63
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
0409T
|
HCPCS
|
Insj/rplc Car Modulj Pls Gn
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
0414T
|
HCPCS
|
Rmvl & Rpl Car Modulj Pls Gn
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
0614T
|
HCPCS
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
25
|
12
|
—
|
—
|
$7,277.00
|
$111,066.03
|
$47,651.99
|
2026-04-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
44
|
14
|
—
|
—
|
$3,981.39
|
$121,442.60
|
$47,638.69
|
2026-04-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
33
|
14
|
—
|
—
|
$29,754.43
|
$108,811.96
|
$47,607.09
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
37
|
13
|
—
|
—
|
$37,393.14
|
$187,972.71
|
$47,586.50
|
2026-04-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
33
|
14
|
—
|
—
|
$29,724.80
|
$113,011.57
|
$47,559.68
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
36
|
14
|
—
|
—
|
$7,342.08
|
$122,723.16
|
$47,483.15
|
2026-04-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
33
|
14
|
—
|
—
|
$29,516.44
|
$111,603.74
|
$47,226.30
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
21
|
11
|
—
|
—
|
$7,277.00
|
$133,276.26
|
$47,131.38
|
2026-04-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
33
|
14
|
—
|
—
|
$29,440.40
|
$120,333.04
|
$47,104.64
|
2026-04-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
35
|
14
|
—
|
—
|
$26,151.04
|
$92,769.15
|
$47,071.87
|
2026-04-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
33
|
14
|
—
|
—
|
$29,338.69
|
$120,297.25
|
$46,941.90
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
33
|
14
|
—
|
—
|
$29,320.91
|
$114,570.51
|
$46,913.46
|
2026-04-01
|
|
0871T
|
HCPCS
|
Rplcmt Subq Prtl Ascites Pmp
|
19
|
11
|
—
|
—
|
$7,277.00
|
$132,212.66
|
$46,755.25
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
31
|
14
|
—
|
—
|
$29,194.51
|
$121,760.75
|
$46,711.22
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
34
|
14
|
—
|
—
|
$3,900.16
|
$108,493.32
|
$46,689.10
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
33
|
14
|
—
|
—
|
$29,139.21
|
$108,322.80
|
$46,622.74
|
2026-04-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
33
|
14
|
—
|
—
|
$29,024.66
|
$121,939.71
|
$46,439.46
|
2026-04-01
|
|
0796T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Ra
|
23
|
11
|
—
|
—
|
$7,277.00
|
$109,255.48
|
$46,364.10
|
2026-04-01
|
|
0823T
|
HCPCS
|
Tcat Ins 1chmbr Ldls Pm Ra
|
23
|
11
|
—
|
—
|
$7,277.00
|
$109,255.48
|
$46,364.10
|
2026-04-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
34
|
14
|
—
|
—
|
$28,830.13
|
$110,907.79
|
$46,128.21
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
53
|
15
|
—
|
—
|
$20,309.16
|
$165,410.07
|
$46,071.14
|
2026-04-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
13
|
7
|
—
|
—
|
$29,943.55
|
$67,070.42
|
$45,674.27
|
2026-04-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
34
|
14
|
—
|
—
|
$26,857.11
|
$101,395.04
|
$45,657.09
|
2026-04-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
32
|
14
|
—
|
—
|
$6,403.00
|
$158,248.80
|
$45,623.28
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
35
|
14
|
—
|
—
|
$31,318.78
|
$192,188.30
|
$45,554.62
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
33
|
14
|
—
|
—
|
$28,424.27
|
$117,473.65
|
$45,478.83
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
33
|
14
|
—
|
—
|
$28,324.53
|
$115,441.45
|
$45,319.25
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
33
|
14
|
—
|
—
|
$28,243.55
|
$105,014.02
|
$45,189.68
|
2026-04-01
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
13
|
7
|
—
|
—
|
$34,274.56
|
$67,503.90
|
$45,129.48
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
33
|
14
|
—
|
—
|
$28,053.95
|
$94,876.90
|
$44,886.32
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
34
|
14
|
—
|
—
|
$25,904.66
|
$114,980.13
|
$44,652.48
|
2026-04-01
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
7
|
4
|
—
|
—
|
$23,517.16
|
$52,276.49
|
$44,514.91
|
2026-04-01
|