|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,635,800.00
|
$3,817,590.00
|
$3,744,874.00
|
2025-07-25
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
7
|
7
|
—
|
—
|
$3,611,561.33
|
$3,792,139.40
|
$3,719,908.17
|
2025-07-25
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
7
|
7
|
—
|
—
|
$3,256,023.83
|
$3,418,825.02
|
$3,353,704.54
|
2025-07-25
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
7
|
7
|
—
|
—
|
$3,220,280.00
|
$3,381,294.00
|
$3,316,888.40
|
2025-07-25
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
7
|
—
|
—
|
$2,889,249.07
|
$4,871,273.93
|
$2,975,926.54
|
2025-07-25
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
10
|
8
|
—
|
—
|
$2,374,668.61
|
$4,393,136.92
|
$2,457,782.00
|
2025-07-25
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
10
|
8
|
—
|
—
|
$2,285,360.00
|
$4,227,916.00
|
$2,365,347.60
|
2025-07-25
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
10
|
8
|
—
|
—
|
$755,207.60
|
$1,397,134.06
|
$781,639.86
|
2025-07-25
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
9
|
—
|
—
|
$567,195.70
|
$2,239,870.39
|
$761,878.92
|
2025-07-25
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
15
|
9
|
—
|
—
|
$517,070.01
|
$2,092,117.21
|
$711,472.00
|
2025-07-25
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
15
|
9
|
—
|
—
|
$479,611.17
|
$1,932,630.48
|
$697,625.99
|
2025-07-25
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
9
|
—
|
—
|
$492,783.91
|
$1,938,487.92
|
$695,932.84
|
2025-07-25
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
15
|
9
|
—
|
—
|
$506,113.44
|
$2,045,284.43
|
$695,868.80
|
2025-07-25
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
15
|
9
|
—
|
—
|
$542,105.91
|
$1,141,190.82
|
$683,634.74
|
2025-07-25
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
13
|
—
|
—
|
$312,084.29
|
$838,976.53
|
$536,843.11
|
2025-07-25
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
24
|
14
|
—
|
—
|
$233,237.08
|
$626,646.07
|
$392,135.26
|
2025-07-25
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$370,091.82
|
$388,596.41
|
$381,194.58
|
2025-07-25
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
23
|
13
|
—
|
—
|
$188,246.71
|
$527,784.85
|
$331,320.51
|
2025-07-25
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$297,312.57
|
$312,178.20
|
$306,231.95
|
2025-07-25
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
24
|
14
|
—
|
—
|
$177,585.13
|
$476,779.09
|
$303,530.23
|
2025-07-25
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$293,157.25
|
$307,815.11
|
$301,951.96
|
2025-07-25
|
|
C9301
|
HCPCS
|
Apc
|
10
|
8
|
—
|
—
|
$272,685.00
|
$504,467.25
|
$282,228.97
|
2025-07-25
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$226,973.98
|
$238,322.68
|
$233,783.20
|
2025-07-25
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$204,328.26
|
$214,544.67
|
$210,458.11
|
2025-07-25
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$201,730.93
|
$211,817.48
|
$207,782.86
|
2025-07-25
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$200,152.16
|
$210,159.77
|
$206,156.72
|
2025-07-25
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$196,069.19
|
$205,872.65
|
$201,951.27
|
2025-07-25
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
24
|
14
|
—
|
—
|
$115,227.47
|
$314,344.22
|
$200,400.94
|
2025-07-25
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$178,697.44
|
$187,632.31
|
$184,058.36
|
2025-07-25
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$176,480.93
|
$185,304.98
|
$181,775.36
|
2025-07-25
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$174,807.01
|
$183,547.36
|
$180,051.22
|
2025-07-25
|
|
7
|
MS_DRG
|
Lung Transplant
|
24
|
14
|
—
|
—
|
$108,499.96
|
$290,734.64
|
$179,967.54
|
2025-07-25
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
24
|
14
|
—
|
—
|
$108,772.57
|
$291,468.82
|
$176,214.10
|
2025-07-25
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$168,359.02
|
$176,776.97
|
$173,409.79
|
2025-07-25
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$166,168.43
|
$174,476.85
|
$171,153.48
|
2025-07-25
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
24
|
14
|
—
|
—
|
$91,572.32
|
$331,683.42
|
$169,427.53
|
2025-07-25
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
5
|
5
|
—
|
—
|
$159,392.00
|
$167,361.60
|
$164,173.76
|
2025-07-25
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$158,241.54
|
$166,153.62
|
$162,988.79
|
2025-07-25
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$155,666.04
|
$163,449.35
|
$160,336.02
|
2025-07-25
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$154,949.75
|
$162,697.24
|
$159,598.24
|
2025-07-25
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
19
|
12
|
—
|
—
|
$90,533.09
|
$242,349.69
|
$156,578.02
|
2025-07-25
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
11
|
—
|
—
|
$87,075.85
|
$233,194.64
|
$150,562.92
|
2025-07-25
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
24
|
14
|
—
|
—
|
$88,513.27
|
$236,910.05
|
$150,504.15
|
2025-07-25
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
24
|
14
|
—
|
—
|
$88,062.22
|
$235,699.76
|
$150,375.98
|
2025-07-25
|
|
C2624
|
HCPCS
|
Hc Kit Intro Cardio Mem
|
50
|
18
|
$208,750.00
|
$83,500.00
60% off
|
$19,638.06
|
$241,233.61
|
$150,300.00
|
2025-07-25
|
|
C9741
|
HCPCS
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$148,739.04
|
$148,739.04
|
$148,739.04
|
2025-07-25
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
1
|
1
|
—
|
—
|
$145,786.13
|
$145,786.13
|
$145,786.13
|
2025-07-25
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$80,266.30
|
$217,154.68
|
$138,362.73
|
2025-07-25
|
|
453
|
MS_DRG
|
DRG
|
8
|
5
|
—
|
—
|
$89,306.63
|
$191,410.75
|
$134,694.35
|
2025-07-25
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$128,589.15
|
$135,018.61
|
$132,446.83
|
2025-07-25
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
17
|
11
|
—
|
—
|
$76,638.07
|
$204,933.00
|
$132,402.64
|
2025-07-25
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$123,618.80
|
$129,799.74
|
$127,327.37
|
2025-07-25
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
17
|
10
|
—
|
—
|
$97,999.91
|
$308,999.72
|
$124,999.89
|
2025-07-25
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$119,245.47
|
$125,207.75
|
$122,822.84
|
2025-07-25
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$118,952.00
|
$124,899.60
|
$122,520.56
|
2025-07-25
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
14
|
—
|
—
|
$70,502.62
|
$188,409.41
|
$121,682.02
|
2025-07-25
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
17
|
11
|
—
|
—
|
$69,440.25
|
$185,548.32
|
$119,879.44
|
2025-07-25
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
14
|
—
|
—
|
$67,131.30
|
$214,864.48
|
$118,915.16
|
2025-07-25
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$115,075.31
|
$120,829.08
|
$118,527.57
|
2025-07-25
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
24
|
14
|
—
|
—
|
$70,541.44
|
$188,516.20
|
$118,394.18
|
2025-07-25
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
22
|
13
|
—
|
—
|
$64,713.70
|
$176,353.22
|
$114,642.64
|
2025-07-25
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$110,832.21
|
$116,373.82
|
$114,157.18
|
2025-07-25
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
5
|
5
|
—
|
—
|
$110,832.21
|
$116,373.82
|
$114,157.18
|
2025-07-25
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
5
|
5
|
—
|
—
|
$108,405.19
|
$113,825.45
|
$111,657.34
|
2025-07-25
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
24
|
14
|
—
|
—
|
$65,109.83
|
$173,885.92
|
$111,060.14
|
2025-07-25
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$64,458.03
|
$172,132.78
|
$110,866.42
|
2025-07-25
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$107,609.91
|
$112,990.40
|
$110,838.21
|
2025-07-25
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
5
|
5
|
—
|
—
|
$107,270.65
|
$112,634.19
|
$110,488.77
|
2025-07-25
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$107,200.53
|
$112,560.56
|
$110,416.55
|
2025-07-25
|
|
0809T
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$110,342.16
|
$110,342.16
|
$110,342.16
|
2025-07-25
|
|
0775T
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$110,342.16
|
$110,342.16
|
$110,342.16
|
2025-07-25
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
2
|
2
|
—
|
—
|
$104,868.79
|
$115,588.71
|
$110,228.75
|
2025-07-25
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$105,952.92
|
$111,250.57
|
$109,131.51
|
2025-07-25
|
|
222
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$81,802.57
|
$175,327.30
|
$108,788.75
|
2025-07-25
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
24
|
14
|
—
|
—
|
$62,200.30
|
$166,052.40
|
$105,486.02
|
2025-07-25
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
5
|
5
|
—
|
—
|
$102,196.30
|
$107,306.12
|
$105,262.19
|
2025-07-25
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$101,695.80
|
$106,780.59
|
$104,746.68
|
2025-07-25
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
5
|
5
|
—
|
—
|
$101,611.11
|
$106,691.67
|
$104,659.45
|
2025-07-25
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$99,684.30
|
$104,668.51
|
$102,674.83
|
2025-07-25
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
11
|
—
|
—
|
$59,213.95
|
$157,931.88
|
$102,087.11
|
2025-07-25
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
19
|
12
|
—
|
—
|
$58,919.03
|
$157,215.49
|
$101,573.99
|
2025-07-25
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
24
|
14
|
—
|
—
|
$58,006.19
|
$154,768.21
|
$98,892.10
|
2025-07-25
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$94,961.65
|
$99,709.74
|
$97,810.50
|
2025-07-25
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$94,178.34
|
$98,887.25
|
$97,003.69
|
2025-07-25
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$93,592.73
|
$98,272.37
|
$96,400.51
|
2025-07-25
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
17
|
11
|
—
|
—
|
$55,926.06
|
$149,155.04
|
$96,366.65
|
2025-07-25
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
24
|
14
|
—
|
—
|
$55,619.58
|
$148,331.87
|
$95,327.38
|
2025-07-25
|
|
224
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$71,516.41
|
$153,281.00
|
$94,120.24
|
2025-07-25
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
23
|
13
|
—
|
—
|
$55,712.93
|
$148,583.27
|
$93,932.00
|
2025-07-25
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
24
|
14
|
—
|
—
|
$53,964.07
|
$143,893.39
|
$91,968.25
|
2025-07-25
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
14
|
—
|
—
|
$56,947.12
|
$151,907.12
|
$91,947.22
|
2025-07-25
|
|
459
|
MS_DRG
|
DRG
|
8
|
5
|
—
|
—
|
$65,392.71
|
$140,156.08
|
$91,712.80
|
2025-07-25
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$53,887.25
|
$143,664.24
|
$91,564.62
|
2025-07-25
|
|
454
|
MS_DRG
|
DRG
|
8
|
5
|
—
|
—
|
$59,236.94
|
$127,261.85
|
$91,321.86
|
2025-07-25
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$87,668.68
|
$92,052.11
|
$90,298.74
|
2025-07-25
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$52,783.58
|
$142,998.19
|
$89,946.14
|
2025-07-25
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
19
|
12
|
—
|
—
|
$51,710.47
|
$137,804.11
|
$89,613.19
|
2025-07-25
|
|
0614T
|
CPT
|
Hc Rmvl&rplcmt Substernal Impltbl Defibrillator Pg
|
55
|
18
|
$124,117.00
|
$49,646.80
60% off
|
$5,481.40
|
$114,450.25
|
$89,364.24
|
2025-07-25
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$86,400.26
|
$90,720.28
|
$88,992.27
|
2025-07-25
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
17
|
11
|
—
|
—
|
$51,644.38
|
$137,626.13
|
$88,917.13
|
2025-07-25
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$86,269.33
|
$90,582.79
|
$88,857.41
|
2025-07-25
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$86,269.33
|
$90,582.79
|
$88,857.41
|
2025-07-25
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
24
|
14
|
—
|
—
|
$50,028.53
|
$147,763.70
|
$88,146.25
|
2025-07-25
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
24
|
14
|
—
|
—
|
$50,401.10
|
$140,039.48
|
$87,944.05
|
2025-07-25
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
14
|
—
|
—
|
$45,161.74
|
$136,998.73
|
$87,595.74
|
2025-07-25
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
24
|
14
|
—
|
—
|
$51,233.81
|
$141,872.53
|
$87,291.49
|
2025-07-25
|
|
226
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$64,227.03
|
$137,657.68
|
$87,148.18
|
2025-07-25
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
5
|
5
|
—
|
—
|
$84,059.72
|
$88,262.71
|
$86,581.51
|
2025-07-25
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
14
|
—
|
—
|
$50,761.28
|
$135,247.82
|
$86,270.07
|
2025-07-25
|
|
A9604
|
HCPCS
|
C Samarium 153 Up To 150mci - A9604
|
60
|
18
|
$120,256.00
|
$48,102.40
60% off
|
$4,228.61
|
$87,786.88
|
$85,983.04
|
2025-07-25
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
24
|
14
|
—
|
—
|
$51,002.50
|
$135,897.46
|
$85,914.26
|
2025-07-25
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
24
|
14
|
—
|
—
|
$46,920.56
|
$134,277.80
|
$85,141.21
|
2025-07-25
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
14
|
—
|
—
|
$47,951.71
|
$135,371.64
|
$85,079.49
|
2025-07-25
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
24
|
14
|
—
|
—
|
$46,199.55
|
$156,807.91
|
$84,613.80
|
2025-07-25
|
|
0302T
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$84,488.21
|
$84,488.21
|
$84,488.21
|
2025-07-25
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
24
|
14
|
—
|
—
|
$49,147.91
|
$130,902.78
|
$84,262.55
|
2025-07-25
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$81,167.64
|
$85,226.02
|
$83,602.67
|
2025-07-25
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
24
|
14
|
—
|
—
|
$49,685.70
|
$132,355.58
|
$83,173.61
|
2025-07-25
|
|
33249
|
CPT
|
C Insert Or Replacement Permanent Implantable Defibrillator System,w/transvenous…
|
60
|
18
|
$115,208.00
|
$46,083.20
60% off
|
$5,481.40
|
$153,826.61
|
$82,949.76
|
2025-07-25
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$48,636.55
|
$129,525.63
|
$82,842.57
|
2025-07-25
|
|
223
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$60,344.34
|
$129,335.92
|
$82,592.89
|
2025-07-25
|
|
0548T
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$82,234.21
|
$82,234.21
|
$82,234.21
|
2025-07-25
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
14
|
—
|
—
|
$47,668.36
|
$126,918.17
|
$81,084.82
|
2025-07-25
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$78,638.02
|
$82,569.92
|
$80,997.16
|
2025-07-25
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$78,572.91
|
$82,501.56
|
$80,930.10
|
2025-07-25
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$78,409.67
|
$82,330.16
|
$80,761.96
|
2025-07-25
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
5
|
5
|
—
|
—
|
$78,109.05
|
$82,014.50
|
$80,452.32
|
2025-07-25
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$77,855.90
|
$81,748.70
|
$80,191.58
|
2025-07-25
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
5
|
5
|
—
|
—
|
$77,586.74
|
$81,466.08
|
$79,914.35
|
2025-07-25
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
24
|
14
|
—
|
—
|
$46,199.55
|
$125,963.08
|
$79,629.63
|
2025-07-25
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
23
|
14
|
—
|
—
|
$43,565.90
|
$132,264.36
|
$79,344.22
|
2025-07-25
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
24
|
14
|
—
|
—
|
$46,590.30
|
$124,014.80
|
$79,337.49
|
2025-07-25
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
15
|
10
|
—
|
—
|
$47,048.17
|
$226,757.52
|
$79,323.21
|
2025-07-25
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
17
|
11
|
—
|
—
|
$46,007.90
|
$122,479.69
|
$79,110.43
|
2025-07-25
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
17
|
11
|
—
|
—
|
$45,730.33
|
$121,698.78
|
$78,627.50
|
2025-07-25
|
|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
15
|
9
|
—
|
—
|
$61,970.89
|
$139,050.00
|
$78,618.53
|
2025-07-25
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$75,348.97
|
$79,116.42
|
$77,609.44
|
2025-07-25
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
24
|
14
|
—
|
—
|
$45,385.01
|
$120,771.04
|
$77,421.03
|
2025-07-25
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$75,046.93
|
$78,799.28
|
$77,298.34
|
2025-07-25
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
14
|
—
|
—
|
$45,156.19
|
$120,154.77
|
$76,880.95
|
2025-07-25
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
24
|
14
|
—
|
—
|
$45,109.10
|
$120,025.74
|
$76,800.29
|
2025-07-25
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$74,215.12
|
$77,925.88
|
$76,441.57
|
2025-07-25
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
24
|
14
|
—
|
—
|
$45,487.45
|
$121,046.92
|
$76,309.08
|
2025-07-25
|
|
6254
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
5
|
5
|
—
|
—
|
$73,181.45
|
$76,840.52
|
$75,376.89
|
2025-07-25
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
24
|
14
|
—
|
—
|
$45,114.05
|
$120,041.31
|
$75,233.85
|
2025-07-25
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$44,294.56
|
$117,832.08
|
$75,180.11
|
2025-07-25
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
24
|
14
|
—
|
—
|
$44,488.70
|
$118,357.14
|
$75,006.82
|
2025-07-25
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$72,580.73
|
$76,209.77
|
$74,758.16
|
2025-07-25
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
5
|
5
|
—
|
—
|
$72,322.43
|
$75,938.55
|
$74,492.10
|
2025-07-25
|
|
0387T
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$74,487.20
|
$74,487.20
|
$74,487.20
|
2025-07-25
|
|
69715
|
CPT
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$74,094.11
|
$74,094.11
|
$74,094.11
|
2025-07-25
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
17
|
11
|
—
|
—
|
$43,083.50
|
$114,570.53
|
$74,022.39
|
2025-07-25
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$71,853.59
|
$75,446.27
|
$74,009.20
|
2025-07-25
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$71,483.28
|
$75,057.44
|
$73,627.77
|
2025-07-25
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$71,274.82
|
$74,838.56
|
$73,413.06
|
2025-07-25
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
14
|
—
|
—
|
$42,625.01
|
$113,337.99
|
$73,244.70
|
2025-07-25
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$71,022.84
|
$74,573.99
|
$73,153.53
|
2025-07-25
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$70,921.37
|
$74,467.43
|
$73,049.01
|
2025-07-25
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
24
|
14
|
—
|
—
|
$41,705.56
|
$129,402.55
|
$73,010.42
|
2025-07-25
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
24
|
14
|
—
|
—
|
$42,942.23
|
$114,194.53
|
$72,685.84
|
2025-07-25
|
|
225
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$54,658.74
|
$117,149.98
|
$72,582.24
|
2025-07-25
|
|
C9746
|
HCPCS
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$72,378.23
|
$72,378.23
|
$72,378.23
|
2025-07-25
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
24
|
14
|
—
|
—
|
$42,496.14
|
$112,990.92
|
$72,324.48
|
2025-07-25
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$41,854.26
|
$111,273.37
|
$72,011.79
|
2025-07-25
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
19
|
12
|
—
|
—
|
$41,870.78
|
$111,304.52
|
$71,912.43
|
2025-07-25
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$69,719.98
|
$73,205.97
|
$71,811.58
|
2025-07-25
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
5
|
5
|
—
|
—
|
$69,311.06
|
$72,776.61
|
$71,390.39
|
2025-07-25
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
24
|
14
|
—
|
—
|
$41,903.00
|
$118,655.26
|
$71,308.48
|
2025-07-25
|
|
0424T
|
CPT
|
Apc
|
2
|
2
|
—
|
—
|
$5,481.40
|
$136,290.39
|
$70,885.90
|
2025-07-25
|
|
0312T
|
CPT
|
Apc
|
2
|
2
|
—
|
—
|
$5,481.40
|
$136,290.39
|
$70,885.90
|
2025-07-25
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$68,768.38
|
$72,206.80
|
$70,831.43
|
2025-07-25
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
5
|
5
|
—
|
—
|
$68,745.36
|
$72,182.63
|
$70,807.72
|
2025-07-25
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
14
|
—
|
—
|
$40,664.67
|
$108,058.54
|
$70,397.57
|
2025-07-25
|
|
0571T
|
CPT
|
Hc Insert Or Replacement Implantable Icd System With Substernal Electrode(s) Inc…
|
55
|
18
|
$97,603.00
|
$39,041.20
60% off
|
$5,481.40
|
$162,672.22
|
$70,274.16
|
2025-07-25
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
24
|
14
|
—
|
—
|
$42,148.35
|
$112,052.05
|
$70,212.12
|
2025-07-25
|
|
455
|
MS_DRG
|
DRG
|
8
|
5
|
—
|
—
|
$46,539.77
|
$99,748.62
|
$70,117.45
|
2025-07-25
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
24
|
14
|
—
|
—
|
$40,908.37
|
$112,719.48
|
$69,604.75
|
2025-07-25
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
14
|
—
|
—
|
$39,817.92
|
$107,096.00
|
$69,596.17
|
2025-07-25
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
24
|
14
|
—
|
—
|
$35,142.34
|
$177,374.40
|
$69,591.96
|
2025-07-25
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
5
|
5
|
—
|
—
|
$67,446.55
|
$70,818.88
|
$69,469.95
|
2025-07-25
|
|
C9767
|
HCPCS
|
C Revascularization,any Vessel,w/intravascular Lithotripsy Stent Placement And A…
|
55
|
18
|
$96,386.00
|
$38,554.40
60% off
|
$5,481.40
|
$80,321.51
|
$69,397.92
|
2025-07-25
|
|
227
|
MS_DRG
|
DRG
|
6
|
3
|
—
|
—
|
$51,016.96
|
$109,344.56
|
$69,296.23
|
2025-07-25
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
24
|
14
|
—
|
—
|
$39,404.04
|
$116,610.74
|
$69,145.02
|
2025-07-25
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
12
|
9
|
—
|
—
|
$66,103.61
|
$208,428.72
|
$69,078.27
|
2025-07-25
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
24
|
14
|
—
|
—
|
$40,597.76
|
$107,878.33
|
$69,072.68
|
2025-07-25
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$67,020.83
|
$70,371.87
|
$69,031.45
|
2025-07-25
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
19
|
12
|
—
|
—
|
$38,967.86
|
$103,502.15
|
$69,010.03
|
2025-07-25
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$66,774.69
|
$70,113.42
|
$68,777.93
|
2025-07-25
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
5
|
5
|
—
|
—
|
$66,772.85
|
$70,111.50
|
$68,776.04
|
2025-07-25
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
14
|
—
|
—
|
$39,988.92
|
$106,238.65
|
$68,029.79
|
2025-07-25
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
5
|
5
|
—
|
—
|
$65,937.26
|
$69,234.13
|
$67,915.38
|
2025-07-25
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
14
|
—
|
—
|
$39,810.49
|
$105,773.67
|
$67,724.14
|
2025-07-25
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
5
|
5
|
—
|
—
|
$65,744.72
|
$69,031.95
|
$67,717.06
|
2025-07-25
|
|
2324
|
APR_DRG
|
Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$65,625.59
|
$68,906.87
|
$67,594.36
|
2025-07-25
|
|
33264
|
CPT
|
C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De…
|
60
|
18
|
$93,804.00
|
$37,521.60
60% off
|
$5,481.40
|
$153,826.61
|
$67,538.88
|
2025-07-25
|
|
33231
|
CPT
|
C Insert Implantable Defibrillator Pulse Generator Only,with Existing Multiple L…
|
60
|
18
|
$93,804.00
|
$37,521.60
60% off
|
$5,481.40
|
$153,826.61
|
$67,538.88
|
2025-07-25
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
5
|
5
|
—
|
—
|
$65,390.50
|
$68,660.03
|
$67,352.22
|
2025-07-25
|
|
0620T
|
CPT
|
Hc Endovascular Venous Arterialization Tibial Or Peroneal Vein Intravascular Ste…
|
55
|
18
|
$93,378.00
|
$37,351.20
60% off
|
$5,481.40
|
$106,805.56
|
$67,232.16
|
2025-07-25
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
14
|
—
|
—
|
$38,615.12
|
$103,290.10
|
$67,132.64
|
2025-07-25
|
|
77371
|
CPT
|
C Gamma Knife Delivery- Simple
|
74
|
18
|
$93,106.00
|
$37,242.40
60% off
|
$4,070.13
|
$92,537.72
|
$66,570.79
|
2025-07-25
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
24
|
14
|
—
|
—
|
$38,477.98
|
$102,169.49
|
$66,301.45
|
2025-07-25
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
5
|
5
|
—
|
—
|
$64,166.65
|
$67,374.98
|
$66,091.65
|
2025-07-25
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
22
|
13
|
—
|
—
|
$38,599.42
|
$102,496.54
|
$65,649.67
|
2025-07-25
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
14
|
—
|
—
|
$38,472.20
|
$102,156.14
|
$65,588.40
|
2025-07-25
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
14
|
—
|
—
|
$39,195.87
|
$104,102.84
|
$65,523.32
|
2025-07-25
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
5
|
5
|
—
|
—
|
$63,569.50
|
$66,747.97
|
$65,476.58
|
2025-07-25
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
5
|
5
|
—
|
—
|
$62,734.35
|
$65,871.07
|
$64,616.38
|
2025-07-25
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
5
|
5
|
—
|
—
|
$62,516.11
|
$65,641.91
|
$64,391.59
|
2025-07-25
|
|
0266T
|
CPT
|
Apc
|
16
|
11
|
—
|
—
|
$5,481.40
|
$137,320.99
|
$64,361.90
|
2025-07-25
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$37,808.84
|
$100,367.40
|
$64,285.15
|
2025-07-25
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
22
|
13
|
—
|
—
|
$2,858.06
|
$173,177.47
|
$63,997.67
|
2025-07-25
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$61,921.25
|
$65,017.32
|
$63,778.89
|
2025-07-25
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
24
|
14
|
—
|
—
|
$36,209.51
|
$104,462.27
|
$63,722.47
|
2025-07-25
|
|
36836
|
CPT
|
Hc Percutaneous Fistula Creation Upper Extremity Single Access Artery And Vein I…
|
60
|
18
|
$88,422.00
|
$35,368.80
60% off
|
$2,410.25
|
$86,557.93
|
$63,663.84
|
2025-07-25
|
|
36837
|
CPT
|
Hc Percutaneous Fistula Creation Upper Extremity Separate Access Artery And Vei…
|
60
|
18
|
$88,422.00
|
$35,368.80
60% off
|
$2,410.25
|
$86,557.93
|
$63,663.84
|
2025-07-25
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
14
|
—
|
—
|
$37,484.19
|
$99,493.06
|
$63,460.61
|
2025-07-25
|
|
1794
|
APR_DRG
|
Defibrillator Implants
|
5
|
5
|
—
|
—
|
$61,609.22
|
$64,689.68
|
$63,457.50
|
2025-07-25
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
22
|
13
|
—
|
—
|
$36,827.43
|
$97,724.34
|
$63,039.96
|
2025-07-25
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
24
|
14
|
—
|
—
|
$37,586.62
|
$99,768.93
|
$62,730.22
|
2025-07-25
|
|
36906
|
CPT
|
Hc Percut Translmnl Mech Thromb/inf Thromb,circuit,any Method,inc Image W/transc…
|
60
|
18
|
$86,861.00
|
$34,744.40
60% off
|
$5,481.40
|
$74,487.20
|
$62,539.92
|
2025-07-25
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
24
|
14
|
—
|
—
|
$37,138.87
|
$98,563.09
|
$62,533.15
|
2025-07-25
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
5
|
5
|
—
|
—
|
$60,702.12
|
$63,737.23
|
$62,523.18
|
2025-07-25
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
5
|
5
|
—
|
—
|
$60,619.63
|
$63,650.61
|
$62,438.22
|
2025-07-25
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
5
|
5
|
—
|
—
|
$60,584.32
|
$63,613.54
|
$62,401.85
|
2025-07-25
|
|
6234
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
5
|
5
|
—
|
—
|
$60,301.91
|
$63,317.01
|
$62,110.97
|
2025-07-25
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
5
|
5
|
—
|
—
|
$60,295.92
|
$63,310.72
|
$62,104.80
|
2025-07-25
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
19
|
12
|
—
|
—
|
$35,725.42
|
$94,758.68
|
$61,220.36
|
2025-07-25
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$35,777.46
|
$94,896.62
|
$60,815.86
|
2025-07-25
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
22
|
13
|
—
|
—
|
$35,475.93
|
$94,086.79
|
$60,299.35
|
2025-07-25
|
|
6083
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
5
|
5
|
—
|
—
|
$58,482.25
|
$61,406.36
|
$60,236.72
|
2025-07-25
|
|
6313
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
5
|
5
|
—
|
—
|
$58,256.22
|
$61,169.03
|
$60,003.91
|
2025-07-25
|
|
93580
|
CPT
|
Hc Percutaneous Transcatheter Closure Congenital Interartrial Communication W/im…
|
60
|
18
|
$83,320.00
|
$33,328.00
60% off
|
$6,904.89
|
$74,487.20
|
$59,990.40
|
2025-07-25
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
24
|
14
|
—
|
—
|
$34,910.05
|
$92,560.58
|
$59,905.17
|
2025-07-25
|
|
274
|
APR_DRG
|
Other Open Craniotomy
|
5
|
5
|
—
|
—
|
$58,116.62
|
$61,022.46
|
$59,860.12
|
2025-07-25
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
24
|
14
|
—
|
—
|
$35,157.06
|
$93,225.79
|
$59,338.67
|
2025-07-25
|
|
234
|
APR_DRG
|
Spinal Procedures
|
5
|
5
|
—
|
—
|
$57,538.88
|
$60,415.83
|
$59,265.05
|
2025-07-25
|
|
93591
|
CPT
|
C Percutaneous Transcatheter Closure Paravalvular Leal:initial Occlusion Device,…
|
55
|
18
|
$81,777.00
|
$32,710.80
60% off
|
$18,773.81
|
$74,487.20
|
$58,879.44
|
2025-07-25
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
17
|
11
|
—
|
—
|
$34,272.30
|
$90,843.03
|
$58,692.15
|
2025-07-25
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
5
|
5
|
—
|
—
|
$56,859.31
|
$59,702.27
|
$58,565.09
|
2025-07-25
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
5
|
5
|
—
|
—
|
$56,804.31
|
$59,644.52
|
$58,508.44
|
2025-07-25
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
5
|
5
|
—
|
—
|
$56,697.77
|
$59,532.66
|
$58,398.71
|
2025-07-25
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
22
|
13
|
—
|
—
|
$19,496.98
|
$219,924.53
|
$58,391.21
|
2025-07-25
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
23
|
13
|
—
|
—
|
$34,489.57
|
$91,428.16
|
$58,366.46
|
2025-07-25
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
24
|
14
|
—
|
—
|
$34,508.57
|
$91,479.33
|
$58,247.99
|
2025-07-25
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
22
|
13
|
—
|
—
|
$27,204.07
|
$292,798.95
|
$58,194.02
|
2025-07-25
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
5
|
5
|
—
|
—
|
$56,355.87
|
$59,173.66
|
$58,046.54
|
2025-07-25
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
24
|
14
|
—
|
—
|
$34,439.18
|
$91,292.44
|
$57,927.58
|
2025-07-25
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
5
|
5
|
—
|
—
|
$56,235.08
|
$59,046.84
|
$57,922.13
|
2025-07-25
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
5
|
5
|
—
|
—
|
$56,225.95
|
$59,037.25
|
$57,912.73
|
2025-07-25
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
18
|
11
|
—
|
—
|
$46,267.04
|
$189,550.45
|
$57,630.95
|
2025-07-25
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
5
|
5
|
—
|
—
|
$55,727.66
|
$58,514.04
|
$57,399.49
|
2025-07-25
|
|
6144
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
5
|
5
|
—
|
—
|
$55,575.71
|
$58,354.50
|
$57,242.98
|
2025-07-25
|
|
33903
|
CPT
|
Hc Percutaneous Pulmonary Artery Revascularization By Stent Placement Initial Ab…
|
60
|
18
|
$79,906.00
|
$31,962.40
60% off
|
$5,875.39
|
$58,331.38
|
$57,132.79
|
2025-07-25
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$34,139.30
|
$90,484.84
|
$56,996.57
|
2025-07-25
|
|
6072
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$55,182.96
|
$57,942.11
|
$56,838.45
|
2025-07-25
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
24
|
14
|
—
|
—
|
$33,447.86
|
$88,624.91
|
$56,825.40
|
2025-07-25
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
5
|
5
|
—
|
—
|
$55,153.04
|
$57,910.70
|
$56,807.63
|
2025-07-25
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
15
|
10
|
—
|
—
|
$33,520.48
|
$161,558.30
|
$56,515.54
|
2025-07-25
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
24
|
14
|
—
|
—
|
$33,067.02
|
$88,655.72
|
$56,343.71
|
2025-07-25
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
24
|
14
|
—
|
—
|
$32,467.27
|
$85,986.30
|
$56,330.63
|
2025-07-25
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
14
|
—
|
—
|
$33,640.55
|
$93,219.12
|
$56,311.51
|
2025-07-25
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$33,133.94
|
$87,797.28
|
$56,287.68
|
2025-07-25
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
17
|
11
|
—
|
—
|
$32,857.19
|
$87,416.84
|
$56,230.05
|
2025-07-25
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
24
|
14
|
—
|
—
|
$32,663.06
|
$86,511.35
|
$56,094.74
|
2025-07-25
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
24
|
14
|
—
|
—
|
$29,784.90
|
$90,329.10
|
$55,820.01
|
2025-07-25
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
24
|
14
|
—
|
—
|
$32,841.50
|
$86,989.68
|
$55,786.75
|
2025-07-25
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
24
|
14
|
—
|
—
|
$29,703.14
|
$101,176.87
|
$55,777.68
|
2025-07-25
|
|
460
|
MS_DRG
|
DRG
|
8
|
5
|
—
|
—
|
$38,202.25
|
$81,878.81
|
$55,555.99
|
2025-07-25
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
5
|
5
|
—
|
—
|
$53,844.17
|
$56,536.38
|
$55,459.49
|
2025-07-25
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
24
|
14
|
—
|
—
|
$32,115.35
|
$85,036.31
|
$55,450.90
|
2025-07-25
|
|
93654
|
CPT
|
C Ep Eval W/induct Arryth, Pacing, Vt Ablation, And 3d Mapping When Perf
|
60
|
18
|
$76,796.00
|
$30,718.40
60% off
|
$11,165.29
|
$84,580.77
|
$55,293.12
|
2025-07-25
|
|
93656
|
CPT
|
Hc Compre Ep Eval W/transsept Cath, Mult Elect Caths, Induc Of Arrhythmia, Ablat…
|
60
|
18
|
$76,796.00
|
$30,718.40
60% off
|
$11,165.29
|
$84,580.77
|
$55,293.12
|
2025-07-25
|
|
93653
|
CPT
|
C Ep Eval W/induct Arryth, Pacing, Svt Ablation
|
60
|
18
|
$76,796.00
|
$30,718.40
60% off
|
$11,165.29
|
$84,580.77
|
$55,293.12
|
2025-07-25
|
|
33263
|
CPT
|
C Removal Implantable Defibrillator Pulse Generator W/replacement Implantable De…
|
60
|
18
|
$76,516.00
|
$30,606.40
60% off
|
$5,481.40
|
$110,857.90
|
$55,091.52
|
2025-07-25
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
24
|
14
|
—
|
—
|
$32,345.84
|
$85,677.05
|
$54,937.72
|
2025-07-25
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
24
|
14
|
—
|
—
|
$31,699.83
|
$83,915.01
|
$54,768.06
|
2025-07-25
|
|
6092
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$53,154.38
|
$55,812.10
|
$54,749.02
|
2025-07-25
|
|
6091
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
5
|
5
|
—
|
—
|
$53,154.38
|
$55,812.10
|
$54,749.02
|
2025-07-25
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
17
|
11
|
—
|
—
|
$5,481.40
|
$110,857.90
|
$54,668.85
|
2025-07-25
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
14
|
—
|
—
|
$31,944.35
|
$84,573.55
|
$54,657.10
|
2025-07-25
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
5
|
5
|
—
|
—
|
$52,779.00
|
$55,417.95
|
$54,362.37
|
2025-07-25
|
|
8411
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$52,745.97
|
$55,383.27
|
$54,328.35
|
2025-07-25
|
|
8412
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
5
|
5
|
—
|
—
|
$52,745.97
|
$55,383.27
|
$54,328.35
|
2025-07-25
|
|
36903
|
CPT
|
C Intro Ndl/cath W/diagnostic Angio Dialysis Circuit,placmnt Vascular Stent,inc …
|
60
|
18
|
$75,983.00
|
$30,393.20
60% off
|
$5,481.40
|
$55,467.59
|
$54,327.85
|
2025-07-25
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
24
|
14
|
—
|
—
|
$33,424.72
|
$88,562.61
|
$54,268.65
|
2025-07-25
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
5
|
5
|
—
|
—
|
$52,474.38
|
$55,098.10
|
$54,048.61
|
2025-07-25
|
|
C9752
|
HCPCS
|
Fee Schedule
|
1
|
1
|
—
|
—
|
$53,987.24
|
$53,987.24
|
$53,987.24
|
2025-07-25
|
|
304
|
APR_DRG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$52,303.30
|
$54,918.46
|
$53,872.39
|
2025-07-25
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
23
|
13
|
—
|
—
|
$31,680.27
|
$87,421.29
|
$53,845.54
|
2025-07-25
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
18
|
11
|
—
|
—
|
$43,094.61
|
$176,553.31
|
$53,679.31
|
2025-07-25
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
16
|
10
|
—
|
—
|
$31,860.24
|
$149,240.42
|
$53,544.43
|
2025-07-25
|
|
1764
|
APR_DRG
|
Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
|
5
|
5
|
—
|
—
|
$51,948.45
|
$54,545.87
|
$53,506.90
|
2025-07-25
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
24
|
14
|
—
|
—
|
$31,451.17
|
$83,296.51
|
$53,405.22
|
2025-07-25
|
|
0268T
|
CPT
|
Apc
|
17
|
11
|
—
|
—
|
$5,481.40
|
$90,283.85
|
$53,372.50
|
2025-07-25
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
17
|
11
|
—
|
—
|
$5,481.40
|
$151,489.88
|
$53,372.50
|
2025-07-25
|
|
6224
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
5
|
5
|
—
|
—
|
$51,749.86
|
$54,337.36
|
$53,302.36
|
2025-07-25
|
|
0802T
|
CPT
|
Hc Transcatheter Removal And Replacement Dual Chamber Leadless Pacemaker Inc Ima…
|
54
|
18
|
$73,586.00
|
$29,434.40
60% off
|
$19,515.01
|
$93,648.15
|
$52,981.92
|
2025-07-25
|
|
0803T
|
CPT
|
Hc Transcatheter Removal And Replacement Permanent Dual Chamber Leadless Pacemak…
|
54
|
18
|
$73,586.00
|
$29,434.40
60% off
|
$19,515.01
|
$86,557.93
|
$52,981.92
|
2025-07-25
|
|
0801T
|
CPT
|
Hc Transcatheter Removal And Replacement Permanent Dual Chamber Leadless Pacemak…
|
54
|
18
|
$73,586.00
|
$29,434.40
60% off
|
$19,515.01
|
$93,648.15
|
$52,981.92
|
2025-07-25
|
|
33270
|
CPT
|
C Insert/repl Subq Icd W/electrode, Induction Of Arrythmia, & Progamming
|
60
|
18
|
$73,515.00
|
$29,406.00
60% off
|
$5,481.40
|
$153,826.61
|
$52,930.80
|
2025-07-25
|