|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
5
|
5
|
$26,272.00
|
$22,331.20
|
$14,233.96
|
$55,017.48
|
$52,644.00
|
2026-06-09
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
5
|
5
|
$22,376.67
|
$19,020.17
|
$6,365.79
|
$51,122.15
|
$48,748.67
|
2026-06-09
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
4
|
4
|
$33,994.00
|
$28,894.90
|
$11,936.86
|
$69,925.85
|
$43,450.62
|
2026-06-09
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
5
|
5
|
$16,901.55
|
$14,366.32
|
$15,656.55
|
$45,647.03
|
$43,273.55
|
2026-06-09
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
5
|
5
|
$16,156.00
|
$13,732.60
|
$10,222.50
|
$44,901.48
|
$42,528.00
|
2026-06-09
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
5
|
5
|
$19,543.00
|
$16,611.55
|
$7,019.45
|
$41,102.11
|
$39,322.00
|
2026-06-09
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
2
|
2
|
$221,889.99
|
$188,606.49
|
$31,151.09
|
$47,345.03
|
$39,248.06
|
2026-06-09
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
5
|
5
|
$18,755.83
|
$15,942.46
|
$4,800.00
|
$40,314.94
|
$38,534.83
|
2026-06-09
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
5
|
5
|
$17,522.00
|
$14,893.70
|
$7,400.69
|
$39,081.11
|
$37,301.00
|
2026-06-09
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
2
|
2
|
$47,246.32
|
$40,159.37
|
$29,593.10
|
$44,977.10
|
$37,285.10
|
2026-06-09
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
2
|
2
|
$119,508.13
|
$101,581.91
|
$28,424.40
|
$43,200.85
|
$35,812.62
|
2026-06-09
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
5
|
5
|
$15,051.00
|
$12,793.35
|
$7,827.87
|
$36,610.11
|
$34,830.00
|
2026-06-09
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
5
|
5
|
$14,313.00
|
$12,166.05
|
$13,617.37
|
$35,872.11
|
$34,092.00
|
2026-06-09
|
|
64582
|
HCPCS
|
Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat…
|
31
|
31
|
$41,050.00
|
$34,892.50
|
$14,367.50
|
$40,229.00
|
$33,866.25
|
2026-06-09
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
2
|
2
|
$162,355.06
|
$138,001.80
|
$25,661.43
|
$39,001.55
|
$32,331.49
|
2026-06-09
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
4
|
4
|
$26,958.50
|
$22,914.73
|
$5,006.87
|
$55,703.98
|
$31,190.10
|
2026-06-09
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
5
|
5
|
$11,123.50
|
$9,454.98
|
$8,229.26
|
$32,682.61
|
$30,902.50
|
2026-06-09
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
5
|
5
|
$10,969.50
|
$9,324.08
|
$7,703.75
|
$32,528.61
|
$30,748.50
|
2026-06-09
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
2
|
2
|
$83,823.38
|
$71,249.87
|
$22,562.36
|
$34,291.43
|
$28,426.90
|
2026-06-09
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
4
|
4
|
$20,797.83
|
$17,678.16
|
$9,352.02
|
$42,356.94
|
$27,935.26
|
2026-06-09
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
2
|
2
|
$82,743.00
|
$70,331.55
|
$21,811.97
|
$33,150.95
|
$27,481.46
|
2026-06-09
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
5
|
5
|
$12,836.38
|
$10,910.92
|
$6,283.58
|
$27,209.12
|
$26,022.38
|
2026-06-09
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
2
|
2
|
$77,909.46
|
$66,223.04
|
$20,479.65
|
$31,126.03
|
$25,802.84
|
2026-06-09
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
2
|
2
|
$37,050.08
|
$31,492.57
|
$20,440.97
|
$31,067.23
|
$25,754.10
|
2026-06-09
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
5
|
5
|
$12,303.50
|
$10,457.98
|
$8,261.50
|
$26,676.24
|
$25,489.50
|
2026-06-09
|
|
76
|
MS_DRG
|
Viral Meningitis Without Cc/mcc
|
5
|
5
|
$11,844.00
|
$10,067.40
|
$6,035.33
|
$26,216.74
|
$25,030.00
|
2026-06-09
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
2
|
2
|
$44,099.56
|
$37,484.63
|
$19,815.51
|
$30,116.63
|
$24,966.07
|
2026-06-09
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
5
|
5
|
$11,458.00
|
$9,739.30
|
$7,780.32
|
$25,830.74
|
$24,644.00
|
2026-06-09
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
5
|
5
|
$11,455.00
|
$9,736.75
|
$11,455.00
|
$25,827.74
|
$24,641.00
|
2026-06-09
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
2
|
2
|
$52,126.82
|
$44,307.80
|
$19,321.43
|
$29,365.70
|
$24,343.57
|
2026-06-09
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
2
|
2
|
$40,260.90
|
$34,221.77
|
$18,849.12
|
$28,647.85
|
$23,748.49
|
2026-06-09
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
4
|
4
|
$13,164.75
|
$11,190.04
|
$10,347.43
|
$34,023.75
|
$23,054.25
|
2026-06-09
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
5
|
5
|
$9,818.50
|
$8,345.73
|
$8,860.36
|
$24,191.24
|
$23,004.50
|
2026-06-09
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
5
|
5
|
$8,873.00
|
$7,542.05
|
$6,842.94
|
$23,245.74
|
$22,059.00
|
2026-06-09
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
2
|
2
|
$71,447.06
|
$60,730.00
|
$17,068.66
|
$25,941.83
|
$21,505.25
|
2026-06-09
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
4
|
4
|
$12,101.50
|
$10,286.28
|
$7,115.37
|
$33,660.61
|
$21,347.40
|
2026-06-09
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
2
|
2
|
$95,451.72
|
$81,133.96
|
$16,881.67
|
$25,657.63
|
$21,269.65
|
2026-06-09
|
|
154
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Mcc
|
4
|
4
|
$13,825.50
|
$11,751.68
|
$12,601.81
|
$28,198.24
|
$20,778.50
|
2026-06-09
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
2
|
2
|
$35,690.75
|
$30,337.14
|
$16,208.66
|
$24,634.75
|
$20,421.71
|
2026-06-09
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
2
|
2
|
$47,739.07
|
$40,578.21
|
$16,172.39
|
$24,579.63
|
$20,376.01
|
2026-06-09
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
3
|
3
|
$20,876.25
|
$17,744.81
|
$12,595.36
|
$42,435.36
|
$19,143.08
|
2026-06-09
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
2
|
2
|
$21,688.50
|
$18,435.23
|
$16,104.69
|
$21,688.50
|
$18,896.60
|
2026-06-09
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
2
|
2
|
$81,669.50
|
$69,419.08
|
$14,291.19
|
$21,720.48
|
$18,005.83
|
2026-06-09
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
|
2
|
2
|
$32,869.00
|
$27,938.65
|
$14,065.51
|
$21,377.48
|
$17,721.49
|
2026-06-09
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
2
|
2
|
$42,604.69
|
$36,213.99
|
$13,564.17
|
$20,615.53
|
$17,089.85
|
2026-06-09
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
2
|
2
|
$26,646.00
|
$22,649.10
|
$13,467.45
|
$20,468.53
|
$16,967.99
|
2026-06-09
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc/mcc
|
2
|
2
|
$79,032.68
|
$67,177.78
|
$13,201.47
|
$20,064.28
|
$16,632.88
|
2026-06-09
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
2
|
2
|
$50,476.11
|
$42,904.69
|
$13,145.86
|
$19,979.75
|
$16,562.81
|
2026-06-09
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
2
|
2
|
$81,026.00
|
$68,872.10
|
$12,641.30
|
$19,212.90
|
$15,927.10
|
2026-06-09
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
2
|
2
|
$67,046.71
|
$56,989.70
|
$12,199.62
|
$18,541.60
|
$15,370.61
|
2026-06-09
|
|
345
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Cc
|
2
|
2
|
$23,697.00
|
$20,142.45
|
$12,127.88
|
$18,432.58
|
$15,280.23
|
2026-06-09
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
2
|
2
|
$28,392.24
|
$24,133.40
|
$12,117.40
|
$18,416.65
|
$15,267.03
|
2026-06-09
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
2
|
2
|
$34,833.16
|
$29,608.19
|
$11,903.01
|
$18,090.80
|
$14,996.90
|
2026-06-09
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
2
|
2
|
$17,066.00
|
$14,506.10
|
$12,890.36
|
$17,066.00
|
$14,978.18
|
2026-06-09
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
2
|
2
|
$46,415.50
|
$39,453.18
|
$11,579.80
|
$17,599.58
|
$14,589.69
|
2026-06-09
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
2
|
2
|
$14,517.50
|
$12,339.88
|
$14,465.28
|
$14,517.50
|
$14,491.39
|
2026-06-09
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
3
|
3
|
$14,093.32
|
$11,979.32
|
$9,957.32
|
$28,466.06
|
$14,093.32
|
2026-06-09
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
2
|
2
|
$50,982.26
|
$43,334.92
|
$11,008.35
|
$16,731.05
|
$13,869.70
|
2026-06-09
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
4
|
4
|
$7,178.00
|
$6,101.30
|
$7,178.00
|
$21,084.00
|
$13,771.00
|
2026-06-09
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
2
|
2
|
$47,391.00
|
$40,282.35
|
$10,764.94
|
$16,361.10
|
$13,563.02
|
2026-06-09
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
2
|
2
|
$48,117.65
|
$40,900.00
|
$10,652.90
|
$16,190.83
|
$13,421.86
|
2026-06-09
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
2
|
2
|
$23,348.83
|
$19,846.51
|
$10,594.06
|
$16,101.40
|
$13,347.73
|
2026-06-09
|
|
27800037
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$15,980.00
|
$13,583.00
|
$5,593.00
|
$15,660.40
|
$13,183.50
|
2026-06-09
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
2
|
2
|
$21,340.00
|
$18,139.00
|
$10,442.54
|
$15,871.10
|
$13,156.82
|
2026-06-09
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
5
|
5
|
$6,263.50
|
$5,323.98
|
$6,263.50
|
$13,449.87
|
$12,856.50
|
2026-06-09
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
5
|
5
|
$5,746.00
|
$4,884.10
|
$5,746.00
|
$12,932.37
|
$12,339.00
|
2026-06-09
|
|
35190
|
HCPCS
|
Repair Of Abnormal Artery-vein Connection In Arm Or Leg
|
31
|
31
|
$16,828.00
|
$14,303.80
|
$5,889.80
|
$16,491.44
|
$12,284.44
|
2026-06-09
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
5
|
5
|
$5,550.13
|
$4,717.61
|
$5,550.13
|
$12,736.50
|
$12,143.13
|
2026-06-09
|
|
24545
|
HCPCS
|
Treatment Of Upper Arm Bone Broken At Elbow
|
61
|
31
|
$34,366.00
|
$29,211.10
|
$547.47
|
$33,678.68
|
$12,028.10
|
2026-06-09
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
5
|
5
|
$5,073.00
|
$4,312.05
|
$5,073.00
|
$12,259.37
|
$11,666.00
|
2026-06-09
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
2
|
2
|
$61,344.61
|
$52,142.92
|
$9,226.28
|
$14,022.58
|
$11,624.43
|
2026-06-09
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
5
|
5
|
$4,980.50
|
$4,233.43
|
$4,980.50
|
$12,166.87
|
$11,573.50
|
2026-06-09
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
2
|
2
|
$21,397.75
|
$18,188.09
|
$8,928.06
|
$13,569.33
|
$11,248.69
|
2026-06-09
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
5
|
5
|
$4,635.50
|
$3,940.18
|
$4,635.50
|
$11,821.87
|
$11,228.50
|
2026-06-09
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
2
|
2
|
$29,429.58
|
$25,015.14
|
$8,900.00
|
$13,294.97
|
$11,097.49
|
2026-06-09
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
2
|
2
|
$36,270.00
|
$30,829.50
|
$8,576.65
|
$13,035.23
|
$10,805.94
|
2026-06-09
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc
|
2
|
2
|
$54,078.25
|
$45,966.51
|
$8,345.32
|
$12,683.65
|
$10,514.49
|
2026-06-09
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
5
|
5
|
$3,920.00
|
$3,332.00
|
$3,920.00
|
$11,106.37
|
$10,513.00
|
2026-06-09
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
5
|
5
|
$3,841.00
|
$3,264.85
|
$3,841.00
|
$11,027.37
|
$10,434.00
|
2026-06-09
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
2
|
2
|
$16,010.00
|
$13,608.50
|
$8,247.80
|
$12,535.43
|
$10,391.61
|
2026-06-09
|
|
36010850
|
CDM
|
Operating Room Services - General Classification
|
31
|
31
|
$12,496.00
|
$10,621.60
|
$4,373.60
|
$12,246.08
|
$10,309.20
|
2026-06-09
|
|
770
|
MS_DRG
|
Abortion With D&c, Aspiration Curettage Or Hysterotomy
|
2
|
2
|
$24,434.00
|
$20,768.90
|
$8,081.76
|
$12,283.08
|
$10,182.42
|
2026-06-09
|
|
A9582
|
HCPCS
|
Iodine I-123 Iobenguane, Diagnostic, Per Study Dose, Up To 15 Millicuries
|
31
|
31
|
$12,159.00
|
$10,335.15
|
$4,255.65
|
$11,915.82
|
$10,031.18
|
2026-06-09
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
4
|
4
|
$6,550.50
|
$5,567.93
|
$6,550.50
|
$13,736.87
|
$10,027.00
|
2026-06-09
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
31
|
31
|
$12,113.00
|
$10,296.05
|
$4,239.55
|
$11,870.74
|
$9,993.23
|
2026-06-09
|
|
49421
|
HCPCS
|
Insertion Of Abdominal Cavity Tube For Drainage Or Dialysis
|
31
|
31
|
$13,443.00
|
$11,426.55
|
$4,705.05
|
$13,174.14
|
$9,813.39
|
2026-06-09
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
3
|
3
|
$13,519.00
|
$11,491.15
|
$6,452.03
|
$39,891.00
|
$9,806.13
|
2026-06-09
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
2
|
2
|
$14,565.00
|
$12,380.25
|
$7,748.08
|
$11,775.93
|
$9,762.01
|
2026-06-09
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
2
|
2
|
$26,308.50
|
$22,362.23
|
$7,541.74
|
$11,462.33
|
$9,502.03
|
2026-06-09
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
3
|
3
|
$28,495.08
|
$24,220.82
|
$8,900.00
|
$57,240.56
|
$9,001.41
|
2026-06-09
|
|
437
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas Without Cc/mcc
|
2
|
2
|
$26,424.50
|
$22,460.83
|
$6,877.60
|
$10,452.93
|
$8,665.26
|
2026-06-09
|
|
24516
|
HCPCS
|
Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing …
|
61
|
31
|
$24,723.00
|
$21,014.55
|
$505.60
|
$24,228.54
|
$8,653.05
|
2026-06-09
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
2
|
2
|
$8,485.00
|
$7,212.25
|
$8,485.00
|
$8,485.00
|
$8,485.00
|
2026-06-09
|
|
23615
|
HCPCS
|
Treatment Of Broken Top Of Upper Arm Bone
|
61
|
31
|
$23,871.00
|
$20,290.35
|
$521.48
|
$23,393.58
|
$8,354.85
|
2026-06-09
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
2
|
2
|
$25,542.39
|
$21,711.03
|
$7,727.93
|
$8,900.00
|
$8,313.97
|
2026-06-09
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
2
|
2
|
$22,313.76
|
$18,966.69
|
$7,719.87
|
$8,900.00
|
$8,309.93
|
2026-06-09
|
|
27810690
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$10,056.46
|
$8,547.99
|
$3,519.76
|
$9,855.33
|
$8,296.58
|
2026-06-09
|
|
786572WPL
|
CDM
|
Hc Hemospray Endo Hemostat
|
31
|
31
|
$10,000.00
|
$8,500.00
|
$3,500.00
|
$9,800.00
|
$8,250.00
|
2026-06-09
|
|
32944WPL
|
CDM
|
Hc Green Light Hps Pvp Laser
|
31
|
31
|
$9,705.00
|
$8,249.25
|
$3,396.75
|
$9,510.90
|
$8,006.63
|
2026-06-09
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
2
|
2
|
$8,505.00
|
$7,229.25
|
$7,223.37
|
$8,505.00
|
$7,864.18
|
2026-06-09
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
2
|
2
|
$8,398.00
|
$7,138.30
|
$6,524.57
|
$8,398.00
|
$7,461.28
|
2026-06-09
|
|
21336
|
HCPCS
|
Treatment Of Broken Bone And Tissue Separating Nose Airways
|
31
|
31
|
$10,156.00
|
$8,632.60
|
$3,554.60
|
$9,952.88
|
$7,413.88
|
2026-06-09
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
2
|
2
|
$8,874.50
|
$7,543.33
|
$5,862.84
|
$8,874.50
|
$7,368.67
|
2026-06-09
|
|
27828
|
HCPCS
|
Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones
|
61
|
31
|
$20,978.00
|
$17,831.30
|
$775.50
|
$20,558.44
|
$7,342.30
|
2026-06-09
|
|
159
|
MS_DRG
|
Dental And Oral Diseases Without Cc/mcc
|
2
|
2
|
$29,861.00
|
$25,381.85
|
$5,710.51
|
$8,679.13
|
$7,194.82
|
2026-06-09
|
|
23515
|
HCPCS
|
Treatment Of Broken Collar Bone
|
61
|
31
|
$20,508.00
|
$17,431.80
|
$427.65
|
$20,097.84
|
$7,177.80
|
2026-06-09
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
61
|
31
|
$19,678.00
|
$16,726.30
|
$414.01
|
$19,284.44
|
$6,887.30
|
2026-06-09
|
|
935882WPL
|
CDM
|
Hc Arthrex Impl Sys Allograft Graftlink Ar-1588al-cpt2
|
31
|
31
|
$8,211.00
|
$6,979.35
|
$2,873.85
|
$8,046.78
|
$6,774.08
|
2026-06-09
|
|
22511
|
HCPCS
|
Stabilization Of Lower Spine Bone
|
31
|
31
|
$9,151.00
|
$7,778.35
|
$3,202.85
|
$8,967.98
|
$6,680.23
|
2026-06-09
|
|
27810409
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$7,977.32
|
$6,780.72
|
$2,792.06
|
$7,817.77
|
$6,581.29
|
2026-06-09
|
|
27822
|
HCPCS
|
Treatment Of 3 Broken Lower Leg Bones At Ankle
|
61
|
31
|
$18,772.00
|
$15,956.20
|
$514.76
|
$18,396.56
|
$6,570.20
|
2026-06-09
|
|
53620
|
HCPCS
|
Initial Dilation Of Urethra In Male Using Filiform Dilator
|
31
|
31
|
$8,998.00
|
$7,648.30
|
$1,309.20
|
$8,818.04
|
$6,568.54
|
2026-06-09
|
|
27814
|
HCPCS
|
Treatment Of Both Broken Lower Leg Bones At Ankle
|
61
|
31
|
$18,455.00
|
$15,686.75
|
$450.83
|
$18,085.90
|
$6,459.25
|
2026-06-09
|
|
931288WPL
|
CDM
|
Hc Arthrex Quadlink Implant 10mm Ar-1288qi-11
|
31
|
31
|
$7,733.00
|
$6,573.05
|
$2,706.55
|
$7,578.34
|
$6,379.73
|
2026-06-09
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
2
|
2
|
$25,663.50
|
$21,813.98
|
$5,008.48
|
$7,612.15
|
$6,310.31
|
2026-06-09
|
|
14041
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
31
|
31
|
$8,595.00
|
$7,305.75
|
$3,008.25
|
$8,423.10
|
$6,274.35
|
2026-06-09
|
|
37609
|
HCPCS
|
Tying Or Biopsy Of Artery On Side Of Skull
|
31
|
31
|
$8,539.00
|
$7,258.15
|
$2,988.65
|
$8,368.22
|
$6,233.47
|
2026-06-09
|
|
22510
|
HCPCS
|
Stabilization Of Upper Spine Bone
|
31
|
31
|
$7,655.00
|
$6,506.75
|
$2,679.25
|
$7,501.90
|
$6,206.08
|
2026-06-09
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
2
|
2
|
$7,749.77
|
$6,587.30
|
$4,838.42
|
$7,353.68
|
$6,096.05
|
2026-06-09
|
|
33285
|
HCPCS
|
Insertion Of Heart Rhythm Monitor Under Skin
|
31
|
31
|
$7,304.00
|
$6,208.40
|
$2,556.40
|
$17,658.80
|
$6,025.80
|
2026-06-09
|
|
35206
|
HCPCS
|
Repair Of Blood Vessel Of Arm
|
31
|
31
|
$8,180.00
|
$6,953.00
|
$2,863.00
|
$8,016.40
|
$5,971.40
|
2026-06-09
|
|
31530
|
HCPCS
|
Removal Of Foreign Body In Voice Box Using An Endoscope
|
31
|
31
|
$7,928.00
|
$6,738.80
|
$2,774.80
|
$7,769.44
|
$5,787.44
|
2026-06-09
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
31
|
31
|
$7,877.00
|
$6,695.45
|
$2,756.95
|
$7,719.46
|
$5,750.21
|
2026-06-09
|
|
27235
|
HCPCS
|
Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone
|
61
|
31
|
$16,402.00
|
$13,941.70
|
$532.51
|
$16,073.96
|
$5,740.70
|
2026-06-09
|
|
25609
|
HCPCS
|
Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri…
|
61
|
31
|
$16,052.00
|
$13,644.20
|
$624.29
|
$15,730.96
|
$5,618.20
|
2026-06-09
|
|
21501
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest
|
31
|
31
|
$7,634.00
|
$6,488.90
|
$2,671.90
|
$7,481.32
|
$5,572.82
|
2026-06-09
|
|
15050
|
HCPCS
|
Skin Graft To Tip Of Finger Or Toe, 2.0 Cm Or Less
|
31
|
31
|
$7,622.00
|
$6,478.70
|
$1,025.84
|
$7,469.56
|
$5,564.06
|
2026-06-09
|
|
21453
|
HCPCS
|
Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T…
|
31
|
31
|
$6,705.00
|
$5,699.25
|
$2,346.75
|
$8,896.12
|
$5,531.63
|
2026-06-09
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
2
|
2
|
$10,807.17
|
$9,186.09
|
$4,384.64
|
$6,664.00
|
$5,524.32
|
2026-06-09
|
|
15770
|
HCPCS
|
Creation Of Skin, Fat And Muscle Graft
|
31
|
31
|
$7,098.00
|
$6,033.30
|
$2,484.30
|
$6,956.04
|
$5,489.17
|
2026-06-09
|
|
54435
|
HCPCS
|
Redirection Of Blood Flow From Penis With Partial Removal Of Tissue At Head Of P…
|
31
|
31
|
$6,935.00
|
$5,894.75
|
$2,427.25
|
$6,796.30
|
$5,330.95
|
2026-06-09
|
|
30801
|
HCPCS
|
Destruction Of Soft Tissue Of Nasal Passages
|
31
|
31
|
$7,273.00
|
$6,182.05
|
$1,542.28
|
$7,127.54
|
$5,309.29
|
2026-06-09
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
2
|
2
|
$6,091.50
|
$5,177.78
|
$4,481.36
|
$6,091.50
|
$5,286.43
|
2026-06-09
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
2
|
2
|
$5,263.00
|
$4,473.55
|
$5,263.00
|
$5,263.00
|
$5,263.00
|
2026-06-09
|
|
723
|
MS_DRG
|
Malignancy, Male Reproductive System With Cc
|
2
|
2
|
$5,220.00
|
$4,437.00
|
$5,220.00
|
$5,220.00
|
$5,220.00
|
2026-06-09
|
|
47536
|
HCPCS
|
Replacement Of Liver Duct Drainage Tube Using Imaging Guidance With Review By Ra…
|
31
|
31
|
$6,421.00
|
$5,457.85
|
$2,247.35
|
$6,292.58
|
$5,192.41
|
2026-06-09
|
|
27380
|
HCPCS
|
Primary Suture Of Tendon Below Knee
|
61
|
31
|
$14,732.00
|
$12,522.20
|
$370.65
|
$14,437.36
|
$5,156.20
|
2026-06-09
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
2
|
2
|
$14,426.80
|
$12,262.78
|
$4,800.00
|
$5,434.05
|
$5,117.02
|
2026-06-09
|
|
25607
|
HCPCS
|
Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place…
|
61
|
31
|
$14,229.00
|
$12,094.65
|
$443.54
|
$13,944.42
|
$4,980.15
|
2026-06-09
|
|
27792
|
HCPCS
|
Treatment Of Broken Outer Lower Leg Bone At Ankle
|
61
|
31
|
$14,207.00
|
$12,075.95
|
$381.67
|
$13,922.86
|
$4,972.45
|
2026-06-09
|
|
20240
|
HCPCS
|
Biopsy Of Surface Bone
|
31
|
31
|
$6,716.00
|
$5,708.60
|
$2,350.60
|
$6,581.68
|
$4,902.68
|
2026-06-09
|
|
26615
|
HCPCS
|
Treatment Of Broken Midhand Bone
|
61
|
31
|
$13,737.00
|
$11,676.45
|
$346.91
|
$13,462.26
|
$4,807.95
|
2026-06-09
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
3
|
3
|
$17,225.00
|
$14,641.25
|
$2,750.00
|
$8,637.10
|
$4,800.00
|
2026-06-09
|
|
938809WPL
|
CDM
|
Hc Arthrex Quadlink Implant 9mm Ar-1288qi-90
|
31
|
31
|
$5,709.00
|
$4,852.65
|
$1,998.15
|
$5,594.82
|
$4,709.93
|
2026-06-09
|
|
25608
|
HCPCS
|
Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint…
|
61
|
31
|
$13,443.00
|
$11,426.55
|
$493.07
|
$13,283.19
|
$4,705.05
|
2026-06-09
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
31
|
31
|
$6,403.00
|
$5,442.55
|
$2,241.05
|
$6,274.94
|
$4,674.19
|
2026-06-09
|
|
25028
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Forearm Or Wrist
|
31
|
31
|
$6,367.00
|
$5,411.95
|
$2,228.45
|
$6,239.66
|
$4,647.91
|
2026-06-09
|
|
27810293
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$5,556.96
|
$4,723.42
|
$1,944.94
|
$5,445.82
|
$4,584.49
|
2026-06-09
|
|
27810043
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$5,539.84
|
$4,708.87
|
$1,938.95
|
$5,429.05
|
$4,570.37
|
2026-06-09
|
|
46947
|
HCPCS
|
Stapling Of Internal Hemorrhoid
|
31
|
31
|
$5,526.00
|
$4,697.10
|
$1,934.10
|
$6,203.53
|
$4,558.95
|
2026-06-09
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
62
|
31
|
$5,512.32
|
$4,685.48
|
$1,923.16
|
$5,419.31
|
$4,547.67
|
2026-06-09
|
|
27650
|
HCPCS
|
Repair Of Ruptured Achilles Tendon
|
61
|
31
|
$12,788.00
|
$10,869.80
|
$391.02
|
$12,532.24
|
$4,475.80
|
2026-06-09
|
|
930511WPL
|
CDM
|
Hc Cysview Kit 3001-2
|
31
|
31
|
$5,400.00
|
$4,590.00
|
$1,890.00
|
$5,292.00
|
$4,455.00
|
2026-06-09
|
|
26860
|
HCPCS
|
Fusion Of Finger Joint, Initial Joint
|
61
|
31
|
$12,689.00
|
$10,785.65
|
$367.10
|
$12,435.22
|
$4,441.15
|
2026-06-09
|
|
177000WPL
|
CDM
|
Hc Pleurx Pleural Catheter Kit
|
31
|
31
|
$5,365.00
|
$4,560.25
|
$1,877.75
|
$5,257.70
|
$4,426.13
|
2026-06-09
|
|
27664
|
HCPCS
|
Primary Repair Of Tendon On Front Of Leg
|
61
|
31
|
$12,602.00
|
$10,711.70
|
$213.27
|
$12,349.96
|
$4,410.70
|
2026-06-09
|
|
58120
|
HCPCS
|
Dilation And Scraping Of Uterus
|
31
|
31
|
$5,799.00
|
$4,929.15
|
$2,029.65
|
$5,683.02
|
$4,403.19
|
2026-06-09
|
|
57210
|
HCPCS
|
Suture Of Injury Of Vagina And/or Skin
|
31
|
31
|
$5,602.00
|
$4,761.70
|
$1,960.70
|
$5,489.96
|
$4,403.19
|
2026-06-09
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
31
|
31
|
$5,994.00
|
$5,094.90
|
$2,097.90
|
$5,874.12
|
$4,375.62
|
2026-06-09
|
|
24341
|
HCPCS
|
Repair Of Tendon Or Muscle Of Upper Arm Or Elbow
|
61
|
31
|
$12,492.00
|
$10,618.20
|
$447.47
|
$12,242.16
|
$4,372.20
|
2026-06-09
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
61
|
31
|
$12,504.00
|
$10,628.40
|
$263.73
|
$12,253.92
|
$4,350.98
|
2026-06-09
|
|
30520
|
HCPCS
|
Reshaping Of Nasal Cartilage
|
31
|
31
|
$5,253.00
|
$4,465.05
|
$1,838.55
|
$5,147.94
|
$4,333.73
|
2026-06-09
|
|
15120
|
HCPCS
|
Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar…
|
31
|
31
|
$5,253.00
|
$4,465.05
|
$1,838.55
|
$5,489.17
|
$4,333.73
|
2026-06-09
|
|
27087
|
HCPCS
|
Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip
|
31
|
31
|
$5,865.00
|
$4,985.25
|
$2,052.75
|
$5,747.70
|
$4,281.45
|
2026-06-09
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
61
|
31
|
$12,187.00
|
$10,358.95
|
$303.92
|
$11,943.26
|
$4,265.45
|
2026-06-09
|
|
36581
|
HCPCS
|
Replacement Of Tunneled Central Venous Tube
|
31
|
31
|
$5,166.00
|
$4,391.10
|
$1,808.10
|
$5,333.53
|
$4,261.95
|
2026-06-09
|
|
19020
|
HCPCS
|
Drainage Of Abscess Of Breast
|
31
|
31
|
$5,821.00
|
$4,947.85
|
$2,037.35
|
$5,704.58
|
$4,249.33
|
2026-06-09
|
|
54640
|
HCPCS
|
Repositioning And Suture Of Misplaced Testicle
|
61
|
31
|
$12,012.00
|
$10,210.20
|
$250.46
|
$11,771.76
|
$4,204.20
|
2026-06-09
|
|
28160
|
HCPCS
|
Partial Removal Of Toe At Joint
|
31
|
31
|
$5,307.00
|
$4,510.95
|
$1,857.45
|
$5,200.86
|
$4,158.30
|
2026-06-09
|
|
42330
|
HCPCS
|
Uncomplicated Removal Of Saliva Gland Stone From Inside Mouth
|
31
|
31
|
$5,690.00
|
$4,836.50
|
$1,991.50
|
$5,576.20
|
$4,153.70
|
2026-06-09
|
|
45000028
|
CDM
|
Hc Ed Sart Partial Exam Cdm
|
31
|
31
|
$4,991.00
|
$4,242.35
|
$1,746.85
|
$4,891.18
|
$4,117.58
|
2026-06-09
|
|
27827
|
HCPCS
|
Treatment Of Broken Shin Bone At Lower Weight Bearing Joint
|
61
|
31
|
$11,761.00
|
$9,996.85
|
$659.43
|
$13,283.19
|
$4,116.35
|
2026-06-09
|
|
78814
|
HCPCS
|
Nuclear Medicine Study Limited Area With CT Scan
|
31
|
31
|
$5,634.00
|
$4,788.90
|
$1,971.90
|
$5,521.32
|
$4,112.82
|
2026-06-09
|
|
27810041
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$4,915.98
|
$4,178.58
|
$1,720.59
|
$4,817.66
|
$4,055.68
|
2026-06-09
|
|
57200
|
HCPCS
|
Suture Of Nonobstetrical Injury Of Vagina
|
31
|
31
|
$4,892.00
|
$4,158.20
|
$1,712.20
|
$4,794.16
|
$4,035.90
|
2026-06-09
|
|
26535
|
HCPCS
|
Replacement Of Finger Joint
|
61
|
31
|
$11,510.00
|
$9,783.50
|
$266.72
|
$11,279.80
|
$4,028.50
|
2026-06-09
|
|
25248
|
HCPCS
|
Removal Of Deep Foreign Body In Forearm Or Wrist
|
61
|
31
|
$14,655.00
|
$12,456.75
|
$250.28
|
$14,361.90
|
$3,961.08
|
2026-06-09
|
|
31238
|
HCPCS
|
Control Of Bleeding Of Nose Using An Endoscope
|
31
|
31
|
$5,373.00
|
$4,567.05
|
$1,880.55
|
$5,265.54
|
$3,922.29
|
2026-06-09
|
|
27766
|
HCPCS
|
Treatment Of Inside Portion Of Broken Shin Bone At Ankle
|
61
|
31
|
$11,204.00
|
$9,523.40
|
$360.93
|
$10,979.92
|
$3,921.40
|
2026-06-09
|
|
57410
|
HCPCS
|
Pelvic Exam Under Anesthesia
|
31
|
31
|
$4,717.00
|
$4,009.45
|
$1,650.95
|
$4,622.66
|
$3,891.53
|
2026-06-09
|
|
20802
|
HCPCS
|
Reattachment Of Cutoff Arm
|
30
|
30
|
$5,975.00
|
$5,078.75
|
$1,584.45
|
$5,855.50
|
$3,886.35
|
2026-06-09
|
|
21320
|
HCPCS
|
Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device
|
31
|
31
|
$5,319.00
|
$4,521.15
|
$1,861.65
|
$5,212.62
|
$3,882.87
|
2026-06-09
|
|
77049
|
HCPCS
|
MRI Scan Of Both Breasts
|
31
|
31
|
$4,611.00
|
$3,919.35
|
$1,613.85
|
$4,518.78
|
$3,804.08
|
2026-06-09
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
30
|
30
|
$5,977.00
|
$5,080.45
|
$2,406.07
|
$5,857.46
|
$3,685.68
|
2026-06-09
|
|
28295
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle
|
61
|
31
|
$10,527.00
|
$8,947.95
|
$569.57
|
$10,316.46
|
$3,684.45
|
2026-06-09
|
|
S2325
|
HCPCS
|
Hip Core Decompression
|
21
|
21
|
$4,032.00
|
$3,427.20
|
$51.00
|
$4,032.00
|
$3,628.80
|
2026-06-09
|
|
932171WPL
|
CDM
|
Hc Coolief 2 Probe Kit 150
|
31
|
31
|
$4,371.00
|
$3,715.35
|
$1,529.85
|
$4,283.58
|
$3,606.08
|
2026-06-09
|
|
931004WPL
|
CDM
|
Hc Coolief 2 Probe Kit 100
|
31
|
31
|
$4,371.00
|
$3,715.35
|
$1,529.85
|
$4,283.58
|
$3,606.08
|
2026-06-09
|
|
931774WPL
|
CDM
|
Hc Coolief 2 Probe Kit 75
|
31
|
31
|
$4,371.00
|
$3,715.35
|
$1,529.85
|
$4,283.58
|
$3,606.08
|
2026-06-09
|
|
931754WPL
|
CDM
|
Hc Coolief 2 Probe Kit 50
|
31
|
31
|
$4,371.00
|
$3,715.35
|
$1,529.85
|
$4,283.58
|
$3,606.08
|
2026-06-09
|
|
26990
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Pelvis Or Hip Near Joint
|
61
|
31
|
$10,189.00
|
$8,660.65
|
$402.80
|
$9,985.22
|
$3,566.15
|
2026-06-09
|
|
49418
|
HCPCS
|
Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist
|
31
|
31
|
$4,300.00
|
$3,655.00
|
$1,505.00
|
$5,457.45
|
$3,547.50
|
2026-06-09
|
|
27784
|
HCPCS
|
Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone
|
61
|
31
|
$10,046.00
|
$8,539.10
|
$420.74
|
$10,084.73
|
$3,516.10
|
2026-06-09
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
30
|
30
|
$5,570.00
|
$4,734.50
|
$2,281.20
|
$5,458.60
|
$3,493.61
|
2026-06-09
|
|
57415
|
HCPCS
|
Removal Of Impacted Foreign Body In Vagina Under Anesthesia
|
31
|
31
|
$4,215.00
|
$3,582.75
|
$1,475.25
|
$4,403.19
|
$3,477.38
|
2026-06-09
|
|
938509WPL
|
CDM
|
Hc Arthrex Tendon Stripper Blade 9mm
|
31
|
31
|
$4,134.00
|
$3,513.90
|
$1,446.90
|
$4,051.32
|
$3,410.55
|
2026-06-09
|
|
14350
|
HCPCS
|
Repair Of Tissue Loss Of Finger Or Toe
|
31
|
31
|
$4,663.00
|
$3,963.55
|
$1,632.05
|
$4,569.74
|
$3,403.99
|
2026-06-09
|
|
77084
|
HCPCS
|
MRI Scan Of Bone Marrow
|
31
|
31
|
$4,651.00
|
$3,953.35
|
$683.09
|
$4,557.98
|
$3,395.23
|
2026-06-09
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
3
|
3
|
$3,393.48
|
$2,884.46
|
$3,393.48
|
$9,986.48
|
$3,393.48
|
2026-06-09
|
|
59820
|
HCPCS
|
Treatment Of Miscarriage During First Trimester
|
31
|
31
|
$4,106.00
|
$3,490.10
|
$1,437.10
|
$4,403.19
|
$3,387.45
|
2026-06-09
|
|
20010007
|
CDM
|
Intensive Care Unit - General Classification
|
22
|
22
|
$3,843.00
|
$3,266.55
|
$2,305.80
|
$3,766.14
|
$3,362.62
|
2026-06-09
|
|
14040
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
61
|
31
|
$12,810.00
|
$10,888.50
|
$367.84
|
$12,553.80
|
$3,356.70
|
2026-06-09
|
|
31526
|
HCPCS
|
Diagnostic Exam Of Voice Box Using An Endoscope With Operating Microscope Or Tel…
|
31
|
31
|
$4,576.00
|
$3,889.60
|
$1,601.60
|
$4,484.48
|
$3,340.48
|
2026-06-09
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
30
|
30
|
$5,513.00
|
$4,686.05
|
$2,179.62
|
$5,402.74
|
$3,330.26
|
2026-06-09
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
31
|
31
|
$4,487.00
|
$3,813.95
|
$1,152.15
|
$4,397.26
|
$3,275.51
|
2026-06-09
|
|
28200
|
HCPCS
|
Repair Of Tendon On Sole Of Foot
|
61
|
31
|
$9,282.00
|
$7,889.70
|
$194.58
|
$9,096.36
|
$3,248.70
|
2026-06-09
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
31
|
31
|
$3,923.00
|
$3,334.55
|
$1,373.05
|
$3,844.54
|
$3,236.48
|
2026-06-09
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
31
|
31
|
$3,923.00
|
$3,334.55
|
$1,373.05
|
$3,844.54
|
$3,236.48
|
2026-06-09
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
31
|
31
|
$4,432.00
|
$3,767.20
|
$1,152.15
|
$4,343.36
|
$3,235.36
|
2026-06-09
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
31
|
31
|
$4,299.00
|
$3,654.15
|
$1,152.15
|
$4,213.02
|
$3,138.27
|
2026-06-09
|
|
53020
|
HCPCS
|
Incision Of External Urinary Opening
|
31
|
31
|
$3,756.00
|
$3,192.60
|
$1,314.60
|
$3,884.59
|
$3,098.70
|
2026-06-09
|
|
49406
|
HCPCS
|
Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance
|
31
|
31
|
$4,215.00
|
$3,582.75
|
$1,475.25
|
$4,130.70
|
$3,076.95
|
2026-06-09
|
|
49405
|
HCPCS
|
Drainage Of Fluid Collection By Tube Through Skin Using Imaging Guidance
|
31
|
31
|
$4,215.00
|
$3,582.75
|
$1,475.25
|
$4,130.70
|
$3,076.95
|
2026-06-09
|
|
13153
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, Each Additional 5.0 …
|
61
|
31
|
$8,769.00
|
$7,453.65
|
$78.32
|
$8,593.62
|
$3,069.15
|
2026-06-09
|
|
72198
|
HCPCS
|
MRI Scan Of Blood Vessels Of Pelvis
|
31
|
31
|
$3,719.00
|
$3,161.15
|
$1,301.65
|
$3,644.62
|
$3,068.18
|
2026-06-09
|
|
51595
|
HCPCS
|
Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation …
|
30
|
30
|
$4,891.00
|
$4,157.35
|
$1,244.65
|
$4,793.18
|
$3,065.72
|
2026-06-09
|
|
27412
|
HCPCS
|
Implantation Of Self Cartilage Into Knee Joint
|
30
|
30
|
$3,605.00
|
$3,064.25
|
$1,478.05
|
$3,605.00
|
$3,064.72
|
2026-06-09
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
30
|
30
|
$4,712.00
|
$4,005.20
|
$1,192.12
|
$4,617.76
|
$3,040.06
|
2026-06-09
|
|
75010319
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
31
|
31
|
$3,675.00
|
$3,123.75
|
$1,286.25
|
$3,601.50
|
$3,031.88
|
2026-06-09
|
|
14061
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 …
|
61
|
31
|
$8,605.00
|
$7,314.25
|
$480.92
|
$8,432.90
|
$3,011.75
|
2026-06-09
|
|
31576
|
HCPCS
|
Biopsy Of Voice Box Using A Flexible Endoscope
|
31
|
31
|
$4,106.00
|
$3,490.10
|
$1,437.10
|
$4,023.88
|
$3,004.03
|
2026-06-09
|
|
31622
|
HCPCS
|
Diagnostic Exam Of Lung Airway Using An Endoscope
|
31
|
31
|
$4,106.00
|
$3,490.10
|
$1,437.10
|
$4,023.88
|
$2,997.38
|
2026-06-09
|
|
27829
|
HCPCS
|
Treatment Of Ligament Tear At Ankle Joint
|
61
|
31
|
$8,518.00
|
$7,240.30
|
$417.94
|
$10,084.73
|
$2,981.30
|
2026-06-09
|
|
26356
|
HCPCS
|
Primary Repair Of Finger Tendon On Underside Of The Hand Without A Graft In Zone…
|
61
|
31
|
$7,677.00
|
$6,525.45
|
$476.63
|
$7,523.46
|
$2,928.78
|
2026-06-09
|
|
27134
|
HCPCS
|
Revision Of Thigh Bone And Hip Joint Prosthesis
|
30
|
30
|
$7,375.00
|
$6,268.75
|
$1,098.29
|
$7,227.50
|
$2,926.94
|
2026-06-09
|
|
21337
|
HCPCS
|
Closed Treatment Of Broken Bone Separating Nose Airways
|
31
|
31
|
$3,538.00
|
$3,007.30
|
$1,238.30
|
$3,467.24
|
$2,918.85
|
2026-06-09
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
31
|
31
|
$3,986.00
|
$3,388.10
|
$1,152.15
|
$3,906.28
|
$2,909.78
|
2026-06-09
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
31
|
31
|
$3,986.00
|
$3,388.10
|
$1,152.15
|
$3,906.28
|
$2,909.78
|
2026-06-09
|
|
27365
|
HCPCS
|
Extensive Removal Of Growth Of Thigh Or Knee Bone
|
30
|
30
|
$4,295.00
|
$3,650.75
|
$1,186.33
|
$4,209.10
|
$2,908.87
|
2026-06-09
|
|
31635
|
HCPCS
|
Removal Of Foreign Body In Lung Airways Using An Endoscope
|
31
|
31
|
$3,953.00
|
$3,360.05
|
$1,383.55
|
$3,873.94
|
$2,885.69
|
2026-06-09
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
61
|
31
|
$3,410.00
|
$2,898.50
|
$1,152.15
|
$3,844.54
|
$2,863.79
|
2026-06-09
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
31
|
31
|
$3,923.00
|
$3,334.55
|
$1,152.15
|
$3,844.54
|
$2,863.79
|
2026-06-09
|
|
96416
|
HCPCS
|
Administration Of Prolonged Chemotherapy Into Vein
|
31
|
31
|
$3,918.00
|
$3,330.30
|
$679.99
|
$3,839.64
|
$2,860.14
|
2026-06-09
|
|
27800017
|
CDM
|
Supplies Added From Trans
|
31
|
31
|
$3,465.00
|
$2,945.25
|
$1,212.75
|
$3,395.70
|
$2,858.63
|
2026-06-09
|
|
56440
|
HCPCS
|
Creation Of Drainage Tract For Gland Cyst Of Female Genitals
|
31
|
31
|
$3,462.00
|
$2,942.70
|
$1,211.70
|
$4,403.19
|
$2,856.15
|
2026-06-09
|
|
44208
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin…
|
30
|
30
|
$4,566.00
|
$3,881.10
|
$1,116.61
|
$4,474.68
|
$2,833.81
|
2026-06-09
|
|
27695
|
HCPCS
|
Primary Repair Of Disrupted Ankle Ligament
|
61
|
31
|
$8,070.00
|
$6,859.50
|
$289.53
|
$7,908.60
|
$2,824.50
|
2026-06-09
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
31
|
31
|
$3,410.00
|
$2,898.50
|
$1,193.50
|
$3,341.80
|
$2,813.25
|
2026-06-09
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
31
|
31
|
$3,409.00
|
$2,897.65
|
$1,193.15
|
$3,340.82
|
$2,812.43
|
2026-06-09
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
31
|
31
|
$3,850.00
|
$3,272.50
|
$1,152.15
|
$3,773.00
|
$2,810.50
|
2026-06-09
|
|
26746
|
HCPCS
|
Treatment Of Broken Finger Or Hand At Base Of Finger
|
61
|
31
|
$8,015.00
|
$6,812.75
|
$442.61
|
$7,854.70
|
$2,805.25
|
2026-06-09
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
31
|
31
|
$3,840.00
|
$3,264.00
|
$683.09
|
$3,763.20
|
$2,803.20
|
2026-06-09
|
|
26020
|
HCPCS
|
Drainage Of Tendon Of Finger And/or Palm
|
61
|
31
|
$7,993.00
|
$6,794.05
|
$334.39
|
$7,833.14
|
$2,797.55
|
2026-06-09
|
|
64625
|
HCPCS
|
Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui…
|
30
|
30
|
$3,276.00
|
$2,784.60
|
$178.41
|
$3,276.00
|
$2,784.60
|
2026-06-09
|
|
64624
|
HCPCS
|
Destruction Of Nerve Branches Of Knee Using Imaging Guidance
|
30
|
30
|
$3,276.00
|
$2,784.60
|
$134.93
|
$3,276.00
|
$2,784.60
|
2026-06-09
|
|
20822
|
HCPCS
|
Reattachment Of Part Of Cutoff Finger
|
30
|
30
|
$8,556.00
|
$7,272.60
|
$1,028.76
|
$8,384.88
|
$2,775.38
|
2026-06-09
|
|
937502WPL
|
CDM
|
Hc Avanos Coolief Adv Kit 17-75-2
|
31
|
31
|
$3,356.00
|
$2,852.60
|
$1,174.60
|
$3,288.88
|
$2,768.70
|
2026-06-09
|
|
931710WPL
|
CDM
|
Hc Coolief Probe Kit 100mm
|
31
|
31
|
$3,356.00
|
$2,852.60
|
$1,174.60
|
$3,288.88
|
$2,768.70
|
2026-06-09
|
|
937504WPL
|
CDM
|
Hc Coolief Probe Kit 50mm
|
31
|
31
|
$3,356.00
|
$2,852.60
|
$1,174.60
|
$3,288.88
|
$2,768.70
|
2026-06-09
|
|
937754WPL
|
CDM
|
Hc Coolief Probe Kit 75mm
|
31
|
31
|
$3,356.00
|
$2,852.60
|
$1,174.60
|
$3,288.88
|
$2,768.70
|
2026-06-09
|
|
931504WPL
|
CDM
|
Hc Coolief Probe Kit 150mm
|
31
|
31
|
$3,356.00
|
$2,852.60
|
$1,174.60
|
$3,288.88
|
$2,768.70
|
2026-06-09
|
|
31624
|
HCPCS
|
Irrigation And Suction Of Lung Airways To Obtain Cells Using An Endoscope
|
31
|
31
|
$3,790.00
|
$3,221.50
|
$1,326.50
|
$3,714.20
|
$2,766.70
|
2026-06-09
|
|
43633
|
HCPCS
|
Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain…
|
30
|
30
|
$4,440.00
|
$3,774.00
|
$1,093.44
|
$4,351.20
|
$2,763.36
|
2026-06-09
|
|
27228
|
HCPCS
|
Treatment Of Broken Bones Of Front And Back Column Or Wall Of Hip Socket With Pl…
|
30
|
30
|
$6,598.00
|
$5,608.30
|
$1,085.58
|
$6,466.04
|
$2,761.51
|
2026-06-09
|
|
49423
|
HCPCS
|
Exchange Of Abdominal Cavity Drainage Tube Using Imaging Guidance
|
31
|
31
|
$3,342.00
|
$2,840.70
|
$1,169.70
|
$3,275.16
|
$2,757.15
|
2026-06-09
|
|
23220
|
HCPCS
|
Extensive Removal Of Growth Of Upper End Of Upper Arm
|
30
|
30
|
$4,541.00
|
$3,859.85
|
$1,119.98
|
$4,450.18
|
$2,751.51
|
2026-06-09
|
|
11772
|
HCPCS
|
Complicated Removal Of Cyst Of Tailbone
|
61
|
31
|
$7,852.00
|
$6,674.20
|
$339.99
|
$7,694.96
|
$2,748.20
|
2026-06-09
|
|
27842
|
HCPCS
|
Closed Treatment Of Dislocated Ankle Under Anesthesia
|
31
|
31
|
$3,538.00
|
$3,007.30
|
$1,238.30
|
$3,467.24
|
$2,744.37
|
2026-06-09
|
|
52001
|
HCPCS
|
Irrigation And Removal Of Multiple Blood Clots From Bladder And Urethra Using An…
|
61
|
31
|
$7,819.00
|
$6,646.15
|
$162.61
|
$7,662.62
|
$2,736.65
|
2026-06-09
|
|
43242
|
HCPCS
|
Ultrasound Guided Needle Aspiration Or Biopsy Of Esophagus, Stomach, And/or Uppe…
|
31
|
31
|
$3,746.00
|
$3,184.10
|
$1,311.10
|
$3,671.08
|
$2,734.58
|
2026-06-09
|
|
20010006
|
CDM
|
Intensive Care Unit - General Classification
|
22
|
22
|
$3,106.00
|
$2,640.10
|
$1,863.60
|
$3,043.88
|
$2,717.75
|
2026-06-09
|
|
26756
|
HCPCS
|
Placement Of Stabilizing Device For Broken End Of Finger Or Thumb
|
61
|
31
|
$7,765.00
|
$6,600.25
|
$258.31
|
$7,609.70
|
$2,717.75
|
2026-06-09
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
31
|
31
|
$3,719.00
|
$3,161.15
|
$1,152.15
|
$3,644.62
|
$2,714.87
|
2026-06-09
|
|
23474
|
HCPCS
|
Revision Of Total Shoulder Repair, Total Shoulder
|
30
|
30
|
$7,648.00
|
$6,500.80
|
$1,005.03
|
$7,495.04
|
$2,713.57
|
2026-06-09
|
|
44150
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…
|
30
|
30
|
$4,317.00
|
$3,669.45
|
$1,056.24
|
$4,230.66
|
$2,706.69
|
2026-06-09
|
|
25545
|
HCPCS
|
Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side
|
61
|
31
|
$7,731.00
|
$6,571.35
|
$375.13
|
$10,084.73
|
$2,705.85
|
2026-06-09
|
|
28810
|
HCPCS
|
Amputation Of Toe And Midfoot Bone
|
61
|
31
|
$7,666.00
|
$6,516.10
|
$246.54
|
$7,512.68
|
$2,683.10
|
2026-06-09
|
|
77012
|
HCPCS
|
Review By Radiologist Of CT Guidance For Needle Placement
|
31
|
31
|
$3,244.00
|
$2,757.40
|
$1,135.40
|
$3,179.12
|
$2,676.30
|
2026-06-09
|
|
26540
|
HCPCS
|
Repair Of Ligament Of Finger Or Hand And Finger Joint
|
61
|
31
|
$6,978.00
|
$5,931.30
|
$417.37
|
$6,838.44
|
$2,662.11
|
2026-06-09
|
|
27487
|
HCPCS
|
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis
|
30
|
30
|
$6,558.00
|
$5,574.30
|
$1,014.93
|
$6,426.84
|
$2,661.55
|
2026-06-09
|
|
43215
|
HCPCS
|
Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope
|
31
|
31
|
$3,625.00
|
$3,081.25
|
$1,268.75
|
$3,552.50
|
$2,646.25
|
2026-06-09
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
30
|
30
|
$3,982.00
|
$3,384.70
|
$1,029.89
|
$3,902.36
|
$2,639.07
|
2026-06-09
|
|
36580
|
HCPCS
|
Replacement Of Nontunneled Central Venous Tube
|
31
|
31
|
$3,571.00
|
$3,035.35
|
$1,249.85
|
$3,499.58
|
$2,606.83
|
2026-06-09
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
61
|
31
|
$7,447.00
|
$6,329.95
|
$187.85
|
$7,298.06
|
$2,606.45
|
2026-06-09
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
31
|
31
|
$3,565.00
|
$3,030.25
|
$683.09
|
$3,493.70
|
$2,602.45
|
2026-06-09
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
31
|
31
|
$3,565.00
|
$3,030.25
|
$1,018.49
|
$3,493.70
|
$2,602.45
|
2026-06-09
|
|
44207
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope
|
30
|
30
|
$4,185.00
|
$3,557.25
|
$1,025.59
|
$4,101.30
|
$2,589.67
|
2026-06-09
|
|
44210
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S…
|
30
|
30
|
$4,096.00
|
$3,481.60
|
$1,007.08
|
$4,014.08
|
$2,558.54
|
2026-06-09
|
|
59812
|
HCPCS
|
Treatment Of Miscarriage
|
31
|
31
|
$3,101.00
|
$2,635.85
|
$1,085.35
|
$4,403.19
|
$2,558.33
|
2026-06-09
|
|
54700
|
HCPCS
|
Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area
|
61
|
31
|
$7,295.00
|
$6,200.75
|
$124.86
|
$7,149.10
|
$2,553.25
|
2026-06-09
|
|
46275
|
HCPCS
|
Repair Of Abnormal Drainage Tract In Anal Sphincter
|
61
|
31
|
$7,251.00
|
$6,163.35
|
$251.02
|
$7,105.98
|
$2,537.85
|
2026-06-09
|
|
36514
|
HCPCS
|
Mechanical Separation Of Plasma From Blood
|
31
|
31
|
$3,210.00
|
$2,728.50
|
$1,123.50
|
$3,145.80
|
$2,517.13
|
2026-06-09
|
|
27132
|
HCPCS
|
Total Hip Replacement After Previous Hip Surgery
|
30
|
30
|
$6,134.00
|
$5,213.90
|
$968.39
|
$6,011.32
|
$2,516.21
|
2026-06-09
|
|
23473
|
HCPCS
|
Revision Of Total Shoulder Repair
|
30
|
30
|
$6,552.00
|
$5,569.20
|
$931.94
|
$6,420.96
|
$2,515.64
|
2026-06-09
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
31
|
31
|
$3,421.00
|
$2,907.85
|
$1,152.15
|
$3,352.58
|
$2,497.33
|
2026-06-09
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
31
|
31
|
$3,410.00
|
$2,898.50
|
$683.09
|
$3,341.80
|
$2,489.30
|
2026-06-09
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
31
|
31
|
$3,410.00
|
$2,898.50
|
$1,018.49
|
$3,341.80
|
$2,489.30
|
2026-06-09
|
|
43282
|
HCPCS
|
Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us…
|
30
|
30
|
$4,000.00
|
$3,400.00
|
$979.42
|
$3,920.00
|
$2,487.60
|
2026-06-09
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
31
|
31
|
$3,407.00
|
$2,895.95
|
$1,152.15
|
$3,338.86
|
$2,487.11
|
2026-06-09
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
31
|
31
|
$3,396.00
|
$2,886.60
|
$1,152.15
|
$3,328.08
|
$2,479.08
|
2026-06-09
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
31
|
31
|
$2,986.33
|
$2,538.38
|
$1,045.22
|
$4,786.34
|
$2,463.73
|
2026-06-09
|
|
26735
|
HCPCS
|
Treatment Of Broken Finger At Midportion Or Part Near Hand
|
61
|
31
|
$6,978.00
|
$5,931.30
|
$357.75
|
$6,838.44
|
$2,442.30
|
2026-06-09
|
|
A9584
|
HCPCS
|
Iodine 1-123 Ioflupane, Diagnostic, Per Study Dose, Up To 5 Millicuries
|
31
|
31
|
$2,950.88
|
$2,508.24
|
$1,032.81
|
$2,891.86
|
$2,434.47
|
2026-06-09
|
|
60300
|
HCPCS
|
Aspiration And/or Injection Of Cyst Of Thyroid
|
31
|
31
|
$3,320.00
|
$2,822.00
|
$1,162.00
|
$3,253.60
|
$2,423.60
|
2026-06-09
|
|
12110003
|
CDM
|
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn
|
22
|
22
|
$2,760.00
|
$2,346.00
|
$1,656.00
|
$2,704.80
|
$2,415.00
|
2026-06-09
|
|
20600001
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
22
|
22
|
$2,760.00
|
$2,346.00
|
$1,656.00
|
$2,704.80
|
$2,415.00
|
2026-06-09
|
|
20610003
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
22
|
22
|
$2,760.00
|
$2,346.00
|
$1,656.00
|
$2,704.80
|
$2,415.00
|
2026-06-09
|
|
72210004
|
CDM
|
Labor Room/delivery - Delivery Room
|
31
|
31
|
$2,921.00
|
$2,482.85
|
$1,022.35
|
$2,862.58
|
$2,409.83
|
2026-06-09
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
61
|
31
|
$2,982.00
|
$2,534.70
|
$1,043.70
|
$3,213.42
|
$2,393.67
|
2026-06-09
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
30
|
30
|
$3,628.00
|
$3,083.80
|
$937.74
|
$3,555.44
|
$2,392.68
|
2026-06-09
|