|
0238T
|
HCPCS
|
Trluml Perip Athrc Iliac Art
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
5
|
2
|
—
|
—
|
$144,811.61
|
$197,636.14
|
$152,434.69
|
2026-04-01
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
5
|
2
|
—
|
—
|
$95,208.68
|
$129,939.00
|
$100,220.60
|
2026-04-01
|
|
0408T
|
HCPCS
|
Insj/rplc Cardiac Modulj Sys
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
0409T
|
HCPCS
|
Insj/rplc Car Modulj Pls Gn
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
0414T
|
HCPCS
|
Rmvl & Rpl Car Modulj Pls Gn
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
0515T
|
HCPCS
|
Insj Wcs Lv Compl Sys
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
0571T
|
HCPCS
|
Insj/rplcmt Icds Ss Eltrd
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
0614T
|
HCPCS
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
0616T
|
HCPCS
|
Insertion Of Iris Prosthesis
|
3
|
1
|
—
|
—
|
$53,194.80
|
$55,995.04
|
$55,995.04
|
2026-04-01
|
|
0617T
|
HCPCS
|
Insj Iris Prosth W/rmvl&insj
|
3
|
1
|
—
|
—
|
$53,194.80
|
$55,995.04
|
$55,995.04
|
2026-04-01
|
|
0618T
|
HCPCS
|
Insj Iris Prosth Sec Io Lens
|
3
|
1
|
—
|
—
|
$53,194.80
|
$55,995.04
|
$55,995.04
|
2026-04-01
|
|
0620T
|
HCPCS
|
Evasc Ven Artlz Tibl/prnl Vn
|
16
|
11
|
—
|
—
|
$51,005.37
|
$159,958.32
|
$93,155.19
|
2026-04-01
|
|
0632T
|
HCPCS
|
Perq Tcat US Abltj Nrv P-art
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
0645T
|
HCPCS
|
Tcat Impltj C Sins Rdctj Dev
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
13
|
10
|
—
|
—
|
$35,732.90
|
$129,939.00
|
$71,465.79
|
2026-04-01
|
|
0686T
|
HCPCS
|
Histotripsy Mal Hepatcel Tis
|
16
|
11
|
—
|
—
|
$39,670.97
|
$124,412.42
|
$60,384.93
|
2026-04-01
|
|
0793T
|
HCPCS
|
Prq Tcat Thrm Ablt Nrv P-art
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
0795T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0796T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Ra
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0797T
|
HCPCS
|
Tcat Ins 2chmbr Ldls Pm Rv
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0801T
|
HCPCS
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0802T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0803T
|
HCPCS
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0816T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subq
|
16
|
11
|
—
|
—
|
$22,465.13
|
$91,538.93
|
$56,012.82
|
2026-04-01
|
|
0817T
|
HCPCS
|
Opn Insj/rplcmt Ins Ptn Subf
|
16
|
11
|
—
|
—
|
$22,465.13
|
$91,538.93
|
$56,012.82
|
2026-04-01
|
|
0823T
|
HCPCS
|
Tcat Ins 1chmbr Ldls Pm Ra
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0825T
|
HCPCS
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
0888T
|
HCPCS
|
Histotripsy Mal Renal Tissue
|
16
|
11
|
—
|
—
|
$19,835.77
|
$76,859.84
|
$48,004.28
|
2026-04-01
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
11
|
9
|
—
|
—
|
$35,732.90
|
$112,062.21
|
$57,172.64
|
2026-04-01
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
11
|
9
|
—
|
—
|
$35,732.90
|
$112,062.21
|
$57,172.64
|
2026-04-01
|
|
0915T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg&eltrd
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$87,953.76
|
2026-04-01
|
|
0916T
|
HCPCS
|
Insj Perm Ccm-d Sys Pg Only
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,887.00
|
2026-04-01
|
|
0923T
|
HCPCS
|
Rmvl&rplcmt Perm Ccm-d Pg
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,887.00
|
2026-04-01
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
11
|
9
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$50,273.47
|
2026-04-01
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
11
|
9
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$50,273.47
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
46
|
15
|
—
|
—
|
$46,741.00
|
$2,328,894.54
|
$438,865.39
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
26
|
14
|
—
|
—
|
$60,144.26
|
$239,668.38
|
$81,347.69
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
14
|
—
|
—
|
$32,340.08
|
$182,166.94
|
$70,217.38
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
32
|
14
|
—
|
—
|
$6,809.46
|
$177,168.99
|
$62,524.07
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
14
|
—
|
—
|
$112,899.00
|
$436,909.52
|
$194,258.52
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
31
|
14
|
—
|
—
|
$60,108.14
|
$198,051.98
|
$100,223.07
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
44
|
15
|
—
|
—
|
$44,438.27
|
$149,692.12
|
$71,577.88
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
41
|
15
|
—
|
—
|
$36,749.97
|
$124,839.18
|
$58,377.29
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
26
|
14
|
—
|
—
|
$57,436.73
|
$181,438.82
|
$78,434.74
|
2026-04-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
32
|
13
|
—
|
—
|
$28,172.57
|
$1,442,305.52
|
$459,082.28
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
25
|
13
|
—
|
—
|
$75,242.38
|
$238,295.64
|
$103,808.43
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
31
|
14
|
—
|
—
|
$119,144.07
|
$696,136.09
|
$190,630.51
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
26
|
14
|
—
|
—
|
$82,921.93
|
$262,817.92
|
$123,583.07
|
2026-04-01
|
|
20696
|
HCPCS
|
Comp Multiplane Ext Fixation
|
14
|
10
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$58,643.67
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
15
|
—
|
—
|
$9,291.92
|
$214,918.98
|
$74,713.75
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
19
|
12
|
—
|
—
|
$119,008.10
|
$378,047.92
|
$121,388.26
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
31
|
15
|
—
|
—
|
$35,273.10
|
$176,812.92
|
$58,787.46
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
24
|
12
|
—
|
—
|
$114,356.64
|
$363,194.94
|
$142,005.23
|
2026-04-01
|
|
21243
|
HCPCS
|
Reconstruction Of Jaw Joint
|
14
|
10
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$58,643.67
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
19
|
12
|
—
|
—
|
$60,308.98
|
$190,610.46
|
$61,515.16
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
31
|
14
|
—
|
—
|
$104,517.84
|
$635,667.03
|
$167,622.40
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
34
|
14
|
—
|
—
|
$33,745.83
|
$607,831.63
|
$142,299.52
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
14
|
—
|
—
|
$69,392.23
|
$226,654.46
|
$107,942.80
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
14
|
—
|
—
|
$69,392.23
|
$219,615.02
|
$90,015.10
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
15
|
—
|
—
|
$76,340.50
|
$281,446.15
|
$129,486.96
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
29
|
15
|
—
|
—
|
$24,006.28
|
$106,125.16
|
$54,161.63
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
48
|
15
|
—
|
—
|
$8,775.18
|
$216,622.64
|
$90,003.46
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
31
|
14
|
—
|
—
|
$45,751.26
|
$168,342.68
|
$75,681.99
|
2026-04-01
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
7
|
6
|
—
|
—
|
$111,403.53
|
$255,730.44
|
$152,174.93
|
2026-04-01
|
|
223
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
7
|
6
|
—
|
—
|
$75,932.09
|
$174,304.58
|
$105,050.75
|
2026-04-01
|
|
224
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
7
|
6
|
—
|
—
|
$103,147.86
|
$236,779.28
|
$140,897.85
|
2026-04-01
|
|
225
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…
|
7
|
6
|
—
|
—
|
$73,589.54
|
$168,927.18
|
$100,521.79
|
2026-04-01
|
|
22558
|
HCPCS
|
Lumbar Spine Fusion
|
11
|
9
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$50,273.47
|
2026-04-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
|
7
|
6
|
—
|
—
|
$93,133.10
|
$213,790.06
|
$127,217.89
|
2026-04-01
|
|
22630
|
HCPCS
|
Lumbar Spine Fusion
|
14
|
10
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$58,643.67
|
2026-04-01
|
|
22633
|
HCPCS
|
Lumbar Spine Fusion Combined
|
14
|
10
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$58,643.67
|
2026-04-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc
|
7
|
6
|
—
|
—
|
$73,051.19
|
$167,691.38
|
$99,786.41
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
14
|
—
|
—
|
$15,329.68
|
$901,084.42
|
$83,783.68
|
2026-04-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
38
|
14
|
—
|
—
|
$14,798.90
|
$105,193.30
|
$49,488.40
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
34
|
15
|
—
|
—
|
$29,785.85
|
$234,702.04
|
$70,281.32
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
34
|
15
|
—
|
—
|
$18,401.24
|
$794,267.91
|
$110,162.52
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
27
|
14
|
—
|
—
|
$13,280.00
|
$202,490.84
|
$88,210.83
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
30
|
14
|
—
|
—
|
$12,907.60
|
$255,349.68
|
$128,933.01
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
28
|
14
|
—
|
—
|
$11,933.69
|
$182,454.18
|
$71,506.24
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
34
|
14
|
—
|
—
|
$10,049.97
|
$196,011.24
|
$99,200.51
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
36
|
14
|
—
|
—
|
$41,388.64
|
$149,223.95
|
$67,447.45
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
29
|
14
|
—
|
—
|
$49,958.99
|
$164,384.78
|
$71,610.74
|
2026-04-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
29
|
14
|
—
|
—
|
$31,402.88
|
$130,657.46
|
$56,918.15
|
2026-04-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
32
|
15
|
—
|
—
|
$9,644.22
|
$152,384.16
|
$51,963.12
|
2026-04-01
|
|
246
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…
|
7
|
6
|
—
|
—
|
$43,583.07
|
$100,046.36
|
$59,533.58
|
2026-04-01
|
|
248
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…
|
7
|
6
|
—
|
—
|
$43,792.59
|
$100,527.32
|
$59,819.78
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
47
|
14
|
—
|
—
|
$40,978.23
|
$290,589.81
|
$74,674.51
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
34
|
14
|
—
|
—
|
$35,348.91
|
$115,691.31
|
$51,300.21
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
27
|
14
|
—
|
—
|
$35,417.13
|
$120,847.88
|
$52,644.81
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
43
|
14
|
—
|
—
|
$9,940.82
|
$496,620.99
|
$71,976.19
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
45
|
14
|
—
|
—
|
$7,806.73
|
$170,377.73
|
$69,269.64
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
30
|
14
|
—
|
—
|
$51,141.10
|
$229,721.86
|
$114,854.68
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
31
|
14
|
—
|
—
|
$41,236.76
|
$173,787.57
|
$71,192.76
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
45
|
15
|
—
|
—
|
$51,071.15
|
$176,228.42
|
$79,501.75
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
37
|
14
|
—
|
—
|
$33,445.70
|
$118,780.42
|
$50,948.56
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
36
|
14
|
—
|
—
|
$7,064.91
|
$212,073.51
|
$61,909.74
|
2026-04-01
|
|
27445
|
HCPCS
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$44,059.15
|
$55,073.22
|
$49,566.18
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
30
|
12
|
—
|
—
|
$53,403.01
|
$238,155.36
|
$93,232.81
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
29
|
12
|
—
|
—
|
$60,277.83
|
$200,620.44
|
$87,396.03
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
31
|
12
|
—
|
—
|
$8,904.12
|
$154,257.90
|
$78,279.33
|
2026-04-01
|
|
27702
|
HCPCS
|
Reconstruct Ankle Joint
|
14
|
10
|
—
|
—
|
$31,420.92
|
$98,539.38
|
$58,643.67
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
25
|
12
|
—
|
—
|
$58,837.29
|
$185,911.08
|
$80,988.21
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
35
|
14
|
—
|
—
|
$43,360.55
|
$222,153.26
|
$96,757.50
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
45
|
14
|
—
|
—
|
$35,562.48
|
$1,218,729.64
|
$308,826.66
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
30
|
14
|
—
|
—
|
$41,759.12
|
$149,696.90
|
$72,145.41
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
34
|
13
|
—
|
—
|
$8,035.20
|
$250,406.04
|
$71,613.69
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
28
|
14
|
—
|
—
|
$43,577.38
|
$149,060.86
|
$58,480.97
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
39
|
15
|
—
|
—
|
$12,125.02
|
$168,119.98
|
$72,566.67
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
50
|
15
|
—
|
—
|
$25,752.76
|
$155,869.63
|
$67,892.66
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
26
|
14
|
—
|
—
|
$38,487.83
|
$120,931.38
|
$56,017.08
|
2026-04-01
|
|
33221
|
HCPCS
|
Insert Pulse Gen Mult Leads
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
33229
|
HCPCS
|
Remv&replc Pm Gen Mult Leads
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
33230
|
HCPCS
|
Insrt Pulse Gen W/dual Leads
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
33240
|
HCPCS
|
Insrt Pulse Gen W/singl Lead
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
33262
|
HCPCS
|
Rmvl& Replc Pulse Gen 1 Lead
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
33263
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
16
|
11
|
—
|
—
|
$25,757.83
|
$98,635.38
|
$61,907.05
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
16
|
11
|
—
|
—
|
$36,347.98
|
$137,667.32
|
$86,802.36
|
2026-04-01
|
|
33274
|
HCPCS
|
Tcat Insj/rpl Perm Ldls Pm
|
16
|
11
|
—
|
—
|
$22,304.84
|
$81,536.50
|
$52,187.96
|
2026-04-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
16
|
11
|
—
|
—
|
$51,005.37
|
$197,636.14
|
$123,437.41
|
2026-04-01
|
|
33287
|
HCPCS
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
16
|
11
|
—
|
—
|
$35,732.90
|
$129,939.00
|
$83,355.62
|
2026-04-01
|
|
33289
|
HCPCS
|
Tcat Impl Wrls P-art Prs Snr
|
16
|
11
|
—
|
—
|
$33,215.03
|
$121,621.59
|
$77,789.30
|
2026-04-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
34
|
14
|
—
|
—
|
$28,947.85
|
$119,891.59
|
$56,351.85
|
2026-04-01
|
|
338
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Mcc
|
7
|
6
|
—
|
—
|
$38,652.08
|
$88,727.10
|
$52,797.94
|
2026-04-01
|
|
33902
|
HCPCS
|
Perq P-art Revsc 1 Abnor Uni
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
27
|
14
|
—
|
—
|
$32,832.63
|
$129,281.38
|
$56,318.69
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
42
|
14
|
—
|
—
|
$11,439.04
|
$260,870.50
|
$67,453.71
|
2026-04-01
|
|
36836
|
HCPCS
|
Prq Av Fstl Crtj Uxtr 1 Acs
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
36837
|
HCPCS
|
Prq Av Fstl Crt Uxtr Sep Acs
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
36906
|
HCPCS
|
Thrmbc/nfs Dialysis Circuit
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
28
|
14
|
—
|
—
|
$35,050.76
|
$109,956.14
|
$51,170.97
|
2026-04-01
|
|
37184
|
HCPCS
|
Prim Art M-thrmbc 1st Vsl
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
37225
|
HCPCS
|
Fem/popl Revas W/ather
|
5
|
2
|
—
|
—
|
$53,764.12
|
$73,376.25
|
$56,594.34
|
2026-04-01
|
|
37227
|
HCPCS
|
Fem/popl Revasc Stnt & Ather
|
5
|
2
|
—
|
—
|
$53,764.12
|
$73,376.25
|
$56,594.34
|
2026-04-01
|
|
37229
|
HCPCS
|
Tib/per Revasc W/ather
|
5
|
2
|
—
|
—
|
$53,764.12
|
$73,376.25
|
$56,594.34
|
2026-04-01
|
|
37230
|
HCPCS
|
Tib/per Revasc W/stent
|
5
|
2
|
—
|
—
|
$53,764.12
|
$73,376.25
|
$56,594.34
|
2026-04-01
|
|
37231
|
HCPCS
|
Tib/per Revasc Stent & Ather
|
5
|
2
|
—
|
—
|
$53,764.12
|
$73,376.25
|
$56,594.34
|
2026-04-01
|
|
37242
|
HCPCS
|
Vasc Embolize/occlude Artery
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
16
|
11
|
—
|
—
|
$72,838.84
|
$228,667.63
|
$156,650.78
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
37
|
15
|
—
|
—
|
$23,446.58
|
$901,330.19
|
$197,205.75
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
37
|
13
|
—
|
—
|
$39,026.23
|
$134,284.70
|
$68,271.44
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
39
|
14
|
—
|
—
|
$30,771.70
|
$329,871.30
|
$92,538.06
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
40
|
14
|
—
|
—
|
$28,002.38
|
$113,232.91
|
$47,942.02
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
27
|
14
|
—
|
—
|
$37,911.50
|
$119,091.04
|
$59,910.82
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
26
|
14
|
—
|
—
|
$37,880.12
|
$118,990.84
|
$55,811.42
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
30
|
14
|
—
|
—
|
$40,533.26
|
$184,523.80
|
$69,536.05
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
34
|
13
|
—
|
—
|
$8,136.02
|
$368,108.08
|
$134,730.35
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
12
|
—
|
—
|
$6,800.39
|
$241,101.24
|
$81,830.08
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
12
|
—
|
—
|
$54,481.30
|
$187,774.80
|
$64,365.06
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
25
|
12
|
—
|
—
|
$80,588.83
|
$300,920.64
|
$104,339.86
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
30
|
12
|
—
|
—
|
$48,657.03
|
$192,621.14
|
$88,757.83
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
12
|
—
|
—
|
$10,995.51
|
$223,165.44
|
$77,554.52
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
32
|
12
|
—
|
—
|
$40,732.03
|
$154,277.80
|
$68,102.51
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
26
|
12
|
—
|
—
|
$50,432.12
|
$178,008.64
|
$69,772.22
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
33
|
12
|
—
|
—
|
$26,768.95
|
$114,432.27
|
$52,804.21
|
2026-04-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
7
|
6
|
—
|
—
|
$128,933.37
|
$295,970.76
|
$176,120.33
|
2026-04-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
7
|
6
|
—
|
—
|
$88,992.17
|
$204,284.42
|
$121,561.46
|
2026-04-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
7
|
6
|
—
|
—
|
$67,011.48
|
$153,827.04
|
$91,536.30
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
14
|
—
|
—
|
$76,046.28
|
$280,673.56
|
$141,621.95
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
14
|
—
|
—
|
$57,260.46
|
$199,167.54
|
$100,782.03
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
26
|
14
|
—
|
—
|
$44,260.57
|
$139,364.84
|
$65,764.12
|
2026-04-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
7
|
6
|
—
|
—
|
$96,499.97
|
$221,518.82
|
$131,816.96
|
2026-04-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
7
|
6
|
—
|
—
|
$53,222.45
|
$122,173.86
|
$72,700.76
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
29
|
15
|
—
|
—
|
$17,414.50
|
$184,468.20
|
$64,223.97
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
33
|
15
|
—
|
—
|
$7,711.37
|
$190,363.30
|
$63,243.16
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
35
|
15
|
—
|
—
|
$8,711.03
|
$173,860.36
|
$56,164.68
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
31
|
14
|
—
|
—
|
$32,318.82
|
$217,828.71
|
$70,257.59
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
28
|
14
|
—
|
—
|
$7,441.68
|
$143,382.86
|
$56,266.24
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
29
|
14
|
—
|
—
|
$33,145.21
|
$115,383.64
|
$50,264.43
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
29
|
14
|
—
|
—
|
$33,531.92
|
$122,631.44
|
$53,421.78
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
26
|
14
|
—
|
—
|
$38,540.13
|
$121,098.38
|
$56,412.22
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
42
|
15
|
—
|
—
|
$64,547.79
|
$597,068.43
|
$160,866.03
|
2026-04-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
30
|
14
|
—
|
—
|
$29,827.29
|
$106,442.46
|
$51,332.59
|
2026-04-01
|
|
5166
|
OTHER
|
Cochlear Implant Procedure
|
10
|
6
|
—
|
—
|
$20,917.00
|
$140,326.27
|
$89,687.67
|
2026-04-01
|
|
5232
|
OTHER
|
Level 2 Icd And Similar Procedures
|
23
|
13
|
—
|
—
|
$18,424.37
|
$132,138.98
|
$60,924.24
|
2026-04-01
|
|
53444
|
HCPCS
|
Insert Tandem Cuff
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
53447
|
HCPCS
|
Remove/replace Ur Sphincter
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
54401
|
HCPCS
|
Insert Self-contd Prosthesis
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
54405
|
HCPCS
|
Insert Multi-comp Penis Pros
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
54410
|
HCPCS
|
Remove/replace Penis Prosth
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
54411
|
HCPCS
|
Remov/replc Penis Pros Comp
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
54416
|
HCPCS
|
Remv/repl Penis Contain Pros
|
16
|
11
|
—
|
—
|
$24,000.64
|
$84,409.48
|
$54,937.16
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
29
|
14
|
—
|
—
|
$39,225.68
|
$218,816.76
|
$92,057.61
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
26
|
14
|
—
|
—
|
$36,926.19
|
$115,944.76
|
$52,240.96
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
28
|
14
|
—
|
—
|
$51,881.55
|
$163,700.08
|
$64,191.09
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
35
|
14
|
—
|
—
|
$49,118.09
|
$403,930.27
|
$82,974.38
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
27
|
14
|
—
|
—
|
$37,093.55
|
$116,479.16
|
$59,349.68
|
2026-04-01
|
|
61885
|
HCPCS
|
Insrt/redo Neurostim 1 Array
|
16
|
11
|
—
|
—
|
$35,732.90
|
$112,062.21
|
$70,603.04
|
2026-04-01
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
16
|
11
|
—
|
—
|
$35,732.90
|
$129,939.00
|
$83,355.62
|
2026-04-01
|
|
61891
|
HCPCS
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
16
|
11
|
—
|
—
|
$35,732.90
|
$112,062.21
|
$70,603.04
|
2026-04-01
|
|
62360
|
HCPCS
|
Insert Spine Infusion Device
|
16
|
11
|
—
|
—
|
$20,871.44
|
$74,628.26
|
$48,222.91
|
2026-04-01
|
|
62361
|
HCPCS
|
Implant Spine Infusion Pump
|
16
|
11
|
—
|
—
|
$20,871.44
|
$74,628.26
|
$48,222.91
|
2026-04-01
|
|
62362
|
HCPCS
|
Implant Spine Infusion Pump
|
16
|
11
|
—
|
—
|
$20,871.44
|
$74,628.26
|
$48,222.91
|
2026-04-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
32
|
14
|
—
|
—
|
$22,602.99
|
$124,475.12
|
$48,650.12
|
2026-04-01
|
|
63655
|
HCPCS
|
Implant Neuroelectrodes
|
16
|
11
|
—
|
—
|
$22,465.13
|
$91,538.93
|
$56,012.82
|
2026-04-01
|
|
63685
|
HCPCS
|
Insrt/redo Spine N Generator
|
16
|
11
|
—
|
—
|
$35,732.90
|
$129,939.00
|
$83,355.62
|
2026-04-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
16
|
11
|
—
|
—
|
$51,005.37
|
$159,958.32
|
$100,220.60
|
2026-04-01
|
|
64580
|
HCPCS
|
Implant Neuroelectrodes
|
16
|
11
|
—
|
—
|
$22,465.13
|
$91,538.93
|
$56,012.82
|
2026-04-01
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
16
|
11
|
—
|
—
|
$35,732.90
|
$129,939.00
|
$83,355.62
|
2026-04-01
|
|
64590
|
HCPCS
|
Insrt/redo Pn/gastr Stimul
|
16
|
11
|
—
|
—
|
$22,465.13
|
$91,538.93
|
$56,012.82
|
2026-04-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
11
|
9
|
—
|
—
|
$51,005.37
|
$159,958.32
|
$81,608.59
|
2026-04-01
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
11
|
9
|
—
|
—
|
$35,732.90
|
$112,062.21
|
$57,172.64
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
32
|
13
|
—
|
—
|
$45,639.27
|
$300,533.05
|
$76,932.63
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
30
|
13
|
—
|
—
|
$34,455.10
|
$235,002.06
|
$48,617.57
|
2026-04-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
38
|
14
|
—
|
—
|
$30,623.70
|
$232,222.91
|
$53,966.33
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
32
|
14
|
—
|
—
|
$33,588.35
|
$266,113.86
|
$80,630.95
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
40
|
14
|
—
|
—
|
$28,253.37
|
$116,337.60
|
$48,024.87
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
32
|
14
|
—
|
—
|
$32,551.76
|
$283,433.36
|
$54,268.75
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
29
|
14
|
—
|
—
|
$33,076.12
|
$104,248.08
|
$50,485.14
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
32
|
14
|
—
|
—
|
$18,387.29
|
$140,333.44
|
$59,266.36
|
2026-04-01
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
16
|
11
|
—
|
—
|
$38,181.38
|
$140,326.27
|
$89,610.82
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
39
|
14
|
—
|
—
|
$74,724.11
|
$531,099.75
|
$223,617.90
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
28
|
14
|
—
|
—
|
$38,004.59
|
$119,388.30
|
$60,807.34
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
29
|
14
|
—
|
—
|
$38,091.41
|
$119,665.52
|
$52,129.74
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
43
|
15
|
—
|
—
|
$48,854.64
|
$637,307.64
|
$99,962.91
|
2026-04-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
38
|
15
|
—
|
—
|
$6,527.83
|
$277,261.96
|
$55,041.69
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
29
|
14
|
—
|
—
|
$47,987.39
|
$151,265.26
|
$76,779.82
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
30
|
14
|
—
|
—
|
$23,377.03
|
$402,028.54
|
$73,354.88
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
27
|
14
|
—
|
—
|
$42,288.91
|
$133,068.94
|
$57,968.66
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
34
|
15
|
—
|
—
|
$18,413.91
|
$195,884.32
|
$76,744.74
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
34
|
14
|
—
|
—
|
$14,516.75
|
$194,760.48
|
$70,368.67
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
34
|
14
|
—
|
—
|
$47,382.00
|
$235,795.35
|
$80,492.48
|
2026-04-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
38
|
14
|
—
|
—
|
$5,411.49
|
$116,728.59
|
$52,451.55
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
42
|
14
|
—
|
—
|
$9,401.44
|
$313,554.40
|
$93,737.46
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
41
|
14
|
—
|
—
|
$8,227.35
|
$160,463.62
|
$55,954.80
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
29
|
13
|
—
|
—
|
$5,108.52
|
$289,227.30
|
$95,752.08
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
42
|
14
|
—
|
—
|
$670.91
|
$549,029.13
|
$64,678.32
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
31
|
14
|
—
|
—
|
$7,789.64
|
$151,926.58
|
$66,183.59
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
37
|
15
|
—
|
—
|
$11,264.00
|
$237,015.97
|
$100,566.69
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
30
|
14
|
—
|
—
|
$32,767.03
|
$129,087.66
|
$55,226.71
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
27
|
14
|
—
|
—
|
$44,511.61
|
$140,166.44
|
$70,859.08
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
28
|
14
|
—
|
—
|
$36,970.15
|
$122,681.54
|
$57,655.94
|
2026-04-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
35
|
14
|
—
|
—
|
$38,007.87
|
$176,958.62
|
$64,621.77
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
26
|
14
|
—
|
—
|
$223,937.25
|
$713,106.70
|
$329,830.52
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
26
|
14
|
—
|
—
|
$75,640.89
|
$239,568.18
|
$106,386.77
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
26
|
14
|
—
|
—
|
$34,304.98
|
$107,574.72
|
$48,442.80
|
2026-04-01
|
|
92933
|
HCPCS
|
Prq Card Stent/ath/angio
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
26
|
14
|
—
|
—
|
$37,532.60
|
$130,066.28
|
$50,218.47
|
2026-04-01
|
|
93580
|
HCPCS
|
Transcath Closure Of Asd
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
93581
|
HCPCS
|
Transcath Closure Of Vsd
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
93582
|
HCPCS
|
Perq Transcath Closure Pda
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
93590
|
HCPCS
|
Perq Transcath Cls Mitral
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
93591
|
HCPCS
|
Perq Transcath Cls Aortic
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
93653
|
HCPCS
|
Ep & Ablate Supravent Arrhyt
|
16
|
11
|
—
|
—
|
$30,267.37
|
$99,384.38
|
$66,693.30
|
2026-04-01
|
|
93654
|
HCPCS
|
Ep & Ablate Ventric Tachy
|
16
|
11
|
—
|
—
|
$30,267.37
|
$99,384.38
|
$66,693.30
|
2026-04-01
|
|
93656
|
HCPCS
|
Tx Atrial Fib Pulm Vein Isol
|
16
|
11
|
—
|
—
|
$30,267.37
|
$99,384.38
|
$66,693.30
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
30
|
14
|
—
|
—
|
$38,569.42
|
$121,191.90
|
$53,552.38
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
30
|
15
|
—
|
—
|
$3,051.46
|
$231,599.61
|
$55,546.24
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
26
|
14
|
—
|
—
|
$71,021.86
|
$224,818.74
|
$101,237.76
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
26
|
14
|
—
|
—
|
$39,976.26
|
$125,684.20
|
$59,356.83
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
14
|
—
|
—
|
$59,438.45
|
$254,504.66
|
$110,869.55
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
27
|
14
|
—
|
—
|
$21,936.82
|
$140,744.26
|
$61,312.25
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
27
|
14
|
—
|
—
|
$61,788.93
|
$204,451.42
|
$89,064.92
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
14
|
—
|
—
|
$47,037.20
|
$181,748.31
|
$78,785.00
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
34
|
14
|
—
|
—
|
$33,053.76
|
$151,161.73
|
$55,121.21
|
2026-04-01
|
|
999
|
MS_DRG
|
Ungroupable
|
2
|
2
|
—
|
—
|
$30,092.84
|
$286,193.54
|
$158,143.19
|
2026-04-01
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
17
|
11
|
—
|
—
|
$56,824.55
|
$178,207.90
|
$99,524.40
|
2026-04-01
|
|
C9602
|
HCPCS
|
Perc D-e Cor Stent Ather S
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9607
|
HCPCS
|
Perc D-e Cor Revasc Chro Sin
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9758
|
HCPCS
|
Interatrial Shunt Ide
|
16
|
11
|
—
|
—
|
$19,835.77
|
$76,859.84
|
$48,004.28
|
2026-04-01
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
16
|
11
|
—
|
—
|
$31,170.17
|
$120,778.48
|
$75,434.51
|
2026-04-01
|
|
C9765
|
HCPCS
|
Revasc Intra Lithotrip-stent
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9766
|
HCPCS
|
Revasc Intra Lithotrip-ather
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9767
|
HCPCS
|
Revasc Lithotrip-stent-ather
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9773
|
HCPCS
|
Revasc Lithotr-stent Tib/per
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9774
|
HCPCS
|
Revasc Lithotr-ather Tib/per
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9775
|
HCPCS
|
Revasc Lith-sten-ath Tib/per
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
C9782
|
HCPCS
|
Blind Myocar Trpl Bon Marrow
|
16
|
11
|
—
|
—
|
$19,835.77
|
$76,859.84
|
$48,004.28
|
2026-04-01
|
|
C9797
|
HCPCS
|
Vasc Emb/occ W/prs Cath
|
16
|
11
|
—
|
—
|
$21,227.85
|
$73,376.25
|
$48,120.82
|
2026-04-01
|
|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
6
|
6
|
—
|
—
|
$3,685,266.67
|
$4,748,800.00
|
$3,814,251.00
|
2026-04-01
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
6
|
6
|
—
|
—
|
$3,316,462.59
|
$4,218,880.00
|
$3,432,538.78
|
2026-04-01
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$4,614,400.00
|
$4,614,400.00
|
$4,614,400.00
|
2026-04-01
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
6
|
5
|
—
|
—
|
$3,090,000.00
|
$4,944,000.00
|
$3,198,150.00
|
2026-04-01
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
5
|
5
|
—
|
—
|
$3,335,820.00
|
$3,669,402.00
|
$3,402,536.40
|
2026-04-01
|
|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
5
|
—
|
—
|
$4,505,000.00
|
$4,955,500.00
|
$4,595,100.00
|
2026-04-01
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
9
|
7
|
—
|
—
|
$2,332,000.00
|
$4,664,000.00
|
$2,565,200.00
|
2026-04-01
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
8
|
6
|
—
|
—
|
$2,945,740.00
|
$4,748,800.00
|
$3,166,670.50
|
2026-04-01
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
6
|
6
|
—
|
—
|
$3,248,445.72
|
$4,206,080.00
|
$3,362,141.31
|
2026-04-01
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
9
|
7
|
—
|
—
|
$2,455,110.60
|
$4,910,221.21
|
$2,700,621.67
|
2026-04-01
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
12
|
9
|
—
|
—
|
$205,640.00
|
$644,909.17
|
$277,614.00
|
2026-04-01
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
12
|
9
|
—
|
—
|
$257,500.00
|
$807,547.71
|
$347,625.00
|
2026-04-01
|
|
J9029
|
HCPCS
|
Inj, Adstiladrin, Per Tx Dos
|
17
|
11
|
—
|
—
|
$63,342.28
|
$198,648.21
|
$98,880.00
|
2026-04-01
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
19
|
12
|
—
|
—
|
$45,020.65
|
$141,189.60
|
$67,120.54
|
2026-04-01
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
10
|
8
|
—
|
—
|
$44,853.57
|
$140,665.62
|
$60,552.32
|
2026-04-01
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
10
|
8
|
—
|
—
|
$48,155.50
|
$151,020.83
|
$65,009.93
|
2026-04-01
|
|
L8702
|
HCPCS
|
Pow Ue Rom Dev Ewhf Uprt Cus
|
10
|
8
|
—
|
—
|
$68,801.71
|
$215,769.57
|
$92,882.31
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
10
|
8
|
—
|
—
|
$108,243.35
|
$339,462.79
|
$146,128.52
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
15
|
10
|
—
|
—
|
$533,230.17
|
$1,672,267.20
|
$652,377.00
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
15
|
10
|
—
|
—
|
$591,726.20
|
$1,855,717.04
|
$703,671.11
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
18
|
11
|
—
|
—
|
$55,272.32
|
$173,339.96
|
$84,931.04
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
14
|
10
|
—
|
—
|
$489,304.61
|
$1,534,511.90
|
$647,193.60
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
14
|
10
|
—
|
—
|
$562,538.19
|
$1,764,180.28
|
$688,478.81
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
14
|
10
|
—
|
—
|
$557,317.93
|
$1,747,809.01
|
$697,954.03
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
14
|
10
|
—
|
—
|
$565,868.94
|
$1,774,625.90
|
$730,362.12
|
2026-04-01
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
12
|
9
|
—
|
—
|
$770,620.00
|
$2,416,747.24
|
$1,040,337.00
|
2026-04-01
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
11
|
9
|
—
|
—
|
$278,250.00
|
$872,621.94
|
$445,200.00
|
2026-04-01
|