|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
$52,692.27
|
$52,692.27
|
$61,732.50
|
$61,732.50
|
$61,732.50
|
2026-10-22
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
$54,602.21
|
$54,602.21
|
$44,490.00
|
$44,490.00
|
$44,490.00
|
2026-10-22
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
1
|
1
|
$17,383.50
|
$17,383.50
|
$40,436.25
|
$40,436.25
|
$40,436.25
|
2026-10-22
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
$51,911.14
|
$51,911.14
|
$38,933.75
|
$38,933.75
|
$38,933.75
|
2026-10-22
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
1
|
1
|
$111,208.78
|
$111,208.78
|
$37,915.00
|
$37,915.00
|
$37,915.00
|
2026-10-22
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
1
|
1
|
$53,411.93
|
$53,411.93
|
$36,403.75
|
$36,403.75
|
$36,403.75
|
2026-10-22
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
$19,835.00
|
$19,835.00
|
$34,358.75
|
$34,358.75
|
$34,358.75
|
2026-10-22
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
1
|
1
|
$66,239.32
|
$66,239.32
|
$29,965.00
|
$29,965.00
|
$29,965.00
|
2026-10-22
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
1
|
1
|
$41,193.89
|
$41,193.89
|
$29,830.00
|
$29,830.00
|
$29,830.00
|
2026-10-22
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
1
|
1
|
$13,560.28
|
$13,560.28
|
$29,038.75
|
$29,038.75
|
$29,038.75
|
2026-10-22
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
1
|
1
|
$130,186.98
|
$130,186.98
|
$28,695.00
|
$28,695.00
|
$28,695.00
|
2026-10-22
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
$14,733.95
|
$14,733.95
|
$27,598.75
|
$27,598.75
|
$27,598.75
|
2026-10-22
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
1
|
1
|
$19,056.33
|
$19,056.33
|
$27,235.00
|
$27,235.00
|
$27,235.00
|
2026-10-22
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
1
|
1
|
$18,448.90
|
$18,448.90
|
$26,733.75
|
$26,733.75
|
$26,733.75
|
2026-10-22
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
1
|
1
|
$73,980.75
|
$73,980.75
|
$26,471.25
|
$26,471.25
|
$26,471.25
|
2026-10-22
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
1
|
1
|
$38,387.53
|
$38,387.53
|
$26,358.75
|
$26,358.75
|
$26,358.75
|
2026-10-22
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
1
|
1
|
$52,369.58
|
$52,369.58
|
$26,181.25
|
$26,181.25
|
$26,181.25
|
2026-10-22
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
1
|
1
|
$26,012.64
|
$26,012.64
|
$26,165.00
|
$26,165.00
|
$26,165.00
|
2026-10-22
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
1
|
1
|
$11,478.61
|
$11,478.61
|
$26,065.00
|
$26,065.00
|
$26,065.00
|
2026-10-22
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
1
|
1
|
$36,699.95
|
$36,699.95
|
$25,137.50
|
$25,137.50
|
$25,137.50
|
2026-10-22
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
1
|
1
|
$41,748.89
|
$41,748.89
|
$24,976.25
|
$24,976.25
|
$24,976.25
|
2026-10-22
|
|
908
|
MS_DRG
|
Other O.r. Procedures For Injuries With Cc
|
1
|
1
|
$9,535.87
|
$9,535.87
|
$24,940.00
|
$24,940.00
|
$24,940.00
|
2026-10-22
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
1
|
1
|
$9,346.40
|
$9,346.40
|
$24,760.00
|
$24,760.00
|
$24,760.00
|
2026-10-22
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
1
|
1
|
$18,072.11
|
$18,072.11
|
$24,281.25
|
$24,281.25
|
$24,281.25
|
2026-10-22
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
1
|
1
|
$56,020.53
|
$56,020.53
|
$24,111.25
|
$24,111.25
|
$24,111.25
|
2026-10-22
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With Mcc
|
1
|
1
|
$48,784.00
|
$48,784.00
|
$23,590.00
|
$23,590.00
|
$23,590.00
|
2026-10-22
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
$36,581.05
|
$36,581.05
|
$23,378.75
|
$23,378.75
|
$23,378.75
|
2026-10-22
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
1
|
1
|
$21,291.60
|
$21,291.60
|
$23,365.00
|
$23,365.00
|
$23,365.00
|
2026-10-22
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
1
|
1
|
$38,726.27
|
$38,726.27
|
$22,850.00
|
$22,850.00
|
$22,850.00
|
2026-10-22
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
1
|
1
|
$29,459.45
|
$29,459.45
|
$22,260.00
|
$22,260.00
|
$22,260.00
|
2026-10-22
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
1
|
1
|
$23,021.00
|
$23,021.00
|
$22,163.75
|
$22,163.75
|
$22,163.75
|
2026-10-22
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
$12,063.70
|
$12,063.70
|
$22,081.25
|
$22,081.25
|
$22,081.25
|
2026-10-22
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
1
|
1
|
$34,433.98
|
$34,433.98
|
$22,051.25
|
$22,051.25
|
$22,051.25
|
2026-10-22
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
1
|
1
|
$26,735.65
|
$26,735.65
|
$21,952.50
|
$21,952.50
|
$21,952.50
|
2026-10-22
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
1
|
1
|
$12,171.55
|
$12,171.55
|
$21,867.50
|
$21,867.50
|
$21,867.50
|
2026-10-22
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
1
|
1
|
$73,215.66
|
$73,215.66
|
$21,336.25
|
$21,336.25
|
$21,336.25
|
2026-10-22
|
|
256
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Cc
|
1
|
1
|
$17,613.83
|
$17,613.83
|
$21,223.75
|
$21,223.75
|
$21,223.75
|
2026-10-22
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
1
|
1
|
$37,255.79
|
$37,255.79
|
$21,145.00
|
$21,145.00
|
$21,145.00
|
2026-10-22
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
1
|
1
|
$14,505.79
|
$14,505.79
|
$21,122.50
|
$21,122.50
|
$21,122.50
|
2026-10-22
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
1
|
1
|
$32,687.14
|
$32,687.14
|
$21,118.75
|
$21,118.75
|
$21,118.75
|
2026-10-22
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
1
|
1
|
$44,075.20
|
$44,075.20
|
$21,036.25
|
$21,036.25
|
$21,036.25
|
2026-10-22
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
1
|
1
|
$49,373.39
|
$49,373.39
|
$21,030.00
|
$21,030.00
|
$21,030.00
|
2026-10-22
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
1
|
1
|
$19,462.60
|
$19,462.60
|
$20,951.25
|
$20,951.25
|
$20,951.25
|
2026-10-22
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
1
|
1
|
$7,447.25
|
$7,447.25
|
$20,886.25
|
$20,886.25
|
$20,886.25
|
2026-10-22
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
1
|
1
|
$23,488.35
|
$23,488.35
|
$20,810.00
|
$20,810.00
|
$20,810.00
|
2026-10-22
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
1
|
1
|
$67,723.39
|
$67,723.39
|
$20,680.00
|
$20,680.00
|
$20,680.00
|
2026-10-22
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
1
|
1
|
$66,273.94
|
$66,273.94
|
$20,576.25
|
$20,576.25
|
$20,576.25
|
2026-10-22
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
1
|
1
|
$14,728.67
|
$14,728.67
|
$20,408.75
|
$20,408.75
|
$20,408.75
|
2026-10-22
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
1
|
1
|
$43,247.61
|
$43,247.61
|
$20,387.50
|
$20,387.50
|
$20,387.50
|
2026-10-22
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
1
|
1
|
$16,868.25
|
$16,868.25
|
$20,377.50
|
$20,377.50
|
$20,377.50
|
2026-10-22
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
1
|
1
|
$28,846.39
|
$28,846.39
|
$20,355.00
|
$20,355.00
|
$20,355.00
|
2026-10-22
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
1
|
1
|
$21,561.37
|
$21,561.37
|
$20,051.25
|
$20,051.25
|
$20,051.25
|
2026-10-22
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
1
|
1
|
$20,110.02
|
$20,110.02
|
$19,991.25
|
$19,991.25
|
$19,991.25
|
2026-10-22
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With Mcc
|
1
|
1
|
$10,142.30
|
$10,142.30
|
$19,605.00
|
$19,605.00
|
$19,605.00
|
2026-10-22
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
1
|
1
|
$19,723.92
|
$19,723.92
|
$19,533.75
|
$19,533.75
|
$19,533.75
|
2026-10-22
|
|
186
|
MS_DRG
|
Pleural Effusion With Mcc
|
1
|
1
|
$15,385.49
|
$15,385.49
|
$19,481.25
|
$19,481.25
|
$19,481.25
|
2026-10-22
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
1
|
1
|
$18,265.34
|
$18,265.34
|
$19,295.00
|
$19,295.00
|
$19,295.00
|
2026-10-22
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
1
|
1
|
$11,015.40
|
$11,015.40
|
$19,123.75
|
$19,123.75
|
$19,123.75
|
2026-10-22
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
1
|
1
|
$28,121.36
|
$28,121.36
|
$19,056.25
|
$19,056.25
|
$19,056.25
|
2026-10-22
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
1
|
1
|
$61,752.17
|
$61,752.17
|
$18,920.00
|
$18,920.00
|
$18,920.00
|
2026-10-22
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
1
|
1
|
$20,731.15
|
$20,731.15
|
$18,586.25
|
$18,586.25
|
$18,586.25
|
2026-10-22
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
1
|
1
|
$9,579.40
|
$9,579.40
|
$18,512.50
|
$18,512.50
|
$18,512.50
|
2026-10-22
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
1
|
1
|
$15,158.78
|
$15,158.78
|
$18,460.00
|
$18,460.00
|
$18,460.00
|
2026-10-22
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
1
|
1
|
$28,556.97
|
$28,556.97
|
$17,958.75
|
$17,958.75
|
$17,958.75
|
2026-10-22
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
1
|
1
|
$39,016.44
|
$39,016.44
|
$17,766.25
|
$17,766.25
|
$17,766.25
|
2026-10-22
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
1
|
1
|
$14,853.55
|
$14,853.55
|
$17,553.75
|
$17,553.75
|
$17,553.75
|
2026-10-22
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
1
|
1
|
$44,635.46
|
$44,635.46
|
$17,170.00
|
$17,170.00
|
$17,170.00
|
2026-10-22
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
1
|
1
|
$34,957.30
|
$34,957.30
|
$17,072.50
|
$17,072.50
|
$17,072.50
|
2026-10-22
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc
|
1
|
1
|
$46,006.80
|
$46,006.80
|
$16,812.50
|
$16,812.50
|
$16,812.50
|
2026-10-22
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
1
|
1
|
$17,380.63
|
$17,380.63
|
$16,695.00
|
$16,695.00
|
$16,695.00
|
2026-10-22
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
1
|
1
|
$19,434.84
|
$19,434.84
|
$16,430.00
|
$16,430.00
|
$16,430.00
|
2026-10-22
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
1
|
1
|
$7,746.90
|
$7,746.90
|
$16,203.75
|
$16,203.75
|
$16,203.75
|
2026-10-22
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
1
|
1
|
$22,173.41
|
$22,173.41
|
$16,195.00
|
$16,195.00
|
$16,195.00
|
2026-10-22
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
1
|
1
|
$17,694.10
|
$17,694.10
|
$16,047.50
|
$16,047.50
|
$16,047.50
|
2026-10-22
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
1
|
1
|
$15,495.00
|
$15,495.00
|
$16,025.00
|
$16,025.00
|
$16,025.00
|
2026-10-22
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
1
|
1
|
$5,315.50
|
$5,315.50
|
$15,867.50
|
$15,867.50
|
$15,867.50
|
2026-10-22
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
1
|
1
|
$27,387.22
|
$27,387.22
|
$15,853.75
|
$15,853.75
|
$15,853.75
|
2026-10-22
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
1
|
1
|
$33,212.16
|
$33,212.16
|
$15,442.50
|
$15,442.50
|
$15,442.50
|
2026-10-22
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
1
|
1
|
$7,091.90
|
$7,091.90
|
$15,120.00
|
$15,120.00
|
$15,120.00
|
2026-10-22
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
1
|
1
|
$32,953.00
|
$32,953.00
|
$15,050.00
|
$15,050.00
|
$15,050.00
|
2026-10-22
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
1
|
1
|
$12,327.69
|
$12,327.69
|
$14,871.25
|
$14,871.25
|
$14,871.25
|
2026-10-22
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
1
|
1
|
$7,332.15
|
$7,332.15
|
$14,828.75
|
$14,828.75
|
$14,828.75
|
2026-10-22
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
1
|
1
|
$18,098.47
|
$18,098.47
|
$14,503.75
|
$14,503.75
|
$14,503.75
|
2026-10-22
|
|
572
|
MS_DRG
|
Skin Debridement Without Cc/mcc
|
1
|
1
|
$33,451.13
|
$33,451.13
|
$14,328.75
|
$14,328.75
|
$14,328.75
|
2026-10-22
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
1
|
1
|
$44,348.17
|
$44,348.17
|
$14,308.75
|
$14,308.75
|
$14,308.75
|
2026-10-22
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
1
|
1
|
$19,056.99
|
$19,056.99
|
$14,076.25
|
$14,076.25
|
$14,076.25
|
2026-10-22
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
1
|
1
|
$15,687.92
|
$15,687.92
|
$13,846.25
|
$13,846.25
|
$13,846.25
|
2026-10-22
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
1
|
1
|
$18,772.90
|
$18,772.90
|
$13,741.25
|
$13,741.25
|
$13,741.25
|
2026-10-22
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
1
|
1
|
$11,893.48
|
$11,893.48
|
$13,680.00
|
$13,680.00
|
$13,680.00
|
2026-10-22
|
|
755
|
MS_DRG
|
Malignancy, Female Reproductive System With Cc
|
1
|
1
|
$12,958.70
|
$12,958.70
|
$13,597.50
|
$13,597.50
|
$13,597.50
|
2026-10-22
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
1
|
1
|
$6,071.55
|
$6,071.55
|
$13,387.50
|
$13,387.50
|
$13,387.50
|
2026-10-22
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
1
|
1
|
$5,793.15
|
$5,793.15
|
$13,343.75
|
$13,343.75
|
$13,343.75
|
2026-10-22
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
$13,948.40
|
$13,948.40
|
$12,850.00
|
$12,850.00
|
$12,850.00
|
2026-10-22
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
1
|
1
|
$15,640.01
|
$15,640.01
|
$12,825.00
|
$12,825.00
|
$12,825.00
|
2026-10-22
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
1
|
1
|
$22,518.37
|
$22,518.37
|
$12,812.50
|
$12,812.50
|
$12,812.50
|
2026-10-22
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
1
|
1
|
$21,173.11
|
$21,173.11
|
$12,791.25
|
$12,791.25
|
$12,791.25
|
2026-10-22
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
1
|
1
|
$26,923.57
|
$26,923.57
|
$12,787.50
|
$12,787.50
|
$12,787.50
|
2026-10-22
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
1
|
1
|
$6,245.40
|
$6,245.40
|
$12,762.50
|
$12,762.50
|
$12,762.50
|
2026-10-22
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
1
|
1
|
$5,684.88
|
$5,684.88
|
$12,721.25
|
$12,721.25
|
$12,721.25
|
2026-10-22
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
1
|
1
|
$16,286.47
|
$16,286.47
|
$12,687.50
|
$12,687.50
|
$12,687.50
|
2026-10-22
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
1
|
1
|
$11,863.57
|
$11,863.57
|
$12,675.00
|
$12,675.00
|
$12,675.00
|
2026-10-22
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
1
|
1
|
$24,459.43
|
$24,459.43
|
$12,628.75
|
$12,628.75
|
$12,628.75
|
2026-10-22
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
1
|
1
|
$21,486.45
|
$21,486.45
|
$12,473.75
|
$12,473.75
|
$12,473.75
|
2026-10-22
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
1
|
1
|
$17,402.96
|
$17,402.96
|
$12,258.75
|
$12,258.75
|
$12,258.75
|
2026-10-22
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
1
|
1
|
$10,098.28
|
$10,098.28
|
$12,200.00
|
$12,200.00
|
$12,200.00
|
2026-10-22
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
1
|
1
|
$18,871.35
|
$18,871.35
|
$12,180.00
|
$12,180.00
|
$12,180.00
|
2026-10-22
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
1
|
1
|
$29,894.58
|
$29,894.58
|
$12,140.00
|
$12,140.00
|
$12,140.00
|
2026-10-22
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
1
|
1
|
$15,655.77
|
$15,655.77
|
$12,066.25
|
$12,066.25
|
$12,066.25
|
2026-10-22
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
1
|
1
|
$13,529.58
|
$13,529.58
|
$12,016.25
|
$12,016.25
|
$12,016.25
|
2026-10-22
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
1
|
1
|
$44,541.32
|
$44,541.32
|
$11,947.50
|
$11,947.50
|
$11,947.50
|
2026-10-22
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
1
|
1
|
$12,851.25
|
$12,851.25
|
$11,488.75
|
$11,488.75
|
$11,488.75
|
2026-10-22
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
1
|
1
|
$19,473.12
|
$19,473.12
|
$11,477.50
|
$11,477.50
|
$11,477.50
|
2026-10-22
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
1
|
1
|
$6,812.85
|
$6,812.85
|
$11,372.50
|
$11,372.50
|
$11,372.50
|
2026-10-22
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
1
|
1
|
$13,785.30
|
$13,785.30
|
$11,282.50
|
$11,282.50
|
$11,282.50
|
2026-10-22
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
1
|
1
|
$18,255.75
|
$18,255.75
|
$11,202.50
|
$11,202.50
|
$11,202.50
|
2026-10-22
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
1
|
1
|
$5,966.85
|
$5,966.85
|
$11,193.75
|
$11,193.75
|
$11,193.75
|
2026-10-22
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
1
|
1
|
$12,942.30
|
$12,942.30
|
$11,165.00
|
$11,165.00
|
$11,165.00
|
2026-10-22
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
1
|
1
|
$17,805.05
|
$17,805.05
|
$11,096.25
|
$11,096.25
|
$11,096.25
|
2026-10-22
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
1
|
1
|
$13,563.25
|
$13,563.25
|
$11,035.00
|
$11,035.00
|
$11,035.00
|
2026-10-22
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
1
|
1
|
$32,753.52
|
$32,753.52
|
$11,000.00
|
$11,000.00
|
$11,000.00
|
2026-10-22
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
1
|
1
|
$39,353.56
|
$39,353.56
|
$11,000.00
|
$11,000.00
|
$11,000.00
|
2026-10-22
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
1
|
1
|
$39,259.45
|
$39,259.45
|
$11,000.00
|
$11,000.00
|
$11,000.00
|
2026-10-22
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
1
|
1
|
$31,112.88
|
$31,112.88
|
$11,000.00
|
$11,000.00
|
$11,000.00
|
2026-10-22
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
1
|
1
|
$37,667.04
|
$37,667.04
|
$11,000.00
|
$11,000.00
|
$11,000.00
|
2026-10-22
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
1
|
1
|
$11,143.32
|
$11,143.32
|
$10,947.50
|
$10,947.50
|
$10,947.50
|
2026-10-22
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
1
|
1
|
$9,807.65
|
$9,807.65
|
$10,895.00
|
$10,895.00
|
$10,895.00
|
2026-10-22
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
1
|
1
|
$10,869.46
|
$10,869.46
|
$10,886.25
|
$10,886.25
|
$10,886.25
|
2026-10-22
|
|
68
|
MS_DRG
|
Precerebral Occlusion Without Infarction Without Mcc
|
1
|
1
|
$16,960.25
|
$16,960.25
|
$10,805.00
|
$10,805.00
|
$10,805.00
|
2026-10-22
|
|
819
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc
|
1
|
1
|
$11,762.95
|
$11,762.95
|
$10,748.75
|
$10,748.75
|
$10,748.75
|
2026-10-22
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
1
|
1
|
$15,783.32
|
$15,783.32
|
$10,612.50
|
$10,612.50
|
$10,612.50
|
2026-10-22
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
1
|
1
|
$10,986.98
|
$10,986.98
|
$10,515.00
|
$10,515.00
|
$10,515.00
|
2026-10-22
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
1
|
1
|
$3,695.10
|
$3,695.10
|
$10,382.50
|
$10,382.50
|
$10,382.50
|
2026-10-22
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
1
|
1
|
$7,966.75
|
$7,966.75
|
$10,376.25
|
$10,376.25
|
$10,376.25
|
2026-10-22
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
1
|
1
|
$17,269.80
|
$17,269.80
|
$10,118.75
|
$10,118.75
|
$10,118.75
|
2026-10-22
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
1
|
1
|
$5,883.45
|
$5,883.45
|
$10,095.00
|
$10,095.00
|
$10,095.00
|
2026-10-22
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
1
|
1
|
$17,761.79
|
$17,761.79
|
$10,073.75
|
$10,073.75
|
$10,073.75
|
2026-10-22
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
1
|
1
|
$8,945.88
|
$8,945.88
|
$10,062.50
|
$10,062.50
|
$10,062.50
|
2026-10-22
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
1
|
1
|
$6,705.25
|
$6,705.25
|
$10,048.75
|
$10,048.75
|
$10,048.75
|
2026-10-22
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
1
|
1
|
$19,218.71
|
$19,218.71
|
$9,985.00
|
$9,985.00
|
$9,985.00
|
2026-10-22
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
1
|
1
|
$10,599.60
|
$10,599.60
|
$9,953.75
|
$9,953.75
|
$9,953.75
|
2026-10-22
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
1
|
1
|
$18,479.05
|
$18,479.05
|
$9,872.50
|
$9,872.50
|
$9,872.50
|
2026-10-22
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
1
|
1
|
$7,756.90
|
$7,756.90
|
$9,831.25
|
$9,831.25
|
$9,831.25
|
2026-10-22
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
1
|
1
|
$18,412.19
|
$18,412.19
|
$9,745.00
|
$9,745.00
|
$9,745.00
|
2026-10-22
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
1
|
1
|
$9,653.69
|
$9,653.69
|
$9,727.50
|
$9,727.50
|
$9,727.50
|
2026-10-22
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc/mcc
|
1
|
1
|
$28,371.79
|
$28,371.79
|
$9,643.75
|
$9,643.75
|
$9,643.75
|
2026-10-22
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
1
|
1
|
$8,154.74
|
$8,154.74
|
$9,603.75
|
$9,603.75
|
$9,603.75
|
2026-10-22
|
|
72
|
MS_DRG
|
Other Cerebrovascular Disorders Without Cc/mcc
|
1
|
1
|
$17,489.78
|
$17,489.78
|
$9,452.50
|
$9,452.50
|
$9,452.50
|
2026-10-22
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
1
|
1
|
$37,614.50
|
$37,614.50
|
$9,438.75
|
$9,438.75
|
$9,438.75
|
2026-10-22
|
|
149
|
MS_DRG
|
Dysequilibrium
|
1
|
1
|
$31,445.70
|
$31,445.70
|
$9,395.00
|
$9,395.00
|
$9,395.00
|
2026-10-22
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
1
|
1
|
$15,891.11
|
$15,891.11
|
$9,196.25
|
$9,196.25
|
$9,196.25
|
2026-10-22
|
|
726
|
MS_DRG
|
Benign Prostatic Hypertrophy Without Mcc
|
1
|
1
|
$21,745.35
|
$21,745.35
|
$9,025.00
|
$9,025.00
|
$9,025.00
|
2026-10-22
|
|
188
|
MS_DRG
|
Pleural Effusion Without Cc/mcc
|
1
|
1
|
$25,390.20
|
$25,390.20
|
$8,965.00
|
$8,965.00
|
$8,965.00
|
2026-10-22
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
1
|
1
|
$10,594.23
|
$10,594.23
|
$8,938.75
|
$8,938.75
|
$8,938.75
|
2026-10-22
|
|
779
|
MS_DRG
|
Abortion Without D&c
|
1
|
1
|
$8,664.30
|
$8,664.30
|
$8,913.75
|
$8,913.75
|
$8,913.75
|
2026-10-22
|
|
311
|
MS_DRG
|
Angina Pectoris
|
1
|
1
|
$31,318.18
|
$31,318.18
|
$8,773.75
|
$8,773.75
|
$8,773.75
|
2026-10-22
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
1
|
1
|
$7,561.14
|
$7,561.14
|
$8,623.75
|
$8,623.75
|
$8,623.75
|
2026-10-22
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
1
|
1
|
$8,234.80
|
$8,234.80
|
$8,612.50
|
$8,612.50
|
$8,612.50
|
2026-10-22
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/mcc
|
1
|
1
|
$10,112.82
|
$10,112.82
|
$8,605.00
|
$8,605.00
|
$8,605.00
|
2026-10-22
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
1
|
1
|
$15,774.70
|
$15,774.70
|
$8,555.00
|
$8,555.00
|
$8,555.00
|
2026-10-22
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
1
|
1
|
$13,622.80
|
$13,622.80
|
$8,516.25
|
$8,516.25
|
$8,516.25
|
2026-10-22
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
1
|
1
|
$10,435.79
|
$10,435.79
|
$8,375.00
|
$8,375.00
|
$8,375.00
|
2026-10-22
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
1
|
1
|
$31,138.20
|
$31,138.20
|
$8,183.75
|
$8,183.75
|
$8,183.75
|
2026-10-22
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
1
|
1
|
$13,202.83
|
$13,202.83
|
$8,112.50
|
$8,112.50
|
$8,112.50
|
2026-10-22
|
|
798
|
MS_DRG
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc
|
1
|
1
|
$33,234.14
|
$33,234.14
|
$8,000.00
|
$8,000.00
|
$8,000.00
|
2026-10-22
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
1
|
1
|
$12,706.00
|
$12,706.00
|
$8,000.00
|
$8,000.00
|
$8,000.00
|
2026-10-22
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
1
|
1
|
$41,758.96
|
$41,758.96
|
$8,000.00
|
$8,000.00
|
$8,000.00
|
2026-10-22
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
1
|
1
|
$24,600.13
|
$24,600.13
|
$8,000.00
|
$8,000.00
|
$8,000.00
|
2026-10-22
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
1
|
1
|
$21,025.57
|
$21,025.57
|
$8,000.00
|
$8,000.00
|
$8,000.00
|
2026-10-22
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
1
|
1
|
$16,740.86
|
$16,740.86
|
$7,856.25
|
$7,856.25
|
$7,856.25
|
2026-10-22
|
|
950
|
MS_DRG
|
Aftercare Without Cc/mcc
|
1
|
1
|
$14,645.80
|
$14,645.80
|
$7,846.25
|
$7,846.25
|
$7,846.25
|
2026-10-22
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
1
|
1
|
$13,883.15
|
$13,883.15
|
$7,767.50
|
$7,767.50
|
$7,767.50
|
2026-10-22
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
1
|
1
|
$15,841.52
|
$15,841.52
|
$7,765.00
|
$7,765.00
|
$7,765.00
|
2026-10-22
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
1
|
1
|
$3,023.80
|
$3,023.80
|
$7,711.25
|
$7,711.25
|
$7,711.25
|
2026-10-22
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
1
|
1
|
$10,236.05
|
$10,236.05
|
$7,503.75
|
$7,503.75
|
$7,503.75
|
2026-10-22
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
1
|
1
|
$10,180.46
|
$10,180.46
|
$7,076.25
|
$7,076.25
|
$7,076.25
|
2026-10-22
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
1
|
1
|
$5,164.05
|
$5,164.05
|
$7,075.00
|
$7,075.00
|
$7,075.00
|
2026-10-22
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
1
|
1
|
$13,316.63
|
$13,316.63
|
$6,800.00
|
$6,800.00
|
$6,800.00
|
2026-10-22
|
|
20001638
|
CDM
|
Operating Room Services - General Classification
|
23
|
23
|
$7,095.00
|
$7,095.00
|
$2,979.90
|
$6,882.15
|
$6,740.25
|
2026-10-22
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
1
|
1
|
$10,864.36
|
$10,864.36
|
$6,536.25
|
$6,536.25
|
$6,536.25
|
2026-10-22
|
|
20001637
|
CDM
|
Operating Room Services - General Classification
|
23
|
23
|
$6,786.00
|
$6,786.00
|
$2,850.12
|
$6,582.42
|
$6,446.70
|
2026-10-22
|
|
J7327
|
HCPCS
|
Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose
|
25
|
25
|
$5,963.00
|
$5,963.00
|
$970.47
|
$5,784.11
|
$5,664.85
|
2026-10-22
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
25
|
25
|
$5,475.00
|
$5,475.00
|
$1,611.26
|
$5,310.75
|
$5,201.25
|
2026-10-22
|
|
20001636
|
CDM
|
Operating Room Services - General Classification
|
23
|
23
|
$5,383.00
|
$5,383.00
|
$2,260.86
|
$5,221.51
|
$5,113.85
|
2026-10-22
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
25
|
25
|
$5,158.00
|
$5,158.00
|
$2,166.36
|
$5,003.26
|
$4,900.10
|
2026-10-22
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
25
|
25
|
$5,121.00
|
$5,121.00
|
$1,611.26
|
$4,967.37
|
$4,864.95
|
2026-10-22
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
23
|
23
|
$12,517.00
|
$12,517.00
|
$1,356.20
|
$12,141.49
|
$4,776.80
|
2026-10-22
|
|
57510
|
HCPCS
|
Electro Or Thermal Destruction Of Cervix
|
48
|
25
|
$4,961.00
|
$4,961.00
|
$63.35
|
$5,276.00
|
$4,712.95
|
2026-10-22
|
|
J7326
|
HCPCS
|
Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose
|
25
|
25
|
$4,580.50
|
$4,580.50
|
$347.47
|
$4,443.09
|
$4,351.48
|
2026-10-22
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
23
|
23
|
$11,788.00
|
$11,788.00
|
$1,222.55
|
$11,434.36
|
$4,336.66
|
2026-10-22
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
23
|
23
|
$9,882.00
|
$9,882.00
|
$298.29
|
$9,585.54
|
$4,288.90
|
2026-10-22
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
25
|
25
|
$4,477.00
|
$4,477.00
|
$1,611.26
|
$4,342.69
|
$4,253.15
|
2026-10-22
|
|
81229
|
HCPCS
|
Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…
|
25
|
25
|
$4,444.00
|
$4,444.00
|
$1,866.48
|
$4,310.68
|
$4,221.80
|
2026-10-22
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
23
|
23
|
$11,371.00
|
$11,371.00
|
$1,034.39
|
$11,029.87
|
$4,180.78
|
2026-10-22
|
|
27599
|
HCPCS
|
Other Procedure On Thigh Or Knee
|
15
|
15
|
$4,253.00
|
$4,253.00
|
$65.00
|
$4,253.00
|
$4,125.41
|
2026-10-22
|
|
20001635
|
CDM
|
Operating Room Services - General Classification
|
23
|
23
|
$4,305.00
|
$4,305.00
|
$1,808.10
|
$4,175.85
|
$4,089.75
|
2026-10-22
|
|
27134
|
HCPCS
|
Revision Of Thigh Bone And Hip Joint Prosthesis
|
23
|
23
|
$9,085.00
|
$9,085.00
|
$1,525.05
|
$8,812.45
|
$3,823.23
|
2026-10-22
|
|
27228
|
HCPCS
|
Treatment Of Broken Bones Of Front And Back Column Or Wall Of Hip Socket With Pl…
|
23
|
23
|
$8,975.00
|
$8,975.00
|
$331.46
|
$8,705.75
|
$3,805.20
|
2026-10-22
|
|
29001042
|
CDM
|
Room & Board - Private (one Bed) - Medical/surgical/gyn
|
19
|
19
|
$3,938.00
|
$3,938.00
|
$3,150.40
|
$3,819.86
|
$3,780.48
|
2026-10-22
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
25
|
25
|
$3,917.79
|
$3,917.79
|
$1,645.47
|
$3,800.25
|
$3,721.90
|
2026-10-22
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
23
|
23
|
$8,509.00
|
$8,509.00
|
$1,084.81
|
$8,253.73
|
$3,712.80
|
2026-10-22
|
|
27299
|
HCPCS
|
Other Procedure On Pelvis Or Hip Joint
|
15
|
15
|
$3,788.00
|
$3,788.00
|
$65.00
|
$3,788.00
|
$3,674.36
|
2026-10-22
|
|
22903
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More
|
48
|
25
|
$3,729.00
|
$3,729.00
|
$385.73
|
$5,581.38
|
$3,542.55
|
2026-10-22
|
|
23474
|
HCPCS
|
Revision Of Total Shoulder Repair, Total Shoulder
|
23
|
23
|
$7,214.00
|
$7,214.00
|
$1,189.26
|
$6,997.58
|
$3,518.40
|
2026-10-22
|
|
26951
|
HCPCS
|
Amputation Of Finger Or Thumb With Direct Closure
|
57
|
25
|
$8,255.00
|
$8,255.00
|
$203.39
|
$10,737.90
|
$3,467.10
|
2026-10-22
|
|
29006010
|
CDM
|
Room & Board - Private (one Bed) - Obstetrics (ob)
|
19
|
19
|
$3,608.00
|
$3,608.00
|
$2,886.40
|
$3,499.76
|
$3,463.68
|
2026-10-22
|
|
49406
|
HCPCS
|
Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance
|
57
|
25
|
$8,074.00
|
$8,074.00
|
$156.02
|
$8,696.05
|
$3,391.08
|
2026-10-22
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
23
|
23
|
$7,744.00
|
$7,744.00
|
$325.44
|
$7,511.68
|
$3,388.70
|
2026-10-22
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
23
|
23
|
$4,193.00
|
$4,193.00
|
$120.79
|
$4,067.21
|
$3,245.20
|
2026-10-22
|
|
G0390
|
HCPCS
|
Trauma Response Team Associated With Hospital Critical Care Service
|
22
|
22
|
$3,300.00
|
$3,300.00
|
$1,386.00
|
$3,201.00
|
$3,151.50
|
2026-10-22
|
|
V5259
|
HCPCS
|
Hearing Aid, Digital, Binaural, Itc
|
184
|
23
|
$3,777.50
|
$3,777.50
|
$1,090.32
|
$5,230.24
|
$3,147.65
|
2026-10-22
|
|
V5258
|
HCPCS
|
Hearing Aid, Digital, Binaural, Cic
|
184
|
23
|
$3,777.50
|
$3,777.50
|
$1,090.32
|
$5,230.24
|
$3,147.65
|
2026-10-22
|
|
V5260
|
HCPCS
|
Hearing Aid, Digital, Binaural, Ite
|
184
|
23
|
$3,777.50
|
$3,777.50
|
$1,090.32
|
$5,230.24
|
$3,147.65
|
2026-10-22
|
|
V5261
|
HCPCS
|
Hearing Aid, Digital, Binaural, Bte
|
184
|
23
|
$3,777.50
|
$3,777.50
|
$1,090.32
|
$5,230.24
|
$3,147.65
|
2026-10-22
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
23
|
23
|
$7,232.00
|
$7,232.00
|
$934.29
|
$7,015.04
|
$3,129.00
|
2026-10-22
|
|
14061
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 …
|
57
|
25
|
$3,935.00
|
$3,935.00
|
$471.01
|
$6,938.41
|
$3,121.46
|
2026-10-22
|
|
57522
|
HCPCS
|
Removal Or Destruction Of Cervix Using Loop Electrode
|
48
|
25
|
$3,275.00
|
$3,275.00
|
$209.35
|
$5,276.00
|
$3,111.25
|
2026-10-22
|
|
24010513
|
CDM
|
Hchg Jada System
|
23
|
23
|
$3,262.50
|
$3,262.50
|
$1,370.25
|
$3,164.63
|
$3,099.38
|
2026-10-22
|
|
27138
|
HCPCS
|
Revision Of Thigh Bone Prosthesis
|
23
|
23
|
$7,285.00
|
$7,285.00
|
$245.46
|
$7,066.45
|
$3,089.30
|
2026-10-22
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
48
|
25
|
$7,928.00
|
$7,928.00
|
$105.69
|
$7,690.16
|
$3,051.34
|
2026-10-22
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
48
|
25
|
$7,890.00
|
$7,890.00
|
$107.37
|
$7,653.30
|
$3,051.34
|
2026-10-22
|
|
50543
|
HCPCS
|
Partial Removal Of Kidney Using An Endoscope
|
23
|
23
|
$7,240.00
|
$7,240.00
|
$250.30
|
$7,022.80
|
$3,010.00
|
2026-10-22
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
48
|
25
|
$3,198.00
|
$3,198.00
|
$65.54
|
$3,536.62
|
$2,977.45
|
2026-10-22
|
|
29010440
|
CDM
|
Room & Board - Private (one Bed) - Hospice
|
17
|
17
|
$3,058.45
|
$3,058.45
|
$2,446.76
|
$2,966.70
|
$2,966.70
|
2026-10-22
|
|
35221
|
HCPCS
|
Repair Of Blood Vessel Of Abdomen
|
23
|
23
|
$6,764.00
|
$6,764.00
|
$262.17
|
$6,561.08
|
$2,941.45
|
2026-10-22
|
|
23472
|
HCPCS
|
Prosthetic Repair Of Shoulder Joint, Total Shoulder
|
23
|
23
|
$6,951.00
|
$6,951.00
|
$234.24
|
$6,742.47
|
$2,938.60
|
2026-10-22
|
|
206538_ERX
|
CDM
|
Pharmacy From Trans
|
23
|
23
|
$3,037.00
|
$3,037.00
|
$1,275.54
|
$2,945.89
|
$2,885.15
|
2026-10-22
|
|
21932
|
HCPCS
|
Removal Of Growth Of Muscle Of Back Or Lower Sides, Less Than 5.0 Cm
|
48
|
25
|
$4,896.00
|
$4,896.00
|
$108.52
|
$4,749.12
|
$2,879.93
|
2026-10-22
|
|
29001010
|
CDM
|
Room & Board - Private (one Bed) - Medical/surgical/gyn
|
19
|
19
|
$2,980.00
|
$2,980.00
|
$2,384.00
|
$2,890.60
|
$2,860.80
|
2026-10-22
|
|
29006000
|
CDM
|
Room & Board - Private (one Bed) - Obstetrics (ob)
|
19
|
19
|
$2,980.00
|
$2,980.00
|
$2,384.00
|
$2,890.60
|
$2,860.80
|
2026-10-22
|
|
29002010
|
CDM
|
Room & Board - Private (one Bed) - Pediatric
|
19
|
19
|
$2,980.00
|
$2,980.00
|
$2,384.00
|
$2,890.60
|
$2,860.80
|
2026-10-22
|
|
38505
|
HCPCS
|
Needle Biopsy Or Removal Of Surface Lymph Nodes
|
48
|
25
|
$3,045.00
|
$3,045.00
|
$70.16
|
$3,364.93
|
$2,833.97
|
2026-10-22
|
|
30420
|
HCPCS
|
Reshaping Of Bony Cartilage Dividing Nasal Passages
|
23
|
23
|
$7,179.00
|
$7,179.00
|
$1,226.05
|
$6,963.63
|
$2,823.10
|
2026-10-22
|
|
21014
|
HCPCS
|
Removal Of Growth Of Muscle Of Face Or Scalp, 2.0 Cm Or More
|
48
|
25
|
$2,948.00
|
$2,948.00
|
$441.22
|
$8,049.06
|
$2,800.60
|
2026-10-22
|
|
27266
|
HCPCS
|
Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia
|
57
|
25
|
$4,973.00
|
$4,973.00
|
$484.83
|
$7,617.41
|
$2,793.60
|
2026-10-22
|
|
44312
|
HCPCS
|
Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of Sm…
|
48
|
25
|
$3,771.00
|
$3,771.00
|
$64.68
|
$4,439.96
|
$2,780.99
|
2026-10-22
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
25
|
25
|
$2,926.52
|
$2,926.52
|
$970.47
|
$2,838.73
|
$2,780.20
|
2026-10-22
|
|
43840
|
HCPCS
|
Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel
|
23
|
23
|
$3,566.00
|
$3,566.00
|
$677.98
|
$3,459.02
|
$2,776.90
|
2026-10-22
|
|
27415
|
HCPCS
|
Implantation Of Donor Cartilage Cells Into Knee Joint
|
23
|
23
|
$6,622.00
|
$6,622.00
|
$1,038.86
|
$6,423.34
|
$2,776.90
|
2026-10-22
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
23
|
23
|
$6,304.00
|
$6,304.00
|
$226.48
|
$6,114.88
|
$2,734.90
|
2026-10-22
|
|
50545
|
HCPCS
|
Removal Of Kidney And Lymph Nodes Using An Endoscope
|
23
|
23
|
$6,473.00
|
$6,473.00
|
$263.26
|
$6,278.81
|
$2,706.20
|
2026-10-22
|
|
27506
|
HCPCS
|
Treatment Of Broken Shaft Of Thigh Bone With Implant
|
23
|
23
|
$6,455.00
|
$6,455.00
|
$214.25
|
$6,261.35
|
$2,704.80
|
2026-10-22
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
25
|
25
|
$2,820.25
|
$2,820.25
|
$970.47
|
$2,735.64
|
$2,679.24
|
2026-10-22
|
|
59622
|
HCPCS
|
Cesarean Delivery With Care After Delivery Following Vaginal Delivery Attempt Af…
|
23
|
23
|
$5,674.00
|
$5,674.00
|
$1,007.41
|
$5,503.78
|
$2,668.40
|
2026-10-22
|
|
27828
|
HCPCS
|
Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones
|
23
|
23
|
$6,441.00
|
$6,441.00
|
$1,068.14
|
$6,247.77
|
$2,667.00
|
2026-10-22
|
|
58554
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More…
|
23
|
23
|
$6,314.00
|
$6,314.00
|
$1,033.67
|
$6,124.58
|
$2,637.63
|
2026-10-22
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
23
|
23
|
$6,167.00
|
$6,167.00
|
$249.81
|
$5,981.99
|
$2,630.23
|
2026-10-22
|
|
27447
|
HCPCS
|
Replacement Of Knee Joint, Both Sides Of Knee
|
23
|
23
|
$6,159.00
|
$6,159.00
|
$267.36
|
$5,974.23
|
$2,625.45
|
2026-10-22
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
25
|
25
|
$2,718.65
|
$2,718.65
|
$1,141.83
|
$2,651.54
|
$2,609.90
|
2026-10-22
|
|
59515
|
HCPCS
|
Cesarean Delivery With Care After Delivery
|
23
|
23
|
$6,169.00
|
$6,169.00
|
$594.72
|
$5,983.93
|
$2,582.30
|
2026-10-22
|
|
27724
|
HCPCS
|
Repair Of Nonhealed Broken Shin Bone With Self Graft From Hip Or Other Bone
|
23
|
23
|
$6,026.00
|
$6,026.00
|
$1,027.42
|
$5,845.22
|
$2,550.10
|
2026-10-22
|
|
14060
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm…
|
57
|
25
|
$3,194.00
|
$3,194.00
|
$390.81
|
$5,640.55
|
$2,542.37
|
2026-10-22
|
|
V5211
|
HCPCS
|
Hearing Aid, Contralateral Routing System, Binaural, Ite/ite
|
184
|
23
|
$2,947.00
|
$2,947.00
|
$946.26
|
$3,689.88
|
$2,538.91
|
2026-10-22
|
|
V5221
|
HCPCS
|
Hearing Aid, Contralateral Routing System, Binaural, Bte/bte
|
184
|
23
|
$2,947.00
|
$2,947.00
|
$946.26
|
$3,689.88
|
$2,538.91
|
2026-10-22
|
|
44160
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
23
|
23
|
$5,717.00
|
$5,717.00
|
$188.01
|
$5,545.49
|
$2,529.80
|
2026-10-22
|
|
27269
|
HCPCS
|
Treatment Of Broken Head Of Thigh Bone
|
23
|
23
|
$5,955.00
|
$5,955.00
|
$756.33
|
$5,776.35
|
$2,519.30
|
2026-10-22
|
|
55866
|
HCPCS
|
Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope
|
23
|
23
|
$5,811.00
|
$5,811.00
|
$297.64
|
$5,636.67
|
$2,514.25
|
2026-10-22
|
|
27513
|
HCPCS
|
Treatment Of Broken Thigh Bone In Knee Area
|
23
|
23
|
$5,917.00
|
$5,917.00
|
$239.25
|
$5,739.49
|
$2,501.93
|
2026-10-22
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
23
|
23
|
$5,722.00
|
$5,722.00
|
$1,006.33
|
$5,550.34
|
$2,494.10
|
2026-10-22
|
|
27244
|
HCPCS
|
Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant
|
23
|
23
|
$5,918.00
|
$5,918.00
|
$1,017.63
|
$5,740.46
|
$2,487.80
|
2026-10-22
|
|
58291
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, More Than 250.0 G
|
23
|
23
|
$6,014.00
|
$6,014.00
|
$219.36
|
$5,833.58
|
$2,487.45
|
2026-10-22
|
|
27245
|
HCPCS
|
Treatment Of Broken Neck Of Thigh Bone With Bone Implant
|
23
|
23
|
$5,912.00
|
$5,912.00
|
$977.34
|
$5,734.64
|
$2,485.00
|
2026-10-22
|
|
28446
|
HCPCS
|
Implantation Of Self Cartilage Cells Into Foot Joint With Graft
|
23
|
23
|
$5,917.00
|
$5,917.00
|
$811.33
|
$5,739.49
|
$2,473.80
|
2026-10-22
|
|
20006428
|
CDM
|
Labor Room/delivery - Labor
|
23
|
23
|
$2,593.00
|
$2,593.00
|
$1,089.06
|
$2,515.21
|
$2,463.35
|
2026-10-22
|
|
69511
|
HCPCS
|
Extensive Removal Of Mastoid Bone
|
23
|
23
|
$6,216.00
|
$6,216.00
|
$1,080.66
|
$6,029.52
|
$2,454.20
|
2026-10-22
|
|
58573
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor…
|
23
|
23
|
$5,911.00
|
$5,911.00
|
$162.14
|
$5,733.67
|
$2,452.10
|
2026-10-22
|
|
41112
|
HCPCS
|
Removal Of Growth Of Front 2/3 Of Tongue With Switches
|
57
|
25
|
$5,754.00
|
$5,754.00
|
$139.23
|
$6,753.14
|
$2,440.85
|
2026-10-22
|
|
26410
|
HCPCS
|
Repair Of Tendon On Top Of Hand
|
57
|
25
|
$3,045.00
|
$3,045.00
|
$382.71
|
$5,406.78
|
$2,436.00
|
2026-10-22
|
|
23470
|
HCPCS
|
Partial Replacement Of Shoulder Joint
|
23
|
23
|
$5,784.00
|
$5,784.00
|
$944.71
|
$5,610.48
|
$2,430.40
|
2026-10-22
|
|
27236
|
HCPCS
|
Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…
|
23
|
23
|
$5,758.00
|
$5,758.00
|
$989.81
|
$5,585.26
|
$2,417.10
|
2026-10-22
|
|
25023
|
HCPCS
|
Incision To Relieve Pressure In Top Or Palm Side Of Wrist Compartment With Remov…
|
23
|
23
|
$6,413.00
|
$6,413.00
|
$295.34
|
$6,220.61
|
$2,414.30
|
2026-10-22
|
|
27536
|
HCPCS
|
Treatment Of Broken Shin Bone On Both Sides Of Upper End
|
23
|
23
|
$5,734.00
|
$5,734.00
|
$106.18
|
$5,561.98
|
$2,403.80
|
2026-10-22
|
|
81439
|
HCPCS
|
Test For Detecting Genes Associated With Inherited Disease Of Heart Muscle
|
25
|
25
|
$2,527.35
|
$2,527.35
|
$603.92
|
$2,451.53
|
$2,400.98
|
2026-10-22
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
48
|
25
|
$5,672.00
|
$5,672.00
|
$123.43
|
$5,501.84
|
$2,382.24
|
2026-10-22
|
|
27446
|
HCPCS
|
Replacement Of Knee Joint On Side Of Knee
|
23
|
23
|
$5,530.00
|
$5,530.00
|
$950.25
|
$5,364.10
|
$2,344.30
|
2026-10-22
|
|
27825
|
HCPCS
|
Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula…
|
48
|
25
|
$3,850.00
|
$3,850.00
|
$426.59
|
$3,734.50
|
$2,326.38
|
2026-10-22
|
|
J7300
|
HCPCS
|
Intrauterine Copper Contraceptive (paragard)
|
48
|
25
|
$2,392.67
|
$2,392.67
|
$220.08
|
$2,762.56
|
$2,320.89
|
2026-10-22
|
|
58290
|
HCPCS
|
Removal Of Uterus Through Vagina, More Than 250.0 G
|
23
|
23
|
$5,569.00
|
$5,569.00
|
$921.50
|
$5,401.93
|
$2,303.75
|
2026-10-22
|
|
27125
|
HCPCS
|
Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis
|
23
|
23
|
$5,460.00
|
$5,460.00
|
$174.38
|
$5,296.20
|
$2,290.40
|
2026-10-22
|
|
59614
|
HCPCS
|
Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery
|
23
|
23
|
$5,347.00
|
$5,347.00
|
$657.09
|
$5,186.59
|
$2,269.48
|
2026-10-22
|
|
20692
|
HCPCS
|
Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg
|
23
|
23
|
$4,858.00
|
$4,858.00
|
$791.60
|
$4,712.26
|
$2,259.60
|
2026-10-22
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
23
|
23
|
$2,374.95
|
$2,374.95
|
$997.48
|
$2,303.70
|
$2,256.20
|
2026-10-22
|
|
27827
|
HCPCS
|
Treatment Of Broken Shin Bone At Lower Weight Bearing Joint
|
23
|
23
|
$5,462.00
|
$5,462.00
|
$965.30
|
$5,298.14
|
$2,243.50
|
2026-10-22
|
|
63047
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1…
|
23
|
23
|
$5,198.00
|
$5,198.00
|
$183.65
|
$5,042.06
|
$2,233.00
|
2026-10-22
|
|
44187
|
HCPCS
|
Creation Of Opening From Small Bowel To Skin Using An Endoscope
|
23
|
23
|
$4,518.00
|
$4,518.00
|
$931.69
|
$4,382.46
|
$2,226.70
|
2026-10-22
|
|
60260
|
HCPCS
|
Removal Of Remaining Thyroid Tissue From Prior Operation
|
23
|
23
|
$5,225.00
|
$5,225.00
|
$878.86
|
$5,068.25
|
$2,197.15
|
2026-10-22
|
|
45130
|
HCPCS
|
Repair Of Prolapsed Rectum Through Anus
|
23
|
23
|
$4,817.00
|
$4,817.00
|
$903.98
|
$4,672.49
|
$2,196.60
|
2026-10-22
|
|
29010435
|
CDM
|
Room & Board - Private (one Bed) - Hospice
|
17
|
17
|
$2,259.75
|
$2,259.75
|
$1,807.80
|
$2,191.96
|
$2,191.96
|
2026-10-22
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
48
|
25
|
$4,808.00
|
$4,808.00
|
$68.07
|
$4,663.76
|
$2,186.38
|
2026-10-22
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
23
|
23
|
$5,037.00
|
$5,037.00
|
$145.05
|
$4,885.89
|
$2,181.90
|
2026-10-22
|
|
13160
|
HCPCS
|
Extensive Or Complicated Repair Of Surface Wound Reopening
|
48
|
25
|
$5,431.00
|
$5,431.00
|
$186.81
|
$5,268.07
|
$2,177.89
|
2026-10-22
|
|
29827
|
HCPCS
|
Repair Of Shoulder Rotator Cuff Using An Endoscope
|
23
|
23
|
$5,177.00
|
$5,177.00
|
$186.75
|
$5,021.69
|
$2,163.70
|
2026-10-22
|
|
47531
|
HCPCS
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
57
|
25
|
$5,045.00
|
$5,045.00
|
$57.94
|
$5,173.98
|
$2,140.09
|
2026-10-22
|
|
29806
|
HCPCS
|
Repair Of Shoulder Joint Capsule Using An Endoscope
|
23
|
23
|
$5,139.00
|
$5,139.00
|
$887.24
|
$4,984.83
|
$2,137.80
|
2026-10-22
|
|
27226
|
HCPCS
|
Treatment Of Broken Hip Socket With Placement Of Stabilizing Device
|
23
|
23
|
$5,108.00
|
$5,108.00
|
$877.62
|
$4,954.76
|
$2,137.10
|
2026-10-22
|
|
49002
|
HCPCS
|
Reopening Of Recent Abdominal Incision
|
23
|
23
|
$4,893.00
|
$4,893.00
|
$864.79
|
$4,746.21
|
$2,130.80
|
2026-10-22
|
|
21320
|
HCPCS
|
Closed Treatment Of Broken Nose Bone With Placement Of Stabilizing Device
|
57
|
25
|
$5,069.00
|
$5,069.00
|
$75.58
|
$5,355.37
|
$2,128.98
|
2026-10-22
|
|
24021025
|
CDM
|
Hchg Crh Fetal Pillow
|
23
|
23
|
$2,238.75
|
$2,238.75
|
$940.28
|
$2,171.59
|
$2,126.81
|
2026-10-22
|
|
25609
|
HCPCS
|
Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri…
|
23
|
23
|
$5,146.00
|
$5,146.00
|
$152.90
|
$4,991.62
|
$2,118.20
|
2026-10-22
|
|
44310
|
HCPCS
|
Creation Of Opening From Small Bowel To Skin
|
23
|
23
|
$2,748.00
|
$2,748.00
|
$753.31
|
$2,665.56
|
$2,118.20
|
2026-10-22
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
23
|
23
|
$5,015.00
|
$5,015.00
|
$594.72
|
$4,864.55
|
$2,114.23
|
2026-10-22
|