|
B0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
23
|
14
|
$87,252.64
|
$87,252.64
|
$77,136.88
|
$157,054.75
|
$87,252.64
|
2026-03-16
|
|
B1904
|
HCPCS
|
Guillain-barré M <38.50
|
23
|
14
|
$81,685.78
|
$81,685.78
|
$67,871.92
|
$147,034.40
|
$81,685.78
|
2026-03-16
|
|
C0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
23
|
14
|
$71,318.18
|
$71,318.18
|
$69,413.91
|
$128,372.72
|
$71,445.20
|
2026-03-16
|
|
D0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
23
|
14
|
$69,441.38
|
$69,441.38
|
$67,153.80
|
$124,994.49
|
$69,441.38
|
2026-03-16
|
|
B1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
23
|
14
|
$69,141.10
|
$69,141.10
|
$63,305.31
|
$124,453.97
|
$69,141.10
|
2026-03-16
|
|
B0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
23
|
14
|
$63,714.75
|
$63,714.75
|
$56,829.30
|
$114,686.56
|
$63,714.75
|
2026-03-16
|
|
A0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
23
|
14
|
$62,836.99
|
$62,836.99
|
$61,011.80
|
$113,106.59
|
$62,836.99
|
2026-03-16
|
|
B0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
23
|
14
|
$61,144.99
|
$61,144.99
|
$54,906.91
|
$110,060.98
|
$61,144.99
|
2026-03-16
|
|
B0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
23
|
14
|
$60,138.26
|
$60,138.26
|
$56,140.88
|
$108,248.87
|
$60,138.26
|
2026-03-16
|
|
C1904
|
HCPCS
|
Guillain-barré M <38.50
|
23
|
14
|
$57,730.19
|
$57,730.19
|
$52,305.37
|
$103,914.34
|
$57,730.19
|
2026-03-16
|
|
C1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
23
|
14
|
$56,563.69
|
$56,563.69
|
$51,069.55
|
$101,814.64
|
$56,563.69
|
2026-03-16
|
|
B0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
23
|
14
|
$54,523.28
|
$54,523.28
|
$53,743.45
|
$98,141.90
|
$55,068.51
|
2026-03-16
|
|
74080529
|
CDM
|
Occ/emb Non Hemorr Venous
|
26
|
14
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
2026-03-16
|
|
74080531
|
CDM
|
Occ/emb Tumor/organ Infar
|
26
|
14
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
2026-03-16
|
|
74080532
|
CDM
|
Occ/emb Hemorrhag/lymph
|
26
|
14
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
2026-03-16
|
|
74080530
|
CDM
|
Occ/emb Non Hemorr Art
|
26
|
14
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
$53,714.22
|
2026-03-16
|
|
B1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
23
|
14
|
$53,121.94
|
$53,121.94
|
$46,423.15
|
$95,619.48
|
$53,121.94
|
2026-03-16
|
|
C0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
23
|
14
|
$52,078.63
|
$52,078.63
|
$51,138.21
|
$93,741.54
|
$52,599.42
|
2026-03-16
|
|
B0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
23
|
14
|
$52,450.14
|
$52,450.14
|
$48,657.28
|
$94,410.25
|
$52,450.14
|
2026-03-16
|
|
D1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
23
|
14
|
$52,034.36
|
$52,034.36
|
$48,141.43
|
$93,661.84
|
$52,034.36
|
2026-03-16
|
|
D0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
23
|
14
|
$50,708.09
|
$50,708.09
|
$49,475.60
|
$91,274.56
|
$50,923.42
|
2026-03-16
|
|
C0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
23
|
14
|
$49,978.55
|
$49,978.55
|
$49,408.80
|
$89,961.38
|
$50,478.33
|
2026-03-16
|
|
A1904
|
HCPCS
|
Guillain-barré M <38.50
|
23
|
14
|
$50,201.84
|
$50,201.84
|
$47,738.76
|
$90,363.31
|
$50,201.84
|
2026-03-16
|
|
D1904
|
HCPCS
|
Guillain-barré M <38.50
|
23
|
14
|
$50,186.44
|
$50,186.44
|
$48,772.33
|
$90,335.59
|
$50,199.57
|
2026-03-16
|
|
B1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
23
|
14
|
$49,195.11
|
$49,195.11
|
$48,427.19
|
$88,551.19
|
$49,687.06
|
2026-03-16
|
|
D0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
23
|
14
|
$48,663.83
|
$48,663.83
|
$47,800.00
|
$87,594.89
|
$49,150.47
|
2026-03-16
|
|
B2102
|
HCPCS
|
Burns M <52.50
|
23
|
14
|
$48,991.06
|
$48,991.06
|
$42,843.72
|
$88,183.91
|
$48,991.06
|
2026-03-16
|
|
A1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
23
|
14
|
$48,839.00
|
$48,839.00
|
$44,617.66
|
$87,910.19
|
$48,839.00
|
2026-03-16
|
|
B0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
23
|
14
|
$48,403.96
|
$48,403.96
|
$47,265.59
|
$87,127.14
|
$48,648.74
|
2026-03-16
|
|
B0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
23
|
14
|
$48,432.84
|
$48,432.84
|
$44,489.63
|
$87,179.11
|
$48,432.84
|
2026-03-16
|
|
C0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
23
|
14
|
$48,417.44
|
$48,417.44
|
$46,629.12
|
$87,151.39
|
$48,417.44
|
2026-03-16
|
|
B1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
23
|
14
|
$47,722.54
|
$47,722.54
|
$44,773.53
|
$85,900.58
|
$47,722.54
|
2026-03-16
|
|
B0604
|
HCPCS
|
Neurological M <43.50
|
23
|
14
|
$47,156.62
|
$47,156.62
|
$46,115.12
|
$84,881.91
|
$47,464.61
|
2026-03-16
|
|
A0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
23
|
14
|
$45,886.17
|
$45,886.17
|
$44,949.81
|
$82,595.11
|
$46,265.20
|
2026-03-16
|
|
C0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
23
|
14
|
$46,215.33
|
$46,215.33
|
$43,545.13
|
$83,187.60
|
$46,215.33
|
2026-03-16
|
|
74080268
|
CDM
|
Insert Tips
|
26
|
14
|
$45,988.74
|
$45,988.74
|
$45,988.74
|
$45,988.74
|
$45,988.74
|
2026-03-16
|
|
B0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
23
|
14
|
$45,618.61
|
$45,618.61
|
$44,120.36
|
$82,113.50
|
$45,618.61
|
2026-03-16
|
|
B1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
23
|
14
|
$45,493.49
|
$45,493.49
|
$42,635.89
|
$81,888.28
|
$45,493.49
|
2026-03-16
|
|
B1504
|
HCPCS
|
Pulmonary M <45.50
|
23
|
14
|
$45,091.18
|
$45,091.18
|
$41,724.80
|
$81,164.13
|
$45,091.18
|
2026-03-16
|
|
74080483
|
CDM
|
Revise Tips
|
26
|
14
|
$44,794.32
|
$44,794.32
|
$44,794.32
|
$44,794.32
|
$44,794.32
|
2026-03-16
|
|
B0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
23
|
14
|
$44,157.60
|
$44,157.60
|
$43,238.96
|
$79,483.67
|
$44,504.28
|
2026-03-16
|
|
A0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
23
|
14
|
$44,036.33
|
$44,036.33
|
$43,428.23
|
$79,265.39
|
$44,476.69
|
2026-03-16
|
|
B1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
23
|
14
|
$44,103.70
|
$44,103.70
|
$41,075.34
|
$79,386.66
|
$44,103.70
|
2026-03-16
|
|
B1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
23
|
14
|
$44,017.08
|
$44,017.08
|
$38,820.80
|
$79,230.74
|
$44,017.08
|
2026-03-16
|
|
D0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
23
|
14
|
$43,866.93
|
$43,866.93
|
$42,704.55
|
$78,960.48
|
$43,954.23
|
2026-03-16
|
|
B0904
|
HCPCS
|
Other Orthopedic M <44.5
|
23
|
14
|
$43,275.99
|
$43,275.99
|
$39,576.02
|
$77,896.77
|
$43,275.99
|
2026-03-16
|
|
D0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
23
|
14
|
$42,994.95
|
$42,994.95
|
$41,145.85
|
$77,390.91
|
$42,994.95
|
2026-03-16
|
|
C0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
23
|
14
|
$42,983.40
|
$42,983.40
|
$41,008.54
|
$77,370.12
|
$42,983.40
|
2026-03-16
|
|
A5104
|
HCPCS
|
Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More
|
23
|
14
|
$42,119.11
|
$42,119.11
|
$41,740.04
|
$80,195.19
|
$42,961.49
|
2026-03-16
|
|
B2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
23
|
14
|
$42,575.32
|
$42,575.32
|
$41,119.87
|
$76,635.57
|
$42,575.32
|
2026-03-16
|
|
B1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
23
|
14
|
$42,257.70
|
$42,257.70
|
$41,292.44
|
$76,063.87
|
$42,500.80
|
2026-03-16
|
|
B0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
23
|
14
|
$42,327.00
|
$42,327.00
|
$40,394.34
|
$76,188.60
|
$42,327.00
|
2026-03-16
|
|
A0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
23
|
14
|
$41,609.01
|
$41,609.01
|
$40,730.20
|
$74,896.21
|
$41,922.10
|
2026-03-16
|
|
C0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
23
|
14
|
$41,703.33
|
$41,703.33
|
$40,325.68
|
$75,065.99
|
$41,703.33
|
2026-03-16
|
|
B0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
23
|
14
|
$41,645.58
|
$41,645.58
|
$40,095.59
|
$74,962.04
|
$41,645.58
|
2026-03-16
|
|
B1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
23
|
14
|
$41,318.34
|
$41,318.34
|
$40,349.81
|
$74,373.02
|
$41,530.58
|
2026-03-16
|
|
B1404
|
HCPCS
|
Cardiac M <45.50
|
23
|
14
|
$41,324.12
|
$41,324.12
|
$39,691.07
|
$74,383.41
|
$41,324.12
|
2026-03-16
|
|
C2102
|
HCPCS
|
Burns M <52.50
|
23
|
14
|
$41,187.45
|
$41,187.45
|
$32,916.31
|
$74,137.41
|
$41,187.45
|
2026-03-16
|
|
B0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
23
|
14
|
$40,883.31
|
$40,883.31
|
$38,008.05
|
$73,589.96
|
$40,883.31
|
2026-03-16
|
|
B2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
23
|
14
|
$40,675.42
|
$40,675.42
|
$39,013.78
|
$73,215.76
|
$40,675.42
|
2026-03-16
|
|
C0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
23
|
14
|
$39,587.84
|
$39,587.84
|
$39,231.55
|
$72,716.29
|
$40,379.60
|
2026-03-16
|
|
B0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
23
|
14
|
$40,250.02
|
$40,250.02
|
$38,111.96
|
$72,450.03
|
$40,250.02
|
2026-03-16
|
|
B1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
23
|
14
|
$40,134.52
|
$40,134.52
|
$38,457.10
|
$72,242.14
|
$40,134.52
|
2026-03-16
|
|
76085035
|
CDM
|
Sm153 Lexidron To 150mci
|
26
|
14
|
$39,834.06
|
$39,834.06
|
$39,834.06
|
$39,834.06
|
$39,834.06
|
2026-03-16
|
|
B1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
23
|
14
|
$39,778.41
|
$39,778.41
|
$36,959.64
|
$71,601.14
|
$39,778.41
|
2026-03-16
|
|
A0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
23
|
14
|
$39,622.49
|
$39,622.49
|
$37,920.84
|
$71,320.49
|
$39,622.49
|
2026-03-16
|
|
A5102
|
HCPCS
|
Expired, Orthopedic, Length Of Stay Is 14 Days Or More
|
23
|
14
|
$39,431.93
|
$39,431.93
|
$33,814.42
|
$70,977.47
|
$39,431.93
|
2026-03-16
|
|
B1604
|
HCPCS
|
Pain Syndrome M <43.50
|
23
|
14
|
$38,592.66
|
$38,592.66
|
$38,245.33
|
$78,001.07
|
$39,364.52
|
2026-03-16
|
|
D0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
23
|
14
|
$38,546.46
|
$38,546.46
|
$38,199.55
|
$70,350.27
|
$39,083.48
|
2026-03-16
|
|
C1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
23
|
14
|
$39,041.17
|
$39,041.17
|
$36,120.92
|
$70,274.10
|
$39,041.17
|
2026-03-16
|
|
C1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
23
|
14
|
$38,973.80
|
$38,973.80
|
$37,868.88
|
$70,152.83
|
$38,977.05
|
2026-03-16
|
|
D0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
23
|
14
|
$38,943.00
|
$38,943.00
|
$37,557.14
|
$70,097.39
|
$38,943.00
|
2026-03-16
|
|
B0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
23
|
14
|
$38,839.05
|
$38,839.05
|
$37,831.77
|
$69,910.29
|
$38,938.85
|
2026-03-16
|
|
J2427
|
HCPCS
|
Paliperidone Palmit 819mg Susp
|
40
|
14
|
$38,547.00
|
$38,547.00
|
$25,698.50
|
$38,547.00
|
$38,547.00
|
2026-03-16
|
|
D0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
23
|
14
|
$38,099.88
|
$38,099.88
|
$36,642.34
|
$68,579.79
|
$38,099.88
|
2026-03-16
|
|
C1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
23
|
14
|
$37,801.52
|
$37,801.52
|
$35,347.13
|
$68,042.74
|
$37,801.52
|
2026-03-16
|
|
B0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
23
|
14
|
$37,736.07
|
$37,736.07
|
$36,050.40
|
$67,924.93
|
$37,736.07
|
2026-03-16
|
|
B0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
23
|
14
|
$37,285.64
|
$37,285.64
|
$36,764.81
|
$67,114.16
|
$37,658.50
|
2026-03-16
|
|
B1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
23
|
14
|
$37,235.60
|
$37,235.60
|
$36,900.48
|
$67,539.36
|
$37,607.95
|
2026-03-16
|
|
B1902
|
HCPCS
|
Guillain-barré M >=51.50 And M <66.50
|
23
|
14
|
$37,545.51
|
$37,545.51
|
$30,899.29
|
$67,581.91
|
$37,545.51
|
2026-03-16
|
|
C1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
23
|
14
|
$37,543.58
|
$37,543.58
|
$35,775.78
|
$67,578.45
|
$37,543.58
|
2026-03-16
|
|
74080527
|
CDM
|
Stnt Plc Transc Vein Ini
|
26
|
14
|
$37,173.90
|
$37,173.90
|
$37,173.90
|
$37,173.90
|
$37,173.90
|
2026-03-16
|
|
B1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
23
|
14
|
$36,723.57
|
$36,723.57
|
$36,393.06
|
$66,278.83
|
$37,090.80
|
2026-03-16
|
|
74080525
|
CDM
|
Stnt Plc Transcth Art Ini
|
26
|
14
|
$37,018.86
|
$37,018.86
|
$37,018.86
|
$37,018.86
|
$37,018.86
|
2026-03-16
|
|
76085037
|
CDM
|
Strontium Sr-89 Thera/mci
|
26
|
14
|
$37,014.78
|
$37,014.78
|
$37,014.78
|
$37,014.78
|
$37,014.78
|
2026-03-16
|
|
A0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
23
|
14
|
$36,939.16
|
$36,939.16
|
$35,822.17
|
$66,490.48
|
$36,939.16
|
2026-03-16
|
|
74080549
|
CDM
|
Verteb Augm Ea Add W Imag
|
26
|
14
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
2026-03-16
|
|
74080548
|
CDM
|
Verteb Augm Lumbar W Imag
|
26
|
14
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
2026-03-16
|
|
74080547
|
CDM
|
Verteb Augm Thorac W Imag
|
26
|
14
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
$36,922.98
|
2026-03-16
|
|
C0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
23
|
14
|
$36,155.72
|
$36,155.72
|
$35,358.27
|
$65,080.29
|
$36,392.97
|
2026-03-16
|
|
C1504
|
HCPCS
|
Pulmonary M <45.50
|
23
|
14
|
$36,255.81
|
$36,255.81
|
$34,090.90
|
$65,260.46
|
$36,255.81
|
2026-03-16
|
|
D1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
23
|
14
|
$36,186.52
|
$36,186.52
|
$35,022.41
|
$65,135.73
|
$36,186.52
|
2026-03-16
|
|
B0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
23
|
14
|
$35,761.11
|
$35,761.11
|
$35,391.67
|
$64,370.00
|
$36,118.72
|
2026-03-16
|
|
B1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
23
|
14
|
$35,957.45
|
$35,957.45
|
$33,732.77
|
$64,723.41
|
$35,957.45
|
2026-03-16
|
|
B0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
23
|
14
|
$35,938.20
|
$35,938.20
|
$33,029.50
|
$64,688.76
|
$35,938.20
|
2026-03-16
|
|
D1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
23
|
14
|
$35,915.10
|
$35,915.10
|
$34,048.22
|
$64,647.18
|
$35,915.10
|
2026-03-16
|
|
A0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
23
|
14
|
$35,795.76
|
$35,795.76
|
$34,515.83
|
$64,432.36
|
$35,795.76
|
2026-03-16
|
|
C0604
|
HCPCS
|
Neurological M <43.50
|
23
|
14
|
$35,712.99
|
$35,712.99
|
$34,619.74
|
$64,283.37
|
$35,712.99
|
2026-03-16
|
|
A0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
23
|
14
|
$34,881.42
|
$34,881.42
|
$34,567.49
|
$63,916.18
|
$35,508.99
|
2026-03-16
|
|
B0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
23
|
14
|
$35,152.84
|
$35,152.84
|
$34,584.49
|
$63,275.10
|
$35,504.36
|
2026-03-16
|
|
B0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
23
|
14
|
$35,422.32
|
$35,422.32
|
$33,970.29
|
$63,760.18
|
$35,422.32
|
2026-03-16
|
|
C0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
23
|
14
|
$35,306.83
|
$35,306.83
|
$33,411.75
|
$63,552.29
|
$35,306.83
|
2026-03-16
|
|
C1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
23
|
14
|
$35,260.63
|
$35,260.63
|
$32,888.48
|
$63,469.13
|
$35,260.63
|
2026-03-16
|
|
C1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
23
|
14
|
$35,251.01
|
$35,251.01
|
$30,116.23
|
$63,451.81
|
$35,251.01
|
2026-03-16
|
|
C1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
23
|
14
|
$35,189.41
|
$35,189.41
|
$31,084.84
|
$63,340.94
|
$35,189.41
|
2026-03-16
|
|
C1604
|
HCPCS
|
Pain Syndrome M <43.50
|
23
|
14
|
$34,586.91
|
$34,586.91
|
$32,509.94
|
$62,256.44
|
$34,586.91
|
2026-03-16
|
|
C0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
23
|
14
|
$34,490.66
|
$34,490.66
|
$32,825.39
|
$62,083.19
|
$34,490.66
|
2026-03-16
|
|
B1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
23
|
14
|
$34,059.48
|
$34,059.48
|
$33,752.95
|
$61,395.13
|
$34,400.08
|
2026-03-16
|
|
D1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
23
|
14
|
$34,309.72
|
$34,309.72
|
$32,259.43
|
$61,757.50
|
$34,309.72
|
2026-03-16
|
|
B1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
23
|
14
|
$34,201.93
|
$34,201.93
|
$33,322.69
|
$61,563.47
|
$34,297.82
|
2026-03-16
|
|
B1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
23
|
14
|
$34,171.13
|
$34,171.13
|
$32,391.18
|
$61,508.03
|
$34,171.13
|
2026-03-16
|
|
36224
|
CPT
|
Place Cath Int Carotid Art Bi
|
26
|
14
|
$34,146.37
|
$34,146.37
|
$34,146.37
|
$34,146.37
|
$34,146.37
|
2026-03-16
|
|
C2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
23
|
14
|
$34,144.18
|
$34,144.18
|
$32,901.47
|
$61,459.52
|
$34,144.18
|
2026-03-16
|
|
D1504
|
HCPCS
|
Pulmonary M <45.50
|
23
|
14
|
$33,953.61
|
$33,953.61
|
$32,196.34
|
$61,116.50
|
$33,953.61
|
2026-03-16
|
|
C0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
23
|
14
|
$33,899.71
|
$33,899.71
|
$30,843.62
|
$61,019.49
|
$33,899.71
|
2026-03-16
|
|
A1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
23
|
14
|
$33,709.15
|
$33,709.15
|
$31,556.16
|
$60,676.47
|
$33,709.15
|
2026-03-16
|
|
D0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
23
|
14
|
$33,707.22
|
$33,707.22
|
$32,487.67
|
$60,673.00
|
$33,707.22
|
2026-03-16
|
|
D0604
|
HCPCS
|
Neurological M <43.50
|
23
|
14
|
$33,637.93
|
$33,637.93
|
$32,302.11
|
$60,548.27
|
$33,637.93
|
2026-03-16
|
|
B2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
23
|
14
|
$33,351.11
|
$33,351.11
|
$32,636.12
|
$60,032.00
|
$33,591.16
|
2026-03-16
|
|
D0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
23
|
14
|
$33,532.06
|
$33,532.06
|
$31,661.93
|
$60,357.70
|
$33,532.06
|
2026-03-16
|
|
C1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
23
|
14
|
$33,478.16
|
$33,478.16
|
$32,289.12
|
$60,260.68
|
$33,478.16
|
2026-03-16
|
|
B1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
23
|
14
|
$33,122.05
|
$33,122.05
|
$32,469.11
|
$59,619.69
|
$33,419.27
|
2026-03-16
|
|
A1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
23
|
14
|
$33,312.61
|
$33,312.61
|
$31,808.52
|
$59,962.71
|
$33,312.61
|
2026-03-16
|
|
D1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
23
|
14
|
$32,638.89
|
$32,638.89
|
$32,345.14
|
$60,589.60
|
$33,291.67
|
2026-03-16
|
|
C1404
|
HCPCS
|
Cardiac M <45.50
|
23
|
14
|
$33,289.52
|
$33,289.52
|
$31,353.90
|
$59,921.13
|
$33,289.52
|
2026-03-16
|
|
B0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
23
|
14
|
$33,172.10
|
$33,172.10
|
$30,656.20
|
$59,709.77
|
$33,172.10
|
2026-03-16
|
|
C0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
23
|
14
|
$33,006.55
|
$33,006.55
|
$32,131.40
|
$59,411.79
|
$33,071.67
|
2026-03-16
|
|
A1903
|
HCPCS
|
Guillain-barré M >=38.50 And M <51.50
|
23
|
14
|
$32,646.59
|
$32,646.59
|
$32,352.77
|
$59,305.48
|
$32,973.06
|
2026-03-16
|
|
C1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
23
|
14
|
$32,794.81
|
$32,794.81
|
$30,875.16
|
$59,030.66
|
$32,794.81
|
2026-03-16
|
|
C0904
|
HCPCS
|
Other Orthopedic M <44.5
|
23
|
14
|
$32,779.41
|
$32,779.41
|
$31,804.81
|
$59,002.94
|
$32,779.41
|
2026-03-16
|
|
B0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
23
|
14
|
$32,694.72
|
$32,694.72
|
$28,665.15
|
$58,850.49
|
$32,694.72
|
2026-03-16
|
|
B0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
23
|
14
|
$32,315.51
|
$32,315.51
|
$31,795.54
|
$58,167.91
|
$32,638.66
|
2026-03-16
|
|
C2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
23
|
14
|
$32,619.64
|
$32,619.64
|
$31,216.59
|
$58,715.36
|
$32,619.64
|
2026-03-16
|
|
C1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
23
|
14
|
$32,542.65
|
$32,542.65
|
$29,817.48
|
$58,576.77
|
$32,542.65
|
2026-03-16
|
|
C0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
23
|
14
|
$32,527.25
|
$32,527.25
|
$31,331.64
|
$58,549.05
|
$32,527.25
|
2026-03-16
|
|
C0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
23
|
14
|
$32,506.07
|
$32,506.07
|
$31,500.50
|
$58,510.93
|
$32,506.07
|
2026-03-16
|
|
A1504
|
HCPCS
|
Pulmonary M <45.50
|
23
|
14
|
$32,457.95
|
$32,457.95
|
$30,064.27
|
$58,424.31
|
$32,457.95
|
2026-03-16
|
|
D1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
23
|
14
|
$32,307.81
|
$32,307.81
|
$31,437.41
|
$58,154.05
|
$32,357.37
|
2026-03-16
|
|
D1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
23
|
14
|
$32,242.36
|
$32,242.36
|
$29,711.71
|
$58,036.25
|
$32,242.36
|
2026-03-16
|
|
A1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
23
|
14
|
$31,857.38
|
$31,857.38
|
$28,828.45
|
$57,343.28
|
$31,857.38
|
2026-03-16
|
|
C1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
23
|
14
|
$31,853.53
|
$31,853.53
|
$29,427.80
|
$57,336.35
|
$31,853.53
|
2026-03-16
|
|
D2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
23
|
14
|
$31,753.43
|
$31,753.43
|
$30,758.26
|
$57,156.18
|
$31,753.43
|
2026-03-16
|
|
D2102
|
HCPCS
|
Burns M <52.50
|
23
|
14
|
$31,060.46
|
$31,060.46
|
$30,780.92
|
$59,787.45
|
$31,681.67
|
2026-03-16
|
|
B0602
|
HCPCS
|
Neurological M >=52.50 And M <64.50
|
23
|
14
|
$31,354.97
|
$31,354.97
|
$31,072.78
|
$56,700.17
|
$31,668.52
|
2026-03-16
|
|
D1604
|
HCPCS
|
Pain Syndrome M <43.50
|
23
|
14
|
$31,637.94
|
$31,637.94
|
$29,192.14
|
$56,948.29
|
$31,637.94
|
2026-03-16
|
|
B1702
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
23
|
14
|
$31,299.15
|
$31,299.15
|
$30,702.59
|
$56,338.47
|
$31,601.05
|
2026-03-16
|
|
A0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
23
|
14
|
$31,555.17
|
$31,555.17
|
$30,639.50
|
$56,799.30
|
$31,555.17
|
2026-03-16
|
|
C0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
23
|
14
|
$30,844.87
|
$30,844.87
|
$30,567.27
|
$58,921.26
|
$31,461.77
|
2026-03-16
|
|
B0502
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50
|
23
|
14
|
$31,281.83
|
$31,281.83
|
$29,639.34
|
$56,307.29
|
$31,281.83
|
2026-03-16
|
|
D0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
23
|
14
|
$31,249.10
|
$31,249.10
|
$30,062.41
|
$56,248.39
|
$31,249.10
|
2026-03-16
|
|
D1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
23
|
14
|
$31,083.56
|
$31,083.56
|
$29,862.01
|
$55,950.41
|
$31,083.56
|
2026-03-16
|
|
D0904
|
HCPCS
|
Other Orthopedic M <44.5
|
23
|
14
|
$30,964.22
|
$30,964.22
|
$29,663.46
|
$55,735.59
|
$30,964.22
|
2026-03-16
|
|
B2101
|
HCPCS
|
Burns M >=52.50
|
23
|
14
|
$30,916.09
|
$30,916.09
|
$28,147.45
|
$55,648.97
|
$30,916.09
|
2026-03-16
|
|
B1502
|
HCPCS
|
Pulmonary M >=56.50 And M <68.50
|
23
|
14
|
$30,841.02
|
$30,841.02
|
$29,631.92
|
$55,513.84
|
$30,841.02
|
2026-03-16
|
|
D1404
|
HCPCS
|
Cardiac M <45.50
|
23
|
14
|
$30,781.35
|
$30,781.35
|
$29,127.20
|
$55,406.43
|
$30,781.35
|
2026-03-16
|
|
D0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
23
|
14
|
$30,769.80
|
$30,769.80
|
$29,524.29
|
$55,385.64
|
$30,769.80
|
2026-03-16
|
|
A0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
23
|
14
|
$30,640.83
|
$30,640.83
|
$29,242.24
|
$55,153.49
|
$30,640.83
|
2026-03-16
|
|
D1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
23
|
14
|
$30,336.69
|
$30,336.69
|
$30,063.66
|
$54,701.52
|
$30,640.06
|
2026-03-16
|
|
D0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
23
|
14
|
$30,032.56
|
$30,032.56
|
$29,762.26
|
$57,003.50
|
$30,633.21
|
2026-03-16
|
|
B0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
23
|
14
|
$30,409.84
|
$30,409.84
|
$29,643.05
|
$54,737.71
|
$30,510.51
|
2026-03-16
|
|
D0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
23
|
14
|
$30,259.70
|
$30,259.70
|
$29,604.08
|
$54,467.45
|
$30,470.40
|
2026-03-16
|
|
D2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
23
|
14
|
$30,336.69
|
$30,336.69
|
$29,182.86
|
$54,606.05
|
$30,336.69
|
2026-03-16
|
|
D0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
23
|
14
|
$30,302.04
|
$30,302.04
|
$27,969.31
|
$54,543.68
|
$30,302.04
|
2026-03-16
|
|
B0902
|
HCPCS
|
Other Orthopedic M >=51.50 And M <63.50
|
23
|
14
|
$30,284.72
|
$30,284.72
|
$27,674.27
|
$54,512.50
|
$30,284.72
|
2026-03-16
|
|
B1202
|
HCPCS
|
Osteoarthritis M >=49.50 And M <61.50
|
23
|
14
|
$29,982.51
|
$29,982.51
|
$29,712.67
|
$54,010.59
|
$30,282.33
|
2026-03-16
|
|
A0604
|
HCPCS
|
Neurological M <43.50
|
23
|
14
|
$30,213.50
|
$30,213.50
|
$29,143.90
|
$54,384.30
|
$30,213.50
|
2026-03-16
|
|
B1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
23
|
14
|
$29,728.42
|
$29,728.42
|
$29,460.86
|
$54,169.00
|
$30,093.89
|
2026-03-16
|
|
B1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
23
|
14
|
$29,483.95
|
$29,483.95
|
$29,218.60
|
$62,844.40
|
$30,073.63
|
2026-03-16
|
|
D1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
23
|
14
|
$29,936.31
|
$29,936.31
|
$28,106.62
|
$53,885.36
|
$29,936.31
|
2026-03-16
|
|
A2102
|
HCPCS
|
Burns M <52.50
|
23
|
14
|
$29,786.17
|
$29,786.17
|
$27,765.19
|
$53,615.10
|
$29,786.17
|
2026-03-16
|
|
B0302
|
HCPCS
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
23
|
14
|
$29,730.34
|
$29,730.34
|
$28,681.85
|
$53,514.62
|
$29,730.34
|
2026-03-16
|
|
D0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
23
|
14
|
$29,697.62
|
$29,697.62
|
$28,622.48
|
$53,455.72
|
$29,697.62
|
2026-03-16
|
|
A1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
23
|
14
|
$29,347.29
|
$29,347.29
|
$29,083.16
|
$52,962.40
|
$29,640.76
|
2026-03-16
|
|
A0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
23
|
14
|
$29,639.87
|
$29,639.87
|
$28,672.58
|
$53,351.77
|
$29,639.87
|
2026-03-16
|
|
D1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
23
|
14
|
$29,306.86
|
$29,306.86
|
$28,845.15
|
$52,752.35
|
$29,599.93
|
2026-03-16
|
|
B1302
|
HCPCS
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
23
|
14
|
$29,566.73
|
$29,566.73
|
$28,603.92
|
$53,220.11
|
$29,566.73
|
2026-03-16
|
|
B0702
|
HCPCS
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
23
|
14
|
$29,191.37
|
$29,191.37
|
$28,763.50
|
$52,544.46
|
$29,483.28
|
2026-03-16
|
|
C1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
23
|
14
|
$29,093.20
|
$29,093.20
|
$28,533.41
|
$52,367.75
|
$29,368.39
|
2026-03-16
|
|
A1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
23
|
14
|
$29,289.54
|
$29,289.54
|
$27,557.37
|
$52,721.17
|
$29,289.54
|
2026-03-16
|
|
A2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
23
|
14
|
$29,068.17
|
$29,068.17
|
$28,006.42
|
$52,322.71
|
$29,068.17
|
2026-03-16
|
|
B1002
|
HCPCS
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
23
|
14
|
$28,737.09
|
$28,737.09
|
$28,396.09
|
$51,726.76
|
$29,024.46
|
2026-03-16
|
|
C1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
23
|
14
|
$28,912.25
|
$28,912.25
|
$27,561.08
|
$52,042.06
|
$28,912.25
|
2026-03-16
|
|
A0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
23
|
14
|
$28,806.38
|
$28,806.38
|
$27,843.13
|
$51,851.49
|
$28,806.38
|
2026-03-16
|
|
B0803
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50
|
23
|
14
|
$28,446.42
|
$28,446.42
|
$28,190.41
|
$51,499.64
|
$28,730.89
|
2026-03-16
|
|
A1604
|
HCPCS
|
Pain Syndrome M <43.50
|
23
|
14
|
$28,677.41
|
$28,677.41
|
$27,167.69
|
$51,619.35
|
$28,677.41
|
2026-03-16
|
|
A1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
23
|
14
|
$28,615.82
|
$28,615.82
|
$27,121.30
|
$51,508.47
|
$28,615.82
|
2026-03-16
|
|
C0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
23
|
14
|
$28,592.72
|
$28,592.72
|
$27,347.69
|
$51,466.89
|
$28,592.72
|
2026-03-16
|
|
D1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
23
|
14
|
$28,465.67
|
$28,465.67
|
$27,492.42
|
$51,238.21
|
$28,465.67
|
2026-03-16
|
|
C1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
23
|
14
|
$28,419.48
|
$28,419.48
|
$27,627.88
|
$51,155.06
|
$28,436.36
|
2026-03-16
|
|
C0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
23
|
14
|
$28,238.53
|
$28,238.53
|
$27,600.05
|
$50,829.36
|
$28,407.72
|
2026-03-16
|
|
B2002
|
HCPCS
|
Miscellaneous M >=55.50 And M <66.50
|
23
|
14
|
$28,402.15
|
$28,402.15
|
$27,260.47
|
$51,123.87
|
$28,402.15
|
2026-03-16
|
|
A0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
23
|
14
|
$28,390.60
|
$28,390.60
|
$26,059.91
|
$51,103.08
|
$28,390.60
|
2026-03-16
|
|
A1404
|
HCPCS
|
Cardiac M <45.50
|
23
|
14
|
$28,305.91
|
$28,305.91
|
$26,811.42
|
$50,950.63
|
$28,305.91
|
2026-03-16
|
|
A0904
|
HCPCS
|
Other Orthopedic M <44.5
|
23
|
14
|
$28,248.16
|
$28,248.16
|
$27,149.14
|
$50,846.68
|
$28,248.16
|
2026-03-16
|
|
C1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
23
|
14
|
$28,144.21
|
$28,144.21
|
$24,154.22
|
$50,659.58
|
$28,144.21
|
2026-03-16
|
|
C0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
23
|
14
|
$27,861.25
|
$27,861.25
|
$27,610.50
|
$50,340.23
|
$28,139.86
|
2026-03-16
|
|
A1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
23
|
14
|
$28,098.01
|
$28,098.01
|
$26,050.63
|
$50,576.43
|
$28,098.01
|
2026-03-16
|
|
A0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
23
|
14
|
$27,886.27
|
$27,886.27
|
$27,284.60
|
$50,195.29
|
$28,083.03
|
2026-03-16
|
|
C1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
23
|
14
|
$27,863.17
|
$27,863.17
|
$27,267.90
|
$50,153.71
|
$28,065.85
|
2026-03-16
|
|
92218460
|
CDM
|
Gamunex-c 1 Gm/10 Ml Sol
|
26
|
14
|
$27,997.00
|
$27,997.00
|
$27,997.00
|
$27,997.00
|
$27,997.00
|
2026-03-16
|
|
A0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
23
|
14
|
$27,901.67
|
$27,901.67
|
$26,961.72
|
$50,223.01
|
$27,901.67
|
2026-03-16
|
|
A2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
23
|
14
|
$27,770.78
|
$27,770.78
|
$26,572.05
|
$49,987.40
|
$27,770.78
|
2026-03-16
|
|
A0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
23
|
14
|
$27,175.98
|
$27,175.98
|
$26,931.40
|
$51,792.87
|
$27,719.50
|
2026-03-16
|
|
36226
|
CPT
|
Place Cath Vertebral Art Bi
|
26
|
14
|
$27,654.17
|
$27,654.17
|
$27,654.17
|
$27,654.17
|
$27,654.17
|
2026-03-16
|
|
B1402
|
HCPCS
|
Cardiac M >=55.50 And M <68.50
|
23
|
14
|
$27,403.12
|
$27,403.12
|
$26,507.10
|
$49,325.61
|
$27,403.12
|
2026-03-16
|
|
B1802
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50
|
23
|
14
|
$27,378.10
|
$27,378.10
|
$26,226.91
|
$49,280.57
|
$27,378.10
|
2026-03-16
|
|
C0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
23
|
14
|
$27,220.25
|
$27,220.25
|
$26,542.36
|
$48,996.45
|
$27,319.08
|
2026-03-16
|
|
C1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
23
|
14
|
$27,318.42
|
$27,318.42
|
$25,935.58
|
$49,173.16
|
$27,318.42
|
2026-03-16
|
|
C0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
23
|
14
|
$27,222.18
|
$27,222.18
|
$26,349.38
|
$48,999.92
|
$27,222.18
|
2026-03-16
|
|
C0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
23
|
14
|
$27,218.33
|
$27,218.33
|
$25,731.47
|
$48,992.99
|
$27,218.33
|
2026-03-16
|
|
A1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
23
|
14
|
$27,141.33
|
$27,141.33
|
$26,440.30
|
$48,854.39
|
$27,214.03
|
2026-03-16
|
|
D1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
23
|
14
|
$27,012.36
|
$27,012.36
|
$26,388.35
|
$48,622.25
|
$27,160.56
|
2026-03-16
|
|
D0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
23
|
14
|
$27,156.73
|
$27,156.73
|
$25,915.17
|
$48,882.11
|
$27,156.73
|
2026-03-16
|
|
D1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
23
|
14
|
$27,075.88
|
$27,075.88
|
$26,030.22
|
$48,736.59
|
$27,075.88
|
2026-03-16
|
|
A1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
23
|
14
|
$26,542.68
|
$26,542.68
|
$26,303.80
|
$53,323.03
|
$27,073.53
|
2026-03-16
|
|
C0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
23
|
14
|
$27,004.66
|
$27,004.66
|
$25,720.33
|
$48,608.39
|
$27,004.66
|
2026-03-16
|
|
36901
|
CPT
|
Intro Dial Graft
|
26
|
14
|
$26,970.62
|
$26,970.62
|
$26,970.62
|
$26,970.62
|
$26,970.62
|
2026-03-16
|
|
C2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
23
|
14
|
$26,746.72
|
$26,746.72
|
$26,113.72
|
$48,144.10
|
$26,877.89
|
2026-03-16
|
|
C0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
23
|
14
|
$26,723.62
|
$26,723.62
|
$25,794.56
|
$48,102.52
|
$26,723.62
|
2026-03-16
|
|
C1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
23
|
14
|
$26,423.34
|
$26,423.34
|
$26,185.53
|
$47,576.50
|
$26,687.57
|
2026-03-16
|
|
B0202
|
HCPCS
|
Traumatic Brain Injury M >=61.50 And M <73.50
|
23
|
14
|
$26,681.28
|
$26,681.28
|
$24,540.18
|
$48,026.30
|
$26,681.28
|
2026-03-16
|
|
C1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
23
|
14
|
$26,681.28
|
$26,681.28
|
$25,647.97
|
$48,026.30
|
$26,681.28
|
2026-03-16
|
|
D0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
23
|
14
|
$26,596.58
|
$26,596.58
|
$25,751.88
|
$47,873.84
|
$26,596.58
|
2026-03-16
|
|
C1902
|
HCPCS
|
Guillain-barré M >=51.50 And M <66.50
|
23
|
14
|
$26,534.98
|
$26,534.98
|
$23,812.79
|
$47,762.97
|
$26,534.98
|
2026-03-16
|
|
C0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
23
|
14
|
$26,375.21
|
$26,375.21
|
$25,408.59
|
$47,475.38
|
$26,375.21
|
2026-03-16
|
|
A1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
23
|
14
|
$26,363.66
|
$26,363.66
|
$25,198.91
|
$47,454.60
|
$26,363.66
|
2026-03-16
|
|
D0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
23
|
14
|
$25,974.83
|
$25,974.83
|
$25,466.12
|
$46,754.70
|
$26,211.34
|
2026-03-16
|
|
B0802
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=57.50 And M <63.50
|
23
|
14
|
$25,847.79
|
$25,847.79
|
$25,557.04
|
$46,526.02
|
$26,106.26
|
2026-03-16
|
|
B0401
|
HCPCS
|
Traumatic Spinal Cord Injury M >=56.50
|
23
|
14
|
$26,078.78
|
$26,078.78
|
$22,422.95
|
$46,941.80
|
$26,078.78
|
2026-03-16
|
|
B1101
|
HCPCS
|
Amputation Non-lower Extremity M >=58.50
|
23
|
14
|
$26,032.58
|
$26,032.58
|
$23,347.03
|
$46,858.64
|
$26,032.58
|
2026-03-16
|
|
D0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
23
|
14
|
$26,021.03
|
$26,021.03
|
$24,953.97
|
$46,837.85
|
$26,021.03
|
2026-03-16
|
|
C2101
|
HCPCS
|
Burns M >=52.50
|
23
|
14
|
$25,992.15
|
$25,992.15
|
$21,625.05
|
$46,785.88
|
$25,992.15
|
2026-03-16
|
|
D1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
23
|
14
|
$25,793.89
|
$25,793.89
|
$25,213.76
|
$46,429.00
|
$25,951.60
|
2026-03-16
|
|
D1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
23
|
14
|
$25,632.20
|
$25,632.20
|
$25,401.51
|
$46,686.72
|
$25,937.07
|
2026-03-16
|
|
A1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
23
|
14
|
$25,882.43
|
$25,882.43
|
$24,306.37
|
$46,588.38
|
$25,882.43
|
2026-03-16
|
|
B1901
|
HCPCS
|
Guillain-barré M >=66.50
|
23
|
14
|
$25,807.36
|
$25,807.36
|
$19,201.65
|
$46,453.25
|
$25,807.36
|
2026-03-16
|
|
D0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
23
|
14
|
$25,713.04
|
$25,713.04
|
$24,755.43
|
$46,283.48
|
$25,713.04
|
2026-03-16
|
|
D0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
23
|
14
|
$25,324.21
|
$25,324.21
|
$24,896.45
|
$45,583.58
|
$25,577.45
|
2026-03-16
|
|
B1201
|
HCPCS
|
Osteoarthritis M >=61.50
|
23
|
14
|
$25,499.38
|
$25,499.38
|
$24,491.93
|
$45,898.88
|
$25,499.38
|
2026-03-16
|
|
92220143
|
CDM
|
Interferon Beta-1a30mcg/0.5ml
|
26
|
14
|
$25,431.50
|
$25,431.50
|
$25,431.50
|
$25,431.50
|
$25,431.50
|
2026-03-16
|
|
B1701
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50
|
23
|
14
|
$25,391.58
|
$25,391.58
|
$24,701.61
|
$45,704.85
|
$25,424.47
|
2026-03-16
|
|
B0601
|
HCPCS
|
Neurological M >=64.50
|
23
|
14
|
$25,206.79
|
$25,206.79
|
$24,605.12
|
$45,372.22
|
$25,325.15
|
2026-03-16
|
|
D1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
23
|
14
|
$25,031.62
|
$25,031.62
|
$24,790.68
|
$45,056.92
|
$25,281.94
|
2026-03-16
|
|
B1501
|
HCPCS
|
Pulmonary M >=68.50
|
23
|
14
|
$25,222.19
|
$25,222.19
|
$23,426.82
|
$45,399.94
|
$25,222.19
|
2026-03-16
|
|
B0501
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=60.50
|
23
|
14
|
$25,197.16
|
$25,197.16
|
$23,675.47
|
$45,354.90
|
$25,197.16
|
2026-03-16
|
|
D2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
23
|
14
|
$24,873.78
|
$24,873.78
|
$24,412.14
|
$44,772.80
|
$25,122.52
|
2026-03-16
|
|
C1502
|
HCPCS
|
Pulmonary M >=56.50 And M <68.50
|
23
|
14
|
$24,798.71
|
$24,798.71
|
$24,211.74
|
$44,637.67
|
$24,920.26
|
2026-03-16
|
|
A1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
23
|
14
|
$24,868.00
|
$24,868.00
|
$23,966.80
|
$44,762.41
|
$24,868.00
|
2026-03-16
|
|
B1602
|
HCPCS
|
Pain Syndrome M >=58.50 And M <65.50
|
23
|
14
|
$24,346.35
|
$24,346.35
|
$24,127.23
|
$50,104.30
|
$24,833.28
|
2026-03-16
|
|
A0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
23
|
14
|
$24,816.03
|
$24,816.03
|
$23,935.26
|
$44,668.86
|
$24,816.03
|
2026-03-16
|
|
C1702
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
23
|
14
|
$24,794.86
|
$24,794.86
|
$24,007.62
|
$44,630.74
|
$24,794.86
|
2026-03-16
|
|
74080479
|
CDM
|
Revas Tib Peron Stent Ini
|
26
|
14
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
2026-03-16
|
|
74080478
|
CDM
|
Revas Tib Peron Ather Ini
|
26
|
14
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
2026-03-16
|
|
74080481
|
CDM
|
Revas Tib Pr Stnt Ath Ini
|
26
|
14
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
2026-03-16
|
|
74080477
|
CDM
|
Revas Tib Peron Ather Add
|
26
|
14
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
$24,764.58
|
2026-03-16
|
|
74080469
|
CDM
|
Revas Fem Pop Stent Ather
|
26
|
14
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
2026-03-16
|
|
74080471
|
CDM
|
Revas Femoral Poplt Stent
|
26
|
14
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
2026-03-16
|
|
74080468
|
CDM
|
Revas Fem Pop Atherectomy
|
26
|
14
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
$24,671.76
|
2026-03-16
|
|
D1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
23
|
14
|
$24,669.74
|
$24,669.74
|
$23,825.78
|
$44,405.53
|
$24,669.74
|
2026-03-16
|
|
C1101
|
HCPCS
|
Amputation Non-lower Extremity M >=58.50
|
23
|
14
|
$24,646.64
|
$24,646.64
|
$18,908.46
|
$44,363.95
|
$24,646.64
|
2026-03-16
|
|
A0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
23
|
14
|
$24,317.48
|
$24,317.48
|
$24,015.05
|
$43,771.46
|
$24,560.65
|
2026-03-16
|
|
D0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
23
|
14
|
$24,465.70
|
$24,465.70
|
$23,554.86
|
$44,038.25
|
$24,465.70
|
2026-03-16
|
|
D1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
23
|
14
|
$24,219.31
|
$24,219.31
|
$24,001.33
|
$43,872.44
|
$24,461.50
|
2026-03-16
|
|
D0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
23
|
14
|
$24,329.03
|
$24,329.03
|
$23,334.04
|
$43,792.25
|
$24,329.03
|
2026-03-16
|
|
A1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
23
|
14
|
$24,057.61
|
$24,057.61
|
$23,823.92
|
$43,303.70
|
$24,298.19
|
2026-03-16
|
|
D1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
23
|
14
|
$24,171.18
|
$24,171.18
|
$23,519.60
|
$43,508.13
|
$24,207.87
|
2026-03-16
|
|
C1002
|
HCPCS
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
23
|
14
|
$23,878.60
|
$23,878.60
|
$23,541.87
|
$42,981.47
|
$24,117.38
|
2026-03-16
|
|
B1301
|
HCPCS
|
Rheumatoid Other Arthritis M >=62.50
|
23
|
14
|
$24,113.44
|
$24,113.44
|
$20,830.85
|
$43,404.18
|
$24,113.44
|
2026-03-16
|
|
D0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
23
|
14
|
$24,096.11
|
$24,096.11
|
$23,085.40
|
$43,373.00
|
$24,096.11
|
2026-03-16
|
|
77020083
|
CDM
|
Liver Tumor Ablat Rf Perc
|
26
|
14
|
$24,092.40
|
$24,092.40
|
$24,092.40
|
$24,092.40
|
$24,092.40
|
2026-03-16
|
|
C0502
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50
|
23
|
14
|
$24,040.29
|
$24,040.29
|
$22,990.76
|
$43,272.52
|
$24,040.29
|
2026-03-16
|
|
C0602
|
HCPCS
|
Neurological M >=52.50 And M <64.50
|
23
|
14
|
$23,747.70
|
$23,747.70
|
$23,436.10
|
$42,745.86
|
$23,985.18
|
2026-03-16
|
|
C0803
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50
|
23
|
14
|
$23,959.44
|
$23,959.44
|
$22,946.23
|
$43,127.00
|
$23,959.44
|
2026-03-16
|
|
A1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
23
|
14
|
$23,949.82
|
$23,949.82
|
$22,532.43
|
$43,109.67
|
$23,949.82
|
2026-03-16
|
|
A0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
23
|
14
|
$23,890.15
|
$23,890.15
|
$23,235.70
|
$43,002.26
|
$23,915.65
|
2026-03-16
|
|
B0701
|
HCPCS
|
Fracture Of Lower Extremity M >=61.50
|
23
|
14
|
$23,616.81
|
$23,616.81
|
$23,315.49
|
$42,510.25
|
$23,852.98
|
2026-03-16
|
|
B0901
|
HCPCS
|
Other Orthopedic M >=63.50
|
23
|
14
|
$23,840.10
|
$23,840.10
|
$22,211.41
|
$42,912.18
|
$23,840.10
|
2026-03-16
|
|
C1202
|
HCPCS
|
Osteoarthritis M >=49.50 And M <61.50
|
23
|
14
|
$23,795.82
|
$23,795.82
|
$22,753.24
|
$42,832.48
|
$23,795.82
|
2026-03-16
|
|
B0102
|
HCPCS
|
Stroke M >=63.50 And M <72.50
|
23
|
14
|
$23,688.03
|
$23,688.03
|
$22,994.47
|
$42,638.45
|
$23,688.03
|
2026-03-16
|
|
C0302
|
HCPCS
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
23
|
14
|
$23,562.91
|
$23,562.91
|
$22,985.19
|
$42,413.24
|
$23,657.82
|
2026-03-16
|
|
B1001
|
HCPCS
|
Amputation Lower Extremity M >=64.50
|
23
|
14
|
$23,655.31
|
$23,655.31
|
$22,378.42
|
$42,579.55
|
$23,655.31
|
2026-03-16
|
|
C1302
|
HCPCS
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
23
|
14
|
$23,637.98
|
$23,637.98
|
$22,903.55
|
$42,548.37
|
$23,637.98
|
2026-03-16
|
|
A0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
23
|
14
|
$23,337.69
|
$23,337.69
|
$22,944.37
|
$42,007.85
|
$23,571.07
|
2026-03-16
|
|
A0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
23
|
14
|
$23,545.59
|
$23,545.59
|
$22,671.60
|
$42,382.05
|
$23,545.59
|
2026-03-16
|
|
A0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
23
|
14
|
$23,458.96
|
$23,458.96
|
$22,656.75
|
$42,226.14
|
$23,458.96
|
2026-03-16
|
|
D1502
|
HCPCS
|
Pulmonary M >=56.50 And M <68.50
|
23
|
14
|
$23,224.12
|
$23,224.12
|
$22,866.44
|
$41,803.42
|
$23,456.37
|
2026-03-16
|
|
C0702
|
HCPCS
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
23
|
14
|
$23,339.62
|
$23,339.62
|
$22,226.26
|
$42,011.31
|
$23,339.62
|
2026-03-16
|
|
A0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
23
|
14
|
$23,206.80
|
$23,206.80
|
$22,465.63
|
$41,772.24
|
$23,206.80
|
2026-03-16
|
|
A1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
23
|
14
|
$22,737.12
|
$22,737.12
|
$22,532.49
|
$41,765.94
|
$23,191.86
|
2026-03-16
|
|
76085057
|
CDM
|
In111 Satumomab Dx To 6mc
|
26
|
14
|
$23,119.32
|
$23,119.32
|
$23,119.32
|
$23,119.32
|
$23,119.32
|
2026-03-16
|
|
92218223
|
CDM
|
Soliris 10mg/ml Inj
|
26
|
14
|
$23,090.50
|
$23,090.50
|
$23,090.50
|
$23,090.50
|
$23,090.50
|
2026-03-16
|
|
A1902
|
HCPCS
|
Guillain-barré M >=51.50 And M <66.50
|
23
|
14
|
$23,073.98
|
$23,073.98
|
$21,734.53
|
$41,533.17
|
$23,073.98
|
2026-03-16
|
|
D1902
|
HCPCS
|
Guillain-barré M >=51.50 And M <66.50
|
23
|
14
|
$23,068.21
|
$23,068.21
|
$22,203.99
|
$41,522.77
|
$23,068.21
|
2026-03-16
|
|
D1702
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
23
|
14
|
$23,022.01
|
$23,022.01
|
$22,202.13
|
$41,439.61
|
$23,022.01
|
2026-03-16
|
|
B0301
|
HCPCS
|
Non-traumatic Brain Injury M >=65.50
|
23
|
14
|
$22,981.58
|
$22,981.58
|
$22,202.13
|
$41,366.85
|
$22,981.58
|
2026-03-16
|
|
C0902
|
HCPCS
|
Other Orthopedic M >=51.50 And M <63.50
|
23
|
14
|
$22,939.24
|
$22,939.24
|
$22,239.25
|
$41,290.63
|
$22,939.24
|
2026-03-16
|
|
74080659
|
CDM
|
Plc Stent Bile Duct Ex Ea
|
26
|
14
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
2026-03-16
|
|
74080660
|
CDM
|
Plc Stnt Bile Duct New Ea
|
26
|
14
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
2026-03-16
|
|
74080582
|
CDM
|
Pl St Bile Duct Cth Nw Ea
|
26
|
14
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
2026-03-16
|
|
74080661
|
CDM
|
Pl St Bile Duct Cth Nw Ea
|
26
|
14
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
$22,908.18
|
2026-03-16
|