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Hospital

Methodist Rehabilitation Hospital

Dallas, TX · CCN 673031 · Rates published

18,670 distinct procedures filed
52 distinct payers
1,105,497 rate rows
2026-03-17 last MRF observed
Data quality

498,092 of 1,105,497 rate rows are consumer-grade (45.1%)

607,405 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 607,402
percent-of-charges filed in the dollar field — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.methodist-rehab.com/docs/irfmethodistrehabilitationhospitallibraries/mar2026/205000978_methodist-rehabilitation-hospital_standardcharges.csv.zip
Found on page https://www.methodist-rehab.com/patient-experience/financial-assistance
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 861659fbaf2145e1… · 5,916,955 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
B0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 $58,554.18 $235,481.40 $91,576.10 nat. median
$86,320
1.1× median
B1904
OTHER 		Guillain-barré M <38.50 25 $51,521.20 $220,457.30 $85,733.40 nat. median
$80,609
1.1× median
C0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 $52,691.72 $192,476.74 $74,852.07 nat. median
$71,021
1.1× median
D0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 $50,976.08 $187,411.57 $72,882.28 nat. median
$68,708
1.1× median
B1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 25 $48,054.71 $186,601.14 $72,567.11 nat. median
$68,402
1.1× median
B0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 25 $43,138.81 $171,956.28 $66,871.89 nat. median
$62,870
1.1× median
A0407
OTHER 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 25 $46,313.72 $169,587.34 $65,950.63 nat. median
$62,810
1.1× median
B0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 25 $41,679.53 $165,020.88 $64,174.79 nat. median
$60,491
1.1× median
B0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 25 $42,616.23 $162,303.87 $63,118.17 nat. median
$59,495
1.1× median
C1904
OTHER 		Guillain-barré M <38.50 25 $39,704.72 $155,804.86 $60,590.78 nat. median
$57,113
1.1× median
C1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 25 $38,766.62 $152,656.66 $59,366.48 nat. median
$55,837
1.1× median
B0106
OTHER 		Stroke M <41.50 And A <84.50 25 $40,796.36 $147,149.90 $57,224.96 nat. median
$54,065
1.1× median
B1903
OTHER 		Guillain-barré M >=38.50 And M <51.50 25 $35,239.56 $143,367.90 $55,754.18 nat. median
$52,554
1.1× median
74080530
CDM 		Occ/emb Non Hemorr Art 25 $40,285.67 $55,325.65 $55,325.65 nat. median
$55,326
1.0× median
74080529
CDM 		Occ/emb Non Hemorr Venous 25 $40,285.67 $55,325.65 $55,325.65 nat. median
$55,326
1.0× median
74080532
CDM 		Occ/emb Hemorrhag/lymph 25 $40,285.67 $55,325.65 $55,325.65 nat. median
$55,326
1.0× median
74080531
CDM 		Occ/emb Tumor/organ Infar 25 $40,285.67 $55,325.65 $55,325.65 nat. median
$55,326
1.0× median
B0205
OTHER 		Traumatic Brain Injury M <35.50 25 $36,935.48 $141,554.83 $55,049.10 nat. median
$51,964
1.1× median
C0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 25 $38,818.73 $140,552.18 $54,659.18 nat. median
$51,880
1.1× median
D1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 25 $36,543.89 $140,432.69 $54,612.71 nat. median
$51,478
1.1× median
D0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 25 $37,556.66 $136,853.30 $53,220.73 nat. median
$50,515
1.1× median
A1904
OTHER 		Guillain-barré M <38.50 25 $36,238.24 $135,487.00 $52,689.39 nat. median
$50,010
1.1× median
D1904
OTHER 		Guillain-barré M <38.50 25 $37,022.81 $135,445.44 $52,673.23 nat. median
$49,901
1.1× median
C0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 25 $37,467.88 $134,884.38 $52,455.04 nat. median
$49,743
1.1× median
B1705
OTHER 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 25 $36,760.81 $132,769.99 $51,632.77 nat. median
$48,669
1.1× median
B2102
OTHER 		Burns M <52.50 25 $32,522.43 $132,219.31 $51,418.62 nat. median
$48,467
1.1× median
A1806
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 25 $33,869.02 $131,808.90 $51,259.02 nat. median
$48,628
1.1× median
D0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 25 $36,284.72 $131,336.16 $51,075.17 nat. median
$48,434
1.1× median
B0405
OTHER 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 25 $33,771.83 $130,712.75 $50,832.74 nat. median
$47,915
1.1× median
C0106
OTHER 		Stroke M <41.50 And A <84.50 25 $35,395.91 $130,671.19 $50,816.57 nat. median
$47,971
1.1× median
B0105
OTHER 		Stroke M <41.50 And A >=84.50 25 $35,879.05 $130,634.82 $50,802.43 nat. median
$47,979
1.1× median
B1805
OTHER 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 25 $33,987.34 $128,795.77 $50,087.25 nat. median
$47,212
1.1× median
B0604
OTHER 		Neurological M <43.50 25 $35,005.74 $127,268.43 $49,493.28 nat. median
$46,755
1.1× median
C0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 25 $33,054.87 $124,728.05 $48,505.35 nat. median
$45,787
1.1× median
A0406
OTHER 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 25 $34,121.16 $123,839.69 $48,159.88 nat. median
$45,990
1.0× median
B0305
OTHER 		Non-traumatic Brain Injury M <42.50 And A <78.50 25 $33,491.53 $123,117.58 $47,879.06 nat. median
$45,142
1.1× median
B1004
OTHER 		Amputation Lower Extremity M <47.50 25 $32,364.67 $122,779.90 $47,747.74 nat. median
$45,008
1.1× median
74080268
CDM 		Insert Tips 25 $34,491.56 $47,368.40 $47,368.40 nat. median
$47,368
1.0× median
B1504
OTHER 		Pulmonary M <45.50 25 $31,673.07 $121,694.14 $47,325.50 nat. median
$44,609
1.1× median
B0704
OTHER 		Fracture Of Lower Extremity M <41.50 25 $32,822.46 $119,174.53 $46,345.65 nat. median
$43,748
1.1× median
B1304
OTHER 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 25 $31,180.07 $119,029.07 $46,289.08 nat. median
$43,632
1.1× median
A0404
OTHER 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 25 $32,966.13 $118,847.25 $46,218.37 nat. median
$43,915
1.1× median
B1305
OTHER 		Rheumatoid Other Arthritis M <51.50 And A <64.50 25 $29,468.66 $118,795.30 $46,198.17 nat. median
$43,434
1.1× median
74080483
CDM 		Revise Tips 25 $33,595.74 $46,138.15 $46,138.15 nat. median
$46,138
1.0× median
D0106
OTHER 		Stroke M <41.50 And A <84.50 25 $32,416.79 $118,390.08 $46,040.59 nat. median
$43,510
1.1× median
B0904
OTHER 		Other Orthopedic M <44.5 25 $30,041.94 $116,795.20 $45,420.36 nat. median
$42,813
1.1× median
D0505
OTHER 		Non-traumatic Spinal Cord Injury M <39.50 25 $31,233.59 $116,036.72 $45,125.39 nat. median
$42,599
1.1× median
C0105
OTHER 		Stroke M <41.50 And A >=84.50 25 $31,129.36 $116,005.55 $45,113.27 nat. median
$42,585
1.1× median
B2005
OTHER 		Miscellaneous M <46.50 And A <77.50 25 $31,213.87 $114,904.20 $44,684.97 nat. median
$42,136
1.1× median
B0504
OTHER 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 25 $30,663.12 $114,234.04 $44,424.35 nat. median
$41,890
1.1× median

Other procedures at this hospital

Browse this hospital's 18,670 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
B0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 25 $87,215.33 $87,215.33 $58,554.18 $235,481.40 $91,576.10 2026-03-17
B1904 OTHER Guillain-barré M <38.50 28 25 $81,650.85 $81,650.85 $51,521.20 $220,457.30 $85,733.40 2026-03-17
C0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 25 $71,287.68 $71,287.68 $52,691.72 $192,476.74 $74,852.07 2026-03-17
D0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 25 $69,411.69 $69,411.69 $50,976.08 $187,411.57 $72,882.28 2026-03-17
B1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 25 $69,111.53 $69,111.53 $48,054.71 $186,601.14 $72,567.11 2026-03-17
B0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 25 $63,687.51 $63,687.51 $43,138.81 $171,956.28 $66,871.89 2026-03-17
A0407 OTHER Traumatic Spinal Cord Injury M <24.50 And A >=61.50 28 25 $62,810.12 $62,810.12 $46,313.72 $169,587.34 $65,950.63 2026-03-17
B0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 25 $61,118.85 $61,118.85 $41,679.53 $165,020.88 $64,174.79 2026-03-17
B0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 25 $60,112.54 $60,112.54 $42,616.23 $162,303.87 $63,118.17 2026-03-17
C1904 OTHER Guillain-barré M <38.50 28 25 $57,705.50 $57,705.50 $39,704.72 $155,804.86 $60,590.78 2026-03-17
C1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 25 $56,539.50 $56,539.50 $38,766.62 $152,656.66 $59,366.48 2026-03-17
B0106 OTHER Stroke M <41.50 And A <84.50 28 25 $54,499.96 $54,499.96 $40,796.36 $147,149.90 $57,224.96 2026-03-17
B1903 OTHER Guillain-barré M >=38.50 And M <51.50 28 25 $53,099.22 $53,099.22 $35,239.56 $143,367.90 $55,754.18 2026-03-17
74080531 CDM Occ/emb Tumor/organ Infar 28 25 $55,325.65 $55,325.65 $40,285.67 $55,325.65 $55,325.65 2026-03-17
74080530 CDM Occ/emb Non Hemorr Art 28 25 $55,325.65 $55,325.65 $40,285.67 $55,325.65 $55,325.65 2026-03-17
74080529 CDM Occ/emb Non Hemorr Venous 28 25 $55,325.65 $55,325.65 $40,285.67 $55,325.65 $55,325.65 2026-03-17
74080532 CDM Occ/emb Hemorrhag/lymph 28 25 $55,325.65 $55,325.65 $40,285.67 $55,325.65 $55,325.65 2026-03-17
B0205 OTHER Traumatic Brain Injury M <35.50 28 25 $52,427.71 $52,427.71 $36,935.48 $141,554.83 $55,049.10 2026-03-17
C0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 25 $52,056.36 $52,056.36 $38,818.73 $140,552.18 $54,659.18 2026-03-17
D1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 25 $52,012.11 $52,012.11 $36,543.89 $140,432.69 $54,612.71 2026-03-17
D0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 25 $50,686.41 $50,686.41 $37,556.66 $136,853.30 $53,220.73 2026-03-17
A1904 OTHER Guillain-barré M <38.50 28 25 $50,180.37 $50,180.37 $36,238.24 $135,487.00 $52,689.39 2026-03-17
D1904 OTHER Guillain-barré M <38.50 28 25 $50,164.98 $50,164.98 $37,022.81 $135,445.44 $52,673.23 2026-03-17
C0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 25 $49,957.18 $49,957.18 $37,467.88 $134,884.38 $52,455.04 2026-03-17
B1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 25 $49,174.07 $49,174.07 $36,760.81 $132,769.99 $51,632.77 2026-03-17
B2102 OTHER Burns M <52.50 28 25 $48,970.12 $48,970.12 $32,522.43 $132,219.31 $51,418.62 2026-03-17
A1806 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 28 25 $48,818.11 $48,818.11 $33,869.02 $131,808.90 $51,259.02 2026-03-17
D0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 25 $48,643.02 $48,643.02 $36,284.72 $131,336.16 $51,075.17 2026-03-17
B0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 25 $48,412.13 $48,412.13 $33,771.83 $130,712.75 $50,832.74 2026-03-17
C0106 OTHER Stroke M <41.50 And A <84.50 28 25 $48,396.74 $48,396.74 $35,395.91 $130,671.19 $50,816.57 2026-03-17
B0105 OTHER Stroke M <41.50 And A >=84.50 28 25 $48,383.27 $48,383.27 $35,879.05 $130,634.82 $50,802.43 2026-03-17
B1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 25 $47,702.14 $47,702.14 $33,987.34 $128,795.77 $50,087.25 2026-03-17
B0604 OTHER Neurological M <43.50 28 25 $47,136.45 $47,136.45 $35,005.74 $127,268.43 $49,493.28 2026-03-17
C0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 25 $46,195.57 $46,195.57 $33,054.87 $124,728.05 $48,505.35 2026-03-17
A0406 OTHER Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 28 25 $45,866.55 $45,866.55 $34,121.16 $123,839.69 $48,159.88 2026-03-17
B0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 25 $45,599.10 $45,599.10 $33,491.53 $123,117.58 $47,879.06 2026-03-17
B1004 OTHER Amputation Lower Extremity M <47.50 28 25 $45,474.04 $45,474.04 $32,364.67 $122,779.90 $47,747.74 2026-03-17
74080268 CDM Insert Tips 28 25 $47,368.40 $47,368.40 $34,491.56 $47,368.40 $47,368.40 2026-03-17
B1504 OTHER Pulmonary M <45.50 28 25 $45,071.90 $45,071.90 $31,673.07 $121,694.14 $47,325.50 2026-03-17
B0704 OTHER Fracture Of Lower Extremity M <41.50 28 25 $44,138.72 $44,138.72 $32,822.46 $119,174.53 $46,345.65 2026-03-17
B1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 25 $44,084.84 $44,084.84 $31,180.07 $119,029.07 $46,289.08 2026-03-17
A0404 OTHER Traumatic Spinal Cord Injury M <31.50 And A <61.50 28 25 $44,017.50 $44,017.50 $32,966.13 $118,847.25 $46,218.37 2026-03-17
B1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 25 $43,998.26 $43,998.26 $29,468.66 $118,795.30 $46,198.17 2026-03-17
74080483 CDM Revise Tips 28 25 $46,138.15 $46,138.15 $33,595.74 $46,138.15 $46,138.15 2026-03-17
D0106 OTHER Stroke M <41.50 And A <84.50 28 25 $43,848.18 $43,848.18 $32,416.79 $118,390.08 $46,040.59 2026-03-17
B0904 OTHER Other Orthopedic M <44.5 28 25 $43,257.48 $43,257.48 $30,041.94 $116,795.20 $45,420.36 2026-03-17
D0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 25 $42,976.56 $42,976.56 $31,233.59 $116,036.72 $45,125.39 2026-03-17
C0105 OTHER Stroke M <41.50 And A >=84.50 28 25 $42,965.02 $42,965.02 $31,129.36 $116,005.55 $45,113.27 2026-03-17
B2005 OTHER Miscellaneous M <46.50 And A <77.50 28 25 $42,557.11 $42,557.11 $31,213.87 $114,904.20 $44,684.97 2026-03-17
B0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 28 25 $42,308.90 $42,308.90 $30,663.12 $114,234.04 $44,424.35 2026-03-17
B1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 25 $42,239.64 $42,239.64 $31,344.87 $114,047.02 $44,351.62 2026-03-17
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 28 25 $42,101.10 $42,101.10 $31,575.83 $113,672.97 $44,206.16 2026-03-17
C0205 OTHER Traumatic Brain Injury M <35.50 28 25 $41,685.50 $41,685.50 $30,611.01 $112,550.84 $43,769.77 2026-03-17
B0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 25 $41,627.77 $41,627.77 $30,436.34 $112,394.99 $43,709.16 2026-03-17
A0106 OTHER Stroke M <41.50 And A <84.50 28 25 $41,591.22 $41,591.22 $30,918.07 $112,296.28 $43,670.78 2026-03-17
B1404 OTHER Cardiac M <45.50 28 25 $41,306.45 $41,306.45 $30,129.27 $111,527.41 $43,371.77 2026-03-17
B1204 OTHER Osteoarthritis M <49.50 And A <74.50 28 25 $41,300.68 $41,300.68 $30,629.32 $111,511.83 $43,365.71 2026-03-17
C2102 OTHER Burns M <52.50 28 25 $41,169.84 $41,169.84 $24,986.59 $111,158.57 $43,228.33 2026-03-17
B0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 28 25 $40,865.83 $40,865.83 $28,851.70 $110,337.75 $42,909.12 2026-03-17
B2004 OTHER Miscellaneous M <46.50 And A >=77.50 28 25 $40,658.03 $40,658.03 $29,615.15 $109,776.68 $42,690.93 2026-03-17
B0805 OTHER Replacement Of Lower-extremity Joint M <42.50 28 25 $40,232.81 $40,232.81 $28,930.58 $108,628.57 $42,244.45 2026-03-17
B1203 OTHER Osteoarthritis M <49.50 And A >=74.50 28 25 $40,117.36 $40,117.36 $29,192.58 $108,316.87 $42,123.23 2026-03-17
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 28 25 $39,761.40 $39,761.40 $28,055.86 $107,355.79 $41,749.47 2026-03-17
A0505 OTHER Non-traumatic Spinal Cord Injury M <39.50 28 25 $39,605.55 $39,605.55 $28,785.50 $106,934.99 $41,585.83 2026-03-17
C0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 25 $39,570.92 $39,570.92 $29,678.19 $106,841.48 $41,549.46 2026-03-17
A5102 OTHER Expired, Orthopedic, Length Of Stay Is 14 Days Or More 28 25 $39,415.07 $39,415.07 $25,668.34 $106,420.68 $41,385.82 2026-03-17
76085035 CDM Sm153 Lexidron To 150mci 28 25 $41,029.08 $41,029.08 $29,875.54 $41,029.08 $41,029.08 2026-03-17
C1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 25 $39,024.47 $39,024.47 $27,419.19 $105,366.08 $40,975.70 2026-03-17
C1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 25 $38,957.13 $38,957.13 $28,746.06 $105,184.25 $40,904.99 2026-03-17
D0105 OTHER Stroke M <41.50 And A >=84.50 28 25 $38,926.35 $38,926.35 $28,509.42 $105,101.13 $40,872.66 2026-03-17
B0104 OTHER Stroke M >=41.50 And M <50.50 28 25 $38,822.44 $38,822.44 $28,717.89 $104,820.60 $40,763.57 2026-03-17
B1604 OTHER Pain Syndrome M <43.50 28 25 $38,576.16 $38,576.16 $28,932.12 $104,155.63 $40,504.97 2026-03-17
D0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 25 $38,529.98 $38,529.98 $28,897.49 $104,030.95 $40,456.48 2026-03-17
D0205 OTHER Traumatic Brain Injury M <35.50 28 25 $38,083.59 $38,083.59 $27,815.00 $102,825.70 $39,987.77 2026-03-17
C1004 OTHER Amputation Lower Extremity M <47.50 28 25 $37,785.36 $37,785.36 $26,831.82 $102,020.47 $39,674.63 2026-03-17
B0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 25 $37,719.94 $37,719.94 $27,365.66 $101,843.83 $39,605.94 2026-03-17
B1902 OTHER Guillain-barré M >=51.50 And M <66.50 28 25 $37,529.45 $37,529.45 $23,455.48 $101,329.52 $39,405.93 2026-03-17
C1903 OTHER Guillain-barré M >=38.50 And M <51.50 28 25 $37,527.53 $37,527.53 $27,157.20 $101,324.33 $39,403.91 2026-03-17
B0603 OTHER Neurological M >=43.50 And M <52.50 28 25 $37,269.70 $37,269.70 $27,907.96 $100,628.19 $39,133.19 2026-03-17
B1103 OTHER Amputation Non-lower Extremity M <52.50 28 25 $37,219.67 $37,219.67 $27,914.76 $100,493.12 $39,080.66 2026-03-17
A0105 OTHER Stroke M <41.50 And A >=84.50 28 25 $36,923.36 $36,923.36 $27,192.41 $99,693.08 $38,769.53 2026-03-17
B1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 28 25 $36,707.87 $36,707.87 $27,530.90 $99,111.24 $38,543.26 2026-03-17
74080527 CDM Stnt Plc Transc Vein Ini 28 25 $38,289.12 $38,289.12 $27,880.42 $38,289.12 $38,289.12 2026-03-17
74080525 CDM Stnt Plc Transcth Art Ini 28 25 $38,129.43 $38,129.43 $27,764.15 $38,129.43 $38,129.43 2026-03-17
76085037 CDM Strontium Sr-89 Thera/mci 28 25 $38,125.22 $38,125.22 $27,761.08 $38,125.22 $38,125.22 2026-03-17
C1504 OTHER Pulmonary M <45.50 28 25 $36,240.31 $36,240.31 $25,878.22 $97,848.84 $38,052.33 2026-03-17
74080547 CDM Verteb Augm Thorac W Imag 28 25 $38,030.67 $38,030.67 $27,692.24 $38,030.67 $38,030.67 2026-03-17
74080548 CDM Verteb Augm Lumbar W Imag 28 25 $38,030.67 $38,030.67 $27,692.24 $38,030.67 $38,030.67 2026-03-17
74080549 CDM Verteb Augm Ea Add W Imag 28 25 $38,030.67 $38,030.67 $27,692.24 $38,030.67 $38,030.67 2026-03-17
D1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 25 $36,171.04 $36,171.04 $26,585.32 $97,661.82 $37,979.60 2026-03-17
C0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 25 $36,140.26 $36,140.26 $26,840.27 $97,578.70 $37,947.27 2026-03-17
B1503 OTHER Pulmonary M >=45.50 And M <56.50 28 25 $35,942.08 $35,942.08 $25,606.36 $97,043.60 $37,739.18 2026-03-17
B0903 OTHER Other Orthopedic M >=44.50 And M <51.50 28 25 $35,922.83 $35,922.83 $25,072.51 $96,991.65 $37,718.98 2026-03-17
D1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 25 $35,899.75 $35,899.75 $25,845.82 $96,929.31 $37,694.73 2026-03-17
A0205 OTHER Traumatic Brain Injury M <35.50 28 25 $35,780.45 $35,780.45 $26,200.78 $96,607.22 $37,569.47 2026-03-17
B0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 28 25 $35,745.82 $35,745.82 $26,809.36 $96,513.71 $37,533.11 2026-03-17
C0604 OTHER Neurological M <43.50 28 25 $35,697.72 $35,697.72 $26,279.66 $96,383.83 $37,482.60 2026-03-17
B0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 28 25 $35,407.18 $35,407.18 $25,786.66 $95,599.38 $37,177.54 2026-03-17
C0704 OTHER Fracture Of Lower Extremity M <41.50 28 25 $35,291.73 $35,291.73 $25,362.68 $95,287.68 $37,056.32 2026-03-17
C1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 25 $35,245.55 $35,245.55 $24,965.46 $95,163.00 $37,007.83 2026-03-17
C1103 OTHER Amputation Non-lower Extremity M <52.50 28 25 $35,235.93 $35,235.93 $22,861.06 $95,137.02 $36,997.73 2026-03-17
C1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 25 $35,174.36 $35,174.36 $23,596.34 $94,970.78 $36,933.08 2026-03-17
B0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 28 25 $35,137.80 $35,137.80 $26,252.90 $94,872.07 $36,894.69 2026-03-17
A0405 OTHER Traumatic Spinal Cord Injury M >=31.50 And M <41.50 28 25 $34,866.51 $34,866.51 $26,149.88 $94,139.57 $36,609.83 2026-03-17
C1604 OTHER Pain Syndrome M <43.50 28 25 $34,572.12 $34,572.12 $24,678.12 $93,344.73 $36,300.73 2026-03-17
C0104 OTHER Stroke M >=41.50 And M <50.50 28 25 $34,475.92 $34,475.92 $24,917.57 $93,084.97 $36,199.71 2026-03-17
D1004 OTHER Amputation Lower Extremity M <47.50 28 25 $34,295.05 $34,295.05 $24,487.96 $92,596.64 $36,009.80 2026-03-17
B1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 28 25 $34,187.30 $34,187.30 $25,295.07 $92,305.72 $35,896.67 2026-03-17
B1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 28 25 $34,156.52 $34,156.52 $24,587.97 $92,222.60 $35,864.34 2026-03-17
C2005 OTHER Miscellaneous M <46.50 And A <77.50 28 25 $34,129.58 $34,129.58 $24,975.32 $92,149.86 $35,836.06 2026-03-17
B1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 28 25 $34,044.92 $34,044.92 $25,533.69 $91,921.28 $35,747.17 2026-03-17
D1504 OTHER Pulmonary M <45.50 28 25 $33,939.09 $33,939.09 $24,440.07 $91,635.55 $35,636.05 2026-03-17
C0805 OTHER Replacement Of Lower-extremity Joint M <42.50 28 25 $33,885.22 $33,885.22 $23,413.22 $91,490.09 $35,579.48 2026-03-17
A1805 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 28 25 $33,694.73 $33,694.73 $23,954.11 $90,975.78 $35,379.47 2026-03-17
D0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 25 $33,692.81 $33,692.81 $24,661.21 $90,970.59 $35,377.45 2026-03-17
D0604 OTHER Neurological M <43.50 28 25 $33,623.54 $33,623.54 $24,520.36 $90,783.57 $35,304.72 2026-03-17
D0704 OTHER Fracture Of Lower Extremity M <41.50 28 25 $33,517.72 $33,517.72 $24,034.40 $90,497.84 $35,193.60 2026-03-17
36224 CPT Place Cath Int Carotid Art Bi 28 25 $35,170.76 $35,170.76 $25,609.78 $35,170.76 $35,170.76 2026-03-17
C1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 25 $33,463.84 $33,463.84 $24,510.50 $90,352.38 $35,137.03 2026-03-17
B2003 OTHER Miscellaneous M >=46.50 And M <55.50 28 25 $33,336.85 $33,336.85 $24,773.90 $90,009.50 $35,003.70 2026-03-17
A1705 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 28 25 $33,298.37 $33,298.37 $24,145.68 $89,905.60 $34,963.29 2026-03-17
C1404 OTHER Cardiac M <45.50 28 25 $33,275.28 $33,275.28 $23,800.58 $89,843.26 $34,939.05 2026-03-17
B0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 28 25 $33,157.91 $33,157.91 $23,270.96 $89,526.36 $34,815.81 2026-03-17
B1403 OTHER Cardiac M >=45.50 And M <55.50 28 25 $33,107.89 $33,107.89 $24,647.13 $89,391.29 $34,763.28 2026-03-17
C0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 25 $32,992.44 $32,992.44 $24,390.77 $89,079.59 $34,642.06 2026-03-17
C1204 OTHER Osteoarthritis M <49.50 And A <74.50 28 25 $32,780.79 $32,780.79 $23,437.17 $88,508.13 $34,419.83 2026-03-17
C0904 OTHER Other Orthopedic M <44.5 28 25 $32,765.40 $32,765.40 $24,142.86 $88,466.57 $34,403.67 2026-03-17
B0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 28 25 $32,680.74 $32,680.74 $21,759.56 $88,237.99 $34,314.77 2026-03-17
A1903 OTHER Guillain-barré M >=38.50 And M <51.50 28 25 $32,632.63 $32,632.63 $24,474.48 $88,108.11 $34,264.27 2026-03-17
D1903 OTHER Guillain-barré M >=38.50 And M <51.50 28 25 $32,624.94 $32,624.94 $24,468.70 $88,087.33 $34,256.18 2026-03-17
C2004 OTHER Miscellaneous M <46.50 And A >=77.50 28 25 $32,605.70 $32,605.70 $23,696.34 $88,035.38 $34,235.98 2026-03-17
C1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 28 25 $32,528.73 $32,528.73 $22,634.28 $87,827.58 $34,155.17 2026-03-17
C0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 28 25 $32,513.34 $32,513.34 $23,783.67 $87,786.02 $34,139.01 2026-03-17
C0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 28 25 $32,492.18 $32,492.18 $23,911.85 $87,728.87 $34,116.78 2026-03-17
A1504 OTHER Pulmonary M <45.50 28 25 $32,444.07 $32,444.07 $22,821.62 $87,599.00 $34,066.28 2026-03-17
B0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 28 25 $32,301.69 $32,301.69 $24,135.82 $87,214.56 $33,916.77 2026-03-17
D1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 25 $32,293.99 $32,293.99 $23,863.96 $87,193.78 $33,908.69 2026-03-17
D1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 25 $32,228.57 $32,228.57 $22,553.99 $87,017.15 $33,840.00 2026-03-17
A1004 OTHER Amputation Lower Extremity M <47.50 28 25 $31,843.76 $31,843.76 $21,883.52 $85,978.14 $33,435.94 2026-03-17
C1203 OTHER Osteoarthritis M <49.50 And A >=74.50 28 25 $31,839.91 $31,839.91 $22,338.48 $85,967.75 $33,431.90 2026-03-17
D2005 OTHER Miscellaneous M <46.50 And A <77.50 28 25 $31,739.85 $31,739.85 $23,348.43 $85,697.61 $33,326.85 2026-03-17
D1604 OTHER Pain Syndrome M <43.50 28 25 $31,624.41 $31,624.41 $22,159.60 $85,385.90 $33,205.63 2026-03-17
A0305 OTHER Non-traumatic Brain Injury M <42.50 And A <78.50 28 25 $31,541.67 $31,541.67 $23,258.28 $85,162.52 $33,118.76 2026-03-17
B0602 OTHER Neurological M >=52.50 And M <64.50 28 25 $31,341.57 $31,341.57 $23,506.18 $84,622.23 $32,908.65 2026-03-17
B1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 28 25 $31,285.77 $31,285.77 $23,306.17 $84,471.57 $32,850.06 2026-03-17
B0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 28 25 $31,268.45 $31,268.45 $22,499.06 $84,424.82 $32,831.87 2026-03-17
D0104 OTHER Stroke M >=41.50 And M <50.50 28 25 $31,235.74 $31,235.74 $22,820.21 $84,336.50 $32,797.53 2026-03-17
D1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 25 $31,070.27 $31,070.27 $22,668.09 $83,889.73 $32,623.78 2026-03-17
D2102 OTHER Burns M <52.50 28 25 $31,047.18 $31,047.18 $23,285.39 $83,827.39 $32,599.54 2026-03-17
D0904 OTHER Other Orthopedic M <44.5 28 25 $30,950.98 $30,950.98 $22,517.37 $83,567.64 $32,498.52 2026-03-17
B2101 OTHER Burns M >=52.50 28 25 $30,902.87 $30,902.87 $21,366.57 $83,437.76 $32,448.02 2026-03-17
C0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 25 $30,831.68 $30,831.68 $23,123.76 $83,245.54 $32,373.27 2026-03-17
B1502 OTHER Pulmonary M >=56.50 And M <68.50 28 25 $30,827.83 $30,827.83 $22,493.43 $83,235.15 $32,369.23 2026-03-17
D1404 OTHER Cardiac M <45.50 28 25 $30,768.19 $30,768.19 $22,110.30 $83,074.11 $32,306.60 2026-03-17
D0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 25 $30,756.64 $30,756.64 $22,411.73 $83,042.93 $32,294.47 2026-03-17
A0704 OTHER Fracture Of Lower Extremity M <41.50 28 25 $30,627.73 $30,627.73 $22,197.63 $82,694.87 $32,159.11 2026-03-17
B0103 OTHER Stroke M >=50.50 And M <63.50 28 25 $30,396.84 $30,396.84 $22,501.88 $82,071.46 $31,916.68 2026-03-17
D2004 OTHER Miscellaneous M <46.50 And A >=77.50 28 25 $30,323.72 $30,323.72 $22,152.55 $81,874.05 $31,839.91 2026-03-17
D1103 OTHER Amputation Non-lower Extremity M <52.50 28 25 $30,323.72 $30,323.72 $22,742.79 $81,874.05 $31,839.91 2026-03-17
D0805 OTHER Replacement Of Lower-extremity Joint M <42.50 28 25 $30,289.09 $30,289.09 $21,231.35 $81,780.54 $31,803.54 2026-03-17
B0902 OTHER Other Orthopedic M >=51.50 And M <63.50 28 25 $30,271.77 $30,271.77 $21,007.39 $81,733.78 $31,785.36 2026-03-17
D0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 28 25 $30,246.76 $30,246.76 $22,472.30 $81,666.25 $31,759.10 2026-03-17
A0604 OTHER Neurological M <43.50 28 25 $30,200.58 $30,200.58 $22,122.97 $81,541.56 $31,710.61 2026-03-17
D0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 25 $30,019.71 $30,019.71 $22,514.79 $81,053.23 $31,520.70 2026-03-17
B1202 OTHER Osteoarthritis M >=49.50 And M <61.50 28 25 $29,969.69 $29,969.69 $22,477.27 $80,918.16 $31,468.17 2026-03-17
D1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 28 25 $29,923.51 $29,923.51 $21,335.58 $80,793.48 $31,419.69 2026-03-17
A2102 OTHER Burns M <52.50 28 25 $29,773.43 $29,773.43 $21,076.41 $80,388.26 $31,262.10 2026-03-17
B0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 28 25 $29,717.63 $29,717.63 $21,772.24 $80,237.61 $31,203.51 2026-03-17
B1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 28 25 $29,715.71 $29,715.71 $22,286.78 $80,232.41 $31,201.49 2026-03-17
D0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 28 25 $29,684.92 $29,684.92 $21,727.17 $80,149.29 $31,169.17 2026-03-17
A0104 OTHER Stroke M >=41.50 And M <50.50 28 25 $29,627.20 $29,627.20 $21,765.20 $79,993.44 $31,108.56 2026-03-17
B1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 28 25 $29,554.08 $29,554.08 $21,713.08 $79,796.03 $31,031.79 2026-03-17
B1603 OTHER Pain Syndrome M >=43.50 And M <58.50 28 25 $29,471.35 $29,471.35 $22,103.51 $79,572.64 $30,944.92 2026-03-17
A1304 OTHER Rheumatoid Other Arthritis M <44.50 And A >=64.50 28 25 $29,334.74 $29,334.74 $22,001.05 $79,203.79 $30,801.47 2026-03-17
D1204 OTHER Osteoarthritis M <49.50 And A <74.50 28 25 $29,294.33 $29,294.33 $21,896.19 $79,094.69 $30,759.05 2026-03-17
A1305 OTHER Rheumatoid Other Arthritis M <51.50 And A <64.50 28 25 $29,277.01 $29,277.01 $20,918.65 $79,047.94 $30,740.87 2026-03-17
B0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 28 25 $29,178.89 $29,178.89 $21,834.22 $78,782.99 $30,637.83 2026-03-17
C1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 28 25 $29,080.76 $29,080.76 $21,659.55 $78,518.04 $30,534.79 2026-03-17
A2005 OTHER Miscellaneous M <46.50 And A <77.50 28 25 $29,055.74 $29,055.74 $21,259.52 $78,450.51 $30,508.53 2026-03-17
C1503 OTHER Pulmonary M >=45.50 And M <56.50 28 25 $28,899.89 $28,899.89 $20,921.46 $78,029.71 $30,344.89 2026-03-17
A0304 OTHER Non-traumatic Brain Injury M <42.50 And A >=78.50 28 25 $28,794.07 $28,794.07 $21,135.57 $77,743.98 $30,233.77 2026-03-17
B1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 28 25 $28,724.80 $28,724.80 $21,543.60 $77,556.96 $30,161.04 2026-03-17
A1604 OTHER Pain Syndrome M <43.50 28 25 $28,665.15 $28,665.15 $20,622.85 $77,395.91 $30,098.41 2026-03-17
A1704 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 28 25 $28,603.58 $28,603.58 $20,587.63 $77,229.67 $30,033.76 2026-03-17
C0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 28 25 $28,580.49 $28,580.49 $20,759.48 $77,167.33 $30,009.52 2026-03-17
D1203 OTHER Osteoarthritis M <49.50 And A >=74.50 28 25 $28,453.50 $28,453.50 $20,869.35 $76,824.46 $29,876.18 2026-03-17
B0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 28 25 $28,434.26 $28,434.26 $21,325.70 $76,772.51 $29,855.97 2026-03-17
C1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 28 25 $28,407.32 $28,407.32 $20,972.17 $76,699.77 $29,827.69 2026-03-17
B2002 OTHER Miscellaneous M >=55.50 And M <66.50 28 25 $28,390.01 $28,390.01 $20,693.28 $76,653.02 $29,809.51 2026-03-17
A0805 OTHER Replacement Of Lower-extremity Joint M <42.50 28 25 $28,378.46 $28,378.46 $19,781.93 $76,621.85 $29,797.39 2026-03-17
A1404 OTHER Cardiac M <45.50 28 25 $28,293.80 $28,293.80 $20,352.40 $76,393.27 $29,708.49 2026-03-17
A0904 OTHER Other Orthopedic M <44.5 28 25 $28,236.08 $28,236.08 $20,608.76 $76,237.41 $29,647.88 2026-03-17
C0603 OTHER Neurological M >=43.50 And M <52.50 28 25 $28,226.46 $28,226.46 $20,951.04 $76,211.44 $29,637.78 2026-03-17
C1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 28 25 $28,132.18 $28,132.18 $18,335.33 $75,956.88 $29,538.79 2026-03-17
A1804 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 28 25 $28,086.00 $28,086.00 $19,774.89 $75,832.20 $29,490.30 2026-03-17
A0204 OTHER Traumatic Brain Injury M >=35.50 And M <49.50 28 25 $27,889.74 $27,889.74 $20,466.50 $75,302.30 $29,284.23 2026-03-17
A0504 OTHER Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 28 25 $27,874.35 $27,874.35 $20,711.59 $75,260.74 $29,268.07 2026-03-17
C1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 28 25 $27,851.26 $27,851.26 $20,698.91 $75,198.40 $29,243.82 2026-03-17
C0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 28 25 $27,849.34 $27,849.34 $20,887.00 $75,193.21 $29,241.80 2026-03-17
A2004 OTHER Miscellaneous M <46.50 And A >=77.50 28 25 $27,758.90 $27,758.90 $20,170.70 $74,949.04 $29,146.85 2026-03-17
B1402 OTHER Cardiac M >=55.50 And M <68.50 28 25 $27,391.40 $27,391.40 $20,121.40 $73,956.79 $28,760.97 2026-03-17
B1802 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 28 25 $27,366.39 $27,366.39 $19,908.70 $73,889.25 $28,734.71 2026-03-17
C1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 28 25 $27,306.74 $27,306.74 $19,687.56 $73,728.20 $28,672.08 2026-03-17
C0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 28 25 $27,210.54 $27,210.54 $20,001.67 $73,468.45 $28,571.06 2026-03-17
C0903 OTHER Other Orthopedic M >=44.50 And M <51.50 28 25 $27,208.61 $27,208.61 $20,148.16 $73,463.26 $28,569.04 2026-03-17
C0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 28 25 $27,206.69 $27,206.69 $19,532.62 $73,458.06 $28,567.02 2026-03-17
A0403 OTHER Traumatic Spinal Cord Injury M >=41.50 And M <47.50 28 25 $27,164.36 $27,164.36 $20,373.27 $73,343.77 $28,522.58 2026-03-17
D0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 28 25 $27,145.12 $27,145.12 $19,672.06 $73,291.82 $28,502.37 2026-03-17
A1204 OTHER Osteoarthritis M <49.50 And A <74.50 28 25 $27,129.73 $27,129.73 $20,070.69 $73,250.26 $28,486.21 2026-03-17
36226 CPT Place Cath Vertebral Art Bi 28 25 $28,483.80 $28,483.80 $20,740.63 $28,483.80 $28,483.80 2026-03-17
D1503 OTHER Pulmonary M >=45.50 And M <56.50 28 25 $27,064.31 $27,064.31 $19,759.40 $73,073.63 $28,417.52 2026-03-17
D1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 28 25 $27,000.81 $27,000.81 $20,031.25 $72,902.19 $28,350.85 2026-03-17
C0103 OTHER Stroke M >=50.50 And M <63.50 28 25 $26,993.11 $26,993.11 $19,524.16 $72,881.41 $28,342.77 2026-03-17
C2003 OTHER Miscellaneous M >=46.50 And M <55.50 28 25 $26,735.29 $26,735.29 $19,822.78 $72,185.27 $28,072.05 2026-03-17
C0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 28 25 $26,712.20 $26,712.20 $19,580.51 $72,122.93 $28,047.81 2026-03-17
B0202 OTHER Traumatic Brain Injury M >=61.50 And M <73.50 28 25 $26,669.87 $26,669.87 $18,628.32 $72,008.64 $28,003.36 2026-03-17
C1403 OTHER Cardiac M >=45.50 And M <55.50 28 25 $26,669.87 $26,669.87 $19,469.23 $72,008.64 $28,003.36 2026-03-17
92218460 CDM Gamunex-c 1 Gm/10 Ml Sol 25 25 $27,997.20 $27,997.20 $20,997.90 $27,997.20 $27,997.20 2026-03-17
D0603 OTHER Neurological M >=43.50 And M <52.50 28 25 $26,585.21 $26,585.21 $19,548.11 $71,780.06 $27,914.47 2026-03-17
A1103 OTHER Amputation Non-lower Extremity M <52.50 28 25 $26,531.33 $26,531.33 $19,898.50 $71,634.60 $27,857.90 2026-03-17
C1902 OTHER Guillain-barré M >=51.50 And M <66.50 28 25 $26,523.64 $26,523.64 $18,076.16 $71,613.82 $27,849.82 2026-03-17
36901 CPT Intro Dial Graft 28 25 $27,779.74 $27,779.74 $20,227.97 $27,779.74 $27,779.74 2026-03-17
C1603 OTHER Pain Syndrome M >=43.50 And M <58.50 28 25 $26,412.04 $26,412.04 $19,809.03 $71,312.50 $27,732.64 2026-03-17
C0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 28 25 $26,363.94 $26,363.94 $19,287.53 $71,182.63 $27,682.13 2026-03-17
A1203 OTHER Osteoarthritis M <49.50 And A >=74.50 28 25 $26,352.39 $26,352.39 $19,128.36 $71,151.46 $27,670.01 2026-03-17
B0401 OTHER Traumatic Spinal Cord Injury M >=56.50 28 25 $26,067.63 $26,067.63 $17,021.14 $70,382.59 $27,371.01 2026-03-17
B1101 OTHER Amputation Non-lower Extremity M >=58.50 28 25 $26,021.45 $26,021.45 $17,722.61 $70,257.91 $27,322.52 2026-03-17
D0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 28 25 $26,009.90 $26,009.90 $18,942.43 $70,226.74 $27,310.40 2026-03-17
J2427 HCPCS Paliperidone Palmit 150mg Susp 50 25 $32,122.75 $32,122.75 $19,273.88 $38,547.00 $27,304.38 2026-03-17
C2101 OTHER Burns M >=52.50 28 25 $25,981.04 $25,981.04 $16,415.45 $70,148.81 $27,280.09 2026-03-17
D0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 28 25 $25,963.72 $25,963.72 $19,331.19 $70,102.06 $27,261.91 2026-03-17
A1503 OTHER Pulmonary M >=45.50 And M <56.50 28 25 $25,871.37 $25,871.37 $18,450.84 $69,852.69 $27,164.94 2026-03-17
B0802 OTHER Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 28 25 $25,836.73 $25,836.73 $19,377.55 $69,759.18 $27,128.57 2026-03-17
B1901 OTHER Guillain-barré M >=66.50 28 25 $25,796.33 $25,796.33 $14,575.86 $69,650.09 $27,086.14 2026-03-17
D1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 28 25 $25,782.86 $25,782.86 $19,139.63 $69,613.72 $27,072.00 2026-03-17
D0903 OTHER Other Orthopedic M >=44.50 And M <51.50 28 25 $25,702.05 $25,702.05 $18,791.71 $69,395.53 $26,987.15 2026-03-17
D1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 28 25 $25,621.24 $25,621.24 $19,215.93 $69,177.34 $26,902.30 2026-03-17
B1201 OTHER Osteoarthritis M >=61.50 28 25 $25,488.47 $25,488.47 $18,591.69 $68,818.88 $26,762.90 2026-03-17
B1701 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 28 25 $25,380.72 $25,380.72 $18,750.86 $68,527.95 $26,649.76 2026-03-17
D0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 28 25 $25,313.38 $25,313.38 $18,898.76 $68,346.13 $26,579.05 2026-03-17
B1501 OTHER Pulmonary M >=68.50 28 25 $25,211.40 $25,211.40 $17,783.17 $68,070.79 $26,471.97 2026-03-17
B0601 OTHER Neurological M >=64.50 28 25 $25,196.01 $25,196.01 $18,677.62 $68,029.23 $26,455.81 2026-03-17
B0501 OTHER Non-traumatic Spinal Cord Injury M >=60.50 28 25 $25,186.39 $25,186.39 $17,971.92 $68,003.25 $26,445.71 2026-03-17
D1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 28 25 $25,020.92 $25,020.92 $18,765.69 $67,556.48 $26,271.96 2026-03-17
D2003 OTHER Miscellaneous M >=46.50 And M <55.50 28 25 $24,863.14 $24,863.14 $18,531.12 $67,130.49 $26,106.30 2026-03-17
A1703 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 28 25 $24,857.37 $24,857.37 $18,193.07 $67,114.90 $26,100.24 2026-03-17
A0703 OTHER Fracture Of Lower Extremity M >=41.50 And M <52.50 28 25 $24,805.42 $24,805.42 $18,169.12 $66,974.63 $26,045.69 2026-03-17
C1502 OTHER Pulmonary M >=56.50 And M <68.50 28 25 $24,788.10 $24,788.10 $18,379.00 $66,927.88 $26,027.51 2026-03-17
C1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 28 25 $24,784.25 $24,784.25 $18,224.06 $66,917.49 $26,023.47 2026-03-17
D1403 OTHER Cardiac M >=45.50 And M <55.50 28 25 $24,659.19 $24,659.19 $18,086.02 $66,579.81 $25,892.15 2026-03-17
C1101 OTHER Amputation Non-lower Extremity M >=58.50 28 25 $24,636.10 $24,636.10 $14,353.31 $66,517.47 $25,867.90 2026-03-17
D0103 OTHER Stroke M >=50.50 And M <63.50 28 25 $24,455.23 $24,455.23 $17,880.37 $66,029.13 $25,678.00 2026-03-17
B1602 OTHER Pain Syndrome M >=58.50 And M <65.50 28 25 $24,335.94 $24,335.94 $18,251.96 $65,707.04 $25,552.74 2026-03-17
D0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 28 25 $24,318.62 $24,318.62 $17,712.75 $65,660.28 $25,534.56 2026-03-17
A0303 OTHER Non-traumatic Brain Injury M >=42.50 And M <52.50 28 25 $24,307.08 $24,307.08 $18,229.69 $65,629.11 $25,522.43 2026-03-17
74080479 CDM Revas Tib Peron Stent Ini 28 25 $25,507.52 $25,507.52 $18,573.44 $25,507.52 $25,507.52 2026-03-17
74080477 CDM Revas Tib Peron Ather Add 28 25 $25,507.52 $25,507.52 $18,573.44 $25,507.52 $25,507.52 2026-03-17
74080478 CDM Revas Tib Peron Ather Ini 28 25 $25,507.52 $25,507.52 $18,573.44 $25,507.52 $25,507.52 2026-03-17
74080481 CDM Revas Tib Pr Stnt Ath Ini 28 25 $25,507.52 $25,507.52 $18,573.44 $25,507.52 $25,507.52 2026-03-17
92220143 CDM Interferon Beta-1a30mcg/0.5ml 25 25 $25,431.50 $25,431.50 $19,073.63 $25,431.50 $25,431.50 2026-03-17
D1102 OTHER Amputation Non-lower Extremity M >=52.50 And M <58.50 28 25 $24,208.95 $24,208.95 $18,156.71 $65,364.17 $25,419.40 2026-03-17
74080471 CDM Revas Femoral Poplt Stent 28 25 $25,411.91 $25,411.91 $18,503.82 $25,411.91 $25,411.91 2026-03-17
74080468 CDM Revas Fem Pop Atherectomy 28 25 $25,411.91 $25,411.91 $18,503.82 $25,411.91 $25,411.91 2026-03-17
74080469 CDM Revas Fem Pop Stent Ather 28 25 $25,411.91 $25,411.91 $18,503.82 $25,411.91 $25,411.91 2026-03-17
D1603 OTHER Pain Syndrome M >=43.50 And M <58.50 28 25 $24,160.85 $24,160.85 $17,853.60 $65,234.29 $25,368.89 2026-03-17
B1301 OTHER Rheumatoid Other Arthritis M >=62.50 28 25 $24,103.13 $24,103.13 $15,812.59 $65,078.44 $25,308.28 2026-03-17
D0203 OTHER Traumatic Brain Injury M >=49.50 And M <61.50 28 25 $24,085.81 $24,085.81 $17,524.00 $65,031.68 $25,290.10 2026-03-17
A1803 OTHER Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 28 25 $24,047.33 $24,047.33 $18,035.50 $64,927.78 $25,249.69 2026-03-17
C0502 OTHER Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 28 25 $24,030.01 $24,030.01 $17,452.16 $64,881.03 $25,231.51 2026-03-17
C0803 OTHER Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 28 25 $23,949.20 $23,949.20 $17,418.35 $64,662.83 $25,146.66 2026-03-17
A1003 OTHER Amputation Lower Extremity M >=47.50 And M <55.50 28 25 $23,939.58 $23,939.58 $17,104.24 $64,636.86 $25,136.56 2026-03-17
A0603 OTHER Neurological M >=43.50 And M <52.50 28 25 $23,879.93 $23,879.93 $17,638.09 $64,475.81 $25,073.93 2026-03-17
C1002 OTHER Amputation Lower Extremity M >=55.50 And M <64.50 28 25 $23,868.39 $23,868.39 $17,870.51 $64,444.64 $25,061.81 2026-03-17
B0901 OTHER Other Orthopedic M >=63.50 28 25 $23,829.90 $23,829.90 $16,860.56 $64,340.74 $25,021.40 2026-03-17
C1202 OTHER Osteoarthritis M >=49.50 And M <61.50 28 25 $23,785.65 $23,785.65 $17,271.86 $64,221.26 $24,974.93 2026-03-17
C0602 OTHER Neurological M >=52.50 And M <64.50 28 25 $23,737.55 $23,737.55 $17,790.22 $64,091.38 $24,924.43 2026-03-17
B0102 OTHER Stroke M >=63.50 And M <72.50 28 25 $23,677.90 $23,677.90 $17,454.98 $63,930.33 $24,861.80 2026-03-17
B1001 OTHER Amputation Lower Extremity M >=64.50 28 25 $23,645.19 $23,645.19 $16,987.33 $63,842.02 $24,827.45 2026-03-17
77020083 CDM Liver Tumor Ablat Rf Perc 28 25 $24,815.17 $24,815.17 $18,069.30 $24,815.17 $24,815.17 2026-03-17
C1302 OTHER Rheumatoid Other Arthritis M >=51.50 And M <62.50 28 25 $23,627.87 $23,627.87 $17,385.96 $63,795.26 $24,809.27 2026-03-17
B0701 OTHER Fracture Of Lower Extremity M >=61.50 28 25 $23,606.71 $23,606.71 $17,698.66 $63,738.12 $24,787.04 2026-03-17
C0302 OTHER Non-traumatic Brain Injury M >=52.50 And M <65.50 28 25 $23,552.83 $23,552.83 $17,447.93 $63,592.65 $24,730.48 2026-03-17
A0402 OTHER Traumatic Spinal Cord Injury M >=47.50 And M <56.50 28 25 $23,535.52 $23,535.52 $17,209.89 $63,545.90 $24,712.29 2026-03-17
A0903 OTHER Other Orthopedic M >=44.50 And M <51.50 28 25 $23,448.93 $23,448.93 $17,198.62 $63,312.12 $24,621.38 2026-03-17
C0702 OTHER Fracture Of Lower Extremity M >=52.50 And M <61.50 28 25 $23,329.64 $23,329.64 $16,871.83 $62,990.03 $24,496.12 2026-03-17
A0503 OTHER Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 28 25 $23,327.72 $23,327.72 $17,416.95 $62,984.83 $24,494.10 2026-03-17
D1502 OTHER Pulmonary M >=56.50 And M <68.50 28 25 $23,214.19 $23,214.19 $17,357.79 $62,678.32 $24,374.90 2026-03-17
A0103 OTHER Stroke M >=50.50 And M <63.50 28 25 $23,196.88 $23,196.88 $17,053.54 $62,631.57 $24,356.72 2026-03-17
A1902 OTHER Guillain-barré M >=51.50 And M <66.50 28 25 $23,064.11 $23,064.11 $16,498.56 $62,273.11 $24,217.32 2026-03-17
D1902 OTHER Guillain-barré M >=51.50 And M <66.50 28 25 $23,058.34 $23,058.34 $16,854.93 $62,257.52 $24,211.26 2026-03-17
D1702 OTHER Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 28 25 $23,012.16 $23,012.16 $16,853.52 $62,132.84 $24,162.77 2026-03-17
B0301 OTHER Non-traumatic Brain Injury M >=65.50 28 25 $22,971.76 $22,971.76 $16,853.52 $62,023.75 $24,120.35 2026-03-17
C0902 OTHER Other Orthopedic M >=51.50 And M <63.50 28 25 $22,929.43 $22,929.43 $16,881.69 $61,909.46 $24,075.90 2026-03-17
B2001 OTHER Miscellaneous M >=66.50 28 25 $22,865.93 $22,865.93 $16,588.71 $61,738.02 $24,009.23 2026-03-17
A0804 OTHER Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 28 25 $22,785.12 $22,785.12 $16,504.19 $61,519.83 $23,924.38 2026-03-17
C2002 OTHER Miscellaneous M >=55.50 And M <66.50 28 25 $22,767.80 $22,767.80 $16,557.72 $61,473.07 $23,906.19 2026-03-17
A2003 OTHER Miscellaneous M >=46.50 And M <55.50 28 25 $22,762.03 $22,762.03 $16,873.24 $61,457.49 $23,900.13 2026-03-17
A1303 OTHER Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 28 25 $22,727.40 $22,727.40 $17,045.55 $61,363.98 $23,863.77 2026-03-17
76085057 CDM In111 Satumomab Dx To 6mc 28 25 $23,812.90 $23,812.90 $17,339.49 $23,812.90 $23,812.90 2026-03-17
A1403 OTHER Cardiac M >=45.50 And M <55.50 28 25 $22,677.37 $22,677.37 $16,649.28 $61,228.90 $23,811.24 2026-03-17
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