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Hospital

Texas Rehabilitation Hospital Of Arlington

Arlington, TX · CCN 673060 · Rates published

5,024 distinct procedures filed
26 distinct payers
358,537 rate rows
2026-03-18 last MRF observed
Data quality

181,584 of 358,537 rate rows are consumer-grade (50.6%)

176,953 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 176,928
placeholder amount (≤ $0.02) — excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.texasrehabarlington.com/docs/irftexasrehabilitationhospitalofarlingtonlibraries/aug2025/371748838_texas-rehabilitation-hospital-of-arlington_standardcharges.csv
Found on page https://www.texasrehabarlington.com/patient-experience/financial-assistance
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint a4ae9aa1a126880f… · 23,662,260 bytes · first seen 2026-05-09

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
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $76,712.44 $90,492.73 $78,922.27 nat. median
$83,710
0.9× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $69,031.97 $73,966.55 $71,020.55 nat. median
$70,140
1.0× median
B1904
HCPCS 		Guillain-barré M <38.50 12 $67,498.46 $84,719.15 $69,442.86 nat. median
$73,807
0.9× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $66,784.30 $72,020.06 $68,708.13 nat. median
$67,955
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $62,956.98 $71,708.62 $64,770.56 nat. median
$66,421
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 12 $60,676.09 $65,170.42 $62,423.96 nat. median
$62,254
1.0× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $56,516.61 $66,080.77 $58,144.66 nat. median
$60,970
1.0× median
B0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 12 $55,831.97 $62,371.47 $57,440.30 nat. median
$58,851
1.0× median
B0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $54,604.79 $63,415.58 $56,177.77 nat. median
$59,982
0.9× median
B0106
HCPCS 		Stroke M <41.50 And A <84.50 12 $53,447.74 $56,547.97 $54,987.39 nat. median
$53,961
1.0× median
C1904
HCPCS 		Guillain-barré M <38.50 12 $52,017.57 $59,873.97 $53,516.02 nat. median
$54,675
1.0× median
C0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $50,856.82 $54,012.55 $52,321.84 nat. median
$51,378
1.0× median
C1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $50,788.55 $58,664.16 $52,251.59 nat. median
$53,054
1.0× median
D0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $49,203.36 $52,591.11 $50,620.75 nat. median
$50,036
1.0× median
C0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $49,136.93 $51,834.48 $50,552.40 nat. median
$49,892
1.0× median
D1904
HCPCS 		Guillain-barré M <38.50 12 $48,503.97 $52,050.09 $49,901.20 nat. median
$49,620
1.0× median
B0205
HCPCS 		Traumatic Brain Injury M <35.50 12 $48,389.55 $54,397.85 $49,783.49 nat. median
$51,427
1.0× median
B1705
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 12 $48,160.72 $51,021.94 $49,548.07 nat. median
$48,739
1.0× median
D1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $47,876.54 $53,966.63 $49,255.70 nat. median
$49,816
1.0× median
D0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $47,536.99 $50,470.94 $48,906.36 nat. median
$48,664
1.0× median
A1904
HCPCS 		Guillain-barré M <38.50 12 $47,476.09 $52,066.06 $48,843.71 nat. median
$49,305
1.0× median
B0105
HCPCS 		Stroke M <41.50 And A >=84.50 12 $47,005.52 $50,201.42 $48,359.59 nat. median
$47,997
1.0× median
C0106
HCPCS 		Stroke M <41.50 And A <84.50 12 $46,372.55 $50,215.40 $47,708.39 nat. median
$47,900
1.0× median
B1903
HCPCS 		Guillain-barré M >=38.50 And M <51.50 12 $46,167.71 $55,094.60 $47,497.65 nat. median
$52,085
0.9× median
B0604
HCPCS 		Neurological M <43.50 12 $45,861.38 $48,907.76 $47,182.49 nat. median
$46,491
1.0× median
A0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 12 $44,702.48 $47,590.14 $45,990.21 nat. median
$45,460
1.0× median
B1805
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 12 $44,527.17 $49,494.70 $45,809.85 nat. median
$46,202
1.0× median
A1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 12 $44,372.16 $50,652.61 $45,650.37 nat. median
$47,794
1.0× median
B0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 12 $44,244.83 $50,231.37 $45,519.37 nat. median
$47,500
1.0× median
A5104
HCPCS 		Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 12 $42,372.69 $45,173.84 $45,173.84 nat. median
$42,640
1.1× median
B0305
HCPCS 		Non-traumatic Brain Injury M <42.50 And A <78.50 12 $43,877.60 $47,312.64 $45,141.56 nat. median
$44,642
1.0× median
C0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 12 $43,305.53 $47,931.52 $44,553.01 nat. median
$45,226
1.0× median
A0404
HCPCS 		Traumatic Spinal Cord Injury M <31.50 And A <61.50 12 $43,189.27 $45,671.60 $44,433.41 nat. median
$44,036
1.0× median
B0704
HCPCS 		Fracture Of Lower Extremity M <41.50 12 $43,001.04 $45,797.37 $44,239.76 nat. median
$43,685
1.0× median
B1604
HCPCS 		Pain Syndrome M <43.50 12 $38,825.01 $43,937.89 $43,937.89 nat. median
$41,686
1.1× median
B2102
HCPCS 		Burns M <52.50 12 $42,607.98 $50,810.33 $43,835.37 nat. median
$48,035
0.9× median
D0106
HCPCS 		Stroke M <41.50 And A <84.50 12 $42,469.57 $45,495.91 $43,692.98 nat. median
$43,154
1.0× median
B1004
HCPCS 		Amputation Lower Extremity M <47.50 12 $42,401.29 $47,182.87 $43,622.73 nat. median
$44,520
1.0× median
B1504
HCPCS 		Pulmonary M <45.50 12 $41,495.21 $46,765.62 $42,690.55 nat. median
$44,462
1.0× median
B1704
HCPCS 		Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 12 $41,065.24 $43,826.93 $42,248.19 nat. median
$41,866
1.0× median
D0505
HCPCS 		Non-traumatic Spinal Cord Injury M <39.50 12 $40,919.45 $44,591.55 $42,098.20 nat. median
$42,098
1.0× median
B2005
HCPCS 		Miscellaneous M <46.50 And A <77.50 12 $40,893.62 $44,156.33 $42,071.62 nat. median
$41,981
1.0× median
B1304
HCPCS 		Rheumatoid Other Arthritis M <44.50 And A >=64.50 12 $40,849.33 $45,741.47 $42,026.06 nat. median
$43,273
1.0× median
C0105
HCPCS 		Stroke M <41.50 And A >=84.50 12 $40,782.90 $44,579.57 $41,957.71 nat. median
$42,512
1.0× median
A0106
HCPCS 		Stroke M <41.50 And A <84.50 12 $40,506.09 $43,154.14 $41,672.93 nat. median
$41,163
1.0× median
B0504
HCPCS 		Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 12 $40,172.08 $43,898.80 $41,329.30 nat. median
$41,890
1.0× median
B1204
HCPCS 		Osteoarthritis M <49.50 And A <74.50 12 $40,127.79 $42,852.68 $41,283.73 nat. median
$41,161
1.0× median
C0205
HCPCS 		Traumatic Brain Injury M <35.50 12 $40,103.80 $43,251.96 $41,259.05 nat. median
$41,221
1.0× median
B0304
HCPCS 		Non-traumatic Brain Injury M <42.50 And A >=78.50 12 $39,874.97 $43,192.07 $41,023.63 nat. median
$41,212
1.0× median
C0405
HCPCS 		Traumatic Spinal Cord Injury M >=31.50 And M <41.50 12 $39,814.07 $41,057.92 $40,960.98 nat. median
$39,644
1.0× median

Other procedures at this hospital

Browse this hospital's 5,024 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 36 12 $78,922.27 $78,922.27 $76,712.44 $90,492.73 $78,922.27 2026-03-18
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 36 12 $71,020.55 $71,020.55 $69,031.97 $73,966.55 $71,020.55 2026-03-18
B1904 HCPCS Guillain-barré M <38.50 36 12 $69,442.86 $69,442.86 $67,498.46 $84,719.15 $69,442.86 2026-03-18
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 36 12 $68,708.13 $68,708.13 $66,784.30 $72,020.06 $68,708.13 2026-03-18
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 36 12 $64,770.56 $64,770.56 $62,956.98 $71,708.62 $64,770.56 2026-03-18
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 36 12 $62,423.96 $62,423.96 $60,676.09 $65,170.42 $62,423.96 2026-03-18
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 36 12 $58,144.66 $58,144.66 $56,516.61 $66,080.77 $58,144.66 2026-03-18
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 36 12 $57,440.30 $57,440.30 $55,831.97 $62,371.47 $57,440.30 2026-03-18
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 36 12 $56,177.77 $56,177.77 $54,604.79 $63,415.58 $56,177.77 2026-03-18
B0106 HCPCS Stroke M <41.50 And A <84.50 36 12 $54,987.39 $54,987.39 $53,447.74 $56,547.97 $54,987.39 2026-03-18
C1904 HCPCS Guillain-barré M <38.50 36 12 $53,516.02 $53,516.02 $52,017.57 $59,873.97 $53,516.02 2026-03-18
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 36 12 $52,321.84 $52,321.84 $50,856.82 $54,012.55 $52,321.84 2026-03-18
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 36 12 $52,251.59 $52,251.59 $50,788.55 $58,664.16 $52,251.59 2026-03-18
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 36 12 $50,620.75 $50,620.75 $49,203.36 $52,591.11 $50,620.75 2026-03-18
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 36 12 $50,552.40 $50,552.40 $49,136.93 $51,834.48 $50,552.40 2026-03-18
D1904 HCPCS Guillain-barré M <38.50 36 12 $49,901.20 $49,901.20 $48,503.97 $52,050.09 $49,901.20 2026-03-18
B0205 HCPCS Traumatic Brain Injury M <35.50 36 12 $49,783.49 $49,783.49 $48,389.55 $54,397.85 $49,783.49 2026-03-18
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 36 12 $49,548.07 $49,548.07 $48,160.72 $51,021.94 $49,548.07 2026-03-18
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 36 12 $49,255.70 $49,255.70 $47,876.54 $53,966.63 $49,255.70 2026-03-18
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 36 12 $48,906.36 $48,906.36 $47,536.99 $50,470.94 $48,906.36 2026-03-18
A1904 HCPCS Guillain-barré M <38.50 36 12 $48,843.71 $48,843.71 $47,476.09 $52,066.06 $48,843.71 2026-03-18
B0105 HCPCS Stroke M <41.50 And A >=84.50 36 12 $48,359.59 $48,359.59 $47,005.52 $50,201.42 $48,359.59 2026-03-18
C0106 HCPCS Stroke M <41.50 And A <84.50 36 12 $47,708.39 $47,708.39 $46,372.55 $50,215.40 $47,708.39 2026-03-18
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 36 12 $47,497.65 $47,497.65 $46,167.71 $55,094.60 $47,497.65 2026-03-18
B0604 HCPCS Neurological M <43.50 36 12 $47,182.49 $47,182.49 $45,861.38 $48,907.76 $47,182.49 2026-03-18
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 36 12 $45,990.21 $45,990.21 $44,702.48 $47,590.14 $45,990.21 2026-03-18
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 36 12 $45,809.85 $45,809.85 $44,527.17 $49,494.70 $45,809.85 2026-03-18
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 36 12 $45,650.37 $45,650.37 $44,372.16 $50,652.61 $45,650.37 2026-03-18
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 36 12 $45,519.37 $45,519.37 $44,244.83 $50,231.37 $45,519.37 2026-03-18
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 36 12 $45,173.84 $45,173.84 $42,372.69 $45,173.84 $45,173.84 2026-03-18
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 36 12 $45,141.56 $45,141.56 $43,877.60 $47,312.64 $45,141.56 2026-03-18
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 36 12 $44,553.01 $44,553.01 $43,305.53 $47,931.52 $44,553.01 2026-03-18
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 36 12 $44,433.41 $44,433.41 $43,189.27 $45,671.60 $44,433.41 2026-03-18
B0704 HCPCS Fracture Of Lower Extremity M <41.50 36 12 $44,239.76 $44,239.76 $43,001.04 $45,797.37 $44,239.76 2026-03-18
B1604 HCPCS Pain Syndrome M <43.50 36 12 $43,937.89 $43,937.89 $38,825.01 $43,937.89 $43,937.89 2026-03-18
B2102 HCPCS Burns M <52.50 36 12 $43,835.37 $43,835.37 $42,607.98 $50,810.33 $43,835.37 2026-03-18
D0106 HCPCS Stroke M <41.50 And A <84.50 36 12 $43,692.98 $43,692.98 $42,469.57 $45,495.91 $43,692.98 2026-03-18
B1004 HCPCS Amputation Lower Extremity M <47.50 36 12 $43,622.73 $43,622.73 $42,401.29 $47,182.87 $43,622.73 2026-03-18
B1504 HCPCS Pulmonary M <45.50 36 12 $42,690.55 $42,690.55 $41,495.21 $46,765.62 $42,690.55 2026-03-18
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 36 12 $42,248.19 $42,248.19 $41,065.24 $43,826.93 $42,248.19 2026-03-18
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 36 12 $42,098.20 $42,098.20 $40,919.45 $44,591.55 $42,098.20 2026-03-18
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 36 12 $42,071.62 $42,071.62 $40,893.62 $44,156.33 $42,071.62 2026-03-18
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 36 12 $42,026.06 $42,026.06 $40,849.33 $45,741.47 $42,026.06 2026-03-18
C0105 HCPCS Stroke M <41.50 And A >=84.50 36 12 $41,957.71 $41,957.71 $40,782.90 $44,579.57 $41,957.71 2026-03-18
A0106 HCPCS Stroke M <41.50 And A <84.50 36 12 $41,672.93 $41,672.93 $40,506.09 $43,154.14 $41,672.93 2026-03-18
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 36 12 $41,329.30 $41,329.30 $40,172.08 $43,898.80 $41,329.30 2026-03-18
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 36 12 $41,283.73 $41,283.73 $40,127.79 $42,852.68 $41,283.73 2026-03-18
C0205 HCPCS Traumatic Brain Injury M <35.50 36 12 $41,259.05 $41,259.05 $40,103.80 $43,251.96 $41,259.05 2026-03-18
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 36 12 $41,023.63 $41,023.63 $39,874.97 $43,192.07 $41,023.63 2026-03-18
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 36 12 $40,960.98 $40,960.98 $39,814.07 $41,057.92 $40,960.98 2026-03-18
B1404 HCPCS Cardiac M <45.50 36 12 $40,609.75 $40,609.75 $39,472.68 $42,858.67 $40,609.75 2026-03-18
B0904 HCPCS Other Orthopedic M <44.5 36 12 $40,492.04 $40,492.04 $39,358.26 $44,883.02 $40,492.04 2026-03-18
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 36 12 $39,916.78 $39,916.78 $38,799.11 $42,185.89 $39,916.78 2026-03-18
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 36 12 $39,719.33 $39,719.33 $38,607.19 $45,651.63 $39,719.33 2026-03-18
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 36 12 $39,628.20 $39,628.20 $38,518.61 $39,977.87 $39,628.20 2026-03-18
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 36 12 $39,347.22 $39,347.22 $38,245.50 $41,624.90 $39,347.22 2026-03-18
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 36 12 $38,994.09 $38,994.09 $37,902.26 $41,744.68 $38,994.09 2026-03-18
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 36 12 $38,887.77 $38,887.77 $37,798.92 $42,401.50 $38,887.77 2026-03-18
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 36 12 $38,798.54 $38,798.54 $37,712.18 $41,093.86 $38,798.54 2026-03-18
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 36 12 $38,745.38 $38,745.38 $37,660.51 $40,421.07 $38,745.38 2026-03-18
B0104 HCPCS Stroke M >=41.50 And M <50.50 36 12 $38,707.41 $38,707.41 $37,623.61 $40,281.32 $38,707.41 2026-03-18
D0105 HCPCS Stroke M <41.50 And A >=84.50 36 12 $38,426.43 $38,426.43 $37,350.49 $40,389.13 $38,426.43 2026-03-18
B1103 HCPCS Amputation Non-lower Extremity M <52.50 36 12 $38,044.82 $38,044.82 $36,979.57 $38,618.32 $38,044.82 2026-03-18
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 36 12 $37,815.10 $37,815.10 $36,756.28 $41,255.56 $37,815.10 2026-03-18
B0603 HCPCS Neurological M >=43.50 And M <52.50 36 12 $37,615.75 $37,615.75 $36,562.51 $38,670.23 $37,615.75 2026-03-18
D0205 HCPCS Traumatic Brain Injury M <35.50 36 12 $37,490.45 $37,490.45 $36,440.72 $39,514.71 $37,490.45 2026-03-18
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 36 12 $37,334.77 $37,334.77 $36,289.40 $38,087.28 $37,334.77 2026-03-18
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 36 12 $36,956.96 $36,956.96 $35,922.17 $40,490.94 $36,956.96 2026-03-18
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 36 12 $36,884.82 $36,884.82 $35,852.04 $39,137.39 $36,884.82 2026-03-18
A0105 HCPCS Stroke M <41.50 And A >=84.50 36 12 $36,651.30 $36,651.30 $35,625.06 $38,310.88 $36,651.30 2026-03-18
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 36 12 $36,603.83 $36,603.83 $35,578.92 $38,937.75 $36,603.83 2026-03-18
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 36 12 $36,210.83 $36,210.83 $35,196.93 $37,089.08 $36,210.83 2026-03-18
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 36 12 $36,176.66 $36,176.66 $35,163.71 $37,498.34 $36,176.66 2026-03-18
C1004 HCPCS Amputation Lower Extremity M <47.50 36 12 $36,165.27 $36,165.27 $35,152.64 $39,205.26 $36,165.27 2026-03-18
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 36 12 $36,003.89 $36,003.89 $34,995.78 $36,176.73 $36,003.89 2026-03-18
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 36 12 $35,833.03 $35,833.03 $34,829.70 $37,530.29 $35,833.03 2026-03-18
C0604 HCPCS Neurological M <43.50 36 12 $35,421.04 $35,421.04 $34,429.25 $37,039.17 $35,421.04 2026-03-18
B1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 36 12 $35,400.16 $35,400.16 $29,661.46 $35,400.16 $35,400.16 2026-03-18
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 36 12 $35,384.97 $35,384.97 $34,394.19 $36,458.22 $35,384.97 2026-03-18
A0205 HCPCS Traumatic Brain Injury M <35.50 36 12 $35,314.72 $35,314.72 $34,325.91 $37,125.02 $35,314.72 2026-03-18
C1504 HCPCS Pulmonary M <45.50 36 12 $34,879.96 $34,879.96 $33,903.32 $37,602.16 $34,879.96 2026-03-18
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 36 12 $34,836.29 $34,836.29 $33,860.88 $37,248.79 $34,836.29 2026-03-18
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 36 12 $34,756.55 $34,756.55 $33,783.37 $36,737.72 $34,756.55 2026-03-18
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 36 12 $34,597.08 $34,597.08 $33,628.36 $40,896.21 $34,597.08 2026-03-18
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 36 12 $34,583.79 $34,583.79 $33,615.44 $35,324.27 $34,583.79 2026-03-18
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 36 12 $34,513.54 $34,513.54 $33,547.16 $37,292.71 $34,513.54 2026-03-18
C0704 HCPCS Fracture Of Lower Extremity M <41.50 36 12 $34,185.09 $34,185.09 $33,227.91 $36,617.93 $34,185.09 2026-03-18
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 36 12 $34,130.04 $34,130.04 $32,835.40 $34,130.04 $34,130.04 2026-03-18
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 36 12 $34,093.96 $34,093.96 $33,139.33 $35,472.00 $34,093.96 2026-03-18
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 36 12 $33,793.99 $33,793.99 $32,847.76 $37,272.75 $33,793.99 2026-03-18
C2102 HCPCS Burns M <52.50 36 12 $33,678.18 $33,678.18 $32,735.19 $42,716.93 $33,678.18 2026-03-18
D2102 HCPCS Burns M <52.50 36 12 $33,678.18 $33,678.18 $31,247.46 $33,678.18 $33,678.18 2026-03-18
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 36 12 $33,663.00 $33,663.00 $32,720.43 $35,412.11 $33,663.00 2026-03-18
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 36 12 $33,649.71 $33,649.71 $32,707.51 $36,570.02 $33,649.71 2026-03-18
C0104 HCPCS Stroke M >=41.50 And M <50.50 36 12 $33,585.15 $33,585.15 $32,644.77 $35,771.46 $33,585.15 2026-03-18
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 36 12 $33,406.69 $33,406.69 $32,471.30 $33,858.91 $33,406.69 2026-03-18
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 36 12 $33,391.50 $33,391.50 $32,456.54 $34,589.59 $33,391.50 2026-03-18
C1604 HCPCS Pain Syndrome M <43.50 36 12 $33,262.40 $33,262.40 $32,331.06 $35,871.28 $33,262.40 2026-03-18
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 36 12 $33,239.62 $33,239.62 $32,308.91 $34,958.93 $33,239.62 2026-03-18
B1403 HCPCS Cardiac M >=45.50 And M <55.50 36 12 $33,220.64 $33,220.64 $32,290.46 $34,352.02 $33,220.64 2026-03-18
C0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 36 12 $33,190.26 $33,190.26 $31,030.57 $33,190.26 $33,190.26 2026-03-18
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 36 12 $33,140.90 $33,140.90 $32,212.95 $35,440.06 $33,140.90 2026-03-18
D0604 HCPCS Neurological M <43.50 36 12 $33,049.77 $33,049.77 $32,124.37 $34,887.06 $33,049.77 2026-03-18
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 36 12 $33,036.48 $33,036.48 $32,111.46 $34,721.35 $33,036.48 2026-03-18
D1004 HCPCS Amputation Lower Extremity M <47.50 36 12 $33,006.10 $33,006.10 $32,081.93 $35,583.80 $33,006.10 2026-03-18
D1504 HCPCS Pulmonary M <45.50 36 12 $32,941.55 $32,941.55 $32,019.19 $35,214.46 $32,941.55 2026-03-18
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 36 12 $32,875.10 $32,875.10 $31,954.60 $34,232.24 $32,875.10 2026-03-18
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 36 12 $32,544.76 $32,544.76 $31,633.50 $34,549.66 $32,544.76 2026-03-18
C0904 HCPCS Other Orthopedic M <44.5 36 12 $32,540.96 $32,540.96 $31,629.81 $33,996.66 $32,540.96 2026-03-18
B0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 36 12 $32,531.47 $32,531.47 $31,620.58 $33,515.53 $32,531.47 2026-03-18
D0704 HCPCS Fracture Of Lower Extremity M <41.50 36 12 $32,394.77 $32,394.77 $31,487.72 $34,777.25 $32,394.77 2026-03-18
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 36 12 $32,286.55 $32,286.55 $31,382.53 $34,960.92 $32,286.55 2026-03-18
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 36 12 $32,229.60 $32,229.60 $31,327.17 $33,713.17 $32,229.60 2026-03-18
D1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 36 12 $32,165.05 $32,165.05 $31,264.43 $33,507.54 $32,165.05 2026-03-18
J2427 HCPCS Paliperidone Palmit 150mg Susp 24 12 $32,122.75 $32,122.75 $25,698.50 $38,547.00 $32,122.75 2026-03-18
D0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 36 12 $32,109.99 $32,109.99 $30,213.37 $32,109.99 $32,109.99 2026-03-18
C1404 HCPCS Cardiac M <45.50 36 12 $32,079.61 $32,079.61 $31,181.38 $34,525.71 $32,079.61 2026-03-18
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 36 12 $32,056.83 $32,056.83 $31,159.24 $33,735.13 $32,056.83 2026-03-18
B0602 HCPCS Neurological M >=52.50 And M <64.50 36 12 $31,939.12 $31,939.12 $31,044.83 $32,519.33 $31,939.12 2026-03-18
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 36 12 $31,939.12 $31,939.12 $31,044.83 $33,830.96 $31,939.12 2026-03-18
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 36 12 $31,804.33 $31,804.33 $30,913.80 $36,496.15 $31,804.33 2026-03-18
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 36 12 $31,614.47 $31,614.47 $30,729.27 $38,939.74 $31,614.47 2026-03-18
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 36 12 $31,589.79 $31,589.79 $30,705.28 $34,012.63 $31,589.79 2026-03-18
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 36 12 $31,557.52 $31,557.52 $30,673.90 $35,158.57 $31,557.52 2026-03-18
D2005 HCPCS Miscellaneous M <46.50 And A <77.50 36 12 $31,470.18 $31,470.18 $30,589.02 $32,932.58 $31,470.18 2026-03-18
B1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 36 12 $31,413.23 $31,413.23 $30,533.66 $32,461.43 $31,413.23 2026-03-18
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 36 12 $31,365.76 $31,365.76 $30,487.52 $34,403.93 $31,365.76 2026-03-18
A0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 36 12 $31,348.68 $31,348.68 $30,470.91 $32,726.95 $31,348.68 2026-03-18
C1103 HCPCS Amputation Non-lower Extremity M <52.50 36 12 $30,813.29 $30,813.29 $29,950.52 $36,560.04 $30,813.29 2026-03-18
D1103 HCPCS Amputation Non-lower Extremity M <52.50 36 12 $30,813.29 $30,813.29 $29,950.52 $31,463.23 $30,813.29 2026-03-18
A1504 HCPCS Pulmonary M <45.50 36 12 $30,760.13 $30,760.13 $29,898.85 $33,663.26 $30,760.13 2026-03-18
D0104 HCPCS Stroke M >=41.50 And M <50.50 36 12 $30,758.23 $30,758.23 $29,897.00 $32,409.53 $30,758.23 2026-03-18
D1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 36 12 $30,553.19 $30,553.19 $29,697.70 $32,237.83 $30,553.19 2026-03-18
B1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 36 12 $30,513.32 $30,513.32 $29,658.95 $30,832.37 $30,513.32 2026-03-18
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 36 12 $30,507.62 $30,507.62 $29,653.41 $33,751.10 $30,507.62 2026-03-18
B1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 36 12 $30,424.09 $30,424.09 $29,572.21 $31,095.90 $30,424.09 2026-03-18
D1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 36 12 $30,399.41 $30,399.41 $29,548.22 $33,439.67 $30,399.41 2026-03-18
D0904 HCPCS Other Orthopedic M <44.5 36 12 $30,350.04 $30,350.04 $29,500.24 $32,114.06 $30,350.04 2026-03-18
B0103 HCPCS Stroke M >=50.50 And M <63.50 36 12 $30,329.16 $30,329.16 $29,479.94 $31,539.10 $30,329.16 2026-03-18
B0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 36 12 $30,325.36 $30,325.36 $29,476.25 $32,443.46 $30,325.36 2026-03-18
B1502 HCPCS Pulmonary M >=56.50 And M <68.50 36 12 $30,317.77 $30,317.77 $29,468.87 $31,986.29 $30,317.77 2026-03-18
D0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 36 12 $30,289.29 $30,289.29 $29,441.19 $31,383.38 $30,289.29 2026-03-18
D0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 36 12 $30,207.65 $30,207.65 $29,361.84 $31,912.42 $30,207.65 2026-03-18
C1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 36 12 $30,108.93 $30,108.93 $29,265.88 $33,036.39 $30,108.93 2026-03-18
A1103 HCPCS Amputation Non-lower Extremity M <52.50 36 12 $30,036.79 $30,036.79 $26,702.48 $30,036.79 $30,036.79 2026-03-18
A0704 HCPCS Fracture Of Lower Extremity M <41.50 36 12 $29,919.08 $29,919.08 $29,081.34 $31,778.66 $29,919.08 2026-03-18
D1604 HCPCS Pain Syndrome M <43.50 36 12 $29,867.82 $29,867.82 $29,031.52 $32,812.80 $29,867.82 2026-03-18
D2004 HCPCS Miscellaneous M <46.50 And A >=77.50 36 12 $29,858.32 $29,858.32 $29,022.29 $31,463.23 $29,858.32 2026-03-18
A1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 36 12 $29,833.64 $29,833.64 $28,998.30 $30,437.08 $29,833.64 2026-03-18
A0604 HCPCS Neurological M <43.50 36 12 $29,818.45 $29,818.45 $28,983.54 $31,335.46 $29,818.45 2026-03-18
D1404 HCPCS Cardiac M <45.50 36 12 $29,801.37 $29,801.37 $28,966.93 $31,924.40 $29,801.37 2026-03-18
D1204 HCPCS Osteoarthritis M <49.50 And A <74.50 36 12 $29,512.79 $29,512.79 $28,686.43 $30,395.16 $29,512.79 2026-03-18
A1004 HCPCS Amputation Lower Extremity M <47.50 36 12 $29,495.70 $29,495.70 $28,669.82 $33,040.39 $29,495.70 2026-03-18
B0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 36 12 $29,429.25 $29,429.25 $28,605.23 $30,275.38 $29,429.25 2026-03-18
B0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 36 12 $29,345.72 $29,345.72 $28,524.04 $30,834.37 $29,345.72 2026-03-18
A0104 HCPCS Stroke M >=41.50 And M <50.50 36 12 $29,336.22 $29,336.22 $28,514.81 $30,740.54 $29,336.22 2026-03-18
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 36 12 $29,328.63 $29,328.63 $28,507.43 $33,908.82 $29,328.63 2026-03-18
D0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 36 12 $29,284.96 $29,284.96 $28,464.99 $30,800.43 $29,284.96 2026-03-18
B1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 36 12 $29,265.98 $29,265.98 $28,446.53 $30,664.67 $29,265.98 2026-03-18
C1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 36 12 $29,193.83 $29,193.83 $28,376.41 $30,173.56 $29,193.83 2026-03-18
A0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 36 12 $29,174.85 $29,174.85 $27,339.59 $29,174.85 $29,174.85 2026-03-18
B1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 36 12 $29,053.34 $29,053.34 $28,239.85 $29,804.23 $29,053.34 2026-03-18
B0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 36 12 $29,009.68 $29,009.68 $28,197.40 $29,502.77 $29,009.68 2026-03-18
B2101 HCPCS Burns M >=52.50 36 12 $28,798.94 $28,798.94 $27,992.57 $32,064.15 $28,798.94 2026-03-18
D1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 36 12 $28,757.17 $28,757.17 $27,951.97 $31,047.98 $28,757.17 2026-03-18
A2005 HCPCS Miscellaneous M <46.50 And A <77.50 36 12 $28,654.65 $28,654.65 $27,852.32 $30,147.61 $28,654.65 2026-03-18
D0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 36 12 $28,616.68 $28,616.68 $27,815.41 $31,427.30 $28,616.68 2026-03-18
A0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 36 12 $28,487.58 $28,487.58 $27,689.93 $29,876.10 $28,487.58 2026-03-18
A2102 HCPCS Burns M <52.50 36 12 $28,407.84 $28,407.84 $27,612.42 $30,892.26 $28,407.84 2026-03-18
C0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 36 12 $28,356.58 $28,356.58 $27,562.59 $28,895.86 $28,356.58 2026-03-18
B0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 36 12 $28,314.81 $28,314.81 $27,522.00 $31,409.33 $28,314.81 2026-03-18
C1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 36 12 $28,267.35 $28,267.35 $27,475.86 $29,474.82 $28,267.35 2026-03-18
C0603 HCPCS Neurological M >=43.50 And M <52.50 36 12 $28,238.87 $28,238.87 $27,448.18 $29,287.16 $28,238.87 2026-03-18
B1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 36 12 $28,223.68 $28,223.68 $24,492.93 $28,223.68 $28,223.68 2026-03-18
C1503 HCPCS Pulmonary M >=45.50 And M <56.50 36 12 $28,199.00 $28,199.00 $27,409.43 $29,985.90 $28,199.00 2026-03-18
A1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 36 12 $28,195.20 $28,195.20 $27,405.74 $30,377.19 $28,195.20 2026-03-18
D1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 36 12 $28,128.75 $28,128.75 $27,341.15 $29,522.73 $28,128.75 2026-03-18
C0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 36 12 $27,980.67 $27,980.67 $27,197.21 $29,654.50 $27,980.67 2026-03-18
A0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 36 12 $27,916.12 $27,916.12 $27,134.47 $28,921.82 $27,916.12 2026-03-18
C1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 36 12 $27,899.03 $27,899.03 $27,117.86 $28,897.86 $27,899.03 2026-03-18
B2002 HCPCS Miscellaneous M >=55.50 And M <66.50 36 12 $27,891.44 $27,891.44 $27,110.48 $29,456.85 $27,891.44 2026-03-18
A1604 HCPCS Pain Syndrome M <43.50 36 12 $27,796.51 $27,796.51 $27,018.21 $29,742.34 $27,796.51 2026-03-18
A0904 HCPCS Other Orthopedic M <44.5 36 12 $27,777.52 $27,777.52 $26,999.75 $29,297.14 $27,777.52 2026-03-18
A1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 36 12 $27,749.05 $27,749.05 $26,972.07 $29,678.45 $27,749.05 2026-03-18
A0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 36 12 $27,585.77 $27,585.77 $26,813.37 $28,937.79 $27,585.77 2026-03-18
A1404 HCPCS Cardiac M <45.50 36 12 $27,431.99 $27,431.99 $26,663.89 $29,357.03 $27,431.99 2026-03-18
A2004 HCPCS Miscellaneous M <46.50 And A >=77.50 36 12 $27,187.08 $27,187.08 $26,425.84 $28,802.03 $27,187.08 2026-03-18
C0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 36 12 $27,156.70 $27,156.70 $26,396.31 $28,231.06 $27,156.70 2026-03-18
B1402 HCPCS Cardiac M >=55.50 And M <68.50 36 12 $27,120.63 $27,120.63 $26,361.25 $28,420.72 $27,120.63 2026-03-18
A1204 HCPCS Osteoarthritis M <49.50 And A <74.50 36 12 $27,052.28 $27,052.28 $26,294.82 $28,149.21 $27,052.28 2026-03-18
D1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 36 12 $26,999.12 $26,999.12 $26,243.15 $28,015.45 $26,999.12 2026-03-18
C0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 36 12 $26,959.25 $26,959.25 $26,204.39 $28,233.06 $26,959.25 2026-03-18
B1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 36 12 $26,833.95 $26,833.95 $26,082.60 $28,394.77 $26,833.95 2026-03-18
C1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 36 12 $26,799.78 $26,799.78 $26,049.38 $27,404.56 $26,799.78 2026-03-18
C2003 HCPCS Miscellaneous M >=46.50 And M <55.50 36 12 $26,718.14 $26,718.14 $25,970.03 $27,739.95 $26,718.14 2026-03-18
A0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 36 12 $26,663.08 $26,663.08 $25,916.52 $29,444.87 $26,663.08 2026-03-18
A1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 36 12 $26,653.59 $26,653.59 $25,907.29 $29,141.42 $26,653.59 2026-03-18
D1503 HCPCS Pulmonary M >=45.50 And M <56.50 36 12 $26,632.71 $26,632.71 $25,886.99 $28,081.33 $26,632.71 2026-03-18
C1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 36 12 $26,535.88 $26,535.88 $25,792.87 $28,332.88 $26,535.88 2026-03-18
D0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 36 12 $26,515.00 $26,515.00 $25,772.58 $28,165.18 $26,515.00 2026-03-18
C0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 36 12 $26,391.59 $26,391.59 $25,652.63 $27,715.99 $26,391.59 2026-03-18
D0603 HCPCS Neurological M >=43.50 And M <52.50 36 12 $26,347.92 $26,347.92 $25,610.18 $27,584.23 $26,347.92 2026-03-18
C0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 36 12 $26,327.04 $26,327.04 $25,589.88 $28,229.07 $26,327.04 2026-03-18
C0103 HCPCS Stroke M >=50.50 And M <63.50 36 12 $26,315.65 $26,315.65 $25,578.81 $28,007.47 $26,315.65 2026-03-18
D1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 36 12 $26,298.56 $26,298.56 $25,562.20 $26,584.04 $26,298.56 2026-03-18
C1403 HCPCS Cardiac M >=45.50 And M <55.50 36 12 $26,241.61 $26,241.61 $25,506.84 $27,672.07 $26,241.61 2026-03-18
B0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 36 12 $26,148.58 $26,148.58 $25,416.42 $26,807.63 $26,148.58 2026-03-18
D0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 36 12 $26,055.55 $26,055.55 $25,325.99 $26,939.39 $26,055.55 2026-03-18
C0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 36 12 $25,996.69 $25,996.69 $25,268.79 $27,354.65 $25,996.69 2026-03-18
D1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 36 12 $25,797.35 $25,797.35 $25,075.02 $26,751.73 $25,797.35 2026-03-18
A1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 36 12 $25,782.16 $25,782.16 $25,060.26 $27,342.67 $25,782.16 2026-03-18
D0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 36 12 $25,531.55 $25,531.55 $24,816.67 $26,987.31 $25,531.55 2026-03-18
D0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 36 12 $25,472.70 $25,472.70 $24,759.46 $26,264.61 $25,472.70 2026-03-18
92220143 CDM Interferon Beta-1a30mcg/0.5ml 36 12 $25,431.50 $25,431.50 $25,431.50 $25,431.50 $25,431.50 2026-03-18
D1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 36 12 $25,364.48 $25,364.48 $24,654.28 $25,961.16 $25,364.48 2026-03-18
D0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 36 12 $25,328.41 $25,328.41 $24,619.21 $26,667.88 $25,328.41 2026-03-18
B1701 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=57.50 36 12 $25,273.35 $25,273.35 $24,565.70 $26,334.49 $25,273.35 2026-03-18
B0601 HCPCS Neurological M >=64.50 36 12 $25,174.63 $25,174.63 $24,469.74 $26,142.83 $25,174.63 2026-03-18
B0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 36 12 $25,108.18 $25,108.18 $24,405.15 $27,672.07 $25,108.18 2026-03-18
B1201 HCPCS Osteoarthritis M >=61.50 36 12 $25,058.82 $25,058.82 $24,357.17 $26,446.28 $25,058.82 2026-03-18
D2003 HCPCS Miscellaneous M >=46.50 And M <55.50 36 12 $24,977.18 $24,977.18 $24,277.82 $25,797.45 $24,977.18 2026-03-18
A1503 HCPCS Pulmonary M >=45.50 And M <56.50 36 12 $24,868.96 $24,868.96 $24,172.63 $26,843.57 $24,868.96 2026-03-18
C1502 HCPCS Pulmonary M >=56.50 And M <68.50 36 12 $24,772.14 $24,772.14 $24,078.52 $25,719.60 $24,772.14 2026-03-18
C1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 36 12 $24,713.28 $24,713.28 $24,021.31 $29,189.34 $24,713.28 2026-03-18
D1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 36 12 $24,713.28 $24,713.28 $24,021.31 $25,118.68 $24,713.28 2026-03-18
A0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 36 12 $24,570.89 $24,570.89 $23,882.91 $25,220.50 $24,570.89 2026-03-18
C1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 36 12 $24,563.30 $24,563.30 $23,875.53 $25,715.60 $24,563.30 2026-03-18
A1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 36 12 $24,521.53 $24,521.53 $23,834.93 $25,791.47 $24,521.53 2026-03-18
A0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 36 12 $24,489.25 $24,489.25 $23,803.56 $25,737.56 $24,489.25 2026-03-18
D1403 HCPCS Cardiac M >=45.50 And M <55.50 36 12 $24,377.24 $24,377.24 $23,694.68 $25,585.84 $24,377.24 2026-03-18
A1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 36 12 $24,375.34 $24,375.34 $23,692.83 $24,950.98 $24,375.34 2026-03-18
C1902 HCPCS Guillain-barré M >=51.50 And M <66.50 36 12 $24,363.95 $24,363.95 $23,681.76 $27,520.35 $24,363.95 2026-03-18
B1601 HCPCS Pain Syndrome M >=65.50 36 12 $24,337.37 $24,337.37 $20,356.55 $24,337.37 $24,337.37 2026-03-18
B0501 HCPCS Non-traumatic Spinal Cord Injury M >=60.50 36 12 $24,223.46 $24,223.46 $23,545.20 $26,132.85 $24,223.46 2026-03-18
D0103 HCPCS Stroke M >=50.50 And M <63.50 36 12 $24,100.05 $24,100.05 $23,425.25 $25,374.22 $24,100.05 2026-03-18
A1102 HCPCS Amputation Non-lower Extremity M >=52.50 And M <58.50 36 12 $24,090.56 $24,090.56 $21,319.00 $24,090.56 $24,090.56 2026-03-18
C1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 36 12 $24,086.76 $24,086.76 $23,412.33 $24,765.32 $24,086.76 2026-03-18
D1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 36 12 $24,063.98 $24,063.98 $23,390.19 $25,068.77 $24,063.98 2026-03-18
C0602 HCPCS Neurological M >=52.50 And M <64.50 36 12 $23,978.55 $23,978.55 $23,307.15 $24,629.56 $23,978.55 2026-03-18
B1501 HCPCS Pulmonary M >=68.50 36 12 $23,969.05 $23,969.05 $23,297.92 $26,158.80 $23,969.05 2026-03-18
B1101 HCPCS Amputation Non-lower Extremity M >=58.50 36 12 $23,887.42 $23,887.42 $23,218.57 $26,999.29 $23,887.42 2026-03-18
D0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 36 12 $23,874.13 $23,874.13 $23,205.65 $25,232.47 $23,874.13 2026-03-18
B0701 HCPCS Fracture Of Lower Extremity M >=61.50 36 12 $23,855.14 $23,855.14 $23,187.20 $24,493.81 $23,855.14 2026-03-18
A0603 HCPCS Neurological M >=43.50 And M <52.50 36 12 $23,773.51 $23,773.51 $23,107.85 $24,777.30 $23,773.51 2026-03-18
D0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 36 12 $23,619.72 $23,619.72 $22,958.37 $24,990.91 $23,619.72 2026-03-18
B0102 HCPCS Stroke M >=63.50 And M <72.50 36 12 $23,526.70 $23,526.70 $22,867.95 $24,567.67 $23,526.70 2026-03-18
A1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 36 12 $23,526.70 $23,526.70 $22,867.95 $23,581.45 $23,526.70 2026-03-18
C0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 36 12 $23,522.90 $23,522.90 $22,864.26 $24,933.01 $23,522.90 2026-03-18
C0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 36 12 $23,517.20 $23,517.20 $22,858.72 $24,437.91 $23,517.20 2026-03-18
C0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 36 12 $23,477.33 $23,477.33 $22,819.97 $24,849.17 $23,477.33 2026-03-18
A0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 36 12 $23,475.43 $23,475.43 $22,818.12 $24,204.33 $23,475.43 2026-03-18
C1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 36 12 $23,433.67 $23,433.67 $22,777.52 $24,515.77 $23,433.67 2026-03-18
D1502 HCPCS Pulmonary M >=56.50 And M <68.50 36 12 $23,395.70 $23,395.70 $22,740.62 $24,086.54 $23,395.70 2026-03-18
C1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 36 12 $23,279.89 $23,279.89 $22,628.05 $24,679.47 $23,279.89 2026-03-18
A0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 36 12 $23,196.35 $23,196.35 $22,546.85 $24,419.94 $23,196.35 2026-03-18
A0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 36 12 $23,181.16 $23,181.16 $22,532.09 $24,330.10 $23,181.16 2026-03-18
A1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 36 12 $23,053.96 $23,053.96 $22,408.45 $24,839.18 $23,053.96 2026-03-18
B0801 HCPCS Replacement Of Lower-extremity Joint M >=63.50 36 12 $23,040.67 $23,040.67 $22,395.53 $23,519.56 $23,040.67 2026-03-18
A0103 HCPCS Stroke M >=50.50 And M <63.50 36 12 $22,985.61 $22,985.61 $22,342.01 $24,068.57 $22,985.61 2026-03-18
B0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 36 12 $22,941.95 $22,941.95 $22,299.57 $27,047.20 $22,941.95 2026-03-18
B1001 HCPCS Amputation Lower Extremity M >=64.50 36 12 $22,896.38 $22,896.38 $22,255.28 $24,533.74 $22,896.38 2026-03-18
C0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 36 12 $22,753.99 $22,753.99 $22,116.88 $23,791.07 $22,753.99 2026-03-18
A2003 HCPCS Miscellaneous M >=46.50 And M <55.50 36 12 $22,742.60 $22,742.60 $22,105.81 $23,617.39 $22,742.60 2026-03-18
C0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 36 12 $22,740.70 $22,740.70 $22,103.96 $24,206.33 $22,740.70 2026-03-18
B0901 HCPCS Other Orthopedic M >=63.50 36 12 $22,725.51 $22,725.51 $22,089.20 $24,725.39 $22,725.51 2026-03-18
D1902 HCPCS Guillain-barré M >=51.50 And M <66.50 36 12 $22,717.92 $22,717.92 $22,081.82 $23,924.83 $22,717.92 2026-03-18
D1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 36 12 $22,716.02 $22,716.02 $22,079.97 $23,876.92 $22,716.02 2026-03-18
B0301 HCPCS Non-traumatic Brain Injury M >=65.50 36 12 $22,716.02 $22,716.02 $22,079.97 $23,835.00 $22,716.02 2026-03-18
A1403 HCPCS Cardiac M >=45.50 And M <55.50 36 12 $22,440.73 $22,440.73 $21,812.39 $23,529.55 $22,440.73 2026-03-18
D1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 36 12 $22,398.96 $22,398.96 $21,771.79 $22,463.47 $22,398.96 2026-03-18
A1603 HCPCS Pain Syndrome M >=43.50 And M <58.50 36 12 $22,395.17 $22,395.17 $21,768.10 $22,723.00 $22,395.17 2026-03-18
D0602 HCPCS Neurological M >=52.50 And M <64.50 36 12 $22,372.38 $22,372.38 $21,745.96 $23,196.15 $22,372.38 2026-03-18
B2001 HCPCS Miscellaneous M >=66.50 36 12 $22,359.09 $22,359.09 $21,733.04 $23,725.19 $22,359.09 2026-03-18
C2002 HCPCS Miscellaneous M >=55.50 And M <66.50 36 12 $22,317.33 $22,317.33 $21,692.44 $23,623.38 $22,317.33 2026-03-18
A0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 36 12 $22,250.88 $22,250.88 $21,627.85 $23,479.64 $22,250.88 2026-03-18
A0804 HCPCS Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 36 12 $22,245.18 $22,245.18 $21,622.32 $23,641.35 $22,245.18 2026-03-18
A1902 HCPCS Guillain-barré M >=51.50 And M <66.50 36 12 $22,237.59 $22,237.59 $21,614.93 $23,930.82 $22,237.59 2026-03-18
D0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 36 12 $22,226.20 $22,226.20 $21,603.86 $23,194.15 $22,226.20 2026-03-18
D2101 HCPCS Burns M >=52.50 36 12 $22,125.57 $22,125.57 $19,719.44 $22,125.57 $22,125.57 2026-03-18
C2101 HCPCS Burns M >=52.50 36 12 $22,125.57 $22,125.57 $21,506.06 $26,957.36 $22,125.57 2026-03-18
D1002 HCPCS Amputation Lower Extremity M >=55.50 And M <64.50 36 12 $21,983.18 $21,983.18 $21,367.65 $22,477.45 $21,983.18 2026-03-18
A1502 HCPCS Pulmonary M >=56.50 And M <68.50 36 12 $21,846.49 $21,846.49 $21,234.79 $23,026.45 $21,846.49 2026-03-18
D1202 HCPCS Osteoarthritis M >=49.50 And M <61.50 36 12 $21,749.66 $21,749.66 $21,140.67 $22,054.21 $21,749.66 2026-03-18
C1802 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50 36 12 $21,647.14 $21,647.14 $21,041.02 $23,230.09 $21,647.14 2026-03-18
D0302 HCPCS Non-traumatic Brain Injury M >=52.50 And M <65.50 36 12 $21,609.17 $21,609.17 $21,004.11 $22,782.89 $21,609.17 2026-03-18
D0702 HCPCS Fracture Of Lower Extremity M >=52.50 And M <61.50 36 12 $21,548.42 $21,548.42 $20,945.06 $22,988.52 $21,548.42 2026-03-18
C1402 HCPCS Cardiac M >=55.50 And M <68.50 36 12 $21,423.11 $21,423.11 $20,823.27 $22,894.69 $21,423.11 2026-03-18
C1602 HCPCS Pain Syndrome M >=58.50 And M <65.50 36 12 $21,366.16 $21,366.16 $20,767.91 $22,629.17 $21,366.16 2026-03-18
B1401 HCPCS Cardiac M >=68.50 36 12 $21,364.26 $21,364.26 $20,766.06 $22,309.75 $21,364.26 2026-03-18
B1301 HCPCS Rheumatoid Other Arthritis M >=62.50 36 12 $21,313.00 $21,313.00 $20,716.23 $25,008.88 $21,313.00 2026-03-18
D0803 HCPCS Replacement Of Lower-extremity Joint M >=51.50 And M <57.50 36 12 $21,288.32 $21,288.32 $20,692.24 $22,211.92 $21,288.32 2026-03-18
D0902 HCPCS Other Orthopedic M >=51.50 And M <63.50 36 12 $21,223.77 $21,223.77 $20,629.50 $22,473.45 $21,223.77 2026-03-18
C0802 HCPCS Replacement Of Lower-extremity Joint M >=57.50 And M <63.50 36 12 $21,161.12 $21,161.12 $20,568.60 $22,579.26 $21,161.12 2026-03-18
D2002 HCPCS Miscellaneous M >=55.50 And M <66.50 36 12 $20,863.05 $20,863.05 $20,278.88 $21,968.36 $20,863.05 2026-03-18
C0202 HCPCS Traumatic Brain Injury M >=61.50 And M <73.50 36 12 $20,809.89 $20,809.89 $20,227.21 $22,002.30 $20,809.89 2026-03-18
A1302 HCPCS Rheumatoid Other Arthritis M >=51.50 And M <62.50 36 12 $20,775.71 $20,775.71 $19,793.03 $20,775.71 $20,775.71 2026-03-18
C0401 HCPCS Traumatic Spinal Cord Injury M >=56.50 36 12 $20,644.71 $20,644.71 $20,066.66 $22,108.11 $20,644.71 2026-03-18
A1702 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50 36 12 $20,631.42 $20,631.42 $20,053.74 $21,980.34 $20,631.42 2026-03-18
A0502 HCPCS Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50 36 12 $20,483.34 $20,483.34 $19,909.80 $21,375.43 $20,483.34 2026-03-18
C0102 HCPCS Stroke M >=63.50 And M <72.50 36 12 $20,413.09 $20,413.09 $19,841.52 $21,816.64 $20,413.09 2026-03-18
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