|
6904
|
APR_DRG
|
Acute Leukemia
|
3
|
3
|
—
|
—
|
$46,355.59
|
$48,673.37
|
$46,355.59
|
2026-08-06
|
|
B1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
27
|
25
|
—
|
—
|
$41,212.83
|
$91,723.96
|
$46,325.23
|
2026-08-06
|
|
C1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
27
|
25
|
—
|
—
|
$34,084.63
|
$76,215.41
|
$38,492.63
|
2026-08-06
|
|
D1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
27
|
25
|
—
|
—
|
$31,134.84
|
$69,175.24
|
$34,936.99
|
2026-08-06
|
|
A1004
|
HCPCS
|
Amputation Lower Extremity M <47.50
|
27
|
25
|
—
|
—
|
$27,894.91
|
$64,230.82
|
$32,439.81
|
2026-08-06
|
|
B1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
27
|
25
|
—
|
—
|
$31,344.50
|
$68,957.90
|
$34,827.22
|
2026-08-06
|
|
C1003
|
HCPCS
|
Amputation Lower Extremity M >=47.50 And M <55.50
|
27
|
25
|
—
|
—
|
$26,045.15
|
$57,299.34
|
$28,939.06
|
2026-08-06
|
|
B1002
|
HCPCS
|
Amputation Lower Extremity M >=55.50 And M <64.50
|
27
|
25
|
—
|
—
|
$26,336.22
|
$57,939.69
|
$29,262.47
|
2026-08-06
|
|
B1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
27
|
25
|
—
|
—
|
$34,124.72
|
$75,074.39
|
$37,916.36
|
2026-08-06
|
|
C1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
27
|
25
|
—
|
—
|
$28,874.59
|
$71,073.05
|
$35,895.48
|
2026-08-06
|
|
D1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
27
|
25
|
—
|
—
|
$27,802.19
|
$61,164.81
|
$30,891.32
|
2026-08-06
|
|
A1103
|
HCPCS
|
Amputation Non-lower Extremity M <52.50
|
27
|
25
|
—
|
—
|
$24,325.16
|
$53,515.34
|
$27,027.95
|
2026-08-06
|
|
B1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
27
|
25
|
—
|
—
|
$27,244.74
|
$59,938.42
|
$30,271.93
|
2026-08-06
|
|
C1102
|
HCPCS
|
Amputation Non-lower Extremity M >=52.50 And M <58.50
|
27
|
25
|
—
|
—
|
$23,154.12
|
$56,744.34
|
$28,658.76
|
2026-08-06
|
|
B1101
|
HCPCS
|
Amputation Non-lower Extremity M >=58.50
|
27
|
25
|
—
|
—
|
$22,656.22
|
$52,486.87
|
$26,508.52
|
2026-08-06
|
|
B2102
|
HCPCS
|
Burns M <52.50
|
27
|
25
|
—
|
—
|
$41,508.35
|
$98,775.77
|
$49,886.75
|
2026-08-06
|
|
C2102
|
HCPCS
|
Burns M <52.50
|
27
|
25
|
—
|
—
|
$31,541.40
|
$83,042.11
|
$41,940.46
|
2026-08-06
|
|
D2102
|
HCPCS
|
Burns M <52.50
|
27
|
25
|
—
|
—
|
$28,465.50
|
$62,624.09
|
$31,628.33
|
2026-08-06
|
|
A2102
|
HCPCS
|
Burns M <52.50
|
27
|
25
|
—
|
—
|
$26,936.72
|
$60,054.85
|
$30,330.73
|
2026-08-06
|
|
B2101
|
HCPCS
|
Burns M >=52.50
|
27
|
25
|
—
|
—
|
$26,952.84
|
$62,333.01
|
$31,481.32
|
2026-08-06
|
|
C2101
|
HCPCS
|
Burns M >=52.50
|
27
|
25
|
—
|
—
|
$20,480.15
|
$52,405.37
|
$26,467.36
|
2026-08-06
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
3
|
3
|
—
|
—
|
$28,329.03
|
$29,745.48
|
$28,329.03
|
2026-08-06
|
|
B1404
|
HCPCS
|
Cardiac M <45.50
|
27
|
25
|
—
|
—
|
$37,871.67
|
$83,317.67
|
$42,079.63
|
2026-08-06
|
|
C1404
|
HCPCS
|
Cardiac M <45.50
|
27
|
25
|
—
|
—
|
$30,275.16
|
$67,118.30
|
$33,898.13
|
2026-08-06
|
|
D1404
|
HCPCS
|
Cardiac M <45.50
|
27
|
25
|
—
|
—
|
$28,149.23
|
$62,061.34
|
$31,344.11
|
2026-08-06
|
|
A1404
|
HCPCS
|
Cardiac M <45.50
|
27
|
25
|
—
|
—
|
$25,901.52
|
$57,070.35
|
$28,823.41
|
2026-08-06
|
|
B1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
27
|
25
|
—
|
—
|
$30,354.84
|
$66,780.65
|
$33,727.60
|
2026-08-06
|
|
C1403
|
HCPCS
|
Cardiac M >=45.50 And M <55.50
|
27
|
25
|
—
|
—
|
$24,452.17
|
$53,794.78
|
$27,169.08
|
2026-08-06
|
|
B1402
|
HCPCS
|
Cardiac M >=55.50 And M <68.50
|
27
|
25
|
—
|
—
|
$25,113.71
|
$55,250.16
|
$27,904.12
|
2026-08-06
|
|
2004
|
APR_DRG
|
Cardiac Structural And Valvular Disorders
|
3
|
3
|
—
|
—
|
$92,080.74
|
$96,684.78
|
$92,080.74
|
2026-08-06
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$61,552.69
|
$64,630.32
|
$61,552.69
|
2026-08-06
|
|
1623
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$34,632.37
|
$36,363.99
|
$34,632.37
|
2026-08-06
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$36,684.85
|
$38,519.09
|
$36,684.85
|
2026-08-06
|
|
2054
|
APR_DRG
|
Cardiomyopathy
|
3
|
3
|
—
|
—
|
$35,973.66
|
$37,772.34
|
$35,973.66
|
2026-08-06
|
|
6954
|
APR_DRG
|
Chemotherapy For Acute Leukemia
|
3
|
3
|
—
|
—
|
$35,927.42
|
$37,723.79
|
$35,927.42
|
2026-08-06
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
3
|
—
|
—
|
$99,088.76
|
$104,043.20
|
$99,088.76
|
2026-08-06
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
3
|
—
|
—
|
$56,307.35
|
$59,122.72
|
$56,307.35
|
2026-08-06
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
3
|
3
|
—
|
—
|
$39,130.05
|
$41,086.55
|
$39,130.05
|
2026-08-06
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
3
|
3
|
—
|
—
|
$31,728.67
|
$33,315.10
|
$31,728.67
|
2026-08-06
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$39,639.34
|
$41,621.31
|
$39,639.34
|
2026-08-06
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
3
|
3
|
—
|
—
|
$36,075.58
|
$37,879.36
|
$36,075.58
|
2026-08-06
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$43,425.51
|
$45,596.79
|
$43,425.51
|
2026-08-06
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$36,736.30
|
$38,573.12
|
$36,736.30
|
2026-08-06
|
|
3032
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
3
|
3
|
—
|
—
|
$26,653.96
|
$27,986.66
|
$26,653.96
|
2026-08-06
|
|
A5104
|
HCPCS
|
Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More
|
1
|
1
|
—
|
—
|
$42,686.83
|
$42,686.83
|
$42,686.83
|
2026-08-06
|
|
A5102
|
HCPCS
|
Expired, Orthopedic, Length Of Stay Is 14 Days Or More
|
1
|
1
|
—
|
—
|
$32,105.57
|
$32,105.57
|
$32,105.57
|
2026-08-06
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$33,582.84
|
$35,261.98
|
$33,582.84
|
2026-08-06
|
|
9504
|
APR_DRG
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$38,462.50
|
$40,385.63
|
$38,462.50
|
2026-08-06
|
|
7924
|
APR_DRG
|
Extensive O.r. Procedures For Other Complications Of Treatment
|
3
|
3
|
—
|
—
|
$36,084.38
|
$37,888.60
|
$36,084.38
|
2026-08-06
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
3
|
—
|
—
|
$83,042.06
|
$87,194.16
|
$83,042.06
|
2026-08-06
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
3
|
3
|
—
|
—
|
$35,890.62
|
$37,685.15
|
$35,890.62
|
2026-08-06
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
3
|
3
|
—
|
—
|
$47,763.64
|
$50,151.82
|
$47,763.64
|
2026-08-06
|
|
1783
|
APR_DRG
|
External Heart Assist Systems
|
3
|
3
|
—
|
—
|
$30,566.15
|
$32,094.46
|
$30,566.15
|
2026-08-06
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
3
|
—
|
—
|
$142,421.46
|
$149,542.53
|
$142,421.46
|
2026-08-06
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
3
|
—
|
—
|
$69,971.36
|
$73,469.93
|
$69,971.36
|
2026-08-06
|
|
92
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
3
|
—
|
—
|
$46,019.86
|
$48,320.85
|
$46,019.86
|
2026-08-06
|
|
91
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
3
|
3
|
—
|
—
|
$44,630.04
|
$46,861.54
|
$44,630.04
|
2026-08-06
|
|
B0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
27
|
25
|
—
|
—
|
$40,468.42
|
$89,030.52
|
$44,964.91
|
2026-08-06
|
|
C0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
27
|
25
|
—
|
—
|
$32,243.47
|
$71,185.61
|
$35,952.33
|
2026-08-06
|
|
D0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
27
|
25
|
—
|
—
|
$30,543.81
|
$67,607.32
|
$34,145.11
|
2026-08-06
|
|
A0704
|
HCPCS
|
Fracture Of Lower Extremity M <41.50
|
27
|
25
|
—
|
—
|
$28,080.92
|
$61,778.02
|
$31,201.02
|
2026-08-06
|
|
B0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
27
|
25
|
—
|
—
|
$32,773.42
|
$72,101.52
|
$36,414.91
|
2026-08-06
|
|
C0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
27
|
25
|
—
|
—
|
$26,203.92
|
$57,648.63
|
$29,115.47
|
2026-08-06
|
|
D0703
|
HCPCS
|
Fracture Of Lower Extremity M >=41.50 And M <52.50
|
27
|
25
|
—
|
—
|
$24,887.90
|
$54,753.38
|
$27,653.22
|
2026-08-06
|
|
B0702
|
HCPCS
|
Fracture Of Lower Extremity M >=52.50 And M <61.50
|
27
|
25
|
—
|
—
|
$26,752.55
|
$58,855.62
|
$29,725.06
|
2026-08-06
|
|
28730
|
CPT
|
Fusion Of Foot Bones
|
49
|
34
|
$57,929.13
|
$57,929.13
|
$40,550.39
|
$49,239.76
|
$44,895.07
|
2026-08-06
|
|
2464
|
APR_DRG
|
Gastrointestinal Vascular Insufficiency
|
3
|
3
|
—
|
—
|
$68,424.59
|
$71,845.82
|
$68,424.59
|
2026-08-06
|
|
B1904
|
HCPCS
|
Guillain-barr M <38.50
|
27
|
25
|
—
|
—
|
$65,520.36
|
$164,694.82
|
$83,179.20
|
2026-08-06
|
|
C1904
|
HCPCS
|
Guillain-barr M <38.50
|
27
|
25
|
—
|
—
|
$50,372.03
|
$116,395.57
|
$58,785.64
|
2026-08-06
|
|
A1904
|
HCPCS
|
Guillain-barr M <38.50
|
27
|
25
|
—
|
—
|
$46,007.69
|
$101,216.91
|
$51,119.65
|
2026-08-06
|
|
D1904
|
HCPCS
|
Guillain-barr M <38.50
|
27
|
25
|
—
|
—
|
$45,993.57
|
$101,185.86
|
$51,103.97
|
2026-08-06
|
|
B1903
|
HCPCS
|
Guillain-barr M >=38.50 And M <51.50
|
27
|
25
|
—
|
—
|
$44,979.31
|
$107,104.42
|
$54,093.14
|
2026-08-06
|
|
C1903
|
HCPCS
|
Guillain-barr M >=38.50 And M <51.50
|
27
|
25
|
—
|
—
|
$34,406.97
|
$75,695.34
|
$38,229.97
|
2026-08-06
|
|
A1903
|
HCPCS
|
Guillain-barr M >=38.50 And M <51.50
|
27
|
25
|
—
|
—
|
$29,919.11
|
$65,822.05
|
$33,243.46
|
2026-08-06
|
|
D1903
|
HCPCS
|
Guillain-barr M >=38.50 And M <51.50
|
27
|
25
|
—
|
—
|
$29,912.06
|
$65,806.53
|
$33,235.62
|
2026-08-06
|
|
B1902
|
HCPCS
|
Guillain-barr M >=51.50 And M <66.50
|
27
|
25
|
—
|
—
|
$29,811.29
|
$75,699.22
|
$38,231.93
|
2026-08-06
|
|
C1902
|
HCPCS
|
Guillain-barr M >=51.50 And M <66.50
|
27
|
25
|
—
|
—
|
$22,919.50
|
$53,499.82
|
$27,020.11
|
2026-08-06
|
|
2274
|
APR_DRG
|
Hernia Procedures Except Inguinal, Femoral And Umbilical
|
3
|
3
|
—
|
—
|
$28,460.26
|
$29,883.27
|
$28,460.26
|
2026-08-06
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$152,022.84
|
$159,623.98
|
$152,022.84
|
2026-08-06
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$79,236.36
|
$83,198.18
|
$79,236.36
|
2026-08-06
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$56,958.62
|
$59,806.55
|
$56,958.62
|
2026-08-06
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
3
|
3
|
—
|
—
|
$54,020.08
|
$56,721.08
|
$54,020.08
|
2026-08-06
|
|
33208
|
CPT
|
Ins/Rplc Pacemkr; Atr+vnt
|
49
|
34
|
$48,848.87
|
$48,848.87
|
$34,194.21
|
$41,521.54
|
$37,857.88
|
2026-08-06
|
|
33216
|
CPT
|
Insert 1 Electrode Pm-defib
|
49
|
34
|
$38,328.90
|
$38,328.90
|
$26,830.23
|
$32,579.57
|
$29,704.90
|
2026-08-06
|
|
33217
|
CPT
|
Insert 2 Electrode Pm-defib
|
49
|
34
|
$38,328.90
|
$38,328.90
|
$26,830.23
|
$32,579.57
|
$29,704.90
|
2026-08-06
|
|
33207
|
CPT
|
Insrt Heart Pm Venticular
|
49
|
34
|
$48,848.87
|
$48,848.87
|
$34,194.21
|
$41,521.54
|
$37,857.88
|
2026-08-06
|
|
4424
|
APR_DRG
|
Kidney And Urinary Tract Procedures For Malignancy
|
3
|
3
|
—
|
—
|
$34,101.90
|
$35,807.00
|
$34,101.90
|
2026-08-06
|
|
1814
|
APR_DRG
|
Lower Extremity Arterial Procedures
|
3
|
3
|
—
|
—
|
$28,547.53
|
$29,974.91
|
$28,547.53
|
2026-08-06
|
|
1694
|
APR_DRG
|
Major Abdominal Vascular Procedures
|
3
|
3
|
—
|
—
|
$32,866.77
|
$34,510.11
|
$32,866.77
|
2026-08-06
|
|
2614
|
APR_DRG
|
Major Biliary Tract Procedures
|
3
|
3
|
—
|
—
|
$27,168.79
|
$28,527.23
|
$27,168.79
|
2026-08-06
|
|
4414
|
APR_DRG
|
Major Bladder Procedures
|
3
|
3
|
—
|
—
|
$50,996.23
|
$53,546.04
|
$50,996.23
|
2026-08-06
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
3
|
—
|
—
|
$70,561.09
|
$74,089.14
|
$70,561.09
|
2026-08-06
|
|
1603
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
3
|
3
|
—
|
—
|
$29,818.49
|
$31,309.41
|
$29,818.49
|
2026-08-06
|
|
894
|
APR_DRG
|
Major Cranial Or Facial Bone Procedures
|
3
|
3
|
—
|
—
|
$32,259.13
|
$33,872.09
|
$32,259.13
|
2026-08-06
|
|
6604
|
APR_DRG
|
Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…
|
3
|
3
|
—
|
—
|
$28,366.80
|
$29,785.14
|
$28,366.80
|
2026-08-06
|
|
B1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
27
|
25
|
—
|
—
|
$61,632.08
|
$139,402.24
|
$70,405.17
|
2026-08-06
|
|
C1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
27
|
25
|
—
|
—
|
$49,166.68
|
$114,043.68
|
$57,597.82
|
2026-08-06
|
|
D1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
27
|
25
|
—
|
—
|
$46,677.19
|
$104,911.65
|
$52,985.68
|
2026-08-06
|
|
A1806
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50
|
27
|
25
|
—
|
—
|
$43,277.86
|
$98,469.16
|
$49,731.90
|
2026-08-06
|
|
B1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
27
|
25
|
—
|
—
|
$43,397.86
|
$96,218.16
|
$48,595.03
|
2026-08-06
|
|
C1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
27
|
25
|
—
|
—
|
$34,620.14
|
$78,714.78
|
$39,754.94
|
2026-08-06
|
|
D1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
27
|
25
|
—
|
—
|
$32,866.74
|
$72,412.01
|
$36,571.72
|
2026-08-06
|
|
A1805
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50
|
27
|
25
|
—
|
—
|
$30,473.96
|
$67,964.37
|
$34,325.44
|
2026-08-06
|
|
B1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
27
|
25
|
—
|
—
|
$35,795.04
|
$80,201.21
|
$40,505.66
|
2026-08-06
|
|
C1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
27
|
25
|
—
|
—
|
$28,555.79
|
$65,612.47
|
$33,137.61
|
2026-08-06
|
|
D1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
27
|
25
|
—
|
—
|
$27,108.66
|
$60,357.57
|
$30,483.62
|
2026-08-06
|
|
A1804
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50
|
27
|
25
|
—
|
—
|
$25,134.97
|
$56,651.21
|
$28,611.72
|
2026-08-06
|
|
B1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
27
|
25
|
—
|
—
|
$31,213.96
|
$68,670.72
|
$34,682.18
|
2026-08-06
|
|
C1803
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50
|
27
|
25
|
—
|
—
|
$25,535.32
|
$56,177.71
|
$28,372.58
|
2026-08-06
|
|
B1802
|
HCPCS
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50
|
27
|
25
|
—
|
—
|
$25,090.78
|
$55,199.71
|
$27,878.64
|
2026-08-06
|
|
B1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
27
|
25
|
—
|
—
|
$45,085.07
|
$99,187.15
|
$50,094.52
|
2026-08-06
|
|
C1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
27
|
25
|
—
|
—
|
$35,717.71
|
$78,578.95
|
$39,686.34
|
2026-08-06
|
|
D1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
27
|
25
|
—
|
—
|
$33,163.29
|
$72,959.24
|
$36,848.10
|
2026-08-06
|
|
A1705
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50
|
27
|
25
|
—
|
—
|
$30,529.49
|
$67,164.87
|
$33,921.65
|
2026-08-06
|
|
B1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
27
|
25
|
—
|
—
|
$38,727.25
|
$85,199.95
|
$43,030.28
|
2026-08-06
|
|
C1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
27
|
25
|
—
|
—
|
$30,681.20
|
$67,498.64
|
$34,090.22
|
2026-08-06
|
|
D1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
27
|
25
|
—
|
—
|
$28,486.67
|
$62,670.66
|
$31,651.85
|
2026-08-06
|
|
A1704
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50
|
27
|
25
|
—
|
—
|
$26,134.35
|
$57,695.20
|
$29,138.99
|
2026-08-06
|
|
B1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$33,655.47
|
$74,042.04
|
$37,394.97
|
2026-08-06
|
|
C1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$26,662.58
|
$58,657.68
|
$29,625.09
|
2026-08-06
|
|
D1703
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$24,755.60
|
$54,462.32
|
$27,506.22
|
2026-08-06
|
|
B1702
|
HCPCS
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=50.50 And M <57.50
|
27
|
25
|
—
|
—
|
$28,684.24
|
$63,105.33
|
$31,871.38
|
2026-08-06
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
3
|
—
|
—
|
$52,238.53
|
$54,850.46
|
$52,238.53
|
2026-08-06
|
|
2604
|
APR_DRG
|
Major Pancreas, Liver And Shunt Procedures
|
3
|
3
|
—
|
—
|
$30,928.26
|
$32,474.67
|
$30,928.26
|
2026-08-06
|
|
1204
|
APR_DRG
|
Major Respiratory And Chest Procedures
|
3
|
3
|
—
|
—
|
$32,733.26
|
$34,369.92
|
$32,733.26
|
2026-08-06
|
|
2304
|
APR_DRG
|
Major Small Bowel Procedures
|
3
|
3
|
—
|
—
|
$34,425.59
|
$36,146.87
|
$34,425.59
|
2026-08-06
|
|
2204
|
APR_DRG
|
Major Stomach, Esophageal And Duodenal Procedures
|
3
|
3
|
—
|
—
|
$40,697.99
|
$42,732.89
|
$40,697.99
|
2026-08-06
|
|
B2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
27
|
25
|
—
|
—
|
$39,018.33
|
$85,840.33
|
$43,353.70
|
2026-08-06
|
|
C2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
27
|
25
|
—
|
—
|
$31,291.58
|
$68,841.47
|
$34,768.42
|
2026-08-06
|
|
D2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
27
|
25
|
—
|
—
|
$29,100.57
|
$64,021.26
|
$32,333.97
|
2026-08-06
|
|
A2005
|
HCPCS
|
Miscellaneous M <46.50 And A <77.50
|
27
|
25
|
—
|
—
|
$26,639.65
|
$58,607.23
|
$29,599.61
|
2026-08-06
|
|
B2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
27
|
25
|
—
|
—
|
$37,277.16
|
$82,009.76
|
$41,419.07
|
2026-08-06
|
|
C2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
27
|
25
|
—
|
—
|
$29,894.41
|
$65,767.70
|
$33,216.01
|
2026-08-06
|
|
D2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
27
|
25
|
—
|
—
|
$27,802.19
|
$61,164.81
|
$30,891.32
|
2026-08-06
|
|
A2004
|
HCPCS
|
Miscellaneous M <46.50 And A >=77.50
|
27
|
25
|
—
|
—
|
$25,450.65
|
$55,991.43
|
$28,278.50
|
2026-08-06
|
|
B2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
27
|
25
|
—
|
—
|
$30,564.77
|
$67,242.50
|
$33,960.86
|
2026-08-06
|
|
C2003
|
HCPCS
|
Miscellaneous M >=46.50 And M <55.50
|
27
|
25
|
—
|
—
|
$24,512.15
|
$53,926.73
|
$27,235.72
|
2026-08-06
|
|
B2002
|
HCPCS
|
Miscellaneous M >=55.50 And M <66.50
|
27
|
25
|
—
|
—
|
$26,029.27
|
$57,264.39
|
$28,921.41
|
2026-08-06
|
|
9514
|
APR_DRG
|
Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$26,823.29
|
$28,164.45
|
$26,823.29
|
2026-08-06
|
|
434
|
APR_DRG
|
Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies
|
3
|
3
|
—
|
—
|
$46,071.63
|
$48,375.21
|
$46,071.63
|
2026-08-06
|
|
9124
|
APR_DRG
|
Musculoskeletal And Other Procedures For Multiple Significant Trauma
|
3
|
3
|
—
|
—
|
$32,216.47
|
$33,827.29
|
$32,216.47
|
2026-08-06
|
|
B0604
|
HCPCS
|
Neurological M <43.50
|
27
|
25
|
—
|
—
|
$43,216.88
|
$95,077.14
|
$48,018.76
|
2026-08-06
|
|
C0604
|
HCPCS
|
Neurological M <43.50
|
27
|
25
|
—
|
—
|
$32,729.32
|
$72,004.50
|
$36,365.91
|
2026-08-06
|
|
D0604
|
HCPCS
|
Neurological M <43.50
|
27
|
25
|
—
|
—
|
$30,827.62
|
$67,820.76
|
$34,252.91
|
2026-08-06
|
|
A0604
|
HCPCS
|
Neurological M <43.50
|
27
|
25
|
—
|
—
|
$27,689.29
|
$60,916.44
|
$30,765.88
|
2026-08-06
|
|
B0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
27
|
25
|
—
|
—
|
$34,170.59
|
$75,175.29
|
$37,967.32
|
2026-08-06
|
|
C0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
27
|
25
|
—
|
—
|
$25,879.33
|
$56,934.52
|
$28,754.81
|
2026-08-06
|
|
D0603
|
HCPCS
|
Neurological M >=43.50 And M <52.50
|
27
|
25
|
—
|
—
|
$24,374.55
|
$53,624.00
|
$27,082.83
|
2026-08-06
|
|
B0602
|
HCPCS
|
Neurological M >=52.50 And M <64.50
|
27
|
25
|
—
|
—
|
$28,735.40
|
$63,217.88
|
$31,928.22
|
2026-08-06
|
|
504
|
APR_DRG
|
Non-bacterial Infections Of Nervous System Except Viral Meningitis
|
3
|
3
|
—
|
—
|
$26,384.66
|
$27,703.89
|
$26,384.66
|
2026-08-06
|
|
9524
|
APR_DRG
|
Non-extensive O.r. Procedure Unrelated To Principal Diagnosis
|
3
|
3
|
—
|
—
|
$33,892.52
|
$35,587.15
|
$33,892.52
|
2026-08-06
|
|
B0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
27
|
25
|
—
|
—
|
$41,807.37
|
$91,976.21
|
$46,452.63
|
2026-08-06
|
|
C0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
27
|
25
|
—
|
—
|
$33,135.07
|
$72,897.15
|
$36,816.74
|
2026-08-06
|
|
D0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
27
|
25
|
—
|
—
|
$30,891.13
|
$67,960.49
|
$34,323.48
|
2026-08-06
|
|
A0305
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A <78.50
|
27
|
25
|
—
|
—
|
$28,918.86
|
$63,621.50
|
$32,132.07
|
2026-08-06
|
|
B0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
27
|
25
|
—
|
—
|
$38,166.27
|
$83,965.80
|
$42,406.97
|
2026-08-06
|
|
C0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
27
|
25
|
—
|
—
|
$30,249.00
|
$66,547.80
|
$33,610.00
|
2026-08-06
|
|
D0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
27
|
25
|
—
|
—
|
$28,199.12
|
$62,038.05
|
$31,332.35
|
2026-08-06
|
|
A0304
|
HCPCS
|
Non-traumatic Brain Injury M <42.50 And A >=78.50
|
27
|
25
|
—
|
—
|
$26,399.74
|
$58,079.42
|
$29,333.04
|
2026-08-06
|
|
B0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
27
|
25
|
—
|
—
|
$32,215.97
|
$70,875.13
|
$35,795.52
|
2026-08-06
|
|
C0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
27
|
25
|
—
|
—
|
$25,533.56
|
$56,173.83
|
$28,370.62
|
2026-08-06
|
|
D0303
|
HCPCS
|
Non-traumatic Brain Injury M >=42.50 And M <52.50
|
27
|
25
|
—
|
—
|
$23,804.75
|
$52,370.45
|
$26,449.72
|
2026-08-06
|
|
B0302
|
HCPCS
|
Non-traumatic Brain Injury M >=52.50 And M <65.50
|
27
|
25
|
—
|
—
|
$27,246.50
|
$59,942.30
|
$30,273.89
|
2026-08-06
|
|
B0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
27
|
25
|
—
|
—
|
$54,022.10
|
$121,250.73
|
$61,237.74
|
2026-08-06
|
|
C0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
27
|
25
|
—
|
—
|
$42,027.74
|
$93,179.33
|
$47,060.27
|
2026-08-06
|
|
D0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
27
|
25
|
—
|
—
|
$39,402.90
|
$86,686.38
|
$43,781.00
|
2026-08-06
|
|
A0505
|
HCPCS
|
Non-traumatic Spinal Cord Injury M <39.50
|
27
|
25
|
—
|
—
|
$36,312.20
|
$79,886.84
|
$40,346.89
|
2026-08-06
|
|
B0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
27
|
25
|
—
|
—
|
$38,790.77
|
$85,339.68
|
$43,100.85
|
2026-08-06
|
|
C0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
27
|
25
|
—
|
—
|
$29,809.74
|
$65,581.42
|
$33,121.93
|
2026-08-06
|
|
D0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
27
|
25
|
—
|
—
|
$27,731.63
|
$61,009.58
|
$30,812.92
|
2026-08-06
|
|
A0504
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50
|
27
|
25
|
—
|
—
|
$25,556.50
|
$56,224.30
|
$28,396.11
|
2026-08-06
|
|
B0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
27
|
25
|
—
|
—
|
$32,462.94
|
$71,418.46
|
$36,069.93
|
2026-08-06
|
|
C0503
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50
|
27
|
25
|
—
|
—
|
$24,947.88
|
$54,885.34
|
$27,719.87
|
2026-08-06
|
|
B0502
|
HCPCS
|
Non-traumatic Spinal Cord Injury M >=53.50 And M <60.50
|
27
|
25
|
—
|
—
|
$28,532.51
|
$63,070.41
|
$31,853.74
|
2026-08-06
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
3
|
3
|
—
|
—
|
$34,550.31
|
$36,277.83
|
$34,550.31
|
2026-08-06
|
|
204
|
APR_DRG
|
Open Craniotomy For Trauma
|
3
|
3
|
—
|
—
|
$29,022.96
|
$30,474.11
|
$29,022.96
|
2026-08-06
|
|
37236
|
CPT
|
Open/Perq Place Stent 1st
|
49
|
34
|
$47,189.05
|
$47,189.05
|
$33,032.34
|
$40,110.69
|
$36,571.51
|
2026-08-06
|
|
B1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
27
|
25
|
—
|
—
|
$37,866.38
|
$83,306.03
|
$42,073.75
|
2026-08-06
|
|
C1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
27
|
25
|
—
|
—
|
$29,734.27
|
$66,120.87
|
$33,394.38
|
2026-08-06
|
|
D1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
27
|
25
|
—
|
—
|
$26,858.40
|
$59,088.49
|
$29,842.67
|
2026-08-06
|
|
A1204
|
HCPCS
|
Osteoarthritis M <49.50 And A <74.50
|
27
|
25
|
—
|
—
|
$24,873.79
|
$54,722.33
|
$27,637.54
|
2026-08-06
|
|
B1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
27
|
25
|
—
|
—
|
$36,781.45
|
$80,919.19
|
$40,868.28
|
2026-08-06
|
|
C1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
27
|
25
|
—
|
—
|
$28,353.41
|
$64,223.06
|
$32,435.89
|
2026-08-06
|
|
D1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
27
|
25
|
—
|
—
|
$26,087.49
|
$57,392.48
|
$28,986.10
|
2026-08-06
|
|
A1203
|
HCPCS
|
Osteoarthritis M <49.50 And A >=74.50
|
27
|
25
|
—
|
—
|
$24,161.09
|
$53,154.41
|
$26,845.66
|
2026-08-06
|
|
B1202
|
HCPCS
|
Osteoarthritis M >=49.50 And M <61.50
|
27
|
25
|
—
|
—
|
$27,477.59
|
$60,450.71
|
$30,530.66
|
2026-08-06
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
3
|
3
|
—
|
—
|
$70,600.49
|
$74,130.51
|
$70,600.49
|
2026-08-06
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
3
|
3
|
—
|
—
|
$46,775.66
|
$49,114.44
|
$46,775.66
|
2026-08-06
|
|
4474
|
APR_DRG
|
Other Kidney, Urinary Tract And Related Procedures
|
3
|
3
|
—
|
—
|
$40,381.47
|
$42,400.54
|
$40,381.47
|
2026-08-06
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
3
|
3
|
—
|
—
|
$29,322.22
|
$30,788.33
|
$29,322.22
|
2026-08-06
|
|
264
|
APR_DRG
|
Other Nervous System And Related Procedures
|
3
|
3
|
—
|
—
|
$37,115.67
|
$38,971.45
|
$37,115.67
|
2026-08-06
|
|
B0904
|
HCPCS
|
Other Orthopedic M <44.5
|
27
|
25
|
—
|
—
|
$38,356.18
|
$87,253.02
|
$44,067.18
|
2026-08-06
|
|
C0904
|
HCPCS
|
Other Orthopedic M <44.5
|
27
|
25
|
—
|
—
|
$30,040.83
|
$66,089.83
|
$33,378.70
|
2026-08-06
|
|
D0904
|
HCPCS
|
Other Orthopedic M <44.5
|
27
|
25
|
—
|
—
|
$28,377.29
|
$62,430.03
|
$31,530.32
|
2026-08-06
|
|
A0904
|
HCPCS
|
Other Orthopedic M <44.5
|
27
|
25
|
—
|
—
|
$25,888.15
|
$56,953.93
|
$28,764.61
|
2026-08-06
|
|
B0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
27
|
25
|
—
|
—
|
$32,010.64
|
$72,458.58
|
$36,595.24
|
2026-08-06
|
|
C0903
|
HCPCS
|
Other Orthopedic M >=44.50 And M <51.50
|
27
|
25
|
—
|
—
|
$24,946.12
|
$54,881.46
|
$27,717.91
|
2026-08-06
|
|
B0902
|
HCPCS
|
Other Orthopedic M >=51.50 And M <63.50
|
27
|
25
|
—
|
—
|
$26,805.98
|
$61,060.03
|
$30,838.40
|
2026-08-06
|
|
1824
|
APR_DRG
|
Other Peripheral Vascular Procedures
|
3
|
3
|
—
|
—
|
$36,706.67
|
$38,542.00
|
$36,706.67
|
2026-08-06
|
|
6514
|
APR_DRG
|
Other Procedures Of Blood And Blood-forming Organs
|
3
|
3
|
—
|
—
|
$35,169.34
|
$36,927.81
|
$35,169.34
|
2026-08-06
|
|
1214
|
APR_DRG
|
Other Respiratory And Chest Procedures
|
3
|
3
|
—
|
—
|
$30,548.56
|
$32,075.99
|
$30,548.56
|
2026-08-06
|
|
B1604
|
HCPCS
|
Pain Syndrome M <43.50
|
27
|
25
|
—
|
—
|
$35,368.41
|
$77,810.50
|
$39,298.23
|
2026-08-06
|
|
C1604
|
HCPCS
|
Pain Syndrome M <43.50
|
27
|
25
|
—
|
—
|
$31,227.97
|
$69,734.12
|
$35,219.25
|
2026-08-06
|
|
D1604
|
HCPCS
|
Pain Syndrome M <43.50
|
27
|
25
|
—
|
—
|
$28,226.25
|
$63,788.39
|
$32,216.36
|
2026-08-06
|
|
A1604
|
HCPCS
|
Pain Syndrome M <43.50
|
27
|
25
|
—
|
—
|
$26,128.98
|
$57,819.39
|
$29,201.71
|
2026-08-06
|
|
B1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
27
|
25
|
—
|
—
|
$27,020.70
|
$59,445.54
|
$30,023.00
|
2026-08-06
|
|
C1603
|
HCPCS
|
Pain Syndrome M >=43.50 And M <58.50
|
27
|
25
|
—
|
—
|
$24,215.78
|
$53,274.71
|
$26,906.42
|
2026-08-06
|
|
4834
|
APR_DRG
|
Penis, Testes And Scrotal Procedures
|
3
|
3
|
—
|
—
|
$32,608.86
|
$34,239.30
|
$32,608.86
|
2026-08-06
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
3
|
—
|
—
|
$27,606.77
|
$28,987.11
|
$27,606.77
|
2026-08-06
|
|
1833
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
3
|
3
|
—
|
—
|
$26,928.79
|
$28,275.23
|
$26,928.79
|
2026-08-06
|
|
2244
|
APR_DRG
|
Peritoneal Adhesiolysis
|
3
|
3
|
—
|
—
|
$29,770.95
|
$31,259.50
|
$29,770.95
|
2026-08-06
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
3
|
3
|
—
|
—
|
$80,046.86
|
$84,049.20
|
$80,046.86
|
2026-08-06
|
|
B1504
|
HCPCS
|
Pulmonary M <45.50
|
27
|
25
|
—
|
—
|
$40,734.63
|
$90,912.81
|
$45,915.56
|
2026-08-06
|
|
C1504
|
HCPCS
|
Pulmonary M <45.50
|
27
|
25
|
—
|
—
|
$33,061.96
|
$73,098.95
|
$36,918.66
|
2026-08-06
|
|
D1504
|
HCPCS
|
Pulmonary M <45.50
|
27
|
25
|
—
|
—
|
$31,093.65
|
$68,457.25
|
$34,574.37
|
2026-08-06
|
|
A1504
|
HCPCS
|
Pulmonary M <45.50
|
27
|
25
|
—
|
—
|
$29,085.93
|
$65,441.71
|
$33,051.37
|
2026-08-06
|
|
B1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
27
|
25
|
—
|
—
|
$32,893.61
|
$72,497.38
|
$36,614.84
|
2026-08-06
|
|
C1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
27
|
25
|
—
|
—
|
$26,496.76
|
$58,292.86
|
$29,440.84
|
2026-08-06
|
|
D1503
|
HCPCS
|
Pulmonary M >=45.50 And M <56.50
|
27
|
25
|
—
|
—
|
$24,813.81
|
$54,590.38
|
$27,570.90
|
2026-08-06
|
|
B1502
|
HCPCS
|
Pulmonary M >=56.50 And M <68.50
|
27
|
25
|
—
|
—
|
$28,264.38
|
$62,181.64
|
$31,404.87
|
2026-08-06
|
|
B0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
27
|
25
|
—
|
—
|
$36,887.30
|
$81,152.06
|
$40,985.89
|
2026-08-06
|
|
C0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
27
|
25
|
—
|
—
|
$29,623.23
|
$68,348.59
|
$34,519.49
|
2026-08-06
|
|
D0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
27
|
25
|
—
|
—
|
$27,008.36
|
$61,094.96
|
$30,856.04
|
2026-08-06
|
|
A0805
|
HCPCS
|
Replacement Of Lower-extremity Joint M <42.50
|
27
|
25
|
—
|
—
|
$25,190.49
|
$57,241.11
|
$28,909.65
|
2026-08-06
|
|
B0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
27
|
25
|
—
|
—
|
$29,615.69
|
$65,154.51
|
$32,906.32
|
2026-08-06
|
|
C0804
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50
|
27
|
25
|
—
|
—
|
$24,699.76
|
$54,877.58
|
$27,715.95
|
2026-08-06
|
|
B0803
|
HCPCS
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50
|
27
|
25
|
—
|
—
|
$26,069.85
|
$57,353.67
|
$28,966.50
|
2026-08-06
|
|
1304
|
APR_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours
|
3
|
3
|
—
|
—
|
$32,208.33
|
$33,818.75
|
$32,208.33
|
2026-08-06
|
|
B1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$38,356.18
|
$88,921.86
|
$44,910.03
|
2026-08-06
|
|
C1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$31,713.34
|
$71,092.45
|
$35,905.28
|
2026-08-06
|
|
D1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$29,608.63
|
$65,138.99
|
$32,898.48
|
2026-08-06
|
|
A1304
|
HCPCS
|
Rheumatoid Other Arthritis M <44.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$26,895.45
|
$59,169.98
|
$29,883.83
|
2026-08-06
|
|
B1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
27
|
25
|
—
|
—
|
$36,731.73
|
$88,747.20
|
$44,821.82
|
2026-08-06
|
|
C1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
27
|
25
|
—
|
—
|
$30,370.08
|
$70,948.86
|
$35,832.76
|
2026-08-06
|
|
D1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
27
|
25
|
—
|
—
|
$28,989.22
|
$65,007.02
|
$32,831.83
|
2026-08-06
|
|
A1305
|
HCPCS
|
Rheumatoid Other Arthritis M <51.50 And A <64.50
|
27
|
25
|
—
|
—
|
$26,842.53
|
$59,053.56
|
$29,825.03
|
2026-08-06
|
|
B1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$30,371.87
|
$68,895.80
|
$34,795.86
|
2026-08-06
|
|
C1303
|
HCPCS
|
Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50
|
27
|
25
|
—
|
—
|
$25,036.08
|
$55,079.38
|
$27,817.87
|
2026-08-06
|
|
B1302
|
HCPCS
|
Rheumatoid Other Arthritis M >=51.50 And M <62.50
|
27
|
25
|
—
|
—
|
$26,696.73
|
$59,612.41
|
$30,107.28
|
2026-08-06
|
|
3154
|
APR_DRG
|
Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
|
3
|
3
|
—
|
—
|
$32,978.79
|
$34,627.73
|
$32,978.79
|
2026-08-06
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
3
|
3
|
—
|
—
|
$29,480.80
|
$30,954.84
|
$29,480.80
|
2026-08-06
|
|
234
|
APR_DRG
|
Spinal Procedures
|
3
|
3
|
—
|
—
|
$39,783.28
|
$41,772.44
|
$39,783.28
|
2026-08-06
|
|
B0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
27
|
25
|
—
|
—
|
$49,968.09
|
$109,929.80
|
$55,520.10
|
2026-08-06
|
|
C0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
27
|
25
|
—
|
—
|
$44,372.37
|
$97,619.21
|
$49,302.63
|
2026-08-06
|
|
D0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
27
|
25
|
—
|
—
|
$40,202.04
|
$88,444.48
|
$44,668.93
|
2026-08-06
|
|
A0106
|
HCPCS
|
Stroke M <41.50 And A <84.50
|
27
|
25
|
—
|
—
|
$38,132.76
|
$83,892.07
|
$42,369.73
|
2026-08-06
|
|
B0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
27
|
25
|
—
|
—
|
$44,360.02
|
$97,592.04
|
$49,288.91
|
2026-08-06
|
|
C0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
27
|
25
|
—
|
—
|
$39,392.32
|
$86,663.10
|
$43,769.24
|
2026-08-06
|
|
D0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
27
|
25
|
—
|
—
|
$35,689.47
|
$78,516.84
|
$39,654.97
|
2026-08-06
|
|
A0105
|
HCPCS
|
Stroke M <41.50 And A >=84.50
|
27
|
25
|
—
|
—
|
$33,853.05
|
$74,476.71
|
$37,614.50
|
2026-08-06
|
|
B0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$35,594.22
|
$78,307.28
|
$39,549.13
|
2026-08-06
|
|
C0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$31,609.12
|
$69,540.06
|
$35,121.24
|
2026-08-06
|
|
D0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$28,638.38
|
$63,004.43
|
$31,820.42
|
2026-08-06
|
|
A0104
|
HCPCS
|
Stroke M >=41.50 And M <50.50
|
27
|
25
|
—
|
—
|
$27,163.59
|
$59,759.90
|
$30,181.77
|
2026-08-06
|
|
B0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
27
|
25
|
—
|
—
|
$27,869.23
|
$61,312.30
|
$30,965.81
|
2026-08-06
|
|
C0103
|
HCPCS
|
Stroke M >=50.50 And M <63.50
|
27
|
25
|
—
|
—
|
$24,748.54
|
$54,446.79
|
$27,498.38
|
2026-08-06
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$83,400.59
|
$87,570.62
|
$83,400.59
|
2026-08-06
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$53,622.15
|
$56,303.26
|
$53,622.15
|
2026-08-06
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$35,059.60
|
$36,812.58
|
$35,059.60
|
2026-08-06
|
|
41
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
3
|
3
|
—
|
—
|
$28,770.27
|
$30,208.78
|
$28,770.27
|
2026-08-06
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$53,640.39
|
$56,322.41
|
$53,640.39
|
2026-08-06
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$38,640.62
|
$40,572.65
|
$38,640.62
|
2026-08-06
|
|
52
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$35,287.55
|
$37,051.93
|
$35,287.55
|
2026-08-06
|
|
51
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
3
|
3
|
—
|
—
|
$28,825.62
|
$30,266.90
|
$28,825.62
|
2026-08-06
|
|
B0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
27
|
25
|
—
|
—
|
$47,255.68
|
$105,749.94
|
$53,409.06
|
2026-08-06
|
|
C0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
27
|
25
|
—
|
—
|
$38,219.19
|
$84,082.22
|
$42,465.77
|
2026-08-06
|
|
D0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
27
|
25
|
—
|
—
|
$34,916.81
|
$76,816.97
|
$38,796.45
|
2026-08-06
|
|
A0205
|
HCPCS
|
Traumatic Brain Injury M <35.50
|
27
|
25
|
—
|
—
|
$32,805.18
|
$72,171.40
|
$36,450.20
|
2026-08-06
|
|
B0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
27
|
25
|
—
|
—
|
$36,891.13
|
$82,428.90
|
$41,630.76
|
2026-08-06
|
|
C0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
27
|
25
|
—
|
—
|
$29,790.33
|
$65,538.73
|
$33,100.37
|
2026-08-06
|
|
D0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
27
|
25
|
—
|
—
|
$27,216.51
|
$59,876.33
|
$30,240.57
|
2026-08-06
|
|
A0204
|
HCPCS
|
Traumatic Brain Injury M >=35.50 And M <49.50
|
27
|
25
|
—
|
—
|
$25,570.61
|
$56,255.34
|
$28,411.79
|
2026-08-06
|
|
B0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
27
|
25
|
—
|
—
|
$29,745.02
|
$66,881.57
|
$33,778.57
|
2026-08-06
|
|
C0203
|
HCPCS
|
Traumatic Brain Injury M >=49.50 And M <61.50
|
27
|
25
|
—
|
—
|
$24,171.68
|
$53,177.69
|
$26,857.42
|
2026-08-06
|
|
B0202
|
HCPCS
|
Traumatic Brain Injury M >=61.50 And M <73.50
|
27
|
25
|
—
|
—
|
$23,884.85
|
$53,794.78
|
$27,169.08
|
2026-08-06
|
|
B0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$75,720.13
|
$175,918.72
|
$88,847.84
|
2026-08-06
|
|
C0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$65,359.85
|
$143,791.66
|
$72,622.05
|
2026-08-06
|
|
D0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$63,639.86
|
$140,007.68
|
$70,710.95
|
2026-08-06
|
|
A0407
|
HCPCS
|
Traumatic Spinal Cord Injury M <24.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$57,587.23
|
$126,691.90
|
$63,985.81
|
2026-08-06
|
|
B0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
27
|
25
|
—
|
—
|
$54,582.69
|
$123,280.50
|
$62,262.88
|
2026-08-06
|
|
C0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
27
|
25
|
—
|
—
|
$45,803.05
|
$100,766.71
|
$50,892.28
|
2026-08-06
|
|
D0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
27
|
25
|
—
|
—
|
$44,598.18
|
$98,115.99
|
$49,553.53
|
2026-08-06
|
|
A0404
|
HCPCS
|
Traumatic Spinal Cord Injury M <31.50 And A <61.50
|
27
|
25
|
—
|
—
|
$40,357.28
|
$88,786.01
|
$44,841.42
|
2026-08-06
|
|
B0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$55,386.85
|
$128,461.65
|
$64,879.62
|
2026-08-06
|
|
C0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$47,727.68
|
$105,000.90
|
$53,030.76
|
2026-08-06
|
|
D0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$46,471.64
|
$102,237.62
|
$51,635.16
|
2026-08-06
|
|
A0406
|
HCPCS
|
Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50
|
27
|
25
|
—
|
—
|
$42,052.58
|
$92,515.68
|
$46,725.09
|
2026-08-06
|
|
B0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
27
|
25
|
—
|
—
|
$43,406.81
|
$97,650.25
|
$49,318.31
|
2026-08-06
|
|
C0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
27
|
25
|
—
|
—
|
$36,280.45
|
$79,816.99
|
$40,311.61
|
2026-08-06
|
|
D0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
27
|
25
|
—
|
—
|
$35,326.07
|
$77,717.36
|
$39,251.19
|
2026-08-06
|
|
A0405
|
HCPCS
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50
|
27
|
25
|
—
|
—
|
$31,967.23
|
$70,327.90
|
$35,519.14
|
2026-08-06
|
|
B0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
27
|
25
|
—
|
—
|
$34,583.39
|
$76,083.46
|
$38,425.99
|
2026-08-06
|
|
C0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
27
|
25
|
—
|
—
|
$28,267.91
|
$62,189.40
|
$31,408.79
|
2026-08-06
|
|
D0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
27
|
25
|
—
|
—
|
$27,523.47
|
$60,551.63
|
$30,581.63
|
2026-08-06
|
|
A0403
|
HCPCS
|
Traumatic Spinal Cord Injury M >=41.50 And M <47.50
|
27
|
25
|
—
|
—
|
$24,905.54
|
$54,792.18
|
$27,672.82
|
2026-08-06
|
|
B0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
27
|
25
|
—
|
—
|
$27,857.30
|
$65,919.07
|
$33,292.46
|
2026-08-06
|
|
C0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
27
|
25
|
—
|
—
|
$24,490.98
|
$53,880.16
|
$27,212.20
|
2026-08-06
|
|
D0402
|
HCPCS
|
Traumatic Spinal Cord Injury M >=47.50 And M <56.50
|
27
|
25
|
—
|
—
|
$23,847.08
|
$52,463.58
|
$26,496.76
|
2026-08-06
|
|
B0401
|
HCPCS
|
Traumatic Spinal Cord Injury M >=56.50
|
27
|
25
|
—
|
—
|
$21,599.53
|
$52,580.01
|
$26,555.56
|
2026-08-06
|
|
224
|
APR_DRG
|
Ventricular Shunt Procedures
|
3
|
3
|
—
|
—
|
$34,289.80
|
$36,004.29
|
$34,289.80
|
2026-08-06
|