|
A0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,541.12
|
$39,941.07
|
$23,545.50
|
2026-05-23
|
|
A0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; N…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$26,235.25
|
$51,012.99
|
$29,906.50
|
2026-05-23
|
|
A0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$32,696.09
|
$63,575.74
|
$37,013.00
|
2026-05-23
|
|
A0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
27
|
21
|
$54,340.00
|
$26,400.00
51% off
|
$36,829.53
|
$71,612.98
|
$41,856.50
|
2026-05-23
|
|
A0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,038.50
|
$38,963.74
|
$22,782.00
|
2026-05-23
|
|
A0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$24,696.71
|
$48,021.38
|
$28,135.50
|
2026-05-23
|
|
A0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$31,684.03
|
$61,607.84
|
$35,754.00
|
2026-05-23
|
|
A0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,201.79
|
$35,392.37
|
$20,721.00
|
2026-05-23
|
|
A0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,524.22
|
$41,852.65
|
$24,501.50
|
2026-05-23
|
|
A0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,497.50
|
$49,578.47
|
$28,914.00
|
2026-05-23
|
|
A0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,930.54
|
$54,309.38
|
$31,554.50
|
2026-05-23
|
|
A0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,840.99
|
$40,524.15
|
$23,837.00
|
2026-05-23
|
|
A0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$24,054.37
|
$46,772.39
|
$27,786.00
|
2026-05-23
|
|
A0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
27
|
21
|
$54,340.00
|
$26,400.00
51% off
|
$38,978.04
|
$75,790.63
|
$43,945.50
|
2026-05-23
|
|
A0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$30,874.72
|
$60,034.18
|
$35,242.00
|
2026-05-23
|
|
A0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$59,280.00
|
$28,800.00
51% off
|
$40,615.40
|
$78,974.38
|
$46,087.00
|
2026-05-23
|
|
A0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$81,510.00
|
$39,600.00
51% off
|
$55,619.14
|
$108,148.32
|
$63,149.00
|
2026-05-23
|
|
A0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$18,242.68
|
$35,471.88
|
$21,036.00
|
2026-05-23
|
|
A0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,656.98
|
$40,166.35
|
$23,658.00
|
2026-05-23
|
|
A0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$24,683.08
|
$47,994.88
|
$28,122.50
|
2026-05-23
|
|
A0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$35,071.20
|
$68,194.00
|
$39,597.00
|
2026-05-23
|
|
A0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,145.97
|
$41,117.17
|
$24,133.50
|
2026-05-23
|
|
A0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$26,742.98
|
$52,000.25
|
$30,400.00
|
2026-05-23
|
|
A0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$21,965.50
|
$42,710.70
|
$25,205.50
|
2026-05-23
|
|
A0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,121.23
|
$52,735.73
|
$30,768.00
|
2026-05-23
|
|
A0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,176.50
|
$39,232.09
|
$22,916.00
|
2026-05-23
|
|
A0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$25,129.48
|
$48,862.87
|
$28,281.50
|
2026-05-23
|
|
A0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,764.32
|
$40,375.06
|
$23,762.50
|
2026-05-23
|
|
A0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,003.40
|
$48,617.71
|
$28,434.00
|
2026-05-23
|
|
A1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,198.79
|
$41,219.87
|
$24,185.00
|
2026-05-23
|
|
A1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$28,198.04
|
$54,829.52
|
$32,090.00
|
2026-05-23
|
|
A1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,757.23
|
$36,472.40
|
$21,261.00
|
2026-05-23
|
|
A1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$23,493.82
|
$45,682.43
|
$26,416.00
|
2026-05-23
|
|
A1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,335.37
|
$45,374.32
|
$26,537.00
|
2026-05-23
|
|
A1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$24,023.71
|
$46,712.76
|
$27,481.50
|
2026-05-23
|
|
A1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,125.39
|
$39,132.70
|
$22,866.50
|
2026-05-23
|
|
A1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,976.27
|
$50,509.41
|
$29,379.50
|
2026-05-23
|
|
A1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$25,925.16
|
$50,410.03
|
$29,055.00
|
2026-05-23
|
|
A1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,081.09
|
$39,046.57
|
$22,823.50
|
2026-05-23
|
|
A1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,054.51
|
$48,717.10
|
$28,483.50
|
2026-05-23
|
|
A1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$19,651.73
|
$38,211.70
|
$22,131.00
|
2026-05-23
|
|
A1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,909.41
|
$44,546.08
|
$25,848.00
|
2026-05-23
|
|
A1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$28,729.63
|
$55,863.16
|
$32,056.50
|
2026-05-23
|
|
A1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,392.75
|
$37,708.13
|
$22,154.00
|
2026-05-23
|
|
A1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,383.34
|
$49,356.50
|
$28,803.50
|
2026-05-23
|
|
A1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$18,758.94
|
$36,475.71
|
$21,538.00
|
2026-05-23
|
|
A1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,011.51
|
$42,800.15
|
$24,975.00
|
2026-05-23
|
|
A1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,328.82
|
$49,250.49
|
$28,750.00
|
2026-05-23
|
|
A1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,486.12
|
$57,334.12
|
$33,342.00
|
2026-05-23
|
|
A1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,294.20
|
$41,405.40
|
$24,277.50
|
2026-05-23
|
|
A1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$24,870.50
|
$48,359.30
|
$28,579.50
|
2026-05-23
|
|
A1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$29,837.10
|
$58,016.59
|
$33,958.50
|
2026-05-23
|
|
A1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$59,280.00
|
$28,800.00
51% off
|
$43,229.04
|
$84,056.47
|
$48,628.00
|
2026-05-23
|
|
A1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,423.56
|
$39,712.47
|
$23,431.00
|
2026-05-23
|
|
A1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$28,896.60
|
$56,187.83
|
$33,044.00
|
2026-05-23
|
|
A1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$61,750.00
|
$30,000.00
51% off
|
$44,435.34
|
$86,402.04
|
$50,076.00
|
2026-05-23
|
|
A2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,156.06
|
$39,192.34
|
$22,896.00
|
2026-05-23
|
|
A2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$24,580.85
|
$47,796.10
|
$28,023.00
|
2026-05-23
|
|
A2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,729.22
|
$50,029.04
|
$29,139.50
|
2026-05-23
|
|
A2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$26,364.74
|
$51,264.77
|
$30,032.50
|
2026-05-23
|
|
B0102
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper Or Lower Extrem…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$20,967.07
|
$40,769.31
|
$23,409.50
|
2026-05-23
|
|
B0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$26,916.77
|
$52,338.17
|
$30,019.00
|
2026-05-23
|
|
B0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; S…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$34,377.75
|
$66,845.63
|
$37,823.00
|
2026-05-23
|
|
B0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
27
|
21
|
$56,810.00
|
$27,600.00
51% off
|
$42,843.98
|
$83,307.74
|
$47,979.00
|
2026-05-23
|
|
B0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
27
|
21
|
$59,280.00
|
$28,800.00
51% off
|
$48,260.39
|
$93,839.64
|
$53,520.00
|
2026-05-23
|
|
B0202
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$23,616.50
|
$45,920.96
|
$26,260.50
|
2026-05-23
|
|
B0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$29,361.74
|
$57,092.27
|
$32,396.00
|
2026-05-23
|
|
B0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$36,187.20
|
$70,363.99
|
$39,857.00
|
2026-05-23
|
|
B0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$69,160.00
|
$33,600.00
51% off
|
$46,425.38
|
$90,271.58
|
$52,836.00
|
2026-05-23
|
|
B0301
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Limited A…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$20,341.77
|
$39,553.45
|
$22,526.50
|
2026-05-23
|
|
B0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$26,315.33
|
$51,168.69
|
$28,884.50
|
2026-05-23
|
|
B0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$31,114.96
|
$60,501.31
|
$34,100.50
|
2026-05-23
|
|
B0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$36,861.91
|
$71,675.93
|
$40,788.00
|
2026-05-23
|
|
B0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$40,378.57
|
$78,513.88
|
$44,482.00
|
2026-05-23
|
|
B0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$23,083.20
|
$44,884.01
|
$25,742.00
|
2026-05-23
|
|
B0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$28,939.19
|
$56,270.66
|
$32,260.50
|
2026-05-23
|
|
B0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$33,401.47
|
$64,947.30
|
$37,148.50
|
2026-05-23
|
|
B0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
27
|
21
|
$56,810.00
|
$27,600.00
51% off
|
$54,121.49
|
$105,236.23
|
$58,943.00
|
2026-05-23
|
|
B0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$42,869.54
|
$83,357.43
|
$46,903.50
|
2026-05-23
|
|
B0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$56,810.00
|
$27,600.00
51% off
|
$56,396.07
|
$109,659.03
|
$61,154.50
|
2026-05-23
|
|
B0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$103,740.00
|
$50,400.00
51% off
|
$77,230.25
|
$150,169.93
|
$86,635.00
|
2026-05-23
|
|
B0501
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Lim…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$22,302.86
|
$43,366.67
|
$24,708.50
|
2026-05-23
|
|
B0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$27,688.60
|
$53,838.94
|
$30,769.50
|
2026-05-23
|
|
B0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$31,353.49
|
$60,965.12
|
$34,882.50
|
2026-05-23
|
|
B0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$37,465.05
|
$72,848.72
|
$41,374.50
|
2026-05-23
|
|
B0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$64,220.00
|
$31,200.00
51% off
|
$53,230.40
|
$103,503.55
|
$58,902.00
|
2026-05-23
|
|
B0601
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Limited Assistance…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$22,311.38
|
$43,383.23
|
$24,716.50
|
2026-05-23
|
|
B0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$27,753.34
|
$53,964.83
|
$30,557.50
|
2026-05-23
|
|
B0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$33,002.78
|
$64,172.07
|
$36,211.00
|
2026-05-23
|
|
B0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$41,739.91
|
$81,160.94
|
$46,080.50
|
2026-05-23
|
|
B0701
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Limited A…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$20,904.03
|
$40,646.73
|
$23,348.50
|
2026-05-23
|
|
B0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$25,838.26
|
$50,241.06
|
$28,695.50
|
2026-05-23
|
|
B0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$31,653.36
|
$61,548.20
|
$35,174.00
|
2026-05-23
|
|
B0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$39,085.38
|
$75,999.34
|
$42,949.50
|
2026-05-23
|
|
B0801
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$20,072.57
|
$39,030.00
|
$22,265.00
|
2026-05-23
|
|
B0802
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$22,878.75
|
$44,486.45
|
$24,993.00
|
2026-05-23
|
|
B0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$25,178.89
|
$48,958.95
|
$28,054.50
|
2026-05-23
|
|
B0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$28,603.54
|
$55,618.00
|
$31,659.00
|
2026-05-23
|
|
B0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$35,626.64
|
$69,274.03
|
$39,312.00
|
2026-05-23
|
|
B0901
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Limited Assist…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$21,101.67
|
$41,031.03
|
$23,540.50
|
2026-05-23
|
|
B0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$26,806.03
|
$52,122.83
|
$29,636.50
|
2026-05-23
|
|
B0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$31,810.11
|
$61,853.00
|
$35,051.50
|
2026-05-23
|
|
B0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$38,305.03
|
$74,482.01
|
$42,191.00
|
2026-05-23
|
|
B1001
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Limited A…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$20,938.11
|
$40,712.99
|
$23,381.50
|
2026-05-23
|
|
B1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$25,436.16
|
$49,459.21
|
$28,304.50
|
2026-05-23
|
|
B1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$30,273.28
|
$58,864.70
|
$33,557.50
|
2026-05-23
|
|
B1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$40,267.82
|
$78,298.54
|
$44,374.50
|
2026-05-23
|
|
B1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$23,042.31
|
$44,804.49
|
$25,702.00
|
2026-05-23
|
|
B1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$26,313.62
|
$51,165.38
|
$29,157.50
|
2026-05-23
|
|
B1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$32,958.48
|
$64,085.93
|
$36,443.00
|
2026-05-23
|
|
B1201
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Limited Assistance Required…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$22,570.36
|
$43,886.80
|
$24,968.50
|
2026-05-23
|
|
B1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$26,538.53
|
$51,602.69
|
$29,376.50
|
2026-05-23
|
|
B1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$35,524.42
|
$69,075.25
|
$38,937.50
|
2026-05-23
|
|
B1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$36,572.26
|
$71,112.72
|
$40,231.50
|
2026-05-23
|
|
B1301
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Limited Assis…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$21,343.61
|
$41,501.47
|
$23,500.50
|
2026-05-23
|
|
B1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$26,170.50
|
$50,887.09
|
$28,743.50
|
2026-05-23
|
|
B1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$30,246.02
|
$58,811.70
|
$33,256.00
|
2026-05-23
|
|
B1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$39,037.67
|
$75,906.58
|
$42,353.50
|
2026-05-23
|
|
B1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$38,961.00
|
$75,757.50
|
$42,554.00
|
2026-05-23
|
|
B1401
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Limited Assistance Requ…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$19,040.06
|
$37,022.35
|
$21,261.00
|
2026-05-23
|
|
B1402
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$24,255.42
|
$47,163.32
|
$26,881.50
|
2026-05-23
|
|
B1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$29,317.44
|
$57,006.13
|
$32,353.00
|
2026-05-23
|
|
B1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$36,577.37
|
$71,122.66
|
$40,511.50
|
2026-05-23
|
|
B1501
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Limited Assistance Requ…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$22,325.01
|
$43,409.74
|
$24,455.00
|
2026-05-23
|
|
B1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$27,298.43
|
$53,080.27
|
$29,840.00
|
2026-05-23
|
|
B1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$31,827.15
|
$61,886.13
|
$35,068.00
|
2026-05-23
|
|
B1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$39,911.72
|
$77,606.13
|
$44,303.00
|
2026-05-23
|
|
B1602
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$21,549.77
|
$41,902.34
|
$23,976.00
|
2026-05-23
|
|
B1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$26,097.24
|
$50,744.64
|
$28,947.50
|
2026-05-23
|
|
B1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$34,159.66
|
$66,421.57
|
$37,061.00
|
2026-05-23
|
|
B1701
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$22,474.94
|
$43,701.28
|
$25,150.50
|
2026-05-23
|
|
B1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$27,703.93
|
$53,868.76
|
$30,509.50
|
2026-05-23
|
|
B1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$32,505.27
|
$63,204.68
|
$35,727.50
|
2026-05-23
|
|
B1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$37,403.72
|
$72,729.45
|
$41,314.50
|
2026-05-23
|
|
B1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$43,544.24
|
$84,669.36
|
$47,559.50
|
2026-05-23
|
|
B1801
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,063.92
|
$37,068.73
|
$21,834.50
|
2026-05-23
|
|
B1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,233.27
|
$47,120.25
|
$27,410.00
|
2026-05-23
|
|
B1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$30,147.19
|
$58,619.55
|
$33,985.00
|
2026-05-23
|
|
B1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$35,209.21
|
$68,462.35
|
$39,456.00
|
2026-05-23
|
|
B1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$56,810.00
|
$27,600.00
51% off
|
$42,240.83
|
$82,134.95
|
$47,392.50
|
2026-05-23
|
|
B1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$88,920.00
|
$43,200.00
51% off
|
$61,199.11
|
$118,998.27
|
$69,399.00
|
2026-05-23
|
|
B1901
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Limited Assistance Required…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$22,842.97
|
$44,416.88
|
$25,233.50
|
2026-05-23
|
|
B1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$33,232.79
|
$64,619.32
|
$36,434.50
|
2026-05-23
|
|
B1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$47,020.01
|
$91,427.81
|
$51,214.00
|
2026-05-23
|
|
B1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$91,390.00
|
$44,400.00
51% off
|
$72,302.83
|
$140,588.84
|
$80,469.50
|
2026-05-23
|
|
B2001
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$20,248.06
|
$39,371.24
|
$22,435.50
|
2026-05-23
|
|
B2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$25,139.70
|
$48,882.75
|
$27,741.50
|
2026-05-23
|
|
B2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$29,520.19
|
$57,400.38
|
$32,550.00
|
2026-05-23
|
|
B2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$36,003.19
|
$70,006.19
|
$39,678.00
|
2026-05-23
|
|
B2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$37,684.85
|
$73,276.09
|
$41,588.00
|
2026-05-23
|
|
B2101
|
OTHER
|
Burn Rehabilitation ; Motor Function - Limited To Moderate Assistance Required; …
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$27,364.87
|
$53,209.48
|
$30,729.50
|
2026-05-23
|
|
B2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$43,363.64
|
$84,318.19
|
$47,384.00
|
2026-05-23
|
|
C0102
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper Or Lower Extrem…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,619.22
|
$36,204.05
|
$21,127.00
|
2026-05-23
|
|
C0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$23,902.74
|
$46,477.54
|
$27,364.00
|
2026-05-23
|
|
C0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; M…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$30,528.85
|
$59,361.65
|
$34,356.00
|
2026-05-23
|
|
C0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
27
|
21
|
$51,870.00
|
$25,200.00
51% off
|
$38,046.05
|
$73,978.44
|
$42,764.00
|
2026-05-23
|
|
C0106
|
OTHER
|
Rehabilitation Following Stroke And Age <84.50; Motor Function - Maximum Assista…
|
27
|
21
|
$59,280.00
|
$28,800.00
51% off
|
$42,855.91
|
$83,330.93
|
$48,265.50
|
2026-05-23
|
|
C0202
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury; Motor Function - Moderate Upper…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,777.68
|
$36,512.15
|
$21,281.00
|
2026-05-23
|
|
C0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,345.59
|
$45,394.20
|
$26,547.00
|
2026-05-23
|
|
C0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$28,772.22
|
$55,945.99
|
$32,648.00
|
2026-05-23
|
|
C0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$54,340.00
|
$26,400.00
51% off
|
$36,913.02
|
$71,775.32
|
$41,937.50
|
2026-05-23
|
|
C0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,856.32
|
$40,553.96
|
$23,577.00
|
2026-05-23
|
|
C0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,660.93
|
$47,951.81
|
$27,826.00
|
2026-05-23
|
|
C0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,215.21
|
$56,807.36
|
$33,078.50
|
2026-05-23
|
|
C0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$32,002.64
|
$62,227.36
|
$36,338.50
|
2026-05-23
|
|
C0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$18,867.98
|
$36,687.74
|
$21,644.00
|
2026-05-23
|
|
C0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,653.98
|
$45,993.85
|
$26,847.00
|
2026-05-23
|
|
C0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$27,301.83
|
$53,086.90
|
$30,668.50
|
2026-05-23
|
|
C0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
27
|
21
|
$81,510.00
|
$39,600.00
51% off
|
$44,237.69
|
$86,017.74
|
$52,084.00
|
2026-05-23
|
|
C0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$35,040.53
|
$68,134.37
|
$39,567.00
|
2026-05-23
|
|
C0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$71,630.00
|
$34,800.00
51% off
|
$46,096.55
|
$89,632.18
|
$52,791.00
|
2026-05-23
|
|
C0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$88,920.00
|
$43,200.00
51% off
|
$63,126.12
|
$122,745.23
|
$71,272.50
|
2026-05-23
|
|
C0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,278.87
|
$41,375.58
|
$24,263.00
|
2026-05-23
|
|
C0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,095.27
|
$46,851.91
|
$27,276.00
|
2026-05-23
|
|
C0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,790.96
|
$55,982.43
|
$32,391.00
|
2026-05-23
|
|
C0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$56,810.00
|
$27,600.00
51% off
|
$40,906.75
|
$79,540.90
|
$46,095.50
|
2026-05-23
|
|
C0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$21,019.89
|
$40,872.01
|
$23,736.00
|
2026-05-23
|
|
C0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,994.88
|
$48,601.15
|
$28,150.50
|
2026-05-23
|
|
C0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$31,610.77
|
$61,465.38
|
$35,407.50
|
2026-05-23
|
|
C0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,658.68
|
$40,169.66
|
$23,660.00
|
2026-05-23
|
|
C0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,308.38
|
$49,210.73
|
$28,730.50
|
2026-05-23
|
|
C0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$31,251.26
|
$60,766.34
|
$35,333.00
|
2026-05-23
|
|
C0802
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$24,700.00
|
$12,000.00
51% off
|
$19,270.08
|
$37,469.60
|
$21,485.00
|
2026-05-23
|
|
C0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$21,207.31
|
$41,236.43
|
$23,918.00
|
2026-05-23
|
|
C0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,091.86
|
$46,845.28
|
$27,272.50
|
2026-05-23
|
|
C0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$30,005.78
|
$58,344.57
|
$33,847.50
|
2026-05-23
|
|
C0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,304.29
|
$39,480.57
|
$23,040.50
|
2026-05-23
|
|
C0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,093.56
|
$46,848.59
|
$27,274.50
|
2026-05-23
|
|
C0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,014.16
|
$56,416.43
|
$32,883.00
|
2026-05-23
|
|
C1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,135.75
|
$41,097.29
|
$24,123.50
|
2026-05-23
|
|
C1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$25,155.03
|
$48,912.57
|
$28,856.50
|
2026-05-23
|
|
C1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$33,459.40
|
$65,059.94
|
$37,755.00
|
2026-05-23
|
|
C1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,815.57
|
$42,419.16
|
$24,784.50
|
2026-05-23
|
|
C1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$24,911.39
|
$48,438.81
|
$27,794.50
|
2026-05-23
|
|
C1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$31,201.85
|
$60,670.27
|
$35,010.00
|
2026-05-23
|
|
C1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$21,062.49
|
$40,954.83
|
$23,777.50
|
2026-05-23
|
|
C1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,194.63
|
$54,822.89
|
$31,811.50
|
2026-05-23
|
|
C1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$29,027.79
|
$56,442.93
|
$32,621.50
|
2026-05-23
|
|
C1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,922.77
|
$40,683.17
|
$23,641.50
|
2026-05-23
|
|
C1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,180.46
|
$47,017.55
|
$27,359.00
|
2026-05-23
|
|
C1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$31,210.37
|
$60,686.83
|
$35,018.50
|
2026-05-23
|
|
C1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$31,147.33
|
$60,564.25
|
$35,232.00
|
2026-05-23
|
|
C1402
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,539.28
|
$37,993.05
|
$22,296.50
|
2026-05-23
|
|
C1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,616.50
|
$45,920.96
|
$26,810.50
|
2026-05-23
|
|
C1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,465.67
|
$57,294.36
|
$33,322.00
|
2026-05-23
|
|
C1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$21,950.17
|
$42,680.89
|
$24,640.50
|
2026-05-23
|
|
C1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$25,591.21
|
$49,760.69
|
$28,730.50
|
2026-05-23
|
|
C1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$32,091.24
|
$62,399.63
|
$35,600.00
|
2026-05-23
|
|
C1602
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,312.67
|
$37,552.42
|
$22,076.00
|
2026-05-23
|
|
C1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,388.18
|
$45,477.03
|
$26,588.50
|
2026-05-23
|
|
C1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$30,614.04
|
$59,527.30
|
$34,988.50
|
2026-05-23
|
|
C1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,946.76
|
$42,674.26
|
$24,912.00
|
2026-05-23
|
|
C1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,751.37
|
$50,072.10
|
$29,161.00
|
2026-05-23
|
|
C1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,632.64
|
$57,619.03
|
$33,484.50
|
2026-05-23
|
|
C1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$34,497.02
|
$67,077.54
|
$38,764.00
|
2026-05-23
|
|
C1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$19,825.52
|
$38,549.62
|
$22,850.00
|
2026-05-23
|
|
C1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$24,662.63
|
$47,955.12
|
$28,102.50
|
2026-05-23
|
|
C1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$28,804.59
|
$56,008.93
|
$32,679.50
|
2026-05-23
|
|
C1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$34,556.65
|
$67,193.49
|
$39,096.50
|
2026-05-23
|
|
C1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$69,160.00
|
$33,600.00
51% off
|
$50,066.42
|
$97,351.38
|
$56,375.50
|
2026-05-23
|
|
C1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,487.01
|
$45,669.18
|
$26,684.50
|
2026-05-23
|
|
C1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$33,231.09
|
$64,616.01
|
$37,258.00
|
2026-05-23
|
|
C1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$74,100.00
|
$36,000.00
51% off
|
$51,098.93
|
$99,359.04
|
$57,929.50
|
2026-05-23
|
|
C2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,161.17
|
$39,202.28
|
$22,901.00
|
2026-05-23
|
|
C2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$23,674.42
|
$46,033.60
|
$26,592.00
|
2026-05-23
|
|
C2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,872.75
|
$56,141.45
|
$32,470.50
|
2026-05-23
|
|
C2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$30,222.16
|
$58,765.32
|
$34,057.50
|
2026-05-23
|
|
C2101
|
OTHER
|
Burn Rehabilitation ; Motor Function - Limited To Moderate Assistance Required; …
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$23,006.53
|
$44,734.92
|
$26,492.50
|
2026-05-23
|
|
C2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$36,456.40
|
$70,887.44
|
$40,393.50
|
2026-05-23
|
|
D0103
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Moderate Upper And Lower Extre…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,655.41
|
$42,107.74
|
$24,629.00
|
2026-05-23
|
|
D0104
|
OTHER
|
Rehabilitation Following Stroke; Motor Function - Maximum Assistance Required; L…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,659.63
|
$53,782.62
|
$31,291.50
|
2026-05-23
|
|
D0105
|
OTHER
|
Rehabilitation Following Stroke - Pt Age >= 84.5 ; Motor Function - Maximum Assi…
|
27
|
21
|
$49,400.00
|
$24,000.00
51% off
|
$34,469.76
|
$67,024.53
|
$39,012.50
|
2026-05-23
|
|
D0106
|
OTHER
|
Rehabilitation Following Stroke Age <84.50; Motor Function - Maximum Assistance …
|
27
|
21
|
$54,340.00
|
$26,400.00
51% off
|
$38,828.10
|
$75,499.09
|
$43,799.50
|
2026-05-23
|
|
D0203
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Moderate Uppe…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,328.28
|
$41,471.66
|
$24,311.00
|
2026-05-23
|
|
D0204
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,286.36
|
$51,112.37
|
$29,681.00
|
2026-05-23
|
|
D0205
|
OTHER
|
Rehabilitation Following Traumatic Brain Injury ; Motor Function - Maximum Assis…
|
27
|
21
|
$46,930.00
|
$22,800.00
51% off
|
$33,723.49
|
$65,573.45
|
$38,011.50
|
2026-05-23
|
|
D0302
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$19,443.87
|
$37,807.52
|
$21,929.00
|
2026-05-23
|
|
D0303
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury ; Motor Function - Moderate …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,991.20
|
$44,705.11
|
$25,927.50
|
2026-05-23
|
|
D0304
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age >=78.50; Mot…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,235.39
|
$52,957.69
|
$30,879.00
|
2026-05-23
|
|
D0305
|
OTHER
|
Rehabilitation Following Non-traumatic Brain Injury And Patient Age <78.50; Moto…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,835.40
|
$58,013.27
|
$33,681.50
|
2026-05-23
|
|
D0401
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Limited…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,372.17
|
$35,723.67
|
$20,887.00
|
2026-05-23
|
|
D0402
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,032.09
|
$44,784.62
|
$26,242.50
|
2026-05-23
|
|
D0403
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Moderat…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,582.83
|
$51,688.83
|
$29,969.50
|
2026-05-23
|
|
D0404
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age <61.50; Mo…
|
27
|
21
|
$61,750.00
|
$30,000.00
51% off
|
$43,073.99
|
$83,754.99
|
$48,752.50
|
2026-05-23
|
|
D0405
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury ; Motor Function - Maximum…
|
27
|
21
|
$51,870.00
|
$25,200.00
51% off
|
$34,118.77
|
$66,342.06
|
$38,946.00
|
2026-05-23
|
|
D0406
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$64,220.00
|
$31,200.00
51% off
|
$44,883.44
|
$87,273.35
|
$50,786.50
|
2026-05-23
|
|
D0407
|
OTHER
|
Rehabilitation Following Traumatic Spinal Cord Injury And Patient Age >=61.50; M…
|
27
|
21
|
$81,510.00
|
$39,600.00
51% off
|
$61,464.91
|
$119,515.10
|
$68,832.50
|
2026-05-23
|
|
D0502
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,794.85
|
$38,489.99
|
$22,545.00
|
2026-05-23
|
|
D0503
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Mod…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$22,415.31
|
$43,585.32
|
$25,642.50
|
2026-05-23
|
|
D0504
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$26,783.88
|
$52,079.76
|
$30,440.00
|
2026-05-23
|
|
D0505
|
OTHER
|
Rehabilitation Following Non-traumatic Spinal Cord Injury ; Motor Function - Max…
|
27
|
21
|
$54,340.00
|
$26,400.00
51% off
|
$38,056.28
|
$73,998.31
|
$43,049.00
|
2026-05-23
|
|
D0602
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper Or …
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$19,796.56
|
$38,493.30
|
$22,271.50
|
2026-05-23
|
|
D0603
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Moderate Upper And…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$23,541.53
|
$45,775.19
|
$26,462.50
|
2026-05-23
|
|
D0604
|
OTHER
|
Rehabilitation Following Neurological Event; Motor Function - Maximum Assistance…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$29,774.06
|
$57,894.01
|
$33,347.00
|
2026-05-23
|
|
D0702
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,619.36
|
$38,148.75
|
$22,374.50
|
2026-05-23
|
|
D0703
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Moderate …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$24,037.34
|
$46,739.26
|
$27,219.50
|
2026-05-23
|
|
D0704
|
OTHER
|
Rehabilitation Following Fracture Of Lower Extremity; Motor Function - Maximum A…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$29,680.35
|
$57,711.79
|
$33,531.00
|
2026-05-23
|
|
D0803
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,956.58
|
$36,860.01
|
$21,455.00
|
2026-05-23
|
|
D0804
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$21,534.44
|
$41,872.52
|
$24,236.50
|
2026-05-23
|
|
D0805
|
OTHER
|
Rehabilitation Following Replacement Of Lower-extremity Joint ; Motor Function -…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,821.36
|
$52,152.64
|
$30,201.50
|
2026-05-23
|
|
D0902
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,179.78
|
$37,294.01
|
$21,947.00
|
2026-05-23
|
|
D0903
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Moderate Upper…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,759.48
|
$44,254.54
|
$25,702.50
|
2026-05-23
|
|
D0904
|
OTHER
|
Rehabilitation Following Other Orthopedic Event; Motor Function - Maximum Assist…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,407.47
|
$53,292.30
|
$31,046.00
|
2026-05-23
|
|
D1002
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$19,183.18
|
$37,300.64
|
$21,950.50
|
2026-05-23
|
|
D1003
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Moderate …
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$22,831.04
|
$44,393.69
|
$26,047.00
|
2026-05-23
|
|
D1004
|
OTHER
|
Rehabilitation Following Amputation Lower Extremity ; Motor Function - Maximum A…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$30,368.69
|
$59,050.23
|
$34,200.00
|
2026-05-23
|
|
D1101
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,774.27
|
$36,505.53
|
$21,278.00
|
2026-05-23
|
|
D1102
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Moder…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,437.32
|
$41,683.68
|
$24,417.00
|
2026-05-23
|
|
D1103
|
OTHER
|
Rehabilitation Following Amputation Non-lower Extremity ; Motor Function - Maxim…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,852.03
|
$52,212.28
|
$30,231.00
|
2026-05-23
|
|
D1202
|
OTHER
|
Rehabilitation For Osteoarthritis ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$18,821.98
|
$36,598.29
|
$21,599.00
|
2026-05-23
|
|
D1203
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age >=74.50; Motor Function - Maxi…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,195.93
|
$48,992.08
|
$28,621.00
|
2026-05-23
|
|
D1204
|
OTHER
|
Rehabilitation For Osteoarthritis And Patient Age <74.50; Motor Function - Maxim…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$25,940.49
|
$50,439.84
|
$29,345.00
|
2026-05-23
|
|
D1302
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis; Motor Function - Moderate Uppe…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$19,171.26
|
$37,277.45
|
$21,663.50
|
2026-05-23
|
|
D1303
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,156.33
|
$43,081.75
|
$25,116.00
|
2026-05-23
|
|
D1304
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age >=64.50; Motor …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,596.73
|
$55,604.75
|
$32,202.50
|
2026-05-23
|
|
D1305
|
OTHER
|
Rehabilitation For Rheumatoid Or Other Arthritis And Patient Age <64.50; Motor F…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,538.80
|
$55,492.11
|
$32,146.00
|
2026-05-23
|
|
D1403
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,836.01
|
$42,458.92
|
$24,804.50
|
2026-05-23
|
|
D1404
|
OTHER
|
Rehabilitation Following Cardiac Event; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$27,245.61
|
$52,977.57
|
$30,614.00
|
2026-05-23
|
|
D1502
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper Or Lower…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$20,556.45
|
$39,970.88
|
$23,010.50
|
2026-05-23
|
|
D1503
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Moderate Upper And Lowe…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$23,965.78
|
$46,600.12
|
$26,875.00
|
2026-05-23
|
|
D1504
|
OTHER
|
Rehabilitation For Pulmonary Condition; Motor Function - Maximum Assistance Requ…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$30,053.49
|
$58,437.33
|
$33,618.50
|
2026-05-23
|
|
D1603
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$21,394.73
|
$41,600.86
|
$24,375.50
|
2026-05-23
|
|
D1604
|
OTHER
|
Rehabilitation For Pain Syndrome ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,003.80
|
$54,451.84
|
$31,626.00
|
2026-05-23
|
|
D1702
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$29,640.00
|
$14,400.00
51% off
|
$20,377.55
|
$39,623.02
|
$23,111.50
|
2026-05-23
|
|
D1703
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$23,909.55
|
$46,490.79
|
$27,095.50
|
2026-05-23
|
|
D1704
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,513.11
|
$53,497.71
|
$31,149.00
|
2026-05-23
|
|
D1705
|
OTHER
|
Rehabilitation For Major Multiple Trauma Without Brain Or Spinal Cord Injury; Mo…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$32,029.90
|
$62,280.37
|
$36,090.00
|
2026-05-23
|
|
D1802
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,237.57
|
$35,461.94
|
$20,756.00
|
2026-05-23
|
|
D1803
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$34,580.00
|
$16,800.00
51% off
|
$22,687.92
|
$44,115.40
|
$25,907.50
|
2026-05-23
|
|
D1804
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,497.64
|
$51,523.18
|
$29,886.50
|
2026-05-23
|
|
D1805
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$44,460.00
|
$21,600.00
51% off
|
$31,789.67
|
$61,813.24
|
$35,856.50
|
2026-05-23
|
|
D1806
|
OTHER
|
Rehabilitation For Major Multiple Trauma With Brain Or Spinal Cord Injury ; Moto…
|
27
|
21
|
$66,690.00
|
$32,400.00
51% off
|
$46,057.36
|
$89,555.98
|
$52,203.00
|
2026-05-23
|
|
D1902
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper Or Lower Ext…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$20,418.45
|
$39,702.53
|
$23,426.50
|
2026-05-23
|
|
D1903
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Moderate Upper And Lower Ex…
|
27
|
21
|
$41,990.00
|
$20,400.00
51% off
|
$28,889.78
|
$56,174.58
|
$32,762.50
|
2026-05-23
|
|
D1904
|
OTHER
|
Rehabilitation For Guillain-barré ; Motor Function - Maximum Assistance Required…
|
27
|
21
|
$61,750.00
|
$30,000.00
51% off
|
$44,421.71
|
$86,375.54
|
$50,063.00
|
2026-05-23
|
|
D2002
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$27,170.00
|
$13,200.00
51% off
|
$18,748.71
|
$36,455.83
|
$21,253.00
|
2026-05-23
|
|
D2003
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$32,110.00
|
$15,600.00
51% off
|
$22,016.62
|
$42,810.09
|
$24,980.00
|
2026-05-23
|
|
D2004
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$37,050.00
|
$18,000.00
51% off
|
$26,852.03
|
$52,212.28
|
$30,231.00
|
2026-05-23
|
|
D2005
|
OTHER
|
Rehabilitation For Miscellaneous Conditions Not Specificed Elsewhere ; Motor Fu…
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$28,106.03
|
$54,650.62
|
$31,725.50
|
2026-05-23
|
|
D2102
|
OTHER
|
Burn Rehabilitation ; Motor Function - Moderate To Maximum Assistance Required; …
|
27
|
21
|
$39,520.00
|
$19,200.00
51% off
|
$27,492.66
|
$53,457.95
|
$31,129.00
|
2026-05-23
|