Acadian Medical Center — Pricing
815 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 815 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 815
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 815 procedures
Procedures with negotiated rates only
These 815 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $143,417 – $492,996 · median $177,479 | 54 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $56,106 – $192,865 · median $69,431 | 54 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $109,118 – $375,092 · median $135,033 | 54 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $71,942 – $247,300 · median $89,028 | 54 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $54,221 – $186,384 · median $67,098 | 54 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $24,689 – $84,870 · median $30,553 | 54 plans |
| 007 | LUNG TRANSPLANT | $66,539 – $228,727 · median $82,342 | 54 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $27,703 – $95,229 · median $34,282 | 54 plans |
| 010 | PANCREAS TRANSPLANT | $40,594 – $139,542 · median $50,235 | 54 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $27,473 – $94,438 · median $33,998 | 54 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $20,894 – $71,822 · median $25,856 | 54 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $13,492 – $46,380 · median $16,697 | 54 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $66,707 – $229,305 · median $82,550 | 54 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $30,731 – $105,639 · median $38,030 | 54 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,731 – $105,639 · median $38,030 | 54 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $192,012 – $660,042 · median $237,615 | 54 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $40,361 – $138,742 · median $49,947 | 54 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $41,043 – $141,084 · median $50,790 | 54 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $28,142 – $96,738 · median $34,826 | 54 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $17,975 – $61,788 · median $22,244 | 54 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $29,047 – $99,850 · median $35,946 | 54 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $19,356 – $66,537 · median $23,953 | 54 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $22,770 – $78,273 · median $28,178 | 54 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $15,573 – $53,531 · median $19,271 | 54 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $12,565 – $43,191 · median $15,549 | 54 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,953 – $106,402 · median $38,305 | 54 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | $17,090 – $58,748 · median $21,149 | 54 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,330 – $38,948 · median $14,021 | 54 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $21,336 – $73,343 · median $26,403 | 54 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,873 – $37,377 · median $13,456 | 54 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,123 – $27,924 · median $10,053 | 54 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,799 – $68,059 · median $24,501 | 54 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,582 – $39,813 · median $14,333 | 54 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,333 – $32,083 · median $11,550 | 54 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $16,908 – $58,122 · median $20,924 | 54 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,204 – $28,201 · median $10,152 | 54 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,795 – $19,921 · median $7,171 | 54 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $19,205 – $66,019 · median $23,767 | 54 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $11,497 – $39,523 · median $14,228 | 54 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $8,949 – $30,761 · median $11,074 | 54 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,247 – $35,222 · median $12,680 | 54 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,691 – $16,126 · median $5,805 | 54 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,633 – $26,237 · median $9,445 | 54 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,555 – $19,094 · median $6,874 | 54 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,749 – $43,826 · median $15,777 | 54 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,794 – $23,354 · median $8,408 | 54 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,398 – $32,307 · median $11,630 | 54 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,230 – $21,415 · median $7,709 | 54 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $4,544 – $15,619 · median $5,623 | 54 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $13,764 – $47,314 · median $17,033 | 54 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $9,067 – $31,169 · median $11,221 | 54 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $7,152 – $24,587 · median $8,851 | 54 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $10,128 – $34,815 · median $12,533 | 54 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $5,177 – $17,798 · median $6,407 | 54 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $3,504 – $12,046 · median $4,337 | 54 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,408 – $25,463 · median $9,167 | 54 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $4,488 – $15,428 · median $5,554 | 54 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,074 – $14,003 · median $5,041 | 54 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $8,853 – $30,432 · median $10,956 | 54 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,366 – $18,445 · median $6,640 | 54 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,820 – $13,130 · median $4,727 | 54 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,869 – $27,051 · median $9,738 | 54 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,307 – $18,244 · median $6,568 | 54 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,769 – $30,145 · median $10,852 | 54 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,668 – $16,047 · median $5,777 | 54 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,873 – $27,063 · median $9,743 | 54 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,081 – $17,465 · median $6,287 | 54 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,394 – $11,668 · median $4,201 | 54 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,121 – $34,790 · median $12,524 | 54 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,607 – $15,836 · median $5,701 | 54 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,813 – $40,608 · median $14,619 | 54 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,079 – $24,334 · median $8,760 | 54 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,868 – $16,733 · median $6,024 | 54 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,537 – $39,659 · median $14,277 | 54 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,678 – $22,955 · median $8,264 | 54 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,501 – $15,472 · median $5,570 | 54 plans |
| 088 | CONCUSSION WITH MCC | $7,182 – $24,690 · median $8,888 | 54 plans |
| 089 | CONCUSSION WITH CC | $5,459 – $18,764 · median $6,755 | 54 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,365 – $15,004 · median $5,402 | 54 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,281 – $31,904 · median $11,485 | 54 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,390 – $18,529 · median $6,670 | 54 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,019 – $13,814 · median $4,973 | 54 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $18,577 – $63,859 · median $22,989 | 54 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $12,205 – $41,955 · median $15,104 | 54 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $12,205 – $41,955 · median $15,104 | 54 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $18,251 – $62,737 · median $22,585 | 54 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $11,045 – $37,967 · median $13,668 | 54 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $7,094 – $24,385 · median $8,779 | 54 plans |
| 100 | SEIZURES WITH MCC | $10,108 – $34,746 · median $12,509 | 54 plans |
| 101 | SEIZURES WITHOUT MCC | $4,693 – $16,131 · median $5,807 | 54 plans |
| 102 | HEADACHES WITH MCC | $5,904 – $20,293 · median $7,306 | 54 plans |
| 103 | HEADACHES WITHOUT MCC | $4,329 – $14,880 · median $5,357 | 54 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,489 – $39,495 · median $14,218 | 54 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,019 – $20,689 · median $7,448 | 54 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,795 – $26,795 · median $9,646 | 54 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,496 – $29,203 · median $10,513 | 54 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,492 – $18,877 · median $6,796 | 54 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,922 – $20,358 · median $7,329 | 54 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,454 – $11,871 · median $4,274 | 54 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,089 – $14,057 · median $5,061 | 54 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $6,639 – $22,821 · median $8,215 | 54 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,204 – $14,451 · median $5,202 | 54 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,276 – $42,199 · median $15,191 | 54 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,980 – $17,120 · median $6,163 | 54 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,121 – $24,478 · median $8,812 | 54 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,142 – $14,238 · median $5,126 | 54 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,991 – $24,030 · median $8,651 | 54 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,533 – $74,019 · median $26,647 | 54 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,939 – $37,603 · median $13,537 | 54 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,006 – $27,520 · median $9,907 | 54 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $16,811 – $57,789 · median $20,804 | 54 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $8,944 – $30,745 · median $11,068 | 54 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $6,032 – $20,736 · median $7,465 | 54 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,680 – $40,151 · median $14,454 | 54 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,338 – $21,786 · median $7,843 | 54 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $4,077 – $14,014 · median $5,045 | 54 plans |
| 149 | DYSEQUILIBRIUM | $3,806 – $13,083 · median $4,710 | 54 plans |
| 150 | EPISTAXIS WITH MCC | $7,037 – $24,191 · median $8,709 | 54 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,859 – $13,266 · median $4,776 | 54 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,778 – $19,861 · median $7,150 | 54 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,624 – $12,456 · median $4,484 | 54 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | $8,280 – $28,463 · median $10,247 | 54 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $4,753 – $16,340 · median $5,882 | 54 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $3,423 – $11,768 · median $4,237 | 54 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,337 – $28,659 · median $10,317 | 54 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,789 – $16,462 · median $5,926 | 54 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,358 – $11,544 · median $4,156 | 54 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,467 – $80,669 · median $29,041 | 54 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,815 – $44,052 · median $15,859 | 54 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,490 – $32,623 · median $11,744 | 54 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,604 – $67,387 · median $24,259 | 54 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,303 – $31,979 · median $11,513 | 54 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | $6,893 – $23,696 · median $8,530 | 54 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $15,624 – $53,706 · median $19,334 | 54 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,174 – $24,662 · median $8,878 | 54 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,147 – $14,255 · median $5,132 | 54 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,230 – $28,292 · median $10,185 | 54 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,051 – $17,364 · median $6,251 | 54 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $3,919 – $13,471 · median $4,850 | 54 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,899 – $30,590 · median $11,012 | 54 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,653 – $19,432 · median $6,996 | 54 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,264 – $14,658 · median $5,277 | 54 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,082 – $27,781 · median $10,001 | 54 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,438 – $18,694 · median $6,730 | 54 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,960 – $13,611 · median $4,900 | 54 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,044 – $27,653 · median $9,955 | 54 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,112 – $17,572 · median $6,326 | 54 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,738 – $12,850 · median $4,626 | 54 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,300 – $21,657 · median $7,796 | 54 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,718 – $19,654 · median $7,076 | 54 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,374 – $15,036 · median $5,413 | 54 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $3,295 – $11,327 · median $4,078 | 54 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,709 – $23,062 · median $8,302 | 54 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,175 – $14,351 · median $5,167 | 54 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,170 – $10,898 · median $3,923 | 54 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,593 – $32,975 · median $11,871 | 54 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,041 – $17,327 · median $6,238 | 54 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,566 – $12,258 · median $4,413 | 54 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,988 – $30,896 · median $11,123 | 54 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,639 – $19,383 · median $6,978 | 54 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,447 – $11,850 · median $4,266 | 54 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,922 – $16,919 · median $6,091 | 54 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,547 – $12,192 · median $4,389 | 54 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,129 – $14,194 · median $5,110 | 54 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,612 – $33,040 · median $11,894 | 54 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,612 – $15,853 · median $5,707 | 54 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $32,927 – $113,188 · median $40,748 | 54 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $13,664 – $46,971 · median $16,910 | 54 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $55,466 – $190,663 · median $68,639 | 54 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $53,943 – $185,428 · median $66,754 | 54 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $49,138 – $168,912 · median $60,808 | 54 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $32,880 – $113,025 · median $40,689 | 54 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $30,290 – $104,123 · median $37,484 | 54 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $39,395 – $135,420 · median $48,751 | 54 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $26,968 – $92,702 · median $33,373 | 54 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $23,383 – $80,379 · median $28,936 | 54 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $25,372 – $87,217 · median $31,398 | 54 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $15,816 – $54,366 · median $19,572 | 54 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $43,144 – $148,308 · median $53,391 | 54 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $31,102 – $106,913 · median $38,489 | 54 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $39,797 – $136,801 · median $49,248 | 54 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $27,087 – $93,113 · median $33,521 | 54 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $29,959 – $102,984 · median $37,074 | 54 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $20,936 – $71,969 · median $25,909 | 54 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $25,645 – $88,155 · median $31,736 | 54 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $14,827 – $50,969 · median $18,349 | 54 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $7,688 – $26,426 · median $9,513 | 54 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,270 – $59,366 · median $21,372 | 54 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,470 – $39,428 · median $14,194 | 54 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,189 – $31,585 · median $11,371 | 54 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,881 – $85,528 · median $30,790 | 54 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $11,774 – $40,475 · median $14,571 | 54 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $7,956 – $27,348 · median $9,845 | 54 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,466 – $60,038 · median $21,614 | 54 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,998 – $44,682 · median $16,086 | 54 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,907 – $30,618 · median $11,022 | 54 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $13,322 – $45,793 · median $16,486 | 54 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $8,623 – $29,643 · median $10,671 | 54 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $4,541 – $15,610 · median $5,620 | 54 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,284 – $49,101 · median $17,676 | 54 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,949 – $30,763 · median $11,075 | 54 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $17,342 – $59,615 · median $21,461 | 54 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $9,661 – $33,211 · median $11,956 | 54 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $7,728 – $26,564 · median $9,563 | 54 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,656 – $46,942 · median $16,899 | 54 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,795 – $61,171 · median $22,021 | 54 plans |
| 265 | AICD LEAD PROCEDURES | $18,162 – $62,432 · median $22,476 | 54 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $30,502 – $104,850 · median $37,746 | 54 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $23,954 – $82,341 · median $29,643 | 54 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $33,948 – $116,695 · median $42,010 | 54 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $21,184 – $72,820 · median $26,215 | 54 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $26,134 – $89,837 · median $32,341 | 54 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,537 – $60,283 · median $21,702 | 54 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $12,740 – $43,793 · median $15,765 | 54 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $19,909 – $68,437 · median $24,637 | 54 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $15,890 – $54,623 · median $19,664 | 54 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $35,981 – $123,685 · median $44,527 | 54 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $31,538 – $108,413 · median $39,029 | 54 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $23,685 – $81,417 · median $29,310 | 54 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $25,474 – $87,567 · median $31,524 | 54 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $16,315 – $56,083 · median $20,190 | 54 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $8,357 – $28,727 · median $10,342 | 54 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $4,693 – $16,133 · median $5,808 | 54 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $3,692 – $12,691 · median $4,569 | 54 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $9,956 – $34,223 · median $12,320 | 54 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,773 – $12,969 · median $4,669 | 54 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $2,858 – $9,826 · median $3,537 | 54 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $11,269 – $38,737 · median $13,945 | 54 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $5,548 – $19,072 · median $6,866 | 54 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,907 – $47,806 · median $17,210 | 54 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,028 – $27,595 · median $9,934 | 54 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,985 – $17,134 · median $6,168 | 54 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,643 – $22,836 · median $8,221 | 54 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,385 – $15,073 · median $5,426 | 54 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,794 – $9,603 · median $3,457 | 54 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,252 – $21,492 · median $7,737 | 54 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,021 – $13,823 · median $4,976 | 54 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,342 – $28,675 · median $10,323 | 54 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,586 – $12,328 · median $4,438 | 54 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,249 – $7,731 · median $2,783 | 54 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,236 – $28,311 · median $10,192 | 54 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,451 – $18,737 · median $6,745 | 54 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,632 – $12,486 · median $4,495 | 54 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,923 – $20,360 · median $7,330 | 54 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,423 – $11,768 · median $4,237 | 54 plans |
| 304 | HYPERTENSION WITH MCC | $5,981 – $20,561 · median $7,402 | 54 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,822 – $13,139 · median $4,730 | 54 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,624 – $26,207 · median $9,435 | 54 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $4,717 – $16,214 · median $5,837 | 54 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $6,140 – $21,105 · median $7,598 | 54 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $3,764 – $12,939 · median $4,658 | 54 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $2,849 – $9,792 · median $3,525 | 54 plans |
| 311 | ANGINA PECTORIS | $3,555 – $12,221 · median $4,400 | 54 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,436 – $15,249 · median $5,490 | 54 plans |
| 313 | CHEST PAIN | $3,632 – $12,486 · median $4,495 | 54 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,964 – $37,690 · median $13,568 | 54 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,899 – $16,842 · median $6,063 | 54 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,476 – $11,948 · median $4,301 | 54 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $31,498 – $108,273 · median $38,978 | 54 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $22,366 – $76,882 · median $27,677 | 54 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $11,786 – $40,513 · median $14,585 | 54 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $14,494 – $49,824 · median $17,937 | 54 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $9,211 – $31,664 · median $11,399 | 54 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $21,686 – $74,547 · median $26,837 | 54 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $16,268 – $55,920 · median $20,131 | 54 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $14,572 – $50,092 · median $18,033 | 54 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $25,859 – $88,892 · median $32,001 | 54 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | $12,363 – $42,496 · median $15,299 | 54 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | $8,113 – $27,889 · median $10,040 | 54 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,379 – $80,366 · median $28,932 | 54 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,035 – $41,369 · median $14,893 | 54 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $8,406 – $28,895 · median $10,402 | 54 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,661 – $60,708 · median $21,855 | 54 plans |
| 333 | RECTAL RESECTION WITH CC | $10,821 – $37,197 · median $13,391 | 54 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,445 – $29,028 · median $10,450 | 54 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,448 – $63,416 · median $22,830 | 54 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,755 – $36,969 · median $13,309 | 54 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,816 – $26,867 · median $9,672 | 54 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,719 – $47,159 · median $16,977 | 54 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,580 – $26,055 · median $9,380 | 54 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $6,340 – $21,795 · median $7,846 | 54 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,050 – $41,423 · median $14,912 | 54 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,410 – $22,033 · median $7,932 | 54 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,485 – $15,417 · median $5,550 | 54 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,315 – $42,332 · median $15,239 | 54 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,660 – $26,331 · median $9,479 | 54 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $5,614 – $19,297 · median $6,947 | 54 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $14,933 – $51,333 · median $18,480 | 54 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $8,661 – $29,772 · median $10,718 | 54 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $6,788 – $23,333 · median $8,400 | 54 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $21,719 – $74,657 · median $26,877 | 54 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,466 – $39,414 · median $14,189 | 54 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | $6,899 – $23,717 · median $8,538 | 54 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,503 – $29,228 · median $10,522 | 54 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,181 – $17,810 · median $6,412 | 54 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,554 – $12,216 · median $4,398 | 54 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $8,900 – $30,593 · median $11,014 | 54 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $5,241 – $18,015 · median $6,485 | 54 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $3,693 – $12,696 · median $4,570 | 54 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,750 – $36,953 · median $13,303 | 54 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,256 – $21,504 · median $7,742 | 54 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,496 – $15,454 · median $5,563 | 54 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,257 – $31,822 · median $11,456 | 54 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,020 – $17,255 · median $6,212 | 54 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,242 – $11,143 · median $4,012 | 54 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,797 – $33,679 · median $12,124 | 54 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,545 – $19,061 · median $6,862 | 54 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,815 – $13,114 · median $4,721 | 54 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,437 – $22,126 · median $7,965 | 54 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,428 – $15,220 · median $5,479 | 54 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,273 – $28,437 · median $10,237 | 54 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,053 – $17,371 · median $6,253 | 54 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,413 – $11,731 · median $4,223 | 54 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,484 – $25,726 · median $9,261 | 54 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,081 – $14,029 · median $5,051 | 54 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,786 – $9,577 · median $3,448 | 54 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $6,540 – $22,481 · median $8,093 | 54 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $3,973 – $13,657 · median $4,916 | 54 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,431 – $28,983 · median $10,434 | 54 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,793 – $16,474 · median $5,931 | 54 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,240 – $11,138 · median $4,010 | 54 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,616 – $43,366 · median $15,612 | 54 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,704 – $26,484 · median $9,534 | 54 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,722 – $19,668 · median $7,081 | 54 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $19,919 – $68,471 · median $24,649 | 54 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $27,640 – $95,012 · median $34,204 | 54 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,299 – $49,152 · median $17,695 | 54 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | $10,874 – $37,380 · median $13,457 | 54 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $17,827 – $61,279 · median $22,060 | 54 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $10,674 – $36,693 · median $13,209 | 54 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $7,897 – $27,147 · median $9,773 | 54 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,932 – $47,892 · median $17,241 | 54 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,853 – $37,307 · median $13,430 | 54 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,465 – $29,097 · median $10,475 | 54 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $17,839 – $61,323 · median $22,076 | 54 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $10,071 – $34,620 · median $12,463 | 54 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $6,976 – $23,981 · median $8,633 | 54 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | $12,100 – $41,593 · median $14,973 | 54 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | $8,444 – $29,025 · median $10,449 | 54 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | $6,708 – $23,060 · median $8,302 | 54 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,970 – $61,773 · median $22,238 | 54 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,338 – $28,661 · median $10,318 | 54 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,481 – $25,717 · median $9,258 | 54 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $20,709 – $71,187 · median $25,627 | 54 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $11,625 – $39,962 · median $14,386 | 54 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $7,870 – $27,054 · median $9,740 | 54 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $53,335 – $183,338 · median $66,002 | 54 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $36,163 – $124,310 · median $44,752 | 54 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $28,024 – $96,332 · median $34,679 | 54 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $42,466 – $145,975 · median $52,551 | 54 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $27,853 – $95,744 · median $34,468 | 54 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,975 – $34,288 · median $12,344 | 54 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,447 – $18,723 · median $6,740 | 54 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,546 – $12,190 · median $4,388 | 54 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $9,290 – $31,934 · median $11,496 | 54 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $5,742 – $19,737 · median $7,105 | 54 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $3,998 – $13,742 · median $4,947 | 54 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,471 – $29,118 · median $10,482 | 54 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,380 – $15,055 · median $5,420 | 54 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $3,132 – $10,765 · median $3,876 | 54 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $9,625 – $33,085 · median $11,911 | 54 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $4,919 – $16,910 · median $6,088 | 54 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $3,578 – $12,298 · median $4,427 | 54 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,576 – $29,480 · median $10,613 | 54 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,522 – $18,981 · median $6,833 | 54 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,059 – $13,954 · median $5,023 | 54 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $34,137 – $117,344 · median $42,244 | 54 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $20,791 – $71,469 · median $25,729 | 54 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $26,221 – $90,136 · median $32,449 | 54 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $15,712 – $54,011 · median $19,444 | 54 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $43,120 – $148,226 · median $53,361 | 54 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $29,222 – $100,450 · median $36,162 | 54 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $21,985 – $75,573 · median $27,206 | 54 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $31,245 – $107,403 · median $38,665 | 54 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $14,581 – $50,122 · median $18,044 | 54 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $27,499 – $94,527 · median $34,030 | 54 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $15,013 – $51,606 · median $18,578 | 54 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $8,839 – $30,385 · median $10,939 | 54 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $25,939 – $89,165 · median $32,099 | 54 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,439 – $59,947 · median $21,581 | 54 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,356 – $45,912 · median $16,528 | 54 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $16,642 – $57,208 · median $20,595 | 54 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $9,600 – $33,000 · median $11,880 | 54 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $24,731 – $85,011 · median $30,604 | 54 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,751 – $50,706 · median $18,254 | 54 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,053 – $41,434 · median $14,916 | 54 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $22,834 – $78,490 · median $28,257 | 54 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $10,984 – $37,757 · median $13,592 | 54 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $5,922 – $20,356 · median $7,328 | 54 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $17,509 – $60,189 · median $21,668 | 54 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $11,907 – $40,930 · median $14,735 | 54 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $9,041 – $31,080 · median $11,189 | 54 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | $14,974 – $51,473 · median $18,530 | 54 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | $10,564 – $36,314 · median $13,073 | 54 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | $8,077 – $27,765 · median $9,995 | 54 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | $12,974 – $44,598 · median $16,055 | 54 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $16,391 – $56,344 · median $20,284 | 54 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $10,798 – $37,120 · median $13,363 | 54 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $8,045 – $27,656 · median $9,956 | 54 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $10,007 – $34,398 · median $12,383 | 54 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $6,305 – $21,674 · median $7,803 | 54 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $18,081 – $62,152 · median $22,375 | 54 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $12,225 – $42,022 · median $15,128 | 54 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $9,599 – $32,998 · median $11,879 | 54 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $17,925 – $61,617 · median $22,182 | 54 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $10,045 – $34,531 · median $12,431 | 54 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $6,836 – $23,498 · median $8,459 | 54 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $12,855 – $44,190 · median $15,908 | 54 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $5,910 – $20,316 · median $7,314 | 54 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,133 – $55,458 · median $19,965 | 54 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,087 – $31,235 · median $11,245 | 54 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,114 – $24,453 · median $8,803 | 54 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,475 – $46,320 · median $16,675 | 54 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,935 – $30,716 · median $11,058 | 54 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,935 – $30,716 · median $11,058 | 54 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,633 – $26,237 · median $9,445 | 54 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | $9,868 – $33,922 · median $12,212 | 54 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | $6,571 – $22,588 · median $8,132 | 54 plans |
| 509 | ARTHROSCOPY | $8,944 – $30,745 · median $11,068 | 54 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $14,552 – $50,022 · median $18,008 | 54 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $9,985 – $34,325 · median $12,357 | 54 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $8,186 – $28,139 · median $10,130 | 54 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $7,666 – $26,351 · median $9,486 | 54 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $5,191 – $17,845 · median $6,424 | 54 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $15,745 – $54,123 · median $19,484 | 54 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $10,242 – $35,208 · median $12,675 | 54 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $7,600 – $26,125 · median $9,405 | 54 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $18,248 – $62,726 · median $22,582 | 54 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $10,040 – $34,512 · median $12,424 | 54 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $7,297 – $25,084 · median $9,030 | 54 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $14,840 – $51,012 · median $18,364 | 54 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $10,733 – $36,896 · median $13,282 | 54 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,764 – $26,688 · median $9,608 | 54 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,144 – $14,246 · median $5,129 | 54 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,771 – $23,276 · median $8,379 | 54 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,129 – $14,192 · median $5,109 | 54 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $4,679 – $16,084 · median $5,790 | 54 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $3,419 – $11,752 · median $4,231 | 54 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,297 – $35,396 · median $12,742 | 54 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,589 – $22,649 · median $8,154 | 54 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,454 – $15,312 · median $5,512 | 54 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $9,496 – $32,643 · median $11,751 | 54 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $5,401 – $18,568 · median $6,684 | 54 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $3,848 – $13,226 · median $4,761 | 54 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,866 – $44,225 · median $15,921 | 54 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,894 – $20,262 · median $7,294 | 54 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,799 – $13,060 · median $4,702 | 54 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,257 – $35,259 · median $12,693 | 54 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,136 – $21,091 · median $7,593 | 54 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,389 – $15,088 · median $5,432 | 54 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,688 – $29,865 · median $10,751 | 54 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,907 – $16,868 · median $6,073 | 54 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,649 – $22,857 · median $8,229 | 54 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,249 – $14,607 · median $5,259 | 54 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $6,856 – $23,568 · median $8,484 | 54 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $4,157 – $14,290 · median $5,144 | 54 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,890 – $27,123 · median $9,764 | 54 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,398 – $15,118 · median $5,442 | 54 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $9,451 – $32,489 · median $11,696 | 54 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $5,798 – $19,929 · median $7,175 | 54 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $4,163 – $14,309 · median $5,151 | 54 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $7,451 – $25,614 · median $9,221 | 54 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $4,551 – $15,643 · median $5,632 | 54 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $7,989 – $27,464 · median $9,887 | 54 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $5,192 – $17,847 · median $6,425 | 54 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $3,809 – $13,093 · median $4,714 | 54 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,326 – $52,684 · median $18,966 | 54 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,525 – $29,303 · median $10,549 | 54 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,816 – $19,994 · median $7,198 | 54 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,354 – $107,780 · median $38,801 | 54 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,641 – $60,642 · median $21,831 | 54 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | $10,166 – $34,946 · median $12,580 | 54 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $27,470 – $94,427 · median $33,994 | 54 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $13,557 – $46,604 · median $16,777 | 54 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $8,607 – $29,585 · median $10,651 | 54 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $16,595 – $57,045 · median $20,536 | 54 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $9,027 – $31,031 · median $11,171 | 54 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $7,328 – $25,189 · median $9,068 | 54 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,916 – $30,649 · median $11,034 | 54 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,364 – $28,750 · median $10,350 | 54 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $10,424 – $35,833 · median $12,900 | 54 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $10,107 – $34,743 · median $12,507 | 54 plans |
| 592 | SKIN ULCERS WITH MCC | $10,470 – $35,989 · median $12,956 | 54 plans |
| 593 | SKIN ULCERS WITH CC | $6,225 – $21,399 · median $7,704 | 54 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,321 – $14,854 · median $5,347 | 54 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,769 – $37,018 · median $13,326 | 54 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,504 – $18,921 · median $6,812 | 54 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,944 – $30,745 · median $11,068 | 54 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,493 – $18,883 · median $6,798 | 54 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,353 – $14,962 · median $5,386 | 54 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,870 – $16,742 · median $6,027 | 54 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,052 – $10,492 · median $3,777 | 54 plans |
| 602 | CELLULITIS WITH MCC | $7,480 – $25,714 · median $9,257 | 54 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,485 – $15,416 · median $5,550 | 54 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $7,564 – $26,002 · median $9,361 | 54 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $4,703 – $16,166 · median $5,820 | 54 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,199 – $28,183 · median $10,146 | 54 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,400 – $15,125 · median $5,445 | 54 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,603 – $39,887 · median $14,359 | 54 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,296 – $25,080 · median $9,029 | 54 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $19,678 – $67,644 · median $24,352 | 54 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $9,835 – $33,806 · median $12,170 | 54 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $6,339 – $21,791 · median $7,845 | 54 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $13,882 – $47,719 · median $17,179 | 54 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,131 – $27,950 · median $10,062 | 54 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,443 – $25,584 · median $9,210 | 54 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $19,052 – $65,492 · median $23,577 | 54 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $9,739 – $33,477 · median $12,052 | 54 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $5,107 – $17,556 · median $6,320 | 54 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $14,598 – $50,179 · median $18,065 | 54 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $7,684 – $26,415 · median $9,510 | 54 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $6,450 – $22,173 · median $7,982 | 54 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $20,089 – $69,057 · median $24,860 | 54 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $11,451 – $39,363 · median $14,171 | 54 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $7,135 – $24,525 · median $8,829 | 54 plans |
| 637 | DIABETES WITH MCC | $7,415 – $25,488 · median $9,176 | 54 plans |
| 638 | DIABETES WITH CC | $4,670 – $16,053 · median $5,779 | 54 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,190 – $10,967 · median $3,948 | 54 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $6,761 – $23,242 · median $8,367 | 54 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $3,978 – $13,676 · median $4,923 | 54 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,319 – $21,721 · median $7,820 | 54 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,438 – $29,006 · median $10,442 | 54 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,261 – $18,086 · median $6,511 | 54 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,965 – $13,629 · median $4,906 | 54 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,458 – $80,636 · median $29,029 | 54 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,680 – $60,775 · median $21,879 | 54 plans |
| 652 | KIDNEY TRANSPLANT | $15,638 – $53,755 · median $19,352 | 54 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $28,383 – $97,566 · median $35,124 | 54 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,369 – $49,392 · median $17,781 | 54 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,576 – $36,356 · median $13,088 | 54 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $16,588 – $57,021 · median $20,528 | 54 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,308 – $31,995 · median $11,518 | 54 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | $7,658 – $26,323 · median $9,476 | 54 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $13,158 – $45,230 · median $16,283 | 54 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $6,823 – $23,452 · median $8,443 | 54 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $5,227 – $17,967 · median $6,468 | 54 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $15,883 – $54,599 · median $19,655 | 54 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,777 – $26,732 · median $9,624 | 54 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,498 – $18,898 · median $6,803 | 54 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,482 – $60,094 · median $21,634 | 54 plans |
| 666 | PROSTATECTOMY WITH CC | $8,387 – $28,831 · median $10,379 | 54 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,233 – $17,988 · median $6,476 | 54 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,848 – $51,040 · median $18,375 | 54 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,879 – $27,084 · median $9,750 | 54 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,866 – $16,726 · median $6,022 | 54 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,776 – $30,168 · median $10,860 | 54 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,572 – $19,154 · median $6,895 | 54 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,331 – $73,326 · median $26,397 | 54 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,753 – $40,401 · median $14,544 | 54 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | $7,970 – $27,396 · median $9,862 | 54 plans |
| 682 | RENAL FAILURE WITH MCC | $7,647 – $26,286 · median $9,463 | 54 plans |
| 683 | RENAL FAILURE WITH CC | $4,526 – $15,557 · median $5,601 | 54 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,093 – $10,631 · median $3,827 | 54 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,601 – $33,003 · median $11,881 | 54 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,360 – $18,424 · median $6,633 | 54 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,687 – $12,675 · median $4,563 | 54 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,958 – $20,482 · median $7,374 | 54 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,086 – $14,047 · median $5,057 | 54 plans |
| 693 | URINARY STONES WITH MCC | $7,486 – $25,735 · median $9,264 | 54 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,978 – $13,676 · median $4,923 | 54 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $5,742 – $19,739 · median $7,106 | 54 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $3,522 – $12,108 · median $4,359 | 54 plans |
| 697 | URETHRAL STRICTURE | $5,101 – $17,533 · median $6,312 | 54 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,558 – $29,419 · median $10,591 | 54 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,193 – $17,850 · median $6,426 | 54 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $3,534 – $12,150 · median $4,374 | 54 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,880 – $33,964 · median $12,227 | 54 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,548 – $25,946 · median $9,341 | 54 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,441 – $39,328 · median $14,158 | 54 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,644 – $26,277 · median $9,460 | 54 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $9,728 – $33,439 · median $12,038 | 54 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,446 – $18,720 · median $6,739 | 54 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,362 – $25,308 · median $9,111 | 54 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,784 – $16,446 · median $5,921 | 54 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $11,498 – $39,524 · median $14,229 | 54 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $7,226 – $24,840 · median $8,943 | 54 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $9,447 – $32,475 · median $11,691 | 54 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $6,272 – $21,560 · median $7,762 | 54 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $8,803 – $30,259 · median $10,893 | 54 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,717 – $19,653 · median $7,075 | 54 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $3,710 – $12,752 · median $4,591 | 54 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,428 – $22,098 · median $7,955 | 54 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,790 – $13,028 · median $4,690 | 54 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | $7,481 – $25,717 · median $9,258 | 54 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $4,160 – $14,301 · median $5,148 | 54 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $5,605 – $19,268 · median $6,936 | 54 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $3,090 – $10,622 · median $3,824 | 54 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $10,706 – $36,803 · median $13,249 | 54 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $6,180 – $21,245 · median $7,648 | 54 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $20,048 – $68,915 · median $24,809 | 54 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $10,175 – $34,976 · median $12,591 | 54 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $7,723 – $26,548 · median $9,557 | 54 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $20,268 – $69,673 · median $25,082 | 54 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $9,258 – $31,823 · median $11,456 | 54 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $6,994 – $24,040 · median $8,655 | 54 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $9,301 – $31,971 · median $11,509 | 54 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $6,103 – $20,979 · median $7,553 | 54 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $9,949 – $34,199 · median $12,311 | 54 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $5,218 – $17,936 · median $6,457 | 54 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,526 – $29,309 · median $10,551 | 54 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,863 – $16,718 · median $6,018 | 54 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | $6,936 – $23,843 · median $8,583 | 54 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $13,180 – $45,305 · median $16,310 | 54 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $6,565 – $22,569 · median $8,125 | 54 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,212 – $31,666 · median $11,400 | 54 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,652 – $19,429 · median $6,994 | 54 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $4,862 – $16,714 · median $6,017 | 54 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,206 – $24,770 · median $8,917 | 54 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,190 – $17,840 · median $6,422 | 54 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $3,259 – $11,201 · median $4,032 | 54 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $5,018 – $17,250 · median $6,210 | 54 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $3,227 – $11,094 · median $3,994 | 54 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $5,582 – $19,187 · median $6,907 | 54 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | $7,075 – $24,319 · median $8,755 | 54 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $5,478 – $18,832 · median $6,779 | 54 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $3,633 – $12,488 · median $4,496 | 54 plans |
| 779 | ABORTION WITHOUT D&C | $4,759 – $16,361 · median $5,890 | 54 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,379 – $32,240 · median $11,606 | 54 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,514 – $18,954 · median $6,824 | 54 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,447 – $15,288 · median $5,504 | 54 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,227 – $28,281 · median $10,181 | 54 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,406 – $18,583 · median $6,690 | 54 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $4,606 – $15,834 · median $5,700 | 54 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $9,178 – $31,549 · median $11,358 | 54 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $30,268 – $104,045 · median $37,456 | 54 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $20,671 – $71,056 · median $25,580 | 54 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,472 – $42,874 · median $15,435 | 54 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,234 – $72,991 · median $26,277 | 54 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,516 – $25,836 · median $9,301 | 54 plans |
| 795 | NORMAL NEWBORN | $1,017 – $3,497 · median $1,259 | 54 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,500 – $22,343 · median $8,043 | 54 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $4,930 – $16,945 · median $6,100 | 54 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $4,930 – $16,945 · median $6,100 | 54 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $24,209 – $83,218 · median $29,958 | 54 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,835 – $50,997 · median $18,359 | 54 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,359 – $28,733 · median $10,344 | 54 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $18,252 – $62,740 · median $22,587 | 54 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $9,063 – $31,153 · median $11,215 | 54 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $5,629 – $19,350 · median $6,966 | 54 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $5,081 – $17,467 · median $6,288 | 54 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $3,684 – $12,664 · median $4,559 | 54 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $3,245 – $11,154 · median $4,015 | 54 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $11,661 – $40,084 · median $14,430 | 54 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $6,306 – $21,676 · median $7,803 | 54 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $4,846 – $16,658 · median $5,997 | 54 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,163 – $24,623 · median $8,864 | 54 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,699 – $16,152 · median $5,815 | 54 plans |
| 813 | COAGULATION DISORDERS | $7,882 – $27,093 · median $9,753 | 54 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | $10,644 – $36,587 · median $13,171 | 54 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,173 – $17,784 · median $6,402 | 54 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $3,357 – $11,541 · median $4,155 | 54 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $12,907 – $44,369 · median $15,973 | 54 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,558 – $22,542 · median $8,115 | 54 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,157 – $14,290 · median $5,144 | 54 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $29,644 – $101,901 · median $36,684 | 54 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $11,366 – $39,071 · median $14,066 | 54 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $5,823 – $20,017 · median $7,206 | 54 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $23,825 – $81,900 · median $29,484 | 54 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $11,198 – $38,493 · median $13,858 | 54 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $6,267 – $21,541 · median $7,755 | 54 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $24,314 – $83,580 · median $30,089 | 54 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $12,015 – $41,302 · median $14,869 | 54 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $8,161 – $28,054 · median $10,099 | 54 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $15,701 – $53,972 · median $19,430 | 54 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $7,446 – $25,596 · median $9,215 | 54 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $5,860 – $20,145 · median $7,252 | 54 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,805 – $13,081 · median $4,709 | 54 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $2,647 – $9,097 · median $3,275 | 54 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $28,142 – $96,738 · median $34,826 | 54 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $10,875 – $37,382 · median $13,458 | 54 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,470 – $22,240 · median $8,006 | 54 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $25,494 – $87,635 · median $31,549 | 54 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $10,326 – $35,497 · median $12,779 | 54 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $6,977 – $23,984 · median $8,634 | 54 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,237 – $55,813 · median $20,093 | 54 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,983 – $27,443 · median $9,879 | 54 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,356 – $18,410 · median $6,628 | 54 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $9,640 – $33,136 · median $11,929 | 54 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $6,085 – $20,918 · median $7,531 | 54 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $4,261 – $14,645 · median $5,272 | 54 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $13,002 – $44,696 · median $16,091 | 54 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $6,470 – $22,240 · median $8,006 | 54 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $4,169 – $14,332 · median $5,160 | 54 plans |
| 849 | RADIOTHERAPY | $13,600 – $46,749 · median $16,830 | 54 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $46,902 – $161,225 · median $58,041 | 54 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $25,464 – $87,532 · median $31,511 | 54 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $10,173 – $34,970 · median $12,589 | 54 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $8,277 – $28,451 · median $10,242 | 54 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $22,971 – $78,961 · median $28,426 | 54 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $11,094 – $38,135 · median $13,728 | 54 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $6,560 – $22,549 · median $8,118 | 54 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | $9,362 – $32,181 · median $11,585 | 54 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $5,091 – $17,500 · median $6,300 | 54 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,572 – $15,717 · median $5,658 | 54 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,514 – $25,831 · median $9,299 | 54 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,505 – $15,486 · median $5,575 | 54 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $10,918 – $37,529 · median $13,510 | 54 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $5,347 – $18,379 · median $6,616 | 54 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $3,664 – $12,594 · median $4,534 | 54 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $35,419 – $121,751 · median $43,830 | 54 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $9,990 – $34,340 · median $12,362 | 54 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $5,249 – $18,044 · median $6,496 | 54 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $20,007 – $68,775 · median $24,759 | 54 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $4,881 – $16,777 · median $6,040 | 54 plans |
| 881 | DEPRESSIVE NEUROSES | $4,654 – $15,998 · median $5,759 | 54 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,898 – $16,837 · median $6,061 | 54 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,439 – $32,447 · median $11,681 | 54 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,504 – $29,231 · median $10,523 | 54 plans |
| 885 | PSYCHOSES | $7,177 – $24,671 · median $8,881 | 54 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,147 – $31,442 · median $11,319 | 54 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,056 – $20,817 · median $7,494 | 54 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,178 – $10,923 · median $3,932 | 54 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $7,372 – $25,341 · median $9,123 | 54 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $9,067 – $31,167 · median $11,220 | 54 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $4,492 – $15,440 · median $5,558 | 54 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,558 – $77,542 · median $27,915 | 54 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,661 – $33,211 · median $11,956 | 54 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,207 – $21,336 · median $7,681 | 54 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,659 – $67,576 · median $24,327 | 54 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,392 – $28,846 · median $10,385 | 54 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,112 – $38,198 · median $13,751 | 54 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $20,283 – $69,722 · median $25,100 | 54 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,270 – $35,303 · median $12,709 | 54 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,457 – $22,198 · median $7,991 | 54 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,239 – $28,323 · median $10,196 | 54 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,666 – $16,039 · median $5,774 | 54 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,848 – $30,416 · median $10,950 | 54 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,381 – $11,623 · median $4,184 | 54 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,348 – $28,698 · median $10,331 | 54 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,504 – $15,482 · median $5,574 | 54 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,285 – $31,916 · median $11,490 | 54 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,172 – $17,780 · median $6,401 | 54 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,501 – $12,036 · median $4,333 | 54 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $8,601 – $29,568 · median $10,644 | 54 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $5,193 – $17,850 · median $6,426 | 54 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $120,783 – $415,192 · median $149,469 | 54 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $34,005 – $116,893 · median $42,081 | 54 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $16,193 – $55,663 · median $20,039 | 54 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $22,030 – $75,729 · median $27,262 | 54 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $10,925 – $37,555 · median $13,520 | 54 plans |
| 935 | NON-EXTENSIVE BURNS | $11,183 – $38,441 · median $13,839 | 54 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $16,160 – $55,551 · median $19,998 | 54 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $10,750 – $36,953 · median $13,303 | 54 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $9,950 – $34,204 · median $12,313 | 54 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,772 – $26,716 · median $9,618 | 54 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,685 – $19,541 · median $7,035 | 54 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,549 – $22,511 · median $8,104 | 54 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,045 – $13,905 · median $5,006 | 54 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,494 – $18,884 · median $6,798 | 54 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,984 – $10,258 · median $3,693 | 54 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,887 – $9,924 · median $3,572 | 54 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $34,766 – $119,508 · median $43,023 | 54 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | $19,461 – $66,899 · median $24,084 | 54 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $38,003 – $130,637 · median $47,029 | 54 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $20,925 – $71,929 · median $25,894 | 54 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $13,461 – $46,273 · median $16,658 | 54 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,832 – $47,547 · median $17,117 | 54 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,638 – $26,254 · median $9,452 | 54 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,646 – $15,972 · median $5,750 | 54 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $32,200 – $110,687 · median $39,847 | 54 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,509 – $46,438 · median $16,718 | 54 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,204 – $52,264 · median $18,815 | 54 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,237 – $24,877 · median $8,956 | 54 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,107 – $17,554 · median $6,320 | 54 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,341 – $25,236 · median $9,085 | 54 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $24,204 – $83,202 · median $29,953 | 54 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $12,465 – $42,850 · median $15,426 | 54 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $8,494 – $29,196 · median $10,511 | 54 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $17,834 – $61,304 · median $22,069 | 54 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $8,737 – $30,033 · median $10,812 | 54 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $5,883 – $20,223 · median $7,280 | 54 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | $11,656 – $40,067 · median $14,424 | 47 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $7,360 – $25,301 · median $9,108 | 47 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $13,692 – $47,068 · median $16,944 | 47 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $8,093 – $27,819 · median $10,015 | 47 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $10,931 – $37,575 · median $13,527 | 47 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $6,156 – $21,161 · median $7,618 | 47 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $38,983 – $134,004 · median $48,242 | 47 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $26,571 – $91,337 · median $32,881 | 47 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $36,094 – $124,074 · median $44,667 | 47 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $25,751 – $88,519 · median $31,867 | 47 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $32,590 – $112,027 · median $40,330 | 47 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $25,563 – $87,871 · median $31,634 | 47 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $21,902 – $75,289 · median $27,104 | 47 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $15,251 – $52,425 · median $18,873 | 47 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $9,722 – $33,420 · median $12,031 | 47 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $15,324 – $52,677 · median $18,964 | 47 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $9,250 – $31,796 · median $11,446 | 47 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $13,525 – $46,494 · median $16,738 | 47 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $8,291 – $28,500 · median $10,260 | 47 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $6,109 – $21,000 · median $7,560 | 47 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $11,502 – $39,537 · median $14,233 | 47 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $7,399 – $25,434 · median $9,156 | 47 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $5,563 – $19,124 · median $6,885 | 47 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $45,117 – $155,090 · median $55,833 | 47 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $31,141 – $107,046 · median $38,537 | 47 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $23,449 – $80,606 · median $29,018 | 47 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $33,768 – $116,077 · median $41,788 | 47 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,624 – $64,020 · median $23,047 | 47 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $5,371 – $18,464 · median $6,647 | 47 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $8,269 – $28,426 · median $10,234 | 47 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $5,756 – $19,788 · median $7,124 | 47 plans |
| 765 | CESAREAN SECTION W CC/MCC | $5,993 – $20,600 · median $7,416 | 47 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $4,262 – $14,651 · median $5,274 | 47 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $4,741 – $16,296 · median $5,867 | 47 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $4,228 – $14,533 · median $5,232 | 47 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $3,286 – $11,296 · median $4,066 | 47 plans |
| 777 | ECTOPIC PREGNANCY | $4,471 – $15,368 · median $5,533 | 47 plans |
| 778 | THREATENED ABORTION | $3,099 – $10,652 · median $3,835 | 47 plans |
| 780 | FALSE LABOR | $2,484 – $8,539 · median $3,074 | 47 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $4,386 – $15,078 · median $5,428 | 47 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $3,113 – $10,702 · median $3,853 | 47 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $17,366 – $59,697 · median $21,491 | 47 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $9,202 – $31,631 · median $11,387 | 47 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $5,666 – $19,476 · median $7,011 | 47 plans |
No procedures match that keyword.