Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

GROVE HILL MEMORIAL HOSPITAL

Grove Hill, AL · CCN 010091 · Rates published

18,992 distinct procedures filed
10 distinct payers
125,877 rate rows
2026-05-23 last MRF observed
Data quality

91,911 of 125,877 rate rows are consumer-grade (73.0%)

33,966 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 33,861
exceeds 10× this hospital's gross charge — excluded from medians 95
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/GroveHillMemorialHospital/630436871_grove-hill-memorial-hospital,-inc_standardcharges.csv
Found on page https://gh-health.org/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 12a8b43218f9c019… · 31,619,922 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 4 $4,070,151.18 $4,070,151.18 $4,070,151.18 nat. median
$4,505,000
0.9× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,329,543.28 $3,329,543.28 $3,329,543.28 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $2,996,338.32 $2,996,338.32 $2,996,338.32 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 4 $2,934,886.83 $2,934,886.83 $2,934,886.83 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 4 $2,661,400.03 $2,661,400.03 $2,661,400.03 nat. median
$3,006,423
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,218,129.05 $2,218,129.05 $2,218,129.05 nat. median
$2,469,189
0.9× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 4 $2,106,901.79 $2,106,901.79 $2,106,901.79 nat. median
$2,448,600
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 $696,235.27 $696,235.27 $696,235.27 nat. median
$824,563
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $534,609.34 $534,609.34 $534,609.34 nat. median
$754,974
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $511,247.99 $511,247.99 $511,247.99 nat. median
$675,122
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $508,238.73 $508,238.73 $508,238.73 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $503,522.36 $503,522.36 $503,522.36 nat. median
$625,184
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $481,759.69 $481,759.69 $481,759.69 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $442,074.08 $442,074.08 $442,074.08 nat. median
$620,080
0.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 4 $251,391.69 $251,391.69 $251,391.69 nat. median
$324,450
0.8× median
38240
CPT 		Transplt Allo Hct/donor 3 $750.00 $58,060.43 $58,060.43 nat. median
$15,912
outlier · 3.6×
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 4 $57,228.11 $57,228.11 $57,228.11 nat. median
$69,774
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $51,339.51 $51,339.51 $51,339.51 nat. median
$62,507
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $49,937.11 $49,937.11 $49,937.11 nat. median
$66,682
0.7× median
J9226
HCPCS 		Supprelin La Implant 4 $40,674.99 $40,674.99 $40,674.99 nat. median
$60,368
0.7× median
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 3 $750.00 $40,656.79 $40,656.79 nat. median
$27,541
1.5× median
620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 4 $40,656.79 $40,656.79 $40,656.79 —
33276
CPT 		Insj Phrnc Nrv Stim Sys 3 $750.00 $40,656.79 $40,656.79 nat. median
$43,787
0.9× median
69930
CPT 		Implant Cochlear Device 3 $750.00 $30,434.68 $30,434.68 nat. median
$29,663
1.0× median
571T
CPT 		Insj/rplcmt Icds Ss Eltrd 4 $28,973.27 $28,973.27 $28,973.27 —
408T
CPT 		Insj/rplc Cardiac Modulj Sys 4 $28,973.27 $28,973.27 $28,973.27 —
915T
CPT 		Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 4 $28,973.27 $28,973.27 $28,973.27 —
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 3 $750.00 $28,973.27 $28,973.27 nat. median
$31,873
0.9× median
33270
CPT 		Ins/rep Subq Defibrillator 3 $750.00 $28,973.27 $28,973.27 nat. median
$32,221
0.9× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 3 $750.00 $28,973.27 $28,973.27 nat. median
$31,833
0.9× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 3 $750.00 $28,973.27 $28,973.27 nat. median
$30,121
1.0× median
61885
CPT 		Insrt/redo Neurostim 1 Array 3 $750.00 $28,482.98 $28,482.98 nat. median
$20,011
1.4× median
61886
CPT 		Implant Neurostim Arrays 3 $750.00 $28,482.98 $28,482.98 nat. median
$27,077
1.1× median
61891
CPT 		Rev/rplcmt Sk-mnt Crnl Nstm 3 $750.00 $28,482.98 $28,482.98 nat. median
$20,874
1.4× median
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 3 $750.00 $28,482.98 $28,482.98 nat. median
$28,316
1.0× median
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 3 $750.00 $28,482.98 $28,482.98 nat. median
$21,347
1.3× median
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 3 $750.00 $28,482.98 $28,482.98 nat. median
$29,718
1.0× median
908T
CPT 		Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including… 4 $28,482.98 $28,482.98 $28,482.98 —
674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 4 $28,482.98 $28,482.98 $28,482.98 —
909T
CPT 		Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 4 $28,482.98 $28,482.98 $28,482.98 —
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 3 $750.00 $26,475.97 $26,475.97 nat. median
$28,318
0.9× median
J9266
HCPCS 		Pegaspargase Injection 4 $25,680.40 $25,680.40 $25,680.40 nat. median
$34,109
0.8× median
960T
CPT 		Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 4 $25,045.87 $25,045.87 $25,045.87 —
22630
CPT 		Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 4 $750.00 $25,045.87 $25,045.87 nat. median
$17,443
1.4× median
27702
CPT 		Reconstruct Ankle Joint 3 $750.00 $25,045.87 $25,045.87 nat. median
$15,707
1.6× median
22633
CPT 		Arthrodesis Combined Tq 1ntrspc Lumbar 4 $750.00 $25,045.87 $25,045.87 nat. median
$17,649
1.4× median
956T
CPT 		Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp… 4 $25,045.87 $25,045.87 $25,045.87 —
20696
CPT 		App Mltpln Uni Xtrnl Fix 1st 3 $750.00 $25,045.87 $25,045.87 nat. median
$11,508
outlier · 2.2×
22558
CPT 		Arthrd Ant Interbody Min Dsc Lumbar 4 $750.00 $25,045.87 $25,045.87 nat. median
$8,451
outlier · 3.0×
21243
CPT 		Reconstruction Of Jaw Joint 3 $750.00 $25,045.87 $25,045.87 nat. median
$12,814
2.0× median

Other procedures at this hospital

Browse this hospital's 18,992 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 8 4 — — $4,070,151.18 $4,070,151.18 $4,070,151.18 2026-05-05
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 4 — — $3,329,543.28 $3,329,543.28 $3,329,543.28 2026-05-05
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 4 — — $2,996,338.32 $2,996,338.32 $2,996,338.32 2026-05-05
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 4 — — $2,934,886.83 $2,934,886.83 $2,934,886.83 2026-05-05
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 4 — — $2,661,400.03 $2,661,400.03 $2,661,400.03 2026-05-05
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,218,129.05 $2,218,129.05 $2,218,129.05 2026-05-05
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 8 4 — — $2,106,901.79 $2,106,901.79 $2,106,901.79 2026-05-05
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 4 — — $696,235.27 $696,235.27 $696,235.27 2026-05-05
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 4 — — $534,609.34 $534,609.34 $534,609.34 2026-05-05
Q2056 HCPCS Ciltacabtagene Car-pos T 8 4 — — $511,247.99 $511,247.99 $511,247.99 2026-05-05
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 4 — — $508,238.73 $508,238.73 $508,238.73 2026-05-05
Q2055 HCPCS Idecabtagene Vicleucel Car 8 4 — — $503,522.36 $503,522.36 $503,522.36 2026-05-05
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 4 — — $481,759.69 $481,759.69 $481,759.69 2026-05-05
Q2053 HCPCS Brexucabtagene Car Pos T 8 4 — — $442,074.08 $442,074.08 $442,074.08 2026-05-05
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 4 — — $251,391.69 $251,391.69 $251,391.69 2026-05-05
38240 CPT Transplt Allo Hct/donor 6 3 — — $750.00 $58,060.43 $58,060.43 2026-05-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 8 4 — — $57,228.11 $57,228.11 $57,228.11 2026-05-05
A9543 HCPCS Y90 Ibritumomab, Rx 8 4 — — $51,339.51 $51,339.51 $51,339.51 2026-05-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 4 — — $49,937.11 $49,937.11 $49,937.11 2026-05-05
J9226 HCPCS Supprelin La Implant 8 4 — — $40,674.99 $40,674.99 $40,674.99 2026-05-05
620T CPT Evasc Ven Artlz Tibl/prnl Vn 8 4 — — $40,656.79 $40,656.79 $40,656.79 2026-05-05
64568 CPT Opn Impltj Crnl Nrv Nea&pg 6 3 — — $750.00 $40,656.79 $40,656.79 2026-05-05
33276 CPT Insj Phrnc Nrv Stim Sys 6 3 — — $750.00 $40,656.79 $40,656.79 2026-05-05
69930 CPT Implant Cochlear Device 6 3 — — $750.00 $30,434.68 $30,434.68 2026-05-05
408T CPT Insj/rplc Cardiac Modulj Sys 8 4 — — $28,973.27 $28,973.27 $28,973.27 2026-05-05
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 — — $750.00 $28,973.27 $28,973.27 2026-05-05
33270 CPT Ins/rep Subq Defibrillator 6 3 — — $750.00 $28,973.27 $28,973.27 2026-05-05
571T CPT Insj/rplcmt Icds Ss Eltrd 8 4 — — $28,973.27 $28,973.27 $28,973.27 2026-05-05
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 8 4 — — $28,973.27 $28,973.27 $28,973.27 2026-05-05
33231 CPT Insrt Pulse Gen W/mult Leads 6 3 — — $750.00 $28,973.27 $28,973.27 2026-05-05
33249 CPT Insj/rplcmt Defib W/lead(s) 6 3 — — $750.00 $28,973.27 $28,973.27 2026-05-05
61886 CPT Implant Neurostim Arrays 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
61885 CPT Insrt/redo Neurostim 1 Array 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 8 4 — — $28,482.98 $28,482.98 $28,482.98 2026-05-05
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 8 4 — — $28,482.98 $28,482.98 $28,482.98 2026-05-05
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 6 3 — — $750.00 $28,482.98 $28,482.98 2026-05-05
674T CPT Laps Insj Nw/rpcmt Prm Isdss 8 4 — — $28,482.98 $28,482.98 $28,482.98 2026-05-05
33289 CPT Tcat Impl Wrls P-art Prs Snr 6 3 — — $750.00 $26,475.97 $26,475.97 2026-05-05
J9266 HCPCS Pegaspargase Injection 8 4 — — $25,680.40 $25,680.40 $25,680.40 2026-05-05
956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 8 4 — — $25,045.87 $25,045.87 $25,045.87 2026-05-05
960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 8 4 — — $25,045.87 $25,045.87 $25,045.87 2026-05-05
21243 CPT Reconstruction Of Jaw Joint 6 3 — — $750.00 $25,045.87 $25,045.87 2026-05-05
20696 CPT App Mltpln Uni Xtrnl Fix 1st 6 3 — — $750.00 $25,045.87 $25,045.87 2026-05-05
22558 CPT Arthrd Ant Interbody Min Dsc Lumbar 8 4 $3,002.00 $1,801.20 40% off $750.00 $25,045.87 $25,045.87 2026-05-05
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 8 4 $3,534.00 $2,120.40 40% off $750.00 $25,045.87 $25,045.87 2026-05-05
27702 CPT Reconstruct Ankle Joint 6 3 — — $750.00 $25,045.87 $25,045.87 2026-05-05
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 8 4 $3,036.00 $1,821.60 40% off $750.00 $25,045.87 $25,045.87 2026-05-05
C9760 HCPCS Non-blind Interatrial Shunt 8 4 — — $24,845.99 $24,845.99 $24,845.99 2026-05-05
93656 CPT Compre Ep Eval Abltj Atr Fib 8 4 — — $24,126.37 $24,126.37 $24,126.37 2026-05-05
93654 CPT Compre Ep Eval Tx Vt 8 4 — — $24,126.37 $24,126.37 $24,126.37 2026-05-05
93653 CPT Compre Ep Eval Tx Svt 8 4 — — $24,126.37 $24,126.37 $24,126.37 2026-05-05
J9600 HCPCS Porfimer Sodium Injection 8 4 — — $21,889.75 $21,889.75 $21,889.75 2026-05-05
409T CPT Insj/rplc Car Modulj Pls Gn 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
414T CPT Rmvl & Rpl Car Modulj Pls Gn 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 6 3 — — $750.00 $20,531.78 $20,531.78 2026-05-05
33240 CPT Insrt Pulse Gen W/singl Lead 6 3 — — $750.00 $20,531.78 $20,531.78 2026-05-05
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 6 3 — — $750.00 $20,531.78 $20,531.78 2026-05-05
33230 CPT Insrt Pulse Gen W/dual Leads 6 3 — — $750.00 $20,531.78 $20,531.78 2026-05-05
515T CPT Insj Wcs Lv Compl Sys 8 4 — — $20,531.78 $20,531.78 $20,531.78 2026-05-05
54417 CPT Remv/replc Penis Pros Compl 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
54405 CPT Insert Multi-comp Penis Pros 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
54416 CPT Remv/repl Penis Contain Pros 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
53447 CPT Remove/replace Ur Sphincter 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
54411 CPT Remov/replc Penis Pros Comp 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
54410 CPT Remove/replace Penis Prosth 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
54401 CPT Insert Self-contd Prosthesis 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
53444 CPT Insert Tandem Cuff 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
53445 CPT Insert Uro/ves Nck Sphincter 6 3 — — $750.00 $19,131.10 $19,131.10 2026-05-05
817T CPT Opn Insj/rplcmt Ins Ptn Subf 8 4 — — $17,907.14 $17,907.14 $17,907.14 2026-05-05
63655 CPT Implant Neuroelectrodes 6 3 — — $750.00 $17,907.14 $17,907.14 2026-05-05
816T CPT Opn Insj/rplcmt Ins Ptn Subq 8 4 — — $17,907.14 $17,907.14 $17,907.14 2026-05-05
64580 CPT Opn Impltj Nea Neuromuscular 6 3 — — $750.00 $17,907.14 $17,907.14 2026-05-05
680T CPT Insj/rplcmt Pg Only Isdss 8 4 — — $17,907.14 $17,907.14 $17,907.14 2026-05-05
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 6 3 — — $750.00 $17,907.14 $17,907.14 2026-05-05
803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
823T CPT Tcat Ins 1chmbr Ldls Pm Ra 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
797T CPT Tcat Ins 2chmbr Ldls Pm Rv 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
33274 CPT Tcat Insj/rpl Perm Ldls Pm 6 3 — — $750.00 $17,779.37 $17,779.37 2026-05-05
33229 CPT Remv&replc Pm Gen Mult Leads 6 3 — — $750.00 $17,779.37 $17,779.37 2026-05-05
33221 CPT Insert Pulse Gen Mult Leads 6 3 — — $750.00 $17,779.37 $17,779.37 2026-05-05
795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
525T CPT Insj/rplcmt Compl Iims 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
796T CPT Tcat Ins 2chmbr Ldls Pm Ra 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 8 4 — — $17,779.37 $17,779.37 $17,779.37 2026-05-05
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
C9767 HCPCS Revasc Lithotrip-stent-ather 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
36906 CPT Thrmbc/nfs Dialysis Circuit 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
93580 CPT Transcath Closure Of Asd 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
93581 CPT Transcath Closure Of Vsd 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
793T CPT Prq Tcat Thrm Ablt Nrv P-art 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
92933 CPT Prq Card Stent/ath/angio 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9797 HCPCS Vasc Emb/occ W/prs Cath 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
37184 CPT Prim Art M-thrmbc 1st Vsl 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
37182 CPT Insert Hepatic Shunt (tips) 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
C9773 HCPCS Revasc Lithotr-stent Tib/per 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9765 HCPCS Revasc Intra Lithotrip-stent 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9766 HCPCS Revasc Intra Lithotrip-ather 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9774 HCPCS Revasc Lithotr-ather Tib/per 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
C9775 HCPCS Revasc Lith-sten-ath Tib/per 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
981T CPT Transcatheter Implantation Of Wireless Inferior Vena Cava Sensor For Long-term H… 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
238T CPT Trluml Perip Athrc Iliac Art 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
33902 CPT Perq P-art Revsc 1 Abnor Uni 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
645T CPT Tcat Impltj C Sins Rdctj Dev 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
632T CPT Perq Tcat US Abltj Nrv P-art 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
61624 CPT Transcath Occlusion Cns 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
C9602 HCPCS Perc D-e Cor Stent Ather S 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
93582 CPT Perq Transcath Closure Pda 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
93591 CPT Perq Transcath Cls Aortic 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
93590 CPT Perq Transcath Cls Mitral 8 4 — — $16,920.89 $16,920.89 $16,920.89 2026-05-05
37242 CPT Vasc Embolize/occlude Artery 6 3 — — $750.00 $16,920.89 $16,920.89 2026-05-05
62360 CPT Insert Spine Infusion Device 6 3 — — $750.00 $16,636.79 $16,636.79 2026-05-05
62361 CPT Implant Spine Infusion Pump 6 3 — — $750.00 $16,636.79 $16,636.79 2026-05-05
62362 CPT Implant Spine Infusion Pump 6 3 — — $750.00 $16,636.79 $16,636.79 2026-05-05
22837 CPT Ant Thrc Vrt Body Tethrg 8+ 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22836 CPT Ant Thrc Vrt Body Tethrg <7 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
23616 CPT Optx Prox Humrl Fx W/int Fixj Rpr Tubrst Rplcmt 8 4 $2,477.00 $1,486.20 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
20808 CPT Replantation Hand Complete 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22838 CPT Rev Rplc/rmv Thrc Vrt Tethrg 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
20805 CPT Replant Forearm Complete 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22818 CPT Kyphectomy 1-2 Segments 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22819 CPT Kyphectomy 3 Or More 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22810 CPT Arthrd Ant Dfrm 4-7 Vrt Sgm 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22808 CPT Arthrd Ant Dfrm 2-3 Vrt Sgm 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22812 CPT Arthrd Ant Dfrm 8+ Vrt Sgm 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22600 CPT Arthrd Pst/pstlat Tq 1ntrspc Crv Belw C2 Segment 8 4 $2,552.00 $1,531.20 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
25442 CPT Reconstruct Wrist Joint 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
20838 CPT Replantation Foot Complete 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
25446 CPT Wrist Replacement 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22800 CPT Arthrd Pst Dfrm<6 Vrt Sgm 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22867 CPT Insj Stablj Dev W/dcmprn 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
790T CPT Revj Rplcmt/rmvl Vrt Tethrg 8 4 — — $16,184.47 $16,184.47 $16,184.47 2026-05-05
22862 CPT Rev Rplcm Rthrp 1ntrspc Lmbr 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
20802 CPT Replantation Arm Complete 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
656T CPT Vrt Bdy Tethering Ant <7 Seg 8 4 — — $16,184.47 $16,184.47 $16,184.47 2026-05-05
22802 CPT Arthrodesis Posterior Spinal Dfrm 7-12 Vrt Sgm 8 4 $4,160.00 $2,496.00 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
657T CPT Vrt Bdy Tethering Ant 8+ Seg 8 4 — — $16,184.47 $16,184.47 $16,184.47 2026-05-05
22856 CPT Hc Pro Cervical Artificial Diskectomy 8 4 $3,177.00 $1,906.20 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
22533 CPT Arthrd Lat Xtrcvtry Tq Lmbr 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 8 4 $2,889.00 $1,733.40 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
27295 CPT Amputation Of Leg At Hip 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
24363 CPT Replace Elbow Joint 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22586 CPT Arthrd Pre-sac Ntrbdy L5-s1 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22804 CPT Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm 8 4 $4,776.00 $2,865.60 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
27703 CPT Reconstruction Ankle Joint 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
27487 CPT Hc Pro Revision Of Total Knee Arthrop 8 4 $3,492.00 $2,095.20 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
24371 CPT Revise Reconst Elbow Joint 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22610 CPT Arthrodesis Posterior/pstlat Tq 1ntrspc Thoracic 8 4 $2,517.00 $1,510.20 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
24361 CPT Reconstruct Elbow Joint 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
27290 CPT Amputation Of Leg At Hip 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22612 CPT Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar 8 4 $3,110.00 $1,866.00 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
20982 CPT Ablate Bone Tumor(s) Perq 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22857 CPT Hc Pro Total Disc Arthrp Ant Single Interspace Lumbar 8 4 $3,479.00 $2,087.40 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
27279 CPT Arthrd Si Jt Perq/min Nvas 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
27280 CPT Arthr Si Jt Opn B1grf Instrm 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
C8003 HCPCS Implantation Of Medial Knee Extraarticular Implantable Shock Absorber Spanning T… 8 4 — — $16,184.47 $16,184.47 $16,184.47 2026-05-05
28705 CPT Fusion Of Foot Bones 6 3 — — $750.00 $16,184.47 $16,184.47 2026-05-05
22861 CPT Hc Pro Revj W/rplcmt Tot Disc Arthrp Ant 1 Ntrspc Crv 8 4 $4,449.00 $2,669.40 40% off $750.00 $16,184.47 $16,184.47 2026-05-05
C2616 HCPCS Brachytx, Non-str,yttrium-90 8 4 — — $16,055.65 $16,055.65 $16,055.65 2026-05-05
888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 8 4 — — $15,811.25 $15,811.25 $15,811.25 2026-05-05
C8005 HCPCS Bronchoscopy, Rigid Or Flexible, Non-thermal Transbronchial Ablation Of Lesion(s… 8 4 — — $15,811.25 $15,811.25 $15,811.25 2026-05-05
C9758 HCPCS Blind Interatrial Shunt Ide 8 4 — — $15,811.25 $15,811.25 $15,811.25 2026-05-05
686T CPT Histotripsy Mal Hepatcel Tis 8 4 — — $15,811.25 $15,811.25 $15,811.25 2026-05-05
C9782 HCPCS Blind Myocar Trpl Bon Marrow 8 4 — — $15,811.25 $15,811.25 $15,811.25 2026-05-05
66683 CPT Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal… 6 3 — — $750.00 $15,194.05 $15,194.05 2026-05-05
308T CPT Insj Ocular Telescope Prosth 8 4 — — $15,194.05 $15,194.05 $15,194.05 2026-05-05
65770 CPT Revise Cornea With Implant 8 4 — — $750.00 $13,389.76 $13,389.76 2026-05-05
67027 CPT Implant Eye Drug System 8 4 — — $750.00 $12,879.18 $12,879.18 2026-05-05
81416 CPT Exome Sequence Analysis 8 4 — — $12,000.00 $12,852.00 $12,852.00 2026-05-05
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 8 4 — — $750.00 $12,720.41 $12,720.41 2026-05-05
19298 CPT Place Breast Rad Tube/caths 8 4 — — $750.00 $12,720.41 $12,720.41 2026-05-05
55882 CPT Ablation Of Prostate Tissue, Transurethral, Using Thermal Ultrasound, Including … 8 4 — — $750.00 $12,178.13 $12,178.13 2026-05-05
582T CPT Trurl Abltj Mal Prst8 Tiss 8 4 — — $12,178.13 $12,178.13 $12,178.13 2026-05-05
54400 CPT Insert Semi-rigid Prosthesis 8 4 — — $750.00 $12,178.13 $12,178.13 2026-05-05
53440 CPT Hc Pro Sling Opration Corrj Male Urinary Incontinence 8 4 $1,530.00 $918.00 40% off $750.00 $12,178.13 $12,178.13 2026-05-05
53451 CPT Tprnl Balo Cntnc Dev Bi 8 4 — — $750.00 $12,178.13 $12,178.13 2026-05-05
23615 CPT Hc Pro Closed Tx Prox Humerus Fx With Manipulation 8 4 $1,780.00 $1,068.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
22548 CPT Arthrd Ant Toral/xoral C1-c2 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 8 4 $3,315.00 $1,989.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
22532 CPT Arthrd Lat Xtrcvtry Tq Thrc 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
202T CPT Post Vert Arthrplst 1 Lumbar 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
22849 CPT Reinsert Spinal Fixation 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
629T CPT Perq Njx Algc CT Lmbr 1st 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
627T CPT Perq Njx Algc Fluor Lmbr 1st 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
22554 CPT Arthrd Ant Ntrbd Min Dsc Crv 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
25810 CPT Fusion/graft Of Wrist Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22327 CPT Hc Pro Optx&/rdctj Vrt Fx&/dislc Pst 1 Vrt Sgm Th 8 4 $3,011.00 $1,806.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
22326 CPT Hc Pro Optx&/rdctj Vrt Fx&/dislc Pst 1 Vrt Sgm Cr 8 4 $2,949.00 $1,769.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
25491 CPT Reinforce Ulna 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22319 CPT Treat Odontoid Fx W/graft 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22325 CPT Hc Pro Optx&/rdctj Vrt Fx&/dislc Pst 1 Vrt Sgm Lm 8 4 $2,895.00 $1,737.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
23485 CPT Revision Of Collar Bone 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23473 CPT Hc Pro Revision Total Shoulder Arthroplasty 8 4 $3,213.00 $1,927.80 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
25444 CPT Reconstruct Wrist Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23491 CPT Reinforce Shoulder Bones 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
25441 CPT Reconstruct Wrist Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23474 CPT Hc Pro Revision Total Shoulder Arthroplasty 8 4 $3,467.00 $2,080.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
22590 CPT Arthrd Pst Tq Craniocervical 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23680 CPT Optx Sho Dislc Neck Fx Fixj 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22318 CPT Treat Odontoid Fx Without Graft 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
C9734 HCPCS U/s Trtmt, Not Leiomyomata 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
25391 CPT Lengthen Radius Or Ulna 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
25365 CPT Revise Radius & Ulna 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23802 CPT Arthrd Glenohumeral Jt W/grf 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22869 CPT Insj Stablj Dev Without Dcmprn 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
C9757 HCPCS Spine Device Implant Surgery 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
23470 CPT Arthroplasty Glenohumrl Jt Hemiarthroplasty 8 4 $2,401.00 $1,440.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24940 CPT Revision Of Upper Arm 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24931 CPT Amputate Upper Arm & Implant 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24900 CPT Amputation Of Upper Arm 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24920 CPT Amputation Of Upper Arm 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
737T CPT Xenograft Impltj Artclr Surf 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
24666 CPT Open Tx Radial Head/neck Fracture Prosthetic 8 4 $1,482.00 $889.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
69729 CPT Impl Oi Implt Sk Tc Esp>=100 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
23900 CPT Interthoracoscplr Amputation 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24802 CPT Fusion/graft Of Elbow Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
C9781 HCPCS Arthro/shoul Surg; W/spacer 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
219T CPT Plmt Post Facet Implt Cerv 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
24587 CPT Treat Elbow Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
69714 CPT Impl Oi Implt Skull Perq Esp 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24579 CPT Hc Pro Open Treatment Humeral Condylar Fracture 8 4 $1,687.00 $1,012.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
29867 CPT Allgrft Implnt Knee W/scope 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/agmntj/rcnstj 8 4 $2,458.00 $1,474.80 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24575 CPT Treat Humerus Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24586 CPT Treat Elbow Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
29907 CPT Subtalar Arthro W/fusion 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
69716 CPT Impl Oi Implt Sk Tc Esp<100 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
28730 CPT Arthrd Midtarsl/tarsometatarsal Mult/transvrs 8 4 $1,475.00 $885.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24516 CPT Treat Humerus Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
28735 CPT Fusion Of Foot Bones 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
28715 CPT Arthrodesis Triple 8 4 $1,900.00 $1,140.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24546 CPT Open Tx Humeral Supracondylar Fracture W/xtn 8 4 $2,085.00 $1,251.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
28725 CPT Arthrodesis Subtalar 8 4 $1,579.00 $947.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
28737 CPT Arthrd W/tdn Lngth&advmnt Tarsl Nvclr-cuneifor 8 4 $1,412.00 $847.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24435 CPT Repair Humerus With Graft 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
28297 CPT Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis 8 4 $2,061.00 $1,236.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
28320 CPT Repair Of Foot Bones 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24430 CPT Repair Of Humerus 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
220T CPT Plmt Post Facet Implt Thor 8 4 — — $11,850.65 $11,850.65 $11,850.65 2026-05-05
28420 CPT Treat/graft Heel Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
29856 CPT Tibial Arthroscopy/surgery 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27758 CPT Hc Pro Optx Tibial Shft Fx W/plate/screws W/wo Cerclage 8 4 $1,804.00 $1,082.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24365 CPT Reconstruct Head Of Radius 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27759 CPT Hc Pro Tx Tibl Shft Fx Imed Implt W/wo Screws&/cercla 8 4 $2,001.00 $1,200.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27712 CPT Realignment Of Lower Leg 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27715 CPT Revision Of Lower Leg 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27827 CPT Hc Pro Open Treatment Fracture Distal Tibia Only 8 4 $2,254.00 $1,352.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27828 CPT Hc Pro Open Treatment Fracture Distal Tibia & Fibula 8 4 $2,664.00 $1,598.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27514 CPT Treatment Of Thigh Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24346 CPT Reconstruct Elbow Med Ligmnt 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27513 CPT Treatment Of Thigh Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
20692 CPT Application Multiplane External Fixation System 8 4 $2,278.00 $1,366.80 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27446 CPT Revision Of Knee Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27443 CPT Revision Of Knee Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27447 CPT Arthrp Kne Condyle&platu Medial&lat Compartments 8 4 $2,561.00 $1,536.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27488 CPT Hc Pro Rmvl Prosth Tot Knee Prosth Mma W/wo Insj Spacer 8 4 $2,404.00 $1,442.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27709 CPT Incision Of Tibia & Fibula 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
22595 CPT Arthrodesis Posterior Atlas-axis C1-c2 8 4 $2,961.00 $1,776.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27438 CPT Arthroplasty Patella W/prosthesis 8 4 $1,694.00 $1,016.40 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27486 CPT Hc Pro Revj Total Knee Arthrp W/wo Algrft 1 Component 8 4 $2,805.00 $1,683.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27428 CPT Ligamentous Reconstruction Knee Intra-articular 8 4 $2,246.00 $1,347.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27511 CPT Hc Pro Open Tx Femoral Supracondylar Fracture Without Xtn 8 4 $1,991.00 $1,194.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27429 CPT Reconstruction Knee 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27580 CPT Fusion Of Knee 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24410 CPT Revision Of Humerus 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24362 CPT Reconstruct Elbow Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27440 CPT Revision Of Knee Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27356 CPT Excision/curettage Cyst/tumor Femur W/allograft 8 4 $1,495.00 $897.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27286 CPT Arthrd Hip Jt Sbtrchc Osteot 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27415 CPT Osteochondral Knee Allograft 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24370 CPT Revise Reconst Elbow Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24366 CPT Reconstruct Head Of Radius 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27441 CPT Revision Of Knee Joint 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27870 CPT Arthrodesis Ankle Open 8 4 $2,036.00 $1,221.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27138 CPT Hb Pro Revj Tot Hip Arthrp Fem Only W/wo Algrft 8 4 $3,033.00 $1,819.80 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
23920 CPT Disarticulation Shoulder 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
24498 CPT Reinforce Humerus 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27871 CPT Arthrodesis Tibiofibular Joint Proximal/distal 8 4 $1,397.00 $838.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27134 CPT Hc Pro Revj Tot Hip Arthrp Bth W/wo Agrft/algrft 8 4 $3,786.00 $2,271.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27132 CPT Conv Prev Hip Tot Hip Arthrp W/wo Agrft/algrft 8 4 $3,330.00 $1,998.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24545 CPT Treat Humerus Fracture 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27137 CPT Hc Pro Revj Tot Hip Arthrp Actblr W/wo Agrft/algrft 8 4 $2,920.00 $1,752.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
24515 CPT Hc Pro Open Tx Humerus Shaft Fx With Plate/screws W Or Without Cerclage 8 4 $1,775.00 $1,065.00 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27120 CPT Reconstruction Of Hip Socket 8 4 — — $750.00 $11,850.65 $11,850.65 2026-05-05
27125 CPT Hemiarthroplasty Hip Partial 8 4 $2,267.00 $1,360.20 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
27091 CPT Hc Pro Rmvl Hip Prosth Comp W/tot Hip Prosth Mma 8 4 $3,176.00 $1,905.60 40% off $750.00 $11,850.65 $11,850.65 2026-05-05
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