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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

WASHINGTON COUNTY HOSPITAL

Chatom, AL · CCN 011300 · Rates published

Your selected procedure

You selected 59400 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

22,088 distinct procedures filed
9 distinct payers
121,506 rate rows
2026-07-31 last MRF observed
Data quality

55,055 of 121,506 rate rows are consumer-grade (45.3%)

66,451 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 60,821
per-diem day rate — not a per-procedure price 3,835
template filing: same amount across many unrelated codes — excluded 1,498
exceeds 10× this hospital's gross charge — excluded from medians 128
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 104
placeholder amount (≤ $0.02) — excluded from medians 65
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wchnh.org/docs/636003514_washington-county-healthcare-authority,-inc_standardcharges.json
Found on page https://www.wchnh.org/getpage.php?name=Price-Transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint eeacc4813d933f9e… · 25,791,489 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
69930
CPT 		Implant Cochlear Device 5 $89,519.07 $89,519.07 $89,519.07 nat. median
$29,361
outlier · 3.0×
33230
CPT 		Insrt Pulse Gen W/dual Leads 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$22,374
outlier · 3.5×
33262
CPT 		Rmvl& Replc Pulse Gen 1 Lead 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$23,104
outlier · 3.4×
33263
CPT 		Rmvl & Rplcmt Dfb Gen 2 Lead 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$23,228
outlier · 3.4×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$31,420
outlier · 2.5×
33270
CPT 		Ins/rep Subq Defibrillator 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$31,963
outlier · 2.5×
33240
CPT 		Insrt Pulse Gen W/singl Lead 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$21,987
outlier · 3.6×
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$31,464
outlier · 2.5×
33231
CPT 		Insrt Pulse Gen W/mult Leads 5 $79,417.32 $79,417.32 $79,417.32 nat. median
$29,955
outlier · 2.7×
61886
CPT 		Implant Neurostim Arrays 5 $65,922.57 $65,922.57 $65,922.57 nat. median
$27,176
outlier · 2.4×
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 5 $65,922.57 $65,922.57 $65,922.57 nat. median
$27,651
outlier · 2.4×
93631
CPT 		Heart Pacing Mapping 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$1,645
outlier · 31.7×
93622
CPT 		Electrophysiology Evaluation 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$4,551
outlier · 11.5×
93624
CPT 		Electrophysiologic Study 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$7,916
outlier · 6.6×
93653
CPT 		Compre Ep Eval Tx Svt 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$26,399
2.0× median
93621
CPT 		Electrophysiology Evaluation 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$4,640
outlier · 11.2×
93623
CPT 		Stimulation Pacing Heart 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$3,340
outlier · 15.6×
93620
CPT 		Electrophysiology Evaluation 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$8,889
outlier · 5.9×
93656
CPT 		Compre Ep Eval Abltj Atr Fib 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$26,956
1.9× median
93609
CPT 		Map Tachycardia Add-on 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$3,313
outlier · 15.7×
93650
CPT 		Ablate Heart Dysrhythm Focus 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$9,551
outlier · 5.5×
93613
CPT 		Electrophys Map 3d Add-on 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$4,704
outlier · 11.1×
93654
CPT 		Compre Ep Eval Tx Vt 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$26,806
1.9× median
93655
CPT 		Icar Cath Abltj Dscrt Arrhyt 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$7,054
outlier · 7.4×
93657
CPT 		Tx L/r Atrial Fib Addl 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$7,178
outlier · 7.3×
93619
CPT 		Electrophysiology Evaluation 5 $52,159.66 $52,159.66 $52,159.66 nat. median
$8,416
outlier · 6.2×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$331
outlier · 155.1×
J1743
HCPCS 		Idursulfase Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$826
outlier · 62.1×
J1458
HCPCS 		Galsulfase Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$726
outlier · 70.7×
J1786
HCPCS 		Imuglucerase Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$86
outlier · 594.6×
J1322
HCPCS 		Elosulfase Alfa, Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$476
outlier · 107.8×
J1428
HCPCS 		Inj, Eteplirsen, 10 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$295
outlier · 174.2×
J2326
HCPCS 		Inj, Nusinersen, 0.1mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$2,353
outlier · 21.8×
J2840
HCPCS 		Inj Sebelipase Alfa 1 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$657
outlier · 78.1×
J0202
HCPCS 		Injection, Alemtuzumab 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$3,876
outlier · 13.2×
C9293
HCPCS 		Injection, Glucarpidase 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$24,377
outlier · 2.1×
J0220
HCPCS 		Alglucosidase Alfa Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$240
outlier · 214.0×
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$63,643
0.8× median
J0221
HCPCS 		Lumizyme Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$363
outlier · 141.3×
A9606
HCPCS 		Radium Ra223 Dichloride Ther 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$266
outlier · 192.9×
J7310
HCPCS 		Ganciclovir Long Act Implant 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$18,387
outlier · 2.8×
J7311
HCPCS 		Inj., Retisert, 0.01 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$440
outlier · 116.5×
J3385
HCPCS 		Velaglucerase Alfa 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$617
outlier · 83.1×
J3060
HCPCS 		Inj, Taliglucerase Alfa 10 U 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$52
outlier · 989.0×
J7180
HCPCS 		Factor Xiii Anti-hem Factor 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$14
outlier · 3791.6×
J0596
HCPCS 		Injection, Ruconest 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$49
outlier · 1052.1×
J7191
HCPCS 		Factor Viii (porcine) 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$5
outlier · 9395.6×
J0638
HCPCS 		Canakinumab Injection 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$250
outlier · 205.0×
J7313
HCPCS 		Inj., Iluvien, 0.01 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$612
outlier · 83.8×
J9022
HCPCS 		Inj, Atezolizumab,10 Mg 5 $51,300.07 $51,300.07 $51,300.07 nat. median
$5,498
outlier · 9.3×

Other procedures at this hospital

Browse this hospital's 22,088 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
             
69930 CPT Implant Cochlear Device 5 5 — $54.17 $89,519.07 $89,519.07 $89,519.07 2026-05-05
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33230 CPT Insrt Pulse Gen W/dual Leads 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33249 CPT Insj/rplcmt Defib W/lead(s) 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33270 CPT Ins/rep Subq Defibrillator 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
33240 CPT Insrt Pulse Gen W/singl Lead 5 5 — $54.17 $79,417.32 $79,417.32 $79,417.32 2026-05-05
64568 CPT Opn Impltj Crnl Nrv Nea&pg 5 5 — $54.17 $65,922.57 $65,922.57 $65,922.57 2026-05-05
61886 CPT Implant Neurostim Arrays 5 5 — $54.17 $65,922.57 $65,922.57 $65,922.57 2026-05-05
93650 CPT Ablate Heart Dysrhythm Focus 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93631 CPT Heart Pacing Mapping 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93619 CPT Electrophysiology Evaluation 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93622 CPT Electrophysiology Evaluation 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93656 CPT Compre Ep Eval Abltj Atr Fib 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93655 CPT Icar Cath Abltj Dscrt Arrhyt 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93624 CPT Electrophysiologic Study 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93623 CPT Stimulation Pacing Heart 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93621 CPT Electrophysiology Evaluation 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93609 CPT Map Tachycardia Add-on 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93654 CPT Compre Ep Eval Tx Vt 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93613 CPT Electrophys Map 3d Add-on 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93653 CPT Compre Ep Eval Tx Svt 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93657 CPT Tx L/r Atrial Fib Addl 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
93620 CPT Electrophysiology Evaluation 5 5 — $54.17 $52,159.66 $52,159.66 $52,159.66 2026-05-05
J2840 HCPCS Inj Sebelipase Alfa 1 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J7310 HCPCS Ganciclovir Long Act Implant 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J3385 HCPCS Velaglucerase Alfa 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J1743 HCPCS Idursulfase Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J7311 HCPCS Inj., Retisert, 0.01 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J0220 HCPCS Alglucosidase Alfa Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J1428 HCPCS Inj, Eteplirsen, 10 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J9022 HCPCS Inj, Atezolizumab,10 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J7191 HCPCS Factor Viii (porcine) 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J9228 HCPCS Ipilimumab Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J9226 HCPCS Supprelin La Implant 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J1322 HCPCS Elosulfase Alfa, Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J0638 HCPCS Canakinumab Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J9042 HCPCS Brentuximab Vedotin Inj 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J0202 HCPCS Injection, Alemtuzumab 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J3060 HCPCS Inj, Taliglucerase Alfa 10 U 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
C9293 HCPCS Injection, Glucarpidase 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J1458 HCPCS Galsulfase Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J2326 HCPCS Inj, Nusinersen, 0.1mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J7180 HCPCS Factor Xiii Anti-hem Factor 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J0221 HCPCS Lumizyme Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J0596 HCPCS Injection, Ruconest 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J7313 HCPCS Inj., Iluvien, 0.01 Mg 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
A9606 HCPCS Radium Ra223 Dichloride Ther 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
J1786 HCPCS Imuglucerase Injection 5 5 — $54.17 $51,300.07 $51,300.07 $51,300.07 2026-05-05
54400 CPT Insert Semi-rigid Prosthesis 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54417 CPT Remv/replc Penis Pros Compl 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54411 CPT Remov/replc Penis Pros Comp 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54405 CPT Insert Multi-comp Penis Pros 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54401 CPT Insert Self-contd Prosthesis 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54410 CPT Remove/replace Penis Prosth 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
54416 CPT Remv/repl Penis Contain Pros 5 5 — $54.17 $43,844.82 $43,844.82 $43,844.82 2026-05-05
37246 CPT Trluml Balo Angiop 1st Art 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37234 CPT Revsc Opn/prq Tib/pero Stent 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37227 CPT Fem/popl Revasc Stnt & Ather 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37235 CPT Tib/per Revasc Stnt & Ather 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37236 CPT Open/perq Place Stent 1st 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37231 CPT Tib/per Revasc Stent & Ather 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
36906 CPT Thrmbc/nfs Dialysis Circuit 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37226 CPT Fem/popl Revasc W/stent 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
36908 CPT Stent Plmt Ctr Dialysis Seg 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37233 CPT Tibper Revasc W/ather Add-on 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37222 CPT Iliac Revasc Add-on 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37232 CPT Tib/per Revasc Add-on 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
36905 CPT Thrmbc/nfs Dialysis Circuit 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
238T OTHER Trluml Perip Athrc Iliac Art 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37249 CPT Trluml Balo Angiop Addl Vein 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
236T OTHER Trluml Perip Athrc Abd Aorta 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
234T OTHER Trluml Perip Athrc Renal Art 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
61635 CPT Intracran Angioplsty W/stent 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37248 CPT Trluml Balo Angiop 1st Vein 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37237 CPT Open/perq Place Stent Ea Add 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37221 CPT Iliac Revasc W/stent 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37247 CPT Trluml Balo Angiop Addl Art 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
37230 CPT Tib/per Revasc W/stent 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
36903 CPT Intro Cath Dialysis Circuit 5 5 — $54.17 $35,011.39 $35,011.39 $35,011.39 2026-05-05
27446 CPT Revision Of Knee Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27486 CPT Revise/replace Knee Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27447 CPT Total Knee Arthroplasty 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
23474 CPT Revis Reconst Shoulder Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27440 CPT Revision Of Knee Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
24362 CPT Reconstruct Elbow Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
23470 CPT Reconstruct Shoulder Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
24366 CPT Reconstruct Head Of Radius 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27130 CPT Total Hip Arthroplasty 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
24360 CPT Reconstruct Elbow Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25444 CPT Reconstruct Wrist Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25446 CPT Wrist Replacement 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
24363 CPT Replace Elbow Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25445 CPT Reconstruct Wrist Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25449 CPT Remove Wrist Joint Implant 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27441 CPT Revision Of Knee Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27438 CPT Revise Kneecap With Implant 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25442 CPT Reconstruct Wrist Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25443 CPT Reconstruct Wrist Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
25441 CPT Reconstruct Wrist Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
24361 CPT Reconstruct Elbow Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
23473 CPT Revis Reconst Shoulder Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
27125 CPT Partial Hip Replacement 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
23472 CPT Reconstruct Shoulder Joint 5 5 — $54.17 $29,754.44 $29,754.44 $29,754.44 2026-05-05
92937 CPT Prq Revasc Byp Graft 1 Vsl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92941 CPT Prq Card Revasc Mi 1 Vsl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92938 CPT Prq Revasc Byp Graft Addl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92943 CPT Prq Card Revasc Chronic 1vsl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92933 CPT Prq Card Stent/ath/angio 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92934 CPT Prq Card Stent/ath/angio 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92921 CPT Prq Cardiac Angio Addl Art 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92924 CPT Prq Card Angio/athrect 1 Art 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92925 CPT Prq Card Angio/athrect Addl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92929 CPT Prq Card Stent W/angio Addl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92928 CPT Prq Card Stent W/angio 1 Vsl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92944 CPT Prq Card Revasc Chronic Addl 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9600 HCPCS Perc Drug-el Cor Stent Sing 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92920 CPT Prq Cardiac Angioplast 1 Art 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9606 HCPCS Perc D-e Cor Revasc W Ami S 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92997 CPT Pul Art Balloon Repr Percut 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92986 CPT Revision Of Aortic Valve 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9602 HCPCS Perc D-e Cor Stent Ather S 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9603 HCPCS Perc D-e Cor Stent Ather Br 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92998 CPT Pul Art Balloon Repr Percut 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92987 CPT Revision Of Mitral Valve 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
92990 CPT Revision Of Pulmonary Valve 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9608 HCPCS Perc D-e Cor Revasc Chro Add 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
C9601 HCPCS Perc Drug-el Cor Stent Bran 5 5 — $54.17 $27,447.43 $27,447.43 $27,447.43 2026-05-05
409T OTHER Insj/rplc Car Modulj Pls Gn 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
410T OTHER Insj/rplc Car Modulj Atr Elt 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
411T OTHER Insj/rplc Car Modulj Vnt Elt 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33229 CPT Remv&replc Pm Gen Mult Leads 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
408T OTHER Insj/rplc Cardiac Modulj Sys 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33221 CPT Insert Pulse Gen Mult Leads 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33213 CPT Insert Pulse Gen Dual Leads 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33212 CPT Insert Pulse Gen Sngl Lead 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33214 CPT Upgrade Of Pacemaker System 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33227 CPT Remove&replace Pm Gen Singl 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33207 CPT Insert Heart Pm Ventricular 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33208 CPT Insrt Heart Pm Atrial & Vent 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33228 CPT Remv&replc Pm Gen Dual Lead 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
33206 CPT Insert Heart Pm Atrial 5 5 — $54.17 $26,487.51 $26,487.51 $26,487.51 2026-05-05
J9271 HCPCS Inj Pembrolizumab 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J9050 HCPCS Carmustine Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J9302 HCPCS Ofatumumab Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J9019 HCPCS Erwinaze Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J7198 HCPCS Anti-inhibitor 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J7197 HCPCS Antithrombin Iii Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J3357 HCPCS Ustekinumab Sub Cu Inj, 1 Mg 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J2507 HCPCS Pegloticase Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J1931 HCPCS Laronidase Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J2860 HCPCS Injection, Siltuximab 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J1290 HCPCS Ecallantide Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J0180 HCPCS Agalsidase Beta Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
J9266 HCPCS Pegaspargase Injection 5 5 — $54.17 $25,343.35 $25,343.35 $25,343.35 2026-05-05
3000096 CDM Brace Couciate Back 2 1 $25,011.81 $10,004.72 60% off $25,011.81 $25,011.81 $25,011.81 2025-05-21
D7710 HCPCS Maxilla Open Reduct Compound 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7490 HCPCS Maxilla Or Mandible Resectio 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7943 HCPCS Cutting Ramus Open W/graft 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7947 HCPCS Reconstruct Maxilla Segment 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7730 HCPCS Open Reduct Compd Mandble Fx 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7946 HCPCS Reconstruction Maxilla Total 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7949 HCPCS Reconstruct Midface W/graft 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7948 HCPCS Reconstruct Midface No Graft 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7858 HCPCS Tmj Reconstruction 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7860 HCPCS Tmj Cutting Into Joint 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
D7865 HCPCS Tmj Reshaping Components 5 5 — $54.17 $22,863.16 $22,863.16 $22,863.16 2026-05-05
412T OTHER Rmvl Cardiac Modulj Pls Gen 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33272 CPT Rmvl Of Subq Defibrillator 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33273 CPT Repos Prev Impltbl Subq Dfb 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33235 CPT Removal Pacemaker Electrode 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33241 CPT Remove Pulse Generator 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33233 CPT Removal Of Pm Generator 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33234 CPT Removal Of Pacemaker System 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33244 CPT Remove Elctrd Transvenously 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33220 CPT Repair Lead Pace-defib Dual 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33226 CPT Reposition L Ventric Lead 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33215 CPT Reposition Pacing-defib Lead 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
33218 CPT Repair Lead Pace-defib One 5 5 — $54.17 $22,313.11 $22,313.11 $22,313.11 2026-05-05
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 5 5 — $54.17 $21,736.36 $21,736.36 $21,736.36 2026-05-05
19364 CPT Brst Rcnstj Free Flap 5 5 — $54.17 $21,736.36 $21,736.36 $21,736.36 2026-05-05
19307 CPT Mast Mod Rad 5 5 — $54.17 $21,736.36 $21,736.36 $21,736.36 2026-05-05
19318 CPT Breast Reduction 5 5 — $54.17 $21,736.36 $21,736.36 $21,736.36 2026-05-05
19294 CPT Prepj Tum Cav Iort Prtl Mast 5 5 — $54.17 $21,736.36 $21,736.36 $21,736.36 2026-05-05
93616 CPT Esophageal Recording 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93602 CPT Intra-atrial Recording 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93615 CPT Esophageal Recording 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93618 CPT Heart Rhythm Pacing 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93612 CPT Intraventricular Pacing 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93600 CPT Bundle Of His Recording 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93603 CPT Right Ventricular Recording 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
93610 CPT Intra-atrial Pacing 5 5 — $54.17 $19,778.37 $19,778.37 $19,778.37 2026-05-05
63621 CPT Srs Spinal Lesion Addl 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
63620 CPT Srs Spinal Lesion 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
61798 CPT Srs Cranial Lesion Complex 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
61799 CPT Srs Cran Les Complex Addl 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
61800 CPT Apply Srs Headframe Add-on 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
61796 CPT Srs Cranial Lesion Simple 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
61797 CPT Srs Cran Les Simple Addl 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
G0339 HCPCS Robot Lin-radsurg Com, First 5 5 — $54.17 $19,013.95 $19,013.95 $19,013.95 2026-05-05
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
268T OTHER Implt/rpl Crtd Sns Dev Gen 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
62362 CPT Implant Spine Infusion Pump 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
266T OTHER Implt/rpl Crtd Sns Dev Total 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
62361 CPT Implant Spine Infusion Pump 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
269T OTHER Rev/remvl Crtd Sns Dev Total 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
61885 CPT Insrt/redo Neurostim 1 Array 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
61770 CPT Incise Skull For Treatment 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
22515 CPT Perq Vertebral Augmentation 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
22513 CPT Perq Vertebral Augmentation 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
22514 CPT Perq Vertebral Augmentation 5 5 — $54.17 $18,933.46 $18,933.46 $18,933.46 2026-05-05
37238 CPT Open/perq Place Stent Same 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37239 CPT Open/perq Place Stent Ea Add 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37225 CPT Fem/popl Revas W/ather 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37228 CPT Tib/per Revasc W/tla 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37224 CPT Fem/popl Revas W/tla 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37229 CPT Tib/per Revasc W/ather 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37215 CPT Transcath Stent Cca W/eps 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37216 CPT Transcath Stent Cca Without Eps 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37220 CPT Iliac Revasc 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
36907 CPT Balo Angiop Ctr Dialysis Seg 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
36902 CPT Intro Cath Dialysis Circuit 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
36904 CPT Thrmbc/nfs Dialysis Circuit 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37197 CPT Remove Intrvas Foreign Body 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
37223 CPT Iliac Revasc W/stent Add-on 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
61630 CPT Intracranial Angioplasty 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
61640 CPT Dilate Ic Vasospasm Init 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
235T OTHER Trluml Perip Athrc Visceral 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
61641 CPT Dilat Ic Vspsm Ea Vsl Sm Ter 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
61642 CPT Dilat Ic Vspsm Ea Diff Ter 5 5 — $54.17 $18,810.83 $18,810.83 $18,810.83 2026-05-05
29888 CPT Knee Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29868 CPT Meniscal Trnspl Knee W/scpe 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29851 CPT Knee Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29855 CPT Tibial Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29856 CPT Tibial Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29827 CPT Sho Arthrs Srg Rt8tr Cuf Rpr 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29866 CPT Autgrft Implnt Knee W/scope 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29867 CPT Allgrft Implnt Knee W/scope 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29889 CPT Knee Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29806 CPT Sho Arthrs Srg Capsulorraphy 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29899 CPT Ankle Arthroscopy/surgery 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29807 CPT Sho Arthrs Srg Rpr Slap Les 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29907 CPT Subtalar Arthro W/fusion 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
27412 CPT Autochondrocyte Implant Knee 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
27415 CPT Osteochondral Knee Allograft 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29914 CPT Hip Arthro W/femoroplasty 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29916 CPT Hip Arthro W/labral Repair 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
29915 CPT Hip Arthro Acetabuloplasty 5 5 — $54.17 $17,846.52 $17,846.52 $17,846.52 2026-05-05
53230 CPT Removal Of Urethra Lesion 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53235 CPT Removal Of Urethra Lesion 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53210 CPT Removal Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53220 CPT Treatment Of Urethra Lesion 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53240 CPT Surgery For Urethra Pouch 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
51715 CPT Endoscopic Injection/implant 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53400 CPT Revise Urethra Stage 1 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53405 CPT Revise Urethra Stage 2 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53410 CPT Reconstruction Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53415 CPT Reconstruction Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
55874 CPT Tprnl Plmt Biodegrdabl Matrl 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
55875 CPT Transperi Needle Place Pros 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53431 CPT Reconstruct Urethra/bladder 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53440 CPT Male Sling Procedure 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53442 CPT Remove/revise Male Sling 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53445 CPT Insert Uro/ves Nck Sphincter 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53430 CPT Reconstruction Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53502 CPT Repair Of Urethra Injury 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53505 CPT Repair Of Urethra Injury 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53449 CPT Repair Uro Sphincter 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53420 CPT Reconstruct Urethra Stage 1 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53450 CPT Revision Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53460 CPT Revision Of Urethra 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53520 CPT Repair Of Urethra Defect 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
53425 CPT Reconstruct Urethra Stage 2 5 5 — $54.17 $17,066.65 $17,066.65 $17,066.65 2026-05-05
27848 CPT Treat Ankle Dislocation 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
21825 CPT Treat Sternum Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27832 CPT Treat Lower Leg Dislocation 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27829 CPT Treat Lower Leg Joint 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27846 CPT Treat Ankle Dislocation 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27827 CPT Treat Lower Leg Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
24515 CPT Treat Humerus Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
21336 CPT Open Tx Septal Fx W/wo Stabj 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
24516 CPT Treat Humerus Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27828 CPT Treat Lower Leg Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
21813 CPT Treatment Of Rib Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27823 CPT Treatment Of Ankle Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
23532 CPT Optx Strclv Dslc Aq/chrn Grf 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
24538 CPT Treat Humerus Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
27822 CPT Treatment Of Ankle Fracture 5 5 — $54.17 $16,953.93 $16,953.93 $16,953.93 2026-05-05
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