|
107725ACP_1
|
CDM
|
Hc Pleural Drainage Complete Kit
|
14
|
14
|
$13,366.00
|
$13,366.00
|
$8,019.60
|
$13,098.68
|
$12,029.40
|
2026-01-15
|
|
107761ACP_1
|
CDM
|
Hc Stabilit Firstfracture Kit W Powercurve Long
|
14
|
14
|
$16,929.00
|
$16,929.00
|
$10,157.40
|
$16,590.42
|
$15,236.10
|
2026-01-15
|
|
107824ACP_1
|
CDM
|
Hc Y-tec Sys I
|
14
|
14
|
$24,206.00
|
$24,206.00
|
$14,523.60
|
$23,721.88
|
$21,785.40
|
2026-01-15
|
|
107825ACP_1
|
CDM
|
Hc Y-tec Sys Ii
|
14
|
14
|
$25,924.00
|
$25,924.00
|
$15,554.40
|
$25,405.52
|
$23,331.60
|
2026-01-15
|
|
15738
|
HCPCS
|
Creation Of Muscle Graft To Leg
|
14
|
14
|
$11,469.00
|
$11,469.00
|
$5,128.65
|
$11,239.62
|
$10,494.14
|
2026-01-15
|
|
20982
|
HCPCS
|
Destruction Of Growths And Adjacent Soft Tissue
|
14
|
14
|
$15,708.00
|
$15,708.00
|
$9,424.80
|
$15,393.84
|
$14,137.20
|
2026-01-15
|
|
22513
|
HCPCS
|
Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…
|
28
|
14
|
$15,187.00
|
$15,187.00
|
$2,053.35
|
$18,062.38
|
$11,584.71
|
2026-01-15
|
|
22551
|
HCPCS
|
Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…
|
14
|
14
|
$20,341.00
|
$20,341.00
|
$6,952.50
|
$19,934.18
|
$18,612.01
|
2026-01-15
|
|
22558
|
HCPCS
|
Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc
|
14
|
14
|
$21,579.00
|
$21,579.00
|
$6,216.75
|
$21,147.42
|
$19,744.78
|
2026-01-15
|
|
22600
|
HCPCS
|
Fusion Of Spine In Neck By Posterior Approach
|
14
|
14
|
$15,201.00
|
$15,201.00
|
$5,359.50
|
$14,896.98
|
$13,908.92
|
2026-01-15
|
|
22610
|
HCPCS
|
Fusion Of Spine In Upper Back
|
14
|
14
|
$14,077.00
|
$14,077.00
|
$5,265.00
|
$13,795.46
|
$12,880.45
|
2026-01-15
|
|
22612
|
HCPCS
|
Fusion Of Spine In Lower Back
|
14
|
14
|
$18,579.00
|
$18,579.00
|
$6,451.65
|
$18,207.42
|
$16,999.78
|
2026-01-15
|
|
22630
|
HCPCS
|
Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…
|
14
|
14
|
$18,513.00
|
$18,513.00
|
$6,397.65
|
$18,142.74
|
$16,939.40
|
2026-01-15
|
|
22633
|
HCPCS
|
Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc
|
14
|
14
|
$22,063.00
|
$22,063.00
|
$7,383.15
|
$21,621.74
|
$20,187.65
|
2026-01-15
|
|
22856
|
HCPCS
|
Insertion Of Artificial Upper Spine Disc, Anterior Approach
|
14
|
14
|
$13,553.00
|
$13,553.00
|
$6,631.20
|
$13,281.94
|
$12,401.00
|
2026-01-15
|
|
22857
|
HCPCS
|
Insertion Of Artificial Disc Between Bones Of Lower Spine, Single Space
|
14
|
14
|
$21,367.00
|
$21,367.00
|
$7,076.70
|
$20,939.66
|
$19,550.81
|
2026-01-15
|
|
22860
|
HCPCS
|
Insertion Of Artificial Disc Between Bones Of Lower Spine, Additional Space
|
12
|
12
|
$14,254.33
|
$14,254.33
|
$8,552.60
|
$13,969.24
|
$13,327.80
|
2026-01-15
|
|
23472
|
HCPCS
|
Prosthetic Repair Of Shoulder Joint, Total Shoulder
|
14
|
14
|
$13,899.00
|
$13,899.00
|
$5,863.05
|
$13,621.02
|
$12,717.58
|
2026-01-15
|
|
23473
|
HCPCS
|
Revision Of Total Shoulder Repair
|
14
|
14
|
$17,259.00
|
$17,259.00
|
$6,519.15
|
$16,913.82
|
$15,791.99
|
2026-01-15
|
|
27090
|
HCPCS
|
Removal Of Hip Prosthesis
|
14
|
14
|
$12,903.00
|
$12,903.00
|
$3,392.55
|
$12,644.94
|
$11,806.25
|
2026-01-15
|
|
27091
|
HCPCS
|
Removal Of Hip Prosthesis, Complicated
|
14
|
14
|
$33,893.00
|
$33,893.00
|
$6,458.40
|
$33,215.14
|
$31,012.10
|
2026-01-15
|
|
27122
|
HCPCS
|
Repair Of Hip Socket With Removal Of Head Of Thigh Bone
|
14
|
14
|
$20,630.00
|
$20,630.00
|
$4,496.85
|
$20,217.40
|
$18,876.45
|
2026-01-15
|
|
27125
|
HCPCS
|
Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis
|
14
|
14
|
$27,849.00
|
$27,849.00
|
$4,607.55
|
$27,292.02
|
$25,481.83
|
2026-01-15
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
14
|
14
|
$23,998.00
|
$23,998.00
|
$5,215.05
|
$23,518.04
|
$21,958.17
|
2026-01-15
|
|
27132
|
HCPCS
|
Total Hip Replacement After Previous Hip Surgery
|
14
|
14
|
$21,793.00
|
$21,793.00
|
$6,771.60
|
$21,357.14
|
$19,940.60
|
2026-01-15
|
|
27134
|
HCPCS
|
Revision Of Thigh Bone And Hip Joint Prosthesis
|
14
|
14
|
$30,942.00
|
$30,942.00
|
$7,700.40
|
$30,323.16
|
$28,311.93
|
2026-01-15
|
|
27137
|
HCPCS
|
Revision Of Hip Socket Part Of Hip Prosthesis
|
14
|
14
|
$17,917.00
|
$17,917.00
|
$5,938.65
|
$17,558.66
|
$16,394.06
|
2026-01-15
|
|
27138
|
HCPCS
|
Revision Of Thigh Bone Prosthesis
|
14
|
14
|
$40,225.00
|
$40,225.00
|
$6,166.80
|
$39,420.50
|
$36,805.88
|
2026-01-15
|
|
27170
|
HCPCS
|
Bone Graft To Upper Thigh Bone
|
14
|
14
|
$11,624.00
|
$11,624.00
|
$4,756.05
|
$11,391.52
|
$10,635.96
|
2026-01-15
|
|
27236
|
HCPCS
|
Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…
|
14
|
14
|
$11,829.00
|
$11,829.00
|
$4,858.65
|
$11,592.42
|
$10,823.53
|
2026-01-15
|
|
27245
|
HCPCS
|
Treatment Of Broken Neck Of Thigh Bone With Bone Implant
|
14
|
14
|
$12,095.00
|
$12,095.00
|
$4,988.25
|
$11,853.10
|
$11,066.92
|
2026-01-15
|
|
27269
|
HCPCS
|
Treatment Of Broken Head Of Thigh Bone
|
14
|
14
|
$13,451.00
|
$13,451.00
|
$5,035.50
|
$13,181.98
|
$12,307.67
|
2026-01-15
|
|
27447
|
HCPCS
|
Replacement Of Knee Joint, Both Sides Of Knee
|
14
|
14
|
$14,741.00
|
$14,741.00
|
$5,206.95
|
$14,446.18
|
$13,488.01
|
2026-01-15
|
|
27486
|
HCPCS
|
Revision Of Component Of Total Knee Joint Prosthesis
|
14
|
14
|
$14,494.00
|
$14,494.00
|
$5,702.40
|
$14,204.12
|
$13,262.01
|
2026-01-15
|
|
27487
|
HCPCS
|
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis
|
14
|
14
|
$17,672.00
|
$17,672.00
|
$7,102.35
|
$17,318.56
|
$16,169.88
|
2026-01-15
|
|
27507
|
HCPCS
|
Treatment Of Broken Middle Of Thigh Bone With Placement Of Stabilizing Device
|
14
|
14
|
$13,451.00
|
$13,451.00
|
$3,936.60
|
$13,181.98
|
$12,307.67
|
2026-01-15
|
|
27511
|
HCPCS
|
Treatment Of Broken Thigh Bone At Far End
|
14
|
14
|
$13,453.00
|
$13,453.00
|
$4,048.65
|
$13,183.94
|
$12,309.50
|
2026-01-15
|
|
27726
|
HCPCS
|
Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De…
|
14
|
14
|
$11,917.00
|
$11,917.00
|
$3,894.75
|
$11,678.66
|
$10,904.06
|
2026-01-15
|
|
29870
|
HCPCS
|
Diagnostic Exam Of Knee Using An Endoscope
|
14
|
14
|
$13,220.00
|
$13,220.00
|
$1,692.90
|
$12,955.60
|
$12,096.30
|
2026-01-15
|
|
29888
|
HCPCS
|
Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope
|
14
|
14
|
$12,833.00
|
$12,833.00
|
$3,971.70
|
$12,576.34
|
$11,742.19
|
2026-01-15
|
|
33206
|
HCPCS
|
Insertion Of Pacemaker And Upper Heart Chamber Electrode
|
14
|
14
|
$43,704.00
|
$43,704.00
|
$26,222.40
|
$42,829.92
|
$39,333.60
|
2026-01-15
|
|
33207
|
HCPCS
|
Insertion Of Pacemaker And Lower Heart Chamber Electrode
|
14
|
14
|
$42,354.00
|
$42,354.00
|
$25,412.40
|
$41,506.92
|
$38,118.60
|
2026-01-15
|
|
33208
|
HCPCS
|
Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode
|
14
|
14
|
$48,790.00
|
$48,790.00
|
$29,274.00
|
$47,814.20
|
$43,911.00
|
2026-01-15
|
|
33212
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Single Lead
|
14
|
14
|
$29,106.00
|
$29,106.00
|
$17,463.60
|
$28,523.88
|
$26,195.40
|
2026-01-15
|
|
33213
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Dual Leads
|
14
|
14
|
$29,106.00
|
$29,106.00
|
$17,463.60
|
$28,523.88
|
$26,195.40
|
2026-01-15
|
|
33214
|
HCPCS
|
Insertion Of 2 Chamber Pacemaker System
|
14
|
14
|
$36,785.00
|
$36,785.00
|
$22,071.00
|
$36,049.30
|
$33,106.50
|
2026-01-15
|
|
33221
|
HCPCS
|
Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads
|
14
|
14
|
$29,364.00
|
$29,364.00
|
$17,618.40
|
$28,776.72
|
$26,427.60
|
2026-01-15
|
|
33225
|
HCPCS
|
Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator
|
14
|
14
|
$18,075.00
|
$18,075.00
|
$10,845.00
|
$17,713.50
|
$16,267.50
|
2026-01-15
|
|
33227
|
HCPCS
|
Removal And Replacement Of Single Lead Permanent Pacemaker
|
14
|
14
|
$30,562.00
|
$30,562.00
|
$18,337.20
|
$29,950.76
|
$27,505.80
|
2026-01-15
|
|
33228
|
HCPCS
|
Removal And Replacement Of Dual Lead Permanent Pacemaker
|
14
|
14
|
$30,562.00
|
$30,562.00
|
$18,337.20
|
$29,950.76
|
$27,505.80
|
2026-01-15
|
|
33229
|
HCPCS
|
Removal And Replacement Of Multiple Lead Permanent Pacemaker
|
14
|
14
|
$30,832.00
|
$30,832.00
|
$18,499.20
|
$30,215.36
|
$27,748.80
|
2026-01-15
|
|
33234
|
HCPCS
|
Removal Of Single Electrode From Right Heart
|
14
|
14
|
$12,094.00
|
$12,094.00
|
$7,256.40
|
$11,852.12
|
$10,884.60
|
2026-01-15
|
|
33235
|
HCPCS
|
Removal Of Dual Electrodes From Right Heart
|
14
|
14
|
$12,094.00
|
$12,094.00
|
$7,256.40
|
$11,852.12
|
$10,884.60
|
2026-01-15
|
|
33285
|
HCPCS
|
Insertion Of Heart Rhythm Monitor Under Skin
|
14
|
14
|
$18,410.00
|
$18,410.00
|
$11,046.00
|
$18,041.80
|
$16,569.00
|
2026-01-15
|
|
34151
|
HCPCS
|
Removal Of Blood Clot In Artery Of Abdominal Organs
|
14
|
14
|
$15,672.00
|
$15,672.00
|
$5,503.95
|
$15,358.56
|
$14,339.88
|
2026-01-15
|
|
34707
|
HCPCS
|
Repair Of Groin Artery With Graft For Other Than Rupture With Review By Radiolog…
|
14
|
14
|
$28,279.00
|
$28,279.00
|
$16,967.40
|
$27,713.42
|
$25,451.10
|
2026-01-15
|
|
35082
|
HCPCS
|
Repair Of Ruptured Aneurysm Of Abdominal Aorta With Graft
|
14
|
14
|
$22,709.00
|
$22,709.00
|
$8,538.75
|
$22,254.82
|
$20,778.74
|
2026-01-15
|
|
35221
|
HCPCS
|
Repair Of Blood Vessel Of Abdomen
|
14
|
14
|
$19,193.00
|
$19,193.00
|
$5,873.85
|
$18,809.14
|
$17,561.60
|
2026-01-15
|
|
35266
|
HCPCS
|
Repair Of Blood Vessel Of Arm With Graft
|
14
|
14
|
$14,411.00
|
$14,411.00
|
$3,437.10
|
$14,122.78
|
$13,186.06
|
2026-01-15
|
|
35301
|
HCPCS
|
Removal Of Blood Clot And Portion Of Chest, Neck, Or Brain Artery
|
14
|
14
|
$14,126.00
|
$14,126.00
|
$4,468.50
|
$13,843.48
|
$12,925.29
|
2026-01-15
|
|
36010371_1
|
CDM
|
Operating Room Services - General Classification
|
14
|
14
|
$12,315.50
|
$12,315.50
|
$7,389.30
|
$12,069.19
|
$11,083.95
|
2026-01-15
|
|
36221
|
HCPCS
|
Insertion Of Tube Into Chest Aorta For Diagnosis Or Treatment With Review By Rad…
|
14
|
14
|
$13,750.00
|
$13,750.00
|
$8,250.00
|
$13,475.00
|
$12,375.00
|
2026-01-15
|
|
36222
|
HCPCS
|
Insertion Of Tube Into Extracranial Artery For Diagnosis Or Treatment With Revie…
|
14
|
14
|
$17,714.00
|
$17,714.00
|
$10,628.40
|
$17,359.72
|
$15,942.60
|
2026-01-15
|
|
36223
|
HCPCS
|
Insertion Of Tube Into Intracranial Artery For Diagnosis Or Treatment With Revie…
|
14
|
14
|
$24,998.00
|
$24,998.00
|
$14,998.80
|
$24,498.04
|
$22,498.20
|
2026-01-15
|
|
36224
|
HCPCS
|
Insertion Of Tube Into Internal Neck Artery For Diagnosis Or Treatment With Revi…
|
14
|
14
|
$40,623.00
|
$40,623.00
|
$24,373.80
|
$39,810.54
|
$36,560.70
|
2026-01-15
|
|
36225
|
HCPCS
|
Insertion Of Tube Into Chest Artery For Diagnosis Or Treatment With Review By Ra…
|
14
|
14
|
$16,923.00
|
$16,923.00
|
$10,153.80
|
$16,584.54
|
$15,230.70
|
2026-01-15
|
|
36226
|
HCPCS
|
Insertion Of Tube Into Brain Artery For Diagnosis Or Treatment With Review By Ra…
|
14
|
14
|
$24,998.00
|
$24,998.00
|
$14,998.80
|
$24,498.04
|
$22,498.20
|
2026-01-15
|
|
36227
|
HCPCS
|
Insertion Of Tube Into External Neck Artery For Diagnosis Or Treatment With Revi…
|
28
|
14
|
$17,920.00
|
$17,920.00
|
$9,670.20
|
$19,328.54
|
$15,633.49
|
2026-01-15
|
|
36903
|
HCPCS
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
28
|
14
|
$35,338.50
|
$35,338.50
|
$1,240.65
|
$42,466.34
|
$26,523.68
|
2026-01-15
|
|
36904
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
28
|
14
|
$15,733.50
|
$15,733.50
|
$1,447.20
|
$21,012.18
|
$11,345.04
|
2026-01-15
|
|
36905
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
28
|
14
|
$28,036.50
|
$28,036.50
|
$1,737.45
|
$42,466.34
|
$19,242.50
|
2026-01-15
|
|
36906
|
HCPCS
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
28
|
14
|
$49,696.50
|
$49,696.50
|
$2,006.10
|
$64,366.40
|
$36,223.37
|
2026-01-15
|
|
36907
|
HCPCS
|
Balloon Dilation Of Dialysis Segment With Review By Radiologist
|
28
|
14
|
$17,210.00
|
$17,210.00
|
$573.75
|
$29,714.58
|
$11,104.81
|
2026-01-15
|
|
36908
|
HCPCS
|
Insertion Of Stent In Dialysis Segment With Review By Radiologist
|
28
|
14
|
$16,935.00
|
$16,935.00
|
$814.05
|
$19,961.62
|
$13,095.97
|
2026-01-15
|
|
36909
|
HCPCS
|
Permanent Blockage Of Hemodialysis Circuit With Review By Radiologist
|
28
|
14
|
$15,486.00
|
$15,486.00
|
$789.75
|
$20,463.38
|
$11,208.89
|
2026-01-15
|
|
37182
|
HCPCS
|
Insertion Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist
|
28
|
14
|
$15,982.50
|
$15,982.50
|
$3,190.05
|
$22,548.82
|
$11,291.14
|
2026-01-15
|
|
37191
|
HCPCS
|
Insertion Of Vena Cava Filter With Review By Radiologist
|
14
|
14
|
$14,082.00
|
$14,082.00
|
$8,449.20
|
$13,800.36
|
$12,673.80
|
2026-01-15
|
|
37193
|
HCPCS
|
Removal Of Vena Cava Filter With Review By Radiologist
|
14
|
14
|
$18,629.00
|
$18,629.00
|
$11,177.40
|
$18,256.42
|
$16,766.10
|
2026-01-15
|
|
37212
|
HCPCS
|
Insertion Of Tube Into Vein For Drug Infusion For Blood Clot With Review By Radi…
|
14
|
14
|
$12,390.00
|
$12,390.00
|
$7,434.00
|
$12,142.20
|
$11,151.00
|
2026-01-15
|
|
37215
|
HCPCS
|
Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B…
|
14
|
14
|
$24,663.00
|
$24,663.00
|
$14,797.80
|
$24,169.74
|
$22,196.70
|
2026-01-15
|
|
37216
|
HCPCS
|
Insertion Of Stent In Neck Artery With Review By Radiologist
|
14
|
14
|
$23,937.00
|
$23,937.00
|
$14,362.20
|
$23,458.26
|
$21,543.30
|
2026-01-15
|
|
37220
|
HCPCS
|
Balloon Dilation Of Groin Artery, Initial Vessel
|
28
|
14
|
$18,447.50
|
$18,447.50
|
$1,571.40
|
$26,637.38
|
$12,914.16
|
2026-01-15
|
|
37221
|
HCPCS
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
28
|
14
|
$31,435.00
|
$31,435.00
|
$1,935.90
|
$51,094.26
|
$20,900.27
|
2026-01-15
|
|
37223
|
HCPCS
|
Insertion Of Stent In Groin Artery, Additional Vessel
|
28
|
14
|
$21,646.00
|
$21,646.00
|
$831.60
|
$35,803.32
|
$14,271.62
|
2026-01-15
|
|
37224
|
HCPCS
|
Balloon Dilation Of Artery Of Leg
|
28
|
14
|
$19,175.00
|
$19,175.00
|
$1,746.90
|
$28,970.76
|
$13,174.72
|
2026-01-15
|
|
37225
|
HCPCS
|
Removal Of Plaque In Arteries Of Leg
|
14
|
14
|
$50,830.00
|
$50,830.00
|
$30,498.00
|
$49,813.40
|
$45,747.00
|
2026-01-15
|
|
37226
|
HCPCS
|
Insertion Of Stent In Arteries Of Leg
|
28
|
14
|
$25,945.00
|
$25,945.00
|
$2,037.15
|
$37,628.08
|
$18,130.86
|
2026-01-15
|
|
37227
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
14
|
14
|
$73,214.00
|
$73,214.00
|
$43,928.40
|
$71,749.72
|
$65,892.60
|
2026-01-15
|
|
37228
|
HCPCS
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
28
|
14
|
$19,921.50
|
$19,921.50
|
$2,123.55
|
$27,954.50
|
$14,103.32
|
2026-01-15
|
|
37229
|
HCPCS
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
14
|
14
|
$47,371.00
|
$47,371.00
|
$28,422.60
|
$46,423.58
|
$42,633.90
|
2026-01-15
|
|
37230
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
28
|
14
|
$27,176.50
|
$27,176.50
|
$2,721.60
|
$37,736.86
|
$19,316.64
|
2026-01-15
|
|
37231
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
14
|
14
|
$70,830.00
|
$70,830.00
|
$42,498.00
|
$69,413.40
|
$63,747.00
|
2026-01-15
|
|
37233
|
HCPCS
|
Removal Of Plaque In Artery Of Leg, Each Additional Vessel
|
14
|
14
|
$34,948.00
|
$34,948.00
|
$20,968.80
|
$34,249.04
|
$31,453.20
|
2026-01-15
|
|
37234
|
HCPCS
|
Insertion Of Stent In Artery Of Leg, Each Additional Vessel
|
28
|
14
|
$18,849.50
|
$18,849.50
|
$1,104.30
|
$23,552.34
|
$13,906.24
|
2026-01-15
|
|
37235
|
HCPCS
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Each Additional Vess…
|
14
|
14
|
$28,111.00
|
$28,111.00
|
$16,866.60
|
$27,548.78
|
$25,299.90
|
2026-01-15
|
|
37236
|
HCPCS
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
28
|
14
|
$21,901.00
|
$21,901.00
|
$1,733.40
|
$34,173.58
|
$14,837.49
|
2026-01-15
|
|
37238
|
HCPCS
|
Insertion Of Stent In Vein With Review By Radiologist, Initial Vein
|
28
|
14
|
$25,471.50
|
$25,471.50
|
$1,206.90
|
$32,148.90
|
$18,729.12
|
2026-01-15
|
|
37239
|
HCPCS
|
Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein
|
28
|
14
|
$15,121.50
|
$15,121.50
|
$591.30
|
$20,197.80
|
$10,903.17
|
2026-01-15
|
|
37241
|
HCPCS
|
Occlusion Of Vein With Review By Radiologist
|
28
|
14
|
$27,905.50
|
$27,905.50
|
$1,678.05
|
$34,733.16
|
$20,613.41
|
2026-01-15
|
|
37242
|
HCPCS
|
Occlusion Of Artery With Review By Radiologist
|
28
|
14
|
$25,074.50
|
$25,074.50
|
$1,868.40
|
$34,733.16
|
$17,839.03
|
2026-01-15
|
|
37243
|
HCPCS
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
28
|
14
|
$24,591.00
|
$24,591.00
|
$2,195.10
|
$34,733.16
|
$17,365.20
|
2026-01-15
|
|
37244
|
HCPCS
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
28
|
14
|
$23,761.50
|
$23,761.50
|
$2,587.95
|
$34,733.16
|
$16,552.29
|
2026-01-15
|
|
37246
|
HCPCS
|
Balloon Dilation Of Artery With Review By Radiologist, Initial Artery
|
28
|
14
|
$14,569.00
|
$14,569.00
|
$1,368.90
|
$18,878.72
|
$10,617.46
|
2026-01-15
|
|
38100
|
HCPCS
|
Removal Of Spleen
|
14
|
14
|
$13,413.00
|
$13,413.00
|
$4,650.75
|
$13,144.74
|
$12,272.90
|
2026-01-15
|
|
38570
|
HCPCS
|
Biopsy And Removal Of Lymph Nodes Of Abdominal Cavity Using An Endoscope
|
14
|
14
|
$16,127.00
|
$16,127.00
|
$2,096.55
|
$15,804.46
|
$14,756.20
|
2026-01-15
|
|
38571
|
HCPCS
|
Removal Of Lymph Nodes Of Both Sides Of Pelvis Using An Endoscope
|
14
|
14
|
$17,670.00
|
$17,670.00
|
$2,668.95
|
$17,316.60
|
$16,168.05
|
2026-01-15
|
|
38572
|
HCPCS
|
Removal Of Lymph Nodes Of Both Sides Of Pelvis And Abdominal Lymph Node Biopsy U…
|
14
|
14
|
$18,026.00
|
$18,026.00
|
$3,634.20
|
$17,665.48
|
$16,493.79
|
2026-01-15
|
|
38770
|
HCPCS
|
Removal Of Lymph Nodes Of Groin And Pelvis
|
14
|
14
|
$17,307.00
|
$17,307.00
|
$3,264.30
|
$16,960.86
|
$15,835.90
|
2026-01-15
|
|
43281
|
HCPCS
|
Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope
|
14
|
14
|
$11,693.00
|
$11,693.00
|
$6,201.90
|
$11,459.14
|
$10,699.10
|
2026-01-15
|
|
43860
|
HCPCS
|
Revision Of Surgically Created Connection Of Stomach To Small Bowel
|
14
|
14
|
$15,380.00
|
$15,380.00
|
$6,616.35
|
$15,072.40
|
$14,072.70
|
2026-01-15
|
|
44020
|
HCPCS
|
Incision Of Small Bowel For Exploration, Biopsy, Or Removal Of Foreign Body
|
14
|
14
|
$11,825.00
|
$11,825.00
|
$3,942.00
|
$11,588.50
|
$10,819.88
|
2026-01-15
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
14
|
14
|
$13,023.00
|
$13,023.00
|
$4,939.65
|
$12,762.54
|
$11,916.05
|
2026-01-15
|
|
44130
|
HCPCS
|
Creation Of Connection Between 2 Segments Of Small Bowel
|
14
|
14
|
$12,367.00
|
$12,367.00
|
$5,321.70
|
$12,119.66
|
$11,315.81
|
2026-01-15
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
14
|
14
|
$13,350.00
|
$13,350.00
|
$5,424.30
|
$13,083.00
|
$12,215.25
|
2026-01-15
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
14
|
14
|
$15,614.00
|
$15,614.00
|
$7,312.95
|
$15,301.72
|
$14,286.81
|
2026-01-15
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
14
|
14
|
$13,632.00
|
$13,632.00
|
$6,660.90
|
$13,359.36
|
$12,473.28
|
2026-01-15
|
|
44145
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum
|
14
|
14
|
$20,936.00
|
$20,936.00
|
$6,644.70
|
$20,517.28
|
$19,156.44
|
2026-01-15
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
14
|
14
|
$19,986.00
|
$19,986.00
|
$8,446.95
|
$19,586.28
|
$18,287.19
|
2026-01-15
|
|
44150
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…
|
14
|
14
|
$19,703.00
|
$19,703.00
|
$7,462.80
|
$19,308.94
|
$18,028.25
|
2026-01-15
|
|
44160
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
14
|
14
|
$12,648.00
|
$12,648.00
|
$5,017.95
|
$12,395.04
|
$11,572.92
|
2026-01-15
|
|
44202
|
HCPCS
|
Partial Removal And Reconnection Of Small Bowel Using An Endoscope
|
14
|
14
|
$14,501.00
|
$14,501.00
|
$5,602.50
|
$14,210.98
|
$13,268.42
|
2026-01-15
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
14
|
14
|
$12,800.00
|
$12,800.00
|
$6,183.00
|
$12,544.00
|
$11,712.00
|
2026-01-15
|
|
44205
|
HCPCS
|
Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…
|
14
|
14
|
$15,763.00
|
$15,763.00
|
$5,367.60
|
$15,447.74
|
$14,423.15
|
2026-01-15
|
|
44206
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin…
|
14
|
14
|
$16,159.00
|
$16,159.00
|
$7,003.80
|
$15,835.82
|
$14,785.49
|
2026-01-15
|
|
44207
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope
|
14
|
14
|
$19,458.00
|
$19,458.00
|
$7,268.40
|
$19,068.84
|
$17,804.07
|
2026-01-15
|
|
44210
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S…
|
14
|
14
|
$16,877.00
|
$16,877.00
|
$7,109.10
|
$16,539.46
|
$15,442.45
|
2026-01-15
|
|
44227
|
HCPCS
|
Closure Of Opening From Large Or Small Bowel To Skin Using An Endoscope
|
14
|
14
|
$13,612.00
|
$13,612.00
|
$6,664.95
|
$13,339.76
|
$12,454.98
|
2026-01-15
|
|
47010
|
HCPCS
|
Drainage Of Abscess Or Cyst Of Liver
|
14
|
14
|
$13,250.00
|
$13,250.00
|
$4,916.70
|
$12,985.00
|
$12,123.75
|
2026-01-15
|
|
47540
|
HCPCS
|
Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With…
|
28
|
14
|
$15,510.00
|
$15,510.00
|
$1,717.20
|
$15,237.04
|
$13,985.42
|
2026-01-15
|
|
47701
|
HCPCS
|
Connection Of Portion Of Upper Small Bowel To Bile Duct
|
14
|
14
|
$13,873.00
|
$13,873.00
|
$7,025.40
|
$13,595.54
|
$12,693.80
|
2026-01-15
|
|
48540
|
HCPCS
|
Creation Of Drainage Tract From Cyst Of Pancreas To Small Bowel
|
14
|
14
|
$12,470.00
|
$12,470.00
|
$5,292.00
|
$12,220.60
|
$11,410.05
|
2026-01-15
|
|
49188
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, 10.1 To 20.0 Cm
|
12
|
12
|
$12,200.00
|
$12,200.00
|
$7,320.00
|
$11,956.00
|
$11,407.00
|
2026-01-15
|
|
49425
|
HCPCS
|
Insertion Of Shunt From Jugular Vein To Abdominal Cavity
|
14
|
14
|
$23,321.00
|
$23,321.00
|
$13,992.60
|
$22,854.58
|
$20,988.90
|
2026-01-15
|
|
50075
|
HCPCS
|
Removal Of Kidney Stones
|
14
|
14
|
$11,896.00
|
$11,896.00
|
$5,838.75
|
$11,658.08
|
$10,884.84
|
2026-01-15
|
|
50081
|
HCPCS
|
Complex Surgical Treatment Of Kidney Stone With Imaging Guidance
|
14
|
14
|
$37,119.00
|
$37,119.00
|
$4,514.40
|
$36,376.62
|
$33,963.88
|
2026-01-15
|
|
50220
|
HCPCS
|
Removal Of Kidney And Partial Removal Of Ureter
|
14
|
14
|
$29,295.00
|
$29,295.00
|
$4,240.35
|
$28,709.10
|
$26,804.92
|
2026-01-15
|
|
50230
|
HCPCS
|
Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R…
|
14
|
14
|
$34,072.00
|
$34,072.00
|
$5,132.70
|
$33,390.56
|
$31,175.88
|
2026-01-15
|
|
50234
|
HCPCS
|
Removal Of Kidney And Ureter With Partial Removal Of Bladder Through Same Incisi…
|
14
|
14
|
$37,283.00
|
$37,283.00
|
$5,217.75
|
$36,537.34
|
$34,113.94
|
2026-01-15
|
|
50236
|
HCPCS
|
Removal Of Kidney And Ureter With Partial Removal Of Bladder Through Separate In…
|
14
|
14
|
$15,778.00
|
$15,778.00
|
$5,868.45
|
$15,462.44
|
$14,436.87
|
2026-01-15
|
|
50240
|
HCPCS
|
Partial Removal Of Kidney
|
14
|
14
|
$36,951.00
|
$36,951.00
|
$5,336.55
|
$36,211.98
|
$33,810.17
|
2026-01-15
|
|
50400
|
HCPCS
|
Simple Reconstruction Of Neck Of Kidney
|
14
|
14
|
$12,020.00
|
$12,020.00
|
$4,637.25
|
$11,779.60
|
$10,998.30
|
2026-01-15
|
|
50405
|
HCPCS
|
Complicated Reconstruction Of Pelvis Of Kidney
|
14
|
14
|
$15,203.00
|
$15,203.00
|
$5,593.05
|
$14,898.94
|
$13,910.75
|
2026-01-15
|
|
50543
|
HCPCS
|
Partial Removal Of Kidney Using An Endoscope
|
14
|
14
|
$17,211.00
|
$17,211.00
|
$5,976.45
|
$16,866.78
|
$15,748.06
|
2026-01-15
|
|
50544
|
HCPCS
|
Repair Of Kidney Using An Endoscope
|
14
|
14
|
$14,937.00
|
$14,937.00
|
$4,969.35
|
$14,638.26
|
$13,667.35
|
2026-01-15
|
|
50545
|
HCPCS
|
Removal Of Kidney And Lymph Nodes Using An Endoscope
|
14
|
14
|
$15,634.00
|
$15,634.00
|
$5,347.35
|
$15,321.32
|
$14,305.11
|
2026-01-15
|
|
50548
|
HCPCS
|
Removal Of Kidney And Ureter Using An Endoscope
|
14
|
14
|
$36,618.00
|
$36,618.00
|
$5,375.70
|
$35,885.64
|
$33,505.47
|
2026-01-15
|
|
50590
|
HCPCS
|
Shock Wave Crushing Of Kidney Stones
|
14
|
14
|
$11,475.00
|
$11,475.00
|
$2,315.25
|
$11,245.50
|
$10,499.62
|
2026-01-15
|
|
50780
|
HCPCS
|
Connection Of Ureter To Bladder
|
14
|
14
|
$12,336.00
|
$12,336.00
|
$4,479.30
|
$12,089.28
|
$11,287.44
|
2026-01-15
|
|
50785
|
HCPCS
|
Repositioning Of Ureter With Creation Of Bladder Or Muscle Flap
|
14
|
14
|
$41,612.00
|
$41,612.00
|
$4,868.10
|
$40,779.76
|
$38,074.98
|
2026-01-15
|
|
51570
|
HCPCS
|
Complete Removal Of Bladder
|
14
|
14
|
$31,243.00
|
$31,243.00
|
$5,902.20
|
$30,618.14
|
$28,587.35
|
2026-01-15
|
|
51590
|
HCPCS
|
Removal Of Bladder With Transplantation Of Ureters To Small Or Large Bowel With …
|
14
|
14
|
$45,892.00
|
$45,892.00
|
$7,719.30
|
$44,974.16
|
$41,991.18
|
2026-01-15
|
|
51595
|
HCPCS
|
Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation …
|
14
|
14
|
$62,483.00
|
$62,483.00
|
$8,738.55
|
$61,233.34
|
$57,171.94
|
2026-01-15
|
|
52240
|
HCPCS
|
Destruction And/or Removal Of Large Growth Of Bladder Using An Endoscope
|
14
|
14
|
$13,699.00
|
$13,699.00
|
$1,559.25
|
$13,425.02
|
$12,534.58
|
2026-01-15
|
|
53230
|
HCPCS
|
Removal Of Pouch Of Urethra In Female
|
14
|
14
|
$15,077.00
|
$15,077.00
|
$2,470.50
|
$14,775.46
|
$13,795.45
|
2026-01-15
|
|
54405
|
HCPCS
|
Insertion Of Multicomponent Inflatable Penile Implant
|
14
|
14
|
$14,169.00
|
$14,169.00
|
$3,256.20
|
$13,885.62
|
$12,964.64
|
2026-01-15
|
|
54410
|
HCPCS
|
Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same …
|
14
|
14
|
$13,405.00
|
$13,405.00
|
$3,484.35
|
$13,136.90
|
$12,265.58
|
2026-01-15
|
|
54430
|
HCPCS
|
Creation Of Blood Flow Tract From Penis To Other Penile Anatomy
|
14
|
14
|
$11,491.00
|
$11,491.00
|
$2,583.90
|
$11,261.18
|
$10,514.26
|
2026-01-15
|
|
55840
|
HCPCS
|
Removal Of Prostate
|
14
|
14
|
$18,210.00
|
$18,210.00
|
$4,702.05
|
$17,845.80
|
$16,662.15
|
2026-01-15
|
|
55842
|
HCPCS
|
Removal Of Prostate Gland And Lymph Node Biopsy Through Abdominal Incision
|
14
|
14
|
$18,210.00
|
$18,210.00
|
$4,699.35
|
$17,845.80
|
$16,662.15
|
2026-01-15
|
|
55845
|
HCPCS
|
Removal Of Prostate Gland And Surrounding Lymph Nodes On Both Sides Of Pelvis Th…
|
14
|
14
|
$23,814.00
|
$23,814.00
|
$5,463.45
|
$23,337.72
|
$21,789.81
|
2026-01-15
|
|
55866
|
HCPCS
|
Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope
|
14
|
14
|
$18,210.00
|
$18,210.00
|
$4,796.55
|
$17,845.80
|
$16,662.15
|
2026-01-15
|
|
57531
|
HCPCS
|
Removal Of Cervix With Removal Of Lymph Nodes On Both Sides Of Pelvis And Aortic…
|
14
|
14
|
$16,156.00
|
$16,156.00
|
$7,456.05
|
$15,832.88
|
$14,782.74
|
2026-01-15
|
|
58146
|
HCPCS
|
Removal Of 5 Or More Growths Of Uterus Through Abdomen
|
14
|
14
|
$11,969.00
|
$11,969.00
|
$4,691.25
|
$11,729.62
|
$10,951.64
|
2026-01-15
|
|
58152
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen With Repair Of Vagina
|
14
|
14
|
$14,135.00
|
$14,135.00
|
$5,027.40
|
$13,852.30
|
$12,933.52
|
2026-01-15
|
|
58200
|
HCPCS
|
Removal Of Uterus Through Abdomen With Partial Removal Of Vagina
|
14
|
14
|
$15,273.00
|
$15,273.00
|
$5,481.00
|
$14,967.54
|
$13,974.80
|
2026-01-15
|
|
58210
|
HCPCS
|
Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Lymph Nodes …
|
14
|
14
|
$19,947.00
|
$19,947.00
|
$7,402.05
|
$19,548.06
|
$18,251.50
|
2026-01-15
|
|
58240
|
HCPCS
|
Removal Of Malignant Uterus, Cervix, Lymph Nodes, And Bladder With Transplant Of…
|
14
|
14
|
$23,935.00
|
$23,935.00
|
$11,859.75
|
$23,456.30
|
$21,900.53
|
2026-01-15
|
|
58263
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries With Repair Of Herniated Bowel Through …
|
14
|
14
|
$12,540.00
|
$12,540.00
|
$4,044.60
|
$12,289.20
|
$11,474.10
|
2026-01-15
|
|
58285
|
HCPCS
|
Removal Of Uterus, Vagina, And Pelvic Lymph Nodes Through Vagina
|
14
|
14
|
$14,248.00
|
$14,248.00
|
$5,792.85
|
$13,963.04
|
$13,036.92
|
2026-01-15
|
|
58290
|
HCPCS
|
Removal Of Uterus Through Vagina, More Than 250.0 G
|
14
|
14
|
$12,881.00
|
$12,881.00
|
$4,676.40
|
$12,623.38
|
$11,786.11
|
2026-01-15
|
|
58291
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, More Than 250.0 G
|
14
|
14
|
$13,692.00
|
$13,692.00
|
$5,050.35
|
$13,418.16
|
$12,528.18
|
2026-01-15
|
|
58548
|
HCPCS
|
Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Aortic Lymph…
|
14
|
14
|
$14,817.00
|
$14,817.00
|
$7,657.20
|
$14,520.66
|
$13,557.56
|
2026-01-15
|
|
58561
|
HCPCS
|
Removal Of Growth Of Muscle Of Uterus Using An Endoscope
|
14
|
14
|
$13,023.00
|
$13,023.00
|
$1,444.50
|
$12,762.54
|
$11,916.05
|
2026-01-15
|
|
58563
|
HCPCS
|
Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope
|
14
|
14
|
$14,817.00
|
$14,817.00
|
$992.25
|
$14,520.66
|
$13,557.56
|
2026-01-15
|
|
58573
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor…
|
14
|
14
|
$11,969.00
|
$11,969.00
|
$4,957.20
|
$11,729.62
|
$10,951.64
|
2026-01-15
|
|
58673
|
HCPCS
|
Repair Of Uterine Tube Using An Endoscope
|
14
|
14
|
$11,969.00
|
$11,969.00
|
$3,222.45
|
$11,729.62
|
$10,951.64
|
2026-01-15
|
|
58760
|
HCPCS
|
Repair Of Blocked Ovarian End Of Uterine Tube
|
14
|
14
|
$13,109.00
|
$13,109.00
|
$3,341.25
|
$12,846.82
|
$11,994.74
|
2026-01-15
|
|
58770
|
HCPCS
|
Repair Of Blocked Uterine Tube Opening
|
14
|
14
|
$11,969.00
|
$11,969.00
|
$3,507.30
|
$11,729.62
|
$10,951.64
|
2026-01-15
|
|
58943
|
HCPCS
|
Removal Of Ovaries For Ovarian Cancer
|
14
|
14
|
$11,629.00
|
$11,629.00
|
$4,891.05
|
$11,396.42
|
$10,640.53
|
2026-01-15
|
|
58951
|
HCPCS
|
Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes …
|
14
|
14
|
$18,009.00
|
$18,009.00
|
$5,868.45
|
$17,648.82
|
$16,478.24
|
2026-01-15
|
|
58952
|
HCPCS
|
Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes With Reduction Of Gro…
|
14
|
14
|
$20,290.00
|
$20,290.00
|
$6,705.45
|
$19,884.20
|
$18,565.35
|
2026-01-15
|
|
58953
|
HCPCS
|
Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes With Extensiv…
|
14
|
14
|
$25,302.00
|
$25,302.00
|
$8,137.80
|
$24,795.96
|
$23,151.33
|
2026-01-15
|
|
58954
|
HCPCS
|
Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes …
|
14
|
14
|
$27,466.00
|
$27,466.00
|
$8,806.05
|
$26,916.68
|
$25,131.39
|
2026-01-15
|
|
58956
|
HCPCS
|
Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes
|
14
|
14
|
$17,894.00
|
$17,894.00
|
$5,539.05
|
$17,536.12
|
$16,373.01
|
2026-01-15
|
|
58957
|
HCPCS
|
Resection (tumor Debulking) Of Recurrent Ovarian, Tubal, Primary Peritoneal, Ute…
|
12
|
12
|
$18,923.00
|
$18,923.00
|
$11,353.80
|
$18,544.54
|
$17,693.00
|
2026-01-15
|
|
58958
|
HCPCS
|
Removal Of Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes For Reduction Of Gr…
|
14
|
14
|
$20,973.00
|
$20,973.00
|
$6,724.35
|
$20,553.54
|
$19,190.29
|
2026-01-15
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
14
|
14
|
$14,435.00
|
$14,435.00
|
$8,035.65
|
$14,146.30
|
$13,208.02
|
2026-01-15
|
|
59618
|
HCPCS
|
Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…
|
14
|
14
|
$12,488.00
|
$12,488.00
|
$7,492.80
|
$12,238.24
|
$11,426.52
|
2026-01-15
|
|
60210
|
HCPCS
|
Partial Removal Of Thyroid Lobe On Side Of Neck
|
14
|
14
|
$16,645.00
|
$16,645.00
|
$2,879.55
|
$16,312.10
|
$15,230.17
|
2026-01-15
|
|
60225
|
HCPCS
|
Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O…
|
14
|
14
|
$20,806.00
|
$20,806.00
|
$3,815.10
|
$20,389.88
|
$19,037.49
|
2026-01-15
|
|
60252
|
HCPCS
|
Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal
|
14
|
14
|
$28,149.00
|
$28,149.00
|
$5,351.40
|
$27,586.02
|
$25,756.33
|
2026-01-15
|
|
60254
|
HCPCS
|
Removal Of Thyroid And Surrounding Lymph Nodes With Extensive Neck Removal
|
14
|
14
|
$12,865.00
|
$12,865.00
|
$6,751.35
|
$12,607.70
|
$11,771.48
|
2026-01-15
|
|
60260
|
HCPCS
|
Removal Of Remaining Thyroid Tissue From Prior Operation
|
14
|
14
|
$20,318.00
|
$20,318.00
|
$4,413.15
|
$19,911.64
|
$18,590.97
|
2026-01-15
|
|
60500
|
HCPCS
|
Removal Or Exploration Of Parathyroid Glands
|
14
|
14
|
$22,521.00
|
$22,521.00
|
$3,942.00
|
$22,070.58
|
$20,606.72
|
2026-01-15
|
|
60540
|
HCPCS
|
Removal Or Exploration Of Adrenal Gland Through Abdomen
|
14
|
14
|
$23,864.00
|
$23,864.00
|
$4,369.95
|
$23,386.72
|
$21,835.56
|
2026-01-15
|
|
61626
|
HCPCS
|
Occlusion Of Head Or Neck Artery
|
14
|
14
|
$25,196.00
|
$25,196.00
|
$15,117.60
|
$24,692.08
|
$22,676.40
|
2026-01-15
|
|
61645
|
HCPCS
|
Removal Of Blood Clot And Injection To Dissolve Blood Clot From Head Artery Usin…
|
14
|
14
|
$40,739.00
|
$40,739.00
|
$24,443.40
|
$39,924.22
|
$36,665.10
|
2026-01-15
|
|
63012
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves
|
14
|
14
|
$16,979.00
|
$16,979.00
|
$4,901.85
|
$16,639.42
|
$15,535.78
|
2026-01-15
|
|
63020
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Upper Spinal Cord Or Nerves And/or…
|
14
|
14
|
$16,532.00
|
$16,532.00
|
$4,509.00
|
$16,201.36
|
$15,126.78
|
2026-01-15
|
|
63042
|
HCPCS
|
Partial Removal Of Spine Bone With Re-exploration, Release Of Lower Spinal Cord …
|
14
|
14
|
$18,596.00
|
$18,596.00
|
$5,304.15
|
$18,224.08
|
$17,015.34
|
2026-01-15
|
|
63045
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Upper Spinal Cord And/or Nerves, 1…
|
14
|
14
|
$18,314.00
|
$18,314.00
|
$5,292.00
|
$17,947.72
|
$16,757.31
|
2026-01-15
|
|
63046
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, …
|
14
|
14
|
$18,189.00
|
$18,189.00
|
$5,049.00
|
$17,825.22
|
$16,642.94
|
2026-01-15
|
|
63047
|
HCPCS
|
Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1…
|
14
|
14
|
$18,189.00
|
$18,189.00
|
$4,537.35
|
$17,825.22
|
$16,642.94
|
2026-01-15
|
|
63055
|
HCPCS
|
Release Of Middle Spinal Cord And/or Nerves, Single Segment
|
14
|
14
|
$23,219.00
|
$23,219.00
|
$6,666.30
|
$22,754.62
|
$21,245.38
|
2026-01-15
|
|
63056
|
HCPCS
|
Release Of Lower Spinal Cord And/or Nerves, Single Segment
|
14
|
14
|
$21,289.00
|
$21,289.00
|
$6,099.30
|
$20,863.22
|
$19,479.43
|
2026-01-15
|
|
63081
|
HCPCS
|
Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior …
|
14
|
14
|
$25,259.00
|
$25,259.00
|
$7,210.35
|
$24,753.82
|
$23,111.99
|
2026-01-15
|
|
63265
|
HCPCS
|
Removal Of Upper Spine Bone And Growth Outside Spine Membrane
|
14
|
14
|
$23,751.00
|
$23,751.00
|
$6,866.10
|
$23,275.98
|
$21,732.17
|
2026-01-15
|
|
63266
|
HCPCS
|
Removal Of Growth Of Middle Spine Bone Outside Spine Membrane
|
14
|
14
|
$24,457.00
|
$24,457.00
|
$7,047.00
|
$23,967.86
|
$22,378.15
|
2026-01-15
|
|
63267
|
HCPCS
|
Removal Of Growth Of Lower Spine Bone Outside Spine Membrane
|
14
|
14
|
$19,523.00
|
$19,523.00
|
$5,634.90
|
$19,132.54
|
$17,863.54
|
2026-01-15
|
|
63272
|
HCPCS
|
Removal Of Growth Of Lower Spine Bone Within Spine Membrane
|
14
|
14
|
$26,948.00
|
$26,948.00
|
$7,682.85
|
$26,409.04
|
$24,657.42
|
2026-01-15
|
|
63655
|
HCPCS
|
Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine
|
14
|
14
|
$11,682.00
|
$11,682.00
|
$3,456.00
|
$11,448.36
|
$10,689.03
|
2026-01-15
|
|
63664
|
HCPCS
|
Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance
|
14
|
14
|
$12,170.00
|
$12,170.00
|
$3,651.75
|
$11,926.60
|
$11,135.55
|
2026-01-15
|
|
63707
|
HCPCS
|
Repair Of Cerebrospinal Fluid Leak
|
14
|
14
|
$13,081.00
|
$13,081.00
|
$3,859.65
|
$12,819.38
|
$11,969.11
|
2026-01-15
|
|
63709
|
HCPCS
|
Repair Of Cerebrospinal Fluid Leak With Partial Removal Of Vertebra
|
14
|
14
|
$15,739.00
|
$15,739.00
|
$4,576.50
|
$15,424.22
|
$14,401.19
|
2026-01-15
|
|
92920
|
HCPCS
|
Balloon Dilation Of Single Coronary Artery Or Branch
|
14
|
14
|
$23,349.00
|
$23,349.00
|
$14,009.40
|
$22,882.02
|
$21,014.10
|
2026-01-15
|
|
92921
|
HCPCS
|
Balloon Dilation Of Coronary Artery Or Branch, Each Additional Artery Or Branch
|
14
|
14
|
$13,855.00
|
$13,855.00
|
$8,313.00
|
$13,577.90
|
$12,469.50
|
2026-01-15
|
|
92924
|
HCPCS
|
Removal Of Plaque With Balloon Dilation Of Single Coronary Artery Or Branch
|
14
|
14
|
$35,515.00
|
$35,515.00
|
$21,309.00
|
$34,804.70
|
$31,963.50
|
2026-01-15
|
|
92925
|
HCPCS
|
Removal Of Plaque With Balloon Dilation Of Coronary Artery Or Branch, Each Addit…
|
14
|
14
|
$28,682.00
|
$28,682.00
|
$17,209.20
|
$28,108.36
|
$25,813.80
|
2026-01-15
|
|
92928
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Single A…
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
92929
|
HCPCS
|
Insertion Of Stents With Balloon Dilation Of Coronary Artery Or Branch, Each Add…
|
14
|
14
|
$25,580.00
|
$25,580.00
|
$15,348.00
|
$25,068.40
|
$23,022.00
|
2026-01-15
|
|
92933
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Single Coronary Ar…
|
14
|
14
|
$60,127.00
|
$60,127.00
|
$36,076.20
|
$58,924.46
|
$54,114.30
|
2026-01-15
|
|
92934
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And Balloon Dilation Of Coronary Artery Or…
|
14
|
14
|
$26,422.00
|
$26,422.00
|
$15,853.20
|
$25,893.56
|
$23,779.80
|
2026-01-15
|
|
92937
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
92938
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Coronary Vessel…
|
14
|
14
|
$25,580.00
|
$25,580.00
|
$15,348.00
|
$25,068.40
|
$23,022.00
|
2026-01-15
|
|
92941
|
HCPCS
|
Removal Of Plaque And Blood Clot, Insertion Of Stent And/or Balloon Dilation Of …
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
92943
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
14
|
14
|
$60,127.00
|
$60,127.00
|
$36,076.20
|
$58,924.46
|
$54,114.30
|
2026-01-15
|
|
92944
|
HCPCS
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation, Each Additional C…
|
14
|
14
|
$26,422.00
|
$26,422.00
|
$15,853.20
|
$25,893.56
|
$23,779.80
|
2026-01-15
|
|
92973
|
HCPCS
|
Removal Of Blood Clot In Heart Artery
|
14
|
14
|
$20,973.00
|
$20,973.00
|
$12,583.80
|
$20,553.54
|
$18,875.70
|
2026-01-15
|
|
93451
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers For Measurement
|
14
|
14
|
$15,591.00
|
$15,591.00
|
$9,354.60
|
$15,279.18
|
$14,031.90
|
2026-01-15
|
|
93452
|
HCPCS
|
Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis…
|
14
|
14
|
$19,432.00
|
$19,432.00
|
$11,659.20
|
$19,043.36
|
$17,488.80
|
2026-01-15
|
|
93453
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By …
|
14
|
14
|
$27,480.00
|
$27,480.00
|
$16,488.00
|
$26,930.40
|
$24,732.00
|
2026-01-15
|
|
93454
|
HCPCS
|
Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist
|
14
|
14
|
$18,202.00
|
$18,202.00
|
$10,921.20
|
$17,837.96
|
$16,381.80
|
2026-01-15
|
|
93455
|
HCPCS
|
Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist
|
14
|
14
|
$19,260.00
|
$19,260.00
|
$11,556.00
|
$18,874.80
|
$17,334.00
|
2026-01-15
|
|
93456
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With…
|
14
|
14
|
$29,350.00
|
$29,350.00
|
$17,610.00
|
$28,763.00
|
$26,415.00
|
2026-01-15
|
|
93457
|
HCPCS
|
Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For…
|
14
|
14
|
$29,350.00
|
$29,350.00
|
$17,610.00
|
$28,763.00
|
$26,415.00
|
2026-01-15
|
|
93458
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis …
|
14
|
14
|
$27,001.00
|
$27,001.00
|
$16,200.60
|
$26,460.98
|
$24,300.90
|
2026-01-15
|
|
93459
|
HCPCS
|
Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft …
|
14
|
14
|
$29,781.00
|
$29,781.00
|
$17,868.60
|
$29,185.38
|
$26,802.90
|
2026-01-15
|
|
93460
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn…
|
14
|
14
|
$37,601.00
|
$37,601.00
|
$22,560.60
|
$36,848.98
|
$33,840.90
|
2026-01-15
|
|
93461
|
HCPCS
|
Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass …
|
14
|
14
|
$42,879.00
|
$42,879.00
|
$25,727.40
|
$42,021.42
|
$38,591.10
|
2026-01-15
|
|
93462
|
HCPCS
|
Insertion Of Tube In Left Heart Chamber Through Heart Septum
|
14
|
14
|
$19,618.00
|
$19,618.00
|
$11,770.80
|
$19,225.64
|
$17,656.20
|
2026-01-15
|
|
93593
|
HCPCS
|
Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear…
|
14
|
14
|
$20,310.00
|
$20,310.00
|
$12,186.00
|
$19,903.80
|
$18,279.00
|
2026-01-15
|
|
93594
|
HCPCS
|
Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear…
|
14
|
14
|
$20,310.00
|
$20,310.00
|
$12,186.00
|
$19,903.80
|
$18,279.00
|
2026-01-15
|
|
93596
|
HCPCS
|
Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge…
|
14
|
14
|
$29,719.00
|
$29,719.00
|
$17,831.40
|
$29,124.62
|
$26,747.10
|
2026-01-15
|
|
C1763
|
HCPCS
|
Connective Tissue, Non-human (includes Synthetic)
|
28
|
14
|
$11,779.35
|
$11,779.35
|
$6,773.58
|
$12,024.01
|
$10,873.85
|
2026-01-15
|
|
C1767
|
HCPCS
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
378
|
14
|
$19,150.00
|
$19,150.00
|
$165.60
|
$48,974.48
|
$16,530.30
|
2026-01-15
|
|
C1816
|
HCPCS
|
Receiver And/or Transmitter, Neurostimulator (implantable)
|
14
|
14
|
$24,350.00
|
$24,350.00
|
$14,610.00
|
$23,863.00
|
$21,915.00
|
2026-01-15
|
|
C1820
|
HCPCS
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
182
|
14
|
$11,979.00
|
$11,979.00
|
$690.60
|
$40,670.00
|
$10,758.78
|
2026-01-15
|
|
C1874
|
HCPCS
|
Stent, Coated/covered, With Delivery System
|
14
|
14
|
$21,790.00
|
$21,790.00
|
$13,074.00
|
$21,354.20
|
$19,611.00
|
2026-01-15
|
|
C1876
|
HCPCS
|
Stent, Non-coated/non-covered, With Delivery System
|
14
|
14
|
$16,001.00
|
$16,001.00
|
$9,600.60
|
$15,680.98
|
$14,400.90
|
2026-01-15
|
|
C9600
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
C9601
|
HCPCS
|
Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit…
|
14
|
14
|
$25,580.00
|
$25,580.00
|
$15,348.00
|
$25,068.40
|
$23,022.00
|
2026-01-15
|
|
C9602
|
HCPCS
|
Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary …
|
14
|
14
|
$60,127.00
|
$60,127.00
|
$36,076.20
|
$58,924.46
|
$54,114.30
|
2026-01-15
|
|
C9603
|
HCPCS
|
Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary …
|
14
|
14
|
$26,422.00
|
$26,422.00
|
$15,853.20
|
$25,893.56
|
$23,779.80
|
2026-01-15
|
|
C9604
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
C9605
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass…
|
14
|
14
|
$25,580.00
|
$25,580.00
|
$15,348.00
|
$25,068.40
|
$23,022.00
|
2026-01-15
|
|
C9606
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
14
|
14
|
$49,851.00
|
$49,851.00
|
$29,910.60
|
$48,853.98
|
$44,865.90
|
2026-01-15
|
|
C9607
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…
|
14
|
14
|
$60,127.00
|
$60,127.00
|
$36,076.20
|
$58,924.46
|
$54,114.30
|
2026-01-15
|
|
C9608
|
HCPCS
|
Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary…
|
14
|
14
|
$26,422.00
|
$26,422.00
|
$15,853.20
|
$25,893.56
|
$23,779.80
|
2026-01-15
|
|
C9764
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
14
|
14
|
$19,793.00
|
$19,793.00
|
$11,875.80
|
$19,397.14
|
$17,813.70
|
2026-01-15
|
|
C9765
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie…
|
14
|
14
|
$40,102.00
|
$40,102.00
|
$24,061.20
|
$39,299.96
|
$36,091.80
|
2026-01-15
|
|
C9772
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(ie…
|
14
|
14
|
$40,102.00
|
$40,102.00
|
$24,061.20
|
$39,299.96
|
$36,091.80
|
2026-01-15
|
|
C9773
|
HCPCS
|
Revascularization, Endovascular, Open Or Percutaneous, Tibial/peroneal Artery(i…
|
14
|
14
|
$64,143.00
|
$64,143.00
|
$38,485.80
|
$62,860.14
|
$57,728.70
|
2026-01-15
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
28
|
14
|
$19,662.86
|
$19,662.86
|
$5,056.16
|
$30,280.80
|
$13,398.83
|
2026-01-15
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
14
|
14
|
$12,582.51
|
$12,582.51
|
$7,549.51
|
$12,330.86
|
$11,324.26
|
2026-01-15
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
42
|
14
|
$27,133.34
|
$27,133.34
|
$6,632.07
|
$28,865.07
|
$23,524.60
|
2026-01-15
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
14
|
14
|
$27,161.18
|
$27,161.18
|
$16,296.71
|
$26,617.96
|
$24,445.06
|
2026-01-15
|
|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
14
|
14
|
$39,506.16
|
$39,506.16
|
$23,703.70
|
$38,716.04
|
$35,555.54
|
2026-01-15
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
14
|
14
|
$11,864.22
|
$11,864.22
|
$7,118.53
|
$11,626.94
|
$10,677.80
|
2026-01-15
|
|
J3263
|
HCPCS
|
Injection, Toripalimab-tpzi, 1 Mg
|
14
|
14
|
$19,233.70
|
$19,233.70
|
$11,540.22
|
$18,849.03
|
$17,310.33
|
2026-01-15
|
|
J3357
|
HCPCS
|
Ustekinumab, For Subcutaneous Injection, 1 Mg
|
14
|
14
|
$35,337.50
|
$35,337.50
|
$21,202.50
|
$34,630.75
|
$31,803.75
|
2026-01-15
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
14
|
14
|
$12,316.58
|
$12,316.58
|
$7,389.95
|
$12,070.25
|
$11,084.92
|
2026-01-15
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
14
|
14
|
$23,286.76
|
$23,286.76
|
$13,972.06
|
$22,821.02
|
$20,958.08
|
2026-01-15
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
14
|
14
|
$11,746.93
|
$11,746.93
|
$7,048.16
|
$11,511.99
|
$10,572.24
|
2026-01-15
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
14
|
14
|
$18,894.47
|
$18,894.47
|
$11,336.68
|
$18,516.58
|
$17,005.02
|
2026-01-15
|
|
J9063
|
HCPCS
|
Injection, Mirvetuximab Soravtansine-gynx, 1 Mg
|
14
|
14
|
$13,727.87
|
$13,727.87
|
$8,236.72
|
$13,453.31
|
$12,355.08
|
2026-01-15
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
14
|
14
|
$21,770.14
|
$21,770.14
|
$13,062.08
|
$21,334.74
|
$19,593.13
|
2026-01-15
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
14
|
14
|
$16,784.45
|
$16,784.45
|
$10,070.67
|
$16,448.76
|
$15,106.01
|
2026-01-15
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
14
|
14
|
$11,681.39
|
$11,681.39
|
$7,008.83
|
$11,447.76
|
$10,513.25
|
2026-01-15
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
14
|
14
|
$62,582.95
|
$62,582.95
|
$37,549.77
|
$61,331.29
|
$56,324.66
|
2026-01-15
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
14
|
14
|
$16,116.67
|
$16,116.67
|
$9,670.00
|
$15,794.34
|
$14,505.00
|
2026-01-15
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
14
|
14
|
$17,824.93
|
$17,824.93
|
$10,694.96
|
$17,468.43
|
$16,042.44
|
2026-01-15
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
14
|
14
|
$14,115.68
|
$14,115.68
|
$8,469.41
|
$13,833.37
|
$12,704.11
|
2026-01-15
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
28
|
14
|
$23,386.04
|
$23,386.04
|
$4,952.35
|
$37,747.80
|
$15,599.87
|
2026-01-15
|
|
J9350
|
HCPCS
|
Injection, Mosunetuzumab-axgb, 1 Mg
|
28
|
14
|
$20,025.36
|
$20,025.36
|
$775.17
|
$37,983.58
|
$12,260.68
|
2026-01-15
|
|
L7900
|
HCPCS
|
Male Vacuum Erection System
|
14
|
14
|
$21,947.00
|
$21,947.00
|
$13,168.20
|
$21,508.06
|
$19,752.30
|
2026-01-15
|
|
L8679
|
HCPCS
|
Implantable Neurostimulator, Pulse Generator, Any Type
|
14
|
14
|
$32,683.00
|
$32,683.00
|
$19,609.80
|
$32,029.34
|
$29,414.70
|
2026-01-15
|
|
L8680
|
HCPCS
|
Implantable Neurostimulator Electrode, Each
|
42
|
14
|
$12,904.65
|
$12,904.65
|
$7,187.40
|
$28,557.20
|
$11,739.42
|
2026-01-15
|
|
P9034
|
HCPCS
|
Platelets, Pheresis, Each Unit
|
14
|
14
|
$12,154.00
|
$12,154.00
|
$7,292.40
|
$11,910.92
|
$10,938.60
|
2026-01-15
|
|
P9036
|
HCPCS
|
Platelets, Pheresis, Irradiated, Each Unit
|
14
|
14
|
$12,520.00
|
$12,520.00
|
$7,512.00
|
$12,269.60
|
$11,268.00
|
2026-01-15
|
|
Rx00173089601_1
|
CDM
|
Belantamab Mafodotin-blmf For IV Soln 100 Mg
|
14
|
14
|
$17,130.08
|
$17,130.08
|
$10,278.05
|
$16,787.48
|
$15,417.07
|
2026-01-15
|
|
Sx00000003711_1
|
CDM
|
Spinal Stim Charger Port (91980)
|
14
|
14
|
$11,960.85
|
$11,960.85
|
$7,176.51
|
$11,721.63
|
$10,764.77
|
2026-01-15
|
|
Sx0000KPE1003_1
|
CDM
|
Kyphon Express 15/2 1st Fract (42057)
|
14
|
14
|
$14,247.75
|
$14,247.75
|
$8,548.65
|
$13,962.80
|
$12,822.98
|
2026-01-15
|
|
Sx0000KPT2005_1
|
CDM
|
Kyphon Xpander 20/3 1st Fract (42056)
|
14
|
14
|
$14,247.75
|
$14,247.75
|
$8,548.65
|
$13,962.80
|
$12,822.98
|
2026-01-15
|
|
Sx000BC0724SP_1
|
CDM
|
ENT Sinus Bal Cath Sol 7/24
|
14
|
14
|
$14,175.15
|
$14,175.15
|
$8,505.09
|
$13,891.65
|
$12,757.64
|
2026-01-15
|
|
Sx000KEX152EB_1
|
CDM
|
Kit Express Ii 1st Thoracic S2
|
14
|
14
|
$14,959.23
|
$14,959.23
|
$8,975.54
|
$14,660.05
|
$13,463.31
|
2026-01-15
|
|
Sx000KEX202EB_1
|
CDM
|
Kit Express Ii 1st Lumbar S2
|
14
|
14
|
$14,959.23
|
$14,959.23
|
$8,975.54
|
$14,660.05
|
$13,463.31
|
2026-01-15
|
|
Sx000KPX203RB_1
|
CDM
|
Tray Kyphopak Ii 1st Fracture
|
14
|
14
|
$14,959.23
|
$14,959.23
|
$8,975.54
|
$14,660.05
|
$13,463.31
|
2026-01-15
|
|
Sx000ZYG-1015_1
|
CDM
|
System Decorticatory Simm Zyga (100546)
|
14
|
14
|
$18,445.00
|
$18,445.00
|
$11,067.00
|
$18,076.10
|
$16,600.50
|
2026-01-15
|
|
Sx0065-0010-S_1
|
CDM
|
Callos Inject 10cc
|
14
|
14
|
$16,331.37
|
$16,331.37
|
$9,798.82
|
$16,004.74
|
$14,698.23
|
2026-01-15
|
|
Sx03.390.052S_1
|
CDM
|
Fixator Distal Radius
|
14
|
14
|
$17,122.71
|
$17,122.71
|
$10,273.63
|
$16,780.26
|
$15,410.44
|
2026-01-15
|