Price Transparencybeta 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

KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO

Fontana, CA · CCN 050140 · Rates published

Your selected procedure

You selected 27447 (CPT)

Total knee arthroplasty

This hospital’s price: $15,635 across 1 payer · range $12,764-$37,964

Source: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-ontario-medical-center-standard-charges-scal-en.csv · observed 2026-07-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,513 distinct procedures filed
4 distinct payers
213,112 rate rows
2026-07-31 last MRF observed
Data quality

198,143 of 213,112 rate rows are consumer-grade (93.0%)

14,969 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
per-diem day rate — not a per-procedure price 9,216
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,654
placeholder amount (≤ $0.02) — excluded from medians 85
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-ontario-medical-center-standard-charges-scal-en.csv
Found on page https://healthy.kaiserpermanente.org/southern-california/doctors-locations/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 468194aee1f69aab… · 209,266,089 bytes · first seen 2026-05-09

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 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$631,793
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$624,417
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$691,418
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$577,541
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$302,242
1.0× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 1 $83,439.00 $140,178.00 $83,439.00 nat. median
$63,643
1.3× median
38240
CPT 		Transplt Allo Hct/donor 1 $58,671.00 $174,504.00 $71,867.00 nat. median
$13,835
outlier · 5.2×
J9029
HCPCS 		"Instill Adstiladrin, Tx Dose" 1 $63,431.00 $106,564.00 $63,431.00 nat. median
$69,291
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $55,946.00 $93,989.00 $55,946.00 nat. median
$65,655
0.9× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 1 $44,641.00 $132,777.00 $54,682.00 nat. median
$43,061
1.3× median
A9699
HCPCS 		Radiopharmaceutical Therapeutic Noc 1 $52,618.00 $88,398.00 $52,618.00 nat. median
$4,125
outlier · 12.8×
J9226
HCPCS 		Supprelin La Implant 1 $45,560.00 $76,541.00 $45,560.00 nat. median
$55,200
0.8× median
Q9982
HCPCS 		flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 1 $39,696.53 $47,453.33 $43,574.93 nat. median
$3,080
outlier · 14.1×
0620T
CPT 		Endovascular Venous Arterialization Tibl/prnl Vn 1 $34,721.00 $103,272.00 $42,531.00 nat. median
$32,810
1.3× median
33270
CPT 		Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$31,963
1.2× median
33249
CPT 		Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$31,420
1.2× median
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$32,062
1.2× median
33264
CPT 		Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$31,464
1.2× median
0571T
CPT 		Insj/rplcmt Icds W/substernal Electrode 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$32,069
1.2× median
33231
CPT 		Insj Implntbl Defib Pulse Gen W/exist Multileads 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$29,955
1.3× median
69930
CPT 		Cochlear Device Implantation W/wo Mastoidectomy 1 $31,554.00 $93,851.00 $38,651.00 nat. median
$29,361
1.3× median
0674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$29,473
1.3× median
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$21,025
1.8× median
61886
CPT 		Implant Neurostim Arrays 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$27,176
1.4× median
64568
CPT 		Open Implantation Cranial Nerve Nea & Pulse Gen 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$27,651
1.3× median
64582
CPT 		Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$28,070
1.3× median
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$29,000
1.3× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 1 $28,202.00 $83,880.00 $34,545.00 nat. median
$27,692
1.2× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 1 $28,018.43 $80,512.74 $33,493.30 nat. median
$470
outlier · 71.3×
C9760
HCPCS 		Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 1 $27,281.00 $81,142.00 $33,417.00 nat. median
$27,848
1.2× median
A9590
HCPCS 		Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 1 $4,817.49 $142,736.25 $31,757.79 nat. median
$490
outlier · 64.8×
90288
CPT 		Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 1 $23,929.35 $68,762.50 $28,605.20 nat. median
$52,716
0.5× median
J9266
HCPCS 		Pegaspargase Injection 1 $28,424.00 $47,752.00 $28,424.00 nat. median
$32,688
0.9× median
187001050
NDC 		Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 1 $22,882.36 $65,753.92 $27,353.63 nat. median
$55,630
outlier · 0.5×
A9607
HCPCS 		"lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 1 $22,817.56 $65,567.70 $27,276.16 nat. median
$421
outlier · 64.8×
33262
CPT 		Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$23,104
1.2× median
0614T
CPT 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$23,432
1.2× median
33240
CPT 		Insj Implntbl Defib Pulse Gen W/1 Existing Ld 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$21,987
1.2× median
33230
CPT 		Insj Implntbl Defib Pulse Gen W/exist Dual Leads 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$22,374
1.2× median

Other procedures at this hospital

Browse this hospital's 16,513 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 "Inj, Atidarsagene Autotemcel" 6 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-07-17
J1414 HCPCS Beqvez (fidanacogene Elaparvovec-dz 6 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1411 HCPCS "Inj, Hemgenix, Per Tx Dose" 6 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-07-17
J3394 HCPCS "Inj, Lovotibeglogene Autotem" 6 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-07-17
J3393 HCPCS "Inj, Betibeglogene Autotemce" 6 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-07-17
J3392 HCPCS Casgevy (exagamglogene Autotemcel) 6 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-07-17
Q2057 HCPCS Tecelra (afamitresgene Autoleucel) 6 1 — — $792,430.00 $792,430.00 $792,430.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 6 1 — — $605,288.00 $605,288.00 $605,288.00 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Car 6 1 — — $575,861.00 $575,861.00 $575,861.00 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 1 — — $567,588.00 $567,588.00 $567,588.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 1 — — $557,936.00 $557,936.00 $557,936.00 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 1 — — $548,902.00 $548,902.00 $548,902.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 6 1 — — $503,580.00 $503,580.00 $503,580.00 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 1 — — $294,709.00 $294,709.00 $294,709.00 2026-07-17
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 6 1 $182,231.00 $94,760.12 48% off $83,439.00 $140,178.00 $83,439.00 2026-07-17
38240 CPT Transplt Allo Hct/donor 6 1 — — $58,671.00 $174,504.00 $71,867.00 2026-07-17
J9029 HCPCS "Instill Adstiladrin, Tx Dose" 6 1 — — $63,431.00 $106,564.00 $63,431.00 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 1 — — $55,946.00 $93,989.00 $55,946.00 2026-07-17
33276 CPT Insj Phrnc Nrv Stim Sys 6 1 — — $44,641.00 $132,777.00 $54,682.00 2026-07-17
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 6 1 — — $52,618.00 $88,398.00 $52,618.00 2026-07-17
J9226 HCPCS Supprelin La Implant 6 1 — — $45,560.00 $76,541.00 $45,560.00 2026-07-17
Q9982 HCPCS flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 4 1 $10,029.00 $5,215.08 48% off $39,696.53 $47,453.33 $43,574.93 2026-07-17
0620T CPT Endovascular Venous Arterialization Tibl/prnl Vn 6 1 $76,790.00 $39,930.80 48% off $34,721.00 $103,272.00 $42,531.00 2026-07-17
33264 CPT Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 6 1 $64,360.00 $33,467.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
0571T CPT Insj/rplcmt Icds W/substernal Electrode 6 1 $72,760.00 $37,835.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
33231 CPT Insj Implntbl Defib Pulse Gen W/exist Multileads 6 1 $70,350.00 $36,582.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
33249 CPT Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 6 1 $43,100.00 $22,412.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
0408T CPT Insj/rplc Cardiac Modulj Sys 6 1 — — $31,806.00 $94,600.00 $38,960.00 2026-07-17
33270 CPT Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 6 1 $81,380.00 $42,317.60 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
69930 CPT Cochlear Device Implantation W/wo Mastoidectomy 6 1 $34,460.00 $17,919.20 48% off $31,554.00 $93,851.00 $38,651.00 2026-07-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 6 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
61886 CPT Implant Neurostim Arrays 6 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
64582 CPT Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 6 1 $105,410.00 $54,813.20 48% off $30,231.00 $89,915.00 $37,030.00 2026-07-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 6 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 6 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
64568 CPT Open Implantation Cranial Nerve Nea & Pulse Gen 6 1 $37,840.00 $19,676.80 48% off $30,231.00 $89,915.00 $37,030.00 2026-07-17
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 6 1 $72,800.00 $37,856.00 48% off $28,202.00 $83,880.00 $34,545.00 2026-07-17
A9513 HCPCS Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 6 1 $193,132.79 $100,429.05 48% off $28,018.43 $80,512.74 $33,493.30 2026-07-17
C9760 HCPCS Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 6 1 $63,130.00 $32,827.60 48% off $27,281.00 $81,142.00 $33,417.00 2026-07-17
A9590 HCPCS Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 12 1 $156,579.60 $81,421.39 48% off $4,817.49 $142,736.25 $31,757.79 2026-07-17
90288 CPT Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 6 1 $137,525.00 $71,513.00 48% off $23,929.35 $68,762.50 $28,605.20 2026-07-17
J9266 HCPCS Pegaspargase Injection 6 1 — — $28,424.00 $47,752.00 $28,424.00 2026-07-17
187001050 NDC Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 6 1 $131,507.84 $68,384.08 48% off $22,882.36 $65,753.92 $27,353.63 2026-07-17
A9607 HCPCS "lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 6 1 $147,409.21 $76,652.79 48% off $22,817.56 $65,567.70 $27,276.16 2026-07-17
0515T CPT Insj Wcs Lv Compl Sys 6 1 — — $22,267.00 $66,229.00 $27,275.00 2026-07-17
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 6 1 $58,510.00 $30,425.20 48% off $22,267.00 $66,229.00 $27,275.00 2026-07-17
33230 CPT Insj Implntbl Defib Pulse Gen W/exist Dual Leads 6 1 $63,990.00 $33,274.80 48% off $22,267.00 $66,229.00 $27,275.00 2026-07-17
33263 CPT Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 6 1 $66,050.00 $34,346.00 48% off $22,267.00 $66,229.00 $27,275.00 2026-07-17
0409T CPT Insj/rplc Car Modulj Pls Gn 6 1 — — $22,267.00 $66,229.00 $27,275.00 2026-07-17
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 6 1 — — $22,267.00 $66,229.00 $27,275.00 2026-07-17
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 6 1 — — $22,267.00 $66,229.00 $27,275.00 2026-07-17
33262 CPT Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 6 1 $68,390.00 $35,562.80 48% off $22,267.00 $66,229.00 $27,275.00 2026-07-17
68875010201 NDC Teduglutide 5 Mg Kit 1 Each Kit 6 1 $135,055.95 $70,229.09 48% off $22,815.30 $65,561.21 $27,273.46 2026-07-17
64590 CPT Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn 6 1 $29,499.00 $15,339.48 48% off $21,273.00 $63,273.00 $26,058.00 2026-07-17
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
64580 CPT Opn Impltj Nea Neuromuscular 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
63655 CPT Implant Neuroelectrodes 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
61885 CPT Insrt/redo Neurostim 1 Array 6 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
0680T CPT Insj/rplcmt Pulse Generator Only Isdss 6 1 $59,530.00 $30,955.60 48% off $21,273.00 $63,273.00 $26,058.00 2026-07-17
C9293 HCPCS "glucarpidase 1,000 Unit Recon Soln 1 Each Vial" 6 1 $124,516.04 $64,748.34 48% off $20,633.98 $59,293.06 $24,665.91 2026-07-17
54401 CPT Insert Self-contd Prosthesis 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
54411 CPT Remov/replc Penis Pros Comp 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
53447 CPT Remove/replace Ur Sphincter 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
54405 CPT Insj Multi-component Inflatable Penile Prosth 6 1 $18,260.00 $9,495.20 48% off $19,968.00 $59,391.00 $24,459.00 2026-07-17
53444 CPT Insert Tandem Cuff 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
53445 CPT Insert Uro/ves Nck Sphincter 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
54416 CPT Remv/repl Penis Contain Pros 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
54410 CPT Remove/replace Penis Prosth 6 1 — — $19,968.00 $59,391.00 $24,459.00 2026-07-17
J9600 HCPCS Porfimer Sodium Injection 6 1 — — $24,229.00 $40,704.00 $24,229.00 2026-07-17
33221 CPT Ins Pacemaker Pulse Gen Only W/exist Mult Leads 6 1 $28,470.00 $14,804.40 48% off $18,919.00 $56,271.00 $23,174.00 2026-07-17
0823T CPT Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 6 1 $34,490.00 $17,934.80 48% off $18,919.00 $56,271.00 $23,174.00 2026-07-17
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
33274 CPT Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 6 1 $39,390.00 $20,482.80 48% off $18,919.00 $56,271.00 $23,174.00 2026-07-17
33229 CPT Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 6 1 $31,730.00 $16,499.60 48% off $18,919.00 $56,271.00 $23,174.00 2026-07-17
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0525T CPT Insj/rplcmt Compl Iims 6 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
37275 CPT Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37273 CPT Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37290 CPT Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37286 CPT Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37277 CPT Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37271 CPT Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37288 CPT Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37292 CPT Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37182 CPT Insj Transvns Intrahepatc Portosysic Shunt 6 1 $14,560.00 $7,571.20 48% off $18,579.00 $55,260.00 $22,758.00 2026-07-17
37284 CPT Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 6 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
61624 CPT Tcat Perm Occls/embolization Perq Cns 6 1 $14,110.00 $7,337.20 48% off $18,579.00 $55,260.00 $22,758.00 2026-07-17
22612 CPT Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar 6 1 $27,560.00 $14,331.20 48% off $18,243.00 $54,261.00 $22,347.00 2026-07-17
27279 CPT Arthrd Si Jt Perq/min Nvas 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 6 1 $16,220.00 $8,434.40 48% off $18,243.00 $54,261.00 $22,347.00 2026-07-17
22630 CPT Arthrd Pst Tq 1ntrspc Lum 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
22867 CPT Insj Stablj Dev W/dcmprn 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
23472 CPT Reconstruct Shoulder Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
22856 CPT Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv 6 1 $39,350.00 $20,462.00 48% off $18,243.00 $54,261.00 $22,347.00 2026-07-17
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
21243 CPT Reconstruction Of Jaw Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
27702 CPT Reconstruct Ankle Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
24361 CPT Reconstruct Elbow Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
24371 CPT Revise Reconst Elbow Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
20696 CPT App Mltpln Uni Xtrnl Fix 1st 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
25442 CPT Arthrp W/prostc Dstl Ulna 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
24363 CPT Replace Elbow Joint 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
28705 CPT Arthrodesis Pantalar 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
25446 CPT Arthrp W/prostc Dst Rds&crps 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 6 1 — — $18,243.00 $54,261.00 $22,347.00 2026-07-17
0645T CPT Tcat Implantation Coronary Sinus Reduction Dev 6 1 $71,827.00 $37,350.04 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0238T CPT Trluml Perip Athrc Iliac Art 6 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
36836 CPT Perq Av Fistula Creation Uxtr Single Access 6 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9797 HCPCS Vasc Emb/occ W/prs-gen Cath 6 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 6 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9773 HCPCS Revasc Lithotr-stent Tib/per 6 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9774 HCPCS Revasc Lithotr-ather Tib/per 6 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9602 HCPCS Pc Tl Cor Atherect W/rx Elut Ic Stent; 1 Mca/br 6 1 $33,010.00 $17,165.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
37242 CPT Vascular Embolization Or Occlusion Arterial Rs&i 6 1 $28,050.00 $14,586.00 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 6 1 $15,260.00 $7,935.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
36906 CPT Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 6 1 $41,180.00 $21,413.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0632T CPT Perq Tcat US Abltj Nrv P-art 6 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
36837 CPT Perq Av Fistula Creation Uxtr Sep Access Sites 6 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
33902 CPT Perq P-art Revsc St 1st Abnor Connj Unilateral 6 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9775 HCPCS Revasc Lith-sten-ath Tib/per 6 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9765 HCPCS Rev Evar Any Ves;iv Lithotripsy & Tl Stent Plcmt 6 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9766 HCPCS Rev Evar Any Ves);iv Lithotripsy And Atherectomy 6 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9607 HCPCS Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 6 1 $32,470.00 $16,884.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9767 HCPCS Rev Evar Any Ves;iv Litho&tl Stnt Plcmt&atherect 6 1 $37,750.00 $19,630.00 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
62361 CPT Impltj/rplcmt Fs Non-prgrbl Pump 6 1 $22,140.00 $11,512.80 48% off $17,533.00 $52,149.00 $21,477.00 2026-07-17
62360 CPT Impltj/rplcmt Ithcl/edrl Drug Nfs Subq Rsvr 6 1 $38,760.00 $20,155.20 48% off $17,533.00 $52,149.00 $21,477.00 2026-07-17
62362 CPT Impltj/rplcmt Ithcl/edrl Drug Nfs Prgrbl Pump 6 1 $22,140.00 $11,512.80 48% off $17,533.00 $52,149.00 $21,477.00 2026-07-17
0686T CPT Histotripsy Mal Hepatocellular Tiss W/img Gdn 6 1 $63,950.00 $33,254.00 48% off $17,361.00 $51,637.00 $21,266.00 2026-07-17
C9758 HCPCS Bi Proc Nyha Cl Iii/iv Hf;trnscath Impl Ias/pc 6 1 $70,220.00 $36,514.40 48% off $17,361.00 $51,637.00 $21,266.00 2026-07-17
C9782 HCPCS Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 6 1 — — $17,361.00 $51,637.00 $21,266.00 2026-07-17
0888T CPT Histotripsy Mal Renal Tissue 6 1 — — $17,361.00 $51,637.00 $21,266.00 2026-07-17
19357 CPT Tissue Expander Placement Breast Reconstruction 6 1 $22,540.00 $11,720.80 48% off $17,260.00 $51,335.00 $21,142.00 2026-07-17
0308T CPT Insj Ocular Telescope Prosth 6 1 — — $16,286.00 $48,438.00 $19,948.00 2026-07-17
66683 CPT Implantation Iris Prosthesis 6 1 — — $16,286.00 $48,438.00 $19,948.00 2026-07-17
67027 CPT Implant Eye Drug System 6 1 — — $15,242.00 $45,335.00 $18,671.00 2026-07-17
187552560 NDC Bexarotene 1 % Gel 60 G Tube 6 1 $83,983.06 $43,671.19 48% off $14,613.05 $41,991.53 $17,468.48 2026-07-17
65770 CPT Keratoprosthesis 6 1 — — $14,175.00 $42,162.00 $17,364.00 2026-07-17
55882 CPT Ablt Trurl Prst8 Tis Trnsdcr 6 1 — — $12,889.00 $38,335.00 $15,788.00 2026-07-17
54400 CPT Insert Semi-rigid Prosthesis 6 1 — — $12,889.00 $38,335.00 $15,788.00 2026-07-17
53451 CPT Periurethral Tprnl Adjtbl Balo Cntnc Dev Bi Insj 6 1 $41,130.00 $21,387.60 48% off $12,889.00 $38,335.00 $15,788.00 2026-07-17
53440 CPT Sling Opration Corrj Male Urinary Incontinence 6 1 $11,170.00 $5,808.40 48% off $12,889.00 $38,335.00 $15,788.00 2026-07-17
54417 CPT Remv/replc Penis Pros Compl 6 1 — — $12,889.00 $38,335.00 $15,788.00 2026-07-17
23470 CPT Reconstruct Shoulder Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24586 CPT Treat Elbow Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27356 CPT Remove Femur Lesion/graft 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24666 CPT Treat Radius Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
22869 CPT Insj Stablj Dev Without Dcmprn 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
64628 CPT Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/sac 6 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
28735 CPT Fusion Of Foot Bones 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
23473 CPT Revis Reconst Shoulder Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24575 CPT Treat Humerus Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
20692 CPT Application Multiplane External Fixation System 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
27130 CPT Total Hip Arthroplasty 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
23615 CPT Open Treatment Proximal Humeral Fracture 6 1 $25,630.00 $13,327.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 6 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
0737T CPT Xenograft Impltj Artclr Surf 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27429 CPT Reconstruction Knee 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
69729 CPT Impl Oi Implt Sk Tc Esp>=100 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
20982 CPT Ablation Bone Tumor Rf Perq W/img Gdn When Done 6 1 $16,520.00 $8,590.40 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24365 CPT Reconstruct Head Of Radius 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
69714 CPT Impltj Oi Implt Skull Perq Attachment Esp 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24362 CPT Reconstruct Elbow Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
69716 CPT Impl Oi Implt Skull Mag Tc Attachment Esp<100 6 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
0627T CPT Perq Njx Algc Fluor Lmbr 1st 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
29856 CPT Tibial Arthroscopy/surgery 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9734 HCPCS Focused U/s Abl/tx Int Oth Than Ul 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24545 CPT Open Tx Humeral Supracondylar Fracture Without Xtn 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
22554 CPT Arthrd Ant Min Discect Interbody Cerv Below C2 6 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24546 CPT Treat Humerus Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
69719 CPT Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100 6 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
23485 CPT Revision Of Collar Bone 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24516 CPT Treat Humerus Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
23802 CPT Arthrd Glenohumeral Jt W/grf 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24498 CPT Reinforce Humerus 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9781 HCPCS Arthrosc Shldr Sx; W/imp Sa Spacer 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
0629T CPT Perq Njx Algc Cell&/prdct Uni/bi CT Lmbr 1st 6 1 $43,710.00 $22,729.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24579 CPT Treat Humerus Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27447 CPT Total Knee Arthroplasty 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27759 CPT Tx Tibl Shft Fx Imed Implt W/wo Screws&/cercla 6 1 $13,630.00 $7,087.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24430 CPT Repair Of Humerus 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
23680 CPT Open Tx Shoulder Dislocation W/neck Fracture 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
25810 CPT Arthrodesis Wrist W/iliac/other Autograft 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
25365 CPT Revise Radius & Ulna 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27870 CPT Fusion Of Ankle Joint Open 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
25391 CPT Lengthen Radius Or Ulna 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24515 CPT Optx Humeral Shft Fx W/plate/screws W/wocerclage 6 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9757 HCPCS Laminotomy Decomp Nerve Root; 1 Interspace Lumb 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
24435 CPT Repair Humerus With Graft 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27827 CPT Open Treatment Fracture Distal Tibia Only 6 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
27441 CPT Revision Of Knee Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24410 CPT Revision Of Humerus 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24370 CPT Revise Reconst Elbow Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24366 CPT Reconstruct Head Of Radius 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
25491 CPT Prophylactic Tx Ulna 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24802 CPT Fusion/graft Of Elbow Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24346 CPT Reconstruct Elbow Med Ligmnt 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
23491 CPT Reinforce Shoulder Bones 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
25441 CPT Arthrp W/prostc Dstl Rds 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
29867 CPT Arthroscopy Knee Osteochondral Allograft 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
28737 CPT Arthrd W/tdn Lngth&advmnt Tarsl Nvclr-cuneifor 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
29889 CPT Arthrs Aided Pst Cruciate Ligm Rpr/agmntj/rcnstj 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
28725 CPT Arthrodesis Subtalar 6 1 $25,110.00 $13,057.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
25444 CPT Arthrp W/prostc Lunate 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
28730 CPT Arthrd Midtarsl/tarsometatarsal Mult/transvrs 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
29907 CPT Subtalar Arthro W/fusion 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27871 CPT Fusion Of Tibiofibular Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27828 CPT Open Treatment Fracture Distal Tibia & Fibula 6 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
28297 CPT Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis 6 1 $10,540.00 $5,480.80 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
27709 CPT Osteotomy Tibia & Fibula 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27758 CPT Optx Tibial Shft Fx W/plate/screws W/wo Cerclage 6 1 $22,080.00 $11,481.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
28320 CPT Repair Of Foot Bones 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
28420 CPT Treat/graft Heel Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27442 CPT Revision Of Knee Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
24587 CPT Treat Elbow Fracture 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27443 CPT Revision Of Knee Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27438 CPT Revise Kneecap With Implant 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27415 CPT Osteochondral Knee Allograft 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27428 CPT Ligamentous Reconstruction Knee Intra-articular 6 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
27440 CPT Revision Of Knee Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
27446 CPT Revision Of Knee Joint 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
28715 CPT Arthrodesis Triple 6 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
64596 CPT Ins/rplcmt Prq Eltrd Ra Pn 1 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
61888 CPT Revise/remove Neuroreceiver 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
61715 CPT Mrgfus Strtctc Ablt Trgt Icr 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
43647 CPT Lap Impl Electrode Antrum 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
64583 CPT Revj/rplcmt Hpglsl Nerve Nstim Ra Pg&respir Snr 6 1 $40,260.00 $20,935.20 48% off $12,371.00 $36,795.00 $15,153.00 2026-07-17
64569 CPT Revise/repl Vagus N Eltrd 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
64575 CPT Opn Impltj Nea Perph Nerve 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
64553 CPT Implant Neuroelectrodes 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
63664 CPT Revise Spine Eltrd Plate 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
0675T CPT Laps Insj Nw/rpcmt Isdss 1ld 6 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
187000714 NDC Ribavirin 6 Gram Recon Soln 4 Each Vial 6 1 $71,893.39 $37,384.56 48% off $12,509.45 $35,946.70 $14,953.83 2026-07-17
37298 CPT Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37296 CPT Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37269 CPT Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37280 CPT Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37258 CPT Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37260 CPT Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37267 CPT Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37282 CPT Revsc Evasc Tpvt Angiop Uni Cplx Les 1st Vsl 6 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
61626 CPT Tcat Perm Occls/embolj Perq Non-cns Head/neck 6 1 $18,700.00 $9,724.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
0237T CPT Trluml Perip Athrc Brchiocph 6 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
0236T CPT Trluml Perip Athrc Abd Aorta 6 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
0234T CPT Trluml Perip Athrc Renal Art 6 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9600 HCPCS Pc Trnscth Plcmt Rx Elut Ic Stents; 1 Maj Ca/br 6 1 $22,880.00 $11,897.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9783 HCPCS Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl 6 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9772 HCPCS Revasc Lithotrip Tibi/perone 6 1 $38,410.00 $19,973.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37238 CPT Open/perq Placement Intravascular Stent Same 1st 6 1 $30,720.00 $15,974.40 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37241 CPT Vascular Embolization Or Occlusion Venous Rs&i 6 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37187 CPT Prq Transluminal Mechanical Thrombectomy Vein 6 1 $13,230.00 $6,879.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37236 CPT Open/perq Placement Intravascular Stent Initial 6 1 $30,720.00 $15,974.40 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37243 CPT Vascular Embolize/occlude Organ Tumor Infarct 6 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
33903 CPT Perq P-art Revsc St 1st Abnormal Connj Bilateral 6 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
36903 CPT Intro Cath Dialysis Circuit W/tcat Plmt IV Stent 6 1 $33,650.00 $17,498.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
37244 CPT Vascular Embolization Or Occlusion Hemorrhage 6 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
33900 CPT Perq P-art Revsc St 1st Nml Native Connj Uni 6 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
33901 CPT Perq P-art Revsc St 1st Nml Native Connj Bi 6 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
36905 CPT Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 6 1 $33,750.00 $17,550.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9604 HCPCS Pc Tl Rev Of/thru Cabg Comb De Ic Stnt; 1 Ves 6 1 $30,860.00 $16,047.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
0505T CPT Ev Fempop Artl Revsc 6 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
61623 CPT Evasc Temp Balloon Artl Occlusion Head/neck 6 1 $15,440.00 $8,028.80 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9764 HCPCS Rev Evar Open/perq Any Vessel;iv Lithotripsy 6 1 $11,730.00 $6,099.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
55869 CPT Laps Surg Prst8ect Rpbic Rad W/bi Pel Lymphadec 6 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-07-17
55868 CPT Laps Surg Prst8ect Rpbic Radical W/lymph Node Bx 6 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-07-17
0519T CPT Rmv&rplcmt Pg Wcs Lv Both 6 1 — — $10,382.00 $30,879.00 $12,717.00 2026-07-17
0517T CPT Insj Wcs Lv Both Compnt Pg 6 1 — — $10,382.00 $30,879.00 $12,717.00 2026-07-17
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 6 1 — — $10,382.00 $30,879.00 $12,717.00 2026-07-17
33228 CPT Remvl Perm Pm Pls Gen W/repl Plse Gen 2 Lead Sys 6 1 $28,040.00 $14,580.80 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
0516T CPT Insj Wcs Lv Eltrd Only 6 1 — — $10,382.00 $30,879.00 $12,717.00 2026-07-17
33224 CPT Insj Eltrd Car Ven Sys Attch Prev Pm/dfb Pls Gen 6 1 $29,780.00 $15,485.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
33213 CPT Ins Pacemaker Pulse Gen Only W/exist Dual Leads 6 1 $24,200.00 $12,584.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
33214 CPT Upg Pacemaker Sys Convert 1chmbr Sys 2chmbr Sys 6 1 $34,400.00 $17,888.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
33206 CPT Ins New/rplcmt Prm Pacemakr W/trans Eltrd Atrial 6 1 $27,330.00 $14,211.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
33207 CPT Ins New/rplc Prm Pacemaker W/transv Eltrd Ventr 6 1 $27,650.00 $14,378.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
33208 CPT Ins New/rplcmt Prm Pm W/transv Eltrd Atrial&vent 6 1 $27,980.00 $14,549.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-07-17
58571 CPT Laps Total Hysterect 250 Gm/< W/rmvl Tube/ovary 6 1 $8,530.00 $4,435.60 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
58570 CPT Tlh Uterus 250 G Or Less 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
58572 CPT Laparoscopy Total Hysterectomy Uterus >250 Gm 6 1 $8,960.00 $4,659.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
58554 CPT Laparo-vag Hyst W/t/o Compl 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
58573 CPT Laparoscopy Tot Hysterectomy >250 G W/tube/ovar 6 1 $30,510.00 $15,865.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
58552 CPT Laps W/vag Hysterect 250 Gm/&rmvl Tube&/ovaries 6 1 $23,270.00 $12,100.40 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
0679T CPT Laparoscopic Removal Lead Perm Isdss 6 1 $28,010.00 $14,565.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
58553 CPT Laparo-vag Hyst Complex 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
58543 CPT Lsh Uterus Above 250 G 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
58544 CPT Lsh W/t/o Uterus Above 250 G 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
58542 CPT Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/ovar 6 1 $8,960.00 $4,659.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
58546 CPT Laparo-myomectomy Complex 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
0601T CPT Ire Abltj 1+tumors Open 6 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
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