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Hospital

PALMDALE REGIONAL MEDICAL CENTER

Palmdale, CA · CCN 050204 · Rates published

11,033 distinct procedures filed
18 distinct payers
752,600 rate rows
2026-05-23 last MRF observed
Data quality

750,186 of 752,600 rate rows are consumer-grade (99.7%)

2,414 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
template filing: same amount across many unrelated codes — excluded 1,314
per-diem day rate — not a per-procedure price 658
exceeds 10× this hospital's gross charge — excluded from medians 226
placeholder amount (≤ $0.02) — excluded from medians 216
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/953565954_palmdale-regional-medical-center_standardcharges.csv
Found on page https://www.swhpalmdaleregional.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 65ab52a384dc95d5… · 58,144,321 bytes · first seen 2026-05-13

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
773
CPT 		Inj, Beqvez, Per Tx Dose 13 $3,710,000.00 $3,969,700.00 $3,793,475.00 —
9138
CPT 		Inj, Hemgenix, Per Tx Dose 13 $3,710,000.00 $3,969,700.00 $3,793,475.00 —
714
CPT 		Inj Delandistrogene Mox Rokl 15 $9,857.10 $4,584,058.48 $3,321,781.50 —
748
CPT 		Inj, Lovotibeglogene Autotem 15 $14,290.02 $4,406,340.00 $3,193,000.00 —
746
CPT 		Inj, Betibeglogene Autotemce 15 $17,565.93 $4,095,840.00 $2,968,000.00 —
9141
CPT 		Inj Onase Abepar-xioi Treat 13 $2,403,458.75 $3,316,773.08 $2,463,545.22 —
824
CPT 		Inj, Exagamglogene Autotem 15 $23,070.88 $3,218,160.00 $2,332,000.00 —
9194
CPT 		Tisagenlecleucel Car-pos T 13 $565,623.84 $780,560.90 $579,764.44 —
9498
CPT 		Ciltacabtagene Car-pos T 13 $551,318.34 $760,819.31 $565,101.30 —
9422
CPT 		Idecabtagene Vicleucel Car 13 $528,312.43 $729,071.15 $541,520.24 —
9413
CPT 		Lisocabtagene Car Pos T 13 $516,485.97 $712,750.64 $529,398.12 —
9035
CPT 		Axicabtagene Ciloleucel Car+ 13 $489,517.15 $675,533.67 $501,755.08 —
9391
CPT 		Brexucabtagene Car Pos T 13 $488,051.51 $673,511.08 $500,252.80 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $395,593.19 $893,868.79 $407,460.98 —
583-4
CPT 		Neonate With Ecmo 5 $309,665.45 $427,338.32 $317,407.08 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $295,474.95 $667,645.05 $304,339.20 —
583-3
CPT 		Neonate With Ecmo 5 $269,678.49 $372,156.32 $276,420.45 —
588-4
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $230,970.69 $318,739.55 $236,744.95 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $224,809.48 $507,971.78 $231,553.77 —
161-4
CPT 		Implantable Heart Assist Systems 5 $213,037.56 $293,991.83 $218,363.50 —
002-4
CPT 		Heart And/or Lung Transplant 5 $206,386.58 $284,813.48 $211,546.25 —
583-2
CPT 		Neonate With Ecmo 5 $169,230.17 $233,537.63 $173,460.92 —
161-3
CPT 		Implantable Heart Assist Systems 5 $161,433.16 $222,777.76 $165,468.99 —
011-4
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $160,319.16 $221,240.44 $164,327.14 —
630-4
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $156,990.16 $216,646.43 $160,914.92 —
841-4
CPT 		Extensive Third Degree Burns With Skin Graft 5 $153,007.58 $211,150.46 $156,832.77 —
1907
CPT 		New Technology - Level 52 ($145,001-$160,000) 13 $152,500.50 $210,450.69 $156,313.01 —
1908
CPT 		New Technology - Level 52 ($145,001-$160,000) 13 $152,500.50 $210,450.69 $156,313.01 —
593-4
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $151,837.53 $209,535.79 $155,633.47 —
591-4
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $150,323.17 $207,445.97 $154,081.25 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $148,218.42 $334,909.26 $152,664.98 —
588-3
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $148,138.20 $204,430.72 $151,841.66 —
631-4
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $147,676.79 $203,793.97 $151,368.71 —
609-4
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $145,988.27 $201,463.81 $149,637.98 —
588-2
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $144,198.66 $198,994.15 $147,803.63 —
14
CPT 		Allogeneic Bone Marrow Transplant 12 $137,432.99 $310,538.86 $141,555.98 —
7
CPT 		Lung Transplant 12 $137,086.83 $309,756.70 $141,199.44 —
009-4
CPT 		Extracorporeal Membrane Oxygenation (ecmo) 5 $137,512.65 $189,767.46 $140,950.47 —
1906
CPT 		New Technology - Level 51 ($130,001-$145,000) 13 $137,500.50 $189,750.69 $140,938.01 —
1905
CPT 		New Technology - Level 51 ($130,001-$145,000) 13 $137,500.50 $189,750.69 $140,938.01 —
583-1
CPT 		Neonate With Ecmo 5 $137,045.23 $189,122.42 $140,471.36 —
004-4
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $134,969.36 $186,257.72 $138,343.60 —
007-4
CPT 		Allogeneic Bone Marrow Transplant 5 $133,615.15 $184,388.90 $136,955.52 —
002-3
CPT 		Heart And/or Lung Transplant 5 $130,623.46 $180,260.37 $133,889.04 —
001-4
CPT 		Liver Transplant And/or Intestinal Transplant 5 $129,535.48 $178,758.96 $132,773.86 —
161-2
CPT 		Implantable Heart Assist Systems 5 $129,460.41 $178,655.37 $132,696.92 —
161-1
CPT 		Implantable Heart Assist Systems 5 $123,134.72 $169,925.92 $126,213.09 —
1904
CPT 		New Technology - Level 50 ($115,001-$130,000) 13 $122,500.50 $169,050.69 $125,563.01 —
1903
CPT 		New Technology - Level 50 ($115,001-$130,000) 13 $122,500.50 $169,050.69 $125,563.01 —
2
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $115,592.54 $261,188.93 $119,060.31 —

Other procedures at this hospital

Browse this hospital's 11,033 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
             
001-1 CPT Liver Transplant And/or Intestinal Transplant 10 5 — — $54,809.28 $75,636.81 $56,179.52 2026-05-23
001-2 CPT Liver Transplant And/or Intestinal Transplant 10 5 — — $61,493.29 $84,860.75 $63,030.63 2026-05-23
001-3 CPT Liver Transplant And/or Intestinal Transplant 10 5 — — $73,704.27 $101,711.90 $75,546.88 2026-05-23
001-4 CPT Liver Transplant And/or Intestinal Transplant 10 5 — — $129,535.48 $178,758.96 $132,773.86 2026-05-23
002-1 CPT Heart And/or Lung Transplant 10 5 — — $77,288.50 $106,658.13 $79,220.71 2026-05-23
002-2 CPT Heart And/or Lung Transplant 10 5 — — $94,013.54 $129,738.68 $96,363.87 2026-05-23
002-3 CPT Heart And/or Lung Transplant 10 5 — — $130,623.46 $180,260.37 $133,889.04 2026-05-23
002-4 CPT Heart And/or Lung Transplant 10 5 — — $206,386.58 $284,813.48 $211,546.25 2026-05-23
004-1 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $42,036.80 $58,010.78 $43,087.72 2026-05-23
004-2 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $58,078.22 $80,147.95 $59,530.18 2026-05-23
004-3 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $89,206.21 $123,104.57 $91,436.37 2026-05-23
004-4 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 10 5 — — $134,969.36 $186,257.72 $138,343.60 2026-05-23
005-2 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $43,531.14 $60,072.98 $44,619.42 2026-05-23
005-3 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $65,623.01 $90,559.75 $67,263.58 2026-05-23
005-4 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 5 — — $92,671.33 $127,886.43 $94,988.11 2026-05-23
006-1 CPT Pancreas Transplant 10 5 — — $55,755.13 $76,942.09 $57,149.01 2026-05-23
006-2 CPT Pancreas Transplant 10 5 — — $67,118.35 $92,623.33 $68,796.31 2026-05-23
006-3 CPT Pancreas Transplant 10 5 — — $81,709.47 $112,759.07 $83,752.21 2026-05-23
006-4 CPT Pancreas Transplant 10 5 — — $103,208.80 $142,428.15 $105,789.02 2026-05-23
007-1 CPT Allogeneic Bone Marrow Transplant 10 5 — — $47,581.79 $65,662.86 $48,771.33 2026-05-23
007-2 CPT Allogeneic Bone Marrow Transplant 10 5 — — $60,331.25 $83,257.12 $61,839.53 2026-05-23
007-3 CPT Allogeneic Bone Marrow Transplant 10 5 — — $76,591.87 $105,696.78 $78,506.67 2026-05-23
007-4 CPT Allogeneic Bone Marrow Transplant 10 5 — — $133,615.15 $184,388.90 $136,955.52 2026-05-23
008-3 CPT Autologous Bone Marrow Transplant 10 5 — — $38,867.95 $53,637.77 $39,839.65 2026-05-23
008-4 CPT Autologous Bone Marrow Transplant 10 5 — — $64,857.32 $89,503.10 $66,478.75 2026-05-23
009-3 CPT Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $62,271.99 $85,935.35 $63,828.79 2026-05-23
009-4 CPT Extracorporeal Membrane Oxygenation (ecmo) 10 5 — — $137,512.65 $189,767.46 $140,950.47 2026-05-23
011-2 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $61,532.33 $84,914.61 $63,070.64 2026-05-23
011-3 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $86,144.46 $118,879.36 $88,298.07 2026-05-23
011-4 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $160,319.16 $221,240.44 $164,327.14 2026-05-23
020-4 CPT Open Craniotomy For Trauma 10 5 — — $47,233.47 $65,182.19 $48,414.31 2026-05-23
021-4 CPT Open Craniotomy Except Trauma 10 5 — — $50,285.22 $69,393.60 $51,542.35 2026-05-23
023-4 CPT Spinal Procedures 10 5 — — $50,012.97 $69,017.90 $51,263.30 2026-05-23
027-4 CPT Other Open Craniotomy 10 5 — — $44,581.09 $61,521.90 $45,695.61 2026-05-23
030-4 CPT Percutaneous Intracranial And Extracranial Vascular Procedures 10 5 — — $38,535.65 $53,179.20 $39,499.04 2026-05-23
089-4 CPT Major Cranial Or Facial Bone Procedures 10 5 — — $47,417.64 $65,436.34 $48,603.08 2026-05-23
091-4 CPT Other Major Head And Neck Procedures 10 5 — — $55,890.26 $77,128.55 $57,287.51 2026-05-23
092-4 CPT Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 10 5 — — $40,213.16 $55,494.16 $41,218.49 2026-05-23
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 28 12 — — $295,474.95 $667,645.05 $304,339.20 2026-05-23
10 CPT Pancreas Transplant 28 12 — — $83,633.79 $188,976.05 $86,142.81 2026-05-23
11 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 12 — — $56,600.98 $127,893.62 $58,299.01 2026-05-23
1142 CPT Supprelin La Implant 30 13 — — $45,261.80 $62,461.28 $46,393.34 2026-05-23
12 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 12 — — $43,046.28 $97,265.90 $44,337.67 2026-05-23
120-4 CPT Major Respiratory And Chest Procedures 10 5 — — $49,323.35 $68,066.22 $50,556.43 2026-05-23
121-4 CPT Other Respiratory And Chest Procedures 10 5 — — $39,533.55 $54,556.30 $40,521.89 2026-05-23
130-4 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 5 — — $46,004.37 $63,486.03 $47,154.48 2026-05-23
14 CPT Allogeneic Bone Marrow Transplant 28 12 — — $137,432.99 $310,538.86 $141,555.98 2026-05-23
140 CPT Major Head And Neck Procedures With Mcc 28 12 — — $44,362.73 $100,240.50 $45,693.61 2026-05-23
1580 CPT New Technology - Level 43 ($40,001-$50,000) 30 13 — — $45,000.50 $62,100.69 $46,125.51 2026-05-23
1581 CPT New Technology - Level 44 ($50,001-$60,000) 30 13 — — $55,000.50 $75,900.69 $56,375.51 2026-05-23
1582 CPT New Technology - Level 45 ($60,001-$70,000) 30 13 — — $65,000.50 $89,700.69 $66,625.51 2026-05-23
1583 CPT New Technology - Level 46 ($70,001-$80,000) 30 13 — — $75,000.50 $103,500.69 $76,875.51 2026-05-23
1584 CPT New Technology - Level 47 ($80,001-$90,000) 30 13 — — $85,000.50 $117,300.69 $87,125.51 2026-05-23
1585 CPT New Technology - Level 48 ($90,001-$100,000) 30 13 — — $95,000.50 $131,100.69 $97,375.51 2026-05-23
1594 CPT New Technology - Level 43 ($40,001-$50,000) 30 13 — — $45,000.50 $62,100.69 $46,125.51 2026-05-23
1595 CPT New Technology - Level 44 ($50,001-$60,000) 30 13 — — $55,000.50 $75,900.69 $56,375.51 2026-05-23
1596 CPT New Technology - Level 45 ($60,001-$70,000) 30 13 — — $65,000.50 $89,700.69 $66,625.51 2026-05-23
1597 CPT New Technology - Level 46 ($70,001-$80,000) 30 13 — — $75,000.50 $103,500.69 $76,875.51 2026-05-23
1598 CPT New Technology - Level 47 ($80,001-$90,000) 30 13 — — $85,000.50 $117,300.69 $87,125.51 2026-05-23
1599 CPT New Technology - Level 48 ($90,001-$100,000) 30 13 — — $95,000.50 $131,100.69 $97,375.51 2026-05-23
16 CPT Autologous Bone Marrow Transplant With Cc/mcc 28 12 — — $63,314.34 $143,062.90 $65,213.77 2026-05-23
160-3 CPT Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $45,882.26 $63,317.51 $47,029.31 2026-05-23
160-4 CPT Major Cardiothoracic Repair Of Heart Anomaly 10 5 — — $97,139.35 $134,052.30 $99,567.83 2026-05-23
161-1 CPT Implantable Heart Assist Systems 10 5 — — $123,134.72 $169,925.92 $126,213.09 2026-05-23
161-2 CPT Implantable Heart Assist Systems 10 5 — — $129,460.41 $178,655.37 $132,696.92 2026-05-23
161-3 CPT Implantable Heart Assist Systems 10 5 — — $161,433.16 $222,777.76 $165,468.99 2026-05-23
161-4 CPT Implantable Heart Assist Systems 10 5 — — $213,037.56 $293,991.83 $218,363.50 2026-05-23
162-1 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $38,173.33 $52,679.19 $39,127.66 2026-05-23
162-2 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $43,960.53 $60,665.53 $45,059.54 2026-05-23
162-3 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $56,264.59 $77,645.14 $57,671.21 2026-05-23
162-4 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 5 — — $83,071.70 $114,638.94 $85,148.49 2026-05-23
163 CPT Major Chest Procedures With Mcc 28 12 — — $48,348.79 $109,247.26 $49,799.25 2026-05-23
163-3 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $46,299.63 $63,893.49 $47,457.12 2026-05-23
163-4 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 10 5 — — $70,285.20 $96,993.58 $72,042.33 2026-05-23
1643 CPT Y90 Ibritumomab, Rx 30 13 — — $56,824.55 $78,417.88 $58,245.16 2026-05-23
165-2 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $38,864.95 $53,633.63 $39,836.57 2026-05-23
165-3 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $46,725.01 $64,480.52 $47,893.14 2026-05-23
165-4 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 10 5 — — $65,102.54 $89,841.50 $66,730.10 2026-05-23
166 CPT Other Respiratory System O.r. Procedures With Mcc 28 12 — — $40,388.21 $91,259.81 $41,599.86 2026-05-23
166-3 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $38,970.04 $53,778.66 $39,944.29 2026-05-23
166-4 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 5 — — $57,307.53 $79,084.39 $58,740.22 2026-05-23
167-3 CPT Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $39,311.35 $54,249.66 $40,294.13 2026-05-23
167-4 CPT Other Cardiothoracic And Thoracic Vascular Procedures 10 5 — — $64,981.43 $89,674.37 $66,605.97 2026-05-23
169-4 CPT Major Abdominal Vascular Procedures 10 5 — — $51,367.19 $70,886.72 $52,651.37 2026-05-23
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 28 12 — — $63,314.34 $143,062.90 $65,213.77 2026-05-23
170-4 CPT Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 10 5 — — $38,304.44 $52,860.13 $39,262.05 2026-05-23
176-4 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 10 5 — — $42,891.57 $59,190.36 $43,963.86 2026-05-23
178-1 CPT External Heart Assist Systems 10 5 — — $41,988.76 $57,944.48 $43,038.47 2026-05-23
178-2 CPT External Heart Assist Systems 10 5 — — $45,929.30 $63,382.43 $47,077.53 2026-05-23
178-3 CPT External Heart Assist Systems 10 5 — — $51,747.53 $71,411.59 $53,041.22 2026-05-23
178-4 CPT External Heart Assist Systems 10 5 — — $67,532.72 $93,195.16 $69,221.04 2026-05-23
179-3 CPT Defibrillator Implants 10 5 — — $40,380.31 $55,724.83 $41,389.82 2026-05-23
179-4 CPT Defibrillator Implants 10 5 — — $57,855.02 $79,839.93 $59,301.40 2026-05-23
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 12 — — $395,593.19 $893,868.79 $407,460.98 2026-05-23
181-4 CPT Lower Extremity Arterial Procedures 10 5 — — $43,342.97 $59,813.30 $44,426.55 2026-05-23
183-3 CPT Percutaneous Structural Cardiac Procedures 10 5 — — $40,327.26 $55,651.62 $41,335.44 2026-05-23
183-4 CPT Percutaneous Structural Cardiac Procedures 10 5 — — $60,375.29 $83,317.90 $61,884.67 2026-05-23
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 12 — — $83,154.42 $187,892.86 $85,649.05 2026-05-23
1901 CPT New Technology - Level 49 ($100,001-$115,000) 30 13 — — $107,500.50 $148,350.69 $110,188.01 2026-05-23
1902 CPT New Technology - Level 49 ($100,001-$115,000) 30 13 — — $107,500.50 $148,350.69 $110,188.01 2026-05-23
1903 CPT New Technology - Level 50 ($115,001-$130,000) 30 13 — — $122,500.50 $169,050.69 $125,563.01 2026-05-23
1904 CPT New Technology - Level 50 ($115,001-$130,000) 30 13 — — $122,500.50 $169,050.69 $125,563.01 2026-05-23
1905 CPT New Technology - Level 51 ($130,001-$145,000) 30 13 — — $137,500.50 $189,750.69 $140,938.01 2026-05-23
1906 CPT New Technology - Level 51 ($130,001-$145,000) 30 13 — — $137,500.50 $189,750.69 $140,938.01 2026-05-23
1907 CPT New Technology - Level 52 ($145,001-$160,000) 30 13 — — $152,500.50 $210,450.69 $156,313.01 2026-05-23
1908 CPT New Technology - Level 52 ($145,001-$160,000) 30 13 — — $152,500.50 $210,450.69 $156,313.01 2026-05-23
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 12 — — $115,592.54 $261,188.93 $119,060.31 2026-05-23
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 12 — — $84,557.93 $191,064.19 $87,094.67 2026-05-23
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 28 12 — — $67,838.51 $153,285.57 $69,873.67 2026-05-23
21 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 12 — — $57,979.31 $131,008.06 $59,718.69 2026-05-23
212 CPT Concomitant Aortic And Mitral Valve Procedures 28 12 — — $114,272.94 $258,207.22 $117,701.13 2026-05-23
215 CPT Other Heart Assist System Implant 28 12 — — $111,135.50 $251,117.95 $114,469.56 2026-05-23
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 13 — — $17,596.00 $228,750.37 $104,273.53 2026-05-23
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 13 — — $54,862.00 $153,065.15 $69,773.19 2026-05-23
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 13 — — $54,862.00 $141,010.31 $64,278.11 2026-05-23
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $54,862.00 $183,394.23 $83,598.39 2026-05-23
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $54,862.00 $125,542.38 $57,227.22 2026-05-23
220-4 CPT Major Stomach, Esophageal And Duodenal Procedures 10 5 — — $48,435.55 $66,841.06 $49,646.44 2026-05-23
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 13 — — $48,174.66 $108,853.81 $49,619.90 2026-05-23
228 CPT Other Cardiothoracic Procedures With Mcc 30 13 — — $52,272.96 $118,114.18 $53,841.14 2026-05-23
23 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 12 — — $59,844.37 $135,222.28 $61,639.70 2026-05-23
230-4 CPT Major Small Bowel Procedures 10 5 — — $40,754.65 $56,241.41 $41,773.51 2026-05-23
231 CPT Coronary Bypass With Ptca With Mcc 34 13 — — $17,596.00 $200,848.38 $91,554.69 2026-05-23
232 CPT Coronary Bypass With Ptca Without Mcc 34 13 — — $17,596.00 $144,788.41 $66,000.32 2026-05-23
232-4 CPT Gastric Fundoplication 10 5 — — $39,323.36 $54,266.24 $40,306.44 2026-05-23
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 13 — — $17,596.00 $185,264.31 $84,450.85 2026-05-23
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 13 — — $17,596.00 $126,099.38 $57,481.12 2026-05-23
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 34 13 — — $17,596.00 $139,467.31 $63,574.75 2026-05-23
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 30 13 — — $43,134.39 $97,464.99 $44,428.43 2026-05-23
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 12 — — $52,835.20 $119,384.60 $54,420.26 2026-05-23
24 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 12 — — $39,878.41 $90,107.89 $41,074.77 2026-05-23
245 CPT Aicd Generator Procedures 30 13 — — $6,307.00 $115,826.93 $52,798.53 2026-05-23
25 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 28 12 — — $46,912.76 $106,002.45 $48,320.14 2026-05-23
260-4 CPT Major Pancreas, Liver And Shunt Procedures 10 5 — — $48,072.23 $66,339.67 $49,274.03 2026-05-23
261-4 CPT Major Biliary Tract Procedures 10 5 — — $43,736.33 $60,356.13 $44,829.74 2026-05-23
264-4 CPT Other Hepatobiliary, Pancreas And Abdominal Procedures 10 5 — — $37,949.12 $52,369.79 $38,897.85 2026-05-23
265 CPT Aicd Lead Procedures 28 12 — — $37,418.60 $84,549.77 $38,541.15 2026-05-23
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 12 — — $62,841.25 $141,993.94 $64,726.49 2026-05-23
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 12 — — $49,350.55 $111,510.80 $50,831.06 2026-05-23
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 13 — — $54,862.00 $158,035.46 $72,038.85 2026-05-23
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 13 — — $43,644.19 $98,616.91 $44,953.51 2026-05-23
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 28 12 — — $41,017.59 $92,681.93 $42,248.11 2026-05-23
277 CPT Cardiac Defibrillator Implant Without Mcc 28 12 — — $48,796.69 $110,259.33 $50,260.59 2026-05-23
28 CPT Spinal Procedures With Mcc 28 12 — — $63,771.68 $144,096.31 $65,684.84 2026-05-23
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 12 — — $224,809.48 $507,971.78 $231,553.77 2026-05-23
303-2 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $41,862.64 $57,770.45 $42,909.21 2026-05-23
303-3 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $57,689.87 $79,612.03 $59,132.12 2026-05-23
303-4 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 5 — — $84,379.87 $116,444.23 $86,489.37 2026-05-23
304-3 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $39,875.86 $55,028.68 $40,872.75 2026-05-23
304-4 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 5 — — $61,288.11 $84,577.59 $62,820.31 2026-05-23
31 CPT Ventricular Shunt Procedures With Mcc 28 12 — — $43,957.83 $99,325.60 $45,276.56 2026-05-23
312-4 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 10 5 — — $47,271.51 $65,234.68 $48,453.29 2026-05-23
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 12 — — $64,893.03 $146,630.05 $66,839.82 2026-05-23
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 28 12 — — $46,078.83 $104,118.15 $47,461.20 2026-05-23
321-4 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 10 5 — — $40,495.41 $55,883.67 $41,507.80 2026-05-23
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 12 — — $44,679.52 $100,956.30 $46,019.90 2026-05-23
325-4 CPT Non-elective Or Complex Knee Joint Replacement 10 5 — — $38,198.35 $52,713.72 $39,153.31 2026-05-23
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 28 12 — — $53,276.81 $120,382.46 $54,875.12 2026-05-23
329 CPT Major Small And Large Bowel Procedures With Mcc 28 12 — — $48,167.32 $108,837.21 $49,612.34 2026-05-23
335 CPT Peritoneal Adhesiolysis With Mcc 28 12 — — $38,008.11 $85,881.83 $39,148.36 2026-05-23
34 CPT Carotid Artery Stent Procedures With Mcc 28 12 — — $40,791.01 $92,169.97 $42,014.74 2026-05-23
356 CPT Other Digestive System O.r. Procedures With Mcc 28 12 — — $44,745.60 $101,105.62 $46,087.97 2026-05-23
361-4 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 5 — — $46,650.95 $64,378.31 $47,817.22 2026-05-23
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 12 — — $148,218.42 $334,909.26 $152,664.98 2026-05-23
40 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 12 — — $39,567.92 $89,406.31 $40,754.96 2026-05-23
401-4 CPT Adrenal Procedures 10 5 — — $42,748.44 $58,992.85 $43,817.15 2026-05-23
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 28 12 — — $56,945.04 $128,671.05 $58,653.39 2026-05-23
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 12 — — $42,665.51 $96,405.51 $43,945.47 2026-05-23
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 12 — — $109,883.03 $248,287.93 $113,179.53 2026-05-23
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 12 — — $74,504.67 $168,348.20 $76,739.81 2026-05-23
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 12 — — $57,735.95 $130,458.18 $59,468.03 2026-05-23
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 12 — — $87,489.78 $197,688.90 $90,114.47 2026-05-23
440-1 CPT Kidney Transplant 10 5 — — $38,573.69 $53,231.69 $39,538.03 2026-05-23
440-2 CPT Kidney Transplant 10 5 — — $43,019.68 $59,367.16 $44,095.17 2026-05-23
440-3 CPT Kidney Transplant 10 5 — — $48,930.00 $67,523.40 $50,153.25 2026-05-23
440-4 CPT Kidney Transplant 10 5 — — $78,303.41 $108,058.71 $80,260.99 2026-05-23
441-4 CPT Major Bladder Procedures 10 5 — — $46,514.83 $64,190.46 $47,677.70 2026-05-23
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 12 — — $70,329.80 $158,914.80 $72,439.69 2026-05-23
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 28 12 — — $42,834.39 $96,787.12 $44,119.42 2026-05-23
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 12 — — $88,838.75 $200,736.98 $91,503.91 2026-05-23
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 12 — — $60,204.16 $136,035.26 $62,010.29 2026-05-23
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 12 — — $45,294.21 $102,345.24 $46,653.03 2026-05-23
461 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 12 — — $64,371.69 $145,452.06 $66,302.84 2026-05-23
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 12 — — $56,654.47 $128,014.50 $58,354.11 2026-05-23
466 CPT Revision Of Hip Or Knee Replacement With Mcc 32 12 — — $5,871.00 $120,752.21 $55,043.67 2026-05-23
471 CPT Cervical Spinal Fusion With Mcc 52 16 $1,590.00 $636.00 60% off $95.40 $115,127.72 $50,951.26 2026-05-23
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 12 — — $47,042.83 $106,296.36 $48,454.11 2026-05-23
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 28 12 — — $111,708.23 $252,412.08 $115,059.48 2026-05-23
510-4 CPT Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 10 5 — — $42,072.83 $58,060.51 $43,124.65 2026-05-23
511-4 CPT Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 10 5 — — $40,339.27 $55,668.20 $41,347.75 2026-05-23
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 12 — — $37,594.82 $84,947.97 $38,722.67 2026-05-23
5244 CPT Level 4 Blood Product Exchange And Related Services 30 13 — — $59,142.33 $81,616.42 $60,620.89 2026-05-23
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 12 — — $64,597.22 $145,961.66 $66,535.13 2026-05-23
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 12 — — $56,594.68 $127,879.40 $58,292.52 2026-05-23
583-1 CPT Neonate With Ecmo 10 5 — — $137,045.23 $189,122.42 $140,471.36 2026-05-23
583-2 CPT Neonate With Ecmo 10 5 — — $169,230.17 $233,537.63 $173,460.92 2026-05-23
583-3 CPT Neonate With Ecmo 10 5 — — $269,678.49 $372,156.32 $276,420.45 2026-05-23
583-4 CPT Neonate With Ecmo 10 5 — — $309,665.45 $427,338.32 $317,407.08 2026-05-23
588-1 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $95,908.24 $132,353.37 $98,305.95 2026-05-23
588-2 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $144,198.66 $198,994.15 $147,803.63 2026-05-23
588-3 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $148,138.20 $204,430.72 $151,841.66 2026-05-23
588-4 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 10 5 — — $230,970.69 $318,739.55 $236,744.95 2026-05-23
589-1 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 5 — — $54,955.42 $75,838.47 $56,329.30 2026-05-23
589-2 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 10 5 — — $40,022.99 $55,231.72 $41,023.56 2026-05-23
591-2 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $58,175.31 $80,281.93 $59,629.69 2026-05-23
591-3 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $98,416.50 $135,814.76 $100,876.91 2026-05-23
591-4 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 10 5 — — $150,323.17 $207,445.97 $154,081.25 2026-05-23
593-2 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $79,519.50 $109,736.91 $81,507.49 2026-05-23
593-3 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $102,271.96 $141,135.31 $104,828.76 2026-05-23
593-4 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 10 5 — — $151,837.53 $209,535.79 $155,633.47 2026-05-23
6 CPT Liver Transplant Without Mcc 28 12 — — $50,866.30 $114,935.74 $52,392.29 2026-05-23
602-2 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $64,209.74 $88,609.44 $65,814.98 2026-05-23
602-3 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $82,767.42 $114,219.04 $84,836.61 2026-05-23
602-4 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $109,563.52 $151,197.66 $112,302.61 2026-05-23
603-3 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $54,999.46 $75,899.25 $56,374.44 2026-05-23
603-4 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 5 — — $113,900.42 $157,182.58 $116,747.93 2026-05-23
607-2 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $46,627.93 $64,346.54 $47,793.63 2026-05-23
607-3 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $64,091.63 $88,446.45 $65,693.92 2026-05-23
607-4 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $85,169.58 $117,534.03 $87,298.82 2026-05-23
608-3 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $45,476.89 $62,758.11 $46,613.81 2026-05-23
608-4 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 10 5 — — $46,513.82 $64,189.08 $47,676.67 2026-05-23
609-3 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $63,675.26 $87,871.85 $65,267.14 2026-05-23
609-4 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 5 — — $145,988.27 $201,463.81 $149,637.98 2026-05-23
611-3 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $38,755.85 $53,483.07 $39,724.75 2026-05-23
611-4 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 5 — — $64,596.08 $89,142.60 $66,210.99 2026-05-23
612-3 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $39,049.11 $53,887.78 $40,025.34 2026-05-23
612-4 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 5 — — $62,089.83 $85,683.97 $63,642.08 2026-05-23
613-3 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $37,758.95 $52,107.35 $38,702.93 2026-05-23
613-4 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 10 5 — — $52,627.32 $72,625.70 $53,943.01 2026-05-23
614-4 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 10 5 — — $44,074.63 $60,822.99 $45,176.50 2026-05-23
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 12 — — $40,542.41 $91,608.23 $41,758.68 2026-05-23
621-4 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 5 — — $50,453.37 $69,625.65 $51,714.70 2026-05-23
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 12 — — $39,252.18 $88,692.88 $40,429.75 2026-05-23
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 12 — — $41,388.92 $93,520.98 $42,630.59 2026-05-23
630-2 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $41,490.31 $57,256.62 $42,527.57 2026-05-23
630-3 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $85,041.47 $117,357.23 $87,167.51 2026-05-23
630-4 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 5 — — $156,990.16 $216,646.43 $160,914.92 2026-05-23
631-3 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $48,430.55 $66,834.16 $49,641.31 2026-05-23
631-4 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 5 — — $147,676.79 $203,793.97 $151,368.71 2026-05-23
633-4 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 10 5 — — $47,478.69 $65,520.60 $48,665.66 2026-05-23
650 CPT Kidney Transplant With Hemodialysis With Mcc 28 12 — — $48,328.86 $109,202.22 $49,778.72 2026-05-23
653 CPT Major Bladder Procedures With Mcc 28 12 — — $58,475.47 $132,129.17 $60,229.74 2026-05-23
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 28 12 — — $43,947.34 $99,301.90 $45,265.76 2026-05-23
680-4 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $56,539.84 $78,024.98 $57,953.34 2026-05-23
681-4 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 10 5 — — $48,450.57 $66,861.78 $49,661.83 2026-05-23
690-4 CPT Acute Leukemia 10 5 — — $48,081.23 $66,352.10 $49,283.27 2026-05-23
695-4 CPT Chemotherapy For Acute Leukemia 10 5 — — $41,356.19 $57,071.54 $42,390.09 2026-05-23
7 CPT Lung Transplant 28 12 — — $137,086.83 $309,756.70 $141,199.44 2026-05-23
714 CPT Inj Delandistrogene Mox Rokl 58 15 — — $9,857.10 $4,584,058.48 $3,321,781.50 2026-05-23
717 CPT Instill Adstiladrin, Tx Dose 58 15 — — $19,463.50 $87,494.82 $63,402.04 2026-05-23
740-4 CPT Mental Illness Diagnosis With O.r. Procedure 10 5 — — $43,255.90 $59,693.14 $44,337.29 2026-05-23
746 CPT Inj, Betibeglogene Autotemce 58 15 — — $17,565.93 $4,095,840.00 $2,968,000.00 2026-05-23
748 CPT Inj, Lovotibeglogene Autotem 58 15 — — $14,290.02 $4,406,340.00 $3,193,000.00 2026-05-23
773 CPT Inj, Beqvez, Per Tx Dose 28 13 — — $3,710,000.00 $3,969,700.00 $3,793,475.00 2026-05-23
792-4 CPT Extensive O.r. Procedures For Other Complications Of Treatment 10 5 — — $41,146.00 $56,781.48 $42,174.65 2026-05-23
8 CPT Simultaneous Pancreas And Kidney Transplant 28 12 — — $57,075.11 $128,964.95 $58,787.36 2026-05-23
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 12 — — $49,086.21 $110,913.51 $50,558.79 2026-05-23
824 CPT Inj, Exagamglogene Autotem 58 15 — — $23,070.88 $3,218,160.00 $2,332,000.00 2026-05-23
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 12 — — $52,523.66 $118,680.65 $54,099.37 2026-05-23
841-3 CPT Extensive Third Degree Burns With Skin Graft 10 5 — — $50,296.23 $69,408.79 $51,553.63 2026-05-23
841-4 CPT Extensive Third Degree Burns With Skin Graft 10 5 — — $153,007.58 $211,150.46 $156,832.77 2026-05-23
842-4 CPT Burns With Skin Graft Except Extensive Third Degree Burns 10 5 — — $83,517.10 $115,253.60 $85,605.03 2026-05-23
850 CPT Acute Leukemia With Other Procedures 28 12 — — $96,629.39 $218,340.45 $99,528.27 2026-05-23
850-4 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 10 5 — — $53,958.52 $74,462.76 $55,307.48 2026-05-23
851-4 CPT Gender Related Procedures 10 5 — — $73,525.11 $101,464.66 $75,363.24 2026-05-23
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 12 — — $52,461.77 $118,540.81 $54,035.62 2026-05-23
863-4 CPT Neonatal Aftercare 10 5 — — $67,843.00 $93,623.35 $69,539.08 2026-05-23
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 28 12 — — $72,971.09 $164,882.96 $75,160.22 2026-05-23
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 28 12 — — $41,220.04 $93,139.38 $42,456.64 2026-05-23
90288 CPT Botulinum Human Antitoxin For Infusion Into Vein 4 2 — — $525.00 $105,348.91 $52,936.96 2026-05-23
9035 CPT Axicabtagene Ciloleucel Car+ 30 13 — — $489,517.15 $675,533.67 $501,755.08 2026-05-23
904 CPT Skin Grafts For Injuries With Cc/mcc 28 12 — — $40,501.50 $91,515.79 $41,716.54 2026-05-23
907 CPT Other O.r. Procedures For Injuries With Mcc 28 12 — — $41,787.53 $94,421.66 $43,041.15 2026-05-23
910-4 CPT Craniotomy For Multiple Significant Trauma 10 5 — — $57,768.95 $79,721.14 $59,213.17 2026-05-23
911-4 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 10 5 — — $51,481.29 $71,044.18 $52,768.32 2026-05-23
912-4 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 10 5 — — $51,543.35 $71,129.82 $52,831.93 2026-05-23
9138 CPT Inj, Hemgenix, Per Tx Dose 28 13 — — $3,710,000.00 $3,969,700.00 $3,793,475.00 2026-05-23
9141 CPT Inj Onase Abepar-xioi Treat 30 13 — — $2,403,458.75 $3,316,773.08 $2,463,545.22 2026-05-23
9194 CPT Tisagenlecleucel Car-pos T 30 13 — — $565,623.84 $780,560.90 $579,764.44 2026-05-23
9273 CPT Sipuleucel-t Auto Cd54+ 30 13 — — $55,536.50 $76,640.37 $56,924.91 2026-05-23
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 12 — — $45,387.57 $102,556.18 $46,749.19 2026-05-23
9391 CPT Brexucabtagene Car Pos T 30 13 — — $488,051.51 $673,511.08 $500,252.80 2026-05-23
94 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 12 — — $38,273.50 $86,481.49 $39,421.71 2026-05-23
9413 CPT Lisocabtagene Car Pos T 30 13 — — $516,485.97 $712,750.64 $529,398.12 2026-05-23
9422 CPT Idecabtagene Vicleucel Car 30 13 — — $528,312.43 $729,071.15 $541,520.24 2026-05-23
9498 CPT Ciltacabtagene Car-pos T 30 13 — — $551,318.34 $760,819.31 $565,101.30 2026-05-23
950-4 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 5 — — $47,240.48 $65,191.86 $48,421.49 2026-05-23
955 CPT Craniotomy For Multiple Significant Trauma 28 12 — — $71,626.32 $161,844.37 $73,775.11 2026-05-23
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 12 — — $40,095.55 $90,598.52 $41,298.42 2026-05-23
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 12 — — $78,296.67 $176,916.47 $80,645.57 2026-05-23
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 28 12 — — $43,110.27 $97,410.48 $44,403.58 2026-05-23
969 CPT HIV With Extensive O.r. Procedures With Mcc 28 12 — — $66,339.55 $149,898.56 $68,329.73 2026-05-23
97 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 12 — — $37,601.12 $84,962.19 $38,729.15 2026-05-23
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 12 — — $49,866.64 $112,676.94 $51,362.63 2026-05-23
C1721 CPT Defib Lumax 340 Dr Biotrnk 736 8 $162,163.00 $64,865.20 60% off $3,587.00 $259,461.90 $58,282.63 2026-05-23
C1722 CPT Icd Intica Neo 7 Vr-t 429559 680 8 $134,363.00 $53,745.20 60% off $3,587.00 $231,661.80 $50,756.26 2026-05-23
C1767 CPT Ipg Eterna Generator 268 8 $126,851.00 $50,740.40 60% off $181.50 $196,009.20 $44,960.47 2026-05-23
C1816 CPT Receiver Freedom-8a Kit 22 8 $131,769.00 $52,707.60 60% off $3,587.00 $118,592.10 $39,267.16 2026-05-23
C1820 CPT Ipg Eterna 222etctrsy33 316 8 $126,265.00 $50,506.00 60% off $834.00 $195,892.20 $41,089.88 2026-05-23
C1882 CPT Defib Resonate Hf Rt Df-4 806 8 $192,537.00 $77,014.80 60% off $3,587.00 $323,864.10 $69,120.78 2026-05-23
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