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

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Hospital

HI-DESERT MEDICAL CENTER

Joshua Tree, CA · CCN 050279 · Rates published

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You selected 27447 (CPT)

REPAIR OF KNEE JOINT, LOWER OR UPPER PART OF JOINT, INSIDE AND OUTSIDE AREA

This hospital’s price: $6,651 across 6 payers · range $1,343-$36,977

Source: https://mrfs.hyvehealthcare.com/TenetHealth/473550779_HiDesertMedicalCenter_standardcharges.json · observed 2025-01-31

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.

23,228 distinct procedures filed
27 distinct payers
1,268,249 rate rows
2025-01-31 last MRF observed · ⚠ 19 mo old
Data quality

481,649 of 1,268,249 rate rows are consumer-grade (38.0%)

786,600 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 754,816
template filing: same amount across many unrelated codes — excluded 13,508
per-diem day rate — not a per-procedure price 8,598
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,754
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,289
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 403
exceeds 10× this hospital's gross charge — excluded from medians 190
placeholder amount (≤ $0.02) — excluded from medians 42

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/473550779_HiDesertMedicalCenter_standardcharges.json
Found on page https://www.desertcarenetwork.com/patients/pricing-info-estimates/hospital-pricing-information
Discovered viaPublic MRF directory
Last fetch success · 2026-08-11
Content fingerprint d15da6cbc4ad13ad… · 687,698,136 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 27 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 1 $2,705,294.50 $2,705,294.50 $2,705,294.50 nat. median
$2,460,273
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 27 $492,900.00 $492,900.00 $492,900.00 nat. median
$631,793
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $946.73 $466,069.91 $466,069.91 nat. median
$691,418
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 27 $460,226.56 $460,226.56 $460,226.56 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 27 $454,489.31 $454,489.31 $454,489.31 nat. median
$624,417
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 27 $449,440.00 $449,440.00 $449,440.00 nat. median
$577,541
0.8× median
02HA0QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Open Approach 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
02HA3QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
02HA4QZ
OTHER 		Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic… 1 $76,666.00 $153,334.00 $115,000.00 nat. median
$22,378
outlier · 5.1×
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $65,476.58 $65,476.58 $65,476.58 nat. median
$63,643
1.0× median
C9760
HCPCS 		Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure;… 27 $59,694.00 $71,084.00 $65,389.00 nat. median
$27,848
outlier · 2.3×
0614T
CPT 		Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 $946.73 $71,084.00 $59,694.00 nat. median
$23,432
outlier · 2.5×
0571T
CPT 		Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 2 $946.73 $71,084.00 $59,694.00 nat. median
$32,069
1.9× median
77385
CPT 		Intensity Modulated Radiation Therapy Delivery, Simple 27 $36,271.00 $72,544.00 $54,407.50 nat. median
$1,363
outlier · 39.9×
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 1 $53,062.44 $53,062.44 $53,062.44 nat. median
$65,655
0.8× median
C2616
HCPCS 		Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 27 $43,842.37 $43,842.37 $43,842.37 nat. median
$26,606
1.6× median
G0339
HCPCS 		Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Complet… 27 $5,215.81 $72,544.00 $38,879.90 nat. median
$7,799
outlier · 5.0×
G0340
HCPCS 		Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Deliver… 27 $3,721.14 $72,544.00 $38,132.57 nat. median
$6,248
outlier · 6.1×
0100T
CPT 		Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 27 $4,604.47 $71,084.00 $37,844.24 nat. median
$11,184
outlier · 3.4×
C9758
HCPCS 		Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 27 $34,520.00 $41,106.00 $37,813.00 nat. median
$17,921
outlier · 2.1×
C9782
HCPCS 		Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 27 $34,520.00 $41,106.00 $37,813.00 nat. median
$18,376
outlier · 2.1×
0211U
CPT 		Next-generation Sequencing Of DNA And RNA In Tumor Tissue Specimen With Interpre… 27 $7,609.50 $64,258.00 $35,933.75 nat. median
$8,455
outlier · 4.2×
0266T
CPT 		Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 2 $8,917.30 $41,106.00 $34,520.00 nat. median
$42,997
0.8× median
0268T
CPT 		Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse… 2 $4,688.59 $41,106.00 $34,520.00 nat. median
$29,816
1.2× median
0793T
CPT 		Percutaneous Transcatheter Thermal Ablation Of Nerves Innervating The Pulmonary… 27 $31,050.00 $36,977.00 $34,013.50 nat. median
$18,266
1.9× median
C9792
HCPCS 		Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 27 $31,050.00 $36,977.00 $34,013.50 nat. median
$10,656
outlier · 3.2×
0398T
CPT 		Destruction Of Tissue Of Brain Using MRI Guidance 1 $31,050.00 $36,977.00 $31,071.00 nat. median
$13,758
outlier · 2.3×
0645T
CPT 		Implantation Of Coronary Sinus Reduction Device In Heart Through Catheter 1 $31,050.00 $36,977.00 $31,071.00 nat. median
$17,957
1.7× median
C9783
HCPCS 		Blinded Procedure For Transcatheter Implantation Of Coronary Sinus Reduction Dev… 1 $31,050.00 $36,977.00 $31,071.00 nat. median
$12,177
outlier · 2.6×
C9766
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 2 $5,041.00 $36,977.00 $31,050.00 nat. median
$19,257
1.6× median
C9767
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 2 $5,041.00 $36,977.00 $31,050.00 nat. median
$20,627
1.5× median
0632T
CPT 		Destruction Of Nerves To Main Arteries Of Lung, Accessed Through Skin Via Cathet… 2 $946.73 $36,977.00 $31,050.00 nat. median
$16,833
1.8× median
53451
CPT 		Insertion Of Adjustable Balloon Continence Device On Both Sides Of Urethra Using… 2 $4,066.00 $36,977.00 $31,050.00 nat. median
$13,013
outlier · 2.4×
C9765
HCPCS 		Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 2 $4,066.00 $36,977.00 $31,050.00 nat. median
$19,024
1.6× median
81529
CPT 		Mrna Gene Analysis Of 31 Genes In Skin Melanoma Tissue Specimen 27 $6,473.70 $54,666.80 $30,570.25 nat. median
$7,553
outlier · 4.0×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 5 $2.80 $69,892.00 $29,167.00 nat. median
$37,051
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 $3.50 $42,307.00 $27,543.00 nat. median
$30,860
0.9× median
J9266
HCPCS 		Injection, Pegaspargase, Per Single Dose Vial 1 $25,762.46 $25,762.46 $25,762.46 nat. median
$32,688
0.8× median
81545
CPT 		Gene Analysis (thyroid Cancer) 27 $25,045.80 $25,045.80 $25,045.80 nat. median
$3,063
outlier · 8.2×
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 5 $4.10 $42,307.00 $24,324.10 nat. median
$21,659
1.1× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 $4.20 $37,941.00 $23,661.00 nat. median
$24,545
1.0× median
81554
CPT 		Mrna Gene Analysis Of 190 Genes Associated With Lung Disease (idiopathic Pulmona… 27 $4,950.00 $41,800.00 $23,375.00 nat. median
$5,680
outlier · 4.1×
0316T
CPT 		Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 27 $2,903.00 $43,457.42 $23,180.21 nat. median
$11,971
1.9× median
621
MS_DRG 		O.r. Procedures For Obesity Without Cc/mcc 7 $1.00 $51,750.00 $22,896.00 nat. median
$16,025
1.4× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 5 $3.20 $39,138.00 $22,670.40 nat. median
$20,309
1.1× median
J9600
HCPCS 		Injection, Porfimer Sodium, 75 Mg 1 $22,490.02 $22,490.02 $22,490.02 nat. median
$29,477
0.8× median
620
MS_DRG 		O.r. Procedures For Obesity With Cc 6 $1.60 $51,750.00 $22,297.00 nat. median
$17,117
1.3× median
619
MS_DRG 		O.r. Procedures For Obesity With Mcc 6 $2.60 $51,750.00 $22,297.00 nat. median
$27,710
0.8× median

Other procedures at this hospital

Browse this hospital's 23,228 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
             
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 63 27 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2025-01-31
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 3 1 — — $2,705,294.50 $2,705,294.50 $2,705,294.50 2025-01-31
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 63 27 — — $492,900.00 $492,900.00 $492,900.00 2025-01-31
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 2 — — $946.73 $466,069.91 $466,069.91 2025-01-31
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 63 27 — — $460,226.56 $460,226.56 $460,226.56 2025-01-31
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 63 27 — — $454,489.31 $454,489.31 $454,489.31 2025-01-31
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 63 27 — — $449,440.00 $449,440.00 $449,440.00 2025-01-31
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 1 — — $449,440.00 $449,440.00 $449,440.00 2025-01-31
02HA3QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
02HA4QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic… 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
02HA0QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Open Approach 2 1 — — $76,666.00 $153,334.00 $115,000.00 2025-01-31
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $65,476.58 $65,476.58 $65,476.58 2025-01-31
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 63 27 — — $59,694.00 $71,084.00 $65,389.00 2025-01-31
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 5 2 — — $946.73 $71,084.00 $59,694.00 2025-01-31
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With E… 5 2 — — $946.73 $71,084.00 $59,694.00 2025-01-31
77385 CPT Intensity Modulated Radiation Therapy Delivery, Simple 60 27 — — $36,271.00 $72,544.00 $54,407.50 2025-01-31
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 1 — — $53,062.44 $53,062.44 $53,062.44 2025-01-31
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 63 27 — — $43,842.37 $43,842.37 $43,842.37 2025-01-31
G0339 HCPCS Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Complet… 63 27 — — $5,215.81 $72,544.00 $38,879.90 2025-01-31
G0340 HCPCS Image-guided Robotic Linear Accelerator-based Stereotactic Radiosurgery, Deliver… 63 27 — — $3,721.14 $72,544.00 $38,132.57 2025-01-31
0100T CPT Insertion Of Retinal Prosthesis Receiver Pulse Generator And Retinal Electrode A… 63 27 — — $4,604.47 $71,084.00 $37,844.24 2025-01-31
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 63 27 — — $34,520.00 $41,106.00 $37,813.00 2025-01-31
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 63 27 — — $34,520.00 $41,106.00 $37,813.00 2025-01-31
0211U CPT Next-generation Sequencing Of DNA And RNA In Tumor Tissue Specimen With Interpre… 63 27 — — $7,609.50 $64,258.00 $35,933.75 2025-01-31
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 5 2 — — $8,917.30 $41,106.00 $34,520.00 2025-01-31
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Pulse … 5 2 — — $4,688.59 $41,106.00 $34,520.00 2025-01-31
C9792 HCPCS Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 63 27 — — $31,050.00 $36,977.00 $34,013.50 2025-01-31
0793T CPT Percutaneous Transcatheter Thermal Ablation Of Nerves Innervating The Pulmonary … 63 27 — — $31,050.00 $36,977.00 $34,013.50 2025-01-31
0398T CPT Destruction Of Tissue Of Brain Using MRI Guidance 3 1 — — $31,050.00 $36,977.00 $31,071.00 2025-01-31
0645T CPT Implantation Of Coronary Sinus Reduction Device In Heart Through Catheter 3 1 — — $31,050.00 $36,977.00 $31,071.00 2025-01-31
C9783 HCPCS Blinded Procedure For Transcatheter Implantation Of Coronary Sinus Reduction Dev… 3 1 — — $31,050.00 $36,977.00 $31,071.00 2025-01-31
C9767 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 5 2 — — $5,041.00 $36,977.00 $31,050.00 2025-01-31
C9766 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 5 2 — — $5,041.00 $36,977.00 $31,050.00 2025-01-31
53451 CPT Insertion Of Adjustable Balloon Continence Device On Both Sides Of Urethra Using… 5 2 — — $4,066.00 $36,977.00 $31,050.00 2025-01-31
0632T CPT Destruction Of Nerves To Main Arteries Of Lung, Accessed Through Skin Via Cathet… 5 2 — — $946.73 $36,977.00 $31,050.00 2025-01-31
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 5 2 — — $4,066.00 $36,977.00 $31,050.00 2025-01-31
81529 CPT Mrna Gene Analysis Of 31 Genes In Skin Melanoma Tissue Specimen 63 27 — — $6,473.70 $54,666.80 $30,570.25 2025-01-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 15 5 — — $2.80 $69,892.00 $29,167.00 2025-01-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 5 — — $3.50 $42,307.00 $27,543.00 2025-01-31
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 3 1 — — $25,762.46 $25,762.46 $25,762.46 2025-01-31
81545 CPT Gene Analysis (thyroid Cancer) 63 27 — — $25,045.80 $25,045.80 $25,045.80 2025-01-31
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 15 5 — — $4.10 $42,307.00 $24,324.10 2025-01-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 5 — — $4.20 $37,941.00 $23,661.00 2025-01-31
81554 CPT Mrna Gene Analysis Of 190 Genes Associated With Lung Disease (idiopathic Pulmona… 63 27 — — $4,950.00 $41,800.00 $23,375.00 2025-01-31
0316T CPT Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 63 27 — — $2,903.00 $43,457.42 $23,180.21 2025-01-31
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 19 7 — — $1.00 $51,750.00 $22,896.00 2025-01-31
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 5 — — $3.20 $39,138.00 $22,670.40 2025-01-31
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 3 1 — — $22,490.02 $22,490.02 $22,490.02 2025-01-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 6 — — $2.60 $51,750.00 $22,297.00 2025-01-31
620 MS_DRG O.r. Procedures For Obesity With Cc 17 6 — — $1.60 $51,750.00 $22,297.00 2025-01-31
0335U CPT Rare Diseases (constitutional/heritable Disorders), Whole Genome Sequence Analys… 63 27 — — $4,702.14 $39,706.96 $22,204.55 2025-01-31
0238T CPT Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 6 3 — — $9,151.77 $36,977.00 $22,155.25 2025-01-31
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 15 5 — — $1.70 $42,307.00 $21,669.66 2025-01-31
883 MS_DRG Disorders Of Personality And Impulse Control 7 2 — — $5.40 $37,941.00 $21,597.11 2025-01-31
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 15 5 — — $2.80 $37,941.00 $21,525.71 2025-01-31
0242U CPT Gene Analysis Of 55-74 Genes Associated With Solid Organ Cancer In Cell-free Cir… 63 27 — — $4,500.00 $38,000.00 $21,250.00 2025-01-31
0803T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 63 27 — — $5,041.00 $36,977.00 $21,009.00 2025-01-31
20808 CPT Replantation Of Amputated Hand 63 27 — — $4,089.56 $36,977.00 $20,533.28 2025-01-31
0797T CPT Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker, Including … 63 27 — — $4,066.00 $36,977.00 $20,521.50 2025-01-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 7 2 — — $5.00 $37,941.00 $20,476.60 2025-01-31
0036U CPT Exome Gene Analysis For Somatic Mutation In Tumor Tissue 63 27 — — $4,302.00 $36,328.00 $20,315.00 2025-01-31
884 MS_DRG Organic Disturbances And Intellectual Disability 7 2 — — $5.00 $37,941.00 $20,232.46 2025-01-31
20805 CPT Replantation Of Amputated Lower Arm 63 27 — — $3,394.05 $36,977.00 $20,185.53 2025-01-31
63252 CPT Removal Of Middle And Lower Spine Bone And Arteriovenous Malformation 63 27 — — $3,154.28 $36,977.00 $20,065.64 2025-01-31
C9780 HCPCS Insertion Of Central Venous Catheter Through Central Venous Occlusion Via Inferi… 63 27 — — $3,153.00 $36,977.00 $20,065.00 2025-01-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 6 — — $7.60 $76,377.57 $19,946.00 2025-01-31
63290 CPT Removal Or Biopsy Of Growth Of Spine Bone Outside And Within Spine Membrane 63 27 — — $2,906.96 $36,977.00 $19,941.98 2025-01-31
20838 CPT Replantation Of Amputated Foot 63 27 — — $2,904.55 $36,977.00 $19,940.78 2025-01-31
20802 CPT Replantation Of Amputated Arm 63 27 — — $2,859.62 $36,977.00 $19,918.31 2025-01-31
63287 CPT Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu… 63 27 — — $2,858.80 $36,977.00 $19,917.90 2025-01-31
22819 CPT Removal Of Parts Of 3 Or More Spine Bones To Correct Outward Curving Spine Defor… 63 27 — — $2,578.66 $36,977.00 $19,777.83 2025-01-31
22804 CPT Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 13 Or Mor… 63 27 — — $2,536.22 $36,977.00 $19,756.61 2025-01-31
22812 CPT Fusion Of Spine Bones For Correction Of Deformity, Anterior Approach, 8 Or More … 63 27 — — $2,296.26 $36,977.00 $19,636.63 2025-01-31
22818 CPT Fusion Of Spine Bones For Correction Of Hunchback Deformity, Single Or 2 Segment… 63 27 — — $2,238.64 $36,977.00 $19,607.82 2025-01-31
22802 CPT Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V… 63 27 — — $2,210.30 $36,977.00 $19,593.65 2025-01-31
22586 CPT Fusion Of Spine Bones With Removal Of Disc At Lower Spinal Column With Posterior… 63 27 — — $2,128.23 $36,977.00 $19,552.62 2025-01-31
22810 CPT Fusion Of Spine Bones For Correction Of Deformity, Anterior Approach, 4 To 7 Ver… 63 27 — — $2,094.67 $36,977.00 $19,535.83 2025-01-31
63282 CPT Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Extramedu… 63 27 — — $2,074.37 $36,977.00 $19,525.69 2025-01-31
22548 CPT Fusion Of Spine Bones At Base Of Neck, Oral Approach 63 27 — — $2,058.35 $36,977.00 $19,517.67 2025-01-31
27134 CPT Revision Of Thigh Bone And Hip Joint Prosthesis 63 27 — — $1,983.94 $36,977.00 $19,480.47 2025-01-31
63272 CPT Removal Of Lower Spine Bone And Growth Other Than A Tumor, Intradural 63 27 — — $1,954.15 $36,977.00 $19,465.58 2025-01-31
22808 CPT Fusion Of Spine Bones For Correction Of Deformity, Anterior Approach, 2 To 3 Ver… 63 27 — — $1,904.60 $36,977.00 $19,440.80 2025-01-31
22532 CPT Fusion Of Middle Spine Bone Through Side With Partial Removal Of Disc, 1 Bone 63 27 — — $1,879.95 $36,977.00 $19,428.47 2025-01-31
886 MS_DRG Behavioral And Developmental Disorders 7 2 — — $5.40 $37,941.00 $19,366.46 2025-01-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $6.00 $42,307.00 $19,134.00 2025-01-31
33208 CPT Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower… 14 8 — — $533.44 $25,939.00 $19,003.50 2025-01-31
33214 CPT Conversion To Two Chamber Pacemaker System 14 8 — — $495.21 $25,939.00 $19,003.50 2025-01-31
33206 CPT Insertion Or Replacement Of Permanent Pacemaker And Upper Chamber Electrodes 14 8 — — $470.24 $25,939.00 $19,003.50 2025-01-31
0414T CPT Replacement Of Pulse Generator Of Heart Contractility Modulator System 10 5 — — $4,688.59 $71,084.00 $19,003.50 2025-01-31
0409T CPT Insertion Or Replacement Of Pulse Generator Of Heart Contractility Modulator Sys… 10 5 — — $3,065.62 $71,084.00 $19,003.50 2025-01-31
33207 CPT Insertion Or Replacement Of Permanent Pacemaker And Lower Chamber Electrodes 14 8 — — $492.60 $25,939.00 $19,003.50 2025-01-31
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 10 5 — — $3,065.62 $71,084.00 $19,003.50 2025-01-31
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 3 1 — — $18,737.00 $25,314.00 $18,753.00 2025-01-31
0450 RC Surg Proc Level Iii 20 8 $4,620.00 $3,465.00 25% off $16,641.00 $19,983.00 $18,312.00 2025-01-31
96366 CPT IV Inf Tx Ea Add Hr 58 26 $1,124.00 $843.00 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
96367 CPT IV Inf Sequentl 1 Hr 58 26 $307.00 $230.25 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
99291 CPT Crit Cr-trauma 30-74min 61 26 $11,597.00 $8,697.75 25% off $16,641.00 $19,983.00 $18,312.00 2025-01-31
96374 CPT Inj Tx/prph/dx Ivp Int 58 26 $731.00 $548.25 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
99292 CPT Critical Cr E&m Addl 30 61 26 $6,221.00 $4,665.75 25% off $16,641.00 $19,983.00 $18,312.00 2025-01-31
96361 CPT IV Inf Hyd Ea Add Hr 58 26 $307.00 $230.25 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
99284 CPT ER Visit Lvl IV 61 26 $4,342.00 $3,256.50 25% off $16,641.00 $19,983.00 $18,312.00 2025-01-31
0459 RC Emergency Room, Other 20 8 — — $16,641.00 $19,983.00 $18,312.00 2025-01-31
0452 RC Emergency Room, Beyond Emtala Screening 20 8 — — $16,641.00 $19,983.00 $18,312.00 2025-01-31
0451 RC Emergency Room Emtalaemergency Medical Screening Services 20 8 — — $16,641.00 $19,983.00 $18,312.00 2025-01-31
96368 CPT IV Inf Concurrent 58 26 $603.00 $452.25 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
96375 CPT Inj Add Sequentl Ivp 58 26 $405.00 $303.75 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
96360 CPT IV Inf Hyd Init 31-60min 58 26 $1,124.00 $843.00 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
96365 CPT IV Inf Tx Init <=1 Hr 58 26 $1,124.00 $843.00 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
99285 CPT OB ER Visit Lvl V 61 26 $6,465.00 $4,848.75 25% off $16,641.00 $19,983.00 $18,312.00 2025-01-31
96372 CPT Inj Tx/proph/dx Sq/im 58 26 $307.00 $230.25 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
96376 CPT Inj T/p/d Ivp Same Subst 58 26 $816.00 $612.00 25% off $18,312.00 $18,312.00 $18,312.00 2025-01-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 5 — — $1.70 $37,941.00 $18,202.00 2025-01-31
472 MS_DRG Cervical Spinal Fusion With Cc 15 5 — — $2.60 $37,941.00 $18,202.00 2025-01-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $5.50 $42,054.13 $18,103.00 2025-01-31
0202T CPT Fusion Of Spinal Facet Joints Using Imaging Guidance 63 27 — — $15,775.00 $18,785.00 $17,280.00 2025-01-31
33221 CPT Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 14 8 — — $371.78 $25,939.00 $17,266.50 2025-01-31
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker Pulse Generator 14 8 — — $387.03 $25,939.00 $17,266.50 2025-01-31
33224 CPT Insertion Of Left Heart Electrode With Attachment To Pacemaker Or Pacing Defibri… 14 8 — — $524.16 $31,468.00 $17,266.50 2025-01-31
0410T CPT Insertion Or Replacement Of Electrodes In Upper Chamber Of Heart For Heart Contr… 12 6 — — $3,065.62 $36,977.00 $17,266.50 2025-01-31
33225 CPT Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator 14 8 — — $473.33 $31,468.00 $17,266.50 2025-01-31
0411T CPT Insertion Or Replacement Of Electrodes In Lower Chamber Of Heart For Heart Contr… 12 6 — — $3,065.62 $36,977.00 $17,266.50 2025-01-31
33228 CPT Removal And Replacement Of Dual Lead Permanent Pacemaker Pulse Generator 14 8 — — $365.99 $25,939.00 $17,266.50 2025-01-31
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 3 1 — — $17,259.85 $17,259.85 $17,259.85 2025-01-31
36837 CPT Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Separate Access Si… 11 6 — — $4,102.52 $36,977.00 $17,205.92 2025-01-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $6.70 $39,869.54 $17,193.00 2025-01-31
33240 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Single Lead 14 8 — — $377.76 $58,974.17 $17,111.60 2025-01-31
33249 CPT Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads 14 8 — — $940.53 $80,299.52 $17,111.60 2025-01-31
0340U CPT Oncology (pan-cancer), Analysis Of Minimal Residual Disease (mrd) From Plasma, W… 63 27 — — $3,528.00 $29,792.00 $16,660.00 2025-01-31
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 15 5 — — $2.00 $39,138.00 $16,485.15 2025-01-31
0047U CPT Mrna Gene Analysis Of 17 Genes In Prostate Tumor Tissue 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
81522 CPT Mrna Gene Expression Analysis Of 12 Genes In Breast Tumor Tissue 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
0045U CPT Mrna Gene Analysis Of 12 Genes In Breast Ductal Carcinoma In Situ Tumor Tissue 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
81523 CPT Next-generation Sequencing Of Breast Cancer Profiling 70 Content Genes And 31 Ho… 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
81521 CPT Gene Analysis Of Breast Tumor Tissue, Profiling Of 70 Content Genes And 465 Hous… 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
81541 CPT Gene Analysis Of Prostate Tumor Tissue, Profiling By Real-time Rt-pcr Of 46 Gene… 63 27 — — $3,485.70 $29,434.80 $16,460.25 2025-01-31
33271 CPT Insertion Of Defibrillator Electrode 13 7 — — $464.15 $21,029.00 $16,366.00 2025-01-31
33264 CPT Removal And Replacement Of Defibrillator Pulse Generator, Multiple Wires (leads) 14 8 — — $417.16 $58,974.17 $15,986.00 2025-01-31
33231 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Multiple Leads 14 8 — — $412.53 $58,974.17 $15,986.00 2025-01-31
33263 CPT Removal And Replacement Of Defibrillator Pulse Generator, Two Wires (leads) 14 8 — — $400.04 $58,974.17 $15,986.00 2025-01-31
33230 CPT Insertion Of Pacing Defibrillator Pulse Generator With Existing Dual Leads 14 8 — — $395.78 $58,974.17 $15,986.00 2025-01-31
33262 CPT Removal And Replacement Of Defibrillator Pulse Generator, Single Wire (lead) 14 8 — — $385.47 $58,974.17 $15,986.00 2025-01-31
33227 CPT Removal And Replacement Of Single Lead Permanent Pacemaker Pulse Generator 14 8 — — $350.64 $25,939.00 $15,931.26 2025-01-31
0744T CPT Insertion Of Bioprosthetic Valve, Open, Femoral Vein, Including Duplex Ultrasoun… 3 1 — — $15,775.00 $18,785.00 $15,783.00 2025-01-31
0644T CPT Removal Or Reduction Of Mass Within Heart By Suction Through Catheter 3 1 — — $15,775.00 $18,785.00 $15,783.00 2025-01-31
C9781 HCPCS Arthroscopy, Shoulder, Surgical; With Implantation Of Subacromial Spacer (e.g., … 5 2 — — $5,041.00 $18,785.00 $15,775.00 2025-01-31
C9764 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 5 2 — — $4,066.00 $18,785.00 $15,775.00 2025-01-31
33211 CPT Insertion Of Temporary Pacemaker Lead In Upper And Lower Heart Chambers 14 8 — — $170.62 $21,029.00 $15,690.50 2025-01-31
33210 CPT Insertion Of Temporary Pacemaker Lead In Single Heart Chamber 14 8 — — $163.96 $21,029.00 $15,690.50 2025-01-31
33216 CPT Insertion Of Electrode For Permanent Pacemaker Or Pacing Defibrillator Device 14 8 — — $385.69 $21,029.00 $15,690.50 2025-01-31
33217 CPT Insertion Of Electrodes For Permanent Pacemaker Or Pacing Defibrillator Device 14 8 — — $381.78 $21,029.00 $15,690.50 2025-01-31
0258U CPT Mrna Gene Expression Profiling Of 50-100 Genes In Skin Surface Specimen, Algorit… 63 27 — — $3,307.50 $27,930.00 $15,618.75 2025-01-31
33272 CPT Removal Of Defibrillator Electrode 13 7 — — $358.14 $21,029.00 $15,606.00 2025-01-31
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 13 7 — — $579.26 $21,029.00 $15,606.00 2025-01-31
81546 CPT Mrna Gene Analysis Of 10,196 Genes In Fine Needle Aspiration Thyroid Specimen, R… 63 27 — — $3,240.00 $27,360.00 $15,300.00 2025-01-31
0026U CPT DNA And Microrna Gene Analysis Of Thyroid Nodule Tissue 63 27 — — $3,240.00 $27,360.00 $15,300.00 2025-01-31
0313U CPT Oncology (pancreas), DNA And Mrna Next-generation Sequencing Analysis Of 74 Gene… 63 27 — — $3,240.00 $27,360.00 $15,300.00 2025-01-31
81519 CPT Test For Detecting Genes Associated With Breast Cancer 61 27 — — $3,485.70 $26,763.19 $15,124.44 2025-01-31
93595 CPT Insertion Of Catheter Into Left Side Of Heart For Evaluation Of Congenital Heart… 5 2 — — $9,066.00 $17,967.00 $15,101.00 2025-01-31
93596 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 5 2 — — $9,066.00 $17,967.00 $15,101.00 2025-01-31
93597 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 5 2 — — $9,066.00 $17,967.00 $15,101.00 2025-01-31
93594 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 5 2 — — $9,066.00 $17,967.00 $15,101.00 2025-01-31
93593 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 5 2 — — $9,066.00 $17,967.00 $15,101.00 2025-01-31
0394T CPT High Dose Rate Electronic Brachytherapy, External 60 27 — — $12,316.60 $17,846.21 $15,081.41 2025-01-31
0395T CPT High Dose Rate Electronic Brachytherapy, Internal 60 27 — — $12,316.60 $17,846.21 $15,081.41 2025-01-31
33212 CPT Insertion Of Pacemaker Pulse Generator With Existing Single Lead 18 9 — — $331.94 $25,939.00 $15,073.00 2025-01-31
33213 CPT Insertion Of Pacemaker Pulse Generator With Existing Dual Leads 18 9 — — $347.24 $25,939.00 $15,073.00 2025-01-31
0080U CPT Analysis Of Galectin-3-binding Protein And Scavenger Receptor Cysteine-rich Type… 63 27 — — $3,168.00 $26,752.00 $14,960.00 2025-01-31
887 MS_DRG Other Mental Disorder Diagnoses 7 2 — — $3.30 $37,941.00 $14,920.13 2025-01-31
0244U CPT Gene Analysis Of 257 Genes Associated With Solid Organ Cancer In Tumor Tissue Sa… 63 27 — — $3,150.00 $26,600.00 $14,875.00 2025-01-31
0239U CPT Gene Analysis Of 311 Or More Genes Associated With Solid Organ Cancer In Cell-fr… 63 27 — — $3,150.00 $26,600.00 $14,875.00 2025-01-31
0037U CPT DNA Gene Analysis Of 324 Genes In Solid Organ Tumor Tissue 63 27 — — $3,150.00 $26,600.00 $14,875.00 2025-01-31
95965 CPT Measurement And Recording Of Spontaneous Brain Processing Function Using Magneti… 63 27 — — $11,981.94 $17,357.20 $14,669.57 2025-01-31
81416 CPT Test For Detecting Exome, Sequence Analysis, Each Comparator Exome 61 27 — — $10,800.00 $18,516.00 $14,658.00 2025-01-31
33202 CPT Insertion Of Electrodes To Outer Layer Of Heart, Open Procedure 9 5 — — $788.57 $21,029.00 $14,540.00 2025-01-31
33203 CPT Insertion Of Electrodes To Outer Layer Of Heart Using An Endoscope 9 5 — — $825.80 $21,029.00 $14,540.00 2025-01-31
0274T CPT Removal Of Bone From Upper Or Middle Spine For Decompression Of Nerve Tissue Usi… 6 3 — — $5,939.51 $18,785.00 $14,517.76 2025-01-31
0275T CPT Removal Of Bone From Lower Spine For Decompression Of Nerve Tissue Using Imaging… 6 3 — — $5,939.51 $18,785.00 $14,517.76 2025-01-31
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $7.00 $56,647.20 $14,463.50 2025-01-31
92998 CPT Balloon Catheter Opening Of Major Lung Artery (pulmonary), Accessed Through The … 62 26 — — $9,151.77 $18,899.00 $14,025.39 2025-01-31
49659 CPT Hernia Repair Procedure Using An Endoscope 8 4 — — $6,508.00 $17,967.00 $13,622.76 2025-01-31
33236 CPT Removal Of Permanent Right Heart Electrodes And Pacemaker, Single Lead System 13 7 — — $805.64 $22,679.00 $13,610.00 2025-01-31
43645 CPT Bypass Operation Of Stomach With Reconstruction Of Small Bowel Using An Endoscop… 11 6 — — $1,910.71 $22,679.00 $13,610.00 2025-01-31
81525 CPT Gene Analysis (colon Related Cancer) 61 27 — — $2,804.40 $24,294.39 $13,549.40 2025-01-31
92986 CPT Catheter Based Repair Of Left Lower Heart (aortic) Valve, Accessed Through The S… 12 6 — — $9,730.00 $18,899.00 $13,416.00 2025-01-31
21088 CPT Impression And Custom Preparation Of Facial Prosthesis 7 4 — — $5,181.45 $17,967.00 $13,260.51 2025-01-31
33220 CPT Repair Of 2 Electrodes For Permanent Pacemaker Or Defibrillator Device 14 8 — — $388.80 $21,029.00 $13,098.30 2025-01-31
33218 CPT Repair Of Electrode For Permanent Pacemaker Or Defibrillator Device 14 8 — — $404.89 $21,029.00 $13,098.30 2025-01-31
33215 CPT Repositioning Of Implanted Pacemaker Or Defibrillator Device 14 8 — — $320.16 $21,029.00 $13,098.30 2025-01-31
81540 CPT Gene Analysis (cancer) 61 27 — — $3,375.00 $22,697.77 $13,036.39 2025-01-31
92997 CPT Balloon Catheter Opening Of Major Lung Artery (pulmonary), Accessed Through The … 12 6 — — $9,151.77 $18,899.00 $13,012.26 2025-01-31
81520 CPT Gene Analysis Of Breast Tumor Tissue, Profiling By Hybrid Capture Of 58 Genes 63 27 — — $2,259.19 $23,552.55 $12,905.87 2025-01-31
0172U CPT DNA Gene Analysis (brca1, DNA Repair Associated And Brca2, DNA Repair Associated… 63 27 — — $2,727.00 $23,028.00 $12,877.50 2025-01-31
43842 CPT Banding Of Upper Stomach To Reduce Size Of Stomach 63 27 — — $3,065.62 $22,679.00 $12,872.31 2025-01-31
92987 CPT Catheter Based Repair Of Heart Valve (mitral) Between Left Upper And Lower Chamb… 11 6 — — $1,388.99 $18,785.00 $12,764.00 2025-01-31
93590 CPT Transcatheter Closure Of Leak Adjacent To Mitral Valve Using First Closure Devic… 9 5 — — $1,091.52 $41,106.00 $12,764.00 2025-01-31
93582 CPT Closure Of Congenital Heart Defect From Pulmonary (lung) Artery To Aorta Via Cat… 9 5 — — $666.22 $31,468.00 $12,764.00 2025-01-31
93591 CPT Transcatheter Closure Of Leak Adjacent To Aortic Valve Using First Closure Devic… 9 5 — — $899.90 $41,106.00 $12,764.00 2025-01-31
92990 CPT Catheter Based Repair Of Heart Valve (pulmonary) To Lungs, Accessed Through The … 11 6 — — $1,109.90 $18,785.00 $12,764.00 2025-01-31
92929 CPT Catheter Placement Of Stents In Major Coronary Artery Or Branch, Accessed Throug… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92941 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92921 CPT Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (accesse… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92938 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92934 CPT Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch, Acc… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92925 CPT Removal Of Plaque Of Major Coronary Artery Or Branch, Accessed Through The Skin,… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92944 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 62 26 — — $6,591.11 $18,899.00 $12,745.06 2025-01-31
92924 CPT Removal Of Plaque Of Major Coronary Artery Or Branch, Accessed Through The Skin,… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
92943 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
92920 CPT Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (accesse… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
92928 CPT Catheter Placement Of Stents In Major Coronary Artery Or Branch, Accessed Throug… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
92933 CPT Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch, Acc… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
92937 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 12 6 — — $6,591.11 $18,899.00 $12,713.00 2025-01-31
43644 CPT Bypass Operation Of Stomach Using An Endoscope 8 5 — — $1,798.84 $22,679.00 $12,669.00 2025-01-31
93580 CPT Catheter Based Closure Of Congenital Interatrial Defect With Implant, Accessed T… 11 6 — — $982.62 $31,468.00 $12,662.00 2025-01-31
93581 CPT Catheter Based Closure Of Congenital Heart Defect With Implant, Accessed Through… 11 6 — — $1,333.09 $31,468.00 $12,662.00 2025-01-31
81595 CPT Test For Detecting Genes Associated With Heart Diseases 61 27 — — $2,916.00 $22,079.48 $12,497.74 2025-01-31
47379 CPT Other Procedure On Liver Using An Endoscope 8 4 — — $6,508.00 $17,967.00 $12,479.60 2025-01-31
44238 CPT Other Procedure On Bowel Using An Endoscope 8 4 — — $6,508.00 $17,967.00 $12,479.60 2025-01-31
93612 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Lower Heart Pacing 10 5 — — $438.17 $15,281.00 $12,440.50 2025-01-31
93603 CPT Insertion Of Catheter For Recording Of Right Lower Heart Chamber Rhythm 12 6 — — $456.26 $18,142.00 $12,440.50 2025-01-31
93600 CPT Insertion Of Catheter For Recording Upper Heart Rhythm (bundle Of His) 12 6 — — $529.57 $18,142.00 $12,440.50 2025-01-31
93623 CPT Programmed Heart Rhythm Stimulation After Drug Infusion Into A Vein 12 6 — — $864.58 $18,142.00 $12,440.50 2025-01-31
93624 CPT Insertion Of Catheters For Assessment Of Heart Pacing, Recording, Or Attempted I… 12 6 — — $537.36 $18,142.00 $12,440.50 2025-01-31
93620 CPT Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnorma… 12 6 — — $3,570.42 $18,142.00 $12,440.50 2025-01-31
93621 CPT Insertion Of Catheters For Recording And Pacing Of Left Upper Heart Chamber Rhyt… 12 6 — — $645.67 $18,142.00 $12,440.50 2025-01-31
93618 CPT Induction Of Abnormal Heart Rhythm By Small Electrical Shock To The Heart 12 6 — — $1,070.97 $18,142.00 $12,440.50 2025-01-31
93602 CPT Insertion Of Catheter For Recording Upper Heart Rhythm (intra-atrial) 12 6 — — $301.84 $18,142.00 $12,440.50 2025-01-31
93609 CPT Insertion Of Tube In Upper And/or Lower Heart Chambers To Record And Identify Or… 12 6 — — $733.03 $18,142.00 $12,440.50 2025-01-31
93610 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Upper Heart Pacing 10 5 — — $369.27 $15,281.00 $12,440.50 2025-01-31
93619 CPT Insertion Of Catheters For Recording And Pacing Right Upper And Lower Heart Rhyt… 12 6 — — $2,083.40 $18,142.00 $12,440.50 2025-01-31
0250U CPT Gene Analysis Of 505 Genes Associated With Solid Organ Cancer In Tumor Tissue Sa… 63 27 — — $2,627.64 $22,188.96 $12,408.30 2025-01-31
0204U CPT Mrna Gene Analysis Of 539 Genes In Fine Needle Aspiration Thyroid Specimen, Repo… 63 27 — — $2,627.64 $22,188.96 $12,408.30 2025-01-31
81456 CPT Targeted Genomic Sequence Analysis Panel, Solid Organ Or Hematolymphoid Neoplasm… 63 27 — — $2,627.64 $22,188.96 $12,408.30 2025-01-31
0334U CPT Oncology (solid Organ), Targeted Genomic Sequence Analysis, Formalin-fixed Paraf… 61 25 — — $2,627.64 $22,188.96 $12,408.30 2025-01-31
43848 CPT Revision Of Upper Stomach Bypass, Open Procedure 63 27 — — $2,001.96 $22,679.00 $12,340.48 2025-01-31
66987 CPT Complex Removal Of Cataract With Insertion Of Prosthetic Lens And Laser Treatmen… 6 3 — — $6,508.00 $17,967.00 $12,319.11 2025-01-31
66988 CPT Removal Of Cataract With Insertion Of Prosthetic Lens And Laser Treatment To Dec… 6 3 — — $6,508.00 $17,967.00 $12,319.11 2025-01-31
43847 CPT Bypass Of Stomach For Weight Loss With Small Bowel Reconstruction 63 27 — — $1,874.73 $22,679.00 $12,276.86 2025-01-31
43846 CPT Bypass Of Stomach For Weight Loss With Roux-en-y Connection Of Upper Bowel To Up… 63 27 — — $1,714.44 $22,679.00 $12,196.72 2025-01-31
33238 CPT Removal Of Permanent Pacemaker Venous Electrodes 11 6 — — $974.05 $21,029.00 $12,195.00 2025-01-31
43845 CPT Partial Removal Of Stomach, Upper Bowel, And Ileum For Weight Loss 11 6 — — $2,028.35 $22,679.00 $12,195.00 2025-01-31
33237 CPT Removal Of Permanent Right Heart Electrodes And Pacemaker, Dual Lead System 11 6 — — $862.89 $21,029.00 $12,195.00 2025-01-31
0413T CPT Removal Of Electrode For Heart Contractility Modulator System 63 27 — — $3,153.00 $21,029.00 $12,091.00 2025-01-31
0412T CPT Removal Of Pulse Generator For Heart Contractility Modulator System 63 27 — — $3,153.00 $21,029.00 $12,091.00 2025-01-31
36836 CPT Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Access Of B… 11 6 — — $3,065.62 $36,977.00 $12,087.86 2025-01-31
43843 CPT Reduction Of Size Of Upper Stomach 63 27 — — $1,333.76 $22,679.00 $12,006.38 2025-01-31
43775 CPT Stomach Reduction Procedure With Partial Removal Of Stomach Using An Endoscope 63 27 — — $1,139.15 $22,679.00 $11,909.08 2025-01-31
0342T CPT Mechanical Separation And Reinfusion Of Platelet Cells From Blood 63 27 — — $5,797.64 $17,967.00 $11,882.32 2025-01-31
39503 CPT Repair Of Congenital Defect Of Muscle Separating The Chest And Abdominal Cavitie… 63 27 — — $5,885.78 $17,846.21 $11,866.00 2025-01-31
0416T CPT Relocation Of Skin Pocket For Pulse Generator Of Heart Contractility Modulator S… 63 27 — — $2,551.00 $21,029.00 $11,790.00 2025-01-31
0415T CPT Repositioning Of Electrode Of Heart Contractility Modulator System 63 27 — — $2,447.00 $21,029.00 $11,738.00 2025-01-31
0120U CPT Mrna, Gene Expression Profiling Of 58 Genes In Tissue Sample For B-cell Lymphoma… 63 27 — — $2,259.19 $21,197.31 $11,728.25 2025-01-31
47135 CPT Transplantation Of Donor Liver To Anatomic Position 63 27 — — $5,572.67 $17,846.21 $11,709.44 2025-01-31
0267T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device Lead O… 5 2 — — $8,917.30 $13,880.00 $11,669.00 2025-01-31
33244 CPT Removal Of Defibrillator Electrodes Through Vein 13 7 — — $892.39 $21,029.00 $11,669.00 2025-01-31
33273 CPT Repositioning Of Previously Implanted Defibrillator Electrode 13 7 — — $410.54 $21,029.00 $11,669.00 2025-01-31
93613 CPT Insertion Of Catheters For 3d Mapping Of Electrical Impulses To Heart Muscles 13 7 — — $298.13 $18,142.00 $11,669.00 2025-01-31
0271T CPT Revision Or Removal Of Carotid Sinus Baroreflex Activation Device Pulse Generato… 6 3 — — $4,105.90 $13,880.00 $11,663.50 2025-01-31
0270T CPT Revision Or Removal Of Carotid Sinus Baroreflex Activation Device Lead On One Si… 6 3 — — $2,387.87 $13,880.00 $11,663.50 2025-01-31
33241 CPT Removal Of Defibrillator Pulse Generator 14 8 — — $223.42 $21,029.00 $11,663.50 2025-01-31
33234 CPT Removal Of Single Electrode From Right Heart 14 8 — — $500.03 $21,029.00 $11,663.50 2025-01-31
93615 CPT Insertion Of Probe In Esophagus For Recording Electrical Impulses To Upper And L… 12 6 — — $86.25 $15,281.00 $11,663.50 2025-01-31
0102T CPT High Energy Shock Wave Therapy Of Outer Side Of Lower End Of Upper Arm Bone (lat… 4 2 — — $3,645.23 $13,880.00 $11,663.50 2025-01-31
0101T CPT High Energy Shock Wave Therapy Of Musculoskeletal System 4 2 — — $3,645.23 $13,880.00 $11,663.50 2025-01-31
93616 CPT Insertion Of Probe In Esophagus For Recording Electrical Impulses To Upper And L… 12 6 — — $86.25 $15,281.00 $11,663.50 2025-01-31
33235 CPT Removal Of Dual Electrodes From Right Heart 14 8 — — $658.43 $21,029.00 $11,663.50 2025-01-31
33226 CPT Repositioning Of Implanted Left Heart Electrode 14 8 — — $498.65 $21,029.00 $11,663.50 2025-01-31
0338T CPT Destruction Of Nerves Of Arteries Of Both Kidneys Accessed Through The Skin With… 5 2 — — $3,065.62 $13,880.00 $11,658.00 2025-01-31
0339T CPT Destruction Of Nerves Of Arteries Of One Kidney Accessed Through The Skin With F… 5 2 — — $3,065.62 $13,880.00 $11,658.00 2025-01-31
0707T CPT Injection Of Bone-substitute Material Into Defect Of Bone Using Imaging Guidance… 5 2 — — $2,551.00 $13,880.00 $11,658.00 2025-01-31
24940 CPT Insertion Of Lever Into Muscle Of Amputation Stump Of Arm 63 27 — — $4,066.00 $18,785.00 $11,425.50 2025-01-31
58553 CPT Vaginal Removal Of Uterus (greater Than 250 Grams) Using An Endoscope 13 7 — — $1,170.28 $18,785.00 $11,367.00 2025-01-31
58554 CPT Vaginal Removal Of Uterus (greater Than 250 Grams), Tubes, And/or Ovaries With A… 13 7 — — $1,361.46 $18,785.00 $11,367.00 2025-01-31
0269T CPT Revision Or Removal Of Carotid Sinus Baroreflex Activation Device 63 27 — — $3,921.48 $18,785.00 $11,353.24 2025-01-31
93644 CPT Programming Of Implantable Defibrillator 9 5 — — $55.16 $15,281.00 $11,340.00 2025-01-31
77371 CPT Radiation Therapy Delivery, Stereotactic Radiosurgery (srs) For Cranial Growths,… 11 4 — — $2,446.02 $72,544.00 $11,338.69 2025-01-31
0265T CPT Harvest Of Patient-derived Bone Marrow Cells For Multiple Injections Into A Musc… 63 27 — — $4,564.88 $17,967.00 $11,265.94 2025-01-31
0264T CPT Multiple Injections Of Patient-derived Bone Marrow Cells Into A Muscle Of One Le… 63 27 — — $4,564.88 $17,967.00 $11,265.94 2025-01-31
0263T CPT Multiple Injections Of Patient-derived Bone Marrow Cells Into A Muscle Of One Le… 63 27 — — $4,564.88 $17,967.00 $11,265.94 2025-01-31
0495T CPT Initiation And Monitoring Of Circulation In Donor Lung, First Two Hours 63 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
G0428 HCPCS Collagen Meniscus Implant Procedure For Filling Meniscal Defects (e.g., Cmi, Col… 63 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0708T CPT Preparation And Initial Injection Of Cancer Immunotherapy Into Skin 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0656T CPT Tethering Of 7 Or Fewer Spine Bones 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0669T CPT Reconstruction Of Donor Uterus, Each Vein-to-vein Connection 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0668T CPT Preparation Of Donor Uterus For Transplantation 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0667T CPT Transplantation Of Uterus From Donor 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0076T CPT Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 63 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0075T CPT Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 63 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0657T CPT Tethering Of 8 Or More Spine Bones 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0664T CPT Removal Of Uterus From Cadaver Donor 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0659T CPT Infusion Of Supersaturated Oxygen Into Heart During Heart Attack With Review By … 61 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
0801T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 63 27 — — $10,240.00 $12,195.00 $11,217.50 2025-01-31
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