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Hospital

TEMECULA VALLEY HOSPITAL

Temecula, CA · CCN 050775 · Rates published

11,358 distinct procedures filed
19 distinct payers
424,853 rate rows
2026-05-08 last MRF observed
Data quality

424,150 of 424,853 rate rows are consumer-grade (99.8%)

703 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
exceeds 10× this hospital's gross charge — excluded from medians 370
per-diem day rate — not a per-procedure price 182
placeholder amount (≤ $0.02) — excluded from medians 151
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/461246570_temecula-valley-hospital_standardcharges.csv
Found on page https://www.swhtemeculavalley.com/patients-visitors/pricing-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 0258479d523fe593… · 69,678,744 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
773
CPT 		Inj, Beqvez, Per Tx Dose 11 $3,710,000.00 $3,839,850.00 $3,784,200.00 —
9138
CPT 		Inj, Hemgenix, Per Tx Dose 11 $3,710,000.00 $3,839,850.00 $3,784,200.00 —
9141
CPT 		Inj Onase Abepar-xioi Treat 11 $2,403,458.75 $2,487,579.81 $2,451,527.92 —
9194
CPT 		Tisagenlecleucel Car-pos T 11 $565,623.84 $585,420.67 $576,936.32 —
9498
CPT 		Ciltacabtagene Car-pos T 11 $551,318.34 $570,614.48 $562,344.71 —
9422
CPT 		Idecabtagene Vicleucel Car 11 $528,312.43 $546,803.37 $538,878.68 —
9413
CPT 		Lisocabtagene Car Pos T 11 $516,485.97 $534,562.98 $526,815.69 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $445,425.88 $661,029.96 $503,133.66 —
9035
CPT 		Axicabtagene Ciloleucel Car+ 11 $489,517.15 $506,650.25 $499,307.49 —
9391
CPT 		Brexucabtagene Car Pos T 11 $488,051.51 $505,133.31 $497,812.54 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $332,695.79 $493,733.96 $375,798.67 —
583-4
CPT 		Neonate With Ecmo 6 $309,665.45 $331,342.03 $319,884.41 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $1.54 $415,813.24 $310,312.40 —
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $253,128.63 $375,653.08 $285,923.07 —
583-3
CPT 		Neonate With Ecmo 6 $269,678.49 $288,555.99 $278,577.88 —
588-4
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $230,970.69 $247,138.63 $238,592.72 —
161-4
CPT 		Implantable Heart Assist Systems 6 $213,037.56 $227,950.19 $220,067.80 —
002-4
CPT 		Heart And/or Lung Transplant 6 $206,386.58 $220,833.64 $213,197.33 —
4
CPT 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $166,889.43 $247,670.64 $188,511.03 —
583-2
CPT 		Neonate With Ecmo 6 $169,230.17 $181,076.28 $174,814.77 —
14
CPT 		Allogeneic Bone Marrow Transplant 13 $154,745.36 $229,648.35 $174,793.61 —
7
CPT 		Lung Transplant 13 $154,355.60 $229,069.93 $174,353.36 —
161-3
CPT 		Implantable Heart Assist Systems 6 $161,433.16 $172,733.48 $166,760.45 —
011-4
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $160,319.16 $171,541.50 $165,609.69 —
630-4
CPT 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $156,990.16 $167,979.48 $162,170.84 —
841-4
CPT 		Extensive Third Degree Burns With Skin Graft 6 $153,007.58 $163,718.11 $158,056.83 —
593-4
CPT 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $151,837.53 $162,466.16 $156,848.17 —
1907
CPT 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $157,838.02 $155,550.51 —
1908
CPT 		New Technology - Level 52 ($145,001-$160,000) 11 $152,500.50 $157,838.02 $155,550.51 —
591-4
CPT 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $150,323.17 $160,845.79 $155,283.84 —
588-3
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $148,138.20 $158,507.88 $153,026.77 —
631-4
CPT 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $147,676.79 $158,014.16 $152,550.12 —
609-4
CPT 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $145,988.27 $156,207.45 $150,805.89 —
588-2
CPT 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $144,198.66 $154,292.57 $148,957.22 —
2
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $130,153.68 $193,153.30 $147,015.92 —
212
CPT 		Concomitant Aortic And Mitral Valve Procedures 13 $128,667.85 $190,948.28 $145,337.60 —
5
CPT 		Liver Transplant With Mcc Or Intestinal Transplant 13 $125,780.06 $186,662.68 $142,075.68 —
009-4
CPT 		Extracorporeal Membrane Oxygenation (ecmo) 6 $137,512.65 $147,138.54 $142,050.57 —
583-1
CPT 		Neonate With Ecmo 6 $137,045.23 $146,638.40 $141,567.72 —
215
CPT 		Other Heart Assist System Implant 13 $125,135.18 $185,705.65 $141,347.25 —
1906
CPT 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $142,313.02 $140,250.51 —
1905
CPT 		New Technology - Level 51 ($130,001-$145,000) 11 $137,500.50 $142,313.02 $140,250.51 —
426
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $123,724.95 $183,612.81 $139,754.32 —
004-4
CPT 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $134,969.36 $144,417.22 $139,423.35 —
007-4
CPT 		Allogeneic Bone Marrow Transplant 6 $133,615.15 $142,968.21 $138,024.45 —
002-3
CPT 		Heart And/or Lung Transplant 6 $130,623.46 $139,767.10 $134,934.03 —
001-4
CPT 		Liver Transplant And/or Intestinal Transplant 6 $129,535.48 $138,602.96 $133,810.15 —
161-2
CPT 		Implantable Heart Assist Systems 6 $129,460.41 $138,522.64 $133,732.60 —
161-1
CPT 		Implantable Heart Assist Systems 6 $123,134.72 $131,754.15 $127,198.17 —
216
CPT 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $25,277.00 $169,164.48 $126,243.78 —

Other procedures at this hospital

Browse this hospital's 11,358 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
             
001-1 CPT Liver Transplant And/or Intestinal Transplant 6 6 — — $54,809.28 $58,645.93 $56,617.99 2026-05-08
001-2 CPT Liver Transplant And/or Intestinal Transplant 6 6 — — $61,493.29 $65,797.82 $63,522.57 2026-05-08
001-3 CPT Liver Transplant And/or Intestinal Transplant 6 6 — — $73,704.27 $78,863.57 $76,136.51 2026-05-08
001-4 CPT Liver Transplant And/or Intestinal Transplant 6 6 — — $129,535.48 $138,602.96 $133,810.15 2026-05-08
002-1 CPT Heart And/or Lung Transplant 6 6 — — $77,288.50 $82,698.69 $79,839.02 2026-05-08
002-2 CPT Heart And/or Lung Transplant 6 6 — — $94,013.54 $100,594.48 $97,115.99 2026-05-08
002-3 CPT Heart And/or Lung Transplant 6 6 — — $130,623.46 $139,767.10 $134,934.03 2026-05-08
002-4 CPT Heart And/or Lung Transplant 6 6 — — $206,386.58 $220,833.64 $213,197.33 2026-05-08
004-1 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $42,036.80 $44,979.38 $43,424.01 2026-05-08
004-2 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $58,078.22 $62,143.70 $59,994.81 2026-05-08
004-3 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $89,206.21 $95,450.65 $92,150.02 2026-05-08
004-4 CPT Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $134,969.36 $144,417.22 $139,423.35 2026-05-08
005-2 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $43,531.14 $46,578.32 $44,967.68 2026-05-08
005-3 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $65,623.01 $70,216.62 $67,788.57 2026-05-08
005-4 CPT Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $92,671.33 $99,158.32 $95,729.49 2026-05-08
006-1 CPT Pancreas Transplant 6 6 — — $55,755.13 $59,657.99 $57,595.06 2026-05-08
006-2 CPT Pancreas Transplant 6 6 — — $67,118.35 $71,816.64 $69,333.26 2026-05-08
006-3 CPT Pancreas Transplant 6 6 — — $81,709.47 $87,429.14 $84,405.89 2026-05-08
006-4 CPT Pancreas Transplant 6 6 — — $103,208.80 $110,433.42 $106,614.70 2026-05-08
007-1 CPT Allogeneic Bone Marrow Transplant 6 6 — — $47,581.79 $50,912.51 $49,151.99 2026-05-08
007-2 CPT Allogeneic Bone Marrow Transplant 6 6 — — $60,331.25 $64,554.44 $62,322.18 2026-05-08
007-3 CPT Allogeneic Bone Marrow Transplant 6 6 — — $76,591.87 $81,953.30 $79,119.40 2026-05-08
007-4 CPT Allogeneic Bone Marrow Transplant 6 6 — — $133,615.15 $142,968.21 $138,024.45 2026-05-08
008-4 CPT Autologous Bone Marrow Transplant 6 6 — — $64,857.32 $69,397.33 $66,997.61 2026-05-08
009-3 CPT Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $62,271.99 $66,631.03 $64,326.97 2026-05-08
009-4 CPT Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $137,512.65 $147,138.54 $142,050.57 2026-05-08
011-2 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $61,532.33 $65,839.59 $63,562.90 2026-05-08
011-3 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $86,144.46 $92,174.57 $88,987.23 2026-05-08
011-4 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $160,319.16 $171,541.50 $165,609.69 2026-05-08
020-4 CPT Open Craniotomy For Trauma 6 6 — — $47,233.47 $50,539.81 $48,792.18 2026-05-08
021-4 CPT Open Craniotomy Except Trauma 6 6 — — $50,285.22 $53,805.18 $51,944.63 2026-05-08
023-4 CPT Spinal Procedures 6 6 — — $50,012.97 $53,513.88 $51,663.40 2026-05-08
027-4 CPT Other Open Craniotomy 6 6 — — $44,581.09 $47,701.76 $46,052.26 2026-05-08
089-4 CPT Major Cranial Or Facial Bone Procedures 6 6 — — $47,417.64 $50,736.87 $48,982.42 2026-05-08
091-4 CPT Other Major Head And Neck Procedures 6 6 — — $55,890.26 $59,802.57 $57,734.63 2026-05-08
1 CPT Heart Transplant Or Implant Of Heart Assist System With Mcc 14 13 — — $332,695.79 $493,733.96 $375,798.67 2026-05-08
10 CPT Pancreas Transplant 14 13 — — $94,169.10 $139,750.74 $106,369.32 2026-05-08
11 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 13 — — $63,730.97 $94,579.34 $71,987.74 2026-05-08
1142 CPT Supprelin La Implant 11 11 — — $45,261.80 $46,845.96 $46,167.03 2026-05-08
12 CPT Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 13 — — $48,468.80 $71,929.65 $54,748.24 2026-05-08
120-4 CPT Major Respiratory And Chest Procedures 6 6 — — $49,323.35 $52,775.99 $50,951.03 2026-05-08
130-4 CPT Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $46,004.37 $49,224.67 $47,522.51 2026-05-08
14 CPT Allogeneic Bone Marrow Transplant 14 13 — — $154,745.36 $229,648.35 $174,793.61 2026-05-08
140 CPT Major Head And Neck Procedures With Mcc 14 13 — — $49,951.08 $74,129.42 $56,422.57 2026-05-08
143 CPT Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 13 — — $38,998.74 $57,875.70 $44,051.28 2026-05-08
1580 CPT New Technology - Level 43 ($40,001-$50,000) 11 11 — — $45,000.50 $46,575.52 $45,900.51 2026-05-08
1581 CPT New Technology - Level 44 ($50,001-$60,000) 11 11 — — $55,000.50 $56,925.52 $56,100.51 2026-05-08
1582 CPT New Technology - Level 45 ($60,001-$70,000) 11 11 — — $65,000.50 $67,275.52 $66,300.51 2026-05-08
1583 CPT New Technology - Level 46 ($70,001-$80,000) 11 11 — — $75,000.50 $77,625.52 $76,500.51 2026-05-08
1584 CPT New Technology - Level 47 ($80,001-$90,000) 11 11 — — $85,000.50 $87,975.52 $86,700.51 2026-05-08
1585 CPT New Technology - Level 48 ($90,001-$100,000) 11 11 — — $95,000.50 $98,325.52 $96,900.51 2026-05-08
1594 CPT New Technology - Level 43 ($40,001-$50,000) 11 11 — — $45,000.50 $46,575.52 $45,900.51 2026-05-08
1595 CPT New Technology - Level 44 ($50,001-$60,000) 11 11 — — $55,000.50 $56,925.52 $56,100.51 2026-05-08
1596 CPT New Technology - Level 45 ($60,001-$70,000) 11 11 — — $65,000.50 $67,275.52 $66,300.51 2026-05-08
1597 CPT New Technology - Level 46 ($70,001-$80,000) 11 11 — — $75,000.50 $77,625.52 $76,500.51 2026-05-08
1598 CPT New Technology - Level 47 ($80,001-$90,000) 11 11 — — $85,000.50 $87,975.52 $86,700.51 2026-05-08
1599 CPT New Technology - Level 48 ($90,001-$100,000) 11 11 — — $95,000.50 $98,325.52 $96,900.51 2026-05-08
16 CPT Autologous Bone Marrow Transplant With Cc/mcc 14 13 — — $71,290.01 $105,797.26 $80,526.10 2026-05-08
160-3 CPT Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $45,882.26 $49,094.01 $47,396.37 2026-05-08
160-4 CPT Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $97,139.35 $103,939.10 $100,344.95 2026-05-08
161-1 CPT Implantable Heart Assist Systems 6 6 — — $123,134.72 $131,754.15 $127,198.17 2026-05-08
161-2 CPT Implantable Heart Assist Systems 6 6 — — $129,460.41 $138,522.64 $133,732.60 2026-05-08
161-3 CPT Implantable Heart Assist Systems 6 6 — — $161,433.16 $172,733.48 $166,760.45 2026-05-08
161-4 CPT Implantable Heart Assist Systems 6 6 — — $213,037.56 $227,950.19 $220,067.80 2026-05-08
162-2 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $43,960.53 $47,037.77 $45,411.22 2026-05-08
162-3 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $56,264.59 $60,203.11 $58,121.32 2026-05-08
162-4 CPT Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $83,071.70 $88,886.72 $85,813.07 2026-05-08
163 CPT Major Chest Procedures With Mcc 14 13 — — $54,439.26 $80,790.06 $61,492.22 2026-05-08
163-3 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $46,299.63 $49,540.61 $47,827.52 2026-05-08
163-4 CPT Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $70,285.20 $75,205.16 $72,604.61 2026-05-08
1643 CPT Y90 Ibritumomab, Rx 11 11 — — $56,824.55 $58,813.41 $57,961.04 2026-05-08
165-3 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $46,725.01 $49,995.77 $48,266.94 2026-05-08
165-4 CPT Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $65,102.54 $69,659.72 $67,250.92 2026-05-08
166 CPT Other Respiratory System O.r. Procedures With Mcc 14 13 — — $45,475.89 $67,488.06 $51,367.58 2026-05-08
166-4 CPT Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $57,307.53 $61,319.06 $59,198.68 2026-05-08
167-4 CPT Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $64,981.43 $69,530.13 $67,125.82 2026-05-08
169-4 CPT Major Abdominal Vascular Procedures 6 6 — — $51,367.19 $54,962.89 $53,062.31 2026-05-08
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 14 13 — — $71,290.01 $105,797.26 $80,526.10 2026-05-08
176-4 CPT Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $42,891.57 $45,893.98 $44,306.99 2026-05-08
178-1 CPT External Heart Assist Systems 6 6 — — $41,988.76 $44,927.97 $43,374.38 2026-05-08
178-2 CPT External Heart Assist Systems 6 6 — — $45,929.30 $49,144.35 $47,444.97 2026-05-08
178-3 CPT External Heart Assist Systems 6 6 — — $51,747.53 $55,369.86 $53,455.20 2026-05-08
178-4 CPT External Heart Assist Systems 6 6 — — $67,532.72 $72,260.02 $69,761.30 2026-05-08
179-4 CPT Defibrillator Implants 6 6 — — $57,855.02 $61,904.87 $59,764.24 2026-05-08
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 13 — — $445,425.88 $661,029.96 $503,133.66 2026-05-08
181-4 CPT Lower Extremity Arterial Procedures 6 6 — — $43,342.97 $46,376.98 $44,773.29 2026-05-08
183-4 CPT Percutaneous Structural Cardiac Procedures 6 6 — — $60,375.29 $64,601.56 $62,367.67 2026-05-08
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 13 — — $93,629.34 $138,949.71 $105,759.62 2026-05-08
1901 CPT New Technology - Level 49 ($100,001-$115,000) 11 11 — — $107,500.50 $111,263.02 $109,650.51 2026-05-08
1902 CPT New Technology - Level 49 ($100,001-$115,000) 11 11 — — $107,500.50 $111,263.02 $109,650.51 2026-05-08
1903 CPT New Technology - Level 50 ($115,001-$130,000) 11 11 — — $122,500.50 $126,788.02 $124,950.51 2026-05-08
1904 CPT New Technology - Level 50 ($115,001-$130,000) 11 11 — — $122,500.50 $126,788.02 $124,950.51 2026-05-08
1905 CPT New Technology - Level 51 ($130,001-$145,000) 11 11 — — $137,500.50 $142,313.02 $140,250.51 2026-05-08
1906 CPT New Technology - Level 51 ($130,001-$145,000) 11 11 — — $137,500.50 $142,313.02 $140,250.51 2026-05-08
1907 CPT New Technology - Level 52 ($145,001-$160,000) 11 11 — — $152,500.50 $157,838.02 $155,550.51 2026-05-08
1908 CPT New Technology - Level 52 ($145,001-$160,000) 11 11 — — $152,500.50 $157,838.02 $155,550.51 2026-05-08
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 13 — — $130,153.68 $193,153.30 $147,015.92 2026-05-08
20 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 13 — — $95,209.65 $141,294.96 $107,544.67 2026-05-08
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 14 13 — — $76,384.10 $113,357.08 $86,280.15 2026-05-08
21 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 13 — — $65,282.94 $96,882.51 $73,740.76 2026-05-08
212 CPT Concomitant Aortic And Mitral Valve Procedures 14 13 — — $128,667.85 $190,948.28 $145,337.60 2026-05-08
215 CPT Other Heart Assist System Implant 14 13 — — $125,135.18 $185,705.65 $141,347.25 2026-05-08
216 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $25,277.00 $169,164.48 $126,243.78 2026-05-08
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $25,277.00 $113,194.07 $84,474.28 2026-05-08
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 14 — — $25,277.00 $104,279.33 $77,821.40 2026-05-08
219 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $25,277.00 $135,622.90 $101,212.43 2026-05-08
22 CPT Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 13 — — $41,697.55 $61,880.85 $47,099.74 2026-05-08
220 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $25,277.00 $92,840.56 $69,284.90 2026-05-08
220-4 CPT Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $48,435.55 $51,826.04 $50,033.93 2026-05-08
221 CPT Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 14 — — $25,277.00 $80,499.09 $60,074.73 2026-05-08
228 CPT Other Cardiothoracic Procedures With Mcc 17 14 — — $25,277.00 $87,347.28 $65,185.38 2026-05-08
23 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $67,382.94 $99,998.99 $76,112.82 2026-05-08
231 CPT Coronary Bypass With Ptca With Mcc 17 14 — — $25,277.00 $148,530.52 $110,845.11 2026-05-08
232 CPT Coronary Bypass With Ptca Without Mcc 17 14 — — $25,277.00 $107,073.29 $79,906.48 2026-05-08
233 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 14 — — $25,277.00 $137,005.86 $102,244.50 2026-05-08
234 CPT Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 14 — — $25,277.00 $93,252.47 $69,592.29 2026-05-08
235 CPT Coronary Bypass Without Cardiac Catheterization With Mcc 17 14 — — $25,277.00 $103,138.26 $76,969.85 2026-05-08
236 CPT Coronary Bypass Without Cardiac Catheterization Without Mcc 17 14 — — $25,277.00 $72,076.89 $53,789.42 2026-05-08
239 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 13 — — $59,490.83 $88,286.78 $67,198.24 2026-05-08
24 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $44,901.88 $66,636.20 $50,719.21 2026-05-08
242 CPT Permanent Cardiac Pacemaker Implant With Mcc 16 14 — — $6,229.00 $59,454.98 $44,809.62 2026-05-08
245 CPT Aicd Generator Procedures 14 13 — — $57,717.99 $85,655.83 $65,195.73 2026-05-08
25 CPT Craniotomy And Endovascular Intracranial Procedures With Mcc 14 13 — — $52,822.34 $78,390.47 $59,665.81 2026-05-08
252 CPT Other Vascular Procedures With Mcc 14 13 — — $40,516.45 $60,128.05 $45,765.62 2026-05-08
260-4 CPT Major Pancreas, Liver And Shunt Procedures 6 6 — — $48,072.23 $51,437.28 $49,658.61 2026-05-08
261-4 CPT Major Biliary Tract Procedures 6 6 — — $43,736.33 $46,797.87 $45,179.62 2026-05-08
264 CPT Other Circulatory System O.r. Procedures 14 13 — — $41,280.63 $61,262.11 $46,628.79 2026-05-08
265 CPT Aicd Lead Procedures 14 13 — — $42,132.20 $62,525.88 $47,590.69 2026-05-08
266 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 13 — — $70,757.34 $105,006.74 $79,924.40 2026-05-08
267 CPT Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 13 — — $55,567.21 $82,463.98 $62,766.30 2026-05-08
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 14 — — $25,277.00 $116,869.69 $88,081.55 2026-05-08
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 14 — — $25,277.00 $72,928.75 $54,964.44 2026-05-08
271 CPT Other Major Cardiovascular Procedures With Cc 16 14 — — $25,277.00 $60,373.44 $45,501.85 2026-05-08
273 CPT Percutaneous And Other Intracardiac Procedures With Mcc 14 13 — — $46,184.55 $68,539.74 $52,168.06 2026-05-08
277 CPT Cardiac Defibrillator Implant Without Mcc 14 13 — — $54,943.59 $81,538.50 $62,061.89 2026-05-08
28 CPT Spinal Procedures With Mcc 15 13 — — $7,696.00 $106,561.48 $81,100.53 2026-05-08
29 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 15 13 — — $7,696.00 $58,836.24 $44,778.38 2026-05-08
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 13 — — $253,128.63 $375,653.08 $285,923.07 2026-05-08
303-2 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $41,862.64 $44,793.03 $43,244.11 2026-05-08
303-3 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $57,689.87 $61,728.17 $59,593.64 2026-05-08
303-4 CPT Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $84,379.87 $90,286.46 $87,164.41 2026-05-08
304-4 CPT Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $61,288.11 $65,578.28 $63,310.62 2026-05-08
31 CPT Ventricular Shunt Procedures With Mcc 14 13 — — $49,495.18 $73,452.84 $55,907.59 2026-05-08
312-4 CPT Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $47,271.51 $50,580.51 $48,831.47 2026-05-08
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 13 — — $73,067.57 $108,435.22 $82,533.95 2026-05-08
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 14 13 — — $51,883.36 $76,997.00 $58,605.18 2026-05-08
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 13 — — $50,307.77 $74,658.76 $56,825.47 2026-05-08
326 CPT Stomach, Esophageal And Duodenal Procedures With Mcc 14 13 — — $59,988.07 $89,024.71 $67,759.91 2026-05-08
329 CPT Major Small And Large Bowel Procedures With Mcc 14 13 — — $54,234.93 $80,486.82 $61,261.41 2026-05-08
332 CPT Rectal Resection With Mcc 14 13 — — $40,968.82 $60,799.37 $46,276.59 2026-05-08
34 CPT Carotid Artery Stent Procedures With Mcc 14 13 — — $45,929.44 $68,161.13 $51,879.89 2026-05-08
356 CPT Other Digestive System O.r. Procedures With Mcc 14 13 — — $50,382.18 $74,769.19 $56,909.52 2026-05-08
361-4 CPT Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $46,650.95 $49,916.51 $48,190.43 2026-05-08
37 CPT Extracranial Procedures With Mcc 14 13 — — $39,223.15 $58,208.74 $44,304.76 2026-05-08
4 CPT Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 13 — — $166,889.43 $247,670.64 $188,511.03 2026-05-08
40 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 13 — — $44,552.27 $66,117.37 $50,324.31 2026-05-08
401-4 CPT Adrenal Procedures 6 6 — — $42,748.44 $45,740.83 $44,159.14 2026-05-08
405 CPT Pancreas, Liver And Shunt Procedures With Mcc 14 13 — — $64,118.38 $95,154.25 $72,425.32 2026-05-08
408 CPT Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 13 — — $41,353.85 $61,370.79 $46,711.51 2026-05-08
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 13 — — $41,383.38 $61,414.61 $46,744.87 2026-05-08
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 13 — — $48,040.06 $71,293.39 $54,263.96 2026-05-08
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $123,724.95 $183,612.81 $139,754.32 2026-05-08
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $83,889.99 $124,496.13 $94,758.48 2026-05-08
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $65,008.93 $96,475.86 $73,431.24 2026-05-08
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 13 — — $98,510.83 $146,194.04 $111,273.54 2026-05-08
440-2 CPT Kidney Transplant 6 6 — — $43,019.68 $46,031.06 $44,439.33 2026-05-08
440-3 CPT Kidney Transplant 6 6 — — $48,930.00 $52,355.10 $50,544.69 2026-05-08
440-4 CPT Kidney Transplant 6 6 — — $78,303.41 $83,784.65 $80,887.42 2026-05-08
441-4 CPT Major Bladder Procedures 6 6 — — $46,514.83 $49,770.86 $48,049.82 2026-05-08
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 13 — — $79,189.21 $117,519.98 $89,448.68 2026-05-08
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 14 13 — — $48,230.22 $71,575.59 $54,478.76 2026-05-08
456 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $7,696.00 $148,448.14 $112,979.13 2026-05-08
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $7,696.00 $100,600.20 $76,563.60 2026-05-08
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $7,696.00 $75,685.90 $57,602.12 2026-05-08
461 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 13 — — $7,696.00 $107,564.08 $81,863.58 2026-05-08
463 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 13 — — $63,791.21 $94,668.73 $72,055.77 2026-05-08
466 CPT Revision Of Hip Or Knee Replacement With Mcc 15 13 — — $7,696.00 $89,298.15 $67,961.96 2026-05-08
467 CPT Revision Of Hip Or Knee Replacement With Cc 15 13 — — $7,696.00 $60,036.91 $45,692.17 2026-05-08
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 13 — — $7,696.00 $57,293.77 $43,180.78 2026-05-08
474 CPT Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 13 — — $52,968.79 $78,607.82 $59,831.24 2026-05-08
477 CPT Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 13 — — $40,618.03 $60,278.79 $45,880.35 2026-05-08
485 CPT Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 13 — — $38,023.15 $56,427.89 $42,949.29 2026-05-08
492 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 13 — — $41,943.22 $62,245.43 $47,377.24 2026-05-08
495 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 13 — — $41,581.81 $61,709.08 $46,969.00 2026-05-08
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 14 13 — — $125,780.06 $186,662.68 $142,075.68 2026-05-08
510-4 CPT Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 6 — — $42,072.83 $45,017.93 $43,461.24 2026-05-08
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 13 — — $42,330.62 $62,820.35 $47,814.83 2026-05-08
5244 CPT Level 4 Blood Product Exchange And Related Services 11 11 — — $59,142.33 $61,212.31 $60,325.18 2026-05-08
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 13 — — $72,734.50 $107,940.93 $82,157.72 2026-05-08
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 13 — — $40,923.93 $60,732.77 $46,225.89 2026-05-08
576 CPT Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 13 — — $63,723.89 $94,568.82 $71,979.73 2026-05-08
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 13 — — $38,496.77 $57,130.76 $43,484.28 2026-05-08
583-1 CPT Neonate With Ecmo 6 6 — — $137,045.23 $146,638.40 $141,567.72 2026-05-08
583-2 CPT Neonate With Ecmo 6 6 — — $169,230.17 $181,076.28 $174,814.77 2026-05-08
583-3 CPT Neonate With Ecmo 6 6 — — $269,678.49 $288,555.99 $278,577.88 2026-05-08
583-4 CPT Neonate With Ecmo 6 6 — — $309,665.45 $331,342.03 $319,884.41 2026-05-08
588-1 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $95,908.24 $102,621.82 $99,073.21 2026-05-08
588-2 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $144,198.66 $154,292.57 $148,957.22 2026-05-08
588-3 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $148,138.20 $158,507.88 $153,026.77 2026-05-08
588-4 CPT Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $230,970.69 $247,138.63 $238,592.72 2026-05-08
589-1 CPT Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $54,955.42 $58,802.29 $56,768.94 2026-05-08
591-2 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $58,175.31 $62,247.58 $60,095.10 2026-05-08
591-3 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $98,416.50 $105,305.65 $101,664.24 2026-05-08
591-4 CPT Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $150,323.17 $160,845.79 $155,283.84 2026-05-08
593-2 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $79,519.50 $85,085.87 $82,143.64 2026-05-08
593-3 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $102,271.96 $109,431.00 $105,646.93 2026-05-08
593-4 CPT Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $151,837.53 $162,466.16 $156,848.17 2026-05-08
6 CPT Liver Transplant Without Mcc 14 13 — — $57,273.90 $84,996.78 $64,694.10 2026-05-08
602-2 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $64,209.74 $68,704.42 $66,328.65 2026-05-08
602-3 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $82,767.42 $88,561.14 $85,498.75 2026-05-08
602-4 CPT Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $109,563.52 $117,232.96 $113,179.11 2026-05-08
603-3 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $54,999.46 $58,849.42 $56,814.43 2026-05-08
603-4 CPT Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $113,900.42 $121,873.45 $117,659.13 2026-05-08
607-2 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $46,627.93 $49,891.88 $48,166.65 2026-05-08
607-3 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $64,091.63 $68,578.04 $66,206.65 2026-05-08
607-4 CPT Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $85,169.58 $91,131.45 $87,980.18 2026-05-08
608-3 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $45,476.89 $48,660.27 $46,977.63 2026-05-08
608-4 CPT Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $46,513.82 $49,769.79 $48,048.78 2026-05-08
609-3 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $63,675.26 $68,132.52 $65,776.54 2026-05-08
609-4 CPT Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $145,988.27 $156,207.45 $150,805.89 2026-05-08
611-4 CPT Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $64,596.08 $69,117.81 $66,727.76 2026-05-08
612-4 CPT Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $62,089.83 $66,436.12 $64,138.79 2026-05-08
613-4 CPT Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $52,627.32 $56,311.23 $54,364.03 2026-05-08
614-4 CPT Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $44,074.63 $47,159.86 $45,529.09 2026-05-08
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 13 — — $45,649.51 $67,745.72 $51,563.71 2026-05-08
621-4 CPT Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $50,453.37 $53,985.10 $52,118.32 2026-05-08
622 CPT Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 13 — — $44,196.76 $65,589.78 $49,922.74 2026-05-08
628 CPT Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 13 — — $46,602.66 $69,160.23 $52,640.34 2026-05-08
630-3 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $85,041.47 $90,994.37 $87,847.84 2026-05-08
630-4 CPT Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $156,990.16 $167,979.48 $162,170.84 2026-05-08
631-3 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $48,430.55 $51,820.69 $50,028.76 2026-05-08
631-4 CPT Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $147,676.79 $158,014.16 $152,550.12 2026-05-08
633-4 CPT Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $47,478.69 $50,802.20 $49,045.49 2026-05-08
650 CPT Kidney Transplant With Hemodialysis With Mcc 14 13 — — $54,416.82 $80,756.75 $61,466.87 2026-05-08
651 CPT Kidney Transplant With Hemodialysis Without Mcc 14 13 — — $41,013.70 $60,865.98 $46,327.29 2026-05-08
653 CPT Major Bladder Procedures With Mcc 14 13 — — $65,841.60 $97,711.59 $74,371.80 2026-05-08
656 CPT Kidney And Ureter Procedures For Neoplasm With Mcc 14 13 — — $38,480.24 $57,106.22 $43,465.60 2026-05-08
665 CPT Prostatectomy With Mcc 14 13 — — $40,554.25 $60,184.14 $45,808.31 2026-05-08
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 14 13 — — $49,483.37 $73,435.31 $55,894.25 2026-05-08
680-4 CPT Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $56,539.84 $60,497.63 $58,405.65 2026-05-08
681-4 CPT Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $48,450.57 $51,842.11 $50,049.43 2026-05-08
690-4 CPT Acute Leukemia 6 6 — — $48,081.23 $51,446.92 $49,667.92 2026-05-08
7 CPT Lung Transplant 14 13 — — $154,355.60 $229,069.93 $174,353.36 2026-05-08
736 CPT Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 13 — — $23.98 $69,018.25 $51,506.83 2026-05-08
739 CPT Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 13 — — $13.03 $69,777.22 $52,073.22 2026-05-08
740-4 CPT Mental Illness Diagnosis With O.r. Procedure 6 6 — — $43,255.90 $46,283.81 $44,683.34 2026-05-08
773 CPT Inj, Beqvez, Per Tx Dose 11 11 — — $3,710,000.00 $3,839,850.00 $3,784,200.00 2026-05-08
791 CPT Prematurity With Major Problems 25 13 — — $0.09 $71,161.93 $53,106.60 2026-05-08
793 CPT Full Term Neonate With Major Problems 25 13 — — $2.02 $73,100.52 $54,553.34 2026-05-08
799 CPT Splenic Procedures With Mcc 25 13 — — $7.69 $83,342.13 $62,196.43 2026-05-08
8 CPT Simultaneous Pancreas And Kidney Transplant 14 13 — — $64,264.83 $95,371.60 $72,590.75 2026-05-08
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 16 $3,445.00 — $1,023.16 $62,834.37 $46,891.93 2026-05-08
820 CPT Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 13 — — $23.52 $102,053.27 $76,160.15 2026-05-08
823 CPT Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 13 — — $55,269.57 $82,022.28 $62,430.10 2026-05-08
826 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 13 — — $87.14 $83,704.96 $62,467.20 2026-05-08
834 CPT Acute Leukemia With Mcc 25 13 — — $128.07 $96,882.51 $72,301.32 2026-05-08
837 CPT Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 13 — — $59,140.04 $87,766.20 $66,802.01 2026-05-08
841-3 CPT Extensive Third Degree Burns With Skin Graft 6 6 — — $50,296.23 $53,816.96 $51,956.00 2026-05-08
841-4 CPT Extensive Third Degree Burns With Skin Graft 6 6 — — $153,007.58 $163,718.11 $158,056.83 2026-05-08
842-4 CPT Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $83,517.10 $89,363.29 $86,273.16 2026-05-08
850 CPT Acute Leukemia With Other Procedures 14 13 — — $108,801.75 $161,466.18 $122,897.72 2026-05-08
850-4 CPT Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $53,958.52 $57,735.62 $55,739.15 2026-05-08
851-4 CPT Gender Related Procedures 6 6 — — $73,525.11 $78,671.87 $75,951.45 2026-05-08
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 13 — — $59,070.35 $87,662.79 $66,723.29 2026-05-08
856 CPT Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 13 — — $24,228.42 $79,079.32 $59,015.19 2026-05-08
863-4 CPT Neonatal Aftercare 6 6 — — $67,843.00 $72,592.01 $70,081.82 2026-05-08
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 14 13 — — $82,163.22 $121,933.53 $92,807.99 2026-05-08
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 14 13 — — $46,412.51 $68,878.03 $52,425.54 2026-05-08
901 CPT Wound Debridements For Injuries With Mcc 25 13 — — $5.09 $77,657.80 $57,954.34 2026-05-08
90288 CPT Botulinum Human Antitoxin For Infusion Into Vein 2 2 — — $499.80 $105,348.91 $52,924.36 2026-05-08
9035 CPT Axicabtagene Ciloleucel Car+ 11 11 — — $489,517.15 $506,650.25 $499,307.49 2026-05-08
904 CPT Skin Grafts For Injuries With Cc/mcc 14 13 — — $45,603.45 $67,677.36 $51,511.67 2026-05-08
907 CPT Other O.r. Procedures For Injuries With Mcc 14 13 — — $47,051.48 $69,826.29 $53,147.31 2026-05-08
910-4 CPT Craniotomy For Multiple Significant Trauma 6 6 — — $57,768.95 $61,812.77 $59,675.32 2026-05-08
911-4 CPT Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $51,481.29 $55,084.98 $53,180.18 2026-05-08
912-4 CPT Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $51,543.35 $55,151.38 $53,244.27 2026-05-08
9138 CPT Inj, Hemgenix, Per Tx Dose 11 11 — — $3,710,000.00 $3,839,850.00 $3,784,200.00 2026-05-08
9141 CPT Inj Onase Abepar-xioi Treat 11 11 — — $2,403,458.75 $2,487,579.81 $2,451,527.92 2026-05-08
9194 CPT Tisagenlecleucel Car-pos T 11 11 — — $565,623.84 $585,420.67 $576,936.32 2026-05-08
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 13 — — $1.54 $415,813.24 $310,312.40 2026-05-08
9273 CPT Sipuleucel-t Auto Cd54+ 11 11 — — $55,536.50 $57,480.28 $56,647.23 2026-05-08
928 CPT Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 13 — — $1.66 $117,067.76 $87,365.13 2026-05-08
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 13 — — $51,105.02 $75,841.90 $57,726.00 2026-05-08
9391 CPT Brexucabtagene Car Pos T 11 11 — — $488,051.51 $505,133.31 $497,812.54 2026-05-08
94 CPT Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 13 — — $43,094.80 $63,954.41 $48,678.01 2026-05-08
9413 CPT Lisocabtagene Car Pos T 11 11 — — $516,485.97 $534,562.98 $526,815.69 2026-05-08
9422 CPT Idecabtagene Vicleucel Car 11 11 — — $528,312.43 $546,803.37 $538,878.68 2026-05-08
9498 CPT Ciltacabtagene Car-pos T 11 11 — — $551,318.34 $570,614.48 $562,344.71 2026-05-08
950-4 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $47,240.48 $50,547.31 $48,799.42 2026-05-08
955 CPT Craniotomy For Multiple Significant Trauma 14 13 — — $80,649.05 $119,686.44 $91,097.65 2026-05-08
956 CPT Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 13 — — $45,146.37 $66,999.03 $50,995.37 2026-05-08
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 13 — — $88,159.67 $130,832.50 $99,581.32 2026-05-08
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Cc 14 13 — — $48,540.85 $72,036.57 $54,829.62 2026-05-08
969 CPT HIV With Extensive O.r. Procedures With Mcc 14 13 — — $74,696.31 $110,852.33 $84,373.69 2026-05-08
97 CPT Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 13 — — $42,337.71 $62,830.87 $47,822.83 2026-05-08
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 13 — — $56,148.31 $83,326.36 $63,422.69 2026-05-08
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 13 — — $41,370.39 $61,395.33 $46,730.19 2026-05-08
C1767 CPT Implant Generator Inspire 3028 71 10 $107,450.00 — $3,925.00 $154,687.50 $44,110.80 2026-05-08
C1825 CPT Generator Cvrx Barostim Neo2 11 10 $151,402.00 — $3,925.00 $136,261.80 $44,966.39 2026-05-08
C1882 CPT Defib Resonate Hf Implantable 369 10 $100,759.00 — $0.30 $242,271.90 $45,857.22 2026-05-08
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