Price Transparency Hospital negotiated rates

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

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Hospital

KAISER FOUNDATION HOSPITAL - SAN MARCOS

San Marcos, CA · CCN 050855 · Rates published

16,630 distinct procedures filed
1 distinct payers
63,509 rate rows
2026-05-08 last MRF observed
Data quality

56,045 of 63,509 rate rows are consumer-grade (88.2%)

7,464 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 4,608
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,827
placeholder amount (≤ $0.02) — excluded from medians 29
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-san-marcos-medical-center-standard-charges-scal-en.csv
Found on page https://healthy.kaiserpermanente.org/southern-california/doctors-locations/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5209287fb159c6b5… · 209,265,341 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
OTHER 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1414
OTHER 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,710,000
1.0× median
J1411
OTHER 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,685,267
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,327,860
1.0× median
J3394
OTHER 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,286,000
1.0× median
J3393
OTHER 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,472,216
1.1× median
J3392
OTHER 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,332,000
1.0× median
Q2057
OTHER 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$770,620
1.0× median
Q2056
OTHER 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$583,076
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$558,082
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$562,538
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$591,726
0.9× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$533,230
1.0× median
Q2053
OTHER 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$489,720
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$281,111
1.0× median
A9543
OTHER 		Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 1 $83,439.00 $140,178.00 $83,439.00 nat. median
$66,156
1.3× median
38240
OTHER 		Transplt Allo Hct/donor 1 $58,671.00 $174,504.00 $71,867.00 nat. median
$18,374
outlier · 3.9×
J9029
OTHER 		"Instill Adstiladrin, Tx Dose" 1 $63,431.00 $106,564.00 $63,431.00 nat. median
$66,509
1.0× median
Q2043
OTHER 		Sipuleucel-t Auto Cd54+ 1 $55,946.00 $93,989.00 $55,946.00 nat. median
$55,946
1.0× median
33276
OTHER 		Insj Phrnc Nrv Stim Sys 1 $44,641.00 $132,777.00 $54,682.00 nat. median
$43,556
1.3× median
A9699
OTHER 		Radiopharmaceutical Therapeutic Noc 1 $52,618.00 $88,398.00 $52,618.00 nat. median
$258
outlier · 204.2×
J9226
OTHER 		Supprelin La Implant 1 $45,560.00 $76,541.00 $45,560.00 nat. median
$45,345
1.0× median
Q9982
OTHER 		flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 1 $39,696.53 $47,453.33 $43,574.93 nat. median
$1,944
outlier · 22.4×
0620T
OTHER 		Endovascular Venous Arterialization Tibl/prnl Vn 1 $34,721.00 $103,272.00 $42,531.00 nat. median
$34,721
1.2× median
33249
OTHER 		Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$30,055
1.3× median
33264
OTHER 		Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$29,348
1.3× median
33231
OTHER 		Insj Implntbl Defib Pulse Gen W/exist Multileads 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$30,055
1.3× median
33270
OTHER 		Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$29,560
1.3× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$31,782
1.2× median
0571T
OTHER 		Insj/rplcmt Icds W/substernal Electrode 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$31,782
1.2× median
69930
OTHER 		Cochlear Device Implantation W/wo Mastoidectomy 1 $31,554.00 $93,851.00 $38,651.00 nat. median
$27,893
1.4× median
63685
OTHER 		Ins/rplc Spi Npg/rcvr Pocket 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$25,009
1.5× median
0674T
OTHER 		Laps Insj Nw/rpcmt Prm Isdss 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$31,043
1.2× median
61886
OTHER 		Implant Neurostim Arrays 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$27,282
1.4× median
64568
OTHER 		Open Implantation Cranial Nerve Nea & Pulse Gen 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$25,829
1.4× median
33287
OTHER 		Rmv&rplcmt Phrnc Nrv Stim Pg 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$29,995
1.2× median
64582
OTHER 		Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$28,637
1.3× median
33289
OTHER 		Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 1 $28,202.00 $83,880.00 $34,545.00 nat. median
$26,244
1.3× median
A9513
OTHER 		Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 1 $28,018.43 $80,512.74 $33,493.30 nat. median
$341
outlier · 98.3×
C9760
OTHER 		Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 1 $27,281.00 $81,142.00 $33,417.00 nat. median
$27,604
1.2× median
A9590
OTHER 		Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 1 $4,817.49 $142,736.25 $31,757.79 nat. median
$364
outlier · 87.2×
90288
OTHER 		Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 1 $23,929.35 $68,762.50 $28,605.20 nat. median
$4,272
outlier · 6.7×
J9266
OTHER 		Pegaspargase Injection 1 $28,424.00 $47,752.00 $28,424.00 nat. median
$28,424
1.0× median
187001050
OTHER 		Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 1 $22,882.36 $65,753.92 $27,353.63 nat. median
$57,533
outlier · 0.5×
A9607
OTHER 		"lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 1 $22,817.56 $65,567.70 $27,276.16 nat. median
$269
outlier · 101.5×
0614T
OTHER 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$23,016
1.2× median
33240
OTHER 		Insj Implntbl Defib Pulse Gen W/1 Existing Ld 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$21,324
1.3× median
0409T
OTHER 		Insj/rplc Car Modulj Pls Gn 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$23,016
1.2× median
0414T
OTHER 		Rmvl & Rpl Car Modulj Pls Gn 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$22,811
1.2× median

Other procedures at this hospital

Browse this hospital's 16,630 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
             
A9513 OTHER Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 3 1 $193,132.79 $100,429.05 48% off $28,018.43 $80,512.74 $33,493.30 2026-05-08
A9543 OTHER Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 3 1 $182,231.00 $94,760.12 48% off $83,439.00 $140,178.00 $83,439.00 2026-05-08
A9590 OTHER Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 6 1 $156,579.60 $81,421.39 48% off $4,817.49 $142,736.25 $31,757.79 2026-05-08
A9607 OTHER "lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 3 1 $147,409.21 $76,652.79 48% off $22,817.56 $65,567.70 $27,276.16 2026-05-08
90288 OTHER Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 3 1 $137,525.00 $71,513.00 48% off $23,929.35 $68,762.50 $28,605.20 2026-05-08
68875010201 OTHER Teduglutide 5 Mg Kit 1 Each Kit 3 1 $135,055.95 $70,229.09 48% off $22,815.30 $65,561.21 $27,273.46 2026-05-08
187001050 OTHER Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 3 1 $131,507.84 $68,384.08 48% off $22,882.36 $65,753.92 $27,353.63 2026-05-08
C9293 OTHER "glucarpidase 1,000 Unit Recon Soln 1 Each Vial" 3 1 $124,516.04 $64,748.34 48% off $20,633.98 $59,293.06 $24,665.91 2026-05-08
64582 OTHER Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 3 1 $105,410.00 $54,813.20 48% off $30,231.00 $89,915.00 $37,030.00 2026-05-08
187552560 OTHER Bexarotene 1 % Gel 60 G Tube 3 1 $83,983.06 $43,671.19 48% off $14,613.05 $41,991.53 $17,468.48 2026-05-08
33270 OTHER Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 3 1 $81,380.00 $42,317.60 48% off $31,806.00 $94,600.00 $38,960.00 2026-05-08
0620T OTHER Endovascular Venous Arterialization Tibl/prnl Vn 3 1 $76,790.00 $39,930.80 48% off $34,721.00 $103,272.00 $42,531.00 2026-05-08
33289 OTHER Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 3 1 $72,800.00 $37,856.00 48% off $28,202.00 $83,880.00 $34,545.00 2026-05-08
0571T OTHER Insj/rplcmt Icds W/substernal Electrode 3 1 $72,760.00 $37,835.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-05-08
187000714 OTHER Ribavirin 6 Gram Recon Soln 4 Each Vial 3 1 $71,893.39 $37,384.56 48% off $12,509.45 $35,946.70 $14,953.83 2026-05-08
0645T OTHER Tcat Implantation Coronary Sinus Reduction Dev 3 1 $71,827.00 $37,350.04 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
33231 OTHER Insj Implntbl Defib Pulse Gen W/exist Multileads 3 1 $70,350.00 $36,582.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-05-08
C9758 OTHER Bi Proc Nyha Cl Iii/iv Hf;trnscath Impl Ias/pc 3 1 $70,220.00 $36,514.40 48% off $17,361.00 $51,637.00 $21,266.00 2026-05-08
33262 OTHER Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead 3 1 $68,390.00 $35,562.80 48% off $22,267.00 $66,229.00 $27,275.00 2026-05-08
33263 OTHER Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld 3 1 $66,050.00 $34,346.00 48% off $22,267.00 $66,229.00 $27,275.00 2026-05-08
33264 OTHER Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 3 1 $64,360.00 $33,467.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-05-08
33230 OTHER Insj Implntbl Defib Pulse Gen W/exist Dual Leads 3 1 $63,990.00 $33,274.80 48% off $22,267.00 $66,229.00 $27,275.00 2026-05-08
0686T OTHER Histotripsy Mal Hepatocellular Tiss W/img Gdn 3 1 $63,950.00 $33,254.00 48% off $17,361.00 $51,637.00 $21,266.00 2026-05-08
C9760 OTHER Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 3 1 $63,130.00 $32,827.60 48% off $27,281.00 $81,142.00 $33,417.00 2026-05-08
C9775 OTHER Revasc Lith-sten-ath Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
C9774 OTHER Revasc Lithotr-ather Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
C9773 OTHER Revasc Lithotr-stent Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
0680T OTHER Insj/rplcmt Pulse Generator Only Isdss 3 1 $59,530.00 $30,955.60 48% off $21,273.00 $63,273.00 $26,058.00 2026-05-08
33240 OTHER Insj Implntbl Defib Pulse Gen W/1 Existing Ld 3 1 $58,510.00 $30,425.20 48% off $22,267.00 $66,229.00 $27,275.00 2026-05-08
36836 OTHER Perq Av Fistula Creation Uxtr Single Access 3 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
36837 OTHER Perq Av Fistula Creation Uxtr Sep Access Sites 3 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
33902 OTHER Perq P-art Revsc St 1st Abnor Connj Unilateral 3 1 $53,910.00 $28,033.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
64628 OTHER Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/sac 3 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
69716 OTHER Impl Oi Implt Skull Mag Tc Attachment Esp<100 3 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
69719 OTHER Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100 3 1 $44,150.00 $22,958.00 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
0629T OTHER Perq Njx Algc Cell&/prdct Uni/bi CT Lmbr 1st 3 1 $43,710.00 $22,729.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
33249 OTHER Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 3 1 $43,100.00 $22,412.00 48% off $31,806.00 $94,600.00 $38,960.00 2026-05-08
36906 OTHER Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 3 1 $41,180.00 $21,413.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
53451 OTHER Periurethral Tprnl Adjtbl Balo Cntnc Dev Bi Insj 3 1 $41,130.00 $21,387.60 48% off $12,889.00 $38,335.00 $15,788.00 2026-05-08
64583 OTHER Revj/rplcmt Hpglsl Nerve Nstim Ra Pg&respir Snr 3 1 $40,260.00 $20,935.20 48% off $12,371.00 $36,795.00 $15,153.00 2026-05-08
33274 OTHER Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img 3 1 $39,390.00 $20,482.80 48% off $18,919.00 $56,271.00 $23,174.00 2026-05-08
22856 OTHER Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv 3 1 $39,350.00 $20,462.00 48% off $18,243.00 $54,261.00 $22,347.00 2026-05-08
62360 OTHER Impltj/rplcmt Ithcl/edrl Drug Nfs Subq Rsvr 3 1 $38,760.00 $20,155.20 48% off $17,533.00 $52,149.00 $21,477.00 2026-05-08
C9772 OTHER Revasc Lithotrip Tibi/perone 3 1 $38,410.00 $19,973.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
64568 OTHER Open Implantation Cranial Nerve Nea & Pulse Gen 3 1 $37,840.00 $19,676.80 48% off $30,231.00 $89,915.00 $37,030.00 2026-05-08
C9767 OTHER Rev Evar Any Ves;iv Litho&tl Stnt Plcmt&atherect 3 1 $37,750.00 $19,630.00 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
0823T OTHER Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 3 1 $34,490.00 $17,934.80 48% off $18,919.00 $56,271.00 $23,174.00 2026-05-08
69930 OTHER Cochlear Device Implantation W/wo Mastoidectomy 3 1 $34,460.00 $17,919.20 48% off $31,554.00 $93,851.00 $38,651.00 2026-05-08
33214 OTHER Upg Pacemaker Sys Convert 1chmbr Sys 2chmbr Sys 3 1 $34,400.00 $17,888.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
36905 OTHER Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop 3 1 $33,750.00 $17,550.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
36903 OTHER Intro Cath Dialysis Circuit W/tcat Plmt IV Stent 3 1 $33,650.00 $17,498.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
33901 OTHER Perq P-art Revsc St 1st Nml Native Connj Bi 3 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
33900 OTHER Perq P-art Revsc St 1st Nml Native Connj Uni 3 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
33903 OTHER Perq P-art Revsc St 1st Abnormal Connj Bilateral 3 1 $33,310.00 $17,321.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
C9602 OTHER Pc Tl Cor Atherect W/rx Elut Ic Stent; 1 Mca/br 3 1 $33,010.00 $17,165.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
C9607 OTHER Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 3 1 $32,470.00 $16,884.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
33229 OTHER Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead 3 1 $31,730.00 $16,499.60 48% off $18,919.00 $56,271.00 $23,174.00 2026-05-08
C9604 OTHER Pc Tl Rev Of/thru Cabg Comb De Ic Stnt; 1 Ves 3 1 $30,860.00 $16,047.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
37236 OTHER Open/perq Placement Intravascular Stent Initial 3 1 $30,720.00 $15,974.40 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
37238 OTHER Open/perq Placement Intravascular Stent Same 1st 3 1 $30,720.00 $15,974.40 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
33224 OTHER Insj Eltrd Car Ven Sys Attch Prev Pm/dfb Pls Gen 3 1 $29,780.00 $15,485.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
64590 OTHER Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn 3 1 $29,499.00 $15,339.48 48% off $21,273.00 $63,273.00 $26,058.00 2026-05-08
33221 OTHER Ins Pacemaker Pulse Gen Only W/exist Mult Leads 3 1 $28,470.00 $14,804.40 48% off $18,919.00 $56,271.00 $23,174.00 2026-05-08
37242 OTHER Vascular Embolization Or Occlusion Arterial Rs&i 3 1 $28,050.00 $14,586.00 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
37244 OTHER Vascular Embolization Or Occlusion Hemorrhage 3 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
37241 OTHER Vascular Embolization Or Occlusion Venous Rs&i 3 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
37243 OTHER Vascular Embolize/occlude Organ Tumor Infarct 3 1 $28,050.00 $14,586.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
33228 OTHER Remvl Perm Pm Pls Gen W/repl Plse Gen 2 Lead Sys 3 1 $28,040.00 $14,580.80 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
0679T OTHER Laparoscopic Removal Lead Perm Isdss 3 1 $28,010.00 $14,565.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-05-08
33208 OTHER Ins New/rplcmt Prm Pm W/transv Eltrd Atrial&vent 3 1 $27,980.00 $14,549.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
33207 OTHER Ins New/rplc Prm Pacemaker W/transv Eltrd Ventr 3 1 $27,650.00 $14,378.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
22612 OTHER Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar 3 1 $27,560.00 $14,331.20 48% off $18,243.00 $54,261.00 $22,347.00 2026-05-08
22554 OTHER Arthrd Ant Min Discect Interbody Cerv Below C2 3 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
24515 OTHER Optx Humeral Shft Fx W/plate/screws W/wocerclage 3 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
22551 OTHER Arthrd Ant Interbody Decompress Cervical Belw C2 3 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
27828 OTHER Open Treatment Fracture Distal Tibia & Fibula 3 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
27827 OTHER Open Treatment Fracture Distal Tibia Only 3 1 $27,560.00 $14,331.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
33206 OTHER Ins New/rplcmt Prm Pacemakr W/trans Eltrd Atrial 3 1 $27,330.00 $14,211.60 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
23615 OTHER Open Treatment Proximal Humeral Fracture 3 1 $25,630.00 $13,327.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
28725 OTHER Arthrodesis Subtalar 3 1 $25,110.00 $13,057.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
33213 OTHER Ins Pacemaker Pulse Gen Only W/exist Dual Leads 3 1 $24,200.00 $12,584.00 48% off $10,382.00 $30,879.00 $12,717.00 2026-05-08
C9765 OTHER Rev Evar Any Ves;iv Lithotripsy & Tl Stent Plcmt 3 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
C9766 OTHER Rev Evar Any Ves);iv Lithotripsy And Atherectomy 3 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
58552 OTHER Laps W/vag Hysterect 250 Gm/&rmvl Tube&/ovaries 3 1 $23,270.00 $12,100.40 48% off $10,328.00 $30,719.00 $12,651.00 2026-05-08
C9600 OTHER Pc Trnscth Plcmt Rx Elut Ic Stents; 1 Maj Ca/br 3 1 $22,880.00 $11,897.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
19357 OTHER Tissue Expander Placement Breast Reconstruction 3 1 $22,540.00 $11,720.80 48% off $17,260.00 $51,335.00 $21,142.00 2026-05-08
62362 OTHER Impltj/rplcmt Ithcl/edrl Drug Nfs Prgrbl Pump 3 1 $22,140.00 $11,512.80 48% off $17,533.00 $52,149.00 $21,477.00 2026-05-08
62361 OTHER Impltj/rplcmt Fs Non-prgrbl Pump 3 1 $22,140.00 $11,512.80 48% off $17,533.00 $52,149.00 $21,477.00 2026-05-08
27758 OTHER Optx Tibial Shft Fx W/plate/screws W/wo Cerclage 3 1 $22,080.00 $11,481.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
61626 OTHER Tcat Perm Occls/embolj Perq Non-cns Head/neck 3 1 $18,700.00 $9,724.00 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
54405 OTHER Insj Multi-component Inflatable Penile Prosth 3 1 $18,260.00 $9,495.20 48% off $19,968.00 $59,391.00 $24,459.00 2026-05-08
20982 OTHER Ablation Bone Tumor Rf Perq W/img Gdn When Done 3 1 $16,520.00 $8,590.40 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
22633 OTHER Arthrodesis Combined Tq 1ntrspc Lumbar 3 1 $16,220.00 $8,434.40 48% off $18,243.00 $54,261.00 $22,347.00 2026-05-08
61623 OTHER Evasc Temp Balloon Artl Occlusion Head/neck 3 1 $15,440.00 $8,028.80 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
37184 OTHER Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 3 1 $15,260.00 $7,935.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-05-08
37182 OTHER Insj Transvns Intrahepatc Portosysic Shunt 3 1 $14,560.00 $7,571.20 48% off $18,579.00 $55,260.00 $22,758.00 2026-05-08
61624 OTHER Tcat Perm Occls/embolization Perq Cns 3 1 $14,110.00 $7,337.20 48% off $18,579.00 $55,260.00 $22,758.00 2026-05-08
27759 OTHER Tx Tibl Shft Fx Imed Implt W/wo Screws&/cercla 3 1 $13,630.00 $7,087.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
37187 OTHER Prq Transluminal Mechanical Thrombectomy Vein 3 1 $13,230.00 $6,879.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
69714 OTHER Impltj Oi Implt Skull Perq Attachment Esp 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
24545 OTHER Open Tx Humeral Supracondylar Fracture Without Xtn 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
23680 OTHER Open Tx Shoulder Dislocation W/neck Fracture 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
25810 OTHER Arthrodesis Wrist W/iliac/other Autograft 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
20692 OTHER Application Multiplane External Fixation System 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
29889 OTHER Arthrs Aided Pst Cruciate Ligm Rpr/agmntj/rcnstj 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
C9757 OTHER Laminotomy Decomp Nerve Root; 1 Interspace Lumb 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
28737 OTHER Arthrd W/tdn Lngth&advmnt Tarsl Nvclr-cuneifor 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
28730 OTHER Arthrd Midtarsl/tarsometatarsal Mult/transvrs 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
29867 OTHER Arthroscopy Knee Osteochondral Allograft 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
27428 OTHER Ligamentous Reconstruction Knee Intra-articular 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
C9764 OTHER Rev Evar Open/perq Any Vessel;iv Lithotripsy 3 1 $11,730.00 $6,099.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-05-08
53440 OTHER Sling Opration Corrj Male Urinary Incontinence 3 1 $11,170.00 $5,808.40 48% off $12,889.00 $38,335.00 $15,788.00 2026-05-08
28297 OTHER Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis 3 1 $10,540.00 $5,480.80 48% off $12,764.00 $37,964.00 $15,635.00 2026-05-08
Q9982 OTHER flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 2 1 $10,029.00 $5,215.08 48% off $39,696.53 $47,453.33 $43,574.93 2026-05-08
58542 OTHER Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/ovar 3 1 $8,960.00 $4,659.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-05-08
58572 OTHER Laparoscopy Total Hysterectomy Uterus >250 Gm 3 1 $8,960.00 $4,659.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-05-08
58571 OTHER Laps Total Hysterect 250 Gm/< W/rmvl Tube/ovary 3 1 $8,530.00 $4,435.60 48% off $10,328.00 $30,719.00 $12,651.00 2026-05-08
J3391 OTHER "Inj, Atidarsagene Autotemcel" 3 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-05-08
J1414 OTHER Beqvez (fidanacogene Elaparvovec-dz 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-05-08
J1411 OTHER "Inj, Hemgenix, Per Tx Dose" 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-05-08
J1413 OTHER Inj Delandistrogene Mox Rokl 3 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-05-08
J3394 OTHER "Inj, Lovotibeglogene Autotem" 3 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-05-08
J3393 OTHER "Inj, Betibeglogene Autotemce" 3 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-05-08
J3399 OTHER Inj Onase Abepar-xioi Treat 3 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-05-08
J3392 OTHER Casgevy (exagamglogene Autotemcel) 3 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-05-08
Q2057 OTHER Tecelra (afamitresgene Autoleucel) 3 1 — — $792,430.00 $792,430.00 $792,430.00 2026-05-08
Q2056 OTHER Ciltacabtagene Car-pos T 3 1 — — $605,288.00 $605,288.00 $605,288.00 2026-05-08
Q2055 OTHER Idecabtagene Vicleucel Car 3 1 — — $575,861.00 $575,861.00 $575,861.00 2026-05-08
Q2054 OTHER Lisocabtagene Mara Car Pos T 3 1 — — $567,588.00 $567,588.00 $567,588.00 2026-05-08
Q2042 OTHER Tisagenlecleucel Car-pos T 3 1 — — $557,936.00 $557,936.00 $557,936.00 2026-05-08
Q2041 OTHER Axicabtagene Ciloleucel Car+ 3 1 — — $548,902.00 $548,902.00 $548,902.00 2026-05-08
Q2053 OTHER Brexucabtagene Car Pos T 3 1 — — $503,580.00 $503,580.00 $503,580.00 2026-05-08
Q2058 OTHER Obecbtge Autol Up To 400 Mil 3 1 — — $294,709.00 $294,709.00 $294,709.00 2026-05-08
38240 OTHER Transplt Allo Hct/donor 3 1 — — $58,671.00 $174,504.00 $71,867.00 2026-05-08
J9029 OTHER "Instill Adstiladrin, Tx Dose" 3 1 — — $63,431.00 $106,564.00 $63,431.00 2026-05-08
Q2043 OTHER Sipuleucel-t Auto Cd54+ 3 1 — — $55,946.00 $93,989.00 $55,946.00 2026-05-08
33276 OTHER Insj Phrnc Nrv Stim Sys 3 1 — — $44,641.00 $132,777.00 $54,682.00 2026-05-08
A9699 OTHER Radiopharmaceutical Therapeutic Noc 3 1 — — $52,618.00 $88,398.00 $52,618.00 2026-05-08
J9226 OTHER Supprelin La Implant 3 1 — — $45,560.00 $76,541.00 $45,560.00 2026-05-08
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 1 — — $31,806.00 $94,600.00 $38,960.00 2026-05-08
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-05-08
61886 OTHER Implant Neurostim Arrays 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-05-08
63685 OTHER Ins/rplc Spi Npg/rcvr Pocket 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-05-08
33287 OTHER Rmv&rplcmt Phrnc Nrv Stim Pg 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-05-08
J9266 OTHER Pegaspargase Injection 3 1 — — $28,424.00 $47,752.00 $28,424.00 2026-05-08
0409T OTHER Insj/rplc Car Modulj Pls Gn 3 1 — — $22,267.00 $66,229.00 $27,275.00 2026-05-08
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 3 1 — — $22,267.00 $66,229.00 $27,275.00 2026-05-08
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 1 — — $22,267.00 $66,229.00 $27,275.00 2026-05-08
0515T OTHER Insj Wcs Lv Compl Sys 3 1 — — $22,267.00 $66,229.00 $27,275.00 2026-05-08
64580 OTHER Opn Impltj Nea Neuromuscular 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
61891 OTHER Rev/rplcmt Sk-mnt Crnl Nstm 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
63655 OTHER Implant Neuroelectrodes 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
61885 OTHER Insrt/redo Neurostim 1 Array 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-05-08
54410 OTHER Remove/replace Penis Prosth 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
53445 OTHER Insert Uro/ves Nck Sphincter 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
53444 OTHER Insert Tandem Cuff 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
53447 OTHER Remove/replace Ur Sphincter 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
54401 OTHER Insert Self-contd Prosthesis 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
54411 OTHER Remov/replc Penis Pros Comp 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
54416 OTHER Remv/repl Penis Contain Pros 3 1 — — $19,968.00 $59,391.00 $24,459.00 2026-05-08
J9600 OTHER Porfimer Sodium Injection 3 1 — — $24,229.00 $40,704.00 $24,229.00 2026-05-08
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0525T OTHER Insj/rplcmt Compl Iims 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-05-08
37273 OTHER Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37292 OTHER Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37286 OTHER Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37275 OTHER Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37284 OTHER Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37271 OTHER Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37288 OTHER Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37277 OTHER Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
37290 OTHER Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-05-08
27278 OTHER Arthrd Si Jt Prq Wo Tfxj Dev 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
25446 OTHER Arthrp W/prostc Dst Rds&crps 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
22630 OTHER Arthrd Pst Tq 1ntrspc Lum 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
24361 OTHER Reconstruct Elbow Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
22867 OTHER Insj Stablj Dev W/dcmprn 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
20696 OTHER App Mltpln Uni Xtrnl Fix 1st 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
23616 OTHER Optx Prx Hmrl Fx Fix Rpr Rpl 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
21243 OTHER Reconstruction Of Jaw Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
27702 OTHER Reconstruct Ankle Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
24363 OTHER Replace Elbow Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
24371 OTHER Revise Reconst Elbow Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
28705 OTHER Arthrodesis Pantalar 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
25442 OTHER Arthrp W/prostc Dstl Ulna 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
23472 OTHER Reconstruct Shoulder Joint 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
27279 OTHER Arthrd Si Jt Perq/min Nvas 3 1 — — $18,243.00 $54,261.00 $22,347.00 2026-05-08
0238T OTHER Trluml Perip Athrc Iliac Art 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-05-08
0632T OTHER Perq Tcat US Abltj Nrv P-art 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-05-08
C9797 OTHER Vasc Emb/occ W/prs-gen Cath 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-05-08
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-05-08
0888T OTHER Histotripsy Mal Renal Tissue 3 1 — — $17,361.00 $51,637.00 $21,266.00 2026-05-08
C9782 OTHER Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 3 1 — — $17,361.00 $51,637.00 $21,266.00 2026-05-08
66683 OTHER Implantation Iris Prosthesis 3 1 — — $16,286.00 $48,438.00 $19,948.00 2026-05-08
0308T OTHER Insj Ocular Telescope Prosth 3 1 — — $16,286.00 $48,438.00 $19,948.00 2026-05-08
67027 OTHER Implant Eye Drug System 3 1 — — $15,242.00 $45,335.00 $18,671.00 2026-05-08
65770 OTHER Keratoprosthesis 3 1 — — $14,175.00 $42,162.00 $17,364.00 2026-05-08
55882 OTHER Ablt Trurl Prst8 Tis Trnsdcr 3 1 — — $12,889.00 $38,335.00 $15,788.00 2026-05-08
54417 OTHER Remv/replc Penis Pros Compl 3 1 — — $12,889.00 $38,335.00 $15,788.00 2026-05-08
54400 OTHER Insert Semi-rigid Prosthesis 3 1 — — $12,889.00 $38,335.00 $15,788.00 2026-05-08
24516 OTHER Treat Humerus Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24587 OTHER Treat Elbow Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24802 OTHER Fusion/graft Of Elbow Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24586 OTHER Treat Elbow Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24346 OTHER Reconstruct Elbow Med Ligmnt 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24435 OTHER Repair Humerus With Graft 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27130 OTHER Total Hip Arthroplasty 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24498 OTHER Reinforce Humerus 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
69729 OTHER Impl Oi Implt Sk Tc Esp>=100 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
69730 OTHER Rplc Oi Implt Sk Tc Esp>=100 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
0737T OTHER Xenograft Impltj Artclr Surf 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24410 OTHER Revision Of Humerus 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
22869 OTHER Insj Stablj Dev Without Dcmprn 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27429 OTHER Reconstruction Knee 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27415 OTHER Osteochondral Knee Allograft 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
C9781 OTHER Arthrosc Shldr Sx; W/imp Sa Spacer 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
28735 OTHER Fusion Of Foot Bones 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
23470 OTHER Reconstruct Shoulder Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
23802 OTHER Arthrd Glenohumeral Jt W/grf 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24430 OTHER Repair Of Humerus 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
25365 OTHER Revise Radius & Ulna 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24366 OTHER Reconstruct Head Of Radius 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27441 OTHER Revision Of Knee Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24362 OTHER Reconstruct Elbow Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27447 OTHER Total Knee Arthroplasty 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24365 OTHER Reconstruct Head Of Radius 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27870 OTHER Fusion Of Ankle Joint Open 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24370 OTHER Revise Reconst Elbow Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24575 OTHER Treat Humerus Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24666 OTHER Treat Radius Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
25444 OTHER Arthrp W/prostc Lunate 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
25491 OTHER Prophylactic Tx Ulna 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
25441 OTHER Arthrp W/prostc Dstl Rds 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
29907 OTHER Subtalar Arthro W/fusion 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
25391 OTHER Lengthen Radius Or Ulna 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24546 OTHER Treat Humerus Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
23485 OTHER Revision Of Collar Bone 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
23491 OTHER Reinforce Shoulder Bones 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
C9734 OTHER Focused U/s Abl/tx Int Oth Than Ul 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
29856 OTHER Tibial Arthroscopy/surgery 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
28715 OTHER Arthrodesis Triple 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
23473 OTHER Revis Reconst Shoulder Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27871 OTHER Fusion Of Tibiofibular Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27709 OTHER Osteotomy Tibia & Fibula 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
28320 OTHER Repair Of Foot Bones 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
28420 OTHER Treat/graft Heel Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27442 OTHER Revision Of Knee Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
24579 OTHER Treat Humerus Fracture 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27443 OTHER Revision Of Knee Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27438 OTHER Revise Kneecap With Implant 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27356 OTHER Remove Femur Lesion/graft 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27440 OTHER Revision Of Knee Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
27446 OTHER Revision Of Knee Joint 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-05-08
61888 OTHER Revise/remove Neuroreceiver 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
0784T OTHER Ins/rplmt Eltrd Ra Spi Nstim 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
61715 OTHER Mrgfus Strtctc Ablt Trgt Icr 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
64596 OTHER Ins/rplcmt Prq Eltrd Ra Pn 1 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
43647 OTHER Lap Impl Electrode Antrum 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
64575 OTHER Opn Impltj Nea Perph Nerve 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
63664 OTHER Revise Spine Eltrd Plate 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
33288 OTHER Rmv&rplcmt Phrnc Nrv Stim Ld 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
64553 OTHER Implant Neuroelectrodes 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
64569 OTHER Revise/repl Vagus N Eltrd 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
0675T OTHER Laps Insj Nw/rpcmt Isdss 1ld 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-05-08
37296 OTHER Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37298 OTHER Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37280 OTHER Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37282 OTHER Revsc Evasc Tpvt Angiop Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37269 OTHER Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37258 OTHER Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37260 OTHER Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
37267 OTHER Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-05-08
0237T OTHER Trluml Perip Athrc Brchiocph 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-05-08
0236T OTHER Trluml Perip Athrc Abd Aorta 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-05-08
0234T OTHER Trluml Perip Athrc Renal Art 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-05-08
C9783 OTHER Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-05-08
0505T OTHER Ev Fempop Artl Revsc 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-05-08
55869 OTHER Laps Surg Prst8ect Rpbic Rad W/bi Pel Lymphadec 3 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-05-08
55868 OTHER Laps Surg Prst8ect Rpbic Radical W/lymph Node Bx 3 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-05-08
0519T OTHER Rmv&rplcmt Pg Wcs Lv Both 3 1 — — $10,382.00 $30,879.00 $12,717.00 2026-05-08
0517T OTHER Insj Wcs Lv Both Compnt Pg 3 1 — — $10,382.00 $30,879.00 $12,717.00 2026-05-08
0520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 3 1 — — $10,382.00 $30,879.00 $12,717.00 2026-05-08
0516T OTHER Insj Wcs Lv Eltrd Only 3 1 — — $10,382.00 $30,879.00 $12,717.00 2026-05-08
58554 OTHER Laparo-vag Hyst W/t/o Compl 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58546 OTHER Laparo-myomectomy Complex 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58553 OTHER Laparo-vag Hyst Complex 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58570 OTHER Tlh Uterus 250 G Or Less 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58544 OTHER Lsh W/t/o Uterus Above 250 G 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58541 OTHER Lsh Uterus 250 G Or Less 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
0601T OTHER Ire Abltj 1+tumors Open 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
58543 OTHER Lsh Uterus Above 250 G 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-05-08
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