Price Transparencybeta Hospital negotiated rates

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

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Hospital

SPANISH PEAKS REGIONAL HEALTH CENTER

Walsenburg, CO · CCN 061316 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,546 across 18 payers · range $670-$1,718

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSPMCWALSENBURGCO&type=CDMWithoutLabel · observed 2026-02-17

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

7,561 distinct procedures filed
18 distinct payers
155,248 rate rows
2026-02-17 last MRF observed
Data quality

135,219 of 155,248 rate rows are consumer-grade (87.1%)

20,029 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 17,876
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,067
exceeds 10× this hospital's gross charge — excluded from medians 532
per-diem day rate — not a per-procedure price 509
percent-of-charges filed in the dollar field — excluded from medians 32
exceeds 3× this hospital's gross charge for a DRG stay — excluded 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSPMCWALSENBURGCO&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 40cddce9d3f27522… · 54,747,326 bytes · first seen 2026-05-07

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
432
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Mcc 1 $110,127.09 $110,127.09 $110,127.09 nat. median
$18,829
outlier · 5.8×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 $80,152.35 $80,152.35 $80,152.35 nat. median
$12,851
outlier · 6.2×
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 1 $73,670.63 $73,670.63 $73,670.63 nat. median
$12,282
outlier · 6.0×
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 $72,935.04 $72,935.04 $72,935.04 nat. median
$16,931
outlier · 4.3×
643
MS_DRG 		Endocrine Disorders With Mcc 1 $62,142.56 $62,142.56 $62,142.56 nat. median
$15,932
outlier · 3.9×
603
MS_DRG 		Cellulitis Without Mcc 1 $60,774.79 $60,774.79 $60,774.79 nat. median
$8,991
outlier · 6.8×
291
MS_DRG 		Heart Failure And Shock With Mcc 1 $53,632.92 $53,632.92 $53,632.92 nat. median
$12,775
outlier · 4.2×
383
MS_DRG 		Uncomplicated Peptic Ulcer With Mcc 1 $51,876.06 $51,876.06 $51,876.06 nat. median
$13,199
outlier · 3.9×
698
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Mcc 1 $50,824.68 $50,824.68 $50,824.68 nat. median
$15,915
outlier · 3.2×
594
MS_DRG 		Skin Ulcers Without Cc/mcc 1 $49,983.01 $49,983.01 $49,983.01 nat. median
$9,011
outlier · 5.5×
191
MS_DRG 		Chronic Obstructive Pulmonary Disease With Cc 1 $49,223.13 $49,223.13 $49,223.13 nat. median
$8,851
outlier · 5.6×
948
MS_DRG 		Signs And Symptoms Without Mcc 1 $48,449.91 $48,449.91 $48,449.91 nat. median
$7,971
outlier · 6.1×
355
MS_DRG 		Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 1 $46,953.58 $46,953.58 $46,953.58 nat. median
$13,411
outlier · 3.5×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $46,705.03 $46,705.03 $46,705.03 nat. median
$16,477
outlier · 2.8×
372
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 $43,758.79 $43,758.79 $43,758.79 nat. median
$10,422
outlier · 4.2×
203
MS_DRG 		Bronchitis And Asthma Without Cc/mcc 1 $42,674.69 $42,674.69 $42,674.69 nat. median
$7,248
outlier · 5.9×
139
MS_DRG 		Salivary Gland Procedures 1 $42,511.19 $42,511.19 $42,511.19 nat. median
$12,801
outlier · 3.3×
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 1 $42,487.91 $42,487.91 $42,487.91 nat. median
$12,877
outlier · 3.3×
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 1 $41,215.59 $41,215.59 $41,215.59 nat. median
$15,405
outlier · 2.7×
121
MS_DRG 		Acute Major Eye Infections With Cc/mcc 1 $40,170.62 $40,170.62 $40,170.62 nat. median
$11,743
outlier · 3.4×
602
MS_DRG 		Cellulitis With Mcc 1 $39,944.51 $39,944.51 $39,944.51 nat. median
$14,036
outlier · 2.8×
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/mcc 1 $36,741.05 $36,741.05 $36,741.05 nat. median
$8,475
outlier · 4.3×
604
MS_DRG 		Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 $36,505.97 $36,505.97 $36,505.97 nat. median
$14,413
outlier · 2.5×
908
MS_DRG 		Other O.r. Procedures For Injuries With Cc 1 $30,150.88 $30,150.88 $30,150.88 nat. median
$19,340
1.6× median
699
MS_DRG 		Other Kidney And Urinary Tract Diagnoses With Cc 1 $29,577.91 $29,577.91 $29,577.91 nat. median
$10,325
outlier · 2.9×
249
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 $29,112.33 $29,112.33 $29,112.33 nat. median
$11,553
outlier · 2.5×
593
MS_DRG 		Skin Ulcers With Cc 1 $28,265.38 $28,265.38 $28,265.38 nat. median
$11,952
outlier · 2.4×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $25,846.74 $25,846.74 $25,846.74 nat. median
$31,618
0.8× median
617
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 $25,605.94 $25,605.94 $25,605.94 nat. median
$18,303
1.4× median
552
MS_DRG 		Medical Back Problems Without Mcc 1 $25,339.12 $25,339.12 $25,339.12 nat. median
$9,833
outlier · 2.6×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 18 $7,441.38 $23,482.80 $21,134.52 nat. median
$3,787
outlier · 5.6×
J9332
HCPCS 		Injection, Efgartigimod Alfa-fcab, 2mg 17 $11,470.41 $21,241.50 $19,117.35 nat. median
$112
outlier · 171.0×
37231
HCPCS 		Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 15 $11,380.50 $21,075.00 $18,967.50 nat. median
$18,375
1.0× median
37227
HCPCS 		Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 15 $10,967.94 $20,311.00 $18,279.90 nat. median
$18,411
1.0× median
J9312
HCPCS 		Injection, Rituximab, 10 Mg 18 $5,613.51 $19,905.92 $17,915.33 nat. median
$1,063
outlier · 16.9×
113
MS_DRG 		Orbital Procedures With Cc/mcc 1 $15,486.44 $15,486.44 $15,486.44 nat. median
$21,773
0.7× median
639
MS_DRG 		Diabetes Without Cc/mcc 1 $14,704.32 $14,704.32 $14,704.32 nat. median
$6,798
outlier · 2.2×
35471
HCPCS 		Repair Arterial Blockage 14 $8,808.48 $16,312.00 $14,680.80 nat. median
$5,097
outlier · 2.9×
37230
HCPCS 		Insertion Of Stent In Artery Of Leg, Initial Vessel 15 $8,711.28 $16,132.00 $14,518.80 nat. median
$16,909
0.9× median
37229
HCPCS 		Removal Of Plaque In Artery Of Leg, Initial Vessel 15 $8,656.74 $16,031.00 $14,427.90 nat. median
$17,132
0.8× median
37225
HCPCS 		Removal Of Plaque In Arteries Of Leg 15 $8,557.38 $15,847.00 $14,262.30 nat. median
$16,454
0.9× median
37243
HCPCS 		Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 15 $8,361.90 $15,833.77 $13,936.50 nat. median
$12,450
1.1× median
J2508
HCPCS 		Injection, Pegunigalsidase Alfa-iwxj, 1 Mg 17 $8,206.14 $15,196.55 $13,676.90 nat. median
$326
outlier · 42.0×
33400
HCPCS 		Repair Of Aortic Valve 14 $8,039.52 $14,888.00 $13,399.20 nat. median
$4,912
outlier · 2.7×
37226
HCPCS 		Insertion Of Stent In Arteries Of Leg 15 $7,984.44 $15,833.77 $13,307.40 nat. median
$12,723
1.0× median
90375
HCPCS 		Rabies Immune Globulin For Injection 18 $2,083.60 $14,290.36 $12,861.32 nat. median
$1,052
outlier · 12.2×
61332
HCPCS 		Explore/biopsy Eye Socket 15 $5,560.45 $13,117.00 $11,805.30 nat. median
$2,715
outlier · 4.3×
61480
HCPCS 		Incise Skull For Surgery 15 $5,560.45 $12,830.00 $11,547.00 nat. median
$2,646
outlier · 4.4×
37242
HCPCS 		Occlusion Of Artery With Review By Radiologist 15 $6,927.12 $15,833.77 $11,545.20 nat. median
$16,874
0.7× median
61610
HCPCS 		Transect Artery Sinus 15 $6,734.34 $12,471.00 $11,223.90 nat. median
$2,779
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 7,561 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 1 1 $38,352.09 $34,516.88 $110,127.09 $110,127.09 $110,127.09 2026-02-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 $32,302.35 $29,072.12 $80,152.35 $80,152.35 $80,152.35 2026-02-17
189 MS_DRG Pulmonary Edema And Respiratory Failure 1 1 $33,795.63 $30,416.07 $73,670.63 $73,670.63 $73,670.63 2026-02-17
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 1 1 $25,085.04 $22,576.54 $72,935.04 $72,935.04 $72,935.04 2026-02-17
643 MS_DRG Endocrine Disorders With Mcc 1 1 $30,242.56 $27,218.30 $62,142.56 $62,142.56 $62,142.56 2026-02-17
603 MS_DRG Cellulitis Without Mcc 1 1 $20,899.79 $18,809.81 $60,774.79 $60,774.79 $60,774.79 2026-02-17
291 MS_DRG Heart Failure And Shock With Mcc 1 1 $21,732.92 $19,559.63 $53,632.92 $53,632.92 $53,632.92 2026-02-17
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 $19,976.06 $17,978.45 $51,876.06 $51,876.06 $51,876.06 2026-02-17
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 1 1 $18,924.68 $17,032.21 $50,824.68 $50,824.68 $50,824.68 2026-02-17
594 MS_DRG Skin Ulcers Without Cc/mcc 1 1 $18,083.01 $16,274.71 $49,983.01 $49,983.01 $49,983.01 2026-02-17
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 $17,323.13 $15,590.82 $49,223.13 $49,223.13 $49,223.13 2026-02-17
948 MS_DRG Signs And Symptoms Without Mcc 1 1 $16,549.91 $14,894.92 $48,449.91 $48,449.91 $48,449.91 2026-02-17
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 1 1 $23,028.58 $20,725.72 $46,953.58 $46,953.58 $46,953.58 2026-02-17
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 $22,780.03 $20,502.03 $46,705.03 $46,705.03 $46,705.03 2026-02-17
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 1 1 $19,833.79 $17,850.41 $43,758.79 $43,758.79 $43,758.79 2026-02-17
203 MS_DRG Bronchitis And Asthma Without Cc/mcc 1 1 $18,749.69 $16,874.72 $42,674.69 $42,674.69 $42,674.69 2026-02-17
139 MS_DRG Salivary Gland Procedures 1 1 $18,586.19 $16,727.57 $42,511.19 $42,511.19 $42,511.19 2026-02-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 1 1 $18,562.91 $16,706.62 $42,487.91 $42,487.91 $42,487.91 2026-02-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 1 1 $17,290.59 $15,561.53 $41,215.59 $41,215.59 $41,215.59 2026-02-17
121 MS_DRG Acute Major Eye Infections With Cc/mcc 1 1 $16,245.62 $14,621.06 $40,170.62 $40,170.62 $40,170.62 2026-02-17
602 MS_DRG Cellulitis With Mcc 1 1 $16,019.51 $14,417.55 $39,944.51 $39,944.51 $39,944.51 2026-02-17
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 1 1 $12,816.05 $11,534.45 $36,741.05 $36,741.05 $36,741.05 2026-02-17
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 $12,580.97 $11,322.87 $36,505.97 $36,505.97 $36,505.97 2026-02-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 1 1 $14,200.88 $12,780.79 $30,150.88 $30,150.88 $30,150.88 2026-02-17
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 $13,627.91 $12,265.12 $29,577.91 $29,577.91 $29,577.91 2026-02-17
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 $13,162.33 $11,846.09 $29,112.33 $29,112.33 $29,112.33 2026-02-17
593 MS_DRG Skin Ulcers With Cc 1 1 $12,315.38 $11,083.84 $28,265.38 $28,265.38 $28,265.38 2026-02-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 $9,896.74 $8,907.07 $25,846.74 $25,846.74 $25,846.74 2026-02-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 $9,655.94 $8,690.35 $25,605.94 $25,605.94 $25,605.94 2026-02-17
552 MS_DRG Medical Back Problems Without Mcc 1 1 $9,389.12 $8,450.20 $25,339.12 $25,339.12 $25,339.12 2026-02-17
J3101 HCPCS Injection, Tenecteplase, 1 Mg 18 18 $23,482.80 $21,134.52 $7,441.38 $23,482.80 $21,134.52 2026-02-17
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 17 17 $21,241.50 $19,117.35 $11,470.41 $21,241.50 $19,117.35 2026-02-17
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 15 15 $21,075.00 $18,967.50 $11,380.50 $21,075.00 $18,967.50 2026-02-17
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 15 15 $20,311.00 $18,279.90 $10,967.94 $20,311.00 $18,279.90 2026-02-17
J9312 HCPCS Injection, Rituximab, 10 Mg 18 18 $19,905.92 $17,915.33 $5,613.51 $19,905.92 $17,915.33 2026-02-17
113 MS_DRG Orbital Procedures With Cc/mcc 1 1 $7,511.44 $6,760.30 $15,486.44 $15,486.44 $15,486.44 2026-02-17
639 MS_DRG Diabetes Without Cc/mcc 1 1 $6,729.32 $6,056.38 $14,704.32 $14,704.32 $14,704.32 2026-02-17
35471 HCPCS Repair Arterial Blockage 14 14 $16,312.00 $14,680.80 $8,808.48 $16,312.00 $14,680.80 2026-02-17
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 15 15 $16,132.00 $14,518.80 $8,711.28 $16,132.00 $14,518.80 2026-02-17
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 15 15 $16,031.00 $14,427.90 $8,656.74 $16,031.00 $14,427.90 2026-02-17
37225 HCPCS Removal Of Plaque In Arteries Of Leg 15 15 $15,847.00 $14,262.30 $8,557.38 $15,847.00 $14,262.30 2026-02-17
37243 HCPCS Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 15 15 $15,485.00 $13,936.50 $8,361.90 $15,833.77 $13,936.50 2026-02-17
J2508 HCPCS Injection, Pegunigalsidase Alfa-iwxj, 1 Mg 17 17 $15,196.55 $13,676.90 $8,206.14 $15,196.55 $13,676.90 2026-02-17
33400 HCPCS Repair Of Aortic Valve 14 14 $14,888.00 $13,399.20 $8,039.52 $14,888.00 $13,399.20 2026-02-17
37226 HCPCS Insertion Of Stent In Arteries Of Leg 15 15 $14,786.00 $13,307.40 $7,984.44 $15,833.77 $13,307.40 2026-02-17
90375 HCPCS Rabies Immune Globulin For Injection 18 18 $14,290.36 $12,861.32 $2,083.60 $14,290.36 $12,861.32 2026-02-17
61332 HCPCS Explore/biopsy Eye Socket 15 15 $13,117.00 $11,805.30 $5,560.45 $13,117.00 $11,805.30 2026-02-17
61480 HCPCS Incise Skull For Surgery 15 15 $12,830.00 $11,547.00 $5,560.45 $12,830.00 $11,547.00 2026-02-17
37242 HCPCS Occlusion Of Artery With Review By Radiologist 15 15 $12,828.00 $11,545.20 $6,927.12 $15,833.77 $11,545.20 2026-02-17
61610 HCPCS Transect Artery Sinus 15 15 $12,471.00 $11,223.90 $6,734.34 $12,471.00 $11,223.90 2026-02-17
31582 HCPCS Revision Of Larynx 14 14 $12,199.00 $10,979.10 $6,587.46 $12,199.00 $10,979.10 2026-02-17
37244 HCPCS Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 15 15 $11,801.00 $10,620.90 $6,372.54 $15,833.77 $10,620.90 2026-02-17
35472 HCPCS Repair Arterial Blockage 14 14 $11,751.00 $10,575.90 $6,345.54 $11,751.00 $10,575.90 2026-02-17
61612 HCPCS Transect Artery Sinus 15 15 $11,717.00 $10,545.30 $6,327.18 $11,717.00 $10,545.30 2026-02-17
36870 HCPCS Percut Thrombect Av Fistula 14 14 $11,708.00 $10,537.20 $6,322.32 $11,708.00 $10,537.20 2026-02-17
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 18 18 $11,243.00 $10,118.70 $6,071.22 $11,461.44 $10,118.70 2026-02-17
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 18 18 $10,673.40 $9,606.06 $1,620.42 $10,673.40 $9,606.06 2026-02-17
47383 HCPCS Destruction Of Growth Of Liver Through Skin Using Freezing 15 15 $10,662.00 $9,595.80 $5,757.48 $10,662.00 $9,595.80 2026-02-17
37183 HCPCS Revision Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 15 15 $10,530.00 $9,477.00 $5,686.20 $10,530.00 $9,477.00 2026-02-17
33860 HCPCS Ascending Aorta Graft, With Cardiopulmonary Bypass, Includes Valve Suspension, W… 15 15 $10,484.00 $9,435.60 $5,661.36 $17,022.38 $9,435.60 2026-02-17
22513 HCPCS Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using… 15 15 $10,307.00 $9,276.30 $5,565.78 $10,307.00 $9,276.30 2026-02-17
22514 HCPCS Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device 15 15 $10,260.00 $9,234.00 $5,540.40 $10,260.00 $9,234.00 2026-02-17
55873 HCPCS Destruction Of Prostate Using Imaging Guidance 15 15 $10,204.00 $9,183.60 $5,510.16 $10,204.00 $9,183.60 2026-02-17
35475 HCPCS Repair Arterial Blockage 14 14 $9,941.00 $8,946.90 $5,368.14 $9,941.00 $8,946.90 2026-02-17
36906 HCPCS Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 15 15 $9,772.00 $8,794.80 $5,276.88 $15,833.77 $8,794.80 2026-02-17
33403 HCPCS Valvuloplasty W/cp Bypass 14 14 $9,696.00 $8,726.40 $5,235.84 $9,696.00 $8,726.40 2026-02-17
33401 HCPCS Valvuloplasty Open 14 14 $9,443.00 $8,498.70 $5,099.22 $9,443.00 $8,498.70 2026-02-17
39503 HCPCS Repair Of Congenital Defect Of Muscle Separating Chest And Abdominal Cavities, N… 15 15 $9,171.00 $8,253.90 $4,952.34 $10,030.90 $8,253.90 2026-02-17
20983 HCPCS Freezing Of Growth Of Bone And Adjacent Soft Tissue 15 15 $9,119.00 $8,207.10 $2,518.07 $9,119.00 $8,207.10 2026-02-17
35476 HCPCS Repair Venous Blockage 14 14 $9,112.00 $8,200.80 $4,920.48 $9,112.00 $8,200.80 2026-02-17
32994 HCPCS Destruction Of Growth Of Lung Using Extreme Cold 15 15 $8,818.00 $7,936.20 $4,761.72 $8,818.00 $7,936.20 2026-02-17
47135 HCPCS Transplantation Of Donor Liver 15 15 $8,653.00 $7,787.70 $4,672.62 $8,653.00 $7,787.70 2026-02-17
34803 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,504.00 $7,653.60 $4,592.16 $8,504.00 $7,653.60 2026-02-17
37241 HCPCS Occlusion Of Vein With Review By Radiologist 15 15 $8,379.00 $7,541.10 $4,524.66 $15,833.77 $7,541.10 2026-02-17
34804 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,216.00 $7,394.40 $4,436.64 $8,216.00 $7,394.40 2026-02-17
34802 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $8,201.00 $7,380.90 $4,428.54 $8,201.00 $7,380.90 2026-02-17
63615 HCPCS Remove Lesion Of Spinal Cord 15 15 $8,179.00 $7,361.10 $1,234.63 $8,179.00 $7,361.10 2026-02-17
33285 HCPCS Insertion Of Heart Rhythm Monitor Under Skin 15 15 $7,898.00 $7,108.20 $4,264.92 $11,978.88 $7,108.20 2026-02-17
49605 HCPCS Repair Of Large Defect Of Abdominal Wall At Navel 15 15 $7,883.00 $7,094.70 $4,256.82 $7,883.00 $7,094.70 2026-02-17
34805 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $7,849.00 $7,064.10 $4,238.46 $7,849.00 $7,064.10 2026-02-17
43116 HCPCS Partial Removal Of Upper Esophagus With Reconstruction Using Bowel Graft 15 15 $7,839.00 $7,055.10 $4,233.06 $7,839.00 $7,055.10 2026-02-17
33935 HCPCS Transplantation Of Donor Heart And Lung 15 15 $7,775.00 $6,997.50 $4,198.50 $7,775.00 $6,997.50 2026-02-17
36903 HCPCS Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 15 15 $7,734.00 $6,960.60 $4,176.36 $15,833.77 $6,960.60 2026-02-17
36566 HCPCS Insertion Of 2 Central Venous Tubes In 2 Veins With Port 15 15 $7,674.00 $6,906.60 $3,170.52 $7,674.00 $6,906.60 2026-02-17
33945 HCPCS Transplantation Of Donor Heart 15 15 $7,665.00 $6,898.50 $4,139.10 $7,665.00 $6,898.50 2026-02-17
C1783 HCPCS Ocular Implant, Aqueous Drainage Assist Device 17 17 $7,650.00 $6,885.00 $4,131.00 $7,650.00 $6,885.00 2026-02-17
47540 HCPCS Placement Of Stent And Drainage Tube Of Biliary Duct Using Imaging Guidance With… 15 15 $7,640.00 $6,876.00 $4,125.60 $9,211.04 $6,876.00 2026-02-17
32854 HCPCS Transplantation Of 2 Lungs On Heart-lung Machine 14 14 $7,636.00 $6,872.40 $4,123.44 $7,636.00 $6,872.40 2026-02-17
47539 HCPCS Placement Of Stent Of Biliary Duct Through New Skin Access Using Imaging With Re… 15 15 $7,543.00 $6,788.70 $3,635.88 $7,543.00 $6,788.70 2026-02-17
47142 HCPCS Removal Of Right Lobe Of Donor Liver 15 15 $7,538.00 $6,784.20 $4,070.52 $7,538.00 $6,784.20 2026-02-17
37228 HCPCS Balloon Dilation Of Artery Of Leg, Initial Vessel 15 15 $7,445.00 $6,700.50 $4,020.30 $8,507.16 $6,700.50 2026-02-17
34800 HCPCS Endovascular Repair Of Infrarenal Abdominal Aortic Aneurysm Or Dissection; Using… 14 14 $7,428.00 $6,685.20 $4,011.12 $7,428.00 $6,685.20 2026-02-17
31599 HCPCS Other Procedure On Voice Box 15 15 $7,336.00 $6,602.40 $1,326.01 $7,336.00 $6,602.40 2026-02-17
61698 HCPCS Repair Of Complex Aneurysm Of Back Of Brain Artery 15 15 $7,306.00 $6,575.40 $3,945.24 $7,306.00 $6,575.40 2026-02-17
21215 HCPCS Repair Of Lower Jaw Bone With Bone Graft 15 15 $7,223.00 $6,500.70 $3,900.42 $7,223.00 $6,500.70 2026-02-17
32853 HCPCS Transplantation Of 2 Lungs 15 15 $7,210.00 $6,489.00 $3,893.40 $7,210.00 $6,489.00 2026-02-17
43123 HCPCS Partial Removal Of Esophagus With Repair Using Bowel Graft 15 15 $7,110.00 $6,399.00 $3,839.40 $7,110.00 $6,399.00 2026-02-17
J0897 HCPCS Injection, Denosumab, 1 Mg 18 18 $7,106.59 $6,395.93 $1,303.61 $7,106.59 $6,395.93 2026-02-17
61686 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Lower Brain 15 15 $7,095.00 $6,385.50 $3,831.30 $7,095.00 $6,385.50 2026-02-17
21127 HCPCS Insertion Of Bone Grafts Between Portions Of Bone To Enlarge Lower Jaw Bone 15 15 $7,081.00 $6,372.90 $3,823.74 $7,081.00 $6,372.90 2026-02-17
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 18 18 $7,047.17 $6,342.45 $3,305.11 $7,047.17 $6,342.45 2026-02-17
43108 HCPCS Removal Of Esophagus And Reconstruction Using Bowel Graft 15 15 $7,014.00 $6,312.60 $3,787.56 $7,014.00 $6,312.60 2026-02-17
37235 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Each Additional Vess… 15 15 $6,951.00 $6,255.90 $3,753.54 $15,833.77 $6,255.90 2026-02-17
47141 HCPCS Removal Of Left Liver Lobe Of Donor 15 15 $6,861.00 $6,174.90 $3,704.94 $7,180.76 $6,174.90 2026-02-17
43113 HCPCS Removal Of Esophagus Through Chest And Reconstruction Using Bowel Graft 15 15 $6,860.00 $6,174.00 $3,704.40 $6,860.00 $6,174.00 2026-02-17
47538 HCPCS Placement Of Stent Of Biliary Duct Through Existing Skin Access Using Imaging Gu… 15 15 $6,818.00 $6,136.20 $3,635.88 $6,818.00 $6,136.20 2026-02-17
46748 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $6,800.00 $6,120.00 $3,242.99 $6,800.00 $6,120.00 2026-02-17
50593 HCPCS Destruction Of Growth Of Kidney By Freezing 15 15 $6,756.00 $6,080.40 $3,648.24 $10,009.81 $6,080.40 2026-02-17
19296 HCPCS Insertion Of Expandable Tube In Breast For Radiation Treatment Using Imaging Gui… 15 15 $6,738.00 $6,064.20 $3,638.52 $6,738.00 $6,064.20 2026-02-17
36516 HCPCS Mechanical Separation Of Plasma And Abnormal Antibodies From Blood 29 15 $13,284.00 $11,955.60 $1,697.76 $13,284.00 $6,038.25 2026-02-17
61576 HCPCS Biopsy Of Brain Stem Or Upper Spinal Cord With Splitting Of Tongue And Lower Jaw… 15 15 $6,708.00 $6,037.20 $3,622.32 $6,708.00 $6,037.20 2026-02-17
6020000008_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,695.00 $6,025.50 $3,615.30 $6,360.25 $6,025.50 2026-02-17
61697 HCPCS Repair Of Complex Aneurysm Of Neck Artery 15 15 $6,675.00 $6,007.50 $3,604.50 $6,914.05 $6,007.50 2026-02-17
33916 HCPCS Removal Of Plaque From Pulmonary Artery On Heart-lung Machine 15 15 $6,574.00 $5,916.60 $3,549.96 $17,022.38 $5,916.60 2026-02-17
61682 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Upper Brain 15 15 $6,568.00 $5,911.20 $3,546.72 $6,914.05 $5,911.20 2026-02-17
47382 HCPCS Destruction Of Growth Of Liver Through Skin Using Radiofrequency 15 15 $6,529.00 $5,876.10 $3,525.66 $9,211.04 $5,876.10 2026-02-17
37234 HCPCS Insertion Of Stent In Artery Of Leg, Each Additional Vessel 15 15 $6,499.00 $5,849.10 $3,509.46 $15,833.77 $5,849.10 2026-02-17
33305 HCPCS Repair Of Wound To Heart On Heart-lung Machine 15 15 $6,435.00 $5,791.50 $3,474.90 $17,784.43 $5,791.50 2026-02-17
6020000006_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,386.00 $5,747.40 $3,448.44 $6,066.70 $5,747.40 2026-02-17
61702 HCPCS Repair Of Simple Aneurysm Of Back Of Brain Artery 15 15 $6,358.00 $5,722.20 $3,433.32 $6,914.05 $5,722.20 2026-02-17
20808 HCPCS Reattachment Of Cutoff Hand 15 15 $6,346.00 $5,711.40 $3,170.08 $6,346.00 $5,711.40 2026-02-17
46746 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $6,279.00 $5,651.10 $3,242.99 $6,279.00 $5,651.10 2026-02-17
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 18 18 $6,265.00 $5,638.50 $3,305.11 $6,265.00 $5,638.50 2026-02-17
26554 HCPCS Transfer Of 2 Toes To Hand 15 15 $6,217.00 $5,595.30 $3,357.18 $7,548.77 $5,595.30 2026-02-17
20982 HCPCS Destruction Of Growths And Adjacent Soft Tissue 15 15 $6,217.00 $5,595.30 $2,518.07 $6,217.00 $5,595.30 2026-02-17
6020000007_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $6,180.00 $5,562.00 $3,337.20 $5,871.00 $5,562.00 2026-02-17
37238 HCPCS Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 15 15 $6,140.00 $5,526.00 $3,315.60 $15,833.77 $5,526.00 2026-02-17
43124 HCPCS Removal Of Esophagus With Creation Of Artificial Opening Into Esophagus 15 15 $6,020.00 $5,418.00 $3,250.80 $6,020.00 $5,418.00 2026-02-17
46762 HCPCS Implant Artificial Sphincter 15 15 $5,998.00 $5,398.20 $3,238.92 $5,998.00 $5,398.20 2026-02-17
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 18 18 $5,997.08 $5,397.37 $3,238.42 $5,997.08 $5,397.37 2026-02-17
61520 HCPCS Removal Of Skull Bone For Removal Of Eighth Cranial Nerve Brain Growth 15 15 $5,945.00 $5,350.50 $3,210.30 $5,945.00 $5,350.50 2026-02-17
43288 HCPCS Removal Of Esophagus And Partial Removal Of Stomach Using An Endoscope For Each … 15 15 $5,945.00 $5,350.50 $3,210.30 $5,945.00 $5,350.50 2026-02-17
57112 HCPCS Vaginectomy, Complete Removal Of Vaginal Wall; With Removal Of Paravaginal Tissu… 15 15 $5,901.00 $5,310.90 $3,186.54 $8,270.84 $5,310.90 2026-02-17
34900 HCPCS Endovascular Repair Of Iliac Artery (eg, Aneurysm, Pseudoaneurysm, Arteriovenous… 14 14 $5,874.00 $5,286.60 $3,171.96 $5,874.00 $5,286.60 2026-02-17
6020000005_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $5,871.00 $5,283.90 $3,170.34 $5,577.45 $5,283.90 2026-02-17
69840 HCPCS Revision Fenestration Operation 14 14 $5,806.00 $5,225.40 $3,135.24 $5,806.00 $5,225.40 2026-02-17
61692 HCPCS Complex Repair Of Abnormal Artery-vein Connection In Membrane Covering Brain 15 15 $5,769.00 $5,192.10 $3,115.26 $6,914.05 $5,192.10 2026-02-17
47140 HCPCS Partial Removal Of Left Segment Of Donor Liver 15 15 $5,742.00 $5,167.80 $3,100.68 $7,180.76 $5,167.80 2026-02-17
43118 HCPCS Partial Removal Of Lower Esophagus Through Chest And Abdomen With Bowel Graft 15 15 $5,725.00 $5,152.50 $3,091.50 $5,884.72 $5,152.50 2026-02-17
46744 HCPCS Repair Of Defect For Single Channel Outlet Of Rectum, Vagina, And Urinary Tract … 15 15 $5,703.00 $5,132.70 $3,079.62 $5,703.00 $5,132.70 2026-02-17
33877 HCPCS Repair Of Aortic Aneurysm With Graft 15 15 $5,675.00 $5,107.50 $3,064.50 $17,022.38 $5,107.50 2026-02-17
43287 HCPCS Removal Of Lower Esophagus And Partial Removal Of Stomach Using An Endoscope 15 15 $5,637.00 $5,073.30 $3,043.98 $5,884.72 $5,073.30 2026-02-17
31298 HCPCS Dilation Of Sphenoid And Frontal Nasal Sinus Using An Endoscope 15 15 $5,611.00 $5,049.90 $1,097.21 $5,611.00 $5,049.90 2026-02-17
32852 HCPCS Transplantation Of Lung On Heart-lung Machine 14 14 $5,596.00 $5,036.40 $3,021.84 $5,596.00 $5,036.40 2026-02-17
32445 HCPCS Removal Of Lung And Lining Of Chest Cavity 15 15 $5,574.00 $5,016.60 $3,009.96 $7,503.72 $5,016.60 2026-02-17
26556 HCPCS Transfer Of Toe And Joint To Finger 15 15 $5,563.00 $5,006.70 $3,004.02 $7,548.77 $5,006.70 2026-02-17
32998 HCPCS Destruction Of Growth Of Lung Using Radiofrequency 15 15 $5,557.00 $5,001.30 $3,000.78 $7,503.72 $5,001.30 2026-02-17
47122 HCPCS Removal Of Right Liver Lobe With Partial Removal Of Left Liver Lobe 15 15 $5,513.00 $4,961.70 $2,977.02 $9,211.04 $4,961.70 2026-02-17
37221 HCPCS Insertion Of Stent In Groin Artery, Initial Vessel 15 15 $5,511.00 $4,959.90 $2,975.94 $15,833.77 $4,959.90 2026-02-17
43112 HCPCS Removal Of Esophagus Through Chest 15 15 $5,500.00 $4,950.00 $2,970.00 $5,884.72 $4,950.00 2026-02-17
33783 HCPCS Relocation Of Aorta And Repair Of Wall Between Lower Heart Chambers With Reimpla… 15 15 $5,484.00 $4,935.60 $2,961.36 $17,784.43 $4,935.60 2026-02-17
33871 HCPCS Repair Of Aortic Arch With Graft On Heart-lung Machine 29 15 $8,255.00 $7,429.50 $2,770.20 $17,022.38 $4,873.50 2026-02-17
33622 HCPCS Reconstruction Of Complex Cardiac Defects 15 15 $5,396.00 $4,856.40 $2,913.84 $17,784.43 $4,856.40 2026-02-17
61700 HCPCS Repair Of Simple Aneurysm Of Neck Artery 15 15 $5,391.00 $4,851.90 $2,911.14 $6,914.05 $4,851.90 2026-02-17
26551 HCPCS Transfer Of Great Toe To Hand 15 15 $5,386.00 $4,847.40 $2,908.44 $7,548.77 $4,847.40 2026-02-17
61616 HCPCS Removal Of Growth Or Tissue Of Skull Base Within Brain Membrane 15 15 $5,379.00 $4,841.10 $2,904.66 $6,479.40 $4,841.10 2026-02-17
69820 HCPCS Fenestration Semicircular Canal 14 14 $5,367.00 $4,830.30 $2,898.18 $5,367.00 $4,830.30 2026-02-17
33440 HCPCS Replacement Of Aortic And Pulmonary Valves And Enlargement Of Outflow Tract From… 15 15 $5,365.00 $4,828.50 $2,897.10 $17,784.43 $4,828.50 2026-02-17
61526 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Eighth Cranial Nerve Brain T… 15 15 $5,362.00 $4,825.80 $2,895.48 $5,560.45 $4,825.80 2026-02-17
26553 HCPCS Transfer Of Toe To Hand 15 15 $5,350.00 $4,815.00 $2,889.00 $7,548.77 $4,815.00 2026-02-17
36147 HCPCS Access Av Dial Grft For Eval 14 14 $5,349.00 $4,814.10 $2,888.46 $5,349.00 $4,814.10 2026-02-17
33858 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Valve Suspension… 15 15 $5,347.00 $4,812.30 $2,887.38 $17,022.38 $4,812.30 2026-02-17
61585 HCPCS Removal Of Facial Bone And Eyeball To Approach Growth Of Brain 15 15 $5,312.00 $4,780.80 $2,868.48 $6,430.16 $4,780.80 2026-02-17
22515 HCPCS Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 15 15 $5,309.00 $4,778.10 $2,866.86 $6,717.07 $4,778.10 2026-02-17
47130 HCPCS Removal Of Right Liver Lobe 15 15 $5,298.00 $4,768.20 $2,860.92 $9,211.04 $4,768.20 2026-02-17
33411 HCPCS Replacement Of Aortic Valve With Aorta Enlargement 15 15 $5,289.00 $4,760.10 $2,856.06 $17,784.43 $4,760.10 2026-02-17
61613 HCPCS Destruction Of Abnormal Blood Vessel At Skull Base 15 15 $5,282.00 $4,753.80 $2,852.28 $6,914.05 $4,753.80 2026-02-17
20805 HCPCS Reattachment Of Cutoff Forearm 15 15 $5,262.00 $4,735.80 $2,841.48 $8,192.86 $4,735.80 2026-02-17
61608 HCPCS Removal Of Growth Or Tissue Of Middle Skull Base Within Brain Membrane 15 15 $5,253.00 $4,727.70 $2,836.62 $6,479.40 $4,727.70 2026-02-17
37224 HCPCS Balloon Dilation Of Artery Of Leg 15 15 $5,228.00 $4,705.20 $2,823.12 $8,507.16 $4,705.20 2026-02-17
63182 HCPCS Laminectomy And Section Of Dentate Ligaments, With Or Without Dural Graft, Cervi… 15 15 $5,218.00 $4,696.20 $2,817.72 $18,955.73 $4,696.20 2026-02-17
47785 HCPCS Connection Of Bile Duct Within Liver To Small Bowel Using Roux-en-y Connection 15 15 $5,180.00 $4,662.00 $2,797.20 $9,211.04 $4,662.00 2026-02-17
32851 HCPCS Transplantation Of Lung 15 15 $5,165.00 $4,648.50 $2,789.10 $7,180.76 $4,648.50 2026-02-17
43117 HCPCS Partial Removal Of Lower Esophagus 15 15 $5,163.00 $4,646.70 $2,788.02 $5,884.72 $4,646.70 2026-02-17
61592 HCPCS Removal Of Cheek Bone And Skull To Approach Growth Of Brain 15 15 $5,114.00 $4,602.60 $2,761.56 $6,430.16 $4,602.60 2026-02-17
55874 HCPCS Injection Of Biodegradable Material Next To Prostate 15 15 $5,113.00 $4,601.70 $2,761.02 $6,196.47 $4,601.70 2026-02-17
33413 HCPCS Repair And Enlargement Of Blood Outflow Tract To Great Vessels From Left Or Righ… 15 15 $5,085.00 $4,576.50 $2,745.90 $17,784.43 $4,576.50 2026-02-17
33782 HCPCS Relocation Of Aorta And Repair Of Wall Between Lower Heart Chambers 15 15 $5,077.00 $4,569.30 $2,741.58 $17,784.43 $4,569.30 2026-02-17
50592 HCPCS Destruction Of Growth Of Kidney Using Radiofrequency 15 15 $5,076.00 $4,568.40 $2,741.04 $5,076.00 $4,568.40 2026-02-17
33864 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Aortic Root Remo… 15 15 $5,070.00 $4,563.00 $2,737.80 $17,022.38 $4,563.00 2026-02-17
43286 HCPCS Removal Of Esophagus And Partial Removal Of Stomach Using An Endoscope 15 15 $5,065.00 $4,558.50 $2,735.10 $5,884.72 $4,558.50 2026-02-17
61545 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Growth Of Pituitary Gland 15 15 $5,060.00 $4,554.00 $2,732.40 $5,560.45 $4,554.00 2026-02-17
66999 HCPCS Other Procedure On Front Of Eye 18 18 $5,055.00 $4,549.50 $1,326.92 $5,055.00 $4,549.50 2026-02-17
69706 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On Both Sides … 15 15 $5,040.00 $4,536.00 $2,721.60 $5,040.00 $4,536.00 2026-02-17
61521 HCPCS Removal Of Skull Bone For Removal Of Skull Base Bone Growth 15 15 $5,029.00 $4,526.10 $2,715.66 $5,560.45 $4,526.10 2026-02-17
48150 HCPCS Partial Removal Of Pancreas, Bile Duct, And Small Bowel With Connection Of Pancr… 15 15 $5,008.00 $4,507.20 $2,704.32 $9,211.04 $4,507.20 2026-02-17
69605 HCPCS Revision Mastoidectomy; With Apicectomy 15 15 $5,006.00 $4,505.40 $2,703.24 $6,595.24 $4,505.40 2026-02-17
43314 HCPCS Repair Of Congenital Defect Of Esophagus And Abnormal Drainage Tract Between Eso… 15 15 $5,002.00 $4,501.80 $2,701.08 $7,561.16 $4,501.80 2026-02-17
48153 HCPCS Near Total Removal Of Pancreas, Bile Duct, And Small Bowel With Connection Of Pa… 15 15 $4,996.00 $4,496.40 $2,697.84 $9,211.04 $4,496.40 2026-02-17
61591 HCPCS Removal Of Skull Bone Behind Ear To Approach Growth Of Brain 15 15 $4,978.00 $4,480.20 $2,688.12 $6,430.16 $4,480.20 2026-02-17
43401 HCPCS Transection Of Esophagus With Repair, For Esophageal Varices 15 15 $4,968.00 $4,471.20 $2,682.72 $5,884.72 $4,471.20 2026-02-17
61582 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Outside Brain Membrane 15 15 $4,964.00 $4,467.60 $2,680.56 $6,430.16 $4,467.60 2026-02-17
33412 HCPCS Replacement Of Aortic Valve With Enlargement At Base Of Valve 15 15 $4,960.00 $4,464.00 $2,678.40 $17,784.43 $4,464.00 2026-02-17
61590 HCPCS Removal Of Jaw Bone To Approach Growth Of Brain 15 15 $4,959.00 $4,463.10 $2,677.86 $6,430.16 $4,463.10 2026-02-17
33863 HCPCS Repair Of Ascending Aorta With Graft On Heart-lung Machine With Aortic Root Repl… 15 15 $4,955.00 $4,459.50 $2,675.70 $17,022.38 $4,459.50 2026-02-17
47125 HCPCS Removal Of Left Liver Lobe 15 15 $4,938.00 $4,444.20 $2,666.52 $9,211.04 $4,444.20 2026-02-17
41155 HCPCS Removal Of Tongue, Floor Of Mouth, Jaw Bone, Tissue, And Lymph Nodes 15 15 $4,905.00 $4,414.50 $2,648.70 $6,595.24 $4,414.50 2026-02-17
37236 HCPCS Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 15 15 $4,898.00 $4,408.20 $2,644.92 $15,833.77 $4,408.20 2026-02-17
69705 HCPCS Dilation Of Canal Between Middle Ear And Throat (eustachian Tube) On One Side Of… 15 15 $4,888.00 $4,399.20 $2,639.52 $4,888.00 $4,399.20 2026-02-17
47765 HCPCS Connection Of Bile Duct Within Liver To Small Bowel 15 15 $4,878.00 $4,390.20 $2,634.12 $9,211.04 $4,390.20 2026-02-17
61530 HCPCS Removal Of Skull Bone With Bone Flap For Removal Of Eighth Cranial Nerve Brain T… 15 15 $4,870.00 $4,383.00 $2,629.80 $5,560.45 $4,383.00 2026-02-17
33463 HCPCS Repair Of Tricuspid Valve 15 15 $4,859.00 $4,373.10 $2,623.86 $17,784.43 $4,373.10 2026-02-17
47361 HCPCS Control Of Bleeding Of Liver With Exploration, Removal Of Tissue, Suture Or Caut… 15 15 $4,844.00 $4,359.60 $2,615.76 $9,211.04 $4,359.60 2026-02-17
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 18 18 $4,841.20 $4,357.08 $761.49 $4,841.20 $4,357.08 2026-02-17
33545 HCPCS Repair Of Lower Heart Chamber Following Heart Attack 15 15 $4,840.00 $4,356.00 $2,613.60 $17,784.43 $4,356.00 2026-02-17
20973 HCPCS Placement Of Bone And Skin Flap From Big Toe With Connection Of Small Blood Vess… 15 15 $4,840.00 $4,356.00 $2,613.60 $7,548.77 $4,356.00 2026-02-17
31395 HCPCS Removal Of Voice Box And Throat, Muscle, Lymph Nodes, And Glands With Reconstruc… 15 15 $4,835.00 $4,351.50 $2,610.90 $6,595.24 $4,351.50 2026-02-17
32442 HCPCS Removal Of Lung With Portion Of Windpipe Cartilage 15 15 $4,815.00 $4,333.50 $2,600.10 $7,503.72 $4,333.50 2026-02-17
31595 HCPCS Larynx Nerve Surgery 15 15 $4,811.00 $4,329.90 $2,597.94 $5,035.17 $4,329.90 2026-02-17
63251 HCPCS Removal Of Middle Spine Bone And Artery-vein Malformation 15 15 $4,808.00 $4,327.20 $2,596.32 $18,955.73 $4,327.20 2026-02-17
63252 HCPCS Removal Of Middle And Lower Spine Bone And Artery-vein Malformation 15 15 $4,807.00 $4,326.30 $2,595.78 $18,955.73 $4,326.30 2026-02-17
61597 HCPCS Removal Of Base Skull Bone To Approach Growth Of Brain 15 15 $4,791.00 $4,311.90 $2,587.14 $6,430.16 $4,311.90 2026-02-17
66220 HCPCS Repair Eye Lesion 15 15 $4,783.00 $4,304.70 $2,582.82 $4,864.11 $4,304.70 2026-02-17
58240 HCPCS Removal Of Malignant Uterus, Cervix, Lymph Nodes, And Bladder With Transplant Of… 15 15 $4,778.00 $4,300.20 $2,580.12 $8,620.21 $4,300.20 2026-02-17
63180 HCPCS Laminectomy And Section Of Dentate Ligaments, With Or Without Dural Graft, Cervi… 15 15 $4,754.00 $4,278.60 $2,567.16 $18,955.73 $4,278.60 2026-02-17
43107 HCPCS Removal Of Esophagus 15 15 $4,728.00 $4,255.20 $2,553.12 $5,884.72 $4,255.20 2026-02-17
61583 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Within Brain Membrane 15 15 $4,719.00 $4,247.10 $2,548.26 $6,430.16 $4,247.10 2026-02-17
61606 HCPCS Removal Of Growth Or Tissue Of Lower Skull Base Within Brain Membrane 15 15 $4,703.00 $4,232.70 $2,539.62 $6,479.40 $4,232.70 2026-02-17
63250 HCPCS Removal Of Upper Spine Bone And Artery-vein Malformation 15 15 $4,702.00 $4,231.80 $2,539.08 $18,955.73 $4,231.80 2026-02-17
33548 HCPCS Restoration And Reshaping Of Left Lower Heart Chamber 15 15 $4,692.00 $4,222.80 $2,533.68 $17,784.43 $4,222.80 2026-02-17
61581 HCPCS Removal Of Nasal Sinuses To Approach Growth Of Brain With The Removal Of The Max… 15 15 $4,688.00 $4,219.20 $2,531.52 $6,430.16 $4,219.20 2026-02-17
48154 HCPCS Partial Removal Of Pancreas, Bile Duct, And Small Bowel 15 15 $4,681.00 $4,212.90 $2,527.74 $9,211.04 $4,212.90 2026-02-17
50365 HCPCS Removal Of Kidney And Transplantation Of Donor Kidney 14 14 $4,680.00 $4,212.00 $2,527.20 $4,680.00 $4,212.00 2026-02-17
43313 HCPCS Repair Of Congenital Defect Of Esophagus Through Chest 15 15 $4,668.00 $4,201.20 $2,520.72 $7,561.16 $4,201.20 2026-02-17
61584 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Without Orbital Exenteration 15 15 $4,668.00 $4,201.20 $2,520.72 $6,430.16 $4,201.20 2026-02-17
61519 HCPCS Removal Of Skull Bone For Removal Of Growth Of Lower Brain Membrane 15 15 $4,664.00 $4,197.60 $2,518.56 $5,560.45 $4,197.60 2026-02-17
48152 HCPCS Partial Removal Of Pancreas, Bile Duct, Stomach, And Small Bowel 15 15 $4,661.00 $4,194.90 $2,516.94 $9,211.04 $4,194.90 2026-02-17
61598 HCPCS Removal Of Skull Bone To Approach Growth Of Brain Or Defect At Skull Base With T… 15 15 $4,624.00 $4,161.60 $2,496.96 $6,430.16 $4,161.60 2026-02-17
21125 HCPCS Enlargement Of Lower Jaw With Implant 15 15 $4,610.00 $4,149.00 $2,489.40 $6,430.16 $4,149.00 2026-02-17
31390 HCPCS Removal Of Voice Box, Throat, Muscle, Lymph Nodes, And Glands 15 15 $4,597.00 $4,137.30 $2,482.38 $6,595.24 $4,137.30 2026-02-17
20970 HCPCS Placement Of Bone And Skin Flap From Hip Bone With Connection Of Small Blood Ves… 15 15 $4,596.00 $4,136.40 $2,481.84 $4,940.39 $4,136.40 2026-02-17
44127 HCPCS Partial Removal Of Small Bowel To Correct Congenital Defect With Reconnection An… 15 15 $4,585.00 $4,126.50 $2,475.90 $7,283.62 $4,126.50 2026-02-17
20972 HCPCS Placement Of Bone And Skin Flap From Foot Bone With Connection Of Small Blood Ve… 15 15 $4,582.00 $4,123.80 $2,474.28 $7,548.77 $4,123.80 2026-02-17
34825 HCPCS Placement Of Proximal Or Distal Extension Prosthesis For Endovascular Repair Of … 14 14 $4,576.00 $4,118.40 $2,471.04 $4,576.00 $4,118.40 2026-02-17
48105 HCPCS Removal Of Pancreatic Tissue 15 15 $4,574.00 $4,116.60 $2,469.96 $9,211.04 $4,116.60 2026-02-17
30468 HCPCS Repair Of Collapsed Nostril Using Implant In Side Of Nose 15 15 $4,571.00 $4,113.90 $2,468.34 $5,035.17 $4,113.90 2026-02-17
61615 HCPCS Removal Of Growth Or Tissue Of Skull Base Outside Brain Membrane 15 15 $4,565.00 $4,108.50 $2,465.10 $6,479.40 $4,108.50 2026-02-17
21160 HCPCS Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts And Re… 15 15 $4,562.00 $4,105.80 $2,463.48 $6,430.16 $4,105.80 2026-02-17
27194 HCPCS Treat Pelvic Ring Fracture 14 14 $4,555.00 $4,099.50 $2,459.70 $4,555.00 $4,099.50 2026-02-17
33406 HCPCS Replacement Of Aortic Valve Using Human Donor Valve On Heart-lung Machine 15 15 $4,536.00 $4,082.40 $2,449.44 $17,784.43 $4,082.40 2026-02-17
41145 HCPCS Complete Removal Of Tongue And Surrounding Lymph Nodes On Side Of Neck 15 15 $4,533.00 $4,079.70 $2,447.82 $6,595.24 $4,079.70 2026-02-17
27077 HCPCS Extensive Removal Of Growth Of Side Of Pelvic Bone 15 15 $4,527.00 $4,074.30 $2,444.58 $21,059.76 $4,074.30 2026-02-17
43121 HCPCS Partial Removal Of Lower Esophagus Through Chest 15 15 $4,523.00 $4,070.70 $2,442.42 $5,884.72 $4,070.70 2026-02-17
19366 HCPCS Breast Reconstruction With Other Technique 15 15 $4,511.00 $4,059.90 $2,435.94 $9,830.20 $4,059.90 2026-02-17
61684 HCPCS Simple Repair Of Abnormal Artery-vein Connection In Lower Brain 15 15 $4,511.00 $4,059.90 $2,435.94 $6,914.05 $4,059.90 2026-02-17
20838 HCPCS Reattachment Of Cutoff Foot 15 15 $4,505.00 $4,054.50 $2,432.70 $7,548.77 $4,054.50 2026-02-17
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 17 17 $4,500.00 $4,050.00 $2,430.00 $4,500.00 $4,050.00 2026-02-17
6020000000_1 CDM Operating Room Services - General Classification 16 16 $4,495.00 $4,045.50 $2,427.30 $4,270.25 $4,045.50 2026-02-17
37220 HCPCS Balloon Dilation Of Groin Artery, Initial Vessel 15 15 $4,483.00 $4,034.70 $2,420.82 $8,507.16 $4,034.70 2026-02-17
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 15 15 $4,454.00 $4,008.60 $1,401.26 $4,454.00 $4,008.60 2026-02-17
20957 HCPCS Bone Graft Of Foot Bone With Microvascular Connection 15 15 $4,441.00 $3,996.90 $2,398.14 $7,548.77 $3,996.90 2026-02-17
32815 HCPCS Closure Of Abnormal Drainage Tract From Chest Cavity To Lung Airway 15 15 $4,435.00 $3,991.50 $2,394.90 $7,503.72 $3,991.50 2026-02-17
20802 HCPCS Reattachment Of Cutoff Arm 15 15 $4,432.00 $3,988.80 $2,393.28 $13,910.16 $3,988.80 2026-02-17
58293 HCPCS Vaginal Hysterectomy, For Uterus Greater Than 250 G; With Colpo-urethrocystopexy… 15 15 $4,430.00 $3,987.00 $2,392.20 $5,974.50 $3,987.00 2026-02-17
63290 HCPCS Removal Or Biopsy Of Growth Of Spine Bone Outside And Within Spine Membrane 15 15 $4,429.00 $3,986.10 $2,391.66 $18,955.73 $3,986.10 2026-02-17
6020000004_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $4,429.00 $3,986.10 $2,391.66 $4,207.55 $3,986.10 2026-02-17
33430 HCPCS Replacement Of Mitral Valve On Heart-lung Machine 15 15 $4,426.00 $3,983.40 $2,390.04 $17,784.43 $3,983.40 2026-02-17
69535 HCPCS Removal Of Skull Bone Surrounding Ear 15 15 $4,419.00 $3,977.10 $2,386.26 $6,430.16 $3,977.10 2026-02-17
19364 HCPCS Reconstruction Of Breast With Tissue Graft 15 15 $4,411.00 $3,969.90 $2,381.94 $9,830.20 $3,969.90 2026-02-17
45126 HCPCS Removal Of Large Bowel, Rectum, Bladder And Ureter 15 15 $4,409.00 $3,968.10 $2,380.86 $5,375.35 $3,968.10 2026-02-17
61518 HCPCS Removal Of Skull Bone For Removal Of Growth Of Lower Brain 15 15 $4,406.00 $3,965.40 $2,379.24 $5,560.45 $3,965.40 2026-02-17
20969 HCPCS Placement Of Skin And Bone Flap With Microvascular Connection 15 15 $4,398.00 $3,958.20 $2,374.92 $10,077.69 $3,958.20 2026-02-17
64553 HCPCS Insertion Of Cranial Nerve Neurostimulator Electrode 15 15 $4,395.00 $3,955.50 $2,373.30 $29,813.29 $3,955.50 2026-02-17
15842 HCPCS Microsurgical Muscle Graft To Treat Facial Paralysis 15 15 $4,375.00 $3,937.50 $2,362.50 $4,375.00 $3,937.50 2026-02-17
63287 HCPCS Removal Or Biopsy Of Growth Of Lower Spine Bone Within Spine Membrane, Intramedu… 15 15 $4,357.00 $3,921.30 $2,352.78 $18,955.73 $3,921.30 2026-02-17
33619 HCPCS Repair To Improve Congenital Blood Flow Defect From Lower Heart Chamber 15 15 $4,348.00 $3,913.20 $2,347.92 $17,784.43 $3,913.20 2026-02-17
33465 HCPCS Replacement Of Tricuspid Valve On Heart-lung Machine 15 15 $4,344.00 $3,909.60 $2,345.76 $17,784.43 $3,909.60 2026-02-17
43361 HCPCS Reconnection Of Esophagus To Stomach With Bowel Graft Reconstruction After Previ… 15 15 $4,337.00 $3,903.30 $2,341.98 $5,884.72 $3,903.30 2026-02-17
61607 HCPCS Removal Of Growth Or Tissue Of Middle Skull Base Outside Brain Membrane 15 15 $4,319.00 $3,887.10 $2,332.26 $6,479.40 $3,887.10 2026-02-17
44401 HCPCS Destruction Of Growth Or Polyp Of Large Bowel Using An Endoscope Inserted Throug… 15 15 $4,316.00 $3,884.40 $1,401.26 $4,316.00 $3,884.40 2026-02-17
20962 HCPCS Bone Graft With Microvascular Connection 15 15 $4,314.00 $3,882.60 $2,329.56 $10,077.69 $3,882.60 2026-02-17
33425 HCPCS Repair Of Mitral Valve On Heart-lung Machine 15 15 $4,312.00 $3,880.80 $2,328.48 $17,784.43 $3,880.80 2026-02-17
33875 HCPCS Repair Of Descending Aorta With Graft 15 15 $4,292.00 $3,862.80 $2,317.68 $17,022.38 $3,862.80 2026-02-17
59618 HCPCS Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal… 15 15 $4,290.00 $3,861.00 $2,316.60 $4,290.00 $3,861.00 2026-02-17
33516 HCPCS Coronary Artery Bypass Using Vein Graft, 6 Or More Grafts 15 15 $4,266.00 $3,839.40 $2,303.64 $31,166.14 $3,839.40 2026-02-17
20956 HCPCS Bone Graft Of Pelvic Bone With Microvascular Connection 15 15 $4,264.00 $3,837.60 $2,302.56 $4,940.39 $3,837.60 2026-02-17
53860 HCPCS Reconstruction Of Female Bladder Neck For Stress Urinary Incontinence Using Radi… 15 15 $4,262.00 $3,835.80 $2,301.48 $4,262.00 $3,835.80 2026-02-17
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 15 15 $4,248.00 $3,823.20 $2,293.92 $4,248.00 $3,823.20 2026-02-17
48554 HCPCS Transplantation Of Donor Pancreas 15 15 $4,230.00 $3,807.00 $2,284.20 $7,180.76 $3,807.00 2026-02-17
61538 HCPCS Removal Of Skull Bone For Removal Of Brain Lobe With Monitoring 15 15 $4,218.00 $3,796.20 $2,277.72 $5,560.45 $3,796.20 2026-02-17
21159 HCPCS Reconstruction Of Nose, Cheek, Mouth, And Forehead Bones With Bone Grafts 15 15 $4,209.00 $3,788.10 $2,272.86 $6,430.16 $3,788.10 2026-02-17
19105 HCPCS Removal Of Growth Of Breast Using Ultrasound, Each Growth 15 15 $4,199.00 $3,779.10 $2,019.50 $4,199.00 $3,779.10 2026-02-17
45346 HCPCS Destruction Of Polyp Or Growth Of Lower Large Bowel Using A Flexible Endoscope 15 15 $4,187.00 $3,768.30 $1,401.26 $4,187.00 $3,768.30 2026-02-17
69554 HCPCS Removal Of Growth Of Outer Ear 15 15 $4,187.00 $3,768.30 $2,260.98 $4,198.22 $3,768.30 2026-02-17
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 18 18 $4,177.67 $3,759.90 $518.80 $4,177.67 $3,759.90 2026-02-17
61586 HCPCS Removal Of Facial Bone To Approach Growth Of Brain Without Bone Graft 15 15 $4,174.00 $3,756.60 $2,253.96 $6,430.16 $3,756.60 2026-02-17
33536 HCPCS Coronary Artery Bypass Using Artery Graft, 4 Grafts 15 15 $4,162.00 $3,745.80 $2,247.48 $31,166.14 $3,745.80 2026-02-17
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 32 18 $6,929.00 $6,236.10 $792.72 $6,929.00 $3,741.66 2026-02-17
31365 HCPCS Complete Removal Of Voice Box With Extensive Dissection Of Neck 15 15 $4,157.00 $3,741.30 $2,244.78 $6,595.24 $3,741.30 2026-02-17
63285 HCPCS Removal Or Biopsy Of Growth Of Upper Spine Bone Within Spine Membrane, Intramedu… 15 15 $4,156.00 $3,740.40 $2,244.24 $18,955.73 $3,740.40 2026-02-17
33910 HCPCS Removal Of Blood Clot In Pulmonary Artery On Heart-lung Machine 15 15 $4,152.00 $3,736.80 $2,242.08 $17,022.38 $3,736.80 2026-02-17
61705 HCPCS Repair Of Abnormal Blood Vessel In Brain By Clamping Neck Artery 15 15 $4,133.00 $3,719.70 $2,231.82 $6,914.05 $3,719.70 2026-02-17
33542 HCPCS Partial Removal Of Heart Muscle 15 15 $4,131.00 $3,717.90 $2,230.74 $17,784.43 $3,717.90 2026-02-17
6020000002_1 CDM Gastro - Intestinal (gi) Services - General Classification 16 16 $4,120.00 $3,708.00 $2,224.80 $3,914.00 $3,708.00 2026-02-17
33514 HCPCS Coronary Artery Bypass Using Vein Graft, 5 Grafts 15 15 $4,120.00 $3,708.00 $2,224.80 $31,166.14 $3,708.00 2026-02-17
61580 HCPCS Removal Of Nasal Sinuses To Approach Growth Of Brain 15 15 $4,104.00 $3,693.60 $2,216.16 $6,430.16 $3,693.60 2026-02-17
63286 HCPCS Removal Or Biopsy Of Growth Of Middle Spine Bone Within Spine Membrane, Intramed… 15 15 $4,101.00 $3,690.90 $2,214.54 $18,955.73 $3,690.90 2026-02-17
61536 HCPCS Removal Of Skull Bone For Removal Of Brain Tissue To Stop Seizures With Monitori… 15 15 $4,094.00 $3,684.60 $2,210.76 $5,560.45 $3,684.60 2026-02-17
61711 HCPCS Connection Of Arteries Of Head 15 15 $4,086.00 $3,677.40 $2,206.44 $6,914.05 $3,677.40 2026-02-17
35092 HCPCS Repair Of Ruptured Aneurysm Of Abdominal Aorta Involving Arteries To Abdominal O… 15 15 $4,079.00 $3,671.10 $2,202.66 $17,022.38 $3,671.10 2026-02-17
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