Hospital

ST VINCENT GENERAL HOSPITAL DISTRICT

Leadville, CO · CCN 061319 · Rates published

19,405 distinct procedures filed

15 distinct payers

494,814 rate rows

2026-03-29 last MRF observed

Data quality

250,986 of 494,814 rate rows are consumer-grade (50.7%)

243,828 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 — reason	Rows
professional (physician) fee — not the facility price	180,622
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	45,946
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	11,505
placeholder amount (≤ $0.02) — excluded from medians	5,731
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	24

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stvincent.goredde.com/Estimator/Files/840424585_st.-vincent-general-hospital_standardcharges.csv
Found on page	https://stvincent.goredde.com/Estimator/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	292093a6335adc8c… · 114,691,769 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
Q2056 HCPCS	Ciltacabtagene Car-pos T	15	$476,634.30	$476,634.30	$476,634.30	nat. median $646,415 0.7× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	15	$457,255.00	$457,255.00	$457,255.00	nat. median $622,450 0.7× median
Q2053 HCPCS	Brexucabtagene Car Pos T	15	$434,608.48	$434,608.48	$434,608.48	nat. median $591,721 0.7× median
A9543 HCPCS	Y90 Ibritumomab, Rx	15	$55,352.62	$55,352.62	$55,352.62	nat. median $63,528 0.9× median
E0766 HCPCS	Dme Pos	15	$54,761.53	$54,761.53	$54,761.53	nat. median $16,786 outlier · 3.3×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	15	$49,649.41	$51,311.38	$50,480.39	nat. median $65,720 0.8× median
27130 CPT	Or Total Hip Arthroplasty W Or Without Autograst Or Allowgraft	15	$1,263.05	$44,393.00	$44,393.00	nat. median $13,098 outlier · 3.4×
27487 CPT	Or Revision Of Total Knee Arthroplasty, W/wo Allograft; Femoral And Entire Tibia…	15	$1,718.98	$44,393.00	$44,393.00	nat. median $11,926 outlier · 3.7×
27428 CPT	Or Reconsrtuction Ligament Knee	15	$1,110.64	$44,393.00	$44,393.00	nat. median $11,589 outlier · 3.8×
27415 CPT	Or Osteochondral Allography, Knee, Open	15	$1,356.17	$44,393.00	$44,393.00	nat. median $11,826 outlier · 3.8×
27134 CPT	Or Revision Of Total Hip Arthroplasty; Both Components, W/wo Autograft Or Allogr…	15	$1,861.29	$44,393.00	$44,393.00	nat. median $9,321 outlier · 4.8×
27447 CPT	Or Total Knee Arthroplasty	15	$1,261.16	$44,393.00	$44,393.00	nat. median $12,734 outlier · 3.5×
J9226 HCPCS	Supprelin La Implant	15	$40,116.00	$41,842.11	$40,979.06	nat. median $55,159 0.7× median
Q0480 HCPCS	Dme Pos	15	$36,631.48	$36,631.48	$36,631.48	nat. median $111,503 outlier · 0.3×
J7330 HCPCS	Cultured Chondrocytes Implnt	15	$31,905.54	$36,651.84	$34,278.69	nat. median $75,000 outlier · 0.5×
L7181 HCPCS	Dme Pos	15	$24,396.23	$24,396.23	$24,396.23	nat. median $50,516 outlier · 0.5×
27036 CPT	Or Capsulectomy Or Capsulotomy, Hip W/wo Bone/ Muscles	15	$1,011.19	$22,582.75	$22,582.75	nat. median $4,973 outlier · 4.5×
27437 CPT	Or Arthroplasty Petella Without Prothesia	15	$662.75	$22,582.75	$22,582.75	nat. median $6,939 outlier · 3.3×
27654 CPT	Or Repair, Secondary, Achilles Tendon, With Or Without Graft	15	$715.07	$22,582.75	$22,582.75	nat. median $6,823 outlier · 3.3×
27236 CPT	Or Open Treat Of Femoral Fx, Proximal End, Neck, Internal Fixation Or Prosthetic…	15	$1,178.64	$22,582.75	$22,582.75	nat. median $4,844 outlier · 4.7×
27665 CPT	Or Repair, Extensor Tendon, Leg: Secondary,w/wo Graft, Each Tendon	15	$417.23	$22,582.75	$22,582.75	nat. median $6,481 outlier · 3.5×
23550 CPT	Or Open Treatement Of Acromioclavicular Dsiloc	15	$575.00	$22,582.75	$22,582.75	nat. median $7,026 outlier · 3.2×
28298 CPT	Or Correction Hallux Valgus Bunion, With Sesamoidectomy, With Prox Phalanx Osteotomy…	15	$500.59	$22,582.75	$22,582.75	nat. median $6,628 outlier · 3.4×
28299 CPT	Or Bunionectomy, With Sesamoidectomy, Double Osteotomy, Any Method	15	$586.38	$22,582.75	$22,582.75	nat. median $6,816 outlier · 3.3×
23430 CPT	Or Tenodesis Of Long Tendon Of Biceps	15	$744.05	$22,582.75	$22,582.75	nat. median $6,926 outlier · 3.3×
26536 CPT	Or Arthroplasty Interphalangeal Joint Prosth Implant, Each Joint	15	$732.80	$22,582.75	$22,582.75	nat. median $6,971 outlier · 3.2×
29827 CPT	Arthroscopy, Shoulder, Surgical With Rotator Cuff Repair	15	$1,057.91	$22,582.75	$22,582.75	nat. median $7,184 outlier · 3.1×
29806 CPT	Or Arthroscopy, Shoulder, Surgical; Capsulorrhaphy	15	$1,050.61	$22,582.75	$22,582.75	nat. median $7,171 outlier · 3.1×
29828 CPT	Or Arthroscopy, Shoulder, Surgical; Bicep Tenodesis	15	$909.32	$22,582.75	$22,582.75	nat. median $7,130 outlier · 3.2×
27027 CPT	Or Decompression Fasciotomy(ies), Pelvic (buttock) Compartment(s), Unilateral	15	$876.84	$22,582.75	$22,582.75	nat. median $6,872 outlier · 3.3×
27792 CPT	Or Open Treat Of Distal Fibular Fx (lateral Malleolus), With Internal Fixation	15	$646.11	$22,582.75	$22,582.75	nat. median $6,930 outlier · 3.3×
28238 CPT	Or Reconstruction, Posterior Tibial Tendon With Excision Of Accessory Tarsal Navic…	15	$487.15	$22,582.75	$22,582.75	nat. median $6,749 outlier · 3.3×
28306 CPT	Or Osteotomy, W/wo Length Or Angular Correction, First Metatarsal	15	$403.14	$22,582.75	$22,582.75	nat. median $6,327 outlier · 3.6×
27650 CPT	Or Repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon	15	$657.99	$22,582.75	$22,582.75	nat. median $6,674 outlier · 3.4×
27696 CPT	Or Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments	15	$547.75	$22,582.75	$22,582.75	nat. median $6,752 outlier · 3.3×
27814 CPT	Or Open Treat Of Bimalleolar Ankle Fx, With Fixation, When Performed	15	$762.40	$22,582.75	$22,582.75	nat. median $7,144 outlier · 3.2×
26841 CPT	Or Arthrodesis, Carpometacarpal Joint, Thumb, With Wo Internal Fixation	15	$746.58	$22,582.75	$22,582.75	nat. median $6,821 outlier · 3.3×
23410 CPT	Or Repair Of Ruptured Musculotendinous Cuff Open Acute	15	$816.58	$22,582.75	$22,582.75	nat. median $6,849 outlier · 3.3×
26850 CPT	Or Arthrodesis, Metacarpophalangeal Joint, W Or Without Internal Fixation	15	$712.01	$22,582.75	$22,582.75	nat. median $6,816 outlier · 3.3×
28297 CPT	Or Correction Hallux Valgus Bunion With Sesamoidectomy, With 1st Metatarsal/ Medial…	15	$600.63	$22,582.75	$22,582.75	nat. median $7,585 outlier · 3.0×
28755 CPT	Or Arthrodesis, Great Toe; Interphalangeal Joint	15	$334.89	$22,582.75	$22,582.75	nat. median $6,231 outlier · 3.6×
J9266 HCPCS	Pegaspargase Injection	15	$19,717.46	$24,912.30	$22,314.88	nat. median $33,233 0.7× median
L7180 HCPCS	Dme Pos	15	$21,379.35	$21,379.35	$21,379.35	nat. median $46,980 outlier · 0.5×
19303 CPT	Or Mastectomy, Simple, Complete	15	$938.01	$19,951.10	$19,951.10	nat. median $6,262 outlier · 3.2×
19301 CPT	Or Mastectomy, Partial (lumpectomy),	15	$647.88	$19,951.10	$19,951.10	nat. median $3,998 outlier · 5.0×
19307 CPT	Or Mastectomy, Modified/radical Inc Lymph Nodes	15	$1,155.87	$19,951.10	$19,951.10	nat. median $6,798 outlier · 2.9×
505T OTHER	Ev Fempop Artl Revsc	15	$15,046.79	$23,463.14	$19,254.97	nat. median $12,031 1.6× median
58563 CPT	Or Hysteroscopy W/endometrial Sampling	15	$238.47	$15,965.00	$15,965.00	nat. median $5,216 outlier · 3.1×
A9604 HCPCS	Sm 153 Lexidronam	15	$15,521.99	$15,631.57	$15,576.78	nat. median $12,627 1.2× median
E0194 HCPCS	Dme Pos	15	$15,500.83	$15,500.83	$15,500.83	nat. median $4,438 outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 19,405 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2056	HCPCS	Ciltacabtagene Car-pos T	15	15	—	—	$476,634.30	$476,634.30	$476,634.30	2026-03-29
Q2055	HCPCS	Idecabtagene Vicleucel Car	15	15	—	—	$457,255.00	$457,255.00	$457,255.00	2026-03-29
Q2053	HCPCS	Brexucabtagene Car Pos T	15	15	—	—	$434,608.48	$434,608.48	$434,608.48	2026-03-29
A9543	HCPCS	Y90 Ibritumomab, Rx	15	15	—	—	$55,352.62	$55,352.62	$55,352.62	2026-03-29
E0766	HCPCS	Dme Pos	15	15	—	—	$54,761.53	$54,761.53	$54,761.53	2026-03-29
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	15	15	—	—	$49,649.41	$51,311.38	$50,480.39	2026-03-29
27130	CPT	Or Total Hip Arthroplasty W Or Without Autograst Or Allowgraft	15	15	$44,393.00	$31,075.10 30% off	$1,263.05	$44,393.00	$44,393.00	2026-03-29
27134	CPT	Or Revision Of Total Hip Arthroplasty; Both Components, W/wo Autograft Or Allogr…	15	15	$44,393.00	$31,075.10 30% off	$1,861.29	$44,393.00	$44,393.00	2026-03-29
27447	CPT	Or Total Knee Arthroplasty	15	15	$44,393.00	$31,075.10 30% off	$1,261.16	$44,393.00	$44,393.00	2026-03-29
27487	CPT	Or Revision Of Total Knee Arthroplasty, W/wo Allograft; Femoral And Entire Tibia…	15	15	$44,393.00	$31,075.10 30% off	$1,718.98	$44,393.00	$44,393.00	2026-03-29
27415	CPT	Or Osteochondral Allography, Knee, Open	15	15	$44,393.00	$31,075.10 30% off	$1,356.17	$44,393.00	$44,393.00	2026-03-29
27428	CPT	Or Reconsrtuction Ligament Knee	15	15	$44,393.00	$31,075.10 30% off	$1,110.64	$44,393.00	$44,393.00	2026-03-29
J9226	HCPCS	Supprelin La Implant	15	15	—	—	$40,116.00	$41,842.11	$40,979.06	2026-03-29
Q0480	HCPCS	Dme Pos	15	15	—	—	$36,631.48	$36,631.48	$36,631.48	2026-03-29
J7330	HCPCS	Cultured Chondrocytes Implnt	15	15	—	—	$31,905.54	$36,651.84	$34,278.69	2026-03-29
L7181	HCPCS	Dme Pos	15	15	—	—	$24,396.23	$24,396.23	$24,396.23	2026-03-29
26841	CPT	Or Arthrodesis, Carpometacarpal Joint, Thumb, With Wo Internal Fixation	15	15	$22,582.75	$15,807.93 30% off	$746.58	$22,582.75	$22,582.75	2026-03-29
28755	CPT	Or Arthrodesis, Great Toe; Interphalangeal Joint	15	15	$22,582.75	$15,807.93 30% off	$334.89	$22,582.75	$22,582.75	2026-03-29
27027	CPT	Or Decompression Fasciotomy(ies), Pelvic (buttock) Compartment(s), Unilateral	15	15	$22,582.75	$15,807.93 30% off	$876.84	$22,582.75	$22,582.75	2026-03-29
29827	CPT	Arthroscopy, Shoulder, Surgical With Rotator Cuff Repair	15	15	$22,582.75	$15,807.93 30% off	$1,057.91	$22,582.75	$22,582.75	2026-03-29
28298	CPT	Or Correction Hallux Valgus Bunion, With Sesamoidectomy, With Prox Phalanx Osteotomy…	15	15	$22,582.75	$15,807.93 30% off	$500.59	$22,582.75	$22,582.75	2026-03-29
28297	CPT	Or Correction Hallux Valgus Bunion With Sesamoidectomy, With 1st Metatarsal/ Medial …	15	15	$22,582.75	$15,807.93 30% off	$600.63	$22,582.75	$22,582.75	2026-03-29
27650	CPT	Or Repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon	15	15	$22,582.75	$15,807.93 30% off	$657.99	$22,582.75	$22,582.75	2026-03-29
23430	CPT	Or Tenodesis Of Long Tendon Of Biceps	15	15	$22,582.75	$15,807.93 30% off	$744.05	$22,582.75	$22,582.75	2026-03-29
28306	CPT	Or Osteotomy, W/wo Length Or Angular Correction, First Metatarsal	15	15	$22,582.75	$15,807.93 30% off	$403.14	$22,582.75	$22,582.75	2026-03-29
29806	CPT	Or Arthroscopy, Shoulder, Surgical; Capsulorrhaphy	15	15	$22,582.75	$15,807.93 30% off	$1,050.61	$22,582.75	$22,582.75	2026-03-29
27437	CPT	Or Arthroplasty Petella Without Prothesia	15	15	$22,582.75	$15,807.93 30% off	$662.75	$22,582.75	$22,582.75	2026-03-29
27654	CPT	Or Repair, Secondary, Achilles Tendon, With Or Without Graft	15	15	$22,582.75	$15,807.93 30% off	$715.07	$22,582.75	$22,582.75	2026-03-29
28299	CPT	Or Bunionectomy, With Sesamoidectomy, Double Osteotomy, Any Method	15	15	$22,582.75	$15,807.93 30% off	$586.38	$22,582.75	$22,582.75	2026-03-29
26536	CPT	Or Arthroplasty Interphalangeal Joint Prosth Implant, Each Joint	15	15	$22,582.75	$15,807.93 30% off	$732.80	$22,582.75	$22,582.75	2026-03-29
26850	CPT	Or Arthrodesis, Metacarpophalangeal Joint, W Or Without Internal Fixation	15	15	$22,582.75	$15,807.93 30% off	$712.01	$22,582.75	$22,582.75	2026-03-29
27236	CPT	Or Open Treat Of Femoral Fx, Proximal End, Neck, Internal Fixation Or Prosthetic…	15	15	$22,582.75	$15,807.93 30% off	$1,178.64	$22,582.75	$22,582.75	2026-03-29
27665	CPT	Or Repair, Extensor Tendon, Leg: Secondary,w/wo Graft, Each Tendon	15	15	$22,582.75	$15,807.93 30% off	$417.23	$22,582.75	$22,582.75	2026-03-29
27696	CPT	Or Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments	15	15	$22,582.75	$15,807.93 30% off	$547.75	$22,582.75	$22,582.75	2026-03-29
27792	CPT	Or Open Treat Of Distal Fibular Fx (lateral Malleolus), With Internal Fixation	15	15	$22,582.75	$15,807.93 30% off	$646.11	$22,582.75	$22,582.75	2026-03-29
29828	CPT	Or Arthroscopy, Shoulder, Surgical; Bicep Tenodesis	15	15	$22,582.75	$15,807.93 30% off	$909.32	$22,582.75	$22,582.75	2026-03-29
23410	CPT	Or Repair Of Ruptured Musculotendinous Cuff Open Acute	15	15	$22,582.75	$15,807.93 30% off	$816.58	$22,582.75	$22,582.75	2026-03-29
23550	CPT	Or Open Treatement Of Acromioclavicular Dsiloc	15	15	$22,582.75	$15,807.93 30% off	$575.00	$22,582.75	$22,582.75	2026-03-29
27036	CPT	Or Capsulectomy Or Capsulotomy, Hip W/wo Bone/ Muscles	15	15	$22,582.75	$15,807.93 30% off	$1,011.19	$22,582.75	$22,582.75	2026-03-29
27814	CPT	Or Open Treat Of Bimalleolar Ankle Fx, With Fixation, When Performed	15	15	$22,582.75	$15,807.93 30% off	$762.40	$22,582.75	$22,582.75	2026-03-29
28238	CPT	Or Reconstruction, Posterior Tibial Tendon With Excision Of Accessory Tarsal Navic…	15	15	$22,582.75	$15,807.93 30% off	$487.15	$22,582.75	$22,582.75	2026-03-29
J9266	HCPCS	Pegaspargase Injection	15	15	—	—	$19,717.46	$24,912.30	$22,314.88	2026-03-29
L7180	HCPCS	Dme Pos	15	15	—	—	$21,379.35	$21,379.35	$21,379.35	2026-03-29
19307	CPT	Or Mastectomy, Modified/radical Inc Lymph Nodes	15	15	$19,951.10	$13,965.77 30% off	$1,155.87	$19,951.10	$19,951.10	2026-03-29
19301	CPT	Or Mastectomy, Partial (lumpectomy),	15	15	$19,951.10	$13,965.77 30% off	$647.88	$19,951.10	$19,951.10	2026-03-29
19303	CPT	Or Mastectomy, Simple, Complete	15	15	$19,951.10	$13,965.77 30% off	$938.01	$19,951.10	$19,951.10	2026-03-29
505T	OTHER	Ev Fempop Artl Revsc	15	15	—	—	$15,046.79	$23,463.14	$19,254.97	2026-03-29
58563	CPT	Or Hysteroscopy W/endometrial Sampling	15	15	$15,965.00	$11,175.50 30% off	$238.47	$15,965.00	$15,965.00	2026-03-29
A9604	HCPCS	Sm 153 Lexidronam	15	15	—	—	$15,521.99	$15,631.57	$15,576.78	2026-03-29
E0194	HCPCS	Dme Pos	15	15	—	—	$15,500.83	$15,500.83	$15,500.83	2026-03-29
C1816	HCPCS	Receiver/transmitter, Neuro	15	15	—	—	$15,310.20	$15,310.20	$15,310.20	2026-03-29
L5856	HCPCS	Dme Pos	15	15	—	—	$14,606.14	$14,606.14	$14,606.14	2026-03-29
L6880	HCPCS	Dme Pos	15	15	—	—	$14,576.50	$14,576.50	$14,576.50	2026-03-29
C2616	HCPCS	Brachytx, Non-str,yttrium-90	15	15	—	—	$14,126.71	$14,126.71	$14,126.71	2026-03-29
66183	CPT	Or Insertion Of Anterior Segment Aqueous Drain , Without Extraocular Reservoir	15	15	$14,126.45	$9,888.52 30% off	$1,020.32	$14,126.45	$14,126.45	2026-03-29
S2400	HCPCS	Fetal Surg Congen Hernia	15	15	—	—	$14,001.91	$14,001.91	$14,001.91	2026-03-29
J9355	HCPCS	Rx Trastuzumab (herceptin) 440 Mg 20 Ml Vial	15	15	$13,846.00	$9,692.20 30% off	$78.40	$13,846.00	$13,846.00	2026-03-29
K0891	HCPCS	Pwc Gp5 Ped Mult Pow Opt S/b	15	15	—	—	$13,531.66	$13,531.66	$13,531.66	2026-03-29
C1882	HCPCS	Aicd, Other Than Sing/dual	15	15	—	—	$12,087.27	$12,087.27	$12,087.27	2026-03-29
215U	OTHER	Rare Ds Xom DNA Alys Ea Comp	15	15	—	—	$12,000.00	$12,000.00	$12,000.00	2026-03-29
K0606	HCPCS	Dme Pos	15	15	—	—	$11,994.96	$11,994.96	$11,994.96	2026-03-29
65779	CPT	Or Placement Of Amniotic Membrane On The Ocular Surface; Single Layer, Sutured	15	15	$11,917.10	$8,341.97 30% off	$115.87	$11,917.10	$11,917.10	2026-03-29
A4648	HCPCS	Implantable Tissue Marker	15	15	$11,725.00	$8,207.50 30% off	$100.90	$11,725.00	$11,725.00	2026-03-29
S2095	HCPCS	Transcath Emboliz Microspher	2	2	—	—	$653.75	$22,702.60	$11,678.17	2026-03-29
L8614	HCPCS	Dme Pos	15	15	—	—	$11,625.28	$11,625.28	$11,625.28	2026-03-29
J9600	HCPCS	Porfimer Sodium Injection	15	15	—	—	$3,004.74	$20,198.40	$11,601.57	2026-03-29
49521	CPT	Or Repair Recurrent Inguinal Hernia, Any Age; Reducible	15	15	$11,479.35	$8,035.55 30% off	$701.49	$11,479.35	$11,479.35	2026-03-29
49525	CPT	Or Repair Inguinal Hernia, Sliding, Any Age	15	15	$11,479.35	$8,035.55 30% off	$563.46	$11,479.35	$11,479.35	2026-03-29
J2353	HCPCS	Rx Octreotide Acet (sandostatin Lar) 10 Mg Vial	39	15	$11,464.00	$8,024.80 30% off	$201.25	$17,152.00	$11,464.00	2026-03-29
38510	CPT	Or Biopsy Or Excision Of Lymph Node (s); Open, Deep Axillary Node(s)	15	15	$11,381.50	$7,967.05 30% off	$411.11	$11,381.50	$11,381.50	2026-03-29
38500	CPT	Or Biopsy Or Excision Of Lymph Node (s), Open, Superficial	15	15	$11,381.50	$7,967.05 30% off	$251.14	$11,381.50	$11,381.50	2026-03-29
L5858	HCPCS	Dme Pos	15	15	—	—	$11,315.95	$11,315.95	$11,315.95	2026-03-29
L6975	HCPCS	Dme Pos	15	15	—	—	$11,301.59	$11,301.59	$11,301.59	2026-03-29
55874	CPT	Or Transperineal Placement Of Biodegradable Material, Peri-prostatic, Single Or …	27	15	$15,770.00	$11,039.00 30% off	$160.09	$15,770.00	$11,245.00	2026-03-29
K0880	HCPCS	Pwc Gp4 Vhd Sing Pow Opt S/b	15	15	—	—	$10,848.70	$10,848.70	$10,848.70	2026-03-29
S2060	HCPCS	Lobar Lung Transplantation	15	15	—	—	$10,624.16	$10,624.16	$10,624.16	2026-03-29
L5973	HCPCS	Dme Pos	15	15	—	—	$10,619.29	$10,619.29	$10,619.29	2026-03-29
L6970	HCPCS	Dme Pos	15	15	—	—	$10,548.43	$10,548.43	$10,548.43	2026-03-29
81416	CPT	Exome Sequence Analysis	15	15	—	—	$9,060.00	$12,000.00	$10,530.00	2026-03-29
L6965	HCPCS	Dme Pos	15	15	—	—	$10,419.79	$10,419.79	$10,419.79	2026-03-29
J7310	HCPCS	Ganciclovir Long Act Implant	15	15	—	—	$3,784.72	$16,960.00	$10,372.36	2026-03-29
601T	OTHER	Ire Abltj 1+tumors Open	15	15	—	—	$10,363.41	$10,363.41	$10,363.41	2026-03-29
600T	OTHER	Ire Abltj 1+tum Organ Perq	15	15	—	—	$10,363.41	$10,363.41	$10,363.41	2026-03-29
36561	CPT	Insert Tunneled Cv Cath	15	15	$10,300.00	$7,210.00 30% off	$320.36	$10,300.00	$10,300.00	2026-03-29
28122	CPT	Or Partial Excision Bone; Tarsal Or Metatarsal Bone	15	15	$10,197.00	$7,137.90 30% off	$439.95	$10,197.00	$10,197.00	2026-03-29
26535	CPT	Or Arthroplasty Interphalangeal Joint, Each Joint	15	15	$10,197.00	$7,137.90 30% off	$436.43	$10,197.00	$10,197.00	2026-03-29
29881	CPT	Or Arthroscopy Knee, Surgical; With Meniscectomy Includ Debridement/shaving Of Art…	15	15	$10,197.00	$7,137.90 30% off	$543.43	$10,197.00	$10,197.00	2026-03-29
26445	CPT	Or Tenolysis, Extensor Tendon, Hand Or Finger, Each Tendon	15	15	$10,197.00	$7,137.90 30% off	$593.03	$10,197.00	$10,197.00	2026-03-29
26075	CPT	Or Arthrotomy, With Explor, Drain Or Removal Of Loose Or Foreign Body; Metacarpoph…	15	15	$10,197.00	$7,137.90 30% off	$337.52	$10,197.00	$10,197.00	2026-03-29
26123	CPT	Or Fasciectomy Partial Palmar, Single Digit	15	15	$10,197.00	$7,137.90 30% off	$839.29	$10,197.00	$10,197.00	2026-03-29
28308	CPT	Or Osteotomy, W/wo Length, Or Angular Correction, Metatarsal; Other Than 1st Met…	15	15	$10,197.00	$7,137.90 30% off	$383.59	$10,197.00	$10,197.00	2026-03-29
28296	CPT	Or Correction Hallux Valgus Bunion With Sesamoidectomy, With Distal Metatarsal Osteo…	15	15	$10,197.00	$7,137.90 30% off	$513.97	$10,197.00	$10,197.00	2026-03-29
27006	CPT	Or Tentomy, Abductors And/or Extensor(s) Of Hip,open (separate Procedure)	15	15	$10,197.00	$7,137.90 30% off	$715.52	$10,197.00	$10,197.00	2026-03-29
29897	CPT	Or Arthroscopy Ankle W/debridement, Limited	15	15	$10,197.00	$7,137.90 30% off	$494.50	$10,197.00	$10,197.00	2026-03-29
28200	CPT	Or Repair, Tendon, Flexor, Foot; Prime Or Sec, Without Free Graft, Each Tendon	15	15	$10,197.00	$7,137.90 30% off	$326.19	$10,197.00	$10,197.00	2026-03-29
29822	CPT	Or Arthroscopy, Shoulder, Surgical; Debridement, Limited	15	15	$10,197.00	$7,137.90 30% off	$543.43	$10,197.00	$10,197.00	2026-03-29
29824	CPT	Or Arthroscopy, Shoulder, Distal Claviculectomy With Distal Articular Surface	15	15	$10,197.00	$7,137.90 30% off	$677.73	$10,197.00	$10,197.00	2026-03-29
26608	CPT	Or Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone	15	15	$10,197.00	$7,137.90 30% off	$483.02	$10,197.00	$10,197.00	2026-03-29
29877	CPT	Or Arthroscopy Knee, Surgical; Debridement/shaving Of Articular Cartilage	15	15	$10,197.00	$7,137.90 30% off	$621.43	$10,197.00	$10,197.00	2026-03-29
29882	CPT	Or Arthroscopy Knee, Surgical; With Meniscus Repair	15	15	$10,197.00	$7,137.90 30% off	$686.92	$10,197.00	$10,197.00	2026-03-29
23130	CPT	Or Ostectomy Of Scapula, Partial	15	15	$10,197.00	$7,137.90 30% off	$617.13	$10,197.00	$10,197.00	2026-03-29
28313	CPT	Or Reconstruction, Angular Deformity Of Toe, Soft Tissue Procedures Only	15	15	$10,197.00	$7,137.90 30% off	$357.49	$10,197.00	$10,197.00	2026-03-29
28116	CPT	Or Ostectomy Excision Of Tarsal Coalition	15	15	$10,197.00	$7,137.90 30% off	$579.76	$10,197.00	$10,197.00	2026-03-29
28292	CPT	Or Correction Hallux Valgus Bunion, With Sesamoidectomy, With Resec Prox Phalanx, An…	15	15	$10,197.00	$7,137.90 30% off	$486.85	$10,197.00	$10,197.00	2026-03-29
27425	CPT	Or Lateral Retinacular Release, Open	15	15	$10,197.00	$7,137.90 30% off	$453.01	$10,197.00	$10,197.00	2026-03-29
28288	CPT	Or Ostectomy, Partial, Exostectomy Or Condylectomy Each Metatasaeach Head	15	15	$10,197.00	$7,137.90 30% off	$436.21	$10,197.00	$10,197.00	2026-03-29
29879	CPT	Or Arthroscopy Knee, Surgical; Abrasion Arthroplasty, Multiple Drilling Or Micro…	15	15	$10,197.00	$7,137.90 30% off	$661.41	$10,197.00	$10,197.00	2026-03-29
26860	CPT	Or Arthrodesis Interphalangeal Joint W/without Fix	15	15	$10,197.00	$7,137.90 30% off	$586.10	$10,197.00	$10,197.00	2026-03-29
28112	CPT	Or Ostectomy, Complete Excision; Other Metatarsal Head (2nd, 3rd, 4th)	15	15	$10,197.00	$7,137.90 30% off	$314.29	$10,197.00	$10,197.00	2026-03-29
28120	CPT	Or Partial Excision Bone; Ankle/heel	15	15	$10,197.00	$7,137.90 30% off	$495.80	$10,197.00	$10,197.00	2026-03-29
25606	CPT	Or Percutaneiousl Skeletal Fixation Of Distal Radial Fract	15	15	$10,197.00	$7,137.90 30% off	$667.29	$10,197.00	$10,197.00	2026-03-29
28003	CPT	Or Incision/drain Below Fascia, W/wo Tendon Sheath Invol, Foot, Multi Area	15	15	$10,197.00	$7,137.90 30% off	$252.43	$10,197.00	$10,197.00	2026-03-29
28285	CPT	Or Hammertoe Repair	15	15	$10,197.00	$7,137.90 30% off	$382.63	$10,197.00	$10,197.00	2026-03-29
29873	CPT	Or Arthroscopy, Knee, Surgical; With Lateral Release	15	15	$10,197.00	$7,137.90 30% off	$532.88	$10,197.00	$10,197.00	2026-03-29
36558	CPT	ER Insertion Of Central Line Triple Lumen	15	15	$9,989.97	$6,992.98 30% off	$249.91	$9,989.97	$9,989.97	2026-03-29
C1767	HCPCS	Generator, Neuro Non-recharg	15	15	—	—	$9,908.33	$9,908.33	$9,908.33	2026-03-29
J2790	HCPCS	Rx Rho(d) Immune Globulin (rhogam) 1500 Unit Syringe	15	15	$9,881.00	$6,916.70 30% off	$79.13	$9,881.00	$9,881.00	2026-03-29
69424	CPT	Or Ventilating Tube Removal Requiring General Anesthesia	15	15	$9,862.25	$6,903.58 30% off	$60.28	$9,862.25	$9,862.25	2026-03-29
42821	CPT	Or Tonsillectomy & Adenoidectomy: >12ys	15	15	$9,862.25	$6,903.58 30% off	$303.99	$9,862.25	$9,862.25	2026-03-29
69421	CPT	Or Myringotomy Including Aspiration And/or Eustachian Tube Inflation, Gen Anesth…	15	15	$9,862.25	$6,903.58 30% off	$152.44	$9,862.25	$9,862.25	2026-03-29
42830	CPT	Or Adenoidectomy, Primary, <12 Yrs	15	15	$9,862.25	$6,903.58 30% off	$210.45	$9,862.25	$9,862.25	2026-03-29
J1162	HCPCS	Rx Digoxin Immune Fab (digifab) 40 Mg Vial	15	15	$9,732.00	$6,812.40 30% off	$3,969.27	$9,732.00	$9,732.00	2026-03-29
39503	CPT	Repair Of Diaphragm Hernia	15	15	—	—	$5,496.40	$13,809.56	$9,652.98	2026-03-29
L6960	HCPCS	Dme Pos	15	15	—	—	$9,617.28	$9,617.28	$9,617.28	2026-03-29
L6955	HCPCS	Dme Pos	15	15	—	—	$9,535.51	$9,535.51	$9,535.51	2026-03-29
S2053	HCPCS	Transplantation Of Small Int	15	15	—	—	$3,135.99	$15,927.80	$9,531.90	2026-03-29
58558	CPT	Or Hysteroscopy Biopsy Of Endometrium &/or Polypectomy W/wo D & C	15	15	$9,460.55	$6,622.39 30% off	$223.88	$9,460.55	$9,460.55	2026-03-29
21325	CPT	ER Reduction Nasal Fracture Open Simple	15	15	$9,443.04	$6,610.13 30% off	$438.31	$9,443.04	$9,443.04	2026-03-29
56810	CPT	ER Perineoplasty	15	15	$9,006.32	$6,304.42 30% off	$257.36	$9,006.32	$9,006.32	2026-03-29
45100	CPT	Or Biopsy Of Anorectal Wall, Anal Approach	15	15	$8,997.05	$6,297.94 30% off	$302.43	$8,997.05	$8,997.05	2026-03-29
47135	CPT	Transplantation Of Liver	15	15	—	—	$5,225.51	$12,590.29	$8,907.90	2026-03-29
L5859	HCPCS	Dme Pos	15	15	—	—	$8,834.26	$8,834.26	$8,834.26	2026-03-29
45990	CPT	Anorectal Exam, Surgical, Requiring Anesthesia, Diagnosti	15	15	$8,806.50	$6,164.55 30% off	$103.18	$8,806.50	$8,806.50	2026-03-29
46948	CPT	Hemorrhoidectomy, Internal, By Transanal Hrhc Dearterialization, 2 Or More, US G…	15	15	$8,806.50	$6,164.55 30% off	$441.77	$8,806.50	$8,806.50	2026-03-29
S2065	HCPCS	Simult Panc Kidn Trans	15	15	—	—	$8,645.97	$8,645.97	$8,645.97	2026-03-29
J0840	HCPCS	Rx Antivenin (crofab) 1 Gm Vial	15	15	$8,567.00	$5,996.90 30% off	$2,908.21	$8,567.00	$8,567.00	2026-03-29
24076	CPT	Or Excision, Tumor, Soft Tissue, Of Upper Arm Or Elbow; Subfascial: < 5 Cm	15	15	$8,549.00	$5,984.30 30% off	$546.41	$8,549.00	$8,549.00	2026-03-29
20205	CPT	Or Biopsy Muscle	15	15	$8,549.00	$5,984.30 30% off	$151.03	$8,549.00	$8,549.00	2026-03-29
20680	CPT	Or Removal Of Implant; Deep	15	15	$8,543.85	$5,980.70 30% off	$418.16	$8,543.85	$8,543.85	2026-03-29
27047	CPT	Or Excision, Tumor, Soft Tissue Of Pelvis And Hip Area; Less Than 3 Cm	15	15	$8,543.85	$5,980.70 30% off	$360.90	$8,543.85	$8,543.85	2026-03-29
11626	CPT	Or Excision Lesion Malignant + Marg, D-n-f-g > 4.0 Cm	15	15	$8,543.85	$5,980.70 30% off	$284.97	$8,543.85	$8,543.85	2026-03-29
10180	CPT	Or Incision & Drainage, Complex	15	15	$8,543.85	$5,980.70 30% off	$177.11	$8,543.85	$8,543.85	2026-03-29
45020	CPT	ER In & Drain Deep Supralevator, Pelvirectal, Petrorectal Abcess	15	15	$8,451.15	$5,915.81 30% off	$561.52	$8,451.15	$8,451.15	2026-03-29
582T	OTHER	Trurl Abltj Mal Prst8 Tiss	15	15	—	—	$2,133.39	$14,540.32	$8,336.85	2026-03-29
66984	CPT	Or Cataract Removal, Lens Insert, Routine Package	15	15	$8,301.80	$5,811.26 30% off	$537.42	$8,301.80	$8,301.80	2026-03-29
66982	CPT	Or Cataract Removal, Lens Insert, Complex Package	15	15	$8,301.80	$5,811.26 30% off	$735.73	$8,301.80	$8,301.80	2026-03-29
J0717	HCPCS	Rx Certolizumab Pegol (cimzia) 400 Mg Kit	15	15	$8,238.00	$5,766.60 30% off	$4.91	$8,238.00	$8,238.00	2026-03-29
L6945	HCPCS	Dme Pos	15	15	—	—	$8,149.27	$8,149.27	$8,149.27	2026-03-29
49605	CPT	Repair Umbilical Lesion	15	15	—	—	$4,725.87	$11,565.78	$8,145.82	2026-03-29
43116	CPT	Partial Removal Of Esophagus	15	15	—	—	$4,698.02	$11,586.71	$8,142.36	2026-03-29
33935	CPT	Transplantation Heart/lung	15	15	—	—	$4,642.83	$11,481.28	$8,062.06	2026-03-29
L6950	HCPCS	Dme Pos	15	15	—	—	$7,961.94	$7,961.94	$7,961.94	2026-03-29
C1813	HCPCS	Prosthesis, Penile, Inflatab	15	15	—	—	$7,961.62	$7,961.62	$7,961.62	2026-03-29
33945	CPT	Transplantation Of Heart	15	15	—	—	$4,596.81	$11,279.27	$7,938.04	2026-03-29
32854	CPT	Lung Transplant With Bypass	15	15	—	—	$4,586.83	$11,282.49	$7,934.66	2026-03-29
K0890	HCPCS	Pwc Gp5 Ped Sing Pow Opt S/b	15	15	—	—	$7,874.59	$7,874.59	$7,874.59	2026-03-29
47142	CPT	Partial Removal Donor Liver	15	15	—	—	$4,547.12	$11,008.86	$7,777.99	2026-03-29
K0885	HCPCS	Pwc Gp4 Std Mult Pow Opt Cap	15	15	—	—	$7,745.10	$7,745.10	$7,745.10	2026-03-29
61698	CPT	Brain Aneurysm Repr Complx	15	15	—	—	$4,464.28	$10,982.30	$7,723.29	2026-03-29
55873	CPT	Cryoablate Prostate	15	15	—	—	$750.29	$14,540.32	$7,645.31	2026-03-29
Q0483	HCPCS	Dme Pos	15	15	—	—	$7,625.88	$7,625.88	$7,625.88	2026-03-29
61686	CPT	Intracranial Vessel Surgery	15	15	—	—	$4,336.09	$10,674.06	$7,505.07	2026-03-29
32853	CPT	Lung Transplant Double	15	15	—	—	$4,333.55	$10,624.16	$7,478.85	2026-03-29
43123	CPT	Partial Removal Of Esophagus	15	15	—	—	$4,266.53	$10,483.32	$7,374.93	2026-03-29
K0864	HCPCS	Dme Pos	15	15	—	—	$7,367.74	$7,367.74	$7,367.74	2026-03-29
11426	CPT	Er, Excision, H-f-nk-sp, Benign Lesion + Margins; > 4cm	39	15	$7,323.30	$5,126.31 30% off	$265.17	$8,543.85	$7,323.30	2026-03-29
11446	CPT	Er, Excision, Face-mm, Benign Lesion + Margins; > 4cm	39	15	$7,323.30	$5,126.31 30% off	$314.07	$8,543.85	$7,323.30	2026-03-29
43108	CPT	Removal Of Esophagus	15	15	—	—	$4,203.92	$10,352.14	$7,278.03	2026-03-29
65420	CPT	Or Excision Or Transpostion Of Pterygium; Without Graft	15	15	$7,220.30	$5,054.21 30% off	$379.16	$7,220.30	$7,220.30	2026-03-29
65426	CPT	Or Excision Or Transposition Of Pterygium; With Graft	15	15	$7,220.30	$5,054.21 30% off	$474.74	$7,220.30	$7,220.30	2026-03-29
K0886	HCPCS	Pwc Gp4 Hd Mult Pow S/b	15	15	—	—	$7,153.10	$7,153.10	$7,153.10	2026-03-29
43113	CPT	Removal Of Esophagus	15	15	—	—	$4,117.38	$10,109.09	$7,113.23	2026-03-29
L7191	HCPCS	Dme Pos	15	15	—	—	$7,097.15	$7,097.15	$7,097.15	2026-03-29
47141	CPT	Partial Removal Donor Liver	15	15	—	—	$4,133.10	$9,981.93	$7,057.52	2026-03-29
L6940	HCPCS	Dme Pos	15	15	—	—	$7,004.80	$7,004.80	$7,004.80	2026-03-29
46748	CPT	Repair Of Cloacal Anomaly	15	15	—	—	$4,079.87	$9,887.77	$6,983.82	2026-03-29
61682	CPT	Intracranial Vessel Surgery	15	15	—	—	$4,023.80	$9,846.73	$6,935.27	2026-03-29
K0879	HCPCS	Pwc Gp4 Hd Sing Pow Opt S/b	15	15	—	—	$6,932.50	$6,932.50	$6,932.50	2026-03-29
61697	CPT	Brain Aneurysm Repr Complx	15	15	—	—	$4,082.00	$9,780.73	$6,931.36	2026-03-29
L7186	HCPCS	Dme Pos	15	15	—	—	$6,926.93	$6,926.93	$6,926.93	2026-03-29
61576	CPT	Skull Base/brainstem Surgery	15	15	—	—	$4,070.10	$9,726.81	$6,898.45	2026-03-29
33916	CPT	Surgery Of Great Vessel	15	15	—	—	$3,931.89	$9,783.95	$6,857.92	2026-03-29
55980	CPT	Sex Transformation F To M	15	15	—	—	$4,315.72	$9,165.06	$6,740.39	2026-03-29
33305	CPT	Repair Of Heart Wound	15	15	—	—	$3,865.52	$9,502.27	$6,683.90	2026-03-29
J9047	HCPCS	Rx Carfilzomib (mpb Kyprolis) 60 Mg Vial (inj)	15	15	$6,683.00	$4,678.10 30% off	$39.35	$6,683.00	$6,683.00	2026-03-29
S4015	HCPCS	Complete Ivf Nos Case Rate	15	15	—	—	$6,664.78	$6,664.78	$6,664.78	2026-03-29
61702	CPT	Inner Skull Vessel Surgery	15	15	—	—	$3,885.98	$9,338.09	$6,612.03	2026-03-29
Q0489	HCPCS	Dme Pos	15	15	—	—	$6,611.23	$6,611.23	$6,611.23	2026-03-29
20808	CPT	Replantation Hand Complete	15	15	—	—	$3,836.43	$9,223.81	$6,530.12	2026-03-29
46746	CPT	Repair Of Cloacal Anomaly	15	15	—	—	$3,767.62	$9,112.75	$6,440.19	2026-03-29
D7949	HCPCS	Reconstruct Midface W/graft	15	15	—	—	$6,365.85	$6,429.74	$6,397.80	2026-03-29
55970	CPT	Sex Transformation M To F	15	15	—	—	$4,088.07	$8,681.38	$6,384.73	2026-03-29
64782	CPT	Or Excision Of Neuroma Hand Or Foot	15	15	$6,324.20	$4,426.94 30% off	$454.66	$6,324.20	$6,324.20	2026-03-29
64718	CPT	Or Neuroplaty And/or Transposition; Ulnar Nerve At Elbow	15	15	$6,324.20	$4,426.94 30% off	$598.83	$6,324.20	$6,324.20	2026-03-29
64721	CPT	Or Neuroplasty And/or Transposition; Median Nerve At Carpal Tunnel	15	15	$6,324.20	$4,426.94 30% off	$432.77	$6,324.20	$6,324.20	2026-03-29
26554	CPT	Double Transfer Toe-hand	15	15	—	—	$3,736.73	$8,899.48	$6,318.10	2026-03-29
43124	CPT	Removal Of Esophagus	15	15	—	—	$3,616.56	$8,841.53	$6,229.05	2026-03-29
K0863	HCPCS	Dme Pos	15	15	—	—	$6,191.37	$6,191.37	$6,191.37	2026-03-29
K0860	HCPCS	Dme Pos	15	15	—	—	$6,191.37	$6,191.37	$6,191.37	2026-03-29
43288	CPT	Esphg Thrsc Moblj	15	15	—	—	$3,575.58	$8,798.07	$6,186.82	2026-03-29
K0884	HCPCS	Pwc Gp4 Std Mult Pow Opt S/b	15	15	—	—	$6,185.44	$6,185.44	$6,185.44	2026-03-29
13160	CPT	Or Secondary Closure Of Surgical Wound Or Dehiscence	15	15	$6,180.00	$4,326.00 30% off	$784.48	$6,180.00	$6,180.00	2026-03-29
15275	CPT	Or Application Skin Sub Graft Face/nk/hf/g, Up To 100 Sq Cm	15	15	$6,180.00	$4,326.00 30% off	$90.88	$6,180.00	$6,180.00	2026-03-29
15271	CPT	Or Application Of Skin Sub Graft Trnk/arm/leg Up To 100 Sq Cm	15	15	$6,180.00	$4,326.00 30% off	$81.81	$6,180.00	$6,180.00	2026-03-29
15002	CPT	Or Surgical Wound Prep T-a-l <100 Sq Cm	15	15	$6,180.00	$4,326.00 30% off	$213.31	$6,180.00	$6,180.00	2026-03-29
14040	CPT	Or Transfer Adjacent Tissue, F/c/c/m/n/a/g/h/f 10sq Cm Or Less	15	15	$6,180.00	$4,326.00 30% off	$619.85	$6,180.00	$6,180.00	2026-03-29
14001	CPT	Or Adjacent Tissue Transfer Or Rearrangement, Trunk; Defect 10.1 To 30.0 Sq Cm	15	15	$6,180.00	$4,326.00 30% off	$647.21	$6,180.00	$6,180.00	2026-03-29
61520	CPT	Removal Of Brain Lesion	15	15	—	—	$3,608.74	$8,667.70	$6,138.22	2026-03-29
81408	CPT	Mopath Procedure Level 9	15	15	$6,000.00	$4,200.00 30% off	$1,510.00	$6,000.00	$6,000.00	2026-03-29
61692	CPT	Intracranial Vessel Surgery	15	15	—	—	$3,527.58	$8,463.28	$5,995.43	2026-03-29
43237	CPT	Surg Endoscopic US Exam Esoph	15	15	$5,974.00	$4,181.80 30% off	$189.64	$5,974.00	$5,974.00	2026-03-29
C1899	HCPCS	Lead, Pmkr/aicd Combination	15	15	—	—	$5,962.88	$5,962.88	$5,962.88	2026-03-29
K0854	HCPCS	Dme Pos	15	15	—	—	$5,935.41	$5,935.41	$5,935.41	2026-03-29
43118	CPT	Partial Removal Of Esophagus	15	15	—	—	$3,432.94	$8,426.26	$5,929.60	2026-03-29
Q0481	HCPCS	Dme Pos	15	15	—	—	$5,910.07	$5,910.07	$5,910.07	2026-03-29
K0868	HCPCS	Pwc Gp 4 Std Seat/back	15	15	—	—	$5,899.20	$5,899.20	$5,899.20	2026-03-29
47140	CPT	Partial Removal Donor Liver	15	15	—	—	$3,461.64	$8,336.12	$5,898.88	2026-03-29
33877	CPT	Thoracoabdominal Graft	15	15	—	—	$3,392.08	$8,390.04	$5,891.06	2026-03-29
43287	CPT	Esphg Dstl 2/3 W/laps Moblj	15	15	—	—	$3,389.47	$8,362.68	$5,876.07	2026-03-29
12047	CPT	ER Repair Wound (neck, Hands, Feet, Genitalia) Intermediate >30 Cm	15	15	$5,850.40	$4,095.28 30% off	$346.45	$5,850.40	$5,850.40	2026-03-29
12037	CPT	ER Repair Wound (scalp, Neck, Ext Genitalia, Trunk, Extrem) Interm	15	15	$5,850.40	$4,095.28 30% off	$321.46	$5,850.40	$5,850.40	2026-03-29
20101	CPT	ER Exploration Of Penetrating Wound, Chest	15	15	$5,850.40	$4,095.28 30% off	$204.61	$5,850.40	$5,850.40	2026-03-29
A9582	HCPCS	Iodine I-123 Iobenguane	15	15	—	—	$5,668.01	$6,022.26	$5,845.14	2026-03-29
K0869	HCPCS	Pwc Gp 4 Std Cap Chair	15	15	—	—	$5,844.80	$5,844.80	$5,844.80	2026-03-29
46744	CPT	Repair Of Cloacal Anomaly	15	15	—	—	$3,423.23	$8,262.08	$5,842.65	2026-03-29
32852	CPT	Lung Transplant With Bypass	15	15	—	—	$3,343.92	$8,238.74	$5,791.33	2026-03-29
32445	CPT	Removal Of Lung Extrapleural	15	15	—	—	$3,350.62	$8,181.60	$5,766.11	2026-03-29
L8687	HCPCS	Implt Nrostm Pls Gen Dua Rec	15	15	—	—	$5,742.40	$5,742.40	$5,742.40	2026-03-29
43112	CPT	Esphg Tot W/thrcm	15	15	—	—	$3,295.79	$8,105.14	$5,700.47	2026-03-29
33783	CPT	Nikaidoh Proc W/ostia Implt	15	15	—	—	$3,290.00	$8,092.26	$5,691.13	2026-03-29
C1817	HCPCS	Septal Defect Imp Sys	15	15	—	—	$5,678.91	$5,678.91	$5,678.91	2026-03-29
J0600	HCPCS	Edetate Calcium Disodium Inj	15	15	—	—	$5,385.47	$5,930.09	$5,657.78	2026-03-29
47122	CPT	Extensive Removal Of Liver	15	15	—	—	$3,295.65	$8,019.03	$5,657.34	2026-03-29
26556	CPT	Toe Joint Transfer	15	15	—	—	$3,344.51	$7,932.91	$5,638.71	2026-03-29
A9572	HCPCS	Indium In-111 Pentetreotide	15	15	—	—	$5,448.96	$5,789.52	$5,619.24	2026-03-29
K0855	HCPCS	Dme Pos	15	15	—	—	$5,606.87	$5,606.87	$5,606.87	2026-03-29
44204	CPT	Pf Laparoscopy Colectomy, Partial, With Anastomosis	15	15	$5,603.20	$3,922.24 30% off	$1,486.66	$5,603.20	$5,603.20	2026-03-29
33622	CPT	Redo Compl Cardiac Anomaly	15	15	—	—	$3,237.08	$7,961.08	$5,599.08	2026-03-29
61700	CPT	Brain Aneurysm Repr Simple	15	15	—	—	$3,305.96	$7,883.02	$5,594.49	2026-03-29
33440	CPT	Rplcmt A-valve Tlcj Autol Pv	15	15	—	—	$3,201.22	$7,945.79	$5,573.51	2026-03-29
33858	CPT	As-aort Grf F/aortic Dsj	15	15	—	—	$3,200.12	$7,874.97	$5,537.55	2026-03-29
47382	CPT	Percut Ablate Liver Rf	15	15	—	—	$704.06	$10,363.41	$5,533.73	2026-03-29
61526	CPT	Removal Of Brain Lesion	15	15	—	—	$3,248.93	$7,768.73	$5,508.83	2026-03-29
61616	CPT	Resect/excise Lesion Skull	15	15	—	—	$3,260.50	$7,705.96	$5,483.23	2026-03-29
L6935	HCPCS	Dme Pos	15	15	—	—	$5,479.64	$5,479.64	$5,479.64	2026-03-29
33411	CPT	Replacement Of Aortic Valve	15	15	—	—	$3,168.75	$7,786.44	$5,477.60	2026-03-29
26551	CPT	Great Toe-hand Transfer	15	15	—	—	$3,235.18	$7,685.04	$5,460.11	2026-03-29
47130	CPT	Partial Removal Of Liver	15	15	—	—	$3,183.86	$7,726.08	$5,454.97	2026-03-29
S4021	HCPCS	Ivf Canc P Aspir Case Rate	15	15	—	—	$5,446.09	$5,446.09	$5,446.09	2026-03-29
26553	CPT	Single Transfer Toe-hand	15	15	—	—	$3,213.50	$7,634.33	$5,423.91	2026-03-29
61613	CPT	Remove Aneurysm Sinus	15	15	—	—	$3,197.69	$7,635.14	$5,416.41	2026-03-29
20805	CPT	Replant Forearm Complete	15	15	—	—	$3,184.39	$7,631.92	$5,408.15	2026-03-29
31237	CPT	Or Nasal/sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement (separ…	15	15	$5,397.20	$3,778.04 30% off	$157.36	$5,397.20	$5,397.20	2026-03-29
61585	CPT	Orbitocranial Approach/skull	15	15	—	—	$3,201.64	$7,542.59	$5,372.11	2026-03-29
61608	CPT	Resect/excise Cranial Lesion	15	15	—	—	$3,192.99	$7,545.00	$5,368.99	2026-03-29
47785	CPT	Fuse Bile Ducts And Bowel	15	15	—	—	$3,122.57	$7,597.31	$5,359.94	2026-03-29
32851	CPT	Lung Transplant Single	15	15	—	—	$3,104.75	$7,586.04	$5,345.40	2026-03-29
K0014	HCPCS	Other Power Whlchr Base	15	15	—	—	$5,343.26	$5,343.26	$5,343.26	2026-03-29
J9041	HCPCS	Rx Bortezomib (velcade) 3.5 Mg Vial	15	15	$5,337.00	$3,735.90 30% off	$2.93	$5,337.00	$5,337.00	2026-03-29
43117	CPT	Partial Removal Of Esophagus	15	15	—	—	$3,107.86	$7,553.85	$5,330.85	2026-03-29
33871	CPT	Transvrs A-arch Grf Hypthrm	15	15	—	—	$3,070.19	$7,569.95	$5,320.07	2026-03-29
48160	CPT	Pancreas Removal/transplant	15	15	—	—	$3,204.45	$7,366.33	$5,285.39	2026-03-29
E0764	HCPCS	Dme Pos	15	15	—	—	$5,271.21	$5,271.21	$5,271.21	2026-03-29
33782	CPT	Nikaidoh Proc	15	15	—	—	$3,045.09	$7,484.64	$5,264.86	2026-03-29
33413	CPT	Replacement Of Aortic Valve	15	15	—	—	$3,036.84	$7,483.84	$5,260.34	2026-03-29
33864	CPT	Ascending Aortic Graft	15	15	—	—	$3,028.55	$7,462.91	$5,245.73	2026-03-29
21215	CPT	Lower Jaw Bone Graft	15	15	—	—	$782.09	$9,708.30	$5,245.19	2026-03-29
L6925	HCPCS	Dme Pos	15	15	—	—	$5,239.12	$5,239.12	$5,239.12	2026-03-29
61545	CPT	Excision Of Brain Tumor	15	15	—	—	$3,096.51	$7,371.16	$5,233.84	2026-03-29
61592	CPT	Orbitocranial Approach/skull	15	15	—	—	$3,095.26	$7,361.51	$5,228.39	2026-03-29
61521	CPT	Removal Of Brain Lesion	15	15	—	—	$3,082.54	$7,362.31	$5,222.43	2026-03-29
C1772	HCPCS	Infusion Pump, Programmable	15	15	—	—	$5,219.30	$5,219.30	$5,219.30	2026-03-29
43286	CPT	Esphg Tot W/laps Moblj	15	15	—	—	$3,036.56	$7,400.94	$5,218.75	2026-03-29
L5857	HCPCS	Dme Pos	15	15	—	—	$5,176.17	$5,176.17	$5,176.17	2026-03-29
594T	OTHER	Osteot Hum Xtrnl Lngth Dev	15	15	—	—	$5,171.64	$5,171.64	$5,171.64	2026-03-29
48150	CPT	Partial Removal Of Pancreas	15	15	—	—	$3,013.99	$7,285.85	$5,149.92	2026-03-29
21127	CPT	Augmentation Lower Jaw Bone	15	15	—	—	$766.07	$9,529.64	$5,147.85	2026-03-29
L8679	HCPCS	Dme Pos	15	15	—	—	$5,145.84	$5,145.84	$5,145.84	2026-03-29
581T	OTHER	Abltj Mal Brst Tum Perq Crtx	15	15	—	—	$3,843.74	$6,435.99	$5,139.86	2026-03-29
33863	CPT	Ascending Aortic Graft	15	15	—	—	$2,966.38	$7,305.17	$5,135.77	2026-03-29
33412	CPT	Replacement Of Aortic Valve	15	15	—	—	$2,961.08	$7,310.00	$5,135.54	2026-03-29
K0877	HCPCS	Pwc Gp4 Std Sing Pow Opt S/b	15	15	—	—	$5,133.40	$5,133.40	$5,133.40	2026-03-29
K0878	HCPCS	Pwc Gp4 Std Sing Pow Opt Cap	15	15	—	—	$5,133.40	$5,133.40	$5,133.40	2026-03-29
48153	CPT	Pancreatectomy	15	15	—	—	$2,999.36	$7,256.88	$5,128.12	2026-03-29
L6930	HCPCS	Dme Pos	15	15	—	—	$5,103.88	$5,103.88	$5,103.88	2026-03-29
47125	CPT	Partial Removal Of Liver	15	15	—	—	$2,968.57	$7,194.91	$5,081.74	2026-03-29
61591	CPT	Infratemporal Approach/skull	15	15	—	—	$3,013.51	$7,145.82	$5,079.66	2026-03-29
27327	CPT	Or Excision, Tumor, Soft Tissue Thigh/knee Area, Subcutaneous; < 3 Cm	15	15	$5,072.75	$3,550.93 30% off	$314.21	$5,072.75	$5,072.75	2026-03-29
27618	CPT	Or Excision Tumor Soft Tissue Leg/ankle, < 3 Cm	15	15	$5,072.75	$3,550.93 30% off	$306.33	$5,072.75	$5,072.75	2026-03-29
26116	CPT	Or Excision, Tumor, Soft Tissue, Or Vascular Malformation, Of Hand/finger, Subfa…	15	15	$5,072.75	$3,550.93 30% off	$528.42	$5,072.75	$5,072.75	2026-03-29
11624	CPT	Or Excision, Malignant Lesion With Margins, Scalp, Neck, Hands, Feet, Genitalia; E…	15	15	$5,072.75	$3,550.93 30% off	$234.18	$5,072.75	$5,072.75	2026-03-29
26113	CPT	Or Excision, Tumor, Soft Tissue,or Vascular Malformation, Of Hand/ Finger; 1.5 C…	15	15	$5,072.75	$3,550.93 30% off	$550.26	$5,072.75	$5,072.75	2026-03-29
11044	CPT	Or Debridement, Bone , First 20 Sq Cm Or Less	15	15	$5,072.75	$3,550.93 30% off	$219.29	$5,072.75	$5,072.75	2026-03-29
38221	CPT	Dx Bone Marrow Biopsies	15	15	$5,067.60	$3,547.32 30% off	$68.67	$5,067.60	$5,067.60	2026-03-29
E0483	HCPCS	Dme Pos	15	15	—	—	$5,063.87	$5,063.87	$5,063.87	2026-03-29
61582	CPT	Craniofacial Approach Skull	15	15	—	—	$2,957.83	$7,149.04	$5,053.44	2026-03-29
61530	CPT	Removal Of Brain Lesion	15	15	—	—	$2,977.31	$7,114.43	$5,045.87	2026-03-29
33463	CPT	Valvuloplasty Tricuspid	15	15	—	—	$2,911.01	$7,157.09	$5,034.05	2026-03-29
81425	CPT	Genome Sequence Analysis	1	1	—	—	$5,031.20	$5,031.20	$5,031.20	2026-03-29
94U	OTHER	Genome Rapid Sequence Alys	15	15	—	—	$5,031.20	$5,031.20	$5,031.20	2026-03-29

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