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

ST VINCENT GENERAL HOSPITAL DISTRICT

Leadville, CO · CCN 061319 · Rates published

20,172 distinct procedures filed
15 distinct payers
494,814 rate rows
2026-03-29 last MRF observed
Data quality

251,010 of 494,814 rate rows are consumer-grade (50.7%)

243,804 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
professional (physician) fee — not the facility price 180,622
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 57,451
placeholder amount (≤ $0.02) — excluded from medians 5,731
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 viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
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
$675,122
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $457,255.00 $457,255.00 $457,255.00 nat. median
$625,184
0.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $434,608.48 $434,608.48 $434,608.48 nat. median
$620,080
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 15 $55,352.62 $55,352.62 $55,352.62 nat. median
$62,507
0.9× median
E0766
HCPCS 		Dme Pos 15 $54,761.53 $54,761.53 $54,761.53 nat. median
$16,785
outlier · 3.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 15 $49,649.41 $51,311.38 $50,480.39 nat. median
$66,682
0.8× median
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
$9,010
outlier · 4.9×
27428
CPT 		Or Reconsrtuction Ligament Knee 15 $1,110.64 $44,393.00 $44,393.00 nat. median
$11,731
outlier · 3.8×
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
$11,539
outlier · 3.8×
27415
CPT 		Or Osteochondral Allography, Knee, Open 15 $1,356.17 $44,393.00 $44,393.00 nat. median
$12,082
outlier · 3.7×
27130
CPT 		Or Total Hip Arthroplasty W Or Without Autograst Or Allowgraft 15 $1,263.05 $44,393.00 $44,393.00 nat. median
$13,091
outlier · 3.4×
27447
CPT 		Or Total Knee Arthroplasty 15 $1,261.16 $44,393.00 $44,393.00 nat. median
$12,648
outlier · 3.5×
J9226
HCPCS 		Supprelin La Implant 15 $40,116.00 $41,842.11 $40,979.06 nat. median
$60,368
0.7× median
Q0480
HCPCS 		Dme Pos 15 $36,631.48 $36,631.48 $36,631.48 nat. median
$111,989
outlier · 0.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 15 $31,905.54 $36,651.84 $34,278.69 nat. median
$76,377
outlier · 0.4×
L7181
HCPCS 		Dme Pos 15 $24,396.23 $24,396.23 $24,396.23 nat. median
$50,598
outlier · 0.5×
23430
CPT 		Or Tenodesis Of Long Tendon Of Biceps 15 $744.05 $22,582.75 $22,582.75 nat. median
$6,990
outlier · 3.2×
27814
CPT 		Or Open Treat Of Bimalleolar Ankle Fx, With Fixation, When Performed 15 $762.40 $22,582.75 $22,582.75 nat. median
$7,021
outlier · 3.2×
23410
CPT 		Or Repair Of Ruptured Musculotendinous Cuff Open Acute 15 $816.58 $22,582.75 $22,582.75 nat. median
$6,995
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
$7,147
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
$6,732
outlier · 3.4×
26850
CPT 		Or Arthrodesis, Metacarpophalangeal Joint, W Or Without Internal Fixation 15 $712.01 $22,582.75 $22,582.75 nat. median
$6,849
outlier · 3.3×
27696
CPT 		Or Repair, Primary, Disrupted Ligament, Ankle; Both Collateral Ligaments 15 $547.75 $22,582.75 $22,582.75 nat. median
$6,809
outlier · 3.3×
29828
CPT 		Or Arthroscopy, Shoulder, Surgical; Bicep Tenodesis 15 $909.32 $22,582.75 $22,582.75 nat. median
$7,134
outlier · 3.2×
26536
CPT 		Or Arthroplasty Interphalangeal Joint Prosth Implant, Each Joint 15 $732.80 $22,582.75 $22,582.75 nat. median
$6,937
outlier · 3.3×
23550
CPT 		Or Open Treatement Of Acromioclavicular Dsiloc 15 $575.00 $22,582.75 $22,582.75 nat. median
$7,124
outlier · 3.2×
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×
27650
CPT 		Or Repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon 15 $657.99 $22,582.75 $22,582.75 nat. median
$6,601
outlier · 3.4×
29827
CPT 		Arthroscopy, Shoulder, Surgical With Rotator Cuff Repair 15 $1,057.91 $22,582.75 $22,582.75 nat. median
$7,155
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
$6,827
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
$6,554
outlier · 3.4×
27665
CPT 		Or Repair, Extensor Tendon, Leg: Secondary,w/wo Graft, Each Tendon 15 $417.23 $22,582.75 $22,582.75 nat. median
$6,500
outlier · 3.5×
28299
CPT 		Or Bunionectomy, With Sesamoidectomy, Double Osteotomy, Any Method 15 $586.38 $22,582.75 $22,582.75 nat. median
$6,821
outlier · 3.3×
28755
CPT 		Or Arthrodesis, Great Toe; Interphalangeal Joint 15 $334.89 $22,582.75 $22,582.75 nat. median
$6,217
outlier · 3.6×
27654
CPT 		Or Repair, Secondary, Achilles Tendon, With Or Without Graft 15 $715.07 $22,582.75 $22,582.75 nat. median
$6,809
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
$6,828
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
$6,842
outlier · 3.3×
27437
CPT 		Or Arthroplasty Petella Without Prothesia 15 $662.75 $22,582.75 $22,582.75 nat. median
$7,044
outlier · 3.2×
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
$4,896
outlier · 4.6×
28297
CPT 		Or Correction Hallux Valgus Bunion With Sesamoidectomy, With 1st Metatarsal/ Medial… 15 $600.63 $22,582.75 $22,582.75 nat. median
$7,349
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×
J9266
HCPCS 		Pegaspargase Injection 15 $19,717.46 $24,912.30 $22,314.88 nat. median
$34,109
0.7× median
L7180
HCPCS 		Dme Pos 15 $21,379.35 $21,379.35 $21,379.35 nat. median
$49,027
outlier · 0.4×
19307
CPT 		Or Mastectomy, Modified/radical Inc Lymph Nodes 15 $1,155.87 $19,951.10 $19,951.10 nat. median
$6,934
outlier · 2.9×
19303
CPT 		Or Mastectomy, Simple, Complete 15 $938.01 $19,951.10 $19,951.10 nat. median
$6,216
outlier · 3.2×
19301
CPT 		Or Mastectomy, Partial (lumpectomy), 15 $647.88 $19,951.10 $19,951.10 nat. median
$3,942
outlier · 5.1×
505T
CPT 		Ev Fempop Artl Revsc 15 $15,046.79 $23,463.14 $19,254.97 —
58563
CPT 		Or Hysteroscopy W/endometrial Sampling 15 $238.47 $15,965.00 $15,965.00 nat. median
$5,183
outlier · 3.1×
A9604
HCPCS 		Sm 153 Lexidronam 15 $15,521.99 $15,631.57 $15,576.78 nat. median
$11,413
1.4× median
E0194
HCPCS 		Dme Pos 15 $15,500.83 $15,500.83 $15,500.83 nat. median
$4,451
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 20,172 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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 CPT 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 CPT 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 CPT Ire Abltj 1+tumors Open 15 15 — — $10,363.41 $10,363.41 $10,363.41 2026-03-29
600T CPT 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 CPT 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
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
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
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
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
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
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
K0860 HCPCS Dme Pos 15 15 — — $6,191.37 $6,191.37 $6,191.37 2026-03-29
K0863 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
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
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
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
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
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
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
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
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
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 CPT 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 CPT 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
K0878 HCPCS Pwc Gp4 Std Sing Pow Opt Cap 15 15 — — $5,133.40 $5,133.40 $5,133.40 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
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
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
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
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
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
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
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
94U CPT Genome Rapid Sequence Alys 15 15 — — $5,031.20 $5,031.20 $5,031.20 2026-03-29
81425 CPT Genome Sequence Analysis 1 1 — — $5,031.20 $5,031.20 $5,031.20 2026-03-29
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