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

Shepherd Center

Atlanta, GA · CCN 112003 · Rates published

19,658 distinct procedures filed
27 distinct payers
254,455 rate rows
2026-05-06 last MRF observed
Data quality

253,006 of 254,455 rate rows are consumer-grade (99.4%)

1,449 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,207
placeholder amount (≤ $0.02) — excluded from medians 125
percent-of-charges filed in the dollar field — excluded from medians 117
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://shepherd.org/wp-content/uploads/510141601_shepherd-center_standardcharges.csv.zip
Found on page https://www.shepherd.org/policies/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 3c161c6fd641b98b… · 2,931,802 bytes · first seen 2026-05-05

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
J1411
CPT 		Inj Hemgenix Per Tx Dose 3 $3,710,000.00 $3,932,600.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 3 $3,327,159.88 $3,526,789.47 $3,327,159.88 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj Lovotibeglogene Autotem 3 $3,286,000.00 $3,483,160.00 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj Betibeglogene Autotemce 3 $2,968,000.00 $3,146,080.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 5 $2,178,938.07 $2,422,500.00 $2,354,513.02 nat. median
$2,469,189
1.0× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 5 $421,728.84 $559,680.00 $523,452.56 nat. median
$754,974
0.7× median
Q2056
CPT 		Ciltacabtagene Car-pos T 3 $507,687.00 $538,148.22 $507,687.00 nat. median
$675,122
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 3 $503,454.53 $533,661.80 $503,454.53 nat. median
$625,184
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 3 $496,390.21 $526,173.62 $496,390.21 nat. median
$674,188
0.7× median
Q2053
CPT 		Brexucabtagene Car Pos T 4 $395,380.00 $476,406.40 $449,440.00 nat. median
$620,080
0.7× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 5 $255,132.00 $518,485.12 $425,220.00 nat. median
$634,511
0.7× median
Q2040
CPT 		Incobotulinumtoxin A 1 $324,900.00 $324,900.00 $324,900.00 nat. median
$25,594
outlier · 12.7×
003
CPT 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 3 $152,818.30 $188,572.98 $188,572.98 —
004
CPT 		Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 3 $117,190.94 $139,642.88 $139,642.88 —
164
CPT 		Major Chest Procedures W Cc 3 $35,606.26 $128,001.14 $128,001.14 —
163
CPT 		Major Chest Procedures W Mcc 3 $121,014.03 $128,001.14 $128,001.14 —
165
CPT 		Major Chest Procedures Without Cc/mcc 3 $35,606.26 $128,001.14 $128,001.14 —
981
CPT 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 $95,678.64 $119,776.05 $119,776.05 —
987
CPT 		Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 $83,386.51 $115,156.08 $115,156.08 —
166
CPT 		Other Resp System O.r. Procedures W Mcc 3 $99,202.14 $112,111.54 $112,111.54 —
870
CPT 		Septicemia Or Severe Sepsis W Mv >96 Hours 3 $82,082.60 $98,633.41 $98,633.41 —
207
CPT 		Respiratory System Diagnosis W Ventilator Support >96 Hours 3 $79,217.39 $93,298.22 $93,298.22 —
853
CPT 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 $72,693.66 $81,859.45 $81,859.45 —
573
CPT 		Skin Graft For Skin Ulcer Or Cellulitis W Mcc 3 $75,069.64 $77,052.66 $75,069.64 —
574
CPT 		Skin Graft For Skin Ulcer Or Cellulitis W Cc 3 $74,292.94 $75,069.64 $75,069.64 —
239
CPT 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 3 $75,050.31 $79,601.39 $75,050.31 —
027
CPT 		Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 3 $27,137.22 $75,050.31 $75,050.31 —
024
CPT 		Cranio W Major Dev Impl/acute Complex Cns Pdx Without Mcc 3 $27,137.22 $75,050.31 $75,050.31 —
235
CPT 		Coronary Bypass Without Cardiac Cath W Mcc 3 $75,050.31 $81,837.86 $75,050.31 —
012
CPT 		Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 $27,137.22 $75,050.31 $75,050.31 —
080
CPT 		Nontraumatic Stupor & Coma W Mcc 3 $74,292.94 $75,050.31 $75,050.31 —
259
CPT 		Cardiac Pacemaker Device Replacement Without Mcc 3 $45,113.36 $75,050.31 $75,050.31 —
231
CPT 		Coronary Bypass W Ptca W Mcc 3 $75,050.31 $81,837.86 $75,050.31 —
023
CPT 		Cranio W Major Dev Impl/acute Complex Cns Pdx W Mcc Or Chemo Implant 3 $27,137.22 $75,050.31 $75,050.31 —
242
CPT 		Permanent Cardiac Pacemaker Implant W Mcc 3 $74,292.94 $75,050.31 $75,050.31 —
243
CPT 		Permanent Cardiac Pacemaker Implant W Cc 3 $45,113.36 $75,050.31 $75,050.31 —
244
CPT 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 $45,113.36 $75,050.31 $75,050.31 —
258
CPT 		Cardiac Pacemaker Device Replacement W Mcc 3 $45,113.36 $75,050.31 $75,050.31 —
268
CPT 		Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 3 $27,137.22 $75,050.31 $75,050.31 —
306
CPT 		Cardiac Congenital & Valvular Disorders W Mcc 3 $35,319.32 $75,050.31 $75,050.31 —
253
CPT 		Other Vascular Procedures W Cc 3 $75,050.31 $81,837.86 $75,050.31 —
033
CPT 		Ventricular Shunt Procedures Without Cc/mcc 3 $35,606.26 $75,050.31 $75,050.31 —
254
CPT 		Other Vascular Procedures Without Cc/mcc 3 $75,050.31 $81,837.86 $75,050.31 —
272
CPT 		Other Major Cardiovascular Procedures Without Cc/mcc 3 $45,113.36 $75,050.31 $75,050.31 —
252
CPT 		Other Vascular Procedures W Mcc 3 $75,050.31 $81,837.86 $75,050.31 —
241
CPT 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe Without Cc/mcc 3 $74,292.94 $75,050.31 $75,050.31 —
233
CPT 		Coronary Bypass W Cardiac Cath W Mcc 3 $75,050.31 $81,837.86 $75,050.31 —
011
CPT 		Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 $27,137.22 $75,050.31 $75,050.31 —
022
CPT 		Intracranial Vascular Procedures W Pdx Hemorrhage Without Cc/mcc 3 $39,036.92 $75,050.31 $75,050.31 —
030
CPT 		Spinal Procedures Without Cc/mcc 3 $38,969.40 $75,050.31 $75,050.31 —

Other procedures at this hospital

Browse this hospital's 19,658 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
347 CPT Anal & Stomal Procedures W Mcc 3 3 — — $25,926.15 $46,668.44 $46,668.44 2026-05-06
539 CPT Osteomyelitis W Mcc 3 3 — — $45,830.72 $46,726.43 $46,726.43 2026-05-06
341 CPT Appendectomy Without Complicated Principal Diag W Mcc 3 3 — — $35,606.26 $47,374.00 $47,374.00 2026-05-06
338 CPT Appendectomy W Complicated Principal Diag W Mcc 3 3 — — $40,003.24 $47,374.00 $47,374.00 2026-05-06
097 CPT Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc 3 3 — — $40,518.05 $47,403.00 $47,403.00 2026-05-06
575 CPT Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 3 3 — — $45,113.36 $48,886.61 $48,886.61 2026-05-06
557 CPT Tendonitis Myositis & Bursitis W Mcc 3 3 — — $42,716.54 $48,886.61 $48,886.61 2026-05-06
438 CPT Disorders Of Pancreas Except Malignancy W Mcc 3 3 — — $47,134.62 $48,997.76 $48,997.76 2026-05-06
623 CPT Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Cc 3 3 — — $43,805.24 $49,046.08 $49,046.08 2026-05-06
388 CPT G.i. Obstruction W Mcc 3 3 — — $39,834.45 $49,142.73 $49,142.73 2026-05-06
867 CPT Other Infectious & Parasitic Diseases Diagnoses W Mcc 3 3 — — $48,328.81 $49,476.18 $49,476.18 2026-05-06
082 CPT Traumatic Stupor & Coma Coma >1 Hr W Mcc 3 3 — — $43,336.85 $50,157.58 $50,157.58 2026-05-06
288 CPT Acute & Subacute Endocarditis W Mcc 3 3 — — $48,240.20 $50,196.24 $50,196.24 2026-05-06
267 CPT Endovascular Cardiac Valve Replacement Without Mcc 3 3 — — $50,225.24 $57,042.60 $50,225.24 2026-05-06
251 CPT Perc Cardiovasc Proc Without Coronary Artery Stent Without Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
034 CPT Carotid Artery Stent Procedure W Mcc 3 3 — — $50,225.24 $79,601.39 $50,225.24 2026-05-06
828 CPT Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc Without Cc/mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
840 CPT Lymphoma & Non-acute Leukemia W Mcc 3 3 — — $39,117.10 $50,225.24 $50,225.24 2026-05-06
035 CPT Carotid Artery Stent Procedure W Cc 3 3 — — $50,225.24 $79,601.39 $50,225.24 2026-05-06
908 CPT Other O.r. Procedures For Injuries W Cc 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
957 CPT Other O.r. Procedures For Multiple Significant Trauma W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
821 CPT Lymphoma & Leukemia W Major O.r. Procedure W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
822 CPT Lymphoma & Leukemia W Major O.r. Procedure Without Cc/mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
808 CPT Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
811 CPT Red Blood Cell Disorders W Mcc 3 3 — — $34,580.86 $50,225.24 $50,225.24 2026-05-06
827 CPT Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
956 CPT Limb Reattachment Hip & Femur Proc For Multiple Significant Trauma 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
234 CPT Coronary Bypass W Cardiac Cath Without Mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
326 CPT Stomach Esophageal & Duodenal Proc W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
513 CPT Hand Or Wrist Proc Except Major Thumb Or Joint Proc W Cc/mcc 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
768 CPT Vaginal Delivery W O.r. Proc Except Steril &/or D&c 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
465 CPT Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
514 CPT Hand Or Wrist Proc Except Major Thumb Or Joint Proc Without Cc/mcc 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
769 CPT Postpartum & Post Abortion Diagnoses W O.r. Procedure 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
038 CPT Extracranial Procedures W Cc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
865 CPT Viral Illness W Mcc 3 3 — — $47,193.70 $50,225.24 $50,225.24 2026-05-06
168 CPT Other Resp System O.r. Procedures Without Cc/mcc 3 3 — — $50,225.24 $60,203.19 $50,225.24 2026-05-06
466 CPT Revision Of Hip Or Knee Replacement W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
757 CPT Infections Female Reproductive System W Mcc 3 3 — — $34,821.39 $50,225.24 $50,225.24 2026-05-06
232 CPT Coronary Bypass W Ptca Without Mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
216 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
016 CPT Autologous Bone Marrow Transplant W Cc/mcc 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
039 CPT Extracranial Procedures Without Cc/mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
963 CPT Other Multiple Significant Trauma W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
250 CPT Perc Cardiovasc Proc Without Coronary Artery Stent W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
221 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Cc/mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
100 CPT Seizures W Mcc 3 3 — — $30,525.68 $50,225.24 $50,225.24 2026-05-06
220 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath W Cc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
965 CPT Other Multiple Significant Trauma Without Cc/mcc 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
157 CPT Dental & Oral Diseases W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
506 CPT Major Thumb Or Joint Procedures 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
368 CPT Major Esophageal Disorders W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
740 CPT Uterineadnexa Proc For Non-ovarian/adnexal Malig W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
154 CPT Other Ear Nose Mouth & Throat Diagnoses W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
215 CPT Other Heart Assist System Implant 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
417 CPT Laparoscopic Cholecystectomy Without C.d.e. W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
554 CPT Bone Diseases & Arthropathies Without Mcc 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
058 CPT Multiple Sclerosis & Cerebellar Ataxia W Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
501 CPT Soft Tissue Procedures W Cc 3 3 — — $50,225.24 $53,607.72 $50,225.24 2026-05-06
218 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath Without Cc/mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
229 CPT Other Cardiothoracic Procedures W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
498 CPT Local Excision & Removal Int Fix Devices Of Hip & Femur W Cc/mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
717 CPT Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
983 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 3 3 — — $50,225.24 $54,557.17 $50,225.24 2026-05-06
499 CPT Local Excision & Removal Int Fix Devices Of Hip & Femur Without Cc/mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
626 CPT Thyroid Parathyroid & Thyroglossal Procedures W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
988 CPT Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
138 CPT Mouth Procedures Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
219 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath W Mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
139 CPT Salivary Gland Procedures 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
964 CPT Other Multiple Significant Trauma W Cc 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
969 CPT HIV W Extensive O.r. Procedure W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
904 CPT Skin Grafts For Injuries W Cc/mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
970 CPT HIV W Extensive O.r. Procedure Without Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
236 CPT Coronary Bypass Without Cardiac Cath Without Mcc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
686 CPT Kidney & Urinary Tract Neoplasms W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
545 CPT Connective Tissue Disorders W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
117 CPT Intraocular Procedures Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
687 CPT Kidney & Urinary Tract Neoplasms W Cc 3 3 — — $21,904.73 $50,225.24 $50,225.24 2026-05-06
115 CPT Extraocular Procedures Except Orbit 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
204 CPT Respiratory Signs & Symptoms 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
959 CPT Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
955 CPT Craniotomy For Multiple Significant Trauma 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
199 CPT Pneumothorax W Mcc 3 3 — — $25,090.64 $50,225.24 $50,225.24 2026-05-06
485 CPT Knee Procedures W Pdx Of Infection W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
136 CPT Sinus & Mastoid Procedures Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
629 CPT Other Endocrine Nutrit & Metab O.r. Proc W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
510 CPT Shoulderelbow Or Forearm Procexc Major Joint Proc W Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
037 CPT Extracranial Procedures W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
958 CPT Other O.r. Procedures For Multiple Significant Trauma W Cc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
266 CPT Endovascular Cardiac Valve Replacement W Mcc 3 3 — — $50,225.24 $57,042.60 $50,225.24 2026-05-06
114 CPT Orbital Procedures Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
217 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc 3 3 — — $50,225.24 $81,837.86 $50,225.24 2026-05-06
909 CPT Other O.r. Procedures For Injuries Without Cc/mcc 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
935 CPT Non-extensive Burns 3 3 — — $35,606.26 $50,225.24 $50,225.24 2026-05-06
102 CPT Headaches W Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
196 CPT Interstitial Lung Disease W Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
597 CPT Malignant Breast Disorders W Mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
989 CPT Non-extensive O.r. Proc Unrelated To Principal Diagnosis Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
477 CPT Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 3 3 — — $50,225.24 $74,292.94 $50,225.24 2026-05-06
903 CPT Wound Debridements For Injuries Without Cc/mcc 3 3 — — $40,180.47 $50,225.24 $50,225.24 2026-05-06
036 CPT Carotid Artery Stent Procedure Without Cc/mcc 3 3 — — $50,225.24 $79,601.39 $50,225.24 2026-05-06
905 CPT Skin Grafts For Injuries Without Cc/mcc 3 3 — — $27,137.22 $50,225.24 $50,225.24 2026-05-06
228 CPT Other Cardiothoracic Procedures W Mcc 3 3 — — $45,113.36 $50,225.24 $50,225.24 2026-05-06
053 CPT Spinal Disorders & Injuries Without Cc/mcc 3 3 — — $41,488.60 $51,302.91 $51,302.91 2026-05-06
208 CPT Respiratory System Diagnosis W Ventilator Support <96 Hours 3 3 — — $48,105.17 $51,462.38 $51,462.38 2026-05-06
464 CPT Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Cc 3 3 — — $49,636.94 $51,486.55 $51,486.55 2026-05-06
052 CPT Spinal Disorders & Injuries W Cc/mcc 3 3 — — $41,488.60 $52,385.41 $52,385.41 2026-05-06
919 CPT Complications Of Treatment W Mcc 3 3 — — $49,067.27 $52,670.53 $52,670.53 2026-05-06
393 CPT Other Digestive System Diagnoses W Mcc 3 3 — — $47,286.53 $54,516.59 $54,516.59 2026-05-06
606 CPT Minor Skin Disorders W Mcc 3 3 — — $43,066.78 $55,135.16 $55,135.16 2026-05-06
Q2043 CPT Sipuleucel-t Auto Cd54+ 11 9 — — $27,016.53 $78,555.83 $55,512.78 2026-05-06
515 CPT Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 3 3 — — $56,589.77 $60,009.09 $56,589.77 2026-05-06
516 CPT Other Musculoskelet Sys & Conn Tiss O.r. Proc W Cc 3 3 — — $27,137.22 $56,589.77 $56,589.77 2026-05-06
094 CPT Bacterial & Tuberculous Infections Of Nervous System W Mcc 3 3 — — $45,003.65 $57,831.75 $57,831.75 2026-05-06
580 CPT Other Skin Subcut Tiss & Breast Proc W Cc 3 3 — — $49,982.96 $58,532.48 $58,532.48 2026-05-06
245 CPT Aicd Generator Procedures 3 3 — — $45,113.36 $58,643.63 $58,643.63 2026-05-06
261 CPT Cardiac Pacemaker Revision Except Device Replacement W Cc 3 3 — — $58,643.63 $74,292.94 $58,643.63 2026-05-06
260 CPT Cardiac Pacemaker Revision Except Device Replacement W Mcc 3 3 — — $58,643.63 $74,292.94 $58,643.63 2026-05-06
262 CPT Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 3 3 — — $58,643.63 $74,292.94 $58,643.63 2026-05-06
263 CPT Vein Ligation & Stripping 3 3 — — $57,042.60 $58,643.63 $58,643.63 2026-05-06
264 CPT Other Circulatory System O.r. Procedures 3 3 — — $57,042.60 $58,643.63 $58,643.63 2026-05-06
982 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 3 3 — — $54,557.17 $59,793.79 $59,793.79 2026-05-06
Q0480 CPT Driver Pneumatic Vad Rep 11 6 — — $5,999.04 $99,999.92 $59,990.36 2026-05-06
857 CPT Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 3 3 — — $52,692.04 $60,325.38 $60,325.38 2026-05-06
040 CPT Periph/cranial Nerve & Other Nerv Syst Proc W Mcc 3 3 — — $58,570.15 $60,489.68 $60,489.68 2026-05-06
974 CPT HIV W Major Related Condition W Mcc 3 3 — — $49,674.91 $61,523.86 $61,523.86 2026-05-06
902 CPT Wound Debridements For Injuries W Cc 3 3 — — $40,180.47 $62,475.88 $62,475.88 2026-05-06
901 CPT Wound Debridements For Injuries W Mcc 3 3 — — $60,211.63 $62,475.88 $62,475.88 2026-05-06
673 CPT Other Kidney & Urinary Tract Procedures W Mcc 3 3 — — $60,169.44 $63,326.42 $63,326.42 2026-05-06
A9543 CPT Y90 Ibritumomab Rx 7 6 — — $45,360.00 $65,476.58 $63,356.23 2026-05-06
570 CPT Skin Debridement W Mcc 3 3 — — $59,793.88 $63,563.22 $63,563.22 2026-05-06
941 CPT O.r. Proc W Diagnoses Of Other Contact W Health Services Without Cc/mcc 3 3 — — $40,028.56 $63,998.15 $63,998.15 2026-05-06
939 CPT O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc 3 3 — — $55,181.69 $63,998.15 $63,998.15 2026-05-06
940 CPT O.r. Proc W Diagnoses Of Other Contact W Health Services W Cc 3 3 — — $40,028.56 $63,998.15 $63,998.15 2026-05-06
856 CPT Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 3 3 — — $60,165.22 $64,389.59 $64,389.59 2026-05-06
247 CPT Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 3 3 — — $45,113.36 $65,153.14 $65,153.14 2026-05-06
246 CPT Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
222 CPT Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
225 CPT Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
226 CPT Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 3 3 — — $45,113.36 $65,153.14 $65,153.14 2026-05-06
227 CPT Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 3 3 — — $45,113.36 $65,153.14 $65,153.14 2026-05-06
224 CPT Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
223 CPT Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
249 CPT Perc Cardiovasc Proc W Non-drug-eluting Stent Without Mcc 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
248 CPT Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents 3 3 — — $65,153.14 $74,292.94 $65,153.14 2026-05-06
J9029 CPT Instill Adstiladrin Tx Dose 4 4 — — $63,499.33 $89,866.13 $65,404.31 2026-05-06
826 CPT Myeloprolif Disord Or Poorly Diff Neopl W Maj O.r. Proc W Mcc 3 3 — — $45,113.36 $65,491.43 $65,491.43 2026-05-06
820 CPT Lymphoma & Leukemia W Major O.r. Procedure W Mcc 3 3 — — $45,113.36 $65,491.43 $65,491.43 2026-05-06
907 CPT Other O.r. Procedures For Injuries W Mcc 3 3 — — $63,752.00 $65,491.43 $65,491.43 2026-05-06
L8702 CPT Ewhf S/d Uprt Micro Sensor 2 2 — — $65,871.74 $65,871.74 $65,871.74 2026-05-06
E0766 CPT Elec Stim Cancer Treatment 7 2 — — $8,815.27 $88,152.70 $66,114.53 2026-05-06
463 CPT Wnd Debrid & Skn Grft Exc Hand For Musculo-conn Tiss Dis W Mcc 3 3 — — $65,735.29 $66,424.12 $66,424.12 2026-05-06
500 CPT Soft Tissue Procedures W Mcc 3 3 — — $53,607.72 $66,496.61 $66,496.61 2026-05-06
622 CPT Skin Grafts & Wound Debrid For Endoc Nutrit & Metab Dis W Mcc 3 3 — — $57,637.58 $68,468.31 $68,468.31 2026-05-06
061 CPT Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc 3 3 — — $36,838.43 $70,227.38 $70,227.38 2026-05-06
064 CPT Intracranial Hemorrhage Or Cerebral Infarction W Mcc 3 3 — — $39,036.92 $70,227.38 $70,227.38 2026-05-06
205 CPT Other Respiratory System Diagnoses W Mcc 3 3 — — $38,391.30 $70,802.46 $70,802.46 2026-05-06
800 CPT Splenectomy W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
358 CPT Other Digestive System O.r. Procedures Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
801 CPT Splenectomy Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
799 CPT Splenectomy W Mcc 3 3 — — $67,963.32 $71,991.28 $71,991.28 2026-05-06
620 CPT O.r. Procedures For Obesity W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
621 CPT O.r. Procedures For Obesity Without Cc/mcc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
356 CPT Other Digestive System O.r. Procedures W Mcc 3 3 — — $67,963.32 $71,991.28 $71,991.28 2026-05-06
357 CPT Other Digestive System O.r. Procedures W Cc 3 3 — — $35,606.26 $71,991.28 $71,991.28 2026-05-06
167 CPT Other Resp System O.r. Procedures W Cc 3 3 — — $60,203.19 $73,117.27 $73,117.27 2026-05-06
113 CPT Orbital Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
116 CPT Intraocular Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
135 CPT Sinus & Mastoid Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
137 CPT Mouth Procedures W Cc/mcc 3 3 — — $27,137.22 $73,117.27 $73,117.27 2026-05-06
579 CPT Other Skin Subcut Tiss & Breast Proc W Mcc 3 3 — — $58,625.01 $73,233.26 $73,233.26 2026-05-06
496 CPT Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
617 CPT Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Cc 3 3 — — $55,531.93 $75,050.31 $75,050.31 2026-05-06
518 CPT Back & Neck Proc Exc Spinal Fusion W Mcc Or Disc Device/neurostim 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
470 CPT Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
855 CPT Infectious & Parasitic Diseases W O.r. Procedure Without Cc/mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
013 CPT Tracheostomy For Facemouth & Neck Diagnoses Without Cc/mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
270 CPT Other Major Cardiovascular Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
344 CPT Minor Small & Large Bowel Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
625 CPT Thyroid Parathyroid & Thyroglossal Procedures W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
033 CPT Ventricular Shunt Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
653 CPT Major Bladder Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
553 CPT Bone Diseases & Arthropathies W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
081 CPT Nontraumatic Stupor & Coma Without Mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
029 CPT Spinal Procedures W Cc Or Spinal Neurostimulators 3 3 — — $38,969.40 $75,050.31 $75,050.31 2026-05-06
746 CPT Vagina Cervix & Vulva Procedures W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
031 CPT Ventricular Shunt Procedures W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
271 CPT Other Major Cardiovascular Procedures W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
737 CPT Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
503 CPT Foot Procedures W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
240 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
241 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
287 CPT Circulatory Disorders Except Ami W Card Cath Without Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
030 CPT Spinal Procedures Without Cc/mcc 3 3 — — $38,969.40 $75,050.31 $75,050.31 2026-05-06
734 CPT Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
555 CPT Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
493 CPT Lower Extrem & Humer Proc Except Hipfootfemur W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
469 CPT Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
243 CPT Permanent Cardiac Pacemaker Implant W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
330 CPT Major Small & Large Bowel Procedures W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
497 CPT Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
495 CPT Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
255 CPT Upper Limb & Toe Amputation For Circ System Disorders W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
024 CPT Cranio W Major Dev Impl/acute Complex Cns Pdx Without Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
028 CPT Spinal Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
254 CPT Other Vascular Procedures Without Cc/mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
272 CPT Other Major Cardiovascular Procedures Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
475 CPT Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
736 CPT Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
026 CPT Craniotomy & Endovascular Intracranial Procedures W Cc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
253 CPT Other Vascular Procedures W Cc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
743 CPT Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
252 CPT Other Vascular Procedures W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
494 CPT Lower Extrem & Humer Proc Except Hipfootfemur Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
488 CPT Knee Procedures Without Pdx Of Infection W Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
480 CPT Hip & Femur Procedures Except Major Joint W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
307 CPT Cardiac Congenital & Valvular Disorders Without Mcc 3 3 — — $21,904.73 $75,050.31 $75,050.31 2026-05-06
456 CPT Spinal Fus Exc Cerv W Spinal Curv/malig/infec Or Ext Fus W Mcc 3 3 — — $42,754.52 $75,050.31 $75,050.31 2026-05-06
286 CPT Circulatory Disorders Except Ami W Card Cath W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
474 CPT Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 3 3 — — $70,161.81 $75,050.31 $75,050.31 2026-05-06
662 CPT Minor Bladder Procedures W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
616 CPT Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis W Mcc 3 3 — — $70,761.01 $75,050.31 $75,050.31 2026-05-06
258 CPT Cardiac Pacemaker Device Replacement W Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
011 CPT Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
628 CPT Other Endocrine Nutrit & Metab O.r. Proc W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
504 CPT Foot Procedures W Cc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
405 CPT Pancreas Liver & Shunt Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
843 CPT Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
659 CPT Kidney & Ureter Procedures For Non-neoplasm W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
027 CPT Craniotomy & Endovascular Intracranial Procedures Without Cc/mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
735 CPT Pelvic Evisceration Rad Hysterectomy & Rad Vulvectomy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
492 CPT Lower Extrem & Humer Proc Except Hipfootfemur W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
021 CPT Intracranial Vascular Procedures W Pdx Hemorrhage W Cc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
742 CPT Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
244 CPT Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
854 CPT Infectious & Parasitic Diseases W O.r. Procedure W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
265 CPT Aicd Lead Procedures 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
619 CPT O.r. Procedures For Obesity W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
505 CPT Foot Procedures Without Cc/mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
329 CPT Major Small & Large Bowel Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
080 CPT Nontraumatic Stupor & Coma W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
231 CPT Coronary Bypass W Ptca W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
259 CPT Cardiac Pacemaker Device Replacement Without Mcc 3 3 — — $45,113.36 $75,050.31 $75,050.31 2026-05-06
738 CPT Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
235 CPT Coronary Bypass Without Cardiac Cath W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
748 CPT Female Reproductive System Reconstructive Procedures 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
739 CPT Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 3 3 — — $57,481.45 $75,050.31 $75,050.31 2026-05-06
233 CPT Coronary Bypass W Cardiac Cath W Mcc 3 3 — — $75,050.31 $81,837.86 $75,050.31 2026-05-06
025 CPT Craniotomy & Endovascular Intracranial Procedures W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
239 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 3 3 — — $75,050.31 $79,601.39 $75,050.31 2026-05-06
482 CPT Hip & Femur Procedures Except Major Joint Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
483 CPT Major Joint/limb Reattachment Procedure Of Upper Extremities 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
032 CPT Ventricular Shunt Procedures W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
012 CPT Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
576 CPT Skin Graft Exc For Skin Ulcer Or Cellulitis W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
023 CPT Cranio W Major Dev Impl/acute Complex Cns Pdx W Mcc Or Chemo Implant 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
481 CPT Hip & Femur Procedures Except Major Joint W Cc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
618 CPT Amputat Of Lower Limb For Endocrinenutrit& Metabol Dis Without Cc/mcc 3 3 — — $55,531.93 $75,050.31 $75,050.31 2026-05-06
749 CPT Other Female Reproductive System O.r. Procedures W Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
489 CPT Knee Procedures Without Pdx Of Infection Without Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
242 CPT Permanent Cardiac Pacemaker Implant W Mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
306 CPT Cardiac Congenital & Valvular Disorders W Mcc 3 3 — — $35,319.32 $75,050.31 $75,050.31 2026-05-06
435 CPT Malignancy Of Hepatobiliary System Or Pancreas W Mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
750 CPT Other Female Reproductive System O.r. Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
020 CPT Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
747 CPT Vagina Cervix & Vulva Procedures Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
022 CPT Intracranial Vascular Procedures W Pdx Hemorrhage Without Cc/mcc 3 3 — — $39,036.92 $75,050.31 $75,050.31 2026-05-06
711 CPT Testes Procedures W Cc/mcc 3 3 — — $74,292.94 $75,050.31 $75,050.31 2026-05-06
665 CPT Prostatectomy W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
578 CPT Skin Graft Exc For Skin Ulcer Or Cellulitis Without Cc/mcc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 3 3 — — $27,137.22 $75,050.31 $75,050.31 2026-05-06
577 CPT Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 3 3 — — $35,606.26 $75,050.31 $75,050.31 2026-05-06
573 CPT Skin Graft For Skin Ulcer Or Cellulitis W Mcc 3 3 — — $75,069.64 $77,052.66 $75,069.64 2026-05-06
574 CPT Skin Graft For Skin Ulcer Or Cellulitis W Cc 3 3 — — $74,292.94 $75,069.64 $75,069.64 2026-05-06
853 CPT Infectious & Parasitic Diseases W O.r. Procedure W Mcc 3 3 — — $72,693.66 $81,859.45 $81,859.45 2026-05-06
207 CPT Respiratory System Diagnosis W Ventilator Support >96 Hours 3 3 — — $79,217.39 $93,298.22 $93,298.22 2026-05-06
870 CPT Septicemia Or Severe Sepsis W Mv >96 Hours 3 3 — — $82,082.60 $98,633.41 $98,633.41 2026-05-06
166 CPT Other Resp System O.r. Procedures W Mcc 3 3 — — $99,202.14 $112,111.54 $112,111.54 2026-05-06
987 CPT Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 3 3 — — $83,386.51 $115,156.08 $115,156.08 2026-05-06
981 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 3 3 — — $95,678.64 $119,776.05 $119,776.05 2026-05-06
164 CPT Major Chest Procedures W Cc 3 3 — — $35,606.26 $128,001.14 $128,001.14 2026-05-06
163 CPT Major Chest Procedures W Mcc 3 3 — — $121,014.03 $128,001.14 $128,001.14 2026-05-06
165 CPT Major Chest Procedures Without Cc/mcc 3 3 — — $35,606.26 $128,001.14 $128,001.14 2026-05-06
004 CPT Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck Without Maj O.r. 3 3 — — $117,190.94 $139,642.88 $139,642.88 2026-05-06
003 CPT Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face Mouth & Neck W Maj O.r. 3 3 — — $152,818.30 $188,572.98 $188,572.98 2026-05-06
Q2040 CPT Incobotulinumtoxin A 2 1 — — $324,900.00 $324,900.00 $324,900.00 2026-05-06
Q2041 CPT Axicabtagene Ciloleucel Car+ 7 5 — — $255,132.00 $518,485.12 $425,220.00 2026-05-06
Q2053 CPT Brexucabtagene Car Pos T 4 4 — — $395,380.00 $476,406.40 $449,440.00 2026-05-06
Q2054 CPT Lisocabtagene Mara Car Pos T 3 3 — — $496,390.21 $526,173.62 $496,390.21 2026-05-06
Q2055 CPT Idecabtagene Vicleucel Car 3 3 — — $503,454.53 $533,661.80 $503,454.53 2026-05-06
Q2056 CPT Ciltacabtagene Car-pos T 3 3 — — $507,687.00 $538,148.22 $507,687.00 2026-05-06
Q2042 CPT Tisagenlecleucel Car-pos T 7 5 — — $421,728.84 $559,680.00 $523,452.56 2026-05-06
J3399 CPT Inj Onase Abepar-xioi Treat 5 5 — — $2,178,938.07 $2,422,500.00 $2,354,513.02 2026-05-06
J3393 CPT Inj Betibeglogene Autotemce 3 3 — — $2,968,000.00 $3,146,080.00 $2,968,000.00 2026-05-06
J3394 CPT Inj Lovotibeglogene Autotem 3 3 — — $3,286,000.00 $3,483,160.00 $3,286,000.00 2026-05-06
J1413 CPT Inj Delandistrogene Mox Rokl 3 3 — — $3,327,159.88 $3,526,789.47 $3,327,159.88 2026-05-06
J1411 CPT Inj Hemgenix Per Tx Dose 3 3 — — $3,710,000.00 $3,932,600.00 $3,710,000.00 2026-05-06
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