Price Transparencybeta Hospital negotiated rates

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

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Hospital

ST LUKE'S MCCALL

Mccall, ID · CCN 131312 · Rates published

Your selected procedure

You selected 93350 (CPT)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $1,681 across 21 payers · range $1,108-$1,834

Source: https://assets.slhs.org/download/assets/273311774_St-Lukes-McCall-LTD_standardcharges.csv/8ce4df342a2111f1b690eeb323b4f562 · observed 2026-07-18

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

7,264 distinct procedures filed
28 distinct payers
832,445 rate rows
2026-07-18 last MRF observed
Data quality

802,419 of 832,445 rate rows are consumer-grade (96.4%)

30,026 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 14,626
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,434
placeholder amount (≤ $0.02) — excluded from medians 797
percent-of-charges filed in the dollar field — excluded from medians 466
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 459
per-diem day rate — not a per-procedure price 234
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.slhs.org/download/assets/273311774_St-Lukes-McCall-LTD_standardcharges.csv/8ce4df342a2111f1b690eeb323b4f562
Found on page https://stlukesonline.org/en/patients-visitors/billing-and-insurance/price-estimates/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-18
Content fingerprint 73b14e28acbf34c4… · 357,288,550 bytes · first seen 2026-05-09

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
38240
CPT 		Transplantation Of Donor Stem Cells Per Donor 21 $96,047.42 $158,975.04 $145,727.12 nat. median
$12,842
outlier · 11.3×
A9543
HCPCS 		Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 21 $84,554.97 $140,013.53 $128,345.74 nat. median
$63,528
outlier · 2.0×
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 21 $83,604.33 $138,440.06 $126,903.39 nat. median
$479
outlier · 264.8×
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 21 $73,080.58 $120,960.96 $110,880.88 nat. median
$27,694
outlier · 4.0×
33276
CPT 		Hc Insertion Phrenic Nerve Stimulator System 21 $73,080.58 $120,960.96 $110,880.88 nat. median
$43,278
outlier · 2.6×
J9029
HCPCS 		Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 21 $41,760.00 $69,120.00 $62,280.00 nat. median
$68,423
0.9× median
93653
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$26,652
outlier · 2.0×
93654
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$27,016
outlier · 2.0×
93656
CPT 		Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 21 $35,962.90 $59,524.80 $54,564.40 nat. median
$27,236
outlier · 2.0×
J9226
HCPCS 		Hc Histerlin, Implant, 50 Mg 21 $34,926.41 $57,809.22 $51,185.25 nat. median
$55,159
0.9× median
C1826
HCPCS 		Hc Stimulator Spinal Cord Inceptiv 21 $31,326.38 $54,011.00 $48,069.79 nat. median
$28,756
1.7× median
77372
CPT 		Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 21 $31,294.48 $51,797.76 $47,481.28 nat. median
$9,194
outlier · 5.2×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 21 $30,419.66 $50,464.02 $46,153.97 nat. median
$6,176
outlier · 7.5×
C1736
HCPCS 		Hc Ultrasound Paradise Rdn Price Per Procedure 21 $27,914.24 $46,202.88 $42,352.64 nat. median
$24,586
1.7× median
S2102
HCPCS 		Hc Process Auto Islet Transcon 21 $27,596.40 $45,676.80 $41,870.40 nat. median
$3,676
outlier · 11.4×
C1831
HCPCS 		Hc Aprevo Kit Implant Level 1 Patient Specific 21 $14,476.80 $78,000.00 $41,519.71 nat. median
$7,520
outlier · 5.5×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 21 $20,149.20 $44,872.06 $41,083.44 nat. median
$470
outlier · 87.5×
C1823
HCPCS 		Hc Generator Pulse Imp Remede 21 $24,882.00 $42,900.00 $38,181.00 nat. median
$31,620
1.2× median
67027
CPT 		Implantation Of Eye Drug Delivery System 21 $24,119.30 $39,921.60 $36,594.80 nat. median
$9,413
outlier · 3.9×
A9606
HCPCS 		Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 21 $22,446.00 $37,212.48 $34,111.44 nat. median
$266
outlier · 128.2×
92941
CPT 		Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 21 $20,314.50 $33,624.00 $30,822.00 nat. median
$12,000
outlier · 2.6×
J9298
HCPCS 		Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 21 $19,615.84 $32,581.83 $29,761.96 nat. median
$561
outlier · 53.0×
0238T
OTHER 		Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$17,543
1.7× median
C9602
HCPCS 		Hc Perc D-e Cor Stent Ather S 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$20,101
1.5× median
C9607
HCPCS 		Hc Perc D-e Cor Revasc Chro Sing 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$20,030
1.5× median
92933
CPT 		Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$18,549
1.6× median
92930
CPT 		Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments Or, W… 21 $19,430.00 $32,160.00 $29,480.00 nat. median
$27,623
1.1× median
43775
CPT 		Partial Removal Of Stomach For Weight Loss Using An Endoscope 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$4,853
outlier · 6.0×
32656
CPT 		Hc Thoracoscopy W/Parietal Pleurectomy 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$2,550
outlier · 11.3×
32661
CPT 		Hc Thoracoscopy W/Exc Pericardial Cyst Tumor/Mass 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$2,805
outlier · 10.3×
58150
CPT 		Removal Of Uterus And Cervix Through Abdomen 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$3,290
outlier · 8.8×
58200
CPT 		Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$3,792
outlier · 7.6×
58575
CPT 		Hc Laps Tot Hyst Resj Mal 21 $19,046.62 $31,525.44 $28,898.32 nat. median
$5,305
outlier · 5.4×
50405
CPT 		Revision Of Kidney/ureter 21 $19,046.62 $31,525.44 $27,913.15 nat. median
$3,659
outlier · 7.6×
22558
CPT 		Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 21 $18,170.24 $30,074.88 $27,568.64 nat. median
$8,322
outlier · 3.3×
C1882
HCPCS 		Hc Crt-d 5.37x8.08x0.99cm Inogen 21 $10,887.18 $45,431.00 $27,449.84 nat. median
$27,360
1.0× median
44207
CPT 		Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 21 $18,072.22 $29,912.64 $27,419.92 nat. median
$3,934
outlier · 7.0×
35121
CPT 		Repair Of Aneurysm Or Liver, Kidneys, Stomach And/or Intestines Artery With Graf… 21 $17,824.56 $29,502.72 $27,044.16 nat. median
$3,397
outlier · 8.0×
35151
CPT 		Repair Of Aneurysm Or Lower Leg Artery With Graft 21 $17,824.56 $29,502.72 $27,044.16 nat. median
$3,050
outlier · 8.9×
55920
CPT 		Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 21 $17,240.50 $28,536.00 $26,158.00 nat. median
$5,113
outlier · 5.1×
33419
CPT 		Repair Of Mitral Valve Through The Skin, Additional Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$3,243
outlier · 8.0×
0646T
CPT 		Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 18 $17,114.64 $28,327.68 $25,967.04 nat. median
$13,441
1.9× median
33361
CPT 		Replacement Of Aortic Valve Through The Skin And Femoral Artery 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$9,542
outlier · 2.7×
0570T
CPT 		Hc Ttvr Percutaneous Approach Each Addl Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$7,754
outlier · 3.3×
33418
CPT 		Repair Of Mitral Valve Through The Skin, Initial Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$8,524
outlier · 3.0×
0569T
CPT 		Hc Ttvr Percutaneous Approach Initial Prosthesis 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$13,002
2.0× median
0483T
OTHER 		Insertion Of Artificial Valve Between Left Heart Chambers, Accessed Through The… 21 $17,114.64 $28,327.68 $25,967.04 nat. median
$7,979
outlier · 3.3×
Q4226
HCPCS 		Hc Graft Skin 10x10cm Autologous 21 $9,048.00 $62,400.00 $25,896.00 nat. median
$1,224
outlier · 21.2×
78431
CPT 		Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress W… 21 $16,707.48 $27,653.76 $25,349.28 nat. median
$2,663
outlier · 9.5×
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/mcc 2 $25,242.00 $25,242.00 $25,242.00 nat. median
$9,599
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 7,264 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
             
38240 CPT Transplantation Of Donor Stem Cells Per Donor 36 21 $165,599.00 $165,599.00 $96,047.42 $158,975.04 $145,727.12 2026-07-18
A9543 HCPCS Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 72 21 $145,815.93 $145,815.93 $84,554.97 $140,013.53 $128,345.74 2026-07-18
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 72 21 $144,176.90 $144,176.90 $83,604.33 $138,440.06 $126,903.39 2026-07-18
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 36 21 $126,001.00 $126,001.00 $73,080.58 $120,960.96 $110,880.88 2026-07-18
33276 CPT Hc Insertion Phrenic Nerve Stimulator System 36 21 $126,001.00 $126,001.00 $73,080.58 $120,960.96 $110,880.88 2026-07-18
J9029 HCPCS Hc Nadofaragene Firadenovec-vncg, Instill, 75 Ml 36 21 $72,000.00 $72,000.00 $41,760.00 $69,120.00 $62,280.00 2026-07-18
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 36 21 $62,005.00 $62,005.00 $35,962.90 $59,524.80 $54,564.40 2026-07-18
J9226 HCPCS Hc Histerlin, Implant, 50 Mg 39 21 $60,217.94 $60,217.94 $34,926.41 $57,809.22 $51,185.25 2026-07-18
C1826 HCPCS Hc Stimulator Spinal Cord Inceptiv 36 21 $54,011.00 $54,011.00 $31,326.38 $54,011.00 $48,069.79 2026-07-18
77372 CPT Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M… 36 21 $53,956.00 $53,956.00 $31,294.48 $51,797.76 $47,481.28 2026-07-18
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 78 21 $52,507.19 $52,507.19 $30,419.66 $50,464.02 $46,153.97 2026-07-18
C1736 HCPCS Hc Ultrasound Paradise Rdn Price Per Procedure 36 21 $48,128.00 $48,128.00 $27,914.24 $46,202.88 $42,352.64 2026-07-18
S2102 HCPCS Hc Process Auto Islet Transcon 36 21 $47,580.00 $47,580.00 $27,596.40 $45,676.80 $41,870.40 2026-07-18
C1831 HCPCS Hc Aprevo Kit Implant Level 1 Patient Specific 216 21 $54,600.00 $54,600.00 $14,476.80 $78,000.00 $41,519.71 2026-07-18
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 78 21 $46,713.73 $46,713.73 $20,149.20 $44,872.06 $41,083.44 2026-07-18
C1823 HCPCS Hc Generator Pulse Imp Remede 36 21 $42,900.00 $42,900.00 $24,882.00 $42,900.00 $38,181.00 2026-07-18
67027 CPT Implantation Of Eye Drug Delivery System 36 21 $41,585.00 $41,585.00 $24,119.30 $39,921.60 $36,594.80 2026-07-18
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 72 21 $38,731.50 $38,731.50 $22,446.00 $37,212.48 $34,111.44 2026-07-18
92941 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $35,025.00 $35,025.00 $20,314.50 $33,624.00 $30,822.00 2026-07-18
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 78 21 $33,879.91 $33,879.91 $19,615.84 $32,581.83 $29,761.96 2026-07-18
0238T OTHER Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
92930 CPT Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments Or, W… 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
92933 CPT Percutaneous Transluminal Coronary Atherectomy, With Intracoronary Stent, With C… 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sing 36 21 $33,500.00 $33,500.00 $19,430.00 $32,160.00 $29,480.00 2026-07-18
58200 CPT Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
32656 CPT Hc Thoracoscopy W/Parietal Pleurectomy 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
58575 CPT Hc Laps Tot Hyst Resj Mal 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
32661 CPT Hc Thoracoscopy W/Exc Pericardial Cyst Tumor/Mass 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
58150 CPT Removal Of Uterus And Cervix Through Abdomen 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
43775 CPT Partial Removal Of Stomach For Weight Loss Using An Endoscope 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $28,898.32 2026-07-18
50405 CPT Revision Of Kidney/ureter 36 21 $32,839.00 $32,839.00 $19,046.62 $31,525.44 $27,913.15 2026-07-18
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 36 21 $31,328.00 $31,328.00 $18,170.24 $30,074.88 $27,568.64 2026-07-18
C1882 HCPCS Hc Crt-d 5.37x8.08x0.99cm Inogen 828 21 $31,699.00 $31,699.00 $10,887.18 $45,431.00 $27,449.84 2026-07-18
44207 CPT Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 36 21 $31,159.00 $31,159.00 $18,072.22 $29,912.64 $27,419.92 2026-07-18
35121 CPT Repair Of Aneurysm Or Liver, Kidneys, Stomach And/or Intestines Artery With Graf… 36 21 $30,732.00 $30,732.00 $17,824.56 $29,502.72 $27,044.16 2026-07-18
35151 CPT Repair Of Aneurysm Or Lower Leg Artery With Graft 36 21 $30,732.00 $30,732.00 $17,824.56 $29,502.72 $27,044.16 2026-07-18
55920 CPT Insertion Of Needles Or Tubes Into Pelvic Or Genital Organs For Radiation Therap… 36 21 $29,725.00 $29,725.00 $17,240.50 $28,536.00 $26,158.00 2026-07-18
33418 CPT Repair Of Mitral Valve Through The Skin, Initial Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0483T OTHER Insertion Of Artificial Valve Between Left Heart Chambers, Accessed Through The … 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
33361 CPT Replacement Of Aortic Valve Through The Skin And Femoral Artery 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0569T CPT Hc Ttvr Percutaneous Approach Initial Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0646T CPT Hc Ttvi/Rplcmt Prostc Vlv Perq W/r Hrt Cath&Angrph 33 18 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
0570T CPT Hc Ttvr Percutaneous Approach Each Addl Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
33419 CPT Repair Of Mitral Valve Through The Skin, Additional Prosthesis 36 21 $29,508.00 $29,508.00 $17,114.64 $28,327.68 $25,967.04 2026-07-18
Q4226 HCPCS Hc Graft Skin 10x10cm Autologous 72 21 $39,000.00 $39,000.00 $9,048.00 $62,400.00 $25,896.00 2026-07-18
78431 CPT Nuclear Medicine Studies Of Blood Flow In Heart Muscle At Rest And With Stress W… 36 21 $28,806.00 $28,806.00 $16,707.48 $27,653.76 $25,349.28 2026-07-18
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 2 2 $56,794.43 $56,794.43 $25,242.00 $25,242.00 $25,242.00 2026-07-18
C2616 HCPCS Hc Sir-sphere Y90 5ml Vial 72 21 $29,163.50 $29,163.50 $15,552.70 $31,512.00 $25,207.85 2026-07-18
J0841 HCPCS Antivenin Crotalidae (equine) 120 Mg Solution For Injection 78 21 $28,386.50 $28,386.50 $16,460.40 $55,756.56 $24,985.84 2026-07-18
92943 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
0236T CPT Open Or Percutaneous Catheter Removal Of Plaque From Abdominal Aorta Including R… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92937 CPT Insertion Of Stent, Removal Of Plaque And/or Balloon Dilation Of Coronary Vessel… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92998 CPT Balloon Dilation Of Pulmonary Artery, Each Additional Vessel 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9604 HCPCS Hc Perc D-e Cor Revasc T Cabg S 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
0237T OTHER Catheter Removal Of Plaque From Upper Arm Artery, Accessed Through The Skin Or O… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92997 CPT Balloon Dilation Of Pulmonary Artery, Single Vessel 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9606 HCPCS Hc Perc D-e Cor Revasc W Ami S 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92928 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
C9600 HCPCS Hc Perc Drug-el Cor Stent Sing 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92987 CPT Balloon Dilation Repair Of Mitral Valve 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92924 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
92990 CPT Balloon Dilation Repair Of Pulmonary Valve 36 21 $28,020.00 $28,020.00 $16,251.60 $26,899.20 $24,657.60 2026-07-18
33533 CPT Coronary Artery Bypass Using Artery Graft, 1 Graft 36 21 $26,546.00 $26,546.00 $15,396.68 $25,484.16 $23,360.48 2026-07-18
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33249 CPT Insertion Of Implantable Defibrillator System 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
33231 CPT Insertion Of Defibrillator With Existing Multiple Leads 36 21 $26,474.00 $26,474.00 $15,354.92 $25,415.04 $23,297.12 2026-07-18
38573 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis With Biopsy And Washing Of Abdome… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32608 CPT Biopsy Of Growth Of Lung Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32607 CPT Biopsy Of Fluid Collection Of Lung Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32604 CPT Biopsy Of Heart Sac Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
57423 CPT Repair Of Vaginal Defect Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55869 CPT Hc Lap Srg Prst8ct Bi Pl Lmphad 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55867 CPT Simple Surgical Subtotal Removal Of Prostate Using Laparoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58552 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 32 19 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55650 CPT Removal Of Fluid-producing Glands For Sperm Movement 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
57425 CPT Surgical Repair Of Vaginal Defect Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50948 CPT Repositioning Of Ureter Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50544 CPT Repair Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50593 CPT Destruction Of Growth Of Kidney By Freezing 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47564 CPT Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47370 CPT Destruction Of Growths Of Liver Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47556 CPT Dilation Of Bile Ducts With Stent Insertion Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43284 CPT Insertion Of Magnetic Band Around Base Of Esophagus To Tighten Opening Into Stom… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43770 CPT Insertion Of Adjustable Stomach Reduction Device Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43282 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43210 CPT Repair Of Muscle At Esophagus And Stomach Using A Flexible Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43280 CPT Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43281 CPT Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58544 CPT Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38571 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50543 CPT Partial Removal Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58573 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, Mor… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32663 CPT Hc Thoracoscopy W/Lobectomy Single Lobe 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58572 CPT Removal Of Uterus Through Abdomen Using An Endoscope, More Than 250.0 G 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58543 CPT Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, More Than… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38120 CPT Exam Of Spleen Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47554 CPT Removal Of Bile Duct Stones Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
38572 CPT Removal Of Lymph Nodes Of Both Sides Of Pelvis And Abdominal Lymph Node Biopsy U… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58542 CPT Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
47383 CPT Destruction Of Growth Of Liver Through Skin Using Freezing 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
50541 CPT Destruction Of Cyst Of Kidney Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
43648 CPT Revision Or Removal Of Neurostimulator Electrodes In Upper Stomach Using An Endo… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
32994 CPT Destruction Of Growth Of Lung Using Extreme Cold 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58541 CPT Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
58546 CPT Removal Of Growth Of Uterus Using An Endoscope, More Than 250.0 G 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
55868 CPT Hc Lap Srg Prst8ct Lymph Nod Bx 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $23,118.48 2026-07-18
44204 CPT Partial Removal Of Large Bowel Using An Endoscope 36 21 $25,960.00 $25,960.00 $15,056.80 $24,921.60 $22,844.80 2026-07-18
C1721 HCPCS Hc Crtd Cobalt Hf MRI Is1 Df1 612 21 $26,516.00 $26,516.00 $9,151.24 $38,370.00 $22,663.52 2026-07-18
64583 CPT Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Electrode And Breat… 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
61715 CPT Hc Mrgfus Stereotactic Ablation Target Intracranial 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
61888 CPT Removal Of Brain Neurostimulator Device 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
43647 CPT Implantation Or Replacement Of Neurostimulator Electrodes In Upper Stomach Using… 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64569 CPT Revision Of Cranial Nerve Neurostimulator Electrodes 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
63664 CPT Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64575 CPT Insertion Of Peripheral Nerve Neurostimulator Electrode 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
64553 CPT Insertion Of Cranial Nerve Neurostimulator Electrode 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
33288 CPT Hc Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
33277 CPT Hc Insj Phrenic Nrv Stimulator Transvns Sensing Ld Add-on 36 21 $25,657.00 $25,657.00 $14,881.06 $24,630.72 $22,578.16 2026-07-18
J3245 HCPCS Hc Tildrakizumab, Inj, 1mg 117 21 $38,617.10 $38,617.10 $125.01 $37,084.90 $22,405.46 2026-07-18
58571 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
50947 CPT Repositioning Of Ureter And Insertion Of Stent Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58674 CPT Destruction Of Growth Of Uterus Using An Endoscope With Ultrasound Guidance And … 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58553 CPT Removal Of Uterus Through Vagina Using An Endoscope, More Than 250.0 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58554 CPT Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58673 CPT Repair Of Uterine Tube Using An Endoscope 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
58570 CPT Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 36 21 $26,271.00 $26,271.00 $15,237.18 $25,220.16 $22,330.35 2026-07-18
33510 CPT Coronary Artery Bypass Using Vein Graft, 1 Graft 36 21 $25,281.00 $25,281.00 $14,662.98 $24,269.76 $22,247.28 2026-07-18
78433 CPT Nuclear Medicine Study Of Heart Muscle With Metabolic And Blood Flow Evaluation … 36 21 $24,966.00 $24,966.00 $14,480.28 $23,967.36 $21,970.08 2026-07-18
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 78 21 $24,220.98 $24,220.98 $14,013.66 $23,309.26 $21,262.10 2026-07-18
C1722 HCPCS Hc Defib Card .99cm 5.37x7.36cm Dynagen 972 21 $23,977.00 $23,977.00 $8,420.44 $36,965.00 $21,162.12 2026-07-18
78432 CPT Nuclear Medicine Study Of Heart Muscle With Metabolic And Blood Flow Evaluation … 36 21 $23,686.00 $23,686.00 $13,737.88 $22,738.56 $20,843.68 2026-07-18
58954 CPT Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 36 21 $23,644.00 $23,644.00 $13,713.52 $22,698.24 $20,806.72 2026-07-18
C1820 HCPCS Hc Device Implant Sacral Neuromodulation 1,008 21 $25,818.00 $25,818.00 $614.22 $62,592.00 $20,653.00 2026-07-18
61624 CPT Occlusion Of Central Nervous System Or Spinal Cord Artery 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93580 CPT Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93581 CPT Repair Of Congenital Abnormality In Wall Between Lower Heart Chambers With Impla… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93582 CPT Hc Perq Transcath Closure Pda 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37287 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Each Additional Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37290 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Complex Lesion I… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37286 CPT Stent Placement In Artery In Lower Leg, Complex Lesion In Initial Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
93590 CPT Repair Of Leak Adjacent To Mitral Valve, First Closure Device 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37185 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37284 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Initial Vessel 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37285 CPT Stent Placement In Artery In Lower Leg, Straightforward Lesion In Each Additiona… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37182 CPT Insertion Of Shunts To Bypass Blood Flow To Liver With Review By Radiologist 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37186 CPT Removal Of Blood Clot And Injections To Dissolve Blood Clot From Artery Or Arter… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
36906 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37184 CPT Primary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using F… 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37242 CPT Occlusion Of Artery With Review By Radiologist 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
37288 CPT Removal Of Plaque With Balloon Dilation In Artery In Lower Leg, Straightforward … 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 36 21 $23,450.00 $23,450.00 $13,601.00 $22,512.00 $20,636.00 2026-07-18
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 78 21 $23,436.82 $23,436.82 $10,144.80 $22,505.59 $20,618.68 2026-07-18
60650 CPT Removal Or Exploration Of Adrenal Gland Through Abdomen Using An Endoscope 36 21 $23,419.00 $23,419.00 $13,583.02 $22,482.24 $20,608.72 2026-07-18
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 114 21 $32,904.71 $32,904.71 $215.32 $31,697.00 $19,533.28 2026-07-18
65770 CPT Insertion Of Cornea Prosthesis 36 21 $22,094.00 $22,094.00 $12,814.52 $21,210.24 $19,442.72 2026-07-18
C1767 HCPCS Hc Device Infinity 5 Ipg 864 21 $26,910.00 $26,910.00 $103.82 $62,592.00 $19,308.20 2026-07-18
19357 CPT Reconstruction Of Breast Using Tissue Expander 36 21 $21,907.00 $21,907.00 $12,706.06 $21,030.72 $19,278.16 2026-07-18
69930 CPT Insertion Of Cochlear Device 36 21 $21,891.00 $21,891.00 $12,696.78 $21,015.36 $19,264.08 2026-07-18
43283 CPT Lengthening Of Esophagus Using An Endoscope 36 21 $21,783.00 $21,783.00 $12,634.14 $20,911.68 $19,169.04 2026-07-18
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 78 21 $21,793.21 $21,793.21 $7,257.60 $20,978.60 $19,125.66 2026-07-18
93620 CPT Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm A… 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93621 CPT Insertion Of Catheters For Recording And Pacing Of Left Upper Heart Chamber Rhyt… 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93612 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Lower Heart Pacing 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93600 CPT Recording Of Upper Heart Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93602 CPT Recording Of Upper Heart Chamber Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93610 CPT Insertion Of Temporary Pacemaker Electrode For Diagnostic Upper Heart Pacing 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93619 CPT Insertion Of Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
93650 CPT Destruction Of Heart Conduction Tissue To Create Heart Block 36 21 $21,588.00 $21,588.00 $12,521.04 $20,724.48 $18,997.44 2026-07-18
0075T CPT Insertion Of Stents Into Vertebral Artery Via Catheter, Open Or Accessed Through… 36 21 $21,581.00 $21,581.00 $12,516.98 $20,717.76 $18,991.28 2026-07-18
37216 CPT Insertion Of Stent In Neck Artery With Review By Radiologist 36 21 $21,581.00 $21,581.00 $12,516.98 $20,717.76 $18,991.28 2026-07-18
S2112 HCPCS Hc Knee Arthroscp Harv 36 21 $21,022.00 $21,022.00 $12,192.76 $20,181.12 $18,499.36 2026-07-18
19303 CPT Simple Complete Removal Of Breast 72 21 $25,950.00 $25,950.00 $10,034.00 $33,216.00 $18,338.00 2026-07-18
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27280 CPT Fusion Of Sacroiliac Joint Between Spine And Pelvis With Bone Graft, Open Proced… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27278 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive, With Image Gu… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22856 CPT Insertion Of Artificial Upper Spine Disc, Anterior Approach 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
21243 CPT Repair Of Hinged Joint Of Upper And Lower Jaw Bones With Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
25442 CPT Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22632 CPT Fusion Of Lower Back Spine Bone And Partial Removal Of Spine Bone Or Disc Throug… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22612 CPT Fusion Of Spine In Lower Back 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
23616 CPT Treatment Of Broken Upper Arm Bone With Replacement 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22600 CPT Fusion Of Spine In Neck By Posterior Approach 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22610 CPT Fusion Of Spine In Upper Back 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
22867 CPT Placement Of Device To Stabilize Or Reduce Pressure In Lower Spine In 1 Disc Spa… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
28705 CPT Fusion Of All Bones Of Ankle And Hindfoot 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $18,333.92 2026-07-18
61642 CPT Balloon Dilation Of Additional Blood Vessel Spasm In Head In Different Vessel Fa… 36 21 $20,653.00 $20,653.00 $11,978.74 $19,826.88 $18,174.64 2026-07-18
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 78 21 $20,377.69 $20,377.69 $11,550.00 $19,619.70 $17,880.01 2026-07-18
15013 CPT Hc Preparation Skin Cell Ssp Agrft 1st 25 Sq Cm/< 33 18 $20,301.00 $20,301.00 $11,774.58 $19,488.96 $17,864.88 2026-07-18
33221 CPT Insertion Of Pacemaker Pulse Generator With Existing Multiple Leads 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0825T OTHER Hc Tcat Rmvl&Rplcmt Perm 1chmbr Ldls Pm R Atrial 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0823T OTHER Hc Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0802T OTHER Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0797T OTHER Hc Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0801T OTHER Hc Tcat Rmvl&Rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0796T OTHER Hc Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0795T OTHER Hc Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
0803T OTHER Hc Tcat Rmvl&Rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 36 21 $20,158.00 $20,158.00 $11,691.64 $19,351.68 $17,739.04 2026-07-18
24363 CPT Prosthetic Repair Of Elbow Joint 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
22804 CPT Hc Arthrodesis Post Fusion 13/> Vert Seg 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
24371 CPT Revision Of Total Elbow Repair (arthroplasty), Upper Arm And Forearm Components 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
22802 CPT Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 V… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
20696 CPT Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg U… 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
24361 CPT Repair Of Elbow Joint With Replacement Of Lower Portion Of Upper Arm Bone 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
27703 CPT Repair Of Ankle Joint With Revision Of Prosthesis 36 21 $20,834.00 $20,834.00 $12,083.72 $20,000.64 $17,708.90 2026-07-18
C1772 HCPCS Hc Baclofen Pump Synchromed 36 21 $19,848.00 $19,848.00 $11,511.84 $19,848.00 $17,664.72 2026-07-18
33240 CPT Insertion Of Defibrillator With Existing Single Lead 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33230 CPT Insertion Of Defibrillator With Existing Dual Leads 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33262 CPT Removal And Replacement Of Single Lead Defibrillator 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 36 21 $19,930.00 $19,930.00 $11,559.40 $19,132.80 $17,538.40 2026-07-18
93461 CPT Insertion Of Tube In Right And Left Heart Chambers, Coronary Artery, And Bypass … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93462 CPT Insertion Of Tube In Left Heart Chamber Through Heart Septum 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93460 CPT Insertion Of Tube In Right And Left Heart Chambers And Coronary Artery For Diagn… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93451 CPT Insertion Of Tube In Right Heart Chambers For Measurement 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93452 CPT Insertion Of Tube In Left Heart Chambers For Diagnosis With Review By Radiologis… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93456 CPT Insertion Of Tube In Right Heart Chambers And Coronary Artery For Diagnosis With… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93453 CPT Insertion Of Tube In Right And Left Heart Chambers For Diagnosis With Review By … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93455 CPT Insertion Of Tube In Bypass Graft For Diagnosis With Review By Radiologist 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93458 CPT Insertion Of Tube In Left Lower Heart Chamber And Coronary Artery For Diagnosis … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93457 CPT Insertion Of Tube In Right Heart Chambers, Coronary Artery, And Bypass Graft For… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93459 CPT Insertion Of Tube In Left Lower Heart Chamber, Coronary Artery And Bypass Graft … 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93593 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93596 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93597 CPT Insertion Of Catheter Into Right And Left Sides Of Heart For Evaluation Of Conge… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93454 CPT Insertion Of Tube In Coronary Artery For Diagnosis With Review By Radiologist 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93594 CPT Insertion Of Catheter Into Right Side Of Heart For Evaluation Of Congenital Hear… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
93595 CPT Insertion Of Catheter Into Left Side Of Heart For Evaluation Of Congenital Heart… 36 21 $19,903.00 $19,903.00 $11,543.74 $19,106.88 $17,514.64 2026-07-18
61867 CPT Removal Of Skull Bone With Computer-assisted Insertion Of Neurostimulator Electr… 36 21 $19,764.00 $19,764.00 $11,463.12 $18,973.44 $17,392.32 2026-07-18
61623 CPT Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
61626 CPT Occlusion Of Head Or Neck Artery 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
61645 CPT Removal Of Blood Clot And Injection To Dissolve Blood Clot From Head Artery Usin… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37281 CPT Balloon Dilation Of Artery In Lower Leg, Straightforward Lesion In Each Addition… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37280 CPT Balloon Dilation Of Artery In Lower Leg, Straightforward Lesion In Initial Vesse… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37282 CPT Balloon Dilation Of Artery In Lower Leg, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37283 CPT Balloon Dilation Of Artery In Lower Leg, Complex Lesion In Each Additional Vesse… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37259 CPT Insertion Of Stent In Artery Of Abdomen/pelvis Straightforward Lesion In Each Ad… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37258 CPT Insertion Of Stent Of Artery In Abdomen/pelvis, Straightforward Lesion In Initia… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37260 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Initial Vessel 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37244 CPT Occlusion Of Artery Or Vein Bleeding With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37261 CPT Insertion Of Stent Artery Of Abdomen/pelvis, Complex Lesion In Each Additional V… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37243 CPT Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37238 CPT Insertion Of Stent In Vein With Review By Radiologist, Initial Vein 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37237 CPT Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37236 CPT Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37187 CPT Removal And Dissolving Of Blood Clot From Vein Using Fluoroscopic Guidance, Init… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37215 CPT Insertion Of Stent And Blood Clot Protection Device In Neck Artery With Review B… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37239 CPT Insertion Of Stent In Vein With Review By Radiologist, Each Additional Vein 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
36903 CPT Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
36905 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
34710 CPT Delayed Insertion Of Prosthesis For Repair Of Abdominal Or Groin Artery With Rev… 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
37241 CPT Occlusion Of Vein With Review By Radiologist 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
C9772 HCPCS Hc Revasc Lithotrip Tibi/Perone 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 36 21 $19,614.00 $19,614.00 $11,376.12 $18,829.44 $17,260.32 2026-07-18
32673 CPT Hc Thoracoscopy Resexn Thymus Uni/Bilateral 36 21 $19,399.00 $19,399.00 $11,251.42 $18,623.04 $17,071.12 2026-07-18
60505 CPT Explore Parathyroid Glands 36 21 $19,399.00 $19,399.00 $11,251.42 $18,623.04 $17,071.12 2026-07-18
24586 CPT Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24587 CPT Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow With Implant 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22551 CPT Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24579 CPT Treatment Of Broken Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24546 CPT Treatment Of Broken Upper Arm Bone At Elbow With Extension 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24545 CPT Treatment Of Upper Arm Bone Broken At Elbow 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22554 CPT Fusion Of Upper Spine Bones Through Front Of Neck With Partial Removal Of Disc 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27356 CPT Removal Of Cyst Or Growth Of Thigh Bone With Donor Bone Graft 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
23470 CPT Partial Replacement Of Shoulder Joint 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25441 CPT Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Thumb Side At … 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22327 CPT Treatment Of Broken Or Dislocated Middle Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22326 CPT Treatment Of Broken Or Dislocated Upper Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69716 CPT Implantation Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magn… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22595 CPT Fusion Of First 2 Spine Bones Through Back Of Neck 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22325 CPT Treatment Of Broken Or Dislocated Lower Spine Bone 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
22849 CPT Reinsertion Of Spinal Fixation Device 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69730 CPT Replacement Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With Ma… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69729 CPT Implantation Of Cochlear Stimulating System Outside Mastoid Bone Of Skull With M… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
64628 CPT Heat Destruction Of Intraosseous Basivertebral Nerve In Bones Of Spine In Lower … 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
69719 CPT Replacement Of Cochlear Stimulating System Into Mastoid Bone Of Skull With Magne… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27138 CPT Revision Of Thigh Bone Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25365 CPT Incision Or Partial Removal Of Both Forearm Bones 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27134 CPT Revision Of Thigh Bone And Hip Joint Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27137 CPT Revision Of Hip Socket Part Of Hip Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
24802 CPT Fusion Of Elbow Joint With Bone Graft From The Patient 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
27125 CPT Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
25491 CPT Stabilization Of Forearm Bone On Small Finger Side With Device 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
29867 CPT Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
29856 CPT Treatment Of Broken Upper Portion Of Lower Leg Bone On Both Sides Using An Endos… 36 21 $19,343.00 $19,343.00 $11,218.94 $18,569.28 $17,021.84 2026-07-18
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