|
C1776
|
HCPCS
|
Joint Device (implantable)
|
5
|
5
|
$30,654.00
|
$26,055.90
|
$24,523.20
|
$30,654.00
|
$30,654.00
|
2026-03-09
|
|
28740
|
HCPCS
|
Fusion Of Foot In Midfoot Region
|
9
|
7
|
$18,915.00
|
$16,077.75
|
$651.98
|
$18,915.00
|
$15,132.00
|
2026-03-09
|
|
149
|
MS_DRG
|
Dysequilibrium
|
3
|
3
|
$12,103.50
|
$10,287.98
|
$2,477.60
|
$12,950.00
|
$12,103.50
|
2026-03-09
|
|
27766
|
HCPCS
|
Treatment Of Inside Portion Of Broken Shin Bone At Ankle
|
11
|
6
|
$15,251.00
|
$12,963.35
|
$1,353.51
|
$15,251.00
|
$11,871.54
|
2026-03-09
|
|
28725
|
HCPCS
|
Fusion Of Foot Below Ankle
|
11
|
6
|
$12,315.00
|
$10,467.75
|
$1,798.20
|
$16,083.53
|
$9,975.15
|
2026-03-09
|
|
28737
|
HCPCS
|
Fusion Of Upper Part Of Foot And Lengthening Of Tendon
|
10
|
6
|
$12,315.00
|
$10,467.75
|
$1,224.72
|
$16,083.53
|
$9,913.58
|
2026-03-09
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
3
|
3
|
$11,988.05
|
$10,189.84
|
$4,987.80
|
$11,988.05
|
$9,250.00
|
2026-03-09
|
|
27822
|
HCPCS
|
Treatment Of 3 Broken Lower Leg Bones At Ankle
|
11
|
6
|
$11,200.00
|
$9,520.00
|
$1,998.27
|
$11,200.00
|
$8,929.66
|
2026-03-09
|
|
28750
|
HCPCS
|
Fusion Of Big Toe At Joint With Foot
|
11
|
6
|
$10,971.00
|
$9,325.35
|
$1,305.72
|
$10,971.00
|
$8,886.51
|
2026-03-09
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
6
|
6
|
$9,650.75
|
$8,203.14
|
$208.95
|
$9,650.75
|
$8,733.93
|
2026-03-09
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
3
|
$8,635.60
|
$7,340.26
|
$5,550.00
|
$10,692.80
|
$8,635.60
|
2026-03-09
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
3
|
3
|
$8,612.50
|
$7,320.63
|
$4,987.80
|
$11,100.00
|
$8,612.50
|
2026-03-09
|
|
Q4197
|
HCPCS
|
Puraply Xt, Per Square Centimeter
|
5
|
5
|
$8,500.00
|
$7,225.00
|
$6,800.00
|
$8,500.00
|
$8,500.00
|
2026-03-09
|
|
Q4196
|
HCPCS
|
Puraply Am, Per Square Centimeter
|
15
|
5
|
$8,500.00
|
$7,225.00
|
$1,440.00
|
$10,260.00
|
$8,208.00
|
2026-03-09
|
|
29888
|
HCPCS
|
Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope
|
6
|
6
|
$7,903.00
|
$6,717.55
|
$6,322.40
|
$8,929.66
|
$7,903.00
|
2026-03-09
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
3
|
3
|
$8,646.93
|
$7,349.89
|
$6,943.80
|
$8,646.93
|
$7,400.00
|
2026-03-09
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
3
|
3
|
$8,025.85
|
$6,821.97
|
$3,194.80
|
$8,025.85
|
$7,400.00
|
2026-03-09
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
3
|
3
|
$18,470.10
|
$15,699.59
|
$4,629.20
|
$18,470.10
|
$7,400.00
|
2026-03-09
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
3
|
3
|
$7,295.33
|
$6,201.03
|
$5,550.00
|
$11,051.40
|
$7,295.33
|
2026-03-09
|
|
28755
|
HCPCS
|
Fusion Of Big Toe Between Toe Joints
|
11
|
6
|
$8,975.00
|
$7,628.75
|
$796.23
|
$8,975.00
|
$7,269.75
|
2026-03-09
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
3
|
3
|
$7,192.40
|
$6,113.54
|
$2,640.60
|
$7,400.00
|
$7,192.40
|
2026-03-09
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
3
|
3
|
$9,326.73
|
$7,927.72
|
$5,550.00
|
$9,326.73
|
$7,172.00
|
2026-03-09
|
|
29889
|
HCPCS
|
Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope
|
6
|
6
|
$7,903.00
|
$6,717.55
|
$3,839.01
|
$7,903.00
|
$7,152.22
|
2026-03-09
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
3
|
3
|
$8,625.85
|
$7,331.97
|
$5,550.00
|
$8,625.85
|
$6,683.00
|
2026-03-09
|
|
27726
|
HCPCS
|
Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De…
|
11
|
6
|
$8,145.00
|
$6,923.25
|
$1,997.46
|
$8,929.66
|
$6,597.45
|
2026-03-09
|
|
27814
|
HCPCS
|
Treatment Of Both Broken Lower Leg Bones At Ankle
|
11
|
6
|
$8,145.00
|
$6,923.25
|
$1,769.85
|
$8,929.66
|
$6,597.45
|
2026-03-09
|
|
27792
|
HCPCS
|
Treatment Of Broken Outer Lower Leg Bone At Ankle
|
11
|
6
|
$8,145.00
|
$6,923.25
|
$242.07
|
$8,929.66
|
$6,597.45
|
2026-03-09
|
|
28118
|
HCPCS
|
Removal Of Heel Bone
|
11
|
6
|
$8,402.00
|
$7,141.70
|
$979.29
|
$8,402.00
|
$6,539.75
|
2026-03-09
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
6
|
6
|
$7,202.12
|
$6,121.80
|
$5.01
|
$7,202.12
|
$6,517.92
|
2026-03-09
|
|
44960
|
HCPCS
|
Removal Of Ruptured Infected Appendix
|
10
|
6
|
$7,943.00
|
$6,751.55
|
$242.07
|
$7,943.00
|
$6,394.11
|
2026-03-09
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
3
|
3
|
$13,353.90
|
$11,350.82
|
$5,550.00
|
$13,353.90
|
$6,128.80
|
2026-03-09
|
|
28485
|
HCPCS
|
Treatment Of Broken Midportion Of Foot
|
11
|
6
|
$7,212.00
|
$6,130.20
|
$1,035.18
|
$7,981.47
|
$5,841.72
|
2026-03-09
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
3
|
3
|
$9,528.40
|
$8,099.14
|
$3,700.00
|
$9,528.40
|
$5,835.40
|
2026-03-09
|
|
26615
|
HCPCS
|
Treatment Of Broken Midhand Bone
|
11
|
6
|
$7,382.00
|
$6,274.70
|
$1,146.96
|
$7,382.00
|
$5,745.89
|
2026-03-09
|
|
20205
|
HCPCS
|
Deep Biopsy Of Muscle
|
10
|
6
|
$8,100.00
|
$6,885.00
|
$242.07
|
$8,100.00
|
$5,603.40
|
2026-03-09
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
3
|
3
|
$6,065.47
|
$5,155.65
|
$5,550.00
|
$6,065.47
|
$5,574.60
|
2026-03-09
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
3
|
3
|
$7,997.50
|
$6,797.88
|
$3,325.20
|
$7,997.50
|
$5,550.00
|
2026-03-09
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
3
|
3
|
$7,041.68
|
$5,985.42
|
$3,651.20
|
$7,041.68
|
$5,550.00
|
2026-03-09
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
3
|
3
|
$6,514.10
|
$5,536.99
|
$5,183.40
|
$6,514.10
|
$5,550.00
|
2026-03-09
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
3
|
3
|
$6,045.00
|
$5,138.25
|
$4,238.00
|
$6,045.00
|
$5,550.00
|
2026-03-09
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
3
|
3
|
$8,218.18
|
$6,985.45
|
$3,162.20
|
$8,218.18
|
$5,550.00
|
2026-03-09
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
3
|
3
|
$9,591.10
|
$8,152.44
|
$2,803.60
|
$9,591.10
|
$5,550.00
|
2026-03-09
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
3
|
3
|
$7,035.63
|
$5,980.29
|
$3,683.80
|
$7,035.63
|
$5,550.00
|
2026-03-09
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
3
|
3
|
$6,839.66
|
$5,813.71
|
$3,944.60
|
$6,839.66
|
$5,550.00
|
2026-03-09
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
3
|
3
|
$12,233.93
|
$10,398.84
|
$4,857.40
|
$12,233.93
|
$5,550.00
|
2026-03-09
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
3
|
3
|
$6,359.46
|
$5,405.54
|
$4,564.00
|
$6,359.46
|
$5,550.00
|
2026-03-09
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
3
|
3
|
$6,619.38
|
$5,626.47
|
$2,445.00
|
$6,619.38
|
$5,550.00
|
2026-03-09
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
3
|
3
|
$7,726.88
|
$6,567.84
|
$2,510.20
|
$7,726.88
|
$5,550.00
|
2026-03-09
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
3
|
3
|
$7,755.93
|
$6,592.54
|
$4,368.40
|
$7,755.93
|
$5,550.00
|
2026-03-09
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
3
|
3
|
$8,937.80
|
$7,597.13
|
$3,260.00
|
$8,937.80
|
$5,550.00
|
2026-03-09
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
3
|
3
|
$7,434.80
|
$6,319.58
|
$4,205.40
|
$7,434.80
|
$5,550.00
|
2026-03-09
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
3
|
3
|
$14,683.15
|
$12,480.68
|
$5,509.40
|
$14,683.15
|
$5,550.00
|
2026-03-09
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
3
|
3
|
$10,342.00
|
$8,790.70
|
$2,445.00
|
$10,342.00
|
$5,550.00
|
2026-03-09
|
|
758
|
MS_DRG
|
Infections, Female Reproductive System With Cc
|
3
|
3
|
$7,247.15
|
$6,160.08
|
$3,292.60
|
$7,247.15
|
$5,550.00
|
2026-03-09
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
3
|
3
|
$6,175.56
|
$5,249.23
|
$3,716.40
|
$6,175.56
|
$5,550.00
|
2026-03-09
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
3
|
3
|
$10,283.73
|
$8,741.17
|
$4,433.60
|
$10,283.73
|
$5,550.00
|
2026-03-09
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
3
|
3
|
$6,147.03
|
$5,224.97
|
$4,075.00
|
$6,147.03
|
$5,550.00
|
2026-03-09
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
3
|
3
|
$6,199.33
|
$5,269.43
|
$2,999.20
|
$6,199.33
|
$5,550.00
|
2026-03-09
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
3
|
3
|
$6,057.33
|
$5,148.73
|
$5,118.20
|
$6,057.33
|
$5,550.00
|
2026-03-09
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
3
|
3
|
$7,630.26
|
$6,485.72
|
$4,335.80
|
$7,630.26
|
$5,550.00
|
2026-03-09
|
|
29820
|
HCPCS
|
Partial Removal Of Shoulder Joint Lining Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29827
|
HCPCS
|
Repair Of Shoulder Rotator Cuff Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29867
|
HCPCS
|
Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$16,083.53
|
$5,432.00
|
2026-03-09
|
|
29807
|
HCPCS
|
Repair Of Shoulder Socket Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$9,331.39
|
$5,432.00
|
2026-03-09
|
|
29828
|
HCPCS
|
Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29836
|
HCPCS
|
Removal Of Entire Elbow Joint Lining Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29866
|
HCPCS
|
Repair Of Knee Cartilage And Bone With Patient-derived Healthy Cartilage Transpl…
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29806
|
HCPCS
|
Repair Of Shoulder Joint Capsule Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29851
|
HCPCS
|
Treatment Of Broken Knee Joint With Placement Of Stabilizing Device Using An End…
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$6,224.63
|
$5,432.00
|
2026-03-09
|
|
29885
|
HCPCS
|
Repair Of Knee Joint With Bone Graft Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$8,929.66
|
$5,432.00
|
2026-03-09
|
|
29862
|
HCPCS
|
Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,345.60
|
$7,478.04
|
$5,432.00
|
2026-03-09
|
|
27685
|
HCPCS
|
Lengthening Or Shortening Of Tendon Of Leg Or Ankle
|
9
|
7
|
$6,775.00
|
$5,758.75
|
$480.83
|
$6,775.00
|
$5,420.00
|
2026-03-09
|
|
28140
|
HCPCS
|
Removal Of Foot Bone
|
9
|
7
|
$6,775.00
|
$5,758.75
|
$491.87
|
$6,775.00
|
$5,420.00
|
2026-03-09
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
3
|
3
|
$5,886.71
|
$5,003.71
|
$3,700.00
|
$5,886.71
|
$5,248.60
|
2026-03-09
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
5
|
5
|
$5,194.58
|
$4,415.39
|
$4,155.66
|
$5,194.58
|
$5,194.58
|
2026-03-09
|
|
28299
|
HCPCS
|
Correction Of Bunion With 2 Areas Of Realignment
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$1,568.97
|
$8,929.66
|
$5,078.70
|
2026-03-09
|
|
28297
|
HCPCS
|
Correction Of Bunion With Forefoot And Midfoot Bone Fusion
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$1,503.36
|
$16,083.53
|
$5,078.70
|
2026-03-09
|
|
28298
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Big Toe
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$1,271.70
|
$8,929.66
|
$5,078.70
|
2026-03-09
|
|
15275
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…
|
17
|
6
|
$6,190.00
|
$5,261.50
|
$38.38
|
$6,190.00
|
$4,952.00
|
2026-03-09
|
|
29901
|
HCPCS
|
Removal Of Dead Or Infected Finger Joint Tissue Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,157.36
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29855
|
HCPCS
|
Treatment Of Broken Upper Portion Of Lower Leg Bone On Side Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,157.36
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29823
|
HCPCS
|
Removal Of Extensive Shoulder Joint Tissue Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29821
|
HCPCS
|
Removal Of Entire Shoulder Joint Lining Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29835
|
HCPCS
|
Partial Removal Of Elbow Joint Lining Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29847
|
HCPCS
|
Placement Of Internal Stabilizing Device Using An Endoscope To Treat Broken Or U…
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,993.64
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29860
|
HCPCS
|
Diagnostic Exam Of Hip Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,157.36
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29825
|
HCPCS
|
Removal Of Shoulder Scar Tissue Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29830
|
HCPCS
|
Diagnostic Exam Of Elbow Joint Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29826
|
HCPCS
|
Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29861
|
HCPCS
|
Removal Of Loose Or Foreign Body In Hip Joint Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,157.36
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29819
|
HCPCS
|
Removal Of Loose Or Foreign Body In Shoulder Joint Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29856
|
HCPCS
|
Treatment Of Broken Upper Portion Of Lower Leg Bone On Both Sides Using An Endos…
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$2,157.36
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29863
|
HCPCS
|
Removal Of Hip Joint Lining Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
29824
|
HCPCS
|
Partial Removal Of Collar Bone At Shoulder Using An Endoscope
|
6
|
6
|
$5,432.00
|
$4,617.20
|
$4,055.76
|
$5,432.00
|
$4,915.96
|
2026-03-09
|
|
59614
|
HCPCS
|
Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery
|
5
|
5
|
$4,910.00
|
$4,173.50
|
$3,928.00
|
$4,910.00
|
$4,910.00
|
2026-03-09
|
|
28810
|
HCPCS
|
Amputation Of Toe And Midfoot Bone
|
11
|
6
|
$6,775.00
|
$5,758.75
|
$242.07
|
$6,775.00
|
$4,907.59
|
2026-03-09
|
|
Q4159
|
HCPCS
|
Affinity, Per Square Centimeter
|
6
|
6
|
$5,400.00
|
$4,590.00
|
$430.92
|
$5,400.00
|
$4,887.00
|
2026-03-09
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
6
|
6
|
$4,826.00
|
$4,102.10
|
$3,860.80
|
$6,871.99
|
$4,826.00
|
2026-03-09
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
3
|
3
|
$4,805.75
|
$4,084.89
|
$2,282.00
|
$5,550.00
|
$4,805.75
|
2026-03-09
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
3
|
3
|
$4,735.00
|
$4,024.75
|
$3,846.80
|
$5,550.00
|
$4,735.00
|
2026-03-09
|
|
55520
|
HCPCS
|
Removal Of Growth Of Sperm Cord
|
9
|
7
|
$5,775.00
|
$4,908.75
|
$435.00
|
$5,775.00
|
$4,620.00
|
2026-03-09
|
|
29887
|
HCPCS
|
Repair Of Knee Joint With Bone Graft And Internal Stabilizing Device Using An En…
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$8,929.66
|
$4,514.00
|
2026-03-09
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
3
|
3
|
$4,481.00
|
$3,808.85
|
$4,107.60
|
$5,550.00
|
$4,481.00
|
2026-03-09
|
|
27652
|
HCPCS
|
Repair Of Ruptured Achilles Tendon With Graft
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$1,852.47
|
$6,270.00
|
$4,454.10
|
2026-03-09
|
|
27650
|
HCPCS
|
Repair Of Ruptured Achilles Tendon
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$1,635.39
|
$6,270.00
|
$4,454.10
|
2026-03-09
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
11
|
6
|
$5,720.00
|
$4,862.00
|
$242.07
|
$5,720.00
|
$4,411.33
|
2026-03-09
|
|
29881
|
HCPCS
|
Removal Of Knee Cartilage Using An Endoscope
|
6
|
6
|
$4,755.00
|
$4,041.75
|
$3,804.00
|
$4,755.00
|
$4,405.38
|
2026-03-09
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
3
|
3
|
$5,283.98
|
$4,491.38
|
$3,700.00
|
$5,283.98
|
$4,335.80
|
2026-03-09
|
|
28113
|
HCPCS
|
Complete Removal Of Foot Bone At Fifth Toe Joint
|
11
|
6
|
$5,521.00
|
$4,692.85
|
$779.22
|
$5,521.00
|
$4,297.55
|
2026-03-09
|
|
29877
|
HCPCS
|
Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29876
|
HCPCS
|
Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29879
|
HCPCS
|
Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29884
|
HCPCS
|
Removal Of Scar Tissue From Knee Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29886
|
HCPCS
|
Repair Of Knee Joint By Drilling Cartilage Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29880
|
HCPCS
|
Removal Of Both Knee Cartilages Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29882
|
HCPCS
|
Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29883
|
HCPCS
|
Repair Of Inside And Outside Knee Joint Cartilage Using An Endoscope
|
6
|
6
|
$4,514.00
|
$3,836.90
|
$3,611.20
|
$4,514.00
|
$4,284.88
|
2026-03-09
|
|
29892
|
HCPCS
|
Removal Of Large Shin Or Ankle Bone Defect Using An Endoscope
|
6
|
6
|
$4,704.00
|
$3,998.40
|
$2,157.36
|
$4,704.00
|
$4,257.12
|
2026-03-09
|
|
28315
|
HCPCS
|
Removal Of Small Bone Underlying Long Bone Of Foot At Big Toe Joint
|
6
|
6
|
$4,700.00
|
$3,995.00
|
$3,568.33
|
$4,700.00
|
$4,253.50
|
2026-03-09
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
3
|
3
|
$4,198.00
|
$3,568.30
|
$3,700.00
|
$4,564.00
|
$4,198.00
|
2026-03-09
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
6
|
6
|
$4,632.00
|
$3,937.20
|
$2,860.91
|
$4,632.00
|
$4,191.96
|
2026-03-09
|
|
Q4186
|
HCPCS
|
Epifix, Per Square Centimeter
|
6
|
6
|
$4,576.00
|
$3,889.60
|
$188.87
|
$4,576.00
|
$4,141.28
|
2026-03-09
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
3
|
3
|
$5,604.63
|
$4,763.93
|
$3,700.00
|
$5,604.63
|
$4,075.00
|
2026-03-09
|
|
49591
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length
|
8
|
6
|
$5,012.44
|
$4,260.57
|
$215.82
|
$5,012.44
|
$4,035.01
|
2026-03-09
|
|
28238
|
HCPCS
|
Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone
|
11
|
6
|
$5,167.00
|
$4,391.95
|
$1,227.15
|
$5,167.00
|
$4,021.82
|
2026-03-09
|
|
27658
|
HCPCS
|
Primary Repair Of Tendon On Back Of Leg
|
11
|
6
|
$5,090.00
|
$4,326.50
|
$959.85
|
$5,090.00
|
$3,962.23
|
2026-03-09
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
11
|
6
|
$4,826.00
|
$4,102.10
|
$242.07
|
$7,292.95
|
$3,909.06
|
2026-03-09
|
|
64718
|
HCPCS
|
Release And/or Relocation Of Elbow Nerve
|
6
|
6
|
$4,245.00
|
$3,608.25
|
$2,479.55
|
$4,245.00
|
$3,841.72
|
2026-03-09
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
3
|
3
|
$5,135.58
|
$4,365.24
|
$3,700.00
|
$5,135.58
|
$3,781.60
|
2026-03-09
|
|
28420
|
HCPCS
|
Treatment Of Broken Heel Bone With Graft
|
5
|
5
|
$3,743.00
|
$3,181.55
|
$3,031.83
|
$3,839.01
|
$3,743.00
|
2026-03-09
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
6
|
6
|
$4,122.66
|
$3,504.26
|
$38.95
|
$4,122.66
|
$3,731.01
|
2026-03-09
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
3
|
3
|
$8,212.85
|
$6,980.92
|
$3,488.20
|
$8,212.85
|
$3,700.00
|
2026-03-09
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
3
|
3
|
$2,542.50
|
$2,161.13
|
$2,542.50
|
$4,596.60
|
$3,700.00
|
2026-03-09
|
|
23120
|
HCPCS
|
Partial Removal Of Collar Bone
|
6
|
6
|
$3,660.00
|
$3,111.00
|
$2,928.00
|
$3,880.42
|
$3,660.00
|
2026-03-09
|
|
28705
|
HCPCS
|
Fusion Of All Bones Of Ankle And Hindfoot
|
5
|
5
|
$3,598.00
|
$3,058.30
|
$2,865.37
|
$3,598.00
|
$3,598.00
|
2026-03-09
|
|
27828
|
HCPCS
|
Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones
|
5
|
5
|
$3,555.00
|
$3,021.75
|
$2,879.55
|
$16,083.53
|
$3,555.00
|
2026-03-09
|
|
29897
|
HCPCS
|
Removal Of Limited Dead Or Infected Tissue Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$4,293.51
|
$3,520.00
|
2026-03-09
|
|
29895
|
HCPCS
|
Partial Removal Of Ankle Joint Lining Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$4,185.44
|
$3,520.00
|
2026-03-09
|
|
29894
|
HCPCS
|
Removal Of Loose Or Foreign Body In Ankle Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$4,314.72
|
$3,520.00
|
2026-03-09
|
|
C1713
|
HCPCS
|
Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)
|
25
|
5
|
$4,092.00
|
$3,478.20
|
$1,700.80
|
$8,100.00
|
$3,520.00
|
2026-03-09
|
|
29898
|
HCPCS
|
Removal Of Extensive Dead Or Infected Tissue Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$4,983.50
|
$3,520.00
|
2026-03-09
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
11
|
6
|
$4,334.00
|
$3,683.90
|
$242.07
|
$4,334.00
|
$3,510.54
|
2026-03-09
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
3
|
3
|
$3,337.00
|
$2,836.45
|
$3,337.00
|
$3,700.00
|
$3,488.20
|
2026-03-09
|
|
28296
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area
|
11
|
6
|
$4,272.00
|
$3,631.20
|
$1,379.43
|
$4,272.00
|
$3,324.92
|
2026-03-09
|
|
28291
|
HCPCS
|
Correction Of Rigid Deformity Of First Joint Of Big Toe Using Implant
|
11
|
6
|
$6,300.00
|
$5,355.00
|
$1,492.02
|
$6,300.00
|
$3,322.90
|
2026-03-09
|
|
Q4101
|
HCPCS
|
Apligraf, Per Square Centimeter
|
10
|
5
|
$3,825.00
|
$3,251.25
|
$2,040.00
|
$5,100.00
|
$3,315.00
|
2026-03-09
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
3
|
3
|
$3,298.00
|
$2,803.30
|
$2,608.00
|
$3,700.00
|
$3,298.00
|
2026-03-09
|
|
29893
|
HCPCS
|
Repair Of Fibrous Tissue Of Arch Of Foot Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$3,520.00
|
$3,256.82
|
2026-03-09
|
|
29846
|
HCPCS
|
Removal Or Repair Of Wrist Cartilage Using An Endoscope
|
6
|
6
|
$3,520.00
|
$2,992.00
|
$2,816.00
|
$3,520.00
|
$3,256.82
|
2026-03-09
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
5
|
5
|
$3,250.00
|
$2,762.50
|
$2,600.00
|
$3,250.00
|
$3,250.00
|
2026-03-09
|
|
28122
|
HCPCS
|
Partial Removal Of Foot Or Heel Bone
|
9
|
7
|
$3,950.00
|
$3,357.50
|
$494.73
|
$3,950.00
|
$3,199.50
|
2026-03-09
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
6
|
6
|
$3,526.49
|
$2,997.52
|
$51.61
|
$3,526.49
|
$3,191.47
|
2026-03-09
|
|
28288
|
HCPCS
|
Removal Of Foot Bone Spur
|
9
|
7
|
$3,892.00
|
$3,308.20
|
$368.29
|
$4,055.76
|
$3,152.52
|
2026-03-09
|
|
15271
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…
|
18
|
6
|
$3,873.00
|
$3,292.05
|
$38.38
|
$4,163.00
|
$3,117.77
|
2026-03-09
|
|
28715
|
HCPCS
|
Fusion Of 3 Bones Of Ankle
|
5
|
5
|
$3,073.00
|
$2,612.05
|
$2,489.13
|
$3,073.00
|
$3,073.00
|
2026-03-09
|
|
28060
|
HCPCS
|
Partial Removal Of Connective Tissue At Sole Of Foot
|
9
|
7
|
$3,811.00
|
$3,239.35
|
$372.62
|
$3,811.00
|
$3,048.80
|
2026-03-09
|
|
27827
|
HCPCS
|
Treatment Of Broken Shin Bone At Lower Weight Bearing Joint
|
5
|
5
|
$3,042.00
|
$2,585.70
|
$2,464.02
|
$16,083.53
|
$3,042.00
|
2026-03-09
|
|
27870
|
HCPCS
|
Fusion Of Ankle Joint, Open Procedure
|
5
|
5
|
$3,008.00
|
$2,556.80
|
$2,436.48
|
$15,674.77
|
$3,008.00
|
2026-03-09
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
3
|
3
|
$3,005.30
|
$2,554.51
|
$2,575.40
|
$3,700.00
|
$3,005.30
|
2026-03-09
|
|
28292
|
HCPCS
|
Correction Of Bunion
|
11
|
6
|
$3,855.00
|
$3,276.75
|
$1,202.04
|
$3,855.00
|
$3,000.71
|
2026-03-09
|
|
29999
|
HCPCS
|
Other Procedure On Joint Using An Endoscope
|
6
|
6
|
$2,990.00
|
$2,541.50
|
$2,392.00
|
$3,456.22
|
$2,990.00
|
2026-03-09
|
|
28035
|
HCPCS
|
Release Of Nerve Between Tissue And Ankle Bone
|
11
|
6
|
$3,829.00
|
$3,254.65
|
$1,032.75
|
$3,829.00
|
$2,980.51
|
2026-03-09
|
|
28415
|
HCPCS
|
Treatment Of Broken Heel Bone
|
5
|
5
|
$2,970.00
|
$2,524.50
|
$2,405.70
|
$15,970.12
|
$2,970.00
|
2026-03-09
|
|
29848
|
HCPCS
|
Release Of Wrist Ligament Using An Endoscope
|
6
|
6
|
$3,181.00
|
$2,703.85
|
$2,544.80
|
$3,181.00
|
$2,943.39
|
2026-03-09
|
|
20680
|
HCPCS
|
Removal Of Deep Implant From Bone
|
11
|
6
|
$3,618.00
|
$3,075.30
|
$976.80
|
$3,618.00
|
$2,894.40
|
2026-03-09
|
|
28008
|
HCPCS
|
Incision Of Connective Tissue Of Foot And/or Toe
|
11
|
6
|
$3,600.00
|
$3,060.00
|
$536.00
|
$3,600.00
|
$2,880.00
|
2026-03-09
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
11
|
6
|
$3,682.00
|
$3,129.70
|
$242.07
|
$3,682.00
|
$2,865.37
|
2026-03-09
|
|
27620
|
HCPCS
|
Incision And Exploration Of Ankle Joint
|
11
|
6
|
$3,681.00
|
$3,128.85
|
$1,189.89
|
$3,681.00
|
$2,865.37
|
2026-03-09
|
|
28108
|
HCPCS
|
Removal Of Cyst Or Growth Of Toe Bone
|
11
|
6
|
$3,682.00
|
$3,129.70
|
$638.28
|
$3,682.00
|
$2,865.37
|
2026-03-09
|
|
29838
|
HCPCS
|
Removal Of Extensive Damaged Tissue From Elbow Joint Using An Endoscope
|
6
|
6
|
$2,865.00
|
$2,435.25
|
$2,292.00
|
$4,055.76
|
$2,865.00
|
2026-03-09
|
|
28110
|
HCPCS
|
Removal Of Bunion At Fifth Toe Joint
|
11
|
6
|
$3,658.00
|
$3,109.30
|
$737.10
|
$3,658.00
|
$2,847.19
|
2026-03-09
|
|
27823
|
HCPCS
|
Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip
|
6
|
6
|
$2,830.00
|
$2,405.50
|
$2,264.00
|
$8,929.66
|
$2,830.00
|
2026-03-09
|
|
28445
|
HCPCS
|
Treatment Of Broken Bone Between Foot And Ankle
|
11
|
6
|
$6,270.00
|
$5,329.50
|
$2,157.36
|
$6,270.00
|
$2,820.00
|
2026-03-09
|
|
22902
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Abdominal Wall, Less Than 3.0 Cm
|
6
|
6
|
$3,100.00
|
$2,635.00
|
$2,356.33
|
$3,100.00
|
$2,805.50
|
2026-03-09
|
|
28300
|
HCPCS
|
Incision Or Partial Removal Of Heel Bone
|
5
|
5
|
$2,770.00
|
$2,354.50
|
$2,243.70
|
$15,184.34
|
$2,770.00
|
2026-03-09
|
|
29875
|
HCPCS
|
Partial Removal Of Knee Joint Lining Using An Endoscope
|
6
|
6
|
$2,755.00
|
$2,341.75
|
$2,204.00
|
$4,055.76
|
$2,755.00
|
2026-03-09
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
3
|
3
|
$2,726.45
|
$2,317.48
|
$1,850.00
|
$4,857.40
|
$2,726.45
|
2026-03-09
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
14
|
6
|
$1,087.00
|
$923.95
|
$242.07
|
$7,292.95
|
$2,702.70
|
2026-03-09
|
|
29805
|
HCPCS
|
Diagnostic Exam Of Shoulder Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29870
|
HCPCS
|
Diagnostic Exam Of Knee Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29874
|
HCPCS
|
Removal Of Loose Or Foreign Body In Knee Joint Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29837
|
HCPCS
|
Removal Of Elbow Joint Tissue Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29822
|
HCPCS
|
Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,167.26
|
$2,689.00
|
2026-03-09
|
|
29871
|
HCPCS
|
Exam, Washing, And Drainage Of Infected Knee Joint Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29834
|
HCPCS
|
Removal Of Loose Or Foreign Body In Elbow Joint Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
29873
|
HCPCS
|
Release Of Ligaments At Outer Side Of Knee Joint Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$4,055.76
|
$2,689.00
|
2026-03-09
|
|
12036
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.…
|
6
|
6
|
$2,838.00
|
$2,412.30
|
$2,204.83
|
$2,838.00
|
$2,568.39
|
2026-03-09
|
|
27347
|
HCPCS
|
Removal Of Growth Of Knee Cartilage Or Capsule
|
6
|
6
|
$2,550.00
|
$2,167.50
|
$2,040.00
|
$2,865.37
|
$2,550.00
|
2026-03-09
|
|
28476
|
HCPCS
|
Placement Of Stabilizing Device For Broken Foot Bone With Manipulation
|
18
|
6
|
$3,174.00
|
$2,697.90
|
$38.38
|
$3,174.00
|
$2,539.20
|
2026-03-09
|
|
25000
|
HCPCS
|
Incision Or The Tendon Covering On The Top Side Of The Wrist
|
6
|
6
|
$2,785.00
|
$2,367.25
|
$2,165.44
|
$2,785.00
|
$2,520.43
|
2026-03-09
|
|
28285
|
HCPCS
|
Correction Of Toe Joint Deformity
|
11
|
6
|
$3,095.00
|
$2,630.75
|
$242.07
|
$4,055.76
|
$2,506.95
|
2026-03-09
|
|
28820
|
HCPCS
|
Amputation Of Toe At Joint Between Forefoot And Toes
|
12
|
6
|
$700.00
|
$595.00
|
$242.07
|
$5,935.00
|
$2,499.28
|
2026-03-09
|
|
27355
|
HCPCS
|
Removal Of Cyst Or Growth Of Thigh Bone
|
6
|
6
|
$2,755.00
|
$2,341.75
|
$1,077.67
|
$2,755.00
|
$2,493.28
|
2026-03-09
|
|
46270
|
HCPCS
|
Repair Of Abnormal Anal Drainage Tract
|
11
|
6
|
$3,041.46
|
$2,585.24
|
$242.07
|
$3,427.99
|
$2,463.58
|
2026-03-09
|
|
29843
|
HCPCS
|
Diagnostic Exam, Washing, And Drainage Of Infected Wrist Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$2,689.00
|
$2,433.55
|
2026-03-09
|
|
29845
|
HCPCS
|
Removal Of Entire Wrist Joint Lining Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$2,689.00
|
$2,433.55
|
2026-03-09
|
|
29844
|
HCPCS
|
Partial Removal Of Wrist Joint Lining Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$2,689.00
|
$2,433.55
|
2026-03-09
|
|
29840
|
HCPCS
|
Diagnostic Exam Of Wrist Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$2,689.00
|
$2,433.55
|
2026-03-09
|
|
29900
|
HCPCS
|
Biopsy Of Lining Of Joint Of Finger Using An Endoscope
|
6
|
6
|
$2,689.00
|
$2,285.65
|
$2,151.20
|
$2,689.00
|
$2,433.55
|
2026-03-09
|
|
29850
|
HCPCS
|
Treatment Of Broken Knee Joint Using An Endoscope
|
6
|
6
|
$2,686.00
|
$2,283.10
|
$2,148.80
|
$2,686.00
|
$2,430.83
|
2026-03-09
|
|
27826
|
HCPCS
|
Treatment Of Broken Outer Lower Leg Bone At Lower Weight Bearing Joint
|
5
|
5
|
$2,358.00
|
$2,004.30
|
$1,909.98
|
$4,499.55
|
$2,358.00
|
2026-03-09
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
21
|
6
|
$2,883.00
|
$2,450.55
|
$242.07
|
$3,216.00
|
$2,329.06
|
2026-03-09
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
6
|
6
|
$2,329.00
|
$1,979.65
|
$1,863.20
|
$2,330.07
|
$2,329.00
|
2026-03-09
|
|
28304
|
HCPCS
|
Incision Or Partial Removal Of Foot Bone
|
5
|
5
|
$2,243.00
|
$1,906.55
|
$1,816.83
|
$14,036.98
|
$2,243.00
|
2026-03-09
|
|
28295
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle
|
5
|
5
|
$2,232.00
|
$1,897.20
|
$1,807.92
|
$3,454.20
|
$2,232.00
|
2026-03-09
|
|
29891
|
HCPCS
|
Removal Of Shin And/or Ankle Bone Defect Using An Endoscope
|
11
|
6
|
$2,850.00
|
$2,422.50
|
$1,791.72
|
$2,850.00
|
$2,212.00
|
2026-03-09
|
|
47610
|
HCPCS
|
Removal Of Gallbladder With Exploration Of Common Bile Duct
|
5
|
5
|
$2,200.00
|
$1,870.00
|
$242.07
|
$6,871.99
|
$2,200.00
|
2026-03-09
|
|
28308
|
HCPCS
|
Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe
|
11
|
6
|
$2,850.00
|
$2,422.50
|
$871.56
|
$2,850.00
|
$2,157.36
|
2026-03-09
|
|
28302
|
HCPCS
|
Incision Or Partial Removal Of Ankle Bone
|
5
|
5
|
$2,149.00
|
$1,826.65
|
$1,740.69
|
$2,157.36
|
$2,149.00
|
2026-03-09
|
|
26160
|
HCPCS
|
Removal Of Growth Of Tendon Finger Or Hand
|
19
|
6
|
$2,670.00
|
$2,269.50
|
$242.07
|
$3,200.00
|
$2,136.00
|
2026-03-09
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
6
|
6
|
$2,353.00
|
$2,000.05
|
$1,704.15
|
$2,353.00
|
$2,129.47
|
2026-03-09
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
11
|
6
|
$2,900.00
|
$2,465.00
|
$242.07
|
$2,900.00
|
$2,084.64
|
2026-03-09
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
22
|
6
|
$2,669.00
|
$2,268.65
|
$38.38
|
$2,869.00
|
$2,077.57
|
2026-03-09
|
|
28735
|
HCPCS
|
Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity
|
5
|
5
|
$2,075.00
|
$1,763.75
|
$1,680.75
|
$16,083.53
|
$2,075.00
|
2026-03-09
|
|
28730
|
HCPCS
|
Fusion Of Multiple Foot Joints
|
5
|
5
|
$2,068.00
|
$1,757.80
|
$1,675.08
|
$16,083.53
|
$2,068.00
|
2026-03-09
|
|
11444
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3…
|
6
|
6
|
$2,200.00
|
$1,870.00
|
$1,760.00
|
$2,200.00
|
$2,059.50
|
2026-03-09
|
|
60252
|
HCPCS
|
Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal
|
11
|
6
|
$2,050.00
|
$1,742.50
|
$242.07
|
$7,394.58
|
$2,050.00
|
2026-03-09
|
|
42826
|
HCPCS
|
Removal Of Tonsils (12 Years Or Older)
|
11
|
6
|
$2,527.00
|
$2,147.95
|
$242.07
|
$4,053.84
|
$2,046.87
|
2026-03-09
|
|
28080
|
HCPCS
|
Removal Of Fibrous Nerve Growth From Between Toes
|
11
|
6
|
$2,610.00
|
$2,218.50
|
$899.10
|
$2,610.00
|
$2,031.11
|
2026-03-09
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
9
|
7
|
$2,500.00
|
$2,125.00
|
$244.23
|
$2,500.00
|
$2,000.00
|
2026-03-09
|
|
74021
|
HCPCS
|
X-ray Of Abdomen, Minimum Of 3 Views
|
6
|
6
|
$2,193.50
|
$1,864.48
|
$149.60
|
$2,193.50
|
$1,985.12
|
2026-03-09
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
6
|
6
|
$2,180.89
|
$1,853.76
|
$35.58
|
$2,180.89
|
$1,973.70
|
2026-03-09
|
|
28615
|
HCPCS
|
Treatment Of Dislocated Midfoot Bone
|
5
|
5
|
$1,947.00
|
$1,654.95
|
$1,577.07
|
$2,895.67
|
$1,947.00
|
2026-03-09
|
|
28309
|
HCPCS
|
Incision Or Partial Removal Of Multiple Foot Bones To Straighten Toes
|
5
|
5
|
$1,947.00
|
$1,654.95
|
$1,577.07
|
$2,157.36
|
$1,947.00
|
2026-03-09
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
17
|
6
|
$1,972.00
|
$1,676.20
|
$1,532.17
|
$2,116.00
|
$1,942.00
|
2026-03-09
|
|
13152
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm
|
6
|
6
|
$2,130.00
|
$1,810.50
|
$1,618.02
|
$2,130.00
|
$1,927.65
|
2026-03-09
|
|
46261
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups And Chronic Tear In Anus
|
6
|
6
|
$1,900.00
|
$1,615.00
|
$1,520.00
|
$3,427.99
|
$1,900.00
|
2026-03-09
|
|
27687
|
HCPCS
|
Lengthening Of Calf Muscle
|
11
|
6
|
$3,680.00
|
$3,128.00
|
$1,032.75
|
$3,680.00
|
$1,898.65
|
2026-03-09
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
14
|
6
|
$824.00
|
$700.40
|
$242.07
|
$3,693.00
|
$1,889.20
|
2026-03-09
|
|
36584
|
HCPCS
|
Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R…
|
6
|
6
|
$2,075.00
|
$1,763.75
|
$1,440.26
|
$2,075.00
|
$1,877.88
|
2026-03-09
|
|
28555
|
HCPCS
|
Treatment Of Dislocated Midfoot Or Hindfoot Bones
|
5
|
5
|
$1,877.00
|
$1,595.45
|
$1,520.37
|
$2,895.67
|
$1,877.00
|
2026-03-09
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
11
|
6
|
$1,865.00
|
$1,585.25
|
$242.07
|
$2,371.24
|
$1,865.00
|
2026-03-09
|
|
15847
|
HCPCS
|
Extensive Removal Of Extra Skin And Tissue Of Abdomen
|
5
|
5
|
$1,858.50
|
$1,579.73
|
$1,486.80
|
$1,858.50
|
$1,858.50
|
2026-03-09
|
|
12035
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.…
|
20
|
7
|
$2,345.00
|
$1,993.25
|
$224.00
|
$2,345.00
|
$1,850.03
|
2026-03-09
|
|
885
|
MS_DRG
|
Psychoses
|
3
|
3
|
$1,836.75
|
$1,561.24
|
$1,836.75
|
$2,999.20
|
$1,850.00
|
2026-03-09
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
3
|
3
|
$1,671.00
|
$1,420.35
|
$1,671.00
|
$3,423.00
|
$1,850.00
|
2026-03-09
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
12
|
6
|
$1,985.50
|
$1,687.67
|
$1,476.80
|
$2,125.00
|
$1,846.00
|
2026-03-09
|
|
27871
|
HCPCS
|
Fusion Of Lower Leg Bone At Knee Or Ankle Joint
|
5
|
5
|
$1,824.00
|
$1,550.40
|
$1,477.44
|
$10,239.40
|
$1,824.00
|
2026-03-09
|
|
26115
|
HCPCS
|
Removal (less Than 1.5 Centimeters) Tissue Beneath The Skin Growth Of Hand Or Fi…
|
6
|
6
|
$2,000.00
|
$1,700.00
|
$1,199.88
|
$2,000.00
|
$1,810.00
|
2026-03-09
|
|
26040
|
HCPCS
|
Release Of Tissue Of Palm
|
6
|
6
|
$1,810.00
|
$1,538.50
|
$1,448.00
|
$2,000.51
|
$1,810.00
|
2026-03-09
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
6
|
6
|
$1,961.86
|
$1,667.58
|
$20.31
|
$1,961.86
|
$1,775.48
|
2026-03-09
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
9
|
7
|
$2,200.00
|
$1,870.00
|
$235.16
|
$2,200.00
|
$1,760.00
|
2026-03-09
|
|
28760
|
HCPCS
|
Fusion Of Big Toe Between Toe Joints With Tendon Transfer
|
5
|
5
|
$1,759.00
|
$1,495.15
|
$1,424.79
|
$8,929.66
|
$1,759.00
|
2026-03-09
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
15
|
7
|
$1,750.00
|
$1,487.50
|
$259.84
|
$3,500.00
|
$1,750.00
|
2026-03-09
|
|
28307
|
HCPCS
|
Incision Or Partial Removal Of Big Toe Bone With Self Bone Graft To Straighten T…
|
5
|
5
|
$1,738.00
|
$1,477.30
|
$1,407.78
|
$2,157.36
|
$1,738.00
|
2026-03-09
|
|
11770
|
HCPCS
|
Simple Removal Of Cyst Of Tailbone
|
11
|
6
|
$2,400.00
|
$2,040.00
|
$242.07
|
$2,400.00
|
$1,714.98
|
2026-03-09
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
11
|
6
|
$2,100.00
|
$1,785.00
|
$242.07
|
$4,411.33
|
$1,701.00
|
2026-03-09
|
|
46221
|
HCPCS
|
Removal Of External Hemorrhoids By Rubber Banding
|
19
|
6
|
$2,100.00
|
$1,785.00
|
$242.07
|
$2,254.00
|
$1,680.00
|
2026-03-09
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
19
|
6
|
$2,100.00
|
$1,785.00
|
$242.07
|
$2,250.00
|
$1,680.00
|
2026-03-09
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
50
|
5
|
$1,778.00
|
$1,511.30
|
$160.00
|
$8,632.00
|
$1,680.00
|
2026-03-09
|
|
11470
|
HCPCS
|
Removal Of Skin And Tissue Of Anus Or Navel For Inflamed Sweat Glands With Simpl…
|
6
|
6
|
$1,660.00
|
$1,411.00
|
$1,328.00
|
$3,084.55
|
$1,660.00
|
2026-03-09
|
|
J7296
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg
|
11
|
6
|
$1,500.00
|
$1,275.00
|
$1,200.00
|
$4,858.60
|
$1,651.90
|
2026-03-09
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
11
|
6
|
$1,500.00
|
$1,275.00
|
$1,200.00
|
$4,858.60
|
$1,651.90
|
2026-03-09
|
|
15240
|
HCPCS
|
Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen…
|
8
|
5
|
$1,680.00
|
$1,428.00
|
$242.07
|
$3,312.80
|
$1,640.00
|
2026-03-09
|
|
28465
|
HCPCS
|
Treatment Of Broken Hind Portion Of Foot
|
5
|
5
|
$1,629.00
|
$1,384.65
|
$1,319.49
|
$2,157.36
|
$1,629.00
|
2026-03-09
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
12
|
6
|
$1,826.00
|
$1,552.10
|
$1,300.00
|
$2,027.00
|
$1,625.00
|
2026-03-09
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
17
|
6
|
$1,953.00
|
$1,660.05
|
$224.00
|
$2,025.30
|
$1,620.00
|
2026-03-09
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
11
|
6
|
$1,609.00
|
$1,367.65
|
$1,249.77
|
$1,726.00
|
$1,609.00
|
2026-03-09
|
|
15110
|
HCPCS
|
Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area…
|
11
|
6
|
$2,230.00
|
$1,895.50
|
$38.38
|
$2,230.00
|
$1,600.00
|
2026-03-09
|
|
49000
|
HCPCS
|
Exploration Of Abdominal Cavity
|
6
|
6
|
$1,765.00
|
$1,500.25
|
$1,202.00
|
$1,765.00
|
$1,597.33
|
2026-03-09
|
|
J7300
|
HCPCS
|
Intrauterine Copper Contraceptive
|
6
|
6
|
$1,625.00
|
$1,381.25
|
$1,300.00
|
$1,625.00
|
$1,587.19
|
2026-03-09
|
|
46200
|
HCPCS
|
Removal Of Chronic Tear Of Anus
|
9
|
7
|
$1,950.00
|
$1,657.50
|
$220.50
|
$3,427.99
|
$1,579.50
|
2026-03-09
|
|
43251
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
13
|
6
|
$735.00
|
$624.75
|
$242.07
|
$2,371.24
|
$1,560.00
|
2026-03-09
|
|
28305
|
HCPCS
|
Incision Or Partial Removal Of Foot Bone With Bone Graft
|
5
|
5
|
$1,558.00
|
$1,324.30
|
$1,261.98
|
$2,157.36
|
$1,558.00
|
2026-03-09
|
|
28320
|
HCPCS
|
Repair Of Nonhealed Broken Midfoot Bone
|
5
|
5
|
$1,558.00
|
$1,324.30
|
$1,261.98
|
$3,839.01
|
$1,558.00
|
2026-03-09
|
|
94003
|
HCPCS
|
Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
6
|
6
|
$1,720.00
|
$1,462.00
|
$826.38
|
$1,720.00
|
$1,556.60
|
2026-03-09
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
6
|
6
|
$1,720.00
|
$1,462.00
|
$826.38
|
$1,720.00
|
$1,556.60
|
2026-03-09
|
|
12034
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…
|
21
|
6
|
$1,993.00
|
$1,694.05
|
$242.07
|
$2,138.00
|
$1,548.33
|
2026-03-09
|
|
25076
|
HCPCS
|
Removal Of Growth Of Muscle Of Forearm Or Wrist, Less Than 3.0 Cm
|
6
|
6
|
$1,525.00
|
$1,296.25
|
$1,220.00
|
$1,538.23
|
$1,525.00
|
2026-03-09
|
|
A4648
|
HCPCS
|
Tissue Marker, Implantable, Any Type, Each
|
5
|
5
|
$1,520.00
|
$1,292.00
|
$1,216.00
|
$1,520.00
|
$1,520.00
|
2026-03-09
|
|
64495
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And…
|
15
|
7
|
$1,520.00
|
$1,292.00
|
$66.55
|
$3,042.00
|
$1,520.00
|
2026-03-09
|
|
45379
|
HCPCS
|
Removal Of Foreign Bodies In Large Bowel Using A Flexible Endoscope
|
6
|
6
|
$1,553.00
|
$1,320.05
|
$1,242.40
|
$1,553.00
|
$1,513.42
|
2026-03-09
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
12
|
6
|
$1,315.00
|
$1,117.75
|
$242.07
|
$2,125.00
|
$1,507.50
|
2026-03-09
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
9
|
7
|
$1,883.00
|
$1,600.55
|
$391.05
|
$1,883.00
|
$1,506.40
|
2026-03-09
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
6
|
6
|
$1,500.00
|
$1,275.00
|
$1,200.00
|
$1,651.17
|
$1,500.00
|
2026-03-09
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
17
|
6
|
$1,601.00
|
$1,360.85
|
$1,159.64
|
$1,610.00
|
$1,493.00
|
2026-03-09
|
|
P9037
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
|
5
|
5
|
$1,490.00
|
$1,266.50
|
$1,192.00
|
$1,490.00
|
$1,490.00
|
2026-03-09
|
|
L0464
|
HCPCS
|
Tlso, Triplanar Control, Modular Segmented Spinal System, Four Rigid Plastic She…
|
6
|
6
|
$1,484.90
|
$1,262.17
|
$1,187.92
|
$1,622.35
|
$1,484.90
|
2026-03-09
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
6
|
6
|
$1,484.83
|
$1,262.11
|
$1,187.86
|
$2,189.78
|
$1,484.83
|
2026-03-09
|
|
11450
|
HCPCS
|
Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or…
|
14
|
6
|
$688.00
|
$584.80
|
$242.07
|
$3,084.55
|
$1,483.20
|
2026-03-09
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
6
|
6
|
$1,638.00
|
$1,392.30
|
$1,186.59
|
$1,638.00
|
$1,482.39
|
2026-03-09
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
6
|
6
|
$1,636.67
|
$1,391.17
|
$14.78
|
$1,636.67
|
$1,481.18
|
2026-03-09
|
|
36573
|
HCPCS
|
Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …
|
18
|
6
|
$1,828.00
|
$1,553.80
|
$242.07
|
$1,941.80
|
$1,480.68
|
2026-03-09
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
11
|
6
|
$2,053.00
|
$1,745.05
|
$242.07
|
$2,053.00
|
$1,473.85
|
2026-03-09
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
16
|
6
|
$1,579.00
|
$1,342.15
|
$1,143.85
|
$1,590.00
|
$1,472.50
|
2026-03-09
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
9
|
7
|
$1,824.00
|
$1,550.40
|
$225.00
|
$1,824.00
|
$1,459.20
|
2026-03-09
|
|
26080
|
HCPCS
|
Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign …
|
6
|
6
|
$1,450.00
|
$1,232.50
|
$1,160.00
|
$2,000.51
|
$1,450.00
|
2026-03-09
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
6
|
6
|
$1,600.00
|
$1,360.00
|
$1,158.71
|
$1,600.00
|
$1,448.00
|
2026-03-09
|
|
J7301
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg
|
6
|
6
|
$1,500.00
|
$1,275.00
|
$1,200.00
|
$1,500.00
|
$1,437.74
|
2026-03-09
|
|
52000
|
HCPCS
|
Diagnostic Exam Of Bladder And Urethra Using An Endoscope
|
6
|
6
|
$1,556.00
|
$1,322.60
|
$38.38
|
$1,556.00
|
$1,408.18
|
2026-03-09
|
|
28208
|
HCPCS
|
Repair Of Tendon Of Top Side Of Foot
|
12
|
6
|
$2,295.50
|
$1,951.18
|
$728.80
|
$3,680.00
|
$1,402.45
|
2026-03-09
|
|
P9053
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit
|
5
|
5
|
$1,400.00
|
$1,190.00
|
$1,120.00
|
$1,400.00
|
$1,400.00
|
2026-03-09
|
|
20240
|
HCPCS
|
Biopsy Of Surface Bone
|
10
|
6
|
$2,371.00
|
$2,015.35
|
$432.54
|
$2,371.00
|
$1,387.24
|
2026-03-09
|
|
26055
|
HCPCS
|
Incision Of Tendon Covering Of Finger
|
11
|
6
|
$1,674.00
|
$1,422.90
|
$242.07
|
$2,000.51
|
$1,355.94
|
2026-03-09
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
19
|
6
|
$1,693.00
|
$1,439.05
|
$242.07
|
$1,745.00
|
$1,354.40
|
2026-03-09
|
|
64505
|
HCPCS
|
Injection Of Anesthetic Agent, Trigeminal Nerve Bundle
|
6
|
6
|
$1,496.40
|
$1,271.94
|
$983.74
|
$1,496.40
|
$1,354.24
|
2026-03-09
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
6
|
6
|
$1,350.00
|
$1,147.50
|
$1,080.00
|
$4,786.60
|
$1,350.00
|
2026-03-09
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
6
|
6
|
$1,472.50
|
$1,251.63
|
$222.53
|
$1,472.50
|
$1,332.62
|
2026-03-09
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
18
|
6
|
$1,472.50
|
$1,251.63
|
$222.53
|
$1,472.50
|
$1,332.62
|
2026-03-09
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
11
|
6
|
$1,635.00
|
$1,389.75
|
$364.50
|
$1,635.00
|
$1,324.35
|
2026-03-09
|