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Hospital

THE SPINE HOSPITAL OF LOUISIANA

Baton Rouge, LA · CCN 190266 · Rates published

1,051 distinct procedures filed
10 distinct payers
32,128 rate rows
2026-05-21 last MRF observed
Data quality

30,366 of 32,128 rate rows are consumer-grade (94.5%)

1,762 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,336
placeholder amount (≤ $0.02) — excluded from medians 386
per-diem day rate — not a per-procedure price 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://spinehola.com/wp-content/uploads/2025/09/MRF-270059959_the-spine-hospital-of-louisiana_standardcharges-1.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint cd56f68153c89a85… · 1,454,536 bytes · first seen 2026-05-13

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
426
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $47,139.30 $105,335.28 $65,834.54 —
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $37,532.70 $83,868.82 $52,418.00 —
427
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $31,962.15 $71,421.13 $44,638.20 —
457
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $25,827.30 $57,712.48 $38,828.99 —
428
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $24,768.45 $55,346.42 $34,591.51 —
430
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $24,617.25 $55,008.56 $34,380.34 —
471
CPT 		Cervical Spinal Fusion With Mcc 10 $19,955.00 $48,842.53 $30,526.58 —
453
CPT 		Combined Anterior And Posterio 2 $3,668.73 $55,731.00 $29,699.86 —
459
CPT 		Spinal Fusion Except Cervical 2 $23,689.00 $31,146.34 $27,417.67 —
458
CPT 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $12,131.00 $44,598.11 $27,137.25 —
448
CPT 		Multiple Level Spinal Fusion Except Cervical Without Mcc 9 $18,375.75 $47,099.12 $25,663.49 —
402
CPT 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 9 $17,604.90 $39,382.77 $24,586.93 —
454
CPT 		Combined Anterior And Posterio 2 $5,850.02 $42,318.00 $24,084.01 —
518
CPT 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 $7,596.00 $36,038.88 $22,524.29 —
29
CPT 		Spinal Procedures With Cc Or Spinal Neurostimulators 9 $5,085.14 $33,753.26 $21,095.79 —
460
CPT 		Spinal Fusion Except Cervical 2 $19,344.00 $21,189.68 $20,266.84 —
63655
CPT 		Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 10 $6,477.00 $23,391.72 $19,676.99 nat. median
$19,078
1.0× median
451
CPT 		Single Level Spinal Fusion Except Cervical Without Mcc 9 $13,887.00 $31,832.52 $19,394.52 —
472
CPT 		Cervical Spinal Fusion With Cc 10 $13,037.40 $41,102.04 $18,207.97 —
C1772
CPT 		Infusion Pump, Programmable (implantable) 6 $4,031.80 $17,975.90 $17,975.90 nat. median
$8,320
outlier · 2.2×
22551
CPT 		Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 10 $6,434.00 $20,085.00 $17,517.00 nat. median
$12,514
1.4× median
22630
CPT 		Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 10 $6,477.00 $20,085.00 $17,335.65 nat. median
$17,443
1.0× median
22612
CPT 		Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 10 $6,434.00 $20,085.00 $17,314.15 nat. median
$15,589
1.1× median
22856
CPT 		Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 10 $6,434.00 $20,085.00 $17,314.15 nat. median
$16,926
1.0× median
61886
CPT 		Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 5 $1,143.50 $35,329.77 $16,892.50 nat. median
$27,077
0.6× median
C1831
CPT 		Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 6 $15,549.60 $15,549.60 $15,549.60 nat. median
$11,688
1.3× median
982
CPT 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 9 $11,017.35 $24,618.86 $15,386.78 —
22633
CPT 		Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 10 $2,163.00 $20,085.00 $15,178.65 nat. median
$17,649
0.9× median
63685
CPT 		Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver,… 5 $1,000.06 $35,329.77 $15,025.00 nat. median
$21,347
0.7× median
61885
CPT 		Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 5 $1,000.06 $23,391.72 $15,025.00 nat. median
$20,011
0.8× median
62362
CPT 		Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion;… 5 $1,000.06 $20,039.40 $15,025.00 nat. median
$16,404
0.9× median
473
CPT 		Cervical Spinal Fusion Without Cc/mcc 10 $10,653.30 $103,538.60 $14,878.35 —
27279
CPT 		Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (indirect Visu… 10 $1,412.57 $19,347.38 $14,803.43 nat. median
$17,268
0.9× median
22867
CPT 		Insertion Of Interlaminar/interspinous Process Stabilization/distraction Device,… 10 $1,412.57 $20,085.00 $14,803.43 nat. median
$17,048
0.9× median
63664
CPT 		Revision Including Replacement, When Performed, Of Spinal Neurostimulator Electr… 10 $1,412.57 $23,391.72 $14,206.28 nat. median
$11,953
1.2× median
30
CPT 		Spinal Procedures Without Cc/mcc 9 $2,397.26 $22,377.49 $13,985.93 —
940
CPT 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 $9,501.30 $31,459.60 $13,269.47 —
22845
CPT 		Anterior Instrumentation; 2 To 3 Vertebral Segments (List Separately In Addition… 2 $6,434.00 $20,085.00 $13,259.50 nat. median
$4,529
outlier · 2.9×
22585
CPT 		Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 2 $6,434.00 $20,085.00 $13,259.50 nat. median
$2,878
outlier · 4.6×
22554
CPT 		Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 10 $6,434.00 $20,085.00 $13,217.00 nat. median
$12,524
1.1× median
516
CPT 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 9 $9,052.65 $20,228.63 $12,642.89 —
496
CPT 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 $8,878.50 $40,783.69 $12,399.67 —
519
CPT 		Back And Neck Procedures Except Spinal Fusion With Cc 10 $5,340.00 $19,828.42 $12,392.76 —
22552
CPT 		Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 2 $3,918.00 $20,085.00 $12,001.50 nat. median
$4,315
outlier · 2.8×
902
CPT 		Wound Debridements For Injuries With Cc 9 $8,539.20 $19,081.30 $11,925.81 —
22860
CPT 		Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 5 $11,500.00 $11,500.00 $11,500.00 nat. median
$3,350
outlier · 3.4×
455
CPT 		Combined Anterior And Posterio 2 $3,424.77 $18,750.00 $11,087.39 —
22558
CPT 		Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 6 $2,163.00 $20,085.00 $11,081.50 nat. median
$8,451
1.3× median
22861
CPT 		Revision Including Replacement Of Total Disc Arthroplasty (artificial Disc), Ant… 6 $2,163.00 $20,085.00 $11,081.50 nat. median
$8,369
1.3× median
22808
CPT 		Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 Verteb… 6 $2,163.00 $20,085.00 $11,081.50 nat. median
$8,365
1.3× median

Other procedures at this hospital

Browse this hospital's 1,051 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
426 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 9 $86,703.96 $78,033.56 $47,139.30 $105,335.28 $65,834.54 2026-05-21
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 9 $115,324.90 $103,792.41 $37,532.70 $83,868.82 $52,418.00 2026-05-21
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 9 $109,807.73 $98,826.96 $31,962.15 $71,421.13 $44,638.20 2026-05-21
457 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 10 $85,084.84 $76,576.36 $25,827.30 $57,712.48 $38,828.99 2026-05-21
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 9 $92,180.46 $82,962.41 $24,768.45 $55,346.42 $34,591.51 2026-05-21
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 9 $93,214.40 $83,892.96 $24,617.25 $55,008.56 $34,380.34 2026-05-21
471 CPT Cervical Spinal Fusion With Mcc 32 10 $76,571.19 $68,914.07 $19,955.00 $48,842.53 $30,526.58 2026-05-21
453 CPT Combined Anterior And Posterio 4 2 $115,324.90 $103,792.41 $3,668.73 $55,731.00 $29,699.86 2026-05-21
459 CPT Spinal Fusion Except Cervical 4 2 $86,703.96 $78,033.56 $23,689.00 $31,146.34 $27,417.67 2026-05-21
458 CPT Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 10 $77,065.21 $69,358.69 $12,131.00 $44,598.11 $27,137.25 2026-05-21
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 30 9 $87,396.24 $78,656.62 $18,375.75 $47,099.12 $25,663.49 2026-05-21
402 CPT Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 9 $71,963.54 $64,767.19 $17,604.90 $39,382.77 $24,586.93 2026-05-21
454 CPT Combined Anterior And Posterio 4 2 $100,713.04 $90,641.73 $5,850.02 $42,318.00 $24,084.01 2026-05-21
518 CPT Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 10 $28,727.88 $25,855.09 $7,596.00 $36,038.88 $22,524.29 2026-05-21
29 CPT Spinal Procedures With Cc Or Spinal Neurostimulators 30 9 $26,045.49 $23,440.94 $5,085.14 $33,753.26 $21,095.79 2026-05-21
460 CPT Spinal Fusion Except Cervical 4 2 $56,863.04 $51,176.74 $19,344.00 $21,189.68 $20,266.84 2026-05-21
63655 CPT Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/paddle, Epidur… 32 10 $25,000.00 $22,500.00 $6,477.00 $23,391.72 $19,676.99 2026-05-21
451 CPT Single Level Spinal Fusion Except Cervical Without Mcc 30 9 $56,863.04 $51,176.74 $13,887.00 $31,832.52 $19,394.52 2026-05-21
472 CPT Cervical Spinal Fusion With Cc 32 10 $69,166.68 $62,250.01 $13,037.40 $41,102.04 $18,207.97 2026-05-21
C1772 CPT Infusion Pump, Programmable (implantable) 14 6 $31,920.00 $28,728.00 $4,031.80 $17,975.90 $17,975.90 2026-05-21
22551 CPT Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 32 10 $28,600.00 $25,740.00 $6,434.00 $20,085.00 $17,517.00 2026-05-21
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 32 10 $20,000.00 $18,000.00 $6,477.00 $20,085.00 $17,335.65 2026-05-21
22856 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 32 10 $20,000.00 $18,000.00 $6,434.00 $20,085.00 $17,314.15 2026-05-21
22612 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 32 10 $20,000.00 $18,000.00 $6,434.00 $20,085.00 $17,314.15 2026-05-21
61886 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 12 5 $35,000.00 $31,500.00 $1,143.50 $35,329.77 $16,892.50 2026-05-21
C1831 CPT Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 14 6 $22,800.00 $20,520.00 $15,549.60 $15,549.60 $15,549.60 2026-05-21
982 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 9 $23,940.34 $21,546.31 $11,017.35 $24,618.86 $15,386.78 2026-05-21
22633 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 32 10 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $15,178.65 2026-05-21
62362 CPT Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion;… 12 5 $25,000.00 $22,500.00 $1,000.06 $20,039.40 $15,025.00 2026-05-21
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, … 12 5 $36,000.00 $32,400.00 $1,000.06 $35,329.77 $15,025.00 2026-05-21
61885 CPT Insertion Or Replacement Of Cranial Neurostimulator Pulse Generator Or Receiver,… 12 5 $25,000.00 $22,500.00 $1,000.06 $23,391.72 $15,025.00 2026-05-21
473 CPT Cervical Spinal Fusion Without Cc/mcc 32 10 $69,074.67 $62,167.20 $10,653.30 $103,538.60 $14,878.35 2026-05-21
22867 CPT Insertion Of Interlaminar/interspinous Process Stabilization/distraction Device,… 32 10 $20,000.00 $18,000.00 $1,412.57 $20,085.00 $14,803.43 2026-05-21
27279 CPT Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (indirect Visu… 32 10 $20,000.00 $18,000.00 $1,412.57 $19,347.38 $14,803.43 2026-05-21
63664 CPT Revision Including Replacement, When Performed, Of Spinal Neurostimulator Electr… 32 10 $27,000.00 $24,300.00 $1,412.57 $23,391.72 $14,206.28 2026-05-21
30 CPT Spinal Procedures Without Cc/mcc 30 9 $26,739.22 $24,065.30 $2,397.26 $22,377.49 $13,985.93 2026-05-21
940 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 9 $59,518.20 $53,566.38 $9,501.30 $31,459.60 $13,269.47 2026-05-21
22845 CPT Anterior Instrumentation; 2 To 3 Vertebral Segments (List Separately In Addition… 4 2 $3,850.00 $3,465.00 $6,434.00 $20,085.00 $13,259.50 2026-05-21
22585 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 4 2 $4,000.00 $3,600.00 $6,434.00 $20,085.00 $13,259.50 2026-05-21
22554 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 32 10 $20,000.00 $18,000.00 $6,434.00 $20,085.00 $13,217.00 2026-05-21
516 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 30 9 $26,065.25 $23,458.72 $9,052.65 $20,228.63 $12,642.89 2026-05-21
496 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 9 $21,787.44 $19,608.70 $8,878.50 $40,783.69 $12,399.67 2026-05-21
519 CPT Back And Neck Procedures Except Spinal Fusion With Cc 32 10 $33,118.95 $29,807.06 $5,340.00 $19,828.42 $12,392.76 2026-05-21
22552 CPT Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, O… 4 2 $5,850.00 $5,265.00 $3,918.00 $20,085.00 $12,001.50 2026-05-21
902 CPT Wound Debridements For Injuries With Cc 30 9 $13,787.26 $12,408.53 $8,539.20 $19,081.30 $11,925.81 2026-05-21
22860 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 12 5 $20,000.00 $18,000.00 $11,500.00 $11,500.00 $11,500.00 2026-05-21
455 CPT Combined Anterior And Posterio 4 2 $93,214.40 $83,892.96 $3,424.77 $18,750.00 $11,087.39 2026-05-21
22600 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Cervical … 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22857 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22610 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Thoracic … 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22586 CPT Arthrodesis, Pre-sacral Interbody Technique, Including Disc Space Preparation, D… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22533 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22804 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or More V… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22590 CPT Arthrodesis, Posterior Technique, Craniocervical (occiput-c2) 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22595 CPT Arthrodesis, Posterior Technique, Atlas-axis (c1-c2) 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22800 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To 6 Vert… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22556 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22802 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To 12 Vert… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22808 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 Verteb… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22558 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22861 CPT Revision Including Replacement Of Total Disc Arthroplasty (artificial Disc), Ant… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
22810 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 4 To 7 Verteb… 14 6 $20,000.00 $18,000.00 $2,163.00 $20,085.00 $11,081.50 2026-05-21
42 CPT Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 30 9 $24,643.18 $22,178.86 $5,068.64 $17,673.53 $11,045.95 2026-05-21
22869 CPT Insertion Of Interlaminar/interspinous Process Stabilization/distraction Device,… 32 10 $20,000.00 $18,000.00 $1,412.57 $20,085.00 $10,706.28 2026-05-21
64628 CPT Thermal Destruction Of Intraosseous Basivertebral Nerve, Including All Imaging G… 32 10 $20,000.00 $18,000.00 $1,412.57 $10,706.28 $10,706.28 2026-05-21
64570 CPT Removal Of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode Array And P… 32 10 $20,000.00 $18,000.00 $1,236.00 $10,618.00 $10,618.00 2026-05-21
983 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 30 9 $11,915.10 $10,723.59 $7,506.90 $16,774.57 $10,484.10 2026-05-21
0627T CPT Percutaneous Injection Of Allogeneic Cellular And/or Tissue-based Product, Inter… 32 10 $15,000.00 $13,500.00 $1,236.00 $14,439.13 $10,481.24 2026-05-21
22853 CPT Insertion Of Interbody Biomechanical Device(s) (eg, Synthetic Cage, Mesh) With I… 4 2 $2,850.00 $2,565.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22614 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Each Addi… 4 2 $4,000.00 $3,600.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22859 CPT Insertion Of Intervertebral Biomechanical Device(s) (eg, Synthetic Cage, Mesh, M… 4 2 $2,850.00 $2,565.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22858 CPT Total Disc Arthroplasty (artificial Disc), Anterior Approach, Including Discecto… 4 2 $4,000.00 $3,600.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22854 CPT Insertion Of Intervertebral Biomechanical Device(s) (eg, Synthetic Cage, Mesh) W… 4 2 $2,850.00 $2,565.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22840 CPT Posterior Non-segmental Instrumentation (eg, Harrington Rod Technique, Pedicle F… 4 2 $3,850.00 $3,465.00 $680.00 $20,085.00 $10,382.50 2026-05-21
22842 CPT Posterior Segmental Instrumentation (eg, Pedicle Fixation, Dual Rods With Multip… 4 2 $3,850.00 $3,465.00 $680.00 $20,085.00 $10,382.50 2026-05-21
C1767 CPT Generator, Neurostimulator (implantable), Non-rechargeable 2 1 $41,325.00 $37,192.50 $10,205.58 $10,205.58 $10,205.58 2026-05-21
63290 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Combined Extradural-int… 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $9,988.50 2026-05-21
63287 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Intramedull… 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $9,988.50 2026-05-21
63200 CPT Laminectomy, With Release Of Tethered Spinal Cord, Lumbar 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $9,988.50 2026-05-21
63266 CPT Laminectomy For Excision Or Evacuation Of Intraspinal Lesion Other Than Neoplasm… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63047 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63001 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63003 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63046 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63020 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63017 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63042 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63265 CPT Laminectomy For Excision Or Evacuation Of Intraspinal Lesion Other Than Neoplasm… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63030 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63055 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63016 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63045 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63056 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63005 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63011 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63012 CPT Laminectomy With Removal Of Abnormal Facets And/or Pars Inter-articularis With D… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63040 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63015 CPT Laminectomy With Exploration And/or Decompression Of Spinal Cord And/or Cauda Eq… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63268 CPT Laminectomy For Excision Or Evacuation Of Intraspinal Lesion Other Than Neoplasm… 32 10 $13,500.00 $12,150.00 $6,434.00 $9,745.76 $9,745.76 2026-05-21
63650 CPT Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural 32 10 $13,500.00 $12,150.00 $6,434.00 $9,502.19 $9,502.19 2026-05-21
517 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 30 9 $22,220.86 $19,998.77 $6,717.15 $15,009.83 $9,381.14 2026-05-21
63064 CPT Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root(s) (eg, … 32 10 $13,500.00 $12,150.00 $4,867.00 $9,579.00 $9,183.50 2026-05-21
520 CPT Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 32 10 $26,817.68 $24,135.91 $5,103.00 $14,411.53 $9,007.20 2026-05-21
22849 CPT Reinsertion Of Spinal Fixation Device 14 6 $15,000.00 $13,500.00 $2,163.00 $20,085.00 $8,581.50 2026-05-21
22855 CPT Removal Of Anterior Instrumentation 14 6 $15,000.00 $13,500.00 $2,163.00 $20,085.00 $8,581.50 2026-05-21
63282 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Extramedull… 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $8,544.00 2026-05-21
63035 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 6 3 $8,250.00 $7,425.00 $680.00 $9,579.00 $8,544.00 2026-05-21
63048 CPT Laminectomy, Facetectomy And Foraminotomy (unilateral Or Bilateral With Decompre… 6 3 $8,250.00 $7,425.00 $680.00 $9,579.00 $8,544.00 2026-05-21
63044 CPT Laminotomy (hemilaminectomy), With Decompression Of Nerve Root(s), Including Par… 6 3 $8,250.00 $7,425.00 $2,880.00 $9,579.00 $8,544.00 2026-05-21
63277 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Extradural, Lumbar 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $8,544.00 2026-05-21
63272 CPT Laminectomy For Excision Of Intraspinal Lesion Other Than Neoplasm, Intradural; … 14 6 $13,500.00 $12,150.00 $6,477.00 $9,988.50 $8,544.00 2026-05-21
497 CPT Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 9 $11,740.36 $10,566.32 $6,041.70 $24,436.20 $8,437.81 2026-05-21
63741 CPT Creation Of Shunt, Lumbar, Subarachnoid-peritoneal, -pleural, Or Other; Percutan… 32 10 $15,000.00 $13,500.00 $1,412.57 $8,206.28 $8,206.28 2026-05-21
61880 CPT Revision Or Removal Of Intracranial Neurostimulator Electrodes 32 10 $15,000.00 $13,500.00 $1,412.57 $8,206.28 $8,206.28 2026-05-21
22102 CPT Partial Excision Of Posterior Vertebral Component (eg, Spinous Process, Lamina O… 32 10 $15,000.00 $13,500.00 $1,412.57 $8,544.00 $8,206.28 2026-05-21
22100 CPT Partial Excision Of Posterior Vertebral Component (eg, Spinous Process, Lamina O… 32 10 $15,000.00 $13,500.00 $1,412.57 $8,544.00 $8,206.28 2026-05-21
63663 CPT Revision Including Replacement, When Performed, Of Spinal Neurostimulator Electr… 32 10 $15,000.00 $13,500.00 $1,412.57 $15,450.00 $8,206.28 2026-05-21
64831 CPT Suture Of Digital Nerve, Hand Or Foot; 1 Nerve 32 10 $15,000.00 $13,500.00 $1,412.57 $8,206.28 $8,206.28 2026-05-21
20900 CPT Bone Graft, Any Donor Area; Minor Or Small (eg, Dowel Or Button) 32 10 $15,000.00 $13,500.00 $1,143.50 $8,071.75 $8,071.75 2026-05-21
20251 CPT Biopsy, Vertebral Body, Open; Lumbar Or Cervical 32 10 $15,000.00 $13,500.00 $1,143.50 $8,071.75 $8,071.75 2026-05-21
64862 CPT Suture Of; Lumbar Plexus 32 10 $15,000.00 $13,500.00 $1,143.50 $8,071.75 $8,071.75 2026-05-21
64792 CPT Excision Of Neurofibroma Or Neurolemmoma; Extensive (including Malignant Type) 32 10 $15,000.00 $13,500.00 $1,143.50 $8,071.75 $8,071.75 2026-05-21
64561 CPT Percutaneous Implantation Of Neurostimulator Electrode Array; Sacral Nerve (tran… 32 10 $15,000.00 $13,500.00 $1,143.50 $8,071.75 $8,071.75 2026-05-21
63267 CPT Laminectomy For Excision Or Evacuation Of Intraspinal Lesion Other Than Neoplasm… 32 10 $13,500.00 $12,150.00 $2,535.00 $9,579.00 $8,017.50 2026-05-21
63746 CPT Removal Of Entire Lumbosubarachnoid Shunt System Without Replacement 32 10 $15,000.00 $13,500.00 $1,000.06 $8,000.03 $8,000.03 2026-05-21
42725 CPT Incision And Drainage Abscess; Retropharyngeal Or Parapharyngeal, External Appro… 32 10 $15,000.00 $13,500.00 $1,000.06 $8,000.03 $8,000.03 2026-05-21
62230 CPT Replacement Or Revision Of Cerebrospinal Fluid Shunt, Obstructed Valve, Or Dista… 32 10 $15,000.00 $13,500.00 $1,000.06 $8,000.03 $8,000.03 2026-05-21
63075 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 32 10 $13,500.00 $12,150.00 $2,163.00 $9,579.00 $7,831.50 2026-05-21
25607 CPT Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Separatio… 32 10 $13,500.00 $12,150.00 $1,412.57 $7,456.28 $7,456.28 2026-05-21
63172 CPT Laminectomy With Drainage Of Intramedullary Cyst/syrinx; To Subarachnoid Space 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63271 CPT Laminectomy For Excision Of Intraspinal Lesion Other Than Neoplasm, Intradural; … 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63051 CPT Laminoplasty, Cervical, With Decompression Of The Spinal Cord, 2 Or More Vertebr… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63283 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Sacral 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63285 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Intramedull… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63280 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Extramedull… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63276 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Extradural, Thoracic 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63270 CPT Laminectomy For Excision Of Intraspinal Lesion Other Than Neoplasm, Intradural; … 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63281 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Extramedull… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63286 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Intradural, Intramedull… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63275 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Extradural, Cervical 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
63278 CPT Laminectomy For Biopsy/excision Of Intraspinal Neoplasm; Extradural, Sacral 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,331.00 2026-05-21
27814 CPT Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O… 32 10 $13,500.00 $12,150.00 $1,143.50 $7,321.75 $7,321.75 2026-05-21
27766 CPT Open Treatment Of Medial Malleolus Fracture, Includes Internal Fixation, When Pe… 32 10 $13,500.00 $12,150.00 $1,143.50 $7,321.75 $7,321.75 2026-05-21
63077 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 14 6 $13,500.00 $12,150.00 $1,162.00 $9,579.00 $7,257.90 2026-05-21
61888 CPT Revision Or Removal Of Cranial Neurostimulator Pulse Generator Or Receiver 12 5 $13,500.00 $12,150.00 $746.63 $9,193.00 $7,185.42 2026-05-21
63052 CPT Laminectomy, Facetectomy, Or Foraminotomy (unilateral Or Bilateral With Decompre… 14 6 $13,500.00 $12,150.00 $680.00 $9,579.00 $7,090.00 2026-05-21
64590 CPT Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse… 12 5 $25,000.00 $22,500.00 $1,000.06 $23,391.72 $6,950.00 2026-05-21
22514 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 32 10 $12,000.00 $10,800.00 $1,412.57 $7,257.90 $6,706.28 2026-05-21
22513 CPT Percutaneous Vertebral Augmentation, Including Cavity Creation (fracture Reducti… 32 10 $12,000.00 $10,800.00 $1,412.57 $7,257.90 $6,706.28 2026-05-21
22846 CPT Anterior Instrumentation; 4 To 7 Vertebral Segments (List Separately In Addition… 14 6 $3,850.00 $3,465.00 $2,163.00 $20,085.00 $6,434.00 2026-05-21
22864 CPT Removal Of Total Disc Arthroplasty (artificial Disc), Anterior Approach, Single … 14 6 $3,850.00 $3,465.00 $2,163.00 $20,085.00 $6,434.00 2026-05-21
22852 CPT Removal Of Posterior Segmental Instrumentation 14 6 $3,850.00 $3,465.00 $2,163.00 $20,085.00 $6,434.00 2026-05-21
22850 CPT Removal Of Posterior Nonsegmental Instrumentation (eg, Harrington Rod) 14 6 $3,850.00 $3,465.00 $2,163.00 $20,085.00 $6,434.00 2026-05-21
63081 CPT Vertebral Corpectomy (vertebral Body Resection), Partial Or Complete, Anterior A… 14 6 $3,850.00 $3,465.00 $2,163.00 $9,579.00 $6,434.00 2026-05-21
22830 CPT Exploration Of Spinal Fusion 14 6 $2,750.00 $2,475.00 $2,062.50 $20,085.00 $6,434.00 2026-05-21
61500 CPT Craniectomy; With Excision Of Tumor Or Other Bone Lesion Of Skull 14 6 $15,000.00 $13,500.00 $1,412.57 $8,755.00 $6,434.00 2026-05-21
22101 CPT Partial Excision Of Posterior Vertebral Component (eg, Spinous Process, Lamina O… 32 10 $9,500.00 $8,550.00 $1,412.57 $8,544.00 $6,182.41 2026-05-21
552 CPT Medical Back Problems Without Mcc 30 9 $26,936.93 $24,243.24 $4,337.10 $15,168.97 $6,057.17 2026-05-21
15734 CPT Muscle, Myocutaneous, Or Fasciocutaneous Flap; Trunk 32 10 $10,850.00 $9,765.00 $1,143.50 $5,996.75 $5,996.75 2026-05-21
25260 CPT Repair, Tendon Or Muscle, Flexor, Forearm And/or Wrist; Primary, Single, Each Te… 32 10 $10,580.00 $9,522.00 $1,412.57 $5,996.28 $5,996.28 2026-05-21
24359 CPT Tenotomy, Elbow, Lateral Or Medial (eg, Epicondylitis, Tennis Elbow, Golfer's El… 32 10 $10,580.00 $9,522.00 $1,412.57 $5,996.28 $5,996.28 2026-05-21
24358 CPT Tenotomy, Elbow, Lateral Or Medial (eg, Epicondylitis, Tennis Elbow, Golfer's El… 32 10 $10,580.00 $9,522.00 $1,412.57 $5,996.28 $5,996.28 2026-05-21
38510 CPT Biopsy Or Excision Of Lymph Node(s); Open, Deep Cervical Node(s) 32 10 $10,850.00 $9,765.00 $1,000.06 $5,925.03 $5,925.03 2026-05-21
38500 CPT Biopsy Or Excision Of Lymph Node(s); Open, Superficial 32 10 $10,850.00 $9,765.00 $1,000.06 $5,925.03 $5,925.03 2026-05-21
27080 CPT Coccygectomy, Primary 32 10 $10,580.00 $9,522.00 $1,000.06 $5,790.03 $5,790.03 2026-05-21
20250 CPT Biopsy, Vertebral Body, Open; Thoracic 32 10 $9,800.00 $8,820.00 $1,143.50 $5,471.75 $5,471.75 2026-05-21
22511 CPT Percutaneous Vertebroplasty (bone Biopsy Included When Performed), 1 Vertebral B… 32 10 $9,500.00 $8,550.00 $1,412.57 $7,030.00 $5,456.28 2026-05-21
22510 CPT Percutaneous Vertebroplasty (bone Biopsy Included When Performed), 1 Vertebral B… 32 10 $9,500.00 $8,550.00 $1,412.57 $7,030.00 $5,456.28 2026-05-21
21933 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (eg, Intramuscular); 5… 32 10 $9,500.00 $8,550.00 $1,412.57 $5,456.28 $5,456.28 2026-05-21
22903 CPT Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater 32 10 $9,500.00 $8,550.00 $1,412.57 $5,456.28 $5,456.28 2026-05-21
21558 CPT Radical Resection Of Tumor (eg, Sarcoma), Soft Tissue Of Neck Or Anterior Thorax… 32 10 $9,500.00 $8,550.00 $1,412.57 $5,456.28 $5,456.28 2026-05-21
21554 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu… 32 10 $9,500.00 $8,550.00 $1,412.57 $5,456.28 $5,456.28 2026-05-21
21552 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; 3 Cm Or G… 32 10 $9,500.00 $8,550.00 $1,412.57 $5,456.28 $5,456.28 2026-05-21
62350 CPT Implantation, Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Cath… 32 10 $8,500.00 $7,650.00 $1,000.06 $15,450.00 $5,409.16 2026-05-21
62365 CPT Removal Of Subcutaneous Reservoir Or Pump, Previously Implanted For Intrathecal … 32 10 $8,500.00 $7,650.00 $1,000.06 $8,755.00 $5,409.16 2026-05-21
21932 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (eg, Intramuscular); L… 32 10 $9,500.00 $8,550.00 $1,222.00 $5,361.00 $5,361.00 2026-05-21
20680 CPT Removal Of Implant; Deep (eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or … 32 10 $9,500.00 $8,550.00 $1,143.50 $5,321.75 $5,321.75 2026-05-21
20525 CPT Removal Of Foreign Body In Muscle Or Tendon Sheath; Deep Or Complicated 32 10 $9,500.00 $8,550.00 $1,143.50 $5,321.75 $5,321.75 2026-05-21
20205 CPT Biopsy, Muscle; Deep 32 10 $9,500.00 $8,550.00 $1,143.50 $5,321.75 $5,321.75 2026-05-21
15920 CPT Excision, Coccygeal Pressure Ulcer, With Coccygectomy; With Primary Suture 32 10 $9,500.00 $8,550.00 $1,143.50 $5,321.75 $5,321.75 2026-05-21
15839 CPT Excision, Excessive Skin And Subcutaneous Tissue (includes Lipectomy); Other Are… 32 10 $9,500.00 $8,550.00 $1,143.50 $5,321.75 $5,321.75 2026-05-21
11446 CPT Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless Listed … 32 10 $9,500.00 $8,550.00 $1,000.06 $5,250.03 $5,250.03 2026-05-21
11426 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $9,500.00 $8,550.00 $1,000.06 $5,250.03 $5,250.03 2026-05-21
20240 CPT Biopsy, Bone, Open; Superficial (eg, Sternum, Spinous Process, Rib, Patella, Ole… 32 10 $9,500.00 $8,550.00 $1,000.06 $5,250.03 $5,250.03 2026-05-21
21556 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu… 32 10 $9,500.00 $8,550.00 $1,000.06 $5,250.03 $5,250.03 2026-05-21
21501 CPT Incision And Drainage, Deep Abscess Or Hematoma, Soft Tissues Of Neck Or Thorax 32 10 $9,500.00 $8,550.00 $1,000.06 $5,250.03 $5,250.03 2026-05-21
21014 CPT Excision, Tumor, Soft Tissue Of Face And Scalp, Subfascial (eg, Subgaleal, Intra… 32 10 $9,500.00 $8,550.00 $957.00 $5,228.50 $5,228.50 2026-05-21
36558 CPT Insertion Of Tunneled Centrally Inserted Central Venous Catheter, Without Subcut… 32 10 $9,450.00 $8,505.00 $1,000.06 $5,225.03 $5,225.03 2026-05-21
62305 CPT Myelography Via Lumbar Injection, Including Radiological Supervision And Interpr… 32 10 $9,649.00 $8,684.10 $755.30 $5,155.81 $5,155.81 2026-05-21
72270 CPT Myelography, 2 Or More Regions (eg, Lumbar/thoracic, Cervical/thoracic, Lumbar/c… 64 10 $9,649.00 $8,684.10 $755.30 $5,155.81 $5,155.81 2026-05-21
63066 CPT Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root(s) (eg, … 4 2 $8,250.00 $7,425.00 $680.00 $9,579.00 $5,129.50 2026-05-21
63057 CPT Transpedicular Approach With Decompression Of Spinal Cord, Equina And/or Nerve R… 4 2 $8,250.00 $7,425.00 $680.00 $9,579.00 $5,129.50 2026-05-21
63076 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 4 2 $8,250.00 $7,425.00 $680.00 $9,579.00 $5,129.50 2026-05-21
27280 CPT Arthrodesis, Sacroiliac Joint, Open, Includes Obtaining Bone Graft, Including In… 12 5 $35,660.00 $32,094.00 $1,412.57 $19,347.38 $5,107.95 2026-05-21
22534 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 14 6 $9,500.00 $8,550.00 $680.00 $20,085.00 $5,090.00 2026-05-21
25073 CPT Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subfascial (eg, Intra… 32 10 $8,600.00 $7,740.00 $1,412.57 $5,006.28 $5,006.28 2026-05-21
37191 CPT Insertion Of Intravascular Vena Cava Filter, Endovascular Approach Including Vas… 32 10 $8,500.00 $7,650.00 $1,412.57 $6,434.00 $4,956.28 2026-05-21
63661 CPT Removal Of Spinal Neurostimulator Electrode Percutaneous Array(s), Including Flu… 32 10 $8,500.00 $7,650.00 $1,412.57 $9,193.00 $4,956.28 2026-05-21
36226 CPT Selective Catheter Placement, Vertebral Artery, Unilateral, With Angiography Of … 32 10 $8,500.00 $7,650.00 $1,412.57 $6,434.00 $4,956.28 2026-05-21
36224 CPT Selective Catheter Placement, Internal Carotid Artery, Unilateral, With Angiogra… 32 10 $8,500.00 $7,650.00 $1,412.57 $6,434.00 $4,956.28 2026-05-21
28035 CPT Release, Tarsal Tunnel (posterior Tibial Nerve Decompression) 32 10 $8,500.00 $7,650.00 $1,412.57 $4,956.28 $4,956.28 2026-05-21
63662 CPT Removal Of Spinal Neurostimulator Electrode Plate/paddle(s) Placed Via Laminotom… 32 10 $8,500.00 $7,650.00 $1,412.57 $9,193.00 $4,956.28 2026-05-21
24077 CPT Radical Resection Of Tumor (eg, Sarcoma), Soft Tissue Of Upper Arm Or Elbow Area… 32 10 $8,600.00 $7,740.00 $1,143.50 $4,871.75 $4,871.75 2026-05-21
64721 CPT Neuroplasty And/or Transposition; Median Nerve At Carpal Tunnel 32 10 $8,100.00 $7,290.00 $1,676.00 $4,868.90 $4,868.90 2026-05-21
35201 CPT Repair Blood Vessel, Direct; Neck 32 10 $6,000.00 $5,400.00 $1,412.57 $6,434.00 $4,850.10 2026-05-21
64719 CPT Neuroplasty And/or Transposition; Ulnar Nerve At Wrist 32 10 $8,100.00 $7,290.00 $1,596.50 $4,848.25 $4,848.25 2026-05-21
64718 CPT Neuroplasty And/or Transposition; Ulnar Nerve At Elbow 32 10 $8,100.00 $7,290.00 $1,596.50 $4,848.25 $4,848.25 2026-05-21
63295 CPT Osteoplastic Reconstruction Of Dorsal Spinal Elements, Following Primary Intrasp… 14 6 $8,250.00 $7,425.00 $1,162.00 $9,579.00 $4,706.00 2026-05-21
63078 CPT Discectomy, Anterior, With Decompression Of Spinal Cord And/or Nerve Root(s), In… 14 6 $8,250.00 $7,425.00 $1,162.00 $9,579.00 $4,706.00 2026-05-21
C1832 CPT Autograft Suspension, Including Cell Processing And Application, And All System … 14 6 $6,783.00 $6,104.70 $4,626.01 $4,626.01 $4,626.01 2026-05-21
63688 CPT Revision Or Removal Of Implanted Spinal Neurostimulator Pulse Generator Or Recei… 32 10 $8,500.00 $7,650.00 $746.63 $9,193.00 $4,623.31 2026-05-21
64585 CPT Revision Or Removal Of Peripheral Neurostimulator Electrode Array 32 10 $8,500.00 $7,650.00 $746.63 $4,623.31 $4,623.31 2026-05-21
64595 CPT Revision Or Removal Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse Gene… 32 10 $8,500.00 $7,650.00 $746.63 $4,623.31 $4,623.31 2026-05-21
64784 CPT Excision Of Neuroma; Major Peripheral Nerve, Except Sciatic 32 10 $8,100.00 $7,290.00 $1,143.50 $4,621.75 $4,621.75 2026-05-21
64788 CPT Excision Of Neurofibroma Or Neurolemmoma; Cutaneous Nerve 32 10 $8,100.00 $7,290.00 $1,143.50 $4,621.75 $4,621.75 2026-05-21
64790 CPT Excision Of Neurofibroma Or Neurolemmoma; Major Peripheral Nerve 32 10 $8,100.00 $7,290.00 $1,143.50 $4,621.75 $4,621.75 2026-05-21
64629 CPT Thermal Destruction Of Intraosseous Basivertebral Nerve, Including All Imaging G… 14 6 $8,500.00 $7,650.00 $680.00 $4,590.00 $4,590.00 2026-05-21
64712 CPT Neuroplasty, Major Peripheral Nerve, Arm Or Leg, Open; Sciatic Nerve 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64774 CPT Excision Of Neuroma; Cutaneous Nerve, Surgically Identifiable 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64713 CPT Neuroplasty, Major Peripheral Nerve, Arm Or Leg, Open; Brachial Plexus 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64795 CPT Biopsy Of Nerve 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64708 CPT Neuroplasty, Major Peripheral Nerve, Arm Or Leg, Open; Other Than Specified 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64714 CPT Neuroplasty, Major Peripheral Nerve, Arm Or Leg, Open; Lumbar Plexus 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
64772 CPT Transection Or Avulsion Of Other Spinal Nerve, Extradural 32 10 $8,100.00 $7,290.00 $1,000.06 $4,550.03 $4,550.03 2026-05-21
63053 CPT Laminectomy, Facetectomy, Or Foraminotomy (unilateral Or Bilateral With Decompre… 14 6 $8,250.00 $7,425.00 $680.00 $9,579.00 $4,465.00 2026-05-21
64704 CPT Neuroplasty; Nerve Of Hand Or Foot 32 10 $8,100.00 $7,290.00 $746.63 $4,423.31 $4,423.31 2026-05-21
64722 CPT Decompression; Unspecified Nerve(s) (specify) 32 10 $8,100.00 $7,290.00 $746.63 $4,423.31 $4,423.31 2026-05-21
44005 CPT Enterolysis (freeing Of Intestinal Adhesion) (separate Procedure) 14 6 $6,975.00 $6,277.50 $1,162.00 $5,864.74 $4,068.50 2026-05-21
C1776 CPT Joint Device (implantable) 2 1 $12,540.00 $11,286.00 $3,974.95 $3,974.95 $3,974.95 2026-05-21
27535 CPT Open Treatment Of Tibial Fracture, Proximal (plateau); Unicondylar, Includes Int… 14 6 $13,500.00 $12,150.00 $1,412.57 $7,456.28 $3,918.00 2026-05-21
10180 CPT Incision And Drainage, Complex, Postoperative Wound Infection 32 10 $6,500.00 $5,850.00 $1,000.06 $3,750.03 $3,750.03 2026-05-21
13160 CPT Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated 32 10 $6,500.00 $5,850.00 $1,000.06 $3,750.03 $3,750.03 2026-05-21
22325 CPT Open Treatment And/or Reduction Of Vertebral Fracture(s) And/or Dislocation(s), … 14 6 $3,850.00 $3,465.00 $1,412.57 $14,439.13 $3,738.90 2026-05-21
22318 CPT Open Treatment And/or Reduction Of Odontoid Fracture(s) And Or Dislocation(s) (i… 14 6 $3,850.00 $3,465.00 $1,412.57 $14,439.13 $3,738.90 2026-05-21
27325 CPT Neurectomy, Hamstring Muscle 32 10 $6,250.00 $5,625.00 $1,222.00 $3,736.00 $3,736.00 2026-05-21
64610 CPT Destruction By Neurolytic Agent, Trigeminal Nerve; Second And Third Division Bra… 32 10 $6,550.00 $5,895.00 $746.63 $3,648.32 $3,648.32 2026-05-21
52281 CPT Cystourethroscopy, With Calibration And/or Dilation Of Urethral Stricture Or Ste… 32 10 $6,250.00 $5,625.00 $1,000.06 $3,625.03 $3,625.03 2026-05-21
43246 CPT Esophagogastroduodenoscopy, Flexible, Transoral; With Directed Placement Of Perc… 32 10 $6,000.00 $5,400.00 $1,000.06 $3,500.03 $3,500.03 2026-05-21
21931 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; 3 Cm Or Greater 32 10 $5,500.00 $4,950.00 $1,412.57 $4,867.00 $3,429.45 2026-05-21
20660 CPT Application Of Cranial Tongs, Caliper, Or Stereotactic Frame, Including Removal … 32 10 $5,500.00 $4,950.00 $1,222.00 $3,361.00 $3,361.00 2026-05-21
11423 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $5,500.00 $4,950.00 $1,190.00 $3,345.00 $3,345.00 2026-05-21
21550 CPT Biopsy, Soft Tissue Of Neck Or Thorax 32 10 $5,500.00 $4,950.00 $1,190.00 $3,345.00 $3,345.00 2026-05-21
37799 CPT Unlisted Procedure, Vascular Surgery 32 10 $6,000.00 $5,400.00 $699.49 $3,259.27 $3,259.27 2026-05-21
11406 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
20225 CPT Biopsy, Bone, Trocar, Or Needle; Deep (eg, Vertebral Body, Femur) 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
21930 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; Less Than 3 Cm 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
21925 CPT Biopsy, Soft Tissue Of Back Or Flank; Deep 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
21555 CPT Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than… 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
10121 CPT Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated 32 10 $5,500.00 $4,950.00 $1,000.06 $3,250.03 $3,250.03 2026-05-21
38221 CPT Diagnostic Bone Marrow; Biopsy(ies) 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
38220 CPT Diagnostic Bone Marrow; Aspiration(s) 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
11422 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
20520 CPT Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
11420 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
21013 CPT Excision, Tumor, Soft Tissue Of Face And Scalp, Subfascial (eg, Subgaleal, Intra… 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
21012 CPT Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; 2 Cm Or Greater 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
11044 CPT Debridement, Bone (includes Epidermis, Dermis, Subcutaneous Tissue, Muscle And/o… 32 10 $5,500.00 $4,950.00 $957.00 $3,228.50 $3,228.50 2026-05-21
27323 CPT Biopsy, Soft Tissue Of Thigh Or Knee Area; Superficial 32 10 $5,657.00 $5,091.30 $746.63 $3,201.82 $3,201.82 2026-05-21
75825 CPT Venography, Caval, Inferior, With Serialography, Radiological Supervision And In… 16 3 $3,526.00 $3,173.40 $241.17 $3,362.39 $3,132.59 2026-05-21
20670 CPT Removal Of Implant; Superficial (eg, Buried Wire, Pin Or Rod) (separate Procedur… 32 10 $5,500.00 $4,950.00 $746.63 $3,123.32 $3,123.32 2026-05-21
11404 CPT Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh… 32 10 $5,500.00 $4,950.00 $746.63 $3,123.32 $3,123.32 2026-05-21
22010 CPT Incision And Drainage, Open, Of Deep Abscess (subfascial), Posterior Spine; Cerv… 14 6 $1,550.00 $1,395.00 $1,240.00 $7,257.90 $3,115.75 2026-05-21
20982 CPT Ablation Therapy For Reduction Or Eradication Of 1 Or More Bone Tumors (eg, Meta… 12 5 $38,000.00 $34,200.00 $1,236.00 $7,257.90 $3,040.50 2026-05-21
26055 CPT Tendon Sheath Incision (eg, For Trigger Finger) 32 10 $5,000.00 $4,500.00 $1,000.06 $3,000.03 $3,000.03 2026-05-21
23071 CPT Excision, Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater 32 10 $4,500.00 $4,050.00 $1,412.57 $4,867.00 $2,929.45 2026-05-21
37615 CPT Ligation, Major Artery (eg, Post-traumatic, Rupture); Neck 32 10 $4,900.00 $4,410.00 $957.00 $2,928.50 $2,928.50 2026-05-21
22847 CPT Anterior Instrumentation; 8 Or More Vertebral Segments (List Separately In Addit… 14 6 $3,850.00 $3,465.00 $2,163.00 $20,085.00 $2,887.50 2026-05-21
42900 CPT Suture Pharynx For Wound Or Injury 32 10 $5,000.00 $4,500.00 $746.63 $2,873.32 $2,873.32 2026-05-21
25076 CPT Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subfascial (eg, Intra… 32 10 $4,500.00 $4,050.00 $1,143.50 $2,821.75 $2,821.75 2026-05-21
36556 CPT Insertion Of Non-tunneled Centrally Inserted Central Venous Catheter; Age 5 Year… 32 10 $3,420.00 $3,078.00 $746.63 $2,786.07 $2,786.07 2026-05-21
64624 CPT Destruction By Neurolytic Agent, Genicular Nerve Branches Including Imaging Guid… 32 10 $4,150.00 $3,735.00 $1,412.57 $2,781.28 $2,781.28 2026-05-21
64635 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(s), With Imagin… 32 10 $4,150.00 $3,735.00 $1,412.57 $2,781.28 $2,781.28 2026-05-21
64633 CPT Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(s), With Imagin… 32 10 $4,150.00 $3,735.00 $1,412.57 $2,781.28 $2,781.28 2026-05-21
64625 CPT Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, With Image Gui… 32 10 $4,150.00 $3,735.00 $1,412.57 $2,781.28 $2,781.28 2026-05-21
24075 CPT Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Less Than… 32 10 $4,500.00 $4,050.00 $1,000.06 $2,750.03 $2,750.03 2026-05-21
72265 CPT Myelography, Lumbosacral, Radiological Supervision And Interpretation 64 10 $4,788.00 $4,309.20 $755.30 $3,090.00 $2,725.32 2026-05-21
25020 CPT Decompression Fasciotomy, Forearm And/or Wrist, Flexor Or Extensor Compartment; … 32 10 $4,300.00 $3,870.00 $1,143.50 $2,880.00 $2,721.75 2026-05-21
75600 CPT Aortography, Thoracic, Without Serialography, Radiological Supervision And Inter… 64 10 $4,000.00 $3,600.00 $600.97 $3,362.39 $2,713.24 2026-05-21
22327 CPT Open Treatment And/or Reduction Of Vertebral Fracture(s) And/or Dislocation(s), … 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22326 CPT Open Treatment And/or Reduction Of Vertebral Fracture(s) And/or Dislocation(s), … 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22224 CPT Osteotomy Of Spine, Including Discectomy, Anterior Approach, Single Vertebral Se… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22220 CPT Osteotomy Of Spine, Including Discectomy, Anterior Approach, Single Vertebral Se… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22212 CPT Osteotomy Of Spine, Posterior Or Posterolateral Approach, 1 Vertebral Segment; T… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22214 CPT Osteotomy Of Spine, Posterior Or Posterolateral Approach, 1 Vertebral Segment; L… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22207 CPT Osteotomy Of Spine, Posterior Or Posterolateral Approach, 3 Columns, 1 Vertebral… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22110 CPT Partial Excision Of Vertebral Body, For Intrinsic Bony Lesion, Without Decompres… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
22114 CPT Partial Excision Of Vertebral Body, For Intrinsic Bony Lesion, Without Decompres… 14 6 $3,850.00 $3,465.00 $1,412.57 $6,434.00 $2,631.28 2026-05-21
36569 CPT Insertion Of Peripherally Inserted Central Venous Catheter (picc), Without Subcu… 32 10 $4,500.00 $4,050.00 $746.63 $2,623.32 $2,623.32 2026-05-21
31603 CPT Tracheostomy, Emergency Procedure; Transtracheal 32 10 $4,500.00 $4,050.00 $746.63 $2,623.32 $2,623.32 2026-05-21
22015 CPT Incision And Drainage, Open, Of Deep Abscess (subfascial), Posterior Spine; Lumb… 14 6 $1,550.00 $1,395.00 $1,240.00 $6,434.00 $2,572.58 2026-05-21
27086 CPT Removal Of Foreign Body, Pelvis Or Hip; Subcutaneous Tissue 32 10 $2,300.00 $2,070.00 $746.63 $2,813.51 $2,567.26 2026-05-21
0095T CPT Removal Of Total Disc Arthroplasty (artificial Disc), Anterior Approach, Each Ad… 14 6 $3,850.00 $3,465.00 $1,236.00 $2,543.00 $2,543.00 2026-05-21
44602 CPT Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo… 14 6 $3,850.00 $3,465.00 $1,412.57 $3,638.78 $2,535.00 2026-05-21
63102 CPT Vertebral Corpectomy (vertebral Body Resection), Partial Or Complete, Lateral Ex… 14 6 $3,850.00 $3,465.00 $1,162.00 $9,579.00 $2,506.00 2026-05-21
63087 CPT Vertebral Corpectomy (vertebral Body Resection), Partial Or Complete, Combined T… 14 6 $3,850.00 $3,465.00 $1,162.00 $9,579.00 $2,506.00 2026-05-21
63090 CPT Vertebral Corpectomy (vertebral Body Resection), Partial Or Complete, Transperit… 14 6 $3,850.00 $3,465.00 $1,162.00 $9,579.00 $2,506.00 2026-05-21
63088 CPT Vertebral Corpectomy (vertebral Body Resection), Partial Or Complete, Combined T… 14 6 $3,850.00 $3,465.00 $1,162.00 $9,579.00 $2,506.00 2026-05-21
62355 CPT Removal Of Previously Implanted Intrathecal Or Epidural Catheter 32 10 $4,000.00 $3,600.00 $1,000.06 $8,755.00 $2,500.03 2026-05-21
32551 CPT Tube Thoracostomy, Includes Connection To Drainage System (eg, Water Seal), When… 32 10 $4,000.00 $3,600.00 $957.00 $2,478.50 $2,478.50 2026-05-21
64640 CPT Destruction By Neurolytic Agent; Other Peripheral Nerve Or Branch 32 10 $4,150.00 $3,735.00 $900.89 $2,575.00 $2,448.35 2026-05-21
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