Price Transparencybeta Hospital negotiated rates

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

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Hospital

UNITED HOSPITAL DISTRICT

Blue Earth, MN · CCN 241369 · Rates published

17,774 distinct procedures filed
3 distinct payers
116,245 rate rows
2026-02-12 last MRF observed
Data quality

75,801 of 116,245 rate rows are consumer-grade (65.2%)

40,444 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 37,929
per-diem day rate — not a per-procedure price 2,316
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 98
percent-of-charges filed in the dollar field — excluded from medians 55
placeholder amount (≤ $0.02) — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8132/454165628-1952307688_united-hospital-district%2C-inc_standardcharges.csv
Found on page https://www.uhd.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-11
Content fingerprint 30d81064e26873a0… · 80,512,101 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,685,267
0.9× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,508,750
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,200,000.00 $3,200,000.00 $3,200,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,100,000.00 $3,100,000.00 $3,100,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,800,000.00 $2,800,000.00 $2,800,000.00 nat. median
$2,968,000
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,322,044.36 $2,391,705.69 $2,356,875.02 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,332,000
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $498,407.95 $528,312.43 $516,350.63 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $487,477.43 $531,350.40 $513,801.18 nat. median
$579,571
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $478,950.00 $522,055.50 $504,813.30 nat. median
$599,737
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $488,926.88 $488,926.88 $488,926.88 nat. median
$621,313
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $462,000.00 $503,580.00 $486,948.00 nat. median
$562,501
0.9× median
Q2040
HCPCS 		Professional Services 1 $470,250.00 $470,250.00 $470,250.00 nat. median
$6
outlier · 81925.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $424,000.00 $462,000.00 $446,800.00 nat. median
$513,770
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $108,066.38 $108,066.38 $108,066.38 nat. median
$95,583
1.1× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $14,902.62 $186,225.00 $88,784.19 nat. median
$16,158
outlier · 5.5×
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 1 $78,198.00 $78,198.00 $78,198.00 nat. median
$68,802
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $9,499.99 $126,048.00 $67,009.58 nat. median
$108,243
0.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 2 $60,000.00 $64,428.71 $61,476.24 nat. median
$66,211
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $58,092.90 $62,602.52 $61,099.31 nat. median
$63,499
1.0× median
90288
CPT 		Botulism Ig IV 1 $48,705.00 $73,057.50 $56,822.50 nat. median
$43,548
1.3× median
J9226
HCPCS 		Supprelin La Implant 2 $46,065.11 $71,287.34 $51,697.36 nat. median
$57,036
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $44,875.22 $56,076.38 $48,608.94 nat. median
$48,410
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $43,585.32 $54,464.63 $47,211.76 nat. median
$42,745
1.1× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 1 $39,746.25 $39,746.25 $39,746.25 nat. median
$34,970
1.1× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 2 $35,961.43 $44,937.75 $38,953.54 nat. median
$38,763
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $31,500.00 $51,927.75 $38,309.25 nat. median
$65,477
0.6× median
S2409
HCPCS 		Fetal Surg Noc 1 $34,999.88 $34,999.88 $34,999.88 nat. median
$933
outlier · 37.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $32,808.38 $32,808.38 $32,808.38 nat. median
$92,809
outlier · 0.4×
J9266
HCPCS 		Pegaspargase Injection 2 $27,070.53 $42,636.09 $30,556.50 nat. median
$31,084
1.0× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 2 $26,885.91 $33,597.00 $29,122.94 nat. median
$29,004
1.0× median
L6880
HCPCS 		Elec Hand Ind Art Digits 2 $26,758.95 $33,438.38 $28,985.43 nat. median
$28,867
1.0× median
C9293
HCPCS 		Injection, Glucarpidase 1 $25,301.10 $25,301.10 $25,301.10 nat. median
$57,284
outlier · 0.4×
L8614
HCPCS 		Cochlear Device 2 $21,928.93 $27,402.38 $23,753.41 nat. median
$22,495
1.1× median
L5858
HCPCS 		Stance Phase Only 2 $20,814.95 $26,010.38 $22,546.76 nat. median
$22,455
1.0× median
J9600
HCPCS 		Porfimer Sodium Injection 2 $3,192.00 $35,684.19 $21,769.84 nat. median
$26,416
0.8× median
L6975
HCPCS 		Interscap-thor Myoelectronic 2 $19,859.16 $24,816.00 $21,511.44 nat. median
$21,202
1.0× median
L5973
HCPCS 		Ank-foot Sys Dors-plant Flex 2 $19,773.03 $24,708.38 $21,418.15 nat. median
$21,313
1.0× median
C2616
HCPCS 		Brachytx, Non-str,yttrium-90 2 $17,763.21 $26,179.13 $20,568.52 nat. median
$22,121
0.9× median
K0606
HCPCS 		Aed Garment W Elec Analysis 2 $3,427.47 $40,788.75 $20,045.33 nat. median
$3,608
outlier · 5.6×
49596
CPT 		Rpr Aa Hrn 1st > 10 Ncr/strn 3 $424.10 $2,794.00 $20,025.74 nat. median
$4,951
outlier · 4.0×
L6970
HCPCS 		Interscapular-thor Switch CT 2 $18,017.17 $22,514.25 $19,516.20 nat. median
$19,306
1.0× median
J7310
HCPCS 		Professional Services 2 $16,960.00 $25,440.00 $19,080.03 nat. median
$13,629
1.4× median
L6965
HCPCS 		Shldr Disartic Myoelectronic 2 $16,832.35 $21,033.75 $18,232.82 nat. median
$18,144
1.0× median
E0194
HCPCS 		Air Fluidized Bed 2 $3,764.88 $44,805.00 $18,083.80 nat. median
$4,113
outlier · 4.4×
L5859
HCPCS 		Knee-shin Pro Flex/ext Cont 2 $16,250.03 $20,306.25 $17,602.10 nat. median
$17,530
1.0× median
D7949
HCPCS 		LeFort Ii Or LeFort Iii - With Bone Graft 2 $6,111.38 $21,057.83 $16,075.68 nat. median
$6,791
outlier · 2.4×
L6960
HCPCS 		Shldr Disartic Switch Contro 2 $14,208.65 $17,755.13 $15,390.81 nat. median
$15,937
1.0× median
0409T
CPT 		Insj/rplc Car Modulj Pls Gn 1 $15,319.00 $15,319.00 $15,319.00 nat. median
$24,700
0.6× median
0414T
CPT 		Rmvl & Rpl Car Modulj Pls Gn 1 $15,319.00 $15,319.00 $15,319.00 nat. median
$24,700
0.6× median

Other procedures at this hospital

Browse this hospital's 17,774 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
             
149 MS_DRG Dysequilibrium 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
209 MS_DRG Complex Aortic Arch Procedures 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
302 MS_DRG Atherosclerosis With Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
156 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
204 MS_DRG Respiratory Signs And Symptoms 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
103 MS_DRG Headaches Without Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
138 MS_DRG Mouth Procedures Without Cc/mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
137 MS_DRG Mouth Procedures With Cc/mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
141 MS_DRG Major Head And Neck Procedures With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
245 MS_DRG Aicd Generator Procedures 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
305 MS_DRG Hypertension Without Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
369 MS_DRG Major Esophageal Disorders With Cc 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 1 — — $5,760.00 $5,760.00 $5,760.00 2026-02-12
D7710 HCPCS Maxilla - Open Reduction 3 2 — — $1,993.50 $7,645.44 $5,761.46 2026-02-12
L8690 HCPCS Aud Osseo Dev, Int/ext Comp 3 2 — — $5,327.87 $6,657.75 $5,771.16 2026-02-12
D7874 HCPCS Arthroscopy: Disc Repositioning And Stabilization 3 2 — — $2,196.00 $7,566.90 $5,776.60 2026-02-12
L5230 HCPCS Fem Focal Defic Constant Fri 3 2 — — $5,340.62 $6,673.50 $5,784.91 2026-02-12
L5961 HCPCS Endo Poly Hip, Pneu/hyd/rot 3 2 — — $5,345.93 $6,680.25 $5,790.70 2026-02-12
L5702 HCPCS Replace Socket Hip 3 2 — — $5,371.40 $6,712.13 $5,818.31 2026-02-12
K0856 HCPCS Pwc Gp3 Std Sing Pow Opt S/b 6 2 — — $998.09 $11,880.00 $5,837.66 2026-02-12
K0861 HCPCS Pwc Gp3 Std Mult Pow Opt S/b 6 2 — — $999.69 $11,898.75 $5,846.97 2026-02-12
29870 CPT Pf 29870 Arthroscopy Knee 17 3 $1,878.00 $1,596.30 $314.55 $1,690.20 $5,856.84 2026-02-12
G2072 HCPCS Professional Services 3 2 — — $5,545.95 $6,488.63 $5,860.18 2026-02-12
D5955 HCPCS Palatal Lift Prosthesis, Definitive 3 2 — — $2,349.38 $7,637.64 $5,874.89 2026-02-12
K0014 HCPCS Other Power Whlchr Base 1 1 — — $5,880.00 $5,880.00 $5,880.00 2026-02-12
D7860 HCPCS Arthrotomy 3 2 — — $2,237.25 $7,707.53 $5,884.10 2026-02-12
29806 CPT Sho Arthrs Srg Capsulorraphy 12 3 $4,309.00 $3,662.65 $1,030.71 $3,878.10 $5,890.23 2026-02-12
61888 CPT Revision Remvl Cranial Neurostimulator Pulse Generator Receiver 17 3 $1,590.00 $1,351.50 $262.16 $1,471.00 $5,891.99 2026-02-12
49505 CPT Rpr Initial Inguinal Hernia Age 5+ Reducible 17 3 $3,274.00 $2,782.90 $548.25 $2,946.60 $5,895.32 2026-02-12
L6350 HCPCS Thoracic Intern Lock Elbow 3 2 — — $5,447.00 $6,806.63 $5,900.21 2026-02-12
S2068 HCPCS Breast Diep Or Siea Flap 3 2 — — $5,110.01 $7,481.25 $5,900.42 2026-02-12
33225 CPT L Ventric Pacing Lead Add-on 4 2 — — $697.80 $7,671.00 $5,927.70 2026-02-12
A9593 HCPCS Gallium Ga-68 Psma-11 Ucsf 4 1 — — $4,996.25 $8,243.82 $5,933.05 2026-02-12
A9594 HCPCS Gallium Ga-68 Psma-11, Ucla 4 1 — — $4,996.25 $8,243.82 $5,933.05 2026-02-12
33214 CPT Upgrade Of Pacemaker System 4 2 — — $742.55 $7,671.00 $5,938.89 2026-02-12
33224 CPT Insert Pacing Lead & Connect 4 2 — — $777.67 $7,671.00 $5,947.67 2026-02-12
S2401 HCPCS Fetal Surg Urin Trac Obstr 1 1 — — $5,950.13 $5,950.13 $5,950.13 2026-02-12
33208 CPT Insrt Heart Pm Atrial & Vent 4 2 — — $797.49 $7,671.00 $5,952.62 2026-02-12
K0857 HCPCS Pwc Gp3 Std Sing Pow Opt Cap 6 2 — — $1,018.10 $12,116.25 $5,954.35 2026-02-12
J9219 HCPCS Leuprolide Acetate Implant 4 2 — — $5,001.75 $8,097.30 $5,973.86 2026-02-12
61702 CPT Inner Skull Vessel Surgery 1 1 — — $5,995.91 $5,995.91 $5,995.91 2026-02-12
93582 CPT Perq Transcath Closure Pda 4 2 — — $991.77 $7,671.00 $6,001.19 2026-02-12
D7877 HCPCS Arthroscopy: Debridement 3 2 — — $2,289.38 $7,887.74 $6,021.62 2026-02-12
54401 CPT Insert Self-contd Prosthesis 4 2 — — $1,103.91 $7,671.00 $6,029.23 2026-02-12
54416 CPT Remv/repl Penis Contain Pros 4 2 — — $1,178.11 $7,671.00 $6,047.78 2026-02-12
D5935 HCPCS Mandibular Guidance Prosthesis Without Guide Flange 3 2 — — $2,421.38 $7,873.42 $6,056.07 2026-02-12
53445 CPT Insert Uro/ves Nck Sphincter 4 2 — — $1,241.55 $7,671.00 $6,063.64 2026-02-12
K0851 HCPCS Pwc Gp 3 Hd Cap Chair 6 2 — — $1,037.08 $12,341.25 $6,065.19 2026-02-12
93653 CPT Compre Ep Eval Tx Svt 4 2 — — $1,259.67 $7,671.00 $6,068.17 2026-02-12
E1007 HCPCS Pwr Seat Combo W/shear 7 2 — — $983.36 $11,268.75 $6,068.76 2026-02-12
49322 CPT Pf 49322 Lab Abd Waspir Cyst 17 3 $2,321.00 $1,972.85 $388.70 $2,206.00 $6,077.45 2026-02-12
53447 CPT Remove/replace Ur Sphincter 4 2 — — $1,316.31 $7,671.00 $6,082.33 2026-02-12
54405 CPT Insert Multi-comp Penis Pros 4 2 — — $1,317.45 $7,671.00 $6,082.61 2026-02-12
54410 CPT Remove/replace Penis Prosth 4 2 — — $1,410.90 $7,671.00 $6,105.98 2026-02-12
93656 CPT Compre Ep Eval Abltj Atr Fib 4 2 — — $1,428.46 $7,671.00 $6,110.36 2026-02-12
93580 CPT Transcath Closure Of Asd 4 2 — — $1,468.11 $7,671.00 $6,120.28 2026-02-12
33820 CPT Repair Pda By Ligation 4 2 — — $1,480.00 $7,671.00 $6,123.25 2026-02-12
L6570 HCPCS Scap Thorac Prosth Tiss Shap 3 2 — — $5,655.41 $7,066.88 $6,125.90 2026-02-12
93654 CPT Compre Ep Eval Tx Vt 4 2 — — $1,517.95 $7,671.00 $6,132.74 2026-02-12
E1008 HCPCS Pwr Seat Combo Pwr Shear 7 2 — — $995.51 $11,557.50 $6,183.23 2026-02-12
33824 CPT Repair Pda Div 18 Yrs&older 4 2 — — $1,810.21 $7,671.00 $6,205.80 2026-02-12
93581 CPT Transcath Closure Of Vsd 4 2 — — $1,986.93 $7,671.00 $6,249.98 2026-02-12
47136 CPT Professional Services 1 1 — — $6,270.61 $6,270.61 $6,270.61 2026-02-12
K0850 HCPCS Pwc Gp 3 Hd Seat/back 6 2 — — $1,078.58 $12,836.25 $6,308.11 2026-02-12
L5600 HCPCS Hip Disart Sach Laminat Mold 3 2 — — $5,840.38 $7,298.25 $6,326.34 2026-02-12
D7875 HCPCS Arthroscopy: Synovectomy 3 2 — — $2,405.63 $8,289.41 $6,328.15 2026-02-12
D7850 HCPCS Surgical Discectomy, With/without Implant 3 2 — — $2,196.00 $8,421.93 $6,346.62 2026-02-12
L5331 HCPCS Hip Disart Canadian Sach Ft 3 2 — — $5,860.29 $7,323.00 $6,347.86 2026-02-12
21554 CPT Pf 21554 Excise Tumor Neck Or T 17 3 $2,193.00 $1,864.05 $367.17 $1,973.70 $6,350.71 2026-02-12
D5954 HCPCS Palatal Augmentation Prosthesis 3 2 — — $2,539.13 $8,257.41 $6,351.32 2026-02-12
E1036 HCPCS Patient Transfer System >300 6 2 — — $1,129.61 $12,052.50 $6,351.53 2026-02-12
64582 CPT Pf 64582 Open Implant Hypoglossal Nerve Nstim Ra Pg Respir Sensor 17 3 $3,247.00 $2,759.95 $543.70 $12,867.00 $6,368.97 2026-02-12
D7630 HCPCS Mandible - Open Reduction (teeth Immobilized, If Present) 3 2 — — $2,205.38 $8,481.66 $6,389.57 2026-02-12
K0829 HCPCS Pwc Gp 2 Xtra Hd Cap Chair 6 2 — — $1,116.26 $12,641.25 $6,410.52 2026-02-12
45990 CPT Surg Dx Exam Anorectal 17 3 $407.00 $345.95 $68.17 $711.00 $6,424.87 2026-02-12
D6050 HCPCS Surgical Placement: Transosteal Implant 3 2 — — $2,434.13 $8,420.78 $6,425.23 2026-02-12
E0786 HCPCS Implantable Pump Replacement 7 2 — — $997.78 $12,468.00 $6,430.91 2026-02-12
81416 CPT Exome Sequence Analysis 3 2 — — $2,760.00 $13,789.24 $6,436.41 2026-02-12
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 4 2 — — $2,814.44 $7,671.00 $6,456.86 2026-02-12
C9790 HCPCS Professional Services 2 1 — — $6,508.14 $6,508.14 $6,508.14 2026-02-12
L8683 HCPCS Radiofq Trsmtr For Implt Neu 3 2 — — $6,035.38 $7,542.00 $6,537.59 2026-02-12
D7852 HCPCS Disc Repair 3 2 — — $2,514.75 $8,664.13 $6,614.34 2026-02-12
L8686 HCPCS Implt Nrostm Pls Gen Sng Non 3 2 — — $4,776.75 $7,554.69 $6,628.71 2026-02-12
D8070 HCPCS Comprehensive Orthodontic Treatment Of The Transitional Dentition 2 1 — — $6,654.44 $6,654.44 $6,654.44 2026-02-12
D7840 HCPCS Condylectomy 3 2 — — $2,542.50 $8,762.67 $6,689.28 2026-02-12
K0828 HCPCS Pwc Gp 2 Xtra Hd Seat/back 6 2 — — $1,183.25 $13,008.75 $6,723.52 2026-02-12
L5341 HCPCS Hemipelvectomy Canadian Sach 3 2 — — $6,229.42 $7,784.25 $6,747.70 2026-02-12
49320 CPT Pf 49320 Lap Abd Periton Oment 17 3 $2,256.00 $1,917.60 $377.70 $2,206.00 $6,769.56 2026-02-12
L5250 HCPCS Hip Canad Sing Axi Cons Fric 3 2 — — $6,262.03 $7,825.13 $6,783.06 2026-02-12
D5936 HCPCS Obturator Prosthesis, Interim 3 2 — — $2,719.88 $8,843.50 $6,802.29 2026-02-12
D7876 HCPCS Arthroscopy: Discectomy 3 2 — — $2,593.50 $8,936.95 $6,822.47 2026-02-12
L5615 HCPCS Ak 4 Bar Link Hydl Swg/stanc 3 2 — — $6,301.29 $7,874.25 $6,825.61 2026-02-12
E0783 HCPCS Programmable Infusion Pump 7 2 — — $1,061.23 $13,260.75 $6,839.87 2026-02-12
D5953 HCPCS Speech Aid Prosthesis, Adult 3 2 — — $2,740.50 $8,910.87 $6,854.08 2026-02-12
L7008 HCPCS Pediatric Electric Hand 3 2 — — $6,343.47 $7,926.75 $6,871.23 2026-02-12
K0859 HCPCS Pwc Gp3 Hd Sing Pow Opt Cap 6 2 — — $1,181.00 $14,055.00 $6,907.08 2026-02-12
49650 CPT Pf 49650 Lap Rpr Hernia Init 17 3 $1,807.00 $1,535.95 $302.59 $2,794.00 $6,954.36 2026-02-12
D5934 HCPCS Mandibular Guidance Prosthesis With Guide Flange 3 2 — — $2,782.88 $9,048.96 $6,960.27 2026-02-12
J0600 HCPCS Edetate Calcium Disodium Inj 5 2 — — $6,084.10 $9,126.15 $7,008.24 2026-02-12
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 4 1 — — $1,278.94 $12,789.42 $7,034.18 2026-02-12
0237T CPT Trluml Perip Athrc Brchiocph 4 2 — — $4,926.00 $13,369.88 $7,036.97 2026-02-12
0236T CPT Trluml Perip Athrc Abd Aorta 4 2 — — $4,926.00 $13,369.88 $7,036.97 2026-02-12
0267U CPT Rare Do Id Opt Gen Mapg&seq 3 2 — — $6,739.33 $7,744.16 $7,074.27 2026-02-12
C9773 HCPCS Revasc Lithotr-stent Tib/per 5 2 — — $4,926.00 $10,408.09 $7,118.84 2026-02-12
K1014 HCPCS Professional Services 1 1 — — $7,154.25 $7,154.25 $7,154.25 2026-02-12
0308T CPT Insj Ocular Telescope Prosth 6 3 — — $1,336.89 $12,867.00 $7,162.44 2026-02-12
C9774 HCPCS Revasc Lithotr-ather Tib/per 5 2 — — $4,926.00 $10,555.82 $7,177.93 2026-02-12
C9775 HCPCS Revasc Lith-sten-ath Tib/per 5 2 — — $4,926.00 $10,592.24 $7,192.50 2026-02-12
A0430 HCPCS Fixed Wing Air Transport 3 2 — — $6,665.63 $7,486.76 $7,213.05 2026-02-12
58573 CPT Tlh Wt O Uterus Over 250 G 17 3 $4,632.00 $3,937.20 $775.73 $4,168.80 $7,218.04 2026-02-12
K0858 HCPCS Pwc Gp3 Hd Sing Pow Opt S/b 6 2 — — $1,238.34 $14,737.50 $7,242.45 2026-02-12
K0862 HCPCS Pwc Gp3 Hd Mult Pow Opt S/b 6 2 — — $1,238.34 $14,737.50 $7,242.45 2026-02-12
K0852 HCPCS Pwc Gp 3 Vhd Seat/back 6 2 — — $1,246.25 $14,831.25 $7,288.65 2026-02-12
L7170 HCPCS Electronic Elbow Hosmer Swit 3 2 — — $6,736.88 $8,418.38 $7,297.38 2026-02-12
L5280 HCPCS Hemipelvect Canad Sing Axis 3 2 — — $6,782.03 $8,475.00 $7,346.35 2026-02-12
L8682 HCPCS Implt Neurostim Radiofq Rec 3 2 — — $6,856.59 $8,568.00 $7,427.06 2026-02-12
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 4 2 — — $6,583.50 $9,875.25 $7,437.50 2026-02-12
47562 CPT Pf 47562 Lap Cholecystectomy 17 3 $5,100.00 $4,335.00 $853.94 $4,590.00 $7,460.55 2026-02-12
D7940 HCPCS Osteoplasty - For Orthognathic Deformities 2 1 — — $7,466.25 $7,466.25 $7,466.25 2026-02-12
K0853 HCPCS Pwc Gp 3 Vhd Cap Chair 6 2 — — $1,280.22 $15,236.25 $7,487.45 2026-02-12
D7854 HCPCS Synovectomy 3 2 — — $2,594.63 $9,974.91 $7,514.82 2026-02-12
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 6 2 — — $1,326.75 $13,898.50 $7,528.49 2026-02-12
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 3 2 — — $7,193.00 $8,265.37 $7,550.46 2026-02-12
L5270 HCPCS Tilt Table Locking Hip Sing 3 2 — — $6,977.12 $8,718.75 $7,557.66 2026-02-12
D7944 HCPCS Osteotomy - Segmented Or Subapical 3 2 — — $2,607.75 $10,034.64 $7,559.01 2026-02-12
D5914 HCPCS Auricular Prosthesis 3 2 — — $3,032.25 $9,859.03 $7,583.44 2026-02-12
D5913 HCPCS Nasal Prosthesis 3 2 — — $3,032.25 $9,859.03 $7,583.44 2026-02-12
58662 CPT Pf 58662 Ovarian Cystectomy 17 3 $5,069.00 $4,308.65 $836.00 $4,492.80 $7,598.74 2026-02-12
D5932 HCPCS Obturator Prosthesis, Definitive 3 2 — — $3,053.25 $9,928.10 $7,636.48 2026-02-12
L7185 HCPCS Electron Elbow Adolescent Sw 3 2 — — $7,082.65 $8,850.38 $7,671.89 2026-02-12
D6114 HCPCS Implant /abutment Supported Fixed Denture For Edentulous Arch – Maxillary 2 1 — — $7,708.32 $7,708.32 $7,708.32 2026-02-12
D6115 HCPCS Implant /abutment Supported Fixed Denture For Edentulous Arch – Mandibular 2 1 — — $7,708.32 $7,708.32 $7,708.32 2026-02-12
J9216 HCPCS Interferon Gamma 1-b Inj 5 2 — — $447.38 $12,943.28 $7,725.88 2026-02-12
E0464 HCPCS Professional Services 2 1 — — $1,420.13 $14,201.25 $7,810.69 2026-02-12
E0463 HCPCS Professional Services 2 1 — — $1,420.13 $14,201.25 $7,810.69 2026-02-12
L8609 HCPCS Artificial Cornea 3 2 — — $7,297.13 $9,118.50 $7,904.25 2026-02-12
58571 CPT Tlh Wt O 250 G Or Less 17 3 $2,896.00 $2,461.60 $484.86 $2,794.00 $7,917.09 2026-02-12
0094U CPT Genome Rapid Sequence Alys 3 2 — — $7,582.20 $8,712.65 $7,959.02 2026-02-12
E0636 HCPCS Pt Support & Positioning Sys 7 2 — — $1,354.03 $14,467.50 $8,079.08 2026-02-12
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 3 2 — — $7,776.00 $8,935.26 $8,162.42 2026-02-12
D7490 HCPCS Radical Resection Of Maxilla Or Mandible 3 2 — — $3,107.63 $10,707.86 $8,174.45 2026-02-12
D7730 HCPCS Mandible - Open Reduction 3 2 — — $2,883.75 $11,050.05 $8,327.95 2026-02-12
A0431 HCPCS Rotary Wing Air Transport 3 2 — — $7,750.13 $8,704.50 $8,386.38 2026-02-12
0505T CPT Ev Fempop Artl Revsc 6 3 — — $719.25 $17,496.74 $8,415.12 2026-02-12
52344 CPT Pf 52344 Cysto Uretero Tx Uret 17 3 $1,593.00 $1,354.05 $266.71 $1,433.70 $8,459.05 2026-02-12
D6040 HCPCS Surgical Placement: Eposteal Implant 3 2 — — $3,262.88 $11,287.21 $8,612.43 2026-02-12
L8688 HCPCS Implt Nrostm Pls Gen Dua Non 3 2 — — $6,216.75 $9,831.68 $8,626.70 2026-02-12
L8627 HCPCS Cid Ext Speech Process Repl 3 2 — — $7,990.26 $9,984.75 $8,655.09 2026-02-12
L5987 HCPCS Shank Ft W Vert Load Pylon 3 2 — — $8,056.83 $10,068.00 $8,727.22 2026-02-12
S2400 HCPCS Fetal Surg Congen Hernia 1 1 — — $8,749.88 $8,749.88 $8,749.88 2026-02-12
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 3 2 — — $8,455.00 $9,715.41 $8,875.14 2026-02-12
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 3 2 — — $8,500.00 $9,767.45 $8,922.48 2026-02-12
D7943 HCPCS Osteotomy - Mandibular Rami With Bone Graft; Includes Obtaining The Graft 3 2 — — $2,926.50 $12,116.05 $9,052.87 2026-02-12
E0483 HCPCS Hi Freq Chest Wall Oscil Sys 7 2 — — $1,446.97 $17,220.00 $9,098.62 2026-02-12
D7680 HCPCS Facial Bones - Complicated Reduction With Fixation And Multiple Surgical Approac… 3 2 — — $3,180.75 $12,184.92 $9,183.53 2026-02-12
D7941 HCPCS Osteotomy - Mandibular Rami 3 2 — — $3,185.25 $12,244.65 $9,224.85 2026-02-12
L6025 HCPCS Professional Services 1 1 — — $9,260.63 $9,260.63 $9,260.63 2026-02-12
44970 CPT Pf 44970 Lap Appendectomy 17 3 $3,311.00 $2,814.35 $554.47 $2,979.90 $9,344.25 2026-02-12
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 6 2 — — $1,602.13 $19,068.75 $9,370.42 2026-02-12
E0764 HCPCS Functional Neuromuscularstim 7 2 — — $1,506.21 $17,925.00 $9,471.12 2026-02-12
D7865 HCPCS Arthroplasty 3 2 — — $3,604.88 $12,420.65 $9,482.06 2026-02-12
47563 CPT Pf 47563 Lap Cholecystect Chol 17 3 $5,440.00 $4,624.00 $910.87 $4,896.00 $9,599.03 2026-02-12
33968 CPT Remove Aortic Assist Device 4 2 — — $51.54 $12,867.00 $9,663.14 2026-02-12
33967 CPT Insert I-aort Percut Device 4 2 — — $388.55 $12,867.00 $9,747.39 2026-02-12
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 4 2 — — $478.61 $12,867.00 $9,769.90 2026-02-12
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 4 2 — — $546.58 $12,867.00 $9,786.90 2026-02-12
L6930 HCPCS Below Elbow Switch Control 3 2 — — $9,036.13 $11,291.63 $9,787.96 2026-02-12
62362 CPT Implant Spine Infusion Pump 4 2 — — $620.21 $12,867.00 $9,805.30 2026-02-12
62361 CPT Implant Spine Infusion Pump 4 2 — — $689.88 $12,867.00 $9,822.72 2026-02-12
33274 CPT Tcat Insj/rpl Perm Ldls Pm 4 2 — — $736.32 $12,867.00 $9,834.33 2026-02-12
36906 CPT Thrmbc/nfs Dialysis Circuit 4 2 — — $789.00 $12,867.00 $9,847.50 2026-02-12
61885 CPT Insrt/redo Neurostim 1 Array 4 2 — — $841.10 $12,867.00 $9,860.52 2026-02-12
37227 CPT Professional Services 4 2 — — $1,065.96 $12,867.00 $9,916.74 2026-02-12
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 6 2 — — $1,696.01 $20,182.50 $9,918.83 2026-02-12
37231 CPT Professional Services 4 2 — — $1,118.64 $12,867.00 $9,929.91 2026-02-12
93591 CPT Perq Transcath Cls Aortic 4 2 — — $1,421.10 $12,867.00 $10,005.52 2026-02-12
D7945 HCPCS Osteotomy - Body Of Mandible 3 2 — — $3,470.25 $13,319.79 $10,036.61 2026-02-12
93590 CPT Perq Transcath Cls Mitral 4 2 — — $1,717.89 $12,867.00 $10,079.72 2026-02-12
L6920 HCPCS Wrist Disarticul Switch Ctrl 3 2 — — $9,381.94 $11,723.63 $10,162.50 2026-02-12
L7190 HCPCS Elbow Adolescent Myoelectron 3 2 — — $9,398.00 $11,743.88 $10,179.96 2026-02-12
L8619 HCPCS Coch Imp Ext Proc/contr Rplc 3 2 — — $9,413.83 $11,763.75 $10,197.14 2026-02-12
D5915 HCPCS Orbital Prosthesis 3 2 — — $4,102.88 $13,341.88 $10,262.21 2026-02-12
L5857 HCPCS Elec Knee-shin Swing Only 3 2 — — $9,540.13 $11,921.25 $10,333.84 2026-02-12
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 6 2 — — $1,769.14 $21,056.25 $10,347.16 2026-02-12
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 6 2 — — $1,769.14 $21,056.25 $10,347.16 2026-02-12
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 3 2 — — $7,486.13 $11,839.72 $10,388.52 2026-02-12
L8679 HCPCS Imp Neurosti Pls Gn Any Type 3 2 — — $9,596.63 $11,992.13 $10,395.13 2026-02-12
D7947 HCPCS LeFort I (maxilla - Segmented) 3 2 — — $3,615.00 $14,335.20 $10,761.80 2026-02-12
58552 CPT Pf 58552 Vag Hyst<250g Wtube 17 3 $3,147.00 $2,674.95 $519.06 $2,794.00 $10,773.53 2026-02-12
L6935 HCPCS Below Elbow Myoelectronic CT 3 2 — — $9,975.95 $12,466.13 $10,806.01 2026-02-12
L6925 HCPCS Wrist Disart Myoelectronic C 3 2 — — $10,023.05 $12,525.00 $10,857.03 2026-02-12
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 5 2 — — $1,627.42 $20,336.25 $11,227.91 2026-02-12
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 4 1 — — $11,328.13 $11,668.13 $11,498.13 2026-02-12
L5991 HCPCS Low Pros Ext Osseo Connector 3 2 — — $10,691.72 $13,360.50 $11,581.31 2026-02-12
33289 CPT Tcat Impl Wrls P-art Prs Snr 4 2 — — $506.36 $15,319.00 $11,615.84 2026-02-12
0515T CPT Insj Wcs Lv Compl Sys 4 2 — — $529.88 $15,319.00 $11,621.72 2026-02-12
33240 CPT Insrt Pulse Gen W/singl Lead 4 2 — — $555.64 $15,319.00 $11,628.16 2026-02-12
33230 CPT Insrt Pulse Gen W/dual Leads 4 2 — — $577.16 $15,319.00 $11,633.54 2026-02-12
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 4 2 — — $578.29 $15,319.00 $11,633.82 2026-02-12
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 4 2 — — $599.82 $15,319.00 $11,639.20 2026-02-12
33231 CPT Insrt Pulse Gen W/mult Leads 4 2 — — $621.34 $15,319.00 $11,644.58 2026-02-12
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 4 2 — — $624.74 $15,319.00 $11,645.43 2026-02-12
S4025 HCPCS Donor Serv Ivf Case Rate 1 1 — — $11,689.88 $11,689.88 $11,689.88 2026-02-12
33270 CPT Ins/rep Subq Defibrillator 4 2 — — $864.89 $15,319.00 $11,705.47 2026-02-12
33249 CPT Insj/rplcmt Defib W/lead(s) 4 2 — — $1,404.11 $15,319.00 $11,840.28 2026-02-12
69930 CPT Implant Cochlear Device 4 2 — — $1,981.27 $15,319.00 $11,984.57 2026-02-12
D7780 HCPCS Facial Bones - Complicated Reduction With Fixation And Multiple Approaches 3 2 — — $4,240.88 $16,306.29 $12,284.49 2026-02-12
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 6 2 — — $2,105.28 $25,053.75 $12,312.55 2026-02-12
D7946 HCPCS LeFort I (maxilla - Total) 3 2 — — $4,299.00 $16,485.48 $12,423.32 2026-02-12
49593 CPT Rpr Aa Hrn 1st 3-10 Rdc 17 3 $1,571.00 $1,335.35 $263.12 $1,471.00 $12,458.36 2026-02-12
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 2 — — $1,820.49 $22,749.00 $12,559.97 2026-02-12
L6950 HCPCS Above Elbow Switch Control 3 2 — — $11,646.96 $14,554.13 $12,616.02 2026-02-12
L6940 HCPCS Elbow Disarticulation Switch 3 2 — — $11,668.60 $14,581.13 $12,639.44 2026-02-12
L5969 HCPCS Ak/ft Power Asst Incl Motors 3 2 — — $12,338.23 $13,709.25 $12,795.24 2026-02-12
C9758 HCPCS Blind Interatrial Shunt Ide 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
0427T CPT Outpatient Surgery 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
0431T CPT Outpatient Surgery 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
0266T CPT Outpatient Surgery 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
C9782 HCPCS Blind Myocar Trpl Bon Marrow 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
0268T CPT Outpatient Surgery 3 1 — — $12,867.00 $12,867.00 $12,867.00 2026-02-12
L7186 HCPCS Electron Elbow Child Switch 3 2 — — $11,906.93 $14,878.88 $12,897.58 2026-02-12
58270 CPT Vaginal Hysterectomy Uterus 250 Gms < Wrpr Of Enterocele 17 3 $2,473.00 $2,102.05 $414.06 $2,225.70 $13,042.49 2026-02-12
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 3 2 — — $9,742.50 $15,408.19 $13,519.63 2026-02-12
L7191 HCPCS Elbow Child Myoelectronic CT 3 2 — — $12,524.20 $15,650.25 $13,566.22 2026-02-12
D7948 HCPCS LeFort Ii Or LeFort Iii (osteoplasty Of Facial Bones For Midface Hypoplasia Or R… 3 2 — — $4,692.75 $18,038.46 $13,589.89 2026-02-12
D7858 HCPCS Joint Reconstruction 3 2 — — $5,248.13 $18,083.61 $13,805.12 2026-02-12
L6945 HCPCS Elbow Disart Myoelectronic C 3 2 — — $13,017.84 $16,267.13 $14,100.94 2026-02-12
Q0483 HCPCS Monitor Elec Vad, Rep 5 2 — — $2,099.89 $26,240.25 $14,487.57 2026-02-12
Q0479 HCPCS Power Module Combo Vad, Rep 3 2 — — $13,443.87 $16,799.63 $14,562.46 2026-02-12
L6955 HCPCS Above Elbow Myoelectronic CT 3 2 — — $13,506.82 $16,878.38 $14,630.67 2026-02-12
C1767 HCPCS Stim Nerve Ipg Inspire 3150 21 3 $29,880.00 $25,398.00 $5,757.78 $26,892.00 $14,977.47 2026-02-12
0571T CPT Insj/rplcmt Icds Ss Eltrd 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0409T CPT Insj/rplc Car Modulj Pls Gn 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0100T CPT Prosth Retina Receive&gen 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
C9760 HCPCS Non-blind Interatrial Shunt 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0424T CPT Outpatient Surgery 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0408T CPT Insj/rplc Cardiac Modulj Sys 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 1 — — $15,319.00 $15,319.00 $15,319.00 2026-02-12
L6960 HCPCS Shldr Disartic Switch Contro 3 2 — — $14,208.65 $17,755.13 $15,390.81 2026-02-12
D7949 HCPCS LeFort Ii Or LeFort Iii - With Bone Graft 3 2 — — $6,111.38 $21,057.83 $16,075.68 2026-02-12
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 2 — — $16,250.03 $20,306.25 $17,602.10 2026-02-12
E0194 HCPCS Air Fluidized Bed 5 2 — — $3,764.88 $44,805.00 $18,083.80 2026-02-12
L6965 HCPCS Shldr Disartic Myoelectronic 3 2 — — $16,832.35 $21,033.75 $18,232.82 2026-02-12
J7310 HCPCS Professional Services 4 2 — — $16,960.00 $25,440.00 $19,080.03 2026-02-12
L6970 HCPCS Interscapular-thor Switch CT 3 2 — — $18,017.17 $22,514.25 $19,516.20 2026-02-12
49596 CPT Rpr Aa Hrn 1st > 10 Ncr/strn 17 3 $2,532.00 $2,152.20 $424.10 $2,794.00 $20,025.74 2026-02-12
K0606 HCPCS Aed Garment W Elec Analysis 6 2 — — $3,427.47 $40,788.75 $20,045.33 2026-02-12
C2616 HCPCS Brachytx, Non-str,yttrium-90 3 2 — — $17,763.21 $26,179.13 $20,568.52 2026-02-12
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 2 — — $19,773.03 $24,708.38 $21,418.15 2026-02-12
L6975 HCPCS Interscap-thor Myoelectronic 3 2 — — $19,859.16 $24,816.00 $21,511.44 2026-02-12
J9600 HCPCS Porfimer Sodium Injection 5 2 — — $3,192.00 $35,684.19 $21,769.84 2026-02-12
L5858 HCPCS Stance Phase Only 3 2 — — $20,814.95 $26,010.38 $22,546.76 2026-02-12
L8614 HCPCS Cochlear Device 3 2 — — $21,928.93 $27,402.38 $23,753.41 2026-02-12
C9293 HCPCS Injection, Glucarpidase 2 1 — — $25,301.10 $25,301.10 $25,301.10 2026-02-12
L6880 HCPCS Elec Hand Ind Art Digits 3 2 — — $26,758.95 $33,438.38 $28,985.43 2026-02-12
L5856 HCPCS Elec Knee-shin Swing/stance 3 2 — — $26,885.91 $33,597.00 $29,122.94 2026-02-12
J9266 HCPCS Pegaspargase Injection 5 2 — — $27,070.53 $42,636.09 $30,556.50 2026-02-12
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $32,808.38 $32,808.38 $32,808.38 2026-02-12
S2409 HCPCS Fetal Surg Noc 1 1 — — $34,999.88 $34,999.88 $34,999.88 2026-02-12
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $31,500.00 $51,927.75 $38,309.25 2026-02-12
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 2 — — $35,961.43 $44,937.75 $38,953.54 2026-02-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $39,746.25 $39,746.25 $39,746.25 2026-02-12
L7180 HCPCS Electronic Elbow Sequential 3 2 — — $43,585.32 $54,464.63 $47,211.76 2026-02-12
L7181 HCPCS Electronic Elbo Simultaneous 3 2 — — $44,875.22 $56,076.38 $48,608.94 2026-02-12
J9226 HCPCS Supprelin La Implant 5 2 — — $46,065.11 $71,287.34 $51,697.36 2026-02-12
90288 CPT Botulism Ig IV 3 1 — — $48,705.00 $73,057.50 $56,822.50 2026-02-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $58,092.90 $62,602.52 $61,099.31 2026-02-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 2 — — $60,000.00 $64,428.71 $61,476.24 2026-02-12
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 2 — — $9,499.99 $126,048.00 $67,009.58 2026-02-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $78,198.00 $78,198.00 $78,198.00 2026-02-12
E0766 HCPCS Elec Stim Cancer Treatment 6 2 — — $14,902.62 $186,225.00 $88,784.19 2026-02-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $108,066.38 $108,066.38 $108,066.38 2026-02-12
Q2053 HCPCS Brexucabtagene Car Pos T 5 2 — — $424,000.00 $462,000.00 $446,800.00 2026-02-12
Q2040 HCPCS Professional Services 1 1 — — $470,250.00 $470,250.00 $470,250.00 2026-02-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 2 — — $462,000.00 $503,580.00 $486,948.00 2026-02-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $488,926.88 $488,926.88 $488,926.88 2026-02-12
Q2056 HCPCS Ciltacabtagene Car-pos T 5 2 — — $478,950.00 $522,055.50 $504,813.30 2026-02-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 2 — — $487,477.43 $531,350.40 $513,801.18 2026-02-12
Q2055 HCPCS Idecabtagene Vicleucel Car 5 2 — — $498,407.95 $528,312.43 $516,350.63 2026-02-12
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,200,000.00 $2,200,000.00 $2,200,000.00 2026-02-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 1 — — $2,322,044.36 $2,391,705.69 $2,356,875.02 2026-02-12
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,800,000.00 $2,800,000.00 $2,800,000.00 2026-02-12
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,100,000.00 $3,100,000.00 $3,100,000.00 2026-02-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,200,000.00 $3,200,000.00 $3,200,000.00 2026-02-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-02-12
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-02-12
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