Price Transparency Hospital negotiated rates

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

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Hospital

PERRY COUNTY GENERAL HOSPITAL

Richton, MS · CCN 250783 · Rates published

16,081 distinct procedures filed
23 distinct payers
376,154 rate rows
2026-01-30 last MRF observed
Data quality

277,072 of 376,154 rate rows are consumer-grade (73.7%)

99,082 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 98,962
placeholder amount (≤ $0.02) — excluded from medians 114
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.forresthealth.org/app/files/public/8d2f7a3e-0fc7-4c8d-8d7b-beea29bd321d/646001587_Perry-County-Hospital_standardcharges.csv
Found on page https://www.forresthealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-19
Content fingerprint c7b23fdba07d59a9… · 81,565,541 bytes · first seen 2026-05-15

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
714
OTHER 		Outpatient Apc 1 $4,669,619.61 $4,669,619.61 $4,669,619.61 nat. median
$13,041
outlier · 358.1×
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,377,500.00 $4,966,762.50 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,710,000.00 $4,452,000.00 $3,839,850.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,710,000.00 $4,452,000.00 $3,802,750.00 nat. median
$3,710,000
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 2 $3,378,680.42 $3,681,912.60 $3,530,296.51 nat. median
$2,588,981
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,321,781.51 $3,986,137.81 $3,438,043.87 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,193,000.00 $3,831,600.00 $3,304,755.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,968,000.00 $3,561,600.00 $3,071,880.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,403,458.75 $4,419,199.08 $2,499,597.10 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,197,600.00 $2,425,280.00 nat. median
$2,448,600
1.0× median
9081
OTHER 		Outpatient Apc 2 $802,606.00 $874,638.84 $838,622.42 nat. median
$10
outlier · 82217.9×
9194
OTHER 		Tisagenlecleucel Car-pos T 2 $795,130.01 $866,491.90 $830,810.96 nat. median
$566,531
1.5× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $775,019.95 $844,576.98 $809,798.46 nat. median
$587,650
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,387,116.00 $801,444.80 nat. median
$824,563
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 2 $742,679.21 $809,333.70 $776,006.45 nat. median
$558,082
1.4× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $726,054.08 $791,216.49 $758,635.28 nat. median
$562,201
1.3× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 2 $688,142.46 $749,902.35 $719,022.41 nat. median
$532,192
1.4× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $686,082.13 $747,657.11 $716,869.62 nat. median
$489,450
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $565,623.84 $1,065,107.16 $588,248.79 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $551,318.34 $1,018,564.09 $573,371.07 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $528,312.43 $1,003,172.27 $549,444.93 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $516,485.97 $1,012,568.72 $537,145.41 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $489,517.15 $959,814.31 $509,097.84 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $488,051.51 $880,748.30 $507,573.57 nat. median
$620,080
0.8× median
9373
OTHER 		Outpatient Apc 2 $334,080.60 $364,063.90 $349,072.25 nat. median
$19,594
outlier · 17.8×
J3403
HCPCS 		Revakinagene, Per Implant 3 $281,190.00 $463,500.00 $283,893.75 nat. median
$265,000
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $500,850.00 $281,190.00 nat. median
$324,450
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 3 $224,558.88 $370,152.00 $226,718.10 nat. median
$209,753
1.1× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$152,962
1.5× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$153,199
1.5× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$137,903
1.3× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$138,020
1.3× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$120,174
1.3× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$119,935
1.3× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$105,693
1.3× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$105,172
1.3× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 4 $106,234.82 $145,533.41 $120,639.38 nat. median
$95,360
1.3× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 4 $106,234.82 $145,533.41 $120,639.38 nat. median
$95,288
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $84,711.71 $191,303.49 $114,235.51 nat. median
$111,989
1.0× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 4 $95,052.32 $130,214.18 $107,940.59 nat. median
$85,390
1.3× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 4 $95,052.32 $130,214.18 $107,940.59 nat. median
$85,322
1.3× median
K1007
HCPCS 		2025_dme_schedule_rate_MSNR 4 $96,945.37 $163,129.22 $104,868.79 nat. median
$96,983
1.1× median
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 4 $83,869.82 $114,894.96 $95,241.80 nat. median
$75,284
1.3× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 4 $83,869.82 $114,894.96 $95,241.80 nat. median
$75,344
1.3× median
717
OTHER 		Outpatient Apc 2 $89,127.90 $97,127.01 $93,127.45 nat. median
$20,101
outlier · 4.6×
1643
OTHER 		Y90 Ibritumomab, Rx 2 $79,881.54 $87,050.81 $83,466.17 nat. median
$61,939
1.3× median
1596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 4 $72,687.32 $99,575.73 $82,543.01 nat. median
$65,191
1.3× median
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 4 $72,687.32 $99,575.73 $82,543.01 nat. median
$65,571
1.3× median
9273
OTHER 		Sipuleucel-t Auto Cd54+ 2 $78,070.85 $85,077.61 $81,574.23 nat. median
$56,092
1.5× median
L8702
HCPCS 		2025_dme_schedule_rate_MSNR 4 $70,150.77 $118,042.16 $75,884.24 nat. median
$70,825
1.1× median

Other procedures at this hospital

Browse this hospital's 16,081 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 6 — — $4,377,500.00 $4,966,762.50 $4,530,712.50 2026-01-30
714 OTHER Outpatient Apc 2 1 — — $4,669,619.61 $4,669,619.61 $4,669,619.61 2026-01-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 8 — — $3,710,000.00 $4,452,000.00 $3,839,850.00 2026-01-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 6 — — $3,710,000.00 $4,452,000.00 $3,802,750.00 2026-01-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 9 — — $2,403,458.75 $4,419,199.08 $2,499,597.10 2026-01-30
J3392 HCPCS Inj, Exagamglogene Autotem 18 9 — — $2,332,000.00 $4,197,600.00 $2,425,280.00 2026-01-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 16 8 — — $3,321,781.51 $3,986,137.81 $3,438,043.87 2026-01-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 16 8 — — $3,193,000.00 $3,831,600.00 $3,304,755.00 2026-01-30
9141 OTHER Inj Onase Abepar-xioi Treat 4 2 — — $3,378,680.42 $3,681,912.60 $3,530,296.51 2026-01-30
J3393 HCPCS Inj, Betibeglogene Autotemce 16 8 — — $2,968,000.00 $3,561,600.00 $3,071,880.00 2026-01-30
Q2057 HCPCS Afamitresgene Autoleucel 14 7 — — $770,620.00 $1,387,116.00 $801,444.80 2026-01-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 9 — — $565,623.84 $1,065,107.16 $588,248.79 2026-01-30
Q2056 HCPCS Ciltacabtagene Car-pos T 18 9 — — $551,318.34 $1,018,564.09 $573,371.07 2026-01-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 9 — — $516,485.97 $1,012,568.72 $537,145.41 2026-01-30
Q2055 HCPCS Idecabtagene Vicleucel Car 18 9 — — $528,312.43 $1,003,172.27 $549,444.93 2026-01-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 9 — — $489,517.15 $959,814.31 $509,097.84 2026-01-30
Q2053 HCPCS Brexucabtagene Car Pos T 18 9 — — $488,051.51 $880,748.30 $507,573.57 2026-01-30
9081 OTHER Outpatient Apc 4 2 — — $802,606.00 $874,638.84 $838,622.42 2026-01-30
9194 OTHER Tisagenlecleucel Car-pos T 4 2 — — $795,130.01 $866,491.90 $830,810.96 2026-01-30
9498 OTHER Ciltacabtagene Car-pos T 4 2 — — $775,019.95 $844,576.98 $809,798.46 2026-01-30
9422 OTHER Idecabtagene Vicleucel Car 4 2 — — $742,679.21 $809,333.70 $776,006.45 2026-01-30
9413 OTHER Lisocabtagene Car Pos T 4 2 — — $726,054.08 $791,216.49 $758,635.28 2026-01-30
9035 OTHER Axicabtagene Ciloleucel Car+ 4 2 — — $688,142.46 $749,902.35 $719,022.41 2026-01-30
9391 OTHER Brexucabtagene Car Pos T 4 2 — — $686,082.13 $747,657.11 $716,869.62 2026-01-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $270,375.00 $500,850.00 $281,190.00 2026-01-30
J3403 HCPCS Revakinagene, Per Implant 6 3 — — $281,190.00 $463,500.00 $283,893.75 2026-01-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 3 — — $224,558.88 $370,152.00 $226,718.10 2026-01-30
9373 OTHER Outpatient Apc 4 2 — — $334,080.60 $364,063.90 $349,072.25 2026-01-30
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 8 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 8 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 8 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 8 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 6 — — $84,711.71 $191,303.49 $114,235.51 2026-01-30
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 8 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 8 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 8 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 8 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
K1007 HCPCS 2025_dme_schedule_rate_MSNR 8 4 — — $96,945.37 $163,129.22 $104,868.79 2026-01-30
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 8 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 8 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 8 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 8 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
L8702 HCPCS 2025_dme_schedule_rate_MSNR 8 4 — — $70,150.77 $118,042.16 $75,884.24 2026-01-30
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 8 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 8 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 22 11 — — $46,800.00 $114,016.10 $65,304.10 2026-01-30
C2624 HCPCS Hb Pa Pressure Sensor, Implant, Wirelss, W Cath & All Components 22 11 $139,150.00 $89,056.00 36% off $45,919.50 $104,362.50 $73,749.50 2026-01-30
A9543 HCPCS Y90 Ibritumomab, Rx 22 11 — — $22,011.00 $102,284.19 $58,529.29 2026-01-30
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 8 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 8 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 11 — — $50,583.00 $99,490.18 $57,202.60 2026-01-30
717 OTHER Outpatient Apc 4 2 — — $89,127.90 $97,127.01 $93,127.45 2026-01-30
38240 CPT Transplt Allo Hct/donor 14 7 — — $45,068.59 $94,824.79 $46,871.33 2026-01-30
5244 OTHER Level 4 Blood Product Exchange And Related Services 8 4 — — $51,724.19 $90,601.47 $70,471.33 2026-01-30
1643 OTHER Y90 Ibritumomab, Rx 4 2 — — $79,881.54 $87,050.81 $83,466.17 2026-01-30
90288 CPT 2025_cigna_rate_CIGNA 8 4 — — $13.65 $85,233.75 $47,845.50 2026-01-30
L7181 HCPCS Electronic Elbo Simultaneous 12 6 — — $37,686.66 $85,107.38 $50,821.26 2026-01-30
9273 OTHER Sipuleucel-t Auto Cd54+ 4 2 — — $78,070.85 $85,077.61 $81,574.23 2026-01-30
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 8 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 8 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
J9226 HCPCS Supprelin La Implant 22 11 — — $25,830.58 $81,037.17 $46,619.65 2026-01-30
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 4 — — $42,838.48 $74,631.48 $60,324.45 2026-01-30
33276 CPT Insj Phrnc Nrv Stim Sys 18 9 — — $43,771.46 $72,150.75 $46,350.52 2026-01-30
0266T CPT Outpatient Apc 6 3 — — $43,771.46 $72,150.75 $44,192.33 2026-01-30
1142 OTHER Supprelin La Implant 4 2 — — $63,627.11 $69,337.56 $66,482.33 2026-01-30
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 8 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 8 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
L7180 HCPCS Electronic Elbow Sequential 12 6 — — $30,383.51 $68,614.74 $40,972.80 2026-01-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 12 6 — — $3,654.35 $67,561.06 $40,343.60 2026-01-30
5166 OTHER Cochlear Implant Procedure 8 4 — — $44,714.09 $65,576.88 $54,019.13 2026-01-30
5200 OTHER Implantation Wireless Pa Pressure Monitor 8 4 — — $39,963.33 $60,544.49 $49,270.07 2026-01-30
5232 OTHER Level 2 Icd And Similar Procedures 8 4 — — $45,070.81 $60,209.65 $52,993.47 2026-01-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 10 5 — — $31,185.91 $60,209.65 $51,405.35 2026-01-30
L8701 HCPCS 2025_dme_schedule_rate_MSNR 8 4 — — $35,655.82 $59,997.77 $38,570.00 2026-01-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 10 5 — — $31,185.91 $57,672.08 $51,405.35 2026-01-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 5 — — $27,150.72 $56,117.43 $34,044.57 2026-01-30
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 8 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 8 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
5464 OTHER Level 4 Neurostimulator And Related Procedures 8 4 — — $30,145.61 $52,557.38 $41,619.46 2026-01-30
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 10 5 — — $20,858.71 $52,557.38 $34,382.48 2026-01-30
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 10 5 — — $20,858.71 $52,557.38 $34,382.48 2026-01-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 18 9 — — $16,341.40 $52,557.38 $20,858.71 2026-01-30
0408T CPT Insj/rplc Cardiac Modulj Sys 6 3 — — $31,185.91 $51,405.35 $31,485.78 2026-01-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 14 7 — — $24,432.08 $51,405.35 $25,409.36 2026-01-30
33231 CPT Insrt Pulse Gen W/mult Leads 14 7 — — $24,432.08 $51,405.35 $25,409.36 2026-01-30
33249 CPT Insj/rplcmt Defib W/lead(s) 18 9 — — $1,030.04 $51,405.35 $25,165.04 2026-01-30
33270 CPT Ins/rep Subq Defibrillator 18 9 — — $661.45 $51,405.35 $25,165.04 2026-01-30
J9266 HCPCS Pegaspargase Injection 22 11 — — $12,928.48 $51,163.31 $27,882.65 2026-01-30
69930 CPT Implant Cochlear Device 16 8 — — $1,460.00 $50,998.50 $25,087.06 2026-01-30
L5856 HCPCS Elec Knee-shin Swing/stance 12 6 — — $27,733.26 $50,990.14 $30,448.40 2026-01-30
L6880 HCPCS Elec Hand Ind Art Digits 12 6 — — $22,472.50 $50,749.44 $30,304.67 2026-01-30
0268T CPT Outpatient Apc 6 3 — — $29,641.30 $48,859.29 $29,926.32 2026-01-30
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 6 3 — — $29,641.30 $48,859.29 $29,926.32 2026-01-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 18 9 — — $23,221.97 $48,859.29 $29,641.30 2026-01-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 18 9 — — $23,221.97 $48,859.29 $29,617.07 2026-01-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 14 7 — — $23,221.97 $48,859.29 $24,150.85 2026-01-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 16 8 — — $690.00 $48,859.29 $24,034.74 2026-01-30
61886 CPT Implant Neurostim Arrays 16 8 — — $795.00 $48,859.29 $24,034.74 2026-01-30
5378 OTHER Level 8 Urology And Related Services 8 4 — — $28,295.88 $48,048.75 $37,327.90 2026-01-30
C1820 HCPCS Hb Pulse Generator, Charge Kit Precision Montage Mri, Bost Sci 22 11 $62,799.00 $40,191.36 36% off $20,723.67 $47,099.25 $33,283.47 2026-01-30
0874T CPT Rmvl Pertl Ascites Pmp Sys 2 1 — — $44,444.44 $44,444.44 $44,444.44 2026-01-30
C9760 HCPCS Non-blind Interatrial Shunt 10 5 — — $13,782.30 $44,092.44 $26,749.41 2026-01-30
J9600 HCPCS Porfimer Sodium Injection 14 7 — — $19,609.92 $43,611.16 $26,457.43 2026-01-30
5231 OTHER Level 1 Icd And Similar Procedures 8 4 — — $31,553.90 $43,391.17 $37,685.50 2026-01-30
0916T CPT Insj Perm Ccm-d Sys Pg Only 10 5 — — $21,833.14 $43,391.17 $35,988.70 2026-01-30
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 10 5 — — $21,833.14 $43,391.17 $35,988.70 2026-01-30
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 8 4 — — $30,752.94 $42,128.64 $34,922.56 2026-01-30
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 8 4 — — $30,752.94 $42,128.64 $34,922.56 2026-01-30
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 10 5 — — $21,833.14 $41,562.42 $35,988.70 2026-01-30
0515T CPT Insj Wcs Lv Compl Sys 10 5 — — $21,833.14 $41,562.42 $35,988.70 2026-01-30
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 10 5 — — $10,179.50 $41,562.42 $16,779.40 2026-01-30
843 OTHER Outpatient Apc 4 2 — — $38,054.61 $41,469.96 $39,762.29 2026-01-30
5496 OTHER Level 6 Intraocular Procedures 8 4 — — $23,077.54 $41,325.98 $33,176.23 2026-01-30
66683 CPT Implantation Iris Prosthesis 18 9 — — $12,509.92 $41,325.98 $15,968.08 2026-01-30
C1767 HCPCS Hb Neurostimulator Proclaim 5 Elite, St Jude Medical/c1767 22 11 $54,450.00 $34,848.00 36% off $17,968.50 $40,837.50 $28,858.50 2026-01-30
Q0483 HCPCS Monitor Elec Vad, Rep 12 6 — — $17,635.13 $39,825.19 $23,781.33 2026-01-30
L5858 HCPCS Stance Phase Only 12 6 — — $18,704.00 $39,476.31 $23,572.99 2026-01-30
93656 CPT Compre Ep Eval Abltj Atr Fib 16 8 — — $18,694.50 $39,333.42 $19,668.69 2026-01-30
5495 OTHER Level 5 Intraocular Procedures 8 4 — — $21,599.22 $39,118.63 $29,459.33 2026-01-30
5213 OTHER Level 3 Electrophysiologic Procedures 8 4 — — $31,270.27 $37,581.58 $33,796.22 2026-01-30
856 OTHER Outpatient Apc 4 2 — — $34,059.29 $37,116.06 $35,587.68 2026-01-30
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 6 — — $19,876.08 $36,544.01 $21,821.99 2026-01-30
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 10 5 — — $21,885.97 $36,075.78 $25,161.69 2026-01-30
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 10 5 — — $21,885.97 $36,075.78 $25,161.69 2026-01-30
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 6 3 — — $21,833.14 $35,988.70 $22,043.08 2026-01-30
0409T CPT Insj/rplc Car Modulj Pls Gn 6 3 — — $21,833.14 $35,988.70 $22,043.08 2026-01-30
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 14 7 — — $17,104.81 $35,988.70 $17,789.00 2026-01-30
33230 CPT Insrt Pulse Gen W/dual Leads 14 7 — — $17,104.81 $35,988.70 $17,789.00 2026-01-30
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 14 7 — — $17,104.81 $35,988.70 $17,789.00 2026-01-30
33240 CPT Insrt Pulse Gen W/singl Lead 18 9 — — $409.70 $35,988.70 $17,617.95 2026-01-30
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $35,242.56 $35,242.56 $35,242.56 2026-01-30
A9273 HCPCS Hot/cold Botle/cap/col/wrap 4 2 — — $35,154.00 $35,154.00 $35,154.00 2026-01-30
0786T CPT Insj/rplcmt Prq Ra Sac Nstim 4 2 — — $32,699.90 $34,595.15 $33,647.53 2026-01-30
5463 OTHER Level 3 Neurostimulator And Related Procedures 8 4 — — $17,530.24 $34,595.15 $26,135.29 2026-01-30
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 10 5 — — $12,129.72 $34,595.15 $19,994.04 2026-01-30
L6975 HCPCS Interscap-thor Myoelectronic 12 6 — — $15,294.45 $34,539.26 $20,624.88 2026-01-30
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 6 — — $15,288.69 $34,526.28 $20,617.12 2026-01-30
1577 OTHER New Technology - Level 40 ($20,001-$25,000) 8 4 — — $25,161.69 $34,469.03 $28,573.17 2026-01-30
1591 OTHER New Technology - Level 40 ($20,001-$25,000) 8 4 — — $25,161.69 $34,469.03 $28,573.17 2026-01-30
0680T CPT Insj/rplcmt Pg Only Isdss 6 3 — — $20,858.71 $34,382.48 $21,059.27 2026-01-30
63655 CPT Implant Neuroelectrodes 14 7 — — $16,341.40 $34,382.48 $16,995.06 2026-01-30
61885 CPT Insrt/redo Neurostim 1 Array 16 8 — — $690.00 $34,382.48 $16,913.35 2026-01-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 16 8 — — $690.00 $34,382.48 $16,913.35 2026-01-30
64580 CPT Opn Impltj Nea Neuromuscular 16 8 — — $525.00 $34,382.48 $16,913.35 2026-01-30
5224 OTHER Level 4 Pacemaker And Similar Procedures 8 4 — — $26,809.43 $33,069.75 $30,225.80 2026-01-30
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 10 5 — — $18,550.30 $32,581.03 $30,577.41 2026-01-30
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 10 5 — — $18,550.30 $32,581.03 $30,577.41 2026-01-30
54411 CPT Remov/replc Penis Pros Comp 6 3 — — $19,578.81 $32,272.76 $19,767.06 2026-01-30
54401 CPT Insert Self-contd Prosthesis 8 4 — — $795.00 $32,272.76 $19,672.94 2026-01-30
54410 CPT Remove/replace Penis Prosth 8 4 — — $795.00 $32,272.76 $19,672.94 2026-01-30
54405 CPT Insert Multi-comp Penis Pros 8 4 — — $795.00 $32,272.76 $19,672.94 2026-01-30
54416 CPT Remv/repl Penis Contain Pros 8 4 — — $795.00 $32,272.76 $19,672.94 2026-01-30
53447 CPT Remove/replace Ur Sphincter 16 8 — — $525.00 $32,272.76 $15,875.55 2026-01-30
53444 CPT Insert Tandem Cuff 16 8 — — $690.00 $32,272.76 $15,875.55 2026-01-30
53445 CPT Insert Uro/ves Nck Sphincter 16 8 — — $525.00 $32,272.76 $15,875.55 2026-01-30
L6970 HCPCS Interscapular-thor Switch CT 12 6 — — $13,984.42 $31,580.85 $18,858.28 2026-01-30
C2616 HCPCS Brachytx, Non-str,yttrium-90 18 9 — — $13,324.28 $31,473.18 $19,093.73 2026-01-30
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 12 6 — — $13,667.26 $30,864.64 $18,430.60 2026-01-30
L5859 HCPCS Knee-shin Pro Flex/ext Cont 12 6 — — $14,031.79 $30,818.85 $18,403.26 2026-01-30
33274 CPT Tcat Insj/rpl Perm Ldls Pm 10 5 — — $18,550.30 $30,577.41 $27,150.72 2026-01-30
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 6 3 — — $18,550.30 $30,577.41 $18,728.66 2026-01-30
0525T CPT Insj/rplcmt Compl Iims 10 5 — — $17,290.27 $30,577.41 $18,550.30 2026-01-30
33221 CPT Insert Pulse Gen Mult Leads 14 7 — — $14,532.91 $30,577.41 $15,114.23 2026-01-30
33229 CPT Remv&replc Pm Gen Mult Leads 14 7 — — $14,532.91 $30,577.41 $15,114.23 2026-01-30
0981T CPT Tcat Impl Wrls Ivc Snr 10 5 — — $17,466.29 $30,447.81 $27,538.58 2026-01-30
5194 OTHER Level 4 Endovascular Procedures 8 4 — — $25,242.79 $30,447.81 $27,523.44 2026-01-30
L6700 HCPCS Ue Add Ext Power Myoel 8 4 — — $23,145.24 $30,378.14 $26,617.03 2026-01-30
5471 OTHER Implantation Of Drug Infusion Device 8 4 — — $24,845.52 $30,357.46 $28,089.83 2026-01-30
L6965 HCPCS Shldr Disartic Myoelectronic 12 6 — — $13,420.53 $30,307.44 $18,097.88 2026-01-30
27278 CPT Arthrd Si Jt Plmt Iartic Dev 18 9 — — $14,013.88 $30,160.13 $17,887.78 2026-01-30
J7310 HCPCS 2025_cigna_rate_CIGNA 8 4 — — $15,360.00 $29,680.00 $17,856.00 2026-01-30
5377 OTHER Level 7 Urology And Related Services 8 4 — — $18,264.20 $29,585.74 $23,331.13 2026-01-30
55882 CPT Ablt Trurl Prst8 Tis Trnsdcr 18 9 — — $9,900.70 $29,585.74 $12,637.57 2026-01-30
C8003 HCPCS Imp Extar Knee Shck Absrb 10 5 — — $17,887.78 $29,485.35 $27,393.25 2026-01-30
22867 CPT Insj Stablj Dev W/dcmprn 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
27702 CPT Reconstruct Ankle Joint 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
22856 CPT Tot Disc Arthrp 1ntrspc Crv 6 3 — — $17,887.78 $29,485.35 $18,059.78 2026-01-30
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 10 5 — — $760.56 $29,485.35 $17,887.78 2026-01-30
24371 CPT Revise Reconst Elbow Joint 14 7 — — $14,013.88 $29,485.35 $14,574.44 2026-01-30
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 14 7 — — $14,013.88 $29,485.35 $14,574.44 2026-01-30
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 16 8 — — $975.00 $29,485.35 $14,504.37 2026-01-30
24361 CPT Reconstruct Elbow Joint 16 8 — — $1,125.00 $29,485.35 $14,504.37 2026-01-30
24363 CPT Replace Elbow Joint 16 8 — — $1,460.00 $29,485.35 $14,504.37 2026-01-30
28705 CPT Arthrodesis Pantalar 16 8 — — $975.00 $29,485.35 $14,504.37 2026-01-30
21243 CPT Reconstruction Of Jaw Joint 16 8 — — $1,125.00 $29,485.35 $14,504.37 2026-01-30
25442 CPT Arthrp W/prostc Dstl Ulna 16 8 — — $1,125.00 $29,485.35 $14,504.37 2026-01-30
25446 CPT Arthrp W/prostc Dst Rds&crps 16 8 — — $1,460.00 $29,485.35 $14,504.37 2026-01-30
23472 CPT Reconstruct Shoulder Joint 18 9 — — $14,013.88 $29,485.35 $14,434.30 2026-01-30
C1768 HCPCS Hb Aortic Body Ovation Ix 34mm, Endologix/tv-ab3480-j 66 11 $39,200.37 $14,112.14 64% off $5,389.35 $29,400.28 $19,556.44 2026-01-30
C9774 HCPCS Revasc Lithotr-ather Tib/per 10 5 — — $17,466.29 $28,790.59 $27,150.72 2026-01-30
C9773 HCPCS Revasc Lithotr-stent Tib/per 10 5 — — $17,466.29 $28,790.59 $27,150.72 2026-01-30
C9797 HCPCS Vasc Emb/occ W/prs Cath 10 5 — — $17,466.29 $28,790.59 $27,150.72 2026-01-30
C9775 HCPCS Revasc Lith-sten-ath Tib/per 10 5 — — $17,466.29 $28,790.59 $27,150.72 2026-01-30
C9767 HCPCS Revasc Lithotrip-stent-ather 10 5 — — $17,466.29 $28,790.59 $27,150.72 2026-01-30
C9765 HCPCS Revasc Intra Lithotrip-stent 10 5 — — $17,466.29 $28,790.59 $17,912.52 2026-01-30
C9766 HCPCS Revasc Intra Lithotrip-ather 10 5 — — $17,466.29 $28,790.59 $17,912.52 2026-01-30
37231 CPT Hb Sc37231-pta Tibpero With Stent/atherect 36 18 $34,313.18 $21,960.44 36% off $11,323.35 $28,790.59 $17,910.11 2026-01-30
37227 CPT Hb Sc37227-pta Fem-pop W/stent&atherec 36 18 $34,290.19 $21,945.73 36% off $11,315.76 $28,790.59 $17,904.01 2026-01-30
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
0632T CPT Perq Tcat US Abltj Nrv P-art 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
93591 CPT Perq Transcath Cls Aortic 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
93590 CPT Perq Transcath Cls Mitral 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
C9602 HCPCS Perc D-e Cor Stent Ather S 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
0645T CPT Tcat Impltj C Sins Rdctj Dev 6 3 — — $17,466.29 $28,790.59 $17,634.23 2026-01-30
33902 CPT Perq P-art Revsc 1 Abnor Uni 18 9 — — $13,683.67 $28,790.59 $17,466.29 2026-01-30
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 18 9 — — $13,683.67 $28,790.59 $17,466.29 2026-01-30
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 18 9 — — $13,683.67 $28,790.59 $17,466.29 2026-01-30
36906 CPT Hb Sc36906 Av Fistulagram W Declot W Stent +/- Pta (hd Access) 36 18 $31,337.79 $20,056.19 36% off $10,341.47 $28,790.59 $16,609.03 2026-01-30
92933 CPT Prq Card Stent/ath/angio 14 7 — — $13,683.67 $28,790.59 $14,231.02 2026-01-30
93582 CPT Perq Transcath Closure Pda 18 9 — — $738.15 $28,790.59 $14,094.18 2026-01-30
37229 CPT Hb Sc37229-pta Tiboperoneal W/atherec 36 18 $21,602.13 $13,825.37 36% off $7,128.70 $28,790.59 $13,322.48 2026-01-30
37225 CPT Hb Sc37225-pta Fem-pop With Atherectomy 36 18 $21,579.14 $13,810.65 36% off $7,121.12 $28,790.59 $13,315.58 2026-01-30
37242 CPT Hb Sc37242 Embol/occlud Art Nonbleed Or Tumor +- Si/guide 36 18 $24,901.80 $15,937.16 36% off $563.08 $28,790.59 $13,197.95 2026-01-30
93581 CPT Hb Vsd Closure Procedure 36 18 $19,369.68 $12,396.60 36% off $6,391.99 $28,790.59 $12,652.74 2026-01-30
5116 OTHER Level 6 Musculoskeletal Procedures 8 4 — — $25,851.95 $28,652.12 $27,782.68 2026-01-30
L6960 HCPCS Shldr Disartic Switch Contro 12 6 — — $12,583.29 $28,416.69 $16,968.83 2026-01-30
62360 CPT Insert Spine Infusion Device 16 8 — — $690.00 $28,337.49 $13,939.71 2026-01-30
62362 CPT Implant Spine Infusion Pump 16 8 — — $690.00 $28,337.49 $13,939.71 2026-01-30
62361 CPT Implant Spine Infusion Pump 16 8 — — $690.00 $28,337.49 $13,939.71 2026-01-30
0888T CPT Histotripsy Mal Renal Tissue 10 5 — — $17,022.53 $28,059.12 $19,294.80 2026-01-30
C9758 HCPCS Blind Interatrial Shunt Ide 6 3 — — $17,022.53 $28,059.12 $17,186.21 2026-01-30
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 6 3 — — $17,022.53 $28,059.12 $17,186.21 2026-01-30
C9782 HCPCS Blind Myocar Trpl Bon Marrow 6 3 — — $17,022.53 $28,059.12 $17,186.21 2026-01-30
0686T CPT Histotripsy Mal Hepatcel Tis 10 5 — — $16,406.91 $28,059.12 $17,063.18 2026-01-30
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 16 8 — — $1,125.00 $27,895.34 $13,722.21 2026-01-30
1576 OTHER New Technology - Level 39 ($15,001-$20,000) 8 4 — — $19,570.44 $26,809.42 $22,223.78 2026-01-30
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 8 4 — — $19,570.44 $26,809.42 $22,223.78 2026-01-30
2616 OTHER Brachytx, Non-str,yttrium-90 4 2 — — $24,579.82 $26,785.83 $25,682.83 2026-01-30
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 8 4 — — $18,698.65 $26,652.93 $21,980.82 2026-01-30
C1813 HCPCS Hb Pump And Cylinder Lgx, Ams 72404257 22 11 $35,229.15 $22,546.66 36% off $11,625.62 $26,421.86 $18,671.45 2026-01-30
0308T CPT Insj Ocular Telescope Prosth 6 3 — — $15,968.08 $26,321.00 $16,121.61 2026-01-30
37235 CPT Hb Sc37235-pta Tibpero Stent/atherect Adl 24 12 $34,505.57 $22,083.57 36% off $11,386.84 $25,879.18 $18,287.95 2026-01-30
Q0479 HCPCS Power Module Combo Vad, Rep 12 6 — — $11,359.90 $25,452.28 $15,198.65 2026-01-30
L6955 HCPCS Above Elbow Myoelectronic CT 12 6 — — $11,108.61 $25,086.44 $14,980.19 2026-01-30
5494 OTHER Level 4 Intraocular Procedures 8 4 — — $20,087.30 $24,814.64 $22,166.88 2026-01-30
L8614 HCPCS Cochlear Device 12 6 — — $18,382.64 $24,127.22 $19,026.03 2026-01-30
L6945 HCPCS Elbow Disart Myoelectronic C 12 6 — — $9,971.04 $22,517.48 $13,446.15 2026-01-30
81416 CPT Exome Sequence Analysis 14 7 — — $13,104.00 $21,600.00 $14,800.00 2026-01-30
50593 CPT Hb Cryo Ablation Of 1 Or More Renal Tumors, Unilat 36 18 $28,219.40 $18,060.42 36% off $7,933.73 $21,164.55 $14,532.99 2026-01-30
36903 CPT Hb Sc36903 Av Fistulagram W Stent +/-pta (hd Acc) 36 18 $28,136.13 $18,007.13 36% off $8,641.92 $21,102.10 $14,490.11 2026-01-30
54417 CPT Remv/replc Penis Pros Compl 6 3 — — $12,637.57 $20,831.17 $12,759.09 2026-01-30
54400 CPT Insert Semi-rigid Prosthesis 8 4 — — $795.00 $20,831.17 $12,698.33 2026-01-30
53451 CPT Tprnl Balo Cntnc Dev Bi 18 9 — — $9,900.70 $20,831.17 $12,637.57 2026-01-30
5881 OTHER Ancillary Outpatient Services When Patient Dies 8 4 — — $12,583.11 $20,700.56 $16,060.31 2026-01-30
C1821 HCPCS Hb Spacer Ardis Interbody System, Zimmer Spine/06-701-02121 22 11 $27,569.85 $17,644.71 36% off $9,098.05 $20,677.39 $14,612.02 2026-01-30
0627T CPT Perq Njx Algc Fluor Lmbr 1st 10 5 — — $12,515.40 $20,629.78 $17,561.36 2026-01-30
0629T CPT Perq Njx Algc CT Lmbr 1st 10 5 — — $12,515.40 $20,629.78 $17,561.36 2026-01-30
22869 CPT Insj Stablj Dev Without Dcmprn 6 3 — — $12,515.40 $20,629.78 $12,635.74 2026-01-30
C9734 HCPCS U/s Trtmt, Not Leiomyomata 6 3 — — $12,515.40 $20,629.78 $12,635.74 2026-01-30
0737T CPT Xenograft Impltj Artclr Surf 6 3 — — $12,515.40 $20,629.78 $12,635.74 2026-01-30
C9757 HCPCS Spine Device Implant Surgery 6 3 — — $12,515.40 $20,629.78 $12,635.74 2026-01-30
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
C9781 HCPCS Arthro/shoul Surg; W/spacer 10 5 — — $8,396.13 $20,629.78 $12,515.40 2026-01-30
69729 CPT Impl Oi Implt Sk Tc Esp>=100 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
69716 CPT Impl Oi Implt Sk Tc Esp<100 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
27447 CPT Total Knee Arthroplasty 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
27130 CPT Total Hip Arthroplasty 18 9 — — $9,804.98 $20,629.78 $12,515.40 2026-01-30
L5991 HCPCS Low Pros Ext Osseo Connector 12 6 — — $11,985.53 $20,167.96 $13,386.03 2026-01-30
5193 OTHER Level 3 Endovascular Procedures 8 4 — — $15,942.09 $20,087.76 $17,770.64 2026-01-30
5115 OTHER Level 5 Musculoskeletal Procedures 8 4 — — $17,650.24 $19,710.97 $17,949.93 2026-01-30
5125 OTHER Outpatient Apc 4 2 — — $17,916.93 $19,524.95 $18,720.94 2026-01-30
L8687 HCPCS 2025_cigna_rate_CIGNA 8 4 — — $7,702.52 $19,174.05 $15,203.44 2026-01-30
1575 OTHER New Technology - Level 38 ($10,001-$15,000) 8 4 — — $13,979.19 $19,149.80 $15,874.38 2026-01-30
1589 OTHER New Technology - Level 38 ($10,001-$15,000) 8 4 — — $13,979.19 $19,149.80 $15,874.38 2026-01-30
5223 OTHER Level 3 Pacemaker And Similar Procedures 8 4 — — $14,711.72 $18,566.79 $16,784.67 2026-01-30
C9772 HCPCS Revasc Lithotrip Tibi/perone 10 5 — — $11,030.84 $18,424.31 $17,912.52 2026-01-30
0505T CPT Ev Fempop Artl Revsc 10 5 — — $11,030.84 $18,424.25 $18,182.70 2026-01-30
713 OTHER Outpatient Apc 4 2 — — $16,402.34 $17,874.42 $17,138.38 2026-01-30
5627 OTHER Level 7 Radiation Therapy 8 4 — — $10,746.31 $17,385.98 $12,800.50 2026-01-30
27487 CPT Revise/replace Knee Joint 4 2 — — $17,220.00 $17,220.00 $17,220.00 2026-01-30
0516T CPT Insj Wcs Lv Eltrd Only 10 5 — — $10,179.50 $16,779.40 $12,814.03 2026-01-30
0517T CPT Insj Wcs Lv Both Compnt Pg 10 5 — — $10,179.50 $16,779.40 $12,814.03 2026-01-30
L5969 HCPCS Ak/ft Power Asst Incl Motors 4 2 — — $14,472.63 $16,643.55 $15,558.09 2026-01-30
S2095 HCPCS 2025_cigna_rate_CIGNA 4 2 — — $11,322.82 $16,512.45 $13,917.64 2026-01-30
5376 OTHER Level 6 Urology And Related Services 8 4 — — $12,999.25 $15,350.78 $14,024.98 2026-01-30
0950T CPT Abltj B9 Prst8 Tissue Hifu 10 5 — — $8,994.60 $15,350.78 $13,884.04 2026-01-30
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 4 2 — — $14,733.60 $14,733.60 $14,733.60 2026-01-30
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 8 4 — — $12,083.83 $14,659.04 $13,027.95 2026-01-30
27138 CPT Revise Hip Joint Replacement 4 2 — — $14,595.00 $14,595.00 $14,595.00 2026-01-30
27137 CPT Revise Hip Joint Replacement 4 2 — — $14,595.00 $14,595.00 $14,595.00 2026-01-30
27134 CPT Revise Hip Joint Replacement 4 2 — — $14,595.00 $14,595.00 $14,595.00 2026-01-30
27132 CPT Total Hip Arthroplasty 4 2 — — $14,595.00 $14,595.00 $14,595.00 2026-01-30
0918T CPT Insj Perm Ccm-d Sys Dual Ld 10 5 — — $8,049.95 $13,760.07 $12,997.09 2026-01-30
0917T CPT Insj Perm Ccm-d Sys 1 Lead 10 5 — — $8,049.95 $13,760.07 $12,997.09 2026-01-30
5222 OTHER Level 2 Pacemaker And Similar Procedures 8 4 — — $11,634.02 $13,760.07 $12,837.62 2026-01-30
0572T CPT Insertion Ss Dfb Electrode 10 5 — — $8,049.95 $13,269.15 $13,180.15 2026-01-30
0526T CPT Insj/rplcmt Iims Eltrd Only 10 5 — — $8,049.95 $13,269.15 $12,814.03 2026-01-30
0527T CPT Insj/rplcmt Iims Implt Mntr 10 5 — — $8,049.95 $13,269.15 $12,814.03 2026-01-30
5124 OTHER Outpatient Apc 4 2 — — $12,010.60 $13,088.53 $12,549.57 2026-01-30
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