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

FRANCES MAHON DEACONESS HOSPITAL

Glasgow, MT · CCN 271316 · Rates published

Your selected procedure

You selected 93350 (HCPCS)

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

This hospital’s price: $1,800 across 18 payers · range $872-$1,838

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMDHGLASGOWMT&type=CDMWithoutLabel&fileType=CSV · observed 2026-06-09

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

4,070 distinct procedures filed
18 distinct payers
91,596 rate rows
2026-06-09 last MRF observed
Data quality

88,328 of 91,596 rate rows are consumer-grade (96.4%)

3,268 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,870
per-diem day rate — not a per-procedure price 260
percent-of-charges filed in the dollar field — excluded from medians 126
exceeds 10× this hospital's gross charge — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMDHGLASGOWMT&type=CDMWithoutLabel&fileType=CSV
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint c731bf093fc24d13… · 28,765,720 bytes · first seen 2026-07-17

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
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 18 $15,634.02 $32,967.39 $32,287.65 nat. median
$275
outlier · 117.6×
40701314C
CDM 		Lupron Depot 45 Mg 6mo Kit 18 $15,093.29 $31,827.16 $31,170.93 nat. median
$31,171
1.0× median
J2327
HCPCS 		Injection, Risankizumab-rzaa, Intravenous, 1 Mg 18 $12,352.23 $26,047.09 $25,510.04 nat. median
$1,767
outlier · 14.4×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 18 $11,835.34 $24,957.13 $24,442.55 nat. median
$211
outlier · 115.6×
J9312
HCPCS 		Injection, Rituximab, 10 Mg 18 $11,279.66 $23,785.37 $23,294.95 nat. median
$1,063
outlier · 21.9×
J1640
HCPCS 		Injection, Hemin, 1 Mg 18 $10,508.24 $22,158.68 $21,701.80 nat. median
$80
outlier · 271.0×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 18 $10,405.20 $21,941.40 $21,489.00 nat. median
$155
outlier · 139.0×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 18 $9,306.57 $19,624.72 $19,220.09 nat. median
$3,787
outlier · 5.1×
J9299
HCPCS 		Injection, Nivolumab, 1 Mg 18 $9,208.95 $19,418.88 $19,018.49 nat. median
$2,849
outlier · 6.7×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 18 $8,785.11 $18,525.12 $18,143.16 nat. median
$75
outlier · 241.7×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 18 $8,299.32 $17,500.74 $17,139.90 nat. median
$5,623
outlier · 3.0×
J0775
HCPCS 		Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg 18 $8,213.76 $17,320.32 $16,963.20 nat. median
$114
outlier · 149.0×
01496
CDM 		Nail, Gamma 10x170mm 3125-0170 18 $7,854.96 $16,563.72 $16,222.20 nat. median
$16,222
1.0× median
40704511C
CDM 		Lupron Depot 22.5 Mg 3mo Kit 18 $7,546.30 $15,912.85 $15,584.75 nat. median
$15,585
1.0× median
J1745
HCPCS 		Injection, Infliximab, Excludes Biosimilar, 10 Mg 18 $7,360.92 $15,521.94 $15,201.90 nat. median
$405
outlier · 37.5×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 18 $7,200.84 $15,184.38 $14,871.30 nat. median
$261
outlier · 57.0×
01615
CDM 		Disc, Prestige 6972450 18 $6,900.00 $14,550.00 $14,250.00 nat. median
$14,250
1.0× median
90377
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 18 $6,809.84 $14,359.88 $14,063.80 nat. median
$562
outlier · 25.0×
J1569
HCPCS 		Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 18 $6,105.58 $12,874.81 $12,609.35 nat. median
$1,074
outlier · 11.7×
J9354
HCPCS 		Injection, Ado-trastuzumab Emtansine, 1 Mg 18 $4,672.22 $29,591.79 $11,942.76 nat. median
$4,219
outlier · 2.8×
Q5103
HCPCS 		Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 18 $5,680.54 $11,978.53 $11,731.55 nat. median
$285
outlier · 41.2×
J9176
HCPCS 		Injection, Elotuzumab, 1 Mg 18 $5,357.16 $11,296.62 $11,063.70 nat. median
$2,645
outlier · 4.2×
J0129
HCPCS 		Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 18 $5,249.85 $11,070.33 $10,842.07 nat. median
$902
outlier · 12.0×
02680
CDM 		Tprlc 133 T1 51-103150 18 $5,222.38 $11,012.41 $10,785.35 nat. median
$10,785
1.0× median
07777
CDM 		Stem, Femoral Taperloc 11x142 18 $5,222.38 $11,012.41 $10,785.35 nat. median
$10,785
1.0× median
J2356
HCPCS 		Injection, Tezepelumab-ekko, 1 Mg 18 $5,120.49 $10,797.56 $10,574.93 nat. median
$76
outlier · 139.6×
09865
CDM 		Tprlc 133 T1 51-1003100 18 $5,097.95 $10,750.03 $10,528.38 nat. median
$10,528
1.0× median
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 18 $4,830.00 $10,185.00 $9,975.00 nat. median
$1,659
outlier · 6.0×
44146
HCPCS 		Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large… 15 $53.00 $10,849.00 $9,136.00 nat. median
$3,449
outlier · 2.6×
02538
CDM 		Stem, Comp Primary 11mm 113651 18 $4,374.60 $9,224.70 $9,034.50 nat. median
$542
outlier · 16.7×
407011451
CDM 		Neulasta Onpro 6 Mg/0.6 Ml Kit 18 $4,370.00 $9,215.00 $9,025.00 nat. median
$9,025
1.0× median
02839
CDM 		Psn Fem Ps Por 42-5008-070-01 18 $4,282.60 $9,030.70 $8,844.50 nat. median
$8,844
1.0× median
02663
CDM 		Psn Fem Ps Por 42-5008-062-02 18 $4,282.60 $9,030.70 $8,844.50 nat. median
$8,844
1.0× median
40419996A
CDM 		C-arm Op Angio 18 $4,085.72 $8,615.54 $8,437.90 nat. median
$8,438
1.0× median
01505
CDM 		Cage, Bullet Capstone 18 $4,048.00 $8,536.00 $8,360.00 nat. median
$8,360
1.0× median
01227
CDM 		Cage, Capstone 6mm Xo1042206 18 $4,048.00 $8,536.00 $8,360.00 nat. median
$8,360
1.0× median
01261
CDM 		Capstone Cage 26mm X01042608 18 $4,048.00 $8,536.00 $8,360.00 nat. median
$15,594
0.5× median
Q5116
HCPCS 		Injection, Trastuzumab-qyyp, Biosimilar, (trazimera), 10 Mg 18 $3,859.52 $8,138.54 $7,970.74 nat. median
$429
outlier · 18.6×
22633
HCPCS 		Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 16 $1,699.54 $12,898.13 $7,469.55 nat. median
$17,527
outlier · 0.4×
02755
CDM 		Psn Fem Ps Cmt 42-5706-064-01 18 $3,496.00 $7,372.00 $7,220.00 nat. median
$7,220
1.0× median
01452
CDM 		Psn Fem Ps Cmt 42-5706-058-02 18 $3,496.00 $7,372.00 $7,220.00 nat. median
$7,220
1.0× median
44144
HCPCS 		Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 15 $53.00 $8,567.10 $7,214.40 nat. median
$2,968
outlier · 2.4×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 18 $3,433.44 $14,479.19 $7,090.80 nat. median
$1,635
outlier · 4.3×
501006212
CDM 		Diet Consult - Ft Pk Tribes 18 $3,422.78 $7,217.61 $7,068.79 nat. median
$7,069
1.0× median
00999
CDM 		Psn Fem Cr Cmt 42-5026-064-02 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median
01682
CDM 		Psn Fem Cr Cmt 42-5026-068-01 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median
01897
CDM 		Psn Fem Cr 42-5026-064-01 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median
01076
CDM 		Psn Fem Cr 42-5026-062-02 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median
02036
CDM 		Psn Fem Cr 42-5026-070-02 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median
02383
CDM 		Psn Fem Cr 42-5026-066-02 18 $3,408.60 $7,187.70 $7,039.50 nat. median
$7,040
1.0× median

Other procedures at this hospital

Browse this hospital's 4,070 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 18 18 $33,987.00 $30,588.30 $15,634.02 $32,967.39 $32,287.65 2026-06-09
40701314C CDM Lupron Depot 45 Mg 6mo Kit 18 18 $32,811.50 $29,530.35 $15,093.29 $31,827.16 $31,170.93 2026-06-09
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 18 18 $26,852.67 $24,167.40 $12,352.23 $26,047.09 $25,510.04 2026-06-09
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 18 18 $25,729.00 $23,156.10 $11,835.34 $24,957.13 $24,442.55 2026-06-09
J9312 HCPCS Injection, Rituximab, 10 Mg 18 18 $24,521.00 $22,068.90 $11,279.66 $23,785.37 $23,294.95 2026-06-09
J1640 HCPCS Injection, Hemin, 1 Mg 18 18 $22,844.00 $20,559.60 $10,508.24 $22,158.68 $21,701.80 2026-06-09
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 18 18 $22,620.00 $20,358.00 $10,405.20 $21,941.40 $21,489.00 2026-06-09
J3101 HCPCS Injection, Tenecteplase, 1 Mg 18 18 $20,231.67 $18,208.50 $9,306.57 $19,624.72 $19,220.09 2026-06-09
J9299 HCPCS Injection, Nivolumab, 1 Mg 18 18 $20,019.46 $18,017.51 $9,208.95 $19,418.88 $19,018.49 2026-06-09
J9306 HCPCS Injection, Pertuzumab, 1 Mg 18 18 $19,098.06 $17,188.25 $8,785.11 $18,525.12 $18,143.16 2026-06-09
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 18 18 $18,042.00 $16,237.80 $8,299.32 $17,500.74 $17,139.90 2026-06-09
J0775 HCPCS Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg 18 18 $17,856.00 $16,070.40 $8,213.76 $17,320.32 $16,963.20 2026-06-09
01496 CDM Nail, Gamma 10x170mm 3125-0170 18 18 $17,076.00 $15,368.40 $7,854.96 $16,563.72 $16,222.20 2026-06-09
40704511C CDM Lupron Depot 22.5 Mg 3mo Kit 18 18 $16,405.00 $14,764.50 $7,546.30 $15,912.85 $15,584.75 2026-06-09
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 18 18 $16,002.00 $14,401.80 $7,360.92 $15,521.94 $15,201.90 2026-06-09
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 18 18 $15,654.00 $14,088.60 $7,200.84 $15,184.38 $14,871.30 2026-06-09
01615 CDM Disc, Prestige 6972450 18 18 $15,000.00 $13,500.00 $6,900.00 $14,550.00 $14,250.00 2026-06-09
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 18 18 $14,804.00 $13,323.60 $6,809.84 $14,359.88 $14,063.80 2026-06-09
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 18 18 $13,273.00 $11,945.70 $6,105.58 $12,874.81 $12,609.35 2026-06-09
J9354 HCPCS Injection, Ado-trastuzumab Emtansine, 1 Mg 36 18 $20,332.00 $18,298.80 $4,672.22 $29,591.79 $11,942.76 2026-06-09
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 18 18 $12,349.00 $11,114.10 $5,680.54 $11,978.53 $11,731.55 2026-06-09
J9176 HCPCS Injection, Elotuzumab, 1 Mg 18 18 $11,646.00 $10,481.40 $5,357.16 $11,296.62 $11,063.70 2026-06-09
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 18 18 $11,412.71 $10,271.44 $5,249.85 $11,070.33 $10,842.07 2026-06-09
02680 CDM Tprlc 133 T1 51-103150 18 18 $11,353.00 $10,217.70 $5,222.38 $11,012.41 $10,785.35 2026-06-09
07777 CDM Stem, Femoral Taperloc 11x142 18 18 $11,353.00 $10,217.70 $5,222.38 $11,012.41 $10,785.35 2026-06-09
J2356 HCPCS Injection, Tezepelumab-ekko, 1 Mg 18 18 $11,131.50 $10,018.35 $5,120.49 $10,797.56 $10,574.93 2026-06-09
09865 CDM Tprlc 133 T1 51-1003100 18 18 $11,082.50 $9,974.25 $5,097.95 $10,750.03 $10,528.38 2026-06-09
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 18 18 $10,500.00 $9,450.00 $4,830.00 $10,185.00 $9,975.00 2026-06-09
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 15 15 $11,420.00 $10,278.00 $53.00 $10,849.00 $9,136.00 2026-06-09
02538 CDM Stem, Comp Primary 11mm 113651 18 18 $9,510.00 $8,559.00 $4,374.60 $9,224.70 $9,034.50 2026-06-09
407011451 CDM Neulasta Onpro 6 Mg/0.6 Ml Kit 18 18 $9,500.00 $8,550.00 $4,370.00 $9,215.00 $9,025.00 2026-06-09
02663 CDM Psn Fem Ps Por 42-5008-062-02 18 18 $9,310.00 $8,379.00 $4,282.60 $9,030.70 $8,844.50 2026-06-09
02839 CDM Psn Fem Ps Por 42-5008-070-01 18 18 $9,310.00 $8,379.00 $4,282.60 $9,030.70 $8,844.50 2026-06-09
40419996A CDM C-arm Op Angio 18 18 $8,882.00 $7,993.80 $4,085.72 $8,615.54 $8,437.90 2026-06-09
01261 CDM Capstone Cage 26mm X01042608 18 18 $8,800.00 $7,920.00 $4,048.00 $8,536.00 $8,360.00 2026-06-09
01227 CDM Cage, Capstone 6mm Xo1042206 18 18 $8,800.00 $7,920.00 $4,048.00 $8,536.00 $8,360.00 2026-06-09
01505 CDM Cage, Bullet Capstone 18 18 $8,800.00 $7,920.00 $4,048.00 $8,536.00 $8,360.00 2026-06-09
Q5116 HCPCS Injection, Trastuzumab-qyyp, Biosimilar, (trazimera), 10 Mg 18 18 $8,390.25 $7,551.23 $3,859.52 $8,138.54 $7,970.74 2026-06-09
22633 HCPCS Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 16 16 $9,054.00 $8,148.60 $1,699.54 $12,898.13 $7,469.55 2026-06-09
02755 CDM Psn Fem Ps Cmt 42-5706-064-01 18 18 $7,600.00 $6,840.00 $3,496.00 $7,372.00 $7,220.00 2026-06-09
01452 CDM Psn Fem Ps Cmt 42-5706-058-02 18 18 $7,600.00 $6,840.00 $3,496.00 $7,372.00 $7,220.00 2026-06-09
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 15 15 $9,018.00 $8,116.20 $53.00 $8,567.10 $7,214.40 2026-06-09
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 36 18 $11,195.50 $10,075.95 $3,433.44 $14,479.19 $7,090.80 2026-06-09
501006212 CDM Diet Consult - Ft Pk Tribes 18 18 $7,440.83 $6,696.75 $3,422.78 $7,217.61 $7,068.79 2026-06-09
02383 CDM Psn Fem Cr 42-5026-066-02 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
01682 CDM Psn Fem Cr Cmt 42-5026-068-01 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
02036 CDM Psn Fem Cr 42-5026-070-02 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
02757 CDM Psn Fem Cr Cmt 42-5026-070-01 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
05061 CDM Psn Fem Cr Cmt 42-5026-058-02 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
01897 CDM Psn Fem Cr 42-5026-064-01 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
00999 CDM Psn Fem Cr Cmt 42-5026-064-02 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
01076 CDM Psn Fem Cr 42-5026-062-02 18 18 $7,410.00 $6,669.00 $3,408.60 $7,187.70 $7,039.50 2026-06-09
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 16 16 $8,515.00 $7,663.50 $53.00 $9,707.30 $7,024.88 2026-06-09
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 18 18 $7,331.38 $6,598.24 $3,372.43 $7,111.44 $6,964.81 2026-06-09
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 15 15 $8,622.00 $7,759.80 $53.00 $8,190.90 $6,897.60 2026-06-09
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 15 15 $8,498.00 $7,648.20 $1,530.32 $8,073.10 $6,798.40 2026-06-09
02193 CDM Pilotgraft Bt Tendon 18 18 $7,120.00 $6,408.00 $3,275.20 $6,906.40 $6,764.00 2026-06-09
02496 CDM Nail, Tibial 320mm 3525-0320s 18 18 $7,052.00 $6,346.80 $3,243.92 $6,840.44 $6,699.40 2026-06-09
22630 HCPCS Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 16 16 $8,102.00 $7,291.80 $53.00 $20,858.55 $6,684.15 2026-06-09
49187 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 5.1 To 10.0 Cm 15 15 $7,833.00 $7,049.70 $1,546.03 $7,441.35 $6,658.05 2026-06-09
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 16 16 $7,893.00 $7,103.70 $1,300.01 $12,898.13 $6,511.73 2026-06-09
01417 CDM Implant, Interphalangeal 2 18 18 $6,600.00 $5,940.00 $3,036.00 $6,402.00 $6,270.00 2026-06-09
01847 CDM Bioinductive Implant 4565 18 18 $6,400.00 $5,760.00 $2,944.00 $6,208.00 $6,080.00 2026-06-09
17999 HCPCS Other Procedure On Skin, Mucous Membrane, And Tissue 11 11 $6,346.00 $5,711.40 $53.00 $6,028.70 $5,901.78 2026-06-09
09866 CDM Cer Bioloxd Option 650-1058 18 18 $6,198.33 $5,578.50 $2,851.23 $6,012.38 $5,888.41 2026-06-09
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 15 15 $7,245.00 $6,520.50 $53.00 $6,882.75 $5,796.00 2026-06-09
09085 CDM Head, Ceramic 36mm 650-1057 18 18 $5,950.00 $5,355.00 $2,737.00 $5,771.50 $5,652.50 2026-06-09
04247 CDM Cer Bioloxd Option 650-1055 18 18 $5,950.00 $5,355.00 $2,737.00 $5,771.50 $5,652.50 2026-06-09
27280 HCPCS Fusion Of Sacroiliac Joint Between Spine And Pelvis With Bone Graft, Open Proced… 15 15 $7,059.00 $6,353.10 $53.00 $6,706.05 $5,647.20 2026-06-09
43840 HCPCS Suture Of Perforated Ulcer, Wound, Or Injury Of Stomach Or Upper Small Bowel 15 15 $7,013.00 $6,311.70 $53.00 $6,662.35 $5,610.40 2026-06-09
49618 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 15 15 $6,577.00 $5,919.30 $1,131.24 $6,248.15 $5,590.45 2026-06-09
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 16 16 $6,549.00 $5,894.10 $1,161.75 $9,614.11 $5,402.92 2026-06-09
J9173 HCPCS Injection, Durvalumab, 10 Mg 36 18 $10,183.86 $9,165.47 $1,183.12 $17,261.85 $5,340.43 2026-06-09
08224 CDM Shell, Acetabular G7 010000664 18 18 $5,611.00 $5,049.90 $2,581.06 $5,442.67 $5,330.45 2026-06-09
05145 CDM Screw, T1 5.5x40 54410005540 18 18 $5,564.00 $5,007.60 $2,559.44 $5,397.08 $5,285.80 2026-06-09
01262 CDM Screw, Fas 6.5mm 54410006535 18 18 $5,564.00 $5,007.60 $2,559.44 $5,397.08 $5,285.80 2026-06-09
02699 CDM Plate, Trilock 4cf A-4660.10 18 18 $5,500.00 $4,950.00 $2,530.00 $5,335.00 $5,225.00 2026-06-09
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 18 18 $5,490.70 $4,941.63 $2,525.72 $5,325.98 $5,216.17 2026-06-09
02710 CDM Fibertak, Shoulder 1.8 Ar-3636 18 18 $5,485.33 $4,936.80 $2,523.25 $5,320.77 $5,211.06 2026-06-09
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 18 18 $5,448.00 $4,903.20 $2,506.08 $5,284.56 $5,175.60 2026-06-09
02878 CDM Vivacit-e Bearing 110031013 18 18 $5,400.00 $4,860.00 $2,484.00 $5,238.00 $5,130.00 2026-06-09
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 15 15 $6,355.00 $5,719.50 $53.00 $6,037.25 $5,084.00 2026-06-09
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 15 15 $6,285.00 $5,656.50 $1,135.96 $5,970.75 $5,028.00 2026-06-09
64447 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve) 34 18 $10,903.00 $9,812.70 $60.78 $10,575.91 $5,015.38 2026-06-09
323099291 CDM Trauma Team-no Prenotification 18 18 $5,226.00 $4,703.40 $2,403.96 $5,069.22 $4,964.70 2026-06-09
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 16 16 $8,419.00 $7,577.10 $53.00 $7,998.05 $4,929.55 2026-06-09
02745 CDM Fiberstitch 1.5 Ar-4580-24 18 18 $5,135.00 $4,621.50 $2,362.10 $4,980.95 $4,878.25 2026-06-09
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 15 15 $6,095.00 $5,485.50 $1,089.63 $5,790.25 $4,876.00 2026-06-09
J9047 HCPCS Injection, Carfilzomib, 1 Mg 36 18 $8,091.90 $7,282.70 $1,998.80 $11,483.41 $4,830.30 2026-06-09
02518 CDM Plate, 62.5mm 7200062 18 18 $5,050.00 $4,545.00 $2,323.00 $4,898.50 $4,797.50 2026-06-09
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 15 15 $5,975.00 $5,377.50 $53.00 $5,676.25 $4,780.00 2026-06-09
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 16 16 $8,168.00 $7,351.20 $53.00 $7,759.60 $4,779.42 2026-06-09
099195 CDM Knee System, 42-5226-005-16 18 18 $5,008.90 $4,508.01 $2,304.09 $4,858.63 $4,758.46 2026-06-09
27250 HCPCS Closed Treatment Of Dislocated Hip 36 18 $9,817.50 $8,835.75 $53.00 $18,144.82 $4,743.65 2026-06-09
03201 CDM Ligament Repair Kit Ar-8978-cp 18 18 $4,984.00 $4,485.60 $2,292.64 $4,834.48 $4,734.80 2026-06-09
01377 CDM Nail, Tibial 170mm 3130-0170s 18 18 $4,973.00 $4,475.70 $2,287.58 $4,823.81 $4,724.35 2026-06-09
27299 HCPCS Other Procedure On Pelvis Or Hip Joint 11 11 $4,991.00 $4,491.90 $53.00 $4,741.45 $4,641.63 2026-06-09
02543 CDM Comp Rvrs 25mm 010000589 18 18 $4,875.00 $4,387.50 $2,242.50 $4,728.75 $4,631.25 2026-06-09
64415 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple… 34 18 $10,066.00 $9,059.40 $66.46 $9,764.02 $4,630.36 2026-06-09
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 15 15 $5,429.00 $4,886.10 $936.25 $5,157.55 $4,614.65 2026-06-09
63267 HCPCS Removal Of Growth Of Lower Spine Bone Outside Spine Membrane 16 16 $6,906.00 $6,215.40 $53.00 $6,560.70 $4,610.16 2026-06-09
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 16 16 $7,877.00 $7,089.30 $1,412.81 $7,483.15 $4,603.55 2026-06-09
09940 CDM Liner, G7 40mm 30124007 18 18 $4,800.00 $4,320.00 $2,208.00 $4,656.00 $4,560.00 2026-06-09
09867 CDM G7 Vit E Liner 30124006 18 18 $4,800.00 $4,320.00 $2,208.00 $4,656.00 $4,560.00 2026-06-09
04256 CDM Liner, G7 Vit E 30123605 18 18 $4,800.00 $4,320.00 $2,208.00 $4,656.00 $4,560.00 2026-06-09
J9227 HCPCS Injection, Isatuximab-irfc, 10 Mg 36 18 $8,695.75 $7,826.18 $950.36 $14,865.74 $4,526.88 2026-06-09
J0897 HCPCS Injection, Denosumab, 1 Mg 36 18 $6,645.77 $5,981.19 $2,153.63 $8,351.44 $4,447.72 2026-06-09
44625 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 15 15 $5,537.00 $4,983.30 $53.00 $5,260.15 $4,429.60 2026-06-09
02758 CDM Psn Fem Cr Por 42-5028-062-02 18 18 $4,655.00 $4,189.50 $2,141.30 $4,515.35 $4,422.25 2026-06-09
47600 HCPCS Removal Of Gallbladder 15 15 $5,523.00 $4,970.70 $53.00 $5,246.85 $4,418.40 2026-06-09
02545 CDM Plate, Zevo 19mm 3001019 18 18 $4,624.00 $4,161.60 $2,127.04 $4,485.28 $4,392.80 2026-06-09
00588 CDM Tissue, 345544 Lasr 18 18 $4,600.00 $4,140.00 $2,116.00 $4,462.00 $4,370.00 2026-06-09
323059412 CDM Asst External Cephalic Version 18 18 $4,579.00 $4,121.10 $2,106.34 $4,441.63 $4,350.05 2026-06-09
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 54 18 $6,052.00 $5,446.80 $232.43 $6,076.08 $4,341.39 2026-06-09
01815 CDM Plate, Atl Elite 37.5mm 18 18 $4,544.00 $4,089.60 $2,090.24 $4,407.68 $4,316.80 2026-06-09
49002 HCPCS Reopening Of Recent Abdominal Incision 15 15 $5,368.00 $4,831.20 $53.00 $5,099.60 $4,294.40 2026-06-09
02539 CDM Mini Tray Std 110031399 18 18 $4,470.00 $4,023.00 $2,056.20 $4,335.90 $4,246.50 2026-06-09
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 18 18 $7,506.00 $6,755.40 $2,472.47 $7,130.70 $4,217.91 2026-06-09
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 15 15 $5,241.00 $4,716.90 $932.99 $4,978.95 $4,192.80 2026-06-09
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 16 16 $6,986.00 $6,287.40 $53.00 $6,636.70 $4,129.82 2026-06-09
07691 CDM Speedbridge Implant Ar-2600sbs 18 18 $4,253.33 $3,828.00 $1,956.53 $4,125.73 $4,040.66 2026-06-09
44140 HCPCS Partial Removal Of Large Bowel With Connection 16 16 $6,902.00 $6,211.80 $1,249.83 $6,556.90 $4,030.58 2026-06-09
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 18 18 $6,885.00 $6,196.50 $53.00 $9,024.33 $3,992.25 2026-06-09
49617 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, More Than 10 Cm In Length 15 15 $4,696.00 $4,226.40 $808.03 $4,461.20 $3,991.60 2026-06-09
02725 CDM Shell, Acetabular 010000665 18 18 $4,191.33 $3,772.20 $1,928.01 $4,065.59 $3,981.76 2026-06-09
02840 CDM Psn Tib Por 0 42-5350-083-01 18 18 $4,180.00 $3,762.00 $1,922.80 $4,054.60 $3,971.00 2026-06-09
02660 CDM Psn Tib Por 42-5350-071-02 18 18 $4,180.00 $3,762.00 $1,922.80 $4,054.60 $3,971.00 2026-06-09
04054 CDM Shell, Acetabular 010000667 18 18 $4,157.50 $3,741.75 $1,912.45 $4,032.78 $3,949.63 2026-06-09
01152 CDM Liner, G7 46mm 110024465 18 18 $4,080.00 $3,672.00 $1,876.80 $3,957.60 $3,876.00 2026-06-09
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 14 14 $4,558.00 $4,102.20 $782.99 $4,330.10 $3,874.30 2026-06-09
02779 CDM Implant, Interphalangeal 1 18 18 $4,074.00 $3,666.60 $1,874.04 $3,951.78 $3,870.30 2026-06-09
44050 HCPCS Repair Of Twisted Or Herniated Small Bowel 15 15 $4,829.00 $4,346.10 $53.00 $4,587.55 $3,863.20 2026-06-09
09145 CDM Shell, Acetabular 010000666 18 18 $4,056.00 $3,650.40 $1,865.76 $3,934.32 $3,853.20 2026-06-09
09048 CDM Shell, Acetabular G7 010000663 18 18 $4,056.00 $3,650.40 $1,865.76 $3,934.32 $3,853.20 2026-06-09
44238 HCPCS Other Procedure On Bowel Using An Endoscope 11 11 $4,139.00 $3,725.10 $53.00 $3,932.05 $3,849.27 2026-06-09
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 18 18 $6,799.00 $6,119.10 $2,213.78 $6,459.05 $3,803.17 2026-06-09
02542 CDM Cr Vivacit-e 36m 110031424 18 18 $3,960.00 $3,564.00 $1,821.60 $3,841.20 $3,762.00 2026-06-09
22315 HCPCS Closed Treatment Of Broken Or Dislocated Spine Bone With Cast Or Brace And Tract… 36 18 $5,124.50 $4,612.05 $53.00 $6,063.47 $3,758.12 2026-06-09
02038 CDM Prx Hum Lo 73mm 110030200 18 18 $3,920.00 $3,528.00 $1,803.20 $3,802.40 $3,724.00 2026-06-09
01887 CDM Surgimesh Xb R-1415 18 18 $3,900.00 $3,510.00 $1,794.00 $3,783.00 $3,705.00 2026-06-09
27244 HCPCS Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant 16 16 $6,344.00 $5,709.60 $53.00 $6,026.80 $3,692.65 2026-06-09
27245 HCPCS Treatment Of Broken Neck Of Thigh Bone With Bone Implant 16 16 $6,336.00 $5,702.40 $1,118.01 $6,019.20 $3,688.15 2026-06-09
J9035 HCPCS Injection, Bevacizumab, 10 Mg 36 18 $6,864.00 $6,177.60 $956.80 $11,298.56 $3,687.84 2026-06-09
02537 CDM Comp Rvrs Shldr 36mm 115310 18 18 $3,825.00 $3,442.50 $1,759.50 $3,710.25 $3,633.75 2026-06-09
63012 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves 18 18 $6,228.00 $5,605.20 $53.00 $5,916.60 $3,613.75 2026-06-09
27599 HCPCS Other Procedure On Thigh Or Knee 11 11 $3,882.00 $3,493.80 $53.00 $3,687.90 $3,610.26 2026-06-09
23470 HCPCS Partial Replacement Of Shoulder Joint 18 18 $6,126.00 $5,513.40 $53.00 $9,024.33 $3,578.80 2026-06-09
01758 CDM Lantern Surgical Assist 406000 18 18 $3,762.50 $3,386.25 $1,730.75 $3,649.63 $3,574.38 2026-06-09
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 18 18 $3,748.00 $3,373.20 $1,724.08 $3,635.56 $3,560.60 2026-06-09
02706 CDM Screw, T1 5.5mm 54410005535 18 18 $3,709.00 $3,338.10 $1,706.14 $3,597.73 $3,523.55 2026-06-09
00954 CDM Femoral Std 7mm 12-151307 18 18 $3,704.00 $3,333.60 $1,703.84 $3,592.88 $3,518.80 2026-06-09
44188 HCPCS Creation Of Large Bowel Opening Using An Endoscope 16 16 $5,832.00 $5,248.80 $53.00 $5,540.40 $3,484.60 2026-06-09
49595 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length 15 15 $4,089.00 $3,680.10 $704.19 $4,376.34 $3,475.65 2026-06-09
27446 HCPCS Replacement Of Knee Joint On Side Of Knee 18 18 $5,889.00 $5,300.10 $1,047.22 $9,024.33 $3,444.02 2026-06-09
00874 CDM Echo Fx 11mm 12-151311 18 18 $3,616.00 $3,254.40 $1,663.36 $3,507.52 $3,435.20 2026-06-09
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 36 18 $4,925.50 $4,432.95 $53.00 $6,012.06 $3,433.82 2026-06-09
03133 CDM Nail, Tibial Stand. 1822-1034s 18 18 $3,614.00 $3,252.60 $1,662.44 $3,505.58 $3,433.30 2026-06-09
23397 HCPCS Relocation Of Multiple Muscles Of Shoulder Or Upper Arm 18 18 $5,897.00 $5,307.30 $53.00 $5,602.15 $3,430.98 2026-06-09
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 18 18 $6,107.00 $5,496.30 $53.00 $5,801.65 $3,423.81 2026-06-09
20692 HCPCS Placement Of Multiple Direction External Bone Stabilizing Device To Arm Or Leg 18 18 $5,903.00 $5,312.70 $53.00 $9,024.33 $3,410.30 2026-06-09
28415 HCPCS Treatment Of Broken Heel Bone 18 18 $5,827.00 $5,244.30 $53.00 $5,535.65 $3,379.90 2026-06-09
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 18 18 $5,820.00 $5,238.00 $53.00 $9,024.33 $3,369.62 2026-06-09
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 15 15 $3,960.00 $3,564.00 $682.15 $3,762.00 $3,366.00 2026-06-09
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 36 18 $5,305.00 $4,774.50 $1,627.02 $6,860.81 $3,360.15 2026-06-09
02869 CDM Swivelock With Tape 4.75mm 18 18 $3,536.00 $3,182.40 $1,626.56 $3,429.92 $3,359.20 2026-06-09
302000020 CDM Intensive Care Unit - General Classification 14 14 $3,512.00 $3,160.80 $2,985.20 $3,512.00 $3,336.40 2026-06-09
301000004 CDM Room & Board - Semi-private (two Beds) - General Classification 14 14 $3,512.00 $3,160.80 $2,985.20 $3,512.00 $3,336.40 2026-06-09
27428 HCPCS Reconstruction Ligaments Inside Knee Joint 18 18 $5,716.00 $5,144.40 $53.00 $8,621.29 $3,332.90 2026-06-09
64895 HCPCS Graft Of Multiple Hand Or Foot Nerves, 4.0 Cm Or Less 18 18 $7,230.00 $6,507.00 $53.00 $6,868.50 $3,331.10 2026-06-09
04465 CDM Orthalign Plus Unit 403001 18 18 $3,500.00 $3,150.00 $1,610.00 $3,395.00 $3,325.00 2026-06-09
63047 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1… 18 18 $5,653.00 $5,087.70 $1,065.16 $5,370.35 $3,297.95 2026-06-09
22850 HCPCS Removal Of Stabilizing Device From Back Of Spine 16 16 $3,995.00 $3,595.50 $53.00 $3,795.25 $3,295.88 2026-06-09
44005 HCPCS Release Of Intestinal Scar Tissue 16 16 $5,620.00 $5,058.00 $53.00 $5,339.00 $3,283.12 2026-06-09
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 15 15 $4,096.00 $3,686.40 $53.00 $3,891.20 $3,276.80 2026-06-09
V5140 HCPCS Binaural, Behind The Ear 18 18 $3,440.00 $3,096.00 $1,582.40 $3,336.80 $3,268.00 2026-06-09
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 18 18 $3,374.78 $3,037.30 $1,552.40 $3,273.54 $3,206.04 2026-06-09
49185 HCPCS Injection Of Chemical Agent Into Fluid Collection Using Imaging Guidance 16 16 $7,066.00 $6,359.40 $53.00 $6,712.70 $3,197.42 2026-06-09
410002070 CDM Rev - Audiology 18 18 $3,357.59 $3,021.83 $1,544.49 $3,256.86 $3,189.71 2026-06-09
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 18 18 $5,467.00 $4,920.30 $53.00 $5,193.65 $3,170.25 2026-06-09
11005 HCPCS Removal Of Infected Skin, Tissue Or Muscle Of Abdomen 15 15 $3,955.00 $3,559.50 $53.00 $3,757.25 $3,164.00 2026-06-09
09981 CDM Psn Asf 10mm 42-5224-007-10 18 18 $3,325.00 $2,992.50 $1,529.50 $3,225.25 $3,158.75 2026-06-09
09282 CDM Psn Asf Ps 42-5124-010-11 18 18 $3,325.00 $2,992.50 $1,529.50 $3,225.25 $3,158.75 2026-06-09
09314 CDM Psn Asf Ps 42-5124-007-12 18 18 $3,325.00 $2,992.50 $1,529.50 $3,225.25 $3,158.75 2026-06-09
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 16 16 $5,394.00 $4,854.60 $53.00 $5,124.30 $3,157.95 2026-06-09
75710 HCPCS Review By Radiologist Of Arm Or Leg Artery Image 36 18 $4,664.50 $4,198.05 $53.00 $8,615.54 $3,146.63 2026-06-09
27503 HCPCS Closed Treatment Of Broken Thigh Bone At Far End With Manipulation 18 18 $3,287.00 $2,958.30 $1,512.02 $3,188.39 $3,122.65 2026-06-09
09536 CDM Mesh, Hernia Parietex 30x20cm 18 18 $3,266.00 $2,939.40 $1,502.36 $3,168.02 $3,102.70 2026-06-09
49406 HCPCS Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance 54 18 $4,323.00 $3,890.70 $53.00 $4,298.07 $3,085.79 2026-06-09
08593 CDM Stem, Tibial 42-5320-079-01 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
09066 CDM Stem, Tibial 42-5320-075-02 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
09181 CDM Stem, Tibial 42-5320-071-01 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
08233 CDM Stem, Tibial 42-5320-075-01 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
09006 CDM Tibia, 5 Degree 42-5320-071-02 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
09165 CDM Stem, Tibial 42-5320-067-02 18 18 $3,230.00 $2,907.00 $1,485.80 $3,133.10 $3,068.50 2026-06-09
22551 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 18 18 $8,689.00 $7,820.10 $1,604.36 $8,254.55 $3,052.18 2026-06-09
309000025 CDM Nursery - General Classification 14 14 $3,142.00 $2,827.80 $2,670.70 $3,142.00 $2,984.90 2026-06-09
301000003 CDM Room & Board - Semi-private (two Beds) - General Classification 14 14 $3,115.00 $2,803.50 $2,647.75 $3,115.00 $2,959.25 2026-06-09
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 18 18 $3,114.00 $2,802.60 $1,432.44 $3,020.58 $2,958.30 2026-06-09
24505 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation 18 18 $3,100.00 $2,790.00 $1,426.00 $3,007.00 $2,945.00 2026-06-09
58552 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.… 18 18 $5,019.00 $4,517.10 $877.24 $5,120.50 $2,934.50 2026-06-09
02876 CDM Plate, Metarsal Hook Ar-8956-1 18 18 $3,084.00 $2,775.60 $1,418.64 $2,991.48 $2,929.80 2026-06-09
22856 HCPCS Insertion Of Artificial Upper Spine Disc, Anterior Approach 18 18 $8,864.00 $7,977.60 $53.00 $8,420.80 $2,928.56 2026-06-09
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 18 18 $4,996.00 $4,496.40 $889.28 $4,817.25 $2,918.80 2026-06-09
81415 HCPCS Test For Detecting Exome, Sequence Analysis 18 18 $3,057.00 $2,751.30 $1,406.22 $2,965.29 $2,904.15 2026-06-09
323000391 CDM Trauma Activation-no Cc 18 18 $3,054.00 $2,748.60 $1,404.84 $2,962.38 $2,901.30 2026-06-09
25624 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb With Manipulation 18 18 $3,049.00 $2,744.10 $1,402.54 $2,957.53 $2,896.55 2026-06-09
24565 HCPCS Closed Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow With Manipulati… 18 18 $3,049.00 $2,744.10 $1,402.54 $2,957.53 $2,896.55 2026-06-09
35045 HCPCS Repair Of Aneurysm Or Forearm Artery With Graft 16 16 $4,908.00 $4,417.20 $53.00 $4,662.60 $2,887.50 2026-06-09
49615 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length 15 15 $3,394.00 $3,054.60 $583.65 $3,365.12 $2,884.90 2026-06-09
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 36 18 $3,405.00 $3,064.50 $53.00 $3,607.15 $2,862.35 2026-06-09
01610 HCPCS Anesthesia For Procedure On Nerves, Muscles, Tendons, Fascia, And Bursae Of Shou… 11 11 $3,064.00 $2,757.60 $5.00 $2,910.80 $2,849.52 2026-06-09
02848 CDM Nail, Humerus 9.5m 47-2497-240 18 18 $2,997.00 $2,697.30 $1,378.62 $2,907.09 $2,847.15 2026-06-09
22612 HCPCS Fusion Of Spine In Lower Back 18 18 $8,100.00 $7,290.00 $1,467.19 $7,695.00 $2,843.26 2026-06-09
00600 HCPCS Anesthesia For Other Procedure On Upper Spine 11 11 $3,053.80 $2,748.42 $10.00 $2,901.11 $2,840.03 2026-06-09
81410 HCPCS Test For Detecting Genes Associated With Heart Disease, Genomic Sequence Analysi… 18 18 $2,967.00 $2,670.30 $1,364.82 $2,877.99 $2,818.65 2026-06-09
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 18 18 $5,285.00 $4,756.50 $53.00 $5,020.75 $2,818.54 2026-06-09
28435 HCPCS Closed Treatment Of Broken Ankle Joint Bone With Manipulation 18 18 $2,965.00 $2,668.50 $1,363.90 $2,876.05 $2,816.75 2026-06-09
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 36 18 $3,158.50 $2,842.65 $53.00 $3,208.76 $2,798.37 2026-06-09
02385 CDM Psn Mc Ve Asf 42-5221-008-10 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
01246 CDM Psn Mc Ve Asf 42-5221-006-12 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
02705 CDM Psn Mc Ve Asf 42-5221-008-11 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
02521 CDM Psn Mc Ve Asf 42-5121-009-10 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
02694 CDM Psn Mc Ve Asf 42-5221-006-11 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
03850 CDM Psn Mc Ve Asf 42-5221-009-10 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
07883 CDM Psn Mc Ve Asf 42-5221-003-11 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
05055 CDM Psn Mc Asf 10mm 42-5221-003-10 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
01683 CDM Psn Mc Ve Asf 42-5121-008-11 18 18 $2,940.00 $2,646.00 $1,352.40 $2,851.80 $2,793.00 2026-06-09
63030 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 18 18 $4,993.00 $4,493.70 $897.89 $4,743.35 $2,761.34 2026-06-09
27030 HCPCS Incision And Drainage Of Hip Joint 16 16 $4,691.00 $4,221.90 $53.00 $4,456.45 $2,757.80 2026-06-09
27279 HCPCS Fusion Of Pelvic Joint Using Imaging Guidance 18 18 $4,810.00 $4,329.00 $53.00 $12,898.13 $2,747.55 2026-06-09
58140 HCPCS Removal Of Growth Of Uterus Through Abdomen, 1-4 Growths 16 16 $4,679.00 $4,211.10 $53.00 $4,445.05 $2,746.50 2026-06-09
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 18 18 $2,875.00 $2,587.50 $1,322.50 $2,788.75 $2,731.25 2026-06-09
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 18 18 $4,777.00 $4,299.30 $53.00 $4,821.39 $2,722.65 2026-06-09
63707 HCPCS Repair Of Cerebrospinal Fluid Leak 16 16 $4,578.00 $4,120.20 $53.00 $4,349.10 $2,702.85 2026-06-09
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 18 18 $4,633.00 $4,169.70 $53.00 $4,852.90 $2,698.20 2026-06-09
00630 HCPCS Anesthesia For Other Procedure On Lower Spine 11 11 $2,889.88 $2,600.89 $8.00 $2,745.39 $2,687.59 2026-06-09
27535 HCPCS Treatment Of Broken Side Of Upper End Of Shin Bone 16 16 $4,588.00 $4,129.20 $53.00 $4,358.60 $2,678.90 2026-06-09
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 54 18 $3,122.00 $2,809.80 $53.00 $5,605.63 $2,658.34 2026-06-09
09962 CDM Screw, Fas 6.5 Ti 54410006540 18 18 $2,782.00 $2,503.80 $1,279.72 $2,698.54 $2,642.90 2026-06-09
44960 HCPCS Removal Of Ruptured Infected Appendix 16 16 $4,528.00 $4,075.20 $53.00 $4,301.60 $2,641.90 2026-06-09
23615 HCPCS Treatment Of Broken Top Of Upper Arm Bone 18 18 $4,526.00 $4,073.40 $53.00 $9,024.33 $2,639.15 2026-06-09
40450548A CDM Carotid Angio W/cont -MRI- 18 18 $2,771.00 $2,493.90 $1,274.66 $2,687.87 $2,632.45 2026-06-09
27566 HCPCS Treatment Of Dislocated Kneecap 18 18 $4,476.00 $4,028.40 $53.00 $5,010.36 $2,629.55 2026-06-09
81229 HCPCS Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi… 18 18 $2,755.00 $2,479.50 $1,267.30 $2,672.35 $2,617.25 2026-06-09
02747 CDM Ringloc Bi-polar Hip 11-165226 18 18 $2,747.00 $2,472.30 $1,263.62 $2,664.59 $2,609.65 2026-06-09
09499 CDM Duraseal Spine Sealant 18 18 $2,737.00 $2,463.30 $1,259.02 $2,654.89 $2,600.15 2026-06-09
44620 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening 16 16 $4,450.00 $4,005.00 $53.00 $4,227.50 $2,597.70 2026-06-09
01214 HCPCS Anesthesia For Total Hip Replacement 11 11 $2,789.92 $2,510.93 $8.00 $2,650.42 $2,594.63 2026-06-09
49593 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 15 15 $3,040.00 $2,736.00 $524.89 $4,376.34 $2,584.00 2026-06-09
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 15 15 $3,034.00 $2,730.60 $523.89 $3,030.97 $2,578.90 2026-06-09
27758 HCPCS Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 18 18 $4,341.00 $3,906.90 $53.00 $8,872.72 $2,575.88 2026-06-09
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 52 18 $3,290.00 $2,961.00 $77.47 $3,236.89 $2,574.55 2026-06-09
09032 CDM Ankle Ziptight 909857 18 18 $2,698.75 $2,428.88 $1,241.43 $2,617.79 $2,563.81 2026-06-09
44979 HCPCS Other Procedure On Appendix Using An Endoscope 11 11 $2,715.00 $2,443.50 $53.00 $4,092.02 $2,524.95 2026-06-09
05107 CDM Plate, Distal Rad 8916vnr-03 18 18 $2,650.00 $2,385.00 $1,219.00 $2,570.50 $2,517.50 2026-06-09
01566 CDM Kore Fiber, 2.5cc 423202 18 18 $2,650.00 $2,385.00 $1,219.00 $2,570.50 $2,517.50 2026-06-09
09425 CDM Plate, Distal Ar-8916vsl-03 18 18 $2,650.00 $2,385.00 $1,219.00 $2,570.50 $2,517.50 2026-06-09
23410 HCPCS Repair Of Acute Torn Shoulder Rotator Cuff 18 18 $4,265.00 $3,838.50 $53.00 $4,051.75 $2,475.60 2026-06-09
27381 HCPCS Secondary Suture Of Tendon Below Knee 18 18 $4,276.00 $3,848.40 $53.00 $5,010.36 $2,469.28 2026-06-09
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 36 18 $3,024.00 $2,721.60 $53.00 $3,300.91 $2,459.85 2026-06-09
08954 CDM Syndesmosis Repair Implant 18 18 $2,585.00 $2,326.50 $1,189.10 $2,507.45 $2,455.75 2026-06-09
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 36 18 $3,541.50 $3,187.35 $53.00 $4,344.63 $2,447.76 2026-06-09
23675 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Neck Of Upper Arm Bone With M… 36 18 $2,840.00 $2,556.00 $53.00 $2,957.53 $2,446.83 2026-06-09
25690 HCPCS Closed Treatment Of Dislocated Wrist (lunate) Bone With Manipulation 36 18 $2,838.00 $2,554.20 $53.00 $2,957.53 $2,443.11 2026-06-09
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 36 18 $3,208.50 $2,887.65 $53.00 $3,716.07 $2,430.84 2026-06-09
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 18 18 $6,543.00 $5,888.70 $1,159.08 $6,215.85 $2,420.48 2026-06-09
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 36 18 $2,925.50 $2,632.95 $53.00 $3,169.96 $2,402.19 2026-06-09
59515 HCPCS Cesarean Delivery With Care After Delivery 17 17 $3,749.00 $3,374.10 $1,224.33 $3,561.55 $2,397.85 2026-06-09
01402 HCPCS Anesthesia For Procedure For Total Knee Joint Replacement 10 10 $2,573.22 $2,315.90 $53.00 $2,444.56 $2,393.09 2026-06-09
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 36 18 $2,979.00 $2,681.10 $53.00 $3,300.91 $2,387.64 2026-06-09
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 18 18 $4,742.00 $4,267.80 $53.00 $4,504.90 $2,386.16 2026-06-09
25825 HCPCS Fusion Of Part Of Wrist Joint With Patient-derived Bone Graft 18 18 $4,145.00 $3,730.50 $53.00 $5,010.36 $2,383.40 2026-06-09
501006218 CDM Diet Consult - Ft Pk Dialysis 18 18 $2,508.58 $2,257.72 $1,153.95 $2,433.32 $2,383.15 2026-06-09
27848 HCPCS Treatment Of Dislocated Ankle With Repair Or Placement Of Stabilizing Device 18 18 $4,073.00 $3,665.70 $53.00 $4,682.29 $2,378.97 2026-06-09
01210 HCPCS Anesthesia For Other Procedure On Hip Joint 11 11 $2,552.00 $2,296.80 $6.00 $2,424.40 $2,373.36 2026-06-09
28615 HCPCS Treatment Of Dislocated Midfoot Bone 18 18 $4,006.00 $3,605.40 $53.00 $5,010.36 $2,363.88 2026-06-09
01575 CDM Kore Fiber, 5cc 423205 18 18 $2,483.00 $2,234.70 $1,142.18 $2,408.51 $2,358.85 2026-06-09
58554 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More… 18 18 $6,677.00 $6,009.30 $53.00 $6,343.15 $2,356.81 2026-06-09
02599 CDM Screw, Cortical 204.816 18 18 $2,480.00 $2,232.00 $1,140.80 $2,405.60 $2,356.00 2026-06-09
J9030 HCPCS Bcg Live Intravesical Instillation, 1 Mg 18 18 $2,477.00 $2,229.30 $1,139.42 $2,402.69 $2,353.15 2026-06-09
58700 HCPCS Removal Of Uterine Tubes 16 16 $4,009.00 $3,608.10 $53.00 $3,808.55 $2,347.85 2026-06-09
301000002 CDM Room & Board - Semi-private (two Beds) - General Classification 14 14 $2,465.00 $2,218.50 $2,095.25 $2,465.00 $2,341.75 2026-06-09
01630 HCPCS Anesthesia For Other Procedure On Top Of Arm Bone And Shoulder Joint 10 10 $2,497.33 $2,247.60 $53.00 $2,372.46 $2,322.52 2026-06-09
25390 HCPCS Shortening Of One Of The Forearm Bones 18 18 $4,004.00 $3,603.60 $53.00 $5,010.36 $2,322.45 2026-06-09
63042 HCPCS Partial Removal Of Spine Bone With Re-exploration, Release Of Lower Spinal Cord … 18 18 $7,042.00 $6,337.80 $1,219.43 $6,689.90 $2,320.35 2026-06-09
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 18 18 $3,976.00 $3,578.40 $53.00 $3,777.20 $2,318.07 2026-06-09
26841 HCPCS Fusion Of Thumb At Wrist 18 18 $4,061.00 $3,654.90 $53.00 $5,010.36 $2,315.35 2026-06-09
49000 HCPCS Exploration Of Abdominal Cavity 16 16 $3,967.00 $3,570.30 $53.00 $3,768.65 $2,314.15 2026-06-09
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 18 18 $3,920.00 $3,528.00 $53.00 $4,843.35 $2,287.22 2026-06-09
01622 HCPCS Anesthesia For Exam Of Shoulder Joint Using An Endoscope 10 10 $2,447.48 $2,202.73 $53.00 $2,325.11 $2,276.16 2026-06-09
27524 HCPCS Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 18 18 $3,921.00 $3,528.90 $53.00 $3,724.95 $2,274.62 2026-06-09
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 36 18 $2,728.00 $2,455.20 $53.00 $2,925.52 $2,269.20 2026-06-09
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 18 18 $3,911.00 $3,519.90 $53.00 $4,376.34 $2,243.32 2026-06-09
25565 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation 36 18 $2,730.50 $2,457.45 $53.00 $2,957.53 $2,243.16 2026-06-09
10009 HCPCS Fine Needle Aspiration Biopsy Of Growth Using CT Guidance, First Growth 34 18 $4,873.00 $4,385.70 $53.00 $4,726.81 $2,241.58 2026-06-09
310000030 CDM Labor Room/delivery - General Classification 18 18 $2,359.00 $2,123.10 $1,085.14 $2,288.23 $2,241.05 2026-06-09
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 18 18 $3,789.00 $3,410.10 $53.00 $4,970.99 $2,204.60 2026-06-09
01230 HCPCS Anesthesia For Procedure On Upper 2/3rd Of Thigh Bone 11 11 $2,367.33 $2,130.60 $6.00 $2,248.96 $2,201.62 2026-06-09
29999 HCPCS Other Procedure On Joint Using An Endoscope 11 11 $2,367.00 $2,130.30 $53.00 $2,248.65 $2,201.31 2026-06-09
24575 HCPCS Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 18 18 $3,758.00 $3,382.20 $53.00 $8,621.29 $2,189.93 2026-06-09
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