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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

SPEARE MEMORIAL HOSPITAL

Plymouth, NH · CCN 301311 · Rates published

11,542 distinct procedures filed
12 distinct payers
42,762 rate rows
2026-04-01 last MRF observed
Data quality

20,731 of 42,762 rate rows are consumer-grade (48.5%)

22,031 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 21,706
template filing: same amount across many unrelated codes — excluded 325
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=4EZY3sRA8HLb8Qjm705tAg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=4EZY3sRA8HLb8Qjm705tAg*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint b7647bbf3dc5c2da… · 15,276,272 bytes · first seen 2026-05-06

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
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $239,640.09 $368,444.55 $304,042.32 nat. median
$63,528
outlier · 4.8×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $219,831.02 $337,988.27 $278,909.65 nat. median
$65,720
outlier · 4.2×
J9226
HCPCS 		Supprelin La Implant 1 $177,812.85 $273,385.70 $225,599.28 nat. median
$55,159
outlier · 4.1×
J9266
HCPCS 		Pegaspargase Injection 1 $89,571.07 $137,714.74 $113,642.90 nat. median
$33,233
outlier · 3.4×
J9600
HCPCS 		Porfimer Sodium Injection 1 $87,406.47 $134,386.69 $110,896.58 nat. median
$30,131
outlier · 3.7×
A9604
HCPCS 		Sm 153 Lexidronam 1 $67,643.97 $104,002.01 $85,822.99 nat. median
$12,627
outlier · 6.8×
81416
HCPCS 		Exome Sequence Analysis 1 $72,924.71 $83,838.35 $78,381.53 nat. median
$12,000
outlier · 6.5×
433
MS_DRG 		Cirrhosis And Alcoholic Hepatitis With Cc 1 $70,693.68 $70,693.68 $70,693.68 nat. median
$10,764
outlier · 6.6×
0211U
OTHER 		Onc Pan-tum Dna&rna Gnrj Seq 1 $51,381.54 $59,071.11 $55,226.32 nat. median
$8,793
outlier · 6.3×
81552
HCPCS 		Onc Uveal Mlnma Mrna 15 Gene 1 $47,255.22 $54,327.25 $50,791.24 nat. median
$8,087
outlier · 6.3×
0236T
OTHER 		Trluml Perip Athrc Abd Aorta 1 $49,662.65 $49,662.65 $49,662.65 nat. median
$12,290
outlier · 4.0×
0237T
OTHER 		Trluml Perip Athrc Brchiocph 1 $49,662.65 $49,662.65 $49,662.65 nat. median
$12,518
outlier · 4.0×
0238T
OTHER 		Trluml Perip Athrc Iliac Art 1 $49,662.65 $49,662.65 $49,662.65 nat. median
$17,543
outlier · 2.8×
0094U
OTHER 		Genome Rapid Sequence Alys 1 $46,077.48 $52,973.27 $49,525.38 nat. median
$7,961
outlier · 6.2×
629
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 $48,970.33 $48,970.33 $48,970.33 nat. median
$20,964
outlier · 2.3×
81529
HCPCS 		Onc Cutan Mlnma Mrna 31 Gene 1 $43,712.29 $50,254.11 $46,983.20 nat. median
$7,553
outlier · 6.2×
39503
HCPCS 		Repair Of Diaphragm Hernia 2 $25,921.75 $66,235.02 $46,078.39 nat. median
$5,679
outlier · 8.1×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 1 $45,411.66 $45,411.66 $45,411.66 nat. median
$42,641
1.1× median
47135
HCPCS 		Transplantation Of Liver 2 $23,597.37 $66,235.02 $44,916.20 nat. median
$6,160
outlier · 7.3×
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $31,333.10 $48,174.37 $39,753.74 nat. median
$9,509
outlier · 4.2×
81554
HCPCS 		Pulm Ds Ipf Mrna 190 Gen Alg 1 $33,423.83 $38,425.91 $35,924.87 nat. median
$5,680
outlier · 6.3×
0212U
OTHER 		Rare Ds Gen DNA Alys Proband 1 $33,273.12 $38,252.65 $35,762.89 nat. median
$5,804
outlier · 6.2×
354
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Cc 1 $35,630.37 $35,630.37 $35,630.37 nat. median
$16,472
outlier · 2.2×
43116
HCPCS 		Partial Removal Of Esophagus 2 $21,720.79 $48,506.58 $35,113.68 nat. median
$5,022
outlier · 7.0×
49605
HCPCS 		Repair Umbilical Lesion 2 $21,688.67 $48,506.58 $35,097.62 nat. median
$5,152
outlier · 6.8×
32854
HCPCS 		Lung Transplant With Bypass 2 $21,147.90 $48,506.58 $34,827.24 nat. median
$5,395
outlier · 6.5×
47142
HCPCS 		Partial Removal Donor Liver 2 $20,638.87 $48,506.58 $34,572.72 nat. median
$5,304
outlier · 6.5×
32853
HCPCS 		Lung Transplant Double 2 $19,914.38 $48,506.58 $34,210.48 nat. median
$5,132
outlier · 6.7×
0214U
OTHER 		Rare Ds Xom DNA Alys Proband 1 $31,750.21 $36,501.82 $34,126.01 nat. median
$5,538
outlier · 6.2×
43123
HCPCS 		Partial Removal Of Esophagus 2 $19,649.85 $48,506.58 $34,078.21 nat. median
$4,782
outlier · 7.1×
43108
HCPCS 		Removal Of Esophagus 2 $19,404.03 $48,506.58 $33,955.31 nat. median
$4,758
outlier · 7.1×
43113
HCPCS 		Removal Of Esophagus 2 $18,946.88 $48,506.58 $33,726.73 nat. median
$4,711
outlier · 7.2×
47141
HCPCS 		Partial Removal Donor Liver 2 $18,711.00 $48,506.58 $33,608.79 nat. median
$4,881
outlier · 6.9×
46748
HCPCS 		Repair Of Cloacal Anomaly 2 $18,536.35 $48,506.58 $33,521.46 nat. median
$4,617
outlier · 7.3×
192
MS_DRG 		Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 $33,460.18 $33,460.18 $33,460.18 nat. median
$7,110
outlier · 4.7×
20808
HCPCS 		Replantation Hand Complete 2 $17,253.02 $48,506.58 $32,879.80 nat. median
$8,847
outlier · 3.7×
81425
HCPCS 		Genome Sequence Analysis 1 $30,574.90 $35,150.63 $32,862.76 nat. median
$5,112
outlier · 6.4×
46746
HCPCS 		Repair Of Cloacal Anomaly 2 $17,081.80 $48,506.58 $32,794.19 nat. median
$4,388
outlier · 7.5×
0242U
OTHER 		Trgt Gen Seq Alys Pnl 55-74 1 $30,385.30 $34,932.65 $32,658.97 nat. median
$5,250
outlier · 6.2×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 $32,626.34 $32,626.34 $32,626.34 nat. median
$22,568
1.4× median
26554
HCPCS 		Double Transfer Toe-hand 2 $16,644.26 $48,506.58 $32,575.42 nat. median
$6,524
outlier · 5.0×
43124
HCPCS 		Removal Of Esophagus 2 $16,568.85 $48,506.58 $32,537.72 nat. median
$4,367
outlier · 7.5×
43288
HCPCS 		Esphg Thrsc Moblj 2 $16,481.32 $48,506.58 $32,493.95 nat. median
$4,882
outlier · 6.7×
854
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 $32,174.06 $32,174.06 $32,174.06 nat. median
$19,218
1.7× median
43118
HCPCS 		Partial Removal Of Esophagus 2 $15,792.04 $48,506.58 $32,149.31 nat. median
$4,305
outlier · 7.5×
43287
HCPCS 		Esphg Dstl 2/3 W/laps Moblj 2 $15,673.21 $48,506.58 $32,089.90 nat. median
$4,973
outlier · 6.5×
47140
HCPCS 		Partial Removal Donor Liver 2 $15,624.73 $48,506.58 $32,065.66 nat. median
$4,479
outlier · 7.2×
46744
HCPCS 		Repair Of Cloacal Anomaly 2 $15,485.82 $48,506.58 $31,996.20 nat. median
$4,190
outlier · 7.6×
32852
HCPCS 		Lung Transplant With Bypass 2 $15,437.75 $48,506.58 $31,972.17 nat. median
$4,617
outlier · 6.9×
32445
HCPCS 		Removal Of Lung Extrapleural 2 $15,332.12 $48,506.58 $31,919.35 nat. median
$4,194
outlier · 7.6×

Other procedures at this hospital

Browse this hospital's 11,542 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
             
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $239,640.09 $368,444.55 $304,042.32 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $219,831.02 $337,988.27 $278,909.65 2026-04-01
J9226 HCPCS Supprelin La Implant 2 1 — — $177,812.85 $273,385.70 $225,599.28 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 1 — — $89,571.07 $137,714.74 $113,642.90 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 1 — — $87,406.47 $134,386.69 $110,896.58 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 2 1 — — $67,643.97 $104,002.01 $85,822.99 2026-04-01
81416 HCPCS Exome Sequence Analysis 2 1 — — $72,924.71 $83,838.35 $78,381.53 2026-04-01
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 1 1 — — $70,693.68 $70,693.68 $70,693.68 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $51,381.54 $59,071.11 $55,226.32 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 2 1 — — $47,255.22 $54,327.25 $50,791.24 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 1 1 — — $49,662.65 $49,662.65 $49,662.65 2026-04-01
0237T OTHER Trluml Perip Athrc Brchiocph 1 1 — — $49,662.65 $49,662.65 $49,662.65 2026-04-01
0236T OTHER Trluml Perip Athrc Abd Aorta 1 1 — — $49,662.65 $49,662.65 $49,662.65 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 2 1 — — $46,077.48 $52,973.27 $49,525.38 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $48,970.33 $48,970.33 $48,970.33 2026-04-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 2 1 — — $43,712.29 $50,254.11 $46,983.20 2026-04-01
39503 HCPCS Repair Of Diaphragm Hernia 2 2 — — $25,921.75 $66,235.02 $46,078.39 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $45,411.66 $45,411.66 $45,411.66 2026-04-01
47135 HCPCS Transplantation Of Liver 2 2 — — $23,597.37 $66,235.02 $44,916.20 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 2 1 — — $31,333.10 $48,174.37 $39,753.74 2026-04-01
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 2 1 — — $33,423.83 $38,425.91 $35,924.87 2026-04-01
0212U OTHER Rare Ds Gen DNA Alys Proband 2 1 — — $33,273.12 $38,252.65 $35,762.89 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 1 1 — — $35,630.37 $35,630.37 $35,630.37 2026-04-01
43116 HCPCS Partial Removal Of Esophagus 2 2 — — $21,720.79 $48,506.58 $35,113.68 2026-04-01
49605 HCPCS Repair Umbilical Lesion 2 2 — — $21,688.67 $48,506.58 $35,097.62 2026-04-01
32854 HCPCS Lung Transplant With Bypass 2 2 — — $21,147.90 $48,506.58 $34,827.24 2026-04-01
47142 HCPCS Partial Removal Donor Liver 2 2 — — $20,638.87 $48,506.58 $34,572.72 2026-04-01
32853 HCPCS Lung Transplant Double 2 2 — — $19,914.38 $48,506.58 $34,210.48 2026-04-01
0214U OTHER Rare Ds Xom DNA Alys Proband 2 1 — — $31,750.21 $36,501.82 $34,126.01 2026-04-01
43123 HCPCS Partial Removal Of Esophagus 2 2 — — $19,649.85 $48,506.58 $34,078.21 2026-04-01
43108 HCPCS Removal Of Esophagus 2 2 — — $19,404.03 $48,506.58 $33,955.31 2026-04-01
43113 HCPCS Removal Of Esophagus 2 2 — — $18,946.88 $48,506.58 $33,726.73 2026-04-01
47141 HCPCS Partial Removal Donor Liver 2 2 — — $18,711.00 $48,506.58 $33,608.79 2026-04-01
46748 HCPCS Repair Of Cloacal Anomaly 2 2 — — $18,536.35 $48,506.58 $33,521.46 2026-04-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $33,460.18 $33,460.18 $33,460.18 2026-04-01
20808 HCPCS Replantation Hand Complete 2 2 — — $17,253.02 $48,506.58 $32,879.80 2026-04-01
81425 HCPCS Genome Sequence Analysis 2 1 — — $30,574.90 $35,150.63 $32,862.76 2026-04-01
46746 HCPCS Repair Of Cloacal Anomaly 2 2 — — $17,081.80 $48,506.58 $32,794.19 2026-04-01
0242U OTHER Trgt Gen Seq Alys Pnl 55-74 2 1 — — $30,385.30 $34,932.65 $32,658.97 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $32,626.34 $32,626.34 $32,626.34 2026-04-01
26554 HCPCS Double Transfer Toe-hand 2 2 — — $16,644.26 $48,506.58 $32,575.42 2026-04-01
43124 HCPCS Removal Of Esophagus 2 2 — — $16,568.85 $48,506.58 $32,537.72 2026-04-01
43288 HCPCS Esphg Thrsc Moblj 2 2 — — $16,481.32 $48,506.58 $32,493.95 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 1 1 — — $32,174.06 $32,174.06 $32,174.06 2026-04-01
43118 HCPCS Partial Removal Of Esophagus 2 2 — — $15,792.04 $48,506.58 $32,149.31 2026-04-01
43287 HCPCS Esphg Dstl 2/3 W/laps Moblj 2 2 — — $15,673.21 $48,506.58 $32,089.90 2026-04-01
47140 HCPCS Partial Removal Donor Liver 2 2 — — $15,624.73 $48,506.58 $32,065.66 2026-04-01
46744 HCPCS Repair Of Cloacal Anomaly 2 2 — — $15,485.82 $48,506.58 $31,996.20 2026-04-01
32852 HCPCS Lung Transplant With Bypass 2 2 — — $15,437.75 $48,506.58 $31,972.17 2026-04-01
32445 HCPCS Removal Of Lung Extrapleural 2 2 — — $15,332.12 $48,506.58 $31,919.35 2026-04-01
43112 HCPCS Removal Of Esophagus 2 2 — — $15,189.17 $48,506.58 $31,847.88 2026-04-01
47122 HCPCS Extensive Removal Of Liver 2 2 — — $15,026.97 $48,506.58 $31,766.78 2026-04-01
33622 HCPCS Redo Compl Cardiac Anomaly 2 2 — — $14,919.90 $48,506.58 $31,713.24 2026-04-01
26556 HCPCS Toe Joint Transfer 2 2 — — $14,834.06 $48,506.58 $31,670.32 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $31,535.20 $31,535.20 $31,535.20 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $26,760.72 $36,006.59 $31,383.65 2026-04-01
0036U OTHER Xome Tum & Nml Spec Seq Alys 2 1 — — $29,048.34 $33,395.61 $31,221.97 2026-04-01
81415 HCPCS Exome Sequence Analysis 2 1 — — $29,048.34 $33,395.61 $31,221.97 2026-04-01
A9582 HCPCS Iodine I-123 Iobenguane 2 1 — — $24,527.73 $37,711.17 $31,119.45 2026-04-01
J0600 HCPCS Edetate Calcium Disodium Inj 2 1 — — $23,715.20 $36,461.91 $30,088.56 2026-04-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 1 1 — — $30,030.05 $30,030.05 $30,030.05 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $29,870.57 $29,870.57 $29,870.57 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 1 1 — — $29,620.03 $29,620.03 $29,620.03 2026-04-01
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc 1 1 — — $27,925.25 $27,925.25 $27,925.25 2026-04-01
A9572 HCPCS Indium In-111 Pentetreotide 1 1 — — $27,333.51 $27,333.51 $27,333.51 2026-04-01
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 1 1 — — $27,283.38 $27,283.38 $27,283.38 2026-04-01
J9225 HCPCS Vantas Implant 2 1 — — $21,462.32 $32,998.13 $27,230.22 2026-04-01
J9015 HCPCS Aldesleukin Injection 2 1 — — $21,354.14 $32,831.80 $27,092.97 2026-04-01
75898 HCPCS Follow-up Angiography 3 2 — — $189.29 $33,750.58 $26,531.72 2026-04-01
75807 HCPCS Lymph Vessel X-ray Trunk 3 2 — — $1,098.61 $33,750.58 $26,531.72 2026-04-01
75805 HCPCS Lymph Vessel X-ray Trunk 3 2 — — $1,100.02 $33,750.58 $26,531.72 2026-04-01
75810 HCPCS Vein X-ray Spleen/liver 3 2 — — $2,266.99 $33,750.58 $26,531.72 2026-04-01
A9515 HCPCS Choline C-11 2 1 — — $20,771.50 $31,936.00 $26,353.75 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 2 1 — — $20,756.09 $31,912.31 $26,334.20 2026-04-01
183 MS_DRG Major Chest Trauma With Mcc 1 1 — — $25,960.42 $25,960.42 $25,960.42 2026-04-01
81522 HCPCS Onc Breast Mrna 12 Genes 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81521 HCPCS Onc Breast Mrna 70 Genes 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81541 HCPCS Onc Prostate Mrna 46 Genes 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81542 HCPCS Onc Prostate Mrna 22 Cnt Gen 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
0045U OTHER Onc Brst Dux Carc Is 12 Gene 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81519 HCPCS Oncology Breast Mrna 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
0047U OTHER Onc Prst8 Mrna 17 Gene Alg 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81518 HCPCS Onc Brst Mrna 11 Genes 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
81523 HCPCS Onc Brst Mrna 70 Cnt 31 Gene 2 1 — — $23,536.45 $27,058.83 $25,297.64 2026-04-01
69979 HCPCS Temporal Bone Surgery 1 1 — — $25,274.80 $25,274.80 $25,274.80 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $25,274.80 $25,274.80 $25,274.80 2026-04-01
15828 HCPCS Removal Of Face Wrinkles 1 1 — — $25,274.80 $25,274.80 $25,274.80 2026-04-01
69949 HCPCS Inner Ear Surgery Procedure 1 1 — — $25,274.80 $25,274.80 $25,274.80 2026-04-01
558 MS_DRG Tendonitis, Myositis And Bursitis Without Mcc 2 2 — — $7,071.27 $43,355.94 $25,213.60 2026-04-01
78432 HCPCS Myocrd Img PET 2rtracer 3 2 — — $11,816.02 $31,753.07 $24,961.45 2026-04-01
78433 HCPCS Myocrd Img PET 2rtracer CT 3 2 — — $11,816.02 $31,753.07 $24,961.45 2026-04-01
81540 HCPCS Oncology Tum Unknown Origin 2 1 — — $22,788.97 $26,199.49 $24,494.23 2026-04-01
0019U OTHER Onc RNA Tiss Predict Alg 2 1 — — $22,333.20 $25,675.50 $24,004.35 2026-04-01
0258U OTHER Ai Psor Mrna 50-100 Gen Alg 2 1 — — $22,333.20 $25,675.50 $24,004.35 2026-04-01
81546 HCPCS Onc Thyr Mrna 10,196 Gen Alg 2 1 — — $21,877.41 $25,151.51 $23,514.46 2026-04-01
0026U OTHER Onc Thyr Dna&mrna 112 Genes 2 1 — — $21,877.41 $25,151.51 $23,514.46 2026-04-01
0080U OTHER Onc Lng 5 Clin Rsk Factr Alg 2 1 — — $21,391.25 $24,592.58 $22,991.92 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 9 7 — — $7,034.44 $37,920.93 $22,982.18 2026-04-01
0244U OTHER Onc Solid Orgn DNA 257 Genes 2 1 — — $21,269.71 $24,452.85 $22,861.28 2026-04-01
0239U OTHER Trgt Gen Seq Alys Pnl 311+ 2 1 — — $21,269.71 $24,452.85 $22,861.28 2026-04-01
0037U OTHER Trgt Gen Seq DNA 324 Genes 2 1 — — $21,269.71 $24,452.85 $22,861.28 2026-04-01
0016M OTHER Onc Bladder Mrna 209 Gen Alg 2 1 — — $21,206.69 $24,380.41 $22,793.55 2026-04-01
J1162 HCPCS Digoxin Immune Fab (ovine) 2 1 — — $17,849.12 $27,442.86 $22,645.99 2026-04-01
81440 HCPCS Mitochondrial Gene 2 1 — — $20,200.14 $23,223.23 $21,711.68 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $21,518.18 $21,518.18 $21,518.18 2026-04-01
J0480 HCPCS Basiliximab 2 1 — — $16,878.26 $25,950.17 $21,414.21 2026-04-01
81595 HCPCS Cardiology Hrt Trnspl Mrna 2 1 — — $19,689.67 $22,636.36 $21,163.01 2026-04-01
0055U OTHER Card Hrt Trnspl 96 DNA Seq 2 1 — — $19,689.67 $22,636.36 $21,163.01 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $21,140.93 $21,140.93 $21,140.93 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 4 — — $16,276.29 $25,669.50 $21,024.40 2026-04-01
312 MS_DRG Syncope And Collapse 1 1 — — $20,725.00 $20,725.00 $20,725.00 2026-04-01
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 4 4 — — $10,431.40 $25,422.08 $20,723.50 2026-04-01
61698 HCPCS Brain Aneurysm Repr Complx 1 1 — — $20,708.51 $20,708.51 $20,708.51 2026-04-01
0153U OTHER Onc Breast Mrna 101 Genes 2 1 — — $19,199.98 $22,073.38 $20,636.68 2026-04-01
0087U OTHER Crd Hrt Trnspl Mrna 1283 Gen 2 1 — — $19,199.98 $22,073.38 $20,636.68 2026-04-01
0088U OTHER Trnsplj Kdn Algrft Rej 1494 2 1 — — $19,199.98 $22,073.38 $20,636.68 2026-04-01
78431 HCPCS Myocrd Img PET Rst&strs CT 3 2 — — $9,668.64 $25,980.09 $20,423.24 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 2 2 — — $11,068.33 $29,649.92 $20,359.12 2026-04-01
81525 HCPCS Oncology Colon Mrna 2 1 — — $18,936.12 $21,770.02 $20,353.07 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 3 3 — — $7,756.43 $30,265.31 $20,185.88 2026-04-01
61686 HCPCS Intracranial Vessel Surgery 1 1 — — $20,128.44 $20,128.44 $20,128.44 2026-04-01
J0800 HCPCS Corticotropin Injection 2 1 — — $15,706.12 $24,148.02 $19,927.07 2026-04-01
0172U OTHER Onc Sld Tum Alys Brca1 Brca2 2 1 — — $18,413.49 $21,169.18 $19,791.33 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $7,355.54 $32,037.53 $19,696.53 2026-04-01
0018U OTHER Onc Thyr 10 Microrna Seq Alg 2 1 — — $18,243.88 $20,974.19 $19,609.03 2026-04-01
382 MS_DRG Complicated Peptic Ulcer Without Cc/Mcc 1 1 — — $19,520.15 $19,520.15 $19,520.15 2026-04-01
0204U OTHER Onc Thyr Mrna Xprsn Alys 593 2 1 — — $17,742.58 $20,397.87 $19,070.22 2026-04-01
81455 HCPCS Targeted Genomic Seq Analys 2 1 — — $17,742.58 $20,397.87 $19,070.22 2026-04-01
0048U OTHER Onc Sld Org Neo DNA 468 Gene 2 1 — — $17,742.58 $20,397.87 $19,070.22 2026-04-01
0250U OTHER Onc Sld Org Neo DNA 505 Gene 2 1 — — $17,742.58 $20,397.87 $19,070.22 2026-04-01
0050U OTHER Trgt Gen Seq DNA 194 Genes 2 1 — — $17,724.35 $20,376.92 $19,050.63 2026-04-01
A9570 HCPCS Indium In-111 Auto Wbc 2 1 — — $14,856.82 $22,842.23 $18,849.53 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 2 1 — — $14,856.82 $22,842.23 $18,849.53 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 1 1 — — $18,766.00 $18,766.00 $18,766.00 2026-04-01
81538 HCPCS Oncology Lung 2 1 — — $17,447.23 $20,058.32 $18,752.78 2026-04-01
61682 HCPCS Intracranial Vessel Surgery 1 1 — — $18,560.51 $18,560.51 $18,560.51 2026-04-01
61697 HCPCS Brain Aneurysm Repr Complx 1 1 — — $18,414.88 $18,414.88 $18,414.88 2026-04-01
33916 HCPCS Surgery Of Great Vessel 1 1 — — $18,338.73 $18,338.73 $18,338.73 2026-04-01
61576 HCPCS Skull Base/brainstem Surgery 1 1 — — $18,290.99 $18,290.99 $18,290.99 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 2 2 — — $11,079.61 $25,274.80 $18,177.21 2026-04-01
A9542 HCPCS In111 Ibritumomab, Dx 1 1 — — $18,176.45 $18,176.45 $18,176.45 2026-04-01
27076 HCPCS Resect Hip Tum Incl Acetabul 2 2 — — $11,044.69 $25,274.80 $18,159.74 2026-04-01
49659 HCPCS Laparo Proc Hernia Repair 1 1 — — $18,114.59 $18,114.59 $18,114.59 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $18,114.59 $18,114.59 $18,114.59 2026-04-01
21743 HCPCS Repair Sternum/nuss W/scope 1 1 — — $18,114.59 $18,114.59 $18,114.59 2026-04-01
50549 HCPCS Laparoscope Proc Renal 1 1 — — $18,114.59 $18,114.59 $18,114.59 2026-04-01
46742 HCPCS Repair Of Imperforated Anus 2 2 — — $10,936.75 $25,274.80 $18,105.78 2026-04-01
21184 HCPCS Reconstruct Cranial Bone 2 2 — — $10,912.96 $25,274.80 $18,093.88 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 2 2 — — $10,862.29 $25,274.80 $18,068.54 2026-04-01
47780 HCPCS Fuse Bile Ducts And Bowel 2 2 — — $10,836.03 $25,274.80 $18,055.42 2026-04-01
44126 HCPCS Enterectomy Without Taper Cong 2 2 — — $10,822.96 $25,274.80 $18,048.88 2026-04-01
J9371 HCPCS Inj, Vincristine Sul Lip 1mg 2 1 — — $14,210.95 $21,849.21 $18,030.08 2026-04-01
21261 HCPCS Revise Eye Sockets 2 2 — — $10,762.47 $25,274.80 $18,018.63 2026-04-01
20955 HCPCS Fibula Bone Graft Microvasc 2 2 — — $10,703.39 $25,274.80 $17,989.10 2026-04-01
0118U OTHER Trnsplj Don-drv Cll-fr DNA 2 1 — — $16,731.67 $19,235.67 $17,983.67 2026-04-01
22206 HCPCS Incis Spine 3 Column Thorac 2 2 — — $10,685.37 $25,274.80 $17,980.08 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 2 2 — — $10,590.01 $25,274.80 $17,932.40 2026-04-01
31368 HCPCS Partial Removal Of Larynx 2 2 — — $10,515.67 $25,274.80 $17,895.24 2026-04-01
22207 HCPCS Incis Spine 3 Column Lumbar 2 2 — — $10,456.63 $25,274.80 $17,865.72 2026-04-01
32488 HCPCS Completion Pneumonectomy 2 2 — — $10,374.21 $25,274.80 $17,824.50 2026-04-01
41153 HCPCS Tongue Mouth Neck Surgery 2 2 — — $10,358.34 $25,274.80 $17,816.57 2026-04-01
33305 HCPCS Repair Of Heart Wound 1 1 — — $17,810.33 $17,810.33 $17,810.33 2026-04-01
42894 HCPCS Revision Of Pharyngeal Walls 2 2 — — $10,250.85 $25,274.80 $17,762.83 2026-04-01
0743 OTHER Inj, Cyclophosphamide, Nos 1 1 — — $17,754.92 $17,754.92 $17,754.92 2026-04-01
47120 HCPCS Partial Removal Of Liver 2 2 — — $10,221.74 $25,274.80 $17,748.27 2026-04-01
32486 HCPCS Sleeve Lobectomy 2 2 — — $10,205.00 $25,274.80 $17,739.90 2026-04-01
21183 HCPCS Reconstruct Cranial Bone 2 2 — — $10,140.11 $25,274.80 $17,707.46 2026-04-01
44156 HCPCS Removal Of Colon/ileostomy 2 2 — — $10,137.67 $25,274.80 $17,706.24 2026-04-01
43622 HCPCS Removal Of Stomach 2 2 — — $10,136.11 $25,274.80 $17,705.46 2026-04-01
0213U OTHER Rare Ds Gen DNA Alys Ea Comp 2 1 — — $16,468.53 $18,933.14 $17,700.83 2026-04-01
81426 HCPCS Genome Sequence Analysis 2 1 — — $16,468.53 $18,933.14 $17,700.83 2026-04-01
48001 HCPCS Placement Of Drain Pancreas 2 2 — — $10,121.92 $25,274.80 $17,698.36 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 2 2 — — $10,071.33 $25,274.80 $17,673.06 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 2 2 — — $10,048.70 $25,274.80 $17,661.75 2026-04-01
34706 HCPCS Evasc Rpr A-biiliac Rpt 2 2 — — $10,039.22 $25,274.80 $17,657.01 2026-04-01
46735 HCPCS Construction Of Absent Anus 2 2 — — $9,974.69 $25,274.80 $17,624.74 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 2 2 — — $9,960.22 $25,274.80 $17,617.51 2026-04-01
15758 HCPCS Free Fascial Flap Microvasc 2 2 — — $9,959.93 $25,274.80 $17,617.36 2026-04-01
21263 HCPCS Revise Eye Sockets 2 2 — — $9,956.51 $25,274.80 $17,615.65 2026-04-01
15756 HCPCS Free Myo/skin Flap Microvasc 2 2 — — $9,955.81 $25,274.80 $17,615.31 2026-04-01
43621 HCPCS Removal Of Stomach 2 2 — — $9,939.32 $25,274.80 $17,607.06 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 2 2 — — $9,930.16 $25,274.80 $17,602.48 2026-04-01
15757 HCPCS Free Skin Flap Microvasc 2 2 — — $9,893.76 $25,274.80 $17,584.28 2026-04-01
61702 HCPCS Inner Skull Vessel Surgery 1 1 — — $17,581.59 $17,581.59 $17,581.59 2026-04-01
47760 HCPCS Fuse Bile Ducts And Bowel 2 2 — — $9,867.62 $25,274.80 $17,571.21 2026-04-01
44158 HCPCS Colectomy W/neo-rectum Pouch 2 2 — — $9,852.24 $25,274.80 $17,563.52 2026-04-01
22865 HCPCS Remove Lumb Artif Disc 2 2 — — $9,805.85 $25,274.80 $17,540.33 2026-04-01
43360 HCPCS Gastrointestinal Repair 2 2 — — $9,780.79 $25,274.80 $17,527.79 2026-04-01
46712 HCPCS Repr Per/vag Pouch Dbl Proc 2 2 — — $9,775.18 $25,274.80 $17,524.99 2026-04-01
21175 HCPCS Reconstruct Orbit/forehead 2 2 — — $9,722.73 $25,274.80 $17,498.76 2026-04-01
49215 HCPCS Excise Sacral Spine Tumor 2 2 — — $9,692.18 $25,274.80 $17,483.49 2026-04-01
42845 HCPCS Extensive Surgery Of Throat 2 2 — — $9,666.04 $25,274.80 $17,470.42 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 2 2 — — $9,636.32 $25,274.80 $17,455.56 2026-04-01
44157 HCPCS Colectomy w/Ileoanal Anast 2 2 — — $9,612.49 $25,274.80 $17,443.65 2026-04-01
19368 HCPCS Breast Reconstruction 2 2 — — $9,588.49 $25,274.80 $17,431.65 2026-04-01
41150 HCPCS Tongue Mouth Jaw Surgery 2 2 — — $9,517.62 $25,274.80 $17,396.21 2026-04-01
Q9982 HCPCS Flutemetamol F18 Diagnostic 2 1 — — $13,709.19 $21,077.76 $17,393.47 2026-04-01
31367 HCPCS Partial Removal Of Larynx 2 2 — — $9,481.99 $25,274.80 $17,378.40 2026-04-01
44151 HCPCS Removal Of Colon/ileostomy 2 2 — — $9,468.59 $25,274.80 $17,371.69 2026-04-01
41140 HCPCS Removal Of Tongue 2 2 — — $9,455.40 $25,274.80 $17,365.10 2026-04-01
47400 HCPCS Incision Of Liver Duct 2 2 — — $9,450.41 $25,274.80 $17,362.60 2026-04-01
46740 HCPCS Construction Of Absent Anus 2 2 — — $9,447.85 $25,274.80 $17,361.33 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 2 2 — — $9,441.92 $25,274.80 $17,358.36 2026-04-01
41135 HCPCS Tongue And Neck Surgery 2 2 — — $9,399.57 $25,274.80 $17,337.18 2026-04-01
21155 HCPCS Lefort Iii With Lefort I 2 2 — — $9,382.22 $25,274.80 $17,328.51 2026-04-01
43634 HCPCS Removal Of Stomach Partial 2 2 — — $9,320.91 $25,274.80 $17,297.85 2026-04-01
45397 HCPCS Lap Remove Rectum W/pouch 2 2 — — $9,312.79 $25,274.80 $17,293.79 2026-04-01
21182 HCPCS Reconstruct Cranial Bone 2 2 — — $9,311.80 $25,274.80 $17,293.30 2026-04-01
200 MS_DRG Pneumothorax With Cc 1 1 — — $17,285.11 $17,285.11 $17,285.11 2026-04-01
59400 HCPCS Obstetrical Care 2 2 — — $9,268.88 $25,274.80 $17,271.84 2026-04-01
44211 HCPCS Lap Colectomy W/proctectomy 2 2 — — $9,219.85 $25,274.80 $17,247.33 2026-04-01
44146 HCPCS Partial Removal Of Colon 2 2 — — $9,216.64 $25,274.80 $17,245.72 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 2 2 — — $9,195.90 $25,274.80 $17,235.35 2026-04-01
69970 HCPCS Remove Inner Ear Lesion 2 2 — — $9,193.84 $25,274.80 $17,234.32 2026-04-01
31382 HCPCS Partial Removal Of Larynx 2 2 — — $9,151.08 $25,274.80 $17,212.94 2026-04-01
27075 HCPCS Resect Hip Tumor 2 2 — — $9,127.66 $25,274.80 $17,201.23 2026-04-01
21172 HCPCS Reconstruct Orbit/forehead 2 2 — — $9,076.95 $25,274.80 $17,175.88 2026-04-01
44155 HCPCS Removal Of Colon/ileostomy 2 2 — — $9,040.83 $25,274.80 $17,157.81 2026-04-01
G0339 HCPCS Robot Lin-radsurg Com, First 1 1 — — $17,142.36 $17,142.36 $17,142.36 2026-04-01
20824 HCPCS Replantation Thumb Complete 2 2 — — $8,998.82 $25,274.80 $17,136.81 2026-04-01
27078 HCPCS Rsect Hip Tum Incl Femur 2 2 — — $8,996.84 $25,274.80 $17,135.82 2026-04-01
27365 HCPCS Resect Femur/knee Tumor 2 2 — — $8,993.66 $25,274.80 $17,134.23 2026-04-01
22864 HCPCS Remove Cerv Artif Disc 2 2 — — $8,984.72 $25,274.80 $17,129.76 2026-04-01
20816 HCPCS Replantation Digit Complete 2 2 — — $8,983.32 $25,274.80 $17,129.06 2026-04-01
20697 HCPCS Comp Ext Fixate Strut Change 2 2 — — $8,962.99 $25,274.80 $17,118.90 2026-04-01
31360 HCPCS Removal Of Larynx 2 2 — — $8,960.60 $25,274.80 $17,117.70 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 2 2 — — $8,954.37 $25,274.80 $17,114.58 2026-04-01
21436 HCPCS Treat Craniofacial Fracture 2 2 — — $8,946.54 $25,274.80 $17,110.67 2026-04-01
31370 HCPCS Partial Removal Of Larynx 2 2 — — $8,916.56 $25,274.80 $17,095.68 2026-04-01
21268 HCPCS Revise Eye Sockets 2 2 — — $8,911.16 $25,274.80 $17,092.98 2026-04-01
43632 HCPCS Removal Of Stomach Partial 2 2 — — $8,910.55 $25,274.80 $17,092.67 2026-04-01
19369 HCPCS Breast Reconstruction 2 2 — — $8,906.01 $25,274.80 $17,090.40 2026-04-01
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 3 2 — — $16,357.22 $35,875.07 $17,083.17 2026-04-01
44212 HCPCS Laparo Total Proctocolectomy 2 2 — — $8,884.78 $25,274.80 $17,079.79 2026-04-01
32504 HCPCS Resect Apical Lung Tum/chest 2 2 — — $8,872.24 $25,274.80 $17,073.52 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 2 2 — — $8,803.31 $25,274.80 $17,039.06 2026-04-01
47712 HCPCS Excision Of Bile Duct Tumor 2 2 — — $8,765.58 $25,274.80 $17,020.19 2026-04-01
31230 HCPCS Removal Of Upper Jaw 2 2 — — $8,746.82 $25,274.80 $17,010.81 2026-04-01
43620 HCPCS Removal Of Stomach 2 2 — — $8,691.74 $25,274.80 $16,983.27 2026-04-01
46730 HCPCS Construction Of Absent Anus 2 2 — — $8,656.07 $25,274.80 $16,965.43 2026-04-01
44208 HCPCS L Colectomy/coloproctostomy 2 2 — — $8,628.70 $25,274.80 $16,951.75 2026-04-01
45395 HCPCS Lap Removal Of Rectum 2 2 — — $8,564.09 $25,274.80 $16,919.44 2026-04-01
43845 HCPCS Gastroplasty Duodenal Switch 2 2 — — $8,531.52 $25,274.80 $16,903.16 2026-04-01
22548 HCPCS Neck Spine Fusion 2 2 — — $8,503.19 $25,274.80 $16,889.00 2026-04-01
23220 HCPCS Resect Prox Humerus Tumor 2 2 — — $8,502.78 $25,274.80 $16,888.79 2026-04-01
69955 HCPCS Release Facial Nerve 2 2 — — $8,492.06 $25,274.80 $16,883.43 2026-04-01
43848 HCPCS Revision Gastroplasty 2 2 — — $8,486.70 $25,274.80 $16,880.75 2026-04-01
44147 HCPCS Partial Removal Of Colon 2 2 — — $8,471.03 $25,274.80 $16,872.92 2026-04-01
31375 HCPCS Partial Removal Of Larynx 2 2 — — $8,464.19 $25,274.80 $16,869.50 2026-04-01
21154 HCPCS Lefort Iii Without Lefort I 2 2 — — $8,456.36 $25,274.80 $16,865.58 2026-04-01
43633 HCPCS Removal Of Stomach Partial 2 2 — — $8,427.74 $25,274.80 $16,851.27 2026-04-01
45119 HCPCS Remove Rectum W/reservoir 2 2 — — $8,388.28 $25,274.80 $16,831.54 2026-04-01
33390 HCPCS Valvuloplasty Aortic Valve 2 2 — — $8,381.40 $25,274.80 $16,828.10 2026-04-01
0215U OTHER Rare Ds Xom DNA Alys Ea Comp 2 1 — — $15,646.30 $17,987.87 $16,817.08 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 2 2 — — $8,347.38 $25,274.80 $16,811.09 2026-04-01
31380 HCPCS Partial Removal Of Larynx 2 2 — — $8,346.97 $25,274.80 $16,810.89 2026-04-01
48146 HCPCS Pancreatectomy 2 2 — — $8,267.65 $25,274.80 $16,771.22 2026-04-01
58575 HCPCS Laps Tot Hyst Resj Mal 2 2 — — $8,265.87 $25,274.80 $16,770.33 2026-04-01
48000 HCPCS Drainage Of Abdomen 2 2 — — $8,265.34 $25,274.80 $16,770.07 2026-04-01
47360 HCPCS Repair Liver Wound 2 2 — — $8,235.24 $25,274.80 $16,755.02 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 2 2 — — $8,213.26 $25,274.80 $16,744.03 2026-04-01
27228 HCPCS Treat Hip Fracture(s) 2 2 — — $8,195.53 $25,274.80 $16,735.17 2026-04-01
69960 HCPCS Release Inner Ear Canal 2 2 — — $8,185.06 $25,274.80 $16,729.93 2026-04-01
45113 HCPCS Partial Proctectomy 2 2 — — $8,161.23 $25,274.80 $16,718.01 2026-04-01
44150 HCPCS Removal Of Colon 2 2 — — $8,152.74 $25,274.80 $16,713.77 2026-04-01
58548 HCPCS Lap Radical Hyst 2 2 — — $8,130.51 $25,274.80 $16,702.65 2026-04-01
42892 HCPCS Revision Of Pharyngeal Walls 2 2 — — $8,117.28 $25,274.80 $16,696.04 2026-04-01
45112 HCPCS Removal Of Rectum 2 2 — — $8,109.45 $25,274.80 $16,692.12 2026-04-01
43645 HCPCS Lap Gastr Bypass Incl Smll I 2 2 — — $8,102.56 $25,274.80 $16,688.68 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 2 2 — — $8,079.76 $25,274.80 $16,677.28 2026-04-01
69725 HCPCS Release Facial Nerve 2 2 — — $8,071.06 $25,274.80 $16,672.93 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 2 2 — — $8,071.02 $25,274.80 $16,672.91 2026-04-01
34708 HCPCS Evasc Rpr Ilio-iliac Rpt 2 2 — — $8,053.87 $25,274.80 $16,664.33 2026-04-01
21077 HCPCS Prepare Face/oral Prosthesis 2 2 — — $8,050.24 $25,274.80 $16,662.52 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 2 2 — — $8,004.89 $25,274.80 $16,639.85 2026-04-01
45110 HCPCS Removal Of Rectum 2 2 — — $7,997.26 $25,274.80 $16,636.03 2026-04-01
44141 HCPCS Partial Removal Of Colon 2 2 — — $7,978.50 $25,274.80 $16,626.65 2026-04-01
45114 HCPCS Partial Removal Of Rectum 2 2 — — $7,965.06 $25,274.80 $16,619.93 2026-04-01
48155 HCPCS Removal Of Pancreas 2 2 — — $7,944.44 $25,274.80 $16,609.62 2026-04-01
20827 HCPCS Replantation Thumb Complete 2 2 — — $7,942.92 $25,274.80 $16,608.86 2026-04-01
22319 HCPCS Treat Odontoid Fx W/graft 2 2 — — $7,924.24 $25,274.80 $16,599.52 2026-04-01
43847 HCPCS Gastric Bypass Incl Small I 2 2 — — $7,918.30 $25,274.80 $16,596.55 2026-04-01
44207 HCPCS L Colectomy/coloproctostomy 2 2 — — $7,916.78 $25,274.80 $16,595.79 2026-04-01
27059 HCPCS Resect Hip/pelv Tum 5 Cm/> 2 2 — — $7,899.59 $25,274.80 $16,587.19 2026-04-01
31225 HCPCS Removal Of Upper Jaw 2 2 — — $7,889.15 $25,274.80 $16,581.97 2026-04-01
48547 HCPCS Duodenal Exclusion 2 2 — — $7,864.62 $25,274.80 $16,569.71 2026-04-01
21151 HCPCS Lefort Ii W/bone Grafts 2 2 — — $7,859.30 $25,274.80 $16,567.05 2026-04-01
22532 HCPCS Lat Thorax Spine Fusion 2 2 — — $7,849.16 $25,274.80 $16,561.98 2026-04-01
45136 HCPCS Excise Ileoanal Reservior 2 2 — — $7,808.26 $25,274.80 $16,541.53 2026-04-01
22210 HCPCS Incis 1 Vertebral Seg Cerv 2 2 — — $7,801.13 $25,274.80 $16,537.97 2026-04-01
15841 HCPCS Nerve Palsy Muscle Graft 2 2 — — $7,794.00 $25,274.80 $16,534.40 2026-04-01
32503 HCPCS Resect Apical Lung Tumor 2 2 — — $7,787.65 $25,274.80 $16,531.22 2026-04-01
61330 HCPCS Decompress Eye Socket 2 2 — — $7,786.62 $25,274.80 $16,530.71 2026-04-01
19367 HCPCS Breast Reconstruction 2 2 — — $7,776.10 $25,274.80 $16,525.45 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 2 — — $7,768.35 $25,274.80 $16,521.57 2026-04-01
63064 HCPCS Decompress Spinal Cord Thrc 2 2 — — $7,752.85 $25,274.80 $16,513.82 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 2 2 — — $7,737.84 $25,274.80 $16,506.32 2026-04-01
27645 HCPCS Resect Tibia Tumor 2 2 — — $7,735.78 $25,274.80 $16,505.29 2026-04-01
23210 HCPCS Resect Scapula Tumor 2 2 — — $7,735.78 $25,274.80 $16,505.29 2026-04-01
20822 HCPCS Replantation Digit Complete 2 2 — — $7,732.36 $25,274.80 $16,503.58 2026-04-01
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