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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

Unm Sandoval Regional Medical Center

Rio Rancho, NM · CCN 320089 · Rates published

42,778 distinct procedures filed
566 distinct payers
3,160,367 rate rows
2026-05-22 last MRF observed
Data quality

2,022,047 of 3,160,367 rate rows are consumer-grade (64.0%)

1,138,320 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,128,014
exceeds 10× this hospital's gross charge — excluded from medians 6,722
per-diem day rate — not a per-procedure price 2,971
placeholder amount (≤ $0.02) — excluded from medians 613
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://unmhealth.org/patients-visitors/_files/856003005_university-of-new-mexico-hospital_standardcharges.csv
Found on page https://unmhealth.org/patients-visitors/billing-insurance/charge-masters.html
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 0bfa9528d9eafb5c… · 445,581,206 bytes · first seen 2026-05-09

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
60923-0518-27
CPT 		Elevidys 13 $2,995,073.78 $4,991,789.62 $3,327,859.75 —
60923-0516-25
CPT 		Elevidys 13 $2,995,073.78 $4,991,789.62 $3,327,859.75 —
60923-0513-22
CPT 		Elevidys 13 $2,995,073.78 $4,991,789.62 $3,327,859.75 —
60923-0509-18
CPT 		Elevidys 13 $2,995,073.78 $4,991,789.62 $3,327,859.75 —
71894-0130-06
CPT 		Zolgensma 13 $2,330,083.12 $3,883,471.88 $2,588,981.25 —
71894-0120-02
CPT 		Zolgensma 13 $2,330,083.12 $3,883,471.88 $2,588,981.25 —
71894-0124-04
CPT 		Zolgensma 13 $2,330,083.12 $3,883,471.88 $2,588,981.25 —
71894-0121-03
CPT 		Zolgensma 13 $2,330,083.12 $3,883,471.88 $2,588,981.25 —
57894-0111-01
CPT 		Carvykti 35 $528,884.60 $1,439,741.42 $1,013,695.49 —
57894-0111-02
CPT 		Carvykti 35 $528,884.60 $1,439,741.42 $984,313.01 —
73153-0900-01
CPT 		Breyanzi 35 $505,981.12 $1,377,393.06 $941,687.09 —
71287-0119-02
CPT 		Yescarta 35 $478,973.02 $1,303,871.01 $891,422.02 —
71287-0220-01
CPT 		Tecartus 35 $440,505.17 $1,199,152.97 $819,829.07 —
71287-0219-02
CPT 		Tecartus 35 $440,505.17 $1,199,152.97 $819,829.07 —
71287-0220-02
CPT 		Tecartus 35 $440,505.17 $1,199,152.97 $819,829.07 —
18
CPT 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $8,509.00 $880,254.12 $440,127.06 —
1
CPT 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 17 $8,509.00 $573,513.34 $286,756.67 —
927
CPT 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $8,509.00 $438,476.92 $219,238.46 —
3
CPT 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 20 $8,509.00 $435,941.48 $217,970.74 —
4
CPT 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 19 $8,509.00 $286,732.42 $143,366.21 —
7
CPT 		Lung Transplant 17 $8,509.00 $268,496.64 $134,248.32 —
14
CPT 		Allogeneic Bone Marrow Transplant 18 $8,509.00 $249,631.50 $124,815.75 —
2
CPT 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $8,509.00 $235,748.24 $117,874.12 —
209
CPT 		Complex Aortic Arch Procedures 18 $8,509.00 $235,485.18 $117,742.59 —
426
CPT 		Non-hypovolemic Sodium Disorders 18 $8,509.00 $229,463.28 $114,731.64 —
212
CPT 		Concomitant Aortic And Mitral Valve Procedures 18 $8,509.00 $226,486.70 $113,243.35 —
5
CPT 		Liver Transplant With Mcc Or Intestinal Transplant 17 $8,509.00 $215,082.24 $107,541.12 —
215
CPT 		Other Heart Assist System Implant 18 $8,509.00 $207,929.12 $103,964.56 —
216
CPT 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 18 $8,509.00 $204,404.22 $102,202.11 —
429
CPT 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 $8,509.00 $188,758.44 $94,379.22 —
850
CPT 		Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 18 $8,509.00 $181,674.16 $90,837.08 —
231
CPT 		Coronary Bypass With Ptca With Mcc 18 $8,509.00 $177,028.22 $88,514.11 —
456
CPT 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 18 $8,509.00 $176,491.98 $88,245.99 —
L7181
CPT 		Electronic Elbo Simultaneous 35 $44,640.75 $121,522.03 $83,081.39 nat. median
$50,598
1.6× median
20
CPT 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 18 $8,509.00 $165,674.34 $82,837.17 —
219
CPT 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 18 $8,509.00 $161,819.58 $80,909.79 —
233
CPT 		Coronary Bypass With Cardiac Cath With Comorbity 18 $8,509.00 $161,149.78 $80,574.89 —
957
CPT 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 20 $8,509.00 $160,637.86 $80,318.93 —
A9543
CPT 		Y90 Ibritumomab, Rx 35 $20,367.00 $139,220.15 $79,793.57 nat. median
$62,507
1.3× median
427
CPT 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 $8,509.00 $152,517.54 $76,258.77 —
10
CPT 		Pancreas Transplant 17 $8,509.00 $151,649.46 $75,824.73 —
928
CPT 		Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 18 $8,509.00 $151,588.74 $75,794.37 —
19
CPT 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $8,509.00 $150,817.78 $75,408.89 —
275
CPT 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $8,509.00 $150,732.78 $75,366.39 —
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $8,509.00 $264,332.85 $73,154.70 —
268
CPT 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 18 $8,509.00 $145,623.48 $72,811.74 —
67979-0002-01
CPT 		Supprelin La 35 $38,866.81 $105,804.08 $72,335.45 —
955
CPT 		Craniotomy For Multiple Significant Trauma 18 $8,509.00 $142,652.96 $71,326.48 —
317
CPT 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 $8,509.00 $141,750.48 $70,875.24 —
447
CPT 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 $8,509.00 $141,651.36 $70,825.68 —

Other procedures at this hospital

Browse this hospital's 42,778 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
             
00944-3810-01 CPT Oncaspar 44 35 $39,359.61 $21,647.79 45% off $25,581.65 $69,638.95 $47,610.30 2026-05-09
0238T CPT Catheter Removal Of Plaque From Groin Artery; Accessed Through The Skin Or Open … 44 35 $45,369.33 $24,953.13 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
1 CPT Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 17 17 — — $8,509.00 $573,513.34 $286,756.67 2026-05-09
10 CPT Pancreas Transplant 17 17 — — $8,509.00 $151,649.46 $75,824.73 2026-05-09
11 CPT Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 19 18 — — $8,509.00 $116,812.84 $58,406.42 2026-05-09
113 CPT Orbital Procedures With Complication/comorbity 18 18 — — $8,509.00 $54,023.54 $27,011.77 2026-05-09
12 CPT Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 18 18 — — $8,509.00 $91,759.86 $45,879.93 2026-05-09
13 CPT Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy Without Complicati… 18 18 — — $8,509.00 $64,762.26 $32,381.13 2026-05-09
14 CPT Allogeneic Bone Marrow Transplant 19 18 — — $8,509.00 $249,631.50 $124,815.75 2026-05-09
140 CPT Major Head And Neck Procedures With Mcc 21 20 — — $4,228.58 $92,757.42 $46,378.71 2026-05-09
143 CPT Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 18 18 — — $8,509.00 $82,261.50 $41,130.75 2026-05-09
16 CPT Autologous Bone Marrow Transplant With Complication/comorbity Or T-cell Immunoth… 18 18 — — $8,509.00 $126,436.62 $63,218.31 2026-05-09
163 CPT Major Chest Procedures With Comorbity 19 19 — — $8,509.00 $97,138.30 $48,569.15 2026-05-09
164 CPT Major Chest Procedures With Complication 20 19 — — $8,509.00 $57,522.14 $28,761.07 2026-05-09
166 CPT Other Resp System O.r. Procedures With Comorbity 19 18 — — $8,509.00 $82,081.44 $41,040.72 2026-05-09
17 CPT Autologous Bone Marrow Transplant Without Cc/mcc 18 18 — — $8,509.00 $116,371.70 $58,185.85 2026-05-09
173 CPT Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 18 — — $8,509.00 $66,676.48 $33,338.24 2026-05-09
18 CPT Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 18 — — $8,509.00 $880,254.12 $440,127.06 2026-05-09
19 CPT Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 18 — — $8,509.00 $150,817.78 $75,408.89 2026-05-09
2 CPT Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 17 — — $8,509.00 $235,748.24 $117,874.12 2026-05-09
20 CPT Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 18 18 — — $8,509.00 $165,674.34 $82,837.17 2026-05-09
207 CPT Respiratory System Diagnosis With Ventilator Support >96 Hours 19 18 — — $8,509.00 $136,655.26 $68,327.63 2026-05-09
208 CPT Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 20 — — $8,509.00 $62,068.96 $31,034.48 2026-05-09
209 CPT Complex Aortic Arch Procedures 18 18 — — $8,509.00 $235,485.18 $117,742.59 2026-05-09
21 CPT Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 18 18 — — $8,509.00 $113,569.16 $56,784.58 2026-05-09
212 CPT Concomitant Aortic And Mitral Valve Procedures 18 18 — — $8,509.00 $226,486.70 $113,243.35 2026-05-09
213 CPT Endovascular Abdominal Aorta With Iliac Branch Procedures 18 18 — — $8,509.00 $121,928.26 $60,964.13 2026-05-09
215 CPT Other Heart Assist System Implant 18 18 — — $8,509.00 $207,929.12 $103,964.56 2026-05-09
216 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 18 18 — — $8,509.00 $204,404.22 $102,202.11 2026-05-09
217 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $8,509.00 $139,500.32 $69,750.16 2026-05-09
218 CPT Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 18 — — $8,509.00 $139,500.32 $69,750.16 2026-05-09
219 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 18 18 — — $8,509.00 $161,819.58 $80,909.79 2026-05-09
22 CPT Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 18 18 — — $8,509.00 $70,743.74 $35,371.87 2026-05-09
220 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 18 18 — — $8,509.00 $114,358.30 $57,179.15 2026-05-09
221 CPT Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 18 18 — — $8,509.00 $108,437.56 $54,218.78 2026-05-09
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 14 13 $5,023.92 $2,763.16 45% off $1,433.28 $40,095.27 $26,730.18 2026-05-09
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 15 14 $4,224.48 $2,323.46 45% off $1,735.56 $40,095.27 $26,730.18 2026-05-09
228 CPT Other Cardiothoracic Procedures With Mcc 18 18 — — $8,509.00 $106,559.74 $53,279.87 2026-05-09
229 CPT Other Cardiothoracic Procedures Without Comorbity 18 18 — — $8,509.00 $70,179.16 $35,089.58 2026-05-09
23 CPT Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 21 20 — — $8,509.00 $122,401.74 $61,200.87 2026-05-09
231 CPT Coronary Bypass With Ptca With Mcc 18 18 — — $8,509.00 $177,028.22 $88,514.11 2026-05-09
232 CPT Coronary Bypass With Ptca Without Mcc 18 18 — — $8,509.00 $129,125.82 $64,562.91 2026-05-09
233 CPT Coronary Bypass With Cardiac Cath With Comorbity 18 18 — — $8,509.00 $161,149.78 $80,574.89 2026-05-09
234 CPT Coronary Bypass With Cardiac Cath Without Comorbity 18 18 — — $8,509.00 $116,986.86 $58,493.43 2026-05-09
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 107 35 $15,028.92 $8,265.91 45% off $1,377.06 $42,318.51 $28,932.04 2026-05-09
235 CPT Coronary Bypass Without Cardiac Cath With Comorbity 18 18 — — $8,509.00 $125,200.28 $62,600.14 2026-05-09
236 CPT Coronary Bypass Without Cardiac Cath Without Comorbity 19 18 — — $8,509.00 $91,209.44 $45,604.72 2026-05-09
239 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 19 19 — — $8,509.00 $106,039.72 $53,019.86 2026-05-09
24 CPT Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 18 18 — — $8,509.00 $85,606.36 $42,803.18 2026-05-09
240 CPT Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 19 18 — — $8,509.00 $64,128.92 $32,064.46 2026-05-09
242 CPT Permanent Cardiac Pacemaker Implant With Comorbity 18 18 — — $8,509.00 $71,055.36 $35,527.68 2026-05-09
24371 CPT Revision Of Total Elbow Repair (arthroplasty); Upper Arm And Forearm Components 38 31 $2,536.73 $1,395.20 45% off $15,545.57 $28,932.04 $28,932.04 2026-05-09
245 CPT Aicd Generator Procedures 18 18 — — $8,509.00 $98,769.24 $49,384.62 2026-05-09
25 CPT Craniotomy & Endovascular Intracranial Procedures With Comorbity 21 20 — — $7,843.68 $98,451.56 $49,225.78 2026-05-09
252 CPT Other Vascular Procedures With Comorbity 19 19 — — $7,474.39 $77,034.82 $38,517.41 2026-05-09
253 CPT Other Vascular Procedures With Complication 19 18 — — $8,509.00 $58,970.98 $29,485.49 2026-05-09
25442 CPT Arthroplasty Or Replacement Of The End Of The Forearm Bone On The Small Finger S… 44 35 $6,569.33 $3,613.13 45% off $15,545.57 $42,318.51 $28,932.04 2026-05-09
25446 CPT Arthroplasty Or Replacement Of The Entire Wrist Joint 88 35 $11,195.60 $6,157.58 45% off $15,545.57 $42,318.51 $28,932.04 2026-05-09
255 CPT Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 18 18 — — $8,509.00 $61,030.90 $30,515.45 2026-05-09
258 CPT Cardiac Pacemaker Device Replacement With Mcc 18 18 — — $8,509.00 $70,029.44 $35,014.72 2026-05-09
26 CPT Craniotomy & Endovascular Intracranial Procedures With Complication 20 19 — — $8,509.00 $69,363.68 $34,681.84 2026-05-09
260 CPT Cardiac Pacemaker Revision Except Device Replacement With Comorbity 18 18 — — $8,509.00 $72,269.48 $36,134.74 2026-05-09
263 CPT Vein Ligation & Stripping 18 18 — — $8,509.00 $68,315.50 $34,157.75 2026-05-09
264 CPT Other Circulatory System O.r. Procedures 20 19 — — $8,509.00 $74,046.10 $37,023.05 2026-05-09
265 CPT Aicd Lead Procedures 18 18 — — $8,509.00 $79,663.32 $39,831.66 2026-05-09
266 CPT Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 18 18 — — $8,509.00 $130,457.30 $65,228.65 2026-05-09
267 CPT Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 18 18 — — $8,509.00 $102,783.90 $51,391.95 2026-05-09
268 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 18 18 — — $8,509.00 $145,623.48 $72,811.74 2026-05-09
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 18 18 — — $8,509.00 $91,905.54 $45,952.77 2026-05-09
27 CPT Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 19 18 — — $8,509.00 $57,499.88 $28,749.94 2026-05-09
270 CPT Other Major Cardiovascular Procedures With Comorbity 19 18 — — $8,509.00 $235,818.70 $56,607.52 2026-05-09
271 CPT Other Major Cardiovascular Procedures With Complication 20 19 — — $5,234.63 $78,410.80 $39,205.40 2026-05-09
272 CPT Other Major Cardiovascular Procedures Without Complication/comorbity 18 18 — — $8,509.00 $58,108.98 $29,054.49 2026-05-09
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 107 35 $9,183.20 $5,050.76 45% off $563.40 $42,318.51 $28,932.04 2026-05-09
27295 CPT Amputation Of Leg At Hip 38 31 $2,486.30 $1,367.47 45% off $15,545.57 $28,932.04 $28,932.04 2026-05-09
273 CPT Percutaneous Intracardiac Procedures With Comorbity 18 18 — — $8,509.00 $89,928.58 $44,964.29 2026-05-09
274 CPT Percutaneous Intracardiac Procedures Without Comorbity 18 18 — — $8,509.00 $73,056.60 $36,528.30 2026-05-09
275 CPT Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 18 — — $8,509.00 $150,732.78 $75,366.39 2026-05-09
276 CPT Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 18 — — $8,509.00 $127,992.70 $63,996.35 2026-05-09
277 CPT Cardiac Defibrillator Implant Without Mcc 18 18 — — $8,509.00 $99,904.42 $49,952.21 2026-05-09
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 88 35 $10,617.26 $5,839.49 45% off $24,057.16 $65,488.94 $44,773.05 2026-05-09
278 CPT Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 18 — — $8,509.00 $119,081.16 $59,540.58 2026-05-09
279 CPT Hepatic Coma And Other Major Acute Liver Disorders 18 18 — — $8,509.00 $79,424.58 $39,712.29 2026-05-09
28 CPT Spinal Procedures With Comorbity 18 18 — — $8,509.00 $128,027.10 $64,013.55 2026-05-09
28705 CPT Fusion Of All Bones Of Ankle And Hindfoot 44 35 $13,382.84 $7,360.56 45% off $15,545.57 $42,318.51 $28,932.04 2026-05-09
288 CPT Acute & Subacute Endocarditis With Comorbity 19 18 — — $8,509.00 $61,208.96 $30,604.48 2026-05-09
29 CPT Spinal Procedures With Complication Or Spinal Neurostimulators 19 18 — — $8,509.00 $136,444.76 $37,741.39 2026-05-09
3 CPT Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 21 20 — — $8,509.00 $435,941.48 $217,970.74 2026-05-09
31 CPT Ventricular Shunt Procedures With Comorbity 18 18 — — $8,509.00 $97,111.98 $48,555.99 2026-05-09
317 CPT Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 18 — — $8,509.00 $141,750.48 $70,875.24 2026-05-09
318 CPT Percutaneous Coronary Atherectomy Without Intraluminal Device 18 18 — — $8,509.00 $55,462.26 $27,731.13 2026-05-09
319 CPT Other Endovascular Cardiac Valve Procedures With Mcc 18 18 — — $8,509.00 $96,755.86 $48,377.93 2026-05-09
320 CPT Other Endovascular Cardiac Valve Procedures Without Mcc 18 18 — — $8,509.00 $55,120.24 $27,560.12 2026-05-09
321 CPT Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 18 18 — — $8,509.00 $61,504.42 $30,752.21 2026-05-09
323 CPT Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 18 — — $8,509.00 $94,014.02 $47,007.01 2026-05-09
324 CPT Non-elective Or Complex Hip Joint Replacement 18 18 — — $8,509.00 $70,209.54 $35,104.77 2026-05-09
325 CPT Coronary Intravascular Lithotripsy Without Intraluminal Device 18 18 — — $8,509.00 $71,411.46 $35,705.73 2026-05-09
326 CPT Stomach; Esophageal & Duodenal Proc With Comorbity 19 18 — — $8,509.00 $107,369.12 $53,684.56 2026-05-09
327 CPT Stomach; Esophageal & Duodenal Proc With Complication 18 18 — — $8,509.00 $55,907.44 $27,953.72 2026-05-09
329 CPT Major Small & Large Bowel Procedures With Comorbity 20 18 — — $8,509.00 $99,459.26 $49,729.63 2026-05-09
330 CPT Major Small & Large Bowel Procedures With Complication 19 18 — — $8,509.00 $54,956.36 $27,478.18 2026-05-09
332 CPT Rectal Resection With Comorbity 18 18 — — $8,509.00 $79,713.92 $39,856.96 2026-05-09
33231 CPT Insrt Pulse Gen W/mult Leads 17 16 $7,485.06 $4,116.78 45% off $373.67 $69,573.82 $30,921.70 2026-05-09
33249 CPT Insertion Of Implantable Defibrillator System 21 18 $7,838.71 $4,311.29 45% off $861.99 $75,758.16 $30,921.70 2026-05-09
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 19 18 $10,850.00 $5,967.50 45% off $374.29 $75,758.16 $30,921.70 2026-05-09
33270 CPT Ins/rep Subq Defibrillator 19 18 $39,842.98 $21,913.64 45% off $580.72 $75,758.16 $30,921.70 2026-05-09
33289 CPT Tcat Impl Wrls P-art Prs Snr 19 18 $73,351.82 $40,343.50 45% off $326.91 $69,228.30 $28,256.45 2026-05-09
333 CPT Rectal Resection With Cc 18 18 — — $8,509.00 $53,843.42 $26,921.71 2026-05-09
335 CPT Peritoneal Adhesiolysis With Comorbity 18 18 — — $8,509.00 $78,706.22 $39,353.11 2026-05-09
34 CPT Carotid Artery Stent Procedure With Comorbity 18 18 — — $8,509.00 $84,772.70 $42,386.35 2026-05-09
344 CPT Minor Small & Large Bowel Procedures With Comorbity 18 18 — — $8,509.00 $58,711.96 $29,355.98 2026-05-09
347 CPT Anal & Stomal Procedures With Comorbity 18 18 — — $8,509.00 $52,900.50 $26,450.25 2026-05-09
35 CPT Carotid Artery Stent Procedure With Complication 18 18 — — $8,509.00 $54,820.80 $27,410.40 2026-05-09
350 CPT Inguinal & Femoral Hernia Procedures With Comorbity 18 18 — — $8,509.00 $56,872.62 $28,436.31 2026-05-09
353 CPT Hernia Procedures Except Inguinal & Femoral With Comorbity 18 18 — — $8,509.00 $65,171.00 $32,585.50 2026-05-09
356 CPT Other Digestive System O.r. Procedures With Comorbity 18 18 — — $8,509.00 $95,337.40 $47,668.70 2026-05-09
357 CPT Other Digestive System O.r. Procedures With Complication 19 18 — — $8,509.00 $53,505.52 $26,752.76 2026-05-09
359 CPT Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 18 — — $8,509.00 $76,029.16 $38,014.58 2026-05-09
360 CPT Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 18 18 — — $8,509.00 $55,302.38 $27,651.19 2026-05-09
37 CPT Extracranial Procedures With Comorbity 18 18 — — $8,509.00 $73,064.72 $36,532.36 2026-05-09
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 44 35 $11,846.75 $6,515.71 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 44 35 $11,846.75 $6,515.71 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 44 35 $31,488.81 $17,318.85 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 44 35 $31,488.81 $17,318.85 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 45 35 $35,167.10 $19,341.91 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 45 35 $36,222.11 $19,922.16 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
397 CPT Appendix Procedures With Mcc 18 18 — — $8,509.00 $54,909.80 $27,454.90 2026-05-09
4 CPT Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 20 19 — — $8,509.00 $286,732.42 $143,366.21 2026-05-09
40 CPT Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 18 18 — — $8,509.00 $84,580.44 $42,290.22 2026-05-09
402 CPT Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 18 — — $8,509.00 $87,803.90 $43,901.95 2026-05-09
405 CPT Pancreas; Liver & Shunt Procedures With Comorbity 19 18 — — $8,509.00 $117,144.66 $58,572.33 2026-05-09
406 CPT Pancreas; Liver & Shunt Procedures With Complication 20 19 — — $8,509.00 $65,134.60 $32,567.30 2026-05-09
408 CPT Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Comorbity 18 18 — — $8,509.00 $78,598.98 $39,299.49 2026-05-09
411 CPT Cholecystectomy With C.d.e. With Mcc 18 18 — — $8,509.00 $73,291.32 $36,645.66 2026-05-09
414 CPT Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 18 18 — — $8,509.00 $78,538.26 $39,269.13 2026-05-09
417 CPT Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 19 18 — — $8,509.00 $54,737.84 $27,368.92 2026-05-09
420 CPT Hepatobiliary Diagnostic Procedures With Comorbity 18 18 — — $8,509.00 $75,391.72 $37,695.86 2026-05-09
423 CPT Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 18 18 — — $8,509.00 $90,485.00 $45,242.50 2026-05-09
426 CPT Non-hypovolemic Sodium Disorders 18 18 — — $8,509.00 $229,463.28 $114,731.64 2026-05-09
427 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 18 — — $8,509.00 $152,517.54 $76,258.77 2026-05-09
428 CPT Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 18 — — $8,509.00 $120,210.26 $60,105.13 2026-05-09
429 CPT Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 18 — — $8,509.00 $188,758.44 $94,379.22 2026-05-09
430 CPT Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 18 — — $8,509.00 $123,146.40 $61,573.20 2026-05-09
447 CPT Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 18 — — $8,509.00 $141,651.36 $70,825.68 2026-05-09
448 CPT Multiple Level Spinal Fusion Except Cervical Without Mcc 18 18 — — $8,509.00 $92,261.64 $46,130.82 2026-05-09
450 CPT Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 18 — — $8,509.00 $114,293.58 $57,146.79 2026-05-09
451 CPT Single Level Spinal Fusion Except Cervical Without Mcc 19 18 — — $8,509.00 $71,816.18 $35,908.09 2026-05-09
456 CPT Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 19 18 — — $8,509.00 $176,491.98 $88,245.99 2026-05-09
457 CPT Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 19 18 — — $8,509.00 $127,112.48 $63,556.24 2026-05-09
458 CPT Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 18 18 — — $8,509.00 $90,881.64 $45,440.82 2026-05-09
461 CPT Bilateral Or Multiple Major Joint Procs Of Lower Extremity With Comorbity 18 18 — — $8,509.00 $118,207.02 $59,103.51 2026-05-09
462 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 18 — — $8,509.00 $60,274.14 $30,137.07 2026-05-09
463 CPT Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 19 18 — — $8,509.00 $121,778.48 $60,889.24 2026-05-09
464 CPT Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 19 18 — — $8,509.00 $69,475.00 $34,737.50 2026-05-09
466 CPT Revision Of Hip Or Knee Replacement With Comorbity 19 18 — — $8,509.00 $111,780.38 $55,890.19 2026-05-09
467 CPT Revision Of Hip Or Knee Replacement With Complication 18 18 — — $8,509.00 $77,809.80 $38,904.90 2026-05-09
468 CPT Revision Of Hip Or Knee Replacement Without Complication/comorbity 18 18 — — $8,509.00 $62,054.80 $31,027.40 2026-05-09
469 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 18 18 — — $8,509.00 $67,825.88 $33,912.94 2026-05-09
471 CPT Cervical Spinal Fusion With Comorbity 19 18 — — $8,509.00 $104,157.84 $52,078.92 2026-05-09
472 CPT Cervical Spinal Fusion With Complication 18 18 — — $8,509.00 $66,063.40 $33,031.70 2026-05-09
473 CPT Cervical Spinal Fusion Without Complication/comorbity 18 18 — — $8,509.00 $55,848.74 $27,924.37 2026-05-09
474 CPT Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 18 18 — — $8,509.00 $93,315.90 $46,657.95 2026-05-09
477 CPT Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 19 19 — — $8,509.00 $76,352.88 $38,176.44 2026-05-09
478 CPT Biopsies Of Musculoskeletal System & Connective Tissue With Complication 18 18 — — $8,509.00 $56,210.94 $28,105.47 2026-05-09
480 CPT Hip & Femur Procedures Except Major Joint With Comorbity 19 18 — — $8,509.00 $65,379.42 $32,689.71 2026-05-09
483 CPT Major Joint/limb Reattachment Procedure Of Upper Extremities 18 18 — — $8,509.00 $62,538.44 $31,269.22 2026-05-09
485 CPT Knee Procedures With Pdx Of Infection With Comorbity 18 18 — — $8,509.00 $71,749.44 $35,874.72 2026-05-09
492 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 20 18 — — $8,509.00 $85,307.28 $40,371.94 2026-05-09
493 CPT Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 21 18 — — $8,509.00 $57,767.04 $28,883.52 2026-05-09
495 CPT Local Excision & Removal Int Fix Devices Exc Hip & Femur With Comorbity 18 18 — — $8,509.00 $79,815.08 $39,907.54 2026-05-09
498 CPT Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 18 18 — — $8,509.00 $67,494.00 $33,747.00 2026-05-09
5 CPT Liver Transplant With Mcc Or Intestinal Transplant 17 17 — — $8,509.00 $215,082.24 $107,541.12 2026-05-09
500 CPT Soft Tissue Procedures With Comorbity 19 18 — — $8,509.00 $70,488.78 $35,244.39 2026-05-09
503 CPT Foot Procedures With Mcc 18 18 — — $8,509.00 $62,926.94 $31,463.47 2026-05-09
510 CPT Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity 18 18 — — $8,509.00 $67,568.86 $33,784.43 2026-05-09
515 CPT Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 18 18 — — $8,509.00 $70,935.96 $35,467.98 2026-05-09
518 CPT Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 19 18 — — $8,509.00 $82,073.36 $41,036.68 2026-05-09
521 CPT Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 18 — — $8,509.00 $64,527.52 $32,263.76 2026-05-09
54482-0301-01 CPT Oncaspar 44 35 $32,401.20 $17,820.66 45% off $25,581.65 $69,638.95 $47,610.30 2026-05-09
545 CPT Connective Tissue Disorders With Comorbity 20 19 — — $8,509.00 $56,666.22 $28,333.11 2026-05-09
56 CPT Degenerative Nervous System Disorders With Comorbity 18 18 — — $8,509.00 $53,456.98 $26,728.49 2026-05-09
570 CPT Skin Debridement With Comorbity 18 18 — — $8,509.00 $65,962.22 $32,981.11 2026-05-09
573 CPT Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 18 18 — — $8,509.00 $139,016.74 $69,508.37 2026-05-09
574 CPT Skin Graft For Skin Ulcer Or Cellulitis With Complication 18 18 — — $8,509.00 $76,692.82 $38,346.41 2026-05-09
576 CPT Skin Graft Exc For Skin Ulcer Or Cellulitis With Comorbity 18 18 — — $8,509.00 $105,624.88 $52,812.44 2026-05-09
57665-0002-02 CPT Oncaspar 44 35 $12,554.00 $6,904.70 45% off $25,581.65 $69,638.95 $47,610.30 2026-05-09
577 CPT Skin Graft Exc For Skin Ulcer Or Cellulitis With Complication 18 18 — — $8,509.00 $60,085.94 $30,042.97 2026-05-09
57894-0111-01 CPT Carvykti 132 35 $1,252,975.70 $689,136.64 45% off $528,884.60 $1,439,741.42 $1,013,695.49 2026-05-09
57894-0111-02 CPT Carvykti 88 35 $1,252,974.45 $689,135.95 45% off $528,884.60 $1,439,741.42 $984,313.01 2026-05-09
579 CPT Other Skin; Subcut Tiss & Breast Proc With Comorbity 18 18 — — $8,509.00 $71,980.08 $35,990.04 2026-05-09
6 CPT Liver Transplant Without Mcc 17 17 — — $8,509.00 $100,278.78 $50,139.39 2026-05-09
60923-0509-18 CPT Elevidys 13 13 — $4,224,022.00 $2,995,073.78 $4,991,789.62 $3,327,859.75 2026-05-09
60923-0513-22 CPT Elevidys 13 13 — $4,224,022.00 $2,995,073.78 $4,991,789.62 $3,327,859.75 2026-05-09
60923-0516-25 CPT Elevidys 13 13 — $4,224,022.00 $2,995,073.78 $4,991,789.62 $3,327,859.75 2026-05-09
60923-0518-27 CPT Elevidys 13 13 — $4,224,022.00 $2,995,073.78 $4,991,789.62 $3,327,859.75 2026-05-09
61 CPT Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 19 — — $8,509.00 $62,238.96 $31,119.48 2026-05-09
616 CPT Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 19 18 — — $8,509.00 $77,016.58 $38,508.29 2026-05-09
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 69 35 $7,841.60 $4,312.88 45% off $462.48 $74,476.15 $50,917.37 2026-05-09
61886 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele… 63 35 $9,183.20 $5,050.76 45% off $594.20 $74,476.15 $50,917.37 2026-05-09
619 CPT O.r. Procedures For Obesity With Mcc 18 18 — — $8,509.00 $64,875.58 $32,437.79 2026-05-09
622 CPT Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 18 18 — — $8,509.00 $78,469.48 $39,234.74 2026-05-09
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 64 35 $4,898.40 $2,694.12 45% off $375.60 $43,501.22 $29,740.63 2026-05-09
625 CPT Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity 18 18 — — $8,509.00 $67,560.74 $33,780.37 2026-05-09
628 CPT Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 18 18 — — $8,509.00 $81,860.86 $40,930.43 2026-05-09
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 65 35 $8,545.33 $4,699.93 45% off $352.52 $74,476.15 $50,917.37 2026-05-09
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 56 32 $8,091.20 $4,450.16 45% off $603.41 $73,037.67 $58,866.18 2026-05-09
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 44 35 $10,192.00 $5,605.60 45% off $11,767.60 $74,476.15 $50,917.37 2026-05-09
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 64 35 $4,693.87 $2,581.63 45% off $242.27 $46,822.86 $32,011.54 2026-05-09
650 CPT Kidney Transplant With Hemodialysis With Mcc 18 18 — — $8,509.00 $101,581.92 $50,790.96 2026-05-09
651 CPT Kidney Transplant With Hemodialysis Without Mcc 18 18 — — $8,509.00 $81,435.94 $40,717.97 2026-05-09
652 CPT Kidney Transplant 17 17 — — $8,509.00 $71,797.96 $35,898.98 2026-05-09
653 CPT Major Bladder Procedures With Comorbity 18 18 — — $8,509.00 $111,598.26 $55,799.13 2026-05-09
654 CPT Major Bladder Procedures With Complication 19 18 — — $8,509.00 $63,092.88 $31,546.44 2026-05-09
656 CPT Kidney & Ureter Procedures For Neoplasm With Comorbity 18 18 — — $8,509.00 $70,873.20 $35,436.60 2026-05-09
659 CPT Kidney & Ureter Procedures For Non-neoplasm With Comorbity 18 18 — — $8,509.00 $57,864.14 $28,932.07 2026-05-09
662 CPT Minor Bladder Procedures With Comorbity 18 18 — — $8,509.00 $68,398.48 $34,199.24 2026-05-09
665 CPT Prostatectomy With Comorbity 18 18 — — $8,509.00 $69,606.54 $34,803.27 2026-05-09
668 CPT Transurethral Procedures With Comorbity 18 18 — — $8,509.00 $65,535.24 $32,767.62 2026-05-09
673 CPT Other Kidney & Urinary Tract Procedures With Comorbity 19 19 — — $8,509.00 $91,468.48 $45,734.24 2026-05-09
674 CPT Other Kidney & Urinary Tract Procedures With Complication 19 19 — — $8,509.00 $53,770.60 $26,885.30 2026-05-09
67979-0002-01 CPT Supprelin La 44 35 $93,981.38 $51,689.76 45% off $38,866.81 $105,804.08 $72,335.45 2026-05-09
69930 CPT Insertion Of Cochlear Device 174 35 $10,717.20 $5,894.46 45% off $29,233.25 $79,579.41 $54,406.33 2026-05-09
7 CPT Lung Transplant 17 17 — — $8,509.00 $268,496.64 $134,248.32 2026-05-09
709 CPT Penis Procedures With Cc/mcc 18 18 — — $8,509.00 $53,537.92 $26,768.96 2026-05-09
71287-0119-02 CPT Yescarta 44 35 $895,240.00 $492,382.00 45% off $478,973.02 $1,303,871.01 $891,422.02 2026-05-09
71287-0219-02 CPT Tecartus 44 35 $1,017,610.00 $559,685.50 45% off $440,505.17 $1,199,152.97 $819,829.07 2026-05-09
71287-0220-01 CPT Tecartus 44 35 $848,040.00 $466,422.00 45% off $440,505.17 $1,199,152.97 $819,829.07 2026-05-09
71287-0220-02 CPT Tecartus 44 35 $848,040.00 $466,422.00 45% off $440,505.17 $1,199,152.97 $819,829.07 2026-05-09
71894-0120-02 CPT Zolgensma 13 13 — $3,314,926.08 $2,330,083.12 $3,883,471.88 $2,588,981.25 2026-05-09
71894-0121-03 CPT Zolgensma 13 13 — $3,314,926.08 $2,330,083.12 $3,883,471.88 $2,588,981.25 2026-05-09
71894-0124-04 CPT Zolgensma 13 13 — $3,314,926.08 $2,330,083.12 $3,883,471.88 $2,588,981.25 2026-05-09
71894-0130-06 CPT Zolgensma 13 13 $4,250,040.00 $2,337,522.00 45% off $2,330,083.12 $3,883,471.88 $2,588,981.25 2026-05-09
72694-0954-01 CPT Oncaspar 88 35 $62,905.33 $34,597.93 45% off $25,581.65 $69,638.95 $47,610.30 2026-05-09
73153-0900-01 CPT Breyanzi 88 35 $1,275,252.23 $701,388.73 45% off $505,981.12 $1,377,393.06 $941,687.09 2026-05-09
736 CPT Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy With Comorbity 19 18 — — $8,509.00 $78,779.10 $39,389.55 2026-05-09
739 CPT Uterine; Adnexa Proc For Non-ovarian/adnexal Malig With Comorbity 18 18 — — $8,509.00 $78,947.02 $39,473.51 2026-05-09
749 CPT Other Female Reproductive System O.r. Procedures With Complication/comorbity 18 18 — — $8,509.00 $58,404.44 $29,202.22 2026-05-09
783 CPT Cesarean Section With Sterilization With Comorbity 20 19 — — $8,509.00 $56,128.00 $28,064.00 2026-05-09
790 CPT Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 21 20 — — $2,044.13 $126,715.84 $63,357.92 2026-05-09
791 CPT Prematurity With Major Problems 22 19 — — $8,509.00 $88,582.92 $44,291.46 2026-05-09
792 CPT Prematurity Without Major Problems 22 20 — — $1,714.81 $56,008.60 $28,004.30 2026-05-09
793 CPT Full Term Neonate With Major Problems 23 20 — — $5,071.88 $90,820.92 $45,410.46 2026-05-09
799 CPT Splenectomy With Comorbity 18 18 — — $8,509.00 $98,091.38 $49,045.69 2026-05-09
8 CPT Simultaneous Pancreas And Kidney Transplant 17 17 — — $8,509.00 $119,858.20 $59,929.10 2026-05-09
800 CPT Splenectomy With Complication 19 18 — — $8,509.00 $63,297.24 $31,648.62 2026-05-09
802 CPT Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 18 — — $8,509.00 $87,067.34 $43,533.67 2026-05-09
820 CPT Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 18 18 — — $8,509.00 $125,123.34 $62,561.67 2026-05-09
823 CPT Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 18 18 — — $8,509.00 $99,222.50 $49,611.25 2026-05-09
826 CPT Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 18 18 — — $8,509.00 $101,104.38 $50,552.19 2026-05-09
827 CPT Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Complication 18 18 — — $8,509.00 $53,216.14 $26,608.07 2026-05-09
829 CPT Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 18 — — $8,509.00 $70,391.66 $35,195.83 2026-05-09
834 CPT Acute Leukemia Without Major O.r. Procedure With Comorbity 20 19 — — $8,509.00 $125,412.31 $58,768.62 2026-05-09
837 CPT Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 20 19 — — $8,509.00 $103,664.12 $51,832.06 2026-05-09
840 CPT Lymphoma & Non-acute Leukemia With Comorbity 18 18 — — $8,509.00 $71,907.26 $35,953.63 2026-05-09
846 CPT Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 19 18 — — $8,509.00 $58,908.26 $29,454.13 2026-05-09
849 CPT Radiotherapy 18 18 — — $8,509.00 $61,275.80 $30,637.90 2026-05-09
850 CPT Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 18 18 — — $8,509.00 $181,674.16 $90,837.08 2026-05-09
853 CPT Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 20 18 — — $8,509.00 $106,381.70 $53,190.85 2026-05-09
856 CPT Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 19 18 — — $8,509.00 $98,492.04 $49,246.02 2026-05-09
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 20 19 — — $8,509.00 $264,332.85 $73,154.70 2026-05-09
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 18 18 — — $8,509.00 $84,655.32 $42,327.66 2026-05-09
901 CPT Wound Debridements For Injuries With Comorbity 18 18 — — $8,509.00 $91,367.30 $45,683.65 2026-05-09
904 CPT Skin Grafts For Injuries With Complication/comorbity 18 18 — — $8,509.00 $80,774.24 $40,387.12 2026-05-09
907 CPT Other O.r. Procedures For Injuries With Comorbity 20 19 — — $8,509.00 $84,137.32 $42,068.66 2026-05-09
927 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 18 — — $8,509.00 $438,476.92 $219,238.46 2026-05-09
928 CPT Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 19 18 — — $8,509.00 $151,588.74 $75,794.37 2026-05-09
929 CPT Full Thickness Burn With Skin Graft Or Inhal Inj Without Complication/comorbity 18 18 — — $8,509.00 $71,621.92 $35,810.96 2026-05-09
92930 CPT Prq Tcat Plmt Ntrac St 2+les 44 35 $45,369.33 $24,953.13 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
933 CPT Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 18 — — $8,509.00 $85,248.20 $42,624.10 2026-05-09
93654 CPT Compre Ep Eval Tx Vt 63 35 $12,110.64 $6,660.85 45% off $1,031.88 $63,084.66 $43,129.31 2026-05-09
939 CPT O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 18 — — $8,509.00 $79,871.76 $39,935.88 2026-05-09
94 CPT Bacterial & Tuberculous Infections Of Nervous System With Comorbity 18 18 — — $8,509.00 $77,664.14 $38,832.07 2026-05-09
940 CPT O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication 18 18 — — $8,509.00 $53,736.20 $26,868.10 2026-05-09
95 CPT Bacterial & Tuberculous Infections Of Nervous System With Complication 18 18 — — $8,509.00 $58,639.14 $29,319.57 2026-05-09
955 CPT Craniotomy For Multiple Significant Trauma 19 18 — — $8,509.00 $142,652.96 $71,326.48 2026-05-09
956 CPT Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 19 18 — — $8,509.00 $82,593.38 $41,296.69 2026-05-09
957 CPT Other O.r. Procedures For Multiple Significant Trauma With Comorbity 21 20 — — $8,509.00 $160,637.86 $80,318.93 2026-05-09
958 CPT Other O.r. Procedures For Multiple Significant Trauma With Complication 20 18 — — $8,509.00 $91,717.32 $45,858.66 2026-05-09
959 CPT Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 18 18 — — $8,509.00 $66,022.92 $33,011.46 2026-05-09
96 CPT Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb… 19 18 — — $8,509.00 $58,639.14 $29,319.57 2026-05-09
963 CPT Other Multiple Significant Trauma With Comorbity 19 18 — — $8,509.00 $61,767.46 $30,883.73 2026-05-09
969 CPT HIV With Extensive O.r. Procedures With Mcc 18 18 — — $8,509.00 $130,313.62 $65,156.81 2026-05-09
97 CPT Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 18 18 — — $8,509.00 $79,533.84 $39,766.92 2026-05-09
970 CPT HIV With Extensive O.r. Procedures Without Mcc 18 18 — — $8,509.00 $59,816.80 $29,908.40 2026-05-09
974 CPT HIV With Major Related Condition With Comorbity 19 18 — — $8,509.00 $64,847.24 $32,423.62 2026-05-09
981 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 20 18 — — $8,509.00 $101,387.64 $50,693.82 2026-05-09
982 CPT Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 18 18 — — $8,509.00 $56,196.76 $28,098.38 2026-05-09
987 CPT Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 19 18 — — $8,509.00 $75,822.76 $37,911.38 2026-05-09
A9543 CPT Y90 Ibritumomab, Rx 45 35 $48,667.50 $26,767.13 45% off $20,367.00 $139,220.15 $79,793.57 2026-05-09
C1767 CPT Generator; Neurostimulator (implantable); Non-rechargeable 3 3 $68,874.50 $37,880.97 45% off $12,655.05 $65,931.45 $40,577.00 2026-05-09
C2616 CPT Brachytherapy Source; Non-stranded; Yttrium-90; Per Source 88 35 $41,210.00 $22,665.50 45% off $15,915.54 $43,325.63 $29,620.58 2026-05-09
C8005 CPT Pef Bronch Ablt 3d Nav Ebus 44 35 $17,500.00 $9,625.00 45% off $15,261.87 $41,546.19 $28,404.03 2026-05-09
C9602 CPT Perc D-e Cor Stent Ather S 88 35 $11,657.70 $6,411.73 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
C9607 CPT Perc D-e Cor Revasc Chro Sin 44 35 $12,114.15 $6,662.78 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
C9765 CPT Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 44 35 $41,768.28 $22,972.55 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
C9767 CPT Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 44 35 $15,407.60 $8,474.18 45% off $16,252.93 $44,244.08 $30,248.51 2026-05-09
L2006 CPT Kaf Sng/dbl Swg/stn Mcpr Cus 44 35 $94,605.93 $52,033.26 45% off $35,573.06 $96,837.77 $66,205.41 2026-05-09
L5856 CPT Elec Knee-shin Swing/stance 44 35 $45,107.00 $24,808.85 45% off $26,745.48 $72,807.14 $49,776.31 2026-05-09
L5858 CPT Stance Phase Only 44 35 $34,921.00 $19,206.55 45% off $20,706.22 $56,366.93 $38,536.57 2026-05-09
L7181 CPT Electronic Elbo Simultaneous 44 35 $75,288.00 $41,408.40 45% off $44,640.75 $121,522.03 $83,081.39 2026-05-09
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