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

WESTFIELD MEMORIAL HOSPITAL, INC

Westfield, NY · CCN 330166 · Rates published

25,505 distinct procedures filed
33 distinct payers
2,321,696 rate rows
2026-04-14 last MRF observed
Data quality

2,233,132 of 2,321,696 rate rows are consumer-grade (96.2%)

88,564 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 60,164
exceeds 10× this hospital's gross charge — excluded from medians 24,454
template filing: same amount across many unrelated codes — excluded 2,868
placeholder amount (≤ $0.02) — excluded from medians 1,058
per-diem day rate — not a per-procedure price 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ahn.org/content/dam/ahn/en/dmxahn/documents/patients-visitors/patients/financial-services/hospital-charges/160743222_westfield-memorial-hospital-inc_standardcharges.csv
Found on page https://www.ahn.org/patients-visitors/patients/financial-services/hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 8a2d6867c2d2925f… · 207,103,347 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
J3391
HCPCS 		Pr Injection, Atidarsagene Autotemcel, Per Treatment 11 $3,180,691.50 $4,771,475.00 $4,508,825.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Pr Inj, Beqvez, Per Tx Dose 11 $2,695,686.00 $4,978,505.00 $3,911,250.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Pr Inj, Hemgenix, Per Tx Dose 11 $2,677,714.76 $4,978,505.00 $3,887,956.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Pr Inj Delandistrogene Mox Rokl 11 $2,415,633.94 $4,551,776.00 $3,507,423.35 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Pr Inj, Lovotibeglogene Autotem 11 $2,369,700.54 $4,945,518.72 $3,467,618.15 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Pr Inj, Betibeglogene Autotemce 11 $2,143,968.93 $4,474,421.26 $3,134,663.94 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Pr Inj Onase Abepar-xioi Treat 11 $1,781,707.19 $4,708,061.95 $2,554,248.40 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Pr Inj, Exagamglogene Autotem 11 $1,694,431.20 $4,837,734.00 $2,468,400.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Pr Afamitresgene Autoleucel 14 $559,932.49 $1,819,896.19 $815,694.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Pr Ciltacabtagene Car-pos T 14 $402,085.06 $1,306,859.44 $603,182.92 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Pr Tisagenlecleucel Car-pos T 14 $420,210.64 $1,365,771.33 $595,674.32 nat. median
$753,246
0.8× median
Q2054
HCPCS 		Pr Lisocabtagene Mara Car Pos T 14 $393,552.47 $1,279,126.77 $590,382.87 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Pr Idecabtagene Vicleucel Car 14 $393,279.84 $1,278,240.67 $589,973.89 nat. median
$625,184
0.9× median
C9301
HCPCS 		Pr Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$459,112
1.3× median
Q2041
HCPCS 		Pr Axicabtagene Ciloleucel Car+ 14 $387,333.37 $1,258,913.41 $549,068.77 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Pr Brexucabtagene Car Pos T 14 $355,830.55 $1,156,522.75 $504,411.60 nat. median
$619,808
0.8× median
Q2058
HCPCS 		Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 11 $196,454.48 $638,517.60 $290,653.12 nat. median
$324,450
0.9× median
Q0480
HCPCS 		Pr Driver Pneumatic Vad, Rep 11 $54,707.31 $250,615.19 $106,120.93 nat. median
$111,989
0.9× median
K1007
HCPCS 		Pr Bil Hkaf Pc S/d Micro Sensor 11 $56,439.80 $220,140.56 $95,583.53 nat. median
$96,983
1.0× median
J7330
HCPCS 		Pr Cultured Chondrocytes Implnt 4 $61,878.30 $86,291.72 $73,852.28 nat. median
$76,329
1.0× median
J9029
HCPCS 		Pr Instill Adstiladrin, Tx Dose 15 $46,089.00 $149,798.77 $68,822.70 nat. median
$69,774
1.0× median
L8702
HCPCS 		Pr Pow Ue Rom Dev Ewhf Uprt Cus 11 $40,840.48 $159,296.20 $67,452.66 nat. median
$70,825
1.0× median
A9543
HCPCS 		Pr Y90 Ibritumomab, Rx 12 $41,288.72 $134,196.85 $64,047.41 nat. median
$62,507
1.0× median
J9029
EAPG 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $62,338.71 $62,338.71 $62,338.71 nat. median
$17,113
outlier · 3.6×
Q2043
HCPCS 		Pr Sipuleucel-t Auto Cd54+ 15 $40,650.34 $132,122.01 $60,701.38 nat. median
$66,682
0.9× median
0424T
CPT 		Pr Insj/rplc Nstim System Sleep Apnea Complete 1 $53,680.50 $53,680.50 $53,680.50 nat. median
$24,752
outlier · 2.2×
J9226
HCPCS 		Supprelin La Implant 15 $33,104.18 $107,595.42 $49,751.95 nat. median
$60,368
0.8× median
90288
CPT 		Pr Botulism Immune Globulin Human Intravenous Use 8 $10.50 $70,421.70 $48,705.00 nat. median
$55,037
0.9× median
90288
EAPG 		Botulism Immune Globulin, Human, For Intravenous Use 1 $48,705.00 $48,705.00 $48,705.00 nat. median
$11,904
outlier · 4.1×
L7181
HCPCS 		Pr Electronic Elbo Simultaneous 11 $24,338.29 $111,494.14 $47,211.27 nat. median
$50,598
0.9× median
J9226
EAPG 		Histrelin Implant (Supprelin La), 50 Mg 1 $44,622.90 $44,622.90 $44,622.90 nat. median
$17,113
outlier · 2.6×
C1722
HCPCS 		Pr Aicd, Single Chamber 1 $26,510.21 $42,845.60 $42,845.60 nat. median
$20,770
outlier · 2.1×
L7180
HCPCS 		Pr Electronic Elbow Sequential 11 $21,603.95 $98,968.07 $41,907.21 nat. median
$49,027
0.9× median
G0298
HCPCS 		Pr HIV Combination Assay 1 $41,000.00 $41,000.00 $41,000.00 nat. median
$5,841
outlier · 7.0×
0674T
CPT 		Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 10 $18,394.83 $69,237.56 $37,864.29 nat. median
$25,200
1.5× median
L2006
HCPCS 		Pr Kaf Sng/dbl Swg/stn Mcpr Cus 11 $20,536.69 $89,335.10 $37,828.21 nat. median
$39,823
0.9× median
L8701
HCPCS 		Pr Pow Ue Rom Dev Ewh Uprt Cust 11 $20,758.16 $80,966.13 $34,284.44 nat. median
$35,999
1.0× median
C9760
HCPCS 		Pr Non-blind Interatrial Shunt 10 $16,600.18 $62,482.54 $34,007.43 nat. median
$28,405
1.2× median
J9266
HCPCS 		Pr Pegaspargase/singl Dose Vial 15 $20,652.92 $67,126.26 $31,039.07 nat. median
$34,109
0.9× median
L6700
HCPCS 		Pr Terminal Device Model #3 11 $21,021.67 $68,324.77 $29,799.51 nat. median
$30,667
1.0× median
0431T
CPT 		Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 1 $28,653.87 $28,653.87 $28,653.87 nat. median
$18,872
1.5× median
0427T
CPT 		Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 1 $28,653.87 $28,653.87 $28,653.87 nat. median
$15,886
1.8× median
0250-1402-1405
EAPG 		Cochlear Device Implantation 2 $27,219.32 $61,243.46 $28,580.28 nat. median
$28,580
1.0× median
L5856
HCPCS 		Pr Elec Knee-shin Swing/stance 11 $14,581.71 $66,799.08 $28,285.52 nat. median
$30,273
0.9× median
L6880
HCPCS 		Pr Hand Bock Vo 11 $14,512.86 $66,483.67 $28,151.96 nat. median
$30,168
0.9× median
0960T
CPT 		Pr Rpl S-sclp Eltr Ra Rcvr&tlmt 10 $13,582.02 $51,122.29 $27,957.50 nat. median
$23,176
1.2× median
0956T
CPT 		Pr Prt Crn Ch Cr&tun Elt S-sclp 10 $13,582.02 $51,122.29 $27,957.50 nat. median
$23,176
1.2× median
0916T
CPT 		Pr Insertion Perm Ccm-d System Pulse Generator Only 10 $13,549.24 $50,998.89 $27,890.02 nat. median
$23,439
1.2× median
0923T
CPT 		Pr Rmvl&rplcmt Permanent Ccm-d Pulse Generator Only 10 $13,549.24 $50,998.89 $27,890.02 nat. median
$22,482
1.2× median
0414T
CPT 		Pr Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only 11 $370.21 $50,998.89 $27,624.40 nat. median
$22,718
1.2× median

Other procedures at this hospital

Browse this hospital's 25,505 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Pr Injection, Atidarsagene Autotemcel, Per Treatment 46 11 — — $3,180,691.50 $4,771,475.00 $4,508,825.00 2026-04-14
J1414 HCPCS Pr Inj, Beqvez, Per Tx Dose 76 11 — — $2,695,686.00 $4,978,505.00 $3,911,250.00 2026-04-14
J1411 HCPCS Pr Inj, Hemgenix, Per Tx Dose 76 11 — — $2,677,714.76 $4,978,505.00 $3,887,956.33 2026-04-14
J1413 HCPCS Pr Inj Delandistrogene Mox Rokl 76 11 — — $2,415,633.94 $4,551,776.00 $3,507,423.35 2026-04-14
J3394 HCPCS Pr Inj, Lovotibeglogene Autotem 80 11 — — $2,369,700.54 $4,945,518.72 $3,467,618.15 2026-04-14
J3393 HCPCS Pr Inj, Betibeglogene Autotemce 80 11 — — $2,143,968.93 $4,474,421.26 $3,134,663.94 2026-04-14
J3399 HCPCS Pr Inj Onase Abepar-xioi Treat 84 11 — — $1,781,707.19 $4,708,061.95 $2,554,248.40 2026-04-14
J3392 HCPCS Pr Inj, Exagamglogene Autotem 88 11 — — $1,694,431.20 $4,837,734.00 $2,468,400.00 2026-04-14
Q2057 HCPCS Pr Afamitresgene Autoleucel 100 14 — — $559,932.49 $1,819,896.19 $815,694.00 2026-04-14
Q2056 HCPCS Pr Ciltacabtagene Car-pos T 106 14 — — $402,085.06 $1,306,859.44 $603,182.92 2026-04-14
Q2042 HCPCS Pr Tisagenlecleucel Car-pos T 106 14 — — $420,210.64 $1,365,771.33 $595,674.32 2026-04-14
Q2054 HCPCS Pr Lisocabtagene Mara Car Pos T 106 14 — — $393,552.47 $1,279,126.77 $590,382.87 2026-04-14
Q2055 HCPCS Pr Idecabtagene Vicleucel Car 106 14 — — $393,279.84 $1,278,240.67 $589,973.89 2026-04-14
C9301 HCPCS Pr Obecabtagene Car Pos T 22 1 — — $589,050.00 $589,050.00 $589,050.00 2026-04-14
Q2041 HCPCS Pr Axicabtagene Ciloleucel Car+ 106 14 — — $387,333.37 $1,258,913.41 $549,068.77 2026-04-14
Q2053 HCPCS Pr Brexucabtagene Car Pos T 106 14 — — $355,830.55 $1,156,522.75 $504,411.60 2026-04-14
Q2058 HCPCS Pr Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cell… 68 11 — — $196,454.48 $638,517.60 $290,653.12 2026-04-14
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 96 11 — — $54,707.31 $250,615.19 $106,120.93 2026-04-14
K1007 HCPCS Pr Bil Hkaf Pc S/d Micro Sensor 96 11 — — $56,439.80 $220,140.56 $95,583.53 2026-04-14
J7330 HCPCS Pr Cultured Chondrocytes Implnt 38 4 — — $61,878.30 $86,291.72 $73,852.28 2026-04-14
J9029 HCPCS Pr Instill Adstiladrin, Tx Dose 108 15 — — $46,089.00 $149,798.77 $68,822.70 2026-04-14
L8702 HCPCS Pr Pow Ue Rom Dev Ewhf Uprt Cus 96 11 — — $40,840.48 $159,296.20 $67,452.66 2026-04-14
A9543 HCPCS Pr Y90 Ibritumomab, Rx 120 12 — — $41,288.72 $134,196.85 $64,047.41 2026-04-14
J9029 EAPG Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 8 1 — — $62,338.71 $62,338.71 $62,338.71 2026-04-14
Q2043 HCPCS Pr Sipuleucel-t Auto Cd54+ 108 15 — — $40,650.34 $132,122.01 $60,701.38 2026-04-14
0424T CPT Pr Insj/rplc Nstim System Sleep Apnea Complete 4 1 — — $53,680.50 $53,680.50 $53,680.50 2026-04-14
J9226 HCPCS Supprelin La Implant 108 15 — — $33,104.18 $107,595.42 $49,751.95 2026-04-14
90288 EAPG Botulism Immune Globulin, Human, For Intravenous Use 8 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-14
90288 CPT Pr Botulism Immune Globulin Human Intravenous Use 70 8 — — $10.50 $70,421.70 $48,705.00 2026-04-14
L7181 HCPCS Pr Electronic Elbo Simultaneous 96 11 — — $24,338.29 $111,494.14 $47,211.27 2026-04-14
J9226 EAPG Histrelin Implant (Supprelin La), 50 Mg 8 1 — — $44,622.90 $44,622.90 $44,622.90 2026-04-14
C1722 HCPCS Pr Aicd, Single Chamber 8 1 — — $26,510.21 $42,845.60 $42,845.60 2026-04-14
L7180 HCPCS Pr Electronic Elbow Sequential 96 11 — — $21,603.95 $98,968.07 $41,907.21 2026-04-14
G0298 HCPCS Pr HIV Combination Assay 2 1 — — $41,000.00 $41,000.00 $41,000.00 2026-04-14
0674T CPT Pr Laps Insj New/rplcmt Perm Isdss Agmntj Car Funcj 60 10 — — $18,394.83 $69,237.56 $37,864.29 2026-04-14
L2006 HCPCS Pr Kaf Sng/dbl Swg/stn Mcpr Cus 96 11 — — $20,536.69 $89,335.10 $37,828.21 2026-04-14
L8701 HCPCS Pr Pow Ue Rom Dev Ewh Uprt Cust 96 11 — — $20,758.16 $80,966.13 $34,284.44 2026-04-14
C9760 HCPCS Pr Non-blind Interatrial Shunt 64 10 — — $16,600.18 $62,482.54 $34,007.43 2026-04-14
J9266 HCPCS Pr Pegaspargase/singl Dose Vial 108 15 — — $20,652.92 $67,126.26 $31,039.07 2026-04-14
L6700 HCPCS Pr Terminal Device Model #3 90 11 — — $21,021.67 $68,324.77 $29,799.51 2026-04-14
0427T CPT Pr Insj/rplc Nstim System Sleep Apnea Pls Generator 4 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0431T CPT Pr Rmvl/rplc Nstim System Sleep Apnea Pls Generator 4 1 — — $28,653.87 $28,653.87 $28,653.87 2026-04-14
0250-1402-1405 EAPG Cochlear Device Implantation 6 2 — — $27,219.32 $61,243.46 $28,580.28 2026-04-14
L5856 HCPCS Pr Elec Knee-shin Swing/stance 96 11 — — $14,581.71 $66,799.08 $28,285.52 2026-04-14
L6880 HCPCS Pr Hand Bock Vo 96 11 — — $14,512.86 $66,483.67 $28,151.96 2026-04-14
0956T CPT Pr Prt Crn Ch Cr&tun Elt S-sclp 60 10 — — $13,582.02 $51,122.29 $27,957.50 2026-04-14
0960T CPT Pr Rpl S-sclp Eltr Ra Rcvr&tlmt 60 10 — — $13,582.02 $51,122.29 $27,957.50 2026-04-14
0916T CPT Pr Insertion Perm Ccm-d System Pulse Generator Only 60 10 — — $13,549.24 $50,998.89 $27,890.02 2026-04-14
0923T CPT Pr Rmvl&rplcmt Permanent Ccm-d Pulse Generator Only 60 10 — — $13,549.24 $50,998.89 $27,890.02 2026-04-14
0409T CPT Pr Insj/rplc Cardiac Modulj Sys Pls Generator Only 78 11 — — $350.25 $50,998.89 $27,624.40 2026-04-14
0414T CPT Pr Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only 78 11 — — $370.21 $50,998.89 $27,624.40 2026-04-14
0817T CPT Pr Open Insj/rplcmt Integrated Nstimj Sys Ptn Subf 60 10 — — $12,944.52 $48,722.75 $26,645.26 2026-04-14
0680T CPT Pr Insj/rplcmt Pulse Generator Only Isdss 60 10 — — $12,944.52 $48,722.75 $26,645.26 2026-04-14
J9266 EAPG Injection, Pegaspargase, Per Single Dose Vial 8 1 — — $26,636.38 $26,636.38 $26,636.38 2026-04-14
C1721 HCPCS Pr Aicd, Dual Chamber 8 1 — — $25,458.44 $26,400.00 $26,400.00 2026-04-14
0816T CPT Pr Open Insj/rplcmt Integrated Nstimj Sys Ptn Subq 74 11 — — $99.25 $48,722.75 $26,391.49 2026-04-14
J9600 HCPCS Pr Porfimer Sodium 98 12 — — $17,604.37 $57,217.84 $26,168.41 2026-04-14
0614T CPT Pr Rmvl&rplcmt Substernal Impltbl Defibrillator Pg 100 11 — — $317.38 $50,998.89 $25,632.25 2026-04-14
0515T CPT Pr Insertion Wrls Car Stimulator Lv Pacg Compl Sys 100 11 — — $244.45 $50,998.89 $25,632.25 2026-04-14
T1999 HCPCS Pr Noc Retail Items Andsupplies 4 1 — — $24,000.00 $24,000.00 $24,000.00 2026-04-14
J9600 EAPG Injection, Porfimer Sodium, 75 Mg 8 1 — — $23,789.46 $23,789.46 $23,789.46 2026-04-14
0801T CPT Pr Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm 2chmbr Sys 60 10 — — $11,511.96 $43,330.65 $23,696.45 2026-04-14
0802T CPT Pr Tcat Rmvl&rplcmt Perm 2chmbr Ldls Pm R Atr Cmpnt 60 10 — — $11,511.96 $43,330.65 $23,696.45 2026-04-14
0825T CPT Pr Tcat Rmvl&rplcmt Perm 1chmbr Ldls Pm R Atrial 60 10 — — $11,511.96 $43,330.65 $23,696.45 2026-04-14
0803T CPT Pr Tcat Rmvl&rplcmt Prm 2chmbr Ldls Pm R Vntr Cmpnt 60 10 — — $11,511.96 $43,330.65 $23,696.45 2026-04-14
0525T CPT Pr Insertion/replacement Complete Iims 78 11 — — $410.06 $43,330.65 $23,470.77 2026-04-14
L8614 HCPCS Pr Cochlear Device 96 11 — — $12,065.52 $55,272.37 $23,404.63 2026-04-14
C8003 HCPCS Pr Imp Extar Knee Shck Absrb 60 10 — — $11,100.82 $41,783.14 $22,850.15 2026-04-14
C9797 HCPCS Pr Vasc Emb/occ W/prs Cath 60 10 — — $10,839.25 $40,798.59 $22,311.73 2026-04-14
0981T CPT Pr Tcat Impl Wrls Ivc Snr 60 10 — — $10,839.25 $40,798.59 $22,311.73 2026-04-14
C9767 HCPCS Pr Revasc Lithotrip-stent-ather 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9775 HCPCS Pr Revasc Lith-sten-ath Tib/per 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9602 HCPCS Pr Perc D-e Cor Stent Ather S 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9607 HCPCS Pr Perc D-e Cor Revasc Chro Sin 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9774 HCPCS Pr Revasc Lithotr-ather Tib/per 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9765 HCPCS Pr Revasc Intra Lithotrip-stent 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9766 HCPCS Pr Revasc Intra Lithotrip-ather 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
C9773 HCPCS Pr Revasc Lithotr-stent Tib/per 64 10 — — $10,839.25 $40,798.59 $22,205.48 2026-04-14
0645T CPT Pr Tcat Implantation Coronary Sinus Reduction Dev 78 11 — — $1,070.15 $40,798.59 $22,099.23 2026-04-14
0793T CPT Pr Perq Tcat Thrm Abltj Nerves Innervating P-art 74 11 — — $532.52 $40,798.59 $22,099.23 2026-04-14
0238T CPT Pr Trluml Peripheral Atherectomy Iliac Artery Ea 78 11 $11,180.00 $2,459.60 78% off $1,455.21 $40,798.59 $22,099.23 2026-04-14
Q0483 HCPCS Pr Monitor Elec Vad, Rep 96 11 — — $11,388.88 $52,172.66 $22,092.08 2026-04-14
L5858 HCPCS Pr Stance Phase Only 96 11 — — $11,289.08 $51,715.50 $21,898.50 2026-04-14
0888T CPT Pr Histotripsy Malignant Renal Tissue W/img Gdn 60 10 — — $10,563.86 $39,762.03 $21,744.86 2026-04-14
C8005 HCPCS Pr Pef Bronch Ablt 3d Nav Ebus 60 10 — — $10,563.86 $39,762.03 $21,744.86 2026-04-14
C9782 HCPCS Pr Blind Myocar Trpl Bon Marrow 64 10 — — $10,563.86 $39,762.03 $21,641.32 2026-04-14
0686T CPT Pr Histotripsy Mal Hepatocellular Tiss W/img Gdn 64 10 — — $10,563.86 $39,762.03 $21,641.32 2026-04-14
C9758 HCPCS Pr Interatrial Shunt Ide 64 10 — — $10,563.86 $39,762.03 $21,641.32 2026-04-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 68 11 — — $6,756.68 $39,727.04 $21,518.81 2026-04-14
0775T CPT Pr Arthrd Si Jt Perq Img Gdn Incl Plmt Iartic Implt 4 1 — — $21,372.08 $21,372.08 $21,372.08 2026-04-14
L6975 HCPCS Pr Interscap-thor Myoelectronic 96 11 — — $10,940.60 $50,119.08 $21,222.51 2026-04-14
L5973 HCPCS Pr Ank-foot Sys Dors-plant Flex 96 11 — — $10,634.34 $48,716.10 $20,628.43 2026-04-14
0632T CPT Pr Perq Tcat US Ablation Nerves Innervating P-art 100 11 — — $559.14 $40,798.59 $20,505.54 2026-04-14
0915T CPT Pr Insj Perm Ccm-d Sys Pg&dual Transvns Eltrds/lds 2 1 $2,509.00 $551.98 78% off $19,353.39 $19,353.39 $19,353.39 2026-04-14
L6970 HCPCS Pr Interscapular-thor Switch CT 96 11 — — $9,909.84 $45,397.20 $19,223.07 2026-04-14
Q0489 HCPCS Pr Pwr Pck Base Combo Vad, Rep 96 11 — — $9,873.54 $45,230.83 $19,152.62 2026-04-14
0308T CPT Pr Insj Oc Tlscp Prosth Rmvl Crystalline/io Lens 100 11 — — $897.75 $37,298.99 $18,746.63 2026-04-14
J7310 HCPCS Pr Ganciclovir Long Act Implant 14 3 — — $4,590.00 $26,515.20 $17,920.00 2026-04-14
L6965 HCPCS Pr Shldr Disartic Myoelectronic 96 11 — — $9,220.18 $42,237.81 $17,885.25 2026-04-14
93590 CPT Pr Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 88 12 $2,947.00 $648.34 78% off $859.88 $25,964.48 $17,655.85 2026-04-14
0618T CPT Pr Insj Iris Prosth Secondary Io Lens Plmt/exchange 4 1 — — $17,655.82 $17,655.82 $17,655.82 2026-04-14
0617T CPT Pr Insj Iris Prosth Rmvl Crystln Lens &insj Io Lens 4 1 — — $17,655.82 $17,655.82 $17,655.82 2026-04-14
0616T CPT Pr Insj Iris Prosth W/suture Fixation&rpr/rmvl Iris 4 1 — — $17,655.82 $17,655.82 $17,655.82 2026-04-14
0224-1402-1405 EAPG Level IV Nerve Procedure W Or Without Neurological Device 6 2 — — $16,665.00 $37,496.25 $17,498.25 2026-04-14
Q0481 HCPCS Pr Microprcsr Cu Elec Vad, Rep 96 11 — — $8,826.38 $40,433.78 $17,121.35 2026-04-14
L5859 HCPCS Pr Knee-shin Pro Flex/ext Cont 96 11 — — $8,813.29 $40,373.87 $17,095.98 2026-04-14
0337-1402-1405 EAPG Level Iii Brachytherapy Sources 6 2 — — $16,189.26 $36,425.84 $16,998.73 2026-04-14
C2619 HCPCS Pr Pmkr, Dual, Non Rate-resp 6 1 — — $16,907.03 $16,907.03 $16,907.03 2026-04-14
E0766 HCPCS Pr Elec Stim Cancer Treatment 194 10 — — $8,281.01 $167,863.16 $16,786.32 2026-04-14
93591 CPT Pr Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 86 12 $2,443.00 $537.46 78% off $707.78 $23,161.70 $16,765.34 2026-04-14
3030-1402-1405 EAPG Spinal Implantation Of Drug Infusion Device 6 2 — — $15,966.89 $35,925.51 $16,765.24 2026-04-14
64896-1402-1405 EAPG Nerve Graft Hand/foot >4 Cm 6 2 — — $15,966.89 $35,925.51 $16,765.24 2026-04-14
22515-1402-1405 EAPG Perq Vertebral Augmentation 6 2 — — $15,966.89 $35,925.51 $16,765.24 2026-04-14
0737T CPT Pr Xenograft Implantation Into Articular Surface 60 10 — — $7,766.82 $29,234.07 $15,987.38 2026-04-14
C9781 HCPCS Pr Arthro/shoul Surg; W/spacer 64 10 — — $7,766.82 $29,234.07 $15,911.25 2026-04-14
C9757 HCPCS Pr Spine Device Implant Surgery 64 10 — — $7,766.82 $29,234.07 $15,911.25 2026-04-14
C9734 HCPCS Pr U/s Trtmt, Not Leiomyomata 64 10 — — $7,766.82 $29,234.07 $15,911.25 2026-04-14
L6960 HCPCS Pr Shldr Disartic Switch Contro 96 11 — — $8,049.07 $36,872.89 $15,613.52 2026-04-14
0795T CPT Pr Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys 4 1 $2,040.00 $448.80 78% off $11,511.96 $19,697.39 $15,604.67 2026-04-14
0823T CPT Pr Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 4 1 $1,986.00 $436.92 78% off $11,511.96 $19,697.39 $15,604.67 2026-04-14
0675T CPT Pr Laps Insj New/rplcmt Lead Perm Isdss 1st Lead 60 10 — — $7,527.48 $28,333.18 $15,494.71 2026-04-14
0784T CPT Pr Insj/rplcmt Perq Eltrd Ra Spi W/integrated Nstim 74 11 — — $1,660.53 $28,333.18 $15,347.14 2026-04-14
61715 CPT Pr Mrgfus Stereotactic Ablation Target Intracranial 76 12 $3,391.00 $746.02 78% off $960.32 $28,333.18 $15,347.14 2026-04-14
L6955 HCPCS Pr Above Elbow Myoelectronic CT 96 11 — — $7,581.64 $34,731.63 $14,706.82 2026-04-14
0627T CPT Pr Perq Njx Algc Cell &/prdct Uni/bi Fluor Lmbr 1st 100 11 — — $265.77 $29,234.07 $14,693.17 2026-04-14
0629T CPT Pr Perq Njx Algc Cell&/prdct Uni/bi CT Lmbr 1st 100 11 — — $239.24 $29,234.07 $14,693.17 2026-04-14
55882 CPT Pr Ablt Trurl Prst8 Tis Thrm US Ins Trurl US Trnsdc 72 12 $1,679.00 $369.38 78% off $488.11 $16,758.43 $14,221.60 2026-04-14
Q0479 HCPCS Pr Power Module Combo Vad, Rep 96 11 — — $7,293.95 $33,413.74 $14,148.77 2026-04-14
C8004 HCPCS Pr Sim Ang W/prs Cath Rad Emb 60 10 — — $6,845.53 $25,766.36 $14,090.98 2026-04-14
Q0488 HCPCS Pr Pwr Pack Base Elec Vad, Rep 22 1 — — $14,076.99 $14,076.99 $14,076.99 2026-04-14
C9604 HCPCS Pr Perc D-e Cor Revasc T Cabg S 64 10 — — $6,845.53 $25,766.36 $14,023.88 2026-04-14
C9783 HCPCS Pr Blind Cor Sinus Reducer Impl 64 10 — — $6,845.53 $25,766.36 $14,023.88 2026-04-14
C9772 HCPCS Pr Revasc Lithotrip Tibi/perone 64 10 — — $6,845.53 $25,766.36 $14,023.88 2026-04-14
C9764 HCPCS Pr Revasc Intravasc Lithotripsy 64 10 — — $6,845.53 $25,766.36 $14,023.88 2026-04-14
C9600 HCPCS Pr Perc Drug-el Cor Stent Sing 64 10 — — $6,845.53 $25,766.36 $14,023.88 2026-04-14
0097-1402-1405 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 6 2 — — $13,311.68 $29,951.27 $13,977.26 2026-04-14
0505T CPT Pr Ev Fempop Artl Revsc Tcat Plmt IV St Grf & Clsr 60 11 $1,658.00 $364.76 78% off $652.99 $18,884.31 $13,822.58 2026-04-14
64596 CPT Pr Insj/rplcmt Perq Eltrd Ra Pn W/int Nstim 1st Ra 106 11 — — $166.08 $28,333.18 $13,576.32 2026-04-14
0223-1402-1405 EAPG Level Iii Nerve Procedure W Or Without Neurological Device 6 2 — — $12,510.91 $28,149.55 $13,136.45 2026-04-14
J1412 HCPCS Pr Inj Roctavian Ml 2x10^13vc G 96 11 — — $8,986.74 $29,208.77 $13,091.64 2026-04-14
0237T CPT Pr Trluml Periph Athrc W/rs&i Brchiocphl Ea Vsl 100 11 — — $893.78 $25,766.36 $12,950.28 2026-04-14
0236T CPT Pr Trluml Periph Athrc W/rs&i Abdom Aorta 100 11 — — $2,092.18 $25,766.36 $12,950.28 2026-04-14
0234T CPT Pr Trluml Peripheral Atherectomy Renal Artery Ea 100 11 $3,199.00 $703.78 78% off $2,464.13 $25,766.36 $12,950.28 2026-04-14
C9901 HCPCS Pr Endo Defect Closure Gi Tract 60 10 — — $6,284.54 $23,654.82 $12,936.23 2026-04-14
0679T CPT Pr Laparoscopic Removal Lead Perm Isdss 60 10 — — $6,284.54 $23,654.82 $12,936.23 2026-04-14
C9785 HCPCS Pr Endo Outlet Restrict W/tube 60 10 — — $6,284.54 $23,654.82 $12,936.23 2026-04-14
0677T CPT Pr Laps Repos Lead Perm Isdss 1st Repositioned Lead 60 10 — — $6,284.54 $23,654.82 $12,936.23 2026-04-14
C9784 HCPCS Pr Endo Sleeve Gastro W/tube 60 10 — — $6,284.54 $23,654.82 $12,936.23 2026-04-14
0601T CPT Pr Ire Ablation 1+tumors W/fluor&us Gdn Open 78 11 — — $1,281.57 $23,654.82 $12,813.03 2026-04-14
0600T CPT Pr Ire Ablation 1+tumors Per Organ W/img Gdn Perq 78 11 — — $1,687.72 $23,654.82 $12,813.03 2026-04-14
L6945 HCPCS Pr Elbow Disart Myoelectronic C 96 11 — — $6,579.16 $30,139.24 $12,762.21 2026-04-14
L5969 HCPCS Pr Ak/ft Power Asst Incl Motors 28 2 — — $8,295.93 $12,510.81 $12,510.81 2026-04-14
33903 CPT Pr Perq P-art Revsc St 1st Abnormal Connj Bilateral 100 12 $2,431.00 $534.82 78% off $685.91 $22,253.01 $12,413.48 2026-04-14
0520T CPT Pr Rmvl&rplcmt Pg Wcs Lv Pacg Battery Compnt Only 100 11 — — $264.76 $23,777.77 $12,384.25 2026-04-14
81416 CPT Chg Exome Sequence Analysis Each Comparator Exome 108 12 — — $7,920.00 $28,339.20 $12,360.00 2026-04-14
33901 CPT Pr Perq P-art Revsc St 1st Nml Native Connj Bi 94 12 $2,137.00 $470.14 78% off $602.80 $21,081.44 $12,346.38 2026-04-14
C9792 HCPCS Pr Blind/nonblind Trans Atrial 60 10 — — $5,885.71 $22,153.64 $12,115.27 2026-04-14
L6950 HCPCS Pr Above Elbow Switch Control 96 11 — — $6,233.91 $28,557.65 $12,092.50 2026-04-14
0620T CPT Pr Endovascular Venous Arterialization Tibl/prnl Vn 56 6 $4,242.00 $933.24 78% off $3,953.64 $41,418.19 $11,999.77 2026-04-14
0517T CPT Pr Insertion Wrls Car Stimulator Lv Pacg Bth Compnt 100 11 — — $172.22 $23,777.77 $11,950.81 2026-04-14
0519T CPT Pr Removal&rplcmt Pg Wcs Lv Pacg Both Components 100 11 — — $337.78 $23,777.77 $11,950.81 2026-04-14
0516T CPT Pr Insertion Wrls Car Stimulator Lv Pacg Eltrd Only 100 11 — — $204.23 $23,777.77 $11,950.81 2026-04-14
L7191 HCPCS Pr Elbow Child Myoelectronic CT 100 11 — — $6,109.59 $27,988.15 $11,851.35 2026-04-14
A9697 HCPCS Pr Inj, Magtrace Per Study Dose 46 10 $2,024.00 $445.28 78% off $8,268.64 $19,802.18 $11,835.11 2026-04-14
0426T CPT Pr Insj/rplc Nstim System Sleep Apnea Stimj Lead 4 1 — — $11,665.73 $11,665.73 $11,665.73 2026-04-14
0425T CPT Pr Insj/rplc Nstim System Sleep Apnea Sensing Lead 4 1 — — $11,665.73 $11,665.73 $11,665.73 2026-04-14
0398T CPT Pr Mrgfus Stereotactic Ablation Lesion Intracranial 4 1 — — $11,665.73 $11,665.73 $11,665.73 2026-04-14
J1412 EAPG Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10^13… 8 1 — — $11,554.69 $11,554.69 $11,554.69 2026-04-14
L5991 HCPCS Pr Low Pros Ext Osseo Connector 96 11 — — $6,800.93 $27,216.38 $11,524.55 2026-04-14
0797T CPT Pr Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt 2 1 $1,324.00 $291.28 78% off $11,511.96 $11,511.96 $11,511.96 2026-04-14
0796T CPT Pr Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt 2 1 $1,324.00 $291.28 78% off $11,511.96 $11,511.96 $11,511.96 2026-04-14
0950T CPT Pr Abltj B9 Prst8 Tissue Hifu 60 10 — — $5,581.88 $21,010.00 $11,489.84 2026-04-14
C9761 HCPCS Pr Cysto, Litho, Vacuum Kidney 64 10 — — $5,581.88 $21,010.00 $11,435.13 2026-04-14
C9740 HCPCS Pr Cysto Impl 4 Or More 64 10 $9,774.00 $2,150.28 78% off $5,581.88 $21,010.00 $11,435.13 2026-04-14
L6940 HCPCS Pr Elbow Disarticulation Switch 96 11 — — $5,882.23 $26,946.59 $11,410.31 2026-04-14
L7186 HCPCS Pr Electron Elbow Child Switch 100 11 — — $5,672.35 $25,985.16 $11,003.20 2026-04-14
0619T CPT Pr Cysto W/trurl Ant Prst8 Commissurotomy & Rx Dlvr 100 11 — — $441.13 $21,010.00 $10,559.72 2026-04-14
33900 CPT Pr Perq P-art Revsc St 1st Nml Native Connj Uni 86 12 $1,626.00 $357.72 78% off $458.67 $14,627.77 $10,360.54 2026-04-14
L6935 HCPCS Pr Below Elbow Myoelectronic CT 96 11 — — $5,339.19 $24,458.88 $10,356.91 2026-04-14
0917T CPT Pr Insj Perm Ccm-d Sys 1 Transvns Lead Only 60 10 — — $4,995.65 $18,803.45 $10,283.14 2026-04-14
0918T CPT Pr Insj Perm Ccm-d Sys Dual Transvns Leads Only 60 10 — — $4,995.65 $18,803.45 $10,283.14 2026-04-14
C9780 HCPCS Pr Insert Cv Cath Inf & Sup App 64 10 — — $4,980.27 $18,745.56 $10,202.66 2026-04-14
L8619 HCPCS Pr Coch Imp Ext Proc/contr Rplc 100 11 — — $5,179.64 $23,728.06 $10,198.16 2026-04-14
0526T CPT Pr Insertion/replacement Iims Electrode Only 78 11 — — $351.55 $18,803.45 $10,185.20 2026-04-14
0527T CPT Pr Insertion/replacement Iims Implantable Mntr Only 78 11 — — $332.24 $18,803.45 $10,185.20 2026-04-14
0572T CPT Pr Insj Substernal Implantable Defibrillator Eltrd 78 11 — — $449.66 $18,803.45 $10,185.20 2026-04-14
0421T CPT Pr Transurethral Waterjet Ablation Prostate Compl 98 11 $1,962.00 $431.64 78% off $685.94 $18,145.20 $10,176.72 2026-04-14
L6925 HCPCS Pr Wrist Disart Myoelectronic C 96 11 — — $5,228.70 $23,952.76 $10,142.60 2026-04-14
L5857 HCPCS Pr Elec Knee-shin Swing Only 96 11 — — $5,174.16 $23,702.93 $10,036.81 2026-04-14
L8679 HCPCS Pr Imp Neurosti Pls Gn Any Type 96 11 — — $5,089.44 $23,314.83 $9,872.47 2026-04-14
S2053 HCPCS Pr Transplantation Of Small Int 22 1 — — $8,712.00 $9,680.00 $9,680.00 2026-04-14
J9216 HCPCS Pr Interferon Gamma 1-b Inj 38 4 — — $8,304.94 $11,682.79 $9,491.72 2026-04-14
S2054 HCPCS Pr Transplantation Of Multivisc 22 1 — — $8,474.40 $9,416.00 $9,416.00 2026-04-14
L7190 HCPCS Pr Elbow Adolescent Myoelectron 96 11 — — $4,836.14 $22,154.45 $9,381.12 2026-04-14
77424 CPT Chg Intraop Radiaj Tx Deliver Xray Single Tx Session 86 10 — — $285.08 $17,368.67 $9,317.57 2026-04-14
L6920 HCPCS Pr Wrist Disarticul Switch Ctrl 96 11 — — $4,769.45 $21,848.93 $9,251.75 2026-04-14
0411T CPT Pr Insj/rplc Car Modulj Sys Ventr Electrode Only 50 9 $1,031.00 $226.82 78% off $92.11 $10,283.14 $9,009.99 2026-04-14
0410T CPT Pr Insj/rplc Cardiac Modulj Sys Atr Electrode Only 50 9 $1,031.00 $226.82 78% off $92.11 $10,283.14 $9,009.99 2026-04-14
C8002 HCPCS Pr Prep Skin Cell Susp, Automtd 60 10 — — $4,376.63 $16,473.51 $9,008.95 2026-04-14
C1777 HCPCS Pr Lead, Aicd, Endo Single Coil 6 1 — — $8,995.58 $8,995.58 $8,995.58 2026-04-14
0315U CPT Chg Onc Cutan Sq Cll Carc Mrna Gen Xprsn Prfl 40 Alg 100 11 — — $5,610.00 $20,073.60 $8,840.00 2026-04-14
D7948 HCPCS Lefort Ii Or Lefort Iii (osteoplasty Of Facial Bones For Midface Hypoplasia Or R… 36 3 — — $3,461.25 $8,811.75 $8,803.30 2026-04-14
0335T CPT Pr Insertion Of Sinus Tarsi Implant 78 11 $2,641.00 $581.02 78% off $514.50 $16,230.92 $8,791.75 2026-04-14
0511T CPT Pr Removal And Reinsertion Of Sinus Tarsi Implant 78 11 — — $486.34 $16,230.92 $8,791.75 2026-04-14
0594T CPT Pr Osteot Hum Insj Xtrnl Ctrld Imed Lngth Device 78 11 — — $962.33 $16,230.92 $8,791.75 2026-04-14
0221T CPT Pr Plmt Post Facet Implt Uni/bi W/img & Grft Lumb 78 11 — — $601.04 $16,230.92 $8,791.75 2026-04-14
0274T CPT Pr Perc Lamino-/laminectomy Image Guide Cerv/thorac 78 11 — — $601.04 $16,230.92 $8,791.75 2026-04-14
0201T CPT Pr Perq Sac Agmntj Bi W/wo Balo/mchnl Dev 2/> Ndls 78 11 — — $1,834.64 $16,230.92 $8,791.75 2026-04-14
0200T CPT Pr Perq Sac Agmntj Uni W/wo Balo/mchnl Dev 1/> Ndl 78 11 — — $1,834.64 $16,230.92 $8,791.75 2026-04-14
L6930 HCPCS Pr Below Elbow Switch Control 96 11 — — $4,512.01 $20,669.60 $8,752.37 2026-04-14
L8627 HCPCS Pr Cid Ext Speech Process Repl 100 11 — — $4,425.08 $20,271.34 $8,583.73 2026-04-14
0211U CPT Chg Onc Pan-tumor Dna&rna Next-generation Sequencing 104 11 — — $3,796.28 $19,967.33 $8,582.11 2026-04-14
D7949 HCPCS Lefort Ii Or Lefort Iii - With Bone Graft 36 3 — — $5,043.49 $11,808.48 $8,494.72 2026-04-14
0464-1402-1405 EAPG Class Xii Combined Chemotherapy And Pharmacotherapy 6 2 — — $8,080.98 $18,182.20 $8,485.03 2026-04-14
L5987 HCPCS Pr Shank Ft W Vert Load Pylon 96 11 — — $4,369.63 $20,017.37 $8,476.19 2026-04-14
0275T CPT Pr Perc Lamino-/laminectomy Indir Imag Guide Lumbar 90 10 $2,665.00 $586.30 78% off $1,154.05 $16,230.92 $8,453.60 2026-04-14
77425 CPT Chg Intraop Radiaj Tx Deliver Electrons Sngl Tx Sess 102 11 — — $100.24 $17,368.67 $8,412.95 2026-04-14
C9769 HCPCS Pr Cysto W/temp Pros Implant 4 1 — — $8,352.14 $8,352.14 $8,352.14 2026-04-14
J9216 EAPG Injection, Interferon, Gamma-1b, 3 Million Units 8 1 — — $8,304.94 $8,304.94 $8,304.94 2026-04-14
Q0224 HCPCS Pr Inj, Pemivibart, 4500 Mg 48 8 — — $5,890.66 $10,243.18 $8,198.32 2026-04-14
0587T CPT Pr Perq Impltj/rplcmt Isdns Bldr Dysf Ptn 78 11 — — $295.23 $14,911.24 $8,076.92 2026-04-14
D7946 HCPCS Lefort I (maxilla - Total) 36 3 — — $3,090.34 $8,045.40 $8,045.40 2026-04-14
81552 CPT Chg Onc Uveal Mlnma Mrna Gene Xprsn Prfl 15 Genes 108 12 — — $5,132.16 $18,363.80 $8,009.28 2026-04-14
D7780 HCPCS Facial Bones - Complicated Reduction With Fixation And Multiple Approaches 36 3 — — $3,016.12 $7,957.95 $7,957.95 2026-04-14
0269T CPT Pr Rev/remvl Cartd Sins Barreflx Act Dev Tot System 78 11 $2,674.00 $588.28 78% off $363.05 $14,550.37 $7,881.45 2026-04-14
0442T CPT Pr Abltj Perc Cryoabltj Img Gdn Nrv Plex/trncl Nrv 78 11 — — $214.51 $14,550.37 $7,881.45 2026-04-14
21811 CPT Pr Open Tx Rib Fx W/fixj Thoracoscopic Vis 1-3 Ribs 102 12 $1,656.00 $364.32 78% off $473.92 $16,230.92 $7,861.85 2026-04-14
21812 CPT Pr Open Tx Rib Fx W/fixj Thoracoscopic Vis 4-6 Ribs 102 12 $2,004.00 $440.88 78% off $571.99 $16,230.92 $7,861.85 2026-04-14
0094U CPT Chg Genome Rapid Sequence Analysis 104 11 — — $5,004.25 $17,906.12 $7,858.95 2026-04-14
53451 CPT Pr Periurethral Tprnl Adjtbl Balo Cntnc Dev Bi Insj 98 12 $2,192.00 $482.24 78% off $63.54 $18,786.36 $7,842.64 2026-04-14
G0243 HCPCS Pr Multisour Photon Stero Treat 8 1 — — $7,831.88 $7,831.88 $7,831.88 2026-04-14
C1786 HCPCS Pr Pmkr, Single, Rate-resp 8 1 — — $7,760.80 $9,093.05 $7,760.80 2026-04-14
L8609 HCPCS Pr Artificial Cornea 96 11 — — $3,957.63 $18,130.00 $7,677.00 2026-04-14
G0428 HCPCS Pr Collagen Meniscus Implant 22 1 — — $7,540.72 $7,540.72 $7,540.72 2026-04-14
0086-1402-1405 EAPG Pacemaker And Other Cardiovascular Device Insertion And Replacement 6 2 — — $7,151.24 $16,090.28 $7,508.80 2026-04-14
A9604 HCPCS Pr Sm 153 Lexidronam 90 11 — — $3,135.21 $25,634.80 $7,508.37 2026-04-14
C1764 HCPCS Pr Event Recorder, Cardiac 8 1 — — $7,414.99 $7,414.99 $7,414.99 2026-04-14
81529 CPT Chg Onc Cutan Mlnma Mrna Gene Xprs Prfl 31 Genes Alg 108 12 $21,580.00 $4,747.60 78% off $4,747.38 $16,986.99 $7,408.79 2026-04-14
0885T CPT Pr Colsc Flx 1st Tndsc Dilat Rx Balo Cath Cln Strix 60 10 — — $3,593.31 $13,525.09 $7,396.53 2026-04-14
0886T CPT Pr Sgmdsc Flx 1st Tndsc Dilat Rx Balo Cath Strix 60 10 — — $3,593.31 $13,525.09 $7,396.53 2026-04-14
0884T CPT Pr Esphgsc Flx Trnsorl 1st Tndsc Dilat Rx Balo Cath 60 10 — — $3,593.31 $13,525.09 $7,396.53 2026-04-14
L7008 HCPCS Pr Pediatric Electric Hand 100 11 — — $1,600.00 $17,368.03 $7,354.35 2026-04-14
55559 CPT Pr Unlisted Laproscopy Procedure Spermatic Cord 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
54699 CPT Pr Unlisted Laparoscopy Procedure Testis 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
45499 CPT Pr Unlisted Laparoscopy Procedure Rectum 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
47579 CPT Pr Unlisted Laparoscopy Procedure Biliary Tract 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
59898 CPT Pr Unlisted Laparoscopy Px Maternity Care&delivery 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
38589 CPT Pr Unlisted Laparoscopy Px Lymphatic System 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
50549 CPT Pr Unlisted Laparoscopy Procedure Renal 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
44238 CPT Pr Unlisted Laparoscopy Px Intestine Xcp Rectum 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
43659 CPT Pr Unlisted Laparoscopy Procedure Stomach 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
44979 CPT Pr Unlisted Laparoscopy Procedure Appendix 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
58578 CPT Pr Unlisted Laparoscopy Procedure Uterus 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
51999 CPT Pr Unlisted Laparoscopy Procedure Bladder 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
38129 CPT Pr Unlisted Laparoscopy Procedure Spleen 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
47379 CPT Pr Unlisted Laparoscopic Procedure Liver 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
60699 CPT Pr Unlisted Procedure Endocrine System 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
49329 CPT Pr Unlisted Laparoscopy Px Abd Pertoneum & Omentum 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
58679 CPT Pr Unlisted Laparoscopy Procedure Oviduct Ovary 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
43289 CPT Pr Unlisted Laparoscopy Procedure Esophagus 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
60659 CPT Pr Unlisted Laparoscopy Procedure Endocrine System 64 10 $0.01 — $3,521.81 $13,255.96 $7,214.84 2026-04-14
L7185 HCPCS Pr Electron Elbow Adolescent Sw 96 11 — — $3,714.50 $17,016.20 $7,205.37 2026-04-14
J2505 HCPCS Pr Injection, Pegfilgrastim 6mg 28 2 — — $2,851.58 $7,200.99 $7,200.99 2026-04-14
61885-1402-1405 EAPG Insrt/redo Neurostim 1 Array 6 2 — — $6,850.00 $15,412.50 $7,192.50 2026-04-14
64568-1402-1405 EAPG Inc For Vagus N Elect Impl 6 2 — — $6,850.00 $15,412.50 $7,192.50 2026-04-14
49659 CPT Pr Unlisted Laps Px Hrnap Herniorrhaphy Herniotomy 62 10 $1,194.00 $262.68 78% off $3,521.81 $11,448.46 $7,180.31 2026-04-14
50949 CPT Pr Unlisted Laparoscopy Procedure Ureter 70 11 $0.01 — $141.22 $13,255.96 $7,180.31 2026-04-14
L5827 HCPCS Pr Endo Knee Shin Single Axis 90 11 — — $5,004.53 $16,265.76 $7,094.23 2026-04-14
0913T CPT Pr Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art 60 10 $1,463.00 $321.86 78% off $3,441.62 $12,954.15 $7,084.30 2026-04-14
L8682 HCPCS Pr Implt Neurostim Radiofq Rec 96 11 — — $3,636.31 $16,657.99 $7,053.69 2026-04-14
0184T CPT Pr Rectal Tumor Excision Transanal Endoscopic 98 11 $1,660.00 $365.20 78% off $783.84 $13,525.09 $7,044.32 2026-04-14
L7170 HCPCS Pr Electronic Elbow Hosmer Swit 100 11 — — $3,628.03 $16,620.07 $7,037.63 2026-04-14
0644T CPT Pr Tcat Rmvl/debulk Icar Mass Suction Device Perq 78 11 $2,759.00 $606.98 78% off $290.92 $12,954.15 $7,016.83 2026-04-14
J0600 HCPCS Pr Edetate Calcium Disodium Inj 108 15 — — $4,689.89 $15,243.11 $7,003.20 2026-04-14
D7340 HCPCS Vestibuloplasty - Ridge Extension (secondary Epithelialization) 96 11 — — $296.40 $13,440.68 $7,000.36 2026-04-14
D7770 HCPCS Alveolus - Open Reduction Stabilization Of Teeth 96 11 — — $858.26 $13,440.68 $7,000.36 2026-04-14
D7350 HCPCS Vestibuloplasty - Ridge Extension (including Soft Tissue Grafts, Muscle Reattach… 96 11 — — $538.37 $13,440.68 $7,000.36 2026-04-14
D7671 HCPCS Alveolus - Open Reduction, May Include Stabilization Of Teeth 96 11 — — $296.40 $13,440.68 $7,000.36 2026-04-14
D7950 HCPCS Osseous, Osteoperiosteal, Or Cartilage Graft Of The Mandible Or Maxilla - Autoge… 96 11 — — $1,062.90 $13,440.68 $7,000.36 2026-04-14
D7947 HCPCS Lefort I (maxilla - Segmented) 36 3 — — $3,090.34 $7,050.06 $6,996.00 2026-04-14
0267U CPT Chg Rare Do Id Variations Opt Gen Map&whl Gen Seq 104 11 — — $4,447.96 $15,915.60 $6,985.31 2026-04-14
G0276 HCPCS Pr Pild/placebo Control Clin Tr 84 11 $1,026.00 $225.72 78% off $299.76 $9,214.43 $6,917.09 2026-04-14
0404T CPT Pr Transcervical Uterine Fibroid Abltj W/us Gdn Rf 4 1 — — $6,759.34 $6,759.34 $6,759.34 2026-04-14
D4260 HCPCS Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) - Fou… 100 11 — — $290.74 $13,440.68 $6,755.34 2026-04-14
E0783 HCPCS Pr Programmable Infusion Pump 388 11 — — $562.68 $25,775.78 $6,753.37 2026-04-14
L5615 HCPCS Pr Ak 4 Bar Link Hydl Swg/stanc 96 11 — — $4,056.42 $15,821.87 $6,699.64 2026-04-14
E0786 HCPCS Pr Implantable Pump Replacement 388 11 — — $554.45 $25,399.15 $6,654.70 2026-04-14
0744T CPT Pr Insertion Bioprosthetic Valve Open Femoral Vein 78 11 — — $724.29 $12,282.03 $6,652.76 2026-04-14
Q4215 HCPCS Pr Axolotl Ambient, Cryo 0.1 Mg 6 1 — — $6,264.00 $6,628.80 $6,628.80 2026-04-14
J0600 EAPG Injection, Edetate Calcium Disodium, Up To 1000 Mg 8 1 — — $6,624.52 $6,624.52 $6,624.52 2026-04-14
J9015 HCPCS Pr Aldesleukin/single Use Vial 98 12 — — $3,851.90 $12,519.46 $6,589.47 2026-04-14
0338T CPT Pr Transcatheter Renal Sympath Denervation Unilat 100 11 — — $841.06 $12,954.15 $6,510.81 2026-04-14
0339T CPT Pr Transcatheter Renal Sympath Denervation Bilat 100 11 $2,476.00 $544.72 78% off $1,040.69 $12,954.15 $6,510.81 2026-04-14
D7945 HCPCS Osteotomy - Body Of Mandible 36 3 — — $2,793.67 $6,660.58 $6,500.45 2026-04-14
31243 CPT Pr Nasal/sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv 110 12 — — $128.18 $13,440.68 $6,440.33 2026-04-14
31242 CPT Pr Nasal/sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv 110 12 — — $128.18 $13,440.68 $6,440.33 2026-04-14
D8090 HCPCS Comprehensive Orthodontic Treatment Of The Adult Dentition 36 3 — — $2,138.98 $6,380.00 $6,380.00 2026-04-14
D8080 HCPCS Comprehensive Orthodontic Treatment Of The Adolescent Dentition 40 3 — — $1,600.00 $6,380.00 $6,380.00 2026-04-14
D8070 HCPCS Comprehensive Orthodontic Treatment Of The Transitional Dentition 36 3 — — $2,454.17 $6,380.00 $6,380.00 2026-04-14
0867T CPT Pr Tpla B9 Prostatic Hyperplasia Prst8 Vol>=50 Ml 60 10 — — $3,068.64 $11,550.24 $6,316.54 2026-04-14
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