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

RIVER HOSPITAL CLINICS

Alexandria Bay, NY · CCN 331309 · Rates published

12,502 distinct procedures filed
44 distinct payers
674,115 rate rows
2025-06-20 last MRF observed · ⚠ 16 mo old
Data quality

194,531 of 674,115 rate rows are consumer-grade (28.9%)

479,584 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
professional (physician) fee — not the facility price 407,541
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 61,661
placeholder amount (≤ $0.02) — excluded from medians 8,502
template filing: same amount across many unrelated codes — excluded 844
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 461
exceeds 10× this hospital's gross charge — excluded from medians 217
percent-of-charges filed in the dollar field — excluded from medians 186
per-diem day rate — not a per-procedure price 172

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13057/810600548_river-hospital%2C-inc_standardcharges.csv
Found on page https://www.riverhospital.org/patient-resources/pricing-transparency
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-01
Content fingerprint 344c554c6ccf64db… · 227,658,695 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,322,473.30 $4,518,563.68 $3,322,473.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,286,000.00 $4,468,960.00 $3,286,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,948,213.33 $4,009,570.13 $2,948,213.33 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,423,131.23 $3,295,458.47 $2,423,131.23 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,171,520.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,048,043.20 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $578,771.12 $787,128.73 $578,771.12 nat. median
$621,313
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $553,169.30 $752,310.25 $553,169.30 nat. median
$599,737
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $527,622.46 $717,566.55 $527,622.46 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $516,442.29 $702,361.51 $516,442.29 nat. median
$579,571
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $502,840.73 $683,863.39 $502,840.73 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,399.16 $665,582.85 $489,399.16 nat. median
$513,770
1.0× median
C9301
HCPCS 		Other Outpatient Services 6 $278,250.00 $378,420.00 $278,250.00 nat. median
$377,029
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $99,999.91 $135,999.88 $99,999.91 nat. median
$108,243
0.9× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 6 $93,216.70 $126,774.71 $93,216.70 nat. median
$95,583
1.0× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 6 $67,452.66 $91,735.62 $67,452.66 nat. median
$68,802
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 6 $63,235.61 $86,000.43 $63,235.61 nat. median
$66,211
1.0× median
38240
CPT 		Transplt Allo Hct/donor 7 $226.03 $80,433.57 $59,142.33 nat. median
$28,331
outlier · 2.1×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $57,017.10 $77,543.26 $57,017.10 nat. median
$63,499
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $77,281.39 $56,824.55 nat. median
$65,477
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $47,211.27 $64,207.33 $47,211.27 nat. median
$48,410
1.0× median
J9226
HCPCS 		Supprelin La Implant 6 $45,212.04 $61,488.37 $45,212.04 nat. median
$57,036
0.8× median
0266T
CPT 		Professional Services 6 $45,000.50 $61,200.68 $45,000.50 nat. median
$41,318
1.1× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 7 $527.48 $61,200.68 $45,000.50 nat. median
$44,163
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 6 $43,145.97 $58,678.52 $43,145.97 nat. median
$42,745
1.0× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 6 $39,235.19 $53,359.86 $39,235.19 nat. median
$38,763
1.0× median
0620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 6 $35,000.50 $47,600.68 $35,000.50 nat. median
$34,349
1.0× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 6 $34,284.44 $46,626.84 $34,284.44 nat. median
$34,970
1.0× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 7 $827.39 $43,603.75 $32,061.58 nat. median
$32,069
1.0× median
0915T
CPT 		Insj Perm Ccm-d Sys Pg&eltrd 6 $32,061.58 $43,603.75 $32,061.58 nat. median
$35,266
0.9× median
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 6 $32,061.58 $43,603.75 $32,061.58 nat. median
$32,945
1.0× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 7 $364.56 $43,603.75 $32,061.58 nat. median
$31,377
1.0× median
33270
CPT 		Ins/rep Subq Defibrillator 7 $508.96 $43,603.75 $32,061.58 nat. median
$32,475
1.0× median
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 6 $32,061.58 $43,603.75 $32,061.58 nat. median
$31,369
1.0× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 7 $366.82 $43,603.75 $32,061.58 nat. median
$32,779
1.0× median
69930
CPT 		Implant Cochlear Device 7 $1,127.96 $43,258.64 $31,807.82 nat. median
$23,645
1.3× median
0674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 6 $30,473.59 $41,444.08 $30,473.59 nat. median
$29,815
1.0× median
63685
CPT 		Ins/rplc Spi Npg/rcvr Pocket 7 $316.76 $41,444.08 $30,473.59 nat. median
$21,812
1.4× median
64568
CPT 		Opn Impltj Crnl Nrv Nea&pg 7 $564.80 $41,444.08 $30,473.59 nat. median
$27,905
1.1× median
64582
CPT 		Opn Mpltj Hpglsl Nstm Ary Pg 7 $783.09 $41,444.08 $30,473.59 nat. median
$29,815
1.0× median
61886
CPT 		Implant Neurostim Arrays 7 $822.84 $41,444.08 $30,473.59 nat. median
$23,007
1.3× median
0268T
CPT 		Professional Services 6 $30,473.59 $41,444.08 $30,473.59 nat. median
$30,474
1.0× median
33287
CPT 		Rmv&rplcmt Phrnc Nrv Stim Pg 7 $354.77 $41,444.08 $30,473.59 nat. median
$27,599
1.1× median
L6700
HCPCS 		Ue Add Ext Power Myoel 6 $28,931.56 $39,346.92 $28,931.56 nat. median
$30,100
1.0× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 7 $302.10 $38,662.53 $28,428.33 nat. median
$28,889
1.0× median
L5856
HCPCS 		Elec Knee-shin Swing/stance 6 $28,413.71 $38,642.65 $28,413.71 nat. median
$29,004
1.0× median
L6880
HCPCS 		Elec Hand Ind Art Digits 6 $28,151.96 $38,286.67 $28,151.96 nat. median
$28,867
1.0× median
C9760
HCPCS 		Non-blind Interatrial Shunt 6 $27,500.50 $37,400.68 $27,500.50 nat. median
$28,845
1.0× median

Other procedures at this hospital

Browse this hospital's 12,502 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-06-20
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2025-06-20
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,322,473.30 $4,518,563.68 $3,322,473.30 2025-06-20
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,286,000.00 $4,468,960.00 $3,286,000.00 2025-06-20
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,948,213.33 $4,009,570.13 $2,948,213.33 2025-06-20
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,423,131.23 $3,295,458.47 $2,423,131.23 2025-06-20
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,332,000.00 $3,171,520.00 $2,332,000.00 2025-06-20
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $770,620.00 $1,048,043.20 $770,620.00 2025-06-20
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 6 — — $578,771.12 $787,128.73 $578,771.12 2025-06-20
Q2056 HCPCS Ciltacabtagene Car-pos T 6 6 — — $553,169.30 $752,310.25 $553,169.30 2025-06-20
Q2055 HCPCS Idecabtagene Vicleucel Car 6 6 — — $527,622.46 $717,566.55 $527,622.46 2025-06-20
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 6 — — $516,442.29 $702,361.51 $516,442.29 2025-06-20
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 6 — — $502,840.73 $683,863.39 $502,840.73 2025-06-20
Q2053 HCPCS Brexucabtagene Car Pos T 6 6 — — $489,399.16 $665,582.85 $489,399.16 2025-06-20
C9301 HCPCS Other Outpatient Services 6 6 — — $278,250.00 $378,420.00 $278,250.00 2025-06-20
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $99,999.91 $135,999.88 $99,999.91 2025-06-20
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 6 — — $93,216.70 $126,774.71 $93,216.70 2025-06-20
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 6 — — $67,452.66 $91,735.62 $67,452.66 2025-06-20
J9029 HCPCS Instill Adstiladrin, Tx Dose 6 6 — — $63,235.61 $86,000.43 $63,235.61 2025-06-20
38240 CPT Transplt Allo Hct/donor 7 7 — — $226.03 $80,433.57 $59,142.33 2025-06-20
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 6 — — $57,017.10 $77,543.26 $57,017.10 2025-06-20
A9543 HCPCS Y90 Ibritumomab, Rx 6 6 — — $56,824.55 $77,281.39 $56,824.55 2025-06-20
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $47,211.27 $64,207.33 $47,211.27 2025-06-20
J9226 HCPCS Supprelin La Implant 6 6 — — $45,212.04 $61,488.37 $45,212.04 2025-06-20
0266T CPT Professional Services 6 6 — — $45,000.50 $61,200.68 $45,000.50 2025-06-20
33276 CPT Insj Phrnc Nrv Stim Sys 7 7 — — $527.48 $61,200.68 $45,000.50 2025-06-20
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $43,145.97 $58,678.52 $43,145.97 2025-06-20
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 6 6 — — $39,235.19 $53,359.86 $39,235.19 2025-06-20
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 6 6 — — $35,000.50 $47,600.68 $35,000.50 2025-06-20
L8701 HCPCS Ewh S/d Uprt Micro Sensor 6 6 — — $34,284.44 $46,626.84 $34,284.44 2025-06-20
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $32,061.58 $43,603.75 $32,061.58 2025-06-20
33249 CPT Insj/rplcmt Defib W/lead(s) 7 7 — — $827.39 $43,603.75 $32,061.58 2025-06-20
33270 CPT Ins/rep Subq Defibrillator 7 7 — — $508.96 $43,603.75 $32,061.58 2025-06-20
0408T CPT Insj/rplc Cardiac Modulj Sys 6 6 — — $32,061.58 $43,603.75 $32,061.58 2025-06-20
33231 CPT Insrt Pulse Gen W/mult Leads 7 7 — — $364.56 $43,603.75 $32,061.58 2025-06-20
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 7 7 — — $366.82 $43,603.75 $32,061.58 2025-06-20
0571T CPT Insj/rplcmt Icds Ss Eltrd 6 6 — — $32,061.58 $43,603.75 $32,061.58 2025-06-20
69930 CPT Implant Cochlear Device 7 7 — — $1,127.96 $43,258.64 $31,807.82 2025-06-20
64568 CPT Opn Impltj Crnl Nrv Nea&pg 7 7 — — $564.80 $41,444.08 $30,473.59 2025-06-20
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 7 7 — — $783.09 $41,444.08 $30,473.59 2025-06-20
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 7 7 — — $316.76 $41,444.08 $30,473.59 2025-06-20
61886 CPT Implant Neurostim Arrays 7 7 — — $822.84 $41,444.08 $30,473.59 2025-06-20
0268T CPT Professional Services 6 6 — — $30,473.59 $41,444.08 $30,473.59 2025-06-20
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 7 7 — — $354.77 $41,444.08 $30,473.59 2025-06-20
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $30,473.59 $41,444.08 $30,473.59 2025-06-20
L6700 HCPCS Ue Add Ext Power Myoel 6 6 — — $28,931.56 $39,346.92 $28,931.56 2025-06-20
33289 CPT Tcat Impl Wrls P-art Prs Snr 7 7 — — $302.10 $38,662.53 $28,428.33 2025-06-20
L5856 HCPCS Elec Knee-shin Swing/stance 6 6 — — $28,413.71 $38,642.65 $28,413.71 2025-06-20
L6880 HCPCS Elec Hand Ind Art Digits 6 6 — — $28,151.96 $38,286.67 $28,151.96 2025-06-20
C9760 HCPCS Non-blind Interatrial Shunt 6 6 — — $27,500.50 $37,400.68 $27,500.50 2025-06-20
J9266 HCPCS Pegaspargase Injection 6 6 — — $27,070.53 $36,815.93 $27,070.53 2025-06-20
93656 CPT Compre Ep Eval Abltj Atr Fib 7 7 — — $852.22 $33,363.93 $24,532.30 2025-06-20
93654 CPT Compre Ep Eval Tx Vt 7 7 — — $906.09 $33,363.93 $24,532.30 2025-06-20
93653 CPT Compre Ep Eval Tx Svt 7 7 — — $751.86 $33,363.93 $24,532.30 2025-06-20
J9600 HCPCS Porfimer Sodium Injection 6 6 — — $24,228.42 $32,950.65 $24,228.42 2025-06-20
L8614 HCPCS Cochlear Device 6 6 — — $23,000.09 $31,280.12 $23,000.09 2025-06-20
33240 CPT Insrt Pulse Gen W/singl Lead 7 7 — — $327.39 $30,526.82 $22,446.19 2025-06-20
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 6 6 — — $22,446.19 $30,526.82 $22,446.19 2025-06-20
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 6 6 — — $22,446.19 $30,526.82 $22,446.19 2025-06-20
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 7 7 — — $352.13 $30,526.82 $22,446.19 2025-06-20
0515T CPT Insj Wcs Lv Compl Sys 7 7 — — $465.67 $30,526.82 $22,446.19 2025-06-20
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 7 7 — — $338.74 $30,526.82 $22,446.19 2025-06-20
0409T CPT Insj/rplc Car Modulj Pls Gn 6 6 — — $22,446.19 $30,526.82 $22,446.19 2025-06-20
0916T CPT Insj Perm Ccm-d Sys Pg Only 6 6 — — $22,446.19 $30,526.82 $22,446.19 2025-06-20
33230 CPT Insrt Pulse Gen W/dual Leads 7 7 — — $340.07 $30,526.82 $22,446.19 2025-06-20
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 6 6 — — $22,446.19 $30,526.82 $22,446.19 2025-06-20
Q0483 HCPCS Monitor Elec Vad, Rep 6 6 — — $22,092.08 $30,045.23 $22,092.08 2025-06-20
L5858 HCPCS Stance Phase Only 6 6 — — $21,898.50 $29,781.96 $21,898.50 2025-06-20
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 6 6 — — $21,444.39 $29,164.37 $21,444.39 2025-06-20
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 7 7 — — $275.71 $29,164.37 $21,444.39 2025-06-20
0680T CPT Insj/rplcmt Pg Only Isdss 6 6 — — $21,444.39 $29,164.37 $21,444.39 2025-06-20
64580 CPT Opn Impltj Nea Neuromuscular 7 7 — — $294.09 $29,164.37 $21,444.39 2025-06-20
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 6 6 — — $21,444.39 $29,164.37 $21,444.39 2025-06-20
63655 CPT Implant Neuroelectrodes 7 7 — — $783.63 $29,164.37 $21,444.39 2025-06-20
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 7 7 — — $559.12 $29,164.37 $21,444.39 2025-06-20
61885 CPT Insrt/redo Neurostim 1 Array 7 7 — — $494.01 $29,164.37 $21,444.39 2025-06-20
L5973 HCPCS Ank-foot Sys Dors-plant Flex 6 6 — — $20,506.48 $27,888.81 $20,506.48 2025-06-20
54401 CPT Insert Self-contd Prosthesis 7 7 — — $627.23 $27,374.84 $20,128.56 2025-06-20
53447 CPT Remove/replace Ur Sphincter 7 7 — — $755.27 $27,374.84 $20,128.56 2025-06-20
54405 CPT Insert Multi-comp Penis Pros 7 7 — — $757.46 $27,374.84 $20,128.56 2025-06-20
54410 CPT Remove/replace Penis Prosth 7 7 — — $809.63 $27,374.84 $20,128.56 2025-06-20
53445 CPT Insert Uro/ves Nck Sphincter 7 7 — — $710.62 $27,374.84 $20,128.56 2025-06-20
53444 CPT Insert Tandem Cuff 7 7 — — $743.76 $27,374.84 $20,128.56 2025-06-20
54416 CPT Remv/repl Penis Contain Pros 7 7 — — $673.58 $27,374.84 $20,128.56 2025-06-20
54411 CPT Remov/replc Penis Pros Comp 7 7 — — $963.53 $27,374.84 $20,128.56 2025-06-20
L6975 HCPCS Interscap-thor Myoelectronic 6 6 — — $19,180.41 $26,085.36 $19,180.41 2025-06-20
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 6 6 — — $19,152.62 $26,047.56 $19,152.62 2025-06-20
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
33274 CPT Tcat Insj/rpl Perm Ldls Pm 7 7 — — $433.72 $25,936.78 $19,071.16 2025-06-20
33229 CPT Remv&replc Pm Gen Mult Leads 7 7 — — $339.01 $25,936.78 $19,071.16 2025-06-20
33221 CPT Insert Pulse Gen Mult Leads 7 7 — — $325.08 $25,936.78 $19,071.16 2025-06-20
0525T CPT Insj/rplcmt Compl Iims 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 6 6 — — $19,071.16 $25,936.78 $19,071.16 2025-06-20
24363 CPT Replace Elbow Joint 7 7 — — $1,355.24 $25,010.47 $18,390.05 2025-06-20
28705 CPT Arthrodesis Pantalar 7 7 — — $1,146.96 $25,010.47 $18,390.05 2025-06-20
21243 CPT Reconstruction Of Jaw Joint 7 7 — — $1,517.95 $25,010.47 $18,390.05 2025-06-20
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 7 7 — — $1,675.56 $25,010.47 $18,390.05 2025-06-20
20696 CPT App Mltpln Uni Xtrnl Fix 1st 7 7 — — $1,089.88 $25,010.47 $18,390.05 2025-06-20
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 7 7 — — $1,466.58 $25,010.47 $18,390.05 2025-06-20
27702 CPT Reconstruct Ankle Joint 7 7 — — $903.11 $25,010.47 $18,390.05 2025-06-20
25446 CPT Arthrp W/prostc Dst Rds&crps 7 7 — — $1,101.09 $25,010.47 $18,390.05 2025-06-20
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 7 7 — — $1,155.51 $25,010.47 $18,390.05 2025-06-20
25442 CPT Arthrp W/prostc Dstl Ulna 7 7 — — $766.80 $25,010.47 $18,390.05 2025-06-20
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 7 7 — — $752.67 $25,010.47 $18,390.05 2025-06-20
22867 CPT Insj Stablj Dev W/dcmprn 7 7 — — $986.05 $25,010.47 $18,390.05 2025-06-20
C8003 HCPCS Imp Extar Knee Shck Absrb 6 6 — — $18,390.05 $25,010.47 $18,390.05 2025-06-20
22856 CPT Tot Disc Arthrp 1ntrspc Crv 7 7 — — $1,503.52 $25,010.47 $18,390.05 2025-06-20
24371 CPT Revise Reconst Elbow Joint 7 7 — — $1,647.43 $25,010.47 $18,390.05 2025-06-20
24361 CPT Reconstruct Elbow Joint 7 7 — — $947.23 $25,010.47 $18,390.05 2025-06-20
22630 CPT Arthrd Pst Tq 1ntrspc Lum 7 7 — — $1,446.81 $25,010.47 $18,390.05 2025-06-20
23472 CPT Reconstruct Shoulder Joint 7 7 — — $1,348.72 $25,010.47 $18,390.05 2025-06-20
27278 CPT Arthrd Si Jt Plmt Iartic Dev 7 7 — — $448.32 $25,010.47 $18,390.05 2025-06-20
0645T CPT Tcat Impltj C Sins Rdctj Dev 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
93591 CPT Perq Transcath Cls Aortic 7 7 — — $816.62 $24,421.14 $17,956.72 2025-06-20
93581 CPT Transcath Closure Of Vsd 7 7 — — $1,191.59 $24,421.14 $17,956.72 2025-06-20
C9775 HCPCS Revasc Lith-sten-ath Tib/per 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
C9773 HCPCS Revasc Lithotr-stent Tib/per 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
C9774 HCPCS Revasc Lithotr-ather Tib/per 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
37242 CPT Vasc Embolize/occlude Artery 7 7 — — $432.02 $24,421.14 $17,956.72 2025-06-20
C9765 HCPCS Revasc Intra Lithotrip-stent 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
37231 CPT Professional Services 7 7 — — $667.87 $24,421.14 $17,956.72 2025-06-20
C9797 HCPCS Vasc Emb/occ W/prs Cath 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
37230 CPT Professional Services 7 7 — — $623.59 $24,421.14 $17,956.72 2025-06-20
37227 CPT Professional Services 7 7 — — $642.51 $24,421.14 $17,956.72 2025-06-20
37229 CPT Professional Services 7 7 — — $623.23 $24,421.14 $17,956.72 2025-06-20
37225 CPT Professional Services 7 7 — — $535.79 $24,421.14 $17,956.72 2025-06-20
C9766 HCPCS Revasc Intra Lithotrip-ather 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
92933 CPT Prq Trlml C Athrc St Angiop1 7 7 — — $593.89 $24,421.14 $17,956.72 2025-06-20
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 7 7 — — $419.45 $24,421.14 $17,956.72 2025-06-20
36906 CPT Thrmbc/nfs Dialysis Circuit 7 7 — — $464.35 $24,421.14 $17,956.72 2025-06-20
37184 CPT Prim Art M-thrmbc 1st Vsl 7 7 — — $390.60 $24,421.14 $17,956.72 2025-06-20
93582 CPT Perq Transcath Closure Pda 7 7 — — $594.94 $24,421.14 $17,956.72 2025-06-20
93590 CPT Perq Transcath Cls Mitral 7 7 — — $985.69 $24,421.14 $17,956.72 2025-06-20
93580 CPT Transcath Closure Of Asd 7 7 — — $878.03 $24,421.14 $17,956.72 2025-06-20
C9767 HCPCS Revasc Lithotrip-stent-ather 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
C9602 HCPCS Perc D-e Cor Stent Ather S 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 7 7 — — $325.88 $24,421.14 $17,956.72 2025-06-20
33902 CPT Perq P-art Revsc 1 Abnor Uni 7 7 — — $676.58 $24,421.14 $17,956.72 2025-06-20
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
0632T CPT Perq Tcat US Abltj Nrv P-art 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
0238T CPT Trluml Perip Athrc Iliac Art 6 6 — — $17,956.72 $24,421.14 $17,956.72 2025-06-20
62361 CPT Implant Spine Infusion Pump 7 7 — — $406.97 $24,036.80 $17,674.12 2025-06-20
62362 CPT Implant Spine Infusion Pump 7 7 — — $360.49 $24,036.80 $17,674.12 2025-06-20
62360 CPT Insert Spine Infusion Device 7 7 — — $293.14 $24,036.80 $17,674.12 2025-06-20
L6970 HCPCS Interscapular-thor Switch CT 6 6 — — $17,505.44 $23,807.40 $17,505.44 2025-06-20
C9782 HCPCS Blind Myocar Trpl Bon Marrow 6 6 — — $17,500.50 $23,800.68 $17,500.50 2025-06-20
0888T CPT Histotripsy Mal Renal Tissue 6 6 — — $17,500.50 $23,800.68 $17,500.50 2025-06-20
C9758 HCPCS Blind Interatrial Shunt Ide 6 6 — — $17,500.50 $23,800.68 $17,500.50 2025-06-20
0686T CPT Histotripsy Mal Hepatcel Tis 6 6 — — $17,500.50 $23,800.68 $17,500.50 2025-06-20
C2616 HCPCS Brachytx, Non-str,yttrium-90 6 6 — — $17,485.10 $23,779.74 $17,485.10 2025-06-20
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 7 7 — — $1,087.55 $23,661.76 $17,398.35 2025-06-20
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 6 6 — — $17,121.35 $23,285.04 $17,121.35 2025-06-20
L5859 HCPCS Knee-shin Pro Flex/ext Cont 6 6 — — $17,095.98 $23,250.53 $17,095.98 2025-06-20
L6965 HCPCS Shldr Disartic Myoelectronic 6 6 — — $17,010.57 $23,134.38 $17,010.57 2025-06-20
0308T CPT Insj Ocular Telescope Prosth 7 7 — — $1,056.18 $22,326.36 $16,416.44 2025-06-20
66683 CPT Implantation Iris Prosthesis 7 7 — — $722.48 $22,326.36 $16,416.44 2025-06-20
67027 CPT Implant Eye Drug System 7 7 — — $782.49 $20,896.17 $15,364.83 2025-06-20
L6960 HCPCS Shldr Disartic Switch Contro 6 6 — — $14,458.04 $19,662.93 $14,458.04 2025-06-20
L6955 HCPCS Above Elbow Myoelectronic CT 6 6 — — $14,335.11 $19,495.75 $14,335.11 2025-06-20
65770 CPT Keratoprosthesis 7 7 — — $1,300.51 $19,433.46 $14,289.31 2025-06-20
Q0479 HCPCS Power Module Combo Vad, Rep 6 6 — — $14,135.30 $19,224.01 $14,135.30 2025-06-20
L7191 HCPCS Elbow Child Myoelectronic CT 6 6 — — $13,556.26 $18,436.51 $13,556.26 2025-06-20
L7186 HCPCS Electron Elbow Child Switch 6 6 — — $13,111.76 $17,831.99 $13,111.76 2025-06-20
55882 CPT Ablt Trurl Prst8 Tis Trnsdcr 7 7 — — $558.01 $17,669.69 $12,992.42 2025-06-20
54417 CPT Remv/replc Penis Pros Compl 7 7 — — $842.61 $17,669.69 $12,992.42 2025-06-20
54400 CPT Insert Semi-rigid Prosthesis 7 7 — — $500.26 $17,669.69 $12,992.42 2025-06-20
53451 CPT Tprnl Balo Cntnc Dev Bi 7 7 — — $726.41 $17,669.69 $12,992.42 2025-06-20
53440 CPT Male Sling Procedure 7 7 — — $705.71 $17,669.69 $12,992.42 2025-06-20
23473 CPT Revis Reconst Shoulder Joint 7 7 — — $1,499.54 $17,498.88 $12,866.82 2025-06-20
24516 CPT Tx Humrl Shaft Fx Imed Implt 7 7 — — $808.16 $17,498.88 $12,866.82 2025-06-20
23470 CPT Reconstruct Shoulder Joint 7 7 — — $1,120.78 $17,498.88 $12,866.82 2025-06-20
24586 CPT Optx Partclr Fx&/dislc Elbow 7 7 — — $1,017.10 $17,498.88 $12,866.82 2025-06-20
23485 CPT Revision Of Collar Bone 7 7 — — $895.18 $17,498.88 $12,866.82 2025-06-20
22869 CPT Insj Stablj Dev Without Dcmprn 7 7 — — $406.26 $17,498.88 $12,866.82 2025-06-20
24546 CPT Optx Hum Fx W/ntrcndylr Xtn 7 7 — — $976.15 $17,498.88 $12,866.82 2025-06-20
27130 CPT Total Hip Arthroplasty 7 7 — — $1,199.35 $17,498.88 $12,866.82 2025-06-20
24346 CPT Reconstruct Elbow Med Ligmnt 7 7 — — $1,040.20 $17,498.88 $12,866.82 2025-06-20
24587 CPT Optx Partclr Fx&/dslc Elbw W 7 7 — — $1,020.50 $17,498.88 $12,866.82 2025-06-20
27709 CPT Osteotomy Tibia & Fibula 7 7 — — $1,069.85 $17,498.88 $12,866.82 2025-06-20
0627T CPT Perq Njx Algc Fluor Lmbr 1st 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
25810 CPT Arthrd Wrst Iliac/oth Agrft 7 7 — — $821.45 $17,498.88 $12,866.82 2025-06-20
22554 CPT Arthrd Ant Ntrbd Min Dsc Crv 7 7 — — $1,172.49 $17,498.88 $12,866.82 2025-06-20
28725 CPT Arthrodesis Subtalar 7 7 — — $734.24 $17,498.88 $12,866.82 2025-06-20
24362 CPT Reconstruct Elbow Joint 7 7 — — $995.66 $17,498.88 $12,866.82 2025-06-20
28420 CPT Optx Calcaneal Fx W/bone Grf 7 7 — — $1,213.91 $17,498.88 $12,866.82 2025-06-20
28730 CPT Fusion Of Foot Bones 7 7 — — $684.35 $17,498.88 $12,866.82 2025-06-20
27871 CPT Fusion Of Tibiofibular Joint 7 7 — — $649.58 $17,498.88 $12,866.82 2025-06-20
C9781 HCPCS Arthro/shoul Surg; W/spacer 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
23491 CPT Reinforce Shoulder Bones 7 7 — — $954.36 $17,498.88 $12,866.82 2025-06-20
24575 CPT Optx Humeral Epcndylr Fx 7 7 — — $695.75 $17,498.88 $12,866.82 2025-06-20
27356 CPT Remove Femur Lesion/graft 7 7 — — $699.85 $17,498.88 $12,866.82 2025-06-20
27440 CPT Revision Of Knee Joint 7 7 — — $752.90 $17,498.88 $12,866.82 2025-06-20
20982 CPT Ablate Bone Tumor(s) Perq 7 7 — — $339.21 $17,498.88 $12,866.82 2025-06-20
23802 CPT Arthrd Glenohumeral Jt W/grf 7 7 — — $1,203.32 $17,498.88 $12,866.82 2025-06-20
23680 CPT Optx Sho Dislc Neck Fx Fixj 7 7 — — $876.28 $17,498.88 $12,866.82 2025-06-20
20692 CPT Appl Mltpln Uni Ext Fixj Sys 7 7 — — $1,064.06 $17,498.88 $12,866.82 2025-06-20
69716 CPT Impl Oi Implt Sk Tc Esp<100 7 7 — — $579.50 $17,498.88 $12,866.82 2025-06-20
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 7 7 — — $601.51 $17,498.88 $12,866.82 2025-06-20
24430 CPT Rpr Non/mal Humerus Wo Graft 7 7 — — $992.19 $17,498.88 $12,866.82 2025-06-20
69729 CPT Impl Oi Implt Sk Tc Esp>=100 7 7 — — $627.50 $17,498.88 $12,866.82 2025-06-20
25491 CPT Prophylactic Tx Ulna 7 7 — — $699.20 $17,498.88 $12,866.82 2025-06-20
25441 CPT Arthrp W/prostc Dstl Rds 7 7 — — $883.15 $17,498.88 $12,866.82 2025-06-20
25444 CPT Arthrp W/prostc Lunate 7 7 — — $783.45 $17,498.88 $12,866.82 2025-06-20
0629T CPT Perq Njx Algc CT Lmbr 1st 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
24498 CPT Proph Tx W/wo Mthylmthcrylt 7 7 — — $813.01 $17,498.88 $12,866.82 2025-06-20
69714 CPT Impl Oi Implt Skull Perq Esp 7 7 — — $462.44 $17,498.88 $12,866.82 2025-06-20
24370 CPT Revise Reconst Elbow Joint 7 7 — — $1,437.60 $17,498.88 $12,866.82 2025-06-20
24435 CPT Rpr Non/mal Hum With Agrft 7 7 — — $1,016.43 $17,498.88 $12,866.82 2025-06-20
24579 CPT Optx Humrl Cndylr Fracture 7 7 — — $789.84 $17,498.88 $12,866.82 2025-06-20
25391 CPT Lengthen Radius Or Ulna 7 7 — — $936.24 $17,498.88 $12,866.82 2025-06-20
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 7 7 — — $385.05 $17,498.88 $12,866.82 2025-06-20
22551 CPT Arthrd Ant Ntrbdy Cervical 7 7 — — $1,572.01 $17,498.88 $12,866.82 2025-06-20
0737T CPT Xenograft Impltj Artclr Surf 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
24410 CPT Mlt Osteot Rlgnm Imed Rd Hum 7 7 — — $993.82 $17,498.88 $12,866.82 2025-06-20
25365 CPT Revise Radius & Ulna 7 7 — — $863.20 $17,498.88 $12,866.82 2025-06-20
C9757 HCPCS Spine Device Implant Surgery 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
C9734 HCPCS U/s Trtmt, Not Leiomyomata 6 6 — — $12,866.82 $17,498.88 $12,866.82 2025-06-20
29907 CPT Subtalar Arthro W/fusion 7 7 — — $826.35 $17,498.88 $12,866.82 2025-06-20
24515 CPT Optx Humrl Shft Fx Plate/scr 7 7 — — $830.05 $17,498.88 $12,866.82 2025-06-20
27441 CPT Revision Of Knee Joint 7 7 — — $776.95 $17,498.88 $12,866.82 2025-06-20
28735 CPT Fusion Of Foot Bones 7 7 — — $735.88 $17,498.88 $12,866.82 2025-06-20
28715 CPT Arthrodesis Triple 7 7 — — $886.62 $17,498.88 $12,866.82 2025-06-20
28737 CPT Revision Of Foot Bones 7 7 — — $649.08 $17,498.88 $12,866.82 2025-06-20
28297 CPT Cor Hlx Vlgs Jt Arthrd 7 7 — — $567.35 $17,498.88 $12,866.82 2025-06-20
27870 CPT Fusion Of Ankle Joint Open 7 7 — — $946.76 $17,498.88 $12,866.82 2025-06-20
28320 CPT Repair Of Foot Bones 7 7 — — $582.19 $17,498.88 $12,866.82 2025-06-20
29856 CPT Tibial Arthroscopy/surgery 7 7 — — $932.87 $17,498.88 $12,866.82 2025-06-20
27759 CPT Treatment Of Tibia Fracture 7 7 — — $936.22 $17,498.88 $12,866.82 2025-06-20
27827 CPT Treat Lower Leg Fracture 7 7 — — $1,049.88 $17,498.88 $12,866.82 2025-06-20
27828 CPT Treat Lower Leg Fracture 7 7 — — $1,238.58 $17,498.88 $12,866.82 2025-06-20
27447 CPT Total Knee Arthroplasty 7 7 — — $1,197.89 $17,498.88 $12,866.82 2025-06-20
27758 CPT Treatment Of Tibia Fracture 7 7 — — $843.55 $17,498.88 $12,866.82 2025-06-20
29867 CPT Arthro W/allograft Pro Fees 7 7 — — $1,199.59 $17,498.88 $12,866.82 2025-06-20
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 7 7 — — $641.09 $17,498.88 $12,866.82 2025-06-20
27442 CPT Revision Of Knee Joint 7 7 — — $820.86 $17,498.88 $12,866.82 2025-06-20
24666 CPT Optx Radial Head/nck Fx Rplc 7 7 — — $693.26 $17,498.88 $12,866.82 2025-06-20
27443 CPT Revision Of Knee Joint 7 7 — — $769.89 $17,498.88 $12,866.82 2025-06-20
23615 CPT Optx Prox Humrl Fx W/int Fix 7 7 — — $832.59 $17,498.88 $12,866.82 2025-06-20
24802 CPT Arthrd Elbow Jt Autog Graft 7 7 — — $942.38 $17,498.88 $12,866.82 2025-06-20
27446 CPT Revision Of Knee Joint 7 7 — — $1,074.30 $17,498.88 $12,866.82 2025-06-20
27428 CPT Reconstruction Knee 7 7 — — $1,051.44 $17,498.88 $12,866.82 2025-06-20
27429 CPT Reconstruction Knee 7 7 — — $1,185.26 $17,498.88 $12,866.82 2025-06-20
27438 CPT Revise Kneecap With Implant 7 7 — — $792.67 $17,498.88 $12,866.82 2025-06-20
24365 CPT Reconstruct Head Of Radius 7 7 — — $607.75 $17,498.88 $12,866.82 2025-06-20
24366 CPT Reconstruct Head Of Radius 7 7 — — $645.53 $17,498.88 $12,866.82 2025-06-20
24545 CPT Optx Hum Fx Wo Ntrcndylr Xtn 7 7 — — $875.02 $17,498.88 $12,866.82 2025-06-20
27415 CPT Osteochondral Knee Allograft 7 7 — — $1,285.88 $17,498.88 $12,866.82 2025-06-20
29889 CPT Arthrs Aid Pcl Rpr/agmntj 7 7 — — $1,150.09 $17,498.88 $12,866.82 2025-06-20
L6945 HCPCS Elbow Disart Myoelectronic C 6 6 — — $12,516.70 $17,022.71 $12,516.70 2025-06-20
64553 CPT Implant Neuroelectrodes 7 7 — — $415.80 $16,959.62 $12,470.31 2025-06-20
61888 CPT Revise/remove Neuroreceiver 7 7 — — $369.05 $16,959.62 $12,470.31 2025-06-20
63664 CPT Revise Spine Eltrd Plate 7 7 — — $826.41 $16,959.62 $12,470.31 2025-06-20
61715 CPT Mrgfus Strtctc Ablt Trgt Icr 7 7 — — $1,097.85 $16,959.62 $12,470.31 2025-06-20
64569 CPT Revise/repl Vagus N Eltrd 7 7 — — $718.49 $16,959.62 $12,470.31 2025-06-20
43647 CPT Lap Impl Electrode Antrum 7 7 — — $934.52 $16,959.62 $12,470.31 2025-06-20
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 7 7 — — $457.10 $16,959.62 $12,470.31 2025-06-20
64596 CPT Ins/rplcmt Prq Eltrd Ra Pn 1 6 6 — — $12,470.31 $16,959.62 $12,470.31 2025-06-20
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 6 6 — — $12,470.31 $16,959.62 $12,470.31 2025-06-20
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 7 7 — — $808.76 $16,959.62 $12,470.31 2025-06-20
64575 CPT Opn Impltj Nea Perph Nerve 7 7 — — $294.43 $16,959.62 $12,470.31 2025-06-20
0675T CPT Laps Insj Nw/rpcmt Isdss 1ld 6 6 — — $12,470.31 $16,959.62 $12,470.31 2025-06-20
L7190 HCPCS Elbow Adolescent Myoelectron 6 6 — — $12,089.57 $16,441.82 $12,089.57 2025-06-20
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 6 6 — — $12,007.81 $16,330.63 $12,007.81 2025-06-20
81416 CPT Exome Sequence Analysis 12 12 — — $10,200.00 $16,320.00 $12,000.00 2025-06-20
L6950 HCPCS Above Elbow Switch Control 6 6 — — $11,969.51 $16,278.53 $11,969.51 2025-06-20
L5991 HCPCS Low Pros Ext Osseo Connector 6 6 — — $11,524.55 $15,673.39 $11,524.55 2025-06-20
61623 CPT Evasc Temp Balo Artl Occ H/n 7 7 — — $526.13 $15,423.18 $11,340.57 2025-06-20
61626 CPT Tcat Perm Occls/embol Noncns 7 7 — — $831.79 $15,423.18 $11,340.57 2025-06-20
0237T CPT Trluml Perip Athrc Brchiocph 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
0236T CPT Trluml Perip Athrc Abd Aorta 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
0234T CPT Trluml Perip Athrc Renal Art 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
92924 CPT Prq Trluml C Athrc 1 Art&/br 7 7 — — $567.19 $15,423.18 $11,340.57 2025-06-20
92990 CPT Revision Of Pulmonary Valve 7 7 — — $991.76 $15,423.18 $11,340.57 2025-06-20
92987 CPT Revision Of Mitral Valve 7 7 — — $1,238.80 $15,423.18 $11,340.57 2025-06-20
92943 CPT Prq Trluml Revsc Ch Occ Ant 7 7 — — $594.54 $15,423.18 $11,340.57 2025-06-20
92997 CPT Pul Art Balloon Repr Percut 7 7 — — $573.19 $15,423.18 $11,340.57 2025-06-20
C9783 HCPCS Blind Cor Sinus Reducer Impl 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
C9600 HCPCS Perc Drug-el Cor Stent Sing 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
C9772 HCPCS Revasc Lithotrip Tibi/perone 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
92928 CPT Prq Tcat Plmt Ntrac St 1 Les 7 7 — — $529.18 $15,423.18 $11,340.57 2025-06-20
37244 CPT Vasc Embolize/occlude Bleed 7 7 — — $604.51 $15,423.18 $11,340.57 2025-06-20
C9764 HCPCS Revasc Intravasc Lithotripsy 6 6 — — $11,340.57 $15,423.18 $11,340.57 2025-06-20
37241 CPT Vasc Embolize/occlude Venous 7 7 — — $388.69 $15,423.18 $11,340.57 2025-06-20
37236 CPT Open/perq Place Stent 1st 7 7 — — $396.33 $15,423.18 $11,340.57 2025-06-20
37238 CPT Open/perq Place Stent Same 7 7 — — $277.34 $15,423.18 $11,340.57 2025-06-20
37243 CPT Vasc Embolize/occlude Organ 7 7 — — $514.09 $15,423.18 $11,340.57 2025-06-20
37228 CPT Professional Services 7 7 — — $485.35 $15,423.18 $11,340.57 2025-06-20
37226 CPT Professional Services 7 7 — — $464.98 $15,423.18 $11,340.57 2025-06-20
37221 CPT Professional Services 7 7 — — $441.69 $15,423.18 $11,340.57 2025-06-20
37187 CPT Venous Mech Thrombectomy 7 7 — — $357.85 $15,423.18 $11,340.57 2025-06-20
36903 CPT Intro Cath Dialysis Circuit 7 7 — — $286.41 $15,423.18 $11,340.57 2025-06-20
36905 CPT Thrmbc/nfs Dialysis Circuit 7 7 — — $403.53 $15,423.18 $11,340.57 2025-06-20
33903 CPT Perq P-art Revsc 1 Abnor Bi 7 7 — — $797.41 $15,423.18 $11,340.57 2025-06-20
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