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

VIRGINIA MASON MEDICAL CENTER

Seattle, WA · CCN 500005 · Rates published

1,442 distinct procedures filed
14 distinct payers
28,519 rate rows
2026-07-15 last MRF observed
Data quality

27,046 of 28,519 rate rows are consumer-grade (94.8%)

1,473 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
placeholder amount (≤ $0.02) — excluded from medians 1,286
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 157
template filing: same amount across many unrelated codes — excluded 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/910565539-1801851258_virginia-mason-medical-center_standardcharges.csv
Found on page https://www.vmfh.org/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint f86183af8eab9ea7… · 274,749,090 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
G0339
HCPCS 		Robot Lin-radsurg Com, First 12 $68.91 $8,184.63 $4,167.48 nat. median
$7,799
0.5× median
G0340
HCPCS 		Robt Lin-radsurg Fractx 2-5 12 $53.90 $6,654.94 $3,421.86 nat. median
$6,248
0.5× median
G0330
HCPCS 		Facility Svs Dental Rehab 1 $3,092.93 $3,092.93 $3,092.93 nat. median
$3,763
0.8× median
V5261
HCPCS 		Hearing Aid, Digit, Bin, Bte 2 $902.50 $4,138.50 $2,520.50 nat. median
$2,935
0.9× median
V5259
HCPCS 		Hearing Aid, Digit, Bin, Itc 2 $902.50 $4,005.00 $2,453.75 nat. median
$3,254
0.8× median
G2069
HCPCS 		Med Assist Tx Inject 1 $2,437.48 $2,437.48 $2,437.48 nat. median
$1,798
1.4× median
93597
CPT 		R&l Hrt Cath Chd Abnl Nt Cnj 10 $539.48 $7,851.60 $2,433.01 nat. median
$4,726
0.5× median
95965
CPT 		Meg, Spontaneous 13 $60.15 $7,521.06 $2,370.07 nat. median
$1,180
outlier · 2.0×
77301
CPT 		Radioltherapy Dos Plan, Imrt 14 $6.90 $6,911.98 $2,139.28 nat. median
$2,755
0.8× median
95829
CPT 		Surgery Electrocorticogram 14 $56.36 $6,691.26 $2,113.88 nat. median
$1,603
1.3× median
V5260
HCPCS 		Hearing Aid, Digit, Bin, Ite 2 $902.50 $3,070.50 $1,986.50 nat. median
$2,811
0.7× median
91112
CPT 		Gi Wireless Capsule Measure 13 $49.21 $6,330.37 $1,946.81 nat. median
$1,236
1.6× median
V5281
HCPCS 		Assistive Listening Device, Personal Fm Dm System, Monaural 1 $1,942.77 $1,942.77 $1,942.77 nat. median
$1,455
1.3× median
G2073
HCPCS 		Med Tx Naltrexone 1 $1,867.36 $1,867.36 $1,867.36 nat. median
$1,371
1.4× median
93461
CPT 		R&l Hrt Art/ventricle Angio, Bypass Graft 13 $43.33 $5,087.86 $1,579.43 nat. median
$6,309
outlier · 0.3×
V5258
HCPCS 		Hearing Aid, Digit, Bin, Cic 2 $902.50 $2,202.75 $1,552.62 nat. median
$2,959
0.5× median
93596
CPT 		R&l Hrt Cath Chd Nml Nt Cnj 10 $518.93 $4,716.74 $1,482.90 nat. median
$5,182
outlier · 0.3×
G0415
HCPCS 		Open Tx Post Pelvic Fxcture 14 $40.42 $6,222.64 $1,470.85 nat. median
$4,302
outlier · 0.3×
92987
CPT 		Percutaneous Balloon Valvuloplasty,mitral Valve 14 $39.76 $6,534.66 $1,428.83 nat. median
$11,488
outlier · 0.1×
V5253
HCPCS 		Hearing Aid, Prog, Bin, Bte 2 $1,054.22 $1,802.25 $1,428.24 nat. median
$1,882
0.8× median
G0491
HCPCS 		Dialysis Acu Kidney No Esrd 1 $1,415.86 $1,415.86 $1,415.86 nat. median
$873
1.6× median
77525
CPT 		Proton Treatment, Complex 12 $35.02 $4,341.78 $1,412.44 nat. median
$1,480
1.0× median
V5255
HCPCS 		Hearing Aid, Digit, Mon, Itc 2 $285.00 $2,529.82 $1,407.41 nat. median
$1,728
0.8× median
93460
CPT 		R&l Hrt Art/ventricle Angio 13 $29.90 $4,614.28 $1,397.45 nat. median
$6,195
outlier · 0.2×
92986
CPT 		Percutaneous Balloon Valvuloplasty--aortic Valve 14 $38.47 $6,330.65 $1,386.81 nat. median
$7,320
outlier · 0.2×
93457
CPT 		R Hrt Art/grft Angio 13 $38.76 $4,566.13 $1,382.87 nat. median
$6,178
outlier · 0.2×
93581
CPT 		Percut Transcath Closure Of Defect W/implant 14 $25.32 $6,576.02 $1,359.03 nat. median
$17,405
outlier · 0.1×
V5252
HCPCS 		Hearing Aid, Prog, Bin, Ite 1 $1,335.00 $1,335.00 $1,335.00 nat. median
$1,867
0.7× median
V5100
HCPCS 		Hearing Aid, Bilateral, Body 13 $33.74 $3,403.00 $1,331.47 nat. median
$1,982
0.7× median
95716
CPT 		Veeg Ea 12-26hr Cont Mntr 12 $32.12 $4,003.01 $1,318.15 nat. median
$1,732
0.8× median
77371
CPT 		Srs, Multisource 13 $14.62 $4,280.32 $1,316.51 nat. median
$9,194
outlier · 0.1×
G0343
HCPCS 		Laparotomy Islet Cell Transp 14 $36.68 $5,378.62 $1,311.90 nat. median
$3,300
outlier · 0.4×
93456
CPT 		R Hrt Coronary Artery Angio 13 $35.33 $4,195.53 $1,301.94 nat. median
$6,055
outlier · 0.2×
93453
CPT 		R&l Hrt Cath W/ventriclgrphy 13 $35.91 $4,271.29 $1,293.58 nat. median
$5,651
outlier · 0.2×
V5140
HCPCS 		Binaural, Behind The Ear 13 $32.63 $3,291.04 $1,287.67 nat. median
$1,578
0.8× median
77523
CPT 		Proton Trtmnt Delivery,intermediate 12 $17.87 $3,924.07 $1,277.56 nat. median
$1,472
0.9× median
93459
CPT 		L Hrt Art/grft Angio 13 $35.22 $4,155.32 $1,258.46 nat. median
$6,222
outlier · 0.2×
77615
CPT 		Hyperthermia Generated By Interstitial Probes-more Than 5 Applicators 14 $2.03 $4,126.41 $1,247.45 nat. median
$670
1.9× median
V5130
HCPCS 		Binaural In The Ear 13 $31.38 $3,164.97 $1,238.34 nat. median
$1,860
0.7× median
77373
CPT 		Sbrt Delivery 14 $0.41 $4,272.72 $1,209.18 nat. median
$3,665
outlier · 0.3×
90951
CPT 		Esrd Serv, 4 Visits Per Mo, Lt 2 Yo 14 $34.35 $4,456.34 $1,208.99 nat. median
$1,114
1.1× median
95783
CPT 		Polysom Lt 6 Yrs Cpap/bilvl 13 $28.77 $3,813.18 $1,198.41 nat. median
$1,700
0.7× median
V5257
HCPCS 		Hearing Aid, Digit, Mon, Bte 2 $285.00 $2,069.25 $1,177.12 nat. median
$1,418
0.8× median
93458
CPT 		L Hrt Artery/ventricle Angio 13 $32.57 $3,870.40 $1,172.17 nat. median
$6,257
outlier · 0.2×
G0413
HCPCS 		Pelvic Ring Fracture Uni/bil 14 $31.33 $4,775.82 $1,154.38 nat. median
$7,144
outlier · 0.2×
92990
CPT 		Revision Of Plmonary Valv 14 $31.73 $5,188.20 $1,147.25 nat. median
$11,383
outlier · 0.1×
95966
CPT 		Meg, Evoked, Single 13 $30.80 $3,839.94 $1,140.92 nat. median
$1,074
1.1× median
93455
CPT 		Coronary Art/grft Angio S&i 13 $31.66 $3,756.01 $1,137.52 nat. median
$5,616
outlier · 0.2×
95782
CPT 		Polysom Lt 6 Yrs, More Than 4 Parameters 13 $27.14 $3,600.70 $1,131.30 nat. median
$1,667
0.7× median
93590
CPT 		Perq Transcath Cls Mitral 13 $15.80 $5,216.35 $1,120.14 nat. median
$18,387
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 1,442 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
             
78483 CPT Nuclear Scan, Heart Muscle 22 14 — — $1.22 $852.31 $260.71 2026-07-15
91010 CPT Esophageal Motility Study (mano Stdy Of Eso/gastro Junc) 22 14 — — $6.52 $1,509.88 $260.73 2026-07-15
90869 CPT Tcran Magn Stim Redetemine 18 12 — — $6.22 $800.73 $261.24 2026-07-15
78014 CPT Thyroid Imaging W/blood Flow, W/sgl Or Mult Uptake 19 13 — — $7.03 $847.09 $261.51 2026-07-15
95722 CPT EEG Phy/qhp Gt36-lt60 Hr W/veeg 17 12 — — $7.42 $998.38 $268.06 2026-07-15
95723 CPT EEG Phy/qhp Gt60-lt84 Hr Without Vid 17 12 — — $7.57 $846.35 $268.14 2026-07-15
95864 CPT Needle Electromyography, 4 Extremities W/wo Related Paraspinal Areas 21 14 — — $7.35 $956.17 $268.77 2026-07-15
78262 CPT Esophageal Reflx 22 14 — — $7.13 $873.96 $270.76 2026-07-15
94776 CPT Ped Home Apnea Rec, Downld 17 12 — — $6.19 $848.02 $270.98 2026-07-15
93351 CPT Stress Tte Complete 21 14 — — $6.97 $1,995.32 $271.12 2026-07-15
93312 CPT Transesophageal Echcardiography 21 14 — — $7.23 $925.94 $271.82 2026-07-15
93898 CPT Ven-artl Shunt Det Mbubb Njx 6 5 — — $272.51 $890.66 $272.51 2026-07-15
96573 CPT Pdt Dstr Prmlg Les Phys/qhp 19 13 — — $6.90 $1,111.33 $273.08 2026-07-15
93595 CPT L Hrt Cath Chd Nm/abn Nt Cnj 15 10 — — $266.13 $894.09 $273.75 2026-07-15
92240 CPT Indocyanine-green Angiography (incl Multiframe)interp&report 22 14 — — $5.93 $1,406.23 $273.87 2026-07-15
78104 CPT Bone Marrw Study Whole Body 22 14 — — $2.03 $887.28 $274.12 2026-07-15
93243 CPT Ext Ecg, Gt 48hrs/lt 7d, Scan A/r 15 10 — — $266.92 $881.36 $276.12 2026-07-15
78800 CPT Ltd Area Localiztion Scan 22 14 — — $7.53 $2,190.86 $278.06 2026-07-15
93315 CPT Transesophageal Echo For Congentl Cardio Anomly Incl Probe Plcmnt,image,int/rpt 19 13 — — $7.38 $1,392.23 $280.56 2026-07-15
95912 CPT Motor&sen 11-12 Nrv Cnd Test 19 13 — — $7.65 $2,686.53 $281.13 2026-07-15
95928 CPT C Motor Evoked, Uppr Limbs 21 14 — — $6.96 $2,668.20 $283.27 2026-07-15
93247 CPT Ext Ecg, Gt 7d/lt 15d, Scan A/r 15 10 — — $280.59 $2,294.99 $286.38 2026-07-15
95929 CPT C Motor Evoked, Lwr Limbs 21 14 — — $7.16 $2,221.75 $286.64 2026-07-15
93925 CPT Lower Extremity Study 21 14 — — $7.45 $909.64 $286.75 2026-07-15
77316 CPT Brachytx Isodose Plan Simple 20 13 — — $6.78 $911.77 $287.44 2026-07-15
77412 CPT Radiation Tx Del, Gte 1 Mev, Complex 22 14 — — $5.28 $1,069.28 $288.13 2026-07-15
95714 CPT Veeg Ea 12-26 Hr Unmntr 17 12 — — $8.55 $966.70 $288.37 2026-07-15
78291 CPT Test Venous Drain, Abdomen 21 14 — — $7.37 $929.67 $288.83 2026-07-15
90867 CPT Tcranial Magn Stim Tx Plan 18 12 — — $6.80 $4,950.00 $290.46 2026-07-15
77767 CPT Hdr Rdncl Skn Surf Brachytx, Le 2cm, 1 Cnl 20 13 — — $0.41 $936.93 $293.55 2026-07-15
93985 CPT Dup-scan Hemo Compl Bi Std 17 12 — — $7.84 $1,117.09 $295.07 2026-07-15
95700 CPT EEG Cont Rec W/vid EEG Tech 17 12 — — $6.83 $856.69 $295.55 2026-07-15
78650 CPT Cerebrospinal Fluid Leakage Detection And Localization 22 14 — — $1.22 $961.55 $297.29 2026-07-15
78305 CPT Bone Scan, Regionl 22 14 — — $8.18 $976.98 $297.90 2026-07-15
V5090 HCPCS Hearing Aid Dispensing Fee 20 13 — — $7.48 $1,676.76 $299.48 2026-07-15
93613 CPT Electrophys Map, 3d, Add-on 21 14 — — $8.67 $2,627.37 $300.41 2026-07-15
93594 CPT R Hrt Cath Chd Abnl Nt Cnj 15 10 — — $298.29 $992.06 $301.28 2026-07-15
78016 CPT Extensive Thyroid Scan 22 14 — — $5.69 $978.86 $302.14 2026-07-15
92978 CPT Ivus(coronary Vessel/grft)incl Imaging Superv,interp&report,initial Vessel 19 13 — — $7.91 $1,931.17 $302.48 2026-07-15
93724 CPT Electronic Analysis Of Antitachycardia Pacemaker System 21 14 — — $8.26 $1,441.04 $305.55 2026-07-15
V5200 HCPCS Dispensing Fee Cros 20 13 — — $7.54 $1,830.76 $306.21 2026-07-15
78801 CPT Gallium Scan, Regionl 22 14 — — $8.31 $1,324.47 $307.48 2026-07-15
95725 CPT EEG Phy/qhp Gt84 Hr Without Vid 17 12 — — $8.65 $966.24 $309.75 2026-07-15
93241 CPT Ext Ecg, Gt 48hrs/lt 7d, Rec Scan A/r 15 10 — — $304.82 $1,006.49 $313.55 2026-07-15
93975 CPT Visceral Vascular Study 21 14 — — $8.14 $1,127.15 $313.62 2026-07-15
93655 CPT Ablate Arrhythmia Add On 19 13 — — $12.44 $2,070.31 $315.79 2026-07-15
93657 CPT Tx L/r Atrial Fib Addl 19 13 — — $12.43 $2,070.12 $316.20 2026-07-15
95962 CPT Funct Crtcl & Subcrtcl Map,each Addtnl Hr Of Phy Attend 21 14 — — $7.72 $1,479.83 $317.01 2026-07-15
V5240 HCPCS Dispensing Fee Bicros 20 13 — — $7.81 $1,086.96 $317.17 2026-07-15
G0411 HCPCS Inter Active Grp Psych Parti 1 1 — — $317.40 $317.40 $317.40 2026-07-15
90966 CPT Esrd Home Pt, Serv Per Mo, 20+ Yo 22 14 — — $8.59 $2,154.93 $317.45 2026-07-15
90961 CPT Esrd Srv, 2-3 Vsts Per Mo, 20+ Yo 22 14 — — $8.60 $1,548.40 $317.45 2026-07-15
78453 CPT Ht Muscle Image,planar,sing 22 14 — — $8.80 $1,161.40 $318.02 2026-07-15
92998 CPT Percutaneous Transluminal Pulmonary Artery Balloon Angioplsty,each Addl Vessel 21 14 — — $9.20 $1,610.89 $318.58 2026-07-15
78070 CPT Parathyrd Imaging 22 14 — — $6.50 $1,190.30 $322.32 2026-07-15
78473 CPT Cardiac Blood Pool Imaging,gated Equilibrium,multi Studies 22 14 — — $8.49 $1,940.38 $323.64 2026-07-15
95913 CPT Nerve Conduction Studies, 13 Or More Studies 19 13 — — $8.88 $1,566.90 $323.89 2026-07-15
93624 CPT Electrophysiologic Follow-up Study W/pacing & Recrding To Test Effectiveness 19 13 — — $8.95 $1,201.67 $324.28 2026-07-15
91122 CPT Anorectal Manometry With Biofd 22 14 — — $0.41 $2,230.19 $324.36 2026-07-15
G0341 HCPCS Percutaneous Islet Celltrans 22 14 — — $63.03 $4,052.89 $325.66 2026-07-15
78598 CPT Lung Perf&ventilat Diferentl 20 13 — — $8.94 $1,069.44 $326.67 2026-07-15
77307 CPT Telethx Isodose Plan Cplx 20 13 — — $8.38 $1,112.55 $327.07 2026-07-15
91020 CPT Gastric Motility (manometric)studies 22 14 — — $8.27 $1,950.00 $327.20 2026-07-15
93245 CPT Ext Ecg, Gt 7d/lt 15d, Rec Scan A/r 15 10 — — $320.94 $1,059.74 $327.25 2026-07-15
93886 CPT Intracranial Study 21 14 — — $8.14 $1,023.24 $327.89 2026-07-15
96574 CPT Dbrdmt Prmlg Les W/pdt 19 13 — — $8.49 $1,067.04 $331.73 2026-07-15
78306 CPT Bone Scan,extnsive 22 14 — — $8.80 $1,044.76 $331.74 2026-07-15
78802 CPT Gallium Whle Body Scan 22 14 — — $9.21 $1,213.33 $337.06 2026-07-15
95724 CPT EEG Phy/qhp Gt60-lt84 Hr W/veeg 17 12 — — $9.47 $1,067.67 $337.24 2026-07-15
78456 CPT Acute Venous Thrombus Image 22 14 — — $3.65 $1,100.26 $338.75 2026-07-15
78018 CPT I131 Whole Bod Scan 21 14 — — $9.23 $1,102.78 $339.89 2026-07-15
95957 CPT Digital Analysis Of Electroencephalogram (eeg) (eg, For Epiletic 21 14 — — $7.40 $1,689.18 $344.24 2026-07-15
77469 CPT Io Radiation Tx Management 20 13 — — $9.20 $1,471.33 $347.64 2026-07-15
99191 CPT Special Pump Services 19 13 — — $8.99 $1,096.77 $347.69 2026-07-15
78645 CPT Cerebro-spinal Fluid Shnt 22 14 — — $9.52 $1,146.20 $351.24 2026-07-15
90959 CPT Esrd Serv, 1 Vst Per Mo, 12-19 Yo 22 14 — — $9.50 $2,448.56 $351.75 2026-07-15
78226 CPT Hepatobiliary System Imaging 20 13 — — $9.63 $5,925.11 $352.53 2026-07-15
78606 CPT Cerebral Blood Flw 22 14 — — $9.76 $1,160.87 $356.91 2026-07-15
99476 CPT Ped Crit Care Age 2-5, Subsq 21 14 — — $9.85 $1,639.94 $357.47 2026-07-15
93642 CPT Electrophysiologic Evaluation Of Cardioverter-defibrillator 21 14 — — $9.86 $1,672.92 $358.25 2026-07-15
78635 CPT Cerebrospinal Fluid Scan 22 14 — — $2.84 $1,200.08 $358.27 2026-07-15
78290 CPT Bowel Imaging Meckls Scn 22 14 — — $9.72 $1,171.75 $360.80 2026-07-15
78582 CPT Lung Ventilat&perfus Imaging 19 13 — — $9.79 $1,171.20 $362.03 2026-07-15
78264 CPT Gastric Empty Imag -liqud/solid 22 14 — — $9.77 $1,171.07 $362.06 2026-07-15
94772 CPT Breath Recording, Infant 17 12 — — $8.02 $1,132.12 $362.30 2026-07-15
94774 CPT Ped Home Apnea Rec, Compl 17 12 — — $8.28 $1,132.12 $362.30 2026-07-15
V5282 HCPCS Assistive Listening Device, Personal Fm Dm System, Binaural 1 1 — — $363.12 $363.12 $363.12 2026-07-15
V5160 HCPCS Dispensing Fee Binaural 20 13 — — $9.11 $1,150.31 $364.74 2026-07-15
99477 CPT Init Day Hosp Neonate Care 21 14 — — $9.94 $1,666.07 $365.14 2026-07-15
78071 CPT Parathyrd Planar W/wo Subtrj 20 13 — — $2.44 $1,235.06 $368.92 2026-07-15
78630 CPT Cisternography Yb 169,dtpa 21 14 — — $9.93 $1,196.24 $369.73 2026-07-15
95961 CPT Funct Cortical & Subcortical,initial Hour Of Phys Attend 21 14 — — $9.25 $1,163.00 $370.94 2026-07-15
77317 CPT Brachytx Isodose Intermed 20 13 — — $8.90 $1,198.88 $374.44 2026-07-15
V5213 HCPCS Hearing Aid, Contralateral Routing Sys, Binaural, Ite Bte 1 1 — — $375.00 $375.00 $375.00 2026-07-15
90956 CPT Esrd Srv, 1 Visit Per Mo, 2-11 Yo 22 14 — — $10.17 $3,909.73 $375.50 2026-07-15
92242 CPT Fluorescein Icg Angiography 20 13 — — $7.35 $1,375.54 $377.66 2026-07-15
78315 CPT Bone And/or Jnt Imaging 3 Phases 22 14 — — $1.62 $1,280.10 $378.45 2026-07-15
78451 CPT Ht Muscle Image Spect, Sing 22 14 — — $1.22 $1,190.13 $380.44 2026-07-15
78278 CPT Acute Gi Blood Loss Study 22 14 — — $10.24 $1,231.94 $381.06 2026-07-15
90960 CPT Esrd Srv, 4 Visits Per Mo, 20+ Yo 22 14 — — $10.39 $1,299.85 $381.52 2026-07-15
92975 CPT Intracoronry Thrombolysis(inc Cor Angio) 21 14 — — $10.97 $1,865.04 $381.97 2026-07-15
78195 CPT Lymphatics And Lymph Nodes Imaging 22 14 — — $2.03 $1,246.67 $385.79 2026-07-15
93618 CPT Indction Of Arrhythmia By Electrical Pacing 19 13 — — $10.68 $1,258.36 $389.21 2026-07-15
93892 CPT Tcd, Emboli Detect Without Inj 21 14 — — $7.81 $1,205.02 $390.80 2026-07-15
G2087 HCPCS Off Base Opioid Tx, 60 M 18 12 — — $10.07 $863.20 $400.13 2026-07-15
77770 CPT Hdr Rdncl Ntrstl/icav Brchtx, 1 Chn 20 13 — — $8.53 $1,292.96 $401.38 2026-07-15
78709 CPT Renal Blood Flow,multiple Studies With And Without Pharm Intervention 22 14 — — $1.22 $2,325.83 $401.61 2026-07-15
93592 CPT Perq Transcath Closure Each Addl 19 13 — — $11.39 $1,913.73 $403.55 2026-07-15
93609 CPT Intraventriculr &/or Intra-atrial Mapping Of Tachycardia Site(s),w/cath Manip 19 13 — — $11.25 $1,303.06 $404.41 2026-07-15
77386 CPT Ntsty Modul Rad Tx Dlvr Cplx 20 13 — — $0.81 $1,386.73 $415.49 2026-07-15
78803 CPT Gallium Whle Body-spect 22 14 — — $11.38 $2,763.66 $415.52 2026-07-15
77385 CPT Ntsty Modul Rad Tx Dlvr Smpl 19 13 — — $1.22 $1,384.12 $419.19 2026-07-15
G0416 HCPCS Biopsy Prostate 22 14 — — $10.15 $1,743.29 $419.70 2026-07-15
95812 CPT Electroencephalogram (eeg) Extended Monitoring, Up To One Hour 21 14 — — $10.13 $1,307.67 $419.76 2026-07-15
99472 CPT Ped Critical Care, Subsq 21 14 — — $11.56 $1,953.92 $422.28 2026-07-15
77768 CPT Hdr Rdncl Skn Surf Brachytx, Gt 2cm, Ge 2 Cnls 20 13 — — $2.44 $1,370.74 $426.62 2026-07-15
G2086 HCPCS Off Base Opioid Tx 70min 18 12 — — $11.31 $950.35 $426.97 2026-07-15
99469 CPT Neonate Crit Care, Subsq 21 14 — — $11.34 $1,900.66 $427.25 2026-07-15
78265 CPT Gastric Emptying Imag Study, Sm Bwl 20 13 — — $5.28 $1,384.69 $430.38 2026-07-15
95726 CPT EEG Phy/qhp Gt84 Hr W/veeg 17 12 — — $12.00 $1,355.74 $432.50 2026-07-15
77750 CPT Infusion Or Instillation Of Radioelement Solution 22 14 — — $2.03 $1,549.59 $443.87 2026-07-15
95938 CPT Somatosensory Testing 19 13 — — $10.58 $1,383.81 $450.70 2026-07-15
95706 CPT EEG Wo Vid 2-12hr Intmt Mntr 17 12 — — $10.45 $1,358.57 $454.69 2026-07-15
77432 CPT Stereotactic Radiation Trmt 22 14 — — $9.34 $1,967.83 $455.46 2026-07-15
95954 CPT EEG Monitoring/giving Drugs 21 14 — — $11.56 $2,235.06 $462.86 2026-07-15
78072 CPT Parathyrd Planar W/spect&ct 20 13 — — $6.90 $1,538.57 $468.03 2026-07-15
78454 CPT Ht Musc Image, Planar, Mult 22 14 — — $12.73 $1,538.98 $470.89 2026-07-15
95816 CPT Eeg,awake/drowsy,w/hypervent &/or Photic Stim-stndrd/portable,same Facility 21 14 — — $11.08 $1,452.05 $473.65 2026-07-15
90989 CPT Dialysis Training/complete 20 13 — — $12.06 $3,600.00 $474.56 2026-07-15
78227 CPT Hepatobil Syst Image W/drug 20 13 — — $12.96 $1,550.71 $478.25 2026-07-15
93893 CPT Tcd, Emboli Detect W/inj 21 14 — — $11.13 $1,631.54 $482.74 2026-07-15
91038 CPT Esoph Imped Funct Test Greater Than 1h 22 14 — — $13.23 $3,600.00 $483.24 2026-07-15
77761 CPT Intracavitary Rad Source Appl,simple 21 14 — — $0.41 $1,924.61 $488.23 2026-07-15
78075 CPT Nuclear Scan Of Adrenals 22 14 — — $3.65 $1,584.52 $488.53 2026-07-15
78266 CPT Gastric Emptying Imag Study, Sm Bwl, Cln 20 13 — — $11.37 $1,574.55 $489.77 2026-07-15
93640 CPT Electrophysicl Eval Of Cardioverter-defibrillator Lead &/or Device (aicd) 19 13 — — $13.08 $1,563.47 $490.02 2026-07-15
95807 CPT Sleep Study,simult Rcrding Of Vent,resp Effrt,ecg (attndd By Tech) 21 14 — — $11.66 $2,979.34 $490.02 2026-07-15
78459 CPT Myocardial Imaging,positron Emission Tomography,metabolic Eval 20 13 — — $4.87 $1,570.70 $492.44 2026-07-15
78452 CPT Ht Muscle Image Spect, Mult 22 14 — — $13.94 $1,655.56 $494.75 2026-07-15
95822 CPT Electroencephalogrm-sleep Only 21 14 — — $12.12 $1,579.68 $495.99 2026-07-15
99190 CPT Perfsion Team 19 13 — — $12.86 $1,566.99 $496.42 2026-07-15
78491 CPT Myocardial Imaging (pet), Perf, Sngl At Rest Or Stress 20 13 — — $12.94 $1,623.19 $509.08 2026-07-15
78830 CPT Rp Loclzj Tum Spect W/ct 1 18 12 — — $2.03 $4,786.22 $516.44 2026-07-15
95805 CPT Mult Slp Latency/mntnc Tstng,recrding,analysis,interp Of Physio Msrmnts Of Slp 21 14 — — $12.30 $1,840.48 $517.29 2026-07-15
95819 CPT Eeg,awake/asleep,w/hypervent &/or Photic Stim,stndrd/portable,same Facility 21 14 — — $13.29 $1,687.97 $526.68 2026-07-15
95813 CPT Electroencephalogram (eeg) Extended Monitoring, Greater Than One 21 14 — — $12.46 $1,618.83 $528.97 2026-07-15
91132 CPT Electrogastrography 20 13 — — $0.81 $6,447.27 $529.38 2026-07-15
78429 CPT Myocrd Img PET 1 Std W/ct 18 12 — — $13.82 $1,727.63 $529.49 2026-07-15
90965 CPT Esrd Home Pt Serv Per Mo 12-19 Yo 22 14 — — $14.68 $2,119.25 $529.67 2026-07-15
77318 CPT Brachytx Isodose Complex 20 13 — — $12.68 $1,696.69 $530.22 2026-07-15
90958 CPT Esrd Srv 2-3 Vsts Per Mo 12-19 Yo 22 14 — — $14.72 $2,355.65 $530.48 2026-07-15
77338 CPT Design Mlc Device For Imrt 22 14 — — $13.77 $1,885.01 $539.00 2026-07-15
95707 CPT EEG Without Vid 2-12hr Cont Mntr 17 12 — — $11.51 $1,563.30 $539.76 2026-07-15
92920 CPT Prq Cardiac Angioplast 1 Art 19 13 — — $15.45 $2,633.32 $542.16 2026-07-15
91035 CPT G-esoph Reflx Tst W/electrod 22 14 — — $14.81 $2,574.65 $542.85 2026-07-15
77295 CPT Radiotherapy Plan, Three Dimensional 21 14 — — $14.07 $1,832.76 $548.35 2026-07-15
93631 CPT Intra-opertive Cardiac Pacing And Mapping 19 13 — — $15.36 $1,780.46 $551.20 2026-07-15
95712 CPT Veeg 2-12 Hr Intmt Mntr 17 12 — — $12.20 $1,653.73 $553.55 2026-07-15
91133 CPT Electrogastrography W/test 20 13 — — $12.94 $1,799.44 $555.77 2026-07-15
90964 CPT Esrd Home Pt Serv Per Mo, 2-11 Yo 22 14 — — $15.26 $3,293.25 $558.17 2026-07-15
90955 CPT Esrd Srv 2-3 Vsts Per Mo, 2-11 Yo 22 14 — — $15.03 $3,705.69 $559.95 2026-07-15
78492 CPT Myocardial Imaging, (pet),perf,mult At Rest Or Stress 20 13 — — $12.18 $1,936.15 $590.69 2026-07-15
99475 CPT Ped Crit Care Age 2-5, Init 21 14 — — $16.41 $2,676.48 $593.53 2026-07-15
93650 CPT Intracardiac Ablation Of Atrioventricular Node Func W/wo Temp Pcmkr Plcmnt 21 14 — — $17.28 $2,852.07 $601.71 2026-07-15
91120 CPT Rectal Sensation Test 22 14 — — $15.71 $2,979.34 $602.71 2026-07-15
V5060 HCPCS Hearing Aid, Monaural, Behind The Ear (bte) 20 13 — — $15.06 $1,518.94 $602.95 2026-07-15
92937 CPT Prq Revasc Byp Graft 1 Vsl 19 13 — — $17.17 $2,927.53 $603.16 2026-07-15
92928 CPT Prq Card Stent W/angio 1 Vsl 19 13 — — $17.19 $2,930.45 $603.23 2026-07-15
78430 CPT Myocrd Img PET Rst/strs W/ct 18 12 — — $0.81 $1,993.45 $618.56 2026-07-15
91040 CPT Esoph Balloon Distension Tst 22 14 — — $16.11 $2,443.22 $622.37 2026-07-15
77762 CPT Intrcav Radioel App Interm 22 14 — — $0.41 $2,049.84 $628.29 2026-07-15
90953 CPT Esrd Serv, 1 Visit Per Mo, Lt 2 Yo 20 13 — — $9.34 $2,027.85 $632.84 2026-07-15
V5040 HCPCS Hrng Aid,monaurl,bdy Worn,bne Condctn (req Auth When Dispensed To Adlt 19 12 — — $15.59 $1,572.40 $633.12 2026-07-15
93641 CPT Electrophysiological Eval W/testing Of Cardioverter-defib Pulse Generator 19 13 — — $17.17 $2,038.99 $635.40 2026-07-15
77600 CPT Hyperthermia,externally Generated-superficial 22 14 — — $10.56 $2,013.47 $638.67 2026-07-15
90963 CPT Esrd Home Pt, Serv Per Mo, Lt 2 Yo 22 14 — — $11.53 $3,091.60 $641.36 2026-07-15
92924 CPT Prq Card Angio/athrect 1 Art 19 13 — — $18.42 $3,140.58 $646.67 2026-07-15
92997 CPT Percutaneous Transluminal Pulmonary Artery Balloon Angioplasty,single Vessel 21 14 — — $18.50 $3,233.62 $653.47 2026-07-15
78608 CPT Brain Imaging (pet)metabolic Eval 20 13 — — $16.83 $2,460.39 $660.65 2026-07-15
95939 CPT C Motor Evoked Upr&lwr Limbs 19 13 — — $16.02 $2,056.36 $664.61 2026-07-15
93582 CPT Perq Transcath Closure Pda 19 13 — — $19.34 $3,299.63 $672.21 2026-07-15
92933 CPT Prq Card Stent/ath/angio, Single 19 13 — — $19.30 $3,285.03 $676.48 2026-07-15
92943 CPT Prq Card Revasc Chronic 1vsl 19 13 — — $19.33 $3,290.87 $677.17 2026-07-15
92941 CPT Prq Card Revasc Mi 1 Vsl 19 13 — — $19.31 $3,291.69 $677.30 2026-07-15
95808 CPT Polysom,any Age, 1-3 Addtl Parameters Of Sleep, Attndd By Tech 21 14 — — $19.34 $2,230.19 $678.60 2026-07-15
78811 CPT Tumor Imaging (pet), Limited 20 13 — — $6.90 $4,718.77 $681.59 2026-07-15
77435 CPT Sbrt Management 22 14 — — $6.90 $2,960.02 $689.06 2026-07-15
95713 CPT Veeg 2-12 Hr Cont Mntr 17 12 — — $15.91 $2,094.86 $690.19 2026-07-15
V5254 HCPCS Hearing Id, Digit, Mon, Cic 2 2 — — $285.00 $1,101.38 $693.19 2026-07-15
77771 CPT Hdr Rdncl Ntrstl/icav Brchtx, 2-12 Chns 20 13 — — $2.03 $2,237.10 $699.85 2026-07-15
78804 CPT Tumor Imaging, Whole Body 21 14 — — $19.42 $2,301.18 $706.28 2026-07-15
V5050 HCPCS Hearing Aid, Monaural, In The Ear 20 13 — — $18.02 $1,817.49 $721.46 2026-07-15
93505 CPT Endmyocardial Biopsy 21 14 — — $20.70 $2,454.75 $722.53 2026-07-15
78431 CPT Myocrd Img PET Rst&strs CT 18 12 — — $18.50 $2,332.82 $732.01 2026-07-15
93619 CPT Electrophysiology Evaluation 19 13 — — $20.05 $2,355.52 $735.03 2026-07-15
77620 CPT Hyperthermia Generated By Intracavitary Probe(s) 22 14 — — $0.81 $2,427.84 $738.71 2026-07-15
93583 CPT Perq Transcath Septal Reduxn 19 13 — — $9.89 $3,675.57 $741.09 2026-07-15
95810 CPT Polysom, 6+ Yo, 4 Or More Parameters Of Sleep,attnd By Tech 21 14 — — $18.02 $2,284.89 $746.61 2026-07-15
V5214 HCPCS Hearing Aid, Contralateral Routing Sys, Binaural, Itc Itc 1 1 — — $762.85 $762.85 $762.85 2026-07-15
78831 CPT Rp Loclzj Tum Spect 2 Areas 18 12 — — $9.75 $4,213.14 $769.94 2026-07-15
G0186 HCPCS Dstry Of Locl Lesn Of Choroid,photocog,feeder Vsl Tech(one Or More Sesn) 18 12 — — $17.73 $1,660.00 $776.23 2026-07-15
95811 CPT Polysom,6+ Yo,4 Or More Addl Parameters W/continuous Pos Air Pressure 21 14 — — $18.81 $2,390.13 $776.26 2026-07-15
78432 CPT Myocrd Img PET 2rtracer 18 12 — — $6.90 $7,695.74 $785.67 2026-07-15
G0412 HCPCS Open Tx Iliac Spine Uni/bil 22 14 — — $21.43 $3,195.57 $792.74 2026-07-15
77610 CPT Hyperthermia Generated By Interstitial Probe(s)-5 Or Fewer Applicators 22 14 — — $1.22 $2,635.68 $793.49 2026-07-15
G0342 HCPCS Laparoscopy Islet Cell Trans 22 14 — — $19.78 $3,250.72 $805.28 2026-07-15
V5221 HCPCS Hearing Aid, Contralateral Routing Sys, Binaural, Bte Bte 1 1 — — $812.25 $812.25 $812.25 2026-07-15
90957 CPT Esrd Srv, 4 Vsts Per Mo, 12-19 Yo 22 14 — — $3.25 $3,027.72 $812.56 2026-07-15
95958 CPT EEG Monitoring/function Test 21 14 — — $17.54 $2,493.48 $814.77 2026-07-15
V5030 HCPCS Hearing Aid, Monaural Body 20 13 — — $20.51 $2,068.63 $821.15 2026-07-15
99471 CPT Ped Critical Care, Initial 21 14 — — $22.70 $3,800.50 $823.87 2026-07-15
78433 CPT Myocrd Img PET 2rtracer CT 18 12 — — $2.44 $2,710.17 $837.86 2026-07-15
93653 CPT Ep & Ablate Supravent Arrhyt 19 13 — — $24.44 $4,064.06 $840.61 2026-07-15
91110 CPT Gi Tract Capsule Endoscopy 22 14 — — $25.38 $2,835.12 $843.72 2026-07-15
G0259 HCPCS Inject For Sacroiliac Joint 2 2 — — $169.67 $1,526.70 $848.18 2026-07-15
95709 CPT EEG Without Vid Ea 12-26hr Intmt 17 12 — — $20.47 $2,583.52 $852.39 2026-07-15
93620 CPT Comprehensive Electrophysiologic Evaluation W/induction Of Arrhythmia 19 13 — — $24.42 $2,820.41 $854.17 2026-07-15
78812 CPT Tumor Image (pet)/skul-thigh 20 13 — — $21.75 $2,788.50 $869.12 2026-07-15
77763 CPT Intracav Radioel App Complex 22 14 — — $0.41 $2,978.32 $888.71 2026-07-15
78813 CPT Tumor Image (pet) Full Body 20 13 — — $5.28 $2,809.58 $888.76 2026-07-15
V5181 HCPCS Hearing Aid, Contralat Rout Dev, Monaurl, Behind Ear (bte) 1 1 — — $907.25 $907.25 $907.25 2026-07-15
V5256 HCPCS Hearing Aid, Digit, Mon, Ite 2 2 — — $285.00 $1,535.25 $910.12 2026-07-15
99468 CPT Neonate Crit Care, Initial 21 14 — — $26.22 $4,390.78 $919.98 2026-07-15
93591 CPT Perq Transcath Cls Aortic 19 13 — — $25.85 $4,328.02 $921.45 2026-07-15
90952 CPT Esrd Serv, 2-3 Vsts Per Mo, Lt 2 Yo 20 13 — — $24.12 $3,041.56 $937.63 2026-07-15
78814 CPT Tumor Image Pet/ct, Limited 20 13 — — $24.92 $3,164.95 $973.64 2026-07-15
93656 CPT Tx Atrial Fib Pulm Vein Isol 19 13 — — $32.82 $5,454.20 $977.07 2026-07-15
78832 CPT Rp Loclzj Tum Spect W/ct 2 17 12 — — $8.93 $6,875.90 $986.53 2026-07-15
95967 CPT Meg, Evoked, Each Addl 19 13 — — $26.95 $3,365.73 $989.59 2026-07-15
93229 CPT ECG Up To 30 Day Continuous W Tech Supprt W Review And Rprt 19 13 — — $20.55 $3,227.70 $990.62 2026-07-15
95715 CPT Veeg Ea 12-26hr Intmt Mntr 17 12 — — $22.39 $3,017.27 $993.02 2026-07-15
93451 CPT Right Heart Cath 19 13 — — $26.77 $3,287.78 $995.72 2026-07-15
93580 CPT Percut Transcatheter Closure With Implant 21 14 — — $25.32 $4,811.86 $1,002.99 2026-07-15
93654 CPT Ep & Ablate Ventric Tachy 19 13 — — $32.71 $5,442.50 $1,012.95 2026-07-15
93452 CPT Left Hrt Cath W/ventrclgrphy 19 13 — — $28.14 $3,364.78 $1,019.04 2026-07-15
77772 CPT Hdr Rdncl Ntrstl/icav Brchtx, Gt 12 Chns 20 13 — — $26.41 $3,335.24 $1,047.71 2026-07-15
93454 CPT Coronary Artery Angio S&i 19 13 — — $28.19 $3,376.98 $1,048.07 2026-07-15
91111 CPT Esophageal Capsule Endoscopy 22 14 — — $22.36 $3,435.38 $1,050.12 2026-07-15
77778 CPT Apply Interstit Radiat Compl 22 14 — — $24.93 $3,333.19 $1,050.65 2026-07-15
91113 CPT Gi Trc Img Intral Colon I&r 16 11 — — $151.47 $3,479.67 $1,063.59 2026-07-15
95710 CPT EEG Without Vid Ea 12-26hr Cont 17 12 — — $25.77 $3,200.12 $1,074.49 2026-07-15
G0428 HCPCS Collagen Meniscus Implant (cmi, Collagen Scaffold, Menaflex) 1 1 — — $1,074.94 $1,074.94 $1,074.94 2026-07-15
78815 CPT Tumorimage Pet/ct Skul-thigh 20 13 — — $14.21 $3,509.72 $1,078.00 2026-07-15
78816 CPT Tumor Image Pet/ct Full Body 20 13 — — $22.34 $3,530.56 $1,084.60 2026-07-15
90954 CPT Esrd Serv, 4 Vsts Per Mo, 2-11 Yo 22 14 — — $22.64 $4,205.01 $1,090.15 2026-07-15
G0414 HCPCS Pelvic Ring Fx Treat Int Fix 22 14 — — $29.63 $4,466.47 $1,092.66 2026-07-15
77520 CPT Proton Trtmnt Delivery; Simple Without Compensation 18 12 — — $3.65 $3,370.54 $1,095.32 2026-07-15
77522 CPT Proton Treatment, Simple With Compensation 18 12 — — $8.53 $3,378.28 $1,098.48 2026-07-15
77605 CPT Hyperthermia, Externally Generated-deep 22 14 — — $6.09 $3,665.55 $1,108.24 2026-07-15
77372 CPT Srs, Linear Based 22 14 — — $0.41 $3,722.83 $1,113.98 2026-07-15
93590 CPT Perq Transcath Cls Mitral 19 13 — — $15.80 $5,216.35 $1,120.14 2026-07-15
95782 CPT Polysom Lt 6 Yrs, More Than 4 Parameters 19 13 — — $27.14 $3,600.70 $1,131.30 2026-07-15
93455 CPT Coronary Art/grft Angio S&i 19 13 — — $31.66 $3,756.01 $1,137.52 2026-07-15
95966 CPT Meg, Evoked, Single 19 13 — — $30.80 $3,839.94 $1,140.92 2026-07-15
92990 CPT Revision Of Plmonary Valv 21 14 — — $31.73 $5,188.20 $1,147.25 2026-07-15
G0413 HCPCS Pelvic Ring Fracture Uni/bil 22 14 — — $31.33 $4,775.82 $1,154.38 2026-07-15
93458 CPT L Hrt Artery/ventricle Angio 19 13 — — $32.57 $3,870.40 $1,172.17 2026-07-15
V5257 HCPCS Hearing Aid, Digit, Mon, Bte 2 2 — — $285.00 $2,069.25 $1,177.12 2026-07-15
95783 CPT Polysom Lt 6 Yrs Cpap/bilvl 19 13 — — $28.77 $3,813.18 $1,198.41 2026-07-15
90951 CPT Esrd Serv, 4 Visits Per Mo, Lt 2 Yo 22 14 — — $34.35 $4,456.34 $1,208.99 2026-07-15
77373 CPT Sbrt Delivery 21 14 — — $0.41 $4,272.72 $1,209.18 2026-07-15
V5130 HCPCS Binaural In The Ear 20 13 — — $31.38 $3,164.97 $1,238.34 2026-07-15
77615 CPT Hyperthermia Generated By Interstitial Probes-more Than 5 Applicators 22 14 — — $2.03 $4,126.41 $1,247.45 2026-07-15
93459 CPT L Hrt Art/grft Angio 19 13 — — $35.22 $4,155.32 $1,258.46 2026-07-15
77523 CPT Proton Trtmnt Delivery,intermediate 18 12 — — $17.87 $3,924.07 $1,277.56 2026-07-15
V5140 HCPCS Binaural, Behind The Ear 20 13 — — $32.63 $3,291.04 $1,287.67 2026-07-15
93453 CPT R&l Hrt Cath W/ventriclgrphy 19 13 — — $35.91 $4,271.29 $1,293.58 2026-07-15
93456 CPT R Hrt Coronary Artery Angio 19 13 — — $35.33 $4,195.53 $1,301.94 2026-07-15
G0343 HCPCS Laparotomy Islet Cell Transp 22 14 — — $36.68 $5,378.62 $1,311.90 2026-07-15
77371 CPT Srs, Multisource 19 13 — — $14.62 $4,280.32 $1,316.51 2026-07-15
95716 CPT Veeg Ea 12-26hr Cont Mntr 17 12 — — $32.12 $4,003.01 $1,318.15 2026-07-15
V5100 HCPCS Hearing Aid, Bilateral, Body 20 13 — — $33.74 $3,403.00 $1,331.47 2026-07-15
V5252 HCPCS Hearing Aid, Prog, Bin, Ite 1 1 — — $1,335.00 $1,335.00 $1,335.00 2026-07-15
93581 CPT Percut Transcath Closure Of Defect W/implant 21 14 — — $25.32 $6,576.02 $1,359.03 2026-07-15
93457 CPT R Hrt Art/grft Angio 19 13 — — $38.76 $4,566.13 $1,382.87 2026-07-15
92986 CPT Percutaneous Balloon Valvuloplasty--aortic Valve 21 14 — — $38.47 $6,330.65 $1,386.81 2026-07-15
93460 CPT R&l Hrt Art/ventricle Angio 19 13 — — $29.90 $4,614.28 $1,397.45 2026-07-15
V5255 HCPCS Hearing Aid, Digit, Mon, Itc 2 2 — — $285.00 $2,529.82 $1,407.41 2026-07-15
77525 CPT Proton Treatment, Complex 18 12 — — $35.02 $4,341.78 $1,412.44 2026-07-15
G0491 HCPCS Dialysis Acu Kidney No Esrd 1 1 — — $1,415.86 $1,415.86 $1,415.86 2026-07-15
V5253 HCPCS Hearing Aid, Prog, Bin, Bte 2 2 — — $1,054.22 $1,802.25 $1,428.24 2026-07-15
92987 CPT Percutaneous Balloon Valvuloplasty,mitral Valve 21 14 — — $39.76 $6,534.66 $1,428.83 2026-07-15
G0415 HCPCS Open Tx Post Pelvic Fxcture 22 14 — — $40.42 $6,222.64 $1,470.85 2026-07-15
93596 CPT R&l Hrt Cath Chd Nml Nt Cnj 15 10 — — $518.93 $4,716.74 $1,482.90 2026-07-15
V5258 HCPCS Hearing Aid, Digit, Bin, Cic 2 2 — — $902.50 $2,202.75 $1,552.62 2026-07-15
93461 CPT R&l Hrt Art/ventricle Angio, Bypass Graft 19 13 — — $43.33 $5,087.86 $1,579.43 2026-07-15
G2073 HCPCS Med Tx Naltrexone 1 1 — — $1,867.36 $1,867.36 $1,867.36 2026-07-15
V5281 HCPCS Assistive Listening Device, Personal Fm Dm System, Monaural 1 1 — — $1,942.77 $1,942.77 $1,942.77 2026-07-15
91112 CPT Gi Wireless Capsule Measure 20 13 — — $49.21 $6,330.37 $1,946.81 2026-07-15
V5260 HCPCS Hearing Aid, Digit, Bin, Ite 2 2 — — $902.50 $3,070.50 $1,986.50 2026-07-15
95829 CPT Surgery Electrocorticogram 21 14 — — $56.36 $6,691.26 $2,113.88 2026-07-15
77301 CPT Radioltherapy Dos Plan, Imrt 22 14 — — $6.90 $6,911.98 $2,139.28 2026-07-15
95965 CPT Meg, Spontaneous 19 13 — — $60.15 $7,521.06 $2,370.07 2026-07-15
93597 CPT R&l Hrt Cath Chd Abnl Nt Cnj 15 10 — — $539.48 $7,851.60 $2,433.01 2026-07-15
G2069 HCPCS Med Assist Tx Inject 1 1 — — $2,437.48 $2,437.48 $2,437.48 2026-07-15
V5259 HCPCS Hearing Aid, Digit, Bin, Itc 2 2 — — $902.50 $4,005.00 $2,453.75 2026-07-15
V5261 HCPCS Hearing Aid, Digit, Bin, Bte 2 2 — — $902.50 $4,138.50 $2,520.50 2026-07-15
G0330 HCPCS Facility Svs Dental Rehab 1 1 — — $3,092.93 $3,092.93 $3,092.93 2026-07-15
G0340 HCPCS Robt Lin-radsurg Fractx 2-5 18 12 — — $53.90 $6,654.94 $3,421.86 2026-07-15
G0339 HCPCS Robot Lin-radsurg Com, First 18 12 — — $68.91 $8,184.63 $4,167.48 2026-07-15
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