|
J3391
|
HCPCS
|
"Inj, Atidarsagene Autotemcel"
|
2
|
1
|
—
|
—
|
$4,632,500.00
|
$4,632,500.00
|
$4,632,500.00
|
2026-07-15
|
|
J1414
|
HCPCS
|
Beqvez (fidanacogene Elaparvovec-dz
|
2
|
1
|
—
|
—
|
$3,815,000.00
|
$3,815,000.00
|
$3,815,000.00
|
2026-07-15
|
|
J1411
|
HCPCS
|
"Inj, Hemgenix, Per Tx Dose"
|
2
|
1
|
—
|
—
|
$3,815,000.00
|
$3,815,000.00
|
$3,815,000.00
|
2026-07-15
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
2
|
1
|
—
|
—
|
$3,383,360.00
|
$3,383,360.00
|
$3,383,360.00
|
2026-07-15
|
|
J3394
|
HCPCS
|
"Inj, Lovotibeglogene Autotem"
|
2
|
1
|
—
|
—
|
$3,379,000.00
|
$3,379,000.00
|
$3,379,000.00
|
2026-07-15
|
|
J3393
|
HCPCS
|
"Inj, Betibeglogene Autotemce"
|
2
|
1
|
—
|
—
|
$3,052,000.00
|
$3,052,000.00
|
$3,052,000.00
|
2026-07-15
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
2
|
1
|
—
|
—
|
$2,737,307.00
|
$2,737,307.00
|
$2,737,307.00
|
2026-07-15
|
|
J3392
|
HCPCS
|
Casgevy (exagamglogene Autotemcel)
|
2
|
1
|
—
|
—
|
$2,398,000.00
|
$2,398,000.00
|
$2,398,000.00
|
2026-07-15
|
|
Q2057
|
HCPCS
|
Tecelra (afamitresgene Autoleucel)
|
1
|
1
|
—
|
—
|
$792,430.00
|
$792,430.00
|
$792,430.00
|
2026-07-15
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
2
|
1
|
—
|
—
|
$605,288.00
|
$605,288.00
|
$605,288.00
|
2026-07-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
2
|
1
|
—
|
—
|
$575,861.00
|
$575,861.00
|
$575,861.00
|
2026-07-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
2
|
1
|
—
|
—
|
$567,588.00
|
$567,588.00
|
$567,588.00
|
2026-07-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
2
|
1
|
—
|
—
|
$557,936.00
|
$557,936.00
|
$557,936.00
|
2026-07-15
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
2
|
1
|
—
|
—
|
$548,902.00
|
$548,902.00
|
$548,902.00
|
2026-07-15
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
1
|
1
|
—
|
—
|
$540,750.00
|
$540,750.00
|
$540,750.00
|
2026-07-15
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
2
|
1
|
—
|
—
|
$503,580.00
|
$503,580.00
|
$503,580.00
|
2026-07-15
|
|
A9543
|
HCPCS
|
Y-90 Ibritumomb Tiuxtn Tx To 40 Mci
|
2
|
1
|
—
|
—
|
$87,485.72
|
$146,976.00
|
$117,230.86
|
2026-07-15
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
2
|
1
|
—
|
—
|
$59,143.00
|
$131,641.00
|
$95,392.00
|
2026-07-15
|
|
J9029
|
HCPCS
|
"Instill Adstiladrin, Tx Dose"
|
2
|
1
|
—
|
—
|
$63,431.05
|
$106,564.00
|
$84,997.52
|
2026-07-15
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
2
|
1
|
—
|
—
|
$55,945.97
|
$93,989.00
|
$74,967.49
|
2026-07-15
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
2
|
1
|
—
|
—
|
$45,001.00
|
$100,164.00
|
$72,582.50
|
2026-07-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
2
|
1
|
—
|
—
|
$45,560.39
|
$76,541.00
|
$61,050.69
|
2026-07-15
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
2
|
1
|
—
|
—
|
$35,001.00
|
$77,906.00
|
$56,453.50
|
2026-07-15
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
33249
|
CPT
|
Insj/rplcmt Defib W/lead(s)
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
0571T
|
CPT
|
Insj/rplcmt Icds Ss Eltrd
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
33231
|
CPT
|
Insrt Pulse Gen W/mult Leads
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
33264
|
CPT
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
2
|
1
|
—
|
—
|
$32,062.00
|
$71,364.00
|
$51,713.00
|
2026-07-15
|
|
69930
|
CPT
|
Implant Cochlear Device
|
2
|
1
|
—
|
—
|
$31,808.00
|
$70,799.00
|
$51,303.50
|
2026-07-15
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
63685
|
CPT
|
Ins/rplc Spi Npg/rcvr Pocket
|
2
|
1
|
—
|
—
|
$30,474.00
|
$67,829.00
|
$49,151.50
|
2026-07-15
|
|
33289
|
CPT
|
Tcat Impl Wrls P-art Prs Snr
|
2
|
1
|
—
|
—
|
$28,429.00
|
$63,277.00
|
$45,853.00
|
2026-07-15
|
|
C9760
|
HCPCS
|
Nrnd Nbld Pd Nyha Cls Ii Iii IV Hf;
|
2
|
1
|
—
|
—
|
$27,501.00
|
$61,212.00
|
$44,356.50
|
2026-07-15
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
2
|
1
|
—
|
—
|
$28,424.06
|
$47,752.00
|
$38,088.03
|
2026-07-15
|
|
33263
|
CPT
|
Rmvl & Rplcmt Dfb Gen 2 Lead
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
0409T
|
CPT
|
Insj/rplc Car Modulj Pls Gn
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
0614T
|
CPT
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
0515T
|
CPT
|
Insj Wcs Lv Compl Sys
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
33240
|
CPT
|
Insrt Pulse Gen W/singl Lead
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
33230
|
CPT
|
Insrt Pulse Gen W/dual Leads
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
33262
|
CPT
|
Rmvl& Replc Pulse Gen 1 Lead
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
0414T
|
CPT
|
Rmvl & Rpl Car Modulj Pls Gn
|
2
|
1
|
—
|
—
|
$22,447.00
|
$49,962.00
|
$36,204.50
|
2026-07-15
|
|
64590
|
CPT
|
Ins/rpl Prph Sac/gstr Npg/r
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
61891
|
CPT
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
0816T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subq
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
64580
|
CPT
|
Opn Impltj Nea Neuromuscular
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
61885
|
CPT
|
Insrt/redo Neurostim 1 Array
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
63655
|
CPT
|
Implant Neuroelectrodes
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
0680T
|
CPT
|
Insj/rplcmt Pg Only Isdss
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
0817T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subf
|
2
|
1
|
—
|
—
|
$21,445.00
|
$47,732.00
|
$34,588.50
|
2026-07-15
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
2
|
1
|
—
|
—
|
$24,228.42
|
$40,704.00
|
$32,466.21
|
2026-07-15
|
|
53447
|
CPT
|
Remove/replace Ur Sphincter
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
54416
|
CPT
|
Remv/repl Penis Contain Pros
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
54411
|
CPT
|
Remov/replc Penis Pros Comp
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
54410
|
CPT
|
Remove/replace Penis Prosth
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
53445
|
CPT
|
Insert Uro/ves Nck Sphincter
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
54405
|
CPT
|
Insert Multi-comp Penis Pros
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
53444
|
CPT
|
Insert Tandem Cuff
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
54401
|
CPT
|
Insert Self-contd Prosthesis
|
2
|
1
|
—
|
—
|
$20,129.00
|
$44,803.00
|
$32,466.00
|
2026-07-15
|
|
0803T
|
CPT
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0795T
|
CPT
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0797T
|
CPT
|
Tcat Ins 2chmbr Ldls Pm Rv
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0796T
|
CPT
|
Tcat Ins 2chmbr Ldls Pm Ra
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0802T
|
CPT
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0823T
|
CPT
|
Tcat Ins 1chmbr Ldls Pm Ra
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
33274
|
CPT
|
Tcat Insj/rpl Perm Ldls Pm
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0825T
|
CPT
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
0801T
|
CPT
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
33221
|
CPT
|
Insert Pulse Gen Mult Leads
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
33229
|
CPT
|
Remv&replc Pm Gen Mult Leads
|
2
|
1
|
—
|
—
|
$19,072.00
|
$42,449.00
|
$30,760.50
|
2026-07-15
|
|
23472
|
CPT
|
Reconstruct Shoulder Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
22867
|
CPT
|
Insj Stablj Dev W/dcmprn
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
21243
|
CPT
|
Reconstruction Of Jaw Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
24361
|
CPT
|
Reconstruct Elbow Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
23616
|
CPT
|
Optx Prx Hmrl Fx Fix Rpr Rpl
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
22630
|
CPT
|
Arthrd Pst Tq 1ntrspc Lum
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
22856
|
CPT
|
Tot Disc Arthrp 1ntrspc Crv
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
22633
|
CPT
|
Arthrd Cmbn 1ntrspc Lumbar
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
20696
|
CPT
|
App Mltpln Uni Xtrnl Fix 1st
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
27279
|
CPT
|
Arthrd Si Jt Perq/min Nvas
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
25442
|
CPT
|
Arthrp W/prostc Dstl Ulna
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
22612
|
CPT
|
Arthrd Pst Tq 1ntrspc Lumbar
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
28705
|
CPT
|
Arthrodesis Pantalar
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
27702
|
CPT
|
Reconstruct Ankle Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
24363
|
CPT
|
Replace Elbow Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
24371
|
CPT
|
Revise Reconst Elbow Joint
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
25446
|
CPT
|
Arthrp W/prostc Dst Rds&crps
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
27278
|
CPT
|
Arthrd Si Jt Prq Wo Tfxj Dev
|
2
|
1
|
—
|
—
|
$18,391.00
|
$40,933.00
|
$29,662.00
|
2026-07-15
|
|
C9767
|
HCPCS
|
Rev Evr Le Aa; IV Litho & Tl St&ath
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9775
|
HCPCS
|
Rvsc Evar O/p Tb/pa; Ivl & Tsp & At
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
0632T
|
CPT
|
Perq Tcat US Abltj Nrv P-art
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9773
|
HCPCS
|
Rvsc Evar O/pc Tb/pa;ivasc Lth&tsp
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
0793T
|
CPT
|
Prq Tcat Thrm Ablt Nrv P-art
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
0238T
|
CPT
|
Trluml Perip Athrc Iliac Art
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
36906
|
CPT
|
Thrmbc/nfs Dialysis Circuit
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
37184
|
CPT
|
Prim Art M-thrmbc 1st Vsl
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
36836
|
CPT
|
Prq Av Fstl Crtj Uxtr 1 Acs
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
36837
|
CPT
|
Prq Av Fstl Crt Uxtr Sep Acs
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9774
|
HCPCS
|
Rvsc Evar O/pc Tib/pa;ivasc Lith&at
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
33902
|
CPT
|
Perq P-art Revsc 1 Abnor Uni
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
37242
|
CPT
|
Vasc Embolize/occlude Artery
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9765
|
HCPCS
|
Rev Evr Le Aa;iv Lith&tl Stnt Plcmt
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9602
|
HCPCS
|
Perq Tl Coronary Atherect; 1 Mca/br
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9607
|
HCPCS
|
Perq Tl Rev Chrn Tot Occl; 1 Vessel
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9766
|
HCPCS
|
Rev Evar Le Aa; IV Litho & Atherect
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
0645T
|
CPT
|
Tcat Impltj C Sins Rdctj Dev
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
C9797
|
HCPCS
|
Vasc Emb/occ W/prs-gen Cath
|
2
|
1
|
—
|
—
|
$17,957.00
|
$39,969.00
|
$28,963.00
|
2026-07-15
|
|
62362
|
CPT
|
Implant Spine Infusion Pump
|
2
|
1
|
—
|
—
|
$17,675.00
|
$39,340.00
|
$28,507.50
|
2026-07-15
|
|
62360
|
CPT
|
Insert Spine Infusion Device
|
2
|
1
|
—
|
—
|
$17,675.00
|
$39,340.00
|
$28,507.50
|
2026-07-15
|
|
62361
|
CPT
|
Implant Spine Infusion Pump
|
2
|
1
|
—
|
—
|
$17,675.00
|
$39,340.00
|
$28,507.50
|
2026-07-15
|
|
0888T
|
CPT
|
Histotripsy Mal Renal Tissue
|
2
|
1
|
—
|
—
|
$17,501.00
|
$38,953.00
|
$28,227.00
|
2026-07-15
|
|
C9782
|
HCPCS
|
Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra
|
2
|
1
|
—
|
—
|
$17,501.00
|
$38,953.00
|
$28,227.00
|
2026-07-15
|
|
C9758
|
HCPCS
|
Bi Prc Nyha 3/4 Hf;trnscth I Ias/pc
|
2
|
1
|
—
|
—
|
$17,501.00
|
$38,953.00
|
$28,227.00
|
2026-07-15
|
|
0686T
|
CPT
|
Histotripsy Mal Hepatcel Tis
|
2
|
1
|
—
|
—
|
$17,501.00
|
$38,953.00
|
$28,227.00
|
2026-07-15
|
|
0525T
|
CPT
|
Insj/rplcmt Compl Iims
|
2
|
1
|
—
|
—
|
$19,072.00
|
$37,190.00
|
$28,131.00
|
2026-07-15
|
|
19357
|
CPT
|
Tiss Xpndr Plmt Brst Rcnstj
|
2
|
1
|
—
|
—
|
$17,399.00
|
$38,726.00
|
$28,062.50
|
2026-07-15
|
|
66683
|
CPT
|
Implantation Iris Prosthesis
|
2
|
1
|
—
|
—
|
$16,417.00
|
$36,540.00
|
$26,478.50
|
2026-07-15
|
|
0308T
|
CPT
|
Insj Ocular Telescope Prosth
|
2
|
1
|
—
|
—
|
$16,417.00
|
$36,540.00
|
$26,478.50
|
2026-07-15
|
|
67027
|
CPT
|
Implant Eye Drug System
|
2
|
1
|
—
|
—
|
$15,365.00
|
$34,200.00
|
$24,782.50
|
2026-07-15
|
|
65770
|
CPT
|
Keratoprosthesis
|
2
|
1
|
—
|
—
|
$14,290.00
|
$31,806.00
|
$23,048.00
|
2026-07-15
|
|
55882
|
CPT
|
Ablt Trurl Prst8 Tis Trnsdcr
|
2
|
1
|
—
|
—
|
$12,993.00
|
$28,919.00
|
$20,956.00
|
2026-07-15
|
|
54417
|
CPT
|
Remv/replc Penis Pros Compl
|
2
|
1
|
—
|
—
|
$12,993.00
|
$28,919.00
|
$20,956.00
|
2026-07-15
|
|
54400
|
CPT
|
Insert Semi-rigid Prosthesis
|
2
|
1
|
—
|
—
|
$12,993.00
|
$28,919.00
|
$20,956.00
|
2026-07-15
|
|
53451
|
CPT
|
Tprnl Balo Cntnc Dev Bi
|
2
|
1
|
—
|
—
|
$12,993.00
|
$28,919.00
|
$20,956.00
|
2026-07-15
|
|
53440
|
CPT
|
Male Sling Procedure
|
2
|
1
|
—
|
—
|
$12,993.00
|
$28,919.00
|
$20,956.00
|
2026-07-15
|
|
23485
|
CPT
|
Revision Of Collar Bone
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27130
|
CPT
|
Total Hip Arthroplasty
|
2
|
1
|
$37,900.00
|
$30,320.00
20% off
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
0627T
|
CPT
|
Perq Njx Algc Fluor Lmbr 1st
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24516
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
20982
|
CPT
|
Ablate Bone Tumor(s) Perq
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
69730
|
CPT
|
Rplc Oi Implt Sk Tc Esp>=100
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23473
|
CPT
|
Revis Reconst Shoulder Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
22551
|
CPT
|
Arthrd Ant Ntrbdy Cervical
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27447
|
CPT
|
Total Knee Arthroplasty
|
2
|
1
|
$37,900.00
|
$30,320.00
20% off
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
69719
|
CPT
|
Rplcm Oi Implt Sk Tc Esp<100
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23470
|
CPT
|
Reconstruct Shoulder Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27440
|
CPT
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
20692
|
CPT
|
Appl Mltpln Uni Ext Fixj Sys
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24802
|
CPT
|
Fusion/graft Of Elbow Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
22869
|
CPT
|
Insj Stablj Dev Without Dcmprn
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24366
|
CPT
|
Reconstruct Head Of Radius
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
64628
|
CPT
|
Trml Dstrj Ios Bvn 1st 2 L/s
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27441
|
CPT
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28725
|
CPT
|
Arthrodesis Subtalar
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
69716
|
CPT
|
Impl Oi Implt Sk Tc Esp<100
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
0629T
|
CPT
|
Perq Njx Algc CT Lmbr 1st
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
69714
|
CPT
|
Implant Osseointegrated Implant Temporal Bon
|
2
|
1
|
$37,900.00
|
$30,320.00
20% off
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28715
|
CPT
|
Arthrodesis Triple
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24370
|
CPT
|
Revise Reconst Elbow Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24365
|
CPT
|
Reconstruct Head Of Radius
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24362
|
CPT
|
Reconstruct Elbow Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24410
|
CPT
|
Revision Of Humerus
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
C9781
|
HCPCS
|
Arthrosc Shldr Sx; W/imp Sa Spacer
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24666
|
CPT
|
Treat Radius Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24545
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23680
|
CPT
|
Optx Sho Dislc Neck Fx Fixj
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
69729
|
CPT
|
Impl Oi Implt Sk Tc Esp>=100
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24579
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23802
|
CPT
|
Arthrd Glenohumeral Jt W/grf
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27759
|
CPT
|
Treatment Of Tibia Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23615
|
CPT
|
Optx Prox Humrl Fx W/int Fix
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25810
|
CPT
|
Arthrd Wrst Iliac/oth Agrft
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27758
|
CPT
|
Treatment Of Tibia Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25491
|
CPT
|
Prophylactic Tx Ulna
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
0737T
|
CPT
|
Xenograft Impltj Artclr Surf
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24430
|
CPT
|
Repair Of Humerus
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
C9734
|
HCPCS
|
Focused U/s Abl/tx Int Oth Than Ul
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24515
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25441
|
CPT
|
Arthrp W/prostc Dstl Rds
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25444
|
CPT
|
Arthrp W/prostc Lunate
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
C9757
|
HCPCS
|
Laminotomy Decomp Nrv Rt;1 Isp Lumb
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27429
|
CPT
|
Reconstruction Knee
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24587
|
CPT
|
Treat Elbow Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
29907
|
CPT
|
Subtalar Arthro W/fusion
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
22554
|
CPT
|
Arthrd Ant Ntrbd Min Dsc Crv
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
23491
|
CPT
|
Reinforce Shoulder Bones
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25391
|
CPT
|
Lengthen Radius Or Ulna
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
25365
|
CPT
|
Revise Radius & Ulna
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24575
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24498
|
CPT
|
Reinforce Humerus
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
29856
|
CPT
|
Tibial Arthroscopy/surgery
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
29867
|
CPT
|
Allgrft Implnt Knee W/scope
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
29889
|
CPT
|
Knee Arthroscopy/surgery
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28730
|
CPT
|
Fusion Of Foot Bones
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28735
|
CPT
|
Fusion Of Foot Bones
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28737
|
CPT
|
Revision Of Foot Bones
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24546
|
CPT
|
Treat Humerus Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28420
|
CPT
|
Treat/graft Heel Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24586
|
CPT
|
Treat Elbow Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
28320
|
CPT
|
Repair Of Foot Bones
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27828
|
CPT
|
Treat Lower Leg Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27827
|
CPT
|
Treat Lower Leg Fracture
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27870
|
CPT
|
Fusion Of Ankle Joint Open
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24346
|
CPT
|
Reconstruct Elbow Med Ligmnt
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27356
|
CPT
|
Remove Femur Lesion/graft
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27709
|
CPT
|
Osteotomy Tibia & Fibula
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27871
|
CPT
|
Fusion Of Tibiofibular Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27442
|
CPT
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27443
|
CPT
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27446
|
CPT
|
Revision Of Knee Joint
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27438
|
CPT
|
Revise Kneecap With Implant
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27415
|
CPT
|
Osteochondral Knee Allograft
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
27428
|
CPT
|
Reconstruction Knee
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
24435
|
CPT
|
Repair Humerus With Graft
|
2
|
1
|
—
|
—
|
$12,867.00
|
$28,639.00
|
$20,753.00
|
2026-07-15
|
|
64553
|
CPT
|
Implant Neuroelectrodes
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
64569
|
CPT
|
Revise/repl Vagus N Eltrd
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
64575
|
CPT
|
Opn Impltj Nea Perph Nerve
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
61715
|
CPT
|
Mrgfus Strtctc Ablt Trgt Icr
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
61888
|
CPT
|
Revise/remove Neuroreceiver
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
63664
|
CPT
|
Revise Spine Eltrd Plate
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
0784T
|
CPT
|
Ins/rplmt Eltrd Ra Spi Nstim
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
64596
|
CPT
|
Ins/rplcmt Prq Eltrd Ra Pn 1
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
64583
|
CPT
|
Rev/rplct Hpglsl Nstm Ary Pg
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
0675T
|
CPT
|
Laps Insj Nw/rpcmt Isdss 1ld
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
43647
|
CPT
|
Lap Impl Electrode Antrum
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
33288
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Ld
|
2
|
1
|
—
|
—
|
$12,471.00
|
$27,757.00
|
$20,114.00
|
2026-07-15
|
|
28297
|
CPT
|
Cor Hlx Vlgs Jt Arthrd
|
2
|
1
|
—
|
—
|
$12,867.00
|
$24,916.00
|
$18,891.50
|
2026-07-15
|
|
61623
|
CPT
|
Endovasc Tempory Vessel Occl
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
61626
|
CPT
|
Transcath Occlusion Non-cns
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
0237T
|
CPT
|
Trluml Perip Athrc Brchiocph
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
0236T
|
CPT
|
Trluml Perip Athrc Abd Aorta
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
0234T
|
CPT
|
Trluml Perip Athrc Renal Art
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
C9783
|
HCPCS
|
Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
C9772
|
HCPCS
|
Rvsc Evar Opn/perc Tb/pa Ivasc Lith
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
0505T
|
CPT
|
Ev Fempop Artl Revsc
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37244
|
CPT
|
Vasc Embolize/occlude Bleed
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37243
|
CPT
|
Vasc Emb/occ, Inc S&i/intraprocedural Roadmapping/image Guide; Tumors/ Organ Isc…
|
4
|
1
|
$31,844.00
|
$25,475.20
20% off
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
C9764
|
HCPCS
|
Rev Evar Open/perq Le Aa; IV Litho
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37187
|
CPT
|
Venous Mech Thrombectomy
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37236
|
CPT
|
Open/perq Place Stent 1st
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37238
|
CPT
|
Open/perq Place Stent Same
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
36903
|
CPT
|
Intro Cath Dialysis Circuit
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
36905
|
CPT
|
Thrmbc/nfs Dialysis Circuit
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
37241
|
CPT
|
Vasc Embolize/occlude Venous
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
33901
|
CPT
|
Perq P-art Revsc 1 Nm Nt Bi
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
33900
|
CPT
|
Perq P-art Revsc 1 Nm Nt Uni
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
33903
|
CPT
|
Perq P-art Revsc 1 Abnor Bi
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
C9600
|
HCPCS
|
Perq Transcath Plcmt; 1 Maj Ca/br
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
C9604
|
HCPCS
|
Perq Tl Revision Of/thru Cabg;1 Ves
|
2
|
1
|
—
|
—
|
$11,341.00
|
$25,242.00
|
$18,291.50
|
2026-07-15
|
|
77372
|
CPT
|
Radiation Dlvr Strtctc Cerebral Linear
|
4
|
1
|
$32,800.00
|
$26,240.00
20% off
|
$7,645.00
|
$27,355.00
|
$17,500.00
|
2026-07-15
|
|
77371
|
CPT
|
Srs Multisource
|
4
|
1
|
—
|
—
|
$7,645.00
|
$27,355.00
|
$17,500.00
|
2026-07-15
|
|
81416
|
CPT
|
Exome Sequence Analysis
|
4
|
1
|
—
|
—
|
$7,408.00
|
$26,520.00
|
$16,964.00
|
2026-07-15
|
|
0516T
|
CPT
|
Insj Wcs Lv Eltrd Only
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
0517T
|
CPT
|
Insj Wcs Lv Both Compnt Pg
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
0519T
|
CPT
|
Rmv&rplcmt Pg Wcs Lv Both
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33224
|
CPT
|
Insert Pacing Lead & Connect
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33214
|
CPT
|
Upgrade Of Pacemaker System
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33228
|
CPT
|
Remv&replc Pm Gen Dual Lead
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33213
|
CPT
|
Insert Pulse Gen Dual Leads
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
0520T
|
CPT
|
Rmv&rplcmt Pg Wcs Lv Battery
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33207
|
CPT
|
Insert Heart Pm Ventricular
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33208
|
CPT
|
Insrt Heart Pm Atrial & Vent
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
33206
|
CPT
|
Insert Heart Pm Atrial
|
2
|
1
|
—
|
—
|
$10,466.00
|
$23,294.00
|
$16,880.00
|
2026-07-15
|
|
58674
|
CPT
|
Laps Abltj Uterine Fibroids
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58673
|
CPT
|
Laparoscopy Salpingostomy
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58571
|
CPT
|
Total Hysterctmy Uterus 250g Or Less W/rem Tub/ov
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58570
|
CPT
|
Total Hysterectomy Uterus 250g Or Less
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58572
|
CPT
|
"laparoscopy, Surgical, W/total Hysterectomy"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58553
|
CPT
|
Laparo-vag Hyst Complex
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58554
|
CPT
|
Laparo-vag Hyst W/t/o Compl
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58573
|
CPT
|
Total Hysterectomy Uterus Greater 250g W/rem Tub/ov
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58544
|
CPT
|
"lap Hyst, Supracerv, Uter <250g, W/rem Tube/overy"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58542
|
CPT
|
"supracerv Lap Hysterectomy, Uterus 250 G Or Less"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58543
|
CPT
|
"surg Lap Supracervical Hyst, Uterus >250g"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58546
|
CPT
|
Lap Myomect Exc;5/>myomas&/myomas Tot Wt>250 Gms
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58541
|
CPT
|
Laparoscopy Hysterectomy Supracervical
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
58552
|
CPT
|
Laparo-vag Hyst Incl T/o
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
57423
|
CPT
|
Repair Paravag Defect Lap
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
57425
|
CPT
|
"laparoscopy, Surgical, Colpopexy"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
55866
|
CPT
|
Lap Surg Prosctomy Retropub Radl Incl Nerve Spar
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
55867
|
CPT
|
Laps Surg Prst8ect Smpl Stot Robotic Assistance
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
C9901
|
HCPCS
|
Endo Defect Closure Gi Tract
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
C9785
|
HCPCS
|
Endo Out Rd Gp Appl Endo & Il T Ins
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
0679T
|
CPT
|
Laps Rmvl Lead Isdss
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50593
|
CPT
|
Perc Cryo Ablate Renal Tum
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50947
|
CPT
|
Laparo New Ureter/bladder
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50948
|
CPT
|
Lap Surg Ureteroneocystostomy Without Cysto & Stent
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50544
|
CPT
|
Lap Surg Pyeloplasty
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50542
|
CPT
|
Laparo Ablate Renal Mass
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
50543
|
CPT
|
Laparoscopy Surgical; Partial Nephrectomy
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47383
|
CPT
|
Perq Abltj Lvr Cryoablation
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47371
|
CPT
|
Laparo Ablate Liver Cryosurg
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47554
|
CPT
|
Biliary Endoscopy Thru Skin
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43770
|
CPT
|
Lap Place Gastr Adj Device
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47370
|
CPT
|
Laparo Ablate Liver Tumor Rf
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47556
|
CPT
|
Biliary Endoscopy Thru Skin
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
47564
|
CPT
|
Lap Surg Cholecystectomy With Exp Of Common Duct
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43284
|
CPT
|
Laps Esophgl Sphnctr Agmntj
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43281
|
CPT
|
"lap Repair Paresoph Hernia, Fundoplasty, Without Mesh"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43282
|
CPT
|
"lap Repair Paresoph Hernia, Fundoplast, With Mesh"
|
2
|
1
|
$29,700.00
|
$23,760.00
20% off
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43648
|
CPT
|
Lap Revise/remv Eltrd Antrum
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
38573
|
CPT
|
Laps Pelvic Lymphadec
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
43210
|
CPT
|
Egd Esophagogastrc Fndoplsty
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
38571
|
CPT
|
Laparoscopy Lymphadenectomy
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|
|
38572
|
CPT
|
Laparoscopy Lymphadenectomy
|
2
|
1
|
—
|
—
|
$10,412.00
|
$23,174.00
|
$16,793.00
|
2026-07-15
|