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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

EVERGREENHEALTH MEDICAL CENTER

Kirkland, WA · CCN 500124 · Rates published

3,399 distinct procedures filed
24 distinct payers
215,228 rate rows
2026-01-05 last MRF observed
Data quality

213,780 of 215,228 rate rows are consumer-grade (99.3%)

1,448 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 844
per-diem day rate — not a per-procedure price 337
placeholder amount (≤ $0.02) — excluded from medians 124
exceeds 10× this hospital's gross charge — excluded from medians 74
percent-of-charges filed in the dollar field — excluded from medians 60
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stmlevergreenncus001.blob.core.windows.net/public/910844563_KING-COUNTY-PUBLIC-HOSPITAL-DISTRICT-NO2_standardcharges.csv
Found on page https://www.evergreenhealth.com/patients-visitors/after-your-visit/billing-financial/get-a-cost-estimate/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint ce13ef5bc6a6afd1… · 97,201,471 bytes · first seen 2026-05-08

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
3440000001
OTHER 		Radium Ra 223 Dichloride 30 Mcci/ml IV Soln 3 $2,079,513.92 $4,224,012.65 $2,079,513.92 nat. median
$2,079,514
1.0× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 24 $37,381.00 $238,667.00 $238,667.00 nat. median
$30,297
outlier · 7.9×
J9281
HCPCS 		Mitomycin 80 (2 X 40) Mg Ul Solr 24 $40,296.64 $125,927.00 $125,927.00 nat. median
$532
outlier · 236.7×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 24 $58.76 $114,300.00 $114,300.00 nat. median
$470
outlier · 243.4×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 24 $333.40 $99,485.00 $99,485.00 nat. median
$729
outlier · 136.4×
64568
CPT 		Hc Opn Impltj Crnl Nrv Nea&Pg 24 $949.01 $88,929.51 $84,796.00 nat. median
$27,694
outlier · 3.1×
A9600
HCPCS 		Strontium Chloride Sr-89 1 Mci/ml IV Soln 24 $3,825.00 $72,000.00 $72,000.00 nat. median
$4,532
outlier · 15.9×
61891
CPT 		Hc Rev/Rplcmt Sk-mnt Crnl Nstm 24 $720.94 $68,182.00 $68,182.00 nat. median
$20,618
outlier · 3.3×
61635
CPT 		Hc Intracranial Balloon Angioplsty W/Stent 24 $1,550.31 $62,983.00 $62,983.00 nat. median
$5,456
outlier · 11.5×
J2329
HCPCS 		Ublituximab-xiiy 150 Mg/6ml IV Soln 24 $67.23 $61,348.00 $61,348.00 nat. median
$177
outlier · 346.4×
61624
CPT 		Hc Perm Occlusion/Embolization,Percut,Cns 24 $1,191.06 $62,983.00 $60,778.60 nat. median
$7,766
outlier · 7.8×
37227
CPT 		Hc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 24 $1,061.15 $55,448.00 $53,507.32 nat. median
$18,437
outlier · 2.9×
37231
CPT 		Hc Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl 24 $1,103.33 $55,448.00 $53,507.32 nat. median
$18,389
outlier · 2.9×
37286
CPT 		Hc Revsc Evasc Tpvt St Cplx 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$21,842
outlier · 2.4×
37275
CPT 		Hc Rvsc Evsc Fpvt St Athrc Sf 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$20,609
outlier · 2.6×
92930
CPT 		Hc Prq Tcat Plmt Ntrac St 2+Les 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$27,623
1.9× median
37284
CPT 		Hc Revsc Evasc Tpvt St Sf 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$20,417
outlier · 2.6×
37294
CPT 		Hc Rvsc Evsc Tpvt St Athr Cpx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$25,406
outlier · 2.1×
37290
CPT 		Hc Revsc Evsc Tpvt Athrc Cplx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$22,780
outlier · 2.3×
37277
CPT 		Hc Rvsc Evsc Fpvt St Athr Cpx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$22,972
outlier · 2.3×
37288
CPT 		Hc Revsc Evsc Tpvt Athrc Sf 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$21,968
outlier · 2.4×
37271
CPT 		Hc Revsc Evsc Fpvt Athrc Sf 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$20,527
outlier · 2.6×
37273
CPT 		Hc Revsc Evsc Fpvt Athrc Cplx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$22,006
outlier · 2.4×
93580
CPT 		Hc Cath Perc Clos,Cong Interatrial Commun W/Impl 24 $1,457.06 $53,219.00 $53,219.00 nat. median
$18,294
outlier · 2.9×
37292
CPT 		Hc Rvsc Evsc Tpvt St Athrc Sf 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$21,441
outlier · 2.5×
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 24 $21.85 $51,687.00 $51,687.00 nat. median
$162
outlier · 319.0×
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,268
outlier · 2.6×
C9775
HCPCS 		Hc Revasc Lith-sten-ath Tib/Per 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,784
outlier · 2.5×
C9774
HCPCS 		Hc Revasc Lithotr-ather Tib/Per 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,561
outlier · 2.6×
C9773
HCPCS 		Hc Revasc Lithotr-stent Tib/Per 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,390
outlier · 2.6×
C9765
HCPCS 		Hc Revasc Intra Lithotrip-stent 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,139
outlier · 2.6×
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$20,608
outlier · 2.4×
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 24 $153.11 $48,808.00 $48,808.00 nat. median
$3,820
outlier · 12.8×
C2616
HCPCS 		Yttrium-90 Sirspheres 24 $15,521.28 $51,958.37 $48,504.00 nat. median
$26,836
1.8× median
37216
CPT 		Hc Tcat IV Stent Crv Crtd Art Without Embolic Protecj 24 $1,211.71 $47,987.00 $47,987.00 nat. median
$5,486
outlier · 8.7×
37215
CPT 		Hc Tcat IV Stent Crv Crtd Art Embolic Protecj 24 $989.29 $47,987.00 $47,987.00 nat. median
$5,755
outlier · 8.3×
J0775
HCPCS 		Collagenase Clostrid Histolyt 0.9 Mg Ij Solr 24 $68.97 $45,568.00 $45,568.00 nat. median
$114
outlier · 400.2×
0238T
CPT 		Hc Trluml Peripheral Atherectomy Iliac Artery Ea 24 $14,559.04 $50,218.29 $45,497.00 nat. median
$17,436
outlier · 2.6×
36906
CPT 		Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent 24 $766.34 $50,218.29 $43,871.00 nat. median
$18,571
outlier · 2.4×
61645
CPT 		Hc Perq Art Trluml M-thrombec &/Nfs Intracranial 24 $866.14 $43,488.00 $43,488.00 nat. median
$5,192
outlier · 8.4×
64596
CPT 		Hc Ins/Rplcmt Prq Eltrd Ra Pn 1 24 $12,978.95 $42,457.00 $42,457.00 nat. median
$12,532
outlier · 3.4×
0075T
CPT 		Hc Perq Stent/Chest Vert Art 24 $2,911.00 $42,000.00 $42,000.00 nat. median
$7,948
outlier · 5.3×
64628
CPT 		Hc Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 24 $642.29 $42,907.00 $41,405.26 nat. median
$12,701
outlier · 3.3×
33274
CPT 		Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 24 $724.67 $55,803.12 $41,194.00 nat. median
$19,643
outlier · 2.1×
37183
CPT 		Hc Revis Transven Intrahep Portosys Shunt 24 $564.61 $42,487.00 $40,999.96 nat. median
$7,185
outlier · 5.7×
Q0224
HCPCS 		Pemivibart 500 Mg/4ml IV Soln 24 $12,438.72 $38,871.00 $38,871.00 nat. median
$6,979
outlier · 5.6×
61630
CPT 		Hc Intracranial Balloon Angioplasty 24 $1,418.16 $37,866.00 $37,866.00 nat. median
$4,485
outlier · 8.4×
61650
CPT 		Hc Evasc Intracranial Prolng Admn Rx Agent Art 1st 24 $599.10 $37,866.00 $37,866.00 nat. median
$3,391
outlier · 11.2×
0737T
CPT 		Hc Xenograft Impltj Artclr Surf 24 $11,927.04 $37,691.80 $37,272.00 nat. median
$12,808
outlier · 2.9×
J0517
HCPCS 		Benralizumab 30 Mg/ml Sc Sosy 24 $165.25 $36,509.00 $36,509.00 nat. median
$919
outlier · 39.7×

Other procedures at this hospital

Browse this hospital's 3,399 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
             
0075T CPT Hc Perq Stent/Chest Vert Art 62 24 $42,000.00 $42,000.00 $2,911.00 $42,000.00 $42,000.00 2026-01-05
0201T CPT Hc Perq Sacral Augmt Bilat Inj 62 24 $13,097.00 $13,097.00 $4,191.04 $20,488.30 $13,097.00 2026-01-05
0238T CPT Hc Trluml Peripheral Atherectomy Iliac Artery Ea 62 24 $45,497.00 $45,497.00 $14,559.04 $50,218.29 $45,497.00 2026-01-05
0737T CPT Hc Xenograft Impltj Artclr Surf 62 24 $37,272.00 $37,272.00 $11,927.04 $37,691.80 $37,272.00 2026-01-05
0913T CPT Hc Prq Tcat Ther Rx Ntrac Balo1 61 24 $15,865.00 $15,865.00 $5,076.80 $16,368.93 $15,865.00 2026-01-05
0914T CPT Hc Prq Tcat Thr Rx Ntrc Bal Sep 55 24 $15,865.00 $15,865.00 $5,076.80 $15,865.00 $15,865.00 2026-01-05
13101 CPT Hc Ed Repair Complex Trunk; 2.6 To 7.5 Cm 63 24 $9,840.00 $9,840.00 $387.06 $9,840.00 $9,151.20 2026-01-05
15273 CPT Hc Skin Sub Graft Trunk/Arm/Leg 100sq Cm/< 62 24 $11,081.00 $11,081.00 $297.94 $11,081.00 $10,693.17 2026-01-05
1740000001 LOCAL Hc Nicu, Level 4 Room Daily 31 24 $10,221.00 $10,221.00 $10,221.00 $10,221.00 $10,221.00 2026-01-05
2000000001 LOCAL Hc ICU Room Daily 31 24 $10,627.00 $10,627.00 $10,627.00 $10,627.00 $10,627.00 2026-01-05
2000000002 LOCAL Hc ICU Room, Isolation, Daily 31 24 $11,130.00 $11,130.00 $11,130.00 $11,130.00 $11,130.00 2026-01-05
20240 CPT Hc Bone Biopsy,Excisional Superf 62 24 $10,669.00 $10,669.00 $218.05 $10,669.00 $10,295.58 2026-01-05
20245 CPT Hc Biopsy Bone Open Deep 62 24 $11,155.00 $11,155.00 $530.80 $11,155.00 $10,764.58 2026-01-05
20982 CPT Hc Ablation Bone Tumor Rf Perq W/Img Gdn When Done 62 24 $35,803.00 $35,803.00 $562.53 $37,691.80 $35,803.00 2026-01-05
20983 CPT Hc Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd 62 24 $18,562.00 $18,562.00 $526.91 $20,488.30 $18,562.00 2026-01-05
22510 CPT Hc Perq Vertebroplasty Uni/Bi Injx Cervicothoracic 62 24 $11,954.00 $11,954.00 $668.06 $16,717.00 $11,954.00 2026-01-05
22511 CPT Hc Perq Vertebroplasty Uni/Bi Injection Lumbosacral 62 24 $9,349.00 $9,349.00 $629.78 $16,717.00 $9,349.00 2026-01-05
22513 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation 62 24 $19,873.00 $19,873.00 $786.67 $20,488.30 $19,873.00 2026-01-05
22514 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr 62 24 $20,903.00 $20,903.00 $735.33 $20,903.00 $20,695.65 2026-01-05
22515 CPT Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each 55 24 $17,218.00 $17,218.00 $332.14 $17,218.00 $17,218.00 2026-01-05
23405 CPT Hc Incision Of Tendon & Muscle 62 24 $22,274.00 $22,274.00 $979.09 $22,274.00 $21,494.41 2026-01-05
23406 CPT Hc Incise Tendon(S) & Muscle(S) 62 24 $22,274.00 $22,274.00 $1,173.65 $22,274.00 $21,494.41 2026-01-05
23929 CPT Hc Perc Teno W/Tenex Calc Barbot Of Tend (Comp 23000 & 23405) 68 24 $10,602.00 $10,602.00 $224.69 $18,486.54 $10,602.00 2026-01-05
24341 CPT Hc Rpr Tdn/Musc Upr A/e Each 62 24 $19,844.00 $19,844.00 $1,202.05 $20,488.30 $19,844.00 2026-01-05
24357 CPT Hc Tenotomy Elbow Lateral/Medial Percutaneous 62 24 $9,764.00 $9,764.00 $668.22 $16,717.00 $9,764.00 2026-01-05
24999 CPT Hc Ultrasonic Percutaneous Tendon Excision 62 24 $9,028.00 $9,028.00 $224.69 $9,028.00 $9,028.00 2026-01-05
25290 CPT Hc Incise Wrist/Forearm Tendon 62 24 $9,028.00 $9,028.00 $707.66 $9,269.89 $9,028.00 2026-01-05
25295 CPT Hc Release Wrist/Forearm Tendon 62 24 $10,078.00 $10,078.00 $850.83 $10,078.00 $9,725.27 2026-01-05
26020 CPT Hc Drain Hand Tendon Sheath 62 24 $9,764.00 $9,764.00 $897.62 $9,764.00 $9,516.94 2026-01-05
26350 CPT Hc Repair Finger/Hand Tendon 62 24 $10,078.00 $10,078.00 $1,191.06 $10,078.00 $9,725.27 2026-01-05
26540 CPT Hc Repair Hand Joint 62 24 $10,078.00 $10,078.00 $1,116.10 $10,078.00 $9,725.27 2026-01-05
26545 CPT Hc Reconstruct Finger Joint 62 24 $10,078.00 $10,078.00 $1,168.30 $10,078.00 $9,725.27 2026-01-05
26715 CPT Hc Treat Knuckle Dislocation 62 24 $9,028.00 $9,028.00 $927.23 $9,269.89 $9,028.00 2026-01-05
26746 CPT Hc Treat Finger Fracture Each 62 24 $10,078.00 $10,078.00 $1,189.50 $13,647.00 $10,078.00 2026-01-05
26765 CPT Hc Open Tx Distal Phalangeal Fracture Each 62 24 $10,072.00 $10,072.00 $817.12 $10,072.00 $9,719.48 2026-01-05
26951 CPT Hc Ed Amputation Finger/Thumb 63 24 $10,078.00 $10,078.00 $1,126.77 $10,078.00 $9,372.54 2026-01-05
27006 CPT Hc Incision Of Hip Tendons 62 24 $9,499.00 $9,499.00 $1,139.62 $9,499.00 $9,384.44 2026-01-05
27065 CPT Hc Remove Hip Bone Les Super 62 24 $21,066.00 $21,066.00 $842.13 $21,066.00 $20,777.15 2026-01-05
27306 CPT Hc Tenot Hmstrng Prc Sing Tnd 62 24 $9,764.00 $9,764.00 $555.23 $9,764.00 $9,516.94 2026-01-05
27307 CPT Hc Tenotomy Prq Adductor/Hamstring Multiple Tendon 62 24 $9,028.00 $9,028.00 $661.18 $9,269.89 $9,028.00 2026-01-05
27654 CPT Hc Repair Of Achilles Tendon 62 24 $19,844.00 $19,844.00 $1,143.25 $20,488.30 $19,844.00 2026-01-05
28008 CPT Hc Incision Of Foot Fascia 62 24 $10,078.00 $10,078.00 $471.42 $10,078.00 $9,725.27 2026-01-05
28060 CPT Hc Partial Removal Foot Fascia 62 24 $10,078.00 $10,078.00 $575.07 $10,078.00 $9,725.27 2026-01-05
28737 CPT Hc Revision Of Foot Bones 62 24 $35,803.00 $35,803.00 $1,087.42 $37,691.80 $35,803.00 2026-01-05
31570 CPT Hc Laryngoscope Injection Vocal Cord Therapeutic 62 24 $9,775.00 $9,775.00 $355.70 $10,724.73 $9,775.00 2026-01-05
31572 CPT Hc Laryngoscopy Flexible Ablatj Destj Lesion(S) Uni 62 24 $10,804.00 $10,804.00 $281.73 $15,353.00 $10,804.00 2026-01-05
32550 CPT Hc Insertion Indwelling Tunneled Pleural Catheter 62 24 $12,128.00 $12,128.00 $310.94 $16,717.00 $12,128.00 2026-01-05
32998 CPT Hc Perq Radiofreq Ablation Tx, Pul Tumor 62 24 $19,984.00 $19,984.00 $666.30 $19,984.00 $19,284.56 2026-01-05
33206 CPT Hc Ep Inser Hart Pacer Xvenous Atrial 62 24 $27,471.00 $27,471.00 $693.20 $30,581.15 $27,471.00 2026-01-05
33207 CPT Hc Ep Inser Hart Pacer Xvenous Ventr 62 24 $18,966.00 $18,966.00 $727.66 $30,581.15 $18,966.00 2026-01-05
33208 CPT Hc Ep Inser Hart Pacer Xvenous Atr/Ventr 62 24 $18,966.00 $18,966.00 $785.54 $30,581.15 $18,966.00 2026-01-05
33214 CPT Hc Ep Upgrade Of Pacemaker System 61 24 $30,257.00 $30,257.00 $729.71 $30,581.15 $30,257.00 2026-01-05
33216 CPT Hc Ep Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb 62 24 $9,966.00 $9,966.00 $568.10 $24,330.50 $9,966.00 2026-01-05
33217 CPT Hc Ep Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb 62 24 $10,546.00 $10,546.00 $564.80 $24,330.50 $10,546.00 2026-01-05
33221 CPT Hc Ep Ins Pacemaker Pulse Gen Only W/Exist Mult Leads 61 24 $15,163.00 $15,163.00 $544.53 $55,803.12 $15,163.00 2026-01-05
33227 CPT Hc Ep Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead 62 24 $26,201.00 $26,201.00 $517.50 $26,201.00 $25,283.97 2026-01-05
33228 CPT Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen 2 Lead Sys 61 24 $28,716.00 $28,716.00 $541.36 $30,581.15 $28,716.00 2026-01-05
33229 CPT Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead 61 24 $28,716.00 $28,716.00 $567.86 $55,803.12 $28,716.00 2026-01-05
33249 CPT Hc Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 61 24 $16,069.00 $16,069.00 $1,382.26 $94,218.73 $16,069.00 2026-01-05
33262 CPT Hc Ep Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead 61 24 $17,179.00 $17,179.00 $567.28 $67,505.49 $17,179.00 2026-01-05
33263 CPT Hc Ep Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 61 24 $20,244.00 $20,244.00 $589.52 $67,505.49 $20,244.00 2026-01-05
33264 CPT Hc Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 61 24 $17,179.00 $17,179.00 $614.03 $94,218.73 $17,179.00 2026-01-05
33270 CPT Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 61 24 $31,732.00 $31,732.00 $850.66 $94,218.73 $31,732.00 2026-01-05
33274 CPT Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 62 24 $41,194.00 $41,194.00 $724.67 $55,803.12 $41,194.00 2026-01-05
33285 CPT Hc Cath Card Rhythm Monitor Implant 61 24 $9,166.00 $9,166.00 $131.97 $24,330.50 $9,166.00 2026-01-05
33992 CPT Hc Cath Removal Percutaneous Vad Different Session 62 24 $13,392.00 $13,392.00 $187.50 $13,392.00 $13,392.00 2026-01-05
34201 CPT Hc Remv Art Clot Iliac-pop,leg Incis 62 24 $11,742.00 $11,742.00 $1,520.27 $15,737.96 $11,742.00 2026-01-05
3440000001 OTHER Radium Ra 223 Dichloride 30 Mcci/ml IV Soln 3 3 — — $2,079,513.92 $4,224,012.65 $2,079,513.92 2026-01-05
35879 CPT Hc Revise Lwr Ext Art Bypass W/Vein Patch 62 24 $13,071.00 $13,071.00 $1,374.98 $15,737.96 $13,071.00 2026-01-05
3600000017 LOCAL Hc Or C-section Level One 62 24 $9,897.00 $9,897.00 $3,167.04 $9,897.00 $9,897.00 2026-01-05
3600000018 LOCAL Hc Or C-section Level Two 62 24 $16,210.00 $16,210.00 $5,187.20 $16,210.00 $16,210.00 2026-01-05
3600000019 LOCAL Hc Or C-section Level Three 62 24 $17,560.00 $17,560.00 $5,619.20 $17,560.00 $17,560.00 2026-01-05
3600000023 LOCAL Hc OB Unplanned Or Procedure: Hemorrhage Management 62 24 $9,331.00 $9,331.00 $2,985.92 $9,331.00 $9,331.00 2026-01-05
3600000028 LOCAL Hc Exploratory Laparotomy 62 24 $9,060.00 $9,060.00 $2,899.20 $9,060.00 $9,060.00 2026-01-05
3600000029 LOCAL Hc Hysterectomy - Abdominal 62 24 $9,060.00 $9,060.00 $2,899.20 $9,060.00 $9,060.00 2026-01-05
36224 CPT Hc Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art 62 24 $16,274.00 $16,274.00 $559.87 $16,274.00 $16,005.98 2026-01-05
36225 CPT Hc Slctv Cath Subclavian Art Angio Vertebral Artery 62 24 $9,951.00 $9,951.00 $495.57 $9,951.00 $9,602.72 2026-01-05
36226 CPT Hc Slctv Cath Vertebral Art Angio Vertebral Artery 62 24 $13,019.00 $13,019.00 $555.94 $15,737.96 $13,019.00 2026-01-05
36251 CPT Hc Slctv Cath 1stord W/wo Art Punct/Fluoro/S&I Uni 62 24 $9,594.00 $9,594.00 $381.78 $9,594.00 $9,361.28 2026-01-05
36252 CPT Hc Slctv Cath 1stord W/wo Art Punct/Fluor/S&I Bilat 62 24 $9,251.00 $9,251.00 $532.93 $9,251.00 $9,189.78 2026-01-05
36253 CPT Hc Supslctv Cath 2nd+Ord Renl&Acces Artery/S&I Uni 62 24 $11,189.00 $11,189.00 $534.19 $15,737.96 $11,189.00 2026-01-05
36254 CPT Hc Supslctv Cath 2nd+Ord Renl&Acces Arter/S&I Bilat 62 24 $11,189.00 $11,189.00 $623.15 $11,189.00 $10,797.39 2026-01-05
36561 CPT Hc Insert Tunneled Cv Cath With Port 63 24 $9,924.00 $9,924.00 $508.46 $9,924.00 $9,229.32 2026-01-05
36570 CPT Hc Insj Prph Ctr Vad W/Subq Port Under 5 Yr 62 24 $9,772.00 $9,772.00 $514.66 $9,772.00 $9,450.28 2026-01-05
36571 CPT Hc Insj Prph Ctr Vad W/Subq Port Age 5 Yr/> 62 24 $9,772.00 $9,772.00 $480.19 $9,772.00 $9,450.28 2026-01-05
36581 CPT Hc Replace Cv Cath, Complete, Tunneled, Without Subq Port Or Pump 62 24 $9,446.00 $9,446.00 $280.94 $9,446.00 $9,287.28 2026-01-05
36582 CPT Hc Replace Cv Cath, Complete, Non-tunneled, W Subq Port Or Pump 62 24 $10,025.00 $10,025.00 $440.00 $10,025.00 $9,674.12 2026-01-05
36819 CPT Hc Av Fuse Uppr Arm Basilic 62 24 $11,086.00 $11,086.00 $1,090.90 $15,737.96 $11,086.00 2026-01-05
36821 CPT Hc Av Anastomosis Open; Direct 62 24 $12,611.00 $12,611.00 $988.85 $12,611.00 $12,169.61 2026-01-05
36830 CPT Hc Creat Av Fistula; Nonauto Grft 62 24 $11,463.00 $11,463.00 $999.60 $15,737.96 $11,463.00 2026-01-05
36832 CPT Hc Av Fistula Revision Without Thromb 62 24 $10,992.00 $10,992.00 $1,134.19 $15,737.96 $10,992.00 2026-01-05
36833 CPT Hc Av Fistual Revision W Thromb 62 24 $12,093.00 $12,093.00 $1,209.62 $15,737.96 $12,093.00 2026-01-05
36902 CPT Hc Intro Cath Dialysis Circuit W/Trluml Balo Angiop 62 24 $14,688.00 $14,688.00 $360.35 $16,368.93 $14,688.00 2026-01-05
36903 CPT Hc Intro Cath Dialysis Circuit W/Tcat Plmt IV Stent 62 24 $28,561.00 $28,561.00 $472.83 $31,505.89 $28,561.00 2026-01-05
36904 CPT Hc Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph 62 24 $14,688.00 $14,688.00 $552.85 $16,368.93 $14,688.00 2026-01-05
36905 CPT Hc Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop 62 24 $29,686.00 $29,686.00 $666.21 $31,505.89 $29,686.00 2026-01-05
36906 CPT Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent 62 24 $43,871.00 $43,871.00 $766.34 $50,218.29 $43,871.00 2026-01-05
36908 CPT Hc Tcat Plmt IV Stent Ctr Dialysis Seg W/Img S&i 55 24 $15,544.00 $15,544.00 $310.75 $15,544.00 $15,544.00 2026-01-05
37182 CPT Hc Insert Transven Intrahep Portosys Shunt 62 24 $13,052.00 $13,052.00 $822.07 $29,566.84 $13,052.00 2026-01-05
37183 CPT Hc Revis Transven Intrahep Portosys Shunt 62 24 $42,487.00 $42,487.00 $564.61 $42,487.00 $40,999.96 2026-01-05
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 62 24 $15,769.00 $15,769.00 $646.26 $50,218.29 $15,769.00 2026-01-05
37187 CPT Hc Percut Mech Thrombectomy, Venous 62 24 $14,336.00 $14,336.00 $591.73 $31,505.89 $14,336.00 2026-01-05
37191 CPT Hc Ins Intrvas Vc Filtr W/wo Vas Acs Vsl Selxn Rs&I 62 24 $21,047.00 $21,047.00 $332.37 $21,047.00 $20,310.35 2026-01-05
37193 CPT Hc Rtrvl Intrvas Vc Filtr W/wo Acs Vsl Selxn Rs&I 62 24 $15,026.00 $15,026.00 $521.02 $15,026.00 $14,500.09 2026-01-05
37200 CPT Hc Transcatheter Biopsy 62 24 $11,844.00 $11,844.00 $326.27 $15,737.96 $11,844.00 2026-01-05
37213 CPT Hc Thrombolysis Art/Venous Infsn W/Image Subsq Tx 62 24 $9,959.00 $9,959.00 $345.57 $16,717.00 $9,959.00 2026-01-05
37214 CPT Hc Cessation Thrombolytic Thrpy W/Catheter Removal 62 24 $9,959.00 $9,959.00 $183.09 $16,717.00 $9,959.00 2026-01-05
37215 CPT Hc Tcat IV Stent Crv Crtd Art Embolic Protecj 62 24 $47,987.00 $47,987.00 $989.29 $47,987.00 $47,987.00 2026-01-05
37216 CPT Hc Tcat IV Stent Crv Crtd Art Without Embolic Protecj 62 24 $47,987.00 $47,987.00 $1,211.71 $47,987.00 $47,987.00 2026-01-05
37217 CPT Hc Cath Tcath Stent Placemt Retrograd Carotid/Innominate 62 24 $15,544.00 $15,544.00 $1,079.59 $15,544.00 $15,544.00 2026-01-05
37218 CPT Hc Tcath Stent Placemt Antegrade Carotid/Innominate 62 24 $33,034.00 $33,034.00 $837.60 $33,034.00 $33,034.00 2026-01-05
37220 CPT Hc Revascularize Iliac Artery,Angioplasty, Initial Vessel 62 24 $16,589.00 $16,589.00 $593.42 $16,589.00 $16,478.97 2026-01-05
37221 CPT Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel 62 24 $32,017.00 $32,017.00 $729.70 $32,017.00 $31,761.44 2026-01-05
37222 CPT Hc Revascularize Iliac Artery,Angioplasty, Ea Add Vessel 55 24 $15,027.00 $15,027.00 $275.30 $15,027.00 $15,027.00 2026-01-05
37223 CPT Hc Revascularize Iliac Artery,Angioplasty/Stent, Ea Add Vessel 55 24 $16,589.00 $16,589.00 $313.36 $16,589.00 $16,589.00 2026-01-05
37224 CPT Hc Revascularize Fem/Pop Artery,Angioplasty 62 24 $16,589.00 $16,589.00 $658.34 $16,589.00 $16,478.97 2026-01-05
37225 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Atherectomy 62 24 $32,017.00 $32,017.00 $885.52 $50,218.29 $32,017.00 2026-01-05
37226 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Stent 62 24 $35,216.00 $35,216.00 $768.30 $35,216.00 $33,983.44 2026-01-05
37227 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 62 24 $55,448.00 $55,448.00 $1,061.15 $55,448.00 $53,507.32 2026-01-05
37228 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty Initial 62 24 $32,017.00 $32,017.00 $801.68 $32,017.00 $31,761.44 2026-01-05
37229 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial 62 24 $32,017.00 $32,017.00 $1,029.42 $50,218.29 $32,017.00 2026-01-05
37230 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial 62 24 $35,216.00 $35,216.00 $1,031.20 $50,218.29 $35,216.00 2026-01-05
37231 CPT Hc Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl 62 24 $55,448.00 $55,448.00 $1,103.33 $55,448.00 $53,507.32 2026-01-05
37232 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty Ea Add 55 24 $15,079.00 $15,079.00 $295.30 $15,079.00 $15,079.00 2026-01-05
37233 CPT Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Ea Add 55 24 $17,881.00 $17,881.00 $479.10 $17,881.00 $17,881.00 2026-01-05
37236 CPT Hc Open/Perq Placement Intravascular Stent Initial 62 24 $15,544.00 $15,544.00 $654.77 $31,505.89 $15,544.00 2026-01-05
37237 CPT Hc Open/Perq Placement Intravascular Stent Ea Addl 55 24 $10,764.00 $10,764.00 $313.18 $10,764.00 $10,764.00 2026-01-05
37238 CPT Hc Open/Perq Placement Intravascular Stent Same 1st 62 24 $15,544.00 $15,544.00 $458.56 $31,505.89 $15,544.00 2026-01-05
37239 CPT Hc Open/Perq Placemt Intravasc Stent Same Ea Addl 55 24 $10,764.00 $10,764.00 $225.47 $10,764.00 $10,764.00 2026-01-05
37241 CPT Hc Vascular Embolization Or Occlusion Venous Rs&I 62 24 $22,579.00 $22,579.00 $641.33 $31,505.89 $22,579.00 2026-01-05
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&I 62 24 $22,579.00 $22,579.00 $712.48 $50,218.29 $22,579.00 2026-01-05
37243 CPT Hc Vascular Embolize/Occlude Organ Tumor Infarct 62 24 $22,579.00 $22,579.00 $847.46 $31,505.89 $22,579.00 2026-01-05
37244 CPT Hc Vascular Embolization Or Occlusion Hemorrhage 62 24 $22,579.00 $22,579.00 $996.77 $31,505.89 $22,579.00 2026-01-05
37246 CPT Hc Trlml Balo Angiop Open/Perq Img S&i 1st Art 62 24 $14,688.00 $14,688.00 $520.62 $16,368.93 $14,688.00 2026-01-05
37248 CPT Hc Trlml Balo Angiop Open/Perq W/Img S&i 1st Vein 62 24 $14,688.00 $14,688.00 $445.90 $16,368.93 $14,688.00 2026-01-05
37254 CPT Hc Revsc Evasc Ivt Angiop Uni Sf Les 1st Vsl 62 24 $16,523.00 $16,523.00 $5,287.36 $16,523.00 $16,523.00 2026-01-05
37256 CPT Hc Revsc Evasc Ivt Angiop Uni Cplx Les 1st Vsl 62 24 $16,523.00 $16,523.00 $5,287.36 $16,523.00 $16,523.00 2026-01-05
37258 CPT Hc Revsc Evasc Ivt Stent Sf 1st 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37259 CPT Hc Revsc Evasc Ivt Stent Sf Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37260 CPT Hc Revsc Evasc Ivt St Cplx 1st 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37261 CPT Hc Revsc Evasc Ivt St Cplx Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37263 CPT Hc Revsc Evasc Fpvt Angio Sf 1 62 24 $16,523.00 $16,523.00 $5,287.36 $16,523.00 $16,523.00 2026-01-05
37265 CPT Hc Revsc Evsc Fpvt Angio Cplx 1 62 24 $16,523.00 $16,523.00 $5,287.36 $16,523.00 $16,523.00 2026-01-05
37267 CPT Hc Revsc Evsc Fpvt Stent Sf 1st 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37268 CPT Hc Revsc Evasc Fpvt Stent Sf Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37269 CPT Hc Revsc Evasc Fpvt St Cplx 1st 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37270 CPT Hc Revsc Evasc Fpvt St Cplx Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37271 CPT Hc Revsc Evsc Fpvt Athrc Sf 1st 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37272 CPT Hc Revsc Evsc Fpvt Athrc Sf Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37273 CPT Hc Revsc Evsc Fpvt Athrc Cplx 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37274 CPT Hc Rvsc Evsc Fpvt Athrc Cplx Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37275 CPT Hc Rvsc Evsc Fpvt St Athrc Sf 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37276 CPT Hc Rvsc Evsc Fpvt St Athr Sf Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37277 CPT Hc Rvsc Evsc Fpvt St Athr Cpx 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37278 CPT Hc Rvsc Evsc Fpvt St Ath Cpx Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37280 CPT Hc Revsc Evsc Tpvt Angio Sf 1st 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37281 CPT Hc Revsc Evsc Tpvt Angio Sf Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37282 CPT Rvsc Evsc Tpvt Angio Cplx 1 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37283 CPT Hc Rvsc Evsc Tpvt Angio Cplx Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37285 CPT Hc Revsc Evasc Tpvt St Sf Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37286 CPT Hc Revsc Evasc Tpvt St Cplx 1st 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37287 CPT Hc Revsc Evasc Tpvt St Cplx Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37288 CPT Hc Revsc Evsc Tpvt Athrc Sf 1st 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37291 CPT Hc Revsc Evsc Tpvt Athr Cplx Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37293 CPT Hc Rvsc Evsc Tpvt St Athr Sf Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37294 CPT Hc Rvsc Evsc Tpvt St Athr Cpx 1 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
37295 CPT Hc Rvsc Evsc Tpvt St Ath Cpx Ea 62 24 $26,610.00 $26,610.00 $8,515.20 $26,610.00 $26,610.00 2026-01-05
37296 CPT Hc Revsc Evasc Imvt Angio Sf 1 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37297 CPT Hc Revsc Evasc Imvt Angio Sf Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37298 CPT Hc Revsc Evsc Imvt Angio Cplx 1 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
37299 CPT Hc Revsc Evsc Imvt Angio Cpx Ea 62 24 $16,757.00 $16,757.00 $5,362.24 $16,757.00 $16,757.00 2026-01-05
37785 CPT Hc Ligj Divj &/Excj Varicose Vein Cluster 1 Leg 62 24 $9,121.00 $9,121.00 $385.31 $9,128.56 $9,121.00 2026-01-05
38510 CPT Hc Biopsy/Removal Lymph Nodes 62 24 $10,655.00 $10,655.00 $653.66 $10,916.31 $10,655.00 2026-01-05
43659 CPT Hc Laparoscopic Gastrotomy 62 24 $17,965.00 $17,965.00 $5,497.59 $17,965.00 $17,965.00 2026-01-05
44370 CPT Hc Sb Scope,Place Transendoscopic Stent - Endo, Small Bowel 62 24 $18,191.00 $18,191.00 $409.38 $18,191.00 $17,554.32 2026-01-05
44402 CPT Hc Colonoscopy Stoma W/Endoscopic Stent Plcmt - Colonoscopy 62 24 $18,191.00 $18,191.00 $400.21 $18,191.00 $17,554.32 2026-01-05
45347 CPT Hc Sigmoidoscopy Flx Placement Of Endoscopic Stent - Endoscopy Sigmoid 62 24 $9,600.00 $9,600.00 $236.75 $16,321.89 $9,600.00 2026-01-05
47382 CPT Hc Ablat,Open,1+ Liver Tumor(S),Percut Rf 62 24 $19,447.00 $19,447.00 $1,124.78 $19,447.00 $18,766.35 2026-01-05
47384 CPT Hc Abltn Ire Liver 1+ Tum Perq 62 24 $30,859.00 $30,859.00 $9,874.88 $30,859.00 $30,859.00 2026-01-05
47533 CPT Hc Prq Plmt Biliary DRG Cath W/Img Gid Rs&I Externl 62 24 $9,839.00 $9,839.00 $399.06 $16,717.00 $9,839.00 2026-01-05
47534 CPT Hc Prq Plmt Biliary DRG Cath W/Img Gid Rs&I Int-ext 62 24 $9,839.00 $9,839.00 $558.64 $16,717.00 $9,839.00 2026-01-05
47535 CPT Hc Conv Ext Bil DRG Cath To Int-ext Bil DRG Cath 62 24 $9,839.00 $9,839.00 $297.06 $16,717.00 $9,839.00 2026-01-05
47536 CPT Hc Exchange Biliary DRG Catheter Prq W/Img Gid Rs&I 62 24 $9,838.00 $9,838.00 $200.94 $16,717.00 $9,838.00 2026-01-05
47538 CPT Hc Plmt Bile Duct Stent Prq Existing Access 62 24 $17,384.00 $17,384.00 $355.54 $17,384.00 $17,050.50 2026-01-05
47539 CPT Hc Plmt Bile Duct Stent Prq New Access Without Sep Cath 62 24 $17,384.00 $17,384.00 $639.58 $17,384.00 $17,050.50 2026-01-05
47540 CPT Hc Plmt Bile Duct Stent Prq New Access W/Sep Cath 62 24 $17,384.00 $17,384.00 $661.84 $17,384.00 $17,050.50 2026-01-05
47541 CPT Hc Plmt Access Thru Biliary Tree Into Small Bwl New 62 24 $9,839.00 $9,839.00 $507.95 $21,666.81 $9,839.00 2026-01-05
47542 CPT Hc Balloon Dilat Biliary Duct/Ampulla Prq Each Duct 55 24 $9,839.00 $9,839.00 $204.72 $9,839.00 $9,839.00 2026-01-05
47543 CPT Hc Endoluminal Bx Biliary Tree Prq Any Meth Sng/Mlt 55 24 $18,329.00 $18,329.00 $215.76 $18,329.00 $18,329.00 2026-01-05
47999 CPT Hc Ercp With Antegrade Stent 74 24 $17,746.00 $17,746.00 $863.69 $17,746.00 $14,493.50 2026-01-05
49329 CPT Hc Adhslys Stomach Sml Bwl & Abdmnl Wall 62 24 $17,965.00 $17,965.00 $5,497.59 $17,965.00 $17,965.00 2026-01-05
49418 CPT Hc Insertion Tunnel Intraperitoneal Cath W Image Guidance 62 24 $13,841.00 $13,841.00 $306.48 $16,717.00 $13,841.00 2026-01-05
49592 CPT Hc Rpr Aa Hrn 1st < 3 Ncr/Strn 62 24 $14,971.00 $14,971.00 $731.26 $16,717.00 $14,971.00 2026-01-05
49594 CPT Hc Rpr Aa Hrn 1st 3-10 Ncr/Strn 62 24 $14,971.00 $14,971.00 $1,143.62 $16,717.00 $14,971.00 2026-01-05
50592 CPT Hc Perc Radiofreq Ablate Renal Tumor 62 24 $17,608.00 $17,608.00 $525.01 $17,608.00 $17,066.24 2026-01-05
50593 CPT Hc Ablation Renal Tumor Unilateral Perq Cryotherapy 62 24 $22,428.00 $22,428.00 $701.09 $29,479.86 $22,428.00 2026-01-05
50694 CPT Hc Plmt Urtrl Stnt Prq New Acess Without Sep Nfros Cath 62 24 $10,138.00 $10,138.00 $405.02 $16,717.00 $10,138.00 2026-01-05
50695 CPT Hc Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath 62 24 $10,138.00 $10,138.00 $518.96 $16,717.00 $10,138.00 2026-01-05
55874 CPT Hc Tprnl Plmt Biodegradable Material 62 24 $12,260.00 $12,260.00 $255.42 $16,717.00 $12,260.00 2026-01-05
57415 CPT Hc Ed Removal Vaginal for.Body W Anesth 62 24 $9,128.00 $9,128.00 $275.57 $9,128.00 $9,040.75 2026-01-05
59300 CPT Hc Episiotomy/Vag Rpr Oth/Thn Attending 62 24 $9,734.00 $9,734.00 $226.03 $9,734.00 $9,393.31 2026-01-05
59414 CPT Hc Ed Deliver Placenta 62 24 $9,398.00 $9,398.00 $138.06 $9,398.00 $9,175.75 2026-01-05
59899 CPT Hc Manual Rmvl Retained Prdcts Conception 56 24 $9,734.00 $9,734.00 $189.86 $9,734.00 $9,734.00 2026-01-05
60699 CPT Hc Unlisted Procedure Endocrine System 62 24 $20,910.00 $20,910.00 $5,497.59 $20,910.00 $20,910.00 2026-01-05
61624 CPT Hc Perm Occlusion/Embolization,Percut,Cns 62 24 $62,983.00 $62,983.00 $1,191.06 $62,983.00 $60,778.60 2026-01-05
61626 CPT Hc Percut Cath Occlusn Non Cns Lesn 62 24 $34,360.00 $34,360.00 $1,382.29 $34,360.00 $33,157.40 2026-01-05
61630 CPT Hc Intracranial Balloon Angioplasty 62 24 $37,866.00 $37,866.00 $1,418.16 $37,866.00 $37,866.00 2026-01-05
61635 CPT Hc Intracranial Balloon Angioplsty W/Stent 62 24 $62,983.00 $62,983.00 $1,550.31 $62,983.00 $62,983.00 2026-01-05
61645 CPT Hc Perq Art Trluml M-thrombec &/Nfs Intracranial 62 24 $43,488.00 $43,488.00 $866.14 $43,488.00 $43,488.00 2026-01-05
61650 CPT Hc Evasc Intracranial Prolng Admn Rx Agent Art 1st 62 24 $37,866.00 $37,866.00 $599.10 $37,866.00 $37,866.00 2026-01-05
61651 CPT Hc Evasc Intracranial Prolng Admn Rx Agent Art Addl 62 24 $18,934.00 $18,934.00 $255.93 $18,934.00 $18,934.00 2026-01-05
61891 CPT Hc Rev/Rplcmt Sk-mnt Crnl Nstm 62 24 $68,182.00 $68,182.00 $720.94 $68,182.00 $68,182.00 2026-01-05
61892 CPT Hc Rmv Sk-mnt Crnl Nstm Pg/Rcvr 62 24 $10,088.00 $10,088.00 $1,010.37 $16,717.00 $10,088.00 2026-01-05
63650 CPT Hc Implant Neuroelectrodes 62 24 $9,067.00 $9,067.00 $649.46 $19,586.41 $9,067.00 2026-01-05
64555 CPT Hc Prq Impltj Neurostimulator Eltrd Peripheral Nrv 62 24 $22,625.00 $22,625.00 $510.45 $22,625.00 $21,833.12 2026-01-05
64568 CPT Hc Opn Impltj Crnl Nrv Nea&Pg 62 24 $84,796.00 $84,796.00 $949.01 $88,929.51 $84,796.00 2026-01-05
64596 CPT Hc Ins/Rplcmt Prq Eltrd Ra Pn 1 62 24 $42,457.00 $42,457.00 $12,978.95 $42,457.00 $42,457.00 2026-01-05
64598 CPT Hc Revj/Rmvl Nea Pn W/Int Nstim 62 24 $10,606.00 $10,606.00 $3,241.90 $16,717.00 $10,606.00 2026-01-05
64628 CPT Hc Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 62 24 $42,907.00 $42,907.00 $642.29 $42,907.00 $41,405.26 2026-01-05
64629 CPT Hc Thermal Dstrj Intraosseous Bvn Ea Addl Lmbr/Sac 55 24 $14,303.00 $14,303.00 $301.55 $14,303.00 $14,303.00 2026-01-05
7200000006 LOCAL Hc L&d: Labor & Delivery Level Three 55 24 $12,386.00 $12,386.00 $3,963.52 $12,386.00 $12,386.00 2026-01-05
77301 CPT Hc Intensity Modulated Radiotherapy 62 24 $9,427.00 $9,427.00 $1,320.21 $9,427.00 $9,097.06 2026-01-05
77372 CPT Hc Single-fx Stereotactic Rad Tx 62 24 $29,361.00 $29,361.00 $1,501.82 $29,361.00 $28,333.36 2026-01-05
92920 CPT Hc Cath Prq Trluml Coronary Angioplasty One Art/Branch Ld 61 24 $13,321.00 $13,321.00 $789.70 $16,368.93 $13,321.00 2026-01-05
92921 CPT Hc Cath Prq Trluml Coronary Angioplasty Addl Branch 54 24 $9,943.00 $9,943.00 $3,181.76 $9,943.00 $9,943.00 2026-01-05
92924 CPT Hc Cath Prq Trluml Coronary Angio/Atherect One Art/Brnch 61 24 $20,268.00 $20,268.00 $940.62 $31,505.89 $20,268.00 2026-01-05
92928 CPT Hc Prq Trluml Coronary Stent W/Angio One Art/Brnch Ld 62 24 $17,662.00 $17,662.00 $877.55 $31,505.89 $17,662.00 2026-01-05
92930 CPT Hc Prq Tcat Plmt Ntrac St 2+Les 62 24 $53,219.00 $53,219.00 $17,030.08 $53,219.00 $53,219.00 2026-01-05
92937 CPT Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel Ld 61 24 $15,135.00 $15,135.00 $877.02 $31,505.89 $15,135.00 2026-01-05
92941 CPT Hc Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl Ld 61 24 $12,108.00 $12,108.00 $659.97 $12,108.00 $12,108.00 2026-01-05
92943 CPT Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl Ld 61 24 $15,135.00 $15,135.00 $985.97 $31,505.89 $15,135.00 2026-01-05
92945 CPT Hc Prq Trl Rvs Ch Occ Ant&Rtrgr 62 24 $33,514.00 $33,514.00 $10,724.48 $33,514.00 $33,514.00 2026-01-05
92972 CPT Hc Perq Trluml Coronry Lithotrp 55 24 $13,321.00 $13,321.00 $172.22 $13,321.00 $13,321.00 2026-01-05
93580 CPT Hc Cath Perc Clos,Cong Interatrial Commun W/Impl 61 24 $53,219.00 $53,219.00 $1,457.06 $53,219.00 $53,219.00 2026-01-05
93662 CPT Hc Cath Intracard Echo, Ther/Dx Intervent 55 24 $10,147.00 $10,147.00 $3,247.04 $10,147.00 $10,147.00 2026-01-05
A9512 HCPCS Technet Tc 99m Pertechnetate Co Kit 55 24 $23,302.00 $23,302.00 $1.59 $23,302.00 $23,302.00 2026-01-05
A9582 HCPCS Iobenguane Sulfate I 123 10 Mci/5ml IV Soln 55 23 $12,647.00 $12,647.00 $4,047.04 $15,298.26 $12,647.00 2026-01-05
A9600 HCPCS Strontium Chloride Sr-89 1 Mci/ml IV Soln 62 24 $72,000.00 $72,000.00 $3,825.00 $72,000.00 $72,000.00 2026-01-05
C1889 HCPCS Hc Implant/Insert Device, Noc 55 24 $10,015.00 $10,015.00 $3,204.80 $10,015.00 $10,015.00 2026-01-05
C2616 HCPCS Yttrium-90 Sirspheres 62 24 $48,504.00 $48,504.00 $15,521.28 $51,958.37 $48,504.00 2026-01-05
C5273 HCPCS Hc Low Cost Skin Substitute App 100 Sq Cm 62 24 $11,081.00 $11,081.00 $1,737.53 $16,717.00 $11,081.00 2026-01-05
C9293 HCPCS Glucarpidase 1000 Units IV Solr 62 24 $238,667.00 $238,667.00 $37,381.00 $238,667.00 $238,667.00 2026-01-05
C9600 HCPCS Hc Cath Drug-el Cor Stent Sing Ri 61 24 $19,842.00 $19,842.00 $6,349.44 $31,505.89 $19,842.00 2026-01-05
C9601 HCPCS Hc Cath Drug-el Cor Stent Addl Rc 54 24 $18,753.00 $18,753.00 $6,000.96 $18,753.00 $18,753.00 2026-01-05
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 61 24 $19,076.00 $19,076.00 $6,104.32 $50,218.29 $19,076.00 2026-01-05
C9604 HCPCS Hc Cath De Cor Revas Cabg Sing Ri 61 24 $18,753.00 $18,753.00 $6,000.96 $31,505.89 $18,753.00 2026-01-05
C9605 HCPCS Hc Perc D-e Cor Revasc T Cabg B 54 24 $18,753.00 $18,753.00 $6,000.96 $18,753.00 $18,753.00 2026-01-05
C9606 HCPCS Hc Cath De Cor Revas W Ami Sin Ri 61 24 $18,753.00 $18,753.00 $2,047.49 $18,753.00 $18,753.00 2026-01-05
C9607 HCPCS Hc Cath De Cor Revas Chro Sing Rc 61 24 $21,914.00 $21,914.00 $7,012.48 $50,218.29 $21,914.00 2026-01-05
C9608 HCPCS Hc Cath De Cor Revas Chro Addl Ld 54 24 $18,753.00 $18,753.00 $6,000.96 $18,753.00 $18,753.00 2026-01-05
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 62 24 $31,556.00 $31,556.00 $10,097.92 $31,556.00 $31,556.00 2026-01-05
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9772 HCPCS Hc Revasc Lithotrip Tibi/Perone 62 24 $28,544.00 $28,544.00 $9,134.08 $31,505.89 $28,544.00 2026-01-05
C9773 HCPCS Hc Revasc Lithotr-stent Tib/Per 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9774 HCPCS Hc Revasc Lithotr-ather Tib/Per 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/Per 62 24 $49,966.00 $49,966.00 $15,989.12 $50,218.29 $49,966.00 2026-01-05
C9776 HCPCS Hc Fluo Bile Duct Imaging W/Icg 55 24 $15,645.00 $15,645.00 $5,006.40 $15,645.00 $15,645.00 2026-01-05
C9779 HCPCS Hc Esd Endoscopy Or Colonoscopy 62 24 $11,924.00 $11,924.00 $3,648.96 $16,717.00 $11,924.00 2026-01-05
J0129 HCPCS Abatacept 250 Mg IV Solr In 10 Ml 62 24 $9,495.00 $9,495.00 $42.84 $9,495.00 $9,495.00 2026-01-05
J0517 HCPCS Benralizumab 30 Mg/ml Sc Sosy 59 24 $36,509.00 $36,509.00 $165.25 $36,509.00 $36,509.00 2026-01-05
J0565 HCPCS Bezlotoxumab 1000 Mg/40ml IV Soln 62 24 $23,265.00 $23,265.00 $39.87 $23,265.00 $23,265.00 2026-01-05
J0597 HCPCS C1 Esterase Inhibitor (human) 500 Units IV Kit 62 24 $20,105.00 $20,105.00 $64.43 $20,105.00 $20,105.00 2026-01-05
J0739 HCPCS Cabotegravir ER 600 Mg/3ml IM Suer 62 24 $25,259.00 $25,259.00 $6.89 $25,259.00 $25,259.00 2026-01-05
J0775 HCPCS Collagenase Clostrid Histolyt 0.9 Mg Ij Solr 59 24 $45,568.00 $45,568.00 $68.97 $45,568.00 $45,568.00 2026-01-05
J0875 HCPCS Dalbavancin Hcl 500 Mg IV Solr 59 24 $10,897.00 $10,897.00 $15.12 $10,897.00 $10,897.00 2026-01-05
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 62 24 $27,477.00 $27,477.00 $4,593.57 $27,477.00 $27,477.00 2026-01-05
J1306 HCPCS Inclisiran Sodium 284 Mg/1.5ml Sc Sosy 59 24 $21,966.00 $21,966.00 $12.12 $21,966.00 $21,966.00 2026-01-05
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln 59 24 $12,244.00 $12,244.00 $11.80 $12,244.00 $12,244.00 2026-01-05
J2182 HCPCS Mepolizumab 100 Mg Sc Solr 67 24 $22,058.00 $22,058.00 $30.48 $22,058.00 $22,058.00 2026-01-05
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 59 24 $14,141.00 $14,141.00 $24.23 $28,163.52 $14,141.00 2026-01-05
J2329 HCPCS Ublituximab-xiiy 150 Mg/6ml IV Soln 59 24 $61,348.00 $61,348.00 $67.23 $61,348.00 $61,348.00 2026-01-05
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 59 24 $114,300.00 $114,300.00 $58.76 $114,300.00 $114,300.00 2026-01-05
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.91ml Sc Sosy 59 24 $26,747.00 $26,747.00 $17.80 $26,747.00 $26,747.00 2026-01-05
J2515 HCPCS Pentobarbital Sodium 50 Mg/ml Ij Soln 63 24 $7,414.00 $7,414.00 $452.00 $11,960.73 $10,137.50 2026-01-05
J2802 HCPCS Romiplostim 250 Mcg Sc Solr 68 23 $16,208.00 $16,208.00 $5,186.56 $30,128.28 $16,208.00 2026-01-05
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml IV Soln 59 24 $11,882.00 $11,882.00 $18.05 $11,882.00 $11,882.00 2026-01-05
J3101 HCPCS Tenecteplase 50 Mg IV Kit 62 24 $48,808.00 $48,808.00 $153.11 $48,808.00 $48,808.00 2026-01-05
J3145 HCPCS Testosterone Undecanoate 750 Mg/3ml IM Soln 62 24 $10,436.00 $10,436.00 $1.93 $10,436.00 $10,436.00 2026-01-05
J3240 HCPCS Thyrotropin Alfa 0.9 Mg IM Solr 62 24 $12,384.00 $12,384.00 $1,924.94 $12,384.00 $12,384.00 2026-01-05
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 62 24 $99,485.00 $99,485.00 $333.40 $99,485.00 $99,485.00 2026-01-05
J3358 HCPCS Ustekinumab 130 Mg/26ml IV Soln 62 24 $12,981.00 $12,981.00 $12.49 $12,981.00 $12,981.00 2026-01-05
J3380 HCPCS Vedolizumab 300 Mg IV Solr 59 24 $51,687.00 $51,687.00 $21.85 $51,687.00 $51,687.00 2026-01-05
J7165 HCPCS Prothrombin Complex Human-lans 1000 Units IV Solr 62 24 $19,287.00 $19,287.00 $3.25 $19,287.00 $19,287.00 2026-01-05
J7179 HCPCS Von Willebrand Factor (recomb) 1300 Units IV Solr 62 24 $14,253.00 $14,253.00 $1.87 $14,253.00 $14,253.00 2026-01-05
J7195 HCPCS Coagulation Factor Ix (recomb) 3000 Units IV Kit 62 24 $27,396.00 $27,396.00 $1.75 $27,396.00 $27,396.00 2026-01-05
J7327 HCPCS Hyaluronan 88 Mg/4ml Ix Sosy 62 24 $9,189.00 $9,189.00 $692.75 $9,189.00 $9,189.00 2026-01-05
J7351 HCPCS Bimatoprost 10 Mcg Io Impl 62 24 $9,725.00 $9,725.00 $206.19 $9,725.00 $9,725.00 2026-01-05
J9034 HCPCS Bendeka 100 Mg/4ml IV Soln 62 24 $12,546.00 $12,546.00 $13.83 $12,546.00 $12,546.00 2026-01-05
J9041 HCPCS Bortezomib 3.5 Mg Ij Solr 56 24 $9,450.00 $9,450.00 $121.20 $9,450.00 $9,450.00 2026-01-05
J9047 HCPCS Carfilzomib 60 Mg IV Solr 62 24 $17,959.00 $17,959.00 $47.18 $17,959.00 $17,959.00 2026-01-05
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 55 24 $125,927.00 $125,927.00 $40,296.64 $125,927.00 $125,927.00 2026-01-05
Q0224 HCPCS Pemivibart 500 Mg/4ml IV Soln 62 24 $38,871.00 $38,871.00 $12,438.72 $38,871.00 $38,871.00 2026-01-05
Q9991 HCPCS Buprenorphine ER 100 Mg/0.5ml Sc Sosy 62 24 $12,967.00 $12,967.00 $1,825.83 $12,967.00 $12,967.00 2026-01-05
Q9992 HCPCS Buprenorphine ER 300 Mg/1.5ml Sc Sosy 62 24 $12,967.00 $12,967.00 $1,874.90 $23,662.37 $12,967.00 2026-01-05
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