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

EVERGREENHEALTH MEDICAL CENTER

Kirkland, WA · CCN 500124 · Rates published

3,412 distinct procedures filed
24 distinct payers
215,228 rate rows
2026-01-05 last MRF observed
Data quality

213,789 of 215,228 rate rows are consumer-grade (99.3%)

1,439 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
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 · 2026-05-15
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
HCPCS 		Radium Ra 223 Dichloride 30 Mcci/ml IV Soln 3 $2,079,513.92 $4,224,012.65 $2,079,513.92 —
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 24 $37,381.00 $238,667.00 $238,667.00 nat. median
$21,216
outlier · 11.2×
J9281
HCPCS 		Mitomycin 80 (2 X 40) Mg Ul Solr 24 $40,296.64 $125,927.00 $125,927.00 nat. median
$545
outlier · 231.2×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 24 $58.76 $114,300.00 $114,300.00 nat. median
$683
outlier · 167.4×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 24 $333.40 $99,485.00 $99,485.00 nat. median
$704
outlier · 141.3×
64568
CPT 		Hc Opn Impltj Crnl Nrv Nea&Pg 24 $949.01 $88,929.51 $84,796.00 nat. median
$27,591
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
$4,907
outlier · 14.7×
61891
CPT 		Hc Rev/Rplcmt Sk-mnt Crnl Nstm 24 $720.94 $68,182.00 $68,182.00 nat. median
$20,874
outlier · 3.3×
61635
CPT 		Hc Intracranial Balloon Angioplsty W/Stent 24 $1,550.31 $62,983.00 $62,983.00 nat. median
$5,508
outlier · 11.4×
J2329
HCPCS 		Ublituximab-xiiy 150 Mg/6ml IV Soln 24 $67.23 $61,348.00 $61,348.00 nat. median
$169
outlier · 363.1×
61624
CPT 		Hc Perm Occlusion/Embolization,Percut,Cns 24 $1,191.06 $62,983.00 $60,778.60 nat. median
$7,128
outlier · 8.5×
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
$18,087
outlier · 3.0×
37227
CPT 		Hc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 24 $1,061.15 $55,448.00 $53,507.32 nat. median
$18,025
outlier · 3.0×
37286
CPT 		Hc Revsc Evasc Tpvt St Cplx 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$22,431
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
$21,391
outlier · 2.5×
92930
CPT 		Hc Prq Tcat Plmt Ntrac St 2+Les 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$29,748
1.8× median
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×
37294
CPT 		Hc Rvsc Evsc Tpvt St Athr Cpx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$26,849
2.0× median
37290
CPT 		Hc Revsc Evsc Tpvt Athrc Cplx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$24,049
outlier · 2.2×
37277
CPT 		Hc Rvsc Evsc Fpvt St Athr Cpx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$24,288
outlier · 2.2×
93580
CPT 		Hc Cath Perc Clos,Cong Interatrial Commun W/Impl 24 $1,457.06 $53,219.00 $53,219.00 nat. median
$18,266
outlier · 2.9×
37271
CPT 		Hc Revsc Evsc Fpvt Athrc Sf 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$21,030
outlier · 2.5×
37284
CPT 		Hc Revsc Evasc Tpvt St Sf 1st 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$20,627
outlier · 2.6×
37292
CPT 		Hc Rvsc Evsc Tpvt St Athrc Sf 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$22,400
outlier · 2.4×
37273
CPT 		Hc Revsc Evsc Fpvt Athrc Cplx 1 24 $17,030.08 $53,219.00 $53,219.00 nat. median
$23,578
outlier · 2.3×
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 24 $21.85 $51,687.00 $51,687.00 nat. median
$280
outlier · 184.4×
C9765
HCPCS 		Hc Revasc Intra Lithotrip-stent 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$18,806
outlier · 2.7×
C9774
HCPCS 		Hc Revasc Lithotr-ather Tib/Per 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,518
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×
C9775
HCPCS 		Hc Revasc Lith-sten-ath Tib/Per 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,467
outlier · 2.6×
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$20,596
outlier · 2.4×
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 24 $15,989.12 $50,218.29 $49,966.00 nat. median
$19,548
outlier · 2.6×
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 24 $153.11 $48,808.00 $48,808.00 nat. median
$5,957
outlier · 8.2×
C2616
HCPCS 		Yttrium-90 Sirspheres 24 $15,521.28 $51,958.37 $48,504.00 nat. median
$28,140
1.7× 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
$5,248
outlier · 9.1×
37215
CPT 		Hc Tcat IV Stent Crv Crtd Art Embolic Protecj 24 $989.29 $47,987.00 $47,987.00 nat. median
$5,766
outlier · 8.3×
J0775
HCPCS 		Collagenase Clostrid Histolyt 0.9 Mg Ij Solr 24 $68.97 $45,568.00 $45,568.00 nat. median
$121
outlier · 377.5×
0238T
CPT 		Hc Trluml Peripheral Atherectomy Iliac Artery Ea 24 $14,559.04 $50,218.29 $45,497.00 nat. median
$17,355
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
$18,387
outlier · 2.4×
61645
CPT 		Hc Perq Art Trluml M-thrombec &/Nfs Intracranial 24 $866.14 $43,488.00 $43,488.00 nat. median
$4,908
outlier · 8.9×
64596
CPT 		Hc Ins/Rplcmt Prq Eltrd Ra Pn 1 24 $12,978.95 $42,457.00 $42,457.00 nat. median
$12,790
outlier · 3.3×
0075T
CPT 		Hc Perq Stent/Chest Vert Art 24 $2,911.00 $42,000.00 $42,000.00 nat. median
$8,396
outlier · 5.0×
64628
CPT 		Hc Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac 24 $642.29 $42,907.00 $41,405.26 nat. median
$12,583
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
$7,030
outlier · 5.8×
Q0224
HCPCS 		Pemivibart 500 Mg/4ml IV Soln 24 $12,438.72 $38,871.00 $38,871.00 nat. median
$7,346
outlier · 5.3×
61630
CPT 		Hc Intracranial Balloon Angioplasty 24 $1,418.16 $37,866.00 $37,866.00 nat. median
$4,479
outlier · 8.5×
61650
CPT 		Hc Evasc Intracranial Prolng Admn Rx Agent Art 1st 24 $599.10 $37,866.00 $37,866.00 nat. median
$3,146
outlier · 12.0×
0737T
CPT 		Hc Xenograft Impltj Artclr Surf 24 $11,927.04 $37,691.80 $37,272.00 nat. median
$12,867
outlier · 2.9×
J0517
HCPCS 		Benralizumab 30 Mg/ml Sc Sosy 24 $165.25 $36,509.00 $36,509.00 nat. median
$914
outlier · 40.0×

Other procedures at this hospital

Browse this hospital's 3,412 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
37200 CPT Hc Transcatheter Biopsy 62 24 $11,844.00 $11,844.00 $326.27 $15,737.96 $11,844.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
63650 CPT Hc Implant Neuroelectrodes 62 24 $9,067.00 $9,067.00 $649.46 $19,586.41 $9,067.00 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
C5273 CPT 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
C9605 CPT 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
C9602 CPT 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
3440000001 HCPCS 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
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