Hospital

WELLFOUND BEHAVIORAL HEALTH HOSPITAL

Tacoma, WA · CCN 504016 · Rates published

Your selected procedure

You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $21,370 across 1 payer

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8174/474654897-1891298980_alliance-for-south-sound-health_standardcharges.csv · observed 2026-08-27

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,380 distinct procedures filed

13 distinct payers

17,465 rate rows

2026-08-27 last MRF observed

Data quality

9,582 of 17,465 rate rows are consumer-grade (54.9%)

7,883 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	7,508
per-diem day rate — not a per-procedure price	375

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8174/474654897-1891298980_alliance-for-south-sound-health_standardcharges.csv
Found on page	https://www.wellfound.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	success · 2026-11-03
Content fingerprint	61ac5eef27df9730… · 22,777,957 bytes · first seen 2026-11-03

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
Q2057 HCPCS	Apc	1	$1,944,659.57	$1,944,659.57	$1,944,659.57	nat. median $813,967 outlier · 2.4×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	1	$1,549,885.27	$1,549,885.27	$1,549,885.27	nat. median $739,658 outlier · 2.1×
Q2056 HCPCS	Apc	1	$1,485,066.65	$1,485,066.65	$1,485,066.65	nat. median $646,415 outlier · 2.3×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$1,418,865.22	$1,418,865.22	$1,418,865.22	nat. median $637,620 outlier · 2.2×
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$1,412,607.56	$1,412,607.56	$1,412,607.56	nat. median $621,967 outlier · 2.3×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	1	$1,342,121.25	$1,342,121.25	$1,342,121.25	nat. median $607,251 outlier · 2.2×
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$1,234,724.83	$1,234,724.83	$1,234,724.83	nat. median $589,091 outlier · 2.1×
Q2058 HCPCS	Apc	1	$702,163.88	$702,163.88	$702,163.88	nat. median $319,951 outlier · 2.2×
J3403 HCPCS	Apc	1	$661,746.92	$661,746.92	$661,746.92	nat. median $265,000 outlier · 2.5×
J3402 HCPCS	Apc	1	$511,547.73	$511,547.73	$511,547.73	nat. median $209,753 outlier · 2.4×
J3404 HCPCS	Apc	1	$307,614.65	$307,614.65	$307,614.65	nat. median $127,995 outlier · 2.4×
Q0480 HCPCS	Driver Pneumatic Vad, Rep	1	$273,152.09	$273,152.09	$273,152.09	nat. median $111,503 outlier · 2.4×
38240 CPT	Transplt Allo Hct/donor	1	$185,248.88	$185,248.88	$185,248.88	nat. median $12,901 outlier · 14.4×
J9183 HCPCS	Apc	1	$184,438.22	$184,438.22	$184,438.22	nat. median $80,283 outlier · 2.3×
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	1	$173,621.12	$173,621.12	$173,621.12	nat. median $70,178 outlier · 2.5×
J9029 HCPCS	Apc	1	$162,216.38	$162,216.38	$162,216.38	nat. median $68,131 outlier · 2.4×
A9543 HCPCS	Y90 Ibritumomab, Rx	1	$143,396.75	$143,396.75	$143,396.75	nat. median $63,915 outlier · 2.2×
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	1	$141,995.31	$141,995.31	$141,995.31	nat. median $65,318 outlier · 2.2×
64568 CPT	Opn Impltj Crnl Nrv Nea&pg	1	$129,720.44	$129,720.44	$129,720.44	nat. median $27,270 outlier · 4.8×
33276 CPT	Apc	1	$129,720.44	$129,720.44	$129,720.44	nat. median $43,267 outlier · 3.0×
64654 CPT	Apc	1	$129,720.44	$129,720.44	$129,720.44	nat. median $44,598 outlier · 2.9×
0620T CPT	Evasc Ven Artlz Tibl/prnl Vn	1	$129,720.44	$129,720.44	$129,720.44	nat. median $32,810 outlier · 4.0×
L7181 HCPCS	Electronic Elbo Simultaneous	1	$121,520.40	$121,520.40	$121,520.40	nat. median $50,552 outlier · 2.4×
L7180 HCPCS	Electronic Elbow Sequential	1	$113,187.98	$113,187.98	$113,187.98	nat. median $46,980 outlier · 2.4×
J9226 HCPCS	Supprelin La Implant	1	$103,901.14	$103,901.14	$103,901.14	nat. median $55,159 1.9× median
0870T CPT	Apc	1	$100,894.00	$100,894.00	$100,894.00	nat. median $9,413 outlier · 10.7×
L2006 HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	1	$98,513.48	$98,513.48	$98,513.48	nat. median $39,926 outlier · 2.5×
69930 CPT	Implant Cochlear Device	1	$97,105.57	$97,105.57	$97,105.57	nat. median $29,126 outlier · 3.3×
33270 CPT	Ins/rep Subq Defibrillator	1	$92,442.75	$92,442.75	$92,442.75	nat. median $32,114 outlier · 2.9×
0571T CPT	Insj/rplcmt Icds Ss Eltrd	1	$92,442.75	$92,442.75	$92,442.75	nat. median $32,392 outlier · 2.9×
0408T CPT	Insj/rplc Cardiac Modulj Sys	1	$92,442.75	$92,442.75	$92,442.75	nat. median $32,041 outlier · 2.9×
33264 CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	1	$92,442.75	$92,442.75	$92,442.75	nat. median $31,574 outlier · 2.9×
0915T CPT	Apc	1	$92,442.75	$92,442.75	$92,442.75	nat. median $32,945 outlier · 2.8×
33249 CPT	Insj/rplcmt Defib W/lead(s)	1	$92,442.75	$92,442.75	$92,442.75	nat. median $31,638 outlier · 2.9×
33231 CPT	Insrt Pulse Gen W/mult Leads	1	$92,442.75	$92,442.75	$92,442.75	nat. median $30,088 outlier · 3.1×
C8011 HCPCS	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $35,733 outlier · 2.5×
64582 CPT	Opn Mpltj Hpglsl Nstm Ary Pg	1	$90,878.42	$90,878.42	$90,878.42	nat. median $28,080 outlier · 3.2×
64656 CPT	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $32,064 outlier · 2.8×
63685 CPT	Insrt/redo Spine N Generator	1	$90,878.42	$90,878.42	$90,878.42	nat. median $20,965 outlier · 4.3×
0674T CPT	Laps Insj Nw/rpcmt Prm Isdss	1	$90,878.42	$90,878.42	$90,878.42	nat. median $29,187 outlier · 3.1×
61885 CPT	Insrt/redo Neurostim 1 Array	1	$90,878.42	$90,878.42	$90,878.42	nat. median $19,795 outlier · 4.6×
61886 CPT	Implant Neurostim Arrays	1	$90,878.42	$90,878.42	$90,878.42	nat. median $27,176 outlier · 3.3×
0908T CPT	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $23,460 outlier · 3.9×
33287 CPT	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $28,973 outlier · 3.1×
C8007 HCPCS	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $35,733 outlier · 2.5×
0909T CPT	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $21,776 outlier · 4.2×
61891 CPT	Apc	1	$90,878.42	$90,878.42	$90,878.42	nat. median $20,630 outlier · 4.4×
L8701 HCPCS	Ewh S/d Uprt Micro Sensor	1	$88,247.12	$88,247.12	$88,247.12	nat. median $35,670 outlier · 2.5×
33289 CPT	Tcat Impl Wrls P-art Prs Snr	1	$84,474.80	$84,474.80	$84,474.80	nat. median $27,774 outlier · 3.0×
22633 CPT	Arthrd Cmbn 1ntrspc Lumbar	1	$79,911.89	$79,911.89	$79,911.89	nat. median $17,346 outlier · 4.6×

Other procedures at this hospital

Browse this hospital's 9,380 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

Q2057	HCPCS	Apc	1	1	—	—	$1,944,659.57	$1,944,659.57	$1,944,659.57	2026-08-27
Q2042	HCPCS	Tisagenlecleucel Car-pos T	1	1	—	—	$1,549,885.27	$1,549,885.27	$1,549,885.27	2026-08-27
Q2056	HCPCS	Apc	1	1	—	—	$1,485,066.65	$1,485,066.65	$1,485,066.65	2026-08-27
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	1	1	—	—	$1,418,865.22	$1,418,865.22	$1,418,865.22	2026-08-27
Q2055	HCPCS	Idecabtagene Vicleucel Car	1	1	—	—	$1,412,607.56	$1,412,607.56	$1,412,607.56	2026-08-27
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	1	1	—	—	$1,342,121.25	$1,342,121.25	$1,342,121.25	2026-08-27
Q2053	HCPCS	Brexucabtagene Car Pos T	1	1	—	—	$1,234,724.83	$1,234,724.83	$1,234,724.83	2026-08-27
Q2058	HCPCS	Apc	1	1	—	—	$702,163.88	$702,163.88	$702,163.88	2026-08-27
J3403	HCPCS	Apc	1	1	—	—	$661,746.92	$661,746.92	$661,746.92	2026-08-27
J3402	HCPCS	Apc	1	1	—	—	$511,547.73	$511,547.73	$511,547.73	2026-08-27
J3404	HCPCS	Apc	1	1	—	—	$307,614.65	$307,614.65	$307,614.65	2026-08-27
Q0480	HCPCS	Driver Pneumatic Vad, Rep	1	1	—	—	$273,152.09	$273,152.09	$273,152.09	2026-08-27
38240	CPT	Transplt Allo Hct/donor	1	1	—	—	$185,248.88	$185,248.88	$185,248.88	2026-08-27
J9183	HCPCS	Apc	1	1	—	—	$184,438.22	$184,438.22	$184,438.22	2026-08-27
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	1	1	—	—	$173,621.12	$173,621.12	$173,621.12	2026-08-27
J9029	HCPCS	Apc	1	1	—	—	$162,216.38	$162,216.38	$162,216.38	2026-08-27
A9543	HCPCS	Y90 Ibritumomab, Rx	1	1	—	—	$143,396.75	$143,396.75	$143,396.75	2026-08-27
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	1	1	—	—	$141,995.31	$141,995.31	$141,995.31	2026-08-27
64568	CPT	Opn Impltj Crnl Nrv Nea&pg	1	1	—	—	$129,720.44	$129,720.44	$129,720.44	2026-08-27
33276	CPT	Apc	1	1	—	—	$129,720.44	$129,720.44	$129,720.44	2026-08-27
64654	CPT	Apc	1	1	—	—	$129,720.44	$129,720.44	$129,720.44	2026-08-27
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	1	1	—	—	$129,720.44	$129,720.44	$129,720.44	2026-08-27
L7181	HCPCS	Electronic Elbo Simultaneous	1	1	—	—	$121,520.40	$121,520.40	$121,520.40	2026-08-27
L7180	HCPCS	Electronic Elbow Sequential	1	1	—	—	$113,187.98	$113,187.98	$113,187.98	2026-08-27
J9226	HCPCS	Supprelin La Implant	1	1	—	—	$103,901.14	$103,901.14	$103,901.14	2026-08-27
0870T	CPT	Apc	1	1	—	—	$100,894.00	$100,894.00	$100,894.00	2026-08-27
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	1	1	—	—	$98,513.48	$98,513.48	$98,513.48	2026-08-27
69930	CPT	Implant Cochlear Device	1	1	—	—	$97,105.57	$97,105.57	$97,105.57	2026-08-27
33270	CPT	Ins/rep Subq Defibrillator	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
0571T	CPT	Insj/rplcmt Icds Ss Eltrd	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
0408T	CPT	Insj/rplc Cardiac Modulj Sys	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
0915T	CPT	Apc	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
33249	CPT	Insj/rplcmt Defib W/lead(s)	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
33231	CPT	Insrt Pulse Gen W/mult Leads	1	1	—	—	$92,442.75	$92,442.75	$92,442.75	2026-08-27
C8011	HCPCS	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
64656	CPT	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
63685	CPT	Insrt/redo Spine N Generator	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
0674T	CPT	Laps Insj Nw/rpcmt Prm Isdss	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
61885	CPT	Insrt/redo Neurostim 1 Array	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
61886	CPT	Implant Neurostim Arrays	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
0908T	CPT	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
33287	CPT	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
C8007	HCPCS	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
0909T	CPT	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
61891	CPT	Apc	1	1	—	—	$90,878.42	$90,878.42	$90,878.42	2026-08-27
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	1	1	—	—	$88,247.12	$88,247.12	$88,247.12	2026-08-27
33289	CPT	Tcat Impl Wrls P-art Prs Snr	1	1	—	—	$84,474.80	$84,474.80	$84,474.80	2026-08-27
22633	CPT	Arthrd Cmbn 1ntrspc Lumbar	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
22558	CPT	Arthrd Ant Ntrbd Min Dsc Lum	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
27702	CPT	Reconstruct Ankle Joint	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
20696	CPT	Comp Multiplane Ext Fixation	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
21243	CPT	Reconstruction Of Jaw Joint	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
0956T	CPT	Apc	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
22630	CPT	Arthrd Pst Tq 1ntrspc Lum	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
0960T	CPT	Apc	1	1	—	—	$79,911.89	$79,911.89	$79,911.89	2026-08-27
0871T	CPT	Apc	1	1	—	—	$79,274.17	$79,274.17	$79,274.17	2026-08-27
C9760	HCPCS	Non-blind Interatrial Shunt	1	1	—	—	$79,274.17	$79,274.17	$79,274.17	2026-08-27
93654	CPT	Compre Ep Eval Tx Vt	1	1	—	—	$76,978.11	$76,978.11	$76,978.11	2026-08-27
93653	CPT	Compre Ep Eval Tx Svt	1	1	—	—	$76,978.11	$76,978.11	$76,978.11	2026-08-27
93656	CPT	Compre Ep Eval Abltj Atr Fib	1	1	—	—	$76,978.11	$76,978.11	$76,978.11	2026-08-27
L6700	HCPCS	Apc	1	1	—	—	$74,468.96	$74,468.96	$74,468.96	2026-08-27
L5856	HCPCS	Elec Knee-shin Swing/stance	1	1	—	—	$72,806.08	$72,806.08	$72,806.08	2026-08-27
L6880	HCPCS	Elec Hand Ind Art Digits	1	1	—	—	$72,462.30	$72,462.30	$72,462.30	2026-08-27
J9266	HCPCS	Pegaspargase Injection	1	1	—	—	$71,728.11	$71,728.11	$71,728.11	2026-08-27
33263	CPT	Rmvl & Rplcmt Dfb Gen 2 Lead	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
33240	CPT	Insrt Pulse Gen W/singl Lead	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0923T	CPT	Apc	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0796T	CPT	Apc	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0409T	CPT	Insj/rplc Car Modulj Pls Gn	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0414T	CPT	Rmvl & Rpl Car Modulj Pls Gn	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0916T	CPT	Apc	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
33262	CPT	Rmvl& Replc Pulse Gen 1 Lead	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0614T	CPT	Rmvl&rplcmt Ss Impl Dfb Pg	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0823T	CPT	Apc	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
33230	CPT	Insrt Pulse Gen W/dual Leads	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
0515T	CPT	Insj Wcs Lv Compl Sys	1	1	—	—	$65,509.13	$65,509.13	$65,509.13	2026-08-27
53444	CPT	Insert Tandem Cuff	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
53447	CPT	Remove/replace Ur Sphincter	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54416	CPT	Remv/repl Penis Contain Pros	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54411	CPT	Remov/replc Penis Pros Comp	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54417	CPT	Remv/replc Penis Pros Compl	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54410	CPT	Remove/replace Penis Prosth	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54405	CPT	Insert Multi-comp Penis Pros	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
54401	CPT	Insert Self-contd Prosthesis	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
53445	CPT	Insert Uro/ves Nck Sphincter	1	1	—	—	$61,040.11	$61,040.11	$61,040.11	2026-08-27
L8614	HCPCS	Cochlear Device	1	1	—	—	$58,036.77	$58,036.77	$58,036.77	2026-08-27
0817T	CPT	Apc	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
64580	CPT	Opn Impltj Nea Neuromuscular	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
64590	CPT	Insrt/redo Pn/gastr Stimul	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
0816T	CPT	Apc	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
63655	CPT	Implant Neuroelectrodes	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
0680T	CPT	Insj/rplcmt Pg Only Isdss	1	1	—	—	$57,134.91	$57,134.91	$57,134.91	2026-08-27
Q0483	HCPCS	Monitor Elec Vad, Rep	1	1	—	—	$56,864.35	$56,864.35	$56,864.35	2026-08-27
0825T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0525T	CPT	Insj/rplcmt Compl Iims	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
33221	CPT	Insert Pulse Gen Mult Leads	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0795T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0802T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
33274	CPT	Tcat Insj/rpl Perm Ldls Pm	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0801T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
33229	CPT	Remv&replc Pm Gen Mult Leads	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0797T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
0803T	CPT	Apc	1	1	—	—	$56,727.24	$56,727.24	$56,727.24	2026-08-27
L5858	HCPCS	Stance Phase Only	1	1	—	—	$56,366.08	$56,366.08	$56,366.08	2026-08-27
37288	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9773	HCPCS	Revasc Lithotr-stent Tib/per	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37286	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
36836	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9766	HCPCS	Revasc Intra Lithotrip-ather	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9775	HCPCS	Revasc Lith-sten-ath Tib/per	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9607	HCPCS	Perc D-e Cor Revasc Chro Sin	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37184	CPT	Prim Art M-thrmbc 1st Vsl	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37242	CPT	Vasc Embolize/occlude Artery	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37182	CPT	Insert Hepatic Shunt (tips)	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
92930	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37292	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9602	HCPCS	Perc D-e Cor Stent Ather S	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
33902	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9765	HCPCS	Revasc Intra Lithotrip-stent	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
36837	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
0981T	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
92933	CPT	Prq Card Stent/ath/angio	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9767	HCPCS	Revasc Lithotrip-stent-ather	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
36906	CPT	Thrmbc/nfs Dialysis Circuit	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37290	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37275	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37273	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37284	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
0793T	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9774	HCPCS	Revasc Lithotr-ather Tib/per	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37271	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
93580	CPT	Transcath Closure Of Asd	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37277	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
61624	CPT	Transcath Occlusion Cns	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
93590	CPT	Perq Transcath Cls Mitral	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
93582	CPT	Perq Transcath Closure Pda	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
37294	CPT	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
0238T	CPT	Trluml Perip Athrc Iliac Art	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
93591	CPT	Perq Transcath Cls Aortic	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
93581	CPT	Transcath Closure Of Vsd	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
0645T	CPT	Tcat Impltj C Sins Rdctj Dev	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
0632T	CPT	Perq Tcat US Abltj Nrv P-art	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
C9797	HCPCS	Apc	1	1	—	—	$53,988.16	$53,988.16	$53,988.16	2026-08-27
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	1	1	—	—	$53,315.65	$53,315.65	$53,315.65	2026-08-27
62361	CPT	Implant Spine Infusion Pump	1	1	—	—	$53,081.71	$53,081.71	$53,081.71	2026-08-27
62362	CPT	Implant Spine Infusion Pump	1	1	—	—	$53,081.71	$53,081.71	$53,081.71	2026-08-27
62360	CPT	Insert Spine Infusion Device	1	1	—	—	$53,081.71	$53,081.71	$53,081.71	2026-08-27
22556	CPT	Arthrd Ant Ntrbd Min Dsc Thc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
20982	CPT	Ablate Bone Tumor(s) Perq	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
24371	CPT	Revise Reconst Elbow Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
24363	CPT	Replace Elbow Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22808	CPT	Arthrd Ant Dfrm 2-3 Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22800	CPT	Arthrd Pst Dfrm<6 Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
24361	CPT	Reconstruct Elbow Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
20838	CPT	Replantation Foot Complete	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
0790T	CPT	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
20808	CPT	Replantation Hand Complete	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
20802	CPT	Replantation Arm Complete	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22810	CPT	Arthrd Ant Dfrm 4-7 Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22586	CPT	Arthrd Pre-sac Ntrbdy L5-s1	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
C8003	HCPCS	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
0657T	CPT	Vrt Bdy Tethering Ant 8+ Seg	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22600	CPT	Arthrd Pst Tq 1ntrspc Crv	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22610	CPT	Arthrd Pst Tq 1ntrspc Thrc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
23616	CPT	Treat Humerus Fracture	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22533	CPT	Arthrd Lat Xtrcvtry Tq Lmbr	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
0656T	CPT	Vrt Bdy Tethering Ant <7 Seg	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22862	CPT	Revise Lumbar Artif Disc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
23472	CPT	Reconstruct Shoulder Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
28705	CPT	Fusion Of Foot Bones	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22804	CPT	Arthrd Pst Dfrm 13+ Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27703	CPT	Reconstruction Ankle Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27487	CPT	Revise/replace Knee Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27295	CPT	Amputation Of Leg At Hip	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27290	CPT	Amputation Of Leg At Hip	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27278	CPT	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27279	CPT	Arthrodesis Sacroiliac Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
20805	CPT	Replant Forearm Complete	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
27280	CPT	Fusion Of Sacroiliac Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22867	CPT	Insj Stablj Dev W/dcmprn	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22861	CPT	Revise Cerv Artific Disc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22857	CPT	Tot Disc Arthrp Ant Lumbar	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
25446	CPT	Wrist Replacement	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22837	CPT	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22838	CPT	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
25442	CPT	Reconstruct Wrist Joint	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22836	CPT	Apc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22812	CPT	Arthrd Ant Dfrm 8+ Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22802	CPT	Arthrd Pst Dfrm 7-12 Vrt Sgm	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22818	CPT	Kyphectomy 1-2 Segments	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22819	CPT	Kyphectomy 3 Or More	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22612	CPT	Arthrd Pst Tq 1ntrspc Lumbar	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
22856	CPT	Tot Disc Arthrp Ant 1ntrspc	1	1	—	—	$51,638.51	$51,638.51	$51,638.51	2026-08-27
C2616	HCPCS	Brachytx, Non-str,yttrium-90	1	1	—	—	$51,227.50	$51,227.50	$51,227.50	2026-08-27
C9758	HCPCS	Blind Interatrial Shunt Ide	1	1	—	—	$50,447.72	$50,447.72	$50,447.72	2026-08-27
C8005	HCPCS	Apc	1	1	—	—	$50,447.72	$50,447.72	$50,447.72	2026-08-27
C9782	HCPCS	Blind Myocar Trpl Bon Marrow	1	1	—	—	$50,447.72	$50,447.72	$50,447.72	2026-08-27
0888T	CPT	Apc	1	1	—	—	$50,447.72	$50,447.72	$50,447.72	2026-08-27
0686T	CPT	Histotripsy Mal Hepatcel Tis	1	1	—	—	$50,447.72	$50,447.72	$50,447.72	2026-08-27
L6975	HCPCS	Interscap-thor Myoelectronic	1	1	—	—	$49,369.78	$49,369.78	$49,369.78	2026-08-27
Q0489	HCPCS	Pwr Pck Base Combo Vad, Rep	1	1	—	—	$49,298.26	$49,298.26	$49,298.26	2026-08-27
0308T	CPT	Insj Ocular Telescope Prosth	1	1	—	—	$48,478.47	$48,478.47	$48,478.47	2026-08-27
66683	CPT	Apc	1	1	—	—	$48,478.47	$48,478.47	$48,478.47	2026-08-27
L5859	HCPCS	Knee-shin Pro Flex/ext Cont	1	1	—	—	$46,632.03	$46,632.03	$46,632.03	2026-08-27
L6965	HCPCS	Shldr Disartic Myoelectronic	1	1	—	—	$45,381.67	$45,381.67	$45,381.67	2026-08-27
L6970	HCPCS	Interscapular-thor Switch CT	1	1	—	—	$45,058.48	$45,058.48	$45,058.48	2026-08-27
Q0481	HCPCS	Microprcsr Cu Elec Vad, Rep	1	1	—	—	$44,069.85	$44,069.85	$44,069.85	2026-08-27
65770	CPT	Revise Cornea With Implant	1	1	—	—	$42,721.66	$42,721.66	$42,721.66	2026-08-27
67027	CPT	Implant Eye Drug System	1	1	—	—	$41,092.59	$41,092.59	$41,092.59	2026-08-27
19298	CPT	Place Breast Rad Tube/caths	1	1	—	—	$40,586.02	$40,586.02	$40,586.02	2026-08-27
19357	CPT	Tiss Xpndr Plmt Brst Rcnstj	1	1	—	—	$40,586.02	$40,586.02	$40,586.02	2026-08-27
L6960	HCPCS	Shldr Disartic Switch Contro	1	1	—	—	$40,186.28	$40,186.28	$40,186.28	2026-08-27
0582T	CPT	Trurl Abltj Mal Prst8 Tiss	1	1	—	—	$38,855.80	$38,855.80	$38,855.80	2026-08-27
53451	CPT	Tprnl Balo Cntnc Dev Bi	1	1	—	—	$38,855.80	$38,855.80	$38,855.80	2026-08-27
55882	CPT	Apc	1	1	—	—	$38,855.80	$38,855.80	$38,855.80	2026-08-27
54400	CPT	Insert Semi-rigid Prosthesis	1	1	—	—	$38,855.80	$38,855.80	$38,855.80	2026-08-27
53440	CPT	Male Sling Procedure	1	1	—	—	$38,855.80	$38,855.80	$38,855.80	2026-08-27
64628	CPT	Trml Dstrj Ios Bvn 1st 2 L/s	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24435	CPT	Repair Humerus With Graft	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24498	CPT	Reinforce Humerus	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22325	CPT	Treat Spine Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
0202T	CPT	Post Vert Arthrplst 1 Lumbar	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24586	CPT	Treat Elbow Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22327	CPT	Treat Thorax Spine Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24515	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22326	CPT	Treat Neck Spine Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24370	CPT	Revise Reconst Elbow Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24410	CPT	Revision Of Humerus	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24366	CPT	Reconstruct Head Of Radius	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
C9734	HCPCS	U/s Trtmt, Not Leiomyomata	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
C9757	HCPCS	Spine/lumbar Disk Surgery	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24362	CPT	Reconstruct Elbow Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24346	CPT	Reconstruct Elbow Med Ligmnt	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24365	CPT	Reconstruct Head Of Radius	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24546	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24802	CPT	Fusion/graft Of Elbow Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
C9781	HCPCS	Arthro/shoul Surg; W/spacer	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24516	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24587	CPT	Treat Elbow Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
0737T	CPT	Xenograft Impltj Artclr Surf	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22318	CPT	Treat Odontoid Fx Without Graft	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23920	CPT	Amputation At Shoulder Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23900	CPT	Amputation Of Arm & Girdle	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
69730	CPT	Apc	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23802	CPT	Fusion Of Shoulder Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22590	CPT	Arthrd Pst Tq Craniocervical	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24575	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24900	CPT	Amputation Of Upper Arm	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24920	CPT	Amputation Of Upper Arm	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22548	CPT	Arthrd Ant Toral/xoral C1-c2	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24430	CPT	Repair Of Humerus	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22595	CPT	Arthrd Pst Tq Atlas-axis	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22551	CPT	Arthrd Ant Ntrbdy Cervical	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
69714	CPT	Impltj Oi Implt Skl Perq Esp	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
29907	CPT	Subtalar Arthro W/fusion	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22532	CPT	Arthrd Lat Xtrcvtry Tq Thrc	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23615	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
29889	CPT	Knee Arthroscopy/surgery	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
69716	CPT	Impltj Oi Implt Skl Tc Esp	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28737	CPT	Revision Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
29856	CPT	Tibial Arthroscopy/surgery	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23680	CPT	Treat Dislocation/fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
29867	CPT	Allgrft Implnt Knee W/scope	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23485	CPT	Revision Of Collar Bone	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28715	CPT	Fusion Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23473	CPT	Revis Reconst Shoulder Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23474	CPT	Revis Reconst Shoulder Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28725	CPT	Fusion Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24545	CPT	Treat Humerus Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
20692	CPT	Apply Bone Fixation Device	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23470	CPT	Reconstruct Shoulder Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
23491	CPT	Reinforce Shoulder Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28730	CPT	Fusion Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
22319	CPT	Treat Odontoid Fx W/graft	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28420	CPT	Treat/graft Heel Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28320	CPT	Repair Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
24666	CPT	Treat Radius Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
0629T	CPT	Perq Njx Algc CT Lmbr 1st	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
28735	CPT	Fusion Of Foot Bones	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
69719	CPT	Revj/rplcmt Oi Implt Tc Esp	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27759	CPT	Treatment Of Tibia Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27758	CPT	Treatment Of Tibia Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27827	CPT	Treat Lower Leg Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27715	CPT	Revision Of Lower Leg	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27712	CPT	Realignment Of Lower Leg	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27828	CPT	Treat Lower Leg Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27870	CPT	Fusion Of Ankle Joint Open	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
0627T	CPT	Perq Njx Algc Fluor Lmbr 1st	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27514	CPT	Treatment Of Thigh Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27580	CPT	Fusion Of Knee	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27709	CPT	Incision Of Tibia & Fibula	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27511	CPT	Treatment Of Thigh Fracture	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27488	CPT	Removal Of Knee Prosthesis	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27871	CPT	Fusion Of Tibiofibular Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27447	CPT	Total Knee Arthroplasty	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27486	CPT	Revise/replace Knee Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27443	CPT	Revision Of Knee Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27
27442	CPT	Revision Of Knee Joint	1	1	—	—	$37,810.96	$37,810.96	$37,810.96	2026-08-27

See an error in this hospital's data? Submit a correction