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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

ST MARYS MEDICAL CENTER

Huntington, WV · CCN 510007 · Rates published

34,610 distinct procedures filed
25 distinct payers
476,369 rate rows
2026-05-06 last MRF observed
Data quality

462,217 of 476,369 rate rows are consumer-grade (97.0%)

14,152 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
template filing: same amount across many unrelated codes — excluded 7,453
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,629
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,479
placeholder amount (≤ $0.02) — excluded from medians 570
per-diem day rate — not a per-procedure price 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.st-marys.org/static/550357050_St-Marys-Medical-Center_standardcharges.csv
Found on page https://www.st-marys.org/patients-and-visitors/billing/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint 6367a0e9b61b20e3… · 166,926,224 bytes · first seen 2026-05-05

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 13 $4,505,000.00 $4,550,050.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 1 $3,927,000.00 $3,927,000.00 $3,927,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 13 $3,685,266.67 $3,927,000.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 13 $3,316,462.59 $3,590,400.00 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 13 $3,248,445.72 $3,478,200.00 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $2,945,740.00 $3,141,600.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 13 $2,455,110.60 $2,630,876.26 $2,455,110.60 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $2,332,000.00 $2,468,400.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 15 $770,620.00 $815,694.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $529,192.86 $636,157.04 $591,726.20 nat. median
$621,313
1.0× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$377,029
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 15 $527,123.43 $688,852.34 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $516,726.08 $643,116.82 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $526,587.59 $657,039.31 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 16 $489,455.96 $586,384.13 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $460,530.40 $538,692.00 $489,304.61 nat. median
$513,770
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 13 $278,250.00 $281,032.50 $278,250.00 nat. median
$286,598
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $273,192.19 $1,302,780.20 $275,924.11 —
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $273,192.18 $1,095,100.22 $274,558.15 nat. median
$292,587
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 13 $257,500.00 $260,075.00 $257,500.00 nat. median
$264,195
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 15 $205,640.00 $207,696.40 $205,640.00 nat. median
$207,733
1.0× median
MS-001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $154,197.03 $709,380.98 $177,290.74 —
1
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $136,854.72 $596,296.50 $177,290.74 nat. median
$14,313
outlier · 12.4×
MS-927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $135,072.06 $770,229.70 $136,422.78 —
MS-003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 8 $109,966.47 $529,994.43 $134,279.36 —
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $116,597.04 $647,445.14 $117,180.02 nat. median
$2
outlier · 72782.6×
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 7 $49,634.94 $107,182.14 $106,120.93 nat. median
$108,243
1.0× median
44008761
OTHER 		Cochlear Implant Ci612 P774600 * 44008761 123406-sm 9 $71,366.49 $90,397.55 $90,207.24 —
MS-004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 8 $71,056.12 $352,595.93 $87,629.66 —
MS-007
OTHER 		Lung Transplant 8 $71,256.40 $435,774.78 $81,928.30 —
44011628
OTHER 		Generator Vns Aspire Hc 105 * 44011628 494353-sm 9 $63,677.94 $80,658.72 $80,488.92 —
13245
CPT 		Pressure Sensor W Rhc And Angio- Ccw Cath 9 $63,161.67 $80,004.78 $79,836.35 —
14623
CPT 		Generator Optimizer Smart Ipg(ccm)(ep) 9 $62,919.38 $79,697.88 $79,530.10 —
15186
CPT 		Insertion Stimulator Carotid Sinus 9 $61,613.67 $78,043.98 $77,879.68 —
6756411
OTHER 		Loncastuximab Tesirine-lpyl 10 Mg Vial (Zynlonta) 9 $60,519.86 $76,658.49 $76,497.11 —
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 8 $66,126.57 $345,140.72 $76,030.19 —
44011627
OTHER 		Generator Vns Demipulse 103 * 44011627 494353-sm 9 $57,889.76 $73,327.02 $73,172.65 —
10392
CPT 		Icd Implant Single Or Dual- Ccw Ep 9 $57,499.39 $72,832.56 $72,679.23 —
44010589
OTHER 		Dbs Neuro Stimulator (37601) Medtronic 9 $57,289.56 $72,566.78 $72,414.01 —
MS-209
OTHER 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $71,607.39 $174,875.54 $71,965.43 —
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $71,776.86 $71,776.86 $71,776.86 nat. median
$95,583
0.8× median
2
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $55,338.85 $378,870.00 $71,689.64 nat. median
$15,517
outlier · 4.6×
MS-002
OTHER 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $62,351.42 $450,720.70 $71,689.64 —
2107
OTHER 		Vt Ablation- Ccw Ep 9 $56,082.04 $71,037.25 $70,887.70 —
2106
OTHER 		Svt Ablation- Ccw Ep 9 $56,082.04 $71,037.25 $70,887.70 —
MS-426
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $69,724.65 $183,078.66 $70,421.90 —
10900
CPT 		Tavr Valve Procedure- Ccw Cath 9 $55,637.83 $70,474.58 $70,326.21 —
10897
CPT 		Pvi Ablation- Ccw Ep 9 $55,598.24 $70,424.43 $70,276.17 —
MS-212
OTHER 		Testes Procedures Age 0-17 8 $68,794.04 $383,481.80 $69,481.98 —
14704
CPT 		Revascularization Ivl W Pta, Stent & Atherectomy - 9 $54,634.59 $69,203.81 $69,058.12 —

Other procedures at this hospital

Browse this hospital's 34,610 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
             
0266T CPT Implt/rpl Crtd Sns Dev Total 16 14 — — $176.13 $49,950.56 $45,000.50 2026-05-06
0268T CPT Implt/rpl Crtd Sns Dev Gen 14 14 — — $27,895.52 $33,825.68 $30,473.59 2026-05-06
0408T CPT Insj/rplc Cardiac Modulj Sys 14 14 — — $29,349.17 $35,588.36 $32,061.58 2026-05-06
0571T CPT Insj/rplcmt Icds Ss Eltrd 13 13 — — $29,349.17 $35,588.36 $32,061.58 2026-05-06
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 14 13 — — $17,417.14 $38,850.56 $35,000.50 2026-05-06
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 13 13 — — $27,895.52 $33,825.68 $30,473.59 2026-05-06
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 13 13 — — $29,349.17 $35,588.36 $32,061.58 2026-05-06
1 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $136,854.72 $596,296.50 $177,290.74 2026-05-06
10183 CPT Surgical Procedure Charge 500 Surg-sm 10 9 $34,809.34 $34,809.34 $26,107.00 $33,068.87 $32,999.26 2026-05-06
10184 CPT Open Reduction Internal Fixation Shoulder 20 9 $39,292.46 $39,292.46 $28,343.66 $38,753.69 $35,901.97 2026-05-06
10366 CPT Remove & Replace Cvd Generator Dual Lead- Ccw Ep 10 9 $43,962.75 $43,962.75 $32,972.06 $41,764.61 $41,676.68 2026-05-06
10367 CPT Remove & Replace Cvd Generator Multiple Lead- Ccw E 10 9 $50,441.92 $50,441.92 $37,831.44 $47,919.82 $47,818.94 2026-05-06
10374 CPT Remove & Replace Ppmr Generator Multiple Lead- Ccw 10 9 $35,724.67 $35,724.67 $26,793.50 $33,938.44 $33,866.99 2026-05-06
10375 CPT Remove & Replace Cvd Generator Single Lead- Ccw Ep 10 9 $43,962.75 $43,962.75 $32,972.06 $41,764.61 $41,676.68 2026-05-06
10377 CPT Ppmr Implant W Dual A/v Leads- Ccw Ep 10 9 $36,230.39 $36,230.39 $27,172.79 $34,418.87 $34,346.41 2026-05-06
10381 CPT Biventricular Ppmr Or Icd Implant Or Upgrade- Ccw E 10 9 $36,230.39 $36,230.39 $27,172.79 $34,418.87 $34,346.41 2026-05-06
10392 CPT Icd Implant Single Or Dual- Ccw Ep 10 9 $76,665.85 $76,665.85 $57,499.39 $72,832.56 $72,679.23 2026-05-06
10879 CPT Coronary Stent Placement + Atherectomy - Ccw Cath 10 9 $33,690.24 $33,690.24 $25,267.68 $32,005.73 $31,938.35 2026-05-06
10890 CPT Upgrade Ppm System (single To Dual)- Ccw Ep 10 9 $32,565.86 $32,565.86 $24,424.40 $30,937.57 $30,872.43 2026-05-06
10893 CPT Insertion Of Ppm Only With Existing Multi Leads- Cc 10 9 $48,880.46 $48,880.46 $36,660.34 $46,436.44 $46,338.68 2026-05-06
10894 CPT Insertion Of Icd Only With Existing Single Lead- Cc 10 9 $55,625.69 $55,625.69 $41,719.27 $52,844.41 $52,733.15 2026-05-06
10895 CPT Insertion Of Icd Only With Existing Dual Leads- Ccw 10 9 $55,625.69 $55,625.69 $41,719.27 $52,844.41 $52,733.15 2026-05-06
10896 CPT Insertion Of Icd Only With Existing Multi Leads- Cc 10 9 $55,625.69 $55,625.69 $41,719.27 $52,844.41 $52,733.15 2026-05-06
10897 CPT Pvi Ablation- Ccw Ep 10 9 $74,130.98 $74,130.98 $55,598.24 $70,424.43 $70,276.17 2026-05-06
10900 CPT Tavr Valve Procedure- Ccw Cath 10 9 $74,183.77 $74,183.77 $55,637.83 $70,474.58 $70,326.21 2026-05-06
11048 CPT Ppmr Implant W Dual A/v Leads Adj- Ccw Ep 10 9 $33,256.32 $33,256.32 $24,942.24 $31,593.50 $31,526.99 2026-05-06
11062 CPT Insertion Cochlear Implant 11 9 $72,277.07 $72,277.07 $95.00 $68,663.22 $68,374.11 2026-05-06
11289 CPT Viva S Crt-d Df4 Dual Chamber Bi-v(ep) 10 9 $30,002.49 $30,002.49 $22,501.87 $28,502.37 $28,442.36 2026-05-06
11293 CPT Viva Xt Crt-d Df4 Dual Chamber Bi-v(ep) 10 9 $30,002.49 $30,002.49 $22,501.87 $28,502.37 $28,442.36 2026-05-06
11294 CPT Viva S Crt-d Dual Chamber Bi-v(ep) 10 9 $30,002.49 $30,002.49 $22,501.87 $28,502.37 $28,442.36 2026-05-06
11583 CPT Open/perq Placement Intravascular Stent Initial- Cc 10 9 $30,066.88 $30,066.88 $22,550.16 $28,563.54 $28,503.40 2026-05-06
11584 CPT Sicd Sq-rx Pulse Generator(EP) 10 9 $30,269.58 $30,269.58 $22,702.18 $28,756.10 $28,695.56 2026-05-06
11766 CPT Insertion Stimulator Lead Spine 20 9 $43,888.84 $43,888.84 $26,107.00 $50,319.92 $36,397.56 2026-05-06
11828 CPT Dyngen Mini Vr Df4(ep) 10 9 $30,034.15 $30,034.15 $22,525.61 $28,532.44 $28,472.38 2026-05-06
11860 CPT Viva Quad Crt-d Df4 Dual Chamber Bi-v(ep) 10 9 $30,002.49 $30,002.49 $22,501.87 $28,502.37 $28,442.36 2026-05-06
11964 CPT Viva Quad Crt-d Dual Chamber Bi-v(ep) 10 9 $30,002.49 $30,002.49 $22,501.87 $28,502.37 $28,442.36 2026-05-06
12079 CPT Valve CoreValve Tavr(cath) 10 9 $55,996.25 $55,996.25 $41,997.19 $53,196.44 $53,084.44 2026-05-06
12163 CPT Emblem S-icd Pulse Gen(EP) 10 9 $30,269.58 $30,269.58 $22,702.18 $28,756.10 $28,695.56 2026-05-06
12382 CPT Unify Assure Crt-d Icd(ep) 10 9 $32,257.58 $32,257.58 $24,193.18 $30,644.70 $30,580.18 2026-05-06
12644 CPT Watchman Implant Procedure- Ccw Ep 10 9 $34,323.69 $34,323.69 $25,742.77 $32,607.51 $32,538.86 2026-05-06
12707 CPT Avf With Pta And Stent Placement - Ccw Cath 10 9 $40,536.82 $40,536.82 $30,402.62 $38,509.98 $38,428.90 2026-05-06
12709 CPT Avf Thrombectomy With Pta - Ccw Cath 10 9 $40,536.82 $40,536.82 $30,402.62 $38,509.98 $38,428.90 2026-05-06
12710 CPT Avf Thrombectomy With Pta And Stent Placement - Ccw C 10 9 $61,457.68 $61,457.68 $46,093.26 $58,384.80 $58,261.89 2026-05-06
13064 CPT Transcatheter Insertion Permanent Leadless Pacemake 10 9 $43,005.17 $43,005.17 $32,253.88 $40,854.91 $40,768.90 2026-05-06
13245 CPT Pressure Sensor W Rhc And Angio- Ccw Cath 10 9 $84,215.56 $84,215.56 $63,161.67 $80,004.78 $79,836.35 2026-05-06
14 OTHER 11200 Removal Of Skin Tags, Multiple, 20 19 $85.11 $85.11 $63.83 $290,120.84 $29,385.13 2026-05-06
14530 CPT Endo Avf Creation Using Magnetic Guides With S&i - 10 9 $37,131.79 $37,131.79 $27,848.84 $35,275.20 $35,200.93 2026-05-06
14623 CPT Generator Optimizer Smart Ipg(ccm)(ep) 10 9 $83,892.51 $83,892.51 $62,919.38 $79,697.88 $79,530.10 2026-05-06
14626 CPT Insert Or Replace Permanent Ccm- Ccw Ep 10 9 $52,239.88 $52,239.88 $39,179.91 $49,627.89 $49,523.41 2026-05-06
14673 CPT Gallant Hf Icd Umri Us(ep) 10 9 $32,423.33 $32,423.33 $24,317.50 $30,802.16 $30,737.32 2026-05-06
14702 CPT Revascularization Ivl With Atherectomy - Ccw Cath 10 9 $45,542.16 $45,542.16 $34,156.62 $43,265.05 $43,173.96 2026-05-06
14703 CPT Revascularization Ivl With Stent - Ccw Cath 10 9 $45,542.16 $45,542.16 $34,156.62 $43,265.05 $43,173.96 2026-05-06
14704 CPT Revascularization Ivl W Pta, Stent & Atherectomy - 10 9 $72,846.12 $72,846.12 $54,634.59 $69,203.81 $69,058.12 2026-05-06
14954 CPT Perc Av Fistula Creation Ue Sep Access w/Imaging An 10 9 $36,270.50 $36,270.50 $27,202.88 $34,456.98 $34,384.43 2026-05-06
14978 CPT Transcatheter Edge To Edge Repair With Mitraclip 1st 10 9 $57,137.53 $57,137.53 $42,853.15 $54,280.65 $54,166.38 2026-05-06
14979 CPT Transcath Edge To Edge Rpr W/mitraclip Ea Addl Pros 10 9 $36,022.40 $36,022.40 $27,016.80 $34,221.28 $34,149.24 2026-05-06
15184 CPT Arthroplasty Reverse Shoulder 10 9 $63,345.38 $63,345.38 $47,509.04 $60,178.11 $60,051.42 2026-05-06
15186 CPT Insertion Stimulator Carotid Sinus 10 9 $82,151.56 $82,151.56 $61,613.67 $78,043.98 $77,879.68 2026-05-06
1525036 OTHER Coagulation Factor VIIa 5000 Mcg (recombinant) 10 9 $31,934.35 $31,934.35 $23,950.76 $30,337.63 $30,273.76 2026-05-06
15292 CPT Pta Illiac And Stent Bilat - Ccw Cath 10 9 $54,711.41 $54,711.41 $41,033.56 $51,975.84 $51,866.41 2026-05-06
163 OTHER Major Chest Procedures With Mcc 10 10 — — $21,405.85 $97,970.24 $28,353.71 2026-05-06
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $273,192.18 $1,095,100.22 $274,558.15 2026-05-06
2 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $55,338.85 $378,870.00 $71,689.64 2026-05-06
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $49,781.27 $229,243.80 $50,030.18 2026-05-06
2106 OTHER Svt Ablation- Ccw Ep 10 9 $74,776.05 $74,776.05 $56,082.04 $71,037.25 $70,887.70 2026-05-06
2107 OTHER Vt Ablation- Ccw Ep 10 9 $74,776.05 $74,776.05 $56,082.04 $71,037.25 $70,887.70 2026-05-06
212 OTHER Concomitant Aortic And Mitral Valve Procedures 11 11 — — $95.00 $322,349.85 $68,794.04 2026-05-06
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 9 9 — — $36,104.20 $45,081.50 $36,104.20 2026-05-06
228 OTHER Other Cardiothoracic Procedures With Mcc 10 10 — — $28,604.61 $152,878.94 $31,299.29 2026-05-06
231 OTHER Coronary Bypass With Ptca With Mcc 20 19 $8,075.48 $8,075.48 $6,056.61 $211,338.80 $28,518.28 2026-05-06
232 OTHER Coronary Bypass With Ptca Without Mcc 10 10 — — $29,269.26 $142,344.83 $38,354.51 2026-05-06
2426 OTHER Nm I-131 200-249 Mci (sm) 10 9 $31,976.75 $31,976.75 $23,982.56 $30,377.91 $30,313.96 2026-05-06
245 OTHER Aicd Generator Procedures 10 10 — — $28,863.62 $143,687.70 $29,007.94 2026-05-06
2492 OTHER Dual Chamber Aicd(ep) 10 9 $49,851.75 $49,851.75 $37,388.81 $47,359.16 $47,259.46 2026-05-06
2496 OTHER Single Chamber Aicd(ep) 10 9 $49,851.75 $49,851.75 $37,388.81 $47,359.16 $47,259.46 2026-05-06
2677 OTHER Dual Chamber Pacemaker(EP) 10 9 $34,469.39 $34,469.39 $25,852.04 $32,745.92 $32,676.98 2026-05-06
2683 OTHER Single Chamber Pacemaker(EP) 10 9 $30,086.95 $30,086.95 $22,565.21 $28,582.60 $28,522.42 2026-05-06
270 OTHER Other Major Cardiovascular Procedures With Mcc 10 10 — — $33,380.05 $106,206.55 $33,546.95 2026-05-06
2746 OTHER Bi-v Aicd Pacemaker(EP) 10 9 $49,851.75 $49,851.75 $37,388.81 $47,359.16 $47,259.46 2026-05-06
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 10 — — $25,662.30 $159,235.22 $38,000.23 2026-05-06
2793 OTHER S Yttrium-90per Source 10 9 $31,671.63 $31,671.63 $23,753.72 $30,088.05 $30,024.71 2026-05-06
28 OTHER Spinal Procedures With Mcc 10 10 — — $27,419.39 $121,903.27 $38,010.98 2026-05-06
2972033 OTHER Brentuximab Vedotin 50 Mg Vial 10 9 $36,115.40 $36,115.40 $27,086.55 $34,309.63 $34,237.40 2026-05-06
3 OTHER CT Angiography Cardiac W IV Contrast 20 19 $2,421.91 $2,421.91 $1,816.43 $445,506.48 $49,949.75 2026-05-06
3020032 OTHER Leuprolide 45 Mg/6 Month Inj (Lupron Depo) (prostate Ca) 10 9 $36,691.50 $36,691.50 $27,518.62 $34,856.92 $34,783.54 2026-05-06
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 10 — — $42,301.55 $184,600.65 $42,513.06 2026-05-06
326 OTHER Stomach, Esophageal And Duodenal Procedures With Mcc 11 11 — — $95.00 $109,071.35 $31,552.35 2026-05-06
332 OTHER Insertion Intrathecal Therapeutic Agent Delivery De 20 19 $37,474.07 $37,474.07 $22,906.04 $112,174.88 $30,227.31 2026-05-06
33231 CPT Insrt Pulse Gen W/mult Leads 25 16 — — $299.32 $35,588.36 $29,349.17 2026-05-06
33249 CPT Insj/rplcmt Defib W/lead(s) 25 16 — — $688.46 $35,588.36 $29,349.17 2026-05-06
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 25 16 — — $302.17 $35,588.36 $29,349.17 2026-05-06
33270 CPT Ins/rep Subq Defibrillator 25 16 — — $424.19 $35,588.36 $29,349.17 2026-05-06
33276 CPT Insj Phrnc Nrv Stim Sys 21 13 — — $468.29 $49,950.56 $41,193.46 2026-05-06
339 OTHER Insertion Spinal Cord Stimulator 10 9 $68,206.08 $68,206.08 $51,154.56 $64,795.78 $64,659.36 2026-05-06
36318 CPT Vascular Embolization Or Occlusion Procedure With Pre 10 9 $36,901.06 $36,901.06 $27,675.80 $35,056.01 $34,982.21 2026-05-06
36392 CPT Transcatheter Insertion Permanent Leadless Single P 10 9 $43,005.17 $43,005.17 $32,253.88 $40,854.91 $40,768.90 2026-05-06
36393 CPT Transcatheter Insertion Permanent Leadless Dual Pac 10 9 $43,005.17 $43,005.17 $32,253.88 $40,854.91 $40,768.90 2026-05-06
36394 CPT Transcatheter Insertion Permanent Leadless Dual Pac 10 9 $43,005.17 $43,005.17 $32,253.88 $40,854.91 $40,768.90 2026-05-06
36395 CPT Transcatheter Insertion Permanent Leadless Dual Pac 10 9 $43,005.17 $43,005.17 $32,253.88 $40,854.91 $40,768.90 2026-05-06
36401 CPT Aveir Dual Chamber Pacer System(EP) 10 9 $36,954.04 $36,954.04 $27,715.53 $35,106.34 $35,032.43 2026-05-06
426 OTHER CT Soft Tissue Neck W+wo IV Contrast 20 19 $2,421.91 $2,421.91 $1,816.43 $153,893.56 $36,012.73 2026-05-06
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 19 $3,593.79 $3,593.79 $2,695.34 $248,879.63 $30,206.27 2026-05-06
44000332 OTHER Spinal Stem Analyze-sm 10 9 $37,474.07 $37,474.07 $28,105.55 $35,600.37 $35,525.42 2026-05-06
44000339 OTHER Insertion Stim Dorsal Column Saulle-sm 10 9 $68,206.08 $68,206.08 $51,154.56 $64,795.78 $64,659.36 2026-05-06
44008761 OTHER Cochlear Implant Ci612 P774600 * 44008761 123406-sm 10 9 $95,155.32 $95,155.32 $71,366.49 $90,397.55 $90,207.24 2026-05-06
44010040 OTHER Alloderm 16x20 Cm Thick 102320 * 44010040 495631-sm 10 9 $52,364.69 $52,364.69 $39,273.52 $49,746.46 $49,641.73 2026-05-06
44010277 OTHER Neurostimulator Prime Advance 37702 * 44010277 2930 10 9 $34,619.30 $34,619.30 $25,964.48 $32,888.34 $32,819.10 2026-05-06
44010279 OTHER Ipg Synergy Pain Neurostim 7427 * 44010279 293001-s 10 9 $29,893.74 $29,893.74 $22,420.30 $28,399.05 $28,339.26 2026-05-06
44010348 OTHER Protecta Xt Crt Dual Icd(ep) 10 9 $29,737.48 $29,737.48 $22,303.11 $28,250.61 $28,191.14 2026-05-06
44010357 OTHER Current Vr Icd Single Chamber*(EP) 10 9 $53,839.35 $53,839.35 $40,379.51 $51,147.38 $51,039.71 2026-05-06
44010359 OTHER Unify Quadra Crtd BiV*(EP) 10 9 $37,456.12 $37,456.12 $28,092.09 $35,583.31 $35,508.40 2026-05-06
44010360 OTHER Unify U1.3sjs BiV*(EP) 10 9 $38,604.79 $38,604.79 $28,953.59 $36,674.55 $36,597.34 2026-05-06
44010383 OTHER Neurostimulator Impl 2inx1.7in Intstm Ii Thk.3in 10 10 9 $42,882.71 $42,882.71 $32,162.03 $40,738.57 $40,652.81 2026-05-06
44010440 OTHER Neurostimulator Restore Sensor 37714 * 44010440 293 10 9 $33,369.29 $33,369.29 $25,026.97 $31,700.83 $31,634.09 2026-05-06
44010447 OTHER EGraft Elogix Bifurcated Stent(IR) 10 9 $31,738.15 $31,738.15 $23,803.61 $30,151.24 $30,087.76 2026-05-06
44010475 OTHER Bi-v N160 Incepta Crt-d He Df4(ep) 10 9 $34,658.37 $34,658.37 $25,993.78 $32,925.45 $32,856.13 2026-05-06
44010589 OTHER Dbs Neuro Stimulator (37601) Medtronic 10 9 $76,386.08 $76,386.08 $57,289.56 $72,566.78 $72,414.01 2026-05-06
44010987 OTHER Egraft Mt Val Ta Pm 22x22x100 Vamf2222c100tu * 4401 10 9 $38,615.34 $38,615.34 $28,961.50 $36,684.57 $36,607.34 2026-05-06
44010988 OTHER Egraft Mt Val Ta Pm 22x22x150 Vamf2222c150tu * 4401 10 9 $42,022.26 $42,022.26 $31,516.70 $39,921.15 $39,837.10 2026-05-06
44010989 OTHER Egraft Mt Val Ta Pm 34x34x200 Vamf3434c200tu * 4401 10 9 $44,296.37 $44,296.37 $33,222.28 $42,081.55 $41,992.96 2026-05-06
44010990 OTHER Egraft Mt Val Ta Ssg 22x22x100 Vamc2222c100tu * 440 10 9 $36,912.40 $36,912.40 $27,684.30 $35,066.78 $34,992.96 2026-05-06
44010991 OTHER Egraft Mt Val Ta Ssg 22x22x150 Vamc2222c150tu * 440 10 9 $40,320.38 $40,320.38 $30,240.28 $38,304.36 $38,223.72 2026-05-06
44010992 OTHER Egraft Mt Val Ta Ssg 30x30x200 Vamc3030c200tu * 440 10 9 $42,591.31 $42,591.31 $31,943.48 $40,461.74 $40,376.56 2026-05-06
44010993 OTHER Egraft Mt Val Ta Tsg 26x22x150 Vamc2622c150tu * 440 10 9 $40,320.38 $40,320.38 $30,240.28 $38,304.36 $38,223.72 2026-05-06
44010994 OTHER Egraft Mt Val Ta Dsg 22x22x100 Vamc2222b100tu * 440 10 9 $36,912.40 $36,912.40 $27,684.30 $35,066.78 $34,992.96 2026-05-06
44011033 OTHER Protecta Xt Crt-d Df4 BiV Icd(ep) 10 9 $33,793.70 $33,793.70 $25,345.28 $32,104.01 $32,036.42 2026-05-06
44011336 OTHER Neurostim Restoresensor MRI 97714 * 44011336 293001 10 9 $38,199.37 $38,199.37 $28,649.53 $36,289.40 $36,213.00 2026-05-06
44011337 OTHER Neurostim Restoreultra MRI 97712 * 44011337 293001- 10 9 $35,032.10 $35,032.10 $26,274.07 $33,280.49 $33,210.43 2026-05-06
44011338 OTHER Neurostim Restoreadvanced MRI 97713 * 44011338 2930 10 9 $30,122.84 $30,122.84 $22,592.13 $28,616.70 $28,556.46 2026-05-06
44011339 OTHER Neurostim Primeadvanced MRI 97702 * 44011339 293001 10 9 $38,473.86 $38,473.86 $28,855.40 $36,550.17 $36,473.22 2026-05-06
44011390 OTHER Kit Equivabone 20cc 766041 * 44011390 500288-sm 10 9 $32,600.69 $32,600.69 $24,450.52 $30,970.66 $30,905.46 2026-05-06
44011418 OTHER Kit Core Decomp Pro Stim 15cc 86sr-ck15 * 44011418 10 9 $30,029.93 $30,029.93 $22,522.45 $28,528.43 $28,468.37 2026-05-06
44011419 OTHER Kit Core Decomp Pro Dense 15cc 87sr-ck15 * 44011419 10 9 $32,281.86 $32,281.86 $24,211.40 $30,667.77 $30,603.21 2026-05-06
44011627 OTHER Generator Vns Demipulse 103 * 44011627 494353-sm 10 9 $77,186.34 $77,186.34 $57,889.76 $73,327.02 $73,172.65 2026-05-06
44011628 OTHER Generator Vns Aspire Hc 105 * 44011628 494353-sm 10 9 $84,903.92 $84,903.92 $63,677.94 $80,658.72 $80,488.92 2026-05-06
44011719 OTHER Alloderm 16 X 20 Tissue (1518320) Life Cell-ch 10 9 $52,364.69 $52,364.69 $39,273.52 $49,746.46 $49,641.73 2026-05-06
44011984 OTHER Generator Activa (37612) Medtronic Inc (consignmen 10 9 $67,113.37 $67,113.37 $50,335.03 $63,757.70 $63,623.47 2026-05-06
44012233 OTHER Neurostimulator Protege MRI 3771 * 44012233 408401- 10 9 $67,482.88 $67,482.88 $50,612.16 $64,108.74 $63,973.77 2026-05-06
44012664 OTHER Endologix Endograft Bundle 3+ 92277321 * 44012664 4 10 9 $30,648.61 $30,648.61 $22,986.46 $29,116.18 $29,054.89 2026-05-06
44012724 OTHER Kit Nrstm Senza Ipg Strl Lf Disp--nipg1500 10 9 $37,467.79 $37,467.79 $28,100.84 $35,594.40 $35,519.46 2026-05-06
44012880 OTHER Neurostimulator Prodigy MRI 3772 * 44012880 408401- 10 9 $36,587.23 $36,587.23 $27,440.42 $34,757.87 $34,684.69 2026-05-06
44012954 OTHER Neurostimulator Montage MRI Sc-1200 * 44012954 8938 10 9 $32,701.00 $32,701.00 $24,525.75 $31,065.95 $31,000.55 2026-05-06
44013545 OTHER Graft Valiant Thoracic Medt(IR) 10 9 $35,398.45 $35,398.45 $26,548.84 $33,628.53 $33,557.73 2026-05-06
44014421 OTHER Stent Thoracic 21mmx10cm 18fr--tgm212110 10 9 $33,580.44 $33,580.44 $25,185.33 $31,901.42 $31,834.26 2026-05-06
44015623 OTHER Generator Nrstm Vagus Nrv Eplp--1000 10 9 $54,772.63 $54,772.63 $41,079.47 $52,034.00 $51,924.46 2026-05-06
44098160 OTHER Egraft Cook Ta Pc 28x120 Zteg2p28120pfus * 44098160 10 9 $32,237.51 $32,237.51 $24,178.13 $30,625.63 $30,561.15 2026-05-06
44098180 OTHER Egraft Cook Ta Ptc 32x160 Zteg2pt32160pfus * 440981 10 9 $32,237.51 $32,237.51 $24,178.13 $30,625.63 $30,561.15 2026-05-06
44210266 OTHER Tavr Valve Sapien Transcatheter 10 9 $58,932.31 $58,932.31 $44,199.23 $55,985.69 $55,867.83 2026-05-06
44211413 OTHER Set Cardiohelp 7.0 Hit Bo-hit 7050 Usa * 44211413 4 10 9 $32,254.41 $32,254.41 $24,190.81 $30,641.69 $30,577.18 2026-05-06
44215178 OTHER Valve Evolut Pro+ 23mm--evolutfx-23 10 9 $45,291.94 $45,291.94 $33,968.96 $43,027.34 $42,936.76 2026-05-06
44215308 OTHER Valve Transcath Heart Sapien 3 Ultra Resilia 20mm-- 10 9 $51,330.87 $51,330.87 $38,498.15 $48,764.33 $48,661.67 2026-05-06
5570158 OTHER Lanreotide 120 Mg/0.5 Ml Syringe 10 9 $50,673.25 $50,673.25 $38,004.94 $48,139.59 $48,038.24 2026-05-06
5630850 OTHER Polatuzumab Vedotin-piiq 140 Mg Vial (Polivy) 10 9 $53,026.90 $53,026.90 $39,770.18 $50,375.56 $50,269.50 2026-05-06
5742400 OTHER Luspatercept-aamt 75 Mg Inj (Reblozyl) (jw-) 10 9 $35,156.85 $35,156.85 $26,367.64 $33,399.01 $33,328.69 2026-05-06
650 OTHER Kidney Transplant With Hemodialysis With Mcc 10 10 — — $22,959.29 $135,988.55 $29,742.99 2026-05-06
653 OTHER Major Bladder Procedures With Mcc 10 10 — — $32,874.57 $163,472.74 $33,038.94 2026-05-06
6756411 OTHER Loncastuximab Tesirine-lpyl 10 Mg Vial (Zynlonta) 10 9 $80,693.15 $80,693.15 $60,519.86 $76,658.49 $76,497.11 2026-05-06
6793988 OTHER Tarlatamab-dlle 10 Mg Vial (Imdelltra) [jw] 10 9 $42,737.40 $42,737.40 $32,053.05 $40,600.53 $40,515.06 2026-05-06
7 OTHER I&d Of Hematoma/Fluid 20 19 $2,675.29 $2,675.29 $2,006.47 $366,306.65 $32,891.92 2026-05-06
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 10 — — $95.00 $39,857.09 $37,601.03 2026-05-06
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 11 — — $95.00 $142,046.41 $37,103.14 2026-05-06
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 — — $29,005.33 $106,952.59 $29,150.36 2026-05-06
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 10 — — $29,593.69 $144,165.17 $29,741.66 2026-05-06
834 OTHER Acute Leukemia With Mcc 11 11 — — $95.00 $203,192.02 $34,731.37 2026-05-06
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 — — $9,714.26 $94,120.67 $30,393.98 2026-05-06
8423 OTHER Impella Catheter(CATH) 10 9 $56,160.95 $56,160.95 $42,120.71 $53,352.90 $53,240.58 2026-05-06
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 10 — — $18,716.99 $81,915.42 $28,776.95 2026-05-06
90288 CPT Botulism Ig IV 2 2 — — $95.00 $69,333.00 $34,714.00 2026-05-06
9231 OTHER Uterine Fibroid Embolization Complete - Ccw Ir 10 9 $34,550.67 $34,550.67 $25,913.00 $32,823.14 $32,754.03 2026-05-06
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $116,597.04 $647,445.14 $117,180.02 2026-05-06
9526 OTHER Pta Tibial/peroneal & Atherectomy - Ccw Cath 10 9 $33,690.24 $33,690.24 $25,267.68 $32,005.73 $31,938.35 2026-05-06
9528 OTHER Pta Tibial/peroneal And Stent With Atherectomy - Ccw 10 9 $33,262.66 $33,262.66 $24,947.00 $31,599.53 $31,533.00 2026-05-06
9530 OTHER Pta/atherectomy Each Add'l Tibial/peroneal 10 9 $33,262.66 $33,262.66 $24,947.00 $31,599.53 $31,533.00 2026-05-06
9532 OTHER Pta Tibial/peroneal And Stent W/atherectomy Each Ad 10 9 $33,262.66 $33,262.66 $24,947.00 $31,599.53 $31,533.00 2026-05-06
9541 OTHER Pta Femoral/popliteal And Stent W/atherectomy - Ccw 10 9 $33,262.66 $33,262.66 $24,947.00 $31,599.53 $31,533.00 2026-05-06
9546 OTHER Atherectomy Iliac Includes S&i Ea Vessel - Ccw Cath 10 9 $33,690.24 $33,690.24 $25,267.68 $32,005.73 $31,938.35 2026-05-06
969 OTHER HIV With Extensive O.r. Procedures With Mcc 10 10 — — $38,725.87 $197,164.00 $38,919.50 2026-05-06
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 — — $26,756.70 $116,979.40 $29,682.26 2026-05-06
A9543 HCPCS Y90 Ibritumomab- Rx 15 14 — — $54,555.55 $57,392.80 $56,824.55 2026-05-06
C9301 HCPCS Obecabtagene Car Pos T 1 1 — — $589,050.00 $589,050.00 $589,050.00 2026-05-06
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 13 — — $3,685,266.67 $3,927,000.00 $3,685,266.67 2026-05-06
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 13 — — $3,316,462.59 $3,590,400.00 $3,316,462.59 2026-05-06
J1414 HCPCS Inj- Beqvez- Per Tx Dose 1 1 — — $3,927,000.00 $3,927,000.00 $3,927,000.00 2026-05-06
J3391 HCPCS Inj, Atidarsagene Autotemcel 13 13 — — $4,505,000.00 $4,550,050.00 $4,505,000.00 2026-05-06
J3392 HCPCS Inj, Exagamglogene Autotem 14 13 — — $2,332,000.00 $2,468,400.00 $2,332,000.00 2026-05-06
J3393 HCPCS Inj, Betibeglogene Autotemce 14 13 — — $2,945,740.00 $3,141,600.00 $2,945,740.00 2026-05-06
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 13 — — $3,248,445.72 $3,478,200.00 $3,248,445.72 2026-05-06
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 13 — — $2,455,110.60 $2,630,876.26 $2,455,110.60 2026-05-06
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 16 15 — — $205,640.00 $207,696.40 $205,640.00 2026-05-06
J3403 HCPCS Revakinagene, Per Implant 13 13 — — $257,500.00 $260,075.00 $257,500.00 2026-05-06
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $95.00 $73,852.28 $44,053.20 2026-05-06
J9029 HCPCS Instill Adstiladrin- Tx Dose 18 15 — — $63,342.28 $78,746.23 $63,342.28 2026-05-06
J9226 HCPCS Supprelin La Implant 20 16 — — $30,489.35 $56,301.78 $45,020.65 2026-05-06
J9266 HCPCS Pegaspargase Injection 21 17 — — $16,160.60 $198,604.74 $28,424.06 2026-05-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $71,776.86 $71,776.86 $71,776.86 2026-05-06
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 7 6 — — $29,127.73 $38,206.49 $37,828.21 2026-05-06
L5856 HCPCS Elec Knee-shin Swing/stance 9 7 — — $13,229.73 $28,568.38 $28,285.52 2026-05-06
L6700 HCPCS Ue Add Ext Power Myoel 8 7 — — $23,868.54 $29,220.88 $28,931.56 2026-05-06
L7180 HCPCS Electronic Elbow Sequential 11 9 — — $19,600.87 $42,326.28 $41,907.21 2026-05-06
L7181 HCPCS Electronic Elbo Simultaneous 9 7 — — $22,081.68 $47,683.38 $47,211.27 2026-05-06
L8701 HCPCS Ewh S/d Uprt Micro Sensor 7 6 — — $26,399.02 $34,627.28 $34,284.44 2026-05-06
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 6 — — $51,938.55 $68,127.19 $67,452.66 2026-05-06
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 9 8 — — $154,197.03 $709,380.98 $177,290.74 2026-05-06
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 8 — — $62,351.42 $450,720.70 $71,689.64 2026-05-06
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 9 8 — — $109,966.47 $529,994.43 $134,279.36 2026-05-06
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 9 8 — — $71,056.12 $352,595.93 $87,629.66 2026-05-06
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 9 8 — — $56,731.88 $376,914.12 $65,228.47 2026-05-06
MS-006 OTHER Liver Transplant Without Mcc 9 8 — — $25,514.35 $170,937.32 $29,335.57 2026-05-06
MS-007 OTHER Lung Transplant 9 8 — — $71,256.40 $435,774.78 $81,928.30 2026-05-06
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 9 8 — — $30,838.41 $191,776.40 $35,457.01 2026-05-06
MS-010 OTHER Pancreas Transplant 9 8 — — $39,483.14 $187,374.28 $45,396.44 2026-05-06
MS-011 OTHER Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 8 — — $34,504.88 $148,323.18 $34,849.93 2026-05-06
MS-014 OTHER Allogeneic Bone Marrow Transplant 9 8 — — $66,126.57 $345,140.72 $76,030.19 2026-05-06
MS-016 OTHER Autolous Bone Marrow Transplant With Cc/mcc 9 8 — — $32,627.23 $107,497.03 $37,513.73 2026-05-06
MS-017 OTHER Autolous Bone Marrow Transplant Without Cc/mcc 9 8 — — $29,890.36 $89,498.02 $34,366.97 2026-05-06
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 8 — — $273,192.19 $1,302,780.20 $275,924.11 2026-05-06
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $39,257.00 $268,707.07 $45,136.42 2026-05-06
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $49,781.27 $272,718.68 $50,279.08 2026-05-06
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $33,490.76 $206,225.31 $33,825.67 2026-05-06
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $36,252.24 $151,944.28 $36,614.76 2026-05-06
MS-025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $28,764.30 $111,260.13 $29,051.94 2026-05-06
MS-028 OTHER Spinal Procedures With Mcc 9 8 — — $30,893.99 $145,021.59 $38,010.98 2026-05-06
MS-031 OTHER Ventricular Shunt Procedures With Mcc 9 8 — — $18,403.68 $97,805.26 $28,345.49 2026-05-06
MS-163 OTHER Major Chest Procedures With Mcc 9 8 — — $24,118.41 $116,549.78 $28,353.71 2026-05-06
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 9 8 — — $36,205.40 $200,793.66 $40,708.56 2026-05-06
MS-209 OTHER Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 8 — — $71,607.39 $174,875.54 $71,965.43 2026-05-06
MS-212 OTHER Testes Procedures Age 0-17 9 8 — — $68,794.04 $383,481.80 $69,481.98 2026-05-06
MS-213 OTHER Splenic Procedures Age 0-17 8 8 — — $36,104.20 $88,171.38 $36,284.72 2026-05-06
MS-215 OTHER Other Heart Assist System Implant 9 8 — — $62,992.09 $189,930.35 $63,622.01 2026-05-06
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $61,890.02 $243,465.86 $62,508.92 2026-05-06
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $41,598.06 $159,719.00 $42,014.04 2026-05-06
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 8 — — $32,308.09 $145,057.09 $41,598.06 2026-05-06
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $48,576.09 $168,239.24 $49,061.85 2026-05-06
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $33,737.49 $132,170.22 $34,074.87 2026-05-06
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $31,677.52 $105,047.46 $31,886.38 2026-05-06
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 9 8 — — $31,299.29 $181,871.62 $31,612.28 2026-05-06
MS-231 OTHER Coronary Bypass With Ptca With Mcc 9 8 — — $53,331.02 $251,418.08 $53,864.33 2026-05-06
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 9 8 — — $32,978.27 $169,339.77 $38,354.51 2026-05-06
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 9 8 — — $48,366.69 $173,599.89 $48,832.17 2026-05-06
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 9 8 — — $34,559.29 $135,436.32 $34,904.88 2026-05-06
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 9 8 — — $37,127.18 $132,667.24 $37,498.45 2026-05-06
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 9 8 — — $27,892.46 $113,212.69 $31,136.70 2026-05-06
MS-245 OTHER Aicd Generator Procedures 9 8 — — $28,863.62 $170,937.32 $29,152.26 2026-05-06
MS-266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $38,770.78 $157,943.95 $39,158.49 2026-05-06
MS-267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 8 — — $25,194.66 $142,252.51 $30,118.78 2026-05-06
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 8 — — $36,888.24 $195,504.01 $43,512.43 2026-05-06
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 9 8 — — $33,380.05 $126,348.06 $33,713.85 2026-05-06
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $44,084.20 $219,822.19 $45,109.85 2026-05-06
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 8 — — $28,914.25 $189,433.34 $38,000.23 2026-05-06
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 9 8 — — $27,584.88 $146,193.12 $29,218.53 2026-05-06
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $35,214.07 $163,162.60 $35,566.22 2026-05-06
MS-317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 8 — — $42,301.55 $219,609.19 $42,724.57 2026-05-06
MS-319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 9 8 — — $28,234.14 $154,109.84 $28,516.49 2026-05-06
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 9 8 — — $27,473.18 $129,756.16 $31,552.35 2026-05-06
MS-329 OTHER Major Small And Large Bowel Procedures With Mcc 9 8 — — $24,193.79 $102,242.88 $29,079.35 2026-05-06
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 9 8 — — $32,176.58 $153,825.83 $34,608.64 2026-05-06
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $69,724.65 $183,078.66 $70,421.90 2026-05-06
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $40,049.33 $142,927.03 $45,667.84 2026-05-06
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 8 — — $31,086.02 $125,709.04 $35,567.09 2026-05-06
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 8 — — $56,998.44 $296,078.34 $57,568.43 2026-05-06
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 8 — — $36,485.05 $133,377.26 $36,849.90 2026-05-06
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 8 — — $42,270.55 $149,814.22 $42,693.26 2026-05-06
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 8 — — $33,717.25 $126,028.55 $34,054.42 2026-05-06
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 9 8 — — $45,742.05 $241,974.82 $53,163.37 2026-05-06
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 9 8 — — $37,725.03 $175,978.46 $38,102.28 2026-05-06
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 9 8 — — $34,940.77 $226,780.39 $35,290.18 2026-05-06
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $30,280.48 $129,543.15 $36,057.39 2026-05-06
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 9 8 — — $31,079.42 $114,419.72 $32,931.51 2026-05-06
MS-471 OTHER Cervical Spinal Fusion With Mcc 9 8 — — $26,975.22 $106,218.99 $30,548.35 2026-05-06
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $41,446.86 $207,893.86 $41,861.32 2026-05-06
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 8 — — $31,007.01 $194,296.97 $31,317.08 2026-05-06
MS-650 OTHER Neonate Birthwt 15001999g Without Signif O.r. Proc W Other Prob 9 8 — — $25,868.70 $161,778.06 $29,742.99 2026-05-06
MS-653 OTHER Major Bladder Procedures With Mcc 9 8 — — $32,874.57 $194,474.48 $33,203.31 2026-05-06
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 8 8 — — $27,793.97 $50,658.58 $37,601.03 2026-05-06
MS-799 OTHER Splenic Procedures With Mcc 9 8 — — $23,268.85 $107,248.52 $28,651.69 2026-05-06
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 8 — — $37,103.14 $168,984.76 $37,474.17 2026-05-06
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 8 — — $29,005.33 $127,235.58 $29,295.39 2026-05-06
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 8 — — $29,593.69 $171,505.33 $29,889.63 2026-05-06
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 9 8 — — $33,159.85 $241,726.31 $34,731.37 2026-05-06
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 8 — — $10,945.25 $111,970.15 $30,393.98 2026-05-06
MS-850 OTHER Acute Leukemia With Other Procedures 9 8 — — $54,783.57 $326,999.71 $55,331.40 2026-05-06
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 8 — — $31,243.62 $120,419.39 $31,556.05 2026-05-06
MS-856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 8 — — $21,088.82 $97,450.25 $28,776.95 2026-05-06
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 9 8 — — $39,150.25 $184,605.20 $43,726.90 2026-05-06
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 8 — — $135,072.06 $770,229.70 $136,422.78 2026-05-06
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 8 — — $42,333.35 $83,604.86 $45,377.46 2026-05-06
MS-955 OTHER Craniotomy For Multiple Significant Trauma 9 8 — — $42,583.71 $212,366.98 $43,009.55 2026-05-06
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 8 — — $41,265.35 $203,669.24 $48,206.63 2026-05-06
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 9 8 — — $38,725.87 $234,555.11 $39,113.12 2026-05-06
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 8 — — $29,682.26 $139,163.92 $29,979.08 2026-05-06
Q0480 HCPCS Driver Pneumatic Vad- Rep 9 7 — — $49,634.94 $107,182.14 $106,120.93 2026-05-06
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 19 16 — — $489,455.96 $586,384.13 $533,230.17 2026-05-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 16 — — $529,192.86 $636,157.04 $591,726.20 2026-05-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 16 — — $48,591.58 $71,002.44 $55,272.32 2026-05-06
Q2053 HCPCS Brexucabtagene Car Pos T 18 15 — — $460,530.40 $538,692.00 $489,304.61 2026-05-06
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 15 — — $516,726.08 $643,116.82 $562,538.19 2026-05-06
Q2055 HCPCS Idecabtagene Vicleucel Car 18 15 — — $526,587.59 $657,039.31 $557,317.93 2026-05-06
Q2056 HCPCS Ciltacabtagene Car-pos T 18 15 — — $527,123.43 $688,852.34 $565,868.95 2026-05-06
Q2057 HCPCS Afamitresgene Autoleucel 17 15 — — $770,620.00 $815,694.00 $770,620.00 2026-05-06
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 13 — — $278,250.00 $281,032.50 $278,250.00 2026-05-06
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