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

CABELL HUNTINGTON HOSPITAL, INC

Huntington, WV · CCN 510055 · Rates published

49,898 distinct procedures filed
14 distinct payers
1,138,424 rate rows
2026-05-24 last MRF observed
Data quality

1,119,642 of 1,138,424 rate rows are consumer-grade (98.4%)

18,782 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 14,548
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 3,956
placeholder amount (≤ $0.02) — excluded from medians 236
per-diem day rate — not a per-procedure price 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cabellhuntington.org/static/550675666_Cabell-Huntington-Hospital-Inc_standardcharges.csv
Found on page https://cabellhuntington.org/customer-service/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 916eae62965bc500… · 163,215,514 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
J3391
OTHER 		Inj- Atidarsagene Autotemcel 6 $4,505,000.00 $4,550,050.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
OTHER 		Inj- Beqvez- Per Tx Dose 1 $3,927,000.00 $3,927,000.00 $3,927,000.00 nat. median
$3,710,000
1.1× median
J1411
OTHER 		Inj- Hemgenix- Per Tx Dose 6 $3,685,266.67 $3,927,000.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
J1413
OTHER 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $3,590,400.00 $3,316,462.59 nat. median
$3,327,860
1.0× median
J3394
OTHER 		Inj- Lovotibeglogene Autotem 6 $3,248,445.72 $3,478,200.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
OTHER 		Inj- Betibeglogene Autotemce 6 $2,945,740.00 $3,141,600.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
OTHER 		Inj Onase Abepar-xioi Treat 6 $2,455,110.61 $2,630,876.26 $2,455,110.61 nat. median
$2,472,216
1.0× median
J3392
OTHER 		Inj- Exagamglogene Autotem 6 $2,332,000.00 $2,468,400.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
OTHER 		Afamitresgene Autoleucel 8 $770,620.00 $815,694.00 $770,620.00 nat. median
$770,620
1.0× median
Q2042
OTHER 		Tisagenlecleucel Car-pos T 9 $529,192.86 $636,157.04 $591,726.20 nat. median
$591,726
1.0× median
C9301
OTHER 		Obecabtagene Car Pos T 1 $589,050.00 $589,050.00 $589,050.00 nat. median
$56,282
outlier · 10.5×
Q2056
OTHER 		Ciltacabtagene Car-pos T 8 $527,123.43 $688,852.34 $565,868.95 nat. median
$583,076
1.0× median
Q2054
OTHER 		Lisocabtagene Mara Car Pos T 8 $516,726.08 $643,116.82 $562,538.19 nat. median
$562,538
1.0× median
Q2055
OTHER 		Idecabtagene Vicleucel Car 8 $526,587.59 $657,039.31 $557,317.93 nat. median
$558,082
1.0× median
Q2041
OTHER 		Axicabtagene Ciloleucel Car+ 9 $489,455.96 $586,384.13 $533,230.17 nat. median
$533,230
1.0× median
Q2053
OTHER 		Brexucabtagene Car Pos T 8 $460,530.40 $538,692.00 $489,304.61 nat. median
$489,720
1.0× median
Q2058
OTHER 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $281,032.50 $278,250.00 nat. median
$281,111
1.0× median
MS-018
OTHER 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $273,192.19 $1,302,780.20 $275,924.11 nat. median
$309,559
0.9× median
J3403
OTHER 		Revakinagene- Per Implant 6 $257,500.00 $260,075.00 $257,500.00 nat. median
$265,000
1.0× median
J3402
OTHER 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $207,696.40 $205,640.00 nat. median
$205,640
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 nat. median
$224,278
0.8× median
5697876
OTHER 		Generator Nrstm Vagus Nrv Eplp--1000 10 $108,870.69 $137,902.87 $137,322.23 nat. median
$137,322
1.0× median
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 nat. median
$175,322
0.8× median
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 nat. median
$169,886
0.8× median
6704760
OTHER 		Tremelimumab-actl 20 mg/mL Inj Soln 15mL (Imjudo) 10 $99,039.67 $125,450.25 $124,922.04 nat. median
$124,922
1.0× median
2094061
OTHER 		Implant Cochlear (z43007) Nulceus 24 Contour C124r(cs)-ch 10 $91,747.43 $116,213.41 $115,724.09 nat. median
$115,724
1.0× median
2094060
OTHER 		Implant Cochlear (z43006) Nucleus 24k C124r (st)-ch 10 $91,747.43 $116,213.41 $115,724.09 nat. median
$115,724
1.0× median
5413394
OTHER 		Generator Nrstm Vns Aspiresr Pls Modl 106 Strl Lf--106 10 $89,642.95 $113,547.73 $113,069.64 nat. median
$113,070
1.0× median
5116037
OTHER 		Ipilimumab 200 Mg Vial (jw-) 10 $87,461.89 $110,785.06 $110,318.59 nat. median
$110,319
1.0× median
5344261
OTHER 		Generator Nrstm 1.8x1.6x.27in Vns .2in Tecothane Ss Ti Sil 2--104 10 $84,584.38 $107,140.22 $106,689.10 nat. median
$106,689
1.0× median
5314215
OTHER 		Vns Generator (model 103) Cyberonics-ch 10 $84,584.38 $107,140.22 $106,689.10 nat. median
$106,689
1.0× median
Q0480
OTHER 		Driver Pneumatic Vad- Rep 7 $49,634.94 $107,182.14 $106,120.93 nat. median
$109,316
1.0× median
5626810
OTHER 		Generator Activa (37612) Medtronic Inc (consignment) 10 $81,904.25 $103,745.39 $103,308.56 nat. median
$103,309
1.0× median
6685655
OTHER 		Calaspargase Pegol-mknl 750 unit(s)/mL Inj 5mL (Asparlas) 10 $75,853.58 $96,081.20 $95,676.64 nat. median
$589
outlier · 162.6×
80507537
OTHER 		Bi-v Atrial Lead + Lv Lead 10 $73,450.84 $93,037.73 $92,645.99 nat. median
$92,646
1.0× median
80507538
OTHER 		Bi-v Ventricular Lead+ Lv Lead 10 $73,450.84 $93,037.73 $92,645.99 nat. median
$92,646
1.0× median
80507539
OTHER 		Bi-v A/v Lead+lv Lead 10 $73,450.84 $93,037.73 $92,645.99 nat. median
$92,646
1.0× median
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 nat. median
$107,587
0.8× median
6123412
OTHER 		Generator (b35200) Medtronic Inc.-ch 10 $67,040.64 $84,918.14 $84,560.59 nat. median
$84,561
1.0× median
MS-007
OTHER 		Lung Transplant 8 $71,256.40 $435,774.78 $81,928.30 nat. median
$95,292
0.9× median
6149318
OTHER 		Ipg Generator (nipg2500) Nevro-ch 10 $64,907.50 $82,216.16 $81,869.99 nat. median
$81,870
1.0× median
5546254
OTHER 		Kit Nrstm Senza Ipg Strl Lf Disp--nipg1500 10 $64,891.64 $82,196.08 $81,849.99 nat. median
$4,875
outlier · 16.8×
6003758
OTHER 		Ravulizumab-cwvz 100 mg/mL Inj 11 Ml (ultomiris)(jw-) 10 $64,583.10 $81,805.26 $81,460.82 nat. median
$81,461
1.0× median
5516144
OTHER 		Dbs Neuro Stimulator (37601) Medtronic 10 $64,038.30 $81,115.18 $80,773.64 nat. median
$80,774
1.0× median
6329288
OTHER 		Kit Generator Wavewriter Alpha--sc-1232 10 $60,336.57 $76,426.32 $76,104.53 nat. median
$76,105
1.0× median
MS-014
OTHER 		Allogeneic Bone Marrow Transplant 8 $66,126.57 $345,140.72 $76,030.19 nat. median
$91,600
0.8× median
6185309
OTHER 		Generator Infinity 7 (6662) Abbott Spine-ch 10 $57,593.94 $72,952.32 $72,645.16 nat. median
$72,645
1.0× median
5629070
OTHER 		Fem Hd S-rom 36mm +6 (hip) (1365-33-000) Depuy-ch 10 $57,565.06 $72,915.75 $72,608.74 nat. median
$72,609
1.0× median
5529966
OTHER 		Ocrelizumab 300 Mg/10 Ml Vial 10 $57,247.01 $72,512.88 $72,207.57 nat. median
$72,208
1.0× median
MS-209
OTHER 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 $71,607.39 $174,875.54 $71,965.43 nat. median
$81,783
0.9× median

Other procedures at this hospital

Browse this hospital's 49,898 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 OTHER Implt/rpl Crtd Sns Dev Total 18 7 — — $176.13 $49,950.56 $41,193.46 2026-05-24
0408T OTHER Insj/rplc Cardiac Modulj Sys 14 7 — — $29,349.17 $35,588.36 $29,349.17 2026-05-24
0571T OTHER Insj/rplcmt Icds Ss Eltrd 12 6 — — $29,349.17 $35,588.36 $29,349.17 2026-05-24
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 14 6 — — $17,417.14 $38,850.56 $32,039.46 2026-05-24
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 12 6 — — $29,349.17 $35,588.36 $29,349.17 2026-05-24
1525036 OTHER Coagulation Factor VIIa 5000 Mcg (recombinant) 22 10 $48,454.80 $48,454.80 $36,341.10 $46,032.06 $45,838.24 2026-05-24
1643026 OTHER Octreotide 30 Mg Depot 22 10 $35,760.25 $35,760.25 $26,820.19 $33,972.24 $33,829.20 2026-05-24
2094060 OTHER Implant Cochlear (z43006) Nucleus 24k C124r (st)-ch 22 10 $122,329.91 $122,329.91 $91,747.43 $116,213.41 $115,724.09 2026-05-24
2094061 OTHER Implant Cochlear (z43007) Nulceus 24 Contour C124r(cs)-ch 22 10 $122,329.91 $122,329.91 $91,747.43 $116,213.41 $115,724.09 2026-05-24
2094062 OTHER Implant Cochlear (z43063)sprint Speech Processor-ch 22 10 $34,872.11 $34,872.11 $26,154.08 $33,128.50 $32,989.02 2026-05-24
2100796 OTHER Kit Bngf Med Infs--7510400 22 10 $33,177.47 $33,177.47 $24,883.10 $31,518.60 $31,385.89 2026-05-24
2100832 OTHER Bone Graft Infuse Lg Kit (7510800) Medtronic Sofamor 22 10 $36,872.36 $36,872.36 $27,654.27 $35,028.74 $34,881.25 2026-05-24
2101158 OTHER Stem Calcar (1571-63-000) Depuy-ch 22 10 $34,020.82 $34,020.82 $25,515.62 $32,319.78 $32,183.70 2026-05-24
2344035 OTHER Cabazitaxel 60 Mg Vial 22 10 $37,454.05 $37,454.05 $28,090.54 $35,581.35 $35,431.53 2026-05-24
2718147 OTHER Ipilimumab 50 Mg Vial 22 10 $35,478.70 $35,478.70 $26,609.02 $33,704.76 $33,562.85 2026-05-24
2972033 OTHER Brentuximab Vedotin 50 Mg Vial 22 10 $46,294.50 $46,294.50 $34,720.88 $43,979.78 $43,794.60 2026-05-24
3832034 OTHER Natalizumab 300 Mg/15 Ml Vial 22 10 $41,571.95 $41,571.95 $31,178.96 $39,493.35 $39,327.06 2026-05-24
5116037 OTHER Ipilimumab 200 Mg Vial (jw-) 22 10 $116,615.85 $116,615.85 $87,461.89 $110,785.06 $110,318.59 2026-05-24
5272303 OTHER Generator Pulse (sc-1132) Boston Scientific-ch 22 10 $69,775.94 $69,775.94 $52,331.96 $66,287.14 $66,008.04 2026-05-24
5283628 OTHER CT Discogram Cerv Or Thoracic CT Guided 22 10 $42,205.72 $42,205.72 $31,654.29 $40,095.43 $39,926.61 2026-05-24
5283754 OTHER Stem Lomg Ominfit (6088-0730-200l)stryker Orthopedics-ch 22 10 $43,570.08 $43,570.08 $32,677.56 $41,391.58 $41,217.30 2026-05-24
5283755 OTHER Stem Long Omnifit (6088-0730-200r) Stryker Orthopedics-ch 22 10 $43,570.08 $43,570.08 $32,677.56 $41,391.58 $41,217.30 2026-05-24
5286524 OTHER Mesh Srg Phasix 10x8in Mfl Scfld Full Rsrb Poly-4-hb Rect--1190400 22 10 $34,492.74 $34,492.74 $25,869.56 $32,768.10 $32,630.13 2026-05-24
5286525 OTHER Mesh Srg Phasix 12x10in Mfl Scfld Full Rsrb Poly-4-hb Rect--1190500 22 10 $51,675.35 $51,675.35 $38,756.51 $49,091.58 $48,884.88 2026-05-24
5288468 OTHER Neurostimulator Impl 60mmx55mm Activa Sc 1 Chnl Prm Cell--37603 22 10 $42,586.27 $42,586.27 $31,939.70 $40,456.96 $40,286.61 2026-05-24
5298905 OTHER Obinutuzumab 25 mg/mL 40 Ml Inj Soln 22 10 $35,316.05 $35,316.05 $26,487.04 $33,550.25 $33,408.98 2026-05-24
5314215 OTHER Vns Generator (model 103) Cyberonics-ch 22 10 $112,779.18 $112,779.18 $84,584.38 $107,140.22 $106,689.10 2026-05-24
5322113 OTHER Vedolizumab 300 Mg Vial 22 10 $42,992.50 $42,992.50 $32,244.38 $40,842.88 $40,670.90 2026-05-24
5340981 OTHER Tissue Biologic Xcm 25 X 35 (xm106.2535tcs) Synthes Cmf-ch 22 10 $50,832.29 $50,832.29 $38,124.22 $48,290.68 $48,087.35 2026-05-24
5344259 OTHER Vns Lead 2mm (304-2.0) Cyberonics--304-2.0 22 10 $35,525.33 $35,525.33 $26,644.00 $33,749.06 $33,606.96 2026-05-24
5344261 OTHER Generator Nrstm 1.8x1.6x.27in Vns .2in Tecothane Ss Ti Sil 2--104 22 10 $112,779.18 $112,779.18 $84,584.38 $107,140.22 $106,689.10 2026-05-24
5344324 OTHER Neurostimulator Impl 2inx1.7in Intstm Ii Thk.3in 10-14hz 0-4--3058 22 10 $55,030.23 $55,030.23 $41,272.67 $52,278.72 $52,058.60 2026-05-24
5376305 OTHER Pegfilgrastim 6 Mg/0.6 Ml On Body Injector 22 10 $32,382.20 $32,382.20 $24,286.65 $30,763.09 $30,633.56 2026-05-24
5413394 OTHER Generator Nrstm Vns Aspiresr Pls Modl 106 Strl Lf--106 22 10 $119,523.93 $119,523.93 $89,642.95 $113,547.73 $113,069.64 2026-05-24
5467848 OTHER Atezolizumab 60 mg/mL Injection 20 Ml Vial(jw-) 22 10 $43,049.40 $43,049.40 $32,287.05 $40,896.93 $40,724.73 2026-05-24
5516144 OTHER Dbs Neuro Stimulator (37601) Medtronic 22 10 $85,384.40 $85,384.40 $64,038.30 $81,115.18 $80,773.64 2026-05-24
5516145 OTHER Dbs Neuro Stimulator Multi Program (37602) Medtronic-ch 22 10 $40,427.94 $40,427.94 $30,320.96 $38,406.54 $38,244.83 2026-05-24
5529966 OTHER Ocrelizumab 300 Mg/10 Ml Vial 22 10 $76,329.35 $76,329.35 $57,247.01 $72,512.88 $72,207.57 2026-05-24
5530493 OTHER Ramucirumab 10 mg/mL 50 Ml Soln (500 Mg) (jw-) 22 10 $30,846.55 $30,846.55 $23,134.91 $29,304.22 $29,180.84 2026-05-24
5546254 OTHER Kit Nrstm Senza Ipg Strl Lf Disp--nipg1500 22 10 $86,522.19 $86,522.19 $64,891.64 $82,196.08 $81,849.99 2026-05-24
5549885 OTHER Alloderm 16 X 20 Tissue (1518320) Life Cell-ch 22 10 $47,771.85 $47,771.85 $35,828.89 $45,383.26 $45,192.17 2026-05-24
5570158 OTHER Lanreotide 120 Mg/0.5 Ml Syringe 22 10 $36,993.85 $36,993.85 $27,745.39 $35,144.16 $34,996.18 2026-05-24
5578350 OTHER Nivolumab 10 mg/mL 24 Ml (240 Mg) Vial (jw-) 22 10 $32,158.25 $32,158.25 $24,118.69 $30,550.34 $30,421.70 2026-05-24
5591170 OTHER Generator Proclaim 7 Elite (3662) St. Jude Medical 22 10 $63,432.60 $63,432.60 $47,574.45 $60,260.97 $60,007.24 2026-05-24
5626441 OTHER Atezolizumab 60 mg/mL Injection 14 Ml Vial 22 10 $32,664.45 $32,664.45 $24,498.34 $31,031.23 $30,900.57 2026-05-24
5626810 OTHER Generator Activa (37612) Medtronic Inc (consignment) 22 10 $109,205.67 $109,205.67 $81,904.25 $103,745.39 $103,308.56 2026-05-24
5628712 OTHER Stem Actis Std Sz 9 (hip) (1010-13-090) Depuy-ch 22 10 $40,309.22 $40,309.22 $30,231.92 $38,293.76 $38,132.52 2026-05-24
5628786 OTHER Stem Tibial 15x90 (knee) (86-6469) Depuy-ch 22 10 $74,262.46 $74,262.46 $55,696.84 $70,549.34 $70,252.29 2026-05-24
5628789 OTHER Stem Corail Sz 8 (hip) (3l92498) Depuy-ch 22 10 $74,262.46 $74,262.46 $55,696.84 $70,549.34 $70,252.29 2026-05-24
5628795 OTHER Stem Corail Sz 15 (hip) (3l92505) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628796 OTHER Stem Corail Sz 16 (hip) (3l92506) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628797 OTHER Stem Corail2 Sz 8 (hip) (3l92507) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628798 OTHER Stem Corail Sz 18 (hip) (3l92508) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628799 OTHER Stem Corail2 Sz 9 (hip) (3l92509) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628800 OTHER Stem Corail2 Sz 10 (hip) (3l92510) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628801 OTHER Stem Corail2 Sz 11 (hip) (3l92511) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628802 OTHER Stem Corail2 Sz 12 (hip) (3l92512) Depuy-ch 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5628804 OTHER Stem Corail2 Sz 14 (hip) (3l92514) Depuy-ch 22 10 $74,097.90 $74,097.90 $55,573.42 $70,393.00 $70,096.61 2026-05-24
5628820 OTHER Stem Corail Amt Sz 10 135 High Col (hip) (l971110) Depuy-ch 22 10 $74,262.46 $74,262.46 $55,696.84 $70,549.34 $70,252.29 2026-05-24
5629070 OTHER Fem Hd S-rom 36mm +6 (hip) (1365-33-000) Depuy-ch 22 10 $76,753.42 $76,753.42 $57,565.06 $72,915.75 $72,608.74 2026-05-24
5630850 OTHER Polatuzumab Vedotin-piiq 140 Mg Vial (Polivy) 22 10 $64,023.70 $64,023.70 $48,017.77 $60,822.51 $60,566.42 2026-05-24
5641558 OTHER Flex Hd 16 X 20--pf2620 22 10 $31,669.14 $31,669.14 $23,751.86 $30,085.68 $29,959.01 2026-05-24
5650265 OTHER Graft Flex Hd Pliable 20 X 20 Cm (pf2202) Muscular Skeletal Transplant (perpetua… 22 10 $38,030.13 $38,030.13 $28,522.60 $36,128.62 $35,976.50 2026-05-24
5650267 OTHER Hd Flex 16 X 20--pf1620 22 10 $46,538.55 $46,538.55 $34,903.91 $44,211.62 $44,025.47 2026-05-24
5650269 OTHER Graft Flex Hd Shaped 13 X 22 Cm (1.7 - 2.0mm Diam) Sf3002 Muscular Skeletal Tran… 22 10 $33,686.71 $33,686.71 $25,265.03 $32,002.37 $31,867.63 2026-05-24
56840843 OTHER Graft Cartiform 20mm (abs-1101-20) Arthrex-ch 22 10 $34,536.10 $34,536.10 $25,902.07 $32,809.30 $32,671.15 2026-05-24
5697876 OTHER Generator Nrstm Vagus Nrv Eplp--1000 22 10 $145,160.92 $145,160.92 $108,870.69 $137,902.87 $137,322.23 2026-05-24
5700550 OTHER Cemiplimab-rwlc 350 Mg/7 Ml Vial (Libtayo) 22 10 $41,064.90 $41,064.90 $30,798.68 $39,011.66 $38,847.40 2026-05-24
5702209 OTHER Stent Vasc 4mm 16mm Entrp 2--enf401612 22 10 $31,915.09 $31,915.09 $23,936.32 $30,319.34 $30,191.68 2026-05-24
5702244 OTHER Stent Enterprise 2 4.0 X 39mm Enf403912--enf403912 22 10 $31,915.09 $31,915.09 $23,936.32 $30,319.34 $30,191.68 2026-05-24
5702246 OTHER Stent Vasc 4mm 30mm Entrp 2--enf403012 22 10 $31,915.09 $31,915.09 $23,936.32 $30,319.34 $30,191.68 2026-05-24
5702556 OTHER Gdc Coil Matrix 2 360 Ultrasoft 3x8-ch 22 10 $32,960.90 $32,960.90 $24,720.68 $31,312.86 $31,181.01 2026-05-24
5702786 OTHER Trevo Pro Vue 4 X 20 80052-ch 22 10 $33,809.55 $33,809.55 $25,357.16 $32,119.07 $31,983.83 2026-05-24
5703031 OTHER Trevo Provue Stent Retriever 6mm X 25mm 90186-ch 22 10 $32,119.31 $32,119.31 $24,089.48 $30,513.34 $30,384.87 2026-05-24
5704551 OTHER Coil Penumbra Ruby Pod14 Rbypod14 ^rbypod14-ch 22 10 $75,696.15 $75,696.15 $56,772.11 $71,911.34 $71,608.56 2026-05-24
5715036 OTHER Immune Globulin-hyaluronidase 10%-160 units/mL 300 Ml (jw-) 22 10 $37,064.80 $37,064.80 $27,798.60 $35,211.56 $35,063.30 2026-05-24
5740412 OTHER Generator Intellis Neurostimulator (97715) Medtronic 22 10 $72,322.74 $72,322.74 $54,242.06 $68,706.60 $68,417.31 2026-05-24
5742400 OTHER Luspatercept-aamt 75 Mg Inj (Reblozyl) (jw-) 22 10 $51,797.15 $51,797.15 $38,847.86 $49,207.29 $49,000.10 2026-05-24
5757402 OTHER Lead Nrstm 43cm 3mm Vns Perenniaflex Vagus Nrv Sil Bp Modl--304-30 22 10 $32,130.77 $32,130.77 $24,098.08 $30,524.23 $30,395.71 2026-05-24
5787589 OTHER Graft Nrv 70mm 1-2mm Avance Algrf Strl--111270 22 10 $74,258.92 $74,258.92 $55,694.19 $70,545.97 $70,248.94 2026-05-24
5787606 OTHER Graft Flex Hd Structural (non Perf) 16 X 20cm (472620) Muscular Skeleton Transpl… 22 10 $32,960.90 $32,960.90 $24,720.68 $31,312.86 $31,181.01 2026-05-24
5816371 OTHER Lurbinectedin 4 Mg Vial 22 10 $33,075.00 $33,075.00 $24,806.25 $31,421.25 $31,288.95 2026-05-24
5913090 OTHER Mesh Preform (5690654) Stryker Cmf-ch 22 10 $43,958.84 $43,958.84 $32,969.13 $41,760.90 $41,585.06 2026-05-24
5923294 OTHER Graft Flex Hd Pliable Pre Med. Thin 19 X 22 (pp1500) Muscular Skeletal Transplan… 22 10 $44,662.32 $44,662.32 $33,496.74 $42,429.20 $42,250.55 2026-05-24
6003757 OTHER Ravulizumab-cwvz 100 mg/mL Inj 3 Ml (Ultomiris) 22 10 $32,719.35 $32,719.35 $24,539.51 $31,083.38 $30,952.51 2026-05-24
6003758 OTHER Ravulizumab-cwvz 100 mg/mL Inj 11 Ml (ultomiris)(jw-) 22 10 $86,110.80 $86,110.80 $64,583.10 $81,805.26 $81,460.82 2026-05-24
6018284 OTHER Cage Cascadia Interbody 22mm (6101-2225014l28-g2) Stryker Spine-ch 22 10 $38,192.86 $38,192.86 $28,644.64 $36,283.22 $36,130.45 2026-05-24
6055292 OTHER Femoral Distal 65mm (6495-2-020) Stryker 3 Rivers Ortho-ch 22 10 $34,263.59 $34,263.59 $25,697.69 $32,550.41 $32,413.36 2026-05-24
6079520 OTHER Pm Generator, Neurostimulator (implantable), With Rechargeable Battery And Charg… 22 10 $32,750.80 $32,750.80 $24,563.10 $31,113.26 $30,982.26 2026-05-24
6080017 OTHER Neurostimulator Impl Intstm Mic Surescan Rchrg--97810 22 10 $47,456.54 $47,456.54 $35,592.40 $45,083.71 $44,893.89 2026-05-24
6093370 OTHER Daratumumab-hyaluronidase-fihj 1800 Mg-30,000 Units/15 Ml Inj (Darzalex Faspro) 22 10 $40,010.20 $40,010.20 $30,007.65 $38,009.69 $37,849.65 2026-05-24
6123412 OTHER Generator (b35200) Medtronic Inc.-ch 22 10 $89,387.52 $89,387.52 $67,040.64 $84,918.14 $84,560.59 2026-05-24
6149318 OTHER Ipg Generator (nipg2500) Nevro-ch 22 10 $86,543.33 $86,543.33 $64,907.50 $82,216.16 $81,869.99 2026-05-24
6185309 OTHER Generator Infinity 7 (6662) Abbott Spine-ch 22 10 $76,791.92 $76,791.92 $57,593.94 $72,952.32 $72,645.16 2026-05-24
6321278 OTHER Pump It 40ml Snchr Ii Prgm Radopq Id Bctr Rtn Fltr Sil Thk26--8637-40 22 10 $43,334.24 $43,334.24 $32,500.68 $41,167.53 $40,994.19 2026-05-24
6321279 OTHER Pump Synchromed (8637-20) Medtronic Inc-ch 22 10 $45,392.53 $45,392.53 $34,044.40 $43,122.90 $42,941.33 2026-05-24
6329281 OTHER Generator Wavewriter (m365sc12320) Boston Scientific Neuro-ch 22 10 $70,291.07 $70,291.07 $52,718.30 $66,776.52 $66,495.35 2026-05-24
6329286 OTHER Generator Wavewriter Pulse (sc-1216) Boston Scientific Neuro 22 10 $67,103.67 $67,103.67 $50,327.75 $63,748.49 $63,480.07 2026-05-24
6329288 OTHER Kit Generator Wavewriter Alpha--sc-1232 22 10 $80,448.76 $80,448.76 $60,336.57 $76,426.32 $76,104.53 2026-05-24
6351310 OTHER Cabotegravir-rilpivirine 600-900 Mg Kit 22 10 $35,897.50 $35,897.50 $26,923.12 $34,102.62 $33,959.03 2026-05-24
6603601 OTHER Hemin 350 Mg Vial (recons C Swfi 48mL Per Pkg Insert) 22 10 $48,406.90 $48,406.90 $36,305.18 $45,986.56 $45,792.93 2026-05-24
6681674 OTHER Risankizumab-rzaa 600 Mg/10 Ml Vial (Skyrizi) 22 10 $46,751.70 $46,751.70 $35,063.77 $44,414.12 $44,227.11 2026-05-24
6682603 OTHER Nivolumab/relatlimab-rmbw 240 Mg-80 Mg/20 Ml Inj (Opdualag) 22 10 $60,906.60 $60,906.60 $45,679.95 $57,861.27 $57,617.64 2026-05-24
6685655 OTHER Calaspargase Pegol-mknl 750 unit(s)/mL Inj 5mL (Asparlas) 22 10 $101,138.10 $101,138.10 $75,853.58 $96,081.20 $95,676.64 2026-05-24
6686260 OTHER Tebentafusp-tebn 100 Mcg/0.5 Ml Inj (Kimmtrak) 22 10 $71,128.35 $71,128.35 $53,346.26 $67,571.93 $67,287.42 2026-05-24
6692352 OTHER Tenecteplase 50 Mg Vial 22 10 $39,852.20 $39,852.20 $29,889.15 $37,859.59 $37,700.18 2026-05-24
6704760 OTHER Tremelimumab-actl 20 mg/mL Inj Soln 15mL (Imjudo) 22 10 $132,052.90 $132,052.90 $99,039.67 $125,450.25 $124,922.04 2026-05-24
6705538 OTHER Neurostimulator Interstim X--97800 22 10 $39,490.76 $39,490.76 $29,618.07 $37,516.22 $37,358.26 2026-05-24
6724215 OTHER Dostarlimab-gxly 500 Mg/10 Ml Inj (Jemperli) 22 10 $44,366.35 $44,366.35 $33,274.76 $42,148.03 $41,970.57 2026-05-24
6735877 OTHER Ublituximab-xiiy 150 Mg/6 Ml Vial (Briumvi) (jw-) 22 10 $48,164.20 $48,164.20 $36,123.15 $45,755.99 $45,563.33 2026-05-24
6764354 OTHER Generator Wavewriter--sc-1432 22 10 $59,801.78 $59,801.78 $44,851.34 $56,811.69 $56,572.48 2026-05-24
6765859 OTHER Pump Synchromed It 20ml--8667-20 22 10 $41,365.68 $41,365.68 $31,024.26 $39,297.40 $39,131.93 2026-05-24
6785926 OTHER Glofitamab-gxbm 1 mg/mL 10 Ml Vial (Columvi) 22 10 $40,815.05 $40,815.05 $30,611.29 $38,774.30 $38,611.04 2026-05-24
6792277 OTHER Efgartigimod Alfa-hyaluronidase-qvfc 180 Mg-2,000 units/mL 5.6 Ml Vial (Vyvgart … 22 10 $56,487.85 $56,487.85 $42,365.89 $53,663.46 $53,437.51 2026-05-24
6793988 OTHER Tarlatamab-dlle 10 Mg Vial (Imdelltra) [jw] 22 10 $59,659.60 $59,659.60 $44,744.70 $56,676.62 $56,437.98 2026-05-24
6815518 OTHER Generator Pulse Inspire--3028 22 10 $62,999.27 $62,999.27 $47,249.45 $59,849.31 $59,597.31 2026-05-24
7069296 OTHER Nivolumab-nvhy 600 Mg And Hyaluronidase 10,000 Units Per 5 Ml / (5 Ml Vial) 22 10 $32,158.25 $32,158.25 $24,118.69 $30,550.34 $30,421.70 2026-05-24
711027 OTHER Xa Angiogram Spine Selective 22 10 $35,483.32 $35,483.32 $26,612.49 $33,709.15 $33,567.22 2026-05-24
761042 OTHER Alteplase (tpa) 1 Mg/1 Ml (100 Mg Vial) 22 10 $41,338.95 $41,338.95 $31,004.21 $39,272.00 $39,106.65 2026-05-24
761188 OTHER Gemtuzumab Ozogamicin 4.5 Mg Vial 22 10 $38,886.60 $38,886.60 $29,164.95 $36,942.27 $36,786.72 2026-05-24
761254 OTHER Pegfilgrastim 6 Mg/0.6 Ml Syr 22 10 $32,382.20 $32,382.20 $24,286.65 $30,763.09 $30,633.56 2026-05-24
798493 OTHER Xa Angiogram Visceral 22 10 $35,483.32 $35,483.32 $26,612.49 $33,709.15 $33,567.22 2026-05-24
79900020 OTHER Implant Neuroelectrodes; Sacrel Bilateral 22 10 $35,857.09 $35,857.09 $26,892.82 $34,064.24 $33,920.81 2026-05-24
79900025 OTHER Implant Neuroelectrodes, Sacral Nerve, Incision; Bilater 22 10 $43,436.97 $43,436.97 $32,577.73 $41,265.12 $41,091.37 2026-05-24
79900066 OTHER Laparoscopy, Remove Adnexa; Bilateral 22 10 $30,920.69 $30,920.69 $23,190.52 $29,374.66 $29,250.97 2026-05-24
79900092 OTHER Breast Reconstruction- Bilateral 22 10 $48,578.17 $48,578.17 $36,433.63 $46,149.26 $45,954.95 2026-05-24
79900107 OTHER Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary 22 10 $44,144.84 $44,144.84 $33,108.63 $41,937.60 $41,761.02 2026-05-24
79919361 OTHER 19361 Csc Breast Reconstruction With Latissimus Dorsi Flap, Without Prosthetic I… 22 10 $46,742.19 $46,742.19 $35,056.64 $44,405.08 $44,218.11 2026-05-24
79919369 OTHER 19361 Csc Breast Reconstr W/lat Flap Bce 22 10 $44,836.58 $44,836.58 $33,627.44 $42,594.75 $42,415.40 2026-05-24
79920692 OTHER 20692 Csc Apply Bone Fixation Device Bce 22 10 $38,442.39 $38,442.39 $28,831.79 $36,520.27 $36,366.50 2026-05-24
79922869 OTHER 22869 Csc Insj Stablj Dev Without Dcmprn, Single Level 22 10 $42,454.03 $42,454.03 $31,840.52 $40,331.33 $40,161.51 2026-05-24
79923615 OTHER 23615 Treat Humerus Fracture 22 10 $42,454.62 $42,454.62 $31,840.97 $40,331.89 $40,162.07 2026-05-24
79924430 OTHER 24430 Csc Repair Of Humerus Bce 22 10 $38,442.39 $38,442.39 $28,831.79 $36,520.27 $36,366.50 2026-05-24
79924515 OTHER Csc 24515 Open Treat Humerus Shaft Fracture W/plates Screws W Or W/out Cerclage 22 10 $42,454.62 $42,454.62 $31,840.97 $40,331.89 $40,162.07 2026-05-24
79924579 OTHER 24579 Csc Treat Humerus Fracture 22 10 $41,591.13 $41,591.13 $31,193.35 $39,511.57 $39,345.21 2026-05-24
79927871 OTHER 27871 Csc Fusion Of Tibiofibular Joint 22 10 $36,035.47 $36,035.47 $27,026.60 $34,233.70 $34,089.55 2026-05-24
79950590 OTHER Fragmenting Of Kidney Stone; Unilateral 22 10 $35,781.28 $35,781.28 $26,835.96 $33,992.22 $33,849.09 2026-05-24
79953445 OTHER 53445 Csc Inst Of Inflatable Urethral/bladder Neck Sphincter, Incl Plcmt Of Pump… 22 10 $37,228.78 $37,228.78 $27,921.58 $35,367.34 $35,218.43 2026-05-24
79954400 OTHER 54400 Csc Insert Semi-rigid Prosthesis 22 10 $38,604.75 $38,604.75 $28,953.56 $36,674.51 $36,520.09 2026-05-24
79954401 OTHER Affinity Clipboard Data Has Be 22 10 $37,228.79 $37,228.79 $27,921.59 $35,367.35 $35,218.44 2026-05-24
79954405 OTHER Insert Multi-comp Penis Pros 22 10 $37,228.79 $37,228.79 $27,921.59 $35,367.35 $35,218.44 2026-05-24
79954410 OTHER Remove/replace Penis Prosth 22 10 $34,558.87 $34,558.87 $25,919.15 $32,830.93 $32,692.69 2026-05-24
79954416 OTHER 54416 Csc Rmvl/rplcmnt Of Non-inflatable/inflatable Penile Prosthesis, Same Oper… 22 10 $63,639.47 $63,639.47 $47,729.60 $60,457.50 $60,202.94 2026-05-24
79962361 OTHER Implant Spine Infusion Pump Nonprogrammable 22 10 $49,610.17 $49,610.17 $37,207.63 $47,129.66 $46,931.22 2026-05-24
79962362 OTHER Implant Spine Infusion Pump Programmable 22 10 $45,121.90 $45,121.90 $33,841.43 $42,865.80 $42,685.32 2026-05-24
79963685 OTHER 63685 Csc Insrt/redo Spine Generator 44 10 $76,966.31 $76,966.31 $39,318.06 $96,433.11 $62,967.14 2026-05-24
79964568 OTHER Inc For Vagus N Elect Impl 22 10 $75,965.01 $75,965.01 $56,973.76 $72,166.76 $71,862.90 2026-05-24
79964575 OTHER 64575 Csc Incision For Implant Of Neurostimulator Electrode Array; Peripheral Ne… 22 10 $71,630.73 $71,630.73 $53,723.05 $68,049.19 $67,762.67 2026-05-24
79964590 OTHER Insrt/redo Pn/gastr Stimul 22 10 $52,422.61 $52,422.61 $39,316.96 $49,801.48 $49,591.79 2026-05-24
80099981 OTHER **Litho Left 22 10 $35,839.75 $35,839.75 $26,879.81 $34,047.76 $33,904.40 2026-05-24
80099982 OTHER **Litho Right 22 10 $35,839.75 $35,839.75 $26,879.81 $34,047.76 $33,904.40 2026-05-24
80099983 OTHER **Litho Bilateral 22 10 $51,777.02 $51,777.02 $38,832.76 $49,188.17 $48,981.06 2026-05-24
80099984 OTHER **Cysto Left / Litho Left 22 10 $42,142.85 $42,142.85 $31,607.14 $40,035.71 $39,867.14 2026-05-24
80099985 OTHER **Cysto Right / Litho Right 22 10 $42,142.85 $42,142.85 $31,607.14 $40,035.71 $39,867.14 2026-05-24
80099986 OTHER **Cysto Bilateral / Litho Bilateral 22 10 $59,634.87 $59,634.87 $44,726.15 $56,653.13 $56,414.59 2026-05-24
80099987 OTHER **Cysto Bilateral / Litho Left 22 10 $43,697.32 $43,697.32 $32,772.99 $41,512.45 $41,337.66 2026-05-24
80099988 OTHER **Cysto Bilateral / Litho Right 22 10 $43,697.32 $43,697.32 $32,772.99 $41,512.45 $41,337.66 2026-05-24
80502004 OTHER Cv Optimizer Implant Ccw Cath 22 10 $56,636.71 $56,636.71 $42,477.53 $53,804.87 $53,578.33 2026-05-24
80502024 OTHER Cv CardioMEMS Implant Ccw Cath 22 10 $51,711.79 $51,711.79 $38,783.84 $49,126.20 $48,919.35 2026-05-24
80503190 OTHER Insert Subq Defib W/eltrd 22 10 $50,358.31 $50,358.31 $37,768.73 $47,840.39 $47,638.96 2026-05-24
80503210 OTHER Insert Subq Defib Pls Gen 22 10 $42,756.70 $42,756.70 $32,067.52 $40,618.86 $40,447.84 2026-05-24
80503250 OTHER Repos Subq Defib Eltrd &/gen 22 10 $50,358.31 $50,358.31 $37,768.73 $47,840.39 $47,638.96 2026-05-24
80503260 OTHER Ephys Eval Subq Implt Defib 22 10 $50,358.31 $50,358.31 $37,768.73 $47,840.39 $47,638.96 2026-05-24
80503870 OTHER Leadless C Pm Ins/rpl Ventr 22 10 $37,763.31 $37,763.31 $28,322.48 $35,875.14 $35,724.09 2026-05-24
80504080 OTHER Cv Optimizer Procedure Ccw Cath 22 10 $56,735.75 $56,735.75 $42,551.81 $53,898.96 $53,672.02 2026-05-24
80507537 OTHER Bi-v Atrial Lead + Lv Lead 22 10 $97,934.45 $97,934.45 $73,450.84 $93,037.73 $92,645.99 2026-05-24
80507538 OTHER Bi-v Ventricular Lead+ Lv Lead 22 10 $97,934.45 $97,934.45 $73,450.84 $93,037.73 $92,645.99 2026-05-24
80507539 OTHER Bi-v A/v Lead+lv Lead 22 10 $97,934.45 $97,934.45 $73,450.84 $93,037.73 $92,645.99 2026-05-24
80512036 OTHER Insert Pm Dual Chamber 22 10 $31,233.06 $31,233.06 $23,424.80 $29,671.41 $29,546.47 2026-05-24
80512037 OTHER Inser/repos Single Icd + Leads 22 10 $50,358.31 $50,358.31 $37,768.73 $47,840.39 $47,638.96 2026-05-24
80512048 OTHER Upgrade Pm-sing To Dual W Test 22 10 $31,228.94 $31,228.94 $23,421.70 $29,667.49 $29,542.58 2026-05-24
80512063 OTHER Implant Lv Lead- Ccw Cath 22 10 $42,797.25 $42,797.25 $32,097.94 $40,657.39 $40,486.20 2026-05-24
80512064 OTHER Implant Single Icd-gen Only 22 10 $42,756.70 $42,756.70 $32,067.52 $40,618.86 $40,447.84 2026-05-24
80512065 OTHER Implant Dual Icd-gen Only 22 10 $42,756.70 $42,756.70 $32,067.52 $40,618.86 $40,447.84 2026-05-24
80512066 OTHER Ins/repos Leads-ins Dual Icd 22 10 $50,358.31 $50,358.31 $37,768.73 $47,840.39 $47,638.96 2026-05-24
80533229 OTHER Remove & Replace Pm Gen; Bi-v 22 10 $55,137.21 $55,137.21 $41,352.91 $52,380.35 $52,159.80 2026-05-24
80533230 OTHER Remv&replc Icd Gen Sing Lead 22 10 $42,459.33 $42,459.33 $31,844.50 $40,336.36 $40,166.53 2026-05-24
80533231 OTHER Remv&replc Icd Gen Dual Lead 22 10 $42,459.33 $42,459.33 $31,844.50 $40,336.36 $40,166.53 2026-05-24
80533232 OTHER Remv&replc Icd Gen Bi-v 22 10 $55,137.21 $55,137.21 $41,352.91 $52,380.35 $52,159.80 2026-05-24
80533289 OTHER Cv CardioMEMS Procedure Ccw Cath 22 10 $70,956.93 $70,956.93 $53,217.70 $67,409.08 $67,125.26 2026-05-24
80593653 OTHER Comp Ep Study W/svt Abl- Ccw Cath 22 10 $33,989.37 $33,989.37 $25,492.03 $32,289.90 $32,153.94 2026-05-24
80593654 OTHER Comp Ep Study W/vt Abl- Ccw Cath 22 10 $33,989.37 $33,989.37 $25,492.03 $32,289.90 $32,153.94 2026-05-24
81910087 OTHER Arterio Visceral 22 10 $35,483.32 $35,483.32 $26,612.49 $33,709.15 $33,567.22 2026-05-24
81910100 OTHER Arterio Spinal E/ves 22 10 $35,483.32 $35,483.32 $26,612.49 $33,709.15 $33,567.22 2026-05-24
81910369 OTHER S Yttrium-90per Source 22 10 $58,699.84 $58,699.84 $44,024.88 $55,764.85 $55,530.05 2026-05-24
8285554 OTHER Retifanlimab-dlwr 25 mg/mL 20 Ml Vial (Zynyz) 22 10 $52,469.05 $52,469.05 $39,351.79 $49,845.60 $49,635.72 2026-05-24
88036906 OTHER Thrmbc/nfs Dialysis Circuit 22 10 $43,318.25 $43,318.25 $32,488.69 $41,152.34 $40,979.06 2026-05-24
90288 OTHER Botulism Ig IV 4 2 — — $95.00 $69,333.00 $34,714.00 2026-05-24
A9543 OTHER Y90 Ibritumomab- Rx 16 7 — — $54,555.55 $57,392.80 $56,824.55 2026-05-24
C9301 OTHER Obecabtagene Car Pos T 2 1 — — $589,050.00 $589,050.00 $589,050.00 2026-05-24
J1411 OTHER Inj- Hemgenix- Per Tx Dose 14 6 — — $3,685,266.67 $3,927,000.00 $3,685,266.67 2026-05-24
J1413 OTHER Inj Delandistrogene Mox Rokl 14 6 — — $3,316,462.59 $3,590,400.00 $3,316,462.59 2026-05-24
J1414 OTHER Inj- Beqvez- Per Tx Dose 2 1 — — $3,927,000.00 $3,927,000.00 $3,927,000.00 2026-05-24
J3391 OTHER Inj- Atidarsagene Autotemcel 12 6 — — $4,505,000.00 $4,550,050.00 $4,505,000.00 2026-05-24
J3392 OTHER Inj- Exagamglogene Autotem 14 6 — — $2,332,000.00 $2,468,400.00 $2,332,000.00 2026-05-24
J3393 OTHER Inj- Betibeglogene Autotemce 14 6 — — $2,945,740.00 $3,141,600.00 $2,945,740.00 2026-05-24
J3394 OTHER Inj- Lovotibeglogene Autotem 14 6 — — $3,248,445.72 $3,478,200.00 $3,248,445.72 2026-05-24
J3399 OTHER Inj Onase Abepar-xioi Treat 14 6 — — $2,455,110.61 $2,630,876.26 $2,455,110.61 2026-05-24
J3402 OTHER Inj. Remestemcel-l-rknd/ Td 18 8 — — $205,640.00 $207,696.40 $205,640.00 2026-05-24
J3403 OTHER Revakinagene- Per Implant 12 6 — — $257,500.00 $260,075.00 $257,500.00 2026-05-24
J7330 OTHER Cultured Chondrocytes Implnt 6 3 — — $95.00 $73,852.28 $44,053.20 2026-05-24
J9029 OTHER Instill Adstiladrin- Tx Dose 22 8 — — $63,342.28 $78,746.23 $63,342.28 2026-05-24
J9226 OTHER Supprelin La Implant 26 9 — — $30,489.35 $56,301.78 $45,020.65 2026-05-24
K1007 OTHER Bil Hkaf Pc S/d Micro Sensor 2 1 — — $71,776.86 $71,776.86 $71,776.86 2026-05-24
L2006 OTHER Kaf Sng/dbl Swg/stn Mcpr Cus 14 6 — — $29,127.73 $38,206.49 $37,828.21 2026-05-24
L7180 OTHER Electronic Elbow Sequential 22 9 — — $19,600.87 $42,326.28 $41,907.21 2026-05-24
L7181 OTHER Electronic Elbo Simultaneous 18 7 — — $22,081.68 $47,683.38 $47,211.27 2026-05-24
L8701 OTHER Ewh S/d Uprt Micro Sensor 14 6 — — $26,399.02 $34,627.28 $34,284.44 2026-05-24
L8702 OTHER Ewhf S/d Uprt Micro Sensor 14 6 — — $51,938.55 $68,127.19 $67,452.66 2026-05-24
MS-001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 18 8 — — $154,197.03 $709,380.98 $177,290.74 2026-05-24
MS-002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 8 — — $62,351.42 $450,720.70 $71,689.64 2026-05-24
MS-003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 18 8 — — $109,966.47 $529,994.43 $134,279.36 2026-05-24
MS-004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 18 8 — — $71,056.12 $352,595.93 $87,629.66 2026-05-24
MS-005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 18 8 — — $56,731.88 $376,914.12 $65,228.47 2026-05-24
MS-006 OTHER Liver Transplant Without Mcc 18 8 — — $25,514.35 $170,937.32 $29,335.57 2026-05-24
MS-007 OTHER Lung Transplant 18 8 — — $71,256.40 $435,774.78 $81,928.30 2026-05-24
MS-008 OTHER Simultaneous Pancreas/kidney Transplant 18 8 — — $30,838.41 $191,776.40 $35,457.01 2026-05-24
MS-010 OTHER Pancreas Transplant 18 8 — — $39,483.14 $187,374.28 $45,396.44 2026-05-24
MS-011 OTHER Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 8 — — $34,504.88 $148,323.18 $34,849.93 2026-05-24
MS-014 OTHER Allogeneic Bone Marrow Transplant 18 8 — — $66,126.57 $345,140.72 $76,030.19 2026-05-24
MS-016 OTHER Autolous Bone Marrow Transplant With Cc/mcc 18 8 — — $32,627.23 $107,497.03 $37,513.73 2026-05-24
MS-017 OTHER Autolous Bone Marrow Transplant Without Cc/mcc 18 8 — — $29,890.36 $89,498.02 $34,366.97 2026-05-24
MS-018 OTHER Chimeric Antigen Receptor (car) T-cell Immunotherapy 18 8 — — $273,192.19 $1,302,780.20 $275,924.11 2026-05-24
MS-019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 8 — — $39,257.00 $268,707.07 $45,136.42 2026-05-24
MS-020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 8 — — $49,781.27 $272,718.68 $50,279.08 2026-05-24
MS-021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 8 — — $33,490.76 $206,225.31 $33,825.67 2026-05-24
MS-023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 8 — — $36,252.24 $151,944.28 $36,614.76 2026-05-24
MS-028 OTHER Spinal Procedures With Mcc 18 8 — — $30,893.99 $145,021.59 $38,010.98 2026-05-24
MS-207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 18 8 — — $36,205.40 $200,793.66 $40,708.56 2026-05-24
MS-209 OTHER Kidney And Urinary Tract Signs And Symptoms Age 0-17 16 8 — — $71,607.39 $174,875.54 $71,965.43 2026-05-24
MS-212 OTHER Testes Procedures Age 0-17 18 8 — — $68,794.04 $383,481.80 $69,481.98 2026-05-24
MS-213 OTHER Splenic Procedures Age 0-17 16 8 — — $36,104.20 $88,171.38 $36,284.72 2026-05-24
MS-215 OTHER Other Heart Assist System Implant 18 8 — — $62,992.09 $189,930.35 $63,622.01 2026-05-24
MS-216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $61,890.02 $243,465.86 $62,508.92 2026-05-24
MS-217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $41,598.06 $159,719.00 $42,014.04 2026-05-24
MS-218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $32,308.09 $145,057.09 $41,598.06 2026-05-24
MS-219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $48,576.09 $168,239.24 $49,061.85 2026-05-24
MS-220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $33,737.49 $132,170.22 $34,074.87 2026-05-24
MS-221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $31,677.52 $105,047.46 $31,886.38 2026-05-24
MS-228 OTHER Other Cardiothoracic Procedures With Mcc 18 8 — — $31,299.29 $181,871.62 $31,612.28 2026-05-24
MS-231 OTHER Coronary Bypass With Ptca With Mcc 18 8 — — $53,331.02 $251,418.08 $53,864.33 2026-05-24
MS-232 OTHER Coronary Bypass With Ptca Without Mcc 18 8 — — $32,978.27 $169,339.77 $38,354.51 2026-05-24
MS-233 OTHER Coronary Bypass With Cardiac Catheterization With Mcc 18 8 — — $48,366.69 $173,599.89 $48,832.17 2026-05-24
MS-234 OTHER Coronary Bypass With Cardiac Catheterization Without Mcc 18 8 — — $34,559.29 $135,436.32 $34,904.88 2026-05-24
MS-235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 18 8 — — $37,127.18 $132,667.24 $37,498.45 2026-05-24
MS-239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 8 — — $27,892.46 $113,212.69 $31,136.70 2026-05-24
MS-245 OTHER Aicd Generator Procedures 18 8 — — $28,863.62 $170,937.32 $29,152.26 2026-05-24
MS-266 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 8 — — $38,770.78 $157,943.95 $39,158.49 2026-05-24
MS-267 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 8 — — $25,194.66 $142,252.51 $30,118.78 2026-05-24
MS-268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 8 — — $36,888.24 $195,504.01 $43,512.43 2026-05-24
MS-270 OTHER Other Major Cardiovascular Procedures With Mcc 18 8 — — $33,380.05 $126,348.06 $33,713.85 2026-05-24
MS-275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 8 — — $44,084.20 $219,822.19 $45,109.85 2026-05-24
MS-276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 8 — — $28,914.25 $189,433.34 $38,000.23 2026-05-24
MS-277 OTHER Other Major Cardiovascular Procedures With Mcc 18 8 — — $27,584.88 $146,193.12 $29,218.53 2026-05-24
MS-278 OTHER Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 8 — — $35,214.07 $163,162.60 $35,566.22 2026-05-24
MS-317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 8 — — $42,301.55 $219,609.19 $42,724.57 2026-05-24
MS-326 OTHER Stomach- Esophageal And Duodenal Procedures With Mcc 18 8 — — $27,473.18 $129,756.16 $31,552.35 2026-05-24
MS-405 OTHER Pancreas- Liver And Shunt Procedures With Mcc 18 8 — — $32,176.58 $153,825.83 $34,608.64 2026-05-24
MS-426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 8 — — $69,724.65 $183,078.66 $70,421.90 2026-05-24
MS-427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 8 — — $40,049.33 $142,927.03 $45,667.84 2026-05-24
MS-428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 8 — — $31,086.02 $125,709.04 $35,567.09 2026-05-24
MS-429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 8 — — $56,998.44 $296,078.34 $57,568.43 2026-05-24
MS-430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 8 — — $36,485.05 $133,377.26 $36,849.90 2026-05-24
MS-447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 8 — — $42,270.55 $149,814.22 $42,693.26 2026-05-24
MS-450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 8 — — $33,717.25 $126,028.55 $34,054.42 2026-05-24
MS-456 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 8 — — $45,742.05 $241,974.82 $53,163.37 2026-05-24
MS-457 OTHER Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 18 8 — — $37,725.03 $175,978.46 $38,102.28 2026-05-24
MS-461 OTHER Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 18 8 — — $34,940.77 $226,780.39 $35,290.18 2026-05-24
MS-463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 8 — — $30,280.48 $129,543.15 $36,057.39 2026-05-24
MS-466 OTHER Revision Of Hip Or Knee Replacement With Mcc 18 8 — — $31,079.42 $114,419.72 $32,931.51 2026-05-24
MS-471 OTHER Cervical Spinal Fusion With Mcc 18 8 — — $26,975.22 $106,218.99 $30,548.35 2026-05-24
MS-573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 8 — — $41,446.86 $207,893.86 $41,861.32 2026-05-24
MS-576 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 8 — — $31,007.01 $194,296.97 $31,317.08 2026-05-24
MS-650 OTHER Neonate Birthwt 15001999g Without Signif O.r. Proc W Other Prob 18 8 — — $25,868.70 $161,778.06 $29,742.99 2026-05-24
MS-653 OTHER Major Bladder Procedures With Mcc 18 8 — — $32,874.57 $194,474.48 $33,203.31 2026-05-24
MS-790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 16 8 — — $27,793.97 $50,658.58 $37,601.03 2026-05-24
MS-820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 8 — — $37,103.14 $168,984.76 $37,474.17 2026-05-24
MS-823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 8 — — $29,005.33 $127,235.58 $29,295.39 2026-05-24
MS-826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 8 — — $29,593.69 $171,505.33 $29,889.63 2026-05-24
MS-834 OTHER Acute Leukemia Without Major O.r. Procedures With Mcc 18 8 — — $33,159.85 $241,726.31 $34,731.37 2026-05-24
MS-837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 8 — — $10,945.25 $111,970.15 $30,393.98 2026-05-24
MS-850 OTHER Acute Leukemia With Other Procedures 18 8 — — $54,783.57 $326,999.71 $55,331.40 2026-05-24
MS-853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 8 — — $31,243.62 $120,419.39 $31,556.05 2026-05-24
MS-870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 18 8 — — $39,150.25 $184,605.20 $43,726.90 2026-05-24
MS-927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 8 — — $135,072.06 $770,229.70 $136,422.78 2026-05-24
MS-928 OTHER Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 8 — — $42,333.35 $83,604.86 $45,377.46 2026-05-24
MS-955 OTHER Craniotomy For Multiple Significant Trauma 18 8 — — $42,583.71 $212,366.98 $43,009.55 2026-05-24
MS-957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 8 — — $41,265.35 $203,669.24 $48,206.63 2026-05-24
MS-969 OTHER HIV With Extensive O.r. Procedures With Mcc 18 8 — — $38,725.87 $234,555.11 $39,113.12 2026-05-24
MS-981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 8 — — $29,682.26 $139,163.92 $29,979.08 2026-05-24
Q0480 OTHER Driver Pneumatic Vad- Rep 18 7 — — $49,634.94 $107,182.14 $106,120.93 2026-05-24
Q2041 OTHER Axicabtagene Ciloleucel Car+ 24 9 — — $489,455.96 $586,384.13 $533,230.17 2026-05-24
Q2042 OTHER Tisagenlecleucel Car-pos T 24 9 — — $529,192.86 $636,157.04 $591,726.20 2026-05-24
Q2043 OTHER Sipuleucel-t Auto Cd54+ 26 9 — — $48,591.58 $71,002.44 $55,272.32 2026-05-24
Q2053 OTHER Brexucabtagene Car Pos T 22 8 — — $460,530.40 $538,692.00 $489,304.61 2026-05-24
Q2054 OTHER Lisocabtagene Mara Car Pos T 22 8 — — $516,726.08 $643,116.82 $562,538.19 2026-05-24
Q2055 OTHER Idecabtagene Vicleucel Car 22 8 — — $526,587.59 $657,039.31 $557,317.93 2026-05-24
Q2056 OTHER Ciltacabtagene Car-pos T 22 8 — — $527,123.43 $688,852.34 $565,868.95 2026-05-24
Q2057 OTHER Afamitresgene Autoleucel 20 8 — — $770,620.00 $815,694.00 $770,620.00 2026-05-24
Q2058 OTHER Obecbtge Autol Up To 400 Mil 12 6 — — $278,250.00 $281,032.50 $278,250.00 2026-05-24
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