Hospital

MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC

Menomonie, WI · CCN 521340 · Rates published

Your selected procedure

You selected 59510 (CPT)

HC ROUTINE C/S ANTE/POSTPRTUM PKG

This hospital’s price: $7,945 across 144 payers · range $7,863-$8,109

Source: https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-red-cedar_standardcharges.csv · observed 2026-03-31

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.

5,174 distinct procedures filed

284 distinct payers

6,520,874 rate rows

2026-03-31 last MRF observed

Data quality

2,794,342 of 6,520,874 rate rows are consumer-grade (42.9%)

3,726,532 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
professional (physician) fee — not the facility price	3,724,790
per-diem day rate — not a per-procedure price	1,330
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	301
placeholder amount (≤ $0.02) — excluded from medians	47
exceeds 10× this hospital's gross charge — excluded from medians	41
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	13
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	10

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

Source MRF file	https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-red-cedar_standardcharges.csv
Found on page	https://www.mayoclinichealthsystem.org/locations/menomonie/billing/cms-hospital-pricing
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-21
Content fingerprint	8538d4dbdb971fa4… · 3,409,079,149 bytes · first seen 2026-05-04

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
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	261	$33,592.00	$159,885.00	$155,040.00	nat. median $396 outlier · 391.6×
33276 CPT	Hc Insn Phrnc Nrv Stim Sys	262	$519.01	$93,731.22	$90,890.88	nat. median $44,163 outlier · 2.1×
J9359 HCPCS	Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted)	254	$17,000.55	$80,916.07	$77,646.73	nat. median $292 outlier · 265.6×
J2507 HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	262	$16,527.39	$78,664.01	$76,280.26	nat. median $4,390 outlier · 17.4×
RX-707820 CDM	Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted)	254	$13,994.32	$66,607.60	$64,589.18	—
RX-219415 CDM	Belantamab Mafodotin-blmf 70 Mg Intravenous Solution	254	$13,994.32	$66,607.60	$64,589.18	—
0823T CPT	Hc Tcat Ins 1chmbr Ldls Pm Ra	261	$12,002.22	$57,125.97	$55,394.88	nat. median $20,485 outlier · 2.7×
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	262	$11,205.44	$53,333.58	$51,178.69	nat. median $133 outlier · 384.9×
33231 CPT	Hc Ins Pulse Gen W Exst Mult Lead	256	$364.93	$52,521.48	$50,929.92	nat. median $31,377 1.6× median
93580 CPT	Hc Tx Cath Clsr Asd W Imp	262	$856.77	$45,350.91	$43,976.64	nat. median $18,748 outlier · 2.3×
33249 CPT	Hc Ins/rplc Dfib W Transven Lead	262	$816.94	$43,270.92	$41,959.68	nat. median $32,069 1.3× median
33264 CPT	Hc Rmvl&rplc Icd Gen Multi Lead	262	$365.07	$43,257.06	$41,946.24	nat. median $32,779 1.3× median
33270 CPT	Hc Ins/rplc Subq Icd W Subq Elec	262	$505.52	$42,389.82	$41,105.28	nat. median $32,475 1.3× median
C2616 HCPCS	Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution	261	$8,629.40	$42,441.30	$40,242.88	nat. median $22,121 1.8× median
J9043 HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	262	$8,619.29	$41,024.51	$39,781.34	nat. median $509 outlier · 78.1×
0796T CPT	Hc Tcat Ins 2chmbr Ldls Pm Ra	261	$8,345.79	$39,722.76	$38,519.04	nat. median $20,278 1.9× median
J3357 HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	262	$7,847.80	$39,616.29	$36,220.61	nat. median $20,264 1.8× median
92930 CPT	Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments	256	$554.63	$37,579.41	$36,061.05	nat. median $19,336 1.9× median
J9042 HCPCS	Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted)	262	$7,721.73	$36,752.46	$35,638.75	nat. median $555 outlier · 64.2×
93656 CPT	Hc Ep Eval Tx Art Fib Pulm Vein	262	$817.79	$36,642.87	$35,532.48	nat. median $26,469 1.3× median
33262 CPT	Hc Rmvl&rplc Icd Gen Sngl Lead	262	$338.76	$36,588.42	$35,479.68	nat. median $23,514 1.5× median
33263 CPT	Hc Rmvl&rplc Icd Gen Dual Lead	262	$351.79	$36,588.42	$35,479.68	nat. median $23,924 1.5× median
C1767 HCPCS	Generator Stimulator External Neuromodulation	261	$165.57	$42,768.00	$34,992.00	nat. median $25,172 1.4× median
0795T CPT	Hc Tcat Ins 2chmbr Ldls Pm Cmpl	261	$7,388.78	$35,167.77	$34,102.08	nat. median $19,928 1.7× median
J9272 HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	261	$7,200.86	$34,273.31	$33,234.72	nat. median $567 outlier · 58.6×
J9382 HCPCS	Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution	254	$7,164.89	$34,102.13	$32,724.27	nat. median $37 outlier · 878.5×
J9024 HCPCS	Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln	261	$7,007.50	$33,353.00	$32,342.30	nat. median $47 outlier · 694.8×
93654 CPT	Hc Ep Eval W Vent Tachy Ablate	262	$869.46	$32,998.68	$31,998.72	nat. median $26,477 1.2× median
37294 CPT	Hc Rvsc Evsc Tpvt St Athr Cpx 1	256	$834.67	$32,246.28	$31,269.12	nat. median $19,143 1.6× median
33229 CPT	Hc Rplc Perm Gen Mult Lead	262	$339.10	$32,231.43	$31,254.72	nat. median $19,415 1.6× median
C9607 HCPCS	Hc Perc Translum Revasc Cor Sngl	261	$6,689.28	$31,838.40	$30,873.60	nat. median $19,925 1.5× median
C9606 HCPCS	Hc Perc Translum Revasc Ami Sngl	254	$6,689.28	$31,838.40	$30,873.60	nat. median $17,051 1.8× median
J9144 HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	262	$6,570.01	$31,270.73	$30,323.14	nat. median $114 outlier · 264.9×
93653 CPT	Hc Ep Eval W Supravent Ablate	262	$721.26	$31,027.59	$30,087.36	nat. median $25,502 1.2× median
C9602 HCPCS	Hc Perc Translum Ather Wangio Sng	261	$6,342.96	$30,190.05	$29,275.20	nat. median $19,918 1.5× median
33274 CPT	Hc Rplc/insrt Transcath Leadls Pm	262	$430.26	$29,462.40	$28,569.60	nat. median $20,959 1.4× median
C9766 HCPCS	Hc Revasc Intra Lithotrip-ather	261	$5,966.90	$28,400.13	$27,539.52	nat. median $18,864 1.5× median
J3263 HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	254	$5,744.98	$27,343.90	$26,515.30	nat. median $51 outlier · 518.7×
J9228 HCPCS	Ipilimumab 5 Mg/ml Intravenous Solution (wrapper)	262	$5,442.96	$102,289.08	$25,513.90	nat. median $6,073 outlier · 4.2×
J9316 HCPCS	Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln	262	$5,428.05	$25,835.44	$25,052.54	nat. median $221 outlier · 113.5×
J2327 HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	261	$5,340.46	$25,418.55	$24,648.29	nat. median $48 outlier · 513.8×
J3380 HCPCS	Vedolizumab 300 Mg Intravenous Solution	262	$5,316.02	$25,302.22	$24,535.49	nat. median $59 outlier · 417.2×
0483T CPT	Hc Tmvi Percutaneous Approach	262	$1,468.86	$25,054.92	$24,295.68	nat. median $2,430 outlier · 10.0×
J1930 HCPCS	Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe	262	$4,883.54	$24,896.82	$24,142.37	nat. median $261 outlier · 92.4×
92941 CPT	Hc Perc Revasc Trans Mi Sngl Vesl	262	$597.08	$24,733.17	$23,983.68	nat. median $7,185 outlier · 3.3×
37288 CPT	Hc Revsc Evsc Tpvt Athrc Sf 1st	256	$622.43	$24,411.42	$23,671.68	nat. median $19,143 1.2× median
J9301 HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	262	$5,019.83	$23,892.46	$23,168.45	nat. median $170 outlier · 136.4×
J9022 HCPCS	Atezolizumab 60 Mg/ml Intravenous Solution (wrapper)	262	$4,933.34	$33,353.10	$23,006.46	nat. median $1,229 outlier · 18.7×
J9223 HCPCS	Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted)	262	$4,964.65	$23,629.82	$22,913.76	nat. median $452 outlier · 50.7×
92945 CPT	Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr	256	$693.45	$23,664.96	$22,708.80	nat. median $12,675 1.8× median

Other procedures at this hospital

Browse this hospital's 5,174 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

A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	421	261	$161,500.00	$145,350.00	$33,592.00	$159,885.00	$155,040.00	2026-03-31
33276	CPT	Hc Insn Phrnc Nrv Stim Sys	423	262	$94,678.00	$85,210.20	$519.01	$93,731.22	$90,890.88	2026-03-31
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted)	404	254	$81,733.40	$73,560.06	$17,000.55	$80,916.07	$77,646.73	2026-03-31
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	420	262	$79,458.60	$71,512.74	$16,527.39	$78,664.01	$76,280.26	2026-03-31
RX-707820	CDM	Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted)	414	254	$67,280.40	$60,552.36	$13,994.32	$66,607.60	$64,589.18	2026-03-31
RX-219415	CDM	Belantamab Mafodotin-blmf 70 Mg Intravenous Solution	414	254	$67,280.40	$60,552.36	$13,994.32	$66,607.60	$64,589.18	2026-03-31
0823T	CPT	Hc Tcat Ins 1chmbr Ldls Pm Ra	421	261	$57,703.00	$51,932.70	$12,002.22	$57,125.97	$55,394.88	2026-03-31
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	413	262	$53,872.30	$48,485.07	$11,205.44	$53,333.58	$51,178.69	2026-03-31
33231	CPT	Hc Ins Pulse Gen W Exst Mult Lead	416	256	$53,052.00	$47,746.80	$364.93	$52,521.48	$50,929.92	2026-03-31
93580	CPT	Hc Tx Cath Clsr Asd W Imp	423	262	$45,809.00	$41,228.10	$856.77	$45,350.91	$43,976.64	2026-03-31
33249	CPT	Hc Ins/rplc Dfib W Transven Lead	423	262	$43,708.00	$39,337.20	$816.94	$43,270.92	$41,959.68	2026-03-31
33264	CPT	Hc Rmvl&rplc Icd Gen Multi Lead	423	262	$43,694.00	$39,324.60	$365.07	$43,257.06	$41,946.24	2026-03-31
33270	CPT	Hc Ins/rplc Subq Icd W Subq Elec	423	262	$42,818.00	$38,536.20	$505.52	$42,389.82	$41,105.28	2026-03-31
C2616	HCPCS	Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution	842	261	$42,178.75	$37,960.88	$8,629.40	$42,441.30	$40,242.88	2026-03-31
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	420	262	$41,438.90	$37,295.01	$8,619.29	$41,024.51	$39,781.34	2026-03-31
0796T	CPT	Hc Tcat Ins 2chmbr Ldls Pm Ra	421	261	$40,124.00	$36,111.60	$8,345.79	$39,722.76	$38,519.04	2026-03-31
J3357	HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	423	262	$37,729.80	$33,956.82	$7,847.80	$39,616.29	$36,220.61	2026-03-31
92930	CPT	Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments	408	256	$37,959.00	$34,163.10	$554.63	$37,579.41	$36,061.05	2026-03-31
J9042	HCPCS	Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted)	420	262	$37,123.70	$33,411.33	$7,721.73	$36,752.46	$35,638.75	2026-03-31
93656	CPT	Hc Ep Eval Tx Art Fib Pulm Vein	423	262	$37,013.00	$33,311.70	$817.79	$36,642.87	$35,532.48	2026-03-31
33263	CPT	Hc Rmvl&rplc Icd Gen Dual Lead	423	262	$36,958.00	$33,262.20	$351.79	$36,588.42	$35,479.68	2026-03-31
33262	CPT	Hc Rmvl&rplc Icd Gen Sngl Lead	423	262	$36,958.00	$33,262.20	$338.76	$36,588.42	$35,479.68	2026-03-31
C1767	HCPCS	Generator Stimulator External Neuromodulation	1,266	261	$36,450.00	$32,805.00	$165.57	$42,768.00	$34,992.00	2026-03-31
0795T	CPT	Hc Tcat Ins 2chmbr Ldls Pm Cmpl	421	261	$35,523.00	$31,970.70	$7,388.78	$35,167.77	$34,102.08	2026-03-31
J9272	HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	418	261	$34,619.50	$31,157.55	$7,200.86	$34,273.31	$33,234.72	2026-03-31
J9382	HCPCS	Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution	404	254	$34,446.60	$31,001.94	$7,164.89	$34,102.13	$32,724.27	2026-03-31
J9024	HCPCS	Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln	418	261	$33,689.90	$30,320.91	$7,007.50	$33,353.00	$32,342.30	2026-03-31
93654	CPT	Hc Ep Eval W Vent Tachy Ablate	423	262	$33,332.00	$29,998.80	$869.46	$32,998.68	$31,998.72	2026-03-31
37294	CPT	Hc Rvsc Evsc Tpvt St Athr Cpx 1	416	256	$32,572.00	$29,314.80	$834.67	$32,246.28	$31,269.12	2026-03-31
33229	CPT	Hc Rplc Perm Gen Mult Lead	423	262	$32,557.00	$29,301.30	$339.10	$32,231.43	$31,254.72	2026-03-31
C9607	HCPCS	Hc Perc Translum Revasc Cor Sngl	421	261	$32,160.00	$28,944.00	$6,689.28	$31,838.40	$30,873.60	2026-03-31
C9606	HCPCS	Hc Perc Translum Revasc Ami Sngl	414	254	$32,160.00	$28,944.00	$6,689.28	$31,838.40	$30,873.60	2026-03-31
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	420	262	$31,586.60	$28,427.94	$6,570.01	$31,270.73	$30,323.14	2026-03-31
93653	CPT	Hc Ep Eval W Supravent Ablate	423	262	$31,341.00	$28,206.90	$721.26	$31,027.59	$30,087.36	2026-03-31
C9602	HCPCS	Hc Perc Translum Ather Wangio Sng	421	261	$30,495.00	$27,445.50	$6,342.96	$30,190.05	$29,275.20	2026-03-31
33274	CPT	Hc Rplc/insrt Transcath Leadls Pm	423	262	$29,760.00	$26,784.00	$430.26	$29,462.40	$28,569.60	2026-03-31
C9766	HCPCS	Hc Revasc Intra Lithotrip-ather	421	261	$28,687.00	$25,818.30	$5,966.90	$28,400.13	$27,539.52	2026-03-31
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	411	254	$27,620.10	$24,858.09	$5,744.98	$27,343.90	$26,515.30	2026-03-31
J9228	HCPCS	Ipilimumab 5 Mg/ml Intravenous Solution (wrapper)	840	262	$64,745.20	$58,270.68	$5,442.96	$102,289.08	$25,513.90	2026-03-31
J9316	HCPCS	Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln	420	262	$26,096.40	$23,486.76	$5,428.05	$25,835.44	$25,052.54	2026-03-31
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	418	261	$25,675.30	$23,107.77	$5,340.46	$25,418.55	$24,648.29	2026-03-31
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	420	262	$25,557.80	$23,002.02	$5,316.02	$25,302.22	$24,535.49	2026-03-31
0483T	CPT	Hc Tmvi Percutaneous Approach	423	262	$25,308.00	$22,777.20	$1,468.86	$25,054.92	$24,295.68	2026-03-31
J1930	HCPCS	Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe	420	262	$25,148.30	$22,633.47	$4,883.54	$24,896.82	$24,142.37	2026-03-31
92941	CPT	Hc Perc Revasc Trans Mi Sngl Vesl	423	262	$24,983.00	$22,484.70	$597.08	$24,733.17	$23,983.68	2026-03-31
37288	CPT	Hc Revsc Evsc Tpvt Athrc Sf 1st	416	256	$24,658.00	$22,192.20	$622.43	$24,411.42	$23,671.68	2026-03-31
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	420	262	$24,133.80	$21,720.42	$5,019.83	$23,892.46	$23,168.45	2026-03-31
J9022	HCPCS	Atezolizumab 60 Mg/ml Intravenous Solution (wrapper)	826	262	$28,704.00	$25,833.60	$4,933.34	$33,353.10	$23,006.46	2026-03-31
J9223	HCPCS	Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted)	420	262	$23,868.50	$21,481.65	$4,964.65	$23,629.82	$22,913.76	2026-03-31
92945	CPT	Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr	408	256	$23,904.00	$21,513.60	$693.45	$23,664.96	$22,708.80	2026-03-31
37282	CPT	Hc Rvsc Evsc Tpvt Angio Cplx 1	416	256	$23,121.00	$20,808.90	$566.03	$22,889.79	$22,196.16	2026-03-31
J9299	HCPCS	Nivolumab 10 Mg/ml Intravenous Solution (wrapper)	420	262	$23,010.70	$20,709.63	$4,786.23	$22,780.59	$22,090.27	2026-03-31
J9289	HCPCS	Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution	411	254	$23,010.70	$20,709.63	$4,786.23	$22,780.59	$22,090.27	2026-03-31
33214	CPT	Hc Upgrade Impl Pcmkr Sys	423	262	$22,677.00	$20,409.30	$438.05	$22,450.23	$21,769.92	2026-03-31
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	420	262	$22,623.10	$20,360.79	$4,705.60	$22,396.87	$21,718.18	2026-03-31
37243	CPT	Hc Vasc Embl/occlude Tmr Infarct	423	262	$22,553.00	$20,297.70	$517.37	$22,327.47	$21,650.88	2026-03-31
C9608	HCPCS	Hc Perc Trnslum Revasc Cor Ea Add	421	261	$22,443.00	$20,198.70	$4,668.14	$22,218.57	$21,545.28	2026-03-31
33340	CPT	Hc Perc Txcath Clsr Lt Atr Apndg	423	262	$22,199.00	$19,979.10	$638.94	$21,977.01	$21,311.04	2026-03-31
27412	CPT	Hc Impl Knee Auto Chondrocyte	416	256	$22,156.00	$19,940.40	$1,557.53	$21,934.44	$21,269.76	2026-03-31
92924	CPT	Hc Ptca W Cor Angio Sngl Mjr	423	262	$22,076.00	$19,868.40	$475.27	$21,855.24	$21,192.96	2026-03-31
36906	CPT	Hc Av Fistula Stent Thrombectomy	423	262	$21,954.00	$19,758.60	$469.45	$21,734.46	$21,075.84	2026-03-31
J1323	HCPCS	Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution	836	261	$29,051.30	$26,146.17	$4,431.27	$36,430.42	$20,665.07	2026-03-31
C9600	HCPCS	Hc Perc Transcath Plct Drug Stnt Sng	421	261	$21,177.00	$19,059.30	$4,404.82	$20,965.23	$20,329.92	2026-03-31
C9604	HCPCS	Hc Perc Translum Revasc Sngl Vssl	421	261	$21,177.00	$19,059.30	$4,404.82	$20,965.23	$20,329.92	2026-03-31
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted)	418	261	$21,058.30	$18,952.47	$4,380.13	$20,847.72	$20,215.97	2026-03-31
36903	CPT	Hc Av Fistula Stent	423	262	$20,966.00	$18,869.40	$290.12	$20,756.34	$20,127.36	2026-03-31
0238T	CPT	Hc Tlpa Iliac Arty Ea Vssl	414	254	$20,706.00	$18,635.40	$4,306.85	$20,498.94	$19,877.76	2026-03-31
37258	CPT	Hc Revsc Evasc Ivt Stent Sf 1st	416	256	$20,526.00	$18,473.40	$403.88	$20,320.74	$19,704.96	2026-03-31
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution	434	256	$20,226.50	$18,203.85	$4,207.11	$20,024.24	$19,417.44	2026-03-31
37298	CPT	Hc Revsc Evsc Imvt Angio Cplx 1	416	256	$20,038.00	$18,034.20	$627.45	$19,837.62	$19,236.48	2026-03-31
J9331	HCPCS	Sirolimus-protein Bound 100 Mg Intravenous Suspension	411	254	$20,018.00	$18,016.20	$4,163.74	$19,817.82	$19,217.28	2026-03-31
33362	CPT	Hc Rplc Aortic Vlv Open Fem Arty	416	256	$19,902.00	$17,911.80	$1,189.20	$19,702.98	$19,105.92	2026-03-31
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution	420	262	$19,632.30	$17,669.07	$4,083.52	$19,435.98	$18,847.01	2026-03-31
J9063	HCPCS	Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution	418	261	$19,572.30	$17,615.07	$4,071.04	$19,376.58	$18,789.41	2026-03-31
92943	CPT	Hc Perc Revasc Trans Chr Sngl Vesl	423	262	$19,555.00	$17,599.50	$642.06	$19,359.45	$18,772.80	2026-03-31
37241	CPT	Hc Vasc Embl/occlude Venous	423	262	$19,358.00	$17,422.20	$390.87	$19,164.42	$18,583.68	2026-03-31
33206	CPT	Hc Ins/rplc Pcmkr Atrial	423	262	$19,321.00	$17,388.90	$413.57	$19,127.79	$18,548.16	2026-03-31
33213	CPT	Hc Ins Pcmkr Pls Gen Exist 2 Lead	423	262	$18,904.00	$17,013.60	$312.34	$18,714.96	$18,147.84	2026-03-31
37244	CPT	Hc Vasc Embl/occlude Hemorrhage	423	262	$18,794.00	$16,914.60	$607.15	$18,606.06	$18,042.24	2026-03-31
33208	CPT	Hc Ins/rplc Pcmkr Atrial & Vent	423	262	$18,772.00	$16,894.80	$467.02	$18,584.28	$18,021.12	2026-03-31
33228	CPT	Hc Rplc Perm Gen Dual Lead	423	262	$18,772.00	$16,894.80	$324.09	$18,584.28	$18,021.12	2026-03-31
27487	CPT	Hc Rev Tot Knee Arthro Fem&tib	416	256	$18,631.00	$16,767.90	$1,637.47	$18,444.69	$17,885.76	2026-03-31
37280	CPT	Hc Revsc Evsc Tpvt Angio Sf 1st	416	256	$18,431.00	$16,587.90	$451.23	$18,246.69	$17,693.76	2026-03-31
37242	CPT	Hc Vasc Embl/occlude Arterial	423	262	$18,429.00	$16,586.10	$434.03	$18,244.71	$17,691.84	2026-03-31
36224	CPT	Hc Sel Cath Intrnl Cartd Artery	423	262	$18,425.00	$16,582.50	$326.66	$18,240.75	$17,688.00	2026-03-31
33361	CPT	Hc Rplc Aortic Vlv Perc Fem Arty	423	262	$18,268.00	$16,441.20	$1,092.96	$18,085.32	$17,537.28	2026-03-31
C9765	HCPCS	Hc Revasc Intra Lithotrip-stent	421	261	$18,252.00	$16,426.80	$3,796.42	$18,069.48	$17,521.92	2026-03-31
27130	CPT	Hc Arthro Acetab&fem Prosth (tha)	422	261	$18,176.00	$16,358.40	$1,209.90	$17,994.24	$17,448.96	2026-03-31
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	836	261	$64,435.90	$57,992.31	$2,141.15	$117,392.02	$17,427.62	2026-03-31
22514	CPT	Hc Perc Vert Agmntj Cav Crtj Lmbr	423	262	$18,014.00	$16,212.60	$443.95	$17,833.86	$17,293.44	2026-03-31
22513	CPT	Hc Perc Vertebplsty Cavty Img Guid 1	423	262	$18,014.00	$16,212.60	$474.11	$17,833.86	$17,293.44	2026-03-31
33212	CPT	Hc Ins Pcmkr Pls Gen Exist 1 Lead	423	262	$17,791.00	$16,011.90	$300.89	$17,613.09	$17,079.36	2026-03-31
33207	CPT	Hc Ins/rplc Pcmkr Vent	423	262	$17,271.00	$15,543.90	$432.96	$17,098.29	$16,580.16	2026-03-31
C9764	HCPCS	Hc Revasc Intravasc Lithotripsy	421	261	$17,263.00	$15,536.70	$3,590.70	$17,090.37	$16,572.48	2026-03-31
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	420	262	$17,201.30	$15,481.17	$3,577.87	$17,029.29	$16,513.25	2026-03-31
J9039	HCPCS	Blinatumomab 35 Mcg Intravenous (wrapper)	420	262	$16,850.20	$15,165.18	$3,504.84	$16,681.70	$16,176.19	2026-03-31
33418	CPT	Hc Txcath Mitral Valve Repair Ini	416	256	$16,727.00	$15,054.30	$1,606.85	$16,559.73	$16,057.92	2026-03-31
92928	CPT	Hc Plc Intracor Stnt Sngl	423	262	$16,290.00	$14,661.00	$469.43	$16,127.10	$15,638.40	2026-03-31
93459	CPT	Hc Cath Plc Arty/grft Ang W L Hrt	423	262	$16,266.00	$14,639.40	$1,175.91	$16,103.34	$15,615.36	2026-03-31
J9332	HCPCS	Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution (restricted)	418	261	$16,210.50	$14,589.45	$3,371.78	$16,048.40	$15,562.08	2026-03-31
50592	CPT	Hc Ablation Renal Tumors Unilat Rf	423	262	$16,054.00	$14,448.60	$320.95	$15,893.46	$15,411.84	2026-03-31
93457	CPT	Hc Cath Plc Arty/grft Ang W R Hrt	423	262	$15,907.00	$14,316.30	$1,292.01	$15,747.93	$15,270.72	2026-03-31
36905	CPT	Hc Av Fistula Pta Thrombectomy	423	262	$15,842.00	$14,257.80	$406.97	$15,683.58	$15,208.32	2026-03-31
93461	CPT	Hc Cath Plc Art/grft Ang W R&l Hrt	423	262	$15,470.00	$13,923.00	$1,437.58	$15,315.30	$14,851.20	2026-03-31
93655	CPT	Hc Ablt Arrhythmia Add On	423	262	$15,469.00	$13,922.10	$264.33	$15,314.31	$14,850.24	2026-03-31
37263	CPT	Hc Revsc Evasc Fpvt Angio Sf 1	416	256	$15,430.00	$13,887.00	$359.08	$15,275.70	$14,812.80	2026-03-31
23472	CPT	Hc Arthro Glh Jt Total Shoulder	422	261	$15,414.00	$13,872.60	$1,358.50	$15,259.86	$14,797.44	2026-03-31
93596	CPT	Hc R&l Hrt Cath Chd Nml Nt Cnj	421	261	$15,395.00	$13,855.50	$3,202.16	$15,241.05	$14,779.20	2026-03-31
93657	CPT	Hc Ablt Atrium Add Linear Cath	423	262	$15,263.00	$13,736.70	$264.33	$15,110.37	$14,652.48	2026-03-31
27447	CPT	Hc Arthro Knee Condyle&plat (tka)	422	261	$15,192.00	$13,672.80	$1,207.71	$15,040.08	$14,584.32	2026-03-31
C9605	HCPCS	Hc Perc Translum Revasc Addl Vssl	421	261	$14,833.00	$13,349.70	$3,085.26	$14,684.67	$14,239.68	2026-03-31
61624	CPT	Hc Txcath Occl/embl Cns	423	262	$14,731.00	$13,257.90	$1,023.45	$14,583.69	$14,141.76	2026-03-31
33285	CPT	Hc Impl Pt Actv Card Event Record	423	262	$14,581.00	$13,122.90	$76.95	$14,435.19	$13,997.76	2026-03-31
36227	CPT	Hc Sel Cath Ext Cartd W Angio	423	262	$14,543.00	$13,088.70	$106.28	$14,397.57	$13,961.28	2026-03-31
37236	CPT	Hc Plc Opn/perc Stent Init	423	262	$14,498.00	$13,048.20	$394.37	$14,353.02	$13,918.08	2026-03-31
33990	CPT	Hc Ins Perc Vent Assist Dev Left Heart Arterial Only W Img	416	256	$14,430.00	$12,987.00	$317.22	$14,285.70	$13,852.80	2026-03-31
J9011	HCPCS	Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted)	411	254	$14,341.70	$12,907.53	$2,983.07	$14,198.28	$13,768.03	2026-03-31
33227	CPT	Hc Rplc Perm Gen Sngl Lead	423	262	$14,291.00	$12,861.90	$310.71	$14,148.09	$13,719.36	2026-03-31
33216	CPT	Hc Ins Sngl Eltrd/ppcmkr/icd	423	262	$14,185.00	$12,766.50	$341.67	$14,043.15	$13,617.60	2026-03-31
J0491	HCPCS	Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution	418	261	$14,154.70	$12,739.23	$2,944.18	$14,013.15	$13,588.51	2026-03-31
27486	CPT	Hc Rev Tot Knee Arthro 1 Compnt	414	261	$14,298.00	$12,868.20	$1,155.81	$14,155.02	$13,583.10	2026-03-31
93458	CPT	Hc Cath Plc Arty/vent Ang W L Hrt	423	262	$14,048.00	$12,643.20	$1,093.36	$13,907.52	$13,486.08	2026-03-31
93456	CPT	Hc Cath Plc Cor Arty/ang W Rt Hrt	423	262	$13,612.00	$12,250.80	$1,185.08	$13,475.88	$13,067.52	2026-03-31
C9601	HCPCS	Hc Perc Transcath Plct Drug Stnt Add	421	261	$13,611.00	$12,249.90	$2,831.09	$13,474.89	$13,066.56	2026-03-31
A9586	HCPCS	Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution	421	261	$13,597.50	$12,237.75	$2,828.28	$13,461.53	$13,053.60	2026-03-31
33992	CPT	Hc Rmvl Perc Vent Assist Dev Left Heart,art &/or Art&ven	416	256	$13,582.00	$12,223.80	$166.89	$13,446.18	$13,038.72	2026-03-31
47534	CPT	Hc Plc Biliary Drn Cath Intrnl-extrnl	423	262	$13,512.00	$12,160.80	$340.69	$13,376.88	$12,971.52	2026-03-31
36223	CPT	Hc Sel Cath Cartd Angio Intrcr	423	262	$13,117.00	$11,805.30	$293.86	$12,985.83	$12,592.32	2026-03-31
33210	CPT	Hc Ins/rplc Temp Elec/pcmkr Sngl	416	256	$13,073.00	$11,765.70	$143.49	$12,942.27	$12,550.08	2026-03-31
33244	CPT	Hc Rmvl Icd Elec Transven Extract	423	262	$13,004.00	$11,703.60	$786.73	$12,873.96	$12,483.84	2026-03-31
93460	CPT	Hc Cath Plc Art/ven Ang W R&l Hrt	423	262	$12,980.00	$11,682.00	$1,304.61	$12,850.20	$12,460.80	2026-03-31
37191	CPT	Hc Insert Evasc Vena Cava Filter	423	262	$12,886.00	$11,597.40	$201.53	$12,757.14	$12,370.56	2026-03-31
47382	CPT	Hc Ablt >=1 Lvr Tmr Perc Radiofreq	423	262	$12,681.00	$11,412.90	$688.39	$12,554.19	$12,173.76	2026-03-31
33233	CPT	Hc Rmvl Pcmkr Pulse Gen Only	423	262	$12,665.00	$11,398.50	$221.00	$12,538.35	$12,158.40	2026-03-31
50695	CPT	Hc Plc Ureter Stnt New W Nephrost Cath	423	262	$12,492.00	$11,242.80	$316.05	$12,367.08	$11,992.32	2026-03-31
36222	CPT	Hc Sel Cath Cartd Angio Extracran	423	262	$12,482.00	$11,233.80	$253.79	$12,357.18	$11,982.72	2026-03-31
J9038	HCPCS	Axatilimab-csfr 50 Mg/ml Intravenous Solution	836	261	$20,965.20	$18,868.68	$2,569.13	$29,283.01	$11,981.05	2026-03-31
92937	CPT	Hc Perc Revasc Trans Cor Sngl Vesl	423	262	$12,411.00	$11,169.90	$530.10	$12,286.89	$11,914.56	2026-03-31
J9309	HCPCS	Polatuzumab Vedotin-piiq 30 Mg/1.5 Ml Intravenous Solution (wetted)	420	262	$12,221.80	$10,999.62	$2,542.13	$12,099.58	$11,732.93	2026-03-31
37248	CPT	Hc Pta Venous Initial	423	262	$12,195.00	$10,975.50	$272.87	$12,073.05	$11,707.20	2026-03-31
19318	CPT	Hc Breast Reduc	414	261	$12,274.00	$11,046.60	$896.81	$12,151.26	$11,660.30	2026-03-31
J9200	HCPCS	Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted)	413	256	$12,145.60	$10,931.04	$2,526.28	$12,024.14	$11,659.78	2026-03-31
J9354	HCPCS	Ado-trastuzumab Emtansine 100 Mg/5 Ml Intravenous Solution (wetted)	840	262	$15,470.15	$13,923.13	$2,496.83	$18,746.94	$11,643.88	2026-03-31
A9582	HCPCS	Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln	421	261	$12,059.00	$10,853.10	$2,508.27	$11,938.41	$11,576.64	2026-03-31
77373	CPT	Hc Stereotactic Body Radtn Del	423	262	$12,049.00	$10,844.10	$1,071.94	$11,928.51	$11,567.04	2026-03-31
0913T	CPT	Hc Prq Tcat Ther Rx Ntrac Balo1	421	261	$11,995.00	$10,795.50	$2,494.96	$11,875.05	$11,515.20	2026-03-31
J9312	HCPCS	Rituximab 10 Mg/ml Concentrate,intravenous	420	262	$11,961.30	$10,765.17	$2,487.95	$11,841.69	$11,482.85	2026-03-31
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	413	256	$11,949.80	$10,754.82	$2,485.56	$11,830.30	$11,471.81	2026-03-31
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	414	254	$11,901.00	$10,710.90	$2,475.41	$11,781.99	$11,424.96	2026-03-31
29888	CPT	Hc Arthsc Aid Acl Rpr	414	261	$11,969.00	$10,772.10	$812.18	$11,849.31	$11,370.55	2026-03-31
33235	CPT	Hc Rmvl Pcmkr Elec Dual Lead Sys	423	262	$11,804.00	$10,623.60	$584.20	$11,685.96	$11,331.84	2026-03-31
33234	CPT	Hc Rmvl Pcmkr Elec 1 Lead Sys	423	262	$11,804.00	$10,623.60	$440.96	$11,685.96	$11,331.84	2026-03-31
A9548	HCPCS	Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution	423	262	$11,758.00	$10,582.20	$2,445.66	$11,640.42	$11,287.68	2026-03-31
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe	419	261	$11,722.90	$10,550.61	$1,842.56	$11,605.67	$11,253.98	2026-03-31
37211	CPT	Hc Transcath Artl Thpy W S&i Init	416	256	$11,720.00	$10,548.00	$347.51	$11,602.80	$11,251.20	2026-03-31
37212	CPT	Hc Transcath Ven Thpy W S&i Init	423	262	$11,720.00	$10,548.00	$305.06	$11,602.80	$11,251.20	2026-03-31
47533	CPT	Hc Plc Biliary Drn Cath Extrnl	423	262	$11,706.00	$10,535.40	$244.10	$11,588.94	$11,237.76	2026-03-31
50593	CPT	Hc Ablation Renal Tumor Perc Cryo	423	262	$11,540.00	$10,386.00	$429.62	$11,424.60	$11,078.40	2026-03-31
20982	CPT	Hc Ablation Bn Tmr Radiofrequency	423	262	$11,497.00	$10,347.30	$338.43	$11,382.03	$11,037.12	2026-03-31
37246	CPT	Hc Pta Arterial Initial	423	262	$11,395.00	$10,255.50	$317.20	$11,281.05	$10,939.20	2026-03-31
27446	CPT	Hc Arthro Knee Med/lat Cmprt (unilat)	416	256	$11,391.00	$10,251.90	$1,092.79	$11,277.09	$10,935.36	2026-03-31
37283	CPT	Hc Rvsc Evsc Tpvt Angio Cplx Ea	416	256	$11,289.00	$10,160.10	$194.37	$11,176.11	$10,837.44	2026-03-31
33215	CPT	Hc Reposition Pcmkr/lead Ra/rv	423	262	$11,187.00	$10,068.30	$282.50	$11,075.13	$10,739.52	2026-03-31
J9061	HCPCS	Amivantamab-vmjw 50 Mg/ml Intravenous Solution	418	261	$11,050.10	$9,945.09	$2,298.42	$10,939.60	$10,608.10	2026-03-31
25405	CPT	Hc Rpr Non/malunion Rad/uln W Autgrft	416	256	$11,041.00	$9,936.90	$986.70	$10,930.59	$10,599.36	2026-03-31
93650	CPT	Hc Ablt Av Node	423	262	$10,956.00	$9,860.40	$504.98	$10,846.44	$10,517.76	2026-03-31
J0896	HCPCS	Luspatercept-aamt 25 Mg/0.5 Ml Subcutaneous Solution (wetted)	420	262	$10,855.90	$9,770.31	$2,258.03	$10,747.34	$10,421.66	2026-03-31
37183	CPT	Hc Revise Hepatic Shunt (tips)	423	262	$10,811.00	$9,729.90	$345.69	$10,702.89	$10,378.56	2026-03-31
37249	CPT	Hc Pta Venous Ea Add	423	262	$10,655.00	$9,589.50	$132.50	$10,548.45	$10,228.80	2026-03-31
J9276	HCPCS	Zanidatamab-hrii 300 Mg/6 Ml Intravenous Solution (wetted)	411	254	$10,641.70	$9,577.53	$2,213.47	$10,535.28	$10,216.03	2026-03-31
93455	CPT	Hc Cath Plc Cor Arty/grft Angio	423	262	$10,631.00	$9,567.90	$1,060.27	$10,524.69	$10,205.76	2026-03-31
J2997	HCPCS	Alteplase 100 Mg Intravenous Solution	1,260	262	$10,620.30	$9,558.27	$119.70	$20,607.35	$10,195.49	2026-03-31
93602	CPT	Hc Recording Intra-atrial Elec	423	262	$10,593.00	$9,533.70	$168.65	$10,487.07	$10,169.28	2026-03-31
92986	CPT	Hc Perc Balloon Valvulo Aortic	423	262	$10,570.00	$9,513.00	$1,193.30	$10,464.30	$10,147.20	2026-03-31
RX-707829	CDM	Denileukin Diftitox-cxdl 150 Mcg/ml Intravenous Solution (wetted)	414	254	$10,558.20	$9,502.38	$2,196.11	$10,452.62	$10,135.87	2026-03-31
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	423	262	$10,470.00	$9,423.00	$2,177.76	$10,365.30	$10,051.20	2026-03-31
36251	CPT	Hc Sel Cath Renal Arty&angio Unilat	423	262	$10,438.00	$9,394.20	$231.58	$10,333.62	$10,020.48	2026-03-31
32994	CPT	Hc Ablate Pulm Tumor Perq Crybl	423	262	$10,405.00	$9,364.50	$408.72	$10,300.95	$9,988.80	2026-03-31
27870	CPT	Hc Arthrodesis Ankle Opn	422	261	$10,392.00	$9,352.80	$979.32	$10,288.08	$9,976.32	2026-03-31
66180	CPT	Hc Shnt Aqus Extraocl Rsrvr W Grft	423	262	$10,368.00	$9,331.20	$1,063.74	$10,264.32	$9,953.28	2026-03-31
93600	CPT	Hc Recording His Bundle	423	262	$10,347.00	$9,312.30	$209.54	$10,243.53	$9,933.12	2026-03-31
26123	CPT	Hc Fasctmy Palm Prtl W Sngl Dig	422	261	$10,343.00	$9,308.70	$827.38	$10,239.57	$9,929.28	2026-03-31
27822	CPT	Hc Opn Tx Trimalor Ank Fx Wo Fix	422	261	$10,320.00	$9,288.00	$874.58	$10,216.80	$9,907.20	2026-03-31
J2353	HCPCS	Octreotide,microspheres ER 10 Mg Intramuscular Susp, Extended Release	1,260	262	$10,265.30	$9,238.77	$1,650.63	$15,008.50	$9,854.69	2026-03-31
27726	CPT	Hc Rpr Non/malunion Fib W Fix	408	256	$10,362.00	$9,325.80	$917.75	$10,258.38	$9,843.90	2026-03-31
27245	CPT	Hc Tx Fem Fx W Intramedullry Impl	416	256	$10,242.00	$9,217.80	$1,167.96	$10,139.58	$9,832.32	2026-03-31
93620	CPT	Hc Ep Eval W Arrhythmia	423	262	$10,216.00	$9,194.40	$1,023.22	$10,113.84	$9,807.36	2026-03-31
66183	CPT	Hc Ins Antr Drn Wo Extrclr Rsrvr	423	262	$10,208.00	$9,187.20	$965.89	$10,105.92	$9,799.68	2026-03-31
37254	CPT	Hc Revsc Evasc Ivt Angio Sf 1st	416	256	$10,153.00	$9,137.70	$338.91	$10,051.47	$9,746.88	2026-03-31
24342	CPT	Hc Reins Tndn Bicep/tricep Distal	414	261	$10,255.00	$9,229.50	$655.09	$10,152.45	$9,742.25	2026-03-31
37184	CPT	Hc Thrmbct Mech Prim Perc Init Vsl	423	262	$10,144.00	$9,129.60	$390.24	$10,042.56	$9,738.24	2026-03-31
37193	CPT	Hc Rtrev/rmvl Evasc Venacava Fltr	423	262	$10,135.00	$9,121.50	$317.10	$10,033.65	$9,729.60	2026-03-31
36902	CPT	Hc Av Fistula Pta	423	262	$10,081.00	$9,072.90	$221.08	$9,980.19	$9,677.76	2026-03-31
66989	CPT	Hc Xcpsl Ctrc Rmvl Cplx Insj 1+	422	261	$10,058.00	$9,052.20	$788.00	$9,957.42	$9,655.68	2026-03-31
93453	CPT	Hc Rt&lt Hrt Cath W Ventriclgrphy	423	262	$10,027.00	$9,024.30	$1,208.52	$9,926.73	$9,625.92	2026-03-31
A9800	HCPCS	Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution	421	261	$10,000.00	$9,000.00	$2,080.00	$9,900.00	$9,600.00	2026-03-31
92920	CPT	Hc Ptca Sngl Mjr Arty/brnch	423	262	$9,982.00	$8,983.80	$391.93	$9,882.18	$9,582.72	2026-03-31
494	MS_DRG	Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc	2	2	—	—	$9,555.74	$9,555.74	$9,555.74	2026-03-31
58563	CPT	Hc Hysteroscopy Endometrial Ablt	425	261	$9,947.00	$8,952.30	$226.75	$10,737.86	$9,549.12	2026-03-31
93462	CPT	Hc Lt Hrt Cath Txsptl Punc	423	262	$9,916.00	$8,924.40	$179.42	$9,816.84	$9,519.36	2026-03-31
95716	CPT	Hc Veeg By Tech Ea Incr 12-26 Hr Cont R-t Mntr	423	262	$9,841.00	$8,856.90	$1,178.52	$9,742.59	$9,447.36	2026-03-31
93619	CPT	Hc Ep Eval Wo Arrhythmia	423	262	$9,837.00	$8,853.30	$751.42	$9,738.63	$9,443.52	2026-03-31
29807	CPT	Hc Arthsc Shldr Rpr Slap Lesn	414	261	$9,844.00	$8,859.60	$868.39	$9,745.56	$9,351.80	2026-03-31
36252	CPT	Hc Sel Cath Renal Arty&angio Bil	423	262	$9,739.00	$8,765.10	$314.77	$9,641.61	$9,349.44	2026-03-31
37238	CPT	Hc Plc Opn/perc Stent Same Init	423	262	$9,650.00	$8,685.00	$276.98	$9,553.50	$9,264.00	2026-03-31
67400	CPT	Hc Orbitotomy Exploration	416	256	$9,615.00	$8,653.50	$999.24	$9,518.85	$9,230.40	2026-03-31
28415	CPT	Hc Opn Tx Calcaneal Fx	422	261	$9,598.00	$8,638.20	$1,113.26	$9,502.02	$9,214.08	2026-03-31
93610	CPT	Hc Pacing Intra Atrial	423	262	$9,558.00	$8,602.20	$227.00	$9,462.42	$9,175.68	2026-03-31
26356	CPT	Hc Rpr Flex Tndn Zn 2 Prim Wo Grft	416	256	$9,552.00	$8,596.80	$800.50	$9,456.48	$9,169.92	2026-03-31
J9358	HCPCS	Fam-trastuzumab Deruxtecan-nxki 100 Mg/5 Ml Intravenous Solution (wetted)	420	262	$9,474.40	$8,526.96	$1,970.68	$9,379.66	$9,095.42	2026-03-31
PX-682000003	CDM	Hc Red Trauma Activ Level 2 No Cc	414	254	$9,405.00	$8,464.50	$1,956.24	$9,310.95	$9,028.80	2026-03-31
29806	CPT	Hc Arthsc Shldr Capsulorrhaphy	414	261	$9,501.00	$8,550.90	$887.24	$9,405.99	$9,025.95	2026-03-31
65755	CPT	Hc Keratoplasty Penetrate Pseudo	422	261	$9,334.00	$8,400.60	$1,166.81	$9,240.66	$8,960.64	2026-03-31
50694	CPT	Hc Plc Ureter Stnt New Wo Nephrost Cath	423	262	$9,292.00	$8,362.80	$246.96	$9,199.08	$8,920.32	2026-03-31
67904	CPT	Hc Rpr Blepharopt Levat Rsect Ext	422	261	$9,232.00	$8,308.80	$556.00	$9,139.68	$8,862.72	2026-03-31
93612	CPT	Hc Pacing Intra Ventricular	423	262	$9,194.00	$8,274.60	$239.41	$9,102.06	$8,826.24	2026-03-31
36225	CPT	Hc Sel Cath Subcl Arty Angio Vert	423	262	$9,155.00	$8,239.50	$291.04	$9,063.45	$8,788.80	2026-03-31
43276	CPT	Hc Ercp Stent Exchange W Dil	423	262	$9,096.00	$8,186.40	$451.25	$9,005.04	$8,732.16	2026-03-31
28725	CPT	Hc Arthrodesis Subtalar	415	261	$9,187.00	$8,268.30	$673.70	$9,095.13	$8,727.65	2026-03-31
58571	CPT	Hc Lap Tot Hyst Utrs<=250g W Tb/ov	414	261	$9,177.00	$8,259.30	$749.92	$9,085.23	$8,718.15	2026-03-31
58150	CPT	Hc Hysterectomy Total Abd	416	256	$9,028.00	$8,125.20	$970.22	$8,937.72	$8,666.88	2026-03-31
49616	CPT	Hc Rpr Aa Hrn Rcr 3-10 Ncr/strn	422	261	$9,026.00	$8,123.40	$788.74	$8,935.74	$8,664.96	2026-03-31
37187	CPT	Hc Thrmbct Mech Trluml Vein	423	262	$8,982.00	$8,083.80	$360.40	$8,892.18	$8,622.72	2026-03-31
J9205	HCPCS	Irinotecan Liposomal 4.3 Mg/ml Intravenous	420	262	$8,951.40	$8,056.26	$1,861.89	$8,861.89	$8,593.34	2026-03-31
36253	CPT	Hc Cath 2nd+ord Renal Artery Unilat	423	262	$8,947.00	$8,052.30	$325.48	$8,857.53	$8,589.12	2026-03-31
47383	CPT	Hc Ablt Perc Liver Tmr Cryoablat	423	262	$8,930.00	$8,037.00	$430.16	$8,840.70	$8,572.80	2026-03-31
43274	CPT	Hc Ercp Duct Stent Plc W Dil	423	262	$8,866.00	$7,979.40	$433.41	$8,777.34	$8,511.36	2026-03-31
27610	CPT	Hc Arthrt Ankle Explr/drn/rmvl Fb	416	256	$8,793.00	$7,913.70	$644.97	$8,705.07	$8,441.28	2026-03-31
25609	CPT	Hc Opn Tx Dist Rdl Inart Fx 3 Fix	422	261	$8,780.00	$7,902.00	$1,020.73	$8,692.20	$8,428.80	2026-03-31
PX-272001060	CDM	Hc Reboa Catheter	414	254	$8,770.00	$7,893.00	$1,824.16	$8,682.30	$8,419.20	2026-03-31
J1950	HCPCS	Leuprolide 3.75 Mg Intramuscular Syringe Kit	1,611	262	$8,575.30	$7,717.77	$653.49	$28,843.95	$8,318.04	2026-03-31
36478	CPT	Hc Endovenous Ablt Laser 1st Vein	843	262	$10,003.00	$9,002.70	$253.06	$9,902.97	$8,315.81	2026-03-31
27422	CPT	Hc Rcnst Disloc Patel Extn Realign	414	261	$8,686.00	$7,817.40	$638.20	$8,599.14	$8,251.70	2026-03-31
27814	CPT	Hc Opn Tx Bimalor Ank Fx	414	261	$8,675.00	$7,807.50	$654.67	$8,588.25	$8,241.25	2026-03-31
37200	CPT	Hc Transcatheter Biopsy	423	262	$8,560.00	$7,704.00	$199.04	$8,474.40	$8,217.60	2026-03-31
43266	CPT	Hc Egd W Stent Plc	423	262	$8,550.00	$7,695.00	$206.14	$8,464.50	$8,208.00	2026-03-31
29882	CPT	Hc Arthsc Kne W Mnsc Rpr Med/lat	422	261	$8,535.00	$7,681.50	$675.91	$8,449.65	$8,193.60	2026-03-31
J9326	HCPCS	Telisotuzumab Vedotin-tllv 20 Mg/ml Intravenous Solution (wrapper)	822	254	$23,807.30	$21,426.57	$1,713.05	$38,985.01	$8,172.11	2026-03-31
A9592	HCPCS	Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution	421	261	$8,500.00	$7,650.00	$1,768.00	$8,415.00	$8,160.00	2026-03-31
35206	CPT	Hc Rpr Blood Vssl Dir Upr Extrm	416	256	$8,492.00	$7,642.80	$741.39	$8,407.08	$8,152.32	2026-03-31
22515	CPT	Hc Perc Vert Agmnt Mech Ea Add	423	262	$8,484.00	$7,635.60	$194.84	$8,399.16	$8,144.64	2026-03-31
58262	CPT	Hc Hyst Vag <=250g Rmvl Tubes/ov	408	256	$8,550.00	$7,695.00	$860.07	$8,464.50	$8,122.50	2026-03-31
29891	CPT	Hc Arthsc Ankle Excisn Defect	415	261	$8,540.00	$7,686.00	$586.47	$8,454.60	$8,113.00	2026-03-31
29898	CPT	Hc Arthsc Ankle Drbd Exten	414	261	$8,540.00	$7,686.00	$485.99	$8,454.60	$8,113.00	2026-03-31
29827	CPT	Hc Arthsc Shldr W Rotator Cuff Rpr	423	261	$8,443.00	$7,598.70	$1,023.97	$8,358.57	$8,105.28	2026-03-31
PX-360000008	CDM	Hc Or Level 12	528	254	$8,413.00	$7,571.70	$1,749.90	$8,328.87	$8,076.48	2026-03-31
43265	CPT	Hc Ercp W Destruct Calculi	423	262	$8,403.00	$7,562.70	$405.82	$8,318.97	$8,066.88	2026-03-31
43240	CPT	Hc Egd W Transmural Drn	423	262	$8,403.00	$7,562.70	$368.33	$8,318.97	$8,066.88	2026-03-31
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	811	262	$8,261.00	$7,434.90	$1,718.29	$10,697.15	$8,013.17	2026-03-31
29879	CPT	Hc Arthsc Knee Abrasion Arthro	414	261	$8,433.00	$7,589.70	$569.87	$8,348.67	$8,011.35	2026-03-31
66991	CPT	Hc Xcapsl Ctrc Rmvl Insj 1+	423	262	$8,314.00	$7,482.60	$638.68	$8,230.86	$7,981.44	2026-03-31
29828	CPT	Hc Arthsc Shldr Biceps Tenodesis	426	262	$8,295.00	$7,465.50	$130.13	$8,212.05	$7,963.20	2026-03-31
63650	CPT	Hc Impl Neurostim Elec Perc Epi	845	262	$8,190.00	$7,371.00	$405.12	$9,196.11	$7,944.30	2026-03-31
J9286	HCPCS	Glofitamab-gxbm 1 Mg/ml Intravenous Solution	836	261	$19,601.00	$17,640.90	$1,686.96	$30,780.68	$7,907.64	2026-03-31
49595	CPT	Hc Rpr Aa Hrn 1st > 10 Rdc	416	256	$8,193.00	$7,373.70	$711.36	$8,111.07	$7,865.28	2026-03-31
59510	CPT	Hc Routine C/s Ante/postprtum Pkg	416	256	$8,191.00	$7,371.90	$1,703.73	$8,109.09	$7,863.36	2026-03-31
66982	CPT	Hc Rmvl Cataract Extracap Cmplx	425	262	$8,179.00	$7,361.10	$691.14	$8,097.21	$7,851.84	2026-03-31
38745	CPT	Hc Axillary Lymphadenectomy Compl	416	256	$8,095.00	$7,285.50	$862.13	$8,014.05	$7,771.20	2026-03-31
37237	CPT	Hc Plc Opn/perc Stent Ea Add	423	262	$8,088.00	$7,279.20	$188.52	$8,007.12	$7,764.48	2026-03-31
SUP-ZNEUWPR20CM15GA	CDM	Probe Certus Pr 20cm	414	254	$8,064.00	$7,257.60	$1,677.31	$7,983.36	$7,741.44	2026-03-31
27438	CPT	Hc Arthro Patella W Prosthesis	422	261	$8,054.00	$7,248.60	$819.47	$7,973.46	$7,731.84	2026-03-31
25448	CPT	Hc Arthrp Intercarp/carp/mtcrpl Jt Susp	422	261	$8,034.00	$7,230.60	$866.35	$7,953.66	$7,712.64	2026-03-31
36904	CPT	Hc Av Fistula Thrombectomy	423	262	$8,033.00	$7,229.70	$336.84	$7,952.67	$7,711.68	2026-03-31
19307	CPT	Hc Mastect Radical Modified	416	256	$8,027.00	$7,224.30	$1,156.38	$7,946.73	$7,705.92	2026-03-31
29876	CPT	Hc Arthsc Knee Synovectomy Mjr	422	261	$8,022.00	$7,219.80	$647.21	$7,941.78	$7,701.12	2026-03-31
66600	CPT	Hc Iridectomy W Corneal Section	416	256	$8,006.00	$7,205.40	$867.94	$7,925.94	$7,685.76	2026-03-31
26370	CPT	Hc Rpr Rofundus Tndn Prim Ea	416	256	$8,003.00	$7,202.70	$815.14	$7,922.97	$7,682.88	2026-03-31
J0870	HCPCS	Imetelstat 188 Mg/6 Ml Intravenous Solution (wetted)	836	261	$18,974.25	$17,076.82	$1,634.82	$29,787.91	$7,663.21	2026-03-31
49594	CPT	Hc Rpr Aa Hrn 1st 3-10 Ncr/strn	424	261	$7,966.00	$7,169.40	$686.80	$11,647.20	$7,647.36	2026-03-31
37281	CPT	Hc Revsc Evsc Tpvt Angio Sf Ea	416	256	$7,926.00	$7,133.40	$136.65	$7,846.74	$7,608.96	2026-03-31
36908	CPT	Hc Av Fistula Stent Central	423	262	$7,898.00	$7,108.20	$189.64	$7,819.02	$7,582.08	2026-03-31
27310	CPT	Hc Arthrt Knee Explr/drn/rmvl Fb	416	256	$7,877.00	$7,089.30	$723.68	$7,798.23	$7,561.92	2026-03-31
14301	CPT	Hc Tiss Xfer Adj 30.1-60scm	423	261	$7,865.00	$7,078.50	$815.30	$7,786.35	$7,550.40	2026-03-31
44960	CPT	Hc Appendectomy Ruptr W Abscess	416	256	$7,841.00	$7,056.90	$839.83	$7,762.59	$7,527.36	2026-03-31
58260	CPT	Hc Hysterectomy Vaginal <=250 G	416	256	$7,836.00	$7,052.40	$779.62	$7,757.64	$7,522.56	2026-03-31
66986	CPT	Hc Exchange Intraocular Lens	414	261	$7,900.00	$7,110.00	$728.25	$7,821.00	$7,505.00	2026-03-31
66174	CPT	Hc Trnslmn Dil Aqus Wo Dev/stent	423	262	$7,781.00	$7,002.90	$592.89	$7,703.19	$7,469.76	2026-03-31
25447	CPT	Hc Arthro Intercarp/cmc Jt	422	261	$7,777.00	$6,999.30	$787.07	$7,699.23	$7,465.92	2026-03-31
29892	CPT	Hc Arthsc Repair Ankle	416	256	$7,767.00	$6,990.30	$643.00	$7,689.33	$7,456.32	2026-03-31
27386	CPT	Hc Sutr Quad/hamstrng Rupt Scndry	416	256	$7,738.00	$6,964.20	$851.48	$7,660.62	$7,428.48	2026-03-31
37182	CPT	Hc Ins Hepatic Shunt (tips)	423	262	$7,734.00	$6,960.60	$752.89	$7,656.66	$7,424.64	2026-03-31
36482	CPT	Hc Endoven Ther Chem Adhes 1st	843	262	$10,211.00	$9,189.90	$161.56	$10,108.89	$7,423.41	2026-03-31
J9317	HCPCS	Sacituzumab Govitecan-hziy 180 Mg/18 Ml Intravenous Solution (wetted)	420	262	$7,731.10	$6,957.99	$1,608.07	$7,653.79	$7,421.86	2026-03-31
30520	CPT	Hc Septo/subm Resec W/wo Cart Grft	428	261	$7,712.00	$6,940.80	$661.41	$7,634.88	$7,403.52	2026-03-31
Q5136	HCPCS	Denosumab-bbdz 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution	414	254	$7,709.90	$6,938.91	$1,603.66	$7,632.80	$7,401.50	2026-03-31
25280	CPT	Hc Lngth/shrt Flxr/extsr Tndn Ea	416	256	$7,679.00	$6,911.10	$562.98	$7,602.21	$7,371.84	2026-03-31
50433	CPT	Hc Plc Nephroureteral Cath Perc New	423	262	$7,657.00	$6,891.30	$236.46	$7,580.43	$7,350.72	2026-03-31
PX-360000006	CDM	Hc Or Level 11	528	254	$7,649.00	$6,884.10	$1,590.99	$7,572.51	$7,343.04	2026-03-31
29880	CPT	Hc Arthsc Kne W Mnscectomy Med&lat	422	261	$7,642.00	$6,877.80	$562.22	$7,565.58	$7,336.32	2026-03-31
29884	CPT	Hc Arthsc Knee W Lysis Adhesn	422	261	$7,636.00	$6,872.40	$617.38	$7,559.64	$7,330.56	2026-03-31
58570	CPT	Hc Lap W Total Hyst Utrs<=250g	416	256	$7,634.00	$6,870.60	$760.18	$7,557.66	$7,328.64	2026-03-31
25575	CPT	Hc Opn Tx Rdl&uln Fx W Fix Rad&uln	408	256	$7,689.00	$6,920.10	$889.12	$7,612.11	$7,304.55	2026-03-31
33952	CPT	Hc Ecmo Insert Cannula >=6yr Perc	416	256	$7,573.00	$6,815.70	$391.30	$7,497.27	$7,270.08	2026-03-31
49418	CPT	Hc Ins Intraperitoneal Cath W Img	423	262	$7,564.00	$6,807.60	$187.69	$7,488.36	$7,261.44	2026-03-31
58662	CPT	Hc Lap W Fulg/exc Lesn Ov/visc/perit	416	261	$7,636.00	$6,872.40	$586.17	$7,559.64	$7,254.20	2026-03-31
93454	CPT	Hc Cath Plc Cor Arty Angio S&i	423	262	$7,550.00	$6,795.00	$951.22	$7,474.50	$7,248.00	2026-03-31
27626	CPT	Hc Arthrt Ank Syno&tnosyno	416	256	$7,539.00	$6,785.10	$602.62	$7,463.61	$7,237.44	2026-03-31
27698	CPT	Hc Rpr Ank Secndry Disrup Lgmnt	415	261	$7,617.00	$6,855.30	$552.38	$7,540.83	$7,236.15	2026-03-31
66850	CPT	Hc Rmvl Lens Material Phacofragm	422	261	$7,532.00	$6,778.80	$734.29	$7,456.68	$7,230.72	2026-03-31
24538	CPT	Hc Fix Skel Perc Supra Hum Fx	408	256	$7,570.00	$6,813.00	$792.76	$7,494.30	$7,191.50	2026-03-31

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