Hospital

POWELL VALLEY HOSPITAL

Powell, WY · CCN 531310 · Rates published

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You selected 93350 (HCPCS)

Ultrasound of heart during rest, exercise and/or drug-induced stress with report

This hospital’s price: $1,052 across 16 payers · range $67-$2,172

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPowellValleyWY&type=CDMWithoutLabel&fileType=CSV · observed 2026-09-11

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.

8,193 distinct procedures filed

16 distinct payers

126,036 rate rows

2026-09-11 last MRF observed

Data quality

124,102 of 126,036 rate rows are consumer-grade (98.5%)

1,934 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	920
percent-of-charges filed in the dollar field — excluded from medians	453
template filing: same amount across many unrelated codes — excluded	435
per-diem day rate — not a per-procedure price	111
placeholder amount (≤ $0.02) — excluded from medians	15

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPowellValleyWY&type=CDMWithoutLabel&fileType=CSV
Found on page	https://www.pvhc.org/patients-visitors/our-prices/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-18
Content fingerprint	eb4c25854fed2065… · 44,246,692 bytes · first seen 2026-09-12

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
J1823 HCPCS	Injection, Inebilizumab-cdon, 1 Mg	11	$44,438.07	$91,774.28	$86,944.05	nat. median $818 outlier · 106.3×
J3357 HCPCS	Ustekinumab, For Subcutaneous Injection, 1 Mg	16	$19,548.74	$40,372.39	$39,358.82	nat. median $14,697 outlier · 2.7×
J9229 HCPCS	Injection, Inotuzumab Ozogamicin, 0.1 Mg	16	$19,383.25	$40,030.63	$39,025.65	nat. median $6,172 outlier · 6.3×
J9153 HCPCS	Injection, Liposomal, 1 Mg Daunorubicin And 2.27 Mg Cytarabine	16	$17,031.50	$35,173.75	$34,290.71	nat. median $632 outlier · 54.2×
J2350 HCPCS	Injection, Ocrelizumab, 1 Mg	16	$16,382.33	$33,833.06	$32,983.68	nat. median $414 outlier · 79.6×
J3241 HCPCS	Injection, Teprotumumab-trbw, 10 Mg	11	$16,119.55	$33,290.38	$31,538.25	nat. median $718 outlier · 43.9×
J9334 HCPCS	Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc	11	$15,106.63	$31,198.48	$29,556.45	nat. median $83 outlier · 357.2×
J9309 HCPCS	Injection, Polatuzumab Vedotin-piiq, 1 Mg	16	$14,361.20	$29,659.00	$28,914.40	nat. median $4,472 outlier · 6.5×
22513 HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	10	$439.95	$26,713.05	$26,010.07	nat. median $8,377 outlier · 3.1×
22514 HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	15	$411.69	$25,498.95	$24,095.56	nat. median $8,399 outlier · 2.9×
J9228 HCPCS	Injection, Ipilimumab, 1 Mg	16	$7,776.30	$64,181.05	$23,568.44	nat. median $8,966 outlier · 2.6×
J9043 HCPCS	Injection, Cabazitaxel, 1 Mg	16	$11,511.50	$23,773.75	$23,176.90	nat. median $735 outlier · 31.6×
J9042 HCPCS	Injection, Brentuximab Vedotin, 1 Mg	16	$11,511.50	$23,773.75	$23,176.90	nat. median $962 outlier · 24.1×
27134 HCPCS	Revision Of Thigh Bone And Hip Joint Prosthesis	15	$1,640.89	$23,363.35	$22,205.05	nat. median $9,314 outlier · 2.4×
J9272 HCPCS	Injection, Dostarlimab-gxly, 10 Mg	16	$10,647.28	$21,988.94	$21,436.90	nat. median $786 outlier · 27.3×
J9119 HCPCS	Injection, Cemiplimab-rwlc, 1 Mg	16	$9,767.53	$20,172.06	$19,665.64	nat. median $91 outlier · 216.0×
22861 HCPCS	Revision Of Total Disc Replacement In Upper Back	15	$2,129.65	$18,292.25	$17,285.72	nat. median $8,407 outlier · 2.1×
6827258589 CDM	Minerva Surgical Rf Contrler	5	$15,321.25	$17,123.75	$16,763.25	nat. median $16,763 1.0× median
J9223 HCPCS	Injection, Lurbinectedin, 0.1 Mg	16	$8,303.00	$17,147.50	$16,717.01	nat. median $617 outlier · 27.1×
7828907_1 CDM	Pc-minerva Surgical Rf Contrle__pvh	11	$8,540.36	$17,637.70	$16,709.40	nat. median $16,709 1.0× median
27137 HCPCS	Revision Of Hip Socket Part Of Hip Prosthesis	15	$1,276.76	$17,472.40	$16,606.17	nat. median $7,969 outlier · 2.1×
J9144 HCPCS	Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj	16	$8,159.94	$16,852.05	$16,428.97	nat. median $211 outlier · 77.7×
J2356 HCPCS	Injection, Tezepelumab-ekko, 1 Mg	16	$7,605.41	$15,706.83	$15,312.51	nat. median $76 outlier · 202.2×
27228 HCPCS	Treatment Of Broken Bones Of Front And Back Column Or Wall Of Hip Socket With Pl…	15	$1,632.68	$15,603.75	$14,830.25	nat. median $5,358 outlier · 2.8×
27132 HCPCS	Total Hip Replacement After Previous Hip Surgery	15	$1,457.93	$15,565.75	$14,793.79	nat. median $9,932 1.5× median
22633 HCPCS	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	15	$1,626.64	$15,621.80	$14,762.06	nat. median $17,527 0.8× median
J2323 HCPCS	Injection, Natalizumab, 1 Mg	16	$7,236.61	$14,945.16	$14,569.96	nat. median $180 outlier · 81.1×
J3380 HCPCS	Injection, Vedolizumab, Intravenous, 1 Mg	16	$7,105.39	$14,674.18	$14,305.78	nat. median $155 outlier · 92.6×
J9301 HCPCS	Injection, Obinutuzumab, 10 Mg	16	$6,726.01	$13,890.66	$13,541.93	nat. median $286 outlier · 47.3×
27130 HCPCS	Replacement Of Thigh Bone And Hip Joint With Prosthesis	15	$1,126.85	$14,013.45	$13,318.62	nat. median $13,091 1.0× median
J9022 HCPCS	Injection, Atezolizumab, 10 Mg	16	$6,351.80	$18,731.63	$13,117.84	nat. median $6,720 2.0× median
J1932 HCPCS	Injection, Lanreotide, (cipla), 1 Mg	16	$6,449.20	$13,319.00	$12,984.62	nat. median $115 outlier · 113.2×
22214 HCPCS	Incision Or Removal Of Lower Spine Bone Segment	15	$1,390.67	$13,605.90	$12,857.19	nat. median $5,782 outlier · 2.2×
J3101 HCPCS	Injection, Tenecteplase, 1 Mg	16	$6,162.39	$15,228.98	$12,726.68	nat. median $3,787 outlier · 3.4×
22856 HCPCS	Insertion Of Artificial Upper Spine Disc, Anterior Approach	15	$1,457.82	$13,152.75	$12,428.80	nat. median $16,840 0.7× median
22558 HCPCS	Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc	15	$1,367.52	$13,107.15	$12,385.84	nat. median $8,334 1.5× median
27487 HCPCS	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	15	$1,525.89	$12,927.60	$12,286.97	nat. median $11,908 1.0× median
J9308 HCPCS	Injection, Ramucirumab, 5 Mg	16	$6,080.51	$12,557.58	$12,242.31	nat. median $1,489 outlier · 8.2×
6827253412 CDM	System Device Pacing Surescan Revo MRI	5	$11,171.38	$12,485.66	$12,222.80	nat. median $12,223 1.0× median
7826362_1 CDM	System Device Pacing Surescan Revo Mri__pvh	11	$6,227.02	$12,860.15	$12,183.30	nat. median $12,183 1.0× median
22551 HCPCS	Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…	15	$1,533.36	$12,811.70	$12,106.72	nat. median $12,537 1.0× median
0202T OTHER	Fusion Of Spinal Facet Joints Using Imaging Guidance	9	$4,783.50	$20,194.15	$12,090.27	nat. median $12,737 0.9× median
J9063 HCPCS	Injection, Mirvetuximab Soravtansine-gynx, 1 Mg	16	$5,977.47	$12,344.78	$12,034.86	nat. median $211 outlier · 57.1×
J1299 HCPCS	Injection, Eculizumab, 2 Mg	11	$6,010.36	$12,412.70	$11,759.40	nat. median $2,885 outlier · 4.1×
27447 HCPCS	Replacement Of Knee Joint, Both Sides Of Knee	15	$1,124.43	$12,439.30	$11,754.58	nat. median $12,739 0.9× median
63051 HCPCS	Reconstruction Of Upper Spine Bone And Posterior Bony Elements With Release Of U…	15	$1,509.29	$12,396.55	$11,714.36	nat. median $4,442 outlier · 2.6×
22830 HCPCS	Exploration Of Spine Fusion	15	$762.60	$12,334.80	$11,656.15	nat. median $6,048 1.9× median
J9015 HCPCS	Injection, Aldesleukin, Per Single Use Vial	16	$5,718.26	$11,809.45	$11,512.97	nat. median $6,069 1.9× median
22595 HCPCS	Fusion Of First 2 Spine Bones Through Back Of Neck	15	$1,432.42	$12,044.10	$11,446.91	nat. median $8,006 1.4× median
8930285_1 CDM	Prodisc C Sk Lg Deep 6mm__pvh	11	$5,758.74	$11,893.05	$11,267.10	nat. median $11,267 1.0× median

Other procedures at this hospital

Browse this hospital's 8,193 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

J1823	HCPCS	Injection, Inebilizumab-cdon, 1 Mg	11	11	$96,604.50	$96,604.50	$44,438.07	$91,774.28	$86,944.05	2026-09-11
J3357	HCPCS	Ustekinumab, For Subcutaneous Injection, 1 Mg	16	16	$42,497.25	$42,497.25	$19,548.74	$40,372.39	$39,358.82	2026-09-11
J9229	HCPCS	Injection, Inotuzumab Ozogamicin, 0.1 Mg	16	16	$42,137.50	$42,137.50	$19,383.25	$40,030.63	$39,025.65	2026-09-11
J9153	HCPCS	Injection, Liposomal, 1 Mg Daunorubicin And 2.27 Mg Cytarabine	16	16	$37,025.00	$37,025.00	$17,031.50	$35,173.75	$34,290.71	2026-09-11
J2350	HCPCS	Injection, Ocrelizumab, 1 Mg	16	16	$35,613.75	$35,613.75	$16,382.33	$33,833.06	$32,983.68	2026-09-11
J3241	HCPCS	Injection, Teprotumumab-trbw, 10 Mg	11	11	$35,042.50	$35,042.50	$16,119.55	$33,290.38	$31,538.25	2026-09-11
J9334	HCPCS	Injection, Efgartigimod Alfa, 2 Mg And Hyaluronidase-qvfc	11	11	$32,840.50	$32,840.50	$15,106.63	$31,198.48	$29,556.45	2026-09-11
J9309	HCPCS	Injection, Polatuzumab Vedotin-piiq, 1 Mg	16	16	$31,220.00	$31,220.00	$14,361.20	$29,659.00	$28,914.40	2026-09-11
22513	HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	10	10	$28,119.00	$28,119.00	$439.95	$26,713.05	$26,010.07	2026-09-11
22514	HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	24	15	$26,059.00	$22,150.15	$411.69	$25,498.95	$24,095.56	2026-09-11
J9228	HCPCS	Injection, Ipilimumab, 1 Mg	32	16	$42,232.00	$37,165.07	$7,776.30	$64,181.05	$23,568.44	2026-09-11
J9042	HCPCS	Injection, Brentuximab Vedotin, 1 Mg	16	16	$25,025.00	$25,025.00	$11,511.50	$23,773.75	$23,176.90	2026-09-11
J9043	HCPCS	Injection, Cabazitaxel, 1 Mg	16	16	$25,025.00	$25,025.00	$11,511.50	$23,773.75	$23,176.90	2026-09-11
27134	HCPCS	Revision Of Thigh Bone And Hip Joint Prosthesis	15	15	$24,593.00	$24,593.00	$1,640.89	$23,363.35	$22,205.05	2026-09-11
J9272	HCPCS	Injection, Dostarlimab-gxly, 10 Mg	16	16	$23,146.25	$23,146.25	$10,647.28	$21,988.94	$21,436.90	2026-09-11
J9119	HCPCS	Injection, Cemiplimab-rwlc, 1 Mg	16	16	$21,233.75	$21,233.75	$9,767.53	$20,172.06	$19,665.64	2026-09-11
22861	HCPCS	Revision Of Total Disc Replacement In Upper Back	24	15	$18,694.50	$15,890.33	$2,129.65	$18,292.25	$17,285.72	2026-09-11
6827258589	CDM	Minerva Surgical Rf Contrler	5	5	$18,025.00	$15,321.25	$15,321.25	$17,123.75	$16,763.25	2024-07-01
J9223	HCPCS	Injection, Lurbinectedin, 0.1 Mg	16	16	$18,050.00	$18,050.00	$8,303.00	$17,147.50	$16,717.01	2026-09-11
7828907_1	CDM	Pc-minerva Surgical Rf Contrle__pvh	11	11	$18,566.00	$18,566.00	$8,540.36	$17,637.70	$16,709.40	2026-09-11
27137	HCPCS	Revision Of Hip Socket Part Of Hip Prosthesis	15	15	$18,392.00	$18,392.00	$1,276.76	$17,472.40	$16,606.17	2026-09-11
J9144	HCPCS	Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj	16	16	$17,739.00	$17,739.00	$8,159.94	$16,852.05	$16,428.97	2026-09-11
J2356	HCPCS	Injection, Tezepelumab-ekko, 1 Mg	16	16	$16,533.50	$16,533.50	$7,605.41	$15,706.83	$15,312.51	2026-09-11
27228	HCPCS	Treatment Of Broken Bones Of Front And Back Column Or Wall Of Hip Socket With Pl…	15	15	$16,425.00	$16,425.00	$1,632.68	$15,603.75	$14,830.25	2026-09-11
27132	HCPCS	Total Hip Replacement After Previous Hip Surgery	15	15	$16,385.00	$16,385.00	$1,457.93	$15,565.75	$14,793.79	2026-09-11
22633	HCPCS	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	24	15	$15,965.00	$13,570.25	$1,626.64	$15,621.80	$14,762.06	2026-09-11
J2323	HCPCS	Injection, Natalizumab, 1 Mg	16	16	$15,731.75	$15,731.75	$7,236.61	$14,945.16	$14,569.96	2026-09-11
J3380	HCPCS	Injection, Vedolizumab, Intravenous, 1 Mg	16	16	$15,446.50	$15,446.50	$7,105.39	$14,674.18	$14,305.78	2026-09-11
J9301	HCPCS	Injection, Obinutuzumab, 10 Mg	16	16	$14,621.75	$14,621.75	$6,726.01	$13,890.66	$13,541.93	2026-09-11
27130	HCPCS	Replacement Of Thigh Bone And Hip Joint With Prosthesis	15	15	$14,751.00	$14,751.00	$1,126.85	$14,013.45	$13,318.62	2026-09-11
J9022	HCPCS	Injection, Atezolizumab, 10 Mg	32	16	$16,762.88	$15,284.07	$6,351.80	$18,731.63	$13,117.84	2026-09-11
J1932	HCPCS	Injection, Lanreotide, (cipla), 1 Mg	16	16	$14,020.00	$14,020.00	$6,449.20	$13,319.00	$12,984.62	2026-09-11
22214	HCPCS	Incision Or Removal Of Lower Spine Bone Segment	24	15	$13,905.00	$11,819.25	$1,390.67	$13,605.90	$12,857.19	2026-09-11
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	27	16	$13,396.50	$13,396.50	$6,162.39	$15,228.98	$12,726.68	2026-09-11
22856	HCPCS	Insertion Of Artificial Upper Spine Disc, Anterior Approach	24	15	$13,441.50	$11,425.28	$1,457.82	$13,152.75	$12,428.80	2026-09-11
22558	HCPCS	Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc	24	15	$13,395.20	$11,385.92	$1,367.52	$13,107.15	$12,385.84	2026-09-11
27487	HCPCS	Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis	15	15	$13,608.00	$13,608.00	$1,525.89	$12,927.60	$12,286.97	2026-09-11
J9308	HCPCS	Injection, Ramucirumab, 5 Mg	16	16	$13,218.50	$13,218.50	$6,080.51	$12,557.58	$12,242.31	2026-09-11
6827253412	CDM	System Device Pacing Surescan Revo MRI	5	5	$13,142.80	$11,171.38	$11,171.38	$12,485.66	$12,222.80	2024-07-01
7826362_1	CDM	System Device Pacing Surescan Revo Mri__pvh	11	11	$13,537.00	$13,537.00	$6,227.02	$12,860.15	$12,183.30	2026-09-11
22551	HCPCS	Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…	24	15	$13,093.40	$11,129.39	$1,533.36	$12,811.70	$12,106.72	2026-09-11
0202T	OTHER	Fusion Of Spinal Facet Joints Using Imaging Guidance	18	9	$13,286.00	$13,286.00	$4,783.50	$20,194.15	$12,090.27	2026-09-11
J9063	HCPCS	Injection, Mirvetuximab Soravtansine-gynx, 1 Mg	16	16	$12,994.50	$12,994.50	$5,977.47	$12,344.78	$12,034.86	2026-09-11
J1299	HCPCS	Injection, Eculizumab, 2 Mg	11	11	$13,066.00	$13,066.00	$6,010.36	$12,412.70	$11,759.40	2026-09-11
27447	HCPCS	Replacement Of Knee Joint, Both Sides Of Knee	24	15	$12,712.30	$10,805.46	$1,124.43	$12,439.30	$11,754.58	2026-09-11
63051	HCPCS	Reconstruction Of Upper Spine Bone And Posterior Bony Elements With Release Of U…	24	15	$12,669.00	$10,768.65	$1,509.29	$12,396.55	$11,714.36	2026-09-11
22830	HCPCS	Exploration Of Spine Fusion	24	15	$12,606.20	$10,715.27	$762.60	$12,334.80	$11,656.15	2026-09-11
J9015	HCPCS	Injection, Aldesleukin, Per Single Use Vial	16	16	$12,431.00	$12,431.00	$5,718.26	$11,809.45	$11,512.97	2026-09-11
22595	HCPCS	Fusion Of First 2 Spine Bones Through Back Of Neck	15	15	$12,678.00	$12,678.00	$1,432.42	$12,044.10	$11,446.91	2026-09-11
8930285_1	CDM	Prodisc C Sk Lg Deep 6mm__pvh	11	11	$12,519.00	$12,519.00	$5,758.74	$11,893.05	$11,267.10	2026-09-11
J9332	HCPCS	Injection, Efgartigimod Alfa-fcab, 2mg	16	16	$12,158.00	$12,158.00	$5,592.68	$11,550.10	$11,260.13	2026-09-11
29888	HCPCS	Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope	24	15	$12,087.10	$10,274.04	$865.67	$11,827.50	$11,176.47	2026-09-11
22630	HCPCS	Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac…	24	15	$12,033.50	$10,228.48	$1,442.29	$11,775.25	$11,127.00	2026-09-11
22612	HCPCS	Fusion Of Spine In Lower Back	24	15	$12,033.50	$10,228.48	$1,410.15	$11,775.25	$11,127.00	2026-09-11
22325	HCPCS	Treatment Of Broken Or Dislocated Lower Spine Bone	24	15	$11,853.20	$10,075.22	$1,385.20	$11,598.55	$10,960.15	2026-09-11
J9306	HCPCS	Injection, Pertuzumab, 1 Mg	16	16	$11,693.75	$11,693.75	$5,379.13	$11,109.06	$10,830.17	2026-09-11
63056	HCPCS	Release Of Lower Spinal Cord And/or Nerves, Single Segment	24	15	$11,680.20	$9,928.17	$1,342.66	$11,429.45	$10,800.27	2026-09-11
6827263057	CDM	Glenoshpere Expand Equinoxe 36	5	5	$11,597.80	$9,858.13	$9,858.13	$11,017.91	$10,785.95	2024-07-01
C1889	HCPCS	Implantable/insertable Device, Not Otherwise Classified	86	16	$11,670.00	$11,670.00	$149.50	$24,658.20	$10,763.50	2026-09-11
22327	HCPCS	Treatment Of Broken Or Dislocated Middle Spine Bone	24	15	$11,639.00	$9,893.15	$1,440.76	$11,388.60	$10,761.92	2026-09-11
8921723_1	CDM	Pc-glenoshpere Expand 36 +4mm__pvh	11	11	$11,948.00	$11,948.00	$5,496.08	$11,350.60	$10,753.20	2026-09-11
27702	HCPCS	Reconstruction Of Ankle Joint With Prosthesis	15	15	$11,900.00	$11,900.00	$862.20	$11,305.00	$10,744.76	2026-09-11
63045	HCPCS	Partial Removal Of Spine Bone With Release Of Upper Spinal Cord And/or Nerves, 1…	15	15	$11,809.00	$11,809.00	$1,194.56	$11,218.55	$10,662.36	2026-09-11
6827061834	CDM	Implant Lordotic Lateral Porou	5	5	$11,433.00	$9,718.05	$9,718.05	$10,861.35	$10,632.69	2024-07-01
50900	HCPCS	Suture Repair Of Ureter	15	15	$11,628.00	$11,628.00	$744.88	$11,046.60	$10,499.51	2026-09-11
27138	HCPCS	Revision Of Thigh Bone Prosthesis	15	15	$11,537.00	$11,537.00	$1,324.55	$10,960.15	$10,417.21	2026-09-11
63047	HCPCS	Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1…	24	15	$11,163.10	$9,488.64	$1,023.11	$10,923.10	$10,321.97	2026-09-11
J0517	HCPCS	Injection, Benralizumab, 1 Mg	16	16	$11,043.00	$11,043.00	$5,079.78	$10,490.85	$10,227.47	2026-09-11
J9271	HCPCS	Injection, Pembrolizumab, 1 Mg	16	16	$11,018.00	$11,018.00	$5,068.28	$10,467.10	$10,204.32	2026-09-11
27091	HCPCS	Removal Of Hip Prosthesis, Complicated	15	15	$11,289.00	$11,289.00	$1,393.56	$10,724.55	$10,192.99	2026-09-11
6827258770	CDM	Monitor Loop Cardiac Reveal Linq	5	5	$10,907.70	$9,271.55	$9,271.55	$10,362.32	$10,144.16	2024-07-01
7829018_1	CDM	Monitor Loop Cardiac Reveal Linq__pvh	11	11	$11,235.00	$11,235.00	$5,168.10	$10,673.25	$10,111.50	2026-09-11
39501	HCPCS	Repair Of Muscle Tissue Separating Chest And Abdominal Cavities	15	15	$11,107.00	$11,107.00	$781.23	$10,551.65	$10,028.28	2026-09-11
22554	HCPCS	Fusion Of Upper Spine Bones Through Front Of Neck With Partial Removal Of Disc	24	15	$10,758.40	$9,144.64	$1,165.42	$10,526.95	$9,947.68	2026-09-11
44155	HCPCS	Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Bowe…	15	15	$10,992.00	$10,992.00	$1,855.35	$10,442.40	$9,924.77	2026-09-11
24363	HCPCS	Prosthetic Repair Of Elbow Joint	15	15	$10,961.00	$10,961.00	$1,263.03	$10,412.95	$9,897.06	2026-09-11
27122	HCPCS	Repair Of Hip Socket With Removal Of Head Of Thigh Bone	15	15	$10,865.00	$10,865.00	$981.79	$10,321.75	$9,809.83	2026-09-11
60254	HCPCS	Removal Of Thyroid And Surrounding Lymph Nodes With Extensive Neck Removal	15	15	$10,824.00	$10,824.00	$1,433.73	$10,282.80	$9,773.46	2026-09-11
9121775_1	CDM	Pc-putty Magnetos Ez 1-2mm 5cc__pvh	11	11	$10,846.00	$10,846.00	$4,989.16	$10,303.70	$9,761.40	2026-09-11
C1831	HCPCS	Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable)	80	16	$10,694.00	$9,892.00	$2,927.90	$11,546.30	$9,624.60	2026-09-11
63655	HCPCS	Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine	15	15	$10,631.00	$10,631.00	$805.44	$10,099.45	$9,599.09	2026-09-11
63042	HCPCS	Partial Removal Of Spine Bone With Re-exploration, Release Of Lower Spinal Cord …	24	15	$10,376.20	$8,819.77	$1,172.04	$10,152.65	$9,594.13	2026-09-11
27486	HCPCS	Revision Of Component Of Total Knee Joint Prosthesis	15	15	$10,596.00	$10,596.00	$1,237.14	$10,066.20	$9,567.47	2026-09-11
63040	HCPCS	Partial Removal Of Spine Bone With Re-exploration, Release Of Upper Spinal Cord …	24	15	$10,286.60	$8,743.61	$1,234.53	$10,065.25	$9,511.42	2026-09-11
27125	HCPCS	Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis	15	15	$10,483.00	$10,483.00	$1,005.97	$9,958.85	$9,464.98	2026-09-11
63267	HCPCS	Removal Of Growth Of Lower Spine Bone Outside Spine Membrane	24	15	$10,176.40	$8,649.94	$1,264.40	$9,957.90	$9,409.74	2026-09-11
27415	HCPCS	Implantation Of Donor Cartilage Cells Into Knee Joint	15	15	$10,419.00	$10,419.00	$1,222.51	$9,898.05	$9,407.51	2026-09-11
27446	HCPCS	Replacement Of Knee Joint On Side Of Knee	15	15	$10,313.00	$10,313.00	$1,016.80	$9,797.35	$9,311.72	2026-09-11
63081	HCPCS	Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior …	24	15	$10,070.30	$8,559.76	$1,584.99	$9,853.40	$9,311.32	2026-09-11
63046	HCPCS	Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, …	15	15	$10,299.00	$10,299.00	$1,134.55	$9,784.05	$9,299.26	2026-09-11
63012	HCPCS	Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves	24	15	$9,876.70	$8,395.20	$1,100.85	$9,664.35	$9,132.49	2026-09-11
27429	HCPCS	Reconstruction Of Ligaments Inside And Outside Knee Joint	15	15	$10,110.00	$10,110.00	$1,140.43	$9,604.50	$9,128.79	2026-09-11
63005	HCPCS	Partial Removal Of Spine Bone With Exploration And/or Release Of Lower Spinal Co…	15	15	$10,109.00	$10,109.00	$1,139.26	$9,603.55	$9,127.86	2026-09-11
J0717	HCPCS	Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…	16	16	$9,815.25	$9,815.25	$4,515.02	$9,324.49	$9,090.40	2026-09-11
62223	HCPCS	Creation Of Brain Fluid Drainage Shunt, Ventriculo-peritoneal, -pleural, Other T…	15	15	$10,066.00	$10,066.00	$979.37	$9,562.70	$9,088.52	2026-09-11
35082	HCPCS	Repair Of Ruptured Aneurysm Of Abdominal Aorta With Graft	15	15	$9,987.00	$9,987.00	$1,864.89	$9,487.65	$9,017.65	2026-09-11
35103	HCPCS	Repair Of Ruptured Aneurysm Of Abdominal Aorta Involving Groin Arteries With Gra…	15	15	$9,987.00	$9,987.00	$1,871.74	$9,487.65	$9,017.65	2026-09-11
6827253541	CDM	Monitor Cardiac Reveal Xt	5	5	$9,579.00	$8,142.15	$8,142.15	$9,100.05	$8,908.47	2024-07-01
7826429_1	CDM	Monitor Cardiac Reveal Xt__pvh	11	11	$9,866.00	$9,866.00	$4,538.36	$9,372.70	$8,879.40	2026-09-11
63075	HCPCS	Removal Of Upper Spine Disc And Release Of Spinal Cord And/or Nerves, Single Int…	15	15	$9,821.00	$9,821.00	$1,233.21	$9,329.95	$8,867.27	2026-09-11
J0896	HCPCS	Injection, Luspatercept-aamt, 0.25 Mg	32	16	$15,250.38	$13,523.15	$3,436.66	$21,878.26	$8,845.57	2026-09-11
22600	HCPCS	Fusion Of Spine In Neck By Posterior Approach	24	15	$9,556.30	$8,122.86	$1,230.22	$9,350.85	$8,836.24	2026-09-11
23473	HCPCS	Revision Of Total Shoulder Repair	15	15	$9,767.00	$9,767.00	$1,397.78	$9,278.65	$8,818.45	2026-09-11
63020	HCPCS	Partial Removal Of Spine Bone With Release Of Upper Spinal Cord Or Nerves And/or…	24	15	$9,534.70	$8,104.50	$1,022.82	$9,329.95	$8,816.38	2026-09-11
23616	HCPCS	Treatment Of Broken Upper Arm Bone With Replacement	15	15	$9,754.00	$9,754.00	$1,089.47	$9,266.30	$8,806.91	2026-09-11
6827262470	CDM	Agilon Collagen Moldable 12cc	5	5	$9,465.70	$8,045.85	$8,045.85	$8,992.42	$8,803.10	2024-07-01
8192075_1	CDM	Pc-agilon Collagen Moldbl 12cc__pvh	11	11	$9,750.00	$9,750.00	$4,485.00	$9,262.50	$8,775.00	2026-09-11
47780	HCPCS	Roux-en-y Connection Of Bile Duct External To Liver To Small Bowel	15	15	$9,678.00	$9,678.00	$2,192.00	$9,194.10	$8,738.00	2026-09-11
6827262201	CDM	Femoral Component Right 65mm	5	5	$9,270.00	$7,879.50	$7,879.50	$8,806.50	$8,621.10	2024-07-01
6827262410	CDM	Vanguard Cr Ilok Fem-lt 60	5	5	$9,270.00	$7,879.50	$7,879.50	$8,806.50	$8,621.10	2024-07-01
C1764	HCPCS	Event Recorder, Cardiac (implantable)	16	16	$9,548.00	$9,548.00	$4,392.08	$9,070.60	$8,607.15	2026-09-11
23472	HCPCS	Prosthetic Repair Of Shoulder Joint, Total Shoulder	24	15	$9,304.00	$7,908.40	$1,262.43	$9,103.85	$8,602.89	2026-09-11
27472	HCPCS	Repair Of Nonhealed Broken Thigh Bone With Self Bone Graft	15	15	$9,526.00	$9,526.00	$1,122.31	$9,049.70	$8,601.01	2026-09-11
27513	HCPCS	Treatment Of Broken Thigh Bone In Knee Area	15	15	$9,525.00	$9,525.00	$1,072.52	$9,048.75	$8,599.99	2026-09-11
8142148_1	CDM	Pc-fem Cr Interloc Lt 60mm__pvh	11	11	$9,548.00	$9,548.00	$4,392.08	$9,070.60	$8,593.20	2026-09-11
8188124_1	CDM	Pc-fem Cr Interlok Rt 65mm__pvh	11	11	$9,548.00	$9,548.00	$4,392.08	$9,070.60	$8,593.20	2026-09-11
27269	HCPCS	Treatment Of Broken Head Of Thigh Bone	15	15	$9,490.00	$9,490.00	$1,087.49	$9,015.50	$8,568.46	2026-09-11
63709	HCPCS	Repair Of Cerebrospinal Fluid Leak With Partial Removal Of Vertebra	15	15	$9,472.00	$9,472.00	$1,039.44	$8,998.40	$8,552.09	2026-09-11
44207	HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope	15	15	$9,399.00	$9,399.00	$1,594.10	$8,929.05	$8,486.06	2026-09-11
29889	HCPCS	Repair Of Posterior Cruciate Ligament Of Knee Using An Endoscope	15	15	$9,368.00	$9,368.00	$1,100.94	$8,899.60	$8,458.26	2026-09-11
23474	HCPCS	Revision Of Total Shoulder Repair, Total Shoulder	15	15	$9,290.00	$9,290.00	$1,505.42	$8,825.50	$8,388.32	2026-09-11
J9354	HCPCS	Injection, Ado-trastuzumab Emtansine, 1 Mg	32	16	$11,444.50	$10,388.52	$4,052.26	$13,375.76	$8,368.79	2026-09-11
51900	HCPCS	Repair Of Abnormal Drainage Tract From Bladder Into Vagina Through Abdomen	15	15	$9,258.00	$9,258.00	$729.28	$8,795.10	$8,359.58	2026-09-11
22843	HCPCS	Placement Of Stabilizing Device To Back, 7-12 Spine Bone Segments	15	15	$9,230.00	$9,230.00	$691.04	$8,768.50	$8,333.73	2026-09-11
60252	HCPCS	Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal	15	15	$9,222.00	$9,222.00	$1,141.64	$8,760.90	$8,327.03	2026-09-11
63030	HCPCS	Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or…	24	15	$8,966.20	$7,621.27	$864.80	$8,773.25	$8,290.51	2026-09-11
6827250278	CDM	Gtr Extended 5 Hole	5	5	$8,858.00	$7,529.30	$7,529.30	$8,415.10	$8,237.94	2024-07-01
7825061_1	CDM	Pc-gtr Extended 5 Hole__pvh	11	11	$9,124.00	$9,124.00	$4,197.04	$8,667.80	$8,211.60	2026-09-11
22855	HCPCS	Removal Of Stabilizing Device From Front Of Spine	24	15	$8,849.80	$7,522.33	$1,008.24	$8,659.25	$8,182.84	2026-09-11
22610	HCPCS	Fusion Of Spine In Upper Back	24	15	$8,691.10	$7,387.44	$1,205.34	$8,504.40	$8,036.30	2026-09-11
22849	HCPCS	Reinsertion Of Spinal Fixation Device	24	15	$8,654.10	$7,355.99	$1,176.62	$8,468.30	$8,002.14	2026-09-11
49204	HCPCS	Exc/destruction Open Abdmnl Tumors 5.1-10.0 Cm	5	5	$8,594.30	$7,305.16	$7,305.16	$8,164.59	$7,992.70	2024-07-01
J2506	HCPCS	Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg	32	16	$8,693.88	$8,329.25	$3,831.46	$8,605.58	$7,912.79	2026-09-11
58554	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More…	15	15	$8,758.00	$8,758.00	$1,125.90	$8,320.10	$7,907.51	2026-09-11
27724	HCPCS	Repair Of Nonhealed Broken Shin Bone With Self Graft From Hip Or Other Bone	15	15	$8,711.00	$8,711.00	$1,100.24	$8,275.45	$7,865.29	2026-09-11
J9319	HCPCS	Injection, Romidepsin, Lyophilized, 0.1 Mg	16	16	$8,421.50	$8,421.50	$3,873.89	$8,000.43	$7,799.57	2026-09-11
47612	HCPCS	Removal Of Gallbladder And Creation Of Bile Duct Drainage To Bowel	15	15	$8,632.00	$8,632.00	$1,143.39	$8,200.40	$7,793.49	2026-09-11
60240	HCPCS	Removal Of Thyroid	15	15	$8,632.00	$8,632.00	$803.37	$8,200.40	$7,793.49	2026-09-11
38720	HCPCS	Removal Of Lymph Nodes Of Neck	15	15	$8,632.00	$8,632.00	$1,162.00	$8,200.40	$7,793.49	2026-09-11
J2997	HCPCS	Injection, Alteplase Recombinant, 1 Mg	43	16	$8,658.50	$8,658.50	$281.29	$15,402.11	$7,792.65	2026-09-11
21557	HCPCS	Extensive Removal Of Growth Of Neck Or Front Of Chest, Less Than 5.0 Cm	15	15	$8,615.00	$8,615.00	$855.36	$8,184.25	$7,778.15	2026-09-11
29867	HCPCS	Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope	15	15	$8,615.00	$8,615.00	$1,145.46	$8,184.25	$7,778.15	2026-09-11
27506	HCPCS	Treatment Of Broken Shaft Of Thigh Bone With Implant	15	15	$8,568.00	$8,568.00	$1,188.14	$8,139.60	$7,736.02	2026-09-11
29880	HCPCS	Removal Of Both Knee Cartilages Using An Endoscope	15	15	$8,507.00	$8,507.00	$520.31	$8,081.65	$7,681.43	2026-09-11
27514	HCPCS	Treatment Of Broken Side Of Lower End Of Thigh Bone	15	15	$8,497.00	$8,497.00	$849.05	$8,072.15	$7,671.85	2026-09-11
23470	HCPCS	Partial Replacement Of Shoulder Joint	15	15	$8,433.00	$8,433.00	$1,056.95	$8,011.35	$7,614.38	2026-09-11
23420	HCPCS	Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col…	15	15	$8,428.00	$8,428.00	$882.45	$8,006.60	$7,609.54	2026-09-11
23412	HCPCS	Repair Of Chronic Torn Shoulder Rotator Cuff	24	15	$8,182.30	$6,954.96	$770.67	$8,006.60	$7,565.87	2026-09-11
J1162	HCPCS	Injection, Digoxin Immune Fab (ovine), Per Vial	16	16	$8,156.50	$8,156.50	$3,751.99	$7,748.68	$7,554.15	2026-09-11
8028195_1	CDM	Intensive Care Unit - General Classification	10	10	$8,184.00	$8,184.00	$7,196.19	$8,020.32	$7,488.36	2026-09-11
44227	HCPCS	Closure Of Opening From Large Or Small Bowel To Skin Using An Endoscope	15	15	$8,292.00	$8,292.00	$1,465.56	$7,877.40	$7,486.97	2026-09-11
J2353	HCPCS	Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg	64	16	$8,309.12	$7,867.25	$2,764.37	$11,181.98	$7,473.89	2026-09-11
44626	HCPCS	Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…	15	15	$8,227.00	$8,227.00	$1,402.26	$7,815.65	$7,428.56	2026-09-11
27218	HCPCS	Treatment Of Broken And/or Dislocated Back Of Pelvis	14	14	$8,139.00	$8,139.00	$6,716.87	$7,732.05	$7,428.07	2026-09-11
C1785	HCPCS	Pacemaker, Dual Chamber, Rate-responsive (implantable)	44	11	$8,456.50	$8,456.50	$661.02	$8,806.50	$7,427.10	2026-09-11
27176	HCPCS	Treatment Of Growth Plate At Top Of Thigh With Pins Inserted Through Skin'	15	15	$8,222.00	$8,222.00	$833.46	$7,810.90	$7,423.73	2026-09-11
60600	HCPCS	Removal Of Growth Of Carotid Artery	15	15	$8,218.00	$8,218.00	$1,175.51	$7,807.10	$7,419.91	2026-09-11
47564	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope	15	15	$8,218.00	$8,218.00	$1,021.53	$7,807.10	$7,419.91	2026-09-11
47610	HCPCS	Removal Of Gallbladder With Exploration Of Common Bile Duct	15	15	$8,218.00	$8,218.00	$1,127.68	$7,807.10	$7,419.91	2026-09-11
J0565	HCPCS	Injection, Bezlotoxumab, 10 Mg	16	16	$8,000.00	$8,000.00	$3,680.00	$7,600.00	$7,409.20	2026-09-11
60050012ISO	CDM	Room/bed: ICU Cc Iso	5	5	$7,946.00	$6,754.10	$6,754.10	$7,548.70	$7,389.78	2024-07-01
27416	HCPCS	Implantation Of Self Cartilage Cells Into Knee Bone	15	15	$8,167.00	$8,167.00	$876.96	$7,758.65	$7,373.88	2026-09-11
50760	HCPCS	Removal And Reconnection Of Diseased Or Injured Portion Of Ureter	15	15	$8,147.00	$8,147.00	$998.25	$7,739.65	$7,355.74	2026-09-11
15734	HCPCS	Creation Of Muscle Graft To Trunk	15	15	$8,131.00	$8,131.00	$1,343.56	$7,724.45	$7,341.33	2026-09-11
29807	HCPCS	Repair Of Shoulder Socket Using An Endoscope	15	15	$8,122.00	$8,122.00	$926.48	$7,715.90	$7,333.70	2026-09-11
58262	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less	15	15	$8,068.00	$8,068.00	$795.38	$7,664.60	$7,284.88	2026-09-11
48140	HCPCS	Partial Removal Of Pancreas	15	15	$8,068.00	$8,068.00	$1,400.69	$7,664.60	$7,284.88	2026-09-11
45110	HCPCS	Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo…	15	15	$7,993.00	$7,993.00	$1,624.36	$7,593.35	$7,216.80	2026-09-11
58544	HCPCS	Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using …	15	15	$7,988.00	$7,988.00	$779.12	$7,588.60	$7,212.06	2026-09-11
44147	HCPCS	Partial Removal Of Large Bowel Through Abdomen And Anus	15	15	$7,912.00	$7,912.00	$1,695.06	$7,516.40	$7,143.98	2026-09-11
44150	HCPCS	Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…	15	15	$7,912.00	$7,912.00	$1,671.53	$7,516.40	$7,143.98	2026-09-11
58571	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250…	15	15	$7,892.00	$7,892.00	$802.88	$7,497.40	$7,125.85	2026-09-11
6827262950	CDM	Femur Retaining Stnd Lt Sz 9 L	5	5	$7,632.30	$6,487.46	$6,487.46	$7,250.69	$7,098.04	2024-07-01
8880211_1	CDM	Pc-femur Retain Cruc Std Lt 9__pvh	11	11	$7,861.00	$7,861.00	$3,616.06	$7,467.95	$7,074.90	2026-09-11
29891	HCPCS	Removal Of Shin And/or Ankle Bone Defect Using An Endoscope	15	15	$7,825.00	$7,825.00	$620.31	$7,433.75	$7,065.49	2026-09-11
44160	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	15	15	$7,810.00	$7,810.00	$1,114.79	$7,419.50	$7,052.10	2026-09-11
58290	HCPCS	Removal Of Uterus Through Vagina, More Than 250.0 G	15	15	$7,791.00	$7,791.00	$981.33	$7,401.45	$7,034.80	2026-09-11
8028194_1	CDM	Intensive Care Unit - General Classification	10	10	$7,669.00	$7,669.00	$6,743.35	$7,515.62	$7,017.14	2026-09-11
27245	HCPCS	Treatment Of Broken Neck Of Thigh Bone With Bone Implant	15	15	$7,729.00	$7,729.00	$1,086.04	$7,342.55	$6,978.35	2026-09-11
27236	HCPCS	Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device…	15	15	$7,705.00	$7,705.00	$1,058.52	$7,319.75	$6,957.24	2026-09-11
23455	HCPCS	Reattachment Of Shoulder Joint Capsule And Cartilage Without Bone Transfer With …	15	15	$7,699.00	$7,699.00	$856.74	$7,314.05	$6,951.47	2026-09-11
60050012	CDM	Room/bed: ICU Cc	5	5	$7,446.00	$6,329.10	$6,329.10	$7,073.70	$6,924.78	2024-07-01
58260	HCPCS	Removal Of Uterus Through Vagina, 250.0 G Or Less	15	15	$7,659.00	$7,659.00	$720.99	$7,276.05	$6,915.11	2026-09-11
29806	HCPCS	Repair Of Shoulder Joint Capsule Using An Endoscope	15	15	$7,638.00	$7,638.00	$946.74	$7,256.10	$6,896.88	2026-09-11
29916	HCPCS	Repair Of Hip Joint Socket Cartilage Using An Endoscope	15	15	$7,638.00	$7,638.00	$905.36	$7,256.10	$6,896.88	2026-09-11
6827263173	CDM	Stimulator Bone	5	5	$7,416.00	$6,303.60	$6,303.60	$7,045.20	$6,896.88	2024-07-01
27488	HCPCS	Removal Of Total Knee Joint Prosthesis	15	15	$7,635.00	$7,635.00	$1,068.37	$7,253.25	$6,894.00	2026-09-11
29882	HCPCS	Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope	15	15	$7,619.00	$7,619.00	$625.81	$7,238.05	$6,879.68	2026-09-11
22842	HCPCS	Placement Of Stabilizing Device To Back, 3-6 Spine Bone Segments	24	15	$7,434.50	$6,319.33	$645.22	$7,275.10	$6,874.52	2026-09-11
22015	HCPCS	Drainage Of Abscess Of Deep Tissue Of Lower Spine Or Sacrum	24	15	$7,434.50	$6,319.33	$890.43	$7,275.10	$6,874.52	2026-09-11
8965626_1	CDM	Pc-stimulator Bone__pvh	11	11	$7,638.00	$7,638.00	$3,513.48	$7,256.10	$6,874.20	2026-09-11
27235	HCPCS	Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone	15	15	$7,580.00	$7,580.00	$813.43	$7,201.00	$6,844.24	2026-09-11
50785	HCPCS	Repositioning Of Ureter With Creation Of Bladder Or Muscle Flap	15	15	$7,558.00	$7,558.00	$1,059.07	$7,180.10	$6,824.06	2026-09-11
27726	HCPCS	Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De…	15	15	$7,558.00	$7,558.00	$851.14	$7,180.10	$6,824.06	2026-09-11
23395	HCPCS	Relocation Of One Muscle Of Shoulder Or Upper Arm	15	15	$7,548.00	$7,548.00	$1,145.41	$7,170.60	$6,815.51	2026-09-11
29828	HCPCS	Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope	24	15	$7,354.20	$6,251.07	$821.30	$7,196.25	$6,800.14	2026-09-11
60500	HCPCS	Removal Or Exploration Of Parathyroid Glands	15	15	$7,521.00	$7,521.00	$862.03	$7,144.95	$6,790.58	2026-09-11
58552	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.…	15	15	$7,489.00	$7,489.00	$851.22	$7,114.55	$6,761.84	2026-09-11
27511	HCPCS	Treatment Of Broken Thigh Bone At Far End	15	15	$7,489.00	$7,489.00	$873.81	$7,114.55	$6,761.84	2026-09-11
28705	HCPCS	Fusion Of All Bones Of Ankle And Hindfoot	15	15	$7,405.00	$7,405.00	$1,079.56	$7,034.75	$6,686.14	2026-09-11
27428	HCPCS	Reconstruction Ligaments Inside Knee Joint	15	15	$7,394.00	$7,394.00	$1,012.39	$7,024.30	$6,676.56	2026-09-11
9246668_1	CDM	Pc-bone Healing System__pvh	11	11	$7,416.00	$7,416.00	$3,411.36	$7,045.20	$6,674.40	2026-09-11
60225	HCPCS	Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O…	15	15	$7,391.00	$7,391.00	$824.20	$7,021.45	$6,673.68	2026-09-11
24435	HCPCS	Repair Of Nonhealed Broken Upper Arm Bone With Self Bone Graft	15	15	$7,382.00	$7,382.00	$977.54	$7,012.90	$6,665.03	2026-09-11
27409	HCPCS	Repair Of Torn Ligaments Or Joint Capsule At Front And Sides Of Knee	15	15	$7,317.00	$7,317.00	$871.40	$6,951.15	$6,606.63	2026-09-11
50400	HCPCS	Simple Reconstruction Of Neck Of Kidney	15	15	$7,294.00	$7,294.00	$1,009.90	$6,929.30	$6,585.61	2026-09-11
27507	HCPCS	Treatment Of Broken Middle Of Thigh Bone With Placement Of Stabilizing Device	15	15	$7,257.00	$7,257.00	$857.49	$6,894.15	$6,552.04	2026-09-11
22845	HCPCS	Placement Of Stabilizing Device To Front, 2-3 Spine Bone Segments	24	15	$7,082.30	$6,019.96	$614.21	$6,930.25	$6,548.76	2026-09-11
22846	HCPCS	Placement Of Stabilizing Device To Front, 4-7 Spine Bone Segments	24	15	$7,081.30	$6,019.11	$638.54	$6,929.30	$6,547.84	2026-09-11
58291	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, More Than 250.0 G	15	15	$7,244.00	$7,244.00	$1,059.80	$6,881.80	$6,540.50	2026-09-11
44120	HCPCS	Partial Removal Of Small Bowel With Reconnection	15	15	$7,241.00	$7,241.00	$1,092.01	$6,878.95	$6,537.71	2026-09-11
44205	HCPCS	Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe…	15	15	$7,229.00	$7,229.00	$1,184.64	$6,867.55	$6,527.11	2026-09-11
27217	HCPCS	Treatment Of Broken And/or Dislocated Front Of Pelvis	14	14	$7,138.00	$7,138.00	$5,890.33	$6,781.10	$6,514.01	2026-09-11
29883	HCPCS	Repair Of Inside And Outside Knee Joint Cartilage Using An Endoscope	15	15	$7,192.00	$7,192.00	$764.99	$6,832.40	$6,493.63	2026-09-11
27427	HCPCS	Reconstruction Of Ligaments Outside Knee Joint	15	15	$7,157.00	$7,157.00	$646.43	$6,799.15	$6,462.01	2026-09-11
35081	HCPCS	Repair Of Aneurysm Or Abdominal Aorta With Graft	15	15	$7,138.00	$7,138.00	$1,501.51	$6,781.10	$6,444.71	2026-09-11
43633	HCPCS	Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain…	15	15	$7,138.00	$7,138.00	$1,704.63	$6,781.10	$6,444.71	2026-09-11
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	16	16	$6,946.00	$6,946.00	$3,195.16	$6,598.70	$6,433.04	2026-09-11
29879	HCPCS	Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope	15	15	$7,115.00	$7,115.00	$607.46	$6,759.25	$6,424.63	2026-09-11
44125	HCPCS	Partial Removal Of Small Bowel With Creation Of Opening To Skin	15	15	$7,106.00	$7,106.00	$1,056.74	$6,750.70	$6,415.98	2026-09-11
24546	HCPCS	Treatment Of Broken Upper Arm Bone At Elbow With Extension	15	15	$7,105.00	$7,105.00	$927.54	$6,749.75	$6,415.05	2026-09-11
58542	HCPCS	Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using …	15	15	$7,050.00	$7,050.00	$712.99	$6,697.50	$6,365.29	2026-09-11
27244	HCPCS	Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant	15	15	$7,048.00	$7,048.00	$1,088.70	$6,695.60	$6,363.34	2026-09-11
29881	HCPCS	Removal Of Knee Cartilage Using An Endoscope	15	15	$7,039.00	$7,039.00	$503.55	$6,687.05	$6,355.71	2026-09-11
15738	HCPCS	Creation Of Muscle Graft To Leg	15	15	$7,009.00	$7,009.00	$1,116.89	$6,658.55	$6,328.84	2026-09-11
60260	HCPCS	Removal Of Remaining Thyroid Tissue From Prior Operation	15	15	$6,986.00	$6,986.00	$939.83	$6,636.70	$6,307.82	2026-09-11
49441	HCPCS	Insertion Of Small Bowel Tube Using Fluoroscopic Guidance With Contrast	15	15	$6,973.00	$6,973.00	$211.27	$6,624.35	$6,296.29	2026-09-11
J2796	HCPCS	Romiplostim 250mcg Vial (g/k)	10	5	$7,114.25	$6,047.11	$4,037.08	$9,005.05	$6,284.59	2024-07-01
29876	HCPCS	Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope	15	15	$6,923.00	$6,923.00	$599.54	$6,576.85	$6,251.27	2026-09-11
29827	HCPCS	Repair Of Shoulder Rotator Cuff Using An Endoscope	24	15	$6,759.90	$5,745.92	$949.82	$6,614.85	$6,250.68	2026-09-11
22840	HCPCS	Placement Of Stabilizing Device To Back Of 1 Spine Bone In Neck	24	15	$6,733.10	$5,723.14	$635.70	$6,588.25	$6,225.72	2026-09-11
44204	HCPCS	Partial Removal Of Large Bowel Using An Endoscope	15	15	$6,876.00	$6,876.00	$1,363.26	$6,532.20	$6,208.12	2026-09-11
J9047	HCPCS	Injection, Carfilzomib, 1 Mg	27	16	$7,058.25	$5,999.51	$825.01	$6,705.34	$6,206.32	2026-09-11
27418	HCPCS	Repair Of Upper End Of Shin Bone At Knee Joint	15	15	$6,859.00	$6,859.00	$743.58	$6,516.05	$6,192.87	2026-09-11
58150	HCPCS	Removal Of Uterus And Cervix Through Abdomen	15	15	$6,857.00	$6,857.00	$903.61	$6,514.15	$6,190.92	2026-09-11
43631	HCPCS	Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First…	15	15	$6,853.00	$6,853.00	$1,302.42	$6,510.35	$6,188.03	2026-09-11
43632	HCPCS	Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon…	15	15	$6,853.00	$6,853.00	$1,799.73	$6,510.35	$6,188.03	2026-09-11
27519	HCPCS	Treatment Of Broken Growth Plate At End Of Thigh Bone	15	15	$6,842.00	$6,842.00	$787.09	$6,499.90	$6,177.53	2026-09-11
58263	HCPCS	Removal Of Uterus, Tubes, And/or Ovaries With Repair Of Herniated Bowel Through …	15	15	$6,824.00	$6,824.00	$852.08	$6,482.80	$6,161.25	2026-09-11
38570	HCPCS	Biopsy And Removal Of Lymph Nodes Of Abdominal Cavity Using An Endoscope	15	15	$6,817.00	$6,817.00	$465.62	$6,476.15	$6,155.48	2026-09-11
6827261217	CDM	Stimulator Bone Physio-stim 655302-0001	5	5	$6,592.00	$5,603.20	$5,603.20	$6,262.40	$6,130.56	2024-07-01
6827259712	CDM	Stimulator Bone Physio-stim 653202-0017	5	5	$6,592.00	$5,603.20	$5,603.20	$6,262.40	$6,130.56	2024-07-01
6827259284	CDM	Stimulator Bone Physio-stim	5	5	$6,592.00	$5,603.20	$5,603.20	$6,262.40	$6,130.56	2024-07-01
29826	HCPCS	Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope	24	15	$6,609.50	$5,618.08	$142.60	$6,467.60	$6,111.57	2026-09-11
7949927_1	CDM	Stimulator Bone Physio-stim 653202-0017__pvh	11	11	$6,790.00	$6,790.00	$3,123.40	$6,450.50	$6,111.00	2026-09-11
7949967_1	CDM	Stimulator Bone Physio-stim 655302-0001__pvh	11	11	$6,790.00	$6,790.00	$3,123.40	$6,450.50	$6,111.00	2026-09-11
7946685_1	CDM	Pc-stimulator Bone Physio-stim__pvh	11	11	$6,790.00	$6,790.00	$3,123.40	$6,450.50	$6,111.00	2026-09-11
27357	HCPCS	Removal Of Cyst Or Growth Of Thigh Bone With Self Bone Graft	10	10	$6,602.00	$6,602.00	$746.49	$6,271.90	$6,106.85	2026-09-11
44145	HCPCS	Partial Removal Of Large Bowel And Reattachment To Rectum	15	15	$6,743.00	$6,743.00	$1,461.82	$6,405.85	$6,088.43	2026-09-11
28715	HCPCS	Fusion Of 3 Bones Of Ankle	15	15	$6,739.00	$6,739.00	$863.29	$6,402.05	$6,084.62	2026-09-11
25431	HCPCS	Repair Of Non-healed Wrist Bone Other Than (scaphoid Or Navicular)	15	15	$6,717.00	$6,717.00	$719.20	$6,381.15	$6,064.44	2026-09-11
27720	HCPCS	Repair Of Nonhealed Broken Shin Bone	15	15	$6,716.00	$6,716.00	$790.38	$6,380.20	$6,063.51	2026-09-11
59618	HCPCS	Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…	15	15	$6,709.00	$6,709.00	$2,384.37	$6,373.55	$6,057.74	2026-09-11
J1306	HCPCS	Injection, Inclisiran, 1 Mg	16	16	$6,535.50	$6,535.50	$3,006.33	$6,208.73	$6,052.85	2026-09-11
27828	HCPCS	Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones	15	15	$6,696.00	$6,696.00	$1,198.54	$6,361.20	$6,046.30	2026-09-11
23335	HCPCS	Removal Of Ball And Socket Prosthesis From Shoulder	15	15	$6,692.00	$6,692.00	$1,115.76	$6,357.40	$6,042.40	2026-09-11
J9205	HCPCS	Injection, Irinotecan Liposome, 1 Mg	16	16	$6,482.50	$6,482.50	$2,981.95	$6,158.38	$6,003.77	2026-09-11
24346	HCPCS	Repair Of Ligament Of Small Finger Side Of Elbow With Tendon Graft	15	15	$6,642.00	$6,642.00	$1,002.98	$6,309.90	$5,997.38	2026-09-11
50715	HCPCS	Release Of Scar Tissue At Ureter	15	15	$6,603.00	$6,603.00	$1,082.60	$6,272.85	$5,961.95	2026-09-11
47563	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope	15	15	$6,578.00	$6,578.00	$658.85	$6,249.10	$5,938.98	2026-09-11
47605	HCPCS	Removal Of Gallbladder With X-ray Study Of Bile Ducts	15	15	$6,578.00	$6,578.00	$1,021.01	$6,249.10	$5,938.98	2026-09-11
60220	HCPCS	Removal Of Thyroid Lobe On Side Of Neck	15	15	$6,578.00	$6,578.00	$621.80	$6,249.10	$5,938.98	2026-09-11
58550	HCPCS	Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less	15	15	$6,552.00	$6,552.00	$763.84	$6,224.40	$5,916.01	2026-09-11
15830	HCPCS	Removal Of Extra Skin And Tissue Of Abdomen	15	15	$6,534.00	$6,534.00	$1,038.07	$6,207.30	$5,899.73	2026-09-11
25825	HCPCS	Fusion Of Part Of Wrist Joint With Patient-derived Bone Graft	15	15	$6,519.00	$6,519.00	$728.29	$6,193.05	$5,886.34	2026-09-11
50220	HCPCS	Removal Of Kidney And Partial Removal Of Ureter	15	15	$6,517.00	$6,517.00	$936.88	$6,191.15	$5,884.39	2026-09-11
27347	HCPCS	Removal Of Growth Of Knee Cartilage Or Capsule	15	15	$6,513.00	$6,513.00	$496.39	$6,187.35	$5,880.58	2026-09-11
27350	HCPCS	Removal Of Kneecap	15	15	$6,464.00	$6,464.00	$604.97	$6,140.80	$5,836.49	2026-09-11
6027DELIV3	CDM	OB Nursing Level 3 - Total Time	5	5	$6,264.50	$5,324.83	$5,324.83	$5,951.28	$5,825.99	2024-07-01
58950	HCPCS	Removal Of Lining Of Abdomen, Ovaries, And Fallopian Tubes	15	15	$6,451.00	$6,451.00	$1,034.54	$6,128.45	$5,824.96	2026-09-11
38100	HCPCS	Removal Of Spleen	15	15	$6,451.00	$6,451.00	$1,032.15	$6,128.45	$5,824.96	2026-09-11
6530169_1	CDM	Labor Room/delivery - Labor	11	11	$6,452.00	$6,452.00	$2,967.92	$6,129.40	$5,806.80	2026-09-11
7395296_1	CDM	Labor Room/delivery - Labor	11	11	$6,452.00	$6,452.00	$2,967.92	$6,129.40	$5,806.80	2026-09-11
90375	HCPCS	Rabies Immune Globulin For Injection	26	16	$6,447.75	$5,801.25	$1,292.00	$6,483.75	$5,802.11	2026-09-11
27870	HCPCS	Fusion Of Ankle Joint, Open Procedure	15	15	$6,394.00	$6,394.00	$904.52	$6,074.30	$5,773.25	2026-09-11
58541	HCPCS	Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O…	15	15	$6,391.00	$6,391.00	$631.62	$6,071.45	$5,770.37	2026-09-11
6827262081	CDM	Stem Distal Taperloc Std Sz 13	5	5	$6,180.00	$5,253.00	$5,253.00	$5,871.00	$5,747.40	2024-07-01
27598	HCPCS	Removal Of Leg At Knee Joint	15	15	$6,354.00	$6,354.00	$622.12	$6,036.30	$5,736.89	2026-09-11
J9299	HCPCS	Injection, Nivolumab, 1 Mg	48	16	$6,191.75	$6,191.75	$1,144.83	$14,090.40	$5,734.49	2026-09-11
8171129_1	CDM	Pc-stem Dist Taper Std Sz 13__pvh	11	11	$6,365.00	$6,365.00	$2,927.90	$6,046.75	$5,728.50	2026-09-11
25320	HCPCS	Reconstruction Of Wrist Joint	15	15	$6,337.00	$6,337.00	$906.61	$6,020.15	$5,721.55	2026-09-11
59510	HCPCS	Cesarean Delivery With Care Before And After Delivery	15	15	$6,327.00	$6,327.00	$2,360.44	$6,010.65	$5,712.90	2026-09-11
43280	HCPCS	Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…	15	15	$6,322.00	$6,322.00	$972.10	$6,005.90	$5,708.15	2026-09-11
25810	HCPCS	Fusion Of Wrist Joint With Graft From Hip Or Other Bone	15	15	$6,298.00	$6,298.00	$774.83	$5,983.10	$5,686.11	2026-09-11
47900	HCPCS	Suture Of Injured Bile Duct	15	15	$6,269.00	$6,269.00	$1,247.16	$5,955.55	$5,660.26	2026-09-11
6827261318	CDM	Wedge Lapidus 10mm	5	5	$6,077.00	$5,165.45	$5,165.45	$5,773.15	$5,651.61	2024-07-01
7830647_1	CDM	Wedge Lapidus 10mm__pvh	11	11	$6,259.00	$6,259.00	$2,879.14	$5,946.05	$5,633.10	2026-09-11
27420	HCPCS	Repair Of Dislocating Kneecap	15	15	$6,236.00	$6,236.00	$686.60	$5,924.20	$5,630.50	2026-09-11
29877	HCPCS	Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope	15	15	$6,190.00	$6,190.00	$572.44	$5,880.50	$5,589.39	2026-09-11
J9034	HCPCS	Injection, Bendamustine Hcl (bendeka), 1 Mg	16	16	$6,025.00	$6,025.00	$2,771.50	$5,723.75	$5,580.06	2026-09-11
27438	HCPCS	Repair Of Kneecap With Prosthesis	15	15	$6,180.00	$6,180.00	$760.81	$5,871.00	$5,579.81	2026-09-11
35131	HCPCS	Repair Of Aneurysm Or Groin Artery With Graft	15	15	$6,170.00	$6,170.00	$1,202.25	$5,861.50	$5,571.17	2026-09-11
37617	HCPCS	Tying Of Major Artery Of The Abdomen	15	15	$6,167.00	$6,167.00	$1,156.76	$5,858.65	$5,568.28	2026-09-11
29823	HCPCS	Removal Of Extensive Shoulder Joint Tissue Using An Endoscope	24	15	$6,018.30	$5,115.56	$545.25	$5,889.05	$5,564.89	2026-09-11
35141	HCPCS	Repair Of Aneurysm Or Upper Thigh Artery With Graft	15	15	$6,147.00	$6,147.00	$945.77	$5,839.65	$5,550.05	2026-09-11
43820	HCPCS	Partial Removal Of Stomach With Attachment Of Stomach To Small Bowel	15	15	$6,146.00	$6,146.00	$1,208.43	$5,838.70	$5,549.12	2026-09-11
27823	HCPCS	Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip	15	15	$6,122.00	$6,122.00	$901.23	$5,815.90	$5,528.01	2026-09-11
27759	HCPCS	Treatment Of Broken Part Of Shin Bone With Rod	15	15	$6,122.00	$6,122.00	$892.40	$5,815.90	$5,528.01	2026-09-11
19307	HCPCS	Removal Of Breast And Underarm Lymph Nodes	15	15	$6,081.00	$6,081.00	$1,087.27	$5,776.95	$5,490.72	2026-09-11
27696	HCPCS	Primary Repair Of Disruption Of Both Ankle Ligaments	15	15	$6,078.00	$6,078.00	$500.64	$5,774.10	$5,487.84	2026-09-11

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