|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
60240
|
HCPCS
|
Removal Of Thyroid
|
15
|
15
|
$8,632.00
|
$8,632.00
|
$803.37
|
$8,200.40
|
$7,793.49
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
6827263173
|
CDM
|
Stimulator Bone
|
5
|
5
|
$7,416.00
|
$6,303.60
|
$6,303.60
|
$7,045.20
|
$6,896.88
|
2024-07-01
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|