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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ALASKA REGIONAL HOSPITAL

Anchorage, AK · CCN 020017 · Rates published

24,337 distinct procedures filed
20 distinct payers
597,281 rate rows
2026-03-01 last MRF observed
Data quality

572,285 of 597,281 rate rows are consumer-grade (95.8%)

24,996 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,854
per-diem day rate — not a per-procedure price 3,920
placeholder amount (≤ $0.02) — excluded from medians 142
template filing: same amount across many unrelated codes — excluded 67
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1000033_ALASKA-REGIONAL-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.alaskaregional.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 6b2502595fabfcd6… · 262,137,120 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
845
OTHER 		Inj, Atidarsagene Autotem 3 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$9,966
outlier · 452.1×
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 4 $3,685,267.00 $4,606,583.75 $3,722,119.67 nat. median
$3,746,358
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 4 $3,335,820.00 $4,169,775.00 $3,369,178.20 nat. median
$22,747
outlier · 148.1×
714
OTHER 		Inj Delandistrogene Mox R 4 $3,327,860.00 $4,159,825.00 $3,361,138.60 nat. median
$13,041
outlier · 257.7×
748
OTHER 		Inj, Lovotibeglogene Auto 4 $3,252,508.00 $4,065,635.00 $3,285,033.08 nat. median
$17,963
outlier · 182.9×
906
OTHER 		Inj Elivaldogene Autoteme 4 $3,180,000.00 $3,975,000.00 $3,211,800.00 nat. median
$20,756
outlier · 154.7×
746
OTHER 		Inj, Betibeglogene Autote 4 $2,939,969.00 $3,674,961.25 $2,969,368.69 nat. median
$21,896
outlier · 135.6×
9141
OTHER 		Inj Onase Abepar-xioi Tre 4 $2,588,981.00 $3,236,226.25 $2,614,870.81 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 4 $2,332,000.00 $2,915,000.00 $2,355,320.00 nat. median
$25,250
outlier · 93.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $377,652.70 $1,662,883.26 $1,074,740.70 nat. median
$370,174
outlier · 2.9×
2067
OTHER 		Afamitresgene Autoleucel 4 $770,620.00 $963,275.00 $778,326.20 nat. median
$786,032
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $245,256.50 $1,079,144.34 $762,250.08 nat. median
$265,286
outlier · 2.9×
9498
OTHER 		Ciltacabtagene Car-pos T 4 $587,649.60 $734,562.00 $593,526.09 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 4 $566,531.30 $708,164.13 $572,196.61 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 4 $562,201.20 $702,751.50 $567,823.21 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 4 $558,081.80 $697,602.25 $563,662.62 nat. median
$558,082
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 4 $532,192.20 $665,240.25 $537,514.12 nat. median
$532,192
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 4 $489,450.20 $611,812.75 $494,344.70 nat. median
$489,450
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $180,240.72 $822,165.05 $487,955.00 nat. median
$206,368
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $179,185.72 $817,340.00 $485,091.33 nat. median
$202,986
outlier · 2.4×
7
MS_DRG 		Lung Transplant 4 $113,604.30 $498,686.30 $352,245.44 nat. median
$122,708
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $105,461.70 $462,785.29 $326,886.88 nat. median
$117,303
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $117,102.19 $533,389.71 $316,566.82 nat. median
$133,176
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $99,469.36 $436,364.95 $308,224.96 nat. median
$108,660
outlier · 2.8×
831
OTHER 		Obecbtge Autol Up To 400 4 $278,250.00 $347,812.50 $281,032.50 nat. median
$12,362
outlier · 22.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $90,549.43 $397,036.73 $280,445.60 nat. median
$100,136
outlier · 2.8×
897
OTHER 		Revakinagene, Per Implant 4 $265,000.00 $331,250.00 $267,650.00 nat. median
$9,577
outlier · 27.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $93,273.37 $424,404.37 $251,358.49 nat. median
$98,905
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $92,034.87 $418,739.84 $248,522.12 nat. median
$102,358
outlier · 2.4×
215
MS_DRG 		Other Heart Assist System Implant 5 $84,313.37 $383,424.16 $227,562.26 nat. median
$99,019
outlier · 2.3×
886
OTHER 		Inj. Remestemcel-l-rknd/ 4 $201,669.00 $252,086.25 $203,685.69 nat. median
$17,985
outlier · 11.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $76,336.75 $346,941.68 $202,224.35 nat. median
$82,712
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $61,257.47 $1,103,620.19 $199,329.43 nat. median
$68,090
outlier · 2.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $73,389.10 $333,460.03 $197,908.54 nat. median
$83,442
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 4 $63,170.41 $276,321.86 $195,179.04 nat. median
$68,882
outlier · 2.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $62,811.45 $274,739.18 $194,061.12 nat. median
$71,240
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $71,232.87 $323,598.13 $192,055.51 nat. median
$81,118
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $58,674.38 $963,853.42 $188,000.96 nat. median
$66,526
outlier · 2.8×
580090
CDM 		Ins Icd Lead/generator 17 $83,413.20 $277,051.00 $187,679.71 nat. median
$187,680
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $66,731.82 $303,011.75 $179,837.49 nat. median
$77,576
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $64,636.21 $293,427.11 $174,149.01 nat. median
$72,138
outlier · 2.4×
1907
OTHER 		New Technology - Level 52 4 $165,658.20 $207,072.75 $167,314.78 nat. median
$153,199
1.1× median
1908
OTHER 		New Technology - Level 52 4 $165,658.20 $207,072.75 $167,314.78 nat. median
$152,962
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $60,514.87 $274,577.44 $162,961.73 nat. median
$68,887
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 $60,871.02 $276,206.33 $161,548.38 nat. median
$64,027
outlier · 2.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 4 $52,287.97 $228,340.89 $161,287.84 nat. median
$56,920
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $58,388.95 $264,854.17 $157,190.96 nat. median
$65,950
outlier · 2.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 $48,726.76 $269,998.91 $155,864.16 nat. median
$55,929
outlier · 2.8×
209
MS_DRG 		Complex Aortic Arch Procedures 4 $95,779.01 $435,864.35 $154,427.74 nat. median
$98,017
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $57,152.98 $259,201.20 $153,835.92 nat. median
$64,732
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 24,337 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
845 OTHER Inj, Atidarsagene Autotem 3 3 — — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 4 4 — — $3,685,267.00 $4,606,583.75 $3,722,119.67 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 4 4 — — $3,335,820.00 $4,169,775.00 $3,369,178.20 2026-03-01
714 OTHER Inj Delandistrogene Mox R 4 4 — — $3,327,860.00 $4,159,825.00 $3,361,138.60 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 4 4 — — $3,252,508.00 $4,065,635.00 $3,285,033.08 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 4 4 — — $3,180,000.00 $3,975,000.00 $3,211,800.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 4 4 — — $2,939,969.00 $3,674,961.25 $2,969,368.69 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 4 4 — — $2,588,981.00 $3,236,226.25 $2,614,870.81 2026-03-01
824 OTHER Inj, Exagamglogene Autote 4 4 — — $2,332,000.00 $2,915,000.00 $2,355,320.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $377,652.70 $1,662,883.26 $1,074,740.70 2026-03-01
2067 OTHER Afamitresgene Autoleucel 4 4 — — $770,620.00 $963,275.00 $778,326.20 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 4 — — $245,256.50 $1,079,144.34 $762,250.08 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 4 4 — — $587,649.60 $734,562.00 $593,526.09 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 4 4 — — $566,531.30 $708,164.13 $572,196.61 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 4 4 — — $562,201.20 $702,751.50 $567,823.21 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 4 4 — — $558,081.80 $697,602.25 $563,662.62 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 4 4 — — $532,192.20 $665,240.25 $537,514.12 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 4 4 — — $489,450.20 $611,812.75 $494,344.70 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 5 — — $180,240.72 $822,165.05 $487,955.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 5 — — $179,185.72 $817,340.00 $485,091.33 2026-03-01
7 MS_DRG Lung Transplant 7 4 — — $113,604.30 $498,686.30 $352,245.44 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 4 — — $105,461.70 $462,785.29 $326,886.88 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 5 — — $117,102.19 $533,389.71 $316,566.82 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 4 — — $99,469.36 $436,364.95 $308,224.96 2026-03-01
831 OTHER Obecbtge Autol Up To 400 4 4 — — $278,250.00 $347,812.50 $281,032.50 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 4 — — $90,549.43 $397,036.73 $280,445.60 2026-03-01
897 OTHER Revakinagene, Per Implant 4 4 — — $265,000.00 $331,250.00 $267,650.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 5 — — $93,273.37 $424,404.37 $251,358.49 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 5 — — $92,034.87 $418,739.84 $248,522.12 2026-03-01
215 MS_DRG Other Heart Assist System Implant 8 5 — — $84,313.37 $383,424.16 $227,562.26 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 4 4 — — $201,669.00 $252,086.25 $203,685.69 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 5 — — $76,336.75 $346,941.68 $202,224.35 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $61,257.47 $1,103,620.19 $199,329.43 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 8 5 — — $73,389.10 $333,460.03 $197,908.54 2026-03-01
10 MS_DRG Pancreas Transplant 7 4 — — $63,170.41 $276,321.86 $195,179.04 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 4 — — $62,811.45 $274,739.18 $194,061.12 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $71,232.87 $323,598.13 $192,055.51 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 6 — — $58,674.38 $963,853.42 $188,000.96 2026-03-01
580090 CDM Ins Icd Lead/generator 33 17 $297,904.30 $297,904.30 $83,413.20 $277,051.00 $187,679.71 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 5 — — $66,731.82 $303,011.75 $179,837.49 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 5 — — $64,636.21 $293,427.11 $174,149.01 2026-03-01
1907 OTHER New Technology - Level 52 4 4 — — $165,658.20 $207,072.75 $167,314.78 2026-03-01
1908 OTHER New Technology - Level 52 4 4 — — $165,658.20 $207,072.75 $167,314.78 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 5 — — $60,514.87 $274,577.44 $162,961.73 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 5 — — $60,871.02 $276,206.33 $161,548.38 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 7 4 — — $52,287.97 $228,340.89 $161,287.84 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 5 — — $58,388.95 $264,854.17 $157,190.96 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 5 — — $48,726.76 $269,998.91 $155,864.16 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 6 4 — — $95,779.01 $435,864.35 $154,427.74 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 5 — — $57,152.98 $259,201.20 $153,835.92 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 6 — — $47,814.93 $449,770.57 $152,918.40 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 5 — — $56,736.21 $257,295.05 $152,704.62 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 4 — — $49,448.58 $215,821.94 $152,445.12 2026-03-01
1905 OTHER New Technology - Level 51 4 4 — — $149,364.00 $186,705.00 $150,857.64 2026-03-01
1906 OTHER New Technology - Level 51 4 4 — — $149,364.00 $186,705.00 $150,857.64 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 5 — — $56,777.47 $257,483.74 $150,030.71 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 6 — — $46,539.38 $445,573.64 $148,797.60 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $55,640.00 $252,281.31 $148,378.58 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 4 — — $47,943.73 $209,187.01 $147,758.56 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 5 — — $54,657.44 $247,787.43 $147,061.85 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 9 6 — — $47,345.12 $261,165.81 $142,582.65 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 5 — — $52,078.56 $235,992.43 $140,061.52 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 5 — — $52,018.78 $235,719.02 $139,899.25 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 8 5 — — $51,067.38 $231,367.62 $137,316.69 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 5 — — $51,053.06 $231,302.15 $137,277.84 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 5 — — $50,686.81 $229,627.05 $136,283.67 2026-03-01
1904 OTHER New Technology - Level 50 4 4 — — $133,069.80 $166,337.25 $134,400.50 2026-03-01
1903 OTHER New Technology - Level 50 4 4 — — $133,069.80 $166,337.25 $134,400.50 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 5 — — $49,859.18 $225,841.72 $134,037.07 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 5 — — $49,036.60 $222,079.49 $131,320.55 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 8 5 — — $48,467.44 $219,476.35 $129,706.00 2026-03-01
304353 CDM Ins/repl Sq Icd With Elec 33 17 $203,938.98 $203,938.98 $57,102.91 $189,663.25 $128,481.56 2026-03-01
591992 CDM Rem/replace Icd Gen Mult 33 17 $202,987.62 $202,987.62 $56,836.53 $188,778.49 $127,882.20 2026-03-01
591991 CDM Rem/replace Icd Gen Sgl 33 17 $202,987.62 $202,987.62 $56,836.53 $188,778.49 $127,882.20 2026-03-01
591990 CDM Rem/replace Icd Gen Dual 33 17 $202,987.62 $202,987.62 $56,836.53 $188,778.49 $127,882.20 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 4 — — $41,560.12 $181,041.51 $127,878.08 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 5 — — $46,981.40 $212,679.68 $126,225.40 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 7 4 — — $40,997.66 $178,561.60 $126,126.40 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 8 5 — — $46,702.72 $211,405.07 $125,468.92 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 5 — — $46,401.30 $210,026.48 $124,650.73 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 6 — — $38,761.47 $175,087.88 $123,670.24 2026-03-01
J9226 HCPCS Supprelin La 50 Mg Imp 29 15 $195,572.62 $195,572.62 $57,693.92 $181,882.54 $123,210.75 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 9 — — $51,402.00 $295,675.98 $122,689.32 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 8 5 — — $45,353.08 $205,232.24 $121,805.35 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 5 — — $45,051.66 $203,853.65 $120,987.15 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 8 5 — — $44,231.61 $200,102.97 $118,761.12 2026-03-01
1902 OTHER New Technology - Level 49 4 4 — — $116,775.60 $145,969.50 $117,943.36 2026-03-01
1901 OTHER New Technology - Level 49 4 4 — — $116,775.60 $145,969.50 $117,943.36 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 6 — — $36,185.95 $283,831.81 $115,860.48 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 6 — — $35,611.74 $659,876.60 $113,494.72 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 5 — — $41,918.77 $189,524.82 $112,482.99 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 5 — — $41,746.17 $188,735.41 $112,014.48 2026-03-01
660824 CDM Device Embl 3.75mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660135 CDM Coil Embol Neuro 4x2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660834 CDM Device Embl 4mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660835 CDM Device Embl 4mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660847 CDM Device Embl 4.25mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660848 CDM Device Embl 4.25mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660853 CDM Device Embl 4.5mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660856 CDM Device Embl 4.5mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660854 CDM Device Embl 4.5mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
661380 CDM Graft Endo Aaa 23x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660837 CDM Device Embl 4.00x2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660825 CDM Device Embl 3.75mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660855 CDM Device Embl 4.50x25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
661381 CDM Graft Endo Aaa 26x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
661411 CDM Graft Endo Aaa 28.5x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653261 CDM Device Embl 4.25x14mm Pl 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660813 CDM Device Embl 3.25mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660128 CDM Coil Emb Endo Sn Ly 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660820 CDM Device Embl 3.5mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660818 CDM Device Embl 3.5mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660131 CDM Coil Embl 27x9x5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660817 CDM Device Embl 3.5mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660849 CDM Device Embl 4.5mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660819 CDM Device Embl 3.5mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660136 CDM Coil Embl 4x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660130 CDM Coil Embl 4mm 9mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660465 CDM Coil Emb Endo 6mm 4.6mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660821 CDM Device Embl 3.5mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660823 CDM Device Embl 3.75mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660822 CDM Device Embl 3.5mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660134 CDM Coil Embl 4.5mm 3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
655086 CDM Device Embl 10mm 4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660133 CDM Coil Embz .017 4.5mm 2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660464 CDM Coil Embl Endo 6mm 4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660812 CDM Device Embl 3.25mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660814 CDM Device Embl 3.5mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660832 CDM Device Embl 4mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660787 CDM Device Embl 2.5mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660810 CDM Device Embl 3.25mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660857 CDM Device Embl 4.5mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660831 CDM Device Embl 3.75mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660815 CDM Device Embl 3.50x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660838 CDM Device Embl 4mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660873 CDM Device Embl 5.0x.0mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660874 CDM Device Embl 5mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660790 CDM Device Embl 2.75mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660793 CDM Device Embl 2.75mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660816 CDM Device Embl 3.5mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660808 CDM Device Embl 3.25mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660830 CDM Device Embl 3.75mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660846 CDM Device Embl 4.25mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660851 CDM Device Embl 4.5mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660809 CDM Device Embl 3.25mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660469 CDM Coil Emb Neuro 6x4.6mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660826 CDM Device Embl 3.75x16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653259 CDM Device Embl 14x3.5mm Pl 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653255 CDM Dev Embl 16x2.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658897 CDM Device Clsr 27mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660335 CDM Device Embl 4.5mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660836 CDM Device Embl 4mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
661283 CDM Valve Aortic L5.6cm Od16 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
661576 CDM Coil Embl Endo 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658465 CDM Device Embl 4x35mm Pline 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660786 CDM Device Embl 2.5mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660806 CDM Device Embl 3.25x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653251 CDM Device Embl 18mm 4.5mm P 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660211 CDM System Imp 5mm 15mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660807 CDM Device Embl 3.25mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660843 CDM Device Emb 4.25mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659616 CDM Valve Aortic 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
565334 CDM Pump Pain Infn 148gm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660520 CDM Coil Emb Endo Sn Ly 7mmx 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660177 CDM Stent Eprsth 34x34x20cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660220 CDM Device Embl16x3.75mm Pip 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660785 CDM Device Embl 2.5mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660827 CDM Device Embl 3.75mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660870 CDM Device Embl 5mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659226 CDM Sys Endo Sgl Lyr 4x2.6mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659614 CDM Valve Aortic 21mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653253 CDM Dev Embl 18x3.5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653257 CDM Dev Embl 14x3.25mm Pipln 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660144 CDM Coil Embl Endo 8mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658896 CDM Device Clsr 24mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660143 CDM Coil Embl Endo 11mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
650878 CDM Stent Eprsth 40mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
565287 CDM Coil Embl 6mm 2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660784 CDM Device Embl 10mm 2.5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660829 CDM Device Embl 3.75mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653260 CDM Dev Embl Pipln 14x3.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659615 CDM Valve Aortic 23mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660828 CDM Device Embl 3.75mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658466 CDM Device Embl 5x35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657348 CDM Kit Aor Tavr 26mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
656269 CDM Device Embl 4x12mm Pline 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659617 CDM Valve Aortic 27mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660178 CDM Stent Eprsth 37x37x20cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653254 CDM Device Embl 16mm 2.5mm P 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657346 CDM Kit Aor Tavr 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660842 CDM Device Embl 4.25mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
649487 CDM Stent Eprsth 37mm 15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659033 CDM Graft Evas 34x34x10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
650874 CDM Stent Eprsth 45mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657921 CDM Valve Heart Trnscth 26mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660142 CDM Coil Emb 7x5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660844 CDM Device Embl 4.25mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659756 CDM Device Embl 14mm 2.5mm P 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659636 CDM Coil Embl Endo 8mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660470 CDM Device 17 Sng Sphr 5 .0 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660521 CDM Coil Emb Endo 6mm 5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
654407 CDM Device Embl 10mm 3.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660129 CDM Coil Emb 3mm 8mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658898 CDM Device Clsr 31mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660845 CDM Device Embl 4.25mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657349 CDM Kit Aor Vlv 14fr 29mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
643123 CDM Stent Eprsth 45mm 15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660871 CDM Device Embl 5.0x20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660811 CDM Device Embl 3.25mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660137 CDM Coil Embl 5mm 2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660139 CDM Coil Emb Neuro 6x4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
238720 CDM Device Clsr 24mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660765 CDM Device Embl 5.0x16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660802 CDM Device Embl 3mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
649628 CDM Stent Eprsth 31mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
238741 CDM Device Clsr 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653246 CDM Device Embl 16x4.25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659979 CDM Device Endo Sng 5x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
238722 CDM Device Clsr 31mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660696 CDM Device Embl 4.25mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660866 CDM Device Embl 4.75mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
649627 CDM Stent Eprsth 31mm 15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653252 CDM Dev Embl 16x4.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657919 CDM Valve Heart Trnscth 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660788 CDM Device Embl 2.5mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
571922 CDM Coil Emb Neuro 7mm 2mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660141 CDM Coil Emb Neuro 7x4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657732 CDM Device Embl 12mm 3.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660362 CDM Device Embl Pl 4.75x14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660467 CDM Coil Emb Endo 7mm 5mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
655143 CDM Device Embl 30mm 4.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660803 CDM Device Embl 3mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
647492 CDM Stent Eprsth 34mm 20cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
C1822 HCPCS Pulse Gen Imp 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
655959 CDM Sys Endo Sng Lyr 6x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653247 CDM Device Embl 18mm 4.25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658895 CDM Device Clsr 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659157 CDM Coil Emb Endo 7mm 5.6mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660867 CDM Device Embl 5mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657750 CDM Device Embl Pln 4.5x12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660868 CDM Device Embl 5mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660466 CDM Coil Emb Endo 7mm 4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
655446 CDM Stent Eprsth 15cm 28mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660132 CDM Coil Embl Endo 9mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
658545 CDM Coil Embl Endo 11mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
647491 CDM Stent Eprsth 34mm 15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660138 CDM Coil Emb Neuro 6x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657733 CDM Device Embl 10mm 4.75mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
650875 CDM Stent Eprsth 45mm 20cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
640521 CDM Kit Implant Crnmxf Med 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660799 CDM Device Embl 3mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660801 CDM Device Embl 3mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660462 CDM Sys Endo Sng Lyr 5mmx4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660463 CDM Coil Emb Endo 5mm 3.6mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660800 CDM Device Embl 3mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660863 CDM Device Embl 4.75mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660864 CDM Device Embl 4.75mm 25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
656607 CDM Device Embl Pln 12x4.75 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653258 CDM Dev Embl 18x3.25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660276 CDM Coil Emb Endo Sn Ly 11mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659041 CDM Stent 34mmx34mmx15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660789 CDM Device Embl 2.5mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660804 CDM Device Embl 3mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660805 CDM Device Embl 3.25mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660865 CDM Device Embl 4.75x30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660869 CDM Device Emb 5mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660794 CDM Device Embl 2.75mm 18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660795 CDM Device Embl 2.75mm 20mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660833 CDM Device Embl 4mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659225 CDM Coil Embl Endo 4mm 3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660840 CDM Device Embl 4mm 35mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660860 CDM Device Embl 4.75mm 14mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659036 CDM Stent Eprsth 37x37x10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659137 CDM Valve Aor Tavr 29mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660839 CDM Device Embl 4mm 30mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659618 CDM Valve Aortic 29mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660841 CDM Device Embl 4.25mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660858 CDM Device Embl 4.75mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
650879 CDM Stent Eprsth 40mm 20cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659135 CDM Valve Aor Tavr 23mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653256 CDM Dev Embl 16x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660796 CDM Device Embl 3mm 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657347 CDM Kit Aor Tavr 23mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659034 CDM Stent 20fr 31x31mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659136 CDM Valve Aor Tavr 26mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659138 CDM Valve Aor Tavr 34mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653249 CDM Dev Embl 20x4.25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660140 CDM Coil Embol Neuro 7x3mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660797 CDM Device Embl 3mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
238719 CDM Device Clsr 27mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660859 CDM Device Embl 4.75mm 12mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
660861 CDM Device Embl 4.75mm 16mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
649625 CDM Stent Eprsth 40mm 15cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
649626 CDM Stent Eprsth 34mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
659224 CDM Coil Embl Endo 10mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
657983 CDM System Endo Sng Lyr 5mmx 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653244 CDM Device Embl Pipln 4x18mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
656047 CDM Dev Embl Ped 12x3.25mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
653245 CDM Device Embl Pipln 14x4mm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
643124 CDM Stent Eprsth 37mm 10cm 30 16 $166,640.00 $166,640.00 $49,158.80 $154,975.20 $110,815.60 2026-03-01
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