Price Transparencybeta Hospital negotiated rates

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

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Hospital

ALASKA REGIONAL HOSPITAL

Anchorage, AK · CCN 020017 · Rates published

24,715 distinct procedures filed
22 distinct payers
1,148,935 rate rows
2026-09-01 last MRF observed
Data quality

1,084,262 of 1,148,935 rate rows are consumer-grade (94.4%)

64,673 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 32,210
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 24,179
per-diem day rate — not a per-procedure price 7,840
placeholder amount (≤ $0.02) — excluded from medians 288
template filing: same amount across many unrelated codes — excluded 134
exceeds 10× this hospital's gross charge — excluded from medians 18
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
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=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%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 success · 2026-09-21
Content fingerprint 7dea06346fea618a… · 236,675,734 bytes · first seen 2026-09-21

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 Autotemc 4 $4,324,800.00 $4,595,100.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 5 $3,543,792.00 $4,614,312.50 $3,691,450.00 nat. median
$3,765,001
1.0× median
714
OTHER 		Inj Delandistrogene Mox Ro 5 $3,184,221.12 $4,146,121.25 $3,316,897.00 nat. median
$3,391,964
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tre 5 $3,154,351.68 $4,107,228.75 $3,285,783.00 nat. median
$8,800
outlier · 373.4×
748
OTHER 		Inj, Lovotibeglogene Autot 5 $3,105,891.84 $4,044,130.00 $3,235,304.00 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autotemec 5 $3,052,800.00 $3,975,000.00 $3,180,000.00 nat. median
$2,726
outlier · 1166.4×
746
OTHER 		Inj, Betibeglogene Autotem 5 $2,813,049.60 $3,662,825.00 $2,930,260.00 nat. median
$3,001,835
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Trea 5 $2,572,836.48 $3,350,047.50 $2,680,038.00 nat. median
$2,508,045
1.1× median
922
OTHER 		Inj Onase Abepar-brve Trea 5 $2,557,658.88 $3,330,285.00 $2,664,228.00 nat. median
$167
outlier · 15988.9×
824
OTHER 		Inj, Exagamglogene Autotem 5 $2,208,870.72 $2,876,133.75 $2,300,907.00 nat. median
$28,063
outlier · 82.0×
2067
OTHER 		Afamitresgene Autoleucel 5 $781,408.70 $1,017,459.25 $813,967.40 nat. median
$838,386
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $362,616.86 $1,662,883.26 $799,270.45 nat. median
$168,055
outlier · 4.8×
9194
OTHER 		Tisagenlecleucel Car-pos T 5 $587,225.47 $764,616.50 $611,693.20 nat. median
$555,653
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 5 $564,458.69 $734,972.25 $587,977.80 nat. median
$553,480
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 5 $556,387.78 $724,463.25 $579,570.60 nat. median
$542,562
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 5 $545,258.69 $709,972.25 $567,977.80 nat. median
$552,917
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Ca 5 $540,000.86 $703,126.13 $562,500.90 nat. median
$513,929
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $235,491.74 $1,079,144.34 $518,694.37 nat. median
$186,516
outlier · 2.8×
9391
OTHER 		Brexucabtagene Car Pos T 5 $489,699.74 $637,629.88 $510,103.90 nat. median
$483,557
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $179,527.49 $822,165.05 $291,092.10 nat. median
$131,925
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $178,476.77 $817,340.00 $289,385.27 nat. median
$145,435
2.0× median
831
OTHER 		Obecbtge Autol Up To 400 M 5 $267,120.00 $347,812.50 $278,250.00 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 5 $251,116.51 $326,974.63 $261,579.70 nat. median
$269,427
1.0× median
7
MS_DRG 		Lung Transplant 5 $109,081.15 $498,686.30 $239,695.25 nat. median
$70,649
outlier · 3.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $101,262.82 $462,785.29 $222,439.31 nat. median
$72,715
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $95,509.02 $436,364.95 $209,740.29 nat. median
$65,418
outlier · 3.2×
886
OTHER 		Inj. Remestemcel-l-rknd/ T 5 $195,513.41 $254,574.75 $203,659.80 nat. median
$203,660
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $86,944.23 $397,036.73 $190,837.04 nat. median
$69,922
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $116,638.85 $533,389.71 $188,937.18 nat. median
$97,418
1.9× median
304353
CDM 		Ins/repl Sq Icd With Elec 16 $83,413.20 $260,964.17 $187,679.71 nat. median
$187,680
1.0× median
580090
CDM 		Ins Icd Lead/generator 16 $83,413.20 $260,964.17 $187,679.71 nat. median
$187,680
1.0× median
591992
CDM 		Rem/replace Icd Gen Mult 16 $83,413.20 $260,964.17 $187,679.71 nat. median
$187,680
1.0× median
305372
CDM 		Ins/repl Ccm System 16 $83,413.20 $260,964.17 $187,679.71 nat. median
$187,680
1.0× median
1908
OTHER 		New Technology - Level 52 5 $159,031.87 $207,072.75 $165,658.20 nat. median
$149,948
1.1× median
1907
OTHER 		New Technology - Level 52 5 $159,031.87 $207,072.75 $165,658.20 nat. median
$149,948
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $92,904.28 $424,404.37 $150,383.34 nat. median
$2,736
outlier · 55.0×
1906
OTHER 		New Technology - Level 51 5 $143,389.44 $186,705.00 $149,364.00 nat. median
$135,199
1.1× median
1905
OTHER 		New Technology - Level 51 5 $143,389.44 $186,705.00 $149,364.00 nat. median
$135,199
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $91,670.67 $418,739.84 $148,379.50 nat. median
$74,509
2.0× median
215
MS_DRG 		Other Heart Assist System Implant 6 $83,979.72 $383,424.16 $135,886.49 nat. median
$73,023
1.9× median
1904
OTHER 		New Technology - Level 50 5 $127,747.01 $166,337.25 $133,069.80 nat. median
$3,015
outlier · 44.1×
1903
OTHER 		New Technology - Level 50 5 $127,747.01 $166,337.25 $133,069.80 nat. median
$3,015
outlier · 44.1×
10
MS_DRG 		Pancreas Transplant 5 $60,655.27 $276,321.86 $132,815.03 nat. median
$23,080
outlier · 5.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $60,310.60 $274,739.18 $132,054.31 nat. median
$45,605
outlier · 2.9×
305374
CDM 		Repl Ccm Pls Gen Only 16 $56,836.53 $177,817.16 $127,882.20 nat. median
$6
outlier · 22163.3×
305377
CDM 		Ins/repl Ccm Pls Gen 16 $56,836.53 $177,817.16 $127,882.20 nat. median
$127,882
1.0× median
591991
CDM 		Rem/replace Icd Gen Sgl 16 $56,836.53 $177,817.16 $127,882.20 nat. median
$127,882
1.0× median
591990
CDM 		Rem/replace Icd Gen Dual 16 $56,836.53 $177,817.16 $127,882.20 nat. median
$127,882
1.0× median
J9226
HCPCS 		Supprelin La 50 Mg Imp 14 $57,693.92 $171,321.62 $123,210.75 nat. median
$57,036
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $76,034.66 $346,941.68 $122,980.73 nat. median
$2,596
outlier · 47.4×

Other procedures at this hospital

Browse this hospital's 24,715 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 Autotemc 5 4 — — $4,324,800.00 $4,595,100.00 $4,505,000.00 2026-09-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 6 5 — — $3,543,792.00 $4,614,312.50 $3,691,450.00 2026-09-01
714 OTHER Inj Delandistrogene Mox Ro 6 5 — — $3,184,221.12 $4,146,121.25 $3,316,897.00 2026-09-01
908 OTHER Topi Adm Prad Zami Per Tre 6 5 — — $3,154,351.68 $4,107,228.75 $3,285,783.00 2026-09-01
748 OTHER Inj, Lovotibeglogene Autot 6 5 — — $3,105,891.84 $4,044,130.00 $3,235,304.00 2026-09-01
906 OTHER Inj Elivaldogene Autotemec 6 5 — — $3,052,800.00 $3,975,000.00 $3,180,000.00 2026-09-01
746 OTHER Inj, Betibeglogene Autotem 6 5 — — $2,813,049.60 $3,662,825.00 $2,930,260.00 2026-09-01
9141 OTHER Inj Onase Abepar-xioi Trea 6 5 — — $2,572,836.48 $3,350,047.50 $2,680,038.00 2026-09-01
922 OTHER Inj Onase Abepar-brve Trea 6 5 — — $2,557,658.88 $3,330,285.00 $2,664,228.00 2026-09-01
824 OTHER Inj, Exagamglogene Autotem 6 5 — — $2,208,870.72 $2,876,133.75 $2,300,907.00 2026-09-01
2067 OTHER Afamitresgene Autoleucel 6 5 — — $781,408.70 $1,017,459.25 $813,967.40 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 5 — — $362,616.86 $1,662,883.26 $799,270.45 2026-09-01
9194 OTHER Tisagenlecleucel Car-pos T 6 5 — — $587,225.47 $764,616.50 $611,693.20 2026-09-01
9498 OTHER Ciltacabtagene Car-pos T 6 5 — — $564,458.69 $734,972.25 $587,977.80 2026-09-01
9413 OTHER Lisocabtagene Car Pos T 6 5 — — $556,387.78 $724,463.25 $579,570.60 2026-09-01
9422 OTHER Idecabtagene Vicleucel Car 6 5 — — $545,258.69 $709,972.25 $567,977.80 2026-09-01
9035 OTHER Axicabtagene Ciloleucel Ca 6 5 — — $540,000.86 $703,126.13 $562,500.90 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 5 — — $235,491.74 $1,079,144.34 $518,694.37 2026-09-01
9391 OTHER Brexucabtagene Car Pos T 6 5 — — $489,699.74 $637,629.88 $510,103.90 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 6 — — $179,527.49 $822,165.05 $291,092.10 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 6 — — $178,476.77 $817,340.00 $289,385.27 2026-09-01
831 OTHER Obecbtge Autol Up To 400 M 6 5 — — $267,120.00 $347,812.50 $278,250.00 2026-09-01
897 OTHER Revakinagene, Per Implant 6 5 — — $251,116.51 $326,974.63 $261,579.70 2026-09-01
7 MS_DRG Lung Transplant 9 5 — — $109,081.15 $498,686.30 $239,695.25 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 5 — — $101,262.82 $462,785.29 $222,439.31 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 5 — — $95,509.02 $436,364.95 $209,740.29 2026-09-01
886 OTHER Inj. Remestemcel-l-rknd/ T 6 5 — — $195,513.41 $254,574.75 $203,659.80 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 5 — — $86,944.23 $397,036.73 $190,837.04 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 6 — — $116,638.85 $533,389.71 $188,937.18 2026-09-01
305372 CDM Ins/repl Ccm System 29 16 $297,904.30 $297,904.30 $83,413.20 $260,964.17 $187,679.71 2026-09-01
591992 CDM Rem/replace Icd Gen Mult 29 16 $297,904.30 $297,904.30 $83,413.20 $260,964.17 $187,679.71 2026-09-01
304353 CDM Ins/repl Sq Icd With Elec 29 16 $297,904.30 $297,904.30 $83,413.20 $260,964.17 $187,679.71 2026-09-01
580090 CDM Ins Icd Lead/generator 29 16 $297,904.30 $297,904.30 $83,413.20 $260,964.17 $187,679.71 2026-09-01
1908 OTHER New Technology - Level 52 6 5 — — $159,031.87 $207,072.75 $165,658.20 2026-09-01
1907 OTHER New Technology - Level 52 6 5 — — $159,031.87 $207,072.75 $165,658.20 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 6 — — $92,904.28 $424,404.37 $150,383.34 2026-09-01
1905 OTHER New Technology - Level 51 6 5 — — $143,389.44 $186,705.00 $149,364.00 2026-09-01
1906 OTHER New Technology - Level 51 6 5 — — $143,389.44 $186,705.00 $149,364.00 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 6 — — $91,670.67 $418,739.84 $148,379.50 2026-09-01
215 MS_DRG Other Heart Assist System Implant 10 6 — — $83,979.72 $383,424.16 $135,886.49 2026-09-01
1904 OTHER New Technology - Level 50 6 5 — — $127,747.01 $166,337.25 $133,069.80 2026-09-01
1903 OTHER New Technology - Level 50 6 5 — — $127,747.01 $166,337.25 $133,069.80 2026-09-01
10 MS_DRG Pancreas Transplant 9 5 — — $60,655.27 $276,321.86 $132,815.03 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 5 — — $60,310.60 $274,739.18 $132,054.31 2026-09-01
305377 CDM Ins/repl Ccm Pls Gen 29 16 $202,987.62 $202,987.62 $56,836.53 $177,817.16 $127,882.20 2026-09-01
305374 CDM Repl Ccm Pls Gen Only 29 16 $202,987.62 $202,987.62 $56,836.53 $177,817.16 $127,882.20 2026-09-01
591990 CDM Rem/replace Icd Gen Dual 29 16 $202,987.62 $202,987.62 $56,836.53 $177,817.16 $127,882.20 2026-09-01
591991 CDM Rem/replace Icd Gen Sgl 29 16 $202,987.62 $202,987.62 $56,836.53 $177,817.16 $127,882.20 2026-09-01
J9226 HCPCS Supprelin La 50 Mg Imp 25 14 $195,572.62 $195,572.62 $57,693.92 $171,321.62 $123,210.75 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 6 — — $76,034.66 $346,941.68 $122,980.73 2026-09-01
924 OTHER Inj Zopapogene Per Ther Do 6 5 — — $117,024.00 $152,375.00 $121,900.00 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 10 6 — — $73,098.66 $333,460.03 $118,211.57 2026-09-01
1901 OTHER New Technology - Level 49 6 5 — — $112,104.58 $145,969.50 $116,775.60 2026-09-01
1902 OTHER New Technology - Level 49 6 5 — — $112,104.58 $145,969.50 $116,775.60 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 6 — — $70,950.97 $323,598.13 $114,722.89 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 5 — — $50,206.10 $228,340.89 $109,752.82 2026-09-01
660871 CDM Device Embl 5.0x20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660834 CDM Device Embl 4mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660870 CDM Device Embl 5mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660872 CDM Device Embl 5mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660809 CDM Device Embl 3.25mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
C1822 HCPCS Pulse Gen Imp 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
649487 CDM Stent Eprsth 37mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660867 CDM Device Embl 5mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653247 CDM Device Embl 18mm 4.25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660868 CDM Device Embl 5mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660869 CDM Device Emb 5mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659616 CDM Valve Aortic 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660464 CDM Coil Embl Endo 6mm 4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660466 CDM Coil Emb Endo 7mm 4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660873 CDM Device Embl 5.0x.0mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660864 CDM Device Embl 4.75mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660801 CDM Device Embl 3mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660859 CDM Device Embl 4.75mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660804 CDM Device Embl 3mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660140 CDM Coil Embol Neuro 7x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660830 CDM Device Embl 3.75mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660865 CDM Device Embl 4.75x30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660840 CDM Device Embl 4mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660857 CDM Device Embl 4.5mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660866 CDM Device Embl 4.75mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660831 CDM Device Embl 3.75mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659035 CDM Stent Graft 15cm 31x31mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660131 CDM Coil Embl 27x9x5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660470 CDM Device 17 Sng Sphr 5 .0 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660858 CDM Device Embl 4.75mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659137 CDM Valve Aor Tavr 29mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
565334 CDM Pump Pain Infn 148gm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660791 CDM Device Embl 2.75mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
565287 CDM Coil Embl 6mm 2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657346 CDM Kit Aor Tavr 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659636 CDM Coil Embl Endo 8mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660827 CDM Device Embl 3.75mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660792 CDM Device Embl 2.75mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659979 CDM Device Endo Sng 5x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660469 CDM Coil Emb Neuro 6x4.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659041 CDM Stent 34mmx34mmx15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660811 CDM Device Embl 3.25mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660797 CDM Device Embl 3mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660805 CDM Device Embl 3.25mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660784 CDM Device Embl 10mm 2.5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660798 CDM Device Embl 3mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
649627 CDM Stent Eprsth 31mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660129 CDM Coil Emb 3mm 8mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660130 CDM Coil Embl 4mm 9mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660799 CDM Device Embl 3mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660133 CDM Coil Embz .017 4.5mm 2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660803 CDM Device Embl 3mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660863 CDM Device Embl 4.75mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660862 CDM Device Embl 4.75mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660854 CDM Device Embl 4.5mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659034 CDM Stent 20fr 31x31mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660835 CDM Device Embl 4mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660836 CDM Device Embl 4mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
571922 CDM Coil Emb Neuro 7mm 2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
643124 CDM Stent Eprsth 37mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660276 CDM Coil Emb Endo Sn Ly 11mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660810 CDM Device Embl 3.25mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660833 CDM Device Embl 4mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660462 CDM Sys Endo Sng Lyr 5mmx4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660465 CDM Coil Emb Endo 6mm 4.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660807 CDM Device Embl 3.25mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
583917 CDM Valve Aortic 21mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660220 CDM Device Embl16x3.75mm Pip 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
655446 CDM Stent Eprsth 15cm 28mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
C1772 HCPCS Pump Pain Infn 20ml 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657347 CDM Kit Aor Tavr 23mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660794 CDM Device Embl 2.75mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
650875 CDM Stent Eprsth 45mm 20cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660828 CDM Device Embl 3.75mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660874 CDM Device Embl 5mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660850 CDM Device Embl 4.5mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653261 CDM Device Embl 4.25x14mm Pl 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660851 CDM Device Embl 4.5mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660137 CDM Coil Embl 5mm 2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660825 CDM Device Embl 3.75mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660852 CDM Device Embl 4.50x16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660853 CDM Device Embl 4.5mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660141 CDM Coil Emb Neuro 7x4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658898 CDM Device Clsr 31mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660178 CDM Stent Eprsth 37x37x20cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660795 CDM Device Embl 2.75mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659135 CDM Valve Aor Tavr 23mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
587533 CDM Implant Cust Cranial Lge 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659157 CDM Coil Emb Endo 7mm 5.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660826 CDM Device Embl 3.75x16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660855 CDM Device Embl 4.50x25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660787 CDM Device Embl 2.5mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653257 CDM Dev Embl 14x3.25mm Pipln 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660823 CDM Device Embl 3.75mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657349 CDM Kit Aor Vlv 14fr 29mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658897 CDM Device Clsr 27mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659043 CDM Graft Evas 45x45mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657304 CDM Stent Eprsth 21mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659756 CDM Device Embl 14mm 2.5mm P 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660788 CDM Device Embl 2.5mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658545 CDM Coil Embl Endo 11mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653256 CDM Dev Embl 16x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660786 CDM Device Embl 2.5mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
656607 CDM Device Embl Pln 12x4.75 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657348 CDM Kit Aor Tavr 26mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653262 CDM Device Embl Flx 4.5x14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
650879 CDM Stent Eprsth 40mm 20cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658466 CDM Device Embl 5x35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653259 CDM Device Embl 14x3.5mm Pl 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659225 CDM Coil Embl Endo 4mm 3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
429639 CDM Implant Cranial Peek 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660142 CDM Coil Emb 7x5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659136 CDM Valve Aor Tavr 26mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
654407 CDM Device Embl 10mm 3.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653253 CDM Dev Embl 18x3.5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653260 CDM Dev Embl Pipln 14x3.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660837 CDM Device Embl 4.00x2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660838 CDM Device Embl 4mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660796 CDM Device Embl 3mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660821 CDM Device Embl 3.5mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659033 CDM Graft Evas 34x34x10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
650878 CDM Stent Eprsth 40mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660846 CDM Device Embl 4.25mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660848 CDM Device Embl 4.25mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659224 CDM Coil Embl Endo 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660824 CDM Device Embl 3.75mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660468 CDM Coil Embol Neuro 4x2.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
661381 CDM Graft Endo Aaa 26x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660790 CDM Device Embl 2.75mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659037 CDM Stent Eprsth 37x37x15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660785 CDM Device Embl 2.5mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653252 CDM Dev Embl 16x4.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660177 CDM Stent Eprsth 34x34x20cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660793 CDM Device Embl 2.75mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660822 CDM Device Embl 3.5mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660847 CDM Device Embl 4.25mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
661411 CDM Graft Endo Aaa 28.5x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660143 CDM Coil Embl Endo 11mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238722 CDM Device Clsr 31mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
583918 CDM Valve Aortic 23mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660843 CDM Device Emb 4.25mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658899 CDM Device Clsr 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
655959 CDM Sys Endo Sng Lyr 6x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
649628 CDM Stent Eprsth 31mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660819 CDM Device Embl 3.5mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659617 CDM Valve Aortic 27mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659618 CDM Valve Aortic 29mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
583920 CDM Valve Aortic 27mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660362 CDM Device Embl Pl 4.75x14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660696 CDM Device Embl 4.25mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660856 CDM Device Embl 4.5mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657919 CDM Valve Heart Trnscth 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660818 CDM Device Embl 3.5mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
583916 CDM Valve Aortic 19mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660765 CDM Device Embl 5.0x16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660844 CDM Device Embl 4.25mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660467 CDM Coil Emb Endo 7mm 5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657732 CDM Device Embl 12mm 3.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
661576 CDM Coil Embl Endo 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658896 CDM Device Clsr 24mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660800 CDM Device Embl 3mm 18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
655086 CDM Device Embl 10mm 4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660860 CDM Device Embl 4.75mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660802 CDM Device Embl 3mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
577593 CDM Coil Embl Endo 11mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660861 CDM Device Embl 4.75mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660845 CDM Device Embl 4.25mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
661283 CDM Valve Aortic L5.6cm Od16 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660211 CDM System Imp 5mm 15mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
583919 CDM Valve Aortic 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658465 CDM Device Embl 4x35mm Pline 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660806 CDM Device Embl 3.25x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660816 CDM Device Embl 3.5mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660832 CDM Device Embl 4mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
661380 CDM Graft Endo Aaa 23x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660829 CDM Device Embl 3.75mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660839 CDM Device Embl 4mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660841 CDM Device Embl 4.25mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657920 CDM Valve Heart Trnscth 23mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660812 CDM Device Embl 3.25mm 30mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659614 CDM Valve Aortic 21mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659036 CDM Stent Eprsth 37x37x10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660139 CDM Coil Emb Neuro 6x4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660144 CDM Coil Embl Endo 8mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660813 CDM Device Embl 3.25mm 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653245 CDM Device Embl Pipln 14x4mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660136 CDM Coil Embl 4x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659615 CDM Valve Aortic 23mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660134 CDM Coil Embl 4.5mm 3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660132 CDM Coil Embl Endo 9mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660842 CDM Device Embl 4.25mm 12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660808 CDM Device Embl 3.25mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657733 CDM Device Embl 10mm 4.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653244 CDM Device Embl Pipln 4x18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
647491 CDM Stent Eprsth 34mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
643123 CDM Stent Eprsth 45mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657750 CDM Device Embl Pln 4.5x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659138 CDM Valve Aor Tavr 34mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653258 CDM Dev Embl 18x3.25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653246 CDM Device Embl 16x4.25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660521 CDM Coil Emb Endo 6mm 5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660814 CDM Device Embl 3.5mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657983 CDM System Endo Sng Lyr 5mmx 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
571284 CDM Stent Vasc 500mm 14mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
649626 CDM Stent Eprsth 34mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
650874 CDM Stent Eprsth 45mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
656269 CDM Device Embl 4x12mm Pline 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238723 CDM Device Clsr 35mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659226 CDM Sys Endo Sgl Lyr 4x2.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660520 CDM Coil Emb Endo Sn Ly 7mmx 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238721 CDM Device Clsr 40mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238720 CDM Device Clsr 24mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
655970 CDM Device Embl Flx 14x5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660135 CDM Coil Embol Neuro 4x2mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238719 CDM Device Clsr 27mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660335 CDM Device Embl 4.5mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660128 CDM Coil Emb Endo Sn Ly 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660789 CDM Device Embl 2.5mm 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653251 CDM Device Embl 18mm 4.5mm P 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660815 CDM Device Embl 3.50x12mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660820 CDM Device Embl 3.5mm 25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653250 CDM Dev Embl 16x5mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
238741 CDM Device Clsr 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
649625 CDM Stent Eprsth 40mm 15cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653249 CDM Dev Embl 20x4.25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
640521 CDM Kit Implant Crnmxf Med 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660463 CDM Coil Emb Endo 5mm 3.6mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653248 CDM Device Embl 5x18mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660817 CDM Device Embl 3.5mm 16mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
657921 CDM Valve Heart Trnscth 26mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660849 CDM Device Embl 4.5mm 10mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653254 CDM Device Embl 16mm 2.5mm P 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
659042 CDM Graft Evas 45x45mm 10cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
660138 CDM Coil Emb Neuro 6x3mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
653255 CDM Dev Embl 16x2.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
658895 CDM Device Clsr 20mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
647492 CDM Stent Eprsth 34mm 20cm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
655143 CDM Device Embl 30mm 4.75mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
656047 CDM Dev Embl Ped 12x3.25mm 26 15 $166,640.00 $166,640.00 $49,158.80 $145,976.64 $109,149.20 2026-09-01
640971 CDM Implant Cranial Plate 26 15 $166,086.00 $166,086.00 $48,995.37 $145,491.34 $108,786.33 2026-09-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 6 5 — — $103,913.28 $135,303.75 $108,243.00 2026-09-01
653665 CDM Graft Evas 16cm 23mm 26 15 $164,798.00 $164,798.00 $48,615.41 $144,363.05 $107,942.69 2026-09-01
653667 CDM Graft Evas 14cm 26mm 26 15 $164,798.00 $164,798.00 $48,615.41 $144,363.05 $107,942.69 2026-09-01
653777 CDM Graft Evas 12cm 26mm 26 15 $164,798.00 $164,798.00 $48,615.41 $144,363.05 $107,942.69 2026-09-01
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