|
J1413
|
HCPCS
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
28
|
20
|
—
|
$3,840,000.00
|
$2,106,444.00
|
$4,668,800.00
|
$3,199,872.00
|
2026-01-01
|
|
J3399
|
HCPCS
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
105
|
34
|
$5,000,000.00
|
$3,000,000.00
40% off
|
$1,335,000.00
|
$4,320,000.00
|
$2,763,247.13
|
2026-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
11
|
8
|
$326,263.04
|
$195,757.82
40% off
|
$155,205.60
|
$247,600.00
|
$212,331.00
|
2026-01-01
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
137
|
34
|
$578,360.64
|
$347,016.38
40% off
|
$139,158.00
|
$500,338.94
|
$198,649.50
|
2026-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
16
|
$285,356.40
|
$171,213.84
40% off
|
$138,861.62
|
$221,216.00
|
$182,326.00
|
2026-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
27
|
$213,808.59
|
$128,285.15
40% off
|
$96,176.00
|
$163,578.00
|
$143,742.00
|
2026-01-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
6
|
6
|
$137,611.81
|
$82,567.09
40% off
|
$136,560.00
|
$136,560.00
|
$136,560.00
|
2026-01-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
3
|
3
|
$134,363.16
|
$80,617.90
40% off
|
$134,782.00
|
$134,782.00
|
$134,782.00
|
2026-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
25
|
21
|
$332,449.43
|
$199,469.66
40% off
|
$101,253.59
|
$202,632.00
|
$119,104.00
|
2026-01-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
37
|
27
|
$195,633.70
|
$117,380.22
40% off
|
$86,590.40
|
$143,325.00
|
$118,885.00
|
2026-01-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
14
|
$223,710.45
|
$134,226.27
40% off
|
$111,161.00
|
$135,931.00
|
$118,461.00
|
2026-01-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
17
|
12
|
$729,075.51
|
$437,445.31
40% off
|
$78,516.80
|
$124,499.00
|
$112,874.00
|
2026-01-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
28
|
22
|
$285,039.24
|
$171,023.54
40% off
|
$70,905.90
|
$124,456.00
|
$100,130.00
|
2026-01-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
9
|
5
|
$155,502.55
|
$93,301.53
40% off
|
$57,347.02
|
$104,364.00
|
$91,255.00
|
2025-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
17
|
14
|
$176,385.25
|
$105,831.15
40% off
|
$62,714.00
|
$98,147.00
|
$89,743.00
|
2026-01-01
|
|
90288
|
HCPCS
|
Botulism Immune Globulin, Human 100 Mg Intravenous Solution
|
47
|
34
|
$102,835.50
|
$61,701.30
40% off
|
$27,539.35
|
$88,849.87
|
$83,296.76
|
2026-01-01
|
|
SUP-1582813
|
CDM
|
20mm Sapien 3 Transcath Heart
|
31
|
25
|
$97,500.00
|
$58,500.00
40% off
|
$71,126.25
|
$87,496.50
|
$81,997.50
|
2026-01-01
|
|
SUP-1582814
|
CDM
|
23mm Sapien 3 Transcath Heart
|
31
|
25
|
$97,500.00
|
$58,500.00
40% off
|
$71,126.25
|
$87,496.50
|
$81,997.50
|
2026-01-01
|
|
SUP-1582816
|
CDM
|
29mm Sapien 3 Transcath Heart
|
31
|
25
|
$97,500.00
|
$58,500.00
40% off
|
$71,126.25
|
$87,496.50
|
$81,997.50
|
2026-01-01
|
|
SUP-1582815
|
CDM
|
26mm Sapien 3 Transcath Heart
|
31
|
25
|
$97,500.00
|
$58,500.00
40% off
|
$71,126.25
|
$87,496.50
|
$81,997.50
|
2026-01-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
25
|
21
|
$145,757.46
|
$87,454.48
40% off
|
$71,944.00
|
$87,099.00
|
$80,044.87
|
2026-01-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
8
|
7
|
$201,171.86
|
$120,703.12
40% off
|
$71,838.07
|
$79,820.08
|
$79,820.08
|
2026-01-01
|
|
SUP-JTS EXTENDABLE
|
CDM
|
Flexible Hinge Knee
|
39
|
25
|
$108,000.00
|
$64,800.00
40% off
|
$35,964.00
|
$93,312.00
|
$78,786.00
|
2026-01-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
19
|
16
|
$422,102.45
|
$253,261.47
40% off
|
$42,660.00
|
$82,922.64
|
$75,978.00
|
2026-01-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
9
|
$214,746.17
|
$128,847.70
40% off
|
$75,655.00
|
$93,864.00
|
$75,655.00
|
2026-01-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
21
|
19
|
$115,061.33
|
$69,036.80
40% off
|
$65,000.00
|
$79,534.66
|
$71,581.19
|
2026-01-01
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
17
|
14
|
$36,629.53
|
$21,977.72
40% off
|
$30,586.00
|
$100,790.00
|
$68,202.00
|
2026-01-01
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Intravenous Solution
|
64
|
29
|
$165,582.39
|
$99,349.43
40% off
|
$553.43
|
$143,063.18
|
$68,143.85
|
2026-01-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
7
|
6
|
$107,672.63
|
$64,603.58
40% off
|
$66,935.00
|
$87,293.00
|
$66,935.00
|
2026-01-01
|
|
J9226
|
HCPCS
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
74
|
34
|
$143,037.33
|
$85,822.40
40% off
|
$38,190.97
|
$125,689.47
|
$59,573.87
|
2026-01-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
10
|
8
|
$55,627.49
|
$33,376.49
40% off
|
$38,231.34
|
$55,522.89
|
$55,522.89
|
2026-01-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
7
|
6
|
$113,514.50
|
$68,108.70
40% off
|
$55,254.00
|
$70,105.00
|
$55,254.00
|
2026-01-01
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
8
|
7
|
$67,658.06
|
$40,594.84
40% off
|
$48,768.24
|
$54,186.93
|
$54,186.93
|
2026-01-01
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
11
|
9
|
$52,512.20
|
$31,507.32
40% off
|
$30,757.00
|
$62,612.00
|
$54,172.00
|
2026-01-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
19
|
16
|
$72,708.54
|
$43,625.12
40% off
|
$29,025.00
|
$55,358.81
|
$51,782.00
|
2026-01-01
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
67
|
31
|
$135,752.36
|
$81,451.42
40% off
|
$398.37
|
$117,290.04
|
$50,327.13
|
2026-01-01
|
|
142
|
MS_DRG
|
Major Head And Neck Procedures Without Cc/mcc
|
17
|
14
|
$77,382.02
|
$46,429.21
40% off
|
$22,291.00
|
$74,410.00
|
$49,622.00
|
2026-01-01
|
|
C2616
|
HCPCS
|
Brachytx, Non-str,yttrium-90
|
43
|
28
|
$66,400.00
|
$39,840.00
40% off
|
$22,111.20
|
$57,369.60
|
$48,438.80
|
2026-01-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
11
|
9
|
$90,915.83
|
$54,549.50
40% off
|
$43,576.00
|
$58,281.00
|
$48,039.00
|
2026-01-01
|
|
30
|
MS_DRG
|
Spinal Procedures Without Cc/mcc
|
25
|
21
|
$55,012.03
|
$33,007.22
40% off
|
$40,308.66
|
$58,392.00
|
$47,640.00
|
2026-01-01
|
|
SUP-1584556
|
CDM
|
Cardiomemes Pa Sensor & Delivery Sys/cm2000
|
31
|
25
|
$55,500.00
|
$33,300.00
40% off
|
$40,487.25
|
$49,805.70
|
$46,675.50
|
2026-01-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
8
|
6
|
$109,749.90
|
$65,849.94
40% off
|
$43,147.00
|
$49,236.00
|
$46,191.50
|
2026-01-01
|
|
SUP-3028
|
CDM
|
Inspire Generator/ 3028
|
31
|
25
|
$54,675.00
|
$32,805.00
40% off
|
$39,885.41
|
$49,065.35
|
$45,981.68
|
2026-01-01
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
74
|
34
|
$102,702.03
|
$61,621.22
40% off
|
$27,421.44
|
$88,734.55
|
$44,802.00
|
2026-01-01
|
|
J9118
|
HCPCS
|
Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution
|
67
|
31
|
$111,208.38
|
$66,725.03
40% off
|
$93.20
|
$96,084.04
|
$43,394.51
|
2026-01-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
10
|
9
|
$205,964.56
|
$123,578.74
40% off
|
$43,312.00
|
$53,866.00
|
$43,312.00
|
2026-01-01
|
|
J0202
|
HCPCS
|
Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution
|
39
|
31
|
$153,812.80
|
$92,287.68
40% off
|
$2,654.19
|
$132,894.26
|
$41,544.84
|
2026-01-01
|
|
SUP-103
|
CDM
|
Vns Vagal Nerve Stimulator /103
|
39
|
25
|
$55,965.00
|
$33,579.00
40% off
|
$18,636.35
|
$48,353.76
|
$40,826.47
|
2026-01-01
|
|
661
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc
|
28
|
22
|
$41,575.52
|
$24,945.31
40% off
|
$23,393.00
|
$44,246.00
|
$39,518.22
|
2026-01-01
|
|
J9348
|
HCPCS
|
Naxitamab-gqgk 4 Mg/ml Intravenous Solution
|
67
|
31
|
$99,832.40
|
$59,899.44
40% off
|
$743.19
|
$86,255.19
|
$38,690.40
|
2026-01-01
|
|
37241
|
CPT
|
Vasc Embolize/Occlude Venous
|
36
|
27
|
$48,707.00
|
$29,224.20
40% off
|
$24,484.56
|
$43,709.66
|
$36,330.55
|
2026-01-01
|
|
37236
|
CPT
|
Open/Perq Place Stent 1st
|
36
|
27
|
$48,707.00
|
$29,224.20
40% off
|
$24,484.56
|
$43,709.66
|
$36,330.55
|
2026-01-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc/mcc
|
11
|
9
|
$87,869.88
|
$52,721.93
40% off
|
$32,254.00
|
$41,894.00
|
$36,149.00
|
2026-01-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc
|
19
|
16
|
$38,762.55
|
$23,257.53
40% off
|
$23,130.00
|
$44,119.23
|
$34,842.00
|
2026-01-01
|
|
C1772
|
HCPCS
|
Synchromed Pump 20ml/8667-20
|
35
|
28
|
$43,173.00
|
$25,903.80
40% off
|
$14,376.61
|
$37,301.47
|
$34,395.93
|
2026-01-01
|
|
C1767
|
HCPCS
|
Sentiva Generator / 1000
|
164
|
28
|
$80,034.00
|
$48,020.40
40% off
|
$13,112.87
|
$85,004.64
|
$33,116.90
|
2026-01-01
|
|
SUP-480524
|
CDM
|
Distal Femur / 480524
|
31
|
25
|
$37,500.00
|
$22,500.00
40% off
|
$27,356.25
|
$33,652.50
|
$31,537.50
|
2026-01-01
|
|
J9228
|
HCPCS
|
Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution
|
130
|
31
|
$36,413.65
|
$21,848.19
40% off
|
$215.67
|
$125,845.31
|
$31,461.39
|
2026-01-01
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
8
|
6
|
$64,201.77
|
$38,521.06
40% off
|
$29,156.00
|
$31,674.00
|
$30,415.00
|
2026-01-01
|
|
SUP-MS1-5590R
|
CDM
|
5.5 Rod Offset With 90mm Actuator/ Ms1-5590r
|
31
|
25
|
$35,000.00
|
$21,000.00
40% off
|
$25,532.50
|
$31,409.00
|
$29,435.00
|
2026-01-01
|
|
SUP-578160
|
CDM
|
5.5 Rod With 90mm Actuator Magec/ Ms1-5590s
|
31
|
25
|
$35,000.00
|
$21,000.00
40% off
|
$25,532.50
|
$31,409.00
|
$29,435.00
|
2026-01-01
|
|
L8690
|
HCPCS
|
Baha Osia Implant Kit
|
35
|
28
|
$36,738.00
|
$22,042.80
40% off
|
$12,233.75
|
$31,741.63
|
$29,269.16
|
2026-01-01
|
|
SUP-48291832
|
CDM
|
Stryker Vlift Cage/ 48291832
|
31
|
25
|
$33,645.54
|
$20,187.32
40% off
|
$24,544.42
|
$30,193.51
|
$28,295.90
|
2026-01-01
|
|
SUP-11500A
|
CDM
|
Inspiris Heart Valve
|
31
|
25
|
$33,000.00
|
$19,800.00
40% off
|
$24,073.50
|
$29,614.20
|
$27,753.00
|
2026-01-01
|
|
SUP-ELLIPSE NAIL
|
CDM
|
Ellipse Nail, Femur
|
31
|
25
|
$31,544.00
|
$18,926.40
40% off
|
$23,011.35
|
$28,307.59
|
$26,528.50
|
2026-01-01
|
|
SUP-1579243
|
CDM
|
Ccmcvol-edward Carpentier Aort
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1579245
|
CDM
|
Ccmcvol-edward Carpentier Ao
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1579244
|
CDM
|
Ccmcvol-edward Carpentier Aor
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1578234
|
CDM
|
Ccmcvol-edward Carpentier Aort
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1579242
|
CDM
|
Ccmcvol-edward Carpentier Aort
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1579246
|
CDM
|
Ccmcvol-edward Carpentier Aort
|
31
|
25
|
$29,700.00
|
$17,820.00
40% off
|
$21,666.15
|
$26,652.78
|
$24,977.70
|
2026-01-01
|
|
SUP-1578156
|
CDM
|
Oclr Cv 25mm/gsx0025a
|
31
|
25
|
$29,649.00
|
$17,789.40
40% off
|
$21,628.95
|
$26,607.01
|
$24,934.81
|
2026-01-01
|
|
SUP-1578155
|
CDM
|
Oclr Cv 20mm/gsx0020a
|
31
|
25
|
$29,649.00
|
$17,789.40
40% off
|
$21,628.95
|
$26,607.01
|
$24,934.81
|
2026-01-01
|
|
SUP-1578157
|
CDM
|
Oclr Cv 30mm/gsx0030a
|
31
|
25
|
$29,649.00
|
$17,789.40
40% off
|
$21,628.95
|
$26,607.01
|
$24,934.81
|
2026-01-01
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
39
|
31
|
$91,598.09
|
$54,958.85
40% off
|
$3,195.00
|
$79,140.75
|
$24,740.64
|
2026-01-01
|
|
L8614
|
HCPCS
|
Cochlear Implant/ P783831
|
207
|
28
|
$58,616.07
|
$35,169.64
40% off
|
$4,340.66
|
$62,819.71
|
$24,211.76
|
2026-01-01
|
|
J1628
|
HCPCS
|
Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution
|
63
|
28
|
$55,761.59
|
$33,456.95
40% off
|
$14,888.34
|
$48,178.01
|
$22,993.60
|
2026-01-01
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg Intravenous Solution
|
67
|
31
|
$69,012.58
|
$41,407.55
40% off
|
$379.84
|
$59,626.87
|
$22,528.00
|
2026-01-01
|
|
33948
|
CPT
|
Ecmo Addt'l 24hrs Veno-venous
|
35
|
27
|
$30,027.00
|
$18,016.20
40% off
|
$6,296.83
|
$25,522.95
|
$22,397.14
|
2026-01-01
|
|
33949
|
CPT
|
Ecmo Addt'l 24hrs Veno-arterial
|
35
|
27
|
$30,027.00
|
$18,016.20
40% off
|
$6,296.83
|
$25,522.95
|
$22,397.14
|
2026-01-01
|
|
33947
|
CPT
|
Ecmo Initial Day Veno-arterial
|
35
|
27
|
$30,027.00
|
$18,016.20
40% off
|
$6,296.83
|
$25,522.95
|
$22,397.14
|
2026-01-01
|
|
33946
|
CPT
|
Ecmo Initial Day Veno-venous
|
35
|
27
|
$30,027.00
|
$18,016.20
40% off
|
$6,296.83
|
$25,522.95
|
$22,397.14
|
2026-01-01
|
|
J1428
|
HCPCS
|
Eteplirsen 50 Mg/ml Intravenous Solution
|
37
|
30
|
$30,640.00
|
$18,384.00
40% off
|
$184.42
|
$26,688.00
|
$22,351.88
|
2026-01-01
|
|
J9210
|
HCPCS
|
Emapalumab-lzsg 5 Mg/ml Intravenous Solution
|
67
|
31
|
$69,545.14
|
$41,727.08
40% off
|
$400.71
|
$60,087.00
|
$21,744.03
|
2026-01-01
|
|
J1246
|
HCPCS
|
Dinutuximab 3.5 Mg/ml Intravenous Solution
|
46
|
34
|
$28,725.00
|
$17,235.00
40% off
|
$7,669.58
|
$24,818.40
|
$21,698.87
|
2026-01-01
|
|
J1290
|
HCPCS
|
Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution
|
67
|
31
|
$56,560.02
|
$33,936.01
40% off
|
$636.05
|
$48,867.86
|
$21,219.00
|
2026-01-01
|
|
SUP-1580357
|
CDM
|
Avance Nerve Graft 2-3mm 70mm
|
31
|
25
|
$24,795.00
|
$14,877.00
40% off
|
$8,256.74
|
$21,422.88
|
$20,852.60
|
2026-01-01
|
|
SUP-9-ASD-034
|
CDM
|
34mm Septal Occluder/ 9-asd-034
|
31
|
25
|
$24,609.00
|
$14,765.40
40% off
|
$17,952.27
|
$22,084.12
|
$20,696.17
|
2026-01-01
|
|
SUP-1576211
|
CDM
|
Aga Occl Asd 18mm/9-asd-018
|
31
|
25
|
$24,609.00
|
$14,765.40
40% off
|
$17,952.27
|
$22,084.12
|
$20,696.17
|
2026-01-01
|
|
SUP-1582787
|
CDM
|
Amplatzer 38mm
|
31
|
25
|
$24,609.00
|
$14,765.40
40% off
|
$17,952.27
|
$22,084.12
|
$20,696.17
|
2026-01-01
|
|
SUP-1582785
|
CDM
|
Amplatzer 36mm
|
31
|
25
|
$24,609.00
|
$14,765.40
40% off
|
$17,952.27
|
$22,084.12
|
$20,696.17
|
2026-01-01
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
11
|
8
|
$41,889.79
|
$25,133.87
40% off
|
$18,152.00
|
$23,816.00
|
$20,597.00
|
2026-01-01
|
|
29888
|
CPT
|
Pr Knee Scope Aid Ant Cruciate Repair
|
11
|
6
|
$36,994.46
|
$22,196.68
40% off
|
$11,285.34
|
$27,900.21
|
$20,462.78
|
2025-01-01
|
|
SUP-87SRCK15
|
CDM
|
Prodense Core Decompression Kit 15cc/ 87srck15
|
31
|
25
|
$23,985.00
|
$14,391.00
40% off
|
$17,497.06
|
$21,524.14
|
$20,171.39
|
2026-01-01
|
|
SUP-1580356
|
CDM
|
Avance Nerve Graft 4-5mm 70mm
|
31
|
25
|
$23,850.00
|
$14,310.00
40% off
|
$7,942.05
|
$20,606.40
|
$20,057.85
|
2026-01-01
|
|
SUP-1582775
|
CDM
|
Covered Stent 30x6
|
31
|
25
|
$22,995.42
|
$13,797.25
40% off
|
$16,775.16
|
$20,636.09
|
$19,339.15
|
2026-01-01
|
|
SUP-1582773
|
CDM
|
Coverered Balloon Stent 24 X 4
|
31
|
25
|
$22,995.42
|
$13,797.25
40% off
|
$16,775.16
|
$20,636.09
|
$19,339.15
|
2026-01-01
|
|
SUP-1308296
|
CDM
|
Aga Occl Asd 24mm/9-asd-024
|
31
|
25
|
$22,992.00
|
$13,795.20
40% off
|
$16,772.66
|
$20,633.02
|
$19,336.27
|
2026-01-01
|
|
J9153
|
HCPCS
|
Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution
|
39
|
31
|
$44,156.07
|
$26,493.64
40% off
|
$294.76
|
$37,532.66
|
$18,948.02
|
2026-01-01
|
|
J0139
|
HCPCS
|
Adalimumab 80 Mg/0.8 Ml Subcutaneous Pen Kit
|
54
|
28
|
$25,469.06
|
$15,281.44
40% off
|
$6,800.24
|
$22,005.27
|
$18,579.68
|
2026-01-01
|
|
33210
|
CPT
|
Insert Electrd/Pm Cath Sngl
|
46
|
34
|
$22,983.00
|
$13,789.80
40% off
|
$949.00
|
$20,624.94
|
$18,310.56
|
2026-01-01
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg Intravenous Solution
|
67
|
31
|
$50,975.73
|
$30,585.44
40% off
|
$292.31
|
$44,043.03
|
$18,234.12
|
2026-01-01
|
|
SUP-1575187
|
CDM
|
Endowrist Stapler
|
31
|
25
|
$21,420.00
|
$12,852.00
40% off
|
$15,625.89
|
$19,222.31
|
$18,014.22
|
2026-01-01
|
|
J9203
|
HCPCS
|
Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln
|
63
|
28
|
$39,917.23
|
$23,950.34
40% off
|
$10,657.90
|
$34,488.49
|
$17,413.58
|
2026-01-01
|
|
769
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses With O.r. Procedures
|
6
|
6
|
$76,790.17
|
$46,074.10
40% off
|
$16,878.00
|
$16,878.00
|
$16,878.00
|
2026-01-01
|
|
37244
|
CPT
|
Vasc Embolize/Occlude Bleed
|
36
|
27
|
$22,571.00
|
$13,542.60
40% off
|
$11,346.02
|
$20,255.22
|
$16,835.71
|
2026-01-01
|
|
37242
|
CPT
|
Vasc Embolize/Occlude Artery
|
36
|
27
|
$22,571.00
|
$13,542.60
40% off
|
$11,346.02
|
$20,255.22
|
$16,835.71
|
2026-01-01
|
|
29882
|
CPT
|
Pr Knee Scope Med Or Lat Menis Repair
|
11
|
6
|
$28,811.84
|
$17,287.10
40% off
|
$10,544.07
|
$18,855.19
|
$16,814.15
|
2025-01-01
|
|
SUP-994-01-6696
|
CDM
|
Mandibular Locking Plate 2.0mm/ 994-01-6696
|
31
|
25
|
$19,990.00
|
$11,994.00
40% off
|
$14,582.71
|
$17,939.03
|
$16,811.59
|
2026-01-01
|
|
SUP-3300TFX
|
CDM
|
Edwards Perimount Magna Ease Aortic Valve/3300tfx
|
31
|
25
|
$19,800.00
|
$11,880.00
40% off
|
$14,444.10
|
$17,768.52
|
$16,651.80
|
2026-01-01
|
|
SUP-1579220
|
CDM
|
18mm Valved Conduit
|
31
|
25
|
$19,500.00
|
$11,700.00
40% off
|
$14,225.25
|
$17,499.30
|
$16,399.50
|
2026-01-01
|
|
SUP-1579223
|
CDM
|
22mm Valved Conduit
|
31
|
25
|
$19,500.00
|
$11,700.00
40% off
|
$14,225.25
|
$17,499.30
|
$16,399.50
|
2026-01-01
|
|
SUP-1579217
|
CDM
|
14mm Valved Conduit
|
31
|
25
|
$19,500.00
|
$11,700.00
40% off
|
$14,225.25
|
$17,499.30
|
$16,399.50
|
2026-01-01
|
|
SUP-1579224
|
CDM
|
26mm Valved Conduit
|
31
|
25
|
$19,500.00
|
$11,700.00
40% off
|
$14,225.25
|
$17,499.30
|
$16,399.50
|
2026-01-01
|
|
SUP-1579221
|
CDM
|
20mm Valved Conduit
|
31
|
25
|
$19,500.00
|
$11,700.00
40% off
|
$14,225.25
|
$17,499.30
|
$16,399.50
|
2026-01-01
|
|
SUP-SD800.440
|
CDM
|
Custom Peek Implant/sd800.440
|
31
|
25
|
$19,400.00
|
$11,640.00
40% off
|
$14,152.30
|
$17,409.56
|
$16,315.40
|
2026-01-01
|
|
27427
|
CPT
|
Pr Ligmt Revision Knee Extra-artic
|
11
|
6
|
$32,774.69
|
$19,664.82
40% off
|
$12,589.98
|
$24,717.53
|
$16,165.62
|
2025-01-01
|
|
37243
|
CPT
|
Vasc Embolize/Occlude Organ
|
36
|
27
|
$21,497.00
|
$12,898.20
40% off
|
$10,806.40
|
$19,291.41
|
$16,034.61
|
2026-01-01
|
|
44970
|
CPT
|
Laparoscopy Appendectomy
|
11
|
6
|
$21,845.64
|
$13,107.38
40% off
|
$11,181.13
|
$19,759.04
|
$15,470.08
|
2025-01-01
|
|
SUP-CUSTOM
|
CDM
|
Htr-pekk Implant Temporal Implant Custom
|
31
|
25
|
$18,000.00
|
$10,800.00
40% off
|
$13,131.00
|
$16,153.20
|
$15,138.00
|
2026-01-01
|
|
27599
|
CPT
|
Pr Femur/knee Surg Unlisted
|
11
|
6
|
$30,602.11
|
$18,361.27
40% off
|
$10,397.42
|
$23,078.92
|
$15,094.02
|
2025-01-01
|
|
37238
|
CPT
|
Open/Perq Place Stent Same
|
36
|
27
|
$20,181.00
|
$12,108.60
40% off
|
$10,144.41
|
$18,110.43
|
$15,053.01
|
2026-01-01
|
|
J2327
|
HCPCS
|
Risankizumab 600 Mg/10 Ml Injection
|
130
|
31
|
$34,992.42
|
$20,995.45
40% off
|
$16.94
|
$74,069.66
|
$14,871.89
|
2026-01-01
|
|
43276
|
CPT
|
Ercp Stent Exchange W/Dilate
|
36
|
27
|
$19,898.00
|
$11,938.80
40% off
|
$10,002.22
|
$17,856.47
|
$14,841.92
|
2026-01-01
|
|
SUP-87SRCDK0
|
CDM
|
Prodense Cdk/ 87srcdk0
|
31
|
25
|
$17,335.50
|
$10,401.30
40% off
|
$12,646.25
|
$15,556.88
|
$14,579.16
|
2026-01-01
|
|
37239
|
CPT
|
Open/Perq Place Stent Ea Add
|
36
|
27
|
$19,184.00
|
$11,510.40
40% off
|
$9,643.83
|
$17,215.72
|
$14,309.35
|
2026-01-01
|
|
37237
|
CPT
|
Open/Perq Place Stent Ea Add
|
36
|
27
|
$19,184.00
|
$11,510.40
40% off
|
$9,643.83
|
$17,215.72
|
$14,309.35
|
2026-01-01
|
|
SUP-9392225
|
CDM
|
Medtronic Attuide Cage /9392225
|
31
|
25
|
$17,000.00
|
$10,200.00
40% off
|
$12,401.50
|
$15,255.80
|
$14,297.00
|
2026-01-01
|
|
PX-27800050
|
CDM
|
Hc Hh Surgical Implant 17,500 - 30,000
|
31
|
25
|
$16,883.00
|
$10,129.80
40% off
|
$5,622.04
|
$14,586.91
|
$14,198.60
|
2026-01-01
|
|
L8619
|
HCPCS
|
Baha Sound Processor / 936
|
197
|
34
|
$19,666.00
|
$11,799.60
40% off
|
$2,554.11
|
$31,801.25
|
$14,171.86
|
2026-01-01
|
|
J9022
|
HCPCS
|
Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution
|
217
|
28
|
$31,137.66
|
$18,682.60
40% off
|
$8,312.57
|
$38,427.29
|
$13,862.97
|
2026-01-01
|
|
SUP-1579216
|
CDM
|
Mosaic Ultra 305 27mm
|
31
|
25
|
$16,200.00
|
$9,720.00
40% off
|
$11,817.90
|
$14,537.88
|
$13,624.20
|
2026-01-01
|
|
SUP-1579211
|
CDM
|
Mosaic Ultra 305 19mm
|
31
|
25
|
$16,200.00
|
$9,720.00
40% off
|
$11,817.90
|
$14,537.88
|
$13,624.20
|
2026-01-01
|
|
SUP-1579215
|
CDM
|
Mosaic Ultra 305 25mm
|
31
|
25
|
$16,200.00
|
$9,720.00
40% off
|
$11,817.90
|
$14,537.88
|
$13,624.20
|
2026-01-01
|
|
SUP-1579213
|
CDM
|
Mosaic Ultra 305 23mm
|
31
|
25
|
$16,200.00
|
$9,720.00
40% off
|
$11,817.90
|
$14,537.88
|
$13,624.20
|
2026-01-01
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
6
|
6
|
$19,332.12
|
$11,599.27
40% off
|
$13,479.00
|
$13,479.00
|
$13,479.00
|
2026-01-01
|
|
SUP-1582884
|
CDM
|
Duct Occluder 5mm X 6mm
|
31
|
25
|
$15,999.00
|
$9,599.40
40% off
|
$5,327.67
|
$13,823.14
|
$13,455.16
|
2026-01-01
|
|
36223
|
CPT
|
Sl Cm Cart Icr Si
|
36
|
27
|
$17,934.00
|
$10,760.40
40% off
|
$9,015.63
|
$16,093.97
|
$13,376.97
|
2026-01-01
|
|
C1764
|
HCPCS
|
Reveal Linq Lnq11
|
31
|
25
|
$15,885.00
|
$9,531.00
40% off
|
$5,289.71
|
$13,724.64
|
$13,359.29
|
2026-01-01
|
|
SUP-AP360/505DA
|
CDM
|
Fmi-mechanical Aortic Heart Valve Ats/ap360/505da
|
31
|
25
|
$15,800.00
|
$9,480.00
40% off
|
$11,526.10
|
$14,178.92
|
$13,287.80
|
2026-01-01
|
|
J9015
|
HCPCS
|
Aldesleukin 22 Million Unit Intravenous Solution
|
74
|
34
|
$48,740.58
|
$29,244.35
40% off
|
$3,222.89
|
$42,111.86
|
$13,164.83
|
2026-01-01
|
|
J7180
|
HCPCS
|
Factor Xiii 1,000 Unit-1,600 Unit Intravenous Solution
|
67
|
31
|
$20,988.40
|
$12,593.04
40% off
|
$11.47
|
$29,134.40
|
$13,130.00
|
2026-01-01
|
|
SUP-1578947
|
CDM
|
Mosaic Model 310 Mitral Heart
|
31
|
25
|
$15,600.00
|
$9,360.00
40% off
|
$11,380.20
|
$13,999.44
|
$13,119.60
|
2026-01-01
|
|
SUP-1000503
|
CDM
|
Hakim Programmable Valve / 82
|
31
|
25
|
$15,429.00
|
$9,257.40
40% off
|
$11,255.46
|
$13,845.98
|
$12,975.79
|
2026-01-01
|
|
J9301
|
HCPCS
|
Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution
|
63
|
28
|
$19,762.80
|
$11,857.68
40% off
|
$5,276.67
|
$20,908.38
|
$12,866.52
|
2026-01-01
|
|
J0180
|
HCPCS
|
Agalsidase Beta 35 Mg Intravenous Solution
|
63
|
28
|
$29,979.22
|
$17,987.53
40% off
|
$8,004.45
|
$25,902.05
|
$12,706.06
|
2026-01-01
|
|
SUP-1000
|
CDM
|
Bear Implant/ 1000
|
31
|
25
|
$15,075.00
|
$9,045.00
40% off
|
$10,997.21
|
$13,528.31
|
$12,678.08
|
2026-01-01
|
|
SUP-1578822
|
CDM
|
27/29 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1578823
|
CDM
|
25/33 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1579241
|
CDM
|
27/29 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1579239
|
CDM
|
25 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1578816
|
CDM
|
19 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1578824
|
CDM
|
31/33 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
SUP-1578820
|
CDM
|
23 Heart Valve
|
31
|
25
|
$15,045.00
|
$9,027.00
40% off
|
$10,975.33
|
$13,501.38
|
$12,652.85
|
2026-01-01
|
|
Q4104
|
HCPCS
|
2x2 Bilayed Matrix Wound Dressing/ Bmw2021
|
70
|
28
|
$16,270.92
|
$9,762.55
40% off
|
$4,919.08
|
$15,353.14
|
$12,423.25
|
2026-01-01
|
|
SUP-7510400
|
CDM
|
Infuse Medium Kit/7510400
|
31
|
25
|
$14,679.00
|
$8,807.40
40% off
|
$10,708.33
|
$13,172.93
|
$12,345.04
|
2026-01-01
|
|
PX-20800001
|
CDM
|
R & B ICU Trauma
|
7
|
6
|
$14,418.00
|
$8,650.80
40% off
|
$10,517.93
|
$12,255.30
|
$12,255.30
|
2026-01-01
|
|
SUP-9ASDMF035
|
CDM
|
Ccmcvol-aga Occluder Cribriform 35 Mm
|
31
|
25
|
$14,437.52
|
$8,662.51
40% off
|
$4,807.69
|
$12,474.02
|
$12,141.95
|
2026-01-01
|
|
C1817
|
HCPCS
|
10fr X 27mmcardioform Occluder
|
210
|
28
|
$24,171.00
|
$14,502.60
40% off
|
$4,288.37
|
$22,869.22
|
$12,132.92
|
2026-01-01
|
|
SUP-1578821
|
CDM
|
25 Heart Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-1578825
|
CDM
|
Ccmcvol-conform-x Aortic Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-1578826
|
CDM
|
Ccmcvol-conform-x Aortic Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-578829
|
CDM
|
Ccmcvol-conform-x Aortic Valve 27/29mm/ Onxaap-27/29
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-1578819
|
CDM
|
21 Heart Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-1578828
|
CDM
|
Ccmcvol-conform-x Aortic Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
SUP-1578827
|
CDM
|
Ccmcvol-conform-x Aortic Valve
|
31
|
25
|
$14,400.00
|
$8,640.00
40% off
|
$10,504.80
|
$12,922.56
|
$12,110.40
|
2026-01-01
|
|
J1950
|
HCPCS
|
Leuprolide 11.25 Mg (pediatric 3 Month) Intramuscular Syringe Kit
|
535
|
34
|
$19,103.55
|
$11,462.13
40% off
|
$1,789.81
|
$89,243.24
|
$12,040.99
|
2026-01-01
|
|
36226
|
CPT
|
Place Cath Vertebral Art
|
46
|
34
|
$15,662.00
|
$9,397.20
40% off
|
$7,873.45
|
$14,055.08
|
$11,843.60
|
2026-01-01
|
|
36224
|
CPT
|
Place Cath Carotd Art
|
46
|
34
|
$15,662.00
|
$9,397.20
40% off
|
$7,873.45
|
$14,055.08
|
$11,843.60
|
2026-01-01
|
|
SUP-7510200
|
CDM
|
Infuse Small/ 7510200
|
31
|
25
|
$13,983.00
|
$8,389.80
40% off
|
$10,200.60
|
$12,548.34
|
$11,759.70
|
2026-01-01
|
|
74480
|
CPT
|
Percstntplacureir
|
46
|
34
|
$15,186.00
|
$9,111.60
40% off
|
$7,510.74
|
$13,120.70
|
$11,483.65
|
2026-01-01
|
|
SUP-CCMC5447
|
CDM
|
Fmi-98-valve Mechanical Heart/mitral 25 Mm
|
31
|
25
|
$13,500.00
|
$8,100.00
40% off
|
$9,848.25
|
$12,114.90
|
$11,353.50
|
2026-01-01
|
|
SUP-700-103909
|
CDM
|
Rita- Starburst MRI Semi Flex /700-103909
|
31
|
25
|
$13,500.00
|
$8,100.00
40% off
|
$9,848.25
|
$12,114.90
|
$11,353.50
|
2026-01-01
|
|
SUP-CCMC5451
|
CDM
|
Fmi-98-valve Mechanical Heart/mitral 33 Mm
|
31
|
25
|
$13,500.00
|
$8,100.00
40% off
|
$9,848.25
|
$12,114.90
|
$11,353.50
|
2026-01-01
|
|
SUP-CCMC5450
|
CDM
|
Fmi-98-valve Mechanical Heart/mitral 31 Mm
|
31
|
25
|
$13,500.00
|
$8,100.00
40% off
|
$9,848.25
|
$12,114.90
|
$11,353.50
|
2026-01-01
|
|
SUP-CCMC5446
|
CDM
|
Fmi-98-valve Mechanical Heart/mitral 27 Mm
|
31
|
25
|
$13,500.00
|
$8,100.00
40% off
|
$9,848.25
|
$12,114.90
|
$11,353.50
|
2026-01-01
|
|
J0600
|
HCPCS
|
Edetate Calcium Disodium 200 Mg/ml Injection Solution
|
46
|
34
|
$23,937.50
|
$14,362.50
40% off
|
$6,391.31
|
$20,682.00
|
$11,316.61
|
2026-01-01
|
|
PX-20300001
|
CDM
|
R & B ICU
|
7
|
6
|
$13,164.00
|
$7,898.40
40% off
|
$9,603.14
|
$11,189.40
|
$11,189.40
|
2026-01-01
|
|
PX-71000008
|
CDM
|
Hc Ext Pacu ICU Flat Rate
|
35
|
28
|
$13,164.00
|
$7,898.40
40% off
|
$9,603.14
|
$11,813.37
|
$11,070.92
|
2026-01-01
|
|
PX-22000001
|
CDM
|
R & B Adult ICU
|
24
|
21
|
$13,164.00
|
$7,898.40
40% off
|
$9,603.14
|
$11,373.70
|
$11,070.92
|
2026-01-01
|
|
35471
|
CPT
|
Hh Angiorenal
|
36
|
27
|
$14,837.00
|
$8,902.20
40% off
|
$7,682.32
|
$13,314.72
|
$11,066.92
|
2026-01-01
|
|
37204
|
CPT
|
Hh Embolnonneuro
|
36
|
27
|
$14,752.00
|
$8,851.20
40% off
|
$7,638.03
|
$13,238.44
|
$11,003.52
|
2026-01-01
|
|
SUP-48375094
|
CDM
|
9x25x4deg Cage/ 48375094
|
31
|
25
|
$13,000.00
|
$7,800.00
40% off
|
$9,483.50
|
$11,666.20
|
$10,933.00
|
2026-01-01
|
|
SUP-48375074
|
CDM
|
7x25x4deg Cage/ 48375074
|
31
|
25
|
$13,000.00
|
$7,800.00
40% off
|
$9,483.50
|
$11,666.20
|
$10,933.00
|
2026-01-01
|
|
SUP-1580358
|
CDM
|
Avance Nerve Graft 2-3mm 30mm
|
31
|
25
|
$12,957.00
|
$7,774.20
40% off
|
$4,314.68
|
$11,194.85
|
$10,896.84
|
2026-01-01
|
|
36522
|
CPT
|
Photopheresis, Extracorporeal
|
46
|
34
|
$14,328.00
|
$8,596.80
40% off
|
$7,202.71
|
$12,857.95
|
$10,834.83
|
2026-01-01
|
|
36516
|
CPT
|
Apheresis W/Extracor Immunads, Slctv Absorb/Filt And Plasma Reinf
|
46
|
34
|
$14,328.00
|
$8,596.80
40% off
|
$7,202.71
|
$12,857.95
|
$10,834.83
|
2026-01-01
|
|
29881
|
CPT
|
Removal Of One Knee Cartilage Using An Endoscope
|
11
|
6
|
$18,657.19
|
$11,194.32
40% off
|
$6,691.31
|
$12,834.42
|
$10,819.78
|
2025-01-01
|
|
21453
|
CPT
|
Cl Tx Of Mand Fx W Id Fix
|
46
|
34
|
$13,483.00
|
$8,089.80
40% off
|
$949.00
|
$12,099.64
|
$10,741.91
|
2026-01-01
|
|
J1299
|
HCPCS
|
Eculizumab 300 Mg/30 Ml Intravenous Solution
|
63
|
28
|
$24,983.06
|
$14,989.84
40% off
|
$6,670.48
|
$21,585.36
|
$10,646.45
|
2026-01-01
|
|
PX-27800049
|
CDM
|
Hc Hh Surgical Implant 14,000 - 17,500
|
31
|
25
|
$12,381.00
|
$7,428.60
40% off
|
$4,122.87
|
$10,697.18
|
$10,412.42
|
2026-01-01
|
|
G0330
|
HCPCS
|
Facility Svs Dental Rehab
|
35
|
28
|
$12,275.00
|
$7,365.00
40% off
|
$8,954.61
|
$11,015.59
|
$10,311.00
|
2026-01-01
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg Intravenous Solution
|
63
|
28
|
$35,848.46
|
$21,509.08
40% off
|
$7,224.09
|
$30,973.07
|
$10,105.02
|
2026-01-01
|
|
SUP-48135
|
CDM
|
Mc3 Nautilus Smart Ecmo Oxygenator
|
31
|
25
|
$12,000.00
|
$7,200.00
40% off
|
$8,754.00
|
$10,768.80
|
$10,092.00
|
2026-01-01
|
|
20693
|
CPT
|
Adjustment/Revj Xtrnl Fixation System Req Anes
|
35
|
28
|
$11,976.00
|
$7,185.60
40% off
|
$8,736.49
|
$10,747.26
|
$10,059.84
|
2026-01-01
|
|
66984
|
CPT
|
Removal Of Cataract With Insertion Of Lens
|
11
|
6
|
$13,541.00
|
$8,124.60
40% off
|
$9,190.96
|
$10,212.17
|
$10,020.05
|
2025-01-01
|
|
Q5152
|
HCPCS
|
Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution
|
63
|
28
|
$22,484.79
|
$13,490.87
40% off
|
$6,003.44
|
$19,426.86
|
$10,012.82
|
2026-01-01
|
|
L8627
|
HCPCS
|
Frdm Speech Proc
|
46
|
34
|
$13,468.00
|
$8,080.80
40% off
|
$4,484.84
|
$11,636.35
|
$9,949.47
|
2026-01-01
|
|
SUP-OMNIGUIDE W/LASER
|
CDM
|
Laser With Omniguide And Fiber/
|
31
|
25
|
$11,784.00
|
$7,070.40
40% off
|
$8,596.43
|
$10,574.96
|
$9,910.34
|
2026-01-01
|
|
47562
|
CPT
|
Removal Of Gallbladder Using An Endoscope
|
11
|
6
|
$25,178.41
|
$15,107.05
40% off
|
$6,988.48
|
$13,753.59
|
$9,849.11
|
2025-01-01
|
|
SUP-302 /304
|
CDM
|
Ccmcvol- Lead Vns Therapy/302 /304
|
31
|
25
|
$11,674.00
|
$7,004.40
40% off
|
$8,516.18
|
$10,476.25
|
$9,817.83
|
2026-01-01
|
|
PX-17400001
|
CDM
|
R & B NICU Level 4
|
4
|
4
|
$11,536.00
|
$6,921.60
40% off
|
$9,805.60
|
$9,805.60
|
$9,805.60
|
2026-01-01
|
|
SUP-61841015
|
CDM
|
Stryker Ha Bone Substitue 15cc
|
31
|
25
|
$11,655.00
|
$6,993.00
40% off
|
$8,502.32
|
$10,459.20
|
$9,801.86
|
2026-01-01
|
|
26951
|
CPT
|
Amputate Fing/Th Sgl; W Dir Close
|
46
|
34
|
$12,259.00
|
$7,355.40
40% off
|
$949.00
|
$11,001.23
|
$9,766.75
|
2026-01-01
|
|
27532
|
CPT
|
Cl Tx Prox Tibial Fx W Sk Traction
|
46
|
34
|
$12,259.00
|
$7,355.40
40% off
|
$949.00
|
$11,001.23
|
$9,766.75
|
2026-01-01
|
|
32998
|
CPT
|
Perq Rf Ablate Tx Pul Tumor(S)
|
46
|
34
|
$12,825.00
|
$7,695.00
40% off
|
$6,446.31
|
$11,509.16
|
$9,698.27
|
2026-01-01
|
|
50593
|
CPT
|
Perc Cryo Ablate Renal Tum
|
46
|
34
|
$12,825.00
|
$7,695.00
40% off
|
$6,446.31
|
$11,509.16
|
$9,698.27
|
2026-01-01
|
|
50592
|
CPT
|
Perc Rf Ablate 1+ Renal Tumor
|
46
|
34
|
$12,825.00
|
$7,695.00
40% off
|
$6,446.31
|
$11,509.16
|
$9,698.27
|
2026-01-01
|
|
47383
|
CPT
|
Perq Abltj Lvr Cryoablation
|
46
|
34
|
$12,825.00
|
$7,695.00
40% off
|
$6,446.31
|
$11,509.16
|
$9,698.27
|
2026-01-01
|
|
11770
|
CPT
|
Excision Pilonidal Cyst/Sinus Simple
|
35
|
28
|
$11,454.00
|
$6,872.40
40% off
|
$8,355.69
|
$10,278.82
|
$9,621.36
|
2026-01-01
|
|
43275
|
CPT
|
Ercp Remove Forgn Body Duct
|
36
|
27
|
$12,712.00
|
$7,627.20
40% off
|
$6,390.37
|
$11,407.75
|
$9,481.88
|
2026-01-01
|
|
43262
|
CPT
|
Hh Asc Ercp W Sphincter/Papillotomy
|
36
|
27
|
$12,712.00
|
$7,627.20
40% off
|
$6,390.37
|
$11,407.75
|
$9,481.88
|
2026-01-01
|
|
43264
|
CPT
|
Hh Asc Ercp Remove Duct Calculi
|
36
|
27
|
$12,712.00
|
$7,627.20
40% off
|
$6,390.37
|
$11,407.75
|
$9,481.88
|
2026-01-01
|
|
SUP-1580354
|
CDM
|
Avance Nerve Graft 1-2mm 30mm
|
31
|
25
|
$11,184.00
|
$6,710.40
40% off
|
$3,724.27
|
$9,662.98
|
$9,405.74
|
2026-01-01
|
|
20680
|
CPT
|
Pr Removal Deep Implant
|
11
|
6
|
$13,948.35
|
$8,369.01
40% off
|
$7,599.73
|
$10,519.22
|
$9,387.62
|
2025-01-01
|
|
J2323
|
HCPCS
|
Natalizumab 300 Mg/15 Ml Intravenous Solution
|
67
|
31
|
$34,007.42
|
$20,404.45
40% off
|
$27.20
|
$29,382.41
|
$9,185.40
|
2026-01-01
|
|
J9039
|
HCPCS
|
Blinatumomab 35 Mcg Intravenous Vial
|
256
|
31
|
$21,660.29
|
$12,996.17
40% off
|
$185.39
|
$19,195.16
|
$9,158.73
|
2026-01-01
|
|
C1785
|
HCPCS
|
Icd Incepta / E162
|
646
|
28
|
$13,833.00
|
$8,299.80
40% off
|
$878.32
|
$59,512.32
|
$9,082.80
|
2026-01-01
|
|
PX-20600005
|
CDM
|
R & B Telemetry
|
17
|
13
|
$10,641.00
|
$6,384.60
40% off
|
$7,762.61
|
$9,044.85
|
$8,938.44
|
2026-01-01
|
|
C9047
|
HCPCS
|
Caplacizumab-yhdp 11 Mg Injection Kit
|
35
|
28
|
$32,829.54
|
$19,697.72
40% off
|
$8,765.49
|
$28,364.72
|
$8,867.26
|
2026-01-01
|
|
SUP-1577261
|
CDM
|
Osvii Lp Valve W/integral Conn
|
31
|
25
|
$10,480.53
|
$6,288.32
40% off
|
$3,490.02
|
$9,055.18
|
$8,814.13
|
2026-01-01
|
|
C1759
|
HCPCS
|
8fr Soundstar Cath/10439236
|
35
|
28
|
$10,389.00
|
$6,233.40
40% off
|
$7,578.78
|
$9,323.09
|
$8,737.15
|
2026-01-01
|
|
20300001
|
OTHER
|
Hc R & B ICU
|
2
|
2
|
$12,781.27
|
$7,668.76
40% off
|
$8,736.90
|
$8,736.90
|
$8,736.90
|
2025-01-01
|
|
SUP-04.641.101
|
CDM
|
Proximal Extension / 04.641.101
|
31
|
25
|
$10,353.00
|
$6,211.80
40% off
|
$7,552.51
|
$9,290.78
|
$8,706.87
|
2026-01-01
|
|
SUP-04.641.058
|
CDM
|
Proximal Extension 500mm Radius
|
31
|
25
|
$10,353.00
|
$6,211.80
40% off
|
$7,552.51
|
$9,290.78
|
$8,706.87
|
2026-01-01
|
|
SUP-04.641.061
|
CDM
|
Proximal Extension- 500 Mm, 11
|
31
|
25
|
$10,353.00
|
$6,211.80
40% off
|
$7,552.51
|
$9,290.78
|
$8,706.87
|
2026-01-01
|
|
36571
|
CPT
|
Ins Picc Device W Port 5 Yrs/>
|
36
|
27
|
$11,551.00
|
$6,930.60
40% off
|
$5,806.45
|
$10,365.87
|
$8,615.89
|
2026-01-01
|
|
37197
|
CPT
|
Trnscth Retrvl Fb
|
36
|
27
|
$11,551.00
|
$6,930.60
40% off
|
$5,806.45
|
$10,365.87
|
$8,615.89
|
2026-01-01
|
|
47538
|
CPT
|
Hh Perc Plmt Bile Duct Stent
|
46
|
34
|
$11,248.00
|
$6,748.80
40% off
|
$5,400.51
|
$9,718.27
|
$8,505.74
|
2026-01-01
|
|
47539
|
CPT
|
Hh Perc Plmt Bile Duct Stent- Wo Sep Cth
|
46
|
34
|
$11,248.00
|
$6,748.80
40% off
|
$5,400.51
|
$9,718.27
|
$8,505.74
|
2026-01-01
|
|
47540
|
CPT
|
Hh Perc Plmt Bile Duct Stent- W Sep Cath
|
46
|
34
|
$11,248.00
|
$6,748.80
40% off
|
$5,400.51
|
$9,718.27
|
$8,505.74
|
2026-01-01
|
|
59409
|
CPT
|
Vaginal Delivery
|
46
|
34
|
$10,675.00
|
$6,405.00
40% off
|
$949.00
|
$9,579.75
|
$8,504.77
|
2026-01-01
|
|
J9271
|
HCPCS
|
Pembrolizumab 25 Mg/ml Intravenous Solution
|
67
|
31
|
$22,588.27
|
$13,552.96
40% off
|
$69.13
|
$19,516.27
|
$8,500.89
|
2026-01-01
|
|
SUP-1575076
|
CDM
|
Robotic Hot Sheers
|
31
|
25
|
$10,080.00
|
$6,048.00
40% off
|
$7,353.36
|
$9,045.79
|
$8,477.28
|
2026-01-01
|
|
PX-75000005
|
CDM
|
Hc Hh Gi Svcs 12,000 - 14,000
|
25
|
21
|
$10,070.00
|
$6,042.00
40% off
|
$7,346.07
|
$9,036.82
|
$8,468.87
|
2026-01-01
|
|
17400001
|
OTHER
|
Hc R & B NICU Level 4
|
2
|
2
|
$11,199.19
|
$6,719.51
40% off
|
$8,438.80
|
$8,438.80
|
$8,438.80
|
2025-01-01
|
|
SUP-2800TFX_23
|
CDM
|
Ccmcvol-edward Carp Biopros Aortic Valve 23 Mm/2800tfx-23
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-200S
|
CDM
|
Ccmcvol-contegra Pulmonary Valve /200s
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501AD24
|
CDM
|
Fmi-98- Ats 24mm Aortic Ap Heart Valve/501ad24
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-2800TFX_29
|
CDM
|
Ccmcvol-edward Carp Biopros Aortic Valve 29 Mm/2800tfx-29
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-305U19-29
|
CDM
|
Mosaic Ultra 305 Cinch Ii/ 305u19-29
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501DM24
|
CDM
|
Fmi-98- Ats 24mm Mitral Ap Heart Valve/501dm24
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-2800TFX_19
|
CDM
|
Ccmc Vol-edward Carp Biopros Aortic Valve 19 Mm/2800tfx-19
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-2800TFX_27
|
CDM
|
Ccmcvol-edward Carp Biopros Aortic Valve 27 Mm/2800tfx-27
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-2800TFX_25
|
CDM
|
Ccmc Vol- Edward Carp Biopros Aortic Valve 25 Mm/2800tfx-25
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501AD18
|
CDM
|
Fmi-98- Ats 18mm Aortic Ap Heart Valve/501ad18
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-305C19_29
|
CDM
|
Mosaic Model 305 Heart Valve With Cinch Holder
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501AD22
|
CDM
|
Fmi-98- Ats 22mm Aortic Ap Heart Valve/501ad22
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501DA26
|
CDM
|
Fmi98- Ats 26mm Aortic Ap Heart Valve/501da26
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-500
|
CDM
|
Ccmcvol-valve- Aortic 16mm Carbomedics/500
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501DM28
|
CDM
|
Fmi-98- Ats 28mm Mitral Ap Heart Valve/501dm28
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-2800TFX_21
|
CDM
|
Ccmcvol- Edward Carp Pericard Aortic Valve-21mm/2800tfx-21
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501DM26
|
CDM
|
Fmi-98- Ats 26mm Mitral Ap Heart Valve/501dm26
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501DA16
|
CDM
|
Fmi-98- Ats 16mm Aortic Ap Heart Valve/501da16
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-501AD20
|
CDM
|
Fmi-98- Ats 20mm Aortic Ap Heart Valve/501ad20
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-700
|
CDM
|
Ccmcvol-valve- Mitral 16mm Carbomedics
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
SUP-12A23
|
CDM
|
Ccmcvol- Mitroflow Aortic Heart Valve/12a23
|
31
|
25
|
$9,922.50
|
$5,953.50
40% off
|
$7,238.46
|
$8,904.45
|
$8,344.82
|
2026-01-01
|
|
36252
|
CPT
|
Ins Cath Ren Art 1st Bilat
|
36
|
27
|
$11,133.00
|
$6,679.80
40% off
|
$5,596.09
|
$9,990.75
|
$8,304.10
|
2026-01-01
|
|
24685
|
CPT
|
Open Tx Ulnar Fracture Proximal End
|
46
|
34
|
$10,372.00
|
$6,223.20
40% off
|
$949.00
|
$9,307.83
|
$8,263.37
|
2026-01-01
|
|
26350
|
CPT
|
Rep Flxr Tendon Not Zone 2 Wo Grft Ea
|
46
|
34
|
$10,366.00
|
$6,219.60
40% off
|
$949.00
|
$9,302.45
|
$8,258.59
|
2026-01-01
|
|
SUP-1575090
|
CDM
|
Davinci Harmonic Ace 8mm Curve
|
31
|
25
|
$9,810.00
|
$5,886.00
40% off
|
$7,156.40
|
$8,803.49
|
$8,250.21
|
2026-01-01
|
|
C1748
|
HCPCS
|
Endoscope, Single, Ugi
|
35
|
28
|
$9,747.00
|
$5,848.20
40% off
|
$7,110.44
|
$8,746.96
|
$8,197.23
|
2026-01-01
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Intravenous Solution
|
74
|
34
|
$18,299.82
|
$10,979.89
40% off
|
$4,886.05
|
$15,811.04
|
$8,144.21
|
2026-01-01
|
|
21440
|
CPT
|
Cl Tx Mand/Maxill Alveolar Ridge Fx
|
46
|
34
|
$10,192.00
|
$6,115.20
40% off
|
$949.00
|
$9,146.30
|
$8,119.97
|
2026-01-01
|
|
21421
|
CPT
|
Cl Tx Lefort I Fx; W Id W Fix
|
46
|
34
|
$10,192.00
|
$6,115.20
40% off
|
$949.00
|
$9,146.30
|
$8,119.97
|
2026-01-01
|
|
J7189
|
HCPCS
|
Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution
|
193
|
31
|
$18,826.48
|
$11,295.89
40% off
|
$2.87
|
$39,867.89
|
$8,001.27
|
2026-01-01
|
|
SUP-1575077
|
CDM
|
Davinci Black Diamond Micro Fo
|
31
|
25
|
$9,450.00
|
$5,670.00
40% off
|
$6,893.78
|
$8,480.43
|
$7,947.45
|
2026-01-01
|
|
SUP-CONSIGN65
|
CDM
|
Ccmcvol-conform-x Mitral Valve 25mm
|
31
|
25
|
$9,400.00
|
$5,640.00
40% off
|
$6,857.30
|
$8,435.56
|
$7,905.40
|
2026-01-01
|
|
45307
|
CPT
|
Proctosigmoidoscopy W/Rmvl Foreign Body
|
46
|
34
|
$9,921.00
|
$5,952.60
40% off
|
$949.00
|
$8,903.11
|
$7,904.06
|
2026-01-01
|
|
SUP-6000-805-800
|
CDM
|
Stryker Navigated Biopsy Needle /6000-805-800
|
31
|
25
|
$9,387.72
|
$5,632.63
40% off
|
$6,848.34
|
$8,424.54
|
$7,895.07
|
2026-01-01
|
|
20600005
|
OTHER
|
Hc R & B Telemetry
|
2
|
2
|
$10,330.90
|
$6,198.54
40% off
|
$7,892.61
|
$7,892.61
|
$7,892.61
|
2025-01-01
|
|
SUP-1110-08030B
|
CDM
|
Optilume Balloon 24fr & Inflator/ 1110-08030b
|
31
|
25
|
$9,300.00
|
$5,580.00
40% off
|
$6,784.35
|
$8,345.82
|
$7,821.30
|
2026-01-01
|
|
J9021
|
HCPCS
|
Asparaginase Erwinia Chrysanthemi-rywn Chemo
|
74
|
34
|
$21,354.17
|
$12,812.50
40% off
|
$64.17
|
$18,450.00
|
$7,821.27
|
2026-01-01
|
|
65270
|
CPT
|
Repair Of Eye Wound
|
35
|
28
|
$9,336.00
|
$5,601.60
40% off
|
$949.00
|
$8,378.13
|
$7,752.61
|
2026-01-01
|
|
L8604
|
HCPCS
|
Ccmcvol-deflux 1ml Syringe/10-
|
35
|
28
|
$9,532.38
|
$5,719.43
40% off
|
$3,174.28
|
$8,235.98
|
$7,594.45
|
2026-01-01
|
|
SUP-1584196
|
CDM
|
Icast Balloon Covered Stent 7mmx22mmx80cm/g60489
|
31
|
25
|
$9,009.30
|
$5,405.58
40% off
|
$6,572.28
|
$8,084.95
|
$7,576.82
|
2026-01-01
|
|
SUP-1584195
|
CDM
|
Icast Balloon Covered Stent 6mmx22mmx80cm/g60485
|
31
|
25
|
$9,009.30
|
$5,405.58
40% off
|
$6,572.28
|
$8,084.95
|
$7,576.82
|
2026-01-01
|
|
PX-27800048
|
CDM
|
Hc Hh Surgical Implant 7,000 - 14,000
|
31
|
25
|
$9,004.00
|
$5,402.40
40% off
|
$2,998.33
|
$7,779.46
|
$7,572.36
|
2026-01-01
|
|
SUP-620-020
|
CDM
|
Rapid Cure 50cc Beads/ 620-020
|
31
|
25
|
$9,000.00
|
$5,400.00
40% off
|
$6,565.50
|
$8,076.60
|
$7,569.00
|
2026-01-01
|
|
J0480
|
HCPCS
|
Basiliximab 20 Mg Intravenous Solution
|
74
|
34
|
$17,109.11
|
$10,265.47
40% off
|
$4,568.13
|
$14,782.27
|
$7,535.92
|
2026-01-01
|
|
64488
|
CPT
|
Tap Block Bilateral By Injection(S)
|
35
|
28
|
$8,956.00
|
$5,373.60
40% off
|
$6,533.40
|
$8,037.11
|
$7,523.04
|
2026-01-01
|
|
SUP-304661
|
CDM
|
Ccmcvol- Lap Band - Large/b-2245
|
31
|
25
|
$8,898.00
|
$5,338.80
40% off
|
$6,491.09
|
$7,985.07
|
$7,483.22
|
2026-01-01
|
|
PX-17300001
|
CDM
|
R & B NICU Level 3
|
4
|
4
|
$8,777.00
|
$5,266.20
40% off
|
$7,460.45
|
$7,460.45
|
$7,460.45
|
2026-01-01
|
|
PX-36000019
|
CDM
|
Hc Hh Or Services 13,000 - 16,000
|
25
|
21
|
$8,862.00
|
$5,317.20
40% off
|
$6,464.83
|
$7,952.76
|
$7,452.94
|
2026-01-01
|
|
42820
|
CPT
|
Removal Of Tonsils And Adenoid Glands Patient Younger Than Age 12
|
11
|
6
|
$13,275.36
|
$7,965.22
40% off
|
$4,995.04
|
$10,279.74
|
$7,421.43
|
2025-01-01
|
|
29826
|
CPT
|
Shaving Of Shoulder Bone Using An Endoscope
|
11
|
6
|
$10,933.19
|
$6,559.92
40% off
|
$6,049.48
|
$7,561.85
|
$7,404.61
|
2025-01-01
|
|
12000001
|
OTHER
|
Hc R & B Med / Surg Semi Pr
|
2
|
2
|
$7,879.50
|
$4,727.70
40% off
|
$7,357.87
|
$7,357.87
|
$7,357.87
|
2025-01-01
|
|
49500
|
CPT
|
Pr Repair Ing Hernia 6mo-5yr Reduc
|
11
|
6
|
$11,718.19
|
$7,030.91
40% off
|
$5,298.71
|
$8,835.67
|
$7,343.69
|
2025-01-01
|
|
SUP-70415
|
CDM
|
Mc3 Crescent Ra15fr Jugular Dual Lumen Catheter/ 70415
|
31
|
25
|
$8,700.00
|
$5,220.00
40% off
|
$6,346.65
|
$7,807.38
|
$7,316.70
|
2026-01-01
|
|
SUP-70419
|
CDM
|
Mc3 Crescent Ra 19fr Jugular Dual Lumen Catheter/ 70419
|
31
|
25
|
$8,700.00
|
$5,220.00
40% off
|
$6,346.65
|
$7,807.38
|
$7,316.70
|
2026-01-01
|
|
41820
|
CPT
|
Gingivectomy, Excision Gingiva, Each Quadrant
|
46
|
34
|
$9,180.00
|
$5,508.00
40% off
|
$949.00
|
$8,238.13
|
$7,313.71
|
2026-01-01
|
|
SUP-1582891
|
CDM
|
Sureform 60 Black Reload
|
31
|
25
|
$8,694.00
|
$5,216.40
40% off
|
$6,342.27
|
$7,802.00
|
$7,311.65
|
2026-01-01
|
|
SUP-1584194
|
CDM
|
Icast Balloon Covered Stent 5mmx16mmx80cm/g60480
|
31
|
25
|
$8,655.30
|
$5,193.18
40% off
|
$6,314.04
|
$7,767.27
|
$7,279.11
|
2026-01-01
|
|
37191
|
CPT
|
Ins Endovas Vena Cava Filtr
|
72
|
27
|
$9,610.58
|
$5,766.35
40% off
|
$4,342.02
|
$9,781.66
|
$7,264.56
|
2026-01-01
|
|
20600001
|
OTHER
|
Hc R & B Adult Step Down
|
2
|
2
|
$7,879.50
|
$4,727.70
40% off
|
$7,207.80
|
$7,207.80
|
$7,207.80
|
2025-01-01
|
|
SUP-397015
|
CDM
|
Hydroset 15cc /397015
|
31
|
25
|
$8,566.43
|
$5,139.86
40% off
|
$6,249.21
|
$7,687.51
|
$7,204.37
|
2026-01-01
|
|
54640
|
CPT
|
Pr Orchiopexy Inguinal Or Scrotal Approach
|
11
|
6
|
$10,183.91
|
$6,110.35
40% off
|
$5,491.50
|
$8,995.37
|
$7,200.35
|
2025-01-01
|
|
17300001
|
OTHER
|
Hc R & B NICU Level 3
|
2
|
2
|
$8,521.19
|
$5,112.71
40% off
|
$7,152.22
|
$7,152.22
|
$7,152.22
|
2025-01-01
|
|
SUP-304662
|
CDM
|
Lap Band- Standard/b-2240
|
31
|
25
|
$8,481.00
|
$5,088.60
40% off
|
$6,186.89
|
$7,610.85
|
$7,132.52
|
2026-01-01
|
|
PX-75000004
|
CDM
|
Hc Hh Gi Svcs 10,000 - 12,000
|
25
|
21
|
$8,460.00
|
$5,076.00
40% off
|
$6,171.57
|
$7,592.00
|
$7,114.86
|
2026-01-01
|