|
SUP-30-1-0129
|
CDM
|
Siegel Tavr Transcatheter Aortic Valve 29 Mm
|
40
|
13
|
$1,995,000.00
|
$598,500.00
70% off
|
$18,792.90
|
$1,695,750.00
|
$587,128.50
|
2026-07-01
|
|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
18
|
16
|
$735,883.77
|
$220,765.13
70% off
|
$69,320.25
|
$684,371.91
|
$489,362.71
|
2026-07-01
|
|
SUP-490022
|
CDM
|
(eval) Briovad Implant Kit
|
40
|
13
|
$523,630.50
|
$157,089.15
70% off
|
$49,325.99
|
$486,976.37
|
$374,395.81
|
2026-07-01
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
50
|
16
|
$600,335.53
|
$180,100.66
70% off
|
$56,551.61
|
$558,312.04
|
$336,727.50
|
2026-07-01
|
|
SUP-104911
|
CDM
|
Device Heartmate Ii Lvas Ventricular Assist Percutaneous Kit
|
46
|
15
|
$467,400.00
|
$140,220.00
70% off
|
$44,029.08
|
$434,682.00
|
$327,180.00
|
2026-07-01
|
|
SUP-106524US
|
CDM
|
Heartmate 3 Lvad Implant Kit Includes 1 Heartmate 3 Lvad Con
|
52
|
16
|
$579,590.93
|
$173,877.28
70% off
|
$54,597.47
|
$539,019.56
|
$246,905.74
|
2026-07-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
43
|
16
|
$1,638,731.73
|
$491,619.52
70% off
|
$205,193.44
|
$780,838.89
|
$219,188.55
|
2026-07-01
|
|
PX-812000004
|
CDM
|
Hc Acquisition Heart Cadaver
|
38
|
13
|
$276,084.00
|
$82,825.20
70% off
|
$26,007.11
|
$256,758.12
|
$201,541.32
|
2026-07-01
|
|
SUP-106015
|
CDM
|
Sealed Implant Kit With Pocket Controller
|
52
|
16
|
$467,400.00
|
$140,220.00
70% off
|
$44,029.08
|
$434,682.00
|
$199,112.40
|
2026-07-01
|
|
SUP-INTPD-V4-48A
|
CDM
|
(eval) Intrepid Mitral Valve 48mm Recoverable Clinical Impla
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPDMVL54C
|
CDM
|
(eval) Mitrl Val Intpdmvl54c Intrepid 54mm Clin
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPDVL42FG APOLLO
|
CDM
|
(eval) 42mm Tf Implant
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPD-V4-42A
|
CDM
|
(eval) Intrepid Mitral Valve 42mm Recoverable Clinical Impla
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPDVL48FG APOLLO
|
CDM
|
(eval) 48mm Tf Implant
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPDMVL42C
|
CDM
|
(eval) Mitrl Val Intpdmvl42c Intrepid 42mm Clin
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-INTPDMVL48C
|
CDM
|
(eval) Mitrl Val Intpdmvl48c Intrepid 48mm Clin
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-ASM-0075-43
|
CDM
|
Intrepid Mitral Valve 43mm Clinical
|
40
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$24,162.30
|
$238,545.00
|
$183,397.50
|
2026-07-01
|
|
SUP-107801
|
CDM
|
Device Heartmate Ii Small Ventricular Assist Kit Sterile
|
52
|
16
|
$421,800.00
|
$126,540.00
70% off
|
$39,733.56
|
$392,274.00
|
$179,686.80
|
2026-07-01
|
|
PX-812000001
|
CDM
|
Hc Acquisition Kidney Cadaver
|
38
|
13
|
$242,881.00
|
$72,864.30
70% off
|
$22,879.39
|
$225,879.33
|
$177,303.13
|
2026-07-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
47
|
18
|
$791,596.38
|
$237,478.91
70% off
|
$155,852.70
|
$591,404.54
|
$166,566.66
|
2026-07-01
|
|
PX-812000002
|
CDM
|
Hc Acquisition Liver Cadaver
|
38
|
13
|
$225,141.00
|
$67,542.30
70% off
|
$21,208.28
|
$209,381.13
|
$164,352.93
|
2026-07-01
|
|
PX-812000003
|
CDM
|
Hc Acquisition Pancreas Cadaver
|
38
|
13
|
$216,655.00
|
$64,996.50
70% off
|
$20,408.90
|
$201,489.15
|
$158,158.15
|
2026-07-01
|
|
SUP-9850EV56ACL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 56 Mm
|
40
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$20,403.72
|
$201,438.00
|
$154,869.00
|
2026-07-01
|
|
SUP-9850EV44CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 44 Mm
|
40
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$20,403.72
|
$201,438.00
|
$154,869.00
|
2026-07-01
|
|
SUP-9850EV48CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve)48 Mm
|
40
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$20,403.72
|
$201,438.00
|
$154,869.00
|
2026-07-01
|
|
SUP-9850EV52CL
|
CDM
|
(eval) Edwards Evoque Valve 52 Mm
|
40
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$20,403.72
|
$201,438.00
|
$154,869.00
|
2026-07-01
|
|
C1740
|
HCPCS
|
Wise System System Price
|
52
|
16
|
$360,810.00
|
$108,243.00
70% off
|
$33,988.30
|
$335,553.30
|
$153,705.06
|
2026-07-01
|
|
SUP-TRILOGY-THV-L
|
CDM
|
(eval) Trilogy Heart Valve (size 27)
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-30-1-0126
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 26mm
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-20000IS
|
CDM
|
(eval) Edwards Pascal Precision Implant System (10mm)
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-ETF-34
|
CDM
|
(eval)j Valve Bioprosthesis 34
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-TRILOGY-THV-M
|
CDM
|
(eval) Trilogy Heart Valve (size 25)
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-9680TFX29M
|
CDM
|
(eval) Sapien M3 Valve 29mm
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-ETF-31
|
CDM
|
(eval)j Valve Bioprosthesis 31
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-TRILOGY-THV-S
|
CDM
|
(eval) Trilogy Heart Valve (size 23)
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-ETF-25
|
CDM
|
(eval)j Valve Bioprosthesis 25
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-ETF-22
|
CDM
|
(eval)j Valve Bioprosthesis 22
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-9880TFX29M
|
CDM
|
(eval)sapien M3 Valve Bovine 29mm
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-20000ISM
|
CDM
|
(eval) Edwards Pascal Ace Precision Implant System (5mm)
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-30-1-0123
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 23mm
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-ETF-28
|
CDM
|
(eval)j Valve Bioprosthesis 28
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
SUP-9850EV48PCL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 48 Mm
|
40
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$18,792.90
|
$185,535.00
|
$142,642.50
|
2026-07-01
|
|
PX-811000001
|
CDM
|
Hc Acquisition Kidney Live Relate
|
46
|
15
|
$196,665.00
|
$58,999.50
70% off
|
$18,525.84
|
$182,898.45
|
$137,665.50
|
2026-07-01
|
|
SUP-TENDYNE TENDYNE 29S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp29s
|
52
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$30,068.64
|
$296,856.00
|
$135,979.20
|
2026-07-01
|
|
SUP-TENDYNE TENDYNE 35M SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp35m
|
52
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$30,068.64
|
$296,856.00
|
$135,979.20
|
2026-07-01
|
|
SUP-TENDYNE 39M SYSTEM
|
CDM
|
Valve Mitral 38.5mm 50.5mm Tendyne 3sq Cm 39m Contour 156mm
|
52
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$30,068.64
|
$296,856.00
|
$135,979.20
|
2026-07-01
|
|
SUP-TENDYNE TENDYNE 33S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp33s
|
52
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$30,068.64
|
$296,856.00
|
$135,979.20
|
2026-07-01
|
|
SUP-TENDYNE 29L SYSTEM
|
CDM
|
Valve Mitral 29mm 47.5mm Tendyne 2.2sq Cm 29l Repositionable
|
52
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$30,068.64
|
$296,856.00
|
$135,979.20
|
2026-07-01
|
|
SUP-TAV-MDT2-29-C
|
CDM
|
Evolut Pro Transcatheter Aortic Valve (tav) - 29
|
40
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$17,719.02
|
$174,933.00
|
$134,491.50
|
2026-07-01
|
|
SUP-EVOLUTR-34-C
|
CDM
|
Medtronic Evolut R 34 Transcatheter Aortic Valve
|
40
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$17,719.02
|
$174,933.00
|
$134,491.50
|
2026-07-01
|
|
SUP-SM329US1
|
CDM
|
Edwards Sapien M3 Mitral Valve Replacement System (29 Mm Val
|
52
|
16
|
$307,800.00
|
$92,340.00
70% off
|
$28,994.76
|
$286,254.00
|
$131,122.80
|
2026-07-01
|
|
SUP-30-1-0123 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 23mm
|
40
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$130,416.00
|
2026-07-01
|
|
SUP-DWG-4700
|
CDM
|
(eval) Monarq Ttvr System Medium Implant
|
40
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$130,416.00
|
2026-07-01
|
|
SUP-DWG-4710
|
CDM
|
(eval) Monarq Ttvr System Large Implant
|
40
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$130,416.00
|
2026-07-01
|
|
SUP-30-1-0126 -EFS
|
CDM
|
(eval) Efs Siegel Transcatheter Aortic Valve - 26mm
|
40
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$130,416.00
|
2026-07-01
|
|
SUP-30-1-0129 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 29 Mm
|
40
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$130,416.00
|
2026-07-01
|
|
SUP-TENDV-SP-41S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 41s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-33L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33l
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-JV-2000-PY27
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-20000ISCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-37L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37l
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-20000ISMCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-33C-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33c
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 35m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TCDS0303-NT
|
CDM
|
Triclip G4 Nt Clip Delivery System Clin
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TCDS0303-NTW
|
CDM
|
Triclip G4 Ntw Clip Delivery System Clin
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-10000ISCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-29S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-39M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-10000ISMCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TCDS0303-XT
|
CDM
|
Triclip G4 Xt Clip Delivery System Clin
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TCDS0303-XTW
|
CDM
|
Triclip G4 Xtw Clip Delivery System Clin
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-35S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-35L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35l
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-JV-2000-PY25
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-14000RSL29
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 29mm
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-14000RSL23
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 23mm
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-33B-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33b
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-JV-2000-PY23
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-LP-29L-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29l
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-14000RSL26
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 26mm
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37m
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-TENDV-SP-39S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39s
|
40
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$122,265.00
|
2026-07-01
|
|
SUP-H749LVSCL250
|
CDM
|
Lotus Edge Valve System 25mm Reprise IV Clinical Study (excl
|
40
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$15,034.32
|
$148,428.00
|
$114,114.00
|
2026-07-01
|
|
SUP-SYM-SV23-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve S - Clinical
|
40
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$15,034.32
|
$148,428.00
|
$114,114.00
|
2026-07-01
|
|
SUP-SYM-SV27-006-C
|
CDM
|
Acurate Ne02 Tm Aortic Valve L - Clinical
|
40
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$15,034.32
|
$148,428.00
|
$114,114.00
|
2026-07-01
|
|
SUP-SYM-SV25-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve M - Clinical
|
40
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$15,034.32
|
$148,428.00
|
$114,114.00
|
2026-07-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
44
|
17
|
$561,084.65
|
$168,325.39
70% off
|
$102,338.25
|
$385,945.99
|
$109,493.52
|
2026-07-01
|
|
SUP-H749LVSCL270
|
CDM
|
Lotus Edge Valve System 27mm Reprise IV Clinical Study (excl
|
80
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$13,423.50
|
$148,428.00
|
$106,875.00
|
2026-07-01
|
|
SUP-1000100
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
52
|
16
|
$250,800.00
|
$75,240.00
70% off
|
$23,625.36
|
$233,244.00
|
$106,840.80
|
2026-07-01
|
|
SUP-10-B501-2-XX
|
CDM
|
(eval) Optimizer Smart Mini Ipg Including Patient Charger
|
40
|
13
|
$148,200.00
|
$44,460.00
70% off
|
$13,960.44
|
$137,826.00
|
$105,963.00
|
2026-07-01
|
|
SUP-EVQ1A2US52
|
CDM
|
Evoque Tricuspid Valve Replacement System (52 Mm Valve)
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1US52
|
CDM
|
Evoque Tricuspid Valve Replacement System 52mm
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1A2US56
|
CDM
|
Evoque Tricuspid Valve Replacement System (56 Mm Valve)
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1US44
|
CDM
|
Evoque Tricuspid Valve Replacement System 44mm
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1A2US44
|
CDM
|
Evoque Tricuspid Valve Replacement System (44 Mm Valve)
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1A2US48
|
CDM
|
Evoque Tricuspid Valve Replacement System (48 Mm Valve)
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
SUP-EVQ1US48
|
CDM
|
Evoque Tricuspid Valve Replacement System 48mm
|
52
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$23,088.42
|
$227,943.00
|
$104,412.60
|
2026-07-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
62
|
22
|
$257,110.34
|
$77,133.10
70% off
|
$53,561.41
|
$198,676.62
|
$103,018.19
|
2026-07-01
|
|
SUP-H749LTVR3CL270
|
CDM
|
Lotus Valve System 27mm Reprise Iii
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-H749LTVR3CL230
|
CDM
|
Lotus Valve System 23mm Reprise Iii
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-HRP5500CL
|
CDM
|
Harpoon Beating Heart Mitral Valve Repari System
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-10002262
|
CDM
|
Heartmate Php Pump/catheter
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-H749LTVR3CL250
|
CDM
|
Lotus Valve System 25mm Reprise Iii
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-4131SYSUS
|
CDM
|
Wise Crt System (includes Model 1000, Model 2000, Model 3100
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-H749LTVR3CL210
|
CDM
|
Lotus Valve System: 21mm Reprise Iii
|
40
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$101,887.50
|
2026-07-01
|
|
SUP-S3PAS4045A
|
CDM
|
Valve Pulmonary 29mm Sapien 3 Heart Valve Pulmonic Delivery
|
52
|
16
|
$236,550.00
|
$70,965.00
70% off
|
$22,283.01
|
$219,991.50
|
$100,770.30
|
2026-07-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
62
|
22
|
$100,128.76
|
$30,038.63
70% off
|
$64,658.66
|
$100,128.76
|
$100,128.76
|
2026-07-01
|
|
SUP-0550-0008
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
52
|
16
|
$233,700.00
|
$70,110.00
70% off
|
$22,014.54
|
$217,341.00
|
$99,556.20
|
2026-07-01
|
|
PX-811000002
|
CDM
|
Hc Acquisition Liver Live Donor
|
46
|
15
|
$133,855.00
|
$40,156.50
70% off
|
$12,609.14
|
$124,485.15
|
$93,698.50
|
2026-07-01
|
|
SUP-SYM-SV29-009-C
|
CDM
|
Acurate Prime Aortic Valve Xl
|
40
|
13
|
$127,680.00
|
$38,304.00
70% off
|
$12,027.46
|
$118,742.40
|
$91,291.20
|
2026-07-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
56
|
20
|
$404,524.58
|
$121,357.37
70% off
|
$83,958.20
|
$315,379.35
|
$90,739.24
|
2026-07-01
|
|
PX-E27800027
|
CDM
|
Hc Dvc Heart Assist Impella 5.5
|
52
|
16
|
$211,970.00
|
$63,591.00
70% off
|
$19,967.57
|
$197,132.10
|
$90,299.22
|
2026-07-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
62
|
22
|
$302,248.71
|
$90,674.61
70% off
|
$46,289.52
|
$170,757.57
|
$88,541.55
|
2026-07-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
62
|
22
|
$283,392.97
|
$85,017.89
70% off
|
$46,237.99
|
$170,559.74
|
$88,438.97
|
2026-07-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
49
|
18
|
$659,308.05
|
$197,792.41
70% off
|
$81,798.42
|
$307,087.22
|
$88,004.94
|
2026-07-01
|
|
SUP-TCG50100
|
CDM
|
Triclip G5 System- One (1) Steerable Guide Catheter And Any
|
52
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$19,329.84
|
$190,836.00
|
$87,415.20
|
2026-07-01
|
|
Q0482
|
HCPCS
|
Aic Controller
|
52
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$19,329.84
|
$190,836.00
|
$87,415.20
|
2026-07-01
|
|
SUP-TCG40100
|
CDM
|
System Triclip Delivery 4th Generation Teer
|
52
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$19,329.84
|
$190,836.00
|
$87,415.20
|
2026-07-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
49
|
18
|
$544,851.29
|
$163,455.39
70% off
|
$80,730.85
|
$302,988.53
|
$86,856.23
|
2026-07-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
62
|
22
|
$217,382.44
|
$65,214.73
70% off
|
$45,405.57
|
$167,363.82
|
$86,781.83
|
2026-07-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
62
|
22
|
$303,597.46
|
$91,079.24
70% off
|
$45,089.87
|
$166,151.76
|
$86,153.34
|
2026-07-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
3
|
3
|
$337,005.87
|
$101,101.76
70% off
|
$84,052.56
|
$84,052.56
|
$84,052.56
|
2026-07-01
|
|
SUP-CRDLA005US-TR
|
CDM
|
(eval) Single Commercial System Reader Kit Delivery System W
|
40
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$11,007.27
|
$108,670.50
|
$83,547.75
|
2026-07-01
|
|
SUP-CRDLA001US
|
CDM
|
(eval) Single Commercial System -reader Kit, Delivery System
|
40
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$11,007.27
|
$108,670.50
|
$83,547.75
|
2026-07-01
|
|
SUP-CRDLA003US
|
CDM
|
(eval) Commercial System 3-pack 3x Reader Kit, Deliver Syste
|
40
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$11,007.27
|
$108,670.50
|
$83,547.75
|
2026-07-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
62
|
22
|
$307,532.21
|
$92,259.66
70% off
|
$43,667.44
|
$160,690.55
|
$83,321.61
|
2026-07-01
|
|
SUP-S3URCM29A
|
CDM
|
Valve Aortic 29mm Sapien 3 Ultra Resilia
|
52
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$18,255.96
|
$180,234.00
|
$82,558.80
|
2026-07-01
|
|
SUP-S3URCM26A
|
CDM
|
Valve Aortic 26mm Sapien 3 Ultra Resilia
|
52
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$18,255.96
|
$180,234.00
|
$82,558.80
|
2026-07-01
|
|
SUP-S3URCM20A
|
CDM
|
Valve Aortic 20mm Sapien 3 Ultra Resilia
|
52
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$18,255.96
|
$180,234.00
|
$82,558.80
|
2026-07-01
|
|
SUP-S3URCM23A
|
CDM
|
Valve Aortic 23mm Sapien 3 Ultra Resilia
|
52
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$18,255.96
|
$180,234.00
|
$82,558.80
|
2026-07-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
43
|
16
|
$1,082,957.65
|
$324,887.29
70% off
|
$76,640.59
|
$287,284.76
|
$82,086.98
|
2026-07-01
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
50
|
16
|
$143,110.54
|
$42,933.16
70% off
|
$13,481.01
|
$133,092.80
|
$81,064.94
|
2026-07-01
|
|
SUP-MCG50100
|
CDM
|
System Mitraclip Delivery G5
|
52
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$17,719.02
|
$174,933.00
|
$80,130.60
|
2026-07-01
|
|
SUP-MCG40100
|
CDM
|
Valve Mitral Mitraclip G4 Clip Guide Cath
|
52
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$17,719.02
|
$174,933.00
|
$80,130.60
|
2026-07-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
56
|
20
|
$339,748.21
|
$101,924.46
70% off
|
$74,075.12
|
$277,435.08
|
$80,099.49
|
2026-07-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
62
|
22
|
$226,474.50
|
$67,942.35
70% off
|
$41,895.90
|
$153,889.12
|
$79,794.88
|
2026-07-01
|
|
SUP-S3UCM226A
|
CDM
|
Valve Aortic 26mm Sapien 3 Commander Edwards Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-H749LVSUS230
|
CDM
|
23 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-H749LVSUS250
|
CDM
|
25 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3UCM23A
|
CDM
|
23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3USTA123A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Transcatheter Ultra Low
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3USTA126A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Transcatheter Ultra Low
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-B0M27EDGELGIS
|
CDM
|
27 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3USTA120A
|
CDM
|
Valve Aortic 20mm Edwards Sapien 3 Transcatheter Ultra Low
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9100RF326A
|
CDM
|
Valve Aortic 26mm Sapien Heart Transcatheter Retroflex 3
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CT26A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 26mm Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3UCM223A
|
CDM
|
Valve Aortic 23mm Sapien 3 Commander Edwards Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9355ASP29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Ascendra Plus Transapical
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CM29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien 3 Commander Delivery System
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CT23A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 23mm Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CM26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Commander Delivery System
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9355NF29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Novaflex Transfemoral
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600TFX
|
CDM
|
Valve Aortic 26mm Sapien Heart 3 Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CM20A
|
CDM
|
Kit Aortic Valve 14fr Commander Sapien 3 20mm Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9100RF323A
|
CDM
|
Valve Aortic 23mm Sapien Heart Transcatheter Retroflex 3
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CM23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Commander Delivery System
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3UCM220A
|
CDM
|
Valve Aortic 20mm Sapien 3 Commander Edwards Transcatheter
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CT29A
|
CDM
|
Kit Aortic Valve 21fr Certitude Sapien 3 Atrion Ascendra 29
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9600CT20A
|
CDM
|
Kit Aortic Valve 18fr Certitude Sapien 3 Atrion 20mm
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-S3UCM26A
|
CDM
|
26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9355NF26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien Novaflex Transfemoral
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
SUP-9355NF23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien Novaflex Transfemoral
|
52
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$17,450.55
|
$172,282.50
|
$78,916.50
|
2026-07-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
49
|
18
|
$491,349.83
|
$147,404.95
70% off
|
$72,810.88
|
$272,581.29
|
$78,334.27
|
2026-07-01
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
64
|
14
|
$109,458.04
|
$32,837.41
70% off
|
$10,692.21
|
$93,055.37
|
$77,870.79
|
2026-04-01
|
|
SUP-5190-0020
|
CDM
|
Protek Duo
|
46
|
15
|
$111,150.00
|
$33,345.00
70% off
|
$10,470.33
|
$103,369.50
|
$77,805.00
|
2026-07-01
|
|
SUP-EVFXPLUS-34
|
CDM
|
Valve Aortic 26-30mm Evolut Fx+ 34mm Annulus
|
52
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$77,702.40
|
2026-07-01
|
|
SUP-EVFXPLUS-26
|
CDM
|
Valve Aortic 20-23mm Evolut Fx+ 26mm Annulus
|
52
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$77,702.40
|
2026-07-01
|
|
SUP-EVFXPLUS-29
|
CDM
|
Valve Aortic 23-26mm Evolut Fx+ 29mm Annulus
|
52
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$77,702.40
|
2026-07-01
|
|
SUP-EVFXPLUS-23
|
CDM
|
Valve Aortic 18-20mm Evolut Fx+ 23mm Annulus
|
52
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$17,182.08
|
$169,632.00
|
$77,702.40
|
2026-07-01
|
|
Q4309
|
HCPCS
|
Via Matrix (4 X 4) 16 Sq Cm
|
90
|
13
|
$114,000.00
|
$34,200.00
70% off
|
$247.92
|
$159,030.00
|
$76,950.00
|
2026-07-01
|
|
SUP-R9100
|
CDM
|
Set Rtrctr Fukushima-day Stainless Steel Table Clamp U Bar
|
46
|
15
|
$108,384.99
|
$32,515.50
70% off
|
$10,209.87
|
$100,798.04
|
$75,869.49
|
2026-07-01
|
|
SUP-PAS2MA
|
CDM
|
Valve Mitral Pascal Precision System
|
52
|
16
|
$174,420.00
|
$52,326.00
70% off
|
$16,430.36
|
$162,210.60
|
$74,302.92
|
2026-07-01
|
|
SUP-5810-7217
|
CDM
|
Tandemheart- T72/a17
|
46
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$9,933.39
|
$98,068.50
|
$73,815.00
|
2026-07-01
|
|
SUP-5820-2916
|
CDM
|
Protekduo-29 Fr
|
46
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$9,933.39
|
$98,068.50
|
$73,815.00
|
2026-07-01
|
|
SUP-5820-3118
|
CDM
|
Protekduo-31fr
|
46
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$9,933.39
|
$98,068.50
|
$73,815.00
|
2026-07-01
|
|
SUP-9600TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Bovine Transcatheter Steri
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0103
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Ntr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0704-NTW
|
CDM
|
Mitraclip G4 Cds Ntw Repair-mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien Retroflex 3 Heart Cocr Bovine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0302
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr 1
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0102
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVPROPLUS-29US
|
CDM
|
Valve Aortic Evolut Pro+ 29mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0704-XT
|
CDM
|
Mitraclip G4 Cds Xt Repair-mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0203
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Xtr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTR-29
|
CDM
|
Evoltr Transcatheter Aortic Valve-29mm - The 29mm Evoltr Tra
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750FX26
|
CDM
|
(eval)edwards Sapien 3 Ultra Thv 26mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-29mm - The 29mm Evoltr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVPROPLUS-26US
|
CDM
|
Valve Aortic Evolut Pro+ 26mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTFX-29
|
CDM
|
Valve Aortic Evolut Fx 29mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-23mm - The 23mm Evoltr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0704-NT
|
CDM
|
Mitraclip G4 Cds Nt Repair-mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0101
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX29
|
CDM
|
(eval)valve Aortic 29mm Sapien Retroflex 3 Heart Cocr Bovine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9755RSL29A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9755RSL26A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX29A
|
CDM
|
(eval) Valve Aortic 29mm Sapien 3 Bovine Transcatheter Steri
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MCS-P3-26-AOA-US
|
CDM
|
Valve Aortic 20-23mm 0-40mm Corevalve 26mm Heart Porcine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Edwards Heart Transcathete
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0301
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr 1
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTR-26
|
CDM
|
Evoltr Transcatheter Aortic Valve-26mm - The 26mm Evoltr Tra
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTR-34-US
|
CDM
|
Valve Aortic Evolut R 34mm Sterile
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9755RSL23A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750TFX20
|
CDM
|
(eval)valve Aortic 20mm Sapien 3 Ultra Heart Transcatheter S
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MCS-P4-23-AOA-US
|
CDM
|
Valve Aortic 18-20mm 0-34mm Corevalve Evolut 23mm Heart
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX26
|
CDM
|
(eval)valve Aortic 26mm Sapien Retroflex 3 Heart Cocr Bovine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0604-XTR
|
CDM
|
Mitraclip Xtr Cds (clip Delivery System) Primary Mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9755RSL20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Ultra Resilia Transcath
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0303
|
CDM
|
Valve Mitral Mitraclip Bundle 1 Sgc0301 1 Cds0601 Ntr 2
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0604-NTR
|
CDM
|
Mitraclip Ntr Cds (clip Delivery System) Primary Mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0202
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Xtr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTFX-23
|
CDM
|
Valve Aortic Evolut Fx 23mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-CDS0704-XTW
|
CDM
|
Mitraclip G4 Cds Xtw Repair-mr Clinical
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MCS-P3-29-AOA-US
|
CDM
|
Valve Aortic 23-26mm 0-43mm Corevalve 29mm Heart Porcine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Edwards Heart Transcathete
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MBR0201
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Xtr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Bovine Pericardial Transca
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-26mm - The 26mm Evoltr
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTFX-26
|
CDM
|
Valve Aortic Evolut Fx 26mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MSK0101
|
CDM
|
System Mitraclip Delivery Kit Sgc0101 Cds0201
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTFX-34
|
CDM
|
Valve Aortic Evolut Fx 34mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Edwards Heart Transcathete
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-MCS-P3-31-AOA-US
|
CDM
|
Valve Aortic 26-29mm 0-43mm Corevalve 31mm Heart Porcine
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX20
|
CDM
|
(eval)edwards Sapien 3 Thv 20mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9600TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Bovine Transcatheter Steri
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-9750TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien 3 Ultra Heart Transcatheter S
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVPROPLUS-23US
|
CDM
|
Valve Aortic Evolut Pro+ 23mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVOLUTR-23
|
CDM
|
Evoltr Transcatheter Aortic Valve-23mm - The 23mm Evoltr Tra
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
SUP-EVPROPLUS-34US
|
CDM
|
Valve Aortic Evolut Pro+ 34mm
|
52
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$16,108.20
|
$159,030.00
|
$72,846.00
|
2026-07-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
62
|
22
|
$274,838.04
|
$82,451.41
70% off
|
$38,392.04
|
$140,436.71
|
$72,819.52
|
2026-07-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
49
|
18
|
$559,645.05
|
$167,893.51
70% off
|
$67,199.46
|
$251,037.37
|
$72,296.33
|
2026-07-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
62
|
22
|
$171,021.48
|
$51,306.44
70% off
|
$38,008.85
|
$123,100.59
|
$72,056.67
|
2026-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
62
|
22
|
$153,645.33
|
$46,093.60
70% off
|
$37,654.70
|
$137,605.79
|
$71,351.64
|
2026-07-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
62
|
22
|
$141,174.97
|
$42,352.49
70% off
|
$37,532.04
|
$116,919.91
|
$71,107.46
|
2026-07-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
62
|
22
|
$225,821.87
|
$67,746.56
70% off
|
$36,857.10
|
$134,543.61
|
$69,763.82
|
2026-07-01
|
|
J3357
|
HCPCS
|
Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe
|
52
|
12
|
$131,968.69
|
$39,590.60
70% off
|
$8,595.57
|
$149,564.47
|
$69,063.66
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
62
|
22
|
$289,642.88
|
$86,892.86
70% off
|
$36,364.33
|
$132,651.69
|
$68,782.82
|
2026-07-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
62
|
22
|
$92,101.13
|
$27,630.34
70% off
|
$41,655.68
|
$92,101.13
|
$68,338.28
|
2026-07-01
|
|
SUP-005062
|
CDM
|
Pump Iab Impella 5l/min Cath Microaxial
|
52
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$15,034.32
|
$148,428.00
|
$67,989.60
|
2026-07-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
49
|
18
|
$498,969.17
|
$149,690.75
70% off
|
$62,992.37
|
$234,885.00
|
$67,769.47
|
2026-07-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
49
|
18
|
$355,598.71
|
$106,679.61
70% off
|
$62,800.05
|
$234,146.62
|
$67,562.54
|
2026-07-01
|
|
C2624
|
HCPCS
|
System Cardiomems Cardiac Pulmonary Artery Sensor Delivery
|
46
|
14
|
$102,600.00
|
$30,780.00
70% off
|
$9,664.92
|
$95,418.00
|
$67,203.00
|
2026-07-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
62
|
22
|
$187,730.38
|
$56,319.11
70% off
|
$35,331.60
|
$128,686.74
|
$66,726.90
|
2026-07-01
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
32
|
14
|
$141,733.33
|
$42,520.00
70% off
|
$13,847.35
|
$120,473.33
|
$66,487.08
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
62
|
22
|
$140,268.39
|
$42,080.52
70% off
|
$35,087.04
|
$127,747.75
|
$66,240.02
|
2026-07-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
62
|
22
|
$180,041.07
|
$54,012.32
70% off
|
$34,924.46
|
$127,123.61
|
$65,916.41
|
2026-07-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
62
|
22
|
$129,403.15
|
$38,820.94
70% off
|
$34,825.03
|
$126,741.88
|
$65,718.46
|
2026-07-01
|
|
SUP-1000323
|
CDM
|
Set Ventricular Assist Impella Rp Flex Assist
|
52
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$14,497.38
|
$143,127.00
|
$65,561.40
|
2026-07-01
|
|
SUP-4000021
|
CDM
|
Set Bundle Cath Pump + Compantion Sheath Impella Blood Pump
|
52
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$14,497.38
|
$143,127.00
|
$65,561.40
|
2026-07-01
|
|
SUP-0048-0003
|
CDM
|
Device Ventricular Assist 17.4x13.8in Impella Cp 9.3in 10-40
|
52
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$14,497.38
|
$143,127.00
|
$65,561.40
|
2026-07-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
62
|
22
|
$156,478.36
|
$46,943.51
70% off
|
$34,339.52
|
$124,877.83
|
$64,751.90
|
2026-07-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
62
|
22
|
$156,227.23
|
$46,868.17
70% off
|
$34,330.08
|
$124,841.61
|
$64,733.11
|
2026-07-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
62
|
22
|
$109,934.38
|
$32,980.31
70% off
|
$34,202.35
|
$109,934.38
|
$64,478.86
|
2026-07-01
|
|
C1735
|
HCPCS
|
Cath Symplicity Spyral Renal
|
46
|
15
|
$91,200.00
|
$27,360.00
70% off
|
$8,591.04
|
$84,816.00
|
$63,840.00
|
2026-07-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
60
|
22
|
$311,677.11
|
$93,503.13
70% off
|
$42,614.37
|
$156,647.59
|
$63,727.65
|
2026-07-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
62
|
22
|
$139,483.21
|
$41,844.96
70% off
|
$33,693.60
|
$118,110.20
|
$63,466.05
|
2026-07-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
49
|
18
|
$453,478.14
|
$136,043.44
70% off
|
$58,920.26
|
$219,250.89
|
$63,387.85
|
2026-07-01
|
|
C1824
|
HCPCS
|
Genrtr Nerostimltr Optimizer Ipg
|
104
|
16
|
$139,650.00
|
$41,895.00
70% off
|
$12,349.62
|
$137,826.00
|
$63,133.20
|
2026-07-01
|
|
77371
|
CPT
|
Hc Radtn Tx Del Srs 1 Session
|
46
|
14
|
$124,405.88
|
$37,321.76
70% off
|
$11,719.03
|
$115,697.47
|
$62,398.00
|
2026-07-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
62
|
22
|
$146,293.47
|
$43,888.04
70% off
|
$32,968.61
|
$119,614.45
|
$62,022.74
|
2026-07-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
49
|
18
|
$381,225.80
|
$114,367.74
70% off
|
$57,537.73
|
$213,942.93
|
$61,900.22
|
2026-07-01
|
|
SUP-SGPV00-22-26
|
CDM
|
Graft Soft Tissue 22-26mm Cryovalve Sg Heart Conduit
|
52
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$13,686.60
|
$135,122.49
|
$61,894.82
|
2026-07-01
|
|
SUP-SGPV00-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Conduit
|
52
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$13,686.60
|
$135,122.49
|
$61,894.82
|
2026-07-01
|
|
SUP-SGPV10-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Without Conduit
|
52
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$13,686.60
|
$135,122.49
|
$61,894.82
|
2026-07-01
|
|
SUP-SGPV00
|
CDM
|
Graft Soft Tissue 6-32mm Synergraft Cryovalve Sg Pulmonary
|
52
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$13,686.60
|
$135,122.49
|
$61,894.82
|
2026-07-01
|
|
SUP-SGPV10-22-26
|
CDM
|
Valve Pulmonary 10-21mm Cryovalve Sg Heart Without Conduit
|
52
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$13,686.60
|
$135,122.49
|
$61,894.82
|
2026-07-01
|
|
SUP-5740-2415
|
CDM
|
Kit Blood Pump 15fr 24fr Tandemlife Tandemheart Tandemlung
|
46
|
15
|
$88,350.00
|
$26,505.00
70% off
|
$8,322.57
|
$82,165.50
|
$61,845.00
|
2026-07-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
49
|
18
|
$365,237.85
|
$109,571.35
70% off
|
$57,297.50
|
$213,020.65
|
$61,641.73
|
2026-07-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
62
|
22
|
$172,534.24
|
$51,760.27
70% off
|
$32,768.29
|
$118,845.42
|
$61,623.96
|
2026-07-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
49
|
18
|
$299,460.93
|
$89,838.28
70% off
|
$57,113.90
|
$212,315.71
|
$61,444.17
|
2026-07-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
62
|
22
|
$226,433.31
|
$67,929.99
70% off
|
$32,590.48
|
$118,162.77
|
$61,270.00
|
2026-07-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
62
|
22
|
$220,739.83
|
$66,221.95
70% off
|
$32,462.76
|
$117,672.37
|
$61,015.71
|
2026-07-01
|
|
SUP-0046-0035
|
CDM
|
Set Ventricular Assist Rp Smart Assist Latex Free
|
52
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$60,705.00
|
2026-07-01
|
|
SUP-005082
|
CDM
|
Pump Perfusion Impella Cardiopulmonary Bypass Nonroller
|
52
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$60,705.00
|
2026-07-01
|
|
C1604
|
HCPCS
|
Detour System Cap For Any Number Of Torus Stent Grafts And E
|
52
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$60,705.00
|
2026-07-01
|
|
SUP-004334
|
CDM
|
Impella Rp Pump Set
|
52
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$13,423.50
|
$132,525.00
|
$60,705.00
|
2026-07-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
62
|
22
|
$109,493.55
|
$32,848.06
70% off
|
$32,269.72
|
$109,493.55
|
$60,631.42
|
2026-07-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
62
|
22
|
$137,138.63
|
$41,141.59
70% off
|
$31,953.29
|
$115,716.37
|
$60,001.47
|
2026-07-01
|
|
SUP-Z-A-20.003-US
|
CDM
|
Shortcut (4-pack)
|
46
|
15
|
$85,500.00
|
$25,650.00
70% off
|
$8,054.10
|
$79,515.00
|
$59,850.00
|
2026-07-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
62
|
22
|
$86,556.24
|
$25,966.87
70% off
|
$36,680.02
|
$86,556.24
|
$59,803.93
|
2026-07-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
58
|
22
|
$333,198.16
|
$99,959.45
70% off
|
$54,201.51
|
$201,134.16
|
$58,704.34
|
2026-07-01
|
|
SUP-NVRO-35
|
CDM
|
Navitor With Radiopaque Markers 35mm
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVRO-23
|
CDM
|
Navitor With Radiopaque Markers 23mm
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVTR-29
|
CDM
|
Valve Aortic 29mm Navitor Transcatheter Self Expand Intra
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVRO-27
|
CDM
|
Navitor With Radiopaque Markers 27mm
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVRO-25
|
CDM
|
Navitor With Radiopaque Markers 25mm
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVRO-29
|
CDM
|
Navitor With Radiopaque Markers 29mm
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVTR-23
|
CDM
|
Valve Aortic 23mm Navitor Transcatheter Self Expand Intra
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
C1605
|
HCPCS
|
Aveir Dual Chamber Pacer System- Ar2
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVTR-27
|
CDM
|
Valve Aortic 27mm Navitor Transcatheter Self Expand Intra
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
SUP-NVTR-25
|
CDM
|
Valve Aortic 25mm Navitor Transcatheter Self Expand Intra
|
52
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$12,886.56
|
$127,224.00
|
$58,276.80
|
2026-07-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
62
|
22
|
$224,783.53
|
$67,435.06
70% off
|
$30,991.69
|
$112,024.48
|
$58,087.16
|
2026-07-01
|