|
SUP-INTPDVL42FG APOLLO
|
CDM
|
(eval) 42mm Tf Implant
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-INTPDVL48FG APOLLO
|
CDM
|
(eval) 48mm Tf Implant
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-490022
|
CDM
|
(eval) Briovad Implant Kit
|
34
|
16
|
$523,630.50
|
$157,089.15
70% off
|
$84,828.14
|
$471,267.45
|
$230,397.42
|
2026-04-01
|
|
SUP-CRDLA003US
|
CDM
|
(eval) Commercial System 3-pack 3x Reader Kit, Deliver Syste
|
34
|
16
|
$116,850.00
|
$35,055.00
70% off
|
$18,929.70
|
$105,165.00
|
$51,414.00
|
2026-04-01
|
|
SUP-9850EV44CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 44 Mm
|
34
|
16
|
$216,600.00
|
$64,980.00
70% off
|
$35,089.20
|
$194,940.00
|
$95,304.00
|
2026-04-01
|
|
SUP-9850EV48PCL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 48 Mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-9850EV56ACL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 56 Mm
|
34
|
16
|
$216,600.00
|
$64,980.00
70% off
|
$35,089.20
|
$194,940.00
|
$95,304.00
|
2026-04-01
|
|
SUP-9850EV48CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve)48 Mm
|
34
|
16
|
$216,600.00
|
$64,980.00
70% off
|
$35,089.20
|
$194,940.00
|
$95,304.00
|
2026-04-01
|
|
SUP-9850EV52CL
|
CDM
|
(eval) Edwards Evoque Valve 52 Mm
|
34
|
16
|
$216,600.00
|
$64,980.00
70% off
|
$35,089.20
|
$194,940.00
|
$95,304.00
|
2026-04-01
|
|
SUP-20000ISM
|
CDM
|
(eval) Edwards Pascal Ace Precision Implant System (5mm)
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-20000IS
|
CDM
|
(eval) Edwards Pascal Precision Implant System (10mm)
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-20000ISCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-20000ISMCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-10000ISCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-10000ISMCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-9755RSL29A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9755RSL23A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9755RSL26A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-14000RSL23
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 23mm
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-14000RSL26
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 26mm
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-14000RSL29
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 29mm
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-30-1-0123 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 23mm
|
34
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$80,256.00
|
2026-04-01
|
|
SUP-30-1-0129 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 29 Mm
|
34
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$80,256.00
|
2026-04-01
|
|
SUP-30-1-0126 -EFS
|
CDM
|
(eval) Efs Siegel Transcatheter Aortic Valve - 26mm
|
34
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$80,256.00
|
2026-04-01
|
|
SUP-INTPD-V4-42A
|
CDM
|
(eval) Intrepid Mitral Valve 42mm Recoverable Clinical Impla
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-INTPD-V4-48A
|
CDM
|
(eval) Intrepid Mitral Valve 48mm Recoverable Clinical Impla
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-JV-2000-PY27
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-JV-2000-PY25
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-JV-2000-PY23
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-INTPDMVL42C
|
CDM
|
(eval) Mitrl Val Intpdmvl42c Intrepid 42mm Clin
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-INTPDMVL48C
|
CDM
|
(eval) Mitrl Val Intpdmvl48c Intrepid 48mm Clin
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-INTPDMVL54C
|
CDM
|
(eval) Mitrl Val Intpdmvl54c Intrepid 54mm Clin
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-DWG-4710
|
CDM
|
(eval) Monarq Ttvr System Large Implant
|
34
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$80,256.00
|
2026-04-01
|
|
SUP-DWG-4700
|
CDM
|
(eval) Monarq Ttvr System Medium Implant
|
34
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$80,256.00
|
2026-04-01
|
|
SUP-10-B501-2-XX
|
CDM
|
(eval) Optimizer Smart Mini Ipg Including Patient Charger
|
34
|
16
|
$148,200.00
|
$44,460.00
70% off
|
$24,008.40
|
$133,380.00
|
$65,208.00
|
2026-04-01
|
|
SUP-9680TFX29M
|
CDM
|
(eval) Sapien M3 Valve 29mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-30-1-0123
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 23mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-30-1-0126
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 26mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-CRDLA001US
|
CDM
|
(eval) Single Commercial System -reader Kit, Delivery System
|
34
|
16
|
$116,850.00
|
$35,055.00
70% off
|
$18,929.70
|
$105,165.00
|
$51,414.00
|
2026-04-01
|
|
SUP-CRDLA005US-TR
|
CDM
|
(eval) Single Commercial System Reader Kit Delivery System W
|
34
|
16
|
$116,850.00
|
$35,055.00
70% off
|
$18,929.70
|
$105,165.00
|
$51,414.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-S
|
CDM
|
(eval) Trilogy Heart Valve (size 23)
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-M
|
CDM
|
(eval) Trilogy Heart Valve (size 25)
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-L
|
CDM
|
(eval) Trilogy Heart Valve (size 27)
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-9600TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Bovine Transcatheter Steri
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9750TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Edwards Heart Transcathete
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9755RSL20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Ultra Resilia Transcath
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Bovine Pericardial Transca
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9750TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Edwards Heart Transcathete
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Bovine Transcatheter Steri
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9750TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Edwards Heart Transcathete
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX29A
|
CDM
|
(eval) Valve Aortic 29mm Sapien 3 Bovine Transcatheter Steri
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX20
|
CDM
|
(eval)edwards Sapien 3 Thv 20mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9750FX26
|
CDM
|
(eval)edwards Sapien 3 Ultra Thv 26mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-ETF-22
|
CDM
|
(eval)j Valve Bioprosthesis 22
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-ETF-25
|
CDM
|
(eval)j Valve Bioprosthesis 25
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-ETF-28
|
CDM
|
(eval)j Valve Bioprosthesis 28
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-ETF-31
|
CDM
|
(eval)j Valve Bioprosthesis 31
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-ETF-34
|
CDM
|
(eval)j Valve Bioprosthesis 34
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-9880TFX29M
|
CDM
|
(eval)sapien M3 Valve Eptfe 29mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
SUP-9750TFX20
|
CDM
|
(eval)valve Aortic 20mm Sapien 3 Ultra Heart Transcatheter S
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9750TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien 3 Ultra Heart Transcatheter S
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien Retroflex 3 Heart Cocr Bovine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX26
|
CDM
|
(eval)valve Aortic 26mm Sapien Retroflex 3 Heart Cocr Bovine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-9600TFX29
|
CDM
|
(eval)valve Aortic 29mm Sapien Retroflex 3 Heart Cocr Bovine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-S3UCM23A
|
CDM
|
23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-H749LVSUS230
|
CDM
|
23 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-H749LVSUS250
|
CDM
|
25 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3UCM26A
|
CDM
|
26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-B0M27EDGELGIS
|
CDM
|
27 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-SYM-SV27-006-C
|
CDM
|
Acurate Ne02 Tm Aortic Valve L - Clinical
|
34
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$25,855.20
|
$143,640.00
|
$70,224.00
|
2026-04-01
|
|
SUP-SYM-SV25-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve M - Clinical
|
34
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$25,855.20
|
$143,640.00
|
$70,224.00
|
2026-04-01
|
|
SUP-SYM-SV23-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve S - Clinical
|
34
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$25,855.20
|
$143,640.00
|
$70,224.00
|
2026-04-01
|
|
SUP-SYM-SV29-009-C
|
CDM
|
Acurate Prime Aortic Valve Xl
|
34
|
16
|
$127,680.00
|
$38,304.00
70% off
|
$20,684.16
|
$114,912.00
|
$56,179.20
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
44
|
18
|
$92,101.13
|
$27,630.34
70% off
|
$36,607.69
|
$92,101.13
|
$69,645.28
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
46
|
19
|
$100,128.76
|
$30,038.63
70% off
|
$1,570.12
|
$100,128.76
|
$91,293.30
|
2026-04-01
|
|
Q0482
|
HCPCS
|
Aic Controller
|
46
|
19
|
$205,200.00
|
$61,560.00
70% off
|
$33,242.40
|
$184,680.00
|
$81,751.68
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
44
|
18
|
$123,087.26
|
$36,926.18
70% off
|
$27,970.70
|
$116,564.66
|
$49,591.65
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
1
|
$77,412.21
|
$23,223.66
70% off
|
$327,466.45
|
$327,466.45
|
$327,466.45
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
42
|
17
|
$325,963.14
|
$97,788.94
70% off
|
$36,215.86
|
$162,894.95
|
$67,943.75
|
2026-04-01
|
|
C1605
|
HCPCS
|
Aveir Dual Chamber Pacer System- Ar2
|
46
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,501.12
|
2026-04-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
2
|
1
|
$227,891.60
|
$68,367.48
70% off
|
$54,673.73
|
$54,673.73
|
$54,673.73
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
38
|
16
|
$226,474.50
|
$67,942.35
70% off
|
$36,819.81
|
$130,805.74
|
$68,635.13
|
2026-04-01
|
|
161
|
MS_DRG
|
Cardiac Defibrillator & Heart Assist Implant
|
2
|
1
|
$280,081.47
|
$84,024.44
70% off
|
$204,271.10
|
$204,271.10
|
$204,271.10
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
42
|
17
|
$238,214.11
|
$71,464.23
70% off
|
$47,120.04
|
$168,875.11
|
$88,610.52
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
42
|
17
|
$221,445.13
|
$66,433.54
70% off
|
$39,918.71
|
$142,259.23
|
$74,644.89
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
42
|
17
|
$174,598.61
|
$52,379.58
70% off
|
$31,023.75
|
$109,383.72
|
$57,394.78
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
15
|
$372,763.69
|
$111,829.11
70% off
|
$64,116.66
|
$231,694.07
|
$84,419.95
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
38
|
16
|
$359,204.36
|
$107,761.31
70% off
|
$50,631.00
|
$231,386.78
|
$75,850.55
|
2026-04-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
42
|
17
|
$335,467.29
|
$100,640.19
70% off
|
$35,601.00
|
$126,301.08
|
$66,271.48
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
44
|
18
|
$86,556.24
|
$25,966.87
70% off
|
$32,214.37
|
$86,556.24
|
$60,947.71
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
36
|
15
|
$559,645.05
|
$167,893.51
70% off
|
$59,161.99
|
$213,381.74
|
$88,194.54
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
38
|
16
|
$315,842.16
|
$94,752.65
70% off
|
$38,384.00
|
$136,586.96
|
$59,244.66
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
38
|
15
|
$404,524.58
|
$121,357.37
70% off
|
$50,086.66
|
$268,072.42
|
$86,339.64
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
36
|
15
|
$544,847.10
|
$163,454.13
70% off
|
$62,033.32
|
$257,540.23
|
$90,747.51
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
42
|
17
|
$303,081.24
|
$90,924.37
70% off
|
$27,397.94
|
$158,361.86
|
$66,052.99
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
15
|
$371,177.41
|
$111,353.22
70% off
|
$46,290.29
|
$181,067.54
|
$64,194.99
|
2026-04-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
38
|
16
|
$319,278.29
|
$95,783.49
70% off
|
$36,433.39
|
$139,687.85
|
$53,963.61
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
15
|
$498,969.17
|
$149,690.75
70% off
|
$55,447.25
|
$199,652.23
|
$70,707.07
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
15
|
$338,939.15
|
$101,681.74
70% off
|
$40,277.57
|
$143,585.53
|
$54,724.65
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
15
|
$278,693.93
|
$83,608.18
70% off
|
$37,603.03
|
$138,990.87
|
$49,451.30
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
44
|
18
|
$166,422.99
|
$49,926.90
70% off
|
$30,563.65
|
$115,590.25
|
$57,880.76
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
42
|
17
|
$198,509.91
|
$59,552.97
70% off
|
$38,148.18
|
$135,715.39
|
$71,211.28
|
2026-04-01
|
|
C1604
|
HCPCS
|
Detour System Cap For Any Number Of Torus Stent Grafts And E
|
46
|
19
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$56,772.00
|
2026-04-01
|
|
SUP-104911
|
CDM
|
Device Heartmate Ii Lvas Ventricular Assist Percutaneous Kit
|
38
|
18
|
$467,400.00
|
$140,220.00
70% off
|
$75,718.80
|
$420,660.00
|
$205,656.00
|
2026-04-01
|
|
SUP-107801
|
CDM
|
Device Heartmate Ii Small Ventricular Assist Kit Sterile
|
44
|
19
|
$421,800.00
|
$126,540.00
70% off
|
$68,331.60
|
$379,620.00
|
$166,906.26
|
2026-04-01
|
|
SUP-1000100
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
44
|
19
|
$250,800.00
|
$75,240.00
70% off
|
$40,629.60
|
$225,720.00
|
$99,241.56
|
2026-04-01
|
|
SUP-0550-0008
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
44
|
19
|
$233,700.00
|
$70,110.00
70% off
|
$37,859.40
|
$210,330.00
|
$92,475.09
|
2026-04-01
|
|
SUP-0048-0003
|
CDM
|
Device Ventricular Assist 17.4x13.8in Impella Cp 9.3in 10-40
|
44
|
19
|
$153,900.00
|
$46,170.00
70% off
|
$24,931.80
|
$138,510.00
|
$60,898.23
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
30
|
14
|
$559,502.07
|
$167,850.62
70% off
|
$137,439.74
|
$502,693.82
|
$144,111.57
|
2026-04-01
|
|
SUP-SM329US1
|
CDM
|
Edwards Sapien M3 Mitral Valve Replacement System (29 Mm Val
|
44
|
19
|
$307,800.00
|
$92,340.00
70% off
|
$49,863.60
|
$277,020.00
|
$121,796.46
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
42
|
17
|
$265,708.68
|
$79,712.60
70% off
|
$40,699.20
|
$145,143.92
|
$72,199.93
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
42
|
17
|
$256,184.96
|
$76,855.49
70% off
|
$31,935.60
|
$114,279.77
|
$66,295.06
|
2026-04-01
|
|
SUP-EVOLUTR-23
|
CDM
|
Evoltr Transcatheter Aortic Valve-23mm - The 23mm Evoltr Tra
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTR-26
|
CDM
|
Evoltr Transcatheter Aortic Valve-26mm - The 26mm Evoltr Tra
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTR-29
|
CDM
|
Evoltr Transcatheter Aortic Valve-29mm - The 29mm Evoltr Tra
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-TAV-MDT2-29-C
|
CDM
|
Evolut Pro Transcatheter Aortic Valve (tav) - 29
|
34
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$30,472.20
|
$169,290.00
|
$82,764.00
|
2026-04-01
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-23mm - The 23mm Evoltr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-26mm - The 26mm Evoltr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-29mm - The 29mm Evoltr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVQ1A2US44
|
CDM
|
Evoque Tricuspid Valve Replacement System (44 Mm Valve)
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1A2US48
|
CDM
|
Evoque Tricuspid Valve Replacement System (48 Mm Valve)
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1A2US52
|
CDM
|
Evoque Tricuspid Valve Replacement System (52 Mm Valve)
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1A2US56
|
CDM
|
Evoque Tricuspid Valve Replacement System (56 Mm Valve)
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1US44
|
CDM
|
Evoque Tricuspid Valve Replacement System 44mm
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1US48
|
CDM
|
Evoque Tricuspid Valve Replacement System 48mm
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
SUP-EVQ1US52
|
CDM
|
Evoque Tricuspid Valve Replacement System 52mm
|
44
|
19
|
$245,100.00
|
$73,530.00
70% off
|
$39,706.20
|
$220,590.00
|
$96,986.07
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
42
|
17
|
$186,168.57
|
$55,850.57
70% off
|
$31,493.44
|
$111,119.75
|
$52,096.91
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
10
|
3
|
$129,653.82
|
$38,896.15
70% off
|
$25,669.44
|
$156,202.03
|
$54,512.52
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
2
|
1
|
$88,813.68
|
$26,644.10
70% off
|
$66,573.94
|
$66,573.94
|
$66,573.94
|
2026-04-01
|
|
C1824
|
HCPCS
|
Genrtr Nerostimltr Optimizer Ipg
|
92
|
19
|
$139,650.00
|
$41,895.00
70% off
|
$21,238.20
|
$133,380.00
|
$56,259.00
|
2026-04-01
|
|
SUP-SGPV00-22-26
|
CDM
|
Graft Soft Tissue 22-26mm Cryovalve Sg Heart Conduit
|
44
|
19
|
$145,293.00
|
$43,587.90
70% off
|
$23,537.47
|
$130,763.70
|
$57,492.44
|
2026-04-01
|
|
SUP-SGPV00
|
CDM
|
Graft Soft Tissue 6-32mm Synergraft Cryovalve Sg Pulmonary
|
44
|
19
|
$145,293.00
|
$43,587.90
70% off
|
$23,537.47
|
$130,763.70
|
$57,492.44
|
2026-04-01
|
|
SUP-HRP5500CL
|
CDM
|
Harpoon Beating Heart Mitral Valve Repari System
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
4
|
2
|
$1,307,782.82
|
$392,334.85
70% off
|
$941,126.47
|
$974,512.18
|
$957,819.32
|
2026-04-01
|
|
SUP-106524US
|
CDM
|
Heartmate 3 Lvad Implant Kit Includes 1 Heartmate 3 Lvad Con
|
44
|
19
|
$579,590.93
|
$173,877.28
70% off
|
$93,893.73
|
$521,631.84
|
$229,344.14
|
2026-04-01
|
|
SUP-10002262
|
CDM
|
Heartmate Php Pump/catheter
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
42
|
17
|
$283,392.97
|
$85,017.89
70% off
|
$40,653.72
|
$144,975.77
|
$73,467.22
|
2026-04-01
|
|
SUP-004334
|
CDM
|
Impella Rp Pump Set
|
44
|
19
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$56,387.25
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
42
|
17
|
$148,692.87
|
$44,607.86
70% off
|
$33,074.96
|
$116,964.91
|
$61,372.70
|
2026-04-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
42
|
17
|
$283,785.60
|
$85,135.68
70% off
|
$35,351.07
|
$125,377.41
|
$65,786.82
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
38
|
16
|
$353,633.98
|
$105,284.95
70% off
|
$51,851.72
|
$186,363.24
|
$77,732.41
|
2026-04-01
|
|
SUP-ASM-0075-43
|
CDM
|
Intrepid Mitral Valve 43mm Clinical
|
34
|
16
|
$256,500.00
|
$76,950.00
70% off
|
$41,553.00
|
$230,850.00
|
$112,860.00
|
2026-04-01
|
|
SUP-9600CM20A
|
CDM
|
Kit Aortic Valve 14fr Commander Sapien 3 20mm Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9600CT20A
|
CDM
|
Kit Aortic Valve 18fr Certitude Sapien 3 Atrion 20mm
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9600CT23A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 23mm Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9600CT26A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 26mm Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9600CT29A
|
CDM
|
Kit Aortic Valve 21fr Certitude Sapien 3 Atrion Ascendra 29
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
26
|
12
|
$1,082,957.65
|
$324,887.29
70% off
|
$67,498.17
|
$244,192.03
|
$70,119.45
|
2026-04-01
|
|
SUP-H749LVSCL250
|
CDM
|
Lotus Edge Valve System 25mm Reprise IV Clinical Study (excl
|
34
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$25,855.20
|
$143,640.00
|
$70,224.00
|
2026-04-01
|
|
SUP-H749LVSCL270
|
CDM
|
Lotus Edge Valve System 27mm Reprise IV Clinical Study (excl
|
68
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$23,085.00
|
$143,640.00
|
$63,142.32
|
2026-04-01
|
|
SUP-H749LTVR3CL230
|
CDM
|
Lotus Valve System 23mm Reprise Iii
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
SUP-H749LTVR3CL250
|
CDM
|
Lotus Valve System 25mm Reprise Iii
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
SUP-H749LTVR3CL270
|
CDM
|
Lotus Valve System 27mm Reprise Iii
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
SUP-H749LTVR3CL210
|
CDM
|
Lotus Valve System: 21mm Reprise Iii
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
42
|
17
|
$189,628.67
|
$56,888.60
70% off
|
$39,010.07
|
$138,900.87
|
$61,757.68
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
44
|
18
|
$110,170.16
|
$33,051.05
70% off
|
$30,807.79
|
$108,585.58
|
$61,153.68
|
2026-04-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
42
|
17
|
$172,385.86
|
$51,715.76
70% off
|
$30,147.77
|
$106,146.14
|
$55,695.98
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
42
|
17
|
$160,316.29
|
$48,094.89
70% off
|
$30,882.78
|
$108,862.68
|
$54,693.54
|
2026-04-01
|
|
SUP-EVOLUTR-34-C
|
CDM
|
Medtronic Evolut R 34 Transcatheter Aortic Valve
|
34
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$30,472.20
|
$169,290.00
|
$82,764.00
|
2026-04-01
|
|
SUP-CDS0704-NT
|
CDM
|
Mitraclip G4 Cds Nt Repair-mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-CDS0704-NTW
|
CDM
|
Mitraclip G4 Cds Ntw Repair-mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-CDS0704-XT
|
CDM
|
Mitraclip G4 Cds Xt Repair-mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-CDS0704-XTW
|
CDM
|
Mitraclip G4 Cds Xtw Repair-mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-CDS0604-NTR
|
CDM
|
Mitraclip Ntr Cds (clip Delivery System) Primary Mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-CDS0604-XTR
|
CDM
|
Mitraclip Xtr Cds (clip Delivery System) Primary Mr Clinical
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
17
|
$295,258.99
|
$88,577.70
70% off
|
$72,052.36
|
$261,024.12
|
$136,962.05
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
17
|
$258,373.42
|
$77,512.03
70% off
|
$47,685.21
|
$170,964.02
|
$89,706.56
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
17
|
$230,431.17
|
$69,129.35
70% off
|
$37,454.19
|
$133,150.44
|
$69,865.42
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
42
|
17
|
$268,310.11
|
$80,493.03
70% off
|
$44,244.12
|
$158,245.81
|
$83,033.21
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
42
|
17
|
$185,603.90
|
$55,681.17
70% off
|
$28,603.44
|
$100,438.34
|
$52,336.64
|
2026-04-01
|
|
SUP-NVRO-23
|
CDM
|
Navitor With Radiopaque Markers 23mm
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-NVRO-25
|
CDM
|
Navitor With Radiopaque Markers 25mm
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-NVRO-27
|
CDM
|
Navitor With Radiopaque Markers 27mm
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-NVRO-29
|
CDM
|
Navitor With Radiopaque Markers 29mm
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-NVRO-35
|
CDM
|
Navitor With Radiopaque Markers 35mm
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
609
|
MS_DRG
|
Neonate Bwt 1500-2499g W Major Procedure
|
2
|
1
|
$63,782.62
|
$19,134.79
70% off
|
$63,782.62
|
$63,782.62
|
$63,782.62
|
2026-04-01
|
|
C1826
|
HCPCS
|
Nerostimltr Implantable Inceptiv MRI Sterile Latex Free
|
46
|
19
|
$124,830.00
|
$37,449.00
70% off
|
$20,222.46
|
$112,347.00
|
$49,732.27
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
44
|
18
|
$220,139.79
|
$66,041.94
70% off
|
$10,564.91
|
$117,173.33
|
$55,177.62
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
44
|
18
|
$92,846.05
|
$27,853.81
70% off
|
$30,026.65
|
$92,846.05
|
$64,170.66
|
2026-04-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
2
|
1
|
$134,433.84
|
$40,330.15
70% off
|
$174,918.39
|
$174,918.39
|
$174,918.39
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
34
|
14
|
$492,346.58
|
$147,703.97
70% off
|
$65,232.95
|
$284,623.10
|
$98,360.82
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
42
|
17
|
$137,138.63
|
$41,141.59
70% off
|
$28,040.81
|
$98,358.90
|
$51,609.94
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
42
|
17
|
$127,453.26
|
$38,235.98
70% off
|
$28,352.25
|
$99,509.94
|
$49,792.70
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
42
|
17
|
$214,201.41
|
$64,260.42
70% off
|
$35,238.95
|
$124,962.94
|
$62,429.09
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
36
|
15
|
$299,460.93
|
$89,838.28
70% off
|
$50,256.77
|
$180,468.34
|
$66,125.70
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
38
|
16
|
$222,121.71
|
$66,636.51
70% off
|
$36,483.38
|
$129,562.34
|
$54,040.66
|
2026-04-01
|
|
SUP-005062
|
CDM
|
Pump Iab Impella 5l/min Cath Microaxial
|
44
|
19
|
$159,600.00
|
$47,880.00
70% off
|
$25,855.20
|
$143,640.00
|
$63,153.72
|
2026-04-01
|
|
SUP-005082
|
CDM
|
Pump Perfusion Impella Cardiopulmonary Bypass Nonroller
|
44
|
19
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$56,387.25
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
40
|
17
|
$218,922.75
|
$65,676.82
70% off
|
$42,661.99
|
$152,398.28
|
$70,225.73
|
2026-04-01
|
|
SUP-106015
|
CDM
|
Sealed Implant Kit With Pocket Controller
|
44
|
19
|
$467,400.00
|
$140,220.00
70% off
|
$75,718.80
|
$420,660.00
|
$184,950.18
|
2026-04-01
|
|
SUP-4000021
|
CDM
|
Set Bundle Cath Pump + Compantion Sheath Impella Blood Pump
|
44
|
19
|
$153,900.00
|
$46,170.00
70% off
|
$24,931.80
|
$138,510.00
|
$60,898.23
|
2026-04-01
|
|
SUP-1000323
|
CDM
|
Set Ventricular Assist Impella Rp Flex Assist
|
44
|
19
|
$153,900.00
|
$46,170.00
70% off
|
$24,931.80
|
$138,510.00
|
$60,898.23
|
2026-04-01
|
|
SUP-0046-0035
|
CDM
|
Set Ventricular Assist Rp Smart Assist Latex Free
|
44
|
19
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$56,387.25
|
2026-04-01
|
|
SUP-30-1-0129
|
CDM
|
Siegel Tavr Transcatheter Aortic Valve 29 Mm
|
34
|
16
|
$199,500.00
|
$59,850.00
70% off
|
$32,319.00
|
$179,550.00
|
$87,780.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
42
|
17
|
$160,348.35
|
$48,104.50
70% off
|
$27,191.76
|
$95,220.80
|
$49,963.34
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
42
|
17
|
$205,415.99
|
$61,624.80
70% off
|
$35,580.50
|
$126,225.29
|
$66,231.72
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
42
|
17
|
$206,342.36
|
$61,902.71
70% off
|
$24,299.63
|
$155,162.18
|
$64,718.40
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
42
|
17
|
$214,534.85
|
$64,360.45
70% off
|
$39,639.96
|
$141,228.99
|
$74,104.29
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
15
|
$355,598.71
|
$106,679.61
70% off
|
$55,277.45
|
$199,024.61
|
$72,278.19
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
42
|
17
|
$146,715.99
|
$44,014.80
70% off
|
$23,192.58
|
$142,299.50
|
$59,353.35
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
2
|
1
|
$115,881.52
|
$34,764.46
70% off
|
$61,766.56
|
$61,766.56
|
$61,766.56
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
42
|
17
|
$163,838.62
|
$49,151.59
70% off
|
$33,387.66
|
$118,120.68
|
$56,362.89
|
2026-04-01
|
|
SUP-MCG50100
|
CDM
|
System Mitraclip Delivery G5
|
44
|
19
|
$188,100.00
|
$56,430.00
70% off
|
$30,472.20
|
$169,290.00
|
$74,431.17
|
2026-04-01
|
|
SUP-MSK0101
|
CDM
|
System Mitraclip Delivery Kit Sgc0101 Cds0201
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 29S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp29s
|
44
|
19
|
$319,200.00
|
$95,760.00
70% off
|
$51,710.40
|
$287,280.00
|
$126,307.44
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 33S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp33s
|
44
|
19
|
$319,200.00
|
$95,760.00
70% off
|
$51,710.40
|
$287,280.00
|
$126,307.44
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 35M SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp35m
|
44
|
19
|
$319,200.00
|
$95,760.00
70% off
|
$51,710.40
|
$287,280.00
|
$126,307.44
|
2026-04-01
|
|
SUP-TCG40100
|
CDM
|
System Triclip Delivery 4th Generation Teer
|
44
|
19
|
$205,200.00
|
$61,560.00
70% off
|
$33,242.40
|
$184,680.00
|
$81,197.64
|
2026-04-01
|
|
SUP-TENDV-LP-29L-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29l
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-29S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 35m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-LP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-33B-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33b
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-33C-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33c
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-33L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33l
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-35L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35l
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-35S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-37L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37l
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-39M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39m
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-39S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TENDV-SP-41S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 41s
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
42
|
17
|
$159,071.74
|
$47,721.52
70% off
|
$36,378.29
|
$129,173.92
|
$67,778.90
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
26
|
12
|
$566,612.92
|
$169,983.88
70% off
|
$90,188.31
|
$328,054.06
|
$93,690.77
|
2026-04-01
|
|
SUP-TCDS0303-NT
|
CDM
|
Triclip G4 Nt Clip Delivery System Clin
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TCDS0303-NTW
|
CDM
|
Triclip G4 Ntw Clip Delivery System Clin
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TCDS0303-XT
|
CDM
|
Triclip G4 Xt Clip Delivery System Clin
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TCDS0303-XTW
|
CDM
|
Triclip G4 Xtw Clip Delivery System Clin
|
34
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$75,240.00
|
2026-04-01
|
|
SUP-TCG50100
|
CDM
|
Triclip G5 System- One (1) Steerable Guide Catheter And Any
|
44
|
19
|
$205,200.00
|
$61,560.00
70% off
|
$33,242.40
|
$184,680.00
|
$81,197.64
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
2
|
1
|
$215,429.36
|
$64,628.81
70% off
|
$83,469.01
|
$83,469.01
|
$83,469.01
|
2026-04-01
|
|
SUP-MCS-P4-23-AOA-US
|
CDM
|
Valve Aortic 18-20mm 0-34mm Corevalve Evolut 23mm Heart
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVFXPLUS-23
|
CDM
|
Valve Aortic 18-20mm Evolut Fx+ 23mm Annulus
|
44
|
19
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$72,175.68
|
2026-04-01
|
|
SUP-MCS-P3-26-AOA-US
|
CDM
|
Valve Aortic 20-23mm 0-40mm Corevalve 26mm Heart Porcine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVFXPLUS-26
|
CDM
|
Valve Aortic 20-23mm Evolut Fx+ 26mm Annulus
|
44
|
19
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$72,175.68
|
2026-04-01
|
|
SUP-S3USTA120A
|
CDM
|
Valve Aortic 20mm Edwards Sapien 3 Transcatheter Ultra Low
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3UCM220A
|
CDM
|
Valve Aortic 20mm Sapien 3 Commander Edwards Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3URCM20A
|
CDM
|
Valve Aortic 20mm Sapien 3 Ultra Resilia
|
44
|
19
|
$193,800.00
|
$58,140.00
70% off
|
$31,395.60
|
$174,420.00
|
$76,686.66
|
2026-04-01
|
|
SUP-MCS-P3-29-AOA-US
|
CDM
|
Valve Aortic 23-26mm 0-43mm Corevalve 29mm Heart Porcine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVFXPLUS-29
|
CDM
|
Valve Aortic 23-26mm Evolut Fx+ 29mm Annulus
|
44
|
19
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$72,175.68
|
2026-04-01
|
|
SUP-9600CM23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Commander Delivery System
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3USTA123A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Transcatheter Ultra Low
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9355NF23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien Novaflex Transfemoral
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-NVTR-23
|
CDM
|
Valve Aortic 23mm Navitor Transcatheter Self Expand Intra
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-S3UCM223A
|
CDM
|
Valve Aortic 23mm Sapien 3 Commander Edwards Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3URCM23A
|
CDM
|
Valve Aortic 23mm Sapien 3 Ultra Resilia
|
44
|
19
|
$193,800.00
|
$58,140.00
70% off
|
$31,395.60
|
$174,420.00
|
$76,686.66
|
2026-04-01
|
|
SUP-9100RF323A
|
CDM
|
Valve Aortic 23mm Sapien Heart Transcatheter Retroflex 3
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-NVTR-25
|
CDM
|
Valve Aortic 25mm Navitor Transcatheter Self Expand Intra
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-MCS-P3-31-AOA-US
|
CDM
|
Valve Aortic 26-29mm 0-43mm Corevalve 31mm Heart Porcine
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVFXPLUS-34
|
CDM
|
Valve Aortic 26-30mm Evolut Fx+ 34mm Annulus
|
44
|
19
|
$182,400.00
|
$54,720.00
70% off
|
$29,548.80
|
$164,160.00
|
$72,175.68
|
2026-04-01
|
|
SUP-9600CM26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Commander Delivery System
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3USTA126A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Transcatheter Ultra Low
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9355NF26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien Novaflex Transfemoral
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3UCM226A
|
CDM
|
Valve Aortic 26mm Sapien 3 Commander Edwards Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-S3URCM26A
|
CDM
|
Valve Aortic 26mm Sapien 3 Ultra Resilia
|
44
|
19
|
$193,800.00
|
$58,140.00
70% off
|
$31,395.60
|
$174,420.00
|
$76,686.66
|
2026-04-01
|
|
SUP-9600TFX
|
CDM
|
Valve Aortic 26mm Sapien Heart 3 Transcatheter
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9100RF326A
|
CDM
|
Valve Aortic 26mm Sapien Heart Transcatheter Retroflex 3
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-NVTR-27
|
CDM
|
Valve Aortic 27mm Navitor Transcatheter Self Expand Intra
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-9600CM29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien 3 Commander Delivery System
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9355ASP29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Ascendra Plus Transapical
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-9355NF29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Novaflex Transfemoral
|
44
|
19
|
$185,250.00
|
$55,575.00
70% off
|
$30,010.50
|
$166,725.00
|
$73,303.43
|
2026-04-01
|
|
SUP-NVTR-29
|
CDM
|
Valve Aortic 29mm Navitor Transcatheter Self Expand Intra
|
44
|
19
|
$136,800.00
|
$41,040.00
70% off
|
$22,161.60
|
$123,120.00
|
$54,131.76
|
2026-04-01
|
|
SUP-S3URCM29A
|
CDM
|
Valve Aortic 29mm Sapien 3 Ultra Resilia
|
44
|
19
|
$193,800.00
|
$58,140.00
70% off
|
$31,395.60
|
$174,420.00
|
$76,686.66
|
2026-04-01
|
|
SUP-EVOLUTFX-23
|
CDM
|
Valve Aortic Evolut Fx 23mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTFX-26
|
CDM
|
Valve Aortic Evolut Fx 26mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTFX-29
|
CDM
|
Valve Aortic Evolut Fx 29mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTFX-34
|
CDM
|
Valve Aortic Evolut Fx 34mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVPROPLUS-23US
|
CDM
|
Valve Aortic Evolut Pro+ 23mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVPROPLUS-26US
|
CDM
|
Valve Aortic Evolut Pro+ 26mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVPROPLUS-29US
|
CDM
|
Valve Aortic Evolut Pro+ 29mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVPROPLUS-34US
|
CDM
|
Valve Aortic Evolut Pro+ 34mm
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-EVOLUTR-34-US
|
CDM
|
Valve Aortic Evolut R 34mm Sterile
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-TENDYNE 29L SYSTEM
|
CDM
|
Valve Mitral 29mm 47.5mm Tendyne 2.2sq Cm 29l Repositionable
|
44
|
19
|
$319,200.00
|
$95,760.00
70% off
|
$51,710.40
|
$287,280.00
|
$126,307.44
|
2026-04-01
|
|
SUP-TENDYNE 39M SYSTEM
|
CDM
|
Valve Mitral 38.5mm 50.5mm Tendyne 3sq Cm 39m Contour 156mm
|
44
|
19
|
$319,200.00
|
$95,760.00
70% off
|
$51,710.40
|
$287,280.00
|
$126,307.44
|
2026-04-01
|
|
SUP-MBR0303
|
CDM
|
Valve Mitral Mitraclip Bundle 1 Sgc0301 1 Cds0601 Ntr 2
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0101
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0301
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr 1
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0201
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Xtr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0102
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0302
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr 1
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0202
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Xtr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0103
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Ntr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MBR0203
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Xtr
|
44
|
19
|
$171,000.00
|
$51,300.00
70% off
|
$27,702.00
|
$153,900.00
|
$67,664.70
|
2026-04-01
|
|
SUP-MCG40100
|
CDM
|
Valve Mitral Mitraclip G4 Clip Guide Cath
|
44
|
19
|
$188,100.00
|
$56,430.00
70% off
|
$30,472.20
|
$169,290.00
|
$74,431.17
|
2026-04-01
|
|
SUP-PAS2MA
|
CDM
|
Valve Mitral Pascal Precision System
|
44
|
19
|
$174,420.00
|
$52,326.00
70% off
|
$28,256.04
|
$156,978.00
|
$69,017.99
|
2026-04-01
|
|
SUP-SGPV10-22-26
|
CDM
|
Valve Pulmonary 10-21mm Cryovalve Sg Heart Without Conduit
|
44
|
19
|
$145,293.00
|
$43,587.90
70% off
|
$23,537.47
|
$130,763.70
|
$57,492.44
|
2026-04-01
|
|
SUP-SGPV00-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Conduit
|
44
|
19
|
$145,293.00
|
$43,587.90
70% off
|
$23,537.47
|
$130,763.70
|
$57,492.44
|
2026-04-01
|
|
SUP-SGPV10-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Without Conduit
|
44
|
19
|
$145,293.00
|
$43,587.90
70% off
|
$23,537.47
|
$130,763.70
|
$57,492.44
|
2026-04-01
|
|
SUP-S3PAS4045A
|
CDM
|
Valve Pulmonary 29mm Sapien 3 Heart Valve Pulmonic Delivery
|
44
|
19
|
$236,550.00
|
$70,965.00
70% off
|
$38,321.10
|
$212,895.00
|
$93,602.83
|
2026-04-01
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
48
|
20
|
$600,335.53
|
$180,100.66
70% off
|
$97,254.36
|
$540,301.98
|
$230,648.91
|
2026-04-01
|
|
SUP-4131SYSUS
|
CDM
|
Wise Crt System (includes Model 1000, Model 2000, Model 3100
|
34
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$23,085.00
|
$128,250.00
|
$62,700.00
|
2026-04-01
|
|
C1740
|
HCPCS
|
Wise System System Price
|
44
|
19
|
$360,810.00
|
$108,243.00
70% off
|
$58,451.22
|
$324,729.00
|
$142,772.52
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
44
|
18
|
$167,362.91
|
$50,208.87
70% off
|
$8,052.60
|
$134,985.93
|
$58,119.46
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
46
|
19
|
$109,493.55
|
$32,848.06
70% off
|
$28,320.21
|
$99,391.52
|
$52,151.76
|
2026-04-01
|