|
J2326
|
HCPCS
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
36
|
16
|
$735,883.77
|
$220,765.13
70% off
|
$62,402.94
|
$625,501.20
|
$489,362.71
|
2026-04-01
|
|
SUP-490022
|
CDM
|
(eval) Briovad Implant Kit
|
28
|
13
|
$523,630.50
|
$157,089.15
70% off
|
$44,403.87
|
$445,085.93
|
$366,541.35
|
2026-04-01
|
|
SUP-104911
|
CDM
|
Device Heartmate Ii Lvas Ventricular Assist Percutaneous Kit
|
32
|
15
|
$467,400.00
|
$140,220.00
70% off
|
$39,635.52
|
$397,290.00
|
$322,506.00
|
2026-04-01
|
|
SUP-106524US
|
CDM
|
Heartmate 3 Lvad Implant Kit Includes 1 Heartmate 3 Lvad Con
|
36
|
16
|
$579,590.93
|
$173,877.28
70% off
|
$49,149.31
|
$492,652.29
|
$313,268.90
|
2026-04-01
|
|
SUP-106015
|
CDM
|
Sealed Implant Kit With Pocket Controller
|
36
|
16
|
$467,400.00
|
$140,220.00
70% off
|
$39,635.52
|
$397,290.00
|
$252,629.70
|
2026-04-01
|
|
SUP-107801
|
CDM
|
Device Heartmate Ii Small Ventricular Assist Kit Sterile
|
36
|
16
|
$421,800.00
|
$126,540.00
70% off
|
$35,768.64
|
$358,530.00
|
$227,982.90
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
28
|
13
|
$1,638,727.54
|
$491,618.26
70% off
|
$213,007.05
|
$780,838.89
|
$220,245.16
|
2026-04-01
|
|
C1740
|
HCPCS
|
Wise System System Price
|
36
|
16
|
$360,810.00
|
$108,243.00
70% off
|
$30,596.69
|
$306,688.50
|
$195,017.80
|
2026-04-01
|
|
PX-812000004
|
CDM
|
Hc Acquisition Heart Cadaver
|
28
|
13
|
$276,084.00
|
$82,825.20
70% off
|
$23,411.92
|
$234,671.40
|
$193,258.80
|
2026-04-01
|
|
SUP-ASM-0075-43
|
CDM
|
Intrepid Mitral Valve 43mm Clinical
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDMVL42C
|
CDM
|
(eval) Mitrl Val Intpdmvl42c Intrepid 42mm Clin
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDVL48FG APOLLO
|
CDM
|
(eval) 48mm Tf Implant
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDVL42FG APOLLO
|
CDM
|
(eval) 42mm Tf Implant
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDMVL54C
|
CDM
|
(eval) Mitrl Val Intpdmvl54c Intrepid 54mm Clin
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPD-V4-42A
|
CDM
|
(eval) Intrepid Mitral Valve 42mm Recoverable Clinical Impla
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPDMVL48C
|
CDM
|
(eval) Mitrl Val Intpdmvl48c Intrepid 48mm Clin
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-INTPD-V4-48A
|
CDM
|
(eval) Intrepid Mitral Valve 48mm Recoverable Clinical Impla
|
28
|
13
|
$256,500.00
|
$76,950.00
70% off
|
$21,751.20
|
$218,025.00
|
$179,550.00
|
2026-04-01
|
|
SUP-TENDYNE 39M SYSTEM
|
CDM
|
Valve Mitral 38.5mm 50.5mm Tendyne 3sq Cm 39m Contour 156mm
|
36
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$27,068.16
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 35M SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp35m
|
36
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$27,068.16
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE 29L SYSTEM
|
CDM
|
Valve Mitral 29mm 47.5mm Tendyne 2.2sq Cm 29l Repositionable
|
36
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$27,068.16
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 33S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp33s
|
36
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$27,068.16
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
SUP-TENDYNE TENDYNE 29S SYSTEM
|
CDM
|
System Tendyne Tmvr System Lp29s
|
36
|
16
|
$319,200.00
|
$95,760.00
70% off
|
$27,068.16
|
$271,320.00
|
$172,527.60
|
2026-04-01
|
|
PX-812000001
|
CDM
|
Hc Acquisition Kidney Cadaver
|
28
|
13
|
$242,881.00
|
$72,864.30
70% off
|
$20,596.31
|
$206,448.85
|
$170,016.70
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
28
|
13
|
$885,949.52
|
$265,784.86
70% off
|
$161,892.27
|
$591,404.54
|
$167,393.46
|
2026-04-01
|
|
SUP-SM329US1
|
CDM
|
Edwards Sapien M3 Mitral Valve Replacement System (29 Mm Val
|
36
|
16
|
$307,800.00
|
$92,340.00
70% off
|
$26,101.44
|
$261,630.00
|
$166,365.90
|
2026-04-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
38
|
17
|
$404,524.58
|
$121,357.37
70% off
|
$87,412.82
|
$315,379.35
|
$162,623.87
|
2026-04-01
|
|
PX-812000002
|
CDM
|
Hc Acquisition Liver Cadaver
|
28
|
13
|
$225,141.00
|
$67,542.30
70% off
|
$19,091.96
|
$191,369.85
|
$157,598.70
|
2026-04-01
|
|
PX-812000003
|
CDM
|
Hc Acquisition Pancreas Cadaver
|
28
|
13
|
$216,655.00
|
$64,996.50
70% off
|
$18,372.34
|
$184,156.75
|
$151,658.50
|
2026-04-01
|
|
SUP-9850EV44CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 44 Mm
|
28
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$18,367.68
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV56ACL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 56 Mm
|
28
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$18,367.68
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV48CL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve)48 Mm
|
28
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$18,367.68
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
SUP-9850EV52CL
|
CDM
|
(eval) Edwards Evoque Valve 52 Mm
|
28
|
13
|
$216,600.00
|
$64,980.00
70% off
|
$18,367.68
|
$184,110.00
|
$151,620.00
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
42
|
19
|
$339,748.21
|
$101,924.46
70% off
|
$77,174.39
|
$277,435.08
|
$144,924.14
|
2026-04-01
|
|
SUP-ETF-28
|
CDM
|
(eval)j Valve Bioprosthesis 28
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0126
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 26mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9850EV48PCL
|
CDM
|
(eval) Edwards Evoque Valve (evoque Valve) 48 Mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-M
|
CDM
|
(eval) Trilogy Heart Valve (size 25)
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0129
|
CDM
|
Siegel Tavr Transcatheter Aortic Valve 29 Mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-20000ISM
|
CDM
|
(eval) Edwards Pascal Ace Precision Implant System (5mm)
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-31
|
CDM
|
(eval)j Valve Bioprosthesis 31
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-L
|
CDM
|
(eval) Trilogy Heart Valve (size 27)
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-TRILOGY-THV-S
|
CDM
|
(eval) Trilogy Heart Valve (size 23)
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-20000IS
|
CDM
|
(eval) Edwards Pascal Precision Implant System (10mm)
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-25
|
CDM
|
(eval)j Valve Bioprosthesis 25
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9880TFX29M
|
CDM
|
(eval)sapien M3 Valve Eptfe 29mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-30-1-0123
|
CDM
|
(eval) Siegel Transcatheter Aortic Valve - 23mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-34
|
CDM
|
(eval)j Valve Bioprosthesis 34
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-ETF-22
|
CDM
|
(eval)j Valve Bioprosthesis 22
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
SUP-9680TFX29M
|
CDM
|
(eval) Sapien M3 Valve 29mm
|
28
|
13
|
$199,500.00
|
$59,850.00
70% off
|
$16,917.60
|
$169,575.00
|
$139,650.00
|
2026-04-01
|
|
PX-811000001
|
CDM
|
Hc Acquisition Kidney Live Relate
|
32
|
15
|
$196,665.00
|
$58,999.50
70% off
|
$16,677.19
|
$167,165.25
|
$135,698.85
|
2026-04-01
|
|
SUP-1000100
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
36
|
16
|
$250,800.00
|
$75,240.00
70% off
|
$21,267.84
|
$213,180.00
|
$135,557.40
|
2026-04-01
|
|
SUP-EVQ1A2US48
|
CDM
|
Evoque Tricuspid Valve Replacement System (48 Mm Valve)
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US44
|
CDM
|
Evoque Tricuspid Valve Replacement System (44 Mm Valve)
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1US48
|
CDM
|
Evoque Tricuspid Valve Replacement System 48mm
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1US44
|
CDM
|
Evoque Tricuspid Valve Replacement System 44mm
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US56
|
CDM
|
Evoque Tricuspid Valve Replacement System (56 Mm Valve)
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1US52
|
CDM
|
Evoque Tricuspid Valve Replacement System 52mm
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-EVQ1A2US52
|
CDM
|
Evoque Tricuspid Valve Replacement System (52 Mm Valve)
|
36
|
16
|
$245,100.00
|
$73,530.00
70% off
|
$20,784.48
|
$208,335.00
|
$132,476.55
|
2026-04-01
|
|
SUP-TAV-MDT2-29-C
|
CDM
|
Evolut Pro Transcatheter Aortic Valve (tav) - 29
|
28
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$15,950.88
|
$159,885.00
|
$131,670.00
|
2026-04-01
|
|
SUP-EVOLUTR-34-C
|
CDM
|
Medtronic Evolut R 34 Transcatheter Aortic Valve
|
28
|
13
|
$188,100.00
|
$56,430.00
70% off
|
$15,950.88
|
$159,885.00
|
$131,670.00
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
4
|
2
|
$161,410.05
|
$48,423.01
70% off
|
$76,797.65
|
$181,015.30
|
$128,906.47
|
2026-04-01
|
|
SUP-S3PAS4045A
|
CDM
|
Valve Pulmonary 29mm Sapien 3 Heart Valve Pulmonic Delivery
|
36
|
16
|
$236,550.00
|
$70,965.00
70% off
|
$20,059.44
|
$201,067.50
|
$127,855.27
|
2026-04-01
|
|
SUP-30-1-0126 -EFS
|
CDM
|
(eval) Efs Siegel Transcatheter Aortic Valve - 26mm
|
28
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-DWG-4700
|
CDM
|
(eval) Monarq Ttvr System Medium Implant
|
28
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-DWG-4710
|
CDM
|
(eval) Monarq Ttvr System Large Implant
|
28
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-30-1-0123 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 23mm
|
28
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-30-1-0129 -EFS
|
CDM
|
(eval) Efs Siegel Tavr Transcatheter Aortic Valve - 29 Mm
|
28
|
13
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$127,680.00
|
2026-04-01
|
|
SUP-0550-0008
|
CDM
|
Device Impella 5.5 Smartassist Ventricular Assist Cath
|
36
|
16
|
$233,700.00
|
$70,110.00
70% off
|
$19,817.76
|
$198,645.00
|
$126,314.85
|
2026-04-01
|
|
SUP-TENDV-SP-35S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-35L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35l
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33B-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33b
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-10000ISMCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-29L-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29l
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-10000ISCL
|
CDM
|
(eval) Edwards Pascal Transcatheter Valve Repair System -imp
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 35m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY23
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-41S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 41s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-XTW
|
CDM
|
Triclip G4 Xtw Clip Delivery System Clin
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL26
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 26mm
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL23
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 23mm
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-NTW
|
CDM
|
Triclip G4 Ntw Clip Delivery System Clin
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-33S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-29S-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 29s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-20000ISMCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY27
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-35M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 35m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37l
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-NT
|
CDM
|
Triclip G4 Nt Clip Delivery System Clin
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-39S-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39s
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-20000ISCL
|
CDM
|
(eval) Edwards Pascal Precision Transcatheter Valve Repair S
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 37m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-33M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 33m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33C-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33c
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-33L-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 33l
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-JV-2000-PY25
|
CDM
|
(eval) Jenavalve Pericardial Transcatheter Heart Valve Size
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TCDS0303-XT
|
CDM
|
Triclip G4 Xt Clip Delivery System Clin
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-14000RSL29
|
CDM
|
(eval) Edwards Sapien X4 Transcatheter Heart Valve, 29mm
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-LP-37M-CLIN
|
CDM
|
Tendyne Mitral Valve Lp 37m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
SUP-TENDV-SP-39M-CLIN
|
CDM
|
Tendyne Mitral Valve Sp 39m
|
28
|
13
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$119,700.00
|
2026-04-01
|
|
PX-E27800027
|
CDM
|
Hc Dvc Heart Assist Impella 5.5
|
36
|
16
|
$211,970.00
|
$63,591.00
70% off
|
$17,975.06
|
$180,174.50
|
$114,569.79
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
6
|
3
|
$182,210.82
|
$54,663.25
70% off
|
$48,592.00
|
$278,242.11
|
$114,341.55
|
2026-04-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
4
|
2
|
$52,790.03
|
$15,837.01
70% off
|
$20,543.74
|
$207,149.70
|
$113,846.72
|
2026-04-01
|
|
SUP-SYM-SV27-006-C
|
CDM
|
Acurate Ne02 Tm Aortic Valve L - Clinical
|
28
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$13,534.08
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-H749LVSCL250
|
CDM
|
Lotus Edge Valve System 25mm Reprise IV Clinical Study (excl
|
28
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$13,534.08
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-SYM-SV25-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve M - Clinical
|
28
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$13,534.08
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-SYM-SV23-006-C
|
CDM
|
Acurate Ne02tm Aortic Valve S - Clinical
|
28
|
13
|
$159,600.00
|
$47,880.00
70% off
|
$13,534.08
|
$135,660.00
|
$111,720.00
|
2026-04-01
|
|
SUP-TCG40100
|
CDM
|
System Triclip Delivery 4th Generation Teer
|
36
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$17,400.96
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
Q0482
|
HCPCS
|
Aic Controller
|
36
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$17,400.96
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
SUP-TCG50100
|
CDM
|
Triclip G5 System- One (1) Steerable Guide Catheter And Any
|
36
|
16
|
$205,200.00
|
$61,560.00
70% off
|
$17,400.96
|
$174,420.00
|
$110,910.60
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
30
|
14
|
$607,041.08
|
$182,112.32
70% off
|
$106,453.72
|
$2,291,580.37
|
$110,587.85
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
40
|
19
|
$276,369.12
|
$82,910.74
70% off
|
$59,603.34
|
$212,315.71
|
$110,193.62
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
19
|
$323,367.31
|
$97,010.19
70% off
|
$56,586.24
|
$201,134.16
|
$105,066.72
|
2026-04-01
|
|
SUP-S3URCM26A
|
CDM
|
Valve Aortic 26mm Sapien 3 Ultra Resilia
|
36
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$16,434.24
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM20A
|
CDM
|
Valve Aortic 20mm Sapien 3 Ultra Resilia
|
36
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$16,434.24
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM29A
|
CDM
|
Valve Aortic 29mm Sapien 3 Ultra Resilia
|
36
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$16,434.24
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-S3URCM23A
|
CDM
|
Valve Aortic 23mm Sapien 3 Ultra Resilia
|
36
|
16
|
$193,800.00
|
$58,140.00
70% off
|
$16,434.24
|
$164,730.00
|
$104,748.90
|
2026-04-01
|
|
SUP-H749LVSCL270
|
CDM
|
Lotus Edge Valve System 27mm Reprise Iii Clinical Study (exc
|
56
|
13
|
$151,050.00
|
$45,315.00
70% off
|
$12,084.00
|
$135,660.00
|
$104,737.50
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
42
|
19
|
$230,212.97
|
$69,063.89
70% off
|
$55,923.12
|
$198,676.62
|
$103,782.97
|
2026-04-01
|
|
SUP-10-B501-2-XX
|
CDM
|
(eval) Optimizer Smart Mini Ipg Including Patient Charger
|
28
|
13
|
$148,200.00
|
$44,460.00
70% off
|
$12,567.36
|
$125,970.00
|
$103,740.00
|
2026-04-01
|
|
SUP-MCG50100
|
CDM
|
System Mitraclip Delivery G5
|
36
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$15,950.88
|
$159,885.00
|
$101,668.05
|
2026-04-01
|
|
SUP-MCG40100
|
CDM
|
Valve Mitral Mitraclip G4 Clip Guide Cath
|
36
|
16
|
$188,100.00
|
$56,430.00
70% off
|
$15,950.88
|
$159,885.00
|
$101,668.05
|
2026-04-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
42
|
19
|
$100,128.76
|
$30,038.63
70% off
|
$67,419.37
|
$100,128.76
|
$100,128.76
|
2026-04-01
|
|
SUP-9355NF29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Novaflex Transfemoral
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA120A
|
CDM
|
Valve Aortic 20mm Edwards Sapien 3 Transcatheter Ultra Low
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM23A
|
CDM
|
23 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM26A
|
CDM
|
26 Mm Edwards Sapien 3 Ultra Transcatheter Heart Valve (thv)
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9100RF323A
|
CDM
|
Valve Aortic 23mm Sapien Heart Transcatheter Retroflex 3
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM220A
|
CDM
|
Valve Aortic 20mm Sapien 3 Commander Edwards Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355NF26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien Novaflex Transfemoral
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600TFX
|
CDM
|
Valve Aortic 26mm Sapien Heart 3 Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM226A
|
CDM
|
Valve Aortic 26mm Sapien 3 Commander Edwards Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT26A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 26mm Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien 3 Commander Delivery System
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA126A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Transcatheter Ultra Low
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3UCM223A
|
CDM
|
Valve Aortic 23mm Sapien 3 Commander Edwards Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Commander Delivery System
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT29A
|
CDM
|
Kit Aortic Valve 21fr Certitude Sapien 3 Atrion Ascendra 29
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9100RF326A
|
CDM
|
Valve Aortic 26mm Sapien Heart Transcatheter Retroflex 3
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355ASP29A
|
CDM
|
Valve Aortic 29mm Edwards Sapien Ascendra Plus Transapical
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9355NF23A
|
CDM
|
Valve Aortic 23mm Edwards Sapien Novaflex Transfemoral
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-H749LVSUS230
|
CDM
|
23 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM20A
|
CDM
|
Kit Aortic Valve 14fr Commander Sapien 3 20mm Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CM26A
|
CDM
|
Valve Aortic 26mm Edwards Sapien 3 Commander Delivery System
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT20A
|
CDM
|
Kit Aortic Valve 18fr Certitude Sapien 3 Atrion 20mm
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-9600CT23A
|
CDM
|
Kit Aortic Valve 18fr Sapien 3 Certitude 23mm Transcatheter
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-H749LVSUS250
|
CDM
|
25 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-S3USTA123A
|
CDM
|
Valve Aortic 23mm Edwards Sapien 3 Transcatheter Ultra Low
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
SUP-B0M27EDGELGIS
|
CDM
|
27 Mm Lotus Edge Aortic Valve System And Large Lotus Introdu
|
36
|
16
|
$185,250.00
|
$55,575.00
70% off
|
$15,709.20
|
$157,462.50
|
$100,127.62
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
42
|
19
|
$322,105.63
|
$96,631.69
70% off
|
$54,024.74
|
$191,641.13
|
$100,107.83
|
2026-04-01
|
|
SUP-H749LTVR3CL250
|
CDM
|
Lotus Valve System 25mm Reprise Iii
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL230
|
CDM
|
Lotus Valve System 23mm Reprise Iii
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-4131SYSUS
|
CDM
|
Wise Crt System (includes Model 1000, Model 2000, Model 3100
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-10002262
|
CDM
|
Heartmate Php Pump/catheter
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL210
|
CDM
|
Lotus Valve System: 21mm Reprise Iii
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-HRP5500CL
|
CDM
|
Harpoon Beating Heart Mitral Valve Repari System
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-H749LTVR3CL270
|
CDM
|
Lotus Valve System 27mm Reprise Iii
|
28
|
13
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$99,750.00
|
2026-04-01
|
|
SUP-EVFXPLUS-23
|
CDM
|
Valve Aortic 18-20mm Evolut Fx+ 23mm Annulus
|
36
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-26
|
CDM
|
Valve Aortic 20-23mm Evolut Fx+ 26mm Annulus
|
36
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-29
|
CDM
|
Valve Aortic 23-26mm Evolut Fx+ 29mm Annulus
|
36
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
SUP-EVFXPLUS-34
|
CDM
|
Valve Aortic 26-30mm Evolut Fx+ 34mm Annulus
|
36
|
16
|
$182,400.00
|
$54,720.00
70% off
|
$15,467.52
|
$155,040.00
|
$98,587.20
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
42
|
19
|
$313,650.24
|
$94,095.07
70% off
|
$52,548.90
|
$186,171.56
|
$97,250.69
|
2026-04-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
38
|
18
|
$321,245.51
|
$96,373.65
70% off
|
$52,585.73
|
$186,308.09
|
$96,068.89
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
42
|
19
|
$206,342.36
|
$61,902.71
70% off
|
$51,570.01
|
$182,543.75
|
$95,355.63
|
2026-04-01
|
|
SUP-PAS2MA
|
CDM
|
Valve Mitral Pascal Precision System
|
36
|
16
|
$174,420.00
|
$52,326.00
70% off
|
$14,790.82
|
$148,257.00
|
$94,274.01
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
42
|
19
|
$251,293.93
|
$75,388.18
70% off
|
$50,692.61
|
$179,292.11
|
$92,451.12
|
2026-04-01
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-29mm - The 29mm Evoltr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-23
|
CDM
|
Evoltr Transcatheter Aortic Valve-23mm - The 23mm Evoltr Tra
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-26-AOA-US
|
CDM
|
Valve Aortic 20-23mm 0-40mm Corevalve 26mm Heart Porcine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0203
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Xtr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-34US
|
CDM
|
Valve Aortic Evolut Pro+ 34mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0101
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0302
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr 1
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-XTW
|
CDM
|
Mitraclip G4 Cds Xtw Repair-mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P4-23-AOA-US
|
CDM
|
Valve Aortic 18-20mm 0-34mm Corevalve Evolut 23mm Heart
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0604-XTR
|
CDM
|
Mitraclip Xtr Cds (clip Delivery System) Primary Mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX20
|
CDM
|
(eval)edwards Sapien 3 Thv 20mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MSK0101
|
CDM
|
System Mitraclip Delivery Kit Sgc0101 Cds0201
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL23A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-26
|
CDM
|
Valve Aortic Evolut Fx 26mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL29A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Ultra Resilia Transcath
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-29-AOA-US
|
CDM
|
Valve Aortic 23-26mm 0-43mm Corevalve 29mm Heart Porcine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Bovine Transcatheter Steri
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0604-NTR
|
CDM
|
Mitraclip Ntr Cds (clip Delivery System) Primary Mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0103
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 3 Cds0601 Ntr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Edwards Heart Transcathete
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0301
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Ntr 1
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0201
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 1 Cds0601 Xtr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750FX26
|
CDM
|
(eval)edwards Sapien 3 Ultra Thv 26mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX26A
|
CDM
|
(eval) Valve Aortic 26mm Sapien 3 Bovine Transcatheter Steri
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-23
|
CDM
|
Valve Aortic Evolut Fx 23mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-34-US
|
CDM
|
Valve Aortic Evolut R 34mm Sterile
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-23US
|
CDM
|
Valve Aortic Evolut Pro+ 23mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien Retroflex 3 Heart Cocr Bovine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX29
|
CDM
|
(eval)valve Aortic 29mm Sapien Retroflex 3 Heart Cocr Bovine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX26
|
CDM
|
(eval)valve Aortic 26mm Sapien Retroflex 3 Heart Cocr Bovine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-NTW
|
CDM
|
Mitraclip G4 Cds Ntw Repair-mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-26mm - The 26mm Evoltr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX29A
|
CDM
|
(eval) Valve Aortic 29mm Sapien 3 Bovine Transcatheter Steri
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-26US
|
CDM
|
Valve Aortic Evolut Pro+ 26mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-NT
|
CDM
|
Mitraclip G4 Cds Nt Repair-mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0303
|
CDM
|
Valve Mitral Mitraclip Bundle 1 Sgc0301 1 Cds0601 Ntr 2
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX23
|
CDM
|
(eval)valve Aortic 23mm Sapien 3 Ultra Heart Transcatheter S
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MCS-P3-31-AOA-US
|
CDM
|
Valve Aortic 26-29mm 0-43mm Corevalve 31mm Heart Porcine
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVPROPLUS-29US
|
CDM
|
Valve Aortic Evolut Pro+ 29mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Edwards Heart Transcathete
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-29
|
CDM
|
Evoltr Transcatheter Aortic Valve-29mm - The 29mm Evoltr Tra
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Evolutpro Transcatheter Aortic Valve-23mm - The 23mm Evoltr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX20
|
CDM
|
(eval)valve Aortic 20mm Sapien 3 Ultra Heart Transcatheter S
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9750TFX20A
|
CDM
|
(eval) Valve Aortic 20mm Sapien 3 Edwards Heart Transcathete
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-29
|
CDM
|
Valve Aortic Evolut Fx 29mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9755RSL26A
|
CDM
|
(eval) Edwards Sapien 3 Ultra Resilia Transcatheter Heart Va
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTFX-34
|
CDM
|
Valve Aortic Evolut Fx 34mm
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-CDS0704-XT
|
CDM
|
Mitraclip G4 Cds Xt Repair-mr Clinical
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-9600TFX23A
|
CDM
|
(eval) Valve Aortic 23mm Sapien 3 Bovine Pericardial Transca
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-EVOLUTR-26
|
CDM
|
Evoltr Transcatheter Aortic Valve-26mm - The 26mm Evoltr Tra
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0102
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Ntr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
SUP-MBR0202
|
CDM
|
Valve Mitral Mitraclip Bundle Sgc0301 2 Cds0601 Xtr
|
36
|
16
|
$171,000.00
|
$51,300.00
70% off
|
$14,500.80
|
$145,350.00
|
$92,425.50
|
2026-04-01
|
|
PX-811000002
|
CDM
|
Hc Acquisition Liver Live Donor
|
32
|
15
|
$133,855.00
|
$40,156.50
70% off
|
$11,350.90
|
$113,776.75
|
$92,359.95
|
2026-04-01
|
|
SUP-SYM-SV29-009-C
|
CDM
|
Acurate Prime Aortic Valve Xl
|
28
|
13
|
$127,680.00
|
$38,304.00
70% off
|
$10,827.26
|
$108,528.00
|
$89,376.00
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
42
|
19
|
$302,248.71
|
$90,674.61
70% off
|
$48,389.77
|
$170,757.57
|
$89,198.86
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
32
|
15
|
$659,308.05
|
$197,792.41
70% off
|
$85,175.38
|
$307,087.22
|
$88,483.16
|
2026-04-01
|
|
J0202
|
HCPCS
|
Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution
|
36
|
16
|
$149,613.53
|
$44,884.06
70% off
|
$12,687.23
|
$127,171.50
|
$88,101.29
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
42
|
19
|
$185,474.74
|
$55,642.42
70% off
|
$47,486.80
|
$167,411.19
|
$87,450.81
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
42
|
19
|
$215,222.47
|
$64,566.74
70% off
|
$47,474.03
|
$167,363.82
|
$87,426.06
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
32
|
15
|
$544,847.10
|
$163,454.13
70% off
|
$84,069.43
|
$302,988.53
|
$87,334.27
|
2026-04-01
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
36
|
16
|
$143,110.54
|
$42,933.16
70% off
|
$12,135.77
|
$121,643.96
|
$87,043.40
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
42
|
19
|
$303,597.46
|
$91,079.24
70% off
|
$47,146.98
|
$166,151.76
|
$86,792.92
|
2026-04-01
|
|
SUP-005062
|
CDM
|
Pump Iab Impella 5l/min Cath Microaxial
|
36
|
16
|
$159,600.00
|
$47,880.00
70% off
|
$13,534.08
|
$135,660.00
|
$86,263.80
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
38
|
18
|
$293,589.73
|
$88,076.92
70% off
|
$54,279.61
|
$379,695.77
|
$86,038.09
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
44
|
20
|
$189,628.67
|
$56,888.60
70% off
|
$46,407.94
|
$163,412.80
|
$84,812.61
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
42
|
19
|
$307,530.36
|
$92,259.11
70% off
|
$45,673.39
|
$160,690.55
|
$83,940.14
|
2026-04-01
|
|
SUP-1000323
|
CDM
|
Set Ventricular Assist Impella Rp Flex Assist
|
36
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$13,050.72
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
SUP-0048-0003
|
CDM
|
Device Ventricular Assist 17.4x13.8in Impella Cp 9.3in 10-40
|
36
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$13,050.72
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
SUP-4000021
|
CDM
|
Set Bundle Cath Pump + Compantion Sheath Impella Blood Pump
|
36
|
16
|
$153,900.00
|
$46,170.00
70% off
|
$13,050.72
|
$130,815.00
|
$83,182.95
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
42
|
19
|
$175,073.31
|
$52,521.99
70% off
|
$45,165.16
|
$158,806.99
|
$82,956.22
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
28
|
13
|
$1,082,957.65
|
$324,887.29
70% off
|
$79,832.11
|
$287,284.76
|
$82,544.85
|
2026-04-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
38
|
18
|
$255,878.28
|
$76,763.48
70% off
|
$45,396.72
|
$159,665.18
|
$82,330.60
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
38
|
17
|
$268,163.70
|
$80,449.11
70% off
|
$45,220.78
|
$159,013.18
|
$81,994.38
|
2026-04-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
42
|
19
|
$391,253.46
|
$117,376.04
70% off
|
$44,582.48
|
$156,647.59
|
$81,828.21
|
2026-04-01
|
|
SUP-CRDLA003US
|
CDM
|
(eval) Commercial System 3-pack 3x Reader Kit, Deliver Syste
|
28
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$9,908.88
|
$99,322.50
|
$81,795.00
|
2026-04-01
|
|
SUP-CRDLA005US-TR
|
CDM
|
(eval) Single Commercial System Reader Kit Delivery System W
|
28
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$9,908.88
|
$99,322.50
|
$81,795.00
|
2026-04-01
|
|
SUP-CRDLA001US
|
CDM
|
(eval) Single Commercial System -reader Kit, Delivery System
|
28
|
13
|
$116,850.00
|
$35,055.00
70% off
|
$9,908.88
|
$99,322.50
|
$81,795.00
|
2026-04-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
2
|
1
|
$213,528.43
|
$64,058.53
70% off
|
$80,562.17
|
$80,562.17
|
$80,562.17
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
42
|
19
|
$226,474.50
|
$67,942.35
70% off
|
$43,838.16
|
$153,889.12
|
$80,387.27
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
42
|
19
|
$159,071.74
|
$47,721.52
70% off
|
$43,320.17
|
$151,969.33
|
$79,384.43
|
2026-04-01
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
36
|
16
|
$141,733.33
|
$42,520.00
70% off
|
$12,018.99
|
$120,473.33
|
$79,306.87
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
42
|
19
|
$92,101.13
|
$27,630.34
70% off
|
$43,589.31
|
$92,101.13
|
$78,876.63
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
32
|
15
|
$491,349.83
|
$147,404.95
70% off
|
$75,864.70
|
$272,581.29
|
$78,810.90
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
38
|
18
|
$222,121.71
|
$66,636.51
70% off
|
$43,443.45
|
$152,426.29
|
$78,597.87
|
2026-04-01
|
|
SUP-SGPV00-22-26
|
CDM
|
Graft Soft Tissue 22-26mm Cryovalve Sg Heart Conduit
|
36
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$12,320.85
|
$123,499.05
|
$78,530.87
|
2026-04-01
|
|
SUP-SGPV10-22-26
|
CDM
|
Valve Pulmonary 10-21mm Cryovalve Sg Heart Without Conduit
|
36
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$12,320.85
|
$123,499.05
|
$78,530.87
|
2026-04-01
|
|
SUP-SGPV00
|
CDM
|
Graft Soft Tissue 6-32mm Synergraft Cryovalve Sg Pulmonary
|
36
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$12,320.85
|
$123,499.05
|
$78,530.87
|
2026-04-01
|
|
SUP-SGPV10-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Without Conduit
|
36
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$12,320.85
|
$123,499.05
|
$78,530.87
|
2026-04-01
|
|
SUP-SGPV00-27-99
|
CDM
|
Valve Pulmonary 27mm Cryovalve Sg Heart Conduit
|
36
|
16
|
$145,293.00
|
$43,587.90
70% off
|
$12,320.85
|
$123,499.05
|
$78,530.87
|
2026-04-01
|
|
SUP-0046-0035
|
CDM
|
Set Ventricular Assist Rp Smart Assist Latex Free
|
36
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$77,021.25
|
2026-04-01
|
|
SUP-005082
|
CDM
|
Pump Perfusion Impella Cardiopulmonary Bypass Nonroller
|
36
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$77,021.25
|
2026-04-01
|
|
C1604
|
HCPCS
|
Detour System Cap For Any Number Of Torus Stent Grafts And E
|
36
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$77,021.25
|
2026-04-01
|
|
SUP-004334
|
CDM
|
Impella Rp Pump Set
|
36
|
16
|
$142,500.00
|
$42,750.00
70% off
|
$12,084.00
|
$121,125.00
|
$77,021.25
|
2026-04-01
|
|
Q4309
|
HCPCS
|
Via Matrix (4 X 4) 16 Sq Cm
|
68
|
13
|
$114,000.00
|
$34,200.00
70% off
|
$247.92
|
$145,350.00
|
$76,950.00
|
2026-04-01
|
|
SUP-5190-0020
|
CDM
|
Protek Duo
|
32
|
15
|
$111,150.00
|
$33,345.00
70% off
|
$9,425.52
|
$94,477.50
|
$76,693.50
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
38
|
18
|
$328,146.03
|
$98,443.81
70% off
|
$42,384.13
|
$148,500.35
|
$76,573.51
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
42
|
20
|
$222,972.33
|
$66,891.70
70% off
|
$41,983.40
|
$156,853.39
|
$75,807.69
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
42
|
19
|
$187,083.81
|
$56,125.14
70% off
|
$41,450.36
|
$145,039.73
|
$75,764.60
|
2026-04-01
|
|
SUP-R9100
|
CDM
|
Set Rtrctr Fukushima-day Stainless Steel Table Clamp U Bar
|
32
|
15
|
$108,384.99
|
$32,515.50
70% off
|
$9,191.05
|
$92,127.24
|
$74,785.64
|
2026-04-01
|
|
C1824
|
HCPCS
|
Genrtr Nerostimltr Optimizer Ipg
|
72
|
16
|
$139,650.00
|
$41,895.00
70% off
|
$11,117.28
|
$125,970.00
|
$74,501.85
|
2026-04-01
|
|
SUP-NVRO-23
|
CDM
|
Navitor With Radiopaque Markers 23mm
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVRO-29
|
CDM
|
Navitor With Radiopaque Markers 29mm
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVRO-35
|
CDM
|
Navitor With Radiopaque Markers 35mm
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVRO-27
|
CDM
|
Navitor With Radiopaque Markers 27mm
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVTR-23
|
CDM
|
Valve Aortic 23mm Navitor Transcatheter Self Expand Intra
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
C1605
|
HCPCS
|
Aveir Dual Chamber Pacer System- Ar2
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVRO-25
|
CDM
|
Navitor With Radiopaque Markers 25mm
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVTR-25
|
CDM
|
Valve Aortic 25mm Navitor Transcatheter Self Expand Intra
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVTR-27
|
CDM
|
Valve Aortic 27mm Navitor Transcatheter Self Expand Intra
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
SUP-NVTR-29
|
CDM
|
Valve Aortic 29mm Navitor Transcatheter Self Expand Intra
|
36
|
16
|
$136,800.00
|
$41,040.00
70% off
|
$11,600.64
|
$116,280.00
|
$73,940.40
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
44
|
20
|
$119,393.13
|
$35,817.94
70% off
|
$39,811.37
|
$163,334.38
|
$73,384.61
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
42
|
19
|
$274,838.04
|
$82,451.41
70% off
|
$40,208.34
|
$140,436.71
|
$73,360.11
|
2026-04-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
32
|
15
|
$559,645.05
|
$167,893.51
70% off
|
$70,051.53
|
$251,037.37
|
$72,771.97
|
2026-04-01
|
|
SUP-5810-7217
|
CDM
|
Tandemheart- T72/a17
|
32
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$8,942.16
|
$89,632.50
|
$72,760.50
|
2026-04-01
|
|
SUP-5820-3118
|
CDM
|
Protekduo-31fr
|
32
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$8,942.16
|
$89,632.50
|
$72,760.50
|
2026-04-01
|
|
SUP-5820-2916
|
CDM
|
Protekduo-29 Fr
|
32
|
15
|
$105,450.00
|
$31,635.00
70% off
|
$8,942.16
|
$89,632.50
|
$72,760.50
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
44
|
20
|
$173,462.34
|
$52,038.70
70% off
|
$39,444.48
|
$154,579.68
|
$72,666.56
|
2026-04-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
42
|
19
|
$237,640.85
|
$71,292.25
70% off
|
$39,510.61
|
$137,850.99
|
$72,009.41
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
42
|
19
|
$129,307.56
|
$38,792.27
70% off
|
$39,317.41
|
$129,307.56
|
$71,635.34
|
2026-04-01
|
|
77371
|
CPT
|
Hc Radtn Tx Del Srs 1 Session
|
32
|
14
|
$124,405.88
|
$37,321.76
70% off
|
$10,549.62
|
$105,745.00
|
$70,437.00
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
38
|
18
|
$235,566.99
|
$70,670.10
70% off
|
$39,163.29
|
$136,563.70
|
$70,418.44
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
42
|
19
|
$225,821.87
|
$67,746.56
70% off
|
$38,618.19
|
$134,543.61
|
$70,281.73
|
2026-04-01
|
|
C2624
|
HCPCS
|
System Cardiomems Cardiac Pulmonary Artery Sensor Delivery
|
32
|
14
|
$102,600.00
|
$30,780.00
70% off
|
$8,700.48
|
$87,210.00
|
$69,511.50
|
2026-04-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
42
|
19
|
$289,642.88
|
$86,892.86
70% off
|
$38,107.70
|
$132,651.69
|
$69,293.44
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
42
|
19
|
$86,556.24
|
$25,966.87
70% off
|
$38,434.76
|
$86,556.24
|
$69,026.21
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
42
|
19
|
$145,932.32
|
$43,779.70
70% off
|
$37,588.94
|
$130,729.12
|
$68,289.15
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
32
|
15
|
$498,969.17
|
$149,690.75
70% off
|
$65,693.16
|
$234,885.00
|
$68,244.35
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
15
|
$355,598.71
|
$106,679.61
70% off
|
$65,493.94
|
$234,146.62
|
$68,037.39
|
2026-04-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
44
|
20
|
$188,302.06
|
$56,490.62
70% off
|
$36,872.46
|
$183,428.26
|
$67,632.90
|
2026-04-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
2
|
1
|
$108,677.29
|
$32,603.19
70% off
|
$67,630.17
|
$67,630.17
|
$67,630.17
|
2026-04-01
|