|
22883200_1
|
CDM
|
Van Titanium Cr Fem Left 65mm*
|
2
|
2
|
$21,442.00
|
$19,297.80
|
$20,369.90
|
$21,013.16
|
$20,691.53
|
2025-11-10
|
|
81420
|
HCPCS
|
Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…
|
2
|
2
|
$4,693.00
|
$4,223.70
|
$4,599.14
|
$35,622.22
|
$20,110.68
|
2025-11-10
|
|
22883047_1
|
CDM
|
Rsp Humeral Socket Insrt Sz32*
|
2
|
2
|
$20,081.00
|
$18,072.90
|
$19,076.95
|
$19,679.38
|
$19,378.17
|
2025-11-10
|
|
22883173_1
|
CDM
|
Humeral Stem Reverse 14x108mm*
|
2
|
2
|
$20,081.00
|
$18,072.90
|
$19,076.95
|
$19,679.38
|
$19,378.17
|
2025-11-10
|
|
22883243_1
|
CDM
|
Arcos 14x175mm Brch Body Std*
|
2
|
2
|
$19,822.00
|
$17,839.80
|
$18,830.90
|
$19,425.56
|
$19,128.23
|
2025-11-10
|
|
22883253_1
|
CDM
|
iTotal ConforMIS Knee System*
|
2
|
2
|
$15,688.00
|
$14,119.20
|
$14,903.60
|
$15,374.24
|
$15,138.92
|
2025-11-10
|
|
22882649_1
|
CDM
|
Legion Cr Oxin Fem Sz4 Lt*
|
2
|
2
|
$15,296.00
|
$13,766.40
|
$14,531.20
|
$14,990.08
|
$14,760.64
|
2025-11-10
|
|
23625394_1
|
CDM
|
Wagner Sl Revision Stem 15/190 Taper *
|
2
|
2
|
$12,857.00
|
$11,571.30
|
$12,214.15
|
$12,599.86
|
$12,407.01
|
2025-11-10
|
|
23270357_1
|
CDM
|
G7 Osseoti 4 Hole Shell 60mm G*
|
2
|
2
|
$11,512.00
|
$10,360.80
|
$10,936.40
|
$11,281.76
|
$11,109.08
|
2025-11-10
|
|
81317
|
HCPCS
|
Gene Analysis (postmeiotic Segregation Increased 2 [s Cerevisiae]) Full Sequence…
|
2
|
2
|
$2,819.00
|
$2,537.10
|
$1,059.66
|
$19,070.54
|
$10,065.10
|
2025-11-10
|
|
22883219_1
|
CDM
|
Humeral Stem Primary 12*
|
2
|
2
|
$10,059.00
|
$9,053.10
|
$9,556.05
|
$9,857.82
|
$9,706.93
|
2025-11-10
|
|
81321
|
HCPCS
|
Gene Analysis (phosphatase And Tensin Homolog), Full Sequence Analysis
|
2
|
2
|
$2,742.00
|
$2,467.80
|
$2,687.16
|
$16,452.00
|
$9,569.58
|
2025-11-10
|
|
22883154_1
|
CDM
|
Allopure Bicortical 10 Evans*
|
2
|
2
|
$9,524.00
|
$8,571.60
|
$9,047.80
|
$9,333.52
|
$9,190.66
|
2025-11-10
|
|
22883060_1
|
CDM
|
Allopure+canc Evans 10mm Allog*
|
2
|
2
|
$9,524.00
|
$8,571.60
|
$9,047.80
|
$9,333.52
|
$9,190.66
|
2025-11-10
|
|
22882467_1
|
CDM
|
Compr Stem 13mm Mini*
|
2
|
2
|
$9,506.00
|
$8,555.40
|
$9,030.70
|
$9,315.88
|
$9,173.29
|
2025-11-10
|
|
22882417_1
|
CDM
|
Comp Shoulder System*
|
2
|
2
|
$9,506.00
|
$8,555.40
|
$9,030.70
|
$9,315.88
|
$9,173.29
|
2025-11-10
|
|
23180128_1
|
CDM
|
Surgimesh Xb*
|
2
|
2
|
$9,381.00
|
$8,442.90
|
$8,911.95
|
$9,193.38
|
$9,052.67
|
2025-11-10
|
|
23126941_1
|
CDM
|
Profemur Preserve Stem 7/84mm*
|
2
|
2
|
$9,267.00
|
$8,340.30
|
$8,803.65
|
$9,081.66
|
$8,942.65
|
2025-11-10
|
|
22883291_1
|
CDM
|
ProFemur Preserve Stem 8/87mm*
|
2
|
2
|
$9,267.00
|
$8,340.30
|
$8,803.65
|
$9,081.66
|
$8,942.65
|
2025-11-10
|
|
22882995_1
|
CDM
|
Fem Compent Evolution Cs/cr*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22882735_1
|
CDM
|
Vang Ps Open Intlk Fmrl Lt62.5*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22883239_1
|
CDM
|
Vanguard Xp Intlk Femoral Left 65*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22882992_1
|
CDM
|
Vanguard Cr Ilok Fem-lt 60*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22882663_1
|
CDM
|
Vang Cruc Ret Intlk Fmrl Lt 80*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22883000_1
|
CDM
|
Evolution Femoral Component*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22881785_1
|
CDM
|
Vanguard Cr Ilok Fem-lt 65*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22881767_1
|
CDM
|
Vanguard Cr Ilok Fem-lt 62.5*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22882147_1
|
CDM
|
Vanguard Cr Ilok Fem-lt 75*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22881769_1
|
CDM
|
Vanguard Cr Ilok Fem-rt 65*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22882149_1
|
CDM
|
Vanguard Cr Ilok Fem-rt 67.5*
|
2
|
2
|
$9,254.00
|
$8,328.60
|
$8,791.30
|
$9,068.92
|
$8,930.11
|
2025-11-10
|
|
22883218_1
|
CDM
|
Glenoid, Pegged E+ 46*
|
2
|
2
|
$9,243.00
|
$8,318.70
|
$8,780.85
|
$9,058.14
|
$8,919.49
|
2025-11-10
|
|
22883062_1
|
CDM
|
Actishield 4x4cm 200um*
|
2
|
2
|
$9,206.00
|
$8,285.40
|
$8,745.70
|
$9,021.88
|
$8,883.79
|
2025-11-10
|
|
23179983_1
|
CDM
|
DermaSpan Acd 5x5 Cm*
|
2
|
2
|
$8,999.00
|
$8,099.10
|
$8,549.05
|
$8,819.02
|
$8,684.03
|
2025-11-10
|
|
22882695_1
|
CDM
|
Compr Hmrl Fx Stem Macro 8mm*
|
2
|
2
|
$8,976.00
|
$8,078.40
|
$8,527.20
|
$8,796.48
|
$8,661.84
|
2025-11-10
|
|
22882677_1
|
CDM
|
Tri-lock Femoral Stem Taper*
|
2
|
2
|
$8,920.00
|
$8,028.00
|
$8,474.00
|
$8,741.60
|
$8,607.80
|
2025-11-10
|
|
23624654_1
|
CDM
|
Equinoxe Humeral Stem Primary Press Fit 10mm*
|
2
|
2
|
$8,863.00
|
$7,976.70
|
$8,419.85
|
$8,685.74
|
$8,552.80
|
2025-11-10
|
|
23635030_1
|
CDM
|
Equinoxe Humeral Stem, PressFit 6mm*
|
2
|
2
|
$8,863.00
|
$7,976.70
|
$8,419.85
|
$8,685.74
|
$8,552.80
|
2025-11-10
|
|
22883207_1
|
CDM
|
Vngrd Cr Lip Brng 71/75x13*
|
2
|
2
|
$8,840.00
|
$7,956.00
|
$8,398.00
|
$8,663.20
|
$8,530.60
|
2025-11-10
|
|
22883041_1
|
CDM
|
Rsp Glenoid Baseplate 30mm*
|
2
|
2
|
$8,815.00
|
$7,933.50
|
$8,374.25
|
$8,638.70
|
$8,506.48
|
2025-11-10
|
|
22882736_1
|
CDM
|
E1 Vanguard Tib Bearing*
|
2
|
2
|
$8,812.00
|
$7,930.80
|
$8,371.40
|
$8,635.76
|
$8,503.58
|
2025-11-10
|
|
22883174_1
|
CDM
|
Plate ClawII 4 Hole 20mm*
|
2
|
2
|
$8,786.00
|
$7,907.40
|
$8,346.70
|
$8,610.28
|
$8,478.49
|
2025-11-10
|
|
22882541_1
|
CDM
|
Compr Stem 12mm Std*
|
2
|
2
|
$8,652.00
|
$7,786.80
|
$8,219.40
|
$8,478.96
|
$8,349.18
|
2025-11-10
|
|
22882996_1
|
CDM
|
Evolution Mp Cs Insert 12l*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22882073_1
|
CDM
|
Vngrd Cr Lip Brng 63/67x12*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22883286_1
|
CDM
|
E1 Vgd Crl Tib Brg 63/67x11*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22882120_1
|
CDM
|
Vanguard Cr Lip Bearing 71/75x10*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22883002_1
|
CDM
|
Evolution Mp Insert 4 Rt*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22882537_1
|
CDM
|
E1 Vg Tibial Bearing 10x 71/75*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22883028_1
|
CDM
|
Evolution Mp Cs Insert 10l*
|
2
|
2
|
$8,627.00
|
$7,764.30
|
$8,195.65
|
$8,454.46
|
$8,325.06
|
2025-11-10
|
|
22882986_1
|
CDM
|
Saiph Fixed Tib Tray Cemented*
|
2
|
2
|
$8,602.00
|
$7,741.80
|
$8,171.90
|
$8,429.96
|
$8,300.93
|
2025-11-10
|
|
22883036_1
|
CDM
|
Saiph Fixed Tib Tray Cem E*
|
2
|
2
|
$8,602.00
|
$7,741.80
|
$8,171.90
|
$8,429.96
|
$8,300.93
|
2025-11-10
|
|
23595207_1
|
CDM
|
Affixus Hip Frac Nail Screw Left 130 Deg 11x320*
|
2
|
2
|
$8,586.00
|
$7,727.40
|
$8,156.70
|
$8,414.28
|
$8,285.49
|
2025-11-10
|
|
23179976_1
|
CDM
|
Viaflow Placental Tissue 1cc*
|
2
|
2
|
$8,507.00
|
$7,656.30
|
$8,081.65
|
$8,336.86
|
$8,209.26
|
2025-11-10
|
|
22882432_1
|
CDM
|
E1 Vanguard asTib Bearing 16x79*
|
2
|
2
|
$8,472.00
|
$7,624.80
|
$8,048.40
|
$8,302.56
|
$8,175.48
|
2025-11-10
|
|
23179977_1
|
CDM
|
Viaflow Placental Tissue 2cc*
|
2
|
2
|
$8,469.00
|
$7,622.10
|
$8,045.55
|
$8,299.62
|
$8,172.59
|
2025-11-10
|
|
22883093_1
|
CDM
|
Surgimesh Barrier 15 X 22cm*
|
2
|
2
|
$8,427.00
|
$7,584.30
|
$8,005.65
|
$8,258.46
|
$8,132.05
|
2025-11-10
|
|
27443177_1
|
CDM
|
Implant Knee System Cruciate Retaining (cr) Right Size 11
|
2
|
2
|
$8,400.00
|
$7,560.00
|
$7,980.00
|
$8,232.00
|
$8,106.00
|
2025-11-10
|
|
23179984_1
|
CDM
|
Hfn Lh 130Deg 11x 260mm*
|
2
|
2
|
$8,390.00
|
$7,551.00
|
$7,970.50
|
$8,222.20
|
$8,096.35
|
2025-11-10
|
|
23126998_1
|
CDM
|
Allograft-anterior Tibialis Rti*
|
2
|
2
|
$8,268.00
|
$7,441.20
|
$7,854.60
|
$8,102.64
|
$7,978.62
|
2025-11-10
|
|
23126958_1
|
CDM
|
Echo Bi-metric Stem 11 X135mm*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882129_1
|
CDM
|
Echo Por Fmrl Nc 13x145*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
23186701_1
|
CDM
|
Tprlc 133 T1 Pps 13x146mm*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22883230_1
|
CDM
|
Echo Por Fmrl Red Nc 12x140*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882179_1
|
CDM
|
Echo Por Fmrl Nc 12x140*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
23565875_1
|
CDM
|
Echo Bi-metric 8mm X 120mm Red Porous Stem*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882122_1
|
CDM
|
Echo Bimetr Por Fmrl Nc 10x130*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882739_1
|
CDM
|
Tprlc 133 Rdcd Distal Type1*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882910_1
|
CDM
|
Echo Bi-metric Hip Stem 11 X135mm Type I Taper*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
23278696_1
|
CDM
|
Echo Por Fmrl Nc 11 X 135mm*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
22882761_1
|
CDM
|
Echo Bimetric Por Fem Red Nc*
|
2
|
2
|
$7,877.00
|
$7,089.30
|
$7,483.15
|
$7,719.46
|
$7,601.31
|
2025-11-10
|
|
27432087_1
|
CDM
|
Implant Eclipse Speedscap Implant System
|
2
|
2
|
$7,858.40
|
$7,072.56
|
$7,465.48
|
$7,701.23
|
$7,583.35
|
2025-11-10
|
|
23291297_1
|
CDM
|
Saiph Aps Fixed Tibial Tray D*
|
2
|
2
|
$7,820.00
|
$7,038.00
|
$7,429.00
|
$7,663.60
|
$7,546.30
|
2025-11-10
|
|
22883008_1
|
CDM
|
Saiph Fixed Tib Tray Cem szD*
|
2
|
2
|
$7,820.00
|
$7,038.00
|
$7,429.00
|
$7,663.60
|
$7,546.30
|
2025-11-10
|
|
22883108_1
|
CDM
|
Saiph Fixed Tib Tray Cem B*
|
2
|
2
|
$7,820.00
|
$7,038.00
|
$7,429.00
|
$7,663.60
|
$7,546.30
|
2025-11-10
|
|
22883289_1
|
CDM
|
Dynasty Pc Shell 52mm D*
|
2
|
2
|
$7,820.00
|
$7,038.00
|
$7,429.00
|
$7,663.60
|
$7,546.30
|
2025-11-10
|
|
23126939_1
|
CDM
|
Dynasty Pc Shell 50mmC*
|
2
|
2
|
$7,818.00
|
$7,036.20
|
$7,427.10
|
$7,661.64
|
$7,544.37
|
2025-11-10
|
|
22883156_1
|
CDM
|
Lapidus Plate 1mm*
|
2
|
2
|
$7,740.00
|
$6,966.00
|
$7,353.00
|
$7,585.20
|
$7,469.10
|
2025-11-10
|
|
22883076_1
|
CDM
|
Lapidus Plate 0mm*
|
2
|
2
|
$7,740.00
|
$6,966.00
|
$7,353.00
|
$7,585.20
|
$7,469.10
|
2025-11-10
|
|
22883186_1
|
CDM
|
Lapidus Plate 2mm*
|
2
|
2
|
$7,740.00
|
$6,966.00
|
$7,353.00
|
$7,585.20
|
$7,469.10
|
2025-11-10
|
|
22883267_1
|
CDM
|
Mtp Fusion Medium 0 Dg Lt*
|
2
|
2
|
$7,740.00
|
$6,966.00
|
$7,353.00
|
$7,585.20
|
$7,469.10
|
2025-11-10
|
|
23179999_1
|
CDM
|
Humeral Head 50mm*
|
2
|
2
|
$7,698.00
|
$6,928.20
|
$7,313.10
|
$7,544.04
|
$7,428.57
|
2025-11-10
|
|
22883220_1
|
CDM
|
Humeral Head 46mm*
|
2
|
2
|
$7,698.00
|
$6,928.20
|
$7,313.10
|
$7,544.04
|
$7,428.57
|
2025-11-10
|
|
23182497_1
|
CDM
|
Preserve Bone Wedge 19 X 15mm
|
2
|
2
|
$7,650.00
|
$6,885.00
|
$7,267.50
|
$7,497.00
|
$7,382.25
|
2025-11-10
|
|
27443160_1
|
CDM
|
Psn Fem Cr Por Ccr Std Sz10 R
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
27436388_1
|
CDM
|
Psn Fem Cr Por Ccr Nrw Sz9 L
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
27449591_1
|
CDM
|
Psn Fem Cr Por Cocr Nrw Sz 8 L
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
27430111_1
|
CDM
|
Trabecular Metal Femur Cr Left Size 9
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
27437042_1
|
CDM
|
Trabecular Metal Femur Cr Left Size 11
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
27463408_1
|
CDM
|
Trabecular Metal Femur Cr Left Size 10
|
2
|
2
|
$7,600.00
|
$6,840.00
|
$7,220.00
|
$7,448.00
|
$7,334.00
|
2025-11-10
|
|
22881958_1
|
CDM
|
Pro Dense 4cc Kit*
|
2
|
2
|
$7,521.00
|
$6,768.90
|
$7,144.95
|
$7,370.58
|
$7,257.76
|
2025-11-10
|
|
81408
|
HCPCS
|
Molecular Pathology Procedure Level 9 Genetic Analysis
|
1
|
1
|
$1,584.00
|
$1,425.60
|
$7,245.14
|
$7,245.14
|
$7,245.14
|
2025-11-10
|
|
23227910_1
|
CDM
|
DermaSpan Acd 4 X 7cm*
|
2
|
2
|
$7,505.00
|
$6,754.50
|
$7,129.75
|
$7,354.90
|
$7,242.32
|
2025-11-10
|
|
27432802_1
|
CDM
|
Implant G7 Vivacit-e Crosslinked Polyethylene Size F
|
2
|
2
|
$7,411.20
|
$6,670.08
|
$7,040.64
|
$7,262.98
|
$7,151.81
|
2025-11-10
|
|
22883161_1
|
CDM
|
Bone Graft Augment*
|
2
|
2
|
$7,409.00
|
$6,668.10
|
$7,038.55
|
$7,260.82
|
$7,149.68
|
2025-11-10
|
|
22882648_1
|
CDM
|
Genesis Ii Left Tib Plate Sz3*
|
2
|
2
|
$7,388.00
|
$6,649.20
|
$7,018.60
|
$7,240.24
|
$7,129.42
|
2025-11-10
|
|
22883009_1
|
CDM
|
Saiph Femur Cem Bl Lt Sz6*
|
2
|
2
|
$7,352.00
|
$6,616.80
|
$6,984.40
|
$7,204.96
|
$7,094.68
|
2025-11-10
|
|
22883105_1
|
CDM
|
Saiph Femur Cem Red Rt Sz3*
|
2
|
2
|
$7,352.00
|
$6,616.80
|
$6,984.40
|
$7,204.96
|
$7,094.68
|
2025-11-10
|
|
22883135_1
|
CDM
|
Saiph Femur Cem Red Left Sz 4*
|
2
|
2
|
$7,352.00
|
$6,616.80
|
$6,984.40
|
$7,204.96
|
$7,094.68
|
2025-11-10
|
|
22882856_1
|
CDM
|
P-l-d Hum Lock Pla 11h L 157mm*
|
2
|
2
|
$7,282.00
|
$6,553.80
|
$6,917.90
|
$7,136.36
|
$7,027.13
|
2025-11-10
|
|
26001735_1
|
CDM
|
Knotless Swivelock Anchor
|
2
|
2
|
$7,176.00
|
$6,458.40
|
$6,817.20
|
$7,032.48
|
$6,924.84
|
2025-11-10
|
|
22882738_1
|
CDM
|
G7 Neutral E1 Liner 32mm F*
|
2
|
2
|
$7,110.00
|
$6,399.00
|
$6,754.50
|
$6,967.80
|
$6,861.15
|
2025-11-10
|
|
22883039_1
|
CDM
|
G7 Acetabular Liner 36mm G*
|
2
|
2
|
$7,110.00
|
$6,399.00
|
$6,754.50
|
$6,967.80
|
$6,861.15
|
2025-11-10
|
|
23270355_1
|
CDM
|
G7 Acetabular Liner 38mm G*
|
2
|
2
|
$7,110.00
|
$6,399.00
|
$6,754.50
|
$6,967.80
|
$6,861.15
|
2025-11-10
|
|
22883327_1
|
CDM
|
G7 Hi-wall E1 Liner 36mmF*
|
2
|
2
|
$7,110.00
|
$6,399.00
|
$6,754.50
|
$6,967.80
|
$6,861.15
|
2025-11-10
|
|
23278697_1
|
CDM
|
G7 Neutral E1 Liner 36mm G8*
|
2
|
2
|
$7,110.00
|
$6,399.00
|
$6,754.50
|
$6,967.80
|
$6,861.15
|
2025-11-10
|
|
22882650_1
|
CDM
|
Lgn Cr High FLex Xlpe Sz3 15mm*
|
2
|
2
|
$7,102.00
|
$6,391.80
|
$6,746.90
|
$6,959.96
|
$6,853.43
|
2025-11-10
|
|
22883034_1
|
CDM
|
Graft Jacket Maximum Force*
|
2
|
2
|
$7,091.00
|
$6,381.90
|
$6,736.45
|
$6,949.18
|
$6,842.82
|
2025-11-10
|
|
22883201_1
|
CDM
|
Primary Tibial Plate*
|
2
|
2
|
$7,056.00
|
$6,350.40
|
$6,703.20
|
$6,914.88
|
$6,809.04
|
2025-11-10
|
|
22881808_1
|
CDM
|
Allograft-anterior Tibialis*
|
2
|
2
|
$7,028.00
|
$6,325.20
|
$6,676.60
|
$6,887.44
|
$6,782.02
|
2025-11-10
|
|
22882291_1
|
CDM
|
Allograft-posterior Tibialis*
|
2
|
2
|
$7,002.00
|
$6,301.80
|
$6,651.90
|
$6,861.96
|
$6,756.93
|
2025-11-10
|
|
27469688_1
|
CDM
|
Avenir Hip System Collared Coxa Vara Size 5
|
2
|
2
|
$7,000.00
|
$6,300.00
|
$6,650.00
|
$6,860.00
|
$6,755.00
|
2025-11-10
|
|
27469962_1
|
CDM
|
Avenir Hip System Collared Standard Size 5
|
2
|
2
|
$7,000.00
|
$6,300.00
|
$6,650.00
|
$6,860.00
|
$6,755.00
|
2025-11-10
|
|
27463404_1
|
CDM
|
Avenir Hip System Collared Standard 12/14 Size 3
|
2
|
2
|
$7,000.00
|
$6,300.00
|
$6,650.00
|
$6,860.00
|
$6,755.00
|
2025-11-10
|
|
23186696_1
|
CDM
|
Augment Bone Graft, 3cc Kit*
|
2
|
2
|
$6,990.00
|
$6,291.00
|
$6,640.50
|
$6,850.20
|
$6,745.35
|
2025-11-10
|
|
27464262_1
|
CDM
|
K-wire Depuy Synthes Hammertoe Cci Std Kit W/1.25 / Sterile
|
2
|
2
|
$6,966.00
|
$6,269.40
|
$6,617.70
|
$6,826.68
|
$6,722.19
|
2025-11-10
|
|
22883005_1
|
CDM
|
G7 Osseoti 3hole Shell 52mmE*
|
2
|
2
|
$6,890.00
|
$6,201.00
|
$6,545.50
|
$6,752.20
|
$6,648.85
|
2025-11-10
|
|
22883229_1
|
CDM
|
G7 Osseoti 4 Hole Shell 58mmG*
|
2
|
2
|
$6,890.00
|
$6,201.00
|
$6,545.50
|
$6,752.20
|
$6,648.85
|
2025-11-10
|
|
22883326_1
|
CDM
|
G7 Osseoti 4 Hole Shell 54mmF*
|
2
|
2
|
$6,890.00
|
$6,201.00
|
$6,545.50
|
$6,752.20
|
$6,648.85
|
2025-11-10
|
|
22883045_1
|
CDM
|
Rsp Glenoid Ret Screw Sz32*
|
2
|
2
|
$6,859.00
|
$6,173.10
|
$6,516.05
|
$6,721.82
|
$6,618.93
|
2025-11-10
|
|
22883144_1
|
CDM
|
Saiph Femur Cem Blue Rt 6*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22883037_1
|
CDM
|
Saiph Femur Cem Gr Rt Sz 7*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22882987_1
|
CDM
|
Saiph Femur Cemented*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22883195_1
|
CDM
|
Saiph Femur Cem Rd Left Sz 3*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22883132_1
|
CDM
|
Saiph Femur Cem Red Rt Sz 4*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22883295_1
|
CDM
|
Saiph Knee Femur 7 Left*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
22883103_1
|
CDM
|
Saiph Femur Cem Bl Rt Sz5*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
23534274_1
|
CDM
|
Saiph Aps Knee Fixed Tib Bearing 10mm Thickness*
|
2
|
2
|
$6,682.00
|
$6,013.80
|
$6,347.90
|
$6,548.36
|
$6,448.13
|
2025-11-10
|
|
27423437_1
|
CDM
|
Psn Pk Cmt Fem, Rm, Sz 3
|
2
|
2
|
$6,599.00
|
$5,939.10
|
$6,269.05
|
$6,467.02
|
$6,368.03
|
2025-11-10
|
|
22883215_1
|
CDM
|
Plate-3di Crosscheck Mtp Rt*
|
2
|
2
|
$6,593.00
|
$5,933.70
|
$6,263.35
|
$6,461.14
|
$6,362.25
|
2025-11-10
|
|
22882327_1
|
CDM
|
Oxford Twin-pegged Uni Fem Md*
|
2
|
2
|
$6,525.00
|
$5,872.50
|
$6,198.75
|
$6,394.50
|
$6,296.62
|
2025-11-10
|
|
26897660_1
|
CDM
|
Knotless Speedbridge
|
2
|
2
|
$6,513.00
|
$5,861.70
|
$6,187.35
|
$6,382.74
|
$6,285.05
|
2025-11-10
|
|
27442166_1
|
CDM
|
Implant G7 Osseoti 4 Hole Shell
|
2
|
2
|
$6,500.00
|
$5,850.00
|
$6,175.00
|
$6,370.00
|
$6,272.50
|
2025-11-10
|
|
22882638_1
|
CDM
|
Intertan 10s 10x32 125d Left*
|
2
|
2
|
$6,477.00
|
$5,829.30
|
$6,153.15
|
$6,347.46
|
$6,250.31
|
2025-11-10
|
|
22883309_1
|
CDM
|
Z Nail Rf 11.5mm X 32cm Univ*
|
2
|
2
|
$6,475.00
|
$5,827.50
|
$6,151.25
|
$6,345.50
|
$6,248.38
|
2025-11-10
|
|
22882977_1
|
CDM
|
Attune Cr Fem Lt Sz 6 Cem*
|
2
|
2
|
$6,471.00
|
$5,823.90
|
$6,147.45
|
$6,341.58
|
$6,244.51
|
2025-11-10
|
|
22882989_1
|
CDM
|
Attune Femoral Cruciate Rt 5*
|
2
|
2
|
$6,471.00
|
$5,823.90
|
$6,147.45
|
$6,341.58
|
$6,244.51
|
2025-11-10
|
|
22882261_1
|
CDM
|
Vang Ps Open Intlk Fmrl Lt 70*
|
2
|
2
|
$6,428.00
|
$5,785.20
|
$6,106.60
|
$6,299.44
|
$6,203.02
|
2025-11-10
|
|
22882241_1
|
CDM
|
Vang Cruc Ret Intlk Fmrl Rt 75*
|
2
|
2
|
$6,428.00
|
$5,785.20
|
$6,106.60
|
$6,299.44
|
$6,203.02
|
2025-11-10
|
|
81201
|
HCPCS
|
Gene Analysis (adenomatous Polyposis Coli), Full Gene Sequence
|
2
|
2
|
$1,407.00
|
$1,266.30
|
$1,378.86
|
$10,974.60
|
$6,176.73
|
2025-11-10
|
|
22883292_1
|
CDM
|
Biolox Delta Fem Head 36mm M*
|
2
|
2
|
$6,371.00
|
$5,733.90
|
$6,052.45
|
$6,243.58
|
$6,148.01
|
2025-11-10
|
|
23126938_1
|
CDM
|
Biolox Delta Fem Head 32*
|
2
|
2
|
$6,371.00
|
$5,733.90
|
$6,052.45
|
$6,243.58
|
$6,148.01
|
2025-11-10
|
|
22883320_1
|
CDM
|
HyProCure Sinus Tarsi Stent 8*
|
2
|
2
|
$6,328.00
|
$5,695.20
|
$6,011.60
|
$6,201.44
|
$6,106.52
|
2025-11-10
|
|
22882294_1
|
CDM
|
Mesh-gore Dualmesh 20cmx30cm*
|
2
|
2
|
$6,271.00
|
$5,643.90
|
$5,957.45
|
$6,145.58
|
$6,051.51
|
2025-11-10
|
|
81292
|
HCPCS
|
Gene Analysis (mutL Homolog 1, Colon Cancer, Nonpolyposis Type 2) Full Sequence …
|
2
|
2
|
$1,617.00
|
$1,455.30
|
$1,059.66
|
$10,921.22
|
$5,990.44
|
2025-11-10
|
|
23182495_1
|
CDM
|
Mesh-surgimesh Tintra C-15*
|
2
|
2
|
$6,201.00
|
$5,580.90
|
$5,890.95
|
$6,076.98
|
$5,983.97
|
2025-11-10
|
|
23352943_1
|
CDM
|
Equinoxe Cage Glenoid Cemented Med, Beta Curv*
|
2
|
2
|
$6,201.00
|
$5,580.90
|
$5,890.95
|
$6,076.98
|
$5,983.97
|
2025-11-10
|
|
23635029_1
|
CDM
|
Equinoxe Cage Glenoid Cem, Sm Alpha Curv*
|
2
|
2
|
$6,201.00
|
$5,580.90
|
$5,890.95
|
$6,076.98
|
$5,983.97
|
2025-11-10
|
|
23548851_1
|
CDM
|
Humeral Stem Primary, Press-fit 9mm*
|
2
|
2
|
$6,201.00
|
$5,580.90
|
$5,890.95
|
$6,076.98
|
$5,983.97
|
2025-11-10
|
|
23352931_1
|
CDM
|
Equinoxe Humeral Stem Primary Press Fit 15mm*
|
2
|
2
|
$6,201.00
|
$5,580.90
|
$5,890.95
|
$6,076.98
|
$5,983.97
|
2025-11-10
|
|
22883104_1
|
CDM
|
Putty-montage 5cc*
|
2
|
2
|
$6,042.00
|
$5,437.80
|
$5,739.90
|
$5,921.16
|
$5,830.53
|
2025-11-10
|
|
22883247_1
|
CDM
|
Oxf Uni Tib Tray SzB Rm Pma*
|
2
|
2
|
$6,029.00
|
$5,426.10
|
$5,727.55
|
$5,908.42
|
$5,817.99
|
2025-11-10
|
|
22882991_1
|
CDM
|
Attune Cr Rp Insrt Sz 5*
|
2
|
2
|
$6,017.00
|
$5,415.30
|
$5,716.15
|
$5,896.66
|
$5,806.40
|
2025-11-10
|
|
22882979_1
|
CDM
|
Attune Cr Rp Insrt Sz 6 6mm*
|
2
|
2
|
$6,017.00
|
$5,415.30
|
$5,716.15
|
$5,896.66
|
$5,806.40
|
2025-11-10
|
|
22882463_1
|
CDM
|
Hfn Lh 130 Deg 11 X 360mm*
|
2
|
2
|
$6,010.00
|
$5,409.00
|
$5,709.50
|
$5,889.80
|
$5,799.65
|
2025-11-10
|
|
27443161_1
|
CDM
|
Psn Tib Por 2 Peg Sz G R
|
2
|
2
|
$6,000.00
|
$5,400.00
|
$5,700.00
|
$5,880.00
|
$5,790.00
|
2025-11-10
|
|
27430109_1
|
CDM
|
Trabecular Metal Tibia 2-peg Left Size E
|
2
|
2
|
$6,000.00
|
$5,400.00
|
$5,700.00
|
$5,880.00
|
$5,790.00
|
2025-11-10
|
|
27437044_1
|
CDM
|
Trabecular Metal Tibia 2-peg Left Size F
|
2
|
2
|
$6,000.00
|
$5,400.00
|
$5,700.00
|
$5,880.00
|
$5,790.00
|
2025-11-10
|
|
27449222_1
|
CDM
|
Psn Tib Por 2 Peg Sz H R
|
2
|
2
|
$6,000.00
|
$5,400.00
|
$5,700.00
|
$5,880.00
|
$5,790.00
|
2025-11-10
|
|
27463406_1
|
CDM
|
Trabecular Metal Tibia 2-peg Left Size G
|
2
|
2
|
$6,000.00
|
$5,400.00
|
$5,700.00
|
$5,880.00
|
$5,790.00
|
2025-11-10
|
|
22882696_1
|
CDM
|
Versa-dial 50x27x50 Hmrl Head*
|
2
|
2
|
$5,991.00
|
$5,391.90
|
$5,691.45
|
$5,871.18
|
$5,781.32
|
2025-11-10
|
|
23126995_1
|
CDM
|
Versa-dial Shoulder System 42 X 21 X 43*
|
2
|
2
|
$5,991.00
|
$5,391.90
|
$5,691.45
|
$5,871.18
|
$5,781.32
|
2025-11-10
|
|
22882418_1
|
CDM
|
Versa-dial Shoulder System Biomet*
|
2
|
2
|
$5,991.00
|
$5,391.90
|
$5,691.45
|
$5,871.18
|
$5,781.32
|
2025-11-10
|
|
22883046_1
|
CDM
|
Humeral Stem, Rev 12 X 108mm*
|
2
|
2
|
$5,989.00
|
$5,390.10
|
$5,689.55
|
$5,869.22
|
$5,779.39
|
2025-11-10
|
|
22883232_1
|
CDM
|
Affixus Hip Fract Nail 13x180*
|
2
|
2
|
$5,901.00
|
$5,310.90
|
$5,605.95
|
$5,782.98
|
$5,694.47
|
2025-11-10
|
|
23233335_1
|
CDM
|
Hfn 130 Deg 11 X 180mm *
|
2
|
2
|
$5,901.00
|
$5,310.90
|
$5,605.95
|
$5,782.98
|
$5,694.47
|
2025-11-10
|
|
22883276_1
|
CDM
|
Hip Fracture Nail 130x9x180*
|
2
|
2
|
$5,901.00
|
$5,310.90
|
$5,605.95
|
$5,782.98
|
$5,694.47
|
2025-11-10
|
|
22882753_1
|
CDM
|
Toe Primus Flexible Implant*
|
2
|
2
|
$5,851.00
|
$5,265.90
|
$5,558.45
|
$5,733.98
|
$5,646.22
|
2025-11-10
|
|
22882780_1
|
CDM
|
Primus Flex Great Toe Implant Size 40*
|
2
|
2
|
$5,837.00
|
$5,253.30
|
$5,545.15
|
$5,720.26
|
$5,632.70
|
2025-11-10
|
|
22883162_1
|
CDM
|
Shoulder Plate S3 6 Hole Rt*
|
2
|
2
|
$5,832.00
|
$5,248.80
|
$5,540.40
|
$5,715.36
|
$5,627.88
|
2025-11-10
|
|
22883272_1
|
CDM
|
L Metatarsal P Implant Sz 40*
|
2
|
2
|
$5,743.00
|
$5,168.70
|
$5,455.85
|
$5,628.14
|
$5,542.00
|
2025-11-10
|
|
23291735_1
|
CDM
|
3.5mm Lcp Proximal Humerus Plate, Standard 5 Shaft Hole 114mm*
|
2
|
2
|
$5,730.00
|
$5,157.00
|
$5,443.50
|
$5,615.40
|
$5,529.45
|
2025-11-10
|
|
23331197_1
|
CDM
|
Low Prof Clavicle Plate 8 Hole Md Left*
|
2
|
2
|
$5,727.00
|
$5,154.30
|
$5,440.65
|
$5,612.46
|
$5,526.56
|
2025-11-10
|
|
23548855_1
|
CDM
|
Reverse Shoulder Humeral Adapter Tray +0mm*
|
2
|
2
|
$5,724.00
|
$5,151.60
|
$5,437.80
|
$5,609.52
|
$5,523.66
|
2025-11-10
|
|
22883095_1
|
CDM
|
12mm Ti Cann Retro Nail 340mm*
|
2
|
2
|
$5,708.00
|
$5,137.20
|
$5,422.60
|
$5,593.84
|
$5,508.22
|
2025-11-10
|
|
27469685_1
|
CDM
|
Affixus Hip Fracture Nail Right 125deg 11mm X 340 Mm
|
2
|
2
|
$5,670.00
|
$5,103.00
|
$5,386.50
|
$5,556.60
|
$5,471.55
|
2025-11-10
|
|
23291734_1
|
CDM
|
3.5mm Lcp Proximal Humerus Plate, Standard 3 Shaft Hole 90 Mm*
|
2
|
2
|
$5,555.00
|
$4,999.50
|
$5,277.25
|
$5,443.90
|
$5,360.57
|
2025-11-10
|
|
22882698_1
|
CDM
|
Hybrid Glen Base Sm 4mm*
|
2
|
2
|
$5,527.00
|
$4,974.30
|
$5,250.65
|
$5,416.46
|
$5,333.56
|
2025-11-10
|
|
22883238_1
|
CDM
|
Vanguard Xp Tib Tray 67mm*
|
2
|
2
|
$5,527.00
|
$4,974.30
|
$5,250.65
|
$5,416.46
|
$5,333.56
|
2025-11-10
|
|
27432084_1
|
CDM
|
Implant Knotless Tensiontight Button Implant Sys
|
2
|
2
|
$5,500.00
|
$4,950.00
|
$5,225.00
|
$5,390.00
|
$5,307.50
|
2025-11-10
|
|
81220
|
HCPCS
|
Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Common Variant…
|
2
|
2
|
$1,657.00
|
$1,491.30
|
$1,100.33
|
$9,222.86
|
$5,161.60
|
2025-11-10
|
|
22882468_1
|
CDM
|
Hybrid Glen Base Lg 4mm*
|
2
|
2
|
$5,339.00
|
$4,805.10
|
$5,072.05
|
$5,232.22
|
$5,152.14
|
2025-11-10
|
|
23240855_1
|
CDM
|
Surgimesh-14 X 15cm*
|
2
|
2
|
$5,279.00
|
$4,751.10
|
$5,015.05
|
$5,173.42
|
$5,094.24
|
2025-11-10
|
|
23588663_1
|
CDM
|
Surgimesh Xb C-12*
|
2
|
2
|
$5,247.00
|
$4,722.30
|
$4,984.65
|
$5,142.06
|
$5,063.35
|
2025-11-10
|
|
22883319_1
|
CDM
|
Tibial Nail 8 X 300mm*
|
2
|
2
|
$5,150.00
|
$4,635.00
|
$4,892.50
|
$5,047.00
|
$4,969.75
|
2025-11-10
|
|
81298
|
HCPCS
|
Gene Analysis (mutS Homolog 6 [e Coli]) Full Sequence Analysis
|
2
|
2
|
$1,375.00
|
$1,237.50
|
$1,024.35
|
$8,825.44
|
$4,924.90
|
2025-11-10
|
|
23180102_1
|
CDM
|
Dynasty Poly Liner 32mm 15dg C*
|
2
|
2
|
$5,040.00
|
$4,536.00
|
$4,788.00
|
$4,939.20
|
$4,863.60
|
2025-11-10
|
|
22883290_1
|
CDM
|
Dynasty A Poly Liner 36mm D*
|
2
|
2
|
$5,040.00
|
$4,536.00
|
$4,788.00
|
$4,939.20
|
$4,863.60
|
2025-11-10
|
|
23127927_1
|
CDM
|
Dynasty Poly Liner 32mm C*
|
2
|
2
|
$5,039.00
|
$4,535.10
|
$4,787.05
|
$4,938.22
|
$4,862.64
|
2025-11-10
|
|
23565883_1
|
CDM
|
Z Nail Tib Yellow 10mm X 34cm*
|
2
|
2
|
$4,975.00
|
$4,477.50
|
$4,726.25
|
$4,875.50
|
$4,800.88
|
2025-11-10
|
|
23625131_1
|
CDM
|
Beta-bsm Bone Filler 5cc (replaced Cerament) *
|
2
|
2
|
$4,929.00
|
$4,436.10
|
$4,682.55
|
$4,830.42
|
$4,756.49
|
2025-11-10
|
|
22882431_1
|
CDM
|
Cerament Bone Void Filler 5cc* D/c Use #7408
|
2
|
2
|
$4,911.00
|
$4,419.90
|
$4,665.45
|
$4,812.78
|
$4,739.11
|
2025-11-10
|
|
25267671_1
|
CDM
|
Syndesmosis Tightrope
|
2
|
2
|
$4,897.00
|
$4,407.30
|
$4,652.15
|
$4,799.06
|
$4,725.60
|
2025-11-10
|
|
22882293_1
|
CDM
|
Mesh-gore Dualmesh 18cmx24cm*
|
2
|
2
|
$4,875.00
|
$4,387.50
|
$4,631.25
|
$4,777.50
|
$4,704.38
|
2025-11-10
|
|
23233332_1
|
CDM
|
Saiph Fixd Tib Brg Red Lt C10*
|
2
|
2
|
$4,780.00
|
$4,302.00
|
$4,541.00
|
$4,684.40
|
$4,612.70
|
2025-11-10
|
|
23565876_1
|
CDM
|
Saiph Fixed Tibial Bearing Size E Left 10mm*
|
2
|
2
|
$4,780.00
|
$4,302.00
|
$4,541.00
|
$4,684.40
|
$4,612.70
|
2025-11-10
|
|
22883248_1
|
CDM
|
Saiph Fixd Tib Brg Red Rt C10*
|
2
|
2
|
$4,780.00
|
$4,302.00
|
$4,541.00
|
$4,684.40
|
$4,612.70
|
2025-11-10
|
|
22882674_1
|
CDM
|
Pinnacle Acetabular 100 50mm*
|
2
|
2
|
$4,703.00
|
$4,232.70
|
$4,467.85
|
$4,608.94
|
$4,538.40
|
2025-11-10
|
|
23179996_1
|
CDM
|
Bonus Cc Matrix Bone Graft*
|
2
|
2
|
$4,547.00
|
$4,092.30
|
$4,319.65
|
$4,456.06
|
$4,387.85
|
2025-11-10
|
|
22883003_1
|
CDM
|
Prophecy 16580 Allign Guide*
|
2
|
2
|
$4,465.00
|
$4,018.50
|
$4,241.75
|
$4,375.70
|
$4,308.73
|
2025-11-10
|
|
81162
|
HCPCS
|
Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat…
|
1
|
1
|
$4,391.00
|
$3,951.90
|
$4,303.18
|
$4,303.18
|
$4,303.18
|
2025-11-10
|
|
26971681_1
|
CDM
|
Knotless Fiber Tak
|
2
|
2
|
$4,452.00
|
$4,006.80
|
$4,229.40
|
$4,362.96
|
$4,296.18
|
2025-11-10
|
|
23612973_1
|
CDM
|
G7 Acetabular Liner Neutral 36mm E *
|
2
|
2
|
$4,452.00
|
$4,006.80
|
$4,229.40
|
$4,362.96
|
$4,296.18
|
2025-11-10
|
|
22883256_1
|
CDM
|
Blowick Surelock Anchor 2.7mm*
|
2
|
2
|
$4,436.00
|
$3,992.40
|
$4,214.20
|
$4,347.28
|
$4,280.74
|
2025-11-10
|
|
22881895_1
|
CDM
|
3.5mm Lcp Prox Humerus Plate 90mm* Duplicate
|
2
|
2
|
$4,436.00
|
$3,992.40
|
$4,214.20
|
$4,347.28
|
$4,280.74
|
2025-11-10
|
|
23126928_1
|
CDM
|
Swanson Flex Toe Reg Size 6*
|
2
|
2
|
$4,420.00
|
$3,978.00
|
$4,199.00
|
$4,331.60
|
$4,265.30
|
2025-11-10
|
|
22883133_1
|
CDM
|
Saiph Fxd Tib Bearing Red Rt D10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883006_1
|
CDM
|
Saiph Fixed Tib Bearing Bl Left D10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23236737_1
|
CDM
|
10 Fixed Tibial Bearing A Rt 10mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23243562_1
|
CDM
|
Fixed Tibial Bearing D Left 12mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883293_1
|
CDM
|
Saiph Fxd Tib Bearing E Lt 10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883107_1
|
CDM
|
Saiph Fixd Tib Brg Red Rt B10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883306_1
|
CDM
|
Saiph Fixd Tib Brg Lt Sz C 12*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22882984_1
|
CDM
|
Saiph Fixed Tibial Bearing*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883225_1
|
CDM
|
Saiph Fixd Tib Brg Lt Sz B 10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883090_1
|
CDM
|
Saiph Knee Fixed Tib Bearing D*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883270_1
|
CDM
|
Saiph Fixd Tib Brg Lt B 14*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883196_1
|
CDM
|
Saiph Fixd Tib Bearing Lt Sz B 12*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23180113_1
|
CDM
|
Cocr Transcend Fem Head 32mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883142_1
|
CDM
|
Saiph Aps Fxd Tib Bearing E Rt 10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883254_1
|
CDM
|
Saiph Aps Knee Tib Bring D10 Rt*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23126955_1
|
CDM
|
Saiph Fixd Tib Brg Red Lt C16*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23236462_1
|
CDM
|
16 Fixed Tibial Bearing C Rt 16mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23180107_1
|
CDM
|
Saiph Fixed Tib Bearing RtD12*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23534277_1
|
CDM
|
Saiph Aps Knee Fixed Tib Bearing C Right 10mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883035_1
|
CDM
|
Saiph Fixed Tib B Rt E 10mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883120_1
|
CDM
|
Fixed Tib Bearing C Rt 12mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883102_1
|
CDM
|
Saiph Fixed Tib Bearing Rt 10*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23236461_1
|
CDM
|
14 Fixed Tibial Bearing C Rt 14mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883136_1
|
CDM
|
Saiph Fixd Tib Bearing Red Lt C14*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23291298_1
|
CDM
|
10 Fixed Tibial Bearing D Lt 10mm*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883143_1
|
CDM
|
Saiph Fxd Tib Bearing Rt E 12*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23180000_1
|
CDM
|
Saiph Fixd Tib Brg Lt Sz B 20*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
22883134_1
|
CDM
|
Saiph Fixd Tib Bearing Red Rt D14*
|
2
|
2
|
$4,344.00
|
$3,909.60
|
$4,126.80
|
$4,257.12
|
$4,191.96
|
2025-11-10
|
|
23548075_1
|
CDM
|
Plate Glenoid Reverse Shoulder *
|
2
|
2
|
$4,293.00
|
$3,863.70
|
$4,078.35
|
$4,207.14
|
$4,142.74
|
2025-11-10
|
|
27463405_1
|
CDM
|
Biolox Delta Femoral Head Xl 36mm +7mm
|
2
|
2
|
$4,275.00
|
$3,847.50
|
$4,061.25
|
$4,189.50
|
$4,125.38
|
2025-11-10
|
|
27469963_1
|
CDM
|
Biolox Delta Femoral Head Xl 36mm +3.5mm
|
2
|
2
|
$4,275.00
|
$3,847.50
|
$4,061.25
|
$4,189.50
|
$4,125.38
|
2025-11-10
|
|
22883321_1
|
CDM
|
Afx Fem Imp W/inst 9 X 24mm*
|
2
|
2
|
$4,245.00
|
$3,820.50
|
$4,032.75
|
$4,160.10
|
$4,096.43
|
2025-11-10
|
|
23126933_1
|
CDM
|
Afx Fmrl Impl W/ins 10x24*
|
2
|
2
|
$4,245.00
|
$3,820.50
|
$4,032.75
|
$4,160.10
|
$4,096.43
|
2025-11-10
|
|
27418581_1
|
CDM
|
Psn Pk Cmt Tib, Rm, Sz E
|
2
|
2
|
$4,214.00
|
$3,792.60
|
$4,003.30
|
$4,129.72
|
$4,066.51
|
2025-11-10
|
|
27442168_1
|
CDM
|
Vivacit-e G7 Crosslinked Polyethylene Liner 36mm Size F
|
2
|
2
|
$4,200.00
|
$3,780.00
|
$3,990.00
|
$4,116.00
|
$4,053.00
|
2025-11-10
|
|
27463403_1
|
CDM
|
Vivacit-e G7 Crosslinked Polyethylene Liner 36mm Size E
|
2
|
2
|
$4,200.00
|
$3,780.00
|
$3,990.00
|
$4,116.00
|
$4,053.00
|
2025-11-10
|
|
22882745_1
|
CDM
|
Locking Midshaft Clav Plate*
|
2
|
2
|
$4,193.00
|
$3,773.70
|
$3,983.35
|
$4,109.14
|
$4,046.24
|
2025-11-10
|
|
27463357_1
|
CDM
|
Clav Sup Plt Lt 10h 110mmns
|
2
|
2
|
$4,174.50
|
$3,757.05
|
$3,965.78
|
$4,091.01
|
$4,028.40
|
2025-11-10
|
|
22882639_1
|
CDM
|
Lag/Comp Screw Kit 80/75*
|
2
|
2
|
$4,138.00
|
$3,724.20
|
$3,931.10
|
$4,055.24
|
$3,993.17
|
2025-11-10
|
|
22882693_1
|
CDM
|
Apligraf Wound Dressing*
|
2
|
2
|
$4,118.00
|
$3,706.20
|
$3,912.10
|
$4,035.64
|
$3,973.87
|
2025-11-10
|
|
23254387_1
|
CDM
|
Dressing, Puraply 5x5
|
2
|
2
|
$4,118.00
|
$3,706.20
|
$3,912.10
|
$4,035.64
|
$3,973.87
|
2025-11-10
|
|
23625391_1
|
CDM
|
Integral Short Gtr Cables 23x53mm*
|
2
|
2
|
$4,087.00
|
$3,678.30
|
$3,882.65
|
$4,005.26
|
$3,943.95
|
2025-11-10
|
|
22882676_1
|
CDM
|
Pinnacle Altrx Acetubularliner*
|
2
|
2
|
$4,086.00
|
$3,677.40
|
$3,881.70
|
$4,004.28
|
$3,942.99
|
2025-11-10
|
|
22881883_1
|
CDM
|
Plate-4.5mm Lcp Condylar 6h*
|
2
|
2
|
$4,061.00
|
$3,654.90
|
$3,857.95
|
$3,979.78
|
$3,918.86
|
2025-11-10
|
|
23595013_1
|
CDM
|
Reverse Shoulder Glenosphere 38mm*
|
2
|
2
|
$4,055.00
|
$3,649.50
|
$3,852.25
|
$3,973.90
|
$3,913.07
|
2025-11-10
|
|
23179995_1
|
CDM
|
Mtp Fusion Plate Left Lg*
|
2
|
2
|
$4,045.00
|
$3,640.50
|
$3,842.75
|
$3,964.10
|
$3,903.43
|
2025-11-10
|
|
22882706_1
|
CDM
|
Flexible Hinge Toe Implant Wright Size 6*
|
2
|
2
|
$4,004.00
|
$3,603.60
|
$3,803.80
|
$3,923.92
|
$3,863.86
|
2025-11-10
|
|
27449224_1
|
CDM
|
Nexgen Porous Tm Patella 10mm X 38mm
|
2
|
2
|
$4,000.00
|
$3,600.00
|
$3,800.00
|
$3,920.00
|
$3,860.00
|
2025-11-10
|
|
27430107_1
|
CDM
|
Trabecular Metal Patella 35mm X 10mm
|
2
|
2
|
$4,000.00
|
$3,600.00
|
$3,800.00
|
$3,920.00
|
$3,860.00
|
2025-11-10
|
|
27436415_1
|
CDM
|
Nexgen Porous Tm Patella 10mm X 32mm
|
2
|
2
|
$4,000.00
|
$3,600.00
|
$3,800.00
|
$3,920.00
|
$3,860.00
|
2025-11-10
|
|
22882213_1
|
CDM
|
Graft-allopatch Ultrathick*
|
2
|
2
|
$3,975.00
|
$3,577.50
|
$3,776.25
|
$3,895.50
|
$3,835.88
|
2025-11-10
|
|
22882651_1
|
CDM
|
V-d-r Lk Plate Std Head L 62mm*
|
2
|
2
|
$3,975.00
|
$3,577.50
|
$3,776.25
|
$3,895.50
|
$3,835.88
|
2025-11-10
|
|
22883246_1
|
CDM
|
Oxf Anat Brg Rt Md Sz 6 Pma*
|
2
|
2
|
$3,901.00
|
$3,510.90
|
$3,705.95
|
$3,822.98
|
$3,764.47
|
2025-11-10
|
|
22882978_1
|
CDM
|
Attune Rp Tib Base Sz 6 Cem*
|
2
|
2
|
$3,892.00
|
$3,502.80
|
$3,697.40
|
$3,814.16
|
$3,755.78
|
2025-11-10
|
|
22882990_1
|
CDM
|
Attune Rp Tib Base 5 Cem*
|
2
|
2
|
$3,892.00
|
$3,502.80
|
$3,697.40
|
$3,814.16
|
$3,755.78
|
2025-11-10
|
|
22882607_1
|
CDM
|
Plate-3.5mm X 71mm Lat 4h R*
|
2
|
2
|
$3,850.00
|
$3,465.00
|
$3,657.50
|
$3,773.00
|
$3,715.25
|
2025-11-10
|
|
22881741_1
|
CDM
|
Biomet Cc Cruciate Tray 71mm*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
22881733_1
|
CDM
|
Biomet Cc Cruciate Tray 79mm*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
22881850_1
|
CDM
|
Biomet Cc Cruciate Tray 67mm*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
22881632_1
|
CDM
|
Biomet Cc Cruciate Tray 75mm*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
22883001_1
|
CDM
|
Evolution Tibial Base 4 Rt*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
22882994_1
|
CDM
|
Tibial Base Keeled Evolution*
|
2
|
2
|
$3,832.00
|
$3,448.80
|
$3,640.40
|
$3,755.36
|
$3,697.88
|
2025-11-10
|
|
23625133_1
|
CDM
|
Beta-bsm Bone Filler 2.5cc (replaced Cerament) *
|
2
|
2
|
$3,816.00
|
$3,434.40
|
$3,625.20
|
$3,739.68
|
$3,682.44
|
2025-11-10
|
|
27436390_1
|
CDM
|
Psn Mc Ve Asf L 11mm 8-11 Ef
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27460752_1
|
CDM
|
Vivacit-e Articular Surface Right 10mm Sz 8-11
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27463407_1
|
CDM
|
Vivacit-e Crosslinked Polyethylyene Left 12mm Sz 8-11 G-h
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27449225_1
|
CDM
|
Psn Mc Ve Asf R 11mm 8-11 Gh
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27443167_1
|
CDM
|
Psn Mc Ve Asf R 12mm 8-11 Gh
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27449594_1
|
CDM
|
Psn Mc Ve Asf L 14mm 8-11 Ef
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27430105_1
|
CDM
|
Vivacit-e Articular Surface Left 12mm Sz 8-11
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
27437043_1
|
CDM
|
Vivacit-e Articular Surface Left 13mm Sz 8-11
|
2
|
2
|
$3,750.00
|
$3,375.00
|
$3,562.50
|
$3,675.00
|
$3,618.75
|
2025-11-10
|
|
23612975_1
|
CDM
|
36mm Mod Head Component -3mm *
|
2
|
2
|
$3,744.00
|
$3,369.60
|
$3,556.80
|
$3,669.12
|
$3,612.96
|
2025-11-10
|
|
22881869_1
|
CDM
|
36mm Mod Head Component *
|
2
|
2
|
$3,744.00
|
$3,369.60
|
$3,556.80
|
$3,669.12
|
$3,612.96
|
2025-11-10
|
|
22882841_1
|
CDM
|
Cer Bioloxd Option Hd 36mm*
|
2
|
2
|
$3,737.00
|
$3,363.30
|
$3,550.15
|
$3,662.26
|
$3,606.20
|
2025-11-10
|
|
22882740_1
|
CDM
|
Cer Bioloxd Option Hd 32mm*
|
2
|
2
|
$3,737.00
|
$3,363.30
|
$3,550.15
|
$3,662.26
|
$3,606.20
|
2025-11-10
|
|
22883284_1
|
CDM
|
Low Prof Clav Plate 8h Lg Lt*
|
2
|
2
|
$3,702.00
|
$3,331.80
|
$3,516.90
|
$3,627.96
|
$3,572.43
|
2025-11-10
|
|
23217760_1
|
CDM
|
Surgimesh 10 Cm Round*
|
2
|
2
|
$3,657.00
|
$3,291.30
|
$3,474.15
|
$3,583.86
|
$3,529.01
|
2025-11-10
|
|
22882292_1
|
CDM
|
Mesh-gore Dualmesh 15cmx19cm*
|
2
|
2
|
$3,644.00
|
$3,279.60
|
$3,461.80
|
$3,571.12
|
$3,516.46
|
2025-11-10
|
|
23353534_1
|
CDM
|
Affixus Hip Fract Nail Lag Screw 10.5mm X 105mm*
|
2
|
2
|
$3,625.00
|
$3,262.50
|
$3,443.75
|
$3,552.50
|
$3,498.12
|
2025-11-10
|
|
23588662_1
|
CDM
|
Surgimesh Xb Ck-7*
|
2
|
2
|
$3,604.00
|
$3,243.60
|
$3,423.80
|
$3,531.92
|
$3,477.86
|
2025-11-10
|
|
22883245_1
|
CDM
|
Oxford Sawblade Stryk Cmntd 3*
|
2
|
2
|
$3,604.00
|
$3,243.60
|
$3,423.80
|
$3,531.92
|
$3,477.86
|
2025-11-10
|
|
22883119_1
|
CDM
|
Clavicle Lock Mdshaft Plate 10hR*
|
2
|
2
|
$3,587.00
|
$3,228.30
|
$3,407.65
|
$3,515.26
|
$3,461.45
|
2025-11-10
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
2
|
2
|
$5,550.00
|
$4,995.00
|
$3,232.75
|
$3,596.86
|
$3,414.81
|
2025-11-10
|
|
22883111_1
|
CDM
|
2.4mm Distal Radi Pl 7 H Rt*
|
2
|
2
|
$3,537.00
|
$3,183.30
|
$3,360.15
|
$3,466.26
|
$3,413.20
|
2025-11-10
|
|
27432801_1
|
CDM
|
Implant Modular Head Component 12mm Neck
|
2
|
2
|
$3,532.00
|
$3,178.80
|
$3,355.40
|
$3,461.36
|
$3,408.38
|
2025-11-10
|
|
22883240_1
|
CDM
|
Vg Xp As E1 Tib BrgLM/RL 9x67*
|
2
|
2
|
$3,530.00
|
$3,177.00
|
$3,353.50
|
$3,459.40
|
$3,406.45
|
2025-11-10
|
|
22883241_1
|
CDM
|
Vgxp Xp E1 Tib Brg Ll 10x63*
|
2
|
2
|
$3,530.00
|
$3,177.00
|
$3,353.50
|
$3,459.40
|
$3,406.45
|
2025-11-10
|
|
27442170_1
|
CDM
|
Implant Delta Ceramic Fem Hd
|
2
|
2
|
$3,525.00
|
$3,172.50
|
$3,348.75
|
$3,454.50
|
$3,401.62
|
2025-11-10
|
|
23624655_1
|
CDM
|
Equinoxe Humeral Head*
|
2
|
2
|
$3,498.00
|
$3,148.20
|
$3,323.10
|
$3,428.04
|
$3,375.57
|
2025-11-10
|
|
23352940_1
|
CDM
|
Equinoxe Humeral Head Tall 47mm X 22mm*
|
2
|
2
|
$3,498.00
|
$3,148.20
|
$3,323.10
|
$3,428.04
|
$3,375.57
|
2025-11-10
|
|
23635024_1
|
CDM
|
Equinoxe Humeral Head 44mmx17mm*
|
2
|
2
|
$3,498.00
|
$3,148.20
|
$3,323.10
|
$3,428.04
|
$3,375.57
|
2025-11-10
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
2
|
2
|
$7,125.00
|
$6,412.50
|
$2,857.78
|
$3,858.97
|
$3,358.38
|
2025-11-10
|
|
23473
|
HCPCS
|
Revision Of Total Shoulder Repair
|
2
|
2
|
$7,481.00
|
$6,732.90
|
$3,141.63
|
$3,479.47
|
$3,310.55
|
2025-11-10
|
|
22882619_1
|
CDM
|
Clavicle Locking Plate 8h L 97*
|
2
|
2
|
$3,419.00
|
$3,077.10
|
$3,248.05
|
$3,350.62
|
$3,299.34
|
2025-11-10
|
|
22882546_1
|
CDM
|
Uterine Ablation Device*
|
2
|
2
|
$3,412.00
|
$3,070.80
|
$3,241.40
|
$3,343.76
|
$3,292.58
|
2025-11-10
|