Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MT SINAI HOSPITAL MEDICAL CENTER

Chicago, IL · CCN 140018 · Rates published

9,195 distinct procedures filed
10 distinct payers
882,000 rate rows
2025-03-25 last MRF observed · ⚠ 15 mo old
Data quality

823,568 of 882,000 rate rows are consumer-grade (93.4%)

58,432 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 29,296
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,132
per-diem day rate — not a per-procedure price 6,544
exceeds 10× this hospital's gross charge — excluded from medians 5,442
placeholder amount (≤ $0.02) — excluded from medians 18

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://standardcharges.blob.core.windows.net/mshstandardcharges/361509000_MSH_MOUNT%20SINAI%20HOSPITAL%20MEDICAL%20CENTER_standardcharges.csv
Found on page https://www.sinaichicago.org/en/patients-visitors/pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 0c73ae3dcd5ece1c… · 172,304,683 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
PX-4800231
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-rc 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-4800233
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lc 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-4800234
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lm 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-4800232
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ld 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-4800433
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-4800235
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ri 10 $103,428.79 $103,428.79 $103,428.79 nat. median
$112,048
0.9× median
PX-3610209
CDM 		Insert/Replace Perm Icd W/Leads Sgl/Dual 10 $6,367.24 $62,731.76 $62,731.76 nat. median
$69,343
0.9× median
PX-3611152
CDM 		Insert/Replace Perm Subq Implantable Defib 10 $3,843.76 $59,326.47 $59,326.47 nat. median
$65,452
0.9× median
PX-3610911
CDM 		Insert Icd Pulse Gen Only Exist Mult Lead 10 $4,410.87 $107,897.86 $56,154.36 nat. median
$59,610
0.9× median
PX-3610910
CDM 		Insert Icd Pulse Gen Only Exist Dual Lead 10 $4,253.34 $107,897.86 $56,075.60 nat. median
$54,677
1.0× median
PX-3610914
CDM 		Remove/Replace Icd Puls Gen Mult Lead 10 $4,410.87 $54,215.36 $54,215.36 nat. median
$59,610
0.9× median
PX-3610843
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Blt 10 $53,474.67 $65,223.71 $53,474.67 nat. median
$59,798
0.9× median
PX-3610855
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Blt 10 $53,474.67 $60,296.03 $53,474.67 nat. median
$59,798
0.9× median
PX-3610940
CDM 		Remove/Replace Icd Puls Gen Sngl Lead 10 $4,095.81 $49,281.61 $49,281.61 nat. median
$54,677
0.9× median
PX-3610913
CDM 		Remove/Replace Icd Puls Gen Dual Lead 10 $4,253.34 $49,281.61 $49,281.61 nat. median
$54,677
0.9× median
PX-3610206
CDM 		Insert Icd Pulse Gen Only With Exist Sgl Lead 10 $7,463.23 $49,281.61 $49,281.61 nat. median
$49,282
1.0× median
PX-4800003
CDM 		Insert Electrode To New Cardio-defib 8 $46,057.91 $46,057.91 $46,057.91 nat. median
$36,846
1.2× median
PX-3610837
CDM 		Revasc Fem/Pop Art W Atherectomy- Blt 10 $42,129.82 $65,832.09 $42,129.82 nat. median
$37,031
1.1× median
PX-3610245
CDM 		Direct Repair Anur,Ruptured Aaa,Iliac Ves-blt 10 $5,827.19 $68,899.89 $41,945.04 nat. median
$41,945
1.0× median
PX-3610849
CDM 		Revasc Tib/Peroneal Art W Atherectomy - Blt 10 $41,883.78 $65,340.00 $41,883.78 nat. median
$37,031
1.1× median
PX-3611556
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy 10 $40,828.69 $65,223.71 $40,828.69 nat. median
$34,506
1.2× median
PX-3611557
CDM 		Revasc Fem/Pop Art W Stent/atherectomy-blt 10 $40,828.69 $65,223.71 $40,828.69 nat. median
$34,506
1.2× median
PX-3610842
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Lt 10 $40,828.69 $65,223.71 $40,828.69 nat. median
$34,506
1.2× median
PX-3610841
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Rt 10 $40,828.69 $65,223.71 $40,828.69 nat. median
$34,506
1.2× median
PX-3610242
CDM 		Direct Repair Anur,pseudo,aaa,iliac-blt 10 $4,905.04 $68,899.89 $40,058.04 nat. median
$36,902
1.1× median
PX-3611564
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect 10 $39,361.79 $60,296.03 $39,361.79 nat. median
$34,506
1.1× median
PX-3610853
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Rt 10 $39,361.79 $60,296.03 $39,361.79 nat. median
$34,506
1.1× median
PX-3610854
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Lt 10 $39,361.79 $60,296.03 $39,361.79 nat. median
$34,506
1.1× median
PX-3611565
CDM 		Revasc Tib/Peroneal Art W Stent/atherect-blt 10 $39,361.79 $60,296.03 $39,361.79 nat. median
$34,506
1.1× median
PX-4800457
CDM 		Balloon Dilation Of Heart Blood Vessel 6 $34,449.94 $34,449.94 $34,449.94 nat. median
$31,005
1.1× median
PX-4800455
CDM 		Repair Of Aorta Insert Stent Major Branch 6 $34,449.94 $34,449.94 $34,449.94 nat. median
$31,005
1.1× median
PX-4800456
CDM 		Repair Of Aorta Insert Stent Not Major Branch 6 $34,449.94 $34,449.94 $34,449.94 nat. median
$31,005
1.1× median
PX-4800313
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800363
CDM 		Perc Translum Revasc Chron Occl Ea Add Without Stnt-rc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800314
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lm 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800366
CDM 		Perc Translum Revasc Chron Occl Ea Add Without Stnt-lm 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800315
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ri 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800364
CDM 		Perc Translum Revasc Chron Occl Ea Add Without Stnt-ld 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800367
CDM 		Perc Translum Revasc Chron Occl Ea Add Without Stnt-ri 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800265
CDM 		Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ri 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800311
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-rc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800312
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ld 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800263
CDM 		Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800261
CDM 		Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-rc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800262
CDM 		Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ld 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800264
CDM 		Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lm 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800365
CDM 		Perc Translum Revasc Chron Occl Ea Add Without Stnt-lc 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800439
CDM 		Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt 8 $32,931.20 $32,931.20 $32,931.20 nat. median
$26,345
1.2× median
PX-4800222
CDM 		Ptca With Atherect Ea Add Brnch Maj Coron Art-ld 8 $31,254.35 $31,254.35 $31,254.35 nat. median
$25,003
1.2× median
PX-4800223
CDM 		Ptca With Atherect Ea Add Brnch Maj Coron Art-lc 8 $31,254.35 $31,254.35 $31,254.35 nat. median
$25,003
1.2× median

Other procedures at this hospital

Browse this hospital's 9,195 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
PX-3100300 CDM So Misc Exome Seq Analysis Ea Comparator, 81416 96 10 $24,600.00 $24,600.00 $12,000.00 $24,600.00 $17,414.40 2025-03-25
PX-3200414 CDM Endo Rpr Visc Aorta, + Rs/I 1 Graft 96 10 $34,449.94 $34,449.94 $3,887.14 $34,449.94 $14,001.05 2025-03-25
PX-3200415 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 1 Graft 96 10 $34,449.94 $34,449.94 $4,470.08 $34,449.94 $14,292.52 2025-03-25
PX-3200416 CDM Endo Rpr Visc Aorta, + Rs/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,258.66 $34,449.94 $14,186.81 2025-03-25
PX-3200417 CDM Endo Rpr Visc Aorta, + Rs/I 3 Graft 96 10 $34,449.94 $34,449.94 $4,671.11 $34,449.94 $14,393.03 2025-03-25
PX-3200418 CDM Endo Rpr Visc Aorta, + Rs/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,167.68 $34,449.94 $14,641.32 2025-03-25
PX-3200419 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,759.09 $34,449.94 $14,437.02 2025-03-25
PX-3200420 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 3 Graft 96 10 $34,449.94 $34,449.94 $5,038.78 $34,449.94 $14,576.87 2025-03-25
PX-3200421 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,393.84 $34,449.94 $14,754.40 2025-03-25
PX-3200426 CDM Endo Rpr Visc Aorta, + Rs/I 1 Graft 96 10 $34,449.94 $34,449.94 $3,887.14 $34,449.94 $14,001.05 2025-03-25
PX-3200427 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 1 Graft 96 10 $34,449.94 $34,449.94 $4,470.08 $34,449.94 $14,292.52 2025-03-25
PX-3200428 CDM Endo Rpr Visc Aorta, + Rs/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,258.66 $34,449.94 $14,186.81 2025-03-25
PX-3200429 CDM Endo Rpr Visc Aorta, + Rs/I 3 Graft 96 10 $34,449.94 $34,449.94 $4,671.11 $34,449.94 $14,393.03 2025-03-25
PX-3200430 CDM Endo Rpr Visc Aorta, + Rs/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,167.68 $34,449.94 $14,641.32 2025-03-25
PX-3200431 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,759.09 $34,449.94 $14,437.02 2025-03-25
PX-3200432 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 3 Graft 96 10 $34,449.94 $34,449.94 $5,038.78 $34,449.94 $14,576.87 2025-03-25
PX-3200433 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,393.84 $34,449.94 $14,754.40 2025-03-25
PX-3330001 CDM Plc Interstitial Rad Thrpy Breast-delay 96 10 $21,662.12 $21,662.12 $7,068.00 $12,491.72 $12,491.72 2025-03-25
PX-3610122 CDM Ablation Bone Tumor-radio Freq Perc CT Guided 96 10 $14,777.89 $14,777.89 $12,561.20 $46,660.60 $12,561.20 2025-03-25
PX-3610194 CDM Insert Pulse Generator; With Exist Sgl Lead 96 10 $29,954.45 $29,954.45 $2,702.00 $14,730.55 $14,730.55 2025-03-25
PX-3610206 CDM Insert Icd Pulse Gen Only With Exist Sgl Lead 96 10 $107,897.86 $107,897.86 $7,463.23 $49,281.61 $49,281.61 2025-03-25
PX-3610209 CDM Insert/Replace Perm Icd W/Leads Sgl/Dual 96 10 $132,230.43 $132,230.43 $6,367.24 $62,731.76 $62,731.76 2025-03-25
PX-3610212 CDM Endo Rpr Aorta Lsa,Dt To Celiac Artery 96 10 $34,449.94 $34,449.94 $4,647.24 $34,449.94 $11,586.43 2025-03-25
PX-3610214 CDM Endo Plc Prothesis Rpr Thoracic Aorta 96 10 $34,449.94 $34,449.94 $2,885.57 $34,449.94 $23,179.63 2025-03-25
PX-3610216 CDM Plc Distal Ext Prothesis D Thoracic Aort 96 10 $34,449.94 $34,449.94 $2,478.06 $34,449.94 $22,376.22 2025-03-25
PX-3610229 CDM Open Iliac Art Expsr- Endovasc Abd/Retr Incis Unilat 96 10 $34,449.94 $34,449.94 $909.63 $34,449.94 $12,512.30 2025-03-25
PX-3610236 CDM Open Brach Art Infraren Aor/Iliac Prosth 96 10 $34,449.94 $34,449.94 $340.20 $34,449.94 $12,554.47 2025-03-25
PX-3610242 CDM Direct Repair Anur,pseudo,aaa,iliac-blt 96 10 $68,899.89 $68,899.89 $4,905.04 $68,899.89 $40,058.04 2025-03-25
PX-3610245 CDM Direct Repair Anur,Ruptured Aaa,Iliac Ves-blt 96 10 $68,899.89 $68,899.89 $5,827.19 $68,899.89 $41,945.04 2025-03-25
PX-3610246 CDM Direct Repair Of Aneurysm Femoral Artery 96 10 $34,449.94 $34,449.94 $2,861.88 $34,449.94 $25,851.28 2025-03-25
PX-3610249 CDM Thromobendarterectomy-common Femoral 96 10 $34,449.94 $34,449.94 $2,126.77 $34,449.94 $25,265.03 2025-03-25
PX-3610284 CDM Bypass Graft Harvest-non-vein-ilioiliac 96 10 $34,449.94 $34,449.94 $3,179.79 $34,449.94 $16,156.28 2025-03-25
PX-3610390 CDM Revision Transven Intrahep Portosys Shun 96 10 $35,996.31 $35,996.31 $4,473.87 $15,524.22 $15,524.22 2025-03-25
PX-3610502 CDM Perc Nephrolithotomy <=2cm 96 10 $21,051.53 $21,051.53 $6,549.54 $12,112.84 $12,112.84 2025-03-25
PX-3610779 CDM Ventricular Assist Device Insertion (Vad) 96 10 $34,449.94 $34,449.94 $5,056.18 $34,449.94 $14,585.57 2025-03-25
PX-3610792 CDM Insert Electrode To New Cardio-defib 96 10 $46,057.91 $46,057.91 $6,527.79 $46,057.91 $19,384.17 2025-03-25
PX-3610826 CDM Revasc Iliac Artery Unilat Initial Vessel - Blt 96 10 $41,120.95 $41,120.95 $12,701.78 $19,552.56 $12,701.78 2025-03-25
PX-3610827 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Rt 96 10 $35,964.18 $35,964.18 $20,213.90 $28,789.89 $20,213.90 2025-03-25
PX-3610828 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Lt 96 10 $35,964.18 $35,964.18 $20,213.90 $28,789.89 $20,213.90 2025-03-25
PX-3610829 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Blt 96 10 $71,928.35 $71,928.35 $28,789.89 $30,993.88 $30,993.88 2025-03-25
PX-3610831 CDM Revasc Iliac Art Ea Add Vessel W Stent 96 10 $20,560.48 $20,560.48 $15,110.21 $20,560.48 $15,110.21 2025-03-25
PX-3610834 CDM Revasc Fem/Pop Artery W Angiopl- Blt 96 10 $41,120.95 $41,120.95 $14,653.67 $23,456.34 $14,653.67 2025-03-25
PX-3610835 CDM Revasc Fem/Pop Art W Atherectomy- Rt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,832.09 $26,599.49 2025-03-25
PX-3610836 CDM Revasc Fem/Pop Art W Atherectomy- Lt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,832.09 $26,599.49 2025-03-25
PX-3610837 CDM Revasc Fem/Pop Art W Atherectomy- Blt 96 10 $69,542.87 $69,542.87 $42,129.82 $65,832.09 $42,129.82 2025-03-25
PX-3610838 CDM Revasc Fem/Pop Art W Stent Plcmnt - Rt 96 10 $34,771.43 $34,771.43 $23,204.67 $40,296.35 $23,204.67 2025-03-25
PX-3610839 CDM Revasc Fem/Pop Art W Stent Plcmnt - Lt 96 10 $34,771.43 $34,771.43 $23,204.67 $40,296.35 $23,204.67 2025-03-25
PX-3610840 CDM Revasc Fem/Pop Art W Stent Plcmnt - Blt 96 10 $69,542.87 $69,542.87 $30,158.97 $40,296.35 $30,158.97 2025-03-25
PX-3610841 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Rt 96 10 $63,229.84 $63,229.84 $40,828.69 $65,223.71 $40,828.69 2025-03-25
PX-3610842 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Lt 96 10 $63,229.84 $63,229.84 $40,828.69 $65,223.71 $40,828.69 2025-03-25
PX-3610843 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Blt 96 10 $126,459.68 $126,459.68 $53,474.67 $65,223.71 $53,474.67 2025-03-25
PX-3610844 CDM Revasc Tib/Peroneal Art Initial Vessel - Rt 96 10 $20,560.48 $20,560.48 $16,099.20 $33,342.51 $16,099.20 2025-03-25
PX-3610845 CDM Revasc Tib/Peroneal Art Initial Vessel - Lt 96 10 $20,560.48 $20,560.48 $16,099.20 $33,342.51 $16,099.20 2025-03-25
PX-3610846 CDM Revasc Tib/Peroneal Art Initial Vessel - Blt 96 10 $41,120.95 $41,120.95 $22,490.22 $33,342.51 $22,490.22 2025-03-25
PX-3610847 CDM Revasc Tib/Peroneal Art W Atherectomy - Rt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,340.00 $26,599.49 2025-03-25
PX-3610848 CDM Revasc Tib/Peroneal Art W Atherectomy - Lt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,340.00 $26,599.49 2025-03-25
PX-3610849 CDM Revasc Tib/Peroneal Art W Atherectomy - Blt 96 10 $69,542.87 $69,542.87 $41,883.78 $65,340.00 $41,883.78 2025-03-25
PX-3610850 CDM Revasc Tib/Peroneal Art W Stent Place - Rt 96 10 $34,771.43 $34,771.43 $8,034.08 $13,230.82 $13,230.82 2025-03-25
PX-3610851 CDM Revasc Tib/Peroneal Art W Stent Place - Lt 96 10 $34,771.43 $34,771.43 $8,034.08 $13,230.82 $13,230.82 2025-03-25
PX-3610852 CDM Revasc Tib/Peroneal Art W Stent Place - Blt 96 10 $69,542.87 $69,542.87 $8,034.08 $13,230.82 $13,230.82 2025-03-25
PX-3610853 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Rt 96 10 $63,229.84 $63,229.84 $39,361.79 $60,296.03 $39,361.79 2025-03-25
PX-3610854 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Lt 96 10 $63,229.84 $63,229.84 $39,361.79 $60,296.03 $39,361.79 2025-03-25
PX-3610855 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Blt 96 10 $126,459.68 $126,459.68 $53,474.67 $60,296.03 $53,474.67 2025-03-25
PX-3610858 CDM Revasc Tib/Peroneal Art Ea Addtl - Blt 96 10 $41,120.95 $41,120.95 $7,538.97 $41,120.95 $18,161.82 2025-03-25
PX-3610859 CDM Revasc Tib/Peroneal Art W Atherect - Rt 96 10 $34,771.43 $34,771.43 $3,780.74 $34,771.43 $14,060.37 2025-03-25
PX-3610860 CDM Revasc Tib/Peroneal Art W Atherect - Lt 96 10 $34,771.43 $34,771.43 $3,780.74 $34,771.43 $14,060.37 2025-03-25
PX-3610861 CDM Revasc Tib/Peroneal Art W Atherect - Blt 96 10 $69,542.87 $69,542.87 $3,780.74 $69,542.87 $26,230.38 2025-03-25
PX-3610864 CDM Revasc Tib/Peroneal Art W Stent/Angiopl - Blt 96 10 $41,120.95 $41,120.95 $3,308.13 $41,120.95 $16,046.40 2025-03-25
PX-3610867 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Blt 96 10 $41,120.95 $41,120.95 $4,568.38 $41,120.95 $16,676.53 2025-03-25
PX-3610906 CDM Insert Pacemaker Puls Gen Only Exist Mlt Leads 96 10 $32,140.57 $32,140.57 $3,938.27 $11,754.74 $11,754.74 2025-03-25
PX-3610909 CDM Remove/Replace Packemaker Puls Gen Mult Lead 96 10 $32,140.57 $32,140.57 $4,095.81 $32,140.57 $11,833.51 2025-03-25
PX-3610910 CDM Insert Icd Pulse Gen Only Exist Dual Lead 96 10 $107,897.86 $107,897.86 $4,253.34 $107,897.86 $56,075.60 2025-03-25
PX-3610911 CDM Insert Icd Pulse Gen Only Exist Mult Lead 96 10 $107,897.86 $107,897.86 $4,410.87 $107,897.86 $56,154.36 2025-03-25
PX-3610913 CDM Remove/Replace Icd Puls Gen Dual Lead 96 10 $107,897.86 $107,897.86 $4,253.34 $49,281.61 $49,281.61 2025-03-25
PX-3610914 CDM Remove/Replace Icd Puls Gen Mult Lead 96 10 $107,897.86 $107,897.86 $4,410.87 $54,215.36 $54,215.36 2025-03-25
PX-3610919 CDM Insert Intravasc Vena Cava Filt W Imag Guid 96 10 $13,755.55 $13,755.55 $11,692.22 $26,780.23 $11,692.22 2025-03-25
PX-3610930 CDM Ligation Of Inferior Vena Cava 96 10 $13,755.55 $13,755.55 $11,692.22 $18,588.62 $11,692.22 2025-03-25
PX-3610940 CDM Remove/Replace Icd Puls Gen Sngl Lead 96 10 $107,897.86 $107,897.86 $4,095.81 $49,281.61 $49,281.61 2025-03-25
PX-3610969 CDM Tavr/Tavi W/Pros Valve, Perc Fem Art Appr 96 10 $34,449.94 $34,449.94 $3,134.83 $34,449.94 $14,830.01 2025-03-25
PX-3610970 CDM Tavr/Tavi W/Pros Valve, Open Fem Art Appr 96 10 $34,449.94 $34,449.94 $3,416.11 $34,449.94 $15,097.83 2025-03-25
PX-3610971 CDM Tavr/Tavi W/Pros Valve, Open Axil Art Appr 96 10 $34,449.94 $34,449.94 $3,544.52 $34,449.94 $15,200.23 2025-03-25
PX-3610972 CDM Tavr/Tavi W/Pros Valve, Open Iliac Art Appr 96 10 $34,449.94 $34,449.94 $3,552.57 $34,449.94 $15,397.12 2025-03-25
PX-3610973 CDM Tavr/Tavi W/Pros Valve, Transaortic Appr 96 10 $34,449.94 $34,449.94 $3,690.98 $34,449.94 $15,759.45 2025-03-25
PX-3610975 CDM Tavr/Tavi W/Pros Valve, W/Bypass W/Open Per Art & Ven Cann 96 10 $34,449.94 $34,449.94 $1,930.61 $34,449.94 $18,190.28 2025-03-25
PX-3610976 CDM Tavr/Tavi W/Pros Valve, W/Bypass W/Cent Art & Ven Cann 96 10 $34,449.94 $34,449.94 $2,549.33 $34,449.94 $14,144.77 2025-03-25
PX-3611042 CDM Trnscth Plc Intrvsc Stnt Open - Carotid 96 10 $36,796.83 $36,796.83 $2,797.50 $36,796.83 $17,132.22 2025-03-25
PX-3611044 CDM Vascular Embolization/Occlusion Arterial 96 10 $35,679.12 $35,679.12 $27,053.33 $51,670.07 $27,053.33 2025-03-25
PX-3611047 CDM Transcath Place Stent Open/Perq Initial Artery 96 10 $36,796.83 $36,796.83 $14,366.79 $18,697.85 $18,697.85 2025-03-25
PX-3611048 CDM Transcath Place Stent Open/Perq Ea Add'l Artery 96 10 $17,795.64 $17,795.64 $12,456.95 $17,795.64 $12,456.95 2025-03-25
PX-3611049 CDM Transcath Place Stent Open/Perq Initial Vein 96 10 $36,796.83 $36,796.83 $2,418.46 $18,697.85 $18,697.85 2025-03-25
PX-3611063 CDM Endo Rpr Visc Aorta, + Rs/I 1 Graft 96 10 $34,449.94 $34,449.94 $3,887.14 $34,449.94 $14,001.05 2025-03-25
PX-3611064 CDM Endo Rpr Visc Aorta, + Rs/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,258.66 $34,449.94 $14,186.81 2025-03-25
PX-3611065 CDM Endo Rpr Visc Aorta, + Rs/I 3 Graft 96 10 $34,449.94 $34,449.94 $4,671.11 $34,449.94 $14,393.03 2025-03-25
PX-3611066 CDM Endo Rpr Visc Aorta, + Rs/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,167.68 $34,449.94 $14,641.32 2025-03-25
PX-3611067 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 1 Graft 96 10 $34,449.94 $34,449.94 $4,470.08 $34,449.94 $14,292.52 2025-03-25
PX-3611068 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 2 Graft 96 10 $34,449.94 $34,449.94 $4,759.09 $34,449.94 $14,437.02 2025-03-25
PX-3611069 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 3 Graft 96 10 $34,449.94 $34,449.94 $5,038.78 $34,449.94 $14,576.87 2025-03-25
PX-3611070 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 4 Graft 96 10 $34,449.94 $34,449.94 $5,393.84 $34,449.94 $14,754.40 2025-03-25
PX-3611142 CDM Perq Vertebral Augmentation, 1 Vert; Thoracic 96 10 $25,124.54 $25,124.54 $16,227.79 $49,156.36 $16,227.79 2025-03-25
PX-3611144 CDM Perq Vertebral Augmentation, Ea Addl 96 10 $25,124.54 $25,124.54 $25,124.54 $29,690.06 $25,124.54 2025-03-25
PX-3611151 CDM Stent Placemnt, Ante, Carotid/Innominate 96 10 $36,796.83 $36,796.83 $2,111.59 $36,796.83 $19,454.21 2025-03-25
PX-3611152 CDM Insert/Replace Perm Subq Implantable Defib 96 10 $122,501.03 $122,501.03 $3,843.76 $59,326.47 $59,326.47 2025-03-25
PX-3611153 CDM Transcath Mitral Valve Repair; Initial Pros 96 10 $34,449.94 $34,449.94 $4,637.77 $34,449.94 $11,507.45 2025-03-25
PX-3611154 CDM Transcath Mitral Valve Repair; Addl Prosthesis 96 10 $34,449.94 $34,449.94 $4,354.08 $34,449.94 $14,234.52 2025-03-25
PX-3611155 CDM Insert Subq Implant Defibrillator Electrode 96 10 $26,018.29 $26,018.29 $4,635.16 $26,018.29 $17,255.63 2025-03-25
PX-3611202 CDM Prim Art M-thrombc 1st Vsl 96 10 $13,294.76 $13,294.76 $7,068.00 $13,866.94 $13,866.94 2025-03-25
PX-3611297 CDM Dialysis Circuit Stent & Balloon- Rt 96 10 $35,817.34 $35,817.34 $23,727.63 $37,141.24 $23,727.63 2025-03-25
PX-3611298 CDM Dialysis Circuit Stent & Balloon- Lt 96 10 $35,817.34 $35,817.34 $23,727.63 $37,141.24 $23,727.63 2025-03-25
PX-3611301 CDM Dialysis Circuit Clot Clearing & Balloon-rt 96 10 $33,226.14 $33,226.14 $15,290.99 $17,448.11 $17,448.11 2025-03-25
PX-3611302 CDM Dialysis Circuit Clot Clearing & Balloon-lt 96 10 $33,226.14 $33,226.14 $15,290.99 $17,448.11 $17,448.11 2025-03-25
PX-3611303 CDM Dialysis Circuit Clot Rmvl,balloon,stent-rt 96 10 $50,363.79 $50,363.79 $30,181.49 $41,935.44 $30,181.49 2025-03-25
PX-3611304 CDM Dialysis Circuit Clot Rmvl,balloon,stent-lt 96 10 $50,363.79 $50,363.79 $30,181.49 $41,935.44 $30,181.49 2025-03-25
PX-3611330 CDM Replace Aortic Value, Open With Allograft 96 10 $34,449.94 $34,449.94 $7,458.01 $34,449.94 $14,635.76 2025-03-25
PX-3611331 CDM Replace Aortic Value, Open With Tissue 96 10 $34,449.94 $34,449.94 $6,586.69 $34,449.94 $12,918.48 2025-03-25
PX-3611354 CDM Ablation Pulm Tumors 1+, Cryoablat 96 10 $16,275.00 $16,275.00 $13,479.60 $52,240.20 $13,479.60 2025-03-25
PX-3611355 CDM Infrarenal Aorta Repair No Rupture 96 10 $34,449.94 $34,449.94 $3,223.08 $34,449.94 $16,672.76 2025-03-25
PX-3611358 CDM Infrarenal Aorta Or Iliac Repair Rupt, Uni 96 10 $34,449.94 $34,449.94 $5,988.29 $34,449.94 $11,695.09 2025-03-25
PX-3611360 CDM Infrarenal Aorta Or Iliac Repair Rupt, Bil 96 10 $34,449.94 $34,449.94 $5,994.21 $34,449.94 $11,641.05 2025-03-25
PX-3611361 CDM Endovascular Repair Iliac Artery No Rupt 96 10 $34,449.94 $34,449.94 $3,027.86 $34,449.94 $16,364.08 2025-03-25
PX-3611374 CDM Endovasc Rep Aneurysm With Prosth Ext Initial 96 10 $34,449.94 $34,449.94 $843.83 $34,449.94 $12,479.40 2025-03-25
PX-3611423 CDM Insert Or Replace Perm Leadless Pacemaker 96 10 $19,758.41 $19,758.41 $5,224.03 $19,758.41 $12,397.62 2025-03-25
PX-3611535 CDM Dialysis Circuit Stent & Balloon 96 10 $35,817.34 $35,817.34 $23,727.63 $37,141.24 $23,727.63 2025-03-25
PX-3611537 CDM Dialysis Circuit Clot Clearing & Balloon 96 10 $33,226.14 $33,226.14 $15,290.99 $17,448.11 $17,448.11 2025-03-25
PX-3611538 CDM Dialysis Circuit Clot Rmvl,Balloon,Stent 96 10 $50,363.79 $50,363.79 $30,181.49 $41,935.44 $30,181.49 2025-03-25
PX-3611548 CDM Revasc Iliac Artery Unilat With Stent Plcmnt 96 10 $35,964.18 $35,964.18 $20,213.90 $28,789.89 $20,213.90 2025-03-25
PX-3611549 CDM Revasc Iliac Artery Unilat With Stent Plcmnt-blt 96 10 $35,964.18 $35,964.18 $20,213.90 $28,789.89 $20,213.90 2025-03-25
PX-3611552 CDM Revasc Fem/Pop Art W Atherectomy 96 10 $34,771.43 $34,771.43 $26,599.49 $65,832.09 $26,599.49 2025-03-25
PX-3611553 CDM Revasc Fem/Pop Art W Atherectom-blt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,832.09 $26,599.49 2025-03-25
PX-3611554 CDM Revasc Fem/Pop Art W Stent Plcmnt 96 10 $34,771.43 $34,771.43 $23,204.67 $40,296.35 $23,204.67 2025-03-25
PX-3611555 CDM Revasc Fem/Pop Art W Stent Plcmnt-blt 96 10 $34,771.43 $34,771.43 $23,204.67 $40,296.35 $23,204.67 2025-03-25
PX-3611556 CDM Revasc Fem/Pop Art W Stent/Atherectomy 96 10 $63,229.84 $63,229.84 $40,828.69 $65,223.71 $40,828.69 2025-03-25
PX-3611557 CDM Revasc Fem/Pop Art W Stent/atherectomy-blt 96 10 $63,229.84 $63,229.84 $40,828.69 $65,223.71 $40,828.69 2025-03-25
PX-3611558 CDM Revasc Tib/Peroneal Art Initial Vessel 96 10 $20,560.48 $20,560.48 $16,099.20 $33,342.51 $16,099.20 2025-03-25
PX-3611559 CDM Revasc Tib/Peroneal Art Initial Vessel-blt 96 10 $20,560.48 $20,560.48 $16,099.20 $33,342.51 $16,099.20 2025-03-25
PX-3611560 CDM Revasc Tib/Peroneal Art W Atherectomy 96 10 $34,771.43 $34,771.43 $26,599.49 $65,340.00 $26,599.49 2025-03-25
PX-3611561 CDM Revasc Tib/Peroneal Art W Atherectomy-blt 96 10 $34,771.43 $34,771.43 $26,599.49 $65,340.00 $26,599.49 2025-03-25
PX-3611562 CDM Revasc Tib/Peroneal Art W Stent Place 96 10 $34,771.43 $34,771.43 $8,034.08 $13,230.82 $13,230.82 2025-03-25
PX-3611563 CDM Revasc Tib/Peroneal Art W Stent Place-blt 96 10 $34,771.43 $34,771.43 $8,034.08 $13,230.82 $13,230.82 2025-03-25
PX-3611564 CDM Revasc Tib/Peroneal Art W Stent/Atherect 96 10 $63,229.84 $63,229.84 $39,361.79 $60,296.03 $39,361.79 2025-03-25
PX-3611565 CDM Revasc Tib/Peroneal Art W Stent/atherect-blt 96 10 $63,229.84 $63,229.84 $39,361.79 $60,296.03 $39,361.79 2025-03-25
PX-3611568 CDM Revasc Tib/Peroneal Art W Atherect 96 10 $34,771.43 $34,771.43 $3,780.74 $34,771.43 $14,060.37 2025-03-25
PX-3611569 CDM Revasc Tib/Peroneal Art W Atherect-blt 96 10 $34,771.43 $34,771.43 $3,780.74 $34,771.43 $14,060.37 2025-03-25
PX-3611645 CDM Endovasc Repair Of Iliac Artery 96 10 $34,449.94 $34,449.94 $3,193.90 $34,449.94 $23,552.82 2025-03-25
PX-3611663 CDM Nsj Perq Vad W/Rs&I R Heart Venous Access 96 10 $34,449.94 $34,449.94 $934.77 $34,449.94 $12,524.86 2025-03-25
PX-3611665 CDM Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr 1st 96 10 $32,098.29 $32,098.29 $17,836.49 $32,098.29 $17,836.49 2025-03-25
PX-3611667 CDM Perq Njx Algc Cell&/Prdct Uni/Bi CT Lmbr 1st 96 10 $32,098.29 $32,098.29 $17,836.49 $32,098.29 $17,836.49 2025-03-25
PX-3611669 CDM Transrectal Abltj Mal Prst8 Tissue Hifu W/us 96 10 $21,051.53 $21,051.53 $7,068.00 $12,112.84 $12,112.84 2025-03-25
PX-3611671 CDM Destruct Growths Of Inter Organ Thru Skin 96 10 $22,354.76 $22,354.76 $13,166.26 $22,354.76 $13,166.26 2025-03-25
PX-3611672 CDM Destruct Growths Of Inter Organ Open Proc 96 10 $22,354.76 $22,354.76 $13,166.26 $22,354.76 $13,166.26 2025-03-25
PX-3611692 CDM Prim Art M-thrombc 1st Vsl Blt 96 10 $13,294.76 $13,294.76 $7,068.00 $13,866.94 $13,866.94 2025-03-25
PX-3611695 CDM Stent Place Pulm Artery One Side Body 96 10 $26,113.68 $26,113.68 $14,958.75 $26,113.68 $14,958.75 2025-03-25
PX-3611696 CDM Stent Place Pulm Arteries Both Sides Body 96 10 $26,113.68 $26,113.68 $14,958.75 $26,113.68 $14,958.75 2025-03-25
PX-4500811 CDM Vascular Embolization/Occlusion Bleed 96 10 $49,347.86 $49,347.86 $23,090.71 $23,090.71 $23,090.71 2025-03-25
PX-4800002 CDM Insert Electrode For Lv Pace To Pacer 80 10 $46,057.91 $46,057.91 $21,490.13 $21,490.13 $21,490.13 2025-03-25
PX-4800003 CDM Insert Electrode To New Cardio-defib 31 8 $46,057.91 $46,057.91 $46,057.91 $46,057.91 $46,057.91 2025-03-25
PX-4800037 CDM Perc Balloon Valvuloplasty, Mitral Valv 80 10 $26,113.68 $26,113.68 $14,958.75 $14,958.75 $14,958.75 2025-03-25
PX-4800038 CDM Perc Balloon Valvuloplasty, Pulm Valv 80 10 $26,113.68 $26,113.68 $14,958.75 $14,958.75 $14,958.75 2025-03-25
PX-4800046 CDM Pta Pulmonary Artery, Single Vessel 80 10 $26,113.68 $26,113.68 $14,958.75 $14,958.75 $14,958.75 2025-03-25
PX-4800047 CDM Pta Pulmonary Artery, Ea Addl Vessel 31 8 $26,113.68 $26,113.68 $26,113.68 $26,113.68 $26,113.68 2025-03-25
PX-4800087 CDM Perc Transluminal Coronary Thrombecty 31 8 $12,768.58 $12,768.58 $12,768.58 $12,768.58 $12,768.58 2025-03-25
PX-4800168 CDM Left Heart Cath By Transseptal Puncture 31 8 $12,089.16 $12,089.16 $12,089.16 $12,089.16 $12,089.16 2025-03-25
PX-4800171 CDM Inj Proc In Card Cath Supvalv Aortography 31 8 $11,816.97 $11,816.97 $11,816.97 $11,816.97 $11,816.97 2025-03-25
PX-4800216 CDM Ptca With Atherect Sgl Maj Coron Art-rc 80 10 $31,254.35 $31,254.35 $16,757.99 $16,757.99 $16,757.99 2025-03-25
PX-4800217 CDM Ptca With Atherect Sgl Maj Coron Art-ld 80 10 $31,254.35 $31,254.35 $16,757.99 $16,757.99 $16,757.99 2025-03-25
PX-4800218 CDM Ptca With Atherect Sgl Maj Coron Art-lc 80 10 $31,254.35 $31,254.35 $16,757.99 $16,757.99 $16,757.99 2025-03-25
PX-4800219 CDM Ptca With Atherect Sgl Maj Coron Art-lm 80 10 $31,254.35 $31,254.35 $16,757.99 $16,757.99 $16,757.99 2025-03-25
PX-4800220 CDM Ptca With Atherect Sgl Maj Coron Art-ri 80 10 $31,254.35 $31,254.35 $16,757.99 $16,757.99 $16,757.99 2025-03-25
PX-4800221 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-rc 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800222 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-ld 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800223 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-lc 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800224 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-lm 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800225 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-ri 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800226 CDM Perc Transcath Place Bare Metal Stnt(S) Sgl Art-rc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800227 CDM Perc Transcath Place Bare Metl Stnt(S) Sgl Art-ld 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800228 CDM Perc Transcath Place Bare Metl Stnt(S) Sgl Art-lc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800229 CDM Perc Transcath Place Bare Metl Stnt(S) Sgl Art-lm 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800230 CDM Perc Transcath Place Bare Metl Stnt(S) Sgl Art-ri 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800231 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-rc 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800232 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ld 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800233 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lc 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800234 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lm 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800235 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ri 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800236 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-rc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800237 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-ld 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800238 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-lc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800239 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-lm 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800240 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-ri 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800241 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-rc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800242 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-ld 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800243 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-lc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800244 CDM Perc Transcath Place Drug Elut Stnt(S)Ea Add Art-lm 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800245 CDM Perc Transcath Place Drug Elut Stnt(S)Ea Add Art-ri 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800256 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-rc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800257 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-ld 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800258 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-lc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800259 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-lm 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800260 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-ri 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800261 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-rc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800262 CDM Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ld 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800263 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800264 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lm 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800265 CDM Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ri 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800266 CDM Perc Translum Revasc Cabg Sgl Vess W/Bare Metl Stnt-rc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800267 CDM Perc Translum Revasc Cabg Sgl Vess W/Bare Metl Stnt-ld 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800268 CDM Perc Translum Revasc Cabg Sgl Vess W/Bare Metl Stnt-lc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800269 CDM Perc Translum Revasc Cabg Sgl Vess W/Bare Metl Stnt-lm 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800270 CDM Perc Translum Revasc Cabg Sgl Vess W/Bare Metl Stnt-ri 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800271 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt-rc 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800272 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt-ld 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800273 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt-lc 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800274 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt-lm 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800275 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt-ri 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800276 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-rc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800277 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-ld 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800278 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-lc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800279 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-lm 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800280 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-ri 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800281 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-rc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800282 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-ld 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800283 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-lc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800284 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-lm 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800285 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-ri 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800286 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Bare Metl Stnt-rc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800287 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Bare Metl Stnt-ld 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800288 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Bare Metl Stnt-lc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800289 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Bare Metl Stnt-lm 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800290 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Bare Metl Stnt-ri 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800291 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt-rc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800292 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt-ld 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800293 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt-lc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800294 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt-lm 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800295 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt-ri 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800296 CDM Perc Translum Revasc Chron Occl Sgl W/Bare Metl Stnt-rc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800297 CDM Perc Translum Revasc Chron Occl Sgl W/Bare Metl Stnt-ld 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800298 CDM Perc Translum Revasc Chron Occl Sgl W/Bare Metl Stnt-lc 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800299 CDM Perc Translum Revasc Chron Occl Sgl W/Bare Metl Stnt-lm 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800300 CDM Perc Translum Revasc Chron Occl Sgl W/Bare Metl Stnt-ri 80 10 $24,895.25 $24,895.25 $14,532.30 $14,532.30 $14,532.30 2025-03-25
PX-4800301 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-rc 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800302 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-ld 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800303 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-lc 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800304 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-lm 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800305 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-ri 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800306 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-rc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800307 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-ld 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800308 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-lc 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800309 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-lm 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800310 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-ri 31 8 $24,895.25 $24,895.25 $24,895.25 $24,895.25 $24,895.25 2025-03-25
PX-4800311 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-rc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800312 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ld 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800313 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800314 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lm 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800315 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ri 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800316 CDM Comp Ep Eval Ins/Repos Electrode Caths Sgl Atrial Focus 96 10 $44,303.68 $44,303.68 $3,371.16 $14,273.35 $14,273.35 2025-03-25
PX-4800317 CDM Comp Ep Eval Ins/Repos Electrode Caths Vent Ectopy Focus 96 10 $45,409.60 $45,409.60 $4,489.63 $14,832.58 $14,832.58 2025-03-25
PX-4800319 CDM Comprehensive Electrophysiologic Exam 96 10 $45,409.60 $45,409.60 $4,489.63 $14,832.58 $14,832.58 2025-03-25
PX-4800339 CDM Slct Cath Place Ea Intracranl Branch Intl Carotd/Vert Art-blt 31 8 $13,864.87 $13,864.87 $13,864.87 $13,864.87 $13,864.87 2025-03-25
PX-4800342 CDM Slct Cath Plc Ext Cartd Art W/Angio Ipsilat Ex Cartd-blt 31 8 $13,864.87 $13,864.87 $13,864.87 $13,864.87 $13,864.87 2025-03-25
PX-4800343 CDM Perc Translum Revasc Cabg Sgl Vess Without Stnt-rc 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800344 CDM Perc Translum Revasc Cabg Sgl Vess Without Stnt-ld 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800345 CDM Perc Translum Revasc Cabg Sgl Vess Without Stnt-lc 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800346 CDM Perc Translum Revasc Cabg Sgl Vess Without Stnt-lm 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800347 CDM Perc Translum Revasc Cabg Sgl Vess Without Stnt-ri 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800348 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-rc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800349 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-ld 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800350 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-lc 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800351 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-lm 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800352 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-ri 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800353 CDM Perc Translum Revasc Acut Occl In Mi Sgl Without Stnt-rc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800354 CDM Perc Translum Revasc Acut Occl In Mi Sgl Without Stnt-ld 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800355 CDM Perc Translum Revasc Acut Occl In Mi Sgl Without Stnt-lc 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800356 CDM Perc Translum Revasc Acut Occl In Mi Sgl Without Stnt-lm 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800357 CDM Perc Translum Revasc Acut Occl In Mi Sgl Without Stnt-ri 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800358 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-rc 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800359 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-ld 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800360 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-lc 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800361 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-lm 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800362 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-ri 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800363 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-rc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800364 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-ld 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800365 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-lc 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800366 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-lm 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800367 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-ri 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800402 CDM Insert Or Replace Perm Leadless Pacemaker 8 2 $19,758.41 $19,758.41 $19,758.41 $19,758.41 $19,758.41 2025-03-25
PX-4800412 CDM Removal&Rplcmt Wrls Card Stmltr W/New Eltrd 80 10 $56,133.08 $56,133.08 $25,016.44 $25,016.44 $25,016.44 2025-03-25
PX-4800432 CDM Pcta Ea Addtl Branch Maj Coron Art 31 8 $31,254.35 $31,254.35 $31,254.35 $31,254.35 $31,254.35 2025-03-25
PX-4800433 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art 80 10 $172,381.32 $172,381.32 $103,428.79 $103,428.79 $103,428.79 2025-03-25
PX-4800434 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800435 CDM Perc Translum Revasc Cabg Sgl Vess W/Drg Elut Stnt 80 10 $25,235.89 $25,235.89 $14,651.52 $14,651.52 $14,651.52 2025-03-25
PX-4800436 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt 31 8 $25,235.89 $25,235.89 $25,235.89 $25,235.89 $25,235.89 2025-03-25
PX-4800437 CDM Perc Translum Revasc Acut Occl In Mi Sgl W/Drg Elut Stnt 80 10 $24,895.25 $24,895.25 $1,656.50 $24,895.25 $13,275.88 2025-03-25
PX-4800438 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt 80 10 $32,931.20 $32,931.20 $17,344.88 $17,344.88 $17,344.88 2025-03-25
PX-4800439 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt 31 8 $32,931.20 $32,931.20 $32,931.20 $32,931.20 $32,931.20 2025-03-25
PX-4800455 CDM Repair Of Aorta Insert Stent Major Branch 25 6 $34,449.94 $34,449.94 $34,449.94 $34,449.94 $34,449.94 2025-03-25
PX-4800456 CDM Repair Of Aorta Insert Stent Not Major Branch 25 6 $34,449.94 $34,449.94 $34,449.94 $34,449.94 $34,449.94 2025-03-25
PX-4800457 CDM Balloon Dilation Of Heart Blood Vessel 25 6 $34,449.94 $34,449.94 $34,449.94 $34,449.94 $34,449.94 2025-03-25
PX-5100477 CDM Laminotomy W Decompress 1 Intrspace Lumbar 96 10 $32,544.00 $32,544.00 $6,644.05 $15,055.92 $15,055.92 2025-03-25
PX-5100480 CDM Laminotomy W Decompress Ea Addtl Intrspace Cerv/Lumb 96 10 $32,544.00 $32,544.00 $1,373.52 $32,544.00 $12,077.16 2025-03-25
PX-5100675 CDM Perq Vertebral Augmentation, 1 Vert; Thoracic 96 10 $25,124.54 $25,124.54 $16,227.79 $49,156.36 $16,227.79 2025-03-25
PX-5100677 CDM Perq Vertebral Augmentation, Ea Addl 96 10 $25,124.54 $25,124.54 $25,124.54 $29,690.06 $25,124.54 2025-03-25
PX-5100934 CDM Nasal Scopy,Repair Csf Leak, Sphenoid 96 10 $15,220.23 $15,220.23 $3,080.17 $15,220.23 $11,627.16 2025-03-25
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