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

HOLY CROSS HOSPITAL

Chicago, IL · CCN 140133 · Rates published

11,861 distinct procedures filed
40 distinct payers
1,560,810 rate rows
2025-02-21 last MRF observed · ⚠ 16 mo old
Data quality

1,543,518 of 1,560,810 rate rows are consumer-grade (98.9%)

17,292 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,376
placeholder amount (≤ $0.02) — excluded from medians 792
exceeds 10× this hospital's gross charge — excluded from medians 124

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old.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/hchstandardcharges/362170133_HCH_HOLY%20CROSS%20HOSPITAL_standardcharges.csv
Found on page https://www.sinaichicago.org/en/patients-visitors/pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint e2e1a82a95fc2679… · 346,246,506 bytes · first seen 2026-05-09

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-4800235
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ri 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
PX-4800234
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lm 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
PX-4800231
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-rc 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
PX-4800433
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
PX-4800233
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lc 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
PX-4800232
CDM 		Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ld 39 $112,047.86 $112,047.86 $112,047.86 nat. median
$112,048
1.0× median
RX-103729
CDM 		Ipilimumab 200 Mg/40ml IV Soln 39 $73,931.37 $73,931.37 $73,931.37 nat. median
$73,931
1.0× median
RX-31432
CDM 		Digoxin Immune Fab 40 Mg IV Solr 39 $72,940.75 $72,940.75 $72,940.75 nat. median
$21,713
outlier · 3.4×
RX-10000222
CDM 		Inotuzumab Ozogamicin 0.9 Mg IV Solr 39 $69,689.74 $69,689.74 $69,689.74 nat. median
$69,690
1.0× median
PX-3610209
CDM 		Insert/Replace Perm Icd W/Leads Sgl/Dual 39 $69,343.29 $69,343.29 $69,343.29 nat. median
$69,343
1.0× median
PX-4800007
CDM 		Insert/Rep Lead & Ins Gen For Sgl Chm Icd 39 $69,343.29 $69,343.29 $69,343.29 nat. median
$69,343
1.0× median
PX-3611152
CDM 		Insert/Replace Perm Subq Implantable Defib 39 $65,451.53 $65,451.53 $65,451.53 nat. median
$65,452
1.0× median
PX-3610245
CDM 		Direct Repair Anur,Ruptured Aaa,Iliac Ves-blt 39 $5,827.19 $68,899.89 $62,009.90 nat. median
$41,945
1.5× median
RX-135321
CDM 		Ocrelizumab 300 Mg/10ml IV Soln 39 $60,830.12 $60,830.12 $60,830.12 nat. median
$60,830
1.0× median
PX-4800368
CDM 		Repair Of Heart Wound 39 $6,339.77 $67,170.73 $60,453.65 nat. median
$60,454
1.0× median
PX-3610855
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Blt 39 $59,797.64 $59,797.64 $59,797.64 nat. median
$59,798
1.0× median
PX-3610843
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Blt 39 $59,797.64 $59,797.64 $59,797.64 nat. median
$59,798
1.0× median
PX-3610914
CDM 		Remove/Replace Icd Puls Gen Mult Lead 39 $59,610.26 $59,610.26 $59,610.26 nat. median
$59,610
1.0× median
PX-3610911
CDM 		Insert Icd Pulse Gen Only Exist Mult Lead 39 $59,610.26 $59,610.26 $59,610.26 nat. median
$59,610
1.0× median
PX-3610861
CDM 		Revasc Tib/Peroneal Art W Atherect - Blt 39 $55,634.30 $69,542.87 $55,634.30 nat. median
$55,634
1.0× median
PX-3610940
CDM 		Remove/Replace Icd Puls Gen Sngl Lead 39 $54,676.51 $54,676.51 $54,676.51 nat. median
$54,677
1.0× median
PX-3610910
CDM 		Insert Icd Pulse Gen Only Exist Dual Lead 39 $54,676.51 $54,676.51 $54,676.51 nat. median
$54,677
1.0× median
PX-3610913
CDM 		Remove/Replace Icd Puls Gen Dual Lead 39 $54,676.51 $54,676.51 $54,676.51 nat. median
$54,677
1.0× median
PX-4800006
CDM 		Insert Single Chamber Icd Generator 39 $54,676.51 $54,676.51 $54,676.51 nat. median
$54,677
1.0× median
PX-3610206
CDM 		Insert Icd Pulse Gen Only With Exist Sgl Lead 39 $54,676.51 $54,676.51 $54,676.51 nat. median
$49,282
1.1× median
RX-123536
CDM 		Ustekinumab 90 Mg/ml Sc Sosy 39 $52,928.29 $52,928.29 $52,928.29 nat. median
$52,928
1.0× median
PX-4800447
CDM 		Insert/Replace Cardiac Modulator System 39 $48,014.22 $48,014.22 $48,014.22 nat. median
$48,014
1.0× median
PX-5100632
CDM 		Ins/Rep Spinal Neurostim Gen Or Receiver 39 $44,525.06 $44,525.06 $44,525.06 nat. median
$44,525
1.0× median
PX-4800406
CDM 		Implant Wireless Pulm Artery Press Sensor 39 $41,455.15 $41,455.15 $41,455.15 nat. median
$41,455
1.0× median
RX-141527
CDM 		Pertuz-trastuz-hyaluron-zzxf 80-40-2000 Mg-mg-u/ml Sc Soln 39 $40,818.88 $40,818.88 $40,818.88 nat. median
$40,819
1.0× median
RX-148667
CDM 		Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 39 $39,541.98 $39,541.98 $39,541.98 nat. median
$39,542
1.0× median
RX-147419
CDM 		Ropeginterferon Alfa-2b-njft 500 Mcg/ml Sc Sosy 39 $37,519.44 $46,899.30 $37,519.44 nat. median
$37,519
1.0× median
PX-3610849
CDM 		Revasc Tib/Peroneal Art W Atherectomy - Blt 39 $37,030.93 $37,030.93 $37,030.93 nat. median
$37,031
1.0× median
PX-3610852
CDM 		Revasc Tib/Peroneal Art W Stent Place - Blt 39 $37,030.93 $37,030.93 $37,030.93 nat. median
$30,840
1.2× median
PX-3610837
CDM 		Revasc Fem/Pop Art W Atherectomy- Blt 39 $37,030.93 $37,030.93 $37,030.93 nat. median
$37,031
1.0× median
RX-100007
CDM 		Cabazitaxel 60 Mg/1.5ml IV Soln 39 $36,910.52 $36,910.52 $36,910.52 nat. median
$36,911
1.0× median
PX-3610242
CDM 		Direct Repair Anur,pseudo,aaa,iliac-blt 39 $4,905.04 $68,899.89 $36,902.46 nat. median
$36,902
1.0× median
PX-3610792
CDM 		Insert Electrode To New Cardio-defib 39 $36,846.33 $46,057.91 $36,846.33 nat. median
$36,846
1.0× median
PX-4800003
CDM 		Insert Electrode To New Cardio-defib 39 $36,846.33 $46,057.91 $36,846.33 nat. median
$36,846
1.0× median
RX-138392
CDM 		Luspatercept-aamt 75 Mg Sc Solr 39 $36,676.75 $36,676.75 $36,676.75 nat. median
$36,677
1.0× median
PX-3610829
CDM 		Revasc Iliac Artery Unilat With Stent Plcmnt - Blt 39 $34,590.30 $34,590.30 $34,590.30 nat. median
$34,512
1.0× median
PX-3611565
CDM 		Revasc Tib/Peroneal Art W Stent/atherect-blt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3610841
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Rt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3610842
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy - Lt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3610853
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Rt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3610854
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect - Lt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3611556
CDM 		Revasc Fem/Pop Art W Stent/Atherectomy 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3611557
CDM 		Revasc Fem/Pop Art W Stent/atherectomy-blt 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-3611564
CDM 		Revasc Tib/Peroneal Art W Stent/Atherect 39 $34,505.71 $34,505.71 $34,505.71 nat. median
$34,506
1.0× median
PX-4800407
CDM 		Insert Wrls Card Stmltr Lv Pacng Comp Sys 39 $33,970.60 $33,970.60 $33,970.60 nat. median
$33,971
1.0× median

Other procedures at this hospital

Browse this hospital's 11,861 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-4800232 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ld 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
PX-4800233 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lc 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
PX-4800235 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-ri 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
PX-4800234 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-lm 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
PX-4800433 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
PX-4800231 CDM Perc Transcath Place Drug Elut Stnt(S) Sgl Art-rc 132 39 $172,381.32 $172,381.32 $112,047.86 $112,047.86 $112,047.86 2025-02-21
RX-103729 CDM Ipilimumab 200 Mg/40ml IV Soln 132 39 $223,705.05 $223,705.05 $73,931.37 $73,931.37 $73,931.37 2025-02-21
RX-31432 CDM Digoxin Immune Fab 40 Mg IV Solr 132 39 $150,664.50 $150,664.50 $72,940.75 $72,940.75 $72,940.75 2025-02-21
RX-10000222 CDM Inotuzumab Ozogamicin 0.9 Mg IV Solr 132 39 $144,320.40 $144,320.40 $69,689.74 $69,689.74 $69,689.74 2025-02-21
PX-4800007 CDM Insert/Rep Lead & Ins Gen For Sgl Chm Icd 132 39 $132,230.43 $132,230.43 $69,343.29 $69,343.29 $69,343.29 2025-02-21
PX-3610209 CDM Insert/Replace Perm Icd W/Leads Sgl/Dual 132 39 $132,230.43 $132,230.43 $69,343.29 $69,343.29 $69,343.29 2025-02-21
PX-3611152 CDM Insert/Replace Perm Subq Implantable Defib 132 39 $122,501.03 $122,501.03 $65,451.53 $65,451.53 $65,451.53 2025-02-21
PX-3610245 CDM Direct Repair Anur,Ruptured Aaa,Iliac Ves-blt 132 39 $68,899.89 $68,899.89 $5,827.19 $68,899.89 $62,009.90 2025-02-21
RX-135321 CDM Ocrelizumab 300 Mg/10ml IV Soln 132 39 $130,038.05 $130,038.05 $60,830.12 $60,830.12 $60,830.12 2025-02-21
PX-4800368 CDM Repair Of Heart Wound 132 39 $67,170.73 $67,170.73 $6,339.77 $67,170.73 $60,453.65 2025-02-21
PX-3610843 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Blt 132 39 $126,459.68 $126,459.68 $59,797.64 $59,797.64 $59,797.64 2025-02-21
PX-3610855 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Blt 132 39 $126,459.68 $126,459.68 $59,797.64 $59,797.64 $59,797.64 2025-02-21
PX-3610914 CDM Remove/Replace Icd Puls Gen Mult Lead 132 39 $107,897.86 $107,897.86 $59,610.26 $59,610.26 $59,610.26 2025-02-21
PX-3610911 CDM Insert Icd Pulse Gen Only Exist Mult Lead 132 39 $107,897.86 $107,897.86 $59,610.26 $59,610.26 $59,610.26 2025-02-21
PX-3610861 CDM Revasc Tib/Peroneal Art W Atherect - Blt 132 39 $69,542.87 $69,542.87 $55,634.30 $69,542.87 $55,634.30 2025-02-21
PX-3610940 CDM Remove/Replace Icd Puls Gen Sngl Lead 132 39 $107,897.86 $107,897.86 $54,676.51 $54,676.51 $54,676.51 2025-02-21
PX-3610910 CDM Insert Icd Pulse Gen Only Exist Dual Lead 132 39 $107,897.86 $107,897.86 $54,676.51 $54,676.51 $54,676.51 2025-02-21
PX-3610206 CDM Insert Icd Pulse Gen Only With Exist Sgl Lead 132 39 $107,897.86 $107,897.86 $54,676.51 $54,676.51 $54,676.51 2025-02-21
PX-4800006 CDM Insert Single Chamber Icd Generator 132 39 $107,897.86 $107,897.86 $54,676.51 $54,676.51 $54,676.51 2025-02-21
PX-3610913 CDM Remove/Replace Icd Puls Gen Dual Lead 132 39 $107,897.86 $107,897.86 $54,676.51 $54,676.51 $54,676.51 2025-02-21
RX-123536 CDM Ustekinumab 90 Mg/ml Sc Sosy 132 39 $183,654.20 $183,654.20 $52,928.29 $52,928.29 $52,928.29 2025-02-21
PX-4800447 CDM Insert/Replace Cardiac Modulator System 132 39 $78,907.78 $78,907.78 $48,014.22 $48,014.22 $48,014.22 2025-02-21
PX-5100632 CDM Ins/Rep Spinal Neurostim Gen Or Receiver 132 39 $72,221.87 $72,221.87 $44,525.06 $44,525.06 $44,525.06 2025-02-21
PX-4800406 CDM Implant Wireless Pulm Artery Press Sensor 132 39 $67,170.73 $67,170.73 $41,455.15 $41,455.15 $41,455.15 2025-02-21
RX-141527 CDM Pertuz-trastuz-hyaluron-zzxf 80-40-2000 Mg-mg-u/ml Sc Soln 132 39 $87,674.20 $87,674.20 $40,818.88 $40,818.88 $40,818.88 2025-02-21
RX-148667 CDM Nivolumab-relatlimab-rmbw 240-80 Mg/20ml IV Soln 132 39 $79,468.55 $79,468.55 $39,541.98 $39,541.98 $39,541.98 2025-02-21
RX-147419 CDM Ropeginterferon Alfa-2b-njft 500 Mcg/ml Sc Sosy 132 39 $46,899.30 $46,899.30 $37,519.44 $46,899.30 $37,519.44 2025-02-21
PX-3610837 CDM Revasc Fem/Pop Art W Atherectomy- Blt 132 39 $69,542.87 $69,542.87 $37,030.93 $37,030.93 $37,030.93 2025-02-21
PX-3610852 CDM Revasc Tib/Peroneal Art W Stent Place - Blt 132 39 $69,542.87 $69,542.87 $37,030.93 $37,030.93 $37,030.93 2025-02-21
PX-3610849 CDM Revasc Tib/Peroneal Art W Atherectomy - Blt 132 39 $69,542.87 $69,542.87 $37,030.93 $37,030.93 $37,030.93 2025-02-21
RX-100007 CDM Cabazitaxel 60 Mg/1.5ml IV Soln 132 39 $75,469.55 $75,469.55 $36,910.52 $36,910.52 $36,910.52 2025-02-21
PX-3610242 CDM Direct Repair Anur,pseudo,aaa,iliac-blt 132 39 $68,899.89 $68,899.89 $4,905.04 $68,899.89 $36,902.46 2025-02-21
PX-3610792 CDM Insert Electrode To New Cardio-defib 132 39 $46,057.91 $46,057.91 $36,846.33 $46,057.91 $36,846.33 2025-02-21
PX-4800003 CDM Insert Electrode To New Cardio-defib 132 39 $46,057.91 $46,057.91 $36,846.33 $46,057.91 $36,846.33 2025-02-21
RX-138392 CDM Luspatercept-aamt 75 Mg Sc Solr 132 39 $76,213.75 $76,213.75 $36,676.75 $36,676.75 $36,676.75 2025-02-21
PX-3610829 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Blt 132 39 $71,928.35 $71,928.35 $34,590.30 $34,590.30 $34,590.30 2025-02-21
PX-3610854 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Lt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3610842 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Lt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3611556 CDM Revasc Fem/Pop Art W Stent/Atherectomy 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3610841 CDM Revasc Fem/Pop Art W Stent/Atherectomy - Rt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3611564 CDM Revasc Tib/Peroneal Art W Stent/Atherect 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3611565 CDM Revasc Tib/Peroneal Art W Stent/atherect-blt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3611557 CDM Revasc Fem/Pop Art W Stent/atherectomy-blt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-3610853 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Rt 132 39 $63,229.84 $63,229.84 $34,505.71 $34,505.71 $34,505.71 2025-02-21
PX-4800407 CDM Insert Wrls Card Stmltr Lv Pacng Comp Sys 132 39 $56,133.08 $56,133.08 $33,970.60 $33,970.60 $33,970.60 2025-02-21
RX-131132 CDM Atezolizumab 1200 Mg/20ml IV Soln 132 39 $70,886.45 $70,886.45 $33,647.96 $33,647.96 $33,647.96 2025-02-21
PX-3610840 CDM Revasc Fem/Pop Art W Stent Plcmnt - Blt 132 39 $69,542.87 $69,542.87 $33,636.11 $33,636.11 $33,636.11 2025-02-21
PX-3610867 CDM Revasc Tib/Peroneal Art W Stent/Atherect - Blt 132 39 $41,120.95 $41,120.95 $32,896.76 $41,120.95 $32,896.76 2025-02-21
PX-3610864 CDM Revasc Tib/Peroneal Art W Stent/Angiopl - Blt 132 39 $41,120.95 $41,120.95 $32,896.76 $41,120.95 $32,896.76 2025-02-21
PX-3610858 CDM Revasc Tib/Peroneal Art Ea Addtl - Blt 132 39 $41,120.95 $41,120.95 $32,896.76 $41,120.95 $32,896.76 2025-02-21
RX-106608 CDM Brentuximab Vedotin 50 Mg IV Solr 132 39 $64,123.20 $64,123.20 $31,872.53 $31,872.53 $31,872.53 2025-02-21
RX-10005099 CDM Cemiplimab-rwlc 350 Mg/7ml IV Soln 132 39 $66,822.60 $66,822.60 $31,665.09 $31,665.09 $31,665.09 2025-02-21
RX-140809 CDM Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln 132 39 $66,602.75 $66,602.75 $31,265.84 $31,265.84 $31,265.84 2025-02-21
PX-3610246 CDM Direct Repair Of Aneurysm Femoral Artery 132 39 $34,449.94 $34,449.94 $2,861.88 $34,449.94 $31,004.94 2025-02-21
PX-4800203 CDM Remove Vad; Extracorporeal Single Ventricle 132 39 $34,449.94 $34,449.94 $2,898.70 $34,449.94 $31,004.94 2025-02-21
PX-4800393 CDM Infrarenal Aorta Repair No Rupture 132 39 $34,449.94 $34,449.94 $3,223.08 $34,449.94 $31,004.94 2025-02-21
PX-4800455 CDM Repair Of Aorta Insert Stent Major Branch 132 39 $34,449.94 $34,449.94 $31,004.94 $34,449.94 $31,004.94 2025-02-21
PX-3611355 CDM Infrarenal Aorta Repair No Rupture 132 39 $34,449.94 $34,449.94 $3,223.08 $34,449.94 $31,004.94 2025-02-21
PX-4800201 CDM Insert Vad; Extracorporeal,Single Ventricle 132 39 $34,449.94 $34,449.94 $3,376.09 $34,449.94 $31,004.94 2025-02-21
PX-4800456 CDM Repair Of Aorta Insert Stent Not Major Branch 132 39 $34,449.94 $34,449.94 $31,004.94 $34,449.94 $31,004.94 2025-02-21
PX-3610214 CDM Endo Plc Prothesis Rpr Thoracic Aorta 132 39 $34,449.94 $34,449.94 $2,885.57 $34,449.94 $31,004.94 2025-02-21
PX-4800457 CDM Balloon Dilation Of Heart Blood Vessel 132 39 $34,449.94 $34,449.94 $31,004.94 $34,449.94 $31,004.94 2025-02-21
PX-3610236 CDM Open Brach Art Infraren Aor/Iliac Prosth 132 39 $34,449.94 $34,449.94 $340.20 $34,449.94 $31,004.94 2025-02-21
PX-3611645 CDM Endovasc Repair Of Iliac Artery 132 39 $34,449.94 $34,449.94 $3,193.90 $34,449.94 $31,004.94 2025-02-21
PX-3610284 CDM Bypass Graft Harvest-non-vein-ilioiliac 132 39 $34,449.94 $34,449.94 $3,179.79 $34,449.94 $31,004.94 2025-02-21
PX-3610970 CDM Tavr/Tavi W/Pros Valve, Open Fem Art Appr 132 39 $34,449.94 $34,449.94 $3,416.11 $34,449.94 $31,004.94 2025-02-21
PX-3611361 CDM Endovascular Repair Iliac Artery No Rupt 132 39 $34,449.94 $34,449.94 $3,027.86 $34,449.94 $31,004.94 2025-02-21
PX-3610969 CDM Tavr/Tavi W/Pros Valve, Perc Fem Art Appr 132 39 $34,449.94 $34,449.94 $3,134.83 $34,449.94 $31,004.94 2025-02-21
PX-4800317 CDM Comp Ep Eval Ins/Repos Electrode Caths Vent Ectopy Focus 132 39 $45,409.60 $45,409.60 $30,751.61 $30,751.61 $30,751.61 2025-02-21
PX-4800319 CDM Comprehensive Electrophysiologic Exam 132 39 $45,409.60 $45,409.60 $30,751.61 $30,751.61 $30,751.61 2025-02-21
PX-4800316 CDM Comp Ep Eval Ins/Repos Electrode Caths Sgl Atrial Focus 132 39 $44,303.68 $44,303.68 $30,309.24 $30,309.24 $30,309.24 2025-02-21
PX-3611304 CDM Dialysis Circuit Clot Rmvl,balloon,stent-lt 132 39 $50,363.79 $50,363.79 $29,359.29 $29,359.29 $29,359.29 2025-02-21
PX-3611538 CDM Dialysis Circuit Clot Rmvl,Balloon,Stent 132 39 $50,363.79 $50,363.79 $29,359.29 $29,359.29 $29,359.29 2025-02-21
PX-3611303 CDM Dialysis Circuit Clot Rmvl,balloon,stent-rt 132 39 $50,363.79 $50,363.79 $29,359.29 $29,359.29 $29,359.29 2025-02-21
RX-122085 CDM Vedolizumab 300 Mg IV Solr 132 39 $64,920.35 $64,920.35 $29,218.64 $29,218.64 $29,218.64 2025-02-21
PX-4800412 CDM Removal&Rplcmt Wrls Card Stmltr W/New Eltrd 132 39 $56,133.08 $56,133.08 $27,823.10 $27,823.10 $27,823.10 2025-02-21
PX-3610859 CDM Revasc Tib/Peroneal Art W Atherect - Rt 132 39 $34,771.43 $34,771.43 $27,817.14 $34,771.43 $27,817.14 2025-02-21
PX-3610860 CDM Revasc Tib/Peroneal Art W Atherect - Lt 132 39 $34,771.43 $34,771.43 $27,817.14 $34,771.43 $27,817.14 2025-02-21
PX-3611569 CDM Revasc Tib/Peroneal Art W Atherect-blt 132 39 $34,771.43 $34,771.43 $27,817.14 $34,771.43 $27,817.14 2025-02-21
PX-3611568 CDM Revasc Tib/Peroneal Art W Atherect 132 39 $34,771.43 $34,771.43 $27,817.14 $34,771.43 $27,817.14 2025-02-21
PX-3611154 CDM Transcath Mitral Valve Repair; Addl Prosthesis 132 39 $34,449.94 $34,449.94 $27,559.95 $34,449.94 $27,559.95 2025-02-21
RX-141526 CDM Pertuz-trastuz-hyaluron-zzxf 60-60-2000 Mg-mg-u/ml Sc Soln 132 39 $58,447.10 $58,447.10 $27,211.64 $27,211.64 $27,211.64 2025-02-21
RX-9002 CDM Alteplase 100 Mg IV Solr 128 38 $55,442.30 $55,442.30 $26,750.97 $26,750.97 $26,750.97 2025-02-21
PX-4800263 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800364 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-ld 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800313 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800265 CDM Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ri 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800262 CDM Perc Translum Atherect W/Drug Elut Stnt Ea Add Maj Art-ld 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800311 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-rc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800365 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-lc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800366 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-lm 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800439 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800367 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-ri 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800261 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-rc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800363 CDM Perc Translum Revasc Chron Occl Ea Add Without Stnt-rc 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800314 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-lm 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800312 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ld 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800315 CDM Perc Translum Revasc Chron Occl Ea Add W/Drg Elut Stnt-ri 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-4800264 CDM Perc Translum Atherect W/Drg Elut Stnt Ea Add Maj Art-lm 132 39 $32,931.20 $32,931.20 $26,344.96 $32,931.20 $26,344.96 2025-02-21
PX-3611328 CDM Close Valve Leak-1st Device-aortic 132 39 $42,256.90 $42,256.90 $26,116.53 $26,116.53 $26,116.53 2025-02-21
PX-3611327 CDM Close Valve Leak-1st Device-mitral 132 39 $42,256.90 $42,256.90 $26,116.53 $26,116.53 $26,116.53 2025-02-21
PX-4800370 CDM Perc Transcath Closure Patent Ductus Arteri 132 39 $42,256.90 $42,256.90 $26,116.53 $26,116.53 $26,116.53 2025-02-21
PX-4800075 CDM Perc Trans Clos-cong Vent Def 132 39 $42,256.90 $42,256.90 $26,116.53 $26,116.53 $26,116.53 2025-02-21
PX-4800074 CDM Asd Septal Defect Occluder 132 39 $42,256.90 $42,256.90 $26,116.53 $26,116.53 $26,116.53 2025-02-21
PX-5100480 CDM Laminotomy W Decompress Ea Addtl Intrspace Cerv/Lumb 132 39 $32,544.00 $32,544.00 $26,035.20 $32,544.00 $26,035.20 2025-02-21
PX-4500811 CDM Vascular Embolization/Occlusion Bleed 132 39 $49,347.86 $49,347.86 $25,558.10 $25,558.10 $25,558.10 2025-02-21
RX-119927 CDM Obinutuzumab 1000 Mg/40ml IV Soln 132 39 $54,260.25 $54,260.25 $25,445.45 $25,445.45 $25,445.45 2025-02-21
PX-4800224 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-lm 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
PX-4800221 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-rc 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
PX-4800222 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-ld 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
PX-4800225 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-ri 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
PX-4800223 CDM Ptca With Atherect Ea Add Brnch Maj Coron Art-lc 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
PX-4800432 CDM Pcta Ea Addtl Branch Maj Coron Art 132 39 $31,254.35 $31,254.35 $25,003.48 $31,254.35 $25,003.48 2025-02-21
RX-78785 CDM Lanreotide Acetate 120 Mg/0.5ml Sc Soln 128 38 $56,023.75 $56,023.75 $24,250.42 $24,250.42 $24,250.42 2025-02-21
PX-3610791 CDM Insert Electrode For Lv Pace To Pacer 132 39 $46,057.91 $46,057.91 $23,793.03 $23,793.03 $23,793.03 2025-02-21
PX-4800002 CDM Insert Electrode For Lv Pace To Pacer 132 39 $46,057.91 $46,057.91 $23,793.03 $23,793.03 $23,793.03 2025-02-21
RX-10006880 CDM Atezolizumab 840 Mg/14ml IV Soln 132 39 $49,620.55 $49,620.55 $23,553.58 $23,553.58 $23,553.58 2025-02-21
PX-3611044 CDM Vascular Embolization/Occlusion Arterial 132 39 $35,679.12 $35,679.12 $23,485.42 $23,485.42 $23,485.42 2025-02-21
RX-103728 CDM Ipilimumab 50 Mg/10ml IV Soln 132 39 $46,658.60 $46,658.60 $23,164.72 $23,164.72 $23,164.72 2025-02-21
PX-3610850 CDM Revasc Tib/Peroneal Art W Stent Place - Rt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611552 CDM Revasc Fem/Pop Art W Atherectomy 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611560 CDM Revasc Tib/Peroneal Art W Atherectomy 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611563 CDM Revasc Tib/Peroneal Art W Stent Place-blt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3610835 CDM Revasc Fem/Pop Art W Atherectomy- Rt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3610847 CDM Revasc Tib/Peroneal Art W Atherectomy - Rt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611561 CDM Revasc Tib/Peroneal Art W Atherectomy-blt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3610851 CDM Revasc Tib/Peroneal Art W Stent Place - Lt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3610848 CDM Revasc Tib/Peroneal Art W Atherectomy - Lt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3610836 CDM Revasc Fem/Pop Art W Atherectomy- Lt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611553 CDM Revasc Fem/Pop Art W Atherectom-blt 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-3611562 CDM Revasc Tib/Peroneal Art W Stent Place 132 39 $34,771.43 $34,771.43 $23,122.35 $23,122.35 $23,122.35 2025-02-21
PX-4800243 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-lc 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800242 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-ld 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800244 CDM Perc Transcath Place Drug Elut Stnt(S)Ea Add Art-lm 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800245 CDM Perc Transcath Place Drug Elut Stnt(S)Ea Add Art-ri 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800434 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800241 CDM Perc Transcath Place Drug Elut Stnt(S) Ea Add Art-rc 132 39 $25,235.89 $25,235.89 $22,712.30 $25,235.89 $22,712.30 2025-02-21
PX-4800443 CDM Revasc Lithotrip-stent-ather 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-4800461 CDM Revascularization, Tib/per, W Ivl & Ather 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-4800442 CDM Revasc Intra Lithotrip-ather 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-4800462 CDM Revascularize, Tib/per, W Ivl,Stent & Ath 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-4800441 CDM Revasc Intra Lithotrip-stent 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-4800460 CDM Revascularization, Tib/per, W Ivl & Stent 132 39 $33,624.10 $33,624.10 $22,663.42 $22,663.42 $22,663.42 2025-02-21
PX-3610909 CDM Remove/Replace Packemaker Puls Gen Mult Lead 132 39 $32,140.57 $32,140.57 $22,641.83 $22,641.83 $22,641.83 2025-02-21
PX-3610906 CDM Insert Pacemaker Puls Gen Only Exist Mlt Leads 132 39 $32,140.57 $32,140.57 $22,641.83 $22,641.83 $22,641.83 2025-02-21
PX-3610192 CDM Ins New Or Replace Perm Pacemkr Atrial&Vent 132 39 $43,149.53 $43,149.53 $22,629.67 $22,629.67 $22,629.67 2025-02-21
PX-3610196 CDM Upgrd Implt Pmkr Single To Dual 132 39 $43,149.53 $43,149.53 $22,629.67 $22,629.67 $22,629.67 2025-02-21
PX-4800238 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-lc 132 39 $24,895.25 $24,895.25 $22,405.72 $24,895.25 $22,405.72 2025-02-21
PX-4800239 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-lm 132 39 $24,895.25 $24,895.25 $22,405.72 $24,895.25 $22,405.72 2025-02-21
PX-4800236 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-rc 132 39 $24,895.25 $24,895.25 $22,405.72 $24,895.25 $22,405.72 2025-02-21
PX-4800240 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-ri 132 39 $24,895.25 $24,895.25 $22,405.72 $24,895.25 $22,405.72 2025-02-21
PX-4800237 CDM Perc Transcath Place Bare Metl Stnt(S) Ea Add Art-ld 132 39 $24,895.25 $24,895.25 $22,405.72 $24,895.25 $22,405.72 2025-02-21
PX-4800252 CDM Perc Translum Atherect W/Drug Elut Stnt Sgl Maj Art-ld 132 39 $32,931.20 $32,931.20 $22,386.26 $22,386.26 $22,386.26 2025-02-21
PX-4800254 CDM Perc Translum Atherect W/Drug Elut Stnt Sgl Maj Art-lm 132 39 $32,931.20 $32,931.20 $22,386.26 $22,386.26 $22,386.26 2025-02-21
PX-4800251 CDM Perc Translum Atherect W/Drug Elut Stnt Sgl Maj Art-rc 132 39 $32,931.20 $32,931.20 $22,386.26 $22,386.26 $22,386.26 2025-02-21
PX-4800255 CDM Perc Translum Atherect W/Drug Elut Stnt Sgl Maj Art-ri 132 39 $32,931.20 $32,931.20 $22,386.26 $22,386.26 $22,386.26 2025-02-21
PX-4800253 CDM Perc Translum Atherect W/Drug Elut Stnt Sgl Maj Art-lc 132 39 $32,931.20 $32,931.20 $22,386.26 $22,386.26 $22,386.26 2025-02-21
PX-3610846 CDM Revasc Tib/Peroneal Art Initial Vessel - Blt 132 39 $41,120.95 $41,120.95 $22,267.34 $22,267.34 $22,267.34 2025-02-21
RX-121665 CDM Ramucirumab 500 Mg/50ml IV Soln 132 39 $46,347.80 $46,347.80 $22,184.72 $22,184.72 $22,184.72 2025-02-21
RX-21108 CDM Leuprolide Acetate (4 Month) 30 Mg IM Kit 132 39 $54,086.80 $54,086.80 $21,996.31 $21,996.31 $21,996.31 2025-02-21
RX-103269 CDM Panitumumab 400 Mg/20ml IV Soln 132 39 $45,653.60 $45,653.60 $21,575.70 $21,575.70 $21,575.70 2025-02-21
RX-28530 CDM Tenecteplase 50 Mg IV Kit 132 39 $43,646.05 $43,646.05 $21,519.19 $21,519.19 $21,519.19 2025-02-21
RX-141225 CDM Lurbinectedin 4 Mg IV Solr 132 39 $42,626.20 $42,626.20 $21,148.46 $21,148.46 $21,148.46 2025-02-21
PX-3611376 CDM Opn Ax/Subcla Art Expos Cndt 132 39 $26,113.68 $26,113.68 $20,890.94 $26,113.68 $20,890.94 2025-02-21
PX-3611380 CDM Opn Ax/Subcla Art Expos 132 39 $26,113.68 $26,113.68 $20,890.94 $26,113.68 $20,890.94 2025-02-21
PX-3611378 CDM Perq Access & Clsr Fem Art 132 39 $26,113.68 $26,113.68 $20,890.94 $26,113.68 $20,890.94 2025-02-21
PX-3611379 CDM Opn Fem Art Expos Cndt Crt J 132 39 $26,113.68 $26,113.68 $20,890.94 $26,113.68 $20,890.94 2025-02-21
PX-4800047 CDM Pta Pulmonary Artery, Ea Addl Vessel 132 39 $26,113.68 $26,113.68 $20,890.94 $26,113.68 $20,890.94 2025-02-21
RX-24436 CDM Octreotide Acetate 30 Mg IM Kit 132 39 $43,549.15 $43,549.15 $20,695.22 $20,695.22 $20,695.22 2025-02-21
PX-3611049 CDM Transcath Place Stent Open/Perq Initial Vein 132 39 $36,796.83 $36,796.83 $20,537.69 $20,537.69 $20,537.69 2025-02-21
PX-3611047 CDM Transcath Place Stent Open/Perq Initial Artery 132 39 $36,796.83 $36,796.83 $20,537.69 $20,537.69 $20,537.69 2025-02-21
PX-3610872 CDM Atherectomy Inc Rad S & I Iliac Art Ea 132 39 $27,672.90 $27,672.90 $20,282.94 $20,282.94 $20,282.94 2025-02-21
RX-10001745 CDM Nivolumab 240 Mg/24ml IV Soln 132 39 $40,930.30 $40,930.30 $20,247.64 $20,247.64 $20,247.64 2025-02-21
PX-3611549 CDM Revasc Iliac Artery Unilat With Stent Plcmnt-blt 132 39 $35,964.18 $35,964.18 $20,204.63 $20,204.63 $20,204.63 2025-02-21
PX-3611548 CDM Revasc Iliac Artery Unilat With Stent Plcmnt 132 39 $35,964.18 $35,964.18 $20,204.63 $20,204.63 $20,204.63 2025-02-21
PX-3610827 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Rt 132 39 $35,964.18 $35,964.18 $20,204.63 $20,204.63 $20,204.63 2025-02-21
PX-3610828 CDM Revasc Iliac Artery Unilat With Stent Plcmnt - Lt 132 39 $35,964.18 $35,964.18 $20,204.63 $20,204.63 $20,204.63 2025-02-21
PX-4800281 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-rc 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800285 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-ri 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800282 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-ld 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800351 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-lm 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800283 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-lc 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800348 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-rc 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800350 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-lc 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800284 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt-lm 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800349 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-ld 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800436 CDM Perc Translum Revasc Cabg Ea Add W/Drg Elut Stnt 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-4800352 CDM Perc Translum Revasc Cabg Ea Add Without Stnt-ri 132 39 $25,235.89 $25,235.89 $20,188.71 $25,235.89 $20,188.71 2025-02-21
PX-3611298 CDM Dialysis Circuit Stent & Balloon- Lt 132 39 $35,817.34 $35,817.34 $20,145.90 $20,145.90 $20,145.90 2025-02-21
PX-3611297 CDM Dialysis Circuit Stent & Balloon- Rt 132 39 $35,817.34 $35,817.34 $20,145.90 $20,145.90 $20,145.90 2025-02-21
PX-3611535 CDM Dialysis Circuit Stent & Balloon 132 39 $35,817.34 $35,817.34 $20,145.90 $20,145.90 $20,145.90 2025-02-21
PX-3611144 CDM Perq Vertebral Augmentation, Ea Addl 132 39 $25,124.54 $25,124.54 $20,099.63 $25,124.54 $20,099.63 2025-02-21
PX-5100677 CDM Perq Vertebral Augmentation, Ea Addl 132 39 $25,124.54 $25,124.54 $20,099.63 $25,124.54 $20,099.63 2025-02-21
PX-3611043 CDM Vascular Embolization/Occlusion Venous 132 39 $35,679.12 $35,679.12 $20,090.61 $20,090.61 $20,090.61 2025-02-21
PX-3611046 CDM Vascular Embolization/Occlusion Bleed 132 39 $35,679.12 $35,679.12 $20,090.61 $20,090.61 $20,090.61 2025-02-21
PX-3611045 CDM Vascular Embolization/Occlusion Tumor/Organ 132 39 $35,679.12 $35,679.12 $20,090.61 $20,090.61 $20,090.61 2025-02-21
PX-4800417 CDM Insertion/Replacement Complete Iims 132 39 $25,408.79 $25,408.79 $19,949.12 $19,949.12 $19,949.12 2025-02-21
PX-4800308 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-lc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800260 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-ri 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800309 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-lm 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800259 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-lm 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800257 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-ld 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800310 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-ri 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800307 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-ld 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800306 CDM Perc Translum Revasc Chron Occl Ea Add W/Bare Metl Stnt-rc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800280 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-ri 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800256 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-rc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800258 CDM Perc Translum Atherect W/Bare Metl Stnt Ea Add Maj Art-lc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800276 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-rc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800277 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-ld 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800279 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-lm 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
PX-4800278 CDM Perc Translum Revasc Cabg Ea Add W/Bare Metl Stnt-lc 132 39 $24,895.25 $24,895.25 $19,916.20 $24,895.25 $19,916.20 2025-02-21
RX-79472 CDM Eculizumab 300 Mg/30ml IV Soln 128 38 $41,094.90 $41,094.90 $19,800.35 $19,800.35 $19,800.35 2025-02-21
PX-3611042 CDM Trnscth Plc Intrvsc Stnt Open - Carotid 132 39 $36,796.83 $36,796.83 $2,797.50 $36,796.83 $19,797.17 2025-02-21
PX-3610839 CDM Revasc Fem/Pop Art W Stent Plcmnt - Lt 132 39 $34,771.43 $34,771.43 $19,727.53 $19,727.53 $19,727.53 2025-02-21
PX-3611555 CDM Revasc Fem/Pop Art W Stent Plcmnt-blt 132 39 $34,771.43 $34,771.43 $19,727.53 $19,727.53 $19,727.53 2025-02-21
PX-3610838 CDM Revasc Fem/Pop Art W Stent Plcmnt - Rt 132 39 $34,771.43 $34,771.43 $19,727.53 $19,727.53 $19,727.53 2025-02-21
PX-3611554 CDM Revasc Fem/Pop Art W Stent Plcmnt 132 39 $34,771.43 $34,771.43 $19,727.53 $19,727.53 $19,727.53 2025-02-21
PX-3610191 CDM Ins New Or Replace Perm Pacemaker Ventrcl 132 39 $35,539.83 $35,539.83 $19,585.79 $19,585.79 $19,585.79 2025-02-21
PX-3610190 CDM Ins New Or Replace Perm Pacemaker Atrial 132 39 $35,539.83 $35,539.83 $19,585.79 $19,585.79 $19,585.79 2025-02-21
PX-3611151 CDM Stent Placemnt, Ante, Carotid/Innominate 132 39 $36,796.83 $36,796.83 $2,111.59 $36,796.83 $19,454.21 2025-02-21
PX-3611665 CDM Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr 1st 132 39 $32,098.29 $32,098.29 $19,441.41 $19,441.41 $19,441.41 2025-02-21
PX-3611667 CDM Perq Njx Algc Cell&/Prdct Uni/Bi CT Lmbr 1st 132 39 $32,098.29 $32,098.29 $19,441.41 $19,441.41 $19,441.41 2025-02-21
PX-3610834 CDM Revasc Fem/Pop Artery W Angiopl- Blt 132 39 $41,120.95 $41,120.95 $19,373.88 $19,373.88 $19,373.88 2025-02-21
PX-3610826 CDM Revasc Iliac Artery Unilat Initial Vessel - Blt 132 39 $41,120.95 $41,120.95 $19,373.88 $19,373.88 $19,373.88 2025-02-21
PX-4800248 CDM Perc Translum Atherect W/Bare Metl Stnt Sgl Maj Art-lc 132 39 $24,895.25 $24,895.25 $19,171.88 $19,171.88 $19,171.88 2025-02-21
PX-4800249 CDM Perc Translum Atherect W/Bare Metl Stnt Sgl Maj Art-lm 132 39 $24,895.25 $24,895.25 $19,171.88 $19,171.88 $19,171.88 2025-02-21
PX-4800250 CDM Perc Translum Atherect W/Bare Metl Stnt Sgl Maj Art-ri 132 39 $24,895.25 $24,895.25 $19,171.88 $19,171.88 $19,171.88 2025-02-21
PX-4800246 CDM Perc Translum Atherect W/Bare Metl Stnt Sgl Maj Art-rc 132 39 $24,895.25 $24,895.25 $19,171.88 $19,171.88 $19,171.88 2025-02-21
PX-4800247 CDM Perc Translum Atherect W/Bare Metl Stnt Sgl Maj Art-ld 132 39 $24,895.25 $24,895.25 $19,171.88 $19,171.88 $19,171.88 2025-02-21
PX-3611301 CDM Dialysis Circuit Clot Clearing & Balloon-rt 132 39 $33,226.14 $33,226.14 $19,109.42 $19,109.42 $19,109.42 2025-02-21
PX-3611302 CDM Dialysis Circuit Clot Clearing & Balloon-lt 132 39 $33,226.14 $33,226.14 $19,109.42 $19,109.42 $19,109.42 2025-02-21
PX-3611537 CDM Dialysis Circuit Clot Clearing & Balloon 132 39 $33,226.14 $33,226.14 $19,109.42 $19,109.42 $19,109.42 2025-02-21
PX-4800303 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-lc 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800302 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-ld 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800358 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-rc 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800438 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800301 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-rc 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800361 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-lm 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800362 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-ri 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800305 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-ri 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800359 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-ld 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800304 CDM Perc Translum Revasc Chron Occl Sgl W/Drg Elut Stnt-lm 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-4800360 CDM Perc Translum Revasc Chron Occl Sgl Without Stnt-lc 132 39 $32,931.20 $32,931.20 $18,991.44 $18,991.44 $18,991.44 2025-02-21
PX-3610598 CDM Perc Trnscath Occ/Emb Non Cns,Head/Nck 132 39 $32,746.03 $32,746.03 $18,917.37 $18,917.37 $18,917.37 2025-02-21
PX-3611013 CDM Insert Epicardial Electrode Endosc Appr 132 39 $35,539.83 $35,539.83 $2,088.30 $35,539.83 $18,814.06 2025-02-21
RX-146668 CDM Tisotumab Vedotin-tftv 40 Mg IV Solr 132 39 $37,438.50 $37,438.50 $18,612.88 $18,612.88 $18,612.88 2025-02-21
PX-4800445 CDM Tis Crtj St Congenital Cardiac Anomal 1st Shunt 132 39 $34,449.94 $34,449.94 $2,734.58 $34,449.94 $18,592.26 2025-02-21
PX-3610976 CDM Tavr/Tavi W/Pros Valve, W/Bypass W/Cent Art & Ven Cann 132 39 $34,449.94 $34,449.94 $2,549.33 $34,449.94 $18,499.63 2025-02-21
PX-3610216 CDM Plc Distal Ext Prothesis D Thoracic Aort 132 39 $34,449.94 $34,449.94 $2,478.06 $34,449.94 $18,464.00 2025-02-21
PX-37225A0 CDM Revascularize Fem/Pop Artery,Angioplasty/Atherectomy Bilat 132 39 $22,938.01 $22,938.01 $18,388.98 $18,388.98 $18,388.98 2025-02-21
PX-4800219 CDM Ptca With Atherect Sgl Maj Coron Art-lm 132 39 $31,254.35 $31,254.35 $18,320.70 $18,320.70 $18,320.70 2025-02-21
PX-4800220 CDM Ptca With Atherect Sgl Maj Coron Art-ri 132 39 $31,254.35 $31,254.35 $18,320.70 $18,320.70 $18,320.70 2025-02-21
PX-4800218 CDM Ptca With Atherect Sgl Maj Coron Art-lc 132 39 $31,254.35 $31,254.35 $18,320.70 $18,320.70 $18,320.70 2025-02-21
PX-4800217 CDM Ptca With Atherect Sgl Maj Coron Art-ld 132 39 $31,254.35 $31,254.35 $18,320.70 $18,320.70 $18,320.70 2025-02-21
PX-4800216 CDM Ptca With Atherect Sgl Maj Coron Art-rc 132 39 $31,254.35 $31,254.35 $18,320.70 $18,320.70 $18,320.70 2025-02-21
PX-37229A0 CDM Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial Bilat 132 39 $22,766.55 $22,766.55 $18,320.40 $18,320.40 $18,320.40 2025-02-21
PX-37227A0 CDM Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy Bilat 132 39 $22,726.03 $22,726.03 $18,304.19 $18,304.19 $18,304.19 2025-02-21
PX-3610249 CDM Thromobendarterectomy-common Femoral 132 39 $34,449.94 $34,449.94 $2,126.77 $34,449.94 $18,288.35 2025-02-21
PX-3610195 CDM Insert Pulse Generator; With Exist Dual Leads 132 39 $32,259.52 $32,259.52 $18,273.67 $18,273.67 $18,273.67 2025-02-21
PX-3611363 CDM Delayed Place Of Graft Initial Vesl 132 39 $34,449.94 $34,449.94 $2,066.70 $34,449.94 $18,258.32 2025-02-21
PX-3611333 CDM Perc Transcath Clos Lt Atrial App W Impl 132 39 $34,449.94 $34,449.94 $2,034.27 $34,449.94 $18,242.10 2025-02-21
PX-3610908 CDM Remove/Replace Pacemaker Puls Gen Dual Lead 132 39 $32,140.57 $32,140.57 $18,226.10 $18,226.10 $18,226.10 2025-02-21
PX-4800444 CDM Tas Congenital Cardiac Anomalies Any Method 132 39 $34,449.94 $34,449.94 $1,957.66 $34,449.94 $18,203.80 2025-02-21
PX-3610975 CDM Tavr/Tavi W/Pros Valve, W/Bypass W/Open Per Art & Ven Cann 132 39 $34,449.94 $34,449.94 $1,930.61 $34,449.94 $18,190.28 2025-02-21
RX-124250 CDM Immune Globulin (human) 40 Gm/400ml Ij Soln 132 39 $40,506.25 $40,506.25 $18,162.86 $18,162.86 $18,162.86 2025-02-21
RX-111900 CDM Pertuzumab 420 Mg/14ml IV Soln 132 39 $35,848.55 $35,848.55 $17,739.32 $17,739.32 $17,739.32 2025-02-21
PX-3611423 CDM Insert Or Replace Perm Leadless Pacemaker 132 39 $19,758.41 $19,758.41 $17,688.97 $17,688.97 $17,688.97 2025-02-21
PX-4800402 CDM Insert Or Replace Perm Leadless Pacemaker 132 39 $19,758.41 $19,758.41 $17,688.97 $17,688.97 $17,688.97 2025-02-21
PX-37231A0 CDM Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init Bilat 132 39 $21,009.07 $21,009.07 $17,617.40 $17,617.40 $17,617.40 2025-02-21
PX-3610539 CDM Perc Ablation 1/More Renal Tumor, Radiofreq-bil 132 39 $36,401.44 $36,401.44 $17,554.24 $17,554.24 $17,554.24 2025-02-21
PX-3611330 CDM Replace Aortic Value, Open With Allograft 132 39 $34,449.94 $34,449.94 $7,458.01 $34,449.94 $17,508.98 2025-02-21
RX-125186 CDM Pembrolizumab 100 Mg/4ml IV Soln 132 39 $36,427.15 $36,427.15 $17,451.01 $17,451.01 $17,451.01 2025-02-21
PX-3100300 CDM So Misc Exome Seq Analysis Ea Comparator, 81416 132 39 $24,600.00 $24,600.00 $12,000.00 $24,600.00 $17,414.40 2025-02-21
PX-3330002 CDM Plc Interstitial Radtherapy Breast Immed 130 38 $21,662.12 $21,662.12 $17,329.70 $21,662.12 $17,329.70 2025-02-21
PX-3610390 CDM Revision Transven Intrahep Portosys Shun 132 39 $35,996.31 $35,996.31 $17,324.03 $17,324.03 $17,324.03 2025-02-21
RX-10001182 CDM Benralizumab 30 Mg/ml Sc Sosy 132 39 $36,836.45 $36,836.45 $17,222.99 $17,222.99 $17,222.99 2025-02-21
PX-3611331 CDM Replace Aortic Value, Open With Tissue 132 39 $34,449.94 $34,449.94 $6,586.69 $34,449.94 $17,073.32 2025-02-21
PX-3610870 CDM Atherectomy Inc Rad S & I Abd Aorta 132 39 $27,672.90 $27,672.90 $16,888.12 $16,888.12 $16,888.12 2025-02-21
PX-3610868 CDM Atherectomy Inc Rad S & I Renal Artery 132 39 $27,672.90 $27,672.90 $16,888.12 $16,888.12 $16,888.12 2025-02-21
PX-3610871 CDM Atherectomy Inc Rad S & I Brachiocephalic Ea 132 39 $27,672.90 $27,672.90 $16,888.12 $16,888.12 $16,888.12 2025-02-21
PX-4800398 CDM Infrarenal Aorta Or Iliac Repair Rupt, Bil 132 39 $34,449.94 $34,449.94 $5,994.21 $34,449.94 $16,777.08 2025-02-21
PX-3611360 CDM Infrarenal Aorta Or Iliac Repair Rupt, Bil 132 39 $34,449.94 $34,449.94 $5,994.21 $34,449.94 $16,777.08 2025-02-21
PX-4800396 CDM Infrarenal Aorta Or Iliac Repair Rupt, Uni 132 39 $34,449.94 $34,449.94 $5,988.29 $34,449.94 $16,774.12 2025-02-21
PX-3611358 CDM Infrarenal Aorta Or Iliac Repair Rupt, Uni 132 39 $34,449.94 $34,449.94 $5,988.29 $34,449.94 $16,774.12 2025-02-21
RX-122685 CDM Dantrolene Sodium 250 Mg IV Susr 132 39 $20,880.50 $20,880.50 $16,704.40 $20,880.50 $16,704.40 2025-02-21
RX-116090 CDM Ado-trastuzumab Emtansine 160 Mg IV Solr 132 39 $33,551.20 $33,551.20 $16,697.92 $16,697.92 $16,697.92 2025-02-21
PX-3610243 CDM Direct Repair Anur, Ruptured Aaa, Iliac Ves-lt 132 39 $34,449.94 $34,449.94 $5,827.19 $34,449.94 $16,693.57 2025-02-21
PX-3610244 CDM Direct Repair Anur, Ruptured Aaa, Iliac Ves-rt 132 39 $34,449.94 $34,449.94 $5,827.19 $34,449.94 $16,693.57 2025-02-21
PX-5100477 CDM Laminotomy W Decompress 1 Intrspace Lumbar 132 39 $32,544.00 $32,544.00 $16,683.12 $16,683.12 $16,683.12 2025-02-21
PX-3610239 CDM Direct Repair Aneur, Ruptd, Abd Aorta 132 39 $34,449.94 $34,449.94 $5,672.12 $34,449.94 $16,616.03 2025-02-21
RX-88538 CDM Romiplostim 500 Mcg Sc Solr 128 38 $34,687.95 $34,687.95 $16,510.93 $16,510.93 $16,510.93 2025-02-21
RX-21045 CDM Leuprolide Acetate (3 Month) 22.5 Mg IM Kit 132 39 $40,565.00 $40,565.00 $16,497.19 $16,497.19 $16,497.19 2025-02-21
PX-3200421 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 4 Graft 132 39 $34,449.94 $34,449.94 $5,393.84 $34,449.94 $16,476.90 2025-02-21
PX-3200433 CDM Endo Rpr Visc/Infrarenal Aorta, +Rsi/I 4 Graft 132 39 $34,449.94 $34,449.94 $5,393.84 $34,449.94 $16,476.90 2025-02-21
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