|
63650
|
CPT
|
Prq Impltj Nstim Electrode Array Epidural
|
1
|
1
|
$89,594.15
|
$71,675.32
|
$31,766.28
|
$31,766.28
|
$31,766.28
|
2026-03-04
|
|
33249
|
CPT
|
Hc Insrt Pace-defib W/Lead Sng/Du
|
20
|
11
|
$77,338.00
|
$61,870.40
20% off
|
$14,694.22
|
$65,737.30
|
$24,719.17
|
2026-03-04
|
|
33264
|
CPT
|
Hc Remv&Replc Cvd Gen Mult Lead
|
20
|
11
|
$76,865.00
|
$61,492.00
20% off
|
$14,604.35
|
$65,335.25
|
$24,670.18
|
2026-03-04
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
$21,686.55
|
$17,349.24
|
$22,972.76
|
$22,972.76
|
$22,972.76
|
2026-03-04
|
|
33289
|
CPT
|
Hc Transcath Implnt Wrls P-art Prs Snsr
|
20
|
11
|
$55,985.00
|
$44,788.00
20% off
|
$10,637.15
|
$47,587.25
|
$20,241.38
|
2026-03-04
|
|
33263
|
CPT
|
Hc Remv&Replc Cvd Gen Dual Lead
|
20
|
11
|
$73,899.00
|
$59,119.20
20% off
|
$14,040.81
|
$62,814.15
|
$19,351.42
|
2026-03-04
|
|
33262
|
CPT
|
Hc Remv&Replc Cvd Gen Sing Lead
|
20
|
11
|
$73,899.00
|
$59,119.20
20% off
|
$14,040.81
|
$62,814.15
|
$19,351.42
|
2026-03-04
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
1
|
1
|
$24,559.79
|
$19,647.83
20% off
|
$17,617.62
|
$17,617.62
|
$17,617.62
|
2026-03-04
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
1
|
1
|
$18,039.48
|
$14,431.58
20% off
|
$16,465.87
|
$16,465.87
|
$16,465.87
|
2026-03-04
|
|
999
|
MS_DRG
|
Ungroupable
|
1
|
1
|
$8,160.87
|
$6,528.70
|
$16,465.87
|
$16,465.87
|
$16,465.87
|
2026-03-04
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
1
|
1
|
$8,540.49
|
$6,832.39
20% off
|
$16,419.87
|
$16,419.87
|
$16,419.87
|
2026-03-04
|
|
93656
|
CPT
|
Hc Compre Ep Eval Abltj Atr Fib Pulm Vein Isol
|
20
|
11
|
$44,452.00
|
$35,561.60
20% off
|
$8,445.88
|
$37,784.20
|
$16,071.62
|
2026-03-04
|
|
33270
|
CPT
|
Hc Ins/Rplcmnt Perm Subq Impltble Dfb W/Subq Eltrd
|
20
|
11
|
$43,761.00
|
$35,008.80
|
$8,314.59
|
$37,196.85
|
$15,821.79
|
2026-03-04
|
|
0571T
|
CPT
|
Hc Insrtn/Rplcmnt Icds W/Substernal Electrode
|
20
|
11
|
$43,761.00
|
$35,008.80
|
$8,314.59
|
$37,196.85
|
$15,821.79
|
2026-03-04
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
1
|
1
|
$51,157.84
|
$40,926.27
20% off
|
$15,564.36
|
$15,564.36
|
$15,564.36
|
2026-03-04
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With Mcc
|
1
|
1
|
$32,623.03
|
$26,098.42
20% off
|
$15,507.04
|
$15,507.04
|
$15,507.04
|
2026-03-04
|
|
93653
|
CPT
|
Hc Ep & Ablate Supravent Arrhyt
|
20
|
11
|
$42,649.00
|
$34,119.20
20% off
|
$8,103.31
|
$36,251.65
|
$15,419.75
|
2026-03-04
|
|
37227
|
CPT
|
Hc Fem/Popl Revasc Stnt & Ather
|
19
|
10
|
$69,436.00
|
$55,548.80
|
$13,192.84
|
$59,020.60
|
$14,380.20
|
2026-03-04
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
1
|
1
|
$5,325.46
|
$4,260.37
|
$14,315.76
|
$14,315.76
|
$14,315.76
|
2026-03-04
|
|
70
|
MS_DRG
|
Other Cerebrovascular Disorders With Mcc
|
1
|
1
|
$11,239.56
|
$8,991.65
|
$14,224.57
|
$14,224.57
|
$14,224.57
|
2026-03-04
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
1
|
1
|
$14,480.63
|
$11,584.50
20% off
|
$14,140.60
|
$14,140.60
|
$14,140.60
|
2026-03-04
|
|
33274
|
CPT
|
Hc Transcath Insrt Or Rplcmnt Leadless Pm Ventr
|
20
|
11
|
$40,189.00
|
$32,151.20
20% off
|
$7,635.91
|
$34,160.65
|
$14,101.65
|
2026-03-04
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
1
|
1
|
$23,669.53
|
$18,935.62
20% off
|
$13,965.46
|
$13,965.46
|
$13,965.46
|
2026-03-04
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
1
|
1
|
$18,483.99
|
$14,787.19
20% off
|
$13,400.50
|
$13,400.50
|
$13,400.50
|
2026-03-04
|
|
669
|
MS_DRG
|
Transurethral Procedures With Cc
|
1
|
1
|
$35,522.12
|
$28,417.70
|
$13,314.14
|
$13,314.14
|
$13,314.14
|
2026-03-04
|
|
93654
|
CPT
|
Hc Ep & Ablate Ventric Tachy
|
20
|
11
|
$36,698.00
|
$29,358.40
|
$6,972.62
|
$31,193.30
|
$13,268.16
|
2026-03-04
|
|
C9607
|
HCPCS
|
Hc Prq Revasc Chronic 1 Vsl
|
20
|
11
|
$36,356.00
|
$29,084.80
20% off
|
$6,907.64
|
$30,902.60
|
$13,123.88
|
2026-03-04
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With Mcc
|
1
|
1
|
$13,948.33
|
$11,158.66
20% off
|
$13,111.55
|
$13,111.55
|
$13,111.55
|
2026-03-04
|
|
0238T
|
CPT
|
Hc Atherectomy Iliac Artery
|
20
|
11
|
$35,959.00
|
$28,767.20
20% off
|
$6,832.21
|
$30,565.15
|
$13,000.97
|
2026-03-04
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc/mcc
|
1
|
1
|
$57,619.19
|
$46,095.35
20% off
|
$12,921.90
|
$12,921.90
|
$12,921.90
|
2026-03-04
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
1
|
1
|
$13,292.62
|
$10,634.10
|
$12,741.11
|
$12,741.11
|
$12,741.11
|
2026-03-04
|
|
93591
|
CPT
|
Hc Prq Trans Closure Aortic Valve
|
19
|
10
|
$60,445.00
|
$48,356.00
20% off
|
$11,484.55
|
$51,378.25
|
$12,518.16
|
2026-03-04
|
|
93590
|
CPT
|
Hc Prq Trans Closure Mitral Valve
|
19
|
10
|
$60,445.00
|
$48,356.00
20% off
|
$11,484.55
|
$51,378.25
|
$12,518.16
|
2026-03-04
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
1
|
1
|
$25,992.04
|
$20,793.63
20% off
|
$12,383.56
|
$12,383.56
|
$12,383.56
|
2026-03-04
|
|
33229
|
CPT
|
Hc Remv&Replc Pm Gen Mult Leads
|
20
|
11
|
$34,073.00
|
$27,258.40
|
$6,473.87
|
$28,962.05
|
$12,319.09
|
2026-03-04
|
|
J2351
|
HCPCS
|
Ocrelizumab-hyaluronidase-ocsq 920 Mg-23;000 Unit/23 Ml Subq Soln
|
20
|
11
|
$62,042.88
|
$49,634.30
20% off
|
$45.19
|
$52,736.45
|
$12,318.61
|
2026-03-04
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
1
|
1
|
$20,127.82
|
$16,102.26
|
$12,311.52
|
$12,311.52
|
$12,311.52
|
2026-03-04
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
1
|
1
|
$14,763.70
|
$11,810.96
20% off
|
$12,259.26
|
$12,259.26
|
$12,259.26
|
2026-03-04
|
|
33221
|
CPT
|
Hc Insrt Pulse Gen Exstg Multi Ld
|
20
|
11
|
$33,049.00
|
$26,439.20
20% off
|
$6,279.31
|
$28,091.65
|
$11,948.86
|
2026-03-04
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition; Metabolism; Fluids And Electrolytes With M…
|
1
|
1
|
$11,981.29
|
$9,585.03
20% off
|
$11,567.58
|
$11,567.58
|
$11,567.58
|
2026-03-04
|
|
660
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
1
|
1
|
$56,750.94
|
$45,400.75
20% off
|
$11,455.40
|
$11,455.40
|
$11,455.40
|
2026-03-04
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
1
|
1
|
$17,504.60
|
$14,003.68
|
$11,396.47
|
$11,396.47
|
$11,396.47
|
2026-03-04
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml IV Soln
|
18
|
11
|
$31,081.44
|
$24,865.15
20% off
|
$57.81
|
$26,419.22
|
$11,237.49
|
2026-03-04
|
|
33361
|
CPT
|
Hc Replace Aortic Valve Perq Femoral Artry Approach
|
19
|
10
|
$54,148.00
|
$43,318.40
20% off
|
$10,288.12
|
$46,025.80
|
$11,214.05
|
2026-03-04
|
|
391
|
MS_DRG
|
Esophagitis; Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
1
|
1
|
$14,506.70
|
$11,605.36
20% off
|
$11,024.39
|
$11,024.39
|
$11,024.39
|
2026-03-04
|
|
C9602
|
HCPCS
|
Hc Prq Ath/Angio Drug Eluting Sng
|
20
|
11
|
$30,294.00
|
$24,235.20
20% off
|
$5,755.86
|
$25,749.90
|
$10,952.80
|
2026-03-04
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
1
|
1
|
$22,915.49
|
$18,332.39
20% off
|
$10,758.85
|
$10,758.85
|
$10,758.85
|
2026-03-04
|
|
SUP-147018
|
CDM
|
System Mini Incision Lapiplasty
|
17
|
10
|
$20,807.50
|
$16,646.00
20% off
|
$3,953.43
|
$17,686.38
|
$10,736.67
|
2026-03-04
|
|
37226
|
CPT
|
Hc Fem/Popl Revasc W/Stent Unil
|
20
|
11
|
$45,869.00
|
$36,695.20
20% off
|
$8,715.11
|
$38,988.65
|
$10,660.56
|
2026-03-04
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
1
|
1
|
$6,333.27
|
$5,066.62
|
$10,392.43
|
$10,392.43
|
$10,392.43
|
2026-03-04
|
|
SUP-149033
|
CDM
|
Plate Bone 4.3mm Low Profile Anatomic Biplanar Lapiplasty System 3r For 3mm Scre…
|
17
|
10
|
$19,987.50
|
$15,990.00
20% off
|
$3,797.63
|
$16,989.38
|
$10,313.55
|
2026-03-04
|
|
36906
|
CPT
|
Hc Prq Translum Mech Thrombectomy W/Stnt
|
19
|
10
|
$49,797.00
|
$39,837.60
20% off
|
$9,461.43
|
$42,327.45
|
$10,312.96
|
2026-03-04
|
|
121
|
MS_DRG
|
Acute Major Eye Infections With Cc/mcc
|
1
|
1
|
$25,124.80
|
$20,099.84
20% off
|
$10,176.95
|
$10,176.95
|
$10,176.95
|
2026-03-04
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
1
|
1
|
$13,983.34
|
$11,186.67
20% off
|
$10,152.73
|
$10,152.73
|
$10,152.73
|
2026-03-04
|
|
37236
|
CPT
|
Hc Open/Perq Place Stent 1st
|
20
|
11
|
$40,219.00
|
$32,175.20
20% off
|
$7,641.61
|
$34,186.15
|
$10,075.49
|
2026-03-04
|
|
37238
|
CPT
|
Hc Open/Perq Place Stent Same
|
20
|
11
|
$40,219.00
|
$32,175.20
20% off
|
$7,641.61
|
$34,186.15
|
$10,075.49
|
2026-03-04
|
|
102
|
MS_DRG
|
Headaches With Mcc
|
1
|
1
|
$7,080.80
|
$5,664.64
20% off
|
$9,834.72
|
$9,834.72
|
$9,834.72
|
2026-03-04
|
|
C9604
|
HCPCS
|
Hc Prq Revasc Byp Grft De Sngl
|
20
|
11
|
$37,867.00
|
$30,293.60
20% off
|
$7,194.73
|
$32,186.95
|
$9,831.95
|
2026-03-04
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
1
|
1
|
$19,960.07
|
$15,968.06
|
$9,728.20
|
$9,728.20
|
$9,728.20
|
2026-03-04
|
|
SUP-140163
|
CDM
|
Kit Bone Plate 3.9mm With Five 2.7X12mm Four 2.7X14mm Locking Star Drive Screw L…
|
17
|
10
|
$18,690.00
|
$14,952.00
20% off
|
$3,551.10
|
$15,886.50
|
$9,644.04
|
2026-03-04
|
|
33214
|
CPT
|
Hc Upgrade Of Pacemaker System
|
19
|
10
|
$46,369.00
|
$37,095.20
20% off
|
$8,810.11
|
$39,413.65
|
$9,603.02
|
2026-03-04
|
|
37229
|
CPT
|
Hc Tib/per Revasc W/Ather Init
|
19
|
10
|
$46,302.00
|
$37,041.60
20% off
|
$8,797.38
|
$39,356.70
|
$9,589.14
|
2026-03-04
|
|
37243
|
CPT
|
Hc Vasc Embolize/Occlude Organ
|
20
|
11
|
$34,974.00
|
$27,979.20
20% off
|
$6,645.06
|
$29,727.90
|
$9,532.38
|
2026-03-04
|
|
710
|
MS_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure;moderate
|
3
|
1
|
$21,106.98
|
—
|
$9,434.47
|
$9,434.47
|
$9,434.47
|
2026-03-04
|
|
33208
|
CPT
|
Hc Insrt Hrt Pacemkr Atrial/Ventr
|
20
|
11
|
$37,317.00
|
$29,853.60
20% off
|
$7,090.23
|
$31,719.45
|
$9,318.81
|
2026-03-04
|
|
36903
|
CPT
|
Hc Intro Needl/Cath Dialysis Stntng
|
20
|
11
|
$32,837.00
|
$26,269.60
20% off
|
$6,239.03
|
$27,911.45
|
$9,311.09
|
2026-03-04
|
|
J0202
|
HCPCS
|
Alemtuzumab 12 Mg/1.2 Ml IV Soln
|
19
|
10
|
$44,736.36
|
$35,789.09
|
$8,499.91
|
$38,025.91
|
$9,264.90
|
2026-03-04
|
|
SUP-127934
|
CDM
|
Kit External Fixation Distal Radius For Mini Bar Jet-x
|
17
|
10
|
$17,897.25
|
$14,317.80
20% off
|
$3,400.48
|
$15,212.66
|
$9,234.98
|
2026-03-04
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
$11,789.87
|
$9,431.90
|
$9,084.93
|
$9,084.93
|
$9,084.93
|
2026-03-04
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
1
|
1
|
$9,664.50
|
$7,731.60
|
$9,068.77
|
$9,068.77
|
$9,068.77
|
2026-03-04
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
1
|
1
|
$22,818.72
|
$18,254.98
|
$9,060.72
|
$9,060.72
|
$9,060.72
|
2026-03-04
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
1
|
1
|
$17,373.78
|
$13,899.02
20% off
|
$9,047.00
|
$9,047.00
|
$9,047.00
|
2026-03-04
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
1
|
1
|
$18,210.06
|
$14,568.05
|
$9,044.58
|
$9,044.58
|
$9,044.58
|
2026-03-04
|
|
33207
|
CPT
|
Hc Insrt Hrt Pacemaker Ventriculr
|
20
|
11
|
$34,378.00
|
$27,502.40
|
$6,531.82
|
$29,221.30
|
$9,014.48
|
2026-03-04
|
|
SUP-137566
|
CDM
|
Device Neurostimulator 13.9cc 47.2mm X 57.1mm Rechargeable Intellis With Adaptiv…
|
16
|
9
|
$24,900.00
|
$19,920.00
20% off
|
$4,731.00
|
$21,165.00
|
$9,002.59
|
2026-03-04
|
|
923
|
MS_DRG
|
Other Injury; Poisoning And Toxic Effect Diagnoses Without Mcc
|
1
|
1
|
$5,870.88
|
$4,696.70
20% off
|
$9,001.80
|
$9,001.80
|
$9,001.80
|
2026-03-04
|
|
C9600
|
HCPCS
|
Hc Prq Plcmnt Drug Eluting Sngl
|
20
|
11
|
$29,722.00
|
$23,777.60
20% off
|
$5,647.18
|
$25,263.70
|
$8,988.53
|
2026-03-04
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
1
|
1
|
$15,084.14
|
$12,067.31
20% off
|
$8,980.01
|
$8,980.01
|
$8,980.01
|
2026-03-04
|
|
SUP-133372
|
CDM
|
Kit Pulse Generator With Hex Wrench Pocket Template Port Plug For Spinal Cord St…
|
16
|
9
|
$24,825.00
|
$19,860.00
20% off
|
$4,716.75
|
$21,101.25
|
$8,975.48
|
2026-03-04
|
|
SUP-143260
|
CDM
|
Kit Pulse Generator For Spinal Cord Stimulation Spectra WaveWriter
|
16
|
9
|
$24,825.00
|
$19,860.00
20% off
|
$4,716.75
|
$21,101.25
|
$8,975.48
|
2026-03-04
|
|
SUP-133373
|
CDM
|
Generator Neurostimulator Kit Includes Hex Wrench Pocket Template Port Plugs Pre…
|
16
|
9
|
$24,825.00
|
$19,860.00
20% off
|
$4,716.75
|
$21,101.25
|
$8,975.48
|
2026-03-04
|
|
SUP-144670
|
CDM
|
Kit Implantable Pulse Generator 20.1cc Thk10.7mm 200mAh Rechargeable Spinal Cord…
|
16
|
9
|
$24,825.00
|
$19,860.00
20% off
|
$4,716.75
|
$21,101.25
|
$8,975.48
|
2026-03-04
|
|
37244
|
CPT
|
Hc Vascular Embolization/Occlusion Hemorrhage
|
20
|
11
|
$29,453.00
|
$23,562.40
|
$5,596.07
|
$25,035.05
|
$8,960.68
|
2026-03-04
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without Mcc
|
1
|
1
|
$20,699.40
|
$16,559.52
20% off
|
$8,842.00
|
$8,842.00
|
$8,842.00
|
2026-03-04
|
|
J3357
|
HCPCS
|
Ustekinumab 90 Mg/ml Subq Syrg
|
20
|
11
|
$43,847.19
|
$35,077.75
20% off
|
$152.39
|
$37,270.11
|
$8,705.86
|
2026-03-04
|
|
37221
|
CPT
|
Hc Iliac Revasc W/Stent Init Unil
|
20
|
11
|
$26,664.00
|
$21,331.20
20% off
|
$5,066.16
|
$22,664.40
|
$8,671.88
|
2026-03-04
|
|
33224
|
CPT
|
Hc Insert Pacing Lead & Connect
|
19
|
10
|
$41,723.00
|
$33,378.40
|
$7,927.37
|
$35,464.55
|
$8,640.83
|
2026-03-04
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
1
|
1
|
$3,531.55
|
$2,825.24
20% off
|
$8,626.49
|
$8,626.49
|
$8,626.49
|
2026-03-04
|
|
37225
|
CPT
|
Hc Fem/Popl Revas W/Ather Unil
|
20
|
11
|
$23,815.00
|
$19,052.00
20% off
|
$4,763.00
|
$20,242.75
|
$8,610.32
|
2026-03-04
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
1
|
1
|
$7,956.61
|
$6,365.29
|
$8,546.59
|
$8,546.59
|
$8,546.59
|
2026-03-04
|
|
33228
|
CPT
|
Hc Remv&Replc Pm Gen Dual Lead
|
20
|
11
|
$29,484.00
|
$23,587.20
20% off
|
$5,601.96
|
$25,061.40
|
$8,507.70
|
2026-03-04
|
|
C9765
|
HCPCS
|
Hc Revasc Intra Lithotrip-stent
|
20
|
11
|
$23,438.00
|
$18,750.40
|
$4,453.22
|
$19,922.30
|
$8,474.01
|
2026-03-04
|
|
37242
|
CPT
|
Hc Vasc Embolize/Occlude Artery
|
19
|
10
|
$40,219.00
|
$32,175.20
20% off
|
$7,641.61
|
$34,186.15
|
$8,329.35
|
2026-03-04
|
|
SUP-121443
|
CDM
|
Device Neurostimulator 54mm X 54mm Thick 10mm Multiprogram Rechargeable For Spin…
|
16
|
9
|
$22,950.00
|
$18,360.00
20% off
|
$4,360.50
|
$19,507.50
|
$8,297.58
|
2026-03-04
|
|
37233
|
CPT
|
Hc Tib Per Revasc W/Ather Ea Add
|
19
|
10
|
$39,866.00
|
$31,892.80
20% off
|
$7,574.54
|
$33,886.10
|
$8,256.25
|
2026-03-04
|
|
605
|
MS_DRG
|
Trauma To The Skin; Subcutaneous Tissue And Breast Without Mcc
|
1
|
1
|
$18,012.31
|
$14,409.85
|
$8,180.97
|
$8,180.97
|
$8,180.97
|
2026-03-04
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
1
|
1
|
$14,985.31
|
$11,988.25
|
$8,072.82
|
$8,072.82
|
$8,072.82
|
2026-03-04
|
|
J9309
|
HCPCS
|
Polatuzumab Vedotin-piiq 30 Mg/1.5 Ml IV (wet Solr Vial)|discarded Drug Not Admi…
|
77
|
11
|
$9,437.32
|
$7,549.86
|
$132.73
|
$37,107.35
|
$8,021.72
|
2026-03-04
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
1
|
1
|
$23,274.95
|
$18,619.96
20% off
|
$8,021.17
|
$8,021.17
|
$8,021.17
|
2026-03-04
|
|
37235
|
CPT
|
Hc Tib/per Revasc Stnt & Ather
|
19
|
10
|
$38,672.00
|
$30,937.60
20% off
|
$7,347.68
|
$32,871.20
|
$8,008.97
|
2026-03-04
|
|
33230
|
CPT
|
Hc Insrtn Pulse Gen W/Dual Leads
|
19
|
10
|
$38,483.00
|
$30,786.40
|
$7,311.77
|
$32,710.55
|
$7,969.83
|
2026-03-04
|
|
897
|
MS_DRG
|
Alcohol; Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
1
|
1
|
$13,699.23
|
$10,959.38
20% off
|
$7,913.02
|
$7,913.02
|
$7,913.02
|
2026-03-04
|
|
SUP-104848
|
CDM
|
Kit External Fixation Distal Radial Frame With Titanium Self Drilling Schanz Scr…
|
17
|
10
|
$15,262.12
|
$12,209.70
|
$2,899.80
|
$12,972.80
|
$7,875.25
|
2026-03-04
|
|
SUP-104847
|
CDM
|
Kit External Fixation Distal Radial Frame With Titanium Self Drilling Schanz Scr…
|
17
|
10
|
$15,262.12
|
$12,209.70
|
$2,899.80
|
$12,972.80
|
$7,875.25
|
2026-03-04
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
1
|
1
|
$9,319.35
|
$7,455.48
20% off
|
$7,856.52
|
$7,856.52
|
$7,856.52
|
2026-03-04
|
|
C9606
|
HCPCS
|
Hc Prq Revasc Mi De 1 Vsl
|
19
|
10
|
$37,867.00
|
$30,293.60
20% off
|
$7,194.73
|
$32,186.95
|
$7,842.26
|
2026-03-04
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
1
|
1
|
$8,566.11
|
$6,852.89
|
$7,591.79
|
$7,591.79
|
$7,591.79
|
2026-03-04
|
|
37228
|
CPT
|
Hc Tib/per Revasc W/Tla Init Vesl
|
20
|
11
|
$20,994.00
|
$16,795.20
|
$3,988.86
|
$17,844.90
|
$7,590.38
|
2026-03-04
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
1
|
1
|
$13,719.90
|
$10,975.92
20% off
|
$7,577.26
|
$7,577.26
|
$7,577.26
|
2026-03-04
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
1
|
1
|
$35,625.11
|
$28,500.09
|
$7,491.71
|
$7,491.71
|
$7,491.71
|
2026-03-04
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
1
|
1
|
$16,135.82
|
$12,908.66
|
$7,465.06
|
$7,465.06
|
$7,465.06
|
2026-03-04
|
|
SUP-114019
|
CDM
|
Vaitality 2 Dr Defibrillator
|
19
|
10
|
$36,000.00
|
$28,800.00
20% off
|
$6,840.00
|
$30,600.00
|
$7,455.60
|
2026-03-04
|
|
SUP-143218
|
CDM
|
Kit 3cc Augment Injectable
|
17
|
10
|
$14,352.00
|
$11,481.60
20% off
|
$2,726.88
|
$12,199.20
|
$7,405.63
|
2026-03-04
|
|
SUP-137890
|
CDM
|
Graft Bone Substitute 3cc Beta Tricalcium Phosphate Type I Bovine Collagen Matri…
|
17
|
10
|
$14,352.00
|
$11,481.60
20% off
|
$2,726.88
|
$12,199.20
|
$7,405.63
|
2026-03-04
|
|
SUP-111992
|
CDM
|
Device Reattachment W23XL232mm Greater Trochanter Tivanium 4 Hole Extended With …
|
17
|
10
|
$14,231.32
|
$11,385.06
|
$2,703.95
|
$12,096.62
|
$7,343.36
|
2026-03-04
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
1
|
1
|
$11,373.64
|
$9,098.91
20% off
|
$7,321.42
|
$7,321.42
|
$7,321.42
|
2026-03-04
|
|
33227
|
CPT
|
Hc Remove&Replace Pm Gen Singl
|
20
|
11
|
$28,931.00
|
$23,144.80
20% off
|
$5,496.89
|
$24,591.35
|
$7,309.33
|
2026-03-04
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
1
|
1
|
$10,396.12
|
$8,316.90
|
$7,306.08
|
$7,306.08
|
$7,306.08
|
2026-03-04
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
1
|
1
|
$5,751.66
|
$4,601.33
|
$7,292.34
|
$7,292.34
|
$7,292.34
|
2026-03-04
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
1
|
1
|
$5,633.14
|
$4,506.51
20% off
|
$7,285.09
|
$7,285.09
|
$7,285.09
|
2026-03-04
|
|
SUP-118814
|
CDM
|
Wedge Biofoam Evans 20x20x10
|
17
|
10
|
$14,076.00
|
$11,260.80
20% off
|
$2,674.44
|
$11,964.60
|
$7,263.22
|
2026-03-04
|
|
37241
|
CPT
|
Hc Vasc Embolize/Occlude Venous
|
19
|
10
|
$34,974.00
|
$27,979.20
20% off
|
$6,645.06
|
$29,727.90
|
$7,243.12
|
2026-03-04
|
|
93592
|
CPT
|
Hc Prq Trans Closure Ea Add Occ Device
|
19
|
10
|
$34,909.00
|
$27,927.20
20% off
|
$6,632.71
|
$29,672.65
|
$7,229.65
|
2026-03-04
|
|
SUP-130229
|
CDM
|
Graft Bone Substitute 3cc Recombinant Human Platelet Derived Growth Factor Augme…
|
17
|
10
|
$13,980.00
|
$11,184.00
20% off
|
$2,656.20
|
$11,883.00
|
$7,213.68
|
2026-03-04
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
1
|
1
|
$19,218.50
|
$15,374.80
20% off
|
$7,162.39
|
$7,162.39
|
$7,162.39
|
2026-03-04
|
|
SUP-123957
|
CDM
|
Nail Intramedullary Medium 10mm X 200mm Right Titanium Alloy Hindfoot Fusion Sys…
|
17
|
10
|
$13,740.00
|
$10,992.00
20% off
|
$2,610.60
|
$11,679.00
|
$7,089.84
|
2026-03-04
|
|
SUP-129560
|
CDM
|
Spacer Spinal Acif H6mm Lordotic Peek Optima Preassembled With Titanium Alloy Pl…
|
17
|
10
|
$13,733.28
|
$10,986.62
20% off
|
$2,609.32
|
$11,673.29
|
$7,086.37
|
2026-03-04
|
|
392
|
MS_DRG
|
Esophagitis; Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
1
|
1
|
$16,548.62
|
$13,238.90
|
$7,080.07
|
$7,080.07
|
$7,080.07
|
2026-03-04
|
|
33206
|
CPT
|
Hc Insrt Hrt Pacemaker Atrial
|
19
|
10
|
$34,151.00
|
$27,320.80
20% off
|
$6,488.69
|
$29,028.35
|
$7,072.67
|
2026-03-04
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition; Metabolism; Fluids And Electrolytes Withou…
|
1
|
1
|
$7,489.29
|
$5,991.43
20% off
|
$7,068.79
|
$7,068.79
|
$7,068.79
|
2026-03-04
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
1
|
1
|
$5,428.84
|
$4,343.07
20% off
|
$6,988.87
|
$6,988.87
|
$6,988.87
|
2026-03-04
|
|
33285
|
CPT
|
Hc Insrtn Subq Cardiac Rhythm Mntr
|
20
|
11
|
$25,336.00
|
$20,268.80
20% off
|
$4,813.84
|
$21,535.60
|
$6,937.07
|
2026-03-04
|
|
SUP-127534
|
CDM
|
Plate Bone Periarticular Humerus Proximal Right 10 Hole Sterile 235mm Stainless …
|
17
|
10
|
$13,438.04
|
$10,750.43
20% off
|
$2,553.23
|
$11,422.33
|
$6,934.03
|
2026-03-04
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
1
|
1
|
$5,091.86
|
$4,073.49
|
$6,882.35
|
$6,882.35
|
$6,882.35
|
2026-03-04
|
|
149
|
MS_DRG
|
Dysequilibrium
|
1
|
1
|
$3,794.82
|
$3,035.86
|
$6,854.09
|
$6,854.09
|
$6,854.09
|
2026-03-04
|
|
137
|
MS_DRG
|
Major Respiratory Infections And Inflammations;major
|
3
|
1
|
$29,608.22
|
—
|
$6,832.43
|
$6,832.43
|
$6,832.43
|
2026-03-04
|
|
92943
|
CPT
|
Hc Prq Trluml Revsc Ch Occ 1 C Art Antgrd
|
20
|
11
|
$18,729.00
|
$14,983.20
|
$3,558.51
|
$15,919.65
|
$6,771.47
|
2026-03-04
|
|
0387T
|
CPT
|
Hc Transcath Insrt Or Replc Leadless Pm Ventr
|
19
|
10
|
$32,495.00
|
$25,996.00
20% off
|
$6,174.05
|
$27,620.75
|
$6,729.71
|
2026-03-04
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
1
|
1
|
$14,923.15
|
$11,938.52
|
$6,725.77
|
$6,725.77
|
$6,725.77
|
2026-03-04
|
|
SUP-127535
|
CDM
|
Plate Bone Condylar Right 16 Hole Curved 336mm Stainless Steel Va-lcp Periarticu…
|
17
|
10
|
$12,965.64
|
$10,372.51
20% off
|
$2,463.47
|
$11,020.79
|
$6,690.27
|
2026-03-04
|
|
SUP-123960
|
CDM
|
Nail Intramedullary Small 11.5mm X 150mm Right Titanium Alloy Hindfoot Fusion Sy…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123954
|
CDM
|
Nail Intramedullary L L250mm Dia11.5mm 120deg Gold Left Lateral Hindfoot Cannula…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123958
|
CDM
|
Nail Intramedullary L L250mm Dia10mm 120deg Silver Right Lateral Hindfoot Cannul…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123955
|
CDM
|
Nail Intramedullary Xl L300mm Dia11.5mm 120deg Gold Left Lateral Hindfoot Cannul…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123956
|
CDM
|
Nail Intramedullary Hindfoot Sm 10X150mm Right Valor Silver
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123953
|
CDM
|
Nail Intramedullary M L200mm Dia11.5mm 120deg Gold Left Lateral Hindfoot Cannula…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123963
|
CDM
|
Nail Intramedullary Xl L300mm Dia11.5mm 120deg Silver Right Lateral Hindfoot Can…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123949
|
CDM
|
Nail Intramedullary M L200mm Dia10mm 120deg Gold Left Lateral Hindfoot Cannulate…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123950
|
CDM
|
Nail Intramedullary L L250mm Dia10mm 120deg Gold Left Lateral Hindfoot Cannulate…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123951
|
CDM
|
Nail Intramedullary Xl L300mm Dia10mm 120deg Gold Left Lateral Hindfoot Cannulat…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123948
|
CDM
|
Nail Intramedullary Small 10mm X 150mm Left Titanium Alloy Hindfoot Fusion Syste…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123962
|
CDM
|
Nail Intramedullary L L250mm Dia11.5mm 120deg Silver Right Lateral Hindfoot Cann…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123961
|
CDM
|
Nail Intramedullary M L200mm Dia11.5mm 120deg Silver Right Lateral Hindfoot Cann…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123959
|
CDM
|
Nail Intramedullary Hindfoot Xl 10X300mm Right Valor Silver
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
SUP-123952
|
CDM
|
Nail Intramedullary Sm L150mm Dia11.5mm 120deg Gold Left Lateral Hindfoot Cannul…
|
17
|
10
|
$12,964.00
|
$10,371.20
|
$2,463.16
|
$11,019.40
|
$6,689.42
|
2026-03-04
|
|
50590
|
CPT
|
Hc Lithotripsy Extracorp Shckwave
|
20
|
11
|
$33,429.00
|
$26,743.20
20% off
|
$3,595.28
|
$28,414.65
|
$6,637.33
|
2026-03-04
|
|
SUP-127533
|
CDM
|
Plate Bone Periarticular Humerus Proximal Right 8 Hole Sterile 199mm Stainless S…
|
17
|
10
|
$12,835.24
|
$10,268.19
20% off
|
$2,438.70
|
$10,909.95
|
$6,622.98
|
2026-03-04
|
|
C9755
|
HCPCS
|
Hc Prq Rf Magnetic-guide Av Fistula W/Rs&I
|
19
|
10
|
$31,339.00
|
$25,071.20
20% off
|
$5,954.41
|
$26,638.15
|
$6,490.31
|
2026-03-04
|
|
SUP-127332
|
CDM
|
Plate Bone Condylar Left 14 Hole Curved 301mm Stainless Steel Va-lcp Periarticul…
|
17
|
10
|
$12,499.08
|
$9,999.26
20% off
|
$2,374.83
|
$10,624.22
|
$6,449.53
|
2026-03-04
|
|
SUP-112277
|
CDM
|
Nail Intramedullary L340mm Dia10mm 130deg Green Titanium Short Left Proximal Tro…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112289
|
CDM
|
Nail Intramedullary L400mm Dia10mm 130deg Green Titanium Short Right Proximal Tr…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112283
|
CDM
|
Nail Intramedullary L340mm Dia10mm 130deg Green Titanium Short Right Proximal Tr…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125167
|
CDM
|
Nail Intramedullary L400mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125163
|
CDM
|
Nail Intramedullary L300mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112278
|
CDM
|
Nail Intramedullary L300mm Dia10mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112282
|
CDM
|
Nail Intramedullary L400mm Dia10mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125164
|
CDM
|
Nail Intramedullary L320mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125168
|
CDM
|
Nail Intramedullary L420mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125170
|
CDM
|
Nail Intramedullary L460mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125176
|
CDM
|
Nail Intramedullary L460mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112276
|
CDM
|
Nail Intramedullary L320mm Dia10mm 130deg Green Titanium Short Left Proximal Tro…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112280
|
CDM
|
Nail Intramedullary L380mm Dia10mm 130deg Green Titanium Short Left Proximal Tro…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125171
|
CDM
|
Nail Intramedullary L300mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125166
|
CDM
|
Nail Intramedullary L360mm Dia14mm Neck 130deg Left Angled Long Universal Proxim…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112291
|
CDM
|
Nail Intramedullary L440mm Dia10mm 130deg Green Titanium Short Right Proximal Tr…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112279
|
CDM
|
Nail Intramedullary L360mm Dia10mm 130deg Green Titanium Short Left Proximal Tro…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112287
|
CDM
|
Nail Intramedullary L380mm Dia10mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112290
|
CDM
|
Nail Intramedullary L420mm Dia10mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-124938
|
CDM
|
Nail Intramedullary L380mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112281
|
CDM
|
Nail Intramedullary L320mm Dia10mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-124937
|
CDM
|
Nail Intramedullary L380mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112284
|
CDM
|
Nail Intramedullary L420mm Dia10mm 130deg Green Titanium Short Left Proximal Tro…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125165
|
CDM
|
Nail Intramedullary L340mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125169
|
CDM
|
Nail Intramedullary L440mm Dia14mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-124939
|
CDM
|
Nail Intramedullary L400mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-112286
|
CDM
|
Nail Intramedullary L440mm Dia10mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125175
|
CDM
|
Nail Intramedullary L440mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125172
|
CDM
|
Nail Intramedullary L320mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125173
|
CDM
|
Nail Intramedullary L340mm Dia14mm Neck 130deg Short Right Proximal Femoral Gree…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
SUP-125174
|
CDM
|
Nail Intramedullary L420mm Dia14mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$12,481.68
|
$9,985.34
20% off
|
$2,371.52
|
$10,609.43
|
$6,440.55
|
2026-03-04
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy; Cirrhosis Or Alcoholic Hepatitis Without C…
|
1
|
1
|
$34,818.42
|
$27,854.74
|
$6,435.22
|
$6,435.22
|
$6,435.22
|
2026-03-04
|
|
37234
|
CPT
|
Hc Revsc Opn/Prq Tib/Pero Stent
|
19
|
10
|
$31,024.00
|
$24,819.20
20% off
|
$5,894.56
|
$26,370.40
|
$6,425.07
|
2026-03-04
|
|
20982
|
CPT
|
Hc Prq Ablation; Bone Tumor(S); Radiofrequency
|
20
|
11
|
$17,765.00
|
$14,212.00
20% off
|
$3,375.35
|
$15,100.25
|
$6,422.93
|
2026-03-04
|
|
93620
|
CPT
|
Hc Electphys Eval Rght Pacing
|
20
|
11
|
$23,747.00
|
$18,997.60
20% off
|
$4,511.93
|
$20,184.95
|
$6,413.99
|
2026-03-04
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
1
|
1
|
$18,712.32
|
$14,969.86
|
$6,356.11
|
$6,356.11
|
$6,356.11
|
2026-03-04
|
|
33216
|
CPT
|
Hc Insert 1 Electrode Pm-defib
|
20
|
11
|
$19,540.00
|
$15,632.00
20% off
|
$3,908.00
|
$16,609.00
|
$6,336.89
|
2026-03-04
|
|
SUP-117482
|
CDM
|
Kit Neurostimulator Lead L65cm Dia1.3mm Connector Contoured Specify Disposable 2…
|
16
|
9
|
$17,500.00
|
$14,000.00
20% off
|
$3,325.00
|
$14,875.00
|
$6,327.12
|
2026-03-04
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
1
|
1
|
$42,024.82
|
$33,619.86
|
$6,311.72
|
$6,311.72
|
$6,311.72
|
2026-03-04
|
|
C9608
|
HCPCS
|
Hc Prq Revasc Chronic Addl
|
19
|
10
|
$30,294.00
|
$24,235.20
20% off
|
$5,755.86
|
$25,749.90
|
$6,273.89
|
2026-03-04
|
|
C9603
|
HCPCS
|
Hc Prq Ath/Angio Drug Eluting Add
|
19
|
10
|
$30,294.00
|
$24,235.20
20% off
|
$5,755.86
|
$25,749.90
|
$6,273.89
|
2026-03-04
|
|
C9605
|
HCPCS
|
Hc Prq Revasc Byp Grft De Addl
|
19
|
10
|
$30,294.00
|
$24,235.20
20% off
|
$5,755.86
|
$25,749.90
|
$6,273.89
|
2026-03-04
|
|
C9601
|
HCPCS
|
Hc Prq Plcmnt Drug Eluting Addl
|
19
|
10
|
$30,294.00
|
$24,235.20
20% off
|
$5,755.86
|
$25,749.90
|
$6,273.89
|
2026-03-04
|
|
813
|
MS_DRG
|
Other Complications Of Treatment;major
|
3
|
1
|
$16,829.71
|
—
|
$6,255.52
|
$6,255.52
|
$6,255.52
|
2026-03-04
|
|
33340
|
CPT
|
Hc Prq Trnscath Clsre L Atr Apndge W/Endocardial Implnt
|
20
|
11
|
$31,506.00
|
$25,204.80
20% off
|
$2,667.53
|
$26,780.10
|
$6,255.52
|
2026-03-04
|
|
SUP-121456
|
CDM
|
Neurostimulator H2.6XL1.9in Thk0.6in 72gm Spinal Cord Octapolar Lithium Ion Rech…
|
16
|
9
|
$17,250.00
|
$13,800.00
20% off
|
$3,277.50
|
$14,662.50
|
$6,236.74
|
2026-03-04
|
|
0235T
|
CPT
|
Hc Atherectomy Visceral Artery
|
19
|
10
|
$29,735.00
|
$23,788.00
20% off
|
$5,649.65
|
$25,274.75
|
$6,158.12
|
2026-03-04
|
|
SUP-130359
|
CDM
|
Nail Intramedullary L300mm Dia10mm Neck 130deg Long Left Proximal Femoral Titani…
|
17
|
10
|
$11,781.52
|
$9,425.22
|
$2,238.49
|
$10,014.29
|
$6,079.26
|
2026-03-04
|
|
SUP-130361
|
CDM
|
Nail Intramedullary L320mm Dia10mm Neck 130deg Long Left Proximal Femoral Titani…
|
17
|
10
|
$11,781.52
|
$9,425.22
|
$2,238.49
|
$10,014.29
|
$6,079.26
|
2026-03-04
|
|
SUP-128202
|
CDM
|
Plate Bone Tibia Proximal Left 8 Hole Large Bend 147mm Stainless Steel Va-lcp Fo…
|
17
|
10
|
$11,777.56
|
$9,422.05
|
$2,237.74
|
$10,010.93
|
$6,077.22
|
2026-03-04
|
|
SUP-111999
|
CDM
|
Nail Intramedullary L360mm Dia11mm 130deg Short Right Proximal Trochanteric Femo…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112018
|
CDM
|
Nail Intramedullary L380mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112012
|
CDM
|
Nail Intramedullary L320mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112000
|
CDM
|
Nail Intramedullary L360mm Dia11mm 130deg Short Left Proximal Trochanteric Femor…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112008
|
CDM
|
Nail Intramedullary L440mm Dia11mm 130deg Short Left Proximal Trochanteric Femor…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112022
|
CDM
|
Nail Intramedullary L420mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112015
|
CDM
|
Nail Intramedullary L360mm Dia12mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112026
|
CDM
|
Nail Intramedullary L460mm Dia12mm Neck 130deg Green Left Femoral Titanium Troch…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112019
|
CDM
|
Nail Intramedullary L400mm Dia12mm 130deg Right Proximal Femoral Green Titanium …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-111996
|
CDM
|
Nail Intramedullary L320mm Dia11mm 130deg Short Right Proximal Trochanteric Femo…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112009
|
CDM
|
Nail Intramedullary L460mm Dia11mm 130deg Long Right Universal Proximal Femoral …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-106508
|
CDM
|
Nail Intramedullary L300mm Dia11mm Neck 130deg Short Left Proximal Femoral Green…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112013
|
CDM
|
Nail Intramedullary L340mm Dia12mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112004
|
CDM
|
Nail Intramedullary L400mm Dia11mm 130deg Short Left Proximal Trochanteric Femor…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112020
|
CDM
|
Nail Intramedullary L400mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-106507
|
CDM
|
Nail Intramedullary L300mm Dia11mm Neck 130deg Short Right Proximal Femoral Gree…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112003
|
CDM
|
Nail Intramedullary L400mm Dia11mm 130deg Right Distal Femoral Titanium Alloy Ca…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112023
|
CDM
|
Nail Intramedullary L440mm Dia12mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112010
|
CDM
|
Nail Intramedullary L460mm Dia11mm 130deg Long Left Universal Proximal Femoral T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112007
|
CDM
|
Nail Intramedullary L440mm Dia11mm 130deg Short Right Proximal Trochanteric Femo…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112016
|
CDM
|
Nail Intramedullary L360mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112002
|
CDM
|
Nail Intramedullary L380mm Dia11mm 130deg Short Left Proximal Trochanteric Femor…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112006
|
CDM
|
Nail Intramedullary L420mm Dia11mm 130deg Short Left Proximal Trochanteric Femor…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112025
|
CDM
|
Nail Intramedullary L460mm Dia12mm Neck 130deg Green Right Femoral Titanium Troc…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112001
|
CDM
|
Nail Intramedullary L380mm Dia11mm 130deg Short Right Proximal Trochanteric Femo…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112017
|
CDM
|
Nail Intramedullary L380mm Dia12mm Neck 130deg Green Right Femoral Trochanteric …
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
SUP-112014
|
CDM
|
Nail Intramedullary L340mm Dia12mm Neck 130deg Green Left Femoral Trochanteric T…
|
17
|
10
|
$11,722.40
|
$9,377.92
|
$2,227.26
|
$9,964.04
|
$6,048.76
|
2026-03-04
|
|
33213
|
CPT
|
Hc Insrt Pulse Gen Exstngdual Lds
|
19
|
10
|
$28,778.00
|
$23,022.40
|
$5,467.82
|
$24,461.30
|
$5,959.92
|
2026-03-04
|
|
SUP-137742
|
CDM
|
Graft Bone Substitute Wedge 10mm 10deg Lapidus Preserve
|
17
|
10
|
$11,500.00
|
$9,200.00
20% off
|
$2,185.00
|
$9,775.00
|
$5,934.00
|
2026-03-04
|
|
SUP-137743
|
CDM
|
Implant Finger Joint 12deg Thk12mm Lapidus Wedge
|
17
|
10
|
$11,500.00
|
$9,200.00
20% off
|
$2,185.00
|
$9,775.00
|
$5,934.00
|
2026-03-04
|
|
SUP-137744
|
CDM
|
Wedge Bone L14mm Universal Lapidus Titan 3-d
|
17
|
10
|
$11,500.00
|
$9,200.00
20% off
|
$2,185.00
|
$9,775.00
|
$5,934.00
|
2026-03-04
|
|
SUP-137740
|
CDM
|
Graft Bone Particulate Mineralized/Demineralized Blend 2cc 0.25-1mm Allograft Co…
|
17
|
10
|
$11,500.00
|
$9,200.00
20% off
|
$2,185.00
|
$9,775.00
|
$5,934.00
|
2026-03-04
|
|
SUP-132517
|
CDM
|
Plate Bone Metatarsophalangeal Cross Right Locking Titanium Anchorage Plating Sy…
|
17
|
10
|
$11,404.00
|
$9,123.20
|
$2,166.76
|
$9,693.40
|
$5,884.46
|
2026-03-04
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
1
|
1
|
$4,691.19
|
$3,752.95
20% off
|
$5,860.55
|
$5,860.55
|
$5,860.55
|
2026-03-04
|
|
93461
|
CPT
|
Hc R&l Hrt Art/Ventricle Angio
|
20
|
11
|
$29,510.00
|
$23,608.00
20% off
|
$3,352.85
|
$25,083.50
|
$5,859.21
|
2026-03-04
|
|
37260
|
CPT
|
Hc Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl
|
19
|
10
|
$28,247.00
|
$22,597.60
20% off
|
$5,366.93
|
$24,009.95
|
$5,849.95
|
2026-03-04
|
|
SUP-124169
|
CDM
|
Plate Bone Anterolateral Right Sm 3 Hole 93mm 1 Compression Slot Titanium Alloy …
|
17
|
10
|
$11,296.00
|
$9,036.80
20% off
|
$2,146.24
|
$9,601.60
|
$5,828.74
|
2026-03-04
|
|
SUP-124168
|
CDM
|
Plate Bone Ankle Fusion Left Sm 2x3 Hole Compression Locking Titanium Low Profil…
|
17
|
10
|
$11,296.00
|
$9,036.80
20% off
|
$2,146.24
|
$9,601.60
|
$5,828.74
|
2026-03-04
|
|
SUP-124170
|
CDM
|
Plate Bone Anterolateral Left Lg 4 Hole 114mm 2 Compression Slot Titanium Alloy …
|
17
|
10
|
$11,296.00
|
$9,036.80
20% off
|
$2,146.24
|
$9,601.60
|
$5,828.74
|
2026-03-04
|
|
SUP-124171
|
CDM
|
Plate Bone Anterolateral Right Lg 4 Hole 114mm 2 Compression Slot Titanium Alloy…
|
17
|
10
|
$11,296.00
|
$9,036.80
20% off
|
$2,146.24
|
$9,601.60
|
$5,828.74
|
2026-03-04
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
1
|
1
|
$18,451.51
|
$14,761.21
|
$5,803.25
|
$5,803.25
|
$5,803.25
|
2026-03-04
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
1
|
1
|
$11,693.33
|
$9,354.66
20% off
|
$5,801.63
|
$5,801.63
|
$5,801.63
|
2026-03-04
|
|
37269
|
CPT
|
Hc Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl
|
19
|
10
|
$28,004.00
|
$22,403.20
20% off
|
$5,320.76
|
$23,803.40
|
$5,799.63
|
2026-03-04
|
|
133
|
MS_DRG
|
Respiratory Failure;major
|
6
|
1
|
$38,988.18
|
—
|
$4,626.37
|
$6,966.94
|
$5,796.65
|
2026-03-04
|
|
SUP-143379
|
CDM
|
System Neurostimulator H17XL47mm 7.3gm Micro Rechargeable Includes Smart Program…
|
16
|
9
|
$15,900.00
|
$12,720.00
20% off
|
$3,021.00
|
$13,515.00
|
$5,748.65
|
2026-03-04
|
|
SUP-128240
|
CDM
|
Nail Intramedullary L380mm Dia11mm 125deg Right Trochanteric Femoral Gamma 3
|
17
|
10
|
$11,096.00
|
$8,876.80
20% off
|
$2,108.24
|
$9,431.60
|
$5,725.54
|
2026-03-04
|
|
SUP-125473
|
CDM
|
Plate Bone Condylar Left 8 Hole Curved 195mm Stainless Steel Va-lcp Periarticula…
|
17
|
10
|
$11,041.40
|
$8,833.12
|
$2,097.87
|
$9,385.19
|
$5,697.36
|
2026-03-04
|
|
SUP-124180
|
CDM
|
Plate Bone Tibiotalocalcaneal Posterior Sm Universal Compression Slot Titanium A…
|
17
|
10
|
$11,040.00
|
$8,832.00
20% off
|
$2,097.60
|
$9,384.00
|
$5,696.64
|
2026-03-04
|
|
SUP-124181
|
CDM
|
Plate Bone Posterior Tibiotalocalcaneal Ankle 4 X 6 X 2 Hole Polyaxial 119mm Com…
|
17
|
10
|
$11,040.00
|
$8,832.00
20% off
|
$2,097.60
|
$9,384.00
|
$5,696.64
|
2026-03-04
|
|
93580
|
CPT
|
Hc Atrial Septal Defect Repair
|
19
|
10
|
$27,492.00
|
$21,993.60
20% off
|
$5,223.48
|
$23,368.20
|
$5,693.59
|
2026-03-04
|
|
93581
|
CPT
|
Hc Ventricular Septal Defect Repr
|
19
|
10
|
$27,492.00
|
$21,993.60
20% off
|
$5,223.48
|
$23,368.20
|
$5,693.59
|
2026-03-04
|
|
37220
|
CPT
|
Hc Iliac Revasc Init Vesl Unil
|
20
|
11
|
$26,128.00
|
$20,902.40
|
$4,964.32
|
$22,208.80
|
$5,677.24
|
2026-03-04
|
|
93650
|
CPT
|
Hc Ablate Heart Dysrhythm Focus
|
20
|
11
|
$16,353.00
|
$13,082.40
20% off
|
$3,107.07
|
$13,900.05
|
$5,648.35
|
2026-03-04
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
1
|
1
|
$3,724.70
|
$2,979.76
|
$5,632.94
|
$5,632.94
|
$5,632.94
|
2026-03-04
|
|
SUP-132627
|
CDM
|
Implant Ankle Joint 9mm Taper Design For Arthroereisis Subfix
|
17
|
10
|
$10,912.52
|
$8,730.02
|
$2,073.38
|
$9,275.64
|
$5,630.86
|
2026-03-04
|
|
SUP-132626
|
CDM
|
Implant Ankle Joint 8mm Taper Design For Arthroereisis Subfix
|
17
|
10
|
$10,912.52
|
$8,730.02
|
$2,073.38
|
$9,275.64
|
$5,630.86
|
2026-03-04
|
|
J9272
|
HCPCS
|
Dostarlimab-gxly 50 Mg/ml IV Soln
|
20
|
11
|
$28,255.83
|
$22,604.66
20% off
|
$240.14
|
$24,017.46
|
$5,610.19
|
2026-03-04
|
|
383
|
MS_DRG
|
Cellulitis And Other Skin Infections;major
|
4
|
1
|
$23,066.41
|
—
|
$3,767.36
|
$5,605.21
|
$5,605.21
|
2026-03-04
|
|
PX-68200003
|
CDM
|
Hc Ctgry 1 Trauma Activ Without Cc
|
19
|
10
|
$27,015.00
|
$21,612.00
20% off
|
$5,132.85
|
$22,962.75
|
$5,594.81
|
2026-03-04
|
|
SUP-127225
|
CDM
|
Nail Intramedullary L255mm Dia7mm Right Humeral Blue Titanium Straight Round Can…
|
17
|
10
|
$10,797.68
|
$8,638.14
20% off
|
$2,051.56
|
$9,178.03
|
$5,571.60
|
2026-03-04
|
|
SUP-126656
|
CDM
|
Nail Intramedullary L180mm Dia8.5mm Right Humeral Tan Straight Cannulated Blue M…
|
17
|
10
|
$10,797.68
|
$8,638.14
20% off
|
$2,051.56
|
$9,178.03
|
$5,571.60
|
2026-03-04
|
|
139
|
MS_DRG
|
Other Pneumonia;major
|
2
|
1
|
$17,504.60
|
—
|
$5,526.65
|
$5,526.65
|
$5,526.65
|
2026-03-04
|
|
37231
|
CPT
|
Hc Tib/per Revasc Stent & Ather
|
19
|
10
|
$26,368.00
|
$21,094.40
|
$5,009.92
|
$22,412.80
|
$5,460.81
|
2026-03-04
|
|
33212
|
CPT
|
Hc Insrt Pulse Gen Exstg Sngl Ld
|
19
|
10
|
$26,300.00
|
$21,040.00
20% off
|
$4,997.00
|
$22,355.00
|
$5,446.73
|
2026-03-04
|
|
SUP-117178
|
CDM
|
Neurostimulator Deep Brain Stimulation Rechargeable Battery Multiprong Restore
|
16
|
9
|
$15,000.00
|
$12,000.00
20% off
|
$2,850.00
|
$12,750.00
|
$5,423.25
|
2026-03-04
|
|
C9772
|
HCPCS
|
Hc Revasc Lithotrip Tibi/Perone
|
19
|
10
|
$26,000.00
|
$20,800.00
20% off
|
$4,940.00
|
$22,100.00
|
$5,384.60
|
2026-03-04
|
|
SUP-127583
|
CDM
|
Component Femoral Size 6 Right Trabecular Metal Porous Cruciate Retaining Narrow…
|
17
|
10
|
$10,400.00
|
$8,320.00
20% off
|
$1,976.00
|
$8,840.00
|
$5,366.40
|
2026-03-04
|
|
SUP-143232
|
CDM
|
Plate Bone Lapidus Right Standard 2mm Ortholoc 2 LapiFuse Triplanar Correction S…
|
17
|
10
|
$10,388.00
|
$8,310.40
20% off
|
$1,973.72
|
$8,829.80
|
$5,360.21
|
2026-03-04
|
|
J1290
|
HCPCS
|
Ecallantide 10 Mg/ml (1 Ml) Subq Soln
|
19
|
10
|
$25,799.60
|
$20,639.68
|
$4,901.92
|
$21,929.66
|
$5,343.10
|
2026-03-04
|
|
G0390
|
HCPCS
|
Hc Ctgry 1 Trauma Activ W/Cc
|
38
|
10
|
$20,165.00
|
$16,132.00
20% off
|
$2,554.17
|
$22,853.95
|
$5,338.41
|
2026-03-04
|
|
SUP-123978
|
CDM
|
Wedge Foot W18X12mm D18mm Thk12mm Titanium Cancellous Rigid Fixation For Evans W…
|
17
|
10
|
$10,308.00
|
$8,246.40
20% off
|
$1,958.52
|
$8,761.80
|
$5,318.93
|
2026-03-04
|
|
37191
|
CPT
|
Hc Insrt Endovas Vena Cava Filtr
|
20
|
11
|
$24,062.00
|
$19,249.60
20% off
|
$4,571.78
|
$20,452.70
|
$5,309.12
|
2026-03-04
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
1
|
1
|
$5,080.90
|
$4,064.72
20% off
|
$5,275.40
|
$5,275.40
|
$5,275.40
|
2026-03-04
|
|
33990
|
CPT
|
Hc Prq Insert Ventricular Assist L Heart Artrl Access
|
19
|
10
|
$25,430.00
|
$20,344.00
20% off
|
$4,831.70
|
$21,615.50
|
$5,266.55
|
2026-03-04
|
|
37258
|
CPT
|
Hc Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl
|
19
|
10
|
$25,422.00
|
$20,337.60
20% off
|
$4,830.18
|
$21,608.70
|
$5,264.90
|
2026-03-04
|
|
SUP-124178
|
CDM
|
Plate Bone Posterior Sm 3 Hole 77mm Titanium For Ortholoc
|
17
|
10
|
$10,172.00
|
$8,137.60
|
$1,932.68
|
$8,646.20
|
$5,248.75
|
2026-03-04
|
|
SUP-124179
|
CDM
|
Plate Bone Tibiotalar Posterior Lg Universal Compression Slot Titanium Alloy Ank…
|
17
|
10
|
$10,172.00
|
$8,137.60
|
$1,932.68
|
$8,646.20
|
$5,248.75
|
2026-03-04
|
|
37267
|
CPT
|
Hc Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl
|
19
|
10
|
$25,204.00
|
$20,163.20
20% off
|
$4,788.76
|
$21,423.40
|
$5,219.75
|
2026-03-04
|
|
SUP-143374
|
CDM
|
Lead Neurostimulator L28cm Dia1.27mm 4 In Line Electrode Spacing 4.32mm Polyuret…
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-143376
|
CDM
|
Lead Neurostimulator L41cm Dia1.27mm 4 In Line Electrode Spacing 4.32mm Polyuret…
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-143371
|
CDM
|
Lead Kit Interstim 978a128
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-143373
|
CDM
|
Lead Kit Interstim 978a141
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-143372
|
CDM
|
Lead Kit Interstim 978a133
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-143375
|
CDM
|
Lead Neurostimulator L33cm Dia1.27mm 4 In Line Electrode Spacing 4.32mm Polyuret…
|
16
|
9
|
$14,400.00
|
$11,520.00
20% off
|
$2,736.00
|
$12,240.00
|
$5,206.32
|
2026-03-04
|
|
SUP-117669
|
CDM
|
Plate Bone Periarticular Humerus Proximal Right 2 Hole 91mm Stainless Steel Lcp …
|
17
|
10
|
$10,058.96
|
$8,047.17
|
$1,911.20
|
$8,550.12
|
$5,190.42
|
2026-03-04
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
1
|
1
|
$2,396.00
|
$1,916.80
20% off
|
$5,178.54
|
$5,178.54
|
$5,178.54
|
2026-03-04
|
|
SUP-123975
|
CDM
|
Graft Bone Substitute Wedge 6.5mm X 20mm Biofoam
|
17
|
10
|
$10,004.00
|
$8,003.20
20% off
|
$1,900.76
|
$8,503.40
|
$5,162.06
|
2026-03-04
|
|
33225
|
CPT
|
Hc L Ventric Pacing Lead Add-on
|
19
|
10
|
$24,920.00
|
$19,936.00
20% off
|
$4,734.80
|
$21,182.00
|
$5,160.93
|
2026-03-04
|
|
SUP-123446
|
CDM
|
Mesh Hernia W10XL12in Rectangle Fully Resorbable For Soft Tissue Reconstruction …
|
19
|
10
|
$24,898.50
|
$19,918.80
20% off
|
$4,730.72
|
$21,163.73
|
$5,156.48
|
2026-03-04
|
|
SUP-106530
|
CDM
|
Nail Intramedullary L170mm Dia11mm 130Deg Trochanteric Femoral Green Titanium Ca…
|
17
|
10
|
$9,990.85
|
$7,992.68
20% off
|
$1,898.26
|
$8,492.22
|
$5,155.28
|
2026-03-04
|
|
37223
|
CPT
|
Hc Iliac Revasc W/Stent Add-on
|
19
|
10
|
$24,892.00
|
$19,913.60
20% off
|
$4,729.48
|
$21,158.20
|
$5,155.13
|
2026-03-04
|