|
709038898
|
CDM
|
Thromb Avf W/wo Pta W/stnt+im
|
197
|
90
|
$97,520.00
|
$58,512.00
40% off
|
$24,380.00
|
$136,528.00
|
$78,016.00
|
2026-01-01
|
|
709030454
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030456
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030383
|
CDM
|
Stnt/athr/ptca Bm Grft Int Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030396
|
CDM
|
Stnt/athr/ptca Bm Ami Emerg Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030397
|
CDM
|
Stnt/athr/ptca Bm Ami Emerg Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030409
|
CDM
|
Stnt/athr/ptca Bm Cto Em Lm
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030380
|
CDM
|
Stnt/athr/ptca Bm Grft Int Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030382
|
CDM
|
Stnt/athr/ptca Bm Grft Int Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030370
|
CDM
|
Stent/ather Bm Cor Vsl Int Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030455
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Lm
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030452
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030369
|
CDM
|
Stent/ather Bm Cor Vsl Int Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030399
|
CDM
|
Stnt/athr/ptca Bm Ami Emerg Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030406
|
CDM
|
Stnt/athr/ptca Bm Cto Init Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030446
|
CDM
|
Stnt/athr/ptca Des Grft Int Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030408
|
CDM
|
Stnt/athr/ptca Bm Cto Init Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030447
|
CDM
|
Stnt/athr/ptca Des Grft Int Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030457
|
CDM
|
Stnt/athr/ptca Des Cto Int Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030445
|
CDM
|
Stnt/athr/ptca Des Grft Int Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030372
|
CDM
|
Stent/ather Bm Cor Vsl Int Lm
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030373
|
CDM
|
Stent/ather Bm Cor Vsl Int Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030460
|
CDM
|
Stnt/athr/ptca Des Cto Int Lm
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030410
|
CDM
|
Stnt/athr/ptca Bm Cto Em Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030453
|
CDM
|
Stnt/athr/ptca Des Ami Emrg Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030395
|
CDM
|
Stnt/athr/ptca Bm Ami Emerg Ld
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030371
|
CDM
|
Stent/ather Bm Cor Vsl Int Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030458
|
CDM
|
Stnt/athr/ptca Des Cto Int Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030448
|
CDM
|
Stnt/athr/ptca Des Gr Int Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030398
|
CDM
|
Stnt/athr/ptca Bm Ami Emerg Lm
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030459
|
CDM
|
Stnt/athr/ptca Des Cto Int Rc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030461
|
CDM
|
Stnt/athr/ptca Des Cto Int Ri
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030381
|
CDM
|
Stnt/athr/ptca Bm Grft Int Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709030407
|
CDM
|
Stnt/athr/ptca Bm Cto Init Lc
|
223
|
101
|
$89,097.00
|
$53,458.20
40% off
|
$22,274.25
|
$124,735.80
|
$69,495.66
|
2026-01-01
|
|
709028192
|
CDM
|
St+ath+cth+s&itip/prad
|
196
|
90
|
$69,085.00
|
$41,451.00
40% off
|
$17,271.25
|
$96,719.00
|
$55,268.00
|
2026-01-01
|
|
709038897
|
CDM
|
Thrmbectomy/lysis Avf W/pta+im
|
196
|
90
|
$68,086.00
|
$40,851.60
40% off
|
$17,021.50
|
$95,320.40
|
$54,468.80
|
2026-01-01
|
|
709038895
|
CDM
|
Fistulagram W/wo Pta Stent+im
|
197
|
90
|
$63,795.00
|
$38,277.00
40% off
|
$15,948.75
|
$89,313.00
|
$51,036.00
|
2026-01-01
|
|
709030463
|
CDM
|
Stnt/athr/ptca Des Cto Add Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030425
|
CDM
|
Stnt/athr Des Brnch Addl Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030378
|
CDM
|
Stnt/athr Bm Brnch Addl Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030391
|
CDM
|
Stnt/athr/ptca Bm Grft Add Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030389
|
CDM
|
Stnt/athr/ptca Bm Grft Add Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030390
|
CDM
|
Stnt/athr/ptca Bm Grft Add Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030374
|
CDM
|
Stnt/athr Bm Brnch Addl Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030423
|
CDM
|
Stnt/athr Des Brnch Addl Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030464
|
CDM
|
Stnt/athr/ptca Des Cto Add Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030450
|
CDM
|
Stnt/athr/ptca Des Grft Add Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030449
|
CDM
|
Stnt/athr/ptca Des Grft Add Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030427
|
CDM
|
Stnt/athr Des Brnch Addl Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030462
|
CDM
|
Stnt/athr/ptca Des Cto Add Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030418
|
CDM
|
Stnt/athr/ptca Bm Cto Addl Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030376
|
CDM
|
Stnt/athr Bm Brnch Addl Lc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030419
|
CDM
|
Stnt/athr/ptca Bm Cto Addl Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030451
|
CDM
|
Stnt/athr/ptca Des Grft Add Rc
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709030417
|
CDM
|
Stnt/athr/ptca Bm Cto Addl Ld
|
223
|
101
|
$65,136.00
|
$39,081.60
40% off
|
$16,284.00
|
$91,190.40
|
$50,806.08
|
2026-01-01
|
|
709028184
|
CDM
|
Stnt+ather+sl Cth+s&i Fem
|
196
|
90
|
$62,548.00
|
$37,528.80
40% off
|
$15,637.00
|
$87,567.20
|
$50,038.40
|
2026-01-01
|
|
709028188
|
CDM
|
St+athr+slct+s&itip/pr
|
196
|
90
|
$62,548.00
|
$37,528.80
40% off
|
$15,637.00
|
$87,567.20
|
$50,038.40
|
2026-01-01
|
|
709030444
|
CDM
|
Stent/ather Des Cor Vsl Int Ri
|
223
|
101
|
$62,725.00
|
$37,635.00
40% off
|
$15,681.25
|
$87,815.00
|
$48,925.50
|
2026-01-01
|
|
709030443
|
CDM
|
Stent/ather Des Cor Vsl Int Lm
|
223
|
101
|
$62,725.00
|
$37,635.00
40% off
|
$15,681.25
|
$87,815.00
|
$48,925.50
|
2026-01-01
|
|
709030440
|
CDM
|
Stent/ather Des Cor Vsl Int Ld
|
223
|
101
|
$62,725.00
|
$37,635.00
40% off
|
$15,681.25
|
$87,815.00
|
$48,925.50
|
2026-01-01
|
|
709030442
|
CDM
|
Stent/ather Des Cor Vsl Int Rc
|
223
|
101
|
$62,725.00
|
$37,635.00
40% off
|
$15,681.25
|
$87,815.00
|
$48,925.50
|
2026-01-01
|
|
709030441
|
CDM
|
Stent/ather Des Cor Vsl Int Lc
|
223
|
101
|
$62,725.00
|
$37,635.00
40% off
|
$15,681.25
|
$87,815.00
|
$48,925.50
|
2026-01-01
|
|
702120794
|
CDM
|
000000000000170028-generator
|
233
|
108
|
$60,513.00
|
$36,307.80
40% off
|
$362.89
|
$84,718.20
|
$45,989.88
|
2026-01-01
|
|
717013647
|
CDM
|
Ravulizumab-cwvz 1100mg Inj
|
223
|
101
|
$58,703.33
|
$35,222.00
40% off
|
$14,675.83
|
$82,184.66
|
$45,788.60
|
2026-01-01
|
|
702151662
|
CDM
|
000000000000569879-kit
|
233
|
108
|
$58,781.00
|
$35,268.60
40% off
|
$362.89
|
$82,293.40
|
$44,673.56
|
2026-01-01
|
|
709038888
|
CDM
|
Pta Artery Initial +im
|
196
|
90
|
$53,788.00
|
$32,272.80
40% off
|
$13,447.00
|
$75,303.20
|
$43,030.40
|
2026-01-01
|
|
702155977
|
CDM
|
000000000001004430-generator
|
233
|
108
|
$56,571.00
|
$33,942.60
40% off
|
$362.89
|
$79,199.40
|
$42,993.96
|
2026-01-01
|
|
709038889
|
CDM
|
Pta Artery Ea Additional +im
|
197
|
90
|
$53,440.00
|
$32,064.00
40% off
|
$13,360.00
|
$74,816.00
|
$42,752.00
|
2026-01-01
|
|
709029956
|
CDM
|
Carotid Inter Sel Wo/w Arch Bi
|
223
|
101
|
$54,742.00
|
$32,845.20
40% off
|
$13,685.50
|
$76,638.80
|
$42,698.76
|
2026-01-01
|
|
709029954
|
CDM
|
Cc Intracran Sel Wo/w Arch Bi
|
223
|
101
|
$53,922.00
|
$32,353.20
40% off
|
$13,480.50
|
$75,490.80
|
$42,059.16
|
2026-01-01
|
|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
22
|
21
|
—
|
—
|
$207.78
|
$41,701.32
|
$41,701.32
|
2026-01-01
|
|
717038956
|
CDM
|
Ocrelizumab 300mg/10ml Vial
|
206
|
98
|
$51,034.78
|
$30,620.87
40% off
|
$12,758.69
|
$71,448.69
|
$40,572.65
|
2026-01-01
|
|
702127450
|
CDM
|
000000000000570147-graft
|
233
|
108
|
$52,343.00
|
$31,405.80
40% off
|
$362.89
|
$73,280.20
|
$39,780.68
|
2026-01-01
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
32
|
30
|
—
|
—
|
$508.10
|
$39,721.84
|
$39,721.84
|
2026-01-01
|
|
709032232
|
CDM
|
Stent(s) Vein W/wo Pta Initial
|
196
|
90
|
$48,787.00
|
$29,272.20
40% off
|
$12,196.75
|
$68,301.80
|
$39,029.60
|
2026-01-01
|
|
709032230
|
CDM
|
Stent(s) Artery W/wo Pta Init
|
196
|
90
|
$48,787.00
|
$29,272.20
40% off
|
$12,196.75
|
$68,301.80
|
$39,029.60
|
2026-01-01
|
|
709038900
|
CDM
|
Stnt Cnt Dial Seg Via Avf+im+s&i Ad
|
197
|
90
|
$48,787.00
|
$29,272.20
40% off
|
$12,196.75
|
$68,301.80
|
$39,029.60
|
2026-01-01
|
|
709038896
|
CDM
|
Thrombectomy/lysis Avf +im
|
197
|
90
|
$48,737.00
|
$29,242.20
40% off
|
$12,184.25
|
$68,231.80
|
$38,989.60
|
2026-01-01
|
|
702111161
|
CDM
|
Surgery Level 10 1st Min
|
223
|
101
|
$49,622.00
|
$29,773.20
40% off
|
$12,405.50
|
$69,470.80
|
$38,705.16
|
2026-01-01
|
|
709032231
|
CDM
|
Stent(s) Artery W/wo Pta Ea Ad
|
196
|
90
|
$45,239.00
|
$27,143.40
40% off
|
$11,309.75
|
$63,334.60
|
$36,191.20
|
2026-01-01
|
|
709032233
|
CDM
|
Stent(s) Vein W/wo Pta Ea Add
|
196
|
90
|
$45,239.00
|
$27,143.40
40% off
|
$11,309.75
|
$63,334.60
|
$36,191.20
|
2026-01-01
|
|
709028187
|
CDM
|
Stnt +sl Cth+s&i Tib/per
|
197
|
90
|
$44,185.00
|
$26,511.00
40% off
|
$11,046.25
|
$61,859.00
|
$35,348.00
|
2026-01-01
|
|
709028183
|
CDM
|
Stnt+sl Cth+s&i Fem
|
197
|
90
|
$44,185.00
|
$26,511.00
40% off
|
$11,046.25
|
$61,859.00
|
$35,348.00
|
2026-01-01
|
|
702118334
|
CDM
|
000000000000593425-generator
|
233
|
108
|
$46,079.00
|
$27,647.40
40% off
|
$362.89
|
$64,510.60
|
$35,020.04
|
2026-01-01
|
|
709028180
|
CDM
|
Stnt+sl Cth+s&i; Ili Ad
|
197
|
90
|
$43,360.00
|
$26,016.00
40% off
|
$10,840.00
|
$60,704.00
|
$34,688.00
|
2026-01-01
|
|
709028191
|
CDM
|
St+sl Cth+s&i Tib/pr Ad
|
196
|
90
|
$43,360.00
|
$26,016.00
40% off
|
$10,840.00
|
$60,704.00
|
$34,688.00
|
2026-01-01
|
|
709028178
|
CDM
|
Stnt+sl Cth+s&i Ili 1st
|
197
|
90
|
$43,360.00
|
$26,016.00
40% off
|
$10,840.00
|
$60,704.00
|
$34,688.00
|
2026-01-01
|
|
702127829
|
CDM
|
000000000000485997-graft
|
233
|
108
|
$44,060.00
|
$26,436.00
40% off
|
$362.89
|
$61,684.00
|
$33,485.60
|
2026-01-01
|
|
709029960
|
CDM
|
Vert Sel Wo/w Arch Bi
|
223
|
101
|
$42,888.00
|
$25,732.80
40% off
|
$10,722.00
|
$60,043.20
|
$33,452.64
|
2026-01-01
|
|
702117738
|
CDM
|
000000000000088197-generator
|
233
|
108
|
$43,464.00
|
$26,078.40
40% off
|
$362.89
|
$60,849.60
|
$33,032.64
|
2026-01-01
|
|
709029958
|
CDM
|
Sub/innmnt Sel Wo/w Aa Bilat
|
223
|
101
|
$42,072.00
|
$25,243.20
40% off
|
$10,518.00
|
$58,900.80
|
$32,816.16
|
2026-01-01
|
|
702136545
|
CDM
|
000000000000113770-lead
|
233
|
108
|
$42,471.00
|
$25,482.60
40% off
|
$362.89
|
$59,459.40
|
$32,277.96
|
2026-01-01
|
|
702135594
|
CDM
|
000000000000051391-generator
|
233
|
108
|
$42,368.00
|
$25,420.80
40% off
|
$362.89
|
$59,315.20
|
$32,199.68
|
2026-01-01
|
|
709029952
|
CDM
|
Cc Cervical Sel Wo/w Arch Bilat
|
223
|
101
|
$39,884.00
|
$23,930.40
40% off
|
$9,971.00
|
$55,837.60
|
$31,109.52
|
2026-01-01
|
|
709028179
|
CDM
|
Pta+sl Cth+s&i: Ili Add
|
196
|
90
|
$38,663.00
|
$23,197.80
40% off
|
$9,665.75
|
$54,128.20
|
$30,930.40
|
2026-01-01
|
|
717038294
|
CDM
|
Dinutuximab 17.5mg/5ml Inj
|
210
|
99
|
$39,525.53
|
$23,715.32
40% off
|
$9,881.38
|
$55,335.74
|
$30,829.91
|
2026-01-01
|
|
702127592
|
CDM
|
000000000000047731-graft
|
215
|
104
|
$38,693.00
|
$23,215.80
40% off
|
$389.76
|
$54,170.20
|
$30,180.54
|
2026-01-01
|
|
702127421
|
CDM
|
000000000000570145-graft
|
233
|
108
|
$39,495.00
|
$23,697.00
40% off
|
$362.89
|
$55,293.00
|
$30,016.20
|
2026-01-01
|
|
709034209
|
CDM
|
Kyphoplasty Lumbar Body +im
|
197
|
90
|
$37,359.00
|
$22,415.40
40% off
|
$9,339.75
|
$52,302.60
|
$29,887.20
|
2026-01-01
|
|
709034210
|
CDM
|
Kyphoplasty Ea Add Thor/lum+im
|
197
|
90
|
$37,359.00
|
$22,415.40
40% off
|
$9,339.75
|
$52,302.60
|
$29,887.20
|
2026-01-01
|
|
702124141
|
CDM
|
000000000000364339-valve
|
233
|
108
|
$39,227.00
|
$23,536.20
40% off
|
$362.89
|
$54,917.80
|
$29,812.52
|
2026-01-01
|
|
709028186
|
CDM
|
Ather+sl Cth+s&i Tib/per
|
196
|
90
|
$36,846.00
|
$22,107.60
40% off
|
$9,211.50
|
$51,584.40
|
$29,476.80
|
2026-01-01
|
|
709028182
|
CDM
|
Ather+sl Cth+s&i Fem
|
196
|
90
|
$36,846.00
|
$22,107.60
40% off
|
$9,211.50
|
$51,584.40
|
$29,476.80
|
2026-01-01
|
|
702126059
|
CDM
|
000000000000500631-implant
|
233
|
108
|
$38,361.00
|
$23,016.60
40% off
|
$362.89
|
$53,705.40
|
$29,154.36
|
2026-01-01
|
|
709034208
|
CDM
|
Kyphoplasty Thoracic Body +im
|
197
|
90
|
$36,420.00
|
$21,852.00
40% off
|
$9,105.00
|
$50,988.00
|
$29,136.00
|
2026-01-01
|
|
702124909
|
CDM
|
000000000000447491-generator
|
233
|
108
|
$38,146.00
|
$22,887.60
40% off
|
$362.89
|
$53,404.40
|
$28,990.96
|
2026-01-01
|
|
702124718
|
CDM
|
000000000000481599-component
|
233
|
108
|
$37,926.00
|
$22,755.60
40% off
|
$362.89
|
$53,096.40
|
$28,823.76
|
2026-01-01
|
|
709028190
|
CDM
|
Atr+slcth+s&i Tib/pr Ad
|
197
|
90
|
$36,019.00
|
$21,611.40
40% off
|
$9,004.75
|
$50,426.60
|
$28,815.20
|
2026-01-01
|
|
702117755
|
CDM
|
000000000000149310-pump
|
233
|
108
|
$37,384.00
|
$22,430.40
40% off
|
$362.89
|
$52,337.60
|
$28,411.84
|
2026-01-01
|
|
702119032
|
CDM
|
000000000000091649-pump
|
233
|
108
|
$37,384.00
|
$22,430.40
40% off
|
$362.89
|
$52,337.60
|
$28,411.84
|
2026-01-01
|
|
709038212
|
CDM
|
Intracranial Thrombectomy + IM
|
197
|
90
|
$34,993.00
|
$20,995.80
40% off
|
$8,748.25
|
$48,990.20
|
$27,994.40
|
2026-01-01
|
|
702124717
|
CDM
|
000000000000365017-implant
|
233
|
108
|
$36,202.00
|
$21,721.20
40% off
|
$362.89
|
$50,682.80
|
$27,513.52
|
2026-01-01
|
|
709038894
|
CDM
|
Pta Ctr Dlys Sg+fstgm+im Init
|
197
|
90
|
$34,361.00
|
$20,616.60
40% off
|
$8,590.25
|
$48,105.40
|
$27,488.80
|
2026-01-01
|
|
702192191
|
CDM
|
000000000000133067-mesh
|
207
|
98
|
$33,851.00
|
$20,310.60
40% off
|
$8,462.75
|
$47,391.40
|
$26,403.78
|
2026-01-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
35
|
32
|
—
|
—
|
$661.61
|
$26,229.13
|
$26,229.13
|
2026-01-01
|
|
709028256
|
CDM
|
Rhc/cors/im/grft/ima
|
218
|
105
|
$33,598.00
|
$20,158.80
40% off
|
$534.00
|
$47,037.20
|
$26,206.44
|
2026-01-01
|
|
702192215
|
CDM
|
000000000001330071-mesh
|
207
|
98
|
$33,525.00
|
$20,115.00
40% off
|
$8,381.25
|
$46,935.00
|
$26,149.50
|
2026-01-01
|
|
702111164
|
CDM
|
Surgery Level 9 1st Min
|
223
|
101
|
$33,306.00
|
$19,983.60
40% off
|
$8,326.50
|
$46,628.40
|
$25,978.68
|
2026-01-01
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
22
|
21
|
—
|
—
|
$422.06
|
$25,736.11
|
$25,736.11
|
2026-01-01
|
|
702182763
|
CDM
|
000000000001913518-generator
|
233
|
108
|
$33,631.00
|
$20,178.60
40% off
|
$362.89
|
$47,083.40
|
$25,559.56
|
2026-01-01
|
|
702130820
|
CDM
|
000000000000013781-generator
|
233
|
108
|
$33,162.00
|
$19,897.20
40% off
|
$362.89
|
$46,426.80
|
$25,203.12
|
2026-01-01
|
|
702173456
|
CDM
|
000000000000405236-matrix
|
214
|
102
|
$32,264.00
|
$19,358.40
40% off
|
$524.16
|
$45,169.60
|
$25,165.92
|
2026-01-01
|
|
702124408
|
CDM
|
000000000000146482-femur
|
233
|
108
|
$32,923.00
|
$19,753.80
40% off
|
$362.89
|
$46,092.20
|
$25,021.48
|
2026-01-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
1
|
1
|
—
|
—
|
$24,946.53
|
$24,946.53
|
$24,946.53
|
2026-01-01
|
|
702192228
|
CDM
|
000000000001330062-matrix
|
207
|
98
|
$31,954.00
|
$19,172.40
40% off
|
$7,988.50
|
$44,735.60
|
$24,924.12
|
2026-01-01
|
|
709030433
|
CDM
|
Stent Des Cor Vessel Int Ri
|
223
|
101
|
$31,783.00
|
$19,069.80
40% off
|
$7,945.75
|
$44,496.20
|
$24,790.74
|
2026-01-01
|
|
709030429
|
CDM
|
Stent Des Cor Vessel Int Ld
|
223
|
101
|
$31,783.00
|
$19,069.80
40% off
|
$7,945.75
|
$44,496.20
|
$24,790.74
|
2026-01-01
|
|
709030430
|
CDM
|
Stent Des Cor Vessel Int Lc
|
223
|
101
|
$31,783.00
|
$19,069.80
40% off
|
$7,945.75
|
$44,496.20
|
$24,790.74
|
2026-01-01
|
|
709030431
|
CDM
|
Stent Des Cor Vessel Int Rc
|
223
|
101
|
$31,783.00
|
$19,069.80
40% off
|
$7,945.75
|
$44,496.20
|
$24,790.74
|
2026-01-01
|
|
709030432
|
CDM
|
Stent Des Cor Vessel Int Lm
|
223
|
101
|
$31,783.00
|
$19,069.80
40% off
|
$7,945.75
|
$44,496.20
|
$24,790.74
|
2026-01-01
|
|
702153318
|
CDM
|
000000000000431470-stem
|
233
|
108
|
$32,245.00
|
$19,347.00
40% off
|
$362.89
|
$45,143.00
|
$24,506.20
|
2026-01-01
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
32
|
30
|
—
|
—
|
$887.65
|
$24,328.66
|
$24,328.66
|
2026-01-01
|
|
715234075
|
CDM
|
Linear Srs Single Session
|
206
|
97
|
$30,739.00
|
$18,443.40
40% off
|
$7,684.75
|
$43,034.60
|
$24,283.81
|
2026-01-01
|
|
709030361
|
CDM
|
Stent Bm Cor Vessel Int Lm
|
223
|
101
|
$31,017.00
|
$18,610.20
40% off
|
$7,754.25
|
$43,423.80
|
$24,193.26
|
2026-01-01
|
|
709030359
|
CDM
|
Stent Bm Cor Vessel Int Lc
|
223
|
101
|
$31,017.00
|
$18,610.20
40% off
|
$7,754.25
|
$43,423.80
|
$24,193.26
|
2026-01-01
|
|
709030360
|
CDM
|
Stent Bm Cor Vessel Int Rc
|
223
|
101
|
$31,017.00
|
$18,610.20
40% off
|
$7,754.25
|
$43,423.80
|
$24,193.26
|
2026-01-01
|
|
709030358
|
CDM
|
Stent Bm Cor Vessel Int Ld
|
223
|
101
|
$31,017.00
|
$18,610.20
40% off
|
$7,754.25
|
$43,423.80
|
$24,193.26
|
2026-01-01
|
|
709030362
|
CDM
|
Stent Bm Cor Vessel Int Ri
|
223
|
101
|
$31,017.00
|
$18,610.20
40% off
|
$7,754.25
|
$43,423.80
|
$24,193.26
|
2026-01-01
|
|
702127422
|
CDM
|
000000000000570144-graft
|
233
|
108
|
$31,833.00
|
$19,099.80
40% off
|
$362.89
|
$44,566.20
|
$24,193.08
|
2026-01-01
|
|
709030351
|
CDM
|
Ather Cor Vessel Int Ri
|
223
|
101
|
$30,942.00
|
$18,565.20
40% off
|
$7,735.50
|
$43,318.80
|
$24,134.76
|
2026-01-01
|
|
709030349
|
CDM
|
Ather Cor Vessel Int Rc
|
223
|
101
|
$30,942.00
|
$18,565.20
40% off
|
$7,735.50
|
$43,318.80
|
$24,134.76
|
2026-01-01
|
|
709030350
|
CDM
|
Ather Cor Vessel Int Lm
|
223
|
101
|
$30,942.00
|
$18,565.20
40% off
|
$7,735.50
|
$43,318.80
|
$24,134.76
|
2026-01-01
|
|
709030348
|
CDM
|
Ather Cor Vessel Int Lc
|
223
|
101
|
$30,942.00
|
$18,565.20
40% off
|
$7,735.50
|
$43,318.80
|
$24,134.76
|
2026-01-01
|
|
709030347
|
CDM
|
Ather Cor Vessel Int Ld
|
223
|
101
|
$30,942.00
|
$18,565.20
40% off
|
$7,735.50
|
$43,318.80
|
$24,134.76
|
2026-01-01
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
32
|
30
|
—
|
—
|
$1,125.78
|
$24,104.09
|
$24,104.09
|
2026-01-01
|
|
709020827
|
CDM
|
Renal Bilat Artgm Superselect
|
196
|
90
|
$30,074.00
|
$18,044.40
40% off
|
$7,518.50
|
$42,103.60
|
$24,059.20
|
2026-01-01
|
|
709028181
|
CDM
|
Pta+sl Cth+s&i Fem
|
197
|
90
|
$29,728.00
|
$17,836.80
40% off
|
$7,432.00
|
$41,619.20
|
$23,782.40
|
2026-01-01
|
|
702127413
|
CDM
|
000000000000419766-stem
|
233
|
108
|
$31,229.00
|
$18,737.40
40% off
|
$362.89
|
$43,720.60
|
$23,734.04
|
2026-01-01
|
|
702127406
|
CDM
|
000000000000419769-stem
|
233
|
108
|
$31,229.00
|
$18,737.40
40% off
|
$362.89
|
$43,720.60
|
$23,734.04
|
2026-01-01
|
|
709028255
|
CDM
|
Rhc W/cor / Imaging
|
218
|
105
|
$30,371.00
|
$18,222.60
40% off
|
$534.00
|
$42,519.40
|
$23,689.38
|
2026-01-01
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
33
|
31
|
—
|
—
|
$340.94
|
$25,090.42
|
$23,656.54
|
2026-01-01
|
|
702126338
|
CDM
|
000000000000005982-implant
|
233
|
108
|
$30,771.00
|
$18,462.60
40% off
|
$362.89
|
$43,079.40
|
$23,385.96
|
2026-01-01
|
|
709028185
|
CDM
|
Pta+sel Cath+s&i Tib/per
|
196
|
90
|
$29,063.00
|
$17,437.80
40% off
|
$7,265.75
|
$40,688.20
|
$23,250.40
|
2026-01-01
|
|
702127993
|
CDM
|
000000000000473712-xenograft
|
210
|
99
|
$29,470.00
|
$17,682.00
40% off
|
$7,367.50
|
$41,258.00
|
$23,133.95
|
2026-01-01
|
|
709028177
|
CDM
|
Pta+sel Cath+s&i: Iliac 1st
|
197
|
90
|
$28,866.00
|
$17,319.60
40% off
|
$7,216.50
|
$40,412.40
|
$23,092.80
|
2026-01-01
|
|
709020825
|
CDM
|
Renal Bilat Artgm Selective
|
197
|
90
|
$28,637.00
|
$17,182.20
40% off
|
$7,159.25
|
$40,091.80
|
$22,909.60
|
2026-01-01
|
|
702136144
|
CDM
|
000000000000067645-component
|
233
|
108
|
$29,994.00
|
$17,996.40
40% off
|
$362.89
|
$41,991.60
|
$22,795.44
|
2026-01-01
|
|
0505T
|
OTHER
|
Ev Fempop Artl Revsc
|
16
|
13
|
—
|
—
|
$17,466.40
|
$22,765.08
|
$22,765.08
|
2026-01-01
|
|
702126712
|
CDM
|
000000000000472942-stimulator
|
215
|
104
|
$29,138.00
|
$17,482.80
40% off
|
$389.76
|
$40,793.20
|
$22,727.64
|
2026-01-01
|
|
709032236
|
CDM
|
Embo Tumor/ischemia/infarct+im
|
196
|
90
|
$28,333.00
|
$16,999.80
40% off
|
$7,083.25
|
$39,666.20
|
$22,666.40
|
2026-01-01
|
|
709028189
|
CDM
|
Pta+sl Cth+s&i Tib/per Ad
|
196
|
90
|
$28,239.00
|
$16,943.40
40% off
|
$7,059.75
|
$39,534.60
|
$22,591.20
|
2026-01-01
|
|
709028260
|
CDM
|
R&lhc/lv/cor/cabj/ima/imag
|
217
|
105
|
$28,952.00
|
$17,371.20
40% off
|
$534.00
|
$40,532.80
|
$22,582.56
|
2026-01-01
|
|
717086125
|
CDM
|
Dostarlimab-gxly 500mg Inj
|
223
|
101
|
$28,907.80
|
$17,344.68
40% off
|
$7,226.95
|
$40,470.92
|
$22,548.08
|
2026-01-01
|
|
709032229
|
CDM
|
Renal Denervation Percutan Bil
|
207
|
98
|
$27,847.00
|
$16,708.20
40% off
|
$6,961.75
|
$38,985.80
|
$21,999.13
|
2026-01-01
|
|
709029955
|
CDM
|
Carotid Intr Sel Wo/w Arch Uni
|
196
|
90
|
$27,371.00
|
$16,422.60
40% off
|
$6,842.75
|
$38,319.40
|
$21,896.80
|
2026-01-01
|
|
717038370
|
CDM
|
Atezolizumab 1200mg/20ml Inj
|
223
|
101
|
$27,820.10
|
$16,692.06
40% off
|
$6,955.02
|
$38,948.14
|
$21,699.68
|
2026-01-01
|
|
709029953
|
CDM
|
Cc Intracran Sel Wo/w Arch Uni
|
196
|
90
|
$26,961.00
|
$16,176.60
40% off
|
$6,740.25
|
$37,745.40
|
$21,568.80
|
2026-01-01
|
|
702180894
|
CDM
|
000000000001522708-system
|
233
|
108
|
$28,361.00
|
$17,016.60
40% off
|
$84.23
|
$39,705.40
|
$21,554.36
|
2026-01-01
|
|
702127938
|
CDM
|
000000000000432651-stem
|
233
|
108
|
$27,651.00
|
$16,590.60
40% off
|
$362.89
|
$38,711.40
|
$21,014.76
|
2026-01-01
|
|
702126339
|
CDM
|
000000000000085260-prosthesis
|
233
|
108
|
$27,475.00
|
$16,485.00
40% off
|
$362.89
|
$38,465.00
|
$20,881.00
|
2026-01-01
|
|
C9606
|
HCPCS
|
Stnt/athr/ptca Des Ami Emrg Ld
|
10
|
7
|
$89,097.00
|
$53,458.20
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9601
|
HCPCS
|
Stnt Des Cor Brnch Addl Ld
|
9
|
6
|
$22,155.00
|
$13,293.00
40% off
|
$20,827.85
|
$20,827.85
|
$20,827.85
|
2026-01-01
|
|
C9603
|
HCPCS
|
Stnt/athr Des Brnch Addl Ld
|
10
|
7
|
$65,136.00
|
$39,081.60
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9607
|
HCPCS
|
Stnt/athr/ptca Des Cto Int Ld
|
10
|
7
|
$89,097.00
|
$53,458.20
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9605
|
HCPCS
|
Stnt/athr/ptca Des Grft Add Ld
|
10
|
7
|
$65,136.00
|
$39,081.60
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9604
|
HCPCS
|
Stnt/athr/ptca Des Grft Int Ld
|
10
|
7
|
$89,097.00
|
$53,458.20
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9608
|
HCPCS
|
Stnt/athr/ptca Des Cto Add Ld
|
10
|
7
|
$65,136.00
|
$39,081.60
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
C9602
|
HCPCS
|
Stent/ather Des Cor Vsl Int Ld
|
10
|
7
|
$62,725.00
|
$37,635.00
40% off
|
$20,827.85
|
$22,370.66
|
$20,827.85
|
2026-01-01
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
35
|
32
|
—
|
—
|
$534.00
|
$20,791.50
|
$20,791.50
|
2026-01-01
|
|
702192220
|
CDM
|
000000000001212091-matrix
|
207
|
98
|
$26,444.00
|
$15,866.40
40% off
|
$6,611.00
|
$37,021.60
|
$20,626.32
|
2026-01-01
|
|
709030339
|
CDM
|
Ptca Cor Vessel Int Ri
|
223
|
101
|
$26,373.00
|
$15,823.80
40% off
|
$6,593.25
|
$36,922.20
|
$20,570.94
|
2026-01-01
|
|
709030338
|
CDM
|
Ptca Cor Vessel Int Lm
|
223
|
101
|
$26,373.00
|
$15,823.80
40% off
|
$6,593.25
|
$36,922.20
|
$20,570.94
|
2026-01-01
|
|
709030335
|
CDM
|
Ptca Cor Vessel Int Ld
|
223
|
101
|
$26,373.00
|
$15,823.80
40% off
|
$6,593.25
|
$36,922.20
|
$20,570.94
|
2026-01-01
|
|
709030336
|
CDM
|
Ptca Cor Vessel Int Lc
|
223
|
101
|
$26,373.00
|
$15,823.80
40% off
|
$6,593.25
|
$36,922.20
|
$20,570.94
|
2026-01-01
|
|
709030337
|
CDM
|
Ptca Cor Vessel Int Rc
|
223
|
101
|
$26,373.00
|
$15,823.80
40% off
|
$6,593.25
|
$36,922.20
|
$20,570.94
|
2026-01-01
|
|
717016489
|
CDM
|
Daratumumab Hyaluronidase-fihj Inj
|
223
|
101
|
$26,138.95
|
$15,683.37
40% off
|
$6,534.74
|
$36,594.53
|
$20,388.38
|
2026-01-01
|
|
709028258
|
CDM
|
Lhc/angio Cor/im/grft/imag
|
218
|
105
|
$25,973.00
|
$15,583.80
40% off
|
$534.00
|
$36,362.20
|
$20,258.94
|
2026-01-01
|
|
702124551
|
CDM
|
000000000000525714-stem
|
233
|
108
|
$26,558.00
|
$15,934.80
40% off
|
$362.89
|
$37,181.20
|
$20,184.08
|
2026-01-01
|
|
702136548
|
CDM
|
000000000000500558-plate
|
233
|
108
|
$26,503.00
|
$15,901.80
40% off
|
$362.89
|
$37,104.20
|
$20,142.28
|
2026-01-01
|
|
709028259
|
CDM
|
R&lhc/cors/lv Inj/imaging
|
218
|
105
|
$25,720.00
|
$15,432.00
40% off
|
$534.00
|
$36,008.00
|
$20,061.60
|
2026-01-01
|
|
702122120
|
CDM
|
000000000000148125-component
|
233
|
108
|
$25,972.00
|
$15,583.20
40% off
|
$362.89
|
$36,360.80
|
$19,738.72
|
2026-01-01
|
|
702135277
|
CDM
|
000000000000456160-stem
|
233
|
108
|
$25,896.00
|
$15,537.60
40% off
|
$362.89
|
$36,254.40
|
$19,680.96
|
2026-01-01
|
|
702132411
|
CDM
|
000000000000370222-stem
|
233
|
108
|
$25,841.00
|
$15,504.60
40% off
|
$362.89
|
$36,177.40
|
$19,639.16
|
2026-01-01
|
|
702134055
|
CDM
|
000000000000435626-allograft
|
210
|
99
|
$25,007.00
|
$15,004.20
40% off
|
$6,251.75
|
$35,009.80
|
$19,630.49
|
2026-01-01
|
|
709038221
|
CDM
|
Perc Place Nephrouretr Tube+im
|
197
|
90
|
$24,193.00
|
$14,515.80
40% off
|
$6,048.25
|
$33,870.20
|
$19,354.40
|
2026-01-01
|
|
702134746
|
CDM
|
000000000000501144-stem
|
233
|
108
|
$25,210.00
|
$15,126.00
40% off
|
$362.89
|
$35,294.00
|
$19,159.60
|
2026-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
14
|
9
|
—
|
—
|
$17,561.53
|
$26,213.00
|
$19,053.00
|
2026-01-01
|
|
702135295
|
CDM
|
000000000000493744-stem
|
233
|
108
|
$24,775.00
|
$14,865.00
40% off
|
$362.89
|
$34,685.00
|
$18,829.00
|
2026-01-01
|
|
702122126
|
CDM
|
000000000000496832-stem
|
233
|
108
|
$24,775.00
|
$14,865.00
40% off
|
$362.89
|
$34,685.00
|
$18,829.00
|
2026-01-01
|
|
702125959
|
CDM
|
000000000000367885-component
|
233
|
108
|
$24,639.00
|
$14,783.40
40% off
|
$362.89
|
$34,494.60
|
$18,725.64
|
2026-01-01
|
|
0923T
|
OTHER
|
Rmvl&rplcmt Perm Ccm-d Pg
|
1
|
1
|
—
|
—
|
$18,680.26
|
$18,680.26
|
$18,680.26
|
2026-01-01
|
|
0916T
|
OTHER
|
Insj Perm Ccm-d Sys Pg Only
|
1
|
1
|
—
|
—
|
$18,680.26
|
$18,680.26
|
$18,680.26
|
2026-01-01
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
34
|
31
|
—
|
—
|
$468.23
|
$18,739.11
|
$18,653.18
|
2026-01-01
|
|
717038312
|
CDM
|
Lanreotide Acetate 120mg Inj
|
223
|
101
|
$23,905.00
|
$14,343.00
40% off
|
$5,976.25
|
$33,467.00
|
$18,645.90
|
2026-01-01
|
|
702126999
|
CDM
|
000000000000172430-implant
|
233
|
108
|
$24,361.00
|
$14,616.60
40% off
|
$362.89
|
$34,105.40
|
$18,514.36
|
2026-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
19
|
14
|
—
|
—
|
$15,311.00
|
$26,213.00
|
$18,509.00
|
2026-01-01
|
|
702153328
|
CDM
|
000000000000542978-spacer
|
220
|
106
|
$23,724.00
|
$14,234.40
40% off
|
$362.89
|
$33,213.60
|
$18,504.72
|
2026-01-01
|
|
702126418
|
CDM
|
000000000000473820-endplate
|
233
|
108
|
$24,294.00
|
$14,576.40
40% off
|
$362.89
|
$34,011.60
|
$18,463.44
|
2026-01-01
|
|
702136215
|
CDM
|
000000000000003189-component
|
233
|
108
|
$24,197.00
|
$14,518.20
40% off
|
$362.89
|
$33,875.80
|
$18,389.72
|
2026-01-01
|
|
702124410
|
CDM
|
000000000000142811-femur
|
233
|
108
|
$24,091.00
|
$14,454.60
40% off
|
$362.89
|
$33,727.40
|
$18,309.16
|
2026-01-01
|
|
702124409
|
CDM
|
000000000000041900-femur
|
233
|
108
|
$24,091.00
|
$14,454.60
40% off
|
$362.89
|
$33,727.40
|
$18,309.16
|
2026-01-01
|
|
702136586
|
CDM
|
000000000000470690-stem
|
233
|
108
|
$23,963.00
|
$14,377.80
40% off
|
$362.89
|
$33,548.20
|
$18,211.88
|
2026-01-01
|
|
702127121
|
CDM
|
000000000000492673-implant
|
233
|
108
|
$23,963.00
|
$14,377.80
40% off
|
$362.89
|
$33,548.20
|
$18,211.88
|
2026-01-01
|
|
702122006
|
CDM
|
000000000000404822-stem
|
233
|
108
|
$23,896.00
|
$14,337.60
40% off
|
$362.89
|
$33,454.40
|
$18,160.96
|
2026-01-01
|
|
702121631
|
CDM
|
000000000000166120-kit
|
233
|
108
|
$23,888.00
|
$14,332.80
40% off
|
$362.89
|
$33,443.20
|
$18,154.88
|
2026-01-01
|
|
702121024
|
CDM
|
000000000000072436-kit
|
233
|
108
|
$23,888.00
|
$14,332.80
40% off
|
$362.89
|
$33,443.20
|
$18,154.88
|
2026-01-01
|
|
702121036
|
CDM
|
000000000000267996-lead
|
233
|
108
|
$23,852.00
|
$14,311.20
40% off
|
$362.89
|
$33,392.80
|
$18,127.52
|
2026-01-01
|
|
709030352
|
CDM
|
Ather Cor Brnch Addl Ld
|
223
|
101
|
$23,206.00
|
$13,923.60
40% off
|
$5,801.50
|
$32,488.40
|
$18,100.68
|
2026-01-01
|
|
709030354
|
CDM
|
Ather Cor Brnch Addl Lc
|
223
|
101
|
$23,206.00
|
$13,923.60
40% off
|
$5,801.50
|
$32,488.40
|
$18,100.68
|
2026-01-01
|
|
709030356
|
CDM
|
Ather Cor Brnch Addl Rc
|
223
|
101
|
$23,206.00
|
$13,923.60
40% off
|
$5,801.50
|
$32,488.40
|
$18,100.68
|
2026-01-01
|
|
702182277
|
CDM
|
000000000001197571-implant
|
233
|
108
|
$23,518.00
|
$14,110.80
40% off
|
$362.89
|
$32,925.20
|
$17,873.68
|
2026-01-01
|
|
709028169
|
CDM
|
Av Fistula Repair
|
197
|
90
|
$22,332.00
|
$13,399.20
40% off
|
$5,583.00
|
$31,264.80
|
$17,865.60
|
2026-01-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
26
|
17
|
—
|
—
|
$13,963.00
|
$26,213.00
|
$17,864.26
|
2026-01-01
|
|
709028257
|
CDM
|
Lhc/lv/cor/imaging
|
217
|
105
|
$22,745.00
|
$13,647.00
40% off
|
$534.00
|
$31,843.00
|
$17,741.10
|
2026-01-01
|
|
702127410
|
CDM
|
000000000000496255-stem
|
233
|
108
|
$23,321.00
|
$13,992.60
40% off
|
$362.89
|
$32,649.40
|
$17,723.96
|
2026-01-01
|
|
702127350
|
CDM
|
000000000000518807-stem
|
233
|
108
|
$23,321.00
|
$13,992.60
40% off
|
$362.89
|
$32,649.40
|
$17,723.96
|
2026-01-01
|
|
702127407
|
CDM
|
000000000000457569-stem
|
233
|
108
|
$23,321.00
|
$13,992.60
40% off
|
$362.89
|
$32,649.40
|
$17,723.96
|
2026-01-01
|
|
702127302
|
CDM
|
000000000000532682-stem
|
233
|
108
|
$23,321.00
|
$13,992.60
40% off
|
$362.89
|
$32,649.40
|
$17,723.96
|
2026-01-01
|
|
702127411
|
CDM
|
000000000000498170-stem
|
233
|
108
|
$23,321.00
|
$13,992.60
40% off
|
$362.89
|
$32,649.40
|
$17,723.96
|
2026-01-01
|
|
702122276
|
CDM
|
000000000000035743-mesh
|
233
|
108
|
$23,189.00
|
$13,913.40
40% off
|
$362.89
|
$32,464.60
|
$17,623.64
|
2026-01-01
|
|
702136506
|
CDM
|
000000000000125476-component
|
233
|
108
|
$23,017.00
|
$13,810.20
40% off
|
$362.89
|
$32,223.80
|
$17,492.92
|
2026-01-01
|
|
702126158
|
CDM
|
000000000000412217-implant
|
233
|
108
|
$23,017.00
|
$13,810.20
40% off
|
$362.89
|
$32,223.80
|
$17,492.92
|
2026-01-01
|
|
709030438
|
CDM
|
Stnt Des Cor Brnch Addl Rc
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
709030434
|
CDM
|
Stnt Des Cor Brnch Addl Ld
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
709030436
|
CDM
|
Stnt Des Cor Brnch Addl Lc
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
709030367
|
CDM
|
Stent Bm Cor Brnch Addl Rc
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
709030363
|
CDM
|
Stent Bm Cor Brnch Addl Ld
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
709030365
|
CDM
|
Stent Bm Cor Brnch Addl Lc
|
223
|
101
|
$22,155.00
|
$13,293.00
40% off
|
$5,538.75
|
$31,017.00
|
$17,280.90
|
2026-01-01
|
|
702128193
|
CDM
|
Lithotripsy
|
197
|
90
|
$21,526.00
|
$12,915.60
40% off
|
$5,381.50
|
$30,136.40
|
$17,220.80
|
2026-01-01
|
|
702135240
|
CDM
|
000000000000418121-stem
|
233
|
108
|
$22,607.00
|
$13,564.20
40% off
|
$362.89
|
$31,649.80
|
$17,181.32
|
2026-01-01
|
|
702135238
|
CDM
|
000000000000418115-stem
|
233
|
108
|
$22,607.00
|
$13,564.20
40% off
|
$362.89
|
$31,649.80
|
$17,181.32
|
2026-01-01
|
|
702135239
|
CDM
|
000000000000418118-stem
|
233
|
108
|
$22,607.00
|
$13,564.20
40% off
|
$362.89
|
$31,649.80
|
$17,181.32
|
2026-01-01
|
|
702124552
|
CDM
|
000000000000418122-stem
|
233
|
108
|
$22,607.00
|
$13,564.20
40% off
|
$362.89
|
$31,649.80
|
$17,181.32
|
2026-01-01
|
|
709038918
|
CDM
|
Av Fistula Revision Open
|
197
|
90
|
$21,466.00
|
$12,879.60
40% off
|
$5,366.50
|
$30,052.40
|
$17,172.80
|
2026-01-01
|
|
709029959
|
CDM
|
Vert Sel Wo/w Arch Uni
|
197
|
90
|
$21,444.00
|
$12,866.40
40% off
|
$5,361.00
|
$30,021.60
|
$17,155.20
|
2026-01-01
|
|
709029961
|
CDM
|
Carotid Extrnl Add Ves Sel
|
196
|
90
|
$21,444.00
|
$12,866.40
40% off
|
$5,361.00
|
$30,021.60
|
$17,155.20
|
2026-01-01
|
|
709028252
|
CDM
|
R&l Hc/lv Inj/imaging
|
207
|
97
|
$21,420.00
|
$12,852.00
40% off
|
$534.00
|
$29,988.00
|
$16,921.80
|
2026-01-01
|
|
702135290
|
CDM
|
000000000000483091-stem
|
233
|
108
|
$22,164.00
|
$13,298.40
40% off
|
$362.89
|
$31,029.60
|
$16,844.64
|
2026-01-01
|
|
709029957
|
CDM
|
Sub/innmnt Sel Wo/w Aa Uni
|
197
|
90
|
$21,036.00
|
$12,621.60
40% off
|
$5,259.00
|
$29,450.40
|
$16,828.80
|
2026-01-01
|
|
702135517
|
CDM
|
000000000000418116-stem
|
233
|
108
|
$22,040.00
|
$13,224.00
40% off
|
$362.89
|
$30,856.00
|
$16,750.40
|
2026-01-01
|
|
702135236
|
CDM
|
000000000000418111-stem
|
233
|
108
|
$22,040.00
|
$13,224.00
40% off
|
$362.89
|
$30,856.00
|
$16,750.40
|
2026-01-01
|
|
702135237
|
CDM
|
000000000000418113-stem
|
233
|
108
|
$22,040.00
|
$13,224.00
40% off
|
$362.89
|
$30,856.00
|
$16,750.40
|
2026-01-01
|
|
702124554
|
CDM
|
000000000000418126-stem
|
233
|
108
|
$22,040.00
|
$13,224.00
40% off
|
$362.89
|
$30,856.00
|
$16,750.40
|
2026-01-01
|
|
702124553
|
CDM
|
000000000000418124-stem
|
233
|
108
|
$22,040.00
|
$13,224.00
40% off
|
$362.89
|
$30,856.00
|
$16,750.40
|
2026-01-01
|
|
702124290
|
CDM
|
000000000000566699-stem
|
233
|
108
|
$21,976.00
|
$13,185.60
40% off
|
$362.89
|
$30,766.40
|
$16,701.76
|
2026-01-01
|
|
702124289
|
CDM
|
000000000000566698-stem
|
233
|
108
|
$21,976.00
|
$13,185.60
40% off
|
$362.89
|
$30,766.40
|
$16,701.76
|
2026-01-01
|
|
702127832
|
CDM
|
000000000000467670-graft
|
233
|
108
|
$21,975.00
|
$13,185.00
40% off
|
$362.89
|
$30,765.00
|
$16,701.00
|
2026-01-01
|
|
702127830
|
CDM
|
000000000000409190-graft
|
233
|
108
|
$21,975.00
|
$13,185.00
40% off
|
$362.89
|
$30,765.00
|
$16,701.00
|
2026-01-01
|
|
709029948
|
CDM
|
Ven. Infsn For Thrombo Initial
|
196
|
90
|
$20,865.00
|
$12,519.00
40% off
|
$5,216.25
|
$29,211.00
|
$16,692.00
|
2026-01-01
|
|
709029947
|
CDM
|
Art Infsn For Thrombo Initial
|
197
|
90
|
$20,865.00
|
$12,519.00
40% off
|
$5,216.25
|
$29,211.00
|
$16,692.00
|
2026-01-01
|
|
702165791
|
CDM
|
000000000000595643-xenograft
|
208
|
98
|
$21,106.00
|
$12,663.60
40% off
|
$5,276.50
|
$29,548.40
|
$16,673.74
|
2026-01-01
|
|
742065791
|
CDM
|
000000000000595643-xenograft
|
207
|
98
|
$21,106.00
|
$12,663.60
40% off
|
$5,276.50
|
$29,548.40
|
$16,462.68
|
2026-01-01
|
|
702121630
|
CDM
|
000000000000032065-graft
|
233
|
108
|
$21,613.00
|
$12,967.80
40% off
|
$362.89
|
$30,258.20
|
$16,425.88
|
2026-01-01
|
|
702124550
|
CDM
|
000000000000521544-stem
|
233
|
108
|
$21,609.00
|
$12,965.40
40% off
|
$362.89
|
$30,252.60
|
$16,422.84
|
2026-01-01
|
|
702136136
|
CDM
|
000000000000542922-component
|
233
|
108
|
$21,526.00
|
$12,915.60
40% off
|
$362.89
|
$30,136.40
|
$16,359.76
|
2026-01-01
|
|
702124444
|
CDM
|
000000000000485541-implant
|
233
|
108
|
$21,404.00
|
$12,842.40
40% off
|
$362.89
|
$29,965.60
|
$16,267.04
|
2026-01-01
|
|
702124449
|
CDM
|
000000000000439937-implant
|
233
|
108
|
$21,403.00
|
$12,841.80
40% off
|
$362.89
|
$29,964.20
|
$16,266.28
|
2026-01-01
|
|
702124445
|
CDM
|
000000000000466702-implant
|
233
|
108
|
$21,403.00
|
$12,841.80
40% off
|
$362.89
|
$29,964.20
|
$16,266.28
|
2026-01-01
|
|
54405
|
CPT
|
Insert Multi-comp Penis Pros
|
36
|
32
|
—
|
—
|
$267.98
|
$16,248.64
|
$16,248.64
|
2026-01-01
|
|
702123055
|
CDM
|
000000000000419792-stem
|
233
|
108
|
$21,378.00
|
$12,826.80
40% off
|
$362.89
|
$29,929.20
|
$16,247.28
|
2026-01-01
|
|
702122213
|
CDM
|
000000000000419791-stem
|
233
|
108
|
$21,378.00
|
$12,826.80
40% off
|
$362.89
|
$29,929.20
|
$16,247.28
|
2026-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
32
|
21
|
—
|
—
|
$13,400.00
|
$26,213.00
|
$16,214.50
|
2026-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
32
|
21
|
—
|
—
|
$13,400.00
|
$26,213.00
|
$16,214.50
|
2026-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
32
|
21
|
—
|
—
|
$13,400.00
|
$26,213.00
|
$16,214.50
|
2026-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
32
|
21
|
—
|
—
|
$13,400.00
|
$26,213.00
|
$16,214.50
|
2026-01-01
|
|
702136485
|
CDM
|
000000000000154216-implant
|
233
|
108
|
$21,322.00
|
$12,793.20
40% off
|
$362.89
|
$29,850.80
|
$16,204.72
|
2026-01-01
|
|
709029951
|
CDM
|
Cc Cervical Sel Wo/w Arch Uni
|
196
|
90
|
$19,942.00
|
$11,965.20
40% off
|
$4,985.50
|
$27,918.80
|
$15,953.60
|
2026-01-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
22
|
—
|
—
|
$12,200.00
|
$26,213.00
|
$15,894.00
|
2026-01-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
33
|
22
|
—
|
—
|
$12,200.00
|
$26,213.00
|
$15,894.00
|
2026-01-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
33
|
22
|
—
|
—
|
$12,200.00
|
$26,213.00
|
$15,894.00
|
2026-01-01
|
|
717038350
|
CDM
|
Lanreotide Acetate 90mg Inj
|
223
|
101
|
$20,270.00
|
$12,162.00
40% off
|
$5,067.50
|
$28,378.00
|
$15,810.60
|
2026-01-01
|
|
717086187
|
CDM
|
Lanreotide Cipla 120mg/0.5ml Inj
|
209
|
99
|
$20,266.75
|
$12,160.05
40% off
|
$5,066.69
|
$28,373.45
|
$15,808.07
|
2026-01-01
|
|
715234014
|
CDM
|
P32 Chromic Rx 1mci
|
223
|
101
|
$20,250.00
|
$12,150.00
40% off
|
$5,062.50
|
$28,350.00
|
$15,795.00
|
2026-01-01
|
|
709028254
|
CDM
|
Angio Cor/grf/im/imag
|
218
|
105
|
$20,189.00
|
$12,113.40
40% off
|
$534.00
|
$28,264.60
|
$15,747.42
|
2026-01-01
|
|
702124291
|
CDM
|
000000000000494094-stem
|
233
|
108
|
$20,520.00
|
$12,312.00
40% off
|
$362.89
|
$28,728.00
|
$15,595.20
|
2026-01-01
|
|
702124292
|
CDM
|
000000000000445654-stem
|
233
|
108
|
$20,520.00
|
$12,312.00
40% off
|
$362.89
|
$28,728.00
|
$15,595.20
|
2026-01-01
|
|
702127010
|
CDM
|
000000000000570160-allograft
|
233
|
108
|
$20,421.00
|
$12,252.60
40% off
|
$362.89
|
$28,589.40
|
$15,519.96
|
2026-01-01
|
|
709038891
|
CDM
|
Pta Vein Ea Additional +im
|
196
|
90
|
$19,353.00
|
$11,611.80
40% off
|
$4,838.25
|
$27,094.20
|
$15,482.40
|
2026-01-01
|
|
709038890
|
CDM
|
Pta Vein Initial +im
|
196
|
90
|
$19,353.00
|
$11,611.80
40% off
|
$4,838.25
|
$27,094.20
|
$15,482.40
|
2026-01-01
|
|
709038899
|
CDM
|
Pta Ctr Dlys Sg+fstgm+im Add
|
196
|
90
|
$19,353.00
|
$11,611.80
40% off
|
$4,838.25
|
$27,094.20
|
$15,482.40
|
2026-01-01
|
|
702126352
|
CDM
|
000000000000466328-pacemaker
|
233
|
108
|
$20,317.00
|
$12,190.20
40% off
|
$57.34
|
$28,443.80
|
$15,440.92
|
2026-01-01
|
|
709030345
|
CDM
|
Ptca Cor Branch Addl Rc
|
223
|
101
|
$19,778.00
|
$11,866.80
40% off
|
$4,944.50
|
$27,689.20
|
$15,426.84
|
2026-01-01
|
|
709030343
|
CDM
|
Ptca Cor Branch Addl Lc
|
223
|
101
|
$19,778.00
|
$11,866.80
40% off
|
$4,944.50
|
$27,689.20
|
$15,426.84
|
2026-01-01
|
|
709030341
|
CDM
|
Ptca Cor Branch Addl Ld
|
223
|
101
|
$19,778.00
|
$11,866.80
40% off
|
$4,944.50
|
$27,689.20
|
$15,426.84
|
2026-01-01
|
|
702131800
|
CDM
|
000000000000099136-component
|
233
|
108
|
$20,295.00
|
$12,177.00
40% off
|
$362.89
|
$28,413.00
|
$15,424.20
|
2026-01-01
|
|
702135378
|
CDM
|
000000000000532402-stem
|
233
|
108
|
$20,275.00
|
$12,165.00
40% off
|
$362.89
|
$28,385.00
|
$15,409.00
|
2026-01-01
|
|
709038224
|
CDM
|
Place Ureter Stent-new Neph+im
|
196
|
90
|
$19,175.00
|
$11,505.00
40% off
|
$4,793.75
|
$26,845.00
|
$15,340.00
|
2026-01-01
|
|
702124364
|
CDM
|
000000000000530092-body
|
233
|
108
|
$20,136.00
|
$12,081.60
40% off
|
$362.89
|
$28,190.40
|
$15,303.36
|
2026-01-01
|
|
702125502
|
CDM
|
000000000000466078-calcar
|
233
|
108
|
$20,042.00
|
$12,025.20
40% off
|
$84.23
|
$28,058.80
|
$15,231.92
|
2026-01-01
|
|
717039856
|
CDM
|
Atezolizumab 840mg/14ml Inj
|
223
|
101
|
$19,474.08
|
$11,684.45
40% off
|
$4,868.52
|
$27,263.71
|
$15,189.78
|
2026-01-01
|