|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
22
|
22
|
$53,885.55
|
$32,331.33
40% off
|
$21,266.01
|
$52,268.98
|
$26,667.96
|
2026-05-05
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
22
|
22
|
$40,645.00
|
$24,387.00
40% off
|
$17,070.90
|
$39,425.65
|
$20,763.49
|
2026-05-05
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
22
|
22
|
$33,688.00
|
$20,212.80
40% off
|
$6,433.80
|
$32,677.36
|
$16,672.19
|
2026-05-05
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
22
|
22
|
$27,330.00
|
$16,398.00
40% off
|
$10,265.31
|
$26,510.10
|
$13,525.62
|
2026-05-05
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
22
|
22
|
$26,536.88
|
$15,922.13
40% off
|
$6,433.80
|
$25,740.77
|
$13,133.10
|
2026-05-05
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
22
|
22
|
$26,317.63
|
$15,790.58
40% off
|
$4,346.27
|
$25,528.10
|
$13,024.59
|
2026-05-05
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
22
|
22
|
$24,270.00
|
$14,562.00
40% off
|
$10,193.40
|
$23,541.90
|
$12,011.22
|
2026-05-05
|
|
16293927_1
|
CDM
|
Ultra Porous Biofoam Shell 70mm [dsbfgj70]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293926_1
|
CDM
|
Ultra Porous Biofoam Shell 68mm [dsbfgh68]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293915_1
|
CDM
|
Ultra Porous Biofoam Shell 46mm [dsbfgb46]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293920_1
|
CDM
|
Ultra Porous Biofoam Shell 56mm [dsbfgf56]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293916_1
|
CDM
|
Ultra Porous Biofoam Shell 48mm [dsbfgb48]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293924_1
|
CDM
|
Ultra Porous Biofoam Shell 64mm [dsbfgh64]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293922_1
|
CDM
|
Ultra Porous Biofoam Shell 60mm [dsbfgg60]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293919_1
|
CDM
|
Ultra Porous Biofoam Shell 54mm [dsbfge54]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293921_1
|
CDM
|
Ultra Porous Biofoam Shell 58mm [dsbfgg58]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293917_1
|
CDM
|
Ultra Porous Biofoam Shell 50mm [dsbfgc50]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293925_1
|
CDM
|
Ultra Porous Biofoam Shell 66mm [dsbfgh66]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16293923_1
|
CDM
|
Ultra Porous Biofoam Shell 62mm [dsbfgg62]
|
20
|
20
|
$23,067.00
|
$13,840.20
40% off
|
$9,688.14
|
$22,374.99
|
$11,614.24
|
2026-05-05
|
|
16294005_1
|
CDM
|
Tl Plsma Str Shrt Size 5 [prtls025wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294009_1
|
CDM
|
Tl Plsma Str Shrt Size 9 [prtls029wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293985_1
|
CDM
|
Tl Plsma Str Lng Size 9 [prtlsl29wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294018_1
|
CDM
|
Tl Plsma Var8 Shrt Size 6 [prtle026wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294000_1
|
CDM
|
Tl Plsma Var8 Lng Size 12 [prtlel32wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293989_1
|
CDM
|
Tl Plsma Var8 Lng Size 1 [prtlel21wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294003_1
|
CDM
|
Tl Plsma Str Shrt Size 3 [prtls023wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293987_1
|
CDM
|
Tl Plsma Str Lng Size 11 [prtlsl31wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293978_1
|
CDM
|
Tl Plsma Str Lng Size 2 [prtlsl22wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294022_1
|
CDM
|
Tl Plsma Var8 Shrt Size 10 [prtle030wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293979_1
|
CDM
|
Tl Plsma Str Lng Size 3 [prtlsl23wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294007_1
|
CDM
|
Tl Plsma Str Shrt Size 7 [prtls027wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293997_1
|
CDM
|
Tl Plsma Var8 Lng Size 9 [prtlel29wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293981_1
|
CDM
|
Tl Plsma Str Lng Size 5 [prtlsl25wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294017_1
|
CDM
|
Tl Plsma Var8 Shrt Size 5 [prtle025wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294023_1
|
CDM
|
Tl Plsma Var8 Shrt Size 11 [prtle031wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294015_1
|
CDM
|
Tl Plsma Var8 Shrt Size 3 [prtle023wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293992_1
|
CDM
|
Tl Plsma Var8 Lng Size 4 [prtlel24wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294012_1
|
CDM
|
Tl Plsma Str Shrt Size 12 [prtls032wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293986_1
|
CDM
|
Tl Plsma Str Lng Size 10 [prtlsl30wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293990_1
|
CDM
|
Tl Plsma Var8 Lng Size 2 [prtlel22wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293988_1
|
CDM
|
Tl Plsma Str Lng Size 12 [prtlsl32wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294010_1
|
CDM
|
Tl Plsma Str Shrt Size 10 [prtls030wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293977_1
|
CDM
|
Tl Plsma Str Lng Size 1 [prtlsl21wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293996_1
|
CDM
|
Tl Plsma Var8 Lng Size 8 [prtlel28wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294001_1
|
CDM
|
Tl Plsma Str Shrt Size 1 [prtls021wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293994_1
|
CDM
|
Tl Plsma Var8 Lng Size 6 [prtlel26wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294011_1
|
CDM
|
Tl Plsma Str Shrt Size 11 [prtls031wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293995_1
|
CDM
|
Tl Plsma Var8 Lng Size 7 [prtlel27wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293896_1
|
CDM
|
Perfecta Imc Cemented Stem 10.5 Inc Offset [39091050]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294014_1
|
CDM
|
Tl Plsma Var8 Shrt Size 2 [prtle022wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293984_1
|
CDM
|
Tl Plsma Str Lng Size 8 [prtlsl28wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293993_1
|
CDM
|
Tl Plsma Var8 Lng Size 5 [prtlel25wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293998_1
|
CDM
|
Tl Plsma Var8 Lng Size 10 [prtlel30wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294013_1
|
CDM
|
Tl Plsma Var8 Shrt Size 1 [prtle021wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294002_1
|
CDM
|
Tl Plsma Str Shrt Size 2 [prtls022wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294021_1
|
CDM
|
Tl Plsma Var8 Shrt Size 9 [prtle029wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293991_1
|
CDM
|
Tl Plsma Var8 Lng Size 3 [prtlel23wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293999_1
|
CDM
|
Tl Plsma Var8 Lng Size 11 [prtlel31wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293982_1
|
CDM
|
Tl Plsma Str Lng Size 6 [prtlsl26wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294016_1
|
CDM
|
Tl Plsma Var8 Shrt Size 4 [prtle024wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293890_1
|
CDM
|
Perfecta Imc Cemented Stem 10.5 Std [39081050]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294019_1
|
CDM
|
Tl Plsma Var8 Shrt Size 7 [prtle027wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293980_1
|
CDM
|
Tl Plsma Str Lng Size 4 [prtlsl24wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294008_1
|
CDM
|
Tl Plsma Str Shrt Size 8 [prtls028wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294004_1
|
CDM
|
Tl Plsma Str Shrt Size 4 [prtls024wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293891_1
|
CDM
|
Perfecta Imc Cemented Stem 12 Std [39081200]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16293983_1
|
CDM
|
Tl Plsma Str Lng Size 7 [prtlsl27wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294006_1
|
CDM
|
Tl Plsma Str Shrt Size 6 [prtls026wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294024_1
|
CDM
|
Tl Plsma Var8 Shrt Size 12 [prtle032wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
16294020_1
|
CDM
|
Tl Plsma Var8 Shrt Size 8 [prtle028wd]
|
20
|
20
|
$22,275.00
|
$13,365.00
40% off
|
$9,355.50
|
$21,606.75
|
$11,215.47
|
2026-05-05
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
22
|
22
|
$21,552.00
|
$12,931.20
40% off
|
$6,433.80
|
$20,905.44
|
$10,666.08
|
2026-05-05
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
42
|
22
|
$27,960.40
|
$16,776.24
40% off
|
$3,920.06
|
$27,121.59
|
$10,659.62
|
2026-05-05
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
22
|
22
|
$19,726.75
|
$11,836.05
40% off
|
$8,285.24
|
$19,134.95
|
$10,077.41
|
2026-05-05
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
22
|
22
|
$19,303.08
|
$11,581.85
40% off
|
$6,433.80
|
$18,723.99
|
$9,553.10
|
2026-05-05
|
|
16293815_1
|
CDM
|
Gladiator Extended Off Sz2 [prglcle2]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293824_1
|
CDM
|
Primary Hip Stem Z Sz 1 Standard [hwbos232]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293828_1
|
CDM
|
Primary Hip Stem Z Sz 5 Standard [hwbos240]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293809_1
|
CDM
|
Gladiator Standard Sz6 [prglcls6]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293835_1
|
CDM
|
Primary Hip Stem Z Sz 3 Increased Offset [hwboe236]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293830_1
|
CDM
|
Primary Hip Stem Z Sz 7 Standard [hwbos244]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293813_1
|
CDM
|
Gladiator Standard Sz10 [prglcls10]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293821_1
|
CDM
|
Gladiator Extended Off Sz8 [prglcle8]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293811_1
|
CDM
|
Gladiator Standard Sz8 [prglcls8]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293836_1
|
CDM
|
Primary Hip Stem Z Sz 4 Increased Offset [hwboe238]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293818_1
|
CDM
|
Gladiator Extended Off Sz5 [prglcle5]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293807_1
|
CDM
|
Gladiator Standard Sz4 [prglcls4]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293832_1
|
CDM
|
Primary Hip Stem Z Sz 9 Standard [hwbos248]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293819_1
|
CDM
|
Gladiator Extended Off Sz6 [prglcle6]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293841_1
|
CDM
|
Primary Hip Stem Z Sz 9 Increased Offset [hwboe248]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293812_1
|
CDM
|
Gladiator Standard Sz9 [prglcls9]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293806_1
|
CDM
|
Gladiator Standard Sz3 [prglcls3]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293820_1
|
CDM
|
Gladiator Extended Off Sz7 [prglcle7]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293829_1
|
CDM
|
Primary Hip Stem Z Sz 6 Standard [hwbos242]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293822_1
|
CDM
|
Gladiator Extended Off Sz9 [prglcle9]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293839_1
|
CDM
|
Primary Hip Stem Z Sz 7 Increased Offset [hwboe244]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293825_1
|
CDM
|
Primary Hip Stem Z Sz 2 Standard [hwbos234]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293834_1
|
CDM
|
Primary Hip Stem Z Sz 2 Increased Offset [hwboe234]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293808_1
|
CDM
|
Gladiator Standard Sz5 [prglcls5]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293827_1
|
CDM
|
Primary Hip Stem Z Sz 4 Standard [hwbos238]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293810_1
|
CDM
|
Gladiator Standard Sz7 [prglcls7]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293814_1
|
CDM
|
Gladiator Extended Off Sz1 [prglcle1]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293838_1
|
CDM
|
Primary Hip Stem Z Sz 6 Increased Offset [hwboe242]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293833_1
|
CDM
|
Primary Hip Stem Z Sz 1 Increased Offset [hwboe232]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293826_1
|
CDM
|
Primary Hip Stem Z Sz 3 Standard [hwbos236]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293804_1
|
CDM
|
Gladiator Standard Sz1 [prglcls1]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293817_1
|
CDM
|
Gladiator Extended Off Sz4 [prglcle4]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293823_1
|
CDM
|
Gladiator Extended Off Sz10 [prglcle10]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293831_1
|
CDM
|
Primary Hip Stem Z Sz 8 Standard [hwbos246]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293816_1
|
CDM
|
Gladiator Extended Off Sz3 [prglcle3]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
16293805_1
|
CDM
|
Gladiator Standard Sz2 [prglcls2]
|
20
|
20
|
$18,750.00
|
$11,250.00
40% off
|
$7,875.00
|
$18,187.50
|
$9,440.62
|
2026-05-05
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
94
|
22
|
$15,240.00
|
$9,144.00
40% off
|
$44.98
|
$29,188.50
|
$9,372.19
|
2026-05-05
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
22
|
22
|
$17,076.30
|
$10,245.78
40% off
|
$4,346.27
|
$16,564.01
|
$8,451.06
|
2026-05-05
|
|
24853239_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 8
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853233_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 2
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853237_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 6
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853235_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 4
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853236_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 5
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853231_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 7
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853232_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 8
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853234_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 3
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853230_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 6
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853226_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 2
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853238_1
|
CDM
|
Cs Primary Knee Femur Non-por Right Sz 7
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853228_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 4
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853227_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 3
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
24853229_1
|
CDM
|
Cs Primary Knee Femur Non-por Left Sz 5
|
20
|
20
|
$16,475.70
|
$9,885.42
40% off
|
$6,919.79
|
$15,981.43
|
$8,295.51
|
2026-05-05
|
|
2902168_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$16,135.00
|
$9,681.00
40% off
|
$6,776.70
|
$15,650.95
|
$8,123.97
|
2026-05-05
|
|
3409318_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$15,669.00
|
$9,401.40
40% off
|
$6,580.98
|
$15,198.93
|
$7,889.34
|
2026-05-05
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
16
|
16
|
$20,650.00
|
$12,390.00
40% off
|
$198.26
|
$25,193.00
|
$7,866.77
|
2026-05-05
|
|
16293892_1
|
CDM
|
Perfecta Imc Cemented Stem 13.5 Std [39081350]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293899_1
|
CDM
|
Perfecta Imc Cemented Stem 15 Inc Offset [39091500]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293897_1
|
CDM
|
Perfecta Imc Cemented Stem 12.0 Inc Offset [39091200]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293898_1
|
CDM
|
Perfecta Imc Cemented Stem 13.5 Inc Offset [39091350]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293895_1
|
CDM
|
Perfecta Imc Cemented Stem 18 Std [39081800]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293894_1
|
CDM
|
Perfecta Imc Cemented Stem 16.5 Std [39081650]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
16293893_1
|
CDM
|
Perfecta Imc Cemented Stem 15 Std [39081500]
|
20
|
20
|
$15,300.00
|
$9,180.00
40% off
|
$6,426.00
|
$14,841.00
|
$7,703.55
|
2026-05-05
|
|
2902166_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$15,167.00
|
$9,100.20
40% off
|
$6,370.14
|
$14,711.99
|
$7,636.59
|
2026-05-05
|
|
16293747_1
|
CDM
|
Primary Knee Femur Sz 4 Left Nonporous [kwbonn4l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293749_1
|
CDM
|
Primary Knee Femur Sz 3 Rt Nonporous [kwbonn3r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293796_1
|
CDM
|
Primary Knee Femur 4 Left Femur [kftcnn4l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293745_1
|
CDM
|
Primary Knee Femur Sz 2 Left Nonporous [kwbonn2l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293754_1
|
CDM
|
Primary Knee Femur Sz 5 Rt Nonporous [kwbonp5r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293753_1
|
CDM
|
Primary Knee Femur Sz 1 Rt Nonporous [kwbonp1r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293794_1
|
CDM
|
Primary Knee Femur 2 Left Femur [kftcnn2l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293792_1
|
CDM
|
Primary Knee Femur 3 Right Femur [kftcnn3r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293799_1
|
CDM
|
Primary Knee Femur 1 Right Femur [kftcnp1r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293748_1
|
CDM
|
Primary Knee Femur Sz 2 Rt Nonporous [kwbonn2r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293752_1
|
CDM
|
Primary Knee Femur Sz 5 Left Nonporous [kwbonp5l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293791_1
|
CDM
|
Primary Knee Femur 2 Right Femur [kftcnn2r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293797_1
|
CDM
|
Primary Knee Femur 1 Left Femur [kftcnp1l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293795_1
|
CDM
|
Primary Knee Femur 3 Left Femur [kftcnn3l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293750_1
|
CDM
|
Primary Knee Femur Sz 4 Rt Nonporous [kwbonn4r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293793_1
|
CDM
|
Primary Knee Femur 4 Right Femur [kftcnn4r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293802_1
|
CDM
|
Primary Knee Femur 6 Right Femur [kftcnp6r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293746_1
|
CDM
|
Primary Knee Femur Sz 3 Left Nonporous [kwbonn3l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293800_1
|
CDM
|
Primary Knee Femur 5 Right Femur [kftcnp5r]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293798_1
|
CDM
|
Primary Knee Femur 5 Left Femur [kftcnp5l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
16293751_1
|
CDM
|
Primary Knee Femur Sz 1 Left Nonporous [kwbonp1l]
|
20
|
20
|
$14,825.70
|
$8,895.42
40% off
|
$6,226.79
|
$14,380.93
|
$7,464.74
|
2026-05-05
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
16
|
16
|
$19,089.20
|
$11,453.52
40% off
|
$149.46
|
$23,288.82
|
$7,255.92
|
2026-05-05
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
38
|
22
|
$13,646.40
|
$8,187.84
40% off
|
$56.29
|
$15,383.22
|
$6,971.26
|
2026-05-05
|
|
16293918_1
|
CDM
|
Ultra Porous Biofoam Shell 52mm [dsbfgd52]
|
20
|
20
|
$13,542.00
|
$8,125.20
40% off
|
$5,687.64
|
$13,135.74
|
$6,818.40
|
2026-05-05
|
|
J0491
|
HCPCS
|
Injection, Anifrolumab-fnia, 1 Mg
|
22
|
22
|
$13,621.60
|
$8,172.96
40% off
|
$2,681.88
|
$13,212.95
|
$6,741.33
|
2026-05-05
|
|
2913085_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913141_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913095_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913082_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913084_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2902122_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913088_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2864092_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
2913089_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,316.00
|
$7,989.60
40% off
|
$5,592.72
|
$12,916.52
|
$6,704.61
|
2026-05-05
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
38
|
22
|
$15,921.00
|
$9,552.60
40% off
|
$158.95
|
$15,443.37
|
$6,686.82
|
2026-05-05
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
42
|
22
|
$18,417.50
|
$11,050.50
40% off
|
$1,553.33
|
$17,864.98
|
$6,680.93
|
2026-05-05
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
42
|
22
|
$19,877.60
|
$11,926.56
40% off
|
$1,292.59
|
$19,281.27
|
$6,680.93
|
2026-05-05
|
|
2902167_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,105.00
|
$7,863.00
40% off
|
$5,504.10
|
$12,711.85
|
$6,598.37
|
2026-05-05
|
|
2895169_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,105.00
|
$7,863.00
40% off
|
$5,504.10
|
$12,711.85
|
$6,598.37
|
2026-05-05
|
|
2893079_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$13,074.00
|
$7,844.40
40% off
|
$5,491.08
|
$12,681.78
|
$6,582.76
|
2026-05-05
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
122
|
22
|
$10,392.53
|
$6,235.52
40% off
|
$210.56
|
$14,790.12
|
$6,500.03
|
2026-05-05
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
22
|
22
|
$13,055.65
|
$7,833.39
40% off
|
$1,486.48
|
$12,663.98
|
$6,461.24
|
2026-05-05
|
|
2913108_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$12,818.00
|
$7,690.80
40% off
|
$5,383.56
|
$12,433.46
|
$6,453.86
|
2026-05-05
|
|
2913151_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$12,752.00
|
$7,651.20
40% off
|
$5,355.84
|
$12,369.44
|
$6,420.63
|
2026-05-05
|
|
2913161_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$12,752.00
|
$7,651.20
40% off
|
$5,355.84
|
$12,369.44
|
$6,420.63
|
2026-05-05
|
|
2893078_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$12,336.00
|
$7,401.60
40% off
|
$5,181.12
|
$11,965.92
|
$6,211.17
|
2026-05-05
|
|
2913417_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$11,204.00
|
$6,722.40
40% off
|
$4,705.68
|
$10,867.88
|
$5,641.22
|
2026-05-05
|
|
2902142_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$11,204.00
|
$6,722.40
40% off
|
$4,705.68
|
$10,867.88
|
$5,641.22
|
2026-05-05
|
|
2913126_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$11,204.00
|
$6,722.40
40% off
|
$4,705.68
|
$10,867.88
|
$5,641.22
|
2026-05-05
|
|
28520703_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$10,476.00
|
$6,285.60
40% off
|
$4,399.92
|
$10,161.72
|
$5,274.66
|
2026-05-05
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
42
|
22
|
$12,275.45
|
$7,365.27
40% off
|
$3,226.24
|
$11,907.19
|
$5,207.25
|
2026-05-05
|
|
2864190_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$10,233.00
|
$6,139.80
40% off
|
$4,297.86
|
$9,926.01
|
$5,152.32
|
2026-05-05
|
|
J1449
|
HCPCS
|
Injection, Eflapegrastim-xnst, 0.1 Mg
|
22
|
22
|
$10,367.75
|
$6,220.65
40% off
|
$4,346.27
|
$10,056.72
|
$5,131.00
|
2026-05-05
|
|
2913112_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$10,012.00
|
$6,007.20
40% off
|
$4,205.04
|
$9,711.64
|
$5,041.05
|
2026-05-05
|
|
2864188_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$10,012.00
|
$6,007.20
40% off
|
$4,205.04
|
$9,711.64
|
$5,041.05
|
2026-05-05
|
|
2913404_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,585.00
|
$5,751.00
40% off
|
$4,025.70
|
$9,297.45
|
$4,826.05
|
2026-05-05
|
|
16293965_1
|
CDM
|
Ceramic Head 40mm Sleeve Needed [38ch4000]
|
20
|
20
|
$9,570.00
|
$5,742.00
40% off
|
$4,019.40
|
$9,282.90
|
$4,818.49
|
2026-05-05
|
|
16293966_1
|
CDM
|
Ceramic Head 42mm Sleeve Needed [38ch4200]
|
20
|
20
|
$9,570.00
|
$5,742.00
40% off
|
$4,019.40
|
$9,282.90
|
$4,818.49
|
2026-05-05
|
|
13341414_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,230.00
|
$5,538.00
40% off
|
$3,876.60
|
$8,953.10
|
$4,647.31
|
2026-05-05
|
|
2864181_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,205.00
|
$5,523.00
40% off
|
$3,866.10
|
$8,928.85
|
$4,634.72
|
2026-05-05
|
|
2864122_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,057.00
|
$5,434.20
40% off
|
$3,803.94
|
$8,785.29
|
$4,560.20
|
2026-05-05
|
|
2913408_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864213_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864212_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864208_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864123_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864209_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
2864124_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,988.00
|
$5,392.80
40% off
|
$3,774.96
|
$8,718.36
|
$4,525.45
|
2026-05-05
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
42
|
22
|
$2,373.75
|
$1,424.25
40% off
|
$996.98
|
$11,415.69
|
$4,513.22
|
2026-05-05
|
|
16293853_1
|
CDM
|
Primary Hip Fem Head 28mm Medium 0 Mm [hwbo2802 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293929_1
|
CDM
|
50mm Metal Head [38ac5000]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293968_1
|
CDM
|
Ceramic Head Short 28mm Short -3.5mm [26000004]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293928_1
|
CDM
|
50mm Large Ceramic Head [38ch5000]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293971_1
|
CDM
|
Ceramic Head 32mm Short -3.5mm [26000007]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293852_1
|
CDM
|
Primary Hip Fem Head 28mm Short -3.5mm [hwbo2801 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293855_1
|
CDM
|
Primary Hip Fem Head 28mm X-long + 7 Mm [hwbo2804 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293972_1
|
CDM
|
Ceramic Head 32mm Medium 0 Mm [26000008]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293862_1
|
CDM
|
Primary Hip Fem Head 40mm Sleeve Needed [hwbo4000]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293864_1
|
CDM
|
Primary Hip Fem Head 46mm Sleeve Needed [hwbo4600]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293863_1
|
CDM
|
Primary Hip Fem Head 42mm Sleeve Needed [hwbo4200]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293857_1
|
CDM
|
Primary Hip Fem Head 32mm Medium 0 Mm [hwbo0008]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293860_1
|
CDM
|
Primary Hip Fem Head 36mm Sleeve Needed [hwbo3600]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293861_1
|
CDM
|
Primary Hip Fem Head 38mm Sleeve Needed [hwbo3800]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293976_1
|
CDM
|
Ceramic Head 36mm Long [26000012]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293859_1
|
CDM
|
Primary Hip Fem Head 32mm X-long + 7 Mm [hwbo0010 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293858_1
|
CDM
|
Primary Hip Fem Head 32mm Long +3.5mm [hwbo0009 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293856_1
|
CDM
|
Primary Hip Fem Head 32mm Short -3.5mm [hwbo0007 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293973_1
|
CDM
|
Ceramic Head 32mm Long +3.5mm [26000009]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293854_1
|
CDM
|
Primary Hip Fem Head 28mm Long +3.5mm [hwbo2803 ]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293969_1
|
CDM
|
Ceramic Head Medium 28mm Medium 0 Mm [26000005]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293970_1
|
CDM
|
Ceramic Head Long 28mm Short -3.5mm [26000006]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293974_1
|
CDM
|
Ceramic Head 36mm Short [26000010]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
16293975_1
|
CDM
|
Ceramic Head 36mm Medium [26000011]
|
20
|
20
|
$8,910.00
|
$5,346.00
40% off
|
$3,742.20
|
$8,642.70
|
$4,486.18
|
2026-05-05
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
42
|
22
|
$10,393.75
|
$6,236.25
40% off
|
$2,681.88
|
$10,081.94
|
$4,474.74
|
2026-05-05
|
|
16293967_1
|
CDM
|
Ceramic Head 46mm Sleeve Needed [38ch4600]
|
20
|
20
|
$8,700.00
|
$5,220.00
40% off
|
$3,654.00
|
$8,439.00
|
$4,380.45
|
2026-05-05
|
|
16293964_1
|
CDM
|
Ceramic Head 38mm Sleeve Needed [38ch3800]
|
20
|
20
|
$8,700.00
|
$5,220.00
40% off
|
$3,654.00
|
$8,439.00
|
$4,380.45
|
2026-05-05
|
|
2913517_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913530_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913118_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913526_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913120_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
3409268_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913522_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,550.00
|
$5,130.00
40% off
|
$3,591.00
|
$8,293.50
|
$4,304.93
|
2026-05-05
|
|
2913525_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,302.00
|
$4,981.20
40% off
|
$3,486.84
|
$8,052.94
|
$4,180.06
|
2026-05-05
|
|
2913527_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2913519_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2913119_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2913366_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2950890_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2950891_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2950956_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
2913123_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,289.00
|
$4,973.40
40% off
|
$3,481.38
|
$8,040.33
|
$4,173.51
|
2026-05-05
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
126
|
22
|
$4,521.10
|
$2,712.66
40% off
|
$203.18
|
$30,160.38
|
$4,159.41
|
2026-05-05
|
|
16293866_1
|
CDM
|
Primary Hip Shell 48mm Porous Coat Group B [hwbogb48]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293867_1
|
CDM
|
Primary Hip Shell 50mm Porous Coat Group C [hwbogc50]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293869_1
|
CDM
|
Primary Hip Shell 54mm Porous Coat Group E [hwboge54]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293868_1
|
CDM
|
Primary Hip Shell 52mm Porous Coat Group D [hwbogd52]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293872_1
|
CDM
|
Primary Hip Shell 60mm Porous Coat Group G [hwbogg60]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293873_1
|
CDM
|
Primary Hip Shell 62mm Porous Coat Group G [hwbogg62]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293865_1
|
CDM
|
Primary Hip Shell 46mm Porous Coat Group B [hwbogb46]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293875_1
|
CDM
|
Primary Hip Shell 66mm Porous Coat Group H [hwbogh66]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293870_1
|
CDM
|
Primary Hip Shell 56mm Porous Coat Group F [hwbogf56]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
16293871_1
|
CDM
|
Primary Hip Shell 58mm Porous Coat Group G [hwbogg58]
|
20
|
20
|
$8,250.00
|
$4,950.00
40% off
|
$3,465.00
|
$8,002.50
|
$4,153.88
|
2026-05-05
|
|
19230680_1
|
CDM
|
SpeedBridge Implant System With BioComposite SwiveLock, 4.75 X 19.1 Mm Ar-2600s…
|
20
|
20
|
$8,203.80
|
$4,922.28
40% off
|
$3,445.60
|
$7,957.69
|
$4,130.61
|
2026-05-05
|
|
2851764_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,994.00
|
$4,796.40
40% off
|
$3,357.48
|
$7,754.18
|
$4,024.98
|
2026-05-05
|
|
2851765_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,994.00
|
$4,796.40
40% off
|
$3,357.48
|
$7,754.18
|
$4,024.98
|
2026-05-05
|
|
2902144_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,994.00
|
$4,796.40
40% off
|
$3,357.48
|
$7,754.18
|
$4,024.98
|
2026-05-05
|
|
2913135_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,994.00
|
$4,796.40
40% off
|
$3,357.48
|
$7,754.18
|
$4,024.98
|
2026-05-05
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
16
|
16
|
$10,558.75
|
$6,335.25
40% off
|
$34.87
|
$12,881.68
|
$3,981.51
|
2026-05-05
|
|
1629528_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,824.00
|
$4,694.40
40% off
|
$3,286.08
|
$7,589.28
|
$3,939.39
|
2026-05-05
|
|
24853298_1
|
CDM
|
Primary Knee Tibia Base Sz 6 Plus
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853242_1
|
CDM
|
Primary Knee Tibia Base Sz 5
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853243_1
|
CDM
|
Primary Knee Tibia Base Sz 6
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853241_1
|
CDM
|
Primary Knee Tibia Base Sz 4
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853244_1
|
CDM
|
Primary Knee Tibia Base Sz 7
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853299_1
|
CDM
|
Primary Knee Tibia Base Sz 7 Plus
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
24853240_1
|
CDM
|
Primary Knee Tibia Base Sz 3
|
20
|
20
|
$7,760.61
|
$4,656.37
40% off
|
$3,259.46
|
$7,527.79
|
$3,907.47
|
2026-05-05
|
|
2913116_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2913081_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2895168_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2913166_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2864129_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2950807_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2950792_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2950806_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,490.00
|
$4,494.00
40% off
|
$3,145.80
|
$7,265.30
|
$3,771.22
|
2026-05-05
|
|
2913518_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,219.00
|
$4,331.40
40% off
|
$3,031.98
|
$7,002.43
|
$3,634.77
|
2026-05-05
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
42
|
22
|
$3,749.00
|
$2,249.40
40% off
|
$1,574.58
|
$8,601.94
|
$3,599.04
|
2026-05-05
|
|
2864086_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,143.00
|
$4,285.80
40% off
|
$3,000.06
|
$6,928.71
|
$3,596.50
|
2026-05-05
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
16
|
16
|
$9,520.00
|
$5,712.00
40% off
|
$38.49
|
$11,614.40
|
$3,593.92
|
2026-05-05
|
|
2913059_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,103.00
|
$4,261.80
40% off
|
$2,983.26
|
$6,889.91
|
$3,576.36
|
2026-05-05
|
|
16293782_1
|
CDM
|
Primary Knee Tibia Base 4 Tibia [ktccnp40]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293780_1
|
CDM
|
Primary Knee Tibia Base 3 Tibia [ktccnp30]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293779_1
|
CDM
|
Primary Knee Tibia Base 2 Plus Tibia [ktccnp21]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293784_1
|
CDM
|
Primary Knee Tibia Base 5 Tiba [ktccnp50]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293756_1
|
CDM
|
Primary Knee Tibia Base Sz 1 + Co/cr Nonporous [kwbonp11]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293778_1
|
CDM
|
Primary Knee Tibia Base 2 Tibia [ktccnp20]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293758_1
|
CDM
|
Primary Knee Tibia Base Sz 2 + Co/cr Nonporous [kwbonp21]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293763_1
|
CDM
|
Primary Knee Tibia Base Sz 5 Co/cr Nonporous [kwbonp50]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293764_1
|
CDM
|
Primary Knee Tibia Base Sz 5 + Co/cr Nonporous [kwbonp51]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293762_1
|
CDM
|
Primary Knee Tibia Base Sz 4 + Co/cr Nonporous [kwbonp41]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293760_1
|
CDM
|
Primary Knee Tibia Base Sz 3 + Co/cr Nonporous [kwbonp31]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293759_1
|
CDM
|
Primary Knee Tibia Base Sz 3 Co/cr Nonporous [kwbonp30]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|
|
16293776_1
|
CDM
|
Primary Knee Tibia Base 1 Tibia [ktccnp10]
|
20
|
20
|
$7,055.10
|
$4,233.06
40% off
|
$2,963.14
|
$6,843.45
|
$3,552.24
|
2026-05-05
|