|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
16
|
8
|
$58,505.75
|
$46,804.60
|
$15,665.31
|
$78,968.95
|
$35,520.18
|
2026-05-15
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
1
|
1
|
$17,949.19
|
$14,359.35
20% off
|
$30,827.71
|
$30,827.71
|
$30,827.71
|
2026-05-15
|
|
J0801
|
HCPCS
|
Injection, Corticotropin (acthar Gel), Up To 40 Units
|
8
|
8
|
$29,048.72
|
$23,238.98
|
$12,490.95
|
$28,467.75
|
$27,886.77
|
2026-05-15
|
|
J0775
|
HCPCS
|
Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg
|
10
|
10
|
$24,628.36
|
$19,702.69
|
$10,590.19
|
$24,135.79
|
$20,934.10
|
2026-05-15
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
16
|
8
|
$35,862.40
|
$28,689.92
20% off
|
$6,608.93
|
$55,228.10
|
$19,647.47
|
2026-05-15
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
10
|
10
|
$20,799.79
|
$16,639.83
20% off
|
$8,943.91
|
$20,383.79
|
$17,679.82
|
2026-05-15
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
20
|
10
|
$19,374.94
|
$15,499.95
20% off
|
$7,842.80
|
$20,100.61
|
$16,355.12
|
2026-05-15
|
|
J1299
|
HCPCS
|
Injection, Eculizumab, 2 Mg
|
8
|
8
|
$15,655.20
|
$12,524.16
20% off
|
$6,731.74
|
$15,342.10
|
$15,028.99
|
2026-05-15
|
|
9676906_1
|
CDM
|
Tri Ts Femur Sz8 Left
|
10
|
10
|
$17,499.00
|
$13,999.20
|
$7,524.57
|
$17,149.02
|
$14,874.15
|
2026-05-15
|
|
9676892_1
|
CDM
|
Tri Ts Femur Sz1 Left
|
10
|
10
|
$17,499.00
|
$13,999.20
|
$7,524.57
|
$17,149.02
|
$14,874.15
|
2026-05-15
|
|
9676907_1
|
CDM
|
Tri Ts Femur Sz8 Right
|
10
|
10
|
$17,499.00
|
$13,999.20
|
$7,524.57
|
$17,149.02
|
$14,874.15
|
2026-05-15
|
|
9676893_1
|
CDM
|
Tri Ts Femur Sz1 Right
|
10
|
10
|
$17,499.00
|
$13,999.20
|
$7,524.57
|
$17,149.02
|
$14,874.15
|
2026-05-15
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
8
|
8
|
$15,403.18
|
$12,322.54
20% off
|
$6,623.37
|
$15,095.12
|
$14,787.05
|
2026-05-15
|
|
9676900_1
|
CDM
|
Tri Ts Femur Sz5 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676899_1
|
CDM
|
Tri Ts Femur Sz4 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676898_1
|
CDM
|
Tri Ts Femur Sz4 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676904_1
|
CDM
|
Tri Ts Femur Sz7 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676894_1
|
CDM
|
Tri Ts Femur Sz2 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676896_1
|
CDM
|
Tri Ts Femur Sz3 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676901_1
|
CDM
|
Tri Ts Femur Sz5 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676902_1
|
CDM
|
Tri Ts Femur Sz6 Left
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676897_1
|
CDM
|
Tri Ts Femur Sz3 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676903_1
|
CDM
|
Tri Ts Femur Sz6 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676895_1
|
CDM
|
Tri Ts Femur Sz2 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
9676905_1
|
CDM
|
Tri Ts Femur Sz7 Right
|
10
|
10
|
$17,047.00
|
$13,637.60
20% off
|
$7,330.21
|
$16,706.06
|
$14,489.95
|
2026-05-15
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
8
|
8
|
$12,144.28
|
$9,715.42
20% off
|
$5,222.04
|
$11,901.39
|
$11,658.51
|
2026-05-15
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
10
|
10
|
$13,624.20
|
$10,899.36
20% off
|
$5,858.41
|
$13,351.72
|
$11,580.57
|
2026-05-15
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
10
|
10
|
$10,146.60
|
$8,117.28
20% off
|
$4,363.04
|
$9,943.67
|
$8,624.61
|
2026-05-15
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
10
|
10
|
$10,020.00
|
$8,016.00
20% off
|
$4,308.60
|
$9,819.60
|
$8,517.00
|
2026-05-15
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
8
|
8
|
$8,601.60
|
$6,881.28
20% off
|
$3,698.69
|
$8,429.57
|
$8,257.53
|
2026-05-15
|
|
10195997_1
|
CDM
|
Xdemvy 0.25% Drop
|
10
|
10
|
$9,097.20
|
$7,277.76
20% off
|
$3,911.80
|
$8,915.26
|
$7,732.62
|
2026-05-15
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
20
|
10
|
$8,853.19
|
$7,082.55
20% off
|
$3,806.87
|
$8,676.14
|
$7,525.21
|
2026-05-15
|
|
9676384_1
|
CDM
|
Pf Dpc Low Flow
|
10
|
10
|
$8,202.00
|
$6,561.60
|
$3,526.86
|
$8,037.96
|
$6,971.70
|
2026-05-15
|
|
9676918_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130601
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676845_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140802
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676919_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130602
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676923_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130802
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676928_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140402
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676931_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140601
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676842_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140302
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676932_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140602
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676841_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140301
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676933_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140701
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676911_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130202
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676913_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130302
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676929_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140501
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676920_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130701
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676924_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140101
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676840_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140202
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676917_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130502
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676921_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130702
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676927_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140401
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676914_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130401
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676912_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130301
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676922_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130801
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676844_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140801
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676926_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140201
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676925_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140102
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676915_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130402
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676910_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130201
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676843_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140702
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676908_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130101
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676916_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130501
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676930_1
|
CDM
|
Triathlon Ps Fem Component - Beaded 55140502
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9676909_1
|
CDM
|
Triathlon Cr Fem Component - Beaded 55130102
|
10
|
10
|
$7,563.00
|
$6,050.40
20% off
|
$3,252.09
|
$7,411.74
|
$6,428.55
|
2026-05-15
|
|
9677341_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370425
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677278_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370309
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677334_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370331
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677225_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370319
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677274_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370222
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677358_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370622
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677285_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370831
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677335_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370409
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677343_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370431
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677355_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370613
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677366_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370719
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677281_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370819
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677277_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370231
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677270_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370211
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677336_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370411
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677271_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370213
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677374_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370816
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677223_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370209
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677224_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370316
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677333_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370328
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677279_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370311
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677361_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370631
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677356_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370616
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677222_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370131
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677364_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370713
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677363_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370711
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677339_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370419
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677354_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370611
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677338_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370416
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677273_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370219
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677280_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370313
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677215_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370111
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677214_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370109
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677360_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370628
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677352_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370531
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677219_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370122
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677332_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370325
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677367_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370722
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677357_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370619
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677283_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370825
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677218_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370119
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677216_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370113
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677368_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370725
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677217_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370116
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677350_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370525
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677345_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370511
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677349_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370522
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677351_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370528
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677348_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370519
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677347_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370516
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677373_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370813
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677359_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370625
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677372_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370811
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677344_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370509
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677337_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370413
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677331_1
|
CDM
|
No 3 Triathlon Ts Plus Tibial Insert X3 55370322
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677340_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370422
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677221_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370128
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677365_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370716
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677284_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370828
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677370_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370731
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677346_1
|
CDM
|
No 5 Triathlon Ts Plus Tibial Insert X3 55370513
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677362_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370709
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677276_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370228
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677342_1
|
CDM
|
No 4 Triathlon Ts Plus Tibial Insert X3 55370428
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677220_1
|
CDM
|
No 1 Triathlon Ts Plus Tibial Insert X3 55370125
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677275_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370225
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677282_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370822
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677272_1
|
CDM
|
No 2 Triathlon Ts Plus Tibial Insert X3 55370216
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677353_1
|
CDM
|
No 6 Triathlon Ts Plus Tibial Insert X3 55370609
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677369_1
|
CDM
|
No 7 Triathlon Ts Plus Tibial Insert X3 55370728
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
9677371_1
|
CDM
|
No 8 Triathlon Ts Plus Tibial Insert X3 55370809
|
10
|
10
|
$7,560.00
|
$6,048.00
20% off
|
$3,250.80
|
$7,408.80
|
$6,426.00
|
2026-05-15
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
10
|
10
|
$7,515.00
|
$6,012.00
20% off
|
$3,231.45
|
$7,364.70
|
$6,387.75
|
2026-05-15
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
10
|
10
|
$7,500.00
|
$6,000.00
20% off
|
$2,927.02
|
$7,350.00
|
$6,375.00
|
2026-05-15
|
|
J2315
|
HCPCS
|
Injection, Naltrexone, Depot Form, 1 Mg
|
10
|
10
|
$7,483.45
|
$5,986.76
|
$3,217.88
|
$7,333.78
|
$6,360.93
|
2026-05-15
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
10
|
10
|
$7,316.00
|
$5,852.80
20% off
|
$2,927.02
|
$7,169.68
|
$6,218.60
|
2026-05-15
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
10
|
10
|
$7,197.09
|
$5,757.67
20% off
|
$3,094.75
|
$7,053.15
|
$6,117.53
|
2026-05-15
|
|
9676639_1
|
CDM
|
Gamma 3 S Nail Right 10X440mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676735_1
|
CDM
|
Gamma 3 S Nail Left 10X260mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676711_1
|
CDM
|
Gamma 3 S Nail Right 10X420mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676705_1
|
CDM
|
Gamma 3 S Nail Right 10X300mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674772_1
|
CDM
|
Gamma 3 S Nail Left 10X400mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676636_1
|
CDM
|
Gamma 3 S Nail Right 10X380mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676634_1
|
CDM
|
Gamma 3 S Nail Right 10X340mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676717_1
|
CDM
|
Gamma 3 S Nail Right 10X320mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676733_1
|
CDM
|
Gamma 3 S Nail Left 10X440mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676638_1
|
CDM
|
Gamma 3 S Nail Right 10X420mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674770_1
|
CDM
|
Gamma 3 S Nail Left 10X380mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676729_1
|
CDM
|
Gamma 3 S Nail Left 10X360mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676739_1
|
CDM
|
Gamma 3 S Nail Left 10X340mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676740_1
|
CDM
|
Gamma 3 S Nail Left 10X360mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676725_1
|
CDM
|
Gamma 3 S Nail Left 10X280mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676635_1
|
CDM
|
Gamma 3 S Nail Right 10X360mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676707_1
|
CDM
|
Gamma 3 S Nail Right 10X340mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676713_1
|
CDM
|
Gamma 3 S Nail Right 10X460mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676716_1
|
CDM
|
Gamma 3 S Nail Right 10X300mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674774_1
|
CDM
|
Gamma 3 S Nail Left 10X420mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676629_1
|
CDM
|
Gamma 3 S Nail Right 10X460mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676734_1
|
CDM
|
Gamma 3 S Nail Left 10X460mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676747_1
|
CDM
|
Gamma 3 S Nail Left 10X280mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676631_1
|
CDM
|
Gamma 3 S Nail Right 10X280mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676746_1
|
CDM
|
Gamma 3 S Nail Left 10X260mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676715_1
|
CDM
|
Gamma 3 S Nail Right 10X280mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676727_1
|
CDM
|
Gamma 3 S Nail Left 10X320mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676737_1
|
CDM
|
Gamma 3 S Nail Left 10X300mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676749_1
|
CDM
|
Gamma 3 S Nail Left 10X320mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676750_1
|
CDM
|
Gamma 3 S Nail Left 10X340mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676632_1
|
CDM
|
Gamma 3 S Nail Right 10X300mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676719_1
|
CDM
|
Gamma 3 S Nail Right 10X360mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676718_1
|
CDM
|
Gamma 3 S Nail Right 10X340mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676743_1
|
CDM
|
Gamma 3 S Nail Left 10X420mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676738_1
|
CDM
|
Gamma 3 S Nail Left 10X320mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676625_1
|
CDM
|
Gamma 3 S Nail Right 10X380mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676736_1
|
CDM
|
Gamma 3 S Nail Left 10X280mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676710_1
|
CDM
|
Gamma 3 S Nail Right 10X400mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676744_1
|
CDM
|
Gamma 3 S Nail Left 10X440mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676630_1
|
CDM
|
Gamma 3 S Nail Right 10X260mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676703_1
|
CDM
|
Gamma 3 S Nail Right 10X260mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676708_1
|
CDM
|
Gamma 3 S Nail Right 10X360mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676637_1
|
CDM
|
Gamma 3 S Nail Right 10X400mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676709_1
|
CDM
|
Gamma 3 S Nail Right 10X380mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676633_1
|
CDM
|
Gamma 3 S Nail Right 10X320mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676723_1
|
CDM
|
Gamma 3 S Nail Left 10X240mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676712_1
|
CDM
|
Gamma 3 S Nail Right 10X440mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674778_1
|
CDM
|
Gamma 3 S Nail Left 10X460mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674776_1
|
CDM
|
Gamma 3 S Nail Left 10X440mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676704_1
|
CDM
|
Gamma 3 S Nail Right 10X280mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676726_1
|
CDM
|
Gamma 3 S Nail Left 10X300mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676714_1
|
CDM
|
Gamma 3 S Nail Right 10X260mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676741_1
|
CDM
|
Gamma 3 S Nail Left 10X380mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676626_1
|
CDM
|
Gamma 3 S Nail Right 10X400mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676627_1
|
CDM
|
Gamma 3 S Nail Right 10X420mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676732_1
|
CDM
|
Gamma 3 S Nail Left 10X420mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676640_1
|
CDM
|
Gamma 3 S Nail Right 10X460mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676748_1
|
CDM
|
Gamma 3 S Nail Left 10X300mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676742_1
|
CDM
|
Gamma 3 S Nail Left 10X400mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676730_1
|
CDM
|
Gamma 3 S Nail Left 10X380mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676724_1
|
CDM
|
Gamma 3 S Nail Left 10X260mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676745_1
|
CDM
|
Gamma 3 S Nail Left 10X460mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676731_1
|
CDM
|
Gamma 3 S Nail Left 10X400mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676706_1
|
CDM
|
Gamma 3 S Nail Right 10X320mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676728_1
|
CDM
|
Gamma 3 S Nail Left 10X340mm X 120
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9674768_1
|
CDM
|
Gamma 3 S Nail Left 10X360mm X 130
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
9676628_1
|
CDM
|
Gamma 3 S Nail Right 10X440mm X 125
|
10
|
10
|
$7,032.00
|
$5,625.60
|
$3,023.76
|
$6,891.36
|
$5,977.20
|
2026-05-15
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
10
|
10
|
$6,862.06
|
$5,489.65
|
$2,950.69
|
$6,724.82
|
$5,832.76
|
2026-05-15
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
10
|
10
|
$6,588.00
|
$5,270.40
20% off
|
$2,832.84
|
$6,456.24
|
$5,599.80
|
2026-05-15
|
|
78459
|
HCPCS
|
Nuclear Medicine Study Of Heart Muscle With Metabolic Evaluation
|
10
|
10
|
$6,588.00
|
$5,270.40
20% off
|
$2,832.84
|
$6,456.24
|
$5,599.80
|
2026-05-15
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
10
|
10
|
$6,404.87
|
$5,123.90
|
$2,754.09
|
$6,276.77
|
$5,444.14
|
2026-05-15
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
1
|
1
|
$5,162.80
|
$4,130.24
20% off
|
$5,326.20
|
$5,326.20
|
$5,326.20
|
2026-05-15
|
|
1378488_1
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,044.00
|
$4,835.20
20% off
|
$2,598.92
|
$5,923.12
|
$5,137.40
|
2026-05-15
|
|
9676619_1
|
CDM
|
Troch Nail Rt 11x300x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676677_1
|
CDM
|
Troch Nail Lt 11x400x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676620_1
|
CDM
|
Troch Nail Rt 11x320x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676670_1
|
CDM
|
Troch Nail Lt 11x420x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676668_1
|
CDM
|
Troch Nail Lt 11x380x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676624_1
|
CDM
|
Troch Nail Rt 11x400x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676665_1
|
CDM
|
Troch Nail Lt 11x320x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676676_1
|
CDM
|
Troch Nail Lt 11x380x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676622_1
|
CDM
|
Troch Nail Rt 11x360x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676664_1
|
CDM
|
Troch Nail Lt 11x300x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676667_1
|
CDM
|
Troch Nail Lt 11x360x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676589_1
|
CDM
|
Troch Nail Rt 11x420x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676672_1
|
CDM
|
Troch Nail Lt 11x300x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676590_1
|
CDM
|
Troch Nail Rt 11x440x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676671_1
|
CDM
|
Troch Nail Lt 11x440x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676586_1
|
CDM
|
Troch Nail Rt 11x360x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676588_1
|
CDM
|
Troch Nail Rt 11x400x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676581_1
|
CDM
|
Troch Nail Rt 11x420x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676674_1
|
CDM
|
Troch Nail Lt 11x340x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676587_1
|
CDM
|
Troch Nail Rt 11x380x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676621_1
|
CDM
|
Troch Nail Rt 11x340x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676623_1
|
CDM
|
Troch Nail Rt 11x380x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676582_1
|
CDM
|
Troch Nail Rt 11x440x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676583_1
|
CDM
|
Troch Nail Rt 11x300x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676584_1
|
CDM
|
Troch Nail Rt 11x320x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676679_1
|
CDM
|
Troch Nail Lt 11x440x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676666_1
|
CDM
|
Troch Nail Lt 11x340x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676585_1
|
CDM
|
Troch Nail Rt 11x340x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676673_1
|
CDM
|
Troch Nail Lt 11x320x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676678_1
|
CDM
|
Troch Nail Lt 11x420x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676675_1
|
CDM
|
Troch Nail Lt 11x360x130
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676669_1
|
CDM
|
Troch Nail Lt 11x400x125
|
10
|
10
|
$6,025.00
|
$4,820.00
20% off
|
$2,590.75
|
$5,904.50
|
$5,121.25
|
2026-05-15
|
|
9676113_1
|
CDM
|
Prosima
|
10
|
10
|
$5,831.00
|
$4,664.80
|
$2,507.33
|
$5,714.38
|
$4,956.35
|
2026-05-15
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
20
|
10
|
$10,962.51
|
$8,770.01
|
$345.79
|
$20,698.44
|
$4,935.02
|
2026-05-15
|
|
9676880_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100301
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676888_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100701
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676881_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100302
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676876_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100101
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676848_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150201
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676964_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150802
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676846_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150101
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676891_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100802
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676884_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100501
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676851_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150302
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676963_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150801
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676878_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100201
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676854_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150501
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676853_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150402
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676855_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150502
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676857_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150602
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676850_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150301
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676856_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150601
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676849_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150202
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676858_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150701
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676890_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100801
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676879_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100202
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676882_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100401
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676883_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100402
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676885_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100502
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676847_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150102
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676852_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150401
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676877_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100102
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676886_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100601
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676889_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100702
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676962_1
|
CDM
|
Triathlon Ps Fem Component - Cemented 55150702
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676887_1
|
CDM
|
Triathlon Cr Fem Component - Cemented 55100602
|
10
|
10
|
$5,500.00
|
$4,400.00
20% off
|
$2,365.00
|
$5,390.00
|
$4,675.00
|
2026-05-15
|
|
9676615_1
|
CDM
|
Troch Nail For Gamma 3 S Nails 31250170
|
10
|
10
|
$5,246.00
|
$4,196.80
|
$2,255.78
|
$5,141.08
|
$4,459.10
|
2026-05-15
|
|
9676617_1
|
CDM
|
Troch Nail For Gamma 3 S Nails 31300170
|
10
|
10
|
$5,246.00
|
$4,196.80
|
$2,255.78
|
$5,141.08
|
$4,459.10
|
2026-05-15
|
|
9676613_1
|
CDM
|
Troch Nail For Gamma 3 S Nails 31200170
|
10
|
10
|
$5,246.00
|
$4,196.80
|
$2,255.78
|
$5,141.08
|
$4,459.10
|
2026-05-15
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
16
|
8
|
$4,444.29
|
$3,555.43
20% off
|
$1,884.20
|
$4,416.60
|
$4,250.39
|
2026-05-15
|
|
9676311_1
|
CDM
|
Axis Dermis 8x12cm
|
10
|
10
|
$4,868.00
|
$3,894.40
20% off
|
$2,093.24
|
$4,770.64
|
$4,137.80
|
2026-05-15
|
|
J3358
|
HCPCS
|
Ustekinumab, For Intravenous Injection, 1 Mg
|
10
|
10
|
$4,858.82
|
$3,887.06
|
$2,089.29
|
$4,761.64
|
$4,130.00
|
2026-05-15
|
|
1378484_1
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$4,835.00
|
$3,868.00
20% off
|
$2,079.05
|
$4,738.30
|
$4,109.75
|
2026-05-15
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
10
|
10
|
$4,831.00
|
$3,864.80
|
$1,233.80
|
$4,734.38
|
$4,106.35
|
2026-05-15
|
|
9675588_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Stand Le 5 Hol
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675591_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Ri 15 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675596_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Le 5 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675585_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Stand Ri 11 Hol
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675597_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Ri 5 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675590_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Le 15 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675592_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Le 11 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675582_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Stand Le 15 Hol
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675584_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Stand Le 11 Hol
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675583_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Stand Ri 15 Hol
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|
|
9675595_1
|
CDM
|
2.7mm Xxl Volar Dr Plate Narrow Ri 8 Ho
|
10
|
10
|
$4,800.00
|
$3,840.00
20% off
|
$2,064.00
|
$4,704.00
|
$4,080.00
|
2026-05-15
|