Hospital

The Medical Center At Albany

Albany, KY · CCN 180106 · Rates published

10,302 distinct procedures filed

18 distinct payers

525,658 rate rows

2024-07-01 last MRF observed · ⚠ 23 mo old

Data quality

524,986 of 525,658 rate rows are consumer-grade (99.9%)

672 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	670
exceeds 10× this hospital's gross charge — excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 23 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://medcenterhealth.org/download/16278/
Found on page	https://medcenterhealth.org/estimates-and-charges/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	4c6a69813683ecb9… · 31,545,738 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
3559241 LOCAL	Cath-impella 5.5 0550-0008	18	$56,859.30	$156,742.14	$135,768.64	nat. median $104,399 1.3× median
3602882 LOCAL	Valve-evolut Fx+ Evfxplus-34	18	$40,433.40	$111,461.41	$96,546.88	nat. median $74,240 1.3× median
3598802 LOCAL	Valve-evolut Fx Evolutfx	18	$37,906.20	$104,494.76	$90,512.42	nat. median $69,600 1.3× median
3574664 LOCAL	Valve-evolutr Evolutr-23-US	18	$37,906.20	$104,494.76	$90,512.42	nat. median $69,600 1.3× median
3086401 LOCAL	Valve-evolutpro 26 US	18	$37,906.20	$104,494.76	$90,512.42	nat. median $69,600 1.3× median
3058904 LOCAL	Valve-evolutpro-23-US	18	$37,906.20	$104,494.76	$90,512.42	nat. median $69,600 1.3× median
3825114 LOCAL	Valve-evolutr Evolutr-34-US	18	$37,905.90	$104,493.93	$81,266.46	nat. median $60,649 1.3× median
3601417 LOCAL	Cath-steerable Guide Mitraclip	18	$33,000.00	$90,970.00	$78,797.40	nat. median $60,591 1.3× median
3059056 LOCAL	Set-impella Rp Pump 004334	18	$31,588.50	$87,078.97	$75,427.02	nat. median $58,000 1.3× median
3827720 LOCAL	Cath-impella Cp 0048-0003	18	$31,588.20	$87,078.14	$67,721.94	nat. median $50,541 1.3× median
3600543 LOCAL	Graft-tag Stent 40x40x10/22fr	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3600542 LOCAL	Graft-tag Stent 45x45x20/24fr	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3600540 LOCAL	Graft-tag Stent 34x34x15/22fr	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3600541 LOCAL	Graft-tag Stent 45x45x10/24fr	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3600544 LOCAL	Graft-tag Stent 40x40x20/22fr	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3599528 LOCAL	Stent-thoracic Tag Tgm343420	18	$25,988.70	$71,642.18	$62,055.82	nat. median $47,718 1.3× median
3600539 LOCAL	Graft-tag Stent 34x34x10/22fr	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3559465 LOCAL	Stent-thoracic Tgm262610	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3599631 LOCAL	Stent,thoracic Tgmr373715	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3598209 LOCAL	Stent-thoracic Tgmr	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3600538 LOCAL	Graft-tag Stent 21x21x10/18fr	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3550613 LOCAL	Stent-thoracic Tgmr312610	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3550896 LOCAL	Stent-thoracic Tgmr312610	18	$25,454.10	$70,168.47	$60,779.30	nat. median $46,736 1.3× median
3549222 LOCAL	Stent-valiant Thoracic	18	$25,039.20	$69,024.73	$59,788.60	nat. median $45,974 1.3× median
3550428 LOCAL	Stent-thoracic Vnmc3428c207tu	18	$25,039.20	$69,024.73	$59,788.60	nat. median $45,974 1.3× median
3549225 LOCAL	Stent-valiant Thoracic	18	$25,039.20	$69,024.73	$59,788.60	nat. median $45,974 1.3× median
3559555 LOCAL	Stent-thoracic Vnmc3731c207tu	18	$25,039.20	$69,024.73	$59,788.60	nat. median $45,974 1.3× median
3549969 LOCAL	Stent-valiant Thoracic	18	$25,039.20	$69,024.73	$59,788.60	nat. median $45,974 1.3× median
C2624 HCPCS	System-cardiomems Patient	18	$24,007.50	$66,180.68	$57,325.11	nat. median $32,760 1.7× median
3549979 LOCAL	Stent-thoracic Vnmf3131c174tu	18	$23,754.90	$65,484.34	$56,721.95	nat. median $43,616 1.3× median
3827727 LOCAL	Cath-impella 2.5 005042	18	$25,270.80	$69,663.17	$54,178.07	nat. median $40,433 1.3× median
3598150 LOCAL	Stent-valiant Vamf4036c150tu	18	$22,200.90	$61,200.48	$53,011.31	nat. median $40,763 1.3× median
3549076 LOCAL	Stent-thoracic Tgu313115	18	$22,110.90	$60,952.38	$52,796.40	nat. median $40,598 1.3× median
3549980 LOCAL	Stent-thoracic Vnmf3131c97tu	18	$21,828.30	$60,173.35	$52,121.62	nat. median $40,079 1.3× median
3549115 LOCAL	Stent-valiant Thoracic	18	$21,828.30	$60,173.35	$52,121.62	nat. median $40,079 1.3× median
3549224 LOCAL	Stent-valiant Thoracic	18	$21,828.30	$60,173.35	$52,121.62	nat. median $40,079 1.3× median
J0223 HCPCS	Givosiran Sodium 189 Mg/ml	18	$21,697.08	$59,811.61	$51,808.28	nat. median $167 outlier · 310.0×
3526984 LOCAL	Stent-thoracic Endoprosthesis	18	$21,571.20	$59,464.61	$51,507.71	nat. median $39,607 1.3× median
3602605 LOCAL	Occluder-amplatzer Amulet 22mm	18	$21,480.30	$59,214.03	$51,290.66	nat. median $39,440 1.3× median
3602603 LOCAL	Occluder-amplatzer Amulet 16mm	18	$21,480.30	$59,214.03	$51,290.66	nat. median $39,440 1.3× median
3602607 LOCAL	Occlude- Amplatzer Amulet 31mm	18	$21,480.30	$59,214.03	$51,290.66	nat. median $39,440 1.3× median
C9293 HCPCS	Glucarpidase 1,000 Unit Vial	18	$21,340.34	$58,828.19	$50,956.46	nat. median $21,340 outlier · 2.4×
3599130 LOCAL	Stent-valiant Vamc3632c150tu	18	$21,300.60	$58,718.65	$50,861.57	nat. median $39,110 1.3× median
3599189 LOCAL	Stent-valiant Vamf2828c100tu	18	$20,400.30	$56,236.83	$48,711.83	nat. median $37,457 1.3× median
3603240 LOCAL	Graft-system Vamf3030c100tu	18	$20,400.30	$56,236.83	$48,711.83	nat. median $37,457 1.3× median
C1882 HCPCS	Defib-quadra Assura Cd3369-40q	18	$7,808.70	$86,288.35	$47,924.72	nat. median $27,112 1.8× median
3599512 LOCAL	Kit-dual N8 Processor Dualn8	18	$18,763.80	$51,725.54	$44,804.20	nat. median $34,452 1.3× median
3527114 LOCAL	Device-watchman M635wu	18	$18,678.30	$51,489.85	$44,600.04	nat. median $34,295 1.3× median
3603762 LOCAL	Graft-aaa Prox Body G32542	18	$18,508.50	$51,021.77	$44,194.60	nat. median $33,983 1.3× median
C1767 HCPCS	Battery-dbs Ipg 37602	18	$12,079.50	$129,531.36	$44,140.40	nat. median $22,478 2.0× median

Other procedures at this hospital

Browse this hospital's 10,302 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

3559241	LOCAL	Cath-impella 5.5 0550-0008	32	18	$189,531.00	—	$56,859.30	$156,742.14	$135,768.64	2024-07-01
3602882	LOCAL	Valve-evolut Fx+ Evfxplus-34	32	18	$134,778.00	—	$40,433.40	$111,461.41	$96,546.88	2024-07-01
3058904	LOCAL	Valve-evolutpro-23-US	32	18	$126,354.00	—	$37,906.20	$104,494.76	$90,512.42	2024-07-01
3598802	LOCAL	Valve-evolut Fx Evolutfx	32	18	$126,354.00	—	$37,906.20	$104,494.76	$90,512.42	2024-07-01
3086401	LOCAL	Valve-evolutpro 26 US	32	18	$126,354.00	—	$37,906.20	$104,494.76	$90,512.42	2024-07-01
3574664	LOCAL	Valve-evolutr Evolutr-23-US	32	18	$126,354.00	—	$37,906.20	$104,494.76	$90,512.42	2024-07-01
3825114	LOCAL	Valve-evolutr Evolutr-34-US	26	18	$126,353.00	—	$37,905.90	$104,493.93	$81,266.46	2024-07-01
3601417	LOCAL	Cath-steerable Guide Mitraclip	32	18	$110,000.00	—	$33,000.00	$90,970.00	$78,797.40	2024-07-01
3059056	LOCAL	Set-impella Rp Pump 004334	32	18	$105,295.00	—	$31,588.50	$87,078.97	$75,427.02	2024-07-01
3827720	LOCAL	Cath-impella Cp 0048-0003	26	18	$105,294.00	—	$31,588.20	$87,078.14	$67,721.94	2024-07-01
3600543	LOCAL	Graft-tag Stent 40x40x10/22fr	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3600540	LOCAL	Graft-tag Stent 34x34x15/22fr	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3600544	LOCAL	Graft-tag Stent 40x40x20/22fr	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3600542	LOCAL	Graft-tag Stent 45x45x20/24fr	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3599528	LOCAL	Stent-thoracic Tag Tgm343420	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3600541	LOCAL	Graft-tag Stent 45x45x10/24fr	32	18	$86,629.00	—	$25,988.70	$71,642.18	$62,055.82	2024-07-01
3598209	LOCAL	Stent-thoracic Tgmr	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3550896	LOCAL	Stent-thoracic Tgmr312610	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3559465	LOCAL	Stent-thoracic Tgm262610	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3599631	LOCAL	Stent,thoracic Tgmr373715	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3600539	LOCAL	Graft-tag Stent 34x34x10/22fr	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3550613	LOCAL	Stent-thoracic Tgmr312610	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3600538	LOCAL	Graft-tag Stent 21x21x10/18fr	32	18	$84,847.00	—	$25,454.10	$70,168.47	$60,779.30	2024-07-01
3549222	LOCAL	Stent-valiant Thoracic	32	18	$83,464.00	—	$25,039.20	$69,024.73	$59,788.60	2024-07-01
3550428	LOCAL	Stent-thoracic Vnmc3428c207tu	32	18	$83,464.00	—	$25,039.20	$69,024.73	$59,788.60	2024-07-01
3549969	LOCAL	Stent-valiant Thoracic	32	18	$83,464.00	—	$25,039.20	$69,024.73	$59,788.60	2024-07-01
3549225	LOCAL	Stent-valiant Thoracic	32	18	$83,464.00	—	$25,039.20	$69,024.73	$59,788.60	2024-07-01
3559555	LOCAL	Stent-thoracic Vnmc3731c207tu	32	18	$83,464.00	—	$25,039.20	$69,024.73	$59,788.60	2024-07-01
C2624	HCPCS	System-cardiomems Patient	32	18	$80,025.00	—	$24,007.50	$66,180.68	$57,325.11	2024-07-01
3549979	LOCAL	Stent-thoracic Vnmf3131c174tu	32	18	$79,183.00	—	$23,754.90	$65,484.34	$56,721.95	2024-07-01
3827727	LOCAL	Cath-impella 2.5 005042	26	18	$84,236.00	—	$25,270.80	$69,663.17	$54,178.07	2024-07-01
3598150	LOCAL	Stent-valiant Vamf4036c150tu	32	18	$74,003.00	—	$22,200.90	$61,200.48	$53,011.31	2024-07-01
3549076	LOCAL	Stent-thoracic Tgu313115	32	18	$73,703.00	—	$22,110.90	$60,952.38	$52,796.40	2024-07-01
3549115	LOCAL	Stent-valiant Thoracic	32	18	$72,761.00	—	$21,828.30	$60,173.35	$52,121.62	2024-07-01
3549224	LOCAL	Stent-valiant Thoracic	32	18	$72,761.00	—	$21,828.30	$60,173.35	$52,121.62	2024-07-01
3549980	LOCAL	Stent-thoracic Vnmf3131c97tu	32	18	$72,761.00	—	$21,828.30	$60,173.35	$52,121.62	2024-07-01
J0223	HCPCS	Givosiran Sodium 189 Mg/ml	32	18	$72,323.59	—	$21,697.08	$59,811.61	$51,808.28	2024-07-01
3526984	LOCAL	Stent-thoracic Endoprosthesis	32	18	$71,904.00	—	$21,571.20	$59,464.61	$51,507.71	2024-07-01
3602605	LOCAL	Occluder-amplatzer Amulet 22mm	32	18	$71,601.00	—	$21,480.30	$59,214.03	$51,290.66	2024-07-01
3602603	LOCAL	Occluder-amplatzer Amulet 16mm	32	18	$71,601.00	—	$21,480.30	$59,214.03	$51,290.66	2024-07-01
3602607	LOCAL	Occlude- Amplatzer Amulet 31mm	32	18	$71,601.00	—	$21,480.30	$59,214.03	$51,290.66	2024-07-01
C9293	HCPCS	Glucarpidase 1,000 Unit Vial	32	18	$71,134.45	—	$21,340.34	$58,828.19	$50,956.46	2024-07-01
3599130	LOCAL	Stent-valiant Vamc3632c150tu	32	18	$71,002.00	—	$21,300.60	$58,718.65	$50,861.57	2024-07-01
3599189	LOCAL	Stent-valiant Vamf2828c100tu	32	18	$68,001.00	—	$20,400.30	$56,236.83	$48,711.83	2024-07-01
3603240	LOCAL	Graft-system Vamf3030c100tu	32	18	$68,001.00	—	$20,400.30	$56,236.83	$48,711.83	2024-07-01
C1882	HCPCS	Defib-quadra Assura Cd3369-40q	616	18	$75,813.00	—	$7,808.70	$86,288.35	$47,924.72	2024-07-01
3599512	LOCAL	Kit-dual N8 Processor Dualn8	32	18	$62,546.00	—	$18,763.80	$51,725.54	$44,804.20	2024-07-01
3527114	LOCAL	Device-watchman M635wu	32	18	$62,261.00	—	$18,678.30	$51,489.85	$44,600.04	2024-07-01
3603762	LOCAL	Graft-aaa Prox Body G32542	32	18	$61,695.00	—	$18,508.50	$51,021.77	$44,194.60	2024-07-01
C1767	HCPCS	Battery-dbs Ipg 37602	384	18	$76,190.00	—	$12,079.50	$129,531.36	$44,140.40	2024-07-01
3559595	LOCAL	Stent-thoracic Tgm282810	32	18	$61,483.00	—	$18,444.90	$50,846.44	$44,042.74	2024-07-01
J9347	HCPCS	Tremelimumab-actl 300 Mg/15ml	26	18	$68,202.26	—	$20,460.68	$56,403.27	$43,865.65	2024-07-01
J2351	HCPCS	Ocrevus Zunovo 920mg/23ml Vial	26	18	$67,888.00	—	$20,366.40	$56,143.38	$43,663.53	2024-07-01
3058820	LOCAL	Set-beq-hls Advanced 7.0 7050	32	18	$60,044.00	—	$18,013.20	$49,656.39	$43,011.92	2024-07-01
3598105	LOCAL	Implant-custom Xl Pk624561	32	18	$58,966.00	—	$17,689.80	$48,764.88	$42,239.71	2024-07-01
3598270	LOCAL	Excluder-aaa Conform Cxt261412	32	18	$58,545.00	—	$17,563.50	$48,416.72	$41,938.12	2024-07-01
3058819	LOCAL	Set-beq-hls Advanced 5.0 5050	32	18	$58,043.00	—	$17,412.90	$48,001.56	$41,578.52	2024-07-01
3598058	LOCAL	Excluder-aaa Conform Xct281412	32	18	$57,378.00	—	$17,213.40	$47,451.61	$41,102.15	2024-07-01
3598466	LOCAL	Excluder-aaa Conform Cxt321414	32	18	$57,378.00	—	$17,213.40	$47,451.61	$41,102.15	2024-07-01
3598064	LOCAL	Excluder-aaa Conform Cxt201412	32	18	$57,378.00	—	$17,213.40	$47,451.61	$41,102.15	2024-07-01
3599877	LOCAL	Excluder-aaa Conform Cxt231412	32	18	$57,378.00	—	$17,213.40	$47,451.61	$41,102.15	2024-07-01
3527010	LOCAL	Stent-aaa Mainbody	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
3526120	LOCAL	Graft-afx2 Bifurcated Endo	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
3059046	LOCAL	Stent-aaa Mainbody	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
3058975	LOCAL	Stent-aaa Mainbody Bea28-110/	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
3603387	LOCAL	Stent-aaa 28x70/20x30mm	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
3602031	LOCAL	Graft-afx2 Bifurcated 22x60	32	18	$56,856.00	—	$17,056.80	$47,019.91	$40,728.23	2024-07-01
L8614	HCPCS	Implant-cochlear Ci-1601-04	308	18	$65,494.00	—	$13,684.20	$81,461.15	$38,062.90	2024-07-01
3550856	LOCAL	Implant-custom Med Pk623984	32	18	$52,648.00	—	$15,794.40	$43,539.90	$37,713.87	2024-07-01
3550322	LOCAL	Implant-cranial Peek Csi Small	32	18	$52,227.00	—	$15,668.10	$43,191.73	$37,412.29	2024-07-01
3527144	LOCAL	Stent-excluder Iliac 14.5mmx10	32	18	$51,043.00	—	$15,312.90	$42,212.56	$36,564.14	2024-07-01
3600531	LOCAL	Stent-aaa Excluder Rlt261418	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3082036	LOCAL	Stent-aaa Excluder RLT26121x	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3601476	LOCAL	Stent-aaa Excluder Rlt231216	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3601475	LOCAL	Stent-aaa Excluder Rlt231416	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3600529	LOCAL	Stent-aaa Trnk 23x14.5x12/16fr	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3600533	LOCAL	Stent-aaa Excluder Rlt281416	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3600532	LOCAL	Stent-aaa Tk 28.5x14.5x14/18fr	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3527876	LOCAL	Stent-aaa Excluder Rlt261216	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3600537	LOCAL	Stent-aaa Tk 35x14.5x14/18fr	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3598316	LOCAL	Stent-aaa Excluder Rlt281218	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3598315	LOCAL	Stent-aaa Excluder Rlt281212	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3600530	LOCAL	Stent-aaa Trnk 26x14.5x16/16fr	32	18	$49,893.00	—	$14,967.90	$41,261.51	$35,740.35	2024-07-01
3014828	LOCAL	Graft-fresh Osteocondral Fcd80	32	18	$49,288.00	—	$14,786.40	$40,761.18	$35,306.96	2024-07-01
C1826	HCPCS	Controller-proclaim 5 Ipg	224	18	$58,545.00	—	$13,028.40	$64,974.91	$33,807.30	2024-07-01
C1721	HCPCS	Defibrillator-cobalt Ddpa2d4	270	18	$56,860.00	—	$12,108.90	$61,301.38	$31,646.04	2024-07-01
C1722	HCPCS	Defibrillator-acticor 448101	398	18	$54,333.00	—	$11,582.40	$69,663.17	$30,697.92	2024-07-01
C1820	HCPCS	Generator-eterna 32400	154	18	$72,865.00	—	$2,166.30	$64,439.01	$29,064.08	2024-07-01
3082021	LOCAL	Stent-iliac Limb Etuf3614c102e	32	18	$39,915.00	—	$11,974.50	$33,009.71	$28,592.71	2024-07-01
3082085	LOCAL	Stent-endurant Bifurcated	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3549149	LOCAL	Stent-iliac Limb Etuf2814c102e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3549147	LOCAL	Stent-iliac Limb Etuf2314c102e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3082009	LOCAL	Stent-endurant Bifurcated	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3600497	LOCAL	Stent-endurant Esbf3214c103e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3086404	LOCAL	Stent-limb Etbf2313c166e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3082077	LOCAL	Stent-iliac Limb Etuf3214c102e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3600496	LOCAL	Stent-endurant Esbf2814c103e	32	18	$39,913.00	—	$11,973.90	$33,008.05	$28,591.28	2024-07-01
3598222	LOCAL	Spacer-26x34x11 15* 1212-0711s	32	18	$37,814.00	—	$11,344.20	$31,272.18	$27,087.68	2024-07-01
3559116	LOCAL	Spacer-24x30x13 8* 1212.0113s	32	18	$37,814.00	—	$11,344.20	$31,272.18	$27,087.68	2024-07-01
3602575	LOCAL	Spacer-20x65 8-15 6° 1122.0165	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3601578	LOCAL	Spacer-20x55 8-17 5° 1122.1055	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3599621	LOCAL	Spacer-20x60 8-17 5° 1122.1060	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3601369	LOCAL	Spacer-20x50 8-17 5° 1122.1050	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3601790	LOCAL	Spacer-20x45 8-17 5° 1122.1045	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3550118	LOCAL	Spacer-20xxx 8-15 6°	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
3055118	LOCAL	Spacer-20x55 8-15 6° 1122.0155	32	18	$31,589.00	—	$9,476.70	$26,124.10	$22,628.47	2024-07-01
J9274	HCPCS	Kimmtrak 100 Mcg/0.5 Ml Vial	26	18	$34,669.41	—	$10,400.82	$28,671.60	$22,298.33	2024-07-01
3081823	LOCAL	Stent-mainbody Ettf3636c70e	32	18	$30,910.00	—	$9,273.00	$25,562.57	$22,142.07	2024-07-01
J2350	HCPCS	Ocrelizumab 300 Mg/10 Ml Vial	26	18	$33,993.10	—	$10,197.93	$28,112.29	$21,863.34	2024-07-01
3601203	LOCAL	Stent-32x32x70mm Ettf3232c70e	32	18	$30,310.00	—	$9,093.00	$25,066.37	$21,712.27	2024-07-01
3599957	LOCAL	Stent-endurant Ettf2828c70e	32	18	$30,310.00	—	$9,093.00	$25,066.37	$21,712.27	2024-07-01
3059233	LOCAL	Stent-mainbody Ettf2525c70e	32	18	$29,910.00	—	$8,973.00	$24,735.57	$21,425.73	2024-07-01
33363	CPT	Tavr Open Axillary	26	18	$33,063.00	—	$9,918.90	$27,343.10	$21,265.13	2024-07-01
33362	CPT	Tavr Open Femoral	26	18	$33,063.00	—	$9,918.90	$27,343.10	$21,265.13	2024-07-01
C1817	HCPCS	Occluder-amplatzer 9-asd-015	128	18	$29,024.00	—	$8,529.00	$34,814.22	$20,819.29	2024-07-01
3599253	LOCAL	Spacer-12x7.8x55/12° 46221255	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
3599192	LOCAL	Spacer-12x9 9x55/6° 46261255	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
3598660	LOCAL	Spacer-14x9.8x55/12° 46221455	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
3599583	LOCAL	Spacer-14x11.9x60/6° 46261460	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
3599053	LOCAL	Spacer-10x7.9x60/6° 46261060	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
3598659	LOCAL	Spacer-10x7.9x55/6° 46261055	32	18	$28,370.00	—	$8,511.00	$23,461.99	$20,322.56	2024-07-01
J9333	HCPCS	Rystiggo 840 Mg/6 Ml Vial	26	18	$30,751.08	—	$9,225.32	$25,431.14	$19,778.18	2024-07-01
3082078	LOCAL	Stent-limb ETLW16xxC156E	32	18	$26,956.00	—	$8,086.80	$22,292.61	$19,309.66	2024-07-01
J2323	HCPCS	Natalizumab 300 Mg/15 Ml	32	18	$26,552.70	—	$7,965.81	$21,959.08	$19,020.76	2024-07-01
3603505	LOCAL	Aragonite-7.5x10/5pk Chp0755	32	18	$26,442.00	—	$7,932.60	$21,867.53	$18,941.47	2024-07-01
3604592	LOCAL	Graft-valve 27mm 27vavgj-515	26	18	$29,273.00	—	$8,781.90	$24,208.77	$18,827.51	2024-07-01
3603385	LOCAL	Bone-matrix 10cc P01-v92-1002	32	18	$26,282.00	—	$7,884.60	$21,735.21	$18,826.85	2024-07-01
93654	CPT	Eps With Induct/vt Abl/ Mapping	26	18	$29,260.00	—	$8,778.00	$24,198.02	$18,819.15	2024-07-01
3550099	LOCAL	Rise-20x50 8-105mm 6° 193.424	32	18	$26,114.00	—	$7,834.20	$21,596.28	$18,706.51	2024-07-01
3550621	LOCAL	Spacer-26x34x15/15° 3135.0715	32	18	$26,055.00	—	$7,816.50	$21,547.49	$18,664.24	2024-07-01
3550128	LOCAL	Spacer-24x30x13 15° 3135.0213	32	18	$26,055.00	—	$7,816.50	$21,547.49	$18,664.24	2024-07-01
3550526	LOCAL	Spacer-26x34x13/15° 3135.0713	32	18	$26,055.00	—	$7,816.50	$21,547.49	$18,664.24	2024-07-01
33999	CPT	Tavr Open Carotid	26	18	$28,750.00	—	$8,625.00	$23,776.25	$18,491.14	2024-07-01
3550865	LOCAL	Stent-limb Etlw1610c146e	32	18	$25,608.00	—	$7,682.40	$21,177.82	$18,344.03	2024-07-01
3550664	LOCAL	Stent-limb Etlw1613c146e	32	18	$25,608.00	—	$7,682.40	$21,177.82	$18,344.03	2024-07-01
3559144	LOCAL	Stent-limb Etlw1628c146e	32	18	$25,608.00	—	$7,682.40	$21,177.82	$18,344.03	2024-07-01
3598553	LOCAL	Stent-limb Etlw1620c146e	32	18	$25,608.00	—	$7,682.40	$21,177.82	$18,344.03	2024-07-01
3604205	LOCAL	Spacer-8x5.9x55/6° 46260855	26	18	$28,370.00	—	$8,511.00	$23,461.99	$18,246.74	2024-07-01
3602549	LOCAL	Aragonite-7.5x10/3pk Chp0753	32	18	$24,631.00	—	$7,389.30	$20,369.84	$17,644.17	2024-07-01
J9334	HCPCS	Vyvgart Hytrulo 1,008mg/5.6ml	26	18	$26,611.28	—	$7,983.38	$22,007.53	$17,115.58	2024-07-01
3602551	LOCAL	Aragonite-7.5x10/2pk Chp0752	32	18	$23,726.00	—	$7,117.80	$19,621.40	$16,995.89	2024-07-01
C1832	HCPCS	Kit-prep Recell Go Avrl0103	58	18	$28,957.00	—	$6,949.50	$23,947.44	$16,963.73	2024-07-01
77372	CPT	Stereotactic Rad Cranial 1 Tx	26	18	$26,319.00	—	$7,895.70	$21,765.81	$16,927.59	2024-07-01
3559468	LOCAL	Spacer-12mm 10* 08.815.112s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3549255	LOCAL	Spacer-13.5h 14° 08.815.123s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3559475	LOCAL	Spacer-10x26 7-14mm 1172.2121s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3526469	LOCAL	Spacer-elevate Spinal Ex 23x10	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3603004	LOCAL	Spacer-13mm 18°/md 08.815.263s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3549303	LOCAL	Spacer-12h 14° 08.815.122s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3527243	LOCAL	Spacer-elevate Spinal Exp 23x9	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3526515	LOCAL	Spacer-elevate Spinal Ex 23x1	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3603952	LOCAL	Spacer-10x22 6-12mm 1172.2010s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3550669	LOCAL	Spacer-12mm 10°/md 08.815.212s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3598455	LOCAL	Spacer-10x30 9-16mm 1172.2213s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3559296	LOCAL	Spacer-12mm 14*/md 08.815.252s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3603144	LOCAL	Spacer-13.5h 08.815.223s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3559197	LOCAL	Spacer-12mm 10*/md 08.815.242s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3526227	LOCAL	Spacer-elevate Spinal Exp 23x	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3549024	LOCAL	Implant-coroent Xlf 7871055	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3059238	LOCAL	Spacer-elevate Spinal Exp 23x9	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3549975	LOCAL	Spacer-10.5h 10° 08.815.111s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3598574	LOCAL	Spacer-10x26 9-16mm 1172.2113s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3600934	LOCAL	Spacer-8x22 6-12/8° 1172.0010s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3598936	LOCAL	Spacer-10x26 7-14mm 1172.2121s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3598962	LOCAL	Spacer-24x30x13 15° 1212.0213s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3600936	LOCAL	Spacer-8x22 9-15/8° 1172.0013s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3599111	LOCAL	Spacer-10x30 6-12mm 1172.2210s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3603063	LOCAL	Spacer-14h 08.815.224s	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3059237	LOCAL	Spacer-elvate Spinal Exp 23x8	32	18	$23,165.00	—	$6,949.50	$19,157.46	$16,594.01	2024-07-01
3058958	LOCAL	Shunt-strata Fp Assy 46866	32	18	$23,083.00	—	$6,924.90	$19,089.64	$16,535.28	2024-07-01
J9298	HCPCS	Opdualag 240-80 Mg/20 Ml	26	18	$25,515.57	—	$7,654.67	$21,101.38	$16,410.85	2024-07-01
3599110	LOCAL	Clamp-long Encompass Jaw Olh	32	18	$22,744.00	—	$6,823.20	$18,809.29	$16,292.44	2024-07-01
C2621	HCPCS	Pacemake-edora 407137	238	18	$24,429.00	—	$6,317.70	$22,640.78	$16,160.68	2024-07-01
3603975	LOCAL	Graft-aaa Leg 13/74mm G55232	32	18	$22,455.00	—	$6,736.50	$18,570.29	$16,085.42	2024-07-01
3603974	LOCAL	Graft-aaa Leg 11/74mm G55226	32	18	$22,455.00	—	$6,736.50	$18,570.29	$16,085.42	2024-07-01
33418	CPT	Repair Tcat Mitral Valve	26	18	$25,000.00	—	$7,500.00	$20,675.00	$16,079.25	2024-07-01
93653	CPT	Eps W/induct & Svt Ablation	26	18	$24,993.00	—	$7,497.90	$20,669.21	$16,074.75	2024-07-01
93656	CPT	Eps W/induc/abl Afib/pulm Vein	26	18	$24,993.00	—	$7,497.90	$20,669.21	$16,074.75	2024-07-01
3060390	LOCAL	Implant-xrl Medium 08.807.202s	32	18	$22,401.00	—	$6,720.30	$18,525.63	$16,046.73	2024-07-01
3526452	LOCAL	Cage-xrl Med Central Body	32	18	$22,401.00	—	$6,720.30	$18,525.63	$16,046.73	2024-07-01
A9604	HCPCS	Pharm Sm153 Quadramet To 150mc	26	18	$24,905.00	—	$7,471.50	$20,596.44	$16,018.15	2024-07-01
3602331	LOCAL	Kit Dl 15mm Probe 9700-015-200	32	18	$22,350.00	—	$6,705.00	$18,483.45	$16,010.19	2024-07-01
3550101	LOCAL	Core-20x30-46mm 351.152	32	18	$22,112.00	—	$6,633.60	$18,286.62	$15,839.71	2024-07-01
3550775	LOCAL	Spacer-24x30x15 15° 1212.0215s	32	18	$22,007.00	—	$6,602.10	$18,199.79	$15,764.49	2024-07-01
3526174	LOCAL	Stent-aaa Excluder Plc121200	32	18	$21,918.00	—	$6,575.40	$18,126.19	$15,700.74	2024-07-01
3600535	LOCAL	Stent-aaa Excluder Plc231000	32	18	$21,918.00	—	$6,575.40	$18,126.19	$15,700.74	2024-07-01
3526244	LOCAL	Stent-aaa Excluder Plc121000	32	18	$21,918.00	—	$6,575.40	$18,126.19	$15,700.74	2024-07-01
3600536	LOCAL	Stent-aaa Excluder Plc231200	32	18	$21,918.00	—	$6,575.40	$18,126.19	$15,700.74	2024-07-01
3550228	LOCAL	Disc-cerv Mobi-c 13x17 Mb3375	32	18	$21,902.00	—	$6,570.60	$18,112.95	$15,689.28	2024-07-01
3527096	LOCAL	Cage-xrl Med Central Body	32	18	$21,819.00	—	$6,545.70	$18,044.31	$15,629.82	2024-07-01
3603057	LOCAL	Kit-20mm Probe 9700-020-100	32	18	$21,773.00	—	$6,531.90	$18,006.27	$15,596.88	2024-07-01
3059129	LOCAL	Device-esophyx Tif R2007	32	18	$21,712.00	—	$6,513.60	$17,955.82	$15,553.17	2024-07-01
3601630	LOCAL	Comp-df 65mm/rt/std 6495-2-040	32	18	$21,681.00	—	$6,504.30	$17,930.19	$15,530.97	2024-07-01
3559157	LOCAL	Cage-12x14/14-20 Mm (h) 5*	32	18	$21,661.00	—	$6,498.30	$17,913.65	$15,516.64	2024-07-01
3550468	LOCAL	Cage	32	18	$21,661.00	—	$6,498.30	$17,913.65	$15,516.64	2024-07-01
3526119	LOCAL	Stent-intraneal Cuff A28-28	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3059045	LOCAL	Stent-intraneal Cuff 34	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3526386	LOCAL	Stent-aaa Iliac Limb 14x140mm	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3526285	LOCAL	Stent-aaa Iliac Limb	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3602524	LOCAL	Stent-aaa Iliac Ext 22x22x45mm	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3602131	LOCAL	Graft-25x25x75mm A25-25/75 V	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3082066	LOCAL	Stent-intraneal Cuff A25-25	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3082047	LOCAL	Stent-intraneal Cuff A28-2	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3058944	LOCAL	Stent-intraneal Cuff A34-34/c1	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3058943	LOCAL	Stent-supraneal Cuff 34 A34-34	32	18	$21,603.00	—	$6,480.90	$17,865.68	$15,475.09	2024-07-01
3598173	LOCAL	Exclude-aaa 18fr Cxa	32	18	$21,593.00	—	$6,477.90	$17,857.41	$15,467.93	2024-07-01
3600245	LOCAL	Exclude-aaa 28/16fr Cxa280005	32	18	$21,593.00	—	$6,477.90	$17,857.41	$15,467.93	2024-07-01
3603589	LOCAL	Pack-bp 13.5x75/13g Nn-2005	32	18	$21,435.00	—	$6,430.50	$17,726.75	$15,354.74	2024-07-01
3603588	LOCAL	Pack-bp 13.5x95/13g Nn-2006	32	18	$21,435.00	—	$6,430.50	$17,726.75	$15,354.74	2024-07-01
3598055	LOCAL	Meniscus-lat/left 28325002	32	18	$21,435.00	—	$6,430.50	$17,726.75	$15,354.74	2024-07-01
3603530	LOCAL	Pack-bp 13.5x60/13g Nn-2004	32	18	$21,435.00	—	$6,430.50	$17,726.75	$15,354.74	2024-07-01
3603396	LOCAL	Pack-bp 13x50/13g Nn-2003	32	18	$21,435.00	—	$6,430.50	$17,726.75	$15,354.74	2024-07-01
3082038	LOCAL	Stent-aaa Excluder Plc201200	32	18	$21,396.00	—	$6,418.80	$17,694.49	$15,326.81	2024-07-01
3079503	LOCAL	Stent-aaa Excluder Plc271400	32	18	$21,396.00	—	$6,418.80	$17,694.49	$15,326.81	2024-07-01
3600534	LOCAL	Stent-aaa Cn/lg 16x20x13.5/12f	32	18	$21,396.00	—	$6,418.80	$17,694.49	$15,326.81	2024-07-01
C9610	HCPCS	Balloon-agent Dcb 3x15	26	18	$23,797.00	—	$7,139.10	$19,680.12	$15,305.51	2024-07-01
C1761	HCPCS	Cath-ivl C2+ C2pivl3512	32	18	$21,210.00	—	$6,363.00	$17,540.67	$15,193.57	2024-07-01
J9228	HCPCS	Ipilimumab 200 Mg/40 Ml Vial	52	18	$37,376.77	—	$4,514.35	$49,376.62	$15,178.13	2024-07-01
3603760	LOCAL	Graft-aaa Distal G32551	32	18	$21,169.00	—	$6,350.70	$17,506.76	$15,164.20	2024-07-01
3550081	LOCAL	Extension-iliac Etew2424c82e	32	18	$21,114.00	—	$6,334.20	$17,461.28	$15,124.81	2024-07-01
3603110	LOCAL	Meniscus-medial Left 28225002	32	18	$21,060.00	—	$6,318.00	$17,416.62	$15,086.12	2024-07-01
3603783	LOCAL	Rise-18x45 7-14mm 193.303	32	18	$21,059.00	—	$6,317.70	$17,415.79	$15,085.40	2024-07-01
3599047	LOCAL	Rise-18x60 8-15mm 6° 193.326	32	18	$21,059.00	—	$6,317.70	$17,415.79	$15,085.40	2024-07-01
3000763	LOCAL	Applier-heli-fx Sa-85	32	18	$20,928.00	—	$6,278.40	$17,307.46	$14,991.56	2024-07-01
3079711	LOCAL	Shunt-progav System Fv432t	32	18	$20,916.00	—	$6,274.80	$17,297.53	$14,982.97	2024-07-01
J3101	HCPCS	Tenecteplase stroke 50mg	128	18	$37,803.77	—	$3,878.39	$63,156.30	$14,951.10	2024-07-01
3598783	LOCAL	Spacer-core 20-62x92mm 151.154	32	18	$20,307.00	—	$6,092.10	$16,793.89	$14,546.72	2024-07-01
3603375	LOCAL	Cage-capri Crv 7512-21446l0-g3	32	18	$20,307.00	—	$6,092.10	$16,793.89	$14,546.72	2024-07-01
3604124	LOCAL	Graft-aaa Leg 13/90mm G55233	26	18	$22,455.00	—	$6,736.50	$18,570.29	$14,442.38	2024-07-01
3604123	LOCAL	Graft-aaa Leg 16/74mm G55238	26	18	$22,455.00	—	$6,736.50	$18,570.29	$14,442.38	2024-07-01
3601986	LOCAL	Kit-20mm 2probe 9700-020-200	32	18	$20,104.00	—	$6,031.20	$16,626.01	$14,401.30	2024-07-01
3602060	LOCAL	Spacer-12x21-29mm 151.052	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3601640	LOCAL	Core-14x18-24 / 0° 351.009	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602354	LOCAL	Spacer 12x19-25mm 151.051	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3601062	LOCAL	Core-14x24-32mm 351.050	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3600919	LOCAL	Spacer-core 26-34x20mm 151.151	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602068	LOCAL	Spacer-12x21-29mm 151.052	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3550436	LOCAL	Core-14x35-54mm 351.052	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602207	LOCAL	Spacer-12x19-25mm 151.051	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3601789	LOCAL	Spacer-core 20-41-64mm 151.153	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3549391	LOCAL	Spacer-12x25-37mm 151.053	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602418	LOCAL	Core-16mm 20-25mm 151.100	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3549326	LOCAL	Spacer-12x33-53mm 151.054	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3601190	LOCAL	Core-14x15-18 / 0° 351.001	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602272	LOCAL	Spacer-12x19-25mm 151.051	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3602147	LOCAL	Spacer-12x18-23mm 151.050	32	18	$20,082.00	—	$6,024.60	$16,607.81	$14,385.54	2024-07-01
3082068	LOCAL	Stent-aaa Main Etcf3636c49e	32	18	$20,042.00	—	$6,012.60	$16,574.73	$14,356.89	2024-07-01
3550854	LOCAL	Cage-12mm/8° 50/18 Lui81249	32	18	$19,856.00	—	$5,956.80	$16,420.91	$14,223.65	2024-07-01
3550712	LOCAL	Cage-10mm/8° 50/18 Lui81049	32	18	$19,856.00	—	$5,956.80	$16,420.91	$14,223.65	2024-07-01
C1813	HCPCS	Kit-assembly Titan 91-9480sc	288	18	$34,925.00	—	$1,264.20	$46,204.49	$14,076.00	2024-07-01
3599072	LOCAL	Valve-epic Aorta E200-29a	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599036	LOCAL	Valve-epic Aorta Plus Supra Es	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599037	LOCAL	Valve-epic Aorta Plus Supra Es	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599040	LOCAL	Valve-epic Aorta Plus Supra Es	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599038	LOCAL	Valve-epic Aorta Plus Supra Es	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599034	LOCAL	Valve-epic Mitral Plus E200-31	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599032	LOCAL	Valve-epic Mitral Plus E200-27	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599031	LOCAL	Valve-epic Mitral Plus E200-25	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599039	LOCAL	Valve-epic Aorta Plus Supra Es	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599033	LOCAL	Valve-epic Mitral Plus E200-29	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3599035	LOCAL	Valve-epic Mitral Plus E200-33	32	18	$19,621.00	—	$5,886.30	$16,226.57	$14,055.31	2024-07-01
3601899	LOCAL	Spacer-12°/32x25x10mm 46501210	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3601327	LOCAL	Spacer-10x7.9x50/6° 46261050	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3602142	LOCAL	Spacer-12°/32x25x12mm 46501212	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3600990	LOCAL	Spacer-10x5.8x55/12° 46221055	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3599737	LOCAL	Spacer-12x9.9x60/6° 46261260	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3601594	LOCAL	Spacer-12°/37x29x10mm 46511210	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3601742	LOCAL	Spacer-12°/37x29x12mm 46511212	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3603983	LOCAL	Spacer-12x9.9x45/6° 46261245	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3603050	LOCAL	Spacer-12x9.9x50/6° 46261250	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
3601956	LOCAL	Spacer-12°/37x29x14mm 46511214	32	18	$19,360.00	—	$5,808.00	$16,010.72	$13,868.35	2024-07-01
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Syr	32	18	$19,198.55	—	$5,759.57	$15,877.20	$13,752.69	2024-07-01
3022124	LOCAL	Matrix-vivigen Bone 15cc	32	18	$19,089.00	—	$5,726.70	$15,786.60	$13,674.22	2024-07-01
3550285	LOCAL	Tlif-9x24x10 10-14.5mm Expan	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3559453	LOCAL	Tlif-9x27x0* 7-11.5mm Expland	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3559212	LOCAL	Cage-lord 8.5x10x28mm 28-3182	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3559449	LOCAL	Tlif,9x27x15 10-14.5mm Expand	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550707	LOCAL	Cage-lord 10.5x10x24mm 28-3144	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550378	LOCAL	Tlif-11x27xx° Expand	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550279	LOCAL	Tlif-9x23x10	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550514	LOCAL	Tlif-11x23x15°/10-14.5mm Exp	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550696	LOCAL	Cage-lord X.5x10x24mm	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550844	LOCAL	Cage-lord 10.5x10x28mm 28-3184	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3559529	LOCAL	Tlif-11x23x0* 7-11.5mm Expan	32	18	$19,066.00	—	$5,719.80	$15,767.58	$13,657.74	2024-07-01
3550053	LOCAL	Spacer-10x55mm 6° 4986055	32	18	$19,062.00	—	$5,718.60	$15,764.27	$13,654.88	2024-07-01
3559239	LOCAL	Spacer-12x60mm 6° 2968260	32	18	$19,062.00	—	$5,718.60	$15,764.27	$13,654.88	2024-07-01
3550054	LOCAL	Spacer-12x55 6° 4986255	32	18	$19,062.00	—	$5,718.60	$15,764.27	$13,654.88	2024-07-01
3601699	LOCAL	Spacer-10x31mm/15° 1124.1133	32	18	$18,953.00	—	$5,685.90	$15,674.13	$13,576.79	2024-07-01
3550509	LOCAL	Spacer-9mm 6° 08.825.100s	32	18	$18,916.00	—	$5,674.80	$15,643.53	$13,550.28	2024-07-01
J9042	HCPCS	Brentuximab 50 Mg/10 Ml Vl	26	18	$21,000.87	—	$6,300.26	$17,367.72	$13,507.13	2024-07-01
3603587	LOCAL	Handpiece-11g/13cm Nn-8007	32	18	$18,660.00	—	$5,598.00	$15,431.82	$13,366.91	2024-07-01
C1602	HCPCS	Graft-cerament-g 5ml A0535-06	32	18	$18,601.00	—	$5,580.30	$15,383.03	$13,324.64	2024-07-01
93583	CPT	Perq Transcath Septal Reduxn	26	18	$20,711.00	—	$6,213.30	$17,128.00	$13,320.69	2024-07-01
3599710	LOCAL	Stem-sz3/200mm/lt 1541-23-000	32	18	$18,531.00	—	$5,559.30	$15,325.14	$13,274.49	2024-07-01
J1640	HCPCS	Hemin 350 Mg/50 Ml Vial	32	18	$18,459.25	—	$5,537.78	$15,265.80	$13,223.10	2024-07-01
C1764	HCPCS	Monitor-jot Dxicm Dm4500	186	18	$20,307.00	—	$5,144.40	$18,585.17	$13,159.38	2024-07-01
93580	CPT	Transcath Closure Of Asd	26	18	$20,189.00	—	$6,056.70	$16,696.30	$12,984.96	2024-07-01
3526486	LOCAL	Implant-x-core Mini 12mm	32	18	$18,051.00	—	$5,415.30	$14,928.18	$12,930.65	2024-07-01
3079884	LOCAL	Cage-10x26 7-10mm 194.511	32	18	$18,051.00	—	$5,415.30	$14,928.18	$12,930.65	2024-07-01
3604947	LOCAL	Core-14x28-40mm 351.051	26	18	$20,082.00	—	$6,024.60	$16,607.81	$12,916.14	2024-07-01

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