Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

THE MEDICAL CENTER AT FRANKLIN

Franklin, KY · CCN 181318 · Rates published

14,243 distinct procedures filed
18 distinct payers
542,339 rate rows
2026-04-01 last MRF observed
Data quality

541,637 of 542,339 rate rows are consumer-grade (99.9%)

702 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 — reasonRows
per-diem day rate — not a per-procedure price 698
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://medcenterhealth.org/charges/mcf/
Found on page https://medcenterhealth.org/price-transparency/
Discovered viaCMS hospital list
Last fetch — · 2026-09-20
Content fingerprint 8154a3581087d01f… · 32,319,462 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 $45,487.44 $160,949.73 $135,956.27 —
3602882
LOCAL 		Valve-evolut Fx+ Evfxplus-34 17 $32,346.72 $114,453.48 $96,778.69 —
3598802
LOCAL 		Valve-evolut Fx Evolutfx 18 $30,324.96 $107,299.82 $90,637.51 —
3086401
LOCAL 		Valve-evolutpro 26 US 18 $30,324.96 $107,299.82 $90,637.51 —
3574664
LOCAL 		Valve-evolutr Evolutr-23-US 18 $30,324.96 $107,299.82 $90,637.51 —
3058904
LOCAL 		Valve-evolutpro-23-US 18 $30,324.96 $107,299.82 $90,637.51 —
3825114
LOCAL 		Valve-evolutr Evolutr-34-US 18 $30,324.72 $107,298.97 $90,636.80 —
3601417
LOCAL 		Cath-steerable Guide Mitraclip 17 $26,400.00 $93,412.00 $78,986.60 —
3059056
LOCAL 		Set-impella Rp Pump 004334 18 $25,270.80 $89,416.51 $75,531.26 —
3827720
LOCAL 		Cath-impella Cp 0048-0003 18 $25,270.56 $89,415.66 $75,530.54 —
3600540
LOCAL 		Graft-tag Stent 34x34x15/22fr 18 $20,790.96 $73,565.35 $62,141.58 —
3600541
LOCAL 		Graft-tag Stent 45x45x10/24fr 18 $20,790.96 $73,565.35 $62,141.58 —
3600544
LOCAL 		Graft-tag Stent 40x40x20/22fr 18 $20,790.96 $73,565.35 $62,141.58 —
3600543
LOCAL 		Graft-tag Stent 40x40x10/22fr 18 $20,790.96 $73,565.35 $62,141.58 —
3600542
LOCAL 		Graft-tag Stent 45x45x20/24fr 18 $20,790.96 $73,565.35 $62,141.58 —
3599528
LOCAL 		Stent-thoracic Tag Tgm343420 18 $20,790.96 $73,565.35 $62,141.58 —
3559465
LOCAL 		Stent-thoracic Tgm262610 18 $20,363.28 $72,052.07 $60,863.30 —
3600539
LOCAL 		Graft-tag Stent 34x34x10/22fr 18 $20,363.28 $72,052.07 $60,863.30 —
3600538
LOCAL 		Graft-tag Stent 21x21x10/18fr 18 $20,363.28 $72,052.07 $60,863.30 —
3550896
LOCAL 		Stent-thoracic Tgmr312610 18 $20,363.28 $72,052.07 $60,863.30 —
3550613
LOCAL 		Stent-thoracic Tgmr312610 18 $20,363.28 $72,052.07 $60,863.30 —
3598209
LOCAL 		Stent-thoracic Tgmr 18 $20,363.28 $72,052.07 $60,863.30 —
3599631
LOCAL 		Stent,thoracic Tgmr373715 18 $20,363.28 $72,052.07 $60,863.30 —
3827727
LOCAL 		Cath-impella 2.5 005042 18 $20,216.64 $71,533.21 $60,425.01 —
3549222
LOCAL 		Stent-valiant Thoracic 18 $20,031.36 $70,877.63 $59,871.23 —
3550428
LOCAL 		Stent-thoracic Vnmc3428c207tu 18 $20,031.36 $70,877.63 $59,871.23 —
3549225
LOCAL 		Stent-valiant Thoracic 18 $20,031.36 $70,877.63 $59,871.23 —
3549969
LOCAL 		Stent-valiant Thoracic 18 $20,031.36 $70,877.63 $59,871.23 —
3559555
LOCAL 		Stent-thoracic Vnmc3731c207tu 18 $20,031.36 $70,877.63 $59,871.23 —
C2624
HCPCS 		System-cardiomems Patient 18 $19,206.00 $67,957.23 $57,404.33 nat. median
$26,491
outlier · 2.2×
3549979
LOCAL 		Stent-thoracic Vnmf3131c174tu 18 $19,003.92 $67,242.20 $56,800.35 —
3550682
LOCAL 		Generator-vagus Nerve 1000 1 $54,227.51 $54,227.51 $54,227.51 —
3598150
LOCAL 		Stent-valiant Vamf4036c150tu 18 $17,760.72 $62,843.35 $53,084.57 —
3549076
LOCAL 		Stent-thoracic Tgu313115 18 $17,688.72 $62,588.59 $52,869.38 —
3549980
LOCAL 		Stent-thoracic Vnmf3131c97tu 18 $17,462.64 $61,788.64 $52,193.65 —
3549115
LOCAL 		Stent-valiant Thoracic 18 $17,462.64 $61,788.64 $52,193.65 —
3549224
LOCAL 		Stent-valiant Thoracic 18 $17,462.64 $61,788.64 $52,193.65 —
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml 17 $17,357.66 $61,417.19 $51,932.68 nat. median
$127
outlier · 409.0×
3526984
LOCAL 		Stent-thoracic Endoprosthesis 18 $17,256.96 $61,060.88 $51,578.90 —
3602605
LOCAL 		Occluder-amplatzer Amulet 22mm 17 $17,184.24 $60,803.57 $51,413.81 —
3602603
LOCAL 		Occluder-amplatzer Amulet 16mm 17 $17,184.24 $60,803.57 $51,413.81 —
3602607
LOCAL 		Occlude- Amplatzer Amulet 31mm 17 $17,184.24 $60,803.57 $51,413.81 —
C9293
HCPCS 		Glucarpidase 1,000 Unit Vial 18 $17,072.27 $60,407.37 $51,026.88 nat. median
$57,284
0.9× median
3599130
LOCAL 		Stent-valiant Vamc3632c150tu 18 $17,040.48 $60,294.90 $50,931.86 —
C1882
HCPCS 		Defib-quadra Assura Cd3369-40q 18 $6,246.96 $88,604.68 $49,335.20 nat. median
$24,131
outlier · 2.0×
J9347
HCPCS 		Tremelimumab-actl 300 Mg/15ml 18 $16,368.54 $57,917.36 $48,923.52 nat. median
$355
outlier · 138.0×
3603240
LOCAL 		Graft-system Vamf3030c100tu 17 $16,320.24 $57,746.45 $48,828.80 —
3599189
LOCAL 		Stent-valiant Vamf2828c100tu 18 $16,320.24 $57,746.45 $48,779.16 —
J2351
HCPCS 		Ocrevus Zunovo 920mg/23ml Vial 17 $16,293.12 $57,650.49 $48,747.66 nat. median
$56
outlier · 866.9×
3599512
LOCAL 		Kit-dual N8 Processor Dualn8 18 $15,011.04 $53,114.06 $44,866.12 —

Other procedures at this hospital

Browse this hospital's 14,243 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 — $45,487.44 $160,949.73 $135,956.27 2026-04-01
3602882 LOCAL Valve-evolut Fx+ Evfxplus-34 31 17 $134,778.00 — $32,346.72 $114,453.48 $96,778.69 2026-04-01
3598802 LOCAL Valve-evolut Fx Evolutfx 32 18 $126,354.00 — $30,324.96 $107,299.82 $90,637.51 2026-04-01
3058904 LOCAL Valve-evolutpro-23-US 32 18 $126,354.00 — $30,324.96 $107,299.82 $90,637.51 2026-04-01
3574664 LOCAL Valve-evolutr Evolutr-23-US 32 18 $126,354.00 — $30,324.96 $107,299.82 $90,637.51 2026-04-01
3086401 LOCAL Valve-evolutpro 26 US 32 18 $126,354.00 — $30,324.96 $107,299.82 $90,637.51 2026-04-01
3825114 LOCAL Valve-evolutr Evolutr-34-US 32 18 $126,353.00 — $30,324.72 $107,298.97 $90,636.80 2026-04-01
3601417 LOCAL Cath-steerable Guide Mitraclip 31 17 $110,000.00 — $26,400.00 $93,412.00 $78,986.60 2026-04-01
3059056 LOCAL Set-impella Rp Pump 004334 32 18 $105,295.00 — $25,270.80 $89,416.51 $75,531.26 2026-04-01
3827720 LOCAL Cath-impella Cp 0048-0003 32 18 $105,294.00 — $25,270.56 $89,415.66 $75,530.54 2026-04-01
3600541 LOCAL Graft-tag Stent 45x45x10/24fr 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3600543 LOCAL Graft-tag Stent 40x40x10/22fr 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3599528 LOCAL Stent-thoracic Tag Tgm343420 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3600542 LOCAL Graft-tag Stent 45x45x20/24fr 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3600540 LOCAL Graft-tag Stent 34x34x15/22fr 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3600544 LOCAL Graft-tag Stent 40x40x20/22fr 32 18 $86,629.00 — $20,790.96 $73,565.35 $62,141.58 2026-04-01
3599631 LOCAL Stent,thoracic Tgmr373715 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3598209 LOCAL Stent-thoracic Tgmr 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3600538 LOCAL Graft-tag Stent 21x21x10/18fr 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3550613 LOCAL Stent-thoracic Tgmr312610 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3559465 LOCAL Stent-thoracic Tgm262610 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3600539 LOCAL Graft-tag Stent 34x34x10/22fr 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3550896 LOCAL Stent-thoracic Tgmr312610 32 18 $84,847.00 — $20,363.28 $72,052.07 $60,863.30 2026-04-01
3827727 LOCAL Cath-impella 2.5 005042 32 18 $84,236.00 — $20,216.64 $71,533.21 $60,425.01 2026-04-01
3550428 LOCAL Stent-thoracic Vnmc3428c207tu 32 18 $83,464.00 — $20,031.36 $70,877.63 $59,871.23 2026-04-01
3559555 LOCAL Stent-thoracic Vnmc3731c207tu 32 18 $83,464.00 — $20,031.36 $70,877.63 $59,871.23 2026-04-01
3549222 LOCAL Stent-valiant Thoracic 32 18 $83,464.00 — $20,031.36 $70,877.63 $59,871.23 2026-04-01
3549969 LOCAL Stent-valiant Thoracic 32 18 $83,464.00 — $20,031.36 $70,877.63 $59,871.23 2026-04-01
3549225 LOCAL Stent-valiant Thoracic 32 18 $83,464.00 — $20,031.36 $70,877.63 $59,871.23 2026-04-01
C2624 HCPCS System-cardiomems Patient 32 18 $80,025.00 — $19,206.00 $67,957.23 $57,404.33 2026-04-01
3549979 LOCAL Stent-thoracic Vnmf3131c174tu 32 18 $79,183.00 — $19,003.92 $67,242.20 $56,800.35 2026-04-01
3550682 LOCAL Generator-vagus Nerve 1000 1 1 $140,548.00 — $54,227.51 $54,227.51 $54,227.51 2026-04-01
3598150 LOCAL Stent-valiant Vamf4036c150tu 32 18 $74,003.00 — $17,760.72 $62,843.35 $53,084.57 2026-04-01
3549076 LOCAL Stent-thoracic Tgu313115 32 18 $73,703.00 — $17,688.72 $62,588.59 $52,869.38 2026-04-01
3549980 LOCAL Stent-thoracic Vnmf3131c97tu 32 18 $72,761.00 — $17,462.64 $61,788.64 $52,193.65 2026-04-01
3549224 LOCAL Stent-valiant Thoracic 32 18 $72,761.00 — $17,462.64 $61,788.64 $52,193.65 2026-04-01
3549115 LOCAL Stent-valiant Thoracic 32 18 $72,761.00 — $17,462.64 $61,788.64 $52,193.65 2026-04-01
J0223 HCPCS Givosiran Sodium 189 Mg/ml 31 17 $72,323.59 — $17,357.66 $61,417.19 $51,932.68 2026-04-01
3526984 LOCAL Stent-thoracic Endoprosthesis 32 18 $71,904.00 — $17,256.96 $61,060.88 $51,578.90 2026-04-01
3602603 LOCAL Occluder-amplatzer Amulet 16mm 31 17 $71,601.00 — $17,184.24 $60,803.57 $51,413.81 2026-04-01
3602605 LOCAL Occluder-amplatzer Amulet 22mm 31 17 $71,601.00 — $17,184.24 $60,803.57 $51,413.81 2026-04-01
3602607 LOCAL Occlude- Amplatzer Amulet 31mm 31 17 $71,601.00 — $17,184.24 $60,803.57 $51,413.81 2026-04-01
C9293 HCPCS Glucarpidase 1,000 Unit Vial 32 18 $71,134.45 — $17,072.27 $60,407.37 $51,026.88 2026-04-01
3599130 LOCAL Stent-valiant Vamc3632c150tu 32 18 $71,002.00 — $17,040.48 $60,294.90 $50,931.86 2026-04-01
C1882 HCPCS Defib-quadra Assura Cd3369-40q 636 18 $75,813.00 — $6,246.96 $88,604.68 $49,335.20 2026-04-01
J9347 HCPCS Tremelimumab-actl 300 Mg/15ml 32 18 $68,202.26 — $16,368.54 $57,917.36 $48,923.52 2026-04-01
3603240 LOCAL Graft-system Vamf3030c100tu 31 17 $68,001.00 — $16,320.24 $57,746.45 $48,828.80 2026-04-01
3599189 LOCAL Stent-valiant Vamf2828c100tu 32 18 $68,001.00 — $16,320.24 $57,746.45 $48,779.16 2026-04-01
J2351 HCPCS Ocrevus Zunovo 920mg/23ml Vial 31 17 $67,888.00 — $16,293.12 $57,650.49 $48,747.66 2026-04-01
3599512 LOCAL Kit-dual N8 Processor Dualn8 32 18 $62,546.00 — $15,011.04 $53,114.06 $44,866.12 2026-04-01
3527114 LOCAL Device-watchman M635wu 32 18 $62,261.00 — $14,942.64 $52,872.04 $44,661.68 2026-04-01
3603762 LOCAL Graft-aaa Prox Body G32542 31 17 $61,695.00 — $14,806.80 $52,391.39 $44,300.71 2026-04-01
3559595 LOCAL Stent-thoracic Tgm282810 32 18 $61,483.00 — $14,755.92 $52,211.36 $44,103.60 2026-04-01
3058820 LOCAL Set-beq-hls Advanced 7.0 7050 32 18 $60,044.00 — $14,410.56 $50,989.36 $43,071.36 2026-04-01
3598105 LOCAL Implant-custom Xl Pk624561 32 18 $58,966.00 — $14,151.84 $50,073.93 $42,298.08 2026-04-01
3598270 LOCAL Excluder-aaa Conform Cxt261412 32 18 $58,545.00 — $14,050.80 $49,716.41 $41,996.08 2026-04-01
C1767 HCPCS Controller-proclaim Elite 3662 382 18 $75,619.00 — $9,663.60 $133,008.50 $41,681.73 2026-04-01
3058819 LOCAL Set-beq-hls Advanced 5.0 5050 32 18 $58,043.00 — $13,930.32 $49,290.12 $41,635.99 2026-04-01
3599877 LOCAL Excluder-aaa Conform Cxt231412 32 18 $57,378.00 — $13,770.72 $48,725.40 $41,158.96 2026-04-01
3598466 LOCAL Excluder-aaa Conform Cxt321414 32 18 $57,378.00 — $13,770.72 $48,725.40 $41,158.96 2026-04-01
3598064 LOCAL Excluder-aaa Conform Cxt201412 32 18 $57,378.00 — $13,770.72 $48,725.40 $41,158.96 2026-04-01
3598058 LOCAL Excluder-aaa Conform Xct281412 32 18 $57,378.00 — $13,770.72 $48,725.40 $41,158.96 2026-04-01
3602031 LOCAL Graft-afx2 Bifurcated 22x60 31 17 $56,856.00 — $13,645.44 $48,282.12 $40,826.02 2026-04-01
3603387 LOCAL Stent-aaa 28x70/20x30mm 31 17 $56,856.00 — $13,645.44 $48,282.12 $40,826.02 2026-04-01
3058975 LOCAL Stent-aaa Mainbody Bea28-110/ 32 18 $56,856.00 — $13,645.44 $48,282.12 $40,784.51 2026-04-01
3526120 LOCAL Graft-afx2 Bifurcated Endo 32 18 $56,856.00 — $13,645.44 $48,282.12 $40,784.51 2026-04-01
3527010 LOCAL Stent-aaa Mainbody 32 18 $56,856.00 — $13,645.44 $48,282.12 $40,784.51 2026-04-01
3059046 LOCAL Stent-aaa Mainbody 32 18 $56,856.00 — $13,645.44 $48,282.12 $40,784.51 2026-04-01
L8614 HCPCS Implant-cochlear Ci532 313 18 $65,494.00 — $10,947.36 $83,647.90 $40,082.40 2026-04-01
3550856 LOCAL Implant-custom Med Pk623984 32 18 $52,648.00 — $12,635.52 $44,708.68 $37,765.99 2026-04-01
3550322 LOCAL Implant-cranial Peek Csi Small 32 18 $52,227.00 — $12,534.48 $44,351.17 $37,464.00 2026-04-01
3527144 LOCAL Stent-excluder Iliac 14.5mmx10 32 18 $51,043.00 — $12,250.32 $43,345.72 $36,614.68 2026-04-01
3601475 LOCAL Stent-aaa Excluder Rlt231416 31 17 $49,893.00 — $11,974.32 $42,369.14 $35,826.17 2026-04-01
3601476 LOCAL Stent-aaa Excluder Rlt231216 31 17 $49,893.00 — $11,974.32 $42,369.14 $35,826.17 2026-04-01
3600530 LOCAL Stent-aaa Trnk 26x14.5x16/16fr 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3600537 LOCAL Stent-aaa Tk 35x14.5x14/18fr 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3600532 LOCAL Stent-aaa Tk 28.5x14.5x14/18fr 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3527876 LOCAL Stent-aaa Excluder Rlt261216 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3600533 LOCAL Stent-aaa Excluder Rlt281416 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3600529 LOCAL Stent-aaa Trnk 23x14.5x12/16fr 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3598316 LOCAL Stent-aaa Excluder Rlt281218 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3082036 LOCAL Stent-aaa Excluder RLT26121x 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3600531 LOCAL Stent-aaa Excluder Rlt261418 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3598315 LOCAL Stent-aaa Excluder Rlt281212 32 18 $49,893.00 — $11,974.32 $42,369.14 $35,789.74 2026-04-01
3014828 LOCAL Graft-fresh Osteocondral Fcd80 31 17 $49,288.00 — $11,829.12 $41,855.37 $35,391.74 2026-04-01
C1826 HCPCS Controller-proclaim 5 Ipg 217 17 $58,545.00 — $10,422.72 $66,719.10 $35,127.00 2026-04-01
3550641 LOCAL Artery-aortoiliac 11x8.5CM R01 1 1 $88,026.00 — $33,963.00 $33,963.00 $33,963.00 2026-04-01
C1721 HCPCS Defibrillator-evera MRI Xt Icd 285 18 $56,860.00 — $9,687.12 $62,946.95 $32,835.24 2026-04-01
C1820 HCPCS Neurostimulator-r20 5101 157 18 $72,865.00 — $1,733.04 $66,168.81 $32,515.19 2026-04-01
C1722 HCPCS Defibrillator-gallant Df4 Icd 411 18 $54,333.00 — $9,265.92 $71,533.21 $31,733.55 2026-04-01
3549114 LOCAL Defibrillator-momentum G124 1 1 $80,024.00 — $30,875.59 $30,875.59 $30,875.59 2026-04-01
3527193 LOCAL Defibrillator-momentum G126 1 1 $80,024.00 — $30,875.59 $30,875.59 $30,875.59 2026-04-01
3549165 LOCAL System-DRG Lead Perm 3664 1 1 $77,287.00 — $29,819.58 $29,819.58 $29,819.58 2026-04-01
3055854 LOCAL Defibrillator-acticor 429522 1 1 $75,813.00 — $29,250.86 $29,250.86 $29,250.86 2026-04-01
3549246 LOCAL Defib-intica Dx 404627 1 1 $75,812.00 — $29,250.48 $29,250.48 $29,250.48 2026-04-01
3599340 LOCAL Sys-DRG Ipg 3664 3664contrlsys 1 1 $75,391.00 — $29,088.04 $29,088.04 $29,088.04 2026-04-01
3548016 LOCAL Implant-cochlear Ci-1601-04 1 1 $75,307.00 — $29,055.64 $29,055.64 $29,055.64 2026-04-01
3082021 LOCAL Stent-iliac Limb Etuf3614c102e 32 18 $39,915.00 — $9,579.60 $33,895.82 $28,632.22 2026-04-01
3600496 LOCAL Stent-endurant Esbf2814c103e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3549149 LOCAL Stent-iliac Limb Etuf2814c102e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3082077 LOCAL Stent-iliac Limb Etuf3214c102e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3082009 LOCAL Stent-endurant Bifurcated 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3600497 LOCAL Stent-endurant Esbf3214c103e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3086404 LOCAL Stent-limb Etbf2313c166e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3549147 LOCAL Stent-iliac Limb Etuf2314c102e 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3082085 LOCAL Stent-endurant Bifurcated 32 18 $39,913.00 — $9,579.12 $33,894.12 $28,630.79 2026-04-01
3055846 LOCAL Defibrillator-intica 429553 1 1 $71,602.00 — $27,626.14 $27,626.14 $27,626.14 2026-04-01
3559116 LOCAL Spacer-24x30x13 8* 1212.0113s 32 18 $37,814.00 — $9,075.36 $32,111.65 $27,125.11 2026-04-01
3598222 LOCAL Spacer-26x34x11 15* 1212-0711s 32 18 $37,814.00 — $9,075.36 $32,111.65 $27,125.11 2026-04-01
3598993 LOCAL Defibrillator-compia Dtmc1qq 1 1 $68,231.00 — $26,325.51 $26,325.51 $26,325.51 2026-04-01
3550877 LOCAL Defibrillator-visia Dvfc3d4 1 1 $66,758.00 — $25,757.18 $25,757.18 $25,757.18 2026-04-01
3527198 LOCAL Defibrillator-momentum G138 1 1 $66,687.00 — $25,729.79 $25,729.79 $25,729.79 2026-04-01
3559579 LOCAL Defibrillator,llivia 429529 1 1 $66,337.00 — $25,594.75 $25,594.75 $25,594.75 2026-04-01
3550449 LOCAL Defibrillator-rivacor 429534 1 1 $66,337.00 — $25,594.75 $25,594.75 $25,594.75 2026-04-01
3550358 LOCAL Defibrillator-ilivia 404622 1 1 $66,336.00 — $25,594.36 $25,594.36 $25,594.36 2026-04-01
J9274 HCPCS Kimmtrak 100 Mcg/0.5 Ml Vial 31 17 $34,669.41 — $8,320.66 $29,441.26 $24,894.72 2026-04-01
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml Vial 33 18 $33,993.10 — $21.22 $28,866.94 $24,359.46 2026-04-01
33363 CPT Tavr Open Axillary 32 18 $33,063.00 — $7,935.12 $28,077.10 $23,717.08 2026-04-01
33362 CPT Tavr Open Femoral 32 18 $33,063.00 — $7,935.12 $28,077.10 $23,717.08 2026-04-01
3549741 LOCAL Kit-pulse Generator Sc-1160 1 1 $59,570.00 — $22,983.84 $22,983.84 $22,983.84 2026-04-01
3526910 LOCAL Defibrillator-iperia 392409 1 1 $59,106.00 — $22,804.82 $22,804.82 $22,804.82 2026-04-01
3601790 LOCAL Spacer-20x45 8-17 5° 1122.1045 31 17 $31,589.00 — $7,581.36 $26,825.38 $22,682.80 2026-04-01
3602575 LOCAL Spacer-20x65 8-15 6° 1122.0165 31 17 $31,589.00 — $7,581.36 $26,825.38 $22,682.80 2026-04-01
3601369 LOCAL Spacer-20x50 8-17 5° 1122.1050 31 17 $31,589.00 — $7,581.36 $26,825.38 $22,682.80 2026-04-01
3601578 LOCAL Spacer-20x55 8-17 5° 1122.1055 31 17 $31,589.00 — $7,581.36 $26,825.38 $22,682.80 2026-04-01
3055118 LOCAL Spacer-20x55 8-15 6° 1122.0155 32 18 $31,589.00 — $7,581.36 $26,825.38 $22,659.74 2026-04-01
3599621 LOCAL Spacer-20x60 8-17 5° 1122.1060 32 18 $31,589.00 — $7,581.36 $26,825.38 $22,659.74 2026-04-01
3550118 LOCAL Spacer-20xxx 8-15 6° 32 18 $31,589.00 — $7,581.36 $26,825.38 $22,659.74 2026-04-01
3599156 LOCAL Cochlear-contour Ci612 P774600 1 1 $57,912.00 — $22,344.14 $22,344.14 $22,344.14 2026-04-01
3550350 LOCAL Implant-cochlear Ci622 1 1 $57,912.00 — $22,344.14 $22,344.14 $22,344.14 2026-04-01
3550486 LOCAL Defibrillator-acticor 448101 1 1 $57,702.00 — $22,263.11 $22,263.11 $22,263.11 2026-04-01
3081823 LOCAL Stent-mainbody Ettf3636c70e 31 17 $30,910.00 — $7,418.40 $26,248.77 $22,195.23 2026-04-01
J9333 HCPCS Rystiggo 840 Mg/6 Ml Vial 31 17 $30,751.08 — $7,380.26 $26,113.82 $22,081.12 2026-04-01
3055847 LOCAL Defibrillator-momentum D121 1 1 $56,860.00 — $21,938.24 $21,938.24 $21,938.24 2026-04-01
3526906 LOCAL Stent-aaa Mainbody 1 1 $56,855.00 — $21,936.32 $21,936.32 $21,936.32 2026-04-01
3059244 LOCAL Stent-aaa Mainbody 1 1 $56,855.00 — $21,936.32 $21,936.32 $21,936.32 2026-04-01
3526508 LOCAL Stent-aaa Mainbody 1 1 $56,855.00 — $21,936.32 $21,936.32 $21,936.32 2026-04-01
3601203 LOCAL Stent-32x32x70mm Ettf3232c70e 31 17 $30,310.00 — $7,274.40 $25,739.25 $21,764.40 2026-04-01
3599957 LOCAL Stent-endurant Ettf2828c70e 32 18 $30,310.00 — $7,274.40 $25,739.25 $21,742.28 2026-04-01
3059233 LOCAL Stent-mainbody Ettf2525c70e 32 18 $29,910.00 — $7,178.40 $25,399.57 $21,455.34 2026-04-01
3598486 LOCAL Defibrillator-momentum El D120 1 1 $54,754.00 — $21,125.69 $21,125.69 $21,125.69 2026-04-01
3604592 LOCAL Graft-valve 27mm 27vavgj-515 31 17 $29,273.00 — $7,025.52 $24,858.63 $21,019.77 2026-04-01
93654 CPT Eps With Induct/vt Abl/ Mapping 32 18 $29,260.00 — $7,022.40 $24,847.59 $20,989.08 2026-04-01
C1817 HCPCS Occluder-amplatzer 9-asd-020 127 18 $29,567.00 — $6,823.20 $35,748.77 $20,805.37 2026-04-01
33999 CPT Tavr Open Carotid 32 18 $28,750.00 — $6,900.00 $24,414.50 $20,623.24 2026-04-01
3604205 LOCAL Spacer-8x5.9x55/6° 46260855 31 17 $28,370.00 — $6,808.80 $24,091.80 $20,371.36 2026-04-01
3598659 LOCAL Spacer-10x7.9x55/6° 46261055 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3598660 LOCAL Spacer-14x9.8x55/12° 46221455 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3599192 LOCAL Spacer-12x9 9x55/6° 46261255 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3599253 LOCAL Spacer-12x7.8x55/12° 46221255 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3599583 LOCAL Spacer-14x11.9x60/6° 46261460 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3599053 LOCAL Spacer-10x7.9x60/6° 46261060 32 18 $28,370.00 — $6,808.80 $24,091.80 $20,350.65 2026-04-01
3599806 LOCAL Prosthesis-penial Nar En2916 1 1 $52,214.00 — $20,145.68 $20,145.68 $20,145.68 2026-04-01
3550598 LOCAL Defibrillator-ilivia 429531 1 1 $50,543.00 — $19,500.96 $19,500.96 $19,500.96 2026-04-01
3082078 LOCAL Stent-limb ETLW16xxC156E 32 18 $26,956.00 — $6,469.44 $22,891.04 $19,336.35 2026-04-01
3081940 LOCAL Stent-aaa Excluder Rlt281418 1 1 $49,893.00 — $19,250.17 $19,250.17 $19,250.17 2026-04-01
J9334 HCPCS Vyvgart Hytrulo 1,008mg/5.6ml 31 17 $26,611.28 — $6,386.71 $22,598.30 $19,108.50 2026-04-01
J2323 HCPCS Natalizumab 300 Mg/15 Ml 33 18 $26,552.70 — $7.72 $22,548.55 $19,027.66 2026-04-01
3603505 LOCAL Aragonite-7.5x10/5pk Chp0755 31 17 $26,442.00 — $6,346.08 $22,454.55 $18,986.94 2026-04-01
77372 CPT Stereotactic Rad Cranial 1 Tx 32 18 $26,319.00 — $6,316.56 $22,350.09 $18,879.41 2026-04-01
3603385 LOCAL Bone-matrix 10cc P01-v92-1002 31 17 $26,282.00 — $6,307.68 $22,318.67 $18,872.05 2026-04-01
3084985 LOCAL Prothesis-penile ES291x 1 1 $48,798.00 — $18,827.69 $18,827.69 $18,827.69 2026-04-01
3598314 LOCAL Set-penile Inflate 22cm Es2922 1 1 $48,798.00 — $18,827.69 $18,827.69 $18,827.69 2026-04-01
3527271 LOCAL Controller-proclaim 5 Ipg 1 1 $48,787.00 — $18,823.45 $18,823.45 $18,823.45 2026-04-01
3058769 LOCAL Stent-excluder Iliac 10mmx10cm 1 1 $48,756.00 — $18,811.49 $18,811.49 $18,811.49 2026-04-01
3550099 LOCAL Rise-20x50 8-105mm 6° 193.424 32 18 $26,114.00 — $6,267.36 $22,176.01 $18,732.35 2026-04-01
3550621 LOCAL Spacer-26x34x15/15° 3135.0715 32 18 $26,055.00 — $6,253.20 $22,125.91 $18,690.03 2026-04-01
3550526 LOCAL Spacer-26x34x13/15° 3135.0713 32 18 $26,055.00 — $6,253.20 $22,125.91 $18,690.03 2026-04-01
3550128 LOCAL Spacer-24x30x13 15° 3135.0213 32 18 $26,055.00 — $6,253.20 $22,125.91 $18,690.03 2026-04-01
3598553 LOCAL Stent-limb Etlw1620c146e 32 18 $25,608.00 — $6,145.92 $21,746.31 $18,369.39 2026-04-01
3550664 LOCAL Stent-limb Etlw1613c146e 32 18 $25,608.00 — $6,145.92 $21,746.31 $18,369.39 2026-04-01
3559144 LOCAL Stent-limb Etlw1628c146e 32 18 $25,608.00 — $6,145.92 $21,746.31 $18,369.39 2026-04-01
3550865 LOCAL Stent-limb Etlw1610c146e 32 18 $25,608.00 — $6,145.92 $21,746.31 $18,369.39 2026-04-01
J9298 HCPCS Opdualag 240-80 Mg/20 Ml 32 18 $25,515.57 — $6,123.74 $21,667.82 $18,303.08 2026-04-01
3527194 LOCAL Defibrillator-pervica Icd D413 1 1 $47,383.00 — $18,281.74 $18,281.74 $18,281.74 2026-04-01
33418 CPT Repair Tcat Mitral Valve 31 17 $25,000.00 — $6,000.00 $21,230.00 $17,951.50 2026-04-01
3598701 LOCAL Kit,dual K2 Processor Dualk2 1 1 $46,505.00 — $17,942.98 $17,942.98 $17,942.98 2026-04-01
93656 CPT Eps W/induc/abl Afib/pulm Vein 32 18 $24,993.00 — $5,998.32 $21,224.06 $17,928.22 2026-04-01
93653 CPT Eps W/induct & Svt Ablation 32 18 $24,993.00 — $5,998.32 $21,224.06 $17,928.22 2026-04-01
A9604 HCPCS Pharm Sm153 Quadramet To 150mc 32 18 $24,905.00 — $5,977.20 $21,149.33 $17,865.10 2026-04-01
3602549 LOCAL Aragonite-7.5x10/3pk Chp0753 31 17 $24,631.00 — $5,911.44 $20,916.65 $17,686.54 2026-04-01
3549146 LOCAL Defibrillator-perciva Icd D41 1 1 $45,628.00 — $17,604.61 $17,604.61 $17,604.61 2026-04-01
C9610 HCPCS Balloon-agent Dcb 3x15 31 17 $23,797.00 — $5,711.28 $20,208.41 $17,087.67 2026-04-01
C1832 HCPCS Kit-prep Recell Go Avrl0103 62 17 $26,061.00 — $5,559.60 $24,590.28 $17,049.15 2026-04-01
3602551 LOCAL Aragonite-7.5x10/2pk Chp0752 31 17 $23,726.00 — $5,694.24 $20,148.12 $17,036.69 2026-04-01
3549966 LOCAL Defibrillator-perciva Dr D401 1 1 $43,472.00 — $16,772.76 $16,772.76 $16,772.76 2026-04-01
3550444 LOCAL Stimulator-micro 97810 1 1 $43,429.00 — $16,756.17 $16,756.17 $16,756.17 2026-04-01
3603063 LOCAL Spacer-14h 08.815.224s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3600936 LOCAL Spacer-8x22 9-15/8° 1172.0013s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3603952 LOCAL Spacer-10x22 6-12mm 1172.2010s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3603144 LOCAL Spacer-13.5h 08.815.223s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3603004 LOCAL Spacer-13mm 18°/md 08.815.263s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3600934 LOCAL Spacer-8x22 6-12/8° 1172.0010s 31 17 $23,165.00 — $5,559.60 $19,671.72 $16,633.86 2026-04-01
3526469 LOCAL Spacer-elevate Spinal Ex 23x10 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3549255 LOCAL Spacer-13.5h 14° 08.815.123s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
C2621 HCPCS Pacemake-edora 407137 256 18 $24,429.00 — $5,054.16 $23,248.55 $16,616.95 2026-04-01
3550669 LOCAL Spacer-12mm 10°/md 08.815.212s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3559468 LOCAL Spacer-12mm 10* 08.815.112s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3559296 LOCAL Spacer-12mm 14*/md 08.815.252s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3526515 LOCAL Spacer-elevate Spinal Ex 23x1 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3549303 LOCAL Spacer-12h 14° 08.815.122s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3526227 LOCAL Spacer-elevate Spinal Exp 23x 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3598962 LOCAL Spacer-24x30x13 15° 1212.0213s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3059237 LOCAL Spacer-elvate Spinal Exp 23x8 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3527243 LOCAL Spacer-elevate Spinal Exp 23x9 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3549975 LOCAL Spacer-10.5h 10° 08.815.111s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3598455 LOCAL Spacer-10x30 9-16mm 1172.2213s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3598574 LOCAL Spacer-10x26 9-16mm 1172.2113s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3599111 LOCAL Spacer-10x30 6-12mm 1172.2210s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3559197 LOCAL Spacer-12mm 10*/md 08.815.242s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3598936 LOCAL Spacer-10x26 7-14mm 1172.2121s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3059238 LOCAL Spacer-elevate Spinal Exp 23x9 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3559475 LOCAL Spacer-10x26 7-14mm 1172.2121s 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3549024 LOCAL Implant-coroent Xlf 7871055 32 18 $23,165.00 — $5,559.60 $19,671.72 $16,616.95 2026-04-01
3058958 LOCAL Shunt-strata Fp Assy 46866 32 18 $23,083.00 — $5,539.92 $19,602.08 $16,558.13 2026-04-01
3599110 LOCAL Clamp-long Encompass Jaw Olh 32 18 $22,744.00 — $5,458.56 $19,314.20 $16,314.95 2026-04-01
3820306 LOCAL Cath-aspiration Guide 21-101 1 1 $42,119.00 — $16,250.74 $16,250.74 $16,250.74 2026-04-01
3527864 LOCAL Defibrillator-illivia 7 404625 1 1 $42,118.00 — $16,250.35 $16,250.35 $16,250.35 2026-04-01
3603974 LOCAL Graft-aaa Leg 11/74mm G55226 31 17 $22,455.00 — $5,389.20 $19,068.79 $16,124.04 2026-04-01
3603975 LOCAL Graft-aaa Leg 13/74mm G55232 31 17 $22,455.00 — $5,389.20 $19,068.79 $16,124.04 2026-04-01
3604123 LOCAL Graft-aaa Leg 16/74mm G55238 31 17 $22,455.00 — $5,389.20 $19,068.79 $16,124.04 2026-04-01
3604124 LOCAL Graft-aaa Leg 13/90mm G55233 31 17 $22,455.00 — $5,389.20 $19,068.79 $16,124.04 2026-04-01
3060390 LOCAL Implant-xrl Medium 08.807.202s 32 18 $22,401.00 — $5,376.24 $19,022.93 $16,068.91 2026-04-01
3526452 LOCAL Cage-xrl Med Central Body 32 18 $22,401.00 — $5,376.24 $19,022.93 $16,068.91 2026-04-01
3602331 LOCAL Kit Dl 15mm Probe 9700-015-200 31 17 $22,350.00 — $5,364.00 $18,979.62 $16,048.64 2026-04-01
3059058 LOCAL Stent-aaa Excluder Rlt351418 1 1 $41,578.00 — $16,042.00 $16,042.00 $16,042.00 2026-04-01
3082054 LOCAL Stent-aaa Excluder Rlt231414 1 1 $41,578.00 — $16,042.00 $16,042.00 $16,042.00 2026-04-01
3527105 LOCAL Stem-lps Femoral Stem Xxsm Lt 1 1 $41,543.00 — $16,028.50 $16,028.50 $16,028.50 2026-04-01
3600775 LOCAL Cath-lightning Litngfht115ber 1 1 $41,150.00 — $15,876.87 $15,876.87 $15,876.87 2026-04-01
3550101 LOCAL Core-20x30-46mm 351.152 32 18 $22,112.00 — $5,306.88 $18,777.51 $15,861.60 2026-04-01
3550775 LOCAL Spacer-24x30x15 15° 1212.0215s 32 18 $22,007.00 — $5,281.68 $18,688.34 $15,786.28 2026-04-01
3600535 LOCAL Stent-aaa Excluder Plc231000 32 18 $21,918.00 — $5,260.32 $18,612.77 $15,722.44 2026-04-01
3600536 LOCAL Stent-aaa Excluder Plc231200 32 18 $21,918.00 — $5,260.32 $18,612.77 $15,722.44 2026-04-01
3526174 LOCAL Stent-aaa Excluder Plc121200 32 18 $21,918.00 — $5,260.32 $18,612.77 $15,722.44 2026-04-01
3526244 LOCAL Stent-aaa Excluder Plc121000 32 18 $21,918.00 — $5,260.32 $18,612.77 $15,722.44 2026-04-01
3550228 LOCAL Disc-cerv Mobi-c 13x17 Mb3375 32 18 $21,902.00 — $5,256.48 $18,599.18 $15,710.96 2026-04-01
3527096 LOCAL Cage-xrl Med Central Body 32 18 $21,819.00 — $5,236.56 $18,528.69 $15,651.42 2026-04-01
3603057 LOCAL Kit-20mm Probe 9700-020-100 31 17 $21,773.00 — $5,225.52 $18,489.63 $15,634.32 2026-04-01
2746929 LOCAL Ribavirin 6 Gm Vial.neb 1 1 $40,456.25 — $15,609.20 $15,609.20 $15,609.20 2026-04-01
3059129 LOCAL Device-esophyx Tif R2007 32 18 $21,712.00 — $5,210.88 $18,437.83 $15,574.67 2026-04-01
3601630 LOCAL Comp-df 65mm/rt/std 6495-2-040 31 17 $21,681.00 — $5,203.44 $18,411.51 $15,568.26 2026-04-01
3559157 LOCAL Cage-12x14/14-20 Mm (h) 5* 32 18 $21,661.00 — $5,198.64 $18,394.52 $15,538.08 2026-04-01
3550468 LOCAL Cage 32 18 $21,661.00 — $5,198.64 $18,394.52 $15,538.08 2026-04-01
3602524 LOCAL Stent-aaa Iliac Ext 22x22x45mm 31 17 $21,603.00 — $5,184.72 $18,345.27 $15,512.25 2026-04-01
3602131 LOCAL Graft-25x25x75mm A25-25/75 V 31 17 $21,603.00 — $5,184.72 $18,345.27 $15,512.25 2026-04-01
3526119 LOCAL Stent-intraneal Cuff A28-28 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3058943 LOCAL Stent-supraneal Cuff 34 A34-34 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3059045 LOCAL Stent-intraneal Cuff 34 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3082066 LOCAL Stent-intraneal Cuff A25-25 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3526386 LOCAL Stent-aaa Iliac Limb 14x140mm 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3082047 LOCAL Stent-intraneal Cuff A28-2 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3526285 LOCAL Stent-aaa Iliac Limb 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3058944 LOCAL Stent-intraneal Cuff A34-34/c1 32 18 $21,603.00 — $5,184.72 $18,345.27 $15,496.48 2026-04-01
3600245 LOCAL Exclude-aaa 28/16fr Cxa280005 32 18 $21,593.00 — $5,182.32 $18,336.78 $15,489.31 2026-04-01
3598173 LOCAL Exclude-aaa 18fr Cxa 32 18 $21,593.00 — $5,182.32 $18,336.78 $15,489.31 2026-04-01
3603589 LOCAL Pack-bp 13.5x75/13g Nn-2005 31 17 $21,435.00 — $5,144.40 $18,202.60 $15,391.62 2026-04-01
3603396 LOCAL Pack-bp 13x50/13g Nn-2003 31 17 $21,435.00 — $5,144.40 $18,202.60 $15,391.62 2026-04-01
3603588 LOCAL Pack-bp 13.5x95/13g Nn-2006 31 17 $21,435.00 — $5,144.40 $18,202.60 $15,391.62 2026-04-01
3603530 LOCAL Pack-bp 13.5x60/13g Nn-2004 31 17 $21,435.00 — $5,144.40 $18,202.60 $15,391.62 2026-04-01
3598055 LOCAL Meniscus-lat/left 28325002 32 18 $21,435.00 — $5,144.40 $18,202.60 $15,375.97 2026-04-01
3079503 LOCAL Stent-aaa Excluder Plc271400 32 18 $21,396.00 — $5,135.04 $18,169.48 $15,347.99 2026-04-01
3600534 LOCAL Stent-aaa Cn/lg 16x20x13.5/12f 32 18 $21,396.00 — $5,135.04 $18,169.48 $15,347.99 2026-04-01
3082038 LOCAL Stent-aaa Excluder Plc201200 32 18 $21,396.00 — $5,135.04 $18,169.48 $15,347.99 2026-04-01
C1761 HCPCS Cath-ivl C2+ C2pivl3512 31 17 $21,210.00 — $5,090.40 $18,011.53 $15,230.05 2026-04-01
3603760 LOCAL Graft-aaa Distal G32551 31 17 $21,169.00 — $5,080.56 $17,976.71 $15,200.61 2026-04-01
3550081 LOCAL Extension-iliac Etew2424c82e 32 18 $21,114.00 — $5,067.36 $17,930.01 $15,145.71 2026-04-01
3603110 LOCAL Meniscus-medial Left 28225002 31 17 $21,060.00 — $5,054.40 $17,884.15 $15,122.34 2026-04-01
3603783 LOCAL Rise-18x45 7-14mm 193.303 31 17 $21,059.00 — $5,054.16 $17,883.30 $15,121.63 2026-04-01
3599047 LOCAL Rise-18x60 8-15mm 6° 193.326 32 18 $21,059.00 — $5,054.16 $17,883.30 $15,106.25 2026-04-01
J9042 HCPCS Brentuximab 50 Mg/10 Ml Vl 32 18 $21,000.87 — $5,040.21 $17,833.94 $15,064.55 2026-04-01
3000763 LOCAL Applier-heli-fx Sa-85 32 18 $20,928.00 — $5,022.72 $17,772.06 $15,012.28 2026-04-01
3079711 LOCAL Shunt-progav System Fv432t 32 18 $20,916.00 — $5,019.84 $17,761.87 $15,003.67 2026-04-01
93583 CPT Perq Transcath Septal Reduxn 32 18 $20,711.00 — $4,970.64 $17,587.78 $14,856.62 2026-04-01
5740943 LOCAL mitoMYcin 80 Mg/20 Ml Kit 1 1 $38,495.40 — $14,852.65 $14,852.65 $14,852.65 2026-04-01
3558992 LOCAL Spacer-26x34x15 15* 1212.0715s 1 1 $37,814.00 — $14,589.74 $14,589.74 $14,589.74 2026-04-01
3603375 LOCAL Cage-capri Crv 7512-21446l0-g3 31 17 $20,307.00 — $4,873.68 $17,244.70 $14,581.64 2026-04-01
3598783 LOCAL Spacer-core 20-62x92mm 151.154 32 18 $20,307.00 — $4,873.68 $17,244.70 $14,566.82 2026-04-01
93580 CPT Transcath Closure Of Asd 32 18 $20,189.00 — $4,845.36 $17,144.50 $14,482.17 2026-04-01
3601986 LOCAL Kit-20mm 2probe 9700-020-200 31 17 $20,104.00 — $4,824.96 $17,072.32 $14,435.88 2026-04-01
3602147 LOCAL Spacer-12x18-23mm 151.050 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3601789 LOCAL Spacer-core 20-41-64mm 151.153 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602060 LOCAL Spacer-12x21-29mm 151.052 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3601640 LOCAL Core-14x18-24 / 0° 351.009 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602068 LOCAL Spacer-12x21-29mm 151.052 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3600919 LOCAL Spacer-core 26-34x20mm 151.151 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3601062 LOCAL Core-14x24-32mm 351.050 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602272 LOCAL Spacer-12x19-25mm 151.051 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3549326 LOCAL Spacer-12x33-53mm 151.054 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602418 LOCAL Core-16mm 20-25mm 151.100 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3604947 LOCAL Core-14x28-40mm 351.051 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3601190 LOCAL Core-14x15-18 / 0° 351.001 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602207 LOCAL Spacer-12x19-25mm 151.051 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3602354 LOCAL Spacer 12x19-25mm 151.051 31 17 $20,082.00 — $4,819.68 $17,053.63 $14,420.08 2026-04-01
3549391 LOCAL Spacer-12x25-37mm 151.053 32 18 $20,082.00 — $4,819.68 $17,053.63 $14,405.42 2026-04-01
3550436 LOCAL Core-14x35-54mm 351.052 32 18 $20,082.00 — $4,819.68 $17,053.63 $14,405.42 2026-04-01
3082068 LOCAL Stent-aaa Main Etcf3636c49e 32 18 $20,042.00 — $4,810.08 $17,019.67 $14,376.73 2026-04-01
J9272 HCPCS Jemperli 500 Mg/10 Ml Vial 31 17 $19,939.61 — $4,785.51 $16,932.72 $14,317.84 2026-04-01
3550854 LOCAL Cage-12mm/8° 50/18 Lui81249 32 18 $19,856.00 — $4,765.44 $16,861.72 $14,243.31 2026-04-01
3550712 LOCAL Cage-10mm/8° 50/18 Lui81049 32 18 $19,856.00 — $4,765.44 $16,861.72 $14,243.31 2026-04-01
3599034 LOCAL Valve-epic Mitral Plus E200-31 32 18 $19,621.00 — $4,709.04 $16,662.15 $14,074.74 2026-04-01
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