|
3000763
|
LOCAL
|
Applier-heli-fx Sa-85
|
32
|
18
|
$20,928.00
|
—
|
$4,394.88
|
$17,330.48
|
$13,791.55
|
2026-04-01
|
|
3014828
|
LOCAL
|
Graft-fresh Osteocondral Fcd80
|
32
|
18
|
$49,288.00
|
—
|
$10,350.48
|
$40,815.39
|
$32,480.79
|
2026-04-01
|
|
3022124
|
LOCAL
|
Matrix-vivigen Bone 15cc
|
32
|
18
|
$19,089.00
|
—
|
$4,008.69
|
$15,807.60
|
$12,579.65
|
2026-04-01
|
|
3055118
|
LOCAL
|
Spacer-20x55 8-15 6° 1122.0155
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3058819
|
LOCAL
|
Set-beq-hls Advanced 5.0 5050
|
32
|
18
|
$58,043.00
|
—
|
$12,189.03
|
$48,065.41
|
$38,250.34
|
2026-04-01
|
|
3058820
|
LOCAL
|
Set-beq-hls Advanced 7.0 7050
|
32
|
18
|
$60,044.00
|
—
|
$12,609.24
|
$49,722.44
|
$39,568.99
|
2026-04-01
|
|
3058904
|
LOCAL
|
Valve-evolutpro-23-US
|
32
|
18
|
$126,354.00
|
—
|
$26,534.34
|
$104,633.75
|
$83,267.29
|
2026-04-01
|
|
3058943
|
LOCAL
|
Stent-supraneal Cuff 34 A34-34
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3058944
|
LOCAL
|
Stent-intraneal Cuff A34-34/c1
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3058958
|
LOCAL
|
Shunt-strata Fp Assy 46866
|
32
|
18
|
$23,083.00
|
—
|
$4,847.43
|
$19,115.03
|
$15,211.69
|
2026-04-01
|
|
3058975
|
LOCAL
|
Stent-aaa Mainbody Bea28-110/
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3059045
|
LOCAL
|
Stent-intraneal Cuff 34
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3059046
|
LOCAL
|
Stent-aaa Mainbody
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3059056
|
LOCAL
|
Set-impella Rp Pump 004334
|
32
|
18
|
$105,295.00
|
—
|
$22,111.95
|
$87,194.79
|
$69,389.40
|
2026-04-01
|
|
3059129
|
LOCAL
|
Device-esophyx Tif R2007
|
32
|
18
|
$21,712.00
|
—
|
$4,559.52
|
$17,979.71
|
$14,308.21
|
2026-04-01
|
|
3059233
|
LOCAL
|
Stent-mainbody Ettf2525c70e
|
32
|
18
|
$29,910.00
|
—
|
$6,281.10
|
$24,768.47
|
$19,710.69
|
2026-04-01
|
|
3059237
|
LOCAL
|
Spacer-elvate Spinal Exp 23x8
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3059238
|
LOCAL
|
Spacer-elevate Spinal Exp 23x9
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3060390
|
LOCAL
|
Implant-xrl Medium 08.807.202s
|
32
|
18
|
$22,401.00
|
—
|
$4,704.21
|
$18,550.27
|
$14,762.26
|
2026-04-01
|
|
3079503
|
LOCAL
|
Stent-aaa Excluder Plc271400
|
32
|
18
|
$21,396.00
|
—
|
$4,493.16
|
$17,718.03
|
$14,099.97
|
2026-04-01
|
|
3079711
|
LOCAL
|
Shunt-progav System Fv432t
|
32
|
18
|
$20,916.00
|
—
|
$4,392.36
|
$17,320.54
|
$13,783.65
|
2026-04-01
|
|
3081823
|
LOCAL
|
Stent-mainbody Ettf3636c70e
|
32
|
18
|
$30,910.00
|
—
|
$6,491.10
|
$25,596.57
|
$20,369.69
|
2026-04-01
|
|
3082009
|
LOCAL
|
Stent-endurant Bifurcated
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3082021
|
LOCAL
|
Stent-iliac Limb Etuf3614c102e
|
32
|
18
|
$39,915.00
|
—
|
$8,382.15
|
$33,053.61
|
$26,303.99
|
2026-04-01
|
|
3082036
|
LOCAL
|
Stent-aaa Excluder RLT26121x
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3082038
|
LOCAL
|
Stent-aaa Excluder Plc201200
|
32
|
18
|
$21,396.00
|
—
|
$4,493.16
|
$17,718.03
|
$14,099.97
|
2026-04-01
|
|
3082047
|
LOCAL
|
Stent-intraneal Cuff A28-2
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3082066
|
LOCAL
|
Stent-intraneal Cuff A25-25
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3082068
|
LOCAL
|
Stent-aaa Main Etcf3636c49e
|
32
|
18
|
$20,042.00
|
—
|
$4,208.82
|
$16,596.78
|
$13,207.68
|
2026-04-01
|
|
3082077
|
LOCAL
|
Stent-iliac Limb Etuf3214c102e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3082078
|
LOCAL
|
Stent-limb ETLW16xxC156E
|
32
|
18
|
$26,956.00
|
—
|
$5,660.76
|
$22,322.26
|
$17,764.01
|
2026-04-01
|
|
3082085
|
LOCAL
|
Stent-endurant Bifurcated
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3086401
|
LOCAL
|
Valve-evolutpro 26 US
|
32
|
18
|
$126,354.00
|
—
|
$26,534.34
|
$104,633.75
|
$83,267.29
|
2026-04-01
|
|
3086404
|
LOCAL
|
Stent-limb Etbf2313c166e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
33362
|
CPT
|
Tavr Open Femoral
|
32
|
18
|
$33,063.00
|
—
|
$6,943.23
|
$27,379.47
|
$21,788.51
|
2026-04-01
|
|
33363
|
CPT
|
Tavr Open Axillary
|
32
|
18
|
$33,063.00
|
—
|
$6,943.23
|
$27,379.47
|
$21,788.51
|
2026-04-01
|
|
33418
|
CPT
|
Repair Tcat Mitral Valve
|
32
|
18
|
$25,000.00
|
—
|
$5,250.00
|
$20,702.50
|
$16,475.00
|
2026-04-01
|
|
33999
|
CPT
|
Tavr Open Carotid
|
32
|
18
|
$28,750.00
|
—
|
$6,037.50
|
$23,807.88
|
$18,946.25
|
2026-04-01
|
|
3526119
|
LOCAL
|
Stent-intraneal Cuff A28-28
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3526120
|
LOCAL
|
Graft-afx2 Bifurcated Endo
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3526174
|
LOCAL
|
Stent-aaa Excluder Plc121200
|
32
|
18
|
$21,918.00
|
—
|
$4,602.78
|
$18,150.30
|
$14,443.96
|
2026-04-01
|
|
3526227
|
LOCAL
|
Spacer-elevate Spinal Exp 23x
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3526244
|
LOCAL
|
Stent-aaa Excluder Plc121000
|
32
|
18
|
$21,918.00
|
—
|
$4,602.78
|
$18,150.30
|
$14,443.96
|
2026-04-01
|
|
3526285
|
LOCAL
|
Stent-aaa Iliac Limb
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3526386
|
LOCAL
|
Stent-aaa Iliac Limb 14x140mm
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3526452
|
LOCAL
|
Cage-xrl Med Central Body
|
32
|
18
|
$22,401.00
|
—
|
$4,704.21
|
$18,550.27
|
$14,762.26
|
2026-04-01
|
|
3526469
|
LOCAL
|
Spacer-elevate Spinal Ex 23x10
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3526515
|
LOCAL
|
Spacer-elevate Spinal Ex 23x1
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3526984
|
LOCAL
|
Stent-thoracic Endoprosthesis
|
32
|
18
|
$71,904.00
|
—
|
$15,099.84
|
$59,543.70
|
$47,384.74
|
2026-04-01
|
|
3527010
|
LOCAL
|
Stent-aaa Mainbody
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3527096
|
LOCAL
|
Cage-xrl Med Central Body
|
32
|
18
|
$21,819.00
|
—
|
$4,581.99
|
$18,068.31
|
$14,378.72
|
2026-04-01
|
|
3527114
|
LOCAL
|
Device-watchman M635wu
|
32
|
18
|
$62,261.00
|
—
|
$13,074.81
|
$51,558.33
|
$41,030.00
|
2026-04-01
|
|
3527144
|
LOCAL
|
Stent-excluder Iliac 14.5mmx10
|
32
|
18
|
$51,043.00
|
—
|
$10,719.03
|
$42,268.71
|
$33,637.33
|
2026-04-01
|
|
3527243
|
LOCAL
|
Spacer-elevate Spinal Exp 23x9
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3527876
|
LOCAL
|
Stent-aaa Excluder Rlt261216
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3549024
|
LOCAL
|
Implant-coroent Xlf 7871055
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3549076
|
LOCAL
|
Stent-thoracic Tgu313115
|
32
|
18
|
$73,703.00
|
—
|
$15,477.63
|
$61,033.45
|
$48,570.28
|
2026-04-01
|
|
3549115
|
LOCAL
|
Stent-valiant Thoracic
|
32
|
18
|
$72,761.00
|
—
|
$15,279.81
|
$60,253.38
|
$47,949.50
|
2026-04-01
|
|
3549147
|
LOCAL
|
Stent-iliac Limb Etuf2314c102e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3549149
|
LOCAL
|
Stent-iliac Limb Etuf2814c102e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3549222
|
LOCAL
|
Stent-valiant Thoracic
|
32
|
18
|
$83,464.00
|
—
|
$17,527.44
|
$69,116.54
|
$55,002.78
|
2026-04-01
|
|
3549224
|
LOCAL
|
Stent-valiant Thoracic
|
32
|
18
|
$72,761.00
|
—
|
$15,279.81
|
$60,253.38
|
$47,949.50
|
2026-04-01
|
|
3549225
|
LOCAL
|
Stent-valiant Thoracic
|
32
|
18
|
$83,464.00
|
—
|
$17,527.44
|
$69,116.54
|
$55,002.78
|
2026-04-01
|
|
3549255
|
LOCAL
|
Spacer-13.5h 14° 08.815.123s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3549303
|
LOCAL
|
Spacer-12h 14° 08.815.122s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3549326
|
LOCAL
|
Spacer-12x33-53mm 151.054
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3549391
|
LOCAL
|
Spacer-12x25-37mm 151.053
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3549969
|
LOCAL
|
Stent-valiant Thoracic
|
32
|
18
|
$83,464.00
|
—
|
$17,527.44
|
$69,116.54
|
$55,002.78
|
2026-04-01
|
|
3549975
|
LOCAL
|
Spacer-10.5h 10° 08.815.111s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3549979
|
LOCAL
|
Stent-thoracic Vnmf3131c174tu
|
32
|
18
|
$79,183.00
|
—
|
$16,628.43
|
$65,571.44
|
$52,181.60
|
2026-04-01
|
|
3549980
|
LOCAL
|
Stent-thoracic Vnmf3131c97tu
|
32
|
18
|
$72,761.00
|
—
|
$15,279.81
|
$60,253.38
|
$47,949.50
|
2026-04-01
|
|
3550053
|
LOCAL
|
Spacer-10x55mm 6° 4986055
|
32
|
18
|
$19,062.00
|
—
|
$4,003.02
|
$15,785.24
|
$12,561.86
|
2026-04-01
|
|
3550054
|
LOCAL
|
Spacer-12x55 6° 4986255
|
32
|
18
|
$19,062.00
|
—
|
$4,003.02
|
$15,785.24
|
$12,561.86
|
2026-04-01
|
|
3550081
|
LOCAL
|
Extension-iliac Etew2424c82e
|
32
|
18
|
$21,114.00
|
—
|
$4,433.94
|
$17,484.50
|
$13,914.12
|
2026-04-01
|
|
3550099
|
LOCAL
|
Rise-20x50 8-105mm 6° 193.424
|
32
|
18
|
$26,114.00
|
—
|
$5,483.94
|
$21,625.00
|
$17,209.12
|
2026-04-01
|
|
3550101
|
LOCAL
|
Core-20x30-46mm 351.152
|
32
|
18
|
$22,112.00
|
—
|
$4,643.52
|
$18,310.95
|
$14,571.81
|
2026-04-01
|
|
3550118
|
LOCAL
|
Spacer-20xxx 8-15 6°
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3550128
|
LOCAL
|
Spacer-24x30x13 15° 3135.0213
|
32
|
18
|
$26,055.00
|
—
|
$5,471.55
|
$21,576.15
|
$17,170.25
|
2026-04-01
|
|
3550228
|
LOCAL
|
Disc-cerv Mobi-c 13x17 Mb3375
|
32
|
18
|
$21,902.00
|
—
|
$4,599.42
|
$18,137.05
|
$14,433.42
|
2026-04-01
|
|
3550279
|
LOCAL
|
Tlif-9x23x10
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550285
|
LOCAL
|
Tlif-9x24x10 10-14.5mm Expan
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550322
|
LOCAL
|
Implant-cranial Peek Csi Small
|
32
|
18
|
$52,227.00
|
—
|
$10,967.67
|
$43,249.18
|
$34,417.60
|
2026-04-01
|
|
3550378
|
LOCAL
|
Tlif-11x27xx° Expand
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550428
|
LOCAL
|
Stent-thoracic Vnmc3428c207tu
|
32
|
18
|
$83,464.00
|
—
|
$17,527.44
|
$69,116.54
|
$55,002.78
|
2026-04-01
|
|
3550436
|
LOCAL
|
Core-14x35-54mm 351.052
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3550468
|
LOCAL
|
Cage
|
32
|
18
|
$21,661.00
|
—
|
$4,548.81
|
$17,937.47
|
$14,274.60
|
2026-04-01
|
|
3550509
|
LOCAL
|
Spacer-9mm 6° 08.825.100s
|
32
|
18
|
$18,916.00
|
—
|
$3,972.36
|
$15,664.34
|
$12,465.65
|
2026-04-01
|
|
3550514
|
LOCAL
|
Tlif-11x23x15°/10-14.5mm Exp
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550526
|
LOCAL
|
Spacer-26x34x13/15° 3135.0713
|
32
|
18
|
$26,055.00
|
—
|
$5,471.55
|
$21,576.15
|
$17,170.25
|
2026-04-01
|
|
3550613
|
LOCAL
|
Stent-thoracic Tgmr312610
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3550621
|
LOCAL
|
Spacer-26x34x15/15° 3135.0715
|
32
|
18
|
$26,055.00
|
—
|
$5,471.55
|
$21,576.15
|
$17,170.25
|
2026-04-01
|
|
3550664
|
LOCAL
|
Stent-limb Etlw1613c146e
|
32
|
18
|
$25,608.00
|
—
|
$5,377.68
|
$21,205.98
|
$16,875.67
|
2026-04-01
|
|
3550669
|
LOCAL
|
Spacer-12mm 10°/md 08.815.212s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3550696
|
LOCAL
|
Cage-lord X.5x10x24mm
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550707
|
LOCAL
|
Cage-lord 10.5x10x24mm 28-3144
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550712
|
LOCAL
|
Cage-10mm/8° 50/18 Lui81049
|
32
|
18
|
$19,856.00
|
—
|
$4,169.76
|
$16,442.75
|
$13,085.10
|
2026-04-01
|
|
3550775
|
LOCAL
|
Spacer-24x30x15 15° 1212.0215s
|
32
|
18
|
$22,007.00
|
—
|
$4,621.47
|
$18,224.00
|
$14,502.62
|
2026-04-01
|
|
3550844
|
LOCAL
|
Cage-lord 10.5x10x28mm 28-3184
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3550854
|
LOCAL
|
Cage-12mm/8° 50/18 Lui81249
|
32
|
18
|
$19,856.00
|
—
|
$4,169.76
|
$16,442.75
|
$13,085.10
|
2026-04-01
|
|
3550856
|
LOCAL
|
Implant-custom Med Pk623984
|
32
|
18
|
$52,648.00
|
—
|
$11,056.08
|
$43,597.81
|
$34,695.03
|
2026-04-01
|
|
3550865
|
LOCAL
|
Stent-limb Etlw1610c146e
|
32
|
18
|
$25,608.00
|
—
|
$5,377.68
|
$21,205.98
|
$16,875.67
|
2026-04-01
|
|
3550896
|
LOCAL
|
Stent-thoracic Tgmr312610
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3559116
|
LOCAL
|
Spacer-24x30x13 8* 1212.0113s
|
32
|
18
|
$37,814.00
|
—
|
$7,940.94
|
$31,313.77
|
$24,919.43
|
2026-04-01
|
|
3559144
|
LOCAL
|
Stent-limb Etlw1628c146e
|
32
|
18
|
$25,608.00
|
—
|
$5,377.68
|
$21,205.98
|
$16,875.67
|
2026-04-01
|
|
3559157
|
LOCAL
|
Cage-12x14/14-20 Mm (h) 5*
|
32
|
18
|
$21,661.00
|
—
|
$4,548.81
|
$17,937.47
|
$14,274.60
|
2026-04-01
|
|
3559197
|
LOCAL
|
Spacer-12mm 10*/md 08.815.242s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3559212
|
LOCAL
|
Cage-lord 8.5x10x28mm 28-3182
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3559239
|
LOCAL
|
Spacer-12x60mm 6° 2968260
|
32
|
18
|
$19,062.00
|
—
|
$4,003.02
|
$15,785.24
|
$12,561.86
|
2026-04-01
|
|
3559241
|
LOCAL
|
Cath-impella 5.5 0550-0008
|
32
|
18
|
$189,531.00
|
—
|
$39,801.51
|
$156,950.62
|
$124,900.93
|
2026-04-01
|
|
3559296
|
LOCAL
|
Spacer-12mm 14*/md 08.815.252s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3559449
|
LOCAL
|
Tlif,9x27x15 10-14.5mm Expand
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3559453
|
LOCAL
|
Tlif-9x27x0* 7-11.5mm Expland
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3559465
|
LOCAL
|
Stent-thoracic Tgm262610
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3559468
|
LOCAL
|
Spacer-12mm 10* 08.815.112s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3559475
|
LOCAL
|
Spacer-10x26 7-14mm 1172.2121s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3559529
|
LOCAL
|
Tlif-11x23x0* 7-11.5mm Expan
|
32
|
18
|
$19,066.00
|
—
|
$4,003.86
|
$15,788.55
|
$12,564.49
|
2026-04-01
|
|
3559555
|
LOCAL
|
Stent-thoracic Vnmc3731c207tu
|
32
|
18
|
$83,464.00
|
—
|
$17,527.44
|
$69,116.54
|
$55,002.78
|
2026-04-01
|
|
3559595
|
LOCAL
|
Stent-thoracic Tgm282810
|
32
|
18
|
$61,483.00
|
—
|
$12,911.43
|
$50,914.07
|
$40,517.29
|
2026-04-01
|
|
3574664
|
LOCAL
|
Valve-evolutr Evolutr-23-US
|
32
|
18
|
$126,354.00
|
—
|
$26,534.34
|
$104,633.75
|
$83,267.29
|
2026-04-01
|
|
3598055
|
LOCAL
|
Meniscus-lat/left 28325002
|
32
|
18
|
$21,435.00
|
—
|
$4,501.35
|
$17,750.32
|
$14,125.67
|
2026-04-01
|
|
3598058
|
LOCAL
|
Excluder-aaa Conform Xct281412
|
32
|
18
|
$57,378.00
|
—
|
$12,049.38
|
$47,514.72
|
$37,812.10
|
2026-04-01
|
|
3598064
|
LOCAL
|
Excluder-aaa Conform Cxt201412
|
32
|
18
|
$57,378.00
|
—
|
$12,049.38
|
$47,514.72
|
$37,812.10
|
2026-04-01
|
|
3598105
|
LOCAL
|
Implant-custom Xl Pk624561
|
32
|
18
|
$58,966.00
|
—
|
$12,382.86
|
$48,829.74
|
$38,858.60
|
2026-04-01
|
|
3598150
|
LOCAL
|
Stent-valiant Vamf4036c150tu
|
32
|
18
|
$74,003.00
|
—
|
$15,540.63
|
$61,281.88
|
$48,767.98
|
2026-04-01
|
|
3598173
|
LOCAL
|
Exclude-aaa 18fr Cxa
|
32
|
18
|
$21,593.00
|
—
|
$4,534.53
|
$17,881.16
|
$14,229.78
|
2026-04-01
|
|
3598209
|
LOCAL
|
Stent-thoracic Tgmr
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3598222
|
LOCAL
|
Spacer-26x34x11 15* 1212-0711s
|
32
|
18
|
$37,814.00
|
—
|
$7,940.94
|
$31,313.77
|
$24,919.43
|
2026-04-01
|
|
3598270
|
LOCAL
|
Excluder-aaa Conform Cxt261412
|
32
|
18
|
$58,545.00
|
—
|
$12,294.45
|
$48,481.11
|
$38,581.15
|
2026-04-01
|
|
3598315
|
LOCAL
|
Stent-aaa Excluder Rlt281212
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3598316
|
LOCAL
|
Stent-aaa Excluder Rlt281218
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3598455
|
LOCAL
|
Spacer-10x30 9-16mm 1172.2213s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3598466
|
LOCAL
|
Excluder-aaa Conform Cxt321414
|
32
|
18
|
$57,378.00
|
—
|
$12,049.38
|
$47,514.72
|
$37,812.10
|
2026-04-01
|
|
3598553
|
LOCAL
|
Stent-limb Etlw1620c146e
|
32
|
18
|
$25,608.00
|
—
|
$5,377.68
|
$21,205.98
|
$16,875.67
|
2026-04-01
|
|
3598574
|
LOCAL
|
Spacer-10x26 9-16mm 1172.2113s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3598659
|
LOCAL
|
Spacer-10x7.9x55/6° 46261055
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3598660
|
LOCAL
|
Spacer-14x9.8x55/12° 46221455
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3598783
|
LOCAL
|
Spacer-core 20-62x92mm 151.154
|
32
|
18
|
$20,307.00
|
—
|
$4,264.47
|
$16,816.23
|
$13,382.32
|
2026-04-01
|
|
3598802
|
LOCAL
|
Valve-evolut Fx Evolutfx
|
32
|
18
|
$126,354.00
|
—
|
$26,534.34
|
$104,633.75
|
$83,267.29
|
2026-04-01
|
|
3598936
|
LOCAL
|
Spacer-10x26 7-14mm 1172.2121s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3598962
|
LOCAL
|
Spacer-24x30x13 15° 1212.0213s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3599031
|
LOCAL
|
Valve-epic Mitral Plus E200-25
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599032
|
LOCAL
|
Valve-epic Mitral Plus E200-27
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599033
|
LOCAL
|
Valve-epic Mitral Plus E200-29
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599034
|
LOCAL
|
Valve-epic Mitral Plus E200-31
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599035
|
LOCAL
|
Valve-epic Mitral Plus E200-33
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599036
|
LOCAL
|
Valve-epic Aorta Plus Supra Es
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599037
|
LOCAL
|
Valve-epic Aorta Plus Supra Es
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599038
|
LOCAL
|
Valve-epic Aorta Plus Supra Es
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599039
|
LOCAL
|
Valve-epic Aorta Plus Supra Es
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599040
|
LOCAL
|
Valve-epic Aorta Plus Supra Es
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599047
|
LOCAL
|
Rise-18x60 8-15mm 6° 193.326
|
32
|
18
|
$21,059.00
|
—
|
$4,422.39
|
$17,438.96
|
$13,877.88
|
2026-04-01
|
|
3599053
|
LOCAL
|
Spacer-10x7.9x60/6° 46261060
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3599072
|
LOCAL
|
Valve-epic Aorta E200-29a
|
32
|
18
|
$19,621.00
|
—
|
$4,120.41
|
$16,248.15
|
$12,930.24
|
2026-04-01
|
|
3599110
|
LOCAL
|
Clamp-long Encompass Jaw Olh
|
32
|
18
|
$22,744.00
|
—
|
$4,776.24
|
$18,834.31
|
$14,988.30
|
2026-04-01
|
|
3599111
|
LOCAL
|
Spacer-10x30 6-12mm 1172.2210s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3599130
|
LOCAL
|
Stent-valiant Vamc3632c150tu
|
32
|
18
|
$71,002.00
|
—
|
$14,910.42
|
$58,796.76
|
$46,790.32
|
2026-04-01
|
|
3599189
|
LOCAL
|
Stent-valiant Vamf2828c100tu
|
32
|
18
|
$68,001.00
|
—
|
$14,280.21
|
$56,311.63
|
$44,812.66
|
2026-04-01
|
|
3599192
|
LOCAL
|
Spacer-12x9 9x55/6° 46261255
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3599253
|
LOCAL
|
Spacer-12x7.8x55/12° 46221255
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3599512
|
LOCAL
|
Kit-dual N8 Processor Dualn8
|
32
|
18
|
$62,546.00
|
—
|
$13,134.66
|
$51,794.34
|
$41,217.82
|
2026-04-01
|
|
3599528
|
LOCAL
|
Stent-thoracic Tag Tgm343420
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3599583
|
LOCAL
|
Spacer-14x11.9x60/6° 46261460
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3599621
|
LOCAL
|
Spacer-20x60 8-17 5° 1122.1060
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3599631
|
LOCAL
|
Stent,thoracic Tgmr373715
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3599737
|
LOCAL
|
Spacer-12x9.9x60/6° 46261260
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3599877
|
LOCAL
|
Excluder-aaa Conform Cxt231412
|
32
|
18
|
$57,378.00
|
—
|
$12,049.38
|
$47,514.72
|
$37,812.10
|
2026-04-01
|
|
3599957
|
LOCAL
|
Stent-endurant Ettf2828c70e
|
32
|
18
|
$30,310.00
|
—
|
$6,365.10
|
$25,099.71
|
$19,974.29
|
2026-04-01
|
|
3600245
|
LOCAL
|
Exclude-aaa 28/16fr Cxa280005
|
32
|
18
|
$21,593.00
|
—
|
$4,534.53
|
$17,881.16
|
$14,229.78
|
2026-04-01
|
|
3600496
|
LOCAL
|
Stent-endurant Esbf2814c103e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3600497
|
LOCAL
|
Stent-endurant Esbf3214c103e
|
32
|
18
|
$39,913.00
|
—
|
$8,381.73
|
$33,051.96
|
$26,302.67
|
2026-04-01
|
|
3600529
|
LOCAL
|
Stent-aaa Trnk 23x14.5x12/16fr
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600530
|
LOCAL
|
Stent-aaa Trnk 26x14.5x16/16fr
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600531
|
LOCAL
|
Stent-aaa Excluder Rlt261418
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600532
|
LOCAL
|
Stent-aaa Tk 28.5x14.5x14/18fr
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600533
|
LOCAL
|
Stent-aaa Excluder Rlt281416
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600534
|
LOCAL
|
Stent-aaa Cn/lg 16x20x13.5/12f
|
32
|
18
|
$21,396.00
|
—
|
$4,493.16
|
$17,718.03
|
$14,099.97
|
2026-04-01
|
|
3600535
|
LOCAL
|
Stent-aaa Excluder Plc231000
|
32
|
18
|
$21,918.00
|
—
|
$4,602.78
|
$18,150.30
|
$14,443.96
|
2026-04-01
|
|
3600536
|
LOCAL
|
Stent-aaa Excluder Plc231200
|
32
|
18
|
$21,918.00
|
—
|
$4,602.78
|
$18,150.30
|
$14,443.96
|
2026-04-01
|
|
3600537
|
LOCAL
|
Stent-aaa Tk 35x14.5x14/18fr
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3600538
|
LOCAL
|
Graft-tag Stent 21x21x10/18fr
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3600539
|
LOCAL
|
Graft-tag Stent 34x34x10/22fr
|
32
|
18
|
$84,847.00
|
—
|
$17,817.87
|
$70,261.80
|
$55,914.18
|
2026-04-01
|
|
3600540
|
LOCAL
|
Graft-tag Stent 34x34x15/22fr
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3600541
|
LOCAL
|
Graft-tag Stent 45x45x10/24fr
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3600542
|
LOCAL
|
Graft-tag Stent 45x45x20/24fr
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3600543
|
LOCAL
|
Graft-tag Stent 40x40x10/22fr
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3600544
|
LOCAL
|
Graft-tag Stent 40x40x20/22fr
|
32
|
18
|
$86,629.00
|
—
|
$18,192.09
|
$71,737.47
|
$57,088.51
|
2026-04-01
|
|
3600919
|
LOCAL
|
Spacer-core 26-34x20mm 151.151
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3600934
|
LOCAL
|
Spacer-8x22 6-12/8° 1172.0010s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3600936
|
LOCAL
|
Spacer-8x22 9-15/8° 1172.0013s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3600990
|
LOCAL
|
Spacer-10x5.8x55/12° 46221055
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601062
|
LOCAL
|
Core-14x24-32mm 351.050
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3601190
|
LOCAL
|
Core-14x15-18 / 0° 351.001
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3601203
|
LOCAL
|
Stent-32x32x70mm Ettf3232c70e
|
32
|
18
|
$30,310.00
|
—
|
$6,365.10
|
$25,099.71
|
$19,974.29
|
2026-04-01
|
|
3601327
|
LOCAL
|
Spacer-10x7.9x50/6° 46261050
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601369
|
LOCAL
|
Spacer-20x50 8-17 5° 1122.1050
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3601417
|
LOCAL
|
Cath-steerable Guide Mitraclip
|
32
|
18
|
$110,000.00
|
—
|
$23,100.00
|
$91,091.00
|
$72,490.00
|
2026-04-01
|
|
3601475
|
LOCAL
|
Stent-aaa Excluder Rlt231416
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3601476
|
LOCAL
|
Stent-aaa Excluder Rlt231216
|
32
|
18
|
$49,893.00
|
—
|
$10,477.53
|
$41,316.39
|
$32,879.49
|
2026-04-01
|
|
3601578
|
LOCAL
|
Spacer-20x55 8-17 5° 1122.1055
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3601594
|
LOCAL
|
Spacer-12°/37x29x10mm 46511210
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601630
|
LOCAL
|
Comp-df 65mm/rt/std 6495-2-040
|
32
|
18
|
$21,681.00
|
—
|
$4,553.01
|
$17,954.04
|
$14,287.78
|
2026-04-01
|
|
3601640
|
LOCAL
|
Core-14x18-24 / 0° 351.009
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3601699
|
LOCAL
|
Spacer-10x31mm/15° 1124.1133
|
32
|
18
|
$18,953.00
|
—
|
$3,980.13
|
$15,694.98
|
$12,490.02
|
2026-04-01
|
|
3601742
|
LOCAL
|
Spacer-12°/37x29x12mm 46511212
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601789
|
LOCAL
|
Spacer-core 20-41-64mm 151.153
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3601790
|
LOCAL
|
Spacer-20x45 8-17 5° 1122.1045
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3601899
|
LOCAL
|
Spacer-12°/32x25x10mm 46501210
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601956
|
LOCAL
|
Spacer-12°/37x29x14mm 46511214
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3601986
|
LOCAL
|
Kit-20mm 2probe 9700-020-200
|
32
|
18
|
$20,104.00
|
—
|
$4,221.84
|
$16,648.12
|
$13,248.53
|
2026-04-01
|
|
3602031
|
LOCAL
|
Graft-afx2 Bifurcated 22x60
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3602060
|
LOCAL
|
Spacer-12x21-29mm 151.052
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602068
|
LOCAL
|
Spacer-12x21-29mm 151.052
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602131
|
LOCAL
|
Graft-25x25x75mm A25-25/75 V
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3602142
|
LOCAL
|
Spacer-12°/32x25x12mm 46501212
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3602147
|
LOCAL
|
Spacer-12x18-23mm 151.050
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602207
|
LOCAL
|
Spacer-12x19-25mm 151.051
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602272
|
LOCAL
|
Spacer-12x19-25mm 151.051
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602331
|
LOCAL
|
Kit Dl 15mm Probe 9700-015-200
|
32
|
18
|
$22,350.00
|
—
|
$4,693.50
|
$18,508.04
|
$14,728.65
|
2026-04-01
|
|
3602354
|
LOCAL
|
Spacer 12x19-25mm 151.051
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602418
|
LOCAL
|
Core-16mm 20-25mm 151.100
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3602524
|
LOCAL
|
Stent-aaa Iliac Ext 22x22x45mm
|
32
|
18
|
$21,603.00
|
—
|
$4,536.63
|
$17,889.44
|
$14,236.38
|
2026-04-01
|
|
3602549
|
LOCAL
|
Aragonite-7.5x10/3pk Chp0753
|
32
|
18
|
$24,631.00
|
—
|
$5,172.51
|
$20,396.93
|
$16,231.83
|
2026-04-01
|
|
3602551
|
LOCAL
|
Aragonite-7.5x10/2pk Chp0752
|
32
|
18
|
$23,726.00
|
—
|
$4,982.46
|
$19,647.50
|
$15,635.44
|
2026-04-01
|
|
3602575
|
LOCAL
|
Spacer-20x65 8-15 6° 1122.0165
|
32
|
18
|
$31,589.00
|
—
|
$6,633.69
|
$26,158.85
|
$20,817.15
|
2026-04-01
|
|
3602603
|
LOCAL
|
Occluder-amplatzer Amulet 16mm
|
32
|
18
|
$71,601.00
|
—
|
$15,036.21
|
$59,292.79
|
$47,185.06
|
2026-04-01
|
|
3602605
|
LOCAL
|
Occluder-amplatzer Amulet 22mm
|
32
|
18
|
$71,601.00
|
—
|
$15,036.21
|
$59,292.79
|
$47,185.06
|
2026-04-01
|
|
3602607
|
LOCAL
|
Occlude- Amplatzer Amulet 31mm
|
32
|
18
|
$71,601.00
|
—
|
$15,036.21
|
$59,292.79
|
$47,185.06
|
2026-04-01
|
|
3602882
|
LOCAL
|
Valve-evolut Fx+ Evfxplus-34
|
32
|
18
|
$134,778.00
|
—
|
$28,303.38
|
$111,609.66
|
$88,818.70
|
2026-04-01
|
|
3603004
|
LOCAL
|
Spacer-13mm 18°/md 08.815.263s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3603050
|
LOCAL
|
Spacer-12x9.9x50/6° 46261250
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3603057
|
LOCAL
|
Kit-20mm Probe 9700-020-100
|
32
|
18
|
$21,773.00
|
—
|
$4,572.33
|
$18,030.22
|
$14,348.40
|
2026-04-01
|
|
3603063
|
LOCAL
|
Spacer-14h 08.815.224s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3603110
|
LOCAL
|
Meniscus-medial Left 28225002
|
32
|
18
|
$21,060.00
|
—
|
$4,422.60
|
$17,439.79
|
$13,878.54
|
2026-04-01
|
|
3603144
|
LOCAL
|
Spacer-13.5h 08.815.223s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3603240
|
LOCAL
|
Graft-system Vamf3030c100tu
|
32
|
18
|
$68,001.00
|
—
|
$14,280.21
|
$56,311.63
|
$44,812.66
|
2026-04-01
|
|
3603375
|
LOCAL
|
Cage-capri Crv 7512-21446l0-g3
|
32
|
18
|
$20,307.00
|
—
|
$4,264.47
|
$16,816.23
|
$13,382.32
|
2026-04-01
|
|
3603385
|
LOCAL
|
Bone-matrix 10cc P01-v92-1002
|
32
|
18
|
$26,282.00
|
—
|
$5,519.22
|
$21,764.12
|
$17,319.84
|
2026-04-01
|
|
3603387
|
LOCAL
|
Stent-aaa 28x70/20x30mm
|
32
|
18
|
$56,856.00
|
—
|
$11,939.76
|
$47,082.45
|
$37,468.10
|
2026-04-01
|
|
3603396
|
LOCAL
|
Pack-bp 13x50/13g Nn-2003
|
32
|
18
|
$21,435.00
|
—
|
$4,501.35
|
$17,750.32
|
$14,125.67
|
2026-04-01
|
|
3603505
|
LOCAL
|
Aragonite-7.5x10/5pk Chp0755
|
32
|
18
|
$26,442.00
|
—
|
$5,552.82
|
$21,896.62
|
$17,425.28
|
2026-04-01
|
|
3603530
|
LOCAL
|
Pack-bp 13.5x60/13g Nn-2004
|
32
|
18
|
$21,435.00
|
—
|
$4,501.35
|
$17,750.32
|
$14,125.67
|
2026-04-01
|
|
3603587
|
LOCAL
|
Handpiece-11g/13cm Nn-8007
|
32
|
18
|
$18,660.00
|
—
|
$3,918.60
|
$15,452.35
|
$12,296.94
|
2026-04-01
|
|
3603588
|
LOCAL
|
Pack-bp 13.5x95/13g Nn-2006
|
32
|
18
|
$21,435.00
|
—
|
$4,501.35
|
$17,750.32
|
$14,125.67
|
2026-04-01
|
|
3603589
|
LOCAL
|
Pack-bp 13.5x75/13g Nn-2005
|
32
|
18
|
$21,435.00
|
—
|
$4,501.35
|
$17,750.32
|
$14,125.67
|
2026-04-01
|
|
3603760
|
LOCAL
|
Graft-aaa Distal G32551
|
32
|
18
|
$21,169.00
|
—
|
$4,445.49
|
$17,530.05
|
$13,950.37
|
2026-04-01
|
|
3603762
|
LOCAL
|
Graft-aaa Prox Body G32542
|
32
|
18
|
$61,695.00
|
—
|
$12,955.95
|
$51,089.63
|
$40,657.01
|
2026-04-01
|
|
3603783
|
LOCAL
|
Rise-18x45 7-14mm 193.303
|
32
|
18
|
$21,059.00
|
—
|
$4,422.39
|
$17,438.96
|
$13,877.88
|
2026-04-01
|
|
3603952
|
LOCAL
|
Spacer-10x22 6-12mm 1172.2010s
|
32
|
18
|
$23,165.00
|
—
|
$4,864.65
|
$19,182.94
|
$15,265.74
|
2026-04-01
|
|
3603974
|
LOCAL
|
Graft-aaa Leg 11/74mm G55226
|
32
|
18
|
$22,455.00
|
—
|
$4,715.55
|
$18,594.99
|
$14,797.85
|
2026-04-01
|
|
3603975
|
LOCAL
|
Graft-aaa Leg 13/74mm G55232
|
32
|
18
|
$22,455.00
|
—
|
$4,715.55
|
$18,594.99
|
$14,797.85
|
2026-04-01
|
|
3603983
|
LOCAL
|
Spacer-12x9.9x45/6° 46261245
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3604123
|
LOCAL
|
Graft-aaa Leg 16/74mm G55238
|
32
|
18
|
$22,455.00
|
—
|
$4,715.55
|
$18,594.99
|
$14,797.85
|
2026-04-01
|
|
3604124
|
LOCAL
|
Graft-aaa Leg 13/90mm G55233
|
32
|
18
|
$22,455.00
|
—
|
$4,715.55
|
$18,594.99
|
$14,797.85
|
2026-04-01
|
|
3604190
|
LOCAL
|
Spacer-16x55/18°/23w 46381650
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3604191
|
LOCAL
|
Spacer-8x5.9x50/6° 46260850
|
32
|
18
|
$19,360.00
|
—
|
$4,065.60
|
$16,032.02
|
$12,758.24
|
2026-04-01
|
|
3604205
|
LOCAL
|
Spacer-8x5.9x55/6° 46260855
|
32
|
18
|
$28,370.00
|
—
|
$5,957.70
|
$23,493.20
|
$18,695.83
|
2026-04-01
|
|
3604592
|
LOCAL
|
Graft-valve 27mm 27vavgj-515
|
32
|
18
|
$29,273.00
|
—
|
$6,147.33
|
$24,240.97
|
$19,290.90
|
2026-04-01
|
|
3604947
|
LOCAL
|
Core-14x28-40mm 351.051
|
32
|
18
|
$20,082.00
|
—
|
$4,217.22
|
$16,629.90
|
$13,234.04
|
2026-04-01
|
|
3825114
|
LOCAL
|
Valve-evolutr Evolutr-34-US
|
32
|
18
|
$126,353.00
|
—
|
$26,534.13
|
$104,632.92
|
$83,266.62
|
2026-04-01
|
|
3827720
|
LOCAL
|
Cath-impella Cp 0048-0003
|
32
|
18
|
$105,294.00
|
—
|
$22,111.74
|
$87,193.96
|
$69,388.74
|
2026-04-01
|
|
3827727
|
LOCAL
|
Cath-impella 2.5 005042
|
32
|
18
|
$84,236.00
|
—
|
$17,689.56
|
$69,755.83
|
$55,511.52
|
2026-04-01
|
|
77372
|
CPT
|
Stereotactic Rad Cranial 1 Tx
|
32
|
18
|
$26,319.00
|
—
|
$5,526.99
|
$21,794.76
|
$17,344.22
|
2026-04-01
|
|
93580
|
CPT
|
Transcath Closure Of Asd
|
32
|
18
|
$20,189.00
|
—
|
$4,239.69
|
$16,718.51
|
$13,304.55
|
2026-04-01
|
|
93583
|
CPT
|
Perq Transcath Septal Reduxn
|
32
|
18
|
$20,711.00
|
—
|
$4,349.31
|
$17,150.78
|
$13,648.55
|
2026-04-01
|
|
93653
|
CPT
|
Eps W/induct & Svt Ablation
|
32
|
18
|
$24,993.00
|
—
|
$5,248.53
|
$20,696.70
|
$16,470.39
|
2026-04-01
|
|
93654
|
CPT
|
Eps With Induct/vt Abl/ Mapping
|
32
|
18
|
$29,260.00
|
—
|
$6,144.60
|
$24,230.21
|
$19,282.34
|
2026-04-01
|
|
93656
|
CPT
|
Eps W/induc/abl Afib/pulm Vein
|
32
|
18
|
$24,993.00
|
—
|
$5,248.53
|
$20,696.70
|
$16,470.39
|
2026-04-01
|
|
A9604
|
HCPCS
|
Pharm Sm153 Quadramet To 150mc
|
32
|
18
|
$24,905.00
|
—
|
$5,230.05
|
$20,623.83
|
$16,412.40
|
2026-04-01
|
|
C1602
|
HCPCS
|
Graft-cerament-g 5ml A0535-06
|
32
|
18
|
$18,601.00
|
—
|
$3,906.21
|
$15,403.49
|
$12,258.06
|
2026-04-01
|
|
C1721
|
HCPCS
|
Defibrillator-cobalt Ddpa2d4
|
288
|
18
|
$56,860.00
|
—
|
$8,476.23
|
$61,382.91
|
$32,637.74
|
2026-04-01
|
|
C1722
|
HCPCS
|
Defibrillator-acticor 448101
|
416
|
18
|
$54,333.00
|
—
|
$8,107.68
|
$69,755.83
|
$30,943.86
|
2026-04-01
|
|
C1761
|
HCPCS
|
Cath-ivl C2+ C2pivl3512
|
32
|
18
|
$21,210.00
|
—
|
$4,454.10
|
$17,564.00
|
$13,977.39
|
2026-04-01
|
|
C1764
|
HCPCS
|
Monitor-biomonitor 2 Af 398493
|
192
|
18
|
$19,743.00
|
—
|
$3,601.08
|
$18,609.89
|
$12,500.89
|
2026-04-01
|
|
C1767
|
HCPCS
|
Battery-dbs Ipg 37602
|
384
|
18
|
$76,190.00
|
—
|
$8,455.65
|
$129,703.65
|
$40,019.32
|
2026-04-01
|
|
C1815
|
HCPCS
|
Balloon-press Reg 72400024
|
96
|
18
|
$30,515.00
|
—
|
$3,264.66
|
$26,228.41
|
$12,646.67
|
2026-04-01
|
|
C1817
|
HCPCS
|
Occluder-amplatzer 9-asd-015
|
128
|
18
|
$29,024.00
|
—
|
$5,970.30
|
$34,860.53
|
$20,579.36
|
2026-04-01
|
|
C1820
|
HCPCS
|
Generator-eterna 32400
|
160
|
18
|
$72,865.00
|
—
|
$1,516.41
|
$64,524.72
|
$32,630.49
|
2026-04-01
|
|
C1826
|
HCPCS
|
Controller-proclaim 5 Ipg
|
224
|
18
|
$58,545.00
|
—
|
$9,119.88
|
$65,061.33
|
$33,765.68
|
2026-04-01
|
|
C1832
|
HCPCS
|
Kit-prep Recell Go Avrl0103
|
64
|
18
|
$26,061.00
|
—
|
$4,864.65
|
$23,979.29
|
$16,632.47
|
2026-04-01
|
|
C1882
|
HCPCS
|
Defib-quadra Assura Cd3369-40q
|
640
|
18
|
$73,766.50
|
—
|
$5,466.09
|
$86,403.13
|
$46,661.10
|
2026-04-01
|
|
C2621
|
HCPCS
|
Pacemake-edora 407137
|
256
|
18
|
$24,323.50
|
—
|
$4,422.39
|
$22,670.89
|
$15,352.01
|
2026-04-01
|
|
C2624
|
HCPCS
|
System-cardiomems Patient
|
32
|
18
|
$80,025.00
|
—
|
$16,805.25
|
$66,268.70
|
$52,736.47
|
2026-04-01
|
|
C9293
|
HCPCS
|
Glucarpidase 1,000 Unit Vial
|
32
|
18
|
$71,134.45
|
—
|
$14,938.23
|
$58,906.44
|
$46,877.60
|
2026-04-01
|
|
C9610
|
HCPCS
|
Balloon-agent Dcb 3x15
|
32
|
18
|
$23,797.00
|
—
|
$4,997.37
|
$19,706.30
|
$15,682.23
|
2026-04-01
|
|
J0223
|
HCPCS
|
Givosiran Sodium 189 Mg/ml
|
32
|
18
|
$72,323.59
|
—
|
$15,187.95
|
$59,891.16
|
$47,661.24
|
2026-04-01
|
|
J2323
|
HCPCS
|
Natalizumab 300 Mg/15 Ml
|
32
|
18
|
$26,552.70
|
—
|
$5,576.07
|
$21,988.29
|
$17,498.23
|
2026-04-01
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10 Ml Vial
|
32
|
18
|
$33,993.10
|
—
|
$7,138.55
|
$28,149.69
|
$22,401.46
|
2026-04-01
|
|
J2351
|
HCPCS
|
Ocrevus Zunovo 920mg/23ml Vial
|
32
|
18
|
$67,888.00
|
—
|
$14,256.48
|
$56,218.05
|
$44,738.19
|
2026-04-01
|
|
J2506
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6 Ml Syr
|
32
|
18
|
$19,198.55
|
—
|
$4,031.70
|
$15,898.32
|
$12,651.84
|
2026-04-01
|
|
J9042
|
HCPCS
|
Brentuximab 50 Mg/10 Ml Vl
|
32
|
18
|
$21,000.87
|
—
|
$4,410.18
|
$17,390.82
|
$13,839.57
|
2026-04-01
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/6 Ml Vial
|
32
|
18
|
$19,136.09
|
—
|
$4,018.58
|
$15,846.60
|
$12,610.68
|
2026-04-01
|
|
J9228
|
HCPCS
|
Ipilimumab 200 Mg/40 Ml Vial
|
64
|
18
|
$37,376.77
|
—
|
$3,160.05
|
$49,442.30
|
$12,499.66
|
2026-04-01
|
|
J9272
|
HCPCS
|
Jemperli 500 Mg/10 Ml Vial
|
32
|
18
|
$19,939.61
|
—
|
$4,187.32
|
$16,511.99
|
$13,140.20
|
2026-04-01
|
|
J9274
|
HCPCS
|
Kimmtrak 100 Mcg/0.5 Ml Vial
|
32
|
18
|
$34,669.41
|
—
|
$7,280.58
|
$28,709.74
|
$22,847.15
|
2026-04-01
|
|
J9298
|
HCPCS
|
Opdualag 240-80 Mg/20 Ml
|
32
|
18
|
$25,515.57
|
—
|
$5,358.27
|
$21,129.44
|
$16,814.76
|
2026-04-01
|
|
J9333
|
HCPCS
|
Rystiggo 840 Mg/6 Ml Vial
|
32
|
18
|
$30,751.08
|
—
|
$6,457.73
|
$25,464.97
|
$20,264.97
|
2026-04-01
|
|
J9334
|
HCPCS
|
Vyvgart Hytrulo 1,008mg/5.6ml
|
32
|
18
|
$26,611.28
|
—
|
$5,588.37
|
$22,036.80
|
$17,536.83
|
2026-04-01
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 300 Mg/15ml
|
32
|
18
|
$68,202.26
|
—
|
$14,322.47
|
$56,478.29
|
$44,945.29
|
2026-04-01
|
|
L8614
|
HCPCS
|
Implant-cochlear Ci-1601-04
|
320
|
18
|
$65,588.00
|
—
|
$9,578.94
|
$81,569.51
|
$37,351.93
|
2026-04-01
|
|
L8691
|
HCPCS
|
Kit-osia 2 Processor P1233400
|
160
|
18
|
$19,546.00
|
—
|
$3,181.92
|
$33,619.20
|
$12,326.15
|
2026-04-01
|