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 ALBANY

Albany, KY · CCN 181333 · Rates published

10,302 distinct procedures filed
18 distinct payers
505,629 rate rows
2024-07-01 last MRF observed · ⚠ 27 mo old
Data quality

504,957 of 505,629 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 — reasonRows
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 27 months old.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/charges/mca/
Found on page https://medcenterhealth.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
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 —
3602882
LOCAL 		Valve-evolut Fx+ Evfxplus-34 18 $40,433.40 $111,461.41 $96,546.88 —
3574664
LOCAL 		Valve-evolutr Evolutr-23-US 18 $37,906.20 $104,494.76 $90,512.42 —
3058904
LOCAL 		Valve-evolutpro-23-US 18 $37,906.20 $104,494.76 $90,512.42 —
3598802
LOCAL 		Valve-evolut Fx Evolutfx 18 $37,906.20 $104,494.76 $90,512.42 —
3086401
LOCAL 		Valve-evolutpro 26 US 18 $37,906.20 $104,494.76 $90,512.42 —
3825114
LOCAL 		Valve-evolutr Evolutr-34-US 18 $37,905.90 $104,493.93 $81,266.46 —
3601417
LOCAL 		Cath-steerable Guide Mitraclip 18 $33,000.00 $90,970.00 $78,797.40 —
3059056
LOCAL 		Set-impella Rp Pump 004334 18 $31,588.50 $87,078.97 $75,427.02 —
3827720
LOCAL 		Cath-impella Cp 0048-0003 18 $31,588.20 $87,078.14 $67,721.94 —
3600540
LOCAL 		Graft-tag Stent 34x34x15/22fr 18 $25,988.70 $71,642.18 $62,055.82 —
3600542
LOCAL 		Graft-tag Stent 45x45x20/24fr 18 $25,988.70 $71,642.18 $62,055.82 —
3599528
LOCAL 		Stent-thoracic Tag Tgm343420 18 $25,988.70 $71,642.18 $62,055.82 —
3600541
LOCAL 		Graft-tag Stent 45x45x10/24fr 18 $25,988.70 $71,642.18 $62,055.82 —
3600543
LOCAL 		Graft-tag Stent 40x40x10/22fr 18 $25,988.70 $71,642.18 $62,055.82 —
3600544
LOCAL 		Graft-tag Stent 40x40x20/22fr 18 $25,988.70 $71,642.18 $62,055.82 —
3600538
LOCAL 		Graft-tag Stent 21x21x10/18fr 18 $25,454.10 $70,168.47 $60,779.30 —
3598209
LOCAL 		Stent-thoracic Tgmr 18 $25,454.10 $70,168.47 $60,779.30 —
3599631
LOCAL 		Stent,thoracic Tgmr373715 18 $25,454.10 $70,168.47 $60,779.30 —
3550896
LOCAL 		Stent-thoracic Tgmr312610 18 $25,454.10 $70,168.47 $60,779.30 —
3600539
LOCAL 		Graft-tag Stent 34x34x10/22fr 18 $25,454.10 $70,168.47 $60,779.30 —
3559465
LOCAL 		Stent-thoracic Tgm262610 18 $25,454.10 $70,168.47 $60,779.30 —
3549969
LOCAL 		Stent-valiant Thoracic 18 $25,039.20 $69,024.73 $59,788.60 —
3549222
LOCAL 		Stent-valiant Thoracic 18 $25,039.20 $69,024.73 $59,788.60 —
3559555
LOCAL 		Stent-thoracic Vnmc3731c207tu 18 $25,039.20 $69,024.73 $59,788.60 —
3550428
LOCAL 		Stent-thoracic Vnmc3428c207tu 18 $25,039.20 $69,024.73 $59,788.60 —
3549225
LOCAL 		Stent-valiant Thoracic 18 $25,039.20 $69,024.73 $59,788.60 —
C2624
HCPCS 		System-cardiomems Patient 18 $24,007.50 $66,180.68 $57,325.11 nat. median
$26,491
outlier · 2.2×
3549979
LOCAL 		Stent-thoracic Vnmf3131c174tu 18 $23,754.90 $65,484.34 $56,721.95 —
3550613
LOCAL 		Stent-thoracic Tgmr312610 16 $25,454.10 $70,168.47 $54,571.04 —
3827727
LOCAL 		Cath-impella 2.5 005042 18 $25,270.80 $69,663.17 $54,178.07 —
3598150
LOCAL 		Stent-valiant Vamf4036c150tu 18 $22,200.90 $61,200.48 $53,011.31 —
3549076
LOCAL 		Stent-thoracic Tgu313115 18 $22,110.90 $60,952.38 $52,796.40 —
3549980
LOCAL 		Stent-thoracic Vnmf3131c97tu 18 $21,828.30 $60,173.35 $52,121.62 —
3549115
LOCAL 		Stent-valiant Thoracic 18 $21,828.30 $60,173.35 $52,121.62 —
3549224
LOCAL 		Stent-valiant Thoracic 18 $21,828.30 $60,173.35 $52,121.62 —
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml 18 $21,697.08 $59,811.61 $51,808.28 nat. median
$127
outlier · 408.1×
3526984
LOCAL 		Stent-thoracic Endoprosthesis 18 $21,571.20 $59,464.61 $51,507.71 —
3602605
LOCAL 		Occluder-amplatzer Amulet 22mm 18 $21,480.30 $59,214.03 $51,290.66 —
3602607
LOCAL 		Occlude- Amplatzer Amulet 31mm 18 $21,480.30 $59,214.03 $51,290.66 —
3602603
LOCAL 		Occluder-amplatzer Amulet 16mm 18 $21,480.30 $59,214.03 $51,290.66 —
C9293
HCPCS 		Glucarpidase 1,000 Unit Vial 18 $21,340.34 $58,828.19 $50,956.46 nat. median
$57,284
0.9× median
3599130
LOCAL 		Stent-valiant Vamc3632c150tu 18 $21,300.60 $58,718.65 $50,861.57 —
3599189
LOCAL 		Stent-valiant Vamf2828c100tu 18 $20,400.30 $56,236.83 $48,711.83 —
3603240
LOCAL 		Graft-system Vamf3030c100tu 18 $20,400.30 $56,236.83 $48,711.83 —
C1882
HCPCS 		Defib-quadra Assura Cd3369-40q 18 $7,808.70 $86,288.35 $47,924.72 nat. median
$24,131
2.0× median
3527114
LOCAL 		Device-watchman M635wu 18 $18,678.30 $51,489.85 $44,600.04 —
3603762
LOCAL 		Graft-aaa Prox Body G32542 18 $18,508.50 $51,021.77 $44,194.60 —
C1767
HCPCS 		Battery-dbs Ipg 37602 18 $12,079.50 $129,531.36 $44,140.40 nat. median
$25,172
1.8× median
3559595
LOCAL 		Stent-thoracic Tgm282810 18 $18,444.90 $50,846.44 $44,042.74 —

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.

Slice
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
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
3058904 LOCAL Valve-evolutpro-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
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
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
3600543 LOCAL Graft-tag Stent 40x40x10/22fr 32 18 $86,629.00 — $25,988.70 $71,642.18 $62,055.82 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
3600538 LOCAL Graft-tag Stent 21x21x10/18fr 32 18 $84,847.00 — $25,454.10 $70,168.47 $60,779.30 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
3549225 LOCAL Stent-valiant Thoracic 32 18 $83,464.00 — $25,039.20 $69,024.73 $59,788.60 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
3549969 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
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
3550613 LOCAL Stent-thoracic Tgmr312610 28 16 $84,847.00 — $25,454.10 $70,168.47 $54,571.04 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
3603240 LOCAL Graft-system Vamf3030c100tu 32 18 $68,001.00 — $20,400.30 $56,236.83 $48,711.83 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
C1882 HCPCS Defib-quadra Assura Cd3369-40q 616 18 $75,813.00 — $7,808.70 $86,288.35 $47,924.72 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
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
3599877 LOCAL Excluder-aaa Conform Cxt231412 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
3598058 LOCAL Excluder-aaa Conform Xct281412 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
3603387 LOCAL Stent-aaa 28x70/20x30mm 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
3602031 LOCAL Graft-afx2 Bifurcated 22x60 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
3527010 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
3599512 LOCAL Kit-dual N8 Processor Dualn8 28 16 $62,546.00 — $18,763.80 $51,725.54 $40,227.71 2024-07-01
3058820 LOCAL Set-beq-hls Advanced 7.0 7050 28 16 $60,044.00 — $18,013.20 $49,656.39 $38,618.50 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
3550322 LOCAL Implant-cranial Peek Csi Small 32 18 $52,227.00 — $15,668.10 $43,191.73 $37,412.29 2024-07-01
3058819 LOCAL Set-beq-hls Advanced 5.0 5050 28 16 $58,043.00 — $17,412.90 $48,001.56 $37,331.51 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
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
3527876 LOCAL Stent-aaa Excluder Rlt261216 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
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
3601476 LOCAL Stent-aaa Excluder Rlt231216 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
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
3600533 LOCAL Stent-aaa Excluder Rlt281416 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
3014828 LOCAL Graft-fresh Osteocondral Fcd80 32 18 $49,288.00 — $14,786.40 $40,761.18 $35,306.96 2024-07-01
3550856 LOCAL Implant-custom Med Pk623984 28 16 $52,648.00 — $15,794.40 $43,539.90 $33,861.61 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
3082077 LOCAL Stent-iliac Limb Etuf3214c102e 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
3082085 LOCAL Stent-endurant Bifurcated 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
3549149 LOCAL Stent-iliac Limb Etuf2814c102e 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
3549147 LOCAL Stent-iliac Limb Etuf2314c102e 32 18 $39,913.00 — $11,973.90 $33,008.05 $28,591.28 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
3598222 LOCAL Spacer-26x34x11 15* 1212-0711s 32 18 $37,814.00 — $11,344.20 $31,272.18 $27,087.68 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
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
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
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
3550118 LOCAL Spacer-20xxx 8-15 6° 32 18 $31,589.00 — $9,476.70 $26,124.10 $22,628.47 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
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
3599957 LOCAL Stent-endurant Ettf2828c70e 32 18 $30,310.00 — $9,093.00 $25,066.37 $21,712.27 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
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
3599053 LOCAL Spacer-10x7.9x60/6° 46261060 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
3598659 LOCAL Spacer-10x7.9x55/6° 46261055 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
3599253 LOCAL Spacer-12x7.8x55/12° 46221255 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
3601578 LOCAL Spacer-20x55 8-17 5° 1122.1055 28 16 $31,589.00 — $9,476.70 $26,124.10 $20,317.10 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
3550664 LOCAL Stent-limb Etlw1613c146e 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
3559144 LOCAL Stent-limb Etlw1628c146e 32 18 $25,608.00 — $7,682.40 $21,177.82 $18,344.03 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
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
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
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
3526469 LOCAL Spacer-elevate Spinal Ex 23x10 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
3527243 LOCAL Spacer-elevate Spinal Exp 23x9 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
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
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
3526227 LOCAL Spacer-elevate Spinal Exp 23x 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
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
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
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
3549024 LOCAL Implant-coroent Xlf 7871055 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
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
3059237 LOCAL Spacer-elvate Spinal Exp 23x8 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
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
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
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
3059238 LOCAL Spacer-elevate Spinal Exp 23x9 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
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
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
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
C2621 HCPCS Pacemake-edora 407137 238 18 $24,429.00 — $6,317.70 $22,640.78 $16,160.68 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
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
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
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
3600535 LOCAL Stent-aaa Excluder Plc231000 32 18 $21,918.00 — $6,575.40 $18,126.19 $15,700.74 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
3600536 LOCAL Stent-aaa Excluder Plc231200 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
3527096 LOCAL Cage-xrl Med Central Body 32 18 $21,819.00 — $6,545.70 $18,044.31 $15,629.82 2024-07-01
3550468 LOCAL Cage 32 18 $21,661.00 — $6,498.30 $17,913.65 $15,516.64 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
3526119 LOCAL Stent-intraneal Cuff A28-28 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
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
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
3059045 LOCAL Stent-intraneal Cuff 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
3598055 LOCAL Meniscus-lat/left 28325002 32 18 $21,435.00 — $6,430.50 $17,726.75 $15,354.74 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
3079503 LOCAL Stent-aaa Excluder Plc271400 32 18 $21,396.00 — $6,418.80 $17,694.49 $15,326.81 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
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 50mg Vial 128 18 $37,803.77 — $3,878.39 $63,156.30 $14,951.10 2024-07-01
3559197 LOCAL Spacer-12mm 10*/md 08.815.242s 28 16 $23,165.00 — $6,949.50 $19,157.46 $14,899.03 2024-07-01
3599110 LOCAL Clamp-long Encompass Jaw Olh 28 16 $22,744.00 — $6,823.20 $18,809.29 $14,628.26 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
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
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
3602354 LOCAL Spacer 12x19-25mm 151.051 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
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
3601062 LOCAL Core-14x24-32mm 351.050 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
3549326 LOCAL Spacer-12x33-53mm 151.054 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
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
3602147 LOCAL Spacer-12x18-23mm 151.050 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
3602272 LOCAL Spacer-12x19-25mm 151.051 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
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
3602060 LOCAL Spacer-12x21-29mm 151.052 32 18 $20,082.00 — $6,024.60 $16,607.81 $14,385.54 2024-07-01
3602331 LOCAL Kit Dl 15mm Probe 9700-015-200 28 16 $22,350.00 — $6,705.00 $18,483.45 $14,374.85 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
3550228 LOCAL Disc-cerv Mobi-c 13x17 Mb3375 28 16 $21,902.00 — $6,570.60 $18,112.95 $14,086.71 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
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
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
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
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
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
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
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
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
3599072 LOCAL Valve-epic Aorta E200-29a 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
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
3603057 LOCAL Kit-20mm Probe 9700-020-100 28 16 $21,773.00 — $6,531.90 $18,006.27 $14,003.74 2024-07-01
3059129 LOCAL Device-esophyx Tif R2007 28 16 $21,712.00 — $6,513.60 $17,955.82 $13,964.51 2024-07-01
3601630 LOCAL Comp-df 65mm/rt/std 6495-2-040 28 16 $21,681.00 — $6,504.30 $17,930.19 $13,944.57 2024-07-01
3082047 LOCAL Stent-intraneal Cuff A28-2 28 16 $21,603.00 — $6,480.90 $17,865.68 $13,894.40 2024-07-01
3082066 LOCAL Stent-intraneal Cuff A25-25 28 16 $21,603.00 — $6,480.90 $17,865.68 $13,894.40 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
3603983 LOCAL Spacer-12x9.9x45/6° 46261245 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
3603050 LOCAL Spacer-12x9.9x50/6° 46261250 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
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
3599737 LOCAL Spacer-12x9.9x60/6° 46261260 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
3600990 LOCAL Spacer-10x5.8x55/12° 46221055 32 18 $19,360.00 — $5,808.00 $16,010.72 $13,868.35 2024-07-01
3603589 LOCAL Pack-bp 13.5x75/13g Nn-2005 28 16 $21,435.00 — $6,430.50 $17,726.75 $13,786.35 2024-07-01
3603396 LOCAL Pack-bp 13x50/13g Nn-2003 28 16 $21,435.00 — $6,430.50 $17,726.75 $13,786.35 2024-07-01
3603588 LOCAL Pack-bp 13.5x95/13g Nn-2006 28 16 $21,435.00 — $6,430.50 $17,726.75 $13,786.35 2024-07-01
3603530 LOCAL Pack-bp 13.5x60/13g Nn-2004 28 16 $21,435.00 — $6,430.50 $17,726.75 $13,786.35 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
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
3550279 LOCAL Tlif-9x23x10 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
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
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
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
3550378 LOCAL Tlif-11x27xx° Expand 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
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
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
3559239 LOCAL Spacer-12x60mm 6° 2968260 32 18 $19,062.00 — $5,718.60 $15,764.27 $13,654.88 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
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
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
3601986 LOCAL Kit-20mm 2probe 9700-020-200 28 16 $20,104.00 — $6,031.20 $16,626.01 $12,930.29 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
3082068 LOCAL Stent-aaa Main Etcf3636c49e 28 16 $20,042.00 — $6,012.60 $16,574.73 $12,890.42 2024-07-01
J9272 HCPCS Jemperli 500 Mg/10 Ml Vial 26 18 $19,939.61 — $5,981.88 $16,490.06 $12,824.56 2024-07-01
3598057 LOCAL Stent-aaa Main Etcf2525c49e 32 18 $17,899.00 — $5,369.70 $14,802.47 $12,821.77 2024-07-01
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