|
130
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support > 96 Hours,major
|
2
|
1
|
$146,809.90
|
$146,809.90
|
$101,145.00
|
$116,316.00
|
$108,730.50
|
2026-03-26
|
|
133
|
MS_DRG
|
Respiratory Failure,extreme
|
4
|
1
|
$36,759.01
|
$36,759.01
|
$26,657.30
|
$52,919.80
|
$38,336.55
|
2026-03-26
|
|
136
|
MS_DRG
|
Respiratory Malignancy,extreme
|
4
|
1
|
$54,799.09
|
$54,799.09
|
$32,310.40
|
$54,530.90
|
$42,287.60
|
2026-03-26
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
18
|
17
|
$81,842.33
|
$81,842.33
|
$39,224.71
|
$58,436.82
|
$41,863.94
|
2026-03-26
|
|
174
|
MS_DRG
|
Percutaneous Cardiac Intervention With Ami,minor
|
1
|
1
|
$16,530.62
|
$16,530.62
|
$44,776.80
|
$44,776.80
|
$44,776.80
|
2026-03-26
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
23
|
17
|
$195,949.90
|
$195,949.90
|
$13,688.60
|
$81,993.09
|
$58,639.55
|
2026-03-26
|
|
230
|
MS_DRG
|
Major Small Bowel Procedures,extreme
|
6
|
1
|
$68,793.52
|
$68,793.52
|
$32,494.30
|
$150,933.00
|
$73,478.95
|
2026-03-26
|
|
240
|
MS_DRG
|
Digestive Malignancy,extreme
|
4
|
1
|
$148,635.58
|
$148,635.58
|
$22,050.40
|
$65,269.70
|
$41,057.15
|
2026-03-26
|
|
252
|
MS_DRG
|
Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,e…
|
4
|
1
|
$43,471.71
|
$43,471.71
|
$18,463.80
|
$70,010.70
|
$41,056.15
|
2026-03-26
|
|
279
|
MS_DRG
|
Hepatic Coma And Other Major Acute Liver Disorders,extreme
|
4
|
1
|
$68,456.90
|
$68,456.90
|
$25,196.80
|
$68,712.30
|
$44,363.05
|
2026-03-26
|
|
317
|
MS_DRG
|
Tendon, Muscle And Other Soft Tissue Procedures,major
|
4
|
1
|
$40,724.40
|
$40,724.40
|
$32,212.00
|
$59,531.00
|
$44,404.95
|
2026-03-26
|
|
320
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Procedures,moderate
|
2
|
1
|
$101,801.95
|
$101,801.95
|
$36,479.70
|
$41,951.70
|
$39,215.70
|
2026-03-26
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
19
|
17
|
$122,083.66
|
$122,083.66
|
$34,848.30
|
$64,393.07
|
$46,546.37
|
2026-03-26
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
18
|
17
|
$84,731.04
|
$84,731.04
|
$40,228.57
|
$58,217.49
|
$42,926.18
|
2026-03-26
|
|
342
|
MS_DRG
|
Fractures And Dislocations Except Femur, Pelvis And Back,extreme
|
2
|
1
|
$29,514.66
|
$29,514.66
|
$45,592.50
|
$52,431.40
|
$49,011.95
|
2026-03-26
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
17
|
16
|
$411,101.06
|
$411,101.06
|
$122,511.77
|
$179,144.37
|
$128,637.36
|
2026-03-26
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
22
|
16
|
$111,605.51
|
$111,605.51
|
$11,850.00
|
$68,475.49
|
$51,978.52
|
2026-03-26
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
23
|
17
|
$91,770.00
|
$91,770.00
|
$15,895.00
|
$64,590.86
|
$47,501.91
|
2026-03-26
|
|
5
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme
|
2
|
1
|
$411,101.06
|
$411,101.06
|
$250,117.00
|
$287,634.00
|
$268,875.50
|
2026-03-26
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
18
|
17
|
$54,418.91
|
$54,418.91
|
$45,478.89
|
$70,676.45
|
$48,481.95
|
2026-03-26
|
|
661
|
MS_DRG
|
Coagulation And Platelet Disorders,major
|
2
|
1
|
$31,307.67
|
$31,307.67
|
$45,188.50
|
$51,966.80
|
$48,577.65
|
2026-03-26
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
17
|
16
|
$118,044.98
|
$118,044.98
|
$37,399.00
|
$53,117.01
|
$39,268.95
|
2026-03-26
|
|
710
|
MS_DRG
|
Infectious And Parasitic Diseases Including HIV With O.r. Procedure,extreme
|
4
|
1
|
$67,362.86
|
$67,362.86
|
$39,677.80
|
$73,557.60
|
$54,796.30
|
2026-03-26
|
|
711
|
MS_DRG
|
Post-operative, Post-trauma, Other Device Infections With O.r. Procedure,moderat…
|
2
|
1
|
$33,404.42
|
$33,404.42
|
$35,964.40
|
$41,359.00
|
$38,661.70
|
2026-03-26
|
|
724
|
MS_DRG
|
Other Infectious And Parasitic Diseases,extreme
|
4
|
1
|
$132,691.00
|
$132,691.00
|
$14,683.00
|
$81,699.60
|
$43,964.30
|
2026-03-26
|
|
793
|
MS_DRG
|
Moderately Extensive O.r. Procedures For Other Complications Of Treatment,major
|
4
|
1
|
$43,258.06
|
$43,258.06
|
$32,890.50
|
$60,123.70
|
$45,052.75
|
2026-03-26
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
16
|
15
|
$94,261.75
|
$94,261.75
|
$43,899.46
|
$63,407.98
|
$46,094.43
|
2026-03-26
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
17
|
16
|
$163,322.02
|
$163,322.02
|
$61,303.38
|
$88,196.60
|
$64,368.55
|
2026-03-26
|
|
890
|
MS_DRG
|
HIV With Multiple Major HIV Related Conditions,major
|
2
|
1
|
$357,339.10
|
$357,339.10
|
$35,249.60
|
$40,537.10
|
$37,893.35
|
2026-03-26
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
17
|
16
|
$115,099.53
|
$115,099.53
|
$41,722.65
|
$60,271.36
|
$43,808.78
|
2026-03-26
|
|
C1767
|
HCPCS
|
Controller DRG Ipg With Pt Proclaim
|
649
|
36
|
$58,905.02
|
$53,612.68
|
$126.88
|
$112,660.50
|
$39,330.00
|
2026-07-05
|
|
C1820
|
HCPCS
|
Neurostimulator Rechargable Closed Loop Inceptiv
|
142
|
17
|
$62,524.00
|
$62,524.00
|
$15,453.80
|
$88,485.25
|
$46,467.83
|
2026-03-26
|
|
C2624
|
HCPCS
|
Sensor Implantable Cardiomems
|
36
|
35
|
$66,220.00
|
$66,220.00
|
$21,766.51
|
$66,220.00
|
$42,724.80
|
2026-07-05
|
|
SUP-004334
|
CDM
|
Set Pump Ventricular Assist Device Impella Rp
|
19
|
17
|
$73,750.00
|
$73,750.00
|
$24,241.63
|
$73,750.00
|
$48,232.50
|
2026-03-26
|
|
SUP-0048-0003
|
CDM
|
Set Pump Ventricular Assist Device Impella Cp
|
19
|
17
|
$73,750.00
|
$73,750.00
|
$24,241.63
|
$73,750.00
|
$48,232.50
|
2026-03-26
|
|
SUP-005042
|
CDM
|
Set Pump Ventricular Assist Device Impella 2.5
|
19
|
17
|
$61,600.00
|
$61,600.00
|
$20,247.92
|
$61,600.00
|
$40,286.40
|
2026-03-26
|
|
SUP-005062
|
CDM
|
Pump Ventricular Assist Device Impella 5.0
|
19
|
17
|
$73,750.00
|
$73,750.00
|
$24,241.63
|
$73,750.00
|
$48,232.50
|
2026-03-26
|
|
SUP-1000100
|
CDM
|
Pump Heart With Smartassist Impella 5.5
|
19
|
17
|
$132,750.00
|
$132,750.00
|
$43,634.93
|
$132,750.00
|
$86,818.50
|
2026-03-26
|
|
SUP-1000323
|
CDM
|
Pump Heart With Smart Assist Impella Rp
|
19
|
17
|
$73,750.00
|
$73,750.00
|
$24,241.63
|
$73,750.00
|
$48,232.50
|
2026-03-26
|
|
SUP-106524US
|
CDM
|
Kit Implant Lvad W/controller Heartmate 3
|
19
|
17
|
$318,361.05
|
$318,361.05
|
$104,645.28
|
$318,361.05
|
$208,208.13
|
2026-03-26
|
|
SUP-1103
|
CDM
|
Kit Implant Pump Hvad
|
19
|
17
|
$220,217.50
|
$220,217.50
|
$72,385.49
|
$220,217.50
|
$144,022.25
|
2026-03-26
|
|
SUP-178420
|
CDM
|
Coil Embolization 2.50mmx10mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-178891
|
CDM
|
Coil Embolization 40.00mmx25mm Pipeline
|
19
|
17
|
$60,281.94
|
$60,281.94
|
$19,814.67
|
$60,281.94
|
$39,424.39
|
2026-03-26
|
|
SUP-179520
|
CDM
|
Coil Embolization 4.25mmx25mm Pipeline
|
19
|
17
|
$60,281.94
|
$60,281.94
|
$19,814.67
|
$60,281.94
|
$39,424.39
|
2026-03-26
|
|
SUP-187787
|
CDM
|
Aortic Valve Transcatheter Evolut R 26mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-187788
|
CDM
|
Aortic Valve Transcatheter Evolut R 29mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-23VAVGJ-515
|
CDM
|
Graft Aortic Valved Mechanical With Gelweave Valsalva 23mm
|
19
|
17
|
$59,243.88
|
$59,243.88
|
$19,473.46
|
$59,243.88
|
$38,745.50
|
2026-03-26
|
|
SUP-25-9029
|
CDM
|
Kit Contains 2 Cages Cat 22-0467-03 And 22-0489-03 2l Veo
|
19
|
17
|
$63,926.10
|
$63,926.10
|
$21,012.51
|
$63,926.10
|
$41,807.67
|
2026-03-26
|
|
SUP-25VAVGJ-515
|
CDM
|
Graft Aortic Valved Mechanical With Gelweave Valsalva 25mm
|
19
|
17
|
$59,243.88
|
$59,243.88
|
$19,473.46
|
$59,243.88
|
$38,745.50
|
2026-03-26
|
|
SUP-27VAVGJ-515
|
CDM
|
Graft Aortic Valved Mechanical With Gelweave Valsalva 27mm
|
19
|
17
|
$59,243.88
|
$59,243.88
|
$19,473.46
|
$59,243.88
|
$38,745.50
|
2026-03-26
|
|
SUP-3670
|
CDM
|
Implant Spine Generator Proclaim Plus 5
|
17
|
16
|
$60,060.00
|
$60,060.00
|
$19,741.72
|
$60,060.00
|
$43,201.16
|
2026-03-26
|
|
SUP-4000021
|
CDM
|
Set Pump With Smart Assist Plus 7fr Companion Sheath Bundle Impella Cp
|
19
|
17
|
$79,650.00
|
$79,650.00
|
$26,180.96
|
$79,650.00
|
$52,091.10
|
2026-03-26
|
|
SUP-405 011 000US2
|
CDM
|
Monitor Advance Hd Aview
|
19
|
17
|
$63,488.10
|
$63,488.10
|
$20,868.54
|
$63,488.10
|
$41,521.22
|
2026-03-26
|
|
SUP-5444-0-210
|
CDM
|
Kit Implant Cranial Custom Medium Medpor
|
19
|
17
|
$57,825.55
|
$57,825.55
|
$19,007.26
|
$57,825.55
|
$37,817.91
|
2026-03-26
|
|
SUP-5444-0-510
|
CDM
|
Kit Implant Midface Customized Medpor
|
19
|
17
|
$63,434.66
|
$63,434.66
|
$20,850.97
|
$63,434.66
|
$41,486.27
|
2026-03-26
|
|
SUP-5444-01-410
|
CDM
|
Implant Customized Craniofacial Large Extra Medpor
|
19
|
17
|
$65,157.40
|
$65,157.40
|
$21,417.24
|
$65,157.40
|
$42,612.94
|
2026-03-26
|
|
SUP-9100RF323A
|
CDM
|
Heart Valve Sapien Transcather With Retroflex 3 Tranfemoral System 23mm
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9100RF326A
|
CDM
|
Heart Valve Sapien Transcather With Retroflex 3 Tranfemoral System 26mm
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9120AS323A
|
CDM
|
Heart Valve Sapien Transcather With Ascendra 2 Transapical System 23mm
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9120AS326A
|
CDM
|
Heart Valve Sapien Transcather With Ascendra 2 Transapical System 25mm
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355ASP23A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien Xt 23mm Ascendra Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355ASP26A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien Xt 26mm Ascendra Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355ASP29A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien Xt 29mm Ascendra Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355NF23A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien 23mm Novaflex Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355NF26A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien 26mm Novaflex Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9355NF29A
|
CDM
|
Valve Heart Aortic Transcatheter Sapien 29mm Novaflex Plus
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CM20A
|
CDM
|
Valve Heart Transcatheter With Commander 20mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CM23A
|
CDM
|
Valve Heart Transcatheter With Commander 23mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CM26A
|
CDM
|
Valve Heart Transcatheter With Commander 26mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CM29A
|
CDM
|
Valve Heart Transcatheter With Commander 29mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CT20A
|
CDM
|
Valve Heart Transcatheter With Certitude Sheath 20mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CT23A
|
CDM
|
Valve Heart Transcatheter With Certitude Sheath 23mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CT26A
|
CDM
|
Valve Heart Transcatheter With Certitude Sheath 26mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-9600CT29A
|
CDM
|
Valve Heart Transcatheter With Certitude Sheath 29mm Sapien 3
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-977006
|
CDM
|
Neurostimulator Spine Patient Controlled Vanta
|
17
|
16
|
$51,436.00
|
$51,436.00
|
$16,907.01
|
$51,436.00
|
$36,997.91
|
2026-03-26
|
|
SUP-D0146
|
CDM
|
Device Liver Perfusion Disposable Sterile Single-use Metra
|
19
|
17
|
$112,100.00
|
$112,100.00
|
$36,847.27
|
$112,100.00
|
$73,313.40
|
2026-03-26
|
|
SUP-EVFXPLUS-23
|
CDM
|
Valve Aortic Transcatheter 23mm Annulus 17/18-20mm Tavr Evolut Fx Plus
|
18
|
16
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$53,626.57
|
2026-03-26
|
|
SUP-EVFXPLUS-26
|
CDM
|
Valve Aortic Transcatheter 26mm Annulus 20-23mm Tavr Evolut Fx Plus
|
18
|
16
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$53,626.57
|
2026-03-26
|
|
SUP-EVFXPLUS-29
|
CDM
|
Valve Aortic Transcatheter 29mm Annulus 23-26mm Tavr Evolut Fx Plus
|
18
|
16
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$53,626.57
|
2026-03-26
|
|
SUP-EVFXPLUS-34
|
CDM
|
Valve Aortic Transcatheter 34mm Annulus 26-30mm Tavr Evolut Fx Plus
|
18
|
16
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$53,626.57
|
2026-03-26
|
|
SUP-EVOLUTFX-23
|
CDM
|
Transcatheter Aortic Valve 23mm Evolut Fx
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTFX-26
|
CDM
|
Transcatheter Aortic Valve 26mm Evolut Fx
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTFX-29
|
CDM
|
Transcatheter Aortic Valve 29mm Evolut Fx
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTFX-34
|
CDM
|
Transcatheter Aortic Valve 34mm Evolut Fx
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTPRO-23-US
|
CDM
|
Valve Aortic Transcatheter Replacement 23mm Evolut Pro
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTPRO-26-US
|
CDM
|
Valve Aortic Transcatheter Replacement 26mm Evolut Pro
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTPRO-29-US
|
CDM
|
Valve Aortic Transcatheter Replacement 29mm Evolut Pro
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTR-23-US
|
CDM
|
Aortic Valve Transcatheter Evolut R 23mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTR-26-US
|
CDM
|
Valve Aortic Transcatheter 26mm Evolut R
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTR-29-US
|
CDM
|
Valve Aortic Transcatheter 29mm Evolut R
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVOLUTR-34-US
|
CDM
|
Valve Aortic Transcatheter 34mm Evolut R
|
18
|
16
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$53,626.57
|
2026-03-26
|
|
SUP-EVPROPLUS-26US
|
CDM
|
Valve Aortic Transcatheter Sterile 26mm Evolut Pro Plus
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-EVPROPLUS-29US
|
CDM
|
Valve Aortic Transcatheter Sterile 29mm Evolut Pro Plus
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-FA-71450-25
|
CDM
|
Coil Embolization 4.50mmx25mm Pipeline
|
19
|
17
|
$60,281.94
|
$60,281.94
|
$19,814.67
|
$60,281.94
|
$39,424.39
|
2026-03-26
|
|
SUP-FA-77450-14
|
CDM
|
Coil Embolization 4.50mmx14mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-FA-77475-16
|
CDM
|
Coil Embolization 4.75mmx16mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-FA-77475-18
|
CDM
|
Coil Embolization 4.75mmx18mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-FA-77475-20
|
CDM
|
Coil Embolization 4.75mmx20mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-FA-77500-20
|
CDM
|
Coil Embolization 50.00mmx20mm Pipeline
|
19
|
17
|
$56,396.88
|
$56,396.88
|
$18,537.65
|
$56,396.88
|
$36,883.56
|
2026-03-26
|
|
SUP-G32535
|
CDM
|
Graft Stent Endovascular Fenestrated Proximal Body Aaa 24mmx109mm Zenith
|
19
|
17
|
$56,839.26
|
$56,839.26
|
$18,683.06
|
$56,839.26
|
$37,172.88
|
2026-03-26
|
|
SUP-G32543
|
CDM
|
Graft Stent Endovascular Fenestrated Proximal Body Aaa 30mmx124mm Zenith
|
19
|
17
|
$56,839.26
|
$56,839.26
|
$18,683.06
|
$56,839.26
|
$37,172.88
|
2026-03-26
|
|
SUP-G38013
|
CDM
|
Graft Endovascular Aaa Reinforced Fenestrated Proximal Custom
|
19
|
17
|
$59,130.00
|
$59,130.00
|
$19,436.03
|
$59,130.00
|
$38,671.02
|
2026-03-26
|
|
SUP-G38035
|
CDM
|
Graft Endovascular Aaa Reinforced Fenestrated Priximal Custom
|
19
|
17
|
$59,130.00
|
$59,130.00
|
$19,436.03
|
$59,130.00
|
$38,671.02
|
2026-03-26
|
|
SUP-G38067
|
CDM
|
Graft Endovascular Custom
|
19
|
17
|
$59,130.00
|
$59,130.00
|
$19,436.03
|
$59,130.00
|
$38,671.02
|
2026-03-26
|
|
SUP-G38186
|
CDM
|
Graft Endovascular Aaa Reinforced Fenestrated Proximal Custom 34mmx30mmx111mm
|
19
|
17
|
$59,130.00
|
$59,130.00
|
$19,436.03
|
$59,130.00
|
$38,671.02
|
2026-03-26
|
|
SUP-M003SFD030150
|
CDM
|
System Neurovascular Flow Diverter Delivery 3mmx15mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD030200
|
CDM
|
System Neurovascular Flow Diverter Delivery 3mmx20mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD030250
|
CDM
|
System Neurovascular Flow Diverter Delivery 3mmx25mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD040150
|
CDM
|
System Neurovascular Flow Diverter Delivery 4mmx15mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD040200
|
CDM
|
System Neurovascular Flow Diverter Delivery 4mmx20mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD040250
|
CDM
|
System Neurovascular Flow Diverter Delivery 4mmx25mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD040300
|
CDM
|
System Neurovascular Flow Diverter Delivery 4mmx30mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD050200
|
CDM
|
System Neurovascular Flow Diverter Delivery 5mmx20mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD050250
|
CDM
|
System Neurovascular Flow Diverter Delivery 5mmx25mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-M003SFD050300
|
CDM
|
System Neurovascular Flow Diverter Delivery 5mmx30mm Surpass Streamline
|
19
|
17
|
$63,081.11
|
$63,081.11
|
$20,734.76
|
$63,081.11
|
$41,255.05
|
2026-03-26
|
|
SUP-MARK IV
|
CDM
|
Transmitter Control Unit Mark IV
|
17
|
16
|
$52,360.00
|
$52,360.00
|
$17,210.73
|
$52,360.00
|
$37,662.55
|
2026-03-26
|
|
SUP-MCG50100
|
CDM
|
System Transcatheter Edge To Edge Repair G5 Steerable Guide Catheter With Up To …
|
19
|
17
|
$97,350.00
|
$97,350.00
|
$31,998.95
|
$97,350.00
|
$63,666.90
|
2026-03-26
|
|
SUP-MCS-P3-26-AOA-US
|
CDM
|
Valve Aortic Corevalve Transcatheter 26mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-MCS-P3-29-AOA-US
|
CDM
|
Valve Aortic Corevalve Transcatheter 29mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-MCS-P3-31-AOA-US
|
CDM
|
Valve Aortic Corevalve Transcatheter 31mm
|
19
|
17
|
$88,500.00
|
$88,500.00
|
$29,089.95
|
$88,500.00
|
$57,879.00
|
2026-03-26
|
|
SUP-NIPG3000
|
CDM
|
Kit Implantable Pulse Generator Neurostimulator 8.5x15.5 Hfx Iq Senza
|
17
|
16
|
$73,750.00
|
$73,750.00
|
$24,241.63
|
$73,750.00
|
$53,048.38
|
2026-03-26
|
|
SUP-NVRO-23
|
CDM
|
Valve Aortic Transcatheter With Radiopaque Markers 23mm Navitor
|
19
|
17
|
$77,437.50
|
$77,437.50
|
$25,453.71
|
$77,437.50
|
$50,644.13
|
2026-03-26
|
|
SUP-NVRO-25
|
CDM
|
Valve Aortic Transcatheter With Radiopaque Markers 25mm Navitor
|
19
|
17
|
$77,437.50
|
$77,437.50
|
$25,453.71
|
$77,437.50
|
$50,644.13
|
2026-03-26
|
|
SUP-NVRO-27
|
CDM
|
Valve Aortic Transcatheter With Radiopaque Markers 27mm Navitor
|
19
|
17
|
$77,437.50
|
$77,437.50
|
$25,453.71
|
$77,437.50
|
$50,644.13
|
2026-03-26
|
|
SUP-NVRO-29
|
CDM
|
Valve Aortic Transcatheter With Radiopaque Markers 29mm Navitor
|
19
|
17
|
$77,437.50
|
$77,437.50
|
$25,453.71
|
$77,437.50
|
$50,644.13
|
2026-03-26
|
|
SUP-NVRO-35
|
CDM
|
Valve Aortic Transcatheter With Radiopaque Markers 35mm Navitor
|
19
|
17
|
$77,437.50
|
$77,437.50
|
$25,453.71
|
$77,437.50
|
$50,644.13
|
2026-03-26
|
|
SUP-PED-250-12
|
CDM
|
Coil Pipeline Flex Embolization Device 2.50mm X 12mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-250-14
|
CDM
|
Device Emobilization 4 Flex Technology 2.50mmx14mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-250-20
|
CDM
|
Device Embolization Flow Diverter Sterile Latex Free 2.5mmx20mm Pipeline Flex
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-275-14
|
CDM
|
Coil Pipeline Flex Embolization Device 2.75mm X 14mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-300-14
|
CDM
|
Coil Pipeline Flex Embolization Device 3.00mm X 14mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-300-18
|
CDM
|
Device Emobilization 4 Flex Technology 3.00mmx18mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-325-12
|
CDM
|
Coil Flex Embolization Device 3.25mmx12mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-325-14
|
CDM
|
Device Emobilization 4 Flex Technology 3.25mmx14mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-325-16
|
CDM
|
Coil Pipeline Flex Embolization Device Sterile Latex Free 3.25mmx16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-325-20
|
CDM
|
Device Emobilization 4 Flex Technology 3.25mmx20mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-350-12
|
CDM
|
Device Embolization Flex 3.50mmx12mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-350-14
|
CDM
|
Device Flex Embolization 3.5mmx14mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-350-16
|
CDM
|
Coil Pipeline Flex Embolization Device 3.5mm X 16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-350-18
|
CDM
|
Coil Pipeline Flex Embolization Device 3.5mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-350-25
|
CDM
|
Coil Pipeline Flex Embolization Device 3.5mmx25mm
|
18
|
16
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$41,486.11
|
2026-03-26
|
|
SUP-PED-350-35
|
CDM
|
Coil Embolization Device 3.50mmx35mm Pipeline Flex
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-375-14
|
CDM
|
Coil Pipeline Flex Embolization Device Sterile Latex Free 3.75mmx14mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-375-18
|
CDM
|
Coil Pipeline Flex Embolization Device 3.75mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-375-25
|
CDM
|
Device Emobilization 4 Flex Technology 3.75mmx25mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-400-12
|
CDM
|
Coil Pipeline Flex Embolization Device 4mm X 12mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-400-14
|
CDM
|
Coil Pipeline Flex Embolization Device 4.00mm X 14mm
|
18
|
16
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$38,107.25
|
2026-03-26
|
|
SUP-PED-400-16
|
CDM
|
Coil Pipeline Flex Embolization Device 4.00mm X 16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-400-18
|
CDM
|
Coil Pipeline Flex Embolization Device 4.00mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-400-20
|
CDM
|
Coil Pipeline Flex Embolization Device 4.00mmx20mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-400-25
|
CDM
|
Device Emobilization 4 Flex Technology 4.00mmx25mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-400-35
|
CDM
|
Device Emobilization 4 Flex Technology 4.00mmx35mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-425-12
|
CDM
|
Device Emobilization 4 Flex Technology 4.25mmx12mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-425-14
|
CDM
|
Coil Pipeline Flex Embolization Device 4.25mm X 14mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-425-16
|
CDM
|
Coil Pipeline Flex Embolization Device 4.25mm X 16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-425-18
|
CDM
|
Coil Pipeline Flex Embolization Device 4.25mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-425-20
|
CDM
|
Coil Pipeline Flex Embolization Device 4.25mm X 20mm
|
18
|
16
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$38,107.25
|
2026-03-26
|
|
SUP-PED-425-25
|
CDM
|
Device Emobilization 4 Flex Technology 4.25mmx25mm Pipeline
|
18
|
16
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$41,486.11
|
2026-03-26
|
|
SUP-PED-425-35
|
CDM
|
Device Emobilization 4 Flex Technology 4.25mmx35mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-450-12
|
CDM
|
Device Embolization Flex Sterile Latex Free 4.5mmx12mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-450-14
|
CDM
|
Coil Pipeline Flex Embolization Device 4.50mm X 14mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-450-16
|
CDM
|
Coil Pipeline Flex Embolization Device 4.50mm X 16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-450-18
|
CDM
|
Coil Pipeline Flex Embolization Device 4.50mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-450-20
|
CDM
|
Coil Pipeline Flex Embolization Device 4.5mmx20mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-475-14
|
CDM
|
Device Emobilization 4 Flex Technology 4.75mmx14mm Pipeline
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-475-16
|
CDM
|
Coil Pipeline Flex Embolization Device 4.75mm X 16mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-475-18
|
CDM
|
Coil Pipeline Flex Embolization Device 4.75mm X 18mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-475-20
|
CDM
|
Coil Pipeline Flex Embolization Device 4.75mmx20mm
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-475-25
|
CDM
|
Coil Embolization Aneurysm Intracranial Sterile Latex Free 4.75mmx25mm Pipeline …
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-475-35
|
CDM
|
Device Emobilization 4 Flex Technology 4.75mmx35mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-500-14
|
CDM
|
Device Embolization 4.75mmx14mm Pipeline Flex
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-500-20
|
CDM
|
Coil Embolization Neurovascular 5.0x20mm Pipeline Flex
|
19
|
17
|
$59,673.12
|
$59,673.12
|
$19,614.55
|
$59,673.12
|
$39,026.22
|
2026-03-26
|
|
SUP-PED-500-25
|
CDM
|
Coil Neurovascular Embolization 5.0mmx25mm Sterile Latex Free Pipeline Flex
|
18
|
16
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$41,486.11
|
2026-03-26
|
|
SUP-PED-500-30
|
CDM
|
Coil Embolization Neurovascular 5.0x30mm Pipeline Flex
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED-500-35
|
CDM
|
Coil Flex Embolization Device Sterile Latex Free 5.00mmx35mm Pipeline
|
19
|
17
|
$64,964.16
|
$64,964.16
|
$21,353.72
|
$64,964.16
|
$42,486.56
|
2026-03-26
|
|
SUP-PED2-250-10
|
CDM
|
Device Embolization With Shield Technology 2.5mmx10mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-250-12
|
CDM
|
Device Embolization With Shield Technology 2.5mmx12mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-250-14
|
CDM
|
Device Embolization With Shield Technology 2.5mmx14mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-250-16
|
CDM
|
Device Embolization With Shield Technology 2.5mmx16mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-250-18
|
CDM
|
Device Embolization With Shield Technology 2.5mmx18mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-250-20
|
CDM
|
Device Embolization With Shield Technology 2.5mmx20mm Pipeline Flex
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-10
|
CDM
|
Device Embolization With Shield Technology 2.75mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-12
|
CDM
|
Device Embolization With Shield Technology 2.75mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-14
|
CDM
|
Device Embolization With Shield Technology 2.75mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-16
|
CDM
|
Device Embolization With Shield Technology 2.75mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-18
|
CDM
|
Device Embolization With Shield Technology 3.50mmx25mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-275-20
|
CDM
|
Device Embolization With Shield Technology 2.75mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-10
|
CDM
|
Device Embolization With Shield Technology 3mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-12
|
CDM
|
Device Embolization With Shield Technology 3mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-14
|
CDM
|
Device Embolization With Shield Technology 3mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-16
|
CDM
|
Device Embolization With Shield Technology 3mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-18
|
CDM
|
Device Embolization With Shield Technology 3mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-300-20
|
CDM
|
Device Embolization With Shield Technology 3mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-10
|
CDM
|
Device Embolization With Shield Technology 3.25mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-12
|
CDM
|
Device Embolization With Shield Technology 3.25mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-14
|
CDM
|
Device Embolization With Shield Technology 3.25mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-16
|
CDM
|
Device Embolization With Shield Technology 3.25mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-18
|
CDM
|
Device Embolization With Shield Technology 3.25mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-325-20
|
CDM
|
Device Embolization With Shield Technology 3.25mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-10
|
CDM
|
Device Embolization With Shield Technology 3.50mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-12
|
CDM
|
Device Embolization With Shield Technology 3.50mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-14
|
CDM
|
Device Embolization With Shield Technology 3.50mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-16
|
CDM
|
Device Embolization With Shield Technology 3.50mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-18
|
CDM
|
Device Embolization With Shield Technology 3.50mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-350-20
|
CDM
|
Device Embolization With Shield Technology 3.50mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-10
|
CDM
|
Device Embolization With Shield Technology 3.75mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-12
|
CDM
|
Device Embolization With Shield Technology 3.75mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-14
|
CDM
|
Device Embolization With Shield Technology 3.75mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-16
|
CDM
|
Device Embolization With Shield Technology 3.75mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-18
|
CDM
|
Device Embolization With Shield Technology 3.75mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-375-20
|
CDM
|
Device Embolization With Shield Technology 3.75mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-10
|
CDM
|
Device Embolization With Shield Technology 4mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-12
|
CDM
|
Device Embolization With Shield Technology 4mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-14
|
CDM
|
Device Embolization With Shield Technology 4mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-16
|
CDM
|
Device Embolization With Shield Technology 4mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-18
|
CDM
|
Device Embolization With Shield Technology 4mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-400-20
|
CDM
|
Device Embolization With Shield Technology 4mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-10
|
CDM
|
Device Embolization With Shield Technology 4.25mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-12
|
CDM
|
Device Embolization With Shield Technology 4.25mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-14
|
CDM
|
Device Embolization With Shield Technology 4.25mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-16
|
CDM
|
Device Embolization With Shield Technology 4.25mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-18
|
CDM
|
Device Embolization With Shield Technology 4.25mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-425-20
|
CDM
|
Device Embolization With Shield Technology 4.25mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-10
|
CDM
|
Device Embolization With Shield Technology 4.5mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-12
|
CDM
|
Device Embolization With Shield Technology 4.5mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-14
|
CDM
|
Device Embolization With Shield Technology 4.5mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-16
|
CDM
|
Device Embolization With Shield Technology 4.5mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-18
|
CDM
|
Device Embolization With Shield Technology 4.5mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-450-20
|
CDM
|
Device Embolization With Shield Technology 4.5mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-10
|
CDM
|
Device Embolization With Shield Technology 4.75mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-12
|
CDM
|
Device Embolization With Shield Technology 4.75mmx12mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-14
|
CDM
|
Device Embolization With Shield Technology 4.75mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-16
|
CDM
|
Device Embolization With Shield Technology 4.75mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-18
|
CDM
|
Device Embolization With Shield Technology 4.75mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-475-20
|
CDM
|
Device Embolization With Shield Technology 4.75mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-500-10
|
CDM
|
Device Embolization With Shield Technology 5mmx10mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-500-14
|
CDM
|
Device Embolization With Shield Technology 5mmx14mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-500-16
|
CDM
|
Device Embolization With Shield Technology 5mmx16mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-500-18
|
CDM
|
Device Embolization With Shield Technology 5mmx18mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PED2-500-20
|
CDM
|
Device Embolization With Shield Technology 5mmx20mm Pipeline
|
19
|
17
|
$62,655.90
|
$62,655.90
|
$20,594.99
|
$62,655.90
|
$40,976.96
|
2026-03-26
|
|
SUP-PLVAD06796
|
CDM
|
Set Pump Percutaneous Left Ventricular Assist Device Elevate
|
19
|
17
|
$73,920.00
|
$73,920.00
|
$24,297.50
|
$73,920.00
|
$48,343.68
|
2026-03-26
|
|
SUP-RLT281412
|
CDM
|
Graft Endoprosthesis Aaa Trunk Ipsilateral Leg C3 28.5mmx14.5mmx12cm Excluder
|
17
|
16
|
$53,471.04
|
$53,471.04
|
$17,575.93
|
$53,471.04
|
$38,461.72
|
2026-03-26
|
|
SUP-RLT311417
|
CDM
|
Graft Endoprosthesis Aaa Trunk Ipsilateral Leg C3 31mmx14.5mmx17cm Excluder
|
17
|
16
|
$53,471.04
|
$53,471.04
|
$17,575.93
|
$53,471.04
|
$38,461.72
|
2026-03-26
|
|
SUP-S3UCM220A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 20mm With Commander System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3UCM223A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 23mm With Commander System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3UCM226A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 26mm With Commander System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3URCM20A
|
CDM
|
Valve Heart Transcatheter With Commander System 20mm Edwards Sapien 3 Ultra Resi…
|
19
|
17
|
$100,300.00
|
$100,300.00
|
$32,968.61
|
$100,300.00
|
$65,596.20
|
2026-03-26
|
|
SUP-S3URCM23A
|
CDM
|
Valve Heart Transcatheter With Commander System 23mm Edwards Sapien 3 Ultra Resi…
|
19
|
17
|
$100,300.00
|
$100,300.00
|
$32,968.61
|
$100,300.00
|
$65,596.20
|
2026-03-26
|
|
SUP-S3URCM26A
|
CDM
|
Valve Heart Transcatheter With Commander System 26mm Edwards Sapien 3 Ultra Resi…
|
19
|
17
|
$100,300.00
|
$100,300.00
|
$32,968.61
|
$100,300.00
|
$65,596.20
|
2026-03-26
|
|
SUP-S3URCM29A
|
CDM
|
Valve Heart Transcatheter With Commander System 29mm Edwards Sapien 3 Ultra Resi…
|
19
|
17
|
$100,300.00
|
$100,300.00
|
$32,968.61
|
$100,300.00
|
$65,596.20
|
2026-03-26
|
|
SUP-S3USTA120A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 20mm With Certitude System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3USTA123A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 23mm With Certitude System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3USTA126A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 26mm With Certitude System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-S3USTA129A
|
CDM
|
System Valve Heart Transcatheter 3 Ultra 29mm With Certitude System Edwards Sapi…
|
19
|
17
|
$95,875.00
|
$95,875.00
|
$31,514.11
|
$95,875.00
|
$62,702.25
|
2026-03-26
|
|
SUP-SG-HBB-24-96-80-20-A
|
CDM
|
Stent Flexible Graft System Aorfix Aaa Main Body 24mm X 96mm X 80mm X 20mm
|
19
|
17
|
$56,918.10
|
$56,918.10
|
$18,708.98
|
$56,918.10
|
$37,224.44
|
2026-03-26
|
|
SUP-SGPV00
|
CDM
|
Valve Pulmonary Sg And Conduit 6mm-32mm Cryovalve
|
19
|
17
|
$65,262.00
|
$65,262.00
|
$21,451.62
|
$65,262.00
|
$42,681.35
|
2026-03-26
|
|
SUP-SYM-SV23-006-C
|
CDM
|
Valve Aortic Clinical Small 23mm Acurate Neo
|
19
|
17
|
$68,992.00
|
$68,992.00
|
$22,677.67
|
$68,992.00
|
$45,120.77
|
2026-03-26
|
|
SUP-SYM-SV25-006-C
|
CDM
|
Valve Aortic Clinical Medium 25mm Acurate Neo
|
19
|
17
|
$68,992.00
|
$68,992.00
|
$22,677.67
|
$68,992.00
|
$45,120.77
|
2026-03-26
|
|
SUP-SYM-SV27-006-C
|
CDM
|
Valve Aortic Clinical Large 27mm Acurate Neo
|
19
|
17
|
$68,992.00
|
$68,992.00
|
$22,677.67
|
$68,992.00
|
$45,120.77
|
2026-03-26
|
|
SUP-TCG50100
|
CDM
|
System Transcatheter Edge To Edge Repair G5 Steerable Guide Catheter With Up To …
|
19
|
17
|
$106,200.00
|
$106,200.00
|
$34,907.94
|
$106,200.00
|
$69,454.80
|
2026-03-26
|
|
SUP-TGT3115
|
CDM
|
Graft Endoprosthesis Thoracic Aortic Aneurysm 31mmx15cm Tag
|
17
|
16
|
$55,845.00
|
$55,845.00
|
$18,356.25
|
$55,845.00
|
$40,169.31
|
2026-03-26
|
|
SUP-TGT3410
|
CDM
|
Graft Endoprosthesis Thoracic Aortic Aneurysm 34mmx10cm Tag
|
17
|
16
|
$54,202.50
|
$54,202.50
|
$17,816.36
|
$54,202.50
|
$38,987.86
|
2026-03-26
|
|
SUP-TGT3420
|
CDM
|
Graft Endoprosthesis Thoracic Aortic Aneurysm 34mmx20cm Tag
|
17
|
16
|
$55,845.00
|
$55,845.00
|
$18,356.25
|
$55,845.00
|
$40,169.31
|
2026-03-26
|
|
SUP-TGT3710
|
CDM
|
Graft Endoprosthesis Thoracic Aortic Aneurysm 37mmx10cm Tag
|
17
|
16
|
$54,202.50
|
$54,202.50
|
$17,816.36
|
$54,202.50
|
$38,987.86
|
2026-03-26
|
|
SUP-TGT4015
|
CDM
|
Graft Endoprosthesis Thoracic Aortic Aneurysm 40mmx15cm Tag
|
17
|
16
|
$54,202.50
|
$54,202.50
|
$17,816.36
|
$54,202.50
|
$38,987.86
|
2026-03-26
|
|
SUP-TR1-2907
|
CDM
|
Rod Stabilization System 2l Plus Axialif
|
19
|
17
|
$59,108.10
|
$59,108.10
|
$19,428.83
|
$59,108.10
|
$38,656.70
|
2026-03-26
|
|
SUP-TR1-2929
|
CDM
|
System Lateral Interbody Fusion Veo
|
19
|
17
|
$63,926.10
|
$63,926.10
|
$21,012.51
|
$63,926.10
|
$41,807.67
|
2026-03-26
|
|
SUP-W2-10-5
|
CDM
|
System Aneurysm Embolization 5mmx10mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-10-6
|
CDM
|
System Aneurysm Embolization 6mmx10mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-10-7
|
CDM
|
System Aneurysm Embolization 7mmx10mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-10-8
|
CDM
|
System Aneurysm Embolization 8mmx10mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-10-S
|
CDM
|
System Aneurysm Embolization 8.6mmx10mm Via 33 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-11-6
|
CDM
|
System Aneurysm Embolization 6mmx11mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-11-7
|
CDM
|
System Aneurysm Embolization 7mmx11mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-11-8
|
CDM
|
System Aneurysm Embolization 8mmx11mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-11-9
|
CDM
|
System Aneurysm Embolization 9mmx11mm Via 33 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-11-S
|
CDM
|
System Aneurysm Embolization 9.6mmx11mm Via 33 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-8-3
|
CDM
|
System Aneurysm Embolization 3mmx8mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-8-4
|
CDM
|
System Aneurysm Embolization 4mmx8mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-8-5
|
CDM
|
System Aneurysm Embolization 5mmx8mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-8-6
|
CDM
|
System Aneurysm Embolization 6mmx8mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-8-S
|
CDM
|
System Aneurysm Embolization 6.6mmx8mm Via 27 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-9-4
|
CDM
|
System Aneurysm Embolization 4mmx9mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-9-5
|
CDM
|
System Aneurysm Embolization 5mmx9mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-9-6
|
CDM
|
System Aneurysm Embolization 6mmx9mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-9-7
|
CDM
|
System Aneurysm Embolization 7mmx9mm Via 27 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W2-9-S
|
CDM
|
System Aneurysm Embolization 7.6mmx9mm Via 27 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-4-3
|
CDM
|
System Aneurysm Embolization 3mmx4mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-4-S
|
CDM
|
System Aneurysm Embolization 2.6mmx4mm Via 21 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-5-3
|
CDM
|
System Aneurysm Embolization 3mmx5mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-5-4
|
CDM
|
System Aneurysm Embolization 4mmx5mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-5-S
|
CDM
|
System Aneurysm Embolization 3.6mmx5mm Via 21 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-6-3
|
CDM
|
System Aneurysm Embolization 3mmx6mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-6-4
|
CDM
|
System Aneurysm Embolization 4mmx6mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-6-5
|
CDM
|
System Aneurysm Embolization 5mmx6mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-6-S
|
CDM
|
System Aneurysm Embolization 4.6mmx6mm Via 21 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-7-3
|
CDM
|
System Aneurysm Embolization 3mmx7mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-7-4
|
CDM
|
System Aneurysm Embolization 4mmx7mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-7-5
|
CDM
|
System Aneurysm Embolization 5mmx7mm Via 21 Web Sl
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|
|
SUP-W4-7-S
|
CDM
|
System Aneurysm Embolization 5.6mmx7mm Via 21 Web Sls
|
19
|
17
|
$65,481.00
|
$65,481.00
|
$21,523.60
|
$65,481.00
|
$42,824.57
|
2026-03-26
|