Hospital

MACON COUNTY SAMARITAN MEMORIAL HOSPITAL

Macon, MO · CCN 261313 · Rates published

3,352 distinct procedures filed

6 distinct payers

31,114 rate rows

2026-06-22 last MRF observed

Data quality

31,080 of 31,114 rate rows are consumer-grade (99.9%)

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

Excluded — reason	Rows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	17
exceeds 10× this hospital's gross charge — excluded from medians	12
per-diem day rate — not a per-procedure price	5

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

Source MRF file	https://secure.claraprice.net/price-transparency/NMAX-1778599617557/machine-readable/436003377_samaritan-hospital_standardcharges.json
Found on page	https://smhmo.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	success · 2026-10-07
Content fingerprint	2f79d3ef15237a71… · 11,009,722 bytes · first seen 2026-10-07

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
27026 CDM	Pain Mgmt Major Or 1st 15 Min	6	$27,175.00	$60,255.00	$46,155.00	nat. median $46,155 1.0× median
32095 CDM	Implantable Pulse Generator	6	$25,256.00	$56,000.00	$42,896.00	nat. median $217 outlier · 197.6×
63685 CPT	Proclaim DRG	6	$23,525.00	$52,162.00	$39,956.00	nat. median $21,151 1.9× median
32085 CDM	Proclaim Plus	6	$23,362.00	$51,800.00	$39,679.00	nat. median $36 outlier · 1096.4×
32055 CDM	Intellis Adaptivestim Pain	6	$22,642.00	$50,204.00	$38,456.00	nat. median $5 outlier · 8341.9×
31425 CDM	Ipg Charger	6	$22,352.00	$49,560.00	$37,963.00	nat. median $24 outlier · 1568.7×
630411 CDM	Pump 8667-20 Synchro	6	$17,732.00	$39,318.00	$30,117.50	nat. median $17,826 1.7× median
62362 CPT	Medtronic Pump	6	$17,732.00	$39,318.00	$30,117.50	nat. median $16,464 1.8× median
31823 CDM	Lgn Hk Fem Assembly	6	$17,463.00	$38,721.00	$29,660.00	nat. median $22 outlier · 1355.0×
320551 CDM	Intellis Adaptivestim Pain	6	$15,126.00	$33,539.00	$25,691.00	nat. median $25,691 1.0× median
31707 CDM	Fem Lgn Ox Constrained Lt	6	$12,447.00	$27,599.00	$21,140.50	nat. median $12,656 1.7× median
319131 CDM	Nevro1 Si Joint System	6	$11,365.00	$25,200.00	$19,303.00	nat. median $6,105 outlier · 3.2×
31821 CDM	Lgn Hk Tibial Base	6	$8,119.00	$18,002.00	$13,790.00	nat. median $115 outlier · 119.9×
318391 CDM	Tibial Base Sz 2 Lt	6	$8,119.00	$18,002.00	$13,790.00	nat. median $2,213 outlier · 6.2×
L8680 HCPCS	Neurostimulator Implantable	6	$1,395.00	$48,784.00	$12,547.50	nat. median $1,985 outlier · 6.3×
31834 CDM	Tightrope Xp Buttress Plate System	6	$7,208.00	$15,982.00	$12,242.00	nat. median $41 outlier · 297.5×
32019 CDM	Buttress Plate Dual Tightrope	6	$7,208.00	$15,982.00	$12,242.00	nat. median $0
32052 CDM	Scr Full Step	6	$6,920.00	$15,344.00	$11,753.50	nat. median $256 outlier · 46.0×
31785 CDM	Humeral Resurfacting Head Plasma Coated	6	$6,646.00	$14,736.00	$11,288.00	nat. median $97 outlier · 116.2×
C1821 HCPCS	Superion Ids One	6	$5,028.00	$22,297.00	$10,602.50	nat. median $3,539 outlier · 3.0×
J1932 HCPCS	Lanreotide 120mg/.05ml	6	$6,116.00	$13,561.00	$10,387.50	nat. median $113 outlier · 92.2×
31839 CDM	Tibial Base Sz 2 Lt	6	$5,691.00	$12,619.00	$9,666.50	nat. median $3,782 outlier · 2.6×
32105 CDM	Trunion Eclipse	6	$5,683.00	$12,600.00	$9,651.50	nat. median $37 outlier · 258.3×
32108 CDM	Eclipse Trunion Slotted	6	$5,588.00	$12,390.00	$9,490.50	nat. median $65 outlier · 145.4×
31710 CDM	Gnsii Con Ins Sz 5-6 18mm	6	$5,363.00	$11,892.00	$9,109.50	nat. median $1,500 outlier · 6.1×
31792 CDM	Stem Humeral Reverse	6	$5,348.00	$11,858.00	$9,083.50	nat. median $105 outlier · 86.3×
J3380 HCPCS	Vedolizumab 300mg	6	$5,305.00	$11,763.00	$9,010.50	nat. median $168 outlier · 53.8×
31557 CDM	Quickset 16cc	6	$5,211.00	$11,554.00	$8,850.50	nat. median $273 outlier · 32.4×
J2278 HCPCS	Ziconotide 25 Mcg/ml20ml Vial	6	$5,159.00	$11,438.00	$8,761.50	nat. median $16 outlier · 538.5×
629201 CDM	Ziconotide 25 Mcg/ml20ml Vial	6	$5,159.00	$11,438.00	$8,761.50	nat. median $167 outlier · 52.5×
93073 CPT	Interferon Beta 1b .3mg	6	$5,128.00	$11,371.00	$8,710.50	nat. median $26 outlier · 335.0×
31852 CDM	Amnion Thick 3cm X 4cm 12 Cm(i)	6	$5,051.00	$11,200.00	$8,579.00	nat. median $440 outlier · 19.5×
31616 CDM	Bioinductive Implant	6	$5,051.00	$11,200.00	$8,579.00	nat. median $2,338 outlier · 3.7×
J1561 HCPCS	Immune Globulin 40g/400ml	6	$4,955.00	$10,987.00	$8,416.00	nat. median $1,095 outlier · 7.7×
31660 CDM	Arthroflex Augmentation Patch	6	$4,740.00	$10,511.00	$8,051.00	nat. median $115 outlier · 70.0×
31709 CDM	Tibia Base Rev Lgn	6	$4,688.00	$10,395.00	$7,962.50	nat. median $726 outlier · 11.0×
J0517 HCPCS	Benralizumab 30mg/ml 5yr	6	$4,431.00	$9,824.00	$7,525.00	nat. median $919 outlier · 8.2×
32047 CDM	Ante Xlpe Lnr R3	6	$4,405.00	$9,768.00	$7,482.00	nat. median $142 outlier · 52.8×
Q5108 HCPCS	Pegfilgrastim-jmdb	6	$4,379.00	$9,709.00	$7,437.00	nat. median $1,244 outlier · 6.0×
32137 CDM	Scr, Knotless Implant System	6	$4,376.00	$9,702.00	$7,432.00	nat. median $795 outlier · 9.3×
27025 CDM	Pain Mgmt Major Or 1st 15 Min	6	$4,266.00	$9,460.00	$7,246.50	nat. median $982 outlier · 7.4×
31822 CDM	Lgn Hk Gd Motion Isrt	6	$4,215.00	$9,345.00	$7,158.50	nat. median $886 outlier · 8.1×
318411 CDM	Lg Hk Gd Motion Isrt	6	$4,215.00	$9,345.00	$7,158.50	nat. median $7,158 1.0× median
31726 CDM	Head 24.0 Mm	6	$4,172.00	$9,251.00	$7,086.00	nat. median $266 outlier · 26.6×
32079 CDM	Allograft Graftlink Cp2	6	$4,115.00	$9,125.00	$6,989.50	nat. median $287 outlier · 24.4×
32051 CDM	Cont Insrt	6	$4,026.00	$8,926.00	$6,837.50	nat. median $7,007 1.0× median
32117 CDM	Speedbird Imp Sys 2/bio-comp Swvl Ndl	6	$4,021.00	$8,915.00	$6,829.00	nat. median $297 outlier · 23.0×
32104 CDM	Screw, Eclipse Cage	6	$3,995.00	$8,858.00	$6,785.50	nat. median $1,052 outlier · 6.4×
32133 CDM	Knotless Ac Repair System	6	$3,946.00	$8,750.00	$6,703.00	nat. median $307 outlier · 21.8×
31765 CDM	Stem Humeral Press Fit 11mm	6	$3,908.00	$8,666.00	$6,638.00	nat. median $240 outlier · 27.7×

Other procedures at this hospital

Browse this hospital's 3,352 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

0232T	CPT	Njx Pltlt Plasma W/img Harvest/prep	6	6	$3,538.00	$2,830.00 20% off	$1,596.00	$3,538.00	$2,710.00	2026-06-22
10005	CDM	Surgical Clinic Proc 5	6	6	$2,296.00	$1,837.00	$1,035.00	$2,296.00	$1,759.00	2026-06-22
10006	CDM	Surgical Clinic Proc 6	6	6	$3,444.00	$2,755.00 20% off	$1,553.00	$3,444.00	$2,638.00	2026-06-22
1005	CDM	Clinic Procedure 5	6	6	$2,296.00	$1,837.00	$1,035.00	$2,296.00	$1,759.00	2026-06-22
1006	CDM	Clinic Procedure 6	6	6	$3,444.00	$2,755.00 20% off	$1,553.00	$3,444.00	$2,638.00	2026-06-22
13006	CDM	Nurs Procedure V	6	6	$2,870.00	$2,296.00 20% off	$1,294.00	$2,870.00	$2,198.50	2026-06-22
13160	CPT	Late Closure Of Wound	6	6	$2,291.00	$1,833.00	$1,033.00	$2,291.00	$1,755.00	2026-06-22
14907	CPT	Darbepoetin 100mcg	12	6	$5,459.50	$4,367.50 20% off	$7.00	$10,904.00	$2,466.50	2026-06-22
15110	CPT	Epiderm Autograft Trk/arm/leg<= 100 Sq	12	6	$3,589.50	$2,871.50 20% off	$700.00	$4,861.00	$2,255.00	2026-06-22
15115	CPT	Epiderm Autograft Hd/hds/ft<= 100 Sq	12	6	$3,622.00	$2,897.50 20% off	$681.00	$4,861.00	$2,287.50	2026-06-22
15260	CPT	Skin Full Graft	6	6	$2,775.00	$2,220.00 20% off	$1,252.00	$2,775.00	$2,126.00	2026-06-22
15769	CPT	Bone Marrow Preparation	6	6	$4,603.00	$3,682.00 20% off	$2,076.00	$4,603.00	$3,525.50	2026-06-22
205514	CDM	Surgical Inj Level 4	6	6	$2,927.00	$2,342.00	$1,320.00	$2,927.00	$2,242.00	2026-06-22
205514P	CDM	Surgical Inj Level 4	6	6	$2,927.00	$2,342.00	$1,320.00	$2,927.00	$2,242.00	2026-06-22
205515	CDM	Surgical Inj Level 5	6	6	$8,036.00	$6,429.00	$3,624.00	$8,036.00	$6,155.50	2026-06-22
205515P	CDM	Surgical Inj Level 5	6	6	$8,036.00	$6,429.00	$3,624.00	$8,036.00	$6,155.50	2026-06-22
27006	CDM	Ortho Major Or 1st 15 Min	6	6	$3,136.00	$2,509.00	$1,414.00	$3,136.00	$2,402.50	2026-06-22
27017	CDM	Ob/gyn Interm Or 1st 15 Min	6	6	$2,195.00	$1,756.00 20% off	$990.00	$2,195.00	$1,681.50	2026-06-22
27018	CDM	Ob/gyn Major Or 1st 15 Min	6	6	$3,763.00	$3,010.00 20% off	$1,697.00	$3,763.00	$2,882.50	2026-06-22
27021	CDM	Ortho Major Total Jnt Or 1st 15 Min	6	6	$6,272.00	$5,018.00	$2,829.00	$6,272.00	$4,804.00	2026-06-22
27023	CDM	Pain Mgmt Interm Or 1st 15 Min	6	6	$5,912.00	$4,730.00	$2,666.00	$5,912.00	$4,528.50	2026-06-22
27025	CDM	Pain Mgmt Major Or 1st 15 Min	6	6	$9,460.00	$7,568.00 20% off	$4,266.00	$9,460.00	$7,246.50	2026-06-22
27026	CDM	Pain Mgmt Major Or 1st 15 Min	6	6	$60,255.00	$48,204.00 20% off	$27,175.00	$60,255.00	$46,155.00	2026-06-22
27027	CDM	Opthalm Or 1st 15 Min	6	6	$6,489.00	$5,191.00 20% off	$2,927.00	$6,489.00	$4,971.00	2026-06-22
27030	CDM	Podiatry Major Or 1st 15 Min	6	6	$3,136.00	$2,509.00	$1,414.00	$3,136.00	$2,402.50	2026-06-22
27301	CPT	Drain Thighknee Lesion	6	6	$1,822.00	$1,458.00	$822.00	$1,822.00	$1,395.50	2026-06-22
27487	CPT	Revisereplace Knee Joint	6	6	$5,036.00	$4,029.00	$2,271.00	$5,036.00	$3,857.50	2026-06-22
29424	CDM	Fixation Sec. W/peek Swivelock	6	6	$2,800.00	$2,240.00 20% off	$1,263.00	$2,800.00	$2,145.00	2026-06-22
29502	CDM	Stem Modular Cemented	6	6	$5,386.00	$4,309.00	$2,429.00	$5,386.00	$4,125.50	2026-06-22
29683	CDM	Graft Mpfl	6	6	$4,106.00	$3,285.00	$1,852.00	$4,106.00	$3,145.50	2026-06-22
29717	CDM	Comm Handset Kit	6	6	$3,108.00	$2,486.00 20% off	$1,402.00	$3,108.00	$2,380.50	2026-06-22
29720	CDM	Tissue Repair Matrix	6	6	$4,985.00	$3,988.00 20% off	$2,248.00	$4,985.00	$3,818.50	2026-06-22
29730	CDM	Lcs Rp Insert	6	6	$7,800.00	$6,240.00 20% off	$3,518.00	$7,800.00	$5,975.00	2026-06-22
29988	CDM	Tissue Mend	6	6	$2,330.00	$1,864.00 20% off	$1,051.00	$2,330.00	$1,784.50	2026-06-22
300641	CDM	Minerva Ablation	6	6	$2,838.00	$2,270.00 20% off	$1,280.00	$2,838.00	$2,174.00	2026-06-22
30209	CDM	Hemi	6	6	$2,419.00	$1,935.00 20% off	$1,091.00	$2,419.00	$1,853.00	2026-06-22
30292	CDM	Hydroset 5cc	6	6	$2,969.00	$2,375.00 20% off	$1,339.00	$2,969.00	$2,274.00	2026-06-22
30293	CDM	Hydroset 10cc	6	6	$5,847.00	$4,678.00	$2,637.00	$5,847.00	$4,478.50	2026-06-22
30590	CDM	Xenform Repair Matri	6	6	$3,341.00	$2,673.00	$1,507.00	$3,341.00	$2,559.50	2026-06-22
30732	CDM	Biomet Ilok Stem Tib	6	6	$6,051.00	$4,841.00	$2,729.00	$6,051.00	$4,635.00	2026-06-22
30795	CDM	Xenform Tissue 8x10	6	6	$3,976.00	$3,181.00	$1,793.00	$3,976.00	$3,046.00	2026-06-22
30824	CDM	Biomet Tib Block	6	6	$2,419.00	$1,935.00 20% off	$1,091.00	$2,419.00	$1,853.00	2026-06-22
30840	CDM	Bmt Splined Knee Stm	6	6	$3,326.00	$2,661.00	$1,500.00	$3,326.00	$2,547.50	2026-06-22
30877	CDM	Stem 8mmx2mm	6	6	$4,681.00	$3,745.00	$2,111.00	$4,681.00	$3,585.50	2026-06-22
30878	CDM	Head Angeled 22mm Rt	6	6	$7,816.00	$6,253.00	$3,525.00	$7,816.00	$5,987.00	2026-06-22
30907	CDM	Innate	6	6	$5,390.00	$4,312.00 20% off	$2,431.00	$5,390.00	$4,128.50	2026-06-22
31112	CDM	Easy Clip	6	6	$3,391.00	$2,713.00	$1,529.00	$3,391.00	$2,597.50	2026-06-22
31133	CDM	Lcs Rp Inserted	6	6	$5,229.00	$4,183.00 20% off	$2,358.00	$5,229.00	$4,005.00	2026-06-22
31134	CDM	Insert-cr High Flex	6	6	$3,784.00	$3,027.00 20% off	$1,707.00	$3,784.00	$2,898.50	2026-06-22
31172	CDM	Knee Guide	6	6	$2,968.00	$2,374.00 20% off	$1,339.00	$2,968.00	$2,273.50	2026-06-22
31177	CDM	Cutting Guides	6	6	$2,595.00	$2,076.00 20% off	$1,170.00	$2,595.00	$1,987.50	2026-06-22
31227	CDM	Cable Clamp	6	6	$1,846.00	$1,477.00	$833.00	$1,846.00	$1,414.00	2026-06-22
31233	CDM	Allograft >8mm	6	6	$4,847.00	$3,878.00	$2,186.00	$4,847.00	$3,712.50	2026-06-22
31287	CDM	Easy Clip 15-12-12	6	6	$3,343.00	$2,674.00 20% off	$1,508.00	$3,343.00	$2,560.50	2026-06-22
31290	CDM	Fistula Plug Bio-a	6	6	$2,276.00	$1,821.00	$1,026.00	$2,276.00	$1,743.50	2026-06-22
31291	CDM	Tightrope Knotless	6	6	$3,284.00	$2,627.00 20% off	$1,481.00	$3,284.00	$2,515.50	2026-06-22
31295	CDM	Allograft	6	6	$7,305.00	$5,844.00 20% off	$3,295.00	$7,305.00	$5,595.50	2026-06-22
31299	CDM	Matrix Dx	6	6	$6,373.00	$5,098.00 20% off	$2,874.00	$6,373.00	$4,881.50	2026-06-22
31301	CDM	Tightrope Btb	6	6	$2,105.00	$1,684.00 20% off	$949.00	$2,105.00	$1,612.50	2026-06-22
31309	CDM	Allograft Opteform Paste	6	6	$5,267.00	$4,214.00	$2,375.00	$5,267.00	$4,034.50	2026-06-22
31310	CDM	Mrh Bushings Sleeves	6	6	$8,396.00	$6,717.00	$3,787.00	$8,396.00	$6,431.50	2026-06-22
31362	CDM	Biocartilage	6	6	$3,920.00	$3,136.00 20% off	$1,768.00	$3,920.00	$3,002.50	2026-06-22
31380	CDM	Ez Clips	6	6	$2,632.00	$2,106.00	$1,187.00	$2,632.00	$2,016.50	2026-06-22
31413	CDM	Achilles Tendon	6	6	$5,198.00	$4,158.00 20% off	$2,344.00	$5,198.00	$3,981.50	2026-06-22
31425	CDM	Ipg Charger	6	6	$49,560.00	$39,648.00 20% off	$22,352.00	$49,560.00	$37,963.00	2026-06-22
31447	CDM	Abf-dx Matrix	6	6	$7,202.00	$5,762.00	$3,248.00	$7,202.00	$5,517.00	2026-06-22
31448	CDM	Achilles Speedbridge Bio-co	6	6	$5,501.00	$4,401.00	$2,481.00	$5,501.00	$4,214.00	2026-06-22
31465	CDM	Achilles Speedbridge Bio-co	6	6	$8,610.00	$6,888.00 20% off	$3,883.00	$8,610.00	$6,595.50	2026-06-22
31466	CDM	Tightrope 1.1mm	6	6	$2,100.00	$1,680.00 20% off	$947.00	$2,100.00	$1,608.50	2026-06-22
31475	CDM	Allograft 9.5x72mm	6	6	$6,440.00	$5,152.00 20% off	$2,904.00	$6,440.00	$4,933.00	2026-06-22
31483	CDM	Rf Probe	6	6	$1,914.00	$1,531.00 20% off	$863.00	$1,914.00	$1,466.00	2026-06-22
31496	CDM	Tightrope Syndemosis Stainless	6	6	$5,981.00	$4,785.00	$2,697.00	$5,981.00	$4,581.50	2026-06-22
31506	CDM	Swivelock Bio Composite	6	6	$2,800.00	$2,240.00 20% off	$1,263.00	$2,800.00	$2,145.00	2026-06-22
31507	CDM	Stimublast Gel 5cc	6	6	$3,089.00	$2,471.00 20% off	$1,393.00	$3,089.00	$2,366.50	2026-06-22
31510	CDM	Bridge Repair System	6	6	$3,491.00	$2,793.00	$1,574.00	$3,491.00	$2,674.00	2026-06-22
31512	CDM	Radius Plate	6	6	$3,070.00	$2,456.00 20% off	$1,385.00	$3,070.00	$2,351.50	2026-06-22
31530	CDM	Ipg Contact Leads Splitter	6	6	$2,973.00	$2,378.00 20% off	$1,341.00	$2,973.00	$2,277.00	2026-06-22
31557	CDM	Quickset 16cc	6	6	$11,554.00	$9,243.00 20% off	$5,211.00	$11,554.00	$8,850.50	2026-06-22
31568	CDM	Speedbird 1mp Sys With Bio Comp	6	6	$6,719.00	$5,375.00 20% off	$3,030.00	$6,719.00	$5,147.00	2026-06-22
31573	CDM	Stimiublast Gel 10cc	6	6	$4,635.00	$3,708.00 20% off	$2,090.00	$4,635.00	$3,550.50	2026-06-22
31574	CDM	Tightrpoe Syn-desmosis Titanium	6	6	$3,400.00	$2,720.00 20% off	$1,533.00	$3,400.00	$2,604.50	2026-06-22
31584	CDM	Quick Clamp	6	6	$2,605.00	$2,084.00 20% off	$1,175.00	$2,605.00	$1,995.50	2026-06-22
31585	CDM	Pin Clamp 6 Hole	6	6	$2,703.00	$2,162.00 20% off	$1,219.00	$2,703.00	$2,070.50	2026-06-22
31603	CDM	Cable With Clamp 2.0mm	6	6	$1,984.00	$1,587.00 20% off	$895.00	$1,984.00	$1,520.00	2026-06-22
31615	CDM	Implant System, Mpfl, Acl Tightrope	6	6	$6,514.00	$5,211.00 20% off	$2,938.00	$6,514.00	$4,990.00	2026-06-22
31616	CDM	Bioinductive Implant	6	6	$11,200.00	$8,960.00 20% off	$5,051.00	$11,200.00	$8,579.00	2026-06-22
31617	CDM	Knotless Tightrope Syn Ss	6	6	$3,378.00	$2,702.00 20% off	$1,523.00	$3,378.00	$2,587.50	2026-06-22
31626	CDM	Gnsii Resurf Patella	6	6	$3,973.00	$3,178.00 20% off	$1,792.00	$3,973.00	$3,043.00	2026-06-22
31660	CDM	Arthroflex Augmentation Patch	6	6	$10,511.00	$8,409.00	$4,740.00	$10,511.00	$8,051.00	2026-06-22
31679	CDM	Tibial Tka Implant	6	6	$2,887.00	$2,310.00	$1,302.00	$2,887.00	$2,211.50	2026-06-22
31681	CDM	Patella Dome	6	6	$1,804.00	$1,443.00 20% off	$814.00	$1,804.00	$1,382.00	2026-06-22
31682	CDM	Tka Femoral Cemented	6	6	$5,155.00	$4,124.00 20% off	$2,325.00	$5,155.00	$3,948.50	2026-06-22
31694	CDM	Plate 5 Hole	6	6	$2,684.00	$2,147.00 20% off	$1,210.00	$2,684.00	$2,056.00	2026-06-22
31701	CDM	Tka Femoral Cemented	6	6	$5,743.00	$4,594.00 20% off	$2,590.00	$5,743.00	$4,399.00	2026-06-22
31707	CDM	Fem Lgn Ox Constrained Lt	6	6	$27,599.00	$22,079.00 20% off	$12,447.00	$27,599.00	$21,140.50	2026-06-22
31709	CDM	Tibia Base Rev Lgn	6	6	$10,395.00	$8,316.00 20% off	$4,688.00	$10,395.00	$7,962.50	2026-06-22
31710	CDM	Gnsii Con Ins Sz 5-6 18mm	6	6	$11,892.00	$9,514.00	$5,363.00	$11,892.00	$9,109.50	2026-06-22
31715	CDM	Stem 10.0mm X 2.0	6	6	$5,470.00	$4,376.00 20% off	$2,467.00	$5,470.00	$4,190.00	2026-06-22
31716	CDM	Stimublast Cb Paste 3cc	6	6	$1,932.00	$1,546.00	$871.00	$1,932.00	$1,480.00	2026-06-22
31718	CDM	Tibial Bearing Uka	6	6	$2,162.00	$1,730.00	$975.00	$2,162.00	$1,656.00	2026-06-22
31719	CDM	Tibial Tray	6	6	$4,865.00	$3,892.00 20% off	$2,194.00	$4,865.00	$3,726.50	2026-06-22
31720	CDM	Fem Cemented Uka Size 2	6	6	$8,108.00	$6,486.00 20% off	$3,657.00	$8,108.00	$6,210.50	2026-06-22
31722	CDM	Trochantic Nail	6	6	$4,075.00	$3,260.00 20% off	$1,838.00	$4,075.00	$3,121.50	2026-06-22
31725	CDM	Stem 10.0mm X 6.0mm	6	6	$5,632.00	$4,506.00	$2,540.00	$5,632.00	$4,314.50	2026-06-22
31726	CDM	Head 24.0 Mm	6	6	$9,251.00	$7,401.00	$4,172.00	$9,251.00	$7,086.00	2026-06-22
31728	CDM	Plate Clavicle Ss	6	6	$3,830.00	$3,064.00 20% off	$1,727.00	$3,830.00	$2,933.50	2026-06-22
31749	CDM	Decompression Kit	6	6	$2,319.00	$1,855.00 20% off	$1,046.00	$2,319.00	$1,776.50	2026-06-22
31750	CDM	Ibal Tka Bearing Sz 4	6	6	$2,838.00	$2,270.00 20% off	$1,280.00	$2,838.00	$2,174.00	2026-06-22
31751	CDM	Tka Tibial Tray	6	6	$4,124.00	$3,299.00 20% off	$1,860.00	$4,124.00	$3,158.50	2026-06-22
31752	CDM	Graft-hamstring	6	6	$4,106.00	$3,285.00	$1,852.00	$4,106.00	$3,145.50	2026-06-22
31757	CDM	Ankle Lateral Implant	6	6	$6,757.00	$5,406.00	$3,047.00	$6,757.00	$5,176.00	2026-06-22
31758	CDM	Fibulock Implant System	6	6	$2,800.00	$2,240.00 20% off	$1,263.00	$2,800.00	$2,145.00	2026-06-22
31765	CDM	Stem Humeral Press Fit 11mm	6	6	$8,666.00	$6,933.00	$3,908.00	$8,666.00	$6,638.00	2026-06-22
31766	CDM	Glenosphere 38mm	6	6	$6,436.00	$5,149.00	$2,903.00	$6,436.00	$4,930.00	2026-06-22
31772	CDM	Allograft Graftlink Convenience Pack	6	6	$3,630.00	$2,904.00 20% off	$1,637.00	$3,630.00	$2,780.50	2026-06-22
31784	CDM	Humeral Resurfacting Cage Plasma Coated	6	6	$2,655.00	$2,124.00 20% off	$1,197.00	$2,655.00	$2,033.50	2026-06-22
31785	CDM	Humeral Resurfacting Head Plasma Coated	6	6	$14,736.00	$11,789.00	$6,646.00	$14,736.00	$11,288.00	2026-06-22
31792	CDM	Stem Humeral Reverse	6	6	$11,858.00	$9,486.00 20% off	$5,348.00	$11,858.00	$9,083.50	2026-06-22
31796	CDM	Meniscal Root Repair System	6	6	$5,386.00	$4,309.00	$2,429.00	$5,386.00	$4,125.50	2026-06-22
31799	CDM	Oxinium Fem Hd M/+4	6	6	$3,612.00	$2,890.00	$1,629.00	$3,612.00	$2,766.50	2026-06-22
31806	CDM	Meniscal Root Repair System/bio Comp(i)	6	6	$6,801.00	$5,441.00	$3,067.00	$6,801.00	$5,209.50	2026-06-22
31811	CDM	Speedbird Imp Sys With Sorpion-multifire	6	6	$7,641.00	$6,113.00	$3,446.00	$7,641.00	$5,853.00	2026-06-22
31813	CDM	Tightrope Suture	6	6	$2,105.00	$1,684.00 20% off	$949.00	$2,105.00	$1,612.50	2026-06-22
31815	CDM	Iobp Knee Open Tip Procedure Kit	6	6	$3,476.00	$2,781.00	$1,568.00	$3,476.00	$2,663.00	2026-06-22
31817	CDM	Interfyl Flowable	6	6	$8,070.00	$6,456.00 20% off	$3,640.00	$8,070.00	$6,181.50	2026-06-22
31819	CDM	Lgn Hk Dis Fem Wdg	6	6	$5,788.00	$4,630.00 20% off	$2,610.00	$5,788.00	$4,433.50	2026-06-22
31820	CDM	Lgn Pressfit Stem	6	6	$4,985.00	$3,988.00 20% off	$2,248.00	$4,985.00	$3,818.50	2026-06-22
31821	CDM	Lgn Hk Tibial Base	6	6	$18,002.00	$14,402.00	$8,119.00	$18,002.00	$13,790.00	2026-06-22
31822	CDM	Lgn Hk Gd Motion Isrt	6	6	$9,345.00	$7,476.00 20% off	$4,215.00	$9,345.00	$7,158.50	2026-06-22
31823	CDM	Lgn Hk Fem Assembly	6	6	$38,721.00	$30,977.00	$17,463.00	$38,721.00	$29,660.00	2026-06-22
31824	CDM	Tissue Tak With Absorb Tendon Anchors	6	6	$3,378.00	$2,702.00 20% off	$1,523.00	$3,378.00	$2,587.50	2026-06-22
31825	CDM	Plate, Distal Clavicle Knotless	6	6	$3,942.00	$3,154.00	$1,778.00	$3,942.00	$3,019.50	2026-06-22
31828	CDM	Plate Plantar Set	6	6	$3,234.00	$2,587.00 20% off	$1,459.00	$3,234.00	$2,477.00	2026-06-22
31832	CDM	Mesh Tacker Secure Strap	6	6	$2,320.00	$1,856.00 20% off	$1,046.00	$2,320.00	$1,777.00	2026-06-22
31833	CDM	Ib Kit, Bc, With Cc Ft And Jumpstart	6	6	$5,981.00	$4,785.00	$2,697.00	$5,981.00	$4,581.50	2026-06-22
31834	CDM	Tightrope Xp Buttress Plate System	6	6	$15,982.00	$12,786.00	$7,208.00	$15,982.00	$12,242.00	2026-06-22
31835	CDM	K-less T-rope W/drv, 8yn Repr Ti(i)	6	6	$5,981.00	$4,785.00	$2,697.00	$5,981.00	$4,581.50	2026-06-22
31838	CDM	Decelularized Dermis 2.5x3	6	6	$4,402.00	$3,522.00	$1,985.00	$4,402.00	$3,372.00	2026-06-22
31839	CDM	Tibial Base Sz 2 Lt	6	6	$12,619.00	$10,095.00 20% off	$5,691.00	$12,619.00	$9,666.50	2026-06-22
318391	CDM	Tibial Base Sz 2 Lt	6	6	$18,002.00	$14,402.00	$8,119.00	$18,002.00	$13,790.00	2026-06-22
31840	CDM	Lgn Rk/hk Hemi	6	6	$4,832.00	$3,866.00	$2,179.00	$4,832.00	$3,701.50	2026-06-22
318401	CDM	Lgn Rk/hk Hemi	6	6	$6,894.00	$5,515.00 20% off	$3,109.00	$6,894.00	$5,280.50	2026-06-22
31841	CDM	Lg Hk Gd Motion Isrt	6	6	$6,551.00	$5,241.00	$2,955.00	$6,551.00	$5,018.00	2026-06-22
318411	CDM	Lg Hk Gd Motion Isrt	6	6	$9,345.00	$7,476.00 20% off	$4,215.00	$9,345.00	$7,158.50	2026-06-22
31842	CDM	Lgn Hk Bolt Sleeve	6	6	$2,927.00	$2,342.00	$1,320.00	$2,927.00	$2,242.00	2026-06-22
318421	CDM	Lgn Hk Bolt Sleeve	6	6	$4,176.00	$3,341.00	$1,883.00	$4,176.00	$3,199.00	2026-06-22
31852	CDM	Amnion Thick 3cm X 4cm 12 Cm(i)	6	6	$11,200.00	$8,960.00 20% off	$5,051.00	$11,200.00	$8,579.00	2026-06-22
31855	CDM	Implant Sys Sec Fixation W/bio Com	6	6	$2,901.00	$2,321.00	$1,308.00	$2,901.00	$2,222.50	2026-06-22
31857	CDM	Cath Spinal Rev Kit Ascenda	6	6	$1,966.00	$1,573.00	$887.00	$1,966.00	$1,506.00	2026-06-22
31862	CDM	Mesh Tintrac 15	6	6	$4,054.00	$3,243.00 20% off	$1,828.00	$4,054.00	$3,105.50	2026-06-22
31869	CDM	Achilles Speedbridge Imp	6	6	$7,703.00	$6,162.00 20% off	$3,474.00	$7,703.00	$5,900.50	2026-06-22
319131	CDM	Nevro1 Si Joint System	6	6	$25,200.00	$20,160.00 20% off	$11,365.00	$25,200.00	$19,303.00	2026-06-22
31915	CDM	Lead Wire Implantable	6	6	$5,135.00	$4,108.00 20% off	$2,316.00	$5,135.00	$3,933.50	2026-06-22
31936	CDM	Graft Link Xl	6	6	$6,757.00	$5,406.00	$3,047.00	$6,757.00	$5,176.00	2026-06-22
31943	CDM	Internal Brace Ligament	6	6	$4,616.00	$3,693.00	$2,082.00	$4,616.00	$3,535.50	2026-06-22
31945	CDM	Pdc Prec Sys Long Tube W/vhv	6	6	$2,338.00	$1,870.00 20% off	$1,054.00	$2,338.00	$1,791.00	2026-06-22
31964	CDM	Allosync Allograft 5.0 Cc	6	6	$4,001.00	$3,201.00	$1,804.00	$4,001.00	$3,065.00	2026-06-22
31974	CDM	Graft Lateral Ankle	6	6	$4,410.00	$3,528.00 20% off	$1,989.00	$4,410.00	$3,378.00	2026-06-22
31985	CDM	Allosync 8.0	6	6	$3,843.00	$3,074.00 20% off	$1,733.00	$3,843.00	$2,943.50	2026-06-22
32009	CDM	Fixation W/swivel Lock	6	6	$2,402.00	$1,922.00	$1,083.00	$2,402.00	$1,840.00	2026-06-22
32010	CDM	Allosync 10cc	6	6	$7,935.00	$6,348.00 20% off	$3,579.00	$7,935.00	$6,078.00	2026-06-22
32013	CDM	Allosync	6	6	$4,802.00	$3,842.00	$2,166.00	$4,802.00	$3,678.50	2026-06-22
32014	CDM	Acl/pcl Fixation W/swivel Lock Imp Sys	6	6	$2,319.00	$1,855.00 20% off	$1,046.00	$2,319.00	$1,776.50	2026-06-22
32019	CDM	Buttress Plate Dual Tightrope	6	6	$15,982.00	$12,786.00	$7,208.00	$15,982.00	$12,242.00	2026-06-22
32044	CDM	Puraply Am 6x9	6	6	$2,041.00	$1,633.00	$920.00	$2,041.00	$1,563.50	2026-06-22
32047	CDM	Ante Xlpe Lnr R3	6	6	$9,768.00	$7,814.00 20% off	$4,405.00	$9,768.00	$7,482.00	2026-06-22
32051	CDM	Cont Insrt	6	6	$8,926.00	$7,141.00	$4,026.00	$8,926.00	$6,837.50	2026-06-22
32052	CDM	Scr Full Step	6	6	$15,344.00	$12,275.00 20% off	$6,920.00	$15,344.00	$11,753.50	2026-06-22
32053	CDM	Revers Stem	6	6	$5,859.00	$4,687.00 20% off	$2,642.00	$5,859.00	$4,488.00	2026-06-22
32055	CDM	Intellis Adaptivestim Pain	6	6	$50,204.00	$40,163.00 20% off	$22,642.00	$50,204.00	$38,456.00	2026-06-22
320551	CDM	Intellis Adaptivestim Pain	6	6	$33,539.00	$26,831.00 20% off	$15,126.00	$33,539.00	$25,691.00	2026-06-22
320552	CDM	Neuro Lead Kit	6	6	$3,297.00	$2,638.00	$1,487.00	$3,297.00	$2,525.50	2026-06-22
32056	CDM	Intellis Recharger	6	6	$5,041.00	$4,033.00	$2,273.00	$5,041.00	$3,861.50	2026-06-22
32057	CDM	Intellis Controller	6	6	$2,959.00	$2,367.00 20% off	$1,335.00	$2,959.00	$2,266.50	2026-06-22
32064	CDM	Allograft Brg351	6	6	$3,612.00	$2,890.00	$1,629.00	$3,612.00	$2,766.50	2026-06-22
32065	CDM	Allograft Dsp001	6	6	$5,460.00	$4,368.00 20% off	$2,462.00	$5,460.00	$4,182.50	2026-06-22
32067	CDM	Acl Tightrope With Fibertag	6	6	$2,100.00	$1,680.00 20% off	$947.00	$2,100.00	$1,608.50	2026-06-22
32068	CDM	Fibertak Ankor Knotless	6	6	$1,800.00	$1,440.00 20% off	$812.00	$1,800.00	$1,379.00	2026-06-22
32075	CDM	Eclipse Speedcap Implant System	6	6	$7,000.00	$5,600.00 20% off	$3,157.00	$7,000.00	$5,362.00	2026-06-22
32079	CDM	Allograft Graftlink Cp2	6	6	$9,125.00	$7,300.00 20% off	$4,115.00	$9,125.00	$6,989.50	2026-06-22
32080	CDM	Pushlock Biocomposite	6	6	$2,100.00	$1,680.00 20% off	$947.00	$2,100.00	$1,608.50	2026-06-22
32081	CDM	Fibertak Button	6	6	$3,158.00	$2,526.00 20% off	$1,424.00	$3,158.00	$2,419.00	2026-06-22
32083	CDM	Fiberstitch Rc	6	6	$2,310.00	$1,848.00 20% off	$1,042.00	$2,310.00	$1,769.50	2026-06-22
32085	CDM	Proclaim Plus	6	6	$51,800.00	$41,440.00 20% off	$23,362.00	$51,800.00	$39,679.00	2026-06-22
32091	CDM	Sp Fibrtak Tigertp Wh/bk &Sttpewh/bl	6	6	$2,195.00	$1,756.00 20% off	$990.00	$2,195.00	$1,681.50	2026-06-22
320934	CDM	Lens Preloaded Panoptix	6	6	$2,035.00	$1,628.00 20% off	$918.00	$2,035.00	$1,559.00	2026-06-22
32095	CDM	Implantable Pulse Generator	6	6	$56,000.00	$44,800.00 20% off	$25,256.00	$56,000.00	$42,896.00	2026-06-22
32096	CDM	Carpal Tunl Rel Inst	6	6	$2,703.00	$2,162.00 20% off	$1,219.00	$2,703.00	$2,070.50	2026-06-22
32097	CDM	Istent Inject	6	6	$7,703.00	$6,162.00 20% off	$3,474.00	$7,703.00	$5,900.50	2026-06-22
32104	CDM	Screw, Eclipse Cage	6	6	$8,858.00	$7,086.00 20% off	$3,995.00	$8,858.00	$6,785.50	2026-06-22
32105	CDM	Trunion Eclipse	6	6	$12,600.00	$10,080.00 20% off	$5,683.00	$12,600.00	$9,651.50	2026-06-22
32106	CDM	Humeral Head Eclipse	6	6	$3,483.00	$2,786.00 20% off	$1,571.00	$3,483.00	$2,668.00	2026-06-22
32108	CDM	Eclipse Trunion Slotted	6	6	$12,390.00	$9,912.00 20% off	$5,588.00	$12,390.00	$9,490.50	2026-06-22
32109	CDM	Eclipse Humeral Head	6	6	$5,600.00	$4,480.00 20% off	$2,526.00	$5,600.00	$4,289.50	2026-06-22
32116	CDM	Bc Knotless Swivelock W/tape	6	6	$2,475.00	$1,980.00 20% off	$1,116.00	$2,475.00	$1,896.00	2026-06-22
32117	CDM	Speedbird Imp Sys 2/bio-comp Swvl Ndl	6	6	$8,915.00	$7,132.00 20% off	$4,021.00	$8,915.00	$6,829.00	2026-06-22
32120	CDM	Neuro Absorb Lg	6	6	$5,586.00	$4,469.00	$2,519.00	$5,586.00	$4,279.00	2026-06-22
32125	CDM	Nano Needle Scope	6	6	$2,365.00	$1,892.00 20% off	$1,067.00	$2,365.00	$1,811.50	2026-06-22
32133	CDM	Knotless Ac Repair System	6	6	$8,750.00	$7,000.00 20% off	$3,946.00	$8,750.00	$6,703.00	2026-06-22
32137	CDM	Scr, Knotless Implant System	6	6	$9,702.00	$7,762.00	$4,376.00	$9,702.00	$7,432.00	2026-06-22
32138	CDM	Graft	6	6	$6,916.00	$5,533.00	$3,119.00	$6,916.00	$5,297.50	2026-06-22
32145	CDM	Anchor Connector Kit	6	6	$7,168.00	$5,734.00 20% off	$3,233.00	$7,168.00	$5,490.50	2026-06-22
32146	CDM	Bone Fixation System	6	6	$6,365.00	$5,092.00 20% off	$2,871.00	$6,365.00	$4,875.50	2026-06-22
32368	CDM	Dx Knotless Implatn Kit(1)	6	6	$5,391.00	$4,313.00	$2,431.00	$5,391.00	$4,129.50	2026-06-22
32369	CDM	Lens Light Adjustable	6	6	$2,576.00	$2,061.00	$1,162.00	$2,576.00	$1,973.50	2026-06-22
33102	CDM	Angel Cpr & Ma Tray	6	6	$3,784.00	$3,027.00 20% off	$1,707.00	$3,784.00	$2,898.50	2026-06-22
35009	CDM	Mtp Plate	6	6	$4,449.00	$3,559.00 20% off	$2,006.00	$4,449.00	$3,408.00	2026-06-22
35014	CDM	Instrumentation	6	6	$1,883.00	$1,506.00 20% off	$849.00	$1,883.00	$1,442.50	2026-06-22
36561	CPT	Insert Tunneled Cv Cath	6	6	$3,116.00	$2,493.00	$1,405.00	$3,116.00	$2,386.50	2026-06-22
38220	CPT	Bone Marrow Aspiration	6	6	$2,274.00	$1,819.00 20% off	$1,026.00	$2,274.00	$1,742.00	2026-06-22
43842	CPT	Gastroplasty For Obesity	6	6	$3,327.00	$2,662.00	$1,500.00	$3,327.00	$2,548.50	2026-06-22
43843	CPT	Gastroplasty For Obesity	6	6	$3,707.00	$2,966.00	$1,672.00	$3,707.00	$2,839.50	2026-06-22
44005	CPT	Freeing Of Bowel Adhesion	6	6	$3,168.00	$2,534.00 20% off	$1,429.00	$3,168.00	$2,426.50	2026-06-22
44025	CPT	Incision Of Large Bowel	6	6	$2,853.00	$2,282.00 20% off	$1,287.00	$2,853.00	$2,185.50	2026-06-22
44130	CPT	Bowel To Bowel Fusion	6	6	$3,801.00	$3,041.00	$1,714.00	$3,801.00	$2,911.50	2026-06-22
44340	CPT	Revision Of Colostomy	6	6	$1,784.00	$1,427.00 20% off	$805.00	$1,784.00	$1,366.50	2026-06-22
44620	CPT	Repair Bowel Opening	6	6	$3,012.00	$2,410.00	$1,358.00	$3,012.00	$2,307.00	2026-06-22
44799	CPT	Unlisted Procedure Intestine	6	6	$3,296.00	$2,637.00	$1,486.00	$3,296.00	$2,525.00	2026-06-22
44950	CPT	Appendectomy	6	6	$2,227.00	$1,782.00	$1,004.00	$2,227.00	$1,706.00	2026-06-22
44960	CPT	Appendectomy	6	6	$3,030.00	$2,424.00 20% off	$1,367.00	$3,030.00	$2,321.00	2026-06-22
47100	CPT	Wedge Biopsy Of Liver	6	6	$2,907.00	$2,326.00	$1,311.00	$2,907.00	$2,226.50	2026-06-22
47379	CPT	Laparoscope Procedure Liver	6	6	$3,296.00	$2,637.00	$1,486.00	$3,296.00	$2,525.00	2026-06-22
47562	CPT	Removal Of Gallbladder Using An Endoscope	6	6	$2,273.00	$1,818.00 20% off	$1,025.00	$2,273.00	$1,741.00	2026-06-22
47564	CPT	Laparo Cholecystectomyexplr	6	6	$3,849.00	$3,079.00 20% off	$1,736.00	$3,849.00	$2,948.50	2026-06-22
47600	CPT	Removal Of Gallbladder	6	6	$3,696.00	$2,957.00	$1,667.00	$3,696.00	$2,831.00	2026-06-22
48466	CDM	Supermx Com Staple	6	6	$4,263.00	$3,410.00 20% off	$1,923.00	$4,263.00	$3,265.50	2026-06-22
48467	CDM	Supermx Com Staple W/instrs	6	6	$5,077.00	$4,062.00	$2,290.00	$5,077.00	$3,889.00	2026-06-22
49000	CPT	Exploration Of Abdomen	6	6	$2,665.00	$2,132.00 20% off	$1,202.00	$2,665.00	$2,041.50	2026-06-22
49520	CPT	Rerepair Ing Hernia Reduce	6	6	$1,817.00	$1,454.00	$819.00	$1,817.00	$1,392.00	2026-06-22
50403	CDM	Fiberstitch Implant Curved	6	6	$1,982.00	$1,586.00	$894.00	$1,982.00	$1,518.00	2026-06-22
51102	CPT	Drain Bladder & Insert Suprapubic Cath	6	6	$3,513.00	$2,810.00 20% off	$1,584.00	$3,513.00	$2,691.00	2026-06-22
53633	CPT	Bacitracin Oint 30gm	12	6	$4,709.00	$3,767.50	$1.00	$9,416.00	$2,124.50	2026-06-22
54160	CPT	Nwbrn Circm Surgical	6	6	$2,081.00	$1,665.00	$939.00	$2,081.00	$1,594.00	2026-06-22
55250	CPT	Vasectomy	18	6	$1,834.00	$1,467.00 20% off	$466.00	$3,513.00	$1,405.00	2026-06-22
58559	CPT	Hysteroscopy With Lysis Of Adhesions	6	6	$8,271.00	$6,617.00	$3,730.00	$8,271.00	$6,336.00	2026-06-22
58662	CPT	Laparoscopy Excise Lesions	6	6	$2,021.00	$1,617.00	$911.00	$2,021.00	$1,548.00	2026-06-22
59409	CPT	Obstetrical Care	6	6	$2,391.00	$1,913.00	$1,078.00	$2,391.00	$1,831.50	2026-06-22
59410	CPT	Obstetrical Care	6	6	$3,043.00	$2,434.00 20% off	$1,372.00	$3,043.00	$2,331.00	2026-06-22
59514	CPT	Cesarean Delivery Only	6	6	$3,222.00	$2,578.00	$1,453.00	$3,222.00	$2,468.00	2026-06-22
59515	CPT	Cesarean Delivery	6	6	$4,410.00	$3,528.00 20% off	$1,989.00	$4,410.00	$3,378.00	2026-06-22
59612	CPT	Vbac Delivery Only	6	6	$3,220.00	$2,576.00 20% off	$1,452.00	$3,220.00	$2,466.50	2026-06-22
59620	CPT	Attempted Vbac Delivery Only	6	6	$3,334.00	$2,667.00 20% off	$1,504.00	$3,334.00	$2,554.00	2026-06-22
62350	CPT	Cath Ascenda Intrathecal	6	6	$3,576.00	$2,861.00	$1,613.00	$3,576.00	$2,739.50	2026-06-22
62362	CPT	Medtronic Pump	6	6	$39,318.00	$31,454.00 20% off	$17,732.00	$39,318.00	$30,117.50	2026-06-22
62919	CDM	Durolane 20mg/ml Syringe	6	6	$2,366.00	$1,893.00	$1,067.00	$2,366.00	$1,812.50	2026-06-22
629201	CDM	Ziconotide 25 Mcg/ml20ml Vial	6	6	$11,438.00	$9,150.00 20% off	$5,159.00	$11,438.00	$8,761.50	2026-06-22
630211	CDM	Cath Ascenda Interathercal	6	6	$3,937.00	$3,150.00	$1,776.00	$3,937.00	$3,015.50	2026-06-22
630311	CDM	Envelope Nmrm6113b	6	6	$5,586.00	$4,469.00	$2,519.00	$5,586.00	$4,279.00	2026-06-22
630411	CDM	Pump 8667-20 Synchro	6	6	$39,318.00	$31,454.00 20% off	$17,732.00	$39,318.00	$30,117.50	2026-06-22
63685	CPT	Proclaim DRG	6	6	$52,162.00	$41,730.00	$23,525.00	$52,162.00	$39,956.00	2026-06-22
64462	CPT	Paravertibral Block	6	6	$1,931.00	$1,545.00	$871.00	$1,931.00	$1,479.00	2026-06-22
66250	CPT	Wound Revision Anter	6	6	$2,433.00	$1,946.00 20% off	$1,097.00	$2,433.00	$1,863.50	2026-06-22
76900	CDM	Rad Procedure 5	6	6	$1,882.00	$1,506.00	$849.00	$1,882.00	$1,441.50	2026-06-22
81162	CPT	Brca1 Brca2 Full Gene Analysis	6	6	$5,511.00	$4,409.00	$2,485.00	$5,511.00	$4,221.00	2026-06-22
923	CDM	Vag Deliver Emergncy	6	6	$2,296.00	$1,837.00	$1,035.00	$2,296.00	$1,759.00	2026-06-22
93073	CPT	Interferon Beta 1b .3mg	6	6	$11,371.00	$9,097.00	$5,128.00	$11,371.00	$8,710.50	2026-06-22
93306	CPT	Echo,real Time W/spe	6	6	$2,259.00	$1,807.00 20% off	$1,019.00	$2,259.00	$1,730.00	2026-06-22
937	CDM	ER Procedure IV	6	6	$1,819.00	$1,455.00 20% off	$820.00	$1,819.00	$1,393.50	2026-06-22
938	CDM	ER Procedure V	6	6	$3,047.00	$2,438.00	$1,374.00	$3,047.00	$2,334.00	2026-06-22
954	CDM	Fracture Iii Open	6	6	$3,441.00	$2,753.00	$1,552.00	$3,441.00	$2,636.00	2026-06-22
95810	CPT	Sleep Study	11	6	$4,151.00	$3,321.00	$256.00	$4,151.00	$1,872.00	2026-06-22
A0433	HCPCS	Als 2	6	6	$1,882.00	$1,506.00	$849.00	$1,882.00	$1,441.50	2026-06-22
A0434	HCPCS	Als Special Care	6	6	$2,007.00	$1,606.00	$905.00	$2,007.00	$1,537.00	2026-06-22
C1762	HCPCS	Amnion Cord Martix 3cmx6cm	84	6	$6,245.00	$4,996.00 20% off	$888.00	$22,973.00	$4,902.00	2026-06-22
C1763	HCPCS	Gracilis Tendon	18	6	$4,257.00	$3,406.00	$1,219.00	$6,284.00	$3,039.00	2026-06-22
C1771	HCPCS	Obtryx Sling System	6	6	$3,514.00	$2,811.00 20% off	$1,585.00	$3,514.00	$2,692.00	2026-06-22
C1776	HCPCS	Femoral Assembly Sz 5 Lt	728	6	$4,675.50	$3,740.50	$2.00	$31,363.00	$3,480.00	2026-06-22
C1777	HCPCS	Lead Wire Implantable	6	6	$4,124.00	$3,299.00 20% off	$1,860.00	$4,124.00	$3,158.50	2026-06-22
C1778	HCPCS	Ipg Contact Leads	18	6	$6,784.00	$5,427.00 20% off	$2,462.00	$8,649.00	$5,179.00	2026-06-22
C1821	HCPCS	Superion Ids One	12	6	$16,723.00	$13,378.50	$5,028.00	$22,297.00	$10,602.50	2026-06-22
C9399	HCPCS	Secukinumab 25mg/ml5ml Vial	6	6	$4,926.00	$3,941.00	$2,222.00	$4,926.00	$3,773.50	2026-06-22
G0341	HCPCS	Perq Islet Cell Tplnt Pv Cathinfus	6	6	$6,077.00	$4,862.00	$2,741.00	$6,077.00	$4,655.00	2026-06-22
G0342	HCPCS	Lap Islet Cell Tplnt Pv Cathinfus	6	6	$1,937.00	$1,550.00	$874.00	$1,937.00	$1,483.50	2026-06-22
G0343	HCPCS	Laprot Islet Cell Tplnt Pv Cathinf	6	6	$3,558.00	$2,846.00 20% off	$1,605.00	$3,558.00	$2,725.50	2026-06-22
J0256	HCPCS	Alpha-1 Proteinase Inhibitor	6	6	$7,465.00	$5,972.00 20% off	$3,367.00	$7,465.00	$5,718.00	2026-06-22
J0476	HCPCS	Baclofen 2000 Mcg/ml Inj	6	6	$2,340.00	$1,872.00 20% off	$1,055.00	$2,340.00	$1,792.50	2026-06-22
J0517	HCPCS	Benralizumab 30mg/ml 5yr	6	6	$9,824.00	$7,859.00 20% off	$4,431.00	$9,824.00	$7,525.00	2026-06-22
J0565	HCPCS	Bezlotoxumab	6	6	$5,871.00	$4,697.00	$2,648.00	$5,871.00	$4,497.50	2026-06-22
J0875	HCPCS	Dalbavancin	6	6	$4,172.00	$3,338.00	$1,882.00	$4,172.00	$3,195.50	2026-06-22
J1306	HCPCS	Leqvio (Inclisiran Sodium)	6	6	$5,160.00	$4,128.00 20% off	$2,327.00	$5,160.00	$3,952.50	2026-06-22
J1459	HCPCS	Immune Globulin	6	6	$6,856.00	$5,485.00	$3,092.00	$6,856.00	$5,251.50	2026-06-22
J1561	HCPCS	Immune Globulin 40g/400ml	6	6	$10,987.00	$8,790.00	$4,955.00	$10,987.00	$8,416.00	2026-06-22
J1932	HCPCS	Lanreotide 120mg/.05ml	6	6	$13,561.00	$10,849.00	$6,116.00	$13,561.00	$10,387.50	2026-06-22
J2182	HCPCS	Mepolizumab 100mg Vial	6	6	$4,628.00	$3,702.00 20% off	$2,087.00	$4,628.00	$3,545.50	2026-06-22
J2278	HCPCS	Ziconotide 25 Mcg/ml20ml Vial	6	6	$11,438.00	$9,150.00 20% off	$5,159.00	$11,438.00	$8,761.50	2026-06-22
J2353	HCPCS	Octreotide	6	6	$6,554.00	$5,243.00 20% off	$2,956.00	$6,554.00	$5,020.50	2026-06-22
J3111	HCPCS	Romosozumab 210 Mg Syringe	6	6	$4,236.00	$3,389.00	$1,910.00	$4,236.00	$3,245.00	2026-06-22
J3247	HCPCS	Secukinumab	6	6	$3,251.00	$2,601.00	$1,466.00	$3,251.00	$2,490.00	2026-06-22
J3380	HCPCS	Vedolizumab 300mg	6	6	$11,763.00	$9,410.00 20% off	$5,305.00	$11,763.00	$9,010.50	2026-06-22
J7300	HCPCS	Intrauterine Copper Contraceptive	12	6	$2,291.50	$1,833.00 20% off	$629.00	$3,189.00	$1,416.00	2026-06-22
J7301	HCPCS	Levonorgestrel-rel IUD 13.5 Mg	12	6	$12,720.00	$10,176.00 20% off	$430.00	$24,486.00	$5,998.50	2026-06-22
J9202	HCPCS	Goserelin 10.8mg Chemo	6	6	$4,628.00	$3,702.00 20% off	$2,087.00	$4,628.00	$3,545.50	2026-06-22
J9395	HCPCS	Faslodex 250mg/5ml Syr	6	6	$4,983.00	$3,986.00 20% off	$2,247.00	$4,983.00	$3,817.00	2026-06-22
L0486	HCPCS	Clam Shell Brace	6	6	$4,324.00	$3,459.00 20% off	$1,950.00	$4,324.00	$3,312.00	2026-06-22
L8680	HCPCS	Neurostimulator Implantable	12	6	$25,938.50	$20,750.50 20% off	$1,395.00	$48,784.00	$12,547.50	2026-06-22
L8699	HCPCS	I Stent Right/left	6	6	$4,760.00	$3,808.00 20% off	$2,147.00	$4,760.00	$3,646.00	2026-06-22
Q0138	HCPCS	Ferumoxytol 30mg/ml -17ml Vial	6	6	$2,812.00	$2,250.00	$1,268.00	$2,812.00	$2,154.00	2026-06-22
Q5108	HCPCS	Pegfilgrastim-jmdb	6	6	$9,709.00	$7,767.00 20% off	$4,379.00	$9,709.00	$7,437.00	2026-06-22
Q5119	HCPCS	Rituximab-abbs 10mg/ml-50ml	12	6	$5,971.00	$4,777.00	$2,526.00	$6,342.00	$4,396.00	2026-06-22
V2788	HCPCS	Lens Acrylic One Piece Amo Symphony	6	6	$2,486.00	$1,989.00	$1,121.00	$2,486.00	$1,904.00	2026-06-22

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