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

PORTSMOUTH REGIONAL HOSPITAL

Portsmouth, NH · CCN 300029 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $2,308 across 18 payers · range $211-$4,868

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/02-0364103_DOVER-EMERGENCY-ROOM_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

28,946 distinct procedures filed
32 distinct payers
1,926,210 rate rows
2026-07-30 last MRF observed
Data quality

1,535,155 of 1,926,210 rate rows are consumer-grade (79.7%)

391,055 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 312,208
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 49,998
per-diem day rate — not a per-procedure price 17,300
template filing: same amount across many unrelated codes — excluded 7,102
placeholder amount (≤ $0.02) — excluded from medians 4,126
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 321
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/json-detail-price-list/02-0364103_portsmouth-regional-hospital_standardcharges.json
Found on page https://portsmouthhospital.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 6e698fd2a95f7449… · 463,245,651 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 $4,736,676.00 $4,914,105.00 $4,914,105.00 nat. median
$3,703,693
1.3× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,736,676.00 $4,914,105.00 $4,914,105.00 nat. median
$3,710,000
1.3× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 $4,330,675.20 $4,942,348.80 $4,628,188.80 nat. median
$3,324,572
1.4× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $3,789,340.80 $4,914,319.20 $4,530,615.60 nat. median
$2,994,107
1.5× median
845
OTHER 		Inj, Atidarsagene Autotemc 13 $7,129.63 $4,685,200.00 $4,516,262.50 nat. median
$17,146
outlier · 263.4×
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 1 $4,195,341.60 $4,787,900.40 $4,483,557.90 nat. median
$3,286,000
1.4× median
00845
OTHER 		Inj, Atidarsagene Autotem 3 $4,369,850.00 $4,505,000.00 $4,414,900.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 11 $3,685,267.00 $3,832,677.68 $3,758,972.34 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 3 $3,574,708.99 $3,685,267.00 $3,611,561.66 nat. median
$3,574,709
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $2,977,339.20 $3,861,250.80 $3,559,769.40 nat. median
$2,401,960
1.5× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $2,847,644.50 $3,693,052.38 $3,404,703.69 nat. median
$2,466,282
1.4× median
908
OTHER 		Topi Adm Prad Zami Per Tr 13 $12,976.31 $3,469,252.80 $3,335,820.00 nat. median
$30,329
outlier · 110.0×
714
OTHER 		Inj Delandistrogene Mox Ro 13 $8,007.02 $3,460,974.40 $3,330,452.16 nat. median
$3,325,455
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 3 $3,235,745.40 $3,335,820.00 $3,269,103.60 nat. median
$14,694
outlier · 222.5×
00714
OTHER 		Inj Delandistrogene Mox R 3 $3,216,968.14 $3,327,860.00 $3,261,302.80 nat. median
$3,228,024
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autot 13 $14,801.97 $3,382,608.32 $3,258,598.12 nat. median
$3,252,508
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 3 $3,150,992.62 $3,252,508.00 $3,187,457.84 nat. median
$3,187,420
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 13 $11,466.10 $3,307,200.00 $3,180,000.00 nat. median
$24,952
outlier · 127.4×
00906
OTHER 		Inj Elivaldogene Autoteme 3 $3,084,600.00 $3,180,000.00 $3,116,400.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autotem 13 $10,843.37 $3,063,569.60 $2,953,104.35 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 3 $2,851,769.93 $2,945,740.00 $2,881,169.62 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Trea 12 $2,455,110.00 $4,615,635.33 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 3 $2,381,456.70 $2,588,981.00 $2,511,311.57 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 14 $17,378.82 $4,157,489.60 $2,378,640.00 nat. median
$2,262,040
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 3 $2,262,040.00 $2,332,000.00 $2,285,360.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,060,758.43 $1,326,005.83 $1,246,439.31 nat. median
$809,217
1.5× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $536,573.93 $1,011,168.62 $804,593.99 nat. median
$646,415
1.2× median
2067
OTHER 		Afamitresgene Autoleucel 12 $770,620.00 $1,373,861.34 $786,032.40 nat. median
$789,886
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $561,407.87 $974,830.41 $779,830.33 nat. median
$738,272
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $511,793.34 $960,291.23 $768,199.50 nat. median
$622,245
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $500,948.74 $967,379.67 $753,759.62 nat. median
$640,950
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $487,755.77 $915,743.19 $714,401.33 nat. median
$608,101
1.2× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $474,717.03 $842,196.96 $673,728.20 nat. median
$591,650
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 12 $565,868.90 $1,047,661.71 $588,503.66 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos T 12 $566,531.30 $1,034,278.22 $583,527.24 nat. median
$577,003
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 12 $562,201.20 $1,002,292.30 $573,445.22 nat. median
$562,201
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 3 $548,892.83 $587,649.60 $570,020.11 nat. median
$570,020
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 12 $557,317.90 $994,948.23 $569,243.44 nat. median
$562,826
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 3 $549,535.36 $591,726.20 $566,531.30 nat. median
$549,535
1.0× median
J3403
HCPCS 		Revakinagene Taroretcel-lwey, Per Implant 3 $364,772.50 $1,143,475.00 $555,705.00 nat. median
$265,000
outlier · 2.1×
09413
OTHER 		Lisocabtagene Car Pos T 3 $545,335.16 $562,538.20 $550,957.18 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 3 $540,598.36 $558,081.80 $546,920.16 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Ca 12 $532,192.20 $948,792.25 $542,836.04 nat. median
$533,230
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 3 $516,226.43 $533,230.20 $521,548.36 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 12 $489,304.60 $872,591.82 $499,239.20 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 3 $474,625.46 $489,450.20 $479,661.20 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $368,557.88 $460,717.42 $433,072.23 nat. median
$319,951
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $23,229.00 $1,595,777.19 $403,094.66 nat. median
$359,358
1.1× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $277,597.41 $347,011.88 $326,189.55 nat. median
$209,753
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $199,181.97 $1,035,595.20 $313,587.44 nat. median
$249,124
1.3× median

Other procedures at this hospital

Browse this hospital's 28,946 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 3 1 — — $4,736,676.00 $4,914,105.00 $4,914,105.00 2026-03-01
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 3 1 — — $4,736,676.00 $4,914,105.00 $4,914,105.00 2026-03-01
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 6 1 — — $4,330,675.20 $4,942,348.80 $4,628,188.80 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 12 1 — — $3,789,340.80 $4,914,319.20 $4,530,615.60 2026-03-01
845 OTHER Inj, Atidarsagene Autotemc 42 13 $26,537.00 — $7,129.63 $4,685,200.00 $4,516,262.50 2026-07-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 6 1 — — $4,195,341.60 $4,787,900.40 $4,483,557.90 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 9 3 — — $4,369,850.00 $4,505,000.00 $4,414,900.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 33 11 — — $3,685,267.00 $3,832,677.68 $3,758,972.34 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 9 3 — — $3,574,708.99 $3,685,267.00 $3,611,561.66 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 12 1 — — $2,977,339.20 $3,861,250.80 $3,559,769.40 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 12 1 $3,311,234.50 — $2,847,644.50 $3,693,052.38 $3,404,703.69 2026-07-30
908 OTHER Topi Adm Prad Zami Per Tr 31 13 $32,314.00 — $12,976.31 $3,469,252.80 $3,335,820.00 2026-07-30
714 OTHER Inj Delandistrogene Mox Ro 42 13 $32,314.00 — $8,007.02 $3,460,974.40 $3,330,452.16 2026-07-30
00908 OTHER Topi Adm Prad Zami Per Tr 6 3 — — $3,235,745.40 $3,335,820.00 $3,269,103.60 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 9 3 — — $3,216,968.14 $3,327,860.00 $3,261,302.80 2026-03-01
748 OTHER Inj, Lovotibeglogene Autot 42 13 $32,314.00 — $14,801.97 $3,382,608.32 $3,258,598.12 2026-07-30
00748 OTHER Inj, Lovotibeglogene Auto 9 3 — — $3,150,992.62 $3,252,508.00 $3,187,457.84 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 31 13 $32,314.00 — $11,466.10 $3,307,200.00 $3,180,000.00 2026-07-30
00906 OTHER Inj Elivaldogene Autoteme 6 3 — — $3,084,600.00 $3,180,000.00 $3,116,400.00 2026-03-01
746 OTHER Inj, Betibeglogene Autotem 42 13 $32,314.00 — $10,843.37 $3,063,569.60 $2,953,104.35 2026-07-30
00746 OTHER Inj, Betibeglogene Autote 9 3 — — $2,851,769.93 $2,945,740.00 $2,881,169.62 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Trea 36 12 — — $2,455,110.00 $4,615,635.33 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 9 3 — — $2,381,456.70 $2,588,981.00 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autotem 45 14 $32,314.00 — $17,378.82 $4,157,489.60 $2,378,640.00 2026-07-30
00824 OTHER Inj, Exagamglogene Autote 9 3 — — $2,262,040.00 $2,332,000.00 $2,285,360.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 1 — — $1,060,758.43 $1,326,005.83 $1,246,439.31 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 21 4 — — $536,573.93 $1,011,168.62 $804,593.99 2026-03-01
2067 OTHER Afamitresgene Autoleucel 36 12 — — $770,620.00 $1,373,861.34 $786,032.40 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 21 4 — — $561,407.87 $974,830.41 $779,830.33 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 21 4 — — $511,793.34 $960,291.23 $768,199.50 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 21 4 — — $500,948.74 $967,379.67 $753,759.62 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 21 4 — — $487,755.77 $915,743.19 $714,401.33 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 21 4 — — $474,717.03 $842,196.96 $673,728.20 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 36 12 $804,636.00 — $565,868.90 $1,047,661.71 $588,503.66 2026-07-30
9194 OTHER Tisagenlecleucel Car-pos T 36 12 $762,479.08 — $566,531.30 $1,034,278.22 $583,527.24 2026-07-30
9413 OTHER Lisocabtagene Car Pos T 36 12 $730,662.24 — $562,201.20 $1,002,292.30 $573,445.22 2026-07-30
09498 OTHER Ciltacabtagene Car-pos T 9 3 — — $548,892.83 $587,649.60 $570,020.11 2026-03-01
9422 OTHER Idecabtagene Vicleucel Car 36 12 $747,045.60 — $557,317.90 $994,948.23 $569,243.44 2026-07-30
09194 OTHER Tisagenlecleucel Car-pos 9 3 — — $549,535.36 $591,726.20 $566,531.30 2026-03-01
J3403 HCPCS Revakinagene Taroretcel-lwey, Per Implant 32 3 — — $364,772.50 $1,143,475.00 $555,705.00 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 9 3 — — $545,335.16 $562,538.20 $550,957.18 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 9 3 — — $540,598.36 $558,081.80 $546,920.16 2026-03-01
9035 OTHER Axicabtagene Ciloleucel Ca 36 12 $710,446.41 — $532,192.20 $948,792.25 $542,836.04 2026-07-30
09035 OTHER Axicabtagene Ciloleucel C 9 3 — — $516,226.43 $533,230.20 $521,548.36 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 36 12 $710,539.20 — $489,304.60 $872,591.82 $499,239.20 2026-07-30
09391 OTHER Brexucabtagene Car Pos T 9 3 — — $474,625.46 $489,450.20 $479,661.20 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 1 — — $368,557.88 $460,717.42 $433,072.23 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 78 15 — — $23,229.00 $1,595,777.19 $403,094.66 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 8 1 — — $277,597.41 $347,011.88 $326,189.55 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 75 14 — — $199,181.97 $1,035,595.20 $313,587.44 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 3 $410,356.46 — $278,817.09 $298,301.90 $289,352.84 2026-07-30
831 OTHER Obecbtge Autol Up To 400 M 45 14 $26,537.00 — $4,208.85 $496,064.10 $283,815.00 2026-07-30
00831 OTHER Obecbtge Autol Up To 400 9 3 — — $269,902.50 $278,250.00 $272,685.00 2026-03-01
897 OTHER Revakinagene, Per Implant 24 12 $26,537.00 — $265,000.00 $472,442.00 $270,300.00 2026-07-30
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 9 3 $706,915.00 — $254,345.83 $304,159.30 $262,212.20 2026-07-30
00897 OTHER Revakinagene, Per Implant 6 3 — — $257,050.00 $265,000.00 $259,700.00 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $205,602.00 $257,722.00 $231,662.00 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 1 — — $205,602.00 $257,722.00 $231,662.00 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $205,602.00 $257,722.00 $231,662.00 2026-03-01
77145 CDM Tavr 54 17 $364,576.00 $364,576.00 $15,020.53 $364,576.00 $208,537.47 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 45 14 $26,537.00 — $9,424.04 $359,535.49 $205,702.38 2026-07-30
00886 OTHER Inj. Remestemcel-l-rknd/ 6 3 — — $195,618.93 $201,669.00 $197,635.62 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 48 15 — — $30,166.00 $257,228.69 $195,617.90 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 15 — — $78,400.00 $255,719.09 $194,473.30 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 3 $229,751.80 — $179,268.03 $204,600.90 $184,812.40 2026-07-30
1907 OTHER New Technology - Level 52 36 12 $266,961.28 — $160,836.20 $290,305.74 $165,070.61 2026-07-30
1908 OTHER New Technology - Level 52 36 12 $266,961.28 — $160,836.20 $290,305.74 $165,070.61 2026-07-30
01908 OTHER New Technology - Level 52 9 3 — — $161,105.65 $166,088.30 $162,766.53 2026-03-01
01907 OTHER New Technology - Level 52 9 3 — — $161,105.65 $166,088.30 $162,766.53 2026-03-01
1906 OTHER New Technology - Level 51 36 12 $240,702.88 — $145,016.30 $261,751.17 $148,834.21 2026-07-30
1905 OTHER New Technology - Level 51 36 12 $240,702.88 — $145,016.30 $261,751.17 $148,834.21 2026-07-30
01905 OTHER New Technology - Level 51 9 3 — — $145,259.25 $149,751.80 $146,756.76 2026-03-01
01906 OTHER New Technology - Level 51 9 3 — — $145,259.25 $149,751.80 $146,756.76 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 3 $155,895.99 — $127,341.60 $144,323.90 $139,994.18 2026-07-30
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 6 1 — — $117,616.00 $151,603.00 $134,188.00 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 69 12 — — $30,166.00 $418,274.94 $132,776.32 2026-03-01
1904 OTHER New Technology - Level 50 36 12 $214,444.48 — $129,196.40 $233,196.60 $132,597.82 2026-07-30
1903 OTHER New Technology - Level 50 36 12 $214,444.48 — $129,196.40 $233,196.60 $132,597.82 2026-07-30
01903 OTHER New Technology - Level 50 9 3 — — $129,412.84 $133,415.30 $130,746.99 2026-03-01
01904 OTHER New Technology - Level 50 9 3 — — $129,412.84 $133,415.30 $130,746.99 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 15 — — $99,915.57 $166,880.28 $127,115.80 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 75 14 — — $77,927.09 $780,375.00 $126,802.84 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 9 3 $40,260.01 — $103,883.22 $129,344.00 $125,463.68 2026-07-30
7 MS_DRG Lung Transplant 75 14 — — $30,166.00 $478,561.69 $122,450.11 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 54 4 $49,223.87 — $42,332.27 $301,066.18 $121,330.00 2026-07-30
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 63 7 — — $61,338.53 $277,345.72 $121,305.81 2026-03-01
76841 CDM Ins Icd Gen W Mult Lead 54 17 $204,082.00 $204,082.00 $8,408.18 $204,082.00 $116,734.90 2026-03-01
76842 CDM Rmv Icd W Rplc Sgl Ld 54 17 $204,082.00 $204,082.00 $8,408.18 $204,082.00 $116,734.90 2026-03-01
76839 CDM Ins Icd Gen W Dual Lead 54 17 $204,082.00 $204,082.00 $8,408.18 $204,082.00 $116,734.90 2026-03-01
76843 CDM Rmv Icd W Rplc Dual Ld 54 17 $204,082.00 $204,082.00 $8,408.18 $204,082.00 $116,734.90 2026-03-01
76844 CDM Rmv Icd W Rplc Mult Ld 54 17 $204,082.00 $204,082.00 $8,408.18 $204,082.00 $116,734.90 2026-03-01
1901 OTHER New Technology - Level 49 36 12 $188,186.08 — $113,376.50 $204,642.03 $116,361.42 2026-07-30
1902 OTHER New Technology - Level 49 36 12 $188,186.08 — $113,376.50 $204,642.03 $116,361.42 2026-07-30
01901 OTHER New Technology - Level 49 9 3 — — $113,566.44 $117,078.80 $114,737.22 2026-03-01
01902 OTHER New Technology - Level 49 9 3 — — $113,566.44 $117,078.80 $114,737.22 2026-03-01
482509 CDM Mcth Crbrvasc 150cmx18cm 52 16 $180,894.00 $180,894.00 $7,452.83 $180,894.00 $114,505.90 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 75 14 — — $23,229.00 $444,109.48 $113,678.32 2026-03-01
66661 CDM Icd Ins/repl Ld/gen 54 17 $192,928.00 $192,928.00 $7,948.63 $192,928.00 $110,354.82 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 45 14 $156,110.98 — $102,937.37 $192,975.62 $108,243.42 2026-07-30
007 OTHER Lung Transplant 9 3 $138,589.48 — $91,164.55 $110,922.80 $107,595.12 2026-07-30
215 MS_DRG Other Heart Assist System Implant 78 15 — — $74,918.11 $273,483.00 $106,406.15 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $92,439.00 $115,873.00 $104,156.00 2026-03-01
C9150 HCPCS Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 12 2 — — $93,600.00 $214,021.60 $104,000.00 2025-11-01
22634 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 6 1 $94,140.00 — $101,063.00 $103,529.00 $103,529.00 2026-07-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 15 — — $74,121.85 $257,722.00 $103,326.85 2026-03-01
1599 OTHER New Technology - Level 48 36 12 $166,304.08 — $100,193.20 $180,846.47 $102,831.03 2026-07-30
1585 OTHER New Technology - Level 48 36 12 $166,304.08 — $100,193.20 $180,846.47 $102,831.03 2026-07-30
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 63 7 $83,282.60 — $55,306.59 $234,753.73 $102,676.88 2026-07-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 90 16 — — $30,166.00 $401,841.49 $101,460.68 2026-03-01
01585 OTHER New Technology - Level 48 9 3 — — $100,361.05 $103,465.00 $101,395.70 2026-03-01
01599 OTHER New Technology - Level 48 9 3 — — $100,361.05 $103,465.00 $101,395.70 2026-03-01
84398 CDM Ins/repl Subq Icd W/eval 54 17 $175,567.00 $175,567.00 $7,233.36 $175,567.00 $100,424.32 2026-03-01
487214 CDM Valve Tavr 23mm 44 14 $156,840.00 $156,840.00 $6,461.81 $156,840.00 $99,279.72 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 90 16 — — $42,361.80 $270,363.00 $99,245.50 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 75 14 — — $30,166.00 $381,014.22 $97,613.78 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 3 $706,915.00 — $93,894.20 $98,310.32 $96,344.11 2026-07-30
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 102 18 $95,196.00 $95,196.00 $3,922.08 $292,585.95 $95,875.40 2026-07-30
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 45 14 — — $90,420.20 $169,510.41 $95,081.03 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 9 3 $129,503.67 — $90,875.10 $107,859.00 $93,685.67 2026-07-30
014 OTHER Allogeneic Bone Marrow Transplant 9 3 $127,074.13 — $90,158.97 $94,682.98 $92,789.32 2026-07-30
485942 CDM Kit Vlv Aor 18fr 23mm 44 14 $145,665.00 $145,665.00 $6,001.40 $145,665.00 $92,205.95 2026-03-01
122908 CDM Upgrd Leadless Ppm +atr 50 16 $145,390.00 $145,390.00 $5,990.07 $145,390.00 $92,031.87 2026-03-01
122909 CDM Ins Leadless Ppm Dual 50 16 $145,390.00 $145,390.00 $5,990.07 $145,390.00 $92,031.87 2026-03-01
1598 OTHER New Technology - Level 47 36 12 $148,798.48 — $89,646.62 $161,810.18 $92,006.80 2026-07-30
1584 OTHER New Technology - Level 47 36 12 $148,798.48 — $89,646.62 $161,810.18 $92,006.80 2026-07-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 16 — — $68,243.92 $199,969.00 $91,749.28 2026-03-01
01584 OTHER New Technology - Level 47 9 3 — — $89,796.83 $92,574.05 $90,722.57 2026-03-01
01598 OTHER New Technology - Level 47 9 3 — — $89,796.83 $92,574.05 $90,722.57 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 78 15 — — $58,977.27 $257,722.00 $89,901.39 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 18 2 $6.77 — $64,621.79 $101,357.83 $89,193.95 2026-07-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 15 — — $59,886.69 $133,234.00 $87,021.92 2026-03-01
469504 CDM Kit Aor Vlv 14fr 23mm 44 14 $134,875.00 $134,875.00 $5,556.85 $134,875.00 $85,375.88 2026-03-01
469506 CDM Kit Aor Vlv 14fr 26mm 44 14 $134,875.00 $134,875.00 $5,556.85 $134,875.00 $85,375.88 2026-03-01
469507 CDM Kit Aor Vlv 14fr 29mm 44 14 $134,875.00 $134,875.00 $5,556.85 $134,875.00 $85,375.88 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 3 $44,638.86 — $46,902.96 $87,799.54 $85,165.55 2026-07-30
487216 CDM Valve Tavr 26mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
487217 CDM Valve Tavr 29mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
487202 CDM Valve Tavr 23mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
487218 CDM Valve Tavr 34mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
487212 CDM Valve Tavr 29mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
487204 CDM Valve Tavr 26mm 44 14 $134,460.00 $134,460.00 $5,539.75 $134,460.00 $85,113.18 2026-03-01
66659 CDM Ins Icd Gen Exst Sgl Ld 54 17 $148,082.00 $148,082.00 $6,100.98 $148,082.00 $84,702.90 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 90 16 — — $59,920.63 $311,518.52 $83,958.29 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 3 $46,512.11 — $44,279.24 $84,801.38 $82,257.34 2026-07-30
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 63 7 $66,841.19 — $43,855.64 $186,344.74 $81,503.69 2026-07-30
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 3 $181,146.00 — $79,039.03 $90,827.34 $81,483.54 2026-07-30
850 MS_DRG Acute Leukemia With Other Procedures 78 15 — — $30,166.00 $320,003.16 $81,314.22 2026-03-01
1597 OTHER New Technology - Level 46 36 12 $131,292.88 — $79,100.02 $142,773.80 $81,182.54 2026-07-30
1583 OTHER New Technology - Level 46 36 12 $131,292.88 — $79,100.02 $142,773.80 $81,182.54 2026-07-30
22633 CPT Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Inter… 36 3 $94,140.00 — $67,500.00 $103,529.00 $80,912.50 2026-07-30
22802 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To 12 Vert… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
22804 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or More V… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
22800 CPT Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To 6 Vert… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
22810 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 4 To 7 Verteb… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
22808 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 2 To 3 Verteb… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
22812 CPT Arthrodesis, Anterior, For Spinal Deformity, With Or Without Cast; 8 Or More Ver… 36 3 $115,060.00 — $67,500.00 $126,535.00 $80,912.50 2026-07-30
01583 OTHER New Technology - Level 46 9 3 — — $79,232.56 $81,683.05 $80,049.39 2026-03-01
01597 OTHER New Technology - Level 46 9 3 — — $79,232.56 $81,683.05 $80,049.39 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 16 — — $42,069.75 $199,969.00 $79,303.28 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 16 — — $45,664.25 $199,969.00 $79,303.28 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 16 — — $49,971.58 $292,976.00 $79,291.59 2026-03-01
22533 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22532 CPT Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Pr… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22556 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22558 CPT Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepa… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22610 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Thoracic … 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22630 CPT Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/or Discect… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22612 CPT Arthrodesis, Posterior Or Posterolateral Technique, Single Interspace; Lumbar (w… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
22586 CPT Arthrodesis, Pre-sacral Interbody Technique, Including Disc Space Preparation, D… 36 3 $62,760.00 — $67,375.00 $87,222.00 $78,625.00 2026-07-30
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 3 $105,620.36 — $74,945.85 $103,063.30 $77,263.76 2026-07-30
56721 CDM Sq Plmt Neurocver/spine 54 17 $134,038.00 $134,038.00 $5,522.37 $134,038.00 $76,669.74 2026-03-01
0208 RC — 2 1 — — $76,583.23 $76,583.23 $76,583.23 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 3 $274.34 — $71,066.79 $78,164.14 $75,819.22 2026-07-30
85360 CDM Cath Rh W Wirls Sens Plc 54 17 $131,173.00 $131,173.00 $5,404.33 $131,173.00 $75,030.96 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 15 — — $50,199.28 $266,756.14 $74,982.12 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 90 16 — — $33,267.71 $206,182.00 $74,520.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 15 — — $30,166.00 $290,783.64 $73,944.37 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $73,279.00 $73,279.00 $73,279.00 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 16 — — $54,615.00 $180,717.00 $71,818.32 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 78 15 — — $30,166.00 $281,585.78 $71,624.45 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 78 15 — — $47,409.53 $115,873.00 $71,503.80 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 78 15 — — $47,147.88 $254,165.92 $71,457.56 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 90 16 — — $43,195.55 $257,919.00 $71,117.94 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 9 3 $233,640.00 — $45,475.96 $73,134.63 $70,940.59 2026-07-30
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 3 $63,712.81 — $49,987.24 $72,898.59 $70,711.63 2026-07-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 90 16 — — $51,422.00 $207,839.00 $70,423.90 2026-03-01
1596 OTHER New Technology - Level 45 36 12 $113,787.28 — $68,553.43 $123,737.42 $70,358.27 2026-07-30
1582 OTHER New Technology - Level 45 36 12 $113,787.28 — $68,553.43 $123,737.42 $70,358.27 2026-07-30
01596 OTHER New Technology - Level 45 9 3 — — $68,668.29 $70,792.05 $69,376.21 2026-03-01
01582 OTHER New Technology - Level 45 9 3 — — $68,668.29 $70,792.05 $69,376.21 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 45 14 — — $65,429.12 $122,659.67 $68,801.75 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 9 3 $559.40 — $66,463.02 $75,906.28 $68,518.58 2026-07-30
10 MS_DRG Pancreas Transplant 75 14 — — $30,166.00 $265,170.82 $68,119.20 2026-03-01
05244 OTHER Level 4 Blood Product Exc 9 3 — — $62,479.55 $69,989.40 $67,889.72 2026-03-01
74731 CDM Revasc Tib Stnt/ath Init 54 17 $118,598.00 $118,598.00 $4,886.24 $118,598.00 $67,838.06 2026-03-01
74727 CDM Revasc Fem/pop Stnt/ath 54 17 $118,598.00 $118,598.00 $4,886.24 $118,598.00 $67,838.06 2026-03-01
5244 OTHER Level 4 Blood Product Exch 36 12 $71,820.19 — $64,411.91 $120,831.34 $67,776.16 2026-07-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 78 15 — — $30,166.00 $263,652.01 $67,101.13 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 15 — — $45,737.09 $237,787.90 $66,872.63 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 48 15 — — $30,166.00 $86,415.97 $66,107.75 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $65,582.12 $65,582.12 $65,582.12 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 15 — — $23,229.00 $255,418.66 $65,024.49 2026-03-01
717 OTHER Instill Adstiladrin, Tx Do 45 14 $32,314.00 — $14,597.02 $114,589.10 $64,609.13 2026-07-30
77425 CPT Intraoperative Radiation Treatment Delivery, Electrons, Single Treatment Session… 6 1 — — $22,063.02 $64,328.37 $64,328.37 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 3 $84,131.41 — $51,196.24 $66,245.73 $64,258.36 2026-07-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 69 12 — — $30,166.00 $210,892.78 $63,860.21 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 78 15 — — $40,584.00 $133,234.00 $63,847.54 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 3 — — $61,668.55 $84,796.40 $63,575.82 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 3 $188,274.00 — $60,238.78 $65,377.38 $63,416.06 2026-07-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 78 15 — — $30,166.00 $248,741.07 $63,340.24 2026-03-01
485943 CDM Kit Vlv Aor 18fr 29mm 44 14 $100,000.00 $100,000.00 $4,120.00 $100,000.00 $63,300.00 2026-03-01
482234 CDM Cann Prfsn 17fr 62cm 52 16 $100,000.00 $100,000.00 $4,120.00 $100,000.00 $63,300.00 2026-03-01
371977 CDM Set Vntrc 17.4x13.8in 52 16 $100,000.00 $100,000.00 $4,120.00 $100,000.00 $63,300.00 2026-03-01
484138 CDM Stent Eprsth 40mm 15cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544426 CDM Device Embl Pipln 14x4mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
488823 CDM Kit Pmp Rt Hrt 22f 170cm 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
477247 CDM Mesh Viable Crtlg 20mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
517537 CDM Device Embl16x3.75mm Pip 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545223 CDM Coil Embl Endo 11mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545210 CDM Coil Emb 3mm 8mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545264 CDM Coil Emb Endo Sn Ly Sphr 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
547650 CDM Device Plsrct 2.7mm-3.5m 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545262 CDM Coil Emboli Sph 27 9x7.6 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
484373 CDM Retriever Endo 3mm 20mm 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
551580 CDM Valve Heart Trnscth 26mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
562279 CDM Graft Evasc 20x12mmx12cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566063 CDM Device Embl 3mm 20mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
336176 CDM Device Embl 5x35mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
472352 CDM Graft Evas 23x12mm 14cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482350 CDM Stent Eprsth 40mm 20cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544430 CDM Device Embl 3.75x18mm Pl 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482292 CDM Graft Evas 28.5x12m 18cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
309649 CDM Graft Nrv 1-2mm 70mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
488819 CDM Set Pump 21fr 5.0 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544427 CDM Device Embl 16x4.25mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
485646 CDM Kit Vlv Aor 18fr 26mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482285 CDM Graft Evas 26x12mm 14cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482334 CDM Graft Evas 35x14.5m 16cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
517271 CDM Device Embl 4x12mm Pline 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566190 CDM Device Embl 4mm 14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566200 CDM Device Embl 5mm 25mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
477365 CDM Graft Evas 35x14.5m 14cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566217 CDM Device Embl 4.5mm 14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
474489 CDM Graft Evas 14.5mm 18cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544428 CDM Device Embl 16mm 4mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482331 CDM Graft Evas 10cm 10mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545214 CDM Coil Emb Endo 7mm 5.6mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
476296 CDM Graft Evas 23x12mm 16cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544421 CDM Device Embl 4.25mmx12mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544425 CDM Device Embl Pl 4.75x14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545222 CDM Coil Emb Endo Sn Ly 11mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
467555 CDM Graft Evas 26x14.5m 12cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482347 CDM Stent Eprsth 28mm 10cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
463694 CDM Patch Wndcls 40x20cm 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482351 CDM Stent Eprsth 45mm 10cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
468315 CDM Graft Evas 31x14.5m 13cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
476745 CDM Graft Evas 23x12mm 12cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545209 CDM Coil Emb Endo 7mm 5mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
564639 CDM Device Emb 5mm 14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
459060 CDM Graft Evas 31x14.5m 17cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
459377 CDM Graft Evas 31x14.5m 15cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482286 CDM Graft Evas 26x12mm 16cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
460202 CDM Stent Eprsth 34mm 10cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544431 CDM Device Embl 18mm 3mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545263 CDM Coil Emb Endo Sn Ly Sphr 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545202 CDM Sys Endo Sng Lyr 5mmx4mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545261 CDM Coil Emb Endo Sn Ly Sphr 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
458562 CDM Stent Eprsth 10cm 26mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
551981 CDM Kit Cath Rt Heart 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
560987 CDM Valve Aortic 29mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
562607 CDM Graft Endo Aaa 36x14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
469508 CDM Kit Aor Vlv 14fr 20mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
545224 CDM Coil Emb Endo 6mm 4.6mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
485268 CDM Pack Stroke Disp 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544397 CDM Device Embl 4x35mm Pline 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
565377 CDM Graft Endo Aaa 32x14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
534224 CDM Device Embl 5x25mm Pipln 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
514791 CDM Valve Aortic 19mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482349 CDM Stent Eprsth 37mm 15cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
551581 CDM Valve Heart Trnscth 23mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
555547 CDM Implant 20mm 1mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566052 CDM Device Embl 10mm 2.5mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566199 CDM Device Embl 5.0x.0mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566211 CDM Device Embl 5mm 10mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566219 CDM Device Embl 4.25mm 14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
449327 CDM Cath Infs 18fr 52 16 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482284 CDM Graft Evas 23x14.5m 16cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
456456 CDM Graft Evas 35x14.5m 18cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
560738 CDM Stent Thor 31x26mm 10cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
563988 CDM Dev Embl 16x2.75mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
544424 CDM Device Embl Flx 4.5x14mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
566053 CDM Device Embl 4mm 12mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
447477 CDM Stent Eprsth 45mm 15cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
473999 CDM Graft Evas 23x14.5m 18cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482348 CDM Stent Eprsth 15cm 28mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
558473 CDM Stent Thor 20f 26x21x10 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
482289 CDM Graft Evas 26x14.5m 18cm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
456480 CDM Graft Hemi Cndyl Mdl Rt 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
514609 CDM Device Embl 18mm 4.25mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
448341 CDM Spacer Spn 20mm 26-34mm 44 14 $99,999.00 $99,999.00 $4,119.96 $99,999.00 $63,299.37 2026-03-01
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