|
270696136
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
1
|
1
|
$243,030.00
|
—
|
$194,424.00
|
$194,424.00
|
$194,424.00
|
2026-07-15
|
|
270690773
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
1
|
1
|
$228,480.00
|
—
|
$182,784.00
|
$182,784.00
|
$182,784.00
|
2026-07-15
|
|
270669117
|
OTHER
|
Autologous Cultured Chondrocytes, Implant
|
1
|
1
|
$188,000.00
|
—
|
$150,400.00
|
$150,400.00
|
$150,400.00
|
2026-07-15
|
|
5100830
|
OTHER
|
Removal And Replacement Of Multiple Lead Defibrillator
|
3
|
3
|
$148,575.45
|
$43,901.25
70% off
|
$38,175.00
|
$123,687.00
|
$118,860.36
|
2026-07-15
|
|
270693282
|
OTHER
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
1
|
1
|
$130,000.00
|
—
|
$104,000.00
|
$104,000.00
|
$104,000.00
|
2026-07-15
|
|
270674919
|
OTHER
|
Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable)
|
1
|
1
|
$126,820.00
|
—
|
$101,456.00
|
$101,456.00
|
$101,456.00
|
2026-07-15
|
|
270683890
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
1
|
1
|
$125,975.00
|
—
|
$100,780.00
|
$100,780.00
|
$100,780.00
|
2026-07-15
|
|
270699096
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$122,085.00
|
—
|
$97,668.00
|
$97,668.00
|
$97,668.00
|
2026-07-15
|
|
270699302
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$122,085.00
|
—
|
$97,668.00
|
$97,668.00
|
$97,668.00
|
2026-07-15
|
|
270684306
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$120,940.00
|
—
|
$96,752.00
|
$96,752.00
|
$96,752.00
|
2026-07-15
|
|
270677805
|
OTHER
|
Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt…
|
1
|
1
|
$120,940.00
|
—
|
$96,752.00
|
$96,752.00
|
$96,752.00
|
2026-07-15
|
|
270697990
|
OTHER
|
Prosthetic Implant, Not Otherwise Specified
|
1
|
1
|
$112,500.00
|
—
|
$90,000.00
|
$90,000.00
|
$90,000.00
|
2026-07-15
|
|
270679255
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$112,500.00
|
—
|
$90,000.00
|
$90,000.00
|
$90,000.00
|
2026-07-15
|
|
270696607
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$105,475.00
|
—
|
$84,380.00
|
$84,380.00
|
$84,380.00
|
2026-07-15
|
|
270642321
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
1
|
1
|
$104,940.00
|
—
|
$83,952.00
|
$83,952.00
|
$83,952.00
|
2026-07-15
|
|
270675086
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$104,940.00
|
—
|
$83,952.00
|
$83,952.00
|
$83,952.00
|
2026-07-15
|
|
270696217
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$102,500.00
|
—
|
$82,000.00
|
$82,000.00
|
$82,000.00
|
2026-07-15
|
|
270665901
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
1
|
1
|
$98,750.00
|
—
|
$79,000.00
|
$79,000.00
|
$79,000.00
|
2026-07-15
|
|
270682037
|
OTHER
|
Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging…
|
1
|
1
|
$98,750.00
|
—
|
$79,000.00
|
$79,000.00
|
$79,000.00
|
2026-07-15
|
|
5100805
|
OTHER
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
1
|
1
|
$93,924.35
|
—
|
$75,139.48
|
$75,139.48
|
$75,139.48
|
2026-07-15
|
|
411039606
|
OTHER
|
Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du…
|
1
|
1
|
$93,924.35
|
—
|
$75,139.48
|
$75,139.48
|
$75,139.48
|
2026-07-15
|
|
270700365S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$93,765.00
|
—
|
$75,012.00
|
$75,012.00
|
$75,012.00
|
2026-07-15
|
|
270690189
|
OTHER
|
Skin Te, Per Square Centimeter
|
1
|
1
|
$92,500.00
|
—
|
$74,000.00
|
$74,000.00
|
$74,000.00
|
2026-07-15
|
|
270699008S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270699005S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270697402S
|
OTHER
|
Stent, Non-coated/non-covered, With Delivery System
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270699630S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270699274S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270699009S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270697151S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270696541S
|
OTHER
|
Embolization Protective System
|
1
|
1
|
$89,300.00
|
—
|
$71,440.00
|
$71,440.00
|
$71,440.00
|
2026-07-15
|
|
270694754
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$88,525.00
|
—
|
$70,820.00
|
$70,820.00
|
$70,820.00
|
2026-07-15
|
|
270694753
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$88,525.00
|
—
|
$70,820.00
|
$70,820.00
|
$70,820.00
|
2026-07-15
|
|
270697104
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$87,500.00
|
—
|
$70,000.00
|
$70,000.00
|
$70,000.00
|
2026-07-15
|
|
270700000S
|
OTHER
|
Stent, Non-coated/non-covered, With Delivery System
|
1
|
1
|
$86,600.00
|
—
|
$69,280.00
|
$69,280.00
|
$69,280.00
|
2026-07-15
|
|
270684662
|
OTHER
|
Cardioverter-defibrillator, Single Chamber (implantable)
|
1
|
1
|
$84,785.00
|
—
|
$67,828.00
|
$67,828.00
|
$67,828.00
|
2026-07-15
|
|
270697114S
|
OTHER
|
Embolization Protective System
|
1
|
1
|
$82,475.00
|
—
|
$65,980.00
|
$65,980.00
|
$65,980.00
|
2026-07-15
|
|
270697714S
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$82,475.00
|
—
|
$65,980.00
|
$65,980.00
|
$65,980.00
|
2026-07-15
|
|
270696955S
|
OTHER
|
Embolization Protective System
|
1
|
1
|
$82,475.00
|
—
|
$65,980.00
|
$65,980.00
|
$65,980.00
|
2026-07-15
|
|
321037225B
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$86,028.15
|
$23,399.28
73% off
|
$20,347.20
|
$68,822.52
|
$65,924.93
|
2026-07-15
|
|
2691430
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
411037227B
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411810
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411932
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037230L
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411808
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2690850
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037231R
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037229R
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2691400
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321036906
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
321037227R
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411933
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2690845
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2691420
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037231L
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037230
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
321037227
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
2690855
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
5600210
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
2691435
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2691425
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037229L
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2691445
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
32100238TL
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037229
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
7411936
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
41100238TB
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
5600219
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$89,914.40
|
—
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
411037229R
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
411037231
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
32100238T
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$89,914.40
|
—
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
411037230R
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411940
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
5600211
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
321037227B
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2690525
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$86,028.15
|
—
|
$20,347.20
|
$68,822.52
|
$65,924.93
|
2026-07-15
|
|
2690535
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
5600208
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$89,914.40
|
$23,399.28
74% off
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
7411938
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2690520
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$86,028.15
|
$23,399.28
73% off
|
$20,347.20
|
$68,822.52
|
$65,924.93
|
2026-07-15
|
|
32100238TB
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
411037225B
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$86,028.15
|
$23,399.28
73% off
|
$20,347.20
|
$68,822.52
|
$65,924.93
|
2026-07-15
|
|
2691440
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037227L
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
7411809
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
321037230R
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2692132
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$89,914.40
|
—
|
$20,347.20
|
$71,931.52
|
$65,924.93
|
2026-07-15
|
|
32100238TR
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$93,917.89
|
—
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
2691405
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$93,917.89
|
$23,399.28
75% off
|
$20,347.20
|
$75,134.31
|
$65,924.93
|
2026-07-15
|
|
41100238T
|
OTHER
|
Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open …
|
3
|
3
|
$80,096.45
|
—
|
$20,347.20
|
$65,924.93
|
$64,077.16
|
2026-07-15
|
|
411037229
|
OTHER
|
Removal Of Plaque In Artery Of Leg, Initial Vessel
|
3
|
3
|
$80,096.45
|
—
|
$20,347.20
|
$65,924.93
|
$64,077.16
|
2026-07-15
|
|
411037230
|
OTHER
|
Insertion Of Stent In Artery Of Leg, Initial Vessel
|
3
|
3
|
$80,096.45
|
—
|
$20,347.20
|
$65,924.93
|
$64,077.16
|
2026-07-15
|
|
411037227
|
OTHER
|
Removal Of Plaque And Insertion Of Stents In Arteries Of Leg
|
3
|
3
|
$80,096.45
|
—
|
$20,347.20
|
$65,924.93
|
$64,077.16
|
2026-07-15
|
|
270697758
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$80,000.00
|
—
|
$64,000.00
|
$64,000.00
|
$64,000.00
|
2026-07-15
|
|
270698074
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$80,000.00
|
—
|
$64,000.00
|
$64,000.00
|
$64,000.00
|
2026-07-15
|
|
270681568S
|
OTHER
|
Pump Set Impella Cp
|
3
|
3
|
$125,000.00
|
—
|
$37,500.00
|
$100,000.00
|
$62,500.00
|
2026-07-15
|
|
270681567
|
OTHER
|
Pump Set Impella 2.5 Aic
|
3
|
3
|
$125,000.00
|
—
|
$37,500.00
|
$100,000.00
|
$62,500.00
|
2026-07-15
|
|
270681568
|
OTHER
|
Pump Set Impella Cp
|
3
|
3
|
$125,000.00
|
—
|
$37,500.00
|
$100,000.00
|
$62,500.00
|
2026-07-15
|
|
270640283
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$76,200.00
|
—
|
$60,960.00
|
$60,960.00
|
$60,960.00
|
2026-07-15
|
|
7411803
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
$23,399.28
69% off
|
$20,347.20
|
$65,924.93
|
$60,589.87
|
2026-07-15
|
|
270690553
|
OTHER
|
Stent, Coated/covered, With Delivery System
|
1
|
1
|
$74,250.00
|
—
|
$59,400.00
|
$59,400.00
|
$59,400.00
|
2026-07-15
|
|
7412061
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$73,789.50
|
$23,399.28
68% off
|
$20,347.20
|
$65,924.93
|
$59,031.60
|
2026-07-15
|
|
5100840
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$73,789.50
|
$23,399.28
68% off
|
$20,347.20
|
$65,924.93
|
$59,031.60
|
2026-07-15
|
|
2709027
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$73,789.50
|
$23,399.28
68% off
|
$20,347.20
|
$65,924.93
|
$59,031.60
|
2026-07-15
|
|
270686972
|
OTHER
|
Mesh (implantable)
|
1
|
1
|
$73,100.00
|
—
|
$58,480.00
|
$58,480.00
|
$58,480.00
|
2026-07-15
|
|
270698769
|
OTHER
|
Mesh (implantable)
|
1
|
1
|
$72,185.00
|
—
|
$57,748.00
|
$57,748.00
|
$57,748.00
|
2026-07-15
|
|
270690647
|
OTHER
|
Stent, Coated/covered, With Delivery System
|
1
|
1
|
$69,995.00
|
—
|
$55,996.00
|
$55,996.00
|
$55,996.00
|
2026-07-15
|
|
270690650
|
OTHER
|
Stent, Coated/covered, With Delivery System
|
1
|
1
|
$69,995.00
|
—
|
$55,996.00
|
$55,996.00
|
$55,996.00
|
2026-07-15
|
|
270692801
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$69,995.00
|
—
|
$55,996.00
|
$55,996.00
|
$55,996.00
|
2026-07-15
|
|
270695111
|
OTHER
|
Alloderm, Per Square Centimeter
|
1
|
1
|
$69,780.00
|
—
|
$55,824.00
|
$55,824.00
|
$55,824.00
|
2026-07-15
|
|
270699219
|
OTHER
|
Infusion Pump, Programmable (implantable)
|
1
|
1
|
$69,750.00
|
—
|
$55,800.00
|
$55,800.00
|
$55,800.00
|
2026-07-15
|
|
270687490
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$69,625.00
|
—
|
$55,700.00
|
$55,700.00
|
$55,700.00
|
2026-07-15
|
|
270686106
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$69,625.00
|
—
|
$55,700.00
|
$55,700.00
|
$55,700.00
|
2026-07-15
|
|
270687019
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$69,625.00
|
—
|
$55,700.00
|
$55,700.00
|
$55,700.00
|
2026-07-15
|
|
270694361
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$67,000.00
|
—
|
$53,600.00
|
$53,600.00
|
$53,600.00
|
2026-07-15
|
|
270684061
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270683899
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270677223
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270686385
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270684061V
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270686385C
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270680103
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270681010
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270683903
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270680043
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270684793
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270678152
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$65,795.00
|
—
|
$52,636.00
|
$52,636.00
|
$52,636.00
|
2026-07-15
|
|
270681527
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$65,550.00
|
—
|
$52,440.00
|
$52,440.00
|
$52,440.00
|
2026-07-15
|
|
270691989
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$65,435.00
|
—
|
$52,348.00
|
$52,348.00
|
$52,348.00
|
2026-07-15
|
|
270698500
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$65,000.00
|
—
|
$52,000.00
|
$52,000.00
|
$52,000.00
|
2026-07-15
|
|
270698712
|
OTHER
|
Prosthesis, Penile, Non-inflatable
|
1
|
1
|
$64,050.00
|
—
|
$51,240.00
|
$51,240.00
|
$51,240.00
|
2026-07-15
|
|
270689671
|
OTHER
|
Puraply Am, Per Square Centimeter
|
1
|
1
|
$64,000.00
|
—
|
$51,200.00
|
$51,200.00
|
$51,200.00
|
2026-07-15
|
|
270689984
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$63,900.00
|
—
|
$51,120.00
|
$51,120.00
|
$51,120.00
|
2026-07-15
|
|
270686900
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$63,435.00
|
—
|
$50,748.00
|
$50,748.00
|
$50,748.00
|
2026-07-15
|
|
270698107
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$63,270.00
|
—
|
$50,616.00
|
$50,616.00
|
$50,616.00
|
2026-07-15
|
|
270698113
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$63,270.00
|
—
|
$50,616.00
|
$50,616.00
|
$50,616.00
|
2026-07-15
|
|
270698134
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$62,500.00
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-07-15
|
|
270685546
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$62,500.00
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-07-15
|
|
270698135
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$62,500.00
|
—
|
$50,000.00
|
$50,000.00
|
$50,000.00
|
2026-07-15
|
|
321037225L
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
$23,399.28
62% off
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
2691380
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
—
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
321037225R
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
—
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
411061642
|
OTHER
|
Balloon Dilation Of Additional Blood Vessel Spasm In Head In Different Vessel Fa…
|
1
|
1
|
$61,616.39
|
—
|
$49,293.11
|
$49,293.11
|
$49,293.11
|
2026-07-15
|
|
411061640
|
OTHER
|
Balloon Dilation Of Blood Vessel Spasm In Head
|
1
|
1
|
$61,616.39
|
—
|
$49,293.11
|
$49,293.11
|
$49,293.11
|
2026-07-15
|
|
7411926
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
—
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
2691370
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
$23,399.28
62% off
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
411061641
|
OTHER
|
Balloon Dilation Of Additional Blood Vessel Spasm In Head In Same Vessel Family
|
1
|
1
|
$61,616.39
|
—
|
$49,293.11
|
$49,293.11
|
$49,293.11
|
2026-07-15
|
|
7411928
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$61,616.39
|
—
|
$20,347.20
|
$65,924.93
|
$49,293.11
|
2026-07-15
|
|
270691621
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$61,420.00
|
—
|
$49,136.00
|
$49,136.00
|
$49,136.00
|
2026-07-15
|
|
270663578
|
OTHER
|
Mesh (implantable)
|
1
|
1
|
$61,236.25
|
—
|
$48,989.00
|
$48,989.00
|
$48,989.00
|
2026-07-15
|
|
270689451
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$60,925.00
|
—
|
$48,740.00
|
$48,740.00
|
$48,740.00
|
2026-07-15
|
|
270689374
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$60,925.00
|
—
|
$48,740.00
|
$48,740.00
|
$48,740.00
|
2026-07-15
|
|
270667955
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$60,210.00
|
—
|
$48,168.00
|
$48,168.00
|
$48,168.00
|
2026-07-15
|
|
270672847
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$60,000.00
|
—
|
$48,000.00
|
$48,000.00
|
$48,000.00
|
2026-07-15
|
|
270698106
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$59,635.00
|
—
|
$47,708.00
|
$47,708.00
|
$47,708.00
|
2026-07-15
|
|
270679139
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$59,265.00
|
—
|
$47,412.00
|
$47,412.00
|
$47,412.00
|
2026-07-15
|
|
270684836
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$58,350.00
|
—
|
$46,680.00
|
$46,680.00
|
$46,680.00
|
2026-07-15
|
|
270687051
|
OTHER
|
Ocular Device, Intraoperative, Detached Retina
|
1
|
1
|
$58,000.00
|
—
|
$46,400.00
|
$46,400.00
|
$46,400.00
|
2026-07-15
|
|
270693237
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$57,500.00
|
—
|
$46,000.00
|
$46,000.00
|
$46,000.00
|
2026-07-15
|
|
270695024
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$57,500.00
|
—
|
$46,000.00
|
$46,000.00
|
$46,000.00
|
2026-07-15
|
|
270686150
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$57,475.00
|
—
|
$45,980.00
|
$45,980.00
|
$45,980.00
|
2026-07-15
|
|
270685525
|
OTHER
|
Prosthesis, Penile, Non-inflatable
|
1
|
1
|
$57,475.00
|
—
|
$45,980.00
|
$45,980.00
|
$45,980.00
|
2026-07-15
|
|
321037242
|
OTHER
|
Occlusion Of Artery With Review By Radiologist
|
3
|
3
|
$57,352.09
|
$23,399.28
59% off
|
$20,347.20
|
$65,924.93
|
$45,881.67
|
2026-07-15
|
|
741100108
|
OTHER
|
Occlusion Of Artery With Review By Radiologist
|
3
|
3
|
$57,352.09
|
$23,399.28
59% off
|
$20,347.20
|
$65,924.93
|
$45,881.67
|
2026-07-15
|
|
5700316
|
OTHER
|
Occlusion Of Artery With Review By Radiologist
|
3
|
3
|
$57,352.09
|
$23,399.28
59% off
|
$20,347.20
|
$65,924.93
|
$45,881.67
|
2026-07-15
|
|
270671693
|
OTHER
|
Generator, Neurostimulator (implantable), Non-rechargeable
|
1
|
1
|
$57,250.00
|
—
|
$45,800.00
|
$45,800.00
|
$45,800.00
|
2026-07-15
|
|
270694007
|
OTHER
|
Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)
|
1
|
1
|
$56,875.50
|
—
|
$45,500.40
|
$45,500.40
|
$45,500.40
|
2026-07-15
|
|
321037225
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$56,620.95
|
$23,399.28
59% off
|
$20,347.20
|
$65,924.93
|
$45,296.76
|
2026-07-15
|
|
5600206
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$56,620.95
|
$23,399.28
59% off
|
$20,347.20
|
$65,924.93
|
$45,296.76
|
2026-07-15
|
|
270698041
|
OTHER
|
Interspinous Process Distraction Device (implantable)
|
1
|
1
|
$56,500.00
|
—
|
$45,200.00
|
$45,200.00
|
$45,200.00
|
2026-07-15
|
|
270677356
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$56,395.00
|
—
|
$45,116.00
|
$45,116.00
|
$45,116.00
|
2026-07-15
|
|
270679784
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$56,395.00
|
—
|
$45,116.00
|
$45,116.00
|
$45,116.00
|
2026-07-15
|
|
270686737
|
OTHER
|
Graft, Vascular
|
1
|
1
|
$56,395.00
|
—
|
$45,116.00
|
$45,116.00
|
$45,116.00
|
2026-07-15
|
|
270695271
|
OTHER
|
Connective Tissue, Human (includes Fascia Lata)
|
1
|
1
|
$56,209.50
|
—
|
$44,967.60
|
$44,967.60
|
$44,967.60
|
2026-07-15
|
|
270660619
|
OTHER
|
Infusion Pump, Programmable (implantable)
|
1
|
1
|
$56,000.00
|
—
|
$44,800.00
|
$44,800.00
|
$44,800.00
|
2026-07-15
|
|
270693698
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$55,670.00
|
—
|
$44,536.00
|
$44,536.00
|
$44,536.00
|
2026-07-15
|
|
270691596
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$55,281.25
|
—
|
$44,225.00
|
$44,225.00
|
$44,225.00
|
2026-07-15
|
|
270694282
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$55,281.25
|
—
|
$44,225.00
|
$44,225.00
|
$44,225.00
|
2026-07-15
|
|
270697576
|
OTHER
|
Catheter, Thrombectomy/embolectomy
|
1
|
1
|
$55,000.00
|
—
|
$44,000.00
|
$44,000.00
|
$44,000.00
|
2026-07-15
|
|
270697576S
|
OTHER
|
Catheter, Thrombectomy/embolectomy
|
1
|
1
|
$55,000.00
|
—
|
$44,000.00
|
$44,000.00
|
$44,000.00
|
2026-07-15
|
|
270677096
|
OTHER
|
Strattice Tm, Per Square Centimeter
|
1
|
1
|
$54,750.00
|
—
|
$43,800.00
|
$43,800.00
|
$43,800.00
|
2026-07-15
|
|
270694590
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$53,750.00
|
—
|
$43,000.00
|
$43,000.00
|
$43,000.00
|
2026-07-15
|
|
270615806
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,725.00
|
—
|
$42,980.00
|
$42,980.00
|
$42,980.00
|
2026-07-15
|
|
270697374
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$53,600.00
|
—
|
$42,880.00
|
$42,880.00
|
$42,880.00
|
2026-07-15
|
|
270697604
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270690145
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270699093
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270697462
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270698591
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270696798
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
270697666
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$53,215.00
|
—
|
$42,572.00
|
$42,572.00
|
$42,572.00
|
2026-07-15
|
|
411037225
|
OTHER
|
Removal Of Plaque In Arteries Of Leg
|
3
|
3
|
$52,548.60
|
$23,399.28
55% off
|
$20,347.20
|
$65,924.93
|
$42,038.88
|
2026-07-15
|
|
270660672
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$52,390.00
|
—
|
$41,912.00
|
$41,912.00
|
$41,912.00
|
2026-07-15
|
|
321037226L
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
$14,680.21
81% off
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
7411141
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
7411143
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
411039600
|
OTHER
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
3
|
3
|
$61,620.70
|
$14,680.21
76% off
|
$12,765.40
|
$49,296.56
|
$41,359.90
|
2026-07-15
|
|
7411931
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
—
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
321037226R
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
—
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
321037226
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
$14,680.21
81% off
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
5600209
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
7411533
|
OTHER
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
3
|
3
|
$52,513.90
|
$14,680.21
72% off
|
$12,765.40
|
$42,011.12
|
$41,359.90
|
2026-07-15
|
|
411037241
|
OTHER
|
Occlusion Of Vein With Review By Radiologist
|
3
|
3
|
$56,726.40
|
—
|
$12,765.40
|
$45,381.12
|
$41,359.90
|
2026-07-15
|
|
321037241
|
OTHER
|
Occlusion Of Vein With Review By Radiologist
|
3
|
3
|
$56,726.40
|
$14,680.21
74% off
|
$12,765.40
|
$45,381.12
|
$41,359.90
|
2026-07-15
|
|
411037243
|
OTHER
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
3
|
3
|
$52,548.60
|
—
|
$12,765.40
|
$42,038.88
|
$41,359.90
|
2026-07-15
|
|
74110090
|
OTHER
|
Removal Of Plaque, Insertion Of Stent And/or Balloon Dilation Of Single Coronary…
|
3
|
3
|
$58,023.05
|
—
|
$12,765.40
|
$46,418.44
|
$41,359.90
|
2026-07-15
|
|
2691390
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
$14,680.21
81% off
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
321037221R
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
321037243
|
OTHER
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
321037228
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
411037236
|
OTHER
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
3
|
3
|
$52,548.60
|
$14,680.21
72% off
|
$12,765.40
|
$42,038.88
|
$41,359.90
|
2026-07-15
|
|
411037238
|
OTHER
|
Insertion Of Stent In Vein With Review By Radiologist, Initial Vein
|
3
|
3
|
$54,159.16
|
—
|
$12,765.40
|
$43,327.33
|
$41,359.90
|
2026-07-15
|
|
7411934
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
7411139
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
321037244
|
OTHER
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
411037244
|
OTHER
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
3
|
3
|
$52,513.90
|
$14,680.21
72% off
|
$12,765.40
|
$42,011.12
|
$41,359.90
|
2026-07-15
|
|
5600207
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
—
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
321037236
|
OTHER
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
2691330
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
2011160
|
OTHER
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
2692129
|
OTHER
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
5700321
|
OTHER
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
5700318
|
OTHER
|
Insertion Of Stent In Artery (except Lower Extremity, Chest, Heart, Neck And Bra…
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
321036905
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
321037221
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
5600202
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
5701100
|
OTHER
|
Occlusion Of Artery Or Vein Bleeding With Review By Radiologist
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
411061626
|
OTHER
|
Occlusion Of Head Or Neck Artery
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
5100621U
|
OTHER
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
3
|
3
|
$61,620.70
|
—
|
$12,765.40
|
$49,296.56
|
$41,359.90
|
2026-07-15
|
|
411037228
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$52,548.60
|
$14,680.21
72% off
|
$12,765.40
|
$42,038.88
|
$41,359.90
|
2026-07-15
|
|
411037221B
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$62,620.72
|
$14,680.21
77% off
|
$12,765.40
|
$50,096.58
|
$41,359.90
|
2026-07-15
|
|
7411935
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
2691335
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
321037228R
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
321037238
|
OTHER
|
Insertion Of Stent In Vein With Review By Radiologist, Initial Vein
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
2691395
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
—
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
2692118
|
OTHER
|
Occlusion Of Vein With Review By Radiologist
|
3
|
3
|
$56,726.40
|
$14,680.21
74% off
|
$12,765.40
|
$45,381.12
|
$41,359.90
|
2026-07-15
|
|
2692131
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
321036903
|
OTHER
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
2690500
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$62,620.72
|
$14,680.21
77% off
|
$12,765.40
|
$50,096.58
|
$41,359.90
|
2026-07-15
|
|
321037228L
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
411061623
|
OTHER
|
Balloon Occlusion Of Head Or Neck Artery With Review By Radiologist
|
3
|
3
|
$61,620.70
|
—
|
$12,765.40
|
$49,296.56
|
$41,359.90
|
2026-07-15
|
|
411037226
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$52,548.60
|
$14,680.21
72% off
|
$12,765.40
|
$42,038.88
|
$41,359.90
|
2026-07-15
|
|
321037228B
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
2691415
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
2691410
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
321037221L
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$61,616.39
|
—
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
5701110
|
OTHER
|
Occlusion Of Vein With Review By Radiologist
|
3
|
3
|
$56,726.40
|
$14,680.21
74% off
|
$12,765.40
|
$45,381.12
|
$41,359.90
|
2026-07-15
|
|
321037221B
|
OTHER
|
Insertion Of Stent In Groin Artery, Initial Vessel
|
3
|
3
|
$62,620.72
|
—
|
$12,765.40
|
$50,096.58
|
$41,359.90
|
2026-07-15
|
|
2690540
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
7411807
|
OTHER
|
Balloon Dilation Of Artery Of Leg, Initial Vessel
|
3
|
3
|
$61,616.39
|
$14,680.21
76% off
|
$12,765.40
|
$49,293.11
|
$41,359.90
|
2026-07-15
|
|
2600205
|
OTHER
|
Insertion Of Stent In Vein With Review By Radiologist, Initial Vein
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
7411930
|
OTHER
|
Insertion Of Stent In Arteries Of Leg
|
3
|
3
|
$75,737.34
|
$14,680.21
81% off
|
$12,765.40
|
$60,589.87
|
$41,359.90
|
2026-07-15
|
|
2600149
|
OTHER
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
3
|
3
|
$56,620.95
|
—
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
5700317
|
OTHER
|
Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist
|
3
|
3
|
$56,620.95
|
$14,680.21
74% off
|
$12,765.40
|
$45,296.76
|
$41,359.90
|
2026-07-15
|
|
270695148
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$51,656.25
|
—
|
$41,325.00
|
$41,325.00
|
$41,325.00
|
2026-07-15
|
|
270662523
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$51,525.00
|
—
|
$41,220.00
|
$41,220.00
|
$41,220.00
|
2026-07-15
|
|
270688017
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$51,525.00
|
—
|
$41,220.00
|
$41,220.00
|
$41,220.00
|
2026-07-15
|
|
270686184S
|
OTHER
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
1
|
1
|
$51,500.00
|
—
|
$41,200.00
|
$41,200.00
|
$41,200.00
|
2026-07-15
|
|
270686184
|
OTHER
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
1
|
1
|
$51,500.00
|
—
|
$41,200.00
|
$41,200.00
|
$41,200.00
|
2026-07-15
|
|
270680910
|
OTHER
|
Pacemaker, Other Than Single Or Dual Chamber (implantable)
|
1
|
1
|
$51,250.00
|
—
|
$41,000.00
|
$41,000.00
|
$41,000.00
|
2026-07-15
|
|
270687910
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$51,010.00
|
—
|
$40,808.00
|
$40,808.00
|
$40,808.00
|
2026-07-15
|
|
270695703
|
OTHER
|
Alloderm, Per Square Centimeter
|
1
|
1
|
$50,805.00
|
—
|
$40,644.00
|
$40,644.00
|
$40,644.00
|
2026-07-15
|
|
270684782
|
OTHER
|
Prosthesis, Penile, Inflatable
|
1
|
1
|
$50,465.00
|
—
|
$40,372.00
|
$40,372.00
|
$40,372.00
|
2026-07-15
|
|
270687777
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$50,388.00
|
—
|
$40,310.40
|
$40,310.40
|
$40,310.40
|
2026-07-15
|
|
270688618
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$50,388.00
|
—
|
$40,310.40
|
$40,310.40
|
$40,310.40
|
2026-07-15
|
|
7411009
|
OTHER
|
Insertion Of Pacemaker And Upper Heart Chamber Electrode
|
3
|
3
|
$57,852.45
|
—
|
$12,390.70
|
$46,281.96
|
$40,145.87
|
2026-07-15
|
|
5100230
|
OTHER
|
Insertion Of Pacemaker And Upper Heart Chamber Electrode
|
3
|
3
|
$57,852.45
|
—
|
$12,390.70
|
$46,281.96
|
$40,145.87
|
2026-07-15
|
|
5100250
|
OTHER
|
Insertion Of Pacemaker And Lower Heart Chamber Electrode
|
3
|
3
|
$53,474.25
|
$14,249.31
73% off
|
$12,390.70
|
$42,779.40
|
$40,145.87
|
2026-07-15
|
|
270698101
|
OTHER
|
Mesh (implantable)
|
1
|
1
|
$50,000.00
|
—
|
$40,000.00
|
$40,000.00
|
$40,000.00
|
2026-07-15
|
|
270699928
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$49,975.00
|
—
|
$39,980.00
|
$39,980.00
|
$39,980.00
|
2026-07-15
|
|
270698774S
|
OTHER
|
Catheter, Thrombectomy/embolectomy
|
1
|
1
|
$48,875.00
|
—
|
$39,100.00
|
$39,100.00
|
$39,100.00
|
2026-07-15
|
|
7412058
|
OTHER
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
3
|
3
|
$48,741.55
|
$14,680.21
70% off
|
$12,765.40
|
$41,359.90
|
$38,993.24
|
2026-07-15
|
|
2709026
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$48,741.55
|
$14,680.21
70% off
|
$12,765.40
|
$41,359.90
|
$38,993.24
|
2026-07-15
|
|
2709024
|
OTHER
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
3
|
3
|
$48,741.55
|
—
|
$12,765.40
|
$41,359.90
|
$38,993.24
|
2026-07-15
|
|
7412060
|
OTHER
|
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila…
|
3
|
3
|
$48,741.55
|
$14,680.21
70% off
|
$12,765.40
|
$41,359.90
|
$38,993.24
|
2026-07-15
|
|
5100837
|
OTHER
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit And Insertion Of Stent…
|
3
|
3
|
$48,741.55
|
$14,680.21
70% off
|
$12,765.40
|
$41,359.90
|
$38,993.24
|
2026-07-15
|
|
270691630
|
OTHER
|
Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)
|
1
|
1
|
$48,690.00
|
—
|
$38,952.00
|
$38,952.00
|
$38,952.00
|
2026-07-15
|
|
270679730
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$47,500.00
|
—
|
$38,000.00
|
$38,000.00
|
$38,000.00
|
2026-07-15
|
|
270687951
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$46,510.00
|
—
|
$37,208.00
|
$37,208.00
|
$37,208.00
|
2026-07-15
|
|
270687697
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$46,510.00
|
—
|
$37,208.00
|
$37,208.00
|
$37,208.00
|
2026-07-15
|
|
5100799
|
OTHER
|
Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit…
|
3
|
3
|
$45,735.22
|
—
|
$12,765.40
|
$41,359.90
|
$36,588.18
|
2026-07-15
|
|
5100800
|
OTHER
|
Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit…
|
1
|
1
|
$45,735.22
|
—
|
$36,588.18
|
$36,588.18
|
$36,588.18
|
2026-07-15
|
|
270689146
|
OTHER
|
Glidescope Core One Touch
|
3
|
3
|
$72,765.00
|
—
|
$21,829.50
|
$58,212.00
|
$36,382.50
|
2026-07-15
|
|
270697477
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$45,253.00
|
—
|
$36,202.40
|
$36,202.40
|
$36,202.40
|
2026-07-15
|
|
270699316
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$45,253.00
|
—
|
$36,202.40
|
$36,202.40
|
$36,202.40
|
2026-07-15
|
|
270697476
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$45,253.00
|
—
|
$36,202.40
|
$36,202.40
|
$36,202.40
|
2026-07-15
|
|
270697094
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$45,220.00
|
—
|
$36,176.00
|
$36,176.00
|
$36,176.00
|
2026-07-15
|
|
270697175
|
OTHER
|
Catheter, Thrombectomy/embolectomy
|
1
|
1
|
$45,000.00
|
—
|
$36,000.00
|
$36,000.00
|
$36,000.00
|
2026-07-15
|
|
270698975
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$45,000.00
|
—
|
$36,000.00
|
$36,000.00
|
$36,000.00
|
2026-07-15
|
|
270695270
|
OTHER
|
Primatrix, Per Square Centimeter
|
1
|
1
|
$44,913.20
|
—
|
$35,930.56
|
$35,930.56
|
$35,930.56
|
2026-07-15
|
|
270696784
|
OTHER
|
Anchor/screw For Opposing Bone-to-bone Or Soft Tissue-to-bone (implantable)
|
1
|
1
|
$44,850.00
|
—
|
$35,880.00
|
$35,880.00
|
$35,880.00
|
2026-07-15
|
|
270683923
|
OTHER
|
Primatrix, Per Square Centimeter
|
1
|
1
|
$44,740.00
|
—
|
$35,792.00
|
$35,792.00
|
$35,792.00
|
2026-07-15
|
|
270691452
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$44,525.00
|
—
|
$35,620.00
|
$35,620.00
|
$35,620.00
|
2026-07-15
|
|
270693269
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$44,500.00
|
—
|
$35,600.00
|
$35,600.00
|
$35,600.00
|
2026-07-15
|
|
270694698
|
OTHER
|
Implantable/insertable Device, Not Otherwise Classified
|
1
|
1
|
$44,500.00
|
—
|
$35,600.00
|
$35,600.00
|
$35,600.00
|
2026-07-15
|
|
270692736
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$44,040.00
|
—
|
$35,232.00
|
$35,232.00
|
$35,232.00
|
2026-07-15
|
|
270688751
|
OTHER
|
Joint Device (implantable)
|
1
|
1
|
$42,630.00
|
—
|
$34,104.00
|
$34,104.00
|
$34,104.00
|
2026-07-15
|
|
270667912
|
OTHER
|
Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter
|
1
|
1
|
$42,505.00
|
—
|
$34,004.00
|
$34,004.00
|
$34,004.00
|
2026-07-15
|