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

ANGEL MEDICAL CENTER

Franklin, NC · CCN 341326 · Rates published

Your selected procedure

You selected 788 (MS_DRG)

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

This hospital’s price: $2,424 across 22 payers · range $2,208-$8,951

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2053115_ANGEL-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-09-01

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.

29,641 distinct procedures filed
36 distinct payers
2,299,553 rate rows
2026-09-01 last MRF observed
Data quality

1,643,882 of 2,299,553 rate rows are consumer-grade (71.5%)

655,671 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 593,168
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 50,624
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6,065
per-diem day rate — not a per-procedure price 5,357
placeholder amount (≤ $0.02) — excluded from medians 265
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 169
exceeds 10× this hospital's gross charge — excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/83-2053115_ANGEL-MEDICAL-CENTER_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D
Found on page https://www.missionhealth.org/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch success · 2026-09-22
Content fingerprint d8755cfa3ee86445… · 444,601,082 bytes · first seen 2026-09-22

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $4,407,480.00 $4,429,740.00 $4,422,320.40 nat. median
$3,765,001
1.2× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $4,326,000.00 $4,326,000.00 $4,326,000.00 nat. median
$3,677,100
1.2× median
714
OTHER 		Inj Delandistrogene Mox R 1 $3,980,276.40 $3,993,432.00 $3,990,546.00 nat. median
$3,391,964
1.2× median
908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,942,939.60 $4,002,984.00 $3,972,961.80 nat. median
$8,800
outlier · 451.5×
748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,882,364.80 $3,943,200.00 $3,903,009.60 nat. median
$3,351,720
1.2× median
906
OTHER 		Inj Elivaldogene Autoteme 1 $3,816,000.00 $3,816,000.00 $3,816,000.00 nat. median
$2,726
outlier · 1399.7×
746
OTHER 		Inj, Betibeglogene Autote 1 $3,516,312.00 $3,561,600.00 $3,527,962.80 nat. median
$3,001,835
1.2× median
922
OTHER 		Inj Onase Abepar-brve Trea 1 $3,197,073.60 $3,197,073.60 $3,197,073.60 nat. median
$167
outlier · 19186.7×
9141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,866,336.80 $4,299,505.20 $3,106,777.20 nat. median
$2,508,045
1.2× median
824
OTHER 		Inj, Exagamglogene Autote 1 $2,761,088.40 $2,798,400.00 $2,779,744.20 nat. median
$28,063
outlier · 99.1×
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $2,125,000.00 $2,125,000.00 $2,125,000.00 nat. median
$2,455,111
0.9× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,369,371.65 $1,369,371.65 $1,369,371.65 nat. median
$621,313
outlier · 2.2×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $1,328,128.35 $1,328,128.35 $1,328,128.35 nat. median
$599,737
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $1,279,600.63 $1,279,600.63 $1,279,600.63 nat. median
$562,501
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $373,000.00 $1,175,752.00 $1,175,752.00 nat. median
$513,770
outlier · 2.3×
2067
OTHER 		Afamitresgene Autoleucel 1 $924,744.00 $976,760.88 $950,752.44 nat. median
$838,386
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $632,548.08 $948,822.12 $705,179.52 nat. median
$553,480
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos 2 $635,031.48 $952,547.22 $679,837.56 nat. median
$555,653
1.2× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $620,071.32 $930,106.98 $674,641.44 nat. median
$542,562
1.2× median
9422
OTHER 		Idecabtagene Vicleucel Ca 2 $631,905.12 $947,857.68 $669,698.16 nat. median
$552,917
1.2× median
9035
OTHER 		Axicabtagene Ciloleucel C 2 $587,347.20 $881,020.80 $638,630.64 nat. median
$513,929
1.2× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $552,636.48 $828,954.72 $587,340.24 nat. median
$483,557
1.2× median
831
OTHER 		Obecbtge Autol Up To 400 1 $333,900.00 $333,900.00 $333,900.00 nat. median
$278,250
1.2× median
897
OTHER 		Revakinagene, Per Implant 1 $313,895.64 $318,000.00 $315,947.82 nat. median
$269,427
1.2× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 1 $242,002.80 $244,391.76 $243,197.28 nat. median
$203,660
1.2× median
1908
OTHER 		New Technology - Level 52 2 $183,000.60 $274,500.90 $191,257.56 nat. median
$149,948
1.3× median
1907
OTHER 		New Technology - Level 52 2 $183,000.60 $274,500.90 $191,257.56 nat. median
$149,948
1.3× median
1906
OTHER 		New Technology - Level 51 2 $165,000.60 $247,500.90 $172,445.40 nat. median
$135,199
1.3× median
1905
OTHER 		New Technology - Level 51 2 $165,000.60 $247,500.90 $172,445.40 nat. median
$135,199
1.3× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $166,116.65 $166,116.65 $166,116.65 nat. median
$66,211
outlier · 2.5×
516430
CDM 		Kit Implnt Hrtmt 3 Kit 17 $68,849.21 $364,495.82 $157,948.19 nat. median
$159,771
1.0× median
1904
OTHER 		New Technology - Level 50 2 $147,000.60 $220,500.90 $153,633.24 nat. median
$3,015
outlier · 51.0×
1903
OTHER 		New Technology - Level 50 2 $147,000.60 $220,500.90 $153,633.24 nat. median
$3,015
outlier · 51.0×
924
OTHER 		Inj Zopapogene Per Ther Do 1 $146,280.00 $146,280.00 $146,280.00 nat. median
$108
outlier · 1353.2×
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 $51,363.25 $145,223.54 $145,223.54 nat. median
$63,499
outlier · 2.3×
456896
CDM 		Device Vntrc Asst Hrtmt 17 $59,931.29 $317,283.30 $137,489.43 nat. median
$124,763
1.1× median
1902
OTHER 		New Technology - Level 49 2 $129,000.60 $193,500.90 $134,821.08 nat. median
$3,015
outlier · 44.7×
1901
OTHER 		New Technology - Level 49 2 $129,000.60 $193,500.90 $134,821.08 nat. median
$3,015
outlier · 44.7×
Q0480
HCPCS 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 1 $133,803.60 $133,803.60 $133,803.60 nat. median
$108,243
1.2× median
494847
CDM 		Syst Imp Hrtmt2 Lft Vent 17 $56,489.73 $299,063.26 $129,594.08 nat. median
$131,089
1.0× median
1599
OTHER 		New Technology - Level 48 2 $114,000.60 $171,000.90 $119,144.30 nat. median
$93,410
1.3× median
1585
OTHER 		New Technology - Level 48 2 $114,000.60 $171,000.90 $119,144.30 nat. median
$93,410
1.3× median
C9293
HCPCS 		Glucarpidase 1000 U Inj 16 $52,309.71 $276,933.76 $118,773.81 nat. median
$57,284
outlier · 2.1×
J9999
HCPCS 		Carmustine Wafers 8/box 16 $51,915.48 $274,846.66 $117,878.68 nat. median
$3,398
outlier · 34.7×
K1007
HCPCS 		Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 1 $114,097.20 $114,097.20 $114,097.20 nat. median
$95,583
1.2× median
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 2 $41,773.13 $110,645.59 $110,645.59 nat. median
$57,036
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $26,869.21 $114,621.66 $109,799.01 nat. median
$69,822
1.6× median
1598
OTHER 		New Technology - Level 47 2 $102,000.60 $153,000.90 $106,602.86 nat. median
$83,578
1.3× median
1584
OTHER 		New Technology - Level 47 2 $102,000.60 $153,000.90 $106,602.86 nat. median
$83,578
1.3× median
1597
OTHER 		New Technology - Level 46 2 $90,000.60 $135,000.90 $94,061.42 nat. median
$73,745
1.3× median

Other procedures at this hospital

Browse this hospital's 29,641 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
9138 OTHER Inj, Hemgenix, Per Tx Dos 6 1 — — $4,407,480.00 $4,429,740.00 $4,422,320.40 2026-09-01
773 OTHER Inj, Beqvez, Per Tx Dose 2 1 — — $4,326,000.00 $4,326,000.00 $4,326,000.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 6 1 — — $3,980,276.40 $3,993,432.00 $3,990,546.00 2026-09-01
908 OTHER Topi Adm Prad Zami Per Tr 4 1 — — $3,942,939.60 $4,002,984.00 $3,972,961.80 2026-09-01
748 OTHER Inj, Lovotibeglogene Auto 6 1 — — $3,882,364.80 $3,943,200.00 $3,903,009.60 2026-09-01
906 OTHER Inj Elivaldogene Autoteme 4 1 — — $3,816,000.00 $3,816,000.00 $3,816,000.00 2026-09-01
746 OTHER Inj, Betibeglogene Autote 6 1 — — $3,516,312.00 $3,561,600.00 $3,527,962.80 2026-09-01
922 OTHER Inj Onase Abepar-brve Trea 2 1 — — $3,197,073.60 $3,197,073.60 $3,197,073.60 2026-09-01
9141 OTHER Inj Onase Abepar-xioi Tre 7 2 — — $2,866,336.80 $4,299,505.20 $3,106,777.20 2026-09-01
824 OTHER Inj, Exagamglogene Autote 4 1 — — $2,761,088.40 $2,798,400.00 $2,779,744.20 2026-09-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $2,125,000.00 $2,125,000.00 $2,125,000.00 2026-09-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 1 — — $1,369,371.65 $1,369,371.65 $1,369,371.65 2026-09-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 12 1 — — $1,328,128.35 $1,328,128.35 $1,328,128.35 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 1 — — $1,279,600.63 $1,279,600.63 $1,279,600.63 2026-09-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 15 2 — — $373,000.00 $1,175,752.00 $1,175,752.00 2026-09-01
2067 OTHER Afamitresgene Autoleucel 4 1 — — $924,744.00 $976,760.88 $950,752.44 2026-09-01
9498 OTHER Ciltacabtagene Car-pos T 7 2 — — $632,548.08 $948,822.12 $705,179.52 2026-09-01
9194 OTHER Tisagenlecleucel Car-pos 7 2 — — $635,031.48 $952,547.22 $679,837.56 2026-09-01
9413 OTHER Lisocabtagene Car Pos T 7 2 — — $620,071.32 $930,106.98 $674,641.44 2026-09-01
9422 OTHER Idecabtagene Vicleucel Ca 7 2 — — $631,905.12 $947,857.68 $669,698.16 2026-09-01
9035 OTHER Axicabtagene Ciloleucel C 7 2 — — $587,347.20 $881,020.80 $638,630.64 2026-09-01
9391 OTHER Brexucabtagene Car Pos T 7 2 — — $552,636.48 $828,954.72 $587,340.24 2026-09-01
831 OTHER Obecbtge Autol Up To 400 4 1 — — $333,900.00 $333,900.00 $333,900.00 2026-09-01
897 OTHER Revakinagene, Per Implant 4 1 — — $313,895.64 $318,000.00 $315,947.82 2026-09-01
886 OTHER Inj. Remestemcel-l-rknd/ 4 1 — — $242,002.80 $244,391.76 $243,197.28 2026-09-01
1908 OTHER New Technology - Level 52 7 2 — — $183,000.60 $274,500.90 $191,257.56 2026-09-01
1907 OTHER New Technology - Level 52 7 2 — — $183,000.60 $274,500.90 $191,257.56 2026-09-01
1906 OTHER New Technology - Level 51 7 2 — — $165,000.60 $247,500.90 $172,445.40 2026-09-01
1905 OTHER New Technology - Level 51 7 2 — — $165,000.60 $247,500.90 $172,445.40 2026-09-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 1 — — $166,116.65 $166,116.65 $166,116.65 2026-09-01
516430 CDM Kit Implnt Hrtmt 3 Kit 74 17 $404,995.35 $404,995.35 $68,849.21 $364,495.82 $157,948.19 2026-09-01
1903 OTHER New Technology - Level 50 7 2 — — $147,000.60 $220,500.90 $153,633.24 2026-09-01
1904 OTHER New Technology - Level 50 7 2 — — $147,000.60 $220,500.90 $153,633.24 2026-09-01
924 OTHER Inj Zopapogene Per Ther Do 2 1 — — $146,280.00 $146,280.00 $146,280.00 2026-09-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 15 2 — — $51,363.25 $145,223.54 $145,223.54 2026-09-01
456896 CDM Device Vntrc Asst Hrtmt 74 17 $352,537.00 $352,537.00 $59,931.29 $317,283.30 $137,489.43 2026-09-01
1902 OTHER New Technology - Level 49 7 2 — — $129,000.60 $193,500.90 $134,821.08 2026-09-01
1901 OTHER New Technology - Level 49 7 2 — — $129,000.60 $193,500.90 $134,821.08 2026-09-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 2 1 — — $133,803.60 $133,803.60 $133,803.60 2026-09-01
494847 CDM Syst Imp Hrtmt2 Lft Vent 74 17 $332,292.51 $332,292.51 $56,489.73 $299,063.26 $129,594.08 2026-09-01
1599 OTHER New Technology - Level 48 7 2 — — $114,000.60 $171,000.90 $119,144.30 2026-09-01
1585 OTHER New Technology - Level 48 7 2 — — $114,000.60 $171,000.90 $119,144.30 2026-09-01
C9293 HCPCS Glucarpidase 1000 U Inj 55 16 $307,704.18 $307,704.18 $52,309.71 $276,933.76 $118,773.81 2026-09-01
J9999 HCPCS Carmustine Wafers 8/box 55 16 $305,385.18 $305,385.18 $51,915.48 $274,846.66 $117,878.68 2026-09-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 2 1 — — $114,097.20 $114,097.20 $114,097.20 2026-09-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 15 2 — — $41,773.13 $110,645.59 $110,645.59 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 9 — — $26,869.21 $114,621.66 $109,799.01 2026-09-01
1598 OTHER New Technology - Level 47 7 2 — — $102,000.60 $153,000.90 $106,602.86 2026-09-01
1584 OTHER New Technology - Level 47 7 2 — — $102,000.60 $153,000.90 $106,602.86 2026-09-01
1583 OTHER New Technology - Level 46 7 2 — — $90,000.60 $135,000.90 $94,061.42 2026-09-01
1597 OTHER New Technology - Level 46 7 2 — — $90,000.60 $135,000.90 $94,061.42 2026-09-01
926 OTHER Gemcitabine Intravesical S 2 1 — — $87,581.09 $87,581.09 $87,581.09 2026-09-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 2 1 — — $82,562.04 $82,562.04 $82,562.04 2026-09-01
1596 OTHER New Technology - Level 45 7 2 — — $78,000.60 $117,000.90 $81,519.98 2026-09-01
1582 OTHER New Technology - Level 45 7 2 — — $78,000.60 $117,000.90 $81,519.98 2026-09-01
5244 OTHER Level 4 Blood Product Exc 7 2 — — $62,479.40 $93,719.11 $80,595.71 2026-09-01
717 OTHER Instill Adstiladrin, Tx D 7 2 — — $76,025.72 $114,038.59 $77,129.75 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 9 — — $30,333.08 $76,514.71 $73,295.60 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 9 — — $21,886.98 $75,297.71 $72,130.18 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 9 — — $16,815.50 $75,158.64 $71,996.67 2026-09-01
1581 OTHER New Technology - Level 44 7 2 — — $66,000.60 $99,000.90 $68,978.54 2026-09-01
1595 OTHER New Technology - Level 44 7 2 — — $66,000.60 $99,000.90 $68,978.54 2026-09-01
1643 OTHER Y90 Ibritumomab, Rx 7 2 — — $68,189.46 $117,857.84 $68,189.46 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 9 — — $24,182.02 $70,158.46 $67,206.69 2026-09-01
9273 OTHER Sipuleucel-t Auto Cd54+ 7 2 — — $65,284.93 $99,027.41 $66,018.28 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 9 — — $19,646.03 $68,639.65 $65,751.48 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 9 — — $20,973.67 $65,815.09 $63,045.99 2026-09-01
551981 CDM Pump Heart 21fr 85mm 76 18 $155,120.00 $155,120.00 $26,370.40 $139,608.00 $60,419.24 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 20 7 — — $56,879.00 $61,455.95 $60,004.15 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 9 — — $13,894.64 $61,820.86 $59,219.60 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 9 — — $15,467.31 $60,320.81 $57,783.01 2026-09-01
1580 OTHER New Technology - Level 43 7 2 — — $54,000.60 $81,000.90 $56,437.10 2026-09-01
1594 OTHER New Technology - Level 43 7 2 — — $54,000.60 $81,000.90 $56,437.10 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 7 — — $53,142.00 $57,418.33 $56,061.87 2026-09-01
A9543 HCPCS Y90 Ibritum Tiu Tx 40mci 57 17 $144,380.93 $144,380.93 $24,544.76 $129,942.84 $55,731.04 2026-09-01
J9266 HCPCS Pegaspargase Singl Vial 70 17 $125,252.60 $125,252.60 $19,717.46 $112,727.34 $55,111.14 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 9 — — $23,434.49 $57,009.05 $54,610.74 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 9 — — $18,149.90 $57,009.05 $54,610.74 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 9 — — $20,254.54 $56,813.77 $54,423.40 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 9 — — $24,532.25 $55,963.65 $53,608.86 2026-09-01
451503 CDM Valve Heart Sapien Trans 38 17 $127,042.50 $127,042.50 $23,326.55 $123,493.50 $53,555.01 2026-03-01
496433 CDM Valve Ao 9000tfx 23mm 38 17 $127,042.50 $127,042.50 $23,326.55 $123,493.50 $53,555.01 2026-03-01
485646 CDM Valve Hrt W Cert Sys 26a 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463213 CDM Valve Xt Sapien 23mm Ta 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
485943 CDM Valve Heart W/cert 29a 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
451502 CDM Valve Heart Sapien Trans 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463210 CDM Valve 26mm Sapien Xt Trn 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
457578 CDM Valve Hrt Sapien 23mm As 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
485942 CDM Valve Hrt W/cert Sys 23a 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
469508 CDM Valve Aor 20mm Edwrd Sap 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
469507 CDM Valve 29mm Thv 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
441862 CDM Valve Pulm 26mm Sapien R 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
469504 CDM Valve 23mm Thv 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463211 CDM Valve 29mm Sapien Xt Trn 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
485939 CDM Valve Hrt W/cert Sys 20a 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463214 CDM Valve Xt Sapien 26mm Ta 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
441861 CDM Valve Pulm 23mm Sapien R 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463212 CDM Valve 29mm Sapien Xt Trn 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
463209 CDM Valve 23mm Sapien Xt Trn 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
457579 CDM Valve Hrt Sapien 26mm As 74 17 $137,215.00 $137,215.00 $23,326.55 $123,493.50 $53,513.85 2026-09-01
544809 CDM Valve Tavr 25mm 74 17 $132,993.00 $132,993.00 $22,608.81 $119,693.70 $51,867.27 2026-09-01
1142 OTHER Supprelin La Implant 7 2 — — $44,990.36 $81,630.38 $51,822.41 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 9 — — $21,207.07 $53,985.27 $51,713.77 2026-09-01
J2350 HCPCS Ocrelizumab 300 Mg Inj 70 17 $150,336.52 $150,336.52 $57.24 $135,302.87 $51,640.60 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 9 — — $15,336.68 $53,522.72 $51,270.79 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 9 — — $11,473.03 $52,504.93 $50,295.82 2026-09-01
547215 CDM Valve Mitral 29m 38 17 $117,270.00 $117,270.00 $21,532.20 $113,994.00 $49,435.40 2026-03-01
487218 CDM Valve Tavr 34mm 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
777080 CDM Valve Tavor Aor 29mm 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
547229 CDM Valve Mitral 46.5x39.5mm 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
545488 CDM Valve Aor Tavr 26mm 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
547223 CDM Valve Mitral 36.5x52.5mm 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
487214 CDM Valve Aor Evolut Pro 23m 74 17 $126,660.00 $126,660.00 $21,532.20 $113,994.00 $49,397.40 2026-09-01
941 OTHER Riboflavin Epioxa/hd<=2ml 2 1 — — $48,513.00 $48,513.00 $48,513.00 2026-09-01
488819 CDM Set Pump 21fr 5.0 76 18 $124,096.00 $124,096.00 $21,096.32 $111,686.40 $48,335.39 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 9 — — $15,897.86 $50,347.06 $48,228.93 2026-09-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 2 1 — — $47,254.08 $47,254.08 $47,254.08 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 9 — — $13,934.67 $46,944.57 $44,969.71 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 9 — — $13,166.59 $46,750.27 $44,783.42 2026-09-01
1593 OTHER New Technology - Level 42 7 2 — — $42,000.60 $63,000.90 $43,895.66 2026-09-01
1579 OTHER New Technology - Level 42 7 2 — — $42,000.60 $63,000.90 $43,895.66 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 9 — — $12,344.42 $45,625.98 $43,705.98 2026-09-01
371977 CDM Set Vntrc 17.4x13.8in 76 18 $110,800.00 $110,800.00 $18,836.00 $99,720.00 $43,156.60 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 9 — — $14,311.94 $44,349.80 $42,483.65 2026-09-01
5166 OTHER Cochlear Implant Procedur 7 2 — — $38,341.68 $57,512.52 $42,247.44 2026-09-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 2 1 — — $41,964.12 $41,964.12 $41,964.12 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 7 — — $39,689.00 $42,882.28 $41,869.46 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 9 — — $11,953.35 $43,549.96 $41,717.74 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 9 — — $16,873.38 $43,043.04 $41,232.33 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 9 — — $13,934.67 $42,396.07 $40,612.36 2026-09-01
5232 OTHER Level 2 Icd And Similar P 7 2 — — $37,615.18 $56,422.76 $40,218.80 2026-09-01
5465 OTHER Level 5 Neurostimulator A 7 2 — — $35,503.55 $53,255.32 $39,538.22 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 24 9 — — $10,652.21 $41,156.38 $39,424.18 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 9 — — $13,445.42 $40,396.00 $38,696.58 2026-09-01
544808 CDM Valve Tavr 27mm 74 17 $97,106.00 $97,106.00 $16,508.02 $87,395.40 $37,871.34 2026-09-01
544807 CDM Valve Heart 29 Mm 74 17 $97,106.00 $97,106.00 $16,508.02 $87,395.40 $37,871.34 2026-09-01
5200 OTHER Implantation Wireless Pa 7 2 — — $33,230.96 $49,846.45 $36,752.21 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 9 — — $10,944.84 $37,588.19 $36,006.61 2026-09-01
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 2 1 — — $35,495.64 $35,495.64 $35,495.64 2026-09-01
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 2 1 — — $35,412.24 $35,412.24 $35,412.24 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 24 9 — — $15,827.27 $36,605.91 $35,065.80 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 7 — — $33,154.00 $35,821.86 $34,975.62 2026-09-01
5117 OTHER Level 7 Musculoskeletal P 4 1 — — $34,767.05 $34,767.05 $34,767.05 2026-09-01
J3357 HCPCS Ustekinumab 45 Mg Sq 183 18 $101,787.63 $101,787.63 $171.18 $192,195.33 $34,607.79 2026-09-01
443520 CDM Pump Cath Lv Impella 9fr 76 18 $88,640.00 $88,640.00 $15,068.80 $79,776.00 $34,525.28 2026-09-01
1578 OTHER New Technology - Level 41 7 2 — — $33,000.60 $49,500.90 $34,489.58 2026-09-01
1592 OTHER New Technology - Level 41 7 2 — — $33,000.60 $49,500.90 $34,489.58 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 9 — — $14,188.62 $35,758.74 $34,254.36 2026-09-01
843 OTHER Pegaspargase Injection 7 2 — — $32,484.64 $48,726.95 $34,108.87 2026-09-01
5213 OTHER Level 3 Electrophysiologi 7 2 — — $27,155.03 $40,732.54 $33,490.66 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 24 9 — — $13,077.07 $34,911.57 $33,442.92 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $21,909.15 $33,122.23 $33,122.23 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 9 — — $12,196.21 $34,396.76 $32,949.23 2026-09-01
772801 CDM Kit Impl Neurostim 74 17 $83,511.16 $83,511.16 $14,196.90 $75,160.04 $32,569.35 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 9 — — $10,924.56 $33,921.39 $32,493.82 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 9 — — $15,167.29 $33,198.49 $31,801.41 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 9 — — $23,242.08 $32,904.58 $31,519.89 2026-09-01
C1822 HCPCS Pulse Gen Imp 370 17 $82,329.00 $82,329.00 $10,254.06 $81,695.70 $31,362.43 2026-09-01
514663 CDM Cap Endrnt Grft 162698 38 17 $73,489.20 $73,489.20 $13,493.51 $71,436.24 $30,979.51 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 9 — — $7,489.30 $31,965.70 $30,620.47 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 9 — — $11,583.64 $31,722.10 $30,387.60 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 9 — — $12,498.31 $31,605.72 $30,275.82 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 9 — — $8,079.15 $31,449.90 $30,126.78 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 9 — — $7,887.94 $30,578.07 $29,291.53 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 9 — — $7,982.60 $30,524.81 $29,239.78 2026-09-01
856 OTHER Porfimer Sodium Injection 5 2 — — $28,644.17 $42,966.25 $29,074.10 2026-03-01
337140 CDM Stnt Prox Str24x24x152 74 17 $74,181.60 $74,181.60 $12,610.87 $66,763.44 $28,930.82 2026-09-01
J9119 HCPCS Cemiplimab-rwlc 350mginj 70 17 $84,188.44 $84,188.44 $27.39 $75,769.60 $28,918.73 2026-09-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 12 1 — — $28,750.78 $28,750.78 $28,750.78 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 9 — — $11,817.09 $29,842.34 $28,586.70 2026-09-01
5231 OTHER Level 1 Icd And Similar P 7 2 — — $26,950.38 $40,425.57 $28,500.88 2026-09-01
438918 CDM Stent Graft Evas 199mm 3 74 17 $72,935.05 $72,935.05 $12,398.96 $65,641.54 $28,444.67 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 24 9 — — $7,171.52 $29,600.72 $28,354.86 2026-09-01
1577 OTHER New Technology - Level 40 7 2 — — $27,000.60 $40,500.90 $28,218.86 2026-09-01
1591 OTHER New Technology - Level 40 7 2 — — $27,000.60 $40,500.90 $28,218.86 2026-09-01
773098 CDM Device Clsr 12f 35mm 74 17 $71,774.00 $71,774.00 $12,201.58 $64,596.60 $27,991.86 2026-09-01
773097 CDM Device Clsr 12fr 31mm 74 17 $71,774.00 $71,774.00 $12,201.58 $64,596.60 $27,991.86 2026-09-01
773094 CDM Device Clsr 12fr 20mm 74 17 $71,774.00 $71,774.00 $12,201.58 $64,596.60 $27,991.86 2026-09-01
773095 CDM Device Clsr 12fr 24mm 74 17 $71,774.00 $71,774.00 $12,201.58 $64,596.60 $27,991.86 2026-09-01
773096 CDM Device Clsr 12fr 27mm 74 17 $71,774.00 $71,774.00 $12,201.58 $64,596.60 $27,991.86 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 9 — — $7,297.28 $29,090.84 $27,866.34 2026-09-01
Q0483 HCPCS Monitor/display Module For Use With Electric Ventricular Assist Device, Replacem… 2 1 — — $27,854.88 $27,854.88 $27,854.88 2026-09-01
337145 CDM Stnt Clsweb Tpr44x40x150 74 17 $71,173.42 $71,173.42 $12,099.48 $64,056.08 $27,757.63 2026-09-01
337141 CDM Stnt Clsweb Tpr42x38x150 74 17 $71,173.42 $71,173.42 $12,099.48 $64,056.08 $27,757.63 2026-09-01
337142 CDM Stent Evas Cls 150x40x40 74 17 $71,173.42 $71,173.42 $12,099.48 $64,056.08 $27,757.63 2026-09-01
J2327 HCPCS Risankizum-rzaa 1mg Inj 67 16 $78,308.83 $78,308.83 $39.21 $70,477.95 $27,173.16 2026-09-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 5 2 — — $27,113.90 $59,526.48 $27,113.90 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 9 — — $9,531.20 $28,188.44 $27,002.11 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 9 — — $8,783.95 $27,951.75 $26,775.45 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 9 — — $7,284.84 $27,923.14 $26,747.51 2026-09-01
5378 OTHER Level 8 Urology And Relat 7 2 — — $23,063.40 $34,595.10 $26,556.55 2026-09-01
430213 CDM Stent Grf Mn Prx Thr 38m 74 17 $68,079.75 $68,079.75 $11,573.56 $61,271.78 $26,551.10 2026-09-01
418030 CDM Stent Graft Evas 161mm 2 74 17 $68,079.75 $68,079.75 $11,573.56 $61,271.78 $26,551.10 2026-09-01
421752 CDM Stent Aaa 40x40x159mm Ta 74 17 $68,079.75 $68,079.75 $11,573.56 $61,271.78 $26,551.10 2026-09-01
495512 CDM Kit Nucleus 7 Processor 76 18 $67,111.63 $67,111.63 $11,408.98 $60,400.47 $26,139.98 2026-09-01
495522 CDM Kit Nucleus 6 Processor 76 18 $67,111.63 $67,111.63 $11,408.98 $60,400.47 $26,139.98 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 9 — — $11,300.48 $27,256.45 $26,108.91 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 9 — — $9,951.75 $27,174.59 $26,031.28 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 9 — — $7,163.95 $27,151.91 $26,009.55 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 24 9 — — $7,666.72 $27,059.20 $25,920.54 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 9 — — $11,216.10 $27,025.67 $25,888.46 2026-09-01
709 MS_DRG Penis Procedures With Cc/mcc 24 9 — — $5,488.51 $26,815.60 $25,686.63 2026-09-01
L5973 HCPCS Endoskeletal Ankle Foot System, Microprocessor Controlled Feature, Dorsiflexion … 2 1 — — $25,559.88 $25,559.88 $25,559.88 2026-09-01
336176 CDM Device Embl 5x35mm 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
336178 CDM Device Embl 4x30mm 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
534224 CDM Device Embl 25mm 5mm Pip 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
322980 CDM Device Embl Pln 30x4.25 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
534130 CDM Device Embl 25mm 3.5mm P 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
551864 CDM Device Embl Ped25x4.75mm 74 17 $65,356.56 $65,356.56 $11,110.62 $58,820.90 $25,489.06 2026-09-01
337144 CDM Stnt Distal Str40x40x107 74 17 $65,157.07 $65,157.07 $11,076.70 $58,641.36 $25,411.26 2026-09-01
337143 CDM Stent Gft Vlnt 100x46x46 74 17 $65,157.07 $65,157.07 $11,076.70 $58,641.36 $25,411.26 2026-09-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 24 9 — — $7,191.54 $26,348.13 $25,239.51 2026-09-01
C1767 HCPCS Gwire Vasc .018in 200cm 1,411 18 $66,496.50 $66,496.50 $980.73 $140,888.99 $25,054.28 2026-09-01
432588 CDM Graft Evas 14cm 26mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
467555 CDM Graft Evas 12cm 26x14.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
429860 CDM Graft Evas 18cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
423167 CDM Graft Excluder Stent Trk 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432594 CDM Graft Evas 12cm 28.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432599 CDM Graft Evas 12cm 28.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
479246 CDM Graft Evas 26x12mm 12cm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432584 CDM Graft Evas 12cm 23x14.5m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432592 CDM Stent Excluder Gore C3 D 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
476831 CDM Graft Evas 10cm 12mm Aaa 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432593 CDM Graft Evas 18cm 26mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482291 CDM Graft Evas 28.5x12m 16cm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
429502 CDM Stnt/gft Eprsth 17cm 31m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432587 CDM Graft Evas 12cm 26mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432585 CDM Graft Evas 16cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
476296 CDM Graft Evas 16cm 23mm 12m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482285 CDM Graft Evas 14cm 26mm 12m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432583 CDM Graft Evas 14cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
480996 CDM Graft Evas 12cm 28.5mm 1 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
476745 CDM Graft Evas 12cm 23mm 12m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482288 CDM Graft Evas 14cm 26mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
429542 CDM Graft Evas 14cm 23x14.5m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432590 CDM Graft Evas 18cm 26mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482284 CDM Graft Evas 16cm 23mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
420304 CDM Stent Aaa Exldr C3 23x12 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
430572 CDM Graft Evas 15cm 31mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
479247 CDM Graft Evas 28.5x12m 12cm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482292 CDM Graft Evas 18cm 28.5mm 1 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482331 CDM Graft Evas 10cm 10mm Gor 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
474489 CDM Graft Evas 18cm 28.5mm 1 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
421811 CDM Graft Evas 16cm 26mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
473999 CDM Graft Evas 18x23x14.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432582 CDM Graft Evas 12cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
474099 CDM Graft Evas 14 Cm 28.5 14 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482290 CDM Graft Excluder 14cm 28.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432591 CDM Graft Evas 12cm 26mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482289 CDM Graft Evs 18cm 26x14.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432586 CDM Graft Evas 18cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
428598 CDM Graft Evas 13cm 31mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
459377 CDM Graft Evas 15cm 31x14.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
473744 CDM Graft Excluder 16cm 28.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
429513 CDM Graft Evas 18cm 28.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
459060 CDM Graft Evas 17cm 31x14.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
468315 CDM Graft Evas 13cm 31mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432598 CDM Graft Evas 16cm 28.5mm 1 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
477230 CDM Graft Evs 16cm 26x14.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
399606 CDM Stent Grft Main C3 28mmx 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432595 CDM Graft Evas 14cm 28.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432597 CDM Graft Evas 16cm 28.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
468669 CDM Graft Evas 14cm 23mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
456456 CDM Graft Evas 18cm 35mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
477365 CDM Graft Evas 14cm 35mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
478737 CDM Graft Evas 10cm 14.5mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
432589 CDM Graft Evas 16cm 26mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482282 CDM Graft Excldr 12x23x15.5 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482334 CDM Graft Evas 16cm 35mm 14. 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
472352 CDM Stent Gft Ilic 14cm 23mm 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
482281 CDM Graft Evas 18cm 23mm 12m 74 17 $64,237.87 $64,237.87 $10,920.44 $57,814.08 $25,052.77 2026-09-01
421589 CDM Graft Evas 166mm 20x36mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421620 CDM Graft Evas 145mm 36mm 16 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421687 CDM Graft Vasc Aaa 32x16x166 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421591 CDM Graft Evas 145mm 32mm 16 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421615 CDM Graft Evas 145mm 28x13mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421625 CDM Stent Graft End Main 25x 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421617 CDM Graft Evas 124mm 28x13mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421681 CDM Graft Evas 28mm 16mm End 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421582 CDM Graft Evas 166mm 23x16mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421586 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421593 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421602 CDM Graft Evas 166mm 28x13mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421584 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421627 CDM Stent Graft End Main 25m 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
368334 CDM Graft Evas 145mm 28x20mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421590 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421342 CDM Graft Evas 145mm 28mm 16 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421682 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421585 CDM Graft Evas 145mm 23x13mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421624 CDM Graft Endur Main 32mmx20 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421596 CDM Stnet Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
449767 CDM Graft Evas 124mm 32-20mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421622 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421581 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421686 CDM Graft Evas 166mm 25x13mm 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421619 CDM Graft Evas Endurant Stnt 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421470 CDM Graft Evas 145mm 25mm 16 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
421992 CDM Stent Graft Endurant Mai 74 17 $64,109.33 $64,109.33 $10,898.59 $57,698.40 $25,002.64 2026-09-01
5464 OTHER Level 4 Neurostimulator A 7 2 — — $24,857.52 $37,517.11 $24,857.52 2026-09-01
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