|
C9172
|
HCPCS
|
Inj- Beqvez- Per Tx Dose
|
56
|
14
|
—
|
—
|
$3,064,250.00
|
$4,591,273.59
|
$3,731,175.00
|
2026-05-24
|
|
J1411
|
HCPCS
|
Inj Hemgenix Per Tx Dose
|
66
|
15
|
—
|
—
|
$3,121,965.00
|
$4,375,000.00
|
$3,672,900.00
|
2026-05-24
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
68
|
15
|
—
|
—
|
$2,826,636.55
|
$4,731,859.20
|
$3,339,578.18
|
2026-05-24
|
|
J3394
|
HCPCS
|
Inj Lovotibeglogene Autotem
|
56
|
14
|
—
|
—
|
$2,793,100.00
|
$4,583,988.60
|
$3,335,290.00
|
2026-05-24
|
|
J3393
|
HCPCS
|
Inj Betibeglogene Autotemce
|
56
|
14
|
—
|
—
|
$2,522,800.00
|
$4,140,376.80
|
$3,012,520.00
|
2026-05-24
|
|
3832987
|
OTHER
|
Idecabtagene Vicleucel 500ml
|
24
|
11
|
$3,763,745.00
|
$940,936.25
75% off
|
$2,258,247.00
|
$3,387,370.50
|
$2,822,808.75
|
2026-05-24
|
|
3832979
|
OTHER
|
Idecabtagene Vicleucel 250ml
|
24
|
11
|
$3,763,745.00
|
$940,936.25
75% off
|
$2,258,247.00
|
$3,387,370.50
|
$2,822,808.75
|
2026-05-24
|
|
3832961
|
OTHER
|
Idecabtagene Vicleucel 50ml
|
24
|
11
|
$3,763,745.00
|
$940,936.25
75% off
|
$2,258,247.00
|
$3,387,370.50
|
$2,822,808.75
|
2026-05-24
|
|
3832953
|
OTHER
|
Lisocabtagene Maraleucel
|
24
|
11
|
$3,691,735.00
|
$922,933.75
75% off
|
$2,215,041.00
|
$3,322,561.50
|
$2,768,801.25
|
2026-05-24
|
|
3832698
|
OTHER
|
Tisagenlecleucel (kymriah)
|
24
|
11
|
$3,293,680.00
|
$823,420.00
75% off
|
$1,976,208.00
|
$2,964,312.00
|
$2,470,260.00
|
2026-05-24
|
|
3833001
|
OTHER
|
Lifieucel (amtagvi)
|
24
|
11
|
$3,273,611.00
|
$818,402.75
75% off
|
$1,964,166.60
|
$2,946,249.90
|
$2,455,208.25
|
2026-05-24
|
|
3833019
|
OTHER
|
Carvykti 30ml
|
24
|
11
|
$3,273,610.00
|
$818,402.50
75% off
|
$1,964,166.00
|
$2,946,249.00
|
$2,455,207.50
|
2026-05-24
|
|
3832946
|
OTHER
|
Brexucabtagene Autoleucel-all
|
24
|
11
|
$3,273,610.00
|
$818,402.50
75% off
|
$1,964,166.00
|
$2,946,249.00
|
$2,455,207.50
|
2026-05-24
|
|
3832938
|
OTHER
|
Brexucabtagene Autoleucel-mcl
|
24
|
11
|
$3,273,610.00
|
$818,402.50
75% off
|
$1,964,166.00
|
$2,946,249.00
|
$2,455,207.50
|
2026-05-24
|
|
3832920
|
OTHER
|
Axicabtagene Ciloleucel-fl/lbc
|
24
|
11
|
$3,273,610.00
|
$818,402.50
75% off
|
$1,964,166.00
|
$2,946,249.00
|
$2,455,207.50
|
2026-05-24
|
|
3833027
|
OTHER
|
Carvykti 70 Ml
|
24
|
11
|
$3,273,610.00
|
$818,402.50
75% off
|
$1,964,166.00
|
$2,946,249.00
|
$2,455,207.50
|
2026-05-24
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
72
|
15
|
—
|
—
|
$2,030,322.10
|
$4,304,164.64
|
$2,391,705.69
|
2026-05-24
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
34
|
14
|
—
|
—
|
$655,027.00
|
$1,347,574.47
|
$770,620.00
|
2026-07-18
|
|
Q2040
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
27
|
3
|
—
|
—
|
$520,938.02
|
$880,464.75
|
$593,750.00
|
2026-07-18
|
|
C9098
|
HCPCS
|
Ciltacabtagene Car Pos T
|
14
|
1
|
—
|
—
|
$502,626.39
|
$697,945.36
|
$556,781.63
|
2026-05-24
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
107
|
15
|
—
|
—
|
$448,054.92
|
$1,029,328.98
|
$553,169.30
|
2026-07-18
|
|
C9081
|
HCPCS
|
Idecabtagene Car Pos T
|
10
|
1
|
—
|
—
|
$501,870.81
|
$629,651.79
|
$550,296.94
|
2026-05-24
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
97
|
15
|
—
|
—
|
$4.02
|
$618,807.30
|
$545,068.65
|
2026-07-18
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
107
|
15
|
—
|
—
|
$447,599.45
|
$979,285.21
|
$541,260.45
|
2026-07-18
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
107
|
15
|
—
|
—
|
$439,217.17
|
$984,916.41
|
$532,227.86
|
2026-07-18
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
113
|
15
|
—
|
—
|
$411,195.20
|
$933,440.92
|
$504,139.64
|
2026-07-18
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
107
|
15
|
—
|
—
|
$391,450.84
|
$856,367.82
|
$483,556.92
|
2026-07-18
|
|
C9076
|
HCPCS
|
Lisocabtagene Car Pos T
|
20
|
2
|
—
|
—
|
$422,609.00
|
$615,842.98
|
$456,736.67
|
2026-05-24
|
|
C9073
|
HCPCS
|
Brexucabtagene Autoleucel Ca
|
26
|
3
|
—
|
—
|
$384,190.00
|
$559,857.27
|
$446,240.31
|
2026-05-24
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
29
|
14
|
—
|
—
|
$229,818.75
|
$973,145.25
|
$281,190.00
|
2026-07-18
|
|
825596
|
OTHER
|
Nusinersen 12 Mg/5 Ml Inj **(Intrathecal)** Syringe
|
24
|
11
|
$372,423.19
|
$93,105.80
75% off
|
$223,453.91
|
$335,180.87
|
$279,317.39
|
2026-05-24
|
|
784322
|
OTHER
|
Vutrisiran 25 Mg/0.5 Ml Prefilled Syringe
|
24
|
11
|
$319,322.89
|
$79,830.72
75% off
|
$191,593.73
|
$287,390.60
|
$239,492.17
|
2026-05-24
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
72
|
15
|
—
|
—
|
$139,323.81
|
$597,264.00
|
$231,333.44
|
2026-05-24
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
76
|
17
|
—
|
—
|
$94,014.98
|
$308,624.92
|
$171,963.90
|
2026-05-24
|
|
602169
|
OTHER
|
Abiomed Impella 5.5 Heart Pump
|
24
|
11
|
$196,800.00
|
$49,200.00
75% off
|
$118,080.00
|
$177,120.00
|
$147,600.00
|
2026-05-24
|
|
4415329
|
OTHER
|
Impella 5.5 Heart Pump
|
24
|
11
|
$195,160.50
|
$48,790.12
75% off
|
$117,096.30
|
$175,644.45
|
$146,370.38
|
2026-05-24
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
82
|
17
|
—
|
—
|
$46,710.26
|
$292,186.19
|
$142,745.86
|
2026-05-24
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
82
|
17
|
—
|
—
|
$65,110.85
|
$298,393.00
|
$131,463.21
|
2026-05-24
|
|
7156607
|
OTHER
|
Cochlear Ear Hires L-p Adult
|
24
|
11
|
$170,670.00
|
$42,667.50
75% off
|
$102,402.00
|
$153,603.00
|
$128,002.50
|
2026-05-24
|
|
7250038
|
OTHER
|
Graft Thora Hybrid 30x36x150
|
24
|
11
|
$166,600.50
|
$41,650.12
75% off
|
$99,960.30
|
$149,940.45
|
$124,950.38
|
2026-05-24
|
|
7249642
|
OTHER
|
Stent Thoraflex Hybrid 30x40x1
|
24
|
11
|
$166,600.50
|
$41,650.12
75% off
|
$99,960.30
|
$149,940.45
|
$124,950.38
|
2026-05-24
|
|
7249527
|
OTHER
|
Graft Thoraflex Hybrid 30
|
24
|
11
|
$166,600.50
|
$41,650.12
75% off
|
$99,960.30
|
$149,940.45
|
$124,950.38
|
2026-05-24
|
|
4455655
|
OTHER
|
Graft Valiant 2pc Bundle
|
24
|
11
|
$166,600.50
|
$41,650.12
75% off
|
$99,960.30
|
$149,940.45
|
$124,950.38
|
2026-05-24
|
|
4412623
|
OTHER
|
Valve Heart 20mm Sapien Ultra
|
24
|
11
|
$161,840.50
|
$40,460.12
75% off
|
$97,104.30
|
$145,656.45
|
$121,380.38
|
2026-05-24
|
|
4412524
|
OTHER
|
Valve Heart 29mm Sapien 3 Ultr
|
24
|
11
|
$161,840.50
|
$40,460.12
75% off
|
$97,104.30
|
$145,656.45
|
$121,380.38
|
2026-05-24
|
|
4412631
|
OTHER
|
Valve Heart 26mm Sapien 3 Ultr
|
24
|
11
|
$161,840.50
|
$40,460.12
75% off
|
$97,104.30
|
$145,656.45
|
$121,380.38
|
2026-05-24
|
|
4412441
|
OTHER
|
Kit Heart Valve Resilia 23mm
|
24
|
11
|
$161,840.50
|
$40,460.12
75% off
|
$97,104.30
|
$145,656.45
|
$121,380.38
|
2026-05-24
|
|
4356499
|
OTHER
|
Valve Heart 23mm Sapien-3 Ultr
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4342978
|
OTHER
|
Valve Heart 29mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340782
|
OTHER
|
Valve 23mm Fem Novaflex Heart
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4410262
|
OTHER
|
Valve Heart 20mm Sapien 3 Ultr
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340725
|
OTHER
|
Valve 29mm Transcath Heart Val
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340832
|
OTHER
|
Valve 29mm Apical Novaflex Hea
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4342945
|
OTHER
|
Valve Heart 20mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4379327
|
OTHER
|
Valve Heart 23mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4379319
|
OTHER
|
Valve Heart 20mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4373434
|
OTHER
|
Valve Heart 29mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340816
|
OTHER
|
Valve 23mm Apical Novaflex Hea
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4430680
|
OTHER
|
Valve Heart 23mm Sapien 3 Thv
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4379335
|
OTHER
|
Valve Heart 26mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340824
|
OTHER
|
Valve 26mm Apical Novaflex Hea
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4340790
|
OTHER
|
Valve 26mm Fem Novaflex Heart
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4342952
|
OTHER
|
Valve Heart 23mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4342960
|
OTHER
|
Valve Heart 26mm Sapien 3 Tf
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
4303558
|
OTHER
|
Valve Heart 29mm W/certitude
|
24
|
11
|
$154,700.50
|
$38,675.12
75% off
|
$92,820.30
|
$139,230.45
|
$116,025.38
|
2026-05-24
|
|
1001031
|
OTHER
|
Pancreas-kidney Acq-cadaver
|
24
|
11
|
$153,293.00
|
$38,323.25
75% off
|
$91,975.80
|
$137,963.70
|
$114,969.75
|
2026-05-24
|
|
7233018
|
OTHER
|
Tile Gamma Therapy 6pk
|
24
|
11
|
$152,320.50
|
$38,080.12
75% off
|
$91,392.30
|
$137,088.45
|
$114,240.38
|
2026-05-24
|
|
4454955
|
OTHER
|
Graft Thor Aortic 10mm
|
24
|
11
|
$152,320.50
|
$38,080.12
75% off
|
$91,392.30
|
$137,088.45
|
$114,240.38
|
2026-05-24
|
|
4454906
|
OTHER
|
Graft Tag Thor Branch 12x45x15
|
24
|
11
|
$152,320.50
|
$38,080.12
75% off
|
$91,392.30
|
$137,088.45
|
$114,240.38
|
2026-05-24
|
|
4454799
|
OTHER
|
Graft Tag Thor Branch 12x40x15
|
24
|
11
|
$152,320.50
|
$38,080.12
75% off
|
$91,392.30
|
$137,088.45
|
$114,240.38
|
2026-05-24
|
|
4454146
|
OTHER
|
Graft Tag Thoracic 8x37x15
|
24
|
11
|
$152,320.50
|
$38,080.12
75% off
|
$91,392.30
|
$137,088.45
|
$114,240.38
|
2026-05-24
|
|
4456570
|
OTHER
|
Device Ipg Barostim & Lead
|
24
|
11
|
$149,940.50
|
$37,485.12
75% off
|
$89,964.30
|
$134,946.45
|
$112,455.38
|
2026-05-24
|
|
7249162
|
OTHER
|
Osteotomy Femoral My 3* Distal
|
24
|
11
|
$147,289.00
|
$36,822.25
75% off
|
$88,373.40
|
$132,560.10
|
$110,466.75
|
2026-05-24
|
|
4456588
|
OTHER
|
Device Ipg Barostim Neo2 2104
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4342382
|
OTHER
|
Valve Heart Aort Corevalue 23m
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4300075
|
OTHER
|
Mitraclip Xtr 1 Cath & 3 Clips
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4391173
|
OTHER
|
System Mitraclip Nt 1
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4391181
|
OTHER
|
Mitraclip Xtr 1 Cath & 1 Clip
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4391199
|
OTHER
|
Mitraclip Xtr 1 Cath & 2 Clips
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4342408
|
OTHER
|
Valve Heart Aort Corevalue 29m
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4342416
|
OTHER
|
Valve Heart Aort Corevalue 31m
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4342390
|
OTHER
|
Valve Heart Aort Corevalue 26m
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4378469
|
OTHER
|
Mitraclip Nt 1 Del Sys, 3 Clip
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4378451
|
OTHER
|
Mitraclip Nt 1 Del Sys, 2 Clip
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4456935
|
OTHER
|
Valve Heart Evolutr 23mm
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4343240
|
OTHER
|
Valve Heart Evolutr 26mm
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4342887
|
OTHER
|
Valve Heart Evolutr 29mm
|
24
|
11
|
$142,800.50
|
$35,700.12
75% off
|
$85,680.30
|
$128,520.45
|
$107,100.38
|
2026-05-24
|
|
4378444
|
OTHER
|
Mitraclip Nt 1 Del Sys, 1 Clip
|
24
|
11
|
$142,800.00
|
$35,700.00
75% off
|
$85,680.00
|
$128,520.00
|
$107,100.00
|
2026-05-24
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad Rep
|
90
|
16
|
—
|
—
|
$84,999.93
|
$139,510.47
|
$105,999.92
|
2026-07-18
|
|
7253800
|
OTHER
|
Cochear Nucleus W/slim Mod Ele
|
24
|
11
|
$138,992.50
|
$34,748.12
75% off
|
$83,395.50
|
$125,093.25
|
$104,244.38
|
2026-05-24
|
|
6205637
|
OTHER
|
Cochear Nucleus W/slim Mod Ele
|
24
|
11
|
$138,992.50
|
$34,748.12
75% off
|
$83,395.50
|
$125,093.25
|
$104,244.38
|
2026-05-24
|
|
7223019
|
OTHER
|
Onkos Tibial Shaft Allograft
|
24
|
11
|
$135,160.50
|
$33,790.12
75% off
|
$81,096.30
|
$121,644.45
|
$101,370.38
|
2026-05-24
|
|
7235591
|
OTHER
|
Osteotomy Hum My 3d Custom Gui
|
24
|
11
|
$134,089.50
|
$33,522.38
75% off
|
$80,453.70
|
$120,680.55
|
$100,567.12
|
2026-05-24
|
|
7238280
|
OTHER
|
Osteotomy Fem My 3* Custom Gui
|
24
|
11
|
$133,899.00
|
$33,474.75
75% off
|
$80,339.40
|
$120,509.10
|
$100,424.25
|
2026-05-24
|
|
602136
|
OTHER
|
Abiomed Impella 5.0 Heart Pump
|
24
|
11
|
$133,280.00
|
$33,320.00
75% off
|
$79,968.00
|
$119,952.00
|
$99,960.00
|
2026-05-24
|
|
4376356
|
OTHER
|
Impella 5.0 Heart Pump
|
24
|
11
|
$133,280.00
|
$33,320.00
75% off
|
$79,968.00
|
$119,952.00
|
$99,960.00
|
2026-05-24
|
|
4414488
|
OTHER
|
Generator Remede El Pulse Is-1
|
24
|
11
|
$130,900.50
|
$32,725.12
75% off
|
$78,540.30
|
$117,810.45
|
$98,175.38
|
2026-05-24
|
|
820019
|
OTHER
|
Sipuleucel-t 50 Million Cells
|
24
|
11
|
$130,519.05
|
$32,629.76
75% off
|
$78,311.43
|
$117,467.14
|
$97,889.29
|
2026-05-24
|
|
7250350
|
OTHER
|
Generator Vns Therapy 1000d Du
|
24
|
11
|
$128,515.50
|
$32,128.88
75% off
|
$77,109.30
|
$115,663.95
|
$96,386.62
|
2026-05-24
|
|
7226525
|
OTHER
|
Generator Vns Therapy 1000 Sen
|
24
|
11
|
$128,515.50
|
$32,128.88
75% off
|
$77,109.30
|
$115,663.95
|
$96,386.62
|
2026-05-24
|
|
7082241
|
OTHER
|
Graft Strattice Firm 25x40
|
24
|
11
|
$127,516.00
|
$31,879.00
75% off
|
$76,509.60
|
$114,764.40
|
$95,637.00
|
2026-05-24
|
|
7261613
|
OTHER
|
Generator Pulse Liberta Rc
|
24
|
11
|
$124,998.00
|
$31,249.50
75% off
|
$74,998.80
|
$112,498.20
|
$93,748.50
|
2026-05-24
|
|
3832581
|
OTHER
|
Allogeneic Infusion
|
24
|
11
|
$124,400.00
|
$31,100.00
75% off
|
$74,640.00
|
$111,960.00
|
$93,300.00
|
2026-05-24
|
|
4413936
|
OTHER
|
Generator Barostim Model 2100
|
24
|
11
|
$123,760.50
|
$30,940.12
75% off
|
$74,256.30
|
$111,384.45
|
$92,820.38
|
2026-05-24
|
|
4414157
|
OTHER
|
Pulse Generator Optimizer Smar
|
24
|
11
|
$123,760.50
|
$30,940.12
75% off
|
$74,256.30
|
$111,384.45
|
$92,820.38
|
2026-05-24
|
|
4421327
|
OTHER
|
Pulse Opitimizer Smart Mini
|
24
|
11
|
$123,760.00
|
$30,940.00
75% off
|
$74,256.00
|
$111,384.00
|
$92,820.00
|
2026-05-24
|
|
7087901
|
OTHER
|
Graft Mesh Strattice Firm 30x3
|
24
|
11
|
$123,636.50
|
$30,909.12
75% off
|
$74,181.90
|
$111,272.85
|
$92,727.38
|
2026-05-24
|
|
7249493
|
OTHER
|
Neurostim Brain Percept Rechg
|
24
|
11
|
$122,737.00
|
$30,684.25
75% off
|
$73,642.20
|
$110,463.30
|
$92,052.75
|
2026-05-24
|
|
7197692
|
OTHER
|
Nail Tibia Ante 10* 10x320
|
24
|
11
|
$122,570.50
|
$30,642.62
75% off
|
$73,542.30
|
$110,313.45
|
$91,927.88
|
2026-05-24
|
|
7252497
|
OTHER
|
Kit Abiomed Impella Rp Flex With
|
24
|
11
|
$119,000.50
|
$29,750.12
75% off
|
$71,400.30
|
$107,100.45
|
$89,250.38
|
2026-05-24
|
|
602110
|
OTHER
|
Abiomed Impella Cp Heart Pump
|
24
|
11
|
$119,000.00
|
$29,750.00
75% off
|
$71,400.00
|
$107,100.00
|
$89,250.00
|
2026-05-24
|
|
4304440
|
OTHER
|
Impella 3.5 Heart Pump
|
24
|
11
|
$119,000.00
|
$29,750.00
75% off
|
$71,400.00
|
$107,100.00
|
$89,250.00
|
2026-05-24
|
|
4390415
|
OTHER
|
Impella Rp Heart Pump
|
24
|
11
|
$119,000.00
|
$29,750.00
75% off
|
$71,400.00
|
$107,100.00
|
$89,250.00
|
2026-05-24
|
|
602128
|
OTHER
|
Abiomed Impella Ld Heart Pump
|
24
|
11
|
$119,000.00
|
$29,750.00
75% off
|
$71,400.00
|
$107,100.00
|
$89,250.00
|
2026-05-24
|
|
4391108
|
OTHER
|
Sys Pa Sensor/del Cardiomems H
|
24
|
11
|
$118,762.50
|
$29,690.62
75% off
|
$71,257.50
|
$106,886.25
|
$89,071.88
|
2026-05-24
|
|
6676027
|
OTHER
|
Difibrillator Resynch Therapy
|
24
|
11
|
$118,286.50
|
$29,571.62
75% off
|
$70,971.90
|
$106,457.85
|
$88,714.88
|
2026-05-24
|
|
7248388
|
OTHER
|
Osteotomy Sacral My 3* Custom
|
24
|
11
|
$117,429.50
|
$29,357.38
75% off
|
$70,457.70
|
$105,686.55
|
$88,072.12
|
2026-05-24
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
82
|
17
|
—
|
—
|
$40,882.65
|
$184,978.00
|
$87,500.06
|
2026-05-24
|
|
7202799
|
OTHER
|
Kit Genus R16 Replacement
|
24
|
11
|
$112,336.50
|
$28,084.12
75% off
|
$67,401.90
|
$101,102.85
|
$84,252.38
|
2026-05-24
|
|
4420329
|
OTHER
|
Icd S Emblem MRI 9b11
|
24
|
11
|
$111,860.00
|
$27,965.00
75% off
|
$67,116.00
|
$100,674.00
|
$83,895.00
|
2026-05-24
|
|
453
|
MS_DRG
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
18
|
5
|
—
|
—
|
$49,482.00
|
$138,799.48
|
$83,243.99
|
2026-05-24
|
|
J7330
|
HCPCS
|
Cultured Chondrocytes Implnt
|
8
|
2
|
—
|
—
|
$72,397.61
|
$110,143.37
|
$83,071.62
|
2026-05-24
|
|
7239361
|
OTHER
|
Nail Tib Ante 10* 10.7x155
|
24
|
11
|
$110,261.00
|
$27,565.25
75% off
|
$66,156.60
|
$99,234.90
|
$82,695.75
|
2026-05-24
|
|
7233000
|
OTHER
|
Tile Gamma Therapy 3pk
|
24
|
11
|
$109,480.50
|
$27,370.12
75% off
|
$65,688.30
|
$98,532.45
|
$82,110.38
|
2026-05-24
|
|
7084387
|
OTHER
|
Mesh Biolog Surgimend 3.0 25x4
|
24
|
11
|
$109,480.50
|
$27,370.12
75% off
|
$65,688.30
|
$98,532.45
|
$82,110.38
|
2026-05-24
|
|
7216625
|
OTHER
|
Stimulator Vagal Nerve Aspires
|
24
|
11
|
$109,480.50
|
$27,370.12
75% off
|
$65,688.30
|
$98,532.45
|
$82,110.38
|
2026-05-24
|
|
4414199
|
OTHER
|
Pacemaker Optimizer Smart
|
24
|
11
|
$109,480.50
|
$27,370.12
75% off
|
$65,688.30
|
$98,532.45
|
$82,110.38
|
2026-05-24
|
|
7039464
|
OTHER
|
Graft Aorto Iliac 11x8
|
24
|
11
|
$108,956.50
|
$27,239.12
75% off
|
$65,373.90
|
$98,060.85
|
$81,717.38
|
2026-05-24
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
74
|
16
|
—
|
—
|
$42,984.72
|
$169,851.20
|
$80,367.53
|
2026-05-24
|
|
7233570
|
OTHER
|
Generator Dbs Ipg Infinity 7
|
24
|
11
|
$107,100.50
|
$26,775.12
75% off
|
$64,260.30
|
$96,390.45
|
$80,325.38
|
2026-05-24
|
|
6205298
|
OTHER
|
Kit-2 Lead Perm Battery Anchor
|
24
|
11
|
$107,100.50
|
$26,775.12
75% off
|
$64,260.30
|
$96,390.45
|
$80,325.38
|
2026-05-24
|
|
7235534
|
OTHER
|
Generator Dcs Ipg Eterna
|
24
|
11
|
$107,100.50
|
$26,775.12
75% off
|
$64,260.30
|
$96,390.45
|
$80,325.38
|
2026-05-24
|
|
7210065
|
OTHER
|
Neurostim Brain Dual Activa Rc
|
24
|
11
|
$107,100.50
|
$26,775.12
75% off
|
$64,260.30
|
$96,390.45
|
$80,325.38
|
2026-05-24
|
|
602011
|
OTHER
|
Tandemheart Procedure Kit
|
24
|
11
|
$107,100.50
|
$26,775.12
75% off
|
$64,260.30
|
$96,390.45
|
$80,325.38
|
2026-05-24
|
|
7216088
|
OTHER
|
Stimulator Demipulse Duo Vns1
|
24
|
11
|
$106,410.00
|
$26,602.50
75% off
|
$63,846.00
|
$95,769.00
|
$79,807.50
|
2026-05-24
|
|
7
|
MS_DRG
|
Lung Transplant
|
68
|
17
|
—
|
—
|
$36,175.32
|
$135,973.04
|
$79,019.88
|
2026-05-24
|
|
7202732
|
OTHER
|
Kit Vercise Genus R16 Ipg
|
24
|
11
|
$104,720.50
|
$26,180.12
75% off
|
$62,832.30
|
$94,248.45
|
$78,540.38
|
2026-05-24
|
|
7224447
|
OTHER
|
Generator Pulse Spinal P16
|
24
|
11
|
$103,292.50
|
$25,823.12
75% off
|
$61,975.50
|
$92,963.25
|
$77,469.38
|
2026-05-24
|
|
7216609
|
OTHER
|
Generator Pulse Spinal Vercs R
|
24
|
11
|
$102,340.50
|
$25,585.12
75% off
|
$61,404.30
|
$92,106.45
|
$76,755.38
|
2026-05-24
|
|
7205800
|
OTHER
|
Neurostimulator Brain Percept
|
24
|
11
|
$102,340.50
|
$25,585.12
75% off
|
$61,404.30
|
$92,106.45
|
$76,755.38
|
2026-05-24
|
|
4314118
|
OTHER
|
Graft Valiant Navion Thor 46x4
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4312302
|
OTHER
|
Graft Valiant Navion Thor 40x4
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4314100
|
OTHER
|
Graft Valiant Navion Thor 43x4
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4311924
|
OTHER
|
Graft Navion Thoracic 40x34x20
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4450243
|
OTHER
|
Graft Valiant Navion Thor 34x3
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4450185
|
OTHER
|
Graft Valiant Navion 40x40x223
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4314134
|
OTHER
|
Graft Valiant Navion Thor 46x4
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4314811
|
OTHER
|
Graft Valiant Navion 20f 37x37
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
4311932
|
OTHER
|
Graft Navion Thoracic 37x31x20
|
24
|
11
|
$102,316.50
|
$25,579.12
75% off
|
$61,389.90
|
$92,084.85
|
$76,737.38
|
2026-05-24
|
|
7123797
|
OTHER
|
Cochlear Ear Dual Naida Cl
|
24
|
11
|
$101,802.50
|
$25,450.62
75% off
|
$61,081.50
|
$91,622.25
|
$76,351.88
|
2026-05-24
|
|
7156649
|
OTHER
|
Cochlear Ear Hires 90k W/smimj
|
24
|
11
|
$101,802.50
|
$25,450.62
75% off
|
$61,081.50
|
$91,622.25
|
$76,351.88
|
2026-05-24
|
|
7216377
|
OTHER
|
Nail Tib Ante 10* 10.7x195
|
24
|
11
|
$100,693.50
|
$25,173.38
75% off
|
$60,416.10
|
$90,624.15
|
$75,520.12
|
2026-05-24
|
|
7221112
|
OTHER
|
Nail Tibia Ante 10* 10.7x245
|
24
|
11
|
$100,693.50
|
$25,173.38
75% off
|
$60,416.10
|
$90,624.15
|
$75,520.12
|
2026-05-24
|
|
7216468
|
OTHER
|
Nail Tib Antegrade 10* 12.5x24
|
24
|
11
|
$100,693.50
|
$25,173.38
75% off
|
$60,416.10
|
$90,624.15
|
$75,520.12
|
2026-05-24
|
|
7172018
|
OTHER
|
Mesh Craniofac Lat Stiff Lt 17
|
24
|
11
|
$99,960.50
|
$24,990.12
75% off
|
$59,976.30
|
$89,964.45
|
$74,970.38
|
2026-05-24
|
|
7236052
|
OTHER
|
Generator Ipg Proclaim +5 MRI
|
24
|
11
|
$99,960.50
|
$24,990.12
75% off
|
$59,976.30
|
$89,964.45
|
$74,970.38
|
2026-05-24
|
|
6199483
|
OTHER
|
Generator Ipg Proclaim +5 MRI
|
24
|
11
|
$99,960.50
|
$24,990.12
75% off
|
$59,976.30
|
$89,964.45
|
$74,970.38
|
2026-05-24
|
|
7247919
|
OTHER
|
Custom Gmrs 31mm W/adapter
|
24
|
11
|
$99,960.50
|
$24,990.12
75% off
|
$59,976.30
|
$89,964.45
|
$74,970.38
|
2026-05-24
|
|
7181852
|
OTHER
|
Condyle Whole Femoral Rt
|
24
|
11
|
$96,628.50
|
$24,157.12
75% off
|
$57,977.10
|
$86,965.65
|
$72,471.38
|
2026-05-24
|
|
6178453
|
OTHER
|
Generator Ipg Senza Ii Kit 250
|
24
|
11
|
$96,628.50
|
$24,157.12
75% off
|
$57,977.10
|
$86,965.65
|
$72,471.38
|
2026-05-24
|
|
7173933
|
OTHER
|
Generator Spine Senza Ii Kit
|
24
|
11
|
$96,628.50
|
$24,157.12
75% off
|
$57,977.10
|
$86,965.65
|
$72,471.38
|
2026-05-24
|
|
7185499
|
OTHER
|
Generator Ipg Senza Ii Kit 250
|
24
|
11
|
$96,628.50
|
$24,157.12
75% off
|
$57,977.10
|
$86,965.65
|
$72,471.38
|
2026-05-24
|
|
6171656
|
OTHER
|
Generator Spine Senza Ii Kit
|
24
|
11
|
$96,628.50
|
$24,157.12
75% off
|
$57,977.10
|
$86,965.65
|
$72,471.38
|
2026-05-24
|
|
4343463
|
OTHER
|
Graft Valiant Thor Dev 34x34x2
|
24
|
11
|
$96,509.50
|
$24,127.38
75% off
|
$57,905.70
|
$86,858.55
|
$72,382.12
|
2026-05-24
|
|
4343489
|
OTHER
|
Graft Valiant Thoracic 36x36x2
|
24
|
11
|
$96,509.50
|
$24,127.38
75% off
|
$57,905.70
|
$86,858.55
|
$72,382.12
|
2026-05-24
|
|
4452504
|
OTHER
|
Graft Valiant Captiva 40x40x20
|
24
|
11
|
$96,508.50
|
$24,127.12
75% off
|
$57,905.10
|
$86,857.65
|
$72,381.38
|
2026-05-24
|
|
4345377
|
OTHER
|
Graft Valiant Prox Thor 38x38x
|
24
|
11
|
$96,508.50
|
$24,127.12
75% off
|
$57,905.10
|
$86,857.65
|
$72,381.38
|
2026-05-24
|
|
7172000
|
OTHER
|
Mesh Craniofac Stand Xlg 190x1
|
24
|
11
|
$96,025.00
|
$24,006.25
75% off
|
$57,615.00
|
$86,422.50
|
$72,018.75
|
2026-05-24
|
|
4421277
|
OTHER
|
Icd Cobalt Xt Hf Crt Dtpa2d1
|
24
|
11
|
$95,985.50
|
$23,996.38
75% off
|
$57,591.30
|
$86,386.95
|
$71,989.12
|
2026-05-24
|
|
4420998
|
OTHER
|
Cobalt Xthf Surescandtpa2s4
|
24
|
11
|
$95,985.50
|
$23,996.38
75% off
|
$57,591.30
|
$86,386.95
|
$71,989.12
|
2026-05-24
|
|
4421236
|
OTHER
|
Icd Cobalt Xl Hf Quad MRI
|
24
|
11
|
$95,985.50
|
$23,996.38
75% off
|
$57,591.30
|
$86,386.95
|
$71,989.12
|
2026-05-24
|
|
7213549
|
OTHER
|
Nail Fem Retro Str 12.5x365
|
24
|
11
|
$95,900.00
|
$23,975.00
75% off
|
$57,540.00
|
$86,310.00
|
$71,925.00
|
2026-05-24
|
|
7213184
|
OTHER
|
Nail Tibia Ante 10* 10.7x335
|
24
|
11
|
$95,900.00
|
$23,975.00
75% off
|
$57,540.00
|
$86,310.00
|
$71,925.00
|
2026-05-24
|
|
7213176
|
OTHER
|
Nail Tibia Ante 10* 8.5x335
|
24
|
11
|
$95,900.00
|
$23,975.00
75% off
|
$57,540.00
|
$86,310.00
|
$71,925.00
|
2026-05-24
|
|
90288
|
OTHER
|
Botulism Ig IV
|
10
|
3
|
—
|
—
|
$56,984.85
|
$86,694.90
|
$71,839.88
|
2026-05-24
|
|
7108004
|
OTHER
|
Graft Artery Aortoiliac
|
24
|
11
|
$95,600.00
|
$23,900.00
75% off
|
$57,360.00
|
$86,040.00
|
$71,700.00
|
2026-05-24
|
|
4398095
|
OTHER
|
Impella 2.5 Heart Pump
|
24
|
11
|
$95,200.00
|
$23,800.00
75% off
|
$57,120.00
|
$85,680.00
|
$71,400.00
|
2026-05-24
|
|
602086
|
OTHER
|
Abiomed Impella 2.5 Heart Pump
|
24
|
11
|
$95,200.00
|
$23,800.00
75% off
|
$57,120.00
|
$85,680.00
|
$71,400.00
|
2026-05-24
|
|
7112584
|
OTHER
|
Graft Artery Aortoiliac
|
24
|
11
|
$95,195.50
|
$23,798.88
75% off
|
$57,117.30
|
$85,675.95
|
$71,396.62
|
2026-05-24
|
|
4311718
|
OTHER
|
Graft Valiant Navion 34x28x173
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4450177
|
OTHER
|
Graft Valiant Navion 43x43x175
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4314126
|
OTHER
|
Graft Valiant Navion Thor 46x4
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4450763
|
OTHER
|
Graft Valiant Navion Thor 40x3
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4451027
|
OTHER
|
Graft Valiant Navion 37x37x174
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4450722
|
OTHER
|
Graft Valiant Navion 31x25x173
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4311957
|
OTHER
|
Graft Valiant Navion 37x37x174
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4450425
|
OTHER
|
Graft Valiant Navion 28x22x173
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
4450193
|
OTHER
|
Graft Valiant Navion 37x31x173
|
24
|
11
|
$95,176.50
|
$23,794.12
75% off
|
$57,105.90
|
$85,658.85
|
$71,382.38
|
2026-05-24
|
|
7178080
|
OTHER
|
Nail Femur Troch 10* 10x305
|
24
|
11
|
$94,919.50
|
$23,729.88
75% off
|
$56,951.70
|
$85,427.55
|
$71,189.62
|
2026-05-24
|
|
1001015
|
OTHER
|
Kidney Acquisition-cadaveric
|
24
|
11
|
$94,285.50
|
$23,571.38
75% off
|
$56,571.30
|
$84,856.95
|
$70,714.12
|
2026-05-24
|
|
1001007
|
OTHER
|
Kidney Acquisition-live Donor
|
24
|
11
|
$94,285.50
|
$23,571.38
75% off
|
$56,571.30
|
$84,856.95
|
$70,714.12
|
2026-05-24
|
|
6204044
|
OTHER
|
Generator 32-contact 4-port
|
24
|
11
|
$92,820.50
|
$23,205.12
75% off
|
$55,692.30
|
$83,538.45
|
$69,615.38
|
2026-05-24
|
|
6206981
|
OTHER
|
Bundle 32-contact Ipg Remote C
|
24
|
11
|
$92,820.50
|
$23,205.12
75% off
|
$55,692.30
|
$83,538.45
|
$69,615.38
|
2026-05-24
|
|
4343034
|
OTHER
|
Graft Val Prox Main 30x26x150
|
24
|
11
|
$92,796.50
|
$23,199.12
75% off
|
$55,677.90
|
$83,516.85
|
$69,597.38
|
2026-05-24
|
|
4452801
|
OTHER
|
Graft Valiant 46x46x200
|
24
|
11
|
$92,796.50
|
$23,199.12
75% off
|
$55,677.90
|
$83,516.85
|
$69,597.38
|
2026-05-24
|
|
4311585
|
OTHER
|
Graft Valiant Navion Thor 28x2
|
24
|
11
|
$92,796.50
|
$23,199.12
75% off
|
$55,677.90
|
$83,516.85
|
$69,597.38
|
2026-05-24
|
|
4343018
|
OTHER
|
Graft Valiant Captivia Proxima
|
24
|
11
|
$92,796.50
|
$23,199.12
75% off
|
$55,677.90
|
$83,516.85
|
$69,597.38
|
2026-05-24
|
|
4452496
|
OTHER
|
Graft Valiant Captiva 30x30x20
|
24
|
11
|
$92,796.50
|
$23,199.12
75% off
|
$55,677.90
|
$83,516.85
|
$69,597.38
|
2026-05-24
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab Rx
|
74
|
16
|
—
|
—
|
$48,528.11
|
$114,498.15
|
$68,750.41
|
2026-05-24
|
|
4345351
|
OTHER
|
Graft Valiant Captiva Prox 32x
|
24
|
11
|
$91,559.00
|
$22,889.75
75% off
|
$54,935.40
|
$82,403.10
|
$68,669.25
|
2026-05-24
|
|
4454732
|
OTHER
|
Graft Thoracic 30x30x150
|
24
|
11
|
$91,559.00
|
$22,889.75
75% off
|
$54,935.40
|
$82,403.10
|
$68,669.25
|
2026-05-24
|
|
4452512
|
OTHER
|
Graft Valiant Captiva 40x36x15
|
24
|
11
|
$91,559.00
|
$22,889.75
75% off
|
$54,935.40
|
$82,403.10
|
$68,669.25
|
2026-05-24
|
|
4344305
|
OTHER
|
Graft Val Prox Main 38x34x150
|
24
|
11
|
$91,559.00
|
$22,889.75
75% off
|
$54,935.40
|
$82,403.10
|
$68,669.25
|
2026-05-24
|
|
4348595
|
OTHER
|
Graft Valiant Captiva Thoracic
|
24
|
11
|
$91,559.00
|
$22,889.75
75% off
|
$54,935.40
|
$82,403.10
|
$68,669.25
|
2026-05-24
|
|
4343042
|
OTHER
|
Graft Val Prox Main 34x30x150
|
24
|
11
|
$91,558.00
|
$22,889.50
75% off
|
$54,934.80
|
$82,402.20
|
$68,668.50
|
2026-05-24
|
|
827675
|
OTHER
|
Glucarpidase 1000 units/mL Syringe
|
24
|
11
|
$91,515.67
|
$22,878.92
75% off
|
$54,909.40
|
$82,364.10
|
$68,636.75
|
2026-05-24
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
76
|
17
|
—
|
—
|
$54,720.37
|
$221,670.00
|
$68,239.52
|
2026-05-24
|
|
7202807
|
OTHER
|
Kit Genus P16 Replacement
|
24
|
11
|
$90,916.50
|
$22,729.12
75% off
|
$54,549.90
|
$81,824.85
|
$68,187.38
|
2026-05-24
|
|
7213523
|
OTHER
|
Construct Neuro Dcs Implant
|
24
|
11
|
$90,440.50
|
$22,610.12
75% off
|
$54,264.30
|
$81,396.45
|
$67,830.38
|
2026-05-24
|
|
7233976
|
OTHER
|
Construct Neuro Dcs Implant
|
24
|
11
|
$90,440.50
|
$22,610.12
75% off
|
$54,264.30
|
$81,396.45
|
$67,830.38
|
2026-05-24
|
|
4420337
|
OTHER
|
Icd S Emblem MRI A219
|
24
|
11
|
$90,440.00
|
$22,610.00
75% off
|
$54,264.00
|
$81,396.00
|
$67,830.00
|
2026-05-24
|
|
7088800
|
OTHER
|
Mesh Wound Bilayer Matrix 8x10
|
24
|
11
|
$90,021.00
|
$22,505.25
75% off
|
$54,012.60
|
$81,018.90
|
$67,515.75
|
2026-05-24
|
|
759191
|
OTHER
|
Yttrium-90 - Sir-sphere
|
24
|
11
|
$90,000.00
|
$22,500.00
75% off
|
$54,000.00
|
$81,000.00
|
$67,500.00
|
2026-05-24
|
|
759233
|
OTHER
|
Yttrium-90 Therasphere
|
24
|
11
|
$90,000.00
|
$22,500.00
75% off
|
$54,000.00
|
$81,000.00
|
$67,500.00
|
2026-05-24
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
71
|
15
|
—
|
—
|
$55,990.98
|
$72,174.35
|
$67,452.66
|
2026-07-18
|
|
4349072
|
OTHER
|
Graft Valiant Thoracic 30x30x2
|
24
|
11
|
$89,226.50
|
$22,306.62
75% off
|
$53,535.90
|
$80,303.85
|
$66,919.88
|
2026-05-24
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
72
|
15
|
—
|
—
|
$39,790.60
|
$172,331.20
|
$66,824.08
|
2026-05-24
|
|
4421004
|
OTHER
|
Cobalt Xt Hf Df4 Dpta2qq
|
24
|
11
|
$88,307.00
|
$22,076.75
75% off
|
$52,984.20
|
$79,476.30
|
$66,230.25
|
2026-05-24
|
|
4450250
|
OTHER
|
Graft Valiant 22x22x96
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4349809
|
OTHER
|
Graft Valiant Captivia Thor 26
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4314225
|
OTHER
|
Graft Valiant Navion 25x25x94
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4313961
|
OTHER
|
Graft Valiant Navion Thor 28x2
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4349908
|
OTHER
|
Graft Valiant Captiva Prox 40x
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4343206
|
OTHER
|
Graft Val Prox Main 28x28x150
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4314274
|
OTHER
|
Graft Valiant Navion 31x31x97
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4316089
|
OTHER
|
Graft Valiant Navion Thor 34x3
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4452389
|
OTHER
|
Graft Valiant Thor W/captivia
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4345369
|
OTHER
|
Graft Valiant Captiva Prox 34x
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4332789
|
OTHER
|
Graft Valiant Thor Dev 44x44x1
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4450292
|
OTHER
|
Graft Valiant 37x37x90
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4345344
|
OTHER
|
Graft Valiant Thor Captiva 28x
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4345385
|
OTHER
|
Graft Valiant Captiva Prox 36x
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4311916
|
OTHER
|
Graft Valiant Navion Thor 43x4
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4314787
|
OTHER
|
Graft Valiant Navion 34x34x97
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4333134
|
OTHER
|
Graft Valiant Captivia Proxima
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
4310520
|
OTHER
|
Graft Valiant Navion Thor 25x2
|
24
|
11
|
$88,036.50
|
$22,009.12
75% off
|
$52,821.90
|
$79,232.85
|
$66,027.38
|
2026-05-24
|
|
7082860
|
OTHER
|
Neurostimulator Activa Pc Dbs
|
24
|
11
|
$88,012.50
|
$22,003.12
75% off
|
$52,807.50
|
$79,211.25
|
$66,009.38
|
2026-05-24
|
|
J9029
|
HCPCS
|
Instill Adstiladrin Tx Dose
|
78
|
15
|
—
|
—
|
$53,851.55
|
$111,216.60
|
$65,888.96
|
2026-05-24
|
|
4343471
|
OTHER
|
Graft Valiant Thoracic 40x40x1
|
24
|
11
|
$87,845.00
|
$21,961.25
75% off
|
$52,707.00
|
$79,060.50
|
$65,883.75
|
2026-05-24
|
|
6192975
|
OTHER
|
Generator Pulse Spinal Wavewri
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
6187504
|
OTHER
|
Kit Imp Pulse Gen Wavewriter
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
7204902
|
OTHER
|
Kit Ipg Wavewriter Alphaprime
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
6197537
|
OTHER
|
Kit Ipg Wavewriter Alphaprime
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
7199474
|
OTHER
|
Generator Pulse Spine Wavewrit
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
7166580
|
OTHER
|
Generator Spinal Cord Wavewrit
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
6169866
|
OTHER
|
Generator Spinal Cord Wavewrit
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
7203078
|
OTHER
|
Kit Imp Pulse Gen Wavewriter A
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
7221963
|
OTHER
|
Generator Pulse Spinal Wavewri
|
24
|
11
|
$87,108.50
|
$21,777.12
75% off
|
$52,265.10
|
$78,397.65
|
$65,331.38
|
2026-05-24
|
|
4450581
|
OTHER
|
Tag Conform Thor Sg Ac, 31x31x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4315982
|
OTHER
|
Tag Conform Thor Sg Ac, 40x40x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4311767
|
OTHER
|
Tag Conform Thor Sg Ac, 37x37x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4314936
|
OTHER
|
Tag Conform Thor Sg Ac,40x40x1
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450599
|
OTHER
|
Tag Conform Thor Sg Ac, 31x31x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4311312
|
OTHER
|
Tag Conform Thoracic Sg,ac 26m
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450672
|
OTHER
|
Tag Conform Thor Sg Ac, 45x45x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450664
|
OTHER
|
Tag Conform Thor Sg Ac, 40x40x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450656
|
OTHER
|
Tag Conform Thor Sg Ac, 37x37x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450649
|
OTHER
|
Tag Conform Thor Sg Ac, 37x37x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450516
|
OTHER
|
Tag Conform Thor Sg Ac, 21x21x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450524
|
OTHER
|
Tag Conform Thor Sg Ac, 26x21x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450615
|
OTHER
|
Tag Conform Thor Sg Ac, 34x34x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450623
|
OTHER
|
Tag Conform Thor Sg Ac, 34x34x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4311726
|
OTHER
|
Tag Conform Thor Sg Ac,45x45x1
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450607
|
OTHER
|
Tag Conform Thor Sg Ac, 31x31x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450573
|
OTHER
|
Tag Conform Thor Sg Ac, 31x26x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450631
|
OTHER
|
Tag Conform Thor Sg Ac, 34x34x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4315347
|
OTHER
|
Tag Conform Thor Sg Ac,45x45x2
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450557
|
OTHER
|
Tag Conform Thor Sg Ac, 28x28x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
4450565
|
OTHER
|
Tag Conform Thor Sg Ac, 28x28x
|
24
|
11
|
$87,051.00
|
$21,762.75
75% off
|
$52,230.60
|
$78,345.90
|
$65,288.25
|
2026-05-24
|
|
7214166
|
OTHER
|
Generator Ipg Infinity 7
|
24
|
11
|
$86,916.00
|
$21,729.00
75% off
|
$52,149.60
|
$78,224.40
|
$65,187.00
|
2026-05-24
|
|
4420972
|
OTHER
|
Bivicd Claria Is1bidf4 Dtma1qq
|
24
|
11
|
$86,870.00
|
$21,717.50
75% off
|
$52,122.00
|
$78,183.00
|
$65,152.50
|
2026-05-24
|
|
7196025
|
OTHER
|
Generator Pulse Cpap Inspire
|
24
|
11
|
$86,751.50
|
$21,687.88
75% off
|
$52,050.90
|
$78,076.35
|
$65,063.62
|
2026-05-24
|
|
6187181
|
OTHER
|
Generator Pulse Cpap
|
24
|
11
|
$86,751.50
|
$21,687.88
75% off
|
$52,050.90
|
$78,076.35
|
$65,063.62
|
2026-05-24
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
76
|
17
|
—
|
—
|
$47,605.60
|
$174,945.59
|
$64,989.38
|
2026-05-24
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
68
|
17
|
—
|
—
|
$38,565.19
|
$133,233.16
|
$64,391.10
|
2026-05-24
|
|
7129372
|
OTHER
|
Nail Fem Troch 80 Distra 10.7x
|
24
|
11
|
$85,799.50
|
$21,449.88
75% off
|
$51,479.70
|
$77,219.55
|
$64,349.62
|
2026-05-24
|
|
4391140
|
OTHER
|
Cl Dev Watchman
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
6205272
|
OTHER
|
Construct Neuro Dcs Perc Sys
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7191174
|
OTHER
|
Construct Neuro Dcs Surg Sys
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7087885
|
OTHER
|
Neurostimulator Ultra 2x8
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7191166
|
OTHER
|
Construct Neuro Dcs Perc Sys
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7042831
|
OTHER
|
Mesh Biologic Xenograft 25x40c
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
6203988
|
OTHER
|
Kit2 8leads Remote Chrgr Gener
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7087877
|
OTHER
|
Neurostimulator Ultra 565
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
6204275
|
OTHER
|
Construct Neuro Dcs Surg Syste
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
6205199
|
OTHER
|
Construck Kit 16 Wavewriter Al
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
6205488
|
OTHER
|
Stimulator Closed Loop Evoke
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
7251028
|
OTHER
|
Generator 16 Contact Alpha
|
24
|
11
|
$85,680.50
|
$21,420.12
75% off
|
$51,408.30
|
$77,112.45
|
$64,260.38
|
2026-05-24
|
|
C9150
|
HCPCS
|
Xe129 Xenon- Diagnostic
|
6
|
1
|
—
|
—
|
$62,056.80
|
$94,411.20
|
$64,178.40
|
2026-05-24
|
|
4333589
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333571
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333647
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333605
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4343174
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333613
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333597
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333639
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333621
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333548
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|
|
4333530
|
OTHER
|
Graft Valiant Captivia Distal
|
24
|
11
|
$84,466.50
|
$21,116.62
75% off
|
$50,679.90
|
$76,019.85
|
$63,349.88
|
2026-05-24
|