|
22126270
|
CDM
|
Zolgensma 6.1-6.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126261
|
CDM
|
Zolgensma 5.6-6.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126351
|
CDM
|
Zolgensma 10.1-10.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126288
|
CDM
|
Zolgensma 6.6-7.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126407
|
CDM
|
Zolgensma 12.6-13.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126369
|
CDM
|
Zolgensma 10.6-11.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,116,262.50
|
2026-01-01
|
|
22126253
|
CDM
|
Zolgensma 5.1-5.5 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,105,318.75
|
2026-01-01
|
|
22126415
|
CDM
|
Zolgensma 13.1-13.5 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,105,318.75
|
2026-01-01
|
|
22126393
|
CDM
|
Zolgensma 12.1-12.5 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,105,318.75
|
2026-01-01
|
|
22126229
|
CDM
|
Zolgensma 3.1-3.5 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,105,318.75
|
2026-01-01
|
|
22126326
|
CDM
|
Zolgensma 8.6-9.0 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,105,318.75
|
2026-01-01
|
|
22126377
|
CDM
|
Zolgensma 11.1-11.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126342
|
CDM
|
Zolgensma 9.6-10.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126211
|
CDM
|
Zolgensma 2.6-3.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126300
|
CDM
|
Zolgensma 7.6-8.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126237
|
CDM
|
Zolgensma 4.1-4.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126318
|
CDM
|
Zolgensma 8.1-8.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126245
|
CDM
|
Zolgensma 4.6-5.0 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126202
|
CDM
|
Onasemnogene Abeparvovec
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126334
|
CDM
|
Zolgensma 9.1-9.5 Kg Kit
|
273
|
120
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,094,375.00
|
2026-01-01
|
|
22126296
|
CDM
|
Zolgensma 7.1-7.5 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,083,431.25
|
2026-01-01
|
|
22126385
|
CDM
|
Zolgensma 11.6-12.0 Kg Kit
|
272
|
119
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,083,431.25
|
2026-01-01
|
|
22124081
|
CDM
|
Inj Onase Abepar-xioi Treat
|
272
|
119
|
$2,125,000.00
|
$765,000.00
64% off
|
$49.00
|
$2,422,500.00
|
$1,051,875.00
|
2026-01-01
|
|
7019157
|
CDM
|
Cmpnt Fem Ps Cmt Rt 67.5mm
|
277
|
120
|
$464,775.75
|
$167,319.27
64% off
|
$49.00
|
$529,844.35
|
$213,796.85
|
2026-01-01
|
|
27647243
|
CDM
|
Kit Pump Hvad 1103
|
276
|
119
|
$417,376.25
|
$150,255.45
64% off
|
$75.00
|
$475,808.92
|
$191,993.08
|
2026-01-01
|
|
87000702
|
CDM
|
Orgn Acq Cost/sac-heart Equip
|
269
|
119
|
$294,360.00
|
$105,969.60
64% off
|
$49.00
|
$335,570.40
|
$173,672.40
|
2026-01-01
|
|
29644969
|
CDM
|
Icd Quadra Assura Crt-d
|
276
|
119
|
$372,700.50
|
$134,172.18
64% off
|
$49.00
|
$424,878.57
|
$171,442.23
|
2026-01-01
|
|
29644951
|
CDM
|
Icd Quadra Assura Crt-d
|
276
|
119
|
$368,669.25
|
$132,720.93
64% off
|
$49.00
|
$420,282.95
|
$169,587.86
|
2026-01-01
|
|
29644942
|
CDM
|
Icd Quadra Assura Crt-d
|
277
|
120
|
$368,669.25
|
$132,720.93
64% off
|
$75.00
|
$420,282.95
|
$169,587.86
|
2026-01-01
|
|
29644900
|
CDM
|
Cell Defib Tele Qdr Assura 40j
|
277
|
120
|
$364,597.25
|
$131,255.01
64% off
|
$75.00
|
$415,640.86
|
$167,714.73
|
2026-01-01
|
|
29644934
|
CDM
|
Icd Defib Cd336540q
|
277
|
120
|
$364,597.25
|
$131,255.01
64% off
|
$49.00
|
$415,640.86
|
$167,714.73
|
2026-01-01
|
|
29644896
|
CDM
|
Icd Defib Crt Quad Cd3365-40c
|
277
|
120
|
$360,566.25
|
$129,803.85
64% off
|
$49.00
|
$411,045.53
|
$165,860.48
|
2026-01-01
|
|
29644918
|
CDM
|
Icd Defib Cd336540q
|
277
|
120
|
$360,566.25
|
$129,803.85
64% off
|
$49.00
|
$411,045.53
|
$165,860.48
|
2026-01-01
|
|
27681654
|
CDM
|
Kt Impl L Vad Heartmate 3
|
276
|
119
|
$353,734.50
|
$127,344.42
64% off
|
$49.00
|
$403,257.33
|
$162,717.87
|
2026-01-01
|
|
29638969
|
CDM
|
Icd Fortify Assura Dr 40 Df4
|
276
|
119
|
$352,670.75
|
$126,961.47
64% off
|
$75.00
|
$402,044.66
|
$162,228.55
|
2026-01-01
|
|
27697810
|
CDM
|
Precice Nail 8.5mmx245mm
|
277
|
120
|
$331,373.25
|
$119,294.37
64% off
|
$75.00
|
$377,765.51
|
$152,431.70
|
2026-01-01
|
|
0100T
|
OTHER
|
Prosth Retina Receive&gen
|
6
|
5
|
—
|
—
|
$3,129.51
|
$178,425.59
|
$146,400.48
|
2026-01-01
|
|
29644870
|
CDM
|
Icd Defib Unify Assura Crt
|
277
|
120
|
$317,599.50
|
$114,335.82
64% off
|
$75.00
|
$362,063.43
|
$146,095.77
|
2026-01-01
|
|
87000036
|
CDM
|
Orgn Acq Cost/sac Kidney-cadav
|
270
|
120
|
$243,210.00
|
$87,555.60
64% off
|
$75.00
|
$277,259.40
|
$144,709.95
|
2026-01-01
|
|
29644888
|
CDM
|
Icd Defib Crt Unify Cd3357-40q
|
277
|
120
|
$313,568.50
|
$112,884.66
64% off
|
$75.00
|
$357,468.09
|
$144,241.51
|
2026-01-01
|
|
29638624
|
CDM
|
Crtd Unify Assra Ctd Cd335740c
|
276
|
119
|
$313,568.25
|
$112,884.57
64% off
|
$75.00
|
$357,467.80
|
$144,241.39
|
2026-01-01
|
|
29640572
|
CDM
|
Icd Ellipse Dr 36 2-chm Is-1
|
276
|
119
|
$312,904.50
|
$112,645.62
64% off
|
$75.00
|
$356,711.13
|
$143,936.07
|
2026-01-01
|
|
29637041
|
CDM
|
Icd Ellipse Dr 36 2-chm Is-1
|
276
|
119
|
$312,904.50
|
$112,645.62
64% off
|
$75.00
|
$356,711.13
|
$143,936.07
|
2026-01-01
|
|
29648450
|
CDM
|
Icd Defib Gallant Dr
|
276
|
119
|
$304,679.00
|
$109,684.44
64% off
|
$49.00
|
$347,334.06
|
$140,152.34
|
2026-01-01
|
|
29641307
|
CDM
|
Icd Defib Ellipse Vr-36 Df4
|
277
|
120
|
$298,285.75
|
$107,382.87
64% off
|
$75.00
|
$340,045.76
|
$137,211.45
|
2026-01-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
20
|
12
|
—
|
—
|
$6,150.00
|
$231,758.00
|
$130,484.00
|
2026-01-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
20
|
12
|
—
|
—
|
$6,150.00
|
$231,758.00
|
$130,484.00
|
2026-01-01
|
|
87000028
|
CDM
|
Orgn Acq Cost/sac Kidney-live
|
269
|
119
|
$219,340.00
|
$78,962.40
64% off
|
$75.00
|
$250,047.60
|
$129,410.60
|
2026-01-01
|
|
27435891
|
CDM
|
Defib Fortify Vr Single Ch
|
277
|
120
|
$278,207.50
|
$100,154.70
64% off
|
$49.00
|
$317,156.55
|
$127,975.45
|
2026-01-01
|
|
7092679
|
CDM
|
Implant Cochlear W/slim Elect
|
242
|
119
|
$208,224.50
|
$74,960.82
64% off
|
$49.00
|
$237,375.93
|
$118,687.96
|
2026-01-01
|
|
29638659
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36q
|
276
|
119
|
$255,558.75
|
$92,001.15
64% off
|
$49.00
|
$291,336.97
|
$117,557.02
|
2026-01-01
|
|
27570771
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36c
|
276
|
119
|
$255,558.75
|
$92,001.15
64% off
|
$75.00
|
$291,336.97
|
$117,557.02
|
2026-01-01
|
|
29638632
|
CDM
|
Icd Ellps Dr Coated Cd2411-36c
|
276
|
119
|
$255,558.50
|
$92,001.06
64% off
|
$49.00
|
$291,336.69
|
$117,556.91
|
2026-01-01
|
|
29638641
|
CDM
|
Icd Fortify Assura Dr 40 Coat
|
277
|
120
|
$255,558.50
|
$92,001.06
64% off
|
$75.00
|
$291,336.69
|
$117,556.91
|
2026-01-01
|
|
10026890
|
CDM
|
Ammonul 10mg/ml 50ml
|
273
|
120
|
$225,582.25
|
$81,209.61
64% off
|
$75.00
|
$257,163.77
|
$115,046.95
|
2026-01-01
|
|
87000010
|
CDM
|
Orgn Acq Cost/sac-heart
|
269
|
119
|
$192,720.00
|
$69,379.20
64% off
|
$75.00
|
$219,700.80
|
$113,704.80
|
2026-01-01
|
|
22187261
|
CDM
|
Ammonul 10mg/ml 50ml
|
273
|
120
|
$225,582.25
|
$81,209.61
64% off
|
$49.00
|
$257,163.77
|
$112,791.13
|
2026-01-01
|
|
27546391
|
CDM
|
Ci-1600-04 Ultra Ci Hifocus Ms
|
242
|
119
|
$197,262.00
|
$71,014.32
64% off
|
$49.00
|
$224,878.68
|
$112,439.34
|
2026-01-01
|
|
27619142
|
CDM
|
Ci-1600-05 Ultra Hires Slimj
|
242
|
119
|
$197,262.00
|
$71,014.32
64% off
|
$75.00
|
$224,878.68
|
$112,439.34
|
2026-01-01
|
|
29630933
|
CDM
|
Defib Energen Crtd-d N140
|
277
|
120
|
$242,618.75
|
$87,342.75
64% off
|
$49.00
|
$276,585.38
|
$111,604.63
|
2026-01-01
|
|
29647861
|
CDM
|
Icd Defib Gallant Vr
|
276
|
119
|
$241,739.75
|
$87,026.31
64% off
|
$49.00
|
$275,583.32
|
$111,200.29
|
2026-01-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
11
|
5
|
—
|
—
|
$33,790.47
|
$134,056.00
|
$109,926.00
|
2026-01-01
|
|
29639868
|
CDM
|
Icd Fortify Assura Vr 40 Df4
|
277
|
120
|
$221,012.50
|
$79,564.50
64% off
|
$75.00
|
$251,954.25
|
$101,665.75
|
2026-01-01
|
|
29639477
|
CDM
|
Icd Def Compia MRI Crt-d Df-1
|
277
|
120
|
$216,248.25
|
$77,849.37
64% off
|
$75.00
|
$246,523.01
|
$99,474.20
|
2026-01-01
|
|
27435882
|
CDM
|
Defib Consulta Crt-d D224trk
|
277
|
120
|
$216,172.25
|
$77,822.01
64% off
|
$49.00
|
$246,436.36
|
$99,439.24
|
2026-01-01
|
|
27437753
|
CDM
|
Gen Protecta Icd Xt Dr
|
276
|
119
|
$195,475.50
|
$70,371.18
64% off
|
$75.00
|
$222,842.07
|
$89,918.73
|
2026-01-01
|
|
27435904
|
CDM
|
Defib Secura Dr D224drg
|
277
|
120
|
$187,426.00
|
$67,473.36
64% off
|
$75.00
|
$213,665.64
|
$88,090.22
|
2026-01-01
|
|
27647570
|
CDM
|
Ci632 Cochlear Implant W/slim
|
243
|
120
|
$150,960.00
|
$54,345.60
64% off
|
$75.00
|
$172,094.40
|
$87,556.80
|
2026-01-01
|
|
27687661
|
CDM
|
Sentiva Generator Modle 10000
|
277
|
120
|
$188,241.25
|
$67,766.85
64% off
|
$49.00
|
$214,595.02
|
$86,590.98
|
2026-01-01
|
|
27567134
|
CDM
|
Impl Cochlear Freedm Hybrd L24
|
243
|
120
|
$149,211.50
|
$53,716.14
64% off
|
$49.00
|
$170,101.11
|
$86,542.67
|
2026-01-01
|
|
27536611
|
CDM
|
Impl Cochlear Kit Straight
|
242
|
119
|
$154,456.75
|
$55,604.43
64% off
|
$49.00
|
$176,080.70
|
$86,495.78
|
2026-01-01
|
|
29602786
|
CDM
|
Icd Secura Dr Dual
|
277
|
120
|
$187,426.00
|
$67,473.36
64% off
|
$75.00
|
$213,665.64
|
$86,215.96
|
2026-01-01
|
|
27544061
|
CDM
|
Implant Cochlear W/slim Elect
|
243
|
120
|
$153,670.00
|
$55,321.20
64% off
|
$49.00
|
$175,183.80
|
$86,055.20
|
2026-01-01
|
|
27544240
|
CDM
|
Vlv Aortic Sapien3 Transcth 29
|
276
|
119
|
$185,800.00
|
$66,888.00
64% off
|
$75.00
|
$211,812.00
|
$85,468.00
|
2026-01-01
|
|
29641609
|
CDM
|
Vlv Aortc Sapien Transcath 20m
|
276
|
119
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$84,495.73
|
2026-01-01
|
|
29642796
|
CDM
|
Vlv Aortic Sapien Novaflex 26m
|
277
|
120
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
29641617
|
CDM
|
Vlv Aortc Sapien Transcath 23m
|
276
|
119
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
29641625
|
CDM
|
Vlv Aortc Sapien Transcath 26m
|
276
|
119
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
29642788
|
CDM
|
Vlv Aortic Sapien Novaflex 23m
|
277
|
120
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
29641633
|
CDM
|
Vlv Aortc Sapien Transcath 29m
|
277
|
120
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
29642800
|
CDM
|
Vlv Aortic Sapien Novaflex 29m
|
276
|
119
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$83,587.18
|
2026-01-01
|
|
27435912
|
CDM
|
Defib Virtuoso Ii Dr D274d
|
276
|
119
|
$179,376.75
|
$64,575.63
64% off
|
$75.00
|
$204,489.49
|
$83,410.18
|
2026-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
10
|
6
|
—
|
—
|
$9,063.00
|
$100,656.00
|
$82,538.00
|
2026-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$37,800.00
|
$112,179.00
|
$81,047.00
|
2026-01-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$37,800.00
|
$112,179.00
|
$81,047.00
|
2026-01-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$37,800.00
|
$112,179.00
|
$81,047.00
|
2026-01-01
|
|
29639370
|
CDM
|
Vlv Mitraclip Sys 0-clip
|
277
|
120
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
27649807
|
CDM
|
Ci622 Cochlear Implant W/slim
|
242
|
119
|
$142,972.50
|
$51,470.10
64% off
|
$49.00
|
$162,988.65
|
$80,064.60
|
2026-01-01
|
|
27544258
|
CDM
|
Valve Aortic Transcath 34mm
|
276
|
119
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
29639361
|
CDM
|
Vlv Mitraclip Sys 2-clip
|
276
|
119
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
27569129
|
CDM
|
Valve Aortic Evolut Pro 29mm
|
277
|
120
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
27611575
|
CDM
|
Vlv Mitraclip Sys 2-clip
|
276
|
119
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
27569102
|
CDM
|
Valve Aortic Evolut Pro 23mm
|
277
|
120
|
$171,507.50
|
$61,742.70
64% off
|
$49.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
27569111
|
CDM
|
Valve Aortic Evolut Pro 26mm
|
276
|
119
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
29639353
|
CDM
|
Vlv Mitraclip Sys 1-clip
|
276
|
119
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$78,893.45
|
2026-01-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
9
|
—
|
—
|
$6,150.00
|
$107,930.68
|
$76,412.00
|
2026-01-01
|
|
27649459
|
CDM
|
Impl Ear Electrode Slim J
|
242
|
119
|
$130,759.50
|
$47,073.42
64% off
|
$49.00
|
$149,065.83
|
$74,532.92
|
2026-01-01
|
|
29639469
|
CDM
|
Icd Protecta Xt Crt-d D314trg
|
277
|
120
|
$161,564.75
|
$58,163.31
64% off
|
$75.00
|
$184,183.82
|
$74,319.79
|
2026-01-01
|
|
29639451
|
CDM
|
Icd Protecta Xt Crt-d D314trm
|
277
|
120
|
$161,564.75
|
$58,163.31
64% off
|
$49.00
|
$184,183.82
|
$74,319.79
|
2026-01-01
|
|
27442714
|
CDM
|
Impl Cochl Proc Ext Nucle
|
242
|
119
|
$127,403.50
|
$45,865.26
64% off
|
$75.00
|
$145,239.99
|
$73,894.03
|
2026-01-01
|
|
27546404
|
CDM
|
106 Cyberonics Aspiresr Ipg
|
277
|
120
|
$157,089.00
|
$56,552.04
64% off
|
$75.00
|
$179,081.46
|
$72,260.94
|
2026-01-01
|
|
29639442
|
CDM
|
Icd Consulta Bivent Crt-d
|
276
|
119
|
$155,765.00
|
$56,075.40
64% off
|
$75.00
|
$177,572.10
|
$71,651.90
|
2026-01-01
|
|
29639426
|
CDM
|
Icd MRI Evera S Dr
|
277
|
120
|
$155,351.00
|
$55,926.36
64% off
|
$49.00
|
$177,100.14
|
$71,461.46
|
2026-01-01
|
|
29639434
|
CDM
|
Icd MRI Evera S Dr
|
277
|
120
|
$155,351.00
|
$55,926.36
64% off
|
$49.00
|
$177,100.14
|
$71,461.46
|
2026-01-01
|
|
29504601
|
CDM
|
Rmvl&rplcmt Pg Wcs New Eltrd
|
266
|
120
|
$125,281.75
|
$45,101.43
64% off
|
$49.00
|
$142,821.20
|
$71,410.60
|
2026-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
16
|
9
|
—
|
—
|
$37,800.00
|
$95,818.00
|
$70,150.00
|
2026-01-01
|
|
27624839
|
CDM
|
Defib Impl Dual Chmb Evera
|
276
|
119
|
$151,932.50
|
$54,695.70
64% off
|
$75.00
|
$173,203.05
|
$69,888.95
|
2026-01-01
|
|
27624847
|
CDM
|
Icd MRI Evera S Dr
|
277
|
120
|
$151,932.50
|
$54,695.70
64% off
|
$49.00
|
$173,203.05
|
$69,888.95
|
2026-01-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
16
|
9
|
—
|
—
|
$37,800.00
|
$95,818.00
|
$69,455.00
|
2026-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
9
|
—
|
—
|
$37,800.00
|
$112,179.00
|
$68,780.00
|
2026-01-01
|
|
27670130
|
CDM
|
Blood Pmp Pu Vlvs 10ml
|
276
|
119
|
$148,641.00
|
$53,510.76
64% off
|
$75.00
|
$169,450.74
|
$68,374.86
|
2026-01-01
|
|
27670156
|
CDM
|
Blood Pmp Pu Vlvs 25ml
|
276
|
119
|
$148,641.00
|
$53,510.76
64% off
|
$49.00
|
$169,450.74
|
$68,374.86
|
2026-01-01
|
|
27670148
|
CDM
|
Blood Pmp Pu Vlvs 15ml
|
277
|
120
|
$148,641.00
|
$53,510.76
64% off
|
$49.00
|
$169,450.74
|
$68,374.86
|
2026-01-01
|
|
29646139
|
CDM
|
Icd Cobalt Dr MRI Is1 Df4
|
277
|
120
|
$148,556.00
|
$53,480.16
64% off
|
$75.00
|
$169,353.84
|
$68,335.76
|
2026-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
11
|
—
|
—
|
$9,063.00
|
$112,179.00
|
$67,833.50
|
2026-01-01
|
|
27568912
|
CDM
|
Icd Defib Evera Xt Dr Ddbb1d1
|
276
|
119
|
$147,065.50
|
$52,943.58
64% off
|
$75.00
|
$167,654.67
|
$67,650.13
|
2026-01-01
|
|
29639418
|
CDM
|
Icd Defib Evera Xt Gold Dr Ddb
|
276
|
119
|
$147,065.50
|
$52,943.58
64% off
|
$49.00
|
$167,654.67
|
$67,650.13
|
2026-01-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
9
|
—
|
—
|
$30,149.17
|
$112,179.00
|
$67,310.00
|
2026-01-01
|
|
29504504
|
CDM
|
Perc Transcath Pulmonary Valve
|
261
|
118
|
$113,910.75
|
$41,007.87
64% off
|
$49.00
|
$129,858.26
|
$67,207.34
|
2026-01-01
|
|
22197517
|
CDM
|
Tagraxofusp 10mcg-1000mcg/ml
|
272
|
119
|
$132,831.00
|
$47,819.16
64% off
|
$75.00
|
$151,427.34
|
$67,079.65
|
2026-01-01
|
|
27685455
|
CDM
|
Icd Defib Cobalt Xt Dr MRI Df1
|
276
|
119
|
$145,140.00
|
$52,250.40
64% off
|
$75.00
|
$165,459.60
|
$66,764.40
|
2026-01-01
|
|
29647925
|
CDM
|
Icd Defib Cobalt Xt Dr MRI Df4
|
276
|
119
|
$145,140.00
|
$52,250.40
64% off
|
$49.00
|
$165,459.60
|
$66,764.40
|
2026-01-01
|
|
29639787
|
CDM
|
Vlv Pulm Transcath 18m
|
276
|
119
|
$142,573.25
|
$51,326.37
64% off
|
$75.00
|
$162,533.51
|
$65,583.70
|
2026-01-01
|
|
29639400
|
CDM
|
Icd Protecta Xt Dr D314drm
|
277
|
120
|
$140,851.50
|
$50,706.54
64% off
|
$75.00
|
$160,570.71
|
$64,791.69
|
2026-01-01
|
|
29646741
|
CDM
|
Pulm Harmony Transcath Xngrft
|
277
|
120
|
$140,715.00
|
$50,657.40
64% off
|
$49.00
|
$160,415.10
|
$64,728.90
|
2026-01-01
|
|
29646732
|
CDM
|
Pulm Harmony Transcath Xngrft
|
277
|
120
|
$140,715.00
|
$50,657.40
64% off
|
$49.00
|
$160,415.10
|
$64,728.90
|
2026-01-01
|
|
27696881
|
CDM
|
Apifix Mid-c 125mm
|
277
|
120
|
$140,285.25
|
$50,502.69
64% off
|
$49.00
|
$159,925.18
|
$64,531.21
|
2026-01-01
|
|
27695973
|
CDM
|
Apifix Mid-c 115mm W/40mm Ext
|
276
|
119
|
$140,285.25
|
$50,502.69
64% off
|
$75.00
|
$159,925.18
|
$64,531.21
|
2026-01-01
|
|
29503931
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
237
|
117
|
$98,747.50
|
$35,549.10
64% off
|
$75.00
|
$112,572.15
|
$64,185.88
|
2026-01-01
|
|
29503915
|
CDM
|
Insert Subq Defib Pls Gen
|
238
|
118
|
$98,747.50
|
$35,549.10
64% off
|
$75.00
|
$112,572.15
|
$64,185.88
|
2026-01-01
|
|
29503893
|
CDM
|
Insert Subq Defib W/eltrd
|
237
|
117
|
$98,747.50
|
$35,549.10
64% off
|
$75.00
|
$112,572.15
|
$64,185.88
|
2026-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
10
|
5
|
—
|
—
|
$13,360.00
|
$78,173.00
|
$64,102.00
|
2026-01-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
16
|
9
|
—
|
—
|
$29,400.00
|
$84,912.00
|
$62,290.00
|
2026-01-01
|
|
29307938
|
CDM
|
Insert Subq Defib W/eltrd
|
237
|
118
|
$98,747.50
|
$35,549.10
64% off
|
$75.00
|
$112,572.15
|
$62,210.93
|
2026-01-01
|
|
29639396
|
CDM
|
Icd Secura Dr D204drm
|
276
|
119
|
$135,051.50
|
$48,618.54
64% off
|
$49.00
|
$153,958.71
|
$62,123.69
|
2026-01-01
|
|
29307971
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
236
|
117
|
$98,747.50
|
$35,549.10
64% off
|
$75.00
|
$112,572.15
|
$61,717.19
|
2026-01-01
|
|
29307954
|
CDM
|
Insert Subq Defib Pls Gen
|
236
|
117
|
$98,747.50
|
$35,549.10
64% off
|
$49.00
|
$112,572.15
|
$61,223.45
|
2026-01-01
|
|
27646239
|
CDM
|
Rns Neurostimulator Kit Odel
|
276
|
119
|
$129,446.50
|
$46,600.74
64% off
|
$49.00
|
$147,569.01
|
$59,545.39
|
2026-01-01
|
|
27520294
|
CDM
|
Gen Vagus Nerve 105 Aspire
|
277
|
120
|
$128,917.75
|
$46,410.39
64% off
|
$49.00
|
$146,966.23
|
$59,302.17
|
2026-01-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
16
|
9
|
—
|
—
|
$29,400.00
|
$84,912.00
|
$59,009.00
|
2026-01-01
|
|
29639388
|
CDM
|
Icd Protecta Vr D334vrm
|
277
|
120
|
$126,352.00
|
$45,486.72
64% off
|
$75.00
|
$144,041.28
|
$58,121.92
|
2026-01-01
|
|
29620008
|
CDM
|
Pump Impella 13fr 2.5l
|
270
|
120
|
$97,555.75
|
$35,120.07
64% off
|
$75.00
|
$111,213.55
|
$58,045.67
|
2026-01-01
|
|
27644911
|
CDM
|
Hires Ultra 3d W/midscala
|
242
|
119
|
$94,753.25
|
$34,111.17
64% off
|
$75.00
|
$108,018.71
|
$57,799.48
|
2026-01-01
|
|
27681034
|
CDM
|
Cochlear Nucleus W/contour
|
243
|
120
|
$102,561.75
|
$36,922.23
64% off
|
$49.00
|
$116,920.40
|
$57,434.58
|
2026-01-01
|
|
27437745
|
CDM
|
Gen Neurostm Restore Adv
|
276
|
119
|
$120,447.25
|
$43,361.01
64% off
|
$75.00
|
$137,309.86
|
$55,405.74
|
2026-01-01
|
|
7092814
|
CDM
|
Mesh Hernia Phasix Rnd 10x12
|
277
|
120
|
$116,297.75
|
$41,867.19
64% off
|
$75.00
|
$132,579.43
|
$54,659.94
|
2026-01-01
|
|
27584152
|
CDM
|
Mesh Hernia Phasix St 25x30cm
|
276
|
119
|
$117,749.25
|
$42,389.73
64% off
|
$49.00
|
$134,234.14
|
$54,164.65
|
2026-01-01
|
|
27439713
|
CDM
|
Graft Xenmatrix 19x35
|
277
|
120
|
$114,995.75
|
$41,398.47
64% off
|
$75.00
|
$131,095.15
|
$54,048.00
|
2026-01-01
|
|
29646759
|
CDM
|
Vlv Aortic Sapien3 23mm
|
277
|
120
|
$115,050.00
|
$41,418.00
64% off
|
$75.00
|
$131,157.00
|
$52,923.00
|
2026-01-01
|
|
29646252
|
CDM
|
Cath Del Commander 23mm
|
276
|
119
|
$115,050.00
|
$41,418.00
64% off
|
$75.00
|
$131,157.00
|
$52,923.00
|
2026-01-01
|
|
7092822
|
CDM
|
Component Femoral Rotating
|
276
|
119
|
$114,617.25
|
$41,262.21
64% off
|
$75.00
|
$130,663.66
|
$52,723.93
|
2026-01-01
|
|
7033621
|
CDM
|
Knee Fem Nexgen Rot Hinge D Lt
|
277
|
120
|
$114,617.25
|
$41,262.21
64% off
|
$49.00
|
$130,663.66
|
$52,723.93
|
2026-01-01
|
|
27583989
|
CDM
|
Valve Pulmonary >24mm
|
276
|
119
|
$114,052.25
|
$41,058.81
64% off
|
$49.00
|
$130,019.57
|
$52,464.04
|
2026-01-01
|
|
27437770
|
CDM
|
Gen Pulse Vargus Nerve 1
|
277
|
120
|
$113,783.75
|
$40,962.15
64% off
|
$49.00
|
$129,713.48
|
$52,340.53
|
2026-01-01
|
|
L8614
|
HCPCS
|
Impl Cochl Proc Ext Nucle
|
142
|
16
|
$130,759.50
|
$47,073.42
64% off
|
$549.00
|
$93,701.02
|
$52,303.80
|
2026-01-01
|
|
22180100
|
CDM
|
Voraxaze 10units Syr
|
272
|
119
|
$103,396.50
|
$37,222.74
64% off
|
$75.00
|
$117,872.01
|
$52,215.23
|
2026-01-01
|
|
27696007
|
CDM
|
Sys Percept Rc Dbs
|
276
|
119
|
$113,243.00
|
$40,767.48
64% off
|
$49.00
|
$129,097.02
|
$52,091.78
|
2026-01-01
|
|
27437711
|
CDM
|
Gen Neurostim Recharge
|
277
|
120
|
$113,233.25
|
$40,763.97
64% off
|
$49.00
|
$129,085.90
|
$52,087.29
|
2026-01-01
|
|
29403031
|
CDM
|
Stent/ath/pta Fem-pop Sp
|
269
|
119
|
$88,124.00
|
$31,724.64
64% off
|
$75.00
|
$100,461.36
|
$51,993.16
|
2026-01-01
|
|
29403066
|
CDM
|
Stent/ath/pta Tib-per Sp
|
269
|
119
|
$88,124.00
|
$31,724.64
64% off
|
$75.00
|
$100,461.36
|
$51,993.16
|
2026-01-01
|
|
27687679
|
CDM
|
Gen Vagal Nerve
|
276
|
119
|
$111,776.00
|
$40,239.36
64% off
|
$49.00
|
$127,424.64
|
$51,416.96
|
2026-01-01
|
|
7092245
|
CDM
|
Mesh Phasix St Rectang 20x25
|
276
|
119
|
$110,735.00
|
$39,864.60
64% off
|
$75.00
|
$126,237.90
|
$50,938.10
|
2026-01-01
|
|
7092831
|
CDM
|
Tibial Revision Mbt Sz 2 25
|
276
|
119
|
$110,596.00
|
$39,814.56
64% off
|
$49.00
|
$126,079.44
|
$50,874.16
|
2026-01-01
|
|
27583997
|
CDM
|
Valve Pulmonary <=24mm
|
276
|
119
|
$110,250.75
|
$39,690.27
64% off
|
$75.00
|
$125,685.85
|
$50,715.35
|
2026-01-01
|
|
27567398
|
CDM
|
Valve Pulmonary
|
276
|
119
|
$110,250.75
|
$39,690.27
64% off
|
$49.00
|
$125,685.85
|
$50,715.35
|
2026-01-01
|
|
7092849
|
CDM
|
Component Femellptc Lft 7cm
|
277
|
120
|
$107,776.25
|
$38,799.45
64% off
|
$75.00
|
$122,864.93
|
$50,654.84
|
2026-01-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
17
|
10
|
—
|
—
|
$6,150.00
|
$66,295.00
|
$50,070.72
|
2026-01-01
|
|
27531415
|
CDM
|
Gnrtr Neurostim Dmipuls 104
|
277
|
120
|
$105,356.25
|
$37,928.25
64% off
|
$75.00
|
$120,106.13
|
$49,517.44
|
2026-01-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
9
|
5
|
—
|
—
|
$9,379.00
|
$58,933.00
|
$48,325.00
|
2026-01-01
|
|
27688187
|
CDM
|
Gen Neurostim Recharge Stju
|
276
|
119
|
$103,458.25
|
$37,244.97
64% off
|
$75.00
|
$117,942.40
|
$47,590.79
|
2026-01-01
|
|
27437699
|
CDM
|
Gen Neurostim Eon Mini 16-chan
|
277
|
120
|
$103,458.25
|
$37,244.97
64% off
|
$49.00
|
$117,942.40
|
$47,590.79
|
2026-01-01
|
|
29638667
|
CDM
|
Pacer Crt Quadra 56x59x6mm
|
276
|
119
|
$102,925.00
|
$37,053.00
64% off
|
$49.00
|
$117,334.50
|
$47,345.50
|
2026-01-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
6
|
—
|
—
|
$29,400.00
|
$57,676.00
|
$47,294.00
|
2026-01-01
|
|
29504008
|
CDM
|
Impl Cath-deliv Pulm Valve
|
263
|
118
|
$85,704.50
|
$30,853.62
64% off
|
$49.00
|
$97,703.13
|
$47,137.47
|
2026-01-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
13
|
8
|
—
|
—
|
$6,150.00
|
$57,431.00
|
$47,093.00
|
2026-01-01
|
|
10032342
|
CDM
|
Alemtuzumab 10mg/ml Inj
|
273
|
120
|
$93,406.75
|
$33,626.43
64% off
|
$49.00
|
$106,483.70
|
$46,703.38
|
2026-01-01
|
|
22196154
|
CDM
|
Alemtuzumab 10mg/ml Inj
|
273
|
120
|
$93,406.75
|
$33,626.43
64% off
|
$49.00
|
$106,483.70
|
$46,703.38
|
2026-01-01
|
|
7092873
|
CDM
|
Component Femoral Left Sz 1
|
276
|
119
|
$100,495.25
|
$36,178.29
64% off
|
$75.00
|
$114,564.59
|
$46,227.82
|
2026-01-01
|
|
7090609
|
CDM
|
Component Femoral Left 7cm
|
277
|
120
|
$97,606.00
|
$35,138.16
64% off
|
$75.00
|
$111,270.84
|
$45,874.82
|
2026-01-01
|
|
7032269
|
CDM
|
Impl Knee Fem Stem Oss 5cm Rt
|
277
|
120
|
$96,909.00
|
$34,887.24
64% off
|
$75.00
|
$110,476.26
|
$45,547.23
|
2026-01-01
|
|
27530125
|
CDM
|
Cochlear Nucleus Slim Stt Elec
|
242
|
119
|
$79,539.75
|
$28,634.31
64% off
|
$75.00
|
$90,675.32
|
$45,337.66
|
2026-01-01
|
|
29503516
|
CDM
|
Hrt-stent/athr Major Art/bnch
|
262
|
120
|
$74,755.00
|
$26,911.80
64% off
|
$75.00
|
$85,220.70
|
$45,226.78
|
2026-01-01
|
|
29503443
|
CDM
|
Hrt-interv Acute/subtotl Pkg
|
262
|
120
|
$74,755.00
|
$26,911.80
64% off
|
$75.00
|
$85,220.70
|
$45,226.78
|
2026-01-01
|
|
29646236
|
CDM
|
Linq Ii Loop Recorder
|
276
|
119
|
$98,059.00
|
$35,301.24
64% off
|
$49.00
|
$111,787.26
|
$45,107.14
|
2026-01-01
|
|
29503869
|
CDM
|
Hrt-septal Reduction Cl
|
261
|
119
|
$74,922.75
|
$26,972.19
64% off
|
$75.00
|
$85,411.93
|
$44,953.65
|
2026-01-01
|
|
7092881
|
CDM
|
Component Femoral Left 7cm
|
277
|
120
|
$97,606.00
|
$35,138.16
64% off
|
$75.00
|
$111,270.84
|
$44,898.76
|
2026-01-01
|
|
29503494
|
CDM
|
Hrt-stent Major Art/bnch
|
261
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29503567
|
CDM
|
Hrt-interv Chronic Total Occl
|
261
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29503389
|
CDM
|
Hrt-stent Major Art/bnch
|
261
|
120
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29503427
|
CDM
|
Hrt-stent/athr Graft
|
260
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$75.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29503532
|
CDM
|
Hrt-stent/athr Graft
|
261
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$75.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29503559
|
CDM
|
Hrt-interv Acute/subtotl Pkg
|
261
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,853.00
|
2026-01-01
|
|
29502242
|
CDM
|
Stent/ath/pta Tib-per Cl
|
270
|
120
|
$75,320.50
|
$27,115.38
64% off
|
$75.00
|
$85,865.37
|
$44,815.70
|
2026-01-01
|
|
27615392
|
CDM
|
Implant Cranial Peek Custom Lr
|
277
|
120
|
$97,393.75
|
$35,061.75
64% off
|
$49.00
|
$111,028.88
|
$44,801.13
|
2026-01-01
|
|
27621139
|
CDM
|
Pacemaker Azure S Dr MRI
|
277
|
120
|
$97,187.50
|
$34,987.50
64% off
|
$75.00
|
$110,793.75
|
$44,706.25
|
2026-01-01
|
|
29503401
|
CDM
|
Hrt-stent/athr Major Art/bnch
|
260
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,479.22
|
2026-01-01
|
|
29503451
|
CDM
|
Hrt-interv Chronic Total Occl
|
260
|
119
|
$74,755.00
|
$26,911.80
64% off
|
$49.00
|
$85,220.70
|
$44,479.22
|
2026-01-01
|
|
29502234
|
CDM
|
Stent/ath/pta Fem-pop Cl
|
270
|
120
|
$75,320.50
|
$27,115.38
64% off
|
$49.00
|
$85,865.37
|
$44,439.10
|
2026-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
2
|
1
|
—
|
—
|
$44,180.99
|
$44,180.99
|
$44,180.99
|
2026-01-01
|
|
27714773
|
CDM
|
Precice Femur Nail 10.7x245mm
|
276
|
119
|
$93,608.25
|
$33,698.97
64% off
|
$75.00
|
$106,713.40
|
$43,527.83
|
2026-01-01
|
|
27575200
|
CDM
|
Valve Trifecta Gt 21mm
|
276
|
119
|
$93,569.25
|
$33,684.93
64% off
|
$75.00
|
$106,668.95
|
$43,509.71
|
2026-01-01
|
|
27575234
|
CDM
|
Valve Trifecta Gt 27mm
|
276
|
119
|
$93,569.25
|
$33,684.93
64% off
|
$75.00
|
$106,668.95
|
$43,509.71
|
2026-01-01
|
|
29307903
|
CDM
|
Hrt-septal Reduction Ep
|
262
|
119
|
$74,922.75
|
$26,972.19
64% off
|
$49.00
|
$85,411.93
|
$43,455.19
|
2026-01-01
|
|
7043406
|
CDM
|
Sys Hip Integral 180 16x180mm
|
276
|
119
|
$94,061.50
|
$33,862.14
64% off
|
$49.00
|
$107,230.11
|
$43,268.29
|
2026-01-01
|
|
7043392
|
CDM
|
Sys Hip Integral 180 13x180mm
|
277
|
120
|
$94,061.50
|
$33,862.14
64% off
|
$75.00
|
$107,230.11
|
$43,268.29
|
2026-01-01
|
|
7092903
|
CDM
|
Component Femoral Dist Rt 3
|
277
|
120
|
$93,848.75
|
$33,785.55
64% off
|
$49.00
|
$106,987.57
|
$43,170.43
|
2026-01-01
|
|
27714242
|
CDM
|
Antgd Fem Trchn 8.5mmx275mm
|
276
|
119
|
$93,608.25
|
$33,698.97
64% off
|
$75.00
|
$106,713.40
|
$43,059.79
|
2026-01-01
|
|
27714668
|
CDM
|
IM Length Rod 8.5x245mm
|
277
|
120
|
$93,608.25
|
$33,698.97
64% off
|
$49.00
|
$106,713.40
|
$43,059.79
|
2026-01-01
|
|
27699294
|
CDM
|
IM Length Rod 8.5mmx245mm
|
276
|
119
|
$93,608.25
|
$33,698.97
64% off
|
$49.00
|
$106,713.40
|
$43,059.79
|
2026-01-01
|
|
27575218
|
CDM
|
Valve Trifecta Gt 23mm
|
277
|
120
|
$93,569.25
|
$33,684.93
64% off
|
$49.00
|
$106,668.95
|
$43,041.86
|
2026-01-01
|
|
27575196
|
CDM
|
Valve Trifecta Gt 19mm
|
277
|
120
|
$93,569.25
|
$33,684.93
64% off
|
$49.00
|
$106,668.95
|
$43,041.86
|
2026-01-01
|
|
27575242
|
CDM
|
Valve Trifecta Gt 29mm
|
277
|
120
|
$93,569.25
|
$33,684.93
64% off
|
$75.00
|
$106,668.95
|
$43,041.86
|
2026-01-01
|
|
27575226
|
CDM
|
Valve Trifecta Gt 25mm
|
276
|
119
|
$93,569.25
|
$33,684.93
64% off
|
$49.00
|
$106,668.95
|
$43,041.86
|
2026-01-01
|
|
27437729
|
CDM
|
Gen Neurostim Restore
|
277
|
120
|
$93,426.75
|
$33,633.63
64% off
|
$75.00
|
$106,506.49
|
$42,976.31
|
2026-01-01
|
|
41841605
|
CDM
|
Np Yttrium 90 Per Source
|
276
|
119
|
$93,300.75
|
$33,588.27
64% off
|
$75.00
|
$106,362.85
|
$42,918.35
|
2026-01-01
|
|
7085192
|
CDM
|
Impl Femur Tri Ts Left Sz 8
|
277
|
120
|
$91,076.00
|
$32,787.36
64% off
|
$75.00
|
$103,826.64
|
$42,805.72
|
2026-01-01
|
|
7093012
|
CDM
|
Body Cone High Arcos Sz B 60mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$42,648.74
|
2026-01-01
|
|
J9226
|
HCPCS
|
Histrelin 50mg Implant
|
5
|
5
|
$54,685.25
|
$19,686.69
64% off
|
$22,170.84
|
$65,790.24
|
$42,476.52
|
2026-01-01
|
|
27499384
|
CDM
|
Spacer Med 15 Deg 13mm
|
276
|
119
|
$91,236.00
|
$32,844.96
64% off
|
$75.00
|
$104,009.04
|
$42,424.74
|
2026-01-01
|
|
22178725
|
CDM
|
Fluocin Aceto Intrv Impl .59mg
|
272
|
119
|
$83,866.00
|
$30,191.76
64% off
|
$75.00
|
$95,607.24
|
$42,352.33
|
2026-01-01
|
|
7086326
|
CDM
|
Impl Femur Tri Ts Left Sz 8
|
276
|
119
|
$91,076.00
|
$32,787.36
64% off
|
$75.00
|
$103,826.64
|
$42,350.34
|
2026-01-01
|
|
7092920
|
CDM
|
Stem Femoral Metaphyseal 45a
|
277
|
120
|
$91,989.25
|
$33,116.13
64% off
|
$75.00
|
$104,867.74
|
$42,315.06
|
2026-01-01
|
|
27439705
|
CDM
|
Graft Xenmatrix 19x28
|
276
|
119
|
$91,988.00
|
$33,115.68
64% off
|
$49.00
|
$104,866.32
|
$42,314.48
|
2026-01-01
|
|
7093055
|
CDM
|
Body Cone Arcos 70mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$42,195.03
|
2026-01-01
|
|
7033729
|
CDM
|
Fem Nexgen Lcck F-r
|
276
|
119
|
$91,625.75
|
$32,985.27
64% off
|
$49.00
|
$104,453.35
|
$42,147.85
|
2026-01-01
|
|
7092946
|
CDM
|
Component Femoral Lf 61.5x68
|
276
|
119
|
$91,625.50
|
$32,985.18
64% off
|
$49.00
|
$104,453.07
|
$42,147.73
|
2026-01-01
|
|
7092938
|
CDM
|
Component Femoral Rt 57.5x64
|
277
|
120
|
$91,625.50
|
$32,985.18
64% off
|
$49.00
|
$104,453.07
|
$42,147.73
|
2026-01-01
|
|
27499112
|
CDM
|
Spacer Independ Med 8deg13mm
|
276
|
119
|
$91,236.00
|
$32,844.96
64% off
|
$75.00
|
$104,009.04
|
$41,968.56
|
2026-01-01
|
|
27499171
|
CDM
|
Spacer Lg 15 Deg 15mm
|
277
|
120
|
$91,236.00
|
$32,844.96
64% off
|
$75.00
|
$104,009.04
|
$41,968.56
|
2026-01-01
|
|
27499376
|
CDM
|
Spacer Med 15 Deg 11mm
|
277
|
120
|
$91,236.00
|
$32,844.96
64% off
|
$49.00
|
$104,009.04
|
$41,968.56
|
2026-01-01
|
|
27499392
|
CDM
|
Spacer Med 15 Deg 15mm
|
277
|
120
|
$91,236.00
|
$32,844.96
64% off
|
$75.00
|
$104,009.04
|
$41,968.56
|
2026-01-01
|
|
7093128
|
CDM
|
Housing Stem Femoral 75 Rt
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,914.40
|
2026-01-01
|
|
7032226
|
CDM
|
Impl Hip Body Con Arcos Szc 80
|
277
|
120
|
$90,742.50
|
$32,667.30
64% off
|
$75.00
|
$103,446.45
|
$41,741.55
|
2026-01-01
|
|
7092997
|
CDM
|
Cone Fem Arcos Cne Prox 60mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093080
|
CDM
|
Body Cone Standard Sz B 80mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$49.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7092962
|
CDM
|
Body Cone Standard Arc 60mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$49.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093047
|
CDM
|
Body Con Arcos Std Sz D 70mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7091397
|
CDM
|
Impl Hip Prox Body Arcos 70mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$49.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093098
|
CDM
|
Cone Fem Arcos Cone Sz A 80mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7092989
|
CDM
|
Body Con Arcos Std Sz C 60mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093071
|
CDM
|
Body Fem Arcos Cone Sz A 80mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7092971
|
CDM
|
Cone Prox Body Fem Std 60mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093039
|
CDM
|
Cone Fem Arcos Cone Prox 70
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$49.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7092954
|
CDM
|
Sys Revision Prox Sza 50mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093063
|
CDM
|
Cone Fem Arcos Cone Sz C 70mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093004
|
CDM
|
Body Cone High Arcos Sz A 50mm
|
277
|
120
|
$90,742.00
|
$32,667.12
64% off
|
$75.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093021
|
CDM
|
Cone Fem Arcos Sz C Hi 60mm
|
276
|
119
|
$90,742.00
|
$32,667.12
64% off
|
$49.00
|
$103,445.88
|
$41,741.32
|
2026-01-01
|
|
7093187
|
CDM
|
Component Femoral Lft 62.5mm
|
277
|
120
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093110
|
CDM
|
Component Fem Interlck Rt 70
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093101
|
CDM
|
Component Fem Interlck Rt 60
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$49.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093136
|
CDM
|
Component Femoral Left 55mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093152
|
CDM
|
Component Femoral Rt 62.5mm
|
277
|
120
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093195
|
CDM
|
Component Femoral Lft 67.5mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$75.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093209
|
CDM
|
Component Femoral Lft 72.5mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$49.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093144
|
CDM
|
Component Femoral Left 65mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$49.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7040164
|
CDM
|
Impl Cmpnt Fem Vangrd Rt 70mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$49.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
7093179
|
CDM
|
Component Femoral Lft 60mm
|
276
|
119
|
$90,138.50
|
$32,449.86
64% off
|
$49.00
|
$102,757.89
|
$41,463.71
|
2026-01-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
13
|
7
|
—
|
—
|
$9,063.00
|
$50,509.00
|
$41,418.00
|
2026-01-01
|
|
29503508
|
CDM
|
Hrt-stent Major Art/bnch +
|
266
|
119
|
$69,021.00
|
$24,847.56
64% off
|
$75.00
|
$78,683.94
|
$41,412.60
|
2026-01-01
|
|
29503541
|
CDM
|
Hrt-stent/athr Graft+
|
267
|
120
|
$69,021.00
|
$24,847.56
64% off
|
$75.00
|
$78,683.94
|
$41,412.60
|
2026-01-01
|
|
29503460
|
CDM
|
Hrt-interv Chronic Total Occl+
|
266
|
120
|
$69,021.00
|
$24,847.56
64% off
|
$75.00
|
$78,683.94
|
$41,412.60
|
2026-01-01
|
|
29503524
|
CDM
|
Hrt-stent/athr Major Art/bnch+
|
267
|
120
|
$69,021.00
|
$24,847.56
64% off
|
$75.00
|
$78,683.94
|
$41,412.60
|
2026-01-01
|
|
29503397
|
CDM
|
Hrt-stent Major Art/bnch+
|
265
|
119
|
$69,021.00
|
$24,847.56
64% off
|
$75.00
|
$78,683.94
|
$41,412.60
|
2026-01-01
|
|
7093217
|
CDM
|
Gft Endovas 25x20x140mm
|
277
|
120
|
$89,704.00
|
$32,293.44
64% off
|
$75.00
|
$102,262.56
|
$41,263.84
|
2026-01-01
|
|
22184466
|
CDM
|
Stelara Pfs Per 1mg (90mg)
|
272
|
119
|
$83,268.25
|
$29,976.57
64% off
|
$49.00
|
$94,925.80
|
$41,217.79
|
2026-01-01
|
|
10024013
|
CDM
|
Stelara Pfs Per 1mg (90mg)
|
272
|
119
|
$83,268.25
|
$29,976.57
64% off
|
$49.00
|
$94,925.80
|
$41,217.79
|
2026-01-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
14
|
8
|
—
|
—
|
$9,063.00
|
$50,086.00
|
$41,070.00
|
2026-01-01
|
|
29503575
|
CDM
|
Hrt-interv Chronic Total Occl+
|
266
|
119
|
$69,021.00
|
$24,847.56
64% off
|
$49.00
|
$78,683.94
|
$41,067.49
|
2026-01-01
|
|
29503435
|
CDM
|
Hrt-stent/athr Graft+
|
266
|
120
|
$69,021.00
|
$24,847.56
64% off
|
$49.00
|
$78,683.94
|
$41,067.49
|
2026-01-01
|
|
7085761
|
CDM
|
Stem Fem 135 Dgre 15x225mm
|
277
|
120
|
$87,105.50
|
$31,357.98
64% off
|
$75.00
|
$99,300.27
|
$40,939.58
|
2026-01-01
|
|
29503419
|
CDM
|
Hrt-stent/athr Major Art/bnch+
|
265
|
119
|
$69,021.00
|
$24,847.56
64% off
|
$49.00
|
$78,683.94
|
$40,722.39
|
2026-01-01
|
|
7093225
|
CDM
|
Stem Revr Prim Hum 14x108mm
|
277
|
120
|
$87,550.75
|
$31,518.27
64% off
|
$75.00
|
$99,807.85
|
$40,273.35
|
2026-01-01
|
|
7092687
|
CDM
|
Impl Shldr Hum Stem 14x108mm
|
277
|
120
|
$87,550.75
|
$31,518.27
64% off
|
$49.00
|
$99,807.85
|
$40,273.35
|
2026-01-01
|
|
29639949
|
CDM
|
Pcmkr Solara Crt-p MRI Is-1
|
277
|
120
|
$86,662.25
|
$31,198.41
64% off
|
$75.00
|
$98,794.96
|
$39,864.64
|
2026-01-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
10
|
6
|
—
|
—
|
$9,063.00
|
$48,592.00
|
$39,846.00
|
2026-01-01
|
|
7093233
|
CDM
|
Cmpnt Fem Rot Hinge Lt Md 66
|
277
|
120
|
$86,264.50
|
$31,055.22
64% off
|
$49.00
|
$98,341.53
|
$39,681.67
|
2026-01-01
|
|
7093250
|
CDM
|
Component Femoral Rt Legn 7
|
277
|
120
|
$86,179.50
|
$31,024.62
64% off
|
$49.00
|
$98,244.63
|
$39,642.57
|
2026-01-01
|
|
7093241
|
CDM
|
Component Femoral Lf Legn 4
|
277
|
120
|
$86,179.50
|
$31,024.62
64% off
|
$75.00
|
$98,244.63
|
$39,642.57
|
2026-01-01
|
|
7098499
|
CDM
|
Impl Fem Lefion Constran Lt
|
276
|
119
|
$86,179.50
|
$31,024.62
64% off
|
$75.00
|
$98,244.63
|
$39,642.57
|
2026-01-01
|
|
29645973
|
CDM
|
Defib Implnt Gallant Dl-chmbr
|
277
|
120
|
$86,067.50
|
$30,984.30
64% off
|
$75.00
|
$98,116.95
|
$39,591.05
|
2026-01-01
|
|
27676006
|
CDM
|
Template Cmf 60-000-24-09
|
270
|
120
|
$66,410.50
|
$23,907.78
64% off
|
$75.00
|
$75,707.97
|
$39,514.25
|
2026-01-01
|
|
7093373
|
CDM
|
Nail Arthrodes Lft 11.5x620
|
277
|
120
|
$84,064.50
|
$30,263.22
64% off
|
$75.00
|
$95,833.53
|
$39,510.32
|
2026-01-01
|
|
7093276
|
CDM
|
Prosthesis Head Neck 11x45x150
|
277
|
120
|
$85,847.25
|
$30,905.01
64% off
|
$49.00
|
$97,865.87
|
$39,489.74
|
2026-01-01
|
|
7093268
|
CDM
|
Prosthesis Head Neck 9x45x150
|
276
|
119
|
$85,847.25
|
$30,905.01
64% off
|
$75.00
|
$97,865.87
|
$39,489.74
|
2026-01-01
|
|
7093292
|
CDM
|
Prosthesis Head Neck 9x34x200
|
277
|
120
|
$85,847.25
|
$30,905.01
64% off
|
$75.00
|
$97,865.87
|
$39,489.74
|
2026-01-01
|
|
7093284
|
CDM
|
Prosthesis Head Neck 13x45x150
|
277
|
120
|
$85,847.25
|
$30,905.01
64% off
|
$49.00
|
$97,865.87
|
$39,489.74
|
2026-01-01
|
|
7093306
|
CDM
|
Stem Femoral Bi-metric 11x34
|
276
|
119
|
$85,847.25
|
$30,905.01
64% off
|
$49.00
|
$97,865.87
|
$39,489.74
|
2026-01-01
|
|
27544282
|
CDM
|
Mesh Hernia Phasix Rnd 10x12
|
276
|
119
|
$85,827.75
|
$30,897.99
64% off
|
$49.00
|
$97,843.63
|
$39,480.76
|
2026-01-01
|
|
10028591
|
CDM
|
Ocrelizumab 30mg/ml
|
273
|
120
|
$78,936.00
|
$28,416.96
64% off
|
$49.00
|
$89,987.04
|
$39,468.00
|
2026-01-01
|
|
22188879
|
CDM
|
Ocrelizumab 30mg/ml
|
273
|
120
|
$78,936.00
|
$28,416.96
64% off
|
$49.00
|
$89,987.04
|
$39,468.00
|
2026-01-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
16
|
9
|
—
|
—
|
$6,150.00
|
$48,390.00
|
$39,463.91
|
2026-01-01
|
|
27675972
|
CDM
|
Template Cmf 60-000-20-09
|
269
|
119
|
$66,410.50
|
$23,907.78
64% off
|
$75.00
|
$75,707.97
|
$39,182.19
|
2026-01-01
|
|
7026528
|
CDM
|
Impl Component Femoral Total S
|
276
|
119
|
$85,118.75
|
$30,642.75
64% off
|
$75.00
|
$97,035.38
|
$39,154.63
|
2026-01-01
|
|
7090749
|
CDM
|
Impl Knee Fem Comp Ts Lt Sz7
|
276
|
119
|
$85,117.75
|
$30,642.39
64% off
|
$75.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
7093314
|
CDM
|
Component Fem Lft X3 Triathl
|
276
|
119
|
$85,117.75
|
$30,642.39
64% off
|
$75.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
7093322
|
CDM
|
Component Fem Rt X3 Triath
|
277
|
120
|
$85,117.75
|
$30,642.39
64% off
|
$49.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
7093357
|
CDM
|
Component Fem Rt X3 Triath
|
276
|
119
|
$85,117.75
|
$30,642.39
64% off
|
$49.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
7093349
|
CDM
|
Component Fem Lft X3 Triathl
|
277
|
120
|
$85,117.75
|
$30,642.39
64% off
|
$49.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
7093365
|
CDM
|
Component Fem Rt X3 Triath
|
276
|
119
|
$85,117.75
|
$30,642.39
64% off
|
$49.00
|
$97,034.24
|
$39,154.17
|
2026-01-01
|
|
27437672
|
CDM
|
Gen Hdrd Eon Ipg 16 Chan
|
277
|
120
|
$85,061.00
|
$30,621.96
64% off
|
$49.00
|
$96,969.54
|
$39,128.06
|
2026-01-01
|