Hospital

RIO GRANDE REGIONAL HOSPITAL

Mcallen, TX · CCN 450711 · Rates published

28,451 distinct procedures filed

45 distinct payers

525,702 rate rows

2026-07-30 last MRF observed

Data quality

496,975 of 525,702 rate rows are consumer-grade (94.5%)

28,727 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	20,802
template filing: same amount across many unrelated codes — excluded	5,726
exceeds 10× this hospital's gross charge — excluded from medians	1,048
per-diem day rate — not a per-procedure price	1,000
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	111
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	18
placeholder amount (≤ $0.02) — excluded from medians	15
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	7

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://core.secure.ehc.com/src/util/json-detail-price-list/62-1656022_rio-grande-regional-hospital_standardcharges.json
Found on page	https://riohealth.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-11
Content fingerprint	1a34e52ce1fa318c… · 630,969,424 bytes · first seen 2026-05-08

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
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$294,418.00	$294,418.00	$294,418.00	nat. median $261,939 1.1× median
33264 CPT	Rem/replace Icd Gen Mult	15	$300.00	$387,654.87	$205,229.05	nat. median $31,464 outlier · 6.5×
C9600 HCPCS	Perc Drug El Cor Stnt Ri	15	$300.00	$223,796.70	$134,936.25	nat. median $14,512 outlier · 9.3×
37231 CPT	Revsc Tib/per St/ath Ini	18	$300.00	$294,225.21	$121,733.76	nat. median $18,256 outlier · 6.7×
37227 CPT	Revsc Fem/pop W Stnt/ath	18	$300.00	$294,225.21	$121,733.76	nat. median $18,306 outlier · 6.6×
C9602 HCPCS	Prc D-el Cor Stnt Ath Lc	16	$300.00	$223,796.70	$118,480.61	nat. median $20,000 outlier · 5.9×
C9606 HCPCS	Prc D-e Cor Revsc Ami Ld	20	$300.00	$250,125.73	$113,214.80	nat. median $17,594 outlier · 6.4×
C9601 HCPCS	Perc D-el Cor Stn Ad Ld	19	$300.00	$250,125.73	$109,265.45	nat. median $11,930 outlier · 9.2×
C9604 HCPCS	Prc D-el Cor Rvsc Cabgld	19	$300.00	$223,796.70	$105,316.10	nat. median $14,706 outlier · 7.2×
33262 CPT	Rem/replace Icd Gen Sgl	15	$300.00	$197,978.43	$104,812.11	nat. median $23,104 outlier · 4.5×
34705 CPT	Evas Rpr A-biiliac Norup	17	$300.00	$162,312.24	$98,241.62	nat. median $5,174 outlier · 19.0×
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc Adult	1	$80,932.00	$108,215.00	$91,708.00	nat. median $73,475 1.2× median
C9603 HCPCS	P D-el Cor Stn Ath Ad Lc	20	$300.00	$203,007.59	$85,476.88	nat. median $12,672 outlier · 6.7×
33231 CPT	Ins Icd Gen Only Mult Ld	15	$300.00	$150,030.04	$79,427.67	nat. median $29,955 outlier · 2.7×
33230 CPT	Ins Icd Gen Only Dual Ld	15	$300.00	$150,030.04	$79,427.67	nat. median $22,374 outlier · 3.5×
C9605 HCPCS	P D-el Cor Rvs Cabg A Ld	20	$300.00	$184,552.36	$77,706.26	nat. median $11,188 outlier · 6.9×
93580 CPT	Per Cl Con Int Com W/imp	17	$300.00	$153,402.12	$77,603.42	nat. median $18,151 outlier · 4.3×
8246 CDM	Cage 12mmx28mm Intrbdy	1	$70,725.60	$70,725.60	$70,725.60	nat. median $70,726 1.0× median
37229 CPT	Revsc Tb/pr W Ath Ini Bi	18	$300.00	$169,888.00	$70,290.05	nat. median $17,041 outlier · 4.1×
37225 CPT	Revsc Fem/pop W Ath Bi	18	$300.00	$169,888.00	$70,290.05	nat. median $16,382 outlier · 4.3×
37226 CPT	Revsc Fem/pop W Stnt	18	$300.00	$169,888.00	$70,290.05	nat. median $12,642 outlier · 5.6×
37230 CPT	Revsc Tb/pr Stnt Init Bi	18	$300.00	$169,888.00	$70,290.05	nat. median $16,839 outlier · 4.2×
680492 CDM	Model Bn & Base Cstm 3d	1	$68,761.00	$68,761.00	$68,761.00	nat. median $292 outlier · 235.4×
33274 CPT	Ins/repl Ldls Ppm Vent	15	$300.00	$118,311.36	$62,635.42	nat. median $19,468 outlier · 3.2×
L8614 HCPCS	Cochlear Implant	12	$17,600.00	$107,560.70	$56,943.90	nat. median $22,570 outlier · 2.5×
112141 CDM	Device Sys Clsr Clp 45mm	1	$56,925.90	$56,925.90	$56,925.90	nat. median $416 outlier · 136.7×
100786 CDM	Mold Spcr Hip Cmnt 9x125	1	$55,374.55	$55,374.55	$55,374.55	nat. median $439 outlier · 126.1×
33340 CPT	Closure Laa With Implant	17	$300.00	$90,900.92	$55,018.98	nat. median $8,002 outlier · 6.9×
93459 CPT	Cth Plc/inj Lhc W Grft59	14	$300.00	$81,326.97	$55,015.30	nat. median $6,222 outlier · 8.8×
785054 CDM	Hystro W/endmrtl Abl	1	$54,357.46	$54,357.46	$54,357.46	nat. median $54,357 1.0× median
92928 CPT	Ptca Stnt W Ang Sgl Lc	14	$300.00	$79,943.48	$54,079.41	nat. median $13,107 outlier · 4.1×
92924 CPT	Ptca Cor Sgl Arty Rc	14	$300.00	$79,943.48	$54,079.41	nat. median $13,159 outlier · 4.1×
92933 CPT	Ptca Stn W Ath Sgl Lm	14	$300.00	$79,943.48	$54,079.41	nat. median $18,374 outlier · 2.9×
92937 CPT	Ptca Rvs Gft Stnt Sgl Ri	14	$300.00	$79,943.48	$54,079.41	nat. median $12,741 outlier · 4.2×
37233 CPT	Revsc Tb/pr Ath Add Bi	21	$300.00	$189,874.83	$53,964.42	nat. median $8,237 outlier · 6.6×
93461 CPT	Cth Plc/inj R&lhc/grafts	14	$300.00	$79,167.63	$53,554.57	nat. median $6,309 outlier · 8.5×
2840 CDM	Mold Spcr Hip Cmnt15x155	1	$52,981.03	$52,981.03	$52,981.03	nat. median $20 outlier · 2584.4×
93460 CPT	Cth Plc/inj R&lhc/l Vent	14	$300.00	$75,160.89	$50,844.13	nat. median $6,195 outlier · 8.2×
93653 CPT	Ep Repos Ele Svt Sgl	15	$300.00	$95,819.86	$50,728.16	nat. median $26,399 1.9× median
93655 CPT	Ep Intracard Dx Tx	18	$300.00	$107,092.79	$50,728.16	nat. median $7,054 outlier · 7.2×
92920 CPT	Ptca Single Vessel Lc	16	$300.00	$79,943.48	$48,984.71	nat. median $7,881 outlier · 6.2×
93458 CPT	Cth Plc/inj Lhc & L Vent	14	$300.00	$68,170.13	$46,115.09	nat. median $6,257 outlier · 7.4×
104512 CDM	Graft Nrv 1-2mm 70mm	15	$17,407.95	$94,500.30	$44,763.30	nat. median $728 outlier · 61.5×
104515 CDM	Graft Nrv 4-5mm 70mm	15	$17,407.95	$94,500.30	$44,763.30	nat. median $2,660 outlier · 16.8×
104513 CDM	Graft Nrv 2-3mm 70mm	15	$17,407.95	$94,500.30	$44,763.30	nat. median $650 outlier · 68.8×
104514 CDM	Graft Nrv 3-4mm 70mm	15	$17,407.95	$94,500.30	$44,763.30	nat. median $1,200 outlier · 37.3×
113049 CDM	Graft Tis Matrix 15mm	15	$17,407.95	$94,500.30	$44,763.30	nat. median $2,696 outlier · 16.6×
2980 CDM	Gft Stnt 16-13x132 14f	15	$17,383.28	$94,366.35	$44,699.85	nat. median $1,181 outlier · 37.8×
680491 CDM	Model Bn & Base Cstm 3d	1	$44,523.65	$44,523.65	$44,523.65	nat. median $292 outlier · 152.4×
104584 CDM	Bone Cem Oscar Rem Sys	1	$44,323.20	$44,323.20	$44,323.20	nat. median $1,038 outlier · 42.7×

Other procedures at this hospital

Browse this hospital's 28,451 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$294,418.00	$294,418.00	$294,418.00	2026-03-01
33264	CPT	Rem/replace Icd Gen Mult	27	15	$456,064.55	$456,064.55	$300.00	$387,654.87	$205,229.05	2026-07-30
C9600	HCPCS	Perc Drug El Cor Stnt Ri	24	15	$263,290.24	$263,290.24	$300.00	$223,796.70	$134,936.25	2026-07-30
37231	CPT	Revsc Tib/per St/ath Ini	63	18	$211,710.89	$211,710.89	$300.00	$294,225.21	$121,733.76	2026-07-30
37227	CPT	Revsc Fem/pop W Stnt/ath	63	18	$211,710.89	$211,710.89	$300.00	$294,225.21	$121,733.76	2026-07-30
C9602	HCPCS	Prc D-el Cor Stnt Ath Lc	26	16	$263,290.24	$263,290.24	$300.00	$223,796.70	$118,480.61	2026-07-30
C9606	HCPCS	Prc D-e Cor Revsc Ami Ld	35	20	$263,290.24	$263,290.24	$300.00	$250,125.73	$113,214.80	2026-07-30
C9601	HCPCS	Perc D-el Cor Stn Ad Ld	34	19	$263,290.24	$263,290.24	$300.00	$250,125.73	$109,265.45	2026-07-30
C9604	HCPCS	Prc D-el Cor Rvsc Cabgld	35	19	$263,290.24	$263,290.24	$300.00	$223,796.70	$105,316.10	2026-07-30
33262	CPT	Rem/replace Icd Gen Sgl	27	15	$232,915.80	$232,915.80	$300.00	$197,978.43	$104,812.11	2026-07-30
34705	CPT	Evas Rpr A-biiliac Norup	25	17	$170,854.99	$170,854.99	$300.00	$162,312.24	$98,241.62	2026-07-30
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc Adult	3	1	—	—	$80,932.00	$108,215.00	$91,708.00	2026-03-01
C9603	HCPCS	P D-el Cor Stn Ath Ad Lc	40	20	$213,692.20	$213,692.20	$300.00	$203,007.59	$85,476.88	2026-07-30
33230	CPT	Ins Icd Gen Only Dual Ld	27	15	$176,505.93	$176,505.93	$300.00	$150,030.04	$79,427.67	2026-07-30
33231	CPT	Ins Icd Gen Only Mult Ld	27	15	$176,505.93	$176,505.93	$300.00	$150,030.04	$79,427.67	2026-07-30
C9605	HCPCS	P D-el Cor Rvs Cabg A Ld	40	20	$194,265.64	$194,265.64	$300.00	$184,552.36	$77,706.26	2026-07-30
93580	CPT	Per Cl Con Int Com W/imp	31	17	$180,473.08	$180,473.08	$300.00	$153,402.12	$77,603.42	2026-07-30
8246	CDM	Cage 12mmx28mm Intrbdy	1	1	$74,448.00	$74,448.00	$70,725.60	$70,725.60	$70,725.60	2026-03-01
37229	CPT	Revsc Tb/pr W Ath Ini Bi	63	18	$199,868.24	$199,868.24	$300.00	$169,888.00	$70,290.05	2026-07-30
37226	CPT	Revsc Fem/pop W Stnt	63	18	$122,243.57	$122,243.57	$300.00	$169,888.00	$70,290.05	2026-07-30
37230	CPT	Revsc Tb/pr Stnt Init Bi	63	18	$199,868.24	$199,868.24	$300.00	$169,888.00	$70,290.05	2026-07-30
37225	CPT	Revsc Fem/pop W Ath Bi	63	18	$199,868.24	$199,868.24	$300.00	$169,888.00	$70,290.05	2026-07-30
680492	CDM	Model Bn & Base Cstm 3d	1	1	$72,380.00	$72,380.00	$68,761.00	$68,761.00	$68,761.00	2026-03-01
33274	CPT	Ins/repl Ldls Ppm Vent	27	15	$139,189.83	$139,189.83	$300.00	$118,311.36	$62,635.42	2026-07-30
L8614	HCPCS	Cochlear Implant	25	12	$126,542.00	$126,542.00	$17,600.00	$107,560.70	$56,943.90	2026-07-30
112141	CDM	Device Sys Clsr Clp 45mm	1	1	$59,922.00	$59,922.00	$56,925.90	$56,925.90	$56,925.90	2026-03-01
100786	CDM	Mold Spcr Hip Cmnt 9x125	1	1	$58,289.00	$58,289.00	$55,374.55	$55,374.55	$55,374.55	2026-03-01
33340	CPT	Closure Laa With Implant	25	17	$95,685.18	$95,685.18	$300.00	$90,900.92	$55,018.98	2026-07-30
93459	CPT	Cth Plc/inj Lhc W Grft59	22	14	$95,678.79	$95,678.79	$300.00	$81,326.97	$55,015.30	2026-07-30
785054	CDM	Hystro W/endmrtl Abl	1	1	$57,218.38	$57,218.38	$54,357.46	$54,357.46	$54,357.46	2026-03-01
92924	CPT	Ptca Cor Sgl Arty Rc	22	14	$94,051.15	$94,051.15	$300.00	$79,943.48	$54,079.41	2026-07-30
92937	CPT	Ptca Rvs Gft Stnt Sgl Ri	22	14	$94,051.15	$94,051.15	$300.00	$79,943.48	$54,079.41	2026-07-30
92933	CPT	Ptca Stn W Ath Sgl Lm	22	14	$94,051.15	$94,051.15	$300.00	$79,943.48	$54,079.41	2026-07-30
92928	CPT	Ptca Stnt W Ang Sgl Lc	22	14	$94,051.15	$94,051.15	$300.00	$79,943.48	$54,079.41	2026-07-30
37233	CPT	Revsc Tb/pr Ath Add Bi	79	21	$199,868.24	$199,868.24	$300.00	$189,874.83	$53,964.42	2026-07-30
93461	CPT	Cth Plc/inj R&lhc/grafts	22	14	$93,138.39	$93,138.39	$300.00	$79,167.63	$53,554.57	2026-07-30
2840	CDM	Mold Spcr Hip Cmnt15x155	1	1	$55,769.50	$55,769.50	$52,981.03	$52,981.03	$52,981.03	2026-03-01
93460	CPT	Cth Plc/inj R&lhc/l Vent	22	14	$88,424.58	$88,424.58	$300.00	$75,160.89	$50,844.13	2026-07-30
93655	CPT	Ep Intracard Dx Tx	28	18	$112,729.25	$112,729.25	$300.00	$107,092.79	$50,728.16	2026-07-30
93653	CPT	Ep Repos Ele Svt Sgl	25	15	$112,729.25	$112,729.25	$300.00	$95,819.86	$50,728.16	2026-07-30
92920	CPT	Ptca Single Vessel Lc	24	16	$94,051.15	$94,051.15	$300.00	$79,943.48	$48,984.71	2026-07-30
93458	CPT	Cth Plc/inj Lhc & L Vent	22	14	$80,200.15	$80,200.15	$300.00	$68,170.13	$46,115.09	2026-07-30
104514	CDM	Graft Nrv 3-4mm 70mm	26	15	$99,474.00	$99,474.00	$17,407.95	$94,500.30	$44,763.30	2026-03-01
104515	CDM	Graft Nrv 4-5mm 70mm	26	15	$99,474.00	$99,474.00	$17,407.95	$94,500.30	$44,763.30	2026-03-01
113049	CDM	Graft Tis Matrix 15mm	26	15	$99,474.00	$99,474.00	$17,407.95	$94,500.30	$44,763.30	2026-03-01
104513	CDM	Graft Nrv 2-3mm 70mm	26	15	$99,474.00	$99,474.00	$17,407.95	$94,500.30	$44,763.30	2026-03-01
104512	CDM	Graft Nrv 1-2mm 70mm	26	15	$99,474.00	$99,474.00	$17,407.95	$94,500.30	$44,763.30	2026-03-01
2980	CDM	Gft Stnt 16-13x132 14f	26	15	$99,333.00	$99,333.00	$17,383.28	$94,366.35	$44,699.85	2026-03-01
680491	CDM	Model Bn & Base Cstm 3d	1	1	$46,867.00	$46,867.00	$44,523.65	$44,523.65	$44,523.65	2026-03-01
104584	CDM	Bone Cem Oscar Rem Sys	1	1	$46,656.00	$46,656.00	$44,323.20	$44,323.20	$44,323.20	2026-03-01
93453	CPT	Cath Hrt R&l/inj L Vent	22	14	$76,713.47	$76,713.47	$300.00	$65,206.45	$44,110.25	2026-07-30
104214	CDM	Valve Mitral 33mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104219	CDM	Valve Aortic 27mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104218	CDM	Valve Aortic 25mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104212	CDM	Valve Mitral 27mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104216	CDM	Valve Aortic 21mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104052	CDM	Valve Mitral 29mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104213	CDM	Valve Mitral 31mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104215	CDM	Valve Aortic 19mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
104217	CDM	Valve Aortic 23mm	26	15	$97,285.00	$97,285.00	$17,024.88	$92,420.75	$43,778.25	2026-03-01
8332	CDM	Spacer Spn Peek 6x22mm	1	1	$45,802.00	$45,802.00	$43,511.90	$43,511.90	$43,511.90	2026-03-01
3615	CDM	Valve Trfcta 16x26x21mm	26	15	$96,261.00	$96,261.00	$16,845.67	$91,447.95	$43,317.45	2026-03-01
4100	CDM	Valve Trfcta 17x28x23mm	26	15	$96,261.00	$96,261.00	$16,845.67	$91,447.95	$43,317.45	2026-03-01
2646	CDM	Valve Trfcta 15x24x19mm	26	15	$96,261.00	$96,261.00	$16,845.67	$91,447.95	$43,317.45	2026-03-01
800163	CDM	Cement Bn Ca Phs Ha 15cc	26	15	$96,130.00	$96,130.00	$16,822.75	$91,323.50	$43,258.50	2026-03-01
C1882	HCPCS	Crt Defib Card Df4	366	15	$93,913.00	$93,913.00	$15,261.23	$154,123.25	$42,412.50	2026-03-01
3181	CDM	Mold Head Hip Cmnt 56mm	1	1	$44,603.50	$44,603.50	$42,373.32	$42,373.32	$42,373.32	2026-03-01
0941T	CPT	Cystourethroscopy, Flexible; With Insertion And Expansion Of Prostatic Urethral …	6	2	—	—	$2,333.00	$47,078.18	$41,911.95	2026-03-01
163	MS_DRG	Major Chest Procedures With Mcc	52	26	—	—	$9,290.00	$89,371.38	$41,753.26	2026-03-01
110326	CDM	System Shunt 0-20 15cm	26	15	$92,208.00	$92,208.00	$16,136.40	$87,597.60	$41,493.60	2026-03-01
701663	CDM	Pump Contrl Urn Ab Sys	26	15	$92,115.00	$92,115.00	$16,120.13	$87,509.25	$41,451.75	2026-03-01
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc Pediatric	3	1	—	—	$36,460.00	$48,750.00	$41,314.00	2026-03-01
33229	CPT	Repl Pacemaker Gen Multi	27	15	$91,770.84	$91,770.84	$300.00	$78,005.21	$41,296.88	2026-07-30
93656	CPT	Com Ep Repo Cth Tx Afib	25	15	$91,493.24	$91,493.24	$300.00	$77,769.25	$41,171.96	2026-07-30
111523	CDM	Shunt Sys Ped 2.0 20	25	14	$90,999.00	$90,999.00	$15,924.83	$77,349.15	$40,949.55	2026-03-01
110351	CDM	System Shunt 0-20 Cmh25	26	15	$90,999.00	$90,999.00	$15,924.83	$86,449.05	$40,949.55	2026-03-01
110350	CDM	System Shunt 0-20 Cmh10	26	15	$90,999.00	$90,999.00	$15,924.83	$86,449.05	$40,949.55	2026-03-01
110331	CDM	System Shunt 0-20 Cmh2o	26	15	$90,999.00	$90,999.00	$15,924.83	$86,449.05	$40,949.55	2026-03-01
37184	CPT	Art Thrmb Ncor In Vsl Bi	41	14	$94,680.06	$94,680.06	$300.00	$80,478.05	$40,712.43	2026-07-30
3948	CDM	Valve Shunt Sm 30mm	26	15	$90,345.00	$90,345.00	$15,810.38	$85,827.75	$40,655.25	2026-03-01
C1721	HCPCS	Aicd Concerto	365	15	$80,203.00	$80,203.00	$11,244.10	$191,614.05	$40,651.80	2026-03-01
111401	CDM	Valve Mitral 25mm	26	15	$90,117.00	$90,117.00	$15,770.48	$85,611.15	$40,552.65	2026-03-01
111403	CDM	Valve Mitral 29mm	26	15	$90,117.00	$90,117.00	$15,770.48	$85,611.15	$40,552.65	2026-03-01
111405	CDM	Valve Mitral 33mm	26	15	$90,117.00	$90,117.00	$15,770.48	$85,611.15	$40,552.65	2026-03-01
111402	CDM	Valve Mitral 27mm	26	15	$90,117.00	$90,117.00	$15,770.48	$85,611.15	$40,552.65	2026-03-01
111404	CDM	Valve Mitral 31mm	26	15	$90,117.00	$90,117.00	$15,770.48	$85,611.15	$40,552.65	2026-03-01
701683	CDM	Maze Cardioblate Kit	1	1	$42,610.00	$42,610.00	$40,479.50	$40,479.50	$40,479.50	2026-03-01
110827	CDM	Cage Spn 0d 9x23x8mm	1	1	$42,606.00	$42,606.00	$40,475.70	$40,475.70	$40,475.70	2026-03-01
100847	CDM	Shunt Neuro Asmb Reg 120	26	15	$88,905.00	$88,905.00	$15,558.38	$84,459.75	$40,007.25	2026-03-01
33263	CPT	Rem/replace Icd Gen Dual	27	15	$87,242.11	$87,242.11	$300.00	$74,155.79	$39,258.95	2026-07-30
100227	CDM	Cement Bn 15ml	26	15	$87,167.00	$87,167.00	$15,254.23	$82,808.65	$39,225.15	2026-03-01
2327	CDM	Valve Aortic 23mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4010	CDM	Valve Aortic 23mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
693501	CDM	Valve Shnt Rt Ang Prgm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4014	CDM	Valve Aortic 27/29mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4012	CDM	Valve Aortic 21mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4011	CDM	Valve Aortic 19mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4078	CDM	Valve Mitral 23/25mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
104211	CDM	Valve Mitral 25mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
4076	CDM	Valve Mitral 25mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
3598	CDM	Valve Aortic 21mm	26	15	$86,994.00	$86,994.00	$15,223.95	$82,644.30	$39,147.30	2026-03-01
61624	CPT	Emblz Intracran/sp	25	17	$67,950.87	$67,950.87	$300.00	$64,553.33	$39,071.75	2026-07-30
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc Pediatr…	3	1	—	—	$34,331.00	$45,904.00	$38,901.00	2026-03-01
737	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc Pediatri…	3	1	—	—	$34,331.00	$45,904.00	$38,901.00	2026-03-01
245048	CDM	Valve Shnt Rt Ang Prgm	26	15	$86,040.00	$86,040.00	$15,057.00	$81,738.00	$38,718.00	2026-03-01
681408	CDM	Sheath Clotrem 13fr	1	1	$40,671.00	$40,671.00	$38,637.45	$38,637.45	$38,637.45	2026-03-01
693502	CDM	Valve Shnt Inln Prgn	26	15	$84,928.00	$84,928.00	$14,862.40	$80,681.60	$38,217.60	2026-03-01
108121	CDM	Valve Aortic 25mm	26	15	$84,507.00	$84,507.00	$14,788.73	$80,281.65	$38,028.15	2026-03-01
108122	CDM	Valve Aortic 27mm	26	15	$84,507.00	$84,507.00	$14,788.73	$80,281.65	$38,028.15	2026-03-01
106462	CDM	Valve Aortic 19mm	26	15	$84,507.00	$84,507.00	$14,788.73	$80,281.65	$38,028.15	2026-03-01
107955	CDM	Valve Aortic 21mm	26	15	$84,507.00	$84,507.00	$14,788.73	$80,281.65	$38,028.15	2026-03-01
110174	CDM	Valve Aortic 23mm	26	15	$84,507.00	$84,507.00	$14,788.73	$80,281.65	$38,028.15	2026-03-01
0408T	CPT	Ins/repl Ccm System	29	16	$87,368.95	$87,368.95	$300.00	$74,263.61	$37,568.65	2026-07-30
110175	CDM	Valve Aortic 27mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108339	CDM	Valve Mitral 29mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108340	CDM	Valve Mitral 31mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108336	CDM	Valve Mitral 21mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108335	CDM	Valve Mitral 19mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108337	CDM	Valve Mitral 23mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
108338	CDM	Valve Mitral 27mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
100457	CDM	Valve Mitral 25mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
110176	CDM	Valve Aortic 29mm	26	15	$83,265.00	$83,265.00	$14,571.38	$79,101.75	$37,469.25	2026-03-01
C1722	HCPCS	Aicd Sg Biotrnk Sr	442	15	$79,078.00	$79,078.00	$10,323.77	$128,340.25	$36,944.90	2026-03-01
8486	CDM	Graft Bn Mtrx Frmbl Xl	26	15	$79,282.00	$79,282.00	$13,874.35	$75,317.90	$35,676.90	2026-03-01
105613	CDM	Cage Intrbdy 12mm	26	15	$78,584.00	$78,584.00	$13,752.20	$74,654.80	$35,362.80	2026-03-01
105767	CDM	Spacer 12mmx28x8-13mm	26	15	$78,584.00	$78,584.00	$13,752.20	$74,654.80	$35,362.80	2026-03-01
4036	CDM	Cement Bn 10ml	26	15	$77,759.00	$77,759.00	$13,607.83	$73,871.05	$34,991.55	2026-03-01
750886	CDM	Device Stplr 30mm 30tack	26	15	$77,759.00	$77,759.00	$13,607.83	$73,871.05	$34,991.55	2026-03-01
92973	CPT	Perc Trans Coron Throm	38	18	$88,721.39	$88,721.39	$300.00	$75,413.18	$34,512.62	2026-07-30
105607	CDM	Kit Inst Shnt Crnm N-inv	48	24	$98,694.00	$98,694.00	$300.00	$93,759.30	$34,098.78	2026-03-01
105311	CDM	Set Strtc Crnl Axiem Pnl	48	24	$98,694.00	$98,694.00	$300.00	$93,759.30	$34,098.78	2026-03-01
112476	CDM	Sheath Rtvr Clot 26fr	48	24	$98,685.00	$98,685.00	$300.00	$93,750.75	$34,095.67	2026-03-01
112888	CDM	Antenna Thrmo Abl 15cm	48	24	$98,248.50	$98,248.50	$300.00	$93,336.07	$33,944.85	2026-03-01
112889	CDM	Antenna Abl 20cm	48	24	$98,248.50	$98,248.50	$300.00	$93,336.07	$33,944.85	2026-03-01
2469	CDM	Fixtr Hybrid Xclbr Bn/bn	48	24	$97,948.50	$97,948.50	$300.00	$93,051.07	$33,841.21	2026-03-01
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc Pediatric	3	1	—	—	$29,525.00	$39,478.00	$33,456.00	2026-03-01
803	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc Pediatric	3	1	—	—	$29,499.00	$39,442.00	$33,426.00	2026-03-01
104511	CDM	Graft Nrv 4-5mm 30mm	26	15	$74,169.00	$74,169.00	$12,979.58	$70,460.55	$33,376.05	2026-03-01
93654	CPT	Ep Repos Ele Vt 3d Map	35	18	$91,493.24	$91,493.24	$300.00	$77,769.25	$33,120.55	2026-07-30
37221	CPT	Revsc Iliac W Stnt Init	63	18	$57,580.41	$57,580.41	$300.00	$80,022.38	$33,108.74	2026-07-30
37224	CPT	Revsc Fem/pop W Angio Bi	63	18	$94,143.98	$94,143.98	$300.00	$80,022.38	$33,108.74	2026-07-30
2665	CDM	Graft Bn Tranzgraft Bn M	26	15	$73,314.00	$73,314.00	$12,829.95	$69,648.30	$32,991.30	2026-03-01
103345	CDM	Applier Int Clip 86cm	48	24	$93,760.00	$93,760.00	$300.00	$89,072.00	$32,394.08	2026-03-01
104343	CDM	Ring Annul Band 36mm Cg	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
101824	CDM	Band Cg Fut 32mm Anlpls	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
102520	CDM	Ring Anlpls 24mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104338	CDM	Ring Annlplsty Cg 30mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104342	CDM	Ring Annlplsy 38mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
245358	CDM	Ring Annlplsty 24mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
102500	CDM	Ring Anlpls 26mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
101320	CDM	Ring Annlplsty Cg 28mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
112627	CDM	Sphere Embl 40um 3ml	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104341	CDM	Ring Annlplsy Cg 36mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104339	CDM	Ring Annlplsy Cg 32mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104344	CDM	Cg Fut Bnd 34 Anlpls	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104340	CDM	Ring Annlplsy Cg 34mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
4447	CDM	Band Cg Fut 30mm Anlpls	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
104337	CDM	Ring Annlplsy Cg 26mm	26	15	$71,579.00	$71,579.00	$12,526.33	$68,000.05	$32,210.55	2026-03-01
C1764	HCPCS	Icm 45.1x8.0x4.2mm	209	15	$86,994.00	$86,994.00	$6,880.48	$94,801.45	$31,832.00	2026-03-01
105145	CDM	Kit Wrist Compnts	48	24	$92,106.00	$92,106.00	$300.00	$87,500.70	$31,822.62	2026-03-01
681229	CDM	Set Tracker ENT Skul Fsn	48	24	$92,106.00	$92,106.00	$300.00	$87,500.70	$31,822.62	2026-03-01
681526	CDM	System Nvg S7 Fsn ENT Lf	48	24	$92,106.00	$92,106.00	$300.00	$87,500.70	$31,822.62	2026-03-01
102507	CDM	Ring Anlpls Mtrl 40mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102503	CDM	Ring Anlpls 32mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102506	CDM	Ring Anlpls 38mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102505	CDM	Ring Anlpls 36mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102501	CDM	Ring Annulplsty 28x5200	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102504	CDM	Ring Anlpls 34mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
102502	CDM	Ring Anlpls 30mm	26	15	$70,684.00	$70,684.00	$12,369.70	$67,149.80	$31,807.80	2026-03-01
104509	CDM	Graft Nrv 2-3mm 30mm	26	15	$70,628.00	$70,628.00	$12,359.90	$67,096.60	$31,782.60	2026-03-01
61635	CPT	Intrcrn Stnt W Angiop	25	17	$55,208.50	$55,208.50	$300.00	$52,448.07	$31,744.89	2026-07-30
112885	CDM	Cage Spn 0d 13mm 9x23mm	26	15	$70,312.00	$70,312.00	$12,304.60	$66,796.40	$31,640.40	2026-03-01
107617	CDM	Impl Spn Mag 13x24-32mm	26	15	$70,173.00	$70,173.00	$12,280.27	$66,664.35	$31,577.85	2026-03-01
111433	CDM	Rpr Rupt Bic/tric Tndn	1	1	$33,070.60	$33,070.60	$31,417.07	$31,417.07	$31,417.07	2026-03-01
93456	CPT	Cth Plc/inj Cr Art W Rhc	22	14	$54,462.50	$54,462.50	$300.00	$46,293.13	$31,315.94	2026-07-30
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	3	1	—	—	$27,531.00	$36,812.00	$31,197.00	2026-03-01
105639	CDM	Service Surg O-arm Spin	47	23	$92,106.00	$92,106.00	$300.00	$78,290.10	$31,039.72	2026-03-01
109713	CDM	Pin Exfx Ankl Trnsfx	48	24	$89,211.50	$89,211.50	$300.00	$84,750.93	$30,822.57	2026-03-01
105435	CDM	Samson Corpectomy Verteb	26	15	$68,193.00	$68,193.00	$11,933.77	$64,783.35	$30,686.85	2026-03-01
105196	CDM	Samson Corpectomy Verteb	26	15	$68,193.00	$68,193.00	$11,933.77	$64,783.35	$30,686.85	2026-03-01
C2630	HCPCS	Cath Abl Crv F 115cm	29	14	$100,000.00	$100,000.00	$300.00	$73,871.05	$30,660.00	2026-03-01
93462	CPT	Lhc Trans Septal/apical	35	19	$71,701.84	$71,701.84	$300.00	$68,116.75	$30,616.69	2026-07-30
245357	CDM	Band Anlpls Cg Fut 26mm	26	15	$67,570.00	$67,570.00	$11,824.75	$64,191.50	$30,406.50	2026-03-01
110516	CDM	Ins Tun Ip Cth Comp Perc	1	1	$31,817.32	$31,817.32	$30,226.45	$30,226.45	$30,226.45	2026-03-01
37214	CPT	Trnscth Tx Art/ven Final	22	14	$52,509.10	$52,509.10	$300.00	$44,632.74	$30,192.73	2026-07-30
105551	CDM	Cement Bn Ca Phs Ha 10cc	26	15	$66,989.00	$66,989.00	$11,723.08	$63,639.55	$30,145.05	2026-03-01
2349	CDM	Cage Spn Procedure Lvl1	25	14	$66,936.00	$66,936.00	$11,713.80	$56,895.60	$30,121.20	2026-03-01
104510	CDM	Graft Nrv 3-4mm 30mm	26	15	$66,151.00	$66,151.00	$11,576.42	$62,843.45	$29,767.95	2026-03-01
93457	CPT	Cth Plc/inj Graft W Rhc	22	14	$51,604.64	$51,604.64	$300.00	$43,863.94	$29,672.67	2026-07-30
3499	CDM	Ring Alspls Triad 28mm	26	15	$65,249.00	$65,249.00	$11,418.58	$61,986.55	$29,362.05	2026-03-01
750827	CDM	Tray Intro Osteo	48	24	$84,618.50	$84,618.50	$300.00	$80,387.57	$29,235.69	2026-03-01
750826	CDM	Tray Intro Osteo	48	24	$83,904.00	$83,904.00	$300.00	$79,708.80	$28,988.83	2026-03-01
2647	CDM	Ring Anlpls 26mm	26	15	$64,343.00	$64,343.00	$11,260.02	$61,125.85	$28,954.35	2026-03-01
C1886	HCPCS	Probe Rf Abl 17ga 20mm	28	13	$100,000.00	$100,000.00	$300.00	$65,000.00	$28,930.00	2026-03-01
C1761	HCPCS	Cath Corn 3.0mm 12mm	28	13	$100,000.00	$100,000.00	$300.00	$65,000.00	$28,930.00	2026-03-01
92941	CPT	Rvsc Ami Stn Thrm Sgl Lc	31	18	$64,277.89	$64,277.89	$300.00	$61,064.00	$28,925.05	2026-07-30
2645	CDM	Clmp Thermoabltn 60cm1	48	24	$83,159.00	$83,159.00	$300.00	$79,001.05	$28,731.44	2026-03-01
113200	CDM	Coil Embl 40cm 12mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113199	CDM	Coil Embl 30cm 14mm Axiu	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113204	CDM	Coil Embl 20cm 10mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113201	CDM	Coil Embl 30cm 12mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113195	CDM	Coil Embl 40cm 18mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113198	CDM	Coil Embl 40cm 14mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113203	CDM	Coil Embl 30cm 10mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113192	CDM	Coil Embl 50cm 20mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113193	CDM	Coil Embl 50cm 22mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113196	CDM	Coil Embl Frm 16mm 50cm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113202	CDM	Coil Embl 40cm 10mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113191	CDM	Coil Embl Frm 18mm 50cm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113190	CDM	Coil Embl 30cm 9mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113189	CDM	Coil Embl 20cm 9mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113188	CDM	Coil Embl 30cm 8mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113194	CDM	Coil Embl 50cm 25mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113187	CDM	Coil Embl 20cm 8mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
113197	CDM	Coil Embl 40cm 16mm	26	15	$63,784.00	$63,784.00	$11,162.20	$60,594.80	$28,702.80	2026-03-01
2432	CDM	Graft Bn Evol Bmp 10ml	26	15	$63,426.00	$63,426.00	$11,099.55	$60,254.70	$28,541.70	2026-03-01
110515	CDM	Vasc Emboliz Arterial	48	24	$81,551.18	$81,551.18	$300.00	$77,473.62	$28,175.93	2026-03-01
111454	CDM	Coil Embl Std 60cm16mm	26	15	$62,319.00	$62,319.00	$10,905.83	$59,203.05	$28,043.55	2026-03-01
111456	CDM	Coil Embl Sft 25cmx9mm	26	15	$62,319.00	$62,319.00	$10,905.83	$59,203.05	$28,043.55	2026-03-01
C2618	HCPCS	Cthabl Crdblt Bplr 60841	51	25	$77,759.00	$77,759.00	$300.00	$73,871.05	$27,526.69	2026-03-01
C1714	HCPCS	Cath Athr 6f 36mm 145cm	51	25	$77,759.00	$77,759.00	$300.00	$73,871.05	$27,526.69	2026-03-01
111457	CDM	Coil Embl Sft 20cmx8mm	26	15	$61,121.00	$61,121.00	$10,696.17	$58,064.95	$27,504.45	2026-03-01
111520	CDM	Device Abs Tack 5mm	1	1	$28,943.00	$28,943.00	$27,495.85	$27,495.85	$27,495.85	2026-03-01
111455	CDM	Coil Embl 48cm 13mm	26	15	$60,881.00	$60,881.00	$10,654.17	$57,836.95	$27,396.45	2026-03-01
112921	CDM	Sigmoidoscopy With Decompr	1	1	$28,829.12	$28,829.12	$27,387.66	$27,387.66	$27,387.66	2026-03-01
100238	CDM	Spcr Spnl 12mm Lmbr In	1	1	$28,760.00	$28,760.00	$27,322.00	$27,322.00	$27,322.00	2026-03-01
105179	CDM	Shears Esurg 5mm 45cm	1	1	$28,716.00	$28,716.00	$27,280.20	$27,280.20	$27,280.20	2026-03-01
92943	CPT	Rvsc Chr Stn Thrm Sgl Lc	22	14	$47,426.46	$47,426.46	$300.00	$40,312.49	$27,270.21	2026-07-30
110606	CDM	Coil Embl 50cm 6mm	26	15	$60,484.00	$60,484.00	$10,584.70	$57,459.80	$27,217.80	2026-03-01
785018	CDM	Recon Rtt Cuff Complt	48	24	$78,731.23	$78,731.23	$300.00	$74,794.67	$27,201.64	2026-03-01
666	MS_DRG	Prostatectomy With Cc Pediatric	3	1	—	—	$23,970.00	$32,051.00	$27,162.00	2026-03-01
110574	CDM	Forcep Micro 25g 0.5mm	1	1	$28,470.00	$28,470.00	$27,046.50	$27,046.50	$27,046.50	2026-03-01
112140	CDM	Clip Ligation 40mm	26	15	$59,922.00	$59,922.00	$10,486.35	$56,925.90	$26,964.90	2026-03-01
112143	CDM	Device Sys Clsr 35mm	26	15	$59,922.00	$59,922.00	$10,486.35	$56,925.90	$26,964.90	2026-03-01
112142	CDM	Device Sys Clsr Clp 50mm	26	15	$59,922.00	$59,922.00	$10,486.35	$56,925.90	$26,964.90	2026-03-01
101013	CDM	Csf Shunt Ulta Sml 90cm	1	1	$28,382.00	$28,382.00	$26,962.90	$26,962.90	$26,962.90	2026-03-01
105178	CDM	Shears Esurg 36cm 5mm	1	1	$28,354.00	$28,354.00	$26,936.30	$26,936.30	$26,936.30	2026-03-01
111144	CDM	Palatoplasty Sft/hrd Plt	1	1	$28,296.40	$28,296.40	$26,881.58	$26,881.58	$26,881.58	2026-03-01
107705	CDM	Strut Ex Fix 105-139mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
107715	CDM	Strut Ex Fix 89-109mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
112846	CDM	Systm Embl 18 6% 1.5ml	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
2042	CDM	Mold Spcr Kn Fem 65mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
80020	CDM	Kit Bone Tamp	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
107076	CDM	Kit Bn Harvest 520mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
751059	CDM	Kit Bone Tamp	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
701456	CDM	Fixator Ex Fix Wrst	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
108224	CDM	Strut Ex Fix 131-191mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
104197	CDM	Mold Spcr Kn Fem 60mm	48	24	$77,759.00	$77,759.00	$300.00	$73,871.05	$26,865.74	2026-03-01
112417	CDM	Strut Exfx Long	48	24	$77,509.00	$77,509.00	$300.00	$73,633.55	$26,779.36	2026-03-01
107987	CDM	Strut Exfx Med	48	24	$77,509.00	$77,509.00	$300.00	$73,633.55	$26,779.36	2026-03-01
112194	CDM	Coil Embl 2mm 6cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112281	CDM	Coil Embl 4mm 6cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112191	CDM	Coil Embl 2mm 2.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112197	CDM	Coil Embl 2.5mm 6cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112282	CDM	Coil Embl 4mm 8cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112189	CDM	Coil Embl 1.5mm 2cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112192	CDM	Coil Embl 2mm 3.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112277	CDM	Coil Embl 3.5mm 10cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112196	CDM	Coil Embl 2.5mm 4.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112280	CDM	Coil Embl 4mm 10cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112273	CDM	Coil Embl 3mm 10cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112278	CDM	Coil Embl 3.5mm 6cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112195	CDM	Coil Embl 2.5mm 3.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112274	CDM	Coil Embl 3mm 4.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112276	CDM	Coil Embl 3mm 8cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112275	CDM	Coil Embl 3mm 6cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112193	CDM	Coil Embl 2mm 4.5cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112279	CDM	Coil Embl 3.5mm 8cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
112190	CDM	Coil Embl 1.5mm 3cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
111283	CDM	Coil Embl 4.5mm 10cm	26	15	$59,351.00	$59,351.00	$10,386.42	$56,383.45	$26,707.95	2026-03-01
64975	CDM	Shunt Dbl Valve Hep	26	15	$59,090.00	$59,090.00	$10,340.75	$56,135.50	$26,590.50	2026-03-01
111434	CDM	Kit Lo Prfl Comp Shth 7f	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108943	CDM	Dvc Revasc 6x24mm 200cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
105610	CDM	Kit Strtc Synrg O-arm S7	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
112890	CDM	Probe Abl 30cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
105526	CDM	System Nvg Fsn O-arm Spn	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108941	CDM	Dvc Revasc 4x20mm 200cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108942	CDM	Dvc Revasc 4x40mm 200cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108965	CDM	Dvc Revasc 6x20mm 200cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108940	CDM	Dvc Revasc 3x20mm 200c	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
112329	CDM	Kit Anchor Sys	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
108944	CDM	Dvc Revasc 6x40mm 200cm	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
8649	CDM	Set Vntrc 17.4x13.8in	25	12	$100,000.00	$100,000.00	$300.00	$65,000.00	$26,500.00	2026-03-01
93452	CPT	Cath Hrt Lt/inj L Vent	22	14	$45,946.20	$45,946.20	$300.00	$39,054.27	$26,419.06	2026-07-30
112231	CDM	Coil Embl 6cm 3mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112219	CDM	Coil Embl 15cm 6mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112222	CDM	Coil Embl 30cm 6mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112261	CDM	Coil Embl 10cm 6mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112225	CDM	Coil Embl 6cm 3mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112232	CDM	Coil Embl 8cm 3mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112283	CDM	Coil Embl 2cm 1mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
111285	CDM	Coil Embl 6cm 4mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112239	CDM	Coil Embl 15cm 4mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112288	CDM	Coil Embl 3cm 2mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112244	CDM	Coil Embl 8cm 3mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112246	CDM	Coil Embl 4.0mm 6cm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112286	CDM	Coil Embl 4cm 1.5mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112241	CDM	Coil Embl 15cm 5mm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112242	CDM	Coil Embl 2.0mm 4cm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01
112236	CDM	Coil Embl 7.0mm 20cm	26	15	$58,511.00	$58,511.00	$10,239.42	$55,585.45	$26,329.95	2026-03-01

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