Hospital

NORTH AUSTIN MEDICAL CENTER

Austin, TX · CCN 450809 · Rates published

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You selected 93350 (CPT)

ECHO STRESS

This hospital’s price: $4,265 across 1 payer

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/74-2781812_ST.-DAVID'S-NORTH-AUSTIN-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,229 distinct procedures filed

74 distinct payers

1,257,932 rate rows

2026-03-01 last MRF observed

Data quality

1,251,272 of 1,257,932 rate rows are consumer-grade (99.5%)

6,660 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
template filing: same amount across many unrelated codes — excluded	5,557
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	458
per-diem day rate — not a per-procedure price	438
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	135
placeholder amount (≤ $0.02) — excluded from medians	47
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	25

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

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/74-2781812_ST.-DAVID'S-NORTH-AUSTIN-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page	https://stdavids.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-12
Content fingerprint	6d3e9f070aaa06e6… · 929,746,826 bytes · first seen 2026-05-09

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
841978 CDM	Cath Pmp Impella 5.0 9f	1	$478,416.96	$478,416.96	$478,416.96	nat. median $478,417 1.0× median
107796 CDM	Kit Cath Rt Heart	42	$49,999.95	$899,999.10	$369,999.63	nat. median $293 outlier · 1260.9×
118839 CDM	Cath Vasc Assist Strl	42	$31,225.00	$562,050.00	$231,065.00	nat. median $877 outlier · 263.3×
116271 CDM	Kit Lo Prfl Comp Shth 7f	42	$31,225.00	$562,050.00	$231,065.00	nat. median $4 outlier · 58795.2×
830215 CDM	Set Vntrc 17.4x13.8in	42	$28,687.50	$516,375.00	$212,287.50	nat. median $414 outlier · 513.2×
119303 CDM	Graft Evas 34x34x10cm	29	$59,037.02	$379,523.70	$189,761.85	nat. median $177,111 1.1× median
827207 CDM	Set Pump Asst 2.5in	42	$24,980.00	$449,640.00	$184,852.00	nat. median $184,852 1.0× median
833679 CDM	Graft Bn Algrf Cndyl Lt	29	$54,048.40	$347,454.00	$173,727.00	nat. median $5 outlier · 37522.0×
460040 CDM	Dd Kidney Transplant	42	$21,947.90	$395,062.20	$162,414.46	nat. median $52 outlier · 3133.6×
460039 CDM	Ld Kidney Transplant	42	$21,947.90	$395,062.20	$162,414.46	nat. median $162,414 1.0× median
845278 CDM	Valve Aortic 27mm	29	$49,329.00	$317,115.00	$158,557.50	nat. median $8,325 outlier · 19.0×
845312 CDM	Valve Aor Conduit 27mm	29	$49,329.00	$317,115.00	$158,557.50	nat. median $158,558 1.0× median
C2624 HCPCS	System Mntr 2x15mm 4.5cm	28	$46,187.40	$296,919.00	$148,459.50	nat. median $32,662 outlier · 4.5×
842101 CDM	Kit Impl Crnl Cstm Lg	29	$41,432.30	$266,350.50	$133,175.25	nat. median $63 outlier · 2103.5×
104896 CDM	Graft Evas 23x14.5m14cm	29	$41,179.60	$264,726.00	$132,363.00	nat. median $1,890 outlier · 70.1×
842029 CDM	Valve Aortic 21mm	29	$41,179.60	$264,726.00	$132,363.00	nat. median $49 outlier · 2723.5×
836034 CDM	Occluder Cv 35x18mm	29	$41,153.42	$264,557.70	$132,278.85	nat. median $132,279 1.0× median
836035 CDM	Occluder Cv 18x18mm	29	$41,153.42	$264,557.70	$132,278.85	nat. median $176 outlier · 750.3×
100058 CDM	Graft Evas 26x14.5m 12cm	29	$41,153.42	$264,557.70	$132,278.85	nat. median $364 outlier · 363.4×
107188 CDM	Valve Aortic 19mm	29	$40,762.26	$262,043.10	$131,021.55	nat. median $30 outlier · 4309.9×
L8614 HCPCS	Processor Snd Dual Kt	35	$15,942.40	$353,565.00	$130,727.68	nat. median $22,385 outlier · 5.8×
C1882 HCPCS	Crt-d 11.5mm 63x82.6mm	28	$12,400.92	$434,970.00	$122,636.70	nat. median $27,370 outlier · 4.5×
838274 CDM	Kit Neuro Fbr Lsr 3mm	42	$16,230.80	$292,154.40	$120,107.92	nat. median $471 outlier · 255.0×
830032 CDM	Kit Neuro Proc Thrml Trp	42	$16,230.80	$292,154.40	$120,107.92	nat. median $120,108 1.0× median
C1820 HCPCS	Ipg Nrstm 49.5x55.5x1.34	28	$2,181.62	$353,565.00	$116,024.85	nat. median $22,969 outlier · 5.1×
104573 CDM	Graft Evas 10cm 12mm	29	$35,078.40	$225,504.00	$112,752.00	nat. median $3 outlier · 34586.5×
100225 CDM	Graft Stent 24x100mm	29	$34,899.20	$224,352.00	$112,176.00	nat. median $579 outlier · 193.7×
102890 CDM	Stent Aaa 36mm 120mm	28	$34,899.20	$224,352.00	$112,176.00	nat. median $1,514 outlier · 74.1×
110161 CDM	Model Skull Kt Resection	42	$14,988.00	$269,784.00	$110,911.20	nat. median $409 outlier · 271.2×
C1767 HCPCS	Gen Nrstm 45x39x6.9mm	28	$131.18	$405,781.20	$107,248.05	nat. median $23,881 outlier · 4.5×
829721 CDM	Handle Bx Asp 20 Ml Syr	42	$14,348.00	$258,264.00	$106,175.20	nat. median $8,339 outlier · 12.7×
828574 CDM	Graft Nrv 4-5mm 70mm	29	$32,898.32	$211,489.20	$105,744.60	nat. median $15,000 outlier · 7.0×
C1722 HCPCS	Defib Dm3vr 1chmbr	28	$26,853.54	$278,352.00	$105,496.05	nat. median $20,902 outlier · 5.0×
C1721 HCPCS	Dev Icd Evera Xt Dr Df4	28	$24,305.82	$293,139.90	$102,318.30	nat. median $22,368 outlier · 4.6×
109598 CDM	Valve Mitral 31mm	29	$30,880.50	$198,517.50	$99,258.75	nat. median $2,921 outlier · 34.0×
109596 CDM	Valve Mitral 27mm	29	$30,880.50	$198,517.50	$99,258.75	nat. median $1,070 outlier · 92.8×
178865 CDM	Valve Aor11cm 34x26x23.4	29	$30,880.50	$198,517.50	$99,258.75	nat. median $99,259 1.0× median
109599 CDM	Valve Mitral Size 33	29	$30,880.50	$198,517.50	$99,258.75	nat. median $1,834 outlier · 54.1×
105228 CDM	Implant Crnl Ossdsgncstm	29	$30,846.62	$198,299.70	$99,149.85	nat. median $178 outlier · 555.7×
826044 CDM	Pack Surg Crnl Tumor	1	$99,100.66	$99,100.66	$99,100.66	nat. median $188 outlier · 528.5×
110909 CDM	Pump Pain Infn 148gm	29	$30,360.96	$195,177.60	$97,588.80	nat. median $125 outlier · 783.3×
102705 CDM	Impl Crnl Ostmtch 20-100	29	$30,360.96	$195,177.60	$97,588.80	nat. median $56 outlier · 1735.4×
821043 CDM	Graft Tlnt Tf3434	29	$30,360.96	$195,177.60	$97,588.80	nat. median $36,867 outlier · 2.6×
842203 CDM	Implant Cranial Med	29	$30,360.96	$195,177.60	$97,588.80	nat. median $64,083 1.5× median
837939 CDM	Graft Evas 26x14.5m 14cm	29	$30,350.88	$195,112.80	$97,556.40	nat. median $97,556 1.0× median
841155 CDM	Graft Evas 23x12mm 14cm	29	$30,350.88	$195,112.80	$97,556.40	nat. median $615 outlier · 158.7×
100945 CDM	Valve Aortic 29mm	29	$29,930.18	$192,408.30	$96,204.15	nat. median $310 outlier · 309.9×
109595 CDM	Valve Mitral 25mm	29	$29,645.28	$190,576.80	$95,288.40	nat. median $115 outlier · 828.6×
841162 CDM	Valve Aortic 23mm	29	$29,645.28	$190,576.80	$95,288.40	nat. median $95,288 1.0× median
841485 CDM	Valve Aortic 25mm	29	$29,645.28	$190,576.80	$95,288.40	nat. median $60,138 1.6× median

Other procedures at this hospital

Browse this hospital's 15,229 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

841978	CDM	Cath Pmp Impella 5.0 9f	1	1	$699,440.00	$699,440.00	$478,416.96	$478,416.96	$478,416.96	2026-03-01
107796	CDM	Kit Cath Rt Heart	79	42	$999,999.00	$999,999.00	$49,999.95	$899,999.10	$369,999.63	2026-03-01
118839	CDM	Cath Vasc Assist Strl	79	42	$624,500.00	$624,500.00	$31,225.00	$562,050.00	$231,065.00	2026-03-01
116271	CDM	Kit Lo Prfl Comp Shth 7f	79	42	$624,500.00	$624,500.00	$31,225.00	$562,050.00	$231,065.00	2026-03-01
830215	CDM	Set Vntrc 17.4x13.8in	79	42	$573,750.00	$573,750.00	$28,687.50	$516,375.00	$212,287.50	2026-03-01
119303	CDM	Graft Evas 34x34x10cm	43	29	$421,693.00	$421,693.00	$59,037.02	$379,523.70	$189,761.85	2026-03-01
827207	CDM	Set Pump Asst 2.5in	79	42	$499,600.00	$499,600.00	$24,980.00	$449,640.00	$184,852.00	2026-03-01
833679	CDM	Graft Bn Algrf Cndyl Lt	43	29	$386,060.00	$386,060.00	$54,048.40	$347,454.00	$173,727.00	2026-03-01
460039	CDM	Ld Kidney Transplant	79	42	$438,958.00	$438,958.00	$21,947.90	$395,062.20	$162,414.46	2026-03-01
460040	CDM	Dd Kidney Transplant	79	42	$438,958.00	$438,958.00	$21,947.90	$395,062.20	$162,414.46	2026-03-01
845278	CDM	Valve Aortic 27mm	43	29	$352,350.00	$352,350.00	$49,329.00	$317,115.00	$158,557.50	2026-03-01
845312	CDM	Valve Aor Conduit 27mm	43	29	$352,350.00	$352,350.00	$49,329.00	$317,115.00	$158,557.50	2026-03-01
C2624	HCPCS	System Mntr 2x15mm 4.5cm	42	28	$329,910.00	$329,910.00	$46,187.40	$296,919.00	$148,459.50	2026-03-01
842101	CDM	Kit Impl Crnl Cstm Lg	43	29	$295,945.00	$295,945.00	$41,432.30	$266,350.50	$133,175.25	2026-03-01
842029	CDM	Valve Aortic 21mm	43	29	$294,140.00	$294,140.00	$41,179.60	$264,726.00	$132,363.00	2026-03-01
104896	CDM	Graft Evas 23x14.5m14cm	43	29	$294,140.00	$294,140.00	$41,179.60	$264,726.00	$132,363.00	2026-03-01
836034	CDM	Occluder Cv 35x18mm	43	29	$293,953.00	$293,953.00	$41,153.42	$264,557.70	$132,278.85	2026-03-01
836035	CDM	Occluder Cv 18x18mm	43	29	$293,953.00	$293,953.00	$41,153.42	$264,557.70	$132,278.85	2026-03-01
100058	CDM	Graft Evas 26x14.5m 12cm	43	29	$293,953.00	$293,953.00	$41,153.42	$264,557.70	$132,278.85	2026-03-01
107188	CDM	Valve Aortic 19mm	43	29	$291,159.00	$291,159.00	$40,762.26	$262,043.10	$131,021.55	2026-03-01
L8614	HCPCS	Processor Snd Dual Kt	179	35	$318,848.00	$318,848.00	$15,942.40	$353,565.00	$130,727.68	2026-03-01
C1882	HCPCS	Crt-d 11.5mm 63x82.6mm	1,008	28	$288,256.50	$288,256.50	$12,400.92	$434,970.00	$122,636.70	2026-03-01
838274	CDM	Kit Neuro Fbr Lsr 3mm	79	42	$324,616.00	$324,616.00	$16,230.80	$292,154.40	$120,107.92	2026-03-01
830032	CDM	Kit Neuro Proc Thrml Trp	79	42	$324,616.00	$324,616.00	$16,230.80	$292,154.40	$120,107.92	2026-03-01
C1820	HCPCS	Ipg Nrstm 49.5x55.5x1.34	630	28	$267,856.00	$267,856.00	$2,181.62	$353,565.00	$116,024.85	2026-03-01
104573	CDM	Graft Evas 10cm 12mm	43	29	$250,560.00	$250,560.00	$35,078.40	$225,504.00	$112,752.00	2026-03-01
102890	CDM	Stent Aaa 36mm 120mm	42	28	$249,280.00	$249,280.00	$34,899.20	$224,352.00	$112,176.00	2026-03-01
100225	CDM	Graft Stent 24x100mm	43	29	$249,280.00	$249,280.00	$34,899.20	$224,352.00	$112,176.00	2026-03-01
110161	CDM	Model Skull Kt Resection	79	42	$299,760.00	$299,760.00	$14,988.00	$269,784.00	$110,911.20	2026-03-01
C1767	HCPCS	Gen Nrstm 45x39x6.9mm	1,260	28	$262,993.50	$262,993.50	$131.18	$405,781.20	$107,248.05	2026-03-01
829721	CDM	Handle Bx Asp 20 Ml Syr	79	42	$286,960.00	$286,960.00	$14,348.00	$258,264.00	$106,175.20	2026-03-01
828574	CDM	Graft Nrv 4-5mm 70mm	43	29	$234,988.00	$234,988.00	$32,898.32	$211,489.20	$105,744.60	2026-03-01
C1722	HCPCS	Defib Dm3vr 1chmbr	210	28	$228,744.00	$228,744.00	$26,853.54	$278,352.00	$105,496.05	2026-03-01
C1721	HCPCS	Dev Icd Evera Xt Dr Df4	378	28	$227,328.00	$227,328.00	$24,305.82	$293,139.90	$102,318.30	2026-03-01
178865	CDM	Valve Aor11cm 34x26x23.4	43	29	$220,575.00	$220,575.00	$30,880.50	$198,517.50	$99,258.75	2026-03-01
109598	CDM	Valve Mitral 31mm	43	29	$220,575.00	$220,575.00	$30,880.50	$198,517.50	$99,258.75	2026-03-01
109596	CDM	Valve Mitral 27mm	43	29	$220,575.00	$220,575.00	$30,880.50	$198,517.50	$99,258.75	2026-03-01
109599	CDM	Valve Mitral Size 33	43	29	$220,575.00	$220,575.00	$30,880.50	$198,517.50	$99,258.75	2026-03-01
105228	CDM	Implant Crnl Ossdsgncstm	43	29	$220,333.00	$220,333.00	$30,846.62	$198,299.70	$99,149.85	2026-03-01
826044	CDM	Pack Surg Crnl Tumor	1	1	$144,884.00	$144,884.00	$99,100.66	$99,100.66	$99,100.66	2026-03-01
102705	CDM	Impl Crnl Ostmtch 20-100	43	29	$216,864.00	$216,864.00	$30,360.96	$195,177.60	$97,588.80	2026-03-01
821043	CDM	Graft Tlnt Tf3434	43	29	$216,864.00	$216,864.00	$30,360.96	$195,177.60	$97,588.80	2026-03-01
842203	CDM	Implant Cranial Med	43	29	$216,864.00	$216,864.00	$30,360.96	$195,177.60	$97,588.80	2026-03-01
110909	CDM	Pump Pain Infn 148gm	43	29	$216,864.00	$216,864.00	$30,360.96	$195,177.60	$97,588.80	2026-03-01
841155	CDM	Graft Evas 23x12mm 14cm	43	29	$216,792.00	$216,792.00	$30,350.88	$195,112.80	$97,556.40	2026-03-01
837939	CDM	Graft Evas 26x14.5m 14cm	43	29	$216,792.00	$216,792.00	$30,350.88	$195,112.80	$97,556.40	2026-03-01
100945	CDM	Valve Aortic 29mm	43	29	$213,787.00	$213,787.00	$29,930.18	$192,408.30	$96,204.15	2026-03-01
109597	CDM	Valve Mitral 29mm	43	29	$211,752.00	$211,752.00	$29,645.28	$190,576.80	$95,288.40	2026-03-01
841485	CDM	Valve Aortic 25mm	43	29	$211,752.00	$211,752.00	$29,645.28	$190,576.80	$95,288.40	2026-03-01
109595	CDM	Valve Mitral 25mm	43	29	$211,752.00	$211,752.00	$29,645.28	$190,576.80	$95,288.40	2026-03-01
841162	CDM	Valve Aortic 23mm	43	29	$211,752.00	$211,752.00	$29,645.28	$190,576.80	$95,288.40	2026-03-01
C1772	HCPCS	Pump Infs Pain 40ml	126	28	$214,731.00	$214,731.00	$23,857.26	$195,177.60	$93,724.95	2026-03-01
835172	CDM	Cage Aero 22 28mm 11mm	43	29	$207,348.00	$207,348.00	$29,028.72	$186,613.20	$93,306.60	2026-03-01
831053	CDM	Valve Aor 11cm 36x26mm	43	29	$205,723.00	$205,723.00	$28,801.22	$185,150.70	$92,575.35	2026-03-01
839009	CDM	Gft Bn Spn Frzdr 11x22mm	43	29	$201,671.00	$201,671.00	$28,233.94	$181,503.90	$90,751.95	2026-03-01
826529	CDM	Graft Talent Aaa Stent W	43	29	$196,295.00	$196,295.00	$27,481.30	$176,665.50	$88,332.75	2026-03-01
836304	CDM	Cage Spnl 28x36x8mm	43	29	$196,082.00	$196,082.00	$27,451.48	$176,473.80	$88,236.90	2026-03-01
837552	CDM	Cage Spn 28x36x24mm	43	29	$196,082.00	$196,082.00	$27,451.48	$176,473.80	$88,236.90	2026-03-01
181219	CDM	Valve Aortic 29mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
826103	CDM	Valve Aortic 19mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
826104	CDM	Valve Aortic 27mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
178488	CDM	Valve Aortic 23mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
118812	CDM	Valve Aortic 21mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
179209	CDM	Valve Aortic 25mm	43	29	$193,959.00	$193,959.00	$27,154.26	$174,563.10	$87,281.55	2026-03-01
833643	CDM	Cage Spn Aero 32x15mm	43	29	$192,054.00	$192,054.00	$26,887.56	$172,848.60	$86,424.30	2026-03-01
832986	CDM	Cg Spn Lmbr 26/32x13x12d	43	29	$192,054.00	$192,054.00	$26,887.56	$172,848.60	$86,424.30	2026-03-01
178626	CDM	Implant Crnl Ptspc Peek	43	29	$191,003.00	$191,003.00	$26,740.42	$171,902.70	$85,951.35	2026-03-01
33270	CPT	Ins/rpl Sq Defib With Elec	38	25	$180,270.00	$180,270.00	$25,237.80	$162,243.00	$85,628.25	2026-03-01
844516	CDM	Graft Drms Ptch 16x20cm	43	29	$188,470.00	$188,470.00	$26,385.80	$169,623.00	$84,811.50	2026-03-01
105022	CDM	Tiss Aclr Drml 16cm 20cm	43	29	$183,932.00	$183,932.00	$25,750.48	$165,538.80	$82,769.40	2026-03-01
844197	CDM	Cage Spnl 20mm C Centerp	43	29	$180,963.00	$180,963.00	$25,334.82	$162,866.70	$81,433.35	2026-03-01
C1817	HCPCS	Occluder Cv 10x3mm	252	28	$182,359.50	$182,359.50	$20,302.80	$195,112.80	$79,644.98	2026-03-01
118924	CDM	Cage Spn 0d 13x16x0-24mm	43	29	$176,474.00	$176,474.00	$24,706.36	$158,826.60	$79,413.30	2026-03-01
102035	CDM	Cage Spnl 13x16x18-21mm	43	29	$176,474.00	$176,474.00	$24,706.36	$158,826.60	$79,413.30	2026-03-01
845591	CDM	Cage Spn W/set Scr 14x18	43	29	$176,474.00	$176,474.00	$24,706.36	$158,826.60	$79,413.30	2026-03-01
108050	CDM	Valve Mitral 33mm	43	29	$176,460.00	$176,460.00	$24,704.40	$158,814.00	$79,407.00	2026-03-01
108048	CDM	Valve Mtral 29mm	43	29	$176,460.00	$176,460.00	$24,704.40	$158,814.00	$79,407.00	2026-03-01
108049	CDM	Valve Mitral 31mm	43	29	$176,460.00	$176,460.00	$24,704.40	$158,814.00	$79,407.00	2026-03-01
813159	CDM	Valve Mitral 25mm	43	29	$176,460.00	$176,460.00	$24,704.40	$158,814.00	$79,407.00	2026-03-01
108047	CDM	Valve Mitral 27mm	43	29	$176,460.00	$176,460.00	$24,704.40	$158,814.00	$79,407.00	2026-03-01
821805	CDM	Vlv Mtrl Ts Mgna Trxfx27	43	29	$176,313.00	$176,313.00	$24,683.82	$158,681.70	$79,340.85	2026-03-01
839779	CDM	Cage Spnl 10x12x21.25mm	43	29	$175,125.00	$175,125.00	$24,517.50	$157,612.50	$78,806.25	2026-03-01
825641	CDM	Gft Bfr 24x14x16.5	43	29	$172,978.00	$172,978.00	$24,216.92	$155,680.20	$77,840.10	2026-03-01
107268	CDM	Cage Spnl 20mm	43	29	$171,915.00	$171,915.00	$24,068.10	$154,723.50	$77,361.75	2026-03-01
833671	CDM	Valve Aortic 25mm	43	29	$166,755.00	$166,755.00	$23,345.70	$150,079.50	$75,039.75	2026-03-01
821737	CDM	Valve Mtrl 18mm 25mm Msc	43	29	$166,314.00	$166,314.00	$23,283.96	$149,682.60	$74,841.30	2026-03-01
821740	CDM	Valve Mitral 23mm	43	29	$166,314.00	$166,314.00	$23,283.96	$149,682.60	$74,841.30	2026-03-01
180939	CDM	Valve Mitral 19mm	43	29	$166,314.00	$166,314.00	$23,283.96	$149,682.60	$74,841.30	2026-03-01
108452	CDM	Valve Aor 27mm 34mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
108449	CDM	Valve Aor 25mm 34mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
108448	CDM	Valve Aor 23mm 32mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
108456	CDM	Valve Aor 29mm 39+3mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
108446	CDM	Valve Aor 19mm 30mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
108447	CDM	Valve Aor 21mm 32mm	43	29	$164,785.00	$164,785.00	$23,069.90	$148,306.50	$74,153.25	2026-03-01
840735	CDM	Spacer Spnl 20x90mm	43	29	$164,244.00	$164,244.00	$22,994.16	$147,819.60	$73,909.80	2026-03-01
841413	CDM	Valve Aortic 27mm	43	29	$160,540.00	$160,540.00	$22,475.60	$144,486.00	$72,243.00	2026-03-01
104315	CDM	Tiss Aclr Drml 16cm 16cm	43	29	$160,384.00	$160,384.00	$22,453.76	$144,345.60	$72,172.80	2026-03-01
33249	CPT	Eltrd/insert Defib	37	24	$137,053.00	$137,053.00	$23,299.01	$123,347.70	$68,526.50	2026-03-01
101411	CDM	Valve Crd Clgn Od21mm	43	29	$152,050.00	$152,050.00	$21,287.00	$136,845.00	$68,422.50	2026-03-01
C1815	HCPCS	Cuff Urth Sphncr 4cm	126	28	$147,731.00	$147,731.00	$19,655.72	$138,888.00	$66,478.95	2026-03-01
116615	CDM	Spacer Spn Stalif 15x12	43	29	$147,105.00	$147,105.00	$20,594.70	$132,394.50	$66,197.25	2026-03-01
178968	CDM	Spacer Spnl 17mm Stalif	43	29	$147,105.00	$147,105.00	$20,594.70	$132,394.50	$66,197.25	2026-03-01
178970	CDM	Spcr Spnl Stalif 15x15	43	29	$147,105.00	$147,105.00	$20,594.70	$132,394.50	$66,197.25	2026-03-01
114409	CDM	Model Antm Skl Adlt	79	42	$178,892.00	$178,892.00	$8,944.60	$161,002.80	$66,190.04	2026-03-01
831316	CDM	Cage Spnl Vlift 32x22mm	43	29	$146,334.00	$146,334.00	$20,486.76	$131,700.60	$65,850.30	2026-03-01
814822	CDM	Mesh Hrms Rnd 14x130	43	29	$144,035.00	$144,035.00	$20,164.90	$129,631.50	$64,815.75	2026-03-01
811739	CDM	Graft Bn Lg 8cc 1x2in	43	29	$143,720.00	$143,720.00	$20,120.80	$129,348.00	$64,674.00	2026-03-01
811690	CDM	Graft Bone Infuse Bmp La	43	29	$143,720.00	$143,720.00	$20,120.80	$129,348.00	$64,674.00	2026-03-01
834973	CDM	Coroent Lo Ti 8x10x30mm	43	29	$142,482.00	$142,482.00	$19,947.48	$128,233.80	$64,116.90	2026-03-01
113456	CDM	Pump Contrl Urn Ab Sys	43	29	$142,311.00	$142,311.00	$19,923.54	$128,079.90	$64,039.95	2026-03-01
C2621	HCPCS	Crt-p 8.5mm 54x45mm	438	29	$149,639.00	$149,639.00	$7,661.50	$204,801.30	$63,506.80	2026-03-01
101356	CDM	Stent Graft 28x40mm	43	29	$141,051.00	$141,051.00	$19,747.14	$126,945.90	$63,472.95	2026-03-01
833329	CDM	Graft Bn Optecuredbm20ml	43	29	$139,640.00	$139,640.00	$19,549.60	$125,676.00	$62,838.00	2026-03-01
61797	CPT	Stereotactic Radiosurgery (particle Beam, Gamma Ray, Or Linear Accelerator); Eac…	6	1	—	—	$43,403.00	$73,405.00	$62,393.00	2026-03-01
77371	CPT	Radiation Treatment Delivery, Stereotactic Radiosurgery (srs), Complete Course O…	6	1	—	—	$43,403.00	$73,405.00	$62,393.00	2026-03-01
825705	CDM	Graft Spcr Cpstn 26x10mm	43	29	$138,056.00	$138,056.00	$19,327.84	$124,250.40	$62,125.20	2026-03-01
178670	CDM	Valve Aortic 31mm	43	29	$137,904.00	$137,904.00	$19,306.56	$124,113.60	$62,056.80	2026-03-01
179393	CDM	Valve Aortic 29mm	43	29	$137,904.00	$137,904.00	$19,306.56	$124,113.60	$62,056.80	2026-03-01
829085	CDM	Graft Bn Brgde 38x28x12	43	29	$137,830.00	$137,830.00	$19,296.20	$124,047.00	$62,023.50	2026-03-01
101353	CDM	Stent Graft 15x13x160mm	43	29	$133,992.00	$133,992.00	$18,758.88	$120,592.80	$60,296.40	2026-03-01
833121	CDM	Graft St Tis 70mm Algrf	43	29	$133,520.00	$133,520.00	$18,692.80	$120,168.00	$60,084.00	2026-03-01
181366	CDM	36x13x8 Cage Stm361308	43	29	$133,095.00	$133,095.00	$18,633.30	$119,785.50	$59,892.75	2026-03-01
179894	CDM	Spacer Spn 8d 32x23x14	43	29	$133,095.00	$133,095.00	$18,633.30	$119,785.50	$59,892.75	2026-03-01
101763	CDM	Shunt Vlv Il W Cath Acc	43	29	$131,218.00	$131,218.00	$18,370.52	$118,096.20	$59,048.10	2026-03-01
107459	CDM	Shunt Atrl Vlv Sphngd Sm	43	29	$131,218.00	$131,218.00	$18,370.52	$118,096.20	$59,048.10	2026-03-01
834604	CDM	Spacer Spnl 14x12x31mm	43	29	$131,111.00	$131,111.00	$18,355.54	$117,999.90	$58,999.95	2026-03-01
C1821	HCPCS	Implnt Spn 16mm	42	28	$130,760.00	$130,760.00	$18,306.40	$117,684.00	$58,842.00	2026-03-01
178526	CDM	Spacer Spnl 25x8x9mm Avs	43	29	$130,517.00	$130,517.00	$18,272.38	$117,465.30	$58,732.65	2026-03-01
178527	CDM	Spacer Spinal 10x25x8mm	43	29	$130,517.00	$130,517.00	$18,272.38	$117,465.30	$58,732.65	2026-03-01
178525	CDM	Spacer Unilif 4d 25x8x8	43	29	$130,517.00	$130,517.00	$18,272.38	$117,465.30	$58,732.65	2026-03-01
61635	CPT	Stnt Plc Intracran W/pta	1	1	$85,284.00	$85,284.00	$58,334.26	$58,334.26	$58,334.26	2026-03-01
834725	CDM	Cage Aero Lumb 28x13 8d	43	29	$129,593.00	$129,593.00	$18,143.02	$116,633.70	$58,316.85	2026-03-01
832064	CDM	Cage Lum Spn 8d26/32x13	43	29	$129,593.00	$129,593.00	$18,143.02	$116,633.70	$58,316.85	2026-03-01
115788	CDM	Graft Bn 4d Spcr Alif 10	43	29	$129,510.00	$129,510.00	$18,131.40	$116,559.00	$58,279.50	2026-03-01
116265	CDM	Valve Mitral 25mm	43	29	$129,404.00	$129,404.00	$18,116.56	$116,463.60	$58,231.80	2026-03-01
114804	CDM	Valve Mitral 31mm	43	29	$129,404.00	$129,404.00	$18,116.56	$116,463.60	$58,231.80	2026-03-01
116267	CDM	Valve Mitral 29mm	43	29	$129,404.00	$129,404.00	$18,116.56	$116,463.60	$58,231.80	2026-03-01
116266	CDM	Valve Mitral 33mm	43	29	$129,404.00	$129,404.00	$18,116.56	$116,463.60	$58,231.80	2026-03-01
116270	CDM	Valve Mitral 27mm	43	29	$129,404.00	$129,404.00	$18,116.56	$116,463.60	$58,231.80	2026-03-01
113875	CDM	Graft Bn Med 5.6cc 1x2in	43	29	$128,934.00	$128,934.00	$18,050.76	$116,040.60	$58,020.30	2026-03-01
825836	CDM	Spcr Spnl 26x8mm Cpstn	43	29	$128,636.00	$128,636.00	$18,009.04	$115,772.40	$57,886.20	2026-03-01
833218	CDM	Spacer Spn Alif 13x8mm	43	29	$128,192.00	$128,192.00	$17,946.88	$115,372.80	$57,686.40	2026-03-01
833280	CDM	Spacer Spnl 30x24x15mm	43	29	$128,192.00	$128,192.00	$17,946.88	$115,372.80	$57,686.40	2026-03-01
828954	CDM	Graft Nrv 4-5mm 50mm	43	29	$127,957.00	$127,957.00	$17,913.98	$115,161.30	$57,580.65	2026-03-01
180781	CDM	Kit Abdomen Closure 50cm	79	42	$155,501.00	$155,501.00	$7,775.05	$139,950.90	$57,535.37	2026-03-01
845209	CDM	Shunt Sys Plus Rsrv	43	29	$126,495.00	$126,495.00	$17,709.30	$113,845.50	$56,922.75	2026-03-01
840760	CDM	Spacer Spn 12x12x21mm	43	29	$125,156.00	$125,156.00	$17,521.84	$112,640.40	$56,320.20	2026-03-01
835387	CDM	Cage Spnl 44x14x12mm San	43	29	$124,818.00	$124,818.00	$17,474.52	$112,336.20	$56,168.10	2026-03-01
J9999	HCPCS	Carmustine Wafers 8/box	49	29	$124,738.00	$124,738.00	$6,236.90	$112,264.20	$56,132.10	2026-03-01
118717	CDM	Model Skull Adult	79	42	$151,539.00	$151,539.00	$7,576.95	$136,385.10	$56,069.43	2026-03-01
821303	CDM	Cage Spnl Cg/infs 16x5.6	43	29	$123,477.00	$123,477.00	$17,286.78	$111,129.30	$55,564.65	2026-03-01
821497	CDM	Cage Spnl Cg/infs Ti 23	43	29	$123,477.00	$123,477.00	$17,286.78	$111,129.30	$55,564.65	2026-03-01
837749	CDM	Bone Mtrx Cllr V92 5cc	43	29	$122,794.00	$122,794.00	$17,191.16	$110,514.60	$55,257.30	2026-03-01
834773	CDM	Spacer Sp 36x28x17mm Che	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
841483	CDM	Spacer Spn 30x24x13mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
833464	CDM	Spacer Spn 36x28x11mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
837209	CDM	Spacer Spn 30x40x15mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
833169	CDM	Spacer Spnl 28x36x11mm C	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
841660	CDM	Spacer Spn 40x30x13mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
832809	CDM	Spacer Spn 30x24x13mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
838603	CDM	Spacer Spn 13x40x13mm	43	29	$122,588.00	$122,588.00	$17,162.32	$110,329.20	$55,164.60	2026-03-01
829204	CDM	Cage Anch L 16x25x35x8	43	29	$121,420.00	$121,420.00	$16,998.80	$109,278.00	$54,639.00	2026-03-01
118205	CDM	System Cln Storage 3mths	79	42	$147,487.00	$147,487.00	$7,374.35	$132,738.30	$54,570.19	2026-03-01
100059	CDM	Graft Evas 14.5mm 14cm	43	29	$120,581.00	$120,581.00	$16,881.34	$108,522.90	$54,261.45	2026-03-01
103959	CDM	Valve Mitral 31mm	43	29	$120,581.00	$120,581.00	$16,881.34	$108,522.90	$54,261.45	2026-03-01
108547	CDM	Valve Aortic 23mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
845310	CDM	Valve Mitral 25mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
845311	CDM	Valve Mitral 31-33mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108549	CDM	Valve Aortic 27/29mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108548	CDM	Valve Aortic 25mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108545	CDM	Valve Aortic 19mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108695	CDM	Valve Mtrl 17.8in 25mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108546	CDM	Valve Aortic 21mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
108694	CDM	Valve Mitral 27-29mm	43	29	$119,993.00	$119,993.00	$16,799.02	$107,993.70	$53,996.85	2026-03-01
817060	CDM	Cage Rabea Peek 12x12x6	43	29	$119,669.00	$119,669.00	$16,753.66	$107,702.10	$53,851.05	2026-03-01
37227	CPT	Fempop Revas Stnt&ath 59	100	27	$124,303.50	$124,303.50	$4,138.35	$149,256.00	$53,516.60	2026-03-01
841649	CDM	Spacer Spn 38x26x12mm 8d	43	29	$117,918.00	$117,918.00	$16,508.52	$106,126.20	$53,063.10	2026-03-01
841650	CDM	Spacer Spnl 32x25x12 8d	43	29	$117,918.00	$117,918.00	$16,508.52	$106,126.20	$53,063.10	2026-03-01
105882	CDM	Valve Aor 23mm 21.4mm Re	43	29	$117,640.00	$117,640.00	$16,469.60	$105,876.00	$52,938.00	2026-03-01
811517	CDM	Valve Aortic 27mm	43	29	$117,640.00	$117,640.00	$16,469.60	$105,876.00	$52,938.00	2026-03-01
811515	CDM	Valve Aortic 19mm	43	29	$117,640.00	$117,640.00	$16,469.60	$105,876.00	$52,938.00	2026-03-01
829270	CDM	Cage Spnl 5d 36x29x10mm	43	29	$116,750.00	$116,750.00	$16,345.00	$105,075.00	$52,537.50	2026-03-01
63685	CPT	Insrt/repl Spinal Ipg	1	1	$76,013.00	$76,013.00	$51,992.89	$51,992.89	$51,992.89	2026-03-01
101972	CDM	Valve Aortic 31mm	43	29	$115,435.00	$115,435.00	$16,160.90	$103,891.50	$51,945.75	2026-03-01
101966	CDM	Valve Mitral Exp 29mec	43	29	$115,435.00	$115,435.00	$16,160.90	$103,891.50	$51,945.75	2026-03-01
101964	CDM	Valve Mitral Exp 25mec	43	29	$115,435.00	$115,435.00	$16,160.90	$103,891.50	$51,945.75	2026-03-01
101967	CDM	Valve Mtrl Mstr Od33mm X	43	29	$115,435.00	$115,435.00	$16,160.90	$103,891.50	$51,945.75	2026-03-01
833243	CDM	Cage L Anch 10x22x30x8	43	29	$115,349.00	$115,349.00	$16,148.86	$103,814.10	$51,907.05	2026-03-01
833244	CDM	Cg Spn Anchr 10x25x35x8	43	29	$115,349.00	$115,349.00	$16,148.86	$103,814.10	$51,907.05	2026-03-01
844998	CDM	Disc Cerv 6x15x16mm	43	29	$114,415.00	$114,415.00	$16,018.10	$102,973.50	$51,486.75	2026-03-01
102411	CDM	Disc Cerv 6x15x15mm	43	29	$114,415.00	$114,415.00	$16,018.10	$102,973.50	$51,486.75	2026-03-01
108686	CDM	Implant Spn Disc Sz2 5mm	43	29	$114,415.00	$114,415.00	$16,018.10	$102,973.50	$51,486.75	2026-03-01
839037	CDM	Spacer Spn 36x28x13mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
844364	CDM	Spacer Spnl 28x36x13mm C	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
833346	CDM	Spacer Spnl 36x28x13mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
844108	CDM	Spacer Spn 28x36x17mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
832246	CDM	Spcr Spn 36x28x13mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
842424	CDM	Spacer Spn 30x40x13mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
836799	CDM	Spacer Spn 24x30x15mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
842138	CDM	Spacer Spn 28x36x15mm	43	29	$114,065.00	$114,065.00	$15,969.10	$102,658.50	$51,329.25	2026-03-01
835803	CDM	Cage Tas Endoskltn 12deg	43	29	$113,873.00	$113,873.00	$15,942.22	$102,485.70	$51,242.85	2026-03-01
835881	CDM	Impl Spn Bs 10 34x24x28	43	29	$113,873.00	$113,873.00	$15,942.22	$102,485.70	$51,242.85	2026-03-01
811533	CDM	Asmbly Strta Snp Reg	2	1	$72,817.00	$72,817.00	$49,806.83	$51,700.07	$50,753.45	2026-03-01
838608	CDM	Spacer Spn 12mm 25-37mm	43	29	$112,641.00	$112,641.00	$15,769.74	$101,376.90	$50,688.45	2026-03-01
103728	CDM	Spacer Spnl Frtf12x12x18	43	29	$112,641.00	$112,641.00	$15,769.74	$101,376.90	$50,688.45	2026-03-01
839428	CDM	Spacer Spnl 33-53x12 12m	43	29	$112,641.00	$112,641.00	$15,769.74	$101,376.90	$50,688.45	2026-03-01
109215	CDM	Tiss Aclr Drml 13x21.5cm	43	29	$112,246.00	$112,246.00	$15,714.44	$101,021.40	$50,510.70	2026-03-01
33231	CPT	Gen Implant Bi-v	39	25	$100,908.00	$100,908.00	$14,127.12	$90,817.20	$50,454.00	2026-03-01
842168	CDM	Clamp Esurg Isltr Lng	79	42	$134,892.00	$134,892.00	$6,744.60	$121,402.80	$49,910.04	2026-03-01
115394	CDM	Cg Crnt Peek 12x18x55	43	29	$110,866.00	$110,866.00	$15,521.24	$99,779.40	$49,889.70	2026-03-01
845251	CDM	Spacer Spnl 38x26x14mm	43	29	$110,563.00	$110,563.00	$15,478.82	$99,506.70	$49,753.35	2026-03-01
841681	CDM	Cage Spn 12d 38x26x12mm	43	29	$110,563.00	$110,563.00	$15,478.82	$99,506.70	$49,753.35	2026-03-01
33225	CPT	Insertion Of Biv Ppm/icd	1	1	$71,553.00	$71,553.00	$48,942.25	$48,942.25	$48,942.25	2026-03-01
J2350	HCPCS	Ocrelizumab 300 Mg Inj	38	25	$97,473.00	$97,473.00	$4,873.65	$87,725.70	$48,736.50	2026-03-01
33240	CPT	Insert Sgl Icd Generator	36	24	$96,360.00	$96,360.00	$16,381.20	$86,724.00	$48,180.00	2026-03-01
33264	CPT	Icd Gen Change Bi-v	38	25	$100,908.00	$100,908.00	$14,127.12	$90,817.20	$47,931.30	2026-03-01
33263	CPT	Icd Gen Change Dual	38	25	$100,908.00	$100,908.00	$14,127.12	$90,817.20	$47,931.30	2026-03-01
C1895	HCPCS	Lead Defib 58cm	352	28	$98,790.50	$98,790.50	$9,579.78	$131,485.50	$47,905.95	2026-03-01
841427	CDM	Disc Spn Cerv 6mm 14mm	43	29	$106,243.00	$106,243.00	$14,874.02	$95,618.70	$47,809.35	2026-03-01
842576	CDM	Disc Intvrt 6x16x17.8mm	43	29	$106,243.00	$106,243.00	$14,874.02	$95,618.70	$47,809.35	2026-03-01
842789	CDM	Disc Intvrt 7x18x17.8mm	43	29	$106,243.00	$106,243.00	$14,874.02	$95,618.70	$47,809.35	2026-03-01
845308	CDM	Valve Aortic 27/29mm	43	29	$105,876.00	$105,876.00	$14,822.64	$95,288.40	$47,644.20	2026-03-01
845305	CDM	Valve Aortic 21mm	43	29	$105,876.00	$105,876.00	$14,822.64	$95,288.40	$47,644.20	2026-03-01
845306	CDM	Valve Aortic 23mm	43	29	$105,876.00	$105,876.00	$14,822.64	$95,288.40	$47,644.20	2026-03-01
845307	CDM	Valve Aortic 25mm	43	29	$105,876.00	$105,876.00	$14,822.64	$95,288.40	$47,644.20	2026-03-01
845304	CDM	Valve Aortic 19mm	43	29	$105,876.00	$105,876.00	$14,822.64	$95,288.40	$47,644.20	2026-03-01
104777	CDM	Graft Evas 27mm 12cm	43	29	$105,829.00	$105,829.00	$14,816.06	$95,246.10	$47,623.05	2026-03-01
104776	CDM	Graft Evas 27mm 10cm	43	29	$105,829.00	$105,829.00	$14,816.06	$95,246.10	$47,623.05	2026-03-01
844550	CDM	Graft Evas 14.5mm 12cm	43	29	$105,829.00	$105,829.00	$14,816.06	$95,246.10	$47,623.05	2026-03-01
115684	CDM	Gft Evas 75 14 14 Tlnt A	43	29	$105,141.00	$105,141.00	$14,719.74	$94,626.90	$47,313.45	2026-03-01
178560	CDM	Spacer Spn Pk 6d L55xw1	43	29	$105,075.00	$105,075.00	$14,710.50	$94,567.50	$47,283.75	2026-03-01
826211	CDM	Spacer Spn Peek 60x22x16	43	29	$105,075.00	$105,075.00	$14,710.50	$94,567.50	$47,283.75	2026-03-01
832124	CDM	Disc Cerv Pcm-v Med 6.5	43	29	$105,075.00	$105,075.00	$14,710.50	$94,567.50	$47,283.75	2026-03-01
102024	CDM	Applicator Surg 19cm	1	1	$68,695.00	$68,695.00	$46,987.38	$46,987.38	$46,987.38	2026-03-01
108823	CDM	Applicator Surg 29cm	1	1	$68,695.00	$68,695.00	$46,987.38	$46,987.38	$46,987.38	2026-03-01
810886	CDM	Valve Mitral 23/25mm	43	29	$103,818.00	$103,818.00	$14,534.52	$93,436.20	$46,718.10	2026-03-01
115359	CDM	Cg Crnt Peek 12x18x50	43	29	$103,441.00	$103,441.00	$14,481.74	$93,096.90	$46,548.45	2026-03-01
115360	CDM	Spacer Peek Crnt55x18x12	43	29	$103,441.00	$103,441.00	$14,481.74	$93,096.90	$46,548.45	2026-03-01
115602	CDM	Spacer Peek Crnt55x18x10	43	29	$103,441.00	$103,441.00	$14,481.74	$93,096.90	$46,548.45	2026-03-01
845418	CDM	Valve Shnt Nph Csf Lo Fl	43	29	$103,393.00	$103,393.00	$14,475.02	$93,053.70	$46,526.85	2026-03-01
L8690	HCPCS	Implant Coch System	76	24	$99,558.00	$99,558.00	$13,467.44	$92,628.00	$46,314.00	2026-03-01
844549	CDM	Graft Evas 14.5mm 10cm	43	29	$102,746.00	$102,746.00	$14,384.44	$92,471.40	$46,235.70	2026-03-01
841152	CDM	Graft Evas 12mm 10cm	43	29	$102,746.00	$102,746.00	$14,384.44	$92,471.40	$46,235.70	2026-03-01
61640	CPT	Dil Ic Vaspasm Init	2	1	$65,864.00	$65,864.00	$45,050.98	$46,763.44	$45,907.21	2026-03-01
180116	CDM	Kit Shunt W/catheter	43	29	$101,989.00	$101,989.00	$14,278.46	$91,790.10	$45,895.05	2026-03-01
33230	CPT	Gen Implant Dual	54	28	$100,908.00	$100,908.00	$7,691.00	$90,817.20	$45,892.30	2026-03-01
833030	CDM	Spacer Vert Ti L80 Vboss	43	29	$101,421.00	$101,421.00	$14,198.94	$91,278.90	$45,639.45	2026-03-01
824545	CDM	Cage Spnl Pk L30xh8 Lmbr	43	29	$101,410.00	$101,410.00	$14,197.40	$91,269.00	$45,634.50	2026-03-01
115403	CDM	Spacer Spnl 30mmx13mm	43	29	$101,410.00	$101,410.00	$14,197.40	$91,269.00	$45,634.50	2026-03-01
835624	CDM	Spcr Spn 36x28x15mm	43	29	$101,223.00	$101,223.00	$14,171.22	$91,100.70	$45,550.35	2026-03-01
837528	CDM	Spcr Spn 36x28x15mm	43	29	$101,223.00	$101,223.00	$14,171.22	$91,100.70	$45,550.35	2026-03-01
117592	CDM	Cath Antimcb W/valve	79	42	$123,061.00	$123,061.00	$6,153.05	$110,754.90	$45,532.57	2026-03-01
33262	CPT	Icd Gen Change Single	37	25	$100,908.00	$100,908.00	$14,127.12	$90,817.20	$45,408.60	2026-03-01
838936	CDM	Graft Bn Viable Bn 10cc	43	29	$100,434.00	$100,434.00	$14,060.76	$90,390.60	$45,195.30	2026-03-01
37231	CPT	Tib/per Revas Stnt&ather	100	27	$98,859.50	$98,859.50	$4,138.35	$103,456.80	$45,176.57	2026-03-01
101538	CDM	Kit Lead Nrstm	43	29	$99,599.00	$99,599.00	$13,943.86	$89,639.10	$44,819.55	2026-03-01
103145	CDM	Cage Spn 20d 6x38x28mm	43	29	$99,471.00	$99,471.00	$13,925.94	$89,523.90	$44,761.95	2026-03-01
108385	CDM	Suture Grn Brd 2-0 30in	79	42	$120,597.00	$120,597.00	$6,029.85	$108,537.30	$44,620.89	2026-03-01
815628	CDM	Gft Ilc 16x16x13.5	43	29	$98,524.00	$98,524.00	$13,793.36	$88,671.60	$44,335.80	2026-03-01
108148	CDM	Kit Anchor Sys	79	42	$119,780.00	$119,780.00	$5,989.00	$107,802.00	$44,318.60	2026-03-01
838561	CDM	Valve Shunt Csf 18-30ml	43	29	$98,190.00	$98,190.00	$13,746.60	$88,371.00	$44,185.50	2026-03-01
844125	CDM	Disc Intvrt 5x14x15mm	43	29	$98,070.00	$98,070.00	$13,729.80	$88,263.00	$44,131.50	2026-03-01
C1764	HCPCS	Monitor Cardiac Insert	336	28	$99,178.00	$99,178.00	$9,094.68	$120,434.40	$43,922.25	2026-03-01
829890	CDM	Cage Crnt Xl 55x22x10	43	29	$97,090.00	$97,090.00	$13,592.60	$87,381.00	$43,690.50	2026-03-01
811638	CDM	Clmp Crbn Ankl Asmbly	79	42	$118,031.00	$118,031.00	$5,901.55	$106,227.90	$43,671.47	2026-03-01
118723	CDM	Valve Prgm Angle Right	43	29	$96,791.00	$96,791.00	$13,550.74	$87,111.90	$43,555.95	2026-03-01
C1761	HCPCS	Cath Ivl 150cmx1.5mm	78	41	$117,406.00	$117,406.00	$5,870.30	$105,665.40	$43,440.22	2026-03-01
117851	CDM	Allograft Bn 5.0cc	43	29	$96,492.00	$96,492.00	$13,508.88	$86,842.80	$43,421.40	2026-03-01
825608	CDM	Cement Bn Hydro 397015	43	29	$96,353.00	$96,353.00	$13,489.42	$86,717.70	$43,358.85	2026-03-01
825448	CDM	Device Lnthnr Hgmn2 Exfx	1	1	$61,032.00	$61,032.00	$43,332.72	$43,332.72	$43,332.72	2026-03-01
119351	CDM	Cage Spn 12x17x12mm	43	29	$95,556.00	$95,556.00	$13,377.84	$86,000.40	$43,000.20	2026-03-01
115086	CDM	Valve Shnt Chpv Csf Prgm	43	29	$94,877.00	$94,877.00	$13,282.78	$85,389.30	$42,694.65	2026-03-01
111924	CDM	Valve Shnt Rt Ang Prgm	43	29	$94,877.00	$94,877.00	$13,282.78	$85,389.30	$42,694.65	2026-03-01
C1777	HCPCS	Lead Icd Df4 8.6fr 55cm	353	29	$85,900.00	$85,900.00	$9,579.78	$102,915.00	$42,309.50	2026-03-01
845459	CDM	Cage Spn Pk 10d 10x18x50	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
179886	CDM	Cage Aria 8d 18x50x14	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
845521	CDM	Cage Plt 8x18x50 Lord Xl	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
845217	CDM	Cage Spnl 55x18x10mm Mod	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
831089	CDM	Cage Spn Lrdtc 55x22x8	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
844988	CDM	Cage Spn 10d 10x18x55mm	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
833220	CDM	Cage Spn Pl 6-9x11x27x8d	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
811759	CDM	Cage Spn Peek 50x18x12in	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
178304	CDM	Cage Clydesdale 10x45	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
117209	CDM	Spacer Spn 50x14 Clydes	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
822047	CDM	Cage Clydesdale 12x45	43	29	$93,400.00	$93,400.00	$13,076.00	$84,060.00	$42,030.00	2026-03-01
J0638	HCPCS	Canakinumab 150 Mg Inj	39	25	$83,877.00	$83,877.00	$4,193.85	$75,489.30	$41,938.50	2026-03-01
61642	CPT	Dil Ic Vaspasm Dvf Add	1	1	$60,985.00	$60,985.00	$41,713.74	$41,713.74	$41,713.74	2026-03-01
180722	CDM	Graft St Tis 6.3x3.1in	43	29	$92,417.00	$92,417.00	$12,938.38	$83,175.30	$41,587.65	2026-03-01
C1813	HCPCS	Kit Prosth Penl Acc	546	28	$149,640.00	$149,640.00	$861.70	$195,177.60	$41,482.35	2026-03-01
838213	CDM	Valve Shunt Prgm Reg	43	29	$92,035.00	$92,035.00	$12,884.90	$82,831.50	$41,415.75	2026-03-01
837030	CDM	Mesh Derm Tissue 4x8in	42	28	$91,684.00	$91,684.00	$12,835.76	$82,515.60	$41,257.80	2026-03-01
845142	CDM	Matrix Cell Bn 15cc	43	29	$91,469.00	$91,469.00	$12,805.66	$82,322.10	$41,161.05	2026-03-01
107805	CDM	Shunt Sys 20x15cm	43	29	$91,190.00	$91,190.00	$12,766.60	$82,071.00	$41,035.50	2026-03-01
840754	CDM	Shunt Neur Progav15cmh20	43	29	$90,507.00	$90,507.00	$12,670.98	$81,456.30	$40,728.15	2026-03-01
836513	CDM	Graft Nerve 30mm 1-2	43	29	$90,079.00	$90,079.00	$12,611.06	$81,071.10	$40,535.55	2026-03-01
93581	CPT	Per Cl Con Vt Sp Df W/im	36	23	$76,878.00	$76,878.00	$3,843.90	$69,190.20	$40,360.95	2026-03-01
93580	CPT	Per Cl Con Int Com W/imp	36	23	$76,878.00	$76,878.00	$3,843.90	$69,190.20	$40,360.95	2026-03-01
825193	CDM	Valve Shunt Sm 30mm	43	29	$89,348.00	$89,348.00	$12,508.72	$80,413.20	$40,206.60	2026-03-01
844626	CDM	Tissue Mesh 5in 8in	79	42	$108,527.00	$108,527.00	$5,426.35	$97,674.30	$40,154.99	2026-03-01
C1785	HCPCS	Pcmkr Cd 6mm 44x43mm	1,100	28	$80,045.00	$80,045.00	$8,259.58	$164,664.00	$40,142.85	2026-03-01

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