Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WAUKESHA MEMORIAL HOSPITAL

Waukesha, WI · CCN 520008 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC Echo Tthrc 2d W/WO M-Mode Complt Spec&Colr D

This hospital’s price: $2,904 across 40 payers · range $535-$3,621

Source: https://www.prohealthcare.org/app/files/public/acd46025-e103-4176-adb7-469e53656d4d/39-0910727_ProHealth_Care_Waukesha_and_Mukwonago_Hospital_StandardCharges.csv · observed 2025-01-01

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.

13,239 distinct procedures filed
337 distinct payers
1,262,184 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

679,543 of 1,262,184 rate rows are consumer-grade (53.8%)

582,641 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 574,372
per-diem day rate — not a per-procedure price 6,022
placeholder amount (≤ $0.02) — excluded from medians 1,701
exceeds 10× this hospital's gross charge — excluded from medians 175
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 160
exceeds 3× this hospital's gross charge for a DRG stay — excluded 112
percent-of-charges filed in the dollar field — excluded from medians 60
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.prohealthcare.org/app/files/public/acd46025-e103-4176-adb7-469e53656d4d/39-0910727_ProHealth_Care_Waukesha_and_Mukwonago_Hospital_StandardCharges.csv
Found on page https://www.prohealthcare.org/patients-families/cost-of-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint de3060411e95cf45… · 277,736,831 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
Mouth And Neck With Major O.R. Procedures"""
OTHER 		"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face 1 $228,578.02 $474,796.92 $280,303.18 nat. median
$280,303
1.0× median
Q2043
HCPCS 		Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 45 $55,512.78 $304,701.18 $257,167.80 nat. median
$65,720
outlier · 3.9×
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Ives Susp 45 $67,200.00 $292,036.11 $246,478.48 nat. median
$68,423
outlier · 3.6×
Mouth And Neck Without Major O.R. Procedures"""
OTHER 		"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face 1 $174,119.61 $310,448.41 $210,098.12 nat. median
$210,098
1.0× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 44 $39,250.00 $200,419.39 $191,901.57 nat. median
$30,297
outlier · 6.3×
1002330
CDM 		System 29mm Tavr Commander Delivery Sapien 3 Resilia Valve 1/ea 44 $47,552.40 $125,800.00 $125,800.00 nat. median
$100,892
1.2× median
1001065
CDM 		System 20mm Tavr Commander Delivery Sapien 3 Resilia Valve 1/ea 44 $47,552.40 $125,800.00 $125,171.00 nat. median
$106,930
1.2× median
130688
CDM 		System 29mm Tavr Commander Del Ivery System 9600tfx29a 43 $45,454.50 $120,250.00 $119,047.50 nat. median
$1,248
outlier · 95.4×
130679
CDM 		System 23mm Tavr Commander Del Very Sapien 3 Ultra 9750tfx23a 43 $45,454.50 $120,250.00 $119,047.50 nat. median
$2,339
outlier · 50.9×
130687
CDM 		System 26mm Tavr Commander Del Ivry Sapien 3 Ultra 9750tfx26a 43 $45,454.50 $120,250.00 $119,047.50 nat. median
$119,048
1.0× median
J9298
HCPCS 		Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 45 $30,480.00 $144,319.54 $115,455.63 nat. median
$561
outlier · 205.8×
131150
CDM 		System 20mm Tavr Commander Del Ivery Sapien 3 Ultra 1/ea 45 $45,454.50 $120,250.00 $111,231.25 nat. median
$111,231
1.0× median
103639
CDM 		System 26mm Tavr Certitude Del Ivery Sapien 3 Ultra Valve 43 $45,454.50 $120,250.00 $111,062.90 nat. median
$1,246
outlier · 89.1×
131787
CDM 		Valve 29mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$5
outlier · 21428.6×
131548
CDM 		Valve Aortic 29mm Porcine 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$5
outlier · 20498.6×
131788
CDM 		Valve 34mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$1,692
outlier · 65.6×
1001912
CDM 		Valve Tavr Evolut Fx+ 29mm Transcatheter Aortic Valve Replacement 1/ea 44 $41,958.00 $111,000.00 $111,000.00 nat. median
$94,350
1.2× median
1001913
CDM 		Valve Tavr Evolut Fx+ 34mm Transcatheter Aortic Valve Replacement 1/ea 44 $41,958.00 $111,000.00 $111,000.00 nat. median
$111,000
1.0× median
131785
CDM 		Valve 23mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$8
outlier · 13653.1×
131558
CDM 		Valve Aortic 34mm Porcine 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$111,000
1.0× median
131786
CDM 		Valve 26mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$11
outlier · 10160.2×
1001910
CDM 		Valve Tavr Evolut Fx+ 23mm Transcatheter Aortic Valve Replacement 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$85,359
1.3× median
131257
CDM 		Valve Corevalve 29mm Gray Evol Utrr Gray Aortic Tavr 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$4,206
outlier · 26.4×
131559
CDM 		Valve Aortic 23mm Porcine 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$18,086
outlier · 6.1×
1001911
CDM 		Valve Tavr Evolut Fx+ 26mm Transcatheter Aortic Valve Replacement 1/ea 45 $41,958.00 $111,000.00 $111,000.00 nat. median
$94,350
1.2× median
131069
CDM 		Valve Corevalve 34mm R Transca Theter Aortic Tavr 1/ea 44 $41,958.00 $111,000.00 $110,445.00 nat. median
$110,445
1.0× median
131068
CDM 		Valve Corevalve 29mm Transcath Eter Aortic Tavr 1/ea 44 $41,958.00 $111,000.00 $110,445.00 nat. median
$1,202
outlier · 91.9×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg IV Solr 45 $27,452.53 $135,171.30 $106,041.88 nat. median
$742
outlier · 142.8×
Liver And Shunt Procedures With McC"""
OTHER 		"Pancreas 1 $70,998.86 $118,644.24 $97,716.60 nat. median
$97,717
1.0× median
27800102
CDM 		Hc Impella Cp Pump 44 $36,538.61 $96,663.00 $96,179.68 nat. median
$443
outlier · 217.3×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) IV Solr 45 $23,569.65 $109,878.25 $92,737.24 nat. median
$6,176
outlier · 15.0×
1000648
CDM 		Implant Coonrad Morrey Outer Pin Xsml Titanium Elbow 1/ea 45 $34,965.00 $92,500.00 $92,500.00 nat. median
$78,625
1.2× median
1002703
CDM 		Defibrillator Intica Neo 7 Vr-t Dx 45 $34,685.28 $91,760.00 $91,760.00 nat. median
$77,996
1.2× median
131104
CDM 		System Restore Surescan Surgic Al Lead Implant 1/kt 44 $34,033.17 $90,034.84 $83,219.20 nat. median
$1,956
outlier · 42.5×
131105
CDM 		System Restore Surescan Percut Aneous Lead Implant 1/kt 44 $33,630.18 $88,968.72 $82,233.79 nat. median
$1,198
outlier · 68.6×
C2624
HCPCS 		Hc Wireless Pulm Artery Pressure Sensor 44 $9,500.00 $90,950.00 $80,654.46 nat. median
$32,662
outlier · 2.5×
1002118
CDM 		Graft Femoral Condyle Right Whole Fresh 1/ea 44 $29,860.11 $78,995.00 $78,995.00 nat. median
$78,995
1.0× median
C1605
HCPCS 		Hc Pacemaker Dual Leadless Rate Resp 44 $9,500.00 $80,105.00 $74,041.05 nat. median
$21,751
outlier · 3.4×
48100571
CDM 		Hc Insrt/Rplace Icds With Substrnl Electrode 44 $30,078.59 $79,573.00 $73,549.32 nat. median
$43,625
1.7× median
J9332
HCPCS 		Efgartigimod Alfa-fcab 20 Mg/ml IV Soln 45 $19,272.00 $90,422.57 $72,338.06 nat. median
$112
outlier · 643.3×
Mouth And Neck Diagnoses Or Laryngectomy With McC"""
OTHER 		"Tracheostomy For Face 1 $59,318.37 $81,653.49 $71,819.32 nat. median
$71,819
1.0× median
799
MS_DRG 		Splenic Procedures With McC 17 $30,554.42 $103,916.15 $70,713.39 nat. median
$43,255
1.6× median
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 45 $16,807.00 $82,862.36 $69,935.83 nat. median
$729
outlier · 95.9×
215
MS_DRG 		Other Heart Assist System Implant 24 $35,357.54 $231,549.35 $68,082.36 nat. median
$93,901
0.7× median
794700
CDM 		Pack Full Implant 1/ea 45 $25,676.25 $67,926.60 $67,926.60 nat. median
$67,927
1.0× median
1002664
CDM 		Implant Cmf Peek 3mm Patient Specific 1/ea 45 $25,535.36 $67,553.85 $67,553.85 nat. median
$67,554
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $19,870.58 $228,939.87 $67,315.09 nat. median
$93,276
0.7× median
Hip And Femur Procedures For Multiple Significant Trauma"""
OTHER 		"Limb Reattachment 1 $48,322.78 $71,951.07 $65,652.09 nat. median
$65,652
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With McC 20 $26,137.18 $88,893.03 $63,771.10 nat. median
$38,555
1.7× median
1002540
CDM 		Implant Cmf Peek Size 3 1024cm Patient Specific 1/ea 45 $26,013.14 $68,817.84 $63,656.50 nat. median
$58,082
1.1× median

Other procedures at this hospital

Browse this hospital's 13,239 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Mouth And Neck With Major O.R. Procedures""" OTHER "Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face 15 1 — $186,217.74 $228,578.02 $474,796.92 $280,303.18 2025-01-01
Q2043 HCPCS Sipuleucel-t-lactated Ringers 50 Million Cell/250 Ml IV Susp 45 45 $304,701.18 $167,585.65 45% off $55,512.78 $304,701.18 $257,167.80 2025-01-01
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Ives Susp 45 45 $292,036.11 $160,619.86 45% off $67,200.00 $292,036.11 $246,478.48 2025-01-01
Mouth And Neck Without Major O.R. Procedures""" OTHER "Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face 16 1 — $169,607.76 $174,119.61 $310,448.41 $210,098.12 2025-01-01
C9293 HCPCS Glucarpidase 1000 Units IV Solr 44 44 $200,419.39 $110,230.66 45% off $39,250.00 $200,419.39 $191,901.57 2025-01-01
1002330 CDM System 29mm Tavr Commander Delivery Sapien 3 Resilia Valve 1/ea 44 44 $125,800.00 $69,190.00 45% off $47,552.40 $125,800.00 $125,800.00 2025-01-01
1001065 CDM System 20mm Tavr Commander Delivery Sapien 3 Resilia Valve 1/ea 44 44 $125,800.00 $69,190.00 45% off $47,552.40 $125,800.00 $125,171.00 2025-01-01
130688 CDM System 29mm Tavr Commander Del Ivery System 9600tfx29a 43 43 $120,250.00 $66,137.50 45% off $45,454.50 $120,250.00 $119,047.50 2025-01-01
130679 CDM System 23mm Tavr Commander Del Very Sapien 3 Ultra 9750tfx23a 43 43 $120,250.00 $66,137.50 45% off $45,454.50 $120,250.00 $119,047.50 2025-01-01
130687 CDM System 26mm Tavr Commander Del Ivry Sapien 3 Ultra 9750tfx26a 43 43 $120,250.00 $66,137.50 45% off $45,454.50 $120,250.00 $119,047.50 2025-01-01
J9298 HCPCS Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml IV Soln 45 45 $144,319.54 $79,375.75 45% off $30,480.00 $144,319.54 $115,455.63 2025-01-01
131150 CDM System 20mm Tavr Commander Del Ivery Sapien 3 Ultra 1/ea 45 45 $120,250.00 $66,137.50 45% off $45,454.50 $120,250.00 $111,231.25 2025-01-01
103639 CDM System 26mm Tavr Certitude Del Ivery Sapien 3 Ultra Valve 43 43 $120,250.00 $66,137.50 45% off $45,454.50 $120,250.00 $111,062.90 2025-01-01
131787 CDM Valve 29mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131548 CDM Valve Aortic 29mm Porcine 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131788 CDM Valve 34mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
1001912 CDM Valve Tavr Evolut Fx+ 29mm Transcatheter Aortic Valve Replacement 1/ea 44 44 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
1001913 CDM Valve Tavr Evolut Fx+ 34mm Transcatheter Aortic Valve Replacement 1/ea 44 44 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131785 CDM Valve 23mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131558 CDM Valve Aortic 34mm Porcine 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131786 CDM Valve 26mm Evolut Fx Bioprosth Esis Aortic Tavr 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
1001910 CDM Valve Tavr Evolut Fx+ 23mm Transcatheter Aortic Valve Replacement 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131257 CDM Valve Corevalve 29mm Gray Evol Utrr Gray Aortic Tavr 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131559 CDM Valve Aortic 23mm Porcine 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
1001911 CDM Valve Tavr Evolut Fx+ 26mm Transcatheter Aortic Valve Replacement 1/ea 45 45 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $111,000.00 2025-01-01
131069 CDM Valve Corevalve 34mm R Transca Theter Aortic Tavr 1/ea 44 44 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $110,445.00 2025-01-01
131068 CDM Valve Corevalve 29mm Transcath Eter Aortic Tavr 1/ea 44 44 $111,000.00 $61,050.00 45% off $41,958.00 $111,000.00 $110,445.00 2025-01-01
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 54 45 $135,171.30 $74,344.21 45% off $27,452.53 $135,171.30 $106,041.88 2025-01-01
Liver And Shunt Procedures With McC""" OTHER "Pancreas 17 1 — $159,594.92 $70,998.86 $118,644.24 $97,716.60 2025-01-01
27800102 CDM Hc Impella Cp Pump 44 44 $96,663.00 $53,164.65 45% off $36,538.61 $96,663.00 $96,179.68 2025-01-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) IV Solr 45 45 $109,878.25 $60,433.04 45% off $23,569.65 $109,878.25 $92,737.24 2025-01-01
1000648 CDM Implant Coonrad Morrey Outer Pin Xsml Titanium Elbow 1/ea 45 45 $92,500.00 $50,875.00 45% off $34,965.00 $92,500.00 $92,500.00 2025-01-01
1002703 CDM Defibrillator Intica Neo 7 Vr-t Dx 45 45 $91,760.00 $50,468.00 45% off $34,685.28 $91,760.00 $91,760.00 2025-01-01
131104 CDM System Restore Surescan Surgic Al Lead Implant 1/kt 44 44 $90,034.84 $49,519.16 45% off $34,033.17 $90,034.84 $83,219.20 2025-01-01
131105 CDM System Restore Surescan Percut Aneous Lead Implant 1/kt 44 44 $88,968.72 $48,932.80 45% off $33,630.18 $88,968.72 $82,233.79 2025-01-01
C2624 HCPCS Hc Wireless Pulm Artery Pressure Sensor 44 44 $90,950.00 $50,022.50 45% off $9,500.00 $90,950.00 $80,654.46 2025-01-01
1002118 CDM Graft Femoral Condyle Right Whole Fresh 1/ea 44 44 $78,995.00 $43,447.25 45% off $29,860.11 $78,995.00 $78,995.00 2025-01-01
C1605 HCPCS Hc Pacemaker Dual Leadless Rate Resp 44 44 $80,105.00 $44,057.75 45% off $9,500.00 $80,105.00 $74,041.05 2025-01-01
48100571 CDM Hc Insrt/Rplace Icds With Substrnl Electrode 44 44 $79,573.00 $43,765.15 45% off $30,078.59 $79,573.00 $73,549.32 2025-01-01
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml IV Soln 45 45 $90,422.57 $49,732.41 45% off $19,272.00 $90,422.57 $72,338.06 2025-01-01
Mouth And Neck Diagnoses Or Laryngectomy With McC""" OTHER "Tracheostomy For Face 18 1 — $50,421.77 $59,318.37 $81,653.49 $71,819.32 2025-01-01
799 MS_DRG Splenic Procedures With McC 17 17 $197,426.65 $108,584.66 45% off $30,554.42 $103,916.15 $70,713.39 2025-01-01
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 45 45 $82,862.36 $45,574.30 45% off $16,807.00 $82,862.36 $69,935.83 2025-01-01
215 MS_DRG Other Heart Assist System Implant 24 24 $344,492.78 $189,471.03 45% off $35,357.54 $231,549.35 $68,082.36 2025-01-01
794700 CDM Pack Full Implant 1/ea 45 45 $67,926.60 $37,359.63 45% off $25,676.25 $67,926.60 $67,926.60 2025-01-01
1002664 CDM Implant Cmf Peek 3mm Patient Specific 1/ea 45 45 $67,553.85 $37,154.62 45% off $25,535.36 $67,553.85 $67,553.85 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 24 $198,146.72 $108,980.70 45% off $19,870.58 $228,939.87 $67,315.09 2025-01-01
Hip And Femur Procedures For Multiple Significant Trauma""" OTHER "Limb Reattachment 18 1 — $65,061.32 $48,322.78 $71,951.07 $65,652.09 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 20 20 $39,826.79 $21,904.73 45% off $26,137.18 $88,893.03 $63,771.10 2025-01-01
1002540 CDM Implant Cmf Peek Size 3 1024cm Patient Specific 1/ea 45 45 $68,817.84 $37,849.81 45% off $26,013.14 $68,817.84 $63,656.50 2025-01-01
C1826 HCPCS Neurostimulator Inceptiv With Closed Loop Rechargeable 1/ea 45 45 $77,603.80 $42,682.09 45% off $9,500.00 $77,603.80 $62,393.46 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 24 $229,812.90 $126,397.09 45% off $20,154.06 $210,924.79 $62,018.12 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 28 $124,868.33 $68,677.58 45% off $24,336.45 $206,972.37 $61,658.33 2025-01-01
Foot And Femur With McC""" OTHER "Lower Extremity And Humerus Procedures Except Hip 18 1 — $71,935.77 $44,894.27 $72,591.41 $61,348.76 2025-01-01
27800103 CDM Hc Watchman Device Bundle 44 44 $61,446.00 $33,795.30 45% off $23,226.59 $61,446.00 $61,138.77 2025-01-01
188741 CDM Stem Elbow Humeral 150mmx150mm Latitude 1/ea 44 44 $60,778.20 $33,428.01 45% off $22,974.16 $60,778.20 $60,778.20 2025-01-01
Nutritional And Metabolic Disorders With McC""" OTHER "Amputation Of Lower Limb For Endocrine 36 2 — $68,143.32 $47,306.36 $73,931.40 $60,748.33 2025-01-01
Cranial Nerve And Other Nervous System Procedures With McC""" OTHER "Peripheral 18 1 — $55,843.03 $47,686.89 $66,823.18 $60,705.93 2025-01-01
790236 CDM Stem Humeral Medium Left 150mm Latitude 1/ea 44 44 $60,778.20 $33,428.01 45% off $22,974.16 $60,778.20 $60,474.31 2025-01-01
797101 CDM Screw Proximal Custom 1/ea 44 44 $60,093.60 $33,051.48 45% off $24,037.44 $60,093.60 $60,093.60 2025-01-01
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml IV Soln 45 45 $70,386.51 $38,712.58 45% off $14,680.00 $70,386.51 $59,406.21 2025-01-01
Esophageal And Duodenal Procedures With McC""" OTHER "Stomach 18 1 — $23,905.18 $44,056.95 $66,258.10 $55,823.72 2025-01-01
Subcutaneous Tissue And Breast Procedures With McC""" OTHER "Other Skin 18 1 — $54,027.15 $41,205.33 $60,627.76 $55,405.75 2025-01-01
180955 CDM Component Femoral X-small Lps Distal Left 1/ea 45 45 $54,985.14 $30,241.83 45% off $20,784.38 $54,985.14 $54,985.14 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 27 27 $84,860.63 $46,673.35 45% off $27,097.05 $185,197.08 $54,453.42 2025-01-01
Nutritional And Metabolic O.R. Procedures With McC""" OTHER "Other Endocrine 18 1 — $39,148.33 $44,514.93 $60,733.39 $53,811.44 2025-01-01
790838 CDM Stem Humeral Large Left 83mm Latitude Ev 1/ea 45 45 $53,180.40 $29,249.22 45% off $20,102.19 $53,180.40 $53,180.40 2025-01-01
1002306 CDM Device Tops 30m Mechanical Spinal Implant 1/ea 44 44 $52,920.00 $29,106.00 45% off $20,003.76 $52,920.00 $52,920.00 2025-01-01
1000641 CDM Device Tops 21m Mechanical Spinal Implant 1/ea 45 45 $52,920.00 $29,106.00 45% off $20,003.76 $52,920.00 $52,920.00 2025-01-01
1001852 CDM Device Tops 21l Mechanical Spinal Implant 1/ea 45 45 $52,920.00 $29,106.00 45% off $20,003.76 $52,920.00 $52,920.00 2025-01-01
1002779 CDM Device Tops 30l Mechanical Spinal Implant 1/ea 45 45 $52,920.00 $29,106.00 45% off $20,003.76 $52,920.00 $52,920.00 2025-01-01
790058 CDM Stem Humeral Medium Left 77mm Latitude 1/ea 44 44 $53,180.40 $29,249.22 45% off $20,102.19 $53,180.40 $52,914.50 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 27 27 $89,305.25 $49,117.89 45% off $14,918.54 $176,175.34 $51,800.76 2025-01-01
130395 CDM Graft Hemi-condyle Femoral Right Fresh Medial Knee 1/ea 45 45 $51,660.00 $28,413.00 45% off $19,527.48 $51,660.00 $51,660.00 2025-01-01
130269 CDM Cartilage Hemi-condyle Fmrl Lf Medial Knee 1/ea 45 45 $51,660.00 $28,413.00 45% off $19,527.48 $51,660.00 $51,660.00 2025-01-01
1000562 CDM Alt-pro 45 45 $55,508.46 $30,529.65 45% off $20,982.20 $55,508.46 $51,345.33 2025-01-01
187276 CDM Matrix Wound Meshed 8inx10in Bilayer 1/ea 43 43 $51,189.68 $28,154.32 45% off $19,349.70 $51,189.68 $51,189.68 2025-01-01
Parathyroid And Thyroglossal Procedures With McC""" OTHER "Thyroid 18 1 — $117,399.23 $36,245.88 $62,660.47 $50,552.31 2025-01-01
C1721 HCPCS Hc Aicd-defibrilator Dual 44 44 $57,000.00 $31,350.00 45% off $9,500.00 $57,000.00 $50,547.60 2025-01-01
J2350 HCPCS Ocrelizumab 30 Mg/ml IV Soln 45 45 $63,023.70 $34,663.03 45% off $18,075.00 $63,023.70 $50,418.96 2025-01-01
792297 CDM Femoral Hemi Condyle Lateral Fresh 1/ea 43 43 $50,400.00 $27,720.00 45% off $19,051.20 $50,400.00 $50,400.00 2025-01-01
795335 CDM Allograft Osteochondral Left Lateral Femoral Hemi-cndyl1/ea 45 45 $50,400.00 $27,720.00 45% off $19,051.20 $50,400.00 $50,400.00 2025-01-01
C1767 HCPCS Battery Interstim Neurostimula Tor 1/ea 217 45 $48,862.80 $26,874.54 45% off $9,500.00 $141,303.00 $50,303.34 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 25 25 $300,671.19 $165,369.15 45% off $22,797.15 $170,827.42 $50,228.31 2025-01-01
130453 CDM Excluder C3 28.5mm X 14.5cm X 16.0mm Low Profile Trunk 1/ea 45 45 $50,076.60 $27,542.13 45% off $18,928.95 $50,076.60 $50,076.60 2025-01-01
524357 CDM Excluder C3 26.0mm Aortic 16cm 14.5mm Low Profile Trunk 1/ea 45 45 $50,076.60 $27,542.13 45% off $18,928.95 $50,076.60 $50,076.60 2025-01-01
48100515 CDM Hc Ins Wireless Card Stimulator Lv Pacing Compl System 44 44 $53,948.00 $29,671.40 45% off $20,392.34 $53,948.00 $49,864.14 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 24 $281,437.81 $154,790.80 45% off $26,908.31 $169,103.06 $49,721.30 2025-01-01
J9329 HCPCS Tislelizumab-jsgr 10 Mg/ml IV Soln 45 45 $53,227.23 $29,274.98 45% off $20,119.89 $53,227.23 $49,235.19 2025-01-01
790331 CDM Stem Humeral Medium Right 77mm Latitude 1/ea 44 44 $49,455.00 $27,200.25 45% off $18,693.99 $49,455.00 $49,207.72 2025-01-01
Liver And Shunt Procedures With Cc""" OTHER "Pancreas 18 1 — $78,713.34 $35,503.79 $61,377.58 $48,992.03 2025-01-01
794697 CDM Implant Peek Psi 1/ea 45 45 $48,913.41 $26,902.38 45% off $18,489.27 $48,913.41 $48,913.41 2025-01-01
C1772 HCPCS Synchromed Pump Ii 45 45 $57,514.80 $31,633.14 45% off $9,500.00 $57,514.80 $48,887.58 2025-01-01
186266 CDM Pump Mts Preconnect 18cmx12mm 1/ea 44 44 $48,699.00 $26,784.45 45% off $18,408.22 $48,699.00 $48,699.00 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 27 27 $129,301.72 $71,115.95 45% off $15,492.10 $163,130.09 $47,965.07 2025-01-01
27800107 CDM Hc Implant Endoprosthesis Tier 7 44 44 $47,888.00 $26,338.40 45% off $18,101.66 $47,888.00 $47,648.56 2025-01-01
Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC""" OTHER "Ischemic Stroke 18 1 — $72,100.65 $34,176.38 $59,082.81 $47,466.82 2025-01-01
27800109 CDM Hc Inari Flow-clot Triever Device Bundle 44 44 $50,400.00 $27,720.00 45% off $19,051.20 $50,400.00 $46,584.72 2025-01-01
523848 CDM Excluder C3 23mm Aortic 14.5mm 14mm Low Profile Trunk 1/ea 45 45 $46,578.00 $25,617.90 45% off $17,606.48 $46,578.00 $46,578.00 2025-01-01
130002 CDM Excluder C3 28mm Aortic 14cm X 14.5mm Low Profile Trunk 1/ea 45 45 $46,578.00 $25,617.90 45% off $17,606.48 $46,578.00 $46,578.00 2025-01-01
526324 CDM Comp Branch Iliac 25x14.5x10cm 1/ea 45 45 $46,410.00 $25,525.50 45% off $17,542.98 $46,410.00 $46,410.00 2025-01-01
527139 CDM Component Iliac Branch 23x10cm X10mm Exlcuder Aaa Endoprsths 44 44 $46,410.00 $25,525.50 45% off $17,542.98 $46,410.00 $46,410.00 2025-01-01
791377 CDM Stem Humeral Small Right 72mm Latitude 1/ea 45 45 $46,216.80 $25,419.24 45% off $17,469.95 $46,216.80 $46,216.80 2025-01-01
794213 CDM Allograft Hemi-condyle Left Fe Moral Lateral Frsh Stored 1/ea 45 45 $46,179.00 $25,398.45 45% off $17,455.66 $46,179.00 $46,179.00 2025-01-01
795944 CDM Allograft Hemi-condyle Right Femoral Lateral Frsh Stored 45 45 $46,179.00 $25,398.45 45% off $17,455.66 $46,179.00 $46,179.00 2025-01-01
1002032 CDM Implant Cmf Peek 3mm X 160mm X 140mm Patient Specific 1/ea 44 44 $46,113.44 $25,362.39 45% off $17,430.88 $46,113.44 $46,113.44 2025-01-01
Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC""" OTHER "Tracheostomy For Face 18 1 — $66,150.99 $33,501.30 $57,915.75 $45,899.68 2025-01-01
48193656 CDM Hc Comp Ep Eval Ablate Atr Fib Pulm Vein Isolation 45 45 $49,468.00 $27,207.40 45% off $18,698.90 $49,468.00 $45,757.90 2025-01-01
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Solr 45 45 $57,188.56 $31,453.71 45% off $11,980.00 $57,188.56 $45,750.85 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 25 $205,427.00 $112,984.85 45% off $19,870.58 $155,229.51 $45,642.06 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 26 26 $161,941.92 $89,068.06 45% off $26,119.56 $154,449.29 $45,412.66 2025-01-01
797097 CDM Component Midsection Custom 1/ea 44 44 $45,318.00 $24,924.90 45% off $18,127.20 $45,318.00 $45,318.00 2025-01-01
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml IV Soln 74 45 $116,603.46 $64,131.90 45% off $12,033.43 $116,603.46 $45,161.43 2025-01-01
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml IV Soln 45 45 $56,318.04 $30,974.92 45% off $11,823.50 $56,318.04 $45,054.43 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 26 $174,644.48 $96,054.46 45% off $4,479.09 $152,034.31 $44,702.58 2025-01-01
36137227 CDM Hc Pta Stent Atherectomy Fempop 45 45 $47,896.00 $26,342.80 45% off $18,104.69 $47,896.00 $44,303.80 2025-01-01
Musculoskeletal System And Connective Tissue Without Cc/McC""" OTHER "Aftercare 18 1 — $61,745.92 $32,214.34 $55,631.12 $44,021.43 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 27 $108,721.77 $59,796.97 45% off $22,568.75 $149,232.50 $43,878.77 2025-01-01
C1820 HCPCS Neurostimulator R20 Rechargeab Le 1/ea 131 45 $45,082.80 $24,795.54 45% off $9,500.00 $61,538.40 $43,759.80 2025-01-01
792177 CDM Stem Humeral Small Left 150mm Latitude 1/ea 43 43 $43,751.40 $24,063.27 45% off $16,538.03 $43,751.40 $43,751.40 2025-01-01
J9286 HCPCS Glofitamab-gxmb 10mg IV Soln 45 45 $51,268.70 $28,197.78 45% off $10,826.44 $51,268.70 $43,270.78 2025-01-01
131560 CDM Stent Excluder Prxml 23mmx120m M Bfrctd Slfexpndbl Main Trunk 45 45 $46,578.00 $25,617.90 45% off $17,606.48 $46,578.00 $43,084.65 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 24 24 $236,364.22 $130,000.32 45% off $15,929.07 $146,531.22 $43,084.51 2025-01-01
J9153 HCPCS Daunorubicin-cytarabine Lipos 44-100 Mg IV Solr 45 45 $50,925.37 $28,008.95 45% off $10,630.84 $50,925.37 $42,981.01 2025-01-01
C1722 HCPCS Hc Aicd Single Chamber 44 44 $48,384.00 $26,611.20 45% off $9,500.00 $48,384.00 $42,906.93 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 24 24 $248,077.20 $136,442.46 45% off $20,154.06 $145,720.40 $42,846.10 2025-01-01
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) IV Soln 90 45 $169,461.05 $93,203.58 45% off $8,839.00 $169,461.05 $42,399.95 2025-01-01
Esophageal And Duodenal Procedures With Cc""" OTHER "Stomach 18 1 — $57,314.58 $30,696.04 $52,324.62 $42,366.21 2025-01-01
48193591 CDM Hc Perc Transcatheter Closure Aortic 45 45 $45,253.00 $24,889.15 45% off $17,105.63 $45,253.00 $41,859.03 2025-01-01
1002005 CDM Spacer Elsa 20mm X 45mm 20 Degree 8-17mm 1/ea 44 44 $41,735.40 $22,954.47 45% off $15,775.98 $41,735.40 $41,735.40 2025-01-01
1002530 CDM Spacer Elsa 20mm X 50mm 5-20 Degree 8-17mm 1/ea 45 45 $41,735.40 $22,954.47 45% off $15,775.98 $41,735.40 $41,735.40 2025-01-01
1002426 CDM Spacer Elsa 20mm X 65mm 5-20 Degree 8-17mm 1/ea 44 44 $41,735.40 $22,954.47 45% off $15,775.98 $41,735.40 $41,735.40 2025-01-01
48100803 CDM Hc Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Vent Compont 44 44 $45,099.00 $24,804.45 45% off $17,047.42 $45,099.00 $41,685.01 2025-01-01
48100801 CDM Hc Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm Systm 44 44 $45,099.00 $24,804.45 45% off $17,047.42 $45,099.00 $41,685.01 2025-01-01
48100802 CDM Hc Tcat Rmv&Rpl Perm 2 Chmbr Ldls Pm R Atrl Compont 44 44 $45,099.00 $24,804.45 45% off $17,047.42 $45,099.00 $41,685.01 2025-01-01
48100795 CDM Hc Trnscath Insrt Perm Ldless Pm Dual Chmbr Cmplt 44 44 $45,099.00 $24,804.45 45% off $17,047.42 $45,099.00 $41,685.01 2025-01-01
790059 CDM Stem Ulnar Medium Left 75mm Latitude 1/ea 44 44 $41,785.80 $22,982.19 45% off $15,795.03 $41,785.80 $41,576.87 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 24 $195,457.49 $107,501.62 45% off $20,154.06 $141,137.40 $41,498.57 2025-01-01
Foot And Femur With Cc""" OTHER "Lower Extremity And Humerus Procedures Except Hip 18 1 — $63,101.60 $30,362.29 $52,489.15 $41,490.57 2025-01-01
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml IV Soln 45 45 $51,663.90 $28,415.14 45% off $9,695.00 $51,663.90 $41,331.12 2025-01-01
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml IV Soln 45 45 $51,010.55 $28,055.80 45% off $10,507.50 $51,010.55 $40,808.44 2025-01-01
48193653 CDM Hc Ep & Ablate Supravent Arrhyt 45 45 $44,087.00 $24,247.85 45% off $16,664.89 $44,087.00 $40,780.48 2025-01-01
793544 CDM Stem Platform 6.5mm Fx Right 1/ea 45 45 $40,698.00 $22,383.90 45% off $15,383.84 $40,698.00 $40,698.00 2025-01-01
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Conc) IV Solr 45 45 $48,207.72 $26,514.25 45% off $10,335.15 $48,207.72 $40,687.32 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 24 24 $342,246.06 $188,235.33 45% off $7,242.62 $138,217.58 $40,640.05 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 20 20 $47,921.89 $26,357.04 45% off $16,329.80 $56,580.41 $40,590.30 2025-01-01
Liver And Shunt Procedures Without Cc/McC""" OTHER "Pancreas 16 1 — $179,233.20 $32,545.32 $64,570.77 $40,330.05 2025-01-01
48193580 CDM Hc Perc Transcatheter Closure Asd 45 45 $43,509.00 $23,929.95 45% off $16,446.40 $43,509.00 $40,245.83 2025-01-01
1002077 CDM Spacer Elsa 20mm X 50mm 6 Degree 8-15mm 1/ea 44 44 $40,131.00 $22,072.05 45% off $15,169.52 $40,131.00 $40,131.00 2025-01-01
1001914 CDM Spacer Elsa Atp 20mm X 60mm 6 Degree 8-15mm 1/ea 44 44 $40,131.00 $22,072.05 45% off $15,169.52 $40,131.00 $40,131.00 2025-01-01
1002152 CDM Spacer Elsa 20mm X 60mm 6 Degree 8-15mm 1/ea 44 44 $40,131.00 $22,072.05 45% off $15,169.52 $40,131.00 $40,131.00 2025-01-01
1002283 CDM Spacer Elsa 20mm X 55mm 6 Degree 8-15mm 1/ea 44 44 $40,131.00 $22,072.05 45% off $15,169.52 $40,131.00 $40,131.00 2025-01-01
131769 CDM Valve Mitral 31mm Resilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131445 CDM Valve Aortic 21mm Inspiris Res Ilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131321 CDM Valve Aortic 25mm Inspiris Res Ilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131767 CDM Valve Mitral 27mm Resilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131768 CDM Valve Mitral 29mm Resilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131766 CDM Valve Mitral 25mm Resilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131446 CDM Valve Aortic 23mm Inspiris Res Ilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131770 CDM Valve Mitral 33mm Resilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131447 CDM Valve Aortic 27mm Inspiris Res Ilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
131448 CDM Valve Aortic 29mm Inspiris Res Ilia 1/ea 45 45 $39,900.00 $21,945.00 45% off $15,082.20 $39,900.00 $39,900.00 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 24 24 $188,656.49 $103,761.07 45% off $26,119.56 $135,378.61 $39,805.31 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 27 27 $91,164.64 $50,140.55 45% off $12,036.77 $134,587.46 $39,572.69 2025-01-01
797426 CDM Implant Mandible Midface M Tru Match 1/ea 43 43 $39,429.39 $21,686.16 45% off $15,771.76 $39,429.39 $39,429.39 2025-01-01
130565 CDM Stent Endurant 23mmx14mmx103mm Bif 1/ea 45 45 $39,381.30 $21,659.71 45% off $14,886.13 $39,381.30 $39,381.30 2025-01-01
130227 CDM Stent Endurant 16mmx13mmx20mm Bifuricated 1/ea 45 45 $39,381.30 $21,659.71 45% off $14,886.13 $39,381.30 $39,381.30 2025-01-01
130580 CDM Stent Endurant 36mmx11mmx103mm Bif 1/ea 45 45 $39,381.30 $21,659.71 45% off $14,886.13 $39,381.30 $39,381.30 2025-01-01
131173 CDM Tissue Alloderm 16mm X 20mm Pe Rforated Medium 1/ea 45 45 $39,291.00 $21,610.05 45% off $14,852.00 $39,291.00 $39,291.00 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without McC 24 24 $356,989.58 $196,344.27 45% off $27,097.05 $133,505.64 $39,254.60 2025-01-01
28 MS_DRG Spinal Procedures With McC 26 26 $138,392.96 $76,116.13 45% off $13,117.80 $132,867.47 $39,066.96 2025-01-01
131444 CDM Valve Aortic 19mm Inspiris Res Ilia 1/ea 45 45 $39,039.00 $21,471.45 45% off $14,756.74 $39,039.00 $39,039.00 2025-01-01
J9347 HCPCS Tremelimumab-actl 20 Mg/ml IV Soln 45 45 $48,443.46 $26,643.90 45% off $10,167.00 $48,443.46 $38,754.77 2025-01-01
790235 CDM Stem Ulnar Medium Right Latitude Ev 75mm 1/ea 44 44 $38,858.40 $21,372.12 45% off $14,688.48 $38,858.40 $38,664.11 2025-01-01
36136906 CDM Hc Perq Thrmbctmy/Thrmblysis Dial Circuit Tcat Plmt IV Stent 45 45 $41,769.00 $22,972.95 45% off $15,788.68 $41,769.00 $38,636.33 2025-01-01
1002639 CDM Module Edi 60hz *csa* 45 45 $41,650.98 $22,908.04 45% off $15,744.07 $41,650.98 $38,527.16 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 24 24 $209,254.49 $115,089.97 45% off $28,554.09 $130,928.93 $38,496.98 2025-01-01
131726 CDM Tissue Strattice 20mm X 20mm Laparoscopic 1/ea 45 45 $38,257.80 $21,041.79 45% off $14,461.45 $38,257.80 $38,257.80 2025-01-01
With Cardiac Catheterization With McC""" OTHER "Circulatory Disorders Except Ami 18 1 — $46,573.02 $27,980.54 $45,651.53 $38,235.86 2025-01-01
793228 CDM Middle Segment Modular 25mm 1/ea 45 45 $38,064.60 $20,935.53 45% off $14,388.42 $38,064.60 $38,064.60 2025-01-01
792599 CDM Middle Segment Modular 50mm 1/ea 45 45 $38,064.60 $20,935.53 45% off $14,388.42 $38,064.60 $38,064.60 2025-01-01
Radical Hysterectomy And Radical Vulvectomy With Cc/McC""" OTHER "Pelvic Evisceration 18 1 — $113,177.94 $26,583.60 $48,289.54 $37,959.74 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 24 24 $188,589.10 $103,724.00 45% off $22,797.15 $128,599.19 $37,811.96 2025-01-01
792652 CDM Stem Rev Shld Hum Sz10x108mm Std 1/ea 45 45 $37,681.98 $20,725.09 45% off $14,243.79 $37,681.98 $37,681.98 2025-01-01
1002701 CDM Catheter Flash Aspiration 100 Cm 45 45 $40,530.00 $22,291.50 45% off $15,320.34 $40,530.00 $37,490.25 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 27 27 $71,649.54 $39,407.25 45% off $8,120.96 $127,246.37 $37,414.19 2025-01-01
103775 CDM Kit Trumatch Full Max 1/ea 43 43 $40,425.84 $22,234.21 45% off $15,280.97 $40,425.84 $37,337.31 2025-01-01
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) IV Soln 45 45 $44,184.64 $24,301.55 45% off $9,424.80 $44,184.64 $37,291.84 2025-01-01
C1813 HCPCS Extender Penile Prosthesis Tip Narrow Base Rear 1/ea 524 45 $41,798.40 $22,989.12 45% off $874.82 $70,434.00 $37,157.59 2025-01-01
1001460 CDM Implant Cmf Peek Patient Specific 1/ea 44 44 $37,264.79 $20,495.63 45% off $14,086.09 $37,264.79 $37,078.46 2025-01-01
130310 CDM Implant Surgimend 20x20cmx3mm 3.0 1/ea 45 45 $36,960.00 $20,328.00 45% off $13,970.88 $36,960.00 $36,960.00 2025-01-01
Local Excision And Other Breast Procedures With Cc/McC""" OTHER "Breast Biopsy 15 1 — $70,799.86 $31,198.28 $44,745.93 $36,853.20 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 27 $97,605.21 $53,682.87 45% off $15,709.49 $124,684.96 $36,661.06 2025-01-01
J9037 HCPCS Belantamab Mafodotin-blmf 100 Mg IV Solr 45 45 $43,000.13 $23,650.07 45% off $8,826.00 $43,000.13 $36,550.11 2025-01-01
Local Excision And Other Breast Procedures Without Cc/McC""" OTHER "Breast Biopsy 16 1 — $173,547.31 $30,248.95 $61,695.71 $36,417.29 2025-01-01
189833 CDM Plate Lockng Lcp 7x23 Hole Lft 2.8mm Recon W/cndylr Head 1/ea 44 44 $36,283.80 $19,956.09 45% off $13,715.28 $36,283.80 $36,283.80 2025-01-01
48193654 CDM Hc Ep & Ablate Ventric Tachy 45 45 $38,950.00 $21,422.50 45% off $14,723.10 $38,950.00 $36,028.75 2025-01-01
790668 CDM Stem Humeral Large Right 83mm Latitude Ev 1/ea 44 44 $36,111.60 $19,861.38 45% off $13,650.18 $36,111.60 $35,931.04 2025-01-01
653 MS_DRG Major Bladder Procedures With McC 26 26 $153,767.28 $84,572.00 45% off $10,533.46 $121,832.88 $35,822.47 2025-01-01
834 MS_DRG Acute Leukemia With McC 27 27 $50,779.10 $27,928.50 45% off $9,920.23 $120,799.14 $35,518.52 2025-01-01
186007 CDM Spacer Endoskeleton Ta Tit 44 44 $35,679.00 $19,623.45 45% off $13,486.66 $35,679.00 $35,500.60 2025-01-01
Nutritional And Metabolic O.R. Procedures With Cc""" OTHER "Other Endocrine 18 1 — $32,089.25 $28,433.12 $39,239.60 $35,471.79 2025-01-01
791792 CDM Stem Elbow Ulnar 125mmx125mm Sm Rt Latitude Ev Coated 1/ea 45 45 $35,376.60 $19,457.13 45% off $13,372.35 $35,376.60 $35,376.60 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 26 $144,219.89 $79,320.94 45% off $19,870.58 $120,292.11 $35,369.44 2025-01-01
C2622 HCPCS Implant Penile 11mm X 25cm Tactra Prosthesis 1/ea 86 44 $56,511.00 $31,081.05 45% off $9,500.00 $56,511.00 $35,309.40 2025-01-01
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) IV Soln 45 45 $44,129.89 $24,271.44 45% off $12,930.00 $44,129.89 $35,303.91 2025-01-01
48193590 CDM Hc Perc Transcatheter Closure Mitral 45 45 $38,117.00 $20,964.35 45% off $14,408.23 $38,117.00 $35,258.23 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without McC 24 24 $255,385.25 $140,461.89 45% off $13,089.89 $119,557.78 $35,153.52 2025-01-01
48110614 CDM Hc Remove & Replace Substrnl Impl Defib Pg 44 44 $37,992.00 $20,895.60 45% off $14,360.98 $37,992.00 $35,116.01 2025-01-01
48193581 CDM Hc Perc Transcatheter Closure Vsd 45 45 $37,890.00 $20,839.50 45% off $14,322.42 $37,890.00 $35,048.25 2025-01-01
48100823 CDM Hc Trnscath Insrt Perm 1 Chmbr Leadless Pcmakr Rt Atrial 44 44 $37,742.00 $20,758.10 45% off $14,266.48 $37,742.00 $34,884.93 2025-01-01
48100825 CDM Hc Trnscath Rmv & Replace Perm 1 Chmbr Leadless Pcmakr Rt Atrial 44 44 $37,742.00 $20,758.10 45% off $14,266.48 $37,742.00 $34,884.93 2025-01-01
48133274 CDM Hc Transcatheter Insrt/Replace Perm Leadless Pacemaker 44 44 $37,661.00 $20,713.55 45% off $14,235.86 $37,661.00 $34,810.07 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 27 $88,931.91 $48,912.55 45% off $4,540.04 $118,038.86 $34,706.91 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 27 27 $64,624.01 $35,543.21 45% off $12,036.77 $117,914.28 $34,670.28 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 22 $54,928.38 $30,210.61 45% off $8,120.96 $50,054.51 $34,519.40 2025-01-01
793526 CDM Plate Pspc Matman Da Recon Pl/ Sm/2.5mm Thick 1/ea 45 45 $34,305.60 $18,868.08 45% off $12,967.52 $34,305.60 $34,305.60 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 24 24 $277,967.58 $152,882.17 45% off $22,797.15 $116,272.97 $34,187.69 2025-01-01
Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator""" OTHER "Peripheral 18 1 — $29,148.82 $28,548.16 $37,863.22 $34,080.18 2025-01-01
36119767 CDM Hc Revasc Intravasc Lithotrip Stent & Atherctmy Same Vessel(S) 44 44 $36,868.00 $20,277.40 45% off $13,936.10 $36,868.00 $34,077.09 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 24 $243,231.73 $133,777.45 45% off $26,908.31 $115,759.38 $34,036.68 2025-01-01
1001983 CDM Spacer Spinal 6deg 32mm X 25mm X 14mm Sm Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1001813 CDM Spacer Spinal 6deg 32mm X 25mm X 12mm Sm Nano Titanium 1/ea 45 45 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1001919 CDM Spacer Spinal 6deg 32mm X 25mm X 16mm Sm Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1002766 CDM Spacer Spinal 12deg 42mm X 32mm X 14mm Lg Nano Titanium 1/ea 45 45 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1002767 CDM Spacer Spinal 6deg 42mm X 32mm X 12mm Lg Nano Titanium 1/ea 45 45 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1002481 CDM Spacer Spinal 12deg 37mm X 29mm X 16mm Med Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1001814 CDM Spacer Spinal 6deg 37mm X 29mm X 12mm Med Nano Titanium 1/ea 45 45 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,843.60 2025-01-01
1001657 CDM Spacer Spinal 12deg 32mm X 25mm X 12mm Sm Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
1001656 CDM Spacer Spinal 6deg 37mm X 29mm X 14mm Med Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
1001542 CDM Spacer Spinal 12deg 37mm X 29mm X 14mm Med Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
1001497 CDM Spacer Spinal 12deg 37mm X 29mm X 12mm Med Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
1001439 CDM Spacer Spinal 12deg 32mm X 25mm X 14mm Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
1001498 CDM Spacer Spinal 12deg 32mm X 25mm X 16mm Sm Nano Titanium 1/ea 44 44 $33,843.60 $18,613.98 45% off $12,792.88 $33,843.60 $33,674.38 2025-01-01
796767 CDM Spacer Spinal 7 Deg 14mm 40mm X 27mm X-large 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
796649 CDM Spacer Spinal 16mm 12 Degree Interbody Lumbar 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
796600 CDM Spacer Spinal Xl 13mm 40x27mm 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
796627 CDM Spacer Tas Lrg 14mmx36mmx24mm Nanolock Surface Anterior Fsn 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
795648 CDM Spacer 7 Degree 10mm X-large Nano Tas 1/ea 45 45 $33,390.00 $18,364.50 45% off $12,621.42 $33,390.00 $33,390.00 2025-01-01
796920 CDM Spacer Spinal Xl 17mm 40x27mm 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
797055 CDM Spacer Spinal Xl 14mm 40x27mm 12 Degree 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
796768 CDM Spacer Spinal 7 Deg 15mm 40mm X 27mm X-large 1/ea 44 44 $33,390.00 $18,364.50 45% off $13,356.00 $33,390.00 $33,390.00 2025-01-01
48100796 CDM Hc Trnscath Insrt Perm Ldless Pm Dual Chmbr R Atrl Compont 44 44 $36,079.00 $19,843.45 45% off $13,637.86 $36,079.00 $33,347.82 2025-01-01
48100797 CDM Hc Trnscath Insrt Perm Ldless Pm Dual Chmbr R Vent Compont 44 44 $36,079.00 $19,843.45 45% off $13,637.86 $36,079.00 $33,347.82 2025-01-01
101441 CDM Pump Centrimag Blood 1/ea 45 45 $35,700.00 $19,635.00 45% off $13,494.60 $35,700.00 $33,022.50 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 27 27 $77,541.27 $42,647.70 45% off $14,809.12 $112,181.72 $32,984.74 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 27 27 $75,617.21 $41,589.47 45% off $11,259.77 $111,342.48 $32,737.98 2025-01-01
Foot And Femur Without Cc/McC""" OTHER "Lower Extremity And Humerus Procedures Except Hip 18 1 — $66,545.58 $23,835.23 $41,205.42 $32,571.23 2025-01-01
074881 CDM Stimulator Bio Spine Spf+ 60/m 45 45 $32,281.20 $17,754.66 45% off $12,202.29 $32,281.20 $32,281.20 2025-01-01
1002803 CDM Component Femoral 60mm Right 360 Vanguard 1/ea 45 45 $32,262.68 $17,744.47 45% off $12,195.29 $32,262.68 $32,262.68 2025-01-01
J3101 HCPCS Tenecteplase 50 Mg IV Solr 45 45 $38,139.13 $20,976.52 45% off $7,873.50 $38,139.13 $32,189.43 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 27 $121,957.62 $67,076.69 45% off $10,742.76 $109,347.12 $32,151.29 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 28 28 $53,746.69 $29,560.68 45% off $8,500.65 $109,303.41 $32,138.43 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 27 27 $115,506.54 $63,528.60 45% off $11,439.70 $108,910.02 $32,022.77 2025-01-01
906 MS_DRG Hand Procedures For Injuries 21 21 $71,640.27 $39,402.15 45% off $6,805.66 $47,698.54 $31,881.83 2025-01-01
Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc""" OTHER "Ischemic Stroke 18 1 — $49,769.93 $22,514.14 $38,921.57 $31,698.18 2025-01-01
48110915 CDM Hc Insj Perm Ccm-d Sys Pg & Dual Transvns Eltrds/Lds 44 44 $34,229.00 $18,825.95 45% off $12,938.56 $34,229.00 $31,637.87 2025-01-01
194298 CDM Head Anatomic Radial 22.0 Left 1/ea 44 44 $31,571.40 $17,364.27 45% off $11,933.99 $31,571.40 $31,571.40 2025-01-01
796414 CDM Spacer Spinal Sz C 20mm Corpec Tomy 1/ea 44 44 $31,500.00 $17,325.00 45% off $12,600.00 $31,500.00 $31,500.00 2025-01-01
245 MS_DRG Aicd Generator Procedures 27 27 $124,894.82 $68,692.15 45% off $12,464.92 $106,801.01 $31,402.66 2025-01-01
J9223 HCPCS Lurbinectedin 4 Mg IV Solr 45 45 $39,124.11 $21,518.26 45% off $8,110.40 $39,124.11 $31,299.29 2025-01-01
471 MS_DRG Cervical Spinal Fusion With McC 27 27 $82,494.04 $45,371.72 45% off $15,929.07 $106,156.29 $31,213.09 2025-01-01
Male Reproductive System With McC""" OTHER "Malignancy 18 1 — $32,185.39 $21,856.75 $33,922.84 $31,210.10 2025-01-01
130840 CDM Mesh Strattice 16 X 20 Perfor 1/ea 43 43 $31,521.00 $17,336.55 45% off $11,914.94 $31,521.00 $31,205.79 2025-01-01
795440 CDM Cage Spinal 13mmx16mmx20-24mm Corpectomy W/screws Crvcl 45 45 $30,870.00 $16,978.50 45% off $11,668.86 $30,870.00 $30,870.00 2025-01-01
794629 CDM Assembly 42mm X 30mm X 20mm 12 Degree Cp 1/ea 45 45 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
796520 CDM Spacer 42mm X 30mm X 16mm 8deg Interbody Coverplate 1/ea 44 44 $30,750.93 $16,913.01 45% off $12,300.37 $30,750.93 $30,750.93 2025-01-01
795833 CDM Spacer Interbody 37x27x16mm 18 Degree 1/ea 45 45 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
795506 CDM Spacer Interbody 37x27x22mm 18 Degree 1/ea 45 45 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
792482 CDM Spacer 37 X 27 X 18mm 8 Deg 1/ea 44 44 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
795507 CDM Spacer Interbody 32x23x18mm 8 Degree 1/ea 45 45 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
795834 CDM Spacer Interbody 37x27x18mm 18 Degree 1/ea 45 45 $30,750.93 $16,913.01 45% off $11,623.85 $30,750.93 $30,750.93 2025-01-01
796268 CDM Spacer Interbody 32x23x16mm 12 Degree 1/ea 44 44 $30,750.93 $16,913.01 45% off $12,300.37 $30,750.93 $30,750.93 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 25 $184,907.19 $101,698.95 45% off $12,066.88 $104,368.55 $30,687.44 2025-01-01
Subcutaneous Tissue And Breast Procedures With Cc""" OTHER "Other Skin 18 1 — $40,052.59 $22,414.27 $37,398.12 $30,629.47 2025-01-01
27800104 CDM Hc Wavelinq Endoavf System 44 44 $30,723.00 $16,897.65 45% off $11,613.29 $30,723.00 $30,569.39 2025-01-01
794208 CDM Body X-small Proximal +12.5 Cap 1/ea 45 45 $30,424.80 $16,733.64 45% off $11,500.57 $30,424.80 $30,424.80 2025-01-01
Cranial Nerve And Other Nervous System Procedures Without Cc/McC""" OTHER "Peripheral 18 1 — $39,931.33 $22,219.58 $37,175.28 $30,363.42 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 27 27 $69,882.76 $38,435.52 45% off $9,091.10 $105,052.61 $30,319.46 2025-01-01
795892 CDM Spacer Tas Lrg 12mmx36mmx24mm Nanolock Surface Anterior Fsn 45 45 $30,240.00 $16,632.00 45% off $11,430.72 $30,240.00 $30,240.00 2025-01-01
1002228 CDM Spacer Nano 7 Deg 12mm Tas Standard 1/ea 44 44 $30,240.00 $16,632.00 45% off $11,430.72 $30,240.00 $30,240.00 2025-01-01
795893 CDM Device Tas Lrg 11mmx36mmx24mm Nanolock Surface Anterior Fsn 45 45 $30,240.00 $16,632.00 45% off $11,430.72 $30,240.00 $30,240.00 2025-01-01
796601 CDM Spacer Spinal Xl 13mm 40x27mm 1/ea 44 44 $30,240.00 $16,632.00 45% off $12,096.00 $30,240.00 $30,240.00 2025-01-01
1000082 CDM Spacer Spinal 7 Deg 12mm 40mm X 27mm X-large 1/ea 45 45 $30,240.00 $16,632.00 45% off $11,430.72 $30,240.00 $30,240.00 2025-01-01
796146 CDM Spacer Spinal 13mm 12 Degree Interbody Lumbar 1/ea 45 45 $30,240.00 $16,632.00 45% off $11,430.72 $30,240.00 $30,240.00 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 24 24 $190,945.21 $105,019.87 45% off $28,554.09 $102,821.22 $30,232.48 2025-01-01
J9023 HCPCS Avelumab 20 Mg/ml IV Soln 45 45 $37,733.07 $20,753.19 45% off $7,578.40 $37,733.07 $30,186.46 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 27 27 $41,013.14 $22,557.23 45% off $8,120.96 $102,270.47 $30,070.54 2025-01-01
130388 CDM Valve Aortic Tissue 27mm Magna Base 1/ea 45 45 $30,030.00 $16,516.50 45% off $11,351.34 $30,030.00 $30,030.00 2025-01-01
130390 CDM Valve Aortic Tissue 23mm Magna Base 1/ea 45 45 $30,030.00 $16,516.50 45% off $11,351.34 $30,030.00 $30,030.00 2025-01-01
130391 CDM Valve Aortic Tissue 21mm Magna Base 1/ea 45 45 $30,030.00 $16,516.50 45% off $11,351.34 $30,030.00 $30,030.00 2025-01-01
090874 CDM Valve Mitral Tfx 27mm Perimnt Magna Mitral Ease 1/ea 45 45 $30,030.00 $16,516.50 45% off $11,351.34 $30,030.00 $30,030.00 2025-01-01
795622 CDM Graft Tissue Distal Tibial Rig Ht Fresh 1/ea 45 45 $29,983.80 $16,491.09 45% off $11,333.88 $29,983.80 $29,983.80 2025-01-01
182060 CDM Tray Dep Cemented Revision Sz2 45 45 $29,981.70 $16,489.93 45% off $11,333.08 $29,981.70 $29,981.70 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 27 27 $56,843.74 $31,264.06 45% off $8,690.85 $103,601.44 $29,900.64 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 27 27 $112,540.54 $61,897.30 45% off $26,119.56 $101,667.27 $29,893.18 2025-01-01
099437 CDM Kit Infuse Bone Graft Large Ii 1/ea 45 45 $29,841.00 $16,412.55 45% off $11,279.90 $29,841.00 $29,841.00 2025-01-01
183287 CDM Tray Dep Tibial Sz 2 25mm 44 44 $29,981.70 $16,489.93 45% off $11,333.08 $29,981.70 $29,831.79 2025-01-01
183290 CDM Tray Dep Tibial Rev Sz4 25mm 44 44 $29,981.70 $16,489.93 45% off $11,333.08 $29,981.70 $29,831.79 2025-01-01
790185 CDM Tray Tibial Revison 3-25mm 1/ea 44 44 $29,981.70 $16,489.93 45% off $11,333.08 $29,981.70 $29,831.79 2025-01-01
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