|
22126415
|
CDM
|
Zolgensma 13.1-13.5 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126385
|
CDM
|
Zolgensma 11.6-12.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126351
|
CDM
|
Zolgensma 10.1-10.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126202
|
CDM
|
Zolgensma 3.6-4.0 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126342
|
CDM
|
Zolgensma 9.6-10.0 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126261
|
CDM
|
Zolgensma 5.6-6.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126300
|
CDM
|
Zolgensma 7.6-8.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126211
|
CDM
|
Zolgensma 2.6-3.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126334
|
CDM
|
Zolgensma 9.1-9.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126393
|
CDM
|
Zolgensma 12.1-12.5 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126377
|
CDM
|
Zolgensma 11.1-11.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126326
|
CDM
|
Zolgensma 8.6-9.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126288
|
CDM
|
Zolgensma 6.6-7.0 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126407
|
CDM
|
Zolgensma 12.6-13.0 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126270
|
CDM
|
Zolgensma 6.1-6.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126296
|
CDM
|
Zolgensma 7.1-7.5 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126237
|
CDM
|
Zolgensma 4.1-4.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126369
|
CDM
|
Zolgensma 10.6-11.0 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126253
|
CDM
|
Zolgensma 5.1-5.5 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$75.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126229
|
CDM
|
Zolgensma 3.1-3.5 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126318
|
CDM
|
Zolgensma 8.1-8.5 Kg Kit
|
230
|
108
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22126245
|
CDM
|
Zolgensma 4.6-5.0 Kg Kit
|
229
|
107
|
$2,188,750.00
|
$787,950.00
64% off
|
$49.00
|
$2,495,175.00
|
$1,225,700.00
|
2026-01-01
|
|
22124081
|
CDM
|
Inj Onase Abepar-xioi Treat
|
229
|
107
|
$2,125,000.00
|
$765,000.00
64% off
|
$75.00
|
$2,422,500.00
|
$1,190,000.00
|
2026-01-01
|
|
47884837
|
CDM
|
Icd Defib Crt Quad Cd3365-40c
|
233
|
107
|
$654,697.00
|
$235,690.92
64% off
|
$75.00
|
$746,354.58
|
$314,254.56
|
2026-01-01
|
|
31548268
|
CDM
|
Icd Defib Crt Quad Cd3365-40c
|
234
|
108
|
$654,697.00
|
$235,690.92
64% off
|
$75.00
|
$746,354.58
|
$310,981.08
|
2026-01-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
27
|
27
|
—
|
—
|
$6,150.00
|
$490,283.69
|
$272,379.83
|
2026-01-01
|
|
31560632
|
CDM
|
Icd Defib Gallant Dr
|
234
|
108
|
$504,503.25
|
$181,621.17
64% off
|
$49.00
|
$575,133.70
|
$237,116.53
|
2026-01-01
|
|
31547555
|
CDM
|
Icd Fortify Assura Dr 40 Df4
|
234
|
108
|
$477,871.75
|
$172,033.83
64% off
|
$75.00
|
$544,773.80
|
$226,989.08
|
2026-01-01
|
|
31548284
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36q
|
233
|
107
|
$477,871.75
|
$172,033.83
64% off
|
$49.00
|
$544,773.80
|
$224,599.72
|
2026-01-01
|
|
47883326
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36q
|
233
|
107
|
$477,871.75
|
$172,033.83
64% off
|
$75.00
|
$544,773.80
|
$224,599.72
|
2026-01-01
|
|
47884527
|
CDM
|
Icd Fortify Assura Dr 40 Df4
|
233
|
107
|
$477,871.75
|
$172,033.83
64% off
|
$75.00
|
$544,773.80
|
$224,599.72
|
2026-01-01
|
|
31547547
|
CDM
|
Icd Ellps Dr Coated Cd2411-36c
|
233
|
107
|
$477,870.75
|
$172,033.47
64% off
|
$49.00
|
$544,772.66
|
$224,599.25
|
2026-01-01
|
|
47904528
|
CDM
|
Icd Quadra Assura Crt-d
|
233
|
107
|
$476,549.75
|
$171,557.91
64% off
|
$49.00
|
$543,266.71
|
$223,978.38
|
2026-01-01
|
|
3215911
|
CDM
|
Defib Fortify Vr Single Ch
|
234
|
108
|
$445,415.50
|
$160,349.58
64% off
|
$75.00
|
$507,773.67
|
$209,345.29
|
2026-01-01
|
|
44415101
|
CDM
|
Defib Fortify Vr Single Ch
|
233
|
107
|
$445,415.50
|
$160,349.58
64% off
|
$49.00
|
$507,773.67
|
$209,345.29
|
2026-01-01
|
|
47884845
|
CDM
|
Icd Fortify Assura Vr-40 Df4
|
234
|
108
|
$413,273.75
|
$148,778.55
64% off
|
$75.00
|
$471,132.08
|
$198,371.40
|
2026-01-01
|
|
27647243
|
CDM
|
Kit Pump Hvad 1103
|
233
|
107
|
$417,376.25
|
$150,255.45
64% off
|
$49.00
|
$475,808.92
|
$196,166.84
|
2026-01-01
|
|
47903564
|
CDM
|
Icd Defib Gallant Dr
|
233
|
107
|
$413,527.25
|
$148,869.81
64% off
|
$75.00
|
$471,421.07
|
$194,357.81
|
2026-01-01
|
|
31548276
|
CDM
|
Icd Fortify Assura Vr-40 Df4
|
234
|
108
|
$413,273.75
|
$148,778.55
64% off
|
$49.00
|
$471,132.08
|
$194,238.66
|
2026-01-01
|
|
31564221
|
CDM
|
Icd Defib Cd335740c
|
234
|
108
|
$405,325.50
|
$145,917.18
64% off
|
$49.00
|
$462,071.07
|
$190,502.98
|
2026-01-01
|
|
47883385
|
CDM
|
Defib Crt Compia MRI Df1 Conn
|
233
|
107
|
$404,365.00
|
$145,571.40
64% off
|
$75.00
|
$460,976.10
|
$190,051.55
|
2026-01-01
|
|
31549451
|
CDM
|
Icd Def Compia MRI Crt-d Df-1
|
233
|
107
|
$404,365.00
|
$145,571.40
64% off
|
$49.00
|
$460,976.10
|
$190,051.55
|
2026-01-01
|
|
47884985
|
CDM
|
Icd Def Compia MRI Quad Crt-d
|
234
|
108
|
$397,029.75
|
$142,930.71
64% off
|
$75.00
|
$452,613.91
|
$186,603.98
|
2026-01-01
|
|
31547563
|
CDM
|
Defib Crt Compia MRI Quad Crt
|
233
|
107
|
$404,365.00
|
$145,571.40
64% off
|
$49.00
|
$460,976.10
|
$186,007.90
|
2026-01-01
|
|
47867169
|
CDM
|
Defib Energen Crtd-d N140
|
234
|
108
|
$388,439.25
|
$139,838.13
64% off
|
$49.00
|
$442,820.74
|
$182,566.45
|
2026-01-01
|
|
87000702
|
CDM
|
Orgn Acq Cost/sac-heart Equip
|
226
|
107
|
$294,360.00
|
$105,969.60
64% off
|
$75.00
|
$335,570.40
|
$179,559.60
|
2026-01-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
41
|
34
|
—
|
—
|
$6,150.00
|
$318,174.39
|
$176,763.55
|
2026-01-01
|
|
47897343
|
CDM
|
Icd Defib Vigilant X4 MRI Crt-
|
234
|
108
|
$367,382.75
|
$132,257.79
64% off
|
$75.00
|
$418,816.34
|
$176,343.72
|
2026-01-01
|
|
29644969
|
CDM
|
Icd Quadra Assura Crt-d
|
233
|
107
|
$372,700.50
|
$134,172.18
64% off
|
$49.00
|
$424,878.57
|
$175,169.23
|
2026-01-01
|
|
29644942
|
CDM
|
Icd Quadra Assura Crt-d
|
234
|
108
|
$368,669.25
|
$132,720.93
64% off
|
$75.00
|
$420,282.95
|
$175,117.89
|
2026-01-01
|
|
29644934
|
CDM
|
Icd Defib Cd336540q
|
233
|
107
|
$364,597.25
|
$131,255.01
64% off
|
$75.00
|
$415,640.86
|
$175,006.68
|
2026-01-01
|
|
31547598
|
CDM
|
Icd Defib Dynagen X4 G158
|
234
|
108
|
$368,731.75
|
$132,743.43
64% off
|
$49.00
|
$420,354.20
|
$173,303.92
|
2026-01-01
|
|
29644951
|
CDM
|
Icd Quadra Assura Crt-d
|
234
|
108
|
$368,669.25
|
$132,720.93
64% off
|
$75.00
|
$420,282.95
|
$173,274.55
|
2026-01-01
|
|
29644900
|
CDM
|
Cell Defib Tele Qdr Assura 40j
|
234
|
108
|
$364,597.25
|
$131,255.01
64% off
|
$75.00
|
$415,640.86
|
$173,183.70
|
2026-01-01
|
|
31557364
|
CDM
|
Icd Defib Vigilant X4 MRI Crt-
|
233
|
107
|
$367,382.75
|
$132,257.79
64% off
|
$75.00
|
$418,816.34
|
$172,669.89
|
2026-01-01
|
|
47886856
|
CDM
|
Icd Defib Dynagen Crt-d G156
|
234
|
108
|
$360,984.75
|
$129,954.51
64% off
|
$49.00
|
$411,522.61
|
$169,662.83
|
2026-01-01
|
|
29644918
|
CDM
|
Icd Defib Cd336540q
|
233
|
107
|
$360,566.25
|
$129,803.85
64% off
|
$75.00
|
$411,045.53
|
$169,466.14
|
2026-01-01
|
|
29644896
|
CDM
|
Icd Defib Crt Quad Cd3365-40c
|
233
|
107
|
$360,566.25
|
$129,803.85
64% off
|
$75.00
|
$411,045.53
|
$169,466.14
|
2026-01-01
|
|
47884721
|
CDM
|
Icd Fortify Vr Cd1231-40q
|
234
|
108
|
$355,984.50
|
$128,154.42
64% off
|
$75.00
|
$405,822.33
|
$169,092.64
|
2026-01-01
|
|
27681654
|
CDM
|
Kt Impl L Vad Heartmate 3
|
234
|
108
|
$353,734.50
|
$127,344.42
64% off
|
$49.00
|
$403,257.33
|
$168,023.89
|
2026-01-01
|
|
31548187
|
CDM
|
Icd Fortify Vr Cd1231-40q
|
233
|
107
|
$355,984.50
|
$128,154.42
64% off
|
$49.00
|
$405,822.33
|
$167,312.71
|
2026-01-01
|
|
47884900
|
CDM
|
Icd Inogen X4 Crt-d G148
|
233
|
107
|
$354,788.00
|
$127,723.68
64% off
|
$75.00
|
$404,458.32
|
$166,750.36
|
2026-01-01
|
|
31554888
|
CDM
|
Icd Def Amplia MRI Quad Crt-d
|
233
|
107
|
$354,034.75
|
$127,452.51
64% off
|
$49.00
|
$403,599.61
|
$166,396.33
|
2026-01-01
|
|
3215903
|
CDM
|
Defib Consulta Crt-d D224trk
|
234
|
108
|
$346,097.00
|
$124,594.92
64% off
|
$75.00
|
$394,550.58
|
$166,126.56
|
2026-01-01
|
|
29638969
|
CDM
|
Icd Fortify Assura Dr 40 Df4
|
234
|
108
|
$352,670.75
|
$126,961.47
64% off
|
$49.00
|
$402,044.66
|
$165,755.25
|
2026-01-01
|
|
47893267
|
CDM
|
Defib Impl W/rf Tele 1 Chmb
|
233
|
107
|
$350,422.00
|
$126,151.92
64% off
|
$75.00
|
$399,481.08
|
$164,698.34
|
2026-01-01
|
|
31548357
|
CDM
|
Icd Inogen X4 Crt-d G148
|
233
|
107
|
$354,788.00
|
$127,723.68
64% off
|
$49.00
|
$404,458.32
|
$163,202.48
|
2026-01-01
|
|
44415097
|
CDM
|
Defib Consulta Crt-d D224trk
|
234
|
108
|
$346,097.00
|
$124,594.92
64% off
|
$49.00
|
$394,550.58
|
$162,665.59
|
2026-01-01
|
|
31543312
|
CDM
|
Icd Viva Quad S Dtbb1qq
|
233
|
107
|
$339,452.75
|
$122,202.99
64% off
|
$49.00
|
$386,976.14
|
$159,542.79
|
2026-01-01
|
|
27697810
|
CDM
|
Precice Nail 8.5mmx245mm
|
233
|
107
|
$331,373.25
|
$119,294.37
64% off
|
$49.00
|
$377,765.51
|
$155,745.43
|
2026-01-01
|
|
47883393
|
CDM
|
Icd Viva Quad Xt Dtba1qq
|
234
|
108
|
$321,478.25
|
$115,732.17
64% off
|
$75.00
|
$366,485.21
|
$154,309.56
|
2026-01-01
|
|
47884951
|
CDM
|
S-icd Defib Emblem A209
|
233
|
107
|
$327,055.00
|
$117,739.80
64% off
|
$75.00
|
$372,842.70
|
$153,715.85
|
2026-01-01
|
|
31548403
|
CDM
|
S-icd Defib Emblem A209
|
233
|
107
|
$327,055.00
|
$117,739.80
64% off
|
$75.00
|
$372,842.70
|
$153,715.85
|
2026-01-01
|
|
31548241
|
CDM
|
Icd Energen Crt-d N141
|
233
|
107
|
$319,154.00
|
$114,895.44
64% off
|
$75.00
|
$363,835.56
|
$153,193.92
|
2026-01-01
|
|
31564085
|
CDM
|
Icd Defib Momentum MRI Crt-d
|
233
|
107
|
$325,133.75
|
$117,048.15
64% off
|
$75.00
|
$370,652.47
|
$152,812.86
|
2026-01-01
|
|
47457947
|
CDM
|
Insert Subq Defib Pls Gen
|
191
|
106
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$152,572.80
|
2026-01-01
|
|
3221806
|
CDM
|
Heartmate Ii Custom Kit
|
227
|
108
|
$249,539.25
|
$89,834.13
64% off
|
$75.00
|
$284,474.74
|
$152,218.94
|
2026-01-01
|
|
47884802
|
CDM
|
Icd Energen Crt-d N141
|
234
|
108
|
$319,154.00
|
$114,895.44
64% off
|
$75.00
|
$363,835.56
|
$151,598.15
|
2026-01-01
|
|
47457921
|
CDM
|
Insert Subq Defib W/eltrd
|
190
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$151,467.20
|
2026-01-01
|
|
47241553
|
CDM
|
Insert Subq Defib Pls Gen
|
194
|
106
|
$221,120.00
|
$79,603.20
64% off
|
$49.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
47241537
|
CDM
|
Insert Subq Defib W/eltrd
|
193
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
30738870
|
CDM
|
Insert Subq Defib W/eltrd
|
193
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
56601953
|
CDM
|
Insert Subq Defib Pls Gen
|
193
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
30738896
|
CDM
|
Insert Subq Defib Pls Gen
|
193
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
56601961
|
CDM
|
Insert Subq Defib W/eltrd
|
193
|
105
|
$221,120.00
|
$79,603.20
64% off
|
$75.00
|
$252,076.80
|
$150,361.60
|
2026-01-01
|
|
3459195
|
CDM
|
Cath Foley Tray 18f 5cc
|
226
|
107
|
$247,500.00
|
$89,100.00
64% off
|
$49.00
|
$282,150.00
|
$149,737.50
|
2026-01-01
|
|
47884756
|
CDM
|
Icd Viva Quad S Dtbb1qq
|
234
|
108
|
$317,605.00
|
$114,337.80
64% off
|
$49.00
|
$362,069.70
|
$149,274.35
|
2026-01-01
|
|
29644870
|
CDM
|
Icd Defib Unify Assura Crt
|
233
|
107
|
$317,599.50
|
$114,335.82
64% off
|
$49.00
|
$362,063.43
|
$149,271.77
|
2026-01-01
|
|
47886139
|
CDM
|
Icd Viva Xt Crt-d Dtba1d1
|
234
|
108
|
$313,731.50
|
$112,943.34
64% off
|
$75.00
|
$357,653.91
|
$149,022.46
|
2026-01-01
|
|
31548314
|
CDM
|
Icd Viva S Crt-d Dtbb1d1
|
234
|
108
|
$309,858.25
|
$111,548.97
64% off
|
$75.00
|
$353,238.41
|
$148,731.96
|
2026-01-01
|
|
87000036
|
CDM
|
Orgn Acq Cost/sac Kidney-cadav
|
226
|
107
|
$243,210.00
|
$87,555.60
64% off
|
$75.00
|
$277,259.40
|
$148,358.10
|
2026-01-01
|
|
47886147
|
CDM
|
Icd Viva Xt Crt-d Dtba1d4
|
234
|
108
|
$313,731.50
|
$112,943.34
64% off
|
$49.00
|
$357,653.91
|
$147,453.80
|
2026-01-01
|
|
29644888
|
CDM
|
Icd Defib Crt Unify Cd3357-40q
|
234
|
108
|
$313,568.50
|
$112,884.66
64% off
|
$49.00
|
$357,468.09
|
$147,377.20
|
2026-01-01
|
|
29638624
|
CDM
|
Crtd Unify Assra Ctd Cd335740c
|
234
|
108
|
$313,568.25
|
$112,884.57
64% off
|
$49.00
|
$357,467.80
|
$147,377.08
|
2026-01-01
|
|
3217779
|
CDM
|
Gen Protecta Icd Xt Dr
|
233
|
107
|
$312,957.75
|
$112,664.79
64% off
|
$49.00
|
$356,771.84
|
$147,090.14
|
2026-01-01
|
|
29640572
|
CDM
|
Icd Ellipse Dr 36 2-chm Is-1
|
233
|
107
|
$312,904.50
|
$112,645.62
64% off
|
$75.00
|
$356,711.13
|
$147,065.11
|
2026-01-01
|
|
29637041
|
CDM
|
Icd Ellipse Dr 36 2-chm Is-1
|
234
|
108
|
$312,904.50
|
$112,645.62
64% off
|
$75.00
|
$356,711.13
|
$147,065.11
|
2026-01-01
|
|
0100T
|
OTHER
|
Prosth Retina Receive&gen
|
6
|
5
|
—
|
—
|
$3,129.51
|
$178,425.59
|
$146,400.48
|
2026-01-01
|
|
47884799
|
CDM
|
Icd Energen Crt-d N140
|
233
|
107
|
$310,447.00
|
$111,760.92
64% off
|
$75.00
|
$353,909.58
|
$145,910.09
|
2026-01-01
|
|
31548233
|
CDM
|
Icd Energen Crt-d N140
|
234
|
108
|
$310,447.00
|
$111,760.92
64% off
|
$49.00
|
$353,909.58
|
$145,910.09
|
2026-01-01
|
|
44416964
|
CDM
|
Gen Protecta Icd Xt Dr
|
234
|
108
|
$312,957.75
|
$112,664.79
64% off
|
$49.00
|
$356,771.84
|
$145,525.36
|
2026-01-01
|
|
47903114
|
CDM
|
Icd Cobalt Xt Hf Qd Crt-d Df4
|
234
|
108
|
$308,465.25
|
$111,047.49
64% off
|
$49.00
|
$351,650.39
|
$144,978.67
|
2026-01-01
|
|
31560837
|
CDM
|
Icd Cobalt Xt Hf Qd Crt-d Df4
|
234
|
108
|
$308,465.25
|
$111,047.49
64% off
|
$75.00
|
$351,650.39
|
$144,978.67
|
2026-01-01
|
|
31564425
|
CDM
|
Icd Defib Cobalt Xt Hf Crt-d D
|
233
|
107
|
$308,465.25
|
$111,047.49
64% off
|
$49.00
|
$351,650.39
|
$144,978.67
|
2026-01-01
|
|
47886040
|
CDM
|
Icd Defb Dynagen El Vr D150
|
233
|
107
|
$307,534.75
|
$110,712.51
64% off
|
$75.00
|
$350,589.61
|
$144,541.33
|
2026-01-01
|
|
31557747
|
CDM
|
Icd Defib Dynagen Crt-d
|
234
|
108
|
$306,085.50
|
$110,190.78
64% off
|
$49.00
|
$348,937.47
|
$143,860.18
|
2026-01-01
|
|
31549434
|
CDM
|
Icd Protecta Xt Crt-d D314trm
|
234
|
108
|
$302,112.50
|
$108,760.50
64% off
|
$75.00
|
$344,408.25
|
$143,503.44
|
2026-01-01
|
|
29648450
|
CDM
|
Icd Defib Gallant Dr
|
234
|
108
|
$304,679.00
|
$109,684.44
64% off
|
$49.00
|
$347,334.06
|
$143,199.13
|
2026-01-01
|
|
47886058
|
CDM
|
Icd Defb Dynagen El Dr D152
|
234
|
108
|
$307,534.75
|
$110,712.51
64% off
|
$49.00
|
$350,589.61
|
$143,003.65
|
2026-01-01
|
|
47884934
|
CDM
|
Icd Defib Inogen El Dr
|
233
|
107
|
$303,661.75
|
$109,318.23
64% off
|
$75.00
|
$346,174.40
|
$142,721.02
|
2026-01-01
|
|
31564417
|
CDM
|
Icd Defib Cobalt Xt Hf Crt-d D
|
234
|
108
|
$296,420.00
|
$106,711.20
64% off
|
$75.00
|
$337,918.80
|
$142,281.60
|
2026-01-01
|
|
31549442
|
CDM
|
Icd Protecta Xt Crt-d D314trg
|
233
|
107
|
$302,112.50
|
$108,760.50
64% off
|
$49.00
|
$344,408.25
|
$141,992.88
|
2026-01-01
|
|
47885914
|
CDM
|
Icd Protecta Xt Crt-d D314trg
|
233
|
107
|
$302,112.50
|
$108,760.50
64% off
|
$49.00
|
$344,408.25
|
$141,992.88
|
2026-01-01
|
|
47885906
|
CDM
|
Icd Protecta Xt Crt-d D314trm
|
233
|
107
|
$302,112.50
|
$108,760.50
64% off
|
$75.00
|
$344,408.25
|
$141,992.88
|
2026-01-01
|
|
47839386
|
CDM
|
Defib Teligen Dr
|
233
|
107
|
$308,358.50
|
$111,009.06
64% off
|
$49.00
|
$351,528.69
|
$141,844.91
|
2026-01-01
|
|
29641307
|
CDM
|
Icd Defib Ellipse Vr-36 Df4
|
234
|
108
|
$298,285.75
|
$107,382.87
64% off
|
$75.00
|
$340,045.76
|
$141,685.73
|
2026-01-01
|
|
31548381
|
CDM
|
Icd Defib Inogen El Dr
|
234
|
108
|
$303,661.75
|
$109,318.23
64% off
|
$49.00
|
$346,174.40
|
$141,202.71
|
2026-01-01
|
|
44415119
|
CDM
|
Defib Secura Dr D224drg
|
233
|
107
|
$300,072.50
|
$108,026.10
64% off
|
$49.00
|
$342,082.65
|
$141,034.08
|
2026-01-01
|
|
3215920
|
CDM
|
Defib Secura Dr D224drg
|
233
|
107
|
$300,072.50
|
$108,026.10
64% off
|
$75.00
|
$342,082.65
|
$141,034.08
|
2026-01-01
|
|
31564409
|
CDM
|
Icd Defib Cobalt Xt Hf Crt-d D
|
234
|
108
|
$296,420.00
|
$106,711.20
64% off
|
$75.00
|
$337,918.80
|
$140,799.50
|
2026-01-01
|
|
31552451
|
CDM
|
Icd Viva Xt Crt-d Dtba1d4
|
234
|
108
|
$297,941.25
|
$107,258.85
64% off
|
$49.00
|
$339,653.03
|
$140,032.39
|
2026-01-01
|
|
47884926
|
CDM
|
Icd Defib Inogen El Vr
|
234
|
108
|
$292,041.75
|
$105,135.03
64% off
|
$75.00
|
$332,927.59
|
$138,719.83
|
2026-01-01
|
|
31548047
|
CDM
|
Icd MRI Evera S Dr
|
234
|
108
|
$290,492.25
|
$104,577.21
64% off
|
$49.00
|
$331,161.16
|
$137,983.82
|
2026-01-01
|
|
31548373
|
CDM
|
Icd Defib Inogen El Vr
|
233
|
107
|
$292,041.75
|
$105,135.03
64% off
|
$75.00
|
$332,927.59
|
$137,259.62
|
2026-01-01
|
|
31549426
|
CDM
|
Icd Consulta Bivent Crt-d
|
233
|
107
|
$291,267.00
|
$104,856.12
64% off
|
$75.00
|
$332,044.38
|
$136,895.49
|
2026-01-01
|
|
47885892
|
CDM
|
Icd Consulta Bivent Crt-d
|
234
|
108
|
$291,267.00
|
$104,856.12
64% off
|
$49.00
|
$332,044.38
|
$136,895.49
|
2026-01-01
|
|
31549418
|
CDM
|
Icd MRI Evera S Dr
|
233
|
107
|
$290,492.25
|
$104,577.21
64% off
|
$49.00
|
$331,161.16
|
$136,531.36
|
2026-01-01
|
|
44543508
|
CDM
|
Implant Cochlear W/slim Elect
|
194
|
105
|
$208,224.50
|
$74,960.82
64% off
|
$75.00
|
$237,375.93
|
$136,387.05
|
2026-01-01
|
|
47884993
|
CDM
|
Icd MRI Evera S Dr
|
234
|
108
|
$285,222.75
|
$102,680.19
64% off
|
$75.00
|
$325,153.93
|
$135,480.80
|
2026-01-01
|
|
3215938
|
CDM
|
Defib Virtuoso Ii Dr D274d
|
234
|
108
|
$287,187.25
|
$103,387.41
64% off
|
$49.00
|
$327,393.47
|
$134,978.01
|
2026-01-01
|
|
44415127
|
CDM
|
Defib Virtuoso Ii Dr D274d
|
234
|
108
|
$287,187.25
|
$103,387.41
64% off
|
$49.00
|
$327,393.47
|
$134,978.01
|
2026-01-01
|
|
47886121
|
CDM
|
Icd Defib MRI Visia Af Dvfc3d4
|
234
|
108
|
$286,619.75
|
$103,183.11
64% off
|
$49.00
|
$326,746.52
|
$134,711.28
|
2026-01-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
29
|
27
|
—
|
—
|
$6,150.00
|
$242,406.74
|
$134,670.41
|
2026-01-01
|
|
47884977
|
CDM
|
Icd MRI Evera S Dr
|
234
|
108
|
$285,222.75
|
$102,680.19
64% off
|
$49.00
|
$325,153.93
|
$134,054.69
|
2026-01-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
29
|
27
|
—
|
—
|
$6,150.00
|
$240,984.13
|
$133,880.07
|
2026-01-01
|
|
87000028
|
CDM
|
Orgn Acq Cost/sac Kidney-live
|
227
|
108
|
$219,340.00
|
$78,962.40
64% off
|
$75.00
|
$250,047.60
|
$133,797.40
|
2026-01-01
|
|
47900964
|
CDM
|
Gentr Pulse Impl Cardioverter
|
234
|
108
|
$282,725.25
|
$101,781.09
64% off
|
$49.00
|
$322,306.78
|
$132,880.87
|
2026-01-01
|
|
31564352
|
CDM
|
Icd Defib Ellipse Vr-36 Df4
|
234
|
108
|
$279,399.50
|
$100,583.82
64% off
|
$49.00
|
$318,515.43
|
$132,714.77
|
2026-01-01
|
|
27546391
|
CDM
|
Ci-1600-04 Ultra Ci Hifocus Ms
|
195
|
106
|
$197,262.00
|
$71,014.32
64% off
|
$75.00
|
$224,878.68
|
$132,165.54
|
2026-01-01
|
|
27435891
|
CDM
|
Defib Fortify Vr Single Ch
|
234
|
108
|
$278,207.50
|
$100,154.70
64% off
|
$49.00
|
$317,156.55
|
$132,148.56
|
2026-01-01
|
|
47900387
|
CDM
|
Icd Defib Dynagen Crt-d G154
|
233
|
107
|
$280,488.75
|
$100,975.95
64% off
|
$75.00
|
$319,757.17
|
$131,829.71
|
2026-01-01
|
|
47457963
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
189
|
105
|
$190,947.75
|
$68,741.19
64% off
|
$75.00
|
$217,680.43
|
$131,753.95
|
2026-01-01
|
|
3332594
|
CDM
|
Implant Cochlear W/slim Elect
|
194
|
105
|
$208,224.50
|
$74,960.82
64% off
|
$49.00
|
$237,375.93
|
$131,181.43
|
2026-01-01
|
|
47885876
|
CDM
|
Icd Defib Evera Xt Gold Dr Ddb
|
234
|
108
|
$274,999.50
|
$98,999.82
64% off
|
$75.00
|
$313,499.43
|
$130,624.76
|
2026-01-01
|
|
47241570
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
193
|
105
|
$190,947.75
|
$68,741.19
64% off
|
$75.00
|
$217,680.43
|
$129,844.47
|
2026-01-01
|
|
30738918
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
194
|
106
|
$190,947.75
|
$68,741.19
64% off
|
$75.00
|
$217,680.43
|
$129,844.47
|
2026-01-01
|
|
56602470
|
CDM
|
Rmvl & Replc Subq Pls Gen
|
194
|
106
|
$190,947.75
|
$68,741.19
64% off
|
$75.00
|
$217,680.43
|
$129,844.47
|
2026-01-01
|
|
31548292
|
CDM
|
Icd Defib Evera Xt Dr Ddbb1d4
|
234
|
108
|
$274,999.50
|
$98,999.82
64% off
|
$49.00
|
$313,499.43
|
$129,249.76
|
2026-01-01
|
|
31549400
|
CDM
|
Icd Defib Evera Xt Gold Dr Ddb
|
233
|
107
|
$274,999.50
|
$98,999.82
64% off
|
$49.00
|
$313,499.43
|
$129,249.76
|
2026-01-01
|
|
47884853
|
CDM
|
Icd Defib Evera Xt Dr Ddbb1d4
|
234
|
108
|
$274,999.50
|
$98,999.82
64% off
|
$49.00
|
$313,499.43
|
$129,249.76
|
2026-01-01
|
|
27619142
|
CDM
|
Ci-1600-05 Ultra Hires Slimj
|
194
|
105
|
$197,262.00
|
$71,014.32
64% off
|
$75.00
|
$224,878.68
|
$129,206.61
|
2026-01-01
|
|
44421925
|
CDM
|
Impl Cochl Proc Ext Nucle
|
195
|
106
|
$203,975.50
|
$73,431.18
64% off
|
$49.00
|
$232,532.07
|
$128,504.57
|
2026-01-01
|
|
3222730
|
CDM
|
Impl Cochl Proc Ext Nucle
|
195
|
106
|
$203,975.50
|
$73,431.18
64% off
|
$49.00
|
$232,532.07
|
$128,504.57
|
2026-01-01
|
|
31552443
|
CDM
|
Icd Defib MRI Visia Af Dvfc3d4
|
233
|
107
|
$272,193.00
|
$97,989.48
64% off
|
$75.00
|
$310,300.02
|
$127,930.71
|
2026-01-01
|
|
31548683
|
CDM
|
Cath Impella Vent Cp 4lt/m 14f
|
227
|
108
|
$209,154.50
|
$75,295.62
64% off
|
$75.00
|
$238,436.13
|
$127,584.24
|
2026-01-01
|
|
47887437
|
CDM
|
Icd Defib Evera S Dr Ddbc3d4
|
234
|
108
|
$271,126.50
|
$97,605.54
64% off
|
$75.00
|
$309,084.21
|
$127,429.46
|
2026-01-01
|
|
47884781
|
CDM
|
Icd Energen Vr E140
|
233
|
107
|
$271,126.50
|
$97,605.54
64% off
|
$75.00
|
$309,084.21
|
$127,429.46
|
2026-01-01
|
|
31550955
|
CDM
|
Icd Defib Evera S Dr Ddbc3d4
|
233
|
107
|
$271,126.50
|
$97,605.54
64% off
|
$49.00
|
$309,084.21
|
$127,429.46
|
2026-01-01
|
|
31548322
|
CDM
|
Icd Defib Evera S Dr Ddbc3d1
|
234
|
108
|
$271,126.50
|
$97,605.54
64% off
|
$49.00
|
$309,084.21
|
$127,429.46
|
2026-01-01
|
|
31544408
|
CDM
|
Icd Energen Vr E140
|
233
|
107
|
$271,126.50
|
$97,605.54
64% off
|
$49.00
|
$309,084.21
|
$127,429.46
|
2026-01-01
|
|
47873428
|
CDM
|
Icd Defib Incepta Dr He Df4
|
233
|
107
|
$276,811.00
|
$99,651.96
64% off
|
$49.00
|
$315,564.54
|
$127,333.06
|
2026-01-01
|
|
44544628
|
CDM
|
3662 Sjm Proclaim 7 Elite Ipg
|
234
|
108
|
$265,006.75
|
$95,402.43
64% off
|
$75.00
|
$302,107.70
|
$127,203.24
|
2026-01-01
|
|
47885311
|
CDM
|
Cath Impella Vent Cp 4lt/m 14f
|
226
|
107
|
$209,154.50
|
$75,295.62
64% off
|
$49.00
|
$238,436.13
|
$126,538.47
|
2026-01-01
|
|
1845853
|
CDM
|
Ammonul 10mg/ml 50ml
|
229
|
107
|
$225,582.25
|
$81,209.61
64% off
|
$49.00
|
$257,163.77
|
$126,326.06
|
2026-01-01
|
|
10123143
|
CDM
|
Ammonul 10mg/ml 50ml
|
230
|
108
|
$225,582.25
|
$81,209.61
64% off
|
$49.00
|
$257,163.77
|
$126,326.06
|
2026-01-01
|
|
22187261
|
CDM
|
Ammonul 10mg/ml 50ml
|
230
|
108
|
$225,582.25
|
$81,209.61
64% off
|
$75.00
|
$257,163.77
|
$126,326.06
|
2026-01-01
|
|
47884870
|
CDM
|
Icd Defib Evera S Dr Ddbc3d1
|
234
|
108
|
$271,126.50
|
$97,605.54
64% off
|
$49.00
|
$309,084.21
|
$126,073.83
|
2026-01-01
|
|
44544636
|
CDM
|
3660 Sjm Proclaim 5 Elite Ipg
|
234
|
108
|
$265,006.75
|
$95,402.43
64% off
|
$75.00
|
$302,107.70
|
$125,878.21
|
2026-01-01
|
|
31549396
|
CDM
|
Icd Protecta Xt Dr D314drm
|
234
|
108
|
$263,380.00
|
$94,816.80
64% off
|
$49.00
|
$300,253.20
|
$123,788.60
|
2026-01-01
|
|
47885868
|
CDM
|
Icd Protecta Xt Dr D314drm
|
233
|
107
|
$263,380.00
|
$94,816.80
64% off
|
$49.00
|
$300,253.20
|
$123,788.60
|
2026-01-01
|
|
47884861
|
CDM
|
Icd Defib Evera Xt Vr Dvbb1d4
|
234
|
108
|
$259,506.50
|
$93,422.34
64% off
|
$49.00
|
$295,837.41
|
$123,265.58
|
2026-01-01
|
|
47902193
|
CDM
|
Icd Defib Cobalt Xt Dr MRI Df4
|
233
|
107
|
$261,960.00
|
$94,305.60
64% off
|
$49.00
|
$298,634.40
|
$123,121.20
|
2026-01-01
|
|
31561311
|
CDM
|
Icd Defib Cobalt Xt Dr MRI Df1
|
233
|
107
|
$261,960.00
|
$94,305.60
64% off
|
$75.00
|
$298,634.40
|
$123,121.20
|
2026-01-01
|
|
31548331
|
CDM
|
Icd Defib Evera Xt Vr Dvbb1d1
|
234
|
108
|
$259,506.50
|
$93,422.34
64% off
|
$49.00
|
$295,837.41
|
$121,968.05
|
2026-01-01
|
|
47884888
|
CDM
|
Icd Defib Evera Xt Vr Dvbb1d1
|
234
|
108
|
$259,506.50
|
$93,422.34
64% off
|
$49.00
|
$295,837.41
|
$121,968.05
|
2026-01-01
|
|
31563399
|
CDM
|
Icd Defib Momentum MRI Crt-d
|
233
|
107
|
$259,236.50
|
$93,325.14
64% off
|
$75.00
|
$295,529.61
|
$121,841.15
|
2026-01-01
|
|
31562317
|
CDM
|
Icd Cobalt Xt Vr MRI D1
|
234
|
108
|
$255,570.50
|
$92,005.38
64% off
|
$75.00
|
$291,350.37
|
$121,395.99
|
2026-01-01
|
|
29638632
|
CDM
|
Icd Ellps Dr Coated Cd2411-36c
|
234
|
108
|
$255,558.50
|
$92,001.06
64% off
|
$75.00
|
$291,336.69
|
$121,390.29
|
2026-01-01
|
|
3357015
|
CDM
|
Vlv Aortc Sapien Transcath 26m
|
234
|
108
|
$251,760.25
|
$90,633.69
64% off
|
$75.00
|
$287,006.68
|
$120,844.92
|
2026-01-01
|
|
31548306
|
CDM
|
Icd Defib Evera Xt Vr Dvbb1d4
|
234
|
108
|
$259,506.50
|
$93,422.34
64% off
|
$49.00
|
$295,837.41
|
$120,670.52
|
2026-01-01
|
|
29638659
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36q
|
233
|
107
|
$255,558.75
|
$92,001.15
64% off
|
$49.00
|
$291,336.97
|
$120,112.61
|
2026-01-01
|
|
29638641
|
CDM
|
Icd Fortify Assura Dr 40 Coat
|
233
|
107
|
$255,558.50
|
$92,001.06
64% off
|
$49.00
|
$291,336.69
|
$120,112.49
|
2026-01-01
|
|
31548179
|
CDM
|
Icd Secura Dr D224drg
|
234
|
108
|
$252,535.00
|
$90,912.60
64% off
|
$49.00
|
$287,889.90
|
$119,954.12
|
2026-01-01
|
|
31549388
|
CDM
|
Icd Secura Dr D204drm
|
234
|
108
|
$252,535.00
|
$90,912.60
64% off
|
$75.00
|
$287,889.90
|
$119,954.12
|
2026-01-01
|
|
3356990
|
CDM
|
Vlv Aortc Sapien Transcath 20m
|
234
|
108
|
$251,760.25
|
$90,633.69
64% off
|
$75.00
|
$287,006.68
|
$119,586.12
|
2026-01-01
|
|
3357007
|
CDM
|
Vlv Aortc Sapien Transcath 23m
|
234
|
108
|
$251,760.25
|
$90,633.69
64% off
|
$49.00
|
$287,006.68
|
$119,586.12
|
2026-01-01
|
|
31550696
|
CDM
|
Icd Defib Evera S Vr Dvbc3d1
|
234
|
108
|
$255,633.75
|
$92,028.15
64% off
|
$49.00
|
$291,422.47
|
$118,869.69
|
2026-01-01
|
|
27570771
|
CDM
|
Icd Ellipse Dr-36 Cd2411-36c
|
234
|
108
|
$255,558.75
|
$92,001.15
64% off
|
$49.00
|
$291,336.97
|
$118,834.82
|
2026-01-01
|
|
47884713
|
CDM
|
Icd Secura Dr D224drg
|
233
|
107
|
$252,535.00
|
$90,912.60
64% off
|
$75.00
|
$287,889.90
|
$118,691.45
|
2026-01-01
|
|
47885850
|
CDM
|
Icd Secura Dr D204drm
|
234
|
108
|
$252,535.00
|
$90,912.60
64% off
|
$49.00
|
$287,889.90
|
$118,691.45
|
2026-01-01
|
|
3332772
|
CDM
|
Vlv Aortic Sapien3 Transcth 29
|
234
|
108
|
$251,760.25
|
$90,633.69
64% off
|
$49.00
|
$287,006.68
|
$118,327.32
|
2026-01-01
|
|
44543681
|
CDM
|
Vlv Aortic Sapien3 Transcth 29
|
233
|
107
|
$251,760.25
|
$90,633.69
64% off
|
$75.00
|
$287,006.68
|
$118,327.32
|
2026-01-01
|
|
3357023
|
CDM
|
Vlv Aortc Sapien Transcath 29m
|
234
|
108
|
$251,760.25
|
$90,633.69
64% off
|
$49.00
|
$287,006.68
|
$118,327.32
|
2026-01-01
|
|
47885841
|
CDM
|
Icd Protecta Xt Vr D314vrm
|
234
|
108
|
$247,886.50
|
$89,239.14
64% off
|
$49.00
|
$282,590.61
|
$117,746.08
|
2026-01-01
|
|
87000010
|
CDM
|
Orgn Acq Cost/sac-heart
|
227
|
108
|
$192,720.00
|
$69,379.20
64% off
|
$75.00
|
$219,700.80
|
$117,559.20
|
2026-01-01
|
|
3358721
|
CDM
|
Generator Protege Ipg 16ch
|
234
|
108
|
$247,306.00
|
$89,030.16
64% off
|
$49.00
|
$281,928.84
|
$117,470.35
|
2026-01-01
|
|
44571137
|
CDM
|
Generator Protege Ipg 16ch
|
234
|
108
|
$247,306.00
|
$89,030.16
64% off
|
$49.00
|
$281,928.84
|
$117,470.35
|
2026-01-01
|
|
47884829
|
CDM
|
Icd Protecta Xt Vr D314vrg
|
233
|
107
|
$247,886.50
|
$89,239.14
64% off
|
$75.00
|
$282,590.61
|
$116,506.65
|
2026-01-01
|
|
31548250
|
CDM
|
Icd Protecta Xt Vr D314vrg
|
233
|
107
|
$247,886.50
|
$89,239.14
64% off
|
$75.00
|
$282,590.61
|
$116,506.65
|
2026-01-01
|
|
3391736
|
CDM
|
Generator Proclaim Elite 3660a
|
233
|
107
|
$239,713.75
|
$86,296.95
64% off
|
$75.00
|
$273,273.67
|
$115,062.60
|
2026-01-01
|
|
31560349
|
CDM
|
Icd Defib Inogen El Dr
|
233
|
107
|
$244,070.25
|
$87,865.29
64% off
|
$49.00
|
$278,240.09
|
$114,713.02
|
2026-01-01
|
|
29630933
|
CDM
|
Defib Energen Crtd-d N140
|
233
|
107
|
$242,618.75
|
$87,342.75
64% off
|
$75.00
|
$276,585.38
|
$114,030.81
|
2026-01-01
|
|
31549370
|
CDM
|
Icd Protecta Xt Vr D314vrm
|
233
|
107
|
$247,886.50
|
$89,239.14
64% off
|
$49.00
|
$282,590.61
|
$114,027.79
|
2026-01-01
|
|
29647861
|
CDM
|
Icd Defib Gallant Vr
|
233
|
107
|
$241,739.75
|
$87,026.31
64% off
|
$75.00
|
$275,583.32
|
$113,617.68
|
2026-01-01
|
|
31550751
|
CDM
|
Icd Quadra Assura Crt-d
|
233
|
107
|
$236,971.50
|
$85,309.74
64% off
|
$75.00
|
$270,147.51
|
$111,376.60
|
2026-01-01
|
|
31548225
|
CDM
|
Icd Protecta Vr D334vrg
|
234
|
108
|
$236,267.25
|
$85,056.21
64% off
|
$49.00
|
$269,344.66
|
$111,045.61
|
2026-01-01
|
|
47884772
|
CDM
|
Icd Protecta Vr D334vrg
|
234
|
108
|
$236,267.25
|
$85,056.21
64% off
|
$49.00
|
$269,344.66
|
$111,045.61
|
2026-01-01
|
|
47885833
|
CDM
|
Icd Protecta Vr D334vrm
|
233
|
107
|
$236,267.25
|
$85,056.21
64% off
|
$49.00
|
$269,344.66
|
$111,045.61
|
2026-01-01
|
|
31549361
|
CDM
|
Icd Protecta Vr D334vrm
|
234
|
108
|
$236,267.25
|
$85,056.21
64% off
|
$75.00
|
$269,344.66
|
$111,045.61
|
2026-01-01
|
|
31549345
|
CDM
|
Vlv Mitraclip Sys 2-clip
|
234
|
108
|
$232,394.00
|
$83,661.84
64% off
|
$75.00
|
$264,929.16
|
$110,387.15
|
2026-01-01
|
|
3358712
|
CDM
|
Kit Neuro Prodigy
|
226
|
107
|
$181,734.75
|
$65,424.51
64% off
|
$49.00
|
$207,177.61
|
$109,949.52
|
2026-01-01
|
|
47809967
|
CDM
|
Icd Cobalt Xt Hf Qd Crt-d Df1
|
233
|
107
|
$233,244.00
|
$83,967.84
64% off
|
$75.00
|
$265,898.16
|
$109,624.68
|
2026-01-01
|
|
44543699
|
CDM
|
Valve Aortic Transcath 34mm
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$49.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
31549337
|
CDM
|
Vlv Mitraclip Sys 1-clip
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$75.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
3357406
|
CDM
|
Valve Aortic Evolut Pro 23mm
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$49.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
3357414
|
CDM
|
Valve Aortic Evolut Pro 26mm
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$75.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
3332781
|
CDM
|
Valve Aortic Transcath 34mm
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$75.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
3357422
|
CDM
|
Valve Aortic Evolut Pro 29mm
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$49.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
31549353
|
CDM
|
Vlv Mitraclip Sys 0-clip
|
233
|
107
|
$232,394.00
|
$83,661.84
64% off
|
$75.00
|
$264,929.16
|
$109,225.18
|
2026-01-01
|
|
31561213
|
CDM
|
S-icd Defib Emblem MRI A219
|
233
|
107
|
$231,741.75
|
$83,427.03
64% off
|
$75.00
|
$264,185.59
|
$108,918.62
|
2026-01-01
|
|
47241588
|
CDM
|
Remvl Subq Defib Electrode
|
219
|
107
|
$190,947.75
|
$68,741.19
64% off
|
$49.00
|
$217,680.43
|
$106,930.74
|
2026-01-01
|
|
47807905
|
CDM
|
Icd Defib Cobalt Xt Hf Crt-d D
|
234
|
108
|
$224,136.00
|
$80,688.96
64% off
|
$75.00
|
$255,515.04
|
$106,464.60
|
2026-01-01
|
|
44768933
|
CDM
|
Gen Neurostim Aspiresr 106
|
233
|
107
|
$225,117.75
|
$81,042.39
64% off
|
$75.00
|
$256,634.23
|
$105,805.34
|
2026-01-01
|
|
44571111
|
CDM
|
Generator Protege Ipg 16ch
|
234
|
108
|
$224,609.75
|
$80,859.51
64% off
|
$49.00
|
$256,055.11
|
$105,566.58
|
2026-01-01
|
|
3358704
|
CDM
|
Generator Protege Ipg 16ch
|
233
|
107
|
$224,609.75
|
$80,859.51
64% off
|
$75.00
|
$256,055.11
|
$105,566.58
|
2026-01-01
|
|
44415941
|
CDM
|
Elect Impl Hires 90k Helix
|
194
|
105
|
$161,082.25
|
$57,989.61
64% off
|
$75.00
|
$183,633.77
|
$105,508.88
|
2026-01-01
|
|
31564000
|
CDM
|
Icd Defib Momentum El Dr
|
234
|
108
|
$221,267.50
|
$79,656.30
64% off
|
$49.00
|
$252,244.95
|
$105,102.07
|
2026-01-01
|
|
29639868
|
CDM
|
Icd Fortify Assura Vr 40 Df4
|
234
|
108
|
$221,012.50
|
$79,564.50
64% off
|
$75.00
|
$251,954.25
|
$104,980.94
|
2026-01-01
|
|
31570310
|
CDM
|
Icd Cobalt Hf Qd Crt-d MRI Df4
|
234
|
108
|
$219,384.00
|
$78,978.24
64% off
|
$75.00
|
$250,097.76
|
$104,207.40
|
2026-01-01
|
|
27435882
|
CDM
|
Defib Consulta Crt-d D224trk
|
233
|
107
|
$216,172.25
|
$77,822.01
64% off
|
$75.00
|
$246,436.36
|
$103,762.68
|
2026-01-01
|
|
31565707
|
CDM
|
Icd Defib Vigilant El Dr
|
234
|
108
|
$217,339.75
|
$78,242.31
64% off
|
$75.00
|
$247,767.32
|
$103,236.38
|
2026-01-01
|
|
31563143
|
CDM
|
Icd Defib Vigilant El Vr
|
234
|
108
|
$217,339.75
|
$78,242.31
64% off
|
$49.00
|
$247,767.32
|
$102,149.68
|
2026-01-01
|
|
44519861
|
CDM
|
Gen Spin Precision Spectra Ipg
|
234
|
108
|
$216,656.75
|
$77,996.43
64% off
|
$49.00
|
$246,988.70
|
$101,828.67
|
2026-01-01
|
|
29639477
|
CDM
|
Icd Def Compia MRI Crt-d Df-1
|
233
|
107
|
$216,248.25
|
$77,849.37
64% off
|
$75.00
|
$246,523.01
|
$101,636.68
|
2026-01-01
|
|
31564956
|
CDM
|
Icd Defib Momentum El Vr
|
233
|
107
|
$216,030.50
|
$77,770.98
64% off
|
$49.00
|
$246,274.77
|
$101,534.34
|
2026-01-01
|
|
3216756
|
CDM
|
Elect Impl Hires 90k Helix
|
194
|
105
|
$161,082.25
|
$57,989.61
64% off
|
$49.00
|
$183,633.77
|
$101,481.82
|
2026-01-01
|
|
44566915
|
CDM
|
Kt Generator Precision Sc-1140
|
233
|
107
|
$211,362.75
|
$76,090.59
64% off
|
$75.00
|
$240,953.54
|
$101,454.12
|
2026-01-01
|
|
31561019
|
CDM
|
Icd Defib Cobalt Xt Dr MRI Df4
|
234
|
108
|
$214,721.00
|
$77,299.56
64% off
|
$49.00
|
$244,781.94
|
$100,918.87
|
2026-01-01
|
|
27544061
|
CDM
|
Implant Cochlear W/slim Elect
|
194
|
105
|
$153,670.00
|
$55,321.20
64% off
|
$75.00
|
$175,183.80
|
$100,653.85
|
2026-01-01
|
|
31562864
|
CDM
|
Icd Cobalt Xt Vr MRI D1
|
233
|
107
|
$209,484.00
|
$75,414.24
64% off
|
$75.00
|
$238,811.76
|
$100,552.32
|
2026-01-01
|
|
27567134
|
CDM
|
Impl Cochlear Freedm Hybrd L24
|
195
|
106
|
$149,211.50
|
$53,716.14
64% off
|
$75.00
|
$170,101.11
|
$99,971.71
|
2026-01-01
|
|
31562856
|
CDM
|
Icd Cobalt Xt Vr MRI D4
|
234
|
108
|
$209,484.00
|
$75,414.24
64% off
|
$49.00
|
$238,811.76
|
$99,504.90
|
2026-01-01
|
|
3354725
|
CDM
|
Kt Generator Precision Sc-1140
|
233
|
107
|
$211,362.75
|
$76,090.59
64% off
|
$49.00
|
$240,953.54
|
$99,340.49
|
2026-01-01
|
|
27536611
|
CDM
|
Impl Cochlear Kit Straight
|
194
|
105
|
$154,456.75
|
$55,604.43
64% off
|
$75.00
|
$176,080.70
|
$98,080.04
|
2026-01-01
|
|
27647570
|
CDM
|
Ci632 Cochlear Implant W/slim
|
195
|
106
|
$150,960.00
|
$54,345.60
64% off
|
$75.00
|
$172,094.40
|
$96,614.40
|
2026-01-01
|
|
29646619
|
CDM
|
Kt Cath Cardv Prg Cs Ax Ins Pl
|
226
|
107
|
$159,300.00
|
$57,348.00
64% off
|
$49.00
|
$181,602.00
|
$96,376.50
|
2026-01-01
|
|
3415333
|
CDM
|
Mesh Hernia Phasix St 30x35cm
|
233
|
107
|
$203,958.00
|
$73,424.88
64% off
|
$49.00
|
$232,512.12
|
$95,860.26
|
2026-01-01
|
|
47829674
|
CDM
|
Icd System Cardioverter Resona
|
234
|
108
|
$201,960.00
|
$72,705.60
64% off
|
$75.00
|
$230,234.40
|
$94,921.20
|
2026-01-01
|
|
27437753
|
CDM
|
Gen Protecta Icd Xt Dr
|
234
|
108
|
$195,475.50
|
$70,371.18
64% off
|
$75.00
|
$222,842.07
|
$92,850.87
|
2026-01-01
|
|
31563534
|
CDM
|
Icd MRI Evera Xt Dr
|
233
|
107
|
$201,628.25
|
$72,586.17
64% off
|
$49.00
|
$229,856.20
|
$92,748.99
|
2026-01-01
|
|
44416956
|
CDM
|
Gen Neurostm Restore Adv
|
233
|
107
|
$192,838.00
|
$69,421.68
64% off
|
$75.00
|
$219,835.32
|
$92,562.24
|
2026-01-01
|
|
47814375
|
CDM
|
Icd Defib Momentum MRI Crt-d
|
233
|
107
|
$196,020.00
|
$70,567.20
64% off
|
$49.00
|
$223,462.80
|
$92,129.40
|
2026-01-01
|
|
3422631
|
CDM
|
Gen Wavewriter Alpha Prime
|
233
|
107
|
$195,531.75
|
$70,391.43
64% off
|
$75.00
|
$222,906.20
|
$91,899.92
|
2026-01-01
|
|
44525607
|
CDM
|
Gnrtr Neurostim Dmipuls 104
|
234
|
108
|
$193,251.00
|
$69,570.36
64% off
|
$49.00
|
$220,306.14
|
$90,827.97
|
2026-01-01
|
|
27649807
|
CDM
|
Ci622 Cochlear Implant W/slim
|
194
|
105
|
$142,972.50
|
$51,470.10
64% off
|
$49.00
|
$162,988.65
|
$90,787.54
|
2026-01-01
|
|
3217761
|
CDM
|
Gen Neurostm Restore Adv
|
233
|
107
|
$192,838.00
|
$69,421.68
64% off
|
$49.00
|
$219,835.32
|
$90,633.86
|
2026-01-01
|
|
31547580
|
CDM
|
Pacer Crt Quadra 56x59x6mm
|
233
|
107
|
$192,460.50
|
$69,285.78
64% off
|
$49.00
|
$219,404.97
|
$90,456.43
|
2026-01-01
|
|
27435904
|
CDM
|
Defib Secura Dr D224drg
|
234
|
108
|
$187,426.00
|
$67,473.36
64% off
|
$75.00
|
$213,665.64
|
$89,964.48
|
2026-01-01
|
|
29602786
|
CDM
|
Icd Secura Dr Dual
|
234
|
108
|
$187,426.00
|
$67,473.36
64% off
|
$75.00
|
$213,665.64
|
$89,027.35
|
2026-01-01
|
|
47825288
|
CDM
|
Icd Defib Momentum El Dr
|
233
|
107
|
$192,406.50
|
$69,266.34
64% off
|
$49.00
|
$219,343.41
|
$88,506.99
|
2026-01-01
|
|
27687661
|
CDM
|
Sentiva Generator Modle 10000
|
234
|
108
|
$188,241.25
|
$67,766.85
64% off
|
$49.00
|
$214,595.02
|
$88,473.39
|
2026-01-01
|
|
3219739
|
CDM
|
Graft Xenmatrix 19x35
|
234
|
108
|
$184,112.75
|
$66,280.59
64% off
|
$75.00
|
$209,888.54
|
$88,374.12
|
2026-01-01
|
|
47829399
|
CDM
|
Icd Defib Momentum El Vr
|
233
|
107
|
$187,852.50
|
$67,626.90
64% off
|
$49.00
|
$214,151.85
|
$88,290.68
|
2026-01-01
|
|
31523893
|
CDM
|
Pump Impella 13fr 2.5l
|
226
|
107
|
$145,359.50
|
$52,329.42
64% off
|
$49.00
|
$165,709.83
|
$87,942.49
|
2026-01-01
|
|
3217795
|
CDM
|
Gen Pulse Vargus Nerve 1
|
233
|
107
|
$182,170.25
|
$65,581.29
64% off
|
$75.00
|
$207,674.08
|
$87,441.72
|
2026-01-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
29
|
27
|
—
|
—
|
$6,150.00
|
$157,264.36
|
$87,369.09
|
2026-01-01
|
|
27544240
|
CDM
|
Vlv Aortic Sapien3 Transcth 29
|
234
|
108
|
$185,800.00
|
$66,888.00
64% off
|
$49.00
|
$211,812.00
|
$87,326.00
|
2026-01-01
|
|
29641617
|
CDM
|
Vlv Aortc Sapien Transcath 23m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$87,221.40
|
2026-01-01
|
|
44791846
|
CDM
|
Mesh Hernia Phasix St 30x35cm
|
233
|
107
|
$181,190.25
|
$65,228.49
64% off
|
$75.00
|
$206,556.89
|
$86,971.32
|
2026-01-01
|
|
44418924
|
CDM
|
Graft Xenmatrix 19x35
|
233
|
107
|
$184,112.75
|
$66,280.59
64% off
|
$49.00
|
$209,888.54
|
$86,532.99
|
2026-01-01
|
|
29642788
|
CDM
|
Vlv Aortic Sapien Novaflex 23m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$86,312.85
|
2026-01-01
|
|
29642796
|
CDM
|
Vlv Aortic Sapien Novaflex 26m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$86,312.85
|
2026-01-01
|
|
29641633
|
CDM
|
Vlv Aortc Sapien Transcath 29m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$86,312.85
|
2026-01-01
|
|
47897424
|
CDM
|
Pacemaker Quadra Allure Mp Crt
|
233
|
107
|
$182,552.75
|
$65,718.99
64% off
|
$75.00
|
$208,110.14
|
$85,799.79
|
2026-01-01
|
|
44416981
|
CDM
|
Gen Pulse Vargus Nerve 1
|
233
|
107
|
$182,170.25
|
$65,581.29
64% off
|
$49.00
|
$207,674.08
|
$85,620.02
|
2026-01-01
|
|
29641625
|
CDM
|
Vlv Aortc Sapien Transcath 26m
|
233
|
107
|
$181,711.25
|
$65,416.05
64% off
|
$75.00
|
$207,150.83
|
$85,404.29
|
2026-01-01
|
|
29642800
|
CDM
|
Vlv Aortic Sapien Novaflex 29m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$85,404.29
|
2026-01-01
|
|
29641609
|
CDM
|
Vlv Aortc Sapien Transcath 20m
|
234
|
108
|
$181,711.25
|
$65,416.05
64% off
|
$49.00
|
$207,150.83
|
$85,404.29
|
2026-01-01
|
|
3217736
|
CDM
|
Gen Neurostim Recharge
|
233
|
107
|
$181,286.75
|
$65,263.23
64% off
|
$49.00
|
$206,666.89
|
$85,204.77
|
2026-01-01
|
|
44416921
|
CDM
|
Gen Neurostim Recharge
|
234
|
108
|
$181,286.75
|
$65,263.23
64% off
|
$49.00
|
$206,666.89
|
$85,204.77
|
2026-01-01
|
|
27435912
|
CDM
|
Defib Virtuoso Ii Dr D274d
|
234
|
108
|
$179,376.75
|
$64,575.63
64% off
|
$75.00
|
$204,489.49
|
$85,203.96
|
2026-01-01
|
|
44814145
|
CDM
|
Gen Surescan Restorerecharge
|
234
|
108
|
$179,388.00
|
$64,579.68
64% off
|
$49.00
|
$204,502.32
|
$84,312.36
|
2026-01-01
|
|
44775387
|
CDM
|
Mesh Pre Formed 190x140mm
|
233
|
107
|
$175,366.50
|
$63,131.94
64% off
|
$75.00
|
$199,917.81
|
$84,175.92
|
2026-01-01
|
|
31561159
|
CDM
|
Icd Defib Resonate Dr Dual-chm
|
234
|
108
|
$174,240.00
|
$62,726.40
64% off
|
$49.00
|
$198,633.60
|
$82,764.00
|
2026-01-01
|
|
27649459
|
CDM
|
Impl Ear Electrode Slim J
|
195
|
106
|
$130,759.50
|
$47,073.42
64% off
|
$49.00
|
$149,065.83
|
$82,378.49
|
2026-01-01
|
|
56601929
|
CDM
|
Ins/rep Card Sys Gen/elect
|
220
|
105
|
$142,018.00
|
$51,126.48
64% off
|
$75.00
|
$161,900.52
|
$82,370.44
|
2026-01-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
29
|
27
|
—
|
—
|
$6,150.00
|
$147,032.42
|
$81,684.68
|
2026-01-01
|
|
3305252
|
CDM
|
Xenmatrix 19x35cm
|
233
|
107
|
$173,535.50
|
$62,472.78
64% off
|
$49.00
|
$197,830.47
|
$81,561.68
|
2026-01-01
|
|
27442714
|
CDM
|
Impl Cochl Proc Ext Nucle
|
195
|
106
|
$127,403.50
|
$45,865.26
64% off
|
$75.00
|
$145,239.99
|
$81,538.24
|
2026-01-01
|
|
29639361
|
CDM
|
Vlv Mitraclip Sys 2-clip
|
234
|
108
|
$171,507.50
|
$61,742.70
64% off
|
$49.00
|
$195,518.55
|
$81,466.06
|
2026-01-01
|
|
47829739
|
CDM
|
Icd Defib Resonate El Dr
|
234
|
108
|
$172,260.00
|
$62,013.60
64% off
|
$49.00
|
$196,376.40
|
$80,962.20
|
2026-01-01
|
|
31567688
|
CDM
|
Icd Defib Resonate El Dr
|
234
|
108
|
$172,260.00
|
$62,013.60
64% off
|
$49.00
|
$196,376.40
|
$80,962.20
|
2026-01-01
|
|
27611575
|
CDM
|
Vlv Mitraclip Sys 2-clip
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
27569102
|
CDM
|
Valve Aortic Evolut Pro 23mm
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
29639370
|
CDM
|
Vlv Mitraclip Sys 0-clip
|
234
|
108
|
$171,507.50
|
$61,742.70
64% off
|
$49.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
29639353
|
CDM
|
Vlv Mitraclip Sys 1-clip
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
27544258
|
CDM
|
Valve Aortic Transcath 34mm
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
27569111
|
CDM
|
Valve Aortic Evolut Pro 26mm
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$75.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
27569129
|
CDM
|
Valve Aortic Evolut Pro 29mm
|
233
|
107
|
$171,507.50
|
$61,742.70
64% off
|
$49.00
|
$195,518.55
|
$80,608.52
|
2026-01-01
|
|
3428486
|
CDM
|
Gen Wavewriter Alpha Sc-1232
|
233
|
107
|
$170,028.75
|
$61,210.35
64% off
|
$49.00
|
$193,832.77
|
$79,913.51
|
2026-01-01
|