hospital_name last_updated_on version hospital_location hospital_address license_number|MD "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated." TidalHealth Nanticoke 6/28/2024 2.0.0 Nanticoke Memorial Hospital "81 Middleford Rd. Seaford, DE 19973" HSPTL-8|DE TRUE description code|1 code|1|type code|2 code|2|type code|3 code|3|type modifiers setting drug_unit_of_measurement drug_type_of_measurement standard_charge|gross standard_charge|discounted_cash standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_dollar standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_percentage standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_algorithm estimated_amount|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|methodology additional_payer_notes|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_dollar standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_percentage standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_algorithm estimated_amount|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|methodology additional_payer_notes|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_dollar standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_percentage standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_algorithm estimated_amount|CBS_MARYLAND|BCBS_CAREFIRST standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|methodology additional_payer_notes|CBS_MARYLAND|BCBS_CAREFIRST standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_dollar standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_percentage standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_algorithm estimated_amount|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|methodology additional_payer_notes|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_dollar standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_percentage standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_algorithm estimated_amount|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|methodology additional_payer_notes|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_dollar standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_percentage standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_algorithm estimated_amount|DELAWARE_MEDICAID|DELAWARE_MEDICAID standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|methodology additional_payer_notes|DELAWARE_MEDICAID|DELAWARE_MEDICAID standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_dollar standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_percentage standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_algorithm estimated_amount|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|methodology additional_payer_notes|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_dollar standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_percentage standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_algorithm estimated_amount|MEDICARE|MEDICARE_PART_A_AND_B standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|methodology additional_payer_notes|MEDICARE|MEDICARE_PART_A_AND_B standard_charge|min standard_charge|max additional_generic_notes IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLUTION 40 ML VIAL 636000000 CDM 0003-2328-22 NDC J9228 HCPCS inpatient 102389.6 102389.6 IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLUTION 40 ML VIAL 636000000 CDM 0003-2328-22 NDC J9228 HCPCS outpatient 102389.6 183.99 183.99 other OPPS APC 183.99 183.99 CHONDROCYTES AUTOLOGOUS SUP-CS-1000 CDM 270 RC outpatient 91629.6 91629.66 24822.46 percent of total billed charges 91629.6 other OPPS APC 67805.9 percent of total billed charges 91629.6 other OPPS APC 91629.6 other OPPS APC 24822.46 percent of total billed charges 25317.26 percent of total billed charges 91629.66 other OPPS APC 24822.46 91629.66 CHONDROCYTES AUTOLOGOUS SUP-CS-1000 CDM 270 RC inpatient 91629.6 91629.6 ASSEMBLY LENGTHENING SUP-4960-3-000 CDM 270010022 LOCAL 270 RC outpatient 73657.6 73657.66 19953.84 percent of total billed charges 73657.6 other OPPS APC 54506.62 percent of total billed charges 73657.6 other OPPS APC 73657.6 other OPPS APC 19953.84 percent of total billed charges 20351.59 percent of total billed charges 73657.66 other OPPS APC 19953.84 73657.66 ASSEMBLY LENGTHENING SUP-4960-3-000 CDM 270010022 LOCAL 270 RC inpatient 73657.6 73657.6 VALVE AORTIC EVOLUT FX 23 MM SUP-EVOLUTFX-23 CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC EVOLUT FX 23 MM SUP-EVOLUTFX-23 CDM 270 RC inpatient 60000 60000 VALVE AORTIC EVOLUT FX 26 MM SUP-EVOLUTFX-26 CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC EVOLUT FX 26 MM SUP-EVOLUTFX-26 CDM 270 RC inpatient 60000 60000 VALVE AORTIC EVOLUT FX 29 MM SUP-EVOLUTFX-29 CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC EVOLUT FX 29 MM SUP-EVOLUTFX-29 CDM 270 RC inpatient 60000 60000 VALVE AORTIC EVOLUT FX 34 MM SUP-EVOLUTFX-34 CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC EVOLUT FX 34 MM SUP-EVOLUTFX-34 CDM 270 RC inpatient 60000 60000 VALVE TRANSCATHETER AORTIC 23 SUP-EVOLUTPRO-23-US CDM 27000000 LOCAL 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE TRANSCATHETER AORTIC 23 SUP-EVOLUTPRO-23-US CDM 27000000 LOCAL 270 RC inpatient 60000 60000 VALVE TRANSCATHETER AORTIC 29 SUP-EVOLUTPRO-29-US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE TRANSCATHETER AORTIC 29 SUP-EVOLUTPRO-29-US CDM 270 RC inpatient 60000 60000 VALVE AORTIC TRANSCATHETER EVOLUTR 23MM SUP-EVPROPLUS-23US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC TRANSCATHETER EVOLUTR 23MM SUP-EVPROPLUS-23US CDM 270 RC inpatient 60000 60000 VALVE AORTIC 20-23MM 0-40MM COREVALVE 26MM HEART PORCINE PERICARDIUM NITINOL FRAME SUP-MCS-P3-26-AOA-US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC 20-23MM 0-40MM COREVALVE 26MM HEART PORCINE PERICARDIUM NITINOL FRAME SUP-MCS-P3-26-AOA-US CDM 270 RC inpatient 60000 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 29 MM OD23-26 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-P3-29-AOA-US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 29 MM OD23-26 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-P3-29-AOA-US CDM 270 RC inpatient 60000 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 31 MM OD26-29 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-P3-31-AOA-US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 31 MM OD26-29 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-P3-31-AOA-US CDM 270 RC inpatient 60000 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 26 MM OD20-23 MM ODSEC0-40 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-PC-26-AOA-US CDM 270 RC outpatient 60000 6 16254 percent of total billed charges 60000 other OPPS APC 44400 percent of total billed charges 60000 other OPPS APC 60000 other OPPS APC 16254 percent of total billed charges 16578 percent of total billed charges 6 other OPPS APC 6 60000 VALVE AORTIC COREVALVE PORCINE PERICARDIUM 26 MM OD20-23 MM ODSEC0-40 MM HEART NITINOL FRAME BIOPROSTHESIS SUP-MCS-PC-26-AOA-US CDM 270 RC inpatient 60000 60000 STEM RADIAL TITANIUM STRAIGHT H26 MM OD7 MM STERILE SUP-04.402.007S CDM 270010022 LOCAL 270 RC outpatient 57034 5734 15450.51 percent of total billed charges 57034 other OPPS APC 42205.16 percent of total billed charges 57034 other OPPS APC 57034 other OPPS APC 15450.51 percent of total billed charges 15758.49 percent of total billed charges 5734 other OPPS APC 5734 57034 STEM RADIAL TITANIUM STRAIGHT H26 MM OD7 MM STERILE SUP-04.402.007S CDM 270010022 LOCAL 270 RC inpatient 57034 57034 ICD QUADRA HF CRT-D SYSTEM SUP-CD3249-40/40QS CDM 275 RC outpatient 53350 5335 26141.5 percent of total billed charges 53350 other OPPS APC 30409.5 percent of total billed charges 53350 other OPPS APC 53350 other OPPS APC 26141.5 percent of total billed charges 27208.5 percent of total billed charges 5335 other OPPS APC 5335 53350 ICD QUADRA HF CRT-D SYSTEM SUP-CD3249-40/40QS CDM 275 RC inpatient 53350 53350 ASPIRE GENERATOR SUP-106 CDM 270 RC outpatient 52729.6 52729.6 14284.45 percent of total billed charges 52729.6 other OPPS APC 39019.9 percent of total billed charges 52729.6 other OPPS APC 52729.6 other OPPS APC 14284.45 percent of total billed charges 14569.19 percent of total billed charges 52729.6 other OPPS APC 14284.45 52729.6 ASPIRE GENERATOR SUP-106 CDM 270 RC inpatient 52729.6 52729.6 IMPELLA CP WITH SMARTASSIST PLUS IMPELLA 7FR LOW PROFILE COMPANION SHEATH BUNDLE SUP-4000021 CDM inpatient 50000 50000 IMPELLA CP WITH SMARTASSIST PLUS IMPELLA 7FR LOW PROFILE COMPANION SHEATH BUNDLE SUP-4000021 CDM outpatient 50000 5 50000 percent of total billed charges 50000 other OPPS APC 50000 fee schedule 50000 other OPPS APC 50000 other OPPS APC 50000 case rate 50000 case rate 5 other OPPS APC 5 50000 VALVE AORTIC EDWARDS SAPIEN 3 COMMANDER OD 29MM DELIVERY SYSTEM SUP-9600CM29A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC EDWARDS SAPIEN 3 COMMANDER OD 29MM DELIVERY SYSTEM SUP-9600CM29A CDM 270 RC inpatient 47500 47500 SYSTEM DELIVERY SAPIEN 3 OD20 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM20A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 SYSTEM DELIVERY SAPIEN 3 OD20 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM20A CDM 270 RC inpatient 47500 47500 SYSTEM DELIVERY SAPIEN 3 OD23 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM23A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 SYSTEM DELIVERY SAPIEN 3 OD23 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM23A CDM 270 RC inpatient 47500 47500 SYSTEM DELIVERY SAPIEN 3 OD26 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM26A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 SYSTEM DELIVERY SAPIEN 3 OD26 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE SUP-9750CM26A CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM23EDGE15ISLEEVE CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM23EDGE15ISLEEVE CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM25EDGE15ISLEEVE CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM25EDGE15ISLEEVE CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM27EDGE15ISLEEVE CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET SUP-BOM27EDGE15ISLEEVE CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS230 CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS230 CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS250 CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS250 CDM 270 RC inpatient 47500 47500 VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS270 CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER PREMOUNT STERILE LATEX FREE SUP-H749LVSUS270 CDM 270 RC inpatient 47500 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 20 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM220A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 20 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM220A CDM 270 RC inpatient 47500 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 23 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM223A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 23 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM223A CDM 270 RC inpatient 47500 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 26 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM226A CDM 270 RC outpatient 47500 475 12867.75 percent of total billed charges 47500 other OPPS APC 35150 percent of total billed charges 47500 other OPPS APC 47500 other OPPS APC 12867.75 percent of total billed charges 13124.25 percent of total billed charges 475 other OPPS APC 475 47500 VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 26 MM TRANSCATHETER ULTRA LOW PROFILE SUP-S3UCM226A CDM 270 RC inpatient 47500 47500 CRTD CLARIA MRI QUAD SYSTEM SUP-CLARIAMRIQDCRTMMQM CDM 275 RC outpatient 47200 472 23128 percent of total billed charges 47200 other OPPS APC 26904 percent of total billed charges 47200 other OPPS APC 47200 other OPPS APC 23128 percent of total billed charges 24072 percent of total billed charges 472 other OPPS APC 472 47200 CRTD CLARIA MRI QUAD SYSTEM SUP-CLARIAMRIQDCRTMMQM CDM 275 RC inpatient 47200 47200 DEFIBRILLATOR CARDIAC MAXIMO II CRT SUP-MAXIICRTDMMMM CDM 275 RC outpatient 45332 45332 22212.68 percent of total billed charges 45332 other OPPS APC 25839.24 percent of total billed charges 45332 other OPPS APC 45332 other OPPS APC 22212.68 percent of total billed charges 23119.32 percent of total billed charges 45332 other OPPS APC 22212.68 45332 DEFIBRILLATOR CARDIAC MAXIMO II CRT SUP-MAXIICRTDMMMM CDM 275 RC inpatient 45332 45332 VALVE TRANSCATHER AORTIC 26 SUP-EVOLUTPRO-26-US CDM 27000000 LOCAL 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 VALVE TRANSCATHER AORTIC 26 SUP-EVOLUTPRO-26-US CDM 27000000 LOCAL 270 RC inpatient 45000 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 23MM SUP-EVOLUTR-23-US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 23MM SUP-EVOLUTR-23-US CDM 270 RC inpatient 45000 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 26MM SUP-EVOLUTR-26-US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 26MM SUP-EVOLUTR-26-US CDM 270 RC inpatient 45000 45000 VALVE AORTIC COREVALVE EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM 1 LAYER SELF EXPAND MULTILEVEL TRANSCATHETER STERILE SUP-EVOLUTR-29-US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 VALVE AORTIC COREVALVE EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM 1 LAYER SELF EXPAND MULTILEVEL TRANSCATHETER STERILE SUP-EVOLUTR-29-US CDM 270 RC inpatient 45000 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 34MM SUP-EVOLUTR-34-US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 VALVE AORTIC TRANSCATHETER EVOLUTR 34MM SUP-EVOLUTR-34-US CDM 270 RC inpatient 45000 45000 26MM EVOLUT PRO+ TAVR VALVE SUP-EVPROPLUS-26US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 26MM EVOLUT PRO+ TAVR VALVE SUP-EVPROPLUS-26US CDM 270 RC inpatient 45000 45000 EVOLUT PRO+ TAVR VALVE 29MM SUP-EVPROPLUS-29US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 EVOLUT PRO+ TAVR VALVE 29MM SUP-EVPROPLUS-29US CDM 270 RC inpatient 45000 45000 EVOLUT PRO+ TAVR VALVE 34MM SUP-EVPROPLUS-34US CDM 270 RC outpatient 45000 45 12190.5 percent of total billed charges 45000 other OPPS APC 33300 percent of total billed charges 45000 other OPPS APC 45000 other OPPS APC 12190.5 percent of total billed charges 12433.5 percent of total billed charges 45 other OPPS APC 45 45000 EVOLUT PRO+ TAVR VALVE 34MM SUP-EVPROPLUS-34US CDM 270 RC inpatient 45000 45000 ICD BIV QUADRA ASSURA CRT-D DF4 CONNECTOR SYSTEM SUP-CD3265-40QS CDM 275 RC outpatient 44974 44974 22037.26 percent of total billed charges 44974 other OPPS APC 25635.18 percent of total billed charges 44974 other OPPS APC 44974 other OPPS APC 22037.26 percent of total billed charges 22936.74 percent of total billed charges 44974 other OPPS APC 22037.26 44974 ICD BIV QUADRA ASSURA CRT-D DF4 CONNECTOR SYSTEM SUP-CD3265-40QS CDM 275 RC inpatient 44974 44974 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D TITANIUM THK14 MM 40 J W41 MM X H83 MM 40 ML 83 GM VENTRICLE 2 CHAMBER 1 IS-1 1 DF-1 1 IS-4 HIGH VOLTAGE SUP-CD3265-40S CDM 275 RC outpatient 44974 44974 22037.26 percent of total billed charges 44974 other OPPS APC 25635.18 percent of total billed charges 44974 other OPPS APC 44974 other OPPS APC 22037.26 percent of total billed charges 22936.74 percent of total billed charges 44974 other OPPS APC 22037.26 44974 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D TITANIUM THK14 MM 40 J W41 MM X H83 MM 40 ML 83 GM VENTRICLE 2 CHAMBER 1 IS-1 1 DF-1 1 IS-4 HIGH VOLTAGE SUP-CD3265-40S CDM 275 RC inpatient 44974 44974 GENERATOR NEUROSTIMULATOR VNS THERAPY .2IN 1.8X1.6X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .63OZ 2 SUP-104 CDM 270010003 LOCAL 270 RC outpatient 44250 4425 11987.33 percent of total billed charges 44250 other OPPS APC 32745 percent of total billed charges 44250 other OPPS APC 44250 other OPPS APC 11987.33 percent of total billed charges 12226.28 percent of total billed charges 4425 other OPPS APC 4425 44250 GENERATOR NEUROSTIMULATOR VNS THERAPY .2IN 1.8X1.6X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .63OZ 2 SUP-104 CDM 270010003 LOCAL 270 RC inpatient 44250 44250 GENERATOR ASPIRESR SINGLE PIN SUP-10-0011-2101 CDM 270010003 LOCAL 270 RC outpatient 44179.8 44179.83 11968.31 percent of total billed charges 44179.8 other OPPS APC 32693.05 percent of total billed charges 44179.8 other OPPS APC 44179.8 other OPPS APC 11968.31 percent of total billed charges 12206.88 percent of total billed charges 44179.83 other OPPS APC 11968.31 44179.83 GENERATOR ASPIRESR SINGLE PIN SUP-10-0011-2101 CDM 270010003 LOCAL 270 RC inpatient 44179.8 44179.8 GENERATOR ASPIRESR SINGLE PIN SUP-106 CDM 270010003 LOCAL 270 RC outpatient 44179.8 44179.83 11968.31 percent of total billed charges 44179.8 other OPPS APC 32693.05 percent of total billed charges 44179.8 other OPPS APC 44179.8 other OPPS APC 11968.31 percent of total billed charges 12206.88 percent of total billed charges 44179.83 other OPPS APC 11968.31 44179.83 GENERATOR ASPIRESR SINGLE PIN SUP-106 CDM 270010003 LOCAL 270 RC inpatient 44179.8 44179.8 ETERNA 16-CHANNEL IPG PENTA SYSTEM SUP-222ETPENSY33 CDM 270 RC outpatient 43000 43 11648.7 percent of total billed charges 43000 other OPPS APC 31820 percent of total billed charges 43000 other OPPS APC 43000 other OPPS APC 11648.7 percent of total billed charges 11880.9 percent of total billed charges 43 other OPPS APC 43 43000 ETERNA 16-CHANNEL IPG PENTA SYSTEM SUP-222ETPENSY33 CDM 270 RC inpatient 43000 43000 HC Ivl+Stent With Angioplasty PX-361C97651 CDM 361 RC outpatient 42944 1891.79 13561.72 percent of total billed charges 18091.79 other OPPS APC 8653 fee schedule 18091.79 other OPPS APC 18091.79 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 1891.79 other OPPS APC 1891.79 18091.79 HC Ivl+Stent With Angioplasty PX-361C97651 CDM 361 RC inpatient 42944 42944 HC Ivl+Atherectomy With Angioplasty PX-361C97661 CDM 361 RC outpatient 42944 42944 13561.72 percent of total billed charges 42944 other OPPS APC 42944 fee schedule 42944 other OPPS APC 42944 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 42944 other OPPS APC 13561.72 42944 HC Ivl+Atherectomy With Angioplasty PX-361C97661 CDM 361 RC inpatient 42944 42944 HC Ivl+Stent+Atherectomy With Angioplasty PX-361C97671 CDM 361 RC outpatient 42944 42944 13561.72 percent of total billed charges 42944 other OPPS APC 42944 fee schedule 42944 other OPPS APC 42944 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 42944 other OPPS APC 13561.72 42944 HC Ivl+Stent+Atherectomy With Angioplasty PX-361C97671 CDM 361 RC inpatient 42944 42944 HC Ivl+Stent With Angioplasty PX-361C97731 CDM 361 RC outpatient 42944 42944 13561.72 percent of total billed charges 42944 other OPPS APC 42944 fee schedule 42944 other OPPS APC 42944 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 42944 other OPPS APC 13561.72 42944 HC Ivl+Stent With Angioplasty PX-361C97731 CDM 361 RC inpatient 42944 42944 HC Ivl+Atherectomy With Angioplasty PX-361C97741 CDM 361 RC inpatient 42944 42944 HC Ivl+Atherectomy With Angioplasty PX-361C97741 CDM 361 RC outpatient 42944 1891.79 13561.72 percent of total billed charges 18091.79 other OPPS APC fee schedule 18091.79 other OPPS APC 18091.79 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 1891.79 other OPPS APC 18091.79 18091.79 HC Ivl+Stent+Atherectomy With Angioplasty PX-361C97751 CDM 361 RC outpatient 42944 42944 13561.72 percent of total billed charges 42944 other OPPS APC 42944 fee schedule 42944 other OPPS APC 42944 other OPPS APC 13561.72 percent of total billed charges 13832.26 percent of total billed charges 42944 other OPPS APC 13561.72 42944 HC Ivl+Stent+Atherectomy With Angioplasty PX-361C97751 CDM 361 RC inpatient 42944 42944 GENERATOR NEUROSTIMULATOR VNS THERAPY .126IN 1.8X1.3X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .56OZ 1 SUP-103 CDM 270010003 LOCAL 270 RC outpatient 42417.52 42417.52 11490.91 percent of total billed charges 42417.52 other OPPS APC 31388.96 percent of total billed charges 42417.52 other OPPS APC 42417.52 other OPPS APC 11490.91 percent of total billed charges 11719.96 percent of total billed charges 42417.52 other OPPS APC 11490.91 42417.52 GENERATOR NEUROSTIMULATOR VNS THERAPY .126IN 1.8X1.3X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .56OZ 1 SUP-103 CDM 270010003 LOCAL 270 RC inpatient 42417.52 42417.52 ADO-TRASTUZUMAB 100 MG RECON SOLN 1 EACH VIAL 636000000 CDM 50242-088-01 NDC J9354 HCPCS inpatient 42030.9 42030.9 ADO-TRASTUZUMAB 100 MG RECON SOLN 1 EACH VIAL 636000000 CDM 50242-088-01 NDC J9354 HCPCS outpatient 42030.9 4.95 4.95 other OPPS APC 4.95 4.95 SPINAL STIMULATOR CAP PRICING SUP-SPINALSTIMCAP CDM 270 RC outpatient 42000 42 11377.8 percent of total billed charges 42000 other OPPS APC 31080 percent of total billed charges 42000 other OPPS APC 42000 other OPPS APC 11377.8 percent of total billed charges 11604.6 percent of total billed charges 42 other OPPS APC 42 42000 SPINAL STIMULATOR CAP PRICING SUP-SPINALSTIMCAP CDM 270 RC inpatient 42000 42000 HC Tib/per Revasc W/Stent PX-361372301 CDM 37230 CPT 361 RC outpatient 41005 1891.79 12949.38 percent of total billed charges 18091.79 other OPPS APC 10337 fee schedule 18091.79 other OPPS APC 18091.79 other OPPS APC 12949.38 percent of total billed charges 13207.71 percent of total billed charges 1891.79 other OPPS APC 1891.79 18091.79 HC Tib/per Revasc W/Stent PX-361372301 CDM 37230 CPT 361 RC inpatient 41005 41005 CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE F-J CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE SUP-A701128 CDM 270 RC outpatient 40028 428 10843.59 percent of total billed charges 40028 other OPPS APC 29620.72 percent of total billed charges 40028 other OPPS APC 40028 other OPPS APC 10843.59 percent of total billed charges 11059.74 percent of total billed charges 428 other OPPS APC 428 40028 CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE F-J CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE SUP-A701128 CDM 270 RC inpatient 40028 40028 IMPELLA CP WITH SMARTASSIST SUP-00813502011876 CDM 481 RC outpatient 40000 4 19600 percent of total billed charges 40000 other OPPS APC 29600 percent of total billed charges 40000 other OPPS APC 40000 other OPPS APC 19600 percent of total billed charges 20400 percent of total billed charges 4 other OPPS APC 4 40000 IMPELLA CP WITH SMARTASSIST SUP-00813502011876 CDM 481 RC inpatient 40000 40000 DEFIBRILLATOR SQ EMBLEM A219 S-ICD PULSE GENERATOR SYSTEM INCLUDES ELECTRODE SUP-9B11 CDM 275 RC outpatient 39940 3994 19570.6 percent of total billed charges 39940 other OPPS APC 22765.8 percent of total billed charges 39940 other OPPS APC 39940 other OPPS APC 19570.6 percent of total billed charges 20369.4 percent of total billed charges 3994 other OPPS APC 3994 39940 DEFIBRILLATOR SQ EMBLEM A219 S-ICD PULSE GENERATOR SYSTEM INCLUDES ELECTRODE SUP-9B11 CDM 275 RC inpatient 39940 39940 SYSTEM CRTD VIGILANT MRI X4 DF1 SUP-8XV1/2 CDM 275 RC outpatient 39798 39798 19501.02 percent of total billed charges 39798 other OPPS APC 22684.86 percent of total billed charges 39798 other OPPS APC 39798 other OPPS APC 19501.02 percent of total billed charges 20296.98 percent of total billed charges 39798 other OPPS APC 19501.02 39798 SYSTEM CRTD VIGILANT MRI X4 DF1 SUP-8XV1/2 CDM 275 RC inpatient 39798 39798 MOGAMULIZUMAB-KPKC 4 MG/ML SOLUTION 5 ML VIAL 636000000 CDM 42747-761-01 NDC J9204 HCPCS inpatient 39763.8 39763.8 MOGAMULIZUMAB-KPKC 4 MG/ML SOLUTION 5 ML VIAL 636000000 CDM 42747-761-01 NDC J9204 HCPCS outpatient 39763.8 249.46 249.46 other OPPS APC 249.46 249.46 GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL STRAIGHT L207 MM L200 MM OD38 MM ODSEC24 FR THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER SUP-VAMF3838C200TU CDM 270010015 LOCAL 270 RC outpatient 38990 3899 10562.39 percent of total billed charges 38990 other OPPS APC 28852.6 percent of total billed charges 38990 other OPPS APC 38990 other OPPS APC 10562.39 percent of total billed charges 10772.94 percent of total billed charges 3899 other OPPS APC 3899 38990 GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL STRAIGHT L207 MM L200 MM OD38 MM ODSEC24 FR THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER SUP-VAMF3838C200TU CDM 270010015 LOCAL 270 RC inpatient 38990 38990 CRT-D DYNAGEN X4 DF4 SYSTEM SUP-8DBC/D CDM 275 RC outpatient 38798 38798 19011.02 percent of total billed charges 38798 other OPPS APC 22114.86 percent of total billed charges 38798 other OPPS APC 38798 other OPPS APC 19011.02 percent of total billed charges 19786.98 percent of total billed charges 38798 other OPPS APC 19011.02 38798 CRT-D DYNAGEN X4 DF4 SYSTEM SUP-8DBC/D CDM 275 RC inpatient 38798 38798 ICD QUADRA ASSURA MP CRT-D DF4 CONNECTOR SYSTEM SUP-CD3369-40Q SYSTEM CDM 275 RC outpatient 38798 38798 19011.02 percent of total billed charges 38798 other OPPS APC 22114.86 percent of total billed charges 38798 other OPPS APC 38798 other OPPS APC 19011.02 percent of total billed charges 19786.98 percent of total billed charges 38798 other OPPS APC 19011.02 38798 ICD QUADRA ASSURA MP CRT-D DF4 CONNECTOR SYSTEM SUP-CD3369-40Q SYSTEM CDM 275 RC inpatient 38798 38798 CRT PROTECTA CRT-D SYSTEM SUP-PROECTACRTDMMM CDM 275 RC outpatient 38666 38666 18946.34 percent of total billed charges 38666 other OPPS APC 22039.62 percent of total billed charges 38666 other OPPS APC 38666 other OPPS APC 18946.34 percent of total billed charges 19719.66 percent of total billed charges 38666 other OPPS APC 18946.34 38666 CRT PROTECTA CRT-D SYSTEM SUP-PROECTACRTDMMM CDM 275 RC inpatient 38666 38666 CRT AMPLIA MRI QUAD SYSTEM SUP-AMPLIAMRIQDCRTMMQM CDM inpatient 38500 38500 CRT AMPLIA MRI QUAD SYSTEM SUP-AMPLIAMRIQDCRTMMQM CDM outpatient 38500 385 38500 percent of total billed charges 38500 other OPPS APC 38500 fee schedule 38500 other OPPS APC 38500 other OPPS APC 38500 case rate 38500 case rate 385 other OPPS APC 385 38500 SYSTEM CRTD MOMENTUM X4 DF1 SUP-8XM1/2 CDM 275 RC outpatient 38250 3825 18742.5 percent of total billed charges 38250 other OPPS APC 21802.5 percent of total billed charges 38250 other OPPS APC 38250 other OPPS APC 18742.5 percent of total billed charges 19507.5 percent of total billed charges 3825 other OPPS APC 3825 38250 SYSTEM CRTD MOMENTUM X4 DF1 SUP-8XM1/2 CDM 275 RC inpatient 38250 38250 ICD PROTECTA DR SYSTEM SUP-PROTECTADRMMEM CDM 270 RC outpatient 38186 38186 10344.59 percent of total billed charges 38186 other OPPS APC 28257.64 percent of total billed charges 38186 other OPPS APC 38186 other OPPS APC 10344.59 percent of total billed charges 10550.79 percent of total billed charges 38186 other OPPS APC 10344.59 38186 ICD PROTECTA DR SYSTEM SUP-PROTECTADRMMEM CDM 270 RC inpatient 38186 38186 QUADRA ASSURA CRT-D SUP-CD3265-40 CDM 275 RC outpatient 38174.5 38174.5 18705.51 percent of total billed charges 38174.5 other OPPS APC 21759.47 percent of total billed charges 38174.5 other OPPS APC 38174.5 other OPPS APC 18705.51 percent of total billed charges 19469 percent of total billed charges 38174.5 other OPPS APC 18705.51 38174.5 QUADRA ASSURA CRT-D SUP-CD3265-40 CDM 275 RC inpatient 38174.5 38174.5 DEFIBRILLATOR CARDIAC QUADRA ASSURA TAILOREDTHERAPY SHOCKGUARD DECISIONTX THK14MM 41X76MM 38CC 81GM IS-1 IS4 DF4 SUP-CD3265-40Q CDM 275 RC outpatient 38174.5 38174.5 18705.51 percent of total billed charges 38174.5 other OPPS APC 21759.47 percent of total billed charges 38174.5 other OPPS APC 38174.5 other OPPS APC 18705.51 percent of total billed charges 19469 percent of total billed charges 38174.5 other OPPS APC 18705.51 38174.5 DEFIBRILLATOR CARDIAC QUADRA ASSURA TAILOREDTHERAPY SHOCKGUARD DECISIONTX THK14MM 41X76MM 38CC 81GM IS-1 IS4 DF4 SUP-CD3265-40Q CDM 275 RC inpatient 38174.5 38174.5 CRT AMPLIA MRI SYSTEM SUP-AMPLIAMRICRTDMMAM CDM inpatient 37500 37500 CRT AMPLIA MRI SYSTEM SUP-AMPLIAMRICRTDMMAM CDM outpatient 37500 375 37500 percent of total billed charges 37500 other OPPS APC 37500 fee schedule 37500 other OPPS APC 37500 other OPPS APC 37500 case rate 37500 case rate 375 other OPPS APC 375 37500 CRT-D DYNAGEN X4 SYSTEM SUP-8DAC/D CDM 275 RC outpatient 37250 3725 18252.5 percent of total billed charges 37250 other OPPS APC 21232.5 percent of total billed charges 37250 other OPPS APC 37250 other OPPS APC 18252.5 percent of total billed charges 18997.5 percent of total billed charges 3725 other OPPS APC 3725 37250 CRT-D DYNAGEN X4 SYSTEM SUP-8DAC/D CDM 275 RC inpatient 37250 37250 ICD QUADRA ASSURA MP CRT-D SYSTEM SUP-CD3369-40C SYSTEM CDM 275 RC outpatient 37250 3725 18252.5 percent of total billed charges 37250 other OPPS APC 21232.5 percent of total billed charges 37250 other OPPS APC 37250 other OPPS APC 18252.5 percent of total billed charges 18997.5 percent of total billed charges 3725 other OPPS APC 3725 37250 ICD QUADRA ASSURA MP CRT-D SYSTEM SUP-CD3369-40C SYSTEM CDM 275 RC inpatient 37250 37250 DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD SUP-MAXIIDRMMEM CDM 275 RC outpatient 37234 37234 18244.66 percent of total billed charges 37234 other OPPS APC 21223.38 percent of total billed charges 37234 other OPPS APC 37234 other OPPS APC 18244.66 percent of total billed charges 18989.34 percent of total billed charges 37234 other OPPS APC 18244.66 37234 DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD SUP-MAXIIDRMMEM CDM 275 RC inpatient 37234 37234 GRAFT THORACIC MEDTRONIC VALIANT SUP-VAMF3838C150TU CDM 270010015 LOCAL 270 RC outpatient 36990 3699 10020.59 percent of total billed charges 36990 other OPPS APC 27372.6 percent of total billed charges 36990 other OPPS APC 36990 other OPPS APC 10020.59 percent of total billed charges 10220.34 percent of total billed charges 3699 other OPPS APC 3699 36990 GRAFT THORACIC MEDTRONIC VALIANT SUP-VAMF3838C150TU CDM 270010015 LOCAL 270 RC inpatient 36990 36990 GRAFT STENT VALIANT STRAIGHT SINUSOIDAL 150MM 40MM 40MM ENDOVASCULAR SYSTEM FREEFLO SUP-VAMF4040C150TU CDM 270010015 LOCAL 270 RC outpatient 36990 3699 10020.59 percent of total billed charges 36990 other OPPS APC 27372.6 percent of total billed charges 36990 other OPPS APC 36990 other OPPS APC 10020.59 percent of total billed charges 10220.34 percent of total billed charges 3699 other OPPS APC 3699 36990 GRAFT STENT VALIANT STRAIGHT SINUSOIDAL 150MM 40MM 40MM ENDOVASCULAR SYSTEM FREEFLO SUP-VAMF4040C150TU CDM 270010015 LOCAL 270 RC inpatient 36990 36990 SYSTEM CRTD MOMENTUM IS1 DF4 SUP-8CM1/2 CDM 275 RC outpatient 36530 3653 17899.7 percent of total billed charges 36530 other OPPS APC 20822.1 percent of total billed charges 36530 other OPPS APC 36530 other OPPS APC 17899.7 percent of total billed charges 18630.3 percent of total billed charges 3653 other OPPS APC 3653 36530 SYSTEM CRTD MOMENTUM IS1 DF4 SUP-8CM1/2 CDM 275 RC inpatient 36530 36530 SYSTEM CRTD MOMENTUM IS1 DF1 SUP-8CMA/B CDM 275 RC outpatient 36530 3653 17899.7 percent of total billed charges 36530 other OPPS APC 20822.1 percent of total billed charges 36530 other OPPS APC 36530 other OPPS APC 17899.7 percent of total billed charges 18630.3 percent of total billed charges 3653 other OPPS APC 3653 36530 SYSTEM CRTD MOMENTUM IS1 DF1 SUP-8CMA/B CDM 275 RC inpatient 36530 36530 IMPLANT OPHTHALMIC RETISERT FLUOCINOLONE ACETONIDE 3 MM X 2 MM X 5 MM .59 MG POSTERIOR SEGMENT ELASTOMER CUP SUTURE TAB STERILE UVEITIS SUP-24208-416-01 CDM 270 RC outpatient 36500 365 9887.85 percent of total billed charges 36500 other OPPS APC 27010 percent of total billed charges 36500 other OPPS APC 36500 other OPPS APC 9887.85 percent of total billed charges 10084.95 percent of total billed charges 365 other OPPS APC 365 36500 IMPLANT OPHTHALMIC RETISERT FLUOCINOLONE ACETONIDE 3 MM X 2 MM X 5 MM .59 MG POSTERIOR SEGMENT ELASTOMER CUP SUTURE TAB STERILE UVEITIS SUP-24208-416-01 CDM 270 RC inpatient 36500 36500 IMPLANT ORBITAL RETISERT .59 MG INTRAVITREAL EYE SUP-AB41601 CDM 270 RC outpatient 36500 365 9887.85 percent of total billed charges 36500 other OPPS APC 27010 percent of total billed charges 36500 other OPPS APC 36500 other OPPS APC 9887.85 percent of total billed charges 10084.95 percent of total billed charges 365 other OPPS APC 365 36500 IMPLANT ORBITAL RETISERT .59 MG INTRAVITREAL EYE SUP-AB41601 CDM 270 RC inpatient 36500 36500 DURVALUMAB 50 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0310-4611-50 NDC J9173 HCPCS inpatient 36244.95 36244.95 DURVALUMAB 50 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0310-4611-50 NDC J9173 HCPCS outpatient 36244.95 85.77 85.77 other OPPS APC 85.77 85.77 GENERATOR NEUROSTIMULATOR PRECISION MONTAGE 16 CONTACT MRI SUP-SC-1200 CDM 270010020 LOCAL 270 RC outpatient 36000 36 9752.4 percent of total billed charges 36000 other OPPS APC 26640 percent of total billed charges 36000 other OPPS APC 36000 other OPPS APC 9752.4 percent of total billed charges 9946.8 percent of total billed charges 36 other OPPS APC 36 36000 GENERATOR NEUROSTIMULATOR PRECISION MONTAGE 16 CONTACT MRI SUP-SC-1200 CDM 270010020 LOCAL 270 RC inpatient 36000 36000 SQ ICD A219 Emblem Device _41836_ SUP-A219 CDM 275 RC outpatient 35640 3564 17463.6 percent of total billed charges 35640 other OPPS APC 20314.8 percent of total billed charges 35640 other OPPS APC 35640 other OPPS APC 17463.6 percent of total billed charges 18176.4 percent of total billed charges 3564 other OPPS APC 3564 35640 SQ ICD A219 Emblem Device _41836_ SUP-A219 CDM 275 RC inpatient 35640 35640 QUADRA HF CRT-D SUP-CD3249-40/40Q CDM 275 RC outpatient 35625 35625 17456.25 percent of total billed charges 35625 other OPPS APC 20306.25 percent of total billed charges 35625 other OPPS APC 35625 other OPPS APC 17456.25 percent of total billed charges 18168.75 percent of total billed charges 35625 other OPPS APC 17456.25 35625 QUADRA HF CRT-D SUP-CD3249-40/40Q CDM 275 RC inpatient 35625 35625 DEFIBRILLATOR CARDIAC SECURA VR SUP-D224VRC S CDM 275 RC outpatient 35558 35558 17423.42 percent of total billed charges 35558 other OPPS APC 20268.06 percent of total billed charges 35558 other OPPS APC 35558 other OPPS APC 17423.42 percent of total billed charges 18134.58 percent of total billed charges 35558 other OPPS APC 17423.42 35558 DEFIBRILLATOR CARDIAC SECURA VR SUP-D224VRC S CDM 275 RC inpatient 35558 35558 ICD PROTECTA VR SYSTEM SUP-PROTECTAVREMEM CDM 275 RC outpatient 35558 35558 17423.42 percent of total billed charges 35558 other OPPS APC 20268.06 percent of total billed charges 35558 other OPPS APC 35558 other OPPS APC 17423.42 percent of total billed charges 18134.58 percent of total billed charges 35558 other OPPS APC 17423.42 35558 ICD PROTECTA VR SYSTEM SUP-PROTECTAVREMEM CDM 275 RC inpatient 35558 35558 CRT-D DYNAGEN DF4 SYSTEM SUP-8D8C/D CDM 275 RC outpatient 35530 3553 17409.7 percent of total billed charges 35530 other OPPS APC 20252.1 percent of total billed charges 35530 other OPPS APC 35530 other OPPS APC 17409.7 percent of total billed charges 18120.3 percent of total billed charges 3553 other OPPS APC 3553 35530 CRT-D DYNAGEN DF4 SYSTEM SUP-8D8C/D CDM 275 RC inpatient 35530 35530 CRT-D DYNAGEN SYSTEM SUP-8D9C/D CDM 275 RC outpatient 35530 3553 17409.7 percent of total billed charges 35530 other OPPS APC 20252.1 percent of total billed charges 35530 other OPPS APC 35530 other OPPS APC 17409.7 percent of total billed charges 18120.3 percent of total billed charges 3553 other OPPS APC 3553 35530 CRT-D DYNAGEN SYSTEM SUP-8D9C/D CDM 275 RC inpatient 35530 35530 CRT-D DYNAGEN LV-1 SYSTEM SUP-8DCC/D CDM 275 RC outpatient 35530 3553 17409.7 percent of total billed charges 35530 other OPPS APC 20252.1 percent of total billed charges 35530 other OPPS APC 35530 other OPPS APC 17409.7 percent of total billed charges 18120.3 percent of total billed charges 3553 other OPPS APC 3553 35530 CRT-D DYNAGEN LV-1 SYSTEM SUP-8DCC/D CDM 275 RC inpatient 35530 35530 GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL TAPER L160 MM L150 MM OD36-40 MM ODSEC24 FR THORACIC CLOSED WEB RADIOPAQUE MARKER SUP-VAMFC4036C150TU CDM 270010015 LOCAL 270 RC outpatient 35490 3549 9614.24 percent of total billed charges 35490 other OPPS APC 26262.6 percent of total billed charges 35490 other OPPS APC 35490 other OPPS APC 9614.24 percent of total billed charges 9805.89 percent of total billed charges 3549 other OPPS APC 3549 35490 GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL TAPER L160 MM L150 MM OD36-40 MM ODSEC24 FR THORACIC CLOSED WEB RADIOPAQUE MARKER SUP-VAMFC4036C150TU CDM 270010015 LOCAL 270 RC inpatient 35490 35490 SYSTEM ICD DR FORTIFY SUP-CD2231-40Q-S CDM 275 RC outpatient 35200 352 17248 percent of total billed charges 35200 other OPPS APC 20064 percent of total billed charges 35200 other OPPS APC 35200 other OPPS APC 17248 percent of total billed charges 17952 percent of total billed charges 352 other OPPS APC 352 35200 SYSTEM ICD DR FORTIFY SUP-CD2231-40Q-S CDM 275 RC inpatient 35200 35200 ICD FORTIFY ASSURA DR40 DF4 DUAL CHAMBER SYSTEM SUP-CD2257-40QS CDM 275 RC outpatient 35200 352 17248 percent of total billed charges 35200 other OPPS APC 20064 percent of total billed charges 35200 other OPPS APC 35200 other OPPS APC 17248 percent of total billed charges 17952 percent of total billed charges 352 other OPPS APC 352 35200 ICD FORTIFY ASSURA DR40 DF4 DUAL CHAMBER SYSTEM SUP-CD2257-40QS CDM 275 RC inpatient 35200 35200 ICD FORTIFY DR 40 DUAL CHAMBER SYSTEM SUP-CD2257-40S CDM 275 RC outpatient 35200 352 17248 percent of total billed charges 35200 other OPPS APC 20064 percent of total billed charges 35200 other OPPS APC 35200 other OPPS APC 17248 percent of total billed charges 17952 percent of total billed charges 352 other OPPS APC 352 35200 ICD FORTIFY DR 40 DUAL CHAMBER SYSTEM SUP-CD2257-40S CDM 275 RC inpatient 35200 35200 GRAFT THORACIC ENDOPROSTHESIS 21X10 SUP-TGU212110 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 21X10 SUP-TGU212110 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 26X21X10 SUP-TGU262110 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 26X21X10 SUP-TGU262110 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 26X26X10 SUP-TGU262610 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 26X26X10 SUP-TGU262610 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 28X28X10 SUP-TGU282810 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 28X28X10 SUP-TGU282810 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 31X26X10 SUP-TGU312610 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 31X26X10 SUP-TGU312610 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 31X31X10 SUP-TGU313110 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 31X31X10 SUP-TGU313110 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 GRAFT THORACIC ENDOPROSTHESIS 34X34X15 SUP-TGU343415 CDM 270010015 LOCAL 270 RC outpatient 34998 34998 9480.96 percent of total billed charges 34998 other OPPS APC 25898.52 percent of total billed charges 34998 other OPPS APC 34998 other OPPS APC 9480.96 percent of total billed charges 9669.95 percent of total billed charges 34998 other OPPS APC 9480.96 34998 GRAFT THORACIC ENDOPROSTHESIS 34X34X15 SUP-TGU343415 CDM 270010015 LOCAL 270 RC inpatient 34998 34998 PACEMAKER - AICD - COBALT - DTPA2QQ SUP-99-04155 CDM 275 RC outpatient 34954 34954 34954 fee schedule 34954 other OPPS APC 19923.78 percent of total billed charges 34954 other OPPS APC 34954 other OPPS APC 17127.46 percent of total billed charges 17826.54 percent of total billed charges 34954 other OPPS APC 17127.46 34954 PACEMAKER - AICD - COBALT - DTPA2QQ SUP-99-04155 CDM 275 RC inpatient 34954 34954 CRTD G247 VIGILANT MRI X4 DF4 _51712_ SUP-G247 CDM 275 RC outpatient 34512 34512 16910.88 percent of total billed charges 34512 other OPPS APC 19671.84 percent of total billed charges 34512 other OPPS APC 34512 other OPPS APC 16910.88 percent of total billed charges 17601.12 percent of total billed charges 34512 other OPPS APC 16910.88 34512 CRTD G247 VIGILANT MRI X4 DF4 _51712_ SUP-G247 CDM 275 RC inpatient 34512 34512 DEFIBRILLATOR MAXIMO II CRTD SUP-D224TRKD CDM 275 RC outpatient 34332 34332 16822.68 percent of total billed charges 34332 other OPPS APC 19569.24 percent of total billed charges 34332 other OPPS APC 34332 other OPPS APC 16822.68 percent of total billed charges 17509.32 percent of total billed charges 34332 other OPPS APC 16822.68 34332 DEFIBRILLATOR MAXIMO II CRTD SUP-D224TRKD CDM 275 RC inpatient 34332 34332 PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL 636000000 CDM 0006-3026-01 NDC J9271 HCPCS inpatient 34012.1 34012.1 PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL 636000000 CDM 0006-3026-01 NDC J9271 HCPCS outpatient 34012.1 61.49 61.49 other OPPS APC 61.49 61.49 DOSTARLIMAB-GXLY 50 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0173-0898-03 NDC J9272 HCPCS inpatient 34009.18 34009.18 DOSTARLIMAB-GXLY 50 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0173-0898-03 NDC J9272 HCPCS outpatient 34009.18 247.74 247.74 other OPPS APC 247.74 247.74 GENERATOR SPINAL CORD STIMULATOR EON MINI SUP-3788-SCSCAP CDM 270 RC outpatient 34000 34 9210.6 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 9210.6 percent of total billed charges 9394.2 percent of total billed charges 34 other OPPS APC 34 34000 GENERATOR SPINAL CORD STIMULATOR EON MINI SUP-3788-SCSCAP CDM 270 RC inpatient 34000 34000 GENERATOR SPINAL CORD STIM PROTEGE SUP-3789-SCCAP CDM 270 RC outpatient 34000 34 9210.6 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 9210.6 percent of total billed charges 9394.2 percent of total billed charges 34 other OPPS APC 34 34000 GENERATOR SPINAL CORD STIM PROTEGE SUP-3789-SCCAP CDM 270 RC inpatient 34000 34000 ICD ELLIPSE MRI VR 36 DF4 CONNECTOR SYSTEM SUP-CD1311-36QS CDM 275 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 19380 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 ICD ELLIPSE MRI VR 36 DF4 CONNECTOR SYSTEM SUP-CD1311-36QS CDM 275 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 20 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60200 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 20 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60200 CDM 481 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 24 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60240 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 24 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60240 CDM 481 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 27MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60270 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 27MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60270 CDM 481 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 31 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60310 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 31 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60310 CDM 481 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 35MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60350 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 35MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60350 CDM 481 RC inpatient 34000 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 40 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60400 CDM 481 RC outpatient 34000 34 16660 percent of total billed charges 34000 other OPPS APC 25160 percent of total billed charges 34000 other OPPS APC 34000 other OPPS APC 16660 percent of total billed charges 17340 percent of total billed charges 34 other OPPS APC 34 34000 DEVICE CLOSURE WATCHMAN FLX PRO L 40 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM SUP-M635WU60400 CDM 481 RC inpatient 34000 34000 UNIFY HF CRT-D SUP-CD3231-40Q-D CDM 275 RC outpatient 33755 33755 16539.95 percent of total billed charges 33755 other OPPS APC 19240.35 percent of total billed charges 33755 other OPPS APC 33755 other OPPS APC 16539.95 percent of total billed charges 17215.05 percent of total billed charges 33755 other OPPS APC 16539.95 33755 UNIFY HF CRT-D SUP-CD3231-40Q-D CDM 275 RC inpatient 33755 33755 CRTD CD3257-40Q ASSURA _35390_ SUP-CD3257-40Q CDM 275 RC outpatient 33755 33755 16539.95 percent of total billed charges 33755 other OPPS APC 19240.35 percent of total billed charges 33755 other OPPS APC 33755 other OPPS APC 16539.95 percent of total billed charges 17215.05 percent of total billed charges 33755 other OPPS APC 16539.95 33755 CRTD CD3257-40Q ASSURA _35390_ SUP-CD3257-40Q CDM 275 RC inpatient 33755 33755 DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.18 CM 32.5 CC 73.8 GM IS-1 DF-4 IS-4 CONNECTOR STERILE SUP-G158 CDM 275 RC outpatient 33512 33512 16420.88 percent of total billed charges 33512 other OPPS APC 19101.84 percent of total billed charges 33512 other OPPS APC 33512 other OPPS APC 16420.88 percent of total billed charges 17091.12 percent of total billed charges 33512 other OPPS APC 16420.88 33512 DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.18 CM 32.5 CC 73.8 GM IS-1 DF-4 IS-4 CONNECTOR STERILE SUP-G158 CDM 275 RC inpatient 33512 33512 PACEMAKER - AICD - CLARIA DTMA1Q1 SUP-99-04220 CDM 275 RC outpatient 33398 33398 33398 fee schedule 33398 other OPPS APC 19036.86 percent of total billed charges 33398 other OPPS APC 33398 other OPPS APC 16365.02 percent of total billed charges 17032.98 percent of total billed charges 33398 other OPPS APC 16365.02 33398 PACEMAKER - AICD - CLARIA DTMA1Q1 SUP-99-04220 CDM 275 RC inpatient 33398 33398 CRTD CLARIA MRI QUAD DEVICE SUP-DTMA1Q1 CDM 275 RC outpatient 33398 33398 16365.02 percent of total billed charges 33398 other OPPS APC 19036.86 percent of total billed charges 33398 other OPPS APC 33398 other OPPS APC 16365.02 percent of total billed charges 17032.98 percent of total billed charges 33398 other OPPS APC 16365.02 33398 CRTD CLARIA MRI QUAD DEVICE SUP-DTMA1Q1 CDM 275 RC inpatient 33398 33398 CRTD CALRIA MRI QUAD DEVICE SUP-DTMA1QQ CDM 275 RC outpatient 33398 33398 16365.02 percent of total billed charges 33398 other OPPS APC 19036.86 percent of total billed charges 33398 other OPPS APC 33398 other OPPS APC 16365.02 percent of total billed charges 17032.98 percent of total billed charges 33398 other OPPS APC 16365.02 33398 CRTD CALRIA MRI QUAD DEVICE SUP-DTMA1QQ CDM 275 RC inpatient 33398 33398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2Q1 CDM 275 RC outpatient 33398 33398 16365.02 percent of total billed charges 33398 other OPPS APC 19036.86 percent of total billed charges 33398 other OPPS APC 33398 other OPPS APC 16365.02 percent of total billed charges 17032.98 percent of total billed charges 33398 other OPPS APC 16365.02 33398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2Q1 CDM 275 RC inpatient 33398 33398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2QQ CDM 275 RC outpatient 33398 33398 16365.02 percent of total billed charges 33398 other OPPS APC 19036.86 percent of total billed charges 33398 other OPPS APC 33398 other OPPS APC 16365.02 percent of total billed charges 17032.98 percent of total billed charges 33398 other OPPS APC 16365.02 33398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2QQ CDM 275 RC inpatient 33398 33398 PACEMAKER - AICD - COBALT - DTPA2D1 SUP-99-04151 CDM 275 RC outpatient 33397 33397 33397 fee schedule 33397 other OPPS APC 19036.29 percent of total billed charges 33397 other OPPS APC 33397 other OPPS APC 16364.53 percent of total billed charges 17032.47 percent of total billed charges 33397 other OPPS APC 16364.53 33397 PACEMAKER - AICD - COBALT - DTPA2D1 SUP-99-04151 CDM 275 RC inpatient 33397 33397 PACEMAKER - AICD - COBALT - DTPA2D4 SUP-99-04152 CDM 275 RC outpatient 33397 33397 33397 fee schedule 33397 other OPPS APC 19036.29 percent of total billed charges 33397 other OPPS APC 33397 other OPPS APC 16364.53 percent of total billed charges 17032.47 percent of total billed charges 33397 other OPPS APC 16364.53 33397 PACEMAKER - AICD - COBALT - DTPA2D4 SUP-99-04152 CDM 275 RC inpatient 33397 33397 PACEMAKER - AICD - COBALT - DTPA2Q1 SUP-99-04154 CDM 275 RC outpatient 33397 33397 33397 fee schedule 33397 other OPPS APC 19036.29 percent of total billed charges 33397 other OPPS APC 33397 other OPPS APC 16364.53 percent of total billed charges 17032.47 percent of total billed charges 33397 other OPPS APC 16364.53 33397 PACEMAKER - AICD - COBALT - DTPA2Q1 SUP-99-04154 CDM 275 RC inpatient 33397 33397 DEVICE AMPLIA MRI QUAD DF1 SUP-DTMB1Q1 CDM 275 RC outpatient 33298 33298 16316.02 percent of total billed charges 33298 other OPPS APC 18979.86 percent of total billed charges 33298 other OPPS APC 33298 other OPPS APC 16316.02 percent of total billed charges 16981.98 percent of total billed charges 33298 other OPPS APC 16316.02 33298 DEVICE AMPLIA MRI QUAD DF1 SUP-DTMB1Q1 CDM 275 RC inpatient 33298 33298 CRT AMPLIA MRI QUAD DEVICE SUP-DTMB1QQ CDM 275 RC outpatient 33298 33298 16316.02 percent of total billed charges 33298 other OPPS APC 18979.86 percent of total billed charges 33298 other OPPS APC 33298 other OPPS APC 16316.02 percent of total billed charges 16981.98 percent of total billed charges 33298 other OPPS APC 16316.02 33298 CRT AMPLIA MRI QUAD DEVICE SUP-DTMB1QQ CDM 275 RC inpatient 33298 33298 DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D THK15 MM W51 MM X H69 MM 38 ML 68 GM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D334TRG CDM 275 RC outpatient 33166 33166 16251.34 percent of total billed charges 33166 other OPPS APC 18904.62 percent of total billed charges 33166 other OPPS APC 33166 other OPPS APC 16251.34 percent of total billed charges 16914.66 percent of total billed charges 33166 other OPPS APC 16251.34 33166 DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D THK15 MM W51 MM X H69 MM 38 ML 68 GM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D334TRG CDM 275 RC inpatient 33166 33166 HC Cc Acid Insertion Single or Dual PX-361332490 CDM 33249 CPT 361 RC outpatient 33000 33783.43 10421.4 percent of total billed charges 33783.43 other OPPS APC 12414 fee schedule 33783.43 other OPPS APC 33783.43 other OPPS APC 10421.4 percent of total billed charges 10629.3 percent of total billed charges 33783.43 other OPPS APC 10421.4 33783.43 HC Cc Acid Insertion Single or Dual PX-361332490 CDM 33249 CPT 361 RC inpatient 33000 33000 HC Cc Aicd Battery Change Multi Lead PX-361332640 CDM 33264 CPT 361 RC outpatient 33000 33783.43 10421.4 percent of total billed charges 33783.43 other OPPS APC 8653 fee schedule 33783.43 other OPPS APC 33783.43 other OPPS APC 10421.4 percent of total billed charges 10629.3 percent of total billed charges 33783.43 other OPPS APC 8653 33783.43 HC Cc Aicd Battery Change Multi Lead PX-361332640 CDM 33264 CPT 361 RC inpatient 33000 33000 DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM VIA 17 SUP-W5-4.5-2 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM VIA 17 SUP-W5-4.5-2 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD4.5 MM VIA 17 SUP-W5-4.5-3 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD4.5 MM VIA 17 SUP-W5-4.5-3 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H2 MM OD4 MM SUP-W5-4-2 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H2 MM OD4 MM SUP-W5-4-2 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD4 MM SUP-W5-4-3 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD4 MM SUP-W5-4-3 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SPHERE H2.6 MM OD4 MM 1 LAYER VIA 17 CATHETER SUP-W5-4-S CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SPHERE H2.6 MM OD4 MM 1 LAYER VIA 17 CATHETER SUP-W5-4-S CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM SUP-W5-5-2 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM SUP-W5-5-2 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD5 MM SUP-W5-5-3 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD5 MM SUP-W5-5-3 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SPHERE H3.6 MM OD5 MM 1 LAYER VIA 17 CATHETER SUP-W5-5-S CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SPHERE H3.6 MM OD5 MM 1 LAYER VIA 17 CATHETER SUP-W5-5-S CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM STERILE LATEX FREE DISPOSABLE SUP-W5-6-2 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM STERILE LATEX FREE DISPOSABLE SUP-W5-6-2 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM SUP-W5-6-3 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM SUP-W5-6-3 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H4 MM OD6 MM SUP-W5-6-4 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H4 MM OD6 MM SUP-W5-6-4 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SPHERE H4.6 MM OD6 MM 1 LAYER VIA 17 CATHETER SUP-W5-6-S CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SPHERE H4.6 MM OD6 MM 1 LAYER VIA 17 CATHETER SUP-W5-6-S CDM 270 RC inpatient 32990 32990 SYSTEM EMBOLIZATION WEB 17 SL 7X2 H2 MM OD 7 MM RECOMMENDED VIA 17 STERILE SUP-W5-7-2 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 SYSTEM EMBOLIZATION WEB 17 SL 7X2 H2 MM OD 7 MM RECOMMENDED VIA 17 STERILE SUP-W5-7-2 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD7 MM SUP-W5-7-3 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H3 MM OD7 MM SUP-W5-7-3 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H4 MM OD7 MM SUP-W5-7-4 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H4 MM OD7 MM SUP-W5-7-4 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SL H5 MM OD7 MM SUP-W5-7-5 CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SL H5 MM OD7 MM SUP-W5-7-5 CDM 270 RC inpatient 32990 32990 DEVICE EMBOLIZATION WEB SPHERE H5.6 MM OD7 MM 1 LAYER VIA 17 CATHETER SUP-W5-7-S CDM 270 RC outpatient 32990 3299 8936.99 percent of total billed charges 32990 other OPPS APC 24412.6 percent of total billed charges 32990 other OPPS APC 32990 other OPPS APC 8936.99 percent of total billed charges 9115.14 percent of total billed charges 3299 other OPPS APC 3299 32990 DEVICE EMBOLIZATION WEB SPHERE H5.6 MM OD7 MM 1 LAYER VIA 17 CATHETER SUP-W5-7-S CDM 270 RC inpatient 32990 32990 DEVICE CRTD MOMENTUM X4 DF1 SUP-G138 CDM 275 RC outpatient 32964 32964 16152.36 percent of total billed charges 32964 other OPPS APC 18789.48 percent of total billed charges 32964 other OPPS APC 32964 other OPPS APC 16152.36 percent of total billed charges 16811.64 percent of total billed charges 32964 other OPPS APC 16152.36 32964 DEVICE CRTD MOMENTUM X4 DF1 SUP-G138 CDM 275 RC inpatient 32964 32964 DEFIBRILLATOR CARDIAC SECURA DR THK15 MM W51 MM X H64 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D224DRG CDM 275 RC outpatient 32808 3288 16075.92 percent of total billed charges 32808 other OPPS APC 18700.56 percent of total billed charges 32808 other OPPS APC 32808 other OPPS APC 16075.92 percent of total billed charges 16732.08 percent of total billed charges 3288 other OPPS APC 3288 32808 DEFIBRILLATOR CARDIAC SECURA DR THK15 MM W51 MM X H64 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D224DRG CDM 275 RC inpatient 32808 32808 GENERATOR NEUROSTIMULATOR PRECISION SPECTRA TITANIUM EPOXY SILICONE D10.8 MM W46 MM X H50 MM IMPLANTABLE PULSE RECHARGABLE HANDHELD REMOTE CONTROL SUP-SC-1132 CDM 270 RC outpatient 32790 3279 8882.81 percent of total billed charges 32790 other OPPS APC 24264.6 percent of total billed charges 32790 other OPPS APC 32790 other OPPS APC 8882.81 percent of total billed charges 9059.88 percent of total billed charges 3279 other OPPS APC 3279 32790 GENERATOR NEUROSTIMULATOR PRECISION SPECTRA TITANIUM EPOXY SILICONE D10.8 MM W46 MM X H50 MM IMPLANTABLE PULSE RECHARGABLE HANDHELD REMOTE CONTROL SUP-SC-1132 CDM 270 RC inpatient 32790 32790 DEBRILLATOR CARDIAC COBALT XT CRT-D DF-1 PIN PLUG RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2D1 CDM 275 RC outpatient 32537 32537 15943.13 percent of total billed charges 32537 other OPPS APC 18546.09 percent of total billed charges 32537 other OPPS APC 32537 other OPPS APC 15943.13 percent of total billed charges 16593.87 percent of total billed charges 32537 other OPPS APC 15943.13 32537 DEBRILLATOR CARDIAC COBALT XT CRT-D DF-1 PIN PLUG RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2D1 CDM 275 RC inpatient 32537 32537 DEFIBRILLATOR CARDIAC COBALT XT CRT-D DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2D4 CDM 275 RC outpatient 32537 32537 15943.13 percent of total billed charges 32537 other OPPS APC 18546.09 percent of total billed charges 32537 other OPPS APC 32537 other OPPS APC 15943.13 percent of total billed charges 16593.87 percent of total billed charges 32537 other OPPS APC 15943.13 32537 DEFIBRILLATOR CARDIAC COBALT XT CRT-D DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2D4 CDM 275 RC inpatient 32537 32537 CRT-D VIVA QUAD XT SYSTEM SUP-VIVAQUADXTCRTDMMQM CDM 275 RC outpatient 32522 32522 15935.78 percent of total billed charges 32522 other OPPS APC 18537.54 percent of total billed charges 32522 other OPPS APC 32522 other OPPS APC 15935.78 percent of total billed charges 16586.22 percent of total billed charges 32522 other OPPS APC 15935.78 32522 CRT-D VIVA QUAD XT SYSTEM SUP-VIVAQUADXTCRTDMMQM CDM 275 RC inpatient 32522 32522 GRAFT STENT VALIANT STRAIGHT L100 MM OD32 MM PROXIMAL MAIN SECTION FREE FLOW CAPTIVIA DELIVERY SYSTEM THORACIC AORTIC ANEURYSM REPAIR SUP-VAMC3232C100TU CDM 270010015 LOCAL 270 RC outpatient 32490 3249 8801.54 percent of total billed charges 32490 other OPPS APC 24042.6 percent of total billed charges 32490 other OPPS APC 32490 other OPPS APC 8801.54 percent of total billed charges 8976.99 percent of total billed charges 3249 other OPPS APC 3249 32490 GRAFT STENT VALIANT STRAIGHT L100 MM OD32 MM PROXIMAL MAIN SECTION FREE FLOW CAPTIVIA DELIVERY SYSTEM THORACIC AORTIC ANEURYSM REPAIR SUP-VAMC3232C100TU CDM 270010015 LOCAL 270 RC inpatient 32490 32490 DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD 2 DF1 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2Q1 CDM 275 RC outpatient 32477 32477 15913.73 percent of total billed charges 32477 other OPPS APC 18511.89 percent of total billed charges 32477 other OPPS APC 32477 other OPPS APC 15913.73 percent of total billed charges 16563.27 percent of total billed charges 32477 other OPPS APC 15913.73 32477 DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD 2 DF1 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2Q1 CDM 275 RC inpatient 32477 32477 DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2QQ CDM 275 RC outpatient 32477 32477 15913.73 percent of total billed charges 32477 other OPPS APC 18511.89 percent of total billed charges 32477 other OPPS APC 32477 other OPPS APC 15913.73 percent of total billed charges 16563.27 percent of total billed charges 32477 other OPPS APC 15913.73 32477 DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION SUP-DTPA2QQ CDM 275 RC inpatient 32477 32477 PACEMAKER COMPIA DTMC1D1 MRI SYSTEM SUP-COMPIAMRICRTDMMAM CDM 275 RC outpatient 32400 324 15876 percent of total billed charges 32400 other OPPS APC 18468 percent of total billed charges 32400 other OPPS APC 32400 other OPPS APC 15876 percent of total billed charges 16524 percent of total billed charges 324 other OPPS APC 324 32400 PACEMAKER COMPIA DTMC1D1 MRI SYSTEM SUP-COMPIAMRICRTDMMAM CDM 275 RC inpatient 32400 32400 PACEMAKER - AICD - CLARIA DTMA1D1 SUP-99-04217 CDM 275 RC outpatient 32398 32398 32398 fee schedule 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 PACEMAKER - AICD - CLARIA DTMA1D1 SUP-99-04217 CDM 275 RC inpatient 32398 32398 PACEMAKER - AICD - CLARIA DTMA1D4 SUP-99-04218 CDM 275 RC outpatient 32398 32398 15875.02 percent of total billed charges 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 PACEMAKER - AICD - CLARIA DTMA1D4 SUP-99-04218 CDM 275 RC inpatient 32398 32398 PACEMAKER - AICD - CLARIA DTMA1Q1 SUP-99-04219 CDM 272 RC outpatient 32398 32398 8776.62 percent of total billed charges 32398 other OPPS APC 23974.52 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 8776.62 percent of total billed charges 8951.57 percent of total billed charges 32398 other OPPS APC 8776.62 32398 PACEMAKER - AICD - CLARIA DTMA1Q1 SUP-99-04219 CDM 272 RC inpatient 32398 32398 CRTD CLARIA MRI DEVICE SUP-DTMA1D1 CDM 275 RC outpatient 32398 32398 15875.02 percent of total billed charges 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 CRTD CLARIA MRI DEVICE SUP-DTMA1D1 CDM 275 RC inpatient 32398 32398 CRTD CLARIA MRI DEVICE SUP-DTMA1D4 CDM 275 RC outpatient 32398 32398 15875.02 percent of total billed charges 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 CRTD CLARIA MRI DEVICE SUP-DTMA1D4 CDM 275 RC inpatient 32398 32398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2D1 CDM 275 RC outpatient 32398 32398 15875.02 percent of total billed charges 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2D1 CDM 275 RC inpatient 32398 32398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2D4 CDM 275 RC outpatient 32398 32398 15875.02 percent of total billed charges 32398 other OPPS APC 18466.86 percent of total billed charges 32398 other OPPS APC 32398 other OPPS APC 15875.02 percent of total billed charges 16522.98 percent of total billed charges 32398 other OPPS APC 15875.02 32398 PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS SUP-DTPB2D4 CDM 275 RC inpatient 32398 32398 ICD D233 VIGILANT EL DR DF 4 2 LEAD SYSTEM SUP-8TV1 CDM 275 RC outpatient 32340 3234 15846.6 percent of total billed charges 32340 other OPPS APC 18433.8 percent of total billed charges 32340 other OPPS APC 32340 other OPPS APC 15846.6 percent of total billed charges 16493.4 percent of total billed charges 3234 other OPPS APC 3234 32340 ICD D233 VIGILANT EL DR DF 4 2 LEAD SYSTEM SUP-8TV1 CDM 275 RC inpatient 32340 32340 DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 4MM SUP-113USPH CDM 270 RC outpatient 32300 323 8750.07 percent of total billed charges 32300 other OPPS APC 23902 percent of total billed charges 32300 other OPPS APC 32300 other OPPS APC 8750.07 percent of total billed charges 8924.49 percent of total billed charges 323 other OPPS APC 323 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 4MM SUP-113USPH CDM 270 RC inpatient 32300 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 4MM SUP-114USPH CDM 270 RC outpatient 32300 323 8750.07 percent of total billed charges 32300 other OPPS APC 23902 percent of total billed charges 32300 other OPPS APC 32300 other OPPS APC 8750.07 percent of total billed charges 8924.49 percent of total billed charges 323 other OPPS APC 323 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 4MM SUP-114USPH CDM 270 RC inpatient 32300 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 5MM SUP-122USPH CDM 270 RC outpatient 32300 323 8750.07 percent of total billed charges 32300 other OPPS APC 23902 percent of total billed charges 32300 other OPPS APC 32300 other OPPS APC 8750.07 percent of total billed charges 8924.49 percent of total billed charges 323 other OPPS APC 323 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 5MM SUP-122USPH CDM 270 RC inpatient 32300 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 5MM SUP-123USPH CDM 270 RC outpatient 32300 323 8750.07 percent of total billed charges 32300 other OPPS APC 23902 percent of total billed charges 32300 other OPPS APC 32300 other OPPS APC 8750.07 percent of total billed charges 8924.49 percent of total billed charges 323 other OPPS APC 323 32300 DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 5MM SUP-123USPH CDM 270 RC inpatient 32300 32300 CRT AMPLIA MRI DEVICE SUP-DTMB1D1 CDM 275 RC outpatient 32298 32298 15826.02 percent of total billed charges 32298 other OPPS APC 18409.86 percent of total billed charges 32298 other OPPS APC 32298 other OPPS APC 15826.02 percent of total billed charges 16471.98 percent of total billed charges 32298 other OPPS APC 15826.02 32298 CRT AMPLIA MRI DEVICE SUP-DTMB1D1 CDM 275 RC inpatient 32298 32298 CRT AMPLIA MRI DEVICE SUP-DTMB1D4 CDM 275 RC outpatient 32298 32298 15826.02 percent of total billed charges 32298 other OPPS APC 18409.86 percent of total billed charges 32298 other OPPS APC 32298 other OPPS APC 15826.02 percent of total billed charges 16471.98 percent of total billed charges 32298 other OPPS APC 15826.02 32298 CRT AMPLIA MRI DEVICE SUP-DTMB1D4 CDM 275 RC inpatient 32298 32298 FORTIFY DR ICD SUP-CD2231-40Q-D CDM 275 RC outpatient 32095 3295 15726.55 percent of total billed charges 32095 other OPPS APC 18294.15 percent of total billed charges 32095 other OPPS APC 32095 other OPPS APC 15726.55 percent of total billed charges 16368.45 percent of total billed charges 3295 other OPPS APC 3295 32095 FORTIFY DR ICD SUP-CD2231-40Q-D CDM 275 RC inpatient 32095 32095 ICD CD2257-40 ASSURA _35376_ SUP-CD2257-40 CDM 275 RC outpatient 32095 3295 15726.55 percent of total billed charges 32095 other OPPS APC 18294.15 percent of total billed charges 32095 other OPPS APC 32095 other OPPS APC 15726.55 percent of total billed charges 16368.45 percent of total billed charges 3295 other OPPS APC 3295 32095 ICD CD2257-40 ASSURA _35376_ SUP-CD2257-40 CDM 275 RC inpatient 32095 32095 ICD CD 2257-40Q FORTIFY ASSURA DR SUP-CD2257-40Q CDM 275 RC outpatient 32095 3295 15726.55 percent of total billed charges 32095 other OPPS APC 18294.15 percent of total billed charges 32095 other OPPS APC 32095 other OPPS APC 15726.55 percent of total billed charges 16368.45 percent of total billed charges 3295 other OPPS APC 3295 32095 ICD CD 2257-40Q FORTIFY ASSURA DR SUP-CD2257-40Q CDM 275 RC inpatient 32095 32095 ICD PROTECTA DR DEVICE SUP-D334DRGD334DRM CDM 275 RC outpatient 32006 326 15682.94 percent of total billed charges 32006 other OPPS APC 18243.42 percent of total billed charges 32006 other OPPS APC 32006 other OPPS APC 15682.94 percent of total billed charges 16323.06 percent of total billed charges 326 other OPPS APC 326 32006 ICD PROTECTA DR DEVICE SUP-D334DRGD334DRM CDM 275 RC inpatient 32006 32006 CONDUIT VALVE KONECT RESILIA OD21 MM AORTIC SUP-11060A21 CDM 270 RC outpatient 32000 32 8668.8 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 8668.8 percent of total billed charges 8841.6 percent of total billed charges 32 other OPPS APC 32 32000 CONDUIT VALVE KONECT RESILIA OD21 MM AORTIC SUP-11060A21 CDM 270 RC inpatient 32000 32000 VALVE AORTIC KONECT RESILIA 23 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC SUP-11060A23 CDM 270 RC outpatient 32000 32 8668.8 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 8668.8 percent of total billed charges 8841.6 percent of total billed charges 32 other OPPS APC 32 32000 VALVE AORTIC KONECT RESILIA 23 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC SUP-11060A23 CDM 270 RC inpatient 32000 32000 CONDUIT VALVE KONECT RESILIA OD25 MM AORTIC SUP-11060A25 CDM 270 RC outpatient 32000 32 8668.8 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 8668.8 percent of total billed charges 8841.6 percent of total billed charges 32 other OPPS APC 32 32000 CONDUIT VALVE KONECT RESILIA OD25 MM AORTIC SUP-11060A25 CDM 270 RC inpatient 32000 32000 VALVE AORTIC KONECT RESILIA 27 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC SUP-11060A27 CDM 270 RC outpatient 32000 32 8668.8 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 8668.8 percent of total billed charges 8841.6 percent of total billed charges 32 other OPPS APC 32 32000 VALVE AORTIC KONECT RESILIA 27 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC SUP-11060A27 CDM 270 RC inpatient 32000 32000 CONDUIT VALVE KONECT RESILIA OD29 MM AORTIC SUP-11060A29 CDM 270 RC outpatient 32000 32 8668.8 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 8668.8 percent of total billed charges 8841.6 percent of total billed charges 32 other OPPS APC 32 32000 CONDUIT VALVE KONECT RESILIA OD29 MM AORTIC SUP-11060A29 CDM 270 RC inpatient 32000 32000 ICD DVBM1D4 EVERA XT MRI VR SYSTEM SUP-EVERAMRIXTVREMEM CDM 275 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 18240 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 ICD DVBM1D4 EVERA XT MRI VR SYSTEM SUP-EVERAMRIXTVREMEM CDM 275 RC inpatient 32000 32000 Watchman FLX 20MM _62663_ SUP-M635WU50200 CDM 481 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 Watchman FLX 20MM _62663_ SUP-M635WU50200 CDM 481 RC inpatient 32000 32000 Watchman FLX 24mm _62665_ SUP-M635WU50240 CDM 481 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 Watchman FLX 24mm _62665_ SUP-M635WU50240 CDM 481 RC inpatient 32000 32000 Watchman FLX 27mm _62666_ SUP-M635WU50270 CDM 481 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 Watchman FLX 27mm _62666_ SUP-M635WU50270 CDM 481 RC inpatient 32000 32000 Watchman FLX 31 mm _62667_ SUP-M635WU50310 CDM 481 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 Watchman FLX 31 mm _62667_ SUP-M635WU50310 CDM 481 RC inpatient 32000 32000 Watchman FLX 35 _62668_ SUP-M635WU50350 CDM 481 RC outpatient 32000 32 15680 percent of total billed charges 32000 other OPPS APC 23680 percent of total billed charges 32000 other OPPS APC 32000 other OPPS APC 15680 percent of total billed charges 16320 percent of total billed charges 32 other OPPS APC 32 32000 Watchman FLX 35 _62668_ SUP-M635WU50350 CDM 481 RC inpatient 32000 32000 DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.08 CM 32 CC 73.4 GM IS-1 DF-1 IS-4 CONNECTOR STERILE SUP-G156 CDM 275 RC outpatient 31964 31964 15662.36 percent of total billed charges 31964 other OPPS APC 18219.48 percent of total billed charges 31964 other OPPS APC 31964 other OPPS APC 15662.36 percent of total billed charges 16301.64 percent of total billed charges 31964 other OPPS APC 15662.36 31964 DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.08 CM 32 CC 73.4 GM IS-1 DF-1 IS-4 CONNECTOR STERILE SUP-G156 CDM 275 RC inpatient 31964 31964 GRAFT ENDOVASCULAR ZENITH ALPHA FLEXOR CAPTOR NITINOL POLYPROPYLENE POLYESTER FABRIC HYDROPHILIC OD6 MM CYLINDRICAL L109 MM OD28 MM ODSEC24-25 MM ID16 FR THORACIC 2 PIECE PROXIMAL COMPONENT SELF EXPAND INTRODUCER SHEATH STERILE ACCEPTS .035 IN GUIDEWIRE SUP-ZTA-P-28-109-W CDM 270010015 LOCAL 270 RC outpatient 31930 3193 8649.84 percent of total billed charges 31930 other OPPS APC 23628.2 percent of total billed charges 31930 other OPPS APC 31930 other OPPS APC 8649.84 percent of total billed charges 8822.26 percent of total billed charges 3193 other OPPS APC 3193 31930 GRAFT ENDOVASCULAR ZENITH ALPHA FLEXOR CAPTOR NITINOL POLYPROPYLENE POLYESTER FABRIC HYDROPHILIC OD6 MM CYLINDRICAL L109 MM OD28 MM ODSEC24-25 MM ID16 FR THORACIC 2 PIECE PROXIMAL COMPONENT SELF EXPAND INTRODUCER SHEATH STERILE ACCEPTS .035 IN GUIDEWIRE SUP-ZTA-P-28-109-W CDM 270010015 LOCAL 270 RC inpatient 31930 31930 DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD SUP-MAXIIVREMEM CDM 275 RC outpatient 31802 3182 15582.98 percent of total billed charges 31802 other OPPS APC 18127.14 percent of total billed charges 31802 other OPPS APC 31802 other OPPS APC 15582.98 percent of total billed charges 16219.02 percent of total billed charges 3182 other OPPS APC 3182 31802 DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD SUP-MAXIIVREMEM CDM 275 RC inpatient 31802 31802 ICD DVBB1D1 EVERA XT VR SINGLE CHAMBER ICD SYSTEM SUP-DVBB1D1 S CDM 275 RC outpatient 31800 318 15582 percent of total billed charges 31800 other OPPS APC 18126 percent of total billed charges 31800 other OPPS APC 31800 other OPPS APC 15582 percent of total billed charges 16218 percent of total billed charges 318 other OPPS APC 318 31800 ICD DVBB1D1 EVERA XT VR SINGLE CHAMBER ICD SYSTEM SUP-DVBB1D1 S CDM 275 RC inpatient 31800 31800 MOMENTUM CRT-D SUP-G124 CDM 275 RC outpatient 31760 3176 15562.4 percent of total billed charges 31760 other OPPS APC 18103.2 percent of total billed charges 31760 other OPPS APC 31760 other OPPS APC 15562.4 percent of total billed charges 16197.6 percent of total billed charges 3176 other OPPS APC 3176 31760 MOMENTUM CRT-D SUP-G124 CDM 275 RC inpatient 31760 31760 DEVICE CRTD MOMENTUM IS1 DF1 DEVICE SUP-G125 CDM 275 RC outpatient 31760 3176 15562.4 percent of total billed charges 31760 other OPPS APC 18103.2 percent of total billed charges 31760 other OPPS APC 31760 other OPPS APC 15562.4 percent of total billed charges 16197.6 percent of total billed charges 3176 other OPPS APC 3176 31760 DEVICE CRTD MOMENTUM IS1 DF1 DEVICE SUP-G125 CDM 275 RC inpatient 31760 31760 DEVICE CRTD MOMENTUM LV1 DF1 SUP-G126 CDM 275 RC outpatient 31760 3176 15562.4 percent of total billed charges 31760 other OPPS APC 18103.2 percent of total billed charges 31760 other OPPS APC 31760 other OPPS APC 15562.4 percent of total billed charges 16197.6 percent of total billed charges 3176 other OPPS APC 3176 31760 DEVICE CRTD MOMENTUM LV1 DF1 SUP-G126 CDM 275 RC inpatient 31760 31760 GENERATOR NEUROSTIMULATOR EONC 16 CHANNEL IMPLANTABLE PULSE IPG SUP-3688 SCS EON CDM 270 RC outpatient 31662 31662 8577.24 percent of total billed charges 31662 other OPPS APC 23429.88 percent of total billed charges 31662 other OPPS APC 31662 other OPPS APC 8577.24 percent of total billed charges 8748.21 percent of total billed charges 31662 other OPPS APC 8577.24 31662 GENERATOR NEUROSTIMULATOR EONC 16 CHANNEL IMPLANTABLE PULSE IPG SUP-3688 SCS EON CDM 270 RC inpatient 31662 31662 PACEMAKER - AICD COBALT XT HF QUAD SUP-99-04890 CDM inpatient 31603 31603 PACEMAKER - AICD COBALT XT HF QUAD SUP-99-04890 CDM outpatient 31603 3163 31603 percent of total billed charges 31603 other OPPS APC 31603 fee schedule 31603 other OPPS APC 31603 other OPPS APC 31603 case rate 31603 case rate 3163 other OPPS APC 3163 31603 DEFIBRILLATOR CARDIAC EVERA MRI XT DR SURESCAN 2 CHAMBER ANTITACHYCARDIA SUP-EVERAMRIXTDRMMEM CDM 275 RC outpatient 31598 31598 15483.02 percent of total billed charges 31598 other OPPS APC 18010.86 percent of total billed charges 31598 other OPPS APC 31598 other OPPS APC 15483.02 percent of total billed charges 16114.98 percent of total billed charges 31598 other OPPS APC 15483.02 31598 DEFIBRILLATOR CARDIAC EVERA MRI XT DR SURESCAN 2 CHAMBER ANTITACHYCARDIA SUP-EVERAMRIXTDRMMEM CDM 275 RC inpatient 31598 31598 ICD ELLIPSE DR 36 DF4 CONNECTOR SYSTEM SUP-362311-36QS CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD ELLIPSE DR 36 DF4 CONNECTOR SYSTEM SUP-362311-36QS CDM 275 RC inpatient 31504 31504 ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 2 LEAD SUP-8D22/A CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 2 LEAD SUP-8D22/A CDM 275 RC inpatient 31504 31504 ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 1 LEAD SUP-8D23/B CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 1 LEAD SUP-8D23/B CDM 275 RC inpatient 31504 31504 ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 2 LEAD SUP-8D32/A CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 2 LEAD SUP-8D32/A CDM 275 RC inpatient 31504 31504 ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 1 LEAD SUP-8D33/B CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 1 LEAD SUP-8D33/B CDM 275 RC inpatient 31504 31504 ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 1 LEAD SUP-8D63/B CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 1 LEAD SUP-8D63/B CDM 275 RC inpatient 31504 31504 ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 1 LEAD SUP-8D73/B CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 1 LEAD SUP-8D73/B CDM 275 RC inpatient 31504 31504 ICD ELLIPSE DR 36 SYSTEM SUP-CD2311-36S CDM 275 RC outpatient 31504 3154 15436.96 percent of total billed charges 31504 other OPPS APC 17957.28 percent of total billed charges 31504 other OPPS APC 31504 other OPPS APC 15436.96 percent of total billed charges 16067.04 percent of total billed charges 3154 other OPPS APC 3154 31504 ICD ELLIPSE DR 36 SYSTEM SUP-CD2311-36S CDM 275 RC inpatient 31504 31504 DEFIBRILLATOR CARDIAC FORTIFY VR TITANIUM THK14 MM 40 J W40 MM X H71 MM 35 ML 75 GM 1 CHAMBER DF-4 RF TELEMETRY SUP-CD1231-40-S CDM 275 RC outpatient 31375 31375 15373.75 percent of total billed charges 31375 other OPPS APC 17883.75 percent of total billed charges 31375 other OPPS APC 31375 other OPPS APC 15373.75 percent of total billed charges 16001.25 percent of total billed charges 31375 other OPPS APC 15373.75 31375 DEFIBRILLATOR CARDIAC FORTIFY VR TITANIUM THK14 MM 40 J W40 MM X H71 MM 35 ML 75 GM 1 CHAMBER DF-4 RF TELEMETRY SUP-CD1231-40-S CDM 275 RC inpatient 31375 31375 ICD FORTIFY ASSURA VR40 DR4 CONNECTOR SINGLE CHAMBER SYSTEM SUP-CD1257-40QS CDM 275 RC outpatient 31375 31375 15373.75 percent of total billed charges 31375 other OPPS APC 17883.75 percent of total billed charges 31375 other OPPS APC 31375 other OPPS APC 15373.75 percent of total billed charges 16001.25 percent of total billed charges 31375 other OPPS APC 15373.75 31375 ICD FORTIFY ASSURA VR40 DR4 CONNECTOR SINGLE CHAMBER SYSTEM SUP-CD1257-40QS CDM 275 RC inpatient 31375 31375 ICD FORTIFY ASSURA VR 40 SINGLE CHAMBER SYSTEM SUP-CD1257-40S CDM 275 RC outpatient 31375 31375 15373.75 percent of total billed charges 31375 other OPPS APC 17883.75 percent of total billed charges 31375 other OPPS APC 31375 other OPPS APC 15373.75 percent of total billed charges 16001.25 percent of total billed charges 31375 other OPPS APC 15373.75 31375 ICD FORTIFY ASSURA VR 40 SINGLE CHAMBER SYSTEM SUP-CD1257-40S CDM 275 RC inpatient 31375 31375 ICD ELLIPSE VR 36 SYSTEM SUP-CD1311-36S CDM 275 RC outpatient 31375 31375 15373.75 percent of total billed charges 31375 other OPPS APC 17883.75 percent of total billed charges 31375 other OPPS APC 31375 other OPPS APC 15373.75 percent of total billed charges 16001.25 percent of total billed charges 31375 other OPPS APC 15373.75 31375 ICD ELLIPSE VR 36 SYSTEM SUP-CD1311-36S CDM 275 RC inpatient 31375 31375 ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 2 LEADS SUP-8D62/A CDM 275 RC outpatient 31340 3134 15356.6 percent of total billed charges 31340 other OPPS APC 17863.8 percent of total billed charges 31340 other OPPS APC 31340 other OPPS APC 15356.6 percent of total billed charges 15983.4 percent of total billed charges 3134 other OPPS APC 3134 31340 ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 2 LEADS SUP-8D62/A CDM 275 RC inpatient 31340 31340 DEFIBRILLATOR CARDIAC GALLANT IS-4 DF4 IS-1 CONNECTOR RESYNCHRONIZATION SUP-CDHFA500Q CDM 275 RC outpatient 31300 313 15337 percent of total billed charges 31300 other OPPS APC 17841 percent of total billed charges 31300 other OPPS APC 31300 other OPPS APC 15337 percent of total billed charges 15963 percent of total billed charges 313 other OPPS APC 313 31300 DEFIBRILLATOR CARDIAC GALLANT IS-4 DF4 IS-1 CONNECTOR RESYNCHRONIZATION SUP-CDHFA500Q CDM 275 RC inpatient 31300 31300 CRTD COMPIA MRI QUAD SYSTEM SUP-COMPIAMRIQDCRTMMQM CDM inpatient 31200 31200 CRTD COMPIA MRI QUAD SYSTEM SUP-COMPIAMRIQDCRTMMQM CDM outpatient 31200 312 31200 percent of total billed charges 31200 other OPPS APC 31200 fee schedule 31200 other OPPS APC 31200 other OPPS APC 31200 case rate 31200 case rate 312 other OPPS APC 312 31200 DEFIBRILLATOR CARDIAC MAXIMO II DR ICD THK15 MM W51 MM X H68 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D284DRG CDM 275 RC outpatient 31054 3154 15216.46 percent of total billed charges 31054 other OPPS APC 17700.78 percent of total billed charges 31054 other OPPS APC 31054 other OPPS APC 15216.46 percent of total billed charges 15837.54 percent of total billed charges 3154 other OPPS APC 3154 31054 DEFIBRILLATOR CARDIAC MAXIMO II DR ICD THK15 MM W51 MM X H68 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE SUP-D284DRG CDM 275 RC inpatient 31054 31054 DEVICE EMBOLIZATION PIPELINE FLEX L14MM OD 4.5MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE SUP-PED-450-14 CDM 270 RC outpatient 30860 386 8359.97 percent of total billed charges 30860 other OPPS APC 22836.4 percent of total billed charges 30860 other OPPS APC 30860 other OPPS APC 8359.97 percent of total billed charges 8526.62 percent of total billed charges 386 other OPPS APC 386 30860 DEVICE EMBOLIZATION PIPELINE FLEX L14MM OD 4.5MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE SUP-PED-450-14 CDM 270 RC inpatient 30860 30860 DEVICE EMBOLIZATION PIPELINE FLEX L16 MM OD 4.75 MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE SUP-PED-475-16 CDM 270 RC outpatient 30860 386 8359.97 percent of total billed charges 30860 other OPPS APC 22836.4 percent of total billed charges 30860 other OPPS APC 30860 other OPPS APC 8359.97 percent of total billed charges 8526.62 percent of total billed charges 386 other OPPS APC 386 30860 DEVICE EMBOLIZATION PIPELINE FLEX L16 MM OD 4.75 MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE SUP-PED-475-16 CDM 270 RC inpatient 30860 30860 ICD VISIA AF MRI VR SYSTEM SUP-VISIAAFMRIEMEM CDM 275 RC outpatient 30850 385 15116.5 percent of total billed charges 30850 other OPPS APC 17584.5 percent of total billed charges 30850 other OPPS APC 30850 other OPPS APC 15116.5 percent of total billed charges 15733.5 percent of total billed charges 385 other OPPS APC 385 30850 ICD VISIA AF MRI VR SYSTEM SUP-VISIAAFMRIEMEM CDM 275 RC inpatient 30850 30850 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.18 CM 32.5 CC 73.6 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF4 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE SUP-G150 CDM 275 RC outpatient 30760 376 15072.4 percent of total billed charges 30760 other OPPS APC 17533.2 percent of total billed charges 30760 other OPPS APC 30760 other OPPS APC 15072.4 percent of total billed charges 15687.6 percent of total billed charges 376 other OPPS APC 376 30760 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.18 CM 32.5 CC 73.6 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF4 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE SUP-G150 CDM 275 RC inpatient 30760 30760 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.8 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE SUP-G151 CDM 275 RC outpatient 30760 376 15072.4 percent of total billed charges 30760 other OPPS APC 17533.2 percent of total billed charges 30760 other OPPS APC 30760 other OPPS APC 15072.4 percent of total billed charges 15687.6 percent of total billed charges 376 other OPPS APC 376 30760 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.8 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE SUP-G151 CDM 275 RC inpatient 30760 30760 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.9 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 LV-1 CONNECTOR TAPER LEAD TIP STERILE SUP-G154 CDM 275 RC outpatient 30760 376 15072.4 percent of total billed charges 30760 other OPPS APC 17533.2 percent of total billed charges 30760 other OPPS APC 30760 other OPPS APC 15072.4 percent of total billed charges 15687.6 percent of total billed charges 376 other OPPS APC 376 30760 DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.9 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 LV-1 CONNECTOR TAPER LEAD TIP STERILE SUP-G154 CDM 275 RC inpatient 30760 30760 DEFIBRILLATOR D232 VIGILANT EL VR DF4 1 LEAD SYSTEM SUP-8TV3 CDM 275 RC outpatient 30620 362 15003.8 percent of total billed charges 30620 other OPPS APC 17453.4 percent of total billed charges 30620 other OPPS APC 30620 other OPPS APC 15003.8 percent of total billed charges 15616.2 percent of total billed charges 362 other OPPS APC 362 30620 DEFIBRILLATOR D232 VIGILANT EL VR DF4 1 LEAD SYSTEM SUP-8TV3 CDM 275 RC inpatient 30620 30620 CRTD DTBA1Q1 VIVA QUAD DF1 DEVICE _40073_ SUP-DTBA1Q1 CDM 275 RC outpatient 30600 36 14994 percent of total billed charges 30600 other OPPS APC 17442 percent of total billed charges 30600 other OPPS APC 30600 other OPPS APC 14994 percent of total billed charges 15606 percent of total billed charges 36 other OPPS APC 36 30600 CRTD DTBA1Q1 VIVA QUAD DF1 DEVICE _40073_ SUP-DTBA1Q1 CDM 275 RC inpatient 30600 30600 BATTERY SUP-99702 CDM 270 RC outpatient 30480 348 8257.03 percent of total billed charges 30480 other OPPS APC 22555.2 percent of total billed charges 30480 other OPPS APC 30480 other OPPS APC 8257.03 percent of total billed charges 8421.62 percent of total billed charges 348 other OPPS APC 348 30480 BATTERY SUP-99702 CDM 270 RC inpatient 30480 30480 DEFIBRILLATOR CARDIAC MRI ELLIPSE VR TITANIUM THK12 MM 36 J W66 MM X H51 MM 31 ML 66 GM VENTRICLE 2 CHAMBER 2 DF-4 HIGH VOLTAGE SUP-CD1311-36Q CDM 275 RC outpatient 30414 3414 14902.86 percent of total billed charges 30414 other OPPS APC 17335.98 percent of total billed charges 30414 other OPPS APC 30414 other OPPS APC 14902.86 percent of total billed charges 15511.14 percent of total billed charges 3414 other OPPS APC 3414 30414 DEFIBRILLATOR CARDIAC MRI ELLIPSE VR TITANIUM THK12 MM 36 J W66 MM X H51 MM 31 ML 66 GM VENTRICLE 2 CHAMBER 2 DF-4 HIGH VOLTAGE SUP-CD1311-36Q CDM 275 RC inpatient 30414 30414 ICD DYNAGEN MINI VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D02/A CDM 275 RC outpatient 30400 34 14896 percent of total billed charges 30400 other OPPS APC 17328 percent of total billed charges 30400 other OPPS APC 30400 other OPPS APC 14896 percent of total billed charges 15504 percent of total billed charges 34 other OPPS APC 34 30400 ICD DYNAGEN MINI VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D02/A CDM 275 RC inpatient 30400 30400 ICD DYNAGEN MINI VR SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D12/A CDM 275 RC outpatient 30400 34 14896 percent of total billed charges 30400 other OPPS APC 17328 percent of total billed charges 30400 other OPPS APC 30400 other OPPS APC 14896 percent of total billed charges 15504 percent of total billed charges 34 other OPPS APC 34 30400 ICD DYNAGEN MINI VR SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D12/A CDM 275 RC inpatient 30400 30400 ICD DVBB1D1 EVERA XT VR DF4 SYSTEM SUP-EVERAXTVREMEM-SYS CDM 275 RC outpatient 30400 34 14896 percent of total billed charges 30400 other OPPS APC 17328 percent of total billed charges 30400 other OPPS APC 30400 other OPPS APC 14896 percent of total billed charges 15504 percent of total billed charges 34 other OPPS APC 34 30400 ICD DVBB1D1 EVERA XT VR DF4 SYSTEM SUP-EVERAXTVREMEM-SYS CDM 275 RC inpatient 30400 30400 PACEMAKER- CLARIA AICD MRI SUP-99-04775 CDM inpatient 30197 30197 PACEMAKER- CLARIA AICD MRI SUP-99-04775 CDM outpatient 30197 3197 30197 percent of total billed charges 30197 other OPPS APC 30197 fee schedule 30197 other OPPS APC 30197 other OPPS APC 30197 case rate 30197 case rate 3197 other OPPS APC 3197 30197 ICD D121 MOMENTUM EL DR DF1 SYSTEM SUP-8TMA CDM 275 RC outpatient 30193 3193 14794.57 percent of total billed charges 30193 other OPPS APC 17210.01 percent of total billed charges 30193 other OPPS APC 30193 other OPPS APC 14794.57 percent of total billed charges 15398.43 percent of total billed charges 3193 other OPPS APC 3193 30193 ICD D121 MOMENTUM EL DR DF1 SYSTEM SUP-8TMA CDM 275 RC inpatient 30193 30193 DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D SUP-D314TRG CDM 275 RC outpatient 30193 3193 14794.57 percent of total billed charges 30193 other OPPS APC 17210.01 percent of total billed charges 30193 other OPPS APC 30193 other OPPS APC 14794.57 percent of total billed charges 15398.43 percent of total billed charges 3193 other OPPS APC 3193 30193 DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D SUP-D314TRG CDM 275 RC inpatient 30193 30193 CEMIPLIMAB-RWLC 50 MG/ML SOLUTION 7 ML VIAL 636000000 CDM 61755-008-01 NDC J9119 HCPCS inpatient 29993.65 29993.65 CEMIPLIMAB-RWLC 50 MG/ML SOLUTION 7 ML VIAL 636000000 CDM 61755-008-01 NDC J9119 HCPCS outpatient 29993.65 29.38 29.38 other OPPS APC 29.38 29.38 DEVICE EMBOLIZATION WEB SL H5 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-5 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H5 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-5 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-6 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-6 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-7 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-7 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H8 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-8 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H8 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-10-8 CDM 270 RC inpatient 29900 29900 SYSTEM EMBOLIZATION WEB SLS H8.6 MM OD10 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM SUP-W2-10-S CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 SYSTEM EMBOLIZATION WEB SLS H8.6 MM OD10 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM SUP-W2-10-S CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-6 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-6 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-7 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-7 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H8 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-8 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H8 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-8 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H9 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-9 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H9 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33 SUP-W2-11-9 CDM 270 RC inpatient 29900 29900 SYSTEM EMBOLIZATION WEB SLS H9.6 MM OD11 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM SUP-W2-11-S CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 SYSTEM EMBOLIZATION WEB SLS H9.6 MM OD11 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM SUP-W2-11-S CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H3 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-3 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H3 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-3 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H4 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-4 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H4 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-4 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H5 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-5 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H5 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-5 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-6 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-8-6 CDM 270 RC inpatient 29900 29900 SYSTEM EMBOLIZATION WEB SLS H6.6 MM OD8 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM SUP-W2-8-S CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 SYSTEM EMBOLIZATION WEB SLS H6.6 MM OD8 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM SUP-W2-8-S CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H4 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-4 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H4 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-4 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H5 MM OD9 MM ID.027 IN INTRASACCULAR LOW PROFILE VIA 27 SUP-W2-9-5 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H5 MM OD9 MM ID.027 IN INTRASACCULAR LOW PROFILE VIA 27 SUP-W2-9-5 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-6 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H6 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-6 CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-7 CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 DEVICE EMBOLIZATION WEB SL H7 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27 SUP-W2-9-7 CDM 270 RC inpatient 29900 29900 SYSTEM EMBOLIZATION WEB SLS H7.6 MM OD9 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM SUP-W2-9-S CDM 270 RC outpatient 29900 299 8099.91 percent of total billed charges 29900 other OPPS APC 22126 percent of total billed charges 29900 other OPPS APC 29900 other OPPS APC 8099.91 percent of total billed charges 8261.37 percent of total billed charges 299 other OPPS APC 299 29900 SYSTEM EMBOLIZATION WEB SLS H7.6 MM OD9 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM SUP-W2-9-S CDM 270 RC inpatient 29900 29900 DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 3MM SUP-100USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 3MM SUP-100USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 3MM SUP-101USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 3MM SUP-101USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 3MM SUP-102USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 3MM SUP-102USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 4MM SUP-110USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 4MM SUP-110USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 4MM SUP-111USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 4MM SUP-111USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 4MM SUP-112USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 4MM SUP-112USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 4MM SUP-115USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 4MM SUP-115USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 5MM SUP-120USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 5MM SUP-120USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 5MM SUP-121USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 5MM SUP-121USPH CDM 270 RC inpatient 29700 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 5MM SUP-124USPH CDM 270 RC outpatient 29700 297 8045.73 percent of total billed charges 29700 other OPPS APC 21978 percent of total billed charges 29700 other OPPS APC 29700 other OPPS APC 8045.73 percent of total billed charges 8206.11 percent of total billed charges 297 other OPPS APC 297 29700 DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 5MM SUP-124USPH CDM 270 RC inpatient 29700 29700 "DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SOLUTION" 636000000 CDM 57894-503-01 NDC J9144 HCPCS inpatient 29079.2 29079.2 "DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SOLUTION" 636000000 CDM 57894-503-01 NDC J9144 HCPCS outpatient 29079.2 51.99 51.99 other OPPS APC 51.99 51.99 GRAFT STENT AFX2 2 BRANCH L70 MM L30 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA SUP-BEA22-70/I16-30 CDM 270 RC outpatient 28998 28998 7855.56 percent of total billed charges 28998 other OPPS APC 21458.52 percent of total billed charges 28998 other OPPS APC 28998 other OPPS APC 7855.56 percent of total billed charges 8012.15 percent of total billed charges 28998 other OPPS APC 7855.56 28998 GRAFT STENT AFX2 2 BRANCH L70 MM L30 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA SUP-BEA22-70/I16-30 CDM 270 RC inpatient 28998 28998 GRAFT STENT AFX2 2 BRANCH L80 MM L40 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA SUP-BEA22-80/I16-40 CDM 270010015 LOCAL 270 RC outpatient 28998 28998 7855.56 percent of total billed charges 28998 other OPPS APC 21458.52 percent of total billed charges 28998 other OPPS APC 28998 other OPPS APC 7855.56 percent of total billed charges 8012.15 percent of total billed charges 28998 other OPPS APC 7855.56 28998 GRAFT STENT AFX2 2 BRANCH L80 MM L40 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA SUP-BEA22-80/I16-40 CDM 270010015 LOCAL 270 RC inpatient 28998 28998 GRAFT ENDOLOGIX AFX MAIN BODY SUP-BEA25-60/116-40 CDM 270 RC outpatient 28998 28998 7855.56 percent of total billed charges 28998 other OPPS APC 21458.52 percent of total billed charges 28998 other OPPS APC 28998 other OPPS APC 7855.56 percent of total billed charges 8012.15 percent of total billed charges 28998 other OPPS APC 7855.56 28998 GRAFT ENDOLOGIX AFX MAIN BODY SUP-BEA25-60/116-40 CDM 270 RC inpatient 28998 28998 GRAFT ENDOLOBIX AAA AFX2 MAIN BODY SUP-BEA25-90/116-30 CDM 270010015 LOCAL 270 RC outpatient 28998 28998 7855.56 percent of total billed charges 28998 other OPPS APC 21458.52 percent of total billed charges 28998 other OPPS APC 28998 other OPPS APC 7855.56 percent of total billed charges 8012.15 percent of total billed charges 28998 other OPPS APC 7855.56 28998 GRAFT ENDOLOBIX AAA AFX2 MAIN BODY SUP-BEA25-90/116-30 CDM 270010015 LOCAL 270 RC inpatient 28998 28998 ICD QUADRA ASSURA MP CRT-D DF MERLIN PKG SUP-CD3369-40Q CELL CDM 275 RC outpatient 28600 286 14014 percent of total billed charges 28600 other OPPS APC 16302 percent of total billed charges 28600 other OPPS APC 28600 other OPPS APC 14014 percent of total billed charges 14586 percent of total billed charges 286 other OPPS APC 286 28600 ICD QUADRA ASSURA MP CRT-D DF MERLIN PKG SUP-CD3369-40Q CELL CDM 275 RC inpatient 28600 28600 MESH SURGICAL PHASIX POLY 4-HYDROXYBUTYRATE SQUARE L 12IN X W 12IN MONOFILAMENT SCAFFOLD FULL RESORBABLE HERNIA REPAIR SUP-1193030 CDM 270 RC outpatient 28428 28428 7701.15 percent of total billed charges 28428 other OPPS APC 21036.72 percent of total billed charges 28428 other OPPS APC 28428 other OPPS APC 7701.15 percent of total billed charges 7854.66 percent of total billed charges 28428 other OPPS APC 7701.15 28428 MESH SURGICAL PHASIX POLY 4-HYDROXYBUTYRATE SQUARE L 12IN X W 12IN MONOFILAMENT SCAFFOLD FULL RESORBABLE HERNIA REPAIR SUP-1193030 CDM 270 RC inpatient 28428 28428 GRAFT ENDOVASCULAR EXCLUDER L12 CM L5.5 CM OD14.5 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACTIVE CONTROL ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA SUP-CXT231412 CDM 270 RC outpatient 27950 2795 7571.66 percent of total billed charges 27950 other OPPS APC 20683 percent of total billed charges 27950 other OPPS APC 27950 other OPPS APC 7571.66 percent of total billed charges 7722.59 percent of total billed charges 2795 other OPPS APC 2795 27950 GRAFT ENDOVASCULAR EXCLUDER L12 CM L5.5 CM OD14.5 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACTIVE CONTROL ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA SUP-CXT231412 CDM 270 RC inpatient 27950 27950 DEFIBRILLATOR CARDIAC ACTICOR 7 HF-T SUP-429523_74454 CDM 270 RC outpatient 27000 27 7314.3 percent of total billed charges 27000 other OPPS APC 19980 percent of total billed charges 27000 other OPPS APC 27000 other OPPS APC 7314.3 percent of total billed charges 7460.1 percent of total billed charges 27 other OPPS APC 27 27000 DEFIBRILLATOR CARDIAC ACTICOR 7 HF-T SUP-429523_74454 CDM 270 RC inpatient 27000 27000 HC Ivl With Angioplasty PX-361C97641 CDM 361 RC outpatient 26538.27 26538.27 8380.79 percent of total billed charges 26538.27 other OPPS APC 26538.27 fee schedule 26538.27 other OPPS APC 26538.27 other OPPS APC 8380.79 percent of total billed charges 8547.98 percent of total billed charges 26538.27 other OPPS APC 8380.79 26538.27 HC Ivl With Angioplasty PX-361C97641 CDM 361 RC inpatient 26538.27 26538.27 HC Ivl With Angioplasty PX-361C97721 CDM 361 RC outpatient 26538.27 26538.27 8380.79 percent of total billed charges 26538.27 other OPPS APC 26538.27 fee schedule 26538.27 other OPPS APC 26538.27 other OPPS APC 8380.79 percent of total billed charges 8547.98 percent of total billed charges 26538.27 other OPPS APC 8380.79 26538.27 HC Ivl With Angioplasty PX-361C97721 CDM 361 RC inpatient 26538.27 26538.27 PERTUZUMAB-TRASTUZUMAB-HYALURONIDASE-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SOLUTION 636000000 CDM 50242-260-01 NDC J9316 HCPCS inpatient 26175.4 26175.4 PERTUZUMAB-TRASTUZUMAB-HYALURONIDASE-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SOLUTION 636000000 CDM 50242-260-01 NDC J9316 HCPCS outpatient 26175.4 69.59 69.59 other OPPS APC 69.59 69.59 SYSTEM PERFUSION ANGIOVAC OD22 FR VENOUS DRAINAGE CANNULA BALLOON ACTUATE EXPANDABLE FUNNEL DISTAL TIP CIRCUIT DISPOSABLE SUP-VTX-4000 CDM 270 RC outpatient 26000 26 7043.4 percent of total billed charges 26000 other OPPS APC 19240 percent of total billed charges 26000 other OPPS APC 26000 other OPPS APC 7043.4 percent of total billed charges 7183.8 percent of total billed charges 26 other OPPS APC 26 26000 SYSTEM PERFUSION ANGIOVAC OD22 FR VENOUS DRAINAGE CANNULA BALLOON ACTUATE EXPANDABLE FUNNEL DISTAL TIP CIRCUIT DISPOSABLE SUP-VTX-4000 CDM 270 RC inpatient 26000 26000 VEDOLIZUMAB 300 MG RECON SOLN 1 EACH VIAL 636000000 CDM 64764-300-20 NDC J3380 HCPCS inpatient 25999.75 25999.75 VEDOLIZUMAB 300 MG RECON SOLN 1 EACH VIAL 636000000 CDM 64764-300-20 NDC J3380 HCPCS outpatient 25999.75 23.29 23.29 other OPPS APC 23.29 23.29 IMPLANT CRANIAL PEEK LARGE KIT CUSTOMIZE SUP-7810030 CDM 270 RC outpatient 25554 25554 6922.58 percent of total billed charges 25554 other OPPS APC 18909.96 percent of total billed charges 25554 other OPPS APC 25554 other OPPS APC 6922.58 percent of total billed charges 7060.57 percent of total billed charges 25554 other OPPS APC 6922.58 25554 IMPLANT CRANIAL PEEK LARGE KIT CUSTOMIZE SUP-7810030 CDM 270 RC inpatient 25554 25554 PUMP CENTRIMAG BLOOD SUP-102953 CDM 270 RC outpatient 25200 252 6826.68 percent of total billed charges 25200 other OPPS APC 18648 percent of total billed charges 25200 other OPPS APC 25200 other OPPS APC 6826.68 percent of total billed charges 6962.76 percent of total billed charges 252 other OPPS APC 252 25200 PUMP CENTRIMAG BLOOD SUP-102953 CDM 270 RC inpatient 25200 25200 SCREW R3ON 4.2 X 18MM SUP-97-04605 CDM 278 RC outpatient 25000 25 25000 fee schedule 25000 other OPPS APC 14250 percent of total billed charges 25000 other OPPS APC 25000 other OPPS APC 12250 percent of total billed charges 12750 percent of total billed charges 25 other OPPS APC 25 25000 SCREW R3ON 4.2 X 18MM SUP-97-04605 CDM 278 RC inpatient 25000 25000 FUSION LUMBAR LEVEL 4 NUVASIVE SUP-LUMBAR4NUVASIVE CDM 270010020 LOCAL 270 RC outpatient 24800 248 6718.32 percent of total billed charges 24800 other OPPS APC 18352 percent of total billed charges 24800 other OPPS APC 24800 other OPPS APC 6718.32 percent of total billed charges 6852.24 percent of total billed charges 248 other OPPS APC 248 24800 FUSION LUMBAR LEVEL 4 NUVASIVE SUP-LUMBAR4NUVASIVE CDM 270010020 LOCAL 270 RC inpatient 24800 24800 FUSION LUMBAR LEVEL 4 SUP-LUMBARL4 CDM 270010020 LOCAL 270 RC outpatient 24800 248 6718.32 percent of total billed charges 24800 other OPPS APC 18352 percent of total billed charges 24800 other OPPS APC 24800 other OPPS APC 6718.32 percent of total billed charges 6852.24 percent of total billed charges 248 other OPPS APC 248 24800 FUSION LUMBAR LEVEL 4 SUP-LUMBARL4 CDM 270010020 LOCAL 270 RC inpatient 24800 24800 PACEMAKER CARDIAC MICRA AV2 LEADLESS BUNDLE SUP-MICRAAV2SYSTEM CDM 275 RC outpatient 24440 2444 11975.6 percent of total billed charges 24440 other OPPS APC 13930.8 percent of total billed charges 24440 other OPPS APC 24440 other OPPS APC 11975.6 percent of total billed charges 12464.4 percent of total billed charges 2444 other OPPS APC 2444 24440 PACEMAKER CARDIAC MICRA AV2 LEADLESS BUNDLE SUP-MICRAAV2SYSTEM CDM 275 RC inpatient 24440 24440 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT231412 CDM 270010015 LOCAL 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT231412 CDM 270010015 LOCAL 270 RC inpatient 24284 24284 EXCLUDER AAA ENDO GRAFT 23MMX14.5MMX14CM SUP-RLT231414 CDM 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 EXCLUDER AAA ENDO GRAFT 23MMX14.5MMX14CM SUP-RLT231414 CDM 270 RC inpatient 24284 24284 IMPLANT GORE EXCLUDER 26MM X 14.5MM X 12CM SUP-RLT261412 CDM 270010015 LOCAL 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 IMPLANT GORE EXCLUDER 26MM X 14.5MM X 12CM SUP-RLT261412 CDM 270010015 LOCAL 270 RC inpatient 24284 24284 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281214 CDM 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281214 CDM 270 RC inpatient 24284 24284 IMPLANT GORE EXCLUDER 28MM X 14.5MM X 12CM SUP-RLT281412 CDM 270010015 LOCAL 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 IMPLANT GORE EXCLUDER 28MM X 14.5MM X 12CM SUP-RLT281412 CDM 270010015 LOCAL 270 RC inpatient 24284 24284 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281416 CDM 270010015 LOCAL 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281416 CDM 270010015 LOCAL 270 RC inpatient 24284 24284 IMPLANT GORE EXCLUDER 31MM X 14.5MM X 13CM SUP-RLT311413 CDM 270010015 LOCAL 270 RC outpatient 24284 24284 6578.54 percent of total billed charges 24284 other OPPS APC 17970.16 percent of total billed charges 24284 other OPPS APC 24284 other OPPS APC 6578.54 percent of total billed charges 6709.67 percent of total billed charges 24284 other OPPS APC 6578.54 24284 IMPLANT GORE EXCLUDER 31MM X 14.5MM X 13CM SUP-RLT311413 CDM 270010015 LOCAL 270 RC inpatient 24284 24284 GRAFT ENDOVASCULAR ZENITH TX2 Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD28 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-28-120-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD28 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-28-120-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD32 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-32-120-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD32 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-32-120-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR PRO-FORM Z-TRAK PLUS ZENITH TX2 STAINLESS STEEL POLYESTER WOVEN 2 BRANCH CYLINDER L127 MM OD36 MM ODSEC22 FR THORACIC AORTIC ANEURYSM 2 PIECE PROXIMAL COMPONENT SELF EXPANDABLE BARB STENT RADIOPAQUE STERILE SUP-ZTEG-2P-36-127-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR PRO-FORM Z-TRAK PLUS ZENITH TX2 STAINLESS STEEL POLYESTER WOVEN 2 BRANCH CYLINDER L127 MM OD36 MM ODSEC22 FR THORACIC AORTIC ANEURYSM 2 PIECE PROXIMAL COMPONENT SELF EXPANDABLE BARB STENT RADIOPAQUE STERILE SUP-ZTEG-2P-36-127-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L152 MM OD36 MM ODSEC22 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-36-152-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L152 MM OD36 MM ODSEC22 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA SUP-ZTEG-2P-36-152-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS L108 MM OD40 MM ODSEC22 FR ID22 FR INTRODUCER SHEATH THORACIC AORTIC ANEURYSM SUP-ZTEG-2P-40-108-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS L108 MM OD40 MM ODSEC22 FR ID22 FR INTRODUCER SHEATH THORACIC AORTIC ANEURYSM SUP-ZTEG-2P-40-108-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM STAINLESS STEEL POLYESTER L135 MM OD42 MM ODSEC8.5 MM ID22 FR 2 BRANCH PROXIMAL COMPONENT Z-TRAK PLUS TAA SUP-ZTEG-2P-42-135-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM STAINLESS STEEL POLYESTER L135 MM OD42 MM ODSEC8.5 MM ID22 FR 2 BRANCH PROXIMAL COMPONENT Z-TRAK PLUS TAA SUP-ZTEG-2P-42-135-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 GRAFT ENDOVASCULAR ZENITH TX2 L158 MM OD42 MM ODSEC22 FR THORACIC PROXIMAL TAPERED COMPONENT PROFORM INTRODUCTION SYSTEM AA SUP-ZTEG-2PT-4-158-PF-US CDM 270010015 LOCAL 270 RC outpatient 24188 24188 6552.53 percent of total billed charges 24188 other OPPS APC 17899.12 percent of total billed charges 24188 other OPPS APC 24188 other OPPS APC 6552.53 percent of total billed charges 6683.14 percent of total billed charges 24188 other OPPS APC 6552.53 24188 GRAFT ENDOVASCULAR ZENITH TX2 L158 MM OD42 MM ODSEC22 FR THORACIC PROXIMAL TAPERED COMPONENT PROFORM INTRODUCTION SYSTEM AA SUP-ZTEG-2PT-4-158-PF-US CDM 270010015 LOCAL 270 RC inpatient 24188 24188 CATHETER INARI ASPIRATION TRIEVER 20 L 95 CM OD 20 FR SUP-21-101 CDM 270 RC outpatient 24000 24 6501.6 percent of total billed charges 24000 other OPPS APC 17760 percent of total billed charges 24000 other OPPS APC 24000 other OPPS APC 6501.6 percent of total billed charges 6631.2 percent of total billed charges 24 other OPPS APC 24 24000 CATHETER INARI ASPIRATION TRIEVER 20 L 95 CM OD 20 FR SUP-21-101 CDM 270 RC inpatient 24000 24000 CATHETER THROMBECTOMY TRIEVER 24 OD 24 FR SUP-22-101 CDM 270 RC outpatient 24000 24 6501.6 percent of total billed charges 24000 other OPPS APC 17760 percent of total billed charges 24000 other OPPS APC 24000 other OPPS APC 6501.6 percent of total billed charges 6631.2 percent of total billed charges 24 other OPPS APC 24 24000 CATHETER THROMBECTOMY TRIEVER 24 OD 24 FR SUP-22-101 CDM 270 RC inpatient 24000 24000 CATHETER ASPIRATION TRIEVER 16 L 113 CM OD 16 FR SUP-25-101 CDM 270 RC outpatient 24000 24 6501.6 percent of total billed charges 24000 other OPPS APC 17760 percent of total billed charges 24000 other OPPS APC 24000 other OPPS APC 6501.6 percent of total billed charges 6631.2 percent of total billed charges 24 other OPPS APC 24 24000 CATHETER ASPIRATION TRIEVER 16 L 113 CM OD 16 FR SUP-25-101 CDM 270 RC inpatient 24000 24000 GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD10 MM ILIAC BRANCH COMPONENT AAA SUP-CEB231010A CDM 270 RC outpatient 23730 2373 6428.46 percent of total billed charges 23730 other OPPS APC 17560.2 percent of total billed charges 23730 other OPPS APC 23730 other OPPS APC 6428.46 percent of total billed charges 6556.6 percent of total billed charges 2373 other OPPS APC 2373 23730 GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD10 MM ILIAC BRANCH COMPONENT AAA SUP-CEB231010A CDM 270 RC inpatient 23730 23730 GRAFT GORE EXCLUDER AAA PROSTHESIS 26MM IPSILATERAL LET SUP-RLT261216 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT GORE EXCLUDER AAA PROSTHESIS 26MM IPSILATERAL LET SUP-RLT261216 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS SUP-RLT261218 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS SUP-RLT261218 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR EXCLUDER AAA TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM SUP-RLT261414 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR EXCLUDER AAA TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM SUP-RLT261414 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT261418 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT261418 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281216 CDM 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281216 CDM 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281414 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281414 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281418 CDM 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA SUP-RLT281418 CDM 270 RC inpatient 23692 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT311415 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT311415 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT311417 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG SUP-RLT311417 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 IMPLANT GORE EXCLUDER 35MM X 14.5MM X 14CM SUP-RLT351414 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 IMPLANT GORE EXCLUDER 35MM X 14.5MM X 14CM SUP-RLT351414 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L16 CM OD35 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA SUP-RLT351416 CDM 270010015 LOCAL 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L16 CM OD35 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA SUP-RLT351416 CDM 270010015 LOCAL 270 RC inpatient 23692 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 GORE-TEX NITINOL FEP L18 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG DELIVERY SYSTEM LOW PROFILE AAA ACCEPTS 18 FR SHEATH SUP-RLT351418 CDM 270 RC outpatient 23692 23692 6418.16 percent of total billed charges 23692 other OPPS APC 17532.08 percent of total billed charges 23692 other OPPS APC 23692 other OPPS APC 6418.16 percent of total billed charges 6546.1 percent of total billed charges 23692 other OPPS APC 6418.16 23692 GRAFT ENDOVASCULAR GORE EXCLUDER C3 GORE-TEX NITINOL FEP L18 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG DELIVERY SYSTEM LOW PROFILE AAA ACCEPTS 18 FR SHEATH SUP-RLT351418 CDM 270 RC inpatient 23692 23692 NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ L2 IN X H1.7 IN 14 CC 22 GM SACRAL NERVE 4 ELECTRODE LEAD 1 SCREW NO RECHARGEABLE SUP-3058 CDM 270 RC outpatient 23360 2336 6328.22 percent of total billed charges 23360 other OPPS APC 17286.4 percent of total billed charges 23360 other OPPS APC 23360 other OPPS APC 6328.22 percent of total billed charges 6454.37 percent of total billed charges 2336 other OPPS APC 2336 23360 NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ L2 IN X H1.7 IN 14 CC 22 GM SACRAL NERVE 4 ELECTRODE LEAD 1 SCREW NO RECHARGEABLE SUP-3058 CDM 270 RC inpatient 23360 23360 NEUROSTIMULATOR IMPLANTABLE INTERSTIM MICRO SURESCAN RECHARGABLE SUP-97810 CDM 270 RC outpatient 23360 2336 6328.22 percent of total billed charges 23360 other OPPS APC 17286.4 percent of total billed charges 23360 other OPPS APC 23360 other OPPS APC 6328.22 percent of total billed charges 6454.37 percent of total billed charges 2336 other OPPS APC 2336 23360 NEUROSTIMULATOR IMPLANTABLE INTERSTIM MICRO SURESCAN RECHARGABLE SUP-97810 CDM 270 RC inpatient 23360 23360 MEDIAL HEMI CONDYLE LEFT SUP-32247002 CDM 270010031 LOCAL 270 RC outpatient 23340 2334 6322.81 percent of total billed charges 23340 other OPPS APC 17271.6 percent of total billed charges 23340 other OPPS APC 23340 other OPPS APC 6322.81 percent of total billed charges 6448.84 percent of total billed charges 2334 other OPPS APC 2334 23340 MEDIAL HEMI CONDYLE LEFT SUP-32247002 CDM 270010031 LOCAL 270 RC inpatient 23340 23340 ENDOPROSTHESIS GORE ILIAC BRANCH SUP-CEB231210A CDM 270010015 LOCAL 270 RC outpatient 23152 23152 6271.88 percent of total billed charges 23152 other OPPS APC 17132.48 percent of total billed charges 23152 other OPPS APC 23152 other OPPS APC 6271.88 percent of total billed charges 6396.9 percent of total billed charges 23152 other OPPS APC 6271.88 23152 ENDOPROSTHESIS GORE ILIAC BRANCH SUP-CEB231210A CDM 270010015 LOCAL 270 RC inpatient 23152 23152 GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD14.5 MM ILIAC BRANCH COMPONENT AAA SUP-CEB231410A CDM 270010015 LOCAL 270 RC outpatient 23152 23152 6271.88 percent of total billed charges 23152 other OPPS APC 17132.48 percent of total billed charges 23152 other OPPS APC 23152 other OPPS APC 6271.88 percent of total billed charges 6396.9 percent of total billed charges 23152 other OPPS APC 6271.88 23152 GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD14.5 MM ILIAC BRANCH COMPONENT AAA SUP-CEB231410A CDM 270010015 LOCAL 270 RC inpatient 23152 23152 HC Cc Aicd Battery Change Single Lead PX-361332620 CDM 33262 CPT 361 RC outpatient 23000 23 7263.4 percent of total billed charges 23000 other OPPS APC 23000 fee schedule 23000 other OPPS APC 23000 other OPPS APC 7263.4 percent of total billed charges 7408.3 percent of total billed charges 23 other OPPS APC 23 23000 HC Cc Aicd Battery Change Single Lead PX-361332620 CDM 33262 CPT 361 RC inpatient 23000 23000 HC Cc Aicd Battery Change Dual Lead PX-361332630 CDM 33263 CPT 361 RC outpatient 23000 23 7263.4 percent of total billed charges 23000 other OPPS APC 23000 fee schedule 23000 other OPPS APC 23000 other OPPS APC 7263.4 percent of total billed charges 7408.3 percent of total billed charges 23 other OPPS APC 23 23000 HC Cc Aicd Battery Change Dual Lead PX-361332630 CDM 33263 CPT 361 RC inpatient 23000 23000 DEVICE COAGULATION EPI-SENSE L3 CM GUIDE ELECTRODE IRRIGATION PERFUSION LUMEN SUCTION 6130 SUP-CDP-4330 CDM 270 RC outpatient 23000 23 6230.7 percent of total billed charges 23000 other OPPS APC 17020 percent of total billed charges 23000 other OPPS APC 23000 other OPPS APC 6230.7 percent of total billed charges 6354.9 percent of total billed charges 23 other OPPS APC 23 23000 DEVICE COAGULATION EPI-SENSE L3 CM GUIDE ELECTRODE IRRIGATION PERFUSION LUMEN SUCTION 6130 SUP-CDP-4330 CDM 270 RC inpatient 23000 23000 LUMBAR FUSION CAP LEVEL 5 SUP-LUMBSTRY5 CDM 270010020 LOCAL 270 RC outpatient 22800 228 6176.52 percent of total billed charges 22800 other OPPS APC 16872 percent of total billed charges 22800 other OPPS APC 22800 other OPPS APC 6176.52 percent of total billed charges 6299.64 percent of total billed charges 228 other OPPS APC 228 22800 LUMBAR FUSION CAP LEVEL 5 SUP-LUMBSTRY5 CDM 270010020 LOCAL 270 RC inpatient 22800 22800 NIVOLUMAB 240 MG/24 ML SOLUTION 24 ML VIAL 636000000 CDM 0003-3734-13 NDC J9299 HCPCS inpatient 22454.83 22454.83 NIVOLUMAB 240 MG/24 ML SOLUTION 24 ML VIAL 636000000 CDM 0003-3734-13 NDC J9299 HCPCS outpatient 22454.83 33.12 33.12 other OPPS APC 33.12 33.12 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA22-60/113-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA22-60/113-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA22-70/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA22-70/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 22-16MM 17FR EPTFE ENDOVASCULAR SUP-BA22-80/116-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 22-16MM 17FR EPTFE ENDOVASCULAR SUP-BA22-80/116-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT STENT AFX 2 BRANCH 90MM 30MM 22MM 16MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA SUP-BA22-90/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT STENT AFX 2 BRANCH 90MM 30MM 22MM 16MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA SUP-BA22-90/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA25-70/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA25-70/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX AFX MAIN ENDO AAA SUP-BA-25-80/113-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX AFX MAIN ENDO AAA SUP-BA-25-80/113-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT STENT AFX ACTIVESEAL STRATA EPTFE 2 BRANCH L90 MM L30 MM OD25-16 MM ID17 FR ENDOVASCULAR SELF EXPAND MAIN BODY AAA SUP-BA25-90/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT STENT AFX ACTIVESEAL STRATA EPTFE 2 BRANCH L90 MM L30 MM OD25-16 MM ID17 FR ENDOVASCULAR SELF EXPAND MAIN BODY AAA SUP-BA25-90/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA26-60/116-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR SUP-BA26-60/116-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA28-70/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA28-70/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 28-16MM 17FR EPTFE SELF EXPAND SUP-BA28-80/116-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 28-16MM 17FR EPTFE SELF EXPAND SUP-BA28-80/116-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT STENT AFX 2 BRANCH 80MM 40MM 28MM 20MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA SUP-BA28-80/120-40 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT STENT AFX 2 BRANCH 80MM 40MM 28MM 20MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA SUP-BA28-80/120-40 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA28-90/116-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX BIFURCATED ENDO AAA SUP-BA28-90/116-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 GRAFT ENDOLOGIX MAIN BODY ENDO AAA SUP-BA28-90/120-30 CDM 270010015 LOCAL 270 RC outpatient 22420 2242 6073.58 percent of total billed charges 22420 other OPPS APC 16590.8 percent of total billed charges 22420 other OPPS APC 22420 other OPPS APC 6073.58 percent of total billed charges 6194.65 percent of total billed charges 2242 other OPPS APC 2242 22420 GRAFT ENDOLOGIX MAIN BODY ENDO AAA SUP-BA28-90/120-30 CDM 270010015 LOCAL 270 RC inpatient 22420 22420 PUMP INTRATHECAL SYNCHROMED II TITANIUM THK.78 IN C20 ML H.78 IN 20 ML RESERVOIR FILTER MESH POUCH PROGRAMMABLE NONSTERILE SUP-8637-20 CDM 270 RC outpatient 22400 224 6068.16 percent of total billed charges 22400 other OPPS APC 16576 percent of total billed charges 22400 other OPPS APC 22400 other OPPS APC 6068.16 percent of total billed charges 6189.12 percent of total billed charges 224 other OPPS APC 224 22400 PUMP INTRATHECAL SYNCHROMED II TITANIUM THK.78 IN C20 ML H.78 IN 20 ML RESERVOIR FILTER MESH POUCH PROGRAMMABLE NONSTERILE SUP-8637-20 CDM 270 RC inpatient 22400 22400 PUMP INTRATHECAL SYNCHROMED II TITANIUM THK1 IN .22 UM H1 IN OD3.4 IN 40 ML 6.2-7.6 OZ PROGRAMMABLE RADIOPAQUE IDENTIFIER BACTERIAL RETENTIVE FILTER SILICONE SEPTUM STERILE SUP-8637-40 CDM 270 RC outpatient 22400 224 6068.16 percent of total billed charges 22400 other OPPS APC 16576 percent of total billed charges 22400 other OPPS APC 22400 other OPPS APC 6068.16 percent of total billed charges 6189.12 percent of total billed charges 224 other OPPS APC 224 22400 PUMP INTRATHECAL SYNCHROMED II TITANIUM THK1 IN .22 UM H1 IN OD3.4 IN 40 ML 6.2-7.6 OZ PROGRAMMABLE RADIOPAQUE IDENTIFIER BACTERIAL RETENTIVE FILTER SILICONE SEPTUM STERILE SUP-8637-40 CDM 270 RC inpatient 22400 22400 MATRIX TISSUE STRATTICE PORCINE DERMIS L20 CM X W20 CM RECONSTRUCTIVE STERILE SUP-2020002 CDM 270 RC outpatient 22352 22352 6055.16 percent of total billed charges 22352 other OPPS APC 16540.48 percent of total billed charges 22352 other OPPS APC 22352 other OPPS APC 6055.16 percent of total billed charges 6175.86 percent of total billed charges 22352 other OPPS APC 6055.16 22352 MATRIX TISSUE STRATTICE PORCINE DERMIS L20 CM X W20 CM RECONSTRUCTIVE STERILE SUP-2020002 CDM 270 RC inpatient 22352 22352 HC IR Fem/Pop Art Init'l Pta Stent Arther PX-361372271 CDM 37227 CPT 361 RC outpatient 22152 1891.79 6995.6 percent of total billed charges 18091.79 other OPPS APC 10337 fee schedule 18091.79 other OPPS APC 18091.79 other OPPS APC 6995.6 percent of total billed charges 7135.16 percent of total billed charges 1891.79 other OPPS APC 1891.79 18091.79 HC IR Fem/Pop Art Init'l Pta Stent Arther PX-361372271 CDM 37227 CPT 361 RC inpatient 22152 22152 PACEMAKER - BIVENT - PRECEPTA - W1TR01 SUP-99-04157 CDM inpatient 22000 22000 PACEMAKER - BIVENT - PRECEPTA - W1TR01 SUP-99-04157 CDM outpatient 22000 22 22000 percent of total billed charges 22000 other OPPS APC 22000 fee schedule 22000 other OPPS APC 22000 other OPPS APC 22000 case rate 22000 case rate 22 other OPPS APC 22 22000 GRAFT ENDOVASCULAR H&L-B ONE-SHOT ZENITH POLYESTER WOVEN L109 MM OD28 MM 2 PROXIMAL INTERNAL STENT FENESTRATE STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA SUP-ZFEN-P-2-28-109R CDM 270010015 LOCAL 270 RC outpatient 22000 22 5959.8 percent of total billed charges 22000 other OPPS APC 16280 percent of total billed charges 22000 other OPPS APC 22000 other OPPS APC 5959.8 percent of total billed charges 6078.6 percent of total billed charges 22 other OPPS APC 22 22000 GRAFT ENDOVASCULAR H&L-B ONE-SHOT ZENITH POLYESTER WOVEN L109 MM OD28 MM 2 PROXIMAL INTERNAL STENT FENESTRATE STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA SUP-ZFEN-P-2-28-109R CDM 270010015 LOCAL 270 RC inpatient 22000 22000 KIT IMPLANT MED PEEK NS CRANIAL CUSTOM SUTURE DRAINAGE HOLE COMPLEX SUP-7810020 CDM 270010013 LOCAL 270 RC outpatient 21500 215 5824.35 percent of total billed charges 21500 other OPPS APC 15910 percent of total billed charges 21500 other OPPS APC 21500 other OPPS APC 5824.35 percent of total billed charges 5940.45 percent of total billed charges 215 other OPPS APC 215 21500 KIT IMPLANT MED PEEK NS CRANIAL CUSTOM SUTURE DRAINAGE HOLE COMPLEX SUP-7810020 CDM 270010013 LOCAL 270 RC inpatient 21500 21500 RAMUCIRUMAB 10 MG/ML SOLUTION 50 ML VIAL 636000000 CDM 0002-7678-01 NDC J9308 HCPCS inpatient 21423.43 21423.43 RAMUCIRUMAB 10 MG/ML SOLUTION 50 ML VIAL 636000000 CDM 0002-7678-01 NDC J9308 HCPCS outpatient 21423.43 74.21 74.21 other OPPS APC 74.21 74.21 MATRIX TISSUE ALLODERM ALLOGRAFT PERFORATE SUP-1518320P CDM 270 RC outpatient 21220 2122 5748.5 percent of total billed charges 21220 other OPPS APC 15702.8 percent of total billed charges 21220 other OPPS APC 21220 other OPPS APC 5748.5 percent of total billed charges 5863.09 percent of total billed charges 2122 other OPPS APC 2122 21220 MATRIX TISSUE ALLODERM ALLOGRAFT PERFORATE SUP-1518320P CDM 270 RC inpatient 21220 21220 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-439-40 NDC J1459 HCPCS inpatient 21112.8 21112.8 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-439-40 NDC J1459 HCPCS outpatient 21112.8 5.98 5.98 other OPPS APC 5.98 5.98 ALLODERM 16CMX20CM (1518320P) SUP-97-03533 CDM 636 RC outpatient 20902.68 292.68 20902.68 fee schedule 20902.68 other OPPS APC 15467.98 percent of total billed charges 20902.68 other OPPS APC 20902.68 other OPPS APC 10242.31 percent of total billed charges 5196.41 percent of total billed charges 292.68 other OPPS APC 292.68 20902.68 ALLODERM 16CMX20CM (1518320P) SUP-97-03533 CDM 636 RC inpatient 20902.68 20902.68 IPILIMUMAB 50 MG/10 ML (5 MG/ML) SOLUTION 10 ML VIAL 636000000 CDM 0003-2327-11 NDC J9228 HCPCS inpatient 20477.98 20477.98 IPILIMUMAB 50 MG/10 ML (5 MG/ML) SOLUTION 10 ML VIAL 636000000 CDM 0003-2327-11 NDC J9228 HCPCS outpatient 20477.98 183.99 183.99 other OPPS APC 183.99 183.99 "OCTREOTIDE,MICROSPHERES 30 MG SUSPENSION,EXTENDED REL RECON" 636000000 CDM 0078-0825-81 NDC J2353 HCPCS inpatient 20331.05 20331.05 "OCTREOTIDE,MICROSPHERES 30 MG SUSPENSION,EXTENDED REL RECON" 636000000 CDM 0078-0825-81 NDC J2353 HCPCS outpatient 20331.05 224.4 224.4 other OPPS APC 224.4 224.4 DEFIBRILLATOR CARDIAC MRI ELLIPSE DR TITANIUM THK12 MM 36 J W51 MM X H70 MM 31 ML 68 GM VENTRICLE 1 CHAMBER 1 IS-1 2 DF-4 HIGH VOLTAGE SUP-CD2311-36Q CDM 275 RC outpatient 20000 2 9800 percent of total billed charges 20000 other OPPS APC 11400 percent of total billed charges 20000 other OPPS APC 20000 other OPPS APC 9800 percent of total billed charges 10200 percent of total billed charges 2 other OPPS APC 2 20000 DEFIBRILLATOR CARDIAC MRI ELLIPSE DR TITANIUM THK12 MM 36 J W51 MM X H70 MM 31 ML 68 GM VENTRICLE 1 CHAMBER 1 IS-1 2 DF-4 HIGH VOLTAGE SUP-CD2311-36Q CDM 275 RC inpatient 20000 20000 FUSION LUMBAR LEVEL 4-STRYKER SUP-LUMBAR4STRYKER CDM 270010020 LOCAL 270 RC outpatient 20000 2 5418 percent of total billed charges 20000 other OPPS APC 14800 percent of total billed charges 20000 other OPPS APC 20000 other OPPS APC 5418 percent of total billed charges 5526 percent of total billed charges 2 other OPPS APC 2 20000 FUSION LUMBAR LEVEL 4-STRYKER SUP-LUMBAR4STRYKER CDM 270010020 LOCAL 270 RC inpatient 20000 20000 EPIFIX 11MM SUP-97-02311 CDM 636 RC outpatient 19991 19991 9795.59 percent of total billed charges 19991 other OPPS APC 178.33 fee schedule 19991 other OPPS APC 19991 other OPPS APC 9795.59 percent of total billed charges 4969.76 percent of total billed charges 19991 other OPPS APC 178.33 19991 EPIFIX 11MM SUP-97-02311 CDM 636 RC inpatient 19991 19991 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD25-16 MM ID18 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF2516C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD25-16 MM ID18 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF2516C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD28-16 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF2816C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD28-16 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF2816C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L145 MM OD32-20 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF3220C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L145 MM OD32-20 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA SUP-ENBF3220C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER L103 MM OD14-28 MM ODSEC18 FR INFRARENAL CATHETER RADIOPAQUE SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA SUP-ESBF2814C103E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER L103 MM OD14-28 MM ODSEC18 FR INFRARENAL CATHETER RADIOPAQUE SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA SUP-ESBF2814C103E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER 2 BRANCH L103 MM OD14-32 MM ODSEC20 FR INFRARENAL CATHETER RADIOPAQUE C DESIGN SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA SUP-ESBF3214C103E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER 2 BRANCH L103 MM OD14-32 MM ODSEC20 FR INFRARENAL CATHETER RADIOPAQUE C DESIGN SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA SUP-ESBF3214C103E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2313C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2313C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2313C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2313C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD23-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2316C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD23-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2316C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2513C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2513C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2516C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT L124 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR PROXIMAL DISTAL SYSTEM BIFURCATED C DESIGN AAA SUP-ETBF2813C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT L124 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR PROXIMAL DISTAL SYSTEM BIFURCATED C DESIGN AAA SUP-ETBF2813C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2813C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2813C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2813C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2813C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2816C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2816C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2816C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF2816C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER BIFURCATE L166 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR ABDOMEN AORTA ILIUM C AAA SUP-ETBF2816C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER BIFURCATE L166 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR ABDOMEN AORTA ILIUM C AAA SUP-ETBF2816C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3216C124E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3216C124E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3216C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3216C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II 2 BRANCH L145 MM OD32/20 MM ODSEC20 FR ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM C DESIGN SUP-ETBF3220C145E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II 2 BRANCH L145 MM OD32/20 MM ODSEC20 FR ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM C DESIGN SUP-ETBF3220C145E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-20 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3220C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-20 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3220C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD36-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3616C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD36-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA SUP-ETBF3616C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 GRAFT STENT ENDURANT II 2 BRANCH AAA SUP-ETBF3620C166E CDM 270010015 LOCAL 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 GRAFT STENT ENDURANT II 2 BRANCH AAA SUP-ETBF3620C166E CDM 270010015 LOCAL 270 RC inpatient 19950 19950 MESH OVITEX 1S SIX LAYER 25 X 30 CM PERMANENT SUP-F10246-2530P CDM 270 RC outpatient 19950 1995 5404.46 percent of total billed charges 19950 other OPPS APC 14763 percent of total billed charges 19950 other OPPS APC 19950 other OPPS APC 5404.46 percent of total billed charges 5512.19 percent of total billed charges 1995 other OPPS APC 1995 19950 MESH OVITEX 1S SIX LAYER 25 X 30 CM PERMANENT SUP-F10246-2530P CDM 270 RC inpatient 19950 19950 PACEMAKER- QUADRA ASSURA BI-V ICD SUP-99-04721 CDM inpatient 19790 19790 PACEMAKER- QUADRA ASSURA BI-V ICD SUP-99-04721 CDM outpatient 19790 1979 19790 percent of total billed charges 19790 other OPPS APC 19790 fee schedule 19790 other OPPS APC 19790 other OPPS APC 19790 case rate 19790 case rate 1979 other OPPS APC 1979 19790 DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT 40 J CARDIOVERTER SUP-CD3357-40C CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT 40 J CARDIOVERTER SUP-CD3357-40C CDM 275 RC inpatient 19790 19790 DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT CARDIOVERTER NEXT GENERATION SUP-CD3357-40Q CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT CARDIOVERTER NEXT GENERATION SUP-CD3357-40Q CDM 275 RC inpatient 19790 19790 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT CARDIOVERTER NEXT GENERATION AICD SUP-CD3365-40C CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT CARDIOVERTER NEXT GENERATION AICD SUP-CD3365-40C CDM 275 RC inpatient 19790 19790 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D THK14 MM 40 J W41 MM X H76 MM 38 ML 81 GM 2 CHAMBER RESYNCHRONIZATION THERAPY SUP-CD3365-40Q CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D THK14 MM 40 J W41 MM X H76 MM 38 ML 81 GM 2 CHAMBER RESYNCHRONIZATION THERAPY SUP-CD3365-40Q CDM 275 RC inpatient 19790 19790 ICD QUADRA ASSURA MP CRT-D SUP-CD3369-40C CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 ICD QUADRA ASSURA MP CRT-D SUP-CD3369-40C CDM 275 RC inpatient 19790 19790 ICD QUADRA ASSURA MP CRT-D MERLIN PKG SUP-CD3369-40C CELL CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 ICD QUADRA ASSURA MP CRT-D MERLIN PKG SUP-CD3369-40C CELL CDM 275 RC inpatient 19790 19790 ICD QUADRA ASSURA MP CRT-D DR4 CONNECTOR SUP-CD3369-40Q CDM 275 RC outpatient 19790 1979 9697.1 percent of total billed charges 19790 other OPPS APC 11280.3 percent of total billed charges 19790 other OPPS APC 19790 other OPPS APC 9697.1 percent of total billed charges 10092.9 percent of total billed charges 1979 other OPPS APC 1979 19790 ICD QUADRA ASSURA MP CRT-D DR4 CONNECTOR SUP-CD3369-40Q CDM 275 RC inpatient 19790 19790 EVERA XT DR DUAL CHAMBER ICD SYSTEM SUP-DDBB1D1 S CDM 275 RC outpatient 19780 1978 9692.2 percent of total billed charges 19780 other OPPS APC 11274.6 percent of total billed charges 19780 other OPPS APC 19780 other OPPS APC 9692.2 percent of total billed charges 10087.8 percent of total billed charges 1978 other OPPS APC 1978 19780 EVERA XT DR DUAL CHAMBER ICD SYSTEM SUP-DDBB1D1 S CDM 275 RC inpatient 19780 19780 EVERA XT DR DUAL CHAMBER ICD SYSTEM SUP-DDBB1D4 S CDM 275 RC outpatient 19780 1978 9692.2 percent of total billed charges 19780 other OPPS APC 11274.6 percent of total billed charges 19780 other OPPS APC 19780 other OPPS APC 9692.2 percent of total billed charges 10087.8 percent of total billed charges 1978 other OPPS APC 1978 19780 EVERA XT DR DUAL CHAMBER ICD SYSTEM SUP-DDBB1D4 S CDM 275 RC inpatient 19780 19780 DEFIBRILLATOR CARDIAC PROTECTA 35J W51 MM X H64 MM 37 ML 68 GM VENTRICLE IMPLANTABLE CARDIOVERTER BIPHASIC WAVEFORM SUP-D334VRG CDM 275 RC outpatient 19689 19689 9647.61 percent of total billed charges 19689 other OPPS APC 11222.73 percent of total billed charges 19689 other OPPS APC 19689 other OPPS APC 9647.61 percent of total billed charges 10041.39 percent of total billed charges 19689 other OPPS APC 9647.61 19689 DEFIBRILLATOR CARDIAC PROTECTA 35J W51 MM X H64 MM 37 ML 68 GM VENTRICLE IMPLANTABLE CARDIOVERTER BIPHASIC WAVEFORM SUP-D334VRG CDM 275 RC inpatient 19689 19689 OSS 3CM RESURFACING RT SUP-97-23624 CDM 278 RC outpatient 19650 1965 19650 fee schedule 19650 other OPPS APC 11200.5 percent of total billed charges 19650 other OPPS APC 19650 other OPPS APC 9628.5 percent of total billed charges 10021.5 percent of total billed charges 1965 other OPPS APC 1965 19650 OSS 3CM RESURFACING RT SUP-97-23624 CDM 278 RC inpatient 19650 19650 ICD DYNAGEN EL VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D42/A CDM 275 RC outpatient 19620 1962 9613.8 percent of total billed charges 19620 other OPPS APC 11183.4 percent of total billed charges 19620 other OPPS APC 19620 other OPPS APC 9613.8 percent of total billed charges 10006.2 percent of total billed charges 1962 other OPPS APC 1962 19620 ICD DYNAGEN EL VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D42/A CDM 275 RC inpatient 19620 19620 ICD NG MRI ELLIPSE VR SYSTEM SUP-CD1411-36Q SYS CDM 275 RC outpatient 19620 1962 9613.8 percent of total billed charges 19620 other OPPS APC 11183.4 percent of total billed charges 19620 other OPPS APC 19620 other OPPS APC 9613.8 percent of total billed charges 10006.2 percent of total billed charges 1962 other OPPS APC 1962 19620 ICD NG MRI ELLIPSE VR SYSTEM SUP-CD1411-36Q SYS CDM 275 RC inpatient 19620 19620 HC Treatment Delivery Srs Linear PX-333773720 CDM 77372 CPT 333 RC outpatient 19432 899.86 1063.05 fee schedule 8099.86 other OPPS APC 2037.83 fee schedule 8099.86 other OPPS APC 8099.86 other OPPS APC 967.38 fee schedule 963.04 fee schedule 899.86 other OPPS APC 899.86 8099.86 HC Treatment Delivery Srs Linear PX-333773720 CDM 77372 CPT 333 RC inpatient 19432 19432 DEFIBRILLATOR CARDIAC ENTRANT IS-4 DF4 IS-1 CONNECOR RESYNCHRONIZATION SUP-CDHFA300Q CDM 275 RC outpatient 19300 193 9457 percent of total billed charges 19300 other OPPS APC 11001 percent of total billed charges 19300 other OPPS APC 19300 other OPPS APC 9457 percent of total billed charges 9843 percent of total billed charges 193 other OPPS APC 193 19300 DEFIBRILLATOR CARDIAC ENTRANT IS-4 DF4 IS-1 CONNECOR RESYNCHRONIZATION SUP-CDHFA300Q CDM 275 RC inpatient 19300 19300 DEFIBRILLATOR VIGILANT EL DR DF4 DUAL CHAMBER SUP-D233 CDM 275 RC outpatient 19256 19256 9435.44 percent of total billed charges 19256 other OPPS APC 10975.92 percent of total billed charges 19256 other OPPS APC 19256 other OPPS APC 9435.44 percent of total billed charges 9820.56 percent of total billed charges 19256 other OPPS APC 9435.44 19256 DEFIBRILLATOR VIGILANT EL DR DF4 DUAL CHAMBER SUP-D233 CDM 275 RC inpatient 19256 19256 PEGFILGRASTIM PER 6 MG 636000000 CDM 55513-190-01 NDC J2506 HCPCS inpatient 19253.98 19253.98 PEGFILGRASTIM PER 6 MG 636000000 CDM 55513-190-01 NDC J2506 HCPCS outpatient 19253.98 116.93 116.93 other OPPS APC 116.93 116.93 SYSTEM ICD MOMENTUM EL VR DF1 SUP-8TMC CDM 275 RC outpatient 19244 19244 9429.56 percent of total billed charges 19244 other OPPS APC 10969.08 percent of total billed charges 19244 other OPPS APC 19244 other OPPS APC 9429.56 percent of total billed charges 9814.44 percent of total billed charges 19244 other OPPS APC 9429.56 19244 SYSTEM ICD MOMENTUM EL VR DF1 SUP-8TMC CDM 275 RC inpatient 19244 19244 ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 2 LEAD SUP-8D72/A CDM 275 RC outpatient 19193 19193 9404.57 percent of total billed charges 19193 other OPPS APC 10940.01 percent of total billed charges 19193 other OPPS APC 19193 other OPPS APC 9404.57 percent of total billed charges 9788.43 percent of total billed charges 19193 other OPPS APC 9404.57 19193 ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 2 LEAD SUP-8D72/A CDM 275 RC inpatient 19193 19193 ICD NG ASSURA DR DUAL CHAMBER SYSTEM SUP-CD2357-40C SYS CDM 275 RC outpatient 19193 19193 9404.57 percent of total billed charges 19193 other OPPS APC 10940.01 percent of total billed charges 19193 other OPPS APC 19193 other OPPS APC 9404.57 percent of total billed charges 9788.43 percent of total billed charges 19193 other OPPS APC 9404.57 19193 ICD NG ASSURA DR DUAL CHAMBER SYSTEM SUP-CD2357-40C SYS CDM 275 RC inpatient 19193 19193 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48417 CDM 270010015 LOCAL 270 RC outpatient 19038 1938 5157.39 percent of total billed charges 19038 other OPPS APC 14088.12 percent of total billed charges 19038 other OPPS APC 19038 other OPPS APC 5157.39 percent of total billed charges 5260.2 percent of total billed charges 1938 other OPPS APC 1938 19038 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48417 CDM 270010015 LOCAL 270 RC inpatient 19038 19038 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 96MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48418 CDM 270010015 LOCAL 270 RC outpatient 19038 1938 5157.39 percent of total billed charges 19038 other OPPS APC 14088.12 percent of total billed charges 19038 other OPPS APC 19038 other OPPS APC 5157.39 percent of total billed charges 5260.2 percent of total billed charges 1938 other OPPS APC 1938 19038 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 96MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48418 CDM 270010015 LOCAL 270 RC inpatient 19038 19038 AQUILEX FLUID CONTROL SYSTEM SUP-97-00850 CDM 272 RC outpatient 19000 19 5147.1 percent of total billed charges 19000 other OPPS APC 14060 percent of total billed charges 19000 other OPPS APC 19000 other OPPS APC 5147.1 percent of total billed charges 5249.7 percent of total billed charges 19 other OPPS APC 19 19000 AQUILEX FLUID CONTROL SYSTEM SUP-97-00850 CDM 272 RC inpatient 19000 19000 PACEMAKER COMPIA DTMC1D1 MRI DEVICE SUP-DTMC1D1 CDM 275 RC outpatient 18968 18968 9294.32 percent of total billed charges 18968 other OPPS APC 10811.76 percent of total billed charges 18968 other OPPS APC 18968 other OPPS APC 9294.32 percent of total billed charges 9673.68 percent of total billed charges 18968 other OPPS APC 9294.32 18968 PACEMAKER COMPIA DTMC1D1 MRI DEVICE SUP-DTMC1D1 CDM 275 RC inpatient 18968 18968 CRTD COMPIA MRI QUAD DEVICE SUP-DTMC1QQ CDM 275 RC outpatient 18968 18968 9294.32 percent of total billed charges 18968 other OPPS APC 10811.76 percent of total billed charges 18968 other OPPS APC 18968 other OPPS APC 9294.32 percent of total billed charges 9673.68 percent of total billed charges 18968 other OPPS APC 9294.32 18968 CRTD COMPIA MRI QUAD DEVICE SUP-DTMC1QQ CDM 275 RC inpatient 18968 18968 DEFIBRILLATOR VIGILANT EL VR DF4 SINGLE CHAMBER SUP-D232 CDM 275 RC outpatient 18900 189 9261 percent of total billed charges 18900 other OPPS APC 10773 percent of total billed charges 18900 other OPPS APC 18900 other OPPS APC 9261 percent of total billed charges 9639 percent of total billed charges 189 other OPPS APC 189 18900 DEFIBRILLATOR VIGILANT EL VR DF4 SINGLE CHAMBER SUP-D232 CDM 275 RC inpatient 18900 18900 ICD D022 DYNAGEN MINI DR DF4 DEVICE SUP-D022 CDM 275 RC outpatient 18893 18893 9257.57 percent of total billed charges 18893 other OPPS APC 10769.01 percent of total billed charges 18893 other OPPS APC 18893 other OPPS APC 9257.57 percent of total billed charges 9635.43 percent of total billed charges 18893 other OPPS APC 9257.57 18893 ICD D022 DYNAGEN MINI DR DF4 DEVICE SUP-D022 CDM 275 RC inpatient 18893 18893 ICD D023 DYNAGEN MINI DR DEVICE SUP-D023 CDM 275 RC outpatient 18893 18893 9257.57 percent of total billed charges 18893 other OPPS APC 10769.01 percent of total billed charges 18893 other OPPS APC 18893 other OPPS APC 9257.57 percent of total billed charges 9635.43 percent of total billed charges 18893 other OPPS APC 9257.57 18893 ICD D023 DYNAGEN MINI DR DEVICE SUP-D023 CDM 275 RC inpatient 18893 18893 PACEMAKER CARDIAC MICRA VR2 LEADLESS BUNDLE SUP-MICRAVR2SYSTEM CDM 275 RC outpatient 18820 1882 9221.8 percent of total billed charges 18820 other OPPS APC 10727.4 percent of total billed charges 18820 other OPPS APC 18820 other OPPS APC 9221.8 percent of total billed charges 9598.2 percent of total billed charges 1882 other OPPS APC 1882 18820 PACEMAKER CARDIAC MICRA VR2 LEADLESS BUNDLE SUP-MICRAVR2SYSTEM CDM 275 RC inpatient 18820 18820 ICD D224VRC SECURA DEVICE _19261_ SUP-D224VRC CDM 275 RC outpatient 18812 18812 9217.88 percent of total billed charges 18812 other OPPS APC 10722.84 percent of total billed charges 18812 other OPPS APC 18812 other OPPS APC 9217.88 percent of total billed charges 9594.12 percent of total billed charges 18812 other OPPS APC 9217.88 18812 ICD D224VRC SECURA DEVICE _19261_ SUP-D224VRC CDM 275 RC inpatient 18812 18812 DEFIBRILLATOR D314DRG CARDIAC PROTECTA XT VR IMPLANTABLE SUP-D314VRG CDM 275001002 LOCAL 275 RC outpatient 18812 18812 9217.88 percent of total billed charges 18812 other OPPS APC 10722.84 percent of total billed charges 18812 other OPPS APC 18812 other OPPS APC 9217.88 percent of total billed charges 9594.12 percent of total billed charges 18812 other OPPS APC 9217.88 18812 DEFIBRILLATOR D314DRG CARDIAC PROTECTA XT VR IMPLANTABLE SUP-D314VRG CDM 275001002 LOCAL 275 RC inpatient 18812 18812 FORTIFY VR ICD SUP-CD1231-40Q-D CDM 275 RC outpatient 18625 18625 9126.25 percent of total billed charges 18625 other OPPS APC 10616.25 percent of total billed charges 18625 other OPPS APC 18625 other OPPS APC 9126.25 percent of total billed charges 9498.75 percent of total billed charges 18625 other OPPS APC 9126.25 18625 FORTIFY VR ICD SUP-CD1231-40Q-D CDM 275 RC inpatient 18625 18625 ICD 1257-40 ASSURE VR SUP-CD1257-40 CDM 275 RC outpatient 18625 18625 9126.25 percent of total billed charges 18625 other OPPS APC 10616.25 percent of total billed charges 18625 other OPPS APC 18625 other OPPS APC 9126.25 percent of total billed charges 9498.75 percent of total billed charges 18625 other OPPS APC 9126.25 18625 ICD 1257-40 ASSURE VR SUP-CD1257-40 CDM 275 RC inpatient 18625 18625 ICD CD1257-40Q ASSURE VR SUP-CD1257-40Q CDM 275 RC outpatient 18625 18625 9126.25 percent of total billed charges 18625 other OPPS APC 10616.25 percent of total billed charges 18625 other OPPS APC 18625 other OPPS APC 9126.25 percent of total billed charges 9498.75 percent of total billed charges 18625 other OPPS APC 9126.25 18625 ICD CD1257-40Q ASSURE VR SUP-CD1257-40Q CDM 275 RC inpatient 18625 18625 PACEMAKER- BI-V ICD RIVACOR CRT-D SUP-99-04352 CDM inpatient 18500 18500 PACEMAKER- BI-V ICD RIVACOR CRT-D SUP-99-04352 CDM outpatient 18500 185 18500 percent of total billed charges 18500 other OPPS APC 18500 fee schedule 18500 other OPPS APC 18500 other OPPS APC 18500 case rate 18500 case rate 185 other OPPS APC 185 18500 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 82MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG SUP-G48407 CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 82MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG SUP-G48407 CDM 270010015 LOCAL 270 RC inpatient 18484 18484 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT SUP-G48428 CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT SUP-G48428 CDM 270010015 LOCAL 270 RC inpatient 18484 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 96MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG SUP-TFFB-24-96-ZT CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 96MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG SUP-TFFB-24-96-ZT CDM 270010015 LOCAL 270 RC inpatient 18484 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD30 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA SUP-TFFB-30-111ZT CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD30 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA SUP-TFFB-30-111ZT CDM 270010015 LOCAL 270 RC inpatient 18484 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L82 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM SUP-TFFB-30-82-ZT CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L82 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM SUP-TFFB-30-82-ZT CDM 270010015 LOCAL 270 RC inpatient 18484 18484 GRAFT ENDOVASCULAR ZENITH FLEX AAA BIFURCATED MAIN BODY SUP-TFFB-32-82-ZT CDM 270010015 LOCAL 270 RC outpatient 18484 18484 5007.32 percent of total billed charges 18484 other OPPS APC 13678.16 percent of total billed charges 18484 other OPPS APC 18484 other OPPS APC 5007.32 percent of total billed charges 5107.13 percent of total billed charges 18484 other OPPS APC 5007.32 18484 GRAFT ENDOVASCULAR ZENITH FLEX AAA BIFURCATED MAIN BODY SUP-TFFB-32-82-ZT CDM 270010015 LOCAL 270 RC inpatient 18484 18484 STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM LEFT SHOULDER FRACTURE SUP-304-23-07 CDM 270010030 LOCAL 270 RC outpatient 18400 184 4984.56 percent of total billed charges 18400 other OPPS APC 13616 percent of total billed charges 18400 other OPPS APC 18400 other OPPS APC 4984.56 percent of total billed charges 5083.92 percent of total billed charges 184 other OPPS APC 184 18400 STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM LEFT SHOULDER FRACTURE SUP-304-23-07 CDM 270010030 LOCAL 270 RC inpatient 18400 18400 CAP PRICING SHOULDER EXACTECH WITH AUG GLENOID ADJ SUP-SHOULD-REVERSE EXACT CDM 270010030 LOCAL 270 RC outpatient 18400 184 4984.56 percent of total billed charges 18400 other OPPS APC 13616 percent of total billed charges 18400 other OPPS APC 18400 other OPPS APC 4984.56 percent of total billed charges 5083.92 percent of total billed charges 184 other OPPS APC 184 18400 CAP PRICING SHOULDER EXACTECH WITH AUG GLENOID ADJ SUP-SHOULD-REVERSE EXACT CDM 270010030 LOCAL 270 RC inpatient 18400 18400 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L41 MM OD4 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91314 CDM 27000000 LOCAL 270 RC outpatient 18394 18394 4982.93 percent of total billed charges 18394 other OPPS APC 13611.56 percent of total billed charges 18394 other OPPS APC 18394 other OPPS APC 4982.93 percent of total billed charges 5082.26 percent of total billed charges 18394 other OPPS APC 4982.93 18394 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L41 MM OD4 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91314 CDM 27000000 LOCAL 270 RC inpatient 18394 18394 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L37 MM OD6 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91315 CDM 27000000 LOCAL 270 RC outpatient 18394 18394 4982.93 percent of total billed charges 18394 other OPPS APC 13611.56 percent of total billed charges 18394 other OPPS APC 18394 other OPPS APC 4982.93 percent of total billed charges 5082.26 percent of total billed charges 18394 other OPPS APC 4982.93 18394 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L37 MM OD6 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91315 CDM 27000000 LOCAL 270 RC inpatient 18394 18394 PACEMAKER SYNCRA SYSTEM CRT-P SUP-SYNCRASYS CDM 275 RC outpatient 18390 1839 9011.1 percent of total billed charges 18390 other OPPS APC 10482.3 percent of total billed charges 18390 other OPPS APC 18390 other OPPS APC 9011.1 percent of total billed charges 9378.9 percent of total billed charges 1839 other OPPS APC 1839 18390 PACEMAKER SYNCRA SYSTEM CRT-P SUP-SYNCRASYS CDM 275 RC inpatient 18390 18390 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.68 CM 31 CC 71.4 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF4 CONNECTOR SUP-D152 CDM 275 RC outpatient 18256 18256 8945.44 percent of total billed charges 18256 other OPPS APC 10405.92 percent of total billed charges 18256 other OPPS APC 18256 other OPPS APC 8945.44 percent of total billed charges 9310.56 percent of total billed charges 18256 other OPPS APC 8945.44 18256 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.68 CM 31 CC 71.4 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF4 CONNECTOR SUP-D152 CDM 275 RC inpatient 18256 18256 ICD DYNAGEN EL VR SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D52/A CDM 275 RC outpatient 18244 18244 8939.56 percent of total billed charges 18244 other OPPS APC 10399.08 percent of total billed charges 18244 other OPPS APC 18244 other OPPS APC 8939.56 percent of total billed charges 9304.44 percent of total billed charges 18244 other OPPS APC 8939.56 18244 ICD DYNAGEN EL VR SINGLE CHAMBER SYSTEM 1 LEAD SUP-8D52/A CDM 275 RC inpatient 18244 18244 ICD NG ASSURA VR SYSTEM SUP-CD1357-40C SYS CDM 275 RC outpatient 18244 18244 8939.56 percent of total billed charges 18244 other OPPS APC 10399.08 percent of total billed charges 18244 other OPPS APC 18244 other OPPS APC 8939.56 percent of total billed charges 9304.44 percent of total billed charges 18244 other OPPS APC 8939.56 18244 ICD NG ASSURA VR SYSTEM SUP-CD1357-40C SYS CDM 275 RC inpatient 18244 18244 HC Rad Therapy Head&Neck Cancer Rad Onc Model 90 Day Episode Tc PX-333M10890 CDM 333 RC outpatient 18223.47 18223.47 8929.5 percent of total billed charges 18223.47 other OPPS APC 13485.37 percent of total billed charges 18223.47 other OPPS APC 18223.47 other OPPS APC 8929.5 percent of total billed charges 9293.97 percent of total billed charges 18223.47 other OPPS APC 8929.5 18223.47 HC Rad Therapy Head&Neck Cancer Rad Onc Model 90 Day Episode Tc PX-333M10890 CDM 333 RC inpatient 18223.47 18223.47 DEFIBRILLATOR CARDIAC ELLIPSE VR TITANIUM THK12 MM 36 J W51 MM X H68 MM 31 ML 66 GM VENTRICLE 1 CHAMBER 1 IS-1 1 DF-1 HIGH VOLTAGE SUP-CD1311-36 CDM 275 RC outpatient 18200 182 8918 percent of total billed charges 18200 other OPPS APC 10374 percent of total billed charges 18200 other OPPS APC 18200 other OPPS APC 8918 percent of total billed charges 9282 percent of total billed charges 182 other OPPS APC 182 18200 DEFIBRILLATOR CARDIAC ELLIPSE VR TITANIUM THK12 MM 36 J W51 MM X H68 MM 31 ML 66 GM VENTRICLE 1 CHAMBER 1 IS-1 1 DF-1 HIGH VOLTAGE SUP-CD1311-36 CDM 275 RC inpatient 18200 18200 ICD D020 DYNAGEN MINI VR DF4 DEVICE SUP-D020 CDM 275 RC outpatient 18200 182 8918 percent of total billed charges 18200 other OPPS APC 10374 percent of total billed charges 18200 other OPPS APC 18200 other OPPS APC 8918 percent of total billed charges 9282 percent of total billed charges 182 other OPPS APC 182 18200 ICD D020 DYNAGEN MINI VR DF4 DEVICE SUP-D020 CDM 275 RC inpatient 18200 18200 ICD D021 DYNAGEN MINI DR DEVICE SUP-D021 CDM 275 RC outpatient 18200 182 8918 percent of total billed charges 18200 other OPPS APC 10374 percent of total billed charges 18200 other OPPS APC 18200 other OPPS APC 8918 percent of total billed charges 9282 percent of total billed charges 182 other OPPS APC 182 18200 ICD D021 DYNAGEN MINI DR DEVICE SUP-D021 CDM 275 RC inpatient 18200 18200 CRT-P SYSTEM CARDIAC VISIONIST X4 SUP-9V6G/J/H CDM 481 RC outpatient 18130 1813 8883.7 percent of total billed charges 18130 other OPPS APC 13416.2 percent of total billed charges 18130 other OPPS APC 18130 other OPPS APC 8883.7 percent of total billed charges 9246.3 percent of total billed charges 1813 other OPPS APC 1813 18130 CRT-P SYSTEM CARDIAC VISIONIST X4 SUP-9V6G/J/H CDM 481 RC inpatient 18130 18130 ICD DDB1D4 Evera XT DF$ SUP-DDB1D4 CDM 275 RC outpatient 18000 18 8820 percent of total billed charges 18000 other OPPS APC 10260 percent of total billed charges 18000 other OPPS APC 18000 other OPPS APC 8820 percent of total billed charges 9180 percent of total billed charges 18 other OPPS APC 18 18000 ICD DDB1D4 Evera XT DF$ SUP-DDB1D4 CDM 275 RC inpatient 18000 18000 PACEMAKER - AICD - MOMENTUM D121 SUP-99-04231 CDM 275 RC outpatient 17948 17948 17948 fee schedule 17948 other OPPS APC 10230.36 percent of total billed charges 17948 other OPPS APC 17948 other OPPS APC 8794.52 percent of total billed charges 9153.48 percent of total billed charges 17948 other OPPS APC 8794.52 17948 PACEMAKER - AICD - MOMENTUM D121 SUP-99-04231 CDM 275 RC inpatient 17948 17948 ICD D121 MOMENTUM EL DR DF1 DEVICE ONLY SUP-D121 CDM 275 RC outpatient 17948 17948 8794.52 percent of total billed charges 17948 other OPPS APC 10230.36 percent of total billed charges 17948 other OPPS APC 17948 other OPPS APC 8794.52 percent of total billed charges 9153.48 percent of total billed charges 17948 other OPPS APC 8794.52 17948 ICD D121 MOMENTUM EL DR DF1 DEVICE ONLY SUP-D121 CDM 275 RC inpatient 17948 17948 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT SUP-G48413 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT SUP-G48413 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA SUP-G48414 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA SUP-G48414 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 111MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48419 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 111MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN SUP-G48419 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L96 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM SUP-G48423 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L96 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM SUP-G48423 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD32 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA SUP-G48429 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD32 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA SUP-G48429 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL 2 BRANCH L95 MM OD36 MM ODSEC8.5 MM ID22 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING MAIN BODY INTRODUCTION SYSTEM TRIGGER WIRE RELEASE RADIOPAQUE BAND STERILE SUP-G48432 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL 2 BRANCH L95 MM OD36 MM ODSEC8.5 MM ID22 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING MAIN BODY INTRODUCTION SYSTEM TRIGGER WIRE RELEASE RADIOPAQUE BAND STERILE SUP-G48432 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVACULAR ZENITH FLEX Z TRAK BIFURCATED MAIN BODY TFFB-36-131ZT SUP-G48434 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVACULAR ZENITH FLEX Z TRAK BIFURCATED MAIN BODY TFFB-36-131ZT SUP-G48434 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 IMPLANT ENDOVASCULAR ZENITH ENDO GRAFT SUP-TFB-30-74 CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 IMPLANT ENDOVASCULAR ZENITH ENDO GRAFT SUP-TFB-30-74 CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD22 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN MAIN BODY INTRODUCTION SYSTEM AAA SUP-TFFB-22-111-ZT CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD22 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN MAIN BODY INTRODUCTION SYSTEM AAA SUP-TFFB-22-111-ZT CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA SUP-TFFB-22-82-ZT CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA SUP-TFFB-22-82-ZT CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 26MM 18FR SS POLYESTER SELF EXPAND WOVEN LEG EXTENSION INTRODUCTION SUP-TFFB-26-82ZT CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 26MM 18FR SS POLYESTER SELF EXPAND WOVEN LEG EXTENSION INTRODUCTION SUP-TFFB-26-82ZT CDM 270010015 LOCAL 270 RC inpatient 17946 17946 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L113 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY COMPONENT MAIN BODY INTRODUCER SHEATH SUP-TFFB-36-113-ZT CDM 270010015 LOCAL 270 RC outpatient 17946 17946 4861.57 percent of total billed charges 17946 other OPPS APC 13280.04 percent of total billed charges 17946 other OPPS APC 17946 other OPPS APC 4861.57 percent of total billed charges 4958.48 percent of total billed charges 17946 other OPPS APC 4861.57 17946 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L113 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY COMPONENT MAIN BODY INTRODUCER SHEATH SUP-TFFB-36-113-ZT CDM 270010015 LOCAL 270 RC inpatient 17946 17946 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.36 CM 29.5 CC 68.9 GM VENTRICULAR 1 CHAMBER EXTEND LONGEVITY DF4 CONNECTOR SUP-D150 CDM 275 RC outpatient 17900 179 8771 percent of total billed charges 17900 other OPPS APC 10203 percent of total billed charges 17900 other OPPS APC 17900 other OPPS APC 8771 percent of total billed charges 9129 percent of total billed charges 179 other OPPS APC 179 17900 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.36 CM 29.5 CC 68.9 GM VENTRICULAR 1 CHAMBER EXTEND LONGEVITY DF4 CONNECTOR SUP-D150 CDM 275 RC inpatient 17900 17900 INFINITY ADAPTIS TALAR DOME FLAT CUT SUP-97-04904 CDM 278 RC outpatient 17810 1781 17810 fee schedule 17810 other OPPS APC 10151.7 percent of total billed charges 17810 other OPPS APC 17810 other OPPS APC 8726.9 percent of total billed charges 9083.1 percent of total billed charges 1781 other OPPS APC 1781 17810 INFINITY ADAPTIS TALAR DOME FLAT CUT SUP-97-04904 CDM 278 RC inpatient 17810 17810 PACEMAKER - AICD- DUAL EVERA XT GENERATOR SUP-99-04551 CDM inpatient 17598 17598 PACEMAKER - AICD- DUAL EVERA XT GENERATOR SUP-99-04551 CDM outpatient 17598 17598 17598 percent of total billed charges 17598 other OPPS APC 17598 fee schedule 17598 other OPPS APC 17598 other OPPS APC 17598 case rate 17598 case rate 17598 other OPPS APC 17598 17598 ICD EVERA MRI XT DR DEVICE SUP-DDMB1D4 CDM 275 RC outpatient 17598 17598 8623.02 percent of total billed charges 17598 other OPPS APC 10030.86 percent of total billed charges 17598 other OPPS APC 17598 other OPPS APC 8623.02 percent of total billed charges 8974.98 percent of total billed charges 17598 other OPPS APC 8623.02 17598 ICD EVERA MRI XT DR DEVICE SUP-DDMB1D4 CDM 275 RC inpatient 17598 17598 HC Rad Therapy Anal Cancer Rad Onc Model 90 Day Episode Tc PX-333M10730 CDM 333 RC outpatient 17517.57 17517.57 8583.61 percent of total billed charges 17517.57 other OPPS APC 12963 percent of total billed charges 17517.57 other OPPS APC 17517.57 other OPPS APC 8583.61 percent of total billed charges 8933.96 percent of total billed charges 17517.57 other OPPS APC 8583.61 17517.57 HC Rad Therapy Anal Cancer Rad Onc Model 90 Day Episode Tc PX-333M10730 CDM 333 RC inpatient 17517.57 17517.57 DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-1 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY SUP-DTBA1D1 CDM 275 RC outpatient 17500 175 8575 percent of total billed charges 17500 other OPPS APC 9975 percent of total billed charges 17500 other OPPS APC 17500 other OPPS APC 8575 percent of total billed charges 8925 percent of total billed charges 175 other OPPS APC 175 17500 DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-1 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY SUP-DTBA1D1 CDM 275 RC inpatient 17500 17500 DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-4 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY SUP-DTBA1D4 CDM 275 RC outpatient 17500 175 8575 percent of total billed charges 17500 other OPPS APC 9975 percent of total billed charges 17500 other OPPS APC 17500 other OPPS APC 8575 percent of total billed charges 8925 percent of total billed charges 175 other OPPS APC 175 17500 DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-4 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY SUP-DTBA1D4 CDM 275 RC inpatient 17500 17500 DEFIBRILLATOR CARDIAC VIVA QUAD XT RESYNCHRONIZATION THERAPY SUP-DTBA1QQ CDM 275 RC outpatient 17500 175 8575 percent of total billed charges 17500 other OPPS APC 9975 percent of total billed charges 17500 other OPPS APC 17500 other OPPS APC 8575 percent of total billed charges 8925 percent of total billed charges 175 other OPPS APC 175 17500 DEFIBRILLATOR CARDIAC VIVA QUAD XT RESYNCHRONIZATION THERAPY SUP-DTBA1QQ CDM 275 RC inpatient 17500 17500 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G48410 CDM 270010015 LOCAL 270 RC outpatient 17424 17424 4720.16 percent of total billed charges 17424 other OPPS APC 12893.76 percent of total billed charges 17424 other OPPS APC 17424 other OPPS APC 4720.16 percent of total billed charges 4814.25 percent of total billed charges 17424 other OPPS APC 4720.16 17424 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G48410 CDM 270010015 LOCAL 270 RC inpatient 17424 17424 GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA TFFB-26-82-ZT SUP-G48412 CDM 270010015 LOCAL 270 RC outpatient 17424 17424 4720.16 percent of total billed charges 17424 other OPPS APC 12893.76 percent of total billed charges 17424 other OPPS APC 17424 other OPPS APC 4720.16 percent of total billed charges 4814.25 percent of total billed charges 17424 other OPPS APC 4720.16 17424 GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA TFFB-26-82-ZT SUP-G48412 CDM 270010015 LOCAL 270 RC inpatient 17424 17424 DEVICE ICD MONENTUM EL VR DF1 SUP-D120 CDM 275 RC outpatient 17352 17352 8502.48 percent of total billed charges 17352 other OPPS APC 9890.64 percent of total billed charges 17352 other OPPS APC 17352 other OPPS APC 8502.48 percent of total billed charges 8849.52 percent of total billed charges 17352 other OPPS APC 8502.48 17352 DEVICE ICD MONENTUM EL VR DF1 SUP-D120 CDM 275 RC inpatient 17352 17352 PACEMAKER INVIVE CRTP SYSTEM SUP-V172/73S CDM 270 RC outpatient 17258 17258 4675.19 percent of total billed charges 17258 other OPPS APC 12770.92 percent of total billed charges 17258 other OPPS APC 17258 other OPPS APC 4675.19 percent of total billed charges 4768.39 percent of total billed charges 17258 other OPPS APC 4675.19 17258 PACEMAKER INVIVE CRTP SYSTEM SUP-V172/73S CDM 270 RC inpatient 17258 17258 PACEMAKER QUADRA ALLURE MP CRT-P BIV SYSTEM SUP-PM3562SYSTEM CDM 275 RC outpatient 17220 1722 8437.8 percent of total billed charges 17220 other OPPS APC 9815.4 percent of total billed charges 17220 other OPPS APC 17220 other OPPS APC 8437.8 percent of total billed charges 8782.2 percent of total billed charges 1722 other OPPS APC 1722 17220 PACEMAKER QUADRA ALLURE MP CRT-P BIV SYSTEM SUP-PM3562SYSTEM CDM 275 RC inpatient 17220 17220 GRAFT SAPHENOUS VEING DOUBLE GRAFT SUP-V010-DP CDM 270 RC outpatient 17220 1722 4664.9 percent of total billed charges 17220 other OPPS APC 12742.8 percent of total billed charges 17220 other OPPS APC 17220 other OPPS APC 4664.9 percent of total billed charges 4757.89 percent of total billed charges 1722 other OPPS APC 1722 17220 GRAFT SAPHENOUS VEING DOUBLE GRAFT SUP-V010-DP CDM 270 RC inpatient 17220 17220 MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 20MM SUP-80052 CDM 270 RC outpatient 17190 1719 4656.77 percent of total billed charges 17190 other OPPS APC 12720.6 percent of total billed charges 17190 other OPPS APC 17190 other OPPS APC 4656.77 percent of total billed charges 4749.6 percent of total billed charges 1719 other OPPS APC 1719 17190 MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 20MM SUP-80052 CDM 270 RC inpatient 17190 17190 MICROCATHETER TREVO XP PROVUE +XT27 6 X 25MM SUP-93068 CDM 270 RC outpatient 17190 1719 4656.77 percent of total billed charges 17190 other OPPS APC 12720.6 percent of total billed charges 17190 other OPPS APC 17190 other OPPS APC 4656.77 percent of total billed charges 4749.6 percent of total billed charges 1719 other OPPS APC 1719 17190 MICROCATHETER TREVO XP PROVUE +XT27 6 X 25MM SUP-93068 CDM 270 RC inpatient 17190 17190 TOTAL STABLIZER FEMORAL COMPONENT SUP-97-01185 CDM 278 RC outpatient 17142 17142 17142 fee schedule 17142 other OPPS APC 9770.94 percent of total billed charges 17142 other OPPS APC 17142 other OPPS APC 8399.58 percent of total billed charges 8742.42 percent of total billed charges 17142 other OPPS APC 8399.58 17142 TOTAL STABLIZER FEMORAL COMPONENT SUP-97-01185 CDM 278 RC inpatient 17142 17142 SPACER SPINAL ELSA 6 D D20 MM W50 MM X H8-15 MM SUP-1122.0150 CDM 270010020 LOCAL 270 RC outpatient 17000 17 4605.3 percent of total billed charges 17000 other OPPS APC 12580 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 4605.3 percent of total billed charges 4697.1 percent of total billed charges 17 other OPPS APC 17 17000 SPACER SPINAL ELSA 6 D D20 MM W50 MM X H8-15 MM SUP-1122.0150 CDM 270010020 LOCAL 270 RC inpatient 17000 17000 DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX SUP-429525_74451 CDM 270 RC outpatient 17000 17 4605.3 percent of total billed charges 17000 other OPPS APC 12580 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 4605.3 percent of total billed charges 4697.1 percent of total billed charges 17 other OPPS APC 17 17000 DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX SUP-429525_74451 CDM 270 RC inpatient 17000 17000 ASCEND REVERSE SHOULDER SUP-97-04160 CDM 278 RC outpatient 17000 17 17000 fee schedule 17000 other OPPS APC 9690 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 8330 percent of total billed charges 8670 percent of total billed charges 17 other OPPS APC 17 17000 ASCEND REVERSE SHOULDER SUP-97-04160 CDM 278 RC inpatient 17000 17000 CAP1133 PRIMARY SHOULDER REV/INVERSE SUP-97-04852 CDM 278 RC outpatient 17000 17 17000 fee schedule 17000 other OPPS APC 9690 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 8330 percent of total billed charges 8670 percent of total billed charges 17 other OPPS APC 17 17000 CAP1133 PRIMARY SHOULDER REV/INVERSE SUP-97-04852 CDM 278 RC inpatient 17000 17000 GRAFT BONE CARTIFORM OSTEOCHONDRAL DISK OD20 MM ALLOGRAFT CRYOPRESERVE FLEXIBE TRIMMABLE SUP-ABS-1101 CDM 270010031 LOCAL 270 RC outpatient 17000 17 4605.3 percent of total billed charges 17000 other OPPS APC 12580 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 4605.3 percent of total billed charges 4697.1 percent of total billed charges 17 other OPPS APC 17 17000 GRAFT BONE CARTIFORM OSTEOCHONDRAL DISK OD20 MM ALLOGRAFT CRYOPRESERVE FLEXIBE TRIMMABLE SUP-ABS-1101 CDM 270010031 LOCAL 270 RC inpatient 17000 17000 CRTP C4TR01CARDIAC CONSULTA CRT-P SUP-C4TR01-SYS CDM 270 RC outpatient 17000 17 4605.3 percent of total billed charges 17000 other OPPS APC 12580 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 4605.3 percent of total billed charges 4697.1 percent of total billed charges 17 other OPPS APC 17 17000 CRTP C4TR01CARDIAC CONSULTA CRT-P SUP-C4TR01-SYS CDM 270 RC inpatient 17000 17000 PERCEPTA MRI QUAD CRT-P SYSTEM MMQE SUP-PERCEPTAMRIQDMMQE CDM 275 RC outpatient 17000 17 8330 percent of total billed charges 17000 other OPPS APC 9690 percent of total billed charges 17000 other OPPS APC 17000 other OPPS APC 8330 percent of total billed charges 8670 percent of total billed charges 17 other OPPS APC 17 17000 PERCEPTA MRI QUAD CRT-P SYSTEM MMQE SUP-PERCEPTAMRIQDMMQE CDM 275 RC inpatient 17000 17000 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.79 CM 31.5 CC 71 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF-1 CONNECTOR SUP-D153 CDM 275 RC outpatient 16948 16948 8304.52 percent of total billed charges 16948 other OPPS APC 9660.36 percent of total billed charges 16948 other OPPS APC 16948 other OPPS APC 8304.52 percent of total billed charges 8643.48 percent of total billed charges 16948 other OPPS APC 8304.52 16948 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.79 CM 31.5 CC 71 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF-1 CONNECTOR SUP-D153 CDM 275 RC inpatient 16948 16948 IMPLANT NEXGEN ROTATING HINGE FEMUR SIZE E RIGHT SUP-00-5880-015-02 CDM 270010025 LOCAL 270 RC outpatient 16910 1691 4580.92 percent of total billed charges 16910 other OPPS APC 12513.4 percent of total billed charges 16910 other OPPS APC 16910 other OPPS APC 4580.92 percent of total billed charges 4672.23 percent of total billed charges 1691 other OPPS APC 1691 16910 IMPLANT NEXGEN ROTATING HINGE FEMUR SIZE E RIGHT SUP-00-5880-015-02 CDM 270010025 LOCAL 270 RC inpatient 16910 16910 COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE RIGHT ROTATE HINGE STERILE SUP-00-5880-016-02 CDM 270010025 LOCAL 270 RC outpatient 16870 1687 4570.08 percent of total billed charges 16870 other OPPS APC 12483.8 percent of total billed charges 16870 other OPPS APC 16870 other OPPS APC 4570.08 percent of total billed charges 4661.18 percent of total billed charges 1687 other OPPS APC 1687 16870 COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE RIGHT ROTATE HINGE STERILE SUP-00-5880-016-02 CDM 270010025 LOCAL 270 RC inpatient 16870 16870 PACEMAKER - AICD - COBALT - DDPA2D4 SUP-99-04150 CDM 275 RC outpatient 16825 16825 16825 fee schedule 16825 other OPPS APC 9590.25 percent of total billed charges 16825 other OPPS APC 16825 other OPPS APC 8244.25 percent of total billed charges 8580.75 percent of total billed charges 16825 other OPPS APC 8244.25 16825 PACEMAKER - AICD - COBALT - DDPA2D4 SUP-99-04150 CDM 275 RC inpatient 16825 16825 PACEMAKER - AICD - COBALT - DDPA2D1 SUP-99-04153 CDM 275 RC outpatient 16825 16825 16825 fee schedule 16825 other OPPS APC 9590.25 percent of total billed charges 16825 other OPPS APC 16825 other OPPS APC 8244.25 percent of total billed charges 8580.75 percent of total billed charges 16825 other OPPS APC 8244.25 16825 PACEMAKER - AICD - COBALT - DDPA2D1 SUP-99-04153 CDM 275 RC inpatient 16825 16825 PACEMAKER - AICD - EVERA - DDMB1D1 SUP-99-04173 CDM 275 RC outpatient 16825 16825 16825 fee schedule 16825 other OPPS APC 9590.25 percent of total billed charges 16825 other OPPS APC 16825 other OPPS APC 8244.25 percent of total billed charges 8580.75 percent of total billed charges 16825 other OPPS APC 8244.25 16825 PACEMAKER - AICD - EVERA - DDMB1D1 SUP-99-04173 CDM 275 RC inpatient 16825 16825 PACEMAKER - AICD - EVERA - DDMB1D4 SUP-99-04174 CDM 275 RC outpatient 16825 16825 16825 fee schedule 16825 other OPPS APC 9590.25 percent of total billed charges 16825 other OPPS APC 16825 other OPPS APC 8244.25 percent of total billed charges 8580.75 percent of total billed charges 16825 other OPPS APC 8244.25 16825 PACEMAKER - AICD - EVERA - DDMB1D4 SUP-99-04174 CDM 275 RC inpatient 16825 16825 HC IR Dial Fistulagram Thrombec Pta Periph PX-361369051 CDM 36905 CPT 361 RC outpatient 16809 1689 5308.28 percent of total billed charges 16809 other OPPS APC 16809 fee schedule 16809 other OPPS APC 16809 other OPPS APC 5308.28 percent of total billed charges 5414.18 percent of total billed charges 1689 other OPPS APC 1689 16809 HC IR Dial Fistulagram Thrombec Pta Periph PX-361369051 CDM 36905 CPT 361 RC inpatient 16809 16809 REVISION STEM CORAIL STD 10 SUP-97-06184 CDM 278 RC outpatient 16732 16732 16732 fee schedule 16732 other OPPS APC 9537.24 percent of total billed charges 16732 other OPPS APC 16732 other OPPS APC 8198.68 percent of total billed charges 8533.32 percent of total billed charges 16732 other OPPS APC 8198.68 16732 REVISION STEM CORAIL STD 10 SUP-97-06184 CDM 278 RC inpatient 16732 16732 MICROCATHETER 14 TREVO XP PROVUE +PRO 3 X 20MM SUP-80051 CDM 270 RC outpatient 16698 16698 4523.49 percent of total billed charges 16698 other OPPS APC 12356.52 percent of total billed charges 16698 other OPPS APC 16698 other OPPS APC 4523.49 percent of total billed charges 4613.66 percent of total billed charges 16698 other OPPS APC 4523.49 16698 MICROCATHETER 14 TREVO XP PROVUE +PRO 3 X 20MM SUP-80051 CDM 270 RC inpatient 16698 16698 MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 30MM SUP-93067 CDM 270 RC outpatient 16698 16698 4523.49 percent of total billed charges 16698 other OPPS APC 12356.52 percent of total billed charges 16698 other OPPS APC 16698 other OPPS APC 4523.49 percent of total billed charges 4613.66 percent of total billed charges 16698 other OPPS APC 4523.49 16698 MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 30MM SUP-93067 CDM 270 RC inpatient 16698 16698 REUNION REVERSE TOTAL SHOULDER SUP-97-02779 CDM 278 RC outpatient 16600 166 16600 fee schedule 16600 other OPPS APC 9462 percent of total billed charges 16600 other OPPS APC 16600 other OPPS APC 8134 percent of total billed charges 8466 percent of total billed charges 166 other OPPS APC 166 16600 REUNION REVERSE TOTAL SHOULDER SUP-97-02779 CDM 278 RC inpatient 16600 16600 AEQUALIS REVERSE 11 THREADED POST SUP-97-02946 CDM 278 RC outpatient 16600 166 16600 fee schedule 16600 other OPPS APC 9462 percent of total billed charges 16600 other OPPS APC 16600 other OPPS APC 8134 percent of total billed charges 8466 percent of total billed charges 166 other OPPS APC 166 16600 AEQUALIS REVERSE 11 THREADED POST SUP-97-02946 CDM 278 RC inpatient 16600 16600 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2414165 CDM 270010015 LOCAL 270 RC outpatient 16600 166 4496.94 percent of total billed charges 16600 other OPPS APC 12284 percent of total billed charges 16600 other OPPS APC 16600 other OPPS APC 4496.94 percent of total billed charges 4586.58 percent of total billed charges 166 other OPPS APC 166 16600 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2414165 CDM 270010015 LOCAL 270 RC inpatient 16600 16600 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2816165 CDM 270010015 LOCAL 270 RC outpatient 16600 166 4496.94 percent of total billed charges 16600 other OPPS APC 12284 percent of total billed charges 16600 other OPPS APC 16600 other OPPS APC 4496.94 percent of total billed charges 4586.58 percent of total billed charges 166 other OPPS APC 166 16600 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2816165 CDM 270010015 LOCAL 270 RC inpatient 16600 16600 CAGE SPINAL X-CORE II VBR TITANIUM L18 MM X H28-41 MM EXPANDABLE SUP-7180041 CDM 270010020 LOCAL 270 RC outpatient 16552 16552 4483.94 percent of total billed charges 16552 other OPPS APC 12248.48 percent of total billed charges 16552 other OPPS APC 16552 other OPPS APC 4483.94 percent of total billed charges 4573.32 percent of total billed charges 16552 other OPPS APC 4483.94 16552 CAGE SPINAL X-CORE II VBR TITANIUM L18 MM X H28-41 MM EXPANDABLE SUP-7180041 CDM 270010020 LOCAL 270 RC inpatient 16552 16552 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L32 MM OD3 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91312 CDM 27000000 LOCAL 270 RC outpatient 16500 165 4469.85 percent of total billed charges 16500 other OPPS APC 12210 percent of total billed charges 16500 other OPPS APC 16500 other OPPS APC 4469.85 percent of total billed charges 4558.95 percent of total billed charges 165 other OPPS APC 165 16500 RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L32 MM OD3 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE SUP-91312 CDM 27000000 LOCAL 270 RC inpatient 16500 16500 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-40 NDC J1561 HCPCS inpatient 16430.4 16430.4 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-41 NDC J1561 HCPCS inpatient 16430.4 16430.4 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-40 NDC J1561 HCPCS outpatient 16430.4 52.76 52.76 other OPPS APC 52.76 52.76 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-41 NDC J1561 HCPCS outpatient 16430.4 52.76 52.76 other OPPS APC 52.76 52.76 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC20 FR MAIN BODY INTRODUCER SHEATH AAA SUP-G31184 CDM 270010015 LOCAL 270 RC outpatient 16424 16424 4449.26 percent of total billed charges 16424 other OPPS APC 12153.76 percent of total billed charges 16424 other OPPS APC 16424 other OPPS APC 4449.26 percent of total billed charges 4537.95 percent of total billed charges 16424 other OPPS APC 4449.26 16424 GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC20 FR MAIN BODY INTRODUCER SHEATH AAA SUP-G31184 CDM 270010015 LOCAL 270 RC inpatient 16424 16424 REVERSE/INVERSE SHOULDER SUP-97-23761 CDM 278 RC outpatient 16400 164 16400 fee schedule 16400 other OPPS APC 9348 percent of total billed charges 16400 other OPPS APC 16400 other OPPS APC 8036 percent of total billed charges 8364 percent of total billed charges 164 other OPPS APC 164 16400 REVERSE/INVERSE SHOULDER SUP-97-23761 CDM 278 RC inpatient 16400 16400 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW D.99 CM W5.37 CM X H7.79 CM 31.5 ML RIGHT VENTRICLE 1 CHAMBER IS-1 DF-4 CONNECTOR EXTEND LONGEVITY SUP-D151 CDM 275 RC outpatient 16352 16352 8012.48 percent of total billed charges 16352 other OPPS APC 9320.64 percent of total billed charges 16352 other OPPS APC 16352 other OPPS APC 8012.48 percent of total billed charges 8339.52 percent of total billed charges 16352 other OPPS APC 8012.48 16352 DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW D.99 CM W5.37 CM X H7.79 CM 31.5 ML RIGHT VENTRICLE 1 CHAMBER IS-1 DF-4 CONNECTOR EXTEND LONGEVITY SUP-D151 CDM 275 RC inpatient 16352 16352 SYSTEM PACING MICRA AV SUP-MICRAAVTCPSYSTEM CDM 275 RC outpatient 16250 1625 7962.5 percent of total billed charges 16250 other OPPS APC 9262.5 percent of total billed charges 16250 other OPPS APC 16250 other OPPS APC 7962.5 percent of total billed charges 8287.5 percent of total billed charges 1625 other OPPS APC 1625 16250 SYSTEM PACING MICRA AV SUP-MICRAAVTCPSYSTEM CDM 275 RC inpatient 16250 16250 TRAY TIBIAL INIFINITY ADAPTIS SUP-97-04903 CDM 278 RC outpatient 16246.5 16246.5 16246.5 fee schedule 16246.5 other OPPS APC 9260.51 percent of total billed charges 16246.5 other OPPS APC 16246.5 other OPPS APC 7960.79 percent of total billed charges 8285.72 percent of total billed charges 16246.5 other OPPS APC 7960.79 16246.5 TRAY TIBIAL INIFINITY ADAPTIS SUP-97-04903 CDM 278 RC inpatient 16246.5 16246.5 ICD COBALT XT MRI DR DEVICE SUP-DDPA2D1 CDM 275 RC outpatient 16234 16234 7954.66 percent of total billed charges 16234 other OPPS APC 9253.38 percent of total billed charges 16234 other OPPS APC 16234 other OPPS APC 7954.66 percent of total billed charges 8279.34 percent of total billed charges 16234 other OPPS APC 7954.66 16234 ICD COBALT XT MRI DR DEVICE SUP-DDPA2D1 CDM 275 RC inpatient 16234 16234 ICD COBALT XT MRI DR SURESCAN DEVICE SUP-DDPA2D4 CDM 275 RC outpatient 16234 16234 7954.66 percent of total billed charges 16234 other OPPS APC 9253.38 percent of total billed charges 16234 other OPPS APC 16234 other OPPS APC 7954.66 percent of total billed charges 8279.34 percent of total billed charges 16234 other OPPS APC 7954.66 16234 ICD COBALT XT MRI DR SURESCAN DEVICE SUP-DDPA2D4 CDM 275 RC inpatient 16234 16234 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD20-12 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2012135 CDM 270010015 LOCAL 270 RC outpatient 16200 162 4388.58 percent of total billed charges 16200 other OPPS APC 11988 percent of total billed charges 16200 other OPPS APC 16200 other OPPS APC 4388.58 percent of total billed charges 4476.06 percent of total billed charges 162 other OPPS APC 162 16200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD20-12 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2012135 CDM 270010015 LOCAL 270 RC inpatient 16200 16200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2414135 CDM 270010015 LOCAL 270 RC outpatient 16200 162 4388.58 percent of total billed charges 16200 other OPPS APC 11988 percent of total billed charges 16200 other OPPS APC 16200 other OPPS APC 4388.58 percent of total billed charges 4476.06 percent of total billed charges 162 other OPPS APC 162 16200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2414135 CDM 270010015 LOCAL 270 RC inpatient 16200 16200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2816135 CDM 270010015 LOCAL 270 RC outpatient 16200 162 4388.58 percent of total billed charges 16200 other OPPS APC 11988 percent of total billed charges 16200 other OPPS APC 16200 other OPPS APC 4388.58 percent of total billed charges 4476.06 percent of total billed charges 162 other OPPS APC 162 16200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA SUP-BFXCH2816135 CDM 270010015 LOCAL 270 RC inpatient 16200 16200 PACEMAKER - AICD - COBALT - DVPA2D1 SUP-99-04148 CDM 275 RC outpatient 16167 16167 16167 fee schedule 16167 other OPPS APC 9215.19 percent of total billed charges 16167 other OPPS APC 16167 other OPPS APC 7921.83 percent of total billed charges 8245.17 percent of total billed charges 16167 other OPPS APC 7921.83 16167 PACEMAKER - AICD - COBALT - DVPA2D1 SUP-99-04148 CDM 275 RC inpatient 16167 16167 PACEMAKER - AICD - VISIA - DVFB1D4 SUP-99-04171 CDM 275 RC outpatient 16167 16167 16167 fee schedule 16167 other OPPS APC 9215.19 percent of total billed charges 16167 other OPPS APC 16167 other OPPS APC 7921.83 percent of total billed charges 8245.17 percent of total billed charges 16167 other OPPS APC 7921.83 16167 PACEMAKER - AICD - VISIA - DVFB1D4 SUP-99-04171 CDM 275 RC inpatient 16167 16167 PACEMAKER - AICD - VISIA - DVFB1D1 SUP-99-04172 CDM 275 RC outpatient 16167 16167 16167 fee schedule 16167 other OPPS APC 9215.19 percent of total billed charges 16167 other OPPS APC 16167 other OPPS APC 7921.83 percent of total billed charges 8245.17 percent of total billed charges 16167 other OPPS APC 7921.83 16167 PACEMAKER - AICD - VISIA - DVFB1D1 SUP-99-04172 CDM 275 RC inpatient 16167 16167 COMPONENT FEMORAL GMK COCR 3 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2603L CDM 270010025 LOCAL 270 RC outpatient 16128 16128 4369.08 percent of total billed charges 16128 other OPPS APC 11934.72 percent of total billed charges 16128 other OPPS APC 16128 other OPPS APC 4369.08 percent of total billed charges 4456.17 percent of total billed charges 16128 other OPPS APC 4369.08 16128 COMPONENT FEMORAL GMK COCR 3 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2603L CDM 270010025 LOCAL 270 RC inpatient 16128 16128 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2605L CDM 270010025 LOCAL 270 RC outpatient 16128 16128 4369.08 percent of total billed charges 16128 other OPPS APC 11934.72 percent of total billed charges 16128 other OPPS APC 16128 other OPPS APC 4369.08 percent of total billed charges 4456.17 percent of total billed charges 16128 other OPPS APC 4369.08 16128 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2605L CDM 270010025 LOCAL 270 RC inpatient 16128 16128 CAGE SPINAL VLIFT TITANIUM L37 MM OD22 MM LUMBAR INTERBODY FUSION SUP-48292237 CDM 270010020 LOCAL 270 RC outpatient 16124.22 16124.22 4368.05 percent of total billed charges 16124.22 other OPPS APC 11931.92 percent of total billed charges 16124.22 other OPPS APC 16124.22 other OPPS APC 4368.05 percent of total billed charges 4455.12 percent of total billed charges 16124.22 other OPPS APC 4368.05 16124.22 CAGE SPINAL VLIFT TITANIUM L37 MM OD22 MM LUMBAR INTERBODY FUSION SUP-48292237 CDM 270010020 LOCAL 270 RC inpatient 16124.22 16124.22 HC Pacemaker Other Than Single or Dual Lead PX-275C26210 CDM 275 RC outpatient 16095 1695 16095 fee schedule 16095 other OPPS APC 9174.15 percent of total billed charges 16095 other OPPS APC 16095 other OPPS APC 7886.55 percent of total billed charges 8208.45 percent of total billed charges 1695 other OPPS APC 1695 16095 HC Pacemaker Other Than Single or Dual Lead PX-275C26210 CDM 275 RC inpatient 16095 16095 CAGE SPINAL VLIFT TITANIUM H32 MM OD18 MM LUMBAR INTERBODY FUSION SUP-48291832 CDM 270010020 LOCAL 270 RC outpatient 16072.88 1672.88 4354.14 percent of total billed charges 16072.88 other OPPS APC 11893.93 percent of total billed charges 16072.88 other OPPS APC 16072.88 other OPPS APC 4354.14 percent of total billed charges 4440.94 percent of total billed charges 1672.88 other OPPS APC 1672.88 16072.88 CAGE SPINAL VLIFT TITANIUM H32 MM OD18 MM LUMBAR INTERBODY FUSION SUP-48291832 CDM 270010020 LOCAL 270 RC inpatient 16072.88 16072.88 ZIMMER KNEE PERSONA PS SUP-97-00767 CDM 278 RC outpatient 16000 16 16000 fee schedule 16000 other OPPS APC 9120 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 7840 percent of total billed charges 8160 percent of total billed charges 16 other OPPS APC 16 16000 ZIMMER KNEE PERSONA PS SUP-97-00767 CDM 278 RC inpatient 16000 16000 PERSONA CEM FEM TIB VE SURF/XLPE PAT SUP-97-01148 CDM 278 RC outpatient 16000 16 16000 fee schedule 16000 other OPPS APC 9120 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 7840 percent of total billed charges 8160 percent of total billed charges 16 other OPPS APC 16 16000 PERSONA CEM FEM TIB VE SURF/XLPE PAT SUP-97-01148 CDM 278 RC inpatient 16000 16000 BILATERAL TOTAL KNEE CAP PRICING-DEPUY SUP-BILATERALKNEE-DEPUY CDM 270010025 LOCAL 270 RC outpatient 16000 16 4334.4 percent of total billed charges 16000 other OPPS APC 11840 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 4334.4 percent of total billed charges 4420.8 percent of total billed charges 16 other OPPS APC 16 16000 BILATERAL TOTAL KNEE CAP PRICING-DEPUY SUP-BILATERALKNEE-DEPUY CDM 270010025 LOCAL 270 RC inpatient 16000 16000 FUSION LUMBAR LEVEL 3-STRYKER SUP-LUMBAR3STRYKER CDM 270010020 LOCAL 270 RC outpatient 16000 16 4334.4 percent of total billed charges 16000 other OPPS APC 11840 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 4334.4 percent of total billed charges 4420.8 percent of total billed charges 16 other OPPS APC 16 16000 FUSION LUMBAR LEVEL 3-STRYKER SUP-LUMBAR3STRYKER CDM 270010020 LOCAL 270 RC inpatient 16000 16000 PACEMAKER SOLARA W4TR03 MRI SYSTEM SUP-SOLARAMRIMMAM CDM 275 RC outpatient 16000 16 7840 percent of total billed charges 16000 other OPPS APC 9120 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 7840 percent of total billed charges 8160 percent of total billed charges 16 other OPPS APC 16 16000 PACEMAKER SOLARA W4TR03 MRI SYSTEM SUP-SOLARAMRIMMAM CDM 275 RC inpatient 16000 16000 GRAFT SOFT TISSUE CRYOVEIN SAPHENOUS VEIN L20-80+ CM OD3-6 MM EXCELLENT RESISTANCE SUP-V010 CDM 270 RC outpatient 16000 16 4334.4 percent of total billed charges 16000 other OPPS APC 11840 percent of total billed charges 16000 other OPPS APC 16000 other OPPS APC 4334.4 percent of total billed charges 4420.8 percent of total billed charges 16 other OPPS APC 16 16000 GRAFT SOFT TISSUE CRYOVEIN SAPHENOUS VEIN L20-80+ CM OD3-6 MM EXCELLENT RESISTANCE SUP-V010 CDM 270 RC inpatient 16000 16000 ICD EVERA MRI XT DR DEVICE SUP-DDMB1D1 CDM 270 RC outpatient 15993 15993 4332.5 percent of total billed charges 15993 other OPPS APC 11834.82 percent of total billed charges 15993 other OPPS APC 15993 other OPPS APC 4332.5 percent of total billed charges 4418.87 percent of total billed charges 15993 other OPPS APC 4332.5 15993 ICD EVERA MRI XT DR DEVICE SUP-DDMB1D1 CDM 270 RC inpatient 15993 15993 ICD VISIA AF MRI VR DEVICE SUP-DVFB1D1 CDM 275 RC outpatient 15993 15993 7836.57 percent of total billed charges 15993 other OPPS APC 9116.01 percent of total billed charges 15993 other OPPS APC 15993 other OPPS APC 7836.57 percent of total billed charges 8156.43 percent of total billed charges 15993 other OPPS APC 7836.57 15993 ICD VISIA AF MRI VR DEVICE SUP-DVFB1D1 CDM 275 RC inpatient 15993 15993 ICD VISIA AF MRI SURESCAN VR DEVICE SUP-DVFB1D4 CDM 275 RC outpatient 15993 15993 7836.57 percent of total billed charges 15993 other OPPS APC 9116.01 percent of total billed charges 15993 other OPPS APC 15993 other OPPS APC 7836.57 percent of total billed charges 8156.43 percent of total billed charges 15993 other OPPS APC 7836.57 15993 ICD VISIA AF MRI SURESCAN VR DEVICE SUP-DVFB1D4 CDM 275 RC inpatient 15993 15993 GRAFT PHASIX 15 X 20 COATED (1201520) SUP-75-00165 CDM 278 RC outpatient 15840 1584 15840 fee schedule 15840 other OPPS APC 9028.8 percent of total billed charges 15840 other OPPS APC 15840 other OPPS APC 7761.6 percent of total billed charges 8078.4 percent of total billed charges 1584 other OPPS APC 1584 15840 GRAFT PHASIX 15 X 20 COATED (1201520) SUP-75-00165 CDM 278 RC inpatient 15840 15840 "HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN" 636000000 CDM 63833-387-02 NDC J7168 HCPCS inpatient 15700 15700 "HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN" 636000000 CDM 63833-397-01 NDC J7168 HCPCS inpatient 15700 15700 "HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN" 636000000 CDM 63833-387-02 NDC J7168 HCPCS outpatient 15700 2.42 2.42 other OPPS APC 2.42 2.42 "HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN" 636000000 CDM 63833-397-01 NDC J7168 HCPCS outpatient 15700 2.42 2.42 other OPPS APC 2.42 2.42 VALVE AORTIC INSPIRIS RESILIA 19MM SUP-11500A19 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 19MM SUP-11500A19 CDM 270 RC inpatient 15700 15700 VALVE AORTIC INSPIRIS RESILIA 21MM SUP-11500A21 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 21MM SUP-11500A21 CDM 270 RC inpatient 15700 15700 VALVE AORTIC INSPIRIS RESILIA 23MM SUP-11500A23 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 23MM SUP-11500A23 CDM 270 RC inpatient 15700 15700 VALVE AORTIC INSPIRIS RESILIA 25MM SUP-11500A25 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 25MM SUP-11500A25 CDM 270 RC inpatient 15700 15700 VALVE AORTIC INSPIRIS RESILIA 27MM SUP-11500A27 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 27MM SUP-11500A27 CDM 270 RC inpatient 15700 15700 VALVE AORTIC INSPIRIS RESILIA 29MM SUP-11500A29 CDM 270 RC outpatient 15700 157 4253.13 percent of total billed charges 15700 other OPPS APC 11618 percent of total billed charges 15700 other OPPS APC 15700 other OPPS APC 4253.13 percent of total billed charges 4337.91 percent of total billed charges 157 other OPPS APC 157 15700 VALVE AORTIC INSPIRIS RESILIA 29MM SUP-11500A29 CDM 270 RC inpatient 15700 15700 GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE DERMIS COLLAGEN MATRIX THK.75-1.54 MM L20 CM X W16 CM SHEET SUP-606001008 CDM 270 RC outpatient 15674 15674 4246.09 percent of total billed charges 15674 other OPPS APC 11598.76 percent of total billed charges 15674 other OPPS APC 15674 other OPPS APC 4246.09 percent of total billed charges 4330.73 percent of total billed charges 15674 other OPPS APC 4246.09 15674 GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE DERMIS COLLAGEN MATRIX THK.75-1.54 MM L20 CM X W16 CM SHEET SUP-606001008 CDM 270 RC inpatient 15674 15674 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-24 NDC J1561 HCPCS inpatient 15614.4 15614.4 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION 636000000 CDM 13533-800-24 NDC J1561 HCPCS outpatient 15614.4 52.76 52.76 other OPPS APC 52.76 52.76 PACEMAKER - AICD - COBALT - DVPA2D4 SUP-99-04149 CDM 275 RC outpatient 15609 1569 15609 fee schedule 15609 other OPPS APC 8897.13 percent of total billed charges 15609 other OPPS APC 15609 other OPPS APC 7648.41 percent of total billed charges 7960.59 percent of total billed charges 1569 other OPPS APC 1569 15609 PACEMAKER - AICD - COBALT - DVPA2D4 SUP-99-04149 CDM 275 RC inpatient 15609 15609 ICD COBALT XT MRI VR DEVICE SUP-DVPA2D1 CDM 275 RC outpatient 15609 1569 7648.41 percent of total billed charges 15609 other OPPS APC 8897.13 percent of total billed charges 15609 other OPPS APC 15609 other OPPS APC 7648.41 percent of total billed charges 7960.59 percent of total billed charges 1569 other OPPS APC 1569 15609 ICD COBALT XT MRI VR DEVICE SUP-DVPA2D1 CDM 275 RC inpatient 15609 15609 ICD COBALT XT MRI DR SURESCAN DEVICE SUP-DVPA2D4 CDM 275 RC outpatient 15609 1569 7648.41 percent of total billed charges 15609 other OPPS APC 8897.13 percent of total billed charges 15609 other OPPS APC 15609 other OPPS APC 7648.41 percent of total billed charges 7960.59 percent of total billed charges 1569 other OPPS APC 1569 15609 ICD COBALT XT MRI DR SURESCAN DEVICE SUP-DVPA2D4 CDM 275 RC inpatient 15609 15609 HC IR Tib/per Initial Pta Ather PX-361372291 CDM 37229 CPT 361 RC outpatient 15600 156 4926.48 percent of total billed charges 15600 other OPPS APC 15600 fee schedule 15600 other OPPS APC 15600 other OPPS APC 4926.48 percent of total billed charges 5024.76 percent of total billed charges 156 other OPPS APC 156 15600 HC IR Tib/per Initial Pta Ather PX-361372291 CDM 37229 CPT 361 RC inpatient 15600 15600 HC Cc Coronary Ather/ Stent Major Brnch-Des PX-481C96021 CDM 481 RC outpatient 15600 156 683.33 fee schedule 15600 other OPPS APC 1789.93 fee schedule 15600 other OPPS APC 15600 other OPPS APC 636.83 fee schedule 7956 percent of total billed charges 156 other OPPS APC 156 15600 HC Cc Coronary Ather/ Stent Major Brnch-Des PX-481C96021 CDM 481 RC inpatient 15600 15600 HC Cc Coronary Pci in Cto Major - Des PX-481C96071 CDM 481 RC outpatient 15600 156 684.72 fee schedule 15600 other OPPS APC 1791.86 fee schedule 15600 other OPPS APC 15600 other OPPS APC 638.15 fee schedule 7956 percent of total billed charges 156 other OPPS APC 156 15600 HC Cc Coronary Pci in Cto Major - Des PX-481C96071 CDM 481 RC inpatient 15600 15600 FUSION LUMBAR LEVEL 3 SUP-LUMBARL3 CDM 270010007 LOCAL 270 RC outpatient 15600 156 4226.04 percent of total billed charges 15600 other OPPS APC 11544 percent of total billed charges 15600 other OPPS APC 15600 other OPPS APC 4226.04 percent of total billed charges 4310.28 percent of total billed charges 156 other OPPS APC 156 15600 FUSION LUMBAR LEVEL 3 SUP-LUMBARL3 CDM 270010007 LOCAL 270 RC inpatient 15600 15600 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231214 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231214 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD23 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231414 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD23 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231414 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L16 CM OD26 MM ODSEC14.5 MM ID22-23 MM TRUNK IPSILATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXT261416 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L16 CM OD26 MM ODSEC14.5 MM ID22-23 MM TRUNK IPSILATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXT261416 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261418 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261418 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281214 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281214 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281414 CDM 270010015 LOCAL 270 RC outpatient 15558 15558 4214.66 percent of total billed charges 15558 other OPPS APC 11512.92 percent of total billed charges 15558 other OPPS APC 15558 other OPPS APC 4214.66 percent of total billed charges 4298.68 percent of total billed charges 15558 other OPPS APC 4214.66 15558 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281414 CDM 270010015 LOCAL 270 RC inpatient 15558 15558 DEVICE THROMBECTOMY SOLITAIRE PARAMETRIC PLATINUM NITINOL L180 CM L40 MM OD4 MM SCAFFOLD RADIOPAQUE ACCEPTS 2-4 MM VESSEL .021 MICRO CATHETER SUP-SFR344010_51767 CDM 270 RC outpatient 15556 15556 4214.12 percent of total billed charges 15556 other OPPS APC 11511.44 percent of total billed charges 15556 other OPPS APC 15556 other OPPS APC 4214.12 percent of total billed charges 4298.12 percent of total billed charges 15556 other OPPS APC 4214.12 15556 DEVICE THROMBECTOMY SOLITAIRE PARAMETRIC PLATINUM NITINOL L180 CM L40 MM OD4 MM SCAFFOLD RADIOPAQUE ACCEPTS 2-4 MM VESSEL .021 MICRO CATHETER SUP-SFR344010_51767 CDM 270 RC inpatient 15556 15556 DEVICE THROMBECTOMY SOLITAIRE PLATINUM L180 CM L40 MM OD6 MM ID.027 MM INTRACRANIAL VESSEL RESTORE BLOOD FLOW REVASCULARIZATION PUSHWIRE RADIOPAQUE 3-5.5 MM VESSEL SUP-SFR364010_51768 CDM 270 RC outpatient 15556 15556 4214.12 percent of total billed charges 15556 other OPPS APC 11511.44 percent of total billed charges 15556 other OPPS APC 15556 other OPPS APC 4214.12 percent of total billed charges 4298.12 percent of total billed charges 15556 other OPPS APC 4214.12 15556 DEVICE THROMBECTOMY SOLITAIRE PLATINUM L180 CM L40 MM OD6 MM ID.027 MM INTRACRANIAL VESSEL RESTORE BLOOD FLOW REVASCULARIZATION PUSHWIRE RADIOPAQUE 3-5.5 MM VESSEL SUP-SFR364010_51768 CDM 270 RC inpatient 15556 15556 LEUPROLIDE ACETATE (3 MONTH) PER 3.75 MG 636000000 CDM 0074-3663-03 NDC J1950 HCPCS inpatient 15438.2 15438.2 LEUPROLIDE ACETATE (3 MONTH) PER 3.75 MG 636000000 CDM 0074-3663-03 NDC J1950 HCPCS outpatient 15438.2 1679.4 1679.4 other OPPS APC 1679.4 1679.4 HC Rad Therapy Cns Tumors Rad Onc Model 90 Day Episode Tc PX-333M10850 CDM 333 RC outpatient 15434.87 15434.87 7563.09 percent of total billed charges 15434.87 other OPPS APC 11421.8 percent of total billed charges 15434.87 other OPPS APC 15434.87 other OPPS APC 7563.09 percent of total billed charges 7871.78 percent of total billed charges 15434.87 other OPPS APC 7563.09 15434.87 HC Rad Therapy Cns Tumors Rad Onc Model 90 Day Episode Tc PX-333M10850 CDM 333 RC inpatient 15434.87 15434.87 NEXGEN LCCK FEMORAL SZ G-RT SUP-97-01237 CDM 278 RC outpatient 15375 15375 15375 fee schedule 15375 other OPPS APC 8763.75 percent of total billed charges 15375 other OPPS APC 15375 other OPPS APC 7533.75 percent of total billed charges 7841.25 percent of total billed charges 15375 other OPPS APC 7533.75 15375 NEXGEN LCCK FEMORAL SZ G-RT SUP-97-01237 CDM 278 RC inpatient 15375 15375 NEXGEN LCCK FEMORAL SZ E-RT SUP-97-03234 CDM 278 RC outpatient 15375 15375 15375 fee schedule 15375 other OPPS APC 8763.75 percent of total billed charges 15375 other OPPS APC 15375 other OPPS APC 7533.75 percent of total billed charges 7841.25 percent of total billed charges 15375 other OPPS APC 7533.75 15375 NEXGEN LCCK FEMORAL SZ E-RT SUP-97-03234 CDM 278 RC inpatient 15375 15375 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-03429 CDM 278 RC outpatient 15375 15375 15375 fee schedule 15375 other OPPS APC 8763.75 percent of total billed charges 15375 other OPPS APC 15375 other OPPS APC 7533.75 percent of total billed charges 7841.25 percent of total billed charges 15375 other OPPS APC 7533.75 15375 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-03429 CDM 278 RC inpatient 15375 15375 NEXGEN LCCK FEMORAL SZ F-LT SUP-97-03426 CDM 278 RC outpatient 15335 15335 15335 fee schedule 15335 other OPPS APC 8740.95 percent of total billed charges 15335 other OPPS APC 15335 other OPPS APC 7514.15 percent of total billed charges 7820.85 percent of total billed charges 15335 other OPPS APC 7514.15 15335 NEXGEN LCCK FEMORAL SZ F-LT SUP-97-03426 CDM 278 RC inpatient 15335 15335 GRAFT RESTORE FLOW SAPHENOUS VEIN CRYO PRESERVED SUP-SV104 CDM 270 RC outpatient 15300 153 4144.77 percent of total billed charges 15300 other OPPS APC 11322 percent of total billed charges 15300 other OPPS APC 15300 other OPPS APC 4144.77 percent of total billed charges 4227.39 percent of total billed charges 153 other OPPS APC 153 15300 GRAFT RESTORE FLOW SAPHENOUS VEIN CRYO PRESERVED SUP-SV104 CDM 270 RC inpatient 15300 15300 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261214 CDM 270010015 LOCAL 270 RC outpatient 15252 15252 4131.77 percent of total billed charges 15252 other OPPS APC 11286.48 percent of total billed charges 15252 other OPPS APC 15252 other OPPS APC 4131.77 percent of total billed charges 4214.13 percent of total billed charges 15252 other OPPS APC 4131.77 15252 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261214 CDM 270010015 LOCAL 270 RC inpatient 15252 15252 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT ACCEPTS 18 FR SHEATH AAA SUP-PXT261218 CDM 270010015 LOCAL 270 RC outpatient 15252 15252 4131.77 percent of total billed charges 15252 other OPPS APC 11286.48 percent of total billed charges 15252 other OPPS APC 15252 other OPPS APC 4131.77 percent of total billed charges 4214.13 percent of total billed charges 15252 other OPPS APC 4131.77 15252 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT ACCEPTS 18 FR SHEATH AAA SUP-PXT261218 CDM 270010015 LOCAL 270 RC inpatient 15252 15252 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261412 CDM 270010015 LOCAL 270 RC outpatient 15252 15252 4131.77 percent of total billed charges 15252 other OPPS APC 11286.48 percent of total billed charges 15252 other OPPS APC 15252 other OPPS APC 4131.77 percent of total billed charges 4214.13 percent of total billed charges 15252 other OPPS APC 4131.77 15252 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261412 CDM 270010015 LOCAL 270 RC inpatient 15252 15252 CATHETER THROMBECTOMY 31CM 4MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .021IN GUIDEWIRE SUP-SFR2-4-20 CDM 270 RC outpatient 15250 1525 4131.23 percent of total billed charges 15250 other OPPS APC 11285 percent of total billed charges 15250 other OPPS APC 15250 other OPPS APC 4131.23 percent of total billed charges 4213.58 percent of total billed charges 1525 other OPPS APC 1525 15250 CATHETER THROMBECTOMY 31CM 4MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .021IN GUIDEWIRE SUP-SFR2-4-20 CDM 270 RC inpatient 15250 15250 CATHETER THROMBECTOMY 31CM 6MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .027IN GUIDEWIRE SUP-SFR2620_42566 CDM 270 RC outpatient 15250 1525 4131.23 percent of total billed charges 15250 other OPPS APC 11285 percent of total billed charges 15250 other OPPS APC 15250 other OPPS APC 4131.23 percent of total billed charges 4213.58 percent of total billed charges 1525 other OPPS APC 1525 15250 CATHETER THROMBECTOMY 31CM 6MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .027IN GUIDEWIRE SUP-SFR2620_42566 CDM 270 RC inpatient 15250 15250 CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD4 MM ACCEPTS .021 IN GUIDEWIRE REVASCULARIZATION SUP-SFR342010_42565 CDM 270 RC outpatient 15250 1525 4131.23 percent of total billed charges 15250 other OPPS APC 11285 percent of total billed charges 15250 other OPPS APC 15250 other OPPS APC 4131.23 percent of total billed charges 4213.58 percent of total billed charges 1525 other OPPS APC 1525 15250 CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD4 MM ACCEPTS .021 IN GUIDEWIRE REVASCULARIZATION SUP-SFR342010_42565 CDM 270 RC inpatient 15250 15250 CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD6 MM ACCEPTS .027 IN GUIDEWIRE REVASCULARIZATION SUP-SFR362010_42566 CDM 270 RC outpatient 15250 1525 4131.23 percent of total billed charges 15250 other OPPS APC 11285 percent of total billed charges 15250 other OPPS APC 15250 other OPPS APC 4131.23 percent of total billed charges 4213.58 percent of total billed charges 1525 other OPPS APC 1525 15250 CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD6 MM ACCEPTS .027 IN GUIDEWIRE REVASCULARIZATION SUP-SFR362010_42566 CDM 270 RC inpatient 15250 15250 ICD VISIA AF VR DEVICE SUP-DVAB1D4 CDM 275 RC outpatient 15245 15245 7470.05 percent of total billed charges 15245 other OPPS APC 8689.65 percent of total billed charges 15245 other OPPS APC 15245 other OPPS APC 7470.05 percent of total billed charges 7774.95 percent of total billed charges 15245 other OPPS APC 7470.05 15245 ICD VISIA AF VR DEVICE SUP-DVAB1D4 CDM 275 RC inpatient 15245 15245 HC Rad Therapy Upper GI Cancer Rad Onc Model 90 Day Episode Tc PX-333M11030 CDM 333 RC outpatient 15233.16 15233.16 7464.25 percent of total billed charges 15233.16 other OPPS APC 11272.54 percent of total billed charges 15233.16 other OPPS APC 15233.16 other OPPS APC 7464.25 percent of total billed charges 7768.91 percent of total billed charges 15233.16 other OPPS APC 7464.25 15233.16 HC Rad Therapy Upper GI Cancer Rad Onc Model 90 Day Episode Tc PX-333M11030 CDM 333 RC inpatient 15233.16 15233.16 SPACER INTERSPACE SHOULDER WITH VANCOMYCIN 46MM XXL SUP-SPSCM4U CDM 270 RC outpatient 15200 152 4117.68 percent of total billed charges 15200 other OPPS APC 11248 percent of total billed charges 15200 other OPPS APC 15200 other OPPS APC 4117.68 percent of total billed charges 4199.76 percent of total billed charges 152 other OPPS APC 152 15200 SPACER INTERSPACE SHOULDER WITH VANCOMYCIN 46MM XXL SUP-SPSCM4U CDM 270 RC inpatient 15200 15200 GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETTF3232C70E CDM 270010015 LOCAL 270 RC outpatient 15150 1515 4104.14 percent of total billed charges 15150 other OPPS APC 11211 percent of total billed charges 15150 other OPPS APC 15150 other OPPS APC 4104.14 percent of total billed charges 4185.95 percent of total billed charges 1515 other OPPS APC 1515 15150 GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETTF3232C70E CDM 270010015 LOCAL 270 RC inpatient 15150 15150 ARCOS CON SZ A HI 50MM SUP-97-04027 CDM 278 RC outpatient 15087.5 1587.5 15087.5 fee schedule 15087.5 other OPPS APC 8599.88 percent of total billed charges 15087.5 other OPPS APC 15087.5 other OPPS APC 7392.88 percent of total billed charges 7694.63 percent of total billed charges 1587.5 other OPPS APC 1587.5 15087.5 ARCOS CON SZ A HI 50MM SUP-97-04027 CDM 278 RC inpatient 15087.5 15087.5 ARCOS CAL SZ B +0 HI 60MM SUP-97-04286 CDM 278 RC outpatient 15087.5 1587.5 15087.5 fee schedule 15087.5 other OPPS APC 8599.88 percent of total billed charges 15087.5 other OPPS APC 15087.5 other OPPS APC 7392.88 percent of total billed charges 7694.63 percent of total billed charges 1587.5 other OPPS APC 1587.5 15087.5 ARCOS CAL SZ B +0 HI 60MM SUP-97-04286 CDM 278 RC inpatient 15087.5 15087.5 CRT-P PERCEPTA MRI SYSTEM SUP-PERCEPTAMRIMMAM CDM 275 RC outpatient 15065 1565 7381.85 percent of total billed charges 15065 other OPPS APC 8587.05 percent of total billed charges 15065 other OPPS APC 15065 other OPPS APC 7381.85 percent of total billed charges 7683.15 percent of total billed charges 1565 other OPPS APC 1565 15065 CRT-P PERCEPTA MRI SYSTEM SUP-PERCEPTAMRIMMAM CDM 275 RC inpatient 15065 15065 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL SUP-VBJR062502A CDM 270 RC outpatient 15056 1556 4078.67 percent of total billed charges 15056 other OPPS APC 11141.44 percent of total billed charges 15056 other OPPS APC 15056 other OPPS APC 4078.67 percent of total billed charges 4159.97 percent of total billed charges 1556 other OPPS APC 1556 15056 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL SUP-VBJR062502A CDM 270 RC inpatient 15056 15056 HC Cc Coronary Pci in Ami (Stemi) - Des PX-481C96061 CDM 481 RC outpatient 15035 1535 684.72 fee schedule 15035 other OPPS APC 1791.86 fee schedule 15035 other OPPS APC 15035 other OPPS APC 637.55 fee schedule 7667.85 percent of total billed charges 1535 other OPPS APC 637.55 15035 HC Cc Coronary Pci in Ami (Stemi) - Des PX-481C96061 CDM 481 RC inpatient 15035 15035 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L71-80 CM OD3 MM CRYOPRESERVE SUP-CV71-80 CDM 270 RC outpatient 14983.5 14983.5 4059.03 percent of total billed charges 14983.5 other OPPS APC 11087.79 percent of total billed charges 14983.5 other OPPS APC 14983.5 other OPPS APC 4059.03 percent of total billed charges 4139.94 percent of total billed charges 14983.5 other OPPS APC 4059.03 14983.5 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L71-80 CM OD3 MM CRYOPRESERVE SUP-CV71-80 CDM 270 RC inpatient 14983.5 14983.5 GRAFT EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 30 X 88MM SUP-G279465 CDM 270010015 LOCAL 270 RC outpatient 14800 148 4009.32 percent of total billed charges 14800 other OPPS APC 10952 percent of total billed charges 14800 other OPPS APC 14800 other OPPS APC 4009.32 percent of total billed charges 4089.24 percent of total billed charges 148 other OPPS APC 148 14800 GRAFT EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 30 X 88MM SUP-G279465 CDM 270010015 LOCAL 270 RC inpatient 14800 14800 DEFIBRILLATOR CARDIAC GALLANT 2 CHAMBER IS-1 DF4 CONNECTOR SUP-CDDRA500Q CDM 275 RC outpatient 14790 1479 7247.1 percent of total billed charges 14790 other OPPS APC 8430.3 percent of total billed charges 14790 other OPPS APC 14790 other OPPS APC 7247.1 percent of total billed charges 7542.9 percent of total billed charges 1479 other OPPS APC 1479 14790 DEFIBRILLATOR CARDIAC GALLANT 2 CHAMBER IS-1 DF4 CONNECTOR SUP-CDDRA500Q CDM 275 RC inpatient 14790 14790 HC Rad Therapy Uterine Cancer Rad Onc Model 90 Day Episode Tc PX-333M11050 CDM 333 RC outpatient 14777.08 14777.8 7240.77 percent of total billed charges 14777.08 other OPPS APC 10935.04 percent of total billed charges 14777.08 other OPPS APC 14777.08 other OPPS APC 7240.77 percent of total billed charges 7536.31 percent of total billed charges 14777.8 other OPPS APC 7240.77 14777.8 HC Rad Therapy Uterine Cancer Rad Onc Model 90 Day Episode Tc PX-333M11050 CDM 333 RC inpatient 14777.08 14777.08 COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2604L CDM 270010025 LOCAL 270 RC outpatient 14772 14772 4001.73 percent of total billed charges 14772 other OPPS APC 10931.28 percent of total billed charges 14772 other OPPS APC 14772 other OPPS APC 4001.73 percent of total billed charges 4081.5 percent of total billed charges 14772 other OPPS APC 4001.73 14772 COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENT HINGE NONSTERILE SUP-02.09.2604L CDM 270010025 LOCAL 270 RC inpatient 14772 14772 COMPONENT FEMORAL GMK COCR 4 KNEE RIGHT CEMENT HINGE NONSTERILE SUP-02.09.2604R CDM 270010025 LOCAL 270 RC outpatient 14772 14772 4001.73 percent of total billed charges 14772 other OPPS APC 10931.28 percent of total billed charges 14772 other OPPS APC 14772 other OPPS APC 4001.73 percent of total billed charges 4081.5 percent of total billed charges 14772 other OPPS APC 4001.73 14772 COMPONENT FEMORAL GMK COCR 4 KNEE RIGHT CEMENT HINGE NONSTERILE SUP-02.09.2604R CDM 270010025 LOCAL 270 RC inpatient 14772 14772 COMPONENT FEMORAL GMK COCR 5 KNEE RIGHT CEMENT HINGE NONSTERILE SUP-02.09.2605R CDM 270010025 LOCAL 270 RC outpatient 14772 14772 4001.73 percent of total billed charges 14772 other OPPS APC 10931.28 percent of total billed charges 14772 other OPPS APC 14772 other OPPS APC 4001.73 percent of total billed charges 4081.5 percent of total billed charges 14772 other OPPS APC 4001.73 14772 COMPONENT FEMORAL GMK COCR 5 KNEE RIGHT CEMENT HINGE NONSTERILE SUP-02.09.2605R CDM 270010025 LOCAL 270 RC inpatient 14772 14772 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL SUP-VBJR052502A CDM 270 RC outpatient 14760 1476 3998.48 percent of total billed charges 14760 other OPPS APC 10922.4 percent of total billed charges 14760 other OPPS APC 14760 other OPPS APC 3998.48 percent of total billed charges 4078.19 percent of total billed charges 1476 other OPPS APC 1476 14760 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL SUP-VBJR052502A CDM 270 RC inpatient 14760 14760 BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 16 ML VIAL 636000000 CDM 0069-0342-01 NDC Q5118 HCPCS inpatient 14721.6 14721.6 BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 16 ML VIAL 636000000 CDM 0069-0342-01 NDC Q5118 HCPCS outpatient 14721.6 22.11 22.11 other OPPS APC 22.11 22.11 IDARUCIZUMAB 2.5 GRAM/50 ML SOLUTION 636000000 CDM 0597-0197-05 NDC J3490 HCPCS inpatient 14718.48 14718.48 IDARUCIZUMAB 2.5 GRAM/50 ML SOLUTION 636000000 CDM 0597-0197-05 NDC J3490 HCPCS outpatient 14718.48 14718.48 other OPPS APC DEFIBRILLATOR CARDIAC GALLANT 1 CHAMBER DF4 CONNECTOR SUP-CDVRA500Q CDM 275 RC outpatient 14700 147 7203 percent of total billed charges 14700 other OPPS APC 8379 percent of total billed charges 14700 other OPPS APC 14700 other OPPS APC 7203 percent of total billed charges 7497 percent of total billed charges 147 other OPPS APC 147 14700 DEFIBRILLATOR CARDIAC GALLANT 1 CHAMBER DF4 CONNECTOR SUP-CDVRA500Q CDM 275 RC inpatient 14700 14700 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261216 CDM 270010015 LOCAL 270 RC outpatient 14596 14596 3954.06 percent of total billed charges 14596 other OPPS APC 10801.04 percent of total billed charges 14596 other OPPS APC 14596 other OPPS APC 3954.06 percent of total billed charges 4032.87 percent of total billed charges 14596 other OPPS APC 3954.06 14596 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261216 CDM 270010015 LOCAL 270 RC inpatient 14596 14596 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261414 CDM 270010015 LOCAL 270 RC outpatient 14596 14596 3954.06 percent of total billed charges 14596 other OPPS APC 10801.04 percent of total billed charges 14596 other OPPS APC 14596 other OPPS APC 3954.06 percent of total billed charges 4032.87 percent of total billed charges 14596 other OPPS APC 3954.06 14596 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT261414 CDM 270010015 LOCAL 270 RC inpatient 14596 14596 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM ACCEPTS 18 FR SHEATH AAA SUP-PXT281216 CDM 270010015 LOCAL 270 RC outpatient 14596 14596 3954.06 percent of total billed charges 14596 other OPPS APC 10801.04 percent of total billed charges 14596 other OPPS APC 14596 other OPPS APC 3954.06 percent of total billed charges 4032.87 percent of total billed charges 14596 other OPPS APC 3954.06 14596 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM ACCEPTS 18 FR SHEATH AAA SUP-PXT281216 CDM 270010015 LOCAL 270 RC inpatient 14596 14596 CAP10102 SHOULDER REVERSE/INVERSE SUP-97-04973 CDM 278 RC outpatient 14500 145 14500 fee schedule 14500 other OPPS APC 8265 percent of total billed charges 14500 other OPPS APC 14500 other OPPS APC 7105 percent of total billed charges 7395 percent of total billed charges 145 other OPPS APC 145 14500 CAP10102 SHOULDER REVERSE/INVERSE SUP-97-04973 CDM 278 RC inpatient 14500 14500 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 25MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0025A CDM 275 RC outpatient 14412 14412 7061.88 percent of total billed charges 14412 other OPPS APC 8214.84 percent of total billed charges 14412 other OPPS APC 14412 other OPPS APC 7061.88 percent of total billed charges 7350.12 percent of total billed charges 14412 other OPPS APC 7061.88 14412 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 25MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0025A CDM 275 RC inpatient 14412 14412 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 30MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0030A CDM 275 RC outpatient 14412 14412 7061.88 percent of total billed charges 14412 other OPPS APC 8214.84 percent of total billed charges 14412 other OPPS APC 14412 other OPPS APC 7061.88 percent of total billed charges 7350.12 percent of total billed charges 14412 other OPPS APC 7061.88 14412 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 30MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0030A CDM 275 RC inpatient 14412 14412 PERSONA CEM FEM TIB VE SURF/XLPE PAT SUP-97-01021 CDM 278 RC outpatient 14400 144 14400 fee schedule 14400 other OPPS APC 8208 percent of total billed charges 14400 other OPPS APC 14400 other OPPS APC 7056 percent of total billed charges 7344 percent of total billed charges 144 other OPPS APC 144 14400 PERSONA CEM FEM TIB VE SURF/XLPE PAT SUP-97-01021 CDM 278 RC inpatient 14400 14400 PERSONA CEM FEM TB VE SURF/XLPE PAT SUP-97-01149 CDM 278 RC outpatient 14400 144 14400 fee schedule 14400 other OPPS APC 8208 percent of total billed charges 14400 other OPPS APC 14400 other OPPS APC 7056 percent of total billed charges 7344 percent of total billed charges 144 other OPPS APC 144 14400 PERSONA CEM FEM TB VE SURF/XLPE PAT SUP-97-01149 CDM 278 RC inpatient 14400 14400 DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE SUP-ET-009-521 CDM 270 RC outpatient 14400 144 3900.96 percent of total billed charges 14400 other OPPS APC 10656 percent of total billed charges 14400 other OPPS APC 14400 other OPPS APC 3900.96 percent of total billed charges 3978.72 percent of total billed charges 144 other OPPS APC 144 14400 DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE SUP-ET-009-521 CDM 270 RC inpatient 14400 14400 DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE SUP-ET009533 CDM 270 RC outpatient 14400 144 3900.96 percent of total billed charges 14400 other OPPS APC 10656 percent of total billed charges 14400 other OPPS APC 14400 other OPPS APC 3900.96 percent of total billed charges 3978.72 percent of total billed charges 144 other OPPS APC 144 14400 DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE SUP-ET009533 CDM 270 RC inpatient 14400 14400 CRT-P PACEMAKER CARDIAC VISIONIST X4 DEVICE SUP-U228 CDM 481 RC outpatient 14330 1433 7021.7 percent of total billed charges 14330 other OPPS APC 10604.2 percent of total billed charges 14330 other OPPS APC 14330 other OPPS APC 7021.7 percent of total billed charges 7308.3 percent of total billed charges 1433 other OPPS APC 1433 14330 CRT-P PACEMAKER CARDIAC VISIONIST X4 DEVICE SUP-U228 CDM 481 RC inpatient 14330 14330 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231216 CDM 270010015 LOCAL 270 RC outpatient 14240 1424 3857.62 percent of total billed charges 14240 other OPPS APC 10537.6 percent of total billed charges 14240 other OPPS APC 14240 other OPPS APC 3857.62 percent of total billed charges 3934.51 percent of total billed charges 1424 other OPPS APC 1424 14240 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT231216 CDM 270010015 LOCAL 270 RC inpatient 14240 14240 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281412 CDM 270010015 LOCAL 270 RC outpatient 14240 1424 3857.62 percent of total billed charges 14240 other OPPS APC 10537.6 percent of total billed charges 14240 other OPPS APC 14240 other OPPS APC 3857.62 percent of total billed charges 3934.51 percent of total billed charges 1424 other OPPS APC 1424 14240 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281412 CDM 270010015 LOCAL 270 RC inpatient 14240 14240 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281418 CDM 270010015 LOCAL 270 RC outpatient 14240 1424 3857.62 percent of total billed charges 14240 other OPPS APC 10537.6 percent of total billed charges 14240 other OPPS APC 14240 other OPPS APC 3857.62 percent of total billed charges 3934.51 percent of total billed charges 1424 other OPPS APC 1424 14240 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH SUP-PXT281418 CDM 270010015 LOCAL 270 RC inpatient 14240 14240 IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER #AX1-2-28-113 SUP-G55376 CDM 270010015 LOCAL 270 RC outpatient 14236 14236 3856.53 percent of total billed charges 14236 other OPPS APC 10534.64 percent of total billed charges 14236 other OPPS APC 14236 other OPPS APC 3856.53 percent of total billed charges 3933.41 percent of total billed charges 14236 other OPPS APC 3856.53 14236 IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER #AX1-2-28-113 SUP-G55376 CDM 270010015 LOCAL 270 RC inpatient 14236 14236 PACEMAKER - DUAL ICD RIVACOR DR-T SUP-99-04349 CDM inpatient 14200 14200 PACEMAKER - DUAL ICD RIVACOR DR-T SUP-99-04349 CDM outpatient 14200 142 14200 percent of total billed charges 14200 other OPPS APC 14200 fee schedule 14200 other OPPS APC 14200 other OPPS APC 14200 case rate 14200 case rate 142 other OPPS APC 142 14200 HC Rad Therapy Pancreatic Cancer Rad Onc Model 90 Day Episode Tc PX-333M10990 CDM 333 RC outpatient 14129.15 14129.15 6923.28 percent of total billed charges 14129.15 other OPPS APC 10455.57 percent of total billed charges 14129.15 other OPPS APC 14129.15 other OPPS APC 6923.28 percent of total billed charges 7205.87 percent of total billed charges 14129.15 other OPPS APC 6923.28 14129.15 HC Rad Therapy Pancreatic Cancer Rad Onc Model 90 Day Episode Tc PX-333M10990 CDM 333 RC inpatient 14129.15 14129.15 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD7 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 7 FR INTRODUCER SHEATH 5.6-6.5 MM VESSEL SUP-VBJR072502A CDM 270 RC outpatient 14118 14118 3824.57 percent of total billed charges 14118 other OPPS APC 10447.32 percent of total billed charges 14118 other OPPS APC 14118 other OPPS APC 3824.57 percent of total billed charges 3900.8 percent of total billed charges 14118 other OPPS APC 3824.57 14118 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD7 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 7 FR INTRODUCER SHEATH 5.6-6.5 MM VESSEL SUP-VBJR072502A CDM 270 RC inpatient 14118 14118 HC Rad Therapy Cervical Cancer Rad Onc Model 90 Day Episode Tc PX-333M10830 CDM 333 RC outpatient 14094.75 1494.75 6906.43 percent of total billed charges 14094.75 other OPPS APC 10430.12 percent of total billed charges 14094.75 other OPPS APC 14094.75 other OPPS APC 6906.43 percent of total billed charges 7188.32 percent of total billed charges 1494.75 other OPPS APC 1494.75 14094.75 HC Rad Therapy Cervical Cancer Rad Onc Model 90 Day Episode Tc PX-333M10830 CDM 333 RC inpatient 14094.75 14094.75 DEFIBRILLATOR CARDIAC ENTRANT 2 CHAMBER IS-1 DF4 CONNECTOR SUP-CDDRA300Q CDM 275 RC outpatient 14075 1475 6896.75 percent of total billed charges 14075 other OPPS APC 8022.75 percent of total billed charges 14075 other OPPS APC 14075 other OPPS APC 6896.75 percent of total billed charges 7178.25 percent of total billed charges 1475 other OPPS APC 1475 14075 DEFIBRILLATOR CARDIAC ENTRANT 2 CHAMBER IS-1 DF4 CONNECTOR SUP-CDDRA300Q CDM 275 RC inpatient 14075 14075 HC Rad Therapy Bladder Cancer Rad Onc Model 90 Day Episode Tc PX-333M10750 CDM 333 RC outpatient 14069.06 1469.6 6893.84 percent of total billed charges 14069.06 other OPPS APC 10411.1 percent of total billed charges 14069.06 other OPPS APC 14069.06 other OPPS APC 6893.84 percent of total billed charges 7175.22 percent of total billed charges 1469.6 other OPPS APC 1469.6 14069.06 HC Rad Therapy Bladder Cancer Rad Onc Model 90 Day Episode Tc PX-333M10750 CDM 333 RC inpatient 14069.06 14069.06 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L61-70 CM OD3 MM CRYOPRESERVED SUP-CV61-70 CDM 270 RC outpatient 14065.38 1465.38 3810.31 percent of total billed charges 14065.38 other OPPS APC 10408.38 percent of total billed charges 14065.38 other OPPS APC 14065.38 other OPPS APC 3810.31 percent of total billed charges 3886.26 percent of total billed charges 1465.38 other OPPS APC 1465.38 14065.38 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L61-70 CM OD3 MM CRYOPRESERVED SUP-CV61-70 CDM 270 RC inpatient 14065.38 14065.38 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 20MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0020A CDM 275 RC outpatient 14050 145 6884.5 percent of total billed charges 14050 other OPPS APC 8008.5 percent of total billed charges 14050 other OPPS APC 14050 other OPPS APC 6884.5 percent of total billed charges 7165.5 percent of total billed charges 145 other OPPS APC 145 14050 OCCLUDER CARDIOVASCULAR GORE EPTFE OD 20MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE SUP-GSX0020A CDM 275 RC inpatient 14050 14050 ICD DDBB1D1 Evera XT MRI Device _39246_ SUP-DDBB1D1 CDM 275 RC outpatient 14000 14 6860 percent of total billed charges 14000 other OPPS APC 7980 percent of total billed charges 14000 other OPPS APC 14000 other OPPS APC 6860 percent of total billed charges 7140 percent of total billed charges 14 other OPPS APC 14 14000 ICD DDBB1D1 Evera XT MRI Device _39246_ SUP-DDBB1D1 CDM 275 RC inpatient 14000 14000 DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN SUP-DDBB1D4 CDM 275 RC outpatient 14000 14 6860 percent of total billed charges 14000 other OPPS APC 7980 percent of total billed charges 14000 other OPPS APC 14000 other OPPS APC 6860 percent of total billed charges 7140 percent of total billed charges 14 other OPPS APC 14 14000 DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN SUP-DDBB1D4 CDM 275 RC inpatient 14000 14000 CAP PRICING REVERSE SHOULDER EXACTECH SUP-REVSHOULDER-EXACTECH CDM 270010030 LOCAL 270 RC outpatient 14000 14 3792.6 percent of total billed charges 14000 other OPPS APC 10360 percent of total billed charges 14000 other OPPS APC 14000 other OPPS APC 3792.6 percent of total billed charges 3868.2 percent of total billed charges 14 other OPPS APC 14 14000 CAP PRICING REVERSE SHOULDER EXACTECH SUP-REVSHOULDER-EXACTECH CDM 270010030 LOCAL 270 RC inpatient 14000 14000 TOTAL HIP SUP-97-00406 CDM 278 RC outpatient 13900 139 13900 fee schedule 13900 other OPPS APC 7923 percent of total billed charges 13900 other OPPS APC 13900 other OPPS APC 6811 percent of total billed charges 7089 percent of total billed charges 139 other OPPS APC 139 13900 TOTAL HIP SUP-97-00406 CDM 278 RC inpatient 13900 13900 FEMUR ATTUNE CRS RIGHT SIZE 8 CEMENTED SUP-1504-40-208 CDM 270010024 LOCAL 270 RC outpatient 13899 13899 3765.24 percent of total billed charges 13899 other OPPS APC 10285.26 percent of total billed charges 13899 other OPPS APC 13899 other OPPS APC 3765.24 percent of total billed charges 3840.29 percent of total billed charges 13899 other OPPS APC 3765.24 13899 FEMUR ATTUNE CRS RIGHT SIZE 8 CEMENTED SUP-1504-40-208 CDM 270010024 LOCAL 270 RC inpatient 13899 13899 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-26-108 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-26-108 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD30 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-30-108 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD30 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-30-108 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD32 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-32-108 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD32 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-1-32-108 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM L37-71 MM OD32-12 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY CONVERTER SUP-AX1-1-32-108ZT CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM L37-71 MM OD32-12 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY CONVERTER SUP-AX1-1-32-108ZT CDM 270010015 LOCAL 270 RC inpatient 13820 13820 IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER SUP-AX1-1-36-108 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER SUP-AX1-1-36-108 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-2-26-113 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM SUP-AX1-2-26-113 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU AAA L127 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM SUP-AX1-2-36-127 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU AAA L127 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM SUP-AX1-2-36-127 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU L127 MM OD36-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-AX1-2-36-127-ZT CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L127 MM OD36-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-AX1-2-36-127-ZT CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD24 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-G55361 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD24 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-G55361 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD28 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-G55374 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD28 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER SUP-G55374 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L113 MM L59-54 MM OD30-12 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER INTRODUCTION SYSTEM INTRODUCER SHEATH STERILE AAA SUP-G55382 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L113 MM L59-54 MM OD30-12 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER INTRODUCTION SYSTEM INTRODUCER SHEATH STERILE AAA SUP-G55382 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD32-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER #AX1-2-32-113ZT SUP-G55388 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD32-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER #AX1-2-32-113ZT SUP-G55388 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 GRAFT ENDOVASCULAR Z-TRAK ZENITH RENU POLYESTER WOVEN L113 MM L54-59 MM OD12-28 MM ANCILLARY CONVERTER STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA SUP-G55394 CDM 270010015 LOCAL 270 RC outpatient 13820 1382 3743.84 percent of total billed charges 13820 other OPPS APC 10226.8 percent of total billed charges 13820 other OPPS APC 13820 other OPPS APC 3743.84 percent of total billed charges 3818.47 percent of total billed charges 1382 other OPPS APC 1382 13820 GRAFT ENDOVASCULAR Z-TRAK ZENITH RENU POLYESTER WOVEN L113 MM L54-59 MM OD12-28 MM ANCILLARY CONVERTER STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA SUP-G55394 CDM 270010015 LOCAL 270 RC inpatient 13820 13820 SURGIMEND PRS SUP-606-007-001 CDM 270 RC outpatient 13800 138 3738.42 percent of total billed charges 13800 other OPPS APC 10212 percent of total billed charges 13800 other OPPS APC 13800 other OPPS APC 3738.42 percent of total billed charges 3812.94 percent of total billed charges 138 other OPPS APC 138 13800 SURGIMEND PRS SUP-606-007-001 CDM 270 RC inpatient 13800 13800 SURGIMEND PRS SUP-97-02728 CDM 278 RC outpatient 13800 138 6762 percent of total billed charges 13800 other OPPS APC 7866 percent of total billed charges 13800 other OPPS APC 13800 other OPPS APC 6762 percent of total billed charges 7038 percent of total billed charges 138 other OPPS APC 138 13800 SURGIMEND PRS SUP-97-02728 CDM 278 RC inpatient 13800 13800 DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE SUP-ET309522 CDM 270 RC outpatient 13800 138 3738.42 percent of total billed charges 13800 other OPPS APC 10212 percent of total billed charges 13800 other OPPS APC 13800 other OPPS APC 3738.42 percent of total billed charges 3812.94 percent of total billed charges 138 other OPPS APC 138 13800 DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE SUP-ET309522 CDM 270 RC inpatient 13800 13800 DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE SUP-ET309537 CDM 270 RC outpatient 13800 138 3738.42 percent of total billed charges 13800 other OPPS APC 10212 percent of total billed charges 13800 other OPPS APC 13800 other OPPS APC 3738.42 percent of total billed charges 3812.94 percent of total billed charges 138 other OPPS APC 138 13800 DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE SUP-ET309537 CDM 270 RC inpatient 13800 13800 PACEMAKER - AICD - DUAL ELLIPSE ICD GENERATOR SUP-99-04703 CDM inpatient 13790 13790 PACEMAKER - AICD - DUAL ELLIPSE ICD GENERATOR SUP-99-04703 CDM outpatient 13790 1379 13790 percent of total billed charges 13790 other OPPS APC 13790 fee schedule 13790 other OPPS APC 13790 other OPPS APC 13790 case rate 13790 case rate 1379 other OPPS APC 1379 13790 DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 2 CHAMBER CARDIOVERTER SUP-CD2357-40C CDM 275 RC outpatient 13790 1379 6757.1 percent of total billed charges 13790 other OPPS APC 7860.3 percent of total billed charges 13790 other OPPS APC 13790 other OPPS APC 6757.1 percent of total billed charges 7032.9 percent of total billed charges 1379 other OPPS APC 1379 13790 DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 2 CHAMBER CARDIOVERTER SUP-CD2357-40C CDM 275 RC inpatient 13790 13790 DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 40 J 2 CHAMBER CARDIOVERTER SSJ4 CONNECTOR SUP-CD2357-40Q CDM 275 RC outpatient 13790 1379 6757.1 percent of total billed charges 13790 other OPPS APC 7860.3 percent of total billed charges 13790 other OPPS APC 13790 other OPPS APC 6757.1 percent of total billed charges 7032.9 percent of total billed charges 1379 other OPPS APC 1379 13790 DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 40 J 2 CHAMBER CARDIOVERTER SSJ4 CONNECTOR SUP-CD2357-40Q CDM 275 RC inpatient 13790 13790 ICD NG ELLIPSE DR SUP-CD2411-36C CDM 275 RC outpatient 13790 1379 6757.1 percent of total billed charges 13790 other OPPS APC 7860.3 percent of total billed charges 13790 other OPPS APC 13790 other OPPS APC 6757.1 percent of total billed charges 7032.9 percent of total billed charges 1379 other OPPS APC 1379 13790 ICD NG ELLIPSE DR SUP-CD2411-36C CDM 275 RC inpatient 13790 13790 DEFIBRILLATOR CARDIAC MRI ELLIPSE DR DF-4 CONNECTOR DUAL CHAMBER SUP-CD2411-36Q CDM 275 RC outpatient 13790 1379 6757.1 percent of total billed charges 13790 other OPPS APC 7860.3 percent of total billed charges 13790 other OPPS APC 13790 other OPPS APC 6757.1 percent of total billed charges 7032.9 percent of total billed charges 1379 other OPPS APC 1379 13790 DEFIBRILLATOR CARDIAC MRI ELLIPSE DR DF-4 CONNECTOR DUAL CHAMBER SUP-CD2411-36Q CDM 275 RC inpatient 13790 13790 SYSTEM PACING MICRA TRANSCATHETER SUP-MICRATCPSYSTEM CDM 275 RC outpatient 13750 1375 6737.5 percent of total billed charges 13750 other OPPS APC 7837.5 percent of total billed charges 13750 other OPPS APC 13750 other OPPS APC 6737.5 percent of total billed charges 7012.5 percent of total billed charges 1375 other OPPS APC 1375 13750 SYSTEM PACING MICRA TRANSCATHETER SUP-MICRATCPSYSTEM CDM 275 RC inpatient 13750 13750 ICD DVAB1D1 VISIA AF VR DEVICE _44981_ SUP-DVAB1D1 CDM 275 RC outpatient 13705 1375 6715.45 percent of total billed charges 13705 other OPPS APC 7811.85 percent of total billed charges 13705 other OPPS APC 13705 other OPPS APC 6715.45 percent of total billed charges 6989.55 percent of total billed charges 1375 other OPPS APC 1375 13705 ICD DVAB1D1 VISIA AF VR DEVICE _44981_ SUP-DVAB1D1 CDM 275 RC inpatient 13705 13705 SLING SUBURETHRAL ADVANCE POLYPROPYLENE MALE KIT SUP-720088-01 CDM 270 RC outpatient 13700 137 3711.33 percent of total billed charges 13700 other OPPS APC 10138 percent of total billed charges 13700 other OPPS APC 13700 other OPPS APC 3711.33 percent of total billed charges 3785.31 percent of total billed charges 137 other OPPS APC 137 13700 SLING SUBURETHRAL ADVANCE POLYPROPYLENE MALE KIT SUP-720088-01 CDM 270 RC inpatient 13700 13700 STENT VASCULAR SOLITAIRE PARAMETRIC 10 MM SPACE 3-1 L50 MM L40 MM OD4 MM RADIOPAQUE REVASCULARIZATION OVERLAP DIFFERENTIATE RADIAL OUTWARD FORCE 2-4 MM VESSEL .021-.027 IN MICROCATHETER SUP-SFR4-4-40-10 CDM 270 RC outpatient 13700 137 3711.33 percent of total billed charges 13700 other OPPS APC 10138 percent of total billed charges 13700 other OPPS APC 13700 other OPPS APC 3711.33 percent of total billed charges 3785.31 percent of total billed charges 137 other OPPS APC 137 13700 STENT VASCULAR SOLITAIRE PARAMETRIC 10 MM SPACE 3-1 L50 MM L40 MM OD4 MM RADIOPAQUE REVASCULARIZATION OVERLAP DIFFERENTIATE RADIAL OUTWARD FORCE 2-4 MM VESSEL .021-.027 IN MICROCATHETER SUP-SFR4-4-40-10 CDM 270 RC inpatient 13700 13700 DEVICE THROMBECTOMY SOLITAIRE X L200 CM L40 CM OD6 MM ID.021-.027 IN REVASCULARIZATION RADIOPAQUE STERILE ACCEPTS 2-5.5 MM VESSEL .021-.027 MM MICROCATHETER SUP-SFR4-6-40-10 CDM 270 RC outpatient 13700 137 3711.33 percent of total billed charges 13700 other OPPS APC 10138 percent of total billed charges 13700 other OPPS APC 13700 other OPPS APC 3711.33 percent of total billed charges 3785.31 percent of total billed charges 137 other OPPS APC 137 13700 DEVICE THROMBECTOMY SOLITAIRE X L200 CM L40 CM OD6 MM ID.021-.027 IN REVASCULARIZATION RADIOPAQUE STERILE ACCEPTS 2-5.5 MM VESSEL .021-.027 MM MICROCATHETER SUP-SFR4-6-40-10 CDM 270 RC inpatient 13700 13700 PACEMAKER CARDIAC INVIVE IS1 LV1 CONNECTOR CARDIAC RESYNCHRONIZATION THERAPY SUP-V172/73 CDM 270 RC outpatient 13648 13648 3697.24 percent of total billed charges 13648 other OPPS APC 10099.52 percent of total billed charges 13648 other OPPS APC 13648 other OPPS APC 3697.24 percent of total billed charges 3770.94 percent of total billed charges 13648 other OPPS APC 3697.24 13648 PACEMAKER CARDIAC INVIVE IS1 LV1 CONNECTOR CARDIAC RESYNCHRONIZATION THERAPY SUP-V172/73 CDM 270 RC inpatient 13648 13648 ZIMMER TOTAL KNEE PERSONA CEM SUP-97-00245 CDM 272 RC outpatient 13600 136 3684.24 percent of total billed charges 13600 other OPPS APC 10064 percent of total billed charges 13600 other OPPS APC 13600 other OPPS APC 3684.24 percent of total billed charges 3757.68 percent of total billed charges 136 other OPPS APC 136 13600 ZIMMER TOTAL KNEE PERSONA CEM SUP-97-00245 CDM 272 RC inpatient 13600 13600 PACEMAKER - AICD - SINGLE ELLIPSE ICD GENERATOR SUP-99-04553 CDM inpatient 13600 13600 PACEMAKER - AICD - SINGLE ELLIPSE ICD GENERATOR SUP-99-04553 CDM outpatient 13600 136 13600 percent of total billed charges 13600 other OPPS APC 13600 fee schedule 13600 other OPPS APC 13600 other OPPS APC 13600 case rate 13600 case rate 136 other OPPS APC 136 13600 ICD NG ASSURA VR SUP-CD1357-40C CDM 275 RC outpatient 13600 136 6664 percent of total billed charges 13600 other OPPS APC 7752 percent of total billed charges 13600 other OPPS APC 13600 other OPPS APC 6664 percent of total billed charges 6936 percent of total billed charges 136 other OPPS APC 136 13600 ICD NG ASSURA VR SUP-CD1357-40C CDM 275 RC inpatient 13600 13600 DEFIBRILLATOR CARDIAC FORTIFY ASSURA VR THK14 MM 40 J L71 MM X W40 MM 35 CC 75 GM VENTRICLE 1 CHAMBER 2 DF-4 CARDIOVERTER SUP-CD1357-40Q CDM 275 RC outpatient 13600 136 6664 percent of total billed charges 13600 other OPPS APC 7752 percent of total billed charges 13600 other OPPS APC 13600 other OPPS APC 6664 percent of total billed charges 6936 percent of total billed charges 136 other OPPS APC 136 13600 DEFIBRILLATOR CARDIAC FORTIFY ASSURA VR THK14 MM 40 J L71 MM X W40 MM 35 CC 75 GM VENTRICLE 1 CHAMBER 2 DF-4 CARDIOVERTER SUP-CD1357-40Q CDM 275 RC inpatient 13600 13600 DEFIBRILLATOR CARDIAC ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY PARYLENE THK12 MM 36 J ANGLE W51 MM X H68 MM 31 ML 66 GM 1 CHAMBER IS-1 DF-4 CONNECTOR VECTOR SWITCH ALGORITHM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR SUP-CD1411-36C CDM 275 RC outpatient 13600 136 6664 percent of total billed charges 13600 other OPPS APC 7752 percent of total billed charges 13600 other OPPS APC 13600 other OPPS APC 6664 percent of total billed charges 6936 percent of total billed charges 136 other OPPS APC 136 13600 DEFIBRILLATOR CARDIAC ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY PARYLENE THK12 MM 36 J ANGLE W51 MM X H68 MM 31 ML 66 GM 1 CHAMBER IS-1 DF-4 CONNECTOR VECTOR SWITCH ALGORITHM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR SUP-CD1411-36C CDM 275 RC inpatient 13600 13600 DEFIBRILLATOR CARDIAC MRI ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY QHR ANGLE THK12 MM 36 J W51 MM X H66 MM 31 ML 67 GM 1 CHAMBER DF-4 CONNECTOR VECTOR SWITCH ALGORITHM HEADER SUP-CD1411-36Q CDM 275 RC outpatient 13600 136 6664 percent of total billed charges 13600 other OPPS APC 7752 percent of total billed charges 13600 other OPPS APC 13600 other OPPS APC 6664 percent of total billed charges 6936 percent of total billed charges 136 other OPPS APC 136 13600 DEFIBRILLATOR CARDIAC MRI ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY QHR ANGLE THK12 MM 36 J W51 MM X H66 MM 31 ML 67 GM 1 CHAMBER DF-4 CONNECTOR VECTOR SWITCH ALGORITHM HEADER SUP-CD1411-36Q CDM 275 RC inpatient 13600 13600 "OCTREOTIDE,MICROSPHERES 20 MG SUSPENSION,EXTENDED REL RECON" 636000000 CDM 0078-0818-81 NDC J2353 HCPCS inpatient 13577.35 13577.35 "OCTREOTIDE,MICROSPHERES 20 MG SUSPENSION,EXTENDED REL RECON" 636000000 CDM 0078-0818-81 NDC J2353 HCPCS outpatient 13577.35 224.4 224.4 other OPPS APC 224.4 224.4 INFLIXIMAB-ABDA PER 10 MG 636000000 CDM 78206-162-99 NDC Q5104 HCPCS inpatient 13561.05 13561.05 INFLIXIMAB-ABDA PER 10 MG 636000000 CDM 78206-162-99 NDC Q5104 HCPCS outpatient 13561.05 32.58 32.58 other OPPS APC 32.58 32.58 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-015-91 CDM 270010025 LOCAL 270 RC outpatient 13516 13516 3661.48 percent of total billed charges 13516 other OPPS APC 10001.84 percent of total billed charges 13516 other OPPS APC 13516 other OPPS APC 3661.48 percent of total billed charges 3734.47 percent of total billed charges 13516 other OPPS APC 3661.48 13516 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-015-91 CDM 270010025 LOCAL 270 RC inpatient 13516 13516 PACEMAKER VIVA C6TR01 SYSTEM SUP-VIVACRTPMEAM CDM 275 RC outpatient 13508 1358 6618.92 percent of total billed charges 13508 other OPPS APC 7699.56 percent of total billed charges 13508 other OPPS APC 13508 other OPPS APC 6618.92 percent of total billed charges 6889.08 percent of total billed charges 1358 other OPPS APC 1358 13508 PACEMAKER VIVA C6TR01 SYSTEM SUP-VIVACRTPMEAM CDM 275 RC inpatient 13508 13508 PACEMAKER VIVA C6TR01 SYSTEM W STARFIX LEAD SUP-VIVACRTPMEPM CDM 275 RC outpatient 13508 1358 6618.92 percent of total billed charges 13508 other OPPS APC 7699.56 percent of total billed charges 13508 other OPPS APC 13508 other OPPS APC 6618.92 percent of total billed charges 6889.08 percent of total billed charges 1358 other OPPS APC 1358 13508 PACEMAKER VIVA C6TR01 SYSTEM W STARFIX LEAD SUP-VIVACRTPMEPM CDM 275 RC inpatient 13508 13508 PACEMAKER- DX ICD ACTICOR DX SUP-99-04350 CDM 275 RC outpatient 13500 135 13500 fee schedule 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 PACEMAKER- DX ICD ACTICOR DX SUP-99-04350 CDM 275 RC inpatient 13500 13500 CRT-P C4TR01 CONSULTA SYSTEM WITH ATTAIN LV LEAD SUP-CONSULTACRTPMEAM CDM 275 RC outpatient 13500 135 6615 percent of total billed charges 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 CRT-P C4TR01 CONSULTA SYSTEM WITH ATTAIN LV LEAD SUP-CONSULTACRTPMEAM CDM 275 RC inpatient 13500 13500 CRT-P C4TR01 CONSULTA SYSTEM W/ STARFIX SUP-CONSULTACRTPMEPM CDM 275 RC outpatient 13500 135 6615 percent of total billed charges 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 CRT-P C4TR01 CONSULTA SYSTEM W/ STARFIX SUP-CONSULTACRTPMEPM CDM 275 RC inpatient 13500 13500 SYSTEM PACEMAKER AVEIR 19.5 F LEADLESS PACEMAKER 38.5 MM RV SUP-LSP112V CDM 270 RC outpatient 13500 135 3657.15 percent of total billed charges 13500 other OPPS APC 9990 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 3657.15 percent of total billed charges 3730.05 percent of total billed charges 135 other OPPS APC 135 13500 SYSTEM PACEMAKER AVEIR 19.5 F LEADLESS PACEMAKER 38.5 MM RV SUP-LSP112V CDM 270 RC inpatient 13500 13500 CRT-P PERCEPTA MRI QUAD SYSTEM SUP-PERCEPTAMRIQDMMQM CDM 275 RC outpatient 13500 135 6615 percent of total billed charges 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 CRT-P PERCEPTA MRI QUAD SYSTEM SUP-PERCEPTAMRIQDMMQM CDM 275 RC inpatient 13500 13500 CRT-P C2TR01 SYNCRA SYSTEM WITH ATTAIN LV LEAD SUP-SYNCRACRIPTMEAM CDM 275 RC outpatient 13500 135 6615 percent of total billed charges 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 CRT-P C2TR01 SYNCRA SYSTEM WITH ATTAIN LV LEAD SUP-SYNCRACRIPTMEAM CDM 275 RC inpatient 13500 13500 CRT-P C2TR01 SYNCRA SYSTEM W/STARFIX LV LEAD SUP-SYNCRACRTPMEPM CDM 275 RC outpatient 13500 135 6615 percent of total billed charges 13500 other OPPS APC 7695 percent of total billed charges 13500 other OPPS APC 13500 other OPPS APC 6615 percent of total billed charges 6885 percent of total billed charges 135 other OPPS APC 135 13500 CRT-P C2TR01 SYNCRA SYSTEM W/STARFIX LV LEAD SUP-SYNCRACRTPMEPM CDM 275 RC inpatient 13500 13500 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD8 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.6-7.5 MM VESSEL SUP-VBJR082502 CDM 270 RC outpatient 13440 1344 3640.9 percent of total billed charges 13440 other OPPS APC 9945.6 percent of total billed charges 13440 other OPPS APC 13440 other OPPS APC 3640.9 percent of total billed charges 3713.47 percent of total billed charges 1344 other OPPS APC 1344 13440 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD8 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.6-7.5 MM VESSEL SUP-VBJR082502 CDM 270 RC inpatient 13440 13440 RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS 636000000 CDM 76125-150-02 NDC 90377 HCPCS inpatient 13421.1 13421.1 RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS 636000000 CDM 76125-150-02 NDC 90377 HCPCS outpatient 13421.1 13421.1 other OPPS APC VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD23 MM ID26 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-023 CDM 270 RC outpatient 13392.8 13392.8 3628.11 percent of total billed charges 13392.8 other OPPS APC 9910.67 percent of total billed charges 13392.8 other OPPS APC 13392.8 other OPPS APC 3628.11 percent of total billed charges 3700.43 percent of total billed charges 13392.8 other OPPS APC 3628.11 13392.8 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD23 MM ID26 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-023 CDM 270 RC inpatient 13392.8 13392.8 PACEMAKER- ELLIPSE DR SUP-99-04833 CDM inpatient 13340 13340 PACEMAKER- ELLIPSE DR SUP-99-04833 CDM outpatient 13340 1334 13340 percent of total billed charges 13340 other OPPS APC 13340 fee schedule 13340 other OPPS APC 13340 other OPPS APC 13340 case rate 13340 case rate 1334 other OPPS APC 1334 13340 HC IR Iliac Artery Initial Pta Stent PX-361372211 CDM 37221 CPT 361 RC outpatient 13139 1118.26 4149.3 percent of total billed charges 11180.26 other OPPS APC 8653 fee schedule 11180.26 other OPPS APC 11180.26 other OPPS APC 4149.3 percent of total billed charges 4232.07 percent of total billed charges 1118.26 other OPPS APC 1118.26 11180.26 HC IR Iliac Artery Initial Pta Stent PX-361372211 CDM 37221 CPT 361 RC inpatient 13139 13139 HC IR Fem/Pop Art Initial Pta Ather PX-361372251 CDM 37225 CPT 361 RC outpatient 13139 13139 4149.3 percent of total billed charges 13139 other OPPS APC 13139 fee schedule 13139 other OPPS APC 13139 other OPPS APC 4149.3 percent of total billed charges 4232.07 percent of total billed charges 13139 other OPPS APC 4149.3 13139 HC IR Fem/Pop Art Initial Pta Ather PX-361372251 CDM 37225 CPT 361 RC inpatient 13139 13139 HC IR Fem/Pop Art Initial Pta Stent PX-361372261 CDM 37226 CPT 361 RC outpatient 13139 1118.26 4149.3 percent of total billed charges 11180.26 other OPPS APC 6702 fee schedule 11180.26 other OPPS APC 11180.26 other OPPS APC 4149.3 percent of total billed charges 4232.07 percent of total billed charges 1118.26 other OPPS APC 1118.26 11180.26 HC IR Fem/Pop Art Initial Pta Stent PX-361372261 CDM 37226 CPT 361 RC inpatient 13139 13139 HC IR Tib/per Add'l Pta Stent PX-361372331 CDM 37233 CPT 361 RC inpatient 13139 13139 HC IR Tib/per Add'l Pta Stent PX-361372331 CDM 37233 CPT 361 RC outpatient 13139 13139 4149.3 percent of total billed charges other OPPS APC 612 fee schedule other OPPS APC other OPPS APC 4149.3 percent of total billed charges 4232.07 percent of total billed charges other OPPS APC 4232.07 4232.07 GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT 2 BRANCH CYLINDER 116MM 64-52MM 12-36MM 22FR SS POLYESTER INFRARENAL SUP-G43370 CDM 270010015 LOCAL 270 RC outpatient 13028 1328 3529.29 percent of total billed charges 13028 other OPPS APC 9640.72 percent of total billed charges 13028 other OPPS APC 13028 other OPPS APC 3529.29 percent of total billed charges 3599.64 percent of total billed charges 1328 other OPPS APC 1328 13028 GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT 2 BRANCH CYLINDER 116MM 64-52MM 12-36MM 22FR SS POLYESTER INFRARENAL SUP-G43370 CDM 270010015 LOCAL 270 RC inpatient 13028 13028 GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L108 MM L71-37 MM OD28-12 MM ID20 FR ABDOMINAL AORTIC ANEURYSM CONVERTER H&L-B ONE-SHOT INTRODUCTION SYSTEM ANCILLARY AAA SUP-G55374 CDM 270010015 LOCAL 270 RC outpatient 13028 1328 3529.29 percent of total billed charges 13028 other OPPS APC 9640.72 percent of total billed charges 13028 other OPPS APC 13028 other OPPS APC 3529.29 percent of total billed charges 3599.64 percent of total billed charges 1328 other OPPS APC 1328 13028 GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L108 MM L71-37 MM OD28-12 MM ID20 FR ABDOMINAL AORTIC ANEURYSM CONVERTER H&L-B ONE-SHOT INTRODUCTION SYSTEM ANCILLARY AAA SUP-G55374 CDM 270010015 LOCAL 270 RC inpatient 13028 13028 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD21 MM ID24 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-021 CDM 270 RC outpatient 13002 132 3522.24 percent of total billed charges 13002 other OPPS APC 9621.48 percent of total billed charges 13002 other OPPS APC 13002 other OPPS APC 3522.24 percent of total billed charges 3592.45 percent of total billed charges 132 other OPPS APC 132 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD21 MM ID24 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-021 CDM 270 RC inpatient 13002 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD25 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-025 CDM 270 RC outpatient 13002 132 3522.24 percent of total billed charges 13002 other OPPS APC 9621.48 percent of total billed charges 13002 other OPPS APC 13002 other OPPS APC 3522.24 percent of total billed charges 3592.45 percent of total billed charges 132 other OPPS APC 132 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD25 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-025 CDM 270 RC inpatient 13002 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD27 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-027 CDM 270 RC outpatient 13002 132 3522.24 percent of total billed charges 13002 other OPPS APC 9621.48 percent of total billed charges 13002 other OPPS APC 13002 other OPPS APC 3522.24 percent of total billed charges 3592.45 percent of total billed charges 132 other OPPS APC 132 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD27 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-027 CDM 270 RC inpatient 13002 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD29 MM ID32 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-029 CDM 270 RC outpatient 13002 132 3522.24 percent of total billed charges 13002 other OPPS APC 9621.48 percent of total billed charges 13002 other OPPS APC 13002 other OPPS APC 3522.24 percent of total billed charges 3592.45 percent of total billed charges 132 other OPPS APC 132 13002 VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD29 MM ID32 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER SUP-CP-029 CDM 270 RC inpatient 13002 13002 GRAFT FRESH FROZEN TALUS SUP-32647002 CDM 270010031 LOCAL 270 RC outpatient 13000 13 3521.7 percent of total billed charges 13000 other OPPS APC 9620 percent of total billed charges 13000 other OPPS APC 13000 other OPPS APC 3521.7 percent of total billed charges 3591.9 percent of total billed charges 13 other OPPS APC 13 13000 GRAFT FRESH FROZEN TALUS SUP-32647002 CDM 270010031 LOCAL 270 RC inpatient 13000 13000 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD31 MM HEART BIOPROSTHESIS EASE SUP-7300TFX31 CDM 270 RC outpatient 13000 13 3521.7 percent of total billed charges 13000 other OPPS APC 9620 percent of total billed charges 13000 other OPPS APC 13000 other OPPS APC 3521.7 percent of total billed charges 3591.9 percent of total billed charges 13 other OPPS APC 13 13000 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD31 MM HEART BIOPROSTHESIS EASE SUP-7300TFX31 CDM 270 RC inpatient 13000 13000 PACEMAKER- SINGLE ICD RIVACOR VR-T SUP-99-04351 CDM inpatient 13000 13000 PACEMAKER- SINGLE ICD RIVACOR VR-T SUP-99-04351 CDM outpatient 13000 13 13000 percent of total billed charges 13000 other OPPS APC 13000 fee schedule 13000 other OPPS APC 13000 other OPPS APC 13000 case rate 13000 case rate 13 other OPPS APC 13 13000 PACEMAKER ENPULSE E2DR01 SUP-E2DR01 CDM 270 RC outpatient 13000 13 3521.7 percent of total billed charges 13000 other OPPS APC 9620 percent of total billed charges 13000 other OPPS APC 13000 other OPPS APC 3521.7 percent of total billed charges 3591.9 percent of total billed charges 13 other OPPS APC 13 13000 PACEMAKER ENPULSE E2DR01 SUP-E2DR01 CDM 270 RC inpatient 13000 13000 SAPHENOUS VEIN GRAFT 45-60CM SUP-CV45-60 CDM 270 RC outpatient 12966.24 12966.24 3512.55 percent of total billed charges 12966.24 other OPPS APC 9595.02 percent of total billed charges 12966.24 other OPPS APC 12966.24 other OPPS APC 3512.55 percent of total billed charges 3582.57 percent of total billed charges 12966.24 other OPPS APC 3512.55 12966.24 SAPHENOUS VEIN GRAFT 45-60CM SUP-CV45-60 CDM 270 RC inpatient 12966.24 12966.24 MESH SURGICAL OVITEX 1S 20CM X 20CM PERMANENT POLYPROPYLENE POLYMER 6-LAYER TRIMMABLE REINFORCED BIOSCAFFOLD INTRAPERITONEAL FLAT SHEET F/HERNIA REPAIR SUP-F10246-2020P CDM 270 RC outpatient 12960 1296 3510.86 percent of total billed charges 12960 other OPPS APC 9590.4 percent of total billed charges 12960 other OPPS APC 12960 other OPPS APC 3510.86 percent of total billed charges 3580.85 percent of total billed charges 1296 other OPPS APC 1296 12960 MESH SURGICAL OVITEX 1S 20CM X 20CM PERMANENT POLYPROPYLENE POLYMER 6-LAYER TRIMMABLE REINFORCED BIOSCAFFOLD INTRAPERITONEAL FLAT SHEET F/HERNIA REPAIR SUP-F10246-2020P CDM 270 RC inpatient 12960 12960 PACEMAKER - BIVENT - PRECEPTA - W4TR01 SUP-99-04156 CDM 275 RC outpatient 12920 1292 12920 fee schedule 12920 other OPPS APC 7364.4 percent of total billed charges 12920 other OPPS APC 12920 other OPPS APC 6330.8 percent of total billed charges 6589.2 percent of total billed charges 1292 other OPPS APC 1292 12920 PACEMAKER - BIVENT - PRECEPTA - W4TR01 SUP-99-04156 CDM 275 RC inpatient 12920 12920 HC Thorascopy Diagnostic PX-361326010 CDM 32601 CPT 361 RC outpatient 12919.22 12919.22 4079.89 percent of total billed charges 12919.22 other OPPS APC 12919.22 fee schedule 12919.22 other OPPS APC 12919.22 other OPPS APC 4079.89 percent of total billed charges 4161.28 percent of total billed charges 12919.22 other OPPS APC 4079.89 12919.22 HC Thorascopy Diagnostic PX-361326010 CDM 32601 CPT 361 RC inpatient 12919.22 12919.22 HC Thorascopy W/Bx Med Space PX-361326060 CDM 32606 CPT 361 RC outpatient 12919.22 12919.22 4079.89 percent of total billed charges 12919.22 other OPPS APC 12919.22 fee schedule 12919.22 other OPPS APC 12919.22 other OPPS APC 4079.89 percent of total billed charges 4161.28 percent of total billed charges 12919.22 other OPPS APC 4079.89 12919.22 HC Thorascopy W/Bx Med Space PX-361326060 CDM 32606 CPT 361 RC inpatient 12919.22 12919.22 HC Thorascopy W/Bx Infiltrate PX-361326070 CDM 32607 CPT 361 RC outpatient 12919.22 12919.22 4079.89 percent of total billed charges 12919.22 other OPPS APC 12919.22 fee schedule 12919.22 other OPPS APC 12919.22 other OPPS APC 4079.89 percent of total billed charges 4161.28 percent of total billed charges 12919.22 other OPPS APC 4079.89 12919.22 HC Thorascopy W/Bx Infiltrate PX-361326070 CDM 32607 CPT 361 RC inpatient 12919.22 12919.22 HC Thorascopy W/Bx Nodule PX-361326080 CDM 32608 CPT 361 RC outpatient 12919.22 12919.22 4079.89 percent of total billed charges 12919.22 other OPPS APC 12919.22 fee schedule 12919.22 other OPPS APC 12919.22 other OPPS APC 4079.89 percent of total billed charges 4161.28 percent of total billed charges 12919.22 other OPPS APC 4079.89 12919.22 HC Thorascopy W/Bx Nodule PX-361326080 CDM 32608 CPT 361 RC inpatient 12919.22 12919.22 HC Thorascopy W/Bx Pleura PX-361326090 CDM 32609 CPT 361 RC outpatient 12919.22 12919.22 4079.89 percent of total billed charges 12919.22 other OPPS APC 12919.22 fee schedule 12919.22 other OPPS APC 12919.22 other OPPS APC 4079.89 percent of total billed charges 4161.28 percent of total billed charges 12919.22 other OPPS APC 4079.89 12919.22 HC Thorascopy W/Bx Pleura PX-361326090 CDM 32609 CPT 361 RC inpatient 12919.22 12919.22 ARCOS CON SZ A STD 50MM SUP-97-04026 CDM 278 RC outpatient 12880 1288 12880 fee schedule 12880 other OPPS APC 7341.6 percent of total billed charges 12880 other OPPS APC 12880 other OPPS APC 6311.2 percent of total billed charges 6568.8 percent of total billed charges 1288 other OPPS APC 1288 12880 ARCOS CON SZ A STD 50MM SUP-97-04026 CDM 278 RC inpatient 12880 12880 STD RT DIST FEM 65MM GMRS SUP-97-03372 CDM 278 RC outpatient 12830.4 1283.4 12830.4 fee schedule 12830.4 other OPPS APC 7313.33 percent of total billed charges 12830.4 other OPPS APC 12830.4 other OPPS APC 6286.9 percent of total billed charges 6543.5 percent of total billed charges 1283.4 other OPPS APC 1283.4 12830.4 STD RT DIST FEM 65MM GMRS SUP-97-03372 CDM 278 RC inpatient 12830.4 12830.4 PACEMAKER ALLURE QUAD BIV SYSTEM SUP-PM3242-SYS CDM 275 RC outpatient 12810 1281 6276.9 percent of total billed charges 12810 other OPPS APC 7301.7 percent of total billed charges 12810 other OPPS APC 12810 other OPPS APC 6276.9 percent of total billed charges 6533.1 percent of total billed charges 1281 other OPPS APC 1281 12810 PACEMAKER ALLURE QUAD BIV SYSTEM SUP-PM3242-SYS CDM 275 RC inpatient 12810 12810 PACEMAKER QUADRA ALLURE MP RF CRT-P SYSTEM SUP-PM3262SYSTEM CDM 275 RC outpatient 12810 1281 6276.9 percent of total billed charges 12810 other OPPS APC 7301.7 percent of total billed charges 12810 other OPPS APC 12810 other OPPS APC 6276.9 percent of total billed charges 6533.1 percent of total billed charges 1281 other OPPS APC 1281 12810 PACEMAKER QUADRA ALLURE MP RF CRT-P SYSTEM SUP-PM3262SYSTEM CDM 275 RC inpatient 12810 12810 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-10 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C156E CDM 270010015 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-10 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C156E CDM 270010015 LOCAL 270 RC inpatient 12800 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-13 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C156E CDM 270010015 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-13 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C156E CDM 270010015 LOCAL 270 RC inpatient 12800 12800 GRAFT ENDURANT 11 STENT GRAFT LIMB SUP-ETLW1616C146E CDM 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT ENDURANT 11 STENT GRAFT LIMB SUP-ETLW1616C146E CDM 270 RC inpatient 12800 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-16 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C156E CDM 270010015 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-16 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C156E CDM 270010015 LOCAL 270 RC inpatient 12800 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C156E CDM 270010015 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C156E CDM 270010015 LOCAL 270 RC inpatient 12800 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C156E CDM 270010015 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C156E CDM 270010015 LOCAL 270 RC inpatient 12800 12800 FUSION LUMBAR LEVEL 2 SUP-LUMBARL2 CDM 270010006 LOCAL 270 RC outpatient 12800 128 3467.52 percent of total billed charges 12800 other OPPS APC 9472 percent of total billed charges 12800 other OPPS APC 12800 other OPPS APC 3467.52 percent of total billed charges 3536.64 percent of total billed charges 128 other OPPS APC 128 12800 FUSION LUMBAR LEVEL 2 SUP-LUMBARL2 CDM 270010006 LOCAL 270 RC inpatient 12800 12800 DEFIBRILLATOR CARDIAC ENTRANT 1 CHAMBER DF4 CONNECTOR SUP-CDVRA300Q CDM 275 RC outpatient 12700 127 6223 percent of total billed charges 12700 other OPPS APC 7239 percent of total billed charges 12700 other OPPS APC 12700 other OPPS APC 6223 percent of total billed charges 6477 percent of total billed charges 127 other OPPS APC 127 12700 DEFIBRILLATOR CARDIAC ENTRANT 1 CHAMBER DF4 CONNECTOR SUP-CDVRA300Q CDM 275 RC inpatient 12700 12700 COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2402L CDM 270010025 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2402L CDM 270010025 LOCAL 270 RC inpatient 12654 12654 COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2402R CDM 270010025 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2402R CDM 270010025 LOCAL 270 RC inpatient 12654 12654 COMPONENT FEMORAL GMK COCR 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2403R CDM 270010025 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2403R CDM 270010025 LOCAL 270 RC inpatient 12654 12654 COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2404L CDM 270010025 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2404L CDM 270010025 LOCAL 270 RC inpatient 12654 12654 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2405L CDM 270010024 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2405L CDM 270010024 LOCAL 270 RC inpatient 12654 12654 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2405R CDM 270010025 LOCAL 270 RC outpatient 12654 12654 3427.97 percent of total billed charges 12654 other OPPS APC 9363.96 percent of total billed charges 12654 other OPPS APC 12654 other OPPS APC 3427.97 percent of total billed charges 3496.3 percent of total billed charges 12654 other OPPS APC 3427.97 12654 COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION SUP-02.07.2405R CDM 270010025 LOCAL 270 RC inpatient 12654 12654 GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEEL POLYESTER WOVEN 2 BRANCH L108 MM L71-37 MM OD12-24 MM ID18 FR ILIUM INFRARENAL ANCILLARY CONVERTER INTRODUCTION SYSTEM AAA SUP-G36153 CDM 270010015 LOCAL 270 RC outpatient 12650 1265 3426.89 percent of total billed charges 12650 other OPPS APC 9361 percent of total billed charges 12650 other OPPS APC 12650 other OPPS APC 3426.89 percent of total billed charges 3495.2 percent of total billed charges 1265 other OPPS APC 1265 12650 GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEEL POLYESTER WOVEN 2 BRANCH L108 MM L71-37 MM OD12-24 MM ID18 FR ILIUM INFRARENAL ANCILLARY CONVERTER INTRODUCTION SYSTEM AAA SUP-G36153 CDM 270010015 LOCAL 270 RC inpatient 12650 12650 HC Rad Therapy Colorectal Cancer Rad Onc Model 90 Day Episode Tc PX-333M10870 CDM 333 RC outpatient 12646.72 12646.72 6196.89 percent of total billed charges 12646.72 other OPPS APC 9358.57 percent of total billed charges 12646.72 other OPPS APC 12646.72 other OPPS APC 6196.89 percent of total billed charges 6449.83 percent of total billed charges 12646.72 other OPPS APC 6196.89 12646.72 HC Rad Therapy Colorectal Cancer Rad Onc Model 90 Day Episode Tc PX-333M10870 CDM 333 RC inpatient 12646.72 12646.72 COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE LEFT ROTATE HINGE STERILE SUP-00588001601 CDM 270010025 LOCAL 270 RC outpatient 12612 12612 3416.59 percent of total billed charges 12612 other OPPS APC 9332.88 percent of total billed charges 12612 other OPPS APC 12612 other OPPS APC 3416.59 percent of total billed charges 3484.7 percent of total billed charges 12612 other OPPS APC 3416.59 12612 COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE LEFT ROTATE HINGE STERILE SUP-00588001601 CDM 270010025 LOCAL 270 RC inpatient 12612 12612 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS TRICENTRIX PERICARDIAL OD27 MM BIOPROSTHESIS STENTED THERMAFIX HOLDER SUP-6900PTFX27MM CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS TRICENTRIX PERICARDIAL OD27 MM BIOPROSTHESIS STENTED THERMAFIX HOLDER SUP-6900PTFX27MM CDM 270 RC inpatient 12600 12600 VALVE AORTIC 27MM SUP-7000TFX27 CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE AORTIC 27MM SUP-7000TFX27 CDM 270 RC inpatient 12600 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD25 MM HEART BIOPROSTHESIS EASE SUP-7300TFX25MM CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD25 MM HEART BIOPROSTHESIS EASE SUP-7300TFX25MM CDM 270 RC inpatient 12600 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD27 MM HEART BIOPROSTHESIS SUP-7300TFX27 CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD27 MM HEART BIOPROSTHESIS SUP-7300TFX27 CDM 270 RC inpatient 12600 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM HEART EASE SUP-7300TFX29 CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM HEART EASE SUP-7300TFX29 CDM 270 RC inpatient 12600 12600 VALVE MITRAL 33MM CARPENTIER-EDWARDS PERIMOUNT MAGNA HEART PERICARDIAL EASE SUP-7300TFX33MM CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE MITRAL 33MM CARPENTIER-EDWARDS PERIMOUNT MAGNA HEART PERICARDIAL EASE SUP-7300TFX33MM CDM 270 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ E-LT SUP-97-01060 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ E-LT SUP-97-01060 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ F-LT SUP-97-02042 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ F-LT SUP-97-02042 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-02201 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-02201 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ E-LT SUP-97-02327 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ E-LT SUP-97-02327 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SIZE D RT SUP-97-02583 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SIZE D RT SUP-97-02583 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ D-LT SUP-97-02627 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ D-LT SUP-97-02627 CDM 278 RC inpatient 12600 12600 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-02643 CDM 278 RC outpatient 12600 126 12600 fee schedule 12600 other OPPS APC 7182 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 6174 percent of total billed charges 6426 percent of total billed charges 126 other OPPS APC 126 12600 NEXGEN LCCK FEMORAL SZ F-RT SUP-97-02643 CDM 278 RC inpatient 12600 12600 VALVE HEART SIZE 33MM SUP-TFX730033 CDM 270 RC outpatient 12600 126 3413.34 percent of total billed charges 12600 other OPPS APC 9324 percent of total billed charges 12600 other OPPS APC 12600 other OPPS APC 3413.34 percent of total billed charges 3481.38 percent of total billed charges 126 other OPPS APC 126 12600 VALVE HEART SIZE 33MM SUP-TFX730033 CDM 270 RC inpatient 12600 12600 HC IR Dial Fistulagram Thrombectomy PX-361369041 CDM 36904 CPT 361 RC outpatient 12576 12576 3971.5 percent of total billed charges 12576 other OPPS APC 12576 fee schedule 12576 other OPPS APC 12576 other OPPS APC 3971.5 percent of total billed charges 4050.73 percent of total billed charges 12576 other OPPS APC 3971.5 12576 HC IR Dial Fistulagram Thrombectomy PX-361369041 CDM 36904 CPT 361 RC inpatient 12576 12576 HC IR Pta Venous Initial PX-361372481 CDM 37248 CPT 361 RC outpatient 12576 5492.96 3971.5 percent of total billed charges 5492.96 other OPPS APC 6702 fee schedule 5492.96 other OPPS APC 5492.96 other OPPS APC 3971.5 percent of total billed charges 4050.73 percent of total billed charges 5492.96 other OPPS APC 3971.5 6702 HC IR Pta Venous Initial PX-361372481 CDM 37248 CPT 361 RC inpatient 12576 12576 HC Irpta Venous Additional PX-361372491 CDM 37249 CPT 361 RC inpatient 12576 12576 HC Irpta Venous Additional PX-361372491 CDM 37249 CPT 361 RC outpatient 12576 12576 3971.5 percent of total billed charges other OPPS APC 612 fee schedule other OPPS APC other OPPS APC 3971.5 percent of total billed charges 4050.73 percent of total billed charges other OPPS APC 4050.73 4050.73 TRI IS FEMUR SZ7 LEFT SUP-97-02924 CDM 278 RC outpatient 12570.8 1257.8 12570.8 fee schedule 12570.8 other OPPS APC 7165.36 percent of total billed charges 12570.8 other OPPS APC 12570.8 other OPPS APC 6159.69 percent of total billed charges 6411.11 percent of total billed charges 1257.8 other OPPS APC 1257.8 12570.8 TRI IS FEMUR SZ7 LEFT SUP-97-02924 CDM 278 RC inpatient 12570.8 12570.8 TRI IS FEMUR SZ6 LEFT SUP-97-03243 CDM 278 RC outpatient 12570.8 1257.8 12570.8 fee schedule 12570.8 other OPPS APC 7165.36 percent of total billed charges 12570.8 other OPPS APC 12570.8 other OPPS APC 6159.69 percent of total billed charges 6411.11 percent of total billed charges 1257.8 other OPPS APC 1257.8 12570.8 TRI IS FEMUR SZ6 LEFT SUP-97-03243 CDM 278 RC inpatient 12570.8 12570.8 TRI IS FEMUR SZ7 RIGHT SUP-97-03250 CDM 278 RC outpatient 12570.8 1257.8 12570.8 fee schedule 12570.8 other OPPS APC 7165.36 percent of total billed charges 12570.8 other OPPS APC 12570.8 other OPPS APC 6159.69 percent of total billed charges 6411.11 percent of total billed charges 1257.8 other OPPS APC 1257.8 12570.8 TRI IS FEMUR SZ7 RIGHT SUP-97-03250 CDM 278 RC inpatient 12570.8 12570.8 TOTAL STABILIZER FEMORAL COMPONENT SUP-97-03800 CDM 278 RC outpatient 12570.8 1257.8 12570.8 fee schedule 12570.8 other OPPS APC 7165.36 percent of total billed charges 12570.8 other OPPS APC 12570.8 other OPPS APC 6159.69 percent of total billed charges 6411.11 percent of total billed charges 1257.8 other OPPS APC 1257.8 12570.8 TOTAL STABILIZER FEMORAL COMPONENT SUP-97-03800 CDM 278 RC inpatient 12570.8 12570.8 TRI TS FEMUR SZ3 LEFT SUP-97-04048 CDM 278 RC outpatient 12570.8 1257.8 12570.8 fee schedule 12570.8 other OPPS APC 7165.36 percent of total billed charges 12570.8 other OPPS APC 12570.8 other OPPS APC 6159.69 percent of total billed charges 6411.11 percent of total billed charges 1257.8 other OPPS APC 1257.8 12570.8 TRI TS FEMUR SZ3 LEFT SUP-97-04048 CDM 278 RC inpatient 12570.8 12570.8 TRI IS FEMUR SZ5 RIGHT SUP-97-04175 CDM 278 RC outpatient 12570.4 1257.4 12570.4 fee schedule 12570.4 other OPPS APC 7165.13 percent of total billed charges 12570.4 other OPPS APC 12570.4 other OPPS APC 6159.5 percent of total billed charges 6410.9 percent of total billed charges 1257.4 other OPPS APC 1257.4 12570.4 TRI IS FEMUR SZ5 RIGHT SUP-97-04175 CDM 278 RC inpatient 12570.4 12570.4 PEGFILGRASTIM-CBQV 6 MG/0.6 ML SYRINGE 636000000 CDM 70114-101-01 NDC Q5111 HCPCS inpatient 12525 12525 PEGFILGRASTIM-CBQV 6 MG/0.6 ML SYRINGE 636000000 CDM 70114-101-01 NDC Q5111 HCPCS outpatient 12525 144.33 144.33 other OPPS APC 144.33 144.33 DEFIBRILLATOR CARDIAC PHYSIOCURVE EVERA XT VR SMARTSHOCK 1 CHAMBER DF-1 ICD SUP-DVBB1D1 CDM 275 RC outpatient 12500 125 6125 percent of total billed charges 12500 other OPPS APC 7125 percent of total billed charges 12500 other OPPS APC 12500 other OPPS APC 6125 percent of total billed charges 6375 percent of total billed charges 125 other OPPS APC 125 12500 DEFIBRILLATOR CARDIAC PHYSIOCURVE EVERA XT VR SMARTSHOCK 1 CHAMBER DF-1 ICD SUP-DVBB1D1 CDM 275 RC inpatient 12500 12500 DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN SUP-DVBB1D4 CDM 275 RC outpatient 12500 125 6125 percent of total billed charges 12500 other OPPS APC 7125 percent of total billed charges 12500 other OPPS APC 12500 other OPPS APC 6125 percent of total billed charges 6375 percent of total billed charges 125 other OPPS APC 125 12500 DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN SUP-DVBB1D4 CDM 275 RC inpatient 12500 12500 ICD EVERA MRI XT VR DEVICE SUP-DVMB1D4 CDM 275 RC outpatient 12500 125 6125 percent of total billed charges 12500 other OPPS APC 7125 percent of total billed charges 12500 other OPPS APC 12500 other OPPS APC 6125 percent of total billed charges 6375 percent of total billed charges 125 other OPPS APC 125 12500 ICD EVERA MRI XT VR DEVICE SUP-DVMB1D4 CDM 275 RC inpatient 12500 12500 HC Rad Therapy Lung Cancer Rad Onc Model 90 Day Episode Tc PX-333M10950 CDM 333 RC outpatient 12477.92 12477.92 6114.18 percent of total billed charges 12477.92 other OPPS APC 9233.66 percent of total billed charges 12477.92 other OPPS APC 12477.92 other OPPS APC 6114.18 percent of total billed charges 6363.74 percent of total billed charges 12477.92 other OPPS APC 6114.18 12477.92 HC Rad Therapy Lung Cancer Rad Onc Model 90 Day Episode Tc PX-333M10950 CDM 333 RC inpatient 12477.92 12477.92 LEAD MODEL 304 PERENNIAL FLEX SUP-304 CDM 270 RC outpatient 12465 12465 3376.77 percent of total billed charges 12465 other OPPS APC 9224.1 percent of total billed charges 12465 other OPPS APC 12465 other OPPS APC 3376.77 percent of total billed charges 3444.08 percent of total billed charges 12465 other OPPS APC 3376.77 12465 LEAD MODEL 304 PERENNIAL FLEX SUP-304 CDM 270 RC inpatient 12465 12465 VALVE SHUNT STRATA II REGULAR CSF PROGRAMMABLE FLOW CONTROL BALL SPRING MECHANISM BIOGLIDE STERILE SUP-42866 CDM 270 RC outpatient 12454.62 12454.62 3373.96 percent of total billed charges 12454.62 other OPPS APC 9216.42 percent of total billed charges 12454.62 other OPPS APC 12454.62 other OPPS APC 3373.96 percent of total billed charges 3441.21 percent of total billed charges 12454.62 other OPPS APC 3373.96 12454.62 VALVE SHUNT STRATA II REGULAR CSF PROGRAMMABLE FLOW CONTROL BALL SPRING MECHANISM BIOGLIDE STERILE SUP-42866 CDM 270 RC inpatient 12454.62 12454.62 ZIMMER TOTAL HIP SUP-97-00288 CDM 278 RC outpatient 12400 124 12400 fee schedule 12400 other OPPS APC 7068 percent of total billed charges 12400 other OPPS APC 12400 other OPPS APC 6076 percent of total billed charges 6324 percent of total billed charges 124 other OPPS APC 124 12400 ZIMMER TOTAL HIP SUP-97-00288 CDM 278 RC inpatient 12400 12400 METALON MARATHON POLY SUP-97-02317 CDM 278 RC outpatient 12400 124 12400 fee schedule 12400 other OPPS APC 7068 percent of total billed charges 12400 other OPPS APC 12400 other OPPS APC 6076 percent of total billed charges 6324 percent of total billed charges 124 other OPPS APC 124 12400 METALON MARATHON POLY SUP-97-02317 CDM 278 RC inpatient 12400 12400 CRT-P VALITUDE X4 SYSTEM SUP-8V4G/J/H CDM 275 RC outpatient 12310 1231 6031.9 percent of total billed charges 12310 other OPPS APC 7016.7 percent of total billed charges 12310 other OPPS APC 12310 other OPPS APC 6031.9 percent of total billed charges 6278.1 percent of total billed charges 1231 other OPPS APC 1231 12310 CRT-P VALITUDE X4 SYSTEM SUP-8V4G/J/H CDM 275 RC inpatient 12310 12310 CRT-P VALITUDE IS-1 SYSTEM SUP-8V5G/J/H CDM 275 RC outpatient 12310 1231 6031.9 percent of total billed charges 12310 other OPPS APC 7016.7 percent of total billed charges 12310 other OPPS APC 12310 other OPPS APC 6031.9 percent of total billed charges 6278.1 percent of total billed charges 1231 other OPPS APC 1231 12310 CRT-P VALITUDE IS-1 SYSTEM SUP-8V5G/J/H CDM 275 RC inpatient 12310 12310 PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1 SUP-PM3222-SYS CDM 275 RC outpatient 12310 1231 6031.9 percent of total billed charges 12310 other OPPS APC 7016.7 percent of total billed charges 12310 other OPPS APC 12310 other OPPS APC 6031.9 percent of total billed charges 6278.1 percent of total billed charges 1231 other OPPS APC 1231 12310 PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1 SUP-PM3222-SYS CDM 275 RC inpatient 12310 12310 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX 21MM BOVINE PERICARDIUM COCR POLYESTER SILICONE RUBBER SUP-3300TFX21MM CDM 270 RC outpatient 12200 122 3304.98 percent of total billed charges 12200 other OPPS APC 9028 percent of total billed charges 12200 other OPPS APC 12200 other OPPS APC 3304.98 percent of total billed charges 3370.86 percent of total billed charges 122 other OPPS APC 122 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX 21MM BOVINE PERICARDIUM COCR POLYESTER SILICONE RUBBER SUP-3300TFX21MM CDM 270 RC inpatient 12200 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD23 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX23MM CDM 270 RC outpatient 12200 122 3304.98 percent of total billed charges 12200 other OPPS APC 9028 percent of total billed charges 12200 other OPPS APC 12200 other OPPS APC 3304.98 percent of total billed charges 3370.86 percent of total billed charges 122 other OPPS APC 122 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD23 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX23MM CDM 270 RC inpatient 12200 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD25 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX25MM CDM 270 RC outpatient 12200 122 3304.98 percent of total billed charges 12200 other OPPS APC 9028 percent of total billed charges 12200 other OPPS APC 12200 other OPPS APC 3304.98 percent of total billed charges 3370.86 percent of total billed charges 122 other OPPS APC 122 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD25 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX25MM CDM 270 RC inpatient 12200 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD27 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX27MM CDM 270 RC outpatient 12200 122 3304.98 percent of total billed charges 12200 other OPPS APC 9028 percent of total billed charges 12200 other OPPS APC 12200 other OPPS APC 3304.98 percent of total billed charges 3370.86 percent of total billed charges 122 other OPPS APC 122 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD27 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX27MM CDM 270 RC inpatient 12200 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD29 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX29MM CDM 270 RC outpatient 12200 122 3304.98 percent of total billed charges 12200 other OPPS APC 9028 percent of total billed charges 12200 other OPPS APC 12200 other OPPS APC 3304.98 percent of total billed charges 3370.86 percent of total billed charges 122 other OPPS APC 122 12200 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD29 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE SUP-3300TFX29MM CDM 270 RC inpatient 12200 12200 HC Rad Therapy Prostate Cancer Rad Onc Model 90 Day Episode Tc PX-333M11010 CDM 333 RC outpatient 12101.22 1211.22 5929.6 percent of total billed charges 12101.22 other OPPS APC 8954.9 percent of total billed charges 12101.22 other OPPS APC 12101.22 other OPPS APC 5929.6 percent of total billed charges 6171.62 percent of total billed charges 1211.22 other OPPS APC 1211.22 12101.22 HC Rad Therapy Prostate Cancer Rad Onc Model 90 Day Episode Tc PX-333M11010 CDM 333 RC inpatient 12101.22 12101.22 LCCK 0D SZ5 5MM 36X31 CPL SUP-97-03468 CDM 278 RC outpatient 12037.5 1237.5 12037.5 fee schedule 12037.5 other OPPS APC 6861.38 percent of total billed charges 12037.5 other OPPS APC 12037.5 other OPPS APC 5898.38 percent of total billed charges 6139.13 percent of total billed charges 1237.5 other OPPS APC 1237.5 12037.5 LCCK 0D SZ5 5MM 36X31 CPL SUP-97-03468 CDM 278 RC inpatient 12037.5 12037.5 IMPLANT ACCULIF TL 6-9MM X 11MM X34MM 0 DEG SUP-305006 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 IMPLANT ACCULIF TL 6-9MM X 11MM X34MM 0 DEG SUP-305006 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 IMPLANT ACCULIF TL 8-12MM X 11MM X34MM 0 DEG SUP-305008 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 IMPLANT ACCULIF TL 8-12MM X 11MM X34MM 0 DEG SUP-305008 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 IMPLANT ACCULIF TL 10-16MM X 11MM X34MM 0 DEG SUP-305010 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 IMPLANT ACCULIF TL 10-16MM X 11MM X34MM 0 DEG SUP-305010 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 CATHETER 16MM 105CM CLOTTRIEVER FIXED LENGTH SUP-40-102 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CATHETER 16MM 105CM CLOTTRIEVER FIXED LENGTH SUP-40-102 CDM 270 RC inpatient 12000 12000 CAGE SPINAL TRITANIUM 6 D CURVE L27 MM X W10 MM X H10 MM LUMBAR POSTERIOR STERILE LATEX FREE TLIF SUP-48930106 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CAGE SPINAL TRITANIUM 6 D CURVE L27 MM X W10 MM X H10 MM LUMBAR POSTERIOR STERILE LATEX FREE TLIF SUP-48930106 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 CAGE POSTERIOR LUMBAR 8MM SUP-48955086 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CAGE POSTERIOR LUMBAR 8MM SUP-48955086 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 IMPLANT STRYKER POST LUMBAR CAGE 9MM X 28MMX6 DEG 11MM SUP-48955096 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 IMPLANT STRYKER POST LUMBAR CAGE 9MM X 28MMX6 DEG 11MM SUP-48955096 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 IMPLANT STRYKER POST LUMBAR CAGE 11MM X 28MMX6 DEG 11MM SUP-48955116 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 IMPLANT STRYKER POST LUMBAR CAGE 11MM X 28MMX6 DEG 11MM SUP-48955116 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 CAGE POSTERIOR LUMBAR TRITANIUM 12X28X6DEG 11MM SUP-48955126 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CAGE POSTERIOR LUMBAR TRITANIUM 12X28X6DEG 11MM SUP-48955126 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 CAGE SPINAL TRITANIUM 6 D LORDOTIC L32 MM X W11 MM X H9 MM STERILE LATEX FREE PLIF SUP-48956096 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CAGE SPINAL TRITANIUM 6 D LORDOTIC L32 MM X W11 MM X H9 MM STERILE LATEX FREE PLIF SUP-48956096 CDM 270 RC inpatient 12000 12000 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS ASSORTED PERICARDIAL SUP-6900P CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS ASSORTED PERICARDIAL SUP-6900P CDM 270 RC inpatient 12000 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 25MM SUP-6900-P25 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 25MM SUP-6900-P25 CDM 270 RC inpatient 12000 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 27MM SUP-6900-P27 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 27MM SUP-6900-P27 CDM 270 RC inpatient 12000 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 29MM SUP-6900-P29 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 VALVE HEART MITRAL PERICARDIAL CARPENTER 29MM SUP-6900-P29 CDM 270 RC inpatient 12000 12000 VALVE HEART MITRAL PERIMOUNT CARPENTER 31MM SUP-6900-P31 CDM 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 VALVE HEART MITRAL PERIMOUNT CARPENTER 31MM SUP-6900-P31 CDM 270 RC inpatient 12000 12000 DUAL MOBILITY TOTAL HIP SUP-97-02778 CDM 278 RC outpatient 12000 12 12000 fee schedule 12000 other OPPS APC 6840 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 5880 percent of total billed charges 6120 percent of total billed charges 12 other OPPS APC 12 12000 DUAL MOBILITY TOTAL HIP SUP-97-02778 CDM 278 RC inpatient 12000 12000 PACEMAKER - BIVENT - SERENA W1TR02 SUP-99-04216 CDM inpatient 12000 12000 PACEMAKER - BIVENT - SERENA W1TR02 SUP-99-04216 CDM outpatient 12000 12 12000 percent of total billed charges 12000 other OPPS APC 12000 fee schedule 12000 other OPPS APC 12000 other OPPS APC 12000 case rate 12000 case rate 12 other OPPS APC 12 12000 PACEMAKER - BIVENT - SERENA W4TR02 SUP-99-04221 CDM inpatient 12000 12000 PACEMAKER - BIVENT - SERENA W4TR02 SUP-99-04221 CDM outpatient 12000 12 12000 percent of total billed charges 12000 other OPPS APC 12000 fee schedule 12000 other OPPS APC 12000 other OPPS APC 12000 case rate 12000 case rate 12 other OPPS APC 12 12000 CAGE ULRICH 12-17 EXPANDABLE TITAMIUM SUP-CS2250-16-12 CDM 270010020 LOCAL 270 RC outpatient 12000 12 3250.8 percent of total billed charges 12000 other OPPS APC 8880 percent of total billed charges 12000 other OPPS APC 12000 other OPPS APC 3250.8 percent of total billed charges 3315.6 percent of total billed charges 12 other OPPS APC 12 12000 CAGE ULRICH 12-17 EXPANDABLE TITAMIUM SUP-CS2250-16-12 CDM 270010020 LOCAL 270 RC inpatient 12000 12000 BENDAMUSTINE 25 MG/ML SOLUTION 4 ML VIAL 636000000 CDM 10019-079-01 NDC J9059 HCPCS inpatient 11934 11934 BENDAMUSTINE 25 MG/ML SOLUTION 4 ML VIAL 636000000 CDM 10019-079-01 NDC J9059 HCPCS outpatient 11934 25.8 25.8 other OPPS APC 25.8 25.8 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L31-45 CM OD3 MM ALLOGRAFT SUP-CV31-45 CDM 270 RC outpatient 11928.04 11928.41 3231.31 percent of total billed charges 11928.04 other OPPS APC 8826.75 percent of total billed charges 11928.04 other OPPS APC 11928.04 other OPPS APC 3231.31 percent of total billed charges 3295.72 percent of total billed charges 11928.41 other OPPS APC 3231.31 11928.41 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L31-45 CM OD3 MM ALLOGRAFT SUP-CV31-45 CDM 270 RC inpatient 11928.04 11928.04 HANDPIECE ENDOSCOPIC SOLOGRIP III DELIVERY SYSTEM SUP-HP-SG3 CDM 270 RC outpatient 11910 1191 3226.42 percent of total billed charges 11910 other OPPS APC 8813.4 percent of total billed charges 11910 other OPPS APC 11910 other OPPS APC 3226.42 percent of total billed charges 3290.73 percent of total billed charges 1191 other OPPS APC 1191 11910 HANDPIECE ENDOSCOPIC SOLOGRIP III DELIVERY SYSTEM SUP-HP-SG3 CDM 270 RC inpatient 11910 11910 PACEMAKER CARDIAC SYNCRA THK6 MM W57 MM X H59 MM 15 ML 26 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR IS 1 CRT SUP-C2TR01 CDM 275 RC outpatient 11900 119 5831 percent of total billed charges 11900 other OPPS APC 6783 percent of total billed charges 11900 other OPPS APC 11900 other OPPS APC 5831 percent of total billed charges 6069 percent of total billed charges 119 other OPPS APC 119 11900 PACEMAKER CARDIAC SYNCRA THK6 MM W57 MM X H59 MM 15 ML 26 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR IS 1 CRT SUP-C2TR01 CDM 275 RC inpatient 11900 11900 CRTP C4TR01 CONSULTA DEVICE SUP-C4TR01 CDM 275 RC outpatient 11900 119 5831 percent of total billed charges 11900 other OPPS APC 6783 percent of total billed charges 11900 other OPPS APC 11900 other OPPS APC 5831 percent of total billed charges 6069 percent of total billed charges 119 other OPPS APC 119 11900 CRTP C4TR01 CONSULTA DEVICE SUP-C4TR01 CDM 275 RC inpatient 11900 11900 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE D12 MM MEDIUM H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.025S CDM 270010020 LOCAL 270 RC outpatient 11798 11798 3196.08 percent of total billed charges 11798 other OPPS APC 8730.52 percent of total billed charges 11798 other OPPS APC 11798 other OPPS APC 3196.08 percent of total billed charges 3259.79 percent of total billed charges 11798 other OPPS APC 3196.08 11798 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE D12 MM MEDIUM H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.025S CDM 270010020 LOCAL 270 RC inpatient 11798 11798 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.046S CDM 270 RC outpatient 11798 11798 3196.08 percent of total billed charges 11798 other OPPS APC 8730.52 percent of total billed charges 11798 other OPPS APC 11798 other OPPS APC 3196.08 percent of total billed charges 3259.79 percent of total billed charges 11798 other OPPS APC 3196.08 11798 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.046S CDM 270 RC inpatient 11798 11798 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.055S CDM 270010020 LOCAL 270 RC outpatient 11798 11798 3196.08 percent of total billed charges 11798 other OPPS APC 8730.52 percent of total billed charges 11798 other OPPS APC 11798 other OPPS APC 3196.08 percent of total billed charges 3259.79 percent of total billed charges 11798 other OPPS APC 3196.08 11798 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.055S CDM 270010020 LOCAL 270 RC inpatient 11798 11798 VALVE AORTIC GRAFT 21MM SUP-21CAVGJ21MM CDM 270 RC outpatient 11740 1174 3180.37 percent of total billed charges 11740 other OPPS APC 8687.6 percent of total billed charges 11740 other OPPS APC 11740 other OPPS APC 3180.37 percent of total billed charges 3243.76 percent of total billed charges 1174 other OPPS APC 1174 11740 VALVE AORTIC GRAFT 21MM SUP-21CAVGJ21MM CDM 270 RC inpatient 11740 11740 VALVE AROTIC GRAFT 25MM SUP-25CAVGJ25MM CDM 270 RC outpatient 11740 1174 3180.37 percent of total billed charges 11740 other OPPS APC 8687.6 percent of total billed charges 11740 other OPPS APC 11740 other OPPS APC 3180.37 percent of total billed charges 3243.76 percent of total billed charges 1174 other OPPS APC 1174 11740 VALVE AROTIC GRAFT 25MM SUP-25CAVGJ25MM CDM 270 RC inpatient 11740 11740 VALVE AORTIC MASTERS HEMASHIELD 12CM 29MM COLLAGEN STERILE LF MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL SUP-29CAVGJ-514 CDM 270 RC outpatient 11740 1174 3180.37 percent of total billed charges 11740 other OPPS APC 8687.6 percent of total billed charges 11740 other OPPS APC 11740 other OPPS APC 3180.37 percent of total billed charges 3243.76 percent of total billed charges 1174 other OPPS APC 1174 11740 VALVE AORTIC MASTERS HEMASHIELD 12CM 29MM COLLAGEN STERILE LF MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL SUP-29CAVGJ-514 CDM 270 RC inpatient 11740 11740 VALVE AORTIC GRAFT 31 MM SUP-31CAVGJ31MM CDM 270 RC outpatient 11740 1174 3180.37 percent of total billed charges 11740 other OPPS APC 8687.6 percent of total billed charges 11740 other OPPS APC 11740 other OPPS APC 3180.37 percent of total billed charges 3243.76 percent of total billed charges 1174 other OPPS APC 1174 11740 VALVE AORTIC GRAFT 31 MM SUP-31CAVGJ31MM CDM 270 RC inpatient 11740 11740 COMPONENT FEMORAL PERSONA COCR 5 NARROW KNEE RIGHT CEMENTED POSTERIOR STABILIZE SUP-42-5000-058-02 CDM 270010025 LOCAL 270 RC outpatient 11721.86 11721.86 3175.45 percent of total billed charges 11721.86 other OPPS APC 8674.18 percent of total billed charges 11721.86 other OPPS APC 11721.86 other OPPS APC 3175.45 percent of total billed charges 3238.75 percent of total billed charges 11721.86 other OPPS APC 3175.45 11721.86 COMPONENT FEMORAL PERSONA COCR 5 NARROW KNEE RIGHT CEMENTED POSTERIOR STABILIZE SUP-42-5000-058-02 CDM 270010025 LOCAL 270 RC inpatient 11721.86 11721.86 PACEMAKER INGENIO DR DUAL CHAMBER SYSTEM SUP-K173S CDM 270 RC outpatient 11690 1169 3166.82 percent of total billed charges 11690 other OPPS APC 8650.6 percent of total billed charges 11690 other OPPS APC 11690 other OPPS APC 3166.82 percent of total billed charges 3229.95 percent of total billed charges 1169 other OPPS APC 1169 11690 PACEMAKER INGENIO DR DUAL CHAMBER SYSTEM SUP-K173S CDM 270 RC inpatient 11690 11690 STEM WAGNER REVISION 135NK ANGLE 16MMX225 SUP-01.00102.216 CDM 270 RC outpatient 11650 1165 3155.99 percent of total billed charges 11650 other OPPS APC 8621 percent of total billed charges 11650 other OPPS APC 11650 other OPPS APC 3155.99 percent of total billed charges 3218.9 percent of total billed charges 1165 other OPPS APC 1165 11650 STEM WAGNER REVISION 135NK ANGLE 16MMX225 SUP-01.00102.216 CDM 270 RC inpatient 11650 11650 IMPLANT WAGNER SL REVISION STEM 135NECK 19MM SUP-01.00102.219 CDM 270010024 LOCAL 270 RC outpatient 11650 1165 3155.99 percent of total billed charges 11650 other OPPS APC 8621 percent of total billed charges 11650 other OPPS APC 11650 other OPPS APC 3155.99 percent of total billed charges 3218.9 percent of total billed charges 1165 other OPPS APC 1165 11650 IMPLANT WAGNER SL REVISION STEM 135NECK 19MM SUP-01.00102.219 CDM 270010024 LOCAL 270 RC inpatient 11650 11650 FUSION LUMBAR LEVEL 2 NUVASIVE SUP-LUMBAR2NUVASIVE CDM 270010020 LOCAL 270 RC outpatient 11600 116 3142.44 percent of total billed charges 11600 other OPPS APC 8584 percent of total billed charges 11600 other OPPS APC 11600 other OPPS APC 3142.44 percent of total billed charges 3205.08 percent of total billed charges 116 other OPPS APC 116 11600 FUSION LUMBAR LEVEL 2 NUVASIVE SUP-LUMBAR2NUVASIVE CDM 270010020 LOCAL 270 RC inpatient 11600 11600 VALVE AORTIC GRAFT 27MM SUP-27CAVGJ27MM CDM 270 RC outpatient 11560 1156 3131.6 percent of total billed charges 11560 other OPPS APC 8554.4 percent of total billed charges 11560 other OPPS APC 11560 other OPPS APC 3131.6 percent of total billed charges 3194.03 percent of total billed charges 1156 other OPPS APC 1156 11560 VALVE AORTIC GRAFT 27MM SUP-27CAVGJ27MM CDM 270 RC inpatient 11560 11560 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY D L64 MM X W57.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-014-92 CDM 270010025 LOCAL 270 RC outpatient 11556 11556 3130.52 percent of total billed charges 11556 other OPPS APC 8551.44 percent of total billed charges 11556 other OPPS APC 11556 other OPPS APC 3130.52 percent of total billed charges 3192.92 percent of total billed charges 11556 other OPPS APC 3130.52 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY D L64 MM X W57.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-014-92 CDM 270010025 LOCAL 270 RC inpatient 11556 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-015-92 CDM 270010025 LOCAL 270 RC outpatient 11556 11556 3130.52 percent of total billed charges 11556 other OPPS APC 8551.44 percent of total billed charges 11556 other OPPS APC 11556 other OPPS APC 3130.52 percent of total billed charges 3192.92 percent of total billed charges 11556 other OPPS APC 3130.52 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-015-92 CDM 270010025 LOCAL 270 RC inpatient 11556 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY F L72 MM X W65.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-016-91 CDM 270010025 LOCAL 270 RC outpatient 11556 11556 3130.52 percent of total billed charges 11556 other OPPS APC 8551.44 percent of total billed charges 11556 other OPPS APC 11556 other OPPS APC 3130.52 percent of total billed charges 3192.92 percent of total billed charges 11556 other OPPS APC 3130.52 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY F L72 MM X W65.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-016-91 CDM 270010025 LOCAL 270 RC inpatient 11556 11556 COMPONENT FEMORAL NEXGEN LCCK OPTION ZIMALOY F L72 MM X W65.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-016-92 CDM 270010025 LOCAL 270 RC outpatient 11556 11556 3130.52 percent of total billed charges 11556 other OPPS APC 8551.44 percent of total billed charges 11556 other OPPS APC 11556 other OPPS APC 3130.52 percent of total billed charges 3192.92 percent of total billed charges 11556 other OPPS APC 3130.52 11556 COMPONENT FEMORAL NEXGEN LCCK OPTION ZIMALOY F L72 MM X W65.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-016-92 CDM 270010025 LOCAL 270 RC inpatient 11556 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY G L76.5 MM X W70.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-017-91 CDM 270010025 LOCAL 270 RC outpatient 11556 11556 3130.52 percent of total billed charges 11556 other OPPS APC 8551.44 percent of total billed charges 11556 other OPPS APC 11556 other OPPS APC 3130.52 percent of total billed charges 3192.92 percent of total billed charges 11556 other OPPS APC 3130.52 11556 COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY G L76.5 MM X W70.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE SUP-00-5994-017-91 CDM 270010025 LOCAL 270 RC inpatient 11556 11556 HC IR Stent Arterial Placement Initial PX-361000001 CDM 361000001 LOCAL 361 RC outpatient 11528 11528 3640.54 percent of total billed charges 11528 other OPPS APC 11528 fee schedule 11528 other OPPS APC 11528 other OPPS APC 3640.54 percent of total billed charges 3713.17 percent of total billed charges 11528 other OPPS APC 3640.54 11528 HC IR Stent Arterial Placement Initial PX-361000001 CDM 361000001 LOCAL 361 RC inpatient 11528 11528 HC IR Stent Venous Placement Initial PX-361372381 CDM 37238 CPT 361 RC outpatient 11528 1118.26 3640.54 percent of total billed charges 11180.26 other OPPS APC 6702 fee schedule 11180.26 other OPPS APC 11180.26 other OPPS APC 3640.54 percent of total billed charges 3713.17 percent of total billed charges 1118.26 other OPPS APC 1118.26 11180.26 HC IR Stent Venous Placement Initial PX-361372381 CDM 37238 CPT 361 RC inpatient 11528 11528 CEMENTED FIXED BEARING TKR SIGMA (CAP) SUP-97-01034 CDM 278 RC outpatient 11500 115 11500 fee schedule 11500 other OPPS APC 6555 percent of total billed charges 11500 other OPPS APC 11500 other OPPS APC 5635 percent of total billed charges 5865 percent of total billed charges 115 other OPPS APC 115 11500 CEMENTED FIXED BEARING TKR SIGMA (CAP) SUP-97-01034 CDM 278 RC inpatient 11500 11500 PLATE BONE EVOS L 333MM FEMUR LEFT DISTAL 16 HOLE 3.5/4.5 MM SCREW PERIPROSTHETIC SUP-72585116 CDM 270 RC outpatient 11455 11455 3103.16 percent of total billed charges 11455 other OPPS APC 8476.7 percent of total billed charges 11455 other OPPS APC 11455 other OPPS APC 3103.16 percent of total billed charges 3165.02 percent of total billed charges 11455 other OPPS APC 3103.16 11455 PLATE BONE EVOS L 333MM FEMUR LEFT DISTAL 16 HOLE 3.5/4.5 MM SCREW PERIPROSTHETIC SUP-72585116 CDM 270 RC inpatient 11455 11455 PLATE BONE EVOS L 333MM FEMUR RIGHT DISTAL 16 HOLE 3.5/4.5 MM PERIPROSTHETIC SUP-72585216 CDM 270 RC outpatient 11455 11455 3103.16 percent of total billed charges 11455 other OPPS APC 8476.7 percent of total billed charges 11455 other OPPS APC 11455 other OPPS APC 3103.16 percent of total billed charges 3165.02 percent of total billed charges 11455 other OPPS APC 3103.16 11455 PLATE BONE EVOS L 333MM FEMUR RIGHT DISTAL 16 HOLE 3.5/4.5 MM PERIPROSTHETIC SUP-72585216 CDM 270 RC inpatient 11455 11455 COMPONENT TALAR TRABECULAR METAL 2 LEFT TOTAL ANKLE SUP-00-4500-012-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 COMPONENT TALAR TRABECULAR METAL 2 LEFT TOTAL ANKLE SUP-00-4500-012-00 CDM 270 RC inpatient 11440 11440 COMPONENT TALAR TRABECULAR METAL 3 LEFT TOTAL ANKLE SUP-00-4500-013-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 COMPONENT TALAR TRABECULAR METAL 3 LEFT TOTAL ANKLE SUP-00-4500-013-00 CDM 270 RC inpatient 11440 11440 COMPONENT TALAR TRABECULAR METAL 5 LEFT TOTAL ANKLE SUP-00-4500-015-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 COMPONENT TALAR TRABECULAR METAL 5 LEFT TOTAL ANKLE SUP-00-4500-015-00 CDM 270 RC inpatient 11440 11440 ANKLE TM TOTAL RIGHT TALUS SIZE 2 SUP-00-4500-022-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 ANKLE TM TOTAL RIGHT TALUS SIZE 2 SUP-00-4500-022-00 CDM 270 RC inpatient 11440 11440 COMPONENT TALAR TRABECULAR METAL 3 RIGHT TOTAL ANKLE SUP-00-4500-023-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 COMPONENT TALAR TRABECULAR METAL 3 RIGHT TOTAL ANKLE SUP-00-4500-023-00 CDM 270 RC inpatient 11440 11440 COMPONENT TALAR TRABECULAR METAL 4 RIGHT TOTAL ANKLE SUP-00-4500-024-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 COMPONENT TALAR TRABECULAR METAL 4 RIGHT TOTAL ANKLE SUP-00-4500-024-00 CDM 270 RC inpatient 11440 11440 TALUS ZIMMER TM TOTAL ANKLE RIGHT SIZE 5 SUP-00-4500-025-00 CDM 270 RC outpatient 11440 1144 3099.1 percent of total billed charges 11440 other OPPS APC 8465.6 percent of total billed charges 11440 other OPPS APC 11440 other OPPS APC 3099.1 percent of total billed charges 3160.87 percent of total billed charges 1144 other OPPS APC 1144 11440 TALUS ZIMMER TM TOTAL ANKLE RIGHT SIZE 5 SUP-00-4500-025-00 CDM 270 RC inpatient 11440 11440 SPACER SPINAL ARIA AVS 8D LORDOTIC 55X18X12MM PEEK-OPTIMA SUP-48751312 CDM 270010020 LOCAL 270 RC outpatient 11437.16 11437.16 3098.33 percent of total billed charges 11437.16 other OPPS APC 8463.5 percent of total billed charges 11437.16 other OPPS APC 11437.16 other OPPS APC 3098.33 percent of total billed charges 3160.09 percent of total billed charges 11437.16 other OPPS APC 3098.33 11437.16 SPACER SPINAL ARIA AVS 8D LORDOTIC 55X18X12MM PEEK-OPTIMA SUP-48751312 CDM 270010020 LOCAL 270 RC inpatient 11437.16 11437.16 SPACER SPINAL ARIA AVS 0D LORDOTIC 50X22X12MM PEEK-OPTIMA SUP-48752212 CDM 270010020 LOCAL 270 RC outpatient 11436 11436 3098.01 percent of total billed charges 11436 other OPPS APC 8462.64 percent of total billed charges 11436 other OPPS APC 11436 other OPPS APC 3098.01 percent of total billed charges 3159.77 percent of total billed charges 11436 other OPPS APC 3098.01 11436 SPACER SPINAL ARIA AVS 0D LORDOTIC 50X22X12MM PEEK-OPTIMA SUP-48752212 CDM 270010020 LOCAL 270 RC inpatient 11436 11436 VALVE AORTIC FREESTYLE PORCINE H30 MM OD19 MM ROOT BIOPROSTHESIS STENTLESS SUP-FR995-19 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H30 MM OD19 MM ROOT BIOPROSTHESIS STENTLESS SUP-FR995-19 CDM 270 RC inpatient 11400 11400 VALVE AORTIC FREESTYLE PORCINE H32 MM H3 MM OD21 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE SUP-FR995-21 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H32 MM H3 MM OD21 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE SUP-FR995-21 CDM 270 RC inpatient 11400 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD23 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-23 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD23 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-23 CDM 270 RC inpatient 11400 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD25 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-25 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD25 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-25 CDM 270 RC inpatient 11400 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD27 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-27 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD27 MM ROOT BIOPROSTHESIS STERILE SUP-FR995-27 CDM 270 RC inpatient 11400 11400 VALVE AORTIC FREESTYLE PORCINE H3 MM OD29 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE SUP-FR995-29 CDM 270 RC outpatient 11400 114 3088.26 percent of total billed charges 11400 other OPPS APC 8436 percent of total billed charges 11400 other OPPS APC 11400 other OPPS APC 3088.26 percent of total billed charges 3149.82 percent of total billed charges 114 other OPPS APC 114 11400 VALVE AORTIC FREESTYLE PORCINE H3 MM OD29 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE SUP-FR995-29 CDM 270 RC inpatient 11400 11400 GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L54 MM OD36 MM ODSEC8.5 MM ID22 FR INTRODUCTION SYSTEM ANCILLARY MAIN BODY EXTENSION INTRODUCER SHEATH AAA SUP-RX1-36-54-ZT CDM 270010015 LOCAL 270 RC outpatient 11396 11396 3087.18 percent of total billed charges 11396 other OPPS APC 8433.04 percent of total billed charges 11396 other OPPS APC 11396 other OPPS APC 3087.18 percent of total billed charges 3148.71 percent of total billed charges 11396 other OPPS APC 3087.18 11396 GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L54 MM OD36 MM ODSEC8.5 MM ID22 FR INTRODUCTION SYSTEM ANCILLARY MAIN BODY EXTENSION INTRODUCER SHEATH AAA SUP-RX1-36-54-ZT CDM 270010015 LOCAL 270 RC inpatient 11396 11396 COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE LEFT CEMENTED CRUCIATE STABILIZE SUP-96-0082 CDM 270010025 LOCAL 270 RC outpatient 11342.4 11342.4 3072.66 percent of total billed charges 11342.4 other OPPS APC 8393.38 percent of total billed charges 11342.4 other OPPS APC 11342.4 other OPPS APC 3072.66 percent of total billed charges 3133.91 percent of total billed charges 11342.4 other OPPS APC 3072.66 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE LEFT CEMENTED CRUCIATE STABILIZE SUP-96-0082 CDM 270010025 LOCAL 270 RC inpatient 11342.4 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE LEFT CEMENTED CRUCIATE RETAINING SUP-96-0083 CDM 270010025 LOCAL 270 RC outpatient 11342.4 11342.4 3072.66 percent of total billed charges 11342.4 other OPPS APC 8393.38 percent of total billed charges 11342.4 other OPPS APC 11342.4 other OPPS APC 3072.66 percent of total billed charges 3133.91 percent of total billed charges 11342.4 other OPPS APC 3072.66 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE LEFT CEMENTED CRUCIATE RETAINING SUP-96-0083 CDM 270010025 LOCAL 270 RC inpatient 11342.4 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE SUP-96-0088 CDM 270010025 LOCAL 270 RC outpatient 11342.4 11342.4 3072.66 percent of total billed charges 11342.4 other OPPS APC 8393.38 percent of total billed charges 11342.4 other OPPS APC 11342.4 other OPPS APC 3072.66 percent of total billed charges 3133.91 percent of total billed charges 11342.4 other OPPS APC 3072.66 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE SUP-96-0088 CDM 270010025 LOCAL 270 RC inpatient 11342.4 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE SUP-96-0089 CDM 270010025 LOCAL 270 RC outpatient 11342.4 11342.4 3072.66 percent of total billed charges 11342.4 other OPPS APC 8393.38 percent of total billed charges 11342.4 other OPPS APC 11342.4 other OPPS APC 3072.66 percent of total billed charges 3133.91 percent of total billed charges 11342.4 other OPPS APC 3072.66 11342.4 COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE SUP-96-0089 CDM 270010025 LOCAL 270 RC inpatient 11342.4 11342.4 LURBINECTEDIN 4 MG RECON SOLN 1 EACH VIAL 636000000 CDM 68727-712-01 NDC J9223 HCPCS inpatient 11328.75 11328.75 LURBINECTEDIN 4 MG RECON SOLN 1 EACH VIAL 636000000 CDM 68727-712-01 NDC J9223 HCPCS outpatient 11328.75 212.55 212.55 other OPPS APC 212.55 212.55 VERSY CEM/REV/CALCAR 15MMX180MM SUP-97-03229 CDM 278 RC outpatient 11312.5 11312.5 11312.5 fee schedule 11312.5 other OPPS APC 6448.13 percent of total billed charges 11312.5 other OPPS APC 11312.5 other OPPS APC 5543.13 percent of total billed charges 5769.38 percent of total billed charges 11312.5 other OPPS APC 5543.13 11312.5 VERSY CEM/REV/CALCAR 15MMX180MM SUP-97-03229 CDM 278 RC inpatient 11312.5 11312.5 CRT-P PERCEPTA MRI SUP-W1TR01 CDM 275 RC outpatient 11300 113 5537 percent of total billed charges 11300 other OPPS APC 6441 percent of total billed charges 11300 other OPPS APC 11300 other OPPS APC 5537 percent of total billed charges 5763 percent of total billed charges 113 other OPPS APC 113 11300 CRT-P PERCEPTA MRI SUP-W1TR01 CDM 275 RC inpatient 11300 11300 CRT-P PERCEPTA MRI QUAD DEVICE SUP-W4TR01 CDM 275 RC outpatient 11300 113 5537 percent of total billed charges 11300 other OPPS APC 6441 percent of total billed charges 11300 other OPPS APC 11300 other OPPS APC 5537 percent of total billed charges 5763 percent of total billed charges 113 other OPPS APC 113 11300 CRT-P PERCEPTA MRI QUAD DEVICE SUP-W4TR01 CDM 275 RC inpatient 11300 11300 NIVOLUMAB 120 MG/12 ML SOLUTION 12 ML VIAL 636000000 CDM 0003-3756-14 NDC J9299 HCPCS inpatient 11227.38 11227.38 NIVOLUMAB 120 MG/12 ML SOLUTION 12 ML VIAL 636000000 CDM 0003-3756-14 NDC J9299 HCPCS outpatient 11227.38 33.12 33.12 other OPPS APC 33.12 33.12 STEM FEMORAL WAGNER SL REVISION 135KN ANGLE 15MM X 225MM SUP-01.00102.215 CDM 270010024 LOCAL 270 RC outpatient 11196 11196 3033 percent of total billed charges 11196 other OPPS APC 8285.04 percent of total billed charges 11196 other OPPS APC 11196 other OPPS APC 3033 percent of total billed charges 3093.45 percent of total billed charges 11196 other OPPS APC 3033 11196 STEM FEMORAL WAGNER SL REVISION 135KN ANGLE 15MM X 225MM SUP-01.00102.215 CDM 270010024 LOCAL 270 RC inpatient 11196 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD18 MM HIP DISTAL FILL STERILE SUP-01.00102.618 CDM 270010024 LOCAL 270 RC outpatient 11196 11196 3033 percent of total billed charges 11196 other OPPS APC 8285.04 percent of total billed charges 11196 other OPPS APC 11196 other OPPS APC 3033 percent of total billed charges 3093.45 percent of total billed charges 11196 other OPPS APC 3033 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD18 MM HIP DISTAL FILL STERILE SUP-01.00102.618 CDM 270010024 LOCAL 270 RC inpatient 11196 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD19 MM HIP DISTAL FILL STERILE SUP-01.00102.619 CDM 270010024 LOCAL 270 RC outpatient 11196 11196 3033 percent of total billed charges 11196 other OPPS APC 8285.04 percent of total billed charges 11196 other OPPS APC 11196 other OPPS APC 3033 percent of total billed charges 3093.45 percent of total billed charges 11196 other OPPS APC 3033 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD19 MM HIP DISTAL FILL STERILE SUP-01.00102.619 CDM 270010024 LOCAL 270 RC inpatient 11196 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD22 MM HIP DISTAL FILL STERILE SUP-01.00102.622 CDM 270010024 LOCAL 270 RC outpatient 11196 11196 3033 percent of total billed charges 11196 other OPPS APC 8285.04 percent of total billed charges 11196 other OPPS APC 11196 other OPPS APC 3033 percent of total billed charges 3093.45 percent of total billed charges 11196 other OPPS APC 3033 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD22 MM HIP DISTAL FILL STERILE SUP-01.00102.622 CDM 270010024 LOCAL 270 RC inpatient 11196 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L305 MM OD18 MM HIP DISTAL FILL STERILE SUP-01.00103.018 CDM 270010024 LOCAL 270 RC outpatient 11196 11196 3033 percent of total billed charges 11196 other OPPS APC 8285.04 percent of total billed charges 11196 other OPPS APC 11196 other OPPS APC 3033 percent of total billed charges 3093.45 percent of total billed charges 11196 other OPPS APC 3033 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L305 MM OD18 MM HIP DISTAL FILL STERILE SUP-01.00103.018 CDM 270010024 LOCAL 270 RC inpatient 11196 11196 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD16 MM HIP DISTAL FILL STERILE SUP-01.00102.616 CDM 270010025 LOCAL 270 RC outpatient 11190 1119 3031.37 percent of total billed charges 11190 other OPPS APC 8280.6 percent of total billed charges 11190 other OPPS APC 11190 other OPPS APC 3031.37 percent of total billed charges 3091.8 percent of total billed charges 1119 other OPPS APC 1119 11190 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD16 MM HIP DISTAL FILL STERILE SUP-01.00102.616 CDM 270010025 LOCAL 270 RC inpatient 11190 11190 HC IR Embolization Venous PX-361000003 CDM 361000003 LOCAL 361 RC outpatient 11178 11178 3530.01 percent of total billed charges 11178 other OPPS APC 11178 fee schedule 11178 other OPPS APC 11178 other OPPS APC 3530.01 percent of total billed charges 3600.43 percent of total billed charges 11178 other OPPS APC 3530.01 11178 HC IR Embolization Venous PX-361000003 CDM 361000003 LOCAL 361 RC inpatient 11178 11178 HC IR Embolization Arterial PX-361000004 CDM 361000004 LOCAL 361 RC outpatient 11178 11178 3530.01 percent of total billed charges 11178 other OPPS APC 11178 fee schedule 11178 other OPPS APC 11178 other OPPS APC 3530.01 percent of total billed charges 3600.43 percent of total billed charges 11178 other OPPS APC 3530.01 11178 HC IR Embolization Arterial PX-361000004 CDM 361000004 LOCAL 361 RC inpatient 11178 11178 PLATE BONE EVOS L 297 MM FEMUR LEFT DISTAL 14 HOLE STERILE LATEX FREE 3.5/4.5 MM SCREW PERIPROSTHETIC SUP-72585114 CDM 270 RC outpatient 11145 11145 3019.18 percent of total billed charges 11145 other OPPS APC 8247.3 percent of total billed charges 11145 other OPPS APC 11145 other OPPS APC 3019.18 percent of total billed charges 3079.36 percent of total billed charges 11145 other OPPS APC 3019.18 11145 PLATE BONE EVOS L 297 MM FEMUR LEFT DISTAL 14 HOLE STERILE LATEX FREE 3.5/4.5 MM SCREW PERIPROSTHETIC SUP-72585114 CDM 270 RC inpatient 11145 11145 EVOS 3.5/4.5 PP DIS FEM PL R 14H 297MM SUP-72585214 CDM 270 RC outpatient 11145 11145 3019.18 percent of total billed charges 11145 other OPPS APC 8247.3 percent of total billed charges 11145 other OPPS APC 11145 other OPPS APC 3019.18 percent of total billed charges 3079.36 percent of total billed charges 11145 other OPPS APC 3019.18 11145 EVOS 3.5/4.5 PP DIS FEM PL R 14H 297MM SUP-72585214 CDM 270 RC inpatient 11145 11145 PACEMAKER- BI-V ICD PERCEPTA SUP-99-04777 CDM inpatient 11137 11137 PACEMAKER- BI-V ICD PERCEPTA SUP-99-04777 CDM outpatient 11137 11137 11137 percent of total billed charges 11137 other OPPS APC 11137 fee schedule 11137 other OPPS APC 11137 other OPPS APC 11137 case rate 11137 case rate 11137 other OPPS APC 11137 11137 MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW SUP-5400641 CDM 270 RC outpatient 11120.4 1112.4 3012.52 percent of total billed charges 11120.4 other OPPS APC 8229.1 percent of total billed charges 11120.4 other OPPS APC 11120.4 other OPPS APC 3012.52 percent of total billed charges 3072.57 percent of total billed charges 1112.4 other OPPS APC 1112.4 11120.4 MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW SUP-5400641 CDM 270 RC inpatient 11120.4 11120.4 MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD SUP-5400647 CDM 270 RC outpatient 11120.4 1112.4 3012.52 percent of total billed charges 11120.4 other OPPS APC 8229.1 percent of total billed charges 11120.4 other OPPS APC 11120.4 other OPPS APC 3012.52 percent of total billed charges 3072.57 percent of total billed charges 1112.4 other OPPS APC 1112.4 11120.4 MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD SUP-5400647 CDM 270 RC inpatient 11120.4 11120.4 CONE ZIMMER TM COUPLED LCCK 7D SIZE 5 5MM SUP-00-5446-055-31 CDM 270010024 LOCAL 270 RC outpatient 11088 1188 3003.74 percent of total billed charges 11088 other OPPS APC 8205.12 percent of total billed charges 11088 other OPPS APC 11088 other OPPS APC 3003.74 percent of total billed charges 3063.61 percent of total billed charges 1188 other OPPS APC 1188 11088 CONE ZIMMER TM COUPLED LCCK 7D SIZE 5 5MM SUP-00-5446-055-31 CDM 270010024 LOCAL 270 RC inpatient 11088 11088 INFINITY ADAPTIS TIB SIZE 4 SUP-97-05966 CDM 278 RC outpatient 11066 1166 11066 fee schedule 11066 other OPPS APC 6307.62 percent of total billed charges 11066 other OPPS APC 11066 other OPPS APC 5422.34 percent of total billed charges 5643.66 percent of total billed charges 1166 other OPPS APC 1166 11066 INFINITY ADAPTIS TIB SIZE 4 SUP-97-05966 CDM 278 RC inpatient 11066 11066 INFINITY ADAPTIS TIB SZ 5 SUP-97-06254 CDM 278 RC outpatient 11066 1166 11066 fee schedule 11066 other OPPS APC 6307.62 percent of total billed charges 11066 other OPPS APC 11066 other OPPS APC 5422.34 percent of total billed charges 5643.66 percent of total billed charges 1166 other OPPS APC 1166 11066 INFINITY ADAPTIS TIB SZ 5 SUP-97-06254 CDM 278 RC inpatient 11066 11066 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD38 MM ODSEC22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PROFORM Z TRAK PLUS INTRODUCTION SYSTEM SUP-G53459 CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD38 MM ODSEC22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PROFORM Z TRAK PLUS INTRODUCTION SYSTEM SUP-G53459 CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 L80 MM OD28 MM ODSEC20 FR THORACIC TBE COMPONENT PROXIMAL EXTENSION PROFORM AA SUP-TBE-28-80-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 L80 MM OD28 MM ODSEC20 FR THORACIC TBE COMPONENT PROXIMAL EXTENSION PROFORM AA SUP-TBE-28-80-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD30 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-TBE-30-80-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD30 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA SUP-TBE-30-80-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD32 MM ODSEC20 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA SUP-TBE-32-80-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD32 MM ODSEC20 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA SUP-TBE-32-80-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD34 MM ODSEC20 FR THORACIC AORTIC ANEURYSM DISTAL EXTENSION TBE COMPONENT PROFORM SUP-TBE-34-77-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD34 MM ODSEC20 FR THORACIC AORTIC ANEURYSM DISTAL EXTENSION TBE COMPONENT PROFORM SUP-TBE-34-77-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD36 MM ODSEC22 FR PROXIMAL EXTENSION Z-TRAK PLUS TAA SUP-TBE-36-77-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD36 MM ODSEC22 FR PROXIMAL EXTENSION Z-TRAK PLUS TAA SUP-TBE-36-77-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 L81 MM OD40 MM ODSEC8.5 MM ID22 FR THORACIC AORTIC ANEURYSM PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM TBE COMPONENT PROXIMAL EXTENSION SUP-TBE-40-81-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 L81 MM OD40 MM ODSEC8.5 MM ID22 FR THORACIC AORTIC ANEURYSM PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM TBE COMPONENT PROXIMAL EXTENSION SUP-TBE-40-81-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 GRAFT ENDOVASCULAR ZENITH TX2 POLYESTER L81 MM OD42 MM ID22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM SUP-TBE-42-81-PF-US CDM 270010015 LOCAL 270 RC outpatient 11030 113 2988.03 percent of total billed charges 11030 other OPPS APC 8162.2 percent of total billed charges 11030 other OPPS APC 11030 other OPPS APC 2988.03 percent of total billed charges 3047.59 percent of total billed charges 113 other OPPS APC 113 11030 GRAFT ENDOVASCULAR ZENITH TX2 POLYESTER L81 MM OD42 MM ID22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM SUP-TBE-42-81-PF-US CDM 270010015 LOCAL 270 RC inpatient 11030 11030 PSI KNEE ZUK SUP-97-00882 CDM 278 RC outpatient 11011 1111 11011 fee schedule 11011 other OPPS APC 6276.27 percent of total billed charges 11011 other OPPS APC 11011 other OPPS APC 5395.39 percent of total billed charges 5615.61 percent of total billed charges 1111 other OPPS APC 1111 11011 PSI KNEE ZUK SUP-97-00882 CDM 278 RC inpatient 11011 11011 SPACER SPINAL FORTIFY D16 MM W16 MM X H24 MM STERILE LATEX FREE SUP-151.102 CDM 270010020 LOCAL 270 RC outpatient 11000 11 2979.9 percent of total billed charges 11000 other OPPS APC 8140 percent of total billed charges 11000 other OPPS APC 11000 other OPPS APC 2979.9 percent of total billed charges 3039.3 percent of total billed charges 11 other OPPS APC 11 11000 SPACER SPINAL FORTIFY D16 MM W16 MM X H24 MM STERILE LATEX FREE SUP-151.102 CDM 270010020 LOCAL 270 RC inpatient 11000 11000 DEVICE CLOSURE ATRICLIP PROV L50 MM TIP FIRST OPEN END CLIP LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12 MM PORT SUP-PROV50` CDM 270 RC outpatient 11000 11 2979.9 percent of total billed charges 11000 other OPPS APC 8140 percent of total billed charges 11000 other OPPS APC 11000 other OPPS APC 2979.9 percent of total billed charges 3039.3 percent of total billed charges 11 other OPPS APC 11 11000 DEVICE CLOSURE ATRICLIP PROV L50 MM TIP FIRST OPEN END CLIP LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12 MM PORT SUP-PROV50` CDM 270 RC inpatient 11000 11000 GRAFT STENT AFX ACTIVESEAL STRATA STRAIGHT 55MM 25MM 17FR EPTFE ENDOVASCULAR ABDOMEN SUP-A25-25/C55 CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX ACTIVESEAL STRATA STRAIGHT 55MM 25MM 17FR EPTFE ENDOVASCULAR ABDOMEN SUP-A25-25/C55 CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 75MM 25MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A25-25/C75V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 75MM 25MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A25-25/C75V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 75MM 20MM 28MM STRATA STERILE LF SUPRARENAL AORTIC EXTENSION AAA SUP-A28-28/C75-O20V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 75MM 20MM 28MM STRATA STERILE LF SUPRARENAL AORTIC EXTENSION AAA SUP-A28-28/C75-O20V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 75MM 28MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A28-28/C75V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 75MM 28MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A28-28/C75V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 95MM 20MM 28MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A28-28/C95-O20V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 95MM 20MM 28MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A28-28/C95-O20V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 IMPLANT ENDOLOGIC VELA INFRARENAL EXTENSION SUP-A28-28/C95V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 IMPLANT ENDOLOGIC VELA INFRARENAL EXTENSION SUP-A28-28/C95V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 100MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A34-34/C100-O20V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 100MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A34-34/C100-O20V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 80MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A34-34/C80-O20V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 80MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA SUP-A34-34/C80-O20V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 GRAFT STENT AFX VELA 80MM 34MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A34-34/C80V CDM 270010015 LOCAL 270 RC outpatient 10998 1998 2979.36 percent of total billed charges 10998 other OPPS APC 8138.52 percent of total billed charges 10998 other OPPS APC 10998 other OPPS APC 2979.36 percent of total billed charges 3038.75 percent of total billed charges 1998 other OPPS APC 1998 10998 GRAFT STENT AFX VELA 80MM 34MM STRATA STERILE LF AORTIC EXTENSION AAA SUP-A34-34/C80V CDM 270010015 LOCAL 270 RC inpatient 10998 10998 STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD11 MM HIP SUP-6012-0711 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD11 MM HIP SUP-6012-0711 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD13 MM HIP SUP-6012-0713 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD13 MM HIP SUP-6012-0713 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD12 MM HIP SUP-6012-0812 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD12 MM HIP SUP-6012-0812 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD14 MM HIP SUP-6012-0814 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD14 MM HIP SUP-6012-0814 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD13 MM HIP SUP-6012-0913 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD13 MM HIP SUP-6012-0913 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD15 MM HIP SUP-6012-0915 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD15 MM HIP SUP-6012-0915 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD14 MM HIP SUP-6012-1014 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD14 MM HIP SUP-6012-1014 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD16 MM HIP SUP-6012-1016 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD16 MM HIP SUP-6012-1016 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD15 MM HIP SUP-6012-1115 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD15 MM HIP SUP-6012-1115 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD17 MM HIP SUP-6012-1117 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD17 MM HIP SUP-6012-1117 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD16 MM HIP SUP-6012-1216 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD16 MM HIP SUP-6012-1216 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD18 MM HIP SUP-6012-1218 CDM 270010024 LOCAL 270 RC outpatient 10984 1984 2975.57 percent of total billed charges 10984 other OPPS APC 8128.16 percent of total billed charges 10984 other OPPS APC 10984 other OPPS APC 2975.57 percent of total billed charges 3034.88 percent of total billed charges 1984 other OPPS APC 1984 10984 STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD18 MM HIP SUP-6012-1218 CDM 270010024 LOCAL 270 RC inpatient 10984 10984 PACEMAKER VIVA C6TR01 DEVICE SUP-C6TR01 CDM 275 RC outpatient 10934 1934 5357.66 percent of total billed charges 10934 other OPPS APC 6232.38 percent of total billed charges 10934 other OPPS APC 10934 other OPPS APC 5357.66 percent of total billed charges 5576.34 percent of total billed charges 1934 other OPPS APC 1934 10934 PACEMAKER VIVA C6TR01 DEVICE SUP-C6TR01 CDM 275 RC inpatient 10934 10934 CRTP U125 VALITUDE device only SUP-U125 CDM 275 RC outpatient 10934 1934 5357.66 percent of total billed charges 10934 other OPPS APC 6232.38 percent of total billed charges 10934 other OPPS APC 10934 other OPPS APC 5357.66 percent of total billed charges 5576.34 percent of total billed charges 1934 other OPPS APC 1934 10934 CRTP U125 VALITUDE device only SUP-U125 CDM 275 RC inpatient 10934 10934 PACEMAKER CARDIAC VALITUDE X4 D.75 CM W4.45 CM X H6.17 CM 17.6 ML 33 GM RIGHT ATRIUM RIGHT VENTRICLE IS-1 CONNECTOR SUP-U128 CDM 275 RC outpatient 10934 1934 5357.66 percent of total billed charges 10934 other OPPS APC 6232.38 percent of total billed charges 10934 other OPPS APC 10934 other OPPS APC 5357.66 percent of total billed charges 5576.34 percent of total billed charges 1934 other OPPS APC 1934 10934 PACEMAKER CARDIAC VALITUDE X4 D.75 CM W4.45 CM X H6.17 CM 17.6 ML 33 GM RIGHT ATRIUM RIGHT VENTRICLE IS-1 CONNECTOR SUP-U128 CDM 275 RC inpatient 10934 10934 DEVICE CRTP VALTITUDE LV-1 SUP-U226 CDM 275 RC outpatient 10934 1934 5357.66 percent of total billed charges 10934 other OPPS APC 6232.38 percent of total billed charges 10934 other OPPS APC 10934 other OPPS APC 5357.66 percent of total billed charges 5576.34 percent of total billed charges 1934 other OPPS APC 1934 10934 DEVICE CRTP VALTITUDE LV-1 SUP-U226 CDM 275 RC inpatient 10934 10934 VALVE SHUNT CODMAN CERTAS PLUS SIPHONGUARD IN-LINE PROGRAMMABLE SUP-828804PL CDM 270 RC outpatient 10873.86 1873.86 2945.73 percent of total billed charges 10873.86 other OPPS APC 8046.66 percent of total billed charges 10873.86 other OPPS APC 10873.86 other OPPS APC 2945.73 percent of total billed charges 3004.45 percent of total billed charges 1873.86 other OPPS APC 1873.86 10873.86 VALVE SHUNT CODMAN CERTAS PLUS SIPHONGUARD IN-LINE PROGRAMMABLE SUP-828804PL CDM 270 RC inpatient 10873.86 10873.86 CODMAN CERTAS PLUS PROGRAMMABLE VALVE SUP-828814PL CDM 270 RC outpatient 10871.36 1871.36 2945.05 percent of total billed charges 10871.36 other OPPS APC 8044.81 percent of total billed charges 10871.36 other OPPS APC 10871.36 other OPPS APC 2945.05 percent of total billed charges 3003.76 percent of total billed charges 1871.36 other OPPS APC 1871.36 10871.36 CODMAN CERTAS PLUS PROGRAMMABLE VALVE SUP-828814PL CDM 270 RC inpatient 10871.36 10871.36 PACEMAKER ADAPTA DUAL CHAMBER SYSTEM SUP-ADDRSERIES S CDM 270 RC outpatient 10857 1857 2941.16 percent of total billed charges 10857 other OPPS APC 8034.18 percent of total billed charges 10857 other OPPS APC 10857 other OPPS APC 2941.16 percent of total billed charges 2999.79 percent of total billed charges 1857 other OPPS APC 1857 10857 PACEMAKER ADAPTA DUAL CHAMBER SYSTEM SUP-ADDRSERIES S CDM 270 RC inpatient 10857 10857 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L21-30 CM OD3 MM CRYOPRESERVED SUP-CV21-30 CDM 270 RC outpatient 10828.9 1828.9 2933.55 percent of total billed charges 10828.9 other OPPS APC 8013.39 percent of total billed charges 10828.9 other OPPS APC 10828.9 other OPPS APC 2933.55 percent of total billed charges 2992.03 percent of total billed charges 1828.9 other OPPS APC 1828.9 10828.9 GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L21-30 CM OD3 MM CRYOPRESERVED SUP-CV21-30 CDM 270 RC inpatient 10828.9 10828.9 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510600 CDM 270010031 LOCAL 270 RC outpatient 10816 1816 2930.05 percent of total billed charges 10816 other OPPS APC 8003.84 percent of total billed charges 10816 other OPPS APC 10816 other OPPS APC 2930.05 percent of total billed charges 2988.46 percent of total billed charges 1816 other OPPS APC 1816 10816 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510600 CDM 270010031 LOCAL 270 RC inpatient 10816 10816 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE II L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510800 CDM 270010031 LOCAL 270 RC outpatient 10816 1816 2930.05 percent of total billed charges 10816 other OPPS APC 8003.84 percent of total billed charges 10816 other OPPS APC 10816 other OPPS APC 2930.05 percent of total billed charges 2988.46 percent of total billed charges 1816 other OPPS APC 1816 10816 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE II L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510800 CDM 270010031 LOCAL 270 RC inpatient 10816 10816 VALVE AORTIC MITROFLOW H16 MM W13 MM OD27.3 MM ID22.9 MM PERICARDIUM PHOSPHOLIPID REDUCTION TREATMENT OPTIMIZED HEMODYNAMIC PERFORMANCE UNIFORM MECHANICAL BEHAVIOUR UNIQUE DESIGN SUP-DLA27 CDM 270 RC outpatient 10810 181 2928.43 percent of total billed charges 10810 other OPPS APC 7999.4 percent of total billed charges 10810 other OPPS APC 10810 other OPPS APC 2928.43 percent of total billed charges 2986.8 percent of total billed charges 181 other OPPS APC 181 10810 VALVE AORTIC MITROFLOW H16 MM W13 MM OD27.3 MM ID22.9 MM PERICARDIUM PHOSPHOLIPID REDUCTION TREATMENT OPTIMIZED HEMODYNAMIC PERFORMANCE UNIFORM MECHANICAL BEHAVIOUR UNIQUE DESIGN SUP-DLA27 CDM 270 RC inpatient 10810 10810 VALVE HEART AORTIC PORCINE MOSAIC 19MM SUP-30501901 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 VALVE HEART AORTIC PORCINE MOSAIC 19MM SUP-30501901 CDM 270 RC inpatient 10800 10800 VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H13.5 MM OD19 MM STENT HOLDER SEW 305 SUP-305U19 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H13.5 MM OD19 MM STENT HOLDER SEW 305 SUP-305U19 CDM 270 RC inpatient 10800 10800 VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H16 MM OD23 MM STENT HOLDER SEW 305 SUP-305U23 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H16 MM OD23 MM STENT HOLDER SEW 305 SUP-305U23 CDM 270 RC inpatient 10800 10800 VALVE MITRAL MOSAIC ACETAL HOMOPOLYMER POLYESTER H20.5 MM OD29 MM ODSEC35 MM ID24 MM FLEXIBLE SCALLOPED SUTURE RING POLYESTER SEWING GREEN SUTURE RADIOPAQUE EYELET SUP-31002901 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 VALVE MITRAL MOSAIC ACETAL HOMOPOLYMER POLYESTER H20.5 MM OD29 MM ODSEC35 MM ID24 MM FLEXIBLE SCALLOPED SUTURE RING POLYESTER SEWING GREEN SUTURE RADIOPAQUE EYELET SUP-31002901 CDM 270 RC inpatient 10800 10800 VALVE MITRAL MOSAIC CINCH OD27 MM SUP-310C27 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 VALVE MITRAL MOSAIC CINCH OD27 MM SUP-310C27 CDM 270 RC inpatient 10800 10800 GRAFT SOFT TISSUE BIOCLEANSE LEFT MEDIAL MENISCUS BONE BRIDGE FROZEN SUP-453201 CDM 270010031 LOCAL 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 GRAFT SOFT TISSUE BIOCLEANSE LEFT MEDIAL MENISCUS BONE BRIDGE FROZEN SUP-453201 CDM 270010031 LOCAL 270 RC inpatient 10800 10800 GRAFT SOFT TISSUE BIOCLEANSE RIGHT MEDIAL MENISCUS RIGHT MEDIAL KNEE BONE BRIDGE FROZEN SUP-453202 CDM 270010031 LOCAL 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 GRAFT SOFT TISSUE BIOCLEANSE RIGHT MEDIAL MENISCUS RIGHT MEDIAL KNEE BONE BRIDGE FROZEN SUP-453202 CDM 270010031 LOCAL 270 RC inpatient 10800 10800 TOTAL HIP CERAMIC SUP-97-02651 CDM 278 RC outpatient 10800 18 10800 fee schedule 10800 other OPPS APC 6156 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 5292 percent of total billed charges 5508 percent of total billed charges 18 other OPPS APC 18 10800 TOTAL HIP CERAMIC SUP-97-02651 CDM 278 RC inpatient 10800 10800 IMPLANT MOBI-C 13X15 SUP-MB3355 CDM 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 IMPLANT MOBI-C 13X15 SUP-MB3355 CDM 270 RC inpatient 10800 10800 IMPLANT MOBI-C CERVICAL DISC 15X15X5 SUP-MB3555 CDM 270010000 LOCAL 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 IMPLANT MOBI-C CERVICAL DISC 15X15X5 SUP-MB3555 CDM 270010000 LOCAL 270 RC inpatient 10800 10800 IMPLANT MOBI-C CERVICAL DISC 15X17X5 SUP-MB3575 CDM 270010000 LOCAL 270 RC outpatient 10800 18 2925.72 percent of total billed charges 10800 other OPPS APC 7992 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 2925.72 percent of total billed charges 2984.04 percent of total billed charges 18 other OPPS APC 18 10800 IMPLANT MOBI-C CERVICAL DISC 15X17X5 SUP-MB3575 CDM 270010000 LOCAL 270 RC inpatient 10800 10800 PACEMAKER SOLARA W1TR03 MRI DEVICE SUP-W1TR03 CDM 275 RC outpatient 10800 18 5292 percent of total billed charges 10800 other OPPS APC 6156 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 5292 percent of total billed charges 5508 percent of total billed charges 18 other OPPS APC 18 10800 PACEMAKER SOLARA W1TR03 MRI DEVICE SUP-W1TR03 CDM 275 RC inpatient 10800 10800 PACEMAKER SOLARA W4TR03 MRI QUAD DEVICE SUP-W4TR03 CDM 275 RC outpatient 10800 18 5292 percent of total billed charges 10800 other OPPS APC 6156 percent of total billed charges 10800 other OPPS APC 10800 other OPPS APC 5292 percent of total billed charges 5508 percent of total billed charges 18 other OPPS APC 18 10800 PACEMAKER SOLARA W4TR03 MRI QUAD DEVICE SUP-W4TR03 CDM 275 RC inpatient 10800 10800 RITUXIMAB-PVVR 10 MG/ML SOLUTION 50 ML VIAL 636000000 CDM 0069-0249-01 NDC Q5119 HCPCS inpatient 10752 10752 RITUXIMAB-PVVR 10 MG/ML SOLUTION 50 ML VIAL 636000000 CDM 0069-0249-01 NDC Q5119 HCPCS outpatient 10752 21.6 21.6 other OPPS APC 21.6 21.6 PACEMAKER ENRHYTHM DR DUAL CHANBER SYSTEM SUP-ENRHYTHMDRK2 CDM 270 RC outpatient 10746 1746 2911.09 percent of total billed charges 10746 other OPPS APC 7952.04 percent of total billed charges 10746 other OPPS APC 10746 other OPPS APC 2911.09 percent of total billed charges 2969.12 percent of total billed charges 1746 other OPPS APC 1746 10746 PACEMAKER ENRHYTHM DR DUAL CHANBER SYSTEM SUP-ENRHYTHMDRK2 CDM 270 RC inpatient 10746 10746 VALVE MITRAL MASTERS SERIES PYROLYTIC CARBON 85 D 3.67 SQ CM STANDARD RING OD27 MM ID22.5 MM ANNULUS LEAFLET ORIFICE CONTROL TORQUE ROTATION MECHANISM CUFF SUP-27MJ-501 CDM 270 RC outpatient 10686 1686 2894.84 percent of total billed charges 10686 other OPPS APC 7907.64 percent of total billed charges 10686 other OPPS APC 10686 other OPPS APC 2894.84 percent of total billed charges 2952.54 percent of total billed charges 1686 other OPPS APC 1686 10686 VALVE MITRAL MASTERS SERIES PYROLYTIC CARBON 85 D 3.67 SQ CM STANDARD RING OD27 MM ID22.5 MM ANNULUS LEAFLET ORIFICE CONTROL TORQUE ROTATION MECHANISM CUFF SUP-27MJ-501 CDM 270 RC inpatient 10686 10686 VALVE AORTIC MASTERS 85 D 4.41 SQ CM OD29 MM ID24.2 MM ANNULUS MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING SUP-29AJ-501 CDM 270 RC outpatient 10686 1686 2894.84 percent of total billed charges 10686 other OPPS APC 7907.64 percent of total billed charges 10686 other OPPS APC 10686 other OPPS APC 2894.84 percent of total billed charges 2952.54 percent of total billed charges 1686 other OPPS APC 1686 10686 VALVE AORTIC MASTERS 85 D 4.41 SQ CM OD29 MM ID24.2 MM ANNULUS MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING SUP-29AJ-501 CDM 270 RC inpatient 10686 10686 VALVE AORTIC MASTERS 85 D 5.18 SQ CM OD31 MM ID26.1 MM MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING SUP-31AJ-501 CDM 270 RC outpatient 10686 1686 2894.84 percent of total billed charges 10686 other OPPS APC 7907.64 percent of total billed charges 10686 other OPPS APC 10686 other OPPS APC 2894.84 percent of total billed charges 2952.54 percent of total billed charges 1686 other OPPS APC 1686 10686 VALVE AORTIC MASTERS 85 D 5.18 SQ CM OD31 MM ID26.1 MM MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING SUP-31AJ-501 CDM 270 RC inpatient 10686 10686 GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX L90 MM X H5 MM 32 ML FROZEN CHIPS FULL DISC SUP-600-05-90 CDM 270010031 LOCAL 270 RC outpatient 10680 168 2893.21 percent of total billed charges 10680 other OPPS APC 7903.2 percent of total billed charges 10680 other OPPS APC 10680 other OPPS APC 2893.21 percent of total billed charges 2950.88 percent of total billed charges 168 other OPPS APC 168 10680 GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX L90 MM X H5 MM 32 ML FROZEN CHIPS FULL DISC SUP-600-05-90 CDM 270010031 LOCAL 270 RC inpatient 10680 10680 OPTEFORM FROZEN DISC 90CC SUP-97-01603 CDM 278 RC outpatient 10680 168 10680 fee schedule 10680 other OPPS APC 6087.6 percent of total billed charges 10680 other OPPS APC 10680 other OPPS APC 5233.2 percent of total billed charges 5446.8 percent of total billed charges 168 other OPPS APC 168 10680 OPTEFORM FROZEN DISC 90CC SUP-97-01603 CDM 278 RC inpatient 10680 10680 REVISON CEM TIB TRAYSZ2 SUP-97-03603 CDM 278 RC outpatient 10659.6 1659.6 10659.6 fee schedule 10659.6 other OPPS APC 6075.97 percent of total billed charges 10659.6 other OPPS APC 10659.6 other OPPS APC 5223.2 percent of total billed charges 5436.4 percent of total billed charges 1659.6 other OPPS APC 1659.6 10659.6 REVISON CEM TIB TRAYSZ2 SUP-97-03603 CDM 278 RC inpatient 10659.6 10659.6 VALVE STRATA NSC REGULAR SUP-42365_62190 CDM 270 RC outpatient 10603.6 163.6 2872.52 percent of total billed charges 10603.6 other OPPS APC 7846.66 percent of total billed charges 10603.6 other OPPS APC 10603.6 other OPPS APC 2872.52 percent of total billed charges 2929.77 percent of total billed charges 163.6 other OPPS APC 163.6 10603.6 VALVE STRATA NSC REGULAR SUP-42365_62190 CDM 270 RC inpatient 10603.6 10603.6 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT OD19 MM SUP-3000TFX19MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT OD19 MM SUP-3000TFX19MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD21 MM BIOPROSTHESIS SUP-3000TFX21MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD21 MM BIOPROSTHESIS SUP-3000TFX21MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD23 MM BIOPROSTHESIS SUP-3000TFX-23 CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD23 MM BIOPROSTHESIS SUP-3000TFX-23 CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA THERMAFIX PERICARDIAL OD23 MM BIOPROSTHESIS SUP-3000TFX23MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA THERMAFIX PERICARDIAL OD23 MM BIOPROSTHESIS SUP-3000TFX23MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD25 MM BIOPROSTHESIS SUP-3000TFX25MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD25 MM BIOPROSTHESIS SUP-3000TFX25MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD27 MM BIOPROSTHESES SUP-3000TFX27MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD27 MM BIOPROSTHESES SUP-3000TFX27MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS SUP-3000TFX-29 CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS SUP-3000TFX-29 CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER LOW PROFILE CONTOUR H19 MM OD29 MM ODSEC34 MM ID28 MM SLEEK COMMISSURE POST THERMAFIX SUTURE MARKER LOW STENT BASE LONG TERM DURABILITY SUP-3000TFX29MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER LOW PROFILE CONTOUR H19 MM OD29 MM ODSEC34 MM ID28 MM SLEEK COMMISSURE POST THERMAFIX SUTURE MARKER LOW STENT BASE LONG TERM DURABILITY SUP-3000TFX29MM CDM 270 RC inpatient 10600 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS SUP-3000TFX29MM CDM 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS SUP-3000TFX29MM CDM 270 RC inpatient 10600 10600 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 MEDIUM L2 IN X W1 IN OD20 GA 5.6 ML 8.4 MG VIAL ABSORBABLE COLLAGEN SPONGE WATER SYRINGE NEEDLE STERILE LUMBAR TAPERED FUSION DEVICE SUP-7510400 CDM 270010031 LOCAL 270 RC outpatient 10600 16 2871.54 percent of total billed charges 10600 other OPPS APC 7844 percent of total billed charges 10600 other OPPS APC 10600 other OPPS APC 2871.54 percent of total billed charges 2928.78 percent of total billed charges 16 other OPPS APC 16 10600 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 MEDIUM L2 IN X W1 IN OD20 GA 5.6 ML 8.4 MG VIAL ABSORBABLE COLLAGEN SPONGE WATER SYRINGE NEEDLE STERILE LUMBAR TAPERED FUSION DEVICE SUP-7510400 CDM 270010031 LOCAL 270 RC inpatient 10600 10600 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L6 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB8107275 CDM 270 RC outpatient 10592 1592 2869.37 percent of total billed charges 10592 other OPPS APC 7838.08 percent of total billed charges 10592 other OPPS APC 10592 other OPPS APC 2869.37 percent of total billed charges 2926.57 percent of total billed charges 1592 other OPPS APC 1592 10592 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L6 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB8107275 CDM 270 RC inpatient 10592 10592 SYSTEM COMPRESSION THERAPY COLD MACHINE SUP-CRYO CDM 270010004 LOCAL 270 RC outpatient 10580 158 2866.12 percent of total billed charges 10580 other OPPS APC 7829.2 percent of total billed charges 10580 other OPPS APC 10580 other OPPS APC 2866.12 percent of total billed charges 2923.25 percent of total billed charges 158 other OPPS APC 158 10580 SYSTEM COMPRESSION THERAPY COLD MACHINE SUP-CRYO CDM 270010004 LOCAL 270 RC inpatient 10580 10580 CRYOTHERAPY RENAL SUP-CRYO2 CDM 270010004 LOCAL 270 RC outpatient 10580 158 2866.12 percent of total billed charges 10580 other OPPS APC 7829.2 percent of total billed charges 10580 other OPPS APC 10580 other OPPS APC 2866.12 percent of total billed charges 2923.25 percent of total billed charges 158 other OPPS APC 158 10580 CRYOTHERAPY RENAL SUP-CRYO2 CDM 270010004 LOCAL 270 RC inpatient 10580 10580 INSERT TIBIALCCK SIZE 3 5MM SUP-00-5447-053-31 CDM 270010025 LOCAL 270 RC outpatient 10578 1578 2865.58 percent of total billed charges 10578 other OPPS APC 7827.72 percent of total billed charges 10578 other OPPS APC 10578 other OPPS APC 2865.58 percent of total billed charges 2922.7 percent of total billed charges 1578 other OPPS APC 1578 10578 INSERT TIBIALCCK SIZE 3 5MM SUP-00-5447-053-31 CDM 270010025 LOCAL 270 RC inpatient 10578 10578 INSERT NEXGEN LCCK SIZE 3 5MM SUP-00-5447-053-36 CDM 270010025 LOCAL 270 RC outpatient 10578 1578 2865.58 percent of total billed charges 10578 other OPPS APC 7827.72 percent of total billed charges 10578 other OPPS APC 10578 other OPPS APC 2865.58 percent of total billed charges 2922.7 percent of total billed charges 1578 other OPPS APC 1578 10578 INSERT NEXGEN LCCK SIZE 3 5MM SUP-00-5447-053-36 CDM 270010025 LOCAL 270 RC inpatient 10578 10578 INSERT ZIMMER LCCK SIZE 4 5MM 41X34 CPL SUP-00544705441 CDM 270010025 LOCAL 270 RC outpatient 10578 1578 2865.58 percent of total billed charges 10578 other OPPS APC 7827.72 percent of total billed charges 10578 other OPPS APC 10578 other OPPS APC 2865.58 percent of total billed charges 2922.7 percent of total billed charges 1578 other OPPS APC 1578 10578 INSERT ZIMMER LCCK SIZE 4 5MM 41X34 CPL SUP-00544705441 CDM 270010025 LOCAL 270 RC inpatient 10578 10578 WEDGE TIBIAL LCCK TRABECULAR METAL 0 D 5 CONE OD46 MM ODSEC34 MM ANTERIOR POSTERIOR COUPLED SUP-00544705546 CDM 270010025 LOCAL 270 RC outpatient 10578 1578 2865.58 percent of total billed charges 10578 other OPPS APC 7827.72 percent of total billed charges 10578 other OPPS APC 10578 other OPPS APC 2865.58 percent of total billed charges 2922.7 percent of total billed charges 1578 other OPPS APC 1578 10578 WEDGE TIBIAL LCCK TRABECULAR METAL 0 D 5 CONE OD46 MM ODSEC34 MM ANTERIOR POSTERIOR COUPLED SUP-00544705546 CDM 270010025 LOCAL 270 RC inpatient 10578 10578 SPACER SPINAL T-PAL PEEK TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H9 MM L8.2 MM .5 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE SUP-08.812.009 CDM 270010012 LOCAL 270 RC outpatient 10560 156 2860.7 percent of total billed charges 10560 other OPPS APC 7814.4 percent of total billed charges 10560 other OPPS APC 10560 other OPPS APC 2860.7 percent of total billed charges 2917.73 percent of total billed charges 156 other OPPS APC 156 10560 SPACER SPINAL T-PAL PEEK TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H9 MM L8.2 MM .5 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE SUP-08.812.009 CDM 270010012 LOCAL 270 RC inpatient 10560 10560 SPACER SPINAL T-PAL PEEK OPTIMA TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H12 MM H11.2 MM .77 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE SUP-08.812.012 CDM 270010012 LOCAL 270 RC outpatient 10560 156 2860.7 percent of total billed charges 10560 other OPPS APC 7814.4 percent of total billed charges 10560 other OPPS APC 10560 other OPPS APC 2860.7 percent of total billed charges 2917.73 percent of total billed charges 156 other OPPS APC 156 10560 SPACER SPINAL T-PAL PEEK OPTIMA TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H12 MM H11.2 MM .77 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE SUP-08.812.012 CDM 270010012 LOCAL 270 RC inpatient 10560 10560 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-438-20 NDC J1459 HCPCS inpatient 10556.4 10556.4 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-438-92 NDC J1459 HCPCS inpatient 10556.4 10556.4 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-438-20 NDC J1459 HCPCS outpatient 10556.4 5.98 5.98 other OPPS APC 5.98 5.98 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION 636000000 CDM 44206-438-92 NDC J1459 HCPCS outpatient 10556.4 5.98 5.98 other OPPS APC 5.98 5.98 PACEMAKER QUADRA ALLURE MP CRT-P BIV SUP-PM3562 CDM 275 RC outpatient 10550 155 5169.5 percent of total billed charges 10550 other OPPS APC 6013.5 percent of total billed charges 10550 other OPPS APC 10550 other OPPS APC 5169.5 percent of total billed charges 5380.5 percent of total billed charges 155 other OPPS APC 155 10550 PACEMAKER QUADRA ALLURE MP CRT-P BIV SUP-PM3562 CDM 275 RC inpatient 10550 10550 ADHESIVE SURGICAL BIOGLUE BOVINE SERUM ALBUMIN GLUTARALDEHYDE L12 MM 10 ML SOFT TISSUE PREFILL SYRINGE PLUNGER 3 SPREADER 4 STANDARD TIP STERILE LATEX FREE DISPOSABLE SUP-BG3510-5-US CDM 270 RC outpatient 10510 151 2847.16 percent of total billed charges 10510 other OPPS APC 7777.4 percent of total billed charges 10510 other OPPS APC 10510 other OPPS APC 2847.16 percent of total billed charges 2903.91 percent of total billed charges 151 other OPPS APC 151 10510 ADHESIVE SURGICAL BIOGLUE BOVINE SERUM ALBUMIN GLUTARALDEHYDE L12 MM 10 ML SOFT TISSUE PREFILL SYRINGE PLUNGER 3 SPREADER 4 STANDARD TIP STERILE LATEX FREE DISPOSABLE SUP-BG3510-5-US CDM 270 RC inpatient 10510 10510 HC Cc Pacemaker Insertion Dual Lead PX-481332081 CDM 33208 CPT 481 RC outpatient 10500 1878.47 535.55 fee schedule 10878.47 other OPPS APC 7770 percent of total billed charges 10878.47 other OPPS APC 10878.47 other OPPS APC 507.97 fee schedule 5355 percent of total billed charges 1878.47 other OPPS APC 507.97 10878.47 HC Cc Pacemaker Insertion Dual Lead PX-481332081 CDM 33208 CPT 481 RC inpatient 10500 10500 LEAD SCS SUP-3228 SCSCAPL CDM 270 RC outpatient 10500 15 2844.45 percent of total billed charges 10500 other OPPS APC 7770 percent of total billed charges 10500 other OPPS APC 10500 other OPPS APC 2844.45 percent of total billed charges 2901.15 percent of total billed charges 15 other OPPS APC 15 10500 LEAD SCS SUP-3228 SCSCAPL CDM 270 RC inpatient 10500 10500 VALVE AORTIC MITROFLOW OD19 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA 19 CDM 270 RC outpatient 10496 1496 2843.37 percent of total billed charges 10496 other OPPS APC 7767.04 percent of total billed charges 10496 other OPPS APC 10496 other OPPS APC 2843.37 percent of total billed charges 2900.04 percent of total billed charges 1496 other OPPS APC 1496 10496 VALVE AORTIC MITROFLOW OD19 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA 19 CDM 270 RC inpatient 10496 10496 VALVE AORTIC MITROFLOW OD21 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA21 CDM 270 RC outpatient 10496 1496 2843.37 percent of total billed charges 10496 other OPPS APC 7767.04 percent of total billed charges 10496 other OPPS APC 10496 other OPPS APC 2843.37 percent of total billed charges 2900.04 percent of total billed charges 1496 other OPPS APC 1496 10496 VALVE AORTIC MITROFLOW OD21 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA21 CDM 270 RC inpatient 10496 10496 VALVE AORTIC MITROFLOW OD23 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA23 CDM 270 RC outpatient 10496 1496 2843.37 percent of total billed charges 10496 other OPPS APC 7767.04 percent of total billed charges 10496 other OPPS APC 10496 other OPPS APC 2843.37 percent of total billed charges 2900.04 percent of total billed charges 1496 other OPPS APC 1496 10496 VALVE AORTIC MITROFLOW OD23 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA23 CDM 270 RC inpatient 10496 10496 VALVE AORTIC MITROFLOW OD25 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA25 CDM 270 RC outpatient 10496 1496 2843.37 percent of total billed charges 10496 other OPPS APC 7767.04 percent of total billed charges 10496 other OPPS APC 10496 other OPPS APC 2843.37 percent of total billed charges 2900.04 percent of total billed charges 1496 other OPPS APC 1496 10496 VALVE AORTIC MITROFLOW OD25 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING SUP-DLA25 CDM 270 RC inpatient 10496 10496 COMPONENT FEMORAL OPTETRAK 3 CONDYLE CEMENTED CONSTRAIN SUP-208-01-03 CDM 270010025 LOCAL 270 RC outpatient 10488 1488 2841.2 percent of total billed charges 10488 other OPPS APC 7761.12 percent of total billed charges 10488 other OPPS APC 10488 other OPPS APC 2841.2 percent of total billed charges 2897.83 percent of total billed charges 1488 other OPPS APC 1488 10488 COMPONENT FEMORAL OPTETRAK 3 CONDYLE CEMENTED CONSTRAIN SUP-208-01-03 CDM 270010025 LOCAL 270 RC inpatient 10488 10488 COMPONENT FEMORAL OPTETRAK 4 CONDYLE CEMENTED CONSTRAIN SUP-208-01-04 CDM 270010025 LOCAL 270 RC outpatient 10488 1488 2841.2 percent of total billed charges 10488 other OPPS APC 7761.12 percent of total billed charges 10488 other OPPS APC 10488 other OPPS APC 2841.2 percent of total billed charges 2897.83 percent of total billed charges 1488 other OPPS APC 1488 10488 COMPONENT FEMORAL OPTETRAK 4 CONDYLE CEMENTED CONSTRAIN SUP-208-01-04 CDM 270010025 LOCAL 270 RC inpatient 10488 10488 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD12 MM HIP REDUCE SUP-S-2652-0812 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD12 MM HIP REDUCE SUP-S-2652-0812 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE SUP-S-2652-0814 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE SUP-S-2652-0814 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE SUP-S-2652-0913 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE SUP-S-2652-0913 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE SUP-S-2652-0915 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE SUP-S-2652-0915 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE SUP-S-2652-1014 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE SUP-S-2652-1014 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE SUP-S-2652-1016 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE SUP-S-2652-1016 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE SUP-S-2652-1115 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE SUP-S-2652-1115 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 STEM FEMORAL RESTORATION HA TITANIUM 11 -5 MM STRAIGHT L205 MM OD17 MM HIP DISTAL REVISION REDUCE NECK CEMENT SUP-S-2652-1117 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 STEM FEMORAL RESTORATION HA TITANIUM 11 -5 MM STRAIGHT L205 MM OD17 MM HIP DISTAL REVISION REDUCE NECK CEMENT SUP-S-2652-1117 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE SUP-S-2652-1216 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE SUP-S-2652-1216 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 STEM FEMORAL RESTORATION HA TITANIUM 12 STRAIGHT L205 MM OD18 MM HIP DISTAL REVISION REDUCE NECK CEMENT SUP-S-2652-1218 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 STEM FEMORAL RESTORATION HA TITANIUM 12 STRAIGHT L205 MM OD18 MM HIP DISTAL REVISION REDUCE NECK CEMENT SUP-S-2652-1218 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 17 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE SUP-S-2652-1317 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 17 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE SUP-S-2652-1317 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 13 -5 MM STRAIGHT L205 MM OD19 MM HIP REDUCE SUP-S-2652-1319 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 13 -5 MM STRAIGHT L205 MM OD19 MM HIP REDUCE SUP-S-2652-1319 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD18 MM HIP REDUCE SUP-S-2652-1418 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD18 MM HIP REDUCE SUP-S-2652-1418 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD20 MM HIP REDUCE SUP-S-2652-1420 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD20 MM HIP REDUCE SUP-S-2652-1420 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD22 MM HIP REDUCE SUP-S-2652-1422 CDM 270010024 LOCAL 270 RC outpatient 10479 1479 2838.76 percent of total billed charges 10479 other OPPS APC 7754.46 percent of total billed charges 10479 other OPPS APC 10479 other OPPS APC 2838.76 percent of total billed charges 2895.35 percent of total billed charges 1479 other OPPS APC 1479 10479 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD22 MM HIP REDUCE SUP-S-2652-1422 CDM 270010024 LOCAL 270 RC inpatient 10479 10479 STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD12 MM HIP SUP-6013-0812 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD12 MM HIP SUP-6013-0812 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD14 MM HIP SUP-6013-0814 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD14 MM HIP SUP-6013-0814 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD13 MM HIP SUP-6013-0913 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD13 MM HIP SUP-6013-0913 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD15 MM HIP SUP-6013-0915 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD15 MM HIP SUP-6013-0915 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD14 MM HIP SUP-6013-1014 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD14 MM HIP SUP-6013-1014 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD16 MM HIP SUP-6013-1016 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD16 MM HIP SUP-6013-1016 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD15 MM HIP SUP-6013-1115 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD15 MM HIP SUP-6013-1115 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD17 MM HIP SUP-6013-1117 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD17 MM HIP SUP-6013-1117 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD16 MM HIP SUP-6013-1216 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD16 MM HIP SUP-6013-1216 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD18 MM HIP SUP-6013-1218 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD18 MM HIP SUP-6013-1218 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD17 MM HIP SUP-6013-1317 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD17 MM HIP SUP-6013-1317 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD19 MM HIP SUP-6013-1319 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD19 MM HIP SUP-6013-1319 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD18 MM HIP SUP-6013-1418 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD18 MM HIP SUP-6013-1418 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD20 MM HIP SUP-6013-1420 CDM 270010024 LOCAL 270 RC outpatient 10400 14 2817.36 percent of total billed charges 10400 other OPPS APC 7696 percent of total billed charges 10400 other OPPS APC 10400 other OPPS APC 2817.36 percent of total billed charges 2873.52 percent of total billed charges 14 other OPPS APC 14 10400 STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD20 MM HIP SUP-6013-1420 CDM 270010024 LOCAL 270 RC inpatient 10400 10400 STANDARD PROXIMAL TIBIAL GMRS SUP-97-05058 CDM 278 RC outpatient 10368 1368 10368 fee schedule 10368 other OPPS APC 5909.76 percent of total billed charges 10368 other OPPS APC 10368 other OPPS APC 5080.32 percent of total billed charges 5287.68 percent of total billed charges 1368 other OPPS APC 1368 10368 STANDARD PROXIMAL TIBIAL GMRS SUP-97-05058 CDM 278 RC inpatient 10368 10368 GRAFT OVITEX 1S 16 X 20CM SUP-97-05947 CDM 278 RC outpatient 10368 1368 10368 fee schedule 10368 other OPPS APC 5909.76 percent of total billed charges 10368 other OPPS APC 10368 other OPPS APC 5080.32 percent of total billed charges 5287.68 percent of total billed charges 1368 other OPPS APC 1368 10368 GRAFT OVITEX 1S 16 X 20CM SUP-97-05947 CDM 278 RC inpatient 10368 10368 PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1 SUP-PM3222 CDM 275 RC outpatient 10355 1355 5073.95 percent of total billed charges 10355 other OPPS APC 5902.35 percent of total billed charges 10355 other OPPS APC 10355 other OPPS APC 5073.95 percent of total billed charges 5281.05 percent of total billed charges 1355 other OPPS APC 1355 10355 PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1 SUP-PM3222 CDM 275 RC inpatient 10355 10355 PACEMAKER CARDIAC ALLURE QUADRA RF INVISILINK THK6 MM W59 MM X H56 MM 15 ML 27 GM VENTRICLE IS4-LLLL IS-1 SUP-PM3242 CDM 275 RC outpatient 10355 1355 5073.95 percent of total billed charges 10355 other OPPS APC 5902.35 percent of total billed charges 10355 other OPPS APC 10355 other OPPS APC 5073.95 percent of total billed charges 5281.05 percent of total billed charges 1355 other OPPS APC 1355 10355 PACEMAKER CARDIAC ALLURE QUADRA RF INVISILINK THK6 MM W59 MM X H56 MM 15 ML 27 GM VENTRICLE IS4-LLLL IS-1 SUP-PM3242 CDM 275 RC inpatient 10355 10355 PACEMAKER QUADRA ALLURE MP RF CRT-P SUP-PM3262 CDM 275 RC outpatient 10355 1355 5073.95 percent of total billed charges 10355 other OPPS APC 5902.35 percent of total billed charges 10355 other OPPS APC 10355 other OPPS APC 5073.95 percent of total billed charges 5281.05 percent of total billed charges 1355 other OPPS APC 1355 10355 PACEMAKER QUADRA ALLURE MP RF CRT-P SUP-PM3262 CDM 275 RC inpatient 10355 10355 PACEMAKER QUADRA ALLURE MPFR CRT-O MERLIN PKG SUP-PM3262CELL CDM 275 RC outpatient 10355 1355 5073.95 percent of total billed charges 10355 other OPPS APC 5902.35 percent of total billed charges 10355 other OPPS APC 10355 other OPPS APC 5073.95 percent of total billed charges 5281.05 percent of total billed charges 1355 other OPPS APC 1355 10355 PACEMAKER QUADRA ALLURE MPFR CRT-O MERLIN PKG SUP-PM3262CELL CDM 275 RC inpatient 10355 10355 HC Rad Therapy Breast Cancer Rad Onc Model 90 Day Episode Tc PX-333M10810 CDM 333 RC outpatient 10316.98 1316.98 5055.32 percent of total billed charges 10316.98 other OPPS APC 7634.57 percent of total billed charges 10316.98 other OPPS APC 10316.98 other OPPS APC 5055.32 percent of total billed charges 5261.66 percent of total billed charges 1316.98 other OPPS APC 1316.98 10316.98 HC Rad Therapy Breast Cancer Rad Onc Model 90 Day Episode Tc PX-333M10810 CDM 333 RC inpatient 10316.98 10316.98 STD LT DIST FEM 65MM GMRS SUP-97-05302 CDM 278 RC outpatient 10295.2 1295.21 10295.2 fee schedule 10295.2 other OPPS APC 5868.26 percent of total billed charges 10295.2 other OPPS APC 10295.2 other OPPS APC 5044.65 percent of total billed charges 5250.55 percent of total billed charges 1295.21 other OPPS APC 1295.21 10295.2 STD LT DIST FEM 65MM GMRS SUP-97-05302 CDM 278 RC inpatient 10295.2 10295.2 PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H47 MM 12 ML 24.5 GM ATRIUM VENTRICLE 2 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR DR SUP-K173 CDM 270 RC outpatient 10288 1288 2787.02 percent of total billed charges 10288 other OPPS APC 7613.12 percent of total billed charges 10288 other OPPS APC 10288 other OPPS APC 2787.02 percent of total billed charges 2842.57 percent of total billed charges 1288 other OPPS APC 1288 10288 PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H47 MM 12 ML 24.5 GM ATRIUM VENTRICLE 2 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR DR SUP-K173 CDM 270 RC inpatient 10288 10288 RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS 636000000 CDM 76125-150-10 NDC 90377 HCPCS inpatient 10209.73 10209.73 RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS 636000000 CDM 76125-150-10 NDC 90377 HCPCS outpatient 10209.73 10209.73 other OPPS APC STRUT SPINAL CENTERPIECE L19 MM X W19 MM T2 ALTITUDE 19A SUP-9391919 CDM 270010020 LOCAL 270 RC outpatient 10200 12 2763.18 percent of total billed charges 10200 other OPPS APC 7548 percent of total billed charges 10200 other OPPS APC 10200 other OPPS APC 2763.18 percent of total billed charges 2818.26 percent of total billed charges 12 other OPPS APC 12 10200 STRUT SPINAL CENTERPIECE L19 MM X W19 MM T2 ALTITUDE 19A SUP-9391919 CDM 270010020 LOCAL 270 RC inpatient 10200 10200 TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL 636000000 CDM 0069-0305-01 NDC Q5116 HCPCS inpatient 10173.25 10173.25 TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL 636000000 CDM 0069-0306-01 NDC Q5116 HCPCS inpatient 10173.25 10173.25 TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL 636000000 CDM 0069-0305-01 NDC Q5116 HCPCS outpatient 10173.25 13.6 13.6 other OPPS APC 13.6 13.6 TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL 636000000 CDM 0069-0306-01 NDC Q5116 HCPCS outpatient 10173.25 13.6 13.6 other OPPS APC 13.6 13.6 GRAFT CARDIOVASCULAR DISTAFLO 80CM 8MM STERILE ARTERIAL BYPASS CUFF HYPERPLASIA HIGH SUP-DF8008SC CDM 270 RC outpatient 10168 1168 2754.51 percent of total billed charges 10168 other OPPS APC 7524.32 percent of total billed charges 10168 other OPPS APC 10168 other OPPS APC 2754.51 percent of total billed charges 2809.42 percent of total billed charges 1168 other OPPS APC 1168 10168 GRAFT CARDIOVASCULAR DISTAFLO 80CM 8MM STERILE ARTERIAL BYPASS CUFF HYPERPLASIA HIGH SUP-DF8008SC CDM 270 RC inpatient 10168 10168 PARTICLES EMBOLIZATION TRUFILL NBCA 1 GM KIT LIQUID SYSTEM SUP-631500 CDM 270 RC outpatient 10166.72 1166.72 2754.16 percent of total billed charges 10166.72 other OPPS APC 7523.37 percent of total billed charges 10166.72 other OPPS APC 10166.72 other OPPS APC 2754.16 percent of total billed charges 2809.06 percent of total billed charges 1166.72 other OPPS APC 1166.72 10166.72 PARTICLES EMBOLIZATION TRUFILL NBCA 1 GM KIT LIQUID SYSTEM SUP-631500 CDM 270 RC inpatient 10166.72 10166.72 PACEMAKER - BI V- EDORA CR-T SUP-99-04355 CDM inpatient 10165 10165 PACEMAKER - BI V- EDORA CR-T SUP-99-04355 CDM outpatient 10165 1165 10165 percent of total billed charges 10165 other OPPS APC 10165 fee schedule 10165 other OPPS APC 10165 other OPPS APC 10165 case rate 10165 case rate 1165 other OPPS APC 1165 10165 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L190 MM OD15 MM HIP DISTAL FILL STERILE SUP-01.00101.915 CDM 270010024 LOCAL 270 RC outpatient 10152 1152 2750.18 percent of total billed charges 10152 other OPPS APC 7512.48 percent of total billed charges 10152 other OPPS APC 10152 other OPPS APC 2750.18 percent of total billed charges 2805 percent of total billed charges 1152 other OPPS APC 1152 10152 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L190 MM OD15 MM HIP DISTAL FILL STERILE SUP-01.00101.915 CDM 270010024 LOCAL 270 RC inpatient 10152 10152 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L225 MM OD17 MM HIP DISTAL FILL STERILE SUP-01.00102.217 CDM 270010024 LOCAL 270 RC outpatient 10152 1152 2750.18 percent of total billed charges 10152 other OPPS APC 7512.48 percent of total billed charges 10152 other OPPS APC 10152 other OPPS APC 2750.18 percent of total billed charges 2805 percent of total billed charges 1152 other OPPS APC 1152 10152 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L225 MM OD17 MM HIP DISTAL FILL STERILE SUP-01.00102.217 CDM 270010024 LOCAL 270 RC inpatient 10152 10152 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD14 MM HIP DISTAL FILL STERILE SUP-0100102614 CDM 270010024 LOCAL 270 RC outpatient 10152 1152 2750.18 percent of total billed charges 10152 other OPPS APC 7512.48 percent of total billed charges 10152 other OPPS APC 10152 other OPPS APC 2750.18 percent of total billed charges 2805 percent of total billed charges 1152 other OPPS APC 1152 10152 STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD14 MM HIP DISTAL FILL STERILE SUP-0100102614 CDM 270010024 LOCAL 270 RC inpatient 10152 10152 HC Rad Therapy Brain Metastases Rad Onc Model 90 Day Episode Tc PX-333M10790 CDM 333 RC outpatient 10127.96 1127.96 4962.7 percent of total billed charges 10127.96 other OPPS APC 7494.69 percent of total billed charges 10127.96 other OPPS APC 10127.96 other OPPS APC 4962.7 percent of total billed charges 5165.26 percent of total billed charges 1127.96 other OPPS APC 1127.96 10127.96 HC Rad Therapy Brain Metastases Rad Onc Model 90 Day Episode Tc PX-333M10790 CDM 333 RC inpatient 10127.96 10127.96 FEMUR SIZE 4 NMC SUP-97-01176 CDM 278 RC outpatient 10126 1126 10126 fee schedule 10126 other OPPS APC 5771.82 percent of total billed charges 10126 other OPPS APC 10126 other OPPS APC 4961.74 percent of total billed charges 5164.26 percent of total billed charges 1126 other OPPS APC 1126 10126 FEMUR SIZE 4 NMC SUP-97-01176 CDM 278 RC inpatient 10126 10126 FEMUR SIZE 5 NMC SUP-97-02713 CDM 278 RC outpatient 10126 1126 10126 fee schedule 10126 other OPPS APC 5771.82 percent of total billed charges 10126 other OPPS APC 10126 other OPPS APC 4961.74 percent of total billed charges 5164.26 percent of total billed charges 1126 other OPPS APC 1126 10126 FEMUR SIZE 5 NMC SUP-97-02713 CDM 278 RC inpatient 10126 10126 TIBIAL BASE ATTUNE REVISION SIZE 9 CEMENTED SUP-1506-60-009 CDM 270010024 LOCAL 270 RC outpatient 10089 189 2733.11 percent of total billed charges 10089 other OPPS APC 7465.86 percent of total billed charges 10089 other OPPS APC 10089 other OPPS APC 2733.11 percent of total billed charges 2787.59 percent of total billed charges 189 other OPPS APC 189 10089 TIBIAL BASE ATTUNE REVISION SIZE 9 CEMENTED SUP-1506-60-009 CDM 270010024 LOCAL 270 RC inpatient 10089 10089 TRI IS FEMUR SZ5 LEFT SUP-97-05571 CDM 278 RC outpatient 10086.4 186.4 10086.4 fee schedule 10086.4 other OPPS APC 5749.25 percent of total billed charges 10086.4 other OPPS APC 10086.4 other OPPS APC 4942.34 percent of total billed charges 5144.06 percent of total billed charges 186.4 other OPPS APC 186.4 10086.4 TRI IS FEMUR SZ5 LEFT SUP-97-05571 CDM 278 RC inpatient 10086.4 10086.4 FEMORAL COMPONENT TS SIZE 5 RIGHT SUP-97-05612 CDM 278 RC outpatient 10086.4 186.4 10086.4 fee schedule 10086.4 other OPPS APC 5749.25 percent of total billed charges 10086.4 other OPPS APC 10086.4 other OPPS APC 4942.34 percent of total billed charges 5144.06 percent of total billed charges 186.4 other OPPS APC 186.4 10086.4 FEMORAL COMPONENT TS SIZE 5 RIGHT SUP-97-05612 CDM 278 RC inpatient 10086.4 10086.4 FEMUR TRIATHLON TS SIZE 3 RIGHT SUP-97-05622 CDM inpatient 10086.4 10086.4 FEMUR TRIATHLON TS SIZE 3 RIGHT SUP-97-05622 CDM outpatient 10086.4 186.4 10086.4 percent of total billed charges 10086.4 other OPPS APC 10086.4 fee schedule 10086.4 other OPPS APC 10086.4 other OPPS APC 10086.4 case rate 10086.4 case rate 186.4 other OPPS APC 186.4 10086.4 TRI TS FEMUR SIZE 4 LEFT SUP-97-06129 CDM 278 RC outpatient 10086.4 186.4 10086.4 fee schedule 10086.4 other OPPS APC 5749.25 percent of total billed charges 10086.4 other OPPS APC 10086.4 other OPPS APC 4942.34 percent of total billed charges 5144.06 percent of total billed charges 186.4 other OPPS APC 186.4 10086.4 TRI TS FEMUR SIZE 4 LEFT SUP-97-06129 CDM 278 RC inpatient 10086.4 10086.4 VALVE MITRAL MASTERS-SERIES PYROLYTIC CARBON 85 D STANDARD OD25 MM ID20.4 MM MECHANICAL CUFF ROTATABLE SUP-25MJ-501 CDM 270 RC outpatient 10074 174 2729.05 percent of total billed charges 10074 other OPPS APC 7454.76 percent of total billed charges 10074 other OPPS APC 10074 other OPPS APC 2729.05 percent of total billed charges 2783.45 percent of total billed charges 174 other OPPS APC 174 10074 VALVE MITRAL MASTERS-SERIES PYROLYTIC CARBON 85 D STANDARD OD25 MM ID20.4 MM MECHANICAL CUFF ROTATABLE SUP-25MJ-501 CDM 270 RC inpatient 10074 10074 PACEMAKER ADVISA MRI DUAL CHAMBER SYSTEM SUP-ADVISAMRIPEEM-SYS CDM 275 RC outpatient 10070 17 4934.3 percent of total billed charges 10070 other OPPS APC 5739.9 percent of total billed charges 10070 other OPPS APC 10070 other OPPS APC 4934.3 percent of total billed charges 5135.7 percent of total billed charges 17 other OPPS APC 17 10070 PACEMAKER ADVISA MRI DUAL CHAMBER SYSTEM SUP-ADVISAMRIPEEM-SYS CDM 275 RC inpatient 10070 10070 HC Cc Pacemaker Insert Ventricular Lead PX-481332071 CDM 33207 CPT 481 RC outpatient 10030 1878.47 494.78 fee schedule 10878.47 other OPPS APC 7422.2 percent of total billed charges 10878.47 other OPPS APC 10878.47 other OPPS APC 468.9 fee schedule 5115.3 percent of total billed charges 1878.47 other OPPS APC 468.9 10878.47 HC Cc Pacemaker Insert Ventricular Lead PX-481332071 CDM 33207 CPT 481 RC inpatient 10030 10030 HC Cc Pacemaker Battery Change Dual PX-481332281 CDM 33228 CPT 481 RC outpatient 10030 1878.47 368.63 fee schedule 10878.47 other OPPS APC 7422.2 percent of total billed charges 10878.47 other OPPS APC 10878.47 other OPPS APC 347.69 fee schedule 5115.3 percent of total billed charges 1878.47 other OPPS APC 347.69 10878.47 HC Cc Pacemaker Battery Change Dual PX-481332281 CDM 33228 CPT 481 RC inpatient 10030 10030 SPACER SPINAL XPAND 0D SM 74-89X14X12MM TITANIUM CORPECTOMY SUP-116.114 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND 0D SM 74-89X14X12MM TITANIUM CORPECTOMY SUP-116.114 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL XPAND 15-18MM SUP-116.121 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND 15-18MM SUP-116.121 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL XPAND TITANIUM 0 D MEDIUM L24-28 MM X W23 MM X H21 MM SMOOTH SELF DISTRACTING SUP-116.205 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND TITANIUM 0 D MEDIUM L24-28 MM X W23 MM X H21 MM SMOOTH SELF DISTRACTING SUP-116.205 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL FORTIFY 0 D D12 MM W12 MM X H16 MM NONSTERILE LATEX FREE SUP-151.002 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL FORTIFY 0 D D12 MM W12 MM X H16 MM NONSTERILE LATEX FREE SUP-151.002 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL FORTIFY D12 MM W12 MM X H21 MM NONSTERILE LATEX FREE SUP-151.052 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL FORTIFY D12 MM W12 MM X H21 MM NONSTERILE LATEX FREE SUP-151.052 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL FORTIFY D12 MM W12 MM X H25 MM NONSTERILE LATEX FREE SUP-151.053 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL FORTIFY D12 MM W12 MM X H25 MM NONSTERILE LATEX FREE SUP-151.053 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL RISE 10 D LORDOTIC L22 MM X W10 MM X H8 MM NONSTERILE SUP-193.121 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL RISE 10 D LORDOTIC L22 MM X W10 MM X H8 MM NONSTERILE SUP-193.121 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL RISE 10 D LORDOTIC L26 MM X W10 MM X H8 MM NONSTERILE SUP-193.122 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL RISE 10 D LORDOTIC L26 MM X W10 MM X H8 MM NONSTERILE SUP-193.122 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL CALIBER L26 MM X W10 MM X H8-12 MM SUP-194.126 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL CALIBER L26 MM X W10 MM X H8-12 MM SUP-194.126 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL CALIBER 12 D LORDOTIC L22 MM X W10 MM X H9-13 MM SUP-194.610 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL CALIBER 12 D LORDOTIC L22 MM X W10 MM X H9-13 MM SUP-194.610 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 CAGE XPAND 20-22 MM SUP-316.101 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 CAGE XPAND 20-22 MM SUP-316.101 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL XPAND-R PEEK 3.5/3.5 D SMALL L20-22 MM X W15 MM X H13 MM INTERBODY FUSION RADIOLUCENT SMOOTH SELF DISTRACTING SUP-316.113 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND-R PEEK 3.5/3.5 D SMALL L20-22 MM X W15 MM X H13 MM INTERBODY FUSION RADIOLUCENT SMOOTH SELF DISTRACTING SUP-316.113 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL XPAND-R 3.5/3.5D SM 22-26X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY SUP-316.114 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND-R 3.5/3.5D SM 22-26X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY SUP-316.114 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL XPAND-R 3.5/3.5D SM 38-46X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY SUP-316.118 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL XPAND-R 3.5/3.5D SM 38-46X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY SUP-316.118 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 CAGE GLOBUS XPAND R 22-26MM 7 DEG SUP-316.131 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 CAGE GLOBUS XPAND R 22-26MM 7 DEG SUP-316.131 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 CAGE GLOBUS XPAND R 22-26MM 7 DEG SUP-316.132 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 CAGE GLOBUS XPAND R 22-26MM 7 DEG SUP-316.132 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 CAGE SPINAL TRITANIUM 6 D LORDOTIC L28 MM X W9 MM X H16 MM STERILE LATEX FREE PLIF SUP-48954106 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 CAGE SPINAL TRITANIUM 6 D LORDOTIC L28 MM X W9 MM X H16 MM STERILE LATEX FREE PLIF SUP-48954106 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 IMPLANT STRYKER POST LUMBAR CAGE 10MM X 28MMX6 DEG 11MM SUP-48955106 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT STRYKER POST LUMBAR CAGE 10MM X 28MMX6 DEG 11MM SUP-48955106 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL PROLIFT TITANIUM 7 D SMALL L28 MM X W12 MM X H8 MM EXPAND POST PACK STERILE LATEX FREE SUP-58-1228-0708D CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL PROLIFT TITANIUM 7 D SMALL L28 MM X W12 MM X H8 MM EXPAND POST PACK STERILE LATEX FREE SUP-58-1228-0708D CDM 270010020 LOCAL 270 RC inpatient 10000 10000 SPACER SPINAL PROLIFT TITANIUM 7 D LARGE L28 MM X W12 MM X H10 MM EXPAND POST PACK STERILE LATEX FREE SUP-58-1228-0710D CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 SPACER SPINAL PROLIFT TITANIUM 7 D LARGE L28 MM X W12 MM X H10 MM EXPAND POST PACK STERILE LATEX FREE SUP-58-1228-0710D CDM 270010020 LOCAL 270 RC inpatient 10000 10000 ZUK CEM UNI TIB & STD POLY SUP-97-01005 CDM 278 RC outpatient 10000 1 10000 fee schedule 10000 other OPPS APC 5700 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 4900 percent of total billed charges 5100 percent of total billed charges 1 other OPPS APC 1 10000 ZUK CEM UNI TIB & STD POLY SUP-97-01005 CDM 278 RC inpatient 10000 10000 IMPLANT COFLEX PARADIGM SPINE SIZE 8MM SUP-UQI00008 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT COFLEX PARADIGM SPINE SIZE 8MM SUP-UQI00008 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 IMPLANT SPINAL COFLEX TITANIUM 10 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE YELLOW SUP-UQI00010 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT SPINAL COFLEX TITANIUM 10 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE YELLOW SUP-UQI00010 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 IMPLANT COFLEX PARADIGM SPINE SIZE 12MM SUP-UQI00012 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT COFLEX PARADIGM SPINE SIZE 12MM SUP-UQI00012 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 IMPLANT SPINAL COFLEX TITANIUM 14 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE RED SUP-UQI00014 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT SPINAL COFLEX TITANIUM 14 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE RED SUP-UQI00014 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 IMPLANT SPINAL COFLEX TITANIUM 16 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE BLUE SUP-UQI00016 CDM 270010020 LOCAL 270 RC outpatient 10000 1 2709 percent of total billed charges 10000 other OPPS APC 7400 percent of total billed charges 10000 other OPPS APC 10000 other OPPS APC 2709 percent of total billed charges 2763 percent of total billed charges 1 other OPPS APC 1 10000 IMPLANT SPINAL COFLEX TITANIUM 16 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE BLUE SUP-UQI00016 CDM 270010020 LOCAL 270 RC inpatient 10000 10000 HC Cc Temporary Pacemaker Insertion PX-481332101 CDM 33210 CPT 481 RC outpatient 9994 9994 180.84 fee schedule 9994 other OPPS APC 7395.56 percent of total billed charges 9994 other OPPS APC 9994 other OPPS APC 157.05 fee schedule 5096.94 percent of total billed charges 9994 other OPPS APC 157.05 9994 HC Cc Temporary Pacemaker Insertion PX-481332101 CDM 33210 CPT 481 RC inpatient 9994 9994 TIGHTROPE XP BUTTRESS PLATE SUP-97-05311 CDM 278 RC outpatient 9987.5 9987.5 9987.5 fee schedule 9987.5 other OPPS APC 5692.88 percent of total billed charges 9987.5 other OPPS APC 9987.5 other OPPS APC 4893.88 percent of total billed charges 5093.63 percent of total billed charges 9987.5 other OPPS APC 4893.88 9987.5 TIGHTROPE XP BUTTRESS PLATE SUP-97-05311 CDM 278 RC inpatient 9987.5 9987.5 ARTHROFLEX 301 SUP-97-03534 CDM 636 RC inpatient 9965 9965 ARTHROFLEX 301 SUP-97-03534 CDM 636 RC outpatient 9965 9965 fee schedule other OPPS APC 7374.1 percent of total billed charges other OPPS APC other OPPS APC 4882.85 percent of total billed charges 2477.3 percent of total billed charges other OPPS APC 7374.1 7374.1 DEVICE CARDIAC ASSERT-IQ THK 4.4MM EL + L 9.4MM X H 49MM ICM SUP-DM5500 CDM 270 RC outpatient 9960 996 2698.16 percent of total billed charges 9960 other OPPS APC 7370.4 percent of total billed charges 9960 other OPPS APC 9960 other OPPS APC 2698.16 percent of total billed charges 2751.95 percent of total billed charges 996 other OPPS APC 996 9960 DEVICE CARDIAC ASSERT-IQ THK 4.4MM EL + L 9.4MM X H 49MM ICM SUP-DM5500 CDM 270 RC inpatient 9960 9960 GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY SUP-PLC121000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY SUP-PLC121000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PLC121200 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PLC121200 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PLC14100 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PLC14100 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT ENDOVASCULAR EXCLUDER 14.5MMX10CM SUP-PLC141000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR EXCLUDER 14.5MMX10CM SUP-PLC141000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PLC141200 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PLC141200 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 IMPLANT GORE EXCLUDER 16MM X 9.5 CM SUP-PLC161000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 IMPLANT GORE EXCLUDER 16MM X 9.5 CM SUP-PLC161000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181200 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181200 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L11.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA SUP-PLC201200 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L11.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA SUP-PLC201200 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG PROSTHESIS SUP-PLC231000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG PROSTHESIS SUP-PLC231000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 IMPLANT GORE EXCLUDER 27MM X 10 CM SUP-PLC271000 CDM 270010015 LOCAL 270 RC outpatient 9956 9956 2697.08 percent of total billed charges 9956 other OPPS APC 7367.44 percent of total billed charges 9956 other OPPS APC 9956 other OPPS APC 2697.08 percent of total billed charges 2750.84 percent of total billed charges 9956 other OPPS APC 2697.08 9956 IMPLANT GORE EXCLUDER 27MM X 10 CM SUP-PLC271000 CDM 270010015 LOCAL 270 RC inpatient 9956 9956 GRAFT STENT ENDURANT POLYESTER NITINOL L174 MM L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1610C124E CDM 270010015 LOCAL 270 RC outpatient 9950 995 2695.46 percent of total billed charges 9950 other OPPS APC 7363 percent of total billed charges 9950 other OPPS APC 9950 other OPPS APC 2695.46 percent of total billed charges 2749.19 percent of total billed charges 995 other OPPS APC 995 9950 GRAFT STENT ENDURANT POLYESTER NITINOL L174 MM L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1610C124E CDM 270010015 LOCAL 270 RC inpatient 9950 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C124E CDM 270010015 LOCAL 270 RC outpatient 9950 995 2695.46 percent of total billed charges 9950 other OPPS APC 7363 percent of total billed charges 9950 other OPPS APC 9950 other OPPS APC 2695.46 percent of total billed charges 2749.19 percent of total billed charges 995 other OPPS APC 995 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C124E CDM 270010015 LOCAL 270 RC inpatient 9950 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C124E CDM 270010015 LOCAL 270 RC outpatient 9950 995 2695.46 percent of total billed charges 9950 other OPPS APC 7363 percent of total billed charges 9950 other OPPS APC 9950 other OPPS APC 2695.46 percent of total billed charges 2749.19 percent of total billed charges 995 other OPPS APC 995 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C124E CDM 270010015 LOCAL 270 RC inpatient 9950 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C124E CDM 270010015 LOCAL 270 RC outpatient 9950 995 2695.46 percent of total billed charges 9950 other OPPS APC 7363 percent of total billed charges 9950 other OPPS APC 9950 other OPPS APC 2695.46 percent of total billed charges 2749.19 percent of total billed charges 995 other OPPS APC 995 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C124E CDM 270010015 LOCAL 270 RC inpatient 9950 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C124E CDM 270010015 LOCAL 270 RC outpatient 9950 995 2695.46 percent of total billed charges 9950 other OPPS APC 7363 percent of total billed charges 9950 other OPPS APC 9950 other OPPS APC 2695.46 percent of total billed charges 2749.19 percent of total billed charges 995 other OPPS APC 995 9950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C124E CDM 270010015 LOCAL 270 RC inpatient 9950 9950 CLEARVISION II LENS IRRIGATION SYS SET SUP-97-00912 CDM 272 RC outpatient 9948.76 9948.76 2695.12 percent of total billed charges 9948.76 other OPPS APC 7362.08 percent of total billed charges 9948.76 other OPPS APC 9948.76 other OPPS APC 2695.12 percent of total billed charges 2748.84 percent of total billed charges 9948.76 other OPPS APC 2695.12 9948.76 CLEARVISION II LENS IRRIGATION SYS SET SUP-97-00912 CDM 272 RC inpatient 9948.76 9948.76 CATHETER- SMARTTOUCH THERMOCOOL STSF D-F (BI) SUP-99-04754 CDM 278 RC outpatient 9947.5 9947.5 9947.5 fee schedule 9947.5 other OPPS APC 5670.08 percent of total billed charges 9947.5 other OPPS APC 9947.5 other OPPS APC 4874.28 percent of total billed charges 5073.23 percent of total billed charges 9947.5 other OPPS APC 4874.28 9947.5 CATHETER- SMARTTOUCH THERMOCOOL STSF D-F (BI) SUP-99-04754 CDM 278 RC inpatient 9947.5 9947.5 CONSTRAINED ACETABULAR INSERT SUP-97-01808 CDM 278 RC outpatient 9924.38 9924.38 9924.38 fee schedule 9924.38 other OPPS APC 5656.9 percent of total billed charges 9924.38 other OPPS APC 9924.38 other OPPS APC 4862.95 percent of total billed charges 5061.43 percent of total billed charges 9924.38 other OPPS APC 4862.95 9924.38 CONSTRAINED ACETABULAR INSERT SUP-97-01808 CDM 278 RC inpatient 9924.38 9924.38 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD11 MM HIP REDUCE SUP-S-2651-0711 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD11 MM HIP REDUCE SUP-S-2651-0711 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE SUP-S-2651-0713 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE SUP-S-2651-0713 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD12 MM HIP REDUCE SUP-S-2651-0812 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD12 MM HIP REDUCE SUP-S-2651-0812 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE SUP-S-2651-0814 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE SUP-S-2651-0814 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE SUP-S-2651-0913 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE SUP-S-2651-0913 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 STEM FEMORAL RESTORATION HA TITANIUM 9 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE NECK SUP-S-2651-0915 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 STEM FEMORAL RESTORATION HA TITANIUM 9 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE NECK SUP-S-2651-0915 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE SUP-S-2651-1014 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE SUP-S-2651-1014 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE SUP-S-2651-1016 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE SUP-S-2651-1016 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE SUP-S-2651-1115 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE SUP-S-2651-1115 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD17 MM HIP REDUCE SUP-S-2651-1117 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD17 MM HIP REDUCE SUP-S-2651-1117 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE SUP-S-2651-1216 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE SUP-S-2651-1216 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD18 MM HIP REDUCE SUP-S-2651-1218 CDM 270010024 LOCAL 270 RC outpatient 9894 9894 2680.28 percent of total billed charges 9894 other OPPS APC 7321.56 percent of total billed charges 9894 other OPPS APC 9894 other OPPS APC 2680.28 percent of total billed charges 2733.71 percent of total billed charges 9894 other OPPS APC 2680.28 9894 NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD18 MM HIP REDUCE SUP-S-2651-1218 CDM 270010024 LOCAL 270 RC inpatient 9894 9894 ARCOS 12X175MM BRCH BODY STD SUP-97-04946 CDM 278 RC outpatient 9890 989 9890 fee schedule 9890 other OPPS APC 5637.3 percent of total billed charges 9890 other OPPS APC 9890 other OPPS APC 4846.1 percent of total billed charges 5043.9 percent of total billed charges 989 other OPPS APC 989 9890 ARCOS 12X175MM BRCH BODY STD SUP-97-04946 CDM 278 RC inpatient 9890 9890 FEMORAL COMPONENT POSTERIOR SUP-97-00696 CDM 278 RC outpatient 9888.75 9888.75 9888.75 fee schedule 9888.75 other OPPS APC 5636.59 percent of total billed charges 9888.75 other OPPS APC 9888.75 other OPPS APC 4845.49 percent of total billed charges 5043.26 percent of total billed charges 9888.75 other OPPS APC 4845.49 9888.75 FEMORAL COMPONENT POSTERIOR SUP-97-00696 CDM 278 RC inpatient 9888.75 9888.75 GRAFT 7X7 EPIXL SUP-97-02410 CDM 636 RC outpatient 9870 987 4836.3 percent of total billed charges 9870 other OPPS APC 178.33 fee schedule 9870 other OPPS APC 9870 other OPPS APC 4836.3 percent of total billed charges 2453.68 percent of total billed charges 987 other OPPS APC 178.33 9870 GRAFT 7X7 EPIXL SUP-97-02410 CDM 636 RC inpatient 9870 9870 STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM RIGHT SHOULDER FRACTURE SUP-304-24-07 CDM 270010030 LOCAL 270 RC outpatient 9860 986 2671.07 percent of total billed charges 9860 other OPPS APC 7296.4 percent of total billed charges 9860 other OPPS APC 9860 other OPPS APC 2671.07 percent of total billed charges 2724.32 percent of total billed charges 986 other OPPS APC 986 9860 STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM RIGHT SHOULDER FRACTURE SUP-304-24-07 CDM 270010030 LOCAL 270 RC inpatient 9860 9860 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C93E CDM 270010015 LOCAL 270 RC outpatient 9850 985 2668.37 percent of total billed charges 9850 other OPPS APC 7289 percent of total billed charges 9850 other OPPS APC 9850 other OPPS APC 2668.37 percent of total billed charges 2721.56 percent of total billed charges 985 other OPPS APC 985 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C93E CDM 270010015 LOCAL 270 RC inpatient 9850 9850 GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16-13MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE SUP-ETLW1613C93E CDM 270010015 LOCAL 270 RC outpatient 9850 985 2668.37 percent of total billed charges 9850 other OPPS APC 7289 percent of total billed charges 9850 other OPPS APC 9850 other OPPS APC 2668.37 percent of total billed charges 2721.56 percent of total billed charges 985 other OPPS APC 985 9850 GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16-13MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE SUP-ETLW1613C93E CDM 270010015 LOCAL 270 RC inpatient 9850 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C124E CDM 270010015 LOCAL 270 RC outpatient 9850 985 2668.37 percent of total billed charges 9850 other OPPS APC 7289 percent of total billed charges 9850 other OPPS APC 9850 other OPPS APC 2668.37 percent of total billed charges 2721.56 percent of total billed charges 985 other OPPS APC 985 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C124E CDM 270010015 LOCAL 270 RC inpatient 9850 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C93E CDM 270010015 LOCAL 270 RC outpatient 9850 985 2668.37 percent of total billed charges 9850 other OPPS APC 7289 percent of total billed charges 9850 other OPPS APC 9850 other OPPS APC 2668.37 percent of total billed charges 2721.56 percent of total billed charges 985 other OPPS APC 985 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C93E CDM 270010015 LOCAL 270 RC inpatient 9850 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C93E CDM 270010015 LOCAL 270 RC outpatient 9850 985 2668.37 percent of total billed charges 9850 other OPPS APC 7289 percent of total billed charges 9850 other OPPS APC 9850 other OPPS APC 2668.37 percent of total billed charges 2721.56 percent of total billed charges 985 other OPPS APC 985 9850 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1624C93E CDM 270010015 LOCAL 270 RC inpatient 9850 9850 STEM FEMORAL OMNIFIT 5 LONG L250 MM DISTAL NECK CEMENTED REVISION SUP-6088-0525-250R CDM 270010024 LOCAL 270 RC outpatient 9838 9838 2665.11 percent of total billed charges 9838 other OPPS APC 7280.12 percent of total billed charges 9838 other OPPS APC 9838 other OPPS APC 2665.11 percent of total billed charges 2718.24 percent of total billed charges 9838 other OPPS APC 2665.11 9838 STEM FEMORAL OMNIFIT 5 LONG L250 MM DISTAL NECK CEMENTED REVISION SUP-6088-0525-250R CDM 270010024 LOCAL 270 RC inpatient 9838 9838 OXINIUM FEM HD 12/14 36MM+0 SUP-97-01455 CDM 278 RC outpatient 9825 9825 9825 fee schedule 9825 other OPPS APC 5600.25 percent of total billed charges 9825 other OPPS APC 9825 other OPPS APC 4814.25 percent of total billed charges 5010.75 percent of total billed charges 9825 other OPPS APC 4814.25 9825 OXINIUM FEM HD 12/14 36MM+0 SUP-97-01455 CDM 278 RC inpatient 9825 9825 CONE COUPLED 7D SZ2 5MM 31X31 LCCK SUP-00-5446-052-21 CDM 270010024 LOCAL 270 RC outpatient 9820.8 982.8 2660.45 percent of total billed charges 9820.8 other OPPS APC 7267.39 percent of total billed charges 9820.8 other OPPS APC 9820.8 other OPPS APC 2660.45 percent of total billed charges 2713.49 percent of total billed charges 982.8 other OPPS APC 982.8 9820.8 CONE COUPLED 7D SZ2 5MM 31X31 LCCK SUP-00-5446-052-21 CDM 270010024 LOCAL 270 RC inpatient 9820.8 9820.8 IMPLANT LCCK 0D SIZE 4 5MM SUP-00-5447-054-31 CDM 270010025 LOCAL 270 RC outpatient 9820 982 2660.24 percent of total billed charges 9820 other OPPS APC 7266.8 percent of total billed charges 9820 other OPPS APC 9820 other OPPS APC 2660.24 percent of total billed charges 2713.27 percent of total billed charges 982 other OPPS APC 982 9820 IMPLANT LCCK 0D SIZE 4 5MM SUP-00-5447-054-31 CDM 270010025 LOCAL 270 RC inpatient 9820 9820 NEXGEN LCCK SIZE 4 5MM SUP-00-5447-054-36 CDM 270010025 LOCAL 270 RC outpatient 9820 982 2660.24 percent of total billed charges 9820 other OPPS APC 7266.8 percent of total billed charges 9820 other OPPS APC 9820 other OPPS APC 2660.24 percent of total billed charges 2713.27 percent of total billed charges 982 other OPPS APC 982 9820 NEXGEN LCCK SIZE 4 5MM SUP-00-5447-054-36 CDM 270010025 LOCAL 270 RC inpatient 9820 9820 INSERT LCCK SIZE 6 5 MM SUP-00-5447-056-46 CDM 270010025 LOCAL 270 RC outpatient 9820 982 2660.24 percent of total billed charges 9820 other OPPS APC 7266.8 percent of total billed charges 9820 other OPPS APC 9820 other OPPS APC 2660.24 percent of total billed charges 2713.27 percent of total billed charges 982 other OPPS APC 982 9820 INSERT LCCK SIZE 6 5 MM SUP-00-5447-056-46 CDM 270010025 LOCAL 270 RC inpatient 9820 9820 EXCLUDER CONFORM EXTENDER AAA SUP-CXA2000005 CDM 270 RC outpatient 9808 988 2656.99 percent of total billed charges 9808 other OPPS APC 7257.92 percent of total billed charges 9808 other OPPS APC 9808 other OPPS APC 2656.99 percent of total billed charges 2709.95 percent of total billed charges 988 other OPPS APC 988 9808 EXCLUDER CONFORM EXTENDER AAA SUP-CXA2000005 CDM 270 RC inpatient 9808 9808 TOTAL KNEE SUP-97-00292 CDM 278 RC outpatient 9800 98 9800 fee schedule 9800 other OPPS APC 5586 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 4802 percent of total billed charges 4998 percent of total billed charges 98 other OPPS APC 98 9800 TOTAL KNEE SUP-97-00292 CDM 278 RC inpatient 9800 9800 TOTAL KNEE SUP-97-02649 CDM 278 RC outpatient 9800 98 9800 fee schedule 9800 other OPPS APC 5586 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 4802 percent of total billed charges 4998 percent of total billed charges 98 other OPPS APC 98 9800 TOTAL KNEE SUP-97-02649 CDM 278 RC inpatient 9800 9800 TOTAL SHOULDER SUP-97-03598 CDM 278 RC outpatient 9800 98 9800 fee schedule 9800 other OPPS APC 5586 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 4802 percent of total billed charges 4998 percent of total billed charges 98 other OPPS APC 98 9800 TOTAL SHOULDER SUP-97-03598 CDM 278 RC inpatient 9800 9800 VALVE AORTIC TRIFECTA GLIDE LINX BOVINE PERICARDIUM POLYESTER H15 MM H12 MM OD24 MM ODSEC19 MM FATIGUE RESISTANT LATEX FREE SUP-TFGT-19A CDM 270 RC outpatient 9800 98 2654.82 percent of total billed charges 9800 other OPPS APC 7252 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 2654.82 percent of total billed charges 2707.74 percent of total billed charges 98 other OPPS APC 98 9800 VALVE AORTIC TRIFECTA GLIDE LINX BOVINE PERICARDIUM POLYESTER H15 MM H12 MM OD24 MM ODSEC19 MM FATIGUE RESISTANT LATEX FREE SUP-TFGT-19A CDM 270 RC inpatient 9800 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H16 MM OD26 MM ODSEC21 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-21A CDM 270 RC outpatient 9800 98 2654.82 percent of total billed charges 9800 other OPPS APC 7252 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 2654.82 percent of total billed charges 2707.74 percent of total billed charges 98 other OPPS APC 98 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H16 MM OD26 MM ODSEC21 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-21A CDM 270 RC inpatient 9800 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC23 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-23A CDM 270 RC outpatient 9800 98 2654.82 percent of total billed charges 9800 other OPPS APC 7252 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 2654.82 percent of total billed charges 2707.74 percent of total billed charges 98 other OPPS APC 98 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC23 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-23A CDM 270 RC inpatient 9800 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC25 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-25A CDM 270 RC outpatient 9800 98 2654.82 percent of total billed charges 9800 other OPPS APC 7252 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 2654.82 percent of total billed charges 2707.74 percent of total billed charges 98 other OPPS APC 98 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC25 MM RADIOPAQUE SEWING CUFF LATEX FREE SUP-TFGT-25A CDM 270 RC inpatient 9800 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 15 MM H19 MM OD27 MM ODSEC33 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE SUP-TFGT-27A CDM 270 RC outpatient 9800 98 2654.82 percent of total billed charges 9800 other OPPS APC 7252 percent of total billed charges 9800 other OPPS APC 9800 other OPPS APC 2654.82 percent of total billed charges 2707.74 percent of total billed charges 98 other OPPS APC 98 9800 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 15 MM H19 MM OD27 MM ODSEC33 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE SUP-TFGT-27A CDM 270 RC inpatient 9800 9800 TIBIAL SYM CONE AUGMENT SIZE E SUP-97-05609 CDM 278 RC outpatient 9795 9795 9795 fee schedule 9795 other OPPS APC 5583.15 percent of total billed charges 9795 other OPPS APC 9795 other OPPS APC 4799.55 percent of total billed charges 4995.45 percent of total billed charges 9795 other OPPS APC 4799.55 9795 TIBIAL SYM CONE AUGMENT SIZE E SUP-97-05609 CDM 278 RC inpatient 9795 9795 NEXGEN LCCK FEMORAL SIZE G-LT SUP-97-05848 CDM 278 RC outpatient 9770.4 977.4 9770.4 fee schedule 9770.4 other OPPS APC 5569.13 percent of total billed charges 9770.4 other OPPS APC 9770.4 other OPPS APC 4787.5 percent of total billed charges 4982.9 percent of total billed charges 977.4 other OPPS APC 977.4 9770.4 NEXGEN LCCK FEMORAL SIZE G-LT SUP-97-05848 CDM 278 RC inpatient 9770.4 9770.4 HC IR Tib/per Initial Pta PX-361372281 CDM 37228 CPT 361 RC outpatient 9750 975 3079.05 percent of total billed charges 9750 other OPPS APC 9750 fee schedule 9750 other OPPS APC 9750 other OPPS APC 3079.05 percent of total billed charges 3140.48 percent of total billed charges 975 other OPPS APC 975 9750 HC IR Tib/per Initial Pta PX-361372281 CDM 37228 CPT 361 RC inpatient 9750 9750 HC Cc Coronary Stent Major Branch - Des PX-481C96001 CDM 481 RC outpatient 9750 1118.26 610.69 fee schedule 11180.26 other OPPS APC 1553.9 fee schedule 11180.26 other OPPS APC 11180.26 other OPPS APC 568.27 fee schedule 4972.5 percent of total billed charges 1118.26 other OPPS APC 568.27 11180.26 HC Cc Coronary Stent Major Branch - Des PX-481C96001 CDM 481 RC inpatient 9750 9750 HC Cc Coronary Bypass Graft Major Brnch-Des PX-481C96041 CDM 481 RC outpatient 9750 975 610.33 fee schedule 9750 other OPPS APC 1553.9 fee schedule 9750 other OPPS APC 9750 other OPPS APC 567.61 fee schedule 4972.5 percent of total billed charges 975 other OPPS APC 567.61 9750 HC Cc Coronary Bypass Graft Major Brnch-Des PX-481C96041 CDM 481 RC inpatient 9750 9750 PONTO PRO RIGHT SUP-97-00109 CDM 272 RC outpatient 9750 975 2641.28 percent of total billed charges 9750 other OPPS APC 7215 percent of total billed charges 9750 other OPPS APC 9750 other OPPS APC 2641.28 percent of total billed charges 2693.93 percent of total billed charges 975 other OPPS APC 975 9750 PONTO PRO RIGHT SUP-97-00109 CDM 272 RC inpatient 9750 9750 PONTO PRO LEFT SUP-97-00110 CDM 272 RC outpatient 9750 975 2641.28 percent of total billed charges 9750 other OPPS APC 7215 percent of total billed charges 9750 other OPPS APC 9750 other OPPS APC 2641.28 percent of total billed charges 2693.93 percent of total billed charges 975 other OPPS APC 975 9750 PONTO PRO LEFT SUP-97-00110 CDM 272 RC inpatient 9750 9750 TOTAL HIP METAL SUP-97-02650 CDM 278 RC outpatient 9750 975 9750 fee schedule 9750 other OPPS APC 5557.5 percent of total billed charges 9750 other OPPS APC 9750 other OPPS APC 4777.5 percent of total billed charges 4972.5 percent of total billed charges 975 other OPPS APC 975 9750 TOTAL HIP METAL SUP-97-02650 CDM 278 RC inpatient 9750 9750 SPACER OPAL 10MM X 28MM X 10MM SUP-013210 CDM 270010020 LOCAL 270 RC outpatient 9747.8 9747.8 2640.68 percent of total billed charges 9747.8 other OPPS APC 7213.37 percent of total billed charges 9747.8 other OPPS APC 9747.8 other OPPS APC 2640.68 percent of total billed charges 2693.32 percent of total billed charges 9747.8 other OPPS APC 2640.68 9747.8 SPACER OPAL 10MM X 28MM X 10MM SUP-013210 CDM 270010020 LOCAL 270 RC inpatient 9747.8 9747.8 SPACER OPAL 10MM X 28MM X 11MM SUP-013211 CDM 270010020 LOCAL 270 RC outpatient 9747.8 9747.8 2640.68 percent of total billed charges 9747.8 other OPPS APC 7213.37 percent of total billed charges 9747.8 other OPPS APC 9747.8 other OPPS APC 2640.68 percent of total billed charges 2693.32 percent of total billed charges 9747.8 other OPPS APC 2640.68 9747.8 SPACER OPAL 10MM X 28MM X 11MM SUP-013211 CDM 270010020 LOCAL 270 RC inpatient 9747.8 9747.8 SPACER OPAL 10MM X 28MM X 9MM SUP-01329 CDM 270010020 LOCAL 270 RC outpatient 9747.8 9747.8 2640.68 percent of total billed charges 9747.8 other OPPS APC 7213.37 percent of total billed charges 9747.8 other OPPS APC 9747.8 other OPPS APC 2640.68 percent of total billed charges 2693.32 percent of total billed charges 9747.8 other OPPS APC 2640.68 9747.8 SPACER OPAL 10MM X 28MM X 9MM SUP-01329 CDM 270010020 LOCAL 270 RC inpatient 9747.8 9747.8 FERRIC DERISOMALTOSE 100 MG IRON/ML SOLUTION 10 ML VIAL 636000000 CDM 73594-9310-1 NDC J1437 HCPCS inpatient 9740.3 9740.3 FERRIC DERISOMALTOSE 100 MG IRON/ML SOLUTION 10 ML VIAL 636000000 CDM 73594-9310-1 NDC J1437 HCPCS outpatient 9740.3 21.24 21.24 other OPPS APC 21.24 21.24 STIMULAN RAPID CURE SUP-97-04524 CDM 278 RC outpatient 9737.5 9737.5 9737.5 fee schedule 9737.5 other OPPS APC 5550.38 percent of total billed charges 9737.5 other OPPS APC 9737.5 other OPPS APC 4771.38 percent of total billed charges 4966.13 percent of total billed charges 9737.5 other OPPS APC 4771.38 9737.5 STIMULAN RAPID CURE SUP-97-04524 CDM 278 RC inpatient 9737.5 9737.5 STENT - COVERED - VIABAHN 6 X 150 SUP-99-01506 CDM 278 RC outpatient 9737.5 9737.5 9737.5 fee schedule 9737.5 other OPPS APC 5550.38 percent of total billed charges 9737.5 other OPPS APC 9737.5 other OPPS APC 4771.38 percent of total billed charges 4966.13 percent of total billed charges 9737.5 other OPPS APC 4771.38 9737.5 STENT - COVERED - VIABAHN 6 X 150 SUP-99-01506 CDM 278 RC inpatient 9737.5 9737.5 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W9 MM RADIOPAQUE NONSTERILE TLIF SUP-48392094 CDM 270010020 LOCAL 270 RC outpatient 9734.28 9734.29 2637.02 percent of total billed charges 9734.28 other OPPS APC 7203.37 percent of total billed charges 9734.28 other OPPS APC 9734.28 other OPPS APC 2637.02 percent of total billed charges 2689.58 percent of total billed charges 9734.29 other OPPS APC 2637.02 9734.29 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W9 MM RADIOPAQUE NONSTERILE TLIF SUP-48392094 CDM 270010020 LOCAL 270 RC inpatient 9734.28 9734.28 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W10 MM RADIOPAQUE NONSTERILE TLIF SUP-48392104 CDM 270010020 LOCAL 270 RC outpatient 9734.28 9734.29 2637.02 percent of total billed charges 9734.28 other OPPS APC 7203.37 percent of total billed charges 9734.28 other OPPS APC 9734.28 other OPPS APC 2637.02 percent of total billed charges 2689.58 percent of total billed charges 9734.29 other OPPS APC 2637.02 9734.29 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W10 MM RADIOPAQUE NONSTERILE TLIF SUP-48392104 CDM 270010020 LOCAL 270 RC inpatient 9734.28 9734.28 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H10 MM RADIOPAQUE NONSTERILE TLIF SUP-48393104 CDM 270010020 LOCAL 270 RC outpatient 9734.28 9734.29 2637.02 percent of total billed charges 9734.28 other OPPS APC 7203.37 percent of total billed charges 9734.28 other OPPS APC 9734.28 other OPPS APC 2637.02 percent of total billed charges 2689.58 percent of total billed charges 9734.29 other OPPS APC 2637.02 9734.29 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H10 MM RADIOPAQUE NONSTERILE TLIF SUP-48393104 CDM 270010020 LOCAL 270 RC inpatient 9734.28 9734.28 HOW ROT HNG KNEE FEM SM RT SUP-97-04713 CDM 278 RC outpatient 9730 973 9730 fee schedule 9730 other OPPS APC 5546.1 percent of total billed charges 9730 other OPPS APC 9730 other OPPS APC 4767.7 percent of total billed charges 4962.3 percent of total billed charges 973 other OPPS APC 973 9730 HOW ROT HNG KNEE FEM SM RT SUP-97-04713 CDM 278 RC inpatient 9730 9730 ARCOS 16X150MM SPL TPR DIST SUP-97-04025 CDM 278 RC outpatient 9718.75 9718.75 9718.75 fee schedule 9718.75 other OPPS APC 5539.69 percent of total billed charges 9718.75 other OPPS APC 9718.75 other OPPS APC 4762.19 percent of total billed charges 4956.56 percent of total billed charges 9718.75 other OPPS APC 4762.19 9718.75 ARCOS 16X150MM SPL TPR DIST SUP-97-04025 CDM 278 RC inpatient 9718.75 9718.75 ARCOS 17X150MM SPL TPR DIST SUP-97-04287 CDM 278 RC outpatient 9718.75 9718.75 9718.75 fee schedule 9718.75 other OPPS APC 5539.69 percent of total billed charges 9718.75 other OPPS APC 9718.75 other OPPS APC 4762.19 percent of total billed charges 4956.56 percent of total billed charges 9718.75 other OPPS APC 4762.19 9718.75 ARCOS 17X150MM SPL TPR DIST SUP-97-04287 CDM 278 RC inpatient 9718.75 9718.75 ENDOPROSTHESIS AAA SUP-PLC121400 CDM 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 ENDOPROSTHESIS AAA SUP-PLC121400 CDM 270 RC inpatient 9714 9714 GRAFT ENDOVASCULAR GORE EXCLUDER L14 CM OD14.5 MM ID12-13.5 MM CONTRALATERAL LEG AAA ACCEPTS 12 FR SHEATH SUP-PLC141400 CDM 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT ENDOVASCULAR GORE EXCLUDER L14 CM OD14.5 MM ID12-13.5 MM CONTRALATERAL LEG AAA ACCEPTS 12 FR SHEATH SUP-PLC141400 CDM 270 RC inpatient 9714 9714 IMPLANT GORE EXCLUDER 16MM X 11.5 CM SUP-PLC161200 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 IMPLANT GORE EXCLUDER 16MM X 11.5 CM SUP-PLC161200 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L13.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA SUP-PLC161400 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L13.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA SUP-PLC161400 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181400 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS-CONTRALATERAL LEG SUP-PLC181400 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 IMPLANT GORE EXCLUDER 20MM X 9.5 CM SUP-PLC201000 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 IMPLANT GORE EXCLUDER 20MM X 9.5 CM SUP-PLC201000 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 GRAFT ENDOVASCULAR GORE-TEX EXCLUDER NITINOL FEP L13.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG SINUSOIDAL STENT SEAL CUFF ABRASION RESISTANT AAA SUP-PLC201400 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT ENDOVASCULAR GORE-TEX EXCLUDER NITINOL FEP L13.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG SINUSOIDAL STENT SEAL CUFF ABRASION RESISTANT AAA SUP-PLC201400 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD27 MM SUP-PLC271200 CDM 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD27 MM SUP-PLC271200 CDM 270 RC inpatient 9714 9714 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS SUP-PLC271400 CDM 270010015 LOCAL 270 RC outpatient 9714 9714 2631.52 percent of total billed charges 9714 other OPPS APC 7188.36 percent of total billed charges 9714 other OPPS APC 9714 other OPPS APC 2631.52 percent of total billed charges 2683.98 percent of total billed charges 9714 other OPPS APC 2631.52 9714 GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS SUP-PLC271400 CDM 270010015 LOCAL 270 RC inpatient 9714 9714 HC IR Thrombectomy Arterial Initial PX-361371841 CDM 37184 CPT 361 RC outpatient 9700 97 3063.26 percent of total billed charges 9700 other OPPS APC 9700 fee schedule 9700 other OPPS APC 9700 other OPPS APC 3063.26 percent of total billed charges 3124.37 percent of total billed charges 97 other OPPS APC 97 9700 HC IR Thrombectomy Arterial Initial PX-361371841 CDM 37184 CPT 361 RC inpatient 9700 9700 HC Cc Coronary Stent Major Branch PX-481929281 CDM 92928 CPT 481 RC outpatient 9700 97 610.69 fee schedule 9700 other OPPS APC 1553.9 fee schedule 9700 other OPPS APC 9700 other OPPS APC 568.27 fee schedule 4947 percent of total billed charges 97 other OPPS APC 97 9700 HC Cc Coronary Stent Major Branch PX-481929281 CDM 92928 CPT 481 RC inpatient 9700 9700 GRAFT ENDURANT LIMB SHORT SUP-ENLW1612C82E CDM 270010015 LOCAL 270 RC outpatient 9700 97 2627.73 percent of total billed charges 9700 other OPPS APC 7178 percent of total billed charges 9700 other OPPS APC 9700 other OPPS APC 2627.73 percent of total billed charges 2680.11 percent of total billed charges 97 other OPPS APC 97 9700 GRAFT ENDURANT LIMB SHORT SUP-ENLW1612C82E CDM 270010015 LOCAL 270 RC inpatient 9700 9700 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD16/13 MM ODSEC14 FR ENDOVASCULAR SELF EXPAND CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1613C82E CDM 270010015 LOCAL 270 RC outpatient 9700 97 2627.73 percent of total billed charges 9700 other OPPS APC 7178 percent of total billed charges 9700 other OPPS APC 9700 other OPPS APC 2627.73 percent of total billed charges 2680.11 percent of total billed charges 97 other OPPS APC 97 9700 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD16/13 MM ODSEC14 FR ENDOVASCULAR SELF EXPAND CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1613C82E CDM 270010015 LOCAL 270 RC inpatient 9700 9700 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD28-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1628C82E CDM 270010015 LOCAL 270 RC outpatient 9700 97 2627.73 percent of total billed charges 9700 other OPPS APC 7178 percent of total billed charges 9700 other OPPS APC 9700 other OPPS APC 2627.73 percent of total billed charges 2680.11 percent of total billed charges 97 other OPPS APC 97 9700 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD28-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1628C82E CDM 270010015 LOCAL 270 RC inpatient 9700 9700 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C82E CDM 270010015 LOCAL 270 RC outpatient 9700 97 2627.73 percent of total billed charges 9700 other OPPS APC 7178 percent of total billed charges 9700 other OPPS APC 9700 other OPPS APC 2627.73 percent of total billed charges 2680.11 percent of total billed charges 97 other OPPS APC 97 9700 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1610C82E CDM 270010015 LOCAL 270 RC inpatient 9700 9700 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C82E CDM 270010015 LOCAL 270 RC outpatient 9700 97 2627.73 percent of total billed charges 9700 other OPPS APC 7178 percent of total billed charges 9700 other OPPS APC 9700 other OPPS APC 2627.73 percent of total billed charges 2680.11 percent of total billed charges 97 other OPPS APC 97 9700 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1613C82E CDM 270010015 LOCAL 270 RC inpatient 9700 9700 FEMUR SUP-97-00716 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR SUP-97-00716 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 5/LT SUP-97-01001 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 5/LT SUP-97-01001 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 3./RT SUP-97-01056 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 3./RT SUP-97-01056 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 4RT SUP-97-01121 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 4RT SUP-97-01121 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 2.5RT SUP-97-01124 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 2.5RT SUP-97-01124 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 2.5 LT SUP-97-01239 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 2.5 LT SUP-97-01239 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 3.5 LT SUP-97-01242 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 3.5 LT SUP-97-01242 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 4/LT SUP-97-01368 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 4/LT SUP-97-01368 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 6/LT SUP-97-01441 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 6/LT SUP-97-01441 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 2/LT SUP-97-02004 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 2/LT SUP-97-02004 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 5/LT SUP-97-02008 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 5/LT SUP-97-02008 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 5/LT SUP-97-02123 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 5/LT SUP-97-02123 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 3/LT SUP-97-02138 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 3/LT SUP-97-02138 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 2/RT SUP-97-02173 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 2/RT SUP-97-02173 CDM 278 RC inpatient 9665.23 9665.23 FEMUR PS 3.5/RT SUP-97-02193 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMUR PS 3.5/RT SUP-97-02193 CDM 278 RC inpatient 9665.23 9665.23 FEMORAL COMPONENT POSTERIOR SUP-97-02610 CDM 278 RC outpatient 9665.23 9665.23 9665.23 fee schedule 9665.23 other OPPS APC 5509.18 percent of total billed charges 9665.23 other OPPS APC 9665.23 other OPPS APC 4735.96 percent of total billed charges 4929.27 percent of total billed charges 9665.23 other OPPS APC 4735.96 9665.23 FEMORAL COMPONENT POSTERIOR SUP-97-02610 CDM 278 RC inpatient 9665.23 9665.23 PROXIMAL BODY 13MM SUP-97-06275 CDM 278 RC outpatient 9665 9665 9665 fee schedule 9665 other OPPS APC 5509.05 percent of total billed charges 9665 other OPPS APC 9665 other OPPS APC 4735.85 percent of total billed charges 4929.15 percent of total billed charges 9665 other OPPS APC 4735.85 9665 PROXIMAL BODY 13MM SUP-97-06275 CDM 278 RC inpatient 9665 9665 HC Cc Coronary Stent Addl Branch - Des PX-481C96011 CDM 481 RC outpatient 9658 9658 9658 fee schedule 9658 other OPPS APC 62.91 fee schedule 9658 other OPPS APC 9658 other OPPS APC 4732.42 percent of total billed charges 4925.58 percent of total billed charges 9658 other OPPS APC 62.91 9658 HC Cc Coronary Stent Addl Branch - Des PX-481C96011 CDM 481 RC inpatient 9658 9658 HC Cc Coronary Ather & Stent Addl Brnch-Des PX-481C96031 CDM 481 RC outpatient 9658 9658 9658 fee schedule 9658 other OPPS APC 19.22 fee schedule 9658 other OPPS APC 9658 other OPPS APC 4732.42 percent of total billed charges 4925.58 percent of total billed charges 9658 other OPPS APC 19.22 9658 HC Cc Coronary Ather & Stent Addl Brnch-Des PX-481C96031 CDM 481 RC inpatient 9658 9658 HC Cc Coronary Bypass Graft Addl Branch-Des PX-481C96051 CDM 481 RC outpatient 9658 9658 9658 fee schedule 9658 other OPPS APC 62.02 fee schedule 9658 other OPPS APC 9658 other OPPS APC 4732.42 percent of total billed charges 4925.58 percent of total billed charges 9658 other OPPS APC 62.02 9658 HC Cc Coronary Bypass Graft Addl Branch-Des PX-481C96051 CDM 481 RC inpatient 9658 9658 HC Cc Coronary Pci in Cto Addl Branch - Des PX-481C96081 CDM 481 RC outpatient 9658 9658 9658 fee schedule 9658 other OPPS APC 20.97 fee schedule 9658 other OPPS APC 9658 other OPPS APC 4732.42 percent of total billed charges 4925.58 percent of total billed charges 9658 other OPPS APC 20.97 9658 HC Cc Coronary Pci in Cto Addl Branch - Des PX-481C96081 CDM 481 RC inpatient 9658 9658 CATHETER - THROMBECTOMY ZELANTE DVT SUP-99-03162 CDM 272 RC outpatient 9630.5 963.5 2608.9 percent of total billed charges 9630.5 other OPPS APC 7126.57 percent of total billed charges 9630.5 other OPPS APC 9630.5 other OPPS APC 2608.9 percent of total billed charges 2660.91 percent of total billed charges 963.5 other OPPS APC 963.5 9630.5 CATHETER - THROMBECTOMY ZELANTE DVT SUP-99-03162 CDM 272 RC inpatient 9630.5 9630.5 IMPLANT 9MM W/ABUTMENT BILATERAL SUP-97-01824 CDM 278 RC inpatient 9625 9625 IMPLANT 9MM W/ABUTMENT BILATERAL SUP-97-01824 CDM 278 RC outpatient 9625 9625 fee schedule other OPPS APC 5486.25 percent of total billed charges other OPPS APC other OPPS APC 4716.25 percent of total billed charges 4908.75 percent of total billed charges other OPPS APC 5486.25 5486.25 CAGE SPINEWAVE STAXX 25X9X7 SUP-11-1525 CDM 270010020 LOCAL 270 RC outpatient 9600 96 2600.64 percent of total billed charges 9600 other OPPS APC 7104 percent of total billed charges 9600 other OPPS APC 9600 other OPPS APC 2600.64 percent of total billed charges 2652.48 percent of total billed charges 96 other OPPS APC 96 9600 CAGE SPINEWAVE STAXX 25X9X7 SUP-11-1525 CDM 270010020 LOCAL 270 RC inpatient 9600 9600 CAGE SPINEWAVE STAXX 25X9X7 SUP-11-1551 CDM 270010020 LOCAL 270 RC outpatient 9600 96 2600.64 percent of total billed charges 9600 other OPPS APC 7104 percent of total billed charges 9600 other OPPS APC 9600 other OPPS APC 2600.64 percent of total billed charges 2652.48 percent of total billed charges 96 other OPPS APC 96 9600 CAGE SPINEWAVE STAXX 25X9X7 SUP-11-1551 CDM 270010020 LOCAL 270 RC inpatient 9600 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L20 MM X W17 MM L5 MM SPINE KNIT STERILE SUP-330-2005 CDM 270 RC outpatient 9600 96 2600.64 percent of total billed charges 9600 other OPPS APC 7104 percent of total billed charges 9600 other OPPS APC 9600 other OPPS APC 2600.64 percent of total billed charges 2652.48 percent of total billed charges 96 other OPPS APC 96 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L20 MM X W17 MM L5 MM SPINE KNIT STERILE SUP-330-2005 CDM 270 RC inpatient 9600 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L22 MM X W19 MM L5 MM SPINE KNIT STERILE SUP-330-2205 CDM 270 RC outpatient 9600 96 2600.64 percent of total billed charges 9600 other OPPS APC 7104 percent of total billed charges 9600 other OPPS APC 9600 other OPPS APC 2600.64 percent of total billed charges 2652.48 percent of total billed charges 96 other OPPS APC 96 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L22 MM X W19 MM L5 MM SPINE KNIT STERILE SUP-330-2205 CDM 270 RC inpatient 9600 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L25 MM X W20 MM L5 MM SPINE KNIT STERILE SUP-330-2505 CDM 270010020 LOCAL 270 RC outpatient 9600 96 2600.64 percent of total billed charges 9600 other OPPS APC 7104 percent of total billed charges 9600 other OPPS APC 9600 other OPPS APC 2600.64 percent of total billed charges 2652.48 percent of total billed charges 96 other OPPS APC 96 9600 MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L25 MM X W20 MM L5 MM SPINE KNIT STERILE SUP-330-2505 CDM 270010020 LOCAL 270 RC inpatient 9600 9600 PURAPLYE AM-COM 6X9 SUP-95-02594 CDM 636 RC outpatient 9600 96 4704 percent of total billed charges 9600 other OPPS APC 124.93 fee schedule 9600 other OPPS APC 9600 other OPPS APC 4704 percent of total billed charges 2386.56 percent of total billed charges 96 other OPPS APC 96 9600 PURAPLYE AM-COM 6X9 SUP-95-02594 CDM 636 RC inpatient 9600 9600 SPACER SPINAL ENDOSKELETON TT 4 D D11 MM LARGE W30 MM X H12 MM INTERBODY FUSION DEVICE LORDOSIS SUP-4114-3012 CDM 270010020 LOCAL 270 RC outpatient 9594 9594 2599.01 percent of total billed charges 9594 other OPPS APC 7099.56 percent of total billed charges 9594 other OPPS APC 9594 other OPPS APC 2599.01 percent of total billed charges 2650.82 percent of total billed charges 9594 other OPPS APC 2599.01 9594 SPACER SPINAL ENDOSKELETON TT 4 D D11 MM LARGE W30 MM X H12 MM INTERBODY FUSION DEVICE LORDOSIS SUP-4114-3012 CDM 270010020 LOCAL 270 RC inpatient 9594 9594 GRAFT STENT FLUENCY PLUS EPTFE CARBON L60 MM L80 CM OD8 MM ODSEC9 FR ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE SUP-FEM08060 CDM 270 RC outpatient 9590 959 2597.93 percent of total billed charges 9590 other OPPS APC 7096.6 percent of total billed charges 9590 other OPPS APC 9590 other OPPS APC 2597.93 percent of total billed charges 2649.72 percent of total billed charges 959 other OPPS APC 959 9590 GRAFT STENT FLUENCY PLUS EPTFE CARBON L60 MM L80 CM OD8 MM ODSEC9 FR ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE SUP-FEM08060 CDM 270 RC inpatient 9590 9590 STEM FEMORAL M/L TCP HA 40 MM TAPER STRAIGHT EXTENDED OFFSET L107 MM OD4 MM HIP PRIMARY STERILE SUP-65-7711-004-40 CDM 270010024 LOCAL 270 RC outpatient 9588 9588 2597.39 percent of total billed charges 9588 other OPPS APC 7095.12 percent of total billed charges 9588 other OPPS APC 9588 other OPPS APC 2597.39 percent of total billed charges 2649.16 percent of total billed charges 9588 other OPPS APC 2597.39 9588 STEM FEMORAL M/L TCP HA 40 MM TAPER STRAIGHT EXTENDED OFFSET L107 MM OD4 MM HIP PRIMARY STERILE SUP-65-7711-004-40 CDM 270010024 LOCAL 270 RC inpatient 9588 9588 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLUTION 636000000 CDM 55513-730-01 NDC J0897 HCPCS inpatient 9583.3 9583.3 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLUTION 636000000 CDM 55513-730-01 NDC J0897 HCPCS outpatient 9583.3 26.83 26.83 other OPPS APC 26.83 26.83 NAIL 10MM/130 DEG TI CANN TFNA340MM RT SUP-97-03439 CDM 278 RC outpatient 9570 957 9570 fee schedule 9570 other OPPS APC 5454.9 percent of total billed charges 9570 other OPPS APC 9570 other OPPS APC 4689.3 percent of total billed charges 4880.7 percent of total billed charges 957 other OPPS APC 957 9570 NAIL 10MM/130 DEG TI CANN TFNA340MM RT SUP-97-03439 CDM 278 RC inpatient 9570 9570 CAP PRICING EXACTECH TOTAL SHOULDER WTIH REV STEM AT 40% SUP-REVSHOULD-EXACT CDM 270010030 LOCAL 270 RC outpatient 9568 9568 2591.97 percent of total billed charges 9568 other OPPS APC 7080.32 percent of total billed charges 9568 other OPPS APC 9568 other OPPS APC 2591.97 percent of total billed charges 2643.64 percent of total billed charges 9568 other OPPS APC 2591.97 9568 CAP PRICING EXACTECH TOTAL SHOULDER WTIH REV STEM AT 40% SUP-REVSHOULD-EXACT CDM 270010030 LOCAL 270 RC inpatient 9568 9568 DEVICE CARDIAC ASSERT-IQ THK 3.1MM 3+ L9.4 MM X H 46.5MM ICM SUP-DM5300 CDM 270 RC outpatient 9560 956 2589.8 percent of total billed charges 9560 other OPPS APC 7074.4 percent of total billed charges 9560 other OPPS APC 9560 other OPPS APC 2589.8 percent of total billed charges 2641.43 percent of total billed charges 956 other OPPS APC 956 9560 DEVICE CARDIAC ASSERT-IQ THK 3.1MM 3+ L9.4 MM X H 46.5MM ICM SUP-DM5300 CDM 270 RC inpatient 9560 9560 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD19 MM ID17.8 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-19AGFN-756 CDM 270 RC outpatient 9548 9548 2586.55 percent of total billed charges 9548 other OPPS APC 7065.52 percent of total billed charges 9548 other OPPS APC 9548 other OPPS APC 2586.55 percent of total billed charges 2638.11 percent of total billed charges 9548 other OPPS APC 2586.55 9548 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD19 MM ID17.8 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-19AGFN-756 CDM 270 RC inpatient 9548 9548 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD21 MM ID19.6 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-21AGFN-756 CDM 270 RC outpatient 9548 9548 2586.55 percent of total billed charges 9548 other OPPS APC 7065.52 percent of total billed charges 9548 other OPPS APC 9548 other OPPS APC 2586.55 percent of total billed charges 2638.11 percent of total billed charges 9548 other OPPS APC 2586.55 9548 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD21 MM ID19.6 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-21AGFN-756 CDM 270 RC inpatient 9548 9548 VALVE AORTIC REGENT FLEXCUFF 85 D OD27 MM ID24.9 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-27AGFN-756 CDM 270 RC outpatient 9548 9548 2586.55 percent of total billed charges 9548 other OPPS APC 7065.52 percent of total billed charges 9548 other OPPS APC 9548 other OPPS APC 2586.55 percent of total billed charges 2638.11 percent of total billed charges 9548 other OPPS APC 2586.55 9548 VALVE AORTIC REGENT FLEXCUFF 85 D OD27 MM ID24.9 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-27AGFN-756 CDM 270 RC inpatient 9548 9548 INFINITY ADAPTIS FLATCUT TALDOME SIZE 3 SUP-97-05967 CDM 278 RC outpatient 9540 954 9540 fee schedule 9540 other OPPS APC 5437.8 percent of total billed charges 9540 other OPPS APC 9540 other OPPS APC 4674.6 percent of total billed charges 4865.4 percent of total billed charges 954 other OPPS APC 954 9540 INFINITY ADAPTIS FLATCUT TALDOME SIZE 3 SUP-97-05967 CDM 278 RC inpatient 9540 9540 INFINITY ADAPTIS FLATCUT TALAR DOME SIZE 4 SUP-97-06253 CDM 278 RC outpatient 9540 954 9540 fee schedule 9540 other OPPS APC 5437.8 percent of total billed charges 9540 other OPPS APC 9540 other OPPS APC 4674.6 percent of total billed charges 4865.4 percent of total billed charges 954 other OPPS APC 954 9540 INFINITY ADAPTIS FLATCUT TALAR DOME SIZE 4 SUP-97-06253 CDM 278 RC inpatient 9540 9540 FEMUR SIZE 2 NMC SUP-97-01116 CDM 278 RC outpatient 9518.44 9518.45 9518.44 fee schedule 9518.44 other OPPS APC 5425.51 percent of total billed charges 9518.44 other OPPS APC 9518.44 other OPPS APC 4664.04 percent of total billed charges 4854.4 percent of total billed charges 9518.45 other OPPS APC 4664.04 9518.45 FEMUR SIZE 2 NMC SUP-97-01116 CDM 278 RC inpatient 9518.44 9518.44 FEMUR SIZE 3 NMC SUP-97-01635 CDM 278 RC outpatient 9518.44 9518.45 9518.44 fee schedule 9518.44 other OPPS APC 5425.51 percent of total billed charges 9518.44 other OPPS APC 9518.44 other OPPS APC 4664.04 percent of total billed charges 4854.4 percent of total billed charges 9518.45 other OPPS APC 4664.04 9518.45 FEMUR SIZE 3 NMC SUP-97-01635 CDM 278 RC inpatient 9518.44 9518.44 SURGIMEND PRS SUP-97-01995 CDM 278 RC outpatient 9511.25 9511.25 4660.51 percent of total billed charges 9511.25 other OPPS APC 5421.41 percent of total billed charges 9511.25 other OPPS APC 9511.25 other OPPS APC 4660.51 percent of total billed charges 4850.74 percent of total billed charges 9511.25 other OPPS APC 4660.51 9511.25 SURGIMEND PRS SUP-97-01995 CDM 278 RC inpatient 9511.25 9511.25 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L5 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB8105275 CDM 270 RC outpatient 9508 958 2575.72 percent of total billed charges 9508 other OPPS APC 7035.92 percent of total billed charges 9508 other OPPS APC 9508 other OPPS APC 2575.72 percent of total billed charges 2627.06 percent of total billed charges 958 other OPPS APC 958 9508 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L5 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB8105275 CDM 270 RC inpatient 9508 9508 ARTHROFLEX 201 SUP-97-04884 CDM 636 RC inpatient 9505 9505 ARTHROFLEX 201 SUP-97-04884 CDM 636 RC outpatient 9505 9505 fee schedule other OPPS APC 7033.7 percent of total billed charges other OPPS APC other OPPS APC 4657.45 percent of total billed charges 2362.94 percent of total billed charges other OPPS APC 7033.7 7033.7 LEAD PACING ENDOTAK RELIANCE SG STEROID ELUTING SILICONE EPTFE L59 CM ENDOCARDIUM 1 COIL ACTIVE FIXATION CARDIOVERTER DEFIBRILLATOR EXTENDABLE SUP-180 CDM 275001005 LOCAL 275 RC outpatient 9500 95 4655 percent of total billed charges 9500 other OPPS APC 5415 percent of total billed charges 9500 other OPPS APC 9500 other OPPS APC 4655 percent of total billed charges 4845 percent of total billed charges 95 other OPPS APC 95 9500 LEAD PACING ENDOTAK RELIANCE SG STEROID ELUTING SILICONE EPTFE L59 CM ENDOCARDIUM 1 COIL ACTIVE FIXATION CARDIOVERTER DEFIBRILLATOR EXTENDABLE SUP-180 CDM 275001005 LOCAL 275 RC inpatient 9500 9500 PONTO PRO LEFT BLACK SUP-97-00108 CDM 272 RC outpatient 9500 95 2573.55 percent of total billed charges 9500 other OPPS APC 7030 percent of total billed charges 9500 other OPPS APC 9500 other OPPS APC 2573.55 percent of total billed charges 2624.85 percent of total billed charges 95 other OPPS APC 95 9500 PONTO PRO LEFT BLACK SUP-97-00108 CDM 272 RC inpatient 9500 9500 UNIPOLAR/ BIPOLAR HIP SUP-97-02652 CDM 278 RC outpatient 9500 95 9500 fee schedule 9500 other OPPS APC 5415 percent of total billed charges 9500 other OPPS APC 9500 other OPPS APC 4655 percent of total billed charges 4845 percent of total billed charges 95 other OPPS APC 95 9500 UNIPOLAR/ BIPOLAR HIP SUP-97-02652 CDM 278 RC inpatient 9500 9500 ENDOANCHOR HELI-FX SUP-AS-85 CDM 270 RC outpatient 9500 95 2573.55 percent of total billed charges 9500 other OPPS APC 7030 percent of total billed charges 9500 other OPPS APC 9500 other OPPS APC 2573.55 percent of total billed charges 2624.85 percent of total billed charges 95 other OPPS APC 95 9500 ENDOANCHOR HELI-FX SUP-AS-85 CDM 270 RC inpatient 9500 9500 APPLIER INTERNAL CLIP APTUS ENDOSYSTEMS ENDOANCHORS HELI-FX L86 CM OD12 FR 10 CASSETTE BATTERY OPERATE VISUAL AUDIO FEEDBACK SUP-SA-85 CDM inpatient 9500 9500 APPLIER INTERNAL CLIP APTUS ENDOSYSTEMS ENDOANCHORS HELI-FX L86 CM OD12 FR 10 CASSETTE BATTERY OPERATE VISUAL AUDIO FEEDBACK SUP-SA-85 CDM outpatient 9500 95 9500 percent of total billed charges 9500 other OPPS APC 9500 fee schedule 9500 other OPPS APC 9500 other OPPS APC 9500 case rate 9500 case rate 95 other OPPS APC 95 9500 STEM FEMORAL M/L TIVANIUM TCP HA 38 MM TAPER STRAIGHT STANDARD OFFSET L117 MM OD9 MM HIP PRIMARY STERILE SUP-65771100900 CDM 270010024 LOCAL 270 RC outpatient 9492 9492 2571.38 percent of total billed charges 9492 other OPPS APC 7024.08 percent of total billed charges 9492 other OPPS APC 9492 other OPPS APC 2571.38 percent of total billed charges 2622.64 percent of total billed charges 9492 other OPPS APC 2571.38 9492 STEM FEMORAL M/L TIVANIUM TCP HA 38 MM TAPER STRAIGHT STANDARD OFFSET L117 MM OD9 MM HIP PRIMARY STERILE SUP-65771100900 CDM 270010024 LOCAL 270 RC inpatient 9492 9492 ATHERECTOMY - 1.25 CORONARY SUP-99-01921 CDM 272 RC outpatient 9487.5 9487.5 2570.16 percent of total billed charges 9487.5 other OPPS APC 7020.75 percent of total billed charges 9487.5 other OPPS APC 9487.5 other OPPS APC 2570.16 percent of total billed charges 2621.4 percent of total billed charges 9487.5 other OPPS APC 2570.16 9487.5 ATHERECTOMY - 1.25 CORONARY SUP-99-01921 CDM 272 RC inpatient 9487.5 9487.5 ATHERECTOMY - 1.25 SOLID CROWN 60CM SUP-99-01975 CDM 272 RC inpatient 9487.5 9487.5 ATHERECTOMY - 1.25 SOLID CROWN 60CM SUP-99-01975 CDM 272 RC outpatient 9487.5 9487.5 2570.16 percent of total billed charges other OPPS APC 7020.75 percent of total billed charges other OPPS APC other OPPS APC 2570.16 percent of total billed charges 2621.4 percent of total billed charges other OPPS APC 7020.75 7020.75 TRAY TIBIAL MBT 2.5MM 67.1X44.2X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-125 CDM 270010025 LOCAL 270 RC outpatient 9483.6 9483.64 2569.11 percent of total billed charges 9483.6 other OPPS APC 7017.86 percent of total billed charges 9483.6 other OPPS APC 9483.6 other OPPS APC 2569.11 percent of total billed charges 2620.32 percent of total billed charges 9483.64 other OPPS APC 2569.11 9483.64 TRAY TIBIAL MBT 2.5MM 67.1X44.2X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-125 CDM 270010025 LOCAL 270 RC inpatient 9483.6 9483.6 TRAY TIBIAL MBT 3MM 69.6X45.8X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-130 CDM 270010025 LOCAL 270 RC outpatient 9483.6 9483.64 2569.11 percent of total billed charges 9483.6 other OPPS APC 7017.86 percent of total billed charges 9483.6 other OPPS APC 9483.6 other OPPS APC 2569.11 percent of total billed charges 2620.32 percent of total billed charges 9483.64 other OPPS APC 2569.11 9483.64 TRAY TIBIAL MBT 3MM 69.6X45.8X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-130 CDM 270010025 LOCAL 270 RC inpatient 9483.6 9483.6 TRAY TIBIAL MBT 4MM 74.9X49.3X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-140 CDM 270010025 LOCAL 270 RC outpatient 9483.6 9483.64 2569.11 percent of total billed charges 9483.6 other OPPS APC 7017.86 percent of total billed charges 9483.6 other OPPS APC 9483.6 other OPPS APC 2569.11 percent of total billed charges 2620.32 percent of total billed charges 9483.64 other OPPS APC 2569.11 9483.64 TRAY TIBIAL MBT 4MM 74.9X49.3X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM SUP-1294-35-140 CDM 270010025 LOCAL 270 RC inpatient 9483.6 9483.6 PACEMAKER SINGLE CHAMBER ACCENT FR SR SYSTEM SUP-PM1210S CDM 270 RC outpatient 9442.8 9442.8 2558.05 percent of total billed charges 9442.8 other OPPS APC 6987.67 percent of total billed charges 9442.8 other OPPS APC 9442.8 other OPPS APC 2558.05 percent of total billed charges 2609.05 percent of total billed charges 9442.8 other OPPS APC 2558.05 9442.8 PACEMAKER SINGLE CHAMBER ACCENT FR SR SYSTEM SUP-PM1210S CDM 270 RC inpatient 9442.8 9442.8 STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL SUP-VBJR061502A CDM 270 RC outpatient 9434 9434 2555.67 percent of total billed charges 9434 other OPPS APC 6981.16 percent of total billed charges 9434 other OPPS APC 9434 other OPPS APC 2555.67 percent of total billed charges 2606.61 percent of total billed charges 9434 other OPPS APC 2555.67 9434 STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL SUP-VBJR061502A CDM 270 RC inpatient 9434 9434 STENT TRACHEOBRONCHIAL FLUENCY PLUS PUZZLE 40MM 80CM 8MM 9FR NITINOL EPTFE STERILE GRAFT RADIOPAQUE SELF EXPAND CATHETER SUP-FTM08040 CDM 270 RC outpatient 9428 9428 2554.05 percent of total billed charges 9428 other OPPS APC 6976.72 percent of total billed charges 9428 other OPPS APC 9428 other OPPS APC 2554.05 percent of total billed charges 2604.96 percent of total billed charges 9428 other OPPS APC 2554.05 9428 STENT TRACHEOBRONCHIAL FLUENCY PLUS PUZZLE 40MM 80CM 8MM 9FR NITINOL EPTFE STERILE GRAFT RADIOPAQUE SELF EXPAND CATHETER SUP-FTM08040 CDM 270 RC inpatient 9428 9428 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD23 MM ID21.4 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-23AGFN-756 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD23 MM ID21.4 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-23AGFN-756 CDM 270 RC inpatient 9400 9400 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD25 MM ID23 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-25AGFN-756 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD25 MM ID23 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN SUP-25AGFN-756 CDM 270 RC inpatient 9400 9400 IMPLANT VALVE HEART MITRAL MECHANICAL MASTER STANDARD CUFF ROTATABLE PTFE 29MM SUP-29MJ-501 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 IMPLANT VALVE HEART MITRAL MECHANICAL MASTER STANDARD CUFF ROTATABLE PTFE 29MM SUP-29MJ-501 CDM 270 RC inpatient 9400 9400 VALVE MITRAL MASTER-SERIES PYROLYTIC CARBON 85 D 5.18 SQ CM STANDARD OD31 MM ID26.1 MM HEART CUFF LEAFLET OPEN CONTROL TORQUE ROTATION MECHANISM SUP-31MJ-501 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 VALVE MITRAL MASTER-SERIES PYROLYTIC CARBON 85 D 5.18 SQ CM STANDARD OD31 MM ID26.1 MM HEART CUFF LEAFLET OPEN CONTROL TORQUE ROTATION MECHANISM SUP-31MJ-501 CDM 270 RC inpatient 9400 9400 VALVE MITRAL MASTERS-SERIES 85 D 5.18 SQ CM OD33 MM ID26.1 MM HEART MECHANICAL STANDARD CUFF STYLE PYROLYTIC CARBON LEAFLET OPEN ORIFICE RING CONTROLLED TORQUE ROTATION MECHANISM SUP-33MJ-501 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 VALVE MITRAL MASTERS-SERIES 85 D 5.18 SQ CM OD33 MM ID26.1 MM HEART MECHANICAL STANDARD CUFF STYLE PYROLYTIC CARBON LEAFLET OPEN ORIFICE RING CONTROLLED TORQUE ROTATION MECHANISM SUP-33MJ-501 CDM 270 RC inpatient 9400 9400 CATHETER - 2.5X12 SHOCKWAVE C2P IVL SUP-99-04815 CDM 272 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER - 2.5X12 SHOCKWAVE C2P IVL SUP-99-04815 CDM 272 RC inpatient 9400 9400 CATHETER - 3.0X12 SHOCKWAVE C2P IVL SUP-99-04816 CDM 272 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER - 3.0X12 SHOCKWAVE C2P IVL SUP-99-04816 CDM 272 RC inpatient 9400 9400 CATHETER - 3.5X12 SHOCKWAVE C2P IVL SUP-99-04817 CDM 272 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER - 3.5X12 SHOCKWAVE C2P IVL SUP-99-04817 CDM 272 RC inpatient 9400 9400 CATHETER - 4.0X12 SHOCKWAVE C2P IVL SUP-99-04818 CDM 272 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER - 4.0X12 SHOCKWAVE C2P IVL SUP-99-04818 CDM 272 RC inpatient 9400 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 2.5 X 12 MM SUP-C2IVL2512 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 2.5 X 12 MM SUP-C2IVL2512 CDM 270 RC inpatient 9400 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.0 X 12 MM SUP-C2IVL3012 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.0 X 12 MM SUP-C2IVL3012 CDM 270 RC inpatient 9400 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.5 X 12 MM SUP-C2IVL3512 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.5 X 12 MM SUP-C2IVL3512 CDM 270 RC inpatient 9400 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 4.0 X 12 MM SUP-C2IVL4012 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 4.0 X 12 MM SUP-C2IVL4012 CDM 270 RC inpatient 9400 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 2.5MM OD SEC .044 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL2512 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 2.5MM OD SEC .044 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL2512 CDM 270 RC inpatient 9400 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL3012 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL3012 CDM 270 RC inpatient 9400 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3.5MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL3512 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3.5MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL3512 CDM 270 RC inpatient 9400 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 4MM OD SEC .047 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL4012 CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 4MM OD SEC .047 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE SUP-C2PIVL4012 CDM 270 RC inpatient 9400 9400 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 16 MM H20 MM OD35 MM ODSEC29 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE SUP-TFGT-29A CDM 270 RC outpatient 9400 94 2546.46 percent of total billed charges 9400 other OPPS APC 6956 percent of total billed charges 9400 other OPPS APC 9400 other OPPS APC 2546.46 percent of total billed charges 2597.22 percent of total billed charges 94 other OPPS APC 94 9400 VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 16 MM H20 MM OD35 MM ODSEC29 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE SUP-TFGT-29A CDM 270 RC inpatient 9400 9400 CALCITONIN PER 400 UNITS 636000000 CDM 24201-400-02 NDC J0630 HCPCS inpatient 9393 9393 CALCITONIN PER 400 UNITS 636000000 CDM 24201-400-02 NDC J0630 HCPCS outpatient 9393 1173.68 1173.68 other OPPS APC 1173.68 1173.68 STENT - COVERED - VIABAHN 6 X 50 SUP-99-01530 CDM 278 RC outpatient 9392.5 9392.5 9392.5 fee schedule 9392.5 other OPPS APC 5353.73 percent of total billed charges 9392.5 other OPPS APC 9392.5 other OPPS APC 4602.33 percent of total billed charges 4790.18 percent of total billed charges 9392.5 other OPPS APC 4602.33 9392.5 STENT - COVERED - VIABAHN 6 X 50 SUP-99-01530 CDM 278 RC inpatient 9392.5 9392.5 STENT- COVERED VIABAHN 8 X 50 SUP-99-04701 CDM 278 RC outpatient 9392.5 9392.5 9392.5 fee schedule 9392.5 other OPPS APC 5353.73 percent of total billed charges 9392.5 other OPPS APC 9392.5 other OPPS APC 4602.33 percent of total billed charges 4790.18 percent of total billed charges 9392.5 other OPPS APC 4602.33 9392.5 STENT- COVERED VIABAHN 8 X 50 SUP-99-04701 CDM 278 RC inpatient 9392.5 9392.5 CAGE MEDTRONIC WAVE OBLIQUE 12 X 24MM 12DEG SUP-WO-11.24.12 CDM 270010020 LOCAL 270 RC outpatient 9358.8 9358.8 2535.3 percent of total billed charges 9358.8 other OPPS APC 6925.51 percent of total billed charges 9358.8 other OPPS APC 9358.8 other OPPS APC 2535.3 percent of total billed charges 2585.84 percent of total billed charges 9358.8 other OPPS APC 2535.3 9358.8 CAGE MEDTRONIC WAVE OBLIQUE 12 X 24MM 12DEG SUP-WO-11.24.12 CDM 270010020 LOCAL 270 RC inpatient 9358.8 9358.8 CAGE MEDTRONIC WAVE OBLIQUE 11 X 24MM 6DEG SUP-WO-11.24.6 CDM 270010020 LOCAL 270 RC outpatient 9358.8 9358.8 2535.3 percent of total billed charges 9358.8 other OPPS APC 6925.51 percent of total billed charges 9358.8 other OPPS APC 9358.8 other OPPS APC 2535.3 percent of total billed charges 2585.84 percent of total billed charges 9358.8 other OPPS APC 2535.3 9358.8 CAGE MEDTRONIC WAVE OBLIQUE 11 X 24MM 6DEG SUP-WO-11.24.6 CDM 270010020 LOCAL 270 RC inpatient 9358.8 9358.8 CAGE MEDTRONIC WAVE OBLIQUE 12 X 26MM 12DEG SUP-WO-12.26.12 CDM 270010020 LOCAL 270 RC outpatient 9358.8 9358.8 2535.3 percent of total billed charges 9358.8 other OPPS APC 6925.51 percent of total billed charges 9358.8 other OPPS APC 9358.8 other OPPS APC 2535.3 percent of total billed charges 2585.84 percent of total billed charges 9358.8 other OPPS APC 2535.3 9358.8 CAGE MEDTRONIC WAVE OBLIQUE 12 X 26MM 12DEG SUP-WO-12.26.12 CDM 270010020 LOCAL 270 RC inpatient 9358.8 9358.8 NAIL HUMERAL 7 X 220MM SUP-97-05946 CDM 278 RC outpatient 9355 9355 9355 fee schedule 9355 other OPPS APC 5332.35 percent of total billed charges 9355 other OPPS APC 9355 other OPPS APC 4583.95 percent of total billed charges 4771.05 percent of total billed charges 9355 other OPPS APC 4583.95 9355 NAIL HUMERAL 7 X 220MM SUP-97-05946 CDM 278 RC inpatient 9355 9355 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD36 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF3636C49E CDM 270010015 LOCAL 270 RC outpatient 9350 935 2532.92 percent of total billed charges 9350 other OPPS APC 6919 percent of total billed charges 9350 other OPPS APC 9350 other OPPS APC 2532.92 percent of total billed charges 2583.41 percent of total billed charges 935 other OPPS APC 935 9350 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD36 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF3636C49E CDM 270010015 LOCAL 270 RC inpatient 9350 9350 PROCESSOR SOUND PONTO PLUS LEFT DIAMOND BLACK SUP-M51700 CDM 270 RC outpatient 9350 935 2532.92 percent of total billed charges 9350 other OPPS APC 6919 percent of total billed charges 9350 other OPPS APC 9350 other OPPS APC 2532.92 percent of total billed charges 2583.41 percent of total billed charges 935 other OPPS APC 935 9350 PROCESSOR SOUND PONTO PLUS LEFT DIAMOND BLACK SUP-M51700 CDM 270 RC inpatient 9350 9350 PROCESSOR SOUND PONTO PLUS POWER RIGHT WHITE SILVER SUP-M51737 CDM 270 RC outpatient 9350 935 2532.92 percent of total billed charges 9350 other OPPS APC 6919 percent of total billed charges 9350 other OPPS APC 9350 other OPPS APC 2532.92 percent of total billed charges 2583.41 percent of total billed charges 935 other OPPS APC 935 9350 PROCESSOR SOUND PONTO PLUS POWER RIGHT WHITE SILVER SUP-M51737 CDM 270 RC inpatient 9350 9350 CAGE SPINAL COROENT XL 50X18X8MM NS LF SUP-7860850 CDM 270010020 LOCAL 270 RC outpatient 9348 9348 2532.37 percent of total billed charges 9348 other OPPS APC 6917.52 percent of total billed charges 9348 other OPPS APC 9348 other OPPS APC 2532.37 percent of total billed charges 2582.85 percent of total billed charges 9348 other OPPS APC 2532.37 9348 CAGE SPINAL COROENT XL 50X18X8MM NS LF SUP-7860850 CDM 270010020 LOCAL 270 RC inpatient 9348 9348 GRAFT SOFT TISSUE DENOVO CARTILAGE 110 MG ALLOGRAFT NATURAL SUP-00560600010 CDM 270 RC outpatient 9340 934 2530.21 percent of total billed charges 9340 other OPPS APC 6911.6 percent of total billed charges 9340 other OPPS APC 9340 other OPPS APC 2530.21 percent of total billed charges 2580.64 percent of total billed charges 934 other OPPS APC 934 9340 GRAFT SOFT TISSUE DENOVO CARTILAGE 110 MG ALLOGRAFT NATURAL SUP-00560600010 CDM 270 RC inpatient 9340 9340 GENOSPHERE +3 36MM CANNULATED COCR LATERALIZED SUP-97-06262 CDM 278 RC outpatient 9337.5 9337.5 9337.5 fee schedule 9337.5 other OPPS APC 5322.38 percent of total billed charges 9337.5 other OPPS APC 9337.5 other OPPS APC 4575.38 percent of total billed charges 4762.13 percent of total billed charges 9337.5 other OPPS APC 4575.38 9337.5 GENOSPHERE +3 36MM CANNULATED COCR LATERALIZED SUP-97-06262 CDM 278 RC inpatient 9337.5 9337.5 TRILOGY LONGEVITY CONSTRAINED 58X30 SUP-97-02964 CDM 278 RC outpatient 9328.13 9328.13 9328.13 fee schedule 9328.13 other OPPS APC 5317.03 percent of total billed charges 9328.13 other OPPS APC 9328.13 other OPPS APC 4570.78 percent of total billed charges 4757.35 percent of total billed charges 9328.13 other OPPS APC 4570.78 9328.13 TRILOGY LONGEVITY CONSTRAINED 58X30 SUP-97-02964 CDM 278 RC inpatient 9328.13 9328.13 PACEMAKER - GENERATOR A2DSR01 SUP-99-01701 CDM 275 RC inpatient 9310 9310 PACEMAKER - GENERATOR A2DSR01 SUP-99-01701 CDM 275 RC outpatient 9310 9310 fee schedule other OPPS APC 5306.7 percent of total billed charges other OPPS APC other OPPS APC 4561.9 percent of total billed charges 4748.1 percent of total billed charges other OPPS APC 5306.7 5306.7 PLATE BONE EVOS L 147MM 4 HOLE UTILITY STERILE LATEX FREE 3.5MM/4.5MM SCREW SUP-72581004 CDM 270 RC outpatient 9300 93 2519.37 percent of total billed charges 9300 other OPPS APC 6882 percent of total billed charges 9300 other OPPS APC 9300 other OPPS APC 2519.37 percent of total billed charges 2569.59 percent of total billed charges 93 other OPPS APC 93 9300 PLATE BONE EVOS L 147MM 4 HOLE UTILITY STERILE LATEX FREE 3.5MM/4.5MM SCREW SUP-72581004 CDM 270 RC inpatient 9300 9300 GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD10 MM ID14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING EXTENSION C DESIGN RADIOPAQUE AAA SUP-ENEW1010C82E CDM 270010015 LOCAL 270 RC outpatient 9300 93 2519.37 percent of total billed charges 9300 other OPPS APC 6882 percent of total billed charges 9300 other OPPS APC 9300 other OPPS APC 2519.37 percent of total billed charges 2569.59 percent of total billed charges 93 other OPPS APC 93 9300 GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD10 MM ID14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING EXTENSION C DESIGN RADIOPAQUE AAA SUP-ENEW1010C82E CDM 270010015 LOCAL 270 RC inpatient 9300 9300 GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD13 MM ID14 FR ENDOVASCULAR SELF EXPAND EXTENSION C DESIGN RADIOPAQUE AAA SUP-ENEW1313C82E CDM 270010015 LOCAL 270 RC outpatient 9300 93 2519.37 percent of total billed charges 9300 other OPPS APC 6882 percent of total billed charges 9300 other OPPS APC 9300 other OPPS APC 2519.37 percent of total billed charges 2569.59 percent of total billed charges 93 other OPPS APC 93 9300 GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD13 MM ID14 FR ENDOVASCULAR SELF EXPAND EXTENSION C DESIGN RADIOPAQUE AAA SUP-ENEW1313C82E CDM 270010015 LOCAL 270 RC inpatient 9300 9300 GRAFT STENT ENDURANT II POLYESTER NITINOL L82 MM OD13 MM ODSEC14 FR ENDOVASCULAR ILIAC EXTENSION STERILE AAA SUP-ETEW1313C82E CDM 270010015 LOCAL 270 RC outpatient 9300 93 2519.37 percent of total billed charges 9300 other OPPS APC 6882 percent of total billed charges 9300 other OPPS APC 9300 other OPPS APC 2519.37 percent of total billed charges 2569.59 percent of total billed charges 93 other OPPS APC 93 9300 GRAFT STENT ENDURANT II POLYESTER NITINOL L82 MM OD13 MM ODSEC14 FR ENDOVASCULAR ILIAC EXTENSION STERILE AAA SUP-ETEW1313C82E CDM 270010015 LOCAL 270 RC inpatient 9300 9300 GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE SUP-ETLW1616C93E CDM 270010015 LOCAL 270 RC outpatient 9300 93 2519.37 percent of total billed charges 9300 other OPPS APC 6882 percent of total billed charges 9300 other OPPS APC 9300 other OPPS APC 2519.37 percent of total billed charges 2569.59 percent of total billed charges 93 other OPPS APC 93 9300 GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE SUP-ETLW1616C93E CDM 270010015 LOCAL 270 RC inpatient 9300 9300 PACEMAKER - REVEAL LINQ RECORDER SUP-99-01906 CDM 278 RC outpatient 9290 929 9290 fee schedule 9290 other OPPS APC 5295.3 percent of total billed charges 9290 other OPPS APC 9290 other OPPS APC 4552.1 percent of total billed charges 4737.9 percent of total billed charges 929 other OPPS APC 929 9290 PACEMAKER - REVEAL LINQ RECORDER SUP-99-01906 CDM 278 RC inpatient 9290 9290 PACEMAKER - REVEAL LINQ II RECORDER SUP-99-04196 CDM 278 RC outpatient 9290 929 9290 fee schedule 9290 other OPPS APC 5295.3 percent of total billed charges 9290 other OPPS APC 9290 other OPPS APC 4552.1 percent of total billed charges 4737.9 percent of total billed charges 929 other OPPS APC 929 9290 PACEMAKER - REVEAL LINQ II RECORDER SUP-99-04196 CDM 278 RC inpatient 9290 9290 PACEMAKER - REVEAL LINQ II SYSTEM SUP-99-04210 CDM 278 RC outpatient 9290 929 9290 fee schedule 9290 other OPPS APC 5295.3 percent of total billed charges 9290 other OPPS APC 9290 other OPPS APC 4552.1 percent of total billed charges 4737.9 percent of total billed charges 929 other OPPS APC 929 9290 PACEMAKER - REVEAL LINQ II SYSTEM SUP-99-04210 CDM 278 RC inpatient 9290 9290 SYSTEM CARDIAC MONITOR LINQ II RECORDER SUP-LNQ22SYS CDM 270 RC outpatient 9290 929 2516.66 percent of total billed charges 9290 other OPPS APC 6874.6 percent of total billed charges 9290 other OPPS APC 9290 other OPPS APC 2516.66 percent of total billed charges 2566.83 percent of total billed charges 929 other OPPS APC 929 9290 SYSTEM CARDIAC MONITOR LINQ II RECORDER SUP-LNQ22SYS CDM 270 RC inpatient 9290 9290 PACEMAKER INGENIO SR SINGLE CBR SYSTEM SUP-K172S CDM 270 RC outpatient 9272 9272 2511.78 percent of total billed charges 9272 other OPPS APC 6861.28 percent of total billed charges 9272 other OPPS APC 9272 other OPPS APC 2511.78 percent of total billed charges 2561.85 percent of total billed charges 9272 other OPPS APC 2511.78 9272 PACEMAKER INGENIO SR SINGLE CBR SYSTEM SUP-K172S CDM 270 RC inpatient 9272 9272 PACEMAKER CARDIAC VERSA DR 2.8V 1.3AH D7.5 MM W44.9 MM X H44.7 MM 12.1 CC 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER UNIPOLAR BIPOLAR SUP-VEDR01 S CDM 270 RC outpatient 9260 926 2508.53 percent of total billed charges 9260 other OPPS APC 6852.4 percent of total billed charges 9260 other OPPS APC 9260 other OPPS APC 2508.53 percent of total billed charges 2558.54 percent of total billed charges 926 other OPPS APC 926 9260 PACEMAKER CARDIAC VERSA DR 2.8V 1.3AH D7.5 MM W44.9 MM X H44.7 MM 12.1 CC 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER UNIPOLAR BIPOLAR SUP-VEDR01 S CDM 270 RC inpatient 9260 9260 GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY SUP-PXC121000 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY SUP-PXC121000 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PXC121200 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PXC121200 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L14 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PXC121400 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L14 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PXC121400 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PXC141000 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PXC141000 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PXC141200 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH SUP-PXC141200 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXC141400 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXC141400 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH SUP-PXC161200 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH SUP-PXC161200 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L13.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH SUP-PXC161400 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L13.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH SUP-PXC161400 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH SUP-PXC181000 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH SUP-PXC181000 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH SUP-PXC181200 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH SUP-PXC181200 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L13.5 CM OD18 MM ODSEC18 FR ID14.5-16.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXC181400 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L13.5 CM OD18 MM ODSEC18 FR ID14.5-16.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA SUP-PXC181400 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH SUP-PXC201000 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH SUP-PXC201000 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH SUP-PXC201200 CDM 270010015 LOCAL 270 RC outpatient 9246 9246 2504.74 percent of total billed charges 9246 other OPPS APC 6842.04 percent of total billed charges 9246 other OPPS APC 9246 other OPPS APC 2504.74 percent of total billed charges 2554.67 percent of total billed charges 9246 other OPPS APC 2504.74 9246 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH SUP-PXC201200 CDM 270010015 LOCAL 270 RC inpatient 9246 9246 STENT DUODENAL WALLFLEX 22/27MM SUP-95-00456 CDM 278 RC outpatient 9240 924 9240 fee schedule 9240 other OPPS APC 5266.8 percent of total billed charges 9240 other OPPS APC 9240 other OPPS APC 4527.6 percent of total billed charges 4712.4 percent of total billed charges 924 other OPPS APC 924 9240 STENT DUODENAL WALLFLEX 22/27MM SUP-95-00456 CDM 278 RC inpatient 9240 9240 STENT DUODENAL WALLFLEX SUP-95-03002 CDM 278 RC inpatient 9240 9240 STENT DUODENAL WALLFLEX SUP-95-03002 CDM 278 RC outpatient 9240 9240 fee schedule other OPPS APC 5266.8 percent of total billed charges other OPPS APC other OPPS APC 4527.6 percent of total billed charges 4712.4 percent of total billed charges other OPPS APC 5266.8 5266.8 GRAFT 10X4CM EPIXL SUP-97-01842 CDM 636 RC outpatient 9237.5 9237.5 9237.5 fee schedule 9237.5 other OPPS APC 6835.75 percent of total billed charges 9237.5 other OPPS APC 9237.5 other OPPS APC 4526.38 percent of total billed charges 2296.44 percent of total billed charges 9237.5 other OPPS APC 2296.44 9237.5 GRAFT 10X4CM EPIXL SUP-97-01842 CDM 636 RC inpatient 9237.5 9237.5 STENT - ELUVIA 6MM X 150 X 130 SUP-99-04333 CDM 278 RC outpatient 9237.5 9237.5 9237.5 fee schedule 9237.5 other OPPS APC 5265.38 percent of total billed charges 9237.5 other OPPS APC 9237.5 other OPPS APC 4526.38 percent of total billed charges 4711.13 percent of total billed charges 9237.5 other OPPS APC 4526.38 9237.5 STENT - ELUVIA 6MM X 150 X 130 SUP-99-04333 CDM 278 RC inpatient 9237.5 9237.5 STENT - ELUVIA 7MM X 150 X 130 SUP-99-04334 CDM 278 RC outpatient 9237.5 9237.5 9237.5 fee schedule 9237.5 other OPPS APC 5265.38 percent of total billed charges 9237.5 other OPPS APC 9237.5 other OPPS APC 4526.38 percent of total billed charges 4711.13 percent of total billed charges 9237.5 other OPPS APC 4526.38 9237.5 STENT - ELUVIA 7MM X 150 X 130 SUP-99-04334 CDM 278 RC inpatient 9237.5 9237.5 MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM CONTOUR L19.3 CM X W9.6 CM ALLOGRAFT REGENERATIVE PERFORATE SUP-CM1518P CDM 270 RC outpatient 9236 9236 2502.03 percent of total billed charges 9236 other OPPS APC 6834.64 percent of total billed charges 9236 other OPPS APC 9236 other OPPS APC 2502.03 percent of total billed charges 2551.91 percent of total billed charges 9236 other OPPS APC 2502.03 9236 MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM CONTOUR L19.3 CM X W9.6 CM ALLOGRAFT REGENERATIVE PERFORATE SUP-CM1518P CDM 270 RC inpatient 9236 9236 MESH SURGICAL DUALMESH GORE-TEX THK2 MM L34 CM X W26 CM SOFT TISSUE BIOMATERIAL STERILE HERNIA REPAIR SUP-1DLMC204 CDM 270 RC outpatient 9220 922 2497.7 percent of total billed charges 9220 other OPPS APC 6822.8 percent of total billed charges 9220 other OPPS APC 9220 other OPPS APC 2497.7 percent of total billed charges 2547.49 percent of total billed charges 922 other OPPS APC 922 9220 MESH SURGICAL DUALMESH GORE-TEX THK2 MM L34 CM X W26 CM SOFT TISSUE BIOMATERIAL STERILE HERNIA REPAIR SUP-1DLMC204 CDM 270 RC inpatient 9220 9220 PACEMAKER CARDIAC KAPPA L48 MM X H45 MM 9.7 CC 25.5 GM PULSE GENERATOR IMPLANTABLE 700 SERIES SUP-KSR700SERIES CDM 270 RC outpatient 9200 92 2492.28 percent of total billed charges 9200 other OPPS APC 6808 percent of total billed charges 9200 other OPPS APC 9200 other OPPS APC 2492.28 percent of total billed charges 2541.96 percent of total billed charges 92 other OPPS APC 92 9200 PACEMAKER CARDIAC KAPPA L48 MM X H45 MM 9.7 CC 25.5 GM PULSE GENERATOR IMPLANTABLE 700 SERIES SUP-KSR700SERIES CDM 270 RC inpatient 9200 9200 CAP PRICING TOTAL JOINT DEPUY PRESSFIT HIP-4 PIECE SUP-PRESSFIT HIP-DEPUY CDM 270010024 LOCAL 270 RC outpatient 9200 92 2492.28 percent of total billed charges 9200 other OPPS APC 6808 percent of total billed charges 9200 other OPPS APC 9200 other OPPS APC 2492.28 percent of total billed charges 2541.96 percent of total billed charges 92 other OPPS APC 92 9200 CAP PRICING TOTAL JOINT DEPUY PRESSFIT HIP-4 PIECE SUP-PRESSFIT HIP-DEPUY CDM 270010024 LOCAL 270 RC inpatient 9200 9200 GRAFT BONE OSTEOCHONDRAL L16 MM ALLOGRAFT FRESH SUP-RFP16 CDM 270 RC outpatient 9200 92 2492.28 percent of total billed charges 9200 other OPPS APC 6808 percent of total billed charges 9200 other OPPS APC 9200 other OPPS APC 2492.28 percent of total billed charges 2541.96 percent of total billed charges 92 other OPPS APC 92 9200 GRAFT BONE OSTEOCHONDRAL L16 MM ALLOGRAFT FRESH SUP-RFP16 CDM 270 RC inpatient 9200 9200 PACEMAKER SIGMA SSR300 SUP-SSR300SERIES CDM 270 RC outpatient 9200 92 2492.28 percent of total billed charges 9200 other OPPS APC 6808 percent of total billed charges 9200 other OPPS APC 9200 other OPPS APC 2492.28 percent of total billed charges 2541.96 percent of total billed charges 92 other OPPS APC 92 9200 PACEMAKER SIGMA SSR300 SUP-SSR300SERIES CDM 270 RC inpatient 9200 9200 GRAFT PHASIX 10 X 15 COATED (1201015) SUP-75-00164 CDM 278 RC outpatient 9196 9196 9196 fee schedule 9196 other OPPS APC 5241.72 percent of total billed charges 9196 other OPPS APC 9196 other OPPS APC 4506.04 percent of total billed charges 4689.96 percent of total billed charges 9196 other OPPS APC 4506.04 9196 GRAFT PHASIX 10 X 15 COATED (1201015) SUP-75-00164 CDM 278 RC inpatient 9196 9196 PONTO SYSTEM STAGE ONE W/9MM SUP-97-00107 CDM 272 RC outpatient 9192.5 9192.5 2490.25 percent of total billed charges 9192.5 other OPPS APC 6802.45 percent of total billed charges 9192.5 other OPPS APC 9192.5 other OPPS APC 2490.25 percent of total billed charges 2539.89 percent of total billed charges 9192.5 other OPPS APC 2490.25 9192.5 PONTO SYSTEM STAGE ONE W/9MM SUP-97-00107 CDM 272 RC inpatient 9192.5 9192.5 GRAFT 6X10CM EPIXL SUP-97-03492 CDM 636 RC outpatient 9190 919 4503.1 percent of total billed charges 9190 other OPPS APC 178.33 fee schedule 9190 other OPPS APC 9190 other OPPS APC 4503.1 percent of total billed charges 2284.63 percent of total billed charges 919 other OPPS APC 178.33 9190 GRAFT 6X10CM EPIXL SUP-97-03492 CDM 636 RC inpatient 9190 9190 STEM FEMORAL ENDURANCE 3 12/14 TAPER 190MM STERILE HIP REVISION CEMENTED MODULAR SUP-1521-22-000 CDM 270010024 LOCAL 270 RC outpatient 9165.6 9165.64 2482.96 percent of total billed charges 9165.6 other OPPS APC 6782.54 percent of total billed charges 9165.6 other OPPS APC 9165.6 other OPPS APC 2482.96 percent of total billed charges 2532.46 percent of total billed charges 9165.64 other OPPS APC 2482.96 9165.64 STEM FEMORAL ENDURANCE 3 12/14 TAPER 190MM STERILE HIP REVISION CEMENTED MODULAR SUP-1521-22-000 CDM 270010024 LOCAL 270 RC inpatient 9165.6 9165.6 STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L230 MM HIP CEMENTED REVISION SUP-1521-24-000 CDM 270010014 LOCAL 270 RC outpatient 9165.6 9165.64 2482.96 percent of total billed charges 9165.6 other OPPS APC 6782.54 percent of total billed charges 9165.6 other OPPS APC 9165.6 other OPPS APC 2482.96 percent of total billed charges 2532.46 percent of total billed charges 9165.64 other OPPS APC 2482.96 9165.64 STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L230 MM HIP CEMENTED REVISION SUP-1521-24-000 CDM 270010014 LOCAL 270 RC inpatient 9165.6 9165.6 OSS NON-MOD TIB PLATE LONG 67 SUP-97-23627 CDM 278 RC outpatient 9165 9165 9165 fee schedule 9165 other OPPS APC 5224.05 percent of total billed charges 9165 other OPPS APC 9165 other OPPS APC 4490.85 percent of total billed charges 4674.15 percent of total billed charges 9165 other OPPS APC 4490.85 9165 OSS NON-MOD TIB PLATE LONG 67 SUP-97-23627 CDM 278 RC inpatient 9165 9165 STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L180 MM HIP CEMENTED REVISION SUP-1521-21-000 CDM 270010024 LOCAL 270 RC outpatient 9164 9164 2482.53 percent of total billed charges 9164 other OPPS APC 6781.36 percent of total billed charges 9164 other OPPS APC 9164 other OPPS APC 2482.53 percent of total billed charges 2532.01 percent of total billed charges 9164 other OPPS APC 2482.53 9164 STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L180 MM HIP CEMENTED REVISION SUP-1521-21-000 CDM 270010024 LOCAL 270 RC inpatient 9164 9164 CONE AUGMENT TRIATHLON TRITANIUM CENTRAL 1&2 RIGHT SUP-97-05793 CDM 278 RC outpatient 9162 9162 9162 fee schedule 9162 other OPPS APC 5222.34 percent of total billed charges 9162 other OPPS APC 9162 other OPPS APC 4489.38 percent of total billed charges 4672.62 percent of total billed charges 9162 other OPPS APC 4489.38 9162 CONE AUGMENT TRIATHLON TRITANIUM CENTRAL 1&2 RIGHT SUP-97-05793 CDM 278 RC inpatient 9162 9162 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H16 MM OD25 MM ID23 MM BIOPROSTHESIS STENT HOLDER SUP-E100-25M-00 CDM 270 RC outpatient 9160 916 2481.44 percent of total billed charges 9160 other OPPS APC 6778.4 percent of total billed charges 9160 other OPPS APC 9160 other OPPS APC 2481.44 percent of total billed charges 2530.91 percent of total billed charges 916 other OPPS APC 916 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H16 MM OD25 MM ID23 MM BIOPROSTHESIS STENT HOLDER SUP-E100-25M-00 CDM 270 RC inpatient 9160 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL H17 MM OD35 MM ID27 MM BIOPROSTHESIS STENT HOLDER LOW PROFILE SUP-E100-27M-00 CDM 270 RC outpatient 9160 916 2481.44 percent of total billed charges 9160 other OPPS APC 6778.4 percent of total billed charges 9160 other OPPS APC 9160 other OPPS APC 2481.44 percent of total billed charges 2530.91 percent of total billed charges 916 other OPPS APC 916 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL H17 MM OD35 MM ID27 MM BIOPROSTHESIS STENT HOLDER LOW PROFILE SUP-E100-27M-00 CDM 270 RC inpatient 9160 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H19 MM OD29 MM ID27 MM BIOPROSTHESIS STENT HOLDER SUP-E100-29M-00 CDM 270 RC outpatient 9160 916 2481.44 percent of total billed charges 9160 other OPPS APC 6778.4 percent of total billed charges 9160 other OPPS APC 9160 other OPPS APC 2481.44 percent of total billed charges 2530.91 percent of total billed charges 916 other OPPS APC 916 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H19 MM OD29 MM ID27 MM BIOPROSTHESIS STENT HOLDER SUP-E100-29M-00 CDM 270 RC inpatient 9160 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD31 MM ID29 MM BIOPROSTHESIS STENT HOLDER SUP-E100-31M-00 CDM 270 RC outpatient 9160 916 2481.44 percent of total billed charges 9160 other OPPS APC 6778.4 percent of total billed charges 9160 other OPPS APC 9160 other OPPS APC 2481.44 percent of total billed charges 2530.91 percent of total billed charges 916 other OPPS APC 916 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD31 MM ID29 MM BIOPROSTHESIS STENT HOLDER SUP-E100-31M-00 CDM 270 RC inpatient 9160 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD33 MM ID31 MM BIOPROSTHESIS STENT HOLDER SUP-E100-33M-00 CDM 270 RC outpatient 9160 916 2481.44 percent of total billed charges 9160 other OPPS APC 6778.4 percent of total billed charges 9160 other OPPS APC 9160 other OPPS APC 2481.44 percent of total billed charges 2530.91 percent of total billed charges 916 other OPPS APC 916 9160 VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD33 MM ID31 MM BIOPROSTHESIS STENT HOLDER SUP-E100-33M-00 CDM 270 RC inpatient 9160 9160 CATHETER- SMARTTOUCH THERMOCOOL STSF F CURVE (UNI) SUP-99-04758 CDM 278 RC outpatient 9155 9155 9155 fee schedule 9155 other OPPS APC 5218.35 percent of total billed charges 9155 other OPPS APC 9155 other OPPS APC 4485.95 percent of total billed charges 4669.05 percent of total billed charges 9155 other OPPS APC 4485.95 9155 CATHETER- SMARTTOUCH THERMOCOOL STSF F CURVE (UNI) SUP-99-04758 CDM 278 RC inpatient 9155 9155 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF3232C49E CDM 270010015 LOCAL 270 RC outpatient 9150 915 2478.74 percent of total billed charges 9150 other OPPS APC 6771 percent of total billed charges 9150 other OPPS APC 9150 other OPPS APC 2478.74 percent of total billed charges 2528.15 percent of total billed charges 915 other OPPS APC 915 9150 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF3232C49E CDM 270010015 LOCAL 270 RC inpatient 9150 9150 TROCHANTERIC PROXIMAL FEMUR NEUTRAL GMRS SUP-97-05630 CDM 278 RC outpatient 9012 912 9012 fee schedule 9012 other OPPS APC 5136.84 percent of total billed charges 9012 other OPPS APC 9012 other OPPS APC 4415.88 percent of total billed charges 4596.12 percent of total billed charges 912 other OPPS APC 912 9012 TROCHANTERIC PROXIMAL FEMUR NEUTRAL GMRS SUP-97-05630 CDM 278 RC inpatient 9012 9012 CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L23 CM SUP-2AF234 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L23 CM SUP-2AF234 CDM 270 RC inpatient 9000 9000 CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L28 CM SUP-2AF284 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L28 CM SUP-2AF284 CDM 270 RC inpatient 9000 9000 GRAFT BONE OSTEOCHONDRAL CORE OD16 MM ALLOGRAFT SUP-45647016 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 GRAFT BONE OSTEOCHONDRAL CORE OD16 MM ALLOGRAFT SUP-45647016 CDM 270 RC inpatient 9000 9000 ALLOGRAFT BTB 10/10 SUP-97-01757 CDM 272 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 ALLOGRAFT BTB 10/10 SUP-97-01757 CDM 272 RC inpatient 9000 9000 OSC17361- ATTUNE FB CEMENTED SUP-97-04360 CDM 278 RC outpatient 9000 9 9000 fee schedule 9000 other OPPS APC 5130 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 4410 percent of total billed charges 4590 percent of total billed charges 9 other OPPS APC 9 9000 OSC17361- ATTUNE FB CEMENTED SUP-97-04360 CDM 278 RC inpatient 9000 9000 CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L23CM SUP-AFAPRO23 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L23CM SUP-AFAPRO23 CDM 270 RC inpatient 9000 9000 CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L28CM SUP-AFAPRO28 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L28CM SUP-AFAPRO28 CDM 270 RC inpatient 9000 9000 CONNECTOR PERFUSION HANCOCK OD18 MM APICAL LEFT VENTRICLE SUP-H174A-18 CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 CONNECTOR PERFUSION HANCOCK OD18 MM APICAL LEFT VENTRICLE SUP-H174A-18 CDM 270 RC inpatient 9000 9000 SYSTEM CARDIAC MONITOR REVEAL LINQ MYCARELINK LOOP RECORDER MONITOR SUP-LINQSYS CDM 270 RC outpatient 9000 9 2438.1 percent of total billed charges 9000 other OPPS APC 6660 percent of total billed charges 9000 other OPPS APC 9000 other OPPS APC 2438.1 percent of total billed charges 2486.7 percent of total billed charges 9 other OPPS APC 9 9000 SYSTEM CARDIAC MONITOR REVEAL LINQ MYCARELINK LOOP RECORDER MONITOR SUP-LINQSYS CDM 270 RC inpatient 9000 9000 PONTO PLUS POWER SUP-97-00402 CDM 272 RC outpatient 8990 899 2435.39 percent of total billed charges 8990 other OPPS APC 6652.6 percent of total billed charges 8990 other OPPS APC 8990 other OPPS APC 2435.39 percent of total billed charges 2483.94 percent of total billed charges 899 other OPPS APC 899 8990 PONTO PLUS POWER SUP-97-00402 CDM 272 RC inpatient 8990 8990 PONTO PLUS POWER RIGHT MOCCA SUP-97-01066 CDM 272 RC inpatient 8990 8990 PONTO PLUS POWER RIGHT MOCCA SUP-97-01066 CDM 272 RC outpatient 8990 8990 2435.39 percent of total billed charges other OPPS APC 6652.6 percent of total billed charges other OPPS APC other OPPS APC 2435.39 percent of total billed charges 2483.94 percent of total billed charges other OPPS APC 6652.6 6652.6 PONTO PLUS POWER SUP-97-01267 CDM 272 RC inpatient 8990 8990 PONTO PLUS POWER SUP-97-01267 CDM 272 RC outpatient 8990 8990 2435.39 percent of total billed charges other OPPS APC 6652.6 percent of total billed charges other OPPS APC other OPPS APC 2435.39 percent of total billed charges 2483.94 percent of total billed charges other OPPS APC 6652.6 6652.6 PONTO PLUS POWER SUP-97-02145 CDM 272 RC inpatient 8990 8990 PONTO PLUS POWER SUP-97-02145 CDM 272 RC outpatient 8990 8990 2435.39 percent of total billed charges other OPPS APC 6652.6 percent of total billed charges other OPPS APC other OPPS APC 2435.39 percent of total billed charges 2483.94 percent of total billed charges other OPPS APC 6652.6 6652.6 GRAFT THERASKIN 116CM 3 X 6 SUP-95-04827 CDM inpatient 8987.5 8987.5 GRAFT THERASKIN 116CM 3 X 6 SUP-95-04827 CDM outpatient 8987.5 8987.5 8987.5 percent of total billed charges 8987.5 other OPPS APC 8987.5 fee schedule 8987.5 other OPPS APC 8987.5 other OPPS APC 8987.5 case rate 8987.5 case rate 8987.5 other OPPS APC 8987.5 8987.5 ATHERECTOMY - 2.0 CLASSIC CROWN 145CM SUP-99-01657 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 2.0 CLASSIC CROWN 145CM SUP-99-01657 CDM 272 RC inpatient 8987.5 8987.5 ATHERECTOMY - 2.00 SOLID CROWN 145CM SUP-99-01660 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 2.00 SOLID CROWN 145CM SUP-99-01660 CDM 272 RC inpatient 8987.5 8987.5 ATHERECTOMY - 1.50 CLASSIC CROWN 145CM SUP-99-03283 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 1.50 CLASSIC CROWN 145CM SUP-99-03283 CDM 272 RC inpatient 8987.5 8987.5 ATHERECTOMY - 1.25 SOLID CROWN 200CM SUP-99-03722 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 1.25 SOLID CROWN 200CM SUP-99-03722 CDM 272 RC inpatient 8987.5 8987.5 ATHERECTOMY - 1.50 SOLID CROWN 200CM SUP-99-03723 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 1.50 SOLID CROWN 200CM SUP-99-03723 CDM 272 RC inpatient 8987.5 8987.5 ATHERECTOMY - 1.75 SOLID CROWN 180CM SUP-99-03724 CDM 272 RC outpatient 8987.5 8987.5 2434.71 percent of total billed charges 8987.5 other OPPS APC 6650.75 percent of total billed charges 8987.5 other OPPS APC 8987.5 other OPPS APC 2434.71 percent of total billed charges 2483.25 percent of total billed charges 8987.5 other OPPS APC 2434.71 8987.5 ATHERECTOMY - 1.75 SOLID CROWN 180CM SUP-99-03724 CDM 272 RC inpatient 8987.5 8987.5 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM SUP-VBJR071502A CDM 270 RC outpatient 8980 898 2432.68 percent of total billed charges 8980 other OPPS APC 6645.2 percent of total billed charges 8980 other OPPS APC 8980 other OPPS APC 2432.68 percent of total billed charges 2481.17 percent of total billed charges 898 other OPPS APC 898 8980 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM SUP-VBJR071502A CDM 270 RC inpatient 8980 8980 MESH SURGICAL GORE SYNECOR RECTANGLE L30 CM X W20 CM PREPERITONEAL KNIT WEB SUP-GKWR2030 CDM 270 RC outpatient 8972 8972 2430.51 percent of total billed charges 8972 other OPPS APC 6639.28 percent of total billed charges 8972 other OPPS APC 8972 other OPPS APC 2430.51 percent of total billed charges 2478.96 percent of total billed charges 8972 other OPPS APC 2430.51 8972 MESH SURGICAL GORE SYNECOR RECTANGLE L30 CM X W20 CM PREPERITONEAL KNIT WEB SUP-GKWR2030 CDM 270 RC inpatient 8972 8972 PACEMAKER ACCOLADE DR MRI SYSTEM DUAL CHAMBER 2 LEADS SUP-9H32 CDM 270 RC outpatient 8962.3 8962.3 2427.89 percent of total billed charges 8962.3 other OPPS APC 6632.1 percent of total billed charges 8962.3 other OPPS APC 8962.3 other OPPS APC 2427.89 percent of total billed charges 2476.28 percent of total billed charges 8962.3 other OPPS APC 2427.89 8962.3 PACEMAKER ACCOLADE DR MRI SYSTEM DUAL CHAMBER 2 LEADS SUP-9H32 CDM 270 RC inpatient 8962.3 8962.3 PACEMAKER ACCOLADE DR EL MRI SYSTEM _44046_ SUP-9H52 CDM 275 RC outpatient 8962.3 8962.3 4391.53 percent of total billed charges 8962.3 other OPPS APC 5108.51 percent of total billed charges 8962.3 other OPPS APC 8962.3 other OPPS APC 4391.53 percent of total billed charges 4570.77 percent of total billed charges 8962.3 other OPPS APC 4391.53 8962.3 PACEMAKER ACCOLADE DR EL MRI SYSTEM _44046_ SUP-9H52 CDM 275 RC inpatient 8962.3 8962.3 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD20-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1620C82E CDM 270010015 LOCAL 270 RC outpatient 8950 895 2424.56 percent of total billed charges 8950 other OPPS APC 6623 percent of total billed charges 8950 other OPPS APC 8950 other OPPS APC 2424.56 percent of total billed charges 2472.89 percent of total billed charges 895 other OPPS APC 895 8950 GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD20-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA SUP-ENLW1620C82E CDM 270010015 LOCAL 270 RC inpatient 8950 8950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C82E CDM 270010015 LOCAL 270 RC outpatient 8950 895 2424.56 percent of total billed charges 8950 other OPPS APC 6623 percent of total billed charges 8950 other OPPS APC 8950 other OPPS APC 2424.56 percent of total billed charges 2472.89 percent of total billed charges 895 other OPPS APC 895 8950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1616C82E CDM 270010015 LOCAL 270 RC inpatient 8950 8950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C82E CDM 270010015 LOCAL 270 RC outpatient 8950 895 2424.56 percent of total billed charges 8950 other OPPS APC 6623 percent of total billed charges 8950 other OPPS APC 8950 other OPPS APC 2424.56 percent of total billed charges 2472.89 percent of total billed charges 895 other OPPS APC 895 8950 GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA SUP-ETLW1620C82E CDM 270010015 LOCAL 270 RC inpatient 8950 8950 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL L90 MM L75 MM OD14-10 MM ODSEC18 FR DESCENDING ABDOMEN AORTA ILIUM SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-IXW1410C75XH CDM 270010015 LOCAL 270 RC outpatient 8950 895 2424.56 percent of total billed charges 8950 other OPPS APC 6623 percent of total billed charges 8950 other OPPS APC 8950 other OPPS APC 2424.56 percent of total billed charges 2472.89 percent of total billed charges 895 other OPPS APC 895 8950 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL L90 MM L75 MM OD14-10 MM ODSEC18 FR DESCENDING ABDOMEN AORTA ILIUM SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-IXW1410C75XH CDM 270010015 LOCAL 270 RC inpatient 8950 8950 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H13 MM RADIOPAQUE NONSTERILE TLIF SUP-4839134 CDM 270010020 LOCAL 270 RC outpatient 8927.16 8927.16 2418.37 percent of total billed charges 8927.16 other OPPS APC 6606.1 percent of total billed charges 8927.16 other OPPS APC 8927.16 other OPPS APC 2418.37 percent of total billed charges 2466.57 percent of total billed charges 8927.16 other OPPS APC 2418.37 8927.16 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H13 MM RADIOPAQUE NONSTERILE TLIF SUP-4839134 CDM 270010020 LOCAL 270 RC inpatient 8927.16 8927.16 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W13 MM RADIOPAQUE NONSTERILE TLIF SUP-48392134 CDM 270010024 LOCAL 270 RC outpatient 8927.16 8927.16 2418.37 percent of total billed charges 8927.16 other OPPS APC 6606.1 percent of total billed charges 8927.16 other OPPS APC 8927.16 other OPPS APC 2418.37 percent of total billed charges 2466.57 percent of total billed charges 8927.16 other OPPS APC 2418.37 8927.16 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W13 MM RADIOPAQUE NONSTERILE TLIF SUP-48392134 CDM 270010024 LOCAL 270 RC inpatient 8927.16 8927.16 CAGE STRYKER 9X31X4DEG SUP-48393044 CDM 270010020 LOCAL 270 RC outpatient 8927.16 8927.16 2418.37 percent of total billed charges 8927.16 other OPPS APC 6606.1 percent of total billed charges 8927.16 other OPPS APC 8927.16 other OPPS APC 2418.37 percent of total billed charges 2466.57 percent of total billed charges 8927.16 other OPPS APC 2418.37 8927.16 CAGE STRYKER 9X31X4DEG SUP-48393044 CDM 270010020 LOCAL 270 RC inpatient 8927.16 8927.16 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H8 MM RADIOPAQUE NONSTERILE TLIF SUP-48393084 CDM 270010020 LOCAL 270 RC outpatient 8927.16 8927.16 2418.37 percent of total billed charges 8927.16 other OPPS APC 6606.1 percent of total billed charges 8927.16 other OPPS APC 8927.16 other OPPS APC 2418.37 percent of total billed charges 2466.57 percent of total billed charges 8927.16 other OPPS APC 2418.37 8927.16 SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H8 MM RADIOPAQUE NONSTERILE TLIF SUP-48393084 CDM 270010020 LOCAL 270 RC inpatient 8927.16 8927.16 CAGE STRYKER 9MM SUP-48393094 CDM 270010020 LOCAL 270 RC outpatient 8927.16 8927.16 2418.37 percent of total billed charges 8927.16 other OPPS APC 6606.1 percent of total billed charges 8927.16 other OPPS APC 8927.16 other OPPS APC 2418.37 percent of total billed charges 2466.57 percent of total billed charges 8927.16 other OPPS APC 2418.37 8927.16 CAGE STRYKER 9MM SUP-48393094 CDM 270010020 LOCAL 270 RC inpatient 8927.16 8927.16 SPACER HUMERAL INTERSPACE CEMEX GENTAMICIN STAINLESS STEEL STANDARD L125 MM X H22 MM OD46 MM ODSEC11 MM .8 GM SHOULDER SUP-SPS0021K CDM 270010030 LOCAL 270 RC outpatient 8900 89 2411.01 percent of total billed charges 8900 other OPPS APC 6586 percent of total billed charges 8900 other OPPS APC 8900 other OPPS APC 2411.01 percent of total billed charges 2459.07 percent of total billed charges 89 other OPPS APC 89 8900 SPACER HUMERAL INTERSPACE CEMEX GENTAMICIN STAINLESS STEEL STANDARD L125 MM X H22 MM OD46 MM ODSEC11 MM .8 GM SHOULDER SUP-SPS0021K CDM 270010030 LOCAL 270 RC inpatient 8900 8900 SHOULDER INNERSPACE 41MM SUP-SPS0121 CDM 270 RC outpatient 8900 89 2411.01 percent of total billed charges 8900 other OPPS APC 6586 percent of total billed charges 8900 other OPPS APC 8900 other OPPS APC 2411.01 percent of total billed charges 2459.07 percent of total billed charges 89 other OPPS APC 89 8900 SHOULDER INNERSPACE 41MM SUP-SPS0121 CDM 270 RC inpatient 8900 8900 SHOULDER INNERSPACE 41MM SUP-SPS0121K CDM 270 RC outpatient 8900 89 2411.01 percent of total billed charges 8900 other OPPS APC 6586 percent of total billed charges 8900 other OPPS APC 8900 other OPPS APC 2411.01 percent of total billed charges 2459.07 percent of total billed charges 89 other OPPS APC 89 8900 SHOULDER INNERSPACE 41MM SUP-SPS0121K CDM 270 RC inpatient 8900 8900 VALVE MITRAL OPTIFORM SIZE 21MM SUP-F7-021 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM SIZE 21MM SUP-F7-021 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD23 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-023 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD23 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-023 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD25 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-025 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD25 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-025 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD27 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-027 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD27 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-027 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD29 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-029 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD29 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-029 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD31 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-031 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD31 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-031 CDM 270 RC inpatient 8894 8894 VALVE MITRAL OPTIFORM TITANIUM OD33 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-033 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE MITRAL OPTIFORM TITANIUM OD33 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING SUP-F7-033 CDM 270 RC inpatient 8894 8894 VALVE AORTIC TOP HAT OD19 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-019 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE AORTIC TOP HAT OD19 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-019 CDM 270 RC inpatient 8894 8894 VALVE AORTIC SORIN S5-021 SUP-S5-021 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE AORTIC SORIN S5-021 SUP-S5-021 CDM 270 RC inpatient 8894 8894 VALVE AORTIC TOP HAT OD23 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-023 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE AORTIC TOP HAT OD23 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-023 CDM 270 RC inpatient 8894 8894 VALVE AORTIC TOP HAT OD25 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-025 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE AORTIC TOP HAT OD25 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-025 CDM 270 RC inpatient 8894 8894 VALVE AORTIC TOP HAT OD27 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-027 CDM 270 RC outpatient 8894 8894 2409.38 percent of total billed charges 8894 other OPPS APC 6581.56 percent of total billed charges 8894 other OPPS APC 8894 other OPPS APC 2409.38 percent of total billed charges 2457.41 percent of total billed charges 8894 other OPPS APC 2409.38 8894 VALVE AORTIC TOP HAT OD27 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING SUP-S5-027 CDM 270 RC inpatient 8894 8894 ZERO PROFILE PLATE SYSTEM SUP-ZERO PROFILE PLATE CDM 270 RC outpatient 8870.8 887.8 2403.1 percent of total billed charges 8870.8 other OPPS APC 6564.39 percent of total billed charges 8870.8 other OPPS APC 8870.8 other OPPS APC 2403.1 percent of total billed charges 2451 percent of total billed charges 887.8 other OPPS APC 887.8 8870.8 ZERO PROFILE PLATE SYSTEM SUP-ZERO PROFILE PLATE CDM 270 RC inpatient 8870.8 8870.8 BEARING MODULAR PLUS SIZE 4 SUP-97-02525 CDM 278 RC outpatient 8859.2 8859.27 8859.2 fee schedule 8859.2 other OPPS APC 5049.74 percent of total billed charges 8859.2 other OPPS APC 8859.2 other OPPS APC 4341.01 percent of total billed charges 4518.19 percent of total billed charges 8859.27 other OPPS APC 4341.01 8859.27 BEARING MODULAR PLUS SIZE 4 SUP-97-02525 CDM 278 RC inpatient 8859.2 8859.2 ATTUNE REV TIB BASE FB SZ5 CEM SUP-97-03343 CDM 278 RC outpatient 8850 885 8850 fee schedule 8850 other OPPS APC 5044.5 percent of total billed charges 8850 other OPPS APC 8850 other OPPS APC 4336.5 percent of total billed charges 4513.5 percent of total billed charges 885 other OPPS APC 885 8850 ATTUNE REV TIB BASE FB SZ5 CEM SUP-97-03343 CDM 278 RC inpatient 8850 8850 PACEMAKER AZURE MRI XT DR DUAL CHAMBER SYSTEM SUP-AZUREXTDRMRIMEEM CDM 275 RC outpatient 8835 8835 4329.15 percent of total billed charges 8835 other OPPS APC 5035.95 percent of total billed charges 8835 other OPPS APC 8835 other OPPS APC 4329.15 percent of total billed charges 4505.85 percent of total billed charges 8835 other OPPS APC 4329.15 8835 PACEMAKER AZURE MRI XT DR DUAL CHAMBER SYSTEM SUP-AZUREXTDRMRIMEEM CDM 275 RC inpatient 8835 8835 NAIL INTRAMEDULLARY T2 TITANIUM L15 CM OD10 MM ANKLE LEFT LOCK STERILE ARTHRODESIS SUP-1818-1015S CDM 270 RC outpatient 8810 881 2386.63 percent of total billed charges 8810 other OPPS APC 6519.4 percent of total billed charges 8810 other OPPS APC 8810 other OPPS APC 2386.63 percent of total billed charges 2434.2 percent of total billed charges 881 other OPPS APC 881 8810 NAIL INTRAMEDULLARY T2 TITANIUM L15 CM OD10 MM ANKLE LEFT LOCK STERILE ARTHRODESIS SUP-1818-1015S CDM 270 RC inpatient 8810 8810 COMPONENT TIBIAL TRABECULAR METAL 2 TOTAL ANKLE SUP-00-4500-042-00 CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 COMPONENT TIBIAL TRABECULAR METAL 2 TOTAL ANKLE SUP-00-4500-042-00 CDM 270 RC inpatient 8800 8800 COMPONENT TIBIAL TRABECULAR METAL 3 TOTAL ANKLE SUP-00-4500-043-00 CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 COMPONENT TIBIAL TRABECULAR METAL 3 TOTAL ANKLE SUP-00-4500-043-00 CDM 270 RC inpatient 8800 8800 COMPONENT TIBIAL TRABECULAR METAL 4 TOTAL ANKLE SUP-00-4500-044-00 CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 COMPONENT TIBIAL TRABECULAR METAL 4 TOTAL ANKLE SUP-00-4500-044-00 CDM 270 RC inpatient 8800 8800 COMPONENT TIBIAL TRABECULAR METAL 5 TOTAL ANKLE SUP-00-4500-045-00 CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 COMPONENT TIBIAL TRABECULAR METAL 5 TOTAL ANKLE SUP-00-4500-045-00 CDM 270 RC inpatient 8800 8800 GRAFT SOFT TISSUE DENOVO CARTILAGE 2.5 SQ CM ALLOGRAFT NATURAL SUP-00560600011 CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 GRAFT SOFT TISSUE DENOVO CARTILAGE 2.5 SQ CM ALLOGRAFT NATURAL SUP-00560600011 CDM 270 RC inpatient 8800 8800 FUSION LUMBAR LEVEL 1 NUVASIVE SUP-LUMBAR1NUVASIVE CDM 270010020 LOCAL 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 FUSION LUMBAR LEVEL 1 NUVASIVE SUP-LUMBAR1NUVASIVE CDM 270010020 LOCAL 270 RC inpatient 8800 8800 FUSION LUMBAR LEVEL 1 SUP-LUMBARL1 CDM 270010005 LOCAL 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 FUSION LUMBAR LEVEL 1 SUP-LUMBARL1 CDM 270010005 LOCAL 270 RC inpatient 8800 8800 PACEMAKER SIGMA SDR300 SUP-SDR300SERIES CDM 270 RC outpatient 8800 88 2383.92 percent of total billed charges 8800 other OPPS APC 6512 percent of total billed charges 8800 other OPPS APC 8800 other OPPS APC 2383.92 percent of total billed charges 2431.44 percent of total billed charges 88 other OPPS APC 88 8800 PACEMAKER SIGMA SDR300 SUP-SDR300SERIES CDM 270 RC inpatient 8800 8800 TISSUEMEND SUP-97-00335 CDM inpatient 8787.5 8787.5 TISSUEMEND SUP-97-00335 CDM outpatient 8787.5 8787.5 8787.5 percent of total billed charges 8787.5 other OPPS APC 8787.5 fee schedule 8787.5 other OPPS APC 8787.5 other OPPS APC 8787.5 case rate 8787.5 case rate 8787.5 other OPPS APC 8787.5 8787.5 ARTHROCELL 5.0CC SUP-97-03503 CDM 278 RC outpatient 8750 875 8750 fee schedule 8750 other OPPS APC 4987.5 percent of total billed charges 8750 other OPPS APC 8750 other OPPS APC 4287.5 percent of total billed charges 4462.5 percent of total billed charges 875 other OPPS APC 875 8750 ARTHROCELL 5.0CC SUP-97-03503 CDM 278 RC inpatient 8750 8750 UNI KNEE SUP-97-03604 CDM 278 RC outpatient 8750 875 8750 fee schedule 8750 other OPPS APC 4987.5 percent of total billed charges 8750 other OPPS APC 8750 other OPPS APC 4287.5 percent of total billed charges 4462.5 percent of total billed charges 875 other OPPS APC 875 8750 UNI KNEE SUP-97-03604 CDM 278 RC inpatient 8750 8750 PTC PARTIALLY COATED DISTAL STEM 13 X 90MM SUP-97-06276 CDM 278 RC outpatient 8700 87 8700 fee schedule 8700 other OPPS APC 4959 percent of total billed charges 8700 other OPPS APC 8700 other OPPS APC 4263 percent of total billed charges 4437 percent of total billed charges 87 other OPPS APC 87 8700 PTC PARTIALLY COATED DISTAL STEM 13 X 90MM SUP-97-06276 CDM 278 RC inpatient 8700 8700 TIBIAL TRAY FIXED BEARING SUP-97-01857 CDM 278 RC outpatient 8696 8696 8696 fee schedule 8696 other OPPS APC 4956.72 percent of total billed charges 8696 other OPPS APC 8696 other OPPS APC 4261.04 percent of total billed charges 4434.96 percent of total billed charges 8696 other OPPS APC 4261.04 8696 TIBIAL TRAY FIXED BEARING SUP-97-01857 CDM 278 RC inpatient 8696 8696 SPACER ALLOGRAFT 9/11MM 26X13MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014913 CDM 270010012 LOCAL 270 RC outpatient 8637.7 8637.77 2339.95 percent of total billed charges 8637.7 other OPPS APC 6391.9 percent of total billed charges 8637.7 other OPPS APC 8637.7 other OPPS APC 2339.95 percent of total billed charges 2386.6 percent of total billed charges 8637.77 other OPPS APC 2339.95 8637.77 SPACER ALLOGRAFT 9/11MM 26X13MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014913 CDM 270010012 LOCAL 270 RC inpatient 8637.7 8637.7 SPACER ALLOGRAFT 9/11MM 26X15MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014915 CDM 270010012 LOCAL 270 RC outpatient 8637.7 8637.77 2339.95 percent of total billed charges 8637.7 other OPPS APC 6391.9 percent of total billed charges 8637.7 other OPPS APC 8637.7 other OPPS APC 2339.95 percent of total billed charges 2386.6 percent of total billed charges 8637.77 other OPPS APC 2339.95 8637.77 SPACER ALLOGRAFT 9/11MM 26X15MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014915 CDM 270010012 LOCAL 270 RC inpatient 8637.7 8637.7 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD4.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES MAX 300 SUP-99-04448 CDM 272 RC outpatient 8625 8625 2336.51 percent of total billed charges 8625 other OPPS APC 6382.5 percent of total billed charges 8625 other OPPS APC 8625 other OPPS APC 2336.51 percent of total billed charges 2383.09 percent of total billed charges 8625 other OPPS APC 2336.51 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD4.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES MAX 300 SUP-99-04448 CDM 272 RC inpatient 8625 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD5.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04449 CDM 272 RC outpatient 8625 8625 2336.51 percent of total billed charges 8625 other OPPS APC 6382.5 percent of total billed charges 8625 other OPPS APC 8625 other OPPS APC 2336.51 percent of total billed charges 2383.09 percent of total billed charges 8625 other OPPS APC 2336.51 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD5.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04449 CDM 272 RC inpatient 8625 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD6.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04450 CDM 272 RC outpatient 8625 8625 2336.51 percent of total billed charges 8625 other OPPS APC 6382.5 percent of total billed charges 8625 other OPPS APC 8625 other OPPS APC 2336.51 percent of total billed charges 2383.09 percent of total billed charges 8625 other OPPS APC 2336.51 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD6.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04450 CDM 272 RC inpatient 8625 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD7.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04451 CDM 272 RC outpatient 8625 8625 2336.51 percent of total billed charges 8625 other OPPS APC 6382.5 percent of total billed charges 8625 other OPPS APC 8625 other OPPS APC 2336.51 percent of total billed charges 2383.09 percent of total billed charges 8625 other OPPS APC 2336.51 8625 CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD7.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX SUP-99-04451 CDM 272 RC inpatient 8625 8625 GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE SUP-7510200_73552 CDM 270 RC outpatient 8620 862 2335.16 percent of total billed charges 8620 other OPPS APC 6378.8 percent of total billed charges 8620 other OPPS APC 8620 other OPPS APC 2335.16 percent of total billed charges 2381.71 percent of total billed charges 862 other OPPS APC 862 8620 GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE SUP-7510200_73552 CDM 270 RC inpatient 8620 8620 AUGMENT FEMORAL TRABECULAR METAL LARGE CONE H35 MM METAPHYSIS LEFT SUP-00545002235 CDM 270010025 LOCAL 270 RC outpatient 8610 861 2332.45 percent of total billed charges 8610 other OPPS APC 6371.4 percent of total billed charges 8610 other OPPS APC 8610 other OPPS APC 2332.45 percent of total billed charges 2378.94 percent of total billed charges 861 other OPPS APC 861 8610 AUGMENT FEMORAL TRABECULAR METAL LARGE CONE H35 MM METAPHYSIS LEFT SUP-00545002235 CDM 270010025 LOCAL 270 RC inpatient 8610 8610 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L7 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB107275 CDM 270 RC outpatient 8610 861 2332.45 percent of total billed charges 8610 other OPPS APC 6371.4 percent of total billed charges 8610 other OPPS APC 8610 other OPPS APC 2332.45 percent of total billed charges 2378.94 percent of total billed charges 861 other OPPS APC 861 8610 STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L7 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS SUP-PTB107275 CDM 270 RC inpatient 8610 8610 CONE AUGMENT ASYMETRIC SIZE D RM/LL TRIATHLON SUP-97-05879 CDM 278 RC outpatient 8604 864 8604 fee schedule 8604 other OPPS APC 4904.28 percent of total billed charges 8604 other OPPS APC 8604 other OPPS APC 4215.96 percent of total billed charges 4388.04 percent of total billed charges 864 other OPPS APC 864 8604 CONE AUGMENT ASYMETRIC SIZE D RM/LL TRIATHLON SUP-97-05879 CDM 278 RC inpatient 8604 8604 ATTUNE CRS FB TIBIAL BASE SIZE 7 CEM SUP-97-06161 CDM 278 RC outpatient 8598.75 8598.75 8598.75 fee schedule 8598.75 other OPPS APC 4901.29 percent of total billed charges 8598.75 other OPPS APC 8598.75 other OPPS APC 4213.39 percent of total billed charges 4385.36 percent of total billed charges 8598.75 other OPPS APC 4213.39 8598.75 ATTUNE CRS FB TIBIAL BASE SIZE 7 CEM SUP-97-06161 CDM 278 RC inpatient 8598.75 8598.75 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR081502A CDM 270 RC outpatient 8590 859 2327.03 percent of total billed charges 8590 other OPPS APC 6356.6 percent of total billed charges 8590 other OPPS APC 8590 other OPPS APC 2327.03 percent of total billed charges 2373.42 percent of total billed charges 859 other OPPS APC 859 8590 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR081502A CDM 270 RC inpatient 8590 8590 POSTERIOR STABIZED CEMENTED SUP-97-02757 CDM 278 RC outpatient 8580 858 8580 fee schedule 8580 other OPPS APC 4890.6 percent of total billed charges 8580 other OPPS APC 8580 other OPPS APC 4204.2 percent of total billed charges 4375.8 percent of total billed charges 858 other OPPS APC 858 8580 POSTERIOR STABIZED CEMENTED SUP-97-02757 CDM 278 RC inpatient 8580 8580 REF XLPE 36 0DEG 58-60 SZ G SUP-97-01453 CDM 278 RC outpatient 8570 857 8570 fee schedule 8570 other OPPS APC 4884.9 percent of total billed charges 8570 other OPPS APC 8570 other OPPS APC 4199.3 percent of total billed charges 4370.7 percent of total billed charges 857 other OPPS APC 857 8570 REF XLPE 36 0DEG 58-60 SZ G SUP-97-01453 CDM 278 RC inpatient 8570 8570 REF XLPE 36 20DEG 58-60 G SUP-97-01454 CDM 278 RC outpatient 8570 857 8570 fee schedule 8570 other OPPS APC 4884.9 percent of total billed charges 8570 other OPPS APC 8570 other OPPS APC 4199.3 percent of total billed charges 4370.7 percent of total billed charges 857 other OPPS APC 857 8570 REF XLPE 36 20DEG 58-60 G SUP-97-01454 CDM 278 RC inpatient 8570 8570 RAMUCIRUMAB 10 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0002-7669-01 NDC J9308 HCPCS inpatient 8569.4 8569.4 RAMUCIRUMAB 10 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0002-7669-01 NDC J9308 HCPCS outpatient 8569.4 74.21 74.21 other OPPS APC 74.21 74.21 GRAFT VASCULAR DISTAFLO 2 BRANCH SM 80CM 6MM FLEX SUP-DFM8006SC CDM 270 RC outpatient 8558 8558 2318.36 percent of total billed charges 8558 other OPPS APC 6332.92 percent of total billed charges 8558 other OPPS APC 8558 other OPPS APC 2318.36 percent of total billed charges 2364.58 percent of total billed charges 8558 other OPPS APC 2318.36 8558 GRAFT VASCULAR DISTAFLO 2 BRANCH SM 80CM 6MM FLEX SUP-DFM8006SC CDM 270 RC inpatient 8558 8558 GRAFT STENT 49MM 28MM 20FR ENDURANT ENDOVASCULAR ABDOMEN AORTA POLYESTER NITINOL SUP-ENCF2828C49E CDM 270010015 LOCAL 270 RC outpatient 8550 855 2316.2 percent of total billed charges 8550 other OPPS APC 6327 percent of total billed charges 8550 other OPPS APC 8550 other OPPS APC 2316.2 percent of total billed charges 2362.37 percent of total billed charges 855 other OPPS APC 855 8550 GRAFT STENT 49MM 28MM 20FR ENDURANT ENDOVASCULAR ABDOMEN AORTA POLYESTER NITINOL SUP-ENCF2828C49E CDM 270010015 LOCAL 270 RC inpatient 8550 8550 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF2828C49E CDM 270010015 LOCAL 270 RC outpatient 8550 855 2316.2 percent of total billed charges 8550 other OPPS APC 6327 percent of total billed charges 8550 other OPPS APC 8550 other OPPS APC 2316.2 percent of total billed charges 2362.37 percent of total billed charges 855 other OPPS APC 855 8550 GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA SUP-ETCF2828C49E CDM 270010015 LOCAL 270 RC inpatient 8550 8550 SPACER ALLOGRAFT 9/11MM 26X7MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014907 CDM 270010012 LOCAL 270 RC outpatient 8542.38 8542.38 2314.13 percent of total billed charges 8542.38 other OPPS APC 6321.36 percent of total billed charges 8542.38 other OPPS APC 8542.38 other OPPS APC 2314.13 percent of total billed charges 2360.26 percent of total billed charges 8542.38 other OPPS APC 2314.13 8542.38 SPACER ALLOGRAFT 9/11MM 26X7MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014907 CDM 270010012 LOCAL 270 RC inpatient 8542.38 8542.38 SPACER ALLOGRAFT 9/11MM 26X9MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014909 CDM 270010012 LOCAL 270 RC outpatient 8542.38 8542.38 2314.13 percent of total billed charges 8542.38 other OPPS APC 6321.36 percent of total billed charges 8542.38 other OPPS APC 8542.38 other OPPS APC 2314.13 percent of total billed charges 2360.26 percent of total billed charges 8542.38 other OPPS APC 2314.13 8542.38 SPACER ALLOGRAFT 9/11MM 26X9MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014909 CDM 270010012 LOCAL 270 RC inpatient 8542.38 8542.38 SPACER ALLOGRAFT 9/11MM 26X11MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014911 CDM 270010012 LOCAL 270 RC outpatient 8542.38 8542.38 2314.13 percent of total billed charges 8542.38 other OPPS APC 6321.36 percent of total billed charges 8542.38 other OPPS APC 8542.38 other OPPS APC 2314.13 percent of total billed charges 2360.26 percent of total billed charges 8542.38 other OPPS APC 2314.13 8542.38 SPACER ALLOGRAFT 9/11MM 26X11MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF SUP-014911 CDM 270010012 LOCAL 270 RC inpatient 8542.38 8542.38 PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H45.7 MM 11.5 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR SR SUP-K172 CDM 270 RC outpatient 8508 858 2304.82 percent of total billed charges 8508 other OPPS APC 6295.92 percent of total billed charges 8508 other OPPS APC 8508 other OPPS APC 2304.82 percent of total billed charges 2350.76 percent of total billed charges 858 other OPPS APC 858 8508 PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H45.7 MM 11.5 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR SR SUP-K172 CDM 270 RC inpatient 8508 8508 INTEGRA MESHED BILAYER WOUND MATRIX 4X5 SUP-97-00481 CDM 636 RC outpatient 8507.2 857.27 8507.2 fee schedule 8507.2 other OPPS APC 6295.33 percent of total billed charges 8507.2 other OPPS APC 8507.2 other OPPS APC 4168.53 percent of total billed charges 2114.89 percent of total billed charges 857.27 other OPPS APC 857.27 8507.2 INTEGRA MESHED BILAYER WOUND MATRIX 4X5 SUP-97-00481 CDM 636 RC inpatient 8507.2 8507.2 INTEGRA MESHED BILAYER WOUND MATRIX 4X10 SUP-97-04671 CDM 636 RC outpatient 8507.2 857.27 8507.2 fee schedule 8507.2 other OPPS APC 6295.33 percent of total billed charges 8507.2 other OPPS APC 8507.2 other OPPS APC 4168.53 percent of total billed charges 2114.89 percent of total billed charges 857.27 other OPPS APC 857.27 8507.2 INTEGRA MESHED BILAYER WOUND MATRIX 4X10 SUP-97-04671 CDM 636 RC inpatient 8507.2 8507.2 UNI KNEE SUP-97-02653 CDM 278 RC outpatient 8500 85 8500 fee schedule 8500 other OPPS APC 4845 percent of total billed charges 8500 other OPPS APC 8500 other OPPS APC 4165 percent of total billed charges 4335 percent of total billed charges 85 other OPPS APC 85 8500 UNI KNEE SUP-97-02653 CDM 278 RC inpatient 8500 8500 DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L10 CM X W7 CM 3 LAYER MATRIX MESH SUP-8213-0000-09 CDM 270 RC outpatient 8487.5 8487.5 2299.26 percent of total billed charges 8487.5 other OPPS APC 6280.75 percent of total billed charges 8487.5 other OPPS APC 8487.5 other OPPS APC 2299.26 percent of total billed charges 2345.1 percent of total billed charges 8487.5 other OPPS APC 2299.26 8487.5 DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L10 CM X W7 CM 3 LAYER MATRIX MESH SUP-8213-0000-09 CDM 270 RC inpatient 8487.5 8487.5 ATHERECTOMY - 1.25 SOLID CROWN 145CM SUP-99-01658 CDM 272 RC outpatient 8487.5 8487.5 2299.26 percent of total billed charges 8487.5 other OPPS APC 6280.75 percent of total billed charges 8487.5 other OPPS APC 8487.5 other OPPS APC 2299.26 percent of total billed charges 2345.1 percent of total billed charges 8487.5 other OPPS APC 2299.26 8487.5 ATHERECTOMY - 1.25 SOLID CROWN 145CM SUP-99-01658 CDM 272 RC inpatient 8487.5 8487.5 ATHERECTOMY - 1.50 SOLID CROWN 145CM SUP-99-01659 CDM 272 RC outpatient 8487.5 8487.5 2299.26 percent of total billed charges 8487.5 other OPPS APC 6280.75 percent of total billed charges 8487.5 other OPPS APC 8487.5 other OPPS APC 2299.26 percent of total billed charges 2345.1 percent of total billed charges 8487.5 other OPPS APC 2299.26 8487.5 ATHERECTOMY - 1.50 SOLID CROWN 145CM SUP-99-01659 CDM 272 RC inpatient 8487.5 8487.5 ATHERECTOMY - 1.25 PEDAL CROWN 145CM SUP-99-01912 CDM 272 RC outpatient 8487.5 8487.5 2299.26 percent of total billed charges 8487.5 other OPPS APC 6280.75 percent of total billed charges 8487.5 other OPPS APC 8487.5 other OPPS APC 2299.26 percent of total billed charges 2345.1 percent of total billed charges 8487.5 other OPPS APC 2299.26 8487.5 ATHERECTOMY - 1.25 PEDAL CROWN 145CM SUP-99-01912 CDM 272 RC inpatient 8487.5 8487.5 ATHERECTOMY - 1.25 MICRO CROWN 60CM SUP-99-01974 CDM 272 RC outpatient 8487.5 8487.5 2299.26 percent of total billed charges 8487.5 other OPPS APC 6280.75 percent of total billed charges 8487.5 other OPPS APC 8487.5 other OPPS APC 2299.26 percent of total billed charges 2345.1 percent of total billed charges 8487.5 other OPPS APC 2299.26 8487.5 ATHERECTOMY - 1.25 MICRO CROWN 60CM SUP-99-01974 CDM 272 RC inpatient 8487.5 8487.5 STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE SUP-VBJ071002 CDM 270 RC outpatient 8466 8466 2293.44 percent of total billed charges 8466 other OPPS APC 6264.84 percent of total billed charges 8466 other OPPS APC 8466 other OPPS APC 2293.44 percent of total billed charges 2339.16 percent of total billed charges 8466 other OPPS APC 2293.44 8466 STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE SUP-VBJ071002 CDM 270 RC inpatient 8466 8466 PACEMAKER ACCOLADE SR MRI SYSTEM SINGLE CHAMBER 1 LEAD SUP-9H42 CDM 275 RC outpatient 8455 8455 4142.95 percent of total billed charges 8455 other OPPS APC 4819.35 percent of total billed charges 8455 other OPPS APC 8455 other OPPS APC 4142.95 percent of total billed charges 4312.05 percent of total billed charges 8455 other OPPS APC 4142.95 8455 PACEMAKER ACCOLADE SR MRI SYSTEM SINGLE CHAMBER 1 LEAD SUP-9H42 CDM 275 RC inpatient 8455 8455 TRAY TIBIAL GMK HINGE 3 KNEE LEFT FIX NONSTERILE SUP-02.09.4003L CDM 270010025 LOCAL 270 RC outpatient 8440 844 2286.4 percent of total billed charges 8440 other OPPS APC 6245.6 percent of total billed charges 8440 other OPPS APC 8440 other OPPS APC 2286.4 percent of total billed charges 2331.97 percent of total billed charges 844 other OPPS APC 844 8440 TRAY TIBIAL GMK HINGE 3 KNEE LEFT FIX NONSTERILE SUP-02.09.4003L CDM 270010025 LOCAL 270 RC inpatient 8440 8440 TRAY TIBIAL GMK HINGE 5 KNEE LEFT FIX NONSTERILE SUP-02.09.4005L CDM 270010025 LOCAL 270 RC outpatient 8440 844 2286.4 percent of total billed charges 8440 other OPPS APC 6245.6 percent of total billed charges 8440 other OPPS APC 8440 other OPPS APC 2286.4 percent of total billed charges 2331.97 percent of total billed charges 844 other OPPS APC 844 8440 TRAY TIBIAL GMK HINGE 5 KNEE LEFT FIX NONSTERILE SUP-02.09.4005L CDM 270010025 LOCAL 270 RC inpatient 8440 8440 VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP ADJUSTABLE PRESSURE ANTECHAMBER SUP-SPVA400_72543 CDM 270 RC outpatient 8430 843 2283.69 percent of total billed charges 8430 other OPPS APC 6238.2 percent of total billed charges 8430 other OPPS APC 8430 other OPPS APC 2283.69 percent of total billed charges 2329.21 percent of total billed charges 843 other OPPS APC 843 8430 VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP ADJUSTABLE PRESSURE ANTECHAMBER SUP-SPVA400_72543 CDM 270 RC inpatient 8430 8430 NIVOLUMAB 100 MG/10 ML SOLUTION 10 ML VIAL 636000000 CDM 0003-3774-12 NDC J9299 HCPCS inpatient 8420.54 8420.54 NIVOLUMAB 100 MG/10 ML SOLUTION 10 ML VIAL 636000000 CDM 0003-3774-12 NDC J9299 HCPCS outpatient 8420.54 33.12 33.12 other OPPS APC 33.12 33.12 COMPONENT TIBIAL TRAY OPTETRAK LOGIC 4F/3T KNEE FIT CEMENTED SUP-02-012-45-4030 CDM 270010025 LOCAL 270 RC outpatient 8420 842 2280.98 percent of total billed charges 8420 other OPPS APC 6230.8 percent of total billed charges 8420 other OPPS APC 8420 other OPPS APC 2280.98 percent of total billed charges 2326.45 percent of total billed charges 842 other OPPS APC 842 8420 COMPONENT TIBIAL TRAY OPTETRAK LOGIC 4F/3T KNEE FIT CEMENTED SUP-02-012-45-4030 CDM 270010025 LOCAL 270 RC inpatient 8420 8420 ZIMMER HIP PARTIAL SUP-97-00392 CDM 278 RC outpatient 8400 84 8400 fee schedule 8400 other OPPS APC 4788 percent of total billed charges 8400 other OPPS APC 8400 other OPPS APC 4116 percent of total billed charges 4284 percent of total billed charges 84 other OPPS APC 84 8400 ZIMMER HIP PARTIAL SUP-97-00392 CDM 278 RC inpatient 8400 8400 PATELLO FEMORAL PARTIAL KNEE CAP SUP-97-02711 CDM 278 RC outpatient 8400 84 8400 fee schedule 8400 other OPPS APC 4788 percent of total billed charges 8400 other OPPS APC 8400 other OPPS APC 4116 percent of total billed charges 4284 percent of total billed charges 84 other OPPS APC 84 8400 PATELLO FEMORAL PARTIAL KNEE CAP SUP-97-02711 CDM 278 RC inpatient 8400 8400 SHOULDER HEMI SUP-97-04221 CDM 278 RC outpatient 8400 84 8400 fee schedule 8400 other OPPS APC 4788 percent of total billed charges 8400 other OPPS APC 8400 other OPPS APC 4116 percent of total billed charges 4284 percent of total billed charges 84 other OPPS APC 84 8400 SHOULDER HEMI SUP-97-04221 CDM 278 RC inpatient 8400 8400 LOOP DM 3500 CONFIRM RX SUP-DM3500 CDM 275 RC outpatient 8400 84 4116 percent of total billed charges 8400 other OPPS APC 4788 percent of total billed charges 8400 other OPPS APC 8400 other OPPS APC 4116 percent of total billed charges 4284 percent of total billed charges 84 other OPPS APC 84 8400 LOOP DM 3500 CONFIRM RX SUP-DM3500 CDM 275 RC inpatient 8400 8400 IMPLANT NEXGEN ROTATING HINGE STEM TIBIAL PLATE SIZE 4 SUP-00-5880-004-00 CDM 270010025 LOCAL 270 RC outpatient 8388 8388 2272.31 percent of total billed charges 8388 other OPPS APC 6207.12 percent of total billed charges 8388 other OPPS APC 8388 other OPPS APC 2272.31 percent of total billed charges 2317.6 percent of total billed charges 8388 other OPPS APC 2272.31 8388 IMPLANT NEXGEN ROTATING HINGE STEM TIBIAL PLATE SIZE 4 SUP-00-5880-004-00 CDM 270010025 LOCAL 270 RC inpatient 8388 8388 DRESSING OASIS ULTRA TRI-LAYER 7 X 10CM SUP-95-03619 CDM 636 RC outpatient 8386.76 8386.76 8386.76 fee schedule 8386.76 other OPPS APC 13.27 fee schedule 8386.76 other OPPS APC 8386.76 other OPPS APC 4109.51 percent of total billed charges 2084.95 percent of total billed charges 8386.76 other OPPS APC 13.27 8386.76 DRESSING OASIS ULTRA TRI-LAYER 7 X 10CM SUP-95-03619 CDM 636 RC inpatient 8386.76 8386.76 PACEMAKER - GENERATOR ADDRL1 SUP-99-00895 CDM 275 RC outpatient 8379 8379 8379 fee schedule 8379 other OPPS APC 4776.03 percent of total billed charges 8379 other OPPS APC 8379 other OPPS APC 4105.71 percent of total billed charges 4273.29 percent of total billed charges 8379 other OPPS APC 4105.71 8379 PACEMAKER - GENERATOR ADDRL1 SUP-99-00895 CDM 275 RC inpatient 8379 8379 PACEMAKER - GENERATOR ADDSR1 SUP-99-00896 CDM 275 RC inpatient 8379 8379 PACEMAKER - GENERATOR ADDSR1 SUP-99-00896 CDM 275 RC outpatient 8379 8379 fee schedule other OPPS APC 4776.03 percent of total billed charges other OPPS APC other OPPS APC 4105.71 percent of total billed charges 4273.29 percent of total billed charges other OPPS APC 4776.03 4776.03 NAIL 10 X 200MM LEFT PHANTOM TTC SUP-97-06217 CDM 278 RC outpatient 8375 8375 8375 fee schedule 8375 other OPPS APC 4773.75 percent of total billed charges 8375 other OPPS APC 8375 other OPPS APC 4103.75 percent of total billed charges 4271.25 percent of total billed charges 8375 other OPPS APC 4103.75 8375 NAIL 10 X 200MM LEFT PHANTOM TTC SUP-97-06217 CDM 278 RC inpatient 8375 8375 BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 16 ML VIAL 636000000 CDM 55513-207-01 NDC Q5107 HCPCS inpatient 8372.68 8372.68 BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 16 ML VIAL 636000000 CDM 55513-207-01 NDC Q5107 HCPCS outpatient 8372.68 28.5 28.5 other OPPS APC 28.5 28.5 PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 5 KNEE ROTATE HINGE STEM STERILE SUP-00-5880-005-00 CDM 270010025 LOCAL 270 RC outpatient 8372 8372 2267.97 percent of total billed charges 8372 other OPPS APC 6195.28 percent of total billed charges 8372 other OPPS APC 8372 other OPPS APC 2267.97 percent of total billed charges 2313.18 percent of total billed charges 8372 other OPPS APC 2267.97 8372 PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 5 KNEE ROTATE HINGE STEM STERILE SUP-00-5880-005-00 CDM 270010025 LOCAL 270 RC inpatient 8372 8372 PACEMAKER ACCOLADE DR 1 LEAD DUAL CHAMBER SYSTEM SUP-8H33 CDM 275 RC outpatient 8360 836 4096.4 percent of total billed charges 8360 other OPPS APC 4765.2 percent of total billed charges 8360 other OPPS APC 8360 other OPPS APC 4096.4 percent of total billed charges 4263.6 percent of total billed charges 836 other OPPS APC 836 8360 PACEMAKER ACCOLADE DR 1 LEAD DUAL CHAMBER SYSTEM SUP-8H33 CDM 275 RC inpatient 8360 8360 PACEMAKER L321 ACCOLADE DR EL 1 LEAD SYSTEM DUAL CHAMBER SUP-8H53 CDM 275 RC outpatient 8360 836 4096.4 percent of total billed charges 8360 other OPPS APC 4765.2 percent of total billed charges 8360 other OPPS APC 8360 other OPPS APC 4096.4 percent of total billed charges 4263.6 percent of total billed charges 836 other OPPS APC 836 8360 PACEMAKER L321 ACCOLADE DR EL 1 LEAD SYSTEM DUAL CHAMBER SUP-8H53 CDM 275 RC inpatient 8360 8360 SOUND PROCESSOR PONTO 5 MINI CHESTNUT BROWN SUP-95-04678 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges 8352 other OPPS APC 6180.48 percent of total billed charges 8352 other OPPS APC 8352 other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges 8352 other OPPS APC 2262.56 8352 SOUND PROCESSOR PONTO 5 MINI CHESTNUT BROWN SUP-95-04678 CDM 272 RC inpatient 8352 8352 SOUND PROCESSOR PONTO 4 SG GRAY SUP-95-04865 CDM 272 RC inpatient 8352 8352 SOUND PROCESSOR PONTO 4 SG GRAY SUP-95-04865 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 SOUND PROCESSOR PONTO 4 SG BROWN SUP-95-05113 CDM 272 RC inpatient 8352 8352 SOUND PROCESSOR PONTO 4 SG BROWN SUP-95-05113 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 SOUND PROCESSOR PONTO 5 MINI TERRACOTTA SUP-95-05437 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges 8352 other OPPS APC 6180.48 percent of total billed charges 8352 other OPPS APC 8352 other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges 8352 other OPPS APC 2262.56 8352 SOUND PROCESSOR PONTO 5 MINI TERRACOTTA SUP-95-05437 CDM 272 RC inpatient 8352 8352 SOUND PROCESSOR PONTO 5 MINI STEEL GREY SUP-95-05490 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges 8352 other OPPS APC 6180.48 percent of total billed charges 8352 other OPPS APC 8352 other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges 8352 other OPPS APC 2262.56 8352 SOUND PROCESSOR PONTO 5 MINI STEEL GREY SUP-95-05490 CDM 272 RC inpatient 8352 8352 PONTO3 POWER LEFT MOCCA BROWN SUP-97-02601 CDM 272 RC inpatient 8352 8352 PONTO3 POWER LEFT MOCCA BROWN SUP-97-02601 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 SUPER POWER RIGHT DIAMOND BLACK SUP-97-02603 CDM 272 RC inpatient 8352 8352 PONTO3 SUPER POWER RIGHT DIAMOND BLACK SUP-97-02603 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 SUPERPOWER RIGHT WHITE SILVER SUP-97-02966 CDM 272 RC inpatient 8352 8352 PONTO3 SUPERPOWER RIGHT WHITE SILVER SUP-97-02966 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER LEFT LEFT STEEL GREY SUP-97-03249 CDM 278 RC inpatient 8352 8352 PONTO3 POWER LEFT LEFT STEEL GREY SUP-97-03249 CDM 278 RC outpatient 8352 8352 fee schedule other OPPS APC 4760.64 percent of total billed charges other OPPS APC other OPPS APC 4092.48 percent of total billed charges 4259.52 percent of total billed charges other OPPS APC 4760.64 4760.64 PONTO3 SUPERPOWER RIGHT STEEL GREY SUP-97-03475 CDM 272 RC inpatient 8352 8352 PONTO3 SUPERPOWER RIGHT STEEL GREY SUP-97-03475 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER DIAMOND BLACK LEFT SUP-97-03478 CDM 278 RC inpatient 8352 8352 PONTO3 POWER DIAMOND BLACK LEFT SUP-97-03478 CDM 278 RC outpatient 8352 8352 fee schedule other OPPS APC 4760.64 percent of total billed charges other OPPS APC other OPPS APC 4092.48 percent of total billed charges 4259.52 percent of total billed charges other OPPS APC 4760.64 4760.64 PONTO3 POWER MOCCA BROWN RIGHT SUP-97-03479 CDM 272 RC inpatient 8352 8352 PONTO3 POWER MOCCA BROWN RIGHT SUP-97-03479 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER CHROMA BEIGE LEFT SUP-97-03480 CDM 272 RC inpatient 8352 8352 PONTO3 POWER CHROMA BEIGE LEFT SUP-97-03480 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER CHROMA BEIGE RIGHT SUP-97-03481 CDM 272 RC inpatient 8352 8352 PONTO3 POWER CHROMA BEIGE RIGHT SUP-97-03481 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER WHITE SILVER LEFT SUP-97-03482 CDM 272 RC inpatient 8352 8352 PONTO3 POWER WHITE SILVER LEFT SUP-97-03482 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER PURE WHITE LEFT SUP-97-03483 CDM 272 RC inpatient 8352 8352 PONTO3 POWER PURE WHITE LEFT SUP-97-03483 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO3 POWER PURE WHITE RIGHT SUP-97-03484 CDM 272 RC inpatient 8352 8352 PONTO3 POWER PURE WHITE RIGHT SUP-97-03484 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PONTO 4 SILVER SUP-97-04592 CDM 272 RC inpatient 8352 8352 PONTO 4 SILVER SUP-97-04592 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 PROCESSOR PONTO 4 DIAMOND BLACK SUP-97-04949 CDM 272 RC inpatient 8352 8352 PROCESSOR PONTO 4 DIAMOND BLACK SUP-97-04949 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges other OPPS APC 6180.48 percent of total billed charges other OPPS APC other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges other OPPS APC 6180.48 6180.48 SOUND PROCESSOR PONTO 5 MINI SILVER (C044) SUP-97-05619 CDM 272 RC outpatient 8352 8352 2262.56 percent of total billed charges 8352 other OPPS APC 6180.48 percent of total billed charges 8352 other OPPS APC 8352 other OPPS APC 2262.56 percent of total billed charges 2307.66 percent of total billed charges 8352 other OPPS APC 2262.56 8352 SOUND PROCESSOR PONTO 5 MINI SILVER (C044) SUP-97-05619 CDM 272 RC inpatient 8352 8352 SIGMA FEM SIZE 2.5 LFT SUP-97-01051 CDM 278 RC outpatient 8329.5 8329.5 8329.5 fee schedule 8329.5 other OPPS APC 4747.82 percent of total billed charges 8329.5 other OPPS APC 8329.5 other OPPS APC 4081.46 percent of total billed charges 4248.05 percent of total billed charges 8329.5 other OPPS APC 4081.46 8329.5 SIGMA FEM SIZE 2.5 LFT SUP-97-01051 CDM 278 RC inpatient 8329.5 8329.5 POSTERIOR STABIZED CEMENTED SUP-97-01316 CDM 278 RC outpatient 8329.5 8329.5 8329.5 fee schedule 8329.5 other OPPS APC 4747.82 percent of total billed charges 8329.5 other OPPS APC 8329.5 other OPPS APC 4081.46 percent of total billed charges 4248.05 percent of total billed charges 8329.5 other OPPS APC 4081.46 8329.5 POSTERIOR STABIZED CEMENTED SUP-97-01316 CDM 278 RC inpatient 8329.5 8329.5 FEMORAL POSTERIOR STABILIZED CEMMENTED SUP-97-01858 CDM 278 RC outpatient 8329.5 8329.5 8329.5 fee schedule 8329.5 other OPPS APC 4747.82 percent of total billed charges 8329.5 other OPPS APC 8329.5 other OPPS APC 4081.46 percent of total billed charges 4248.05 percent of total billed charges 8329.5 other OPPS APC 4081.46 8329.5 FEMORAL POSTERIOR STABILIZED CEMMENTED SUP-97-01858 CDM 278 RC inpatient 8329.5 8329.5 SIGMA FEM SIZE 6 RIGHT SUP-97-02523 CDM 278 RC outpatient 8329.5 8329.5 8329.5 fee schedule 8329.5 other OPPS APC 4747.82 percent of total billed charges 8329.5 other OPPS APC 8329.5 other OPPS APC 4081.46 percent of total billed charges 4248.05 percent of total billed charges 8329.5 other OPPS APC 4081.46 8329.5 SIGMA FEM SIZE 6 RIGHT SUP-97-02523 CDM 278 RC inpatient 8329.5 8329.5 STEM HUMERAL PERFORM 2+ SHOULDER STERILE LATEX FREE SUP-DWX2PS CDM 270010030 LOCAL 270 RC outpatient 8326 8326 2255.51 percent of total billed charges 8326 other OPPS APC 6161.24 percent of total billed charges 8326 other OPPS APC 8326 other OPPS APC 2255.51 percent of total billed charges 2300.47 percent of total billed charges 8326 other OPPS APC 2255.51 8326 STEM HUMERAL PERFORM 2+ SHOULDER STERILE LATEX FREE SUP-DWX2PS CDM 270010030 LOCAL 270 RC inpatient 8326 8326 CAP TOTAL SHOULDER PRICING-DEPUY SUP-TOTALSHOULDER-DEP CDM 270010030 LOCAL 270 RC outpatient 8320 832 2253.89 percent of total billed charges 8320 other OPPS APC 6156.8 percent of total billed charges 8320 other OPPS APC 8320 other OPPS APC 2253.89 percent of total billed charges 2298.82 percent of total billed charges 832 other OPPS APC 832 8320 CAP TOTAL SHOULDER PRICING-DEPUY SUP-TOTALSHOULDER-DEP CDM 270010030 LOCAL 270 RC inpatient 8320 8320 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0 SUP-43792 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0 SUP-43792 CDM 278 RC inpatient 8284 8284 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20 SUP-43794 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20 SUP-43794 CDM 278 RC inpatient 8284 8284 REST MOD PROX CONE BODY 19MM + 0MM SUP-97-03717 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROX CONE BODY 19MM + 0MM SUP-97-03717 CDM 278 RC inpatient 8284 8284 REST MOD PROX CONE BODY 19MM +20 SUP-97-05293 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROX CONE BODY 19MM +20 SUP-97-05293 CDM 278 RC inpatient 8284 8284 REST MOD PROX CONE BODY 21MM + 0MM SUP-97-05517 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROX CONE BODY 21MM + 0MM SUP-97-05517 CDM 278 RC inpatient 8284 8284 REST MOD PROXIMAL CONE BODY 19MM +10 SUP-97-06043 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROXIMAL CONE BODY 19MM +10 SUP-97-06043 CDM 278 RC inpatient 8284 8284 REST MOD PROXIMAL CONE BODY 23MM +0MM STD SUP-97-06188 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROXIMAL CONE BODY 23MM +0MM STD SUP-97-06188 CDM 278 RC inpatient 8284 8284 REST MOD PROX CONE BODY 19MM +10 SUP-97-23634 CDM 278 RC outpatient 8284 8284 8284 fee schedule 8284 other OPPS APC 4721.88 percent of total billed charges 8284 other OPPS APC 8284 other OPPS APC 4059.16 percent of total billed charges 4224.84 percent of total billed charges 8284 other OPPS APC 4059.16 8284 REST MOD PROX CONE BODY 19MM +10 SUP-97-23634 CDM 278 RC inpatient 8284 8284 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H7 MM SUP-34-5107-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H7 MM SUP-34-5107-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H8 MM SUP-34-5108-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H8 MM SUP-34-5108-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H9 MM SUP-34-5109-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H9 MM SUP-34-5109-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H10 MM SUP-34-5110-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H10 MM SUP-34-5110-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H11 MM SUP-34-5111-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H11 MM SUP-34-5111-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H12 MM SUP-34-5112-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H12 MM SUP-34-5112-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H13 MM SUP-34-5113-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H13 MM SUP-34-5113-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H14 MM SUP-34-5114-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H14 MM SUP-34-5114-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H15 MM SUP-34-5115-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H15 MM SUP-34-5115-S CDM 270 RC inpatient 8280 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H16 MM SUP-34-5116-S CDM 270 RC outpatient 8280 828 2243.05 percent of total billed charges 8280 other OPPS APC 6127.2 percent of total billed charges 8280 other OPPS APC 8280 other OPPS APC 2243.05 percent of total billed charges 2287.76 percent of total billed charges 828 other OPPS APC 828 8280 SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H16 MM SUP-34-5116-S CDM 270 RC inpatient 8280 8280 REST MOD PROX CONE BODY 21MM+10 SUP-97-03668 CDM 278 RC outpatient 8259.9 8259.9 8259.9 fee schedule 8259.9 other OPPS APC 4708.14 percent of total billed charges 8259.9 other OPPS APC 8259.9 other OPPS APC 4047.35 percent of total billed charges 4212.55 percent of total billed charges 8259.9 other OPPS APC 4047.35 8259.9 REST MOD PROX CONE BODY 21MM+10 SUP-97-03668 CDM 278 RC inpatient 8259.9 8259.9 PATELLA FEMORAL JOINT SUP-97-02675 CDM 278 RC outpatient 8250 825 8250 fee schedule 8250 other OPPS APC 4702.5 percent of total billed charges 8250 other OPPS APC 8250 other OPPS APC 4042.5 percent of total billed charges 4207.5 percent of total billed charges 825 other OPPS APC 825 8250 PATELLA FEMORAL JOINT SUP-97-02675 CDM 278 RC inpatient 8250 8250 STENT - COVERED PAPYRUS 4.5 X 20 SUP-99-04537 CDM inpatient 8250 8250 STENT - COVERED PAPYRUS 4.5 X 20 SUP-99-04537 CDM outpatient 8250 825 8250 percent of total billed charges 8250 other OPPS APC 8250 fee schedule 8250 other OPPS APC 8250 other OPPS APC 8250 case rate 8250 case rate 825 other OPPS APC 825 8250 STENT - COVERED PAPYRUS 5 X 20 SUP-99-04539 CDM 272 RC outpatient 8250 825 2234.93 percent of total billed charges 8250 other OPPS APC 6105 percent of total billed charges 8250 other OPPS APC 8250 other OPPS APC 2234.93 percent of total billed charges 2279.48 percent of total billed charges 825 other OPPS APC 825 8250 STENT - COVERED PAPYRUS 5 X 20 SUP-99-04539 CDM 272 RC inpatient 8250 8250 HC Rad Therapy Lymphoma Rad Onc Model 90 Day Episode Tc PX-333M10970 CDM 333 RC outpatient 8239.84 8239.84 4037.52 percent of total billed charges 8239.84 other OPPS APC 6097.48 percent of total billed charges 8239.84 other OPPS APC 8239.84 other OPPS APC 4037.52 percent of total billed charges 4202.32 percent of total billed charges 8239.84 other OPPS APC 4037.52 8239.84 HC Rad Therapy Lymphoma Rad Onc Model 90 Day Episode Tc PX-333M10970 CDM 333 RC inpatient 8239.84 8239.84 GRAFT ANKLE TALUS LEFT SUP-97-03891 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 GRAFT ANKLE TALUS LEFT SUP-97-03891 CDM 278 RC inpatient 8220 8220 GRAFTLINK PRE-SUTURED TENDON SUP-97-04616 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 GRAFTLINK PRE-SUTURED TENDON SUP-97-04616 CDM 278 RC inpatient 8220 8220 STENT - COVERED - VIABAHN 6MM X 7.5CM SUP-99-04225 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 STENT - COVERED - VIABAHN 6MM X 7.5CM SUP-99-04225 CDM 278 RC inpatient 8220 8220 STENT - COVERED - VIABAHN 7MM X 7.5CM 7F SUP-99-04226 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 STENT - COVERED - VIABAHN 7MM X 7.5CM 7F SUP-99-04226 CDM 278 RC inpatient 8220 8220 STENT - COVERED - VIABAHN 7MM X 10CM 7F SUP-99-04227 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 STENT - COVERED - VIABAHN 7MM X 10CM 7F SUP-99-04227 CDM 278 RC inpatient 8220 8220 STENT - COVERED - VIABAHN 6MM X 10CM SUP-99-04228 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 STENT - COVERED - VIABAHN 6MM X 10CM SUP-99-04228 CDM 278 RC inpatient 8220 8220 STENT - COVERED - VIABAHN 8 X 10 SUP-99-04702 CDM 278 RC outpatient 8220 822 8220 fee schedule 8220 other OPPS APC 4685.4 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 4027.8 percent of total billed charges 4192.2 percent of total billed charges 822 other OPPS APC 822 8220 STENT - COVERED - VIABAHN 8 X 10 SUP-99-04702 CDM 278 RC inpatient 8220 8220 STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD8 MM SUPERFICIAL FEMORAL ARTERY ILIAC ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR081002A CDM 270 RC outpatient 8220 822 2226.8 percent of total billed charges 8220 other OPPS APC 6082.8 percent of total billed charges 8220 other OPPS APC 8220 other OPPS APC 2226.8 percent of total billed charges 2271.19 percent of total billed charges 822 other OPPS APC 822 8220 STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD8 MM SUPERFICIAL FEMORAL ARTERY ILIAC ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR081002A CDM 270 RC inpatient 8220 8220 CAGE SPINAL COROENT XL 50X18X12MM NS LF SUP-6912850 CDM 270010020 LOCAL 270 RC outpatient 8206 826 2223.01 percent of total billed charges 8206 other OPPS APC 6072.44 percent of total billed charges 8206 other OPPS APC 8206 other OPPS APC 2223.01 percent of total billed charges 2267.32 percent of total billed charges 826 other OPPS APC 826 8206 CAGE SPINAL COROENT XL 50X18X12MM NS LF SUP-6912850 CDM 270010020 LOCAL 270 RC inpatient 8206 8206 CAGE SPINAL COROENT 10D XL 50X18X10MM NS LF SUP-6981050 CDM 270010020 LOCAL 270 RC outpatient 8206 826 2223.01 percent of total billed charges 8206 other OPPS APC 6072.44 percent of total billed charges 8206 other OPPS APC 8206 other OPPS APC 2223.01 percent of total billed charges 2267.32 percent of total billed charges 826 other OPPS APC 826 8206 CAGE SPINAL COROENT 10D XL 50X18X10MM NS LF SUP-6981050 CDM 270010020 LOCAL 270 RC inpatient 8206 8206 HEMISPHERICAL SHELL SUP-97-01886 CDM 278 RC outpatient 8173.5 8173.5 8173.5 fee schedule 8173.5 other OPPS APC 4658.9 percent of total billed charges 8173.5 other OPPS APC 8173.5 other OPPS APC 4005.02 percent of total billed charges 4168.49 percent of total billed charges 8173.5 other OPPS APC 4005.02 8173.5 HEMISPHERICAL SHELL SUP-97-01886 CDM 278 RC inpatient 8173.5 8173.5 HEMISPHERICAL SHELL SUP-97-02532 CDM 278 RC outpatient 8173.5 8173.5 8173.5 fee schedule 8173.5 other OPPS APC 4658.9 percent of total billed charges 8173.5 other OPPS APC 8173.5 other OPPS APC 4005.02 percent of total billed charges 4168.49 percent of total billed charges 8173.5 other OPPS APC 4005.02 8173.5 HEMISPHERICAL SHELL SUP-97-02532 CDM 278 RC inpatient 8173.5 8173.5 HEMISPHERICAL SHELL 62 SUP-97-02534 CDM 278 RC outpatient 8173.5 8173.5 8173.5 fee schedule 8173.5 other OPPS APC 4658.9 percent of total billed charges 8173.5 other OPPS APC 8173.5 other OPPS APC 4005.02 percent of total billed charges 4168.49 percent of total billed charges 8173.5 other OPPS APC 4005.02 8173.5 HEMISPHERICAL SHELL 62 SUP-97-02534 CDM 278 RC inpatient 8173.5 8173.5 VERSYS FM MC CLR 12X140MM STD BODY NECK SUP-97-04399 CDM 278 RC outpatient 8150 815 8150 fee schedule 8150 other OPPS APC 4645.5 percent of total billed charges 8150 other OPPS APC 8150 other OPPS APC 3993.5 percent of total billed charges 4156.5 percent of total billed charges 815 other OPPS APC 815 8150 VERSYS FM MC CLR 12X140MM STD BODY NECK SUP-97-04399 CDM 278 RC inpatient 8150 8150 VERSYS FM MC CLR 15X160MM STD BODY STD N SUP-97-04748 CDM 278 RC outpatient 8150 815 8150 fee schedule 8150 other OPPS APC 4645.5 percent of total billed charges 8150 other OPPS APC 8150 other OPPS APC 3993.5 percent of total billed charges 4156.5 percent of total billed charges 815 other OPPS APC 815 8150 VERSYS FM MC CLR 15X160MM STD BODY STD N SUP-97-04748 CDM 278 RC inpatient 8150 8150 VERSYS FM MC CLR 18 X 160MM LM BODY STD NECK SUP-97-06132 CDM 278 RC outpatient 8150 815 8150 fee schedule 8150 other OPPS APC 4645.5 percent of total billed charges 8150 other OPPS APC 8150 other OPPS APC 3993.5 percent of total billed charges 4156.5 percent of total billed charges 815 other OPPS APC 815 8150 VERSYS FM MC CLR 18 X 160MM LM BODY STD NECK SUP-97-06132 CDM 278 RC inpatient 8150 8150 PONTO3 POWER RIGHT MOCCA BROWN SUP-97-01580 CDM 272 RC inpatient 8136 8136 PONTO3 POWER RIGHT MOCCA BROWN SUP-97-01580 CDM 272 RC outpatient 8136 8136 2204.04 percent of total billed charges other OPPS APC 6020.64 percent of total billed charges other OPPS APC other OPPS APC 2204.04 percent of total billed charges 2247.98 percent of total billed charges other OPPS APC 6020.64 6020.64 PONTO3 POWER LEFT CHOMA BEIGE SUP-97-01822 CDM 278 RC inpatient 8136 8136 PONTO3 POWER LEFT CHOMA BEIGE SUP-97-01822 CDM 278 RC outpatient 8136 8136 fee schedule other OPPS APC 4637.52 percent of total billed charges other OPPS APC other OPPS APC 3986.64 percent of total billed charges 4149.36 percent of total billed charges other OPPS APC 4637.52 4637.52 PONTO3 POWER RIGHT CHOMA BEIGE SUP-97-01823 CDM 278 RC inpatient 8136 8136 PONTO3 POWER RIGHT CHOMA BEIGE SUP-97-01823 CDM 278 RC outpatient 8136 8136 fee schedule other OPPS APC 4637.52 percent of total billed charges other OPPS APC other OPPS APC 3986.64 percent of total billed charges 4149.36 percent of total billed charges other OPPS APC 4637.52 4637.52 ALTIPLY 4CMX7CM SUP-97-03582 CDM 636 RC outpatient 8125 8125 3981.25 percent of total billed charges 8125 other OPPS APC 6012.5 percent of total billed charges 8125 other OPPS APC 8125 other OPPS APC 3981.25 percent of total billed charges 2019.88 percent of total billed charges 8125 other OPPS APC 2019.88 8125 ALTIPLY 4CMX7CM SUP-97-03582 CDM 636 RC inpatient 8125 8125 IS AUGMENT 3CC SUP-97-23779 CDM 278 RC outpatient 8125 8125 8125 fee schedule 8125 other OPPS APC 4631.25 percent of total billed charges 8125 other OPPS APC 8125 other OPPS APC 3981.25 percent of total billed charges 4143.75 percent of total billed charges 8125 other OPPS APC 3981.25 8125 IS AUGMENT 3CC SUP-97-23779 CDM 278 RC inpatient 8125 8125 HC Incision of Gallbladder PX-361474900 CDM 47490 CPT 361 RC outpatient 8123.37 8123.37 2565.36 percent of total billed charges 8123.37 other OPPS APC 8123.37 fee schedule 8123.37 other OPPS APC 8123.37 other OPPS APC 2565.36 percent of total billed charges 2616.54 percent of total billed charges 8123.37 other OPPS APC 2565.36 8123.37 HC Incision of Gallbladder PX-361474900 CDM 47490 CPT 361 RC inpatient 8123.37 8123.37 GRAFT OVITEX 1S 10 X 20CM SUP-97-06234 CDM 278 RC outpatient 8100 81 8100 fee schedule 8100 other OPPS APC 4617 percent of total billed charges 8100 other OPPS APC 8100 other OPPS APC 3969 percent of total billed charges 4131 percent of total billed charges 81 other OPPS APC 81 8100 GRAFT OVITEX 1S 10 X 20CM SUP-97-06234 CDM 278 RC inpatient 8100 8100 COMPONENT GLENOID ARTHREX ECLIPSE OD47 MM SHOULDER TRUNION SUP-AR-9301-47CPC CDM 270010030 LOCAL 270 RC outpatient 8100 81 2194.29 percent of total billed charges 8100 other OPPS APC 5994 percent of total billed charges 8100 other OPPS APC 8100 other OPPS APC 2194.29 percent of total billed charges 2238.03 percent of total billed charges 81 other OPPS APC 81 8100 COMPONENT GLENOID ARTHREX ECLIPSE OD47 MM SHOULDER TRUNION SUP-AR-9301-47CPC CDM 270010030 LOCAL 270 RC inpatient 8100 8100 VENTRIO ST XLG OVAL 27.4 X 34.9 SUP-97-00240 CDM 278 RC outpatient 8062.5 862.5 8062.5 fee schedule 8062.5 other OPPS APC 4595.63 percent of total billed charges 8062.5 other OPPS APC 8062.5 other OPPS APC 3950.63 percent of total billed charges 4111.88 percent of total billed charges 862.5 other OPPS APC 862.5 8062.5 VENTRIO ST XLG OVAL 27.4 X 34.9 SUP-97-00240 CDM 278 RC inpatient 8062.5 8062.5 MESH SURGICAL VOITEX LPR 15 X 20 CM ELLIPSE SUP-F10244-1520L CDM 270 RC outpatient 8057.9 857.9 2182.89 percent of total billed charges 8057.9 other OPPS APC 5962.85 percent of total billed charges 8057.9 other OPPS APC 8057.9 other OPPS APC 2182.89 percent of total billed charges 2226.4 percent of total billed charges 857.9 other OPPS APC 857.9 8057.9 MESH SURGICAL VOITEX LPR 15 X 20 CM ELLIPSE SUP-F10244-1520L CDM 270 RC inpatient 8057.9 8057.9 INFINITY ADAPTIS TIB SIZE 1 SUP-97-05868 CDM 278 RC outpatient 8050 85 8050 fee schedule 8050 other OPPS APC 4588.5 percent of total billed charges 8050 other OPPS APC 8050 other OPPS APC 3944.5 percent of total billed charges 4105.5 percent of total billed charges 85 other OPPS APC 85 8050 INFINITY ADAPTIS TIB SIZE 1 SUP-97-05868 CDM 278 RC inpatient 8050 8050 TRIATHLON SYM CONE AUGMENT SIZE A SUP-97-05010 CDM 278 RC outpatient 8045 845 8045 fee schedule 8045 other OPPS APC 4585.65 percent of total billed charges 8045 other OPPS APC 8045 other OPPS APC 3942.05 percent of total billed charges 4102.95 percent of total billed charges 845 other OPPS APC 845 8045 TRIATHLON SYM CONE AUGMENT SIZE A SUP-97-05010 CDM 278 RC inpatient 8045 8045 CONE AUGMENT TRIATHLON SYM SIZE B SUP-97-05792 CDM 278 RC outpatient 8045 845 8045 fee schedule 8045 other OPPS APC 4585.65 percent of total billed charges 8045 other OPPS APC 8045 other OPPS APC 3942.05 percent of total billed charges 4102.95 percent of total billed charges 845 other OPPS APC 845 8045 CONE AUGMENT TRIATHLON SYM SIZE B SUP-97-05792 CDM 278 RC inpatient 8045 8045 GRAFT BONE RIGHT PROXIMAL HUMERUS ALLOGRAFT FROZEN SUP-450400 CDM 270010031 LOCAL 270 RC outpatient 8044.2 844.2 2179.17 percent of total billed charges 8044.2 other OPPS APC 5952.71 percent of total billed charges 8044.2 other OPPS APC 8044.2 other OPPS APC 2179.17 percent of total billed charges 2222.61 percent of total billed charges 844.2 other OPPS APC 844.2 8044.2 GRAFT BONE RIGHT PROXIMAL HUMERUS ALLOGRAFT FROZEN SUP-450400 CDM 270010031 LOCAL 270 RC inpatient 8044.2 8044.2 BEARING POSTERIOR STABILIZED 6MM SUP-97-01544 CDM 278 RC outpatient 8035 835 8035 fee schedule 8035 other OPPS APC 4579.95 percent of total billed charges 8035 other OPPS APC 8035 other OPPS APC 3937.15 percent of total billed charges 4097.85 percent of total billed charges 835 other OPPS APC 835 8035 BEARING POSTERIOR STABILIZED 6MM SUP-97-01544 CDM 278 RC inpatient 8035 8035 GRAFT EPICORD 3CMX5CM SUP-97-02339 CDM 636 RC outpatient 8025 825 3932.25 percent of total billed charges 8025 other OPPS APC 270.62 fee schedule 8025 other OPPS APC 8025 other OPPS APC 3932.25 percent of total billed charges 1995.02 percent of total billed charges 825 other OPPS APC 270.62 8025 GRAFT EPICORD 3CMX5CM SUP-97-02339 CDM 636 RC inpatient 8025 8025 PONTO BHX IMPLANT 3MM ABUTMENT 9 SUP-97-01576 CDM 278 RC inpatient 8021.25 8021.25 PONTO BHX IMPLANT 3MM ABUTMENT 9 SUP-97-01576 CDM 278 RC outpatient 8021.25 8021.25 fee schedule other OPPS APC 4572.11 percent of total billed charges other OPPS APC other OPPS APC 3930.41 percent of total billed charges 4090.84 percent of total billed charges other OPPS APC 4572.11 4572.11 PONTO BHX IMPLANT 4MM ABUTMENT 9 SUP-97-01577 CDM 278 RC inpatient 8021.25 8021.25 PONTO BHX IMPLANT 4MM ABUTMENT 9 SUP-97-01577 CDM 278 RC outpatient 8021.25 8021.25 fee schedule other OPPS APC 4572.11 percent of total billed charges other OPPS APC other OPPS APC 3930.41 percent of total billed charges 4090.84 percent of total billed charges other OPPS APC 4572.11 4572.11 PONTO BHX IMPLANT 4MM ABUTMENT 12 SUP-97-01578 CDM 278 RC inpatient 8021.25 8021.25 PONTO BHX IMPLANT 4MM ABUTMENT 12 SUP-97-01578 CDM 278 RC outpatient 8021.25 8021.25 fee schedule other OPPS APC 4572.11 percent of total billed charges other OPPS APC other OPPS APC 3930.41 percent of total billed charges 4090.84 percent of total billed charges other OPPS APC 4572.11 4572.11 PONTO BHX IMPLANT 4MM ABUTMENT 1 SUP-97-01680 CDM 278 RC inpatient 8021.25 8021.25 PONTO BHX IMPLANT 4MM ABUTMENT 1 SUP-97-01680 CDM 278 RC outpatient 8021.25 8021.25 fee schedule other OPPS APC 4572.11 percent of total billed charges other OPPS APC other OPPS APC 3930.41 percent of total billed charges 4090.84 percent of total billed charges other OPPS APC 4572.11 4572.11 PONTO BHX IMPLANT 3MM ABUTMENT 6 SUP-97-03127 CDM 278 RC inpatient 8021.25 8021.25 PONTO BHX IMPLANT 3MM ABUTMENT 6 SUP-97-03127 CDM 278 RC outpatient 8021.25 8021.25 fee schedule other OPPS APC 4572.11 percent of total billed charges other OPPS APC other OPPS APC 3930.41 percent of total billed charges 4090.84 percent of total billed charges other OPPS APC 4572.11 4572.11 TRIATHLON SYM CONE AUGMENT SIZE D SUP-97-03895 CDM 278 RC outpatient 8021.2 821.2 8021.2 fee schedule 8021.2 other OPPS APC 4572.08 percent of total billed charges 8021.2 other OPPS APC 8021.2 other OPPS APC 3930.39 percent of total billed charges 4090.81 percent of total billed charges 821.2 other OPPS APC 821.2 8021.2 TRIATHLON SYM CONE AUGMENT SIZE D SUP-97-03895 CDM 278 RC inpatient 8021.2 8021.2 HC Cc Pacemaker Battery Change Single PX-481332271 CDM 33227 CPT 481 RC outpatient 8000 8 353.85 fee schedule 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 333.07 fee schedule 4080 percent of total billed charges 8 other OPPS APC 8 8000 HC Cc Pacemaker Battery Change Single PX-481332271 CDM 33227 CPT 481 RC inpatient 8000 8000 HC Cc Loop Recorder Insertion PX-481332851 CDM 33285 CPT 481 RC outpatient 8000 8597.2 3920 percent of total billed charges 8597.19 other OPPS APC 5920 percent of total billed charges 8597.19 other OPPS APC 8597.19 other OPPS APC 85.81 fee schedule 4080 percent of total billed charges 8597.2 other OPPS APC 85.81 8597.2 HC Cc Loop Recorder Insertion PX-481332851 CDM 33285 CPT 481 RC inpatient 8000 8000 SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN POROUS OD64 MM ID56 MM VOID FILLER FOAM CUP SUP-2102-1056 CDM 270010024 LOCAL 270 RC outpatient 8000 8 2167.2 percent of total billed charges 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges 8 other OPPS APC 8 8000 SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN POROUS OD64 MM ID56 MM VOID FILLER FOAM CUP SUP-2102-1056 CDM 270010024 LOCAL 270 RC inpatient 8000 8000 ELECTRODE DEFIBRILLATOR EMBLEM S-ICD MP35N POLYURETHANE L45 CM OD9 FR ODSEC7 FR SUBCUTANEOUS 3 POLAR COIL CONNECTOR PIN STERILE DISPOSABLE SUP-3401 CDM 275 RC outpatient 8000 8 3920 percent of total billed charges 8000 other OPPS APC 4560 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 3920 percent of total billed charges 4080 percent of total billed charges 8 other OPPS APC 8 8000 ELECTRODE DEFIBRILLATOR EMBLEM S-ICD MP35N POLYURETHANE L45 CM OD9 FR ODSEC7 FR SUBCUTANEOUS 3 POLAR COIL CONNECTOR PIN STERILE DISPOSABLE SUP-3401 CDM 275 RC inpatient 8000 8000 ELECTRODE SQ EMBLEM S-ICD SUP-3501 CDM 275 RC outpatient 8000 8 3920 percent of total billed charges 8000 other OPPS APC 4560 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 3920 percent of total billed charges 4080 percent of total billed charges 8 other OPPS APC 8 8000 ELECTRODE SQ EMBLEM S-ICD SUP-3501 CDM 275 RC inpatient 8000 8000 ACHILLES TENDON GRAFT10MM SUP-97-00841 CDM 278 RC outpatient 8000 8 8000 fee schedule 8000 other OPPS APC 4560 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 3920 percent of total billed charges 4080 percent of total billed charges 8 other OPPS APC 8 8000 ACHILLES TENDON GRAFT10MM SUP-97-00841 CDM 278 RC inpatient 8000 8000 ACHILLES TENDON GRAFT11MM BONE BLOCK SUP-97-01884 CDM 278 RC outpatient 8000 8 8000 fee schedule 8000 other OPPS APC 4560 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 3920 percent of total billed charges 4080 percent of total billed charges 8 other OPPS APC 8 8000 ACHILLES TENDON GRAFT11MM BONE BLOCK SUP-97-01884 CDM 278 RC inpatient 8000 8000 CATHETER - JETSTREAM 2.1/3.0 SUP-99-01216 CDM 272 RC inpatient 8000 8000 CATHETER - JETSTREAM 2.1/3.0 SUP-99-01216 CDM 272 RC outpatient 8000 8000 2167.2 percent of total billed charges other OPPS APC 5920 percent of total billed charges other OPPS APC other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges other OPPS APC 5920 5920 CATHETER - JETSTREAM 1.6 SUP-99-01291 CDM 272 RC inpatient 8000 8000 CATHETER - JETSTREAM 1.6 SUP-99-01291 CDM 272 RC outpatient 8000 8000 2167.2 percent of total billed charges other OPPS APC 5920 percent of total billed charges other OPPS APC other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges other OPPS APC 5920 5920 CATHETER - JETSTREAM 2.4/3.4 SUP-99-02135 CDM 272 RC inpatient 8000 8000 CATHETER - JETSTREAM 2.4/3.4 SUP-99-02135 CDM 272 RC outpatient 8000 8000 2167.2 percent of total billed charges other OPPS APC 5920 percent of total billed charges other OPPS APC other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges other OPPS APC 5920 5920 SYSTEM CEREBRAL PROTECTION SENTINEL SUP-CMS15-10C-US CDM 481 RC outpatient 8000 8 3920 percent of total billed charges 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 3920 percent of total billed charges 4080 percent of total billed charges 8 other OPPS APC 8 8000 SYSTEM CEREBRAL PROTECTION SENTINEL SUP-CMS15-10C-US CDM 481 RC inpatient 8000 8000 FUSION LUMBAR LEVEL 1-SEA SPINE SUP-LUMBAR1SEASPINE CDM 270010020 LOCAL 270 RC outpatient 8000 8 2167.2 percent of total billed charges 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges 8 other OPPS APC 8 8000 FUSION LUMBAR LEVEL 1-SEA SPINE SUP-LUMBAR1SEASPINE CDM 270010020 LOCAL 270 RC inpatient 8000 8000 FUSION LUMBAR LEVEL 1-STRYKER SUP-LUMBAR1STRYKER CDM 270010005 LOCAL 270 RC outpatient 8000 8 2167.2 percent of total billed charges 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges 8 other OPPS APC 8 8000 FUSION LUMBAR LEVEL 1-STRYKER SUP-LUMBAR1STRYKER CDM 270010005 LOCAL 270 RC inpatient 8000 8000 PRIMARY TOTAL KNEE 2 PIECE SYSTEM - CAPITATED PRICING SUP-PRIMARYKNEEZIM2PC CDM 270010025 LOCAL 270 RC outpatient 8000 8 2167.2 percent of total billed charges 8000 other OPPS APC 5920 percent of total billed charges 8000 other OPPS APC 8000 other OPPS APC 2167.2 percent of total billed charges 2210.4 percent of total billed charges 8 other OPPS APC 8 8000 PRIMARY TOTAL KNEE 2 PIECE SYSTEM - CAPITATED PRICING SUP-PRIMARYKNEEZIM2PC CDM 270010025 LOCAL 270 RC inpatient 8000 8000 GRAFT STENT AFX 70MM 20-13MM STRATA STERILE LF ILIAC LIMB AAA SUP-I20-13/C70F-SA CDM 270010015 LOCAL 270 RC outpatient 7998 7998 2166.66 percent of total billed charges 7998 other OPPS APC 5918.52 percent of total billed charges 7998 other OPPS APC 7998 other OPPS APC 2166.66 percent of total billed charges 2209.85 percent of total billed charges 7998 other OPPS APC 2166.66 7998 GRAFT STENT AFX 70MM 20-13MM STRATA STERILE LF ILIAC LIMB AAA SUP-I20-13/C70F-SA CDM 270010015 LOCAL 270 RC inpatient 7998 7998 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL SUP-VBJR050202A CDM 270 RC outpatient 7996 7996 2166.12 percent of total billed charges 7996 other OPPS APC 5917.04 percent of total billed charges 7996 other OPPS APC 7996 other OPPS APC 2166.12 percent of total billed charges 2209.29 percent of total billed charges 7996 other OPPS APC 2166.12 7996 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL SUP-VBJR050202A CDM 270 RC inpatient 7996 7996 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL SUP-VBJR060202A CDM 270 RC outpatient 7996 7996 2166.12 percent of total billed charges 7996 other OPPS APC 5917.04 percent of total billed charges 7996 other OPPS APC 7996 other OPPS APC 2166.12 percent of total billed charges 2209.29 percent of total billed charges 7996 other OPPS APC 2166.12 7996 STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL SUP-VBJR060202A CDM 270 RC inpatient 7996 7996 OVERSTITCH ENDO SUTURING SYSTEM SUP-95-04207 CDM 272 RC outpatient 7992.5 7992.5 2165.17 percent of total billed charges 7992.5 other OPPS APC 5914.45 percent of total billed charges 7992.5 other OPPS APC 7992.5 other OPPS APC 2165.17 percent of total billed charges 2208.33 percent of total billed charges 7992.5 other OPPS APC 2165.17 7992.5 OVERSTITCH ENDO SUTURING SYSTEM SUP-95-04207 CDM 272 RC inpatient 7992.5 7992.5 STEM RADIAL EVOLVE PROLINE STANDARD OD9.5 MM ELBOW MODULAR SUP-496S095 CDM 270 RC outpatient 7990 799 2164.49 percent of total billed charges 7990 other OPPS APC 5912.6 percent of total billed charges 7990 other OPPS APC 7990 other OPPS APC 2164.49 percent of total billed charges 2207.64 percent of total billed charges 799 other OPPS APC 799 7990 STEM RADIAL EVOLVE PROLINE STANDARD OD9.5 MM ELBOW MODULAR SUP-496S095 CDM 270 RC inpatient 7990 7990 STEM RADIAL EVOLVE PROLINE +2 MM OD7.5 MM ELBOW MODULAR SUP-496S275 CDM 270 RC outpatient 7990 799 2164.49 percent of total billed charges 7990 other OPPS APC 5912.6 percent of total billed charges 7990 other OPPS APC 7990 other OPPS APC 2164.49 percent of total billed charges 2207.64 percent of total billed charges 799 other OPPS APC 799 7990 STEM RADIAL EVOLVE PROLINE +2 MM OD7.5 MM ELBOW MODULAR SUP-496S275 CDM 270 RC inpatient 7990 7990 SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE SUP-C2360 CDM 270 RC outpatient 7990 799 2164.49 percent of total billed charges 7990 other OPPS APC 5912.6 percent of total billed charges 7990 other OPPS APC 7990 other OPPS APC 2164.49 percent of total billed charges 2207.64 percent of total billed charges 799 other OPPS APC 799 7990 SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE SUP-C2360 CDM 270 RC inpatient 7990 7990 SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE SUP-C-2365 CDM 270 RC outpatient 7990 799 2164.49 percent of total billed charges 7990 other OPPS APC 5912.6 percent of total billed charges 7990 other OPPS APC 7990 other OPPS APC 2164.49 percent of total billed charges 2207.64 percent of total billed charges 799 other OPPS APC 799 7990 SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE SUP-C-2365 CDM 270 RC inpatient 7990 7990 VALVE CRYOLIFE ONX MITRAL STANDARD 31/33 SUP-ONXM-31/33 CDM 270 RC outpatient 7990 799 2164.49 percent of total billed charges 7990 other OPPS APC 5912.6 percent of total billed charges 7990 other OPPS APC 7990 other OPPS APC 2164.49 percent of total billed charges 2207.64 percent of total billed charges 799 other OPPS APC 799 7990 VALVE CRYOLIFE ONX MITRAL STANDARD 31/33 SUP-ONXM-31/33 CDM 270 RC inpatient 7990 7990 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55231 CDM 270010015 LOCAL 270 RC outpatient 7988.68 7988.68 2164.13 percent of total billed charges 7988.68 other OPPS APC 5911.62 percent of total billed charges 7988.68 other OPPS APC 7988.68 other OPPS APC 2164.13 percent of total billed charges 2207.27 percent of total billed charges 7988.68 other OPPS APC 2164.13 7988.68 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55231 CDM 270010015 LOCAL 270 RC inpatient 7988.68 7988.68 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55232 CDM 270010015 LOCAL 270 RC outpatient 7988.68 7988.68 2164.13 percent of total billed charges 7988.68 other OPPS APC 5911.62 percent of total billed charges 7988.68 other OPPS APC 7988.68 other OPPS APC 2164.13 percent of total billed charges 2207.27 percent of total billed charges 7988.68 other OPPS APC 2164.13 7988.68 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55232 CDM 270010015 LOCAL 270 RC inpatient 7988.68 7988.68 STENT - COVERED - VIABAHN 7 X 50 SUP-99-02166 CDM 278 RC outpatient 7987.5 7987.5 7987.5 fee schedule 7987.5 other OPPS APC 4552.88 percent of total billed charges 7987.5 other OPPS APC 7987.5 other OPPS APC 3913.88 percent of total billed charges 4073.63 percent of total billed charges 7987.5 other OPPS APC 3913.88 7987.5 STENT - COVERED - VIABAHN 7 X 50 SUP-99-02166 CDM 278 RC inpatient 7987.5 7987.5 STENT - COVERED - VIABAHN 5 X 50 SUP-99-03330 CDM 278 RC outpatient 7987.5 7987.5 7987.5 fee schedule 7987.5 other OPPS APC 4552.88 percent of total billed charges 7987.5 other OPPS APC 7987.5 other OPPS APC 3913.88 percent of total billed charges 4073.63 percent of total billed charges 7987.5 other OPPS APC 3913.88 7987.5 STENT - COVERED - VIABAHN 5 X 50 SUP-99-03330 CDM 278 RC inpatient 7987.5 7987.5 PACEMAKER - GENERATOR ADDR01 SUP-99-00001 CDM 275 RC outpatient 7980 798 7980 fee schedule 7980 other OPPS APC 4548.6 percent of total billed charges 7980 other OPPS APC 7980 other OPPS APC 3910.2 percent of total billed charges 4069.8 percent of total billed charges 798 other OPPS APC 798 7980 PACEMAKER - GENERATOR ADDR01 SUP-99-00001 CDM 275 RC inpatient 7980 7980 SPACER CEMENT INTERSPACE LG 80MM 74MM GENTAMICIN PMMA DISPOSABLE STERILE KNEE HIGH RELEASE TEMPORARY 2 STAGE REVISION SUP-SPK0222 CDM 270 RC outpatient 7980 798 2161.78 percent of total billed charges 7980 other OPPS APC 5905.2 percent of total billed charges 7980 other OPPS APC 7980 other OPPS APC 2161.78 percent of total billed charges 2204.87 percent of total billed charges 798 other OPPS APC 798 7980 SPACER CEMENT INTERSPACE LG 80MM 74MM GENTAMICIN PMMA DISPOSABLE STERILE KNEE HIGH RELEASE TEMPORARY 2 STAGE REVISION SUP-SPK0222 CDM 270 RC inpatient 7980 7980 GRAFT 5X6 XL-5560 SUP-97-02477 CDM 636 RC outpatient 7977.5 7977.5 3908.98 percent of total billed charges 7977.5 other OPPS APC 178.33 fee schedule 7977.5 other OPPS APC 7977.5 other OPPS APC 3908.98 percent of total billed charges 1983.21 percent of total billed charges 7977.5 other OPPS APC 178.33 7977.5 GRAFT 5X6 XL-5560 SUP-97-02477 CDM 636 RC inpatient 7977.5 7977.5 WIDE IMPLANT 4MM W/ABUTMENT9MM SUP-97-00395 CDM 278 RC inpatient 7962.5 7962.5 WIDE IMPLANT 4MM W/ABUTMENT9MM SUP-97-00395 CDM 278 RC outpatient 7962.5 7962.5 fee schedule other OPPS APC 4538.63 percent of total billed charges other OPPS APC other OPPS APC 3901.63 percent of total billed charges 4060.88 percent of total billed charges other OPPS APC 4538.63 4538.63 WIDE IMPLANT 4MM W/ABUTMENT12MM SUP-97-00858 CDM 278 RC inpatient 7962.5 7962.5 WIDE IMPLANT 4MM W/ABUTMENT12MM SUP-97-00858 CDM 278 RC outpatient 7962.5 7962.5 fee schedule other OPPS APC 4538.63 percent of total billed charges other OPPS APC other OPPS APC 3901.63 percent of total billed charges 4060.88 percent of total billed charges other OPPS APC 4538.63 4538.63 GOSERELIN ACETATE PER 3.6 MG 636000000 CDM 70720-951-30 NDC J9202 HCPCS inpatient 7960.8 7960.8 GOSERELIN ACETATE PER 3.6 MG 636000000 CDM 70720-951-30 NDC J9202 HCPCS outpatient 7960.8 638.48 638.48 other OPPS APC 638.48 638.48 SPACER SPINAL HOLLYWOOD LORDOTIC 7MM PEEK-OPTIMA INTERBODY FUSION SUP-34-5007 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 7MM PEEK-OPTIMA INTERBODY FUSION SUP-34-5007 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 IMPLANT HOLLYWOOD 8MM LORDOTIC SUP-34-5008 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 IMPLANT HOLLYWOOD 8MM LORDOTIC SUP-34-5008 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X9MM PEEK-OPTIMA TLIF SUP-34-5009 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X9MM PEEK-OPTIMA TLIF SUP-34-5009 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H10 MM TLIF LORDOTIC SUP-34-5010 CDM 270010012 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H10 MM TLIF LORDOTIC SUP-34-5010 CDM 270010012 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H11 MM INTERBODY FUSION LORDOTIC SUP-34-5011 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H11 MM INTERBODY FUSION LORDOTIC SUP-34-5011 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H12 MM TLIF LORDOTIC SUP-34-5012 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H12 MM TLIF LORDOTIC SUP-34-5012 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X13MM PEEK-OPTIMA TLIF SUP-34-5013 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X13MM PEEK-OPTIMA TLIF SUP-34-5013 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X14MM PEEK-OPTIMA TLIF SUP-34-5014 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X14MM PEEK-OPTIMA TLIF SUP-34-5014 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X15MM PEEK-OPTIMA TLIF SUP-34-5015 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X15MM PEEK-OPTIMA TLIF SUP-34-5015 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL VBR L27 MM X W16 MM X H11 MM SUP-34-5016 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL VBR L27 MM X W16 MM X H11 MM SUP-34-5016 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X17MM PEEK-OPTIMA TLIF SUP-34-5017 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X17MM PEEK-OPTIMA TLIF SUP-34-5017 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X18MM PEEK-OPTIMA TLIF SUP-34-5018 CDM 270010020 LOCAL 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X18MM PEEK-OPTIMA TLIF SUP-34-5018 CDM 270010020 LOCAL 270 RC inpatient 7956 7956 RECORDER CARDIAC CONFIRM SENSABILITY 39 MM SPACING L56.3 MM X W18.5 MM X H8 MM 6.5 ML 12 GM ACTIVATED MONITORING IMPLANTABLE SUP-DM2100 CDM 270 RC outpatient 7956 7956 2155.28 percent of total billed charges 7956 other OPPS APC 5887.44 percent of total billed charges 7956 other OPPS APC 7956 other OPPS APC 2155.28 percent of total billed charges 2198.24 percent of total billed charges 7956 other OPPS APC 2155.28 7956 RECORDER CARDIAC CONFIRM SENSABILITY 39 MM SPACING L56.3 MM X W18.5 MM X H8 MM 6.5 ML 12 GM ACTIVATED MONITORING IMPLANTABLE SUP-DM2100 CDM 270 RC inpatient 7956 7956 HC Cc Cornary W/Lh W/Lv W/Bypass PX-481934591 CDM 93459 CPT 481 RC outpatient 7927 3116 1203.53 fee schedule 3115.91 other OPPS APC 6744.16 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 1117.87 fee schedule 4042.77 percent of total billed charges 3116 other OPPS APC 1117.87 6744.16 HC Cc Cornary W/Lh W/Lv W/Bypass PX-481934591 CDM 93459 CPT 481 RC inpatient 7927 7927 HC Cc Cornary W/L&R W/Lv W/Bypass PX-481934611 CDM 93461 CPT 481 RC outpatient 7927 7927 1476.53 fee schedule 7927 other OPPS APC 7755.36 fee schedule 7927 other OPPS APC 7927 other OPPS APC 1369.33 fee schedule 4042.77 percent of total billed charges 7927 other OPPS APC 1369.33 7927 HC Cc Cornary W/L&R W/Lv W/Bypass PX-481934611 CDM 93461 CPT 481 RC inpatient 7927 7927 BODY CONE RESTORATION +20 MM OD19 MM HIP MODULAR REVISION SUP-6276-1-216 CDM 270010025 LOCAL 270 RC outpatient 7898.4 7898.4 2139.68 percent of total billed charges 7898.4 other OPPS APC 5844.82 percent of total billed charges 7898.4 other OPPS APC 7898.4 other OPPS APC 2139.68 percent of total billed charges 2182.33 percent of total billed charges 7898.4 other OPPS APC 2139.68 7898.4 BODY CONE RESTORATION +20 MM OD19 MM HIP MODULAR REVISION SUP-6276-1-216 CDM 270010025 LOCAL 270 RC inpatient 7898.4 7898.4 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F-J CURVE OD 8 FR BIDRECTIONAL THERMOCOUPLE SUP-D134804 CDM 270 RC outpatient 7880 788 2134.69 percent of total billed charges 7880 other OPPS APC 5831.2 percent of total billed charges 7880 other OPPS APC 7880 other OPPS APC 2134.69 percent of total billed charges 2177.24 percent of total billed charges 788 other OPPS APC 788 7880 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F-J CURVE OD 8 FR BIDRECTIONAL THERMOCOUPLE SUP-D134804 CDM 270 RC inpatient 7880 7880 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF D-F CURVE OD 8 FR BIODIRECTIONAL THERMOCOUPLE SUP-D134805 CDM 270 RC outpatient 7880 788 2134.69 percent of total billed charges 7880 other OPPS APC 5831.2 percent of total billed charges 7880 other OPPS APC 7880 other OPPS APC 2134.69 percent of total billed charges 2177.24 percent of total billed charges 788 other OPPS APC 788 7880 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF D-F CURVE OD 8 FR BIODIRECTIONAL THERMOCOUPLE SUP-D134805 CDM 270 RC inpatient 7880 7880 STEM FEMORAL ENDURANCE LUSTER 3 12/14 TAPER L240 MM HIP CEMENTED REVISION SUP-1521-25-000 CDM 270010014 LOCAL 270 RC outpatient 7877.44 7877.44 2134 percent of total billed charges 7877.44 other OPPS APC 5829.31 percent of total billed charges 7877.44 other OPPS APC 7877.44 other OPPS APC 2134 percent of total billed charges 2176.54 percent of total billed charges 7877.44 other OPPS APC 2134 7877.44 STEM FEMORAL ENDURANCE LUSTER 3 12/14 TAPER L240 MM HIP CEMENTED REVISION SUP-1521-25-000 CDM 270010014 LOCAL 270 RC inpatient 7877.44 7877.44 VIABAHN BX BALLOON 8MMX79MM SUP-BXAL087902A CDM 270 RC outpatient 7848 7848 2126.02 percent of total billed charges 7848 other OPPS APC 5807.52 percent of total billed charges 7848 other OPPS APC 7848 other OPPS APC 2126.02 percent of total billed charges 2168.4 percent of total billed charges 7848 other OPPS APC 2126.02 7848 VIABAHN BX BALLOON 8MMX79MM SUP-BXAL087902A CDM 270 RC inpatient 7848 7848 STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBH101002A CDM 270 RC outpatient 7846 7846 2125.48 percent of total billed charges 7846 other OPPS APC 5806.04 percent of total billed charges 7846 other OPPS APC 7846 other OPPS APC 2125.48 percent of total billed charges 2167.85 percent of total billed charges 7846 other OPPS APC 2125.48 7846 STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBH101002A CDM 270 RC inpatient 7846 7846 STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBHR101002A CDM 270 RC outpatient 7846 7846 2125.48 percent of total billed charges 7846 other OPPS APC 5806.04 percent of total billed charges 7846 other OPPS APC 7846 other OPPS APC 2125.48 percent of total billed charges 2167.85 percent of total billed charges 7846 other OPPS APC 2125.48 7846 STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBHR101002A CDM 270 RC inpatient 7846 7846 VIABAHN BX BALLOON ENDO SUP-BAXL087902A CDM 270 RC outpatient 7842 7842 2124.4 percent of total billed charges 7842 other OPPS APC 5803.08 percent of total billed charges 7842 other OPPS APC 7842 other OPPS APC 2124.4 percent of total billed charges 2166.74 percent of total billed charges 7842 other OPPS APC 2124.4 7842 VIABAHN BX BALLOON ENDO SUP-BAXL087902A CDM 270 RC inpatient 7842 7842 STENT- COVERED PAPYRUS 2.5 X 20 SUP-99-04535 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT- COVERED PAPYRUS 2.5 X 20 SUP-99-04535 CDM 272 RC inpatient 7837.5 7837.5 STENT- COVERED PAPYRUS 3.5 X 20 SUP-99-04536 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT- COVERED PAPYRUS 3.5 X 20 SUP-99-04536 CDM 272 RC inpatient 7837.5 7837.5 STENT- COVERED PAPYRUS 3X20 SUP-99-04538 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT- COVERED PAPYRUS 3X20 SUP-99-04538 CDM 272 RC inpatient 7837.5 7837.5 STENT- COVERED PAPYRUS 4.5 X 15 SUP-99-04540 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT- COVERED PAPYRUS 4.5 X 15 SUP-99-04540 CDM 272 RC inpatient 7837.5 7837.5 STENT - COVERED PAPYRUS 5 X 15 SUP-99-04541 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT - COVERED PAPYRUS 5 X 15 SUP-99-04541 CDM 272 RC inpatient 7837.5 7837.5 STENT - COVERED PAPYRUS 4 X 20 SUP-99-04542 CDM 272 RC outpatient 7837.5 7837.5 2123.18 percent of total billed charges 7837.5 other OPPS APC 5799.75 percent of total billed charges 7837.5 other OPPS APC 7837.5 other OPPS APC 2123.18 percent of total billed charges 2165.5 percent of total billed charges 7837.5 other OPPS APC 2123.18 7837.5 STENT - COVERED PAPYRUS 4 X 20 SUP-99-04542 CDM 272 RC inpatient 7837.5 7837.5 TOTAL STABILLZER TIBIAL INSERT 3 13MM SUP-97-02245 CDM 278 RC outpatient 7835.63 7835.63 7835.63 fee schedule 7835.63 other OPPS APC 4466.31 percent of total billed charges 7835.63 other OPPS APC 7835.63 other OPPS APC 3839.46 percent of total billed charges 3996.17 percent of total billed charges 7835.63 other OPPS APC 3839.46 7835.63 TOTAL STABILLZER TIBIAL INSERT 3 13MM SUP-97-02245 CDM 278 RC inpatient 7835.63 7835.63 TOTAL STABILLZER TIBIAL INSERT 4 13MM SUP-97-02270 CDM 278 RC outpatient 7835.63 7835.63 7835.63 fee schedule 7835.63 other OPPS APC 4466.31 percent of total billed charges 7835.63 other OPPS APC 7835.63 other OPPS APC 3839.46 percent of total billed charges 3996.17 percent of total billed charges 7835.63 other OPPS APC 3839.46 7835.63 TOTAL STABILLZER TIBIAL INSERT 4 13MM SUP-97-02270 CDM 278 RC inpatient 7835.63 7835.63 TOTAL STABILLZER TIBIAL INSERT 3 11MM SUP-97-02428 CDM 278 RC outpatient 7835.63 7835.63 7835.63 fee schedule 7835.63 other OPPS APC 4466.31 percent of total billed charges 7835.63 other OPPS APC 7835.63 other OPPS APC 3839.46 percent of total billed charges 3996.17 percent of total billed charges 7835.63 other OPPS APC 3839.46 7835.63 TOTAL STABILLZER TIBIAL INSERT 3 11MM SUP-97-02428 CDM 278 RC inpatient 7835.63 7835.63 REST MOD PROX CONE BODY 20MM X 195MM SUP-97-03718 CDM 278 RC outpatient 7833.38 7833.38 7833.38 fee schedule 7833.38 other OPPS APC 4465.03 percent of total billed charges 7833.38 other OPPS APC 7833.38 other OPPS APC 3838.36 percent of total billed charges 3995.02 percent of total billed charges 7833.38 other OPPS APC 3838.36 7833.38 REST MOD PROX CONE BODY 20MM X 195MM SUP-97-03718 CDM 278 RC inpatient 7833.38 7833.38 CATHETER- U.S. SOUNDSTAR 8F SUP-99-04759 CDM 278 RC outpatient 7817.5 7817.5 7817.5 fee schedule 7817.5 other OPPS APC 4455.98 percent of total billed charges 7817.5 other OPPS APC 7817.5 other OPPS APC 3830.58 percent of total billed charges 3986.93 percent of total billed charges 7817.5 other OPPS APC 3830.58 7817.5 CATHETER- U.S. SOUNDSTAR 8F SUP-99-04759 CDM 278 RC inpatient 7817.5 7817.5 CATHETER- U.S. SOUNDSTAR 10F SUP-99-04760 CDM 278 RC outpatient 7817.5 7817.5 7817.5 fee schedule 7817.5 other OPPS APC 4455.98 percent of total billed charges 7817.5 other OPPS APC 7817.5 other OPPS APC 3830.58 percent of total billed charges 3986.93 percent of total billed charges 7817.5 other OPPS APC 3830.58 7817.5 CATHETER- U.S. SOUNDSTAR 10F SUP-99-04760 CDM 278 RC inpatient 7817.5 7817.5 HC Cc Coronary W/Bypass PX-481934551 CDM 93455 CPT 481 RC outpatient 7813 3116 1058.1 fee schedule 3115.91 other OPPS APC 6468.62 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 1007.64 fee schedule 3984.63 percent of total billed charges 3116 other OPPS APC 1007.64 6468.62 HC Cc Coronary W/Bypass PX-481934551 CDM 93455 CPT 481 RC inpatient 7813 7813 HC Cc Coronary W/Bypas W/Rh PX-481934571 CDM 93457 CPT 481 RC outpatient 7813 7813 1287.1 fee schedule 7813 other OPPS APC 8140.41 fee schedule 7813 other OPPS APC 7813 other OPPS APC 1226.13 fee schedule 3984.63 percent of total billed charges 7813 other OPPS APC 1226.13 8140.41 HC Cc Coronary W/Bypas W/Rh PX-481934571 CDM 93457 CPT 481 RC inpatient 7813 7813 BODY CONE RESTORATION +0 MM STANDARD OD19 MM HIP MODULAR REVISION SUP-6276-1-019 CDM 270010025 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +0 MM STANDARD OD19 MM HIP MODULAR REVISION SUP-6276-1-019 CDM 270010025 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +0 MM STANDARD OD23 MM HIP MODULAR REVISION SUP-6276-1-023 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +0 MM STANDARD OD23 MM HIP MODULAR REVISION SUP-6276-1-023 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +0 MM STANDARD OD25 MM HIP MODULAR REVISION SUP-6276-1-025 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +0 MM STANDARD OD25 MM HIP MODULAR REVISION SUP-6276-1-025 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0 SUP-6276-1-027 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0 SUP-6276-1-027 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +0 # SUP-6276-1-029 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +0 # SUP-6276-1-029 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +0 SUP-6276-1-031 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +0 SUP-6276-1-031 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +10 MM OD19 MM HIP MODULAR SUP-6276-1-119 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +10 MM OD19 MM HIP MODULAR SUP-6276-1-119 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +10 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-121 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +10 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-121 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +10 MM OD23 MM HIP MODULAR REVISION SUP-6276-1-123 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +10 MM OD23 MM HIP MODULAR REVISION SUP-6276-1-123 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +10 SUP-6276-1-127 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +10 SUP-6276-1-127 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +10 SUP-6276-1-129 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +10 SUP-6276-1-129 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +10 SUP-6276-1-131 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +10 SUP-6276-1-131 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 20 SUP-6276-1-219 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 20 SUP-6276-1-219 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +20 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-221 CDM 270010025 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +20 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-221 CDM 270010025 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 23MM +20 SUP-6276-1-223 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 23MM +20 SUP-6276-1-223 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +20 SUP-6276-1-225 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +20 SUP-6276-1-225 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20 SUP-6276-1-227 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20 SUP-6276-1-227 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +20 SUP-6276-1-229 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +20 SUP-6276-1-229 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +20 SUP-6276-1-231 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +20 SUP-6276-1-231 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 30 SUP-6276-1-319 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 30 SUP-6276-1-319 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY CONE RESTORATION +30 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-321 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 BODY CONE RESTORATION +30 MM OD21 MM HIP MODULAR REVISION SUP-6276-1-321 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +30 SUP-6276-1-325 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +30 SUP-6276-1-325 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +30 SUP-6276-1-329 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +30 SUP-6276-1-329 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +30 SUP-6276-1-331 CDM 270010024 LOCAL 270 RC outpatient 7809 789 2115.46 percent of total billed charges 7809 other OPPS APC 5778.66 percent of total billed charges 7809 other OPPS APC 7809 other OPPS APC 2115.46 percent of total billed charges 2157.63 percent of total billed charges 789 other OPPS APC 789 7809 IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +30 SUP-6276-1-331 CDM 270010024 LOCAL 270 RC inpatient 7809 7809 BODY HUMERAL COMPREHENSIVE LARGE LATERAL OFFSET L42 MM SHOULDER POLISH FINISH NECK ANGLE SEGMENTAL REVISION SYSTEM SUP-211218 CDM 270010030 LOCAL 270 RC outpatient 7800 78 2113.02 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 2113.02 percent of total billed charges 2155.14 percent of total billed charges 78 other OPPS APC 78 7800 BODY HUMERAL COMPREHENSIVE LARGE LATERAL OFFSET L42 MM SHOULDER POLISH FINISH NECK ANGLE SEGMENTAL REVISION SYSTEM SUP-211218 CDM 270010030 LOCAL 270 RC inpatient 7800 7800 TIBIAL INSERT SIZE 8 SUP-97-01225 CDM 278 RC outpatient 7800 78 7800 fee schedule 7800 other OPPS APC 4446 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 3822 percent of total billed charges 3978 percent of total billed charges 78 other OPPS APC 78 7800 TIBIAL INSERT SIZE 8 SUP-97-01225 CDM 278 RC inpatient 7800 7800 CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE D SENSOR ENABLED SUP-A-TFSE-D CDM 481 RC outpatient 7800 78 3822 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 3822 percent of total billed charges 3978 percent of total billed charges 78 other OPPS APC 78 7800 CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE D SENSOR ENABLED SUP-A-TFSE-D CDM 481 RC inpatient 7800 7800 CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE D-F SENSOR ENABLED SUP-A-TFSE-DF CDM 481 RC outpatient 7800 78 3822 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 3822 percent of total billed charges 3978 percent of total billed charges 78 other OPPS APC 78 7800 CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE D-F SENSOR ENABLED SUP-A-TFSE-DF CDM 481 RC inpatient 7800 7800 CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE F SENSOR ENABLED SUP-A-TFSE-F CDM 481 RC outpatient 7800 78 3822 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 3822 percent of total billed charges 3978 percent of total billed charges 78 other OPPS APC 78 7800 CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE F SENSOR ENABLED SUP-A-TFSE-F CDM 481 RC inpatient 7800 7800 CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE F-J SENSOR ENABLED SUP-A-TFSE-FJ CDM 481 RC outpatient 7800 78 3822 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 3822 percent of total billed charges 3978 percent of total billed charges 78 other OPPS APC 78 7800 CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE F-J SENSOR ENABLED SUP-A-TFSE-FJ CDM 481 RC inpatient 7800 7800 IMPLANT CARTIVA 10MM SUP-CAR-10-US CDM 270 RC outpatient 7800 78 2113.02 percent of total billed charges 7800 other OPPS APC 5772 percent of total billed charges 7800 other OPPS APC 7800 other OPPS APC 2113.02 percent of total billed charges 2155.14 percent of total billed charges 78 other OPPS APC 78 7800 IMPLANT CARTIVA 10MM SUP-CAR-10-US CDM 270 RC inpatient 7800 7800 HC Cc Coronary W/Lh W/Lv PX-481934581 CDM 93458 CPT 481 RC outpatient 7793 3116 3818.57 percent of total billed charges 3115.91 other OPPS APC 12821.06 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 1039.26 fee schedule 3974.43 percent of total billed charges 3116 other OPPS APC 1039.26 12821.06 HC Cc Coronary W/Lh W/Lv PX-481934581 CDM 93458 CPT 481 RC inpatient 7793 7793 HC Cc Cornary W/L&R W/Lv PX-481934601 CDM 93460 CPT 481 RC outpatient 7793 3116 1290.19 fee schedule 3115.91 other OPPS APC 7555.12 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 1241.61 fee schedule 3974.43 percent of total billed charges 3116 other OPPS APC 1241.61 7555.12 HC Cc Cornary W/L&R W/Lv PX-481934601 CDM 93460 CPT 481 RC inpatient 7793 7793 STENT ENDOPROSTHESIS 25CM 8MM HEPARIN NITINOL EPTFE VIABAHN 120CM FLEXIBLE SELF SUP-VBJR082502A CDM 270 RC outpatient 7790 779 2110.31 percent of total billed charges 7790 other OPPS APC 5764.6 percent of total billed charges 7790 other OPPS APC 7790 other OPPS APC 2110.31 percent of total billed charges 2152.38 percent of total billed charges 779 other OPPS APC 779 7790 STENT ENDOPROSTHESIS 25CM 8MM HEPARIN NITINOL EPTFE VIABAHN 120CM FLEXIBLE SELF SUP-VBJR082502A CDM 270 RC inpatient 7790 7790 IMPLANT SYNTHES PRODISC C 6MM MEDIUM DEEP SUP-09.820.036S CDM 270010020 LOCAL 270 RC outpatient 7784.7 7784.7 2108.88 percent of total billed charges 7784.7 other OPPS APC 5760.68 percent of total billed charges 7784.7 other OPPS APC 7784.7 other OPPS APC 2108.88 percent of total billed charges 2150.91 percent of total billed charges 7784.7 other OPPS APC 2108.88 7784.7 IMPLANT SYNTHES PRODISC C 6MM MEDIUM DEEP SUP-09.820.036S CDM 270010020 LOCAL 270 RC inpatient 7784.7 7784.7 ALLODERM 6X16 SUP-97-00967 CDM 636 RC outpatient 7775 7775 7775 fee schedule 7775 other OPPS APC 5753.5 percent of total billed charges 7775 other OPPS APC 7775 other OPPS APC 3809.75 percent of total billed charges 1932.87 percent of total billed charges 7775 other OPPS APC 1932.87 7775 ALLODERM 6X16 SUP-97-00967 CDM 636 RC inpatient 7775 7775 STEM RADIAL EVOLVE PROLINE STANDARD H23 MM OD7.5 MM ELBOW MODULAR HEAD SYSTEM SUP-496S075 CDM 270 RC outpatient 7772 7772 2105.43 percent of total billed charges 7772 other OPPS APC 5751.28 percent of total billed charges 7772 other OPPS APC 7772 other OPPS APC 2105.43 percent of total billed charges 2147.4 percent of total billed charges 7772 other OPPS APC 2105.43 7772 STEM RADIAL EVOLVE PROLINE STANDARD H23 MM OD7.5 MM ELBOW MODULAR HEAD SYSTEM SUP-496S075 CDM 270 RC inpatient 7772 7772 VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP L32 MM X W4.6 MM OD16 MM ADJUSTABLE PRESSURE CSF STERILE SUP-SPV400_72545 CDM 270 RC outpatient 7770 777 2104.89 percent of total billed charges 7770 other OPPS APC 5749.8 percent of total billed charges 7770 other OPPS APC 7770 other OPPS APC 2104.89 percent of total billed charges 2146.85 percent of total billed charges 777 other OPPS APC 777 7770 VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP L32 MM X W4.6 MM OD16 MM ADJUSTABLE PRESSURE CSF STERILE SUP-SPV400_72545 CDM 270 RC inpatient 7770 7770 PACEMAKER - LEAD - SPRINT 6935M-55 SUP-99-04175 CDM 275 RC outpatient 7767.5 7767.5 7767.5 fee schedule 7767.5 other OPPS APC 4427.48 percent of total billed charges 7767.5 other OPPS APC 7767.5 other OPPS APC 3806.08 percent of total billed charges 3961.43 percent of total billed charges 7767.5 other OPPS APC 3806.08 7767.5 PACEMAKER - LEAD - SPRINT 6935M-55 SUP-99-04175 CDM 275 RC inpatient 7767.5 7767.5 PACEMAKER - AICD - SPRINT QUATTRO RV LEAD 62CM SUP-99-04552 CDM inpatient 7767.5 7767.5 PACEMAKER - AICD - SPRINT QUATTRO RV LEAD 62CM SUP-99-04552 CDM outpatient 7767.5 7767.5 7767.5 percent of total billed charges 7767.5 other OPPS APC 7767.5 fee schedule 7767.5 other OPPS APC 7767.5 other OPPS APC 7767.5 case rate 7767.5 case rate 7767.5 other OPPS APC 7767.5 7767.5 GRAFT BONE OPTECURE CANCELLOUS CORTICAL 20 ML CHIP JAR SUP-652-00-20 CDM 270010031 LOCAL 270 RC outpatient 7760 776 2102.18 percent of total billed charges 7760 other OPPS APC 5742.4 percent of total billed charges 7760 other OPPS APC 7760 other OPPS APC 2102.18 percent of total billed charges 2144.09 percent of total billed charges 776 other OPPS APC 776 7760 GRAFT BONE OPTECURE CANCELLOUS CORTICAL 20 ML CHIP JAR SUP-652-00-20 CDM 270010031 LOCAL 270 RC inpatient 7760 7760 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA SUP-G55233 CDM 270010015 LOCAL 270 RC outpatient 7756 7756 2101.1 percent of total billed charges 7756 other OPPS APC 5739.44 percent of total billed charges 7756 other OPPS APC 7756 other OPPS APC 2101.1 percent of total billed charges 2142.98 percent of total billed charges 7756 other OPPS APC 2101.1 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA SUP-G55233 CDM 270010015 LOCAL 270 RC inpatient 7756 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 90MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55239 CDM 270010015 LOCAL 270 RC outpatient 7756 7756 2101.1 percent of total billed charges 7756 other OPPS APC 5739.44 percent of total billed charges 7756 other OPPS APC 7756 other OPPS APC 2101.1 percent of total billed charges 2142.98 percent of total billed charges 7756 other OPPS APC 2101.1 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 90MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55239 CDM 270010015 LOCAL 270 RC inpatient 7756 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 56MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK SUP-G55241 CDM 270010015 LOCAL 270 RC outpatient 7756 7756 2101.1 percent of total billed charges 7756 other OPPS APC 5739.44 percent of total billed charges 7756 other OPPS APC 7756 other OPPS APC 2101.1 percent of total billed charges 2142.98 percent of total billed charges 7756 other OPPS APC 2101.1 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 56MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK SUP-G55241 CDM 270010015 LOCAL 270 RC inpatient 7756 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 74MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK SUP-G55242 CDM 270010015 LOCAL 270 RC outpatient 7756 7756 2101.1 percent of total billed charges 7756 other OPPS APC 5739.44 percent of total billed charges 7756 other OPPS APC 7756 other OPPS APC 2101.1 percent of total billed charges 2142.98 percent of total billed charges 7756 other OPPS APC 2101.1 7756 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 74MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK SUP-G55242 CDM 270010015 LOCAL 270 RC inpatient 7756 7756 "ALPHA-1 PROTEINASE INHIBITOR 1,000 MG ()/20 ML SOLUTION" 636000000 CDM 13533-705-01 NDC J0256 HCPCS inpatient 7750 7750 "ALPHA-1 PROTEINASE INHIBITOR 1,000 MG ()/20 ML SOLUTION" 636000000 CDM 13533-705-01 NDC J0256 HCPCS outpatient 7750 5.23 5.23 other OPPS APC 5.23 5.23 KIT NEUROSTIMULATOR INTERSTIM SURESCAN L28 CM 2.16 MM SPACING MRI LEAD KIT SUP-978A128 CDM 270 RC outpatient 7750 775 2099.48 percent of total billed charges 7750 other OPPS APC 5735 percent of total billed charges 7750 other OPPS APC 7750 other OPPS APC 2099.48 percent of total billed charges 2141.33 percent of total billed charges 775 other OPPS APC 775 7750 KIT NEUROSTIMULATOR INTERSTIM SURESCAN L28 CM 2.16 MM SPACING MRI LEAD KIT SUP-978A128 CDM 270 RC inpatient 7750 7750 LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR MRI CAPABILITY SUP-978B128 CDM 270 RC outpatient 7750 775 2099.48 percent of total billed charges 7750 other OPPS APC 5735 percent of total billed charges 7750 other OPPS APC 7750 other OPPS APC 2099.48 percent of total billed charges 2141.33 percent of total billed charges 775 other OPPS APC 775 7750 LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR MRI CAPABILITY SUP-978B128 CDM 270 RC inpatient 7750 7750 STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR070502A CDM 270 RC outpatient 7740 774 2096.77 percent of total billed charges 7740 other OPPS APC 5727.6 percent of total billed charges 7740 other OPPS APC 7740 other OPPS APC 2096.77 percent of total billed charges 2138.56 percent of total billed charges 774 other OPPS APC 774 7740 STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR070502A CDM 270 RC inpatient 7740 7740 STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR080502A CDM 270 RC outpatient 7740 774 2096.77 percent of total billed charges 7740 other OPPS APC 5727.6 percent of total billed charges 7740 other OPPS APC 7740 other OPPS APC 2096.77 percent of total billed charges 2138.56 percent of total billed charges 774 other OPPS APC 774 7740 STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJR080502A CDM 270 RC inpatient 7740 7740 TRAY TIBIAL GMK HINGE 4 KNEE LEFT FIX NONSTERILE SUP-02.09.4004L CDM 270010025 LOCAL 270 RC outpatient 7732 7732 2094.6 percent of total billed charges 7732 other OPPS APC 5721.68 percent of total billed charges 7732 other OPPS APC 7732 other OPPS APC 2094.6 percent of total billed charges 2136.35 percent of total billed charges 7732 other OPPS APC 2094.6 7732 TRAY TIBIAL GMK HINGE 4 KNEE LEFT FIX NONSTERILE SUP-02.09.4004L CDM 270010025 LOCAL 270 RC inpatient 7732 7732 TRAY TIBIAL GMK HINGE 4 KNEE RIGHT FIX NONSTERILE SUP-02.09.4004R CDM 270010025 LOCAL 270 RC outpatient 7732 7732 2094.6 percent of total billed charges 7732 other OPPS APC 5721.68 percent of total billed charges 7732 other OPPS APC 7732 other OPPS APC 2094.6 percent of total billed charges 2136.35 percent of total billed charges 7732 other OPPS APC 2094.6 7732 TRAY TIBIAL GMK HINGE 4 KNEE RIGHT FIX NONSTERILE SUP-02.09.4004R CDM 270010025 LOCAL 270 RC inpatient 7732 7732 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330023 CDM 270 RC outpatient 7700 77 2085.93 percent of total billed charges 7700 other OPPS APC 5698 percent of total billed charges 7700 other OPPS APC 7700 other OPPS APC 2085.93 percent of total billed charges 2127.51 percent of total billed charges 77 other OPPS APC 77 7700 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330023 CDM 270 RC inpatient 7700 7700 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330025 CDM 270 RC outpatient 7700 77 2085.93 percent of total billed charges 7700 other OPPS APC 5698 percent of total billed charges 7700 other OPPS APC 7700 other OPPS APC 2085.93 percent of total billed charges 2127.51 percent of total billed charges 77 other OPPS APC 77 7700 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330025 CDM 270 RC inpatient 7700 7700 SYSTEM ABLATION CARDIO FLEXVIEW WITH FLEX10 PROBE SUP-FLEX 10 XE CDM 270 RC outpatient 7700 77 2085.93 percent of total billed charges 7700 other OPPS APC 5698 percent of total billed charges 7700 other OPPS APC 7700 other OPPS APC 2085.93 percent of total billed charges 2127.51 percent of total billed charges 77 other OPPS APC 77 7700 SYSTEM ABLATION CARDIO FLEXVIEW WITH FLEX10 PROBE SUP-FLEX 10 XE CDM 270 RC inpatient 7700 7700 2.4MM VA LCP 2 COL DSTL RAD P6HH/3RT KIT SUP-97-02539 CDM 278 RC outpatient 7695 7695 7695 fee schedule 7695 other OPPS APC 4386.15 percent of total billed charges 7695 other OPPS APC 7695 other OPPS APC 3770.55 percent of total billed charges 3924.45 percent of total billed charges 7695 other OPPS APC 3770.55 7695 2.4MM VA LCP 2 COL DSTL RAD P6HH/3RT KIT SUP-97-02539 CDM 278 RC inpatient 7695 7695 KIT 2.4MM VA LCP-COL DSTL RAD P6HH/3HS SUP-97-02760 CDM 272 RC outpatient 7695 7695 2084.58 percent of total billed charges 7695 other OPPS APC 5694.3 percent of total billed charges 7695 other OPPS APC 7695 other OPPS APC 2084.58 percent of total billed charges 2126.13 percent of total billed charges 7695 other OPPS APC 2084.58 7695 KIT 2.4MM VA LCP-COL DSTL RAD P6HH/3HS SUP-97-02760 CDM 272 RC inpatient 7695 7695 MOLD SHOULDER 10 STD 50X21X57 SUP-131410 CDM 270 RC outpatient 7694 7694 2084.3 percent of total billed charges 7694 other OPPS APC 5693.56 percent of total billed charges 7694 other OPPS APC 7694 other OPPS APC 2084.3 percent of total billed charges 2125.85 percent of total billed charges 7694 other OPPS APC 2084.3 7694 MOLD SHOULDER 10 STD 50X21X57 SUP-131410 CDM 270 RC inpatient 7694 7694 MOLD SHOULDER 8 STD 46X18X53 SUP-48236053 CDM 270 RC outpatient 7694 7694 2084.3 percent of total billed charges 7694 other OPPS APC 5693.56 percent of total billed charges 7694 other OPPS APC 7694 other OPPS APC 2084.3 percent of total billed charges 2125.85 percent of total billed charges 7694 other OPPS APC 2084.3 7694 MOLD SHOULDER 8 STD 46X18X53 SUP-48236053 CDM 270 RC inpatient 7694 7694 HC Cc Coronary Only PX-481934541 CDM 93454 CPT 481 RC outpatient 7679 3116 908.81 fee schedule 3115.91 other OPPS APC 2020.79 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 904.62 fee schedule 3916.29 percent of total billed charges 3116 other OPPS APC 904.62 3916.29 HC Cc Coronary Only PX-481934541 CDM 93454 CPT 481 RC inpatient 7679 7679 GRAFT VASCULAR GORE PROPATEN CBAS STANDARD WALL L70 CM L40 CM ID8 MM AXILLOBIFEMORAL REMOVABLE RING SUP-HAX01A CDM 270 RC outpatient 7678 7678 2079.97 percent of total billed charges 7678 other OPPS APC 5681.72 percent of total billed charges 7678 other OPPS APC 7678 other OPPS APC 2079.97 percent of total billed charges 2121.43 percent of total billed charges 7678 other OPPS APC 2079.97 7678 GRAFT VASCULAR GORE PROPATEN CBAS STANDARD WALL L70 CM L40 CM ID8 MM AXILLOBIFEMORAL REMOVABLE RING SUP-HAX01A CDM 270 RC inpatient 7678 7678 GRAFT SOFT TISSUE FLEXIGRAFT MENISCUS TIBIAL LIGAMENT FEMUR LEFT MEDIAL SPACER STABILIZING FUNCTION SUP-FMN-LM CDM 270010031 LOCAL 270 RC outpatient 7675.12 7675.12 2079.19 percent of total billed charges 7675.12 other OPPS APC 5679.59 percent of total billed charges 7675.12 other OPPS APC 7675.12 other OPPS APC 2079.19 percent of total billed charges 2120.64 percent of total billed charges 7675.12 other OPPS APC 2079.19 7675.12 GRAFT SOFT TISSUE FLEXIGRAFT MENISCUS TIBIAL LIGAMENT FEMUR LEFT MEDIAL SPACER STABILIZING FUNCTION SUP-FMN-LM CDM 270010031 LOCAL 270 RC inpatient 7675.12 7675.12 HUMERAL STEM STANDARD ASCEND 4A PTC SUP-97-03735 CDM 278 RC outpatient 7662.5 7662.5 7662.5 fee schedule 7662.5 other OPPS APC 4367.63 percent of total billed charges 7662.5 other OPPS APC 7662.5 other OPPS APC 3754.63 percent of total billed charges 3907.88 percent of total billed charges 7662.5 other OPPS APC 3754.63 7662.5 HUMERAL STEM STANDARD ASCEND 4A PTC SUP-97-03735 CDM 278 RC inpatient 7662.5 7662.5 SPACER FEMORAL INTERSPACE SMALL L150 MM L22 MM OD46 MM HIP SHORT STEM ADVANCE 2 STAGE REVISION ARTHROPLASTY SUP-SPC0023 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 SPACER FEMORAL INTERSPACE SMALL L150 MM L22 MM OD46 MM HIP SHORT STEM ADVANCE 2 STAGE REVISION ARTHROPLASTY SUP-SPC0023 CDM 270 RC inpatient 7640 7640 STEM FEMORAL INTERSPACE MEDIUM SHORT L156 MM L25 MM OD54 MM HIP ADVANCE 2 STAGE REVISION ARTHROPLASTY SUP-SPC0123 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 STEM FEMORAL INTERSPACE MEDIUM SHORT L156 MM L25 MM OD54 MM HIP ADVANCE 2 STAGE REVISION ARTHROPLASTY SUP-SPC0123 CDM 270 RC inpatient 7640 7640 STEM FEMORAL INTERSPACE GENTAMICIN STAINLESS STEEL PMMA SHORT LARGE L171 MM OD60 MM ODSEC33 MM HIP HIGH RELEASE SUP-SPC0223 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 STEM FEMORAL INTERSPACE GENTAMICIN STAINLESS STEEL PMMA SHORT LARGE L171 MM OD60 MM ODSEC33 MM HIP HIGH RELEASE SUP-SPC0223 CDM 270 RC inpatient 7640 7640 SPACER CEMENT INTERSPACE SM LONG CYLINDRICAL 265MM 46MM 22MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION SUP-SPC0323 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 SPACER CEMENT INTERSPACE SM LONG CYLINDRICAL 265MM 46MM 22MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION SUP-SPC0323 CDM 270 RC inpatient 7640 7640 SPACER CEMENT INTERSPACE MED LONG CYLINDRICAL 271MM 54MM 25MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION SUP-SPC0423 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 SPACER CEMENT INTERSPACE MED LONG CYLINDRICAL 271MM 54MM 25MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION SUP-SPC0423 CDM 270 RC inpatient 7640 7640 SPACER CEMENT INTERSPACE LG LONG CYLINDRICAL 283.5MM 60MM 33MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE SUP-SPC0523 CDM 270 RC outpatient 7640 764 2069.68 percent of total billed charges 7640 other OPPS APC 5653.6 percent of total billed charges 7640 other OPPS APC 7640 other OPPS APC 2069.68 percent of total billed charges 2110.93 percent of total billed charges 764 other OPPS APC 764 7640 SPACER CEMENT INTERSPACE LG LONG CYLINDRICAL 283.5MM 60MM 33MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE SUP-SPC0523 CDM 270 RC inpatient 7640 7640 TIBIAL SLEEVE M/L 37MM SUP-1511-11-202 CDM 270010024 LOCAL 270 RC outpatient 7633 7633 2067.78 percent of total billed charges 7633 other OPPS APC 5648.42 percent of total billed charges 7633 other OPPS APC 7633 other OPPS APC 2067.78 percent of total billed charges 2109 percent of total billed charges 7633 other OPPS APC 2067.78 7633 TIBIAL SLEEVE M/L 37MM SUP-1511-11-202 CDM 270010024 LOCAL 270 RC inpatient 7633 7633 PACEMAKER - ACCOLADE DR MRI DUAL CHAMBER SUP-L311 CDM 270 RC outpatient 7628 7628 2066.43 percent of total billed charges 7628 other OPPS APC 5644.72 percent of total billed charges 7628 other OPPS APC 7628 other OPPS APC 2066.43 percent of total billed charges 2107.62 percent of total billed charges 7628 other OPPS APC 2066.43 7628 PACEMAKER - ACCOLADE DR MRI DUAL CHAMBER SUP-L311 CDM 270 RC inpatient 7628 7628 HC Cc Lh W/Lv PX-481934521 CDM 93452 CPT 481 RC outpatient 7614 3116 891.72 fee schedule 3115.91 other OPPS APC 6273.2 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 901 fee schedule 3883.14 percent of total billed charges 3116 other OPPS APC 891.72 6273.2 HC Cc Lh W/Lv PX-481934521 CDM 93452 CPT 481 RC inpatient 7614 7614 HC Cc Coronary W/Rh PX-481934561 CDM 93456 CPT 481 RC outpatient 7614 3116 1138.54 fee schedule 3115.91 other OPPS APC 7820.37 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 1125.43 fee schedule 3883.14 percent of total billed charges 3116 other OPPS APC 1125.43 7820.37 HC Cc Coronary W/Rh PX-481934561 CDM 93456 CPT 481 RC inpatient 7614 7614 GRAFT SOFT TISSUE ARTHROFLEX THK2.5-3.5MM 70X40MM DECELLULARIZED DERMIS ALLOGRAFT SUP-AFLEX301 CDM 270 RC outpatient 7610.78 761.78 2061.76 percent of total billed charges 7610.78 other OPPS APC 5631.98 percent of total billed charges 7610.78 other OPPS APC 7610.78 other OPPS APC 2061.76 percent of total billed charges 2102.86 percent of total billed charges 761.78 other OPPS APC 761.78 7610.78 GRAFT SOFT TISSUE ARTHROFLEX THK2.5-3.5MM 70X40MM DECELLULARIZED DERMIS ALLOGRAFT SUP-AFLEX301 CDM 270 RC inpatient 7610.78 7610.78 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510200 CDM 270010022 LOCAL 270 RC outpatient 7610 761 2061.55 percent of total billed charges 7610 other OPPS APC 5631.4 percent of total billed charges 7610 other OPPS APC 7610 other OPPS APC 2061.55 percent of total billed charges 2102.64 percent of total billed charges 761 other OPPS APC 761 7610 GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE SUP-7510200 CDM 270010022 LOCAL 270 RC inpatient 7610 7610 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L35 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO235 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L35 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO235 CDM 270 RC inpatient 7600 7600 APPLIER INTERNAL CLIP ATRICLIP PRO2 GILLINOV-COSGROVE L40 MM PRELOAD STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO240 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 APPLIER INTERNAL CLIP ATRICLIP PRO2 GILLINOV-COSGROVE L40 MM PRELOAD STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO240 CDM 270 RC inpatient 7600 7600 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L45 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO245 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L45 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO245 CDM 270 RC inpatient 7600 7600 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L50 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO250 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L50 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM SUP-PRO250 CDM 270 RC inpatient 7600 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 18 MM OD25 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C25 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 18 MM OD25 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C25 CDM 270 RC inpatient 7600 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 19 MM OD27 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C27 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 19 MM OD27 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C27 CDM 270 RC inpatient 7600 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 20.5 MM OD29 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C29 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 20.5 MM OD29 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C29 CDM 270 RC inpatient 7600 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 22 MM OD31 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C31 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 22 MM OD31 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C31 CDM 270 RC inpatient 7600 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 23 MM OD33 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C33 CDM 270 RC outpatient 7600 76 2058.84 percent of total billed charges 7600 other OPPS APC 5624 percent of total billed charges 7600 other OPPS APC 7600 other OPPS APC 2058.84 percent of total billed charges 2099.88 percent of total billed charges 76 other OPPS APC 76 7600 VALVE MITRAL HANCOCK II CINCH PORCINE 23 MM OD33 MM BIOPROSTHESIS STENTED HOLDER SUP-T510C33 CDM 270 RC inpatient 7600 7600 CATHETER ATHERECTOMY DIAMONDBACK 360 L135CM OD 1.25 MM CORONARY CLASSIC CROWN STERILE LATEX FREE DISPOSABLE SUP-DBEC-125 CDM 270 RC outpatient 7590 759 2056.13 percent of total billed charges 7590 other OPPS APC 5616.6 percent of total billed charges 7590 other OPPS APC 7590 other OPPS APC 2056.13 percent of total billed charges 2097.12 percent of total billed charges 759 other OPPS APC 759 7590 CATHETER ATHERECTOMY DIAMONDBACK 360 L135CM OD 1.25 MM CORONARY CLASSIC CROWN STERILE LATEX FREE DISPOSABLE SUP-DBEC-125 CDM 270 RC inpatient 7590 7590 GRAFT JACKET SUP-97-00851 CDM 636 RC outpatient 7572 7572 7572 fee schedule 7572 other OPPS APC 5603.28 percent of total billed charges 7572 other OPPS APC 7572 other OPPS APC 3710.28 percent of total billed charges 1882.4 percent of total billed charges 7572 other OPPS APC 1882.4 7572 GRAFT JACKET SUP-97-00851 CDM 636 RC inpatient 7572 7572 GRAFT AMNION THIN 4CM X 6CM SUP-97-04969 CDM 278 RC outpatient 7562.5 7562.5 7562.5 fee schedule 7562.5 other OPPS APC 4310.63 percent of total billed charges 7562.5 other OPPS APC 7562.5 other OPPS APC 3705.63 percent of total billed charges 3856.88 percent of total billed charges 7562.5 other OPPS APC 3705.63 7562.5 GRAFT AMNION THIN 4CM X 6CM SUP-97-04969 CDM 278 RC inpatient 7562.5 7562.5 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD5 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJ051502 CDM 270 RC outpatient 7556 7556 2046.92 percent of total billed charges 7556 other OPPS APC 5591.44 percent of total billed charges 7556 other OPPS APC 7556 other OPPS APC 2046.92 percent of total billed charges 2087.72 percent of total billed charges 7556 other OPPS APC 2046.92 7556 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD5 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE SUP-VBJ051502 CDM 270 RC inpatient 7556 7556 STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL SUP-VBJ061502 CDM 270 RC outpatient 7556 7556 2046.92 percent of total billed charges 7556 other OPPS APC 5591.44 percent of total billed charges 7556 other OPPS APC 7556 other OPPS APC 2046.92 percent of total billed charges 2087.72 percent of total billed charges 7556 other OPPS APC 2046.92 7556 STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL SUP-VBJ061502 CDM 270 RC inpatient 7556 7556 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM SUP-VBJ071502 CDM 270 RC outpatient 7556 7556 2046.92 percent of total billed charges 7556 other OPPS APC 5591.44 percent of total billed charges 7556 other OPPS APC 7556 other OPPS APC 2046.92 percent of total billed charges 2087.72 percent of total billed charges 7556 other OPPS APC 2046.92 7556 STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM SUP-VBJ071502 CDM 270 RC inpatient 7556 7556 GRAFT OVITEX LPR 15CM CIRCLE SUP-97-05937 CDM 278 RC outpatient 7554.88 7554.88 7554.88 fee schedule 7554.88 other OPPS APC 4306.28 percent of total billed charges 7554.88 other OPPS APC 7554.88 other OPPS APC 3701.89 percent of total billed charges 3852.99 percent of total billed charges 7554.88 other OPPS APC 3701.89 7554.88 GRAFT OVITEX LPR 15CM CIRCLE SUP-97-05937 CDM 278 RC inpatient 7554.88 7554.88 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD9 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY KINK RESISTANT DELIVERABILITY SUP-G55220 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD9 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY KINK RESISTANT DELIVERABILITY SUP-G55220 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD11 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY SUP-G55226 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD11 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY SUP-G55226 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR AAA ZENITH # ZSLE-13-122-ZT SUP-G55235 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR AAA ZENITH # ZSLE-13-122-ZT SUP-G55235 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L56 MM OD16 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA SUP-G55237 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L56 MM OD16 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA SUP-G55237 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55238 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND SUP-G55238 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR SPIRAL-Z ZENITH Z-TRAK POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L90 MM OD20 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING LEG EXTENSION INTRODUCTION SYSTEM SUP-G55243 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR SPIRAL-Z ZENITH Z-TRAK POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L90 MM OD20 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING LEG EXTENSION INTRODUCTION SYSTEM SUP-G55243 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z AQ L56 MM L71 CM OD24 MM ODSEC6 MM ID5.3 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG CAPTOR HEMOSTATIC VALVE FLEXOR INTRODUCER SHEATH RADIOPAQUE BAND PRECISION DESIGN SUP-G55245 CDM 270010015 LOCAL 270 RC outpatient 7530 753 2039.88 percent of total billed charges 7530 other OPPS APC 5572.2 percent of total billed charges 7530 other OPPS APC 7530 other OPPS APC 2039.88 percent of total billed charges 2080.54 percent of total billed charges 753 other OPPS APC 753 7530 GRAFT ENDOVASCULAR ZENITH SPIRAL-Z AQ L56 MM L71 CM OD24 MM ODSEC6 MM ID5.3 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG CAPTOR HEMOSTATIC VALVE FLEXOR INTRODUCER SHEATH RADIOPAQUE BAND PRECISION DESIGN SUP-G55245 CDM 270010015 LOCAL 270 RC inpatient 7530 7530 RITUXIMAB-PVVR 10 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0069-0238-01 NDC Q5119 HCPCS inpatient 7526.4 7526.4 RITUXIMAB-PVVR 10 MG/ML SOLUTION 10 ML VIAL 636000000 CDM 0069-0238-01 NDC Q5119 HCPCS outpatient 7526.4 21.6 21.6 other OPPS APC 21.6 21.6 TIBIAL INSERT TC3 RP S2 15.0 SUP-97-03606 CDM 278 RC outpatient 7507.5 757.5 7507.5 fee schedule 7507.5 other OPPS APC 4279.28 percent of total billed charges 7507.5 other OPPS APC 7507.5 other OPPS APC 3678.68 percent of total billed charges 3828.83 percent of total billed charges 757.5 other OPPS APC 757.5 7507.5 TIBIAL INSERT TC3 RP S2 15.0 SUP-97-03606 CDM 278 RC inpatient 7507.5 7507.5 HC Cc Right Heart Cath PX-481934511 CDM 93451 CPT 481 RC outpatient 7500 3116 797.35 fee schedule 3115.91 other OPPS APC 2308.12 fee schedule 3115.91 other OPPS APC 3115.91 other OPPS APC 868.42 fee schedule 3825 percent of total billed charges 3116 other OPPS APC 797.35 3825 HC Cc Right Heart Cath PX-481934511 CDM 93451 CPT 481 RC inpatient 7500 7500 ANGLE HIP STEM SUP-97-00694 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 ANGLE HIP STEM SUP-97-00694 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-01219 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-01219 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-01285 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-01285 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-01366 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-01366 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-01438 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-01438 CDM 278 RC inpatient 7500 7500 IBALANCE UKA FEM CEMENTED SIZ 6R SUP-97-01461 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 IBALANCE UKA FEM CEMENTED SIZ 6R SUP-97-01461 CDM 278 RC inpatient 7500 7500 IBAL UKA FEM CEMENTED SZ 4 L MEDIAL SUP-97-01645 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 IBAL UKA FEM CEMENTED SZ 4 L MEDIAL SUP-97-01645 CDM 278 RC inpatient 7500 7500 IBAL UKA FEM CEMENTED SZ 45L MEDIAL SUP-97-01710 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 IBAL UKA FEM CEMENTED SZ 45L MEDIAL SUP-97-01710 CDM 278 RC inpatient 7500 7500 MODULAR HUMERAL STEM SUP-97-01873 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 MODULAR HUMERAL STEM SUP-97-01873 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-01968 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-01968 CDM 278 RC inpatient 7500 7500 NECK ANGLE HIP STEM SUP-97-02536 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 NECK ANGLE HIP STEM SUP-97-02536 CDM 278 RC inpatient 7500 7500 UNIPOLAR/ BIPOLAR HIP SUP-97-02846 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 UNIPOLAR/ BIPOLAR HIP SUP-97-02846 CDM 278 RC inpatient 7500 7500 IBALANCE UKA FEM CEMENTED SIZ 4R SUP-97-02988 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 IBALANCE UKA FEM CEMENTED SIZ 4R SUP-97-02988 CDM 278 RC inpatient 7500 7500 IBALANCE UKA FEM CEMENTED SIZ 3R SUP-97-03477 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 IBALANCE UKA FEM CEMENTED SIZ 3R SUP-97-03477 CDM 278 RC inpatient 7500 7500 HUMERAL FRACTURE STEM 10MMX123MM SUP-97-03947 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 HUMERAL FRACTURE STEM 10MMX123MM SUP-97-03947 CDM 278 RC inpatient 7500 7500 REUNION TSA HUMERAL STEM 12MM SUP-97-04575 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 REUNION TSA HUMERAL STEM 12MM SUP-97-04575 CDM 278 RC inpatient 7500 7500 MODULAR HUMERAL STEM SZ 13 SUP-97-04705 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 MODULAR HUMERAL STEM SZ 13 SUP-97-04705 CDM 278 RC inpatient 7500 7500 REUNION S PRESS-FIT HUMERAL 15MM L99MM SUP-97-04787 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 REUNION S PRESS-FIT HUMERAL 15MM L99MM SUP-97-04787 CDM 278 RC inpatient 7500 7500 REUNION RFX LONG HUMERAL FRAC.STEM 10MM SUP-97-04850 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 REUNION RFX LONG HUMERAL FRAC.STEM 10MM SUP-97-04850 CDM 278 RC inpatient 7500 7500 STAPLE 4-LEG EASYFUSE MTP L NITINOL SUP-97-05744 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 STAPLE 4-LEG EASYFUSE MTP L NITINOL SUP-97-05744 CDM 278 RC inpatient 7500 7500 REUNION TSA HUMERAL STEM 11MM SUP-97-23790 CDM 278 RC outpatient 7500 75 7500 fee schedule 7500 other OPPS APC 4275 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 3675 percent of total billed charges 3825 percent of total billed charges 75 other OPPS APC 75 7500 REUNION TSA HUMERAL STEM 11MM SUP-97-23790 CDM 278 RC inpatient 7500 7500 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD20-16 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA SUP-IEXCH162085 CDM 270010015 LOCAL 270 RC outpatient 7500 75 2031.75 percent of total billed charges 7500 other OPPS APC 5550 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 2031.75 percent of total billed charges 2072.25 percent of total billed charges 75 other OPPS APC 75 7500 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD20-16 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA SUP-IEXCH162085 CDM 270010015 LOCAL 270 RC inpatient 7500 7500 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD24-18 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA SUP-IEXCH182485 CDM 270010015 LOCAL 270 RC outpatient 7500 75 2031.75 percent of total billed charges 7500 other OPPS APC 5550 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 2031.75 percent of total billed charges 2072.25 percent of total billed charges 75 other OPPS APC 75 7500 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD24-18 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA SUP-IEXCH182485 CDM 270010015 LOCAL 270 RC inpatient 7500 7500 KIT INTERVENTIONAL ENROUTE TRANSCAROTID NEUROPROTECTION SUP-SR-200-NPS CDM 270 RC outpatient 7500 75 2031.75 percent of total billed charges 7500 other OPPS APC 5550 percent of total billed charges 7500 other OPPS APC 7500 other OPPS APC 2031.75 percent of total billed charges 2072.25 percent of total billed charges 75 other OPPS APC 75 7500 KIT INTERVENTIONAL ENROUTE TRANSCAROTID NEUROPROTECTION SUP-SR-200-NPS CDM 270 RC inpatient 7500 7500 MOTOBAND MAX 4 HOLE 15MM SUP-97-04120 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 MOTOBAND MAX 4 HOLE 15MM SUP-97-04120 CDM 278 RC inpatient 7487.5 7487.5 NAIL FIBULA LEFT 3.8 X 130MM SUP-97-05457 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 NAIL FIBULA LEFT 3.8 X 130MM SUP-97-05457 CDM 278 RC inpatient 7487.5 7487.5 NAIL FIBULA LEFT 3.0 X 130MM SUP-97-05618 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 NAIL FIBULA LEFT 3.0 X 130MM SUP-97-05618 CDM 278 RC inpatient 7487.5 7487.5 NAIL FIBULA RIGHT 3.0 X 130MM SUP-97-05643 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 NAIL FIBULA RIGHT 3.0 X 130MM SUP-97-05643 CDM 278 RC inpatient 7487.5 7487.5 NAIL FIBULA RIGHT 3.8 X 130MM SUP-97-05680 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 NAIL FIBULA RIGHT 3.8 X 130MM SUP-97-05680 CDM 278 RC inpatient 7487.5 7487.5 NAIL FIBULA LEFT 3.0 X 180MM SUP-97-05874 CDM 278 RC outpatient 7487.5 7487.5 7487.5 fee schedule 7487.5 other OPPS APC 4267.88 percent of total billed charges 7487.5 other OPPS APC 7487.5 other OPPS APC 3668.88 percent of total billed charges 3818.63 percent of total billed charges 7487.5 other OPPS APC 3668.88 7487.5 NAIL FIBULA LEFT 3.0 X 180MM SUP-97-05874 CDM 278 RC inpatient 7487.5 7487.5 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE MEDIUM H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.026S CDM 270010020 LOCAL 270 RC outpatient 7465 7465 2022.27 percent of total billed charges 7465 other OPPS APC 5524.1 percent of total billed charges 7465 other OPPS APC 7465 other OPPS APC 2022.27 percent of total billed charges 2062.58 percent of total billed charges 7465 other OPPS APC 2022.27 7465 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE MEDIUM H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.026S CDM 270010020 LOCAL 270 RC inpatient 7465 7465 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.045S CDM 270 RC outpatient 7465 7465 2022.27 percent of total billed charges 7465 other OPPS APC 5524.1 percent of total billed charges 7465 other OPPS APC 7465 other OPPS APC 2022.27 percent of total billed charges 2062.58 percent of total billed charges 7465 other OPPS APC 2022.27 7465 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.045S CDM 270 RC inpatient 7465 7465 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.056S CDM 270 RC outpatient 7465 7465 2022.27 percent of total billed charges 7465 other OPPS APC 5524.1 percent of total billed charges 7465 other OPPS APC 7465 other OPPS APC 2022.27 percent of total billed charges 2062.58 percent of total billed charges 7465 other OPPS APC 2022.27 7465 DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE SUP-09.820.056S CDM 270 RC inpatient 7465 7465 SHELL RESTORATION ANATOMIC SIZE 56 LEFT SUP-97-05628 CDM 278 RC outpatient 7458 7458 7458 fee schedule 7458 other OPPS APC 4251.06 percent of total billed charges 7458 other OPPS APC 7458 other OPPS APC 3654.42 percent of total billed charges 3803.58 percent of total billed charges 7458 other OPPS APC 3654.42 7458 SHELL RESTORATION ANATOMIC SIZE 56 LEFT SUP-97-05628 CDM 278 RC inpatient 7458 7458 BODY CONE RESTORATION +0 MM STANDARD OD21 MM HIP MODULAR REVISION BOLT SUP-6276-1-021 CDM 270010024 LOCAL 270 RC outpatient 7455.6 7455.64 2019.72 percent of total billed charges 7455.6 other OPPS APC 5517.14 percent of total billed charges 7455.6 other OPPS APC 7455.6 other OPPS APC 2019.72 percent of total billed charges 2059.98 percent of total billed charges 7455.64 other OPPS APC 2019.72 7455.64 BODY CONE RESTORATION +0 MM STANDARD OD21 MM HIP MODULAR REVISION BOLT SUP-6276-1-021 CDM 270010024 LOCAL 270 RC inpatient 7455.6 7455.6 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +10 SUP-6276-1-125 CDM 270010024 LOCAL 270 RC outpatient 7455.6 7455.64 2019.72 percent of total billed charges 7455.6 other OPPS APC 5517.14 percent of total billed charges 7455.6 other OPPS APC 7455.6 other OPPS APC 2019.72 percent of total billed charges 2059.98 percent of total billed charges 7455.64 other OPPS APC 2019.72 7455.64 IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +10 SUP-6276-1-125 CDM 270010024 LOCAL 270 RC inpatient 7455.6 7455.6 BODY CONE RESTORATION +30 MM OD23 MM HIP MODULAR REVISION SUP-6276-1-323 CDM 270010024 LOCAL 270 RC outpatient 7455.6 7455.64 2019.72 percent of total billed charges 7455.6 other OPPS APC 5517.14 percent of total billed charges 7455.6 other OPPS APC 7455.6 other OPPS APC 2019.72 percent of total billed charges 2059.98 percent of total billed charges 7455.64 other OPPS APC 2019.72 7455.64 BODY CONE RESTORATION +30 MM OD23 MM HIP MODULAR REVISION SUP-6276-1-323 CDM 270010024 LOCAL 270 RC inpatient 7455.6 7455.6 ALLOWRAP GRAFT DS 4X8 SUP-97-00778 CDM 636 RC outpatient 7450 745 3650.5 percent of total billed charges 7450 other OPPS APC 5513 percent of total billed charges 7450 other OPPS APC 7450 other OPPS APC 3650.5 percent of total billed charges 1852.07 percent of total billed charges 745 other OPPS APC 745 7450 ALLOWRAP GRAFT DS 4X8 SUP-97-00778 CDM 636 RC inpatient 7450 7450 PACEMAKER ACCOLADE DR SYSTEM DUAL CHAMBER SUP-8H32 CDM 275 RC outpatient 7440.4 744.4 3645.8 percent of total billed charges 7440.4 other OPPS APC 4241.03 percent of total billed charges 7440.4 other OPPS APC 7440.4 other OPPS APC 3645.8 percent of total billed charges 3794.6 percent of total billed charges 744.4 other OPPS APC 744.4 7440.4 PACEMAKER ACCOLADE DR SYSTEM DUAL CHAMBER SUP-8H32 CDM 275 RC inpatient 7440.4 7440.4 PACEMAKER ACCOLADE L321 DR EL DUAL CHAMBER 2 LEAD SYSTEM SUP-8H52 CDM 275 RC outpatient 7440.4 744.4 3645.8 percent of total billed charges 7440.4 other OPPS APC 4241.03 percent of total billed charges 7440.4 other OPPS APC 7440.4 other OPPS APC 3645.8 percent of total billed charges 3794.6 percent of total billed charges 744.4 other OPPS APC 744.4 7440.4 PACEMAKER ACCOLADE L321 DR EL DUAL CHAMBER 2 LEAD SYSTEM SUP-8H52 CDM 275 RC inpatient 7440.4 7440.4 CAGE SPINAL CLYDESDALE PEEK-OPTIMA 6 D L55 MM X W14 MM LUMBAR INTERBODY FUSION SUP-2968455 CDM 270 RC outpatient 7440 744 2015.5 percent of total billed charges 7440 other OPPS APC 5505.6 percent of total billed charges 7440 other OPPS APC 7440 other OPPS APC 2015.5 percent of total billed charges 2055.67 percent of total billed charges 744 other OPPS APC 744 7440 CAGE SPINAL CLYDESDALE PEEK-OPTIMA 6 D L55 MM X W14 MM LUMBAR INTERBODY FUSION SUP-2968455 CDM 270 RC inpatient 7440 7440 MRH TIBIAL BASEPLATE S1 SUP-97-03369 CDM 278 RC outpatient 7429.13 7429.13 7429.13 fee schedule 7429.13 other OPPS APC 4234.6 percent of total billed charges 7429.13 other OPPS APC 7429.13 other OPPS APC 3640.27 percent of total billed charges 3788.86 percent of total billed charges 7429.13 other OPPS APC 3640.27 7429.13 MRH TIBIAL BASEPLATE S1 SUP-97-03369 CDM 278 RC inpatient 7429.13 7429.13 STEM HUMERAL COMPREHENSIVE POROUS MICRO L55 MM OD8 MM SHOULDER REVERSE SYSTEM SUP-113608 CDM 270010030 LOCAL 270 RC outpatient 7420 742 2010.08 percent of total billed charges 7420 other OPPS APC 5490.8 percent of total billed charges 7420 other OPPS APC 7420 other OPPS APC 2010.08 percent of total billed charges 2050.15 percent of total billed charges 742 other OPPS APC 742 7420 STEM HUMERAL COMPREHENSIVE POROUS MICRO L55 MM OD8 MM SHOULDER REVERSE SYSTEM SUP-113608 CDM 270010030 LOCAL 270 RC inpatient 7420 7420 GRAFT ENDOVASCULAR ZENITH L76 MM L62 MM OD16 FR ABDOMINAL AORTIC ANEURYSM VISCERAL FENESTRATION DISTAL BIFURCATED BODY SUP-ZFEN-D-16-62-76-C CDM 270010015 LOCAL 270 RC outpatient 7416 7416 2008.99 percent of total billed charges 7416 other OPPS APC 5487.84 percent of total billed charges 7416 other OPPS APC 7416 other OPPS APC 2008.99 percent of total billed charges 2049.04 percent of total billed charges 7416 other OPPS APC 2008.99 7416 GRAFT ENDOVASCULAR ZENITH L76 MM L62 MM OD16 FR ABDOMINAL AORTIC ANEURYSM VISCERAL FENESTRATION DISTAL BIFURCATED BODY SUP-ZFEN-D-16-62-76-C CDM 270010015 LOCAL 270 RC inpatient 7416 7416 MAC CORRECTION MOD SUP-15230 CDM 270 RC outpatient 7410.1 741.14 2007.4 percent of total billed charges 7410.1 other OPPS APC 5483.47 percent of total billed charges 7410.1 other OPPS APC 7410.1 other OPPS APC 2007.4 percent of total billed charges 2047.41 percent of total billed charges 741.14 other OPPS APC 741.14 7410.1 MAC CORRECTION MOD SUP-15230 CDM 270 RC inpatient 7410.1 7410.1 LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304 SUP-10-0011-1304 CDM 270010003 LOCAL 270 RC outpatient 7408 748 2006.83 percent of total billed charges 7408 other OPPS APC 5481.92 percent of total billed charges 7408 other OPPS APC 7408 other OPPS APC 2006.83 percent of total billed charges 2046.83 percent of total billed charges 748 other OPPS APC 748 7408 LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304 SUP-10-0011-1304 CDM 270010003 LOCAL 270 RC inpatient 7408 7408 LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304 SUP-304-20 CDM 270010003 LOCAL 270 RC outpatient 7408 748 2006.83 percent of total billed charges 7408 other OPPS APC 5481.92 percent of total billed charges 7408 other OPPS APC 7408 other OPPS APC 2006.83 percent of total billed charges 2046.83 percent of total billed charges 748 other OPPS APC 748 7408 LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304 SUP-304-20 CDM 270010003 LOCAL 270 RC inpatient 7408 7408 RECORDER CARDIAC BIOMONITOR III STERILE LATEX FREE SUP-450218_73669 CDM 270 RC outpatient 7400 74 2004.66 percent of total billed charges 7400 other OPPS APC 5476 percent of total billed charges 7400 other OPPS APC 7400 other OPPS APC 2004.66 percent of total billed charges 2044.62 percent of total billed charges 74 other OPPS APC 74 7400 RECORDER CARDIAC BIOMONITOR III STERILE LATEX FREE SUP-450218_73669 CDM 270 RC inpatient 7400 7400 TOTAL KNEE 4 PIECE CAP PRICE SUP-CAPKNEE4 CDM 270010025 LOCAL 270 RC outpatient 7400 74 2004.66 percent of total billed charges 7400 other OPPS APC 5476 percent of total billed charges 7400 other OPPS APC 7400 other OPPS APC 2004.66 percent of total billed charges 2044.62 percent of total billed charges 74 other OPPS APC 74 7400 TOTAL KNEE 4 PIECE CAP PRICE SUP-CAPKNEE4 CDM 270010025 LOCAL 270 RC inpatient 7400 7400 CATHETER ULTRASOUND NUVISION ICE OD10 FR SUP-FG10593 CDM 270 RC outpatient 7400 74 2004.66 percent of total billed charges 7400 other OPPS APC 5476 percent of total billed charges 7400 other OPPS APC 7400 other OPPS APC 2004.66 percent of total billed charges 2044.62 percent of total billed charges 74 other OPPS APC 74 7400 CATHETER ULTRASOUND NUVISION ICE OD10 FR SUP-FG10593 CDM 270 RC inpatient 7400 7400 REST MOD CONICAL DISTAL STEM 15MMX155MM SUP-97-03667 CDM 278 RC outpatient 7397.5 7397.5 7397.5 fee schedule 7397.5 other OPPS APC 4216.58 percent of total billed charges 7397.5 other OPPS APC 7397.5 other OPPS APC 3624.78 percent of total billed charges 3772.73 percent of total billed charges 7397.5 other OPPS APC 3624.78 7397.5 REST MOD CONICAL DISTAL STEM 15MMX155MM SUP-97-03667 CDM 278 RC inpatient 7397.5 7397.5 REST MOD CONICAL DISTAL STEM 18MMX155MM SUP-97-03957 CDM 278 RC outpatient 7397.5 7397.5 7397.5 fee schedule 7397.5 other OPPS APC 4216.58 percent of total billed charges 7397.5 other OPPS APC 7397.5 other OPPS APC 3624.78 percent of total billed charges 3772.73 percent of total billed charges 7397.5 other OPPS APC 3624.78 7397.5 REST MOD CONICAL DISTAL STEM 18MMX155MM SUP-97-03957 CDM 278 RC inpatient 7397.5 7397.5 RREST MOD CONICAL DISTAL STEM15MMX155MM SUP-97-03964 CDM 278 RC outpatient 7397.5 7397.5 7397.5 fee schedule 7397.5 other OPPS APC 4216.58 percent of total billed charges 7397.5 other OPPS APC 7397.5 other OPPS APC 3624.78 percent of total billed charges 3772.73 percent of total billed charges 7397.5 other OPPS APC 3624.78 7397.5 RREST MOD CONICAL DISTAL STEM15MMX155MM SUP-97-03964 CDM 278 RC inpatient 7397.5 7397.5 SYSTEM CARDIAC MONITOR REVEAL XT TITANIUM SILICONE POLYURETHANE D8 MM 3.6V 256HZ SMALL W19 MM X H62 MM 9 ML 15 GM INSERTABLE IMPLANTABLE 2 ELECTRODE SUP-9529 CDM 270 RC outpatient 7390 739 2001.95 percent of total billed charges 7390 other OPPS APC 5468.6 percent of total billed charges 7390 other OPPS APC 7390 other OPPS APC 2001.95 percent of total billed charges 2041.86 percent of total billed charges 739 other OPPS APC 739 7390 SYSTEM CARDIAC MONITOR REVEAL XT TITANIUM SILICONE POLYURETHANE D8 MM 3.6V 256HZ SMALL W19 MM X H62 MM 9 ML 15 GM INSERTABLE IMPLANTABLE 2 ELECTRODE SUP-9529 CDM 270 RC inpatient 7390 7390 FEMORAL ADAPTER SIGMA SUP-97-01031 CDM 278 RC outpatient 7382 7382 7382 fee schedule 7382 other OPPS APC 4207.74 percent of total billed charges 7382 other OPPS APC 7382 other OPPS APC 3617.18 percent of total billed charges 3764.82 percent of total billed charges 7382 other OPPS APC 3617.18 7382 FEMORAL ADAPTER SIGMA SUP-97-01031 CDM 278 RC inpatient 7382 7382 STENT GORE VIABAHN SUP-VBH101502 CDM 270 RC outpatient 7362 7362 1994.37 percent of total billed charges 7362 other OPPS APC 5447.88 percent of total billed charges 7362 other OPPS APC 7362 other OPPS APC 1994.37 percent of total billed charges 2034.12 percent of total billed charges 7362 other OPPS APC 1994.37 7362 STENT GORE VIABAHN SUP-VBH101502 CDM 270 RC inpatient 7362 7362 GRAFT BIO 4 10CC (3102-2110) SUP-97-00971 CDM 278 RC outpatient 7360 736 7360 fee schedule 7360 other OPPS APC 4195.2 percent of total billed charges 7360 other OPPS APC 7360 other OPPS APC 3606.4 percent of total billed charges 3753.6 percent of total billed charges 736 other OPPS APC 736 7360 GRAFT BIO 4 10CC (3102-2110) SUP-97-00971 CDM 278 RC inpatient 7360 7360 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L26 MM OD36 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-AXF3636W26XH CDM 270010015 LOCAL 270 RC outpatient 7350 735 1991.12 percent of total billed charges 7350 other OPPS APC 5439 percent of total billed charges 7350 other OPPS APC 7350 other OPPS APC 1991.12 percent of total billed charges 2030.81 percent of total billed charges 735 other OPPS APC 735 7350 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L26 MM OD36 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-AXF3636W26XH CDM 270010015 LOCAL 270 RC inpatient 7350 7350 STEM RADIAL EVOLVE PROLINE STANDARD OD5.5 MM ELBOW MODULAR HEAD SUP-496S055 CDM 270 RC outpatient 7332 7332 1986.24 percent of total billed charges 7332 other OPPS APC 5425.68 percent of total billed charges 7332 other OPPS APC 7332 other OPPS APC 1986.24 percent of total billed charges 2025.83 percent of total billed charges 7332 other OPPS APC 1986.24 7332 STEM RADIAL EVOLVE PROLINE STANDARD OD5.5 MM ELBOW MODULAR HEAD SUP-496S055 CDM 270 RC inpatient 7332 7332 STEM RADIAL EVOLVE PROLINE STANDARD OD6.5 MM ELBOW HEAD SYSTEM SUP-496S065 CDM 270 RC outpatient 7332 7332 1986.24 percent of total billed charges 7332 other OPPS APC 5425.68 percent of total billed charges 7332 other OPPS APC 7332 other OPPS APC 1986.24 percent of total billed charges 2025.83 percent of total billed charges 7332 other OPPS APC 1986.24 7332 STEM RADIAL EVOLVE PROLINE STANDARD OD6.5 MM ELBOW HEAD SYSTEM SUP-496S065 CDM 270 RC inpatient 7332 7332 STEM RADIAL EVOLVE PROLINE +4 MM OD7.5 MM ELBOW HEAD SYSTEM SMOOTH SUP-496S475 CDM 270 RC outpatient 7332 7332 1986.24 percent of total billed charges 7332 other OPPS APC 5425.68 percent of total billed charges 7332 other OPPS APC 7332 other OPPS APC 1986.24 percent of total billed charges 2025.83 percent of total billed charges 7332 other OPPS APC 1986.24 7332 STEM RADIAL EVOLVE PROLINE +4 MM OD7.5 MM ELBOW HEAD SYSTEM SMOOTH SUP-496S475 CDM 270 RC inpatient 7332 7332 STEM RADIAL EVOLVE +4 MM OD9.5 MM ELBOW MODULAR STERILE SUP-496-S495 CDM 270 RC outpatient 7332 7332 1986.24 percent of total billed charges 7332 other OPPS APC 5425.68 percent of total billed charges 7332 other OPPS APC 7332 other OPPS APC 1986.24 percent of total billed charges 2025.83 percent of total billed charges 7332 other OPPS APC 1986.24 7332 STEM RADIAL EVOLVE +4 MM OD9.5 MM ELBOW MODULAR STERILE SUP-496-S495 CDM 270 RC inpatient 7332 7332 ATTUNE PS FEM RT SZ 6 CEM SUP-97-04798 CDM 278 RC outpatient 7324 7324 7324 fee schedule 7324 other OPPS APC 4174.68 percent of total billed charges 7324 other OPPS APC 7324 other OPPS APC 3588.76 percent of total billed charges 3735.24 percent of total billed charges 7324 other OPPS APC 3588.76 7324 ATTUNE PS FEM RT SZ 6 CEM SUP-97-04798 CDM 278 RC inpatient 7324 7324 ATTUNE CR FEM RT SZ6 CEM SUP-97-04990 CDM 278 RC outpatient 7324 7324 7324 fee schedule 7324 other OPPS APC 4174.68 percent of total billed charges 7324 other OPPS APC 7324 other OPPS APC 3588.76 percent of total billed charges 3735.24 percent of total billed charges 7324 other OPPS APC 3588.76 7324 ATTUNE CR FEM RT SZ6 CEM SUP-97-04990 CDM 278 RC inpatient 7324 7324 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F CURVE UNIDIRECTIONAL THERMOCOUPLE SUP-D134702 CDM 270 RC outpatient 7324 7324 1984.07 percent of total billed charges 7324 other OPPS APC 5419.76 percent of total billed charges 7324 other OPPS APC 7324 other OPPS APC 1984.07 percent of total billed charges 2023.62 percent of total billed charges 7324 other OPPS APC 1984.07 7324 CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F CURVE UNIDIRECTIONAL THERMOCOUPLE SUP-D134702 CDM 270 RC inpatient 7324 7324 SPACER SPINAL CAPSTONE PEEK-OPTIMA L26 MM X H9 MM LUMBAR INTERBODY FUSION SUP-2990926 CDM 270010020 LOCAL 270 RC outpatient 7320 732 1982.99 percent of total billed charges 7320 other OPPS APC 5416.8 percent of total billed charges 7320 other OPPS APC 7320 other OPPS APC 1982.99 percent of total billed charges 2022.52 percent of total billed charges 732 other OPPS APC 732 7320 SPACER SPINAL CAPSTONE PEEK-OPTIMA L26 MM X H9 MM LUMBAR INTERBODY FUSION SUP-2990926 CDM 270010020 LOCAL 270 RC inpatient 7320 7320 SPACER SPINAL CAPSTONE PEEK-OPTIMA CONVEX L26 MM X H10 MM BULLETED TIP SELF DISTRACTING SUP-2991026 CDM 270010020 LOCAL 270 RC outpatient 7320 732 1982.99 percent of total billed charges 7320 other OPPS APC 5416.8 percent of total billed charges 7320 other OPPS APC 7320 other OPPS APC 1982.99 percent of total billed charges 2022.52 percent of total billed charges 732 other OPPS APC 732 7320 SPACER SPINAL CAPSTONE PEEK-OPTIMA CONVEX L26 MM X H10 MM BULLETED TIP SELF DISTRACTING SUP-2991026 CDM 270010020 LOCAL 270 RC inpatient 7320 7320 RESTORATION MODULAR HIP SYSTEM 17 X 115MM SUP-97-06374 CDM 278 RC outpatient 7313 7313 7313 fee schedule 7313 other OPPS APC 4168.41 percent of total billed charges 7313 other OPPS APC 7313 other OPPS APC 3583.37 percent of total billed charges 3729.63 percent of total billed charges 7313 other OPPS APC 3583.37 7313 RESTORATION MODULAR HIP SYSTEM 17 X 115MM SUP-97-06374 CDM 278 RC inpatient 7313 7313 TIBIAL TRAY ROTATING PLATFORM SIZE 4 SUP-1284-35-140 CDM 270010025 LOCAL 270 RC outpatient 7311.6 7311.64 1980.71 percent of total billed charges 7311.6 other OPPS APC 5410.58 percent of total billed charges 7311.6 other OPPS APC 7311.6 other OPPS APC 1980.71 percent of total billed charges 2020.2 percent of total billed charges 7311.64 other OPPS APC 1980.71 7311.64 TIBIAL TRAY ROTATING PLATFORM SIZE 4 SUP-1284-35-140 CDM 270010025 LOCAL 270 RC inpatient 7311.6 7311.6 PACEMAKER CARDIAC SENSIA DR 2.8V 1.2AH D7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR IS-1 SUP-SEDR01 CDM 275 RC outpatient 7307.4 737.4 3580.63 percent of total billed charges 7307.4 other OPPS APC 4165.22 percent of total billed charges 7307.4 other OPPS APC 7307.4 other OPPS APC 3580.63 percent of total billed charges 3726.77 percent of total billed charges 737.4 other OPPS APC 737.4 7307.4 PACEMAKER CARDIAC SENSIA DR 2.8V 1.2AH D7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR IS-1 SUP-SEDR01 CDM 275 RC inpatient 7307.4 7307.4 PPM SESR01/03 SENSIA DEVICE SUP-SESR D CDM 275 RC outpatient 7307.4 737.4 3580.63 percent of total billed charges 7307.4 other OPPS APC 4165.22 percent of total billed charges 7307.4 other OPPS APC 7307.4 other OPPS APC 3580.63 percent of total billed charges 3726.77 percent of total billed charges 737.4 other OPPS APC 737.4 7307.4 PPM SESR01/03 SENSIA DEVICE SUP-SESR D CDM 275 RC inpatient 7307.4 7307.4 PPM SEDR01 SENSIA DR DEVICE SUP-SESRSERIES D CDM 275 RC outpatient 7307.4 737.4 3580.63 percent of total billed charges 7307.4 other OPPS APC 4165.22 percent of total billed charges 7307.4 other OPPS APC 7307.4 other OPPS APC 3580.63 percent of total billed charges 3726.77 percent of total billed charges 737.4 other OPPS APC 737.4 7307.4 PPM SEDR01 SENSIA DR DEVICE SUP-SESRSERIES D CDM 275 RC inpatient 7307.4 7307.4 PPM VEDR01 VERSA DR DEVICE SUP-VEDR01 D CDM 275 RC outpatient 7307.4 737.4 3580.63 percent of total billed charges 7307.4 other OPPS APC 4165.22 percent of total billed charges 7307.4 other OPPS APC 7307.4 other OPPS APC 3580.63 percent of total billed charges 3726.77 percent of total billed charges 737.4 other OPPS APC 737.4 7307.4 PPM VEDR01 VERSA DR DEVICE SUP-VEDR01 D CDM 275 RC inpatient 7307.4 7307.4 TENECTEPLASE PER 50 MG 636000000 CDM 50242-120-47 NDC J3101 HCPCS inpatient 7295.63 7295.63 TENECTEPLASE PER 50 MG 636000000 CDM 50242-120-47 NDC J3101 HCPCS outpatient 7295.63 163.11 163.11 other OPPS APC 163.11 163.11 KIT ONYX 18 AVM US SUP-105-7100-060 CDM 270 RC outpatient 7294 7294 1975.94 percent of total billed charges 7294 other OPPS APC 5397.56 percent of total billed charges 7294 other OPPS APC 7294 other OPPS APC 1975.94 percent of total billed charges 2015.33 percent of total billed charges 7294 other OPPS APC 1975.94 7294 KIT ONYX 18 AVM US SUP-105-7100-060 CDM 270 RC inpatient 7294 7294 KIT ONYX 34 AVM US SUP-105-7100-080 CDM 270 RC outpatient 7294 7294 1975.94 percent of total billed charges 7294 other OPPS APC 5397.56 percent of total billed charges 7294 other OPPS APC 7294 other OPPS APC 1975.94 percent of total billed charges 2015.33 percent of total billed charges 7294 other OPPS APC 1975.94 7294 KIT ONYX 34 AVM US SUP-105-7100-080 CDM 270 RC inpatient 7294 7294 PACEMAKER- TEMPORARY SINGLE CHAMBER SUP-99-04783 CDM 272 RC outpatient 7277.86 7277.86 1971.57 percent of total billed charges 7277.86 other OPPS APC 5385.62 percent of total billed charges 7277.86 other OPPS APC 7277.86 other OPPS APC 1971.57 percent of total billed charges 2010.87 percent of total billed charges 7277.86 other OPPS APC 1971.57 7277.86 PACEMAKER- TEMPORARY SINGLE CHAMBER SUP-99-04783 CDM 272 RC inpatient 7277.86 7277.86 GRAFT OVITEX LPR 12 X 18CM SUP-97-05917 CDM 278 RC outpatient 7253.25 7253.25 7253.25 fee schedule 7253.25 other OPPS APC 4134.35 percent of total billed charges 7253.25 other OPPS APC 7253.25 other OPPS APC 3554.09 percent of total billed charges 3699.16 percent of total billed charges 7253.25 other OPPS APC 3554.09 7253.25 GRAFT OVITEX LPR 12 X 18CM SUP-97-05917 CDM 278 RC inpatient 7253.25 7253.25 FIBULA NAIL 4.5 X 130MM FLEX THREAD SUP-97-06302 CDM 278 RC outpatient 7250 725 7250 fee schedule 7250 other OPPS APC 4132.5 percent of total billed charges 7250 other OPPS APC 7250 other OPPS APC 3552.5 percent of total billed charges 3697.5 percent of total billed charges 725 other OPPS APC 725 7250 FIBULA NAIL 4.5 X 130MM FLEX THREAD SUP-97-06302 CDM 278 RC inpatient 7250 7250 FIBULA NAIL 5.5 X 130MM FLEX THREAD SUP-97-06305 CDM 278 RC outpatient 7250 725 7250 fee schedule 7250 other OPPS APC 4132.5 percent of total billed charges 7250 other OPPS APC 7250 other OPPS APC 3552.5 percent of total billed charges 3697.5 percent of total billed charges 725 other OPPS APC 725 7250 FIBULA NAIL 5.5 X 130MM FLEX THREAD SUP-97-06305 CDM 278 RC inpatient 7250 7250 SPEEDPLATE LAPIPLASTY QUAD COMPRESSION IMPLANT SUP-97-06313 CDM 278 RC outpatient 7250 725 7250 fee schedule 7250 other OPPS APC 4132.5 percent of total billed charges 7250 other OPPS APC 7250 other OPPS APC 3552.5 percent of total billed charges 3697.5 percent of total billed charges 725 other OPPS APC 725 7250 SPEEDPLATE LAPIPLASTY QUAD COMPRESSION IMPLANT SUP-97-06313 CDM 278 RC inpatient 7250 7250 FIBULAR NAIL 4.5 X 180MM SUP-97-06365 CDM 278 RC outpatient 7250 725 7250 fee schedule 7250 other OPPS APC 4132.5 percent of total billed charges 7250 other OPPS APC 7250 other OPPS APC 3552.5 percent of total billed charges 3697.5 percent of total billed charges 725 other OPPS APC 725 7250 FIBULAR NAIL 4.5 X 180MM SUP-97-06365 CDM 278 RC inpatient 7250 7250 FIBULAR NAIL 5.5 X 180MM SUP-97-06366 CDM 278 RC outpatient 7250 725 7250 fee schedule 7250 other OPPS APC 4132.5 percent of total billed charges 7250 other OPPS APC 7250 other OPPS APC 3552.5 percent of total billed charges 3697.5 percent of total billed charges 725 other OPPS APC 725 7250 FIBULAR NAIL 5.5 X 180MM SUP-97-06366 CDM 278 RC inpatient 7250 7250 PACEMAKER - AICD - DURATA RV LEAD SUP-99-04554 CDM inpatient 7250 7250 PACEMAKER - AICD - DURATA RV LEAD SUP-99-04554 CDM outpatient 7250 725 7250 percent of total billed charges 7250 other OPPS APC 7250 fee schedule 7250 other OPPS APC 7250 other OPPS APC 7250 case rate 7250 case rate 725 other OPPS APC 725 7250 PACEMAKER - ACCOLADE MRI EL DR IS-1 SUP-99-04252 CDM 275 RC outpatient 7246.6 7246.64 7246.6 fee schedule 7246.6 other OPPS APC 4130.56 percent of total billed charges 7246.6 other OPPS APC 7246.6 other OPPS APC 3550.83 percent of total billed charges 3695.77 percent of total billed charges 7246.64 other OPPS APC 3550.83 7246.64 PACEMAKER - ACCOLADE MRI EL DR IS-1 SUP-99-04252 CDM 275 RC inpatient 7246.6 7246.6 PACEMAKER ACCOLADE DR MRI DUAL CHAMBER SUP-L311 CDM 270 RC outpatient 7246.6 7246.64 1963.1 percent of total billed charges 7246.6 other OPPS APC 5362.48 percent of total billed charges 7246.6 other OPPS APC 7246.6 other OPPS APC 1963.1 percent of total billed charges 2002.24 percent of total billed charges 7246.64 other OPPS APC 1963.1 7246.64 PACEMAKER ACCOLADE DR MRI DUAL CHAMBER SUP-L311 CDM 270 RC inpatient 7246.6 7246.6 PACEMAKER ACCOLADE DR EL MRI DUAL CHAMBER SUP-L331 CDM 275 RC outpatient 7246.6 7246.64 3550.83 percent of total billed charges 7246.6 other OPPS APC 4130.56 percent of total billed charges 7246.6 other OPPS APC 7246.6 other OPPS APC 3550.83 percent of total billed charges 3695.77 percent of total billed charges 7246.64 other OPPS APC 3550.83 7246.64 PACEMAKER ACCOLADE DR EL MRI DUAL CHAMBER SUP-L331 CDM 275 RC inpatient 7246.6 7246.6 AUGMENT FEMORAL 3DMETAL XL CONE KNEE DIAPHYSIS STERILE LATEX FREE SUP-02.07.FCXL30 CDM 270010025 LOCAL 270 RC outpatient 7240 724 1961.32 percent of total billed charges 7240 other OPPS APC 5357.6 percent of total billed charges 7240 other OPPS APC 7240 other OPPS APC 1961.32 percent of total billed charges 2000.41 percent of total billed charges 724 other OPPS APC 724 7240 AUGMENT FEMORAL 3DMETAL XL CONE KNEE DIAPHYSIS STERILE LATEX FREE SUP-02.07.FCXL30 CDM 270010025 LOCAL 270 RC inpatient 7240 7240 STENT - ELUVIA DES 6X120 SUP-99-03580 CDM 278 RC outpatient 7237.5 7237.5 7237.5 fee schedule 7237.5 other OPPS APC 4125.38 percent of total billed charges 7237.5 other OPPS APC 7237.5 other OPPS APC 3546.38 percent of total billed charges 3691.13 percent of total billed charges 7237.5 other OPPS APC 3546.38 7237.5 STENT - ELUVIA DES 6X120 SUP-99-03580 CDM 278 RC inpatient 7237.5 7237.5 STENT - ELUVIA DES 7X120 SUP-99-03585 CDM 278 RC outpatient 7237.5 7237.5 7237.5 fee schedule 7237.5 other OPPS APC 4125.38 percent of total billed charges 7237.5 other OPPS APC 7237.5 other OPPS APC 3546.38 percent of total billed charges 3691.13 percent of total billed charges 7237.5 other OPPS APC 3546.38 7237.5 STENT - ELUVIA DES 7X120 SUP-99-03585 CDM 278 RC inpatient 7237.5 7237.5 STANDERD HUMERAL HEAD SUP-97-02542 CDM 278 RC outpatient 7225 7225 7225 fee schedule 7225 other OPPS APC 4118.25 percent of total billed charges 7225 other OPPS APC 7225 other OPPS APC 3540.25 percent of total billed charges 3684.75 percent of total billed charges 7225 other OPPS APC 3540.25 7225 STANDERD HUMERAL HEAD SUP-97-02542 CDM 278 RC inpatient 7225 7225 HC Thyroseq PX-3000026U0 CDM 300 RC outpatient 7200 36 3528 percent of total billed charges 3600 fee schedule 5328 percent of total billed charges 3600 fee schedule 3600 fee schedule 3600 fee schedule 3600 fee schedule 36 fee schedule 36 5328 HC Thyroseq PX-3000026U0 CDM 300 RC inpatient 7200 7200 RE-ENTRY - PIONEER PLUS SUP-99-03511 CDM 272 RC outpatient 7200 72 1950.48 percent of total billed charges 7200 other OPPS APC 5328 percent of total billed charges 7200 other OPPS APC 7200 other OPPS APC 1950.48 percent of total billed charges 1989.36 percent of total billed charges 72 other OPPS APC 72 7200 RE-ENTRY - PIONEER PLUS SUP-99-03511 CDM 272 RC inpatient 7200 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1212135 CDM 270010015 LOCAL 270 RC outpatient 7200 72 1950.48 percent of total billed charges 7200 other OPPS APC 5328 percent of total billed charges 7200 other OPPS APC 7200 other OPPS APC 1950.48 percent of total billed charges 1989.36 percent of total billed charges 72 other OPPS APC 72 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1212135 CDM 270010015 LOCAL 270 RC inpatient 7200 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1414135 CDM 270010015 LOCAL 270 RC outpatient 7200 72 1950.48 percent of total billed charges 7200 other OPPS APC 5328 percent of total billed charges 7200 other OPPS APC 7200 other OPPS APC 1950.48 percent of total billed charges 1989.36 percent of total billed charges 72 other OPPS APC 72 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1414135 CDM 270010015 LOCAL 270 RC inpatient 7200 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1616135 CDM 270010015 LOCAL 270 RC outpatient 7200 72 1950.48 percent of total billed charges 7200 other OPPS APC 5328 percent of total billed charges 7200 other OPPS APC 7200 other OPPS APC 1950.48 percent of total billed charges 1989.36 percent of total billed charges 72 other OPPS APC 72 7200 GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA SUP-ILXCH1616135 CDM 270010015 LOCAL 270 RC inpatient 7200 7200 GRAFT SKIN THERASKIN 116 SQ CM XL L6 IN X W3 IN ALLOGRAFT CRYOPRESERVE PREMESH SUP-103TSXL CDM inpatient 7190 7190 GRAFT SKIN THERASKIN 116 SQ CM XL L6 IN X W3 IN ALLOGRAFT CRYOPRESERVE PREMESH SUP-103TSXL CDM outpatient 7190 719 7190 percent of total billed charges 7190 other OPPS APC 7190 fee schedule 7190 other OPPS APC 7190 other OPPS APC 7190 case rate 7190 case rate 719 other OPPS APC 719 7190 TRAY SURGICAL BONE FIRST FRACTURE KYPHOPAK EXPRESS OSTEO INTRODUCER 15 X 2.0MM SUP-KPE1003 CDM 270 RC outpatient 7190 719 1947.77 percent of total billed charges 7190 other OPPS APC 5320.6 percent of total billed charges 7190 other OPPS APC 7190 other OPPS APC 1947.77 percent of total billed charges 1986.6 percent of total billed charges 719 other OPPS APC 719 7190 TRAY SURGICAL BONE FIRST FRACTURE KYPHOPAK EXPRESS OSTEO INTRODUCER 15 X 2.0MM SUP-KPE1003 CDM 270 RC inpatient 7190 7190 2.7MM3.5MMVA-LCP 2-ANTERDISTAL PL6 HOL SUP-97-03442 CDM 278 RC outpatient 7185 7185 7185 fee schedule 7185 other OPPS APC 4095.45 percent of total billed charges 7185 other OPPS APC 7185 other OPPS APC 3520.65 percent of total billed charges 3664.35 percent of total billed charges 7185 other OPPS APC 3520.65 7185 2.7MM3.5MMVA-LCP 2-ANTERDISTAL PL6 HOL SUP-97-03442 CDM 278 RC inpatient 7185 7185 STENT BILIARY 10MM 79MM 135CM SELF EXPAND SENTINOL NITINOL ACCEPTS 6FR SHEATH SUP-H7493894818010 CDM 275 RC outpatient 7158 7158 3507.42 percent of total billed charges 7158 other OPPS APC 4080.06 percent of total billed charges 7158 other OPPS APC 7158 other OPPS APC 3507.42 percent of total billed charges 3650.58 percent of total billed charges 7158 other OPPS APC 3507.42 7158 STENT BILIARY 10MM 79MM 135CM SELF EXPAND SENTINOL NITINOL ACCEPTS 6FR SHEATH SUP-H7493894818010 CDM 275 RC inpatient 7158 7158 LEAD OPTISURE DF4 SUP-LDA SERIES CDM 275 RC outpatient 7158 7158 3507.42 percent of total billed charges 7158 other OPPS APC 4080.06 percent of total billed charges 7158 other OPPS APC 7158 other OPPS APC 3507.42 percent of total billed charges 3650.58 percent of total billed charges 7158 other OPPS APC 3507.42 7158 LEAD OPTISURE DF4 SUP-LDA SERIES CDM 275 RC inpatient 7158 7158 FORCEPS BIOPSY NEEDLE 160CM 1.8MM RADIAL JAW 3 PEDIATRIC GASTROINTESTINE STERILE SUP-M00515791 CDM 275 RC outpatient 7158 7158 3507.42 percent of total billed charges 7158 other OPPS APC 4080.06 percent of total billed charges 7158 other OPPS APC 7158 other OPPS APC 3507.42 percent of total billed charges 3650.58 percent of total billed charges 7158 other OPPS APC 3507.42 7158 FORCEPS BIOPSY NEEDLE 160CM 1.8MM RADIAL JAW 3 PEDIATRIC GASTROINTESTINE STERILE SUP-M00515791 CDM 275 RC inpatient 7158 7158 VIABAHN BX BALLOON ENDO SUP-BAXL085902A CDM 270 RC outpatient 7148 7148 1936.39 percent of total billed charges 7148 other OPPS APC 5289.52 percent of total billed charges 7148 other OPPS APC 7148 other OPPS APC 1936.39 percent of total billed charges 1974.99 percent of total billed charges 7148 other OPPS APC 1936.39 7148 VIABAHN BX BALLOON ENDO SUP-BAXL085902A CDM 270 RC inpatient 7148 7148 VIABAHN BX BALLOON 8MMX59MM SUP-BXAL085902A CDM 270 RC outpatient 7148 7148 1936.39 percent of total billed charges 7148 other OPPS APC 5289.52 percent of total billed charges 7148 other OPPS APC 7148 other OPPS APC 1936.39 percent of total billed charges 1974.99 percent of total billed charges 7148 other OPPS APC 1936.39 7148 VIABAHN BX BALLOON 8MMX59MM SUP-BXAL085902A CDM 270 RC inpatient 7148 7148 PLATE 410HOLE SUP-97-03383 CDM 278 RC outpatient 7137.5 7137.5 7137.5 fee schedule 7137.5 other OPPS APC 4068.38 percent of total billed charges 7137.5 other OPPS APC 7137.5 other OPPS APC 3497.38 percent of total billed charges 3640.13 percent of total billed charges 7137.5 other OPPS APC 3497.38 7137.5 PLATE 410HOLE SUP-97-03383 CDM 278 RC inpatient 7137.5 7137.5 NARROW COMPRESSION 8 HOLE 5.0 SUP-97-03732 CDM 278 RC outpatient 7137.5 7137.5 7137.5 fee schedule 7137.5 other OPPS APC 4068.38 percent of total billed charges 7137.5 other OPPS APC 7137.5 other OPPS APC 3497.38 percent of total billed charges 3640.13 percent of total billed charges 7137.5 other OPPS APC 3497.38 7137.5 NARROW COMPRESSION 8 HOLE 5.0 SUP-97-03732 CDM 278 RC inpatient 7137.5 7137.5 SIGMA TIBIAL SIZE 3 12.5MM SUP-97-01055 CDM 278 RC outpatient 7132 7132 7132 fee schedule 7132 other OPPS APC 4065.24 percent of total billed charges 7132 other OPPS APC 7132 other OPPS APC 3494.68 percent of total billed charges 3637.32 percent of total billed charges 7132 other OPPS APC 3494.68 7132 SIGMA TIBIAL SIZE 3 12.5MM SUP-97-01055 CDM 278 RC inpatient 7132 7132 TIBIAL INSERT FIXED BEADING SUP-97-01323 CDM 278 RC outpatient 7132 7132 7132 fee schedule 7132 other OPPS APC 4065.24 percent of total billed charges 7132 other OPPS APC 7132 other OPPS APC 3494.68 percent of total billed charges 3637.32 percent of total billed charges 7132 other OPPS APC 3494.68 7132 TIBIAL INSERT FIXED BEADING SUP-97-01323 CDM 278 RC inpatient 7132 7132 TIBIAL INSERT FIXED BEARING SUP-97-01855 CDM 278 RC outpatient 7132 7132 7132 fee schedule 7132 other OPPS APC 4065.24 percent of total billed charges 7132 other OPPS APC 7132 other OPPS APC 3494.68 percent of total billed charges 3637.32 percent of total billed charges 7132 other OPPS APC 3494.68 7132 TIBIAL INSERT FIXED BEARING SUP-97-01855 CDM 278 RC inpatient 7132 7132 WEDGE AUGMENTATION ALLOPURE EVANS ALLOTRUE BICORTICAL L20 MM X W22 MM X H10 MM H5.5 MM FOOT ANKLE ALLOGRAFT SUP-86661000 CDM 270010031 LOCAL 270 RC outpatient 7130 713 1931.52 percent of total billed charges 7130 other OPPS APC 5276.2 percent of total billed charges 7130 other OPPS APC 7130 other OPPS APC 1931.52 percent of total billed charges 1970.02 percent of total billed charges 713 other OPPS APC 713 7130 WEDGE AUGMENTATION ALLOPURE EVANS ALLOTRUE BICORTICAL L20 MM X W22 MM X H10 MM H5.5 MM FOOT ANKLE ALLOGRAFT SUP-86661000 CDM 270010031 LOCAL 270 RC inpatient 7130 7130 WEDGE AUGMENTATION EVANS ALLOPURE PLUS L20 MM X W22 MM X H12 MM CORTICOCANCELLOUS BONE ALLOGRAFT STERILE OSTEOTOMY SUP-86661200 CDM 270010031 LOCAL 270 RC outpatient 7130 713 1931.52 percent of total billed charges 7130 other OPPS APC 5276.2 percent of total billed charges 7130 other OPPS APC 7130 other OPPS APC 1931.52 percent of total billed charges 1970.02 percent of total billed charges 713 other OPPS APC 713 7130 WEDGE AUGMENTATION EVANS ALLOPURE PLUS L20 MM X W22 MM X H12 MM CORTICOCANCELLOUS BONE ALLOGRAFT STERILE OSTEOTOMY SUP-86661200 CDM 270010031 LOCAL 270 RC inpatient 7130 7130 KNEE PRIMARY ATTUNE RP CEMENTED SUP-97-05006 CDM 278 RC outpatient 7125 7125 7125 fee schedule 7125 other OPPS APC 4061.25 percent of total billed charges 7125 other OPPS APC 7125 other OPPS APC 3491.25 percent of total billed charges 3633.75 percent of total billed charges 7125 other OPPS APC 3491.25 7125 KNEE PRIMARY ATTUNE RP CEMENTED SUP-97-05006 CDM 278 RC inpatient 7125 7125 LEAD NEUROSTIMULATOR INTERSTIM 3 MM SPACE STRAIGHT L33 CM OD1.27 MM INLINE CONNECTOR TINE SUP-3889-33 CDM 270 RC outpatient 7110 711 1926.1 percent of total billed charges 7110 other OPPS APC 5261.4 percent of total billed charges 7110 other OPPS APC 7110 other OPPS APC 1926.1 percent of total billed charges 1964.49 percent of total billed charges 711 other OPPS APC 711 7110 LEAD NEUROSTIMULATOR INTERSTIM 3 MM SPACE STRAIGHT L33 CM OD1.27 MM INLINE CONNECTOR TINE SUP-3889-33 CDM 270 RC inpatient 7110 7110 TRAY INTRODUCER KYPHOPAK XPANDER 20/3 SPINE FIRST FRACTURE KYPHX ONE STEP OSTEO SUP-KPT2005 CDM 270 RC outpatient 7106 716 1925.02 percent of total billed charges 7106 other OPPS APC 5258.44 percent of total billed charges 7106 other OPPS APC 7106 other OPPS APC 1925.02 percent of total billed charges 1963.39 percent of total billed charges 716 other OPPS APC 716 7106 TRAY INTRODUCER KYPHOPAK XPANDER 20/3 SPINE FIRST FRACTURE KYPHX ONE STEP OSTEO SUP-KPT2005 CDM 270 RC inpatient 7106 7106 STENT 23 X 105 SUP-95-01834 CDM 272 RC outpatient 7080.63 78.63 1918.14 percent of total billed charges 7080.63 other OPPS APC 5239.67 percent of total billed charges 7080.63 other OPPS APC 7080.63 other OPPS APC 1918.14 percent of total billed charges 1956.38 percent of total billed charges 78.63 other OPPS APC 78.63 7080.63 STENT 23 X 105 SUP-95-01834 CDM 272 RC inpatient 7080.63 7080.63 HC Cc Insertion of Bivent Lead PX-361332250 CDM 33225 CPT 361 RC outpatient 7075 775 2234.29 percent of total billed charges 7075 other OPPS APC 612 fee schedule 7075 other OPPS APC 7075 other OPPS APC 2234.29 percent of total billed charges 2278.86 percent of total billed charges 775 other OPPS APC 612 7075 HC Cc Insertion of Bivent Lead PX-361332250 CDM 33225 CPT 361 RC inpatient 7075 7075 ARTHROFLEX 101 SUP-97-04440 CDM 636 RC inpatient 7065 7065 ARTHROFLEX 101 SUP-97-04440 CDM 636 RC outpatient 7065 7065 fee schedule other OPPS APC 5228.1 percent of total billed charges other OPPS APC other OPPS APC 3461.85 percent of total billed charges 1756.36 percent of total billed charges other OPPS APC 5228.1 5228.1 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330021 CDM 270 RC outpatient 7055 755 1911.2 percent of total billed charges 7055 other OPPS APC 5220.7 percent of total billed charges 7055 other OPPS APC 7055 other OPPS APC 1911.2 percent of total billed charges 1949.3 percent of total billed charges 755 other OPPS APC 755 7055 IMPLANT INTEGRA COMPRESSION PLATE U SHAPED SUP-330021 CDM 270 RC inpatient 7055 7055 PINNACLE GRIPTION ACETABULAR SHELL 48 SUP-97-03793 CDM 278 RC outpatient 7051.5 751.5 7051.5 fee schedule 7051.5 other OPPS APC 4019.36 percent of total billed charges 7051.5 other OPPS APC 7051.5 other OPPS APC 3455.24 percent of total billed charges 3596.27 percent of total billed charges 751.5 other OPPS APC 751.5 7051.5 PINNACLE GRIPTION ACETABULAR SHELL 48 SUP-97-03793 CDM 278 RC inpatient 7051.5 7051.5 GRAFT DUAL MESH PLUS 26X34 SUP-97-00188 CDM 278 RC outpatient 7040 74 7040 fee schedule 7040 other OPPS APC 4012.8 percent of total billed charges 7040 other OPPS APC 7040 other OPPS APC 3449.6 percent of total billed charges 3590.4 percent of total billed charges 74 other OPPS APC 74 7040 GRAFT DUAL MESH PLUS 26X34 SUP-97-00188 CDM 278 RC inpatient 7040 7040 BIABAHN BALLOON ENDO SUP-BXAL085901A CDM 270 RC outpatient 7008 78 1898.47 percent of total billed charges 7008 other OPPS APC 5185.92 percent of total billed charges 7008 other OPPS APC 7008 other OPPS APC 1898.47 percent of total billed charges 1936.31 percent of total billed charges 78 other OPPS APC 78 7008 BIABAHN BALLOON ENDO SUP-BXAL085901A CDM 270 RC inpatient 7008 7008 IMPLANT GORE EXCLUDER 23MM X 3.3CM SUP-PLA230300 CDM 270010015 LOCAL 270 RC outpatient 7006 76 1897.93 percent of total billed charges 7006 other OPPS APC 5184.44 percent of total billed charges 7006 other OPPS APC 7006 other OPPS APC 1897.93 percent of total billed charges 1935.76 percent of total billed charges 76 other OPPS APC 76 7006 IMPLANT GORE EXCLUDER 23MM X 3.3CM SUP-PLA230300 CDM 270010015 LOCAL 270 RC inpatient 7006 7006 IMPLANT GORE EXCLUDER 26MM X 3.3CM SUP-PLA260300 CDM 270010015 LOCAL 270 RC outpatient 7006 76 1897.93 percent of total billed charges 7006 other OPPS APC 5184.44 percent of total billed charges 7006 other OPPS APC 7006 other OPPS APC 1897.93 percent of total billed charges 1935.76 percent of total billed charges 76 other OPPS APC 76 7006 IMPLANT GORE EXCLUDER 26MM X 3.3CM SUP-PLA260300 CDM 270010015 LOCAL 270 RC inpatient 7006 7006 IMPLANT GORE EXCLUDER 28.5MM X 3.3CM SUP-PLA280300 CDM 270010015 LOCAL 270 RC outpatient 7006 76 1897.93 percent of total billed charges 7006 other OPPS APC 5184.44 percent of total billed charges 7006 other OPPS APC 7006 other OPPS APC 1897.93 percent of total billed charges 1935.76 percent of total billed charges 76 other OPPS APC 76 7006 IMPLANT GORE EXCLUDER 28.5MM X 3.3CM SUP-PLA280300 CDM 270010015 LOCAL 270 RC inpatient 7006 7006 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PLL161207 CDM 270 RC outpatient 7006 76 1897.93 percent of total billed charges 7006 other OPPS APC 5184.44 percent of total billed charges 7006 other OPPS APC 7006 other OPPS APC 1897.93 percent of total billed charges 1935.76 percent of total billed charges 76 other OPPS APC 76 7006 GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH SUP-PLL161207 CDM 270 RC inpatient 7006 7006 CONNECTOR PERFUSION LEFT VENTRICULAR ACCESSORY SUP-174A-16 CDM 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 CONNECTOR PERFUSION LEFT VENTRICULAR ACCESSORY SUP-174A-16 CDM 270 RC inpatient 7000 7000 SPACER SPINAL TRANSCONTINENTAL M PEEK L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.428 CDM 270010020 LOCAL 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 SPACER SPINAL TRANSCONTINENTAL M PEEK L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.428 CDM 270010020 LOCAL 270 RC inpatient 7000 7000 SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H11 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.481 CDM 270010020 LOCAL 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H11 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.481 CDM 270010020 LOCAL 270 RC inpatient 7000 7000 SPACER SPINAL TRANSCONTINENTAL PEEK 6 D MEDIUM L60 MM X W20 MM X H9 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.579 CDM 270010020 LOCAL 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 SPACER SPINAL TRANSCONTINENTAL PEEK 6 D MEDIUM L60 MM X W20 MM X H9 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION SUP-375.579 CDM 270010020 LOCAL 270 RC inpatient 7000 7000 CATHETER ATHERECTOMY TURBO-POWER 2.3MM DISPOSABLE STERILE LF LASER SUP-420-050 CDM 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 CATHETER ATHERECTOMY TURBO-POWER 2.3MM DISPOSABLE STERILE LF LASER SUP-420-050 CDM 270 RC inpatient 7000 7000 GRAFT BONE MAGNETOS MATRIX .25-1 MM LARGE ALLOGRAFT FLEX SUP-703-058-US CDM 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 GRAFT BONE MAGNETOS MATRIX .25-1 MM LARGE ALLOGRAFT FLEX SUP-703-058-US CDM 270 RC inpatient 7000 7000 PURAPLY AM 5X5 SUP-97-01194 CDM 636 RC outpatient 7000 7 3430 percent of total billed charges 7000 other OPPS APC 124.93 fee schedule 7000 other OPPS APC 7000 other OPPS APC 3430 percent of total billed charges 1740.2 percent of total billed charges 7 other OPPS APC 7 7000 PURAPLY AM 5X5 SUP-97-01194 CDM 636 RC inpatient 7000 7000 STAPLE 20 X 20 EASYFUSE SUP-97-05769 CDM 278 RC outpatient 7000 7 7000 fee schedule 7000 other OPPS APC 3990 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 3430 percent of total billed charges 3570 percent of total billed charges 7 other OPPS APC 7 7000 STAPLE 20 X 20 EASYFUSE SUP-97-05769 CDM 278 RC inpatient 7000 7000 STAPLE 20 X 15 EASYFUSE SUP-97-05770 CDM 278 RC outpatient 7000 7 7000 fee schedule 7000 other OPPS APC 3990 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 3430 percent of total billed charges 3570 percent of total billed charges 7 other OPPS APC 7 7000 STAPLE 20 X 15 EASYFUSE SUP-97-05770 CDM 278 RC inpatient 7000 7000 AMNION THIN 3X4 SUP-97-05882 CDM 278 RC outpatient 7000 7 7000 fee schedule 7000 other OPPS APC 3990 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 3430 percent of total billed charges 3570 percent of total billed charges 7 other OPPS APC 7 7000 AMNION THIN 3X4 SUP-97-05882 CDM 278 RC inpatient 7000 7000 CATHETER - PHOENIX ATHERECTOMY 2.2MM SUP-99-03331 CDM 272 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 CATHETER - PHOENIX ATHERECTOMY 2.2MM SUP-99-03331 CDM 272 RC inpatient 7000 7000 CATHETER - PHOENIX ATHERECTOMY 1.8MM SUP-99-03415 CDM 272 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 CATHETER - PHOENIX ATHERECTOMY 1.8MM SUP-99-03415 CDM 272 RC inpatient 7000 7000 TOTAL KNEE 3 PIECE CAP PRICE SUP-CAPKNEE3 CDM 270010025 LOCAL 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 TOTAL KNEE 3 PIECE CAP PRICE SUP-CAPKNEE3 CDM 270010025 LOCAL 270 RC inpatient 7000 7000 CATHETER ARRAY BALLOON SUP-EC1000-204 CDM 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 CATHETER ARRAY BALLOON SUP-EC1000-204 CDM 270 RC inpatient 7000 7000 SPACER FEMORAL INTERSPACE CEMEX GENTAMICIN SMALL L60 MM X W36 MM X H16 MM OD54 MM ID40 MM .9 GM KNEE HIGH RELEASE SUP-SPK0022 CDM 270 RC outpatient 7000 7 1896.3 percent of total billed charges 7000 other OPPS APC 5180 percent of total billed charges 7000 other OPPS APC 7000 other OPPS APC 1896.3 percent of total billed charges 1934.1 percent of total billed charges 7 other OPPS APC 7 7000 SPACER FEMORAL INTERSPACE CEMEX GENTAMICIN SMALL L60 MM X W36 MM X H16 MM OD54 MM ID40 MM .9 GM KNEE HIGH RELEASE SUP-SPK0022 CDM 270 RC inpatient 7000 7000 TARGET 360 SOFT XL 7MM X 20MM SUP-612720 CDM 270 RC outpatient 6998 6998 1895.76 percent of total billed charges 6998 other OPPS APC 5178.52 percent of total billed charges 6998 other OPPS APC 6998 other OPPS APC 1895.76 percent of total billed charges 1933.55 percent of total billed charges 6998 other OPPS APC 1895.76 6998 TARGET 360 SOFT XL 7MM X 20MM SUP-612720 CDM 270 RC inpatient 6998 6998 COIL TARGET DETACHABLE 360 SOFT XL 8MM X 30CM SUP-612830 CDM 270 RC outpatient 6998 6998 1895.76 percent of total billed charges 6998 other OPPS APC 5178.52 percent of total billed charges 6998 other OPPS APC 6998 other OPPS APC 1895.76 percent of total billed charges 1933.55 percent of total billed charges 6998 other OPPS APC 1895.76 6998 COIL TARGET DETACHABLE 360 SOFT XL 8MM X 30CM SUP-612830 CDM 270 RC inpatient 6998 6998 STEM RADIAL EVOLVE PROLINE +2 MM OD5.5 MM ELBOW MODULAR SUP-496S255 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD5.5 MM ELBOW MODULAR SUP-496S255 CDM 270 RC inpatient 6982 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD6.5 MM ELBOW MODULAR SUP-496S265 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD6.5 MM ELBOW MODULAR SUP-496S265 CDM 270 RC inpatient 6982 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD8.5 MM ELBOW MODULAR SUP-496S285 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD8.5 MM ELBOW MODULAR SUP-496S285 CDM 270 RC inpatient 6982 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD9.5 MM ELBOW MODULAR SUP-496S295 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE +2 MM OD9.5 MM ELBOW MODULAR SUP-496S295 CDM 270 RC inpatient 6982 6982 STEM RADIAL EVOLVE PROLINE 4+ MM OD6.5 MM ELBOW MODULAR HEAD SUP-496S465 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE 4+ MM OD6.5 MM ELBOW MODULAR HEAD SUP-496S465 CDM 270 RC inpatient 6982 6982 STEM RADIAL EVOLVE PROLINE 4+ MM OD8.5 MM ELBOW MODULAR HEAD SUP-496S485 CDM 270 RC outpatient 6982 6982 1891.42 percent of total billed charges 6982 other OPPS APC 5166.68 percent of total billed charges 6982 other OPPS APC 6982 other OPPS APC 1891.42 percent of total billed charges 1929.13 percent of total billed charges 6982 other OPPS APC 1891.42 6982 STEM RADIAL EVOLVE PROLINE 4+ MM OD8.5 MM ELBOW MODULAR HEAD SUP-496S485 CDM 270 RC inpatient 6982 6982 PACEMAKER - GENERATOR AZURE DUAL W1DR01 SUP-99-03402 CDM 275 RC outpatient 6954 6954 6954 fee schedule 6954 other OPPS APC 3963.78 percent of total billed charges 6954 other OPPS APC 6954 other OPPS APC 3407.46 percent of total billed charges 3546.54 percent of total billed charges 6954 other OPPS APC 3407.46 6954 PACEMAKER - GENERATOR AZURE DUAL W1DR01 SUP-99-03402 CDM 275 RC inpatient 6954 6954 DEVICE AZURE XT DR MRI SURESCAN SUP-W1DR01 CDM 275 RC outpatient 6954 6954 3407.46 percent of total billed charges 6954 other OPPS APC 3963.78 percent of total billed charges 6954 other OPPS APC 6954 other OPPS APC 3407.46 percent of total billed charges 3546.54 percent of total billed charges 6954 other OPPS APC 3407.46 6954 DEVICE AZURE XT DR MRI SURESCAN SUP-W1DR01 CDM 275 RC inpatient 6954 6954 NRS 13MM X 127MM FEMORAL STEM SUP-97-05057 CDM 278 RC outpatient 6943 6943 6943 fee schedule 6943 other OPPS APC 3957.51 percent of total billed charges 6943 other OPPS APC 6943 other OPPS APC 3402.07 percent of total billed charges 3540.93 percent of total billed charges 6943 other OPPS APC 3402.07 6943 NRS 13MM X 127MM FEMORAL STEM SUP-97-05057 CDM 278 RC inpatient 6943 6943 STENT - ICAST COVERED 8X59 SUP-99-01316 CDM 278 RC outpatient 6937.5 6937.5 6937.5 fee schedule 6937.5 other OPPS APC 3954.38 percent of total billed charges 6937.5 other OPPS APC 6937.5 other OPPS APC 3399.38 percent of total billed charges 3538.13 percent of total billed charges 6937.5 other OPPS APC 3399.38 6937.5 STENT - ICAST COVERED 8X59 SUP-99-01316 CDM 278 RC inpatient 6937.5 6937.5 STENT - ICAST COVERED 9X59 SUP-99-01804 CDM 278 RC outpatient 6937.5 6937.5 6937.5 fee schedule 6937.5 other OPPS APC 3954.38 percent of total billed charges 6937.5 other OPPS APC 6937.5 other OPPS APC 3399.38 percent of total billed charges 3538.13 percent of total billed charges 6937.5 other OPPS APC 3399.38 6937.5 STENT - ICAST COVERED 9X59 SUP-99-01804 CDM 278 RC inpatient 6937.5 6937.5 STENT - ICAST COVERED 6X59 SUP-99-01816 CDM 278 RC outpatient 6937.5 6937.5 6937.5 fee schedule 6937.5 other OPPS APC 3954.38 percent of total billed charges 6937.5 other OPPS APC 6937.5 other OPPS APC 3399.38 percent of total billed charges 3538.13 percent of total billed charges 6937.5 other OPPS APC 3399.38 6937.5 STENT - ICAST COVERED 6X59 SUP-99-01816 CDM 278 RC inpatient 6937.5 6937.5 STENT - ICAST COVERED 7X59 SUP-99-01819 CDM 278 RC outpatient 6937.5 6937.5 6937.5 fee schedule 6937.5 other OPPS APC 3954.38 percent of total billed charges 6937.5 other OPPS APC 6937.5 other OPPS APC 3399.38 percent of total billed charges 3538.13 percent of total billed charges 6937.5 other OPPS APC 3399.38 6937.5 STENT - ICAST COVERED 7X59 SUP-99-01819 CDM 278 RC inpatient 6937.5 6937.5 CATHETER - OCTARAY 3-3-3-3 D CURVE SUP-99-04788 CDM 278 RC outpatient 6930 693 6930 fee schedule 6930 other OPPS APC 3950.1 percent of total billed charges 6930 other OPPS APC 6930 other OPPS APC 3395.7 percent of total billed charges 3534.3 percent of total billed charges 693 other OPPS APC 693 6930 CATHETER - OCTARAY 3-3-3-3 D CURVE SUP-99-04788 CDM 278 RC inpatient 6930 6930 HYDROSET 10CC SUP-97-00284 CDM 278 RC outpatient 6924 6924 6924 fee schedule 6924 other OPPS APC 3946.68 percent of total billed charges 6924 other OPPS APC 6924 other OPPS APC 3392.76 percent of total billed charges 3531.24 percent of total billed charges 6924 other OPPS APC 3392.76 6924 HYDROSET 10CC SUP-97-00284 CDM 278 RC inpatient 6924 6924 ARTHROFLEX 40 X 70 X 1.0MM SUP-97-05724 CDM inpatient 6902.5 6902.5 ARTHROFLEX 40 X 70 X 1.0MM SUP-97-05724 CDM outpatient 6902.5 692.5 6902.5 percent of total billed charges 6902.5 other OPPS APC 6902.5 fee schedule 6902.5 other OPPS APC 6902.5 other OPPS APC 6902.5 case rate 6902.5 case rate 692.5 other OPPS APC 692.5 6902.5 VALVE AIRWAY IBV NITINOL UMBRELLA OD9 MM CARTRIDGE FRAME HUMANITARIAN DEVICE SUP-REF-HUS-V9 CDM 270 RC outpatient 6900 69 1869.21 percent of total billed charges 6900 other OPPS APC 5106 percent of total billed charges 6900 other OPPS APC 6900 other OPPS APC 1869.21 percent of total billed charges 1906.47 percent of total billed charges 69 other OPPS APC 69 6900 VALVE AIRWAY IBV NITINOL UMBRELLA OD9 MM CARTRIDGE FRAME HUMANITARIAN DEVICE SUP-REF-HUS-V9 CDM 270 RC inpatient 6900 6900 NORIAN DRILLABLE INJECT 10CC-STERILE SUP-97-04920 CDM 278 RC outpatient 6880.5 688.5 6880.5 fee schedule 6880.5 other OPPS APC 3921.89 percent of total billed charges 6880.5 other OPPS APC 6880.5 other OPPS APC 3371.45 percent of total billed charges 3509.06 percent of total billed charges 688.5 other OPPS APC 688.5 6880.5 NORIAN DRILLABLE INJECT 10CC-STERILE SUP-97-04920 CDM 278 RC inpatient 6880.5 6880.5 ATTUNE CRS FB TIB BASE SZ6 CEM SUP-97-04795 CDM 278 RC outpatient 6879 6879 6879 fee schedule 6879 other OPPS APC 3921.03 percent of total billed charges 6879 other OPPS APC 6879 other OPPS APC 3370.71 percent of total billed charges 3508.29 percent of total billed charges 6879 other OPPS APC 3370.71 6879 ATTUNE CRS FB TIB BASE SZ6 CEM SUP-97-04795 CDM 278 RC inpatient 6879 6879 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE SUP-09.405.580S CDM 270 RC outpatient 6875.8 6875.82 1862.65 percent of total billed charges 6875.8 other OPPS APC 5088.09 percent of total billed charges 6875.8 other OPPS APC 6875.8 other OPPS APC 1862.65 percent of total billed charges 1899.78 percent of total billed charges 6875.82 other OPPS APC 1862.65 6875.82 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE SUP-09.405.580S CDM 270 RC inpatient 6875.8 6875.8 HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE SUP-09.405.583S CDM 270 RC outpatient 6875.8 6875.82 1862.65 percent of total billed charges 6875.8 other OPPS APC 5088.09 percent of total billed charges 6875.8 other OPPS APC 6875.8 other OPPS APC 1862.65 percent of total billed charges 1899.78 percent of total billed charges 6875.82 other OPPS APC 1862.65 6875.82 HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE SUP-09.405.583S CDM 270 RC inpatient 6875.8 6875.8 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE SUP-09.405.250S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE SUP-09.405.250S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE SUP-09.405.256S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE SUP-09.405.256S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE SUP-09.405.260S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE SUP-09.405.260S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE SUP-09.405.266S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE SUP-09.405.266S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE SUP-09.405.270S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE SUP-09.405.270S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE SUP-09.405.283S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE SUP-09.405.283S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE SUP-09.405.286S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE SUP-09.405.286S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.560S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.560S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.563S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.563S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.566S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE SUP-09.405.566S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE SUP-09.405.570S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE SUP-09.405.570S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.950S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.950S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.953S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.953S CDM 270 RC inpatient 6875 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.956S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE SUP-09.405.956S CDM 270 RC inpatient 6875 6875 HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE SUP-09.405.970S CDM 270 RC outpatient 6875 6875 1862.44 percent of total billed charges 6875 other OPPS APC 5087.5 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 1862.44 percent of total billed charges 1899.56 percent of total billed charges 6875 other OPPS APC 1862.44 6875 HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE SUP-09.405.970S CDM 270 RC inpatient 6875 6875 NEXGEN A/P WEDGED PRCT TIBIAL PLATE SZ5 SUP-97-03467 CDM 278 RC outpatient 6875 6875 6875 fee schedule 6875 other OPPS APC 3918.75 percent of total billed charges 6875 other OPPS APC 6875 other OPPS APC 3368.75 percent of total billed charges 3506.25 percent of total billed charges 6875 other OPPS APC 3368.75 6875 NEXGEN A/P WEDGED PRCT TIBIAL PLATE SZ5 SUP-97-03467 CDM 278 RC inpatient 6875 6875 PACEMAKER ACCOLADE SR SINGLE CHAMBER SYSTEM SUP-8H42 CDM 275 RC outpatient 6851.4 6851.4 3357.19 percent of total billed charges 6851.4 other OPPS APC 3905.3 percent of total billed charges 6851.4 other OPPS APC 6851.4 other OPPS APC 3357.19 percent of total billed charges 3494.21 percent of total billed charges 6851.4 other OPPS APC 3357.19 6851.4 PACEMAKER ACCOLADE SR SINGLE CHAMBER SYSTEM SUP-8H42 CDM 275 RC inpatient 6851.4 6851.4 WEDGE 12MM SUP-97-03627 CDM 278 RC outpatient 6843.75 6843.75 6843.75 fee schedule 6843.75 other OPPS APC 3900.94 percent of total billed charges 6843.75 other OPPS APC 6843.75 other OPPS APC 3353.44 percent of total billed charges 3490.31 percent of total billed charges 6843.75 other OPPS APC 3353.44 6843.75 WEDGE 12MM SUP-97-03627 CDM 278 RC inpatient 6843.75 6843.75 STENT ENDOPROSTHESIS VIABAHN 5CM 120CM 9MM 9FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBH090502A CDM 270 RC outpatient 6840 684 1852.96 percent of total billed charges 6840 other OPPS APC 5061.6 percent of total billed charges 6840 other OPPS APC 6840 other OPPS APC 1852.96 percent of total billed charges 1889.89 percent of total billed charges 684 other OPPS APC 684 6840 STENT ENDOPROSTHESIS VIABAHN 5CM 120CM 9MM 9FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS SUP-VBH090502A CDM 270 RC inpatient 6840 6840 IMPLANT GORE AORTIC EXTENDER SUP-PLA320400 CDM 270010015 LOCAL 270 RC outpatient 6836 6836 1851.87 percent of total billed charges 6836 other OPPS APC 5058.64 percent of total billed charges 6836 other OPPS APC 6836 other OPPS APC 1851.87 percent of total billed charges 1888.79 percent of total billed charges 6836 other OPPS APC 1851.87 6836 IMPLANT GORE AORTIC EXTENDER SUP-PLA320400 CDM 270010015 LOCAL 270 RC inpatient 6836 6836 IMPLANT GORE EXCLUDER 36MM X4.5CM SUP-PLA360400 CDM 270010015 LOCAL 270 RC outpatient 6836 6836 1851.87 percent of total billed charges 6836 other OPPS APC 5058.64 percent of total billed charges 6836 other OPPS APC 6836 other OPPS APC 1851.87 percent of total billed charges 1888.79 percent of total billed charges 6836 other OPPS APC 1851.87 6836 IMPLANT GORE EXCLUDER 36MM X4.5CM SUP-PLA360400 CDM 270010015 LOCAL 270 RC inpatient 6836 6836 IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM SUP-PLL161007 CDM 270010015 LOCAL 270 RC outpatient 6836 6836 1851.87 percent of total billed charges 6836 other OPPS APC 5058.64 percent of total billed charges 6836 other OPPS APC 6836 other OPPS APC 1851.87 percent of total billed charges 1888.79 percent of total billed charges 6836 other OPPS APC 1851.87 6836 IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM SUP-PLL161007 CDM 270010015 LOCAL 270 RC inpatient 6836 6836 GRAFT ENDOVASCULAR GORE EXCLUDER EPTFE NITINOL L7 CM OD14.5 MM ID12-13.5 MM ILIAC SINUSOIDAL STENT SEAL CUFF BOND FILM ACCEPTS 15 FR SHEATH AAA SUP-PLL161407 CDM 270 RC outpatient 6836 6836 1851.87 percent of total billed charges 6836 other OPPS APC 5058.64 percent of total billed charges 6836 other OPPS APC 6836 other OPPS APC 1851.87 percent of total billed charges 1888.79 percent of total billed charges 6836 other OPPS APC 1851.87 6836 GRAFT ENDOVASCULAR GORE EXCLUDER EPTFE NITINOL L7 CM OD14.5 MM ID12-13.5 MM ILIAC SINUSOIDAL STENT SEAL CUFF BOND FILM ACCEPTS 15 FR SHEATH AAA SUP-PLL161407 CDM 270 RC inpatient 6836 6836 NAIL TI CANN TFNA 10MM/130DEG 170MM SUP-97-03332 CDM 278 RC outpatient 6832.5 6832.5 6832.5 fee schedule 6832.5 other OPPS APC 3894.53 percent of total billed charges 6832.5 other OPPS APC 6832.5 other OPPS APC 3347.93 percent of total billed charges 3484.58 percent of total billed charges 6832.5 other OPPS APC 3347.93 6832.5 NAIL TI CANN TFNA 10MM/130DEG 170MM SUP-97-03332 CDM 278 RC inpatient 6832.5 6832.5 COMPONENT FEMORAL OPTETRAK 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE ASYMMETRIC SUP-234-03-03 CDM 270010025 LOCAL 270 RC outpatient 6804 684 1843.2 percent of total billed charges 6804 other OPPS APC 5034.96 percent of total billed charges 6804 other OPPS APC 6804 other OPPS APC 1843.2 percent of total billed charges 1879.95 percent of total billed charges 684 other OPPS APC 684 6804 COMPONENT FEMORAL OPTETRAK 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE ASYMMETRIC SUP-234-03-03 CDM 270010025 LOCAL 270 RC inpatient 6804 6804 IMPLANT COCHLEAR PONTO 9 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE SUP-M51137 CDM 270 RC outpatient 6800 68 1842.12 percent of total billed charges 6800 other OPPS APC 5032 percent of total billed charges 6800 other OPPS APC 6800 other OPPS APC 1842.12 percent of total billed charges 1878.84 percent of total billed charges 68 other OPPS APC 68 6800 IMPLANT COCHLEAR PONTO 9 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE SUP-M51137 CDM 270 RC inpatient 6800 6800 IMPLANT COCHLEAR PONTO 12 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE SUP-M51138 CDM 270 RC outpatient 6800 68 1842.12 percent of total billed charges 6800 other OPPS APC 5032 percent of total billed charges 6800 other OPPS APC 6800 other OPPS APC 1842.12 percent of total billed charges 1878.84 percent of total billed charges 68 other OPPS APC 68 6800 IMPLANT COCHLEAR PONTO 12 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE SUP-M51138 CDM 270 RC inpatient 6800 6800 CATHETER BALLOON OCCLUSION SCEPTER MINI L9 MM OD2.2 MM STERILE LATEX FREE DISPOSABLE SUP-BC0210M CDM 270 RC outpatient 6790 679 1839.41 percent of total billed charges 6790 other OPPS APC 5024.6 percent of total billed charges 6790 other OPPS APC 6790 other OPPS APC 1839.41 percent of total billed charges 1876.08 percent of total billed charges 679 other OPPS APC 679 6790 CATHETER BALLOON OCCLUSION SCEPTER MINI L9 MM OD2.2 MM STERILE LATEX FREE DISPOSABLE SUP-BC0210M CDM 270 RC inpatient 6790 6790 LEAD NEUROSTIMULATOR PRECISION ARTISAN PLATNALOCK L70 CM X W8 CM X H2 CM PADDLE LIM SPINAL CORD STIMULATOR SYSTEM SUP-M365SC8216700 CDM 270 RC outpatient 6790 679 1839.41 percent of total billed charges 6790 other OPPS APC 5024.6 percent of total billed charges 6790 other OPPS APC 6790 other OPPS APC 1839.41 percent of total billed charges 1876.08 percent of total billed charges 679 other OPPS APC 679 6790 LEAD NEUROSTIMULATOR PRECISION ARTISAN PLATNALOCK L70 CM X W8 CM X H2 CM PADDLE LIM SPINAL CORD STIMULATOR SYSTEM SUP-M365SC8216700 CDM 270 RC inpatient 6790 6790 LEAD NEUROSTIMULATOR ARTISAN L50 CM SUP-SC-8216-50 CDM 270010020 LOCAL 270 RC outpatient 6790 679 1839.41 percent of total billed charges 6790 other OPPS APC 5024.6 percent of total billed charges 6790 other OPPS APC 6790 other OPPS APC 1839.41 percent of total billed charges 1876.08 percent of total billed charges 679 other OPPS APC 679 6790 LEAD NEUROSTIMULATOR ARTISAN L50 CM SUP-SC-8216-50 CDM 270010020 LOCAL 270 RC inpatient 6790 6790 LEAD ARTISAN SPINAL STIM SUP-SC-8216-70 CDM 270 RC outpatient 6790 679 1839.41 percent of total billed charges 6790 other OPPS APC 5024.6 percent of total billed charges 6790 other OPPS APC 6790 other OPPS APC 1839.41 percent of total billed charges 1876.08 percent of total billed charges 679 other OPPS APC 679 6790 LEAD ARTISAN SPINAL STIM SUP-SC-8216-70 CDM 270 RC inpatient 6790 6790 3.5MM LCP LOW BEND MED PLATE 14H/LT239 SUP-97-03139 CDM 278 RC outpatient 6780 678 6780 fee schedule 6780 other OPPS APC 3864.6 percent of total billed charges 6780 other OPPS APC 6780 other OPPS APC 3322.2 percent of total billed charges 3457.8 percent of total billed charges 678 other OPPS APC 678 6780 3.5MM LCP LOW BEND MED PLATE 14H/LT239 SUP-97-03139 CDM 278 RC inpatient 6780 6780 HYDROSET 10CC SUP-97-03547 CDM 278 RC outpatient 6768.5 6768.5 6768.5 fee schedule 6768.5 other OPPS APC 3858.05 percent of total billed charges 6768.5 other OPPS APC 6768.5 other OPPS APC 3316.57 percent of total billed charges 3451.94 percent of total billed charges 6768.5 other OPPS APC 3316.57 6768.5 HYDROSET 10CC SUP-97-03547 CDM 278 RC inpatient 6768.5 6768.5 PINN M/H W/GRIPTION 58MM SUP-97-23765 CDM 278 RC outpatient 6766 6766 6766 fee schedule 6766 other OPPS APC 3856.62 percent of total billed charges 6766 other OPPS APC 6766 other OPPS APC 3315.34 percent of total billed charges 3450.66 percent of total billed charges 6766 other OPPS APC 3315.34 6766 PINN M/H W/GRIPTION 58MM SUP-97-23765 CDM 278 RC inpatient 6766 6766 PACEMAKER ACCOLADE DR MRI SINGLE CHAMBER SUP-L310 CDM 275 RC outpatient 6764 6764 3314.36 percent of total billed charges 6764 other OPPS APC 3855.48 percent of total billed charges 6764 other OPPS APC 6764 other OPPS APC 3314.36 percent of total billed charges 3449.64 percent of total billed charges 6764 other OPPS APC 3314.36 6764 PACEMAKER ACCOLADE DR MRI SINGLE CHAMBER SUP-L310 CDM 275 RC inpatient 6764 6764 PACEMAKER ASSURITY MRI SR-RF MERILN PKG SUP-PM1272CELL CDM 275 RC outpatient 6764 6764 3314.36 percent of total billed charges 6764 other OPPS APC 3855.48 percent of total billed charges 6764 other OPPS APC 6764 other OPPS APC 3314.36 percent of total billed charges 3449.64 percent of total billed charges 6764 other OPPS APC 3314.36 6764 PACEMAKER ASSURITY MRI SR-RF MERILN PKG SUP-PM1272CELL CDM 275 RC inpatient 6764 6764 HC Cc Coronary Thombectomy PX-481929731 CDM 92973 CPT 481 RC outpatient 6763 6763 178.66 fee schedule 6763 other OPPS APC 5004.62 percent of total billed charges 6763 other OPPS APC 6763 other OPPS APC 169.57 fee schedule 3449.13 percent of total billed charges 6763 other OPPS APC 169.57 6763 HC Cc Coronary Thombectomy PX-481929731 CDM 92973 CPT 481 RC inpatient 6763 6763 FEMORAL SLEEVE M/L 40MM SUP-1511-01-204 CDM 270010024 LOCAL 270 RC outpatient 6762 6762 1831.83 percent of total billed charges 6762 other OPPS APC 5003.88 percent of total billed charges 6762 other OPPS APC 6762 other OPPS APC 1831.83 percent of total billed charges 1868.34 percent of total billed charges 6762 other OPPS APC 1831.83 6762 FEMORAL SLEEVE M/L 40MM SUP-1511-01-204 CDM 270010024 LOCAL 270 RC inpatient 6762 6762 SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT SUP-97-06314 CDM 278 RC outpatient 6750 675 6750 fee schedule 6750 other OPPS APC 3847.5 percent of total billed charges 6750 other OPPS APC 6750 other OPPS APC 3307.5 percent of total billed charges 3442.5 percent of total billed charges 675 other OPPS APC 675 6750 SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT SUP-97-06314 CDM 278 RC inpatient 6750 6750 SPEEDPLATE 18X17MM RAPID COMPRESSION IMPLANT SUP-97-06315 CDM 278 RC outpatient 6750 675 6750 fee schedule 6750 other OPPS APC 3847.5 percent of total billed charges 6750 other OPPS APC 6750 other OPPS APC 3307.5 percent of total billed charges 3442.5 percent of total billed charges 675 other OPPS APC 675 6750 SPEEDPLATE 18X17MM RAPID COMPRESSION IMPLANT SUP-97-06315 CDM 278 RC inpatient 6750 6750 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L28 MM OD32 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-AXF3232W28XH CDM 270010015 LOCAL 270 RC outpatient 6750 675 1828.58 percent of total billed charges 6750 other OPPS APC 4995 percent of total billed charges 6750 other OPPS APC 6750 other OPPS APC 1828.58 percent of total billed charges 1865.03 percent of total billed charges 675 other OPPS APC 675 6750 GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L28 MM OD32 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA SUP-AXF3232W28XH CDM 270010015 LOCAL 270 RC inpatient 6750 6750 HEAD RADIAL EVOLVE PROLINE +4 MM OD26 MM ELBOW MODULAR STERILE SUP-496H426 CDM 270 RC outpatient 6724 6724 1821.53 percent of total billed charges 6724 other OPPS APC 4975.76 percent of total billed charges 6724 other OPPS APC 6724 other OPPS APC 1821.53 percent of total billed charges 1857.84 percent of total billed charges 6724 other OPPS APC 1821.53 6724 HEAD RADIAL EVOLVE PROLINE +4 MM OD26 MM ELBOW MODULAR STERILE SUP-496H426 CDM 270 RC inpatient 6724 6724 HEAD RADIAL EVOLVE STAINLESS STEEL +4 MM OD28 MM ELBOW MODULAR SUP-496H428 CDM 270 RC outpatient 6724 6724 1821.53 percent of total billed charges 6724 other OPPS APC 4975.76 percent of total billed charges 6724 other OPPS APC 6724 other OPPS APC 1821.53 percent of total billed charges 1857.84 percent of total billed charges 6724 other OPPS APC 1821.53 6724 HEAD RADIAL EVOLVE STAINLESS STEEL +4 MM OD28 MM ELBOW MODULAR SUP-496H428 CDM 270 RC inpatient 6724 6724 NAIL TI CANN TFNA 11MM/130DEG 380MM SUP-97-02580 CDM 278 RC outpatient 6711.35 6711.35 6711.35 fee schedule 6711.35 other OPPS APC 3825.47 percent of total billed charges 6711.35 other OPPS APC 6711.35 other OPPS APC 3288.56 percent of total billed charges 3422.79 percent of total billed charges 6711.35 other OPPS APC 3288.56 6711.35 NAIL TI CANN TFNA 11MM/130DEG 380MM SUP-97-02580 CDM 278 RC inpatient 6711.35 6711.35 NAIL TI CANN TFNA 11X 340 X 130 SUP-97-04618 CDM 278 RC outpatient 6711.35 6711.35 6711.35 fee schedule 6711.35 other OPPS APC 3825.47 percent of total billed charges 6711.35 other OPPS APC 6711.35 other OPPS APC 3288.56 percent of total billed charges 3422.79 percent of total billed charges 6711.35 other OPPS APC 3288.56 6711.35 NAIL TI CANN TFNA 11X 340 X 130 SUP-97-04618 CDM 278 RC inpatient 6711.35 6711.35 NAIL TI CANN TFNA 11MM/130DEG 360MM SUP-97-04906 CDM 278 RC outpatient 6711.35 6711.35 6711.35 fee schedule 6711.35 other OPPS APC 3825.47 percent of total billed charges 6711.35 other OPPS APC 6711.35 other OPPS APC 3288.56 percent of total billed charges 3422.79 percent of total billed charges 6711.35 other OPPS APC 3288.56 6711.35 NAIL TI CANN TFNA 11MM/130DEG 360MM SUP-97-04906 CDM 278 RC inpatient 6711.35 6711.35 PROCESSOR SOUND PONTO PRO RIGHT EAR POWER STERILE CHROMA BEIGE BONE ANCHORED HEARING SYSTEM SUP-M51735 CDM 270 RC outpatient 6708.34 678.34 1817.29 percent of total billed charges 6708.34 other OPPS APC 4964.17 percent of total billed charges 6708.34 other OPPS APC 6708.34 other OPPS APC 1817.29 percent of total billed charges 1853.51 percent of total billed charges 678.34 other OPPS APC 678.34 6708.34 PROCESSOR SOUND PONTO PRO RIGHT EAR POWER STERILE CHROMA BEIGE BONE ANCHORED HEARING SYSTEM SUP-M51735 CDM 270 RC inpatient 6708.34 6708.34 GRAFT TAPESTRY W/ INSERTION SLEEVE SUP-97-06359 CDM 278 RC outpatient 6700 67 6700 fee schedule 6700 other OPPS APC 3819 percent of total billed charges 6700 other OPPS APC 6700 other OPPS APC 3283 percent of total billed charges 3417 percent of total billed charges 67 other OPPS APC 67 6700 GRAFT TAPESTRY W/ INSERTION SLEEVE SUP-97-06359 CDM 278 RC inpatient 6700 6700 VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H15.0 MM OD21 MM BIOPROSTHESIS STENTED HOLDER SEWING RING SUP-T505U221 CDM 270 RC outpatient 6700 67 1815.03 percent of total billed charges 6700 other OPPS APC 4958 percent of total billed charges 6700 other OPPS APC 67